This document discusses strategies used in the campaign to reduce cigarette smoking rates in the United States and whether similar strategies could be effective against COVID-19. It provides statistics showing cigarette smoking rates declined significantly from the 1960s to 2018 due to public health campaigns, higher taxes on tobacco, and restrictions on tobacco advertising. However, 13.7% of Americans still smoke. The document examines how public trust and messaging were critical to the success of anti-smoking efforts. It then compares the polarized response to COVID-19 in the US, with challenges to science, public health measures and vaccines. The document questions whether the same comprehensive, multi-pronged approach that reduced smoking could work for COVID given lower trust in institutions and spread of mis
The presentation begins with a brief history of how cancer epidemiology evolved, and what is the status at present. After describing the burden of the disease of cancer globally and in India, the presentation includes a brief description of Cancer causes and prevention including screening activities. It also talks about the national Cancer Registry Program, NPCDCS and NCCP.
Prof Peter Anderson: Substance Use, Policy and Practice, Institute of Health and Society at Newcastle University and Professor, Alcohol and Health, Faculty of Health, Medicine and Life Sciences at Maastricht University, Netherlands.
The presentation begins with a brief history of how cancer epidemiology evolved, and what is the status at present. After describing the burden of the disease of cancer globally and in India, the presentation includes a brief description of Cancer causes and prevention including screening activities. It also talks about the national Cancer Registry Program, NPCDCS and NCCP.
Prof Peter Anderson: Substance Use, Policy and Practice, Institute of Health and Society at Newcastle University and Professor, Alcohol and Health, Faculty of Health, Medicine and Life Sciences at Maastricht University, Netherlands.
The healthcare industry is rapidly shifting – and not just in spending – but also in the method in which doctors, clinics and hospitals interact with patients. Consumers are turning to digital for various health related inquiries, with more than 60% of consumers 45+ spending up to five hours a week researching online. From finding information about medical conditions or drugs to communicating with doctors and the rest of the healthcare community, digital has become a way of life for today’s consumers. And pharma and healthcare marketers are taking notice.
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US E-cigarette Summit: Taming the nicotine industrial complexClive Bates
I look back to 1997 and simpler time in tobacco control, then look at changes in trade, communications, technology and conclude the market is becoming ungovernable
Increased competition from generics, a growing pressure from payers to reduce costs, and a market in which a drug’s success is more closely tied to its performance are transforming the pharmaceutical and life sciences industry. As the healthcare industry transitions from treating existing illnesses to taking steps to prevent illness before it occurs. By leveraging technology and information traditional pharma business is adding value beyond the pill and emphasizing the need of strong partnerships and strategic alliances with the broader ecosystem
CDC Update: Joining Forces to Reduce Tobacco and Cancer Among Behavioral Heal...sfary
From the the first Annual National Conference on Tobacco and Behavioral Health, which occurred May 19-20, 2014 in Bethesda, MD and was hosted by the Central East Addiction Technology Transfer Center, a program of The Danya Institute. You can see videos from the conference on our website www.ceattc.org (go to “Tobacco and Behavioral Health Resources” under “Special Topics”).
Tim McAfee, MD, MPH, is Director of CDC’s Office on Smoking and Health (OSH) within the National Center for Chronic Disease Prevention and Health Promotion. He is responsible for providing leadership and direction for all scientific, policy, and programmatic issues related to tobacco control and prevention. Before ed his residency training at Group Health Cooperative in Seattle and completed a fellowship at the University of Washington. Dr. McAfee has been a principal investigator and co-investigator on numerous research studies focusing on questions related to the effectiveness and dissemination of telephone- and Web-based tobacco cessation programs in medical systems and through government-sponsored quitlines. He helped found and served on the Board of Directors of the North American Quitline Consortium as well as numerous state and national tobacco policy advisory groups. He also authored the World Health Organization’s quitline manual for low- and middle-income countries.
How useful are advance directives in directing end of life care and do people really understand or want to know the true status of their health as the end nears?
Understanding how intermittent fasting may not only help weight loss but have multiple other health benefits including life prolongation, preventing cancer and dementia
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
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Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
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ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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Smoking and lung cancer and now Covid
1. The Campaign to Discourage Smoking
A Public Health Success Story?
