Andrea Chittle MD MPH CCFP
@andreachittle.medsky.social
Passionate about public health, with a focus on demystifying The Great Mimicker (syphilis). Settler in Treaty 3 Territory. Opinions are my own. (she | her)
Pinned
FYI #MedSky (I’m new here. Have I done this correctly?!)
The Public Health Agency of Canada has some fantastic syphilis resources for clinicians👇
A simplified clinical staging algorithm (www.canada.ca/content/dam/...):
The Public Health Agency of Canada has some fantastic syphilis resources for clinicians👇
A simplified clinical staging algorithm (www.canada.ca/content/dam/...):
Reposted by Andrea Chittle MD MPH CCFP
Something is terribly wrong. Canada needs interventions to safeguard first-food systems. Infants has a right to food, and families have a right to feed.
@franklyless.bsky.social raises the alarm about families needing more support to afford essentials as they “forage on Facebook” for infant formula.
She also said the federal government could consider nationalizing production.
She also said the federal government could consider nationalizing production.
'Something is terribly wrong': Baby formula among most stolen food items as costs spiral, researcher says | CBC News
The price of baby formula in Canada has risen roughly 84 per cent since 2017, according to Statistics Canada, driving some parents to turn to strangers on social media for help. One researcher says fo...
www.cbc.ca
November 14, 2025 at 2:10 PM
Something is terribly wrong. Canada needs interventions to safeguard first-food systems. Infants has a right to food, and families have a right to feed.
‘What makes AI so compelling is not simply faith in technology but the way it suggests we can improve medicine by leapfrogging the difficult work of structural change to confront disease-causing inequality, corporate interests and oligarchic power.’
- @eric-reinhart.com
- @eric-reinhart.com
November 11, 2025 at 1:27 AM
‘What makes AI so compelling is not simply faith in technology but the way it suggests we can improve medicine by leapfrogging the difficult work of structural change to confront disease-causing inequality, corporate interests and oligarchic power.’
- @eric-reinhart.com
- @eric-reinhart.com
Reposted by Andrea Chittle MD MPH CCFP
Cleaner air isn't a personal health choice, it's something that needs the broad mandate of the state to accomplish.
But we'll never get there as a society (despite the tech being relatively simple), because we've been brainwashed by a neoliberal health ideology that's centred on individual choices.
But we'll never get there as a society (despite the tech being relatively simple), because we've been brainwashed by a neoliberal health ideology that's centred on individual choices.
Putting clean air infrastructure into the built environment (in schools, daycare, long term care homes, shopping centres, offices, airplanes, buses, taxis, cruise ships...) is more important than ever.
Because giving people the "choice" has led to lower vaccination rates and a refusal to mask.
Because giving people the "choice" has led to lower vaccination rates and a refusal to mask.
September 21, 2025 at 11:36 AM
Cleaner air isn't a personal health choice, it's something that needs the broad mandate of the state to accomplish.
But we'll never get there as a society (despite the tech being relatively simple), because we've been brainwashed by a neoliberal health ideology that's centred on individual choices.
But we'll never get there as a society (despite the tech being relatively simple), because we've been brainwashed by a neoliberal health ideology that's centred on individual choices.
Reposted by Andrea Chittle MD MPH CCFP
This is why everything in public health seems to boil down to "raising awareness" of healthy vs unhealthy choices.
But individual awareness is meaningless without robust public health infrastructure.
Everything from air quality to food to physical activity is heavily shaped by societal factors.
But individual awareness is meaningless without robust public health infrastructure.
Everything from air quality to food to physical activity is heavily shaped by societal factors.
September 21, 2025 at 11:36 AM
This is why everything in public health seems to boil down to "raising awareness" of healthy vs unhealthy choices.
But individual awareness is meaningless without robust public health infrastructure.
Everything from air quality to food to physical activity is heavily shaped by societal factors.
But individual awareness is meaningless without robust public health infrastructure.
Everything from air quality to food to physical activity is heavily shaped by societal factors.
Reposted by Andrea Chittle MD MPH CCFP
We've had decades now to witness the effects of "raising awareness" on public health issues that are not individually controllable (eg: food deserts).
The pandemic should have made clear that "individualized public health" is an oxymoron.
When will we admit that this is a failed approach?
The pandemic should have made clear that "individualized public health" is an oxymoron.
When will we admit that this is a failed approach?
