Greg Fell
@felly500.bsky.social
DPH Sheffield Council.
President ADPHUK.
Barely active climber and below average cyclist. Fond of - 80s thrash metal.
Blog - https://gregfellpublichealth.wordpress.com/
President ADPHUK.
Barely active climber and below average cyclist. Fond of - 80s thrash metal.
Blog - https://gregfellpublichealth.wordpress.com/
Sander van der Linden on misinfo
- Rapid repetition to ensire wide spread
- Pre bunking & Psych inoculation
- use of political power to maintain ability to spread misinfo in name of free speech
- questioning the motives & credibility of those who study misinfo
open.spotify.com/episode/0eqK...
- Rapid repetition to ensire wide spread
- Pre bunking & Psych inoculation
- use of political power to maintain ability to spread misinfo in name of free speech
- questioning the motives & credibility of those who study misinfo
open.spotify.com/episode/0eqK...
Spotify – Web Player
open.spotify.com
November 23, 2025 at 2:37 PM
Sander van der Linden on misinfo
- Rapid repetition to ensire wide spread
- Pre bunking & Psych inoculation
- use of political power to maintain ability to spread misinfo in name of free speech
- questioning the motives & credibility of those who study misinfo
open.spotify.com/episode/0eqK...
- Rapid repetition to ensire wide spread
- Pre bunking & Psych inoculation
- use of political power to maintain ability to spread misinfo in name of free speech
- questioning the motives & credibility of those who study misinfo
open.spotify.com/episode/0eqK...
Reposted by Greg Fell
Medicines - but at what cost, direct penicillin allergy challenge, and prescribing mistakes
open.spotify.com
November 22, 2025 at 4:55 PM
Drug industry payments to APPGs
doi.org/10.1136/bmj....
concerns over transparency and “disjointed disclosure” mechanisms
part of a “web of influence” strategy
secretariats, which are often run by industry bodies, PR consultancies, and health charities- connections with 40 pharma companies.
doi.org/10.1136/bmj....
concerns over transparency and “disjointed disclosure” mechanisms
part of a “web of influence” strategy
secretariats, which are often run by industry bodies, PR consultancies, and health charities- connections with 40 pharma companies.
Drug industry payments to groups of influential MPs—“the next great parliamentary scandal?”
MPs and peers must act urgently to avert potential scandal from drug industry payments and connections to parliamentary interest groups, researchers have said.
A new study of pharmaceutical firms’ de...
doi.org
November 22, 2025 at 5:08 PM
Drug industry payments to APPGs
doi.org/10.1136/bmj....
concerns over transparency and “disjointed disclosure” mechanisms
part of a “web of influence” strategy
secretariats, which are often run by industry bodies, PR consultancies, and health charities- connections with 40 pharma companies.
doi.org/10.1136/bmj....
concerns over transparency and “disjointed disclosure” mechanisms
part of a “web of influence” strategy
secretariats, which are often run by industry bodies, PR consultancies, and health charities- connections with 40 pharma companies.
www.doctors.net.uk/news/caving-...
just saying..........
nobody really cares about detail thesedays, or experts. But Karl really IS an expert who has done the detail.
just saying..........
nobody really cares about detail thesedays, or experts. But Karl really IS an expert who has done the detail.
The UK caving to pressure to pay more for drugs will cost lives
Increasing NHS drug costs would cause thousands of preventable deaths, widen health inequalities and harm the British economy – whilst doing nothing to encourage genuine life sciences investment, argu...
www.doctors.net.uk
November 22, 2025 at 4:48 PM
www.doctors.net.uk/news/caving-...
just saying..........
nobody really cares about detail thesedays, or experts. But Karl really IS an expert who has done the detail.
just saying..........
nobody really cares about detail thesedays, or experts. But Karl really IS an expert who has done the detail.
November 21, 2025 at 6:50 AM
Reposted by Greg Fell
gregfellpublichealth.wordpress.com/2025/11/16/p...
