Kirsten Bibbins-Domingo
@KBibbinsDomingo
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Editor in Chief @JAMA_current & the @JAMANetwork | Professor @UCSF | scientist, physician, teacher | she/her | views mine
Chicago & San Francisco
Joined August 2010
My parentās wedding in NYC. ā¦. years before their marriage would be legal in my fatherās home state of Virginia . Today is the 56th anniversary of Loving v Virginia Happy #LovingDay !!
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Some news from meā¦. Iām honored and excited to be joining @JAMA_current & the @JAMANetwork as the next editor-in-chief!.
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As an MD & epidemiologist who closely follows COVID, knows & has contributed to COVID literature. As a daughter in a family who has known Nazi horrors. Iām appalled by comparisons of this regime with pandemic response. Inflammatory, unhelpful to the discourse, ultimately harmful.
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. janitorial staff didnāt have access to hospital email so vaccine info sent to hospital staff did not reach them. what structural racism looks like @GeorgesBenjami7 @KHNews . Black Americans are getting vaccinated at lower rates than white Americans
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Jobs associated w greatest risk of death during pandemic in CA?. Cooks.Packaging machine operators.Agricultural workers.Bakers.Construction workers.Production workers.Sewing machine operators.Shipping clerks. Full list in new preprint @UCSF_Epibiostat
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Hereās what weāre celebrating this weekend
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This graph made me catch my breath. Vaccine equity is not a slogan or a feel-good idea. The consequences of failing to focuse on those most affected throughout the pandemic is devastating. Black residents now account for 8 in 10 COVID cases in DC.
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Dad (from Virginia) & Mom (from Germany) on their wedding day several years before the Supreme Court case. Married in NY. #LovingDay
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Phenomenal profile of @Cleavon_MD - a hero even before the pandemic. Great work telling his story @ushamcfarling. A āduty to warnā: An ER doctor, shaped by war and hardship, chronicles the searing realities of. via @statnews.
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āBusiness owners & operators have a corporate, moral & social responsibility to their employees & their families to provide a safe work environment that adheres to all of the health officer directives-this responsibility is important, now more than everā.
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I became a mom in med school. To anyone being told they have to put their parenting plans on hold until training is done, donāt listen-this decision is for you to make! We need more representation of parents in training, change systems to promote family health & increase support
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My first week as EiC of JAMA & the JAMA Network & my inaugural editorial. JAMA Editor in Chief: My Commitment for JAMA and the JAMA Network via @JAMA_current part of @JAMANetwork.
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New @UofCalifornia policy. āFor the safety & well-being of the entire university community, the policy will require, with few exceptions, that all students, faculty & staff be vaccinated against the COVID-19 virus before they will be allowed on campus.
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Threats, demonstrations in front of her home where she lives with three young children. because she issued a face mask order. Orange County Health Officer Nichole Quick Resigns After Facing Threats For Issuing Face Mask Order ā CBS Los Angeles
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Never got a K award (two submissions). Took me 3 tries to get my @RWJF career development award. If this is the career you want- donāt give up #grateful #mentorship #ucsfPROUD.
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To be clear. If your hospital doesnāt do universal coronavirus testing & selectively tests based on.- patient appearance .- zip code lists where āthose peopleā live, not where the virus is . without informed consent or community buy-in. This is racist, unethical, unscientific.
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ā¤ļø the fact that we have ZERO COVID patients at @ZSFGCare for the first time sine March 5th 2020. So proud of my colleagues many of whom are called out in this š§µ.
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We can debate on where, when, how to institute new measures during this surge . ā¦but the fact that we have states where it is ILLEGAL for local officials to mandate masks or require verification of vax status is the height US dysfunction. Must read piece by @zeynep w great recs.
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Jobs w most excess deaths during pandemic in CA. Laborers & freight, stock movers.Drivers & truck drivers.Construction laborers.Cooks.Grounds maintenance.Security guards.Agricultural workers.Customer service rep.Chefs & head cooks. New preprint @ch272n .
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As a nation, we need to understand:.Racism exists.Racism is a system.Racism saps the strength of the whole society.We must act to dismantle racism. Thank you @DrAlethaMaybank @CamaraJones @uche_blackstock @doccrearperry . Say her name: Dr. Susan Moore
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Over 35 years, women MDs in academic medical centers were less likely than men to be promoted to assoc or full professor or to be appointed to dept chair - no apparent narrowing in gap over time. Women Physicians and Promotion in Academic Medicine | NEJM
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.@CAPublicHealth guidance for COVID +.ā
stay home at least 5 days.ā
end isolation if symptoms end/resolve AND neg test on day 5.ā
unable to test? 10 days isolation.ā
fever? must resolve to end isolation.ā
Wear well-fitting mask around others for a total of 10 days. šš½šš½šš½šš½.
