Richard M. Carpiano, PhD, MPH's Avatar

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. πŸ‡ΊπŸ‡Έ πŸ‡¨πŸ‡¦

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Latest posts by Richard M. Carpiano, PhD, MPH @rmcarpiano.medsky.social

To be fair, this is a normal circulating pathogen and the system detected it. If anything, shows the value of wastewater surveillance and investing in those systems. But yes, the current admin. investing (versus divesting) in the scientific and public health community would be ideal.

06.03.2026 06:40 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Full list of Republicans voting to curb Trump’s Iran War Just three Republicans, combined, in the House and Senate voted to halt Trump's Iran War powers.

"Paul said on X Thurs. that Congress "handed the president the power to start a war so they could avoid accountability at the ballot box.'

'That is not statesmanship. That is cowardice. The Constitution is clear. War must be declared by Congress, not announced in an 8-minute video at 2:30am'..."

06.03.2026 02:39 πŸ‘ 5 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

He's saying we're not going to participate in offensive actions against Iran, but might need to defend our allies.

Chill, people.

05.03.2026 04:30 πŸ‘ 217 πŸ” 72 πŸ’¬ 26 πŸ“Œ 24

Expect even worse than this as Mullin takes over DHS, inherits the current poor rep & high public scrutiny of that agency under his predecessor Noem, AND he makes his own executive decisions as Head.

05.03.2026 20:56 πŸ‘ 13 πŸ” 3 πŸ’¬ 0 πŸ“Œ 0

🀷🏼

05.03.2026 20:49 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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DHS Secretary Kristi Noem is out, Trump says, after controversial tenure President Donald Trump announced the decision on social media and said Noem would be replaced with Sen. Markwayne Mullin (R-Okla.).

2 ways to view this:

1. TSA lines just got more pleasant. No more Noem vids running on loop.

2. Markwayne Mullin will be in the spotlight even more than bf & thus under even greater public scrutiny (recall his painful-to-watch gaffe w/ journalists this wk abt whether we are at war).

05.03.2026 20:39 πŸ‘ 3 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
About Human Metapneumovirus Information about Human Metapneumovirus

Here's more details: www.cdc.gov/human-metapn...

05.03.2026 20:05 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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When you’re running for governor of Florida, that’s pretty much the end of your campaign.

05.03.2026 02:51 πŸ‘ 2310 πŸ” 319 πŸ’¬ 115 πŸ“Œ 28
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The State of U.S. Vaccine Policy Federal courts, state legislatures, and a public health system under strain

Nice, brief update on current matters... πŸ›Ÿ health policy

05.03.2026 05:52 πŸ‘ 5 πŸ” 3 πŸ’¬ 0 πŸ“Œ 0
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RFK Jr's Pick For Surgeon General Cashed In Promoting Companies With a History of Unsafe Products RFK Jr's pick for surgeon general promoted in her newsletter companies with allegations of selling unsafe products

Dr. No (Freaking Way)

At her confirm. hearing Means "tussled" w/ Dems & some Republicans re:
-no active license
-prior endorsing of psychedelics
-allegations she hadn't fully disclosed financial interest in products she promoted
-prior unfounded claims abt vax harms
-dodging endorsing vaccines πŸ›Ÿ

05.03.2026 05:30 πŸ‘ 22 πŸ” 11 πŸ’¬ 1 πŸ“Œ 0

PEPFAR, the program to stop hundreds of thousands of children and adults from dying of HIV/AIDS, was $6.5 billion a year.

05.03.2026 02:45 πŸ‘ 3013 πŸ” 1108 πŸ’¬ 2 πŸ“Œ 19
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A virus without a vaccine or treatment is hitting California. What you need to know Cases of human metapneumovirus, or HMPV, are on the rise in parts of California. It typically causes mild, cold-like symptoms, but could lead to more-severe disease in vulnerable individuals.

Northern California communities have seen high concentrations of human metapneumovirus (HMPV) in their wastewater.

"A Los Angeles Times data analysis found the communities of Merced...& Novato & Sunnyvale...have seen increases in HMPV levels in their wastewater between mid-Dec. and the end of Feb."

05.03.2026 04:32 πŸ‘ 20 πŸ” 6 πŸ’¬ 4 πŸ“Œ 0

πŸ‚ 🦠 πŸ§ͺ

05.03.2026 01:32 πŸ‘ 14 πŸ” 10 πŸ’¬ 0 πŸ“Œ 0
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β€œMissing files
Aren’t in Iran”

05.03.2026 01:46 πŸ‘ 4612 πŸ” 1092 πŸ’¬ 86 πŸ“Œ 26
Attacks On Vaccine Hesitancy And Promotion Research Undermine Public Health | Health Affairs Forefront As with so many core functions of public health, the future success of vaccine promotion research depends on the support of every institution: government, universities, and industry alike.

