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Elizabeth Salisbury-Afshar

@salisburyafshar.bsky.social
239 followers 311 following 3 posts

addiction, family med, & public health physician. harm reduction & human rights advocate. opinions = my own.

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Reposted by Elizabeth Salisbury-Afshar
Sherrilyn Ifill @sifill.bsky.social · 02/04/2025
“We must dissent because America can do better.” Good to hear Wisconsin Judge Susan Crawford quote Justice Thurgood Marshall in her victory speech tonight.
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The New York Times @nytimes.com · 01/04/2025
The Trump administration on Monday placed the staff of the independent Institute of Museum and Library Services, the largest source of federal funding for museums and libraries, on administrative leave.
nytimes.com
Trump Administration Moves to Shutter Library Agency
The staff of the independent Institute of Museum and Library Services, the largest source of federal funding for museums and libraries, were put on leave.
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AMERSA @amersa.org · 29/03/2025
Monday, April 1 is the final day to submit nominations for the annual AMERSA Recognition Awards. These special awards recognize members of the AMERSA community for their exceptional contributions to the field of addiction science. Submit nominations here: amersa.org/amersa-awards/
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Jonathan Cohn @jonathancohn.bsky.social · 30/03/2025
Dereliction of responsibility by the court. It is so flagrantly illegal. www.huffpost.com/entry/us-wis...
huffpost.com
Wisconsin Appeals Court Won't Stop Musk's $1 Million Payments To Voters After AG Sues
A Wisconsin appellate court has denied the state Democratic attorney general’s request to stop billionaire Elon Musk from handing over $1 million checks to two voters at a rally planned for Sunday, ju...
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Claire Zagorski, PhD, MSc, EMT-P @clairezagorski.bsky.social · 25/03/2025
Check out this new piece in Filter about our secret shopper study recently published in JAMA Open! We dropped in on community pharmacies in Austin, as customers, and tried to buy non-prescribed syringes. It didn’t go well. filtermag.org/secret-shopp...
filtermag.org
Secret Shoppers Struggle to Buy Naloxone, Syringes at Texas Pharmacies
The in-person experiment uncovered frequent lack of availability, plus significant stigma around syringe purchases.
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Sam Stein @samsteindc.bsky.social · 26/03/2025
NEW -- An internal HHS document has instructed the NIH to stop funding research to better understand vaccine skepticism. The latest move by RFK to embrace vaccine skepticism as scientific dogma www.thebulwark.com/p/nih-moves-... via @citizencohn.bsky.social
thebulwark.com
The NIH Moves to Stop Studying Vaccine Skepticism
An internal memo says that the agency will not prioritize research on why people are reluctant to take vaccines.
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The New York Times @nytimes.com · 22/03/2025
Breaking News: President Trump revoked security clearances for prominent figures like Kamala Harris, Hillary Clinton, Joe Biden and more.
nytimes.com
Trump Revokes Security Clearances for Biden, Harris, Clinton and More
The tally of names read like President Trump’s enemies list, from Letitia James to Liz Cheney.
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Ariel Beccia @albeccia.bsky.social · 21/03/2025
my NIH grant was terminated today - the grant that pays my rent and my bills and my loans and my health insurance - because I study how to improve the lives and wellbeing of queer people #episky #medsky
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Rebecca Fielding-Miller @rebeccafieldingmiller.com · 22/03/2025
Today I lost an NIH grant training clinicians to do research about intimate partner violence with perinatal women. More women are murdered in the perinatal period than die of obstetric complications. I didn't just lose a grant. We lost an entire cohort of people building careers to prevent that.
