The majority of Europe stood by as Israel massacred 80,000 Palestinians. Some helped finance the genocide. Europe’s response to Venezuela has been pathetic. I’m not entirely sure the response to the annexation of Greenland will be any better.

open.substack.com/pub/pauloffi... RFK Jr. is about to launch a dangerously unethical experiment in West Africa.

Once again, I implore media outlets to stop saying these are CDC decisions. These are changes being made unilaterally by RFK Jr. against the expert advice of CDC scientists. I note that RFK Jr. no longer recommends flu vaccine for kids in the midst of a horrible influenza year.

Got this way too late! But glad to see it.

The delusions of grandeur and sheer stupidity of the United States and its vassal states 🤦🏽‍♀️🤦🏽‍♀️🤦🏽‍♀️ I am embarrassed for all of you.

My personal view is that it all went wrong for Starmer when he couldn't bring himself to say that cutting off power and water to Gaza wasn't OK. He lost his credibility as a humanitarian and a human rights lawyer. He knew the answer. He couldn't say so. That was his moment.

Diversification of trade. Tech and banking systems that are not reliant on the United States. Every single country must set plans to reduce reliance on the United States.

Whatever you might think of Maduro, the seizure and kidnapping of a head of state takes us to a very dark place. Vast, arbitrary, extra-legal power, which could be exercised almost anywhere, regardless of the character of the target government.

Absolutely horrific. The U.S. establishment’s bloodthirst must be dismantled. And that includes the perception that they have the right to bomb anyone global majority people they like.

I don’t really like reposting news from Western media outlets given the absolute nonsense they put out on Gaza, but on this their anti-Trump agenda is at least rendering some truth as regards how the United States is completely flubbing their Nigeria efforts.

When are countries of brown people allowed to resist the massacres that are being perpetrated upon them? Why are there swathes of western elected leaders who believe Palestinians should accept the brutality that is imposed upon them? This is not civilisation. Reject it.

This is not the first time RFK Jr or his fellow anti-vax travelers conducted a study they knew would harm or kill children in low-income countries. It is a dehumanizing, colonialist model of manufacturing evidence: sacrificing foreign kids for political pseudoscience. www.notus.org/health-scien...

Very sad to see the American Academy of Pediatrics lose vital funding support from HHS. This feels retaliatory in response to their stance defending Science and vaccines to protect children. When your kid is sick remember pediatricians treat them not RFK. Jr www.washingtonpost.com/health/2025/...

The U.S. is giving dying mall vibes. I can't explain it, but you know I'm right.

"A causal link between mRNA vaccination and excess long-term mortality appears highly unlikely." bit.ly/4q3rGDw

Unfollowing everyone who shares the Israeli flag in tributes to Bondi victims. That genocidal state should not be conflated with ordinary Jewish people. That genocidal state killed 80,000 Palestinians. This narrative is disgusting.

60,000 lives, who until now remain largely nameless. We don’t know the names, their dreams, who they are. And the news cycle we rely on only tells us those things predominantly when Westerners are killed. I’d like to remember the lost Sudanese lives.

Australian news reporting that the hero bystander here is named Ahmed al Ahmed. Muslim, father of two.

Really sad at the shooting targeting Sydney’s Jewish community. Ordinary Jewish people are not responsible for the actions of the terrorist state of Israel. Please, please do not conflate the two.

Over the past couple of days here in Tokyo attending global health meetings, time and again I’ve heard the jarring term of “Sub-Saharan Africa”. Do they mean half of Mali and half of Niger is excluded from their discussions? Why do people think that disguising “black Africa” as SSA is ok?

Great news. No country should agree to specimen sharing with global north nations without explicit reference to benefits.

"And tonight in 'Cutting off your nose to spite your face'...."

Extremely lucky to attend this seminar tonight by Dr Sridhar Venkatapuram on public health ethics. My takeaways: 1) public health ethics is not to be developed solely by doctors, or even moral philosophers, but rather by a group of people who understand health issues faced by the most vulnerable.

Proud to know so many Malaysian gay & queer allies that worked to support arrested men.

Malaysian police actions this week in arresting 201 men from a health spa reported to be a “gay sauna” is utterly abhorrent. Among those arrested were Deputy Public Prosecutors and surgeons. Intrusions into personal life are demeaning and disrupt productivity. www.malaymail.com/news/malaysi...

The creation of a well-armed society with this little self-reflection and repugnant attitudes towards mass murder is going to hurt us all.

