Andrea Chittle MD MPH CCFP
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andreachittle.medsky.social
Andrea Chittle MD MPH CCFP
@andreachittle.medsky.social
450 followers 1.3K following 35 posts
Passionate about public health, with a focus on demystifying The Great Mimicker (syphilis). Settler in Treaty 3 Territory. Opinions are my own. (she | her)
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andreachittle.medsky.social
I came across this post by @mollyhoushgordon.bsky.social this am & it resonated deeply:
Screen shot of a post by Molly Housh Gordon. It reads: Here’s one other thing. I think humans in Western cultures often need to feel like there is an upward arc to history, and some promised arrival, in order for there to be meaning in our lives. But the place we are going is just around the sun on a miracle of a planet. And I want to tell you that we are still alive in the world that is so beautiful and so brutal all at once, and always has been. And it is all drenched in meaning no matter where it’s headed, and it matters that we love each other well and that we drink up the beauty and resist the brutality. It matters.
June 11, 2025 at 11:18 AM
andreachittle.medsky.social
Spotted in London, Ontario.

In case you’re confused and looking for a clear & logical rationale for vaccination, it might be helpful to know that:
🔴 measles is spreading in southwestern Ontario; and,
🔴 measles is an *airborne*, highly contagious & deadly virus.
A photo of an advertisement paid for by the Government of Ontario is depicted. The words ‘Share hugs, not measles.’ are in large, bold text on the left side of the ad, followed by the message ‘The measles vaccine is safe and effective and can provide life-long protection.’ On the right side of the add is an accompanying image of a man seated on a couch, with 2 young children climbing on his back. Everyone appears to be having fun, and no one has an obvious rash. At the bottom, a url is provided to the site Ontario.ca/measles, and the Ontario government logo is displayed.
May 18, 2025 at 5:18 PM
andreachittle.medsky.social
Counterpoint: we could alternatively do less-than-nothing at all, and see how it all shakes out?

CO2 depicted is from a funeral home in Essex County, ON. Is there an ongoing outbreak of a highly infectious pathogen in the area? 🤷‍♀️
May 7, 2025 at 12:34 PM
andreachittle.medsky.social
GIF of David from Schitt’s Creek, sporting an absolutely scathing expression, and saying ‘that’s a hard pass’, with ‘hard pass’ emphasized.
February 14, 2025 at 1:08 AM
andreachittle.medsky.social
A gif of Canadian PM Justin Trudeau at a presser outside Rideau Cottage, circa March 2020, with a closed caption that reads ‘speaking moistly’
November 30, 2024 at 5:44 PM
andreachittle.medsky.social
A travel-related case of mpox clade Ib has been confirmed in Manitoba.

Read PHAC’s statement here:
www.canada.ca/en/public-he...
November 23, 2024 at 6:55 PM
andreachittle.medsky.social
A visual staging guide
(⚠️ contains clinical images) (www.canada.ca/en/public-he...):
A screen shot of an infographic titled ‘Staging a syphilis infection in adolescents and adults: selected physical exam findings.’ An image of a human body is depicted, with text boxes linked to different anatomical areas. The text boxes include lists of selected signs and symptoms of syphilis and the syphilis stage that corresponds with those signs and symptoms.
November 23, 2024 at 2:52 PM
andreachittle.medsky.social
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/...):
Image is a screenshot of a flowsheet titled ‘Simplified algorithm for clinical syphilis staging and treatment in adolescents and adults’. It begins with ‘test results’, then considers clinical signs and symptoms to determine the individual’s ‘clinical stage’ of syphilis, and then indicates the corresponding recommended intervention (consultation for assessment of neurosyphilis or first-line antimicrobial treatment regimen for primary, secondary, or latent syphilis)
November 23, 2024 at 2:52 PM