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"Public health, specifically epidemiology, is beginning to reorient away from bespoke approaches to outbreak response towards the structured processes characteristic of high-reliability industries," Caitlin Rivers writes. wired.com/story/global-p…

Biden faltered on bird flu. Here’s how Trump can course-correct. Read more from Scott Gottlieb, MD 🇺🇸 and Luciana Borio, MD: wapo.st/4j05cRa

We're coming up on a year since H5N1 began circulating in dairy cows. Not sure we're any closer to control. There's more to do yet.

COVID wastewater levels are on the rise. The national average is high & the midwest is very high. If you're not already, now is the time to re-start wearing high quality masks in public places & testing before you visit high risk individuals. Image from Caitlin Rivers's newsletter.

"Public health has no choice but to adapt," writes Johns Hopkins Center for Health Security's @CMYeaton. "Although new technologies like mRNA vaccine platforms and at-home testing are expanding our arsenal against outbreaks, we cannot rely solely on these biomedical countermeasures." wired.com/story/global-p…

States are passing anti-vax laws despite vaccines saving an estimated 150 million children's lives over the last 50 years. One of several reasons we can't afford to keep epidemiology the "hidden science." I spoke with Caitlin Rivers (Caitlin Rivers) to learn about ending the cycle.

NEW: Bird flu almost killed this13-year-old girl. “You can only survive if you’re that sick in a modern pediatric ICU,” one doctor said. This is what doctors and public health experts fear if H5N1 explodes into a pandemic. My story. washingtonpost.com/health/2025/01…

I visited all 50 state health department websites to collect outpatient flu data... and found that activity has rebounded. caitlinrivers.substack.com/p/outbreak-out…

Flu season is in full force in NYC. Cases continue to increase, and current reported cases are higher than during peaks in previous years. Make sure you're protected from severe illness! If you still need your flu vaccine, make an appointment today: nyc.gov/flu

My public library had DOZENS of people in line to file a passport application today. It's easily 4x as many people as I have ever seen waiting before.

If you feel like everyone is sick right now, you are right. Flu is doing something unusual - outpatient visits just hit 7.0%, surpassing January's peak. substack.com/home/post/p-15…

“NIH is accordingly imposing a standard indirect cost rate on all grants of 15%...This policy shall be applied to all current grants for go forward expenses from February 10, 2025 forward as well as for all new grants issued." grants.nih.gov/grants/guide/n…

Trump's proposal is ILLEGAL & amounts to an indiscriminate funding cut for research centers of all sizes, NOT just Ivies. It will mean shuttering labs across the country, layoffs in red & blue states, & derailing lifesaving research on everything from cancer to opioid addiction.

Strong pick for a critical national security role in the White House: Gerald Parker, a health and security official, will lead the White House Office of Pandemic Preparedness and Response - he has extensive national security experience in the health realm finance.yahoo.com/news/trump-tea…

There is very little that Americans can agree on these days. Not religion, not sports, and certainly not politics. But there is one thing nearly everyone agrees on: Vaccines are good. (Gift link) nytimes.com/2025/02/16/opi…

Over 20 years ago FDA directed manufacturers to reformulate pediatric vaccines by removing thimerosal, an ethylmercury-based preservative previously used in multi-dose vials. In response, vaccines like Hib and DTaP shifted to single-dose vials, eliminating need for preservatives

NEW from me: Bird flu has long been a top contender for starting the next pandemic. America has been lucky so far. But how long will its luck last? nytimes.com/2025/03/25/opi…

How will the Trump Administration handle the next public health emergency? A lot will fall to state and local governments, and individuals. I have some ideas for how to make that successful.

If you liked 🐢🐢🐢John Green🐢🐢🐢's fantastic book Everything is Tuberculosis, you may enjoy my book Crisis Averted: The Hidden Science of Fighting Outbreaks, which also looks at the push and pull of social and political forces in outbreaks. penguinrandomhouse.com/books/704843/c…

If you liked 🐢🐢🐢John Green🐢🐢🐢's fantastic book Everything is Tuberculosis, you may enjoy my book Crisis Averted: The Hidden Science of Fighting Outbreaks, which also looks at the push and pull of social and political forces in outbreaks. from Viking Books penguinrandomhouse.com/books/704843/c…