Ray Barishansky
@rbarishansky.bsky.social
đ€ 138
đ„ 124
đ 243
Doctor of Public Health(DrPH). Autodidact. Human. All views are my own.
I am beyond happy to see this law has passed but wondering why it took so long.
#EMS
#paramedic
www.lex18.com/news/coverin...
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Kentucky paramedic's death leads to landmark law protecting EMS families 9 years later
A Kentucky paramedic's tragic death nine years ago continues to save lives and protect EMS families across the state.
https://www.lex18.com/news/covering-kentucky/kentucky-paramedics-death-leads-to-landmark-law-protecting-ems-families-9-years-later
12 days ago
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if you think that this will not be impacting you and your family, think again.
#publichealth
add a skeleton here at some point
about 1 month ago
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Very interesting piece about how EMS providers may, at times, have to operate in an area that the author calls "the moral gray zone of Modern EMS".
#EMS
www.ems1.com/ems-protocol...
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When doing the right thing breaks the rules
Paramedic Eddie Barnes saved a life with skills he wasn't authorized to use â prompting an investigation that reveals the moral gray zone of modern EMS
https://www.ems1.com/ems-protocols/when-doing-the-right-thing-breaks-the-rules
about 1 month ago
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What do you think? Should these EMS providers be in danger of losing their licenses for these life-saving actions?
#EMS
www.wkyt.com/2025/09/24/k...
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Ky. EMS team under fire for treating man with antivenom
In May, we brought you the story of James Harrison, the director of the Kentucky Reptile Zoo. He was bitten by a highly venomous Jamesonâs Mamba while working.
https://www.wkyt.com/2025/09/24/ky-ems-team-under-fire-treating-man-with-antivenom/
about 2 months ago
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Is EMS too "stuck in tradition"? Great piece from on how our field still carries relics from its transportation-era rootsâeven as our role has expanded many times over.
#EMS
www.jems.com/ems-operatio...
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Stuck in Tradition: How Our Past Continues to Shape EMS Today
EMTs and paramedics remain certified rather than licensed due to historical regulations focused on transport safety.
https://www.jems.com/ems-operations/stuck-in-tradition-how-our-past-continues-to-shape-ems-today/
about 2 months ago
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Can you teach situational awareness? Interesting piece from
EMS1.com
about this important topic
#EMS
www.ems1.com/safety/can-s...
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Can situational awareness be taught?
Scene safety and awareness are critical to prehospital patient care
https://www.ems1.com/safety/can-situational-awareness-be-taught
2 months ago
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And once again, ambulance response times are shown to not be as important as once thought.
#EMS
#Ambulance
www.oregonlive.com/politics/202...
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Portland-area ambulance responses got faster, but quality of medical care might be declining
One year after AMR was cleared to change how it staffs its ambulances, signs show it may have had consequences for patient care.
https://www.oregonlive.com/politics/2025/09/portland-area-ambulance-responses-got-faster-but-quality-of-medical-care-might-be-declining.html
2 months ago
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Floridaâs anti-vaccine push isnât just a local issue. The stateâs policy creates ripple effects that endanger neighboring states, the entire U.S., and potentially global public health. Simply put, infectious diseases do not respect borders.
#PublicHealth
www.newscientist.com/article/2495...
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Florida's anti-vaccine push leads dangerous shift for US public health
Florida may soon become the first state to end all vaccine mandates, including those for schoolchildren, setting the stage for deadly infections to make a comeback
https://www.newscientist.com/article/2495372-floridas-anti-vaccine-push-leads-dangerous-shift-for-us-public-health/?utm_term=Autofeed&utm_campaign=echobox&utm_medium=social&utm_source=Twitter#Echobox=1757672887
2 months ago
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I appreciate the opportunity to share my thoughts about EMS as an essential service with
@ukrobl.bsky.social
at the 2024 EMS World Expo!
#EMS
add a skeleton here at some point
2 months ago
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Great to have the opportunity to speak with you all about such an important topic.
#EMS
add a skeleton here at some point
2 months ago
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I think the saddest thing about reading this is that it is all happening in the wake of a world-altering pandemic.