September 21, 2025 at 11:36 AM
We've had decades now to witness the effects of "raising awareness" on public health issues that are not individually controllable (eg: food deserts).
The pandemic should have made clear that "individualized public health" is an oxymoron.
When will we admit that this is a failed approach?
The pandemic should have made clear that "individualized public health" is an oxymoron.
When will we admit that this is a failed approach?
Reposted by Andrea Chittle MD MPH CCFP
Seems very timely
"What normalization does is transform the morally extraordinary into the ordinary. It makes us able to tolerate what was once intolerable by making it seem as if this is the way things have always been."
— Jason Stanley. How Fascism Works
en.wikipedia.org/wiki/How_Fas...
"What normalization does is transform the morally extraordinary into the ordinary. It makes us able to tolerate what was once intolerable by making it seem as if this is the way things have always been."
— Jason Stanley. How Fascism Works
en.wikipedia.org/wiki/How_Fas...
September 18, 2025 at 6:07 PM
Seems very timely
"What normalization does is transform the morally extraordinary into the ordinary. It makes us able to tolerate what was once intolerable by making it seem as if this is the way things have always been."
— Jason Stanley. How Fascism Works
en.wikipedia.org/wiki/How_Fas...
"What normalization does is transform the morally extraordinary into the ordinary. It makes us able to tolerate what was once intolerable by making it seem as if this is the way things have always been."
— Jason Stanley. How Fascism Works
en.wikipedia.org/wiki/How_Fas...
🎯
The False Promise of “AI for Social Good” by @abeba.bsky.social @projectsyndicate.bsky.social prosyn.org/aiw0HCS
The False Promise of “AI for Social Good” by @abeba.bsky.social @projectsyndicate.bsky.social prosyn.org/aiw0HCS
The False Promise of “AI for Social Good”
Abeba Birhane refutes industry claims about the technology's potential to solve complex social problems.
prosyn.org
September 18, 2025 at 11:34 AM
🎯
The False Promise of “AI for Social Good” by @abeba.bsky.social @projectsyndicate.bsky.social prosyn.org/aiw0HCS
The False Promise of “AI for Social Good” by @abeba.bsky.social @projectsyndicate.bsky.social prosyn.org/aiw0HCS
Reposted by Andrea Chittle MD MPH CCFP
Each of us must find our work and do it.
Happy Labor Day.
Happy Labor Day.
September 1, 2025 at 1:50 PM
Each of us must find our work and do it.
Happy Labor Day.
Happy Labor Day.
‘The key thing is this is not about all of humanity creating these threats. It is not about human nature. It is about small groups who bring out the worst in us, competing for profit and power and covering all [the risks] up.’ @dpcarrington.bsky.social
For thousands of years, we have been parasitised, exploited and destroyed by elites. Our survival depends on overthrowing them.
Fascinating article by @dpcarrington.bsky.social
www.theguardian.com/environment/...
Fascinating article by @dpcarrington.bsky.social
www.theguardian.com/environment/...
‘Self-termination is most likely’: the history and future of societal collapse
An epic analysis of 5,000 years of civilisation argues that a global collapse is coming unless inequality is vanquished
www.theguardian.com
August 2, 2025 at 12:37 PM
‘The key thing is this is not about all of humanity creating these threats. It is not about human nature. It is about small groups who bring out the worst in us, competing for profit and power and covering all [the risks] up.’ @dpcarrington.bsky.social
Reposted by Andrea Chittle MD MPH CCFP
New @nejm.org report shows a rapid rise in tetM-carrying Neisseria gonorrhoeae strains in the U.S. jumping from <10% in 2020 to >30% by early 2024.
Why? Likely linked to our increased use of doxycycline both for STI treatment and DoxyPEP.
#MedSky #IDSky
www.nejm.org/doi/full/10....
Why? Likely linked to our increased use of doxycycline both for STI treatment and DoxyPEP.
#MedSky #IDSky
www.nejm.org/doi/full/10....
Expansion of tetM-Carrying Neisseria gonorrhoeae in the United States, 2018–2024 | NEJM
During 2018–2024, the percentage of N. gonorrhoeae isolates carrying tetM, which confers
tetracycline resistance, increased from less than 10% to more than 30% across the
United States.
www.nejm.org
July 11, 2025 at 12:24 PM
New @nejm.org report shows a rapid rise in tetM-carrying Neisseria gonorrhoeae strains in the U.S. jumping from <10% in 2020 to >30% by early 2024.
