Sophia, MPH's avatar

Sophia, MPH

@sophiacbess.bsky.social

225 followers 406 following 198 posts

public health person, data scientist, AI skeptic. posts mostly on covid and vaccines for kids. many other opinions offline! views my own, not my employer’s.


Sophia, MPH's avatar Sophia, MPH @sophiacbess.bsky.social
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Hey #durham, our summer Covid wave has landed. Free tests still available through the health department! 😷

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David Zipper's avatar David Zipper @davidzipper.bsky.social
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New study: Vehicles are more likely to kill pedestrians if they have tall and blunt front ends and/or flat hoods.

That's a major indictment of American SUV and truck design -- at a time when US pedestrian deaths recently hit a 40-year high.

doi.org/10.1016/j.js...

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samuelAnimates (they/them)'s avatar samuelAnimates (they/them) @samuelanimates.bsky.social
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Eactly this. How many times have health education and health information been allegedly "democratized"? By the internet. by web 2.0. by Twitter. By facebook. By massively open online classes. by electronic health records. what else am I missing?

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Sophia, MPH's avatar Sophia, MPH @sophiacbess.bsky.social
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Yes! I absolutely think pandemic dynamics between healthcare providers, comms, and tech are adding to the pressure cooker. Great point 😬

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Sophia, MPH's avatar Sophia, MPH @sophiacbess.bsky.social
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This infection was Jan 2024, by which time there was next to no support for keeping our + kid home through the whole infection (we did so anyway ofc, though even with resources it was challenging). People thought it was odd!

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Sophia, MPH's avatar Sophia, MPH @sophiacbess.bsky.social
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🙏🏻 I just pre-ordered the audiobook!

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Sophia, MPH's avatar Sophia, MPH @sophiacbess.bsky.social
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👇🏻Many infections start with kids in school. My family’s did. One kid only experienced a couple days of mild GI symptoms — but remained + for nearly 2 weeks. No one in our household developed a fever, though several of us felt miserable. Without testing, we could have contributed to a lot of spread!

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Sophia, MPH's avatar Sophia, MPH @sophiacbess.bsky.social
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For example, a recent quality improvement study found that EHR inbox responses drafted using AI and edited by the clinician were associated with “increased message read time, no change in reply time, and significantly longer replies.” jamanetwork.com/journals/jam...

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Sophia, MPH's avatar Sophia, MPH @sophiacbess.bsky.social
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Challenging the widespread expectation in healthcare for “human-in-the-loop” design is an important objective for AI companies b/c such workflows slow deployment and may expose quality issues.

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Sophia, MPH's avatar Sophia, MPH @sophiacbess.bsky.social
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“Part of the goal is to demonstrate to other public health groups that rigorously tested AI tools might not always need the so-called “human-in-the-loop” in real time — as long as they’re evaluating the communication after the fact, Healthvana founder Ramin Bastani said.”

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Sophia, MPH's avatar Sophia, MPH @sophiacbess.bsky.social
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“The creators of the drag queen model and its evaluation process hope to detail their findings in an upcoming research paper, which hasn’t yet been accepted by a medical journal.”

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Sophia, MPH's avatar Sophia, MPH @sophiacbess.bsky.social
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“Fearing hallucination, bias or errors, health care providers have so far largely avoided deploying AI-powered tools directly to patients until their risks are better understood. Instead, they mostly use AI to draft emails or help with back-office workflow.”

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Sophia, MPH's avatar Sophia, MPH @sophiacbess.bsky.social
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If the potential is great enough, the argument goes, healthcare and public health service providers should pay & deploy now, evaluate later. Of course, rolling back integrated technology in response to monitoring is much more challenging than simply opting not to integrate it.

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Sophia, MPH's avatar Sophia, MPH @sophiacbess.bsky.social
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Emphasizing *potential* (however untested) to increase accessibility/reach/equity is a key strategy for softening reluctance in an industry expected to “do no harm,” not “move fast and break things.”