Research focused on vaccine promotion has faced serious attacks by the Trump administration, especially by RFK Jr. as HHS Secretary.

"But, as with so many core functions of public health, future success depends on the support of every institution: government, universities, and industry alike."

04.03.2026 15:06 πŸ‘ 6 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0

Historiography and the Machine.

On judgment and discernment, it should be remembered that these are influenced by contexts, such as time and place. What we think is important about an event or trend in the past may not be shared by future scholars, not for anything written in the field, --

03.03.2026 18:10 πŸ‘ 10 πŸ” 5 πŸ’¬ 1 πŸ“Œ 0
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Trump administration waging illegal war on Iran, experts say Administration offers shifting explanations as it acts without congressional approval or legal premise

Stories about the illegality of the Iran War under both international law and the US Constitution and War Powers Act have featured on the front pages of SΓΌddeutsche Zeitung, El PaΓ­s, Le Monde and papers all around the world. Not, however, in major US papers. Something is seriously wrong.

04.03.2026 14:21 πŸ‘ 290 πŸ” 145 πŸ’¬ 10 πŸ“Œ 1
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Newsmax host says Fox News "has just been ridiculous all day cheerleading this war"

04.03.2026 13:44 πŸ‘ 253 πŸ” 66 πŸ’¬ 24 πŸ“Œ 16
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β€œTo announce that there must be no criticism of the President, or that we are to stand by the President, right or wrong, is not only unpatriotic and servile, but is morally treasonable to the American public.”
Theodore Roosevelt

04.03.2026 13:57 πŸ‘ 36 πŸ” 12 πŸ’¬ 1 πŸ“Œ 0

Most telling part of this rant: That the war will go on until "we decide it is over," not until the aims of the war are achieved - because there are no stated aims; and Trump prefers having none, so any result will allow him to try to claim a "win."

04.03.2026 13:24 πŸ‘ 1630 πŸ” 449 πŸ’¬ 86 πŸ“Œ 12

I think war is serious business, real life-and-death stuff, and should be taken seriously by people who initiate and prosecute it.

Sorry to get so partisan, but that’s how I feel.

04.03.2026 14:07 πŸ‘ 2617 πŸ” 357 πŸ’¬ 118 πŸ“Œ 16

This would still be painful to watch even if it wasn't about something as significant as war...

04.03.2026 05:28 πŸ‘ 7 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
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Community Water Fluoridation and Birth Outcomes This cohort study evaluates the association between prenatal exposure to community water fluoridation and birth weight and other birth outcomes in US counties.

Cohort study of ~11.5M singleton births across 677 counties between 1968-1988, aggregated to the county-month level, finds community water fluoridation was not associated with statistically significant changes in birth weight.
πŸ›ŸπŸ˜· health policy

04.03.2026 02:54 πŸ‘ 34 πŸ” 11 πŸ’¬ 0 πŸ“Œ 1

Nicely done story!

02.03.2026 19:16 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Secretary of War's bizarre presser shows why Secretary of Defense title fits him fine, just not in the traditional use of the term.

02.03.2026 14:41 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Here's the thing: most states have non-medical exemptions to opt out and yet that's still not good enough for these people.

02.03.2026 14:27 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

That presser called to mind Rumsfeld's famous quote about known knowns, known unknowns, & unknown unknowns ("ones we don't know we don't know").

But Hegseth's odd, defensive performance & prior lack of credibility suggests there's a 4th category: unknown knowns--things one doesn't know they know.

02.03.2026 14:24 πŸ‘ 4 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
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As measles spreads in South Carolina, RFK Jr’s allies work to gut vaccine laws Activists who dispute safety of vaccines are pushing to limit immunization requirements in schools

Antivax coalition Stand for Freedom ups efforts to sicken kids.

Backed bills to end mandates in AZ, GA, HI, ID, IN, IA, NY, NH, OK, & VT.

Also "...asking supporters to contact gov's & lawmakers to ask them to end vaccine mandates in 19 states..." including at least 6 w/ current measles outbreaks.πŸ›Ÿ

02.03.2026 13:48 πŸ‘ 10 πŸ” 8 πŸ’¬ 2 πŸ“Œ 0

84% of the time, β€œChatGPT Health” killed a customer using their paid service as advertised

01.03.2026 23:27 πŸ‘ 1619 πŸ” 799 πŸ’¬ 37 πŸ“Œ 50
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2026 US measles outbreak hits 1100, mostly unvaccinated children As of February 26, 2026, the US measles outbreak has reported 1,136 cases, primarily affecting unvaccinated individuals.

2026 US measles outbreak hits 1100, mostly unvaccinated children

02.03.2026 01:54 πŸ‘ 10 πŸ” 5 πŸ’¬ 0 πŸ“Œ 1