#publichealth
www.cbsnews.com/news/trump-h...
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In the fallout from Trump's health funding cuts, states face tough budget decisions
The Trump administration has pushed a significant amount of health costs to states, whose budgets may already be strained by declining state tax revenues, a slowdown in pandemic spending, and economic...
https://www.cbsnews.com/news/trump-health-funding-cuts-state-budget-decisions/
2 months ago
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Yeh, we are totally not ready for the next pandemic but, at this point, who is really surprised by that statement.
#publichealth
#pandemic
nypost.com/2025/09/07/s...
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The next pandemic could rattle civilization â and a new book warns weâre not ready for it
Michael Osterholm, University of Minnesota Center for Infectious Disease Research and Policy director, was driving to the airport the morning of Dec. 30, 2019, when his cellphone rang. A colleague âŠ
https://nypost.com/2025/09/07/science/the-next-pandemic-could-rattle-civilization-and-a-new-book-warns-were-not-ready-for-it/
2 months ago
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Honoluluâs EMS director went the wrong way on a highway to reach a patientâsparking debate. Without second-guessing, this situation begs the question: how do we weigh urgent response, safety, and community perception when making these split-second decisions?
#EMS
www.civilbeat.org/2025/09/hono...
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Why EMS Director Says He Drove Wrong Way On H-1 Freeway
Nobody got hurt, but one council member said she's concerned the director put public safety at risk.
https://www.civilbeat.org/2025/09/honolulu-ems-director-defends-drive-the-wrong-way-h-1-freeway/
2 months ago
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Florida says vaccine mandates are over. Measles, mumps, polio⊠your VIP passes to the Sunshine State are ready.
#publichealth
#vaccineswork
www.nytimes.com/2025/09/03/u...
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Florida Moves to End Vaccine Mandates for Schoolchildren
https://www.nytimes.com/2025/09/03/us/florida-vaccine-mandates.html
2 months ago
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The CDC is the worldâs foremost public health agency. Its leadership collapse isnât just D.C. dramaâitâs a direct threat to our preparedness. You donât sideline the fire department in the middle of fire season.
#publichealth
www.scientificamerican.com/article/cdc-...
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CDCâs Leadership Is in Chaos. Experts React to Crumbling U.S. Public Health Systems
Public health experts warn that the Centers for Disease Control and Preventionâs leadership crisisâsparked by the White Houseâs efforts to oust CDC director Susan Monarezâcould jeopardize national bio...
https://www.scientificamerican.com/article/cdc-leadership-chaos-could-disrupt-pandemic-preparedness-national/
3 months ago
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Itâs only a quiet collapse⊠until the next public health emergency.
#publichealth
#preparedness
thehill.com/opinion/heal...
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https://thehill.com/opinion/healthcare/5473546-white-house-pandemic-preparedness-collapse/
3 months ago
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A new national survey shows that 76% of Americans trust their personal physician for health information, compared to only 32% who trust local or state health departments. That gap begs the question: Why?
#publichealth
#publictrust
www.nature.com/articles/s41...
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U.S. trust in physicians as key public health messengers during the H5N1 avian influenza outbreak - Scientific Reports
Scientific Reports - U.S. trust in physicians as key public health messengers during the H5N1 avian influenza outbreak
https://www.nature.com/articles/s41598-025-12304-z
3 months ago
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EMS isnât glamorousâlong nights, tough calls, low pay. But nothing matches being the calm in someoneâs worst moment. The best âbadâ decision youâll ever make.
#EMS
www.jems.com/ems-operatio...
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The Best Bad Decision Youâll Ever Make: In Defense of EMS as a Career
Being a paramedic means exhaustion, frustration and chaosâbut also unmatched pride, purpose and unforgettable moments of humanity.
https://www.jems.com/ems-operations/in-defense-of-ems-as-a-career/
3 months ago
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Five years after the pandemic hit, COVID-19 still lingersânot seasonal, not mild, and often underestimated. Omicron subvariants spread year-round. Long COVID, repeated infections, and low child vaccination rates remind us: weâre not done yet.
