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Posts by Maxwell Smith, PhD

"The [OECD] report notes that long COVID has a health system and economic impact that is similar to stroke or multiple sclerosis, but has not sparked the same response."

That cost? $135 billion per year over the next decade, comparable to the entire annual health budget of the Netherlands or Spain.

4 hours ago 24 15 0 1

100%!

1 day ago 1 0 1 0

💯

4 days ago 1 0 0 0

JD Vance is lecturing the Pope on Catholicism and Pierre Poilievre is lecturing Mark Carney on economics and RFK Jr is lecturing scientists about vaccines and Donald Trump is lecturing the world on tariffs and Pete Hegseth is quoting Pulp Fiction and thinking it’s the Bible

5 days ago 509 219 35 24
Public health prevents diseases and makes health care systems more resilient | CIHI Understand how hospitalization rates for vaccine-preventable respiratory diseases demonstrate how proactive intervention by Canada’s public health systems can prevent more costly health care.

Data published today by CIHI show there were 57,700 hospitalizations in Canada for vaccine-preventable diseases in 2024, more than DOUBLE the rate in 2019.

40% were related to COVID, the largest driver of hospitalizations for vaccine-preventable respiratory diseases.

www.cihi.ca/en/priority-...

5 days ago 22 14 2 1

If health-related reasons (e.g., respiratory illness, mental health issues, disability) are even partly responsible for this rather dramatic increase in absences, making students' grades contingent on being present could very well make matters worse.

6 days ago 59 16 2 0

h/t @drjenirwin.bsky.social + @kathrynas.bsky.social

6 days ago 5 0 0 0
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High school attendance drops to 40% in Ontario as government considers changes | Globalnews.ca The Ford government is currently considering giving students in grades 9 to 12 credit on their final marks if they attend class as part of new legislation.

Percentage of Ontario high school students missing 10% or more of their classes:

2017-18: 40%
2021-22: 47%
2022-23: 64%
2023-24: 59.5%
2024-25: 59.8%

ON's proposed policy solution? Award grades for attendance. Forget addressing root causes of increased absences.

globalnews.ca/news/1180158...

6 days ago 108 36 10 10
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“Some of the studies are testing new treatment regimens for drug- resistant tuberculosis,” I explained, hoping I could convey the very real danger in terms that would register with this audience. “Thousands of enrolled patients are at risk now that their lifesaving treatment is stopped. But that’s not the only danger. We only have limited options to treat drug- resistant TB. We’re using our antibiotics of last resort in these trials. Interrupting treatment midstream risks the development of new, even more drug-resistant strains that could be untreatable. For an airborne infectious disease, that is a serious national security risk.”

Adam thought for a moment and then responded, noting that the political appointees at USAID were “not health people.” It would be hard, he surmised, for nonexperts to understand this issue. And so he suggested that we draft a simple, “Barney-style” set of slides to help the political leadership grasp the dangers, referring to the purple dinosaur of children’s television. He recommended that we use the term “Super TB” instead of “drug- resistant TB” to describe the mutations that can develop when treatment is interrupted, because it might be more likely to “catch their attention.”

“Some of the studies are testing new treatment regimens for drug- resistant tuberculosis,” I explained, hoping I could convey the very real danger in terms that would register with this audience. “Thousands of enrolled patients are at risk now that their lifesaving treatment is stopped. But that’s not the only danger. We only have limited options to treat drug- resistant TB. We’re using our antibiotics of last resort in these trials. Interrupting treatment midstream risks the development of new, even more drug-resistant strains that could be untreatable. For an airborne infectious disease, that is a serious national security risk.” Adam thought for a moment and then responded, noting that the political appointees at USAID were “not health people.” It would be hard, he surmised, for nonexperts to understand this issue. And so he suggested that we draft a simple, “Barney-style” set of slides to help the political leadership grasp the dangers, referring to the purple dinosaur of children’s television. He recommended that we use the term “Super TB” instead of “drug- resistant TB” to describe the mutations that can develop when treatment is interrupted, because it might be more likely to “catch their attention.”

A Trump guy who was part of the team dismantling USAID didn't think political appointees could grasp the concept of drug-resistant tuberculosis so he asked workers to explain it as "Super TB" in "Barney-style" slides.

www.thehandbasket.co/p/trump-usai...

1 week ago 2981 617 47 52
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What the peptide craze reveals about Americans’ relationship with risk Why do RFK Jr. and other health influencers embrace unproven peptides while calling for more research into well-studied vaccines?

RFK Jr.'s apparent contradiction on vaccines and peptides reflects a deeper belief: Americans have a right to try and can choose their own risks. www.statnews.com/2026/04/06/r...

1 week ago 28 12 3 2

I understand young parents particularly mothers describe themselves as doing "baby jail" time--they can't go out because they can't take their infants out.

1 week ago 13 11 4 0

Yup just horrible people huh?

