Camilo Erazo Leiva, MD, MBA

BREAKING: UN Declaration On Noncommunicable Diseases Fails To Win Approval After US Foils Consensus - Health Policy Watch NEW YORK CITY - A painstakingly negotiated Political Declaration on Noncommunicable Diseases with overwhelming support from UN member states failed to win

It’s one thing to withdraw from global health

It’s another thing to block other nations from global initiatives and goals

NO ONE COUNTRY SHOULD HAVE SO MUCH POWER!!!

healthpolicy-watch.news/un-declarati...

My thanks and congratulations to world leaders for showing their strong support for #UNGA political declaration on noncommunicable diseases and mental health: bit.ly/4mH6S2L

My quote of the day

When hypocrisy is a character trait, it also affects one's thinking, because it consists in the negation of all the aspects of reality that one finds disagreeable, irrational or repugnant.

Octavio Paz

There are many smart, well-read people on this app, which is why it’s so disappointing to see people turn to misinformation/disinformation and personal attacks because they are understandably traumatized by Trump.

One of the arguments for scaling back the ACA Medicaid expansion is that enrollees are "able-bodied" and don't need health care.

44% of Medicaid expansion enrollees have a chronic condition.

www.kff.org/medicaid/iss...

Correlation between public interest and institutional adoption of DeepSeek in China's health care sector. Data combine search query analytics from the Baidu Index, a web service that quantifies search volume as a proxy for public interest, with independently collected data on hospital implementation rates. Visualization reveals 2 parallel growth curves: (1) the exponential increase in public awareness and interest in DeepSeek following its January 2025 release, and (2) the corresponding rapid adoption across Chinese hospital systems, which led to 80 hospitals implementing private local deployments within the first month (as of February 24, 2025). This relationship suggests potential reciprocal reinforcement between public discourse and institutional implementation decisions occurring in an environment of limited regulatory oversight.

"... less than 1/3 of studies have addressed the ethical (32.8%) and patient safety (32.1%) implications of clinical LLM integration, [...] only 16.1% have addressed the regulatory gaps..."

Stark contrast with explosive adoption in Chinese hospitals in early '25. 🤯

jamanetwork.com/journals/jam...

Correlation between public interest and institutional adoption of DeepSeek in China's health care sector. Data combine search query analytics from the Baidu Index, a web service that quantifies search volume as a proxy for public interest, with independently collected data on hospital implementation rates. Visualization reveals 2 parallel growth curves: (1) the exponential increase in public awareness and interest in DeepSeek following its January 2025 release, and (2) the corresponding rapid adoption across Chinese hospital systems, which led to 80 hospitals implementing private local deployments within the first month (as of February 24, 2025). This relationship suggests potential reciprocal reinforcement between public discourse and institutional implementation decisions occurring in an environment of limited regulatory oversight.

"... less than 1/3 of studies have addressed the ethical (32.8%) and patient safety (32.1%) implications of clinical LLM integration, [...] only 16.1% have addressed the regulatory gaps..."

Stark contrast with explosive adoption in Chinese hospitals in early '25. 🤯

jamanetwork.com/journals/jam...

The decline in cancer mortality is about much more than smoking I respond to the claim that the decline in cancer mortality is mostly, or almost entirely, because of the decline in smoking.

New post by me:

The decline in cancer mortality is about much more than smoking. We shouldn't minimize the very real impact of many contributors — including improvements in diagnosis, medical and surgical innovation, vaccination against cancers, and more — to the reduction in cancer death rates.

Cool, but why is he wearing a mask on a telemedicine consultation??

Innovation without scale is a science project.

#HealthEvolutionSummit

The cuts "would kill the much-anticipated Nancy Grace Roman Space Telescope, an observatory seen as on par with [Hubble & JWST] that is already fully assembled and on budget for a launch in two years." Would also apparently close NASA's Goddard Space Flight Center. Huge, HUGE loss for science.

Universities. Maybe check how many courses you have that discuss the many successes of appeasement.

Large language models are less effective at clinical prediction tasks than locally trained machine learning models AbstractObjectives. To determine the extent to which current large language models (LLMs) can serve as substitutes for traditional machine learning (ML) as

Large language models are less effective at clinical prediction tasks than locally trained machine learning models academic.oup.com/jamia/advanc... #llms #machinelearning #MLSky (not surprising but important to document)

When Populists Rise, Economies Usually Fall Business leaders are quick to abhor left-wing populism, with its government giveaways to supporters, spending on boondoggle projects, and disregard for financial discipline and investor confidence. Th...

