Super easy to send letters to oppose a completely unqualified person as surgeon general.

FDA Chief Makary just said that most drugs should be sold over the counter and not require a prescription, unless it’s “unsafe, you need laboratory tests to monitor…or if it could be used for some nefarious purpose or it's addictive”. Bacteria celebrate as antibiotic resistance enters the chat.

☀️ Morning, friends Inspiration from one of our greats—Dr. Bill Foege, whose leadership helped eradicate smallpox. Near the end of his life, he reminded us: public health can be great again. And he believed in all of us to carry it forward.

Here’s what you need to know about healthcare workers. When we come to work in a storm, we pack an overnight bag in case we need to stay. These people have your back. Do you have theirs?

Our new article in @jama.com led by @nathanlo.bsky.social @stanfordmedicine.bsky.social jamanetwork.com/journals/jam...

This is the week that the US withdrawal from the WHO is supposed to be finalized I spoke with @npr.org about how damaging the withdrawal will be, especially since RFK Jr has greatly weakened US national capacity to tackle health emergencies www.npr.org/2026/01/20/g...

#COVID19 vaccination before or during pregnancy was associated with lower risks of hospitalization, ICU admission, and preterm birth among those infected with SARS-CoV-2 in Canada. ja.ma/3YC9x4b

We have the CDC-funded Hepatitis Vaccine trial in Guinea-Bissau protocol. It’s worse than you thought. Check it out, first in Inside Medicine… with @pauloffit.bsky.social David Boulware and others. insidemedicine.substack.com/p/scoop-the-...

County-level data indicate a sharp rise in nonmedical childhood #vaccination exemptions in the US from 2010 to 2024, with post-pandemic rates highest in Utah, Idaho, Oregon, Wisconsin, and Arizona. ja.ma/4qm20m6

Vaginal estrogen would probably fix more resistant “UTIs” than any other intervention.

Prof. Lawrence Gostin and I wrote about the threat to states school immunization requirements from both litigation and legislation, especially worrying given federal actions undermining vaccine access jamanetwork.com/journals/jam...

12 former commissioners of the FDA came together to write a Perspectives piece for the New England Journal of Medicine; raising our concerns about recent changes to vaccine approval policy at the FDA and its implications for patients and public health.

The harmful and biased medical advice from social medial influencers, highlighting lack of expertise and financial conflicts. Many specific examples and recommendations provided bmj.com/content/391/...

🚨 >50% of ID fellowships went unfilled—just as the need is surging. Currently on ID consults and seeing unprecedented volumes and an increasingly immunocompromised population at risk for life-threatening infections. I’m worried we’re heading toward fewer specialists when we need them most.

Always thankful for the opportunity to share the research we've (@amyhcrockett.bsky.social and OG partner @juliejusto.bsky.social, and @priyanori.bsky.social as OG cheerleader and coconspirator) been doing, and bring the ID fellows (sans bluesky profiles!) along for the ride.

You know you work in infection prevention when this is your care package from coworkers before traveling.

If there are elections happening in your state or local area, exercise your right to vote this #ElectionDay.

Now out in @ichejournal.bsky.social, our teaching elective that we put together while grant funding still existed--we made IP fun, and students gained confidence in their skills. <3 my team and am glad to see this out there! doi.org/10.1017/ice....

#Climate-related disasters have impacted nearly two-thirds of US drug production facilities from 2019 to 2024, highlighting vulnerabilities in the #pharmaceutical supply chain. ja.ma/4njQHZs

📢Epipocalypse: Bug Detective's Kickstarter is halfway thru!⏱️ Help bring this educational game to life and get a copy before time runs out. Please RT to spread the word! #IDSky #MedSky #EpiSky www.kickstarter.com/projects/pha...

This article investigated how IV to PO switch therapy could potentially impact the carbon footprint generated by the healthcare sector. A GHG emissions tool was used to estimate the CO2 equivalents of the plastic waste generated by potentially unnecessary IV antibiotics. doi.org/10.1017/ash....

I had this idea basically live on @sidpharm.bsky.social breakpoints podcast with @juliejusto.bsky.social and @brainofbpharm.bsky.social and here it is! Another tool in our stewardship toolbox (thinking about single use plastics!)

Cochrane review shows RSV vaccines safe, effective Data on the efficacy of RSV vaccines on women of childbearing age and on infants and children were more limited. www.cidrap.umn.edu/r... Photo: PAHO/Flickr cc

💉New study of HPV vaccine shows “robust population-level effectiveness & herd protection in adolescent girls & young women” From 2006-2023: ➡️ Proportion of vaxxed women positive for high-risk HPV-16 & -18 types fell 98.4%, proportion of unvaxxed women fell 71.6% 1/2 jamanetwork.com/journals/jam...

