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You are here: Home / Archives for Healthcare / H5N1 Bird Flu

H5N1 Bird Flu

Plagues & Pandemics Update – December 10, 2025

by Anne Laurie|  December 10, 20255:28 am| 34 Comments

This post is in: COVID-19, H5N1 Bird Flu, Healthcare

The most dangerous

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— Eric Topol (@erictopol.bsky.social) December 2, 2025 at 4:38 PM

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UK: NHS nurse May Parsons, who gave the world’s first COVID shot 5 years ago, is urging people not to forget how life saving vaccines are. With uptake for COVID and flu falling and the UK facing a severe flu season, she warns too many regret declining vaccines when it’s too late.
archive.md/DUM3H

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— Denis – The COVID Info Guy (@thecovidinfoguy.bsky.social) December 8, 2025 at 2:47 AM

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Fewer people are being vaccinated against respiratory diseases
by @LizSzabo
Just 34% of US adults have gotten a flu shot, 25% have had a COVID vaccine, 8% have received the pneumococcal vaccine, and 6% have gotten RSV vax
www.cidrap.umn.edu/a…
Photo: Heather Hazzan, Self

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— CIDRAP (@cidrap.bsky.social) December 5, 2025 at 7:46 AM

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1. #Flu activity is picking up in the US. A 🧵
5 jurisdictions reported high levels of flu activity to #CDC in the week ending 11/29, the week including Thanksgiving. It's conceivable that numbers could jump in the next few weeks, both because of holiday travel & reporting delays due to the holidays

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— Helen Branswell 🇨🇦 (@helenbranswell.bsky.social) December 5, 2025 at 3:33 PM

2. The percentage of outpatient medical visits for #flu was 2.9% in the week ending 11/29 — just under the 3.1% that would is considered the point at which flu season is underway. (I added the broken black line.)
A piece of good news: No pediatric flu deaths have been reported yet this season.

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— Helen Branswell 🇨🇦 (@helenbranswell.bsky.social) December 5, 2025 at 3:33 PM

show full post on front page

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#RSV tied to heart problems, breathing issues well after infection in adults
Researchers identify nearly 5 excess cardiovascular events per 100 patients in the year after diagnosis.
www.cidrap.umn.edu/r…

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— CIDRAP (@cidrap.bsky.social) December 9, 2025 at 3:57 PM

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Recently approved RSV prevention therapies may be next FDA target
A representative from Sanofi told Reuters that the safety of Beyfortus has been repeatedly shown in over 50 studies.
www.cidrap.umn.edu/r…
Photo:Jon Works/Flickr cc

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— CIDRAP (@cidrap.bsky.social) December 9, 2025 at 3:51 PM

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Multiple large natural experiments have documented Shingles vaccine is linked with ~20-25% reduced risk of dementia and Alzheimer's disease. A new report today adds to that and extends the to slowing the progression of dementia @cellcellpress.bsky.social
www.cell.com/cell/fulltex…

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— Eric Topol (@erictopol.bsky.social) December 2, 2025 at 11:00 AM

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I've always thought that the whole "natural immunity is the best way to protect people" thing was a bit like saying "getting pregnant is the best form of birth control."
Anyway, cool to see it's better for the immune system to see vaccine before virus from an effectiveness standpoint too.

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— Edward Nirenberg (@enirenberg.bsky.social) December 7, 2025 at 9:37 PM

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🚨 NEW: One of the largest COVID-19 vaccine studies ever (28 MILLION people in France) just dropped.
Results?
• 74% lower risk of death from severe COVID-19
• 25% lower risk of all-cause mortality
• No increase in 4-year mortality
#BlueSky #MedSky #IDSky #SciSky #NewsSky #PedsSky #ObSky #NurseSky

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— Carolyn Barber, MD (@cbarbermd.bsky.social) December 4, 2025 at 9:50 PM

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Korea: COVID-19 Hospitalisations Among Elderly Outpace Flu Cases, Korea Disease Control and Prevention Agency (KDCA) Warns.
"61% of COVID hospitalisations are people 65+, meaning seniors make up over 6 in 10 cases. This year, COVID remains a bigger threat to older adults than flu"
archive.md/4UgpA

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— Denis – The COVID Info Guy (@thecovidinfoguy.bsky.social) December 4, 2025 at 11:22 PM

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China:

"A landmark new study shows COVID-19 isn’t ‘just a cold’: One infection left people with long-lasting immune damage, and those with heart disease lost up to 70% of key immune cells. Reinfections may worsen this. The message is clear: protecting ourselves still matters."

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— Denis – The COVID Info Guy (@thecovidinfoguy.bsky.social) December 8, 2025 at 9:17 PM

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A new review of post-infection syndromes, including #LongCovid, and its diverse immunologic manifestations www.cell.com/trends/immun… by @virusesimmunity.bsky.social and colleagues

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— Eric Topol (@erictopol.bsky.social) December 4, 2025 at 10:47 AM

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Study: The lingering shadow of epidemics: post-acute sequelae across history
Published: December 04, 2025
www.cell.com/trends/immun…

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— Denis – The COVID Info Guy (@thecovidinfoguy.bsky.social) December 10, 2025 at 12:47 AM

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Excellent reporting by @apoorvanyt.bsky.social . The vote was once again delayed…because there is no evidence to support that voting to eliminate the birth-dose of hepatitis B vaccine is right or in anyway justifiable.
www.nytimes.com/2025/12/04/h…

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— BK. Titanji (@boghuma.bsky.social) December 4, 2025 at 3:00 PM


[Gift link]

A picture is worth a 1000 words. The birth dose of hepatitis B vaccines in the USA eliminated perinatally acquired hepatitis B infection from over 20,000 cases a year before the vaccine was introduced to <20 cases a year. The gaslighting by the current members ACIP is obscene, unethical and cruel.

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— BK. Titanji (@boghuma.bsky.social) December 4, 2025 at 12:28 PM

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Because the vaccine prevents chronic hepatitis B for which there is no cure and the lifelong treatment costs more than a single birth dose of the vaccine. Insurance companies recognize this is a no brainer.
Brought to you by prevention beats treatment any day.
www.cnn.com/2025/12/07/h…

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— BK. Titanji (@boghuma.bsky.social) December 8, 2025 at 7:35 AM

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Doctor groups form united front against RFK Jr’s efforts to limit vaccine access
Physicians say a federal advisory panel's proposed restrictions on hepatitis B vaccine are part of a broad assault on vaccine access.
www.cidrap.umn.edu/c…

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— CIDRAP (@cidrap.bsky.social) December 9, 2025 at 6:08 PM

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Medical societies jointly launch infection prevention initiative
The Healthcare Infection Prevention Advisory Group (HIPAG) will offer evidence-backed advisory expertise on infection prevention and antimicrobial stewardship.
www.cidrap.umn.edu/a…

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— CIDRAP (@cidrap.bsky.social) December 3, 2025 at 2:59 PM

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If ACIP chooses to ignore evidence, when it comes to vaccines, parents and clinicians must ignore ACIP and look to those who continue to offer data-based guidance, especially our medical societies.

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— Michael Osterholm, PhD, MPH (@mtosterholm.bsky.social) December 5, 2025 at 3:03 PM

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During chaotic meeting, CDC advisers handpicked by RFK Jr. postpone vote on changing hepatitis B vaccine recommendations
Although the hepatitis B vaccine is widely heralded as a public health success story, Kennedy has long targeted it as dangerous
www.cidrap.umn.edu/c…

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— CIDRAP (@cidrap.bsky.social) December 4, 2025 at 6:55 PM

During a contentious meeting dominated by racial innuendo and anti-vaccine talking points, advisers to the Centers for Disease Control and Prevention (CDC) today voted to delay a decision on whether to recommend scaling back infant vaccinations for hepatitis B, a virus that kills 1.1 million people around the world each year.

Several members of the Advisory Committee on Immunization Practices (ACIP) asked for the postponement after complaining that they hadn’t been given sufficient time to consider the wording of the proposal…

Although the hepatitis B vaccine is widely heralded as a public health success story, Kennedy has long targeted the vaccine as unnecessary and dangerous. He has suggested, without evidence, that hepatitis B vaccines cause autism.

Joseph Hibbeln, MD, a psychiatrist, said committee members weren’t consulted when developing the questions on which to vote.

“I protest the description that the ACIP members have been consulted in developing these questions,” said Hibbeln, who worked at the National Institutes of Health and served in the US Public Health Service. He complained that the wording of the proposal had changed three times in the past three days, which prevented committee members from considering it carefully.

The hastily updated wording also caused a CDC scientist to revise her presentation about how a new recommendation would affect coverage by the federal Vaccines for Children (VFC) Program, which pays for immunizations for about half of children. The committee waited for her to update her slides, then moved on and eventually came back to her.

Representatives of the VFC Program and the Centers for Medicare and Medicaid Services both said they would continue to cover hepatitis B vaccines.

Grant Paulsen, MD, a liaison member representing the Pediatric Infectious Diseases Society, asked the committee why it decided to revisit the hepatitis vaccine’s safety when there have been no new publications that raise concerns.

The reply came from committee member Vicky Pebsworth, PhD, RN, the research director of the National Vaccine Information Center, one of the country’s oldest anti-vaccine groups. Her answer was vague: “We were aware that there was pressure coming from stakeholder groups wanting the policy to be revisited,” she said…

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Today's NYT front page.
A methodical quest and the latest salvo

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— Eric Topol (@erictopol.bsky.social) December 6, 2025 at 8:59 AM

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Former FDA heads, Sen Cassidy push back on FDA official’s claim of 10 COVID vaccine deaths
“We are deeply concerned by sweeping new FDA assertions about vaccine safety," write 12 former FDA commissioners, as Cassidy calls for a full briefing
www.cidrap.umn.edu/c…

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— CIDRAP (@cidrap.bsky.social) December 4, 2025 at 5:12 PM

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Survey suggests broad voter support for vaccines shortly after 2024 US presidential election
Most Americans favored #vaccination programs before the Trump administration began reshaping federal #vaccine policy.
www.cidrap.umn.edu/p…

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— CIDRAP (@cidrap.bsky.social) December 9, 2025 at 3:11 PM

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US reps berate FDA head, demand data for proposed #vaccine regulation changes, purported link to child deaths
They centered on an internal memo from FDA Center for Biologics Evaluation and Research Director Vinay Prasad, MD, MPH.
www.cidrap.umn.edu/a…

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— CIDRAP (@cidrap.bsky.social) December 8, 2025 at 3:42 PM

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Pediatricians reject CDC advisers’ guidance, plan to continue vaccinating all newborns against hepatitis B
Hospitals and health departments across the country say they're not planning to change their vaccination policy.
www.cidrap.umn.edu/c…

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— CIDRAP (@cidrap.bsky.social) December 8, 2025 at 7:41 PM

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The top drug regulator abruptly resigned. Staff complaints piled up. Outside experts warned FDA was in trouble.
That was a month ago, prompting urgent meetings. Leaders soon claimed problems were fixed.
Then it all happened again in the past week.
On FDA chaos w @rachelroubein.bsky.social

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— Dan Diamond (@ddiamond.bsky.social) December 5, 2025 at 4:11 PM

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South Carolina reports 27 more measles cases in Spartanburg County as Utah count reaches 115
The 27 new cases involved exposures at schools, churches, and in households.
www.cidrap.umn.edu/m…
Photo: CDC

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— CIDRAP (@cidrap.bsky.social) December 9, 2025 at 4:41 PM

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South Carolina measles outbreak grows; new case identified in Colorado
South Carolina officials reported eight new cases in the state's growing measles outbreak.
www.cidrap.umn.edu/m…

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— CIDRAP (@cidrap.bsky.social) December 8, 2025 at 4:02 PM

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Global #whooping cough resurgence after COVID lull may point to need for better vaccines
Despite sustained high vaccine coverage, outbreaks continue to occur every 3 to 5 years in some countries.
www.cidrap.umn.edu/p…

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— CIDRAP (@cidrap.bsky.social) December 3, 2025 at 12:41 PM

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Dozens of vulture carcasses, left decomposing for days outside a Catholic school in Ohio while agencies pointed fingers over who was responsible for cleaning them up, were believed to have been infected with bird flu, health officials said on Monday.

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— The New York Times (@nytimes.com) December 9, 2025 at 8:20 PM

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"The Ohio Department of Agriculture says two of the 72 black vulture carcasses cleaned up from a Clermont County elementary school’s campus tested presumptive positive for bird flu."

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— Matt Novak (@paleofuture.bsky.social) December 9, 2025 at 11:35 AM

Only two of the 72 birds tested positive for bird flu because they only tested two birds. The rest are presumed positive as well.

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— Matt Novak (@paleofuture.bsky.social) December 9, 2025 at 12:15 PM

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India:

“Scientists have identified the precise point at which stopping an H5N1 pandemic becomes impossible. When the bird flu virus jumps to sustained human transmission, authorities will have roughly two days to prevent catastrophe, according to a simulation study”
www.nature.com/articles/d44…

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— Derry Murbles stan account (@histoftech.bsky.social) December 9, 2025 at 11:32 PM

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Researchers discovered how bird flu can survive temperatures that stop human flu in its tracks. A key gene gives avian viruses the ability to replicate even at fever-level heat which highlights how this gene and others could fuel future pandemics. #RSNA25
www.sciencedaily.com/releases/202…

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— Ian Weissman, DO (@drianweissman.bsky.social) November 28, 2025 at 11:10 PM

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BIRD FLU MAY BE WIND-BORNE
The time to vaccinate poultry is now, before we see human-to-human spread.