Population Health Management and risk stratification
"....all models are wrong, some are useful.
It appears that these models are not necessarily wrong, they just aren’t useful."
Population Health Management and risk stratification
"....all models are wrong, some are useful.
It appears that these models are not necessarily wrong, they just aren’t useful."
Population Health Management and risk stratification
A decade ago, I used to be a believer in this & wrote a load of stuff on it – eg on segmentation. Since then I’ve gone agnostic and am now a complete non believer. It’s a dist…
gregfellpublichealth.wordpress.com
November 18, 2025 at 7:01 AM
gregfellpublichealth.wordpress.com/2025/11/16/p...
Population Health Management and risk stratification
"....all models are wrong, some are useful.
It appears that these models are not necessarily wrong, they just aren’t useful."
Population Health Management and risk stratification
"....all models are wrong, some are useful.
It appears that these models are not necessarily wrong, they just aren’t useful."
gregfellpublichealth.wordpress.com/2025/11/16/p...
Population Health Management and risk stratification
"....all models are wrong, some are useful.
It appears that these models are not necessarily wrong, they just aren’t useful."
Population Health Management and risk stratification
"....all models are wrong, some are useful.
It appears that these models are not necessarily wrong, they just aren’t useful."
Population Health Management and risk stratification
A decade ago, I used to be a believer in this & wrote a load of stuff on it – eg on segmentation. Since then I’ve gone agnostic and am now a complete non believer. It’s a dist…
gregfellpublichealth.wordpress.com
November 18, 2025 at 7:01 AM
gregfellpublichealth.wordpress.com/2025/11/16/p...
Population Health Management and risk stratification
"....all models are wrong, some are useful.
It appears that these models are not necessarily wrong, they just aren’t useful."
Population Health Management and risk stratification
"....all models are wrong, some are useful.
It appears that these models are not necessarily wrong, they just aren’t useful."
gregfellpublichealth.wordpress.com/2025/11/16/p...
Population Health Management and risk stratification
From a believer to a non believer
Population Health Management and risk stratification
From a believer to a non believer
Population Health Management and risk stratification
A decade ago, I used to be a believer in this & wrote a load of stuff on it – eg on segmentation. Since then I’ve gone agnostic and am now a complete non believer. It’s a dist…
gregfellpublichealth.wordpress.com
November 16, 2025 at 9:22 PM
gregfellpublichealth.wordpress.com/2025/11/16/p...
Population Health Management and risk stratification
From a believer to a non believer
Population Health Management and risk stratification
From a believer to a non believer
www.annualreviews.org/content/jour...
Misinformation
review focuses on:
-role of disinformation for profit - antiscience policy
- how & why disinfo is increasing
Interventions:
- greater focus on framing
- strategies for “prebunking” of predictable narratives
- denormalization
- countermarketing
Misinformation
review focuses on:
-role of disinformation for profit - antiscience policy
- how & why disinfo is increasing
Interventions:
- greater focus on framing
- strategies for “prebunking” of predictable narratives
- denormalization
- countermarketing
The Politics and Profit of Disinformation in Public Health
Disinformation is a coordinated or deliberate effort to knowingly circulate misinformation (i.e., false information) to gain money, power, or reputation. While most public health research has focused ...
www.annualreviews.org
November 16, 2025 at 8:39 PM
www.annualreviews.org/content/jour...
Misinformation
review focuses on:
-role of disinformation for profit - antiscience policy
- how & why disinfo is increasing
Interventions:
- greater focus on framing
- strategies for “prebunking” of predictable narratives
- denormalization
- countermarketing
Misinformation
review focuses on:
-role of disinformation for profit - antiscience policy
- how & why disinfo is increasing
Interventions:
- greater focus on framing
- strategies for “prebunking” of predictable narratives
- denormalization
- countermarketing
Reposted by Greg Fell
Huge thanks to @markpetticrew.bsky.social @kristinakim.bsky.social @marcozenone.bsky.social @maizie333.bsky.social for partnership on a new review article: www.annualreviews.org/content/jour...