Hm - wish someone would have told us that stock markets plummet and have a lot more volatility in the second term of a politician like Trump. Oh, wait, I wrote that last summer w/Roberto Foa in the Harvard Biz Review: hbr.org/2024/10/when...

The Pandemic Is Not the Only Reason U.S. Students Are Losing Ground For years, the country’s lowest-scoring students were steadily improving on national tests. Starting around 2013, something changed.

Unrelated to measles & tariffs, I am glad to see this in @nytimes.com …

Our kids are certainly suffering due to lots of systems problems that the pandemic worsened; but to blame it all on “lockdowns” is disingenuous at best

www.nytimes.com/2025/04/07/u...

NEW 🧵

A quick thread of charts showing how Trump’s economic agenda is going so far:

1) US consumers are reacting very very negatively.

These are the worst ratings for any US government’s economic policy since records began.

Diabetes Rates Have Been Falling For Over A Decade The complexity of chronic disease

"The statements “more people have diabetes in the US than ever before” and “fewer people are getting diabetes than in the 90s” are both true and both misleading."

Great post on the complexity of diabetes in the US during the last decades gidmk.substack.com/p/diabetes-r... by @gidmk.bsky.social

Proud to call the smart, compassionate and fearless @jeffstein.bsky.social a colleague and a friend.

She died in binary. That’s dedication. RIP.

to be clear, this is a major problem with the Great Man myth of science. Because Einstein is very very famous, it's easy to ignore the fact that his work was
1. based on others' work
2. built in collaboration with others and
3. tested thoroughly in a number of ways by people who weren't him

Fully-funded Gavi, the Vaccine Alliance, is a lifeline for child survival, says WHO Safeguarding children and adolescents from deadly, yet preventable diseases, such as polio, measles, diphtheria, pertussis, human papillomavirus and tetanus, among others, is the foundation of the Exp...

“Every child has the right to health. Our best defence against infectious diseases is continued investment in life-saving immunisations for all” - read @who.int’s statement on why fully-funding Gavi is a “lifeline for child survival”: bit.ly/3DYbtgI

Every. Single. Time.

Looking for good teaching material: case study from a low or middle-income country of a healthcare innovation that was successfully adopted and transformed patient outcomes. Got some old examples, looking for a recent one. THANKS if you can suggest. #healthpolicy #digitalhealth

The American Diabetes Association issued a statement regarding NIH's discontinuation of the landmark Diabetes Prevention Program Outcomes Study:

"Eliminating funding means the loss of a decade’s worth of important findings and progress toward diabetes prevention."

diabetes.org/newsroom/pre...

HUGE missed opportunity

Light pollution threatens fleet of world-class telescopes in Atacama Desert The effects of a proposed green-energy facility in Chile could be devastating for some of the most powerful instruments available to astronomers.

A massive green hydrogen plant proposed for construction in Chile could increase light pollution at one of the world’s most powerful telescopes by at least one-third, says the European Southern Observatory.

https://go.nature.com/4bZHNMy

At Least Now We Know the Truth It’s ugly, but necessary to face.

"We’re witnessing the self-sabotage of the United States"

from @davidfrum.bsky.social
www.theatlantic.com/politics/arc...

Researchers rush to preserve federal health databases before they disappear from government websites Journalists have long relied on federal health data for their reporting. We include several tips that they can use to help researchers preserve the data.

“A group of researchers and students at the Harvard T.H. Chan School of Public Health is gathered today for a data preservation marathon, scraping and downloading data related to health equity from U.S. government agency websites before they disappear.”

A Cross-Sectional Study of GPT-4–Based Plain Language Translation of Clinical Notes to Improve Patient Comprehension of Disease Course and Management The 21st Century Cures Act provides patients with access to their clinical notes, but most patients, particularly those with limited health literacy, have difficulty understanding and utilizing the...

🧪 A @ai.nejm.org study found that GPT-4 translation of discharge notes significantly improved patient understanding, especially for Black, Hispanic, and older patients. AI-driven readability could help close health literacy gaps.
🩺💻
tagging: @downing.bsky.social @thelizarmy.bsky.social