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— Jan Kirsch, M.D., M.P.H. (@drjanicekirsch.bsky.social) December 3, 2025 at 11:10 PM

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WHO launched a new long-term plan to manage COVID-19 and future coronavirus threats.
“Coronaviruses remain one of the most consequential infectious disease threats today,” said Dr Maria Van Kerkhove.
Focus: Surveillance, Clean air, Vaccines, Rapid detection, Protecting high-risk groups.

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— Denis – The COVID Info Guy (@thecovidinfoguy.bsky.social) December 3, 2025 at 9:01 PM

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Single #HPV vaccine dose matches protection of 2-dose regimen, new trial shows
The vaccine was 97% effective, and protection did not wane during the follow-up period.
www.cidrap.umn.edu/h…

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— CIDRAP (@cidrap.bsky.social) December 3, 2025 at 5:33 PM

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A recombinant strain of mpox virus has been isolated from a patient in the UK containing fragments of clade I and clade II virus. Recombination occurs when two strains of virus infect a cell. These events tend to be rare but are well described in poxviruses.
www.theguardian.com/world/2025/d…

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— BK. Titanji (@boghuma.bsky.social) December 8, 2025 at 12:47 PM

This has long been a concern that poor control of mpox epidemics around the world would create more opportunities for recombination events and different sub clades of the virus circulate more widely. We do not know yet how frequently this is occurring mor broadly and surveillance is crucial.

— BK. Titanji (@boghuma.bsky.social) December 8, 2025 at 12:47 PM

Viruses time and again show that if you allow outbreaks to run rampant they exploit the loop holes we provide to spread, evolve and in the case of mpox become more deeply entrenched as a human pathogen.

— BK. Titanji (@boghuma.bsky.social) December 8, 2025 at 12:47 PM

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Study highlights hospital-based bacterial, fungal outbreaks during COVID pandemic
Researchers identified 619 hospital-based outbreaks in 13 countries from 2020 through March 2024, and higher case-fatality ratios than reported in pre-pandemic studies.
www.cidrap.umn.edu/a…

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— CIDRAP (@cidrap.bsky.social) December 5, 2025 at 5:47 PM

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Study finds ‘alarming’ global prevalence of multidrug-resistant bacterial colonization
A review and meta-analysis of 89 studies shows the global prevalence of carbapenem-resistant Enterobacterales colonization is 14%.
www.cidrap.umn.edu/a…

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— CIDRAP (@cidrap.bsky.social) December 8, 2025 at 4:27 PM

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The #Marburg outbreak in Ethiopia isn't over. Another case has been detected & the person is in treatment. This brings the confirmed cases to 13, of which 8 have been fatal.
#CDC issued a health alert today to US doctors about the outbreak. Great, but … why not sooner? www.cdc.gov/han/php/noti…

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— Helen Branswell 🇨🇦 (@helenbranswell.bsky.social) December 3, 2025 at 3:56 PM

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Remarkable story of a Georgia high school team who used CRISPR to make a rapid diagnostic test strip for Lyme disease, speeding dx from 2 weeks to days
www.cbsnews.com/news/teens-m…

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— Eric Topol (@erictopol.bsky.social) November 30, 2025 at 11:06 PM

But this isn't good: "In all, 14 of the high school teams came from the U.S……There were 120 teams there from Asia."

— Eric Topol (@erictopol.bsky.social) December 1, 2025 at 9:49 AM

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In lieu of affordable universal health insurance, Texans will now be given better access to de-worming medication.

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— Raywat Deonandan (@deonandan.bsky.social) December 4, 2025 at 9:23 AM

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Health misinformation kills and its only getting worse.
"Court records show the couple told investigators they relied on online videos and posts that warned against vaccines, infant medical treatments and even common medicines such as Tylenol."

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— BK. Titanji (@boghuma.bsky.social) December 8, 2025 at 10:48 PM

Plagues & Pandemics Update – December 10, 2025Post + Comments (34)

Plagues & Pandemics Update – December 3, 2025

by Anne Laurie|  December 3, 20255:53 am| 20 Comments

This post is in: COVID-19, H5N1 Bird Flu, Healthcare

Newsday.com/matt

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— Matt Davies (@mattdaviescartoon.bsky.social) November 25, 2025 at 4:46 PM

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6 years today the first COVID case was identified in a man in Wuhan marking the beginning of a global pandemic that changed the world. We are way less prepared today to face another pandemic than we were back then. This fact makes me sad.

— BK. Titanji (@boghuma.bsky.social) November 30, 2025 at 5:52 PM

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US Weekly COVID update: Dec 1, 2025
🔸1 in 103 Actively Infectious
🔸477,000 New Daily Infections
🔸3,020,000 Infections In The Past Week
🔸224,000,000 Infections in 2025
🔸151,000 to 600,000 Weekly Long COVID Cases
🔸900 to 1,400 Weekly Deaths
Source: pmc19.com/data/

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— Denis – The COVID Info Guy (@thecovidinfoguy.bsky.social) December 3, 2025 at 1:54 AM

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1. #CDC posted FluView for week 47 today; that's the week ending Nov. 22. We'll see in the next couple of weeks what Thanksgiving travel & gatherings did to amp up transmission of #flu in the US. As of just before Thanksgiving, activity was mainly low, though starting to pick up. See LA & CO.

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— Helen Branswell 🇨🇦 (@helenbranswell.bsky.social) December 1, 2025 at 6:54 PM

2. The UK, Japan, Hong Kong experienced very early starts to their #flu seasons due to the new #H3N2 variant, subclade K. But the US season doesn't seem unusually early; on par with the last couple of years. (I added the black bar here; when we're above it, we're officially in flu season)

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— Helen Branswell 🇨🇦 (@helenbranswell.bsky.social) December 1, 2025 at 6:54 PM

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A reminder that I’ve archived every public-facing web page from the CDC website prior to the Trump Regime purging data back in late January:
acasignups.net/cdc-website

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— Charles GetCovered-ba ?? (@charlesgaba.com) November 20, 2025 at 12:13 AM

show full post on front page

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Gov. JB Pritzker on Tuesday signed legislation that formally establishes a process for state-level vaccine guidelines and expands pharmacy access to COVID-19 and other shots for young children across Illinois.

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— Chicago Tribune (@chicagotribune.com) December 2, 2025 at 8:17 PM

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#COVID patients have higher rates of #depression, #anxiety, #headache, and #fatigue before diagnosis, study suggests
The association may be explained by shared biological pathways, such as chronic inflammation and neuroinflammation.
www.cidrap.umn.edu/c…

— CIDRAP (@cidrap.bsky.social) November 26, 2025 at 2:29 PM

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New @pnas.org
"This work represents the most extensive study to
date regarding the effect of tattoo ink on the immune response and raises serious health concerns associated with the tattooing" including reduced response to Covid vaccination
www.pnas.org/doi/10.1073/…

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— Eric Topol (@erictopol.bsky.social) November 25, 2025 at 2:35 PM

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New review finds no evidence to support delaying universal hepatitis B birth-dose vaccination
Analysis of over 400 studies ahead of ACIP mtg reveals no evidence that delaying the universal hepatitis B vaccine birth dose improves safety or effectiveness
www.cidrap.umn.edu/c…

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— CIDRAP (@cidrap.bsky.social) December 2, 2025 at 6:27 AM


RFK Jr’s eugenicist crankery is very much at play here. There’s a long-standing prejudice that only ‘dirty’ people have Hepatitis B — junkies, the sexually promiscuous, immigrants, people who live in crowded unsanitary situations. Giving newborns the vaccine has demonstrably prevented millions of infections, but MAHA doesn’t think preventing such illnesses is important, because ‘clean’ people won’t ever be exposed (they’re wrong, of course).

CIDRAP’s Vaccine Integrity Project has released a major evidence review: 400+ studies/reports, 40 years of data—and the conclusion is unmistakable.
There is no evidence supporting a delay in the hepatitis B birth dose.
Full report: www.cidrap.umn.edu/vaccine-inte…

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— CIDRAP (@cidrap.bsky.social) December 2, 2025 at 7:27 AM

radical transparency pt. 10 trillion

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— public health guy (@publichealthguy1.bsky.social) December 2, 2025 at 4:42 PM

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Death panels

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— Cheryl Rofer (@cherylrofer.bsky.social) November 29, 2025 at 12:09 AM

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FDA official proposes ‘impossible’ standards for vaccine testing that could curtail access to immunizations
by@LizSzabo
Vinay Prasad claimed—but provided no evidence—that COVID-19 vaccines caused the death of 10 children
www.cidrap.umn.edu/c…

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— CIDRAP (@cidrap.bsky.social) December 1, 2025 at 6:38 PM

A 2023 JAMA paper said that during the 12 months ending in July 2022, 821 people aged 19 and under died of Covid, making it the eighth leading cause of death in that age group.

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— Liz Szabo (@lizszabo.bsky.social) November 30, 2025 at 2:14 PM

Giving mendacious and cruel people free reign on healthcare and vaccine regulations will leave a lasting negative legacy on the health of the nation. Historians will write about this. Many will die as a result of the irresponsible actions of a misguided few.
www.nbcnews.com/health/healt…

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— BK. Titanji (@boghuma.bsky.social) November 29, 2025 at 3:01 PM

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An essential thread from one of the foremost experts on legal and policy aspects of vaccination

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— Prof Gavin Yamey (@gavinyamey.bsky.social) November 29, 2025 at 2:16 PM

A. Dr. Prasad is expressly saying he is not going to do a risk/benefit analysis, even for COVID-19 vaccines, let alone for any other vaccines. Based on this internal investigation of VAERS report, he decided there’s a problem. There is no more thorough review of the data across other vaccines. 2/n

B. Dr. Prasad does not want transparency on this. He is threatening against leaks in the email, he is not suggesting to publish any of these as case studies or give the methodology, and he is upset over previous leaks. We do not know who investigated, career officers or new appointees, either. 3/n

C. Much of the email is devoted to justifying public claims made by Prasad, his colleagues, before and to try and counter criticism of previous VAERS claims by Dr. Hoeg. This is an act of justification. 4/n

D. Dr. Prasad is not suggesting a deliberative process to assess next steps, as was FDA’s usual practice. He has decided, apparently without consulting with anyone. That is not good governance. 5/n

It is more problematic given that Dr. Prasad’s expertise is not in vaccines, but it would be problematic even if he were a vaccine expert. 6/n

E. While this is a problem for all respiratory vaccines, the ones that cannot be delayed (I expect that on some companies can wait him out) are next year’s influenza vaccines and COVID-19 vaccines. 7/n

One place to ask hard questions is whether Dr. Prasad is going to make those inaccessible to people in the U.S., which could directly lead to preventable deaths. This is the second bad influenza season we have had. It’s not a great time to take away influenza vaccines. 8/8 Fin.

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I’m speechless

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— Prof Gavin Yamey (@gavinyamey.bsky.social) November 29, 2025 at 9:41 AM

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Vinay Prasad got Tracy Høeg—a sports doc who once said that fit people like her who do a lot of sport don’t need vaccines—to do a VAERS dumpster dive. They haven’t published their new work or shared the data. This is not a reliable way to “do” science. I don’t think vaccines turn you into the Hulk.

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— Prof Gavin Yamey (@gavinyamey.bsky.social) November 29, 2025 at 2:29 PM

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I Went to an Anti-Vaccine Conference. Medicine Is in Trouble. (gift article link) www.nytimes.com/2025/11/25/o…

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— GirlFuturist (@girlfuturist.bsky.social) November 29, 2025 at 10:56 PM

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Days ahead of ACIP meeting, chair moves to senior HHS position
Martin Kulldorff, PhD, has been appointed chief science officer for the Office of the Assistant Secretary for Planning and Evaluation.
www.cidrap.umn.edu/c…
Photo: Thérèse Soukar / Wikimedia Commons

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— CIDRAP (@cidrap.bsky.social) December 2, 2025 at 3:13 PM

… In a news release yesterday, HHS said biostatistician and epidemiologist Martin Kulldorff, PhD, has been appointed chief science officer for the Office of the Assistant Secretary for Planning and Evaluation (ASPE). Kulldorff has been serving as chair of the Centers for Disease Control and Prevention’s (CDC) Advisory Committee on Immunization Practices (ACIP) since June, when HHS Secretary Robert F. Kennedy Jr. fired the 17 sitting members of the group and replaced them with new appointees

Kulldorff has chaired the last two ACIP meetings, both of which concluded with changes to vaccine policy that have been criticized by public health officials. At the first meeting of the newly reconstituted ACIP in June, members voted to recommend that Americans only receive single-dose flu shots that don’t contain the preservative thimerosal, though no studies have indicated the preservative causes harm.

In September, the group voted to remove a long-standing ACIP recommendation that children aged 12 to 47 months have the option of receiving the combined measles, mumps, rubella, and varicella vaccine. It also voted not to recommend COVID-19 shots, saying instead that people can get the shots after discussing risks and benefits with a doctor, nurse, or pharmacist.

Under Kulldorff, significant changes were made to ACIP working groups, which assist with vaccine efficacy and safety reviews and craft the wording of proposed recommendations. Experts from the CDC and from medical societies, who had played critical roles in previous meetings, were sidelined. Both meetings were also more disorganized than previous ACIP meetings, with members at times unclear of what they were voting on.

