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Edward Nirenberg

@enirenberg.bsky.social

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Views my own, but you can borrow them if you feel so inclined. Anti-disease. Negentropy hunter. Kosmotropophile. Big Nerd Energy. “A homework person.” Fun at parties. Antibody hoarder. “Problematically literate.” he/him

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Edward Nirenberg·Jun 26

Some people think this is an exaggeration but I will say that if I were HHS Secretary and my goal were to kill as many children as possible, it would be difficult to distinguish the actions I would take from those that Kennedy has taken.

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Edward Nirenberg avatar
Edward Nirenberg·Sep 7

Claiming that routine immunization requirements for school are an issue of parental rights dehumanizes children. Kids have intrinsic rights just as anyone, and parents are obligated to provide the best care possible for them. That includes providing them with indicated medical interventions.

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Edward Nirenberg·Sep 6

Aside from the incredibly flimsy evidence claiming a link between ASD and acetaminophen use in pregnancy, there is something remarkably cruel about effectively trying to restrict one of very few pain medications that are known to be safe in pregnancy.

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Latest posts

Edward Nirenberg avatar
Edward Nirenberg·3h

I hate how consistently the best way for me to figure out what I should write when I have no idea what to write is to just start writing it. It literally always works. And I forget that it works every time.

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Edward Nirenberg·1d

I'd like to take a second to explain all the ways that this comment is disqualifying as a marker of legitimate expertise in vaccination. 🧵 www.nytimes.com./2026/04/09/h...

In his petition to Dr. Bhattacharya, Mr. Siri similarly argued that vaccines that blunt illness but do not prevent infection or transmission do not have an impact more broadly on the population, so individuals should be free to choose for themselves whether they wish to be immunized. He included in this category vaccines against polio, tetanus and human papillomavirus or HPV.
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Edward Nirenberg·1d

I am begging people to stop using "optional" as a shorthand for "shared clinical decision-making" (SCDM) or "individual decision-making" when describing vaccine recommendations. They aren't synonyms, and describing them this way is misleading. yourlocalepidemiologist.substack.com/p/shared-dec...

Instead, when a doctor says “shared clinical decision-making,” they’re usually referring to something very specific: a situation where the medical evidence does not give one clear recommendation, and there are multiple treatment options to choose from. When that happens, “shared clinical decision-making” is how physicians approach walking the patient through the different treatment options to come to a decision.

This phrase, in medical terms, isn’t just about involving parents in decisions—it implies that no clear medical recommendation exists. It refers to this very specific situation, and typically isn’t used to describe patient involvement in decisions generally.

The rhetorical twist: Many of the vaccines on the childhood immunization schedule were changed from “recommended” to “shared clinical decision-making.” On the surface, this sounds like it’s empowering parents by encouraging them to be involved in decision-making, but again, that’s not what this phrase typically means. Instead, in medical terms, this shift in language implies that there isn’t a clear recommendation for these vaccines, contrary to the data. It gives the appearance of supporting parent autonomy while undermining vaccine recommendations. It also has behind-the-scenes implications for physicians and clinics, such as time spent charting in your medical record, ordering vaccines so they are readily available to you, automatic reminders, and more.
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Edward Nirenberg·2d

The new ACIP charter includes liaison memberships for the Association of American Physicians and Surgeons, Physicians for Informed Consent, and the Independent Medical Alliance. None of these are expert societies and all of them have a history of disseminating antivaccine propaganda.

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Edward Nirenberg·2d

I had a question about how a dietary factor is proposed to promote inflammation and I am now in a mucosal immunology black hole (I may or may not write about some of the most interesting aspects at some point, probably contingent on feedback from subject matter experts)

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Edward Nirenberg·Apr 1

This is a really disappointing turn of events. I wish people would slow down a bit before reacting on social media. People are more reasonable than our least charitable interpretations of them would imply them to be.

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