Thanks to @thelancetinfdis.bsky.social for the opportunity to share my perspective from working at @who.int and why U.S. withdrawal won’t make America healthier, and may in fact place it at greater risk.

@krutikakuppalli.bsky.social: I worked at WHO: the USA leaving will not make America healthier - The Lancet Infectious Diseases www.thelancet.com/journals/lan...

Doing ABIM MOC questions on a Saturday night - nothing I would rather do after a week on call for ID consults.

Imagine being a physician who has taken the Hippocratic Oath—to do no harm, ensure justice, respect every person, and uphold integrity—and then spewing racist rhetoric toward newly matched medical students who will soon be your colleagues. That behavior violates every one of those principles.

This is appalling. As a U.S. medical graduate, I work with IMGs every day—many worked twice as hard to get here. Dismissing them echoes harmful stereotypes and is racist. The irony? Coming from someone suspended for spreading vaccine misinformation. Our healthcare system depends on IMGs.

Isn’t this essentially extortion

Dear America, DO SOMETHING ABOUT YOUR PRESIDENT AND YOUR FECKLESS GOVERNMENT! WHY SHOULD EVERYONE ELSE SUFFER BECAUSE OF THIS INSANITY? Signed, Most of the rest of the planet

This is what the war is doing. Gas over $7 a gallon. Global conflict involving #Iran disrupting oil supply. Americans are the ones paying for it at the pump

There is no real endgame in sight with Trump's war with Iran. Markets are roiling and gas prices are surging. How can the President of the United States explain this to the American people?

Couldn’t said it any better

🤮🤮🤮

What has become of the U.S. Sunny Naqvi, a U.S. citizen born in Evanston, was detained for no cause by Border Patrol at O'Hare for nearly 30 hours and then was transferred to an ICE facility in Wisconsin. The unlawful detention of US citizens should terrify everyone. wgntv.com/news/chicago...

Instead of jumping forward one hour last night, I wish we could have jumped forward three years — straight to January 20, 2029.

You know it’s bad when even Switzerland stops being neutral www.aa.com.tr/en/europe/sw...

At the largest ICE detention facility in the U.S., staff reportedly placed bets on which detainee would die by suicide next. Human suffering has become a game. This is what happens when people in custody are stripped of dignity and oversight disappears. www.motherjones.com/politics/202...

Anyone who followed his conduct during COVID-19 has seen this before. Publicly targeting scientists who disagreed with him, undermining expertise, and turning scientific debate into personal attacks. That behavior has no place in institutions that depend on scientific integrity.

I miss having a leader who was so inspiring and well-spoken

Finally some good news

Happy Holi! In a world that often feels heavy, this festival of colors reminds us of the power of hope, joy, and our shared humanity. May the spirit of #Holi bring light, renewal, and brighter days

Happy Holi 2026! A celebration of light over darkness, hope over despair, and love over fear. In a world that often feels heavy with conflict and uncertainty, may the colors of Holi bring renewal, hope, and a reminder that the world is brighter when we celebrate our shared humanity.

WWII didn’t start with one explosion — it started with unchecked escalation, strongman politics, and leaders bypassing guardrails. Striking Iran without clear authorization or strategy isn’t strength. We have all seen this story before and it didn’t end well.

That tweet wasn’t insight. It was projection. When your agenda is unpopular and midterms look bleak, you create chaos and call it strength. Playing with global conflict to distract from domestic failure is reckless — and innocent people are going to pay the price.

I am so tired of living in a country where every day you wake up and have to wonder what batshit crazy thing the president did

If we’re okay with a Surgeon General who isn’t fully trained or board-certified, are we also okay with an Attorney General who never finished law school or passed the Bar? Standards aren’t elitism. They’re protection.

This is the cover of @thelancet.com “The destruction… might take generations to repair.” That’s the damage from RFK — eroding vaccine confidence, weakening public health, and diminishing U.S. scientific credibility. This isn’t rhetoric. It’s a warning the world should take seriously.

This is embarrassing. This is what they spend our taxpayers dollars on- not strengthening public health or addressing the worsening measles outbreak

Only in the U.S. do you need a license to drive a car, but not to be Surgeon General

A blind Rohingya refugee. Fled genocide. Came here seeking safety. Reportedly abandoned by ICE. Dead. This isn’t “border security.” It’s a moral failure. History will ask how cruelty became normalized - and how we let our humanity erode in plain sight. www.investigativepost.org/2026/02/25/b...

