Andrea Mazzella
andmazzella.bsky.social
Andrea Mazzella
@andmazzella.bsky.social
Public Health Medicine registrar (resident doctor), epidemiologist, migrant, geek in disguise.📍 London | 🗣️ an-DREH-ah | 👤 he/him
Pinned
In England, people from ethnic minorities or living in more deprived areas are disproportionately affected by bloodstream infections.

We've shown this with our latest study, just been published on @eurosurveillance.org.

A thread 👇🏼
Health inequalities in incidence of bacteraemias: a national surveillance and data linkage study, England, 2018 to 2022
Background Health inequalities exist globally, but limited data exist on this topic for bacteraemia. Aim In this study we investigated health inequalities surrounding bacteraemia in England, to identi...
www.eurosurveillance.org
Annual epi update on bloodstream infections and C. difficile infections in England.

Continuing worrying trend of increasing rates of most of these infections, especially for community-onset cases
🆕 Our Annual Epidemiological Commentary on 6 key HCAIs was published this week - using England national mandatory surveillance data 🦠.

#hcai #surveillance #epidemiology

Some key highlights ⬇️
Annual epidemiological commentary: Gram-negative, MRSA, MSSA bacteraemia and C. difficile infections, up to and including financial year 2024 to 2025
www.gov.uk
September 27, 2025 at 3:19 AM
Reposted by Andrea Mazzella
People are less likely to believe conspiracy theories when they get clear, simple, and early information from trusted sources. Using tools like “prebunking” and reaching people where they are (like on social media) can help build trust and reduce misinformation.
www.sciencedirect.com/science/arti...
Conspiracy belief and the willful ignorance of information
The idea that conspiracy believers are prone to willful ignorance is widespread, yet many seemingly supporting studies lack designs suited to test thi…
www.sciencedirect.com
September 11, 2025 at 6:52 PM
Reposted by Andrea Mazzella
August 16, 2025 at 7:52 AM
Reposted by Andrea Mazzella
An interesting piece by @johnlauner.bsky.social in the @bmj.com recently.

I know GP trainees who have done this too. Not all our younger doctors are leaving for Australia & NZ. Some are staying here but leaving the NHS.

Somehow, the system has gone horribly wrong that this is happening.

#MedSky
August 14, 2025 at 7:06 AM
First day as Public Health Medicine Registrar (=resident) done ✅
Exciting to start!
August 6, 2025 at 4:33 PM
This podcast episode has some interesting commentary of the "nanny state" critique against public health policies.
Beyond the neglectful state: unpacking the intersection of public health and personal freedom
Public Health Disrupted · Episode
open.spotify.com
July 19, 2025 at 8:16 PM
Reposted by Andrea Mazzella
In its 10 Year Health Plan, the government recommitted to halving the gap in healthy life expectancy (HLE) between the poorest and richest regions. But how? Our new analysis with the ONS points to the underlying factors which any plan will need to take account of. 🧵
July 19, 2025 at 8:53 AM
Reposted by Andrea Mazzella
"And when the number of years of experience in the workforce were taken into account, master’s holders in any field earned slightly more than those with PhDs."

www.nature.com/articles/d41...
How many PhDs does the world need? Doctoral graduates vastly outnumber jobs in academia
PhD programmes need to better prepare students for careers outside universities, researchers warn.
www.nature.com
June 23, 2025 at 11:21 AM
Reposted by Andrea Mazzella
Springer-Nature launched a series of "Discover" journals that closely mimic MDPI titles -- sharing *identical* journal names, and likely similar business model.

What is going on, and why researcher will - as always - fall for it?

A 🧵

the-strain-on-scientific-publishing.github.io/website/post...
Springer Nature Discovers MDPI – The Strain on Scientific Publishing
Home page for the paper ‘The Strain on Scientific Publishing’ by Mark A Hanson, Dan Brockington, Paolo Crosetto and Pablo Gomez Barreiro
the-strain-on-scientific-publishing.github.io
June 15, 2025 at 2:21 PM
Reposted by Andrea Mazzella
Cancer Research UK today published a report which highlights changes in cancer survival rates over the last 50 years.

Many headlines (like this one from the Guardian) have chosen to report the ‘doubling of cancer survival rates’ since the 1970s.

But that's misleading...

1/18
June 3, 2025 at 7:21 AM
Reposted by Andrea Mazzella
There is a much stronger evidence base to support measles vaccination in all children and COVID vaccination during pregnancy, compared to annual COVID vaccination in healthy children.

