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Epidemiology for Global Action - Day 1 - Shared screen with speaker view
Dr Jim Gaudino MD MS MPH FACPM (he, him) INEP
24:17
Welcome all! Dr Jim James A. Gaudino, Jr. MD, MPH, MS, FACPMFounding member, Treasurer, and APHA Epidemiology Section representative, International Network for Epidemiology in Policy (INEP)Affiliate ProfessorSchools of Public HealthOregon Health & Sciences University and Portland State University (OHSU-PSU) and University of Washington, Departments of Epidemiology, Health Services & MCH Programhttps://epidemiologyinpolicy.orgIntegrity, Equity, and Evidence in Policies Impacting Healthjag8nw@comcast.net
Dr Jim Gaudino MD MS MPH FACPM (he, him) INEP
24:49
Please donate to INEP & ACE as you and colleagues are able.
Dr Jim Gaudino MD MS MPH FACPM (he, him) INEP
26:12
Welcome Dr Larson! Yes we can see the slides
Jan Eberth
35:44
If you have any questions arise during Dr. Larson's talk, please go ahead and post them in the Q&A box. We will attempt to address as many of them as possible after the lecture. Thank you.
Dr Jim Gaudino MD MS MPH FACPM (he, him) INEP
37:15
Pre-COVID-19, WHO added vaccine hesitancy as one of the 10 global threats to health https://www.who.int/vietnam/news/feature-stories/detail/ten-threats-to-global-health-in-2019
Kathryn Gwiazdon
48:16
I am based in Washington DC, this convoy just left a few days ago.
Dr Jim Gaudino MD MS MPH FACPM (he, him) INEP
53:38
We haven’t talked yet about the intentional use of misinformation methods for political purposes and to manipulate people to support policies that people would have rejected except now they are told not to trust the opposition leaders or policies. Here in the US, we see this mainly used by our Republican and unbelievably certain religious leaders and orgs. How do we address this phenomenon in our communities as public health practitioners ? (Also in the Q & A). Many thx again Dr Jim
Kathryn Gwiazdon
54:45
yes - those policymakers intentionally stoking the emotional flames to prevent science to inform action (including regulations)
Dr Jim Gaudino MD MS MPH FACPM (he, him) INEP
57:19
Its hard to counter statements like what US anti-vaccine spokesperson Jenny McCathy when asked in a national show, What about the evidence? Her response: “My child xxxx IS my science”. Her child is dx w Autism-spectrum
Rachel Kiddell-Monroe
01:00:42
This reminds me of South African president who said garlic worn around neck would prevent HIV/AIDS. As Heidi says, we need to understand where this misinformation comes from. I agree there is a lot of populist politics involved, but we also cannot ignore the very real mistrust and scepticism of the “West” and “its science”. The powerful rejection of the colonial attitudes and very real neo-colonialism by inter alia African nations plays a key role in this challenge to vaccination. A lot of work to do to understand this, and then work with humility and acknowledgement to bridge the divide.
Dr Jim Gaudino MD MS MPH FACPM (he, him) INEP
01:02:26
Sharing a success story from social media: “👍🏾👍🏾Atlanta pastor used science with scripture to keep his all-Black congregation COVID-19-free. Mar 21, 2022 🙏🏽🙏🏽Selected parts of a great sucesss story:“ Grace Place Church of God by Faith is located in Clayton, County, Georgia, a predominantly Black community. As of today, only about 46% of its 292,000 residents are fully vaccinated. But thanks to the determined efforts of a local pastor, more than 90% of his parishioners are fully vaccinated—and not one has died from COVID-19.”From the start👉🏾👉🏾“ Mack says everything started when his wife, Michelle, began watching a documentary about the 1918 Spanish flu…”👉🏾👉🏾“The Atlanta pastor of Grace Place, Wayne Mack, jumped into action.” Members got involved & using the science from CDC & public health measures 👉🏾👉🏾Getting involved…👏🏾“..a member of the church who works at the Centers for Disease Control and Prevention (CDC), Benita Harris-McBride, 57, who holds a master’s degree in public1
Dr Jim Gaudino MD MS MPH FACPM (he, him) INEP
01:04:56
P2..”…” When the vaccines became available, he says he had to address the trepidation in the Black community when it comes to the health care system, and he referred to the Tuskegee syphilis experiment…”“ Mack convinced his congregation by employing “Church chats” at the end of sermons, where parishioners could ask questions of Lonon or Harris-McBride.He says there was no pressure or judgment either way about the vaccines, and it took a few months, but as of today 90% of the parishioners are vaccinated and no one in the church has died of COVID-19. ”Mack said “ I’m not a scientist. I was just trying to speak common sense. And I wasn't speaking from a pastoral standpoint either. I was just trying to at least reach my people.””…” and not one of the partitioners has died from COVID-19.” 🙏🏽🙏🏽https://lnkd.in/gwKikVtF#publichealth #science #covid19pandemic # #covid #publichealthmatters #faithatwork #faithoverfear
Kathryn Gwiazdon
01:07:24
yes - disinformation is part of vaccines and part of climate change, for the purpose to prevent meaningful, science-based action/regulation
Rafael Moreira
01:07:53
Yes, it is a narrative dispute….