Why? Likely linked to our increased use of doxycycline both for STI treatment and DoxyPEP.
#MedSky #IDSky
www.nejm.org/doi/full/10....
Why? Likely linked to our increased use of doxycycline both for STI treatment and DoxyPEP.
#MedSky #IDSky
www.nejm.org/doi/full/10....
Reposted by Andrea Chittle MD MPH CCFP
“Desperate, hungry people in Gaza continue to face the inhumane choice of either starving to death or risk being killed while trying to get food.”
Israeli Soldiers Killed at Least 410 People at Food Aid Sites in Gaza This Month
The U.S.-backed system for food aid in Gaza is a “tactical intervention in humanitarian wrapping,” per an Israeli professor.
interc.pt
June 29, 2025 at 7:05 PM
“Desperate, hungry people in Gaza continue to face the inhumane choice of either starving to death or risk being killed while trying to get food.”
‘In these harrowing days of calculated overwhelm, our job is to resist consent manufacturing and calls to craven acquiescence.’ - Kaveh Akbar
June 22, 2025 at 2:32 PM
‘In these harrowing days of calculated overwhelm, our job is to resist consent manufacturing and calls to craven acquiescence.’ - Kaveh Akbar
Reposted by Andrea Chittle MD MPH CCFP
"I asked ChatGPT" "I asked Grok" ok well I asked Gandalf and he said he has not passed through fire and death to bandy crooked words with a witless worm
June 19, 2025 at 12:42 PM
"I asked ChatGPT" "I asked Grok" ok well I asked Gandalf and he said he has not passed through fire and death to bandy crooked words with a witless worm
Reposted by Andrea Chittle MD MPH CCFP
call me crazy but I don't think we should.
We’re wasting the remaining carbon budget on war and AI.
Only two years left of world’s carbon budget to meet 1.5C target, scientists warn
Breaching threshold would ramp up catastrophic weather events, further increasing human suffering
www.theguardian.com
June 19, 2025 at 11:35 PM
call me crazy but I don't think we should.
I came across this post by @mollyhoushgordon.bsky.social this am & it resonated deeply:
June 11, 2025 at 11:18 AM
I came across this post by @mollyhoushgordon.bsky.social this am & it resonated deeply:
Reposted by Andrea Chittle MD MPH CCFP
A friend just asked me what I do to stay hopeful and I told him one of my favorite strategies…I stay hopeful by remembering that no one has any idea what the fuck is going to happen, so as long as we don’t know, we gotta do what we can.
June 11, 2025 at 3:35 AM
A friend just asked me what I do to stay hopeful and I told him one of my favorite strategies…I stay hopeful by remembering that no one has any idea what the fuck is going to happen, so as long as we don’t know, we gotta do what we can.
Reposted by Andrea Chittle MD MPH CCFP
"My name is Greta Thunberg and I am from Sweden. If you see this video, we have been intercepted and kidnapped in international waters by the Israeli occupational forces, or forces that support Israel."
June 9, 2025 at 12:52 AM
"My name is Greta Thunberg and I am from Sweden. If you see this video, we have been intercepted and kidnapped in international waters by the Israeli occupational forces, or forces that support Israel."
Reposted by Andrea Chittle MD MPH CCFP
The crew of the Madleen deserves all of our love and solidarity. They knew they were on a dangerous path, but also understood the necessity of trying. The siege of Gaza must end, aid must be delivered, and the crew of the Madleen must be freed.
June 9, 2025 at 1:01 AM
The crew of the Madleen deserves all of our love and solidarity. They knew they were on a dangerous path, but also understood the necessity of trying. The siege of Gaza must end, aid must be delivered, and the crew of the Madleen must be freed.
Reposted by Andrea Chittle MD MPH CCFP
Update from Freedom Flotilla Coalition Press Officer, Hay Sha Wiya: "The Madleen is currently under assault in international waters. Quadcopters are surrounding the ship, spraying it with a white paint-like substance. Communications are jammed, and disturbing sounds are being played over the radio."
June 9, 2025 at 12:27 AM
Update from Freedom Flotilla Coalition Press Officer, Hay Sha Wiya: "The Madleen is currently under assault in international waters. Quadcopters are surrounding the ship, spraying it with a white paint-like substance. Communications are jammed, and disturbing sounds are being played over the radio."
