Greg Fell
@felly500.bsky.social
DPH Sheffield Council.
President ADPHUK.
Barely active climber and below average cyclist. Fond of - 80s thrash metal.
Blog - https://gregfellpublichealth.wordpress.com/
President ADPHUK.
Barely active climber and below average cyclist. Fond of - 80s thrash metal.
Blog - https://gregfellpublichealth.wordpress.com/
open.spotify.com/episode/2qDh...
Hoffman and McClintock
corporate culture
and how car dominance started
Hoffman and McClintock
corporate culture
and how car dominance started
The Creation of America's Car Culture
open.spotify.com
November 15, 2025 at 7:30 PM
open.spotify.com/episode/2qDh...
Hoffman and McClintock
corporate culture
and how car dominance started
Hoffman and McClintock
corporate culture
and how car dominance started
intouch.kcl.ac.uk/countering-m...
The misinformation epidemic
the spread of digital misinformation as one of the most serious threats to human society.
King's researchers have found a surprisingly fun way to strengthen our defenses against it
The misinformation epidemic
the spread of digital misinformation as one of the most serious threats to human society.
King's researchers have found a surprisingly fun way to strengthen our defenses against it
The Misinformation Epidemic
What’s the difference between misinformation and disinformation?
intouch.kcl.ac.uk
November 13, 2025 at 10:01 PM
intouch.kcl.ac.uk/countering-m...
The misinformation epidemic
the spread of digital misinformation as one of the most serious threats to human society.
King's researchers have found a surprisingly fun way to strengthen our defenses against it
The misinformation epidemic
the spread of digital misinformation as one of the most serious threats to human society.
King's researchers have found a surprisingly fun way to strengthen our defenses against it
www.theguardian.com/society/2025...
Private care providers in three English regions make £250m in three years
More than third of profits analysed went to firms owned by private equity or based in tax havens, research finds
Private care providers in three English regions make £250m in three years
More than third of profits analysed went to firms owned by private equity or based in tax havens, research finds
Private care providers in three English regions make £250m in three years
More than third of profits analysed went to firms owned by private equity or based in tax havens, research finds
www.theguardian.com
November 12, 2025 at 9:00 PM
www.theguardian.com/society/2025...
Private care providers in three English regions make £250m in three years
More than third of profits analysed went to firms owned by private equity or based in tax havens, research finds
Private care providers in three English regions make £250m in three years
More than third of profits analysed went to firms owned by private equity or based in tax havens, research finds
www.bmj.com/content/391/...
Proposed changes to alcohol licensing
Growth for whom, and at what cost
Liberalising licensing is not a neutral act. It is a policy decision to prioritise commercial interests and shift any costs to already overstretched health, emergency, and social care systems
Proposed changes to alcohol licensing
Growth for whom, and at what cost
Liberalising licensing is not a neutral act. It is a policy decision to prioritise commercial interests and shift any costs to already overstretched health, emergency, and social care systems
Proposed changes to alcohol licensing should make us question whose interests we’re serving in the name of growth
Increasing the consumption of harmful products is the opposite of healthy or productive growth, say Nason Maani and colleagues
Preventable ill health is at the heart of the challenges facing this co...
www.bmj.com
November 12, 2025 at 8:58 PM
www.bmj.com/content/391/...
Proposed changes to alcohol licensing
Growth for whom, and at what cost
Liberalising licensing is not a neutral act. It is a policy decision to prioritise commercial interests and shift any costs to already overstretched health, emergency, and social care systems
Proposed changes to alcohol licensing
Growth for whom, and at what cost
Liberalising licensing is not a neutral act. It is a policy decision to prioritise commercial interests and shift any costs to already overstretched health, emergency, and social care systems
Commercial determinants of active travel: a crucial but overlooked barrier to health and sustainability
but NOBODY oppposes physical activity?
oh but they do
this is very good
www.thelancet.com/journals/lan...
but NOBODY oppposes physical activity?
oh but they do
this is very good
www.thelancet.com/journals/lan...
November 11, 2025 at 2:21 PM
Commercial determinants of active travel: a crucial but overlooked barrier to health and sustainability
but NOBODY oppposes physical activity?
oh but they do
this is very good
www.thelancet.com/journals/lan...
but NOBODY oppposes physical activity?
oh but they do
this is very good
www.thelancet.com/journals/lan...
