Amy Maxmen, PhD
@amymaxmen.bsky.social
27K followers 2.3K following 460 posts
Award-winning public health reporter at KFF Health News. Bylines at Nature, New York Times, National Geographic & more. [email protected] Signal: AmyMaxmen.25 www.amymaxmen.com & https://kffhealthnews.org/news/author/amy-maxmen
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amymaxmen.bsky.social
Hi! I'm a public health reporter moving from THERE to here. Give me a follow if you're interested in my writing & take:

Public health isn't only about outbreaks & vaccines. It's about making society healthier outside of clinics. It requires systemic change, equity, a belief in the common good.
Reposted by Amy Maxmen, PhD
amymaxmen.bsky.social
But I can imagine good intentions. The lead author, Ann Bauer, recently told me there's simply NO decent evidence showing Tylenol early in life links to autism.

She didn't say it's impossible. Just that the data isn't there & it's hard to study well.

Inviting you to @ me @gavinyamey.bsky.social 😅
amymaxmen.bsky.social
They do nothing rule out the *MANY* other factors that come into play here. Their conclusion is that this is worth studying epidemiologically (they haven't.)

I call it an idea paper since it's just a quick & dirty exercise that researchers might do to formulate a hypothesis. IDK why it's published.
These ecological analyses identified positive correlations between autism/ASD prevalence and indicators of both prenatal and very early life paracetamol exposures. If these patterns are confirmed in formal epidemiologic studies, the use of paracetamol during pregnancy and at the time of circumcision may help to explain autism/ASD prevalence variations between the sexes, among countries, and within U.S. states and ethnic groups.
amymaxmen.bsky.social
There simply isn't data showing how much Tylenol children take early in life. So the researchers thought, gee, maybe we can assume that parents give their baby boys Tylenol after circumcision. It's a hell of a leap! They say so (in nerdspeak.)
It is important to acknowledge that this analysis has numerous and significant limitations. First and foremost, correlation is not causation and as such no causal inference is intended. Homogeneity of exposure and prevalence assessment methodologies among the studies has been assumed, but each may be subject to misclassification, confounding and bias. The change in autism/ASD prevalence, circumcision prevalence and paracetamol usage rates over time may not have been adequately addressed. Circumcision rates are presented as a proxy for an early male neonatal exposure to paracetamol. However, this assumption is not without significant limitations. The timeline for the actual implementation of child pain management protocols and the utilization of paracetamol with circumcision is not known. Additionally, pain management guidelines suggest that paracetamol alone is not sufficient to manage circumcision pain so a nerve block or local anesthesia may also be administered, which may be confounding factors.
amymaxmen.bsky.social
Children's Health Defense is like a funhouse mirror for scientific research. But not fun!

Re: circumcision. They cited a 2013 hypothesis-generating, idea paper, where researchers looked for any signs of a potential connection btwn early childhood Tylenol & autism. pubmed.ncbi.nlm.nih.gov/23656698/
Prenatal and perinatal analgesic exposure and autism: an ecological link - PubMed
This ecological analysis identified country-level correlations between indicators of prenatal and perinatal paracetamol exposure and autism/ASD. State level correlation was also identified for the ind...
pubmed.ncbi.nlm.nih.gov
amymaxmen.bsky.social
🧵RFK "HIV-doesn't-cause-AIDS" Jr. is now linking circumcision with autism.

This nonsense was posted by his anti-vax group Children's Health Defense years ago, and I looked into it.

www.youtube.com/watch?v=SS9D...
SHOCK CLAIM: RFK Jr. Says Children Circumcised Early Have Twice The Autism Rate Due To Tylenol Use
YouTube video by Forbes Breaking News
www.youtube.com
amymaxmen.bsky.social
When I was reporting in Sudan several years ago, a driver warned me not to tell government officials when I was leaving because the airport is where they stop and detain writers.

So, yeah, this is a very bad sign. www.theguardian.com/us-news/2025...
US anti-fascism expert blocked from flying to Spain at airport
Rutgers University professor who published book on antifa was informed at boarding gate that his trip was cancelled
www.theguardian.com
amymaxmen.bsky.social
Arriving in a Blackhawk helicopter and more, ICE raids an apartment building in Chicago.

"It was scary, because I had never had a gun in my face," said one resident.

"We're under siege. We're being invaded by our own military."

abc7chicago.com/post/ice-chi...