#publichealth
#COVID
www.theguardian.com/world/2025/a...
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What do we know about the Covid-19 virus five years on?
As the virus continues to evolve, experts assess its latest variants, seasonal prevalence and levels of vaccine uptake
https://www.theguardian.com/world/2025/aug/07/what-do-we-know-about-the-covid-19-virus-five-years-on
3 months ago
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Mpox is a textbook case of what happens when biological risk collides with political & economic forcesâa clear reminder that global health crises are never just about pathogens, but about the systems that respond to them.
#publichealth
#Mpox
www.npr.org/sections/goa...
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This virus seems like it's no longer a problem. It's still a threat
A year ago, on Aug. 14, 2024, the World Health Organization declared mpox a Public Health Emergency of International Concern. Why are health experts so frustrated by the world's response?
https://www.npr.org/sections/goats-and-soda/2025/08/14/g-s1-82460/mpox-virus-emergency
3 months ago
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EMS is not just a transport mechanismâthey see the cracks in the system. Too many nursing home 911 calls arenât emergencies. EMS knows the fixes and ignoring their perspective wastes resources and hurts patients.
#EMS
#ambulance
www.ems1.com/geriatric/we...
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We are not a taxi service: Readers respond to preventable nursing home transfers
Medics weigh in on how skilled nursing facility policies and staffing gaps overburden EMS and the ED
https://www.ems1.com/geriatric/we-are-not-a-taxi-service-readers-respond-to-preventable-nursing-home-transfers
3 months ago
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"If you're having a medical event, or I'm having a medical event, do you want an ambulance that's older than the Bush administration to pick you up?". Thats a great question.
#EMS
#ambulance
www.cbsnews.com/pittsburgh/n...
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Examining the budget challenges Pittsburgh is facing
Is Pittsburgh headed for a budget crisis, or is it already in crisis?
https://www.cbsnews.com/pittsburgh/news/pittsburgh-budget-challenges-2025/
3 months ago
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The U.S. pandemic playbook is gone. The White House office that once coordinated biothreat response has been dismantled. We simply canât afford this level of unpreparedness, all the more so in the aftermath of what we saw during COVID.
#publichealth
#preparedness
www.theatlantic.com/ideas/archiv...
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No One in the White House Knows How to Stop Ebola
We had a playbook for handling biothreats. Then Trump pushed out the people who knew how to use it.
https://www.theatlantic.com/ideas/archive/2025/08/trump-pandemic-preparedness-ebola-outbreak/683810/
3 months ago
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"Unlike police and fire services, which are primarily funded through municipal budgets and taxpayer support, EMS uniquely relies on a reimbursement-based model financed largely through billing patients or their insurers for transport
#EMS
#funding
www.jems.com/ems-manageme...
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EMS Is Not a Business Model and We Are Paying the Price
EMS leaders face mounting pressure as Medicaid cuts, low reimbursements and flawed funding models threaten system stability and readiness.
https://www.jems.com/ems-management/ems-is-not-a-business-model-and-we-are-paying-the-price/
3 months ago
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These type of sign-on bonuses are almost never successful in the long run and, at the same time, they disenfranchise your current employees.
#EMS
#workforce
www.wboc.com/news/kent-co...
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Kent County Approves Sign-On Bonus to Combat EMS Staffing Shortage
Kent County Emergency Medical Services is sounding the alarm on a critical staffing shortage and is seeking a lifeline. To help address the crisis, Kent County Levy Court has approved
https://www.wboc.com/news/kent-county-approves-sign-on-bonus-to-combat-ems-staffing-shortage/article_38a70d7c-d484-488a-b153-e56ad48357d4.html?fbclid=IwQ0xDSwMBXzNleHRuA2FlbQIxMQABHopFnVn8vBdc_biCeFqTxRHemYHd-3ktSL-z1UHAEtqBDPQMtDS6pnOO4zmx_aem_mISEGxJv2HnvQqihebGVnA
3 months ago
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There may be more to the story in West Babylonâbut whatâs on this video is unacceptable. No child in crisis should be spoken to like that. This should be a teachable moment for every first responder.
