Eli Perencevich
@eliowa.bsky.social
doc+epidemiologist in Iowa studying antimicrobial resistance. Columbus Crew
ignore the noise, always forward
opinions are mine aren’t medical advice
ignore the noise, always forward
opinions are mine aren’t medical advice
Pinned
Eli Perencevich
@eliowa.bsky.social
· Feb 13
Do Americans want safe food?
Which Departments are responsible for food safety?
USDA
HHS -> FDA and CDC
Commerce -> NOAA (fisheries)
If one Department is disabled, we don’t have safe food
Enjoy your dinner 🍲
Which Departments are responsible for food safety?
USDA
HHS -> FDA and CDC
Commerce -> NOAA (fisheries)
If one Department is disabled, we don’t have safe food
Enjoy your dinner 🍲
Reposted by Eli Perencevich
As farmers face trade wars and inflation, calls to mental health hotlines rise
As farmers face trade wars and inflation, calls to mental health hotlines rise
As farmers face historic headwinds and market hardships, calls to the national Farm Aid hotline and the Iowa Concern hotline — where farmers can get support in times of mental health crisis or need — are increasing. This fall, the Iowa Concern hotline saw four to five times the number of calls it had in the same months last year.
www.thegazette.com
December 7, 2025 at 2:01 PM
As farmers face trade wars and inflation, calls to mental health hotlines rise
Reposted by Eli Perencevich
again, the supreme court did not write the constitution (or the declaration) and—despite what you may think—they don't have the monopoly on the interpretation of those documents.
the people have a say, and if the court is out of step with the people, that's a problem for the court, not the governed
the people have a say, and if the court is out of step with the people, that's a problem for the court, not the governed
i think to understand the meaning of the birthright citizenship clause to the framers of the 14th amendment, you have to understand significance of dred scott to the civil war republican party. dred scott wasn't just a bad ruling, it was understood as a rejection of the declaration itself.
December 6, 2025 at 8:28 PM
again, the supreme court did not write the constitution (or the declaration) and—despite what you may think—they don't have the monopoly on the interpretation of those documents.
the people have a say, and if the court is out of step with the people, that's a problem for the court, not the governed
the people have a say, and if the court is out of step with the people, that's a problem for the court, not the governed
Reposted by Eli Perencevich
One interesting statistic from the article followed by two equally interesting statistics about U Nebraska:
December 7, 2025 at 3:18 AM
One interesting statistic from the article followed by two equally interesting statistics about U Nebraska:
Reposted by Eli Perencevich
Nebraska Lincoln is both the flagship and the land grant university for the state. You better believe the ignoramuses in charge will not stop there - and be prepared for it.
It's over.
Despite the fact that the academic council recommended against it, despite the fact that the program brought in more tuition than it cost, and despite the fact that Nebraskans need & deserve this expertise, Earth & Atmospheric Sciences will be cut.
www.dailynebraskan.com/news/adminis...
Despite the fact that the academic council recommended against it, despite the fact that the program brought in more tuition than it cost, and despite the fact that Nebraskans need & deserve this expertise, Earth & Atmospheric Sciences will be cut.
www.dailynebraskan.com/news/adminis...
BREAKING: ‘This hurts’: UNL eliminates 4 programs despite faculty, student pleas
The University of Nebraska-Lincoln eliminates the Earth and atmospheric sciences 8-0, educational administration 7-1, statistics 7-1, textiles, merchandising and fashion design 7-1 programs.
www.dailynebraskan.com
December 6, 2025 at 6:55 PM
Nebraska Lincoln is both the flagship and the land grant university for the state. You better believe the ignoramuses in charge will not stop there - and be prepared for it.
Reposted by Eli Perencevich
The death of children due to an unsafe vaccine is a serious allegation. What the FDA is saying about the Covid vax is not based on fact.
Article by a pediatric cardiologist who's studied the link between Covid vaccines & heart-related side effects such as myocarditis in children. No pay wall.
Article by a pediatric cardiologist who's studied the link between Covid vaccines & heart-related side effects such as myocarditis in children. No pay wall.
FDA claims on COVID-19 vaccine safety are unsupported by reliable data – and could severely hinder vaccine access
The agency’s plan to change the well-established process for safety testing vaccines is not realistic.
theconversation.com
December 6, 2025 at 4:04 PM
The death of children due to an unsafe vaccine is a serious allegation. What the FDA is saying about the Covid vax is not based on fact.