Can we use the same tools against COVID-19?
Mask Up, Get
Vaccinated!
Robert J Miller MD
August 2021
2. Your beauty up in
smoke
The Ugh
The Ugly Truth
In the campaign to
reduce smoking we
pulled out all of the
stops and went after
smokers
Is it time to push back
against the no-mask
and no-vaccine
crowd?
8. Tobacco use has been documented for over 8,000 years. Tobacco
cultivation likely began in 5000 BC with the development of maize-
based agriculture in Central Mexico. It was originally used by Native
Americans in religious ceremonies and for medical purposes.
In the late 15th century, Christopher Columbus was given tobacco as a
gift from the Native Americans. It gained instant popularity in Europe, for
they believed that tobacco had magical healing powers. Soon, the
smoking of tobacco was promoted as a viable way to get your “daily
dose of tobacco.”
9.
10. Research has shown that the most potent demand-reducing influences on tobacco
use have been interventions that impact virtually all smokers repeatedly, such as
- higher taxes on tobacco products
- comprehensive advertising bans
- graphic pack warnings
- mass media campaigns
- smoke-free policies
11. Best Practices for Comprehensive
Tobacco Control Programs—2014
https://www.cdc.gov/tobacco/stateandcommunity/best_practices/index.htm
12. This comprehensive approach combines educational, clinical, regulatory,
economic, and social strategies.
Research has documented the effectiveness of laws and policies in a
comprehensive tobacco control effort to protect the public from secondhand
smoke exposure, promote cessation, and prevent initiation, including:
- increasing the unit price of tobacco products
- implementing comprehensive smoke free laws that prohibit smoking in all
indoor areas of worksites, restaurants, and bars, and encouraging smoke free
private settings such as multiunit housing
- providing insurance coverage of evidence-based tobacco cessation treatments
- limiting minors’ access to tobacco products.
13. Smoking Cessation: A Report of the
Surgeon General
2020
U.S. DEPARTMENT OF HEALTH AND
HUMAN SERVICES Public Health Service
Office of the Surgeon General Rockville,
MD
https://www.hhs.gov/sites/default/files/2020-cessation-sgr-
full-report.pdf
15. https://www.cdc.gov/tobacco/data_statistics/fact_sheets/economics/econ_facts/index.htm
Economic Trends in Tobacco
(CDC)
By state, the average retail price of a pack of 20 cigarettes including federal and state excise taxes,
ranged from
$4.62 in Missouri to a high of $10.67 in New York, as of November 2017.
On average, federal and state excise taxes account for 44.3% of the retail price of cigarettes.
Increasing the price of tobacco products is the single most effective way to reduce
reduce consumption.
16. Simply educating smokers about the dangers
of smoking is not on the list of most effective
ways to reduce smoking!
17. Cigarette smoking is linked to about 80% to 90% of lung cancer deaths.
People who smoke cigarettes are 15 to 30 times more likely to get lung cancer or die from lung cancer than people who do not smoke.
About 10 to 15 percent of smokers develop lung cancer - 21% survival at 5 Years
67 percent of smokers perished from smoking-related illness.
https://www.cdc.gov/cancer/lu
ng/basic_info/risk_factors.htm
Lung Cancer in Smokers and Nonsmokers
18. How Many People Survive 5 Years Or More after
Being Diagnosed with Lung and Bronchus Cancer?
25. N
X
doubl
es
US enters
WWI
Depression
begins
US enters
WWII
Evidence
links
smoking
and cancer
1964 Surgeon
General Report
Synar amendment
Fairness
doctrine on
advertising
Non-
smokers
rights
Fed cig tax
doubles
Secondhand
smoke report
Broadcast ad
ban
Nicotine gum
Master settlement
agreement
Family smoking
protection act
Fed tax increase
Cig price
drop
FDA rule
Updates
Secondhand
smoke report
29. 0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
1910 1920 1930 1940 1950 1960 1970 1980 1990 2000 2010 2020
Men
Women
Steeper decline in smoking
among men and started
coming down sooner
More shallow decline in smoking among
women and started coming down later
Smoking Decline in the US
30.