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Scott Hadland, MD @drscotthadland.bsky.social · 19/03/2025
Erasing science doesn’t make ‘undesirable’ problems go away—it makes them worse. The #NIH is terminating grants. LGBTQ+ health research is a clear target. LGBTQ+ people face stigma & violence. This research saves lives. Let’s not stay silent. Terminated grants 👇🏻 taggs.hhs.gov/Content/Data...
taggs.hhs.gov
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Alt NIH Bluesky 🧪 @altnih4science.bsky.social · 21/03/2025
Stepping outside of science, medicine, and NIH for a moment: this is correct. Time to reclaim "free speech" as a liberal value. And Jay Bhattacharya is going to keep saying he is helping free speech as he and Trump censor NIH scientists' free speech...so it is in fact relevant to NIH.
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Rana Awdish MD @ranaawdish.bsky.social · 28/02/2025
Caring for veterans is actually a mission-critical function. NIH-funding for research is a mission critical-function. Public health infrastructure is a mission-critical function.
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Atul Gawande @agawande.bsky.social · 27/02/2025
Rubio terminated 5800 USAID contracts – more than 90% of its foreign aid programs – in defiance of the courts. Here’s a list of just some of the lifesaving awards that were terminated. Nearly all were Congressionally mandated. They’ve saved millions of lives. 🧵
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Alt CDC (they/them) @altcdc.altgov.info · 28/02/2025
Remember tomorrow we don’t buy from anyone except small businesses!
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📎Kate Lichtenberg, DO, MPH, FAAFP, FACPM📎 @krlichtenberg.medsky.social · 26/02/2025
#vaccineswork #publichealth
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Matt Curtis @mattcurtisnyc.bsky.social · 26/02/2025
If you live in one of these R-controlled swing districts or know someone who does please make calls happen to these Congress members ASAP to demand that Medicaid & Medicare are protected from the massive cuts Republicans in the U.S. House teed up today! Healthcare for 10s of millions is on the line.
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Jenn @jennburrill.bsky.social · 21/02/2025
"The first nationwide database tracking misconduct by federal police officers has been shut down by President Donald Trump" The database encompassed 150,000 federal officers from the FBI, IRS, down to the Railroad Retirement Board
washingtonpost.com
Justice Department deletes database tracking federal police misconduct
The Trump administration has removed a nationwide database of federal police officers’ misconduct, launched by the Biden administration to keep bad cops from jumping from job to job.
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Reposted by Elizabeth Salisbury-Afshar
Moh Karamouzian @mkaramouzian.bsky.social · 16/02/2025
Pleased to share our new study in The Lancet Regional Health–Americas examining supervised consumption services (SCS) in #Toronto and their impact on community safety. Contrary to concerns, we found NO increase in #homicides near SCS. Read it here open access: authors.elsevier.com/sd/article/S...
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Timothy McBride @mcbridetd.bsky.social · 09/02/2025
The NIH’s drastic cut to indirect cost rates is a critical threat to U.S. research infrastructure These costs are not a waste or luxury — they make groundbreaking discoveries possible www.statnews.com/2025/02/08/n...
statnews.com
The NIH’s drastic cut to indirect cost rates is a critical threat to U.S. research infrastructure
The drastic reduction in indirect costs is not a path to innovation or cost savings — it’s a threat to U.S.’s position as global leader in medical research.
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Alt CDC (they/them) @altcdc.altgov.info · 09/02/2025
Elon Musk has reportedly spent $40M on a series of Superbowl ads airing tonight attacking USAID's "wasteful spending." We may not have millions of dollars but between all of us, we do have a massive global network. Here are just a few ways USAID could have spent $40M: m.youtube.com/watch?v=PqUE...