Kathryn Gwiazdon
01:08:23
thank you - that was wonderful
Dr Jim Gaudino MD MS MPH FACPM (he, him) INEP
01:09:05
Many thx, Prof Larson once again! 🙏🏾🙏🏾
Olugbemiga "Olu" Ekundayo
01:09:19
Hello🖐🏿
Victoria Abbing
01:09:39
Thank you Dr. Larson for this wider insights of vaccine hesitancy and the different motives /beliefs. Another example is those populations with history of genocide, are linking mass vaccination to intentional eradication of their gene pool through impacting productive organs
Melinda Aldrich
01:25:48
Please put your questions for Prof Kiddell-Monroe in the Q&A
Dr Jim Gaudino MD MS MPH FACPM (he, him) INEP
01:31:03
Many Thx to Dr Kiddel-Monroe. It seems like what we are talking about id re-prioritizing who has power and how we use it. Investing in what communities say they need rather than promoting interventions we think might work or have evidence for. How then do we work w communities & balance what we know from the evidence to empowering communities to adapt from all forms of evidence?
Kathryn Gwiazdon
01:32:01
yes! excellent Q, and I particular like the re-framing of vulnerable v made vulnerable - I will be using this in human rights/climate policy
Rachel Kiddell-Monroe
01:38:25
The Two Eyed seeing approach of Albert Marshall or Dialogo de Saberes of Friere point to beginning any dialogue by actors of mainstream and indigenous health by acknowledging the value of each other’s truth and information. Creating this basis of respect helps build trust to begin the interaction. Coming with this humility, we can recognize there are many different forms of evidence.Sharing the different evidence as different views of an issue prevents the imposition of one form of evidence over another. From the mainstream science perspective we need to step back and recognize we only hold one view. If we truly want to re-empower communities, their assets and their evidence sources need to be heard, amplified and actively incorporated. I start there - with humility.
Melinda Aldrich
01:38:44
Please continue to post comments and questions for our speakers in the chat or Q&A.
Rachel Kiddell-Monroe
01:41:16
Yes - this is indeed fundamentally about a power shift back to those - a decentralization of power to its rightful place. This is very hard for the current power holders to do, even if they say they want to! In some ways, evidence and who holds the truth (through evidence) has (inadvertently) become part of the power centralization.
Olugbemiga "Olu" Ekundayo
01:49:08
True. Dr. Kiddel-Monroe provided some keen insight into how to interact with the recipients of disparities and inequities. Her allusion to empowering is quite apropos. In the context of the historical disruptions and outright destruction of native service systems (especially healing systems and other social capital), how well will other interventions work without the restoration of these social systems that had been developed over generations by the people with their native intelligence? Any insights on how to regenerate and reenergize them?
Dr Jim Gaudino MD MS MPH FACPM (he, him) INEP
01:50:44
From long ago in the Chat: Welcome Dr Ekundayo (Olu) !
Olugbemiga "Olu" Ekundayo
01:51:44
Thank you Dr. Gaudino.
Dr Jim Gaudino MD MS MPH FACPM (he, him) INEP
01:57:27
The country specific graph seems more meaningful
Rachel Kiddell-Monroe
02:03:24
Hi Dr Ekundayo! I absolutely agree about restoration. I think by first acknowledging their existence, by amplifying indigenous and local ways of doing and knowing, and by focusing on local systems for empowerment, we can start to support the rebuilding of locally owned and understood systems. They will look different as they can be influenced (in good ways) by western knowledge but as a complement to ancestral or traditional systems of health rather than a replacement or a “superior” system. I think in thinking about mental health, this is so clear and so key. There is a wonderful article on this with indigenous populations in Bangladesh @Dr Shams
Rachel Kiddell-Monroe
02:05:45
@Jim Gaudino - this is where policy makers should drive funding. Instead of through funder-mediaires, fund the communities either directly or through community based organisations. And fund organisations that are taking part in systems change and design thinking and developing models with communities for a new way forward.
Rafael Moreira
02:05:48
Very creative the swper index!!! We need to innovate in our epidemiological indicator!!!