In his new role at ASPE, Kulldorff will advise Secretary Kennedy on policy matters, coordinate department research and evaluation activities, and analyze policy options across public, health care, and human services…

Kuldorff’s move to HHS means that the ACIP will now be chaired by Kirk Milhoan, MD, PhD, a pediatric cardiologist and critic of coronavirus vaccines who was named to the group in September. Milhoan is a senior fellow at the anti-mRNA Independent Medical Alliance.

Milhoan will be responsible for running the proceedings at the upcoming ACIP meeting on December 4 and 5 in Atlanta. Members are expected to vote on whether to end the practice of giving all newborns a birth dose of the hepatitis B vaccine and to discuss the timing and composition of vaccines in the childhood immunization schedule. Several of the new ACIP members have suggested that US children receive too many vaccines too soon, and that the cumulative effects have not been properly studied—a claim that most public health and infectious disease experts dispute…

Sean O’Leary, MD, MPH, a professor of pediatrics and infectious diseases at the University of Colorado Denver Anschutz Medical Campus and member of the American Academy of Pediatrics (AAP), said at an AAP press briefing today that any changes the group makes to the childhood immunization schedule “could be devastating to children’s health and public health as a whole.”

O’Leary also said he’s concerned Milhoan doesn’t have any vaccine or infectious disease policy background. He noted that past ACIP chairs have been experts in vaccinology, public health, and infectious disease, and had been on the committee long enough to understand the downstream implications of the group’s recommendations…

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In the Holocaust, Nazis captured my grandpa’s sister Sheinale (Yiddish for "beautiful") & her family & executed them in a forest in Lithuania. Their bodies are in an unmarked forest grave.
In contrast, Covid vaccines saved an estimated 20 million lives in their 1st year of use.
See the difference?

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— Prof Gavin Yamey (@gavinyamey.bsky.social) December 1, 2025 at 6:22 PM

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RFK Jr has been WILDLY, WILDLY successful—surely beyond his wildest dreams—in his extreme, dangerous anti-vaccine crusade, aided of course by powerful elite MAGA and MAHA MDs and PhDs like the Great Barrington Declaration dudes (Drs Bhattacharya & Kulldorff) & Drs Makary, Prasad, Hoeg, and Oz

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— Prof Gavin Yamey (@gavinyamey.bsky.social) December 2, 2025 at 11:58 AM

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Jay Bhattacharya and Matthew Memoli aren't bringing "gold standard science" to the #NIH, they are gutting research slowly but surely. When this time is over, they should be hauled before Congress, and shunned for the rest of their lives. www.nytimes.com/interactive/…

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— Gregg Gonsalves (@gregggonsalves.bsky.social) December 2, 2025 at 7:06 AM

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RFK Jr.’s Miasma Theory of Health Is Spreading
www.theatlantic.com/health/2025/…

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— Liz Szabo (@lizszabo.bsky.social) November 19, 2025 at 4:45 PM

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I certainly did not like last night's "update" to the CDC website suggesting that vaccines do cause autism after all. I liked it even less when I thought about what that means for the upcoming ACIP meeting.
rasmussenretorts.substack.com/p/preventabl…

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— Angie Rasmussen (@angierasmussen.bsky.social) November 20, 2025 at 4:15 PM

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Oh. My. God.
Read this whole thread and weep.
The MAGA/MAHA/Great Barrington Declaration/anti-vaxx world has promoted & elevated the utterly disgraced Wakefield to new heights ??

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— Prof Gavin Yamey (@gavinyamey.bsky.social) November 24, 2025 at 4:32 PM

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Every day is a new opportunity for RFK Jr to make more kids susceptible to more preventable diseases, and every day is a new opportunity for us to stop this culty fucking creep from killing more of our kids
open.substack.com/pub/rasmusse…

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— Angie Rasmussen (@angierasmussen.bsky.social) November 27, 2025 at 2:02 AM

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WHO: Measles deaths dropped by 88% in past 25 years, but cases are surging
Last year, only 84% of children received the first dose and 76% received the second dose of measles vaccine worldwide.
www.cidrap.umn.edu/w…

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— CIDRAP (@cidrap.bsky.social) December 1, 2025 at 4:56 PM

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Utah measles cases hit 105, South Carolina sees 14 more cases
The total number of cases in South Carolina related to the Upstate outbreak is now 76.

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— CIDRAP (@cidrap.bsky.social) December 2, 2025 at 4:13 PM

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Utah, Arizona confirm more measles cases amid growing outbreaks
The US now has almost 1,800 measles cases.
www.cidrap.umn.edu/m…

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— CIDRAP (@cidrap.bsky.social) November 26, 2025 at 2:31 PM

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"Third unvaccinated Kentucky baby dies of whooping cough"
" The best way to prevent whooping cough is by receiving the Tdap or DTaP vaccine, which protects against three bacterial infections — diphtheria, tetanus and pertussis, say public health experts." kentuckylantern.com/2025/11/25/t…

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— Social Media Lab (@socialmedialab.ca) November 30, 2025 at 10:24 PM

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Just when you hoped it was over: #USDA reports that California has found another #H5N1 #birdflu infected dairy herd, its 773rd. There's been a total of 1083 confirmed herds in 18 states since March 2024. www.aphis.usda.gov/livestock-po…

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— Helen Branswell 🇨🇦 (@helenbranswell.bsky.social) December 1, 2025 at 11:53 AM

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Fascinating story about evidence that #H5N1 #birdflu infected vampire bats in South America, raising the prospect of a potential new & dangerous host for the virus. Some good news: The virus didn't appear to spread well among the bats. By @martinenserink.bsky.social. www.science.org/content/arti…

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— Helen Branswell 🇨🇦 (@helenbranswell.bsky.social) November 26, 2025 at 11:32 AM

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Bird flu virus could risk pandemic worse than COVID if it mutates, France's Institut Pasteur says reut.rs/49Jl4FE

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— Reuters (@reuters.com) November 27, 2025 at 11:35 AM

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H5N1 bird flu has been circulating in U.S. wildlife since late 2021 but has caused only one human fatality. Now a different type of bird flu has also caused a death

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— Scientific American (@sciam.bsky.social) November 25, 2025 at 9:01 AM

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Super interesting methodology: How ProPublica Investigated a Bird Flu Outbreak in America’s Heartland, by @natlash.bsky.social

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— Charles Ornstein (@charlesornstein.bsky.social) November 18, 2025 at 8:02 AM

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Petition calls for EPA to ban use of medically important antimicrobials in pesticides
A coalition of groups is asking the agency to ban pesticides containing oxytetracycline, streptomycin, gentamicin, kasugamycin, ipflufenoquin, and triazole fungicides.
www.cidrap.umn.edu/a…

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— CIDRAP (@cidrap.bsky.social) November 26, 2025 at 12:36 PM

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The DRC has officially cleared the 42 day mark without new cases of Ebola in its latest outbreak which is now officially declared ended. Kudos to local authorities who made this possible and foreign partners and international organizations that supported the response.
africacdc.org/news-item/eb…

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— BK. Titanji (@boghuma.bsky.social) December 2, 2025 at 7:19 AM

A total of 64 cases were recorded. 53 confirmed and 11 probable. 45 people died.
Importantly 47000 people were vaccinated! A remarkable feat and a key piece that likely helped to stop the outbreak in it's tracks. Ebola is still deadly but we now have a vaccine to fight it.

— BK. Titanji (@boghuma.bsky.social) December 2, 2025 at 7:27 AM

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Death toll climbs in Ethiopia's Marburg outbreak
Three new deaths have been confirmed in the outbreak of the viral hemorrhagic fever, bringing the death toll to eight.
www.cidrap.umn.edu/m…

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— CIDRAP (@cidrap.bsky.social) December 1, 2025 at 1:38 PM

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The makers of ByHeart infant formula say tests of products tied to a botulism outbreak show that all of the company's products may have been contaminated.

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— The Associated Press (@apnews.com) November 25, 2025 at 12:30 PM

Plagues & Pandemics Update – December 3, 2025Post + Comments (20)

Pandemic & Plagues Update – November 26, 2025

by Anne Laurie|  November 26, 20254:21 am| 24 Comments

This post is in: COVID-19, H5N1 Bird Flu, Healthcare

Over many interviews, Robert F. Kennedy Jr. told Michael Scherer about how he plans to remake America’s public-health system. Can he lead the scientific establishment he’s spent much of his life crusading against?
Read more in our new cover story: theatln.tc/q9hXxlbM

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— The Atlantic (@theatlantic.com) November 24, 2025 at 7:00 AM

RFK Jr described by those who know him best:
"A liar and a terrible human being"
"Messianic self-regard"
"Sadly off his rocker"
"A predator addicted to attention and power"
"Sickening and destructive"
www.theatlantic.com/magazine/202…

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— Ferric Fang, MD (@fangferric.bsky.social) November 23, 2025 at 9:37 PM

Gift link: Why Is Robert F. Kennedy Jr. So Convinced He’s Right?

It’s a good story, if you can stomach it. Scherer paints Bobby Jr. as an abuser of substances, people, and ‘science’ — a completely self-centered predator and would-be ‘hero’, throwing up a non-stop barrage of words and ‘logic’ to insist that every broken promise and failed enterprise makes him the real victim.

… What if you are wrong about vaccines? I asked. Six former surgeons general, most vaccine experts, and almost the entire scientific establishment believes he is. What if, over time, the evidence shows that his actions lowered vaccination rates with no reduction in chronic diseases, but with an increase in suffering and death from viruses and bacteria? How would he respond?

“I mean, we would listen,” Kennedy said. It was the answer I wanted to hear. But then he listed, once again, the reasons he would not be wrong: He spoke about the chronic diseases that appear as potential adverse reactions on the manufacturers’ label for vaccines; the evidence that death rates from the diseases that vaccines inoculate against were already declining before the vaccines materialized; and America’s poor policy decisions and high mortality rates during the COVID years. “You know, we have all kinds of interventions,” he said. “Good health does not just come in a syringe.” The trial lawyer was still laboring to connect the dots that led to his preferred verdict, the orphaned child of American royalty, back from hell, still fighting to fulfill his birthright.

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The U.S. flu season is starting slowly, and it's not clear if it will be as bad as last winter's.

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— The Associated Press (@apnews.com) November 22, 2025 at 12:30 AM

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Mutations in #H3N2 #flu viruses have some experts worried we're facing a second bad #influenza season. The new variant, subclade K, may be able to escape antibodies generated by previous infections or this year's flu shot. But some experts are hedging their bets. www.statnews.com/2025/11/20/f…

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— Helen Branswell 🇨🇦 (@helenbranswell.bsky.social) November 20, 2025 at 8:44 AM

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US Weekly COVID update: Nov 24, 2025
🔸1 in 116 Actively Infectious
🔸422,000 New Daily Infections
🔸2,650,000 Infections In The Past Week
🔸224,000,000 Infections in 2025
🔸133,000 to 530,000 Weekly Long COVID Cases
🔸700 to 1,200 Weekly Deaths
Source: pmc19.com/data/

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— Denis – The COVID Info Guy (@thecovidinfoguy.bsky.social) November 23, 2025 at 6:34 PM

show full post on front page

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Experimental mRNA #flu vaccine shows superior efficacy against symptomatic illness
The vaccine is 100% effective against both symptomatic and febrile flu, compared with 85% and 100% with the conventional 4-strain vaccine.
www.cidrap.umn.edu/i…
Photo: Penn State / Flickr cc

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— CIDRAP (@cidrap.bsky.social) November 25, 2025 at 5:24 PM

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People who recovered from mild–moderate COVID-19 still show persistent lung and vascular inflammation. This ongoing inflammatory response suggests COVID can have systemic, long-term effects that may raise cardiovascular (CV) risk even after symptoms improve.
Source: archive.md/QUpNk

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— Denis – The COVID Info Guy (@thecovidinfoguy.bsky.social) November 25, 2025 at 8:48 PM

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Study: Long COVID trajectories in the prospectively followed RECOVER-Adult US cohort.
Published: 17 November 2025
www.nature.com/articles/s41…

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— Denis – The COVID Info Guy (@thecovidinfoguy.bsky.social) November 25, 2025 at 7:28 PM

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Long #COVID takes $1 trillion global economic toll each year, analysis suggests
Study looks at COVID’s impact on national economies, healthcare systems, labor markets, and quality of life.
www.cidrap.umn.edu/c…

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— CIDRAP (@cidrap.bsky.social) November 24, 2025 at 4:04 PM

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Long COVID’s hidden toll: the South Africans still battling fatigue, anxiety and memory loss.
In South Africa, over 4 million COVID cases were confirmed. For many, recovery was only the start; fatigue, poor focus and mood changes now affect work, relationships and quality of life.
archive.md/uhdaE

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— Denis – The COVID Info Guy (@thecovidinfoguy.bsky.social) November 24, 2025 at 8:18 PM

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"My NHS colleagues & I weren’t willing to let the bodies pile high in their thousands. Boris no longer mentions them at all."
My piece on the responses to the UK Covid-UK Inquiry report that try to airbrush the dead away.
Sincere thanks, @theobserveruk.bsky.social.
observer.co.uk/news/nationa…

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— Dr Rachel Clarke (@drrachelclarke.com) November 23, 2025 at 4:18 AM

Herd impunity is right.
The faux handwringing now from certain politicians & pundits now – as though, somehow, anyone who wanted to prevent catastrophic loss of life through lockdown didn't care about the enormity of closing schools & businesses.
Every decision was freighted with difficulty…

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— Dr Rachel Clarke (@drrachelclarke.com) November 23, 2025 at 4:23 AM

But the obvious lesson to learn is this.
When weighing how to act – & even if your group of Downing Street decision-makers is predominantly middle class white men – consider EVERYONE. Including the vulnerable. The voiceless. The overlooked. The people who don't look or sound like you.