Citizen app video captured the chaotic scene, and neighbors say there were dozens of ICE agents.

"As I got to my unit to stick my key in the door, I was grabbed by an officer. And, I said, 'What's going on? What's going on?' He never actually told me. He said I was being detained.," said Alicia Brooks.

Neighbors like Eboni Watson say they ducked for cover as they heard several flash bangs.

"They was terrified. The kids was crying. People was screaming. They looked very distraught. I was out there crying when I seen the little girl come around the corner, because they was bringing the kids down, too, had them zip tied to each other," Watson said. "That's all I kept asking. What is the morality? Where's the human? One of them literally laughed. He was standing right here. He said, 'f*** them kids.'"
Reposted by Amy Maxmen, PhD
alexwild.bsky.social
I've obtained the Trump compact document, let me summarize it for you.
Screen cap of a document reading "COMPACT FOR ACADEMIC EXCELLENCE IN HIGHER EDUCATION
INTRODUCTION
American higher education is the envy of the world and represents a key strategic benefit for our
Nation. In turn, the U.S. university system benefits in a variety of ways from its extraordinary relationship
with the U.S. government. These include (i) access to student loans, grant programs, and federal contracts;
(ii) funding for research directly or indirectly; (iii) approval of student and other visas in connection with
university matriculation and instruction; and (iv) preferential treatment under the tax code. To advance the
national interest arising out of this unique relationship, this Compact for Academic Excellence in Higher
Education represents the priorities of the U.S. government in its engagements with universities that benefit
from the relationship. Institutions of higher education are free to develop models and values other than
those below, if the institution elects to forego federal benefits." with bits circled in color and translated to "Nice college you've got there. We hold all your money. It'd be a real shame if anything happened to it."
Reposted by Amy Maxmen, PhD
smashfizzle.bsky.social
What I know from being Black my whole life, and poor for the majority of it, is that politely ignoring a root issue to attend to one closer to the surface is like robbing Peter to pay Paul. It’s a band-aid on a gaping wound, and it will not hold your flesh together for long. The US needs stitches.
amymaxmen.bsky.social
About 25% of women in the military & 6% of men experienced sexual harassment in the past year. 7% of women experienced "unwanted sexual contact"

Fewer than a third reported it. Of those who did, 60% say they experienced retaliation.*

It's tragic that this situation will almost certainly worsen.
atrupar.com
Hegseth: "We are overhauling an inspector general process that has been weaponized, putting complainers and poor performers in the driver seat. We are doing the same with the equal opportunity policies. No more frivolous complaints, no more anonymous complains ... no more walking on eggshells."
Reposted by Amy Maxmen, PhD
mississippifreepress.org
In a rural corner of Louisiana, Meta is building one of the world's largest data centers, a $10 billion behemoth as big as 70 football fields that will consume more power in a day than the entire city of New Orleans at the peak of summer.
New Meta Data Center Needs Twice as Much Energy as New Orleans
Meta is constructing its largest data center yet: a $10 billion facility in Louisiana requiring more than twice as much electricity as New Orleans.
buff.ly
Reposted by Amy Maxmen, PhD
beijingpalmer.bsky.social
This is my regular reminder to everyone that jstor is open to the general public now; a free account there will give you access to 100 papers a year.
youngvulgarian.marieleconte.com
regrettably if you try to point this out online you'll get yelled out by 79208 journalists going OH SO YOU WANT JOURNALISTS TO STARVE??? even if you're, say, a journalist yourself, and point out that while there are clearly no easy answers, the status quo isn't exactly working for society
amymaxmen.bsky.social
The headline on the actual piece, not for social is great, and so is the piece.
amymaxmen.bsky.social
Media, I am begging you to callout false information within the headline.

I know it's a challenge with limited characters, but that's the only part of the story that many people read. The broadcasting of misinformation is as dangerous as policy changes.
amymaxmen.bsky.social
I know very little about Bacarelli and his relationship with RFK. A number of credible researchers have now taken RFK's autism data-science money. If RFK and Trump spout wildly distorted & dangerous takes loosely based on their findings, to what extent do we blame the researchers?
amymaxmen.bsky.social
“We have been left with no choice but to stop our activities as our clinics are encircled by Israeli forces. This is the last thing we wanted, as the needs in Gaza City are enormous,” says Jacob Granger, MSF Emergency Coordinator in Gaza. prezly.msf.org.uk/msf-forced-t...