Rachel Kiddell-Monroe
02:06:38
@ Jim moving policy makers from project funding to core funding, and to trust based funding will be key
Shams El Arifeen
02:06:46
Thanks, there has been some research on indigenous populations in Bangladesh
Dr Jim Gaudino MD MS MPH FACPM (he, him) INEP
02:06:49
@Dr Kiddel-Monroe 👍🏽
Jan Eberth
02:07:51
Every interesting presentation Dr. Barros. I am interested in hearing more about how the political governance structure differences across countries correlates with the health disparities you noted?
Rachel Kiddell-Monroe
02:15:22
This was article I was referring to from Bangladesh >>
Shams El Arifeen
02:19:03
Yes, it is very good article.
Olugbemiga "Olu" Ekundayo
02:19:08
Thank you, Dr. Kiddel-Monroe👍🏿
Dr Jim Gaudino MD MS MPH FACPM (he, him) INEP
02:20:58
@Dr Kiddell-Monroe or @Dr El Arifeen or hosts—please re-post the web link to the article they are discussing
Rachel Kiddell-Monroe
02:22:53
https://www.sciencedirect.com/journal/social-sciences-and-humanities-open/vol/5/issue/1
Rachel Kiddell-Monroe
02:23:18
On two eyed seeing https://link.springer.com/article/10.1007/s13412-012-0086-8
Camille Raynes-Greenow
02:23:28
in the context of the pandemic - it was so fast moving. These community approaches (although v.important) are time consuming. How do we balance responsiveness (for health safety) and participation?
Rachel Kiddell-Monroe
02:25:21
@Camille There are not necessarily that time consuming if done right from the outset. They actually save a lot of time! I can explain my experience further…
Dr Jim Gaudino MD MS MPH FACPM (he, him) INEP
02:26:41
@Dr Raines-Greenow. Great question !
Shams El Arifeen
02:28:12
The problem with COVID-19 was not-really-understanding what was happening, not having the tools/institutions to respond, and the hope that this going to be over soon
Camille Raynes-Greenow
02:30:17
Agree with @Shams - expectation was that it would all be over soon
Dr Jim Gaudino MD MS MPH FACPM (he, him) INEP
02:30:40
Yes, responding acutely is likely TOO late. Fro a public health prevention-mitigation perspective: that’s why the investments in building community engagement, empowerment BEFORE acute public health threats are essential But convincing policy makers to INVEST now is a challenge. One BIG example now ate the evolving public health threats from climate change ….
Dr Jim Gaudino MD MS MPH FACPM (he, him) INEP
02:34:17
Yes, @Dr Kiddell-Monroe How do we explain this to policymakers with the $$ whose focus is the short-term?
Camille Raynes-Greenow
02:35:52
Thank you!
Dr Jim Gaudino MD MS MPH FACPM (he, him) INEP
02:35:57
We in public health have a lot to learn from our Emergency responder colleagues as well as our communities! 😉
Olugbemiga "Olu" Ekundayo
02:35:58
@Dr. Gaudino: I agree with you entirely. The issue of waiting for crises to show us where we should be going and what we should be doing is a challenge and speaks to the need for forethought. There are historical models that have worked: Example is the concept of the Marshall Plan for both Europe and Japan and the results we see less than half a century later. A more recent example is the Rwanda Experience.
Camille Raynes-Greenow
02:39:22
@Michelle - this is exactly the sort of output that we want to do.
Edward Trapido
02:40:46
Thank you, Dr. Kiddell Monroe for speaking the truth.
Dr Jim Gaudino MD MS MPH FACPM (he, him) INEP
02:41:18
Yes, Olu, we need a global Marshall Plan to prepare for the growing complex disruptions in public health spreading across communities
Dr Jim Gaudino MD MS MPH FACPM (he, him) INEP
02:45:12
e.g., “well COVID-19 is really just like the Flu”. Yet we in public health have accepted the thousands of deaths & illnesses due to flu globally . Do we need to walk that expectation BACK & do something different now that COVID-19 is with us and will add to those thousands more dying and disabled ?
Dr Jim Gaudino MD MS MPH FACPM (he, him) INEP
02:47:57
As we wrap up today, Many thanks to all the speakers and attendees ! Don’t forget to donate to both INEP & ACE. Visit INEP’s website www.epidemiologyinpolicy.org We are a tax exempt 501(c)(3) charity in the US. Kindest regards Dr Jim
Jan Eberth
02:48:27
Thanks to all participants, and speakers.
Jan Eberth
02:48:42
We look forward to seeing many of you tomorrow!
Camille Raynes-Greenow
02:48:47
Thank you to speakers and organisers.
Rafael Moreira
02:49:20
Thank you!!!
Latasha Allen
02:49:21
Thank you for today's presentation and panel discussion. Looking forward to tomorrow.
Vonetta R
02:49:24
thank you
Dr Jim Gaudino MD MS MPH FACPM (he, him) INEP
02:49:26
🙏🏾
Selam Cherkos - MPH
02:49:31
thank you!