Article by a pediatric cardiologist who's studied the link between Covid vaccines & heart-related side effects such as myocarditis in children. No pay wall.
Article by a pediatric cardiologist who's studied the link between Covid vaccines & heart-related side effects such as myocarditis in children. No pay wall.
Reposted by Eli Perencevich
i think to understand the meaning of the birthright citizenship clause to the framers of the 14th amendment, you have to understand significance of dred scott to the civil war republican party. dred scott wasn't just a bad ruling, it was understood as a rejection of the declaration itself.
December 6, 2025 at 6:03 PM
i think to understand the meaning of the birthright citizenship clause to the framers of the 14th amendment, you have to understand significance of dred scott to the civil war republican party. dred scott wasn't just a bad ruling, it was understood as a rejection of the declaration itself.
Reposted by Eli Perencevich
The AP has quoted my statement from yesterday that ACIP is an epidemiological crime scene, because it is.
CDC vaccine advisers say not all babies need a hepatitis B shot at birth
A federal vaccine advisory committee voted Friday to end a longstanding recommendation that all U.S. babies get the hepatitis B vaccine on the day they’re born.
www.ksbw.com
December 5, 2025 at 4:19 PM
The AP has quoted my statement from yesterday that ACIP is an epidemiological crime scene, because it is.
This will set up an depressing but necessary study where we could see hepatitis B jump in certain states/groups that follow this devastating change. Slow motion train wreck
RFK Jr.’s handpicked CDC panel rolls back recommending all newborns get vaccinated for hepatitis B
CDC Panel Of Vaccine Skeptics Votes To Delay Hepatitis B Shot For Most Babies
Public health officials warned that the decision by advisers picked by RFK Jr. will result in more infants being infected and experiencing lifelong liver diseases.
www.huffpost.com
December 5, 2025 at 3:59 PM
This will set up an depressing but necessary study where we could see hepatitis B jump in certain states/groups that follow this devastating change. Slow motion train wreck
Reposted by Eli Perencevich
Dorit Reiss, a prof of law & member of the Vaccine Working Group on Ethics and Policy: "The committee meeting showed bias, lack of scientific understanding, non-transparency & incompetence.” We are living in aggressively regressive times & folks will die needlessly.
www.forbes.com/sites/judyst...
www.forbes.com/sites/judyst...
Why The Hepatitis B Birth Dose Is At Risk From New CDC Vaccine Advisors
New members of the CDC vax advisory committee (ACIP) are opposed to newborn Hepatitis B vaccine, believing them not needed for most, and dangerous. Data contradicts that.
www.forbes.com
December 5, 2025 at 3:26 AM
Dorit Reiss, a prof of law & member of the Vaccine Working Group on Ethics and Policy: "The committee meeting showed bias, lack of scientific understanding, non-transparency & incompetence.” We are living in aggressively regressive times & folks will die needlessly.
www.forbes.com/sites/judyst...
www.forbes.com/sites/judyst...
Reposted by Eli Perencevich
"Americans spend more on medication than every other country in the world combined." www.theglobeandmail.com/business/art...
Massive U.S. drug spending gives Trump trade leverage
U.S. pays far higher prices than many comparable countries, with drugs costing 264% more than in Canada
www.theglobeandmail.com
December 5, 2025 at 4:45 AM
"Americans spend more on medication than every other country in the world combined." www.theglobeandmail.com/business/art...
Reposted by Eli Perencevich
1/ I may write something about this, but I've noticed some folks, notably Noah Smith, but others as well, deriding the $140,000=poverty in today's US guy.
So I thought I'd work out what a family of 4 budget would look like in my well-off Boston suburb (Brookline).
TL:DR--pretty damn tight...
So I thought I'd work out what a family of 4 budget would look like in my well-off Boston suburb (Brookline).
TL:DR--pretty damn tight...
December 4, 2025 at 10:16 PM
1/ I may write something about this, but I've noticed some folks, notably Noah Smith, but others as well, deriding the $140,000=poverty in today's US guy.
So I thought I'd work out what a family of 4 budget would look like in my well-off Boston suburb (Brookline).
TL:DR--pretty damn tight...
So I thought I'd work out what a family of 4 budget would look like in my well-off Boston suburb (Brookline).
TL:DR--pretty damn tight...
Reposted by Eli Perencevich
Did you know?
