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It’s important that people understand HIV diagnosis and treatment in rural areas very different than in urban. Stigma and other factors play a big role. I am fighting to ensure rural (as well as urban) America is represented in our current policies and actions.
But I 
how so many people who have never been to Scott County or tried to implement public health interventions in rural communities- much less ones involving stigmatized diseases, unheard of outbreaks, & controversial interventions, weigh in so definitively on the response.
As a biostatistician from rural Kentucky, with family just a county over from the outbreak, that has helped with on-the-ground HIV prevention efforts back home, I feel uniquely qualified in telling you, the surgeon general, to delete this awful condescending tweet.
"All our critics know nothing" is such a weak response that's far below the dignity of the office, but lack of service with dignity is a recurrent theme in this entire administration. It's just unfortunate to see the rot extends to the surgeon general's office.
Actually, you don't get to run your mouth like this.
You know full well there were alternatives, warnings, guidelines, & policies that could help.
Republicans just don't like the truth.
We need safe infection sites/needle exchanges.
Free prEP, PEP, & prophylaxis.
&
#m4a
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(Fauci) has said the tools exist to end the epidemic right now. VIDEO: NIH’s HIV Chief on Ending the AIDS Epidemic