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— Dr Rachel Clarke (@drrachelclarke.com) November 23, 2025 at 4:27 AM

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My comments with @cidrap.bsky.social @lizszabo.bsky.social
www.cidrap.umn.edu/childhood-va…

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— Prof Peter Hotez MD PhD DSc(hon) (@peterhotezmdphd.bsky.social) November 21, 2025 at 7:19 AM

Breaking News: The CDC quietly appointed Dr. Ralph Lee Abraham, who has been critical of vaccines, as its second in command. During the Covid pandemic, he promoted discredited treatments like ivermectin and, as Louisiana’s surgeon general, halted the state’s mass vaccination campaign.

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— The New York Times (@nytimes.com) November 25, 2025 at 1:43 PM

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The physicians who supported, empowered & lifted up RFK Jr & his extreme anti-vaxx MAHA movement—physicians like Drs Cassidy, Bhattacharya, Oz, Makary & Prasad—will have ONE single legacy: suffering & death from the dismantling of the US vaccination system & the return of vaccine-preventable disease

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— Prof Gavin Yamey (@gavinyamey.bsky.social) November 24, 2025 at 4:00 AM

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The CDC is lying to you about vaccines and autism sciencebasedmedicine.org/the-cdc-is-l… by @gorskon.bsky.social
"The CDC webpage about vaccines and autism now misrepresents the science and lies to the public about vaccines and autism.
It’s all part of RFK Jr’s "continuing war on vaccines."

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— Timothy Caulfield (@caulfieldtim.bsky.social) November 24, 2025 at 10:38 AM

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#CDC outlines initiatives such as expanded hepatitis B screening with potential vaccine policy impacts
The list offers the clearest view yet of the administration's plans for the agency under Health and Human Services Secretary Robert F. Kennedy Jr.
www.cidrap.umn.edu/h…

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— CIDRAP (@cidrap.bsky.social) November 21, 2025 at 4:42 PM

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Surveys find strong confidence in childhood vaccines but deepening partisan divides; most adults reject COVID shot
Overall, 63% of Americans say they are very confident that routine childhood vaccines are effective at preventing serious illness.
www.cidrap.umn.edu/c…

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— CIDRAP (@cidrap.bsky.social) November 19, 2025 at 4:12 PM

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The Great Barrington Declaration was *foundational* in RFK Jr's appointment to lead HHS & in the anti-vaccine MAHA movement's rise to power
The GBD pushed for mass infection instead of vaccination (it went online just 8 weeks before the US vaccine campaign began), so GBD-ers got what they wanted :(

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— Prof Gavin Yamey (@gavinyamey.bsky.social) November 21, 2025 at 12:50 PM

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A year ago, flyers promoting vaccines were prevalent across the Navajo Nation.
But as Robert F. Kennedy Jr. has put his stamp on federal immunization policy, the Indian Health Service’s messaging on immunizations has taken a stark turn.
By @maryhudetz.bsky.social

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— ProPublica (@propublica.org) November 23, 2025 at 2:00 PM

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Immigrants make up a significant proportion of all the country's doctors. New policies are making it harder and less appealing for foreign-born physicians to come to the U.S.

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— NPR (@npr.org) November 24, 2025 at 9:16 PM

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New: Reminders Of What Our Losses From CDC And USAID Mean via @forbes www.forbes.com/sites/judyst…
#USAID #CDC #AHCJ #ASTMH #Pandemic #PublicHealth #GlobalHealth
With lessons from @astmh.bsky.social @healthjournalism.org and…

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— Judy Stone (@drjudystone.bsky.social) November 22, 2025 at 1:05 PM

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This is fu*king outrageous!
The federal government on Saturday dismissed charges against a Utah plastic surgeon accused of throwing away COVID-19 vaccines, giving children saline shots instead of the vaccine and selling faked vaccination cards.
apnews.com/article/utah…

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— Michael J. Stern (@michaeljstern.bsky.social) November 22, 2025 at 6:56 PM

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Washington state officials confirm H5N5 avian flu patient has died from infection
All previous human avian influenza infections had been caused by H5N1 and were relatively mild.
www.cidrap.umn.edu/a…

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— CIDRAP (@cidrap.bsky.social) November 24, 2025 at 4:12 PM

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A person in Washington State who kept backyard poultry has died from #H5N5 #flu. The person was the first known infection with this subtype of flu globally & the second recorded death in the US from an #H5 flu virus. Health authorities say there's no evidence the person spread the virus to others.

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— Helen Branswell 🇨🇦 (@helenbranswell.bsky.social) November 22, 2025 at 9:41 AM

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Early this year, bird flu ripped through 80 farms in Ohio and Indiana.
Using genetic markers, wind simulations, satellite imagery, property records and more, we found that the virus could’ve been airborne.
By @natlash.bsky.social

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— ProPublica (@propublica.org) November 23, 2025 at 10:15 AM

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Since 2005, the number of wild and domesticated birds killed by H5N1 has exceeded the combined human populations of the U.S. and Russia. On the next @bipisci.bsky.social, why this version of avian influenza won’t go away. 🧪 #podcast
Listen here: bigpicturescience.org/episodes/flu…

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— SETI Institute (@setiinstitute.bsky.social) November 24, 2025 at 3:00 PM

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More Indiana poultry operations hit with avian flu
Over the past 30 days, 88 flocks have been confirmed to be hit by avian flu.
www.cidrap.umn.edu/a…

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— CIDRAP (@cidrap.bsky.social) November 19, 2025 at 4:36 PM

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One would think that continued outbreaks of bird flu would make people aware that they are propelling the risk of another pandemic, but meh 😑
#H5N1
#GoVegan
"Bad season of bird flu in UK hits supply of Christmas turkeys"
www.theguardian.com/business/202…

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— Krasnov 🍃 (@greennomad61.bsky.social) November 22, 2025 at 1:13 PM

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KONSYSE: Two groups of health and legal advocates in California have filed a lawsuit against the California Department of Food and Agriculture alleging the agency is withholding detailed location information regarding H5N1 avian influenza outbreaks at state dairies.

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— Profolus (@profolus.com) November 25, 2025 at 1:00 AM

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Utah, South Carolina see more measles cases ahead of Thanksgiving
Officials reported exposures at a high school and an international airport.
www.cidrap.umn.edu/m…
Photo: CDC

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— CIDRAP (@cidrap.bsky.social) November 24, 2025 at 4:02 PM

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US measles cases pass 1,750 as Utah-Arizona outbreak grows
Together Mohave County, Arizona and Southwest County, Utah, have 201 cases.
www.cidrap.umn.edu/m…

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— CIDRAP (@cidrap.bsky.social) November 19, 2025 at 5:16 PM

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Third infant in Kentucky dies of whooping cough as national cases stay high for second year in a row
There are more than 25,000 cases of whopping cough reported so far in 2025.
www.cidrap.umn.edu/t…
Photo: Dan Higgins/CDC

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— CIDRAP (@cidrap.bsky.social) November 25, 2025 at 4:59 PM

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While no one was watching: Tenuous status of CDC prion unit, risk of #CWD to people worry scientists
If the Prion and Public Health Office is shuttered, human CWD cases could go unnoticed.
www.cidrap.umn.edu/c…
Photo: Lorie Shaull / Flickr cc

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— CIDRAP (@cidrap.bsky.social) November 21, 2025 at 10:43 AM

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New WHO framework aims to tackle rising resistance to HIV, STI, and hepatitis treatments
Officials warn rising drug resistance could undo decades of progress in controlling HIV, hepatitis, and sexually transmitted infections.
www.cidrap.umn.edu/a…

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— CIDRAP (@cidrap.bsky.social) November 25, 2025 at 5:42 PM

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CDC: 31 infants now sickened with botulism in formula-related outbreak
All 31 patients have required hospitalization.
www.cidrap.umn.edu/b…
Photo: Bart Heird/Flickr cc

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— CIDRAP (@cidrap.bsky.social) November 20, 2025 at 1:00 PM

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California identifies infant botulism cases tied to powdered formula from months before current outbreak
California health officials say the cases, which occurred from November 2024 to June 2025, have not been connected to the current outbreak.
www.cidrap.umn.edu/b…

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— CIDRAP (@cidrap.bsky.social) November 24, 2025 at 3:28 PM

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Also other people’s expertise is very inconvenient for profiting off pseudoscientific bullshit

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— Angie Rasmussen (@angierasmussen.bsky.social) November 20, 2025 at 5:50 AM

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Handed a patient a printout of a CDC summary.
They were suspicious.
I pointed out the publication date.
It was from 2024.
“Oh, ok, so this is from when we could trust them.”

— Jeremy Faust, MD (@jeremyfaust.bsky.social) November 20, 2025 at 8:08 AM

Pandemic & Plagues Update – November 26, 2025Post + Comments (24)

Pandemic & Plagues Update – November 19, 2025

by Anne Laurie|  November 19, 20255:11 am| 58 Comments

This post is in: COVID-19, H5N1 Bird Flu, Healthcare

COVID-19: "As of November 11, 2025, we estimate that COVID-19 infections are growing or likely growing in 20 states, declining or likely declining in 9 states, and not changing in 18 states."
Source: www.cdc.gov/cfa-modeling…

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— Denis – The COVID Info Guy (@thecovidinfoguy.bsky.social) November 15, 2025 at 12:53 AM

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The Director-General of the World Health Organization (WHO) Tedros Adhanom Ghebreyesus:
“We cannot talk about COVID in the past tense.
“It’s still with us, it still causes acute disease and Long COVID, and it still kills.
“The world might want to forget about COVID-19, but we cannot afford to.”

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— Denis – The COVID Info Guy (@thecovidinfoguy.bsky.social) November 18, 2025 at 9:24 PM

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Warnings rise for U.S. as severe flu strain causes outbreaks in Canada, U.K. and Japan www.nbcnews.com/health/healt… via @nbcnews.com @erikaedwards.bsky.social

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— Dorit Reiss (@doritreiss.bsky.social) November 14, 2025 at 5:50 PM

… The new strain, a version of H3N2, is causing outbreaks in Canada and the U.K., where health officials are warning about the early wave that’s sending people to the hospital.

“Since it emerged, it’s rapidly spreading and predominating in some countries so far in the Northern Hemisphere,” Dr. Wenqing Zhang, head of the World Health Organization’s Global Respiratory Threats Unit, said Wednesday during a media briefing.

The version of H3N2 that’s circulated worldwide this year “acquired 7 new mutations over the summer,” Antonia Ho, a consultant in infectious diseases at Scotland’s University of Glasgow, said in a media statement. That “means the virus is quite different to the H3N2 strain included in this year’s vaccine,” she said.

The U.K. is heading “into what looks set to be a cruel winter, with flu cases being triple what they were this time last year,” the head of the U.K.’s National Health Service, James Mackey, said last week.

It’s picking up in Canada, too, said Angela Rasmussen, a virologist at the University of Saskatchewan. H3N2 is generally thought to cause more illness and be worse for older adults than other strains. Japan is also experiencing an unusually early and harsh flu season that’s “unprecedented,” Rasmussen said.

Japanese news outlet Nippon TV reported that as of Nov. 4, flu cases in Tokyo had surged to nearly six times the level seen at this time last year, according to the Japanese Ministry of Health, Labor and Welfare. More than 2,300 day cares and schools in the country were at least partially closed because of the outbreak, the outlet reported…

H3N2 is an A strain of influenza. While there are plenty of anecdotal reports of people testing positive for flu A across the country, the insights stop there.

The Centers for Disease Control and Prevention hasn’t provided a detailed, national report on flu activity since Sept. 26 because of the government shutdown…

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Great to see a new FluView post from #CDC today after weeks without updates.
It's not yet flu season in the US, but activity is starting to pick up. www.cdc.gov/fluview/surv…

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— Helen Branswell 🇨🇦 (@helenbranswell.bsky.social) November 14, 2025 at 4:14 PM

show full post on front page

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Let’s talk about why I am increasingly uneasy about the upcoming flu season. A new H3N2 influenza variant has been emerging globally, and it carries mutations linked to immune escape i.e the virus’s ability to bypass some of our pre-existing immunity. 🧵
utppublishing.com/doi/10.3138/…

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— BK. Titanji (@boghuma.bsky.social) November 14, 2025 at 7:02 AM

That doesn’t guarantee a severe season, but it raises the stakes.
This strain has picked up multiple changes at sites on the hemagglutinin protein where antibodies normally latch on. When these “cluster transition sites” mutate, the virus can spread more easily in communities.

We also have a convergence of vulnerabilities: falling vaccination uptake due to politicized misinformation, minimal public messaging about masking or ventilation, and a burned-out healthcare workforce.

Add workplaces that won’t let people stay home sick, and you’ve created the perfect storm for respiratory viruses to rip through communities this winter.

A vaccine mismatch doesn’t mean the vaccine is useless. Even w drifted strains, flu vaccines consistently reduce severity hospitalizations, ICU admissions, and deaths. Partial protection is still protection. It buys you time, keeps you out of the hospital, & slows transmission across the population.

So what can you do, given all this?
– Get vaccinated early. Cross-protection still matters, even if the strain drifts.
– Upgrade your indoor air. HEPA filters, open windows, or even a Corsi-Rosenthal box can dramatically reduce viral particles.
– Mask when cases rise. N95s work

– Stay home if you’re sick
– Wash hands + clean high-touch surfaces, flu spreads efficiently via contaminated hands.
– Keep rapid tests around. COVID will be part of the mix too.

