Alt Health and Human Services
@alt-hhs.altgov.info
đ€ 53003
đ„ 300
đ 300
Promoting health and science and resistance against pseudoscience, disinformation, and fascism.
pinned post!
Resisting MAGA bull shit, anti-vaxx disinformation, pseudoscience, and woo-fuckery. Your resource for evidence based health care information for these difficult times.
about 1 year ago
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reposted by
Alt Health and Human Services
Elizabeth Jacobs, PhD
7 days ago
The Republican Congress is the reason that Hegseth was allowed to start an unwinnable war. The Republican Congress is the reason we are having the worst measles outbreak in decades. The Republican Congress is the reason that people are being terrorized by ICE.
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Elizabeth Jacobs, PhD
7 days ago
A prime example of The Regimeâs shitbirdery, as relates to the citizenship of Indigenous People: Justice Gorsuch: Are tribal [children], born today, birthright citizens? Trumpy lawyer: Uhhh, I think so? On our test, yeah. Iâm not sure. Iâd have to think that through. But, but â thatâs my reaction
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reposted by
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Fired but Fighting (National Public Health Coalition)
7 days ago
Today, April 1, 2026 marks one year since 2,400 CDC employees were illegally fired without warning and without cause. We continue to fight for public health and the health and safety of all Americans. We stay fired up! We will continue to stand up! We will keep speaking up!
#CDC
#HHS
#PublicHealth
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This is not an April Fools joke and is fantastic news. From the Washington State Secretary of Health, Dennis Worsham. Washington has been officially accepted into the World Health Organization's Global Alert and Response Network (WHO GOARN) as the 5th state to to apply and be accepted.
goarn.who.int
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GOARN
https://goarn.who.int
7 days ago
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Good, she's not even qualified to be commissioned as an O-3 medical officer.
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Trump says itâs âpossibleâ Means will be withdrawn as surgeon general nominee
President Trump on Sunday indicated he was open to withdrawing his nomination of Casey Means, sister of White House senior adviser Calley Means, to be U.S. surgeon general, as reports indicate she âŠ
https://thehill.com/policy/healthcare/5807286-trump-means-nominee-republican-support/?fbclid=IwT01FWAQ4uENleHRuA2FlbQIxMABzcnRjBmFwcF9pZAwzNTA2ODU1MzE3MjgAAR72GVI9qLdnE9uAPFOEaOeeR-yJHesHXjLPBn-UMw-zsV0jrUTQMZqS7fLguQ_aem_3OclXmqD1gG3TTiMm0P8XA
8 days ago
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The CDC, Once the Worldâs Most Important Public-Health Organization, Is Now the Church of Medical Woo-Woo
Secretary Roadkill couldnât have caused more wreckage if heâd simply carpet-bombed its campus in Atlanta.
https://www.esquire.com/news-politics/politics/a70843789/rfk-jr-cdc-new-york-times-magazine-report/
12 days ago
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reposted by
Alt Health and Human Services
12 days ago
#BrainWorm
#NoKingsMarch28
@voices4vaccines.bsky.social
@hmpxvt.bsky.social
@who.int
@standupforscience.net
@indivisible.org
@50501movement.bsky.social
@riseandresist.bsky.social
@thelibertypear.com
@alt-hhs.altgov.info
@nejm.org
@duh4healthcare.bsky.social
@gparents4vaccines.bsky.social
@apnews.com
add a skeleton here at some point
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reposted by
Alt Health and Human Services
14 days ago
#BrainWorm
#NoKingsMarch28
@indivisible.org
@50501movement.bsky.social
@riseandresist.bsky.social
@physiciandemocracy.medsky.social
@who.int
@altnih4science.bsky.social
@alt-hhs.altgov.info
@duh4healthcare.bsky.social
@standupforscience.net
@aaas.org
@nejm.org
@meidastouch.com
add a skeleton here at some point
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There are many reasons we moved to pasteurization, this is one.
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E. coli linked to cheddar cheese made with raw milk sickens 7 in the US
Health officials say seven people in three states, including children, have been sickened by E. coli food poisoning linked to cheddar cheese made from raw milk. The U.S.
https://apnews.com/article/raw-farm-e-coli-raw-milk-cheddar-73ff361d4b8b4530ac8d2e749eba3d33?hl=en-US
21 days ago
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reposted by
Alt Health and Human Services
Dr. RenĂ© MD đșđžđ©ș
22 days ago
Thank you, Judge Brian MurphyâŒïž
www.pbs.org/newshour/hea...