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Pleased to announce Dr Alicia FernƔndez -a national leader in healthcare equity & director @UCSF_LCOE- as Associate Dean for Population Health & Health Equity @UCSFMedicine . & thrilled by the continued commitment to this important work that so many are engaged in across @UCSF
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Great š§µ on masks w useful info, including hope as we brace for Jan . āIf you're vaccinated, & boosted, & wearing an N95, that's as low risk as anything in your life, *regardless of what anyone around you is doing*.ā. Pandemic ebbs & flows, so reqs will too. For now #MaskUp.
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We lost my mother-in-law at the end of the 2020. She was a strong, deeply traditional, and thoroughly modern woman, from whom I learned so much particularly as we were starting our family. We miss her and are grateful she was part of our lives. šš½šš½
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Lessons from recent surge in France? . Lockdowns work & do so fairly quickly . BUT France also provided economic support for people & businesses. ā³ļøSmall businesses access to $11,700/month .ā³ļøemployee short-term work assistance.ā³ļøhelp with rent.
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Three @ucsf @UCSFMedicine faculty on the Biden-Harris task force!. David Kessler co-chair @UCSF_Epibiostat @US_FDA .Eric Goosby @IGHSatUCSF .Rob Rodriguez @ucsfdem . Great scientific, clinical, & policy leaders in #covid19!! #ucsfproud.
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BREAKING: Group of 500 San Francisco bars deciding whether to require proof of vaccination before entry via @SFGate.
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Dr. Michelle Albert.President-elect of the American Heart Association @American_Heart . Say it out loud- Sounds pretty good to me!. Congrats to an outstanding leader & physician-scientist, and my dear colleague & friend @UCSF . #ucsfproud .#WomenLead
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Iāve been Editor in Chief of JAMA & the JAMA Network for nearly 10 months- time flies!. Check out our JAMA 2022 Year in Review. and thank you to the authors, peer reviewers, readers, listeners, viewers, & editors who make this all possible! .
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Great figure by @bhrenton based on @CDCgov data. 48% of US population fully vaccinated, but not boosted.35% eligible, but not fully vaccinated.6% under age 5 (not eligible for vaccination). Only 11% fully vaccinated and boosted. #GetVaccinated #GetBoosted #StaySafe
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I think about the truth & implications of @edyong209 principles daily. 1ļøā£Vaccines are beating variants.2ļøā£Variants are pummeling unvaccinated.3ļøā£The longer 2ļøā£ goes on, the less likely 1ļøā£ will hold. With ā¬ļøcases, sensing more masking, testing in our future.
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My colleagues across @UofCalifornia @UofCAHealth worked together to create this document on how to reduce #coronavirus transmission during civil #protests. Check it out!. This is what Everyone Can Do to Reduce SARS-CoV-2 Spread During Civil Protesting
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Beautiful piece @brittny_mejia w stories of our CA hospitals frontline environmental services staff & their oft overlooked heroism . They risk their lives cleaning hospitals. Now, they are getting vaccinated. 'I want people to know that we exist'
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Loving that blue!. California the only state in US with low community transmission of coronavirus!. Congrats to everyone doing their part- small or large- to keep our communities safe from #COVID . Now letās get even more vaccinated! #vaccinate .
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Congratulations to Dr George Rutherford -our @UCSF_Epibiostat chief of ID & global epi & @IGHSatUCSF faculty- on being selected for 2021 Chancellor Award for Public Service!!. I canāt imagine enduring the pandemic without Georgeās extraordinary work!. Award on Founders Day May 21
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Humbled, honored, inspired, energized . Just a few of my emotions during the induction ceremony today at @americanacad . Great to meet those Iāve long admired & make the acquaintance of so many doing wonderful work
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@ashishkjha @CarlosdelRio7 @meganranney Add me to this list as well. Vaccinated & feeling safe. Working hard to get more vaccinated . Wearing my mask indoors just awhile longer until the rates are higher.
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Want to know the up-to-date reproduction number for the #coronavirus in California regions or states in the US?. Our outstanding @UCSF modelers @leeworden & Travis Porco have a great new website - Check it out!! California- the pandemic is not over.