She makes more money on supplements than most primary care physicians make in a year taking care of patients/ The thought of her being surgeon general is another vote against public health in this country

If healthcare in this country is “so great,” why am I as a physician trained in infectious diseases on my third round of appeals with an insurance company for a medication my patient with a rare disease desperately needs? This is infuriating. It’s a waste of time. And it hurts patients.

Please do this - this woman should not be surgeon general. We all see what the state of public health is in this country after one year of this administration and she will only add to the antiscience and misinformation we continue to see spread harming the health of am Americans.

This is great but it doesn’t have him bragging about winning the Nobel Peace Prize - which I am sure he will

Just a reminder - this is what we are risking bringing back: Polio wards. Iron lungs. Children fighting to breathe. This is what vaccines ended. That’s not “making America healthy” - and it’s risking the lives of our children

It’s alarming that #CDC hasn’t issued a HAN alert on the #measles outbreak in South Carolina. In normal times, this absolutely would have triggered an advisory to clinicians nationwide. Measles is one of the most contagious diseases we know. Another example of public health being weakened.

This is absolutely horrifying. Six people have died in ICE detention centers in Texas in just six weeks — in overcrowded, understaffed facilities where abuse has been reported. These are human beings. This is a moral failure. And it’s happening in our state. www.texastribune.org/2026/02/19/i...

Leave @who.int because it’s “too expensive.” Now spend 3× more to rebuild a weaker version from scratch when the infrastructure is already in place. You can’t make this up. This isn’t cost-cutting. It’s sabotage of global health—and people will die because of it.

Agreed — a medical degree doesn’t equal public health expertise. But leading NIH and CDC requires experience in science, medicine, and public health. I also don’t appreciate my words being misconstrued. My concern is about the lack of that depth at a time when credibility and trust are fragile

So antibiotics, insulin, blood pressure meds, antivirals, chemotherapy and anticoagulants should be over the counter? Medicine isn’t candy. Dosing, Interactions & Monitoring matters. This isn’t “Making America Healthy.” This is how people die. www.cnbc.com/amp/2026/02/...

This is where we are. Someone who isn’t a board certified MD is leading NIH and CDC. This is reckless - NIH’s credibility is eroding, and now we’re driving the final nails into public health leadership. Expertise matters. Science matters. Lives depend on it. www.statnews.com/2026/02/18/c...

"The owners of a Dallas County warehouse that ICE had planned to use as a mega detention center said Monday it will not sell or lease the property to the federal government. “God answered our prayers,” the Hutchins Mayor said after learning of the decision... www.dallasnews.com/news/immigra...

🆕 in @thelancetinfdis.bsky.social Drawing on my time working at WHO during COVID-19 and mpox, I explain why leaving WHO won’t make America healthier — and why turning our back on global cooperation puts America at risk.

Our healthcare system is broken. I spend countless hours fighting insurers for medications patients need—denied, appealed, denied again. If insurance companies want to make medical decisions, they should also carry the liability when patients are harmed. We all deserve better

Dr. @krutikakuppalli.bsky.social: I worked at WHO: the USA leaving will not make America healthier - The Lancet Infectious Diseases www.thelancet.com/journals/lan...

🆕 I had the honor of working at WHO during the COVID-19 & mpox PHEICs. In my comment for Lancet ID, I explain why global coordination is critical & offer an inside view of what the US is walking away from. Pathogens have no borders. In public health time is vital www.thelancet.com/journals/lan...

🦠 H5N1 in Cambodia A 30 yo man in Kampot tested positive after exposure to dead chickens- he has recovered after treatment. A reminder of ongoing zoonotic risk and the importance of strong surveillance and rapid response—exactly when pandemic preparedness should be strengthened, not cut

Is anyone surprised that Trump is trying to interfere in the mid term elections?

Of course he did. Anyone who knew anything about RFK and his history understood what he was going to do. He said what he needed to in order to get confirmed and what astounded me more is that these senators believed him.

🚨🆕 Excited to share our new paper on #measles #vaccination attitudes in the 🇺🇸 As measles cases surge 📈 to highest levels since elimination in 2000, we wanted to understand if U.S. adults intention to vaccinate children against measles Here’s what we found. 🧵👇 www.sciencedirect.com/science/arti...

Time Magazine loses credibility when it platforms RFK Jr., Dr. Oz, and Marty Makary—individuals who have pushed misinformation, weakened public health, and backed policies that cost lives. This isn’t recognition. It’s normalization of harm time.com/7373386/time...

🆕 @propublica.org Children in #ICE detention are writing letters begging to go home. They miss school and friends. Some have been held for months. This is happening in the United States. Detaining and traumatizing kids isn’t “policy.” It’s an ethical failure. www.propublica.org/article/ice-...