@lhgp.bsky.social @uoe-sps.bsky.social @socsocmed.bsky.social @adphuk.bsky.social @felly500.bsky.social
@lhgp.bsky.social @uoe-sps.bsky.social @socsocmed.bsky.social @adphuk.bsky.social @felly500.bsky.social
The Politics and Profit of Disinformation in Public Health
Disinformation is a coordinated or deliberate effort to knowingly circulate misinformation (i.e., false information) to gain money, power, or reputation. While most public health research has focused ...
www.annualreviews.org
November 16, 2025 at 1:02 PM
Huge thanks to @markpetticrew.bsky.social @kristinakim.bsky.social @marcozenone.bsky.social @maizie333.bsky.social for partnership on a new review article: www.annualreviews.org/content/jour...
@lhgp.bsky.social @uoe-sps.bsky.social @socsocmed.bsky.social @adphuk.bsky.social @felly500.bsky.social
@lhgp.bsky.social @uoe-sps.bsky.social @socsocmed.bsky.social @adphuk.bsky.social @felly500.bsky.social
open.spotify.com/episode/2qDh...
Hoffman and McClintock
corporate culture
and how car dominance started
Hoffman and McClintock
corporate culture
and how car dominance started
The Creation of America's Car Culture
open.spotify.com
November 15, 2025 at 7:30 PM
open.spotify.com/episode/2qDh...
Hoffman and McClintock
corporate culture
and how car dominance started
Hoffman and McClintock
corporate culture
and how car dominance started
intouch.kcl.ac.uk/countering-m...
The misinformation epidemic
the spread of digital misinformation as one of the most serious threats to human society.
King's researchers have found a surprisingly fun way to strengthen our defenses against it
The misinformation epidemic
the spread of digital misinformation as one of the most serious threats to human society.
King's researchers have found a surprisingly fun way to strengthen our defenses against it
The Misinformation Epidemic
What’s the difference between misinformation and disinformation?
intouch.kcl.ac.uk
November 13, 2025 at 10:01 PM
intouch.kcl.ac.uk/countering-m...
The misinformation epidemic
the spread of digital misinformation as one of the most serious threats to human society.
King's researchers have found a surprisingly fun way to strengthen our defenses against it
The misinformation epidemic
the spread of digital misinformation as one of the most serious threats to human society.
King's researchers have found a surprisingly fun way to strengthen our defenses against it
www.theguardian.com/society/2025...
Private care providers in three English regions make £250m in three years
More than third of profits analysed went to firms owned by private equity or based in tax havens, research finds
Private care providers in three English regions make £250m in three years
More than third of profits analysed went to firms owned by private equity or based in tax havens, research finds
Private care providers in three English regions make £250m in three years
More than third of profits analysed went to firms owned by private equity or based in tax havens, research finds
www.theguardian.com
November 12, 2025 at 9:00 PM
www.theguardian.com/society/2025...
Private care providers in three English regions make £250m in three years
More than third of profits analysed went to firms owned by private equity or based in tax havens, research finds
Private care providers in three English regions make £250m in three years
More than third of profits analysed went to firms owned by private equity or based in tax havens, research finds
www.bmj.com/content/391/...
Proposed changes to alcohol licensing
Growth for whom, and at what cost
Liberalising licensing is not a neutral act. It is a policy decision to prioritise commercial interests and shift any costs to already overstretched health, emergency, and social care systems
Proposed changes to alcohol licensing
Growth for whom, and at what cost
Liberalising licensing is not a neutral act. It is a policy decision to prioritise commercial interests and shift any costs to already overstretched health, emergency, and social care systems
Proposed changes to alcohol licensing should make us question whose interests we’re serving in the name of growth
Increasing the consumption of harmful products is the opposite of healthy or productive growth, say Nason Maani and colleagues
Preventable ill health is at the heart of the challenges facing this co...
www.bmj.com
November 12, 2025 at 8:58 PM
www.bmj.com/content/391/...
