A Tale Of Two Mpox Outbreaks | Health Affairs Forefront
For decades, mpox did not pose a threat to Americans, but that changed rapidly and repeatedly over the past five years.
Mpox threatened the US first in 2022, killing 58. But the story was different in 2024.
Distinguished Senior Fellows @nikkiromanik.bsky.social and @spsaki.bsky.social
write that "the two mpox responses in the US highlight a public health truismβwhen preparedness works, it is often invisible."
26.02.2026 20:45 β
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Opinion | Debunking the 'Coercion' Argument in the Abortion Pill Debate
Restricting mifepristone access doesn't protect women from abuse
In an #OpEd, @darakass.com, @spsaki.bsky.social, and Liz Tobin-Tyler, JD, MA, all of @brownpublichealth.bsky.social, explain what the research actually shows about reproductive coercion.
Read now: www.medpagetoday.com/opinion/seco...
23.01.2026 21:18 β
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In #HealthAffairs, our Senior Adviser @bethcameron-dc.bsky.social co-authored w/ @spsaki.bsky.social how we should protect Americans in a #BirdFlu pandemic.
From rebuilding surveillance to restoring #mRNA vaccine programs.
Read more ‡οΈ
www.healthaffairs.org/content/fore...
14.11.2025 17:25 β
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Pandemics are a choice
The end of pandemics is within reach. Why aren't we acting like it?
"Advances have made it possible to detect, treat, and stop the pathogens most likely to sweep across continents and cause widespread death," Senior Fellow @spsaki.bsky.social writes in @vox.com. "The question now is not whether we can prevent the next pandemic, but whether we will."
10.11.2025 21:32 β
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The Real Way to Boost Birth Rates
Politicians need to make parenting more affordable and more compatible with working life, writes Stephanie Psaki.
The birth rate is dropping in the U.S. because Americans canβt afford to have families. Pushing women out of the workforce will only make that worse.
New piece in TIME:
time.com/7328698/wome...
29.10.2025 12:17 β
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$10 Million in Contraceptives Have Been Destroyed on Orders From Trump Officials
Pay attention! They are testing health policies internationally before imposing them in the U.S.
They falsely say that contraceptives cause abortion to justify destroying them.
They are coming for contraception in the U.S. next (actually, already).
www.nytimes.com/2025/09/11/h...
12.09.2025 00:34 β
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A suspected Ebola outbreak is occurring in DRC. This is bad at any time! But itβs particularly worrisome now when US capacity to detect and respond to deadly biothreats has been purposefully dismantled.
www.theatlantic.com/ideas/archiv...
03.09.2025 22:54 β
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Hereβs What Real Pro-Family Policy Looks Like
We need to stop treating 'pro-family' as a culture war slogan and start treating Americans with freedom and respect.
βPro-familyβ policy requires freedom, support, and respect for peopleβs choices.
These are not radical ideas. Theyβre deeply American ones.
New piece in Time with Jess Marcella:
time.com/7310023/real...
18.08.2025 16:48 β
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No One in the White House Knows How to Stop Ebola
We had a playbook for handling biothreats. Then Trump pushed out the people who knew how to use it.
In the last 6 months this administration has dismantled a system built over decades to keep Americans safe from biological threats.
@bethcameron-dc.bsky.social, Jon Finer and I describe what it takes to keep these threats out:
www.theatlantic.com/ideas/archiv...
11.08.2025 14:45 β
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STAGGERING: This new study of 133 countries is the first to estimate the impact of all USAIDβs work. In 2 decades, it has saved *92M* lives. Current cuts, if not reversed, are forecast to cost up to *14M* lives thru 2030. www.thelancet.com/journals/lan...
01.07.2025 14:23 β
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Theyβre forming a CDC workgroup to decide which line on this graph looks better and their answer may surprise you
25.06.2025 15:11 β
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RFK Jr. says US wonβt donate to global vaccine effort
Kennedy ripped into Gavi, the Vaccine Alliance, in a video address at its pledging summit.
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...
