Edwin Asturias MD

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

Step up and never surrender in the quest for children’s health…https://www.instagram.com/p/DLUyCihSxhK/

I was right

Second death reported in growing measles outbreak The death of a New Mexico adult comes eight days after a 6-year-old child succumbed to the disease in Texas last week.

Second death reported in growing measles outbreak, in an unvaccinated adult. Lots unknown still. via @lenasun.bsky.social @washingtonpost.com wapo.st/4kv5Mad

Trends in Cervical Precancers Identified ... This report describes decreases in cervical precancer incidence among women ages 20-24 years.

"During 2008–2022, cervical precancer incidence decreased 79% and higher-grade precancer incidence decreased 80% among screened women aged 20–24 years, the age group most likely to have been vaccinated." Thank you, @kevinault.bsky.social for alerting me!
www.cdc.gov/mmwr/volumes...

Reports of Encephalopathy Among Children ... This report describes cases of influenza-associated encephalopathy or encephalitis among children during 2010-11 through 2024-25 flu seasons.

Among the 166 fatal pediatric influenza-associated cases with IAE, the median age was 6 years (IQR = 2.5–10.5 years), 52% were female. www.cdc.gov/mmwr/volumes...

Abbreviation: IAE = influenza-associated encephalopathy or encephalitis. * Preliminary data through February 8, 2025. † Data available at https://gis.cdc.gov/grasp/fluview/pedfludeath.html § Influenza activity was historically low during the COVID-19 pandemic. https://www.cdc.gov/mmwr/volumes/69/wr/mm6937a6.htm

This winter, high end numbers (12%) of Influenza-associated encephalitis (IAE), including acute necrotizing encephalopathy (ANE) reported among children dying from #influenza. Vaccines were 63-78% effective this season. Only 1 of 5 of the children dying were vaccinated. shorturl.at/i3fQt

Ottawa purchases 500,000 doses of bird flu vaccine for people at higher risk of catching virus The majority of the doses will be handed out to provinces and territories, which will decide when and where to deploy the shots

Ottawa purchases 500,000 doses of bird flu vaccine for people at higher risk, by @kellygrant1.bsky.social www.theglobeandmail.com/canada/artic... via @theglobeandmail.com #H5N1

The rate of confirmed #influenza hospitalisations in the United States is the highest in at least 15 seasons (as far as Report data extends).
Latest data from US CDC to end of Week 6 (08-FEB-2025). That's a week ago of course.

And the largest #measles outbreak in the United States since 1989-1990 has started…https://www.cnn.com/2025/02/14/health/measles-texas-outbreak/index.html?utm_medium=social&utm_source=blueskyCNN&utm_content=2025-02-14T22%3A03%3A16

Estimating the number of US children susceptible to measles resulting from COVID-19-related vaccination coverage declines Measles elimination hinges on vaccination coverage remaining above 95% to retain sufficient community protection. Recent declines in routine measles v…

With #measles cases increasing in 2025, and according to estimates from 2022, 9.1 million children 0-18 years (13%) were susceptible due to incomplete or no vaccination. Time for a "catch up" campaign with vaccines to prevent thousands of hospitalizations this spring and summer.

Weekly measles cases by rash onset date. CDC https://www.cdc.gov/measles/data-research/index.html

As of last week, there were 14 #measles cases in the US, most in #Texas, 100% unvaccinated. Last year we finish with 285 cases (480% increase from 2023) - 58% older than 5 years, 89% unvaccinated and 40% hospitalized. The big spike will come in the spring.

Texas confirms growing measles outbreak affecting school-aged children — Fox News Texas' Health Services is reporting an outbreak of measles cases in Gaines County within the last two weeks.

Fox News: “Texas confirms growing measles outbreak affecting school-aged children”

Well Mark, you can study the Argentinian experience for the past 30-40 year. Not the full solution but may be a step closer to a comprehensive health care system.

The Pathetic Billionaires’ Club How fuck-you money can become fuck-me money

I wasn't planning to post today, but this one wanted to be written open.substack.com/pub/paulkrug...

Institut Pasteur decides to leave X The Institut Pasteur, a research organization which for more than 130 years has been committed to tackling infectious diseases, sharing knowledge and defending science, has decided to leave X because ...