31. AUGUST 25, 2021
Study suggests women find it more difficult to quit smoking
than men
by European Society of Cardiology
despite smoking fewer cigarettes and being less
nicotine dependent than men, women find it more
difficult to quit.
Possible contributors could be the higher prevalence
of anxiety, depression and overweight or obesity
among women.
Women face different barriers to smoking cessation
related to fear of weight gain, sex hormones, and
mood.
34. So, who still smokes and why?
Is it educated, wealthy and successful people?
Is it poor, unsuccessful, uneducated and
unhappy people?
35. Percentage of adults aged ≥18 years who reported cigarette use “every day” or “some days,” by selected characteristics —
National Health Interview Survey, United States, 2019
https://www.cdc.gov/tobacco
41. Smoking By State in 2018
Utah 8.9%
California 11.3%
New York 14.1%
Texas 15.7%
Florida 16.1%
US 17.1%
Alabama 20.9%
Mississippi 22.2%
Kentucky 24.6%
West Virginia 26.0%
44. Lung Cancer Death Rates by State for 2017
https://gis.cdc.gov/Cancer/USCS/DataViz.html
45. Authority Task Trust
Government raise cost/restrict access and advertising Yes
Science educate public Yes
Media stop ads Yes
Culture/Politics de-glamorize smokers Yes
War against smoking (only villain was big tobacco)
Failures are people in distress or prone to addiction (and obviously
people who don’t care). Disease of despair?
46. Most smokers use tobacco regularly because they are addicted to nicotine.
Most smokers would like to stop smoking, and each year about half try to quit
permanently. Yet, only about 6 percent of smokers can quit each year.
https://www.drugabuse.gov/publications/research-
reports/tobacco-nicotine-e-cigarettes/nicotine-addictive
48. The poor US response to Covid-19 has exposed multiple weakness in
our society including:
a malfunctioning public health system
a nonexistent national health system
a broken information system
such extreme cultural-political polarization that it raises
questions about the effectiveness of a democracy in
making equitable and coherent policy decisions.
49. The lowest levels of vaccine confidence were
found in countries with the highest education
levels and the best health-care systems
Successful vaccination effort requires the public
to trust the scientists who create the vaccine,
the companies that manufacture it, the health-
care workers who inject it, and the governments
that oversee the process.
That trust chain is a far more important lever of
acceptance than any piece of information,
50. Public Trust in Government: 1958-2021/
Public trust in government near historic
lows
https://www.pewresearch.org/politics/2021/05/17/public-trust-in-government-1958-2021/
Only about one-quarter of Americans say they can trust the government in Washington to do what is right “just
about always” (2%) or “most of the time” (22%).
51. Amid coronavirus threat, Americans
generally have a high level of trust in
medical doctors MARCH 13, 2020
Have a great deal or a fair amount of confidence
Medical Doctors 74%
Medical Research Scientists 68%
News Media 47%
Elected Officials 35%
https://www.pewresearch.org/fact-tank/2020/03/13/amid-coronavirus-threat-americans-generally-have-a-high-
level-of-trust-in-medical-doctors/
53. PROPORTION THAT
TRUSTS MOST NEWS
MOST OF THE TIME
https://reutersinstitute.politics.ox.ac.uk/sites/default/
files/2021-06/Digital_News_Report_2021_FINAL.pdf
US Lowest Trust
in Digital News
in the World in
2021
The Reuters Institute Digital
News Report 2021
54. https://news.gallup.com/poll/1597/confidence-institutions.aspx
Confidence in Institutions… list of institutions in American society. Please tell me how much
confidence you, yourself, have in each one -- a great deal, quite a lot, some or very little? 2020 Gallup Survey
The Military 72%
The Medical System 51%
Organized Religion 42%
The Presidency 39%
Newspapers 24%
Big Business 19%
Television News 18%
Congress 13%
Percent who answered: Great deal/ Quite a lot
We depend on the
‘Fourth Estate’ to
help us watch over
the government and
we have a broken
information system
60. Between 2018 and 2020, life expectancy in the US decreased by 1.87
years (to 76.87 years), 8.5 times the average decrease in peer
countries (0.22 years), widening the gap to 4.69 years.