m.youtube.com
Save Foreign Aid
Elon Musk reportedly spent $40 million dollars on #Superbowl ads calling #USAID wasteful. Here are just a few ways we would’ve spent $40M: 🏈Purchased life-saving HIV treatment from American pharmaceutical companies to keep 1,060,000 million people alive for one year 🏈Bought enough emergency food aid products made in Rhode Island and Georgia to treat 800,000 severely malnourished children 🏈Slowed the flow of migrants to our borders by providing job training to 50,000 people in Central America 🏈Protected 30,000,000 football fields of tropical forest in Africa, preventing China and Russia from exploiting timber and critical minerals that fuel our world 🏈Saved the lives of 25 million children suffering from severe malaria. We think this one has value on its own but maybe Musk would disagree This Super Bowl Sunday, tell Congress to #saveforeignaid and #standwithUSAID
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Brian Krueger, PhD @h2so4hurts.bsky.social · 09/02/2025
Also, cutting into $47B in funding that drives $93B in economic activity shows you that this "business guy" doesn't understand what he's doing on multiple levels. www.nih.gov/about-nih/wh...
nih.gov
Direct Economic Contributions
NIH directly supports the economy through investments in research institutions and job formation.
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Prof Gavin Yamey MD MPH @gavinyamey.bsky.social · 01/02/2025
“Many of those interviewed broke down in tears as they described the rapid destruction of decades of work.”
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Governor JB Pritzker @govpritzker.illinois.gov · 29/01/2025
Let me say this in no uncertain terms: the President’s actions today are illegal.   Cutting off people from healthcare, childcare, and other services is cruel. The State of Illinois will fight this unlawful order with everything we have.
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Elizabeth Salisbury-Afshar @salisburyafshar.bsky.social · 10/01/2025
While I think we all could have hypothesized this, I’m glad researchers are formally studying the impact of private equity taking over hospitals. I hope someone also studies impact on healthcare workers in these settings!
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Guy Felicella @guyfelicella.bsky.social · 18/12/2024
There are many reasons why someone might refuse a shelter bed: poor treatment, fearful an abusive partner could find them, violence, theft, no place to store belongings, no pets, and the indignity of being kicked out at 7am with nowhere to go. A bed is not a home.
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Josh Barocas, MD ⭕️ @jabarocas.bsky.social · 20/12/2024
No one should die of cold exposure. This is 100% preventable. We choose not to prevent people from living in conditions in which this happens. @jama.com @kbibbinsdomingo.bsky.social jamanetwork.com/journals/jam...
jamanetwork.com
Cold-Related Deaths in the US, 1999-2022
This study examines trends in cold-related mortality overall and by demographic characteristics between 1999 and 2022 in the US.
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Josh Barocas, MD ⭕️ @jabarocas.bsky.social · 22/12/2024
Via the magnificent @maiasz.bsky.social #kennedyiswrong www.nytimes.com/2024/12/22/o...
nytimes.com
Opinion | What Kennedy’s Approach to Addiction Gets Wrong (Gift Article)
America can’t go backward on drug policy.
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JAMA @jama.com · 21/12/2024
Hospices owned by private equity firms or publicly traded companies had significantly lower caregiver-reported quality scores compared to both non-profit and other for-profit hospices. ja.ma/401SCcK
Figure. Adjusted Differences in Caregiver-Reported Hospice Quality Between PEF/PTC Hospice Ownership and Other Ownership Categories
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UCSF Benioff Homelessness & Housing Initiative @ucsfbhhi.bsky.social · 21/12/2024
Between 2011-2020, deaths among unhoused people rose 238%. “Being homeless is incredibly bad for your health,” says Dr. Margot Kushel. This Homeless Persons' Memorial Day, we honor those lost and emphasize the life-saving importance of housing. Read more:
buff.ly
It’s now significantly more deadly to be homeless. Why are so many people dying?
Mortality rates for homeless people in California - and the US - more than tripled from 2010 to 2020, a new study shows.
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Reposted by Elizabeth Salisbury-Afshar
Josh Barocas, MD ⭕️ @jabarocas.bsky.social · 16/12/2024
We found the prevalence of stimulant misuse and/or use disorder in Massachusetts from 2014 to 2021 ranged from 4% to nearly 7% of the population. Highest disparities among racially minoritized populations. The overdose epidemic is not just opioids! onlinelibrary.wiley.com/doi/10.1111/...
onlinelibrary.wiley.com
Prevalence of adults with stimulant misuse and/or stimulant use disorder in Massachusetts, USA, 2014–2021
Background and aims Stimulant-involved overdose deaths are increasing throughout the United States. Because stimulant misuse (i.e. taking a prescribed medicine not as directed) and stimulant use dis...