190 countries have infant immunization schedules that include the Hep B vaccine
115 countries recommend a universal birth-dose of the Hep B vaccine, one of the key actions WHO recommends to reduce Hep B prevalence
Read more in the WHO Hep B Report ➡️
iris.who.int/server/api/c...
190 countries have infant immunization schedules that include the Hep B vaccine
115 countries recommend a universal birth-dose of the Hep B vaccine, one of the key actions WHO recommends to reduce Hep B prevalence
Read more in the WHO Hep B Report ➡️
iris.who.int/server/api/c...
November 23, 2025 at 10:44 PM
Did you know?
190 countries have infant immunization schedules that include the Hep B vaccine
115 countries recommend a universal birth-dose of the Hep B vaccine, one of the key actions WHO recommends to reduce Hep B prevalence
Read more in the WHO Hep B Report ➡️
iris.who.int/server/api/c...
190 countries have infant immunization schedules that include the Hep B vaccine
115 countries recommend a universal birth-dose of the Hep B vaccine, one of the key actions WHO recommends to reduce Hep B prevalence
Read more in the WHO Hep B Report ➡️
iris.who.int/server/api/c...
Reposted by Eli Perencevich
I am very happy to be identified as a former member of an ACIP working group. We did good work with the adult hepatitis B recommendations - it was evidence based. You can listen to hours of presentations on CDC's Youtube channel or read the summary here.
www.cdc.gov/mmwr/volumes...
www.cdc.gov/mmwr/volumes...
Universal Hepatitis B Vaccination in Adults Aged 19–59 Years ...
This report describes updated hepatitis B vaccination ...
www.cdc.gov
December 4, 2025 at 9:40 PM
I am very happy to be identified as a former member of an ACIP working group. We did good work with the adult hepatitis B recommendations - it was evidence based. You can listen to hours of presentations on CDC's Youtube channel or read the summary here.
www.cdc.gov/mmwr/volumes...
www.cdc.gov/mmwr/volumes...
Reposted by Eli Perencevich
And yet there have been at least 42 hep B vaccine RCTs, which used various types of controls, based on what we've catalogued. RCTs provide limited safety data compared to post-marketing surveillance, of course, but 42 isn't nothing.
docs.google.com/spreadsheets...
docs.google.com/spreadsheets...
December 4, 2025 at 9:39 PM
And yet there have been at least 42 hep B vaccine RCTs, which used various types of controls, based on what we've catalogued. RCTs provide limited safety data compared to post-marketing surveillance, of course, but 42 isn't nothing.
docs.google.com/spreadsheets...
docs.google.com/spreadsheets...
Reposted by Eli Perencevich
Oh I know. And then they complain about that RCT because it didn't use an "inert placebo" since the plasma-based vaccine was already available. Nothing ever good enough, even after literally over a billion doses given globally.
December 4, 2025 at 9:25 PM
Oh I know. And then they complain about that RCT because it didn't use an "inert placebo" since the plasma-based vaccine was already available. Nothing ever good enough, even after literally over a billion doses given globally.
Reposted by Eli Perencevich
THIS THIS THIS
4/ A concern I hear a lot is that children get “too many” vaccines. They don't. Kids get about 54 doses over 18 years that protect against 17 diseases. The number of antigens in vaccines is tiny compared to everyday exposures, like the 8–12 viral infections kids naturally get each year.
December 4, 2025 at 9:36 PM
THIS THIS THIS
Reposted by Eli Perencevich
"it's all a sham, it's not on the level" -- @matthewcort.land is spot on, this is an antivax show trial by antivaxxers
see also this NEJM piece by 12 bipartisan former FDA directors (35 yrs!):
"it relies on the rigor and goodwill of the people doing the evaluation"
www.nejm.org/doi/full/10....
see also this NEJM piece by 12 bipartisan former FDA directors (35 yrs!):
"it relies on the rigor and goodwill of the people doing the evaluation"
www.nejm.org/doi/full/10....
December 4, 2025 at 7:49 PM
"it's all a sham, it's not on the level" -- @matthewcort.land is spot on, this is an antivax show trial by antivaxxers
see also this NEJM piece by 12 bipartisan former FDA directors (35 yrs!):
"it relies on the rigor and goodwill of the people doing the evaluation"
www.nejm.org/doi/full/10....
see also this NEJM piece by 12 bipartisan former FDA directors (35 yrs!):
"it relies on the rigor and goodwill of the people doing the evaluation"
www.nejm.org/doi/full/10....
