Richard M. Carpiano, PhD, MPH
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rmcarpiano.medsky.social
Richard M. Carpiano, PhD, MPH
@rmcarpiano.medsky.social

Professor, University of California, Riverside School of Public Policy. Public health scientist & sociologist keen on population health & community issues. Sometimes in the news, often for troubling and frustrating topics. Opinions my own. 🇺🇸 🇨🇦 .. more

Public Health 27%
Medicine 20%
Pinned
Welcome new followers! About me beyond my profile: I post on a range of public health, sociological, & policy topics in my expertise areas (e.g., vaccinations, misinformation, health disparities) & other stuff I find important, intriguing, or fun/funny. Journalists: happy to chat (part of my job).

A new year, a new Emily Oster op-ed: the public intellectual analog to a chronic disease flare-up w/ characteristic presentation.

Framed like an explainer you'd expect NYT to cover & consult real experts on vs. op-ed by an economist w/ a subscription site to hawk.

Andrew Gelman offers a critique.
The soft bigotry of low expectations | Statistical Modeling, Causal Inference, and Social Science
statmodeling.stat.columbia.edu

Slightly diminish a band:
Tom Petty and the Amicable Separations
The Ongoing Therapy
Siouxsie and The Loud Talkers
The Mothers of a Recycled Idea
The Sisters of Begrudging Forgiveness
Dinosaur the Third
Judas Deacon
Dark Gray Sabbath
Slightly diminish a band:

Threepence None the Richer
Slightly diminish a band:

Cousin Tupelo.
Beloved Pet Volt.

Exactly. Taco Tuesdays are but one example.

This non-Latino, for one, will be happy to be getting another source of folate in my diet, served up with buche, al pastor, cabeza, lengua, etc., etc.
Slightly diminish a band:

Threepence None the Richer
Slightly diminish a band:

Cousin Tupelo.
Beloved Pet Volt.
Slightly diminish a band:

Fleetwood iPad

Great questions. He says things from time to time that really showcase a "white man's burden" mentality--combined with his policy pushes related to bad science and personal choice (e.g., just eat healtier) that would greatly impact the poor, it all really shows his worldview.

The Ron DeSantis playbook during the pandemic: assemble a panel or two of scientific advisors (like Bhattacharya, Hoeg, Kuldorff, Stabell Benn, Weinstein, Malone, even Ladapo as Surgeon General) and thus claim you have consulted science experts too.
Meet Ron DeSantis’ new “public health integrity committee”
Seasoned anti-vax, anti-Covid-protections advocates.
www.motherjones.com

With high birth defect rates among Latinos, CA 1st state to req. folate in corn masa; AL in June & other states may do it.

Already req'd in other flour, yet:
RFK Jr.: "CA is waging war against her children--targeting the poor & communities of color."
MAHA influencers falsely claim it's a “toxin”
California is adding a supplement to tortillas. RFK Jr. calls it ‘insanity.’
California now requires corn masa flour to contain folic acid to reduce birth defects among Latinos. Some conservatives oppose it, citing government overreach.
www.washingtonpost.com

WHO analysis of 31 studies btwn 2010-25, focusing on assoc. btwn a) thimerosal-containing vaccines & autism & b) vaccines & autism more generally concludes:
-no causal links; findings strongly support safety profile of vaccines during childhood & pregnancy
-no assoc. of aluminum adjuvants w/ autism🛟
WHO Analysis Finds No Causal Link Between Vaccines and Autism
An analysis from the World Health Organization (WHO) Global Advisory Committee on Vaccine Safety (GACVS) concluded that there is no causal link between vaccines and autism spectrum disorder, according...
jamanetwork.com

Godspeed.

Reposted by Smith

Changes to the vaccine schedule, food pyramid, and now this... If this week is any indicator, it's going to be an exhausting and daunting quarter teaching my public health policy course.
Is there a single day—1 single day—when RFK Jr does NOT do something to dismantle public health?

This one is exceptionally grim—IMHO, the USPSTF is world-leading

As Dr Caroll says, if you ever got a free mammogram, colonoscopy, or HIV test, you can thank the USPSTF

www.nytimes.com/2026/01/09/w...
Kennedy Weakens U.S. Preventive Services Task Force
www.nytimes.com
Is there a single day—1 single day—when RFK Jr does NOT do something to dismantle public health?