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Judge blocks RFK Jr. from scaling back childhood vaccine recommendations
A federal judge on Monday temporarily blocked federal health officials from cutting the number of vaccines recommended for every child, and said U.S. Health Secretary Robert F. Kennedy Jr. likely viol...
https://www.pbs.org/newshour/health/judge-blocks-rfk-jr-from-scaling-back-childhood-vaccine-recommendations
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reposted by
Alt Health and Human Services
Elizabeth Jacobs, PhD
23 days ago
RFK Jr.âs fraudulent ACIP is not permitted to meet this week via a successful preliminary injunction in the lawsuit filed against him by AAP and APHA. The membership is not âappropriately appointedâ. GREAT NEWS!!
add a skeleton here at some point
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Six Federal Scientists Run Out by Trump Talk About the Work Left Undone - KFF Health News
Cancer treatments, disease outbreaks, addiction science: Scientists say an exodus from the National Institutes of Health will harm the nation's ability to respond to illness.
https://kffhealthnews.org/news/article/nih-national-institutes-of-health-scientist-exodus-disease-treatments/?fbclid=Iwb21leAQZuntjbGNrBBm6c2V4dG4DYWVtAjExAHNydGMGYXBwX2lkDDM1MDY4NTUzMTcyOAABHqFQzLsNXxiJmet9S2QInW3e3-wDJ3zE3CePJQUQEoqmkNkcD4YBZBZ3K_21_aem_mohaQMHM7njnNTwFy36Avg
about 1 month ago
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It is imperative that this unlicensed wash out not be confirmed. Confirmation of an individual, at a flag grade to boot, who doesn't even meet the basic standards is a slap in the face to every USPHS Officer, acting, separated, or retired.
add a skeleton here at some point
about 1 month ago
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RSV vaccines are recommended as a one-time dose for all adults 75 and older, and for adults 50â74 with increased risk for severe disease (e.g., chronic heart/lung disease, nursing home residents).
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Respiratory Syncytial Virus Hospitalizations in Adults â„50 Years of Age and Those with Congestive Heart Failure or Chronic Obstructive Pulmonary Disease Exacerbations, 2018-2020
AbstractIntroduction. Respiratory syncytial virus (RSV) is a leading cause of acute respiratory illness (ARI) in older adults and those with comorbidities.
https://academic.oup.com/cid/advance-article/doi/10.1093/cid/ciag134/8495927
about 1 month ago
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reposted by
Alt Health and Human Services
đđBlueWaveSurferđđ
about 1 month ago
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Lancet writes about what a failure RFK Jr has been.
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Robert F Kennedy Jr: 1 year of failure
In his first speech as Secretary of the US Department of Health and Human Services (HHS), Robert F Kennedy Jr laid out a plan to restore trust. The COVID-19 pandemic saw public faith in Federal health...
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(26)00414-9/fulltext
about 1 month ago
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Basic standards for a commission into the medical category of the USPHS requires an active license to practice. This quack never finished residency so wouldn't even qualify to come in as an O-3, let alone the leader of the entire Corps as an 0-9.
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Surgeon general nominee Means questioned about vaccines, birth control and financial conflicts
During a confirmation hearing, senators asked Dr. Casey Means about her current positions and her past statements on a range of public health issues.
https://www.npr.org/2026/02/25/nx-s1-5725399/surgeon-general-casey-means-vaccines-birth-control?fbclid=IwT01FWAQPCCxleHRuA2FlbQIxMABzcnRjBmFwcF9pZAwzNTA2ODU1MzE3MjgAAR7o3bSqW8jC_BHg9gGWXZhV3pkdUa5jXaq_zBTslSzM6UsD9uylZ1NDtt2eig_aem_xxFSuH14zGHlz64H5BaXww
about 1 month ago
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This is what MAHA is really all about. Dangerous, ignorant, and uneducated people.
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âI Genuinely Am Upset That Your Kids Are Vaccinatedâ
Del Bigtree, a longtime ally of Robert F. Kennedy Jr., isnât just anti-vaccine. Heâs pro-infection.
https://www.theatlantic.com/health/2026/02/del-bigtree-pro-infection-polio-measles/686092/
about 1 month ago
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Remember that the supplement industry is, for the most part, unregulated unless there is some sort of sentinel event that causes significant harm. Otherwise the industry is largely a cash grab.
