Fresh, sharp work out this week from @treatmentactiongroup.org and @dgotham.bsky.social on the adjuvant access landscape. For years it’s been taken for granted that adjuvants would be a bottleneck for scaling up new TB and malaria vax. 1/4 💊🌐 www.treatmentactiongroup.org/publication/...

Protest art for the G20 in Johannesburg

A report by the community-led monitoring group Ritshidze has shown that among 326 public health facilities surveyed by the team, 48% reported reduced capacity after the Pepfar disruptions that took place in early 2025. It spotlighted worrying trends of staff shortages, increased waiting times and...

A sliver of good news: "In a huge development concerning risdiplam litigation saga, a division bench of the Delhi High Court has rejected the appeal against the order refusing to grant an interim injunction to Roche." Natco expected to launch affordable risdiplam today. spicyip.com/2025/10/brea...

I never saw starlings the entire time I lived in Geneva, but tonight the gift of an especially beautiful murmuration.

DID YOU KNOW? Medical devices aren’t regulated in SA. The country's regulator has however started down a road that should eventually lead to the regulation of all medical devices. www.spotlightnsp.co.za/2025/10/01/m...

Tariffs on pharmaceuticals are set to go into effect in 4 days. MSF submitted a response to the Department of Commerce's request for comment on the Section 232 investigation that is the underlying justification for the tariffs. Full comment here: bit.ly/MSFpharmatar...

Our work on the mental health of health workers in Gaza is now out in @plosglobalpublichealth.org. The findings are not surprising - health workers were being terrorized from the beginning of the genocide (data from December 2023- Jan 2024 peer review is slow). journals.plos.org/globalpublic...

Final guidance on switching studies for biosimilars out today. www.fda.gov/regulatory-i...

Very niche tweet but if you've been banging your head on the wall trying to understand the current status of the FDA/PEPFAR tentative approval program, a sliver of good news - 6 drugs have gone through this pathway in 2025, so I guess at least one person wasn't fired in that office?

On my reading list: "Affirming pharmaceutical sovereignty – Technology transfer agreements and vaccine geopolitics during a global health emergency." Out this week from Koichi Kameda de Figueiredo Carvalho, Denise Pimenta and Gustavo Matta. www.matteringpress.org/books/techno...

This week, USTR held a hearing concerning the Special 301 Investigation being pursued against Brazil. MSF is deeply concerned that the US is pressuring Brazil to adopt IP measures that will make medicines even more inaccessible. Full submission here: comments.ustr.gov/sfc/servlet.... 1/4

Friday is going to be a very 2015 day. (ifykyk)

The first week I don't have to re-read Project 2025 to divine what is happening will be a good week.

“What’s happening at CDC should frighten every American Regardless of whether you are MAGA, MAHA, neither or don’t give a damn abt labels or politics. It’s unclear whether the CDC director has been fired or not. Absolute shitshow,” said @craigspencer.bsky.social. www.theguardian.com/us-news/2025...

Full resignation letter from Demetre C. Daskalakis, a CDC leader, does not hold back. "The recent shooting at CDC is not why I am resigning. My grandfather, who I am named after, stood up to fascist forces in Greece and lost his life doing so. I am resigning to make him and his legacy proud."

This is a nice study showing that out-of-pocket costs for diabetes technologies are associated with worse HbA1c levels. I wish there were more granular data on actual costs and affordability instead of just bucketing 'reimbursed' vs 'not reimbursed.' jamanetwork.com/journals/jam...

Today, join us in thanking and wishing farewell to our tireless leader over these past several years: the one and only @corinneblalock.bsky.social. 🥳🤗🥲😢😭 Wishing you the best in your next chapter, and we look forward to harassing you to write blog posts about all of your incredible scholarship 😬

Four Al Jazeera journalists have been killed in an Israeli strike near Gaza City's Al-Shifa Hospital. Correspondents A al-Sharif and M Qreiqeh and cameramen I Zaher and M Noufal were in a tent for journalists at the hospital's main gate when it was targeted. www.bbc.co.uk/news/article...

So so so pleased that my piece on social atrophy is out in the Open Society Foundation’s The Ideas Letter. I explore ideas in the last book but take them further. I bring in a bit more Marx, and think about how alienation and neuroplasticity are related. www.theideasletter.org/essay/the-pe...

@doctorswithoutborders.org released a report this morning documenting the targeted, orchestrated killing of civilians at Gaza Humanitarian Foundation (GHF) aid distribution sites. Please read and do everything in your power to stop this. www.msf.org/not-aid-orch... 1/7

“On July 30, as people approached trucks distributing aid near Zikim, in north #Gaza, Israeli forces opened fire on them,” says Caroline Willemen, MSF Project Coordinator in Gaza. “People were wounded in the gunfire and in the crush as crowds panicked and ran.”

Deeply moving piece by ‪@stephanienolen.bsky.social on Tatiana Andia's final year. Dr Andia was a titan in access to medicines advocacy. www.nytimes.com/2025/08/03/h...

Dr Mohammed Abu Mughaisib, MSF deputy medical coordinator in Gaza: "Those who go to the Gaza Humanitarian Foundation's food distributions know that they have the same chance of receiving a sack of flour as they do of leaving with a bullet in their head." www.msf.org/msf-finds-1-...