Proposed changes to alcohol licensing
Growth for whom, and at what cost
Liberalising licensing is not a neutral act. It is a policy decision to prioritise commercial interests and shift any costs to already overstretched health, emergency, and social care systems
Proposed changes to alcohol licensing
Growth for whom, and at what cost
Liberalising licensing is not a neutral act. It is a policy decision to prioritise commercial interests and shift any costs to already overstretched health, emergency, and social care systems
Commercial determinants of active travel: a crucial but overlooked barrier to health and sustainability
but NOBODY oppposes physical activity?
oh but they do
this is very good
www.thelancet.com/journals/lan...
but NOBODY oppposes physical activity?
oh but they do
this is very good
www.thelancet.com/journals/lan...
November 11, 2025 at 2:21 PM
Commercial determinants of active travel: a crucial but overlooked barrier to health and sustainability
but NOBODY oppposes physical activity?
oh but they do
this is very good
www.thelancet.com/journals/lan...
but NOBODY oppposes physical activity?
oh but they do
this is very good
www.thelancet.com/journals/lan...
Poverty and death in the wealthiest of nations
www.thelancet.com/journals/lan...
2 studies are reminders of interplay between poverty, economic policy snd heealth outcomes
Swift
www.thelancet.com/journals/lan...
Colvin
www.thelancet.com/journals/lan...
www.thelancet.com/journals/lan...
2 studies are reminders of interplay between poverty, economic policy snd heealth outcomes
Swift
www.thelancet.com/journals/lan...
Colvin
www.thelancet.com/journals/lan...
Poverty and death in the wealthiest of nations
The USA is a rich nation in poor health. Until about 1980, the mortality rate differed
little from other high-income nations; by 2019, it was 24% higher than peer nations.1
What happened in the interi...
www.thelancet.com
November 9, 2025 at 4:39 PM
Poverty and death in the wealthiest of nations
www.thelancet.com/journals/lan...
2 studies are reminders of interplay between poverty, economic policy snd heealth outcomes
Swift
www.thelancet.com/journals/lan...
Colvin
www.thelancet.com/journals/lan...
www.thelancet.com/journals/lan...
2 studies are reminders of interplay between poverty, economic policy snd heealth outcomes
Swift
www.thelancet.com/journals/lan...
Colvin
www.thelancet.com/journals/lan...
2025 Lancet Countdown on health & climate change
www.thelancet.com/journals/lan...
plenty of countries that spend significantly more on fossil fuel subsidies than their healthcare budget
Esp see heat related mortality indicator (new)
& air quality related mortality from burning fossil fuel
www.thelancet.com/journals/lan...
plenty of countries that spend significantly more on fossil fuel subsidies than their healthcare budget
Esp see heat related mortality indicator (new)
& air quality related mortality from burning fossil fuel
The 2025 report of the Lancet Countdown on health and climate change
Driven by human-caused greenhouse gas emissions, climate change is increasingly claiming
lives and harming people's health worldwide. Mean annual temperatures exceeded 1·5°C
above those of pre-industr...
www.thelancet.com
November 9, 2025 at 3:46 PM
2025 Lancet Countdown on health & climate change
www.thelancet.com/journals/lan...
plenty of countries that spend significantly more on fossil fuel subsidies than their healthcare budget
Esp see heat related mortality indicator (new)
& air quality related mortality from burning fossil fuel
www.thelancet.com/journals/lan...
plenty of countries that spend significantly more on fossil fuel subsidies than their healthcare budget
Esp see heat related mortality indicator (new)
& air quality related mortality from burning fossil fuel
Reposted by Greg Fell
IHME GBD do not report increasing cancer incidence in 15–49 in e.g. SE or US. But they do rather complex modeling on official statistics.
ourworldindata.org/grapher/canc...
ourworldindata.org/grapher/canc...