Many Americans lack basic knowledge about fertility. Olga Khazan spoke with doctors and other experts about the information they think should be included in sex ed for middle and high schoolers: https://theatln.tc/X9LlT7B5

The U.S. government has jumped the public health shark: the comments at the autism conference were unfounded and seemed designed to put childern and the unborn at risk. www.statnews.com/2025/09/23/t... via @statnews.com @artcaplan.bsky.social

ACOG reaffirms that acetaminophen is safe for managing pain and fever during pregnancy. No reputable studies support suggestions like those in HHS’s recent announcement linking acetaminophen use in pregnancy to autism; in fact, high-quality studies show no such risk. https://bit.ly/47Wxc59

“Children today receive roughly 4-5 times as many shots as their 1986 counterparts, yet are exposed to 95% fewer antigens and only modest increases in aluminum. We’ve achieved far more protection with far less immune burden through decades of scientific precision.” www.statnews.com/2025/06/24/t...

Secretary Kennedy presents a clear and present danger to the American people and their families. This week, even more of our colleagues in the fields of medicine, public health and patient advocacy join us in calling for his resignation. Our full statement: https://bit.ly/42zItEV

We know the CDC vaccine sites are broken (and unlikely to be fixed). This site (funded by Pfizer, sorry) can help: www.vaxassist.com If you know of other vax finders that cover the US and are independent (CVS is also Big Pharma), let us know in the comments.

NEW: In June, ProPublica reported that the FDA has given more than 20 foreign factories a special pass to send drugs to the U.S. even though they were made at plants the agency had banned. Today, we’re publishing a list of those exempted drugs.

Despite state-level bans, asynchronous telemedicine services under shield laws have maintained or increased abortion rates by providing cross-state access to medication, especially in areas facing travel, poverty, and broadband barriers. ja.ma/4fun3hI

Effectiveness of 13-Valent Pneumococcal Conjugate Vaccine Against Pneumonia Hospitalization Among Medicare Beneficiaries Aged ≥65 in Long-Term Care ✅ Just Accepted #IDSky

IDSA implores HHS to maintain America’s leadership in vaccine research. Our full statement: buff.ly/0Xi305O

Data on treatments for bubonic plague are limited. In this open-label, randomized, controlled trial in Madagascar, ciprofloxacin monotherapy was noninferior to a standard aminoglycoside–ciprofloxacin regimen. Full IMASOY trial results: nej.md/3Ugs0kx #MedSky #IDSky

Sexual harassment, including assault, is a form of discrimination. That why it is illegal in the United States. Our study testing an intervention to address this was funded by the NIH, and that funding was prematurely terminated a few weeks ago bc the work no longer “aligns with agency priorities.”

The interview you don’t ever want to have to do as an ID/public health person. Vaccines works. It’s not just a rash.

NEW RURAL BRIEF @kff.org : Senate reconciliation bill would cut federal Medicaid funding in rural areas by $155B—$36B more than the House bill. www.kff.org/policy-watch...

The Regime has cancelled government contracts with major scientific journals in its latest attack on science. These people are fucking MORONS. www.nature.com/articles/d41...

“On Not Betraying Our Trainees, Especially Now” I won an Extraordinary Achievement Award from the Critical Care Assembly last month The @atscommunity.bsky.social premier journal @atsblueeditor.bsky.social TODAY published the remarks I made on that occasion www.atsjournals.org/doi/10.1164/...

The 2023-24 #COVID19 vaccines were associated with fewer COVID-19 medical visits, hospitalizations or critical illnesses. https://ja.ma/4nypyDw

1/ THREAD: ACIP, Then and Now What has changed with the panel that guides vaccine recommendations in the U.S.

This is a travesty & a nightmare. The US was a founder of @gavi.org. It lowers global vaccine costs, has vaccinated 1B children, & averted 19M deaths. This pull out will cost 100s of thousands of children's lives a year - and RFK Jr will be personally responsible. www.politico.com/news/2025/06...

The new anti-vax CDC ACIP is meeting this week with a preconceived bias against vaccine safety, and particularly the effects of thimerosal. Don't tell them this is still on their website. www.cdc.gov/vaccine-safe...

For older adults who express more confidence in vaccine safety than younger groups, the past few months have brought welcome research. kffhealthnews.org/news/article...

#IDSky #MedSky Less visible than ACIP, and less of a gross violation of promises made and statements under oath, the disbanding of HICPAC, the committee that advises on patient safety and infection control is damaging to transparency and trust @trtalbot.bsky.social jamanetwork.com/journals/jam...

Powerful statement from the former members of the ACIP (CDC vaccine advisory group) jamanetwork.com/journals/jam...

Excited to see more first line abx therapy and de-labelling of inaccurate pcn allergies!! 😍 #IDSky

Took a minute to get this project out, and while it’s not groundbreaking that IE rates went up with the opioid crisis…we need more guidelines updates, to help our colleagues who don’t have access to ID doctors…we need patient centered outcomes. @juliejusto.bsky.social @sarahecbattle.bsky.social