Finally, keep an eye on local respiratory virus dashboards. Even though surveillance has been weakened, many health departments still report wastewater trends, lab positivity, hospitalization rates. When you see a sharp rise mask up, limit crowded indoor events, & lean on your layers of protection.

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Dr. @angierasmussen.bsky.social is highly informative: The Real Subtypes of the 2025 Flu Season open.substack.com/pub/rasmusse…

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— Crawford Kilian (@crof.bsky.social) November 17, 2025 at 10:49 AM

… Last year, the flu season in North America was worse than it’s been since the 2009 H1N1 pandemic in terms of illness and mortality. That occurred when the US still had functioning public health infrastructure and hadn’t yet withdrawn from the World Health Organization (WHO), shut down wide swaths of health infrastructure abroad by withdrawing foreign aid and cancelling grants to foreign institutions, decimated the federal workforce, and generally caused destructive chaos in public health. We are no longer in that situation.

The US government, including all the relevant departments and agencies that respond to and manage influenza epidemics in the US, has lost significant terms of its capacity for dealing with it. I don’t like to predict how bad a given infectious disease outbreak is going to be because viruses are always full of surprises, but I have an ominous feeling that this flu season will be worse than the last strictly on the basis of our dysfunctional capabilities. It’s like watching a contrived party on a reality show that you know is going to go off the rails, but you are not sure which drunken Real Housewife is going to catalyze the drama. There is a lot of flu circulating in various species, so it’s worth examining the situation to understand the potential for drama and where it might come from…

Currently there are 70 active confirmed poultry outbreaks in the US and 49 in Canada (yes, one of those is the wretched ostrich farm, but it should be cleared soon). This equates to millions of dead chickens and turkeys and creates a big economic and agricultural problem. New poultry outbreaks have been detected on a nearly daily basis since September. Last February, Secretary of Agriculture Brooke Rollins raided USDA school and food bank programs to fund an avian flu management strategy (designed to reduce egg prices) that promised to effectively stop wild bird introductions by hiring a handful of epidemiologists to carry out biosecurity audits and subsidizing farm upgrades. This approach has evidently failed, given that outbreaks are steadily increasing.

On the surface, things appear to have improved in America’s dairy farms. Although the US Department of Agriculture (USDA) Animal and Plant Health Inspection Service (APHIS) is not reporting any active livestock outbreaks, I think this is highly misleading. There haven’t been any new herds detected, but it’s unclear how much testing is even occurring in dairy cattle anymore. The USDA’s National Milk Testing Strategy website has not been updated since July 30th, 2025. The APHIS workforce has been devastated by forced retirements, reductions in force (RIFs), and funding cuts. Dairy cows generally don’t get very sick from H5N1, although infection reduces or stops milk production. Undetected circulation on dairy farms is entirely possible in a climate with no testing and a non-functional animal health inspection service…

But many people say so what? There is no evidence that H5N1 has acquired the ability to transmit efficiently between people, so it’s not a human concern. It might acquire this ability at some point in the unknown future. It may never acquire this ability. That’s true, and as a human, I agree that’s a relief. But even if it doesn’t, it poses a massive ongoing threat to agricultural and food security, the economy, and the environment.

For reasons I don’t completely understand, the USDA-approved Zoetis poultry vaccine doesn’t really seem to be getting used. I am not sure why this is the case. Vaccinated poultry cannot be sold on the international market because the vaccines are not completely sterilizing (they don’t prevent infection altogether, even though they stop disease). That means vaccinated birds could still be infected, so our current trade agreements forbid vaccinated poultry products from being exported. Vaccination does not have an impact on domestic production, however, and should still be considered as part of the US strategy for managing avian flu, considering how much H5N1 is around and how many birds it is killing.

We can’t do much about infected wild birds or animals, but we now have tools to better manage and prevent avian flu in domestic poultry. Doing so should be a priority, considering that reducing the chances for H5N1 making the jump to a pandemic virus depends on reducing the overall incidence of H5N1 infection overall…

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GLP-1s are being studied for a wide range of conditions. Now, scientists will test whether their anti-inflammatory properties can help alleviate symptoms of #LongCovid. @wired.com @emilymullin.bsky.social
www.wired.com/story/weight…

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— Eric Topol (@erictopol.bsky.social) November 14, 2025 at 1:22 PM

Our randomized, placebo-controlled trial of tirzepatide (Zepbound) for #LongCovid has already enrolled 500 participants of 1000 planned in less than 2 weeks!
longcovid.scripps.edu/locitt-t/

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— Eric Topol (@erictopol.bsky.social) November 13, 2025 at 10:21 AM

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New data show double the risk of Guillain-Barre syndrome after RSV in seniors
The rate was quadruple in those 75 and older, but those findings demonstrate less statistical power
www.cidrap.umn.edu/r…

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— CIDRAP (@cidrap.bsky.social) November 14, 2025 at 2:27 PM

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The UK government says London’s COVID memorial wall will be permanently preserved. The 8-foot-high Portland stone wall along the Thames will honour 240,000+ lives lost and the sacrifices of key workers, especially in health and care sectors.
Source: archive.li/S1F7y

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— Denis – The COVID Info Guy (@thecovidinfoguy.bsky.social) November 13, 2025 at 11:54 PM

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Health secretary & long-time #vaccine skeptic Kennedy has already done a lot to disrupt immunization policy in the United States. But significantly more disruptive moves are yet to come, @danielpayne.bsky.social reports. www.statnews.com/2025/11/18/t…

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— Helen Branswell 🇨🇦 (@helenbranswell.bsky.social) November 18, 2025 at 9:09 AM

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"Decision-based evidence-making" — that's how one former #CDC leader described the approach to scientific decision making under the HHS secretary in a meaty examination of Kennedy's unprecedented tenure by several @statnews.com colleagues. www.statnews.com/2025/11/18/r…

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— Helen Branswell 🇨🇦 (@helenbranswell.bsky.social) November 18, 2025 at 9:47 AM

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A new study found the Trump administration’s cuts to NIH grants disrupted more than 380 clinical trials, affecting over 74,000 participants.
The cuts disproportionately impacted trials on infectious diseases and minority communities.

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— The Washington Post (@washingtonpost.com) November 17, 2025 at 6:00 PM

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"The new America First Global Health Strategy"
Check out the lede
Yet "The world still faces dire health threats that countries
cannot fight alone"
www.thelancet.com/journals/lan… @thelancet.com by @tombollyky.bsky.social

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— Eric Topol (@erictopol.bsky.social) November 14, 2025 at 6:41 PM

… That vision—the US State Department’s new America First Global Health Strategy—describes itself as forward-looking, but is more counter-revolutionary in its aims,seeking to return US programmes to first principles. The strategy rightly asserts that US global health leadership is not charity; it must directly benefit the US people and their interests. Yet, the strategy does not assess which health risks most threaten US lives, livelihoods, and the stability of allied nations, nor does it consider which interventions would be best suited to mitigate those risks. Instead, the America First strategy simply preserves the long-standing US global health priorities that do not run afoul of the President’s populist precepts and omits those that do. In are HIV, tuberculosis, malaria, and polio; outbreak surveillance and response; competition with China; US corporations; and bilateral aid. Out are climate-related risks; paediatric vaccines disfavoured by the President’s Health Secretary, Robert F Kennedy Jr; women, including maternal and reproductive health; aid for manufacturing or sanitation in other nations; US non-governmental organisations; and regional and multilateral institutions. Future US global health investments will be governed by 2–5-year bilateral agreements negotiated with recipient governments that include performance benchmarks and co-financing commitments, with the goal of decreasing US funding and moving most countries towards full self-reliance.

Even for the global health objectives that remain part of the America First strategy, the Trump administration’s 2026 fiscal year budget anticipates a further 62% cut in US foreign assistance for health, to $3·7 billion. Rather than tailoring US foreign policy responses to meet the demands of the threat, the America First Global Health Strategy has tailored the threat and the response to meet the demands of current US foreign policy. In doing so, this strategy takes the USA back 25 years—to circumstances that existed before the last consequential reassessment of US foreign policy and global health in 2000…

Dismantling pandemic preparedness
@science.org
www.science.org/content/arti…

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— Eric Topol (@erictopol.bsky.social) November 13, 2025 at 2:23 PM

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"Heck of a job, Bobby."
"If the outbreaks cannot be extinguished by January, the anniversary of the first cases in Texas, the United State will lose what is known as “elimination status” as determined by the World Health Organization."
(gift link)

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— Carl T. Bergstrom (@carlbergstrom.com) November 17, 2025 at 9:52 PM

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Utah, South Carolina confirm more measles as CDC call suggests US elimination status in jeopardy
Today the South Carolina Department of Health reported 5 new cases in Spartanburg County.
www.cidrap.umn.edu/m…

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— CIDRAP (@cidrap.bsky.social) November 18, 2025 at 5:03 PM

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With 42 news measles cases, US total tops 1,700
Last year the United States had 285 measles cases.
www.cidrap.umn.edu/m…

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— CIDRAP (@cidrap.bsky.social) November 13, 2025 at 4:19 PM

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Texas #measles outbreak may have spurred parents to vaccinate infants before CDC responded
Increased uptake among the youngest children may have slowed the risk of infection among those at greatest risk.
www.cidrap.umn.edu/m…

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— CIDRAP (@cidrap.bsky.social) November 17, 2025 at 4:24 PM

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First ever human case of H5N5 avian flu confirmed in Washington state
Previous human detections in the United States have involved the H5N1 strain.
www.cidrap.umn.edu/a…

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— CIDRAP (@cidrap.bsky.social) November 17, 2025 at 3:52 PM


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Health officials in Washington state said they have confirmed the first U.S. human case of bird flu since February, with a strain that has previously been reported in animals but never before in humans.

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— The Washington Post (@washingtonpost.com) November 14, 2025 at 6:00 PM

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Indiana tracks more avian flu outbreaks in poultry
APHIS also reported detections in smaller, backyard poultry flocks in Grady and McClain counties in Oklahoma.
www.cidrap.umn.edu/a…

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— CIDRAP (@cidrap.bsky.social) November 18, 2025 at 4:15 PM

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#Avian flu has decimated world's largest breeding colony of southern elephant seals
The loss may threaten the population's future by reducing the number of surviving pups.
www.cidrap.umn.edu/a…
Photo: David Cook / Flickr cc

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— CIDRAP (@cidrap.bsky.social) November 14, 2025 at 3:56 PM

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I never tire of seeing the amazing success of HPV vaccination. We are seeing the elimination of a leading oncogenic virus pathogen in real time
(Source: GAVI)
www.gavi.org/vaccineswork…

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— BK. Titanji (@boghuma.bsky.social) November 18, 2025 at 10:03 AM

www.gavi.org/vaccineswork…

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— BK. Titanji (@boghuma.bsky.social) November 18, 2025 at 10:03 AM

Multistate infant botulism outbreak adds 8 more cases, 23 total
All 23 cases involve hospitalization.
www.cidrap.umn.edu/b…

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— CIDRAP (@cidrap.bsky.social) November 17, 2025 at 2:45 PM

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Ethiopia faces its first Marburg outbreak, which has proved deadly
Nine cases have been confirmed.
www.cidrap.umn.edu/m…
Photo: Microbe World/ Flickr cc

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— CIDRAP (@cidrap.bsky.social) November 17, 2025 at 4:25 PM

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New Jersey man's death first one to be tied to tick-related meat allergy
Though deadly anaphylaxis had been considered a theoretical outcome of the allergy, it had not yet been seen until this case.
www.cidrap.umn.edu/t…
Photo: CDC

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— CIDRAP (@cidrap.bsky.social) November 13, 2025 at 3:59 PM

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Antibodies against #Lyme disease resurge after booster dose of Valneva's vaccine candidate, phase 2 data show
Nineteen-month antibody geometric mean titers were higher among kids than adults, similar to after the primary series.
www.cidrap.umn.edu/l…
Photo: Tange / Flickr cc

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— CIDRAP (@cidrap.bsky.social) November 12, 2025 at 5:26 PM

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New test promises faster, more accurate #Lyme disease diagnosis, researchers say
The test had 91% sensitivity in detecting Borrelia burgdorferi.
www.cidrap.umn.edu/d…
Photo: James Gathany / CDC

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— CIDRAP (@cidrap.bsky.social) November 18, 2025 at 5:33 PM

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Wow! What a lineup! Don’t miss this one 👇🏻

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— Angie Rasmussen (@angierasmussen.bsky.social) November 11, 2025 at 6:07 PM

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The more you know…

TikTokers are using raw potato slices in socks to cure colds, but experts say there’s no scientific evidence supporting this remedy. https://wapo.st/49h8hdi

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— The Washington Post (@washingtonpost.com) November 16, 2025 at 9:00 AM

Pandemic & Plagues Update – November 19, 2025Post + Comments (58)

Pandemic & Plagues Update – November 12, 2025

by Anne Laurie|  November 12, 20253:28 am| 23 Comments

This post is in: COVID-19, H5N1 Bird Flu, Healthcare

Good to #KNOW
How long does covid booster protection last? A new study offers answers.
www.washingtonpost.com/opinions/202…

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— justfara (@justfara.bsky.social) November 7, 2025 at 12:51 PM

Gift link:

… Researchers analyzed data from approximately 1.8 million Americans between August 2024 and April 2025, of whom only about 13 percent received the 2024–2025 coronavirus shot. They evaluated three clinical outcomes related to the disease: infections, emergency department visits and hospitalization or death.