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Supplements donât prevent cancer, studies show
Dietary supplements are wildly popular, but large clinical trials and other research by Fred Hutch Cancer Center shows many common dietary supplements offer little proven benefit for cancer prevention...
https://www.fredhutch.org/en/news/center-news/2026/02/dietary-supplements-dont-prevent-cancer.html?fbclid=Iwb21leAQKor1leHRuA2FlbQIxMQBzcnRjBmFwcF9pZAwzNTA2ODU1MzE3MjgAAR611P-P6npe7arOHHBROsiwVuT9kP3h0YF6z-eYKSkGtF5_vKoBbjDDJww5EA_aem_CEUwvpSMTpqUjKch45CtLg
about 1 month ago
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reposted by
Alt Health and Human Services
Washington State Department of Health
about 1 month ago
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Second senior official to resign this month. I feel so badly for everyone at CDC, including people I have deployed with and others I have had the great fortune to know and respect.
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Senior CDC official resigns abruptly
https://www.cidrap.umn.edu/public-health/senior-cdc-official-resigns-abruptly?fbclid=Iwb21leAQJ1ExjbGNrBAnURWV4dG4DYWVtAjExAHNydGMGYXBwX2lkDDM1MDY4NTUzMTcyOAABHkGkWftMTVhLmZD9_hSUNr6JqgNzTrFjZYTqeZGqyHdswxmiflmkX7c8RvDH_aem_ziGh2HYz7ISyasqGFFhu5g
about 1 month ago
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Please, please be extremely cautious if you decide to use non-FDA approved compounded GLP-1s. This was a pharmacy so they got caught, lots of med spas and other unlicensed facilities out there doing this or worse.
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Kirkland startup pharmacy hires unlicensed workers to handle GLP-1 medications, whistleblowers say
Whistleblowers expose unlicensed workers handling prescription medications at Kirkland pharmacy that supplied GLP-1 weight-loss drugs nationwide.
https://www.king5.com/article/news/investigations/investigators/diet-drug-startup-day-laborers-contaminated-vials-glp1-kirkland-washington/281-3487cab6-1adc-4b07-92ce-3659b21ea794
about 1 month ago
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FFS this would have to be satire if I didn't see it posted on the official White House page.
about 2 months ago
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Not really a surprise
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High IQ men tend to be less conservative than their average peers, study finds
Do gifted individuals see the world differently? Research tracking adults over 35 years finds their political orientations are remarkably average, with one specific exception regarding male conservati...
https://www.psypost.org/high-iq-men-tend-to-be-less-conservative-than-their-average-peers-study-finds/
about 2 months ago
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Here's how a year of RFK, Jr., has changed American science
After a year of RFK, Jr., heading the Department of Health and Human Services, the âMake America Healthy Againâ movement has upended science and medicine
https://www.scientificamerican.com/article/how-a-year-of-rfk-jr-has-changed-american-science/
about 2 months ago
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reposted by
Alt Health and Human Services
NPR
about 2 months ago
In his confirmation hearings, Robert F. Kennedy Jr. told U.S. senators that he would not cut funding for vaccine research or change the nation's official vaccine recommendations. He did both.
n.pr/46QDn9p
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RFK Jr. made promises to get his job as health secretary. He's broken many of them
In his confirmation hearings, Robert F. Kennedy Jr. told U.S. senators that he would not cut funding for vaccine research or change the nation's official vaccine recommendations. He did both.
https://n.pr/46QDn9p
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So, the guy in charge is perfectly fine having a long, drawn out history, and more than likely current use of illicit drugs but you can't get a Commission to serve as a USPHS Officer, even at the lowest rank, if you have any history of illicit drug use.
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RFK Jr. admits to snorting 'cocaine off of toilet seats'
Speaking on Theo Von's podcast, "This Past Weekend," the HHS secretary talked about his recovery from alcohol and substance abuse.
https://www.usatoday.com/story/news/politics/2026/02/12/rfk-jr-cocaine-toilet-seats-theo-von-podcast-substance-abuse-recovery/88650599007/?fbclid=Iwb21leAP8QBNjbGNrA_xADWV4dG4DYWVtAjExAHNydGMGYXBwX2lkDDM1MDY4NTUzMTcyOAABHp94QHfkj5vcDOVWziHhbZtIy9ZWeiLeFGhZzg3xUNtNWrTO6p2H3o0hFVKM_aem_EQRSTwsyt16pF1xp0_u5pw
about 2 months ago
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He just absolutely needs to GO!