#EMS
#compassion
longisland.news12.com/video-shows-...
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Video shows first responder cursing, yelling as 10-year-old was placed into ambulance in West Babylon
It happened Monday on North Westchester Avenue in West Babylon, which falls under the jurisdiction of the North Babylon Fire Company.
https://longisland.news12.com/video-shows-first-responder-cursing-yelling-as-10-year-old-was-placed-into-ambulance-in-west-babylon
3 months ago
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Local public health is on the front linesâfighting disease, protecting water systems, and preventing chronic illness. But we canât keep doing more with less. The stakesâand funding gapsâare too big to ignore.
#publichealth
stateline.org/2025/07/28/s...
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State public health departments fear looming federal cuts in Trumpâs next budget âą Stateline
If Congress hews to President Donald Trumpâs vision for health funding cuts, then state and county public health departments would be hit hard.
https://stateline.org/2025/07/28/state-public-health-departments-fear-looming-federal-cuts-in-trumps-next-budget/
4 months ago
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"From the streets of Los Angeles, to rural North Carolina, from Las Vegas to Louisville, ambulances have been stolen from hospitals, scenes and stations, even while crews were treating patients" - great piece by
@ukrobl.bsky.social
in
EMS1.com
#ambulance
www.ems1.com/paramedic-su...
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Grand theft ambulance: The crime weâre letting happen
An ambulance is stolen in the U.S. once every 2 weeks ⊠and we are to blame!
https://www.ems1.com/paramedic-survival/grand-theft-ambulance-the-crime-were-letting-happen
4 months ago
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Preparedness isnât optional. Cutting public health preparedness funding and programs now means paying a much higher price later.
#publichealth
#preparedness
@andypinpa.bsky.social
www.domesticpreparedness.com/articles/not...
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Not Optional: The Public Health Consequences of Dismantling Emergency Infrastructure - Domestic Preparedness
During the COVID-19 crisis, decades of investment in healthcare emergency infrastructureâfunded through two key federal programsâallowed emergency operations centers to mobilize rapidly, hospital coal...
https://www.domesticpreparedness.com/articles/not-optional-the-public-health-consequences-of-dismantling-emergency-infrastructure
4 months ago
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One of the most important things for any profession is understanding its past and building on that foundation to secure its future. This EMS timeline is an incredible tool for understanding our professionâs past as we look toward its future.
#EMS
www.ems-history.com/timeline-ems...
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Interactive EMS History Timeline
Explore the complete history of Emergency Medical Services (EMS) in the U.S.âfrom Civil War ambulances to modern paramedics and national certification.
https://www.ems-history.com/timeline-ems-history
4 months ago
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Do you know the true cost of a 911 call? EMS leaders MUST master the art of financial transparency and have the ability to communicate this to elected officials and the public.
#EMS
#economics
www.ems1.com/ems-manageme...
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The true cost of a 911 call: Breaking down EMS economics
With shifting legislation and rising costs, EMS leaders must master the art of financial transparency. This guide demystifies ambulance funding models, cost drivers and how to make the numbers make se...
https://www.ems1.com/ems-management/the-true-cost-of-a-911-call-breaking-down-ems-economics
4 months ago
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Great first-person account of an EMS providers battle with PTSD and the stigma that comes with reporting it and seeking the appropriate treatment for it.
#EMS
#mentalhealth
www.jems.com/mental-healt...
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The Truth You Donât Want: An EMS Veteran on PTSD, Stigma and the Fight to Stay Whole
Mike Doss shares what decades in EMS taughtâwhat it nearly tookâfrom him.
https://www.jems.com/mental-health-wellness/ems-veteran-ptsd-stigma-fight-to-stay-whole/
4 months ago
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"Holley, who is representing herself in the suit, said she was told her son died of a gunshot wound to the torso, but she believes the injuries that led to his death were actually caused by how he was handled by responders."
#EMS
#ambulance
www.nj.com/cumberland/2...