The vaccine reduced the chances of infection by about 45 percent at four weeks after vaccination. That declined to roughly 36 percent at 10 weeks and about 17 percent at 20.

Protection against emergency visits followed a similar pattern, though it waned less: It was about 45 percent at four weeks, 43 percent at 10 and 39 percent at 20.

The strongest protection was against hospitalization and death. Effectiveness was about 57 percent at four weeks, 50 percent at 10, and 34 percent at 20.

Importantly, the benefits of vaccination persisted even after adjusting for differences in age, socioeconomic status, time since prior vaccination, and medical conditions including immunocompromising disorders. The vaccines were also effective across multiple subvariants that circulated during the study period.

These results are consistent with data collected in prior seasons. We’ve known that the most important benefit of coronavirus vaccines is reducing severe disease. This matters most for older adults, who accounted for nearly 80 percent of hospitalizations in this study and stand to benefit most from booster doses.

We’ve also known that effectiveness against infection wanes quickly. Even at its peak, it only cuts the chances that someone will catch the virus by half. These data should inform expectations: The goal is not to prevent every infection but to prevent serious illness and death. Breakthrough cases do not mean the vaccine isn’t working; rather, they show the virus can still cause mild infections even as vaccines blunt its worst effects.

For those seeking optimal protection before a high exposure event, getting vaccinated two to four weeks in advance remains a sound strategy. It is not, however, a guarantee against infection. People who want to minimize their risk further should also consider wearing a high-quality N95 mask and limit the time they spend in crowded indoor settings…

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Study: Durability of 2024-2025 COVID-19 Vaccines Against JN.1 Subvariants
Published: October 27, 2025
jamanetwork.com/journals/jam…

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— Denis – The COVID Info Guy (@thecovidinfoguy.bsky.social) November 6, 2025 at 11:10 PM

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US Weekly COVID update: Nov 10, 2025
🔸1 in 162 Actively Infectious
🔸301,000 New Daily Infections
🔸1,990,000 Infections In The Past Week
🔸199,000,000 Infections in 2025
🔸100,000 to 400,000 Weekly Long COVID Cases
🔸600 to 900 Weekly Deaths
Source: pmc19.com/data/

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— Denis – The COVID Info Guy (@thecovidinfoguy.bsky.social) November 9, 2025 at 6:46 PM

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Analyses: High-dose #flu vaccine better protects against hospitalization, infection than standard-dose
High-dose vaccine was 40% more effective against hospitalization than the standard-dose version.
www.cidrap.umn.edu/i…

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— CIDRAP (@cidrap.bsky.social) November 6, 2025 at 4:41 PM

show full post on front page

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The inside story of COVAX, started in January 2020, and led to 2 billion doses of Covid vaccines given in 146 countries, with 2.7 million lives saved. FAIR DOSES, by
@drsethberkley.bsky.social
A clip from our Ground Truths conversation today
Link to full: erictopol.substack.com/p/seth-berkl…

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— Eric Topol (@erictopol.bsky.social) November 5, 2025 at 1:44 PM

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USA: COVID-19 and other infectious disease tracking is limited by the government shutdown.
Available data suggest COVID-19 spread is low to moderate, but wastewater shows rising cases in the Northeast and Midwest.
Flu, RSV, and bird flu are also increasing.
Source: archive.li/ySM5Z

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— Denis – The COVID Info Guy (@thecovidinfoguy.bsky.social) November 11, 2025 at 8:49 PM

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Canadian COVID Forecast Nov 8 – Nov 21, 2025
CANADA
VERY HIGH [no change] About 1 of every 118 people is infected.
Compared to lowest point of pandemic in Canada:
-Infections: 7.6 x higher
-Long COVID: 6.0 x higher
-Hospitalizations: 10.4 x higher
-Deaths: 12.2 x higher

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— Tara Moriarty (@moriartylab.bsky.social) November 10, 2025 at 5:58 PM

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Finland Reports COVID Surge, 200 Cases Reported Per Week.
"These are laboratory-confirmed cases and only the tip of the iceberg (in terms of current infections)"

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— Denis – The COVID Info Guy (@thecovidinfoguy.bsky.social) November 10, 2025 at 6:22 PM

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Y'all, the hospital where I had my surgery is running trials to see if GLP-1 medications can help people suffering from long COVID. It's open to any person with documented long COVID who lives in the US.
Please pass it on!

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— Cozy Eb (@ebonielon.bsky.social) November 7, 2025 at 9:40 PM

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Data: Risks of vascular, inflammatory conditions in kids higher after #COVID infection than vaccination
Over 6 months, COVID infection led to 2.24 extra cases of myocarditis or pericarditis per 100,000 children, versus 0.85 per 100,000 after vaccination.
www.cidrap.umn.edu/c…

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— CIDRAP (@cidrap.bsky.social) November 5, 2025 at 4:00 PM

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COVID-19 Vaccination Linked to Reduced Infections in Children with Eczema.
“Our study suggests that COVID-19 vaccination not only protects against coronavirus but may also have broader health benefits for children with atopic dermatitis"

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— Denis – The COVID Info Guy (@thecovidinfoguy.bsky.social) November 6, 2025 at 8:32 PM

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No-needle test can tell if flu/COVID vaccines are effective.
University of Pittsburgh researchers developed a skin patch that detects antibodies for COVID and flu. It’s far more sensitive than current tests, requires only 0.5 volts of power, and delivers results in 10 minutes fast
archive.li/yBsS2

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— Denis – The COVID Info Guy (@thecovidinfoguy.bsky.social) November 10, 2025 at 6:34 PM

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Trial data show ensitrelvir has potent antiviral activity against COVID-19
Data from a phase 2 randomized controlled clinical trial show ensitrelvir accelerated viral clearance in patients with early symptomatic COVID-19.
www.cidrap.umn.edu/c…

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— CIDRAP (@cidrap.bsky.social) November 4, 2025 at 4:55 PM

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Dementia Heightens COVID-19 Risks in Sweden’s Seniors.
"A significant study conducted in Sweden has revealed alarming insights into how dementia not only affects the risks of contracting COVID-19 but also influences the outcomes for those infected."
Source: archive.li/BVzwv

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— Denis – The COVID Info Guy (@thecovidinfoguy.bsky.social) November 6, 2025 at 6:01 PM

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Women are 3x times more likely to develop long COVID.
Researchers found gut leakiness, inflammation, anemia, and hormone imbalances in women with long COVID (including lower testosterone and cortisol). These factors may help explain why long COVID affects women more.
Source: archive.li/pUBSE

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— Denis – The COVID Info Guy (@thecovidinfoguy.bsky.social) November 10, 2025 at 6:03 PM

Study: Integrated immune, hormonal, and transcriptomic profiling reveals sex-specific dysregulation in long COVID patients with ME/CFS
Published: November 07, 2025
www.cell.com/cell-reports…

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— Denis – The COVID Info Guy (@thecovidinfoguy.bsky.social) November 10, 2025 at 6:03 PM


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The dysregulated immune system in #LongCovid with #MECFS. with sex-specific changes, increased inflammation (as seen by cells, chemokines and cytokines), and disrupted hormone levels www.cell.com/cell-reports…

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— Eric Topol (@erictopol.bsky.social) November 7, 2025 at 11:00 AM

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2 #LongCovid randomized trials published today
—Online cognitive training, negative
jamanetwork.com/journals/jam…
—Resistance training, modest benefit
jamanetwork.com/journals/jam…

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— Eric Topol (@erictopol.bsky.social) November 10, 2025 at 3:50 PM

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Resistance exercise boosts physical function, quality of life in #COVID survivors
At three months, relative to controls, greater improvements in intervention recipients were also seen for depression and anxiety and handgrip strength.
www.cidrap.umn.edu/c…

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— CIDRAP (@cidrap.bsky.social) November 11, 2025 at 4:37 PM

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Take a 13 min break for an interesting discussion on the potential impact of COVID mRNA vaccines on cancer treatments & cancer patients.
Ira talks with Adam Grippin (@mdanderson.bsky.social) and @erictopol.bsky.social (The Scripps Research Inst.).
www.sciencefriday.com/segments/cov…

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— George Harper (@george-harper.bsky.social) November 10, 2025 at 2:12 PM

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How The Government Shutdown Is Impacting Surveillance Of COVID-19, Flu And RSV
The ongoing government shutdown since Oct 1st has disrupted CDC disease surveillance. COVID wastewater data hasn’t been updated since late September, and Flu/RSV data stopped on Sept 26, hindering public health tracking.

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— Denis – The COVID Info Guy (@thecovidinfoguy.bsky.social) November 9, 2025 at 7:10 PM

Source: archive.li/6Fd2h

— Denis – The COVID Info Guy (@thecovidinfoguy.bsky.social) November 9, 2025 at 7:10 PM

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The Vaccine Integrity Project @CIDRAP is conducting an independent review of the evidence supporting the long-standing recommendation for universal #HepatitisB vaccination at birth.
In Sept, CDC’s vaccine advisers tabled a vote on the birth dose and asked for more data.
🔗 tinyurl.com/4sy3wwa7

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— CIDRAP (@cidrap.bsky.social) November 6, 2025 at 2:50 PM

Why It Matters
The birth dose has helped virtually eliminate pediatric hepatitis B in the U.S.—cutting infections by more than 95% since the early 1990s.
Delaying or narrowing that policy could reopen gaps in protection for newborns.
#Vaccines #PublicHealth

— CIDRAP (@cidrap.bsky.social) November 6, 2025 at 2:50 PM

What's Next
The VIP will synthesize decades of safety, effectiveness, and public health data—aiming to give policymakers clear, evidence-based info by early December.
“Any shift that increases the risk of HBV transmission must be grounded in the strongest possible science.” — Dr. Michael Osterholm

— CIDRAP (@cidrap.bsky.social) November 6, 2025 at 2:50 PM

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Next up for Vaccine Integrity Project: reviewing data on birth dose of hepatitis B vaccine
The review will look at decades of data on the safety, efficacy, and public health impact of administering the hepatitis B shot at birth.
www.cidrap.umn.edu/h…

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— CIDRAP (@cidrap.bsky.social) November 6, 2025 at 4:57 PM

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[email protected], a pro- #vaccine physician, attended last weekend's gathering of anti-vax forces organized by Children's Health Defense. He thinks more colleagues should do the same — to understand what public health is facing. www.statnews.com/2025/11/11/c…

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— Helen Branswell 🇨🇦 (@helenbranswell.bsky.social) November 11, 2025 at 2:35 PM

Oh, to be a fly on the wall. www.statnews.com/2025/11/11/m…

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— Helen Branswell 🇨🇦 (@helenbranswell.bsky.social) November 11, 2025 at 2:21 PM

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Measles was once considered eliminated in Canada, but not anymore — there have been more than 5,000 cases in the last 12 months as vaccination rates have fallen. Here's how they got there, and why other countries — including the U.S. and Mexico — are also at risk of losing their status.

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— The New York Times (@nytimes.com) November 10, 2025 at 6:20 PM


[Gift link]

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More measles cases reported in Utah, Arizona
The measles outbreak along the Utah-Arizona border is the nation's second largest this year.
www.cidrap.umn.edu/m…

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— CIDRAP (@cidrap.bsky.social) November 5, 2025 at 4:39 PM

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More avian flu detected on Indiana duck, chicken farms
In the past 30 days officials have confirmed highly pathogenic avian flu in 31 commercial flocks and 31 backyard flocks across the United States.
www.cidrap.umn.edu/a…

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— CIDRAP (@cidrap.bsky.social) November 11, 2025 at 3:00 PM

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Five new #avian flu outbreaks confirmed in ducks, turkeys in 3 US states
In Michigan, 113,000 birds were affected on a turkey farm, the state's third detection in commercial turkeys in less than a week.
www.cidrap.umn.edu/a…
Photo: Andew-M-Whitman / Flickr cc

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— CIDRAP (@cidrap.bsky.social) November 7, 2025 at 12:46 PM

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As reflected in the price of a dozen free range eggs being back to costing 10.99$
www.npr.org/sections/sho…

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— BK. Titanji (@boghuma.bsky.social) November 6, 2025 at 1:21 PM

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13 cases of infant botulism tied to tainted baby formula
Infants in 10 states have been sickened, and all required hospitalization.
www.cidrap.umn.edu/b…

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— CIDRAP (@cidrap.bsky.social) November 10, 2025 at 3:55 PM

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Antimicrobial peptides show promise against Salmonella in chickens, study finds
In lab experiments and chickens, peptides derived from a strain of probiotic bacteria inhibited Salmonella strains that commonly cause foodborne illness.
www.cidrap.umn.edu/a…

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— CIDRAP (@cidrap.bsky.social) November 4, 2025 at 4:12 PM

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Lassa vaccine candidate provides encouraging results in phase 1 trial
The rVSVΔG-LASV-GPC vaccine caused no serious adverse events and produced a strong immune response in healthy adults in the US and Liberia.
www.cidrap.umn.edu/l…

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— CIDRAP (@cidrap.bsky.social) November 7, 2025 at 3:39 PM

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i sometimes say "I had COVID in the first wave in New York City and I never want to get it again"

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— Greg Pak (@gregpak.net) November 8, 2025 at 11:29 PM