“These food distributions are not humanitarian aid, they are war crimes committed in broad daylight and presented to the world with compassionate language,” says Dr Mohammed Abu Mughaisib, MSF deputy medical coordinator in Gaza. www.msf.org/msf-finds-1-...

this morning I have been thinking about Orlando Letelier, the Chiliean economist assassinated by Pinochet's junta a month after he wrote the famous The Nation critique of the Chicago boys funding by the CIA, and Milton Friedman's overt support for their shock therapy.

I don’t like “preferred vibes” in a trade agreement but the language could be worse.

Out today - IP chapter from the UK-India Free Trade Agreement. assets.publishing.service.gov.uk/media/687fb2...

"PEPFAR would cease to exist as an initiative to provide medicines and services for HIV. It would be replaced by “bilateral relationships” focused on the detection of outbreaks that could threaten the US and the creation of new markets for American drugs and tech." www.nytimes.com/2025/07/23/h...

Deep sigh Pepfar would focus on “creation of new markets for American drugs and technologies” @stephanienolen.bsky.social www.nytimes.com/2025/07/23/h...

New blog post from me in @lpeblog.bsky.social! Quick thread below! lpeproject.org/blog/whats-v... 1/

The censored billboard says “We’re witnessing a genocide in Gaza. When will the UK government take action?”

Come work with me! MSF-USA is hiring for two roles in the Global Health Advocacy and Policy (GHAP) team. 1) Global Health Analysis and Policy Specialist www.linkedin.com/jobs/view/42... 2) Global Health Strategic Advocacy and Campaign Specialist www.linkedin.com/jobs/view/42...

Cool paper with an great title. Across the world, boys are much more likely to overestimate their math ability than girls. People from high SES backgrounds do the same www.iza.org/publications...

“The children of Gaza are being decimated." We surveyed MSF staff and their families- this covered 2,523 people. Just one of the horrific numbers in the survey: 19 children (under 18 yrs old) died from blast injuries among our colleagues' households. www.doctorswithoutborders.org/latest/msf-s...

Since April 4, #SCOTUS has issued 15 rulings on 17 emergency applications filed by Trump (three birthright citizenship apps were consolidated). It has granted relief to Trump ... in all 15 rulings. It has written majority opinions in only 3. Today's order is the 7th with no explanation *at all.*

An incredibly sobering must-read piece by @peopledoctor.bsky.social in @newyorker.com on how the OBBA will impact children, especially those who get seriously ill, through Medicaid cuts, diminishing one of America's most important anti-poverty programs www.newyorker.com/news/the-led...

On this episode of the Humanitarian Lens podcast, Dr. Aqsa Durrani talks about treating patients of all ages affected by injuries from airstrikes, burns, fractures, and gunshot wounds in Gaza. The vast majority of patients she saw were women & children. Listen: open.spotify.com/episode/3Msh...

The [World Bank backed hospital] model was “profit before life. It was profit before health care. It was profit first,” according to one former exec. To collect unpaid bills, some of the hospitals unlawfully detained patients up to months at a time, ICIJ found. www.motherjones.com/politics/202...

Doctors Without Borders releases a new briefing note: Five Months Under Iron Wall. It highlights the toll of prolonged displacement and escalating humanitarian needs in the #WestBank. www.doctorswithoutborders.ca/palestine-fi...

Honored to have @yalecrrit.bsky.social's work featured in this excellent @nytimes.com Mag piece on the ongoing assault and decimation of @fda.gov. There is no doubt the agency is imperfect but taking a sledgehammer to our national regulator is not the way. www.nytimes.com/2025/07/08/m... #MedSky

Must-read story from @jeneeninterlandi.bsky.social on Trump & RFK Jr's catastrophic assault on the FDA. I'm quoted briefly, echoing a warning @reshmagar.bsky.social, @drjoshs.bsky.social & other watchdogs reiterated for years: FDA's unnecessary, excessive secrecy fueled conspiracy theories.

NEW: With deep job cuts at the FDA, inspectors say the ongoing strain could compromise policing an industry spread across more than 90 countries. “Things will be missed, we are going to have a lot less safe drugs,” a former inspector said.

ICE is now changing tactics and arresting people who have been granted asylum hearings.   This is both a violation of US & international law that demands immediate attention from all New York elected officials & underscores the urgent need for legal service providers to be at all of these cases.

One more time for folks in the back — the government isn’t some sort of convenient tool to provide external leverage for the academic reforms you want That way lies dragons

Kids without cancer also have a right to seek safe asylum, but it's particularly heinous to see sick 6 year olds threatened w/guns and denied life-saving medical care. Most cases of early childhood leukemia are treatable but only w/early intervention + consistent care. www.tpr.org/border-immig...

I’m clearly not a lawyer so this isn’t legal analysis, but thinking as someone who studies institutions & contentious politics, I’d say we could understand the Supreme Court as having suspended the constitution—it operates to the extent that lower courts & states enforce it despite the Supreme Court

If you insist, Bloomberg. www.bloomberg.com/news/article...

zero cynicism for 24 hours, as a little treat. thank you nyc.

Someone on Twitter posted that they had run into Philip Glass at their lower Manhattan polling place, saying nice things about Mamdani. The campaign put this up as a quote-tweet within the hour.