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Scott Hadland, MD @drscotthadland.bsky.social · 12/12/2024
Teen who lost his hearing from Neisseria meningitis Baby in ICU for >1 month w/ Pertussis Child in liver failure from hepatitis A Young adult w/ asthma who died from flu 👆🏻 All are vaccine-preventable illnesses I saw in pediatric training #medsky #vaccine www.reuters.com/world/us/tru...
reuters.com
Trump to discuss ending childhood vaccination programs with RFK Jr.
U.S. President-elect Donald Trump in an interview published on Thursday said he will be talking to Robert F. Kennedy Jr., his nominee to run the Department of Health and Human Services, about ending childhood vaccination programs.
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Omar Wasow @owasow.bsky.social · 11/12/2024
This was remarkable www.thisamericanlife.org/809/the-call
thisamericanlife.org
The Call - This American Life
One call to a very unusual hotline and everything that followed.
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Josh Barocas, MD ⭕️ @jabarocas.bsky.social · 11/12/2024
Fantastic news out of Rhode Island. Opening their #OVERDOSE PREVENTION SITE! Another tool in the toolbox, especially for those who are extremely marginalized or stigmatized. @reginalabelle.bsky.social thepublicsradio.org/health/rhode...
thepublicsradio.org
Rhode Island opens first state-sanctioned overdose prevention center in the nation - TPR: The Public's Radio
Providence is now home to the country’s first state-sanctioned facility for people to use illegal drugs under medical supervision. The nonprofit Project Weber/RENEW on Tuesday held a ribbon-cutting to...
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Substance Use & Addiction Journal (SAj) @sajamersa.bsky.social · 02/12/2024
AUTHORS' OWN WORDS: In "Association of #FoodInsecurity [FI] & #HousingInsecurity [HI] on Outcomes in #Pregnant Patients With #SubstanceUseDisorder #SUD". FI and HI were health-related needs...with increased #anxiety, #depression...& loss of child custody. journals.sagepub.com/doi/full/10....
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JAMA @jama.com · 29/11/2024
Nearly half of US states grant law enforcement access to testosterone prescription data within Prescription Drug Monitoring Programs (PDMPs) without warrant or subpoena. ja.ma/4eVwQvk
Image shows figure.
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Kinna Thakarar @kinnathakarar.bsky.social · 29/11/2024
“This fantasy that you could stop fentanyl by attacking the precursors is fraught with danger.” filtermag.org/trump-tariff... thanks to amazing collaborators, glad #ProjectDHARMA got its drug checking program up & running for Mainers this year.
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Teresa Winstead @drteresa-winst.bsky.social · 29/11/2024
📣PNW #harmreduction folks This screening / fundraiser for Tacoma Needle Exchange / Dave Purchase project is happening next week. ❤️ Dec 4th 730 pm at The Grand in Tacoma, WA www.tacomaneedleexchange.org/delivery-sch...
Flyer for TNE screening re history of Dave Purchase project, happening Dec 4th 730 pm at The Grand in Tacoma, WA
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Alex Kral @alexkral.bsky.social · 29/11/2024
Excellent piece by #NIDA Director Nora Volkow laying out the evidence for syringe services including overdose prevention sites. nida.nih.gov/about-nida/n...
nida.nih.gov
Syringe services for people who inject drugs are enormously effective, but remain underused | National Institute on Drug Abuse
December 1 is World AIDS Day, an opportunity to underscore the solid science behind the efficacy of syringe services programs, an important harm-reduction measure.