25.06.2025 13:59 β
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Kennedy Withdraws Funding Pledge to International Vaccine Agency
Gavi works in close partnership (operationally and financially) with governments around the world to distribute life-saving vaccines to children. Their work has saved nearly 20 million lives since 2000.
Kennedy is either misinformed or lying, but either way children will die as a result.
25.06.2025 15:17 β
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We donβt close military bases in unstable regions and hope for the bestβwe maintain forward deployment to prevent emergencies. The same logic applies to public health.
New piece in @justsecurity.org about cuts to CDCβs presence around the world, with @nikkiromanik.bsky.social
20.06.2025 16:25 β
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U.S. Soft Power: Next Steps After the Foreign Aid Withdrawal | Think Global Health
A former White House official on the future of advancing strategic interests while saving lives and growing economies
Foreign aid can save lives and ALSO advance U.S. interests in the world. Its not an either/or.
I argued in @thinkglobalhealth.org that foreign aid builds soft power when it is:
β
Visible
β
Altruistic
β
Effective
β
Aligned with country priorities
11.06.2025 13:03 β
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There is a new pandemic treaty that'll get ratified at World Health Assembly next week
Its meant to fix lethal gaps we saw during COVID in getting vaccines to poor countries
Unfortunately, as @spsaki.bsky.social and I lay out in @statnews.com, it probably won't do much
But there is a better way
16.05.2025 14:11 β
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Dropping U.S. Biodefenses: Why Cuts to Federal Health Agencies Make Americans Less Safe
The Trump administration's sweeping changes to the Department of Health and Human Services will make the United States highly insecure, not healthy.
New piece I wrote with @bethcameron-dc.bsky.social in @justsecurity.org on how the HHS cuts make Americans less safe (and less healthy).
We lay out some signs that tell us whether the U.S. is prepared for biological threats from all sources. (Hint: It doesnβt look good)
03.04.2025 13:15 β
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The Daily Blast: βTerrifyingβ: Trumpβs Ominous Moment with RFK on First Measles Death
Podcast Episode Β· The DSR Network Β· 02/27/2025 Β· 25m
On The Daily Blast, @gregsargent.bsky.social talked to @spsaki.bsky.social. She explains what we want from public officials at moments like theseβand why the anti-vax views of RFK and the cavalier approach to public health add up to a picture thatβs βterrifying.β podcasts.apple.com/us/podcast/t...
27.02.2025 20:47 β
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Join us Friday for, The cost of defunding #PEPFAR and the impact on the fight against HIV/AIDS, moderated by @wilmotjames.bsky.social w/ panelist Glenda Gray, University of the Witwatersrand, Johannesburg & @spsaki.bsky.social, @brownpublichealth.bsky.social
Register ‡οΈ
brown.zoom.us/webinar/regi...
24.02.2025 20:35 β
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Authoritarian regimes around the world cheer on dismantling of USAid
Elon Musk-led razing of US foreign aid agency led strong-arm rulers in Hungary, Belarus and elsewhere to celebrate
"For authoritarian leaders worldwide, the agencyβs dismantling represents a potential retreat of American democratic influence."
It is stunning to see this administration undermine U.S. interests around the world so swiftly and - possibly - irreversibly.
www.theguardian.com/us-news/2025...
13.02.2025 16:27 β
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Abolishing USAID Would Contravene U.S. law, the U.S. constitution, and would harm response to current and future outbreaks... A thread.
03.02.2025 17:48 β
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Given reports of a new Ebola outbreak in DRC, it's definitely time to run the playbook we left behind. The early days in a response will make the difference between a quickly contained Ebola outbreak, or an extended outbreak with spread across borders, loss of life, and billions of $ to contain.
28.01.2025 23:36 β
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Who is protecting Americans from Marburg right now?
The WHO and the CDC coordinated well when faced with viral outbreaks. This is no time to demolish a well-oiled machine.
We left behind a playbook for outbreaks and other biological threats, and public servants are there who know how to use it.
The new administration should let them protect Americans from this threat.
27.01.2025 12:30 β
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