Gun violence, domestic violence, and the systems that fail us The Dose (April 21)

Important. Leading cause of death in children. Doesn't have to be this way.

open.substack.com/pub/yourloca...

The Death of Public Health Robert F, Kennedy Jr, the nation’s #1 public health official, isn’t interested in public health.

Hopefully not "the death of", but the "wake up call about" public health. Great quote about freedom for the wolf is death to the lamb.

pauloffit.substack.com/p/the-death-...

Had a chance to discuss views of the FDA workforce and principles of regulation from my perspective.

open.spotify.com/episode/4nYk...

When Disregard for Population Health Becomes US Policy - PubMed When Disregard for Population Health Becomes US Policy

Another useful summary and rationale for not being passive from Dr. Woolf.

pubmed.ncbi.nlm.nih.gov/41837974/

@joho.bsky.social and I discussed this for our forthcoming podcast. I'm going for the wolf bit. I think he's been pressured by the Malignant Mango's boys to cut the antivax chatter before the midterms. But if Dems lose, heaven help us all. He'll take them away for real.

Well said.

open.substack.com/pub/drjessic...

HHS issues new guidelines for food served in hospitals - Food Politics by Marion Nestle The HHS Centers for Medicare & Medicaid Services told hospitals to align their food practices with the 2025–2030 dietary guidelines.

I think the 2 key points are important: 1) food for patients sick enough to be in hospital should be fit for the clinical situation; 2) the biggest impact would be the food service for families and employees. Hopefully, this will be taken seriously.

www.foodpolitics.com/2026/04/2840...

Dietary guidelines: AHA v. MAHA - Food Politics by Marion Nestle The American Heart Association has published a rebuttal to the MAHA (Make America Healthy Again) Dietary Guidelines.

Interesting summary of the differences between American Heart Association recommendations and USG dietary guidelines.

www.foodpolitics.com/2026/04/diet...

Scientists discover how ‘super agers’ stay mentally sharp | CNN A new study found that some people in their 80s and 90s think like they’re decades younger — and their brains make new cells at twice the normal rate.

Good, brief interview. I particularly like the exchange at the end of the interview about the list of things that people are wasting a lot of money purchasing these days.

www.cnn.com/2026/02/26/h...

My belief is that those who are dedicated to public health need to develop a strategy to deal with the environmental saturation of advertising for commodities that are adverse to health.

www.foodpolitics.com/2026/04/week...

Will We Repeat a Deadly Mistake From 100 Years Ago? The United States ignored the dangers of lead for decades, despite powerful evidence

This is a good example to use. We need a method of getting the basics across to the public so that public discourse is more aware.

open.substack.com/pub/tomfried...

The Much-Feared FDA Form 483, Part 3 Generic Drug Issues

Part 3 of my thoughts on FDA Form 483 and what I thought was some misguided thinking about how to use it to assess quality in generic drug manufacturing. More to come in subsequent substacks on the important issue of generic drug shortages.

robcaliff272993.substack.com/p/the-much-f...

More Proof That HPV Vaccines Are Working HPV is the virus that can cause cervical cancer and some other cancers. The HPV vaccines can prevent these infections and these cancers. Don't skip it!

open.substack.com/pub/stopanti...

What MAHA Calls a “Win” I went through the administration’s own list of top health “achievements.” Here’s what actually holds up and what doesn’t.

Quite a summary.

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As usual Dr Woolf makes critical points about the role of the public health and system and how its vitally linked to other social support.

Article titled "When Disregard for Population Health Becomes US Policy" by Steven H. Woolf, MD, MPH, published online March 16, 2026, in JAMA. The article discusses US population health policies and their impact.

💬 Perspective: Cuts to social welfare, health agencies, and data surveillance are projected to increase mortality rates and escalate the US health disadvantage relative to other nations.

ja.ma/40CyT2L

Strategies to Promote Health Equity in Interventional Cardiology: Practice, Research, Education, and Policy

Enjoyed reviewing contributions to the journal for the Society of Cardiovascular Angiography & Interventions on the struggle to understand and "fix" health equity in a high-intensity specialty.

www.sciencedirect.com/science/arti...

Making Skin Cancer Great Again for our Children Indoor tanning, the fitness/wellness industry, and nutrition?

Clear description of an error.

drsusanmayne.substack.com/p/making-ski...

A win for your access to vaccines, federal accountability, and health AAP vs. RFK vaccine lawsuit

Excellent summary. There is such a thing as expertise and government has the responsibility to produce a defensible public record of the science behind its public health policies. Good to see that these basics were upheld.

open.substack.com/pub/yourloca...

Making Skin Cancer Great Again for our Children Indoor tanning, the fitness/wellness industry, and nutrition?

Sensible advice from Dr Mayne.

open.substack.com/pub/drsusanm...

What’s Actually in RFK’s Nutrition Plan for Doctors On the surface, a no-brainer. Underneath, some real red flags.

Right problem--need a better solution that really addresses the need and avoids nebulous pseudoscience. Worth engaging to find the right place though.

open.substack.com/pub/theunbia...

What Just Happened?! A year ago, America had a functioning vaccine system. Here's what we've lost—and what's at stake

one day humpty-dumpty will need to be put back together again--hopefully in a way that creates an even better system than the one Dr Frieden describes.

tomfrieden.substack.com/p/what-just-...

Fertility and Misinformation with Dr. Lucky Sekhon Yesterday I spoke with Dr.

This is well done & the second half on misinformation and dietary supplements is really important.

drjessicaknurick.substack.com/p/fertility-...

Otherwise what's depicted in this article will continue to grow with serious consequences for health.

An Amish Avatar and an A.I. Monk Are Pitching Supplements on Social Media

i remain hopeful that one day we'll sort through dietary supplements and separate the supplements with health benefits outweighing risks from those with either no health benefit or excess risk.

www.nytimes.com/2026/03/09/b...

We need to make this work for primary care as a key national priority-I'm glad radiology is still attractive, but all that complexity is magnified when decisions need to be made about how to proceed.

“Why Do You Still Have a Job?” The Surprising Complexity of Replacing Physicians With AI

A good one. I think the point about AI bringing up a multitude of potential issues is really important.

open.substack.com/pub/robertwa...

The “V” Word In early 2025, a child died from measles—the first measles death in more than 20 years. Thirteen months later, a public health official finally said the “V” word?

Good article by @pauloffit.bsky.social on how low our expectations have become for people like Podcast Jay and other MAHA doctors.

The red-green-yellow designation is more complicated than I would have thought--but that's why we need empirical research.

Front of Pack Nutrition Labeling at the FDA under Secretary Kennedy and Commissioner Makary - A commitment to action or to delay and inaction?

This wil be interesting to follow. I hope they move forward based on the extensive research already done and make other changes based on research that can be done now.

open.substack.com/pub/drsusanm...