Cancer incidence rate by age group
Estimated number of new cancer cases per 100,000 people, in a given year.
ourworldindata.org
November 8, 2025 at 2:11 PM
IHME GBD do not report increasing cancer incidence in 15–49 in e.g. SE or US. But they do rather complex modeling on official statistics.
ourworldindata.org/grapher/canc...
ourworldindata.org/grapher/canc...
Reposted by Greg Fell
Such a fab graph. A whole story re: waste of resources and needless anxiety in 3 lines.
November 8, 2025 at 12:38 PM
Such a fab graph. A whole story re: waste of resources and needless anxiety in 3 lines.
impact of mandatory front-of-pack nutrition labelling policies on obesity prevalence
www.sciencedirect.com/science/arti...
Hmmm
Yes maybe but NB:
modelling assumptions
Equity impact
Allows policy system to avoid or delay harder (? More impactful) regulatory choices.
The limits of labels.....
www.sciencedirect.com/science/arti...
Hmmm
Yes maybe but NB:
modelling assumptions
Equity impact
Allows policy system to avoid or delay harder (? More impactful) regulatory choices.
The limits of labels.....
The estimated impact of mandatory front-of-pack nutrition labelling policies on adult obesity prevalence and obesity-related mortality in England: a modelling study
Since 2013, front-of-pack traffic light labels have been implemented voluntarily on packaged food in the UK. The UK Government is now considering alte…
www.sciencedirect.com
November 8, 2025 at 9:49 AM
impact of mandatory front-of-pack nutrition labelling policies on obesity prevalence
www.sciencedirect.com/science/arti...
Hmmm
Yes maybe but NB:
modelling assumptions
Equity impact
Allows policy system to avoid or delay harder (? More impactful) regulatory choices.
The limits of labels.....
www.sciencedirect.com/science/arti...
Hmmm
Yes maybe but NB:
modelling assumptions
Equity impact
Allows policy system to avoid or delay harder (? More impactful) regulatory choices.
The limits of labels.....
jamanetwork.com/journals/jam...
The Rise in Early-Onset Cancer in the US Population - More Apparent Than Real
Epidemiology 101
All screening does harm, some screening does good etc
Here is a telling example of harm
And we wonder why there is a crisis in workload and workforce in cancer care
The Rise in Early-Onset Cancer in the US Population - More Apparent Than Real
Epidemiology 101
All screening does harm, some screening does good etc
Here is a telling example of harm
And we wonder why there is a crisis in workload and workforce in cancer care
November 8, 2025 at 9:36 AM
jamanetwork.com/journals/jam...
The Rise in Early-Onset Cancer in the US Population - More Apparent Than Real
Epidemiology 101
All screening does harm, some screening does good etc
Here is a telling example of harm
And we wonder why there is a crisis in workload and workforce in cancer care
The Rise in Early-Onset Cancer in the US Population - More Apparent Than Real
Epidemiology 101
All screening does harm, some screening does good etc
Here is a telling example of harm
And we wonder why there is a crisis in workload and workforce in cancer care
Food industry corporate greenwashing
www.foodpolitics.com/2025/10/food...
Comparing promises ("we will be good", "we care") with actions
"food companies have no market incentive to reduce their environmental impact if it is going to raise their costs".
www.foodpolitics.com/2025/10/food...
Comparing promises ("we will be good", "we care") with actions
"food companies have no market incentive to reduce their environmental impact if it is going to raise their costs".
November 8, 2025 at 9:35 AM
Food industry corporate greenwashing
www.foodpolitics.com/2025/10/food...
Comparing promises ("we will be good", "we care") with actions
"food companies have no market incentive to reduce their environmental impact if it is going to raise their costs".
www.foodpolitics.com/2025/10/food...
Comparing promises ("we will be good", "we care") with actions
"food companies have no market incentive to reduce their environmental impact if it is going to raise their costs".