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ā„ļø.A NorCal butterfly sanctuary didn't see a single monarch in 2020. This year, there's thousands. via @SFGate.
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Idaho crisis standards of care caused by unvaccinated COVID-19 patients affects us all
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Awesome piece in @nytimes featuring Dr Jenna Lester @ucsf @UCSFHospitals #ucsfPROUD . Dermatology Has a Problem With Skin Color
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Please take two minutes and watch this clip of James Baldwin. You will be reminded of his extraordinary brilliance in this pointed extemporaneous response . And the challenge of having comments from 1968 continue to ring true today.
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Outstanding that the UKās coronavirus vaccine is safe and induces an immune reaction. Unacceptable that study participants (n=1077) are 91% white.
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The pandemic killed so many dialysis patients that their total number shrunk for the first time in nearly half a century. Few people took notice. They Were the Pandemicās Perfect Victims
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Thrilled Dr Sharon Inouye @sharon_inouye @harvardmed is the next Editor in Chief of @JAMAInternalMed eff 7/1/23. Sharon is a leader in internal medicine & geriatrics & I look forward to working with her to publish the best work shaping internal medicine .
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New appreciation for the reach of @ratemyskyperoom based on the congratulations Iāve received this week for this rating ā¤ļøā¤ļø . #goals.
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Thibodeaux says that the key to convincing hesitant people is keeping it personal. āThe secret is to keep it 100,ā she said. šš½šš½šš½šš½šš½. This SF woman convinced 1,270 people to get vaccinated. Here's her secret. via @SFGate.
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Wanna know when to wear a mask & why?. Wanna know what clear communication at the intersection of science & policy looks like? . Read this great piece from ā¦@zeynepā© . The CDC's Outdoor Mask Guidelines Are Too Timid & Too ComplicatedāThe Atlantic
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Beautiful, compelling essay from @slsatel . āThe altruism of getting vaccinated is a more diffuse kind of sentiment. It is an act of generosity ā a ālove thy neighbor,ā communitarian ethic ā aimed at the nameless and faceless: me and my immunologically challenged cohort.ā.
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ā¤ļø 5 tips for #COVID @ASlavitt .1ļøā£find 2-3 reliable sources & discuss implications for choices w family/friends. Good sources? cite evidence/acknowledge ādonāt knowā.2ļøā£wear a mask.3ļøā£pandemics require sacrifice, whatās yours?.4ļøā£great time to be nice.5ļøā£only bad guy is virus .Read!.
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ACGME requires access to abortion training for OB-Gyn residency. Given states likely to ban abortions, 44% of OB-Gyn residents will lack access to in-state abortion training. Projected Implications of Overturning Roe v Wade on. : Obstetrics & Gynecology
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Michiganās Covid Wards Are Filling Up With Younger Patients
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No apparent trade off between public health & economic recovery in 1918- longer social distancing- better recovery. Cities That Went All In on Social Distancing in 1918 Emerged Stronger for It
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Dr Quickās address was read aloud at an open meeting when a protestor invited demonstrators to her house to do calisthenics in masks, so that when they died Dr. Quick would be charged with murder. They also appeared with signs depicting her as Hitler.
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Thank you @statnews for including me on this list of 46 changemakers & leaders in life sciences, medicine, & health. Full list here: #STATUSList
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Today is the 53rd anniversary of Loving v. Virginia - the Supreme Court case that struck down laws banning interracial marriage nationally. Decision came several years after the marriage of my parents. #HappyLovingDay
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Hippocrates proclaimed that āwalking is manās best medicine.ā The good doctor also knew that walking provided more than mere physical benefits when he suggested: āIf you are in a bad mood, go for a walk. If you are still in a bad mood, go for another walkā.
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āWe should immediately match variant surges with vaccination surges that target the most vulnerable by going where they are, in the cities and states experiencing active outbreaksā @zeynep Modeling suggests itād work in Michigan
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New from Dr Josh Adler, Chief Clinical Officer @UCSFHospitals . Effective now: Everyone ā regardless of vaccination status ā must wear a mask or face covering at all indoor locations @UCSF (except while eating & drinking) & while riding in or standing in line for campus shuttles.