Poverty and death in the wealthiest of nations
www.thelancet.com/journals/lan...
2 studies are reminders of interplay between poverty, economic policy snd heealth outcomes
Swift
www.thelancet.com/journals/lan...
Colvin
www.thelancet.com/journals/lan...
www.thelancet.com/journals/lan...
2 studies are reminders of interplay between poverty, economic policy snd heealth outcomes
Swift
www.thelancet.com/journals/lan...
Colvin
www.thelancet.com/journals/lan...
Poverty and death in the wealthiest of nations
The USA is a rich nation in poor health. Until about 1980, the mortality rate differed
little from other high-income nations; by 2019, it was 24% higher than peer nations.1
What happened in the interi...
www.thelancet.com
November 9, 2025 at 4:39 PM
Poverty and death in the wealthiest of nations
www.thelancet.com/journals/lan...
2 studies are reminders of interplay between poverty, economic policy snd heealth outcomes
Swift
www.thelancet.com/journals/lan...
Colvin
www.thelancet.com/journals/lan...
www.thelancet.com/journals/lan...
2 studies are reminders of interplay between poverty, economic policy snd heealth outcomes
Swift
www.thelancet.com/journals/lan...
Colvin
www.thelancet.com/journals/lan...
2025 Lancet Countdown on health & climate change
www.thelancet.com/journals/lan...
plenty of countries that spend significantly more on fossil fuel subsidies than their healthcare budget
Esp see heat related mortality indicator (new)
& air quality related mortality from burning fossil fuel
www.thelancet.com/journals/lan...
plenty of countries that spend significantly more on fossil fuel subsidies than their healthcare budget
Esp see heat related mortality indicator (new)
& air quality related mortality from burning fossil fuel
The 2025 report of the Lancet Countdown on health and climate change
Driven by human-caused greenhouse gas emissions, climate change is increasingly claiming
lives and harming people's health worldwide. Mean annual temperatures exceeded 1·5°C
above those of pre-industr...
www.thelancet.com
November 9, 2025 at 3:46 PM
2025 Lancet Countdown on health & climate change
www.thelancet.com/journals/lan...
plenty of countries that spend significantly more on fossil fuel subsidies than their healthcare budget
Esp see heat related mortality indicator (new)
& air quality related mortality from burning fossil fuel
www.thelancet.com/journals/lan...
plenty of countries that spend significantly more on fossil fuel subsidies than their healthcare budget
Esp see heat related mortality indicator (new)
& air quality related mortality from burning fossil fuel
Reposted by Greg Fell
IHME GBD do not report increasing cancer incidence in 15–49 in e.g. SE or US. But they do rather complex modeling on official statistics.
ourworldindata.org/grapher/canc...
ourworldindata.org/grapher/canc...
Cancer incidence rate by age group
Estimated number of new cancer cases per 100,000 people, in a given year.
ourworldindata.org
November 8, 2025 at 2:11 PM
IHME GBD do not report increasing cancer incidence in 15–49 in e.g. SE or US. But they do rather complex modeling on official statistics.
ourworldindata.org/grapher/canc...
ourworldindata.org/grapher/canc...
Reposted by Greg Fell
Such a fab graph. A whole story re: waste of resources and needless anxiety in 3 lines.
November 8, 2025 at 12:38 PM
Such a fab graph. A whole story re: waste of resources and needless anxiety in 3 lines.
impact of mandatory front-of-pack nutrition labelling policies on obesity prevalence
www.sciencedirect.com/science/arti...
Hmmm
Yes maybe but NB:
modelling assumptions
Equity impact
Allows policy system to avoid or delay harder (? More impactful) regulatory choices.
The limits of labels.....
www.sciencedirect.com/science/arti...
Hmmm
Yes maybe but NB:
modelling assumptions
Equity impact
Allows policy system to avoid or delay harder (? More impactful) regulatory choices.
The limits of labels.....
The estimated impact of mandatory front-of-pack nutrition labelling policies on adult obesity prevalence and obesity-related mortality in England: a modelling study
Since 2013, front-of-pack traffic light labels have been implemented voluntarily on packaged food in the UK. The UK Government is now considering alte…
www.sciencedirect.com
November 8, 2025 at 9:49 AM
impact of mandatory front-of-pack nutrition labelling policies on obesity prevalence
www.sciencedirect.com/science/arti...
