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Posts by Joe Gitchell

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Why Japan has such good railways - Works in Progress Magazine Japan's railways are the finest in the world. Other countries can copy its formula.

Learning a lot from this great article about Japanese railways.

For example, TIL Japan has privatized parking: “Before someone buys a car, they must prove that they have a reserved night-time space on private land, either owned or leased.”

worksinprogress.co/issue/why-ja...

20 hours ago 52 14 4 3

Good all around plus it includes about 6 minutes of discussion of vaping at around minute 15.

#StayCurious

20 hours ago 0 0 0 0
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Podcast: Can Everything Kill My Kids? Combating Viral Pseudoscience with Dr. Jess Steier Pesticides, Girl Scout cookies, food additives, and more—the list of allegedly harmful chemicals feels endless. And so does the army of influencers happily deceiving us about them, fueled by algorithms that serve up fear-laced content for maximum clicks. Given those odds, how can scientists cut through the nonsense proliferating online?

In case you missed it, Dr. Jess Steier joined the latest American Council on Science and Health podcast to talk about how viral pseudoscience spreads online and what it really takes to cut through fear-based health misinformation. More here: https://ow.ly/FwqU50YLpZ6

1 day ago 11 2 0 1

#HealthComm #SciComm Nerds!!

Please, please, do not read this if you're concerned that your instinct to help people may collide with some uncomfortable implications and you prefer binary, uncomplicated situations.

1 day ago 2 1 0 0
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Shaping Vaping Podcast YouTube video by American Vapor Manufacturers

2/2

- Food Policy in FDA’s thinking
- What can THR learn from the Food Wars?
- Joe’s forecasts from 10yrs ago and today

*maybe I'm spending too much time with my GenZ children?

www.youtube.com/live/qJoYm1A...

2 days ago 1 1 0 0

Nicotine Nerds who also eat (a tight Venn Diagram!) may find today's #ShapingVaping at noon ET of interest.

Jim McCarthy and I will be joined by @conscienhealth.bsky.social and we're going to low-key lock-in* on getting less wrong on the following:

1/2

2 days ago 1 1 1 0

#StayCurious
#StaySkeptical

Measured, careful, take from @gidmk.bsky.social.

Includes input via @sciencemediacentre.bsky.social from
@lionshahab.bsky.social.

#nicotine #vaping #cancer #evidence

1 week ago 2 1 0 0
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How Y’all, Youse and You Guys Talk (Published 2024) What does the way you speak say about where you’re from? Answer all the questions below to see your personal dialect map.

From 2013, but this @nytimes.com quiz blows me away.

www.nytimes.com/interactive/...

1 week ago 2 0 1 0
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I Don't Think This Is Just a Me Problem On vaccine purgatory, collective exhaustion, and what it means to keep building anyway

In public health, we know what happens when people stop believing change is possible: they stop trying to make it so. Learned helplessness isn't just psychological; it's a public health risk. So holding onto the door isn’t naivete. It’s what keeps us in the fight.

1 week ago 17 3 0 1
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We All Know a Trent What to say when someone blames your vaccines, and how to say it better than I did

But mostly, I’m thinking about the people sitting in the middle of the spectrum; not entrenched, just uncertain, trying to sort through years of confusing and often contradictory information. Those conversations are worth having. I hope this article helps in some small way to help you navigate them.

1 week ago 11 3 0 2
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Viewpoint Diversity Collides with Harm and Outrage An important tension in the field of nicotine and tobacco research

No one:

Literally no one:

Me: Let me share my thoughts about reliable knowledge generation in the field of nicotine and tobacco research!!

open.substack.com/pub/joegitch...

1 week ago 2 2 0 0

We all have to get more comfortable with being uncomfortable.

1 week ago 7 2 0 0
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#PickOnGitch (@joegitchell) This post is line after line of #DiscomfortOfThought. Yes, @Clive Bates’s writing aligns with my priors on many, maybe most, but certainly not all, topics, so I would say that, but please comment whe...

"Eliminate the tobacco industry", they said.

@clivebates.bsky.social has additional perspectives for you to consider.

substack.com/@joegitchell...

1 week ago 1 1 0 0
Closing 3 paras from https://source.washu.edu/2003/06/nicotine-inhalers-may-reduce-smokingrelated-illnesses/

Closing 3 paras from https://source.washu.edu/2003/06/nicotine-inhalers-may-reduce-smokingrelated-illnesses/

Throwback Sunday.