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Oh dear, a friend forwarded this piece to her co-worker who is planning an office potluck this week and they are now contemplating if it is wise to proceed 😂. She has shared the article to all who have signed up to bring foods .
I didn't mean to sow fear and chaos, just provide information.😊😅

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— BK. Titanji (@boghuma.bsky.social) November 11, 2025 at 3:59 PM

Pandemic & Plagues Update – November 12, 2025Post + Comments (23)

Pandemic & Plagues Update – November 5, 2025

by Anne Laurie|  November 5, 20254:55 am| 15 Comments

This post is in: COVID-19, H5N1 Bird Flu, Healthcare

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— Jenn Manley Lee (@jennmanleylee.bsky.social) October 30, 2025 at 8:19 PM

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Anecdotally people are presenting sicker as well. I wonder how much of this is attributable to much lower vaccination coverage rates than during the peak of the pandemic. Adult uptake in the US stalled at 21% last year. I predict it will be lower this year.
www.nature.com/articles/d41…

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— BK. Titanji (@boghuma.bsky.social) November 4, 2025 at 12:22 PM

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US Weekly COVID update: Nov 3, 2025
🔸1 in 209 Actively Infectious
🔸234,000 New Daily Infections
🔸1,680,000 Infections In The Past Week
🔸196,000,000 Infections in 2025
🔸84,000 to 340,000 Weekly Long COVID Cases
🔸500 to 800 Weekly Deaths
Source: pmc19.com/data/

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— Denis – The COVID Info Guy (@thecovidinfoguy.bsky.social) November 3, 2025 at 6:52 PM

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Trial data show ensitrelvir has potent antiviral activity against COVID-19
Data from a phase 2 randomized controlled clinical trial show ensitrelvir accelerated viral clearance in patients with early symptomatic COVID-19.
www.cidrap.umn.edu/c…

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— CIDRAP (@cidrap.bsky.social) November 4, 2025 at 4:55 PM

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The collateral benefits of the Covid pandemic response was a marked decrease in airborne and aerosol-transmitted infections via masking and non-pharmaceutical interventions
@science.org
www.science.org/doi/10.1126/…

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— Eric Topol (@erictopol.bsky.social) October 30, 2025 at 3:02 PM

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🚀 CIDRAP has launched a new digital home for the Coronavirus Vaccines R&D Roadmap Initiative — a global, open-access platform to track progress toward broadly protective coronavirus vaccines.
🔗 Explore the site: cvr.cidrap.umn.edu

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— CIDRAP (@cidrap.bsky.social) October 30, 2025 at 11:18 AM

The new CVR Initiative site includes:
🧬 Coronavirus Vaccine Technology Landscape
📊 R&D Progress Tracker for scientific milestones
📚 Scholar Hub for global researchers
Learn more ➡️ cvr.cidrap.umn.edu

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— CIDRAP (@cidrap.bsky.social) October 30, 2025 at 11:18 AM

show full post on front page

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CIDRAP and CEPI launch resources to track development of coronavirus vaccines
The revamped open-access site tracks scientific progress toward the development of broadly protective coronavirus vaccines
www.cidrap.umn.edu/c…

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— CIDRAP (@cidrap.bsky.social) October 30, 2025 at 1:04 PM

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Participants are now enrolling in our #longCovid randomized, controlled trial of tirzepatide. The largest trial to test a treatment for this condition. Home-based—no sites. In today's @sandiegouniontribune.com
www.sandiegouniontribune.com/2025/11/01/c…

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— Eric Topol (@erictopol.bsky.social) November 1, 2025 at 10:16 AM

On our #LongCovid clinical trial launched today!
thesicktimes.org/2025/10/30/w… @julialmv.bsky.social @scripps.edu

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— Eric Topol (@erictopol.bsky.social) October 30, 2025 at 7:05 PM

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#COVID vaccination cuts risk of long-term symptoms in teens by over a third, data suggest
The vaccine is unique in having this effect on progression to a chronic condition, despite infection, the researchers say.
www.cidrap.umn.edu/c…

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— CIDRAP (@cidrap.bsky.social) November 3, 2025 at 2:58 PM

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Serious mental illness tied to increased risk of long #COVID
Participants with schizophrenia, bipolar disorder, or recurrent major depressive disorder were at a 10% higher risk of persistent symptoms.
www.cidrap.umn.edu/c…

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— CIDRAP (@cidrap.bsky.social) October 30, 2025 at 12:03 PM

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New coronavirus subspecies with #SARS-CoV-2–like mutation discovered in Brazilian bat
The bat harbored the BRZ batCoV virus, which the researchers say has likely been silently circulating in Latin America for some time.
www.cidrap.umn.edu/c…

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— CIDRAP (@cidrap.bsky.social) October 31, 2025 at 3:49 PM

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My @cidrap.bsky.social Op-Ed: "Vaccine effectiveness and safety: What the numbers truly mean in 2025"
Our review provides extensive data on Covid-19, RSV, and flu, though interpreting these numbers requires understanding the distinct context surrounding each.
www.cidrap.umn.edu/covid-19/cid…

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— Jake Scott, MD (@jakescottmd.bsky.social) October 31, 2025 at 3:53 PM

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For children and teens, heart and blood vessel complications of Covid overshadow the very rare and short-term risk of vaccinations, a new report from nearly 14 million kids
www.thelancet.com/journals/lan…

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— Eric Topol (@erictopol.bsky.social) November 4, 2025 at 7:48 PM

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International air travel—especially packed flights—fueled #flu, #COVID-19 spread during pandemic, researchers say
Flights from Asia played a larger role in disease spread than those from other countries, the study found.
www.cidrap.umn.edu/c…

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— CIDRAP (@cidrap.bsky.social) October 29, 2025 at 11:55 AM

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Australian scientist who alerted world that COVID is airborne wins top science prize
When the WHO falsely claimed in March 2020 that COVID wasn’t airborne, Professor Lidia Morawska took action—organising 239 scientists worldwide to warn about SARS-CoV-2 airborne spread and urge global recognition.

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— Denis – The COVID Info Guy (@thecovidinfoguy.bsky.social) November 3, 2025 at 7:02 PM

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Three major respiratory viruses COVID-19, RSV & flu still drive hospitalizations yearly. A new review of 511 studies shows current vaccines work. COVID-19 mRNA shots targeting XBB.1.5 cut hospitalizations by ~46–50%; newer KP.2-adapted vaccines reached 68% effectiveness.
www.nejm.org/doi/full/10….

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— BK. Titanji (@boghuma.bsky.social) October 30, 2025 at 8:14 AM

Maternal RSV shots & infant antibody protection (nirsevimab) each cut RSV hospitalizations by 68–80%. In older adults, both RSV vaccines lowered risk by ~79%. Flu shots still matter 48% effective in adults & 67% in kids vs hospitalization, even with viral drift.

— BK. Titanji (@boghuma.bsky.social) October 30, 2025 at 8:14 AM

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Public health leaders convene in Washington, D.C. this week to defend their vision for America's health, and look ahead for how to rebuild after the Trump administration's attacks on the system.

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— NPR (@npr.org) November 4, 2025 at 6:06 PM

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It has been 2 months since FDA head Marty Makary falsely alleged that “There have been children who have died from the COVID vaccine…We’re gonna release a report in the coming few weeks”.
His report is still nowhere to be found.
Where’s the report, shitbirds?

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— Elizabeth Jacobs, PhD (@elizabethjacobs.bsky.social) November 4, 2025 at 5:03 PM

In contrast to having the entire FDA at his disposal, the all-volunteer organization Defend Public Health had a draft report done within 72 hours showing how we know that children *have not* died from the COVID19 vaccine.
It helps when the data support your thesis. You don’t have lie or anything.

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— Elizabeth Jacobs, PhD (@elizabethjacobs.bsky.social) November 4, 2025 at 5:09 PM

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“We are witnessing nothing less than a clown show at #FDA right now.” People who worked at or rely on the US drug regulator see dysfunctional leadership & soap opera-ish behavior at a key federal agency, @matthewherper.bsky.social & @lizzylawrence.bsky.social report. www.statnews.com/2025/11/04/f…

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— Helen Branswell 🇨🇦 (@helenbranswell.bsky.social) November 4, 2025 at 9:50 AM

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US hot spots see more measles cases
Aleksandr Zyablitskiy/iStock
www.cidrap.umn.edu/m…

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— CIDRAP (@cidrap.bsky.social) November 3, 2025 at 4:22 PM

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This is incredibly depressing news. To come do far just to throw it all away. Measles elimination is always a win, we benefit nothing as a society from a resurgence of this infection.
www.statnews.com/2025/11/03/m…

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— BK. Titanji (@boghuma.bsky.social) November 3, 2025 at 4:31 PM

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In case anyone needs a reminder of how successful the Republican attack on public health has been:
A person who is the first probable measles case near Salt Lake City refuses to speak to the health department, so anyone they came into contact with can’t be warned.
This is especially insidious…

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— Elizabeth Jacobs, PhD (@elizabethjacobs.bsky.social) November 4, 2025 at 10:22 AM

…with measles. You can get a post-exposure measles vaccine within 72 hours that may reduce the risk of severe disease, or immunoglobulin can be administered up to 6 days post-exposure.
By refusing contact tracing, this person may well kill someone who could have been protected.

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— Elizabeth Jacobs, PhD (@elizabethjacobs.bsky.social) November 4, 2025 at 10:22 AM

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Review: Human #H5N1 avian flu cases can be asymptomatic, and the virus likely spreads among people
The findings highlight a critical gap in many national and global H5N1 surveillance systems.
www.cidrap.umn.edu/a…

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— CIDRAP (@cidrap.bsky.social) October 30, 2025 at 3:24 PM

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Avian flu strikes turkey farms in Dakotas, large egg facility in California
Elsewhere two large poultry outbreaks were reported in Lagrange County, Indiana.
www.cidrap.umn.edu/a…
Photo: Antyoko Rostriardi / iStock

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— CIDRAP (@cidrap.bsky.social) November 4, 2025 at 3:09 PM

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Avian flu detected in house mice in Washington state
Grant County recently had seven avian flu detections in wild birds.
www.cidrap.umn.edu/a…
Photo: David DeHetre / Flickr cc

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— CIDRAP (@cidrap.bsky.social) October 30, 2025 at 3:32 PM

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I don’t think “fears about readiness” quite captures the moment.
We are not ready, and the U.S. population has been groomed to reject public health interventions.

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— Elizabeth Jacobs, PhD (@elizabethjacobs.bsky.social) November 4, 2025 at 10:14 AM

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Some common viruses may steeply raise risk of cardiovascular disease
The authors noted that viral infections trigger the immune system to release substances that lead to inflammation and increase the risk of blood clots.
www.cidrap.umn.edu/i…

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— CIDRAP (@cidrap.bsky.social) November 4, 2025 at 4:47 PM

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Only certain types of bats host viruses with high epidemic potential, research suggests
Those found in coastal South America, Southeast Asia, and equatorial Africa are more likely to carry pathogens such as #SARS-CoV-2.
ww.cidrap.umn.edu/c…
Photo: Adam Zdebel / Flickr cc

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— CIDRAP (@cidrap.bsky.social) November 4, 2025 at 2:58 PM

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Tom Hanks explains to Stephen Colbert why he masks on the subway:
"I'm doing a play right now so I cannot get sick… I've had COVID enough in my life, I don't need to do that again. So I'm wearing this for health reasons."
Thank you Tom! Masks are still a key part of public health.

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— Dr. Lucky Tran (@luckytran.com) November 4, 2025 at 3:57 PM

Pandemic & Plagues Update – November 5, 2025Post + Comments (15)

Pandemic & Plagues Update – October 29, 2025

by Anne Laurie|  October 29, 20254:49 am| 19 Comments

This post is in: COVID-19, H5N1 Bird Flu, Healthcare

Pathetic fallacy strikes again!…

Lab monkeys from Tulane University have escaped an overturned truck north of the town of Heidelberg, Mississippi.
Despite initial claims by local law enforcement, the monkeys are not carrying COVID-19, herpes or hepatitis C.
buff.ly/16gTRJa

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— Mississippi Free Press (@mississippifreepress.org) October 28, 2025 at 5:12 PM

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US Weekly COVID update: Oct 27, 2025
🔸1 in 185 Actively Infectious
🔸264,000 New Daily Infections
🔸1,880,000 Infections In The Past Week
🔸194,000,000 Infections in 2025
🔸94,000 to 380,000 Weekly Long COVID Cases
🔸500 to 900 Weekly Deaths
Source: pmc19.com/data/

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— Denis – The COVID Info Guy (@thecovidinfoguy.bsky.social) October 28, 2025 at 12:32 AM

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— Medical Xpress – medical research advances and health news (@medicalxpress.com.web.brid.gy) October 27, 2025 at 11:30 AM

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Analysis: Last year's COVID' vaccines protected well against severe illness
Overall protection against infections peaked at 4 weeks after vaccination.
www.cidrap.umn.edu/c…

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— CIDRAP (@cidrap.bsky.social) October 28, 2025 at 5:05 PM

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We have two active data sets;
🔹WWScan wastewater
🔸BIOFiRE positivity
Both suggest we are now near multi year lows for transmission. I'd expect this to last for another month before Thanksgiving gives it a boost up.