Hmmm
Yes maybe but NB:
modelling assumptions
Equity impact
Allows policy system to avoid or delay harder (? More impactful) regulatory choices.
The limits of labels.....
www.sciencedirect.com/science/arti...
Hmmm
Yes maybe but NB:
modelling assumptions
Equity impact
Allows policy system to avoid or delay harder (? More impactful) regulatory choices.
The limits of labels.....
jamanetwork.com/journals/jam...
The Rise in Early-Onset Cancer in the US Population - More Apparent Than Real
Epidemiology 101
All screening does harm, some screening does good etc
Here is a telling example of harm
And we wonder why there is a crisis in workload and workforce in cancer care
The Rise in Early-Onset Cancer in the US Population - More Apparent Than Real
Epidemiology 101
All screening does harm, some screening does good etc
Here is a telling example of harm
And we wonder why there is a crisis in workload and workforce in cancer care
November 8, 2025 at 9:36 AM
jamanetwork.com/journals/jam...
The Rise in Early-Onset Cancer in the US Population - More Apparent Than Real
Epidemiology 101
All screening does harm, some screening does good etc
Here is a telling example of harm
And we wonder why there is a crisis in workload and workforce in cancer care
The Rise in Early-Onset Cancer in the US Population - More Apparent Than Real
Epidemiology 101
All screening does harm, some screening does good etc
Here is a telling example of harm
And we wonder why there is a crisis in workload and workforce in cancer care
Food industry corporate greenwashing
www.foodpolitics.com/2025/10/food...
Comparing promises ("we will be good", "we care") with actions
"food companies have no market incentive to reduce their environmental impact if it is going to raise their costs".
www.foodpolitics.com/2025/10/food...
Comparing promises ("we will be good", "we care") with actions
"food companies have no market incentive to reduce their environmental impact if it is going to raise their costs".
November 8, 2025 at 9:35 AM
Food industry corporate greenwashing
www.foodpolitics.com/2025/10/food...
Comparing promises ("we will be good", "we care") with actions
"food companies have no market incentive to reduce their environmental impact if it is going to raise their costs".
www.foodpolitics.com/2025/10/food...
Comparing promises ("we will be good", "we care") with actions
"food companies have no market incentive to reduce their environmental impact if it is going to raise their costs".
www.sciencemediacentre.org/expert-react...
These figures vindicate UK tobacco policy over the past 15 years, with the transition to vaping leading to unprecedented reductions in smoking prevalence, especially among young people
Now apply the same methods to alcohol, obesity, gambling
Overdue!!
These figures vindicate UK tobacco policy over the past 15 years, with the transition to vaping leading to unprecedented reductions in smoking prevalence, especially among young people
Now apply the same methods to alcohol, obesity, gambling
Overdue!!
expert reaction to ONS stats on adult smoking habits in the UK for 2024 | Science Media Centre
www.sciencemediacentre.org
November 4, 2025 at 9:29 PM
www.sciencemediacentre.org/expert-react...
These figures vindicate UK tobacco policy over the past 15 years, with the transition to vaping leading to unprecedented reductions in smoking prevalence, especially among young people
Now apply the same methods to alcohol, obesity, gambling
Overdue!!
These figures vindicate UK tobacco policy over the past 15 years, with the transition to vaping leading to unprecedented reductions in smoking prevalence, especially among young people
Now apply the same methods to alcohol, obesity, gambling
Overdue!!
Reposted by Greg Fell
Regulatory capture & UK alcohol licensing review
There is currently a call for evidence from stakeholders on reforming the licensing system
www.gov.uk/government/c...
I have written a bit on why this matters here
gregfellpublichealth.wordpress.com/2025/10/29/r...
There is currently a call for evidence from stakeholders on reforming the licensing system
www.gov.uk/government/c...
I have written a bit on why this matters here
gregfellpublichealth.wordpress.com/2025/10/29/r...
Reforming the licensing system
Seeking views and evidence to develop a modern, proportionate and enabling licensing system under the Licensing Act 2003.
www.gov.uk
October 29, 2025 at 8:30 PM
Regulatory capture & UK alcohol licensing review
There is currently a call for evidence from stakeholders on reforming the licensing system
www.gov.uk/government/c...
I have written a bit on why this matters here
gregfellpublichealth.wordpress.com/2025/10/29/r...