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Psychiatrist Says Kennedy Was âNot Accurateâ in Discussing His Keto Studies
https://www.nytimes.com/2026/02/06/us/politics/christopher-palmer-kennedy-schizophrenia-keto.html
about 2 months ago
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Some Public Health Service officers deployed to detention centers suffer 'moral distress'
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Some Public Health Service officers deployed in detention centers suffer 'moral distress'
A special corps of health care workers have been called in to work with detained immigrants and many feel deeply conflicted about the assignment, saying they're not able to provide good care.
https://www.npr.org/2026/02/05/nx-s1-5698538/public-health-service-ice-detention-centers?utm_campaign=storyshare&utm_source=facebook.com&utm_medium=social&sfnsn=mo&fbclid=Iwb21leAPx-OdjbGNrA_H44mV4dG4DYWVtAjExAHNydGMGYXBwX2lkDDM1MDY4NTUzMTcyOAABHhyNSYlSaGQfGoZkxrkSS6mjZ1PGv0Zia8qrUUw2ThWdnaPFilhlNTD_DNCG_aem_nbdnUOFZLRKQVY3OLZhOgg
2 months ago
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reposted by
Alt Health and Human Services
scul diva âđ
3 months ago
#Vought
is trying to make it easier to fire civil service employees 7 days left to comment:
www.federalregister.gov/documents/20...
@altcdc.altgov.info
@altfda.altgov.info
@alt-hhs.altgov.info
@altfws.altgov.info
EXAMPLE of a good comment (personalize your own):
www.regulations.gov/comment/OPM-...
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Streamlining Probationary and Trial Period Appeals
The Office of Personnel Management (OPM) is proposing a rule to change the circumstances and procedures for adjudicating appeals from employees covered by these provisions and terminated during their ...
https://www.federalregister.gov/documents/2025/12/30/2025-23974/streamlining-probationary-and-trial-period-appeals
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reposted by
Alt Health and Human Services
Elizabeth Jacobs, PhD
4 months ago
The media needs to stop writing headlines like âThe CDC changes course on vaccines and autismâ and âThe CDC defends measles responseâ. NONE of this is coming from legitimate scientists at the CDC. ALL of it is coming from RFK Jr. Every such headline is causing further harm to public health.
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Good! Not that anyone should hold on to any semblance of hope that the boot licking, spineless, house speaker will do the right thing.
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House Democrat files impeachment articles against RFK Jr.
The impeachment push by Rep. Haley Stevens, D-Mich., is almost certain to be blocked in the GOP-controlled House.
https://www.nbcnews.com/politics/congress/haley-stevens-impeachment-articles-rfk-jr-health-secretary-rcna248270?cid=sm_npd_nn_fb_ma&utm_campaign=trueanthem&utm_medium=social&utm_source=facebook&fbclid=Iwb21leAOmtvZleHRuA2FlbQIxMQBzcnRjBmFwcF9pZAwzNTA2ODU1MzE3MjgAAR47KKiXoLuV3ut34Nr2de890Qw3i9DoR2cyGXId0Ks1Z98UCRIOW15nlCvRFQ_aem_tqx2yK19UvczJjVqT7bkFQ&brid=kjILUYc7XCdsLVkkI10qKQ&_branch_match_id=2426427059790795067&_branch_referrer=H4sIAAAAAAAAAw3O206DMAAA0L%2FZmwN0jsxkMcggY1vrUBiXF0Iv3FoLFEKBB79dzxecahy74U3TBMKCqmGbd92W14Jps7oPkoUyTdB7gTCvydFTaVzpqIRVGuk2CBwLv1z0RKUVPn8UeeQDsIYKNqUBAzDD1dtZlkM%2Fl7rle9vkxJTk6ZQfRDzdiQPgbvL3DhGg4suZ2BJGReFa7PvER5q%2B%2BlL%2FCrOc%2FmRjPz8vV%2BMQTni9NI8%2BMBFz%2FQ2S%2FyPWeLcwwWZsk%2BH2YMwz9P7qb34lLaiUtSgzJFs1UHl0c0xR27I%2FlDWW2fAAAAA%3D
4 months ago
6
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reposted by
Alt Health and Human Services
Build Up Dietitians
4 months ago
@alt-hhs.altgov.info
add a skeleton here at some point
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reposted by
Alt Health and Human Services
4 months ago
@who.int
@duh4healthcare.bsky.social
@physiciandemocracy.medsky.social
@hmpxvt.bsky.social
@altcdc.altgov.info
@alt-hhs.altgov.info
@nejm.org
@bmj.com
add a skeleton here at some point
1
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reposted by
Alt Health and Human Services
5 months ago
@physiciandemocracy.medsky.social
@hmpxvt.bsky.social
@alt-hhs.altgov.info
@altcdc.altgov.info
@duh4healthcare.bsky.social
add a skeleton here at some point
1
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reposted by
Alt Health and Human Services
Physicians for a Healthy Democracy
5 months ago
apnews.com/article/trum...