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Sophia, MPH's avatar Sophia, MPH @sophiacbess.bsky.social
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When companies/individuals pitch AI tools to make a resource like healthcare or education “more accessible to people who otherwise couldn’t afford it,” that = supporting and working to entrench a two-tier system they can exploit for profit.

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Sophia, MPH's avatar Sophia, MPH @sophiacbess.bsky.social
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A prime example of equity washing: “Using AI in this way would also scale and democratize the life-saving benefits of improving daily habits and address growing health inequities“ time.com/6994739/ai-b...

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Sophia, MPH's avatar Sophia, MPH @sophiacbess.bsky.social
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Starting to observe three common themes in tech companies’ push to embed genAI in healthcare —before demonstrating benefit: 1. Equity washing, 2. Insisting on multiple, complex, novel evaluation frameworks (exceptionalism), and 3. post-deployment monitoring as a substitute for human review

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Sophia, MPH's avatar Sophia, MPH @sophiacbess.bsky.social
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This is the pitch from AI corps to healthcare: implement now, evaluate later.

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Sophia, MPH's avatar Sophia, MPH @sophiacbess.bsky.social
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… as long as they’re evaluating the communication after the fact” 2/2

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Sophia, MPH's avatar Sophia, MPH @sophiacbess.bsky.social
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“The creators […] hope to detail their findings in an upcoming research paper, which hasn’t yet been accepted by a medical journal. Part of the goal is to demonstrate to other PH groups that rigorously tested AI tools might not always need the so-called ‘human-in-the-loop’ in real time … 1/2

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Paris Marx's avatar Paris Marx @parismarx.bsky.social
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Google’s emissions are up 48% in 5 years. Microsoft’s are up 30% since 2020. Those soaring figures are being driven by mass investments in data centers to power AI tools. Generative AI is a climate disaster and data center expansion must be stopped.

22 replies 1103 reposts 1826 likes


Sophia, MPH's avatar Sophia, MPH @sophiacbess.bsky.social
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When companies/individuals pitch AI tools to make a resource like healthcare or education “more accessible to people who otherwise couldn’t afford it,” that = supporting and working to entrench a two-tier system they can exploit for profit.

0 replies 1 reposts 1 likes


Reposted by Sophia, MPH

Paris Marx's avatar Paris Marx @parismarx.bsky.social
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The story is always the same: major tech companies tell us they care about the environment to silence criticism, then never actually follow through. Google’s emissions are up ~50% in 5 years, following similar news Microsoft is also blowing past its climate commitments.

13 replies 215 reposts 423 likes


Reposted by Sophia, MPH

Helen Branswell's avatar Helen Branswell @helenbranswell.bsky.social
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“My overall concern about this outbreak is that it’s being treated too much as an economic problem & too little as a public health & an animal health problem" — Thijs Kuiken on similarities between the US #H5N1 #birdflu in cattle & Dutch Q fever outbreaks in 2007-10. www.statnews.com/2024/07/01/h...

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Sophia, MPH's avatar Sophia, MPH @sophiacbess.bsky.social
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Gah not fair! May it reach you soon 🤞🏻not to rub it in, but if I’d considered it in the realm of possibility I might’ve packed a light sweater 😂

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Sophia, MPH's avatar Sophia, MPH @sophiacbess.bsky.social
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Wow, it dropped *30* degrees overnight. Looks like I will get my Baltimore city strolls in today!

