Greg Fell
@felly500.bsky.social
4.7K followers 1.3K following 1.4K posts
DPH Sheffield Council. President ADPHUK. Barely active climber and below average cyclist. Fond of - 80s thrash metal. Blog - https://gregfellpublichealth.wordpress.com/
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felly500.bsky.social
Systemic changes to make it harder to spread

Jujitsu based persuasion
Use opponents weight Present solutions that dont threaten ideology. Eg - Regulate fossil fuel industry as answer vs promote nuclear industry. One is with conservative ideology one v v much against
felly500.bsky.social
FLICC framework for inoculation against misinformation - explain how it works. Nobody likes being misled
Fake experts
Logical fallacy
impossible expectation 
Cherry picking 
Conspiracies
felly500.bsky.social
tactics used by those pushing misinformation
We cant do anything
Transition of misinfo from problem to solution
Emphasise downsides Individual level answers - Carbon footprints
Focus attention on demand side answers not supply side
felly500.bsky.social
Elite cues
False balance. How journalists see balance professionally. Scientific v ideological
Capture of academia 
Typology of susceptibility- immune, susceptible, vulnerable,  amplifier. Can inform comms strategy
felly500.bsky.social
We then got talking the Naci paper on opportunity cost of NICE decisions, threshold / drug pricing / UK Life Sciences vs NHS budget / Trump pressure …….

Cue more tumbleweed….. and mutters about “that’s a gov policy decision ….. "meanwhile here’s some cool cutting edge innovations to talk about"
expert reaction to reports from Politico that the UK government has drawn up proposals to increase the amount the NHS pays pharmaceutical firms for drugs | Science Media Centre
www.sciencemediacentre.org
felly500.bsky.social
Was in conversation wirh a few innovation and med tec peeps recently

Was all a bit "modern stents and TAVI have saved lives. It’s cool. Innovation is going to save lives. And if it’s better than what replaced it then all’s ok...."

I mentioned my old friend “opportunity cost”.

Cue tumbleweed
expert reaction to reports from Politico that the UK government has drawn up proposals to increase the amount the NHS pays pharmaceutical firms for drugs | Science Media Centre
www.sciencemediacentre.org
felly500.bsky.social
Very much so
We broadly know what to do
But there is an awful lot of capture of the narrative and of systems
Thus not alot of do ....
Avoidable harm is the result
felly500.bsky.social
Beliefism
How to stop hating people with different beliefs
Beliefs about beliefs
Tolerating and celebrating diversity
The limits of beliefism in scientifically settled topics

open.spotify.com/episode/3yOs...
Spotify – Web Player
open.spotify.com
felly500.bsky.social
BBC News - Betting machine gamblers 'offered perks' - BBC News
www.bbc.co.uk/news/uk-3638...

Coral said it takes its commitments to responsible gambling "extremely seriously"

Maybe THIS is what they mean by "responsible gambling"......
Betting machine gamblers 'offered perks'
Betting shop gamblers are offered drinks and free bets to keep them on high stakes machines, staff tell the Victoria Derbyshire programme.
www.bbc.co.uk
felly500.bsky.social
Tim Gill on cities for children
open.spotify.com/episode/15UL...
excellent
a lot on play, spaces, parked cars taking up space
Cities for Children with Tim Gill
open.spotify.com
felly500.bsky.social
Maybe MMWR is just a bit too woke?

Maybe turning off NORAD will be next
elizabethjacobs.bsky.social
The editors of the CDC’s Morbidity and Mortality Weekly Report (MMWR) were apparently fired today.

The precursor to MMWR began in 1878 to address emerging public health threats rapidly.

We are not “great” without it. We are vulnerable to threats from sporadic foodborne illness to bioterrorism.
felly500.bsky.social
Def no better

Two thoughts

1 -As @maizie333.bsky.social just observed - not dissimilar to the appalling incentive programs that drove elements of the opioid epidemic…

2- I've sat through a fair few licencing committee where operators say how responsible they are to chance of success
Reposted by Greg Fell
elizabethjacobs.bsky.social
The editors of the CDC’s Morbidity and Mortality Weekly Report (MMWR) were apparently fired today.

The precursor to MMWR began in 1878 to address emerging public health threats rapidly.

We are not “great” without it. We are vulnerable to threats from sporadic foodborne illness to bioterrorism.
felly500.bsky.social
Irish version of Gam Commission and what it is saying about harm reduction

SURPRISE!!!

recommendations on:
Counsellors
Education
Treatment
Awareness
More research

I guess it will all be ok then…….

grai-cms-production-bucket.s3.eu-west-2.amazonaws.com/cms-media/in...
grai-cms-production-bucket.s3.eu-west-2.amazonaws.com
felly500.bsky.social
Yes not surprising

Makes it no less egregious

To note, I've heard plenty of licence applicants wax lyrically about their robust management of safety of players to both Cllrs on licencing committe (in pursuit of that licence)
And once, in court, to a judge
Reposted by Greg Fell
stevensenior.bsky.social
It always surprises me that minimum unit pricing isn't pitched as a plan to save the Great British Boozer.
hazelcheeseman.bsky.social
Seems like the solution to the "problem" of people not going to the pub could be to tax off-trade alcohol a bit more and narrow the price difference and incentives a return to the pub while also raising revenue. Would likely have health gains too.
felly500.bsky.social
www.adph.org.uk/2025/10/alco...

Alcohol licensing reforms

From a public health point of view, it's... well a little disappointing...

Its almost as if there wasn't some concern about high and rising alcohol harm and it's impact on families, UKPLC and the NHS
Alcohol licensing reforms - ADPH
www.adph.org.uk
felly500.bsky.social
Let's call it for what it is
The gizmo budget is basically the primary care budget
felly500.bsky.social
Our old friend opportunity cost

Nobody likes to talk about him

But he is there.....lurking round the corner of every "amazing new thing" that makes the headlines ....