Julia Raifman, ScD

@juliaraifman.bsky.social

Evidence-based posts about public health & equity. All views are my own.

The health, social, & economic disruptions of the pandemic were challenging for each of us & our shared society Grateful to all who did their best to help us through this historic period May we one day have more constructive reflection on what we may learn to strengthen our collective way forward

'I still have nightmares every night' — health workers struggle with PTSD symptoms as coronavirus takes toll

Health care workers are fighting a new battle regarding their mental health and well-being due to Covid-19, as deaths have recently topped 120,000 people.

cnbc.com

The cyclosporiasis outbreak illustrates the importance of public health expertise, data, & systems for maintaining a good standard of living Investments in public health people & infrastructure reduce the risk of substantial costs to health, well-being, & the economy

US outbreak of parasite causing ‘watery diarrhea’ rises to more than 2,800 cases

Cyclosporiasis outbreak comes a year after Trump officials cut funding for state and local health departments

theguardian.com

Happy 250th, USA! May we reach for the best of ourselves as we shape the next 250 I draw inspiration from this 1941 Jacob Lawrence painting celebrating new opportunities for Black children through the Great Migration Lawrence describes how policies shaped a standard of living conducive to learning

Jacob Lawrence painting and description:

With arms stretched high, these three girls reach to write numbers on a large, clean chalkboard. Their bright dresses and modern classroom suggest that these students enjoy a standard of living that allows them focus on school work. Lawrence’s picture of a childhood education in the North contrasts sharply with his depiction of underage labor in the South in panel 24, in which bare-chested children work in cotton fields under the sun.

Source: https://www.moma.org/interactives/exhibitions/2015/onewayticket/panel/58/

Have a happy & healthy holiday weekend ☀️ Some best practices for swim fun 💦 🛟 Choose areas with lifeguards 🏊🏽‍♀️🏊🏿‍♂️ Swim with a bud 👧🏽 Kids require 💯 adult attention in the water, no phones. Drowning happens quickly & quietly 🎈 Take turns as 💯 attentive “water watchers” in group settings Have fun 😎

Red Cross tips and image from this website: https://www.redcross.org/get-help/how-to-prepare-for-emergencies/types-of-emergencies/water-safety/swim-safety.html

The bootcamp flu outbreak illustrates the importance of public health policies, including how policies amount to more than the sum of individual decisions Policy decisions also involve trade-offs. Few policies are fully costless Glad troops will return to an evidence-based policy with much benefit

Pentagon restores mandatory flu shots for all recruits as boot camp outbreak sickens nearly 300

The Pentagon said Wednesday that boot camps for all the military services are once again requiring the flu vaccination for all recruits after Defense Secretary Pete Hegseth made the shot optional for ...

yahoo.com

“Ultimately, the survival of democracy depends not only on laws and constitutions, but on the behaviour of institutions & the people who lead them... The time to act is not after the collapse, but during the slow, quiet moments when resistance still has a chance to prevail.”

Martin McKee@martinmckee.bsky.social · last mo.

🧵1/ In our new paper, @chrischirp.bsky.social & I argue that while institutions can resist authoritarian pressure, some enable it. Looking at the current US regime, we examine why universities, law firms, and corporations often chose accommodation over resistance.

Did you know? Monied influence groups reach into public health and medicine as well These groups recruit leaders in the field — and increasingly fund them to support their aims, especially as federal funding is so diminished idp.nature.com/authorize?re...

Epstein files reveal deeper ties to scientists than previously known

Latest batch of documents show researchers consulting the financier and sex offender on publications, visas and more.

idp.nature.com

Did you know? Public health is political Glad to support a California candidate for governor in favor of ✅ Single-payer health care ✅ Increasing taxes on billionaires ✅ Supporting renewable energy & voting for Tom Steyer is just the start May we keep up the work on better

Dropping off a ballot for the California primary, voting for Tom Steyer

Here is a figure showing the various OECD countries minimum wages as a ratio of median. Average around 60%. But many at or above 2/3. Then there is an outlier, the US.

Bild

Most states subject to Medicaid work requirements are planning to adopt an optional hardship exception that will exempt expansion enrollees in high-unemployment counties from work requirements. More in our new policy watch: https://on.kff.org/4wye0oa

KFF map titled: About 1.4 Million Medicaid Expansion Enrollees Live in Counties with High Unemployment and Could Qualify for a Hardship Exception to Work Requirements. The map shows the Medicaid expansion enrollment in counties that meet criteria for the unemployment exception to the Medicaid work requirements, using a 12-month unemployment average, based on data from February 2025 to January 2026. Two additional categories are depicted: "Not Required to Implement Work Requirements" (8 states) and "Not Adopting Hardship Exception" (4 states). The chart is sourced from KFF with additional data from the Bureau of Labor Statistics and Census Bureau.

At the peak of the ICE surge, Minnesotans raised and distributed millions of dollars in quick, low-barrier rent aid. Now some organizers of rent relief funds say they’re seeing an increase in requests for help as the number of evictions ticks upward and the amount of individual donations drop.

Need for rent relief remains high as eviction filings increase and individual donations slow down

Some organizers of rent relief funds say they’re seeing an increase in requests for help as the number of evictions ticks upward and the amount of individual donations drop.

mprnews.org

What was the R in the Andes variant #hantavirus outbreak detailed in NEJM? R across outbreak: 1.19, “a finding that suggests … potential for self-sustaining transmission (R>1)” R before mitigation: 2.1 R after case isolation & contact quarantine: 0.96 Isolation & quarantine key to limit spread

“Super-Spreaders” and Person-to-Person Transmission of Andes Virus in Argentina | NEJM

From November 2018 through February 2019, person-to-person transmission of Andes virus (ANDV) hantavirus pulmonary syndrome occurred in Chubut Province, Argentina, and resulted in 34 confirmed infe...

nejm.org