I think this is important distinction, and we should be cautious about mixing levels of evidence in discussions.
June 3, 2025 at 6:27 AM
Joined Parkrun and it's great! I don't enjoy running by myself but doing it with 500 other people in a park makes it much more fun
May 31, 2025 at 9:46 AM
Oh wow. On reflection, shouldn't surprise me – I definitely use Stack Overflow less since I started asking coding questions to LLMs. Not necessarily a good thing...
May 24, 2025 at 4:45 PM
Reposted by Andrea Mazzella
At ‪@uhsft.bsky.social‬, a project to make food on the wards more sustainable showed that small changes, such as more vegetarian and plant-based options, not only improved menu approval ratings but also educed their carbon footprint: ow.ly/IevF50VXHa9
May 23, 2025 at 2:06 PM
Some personal news: I've accepted a Public Health Medicine specialty training post here in London 🎉 @fphuk.bsky.social

I'm so looking forward to starting in August!

Sad to leave my team @ukhsa.bsky.social but I should be back soon enough for my health protection rotation!
Specialty Training
This section provides information on all aspects of training in public health including curriculum and supporting information on training.
www.fph.org.uk
May 23, 2025 at 11:10 AM
"My island of strangers" – this poem by @michaelrosenyes.bsky.social moved me
My island of strangers: a poem | Michael Rosen
The prime minister warns that immigration could turn Britain into an ‘island of strangers’. Author and poet Michael Rosen responds
www.theguardian.com
May 17, 2025 at 7:13 AM
Reposted by Andrea Mazzella
OK, this is wild.

In September 2023, geophysicists across the world started monitoring a very odd signal coming from the ground under them.

It was picked up in the Arctic. And Antarctica. It was detected everywhere, every 90 seconds, as regular as a metronome, for *nine days*.

What the HELL?

1/
May 12, 2025 at 3:20 PM
Reposted by Andrea Mazzella
Any thoughts? 💭

#HealthInequality
May 10, 2025 at 9:57 AM
Reposted by Andrea Mazzella
Are you a UK psychiatrist with views to share about self-diagnosis?

We’re looking for UK-based psychiatrists who work with young people aged 10–24 and would be available to take part in a 45-minute online interview

(cont below)

PLEASE SHARE WIDELY 🤩
May 7, 2025 at 2:56 PM
Men are disproportionately affected by nany diseases, including bloodstream infections, and have shorter life expectancy than women.

DHSC is looking for the views of the public and healthcare staff to inform a Men's Health Strategy for England.

Have your say: www.gov.uk/government/c...
Men's Health Strategy for England: call for evidence
This call for evidence is seeking the views of the public, as well as health and social care professionals, academics, employers and stakeholder organisations to inform a Men’s Health Strategy for Eng...
www.gov.uk
May 7, 2025 at 9:38 PM
📈 C. difficile infections have been rising in England, both in hospitals and outside – by a third in three years.

A new report by the UK Health Security Agency 👇

#episky #idsky
There's a really good technical report on the recent rises in C difficile just published by UKHSA.

Until recently, C diff rates were a huge success story. Now we're seeing concerning rises.
#hcai #cdiff

www.gov.uk/government/p...
www.gov.uk
May 7, 2025 at 6:54 AM
Reposted by Andrea Mazzella
Two articles from @ukhsa.bsky.social in @eurosurveillance.org this week

1. Developing surveillance for antibiotic resistance prior to widespread use is important; detect resistance prior to use of ceftazidime - avibactam (unsurprising but important ) www.eurosurveillance.org/content/10.2... 1/3
The importance of monitoring a new antibiotic: ceftazidime/avibactam usage and resistance experience from England, 2016 to 2020
Background Ceftazidime/avibactam, launched in the United Kingdom (UK) in March 2017, is an antibiotic against multidrug-resistant Gram-negative pathogens. It was selected for the government’s subscrip...
www.eurosurveillance.org
April 11, 2025 at 6:45 AM
Reposted by Andrea Mazzella
My colleague Olisa has a new article out in Eurosurveillance looking at the epidemiology of Gram-neg BSI in England.

Loads of interesting data: incidence, mortality rates and CFRs for E. coli, Klebs and P. aeru.

www.eurosurveillance.org/content/10.2...
Incidence, case-fatality rates and risk factors of bloodstream infections caused by Escherichia coli, Klebsiella species and Pseudomonas aeruginosa, England, April 2017 to March 2022
Background Escherichia coli, Klebsiella spp. and Pseudomonas aeruginosa are included in the mandatory surveillance of bloodstream infections (BSI) in England. Aim We aimed to investigate the epidemiol...
www.eurosurveillance.org
May 3, 2025 at 8:54 AM
Reposted by Andrea Mazzella
🚨 We've just published new data showing the current state of health inequalities in England caused by infectious diseases & environmental health hazards.

Our blog post explores how factors like location, job or ethnicity can damage people's health ukhsa.blog.gov.uk/2025/05/02/h...
May 2, 2025 at 10:47 AM