{"id":9404,"date":"2026-03-23T00:27:16","date_gmt":"2026-03-23T05:27:16","guid":{"rendered":"https:\/\/llcspace.site\/?p=9404"},"modified":"2026-03-23T00:27:22","modified_gmt":"2026-03-23T05:27:22","slug":"this-week-in-public-health-53","status":"publish","type":"post","link":"https:\/\/llcspace.site\/?p=9404","title":{"rendered":"This Week in Public Health"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">You can see <a href=\"https:\/\/youtu.be\/Dm61AE13aLA?si=KQU-2-W9VLSnrI9h\">Dr. Klotman&#8217;s Week 313 video address<\/a> here. My summary follows.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>IDM and ETP<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"\">Medicine is replete with acronyms, and clinical folk have no want of snarky ones such as FLK (Funny Looking Kid), UBI (Wseless Bit of Information) and the like<\/li>\n\n\n\n<li class=\"\">IDM is Dr. Klotman&#8217;s acronym for Indefensible Decision Making (think Government at its worst)<\/li>\n\n\n\n<li class=\"\">ETP is a new term for Enlightened Thought Processes that Dr. Klotman has chosen to describe a recent court decision finding that RFK&#8217;s restructuring of the ACIP and the revised childhood vaccination schedule were likely illegal &#8211; every credible Pediatrician thinks the same!<\/li>\n\n\n\n<li class=\"\">The judge&#8217;s decision was based on the Administrative Procedures Act (APA) that governs how government agencies go about the important process of &#8220;rule making.&#8221; My friends and former workmates Susan Syler, Tim Kruse, Jackie Johnson, and others know this better than I do. <\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Measles<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"\">We&#8217;re up to 1362 cases thus far in 2026, and 65 patients have required hospitalization<\/li>\n\n\n\n<li class=\"\">>90% were unvaccinated; only 4% had had two doses of MMR<\/li>\n\n\n\n<li class=\"\">These Measles cases have cost the US an estimated $244 million dollars &#8211; an estimated $1B by year&#8217;s end<\/li>\n\n\n\n<li class=\"\">The phenomenon of &#8220;immune amnesia&#8221; that follows Measles infection leads to excess childhood deaths due to other infections. Measles infection damages the immune system&#8217;s ability to fight off other infections<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>COVID<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"\">COVID is declining in most states; Texas, in particular, has very low COVID activity at this time<\/li>\n\n\n\n<li class=\"\">ER visits, hospitalizations, and deaths attributable to COVID are all declining in Texas<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Flu<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"\">The CDC reports that 111 children have died of Flu this season<\/li>\n\n\n\n<li class=\"\">Most states, including Texas, are showing a decline in Flu cases as respiratory virus season comes to a close<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Vaccines<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"\">Moderna has developed and tested a combined, m-RNA, COVID-Flu vaccine that is non-inferior to m-RNA vaccine against COVID and high dose Flu vaccine in people 50+ years old<\/li>\n\n\n\n<li class=\"\">This combined vaccine will probably be approved in Europe, but RFK&#8217;s unilateral opposition to m-RNA vaccines makes it unlikely that the FDA will approve this vaccine in the US<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>My Thoughts:<\/strong> I&#8217;ve posted about &#8220;immune amnesia&#8221; in the past. Measles infection has a way of stunning our immune system&#8217;s &#8220;memory.&#8221; Memory of infections previously recognized by the immune system is somehow &#8220;reset&#8221; or &#8220;erased&#8221; by Measles infection. The classic example is Tuberculosis infection, but there are others. So, Measles isn&#8217;t just an infection with respiratory-dermatological manifestations, but one with far-reaching and long-lasting injuries to our normal defense systems. This is where the superficial knowledge of disease that is shared among the laity does the most harm, I think. People like RFK and his followers don&#8217;t have the clinical background to appreciate how this &#8220;seemingly innocuous&#8221; childhood illness leads to so much preventable suffering and death.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>You can see Dr. Klotman&#8217;s Week 313 video address here. My summary follows. IDM and ETP Measles COVID Flu Vaccines My Thoughts: I&#8217;ve posted about [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","om_disable_all_campaigns":false,"WB4WB4WP_MODE":"","WB4WP_PAGE_SCRIPTS":"","WB4WP_PAGE_STYLES":"","WB4WP_PAGE_FONTS":"","WB4WP_PAGE_HEADER":"","WB4WP_PAGE_FOOTER":"","_monsterinsights_skip_tracking":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-9404","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>This Week in Public Health - Musings<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"This Week in Public Health - Musings\" \/>\n<meta property=\"og:description\" content=\"You can see Dr. Klotman&#8217;s Week 313 video address here. My summary follows. IDM and ETP Measles COVID Flu Vaccines My Thoughts: I&#8217;ve posted about [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/llcspace.site\/?p=9404\" \/>\n<meta property=\"og:site_name\" content=\"Musings\" \/>\n<meta property=\"article:published_time\" content=\"2026-03-23T05:27:16+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-03-23T05:27:22+00:00\" \/>\n<meta name=\"author\" content=\"llc\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"llc\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/llcspace.site\\\/?p=9404#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/llcspace.site\\\/?p=9404\"},\"author\":{\"name\":\"llc\",\"@id\":\"https:\\\/\\\/llcspace.site\\\/#\\\/schema\\\/person\\\/4a3595818a3bfe17304a0650debd7f2b\"},\"headline\":\"This Week in Public Health\",\"datePublished\":\"2026-03-23T05:27:16+00:00\",\"dateModified\":\"2026-03-23T05:27:22+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/llcspace.site\\\/?p=9404\"},\"wordCount\":465,\"commentCount\":0,\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/llcspace.site\\\/?p=9404#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/llcspace.site\\\/?p=9404\",\"url\":\"https:\\\/\\\/llcspace.site\\\/?p=9404\",\"name\":\"This Week in Public Health - Musings\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/llcspace.site\\\/#website\"},\"datePublished\":\"2026-03-23T05:27:16+00:00\",\"dateModified\":\"2026-03-23T05:27:22+00:00\",\"author\":{\"@id\":\"https:\\\/\\\/llcspace.site\\\/#\\\/schema\\\/person\\\/4a3595818a3bfe17304a0650debd7f2b\"},\"breadcrumb\":{\"@id\":\"https:\\\/\\\/llcspace.site\\\/?p=9404#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/llcspace.site\\\/?p=9404\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/llcspace.site\\\/?p=9404#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/llcspace.site\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"This Week in Public Health\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/llcspace.site\\\/#website\",\"url\":\"https:\\\/\\\/llcspace.site\\\/\",\"name\":\"Musings\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/llcspace.site\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/llcspace.site\\\/#\\\/schema\\\/person\\\/4a3595818a3bfe17304a0650debd7f2b\",\"name\":\"llc\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/6d0bac5668fed2a45a650575139e3b5d14611722b197cdb7b31b49b702057464?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/6d0bac5668fed2a45a650575139e3b5d14611722b197cdb7b31b49b702057464?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/6d0bac5668fed2a45a650575139e3b5d14611722b197cdb7b31b49b702057464?s=96&d=mm&r=g\",\"caption\":\"llc\"},\"description\":\"I'm a retired Internist-Geriatrician whose interests are astrophotography, food, family, cats and friends though not necessarily in that order.\",\"sameAs\":[\"llcortes55@gmail.com\"],\"url\":\"https:\\\/\\\/llcspace.site\\\/?author=1\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"This Week in Public Health - Musings","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"en_US","og_type":"article","og_title":"This Week in Public Health - Musings","og_description":"You can see Dr. Klotman&#8217;s Week 313 video address here. 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