After hearing this incredible lecture by @ruha9.bsky.social, I began listening to the audiobook of ‘Viral Justice’. What a brilliant tome.
'Seemingly small steps in the direction of fascism or freedom matter' - @ruha9.bsky.social
June 6, 2025 at 1:14 PM
After hearing this incredible lecture by @ruha9.bsky.social, I began listening to the audiobook of ‘Viral Justice’. What a brilliant tome.
Reposted by Andrea Chittle MD MPH CCFP
The humanitarian situation in Gaza is beyond catastrophic.
Over 600 days of hostilities, coupled with severe restrictions on the entry and distribution of humanitarian relief, continue to inflict immense & widespread suffering on civilians.
Read more: http://ms.spr.ly/63326ScHaY
Over 600 days of hostilities, coupled with severe restrictions on the entry and distribution of humanitarian relief, continue to inflict immense & widespread suffering on civilians.
Read more: http://ms.spr.ly/63326ScHaY
May 30, 2025 at 7:53 AM
The humanitarian situation in Gaza is beyond catastrophic.
Over 600 days of hostilities, coupled with severe restrictions on the entry and distribution of humanitarian relief, continue to inflict immense & widespread suffering on civilians.
Read more: http://ms.spr.ly/63326ScHaY
Over 600 days of hostilities, coupled with severe restrictions on the entry and distribution of humanitarian relief, continue to inflict immense & widespread suffering on civilians.
Read more: http://ms.spr.ly/63326ScHaY
Heartened to see @cmadocs.bsky.social dusting off its capacity for moral clarity & taking principled action.
I support this challenge.
However, given CMA’s refusal to decry the targeted destruction of Gaza’s health system & workers, I’m redirecting my 2025 annual dues to @egalecanada.bsky.social.
I support this challenge.
However, given CMA’s refusal to decry the targeted destruction of Gaza’s health system & workers, I’m redirecting my 2025 annual dues to @egalecanada.bsky.social.
Everyone deserves access to health care and the support of medical professionals without interference from the government. Egale welcomes @cmadocs.bsky.social's legal action in AB challenging the constitutionality of Bill 26, which denies medically-necessary carefor gender diverse youth.
May 29, 2025 at 11:28 AM
Heartened to see @cmadocs.bsky.social dusting off its capacity for moral clarity & taking principled action.
I support this challenge.
However, given CMA’s refusal to decry the targeted destruction of Gaza’s health system & workers, I’m redirecting my 2025 annual dues to @egalecanada.bsky.social.
I support this challenge.
However, given CMA’s refusal to decry the targeted destruction of Gaza’s health system & workers, I’m redirecting my 2025 annual dues to @egalecanada.bsky.social.
Reposted by Andrea Chittle MD MPH CCFP
Palestinians deserve to live. Palestinians deserve to live with dignity. Palestinians deserve to live with food, water, shelter, and proper medical care. Palestinians deserve to live with freedom from occupation and apartheid.
May 27, 2025 at 12:55 AM
Palestinians deserve to live. Palestinians deserve to live with dignity. Palestinians deserve to live with food, water, shelter, and proper medical care. Palestinians deserve to live with freedom from occupation and apartheid.
Reposted by Andrea Chittle MD MPH CCFP
By now
you have heard
that the pandemic is over,
indeed, by now
everyone has heard
that the pandemic is over,
and yet the new variant
is a reminder
that even though
everyone has heard
that the pandemic is over,
the virus isn’t listening.
you have heard
that the pandemic is over,
indeed, by now
everyone has heard
that the pandemic is over,
and yet the new variant
is a reminder
that even though
everyone has heard
that the pandemic is over,
the virus isn’t listening.
May 28, 2025 at 7:14 PM
By now
you have heard
that the pandemic is over,
indeed, by now
everyone has heard
that the pandemic is over,
and yet the new variant
is a reminder
that even though
everyone has heard
that the pandemic is over,
the virus isn’t listening.
you have heard
that the pandemic is over,
indeed, by now
everyone has heard
that the pandemic is over,
and yet the new variant
is a reminder
that even though
everyone has heard
that the pandemic is over,
the virus isn’t listening.
'Seemingly small steps in the direction of fascism or freedom matter' - @ruha9.bsky.social
May 24, 2025 at 1:51 PM
'Seemingly small steps in the direction of fascism or freedom matter' - @ruha9.bsky.social