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Laurie Garrett Profile picture
@Laurie_Garrett
Jul 2, 2018 • 9 tweets • 5 min read • Read on X
The American #HepatitisA epidemic is out of control. Cases reported in nearly every State, mostly in #Homeless and/or #opioid using populations. Examples [multiple tweets]:
West Virginia (since Mar2018)
404 cases
280 hospitalized
1 dead
outbreaknewstoday.com/west-virginia-…
[More]
Utah (since Jan 2017)
271 cases
138 hospitalizations
Risk factors
Homelessness + drug use = 37%
Drug use = 27%
Homelessness = 8.5%
Epi-Linked =14%
Travel = 1.5%
Unknown =12.4%
Incarcerated =14.7%
[MORE]
health.utah.gov/epi/diseases/h…
Michigan (since Aug2016)
cases = 850
hospitalizations = 686
14.8% of total males = MSM
3% of total = healthcare workers
4.7% = food handlers
[MORE]
michigan.gov/mdhhs/0,5885,7…
Kentucky (since Fall 2017)
cases = 969
"It's the worst on record" for KY
deaths = 6.3%
cases w/no clear risk factor = 10%
average new cases/week in 2018 = 53
[MORE]
courier-journal.com/story/news/loc…
Nashville, Tennessee (since Dec 2017)
34 cases
newschannel5.com/news/34-cases-…
North Carolina
4000 diners at a Hardee's exposed due to infected food handler
newsweek.com/hepatitis-outb…
[MORE]
Ohio (since Jan2018)
79 cases
galioninquirer.com/news/31592/ohi…
Missouri (since Sept2017)
127 cases
[MORE]
outbreaknewstoday.com/missouri-issue…
Nationwide 9Jan2017 to April2018)
2500 cases
risk factors known for 1900:
drug use, homelessness, or combination = 68%
emergency.cdc.gov/han/han00412.a…
California, Indiana, Kentucky, Michigan, Utah and West Virginia have
reported outbreaks of hepatitis A since March 2017
[MORE]
California 9since Nov2016)
588 cases
403 hospitalizations (68%)
20 deaths (3.4%)
sandiegocounty.gov/content/sdc/hh…

Indiana (since Nov2017)
107 cases
51 hospitalizations

Arkansas (Jan to Apr2018)
13 cases (vs 2 for entire year, 2017)
[MORE]
wmcactionnews5.com/story/38084535…
Key issues re #HepatitisA
1.) There's a #vaccine but few people get it
2.) primary spread is oral/fecal so lack of toilet facilities among homeless & infected food handlers = top risks
3.) easily spread via shared needles & drug use equipment, link to #opioids
This can be stopped

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More from @Laurie_Garrett

Laurie Garrett Profile picture
Oct 3, 2018
The @WHO DG @DrTedros addressed @UN Security Council today abt #Ebola in #DRCongo. Highlights:
"First, the security situation. Even when I was in Beni at the beginning of the outbreak, there was an attack just 15 kms frm the town. Since then there has been an increase.."
[MORE]
[2]
"...in the frequency & intensity of attacks by armed groups in very close vicinity to Beni. These include a full-scale attack on the #DRC armed forces base on 24Aug, ambushes on MONUSCO on Sept 3 & 9, a rocket explosion in the centre of Beni on Sept11 & an..."
[MORE]
[3]
"...indiscriminate attack on Beni town just 10 dys ago, Sept22.
As a result of the most recent attacks, which killed 21 people, our operations were in lockdown for several dys. But when we’re in lockdown, you know
#Ebola is not. Ebola gets an advantage."
[MORE]
Read 8 tweets
Laurie Garrett Profile picture
Oct 3, 2018
The 11 take-home messages from @nytimes massive investigation of #Trump Family wealth:
1.) The Trumps’ tax maneuvers show a pattern of deception,
2.) Donald Trump began reaping wealth from his father’s real estate empire as a toddler
[cont.2]
3.) That ‘small loan’ of $1 million was actually at least $60.7 million — much of it never repaid
4.) Fred Trump wove a safety net that rescued his son from one bad bet after another
5.) The Trumps turned an $11 million loan debt into a legally questionable tax write-off
[cont3]
6.) Father and son set out to create the myth of a self-made billionaire
7.) Donald Trump tried to change his ailing father’s will, setting off a family reckoning
8.) The Trumps created a company that siphoned cash from the empire
Read 5 tweets
Laurie Garrett Profile picture
Sep 19, 2018
New @OXFAM rpt "Prescription for Poverty" - how pharmaceutical cos hide their profits & pay off politicians to let it all happen: "result of using accounting tricks to deliberately shift profits from where they are actually earned to tax havens."
[MORE]
oxfamilibrary.openrepository.com/bitstream/hand…
2.) OXFAM: "@pfizer , @Merck & @AbbottGlobal are among the 20 US corporations with the greatest number of subsidiaries in tax havens; Johnson & Johnson is not far behind. All four were among the US corporations with the most money stashed overseas." untaxed.
[MORE]
3.) OXFAM: "at end of 2016, these 4 companies held $352 billion offshore.
Pharma 'profit-shifting' may = 'domiciling' a patent or rights to its brand not where drug was actually developed or where firm is HQ'ed, but
in a tax haven...presence may be as little as a mailbox."
[MORE]
Read 9 tweets
Laurie Garrett Profile picture
Sep 11, 2018
On 9/11 there are a few things I need to underscore.
1.) It came as no surprise to New Yorkers that #AlQaeda was responsible. I interviewed people as I made my way to Ground Zero that morning and EVERY one knew who was responsible.
[more]
To see much more, including photos: lgarrett.squarespace.com/i-heard-the-si…
and laurigarrett.com
[MORE]
2.) There are many reasons why the Twin Towers collapsed, architecturally. But overlooked were the huge number of computer servers. In 2001 there was no secure cloud storage, and floor after floor were filled with hot data towers.
[more]
Read 16 tweets
Laurie Garrett Profile picture
Sep 7, 2018
STOP whatever you're doing and watch this LIVE:
cbsnews.com/news/barack-ob…
@BarackObama stops his silence and is coming out slugging, max eloquence, "to restore some sanity to our politics."
Obama: "We know that #climatechange isn't just coming -- it's here."
"We can't just put walls up all around America. Walls don't keep out threats like terrorism or disease."
Obama: "I am here to tell you that even if you don't agree with me...even if you are an Evangelical...You should still want to see a restoration of honesty and decency and lawfulness in our government."
Read 5 tweets
Laurie Garrett Profile picture
Aug 21, 2018
Measles cases hit record high in the Europe

Over 41,000 children & adults in European region have been
infected w/#measles in the first 6 mos, 2018 -- far exceeds the 12-mo totals reported for every other year this decade. 37 dead.

euro.who.int/en/media-centr…>
Meanwhile, in the UK:
Between July2017 & June2018 just under 1000 cases of #measles in Britain, vs 531 cases for the whole of 2016.
There have been 760 cases in the 1st 6 mos of 2018 in the UK, versus 187 in the last half of 2017.
mirror.co.uk/news/uk-news/r…
and in UK: "Measles had virtually been eradicated in Britain before confidence in
the MMR #vaccine collapsed in the late 1990s after now-discredited Dr
Andrew Wakefield wrongly claimed the #measles, #mumps, and #rubella jab
was linked to autism."
mirror.co.uk/news/uk-news/r…
Read 5 tweets

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