There is currently a call for evidence from stakeholders on reforming the licensing system
www.gov.uk/government/c...
I have written a bit on why this matters here
gregfellpublichealth.wordpress.com/2025/10/29/r...
Reposted by Greg Fell
Been asked alot in recent weeks on my views on polluter pays principle from a PH⁰ viewpoint
Seems intuitively attractive
there is small print
I set out my view on the small print here, ending with 4 tests
gregfellpublichealth.wordpress.com/2024/10/09/t...
TLDR = tread (very) carefully
Seems intuitively attractive
there is small print
I set out my view on the small print here, ending with 4 tests
gregfellpublichealth.wordpress.com/2024/10/09/t...
TLDR = tread (very) carefully
The Polluter Pays Principle: handle with care
The Polluter Pays Principle: handle with care This is a long set of notes but it has a core set of messages – know the evidence, nuance matters and ask who ultimately benefits and in what way?. I s…
gregfellpublichealth.wordpress.com
October 29, 2025 at 8:42 PM
Been asked alot in recent weeks on my views on polluter pays principle from a PH⁰ viewpoint
Seems intuitively attractive
there is small print
I set out my view on the small print here, ending with 4 tests
gregfellpublichealth.wordpress.com/2024/10/09/t...
TLDR = tread (very) carefully
Seems intuitively attractive
there is small print
I set out my view on the small print here, ending with 4 tests
gregfellpublichealth.wordpress.com/2024/10/09/t...
TLDR = tread (very) carefully
Does Adult Social Care boost local economies in England?
Yes
- an extra £1,000 spent per client increased local economic output by £216 in the short run and £670 in the long run
- Our findings challenge the idea that ASC is mainly a financial burden on society
www.york.ac.uk/media/che/do...
Yes
- an extra £1,000 spent per client increased local economic output by £216 in the short run and £670 in the long run
- Our findings challenge the idea that ASC is mainly a financial burden on society
www.york.ac.uk/media/che/do...
www.york.ac.uk
October 30, 2025 at 8:20 AM
Does Adult Social Care boost local economies in England?
Yes
- an extra £1,000 spent per client increased local economic output by £216 in the short run and £670 in the long run
- Our findings challenge the idea that ASC is mainly a financial burden on society
www.york.ac.uk/media/che/do...
Yes
- an extra £1,000 spent per client increased local economic output by £216 in the short run and £670 in the long run
- Our findings challenge the idea that ASC is mainly a financial burden on society
www.york.ac.uk/media/che/do...
Are online alcohol marketing restrictions warranted
www.thelancet.com/journals/lan...
Yes
Next question
www.thelancet.com/journals/lan...
Yes
Next question
Are online alcohol marketing restrictions warranted?
Alcohol marketing is ubiquitous worldwide. In most countries, alcohol companies self-regulate
their marketing, a practice promoted by industry1 but considered ineffective in most
circumstances.2
www.thelancet.com
October 29, 2025 at 10:41 PM
Are online alcohol marketing restrictions warranted
www.thelancet.com/journals/lan...
Yes
Next question
www.thelancet.com/journals/lan...
Yes
Next question
Been asked alot in recent weeks on my views on polluter pays principle from a PH⁰ viewpoint
Seems intuitively attractive
there is small print
I set out my view on the small print here, ending with 4 tests
gregfellpublichealth.wordpress.com/2024/10/09/t...
TLDR = tread (very) carefully
Seems intuitively attractive
there is small print
I set out my view on the small print here, ending with 4 tests
gregfellpublichealth.wordpress.com/2024/10/09/t...
TLDR = tread (very) carefully
The Polluter Pays Principle: handle with care
The Polluter Pays Principle: handle with care This is a long set of notes but it has a core set of messages – know the evidence, nuance matters and ask who ultimately benefits and in what way?. I s…
gregfellpublichealth.wordpress.com
October 29, 2025 at 8:42 PM
Been asked alot in recent weeks on my views on polluter pays principle from a PH⁰ viewpoint
Seems intuitively attractive
there is small print
I set out my view on the small print here, ending with 4 tests
gregfellpublichealth.wordpress.com/2024/10/09/t...
TLDR = tread (very) carefully
Seems intuitively attractive
there is small print
I set out my view on the small print here, ending with 4 tests
gregfellpublichealth.wordpress.com/2024/10/09/t...
