They only claim to be pro life when the fetus is unborn. One out of the womb you are on your own to figure it out and find those boot straps to help pull you up.

6months later the baby with severe developmental issues is still hospitalized and family is resorting to gofundme to cover the related expenses. The Georgia legislature responsible for the abortion laws that enabled this tragedy is no where in sight to support this family and be pro life.

Word!

It is versatile, challenging, interesting and allows me to integrate social determinants of health with public policy to help the most vulnerable populations both in the US and globally. Few other specialties can claim this but right now this seems to not be enough to counter the challenges. #IDSky

All of these things makes choosing ID a little harder for trainees. Health systems will suffer the consequences of losing a whole generation of ID trained physicians and maybe that's what it would take to turn the tide. I will still pick ID as a specialty if I had to do it again because

- Research funding for ID is actively being cut by federal government
- The CDC is in shambles and has been effectively neutered.
- Public health is being targeted at irrelevant and not a professional degree.
Add to this lower compensation compared to other IM specialties.

Our expertise is valued and in demand across health systems and ID consults impact outcomes positively for surgery, infection prevention and control and management of sepsis and bacteremias. But no one wants to be a human pinata- blamed for pandemic policies, vaccine policies, public health measures

More mechanistic work is needed, but the signal is consistent, biologically plausible, and increasingly hard to ignore. So if you are eligible for it please get your shingles vaccine it clearly does more than prevent a painful rash.

This doesn’t prove shingles vaccination treats dementia but it strongly suggests preventing VZV reactivation (or boosting immune fitness more broadly) may slow cognitive decline across the entire dz course.

These results are unusually robust for observational data.
Because eligibility was based on a birth-date threshold just days apart, both groups were nearly identical in every way except vaccine access minimizing classic confounding.

3. Effects were stronger in women.
This mirrors other work showing sex-specific immune advantages from some live-attenuated vaccines.

2. Lower dementia-related mortality among people already living with dementia.
Vaccinated individuals with pre-existing dementia had substantially fewer dementia-related deaths over the follow-up period.

The authors used strict date-of-birth cutoffs in Wales essentially a quasi-randomized design and found:
1. Lower risk of developing mild cognitive impairment
People eligible for the live-attenuated shingles vaccine had fewer new diagnoses of MCI over 9 years.

It prevents perinatal hepatitis B, reduce the risk for chronic hepatitis B and hepatocellular carcinoma. The vaccine has essentially wiped out 99% of perinatally acquired hepatitis B infections in the US since it was introduced. It is safe and protects infants.

Sadly this is the current state of global public health. Funding cuts galore, withdrawal from global solidarity and embracing isolationism.

A total of 64 cases were recorded. 53 confirmed and 11 probable. 45 people died.
Importantly 47000 people were vaccinated! A remarkable feat and a key piece that likely helped to stop the outbreak in it's tracks. Ebola is still deadly but we now have a vaccine to fight it.