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Free #coronavirus testing in San Franciscoās Bayview, Sunnydale, Visitacion Valley- Proud that @UCSF is partnering on this important work. These neighborhoods- & the Mission- have highest cases in SF & as many as 50% asymptomatic. Help us get the word out! #UnitedInHealth
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We are thrilled to welcome @VPrasadMDMPH to @UCSF_Epibiostat @UCSFMedicine @UCSF in the new year!. Formal announcement to follow but fitting that you hear it first on @Twitter !! . #ucsfPROUD.
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Wonderful to spend Motherās Day & sonās birthday with my mother & son!. Reflecting on the year that has passed - I am grateful . #HappyMothersDay
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@ASlavitt I agree this is a false dichotomy. Hereās guidance faculty from @UofCalifornia @UofCAHealth just released on actions everyone (protestors, police, public health) can take to stay safe during civil protests. Thank you for your work @ASlavitt.
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OSHA's new mandatory COVID protection applies only to healthcare. "science tells us that health care workers. are most at riskā . Actually, science tells us highest risk in.-food/agriculture.-manufacturing.-facilities.-transportation/logistics.
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Proud of new paper in @JAMACardio today. 1/4 of adults 36-64 yrs (31 million) are low SES- they have 2x risk of dying of heart disease vs higher SES. Excess smoking, obesity, HTN, diabetes explain <half, suggesting important to focus on upstream poverty
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New S.F. survey finds 63% of restaurants back indoor vaccine mandate for diners and staff. Nearly 66% also support an indoor mask requirement. Just under 60% already require their workers to be fully vaccinated. via @sfchronicle.
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eye-opening & well worth the read from @zeynep . Where Did the Coronavirus Come From? What We Already Know Is Troubling.
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āI feel my throat tightening. Itās not the coronavirus or smoke. Itās rageārage radiating up from my belly & my heart. Weāre trapped inside because of the pandemic & because of the fires, but ultimately we are most confined by inequality, selfishness, & greed that created thisāš„.
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For my family, our multi-generational household, my 84-year-old mother (who I hope will have hers soon) . For those who will need medical care until the vaccine is offered to everyone. Great seeing my primary care colleagues here this morning as well @UrmimalaSarkar
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It's Wednesday & by my count a great week for @UofCalifornia & #WomenInSTEM . Today - Chemistry - Jennifer Doudna faculty @UCBerkeley @UCSF . Yesterday - Physics - Andrea Ghez faculty @UCLA & Genzel postdoc/faculty @UCBerkeley. Mon - Physiology/Medicine - Rice undergrad @ucdavis.
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š¢new preprint on occupation & death in working age adults during pandemic š¢essential workers have borne brunt, esp in surges & even in hi vaxx counties. š¢risk to agricultural workers ā¬ļø60% overall. š¢emergency workers highest risk sector July-Nov ā21
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Great read, with practical advice from very smart people (including our own @UCSF @UCSF_Epibiostat @pvolberding) on how they manage coronavirus risk in their own lives. How Fauci, 5 other health specialists deal with covid-19 risks in their everyday lives
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Why California Has One of the Lowest Covid-19 Rates in the Nation
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1 million -mostly in the unseen. Grateful to @nytimes & those who help us see. w words āwhat has effectively been a slaughter has been the product of policies & public health failings, & just not caringā @LouiseAronson. & numbers- @ch272n @UCSF_Epibiostat .
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@ASlavitt Universal booster, regardless of first dose, would make things much easier for implementation. Need to see the science first, of course.
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Maybe We Need Masks Indoors Just a Bit Longer
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New @netflix show will tackle life as a department chair!! Sandra Oh - pictured here in the dress I often wear to work - will star! Cc: @amypmurtha @Jasosamd. Deadline described the series as a ādramedyā.ā šš. via @chronicle.
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Deeply honored to receive this recognition from the @cwclub & especially moved to be in the company of these tremendous leaders. Congratulations @DHavlir @carina_marquez @MKushel @MonicaGandhi9 @AliciaFMD @kfrhoads @ucsf @UCSF_Epibiostat @umojahealth.
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3600 healthcare workers died during US pandemic . ā³ļø>50% age < 60 years. ā³ļø>1/3 born outside US (esp Philippines). ā³ļøNurses & support staff>>MDs. ā³ļø60% nursing home, 30% hospital (but academic hosp rare), the rest residential facilities, clinics, hospices, prisons.
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Last Spring @UCSFMedicine hosted a series of discussions entitled āRacism and Race: The Use of Race in Medicine & Implications for Health Equityā. Proceeding from these sessions were just published!. Videos can be viewed here w links to transcripts.
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