TLDR = tread (very) carefully
Regulatory capture & UK alcohol licensing review
There is currently a call for evidence from stakeholders on reforming the licensing system
www.gov.uk/government/c...
I have written a bit on why this matters here
gregfellpublichealth.wordpress.com/2025/10/29/r...
There is currently a call for evidence from stakeholders on reforming the licensing system
www.gov.uk/government/c...
I have written a bit on why this matters here
gregfellpublichealth.wordpress.com/2025/10/29/r...
Reforming the licensing system
Seeking views and evidence to develop a modern, proportionate and enabling licensing system under the Licensing Act 2003.
www.gov.uk
October 29, 2025 at 8:30 PM
Regulatory capture & UK alcohol licensing review
There is currently a call for evidence from stakeholders on reforming the licensing system
www.gov.uk/government/c...
I have written a bit on why this matters here
gregfellpublichealth.wordpress.com/2025/10/29/r...
There is currently a call for evidence from stakeholders on reforming the licensing system
www.gov.uk/government/c...
I have written a bit on why this matters here
gregfellpublichealth.wordpress.com/2025/10/29/r...
Same storm different boats
hawksmoorpublishing.com/book/same-st...
@jasonstrelitz.bsky.social
Want to know how a public health team works in the middle of a pandemic? This is about as good a telling of the story as you'll find anywhere.
hawksmoorpublishing.com/book/same-st...
@jasonstrelitz.bsky.social
Want to know how a public health team works in the middle of a pandemic? This is about as good a telling of the story as you'll find anywhere.
October 27, 2025 at 8:18 PM
Same storm different boats
hawksmoorpublishing.com/book/same-st...
@jasonstrelitz.bsky.social
Want to know how a public health team works in the middle of a pandemic? This is about as good a telling of the story as you'll find anywhere.
hawksmoorpublishing.com/book/same-st...
@jasonstrelitz.bsky.social
Want to know how a public health team works in the middle of a pandemic? This is about as good a telling of the story as you'll find anywhere.
Bowel cancer rising fastest in under 50s but study challenges “cancer epidemic” in young adults
www.bmj.com/content/391/...
Helpful short summary of the Annals Int Med study
(pubmed.ncbi.nlm.nih.gov/41115281/)
www.bmj.com/content/391/...
Helpful short summary of the Annals Int Med study
(pubmed.ncbi.nlm.nih.gov/41115281/)
Bowel cancer rising fastest in under 50s but study challenges “cancer epidemic” in young adults
Colorectal cancer is the only cancer increasing in younger adults faster than older adults, a large global analysis has found.1
Rising rates of early onset cancer have generated substantial media cov...
www.bmj.com
October 27, 2025 at 8:19 AM
Bowel cancer rising fastest in under 50s but study challenges “cancer epidemic” in young adults
www.bmj.com/content/391/...
Helpful short summary of the Annals Int Med study
(pubmed.ncbi.nlm.nih.gov/41115281/)
www.bmj.com/content/391/...
Helpful short summary of the Annals Int Med study
(pubmed.ncbi.nlm.nih.gov/41115281/)
Shocked I am, shocked 😲
Amazon shy to admit its role in wrecking the planet... www.theguardian.com/technology/2...
Amazon strategised about keeping its datacentres’ full water use secret, leaked document shows
Executives at world’s biggest datacenter owner grappled with disclosing information about water used to help power facilities
www.theguardian.com
October 26, 2025 at 9:19 PM
Shocked I am, shocked 😲
The tobacco and vapes Bill is back in the House of Lords tomorrow
I remain of the view that health impact wise it is the most consequential bill for a generation.
There will be proposed amendments to fatally weaken or kill the bill and some amendments to strengthen it.
1/
I remain of the view that health impact wise it is the most consequential bill for a generation.
There will be proposed amendments to fatally weaken or kill the bill and some amendments to strengthen it.
1/
October 26, 2025 at 7:10 PM
The tobacco and vapes Bill is back in the House of Lords tomorrow
I remain of the view that health impact wise it is the most consequential bill for a generation.
There will be proposed amendments to fatally weaken or kill the bill and some amendments to strengthen it.
1/
I remain of the view that health impact wise it is the most consequential bill for a generation.
There will be proposed amendments to fatally weaken or kill the bill and some amendments to strengthen it.
1/