This one is exceptionally grim—IMHO, the USPSTF is world-leading

As Dr Caroll says, if you ever got a free mammogram, colonoscopy, or HIV test, you can thank the USPSTF

www.nytimes.com/2026/01/09/w...
Kennedy Weakens U.S. Preventive Services Task Force
www.nytimes.com
Time to stop writing articles about the "security" or "economic" reasons to capture Greenland, they are irrelevant
Not everyone believed me when I wrote that Trump wants Greenland becuase it would make him feel important, but that's what he told the NYT:

When asked why he needed to possess the territory, he said: “Because that’s what I feel is psychologically needed for success"
www.nytimes.com/2026/01/08/u...
Trump Lays Out a Vision of Power Restrained Only by ‘My Own Morality’
www.nytimes.com
We cannot be more clear. Leave us the fuck alone.
1. New #measles numbers out from #CDC. Confirmed cases for 2025 stand at 2,144, the highest single year count since 1991. A decision was taken in 1989 to make measles vaccination a 2-dose regimen; after it was implemented, it & high vaccination rates brought measles to very low levels. Not now.

6/6 Beyond noting our study limitations, we discuss the need for disparities research (e.g., in med soc, social epi, health demography) to increase conceptual & empirical attn to misinfo as a driver of disparities in the 21stC (though one often not explicitly invoked/examined in testing mechanisms).

5/
But our aim w/ this was to test hypotheses from 2 sociological theories:
1. Fundamental cause theory, which usually considers how good info--not misinfo--fuels disparities
2. Neoliberal cultural frames of parenting (used to study vax hesitancy)

Findings were most consistent w/hyp's based on #1.

4/ We found an emergence of disparities after the 1st event: kids of lower educ. parents-->less likely to get MMR1. This event seems to have been the pivotal one (not Wakefield et al.'s paper)--gels w/ prior work on overall Danish MMR rates.
Wakefield et al. retraction had no effect on these trends.

3/ Many studies look at vaccination trends pre-/post-events. We wanted to examine vax *disparities* pre-/post such events. Denmark is an interesting empirical case for a few reasons like, e.g., national health care (including assigning families to drs.) and generally high trust of govt.

2/ The 3 events are:

1. A prominent Danish nat'l radio show episode featuring a mother of a child w/ autism blaming MMR (seen as a start to a concerted Danish antivaccine movement)

2. The publication of Wakefield et al.'s infamous, now-retracted case series.

3. The retraction of that article.

Reposted by Scott L. Greer

New open access research to share (though awkward timing in light of Denmark's vax sched. in US news of late).

Using Danish health registry data, we examine trends in child receipt of their 1st MMR shot by parent educ. over a period that coincides w/ 3 key antivaccine events. 1/
🛟😷sociology policy
Parental education disparities in childhood vaccination in Denmark: A test of two explanations for the role of misinformation
How does misinformation contribute to socioeconomic disparities in childhood vaccine uptake? While prior research has extensively examined the determi…
www.sciencedirect.com

Sorry--I misspoke. This is definitely clusterfuck level.

www.merriam-webster.com/dictionary/c...
Definition of CLUSTERFUCK
a complex and utterly disordered and mismanaged situation : a muddled mess… See the full definition
www.merriam-webster.com

What a horrid day. Today's news is just awful. Even with a select number of states ignoring CDC guidelines for AAP and other org's evidence based recs, there is no way this won't become a downright shitshow for the US with doubt sowing and "you do you (with your kids' doc)" being such a key tactic.

Let's not forget Monica Gandhi's contribution to Hoeg's prominence too.

www.nytimes.com/2021/06/08/o...

www.washingtonpost.com/opinions/202...
Opinion | It’s time for children to finally get back to normal life
Our children deserve to have their needs put first.
www.washingtonpost.com

Reminder: the influenza shot was among the vaccines RFK Jr. 86'ed from the vaccine schedule.

www.wcvb.com/article/mass...
Massachusetts reports 3 child flu deaths as cases surge
According to the CDC's latest report, flu activity in the state is now considered "very high."
www.wcvb.com
Any physician who has cared for a child with meningococcal meningitis is appalled that the meningococcal vaccine will no longer be recommended by the CDC. It is a horrible and preventable illness and kills and maims very quickly. 😢
This is purpura fulminans, a severe complication of meningitis (which as of today is no longer on our universal vaccine schedule)

Micro clots & bleeding into the skin cause skin & tissue death. It’s more common in kids & associated with 20-70% mortality.

Those who survive often lose limbs.
Taylor isn’t exaggerating.

Oh geez. Today was the first class meeting for my new Public Health Policy course. I told my students how I was feeling shaky teaching on this topic given the extent to which important public health policy seems to be getting reworked every few days. And then I come back to my office to see this...
RFK Jr. overhauls childhood vaccine schedule to resemble Denmark's in unprecedented move
The new U.S. guidelines recommend all children get vaccines for 11 diseases, compared with the 18, including Covid, previously on the schedule.
www.nbcnews.com
Anyway, one reporter pushed back. Why wouldn't they go on record? Didn't parents deserve on-the-record comment for such an important change that affects children's health? No, one official said. The reporter rightly called it "terrible!" I'll tell you who if she says its ok.