I’m surprised so many doctors want to practice in a medical system overwhelmed by vaccine preventable diseases and where they can’t get access to potentially life-saving cancer therapies like mRNA vaccines for their patients.
So much silence
(Not speaking about docs on bluesky)
So much silence
(Not speaking about docs on bluesky)
December 4, 2025 at 7:27 PM
I’m surprised so many doctors want to practice in a medical system overwhelmed by vaccine preventable diseases and where they can’t get access to potentially life-saving cancer therapies like mRNA vaccines for their patients.
So much silence
(Not speaking about docs on bluesky)
So much silence
(Not speaking about docs on bluesky)
Reposted by Eli Perencevich
The ACIP membership does not know if Hexavalent infant vaccines have similar vaccine response to hep B vs when given separately but in order to get EMA (European equivalent to FDA) approval they had to show this in a large clinical trial:
pubmed.ncbi.nlm.nih.gov/26216331/
pubmed.ncbi.nlm.nih.gov/26216331/
December 4, 2025 at 7:16 PM
The ACIP membership does not know if Hexavalent infant vaccines have similar vaccine response to hep B vs when given separately but in order to get EMA (European equivalent to FDA) approval they had to show this in a large clinical trial:
pubmed.ncbi.nlm.nih.gov/26216331/
pubmed.ncbi.nlm.nih.gov/26216331/
Reposted by Eli Perencevich
Early in this ACIP meeting, Vicky Pebsworth blamed gay men, promiscuous women, urban residents, and immigrants for spreading HBV in the U.S.
Then Evelyn Griffin said, out loud, that “illegal immigrants” are to blame.
This committee should be DISBANDED and exiled to science Siberia.
Then Evelyn Griffin said, out loud, that “illegal immigrants” are to blame.
This committee should be DISBANDED and exiled to science Siberia.
December 4, 2025 at 6:30 PM
Early in this ACIP meeting, Vicky Pebsworth blamed gay men, promiscuous women, urban residents, and immigrants for spreading HBV in the U.S.
Then Evelyn Griffin said, out loud, that “illegal immigrants” are to blame.
This committee should be DISBANDED and exiled to science Siberia.
Then Evelyn Griffin said, out loud, that “illegal immigrants” are to blame.
This committee should be DISBANDED and exiled to science Siberia.
Reposted by Eli Perencevich
Yes.
Democratic politicians need to stop accepting Trump’s white nationalist premise that immigration is bad and proudly and loudly make a positive case for why America’s identity and history as a nation of immigrants is so important.
December 4, 2025 at 2:47 PM
Yes.
Reposted by Eli Perencevich
Historian here it’s Hannah Arendt’s death anniversary and she was of course prescient.
December 4, 2025 at 12:11 PM
Historian here it’s Hannah Arendt’s death anniversary and she was of course prescient.
Students and residents I talk to worry about AI replacing non procedural fields
This year’s US ID Fellowship Match saw 272 adult ID and 44 pediatric ID matches - but overall fewer physicians are entering the field and over half of fellowship programs went unfilled.
www.idsociety.org/news--public...
www.idsociety.org/news--public...
IDSA and PIDS statement on 2025 infectious diseases fellowship Match results
www.idsociety.org
December 4, 2025 at 1:48 PM
Students and residents I talk to worry about AI replacing non procedural fields
Reposted by Eli Perencevich
Oh look it's one of my favorite historians and my favorite mayor
American Conversations: Zohran Mamdani
YouTube video by Heather Cox Richardson
www.youtube.com
December 4, 2025 at 3:30 AM
Oh look it's one of my favorite historians and my favorite mayor
Reposted by Eli Perencevich
These papers just haunt me:
jamanetwork.com/journals/jam...
jamanetwork.com/journals/jam...
Why would we want to incentivize this?
jamanetwork.com/journals/jam...
jamanetwork.com/journals/jam...
Why would we want to incentivize this?
Hospital Adverse Events and Patient Outcomes Associated With Private Equity Acquisition
This observation study examines changes in hospital-acquired adverse events (or conditions) and hospitalization outcomes associated with private equity acquisition among Medicare beneficiaries treated...
jamanetwork.com
December 4, 2025 at 1:52 AM
These papers just haunt me:
jamanetwork.com/journals/jam...
jamanetwork.com/journals/jam...
Why would we want to incentivize this?
jamanetwork.com/journals/jam...
jamanetwork.com/journals/jam...
Why would we want to incentivize this?