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RFK Jr. says he's following 'gold standard' science. Here's what to know
President Donald Trump and his Health Secretary Robert F. Kennedy Jr. say they want the government to follow âgold standardâ science.
https://apnews.com/article/trump-rfk-gold-standard-science-research-autism-6e4c6bc2534252ab1e7add0942043778?utm_source=onesignal&utm_medium=push&utm_campaign=2025-11-22-Public+health
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More real science directly contradicting the garbge spewing from trust fund baby RFK Jr.
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New fluoride study challenges Trump admin stance
A new study has found people exposed to the recommended levels of fluoride in drinking water do not experience negative cognitive impacts.
https://www.newsweek.com/new-fluoride-study-challenges-trump-admin-stance-11079581?utm_medium=Social&utm_source=Facebook&fbclid=Iwb21leAOPAARjbGNrA47_-WV4dG4DYWVtAjExAHNydGMGYXBwX2lkDDM1MDY4NTUzMTcyOAABHhTXUMQG7nCiTlohtALwmLqzeor8T4ly2C87KckIVqrihueDZVbewlUfEQpQ_aem_Rzw9KAP3HbcGWJhpGqX8EQ
5 months ago
0
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reposted by
Alt Health and Human Services
5 months ago
@altcdc.altgov.info
@alt-hhs.altgov.info
@who.int
@hmpxvt.bsky.social
@voices4vaccines.bsky.social
@vaccineswork.bsky.social
@duh4healthcare.bsky.social
@nejm.org
add a skeleton here at some point
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As suspected, the messaging being posted on the HHS social media is not coming from any of the hard working and dedicated licensed and experienced scientists and health care professionals but just from the uneducated(a law degree doesn't mean shit in science and medicine) trust fund baby in charge.
5 months ago
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Originally from Dr. Paul Offit
5 months ago
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reposted by
Alt Health and Human Services
Alt CDC (they/them)
5 months ago
We're back, baby!
#altMMWR
returns after 7 weeks Our first paper looks at nirsevimab's effectiveness against RSV-related intensive care unit admissions among babies đ¶ Tl;dr: it works! ~80% effectiveness for both of these outcomes
www.cdc.gov/mmwr/volumes...
For our fellow nerds,đ§”đ
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Nirsevimab Effectiveness Against Intensive Care Unit ...
This report describes a multicenter case-control investigation that found nirsevimab was 80% effective at preventing RSV-associated ICU admissions among infants.
https://www.cdc.gov/mmwr/volumes/74/wr/mm7437a1.htm
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And from CIDRAP, just to provide a trustworthy reference for the CNN article I just shared. Yep, no true healthcare professional should trust anything from CDC going forward.
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After unprecedented autism-vaccine messaging change, scientists, advocates say CDC no longer trustworthy
https://www.cidrap.umn.edu/childhood-vaccines/after-unprecedented-autism-vaccine-messaging-change-scientists-advocates-say-cdc
5 months ago
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Final nail in the coffin for any respectability the CDC once had. Once this regime is gone it's going to be a true struggle to get any of it back.