Please see this @washumedicine.bsky.social summary of a 2003 @bmjtobacco-control.bsky.social paper by Dr Walton Sumner (link in ALT)

Twenty. Three. Years.

1 week ago 2 2 0 0
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Oof does this hit.

@dkthomp.bsky.social @ezraklein.bsky.social @mattyglesias.bsky.social @jerusalem.bsky.social @jeffmightbwrong.bsky.social

Follow reco for @dingdingpeng.the100.ci. Chef's kiss on so many levels.

2 weeks ago 2 0 0 0

This just HITS.

#Trust

@brindabee.bsky.social

2 weeks ago 1 1 0 0
Why does transparency matter for trust in public health? #trust #transparency #mistakes #health
Why does transparency matter for trust in public health? #trust #transparency #mistakes #health YouTube video by Complicating The Narrative

Why does transparency about our mistakes matter for maintaining trust?
youtube.com/shorts/E1aHE...

2 weeks ago 2 1 0 0

#nicotine #tobacco #harmreduction

2 weeks ago 1 1 0 0
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The State of U.S. Vaccine Policy A political retreat, an unanswered appeal, and states building their own guardrails

Something notable has shifted in Washington, DC. Heading into the midterms (officially now six months away), Health and Human Services (HHS) Secretary Robert F. Kennedy Jr.’s vaccine skepticism is becoming a political liability, and the administration appears to be quietly stepping back from it.

2 weeks ago 17 3 1 1
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Changes in expenditure on vaping in the context of the rise of disposable vapes and impending regulatory changes: a population study in Great Britain, 2021–2025 Background The vaping market in Great Britain has shifted rapidly since 2021, driven by the rise of disposable vapes, regulatory announcements, changing consumer behaviours and market responses. This ...

New paper suggests the UK disposable vape ban may have unintentionally made vaping more affordable for young people.

The ban prompted vape manufacturers to introduce disposable-like reusable vapes with lower ongoing costs than disposable equivalents.

tobaccocontrol.bmj.com/content/earl...

2 weeks ago 4 2 0 0

I did some work on alli (the OTC version of orlistat), and there's real truth in your warning, but it is also really safe (not absorbed systemically) and users typically were able to manage the side effects over time.

Tagging in @conscienhealth.bsky.social in case I'm goofing anything up.

2 weeks ago 1 0 1 0

Thank you.

And if you prefer, we can take this to the comments in your blog?

2 weeks ago 1 0 0 0

Thanks, Stan.

A favor: can you please reply to my posts vs re-skeeting them? it makes following a discussion difficult.

If you're game for that, I do have some questions for you.

No worries, of course. As I've noted previously, satisfying my curiosity can be very low on your list!!

🙏

2 weeks ago 1 0 1 0
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Setting goals for nicotine regulation and policy Using Regulatory Stances to move forward

open.substack.com/pub/joegitch...

2 weeks ago 1 2 0 0
expert reaction to qualitative risk assessment on the carcinogenicity of e-cigarettes | Science Media Centre

www.sciencemediacentre.org/expert-react...

2 weeks ago 1 0 0 1

#StayCurious fo shizzzle!

2 weeks ago 4 1 0 1
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Who's up for a big, messy food fight?

This administration figures it might be more popular than it was to burn down the CDC and rip up vaccine policies. Now, if only we can agree on the righteous way to eat, we might get somewhere.
HT: @emilystewart.bsky.social
conscienhealth.org/2026/03/29/s...

3 weeks ago 2 3 0 0

For at least one reason why people who smoke are not aware of the relative risks across the products, see this @nypost.com story (nypost.com/2026/03/26/h...) based, loosely (😜), on the scientific article pitched in this #EurekaAlert: www.eurekalert.org/news-release...?

@cochranetag.bsky.social

3 weeks ago 2 1 0 0
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Does the Benadryl Cause Dementia? We Don’t Know Yet, But Here’s What We Do Know

Benadryl blocks acetylcholine, a chemical that plays an important role in memory/thinking. In fact, Alzheimer’s disease involves changes in acetylcholine signaling. Because certain anticholinergics like Benadryl can cross into the brain, it’s biologically plausible that this could affect cognition.

3 weeks ago 8 2 2 0

Big props to @unbiasedscipod.bsky.social for inviting @mbsiegel.bsky.social on the pod to talk about smoking, nicotine, vaping, and how the tobacco control community may not be helping as much as they might.

If you're vulnerable to #DiscomfortOfThought, consider prophylactic analgesia!

3 weeks ago 5 3 0 0