1 week ago 1 0 1 0
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Exclusive: Pfizer, BioNTech halt US COVID vaccine study after recruitment struggles Vaccine makers Pfizer and BioNTech halted a large U.S. trial of their updated COVID-19 ​vaccine in healthy adults aged 50 to 64, saying enrollment in the trials had been too low to generate the needed...

The upshot: The FDA demanded new placebo studies in order to approve a 2026-2027 shot for folks aged 50-64 who aren't high-risk.

But Pfizer and BioNTech needed to recruit ~ 25,000 to 30,000 study participants who weren't high risk, & they couldn't get enough...

🧵

www.reuters.com/business/hea...

2 weeks ago 28 16 2 6

Ohh this book and @scottlgreer.bsky.social's review look excellent. Thanks for flagging - I look forward to reading them, Patrick!

2 weeks ago 1 0 0 0

So thankful for this invitation and opportunity to discuss these important topics with such amazing folks at CAMH! Thanks again for the invite, @danielbuchman.bsky.social

3 weeks ago 1 1 1 0
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Dr Max smith lecturing to an audience. Windows are half open behind him. The audience is facing forward and sitting in chairs.

Dr Max smith lecturing to an audience. Windows are half open behind him. The audience is facing forward and sitting in chairs.

Dr Max smith lecturing to an audience. Windows are half open behind him. The audience is facing forward and sitting in chairs.

Dr Max smith lecturing to an audience. Windows are half open behind him. The audience is facing forward and sitting in chairs.

Side view. Dr Max smith lecturing to an audience. Windows are half open behind him. The audience is facing forward and sitting in chairs.

Side view. Dr Max smith lecturing to an audience. Windows are half open behind him. The audience is facing forward and sitting in chairs.

@camhnews.bsky.social Ethics & Everyday Ethics Lab hosted @maxwellsmith.bsky.social for a talk on coercion and compulsion in mental health & addictions -- timely given involuntary tx for substance use legis emerging across 🍁. Grateful for his journal club on vaccine mandates & inf consent as well! 🙏

3 weeks ago 6 1 2 0
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A Toronto doctor made $427,500 selling fake Covid vaccine-exemption letters - Toronto Life Her medical licence has been revoked

Dr. Celeste Jean Thirlwell's medical licence has been revoked. She provided 1,425 letters to exempt patients from COVID vaccination, masking, and testing requirements.

To the tune of $300 per letter, at that. She made $427,500 over a 3-month period.

torontolife.com/city/a-toron...

3 weeks ago 33 15 2 2

"The so-called “five-second rule” has been debunked in food safety, yet a similar mindset persists in surgical environments."

Who knew the five-second rule was an IPAC standard?

3 weeks ago 17 4 4 0

Ugh if only!

3 weeks ago 2 0 0 0

Wouldn't that be lovely!

3 weeks ago 2 0 1 0

Post-docs will be appointed @westernu.ca and will be members of the @westernbioethics.bsky.social, with additional opportunities to become involved in @rotmanphilosophy.bsky.social and other units on campus.

3 weeks ago 2 0 0 0

Apply: Send an email to maxwell.smith@uwo.ca with your CV and a cover letter outlining your education/training in public health ethics/infectious disease ethics as well as relevant topics in which you are interested and capable of conducting research

3 weeks ago 1 0 1 0

Start date: Flexible, but September 2026 preferred

Duration: 1 year + renewable for a second year

Location: In-person preferred but remote possible (Western University, London, Ontario, Canada)

Due date: rolling until suitable candidates hired

More info: DM or email me if you'd like to discuss

3 weeks ago 1 1 1 0
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...fair allocation of scarce resources; balancing the rights of the individual and the interests of society when using public health interventions; how to effectively translate and integrate research and knowledge in ethics into decision-making during infectious disease emergencies, etc.

3 weeks ago 1 0 1 0

Successful applicants will have graduate-level education, training, and/or experience in bioethics + public health and possess methodological expertise suitable for conducting normative + empirical research on ethical questions that emerge in the context of infectious diseases, such as...

3 weeks ago 4 0 1 0

I'm hiring multiple post-doctoral fellows in the area of public health ethics (and specifically infectious disease ethics) @westernu.ca

Details 👇

3 weeks ago 29 34 3 5

The opposite of what John Ioannidis and friends were saying in 2020.

1 month ago 29 4 3 1

Yikes

1 month ago 224 139 31 117

The next ethics director will be VERY busy, investigating:

Was it ethical for NIH leadership to terminate studies on health disparities, including research at Duke on the health of transgender people?

Was it ethical for Bhattacharya to ban our team from using the words “racial disparities”?

1/n

1 month ago 75 22 1 1
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At Largest ICE Detention Camp, Staff Bet on Detainee Suicides, AP Reports Camp East Montana has received several 911 calls in the span of five months about immigrants trying to harm themselves.

Staff at the nation’s largest Immigration and Customs Enforcement detention facility have placed bets on which detainee will be the next to die by suicide, according to new reporting from the Associated Press based on 911 calls and detainee accounts.

1 month ago 9314 6047 607 1530
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