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Mom of slain N.J. teen sues emergency responders over his treatment
She claims responders mishandled her 14-year-old son after he was shot in 2023.
https://www.nj.com/cumberland/2025/07/mom-of-slain-nj-teen-sues-emergency-responders-over-his-treatment.html
4 months ago
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I think the real question here is, at what point does the United States lose its "measles free" status?
#PublicHealth
#Measles
add a skeleton here at some point
4 months ago
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"Preparedness is not simply about having a written plan or a stockpile of supplies. It is about readiness in action." My latest piece outlines mitigation necessary for emerging and re-emerging health threats.
#publichealth
#preparedness
www.domesticpreparedness.com/articles/mit...
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Mitigating Emerging and Re-Emerging Public Health Threats - Domestic Preparedness
Strengthening health systems and embedding preparedness into public health efforts will better protect lives and livelihoods from re-emerging threats like measles and polio.
https://www.domesticpreparedness.com/articles/mitigating-emerging-and-re-emerging-public-health-threats?utm_source=DomesticPreparedness&utm_campaign=6f56598181-EMAIL_CAMPAIGN_2025_06_18_COPY_02&utm_medium=email&utm_term=0_-bea7c13990-196479777&mc_cid=6f56598181&mc_eid=cc186e4976
4 months ago
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Following up on my recent article in Governing magazine, I authored this companion piece for the International Journal of Paramedicine to continue the conversation specifically for EMS leaders.
#EMS
#leadership
internationaljournalofparamedicine.com/index.php/ij...
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View of Ambulance Deserts
https://internationaljournalofparamedicine.com/index.php/ijop/article/view/3414/3136
4 months ago
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The U.S. has reached its highest annual measles case tally in 33 years, hitting at least 1,277 confirmed cases across 38 states and the District of Columbia. Quick reminder - measles is a disease preventable disease.
#publichealth
#measles
cori.centerforhealthsecurity.org/resources/me...
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Measles Outbreak Response | Center for Outbreak Response Innovation
https://cori.centerforhealthsecurity.org/resources/measles-outbreak-response
4 months ago
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The question is: has public health discredited itself and, if so, how does it find its way back to public trust?
#publichealth
www.theatlantic.com/ideas/archiv...
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How Public Health Discredited Itself
To earn back the respect of Americans, the profession needs to return to its original principles.
https://www.theatlantic.com/ideas/archive/2025/07/public-health-politicization/683409/
4 months ago
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It is impressive to see states and nonprofits stepping up to protect vaccine access as federal leadership retreats. But itâs also deeply troubling that these efforts are necessary in the first place.
#publichealth
#vaccines
edition.cnn.com/2025/06/30/h...
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With federal support uncertain, states and nonprofits scramble to safeguard access to vaccines | CNN
After recent moves by the US Department of Health and Human Services to restrict the approval and use of some vaccines â and signs that more changes might be coming â some states and private partnersh...
https://edition.cnn.com/2025/06/30/health/vaccine-access-states-nonprofits
5 months ago
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I will take "underfunded EMS systems for 200, Alex"
#EMS
#ambulance
keyt.com/news/2025/06...
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Handcuffed man dies in Baltimore police custody; Community questions why ambulance never arrived | News Channel 3-12
By Mike Hellgren Click here for updates on this story    BALTIMORE (WJZ) -- Baltimore's City Council President is calling for an
https://keyt.com/news/2025/06/29/handcuffed-man-dies-in-baltimore-police-custody-community-questions-why-ambulance-never-arrived/
5 months ago
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"Today, however, some preventable, contagious diseases are making a comeback as vaccine hesitancy pushes immunization rates down." Sad but true.
#publichealth
#vaccines
triblive.com/news/world/m...
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Many forget the damage done by diseases like whooping cough, measles and rubella. Not these families
SIOUX FALLS, S.D. — In the time before widespread vaccination, death often came early. Devastating infectious diseases ran rampant in America, killing millions of children and leaving others wit...
https://triblive.com/news/world/many-forget-the-damage-done-by-diseases-like-whooping-cough-measles-and-rubella-not-these-families/
5 months ago
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It seems the next phase in this administrationâs war on public health isnât loud or visibleâitâs a financial war of attrition.