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Garth Mullins @garthmullins.bsky.social · 23/11/2024
I received a test pressing of my book - called a galley. Out in April 2025, but you can pre-order. Because of low vision, I was late to reading & still have trouble spelling. I read my first real book when I was 16. I never thought I'd be responsible for writing one. www.amazon.ca/Crackdown-Su...
Picture of book: Crackdown by garth Mullins. Picture of a man sitting by many crosses.
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Ben Howell @howellben.bsky.social · 21/11/2024
This is unacceptable. In what other area of medicine would we allow some medical providers discretion to prohibit the use of a gold-standard treatment? Let alone a housing provider? I'm no lawyer, but I also think this raises ADA/civil rights violation concerns...
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Substance Use & Addiction Journal (SAj) @sajamersa.bsky.social · 21/11/2024
AUTHORS' OWN WORDS: "While individuals receiving #methadone treatment have negative experiences with the community corrections system, they perceive...community correction officers (CCOs) positively. Interventions addressing gaps in CCOs knowledge...are needed. journals.sagepub.com/doi/abs/10.1...
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Margot Kushel MD @mkushel.bsky.social · 20/11/2024
Election 2024: What Does it Mean for Homelessness in California and Beyond? Join us @ucsfbhhi.bsky.social for a webinar on Wednesday Dec 11 at noon PT homelessness.ucsf.edu/calendar/ele... With: Marc Dones, Chione Flegal @annymoliva.bsky.social homelessness.ucsf.edu/calendar/ele...
homelessness.ucsf.edu
Election 2024: What Does it Mean for Homelessness in California and Beyond? | Benioff Homelessness and Housing Initiative
Join the UCSF Benioff Homelessness & Housing Initiative for a webinar to explore the implications of the 2024 election for homelessness on the West Coast and beyond. Margot Kushel, MD, will moderate a...
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Helen Bowes-Catton (she/her) @hbowescatton.bsky.social · 17/11/2024
Heartbreaking Nature article showing up to 72% rise in suicide attempts of US trans kids as result of anti-trans laws. www.nature.com/articles/s41...
nature.com
State-level anti-transgender laws increase past-year suicide attempts among transgender and non-binary young people in the USA - Nature Human Behaviour
From 2018 to 2022, 48 anti-transgender laws were enacted in the USA across 19 states. This study shows that these anti-transgender laws increased past-year suicide attempts among transgender and non-b...
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Margot Kushel MD @mkushel.bsky.social · 17/11/2024
78% of Californians experiencing homelessness live unsheltered, forced to live their private lives in public. This group faces significant health and safety risks Learn more @ucsfbhhi.bsky.social topic brief, webinar, and encampment resolution tool homelessness.ucsf.edu/resources/to...
homelessness.ucsf.edu
Unsheltered Homelessness | Benioff Homelessness and Housing Initiative
This topic brief examines who experiences unsheltered homelessness, how they lost their housing, their experiences during homelessness, and barriers to regaining housing. The findings highlight the ur...
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Guy Felicella @guyfelicella.bsky.social · 17/11/2024
Let me simplify : The root cause of addiction is trauma. The root cause of unregulated poisoned drug supply is bad policies. Until we address the root causes addiction will continue to go untreated, and people will continue to die of illicit drugs.
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Elizabeth Salisbury-Afshar @salisburyafshar.bsky.social · 17/11/2024
Leaving #AMERSA24 and feeling grateful for the opportunity to learn from so many brilliant colleagues, catch up with friends and make new ones along the way! See you in Portland in 2025…. (And send me ideas/suggestions for topics and speakers!)
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Ryan McNeil @ryanmcneil.bsky.social · 16/11/2024
New paper (open access) explores how settler-colonialism drives the drug poisoning crisis among Indigenous people who use drugs, focusing on how this crisis is compounded by intersections of racism, intergenerational trauma and ongoing impacts of colonization authors.elsevier.com/sd/article/S...
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