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Sophia, MPH's avatar Sophia, MPH @sophiacbess.bsky.social
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I forgot they switch the engine out in DC, too

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Sophia, MPH's avatar Sophia, MPH @sophiacbess.bsky.social
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Made it from downtown Durham to ordering a crab cake in 10.5 🤦🏻‍♀️

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Sophia, MPH's avatar Sophia, MPH @sophiacbess.bsky.social
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Ok so I decided to take the train from Durham to Baltimore for a conference. It was waaaay more relaxing and comfortable than flying… but it took almost *twice* as long as driving. The Carolinian has so much potential, if only! 🚆

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Sophia, MPH's avatar Sophia, MPH @sophiacbess.bsky.social
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Reading this, still somehow in NC after several hours on the Amtrak to Baltimore, wearing my “medical or surgical grade mask in public to prevent the spread of disease” 🙃abcnews.go.com/US/wireStory/north-carolinas-restrictions-public-mask-wearing-now-law-111488812

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Reposted by Sophia, MPH

Dr. Damien P. Williams: Magus, Werewolf, Cyborg, Bi's avatar Dr. Damien P. Williams: Magus, Werewolf, Cyborg, Bi @wolvendamien.bsky.social
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North Carolina, please remember that the only reason NC State House Republicans have their single vote supermajority is because Tricia Cotham lied to her constituents and flipped parties the first chance she got. If you're in her district, vote for her challenger, Nicole Sidman.

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Sophia, MPH's avatar Sophia, MPH @sophiacbess.bsky.social
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Wonderful news for public health!! Wherever you wind up will be lucky to have you. Good luck 🤞🏻

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Sophia, MPH's avatar Sophia, MPH @sophiacbess.bsky.social
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Organizer Olan Mijana: masking at protests is about “communicating that we deny the Biden administration’s narrative about Covid […] It’s abt collective safety, and it’s also about connecting this Covid neglect to the very issues that we’re marching on the DNC for.” www.thenation.com/article/arch...

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Sophia, MPH's avatar Sophia, MPH @sophiacbess.bsky.social
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“Many parents mistakenly believe that the virus is harmless in children, said Dr. Matthew Daley.” “It is critical that pregnant persons get vaccinated, not only to protect themselves but also to protect their infants until they are old enough to be vaccinated,” said Dr. Denise Jamieson.

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Sophia, MPH's avatar Sophia, MPH @sophiacbess.bsky.social
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I’m watching this because my family member requested to watch it as a **birthday activity** (????). It’s unbearably bleak 😩

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Capital B's avatar Capital B @capitalb.bsky.social
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Over the past two decades, nearly 13,000 people have perished behind bars during America's summer months. As heat waves have become more common, these deaths have worsened. capitalbnews.org/michael-broa...

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Edward Nirenberg's avatar Edward Nirenberg @enirenberg.bsky.social
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Here are the overall work group interpretations- basically, they agree with a universal recommendation for COVID-19 vaccines with the updated 2024-2025 formula for all aged 6 months and older.

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Reposted by Sophia, MPH

Sophia, MPH's avatar Sophia, MPH @sophiacbess.bsky.social
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(I certainly don’t think artists are “complicit” in some kind of cover-up. Blaming creatives for the failures of government is just a bad take 😬)

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Sophia, MPH's avatar Sophia, MPH @sophiacbess.bsky.social
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Oh yes, agreed. I do not think it’s particularly helpful and certainly not requisite for the entertainment industry to make content about the pandemic. The only part I agree with is that there’s a notable absence of pandemic themes in the culture that probably underscores their salience!

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Sophia, MPH's avatar Sophia, MPH @sophiacbess.bsky.social
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… such a powerful way to process and I find myself actually craving work that touches on Covid and explores the ways it’s changed society (less interested in anything directly *about* the pandemic).

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Sophia, MPH's avatar Sophia, MPH @sophiacbess.bsky.social
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I’m frustrated but the conspiratorial takes. One thing that makes Covid difficult to address, at least in creative work with a massive audience, is the fractured experience of the pandemic. It would be really hard to make something that resonates broadly. That said, art is…

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Matt Novak's avatar Matt Novak @paleofuture.bsky.social
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"Since Texas’ ban on abortion went into effect, infant deaths in the state increased by nearly 13%, according to a new analysis published on Monday in JAMA Pediatrics. In the rest of the country, infant mortality increased less than 2% over the same period."

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