More than 44 million people have died of AIDS since it was first identified Regardless of what the US administration says, we must honor and remember them And pledge to do everything possible to prevent further infections and deaths

Is There a Third Way? Lessons for PABS from Parallel Treaty Contexts Guest Essay by Siva Thambisetty for @genevahealthfiles.bsky.social genevahealthfiles.substack.com/p/is-there-a...

Excellent Bernama graphic on the meeting with PM Anwar (Malaysia) and PM Abiy (Ethiopia).

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.

Abhorrent.

Watching Malaysia’s meetings in Ethiopia and Kenya with interest and excitement. Some time back, some colleagues and I wrote an op-ed on South-South cooperation & the decline of the West. These are meaningful steps towards that. Agricultural tariffs reductions are excellent; Kenya grows great avos.

The critical pathway for introduction of new TB diagnostics in African countries can be expedited if dossiers are complete, if local vendors are appointed, and with WHO PQ. Our health systems lead & managing director are at @theunion.org presenting our work, available here: www.tbdxcriticalpath.org

Great to be here at @theunion.org conference on Lung Health in #Copenhagen, particularly at this session on real-world strategies on TB diagnostics. @stoptb.bsky.social’s Suvanand Sahu highlights upcoming new diagnostics and says “this is a great time to replace microscopy.”

Nurse LaCrista Vaughn of TX sat on her ass as a Black woman screamed in pain while in labor. She should lose her license and never, ever work in healthcare again. But even if that happens we are left with the fact that structural racism is widespread across U.S. healthcare.

"Faustian bargain: Fifa A. Rahman, a lawyer who has advised developing countries in the negotiations, told Rory the U.S. agreement would enshrine the inequity countries protested during and after the Covid-19 pandemic." @fifarahman.bsky.social

The United States has proposed a template that requires aid-receiving countries to share pathogen data within 5 days, with no guarantee of benefits. In this @devex.com article, I comment that this is “exploitative, neocolonial…” www.devex.com/news/us-temp...

Also really perturbed by Trump’s claims that he’ll send troops to Nigeria, and MAGA claims that Christians are being killed left and right. The meeting had both Christians and Muslims and I assure everyone that NO ONE got killed.

Really grateful for the expertise, energy, and collaboration from the Nigerian National TB Programme, State Ministries of Health, private laboratories, regulatory agencies, CSOs, and communities in our work meetings in Abuja this week on the critical path analysis for novel TB diagnostics.

The US funds the bulk of biomedical research globally by far. It's not like other countries can simply take up the slack. The more likely: people leave research, new people don't become researchers. There is no happy ending. www.pbs.org/newshour/sho...

I just read this @apnews.com investigation about Lesotho and it blew my mind. For those who’ve never heard of it 😉: Lesotho is a tiny, mountainous country in southern Africa. And what’s happening there right now says everything about how fragile #globalhealth really is. apnews.com/projects/Les...

On 10th October 2025, Western leaders held a masturbatory ceasefire event, after which the Israeli regime continued killing Palestinians. It has been discovered that the veterinarian Dr Muath Abu Rukba who had been treating animals at Sulala Animal Rescue in Gaza, has also been killed.

I have long forsaken Western media, but reading posts here I gather that it is Israelis that have suffered, that Israelis have heartbroken families. Palestinians have none of that. If you haven’t yet made the switch to @aljazeera.com, TRT World, @thecontinent.org, it is time.

It was an absolute pleasure chairing this session on public health emergencies in South East Asia. Quite clear that there needs to be better coordination with ASEAN, an increased biosecurity focus, and greater insistence over national/regional sovereignty over genetic resources.

Israel raped orthopaedic surgeon Dr Adnan Al-Bursh to death. We must ensure that they do not do the same thing to Dr Hussam Abu Safiya. Please pressure your MPs in the UK and congresspeople in the United States to ensure he is released.

This is beyond bad. All of our disease defenses are down now. We are sitting ducks. This is #RussellVought #DonaldTrump #RFKJr. They are endangering American lives with their insane crusade. These men are hazardous to your health and dangerous to the republic. www.nytimes.com/2025/10/11/u...

Looking forward to moderating the panel on Governance, Equity, and Political Commitment in ASEAN, today at @monashuniversity.bsky.social Malaysia.

Great to hear journalists Al-Jazeera unpacking the trends in American media, including that they are reporting that bombing has stopped in Gaza. At least 20 people have been killed by bombing in Gaza today, so this is obviously deliberately/negligently inaccurate.

Anyone else got that grotesque Michael Froman email in their inboxes this morning?