Thread by @cmclymer, Ahead of tonight's VP debate + COVID, a reminder that Mike Pence [...]

Ahead of tonight's VP debate + COVID, a reminder that Mike Pence is responsible for the single biggest outbreak of HIV in the history of Indiana -- so infamous were his actions that he's literally the subject of several case studies on poor leadership in public health.

#VPDebate

"Pence’s handling of the Indiana HIV outbreak is a case study in mismanagement of a public health crisis... [giving] Austin, Indiana with a population of around 4,200, a higher HIV incidence than 'any country in sub-Saharan Africa,' said Dr. Tom Frieden." https://www.politico.com/news/magazine/2020/03/02/how-mike-pence-made-indianas-hiv-outbreak-worse-118648

How Mike Pence Made Indiana’s HIV Outbreak Worse

The vice president claims success tamping down HIV. Now he’s leading Trump’s coronavirus response. We studied what he did as governor, and it’s not encouraging.

https://www.politico.com/news/magazine/2020/03/02/how-mike-pence-made-indianas-hiv-outbreak-worse-118648

"Infections... peaked at 126 around Jan 10, 2015, over 2 months before [Pence] declared a public health emergency... Initiation of a response on Jan 1, 2013, could have suppressed the number of infections to 56 or fewer, averting at least 127 infections" https://www.thelancet.com/journals/lanhiv/article/PIIS2352-3018(18)30176-0/fulltext#seccestitle150

Dynamics of the HIV outbreak and response in Scott County, IN, USA, 2011–15: a modelling study

Early and robust surveillance efforts and case finding alone could reduce nascent epidemics. Ensuring access to HIV services and harm-reduction interventions could further reduce the likelihood of...

https://www.thelancet.com/journals/lanhiv/article/PIIS2352-3018(18)30176-0/fulltext#seccestitle150

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