Life expectancy in the US decreased disproportionately among racial
and ethnic minority groups between
https://www.bmj.com/content/373/bmj.n1343
Historic Drop in Life Expectancy in the United States
64. Despite overwhelming medical information about the
gravity of this pandemic, some people promote resistance
to mitigation efforts
65. How to behave if you are a
true patriot
The best way to protect every one’s freedom is to oppose any
effort by the government to limit your personal freedom,
unless…
We are in a once in a century public health crisis that
threatens the health and economy of all Americans
66. With smoking, information (science based) had an impact but needed
government and regulatory participation to make it more expensive, illegal
and inconvenient to smoke and
the media cooperated in making it less sexy or desirable to smoke and
cancelling tobacco advertising.
There was no organized opposition to this other than the limited false
advertising from big tobacco and a dwindling number of angry smokers.
67. With COVID the science has been challenged almost from the beginning and
there was been organized opposition to mitigation and vaccination
strategies on a political basis, and government restrictions have been
challenged in the courts and by state legislators.
The media has been polarized as well as discredited by obvious bias and
over-reach along with outrageous misinformation!
Makes you wonder If the virus has
a secret advocate rooting for its
success!
68. Authority Task Trust
Government shut down cities and require masks NO
Science does mitigation work/vaccines safe NO
Media media provide accurate information NO
Culture/Politics encourage responsible behavior NO
War against COVID
The villain was us!
70. Survey: Misinformation affects vaccine hesitancy
Tampa Bay Times June 19, 2021
- Main reasons cited were based on misinformation about the scientific
facts
- Most people trust advice from their personal physician
- But most people no longer have a relationship with a personal physician
74. “In God we trust…everyone else bring data!”
People need more than impersonal ‘data’ they need a relationship with a
health care provisor based on trust
76. Countering antivaccination attitudes
Proc Natl Acad Sci U S A. 2015 Aug 18; 112(33): 10321–10324.
https://www.ncbi.nlm.nih.gov/pmc/articles/PM
C4547299/
Randomized trial on the best way to deal with anti-vaccer parent who claims
vaccines cause autism they tried two different approaches:
Giving them new info about the harm of getting sick was
most effective
Confronting them about their mistaken beliefs about
autism was not effective
77. Does use of the expression
“out of an abundance of
caution…” justify ignoring
science?
If you’re a doctor be honest,
don’t say you are following
the science when you aren’t
78. Is it in your best interest to behave honestly with transparency?
Politician: No….they want power (stay in office and hide their sources
of campaign contributions, a gaffe : accidently telling the truth)
Media and Social Media: Maybe….they want ratings (conspiracy and
polarization are good for ratings, some have reputations to preserve)
Big Pharma: No…they want block buster drugs (whether they work or
not so the least scrutiny the better)
Physicians and Scientists: Hopefully Yes (if reputation,
legacy and influence are more important than
fame and fortune)
80. when we ponder and speak, we often do so with the mindset of three different
professions
The preacher let me emphasize why I know I’m right.
The prosecutor let me point out why I’m sure you’re
wrong
The politician, I guess we’re all right.
81. To be successful think like a scientist.
Treat your position as a working hypothesis that may
turn out to be wrong as new information comes
along, show a little humility.
82. Isaac Newton
Hypotheses non fingo
“I do not feign hypotheses”
It’s OK to say, “I don’t know.”
When pushed to explain not just
how gravity worked but why it
worked, he said:
83. Richard Feynman
the physicist Richard Feynman discussing
scientific integrity:
“The first principle is that you must
not fool yourself—and you are the
easiest person to fool.”
The default position in testing your hypothesis is the null hypothesis
(i.e. assume you are wrong and have proved nothing) to try to avoid
confirmation bias.
84. How the medical experts should have presented their
advice on COVID
1. It’s a new (novel) virus, but since we’re in an emergency, we will start out treating this
like other Corona viruses that we know about until we have more information
2. We will start collecting reliable information by urgently setting up widespread
surveillance testing and high-quality randomized trials
3. All the high-quality data will be presented in real time as it comes in and be widely
shared with the public and scientific community
4. Guidelines on management will be continuously updated by expert panels with
expertise in public health and infectious disease and shared widely along with the data
and rationale for any changes made
85. Coach: “Son, I don’t know if
your problem is ignorance or
apathy?”