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CDC website changed to include false claims that link autism and vaccines | CNN
Scientific information on the US Centers for Disease Control and Preventionâs website was replaced Wednesday with anti-vaccine talking points that donât rule out a link between vaccines and autism, de...
https://www.cnn.com/2025/11/20/health/cdc-website-autism-vaccines?Date=20251120&Profile=CNN,CNN+Politics&utm_content=1763651133&utm_medium=social&utm_source=facebook&fbclid=Iwb21leAOMg-9jbGNrA4yD52V4dG4DYWVtAjExAHNydGMGYXBwX2lkDDM1MDY4NTUzMTcyOAABHiclFPe_SZytwku3S-NcWpW-WWF37U53QQEBMl2NMgi50aggI_0Q2MxpjAYy_aem_1JHGYFm6J8tjRgeDkqkMiA
5 months ago
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There are a lot of questionable and unapproved peptides and unlicensed compounders out there.
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The trend of unproven peptides is spreading through influencers and RFK Jr. allies
More Americans are turning to peptides for muscle building, skin rejuvenation, and to try and live longer even though the substances arenât FDA approved.
https://apnews.com/article/peptide-injections-rfk-maha-4d48e78a5d65658b4d6eac87818352e3?fbclid=Iwb21leAOIskBjbGNrA4iyOmV4dG4DYWVtAjExAHNydGMGYXBwX2lkDDM1MDY4NTUzMTcyOAhjYWxsc2l0ZQIyNQABHqFV_IMiTVXw-jr8-4hGtYYdHQIA-yWnzgW3Y9_gZrHivHsrON1IRXYvudI9_aem_yq88bDwk_j-FeJrp1DBTkw
5 months ago
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reposted by
Alt Health and Human Services
đJust Hillaryđ
5 months ago
Please support the alts.
@altcdc.altgov.info
@altnps.bsky.social
@altfws.altgov.info
@altscalesofjustice.altgov.info
@altfda.altgov.info
@altspaceforce.altgov.info
@alt-hhs.altgov.info
@altfws.altgov.info
#VoteBlue
#ImpeachTrump
#ReleasetheEpsteinFiles
#RESIST
#WeThePeople
#SaveDemocracy
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Great rebuttal on the Cato institute nonsense.
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The US Public Health Service Commissioned Corps: It is Time to Protect the Protectors of Americaâs Health | Brett Giroir | 13 comments
"During the next hurricane, or wildfire, or flood, or Chinese bioweapons attack, or Iranian nuclear assault, ask yourself if you want to call a Cato policy wonk to protect your family; or would you wa...
https://www.linkedin.com/posts/brett-giroir-512679204_during-the-next-hurricane-or-wildfire-activity-7391490859525029888-LwOU?utm_source=share&utm_medium=member_android&rcm=ACoAAAJwAxYB6uiMaKxQEv5DvebElZuhQgZPB54
5 months ago
0
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reposted by
Alt Health and Human Services
Shande Farmisht
5 months ago
HHS is trying to illegally fire every single communications and policy Fed across every Agency. Many illegally fired in April 1st RIF & more on hold in shutdown RIF. Comms & Policy are not extrasâŠ.
@altcdc.altgov.info
@firedbutfighting.bsky.social
@alt-hhs.altgov.info
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Declaration Department of Health and Human Services â #103, Att. #1 in American Federation of Government Employees, AFL CIO v. United States Office of Management and Budget (N.D. Cal., 3:25-cv-08302) ...
NOTICE by Paul Atkins, Scott Bessent, Frank Bisignano, Pam Bondi, Shana M. Broussard, Lonnie G Bunch, III, Doug Burgum, CONSUMER PRODUCT SAFETY COMMISSION, Brendan Carr, Mary Anne Carter, Lori Chavez-...
https://storage.courtlistener.com/recap/gov.uscourts.cand.457131/gov.uscourts.cand.457131.103.1.pdf
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I am feeling a ray of hope tonight. Hoping this wave of young, progressives can continue to build in strength and power, like an overwhelming tsunami of positive light and compassion for all.
5 months ago
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reposted by
Alt Health and Human Services
Physicians for a Healthy Democracy
5 months ago
open.substack.com/pub/insideme...
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Exclusive: The Trump administration dismantled the CDCâs peer review system. Staffers scrambled to salvage it.
The CDC sends hundreds of millions of dollars to outside researchers each year. Would the Trump administration let that happen in 2025?
https://open.substack.com/pub/insidemedicine/p/exclusive-the-trump-administration?utm_campaign=post&utm_medium=web
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