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— JPWeiland (@jpweiland.bsky.social) October 23, 2025 at 10:05 PM

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Here's the latest variant picture for the United States, to early October.
The XFG.* "Stratus" variant continued it’s dominance, but seems to have peaked. It fell to 79% frequency.
NB.1.8.1 "Nimbus" rose slightly to 11%.
#COVID19 #SARSCoV2 #USA #XFG #Stratus #NB_1_8_1 #Nimbus
🧵

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— Mike Honey (@mikehoney.bsky.social) October 26, 2025 at 5:55 AM

show full post on front page

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The Vaccine Integrity Project’s new Executive Summary on COVID, RSV, & flu vax pulls together findings from 509 published studies to show where we stand for the 2025–26 season.
Highlights & interactive data tool: www.cidrap.umn.edu/vaccine-inte…
Full manuscript: bit.ly/42MMMNu

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— CIDRAP (@cidrap.bsky.social) October 22, 2025 at 9:55 AM

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Quality of decisions made by CDC #vaccine advisers has nose-dived, former voting members say
Advisory Committee on Immunization Practices policymaking maturity rating fell from an overall score of 100% to 58% from April to September this year.
www.cidrap.umn.edu/a…

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— CIDRAP (@cidrap.bsky.social) October 24, 2025 at 3:42 PM

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How do mRNA vaccines help fight cancer?
A @nature.com paper today tells the story, one with big implications, as reviewed here
erictopol.substack.com/p/how-mrna-v…

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— Eric Topol (@erictopol.bsky.social) October 22, 2025 at 11:19 AM

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What is Cardiac long COVID?
Published: October 24, 2025
“The main symptoms that could relate to cardiac long COVID include breathlessness, chest pain, palpitations, dizziness, fatigue, and orthostatic intolerance.”
#LongCOVID
Source: archive.li/VxqkQ

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— Denis – The COVID Info Guy (@thecovidinfoguy.bsky.social) October 25, 2025 at 7:21 PM

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The body of evidence for persistent activation of the immune system in #LongCovid and related post-infective syndromes
www.thelancet.com/journals/ebi…

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— Eric Topol (@erictopol.bsky.social) October 28, 2025 at 3:46 AM

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Japanese researchers link COVID-19 ‘brain fog’ to neural receptors.
A Yokohama City University study found COVID-related brain fog is linked to increased AMPA receptors—proteins vital for brain function—across wide brain regions, affecting memory and concentration.
Source: archive.li/3cc8W

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— Denis – The COVID Info Guy (@thecovidinfoguy.bsky.social) October 24, 2025 at 7:14 PM

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Colchicine:

Once-promising anti-inflammatory drug fails to improve #long-COVID functional outcomes in trial
The findings underscore the need to explore alternative therapeutic approaches to managing persistent symptoms, the authors say.
www.cidrap.umn.edu/c…
Photo: Frerieke / Flickr cc

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— CIDRAP (@cidrap.bsky.social) October 22, 2025 at 12:40 PM

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"Gut Infection, Dysbiosis Mark Severe SARS-CoV-2 Variants"
In a ground-breaking study published NPJ Viruses shows that the more severe variants of SARS‑CoV‑2 are strongly associated with gut infection and major disruptions to the gut microbiome (microbial dysbiosis).
Source: archive.li/d36nd

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— Denis – The COVID Info Guy (@thecovidinfoguy.bsky.social) October 28, 2025 at 7:23 PM

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UK: Inside looming NHS winter crisis as hospitals face ‘armageddon’
Doctors warn this winter could be one of the worst for the NHS, as an early flu season and rising COVID cases push hospitals to “astonishing” pressure, combined with high A&E demand and staffing cuts.
Source: archive.li/GZN4C

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— Denis – The COVID Info Guy (@thecovidinfoguy.bsky.social) October 27, 2025 at 12:02 AM

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Australia:

Not just another flu, COVID-19 complacency risks lives
Former ABC medical reporter Sophie Scott warns that complacency about COVID has set in. Public health messaging has faded, yet large numbers are still catching COVID, being hospitalised, or dying — COVID hasn’t gone away.
archive.li/NccoV

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— Denis – The COVID Info Guy (@thecovidinfoguy.bsky.social) October 24, 2025 at 7:01 PM

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Ukraine:

Ukraine: Almost 75,000 children fell ill with Acute Respiratory Viral Infection (ARVI), flu, and COVID in a week.
"From Oct 13 to 19, 126,758 cases of ARVI were registered in Ukraine, 74,951 of which were in children. COVID was confirmed in 2,593 people, and 16 deaths were recorded during the week"

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— Denis – The COVID Info Guy (@thecovidinfoguy.bsky.social) October 22, 2025 at 11:59 PM

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Tilting at windmills

RFK Jr. directs CDC to study alleged harms of offshore wind farms, Bloomberg News reports reut.rs/4hxHgEh

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— Reuters (@reuters.com) October 28, 2025 at 2:15 PM

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I asked John Cornyn about this and he said about Paxton suing Tylenol’s company
“He wants to line the pockets of every trial lawyer in the state. He ran off all of his professional staff, and now he has to hire trial lawyers, so and they're some of his biggest supporters.”

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— Eric Michael Garcia (@ericmgarcia.bsky.social) October 28, 2025 at 2:10 PM

Garcia asked John Cornyn about this because Cornyn is Paxton’s competition. Paxton is running for Senate, and this lawsuit is designed to appeal to the most ignorant Texas voters. It doesn’t matter to him if the state wastes thousands of dollars on a specious lawsuit against a deep-pocketed multinational corporation — he’s pulled stunts like this before — as long as he believes it will attract gullible voters. (And, maybe, self-interested doners.)

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Casey Means is a wellness influencer & unqualified opportunist who will face the Senate on Thursday. She should be called out on her conflicts, pseudoscience, & extremism, along with her weird scammer brother.
She should not be confirmed.
rasmussenretorts.substack.com/p/a-means-to…

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— Angie Rasmussen (@angierasmussen.bsky.social) October 28, 2025 at 9:06 AM

A few months ago, Vanity Fair dropped a detailed and not particularly flattering biography of Calley Means, a former wedding dress entrepreneur, self-proclaimed anti-Big Soda whistleblower, and haughty yet incompetent personal assistant who has somehow climbed the ladder to become US Health and Human Services (HHS) Secretary Robert F. Kennedy, Jr’s chief social media troll. In his current government role, Calley is a professional Twitter replyguy who makes the rounds at MAHA events, podcasts, and media outlets as an aggressively scornful fascist tool who preemptively deflects challenges to the unscientific nonsense about food colorings, preservatives, and vaccines disgorged by Kennedy. He also runs a company called Truemed that allows people to buy Pelotons and Apple Watches with pre-tax health savings accounts (HSAs) and flexible spending accounts (FSAs). You can pay Calley to provide a doctor’s note enabling you to buy tax-free turmeric supplements from Truemed’s partner merchants. Because he is designated as a Special Government Employee, he continues to run and profit from a company regulated by the government department he works for.

I first encountered Calley when he popped up in my replies back in March to sneer at my objection to replacing the NIH policy on scientific integrity with…actually, I’m not sure. There’s now a cheerful “Oops! That page can’t be found” notice and shutdown disclaimer where the policy on scientific integrity used to be. Calley scoffed at my concerns and implied that I was hilariously stupid to believe that a Biden-era policy would “reinstore” scientific integrity at NIH. I went to his profile to see what his deal was (he’s a grifter), which is how I became acquainted with his sister Casey. She’s even worse…

Dr. Casey Means is a health influencer with nearly a million Instagram followers, a diet book called Good Energy: The Surprising Connection Between Metabolism and Limitless Health co-authored with Calley, a Truemed partner company called Levels that sells blood glucose monitors to non-diabetics, and what I’m guessing is at least six figures of brand promotion income from her influencer content alone. She dropped out of her surgical residency, is not board certified in any specialty, holds an expired medical license, and has no public health background whatsoever outside of promoting scientifically unsupported disease remedies in her newsletter. She is also the nominee for US Surgeon General. Her Senate confirmation hearing is on Thursday.

That is most unfortunate, because the last thing we need is yet another shameless profiteer at HHS, especially serving as America’s top physician. Casey is completely unqualified to be the US Surgeon General…

Good Energy, Casey’s newsletter, and the Meanses’ social media and businesses all push the thesis that human health is dependent on root cause treatments, which according to them are usually some bullshit about cellular energy production. Root cause treatments include eating whole foods, exercising, “respecting” your Circadian rhythm, and collecting information on metabolic biomarkers from which Casey’s AI-powered Levels app can divine a prescription for better health via supplements, tech, and more biomarker tests. Casey’s goal is to stick a wearable data collection device on as many Americans as possible, with Calley trying to sell more of them by expanding HSA/FSA coverage to pay for them…

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The MAHA plan was ALWAYS intended to undermine vaccines.
– Rolling back access
– Seeding doubt on vaccine effectiveness
– Pushing false narratives about vaccine harms
– Crippling the infrastructure for vaccine approval and guidelines
www.theguardian.com/us-news/2025…

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— BK. Titanji (@boghuma.bsky.social) October 27, 2025 at 3:35 PM

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The CDC has lost a third of its work force this year. The Trump administration maintains that the losses are necessary, but critics say that there is no real plan, only animosity.
www.nytimes.com/2025/10/27/h…

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— Apoorva Mandavilli (@apoorvanyt.bsky.social) October 27, 2025 at 6:25 PM

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Avian flu detections in wild birds, including waterfowl, spike across US
Six Canada geese in Campaign County, Illinois, died from H5N1, as did 6 geese found in Kent County, Michigan.
www.cidrap.umn.edu/a…
Photo: _Veit_/Flickr cc

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— CIDRAP (@cidrap.bsky.social) October 23, 2025 at 4:33 PM

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Avian Flu detected on more Minnesota turkey farms
Notably, two large commercial turkey farms were hit in Minnesota.
www.cidrap.umn.edu/a…

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— CIDRAP (@cidrap.bsky.social) October 27, 2025 at 4:00 PM

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It’s everywhere except Australia. I don’t know if H5N1 will make the jump to human adaptation and pandemic potential, but it’s never had more opportunities.
youtu.be/sRJeCLgzcKY?…

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— Angie Rasmussen (@angierasmussen.bsky.social) October 24, 2025 at 4:03 AM

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Since 2023 Cambodia has reported human cases of H5N1 bird flu after a decade. 16 infections from Feb 2023–Aug 2024, mostly in children and teens exposed to backyard poultry. Mortality reached 38%. Sequencing shows all cases were of avian origin not human-to-human spread.
www.nejm.org/doi/full/10….

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— BK. Titanji (@boghuma.bsky.social) October 22, 2025 at 8:16 PM

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This ‘minor’ bird flu strain has potential to spark human pandemic
Experiments suggests H9N2 has adapted to human cells but cases of person-to-person transmission haven’t been reported yet.
www.nature.com/articles/d41…

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— SARS‑CoV‑2 (COVID-19) (@covid19disease.bsky.social) October 28, 2025 at 12:10 PM

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Measles was declared eliminated in the United States in 2000.
RFK Jr. must resign.

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— Ed Markey (@edmarkey.bsky.social) October 26, 2025 at 8:08 PM

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Measles outbreak in South Carolina grows; Canada’s elimination status threatened
About 90% of the cases reported in Canada in the last year have been in unvaccinated residents.
www.cidrap.umn.edu/m…

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— CIDRAP (@cidrap.bsky.social) October 27, 2025 at 5:03 PM

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— Medical Xpress – medical research advances and health news (@medicalxpress.com.web.brid.gy) October 28, 2025 at 11:35 PM

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Louisiana's surgeon general Ralph Abraham WAITED MANY MONTHS to warn public of whooping cough outbreak
He's an anti-vaxx activist and has been a vocal supporter of RFK Jr
www.npr.org/sections/sho…

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— Prof Gavin Yamey (@gavinyamey.bsky.social) October 28, 2025 at 10:15 AM

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Nearly 1 in 5 urinary tract infections tied to E coli in meat
The researchers also discovered that UTIs in patients from high-poverty neighborhoods were 60% more likely to be caused by animal-to-human strains
-from @cvdall
www.cidrap.umn.edu/a…

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— CIDRAP (@cidrap.bsky.social) October 24, 2025 at 3:08 PM

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We’ll soon be publishing a paper on the benefits & risks of health aid—including to both donors & recipients
Whatever your views, one thing is certain: if a country is transitioning out of aid, it must be done in a careful, planned way, with domestic finance slowly replacing aid. Sudden cuts kill 👇

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— Prof Gavin Yamey (@gavinyamey.bsky.social) October 26, 2025 at 11:17 AM

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Excellent reporting by @stephanienolen.bsky.social on the resurgence of #Diphteria in displaced populations, with a focus on #Somalia. The resurgence of this infectious disease is happening globally due to declining vaccination rates.
www.nytimes.com/2025/10/27/h…

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— BK. Titanji (@boghuma.bsky.social) October 27, 2025 at 4:34 PM

A complete vaccination series which includes three doses of vaccine and is recommended for all children before the age of 7 is approximately 95-97% effective in preventing the infection.

— BK. Titanji (@boghuma.bsky.social) October 27, 2025 at 4:37 PM

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Gonna talk in entomology class today about how Jewish scientists forced to work in Nazi concentration camps secretly sent fake vaccines to the eastern front and managed to kill 4,000 Nazis with typhus.

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— Alex Wild (@alexwild.bsky.social) October 28, 2025 at 10:37 AM

To clarify, the German troops received ineffective vaccines from the op, not Typhus. They were culled by regular Typhus that swept through because they lacked protection.

— Alex Wild (@alexwild.bsky.social) October 28, 2025 at 3:31 PM

Pandemic & Plagues Update – October 29, 2025Post + Comments (19)

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