Player: “Well coach, I don’t
know, and I don’t care!”
Ignorance or Apathy…the public
86. The public needs to feel an obligation to be
educated and to keep informed.
87. Like Moore’s Law Information Technology (and information)
has been growing exponentially for over a century!
Soon this
will exceed
human
brain
power
88. Thank You for Being Late | Thomas L. Friedman
We are all (almost all) now too stupid
to understand what’s going on
Most people are comfortable in
their ignorance
A few people (polymaths
and scholars) are trying to
keep up
And Information
89. 34% 13.6% 2.1% 0.13%
What if you now need an IQ
of at least 130 to understand
nuance and complexity
How best to run a
democracy (100% or 16%
to make decisions)
90. Democracy is a pathetic
belief in the collective
wisdom of individual
ignorance.
A newspaper is a device for
making the ignorant more
ignorant and the crazy
crazier. HL Mencken
91. And finally, to consider how their behavior benefits
society rather than themselves
We don’t
just have
cognitive
failure we
have a
spiritual
failure
92. Why So Many Tennis Players Don’t Want the Covid Vaccine
Despite the possible consequences of not being vaccinated — illness and
the loss of income and opportunity to play — tennis players have been
stubbornly slow to get the vaccine.
“Whether someone wants
to get a vaccine or not,
that’s completely up to
them,” Djokovic said. “I
hope that it stays that way.”
New York Times / Aug. 30, 2021
93.
94. N
X
doubl
es
US enters
WWI
Depression
begins
US enters
WWII
Evidence
links
smoking
and cancer
1964 Surgeon
General Report
Synar amendment
Fairness
doctrine on
advertising
Non-
smokers
rights
Fed cig tax
doubles
Secondhand
smoke report
Broadcast ad
ban
Nicotine gum
Master settlement
agreement
Family smoking
protection act
Fed tax increase
Cig price
drop
FDA rule
Updates
Secondhand
smoke report
Non-smokers rights,
do the vaccinated
have any rights?
95. Public:
1.need to be less selfish
2. work to be better informed and less credulous
(or gullible)
3.Need to put pressure to force accountability
and transparency from all the bad actors (media,
government, industry)
96. Experts (authority):
the honest ones need to realize that
the avalanche of new information
does not automatically turn into public knowledge
unless…
the experts maintain (or earn) public trust
(competent/unbiased/honest) and …
present this new information in a format explicable
(accessible) to the general public
97. So, what strategy makes sense?
1. Advice for the Public
2. Advice for Experts/Authorities
3. Policy makers: appealing to the ‘good sense’ and altruism
of your fellow Americans won’t get the job done (in time) ,
so you need to move ahead with mandates that limit access
to people not vaccinated or not practicing proper mitigation
strategies
98. In 1905 the Supreme Court confirmed a Massachusetts law that
empowered cities’ boards of health to mandate smallpox vaccination of all
residents
reciting the principle that individual liberty is not absolute in the face of
“the common good,” and that “real liberty for all” depends on restraining
individual exercises of liberty that harm others.
The pre-COVID legal landscape is quite clear: a state can require
vaccinations to protect public health, even imposing criminal penalties for
noncompliance and vaccination as a condition of attending school or of
government employment
99. Sept. 2, 2021
We Work at the A.C.L.U. Here’s What We Think About
Vaccine Mandates. David Cole and Daniel Mach
We see no civil liberties problem with requiring Covid-19
vaccines in most circumstances. The disease is highly
transmissible, serious and often lethal; the vaccines are safe
and effective; and crucially there is no equally effective
alternative available to protect public health.
In fact, far from compromising civil liberties, vaccine mandates
actually further civil liberties
100. Opposed to Vaccine mandates Approve Mandates
https://www.medrxiv.org
/content/10.1101/2021.0
1.31.21250866v1.full.pdf
Survey 15,536 adults in
13 countries
How the
people of
various
countries think
about their
government
imposing these
mandates