The Institut Pasteur has decided to leave X (formerly Twitter) to join BlueSky! 🦋
The Institut Pasteur made this decision due to several serious issues observed on the X platform since its acquisition. Join us here to continue advocating for science. www.pasteur.fr/en/home/pres...

Square graphic, navy with white font "Marburg Virus Disease" and WHO logo in white

🧵 WHO informed its Member States and International Health Regulation State Parties of an outbreak of suspected Marburg Virus Disease in the Kagera region of #Tanzania

So far, we are aware of 9 suspected cases incl. 8 deaths across 2 districts.

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Differentiation of Prior SARS-CoV-2 Infection and Postacute Sequelae by Standard Clinical Laboratory Measurements in the RECOVER Cohort

Kudos to CCTSI researcher Kristine Erlandson, MD! Her study on #LongCOVID biomarkers was named one of the most influential publications of 2024 by Annals of Internal Medicine. It found that 25 routine lab tests can't reliably diagnose long COVID. ▶️https://buff.ly/4fIpHjA
@cudivofid.bsky.social

This Economy Is Too Good for Donald Trump The plot to kill Goldilocks

Trump wants a disaster. He needs a disaster. He’s likely to declare formally that the economy is a disaster, never mind the facts. paulkrugman.substack.com/p/this-econo...

Image shows PDF.

This JAMA Special Communication presents the 2024 World Medical Association Declaration of Helsinki: Ethical Principles for Medical Research Involving Human Participants.

https://ja.ma/3BUSP8u

Ecological dynamics of Enterobacteriaceae in the human gut microbiome across global populations - Nature Microbiology Assessing more than 12,000 metagenomic samples from across the world using computational approaches, the authors determined interactions between species that co-colonize or co-exclude Enterobacteriace...

Delighted to share the first peer-reviewed paper from our team @camvetschool.bsky.social where we investigate the ecological dynamics of Enterobacteriaceae in the human gut #microbiome: www.nature.com/articles/s41... @naturemicrobiol.bsky.social

Accurately measuring mortality helps quantify the impact of conflict but remains challenging.

⬇️ In a peer-reviewed study, authors from @lshtm.bsky.social draw on multiple data sources to estimate traumatic injury mortality in the Gaza Strip. 1/3

📻 #AmaneceConCriterio
Radio ConCriterio: información, debate y análisis con Juan Luis Font, @cmendeza.bsky.social y Pedro Trujillo
💬 Participa vía WhatsApp +502 5155 7364
🔴 En vivo: youtube.com/concriteriogt
#AmaneceConCriterio #NoticiasGuatemala

Lectura obligatoria…Muskaswamy el show de los payasos

The Fraudulence of “Waste, Fraud and Abuse” History repeats itself, the first time as farce, the second as clown show

My very first post since reviving my Substack was about how DOGE was a fraud. Surprise! Elon Musk has just admitted that it won’t get anywhere close to its goals paulkrugman.substack.com/p/the-fraudu...

Este estudio destaca la capacidad de los virus H5N1 del clado 2.3.4.4b derivados de mamíferos pero no de aves silvestres para infectar el epitelio respiratorio de otros huéspedes mamíferos incluyendo humanos.

📢 Gaza: 64,000 deaths due to violence between October 2023 & June 2024, new study estimates.

LSHTM research in The Lancet suggests Palestinian Ministry of Health underreported death toll due to traumatic injury by approximately 41%.

www.lshtm.ac.uk/newsevents/n...

Orphanhood and caregiver death among children in the United States by all-cause mortality, 2000–2021 - Nature Medicine National modeling estimates reported that three million children experience orphanhood and caregiver loss in the United States, with drug overdose surpassing COVID-19 as the leading cause of parental ...

➡️ This is a significant increase in orphanhood over the past two decades
➡️ Drug overdose leading cause since 2020
➡️ High burden States were West Virginia, New Mexico, Mississippi, Louisiana & Kentucky with an estimated 1 in 25 children affected by orphanhood
www.nature.com/articles/s41...
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People are leaving Twitter because it’s not fun anymore and no one is obligated to be on a platform they don’t enjoy.

It’s not rocket science.