#publichealth
#funding
www.npr.org/sections/sho...
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'Where's our money?' CDC grant funding is moving so slowly layoffs are happening
The state and local health departments that rely on CDC funding say the money is not coming in on time and no one can tell them why. Some are laying off staff.
https://www.npr.org/sections/shots-health-news/2025/06/28/nx-s1-5442689/cdc-trump-layoffs-public-health-rescission
5 months ago
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Um .......
#EMS
#ambulance
www.jems.com/ems-manageme...
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Baltimore to Downgrade Some ALS Units as Staffing Shortages Persist
The Baltimore City Fire Department is preparing to downgrade four Advanced Life Support (ALS) units to Basic Life Support (BLS) starting next month.
https://www.jems.com/ems-management/ems-recruitment-retention/baltimore-to-downgrade-some-als-units-as-staffing-shortages-persist/
5 months ago
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Very cool article on how smartwatches may become the new front line in detecting pandemics and other public health threats.
#publichealth
#pandemic
www.news-medical.net/news/2025062...
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Smartwatches could help stop pandemics before they start
Smartwatch features that measure heart rates, oxygen levels, fitness levels and sleep quality have been marketed as valuable tools for people who are eager to monitor their health.
https://www.news-medical.net/news/20250623/Smartwatches-could-help-stop-pandemics-before-they-start.aspx
5 months ago
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"Twenty-five years after measles was officially declared eliminated from the United States, this spring marked a harrowing time of rediscovery."
#measles
#publichealth
www.nytimes.com/2025/06/22/u...
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âI Feel Like Iâve Been Lied Toâ: When a Measles Outbreak Hits Home
https://www.nytimes.com/2025/06/22/us/i-feel-like-ive-been-lied-to-when-a-measles-outbreak-hits-home.html
5 months ago
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More paramedics isn't the answer. EMS systems are consistently stretched thinânot just by volume, but by misuse. Itâs time for EMS to lead a public accountability movement to we can actually serve those who truly need it.
#EMS
#ambulance
www.jems.com/ems-manageme...
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We Donât Need More ParamedicsâWe Need Fewer Calls
Hereâs why public education is the EMS revolution no one is talking about.
https://www.jems.com/ems-management/we-dont-need-more-paramedics-we-need-fewer-calls/
5 months ago
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Great example of what happens when you stop arguing about whoâs at fault and start focusing on whoâs at risk. Amazing turn-around.
#EMS
www.ems1.com/ambulances-h...
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From 73 to 33 minutes: How Sacramento reinvented patient offload times
What happens when EMS, hospitals and fire come together with one mission? A cultural shift that put the patients first while lifting morale and saving time
https://www.ems1.com/ambulances-held-hostage/from-73-to-33-minutes-how-sacramento-reinvented-patient-offload-times?fbclid=IwY2xjawLAsghleHRuA2FlbQIxMQBicmlkETFDN21Sd0x3V2lrb3VJS3lMAR7t8xgSo-FnJKPXz3EHIWLRncAin0NVNgXl3pV-hrqFX9KZNvkpzWNTJaW6BQ_aem_54mFC1Lubiq99zpzxulzMQ
5 months ago
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I plan to present at
#emsworldexpo
in October in Indianapolis - will I be seeing you there?
#EMS
#leadership
5 months ago
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Hurricane season is more than a weather threat â itâs also a public health emergency. From disease outbreaks to disrupted care, the health impacts hit hardest after the storm passes.
#publichealth
thehill.com/opinion/heal...
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https://thehill.com/opinion/healthcare/5347212-hurricane-season-public-health-threat/
5 months ago
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Expect to see more headlines like this. Public health cuts mean weaker disease surveillance, stalled prevention, fewer vaccinations, and slower emergency response â and the consequences will be real.
#publichealth
www.texastribune.org/2025/06/12/t...
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Texas public health departments brace for another $119 million in federal cuts
Three months ago, Texas lost $700 million in unspent federal pandemic-era funding.
https://www.texastribune.org/2025/06/12/texas-dshs-public-health-funding-cuts/
5 months ago
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