The Reality My Medicaid Patients Face
With work requirements in place, many will be removed from Medicaid even though they should qualify.
As a doctor in a hospital that serves the urban poor, Lindsay Ryan's patients already face such a gantlet of obstacles that modest barriers to accessing government programs can effectively screen them out.
05.07.2025 13:59 β π 115 π 35 π¬ 7 π 1
infographic highlighting the key points from the paper published in the Lancet: Sex differences in the risk of Mycobacterium tuberculosis infection: a systematic review and meta-analysis of population-based immunoreactivity surveys
NEW STUDY! π£
A large global study found men are more likely to be exposed to TB than women.
The reason? Likely social behaviours:
β’ More time in crowded indoor spaces
β’ Delays in seeking care
READ MORE ‡οΈ
π www.thelancet.com/journals/lan...
@petermacp.bsky.social @hannahrickman.bsky.social
02.07.2025 14:36 β π 4 π 5 π¬ 0 π 2
Please sign this and spread the word
Open Letter on the Dismantling of US Global AIDS Programs as doctors, researchers, scientists, and public health experts
Please sign this & spread the word
Open Letter on the Dismantling of US Global #AIDS Programs as doctors, researchers, scientists, & public health experts
www.bit.ly/PEPFARLetter
@drlaurajwaters.bsky.social
@sebpoule.bsky.social @bhiva.bsky.social @paulsaxmd.bsky.social
#idsky #HIVsky
15.03.2025 11:52 β π 5 π 11 π¬ 1 π 0
VIHve Libre - Tu red de apoyo
Programa permanente de apoyo para personas que VIHven con VIH. Somos tu red de apoyo, no estΓ‘s solx
Highlighting an outstanding presentation at #CROI2025 about VIHve Libre peer-based model for expanding equitable access to PrEP and PEP in Mexico. They serve over 3,000 clients, more than 20% of PrEP clients in Mexico. Check out the video: www.vihvelibre.org/en/croi
12.03.2025 23:56 β π 5 π 0 π¬ 0 π 0
#CROI2025 The eternal problem of what to do with my patient with persistent low level vireamia?
Some further evidence suggesting these viruses are defective and not replication competent. #IDsky #HIVsky
12.03.2025 13:08 β π 12 π 2 π¬ 1 π 0
@petermacp.bsky.social wow this work is fantastic, i am looking forward to reading more in depth! Thanks for posting!
12.03.2025 15:55 β π 1 π 0 π¬ 0 π 0
#CROI2025 TB Day 2 (cont)- 3. Eric Nuermberger -an excellent summary of long acting tx for TB! We saw the impact of LA in HIV prevention, could revolutionize TPT
π€Can we get to one shot and you're done TPT?
Bedaquiline looks promising in mouse model. Now Phase 1 trial! More drugs in development!
12.03.2025 15:50 β π 1 π 0 π¬ 0 π 0
#CROI2025 TB Day 2 (cont.) TB-Feron FIA vs QFT-PLUS in Vietnam. Simplified IGRA
-Overall, sensi (90.2%) but suboptimal spec (73.9%) , subgroups below.
- With good spec. could it be used as a near POC for TPT? Maybe, but would need to compare cost-effectiveness to other tools including CRP.
12.03.2025 15:50 β π 1 π 0 π¬ 1 π 0
#CROI2025 π₯ 2. Poster-Andrew Kerkhoff #UCSF and #CIRDZ team shared data from an active case finding at social drinking venues in Zambia with digital CXR and XPRT. Yield: 9.6% of bar staff (N-52) and 4.6% of patrons (N=388) with new diagnosis of TB, NNT=19. Acceptability was high! #TBSky
12.03.2025 15:50 β π 2 π 0 π¬ 1 π 0
#TBSky highlights from #CROI205 Day 2:
Great posters and talks on case finding, some new diagnostics (TB-FERON), and exciting talk about long-acting TB drugs for TB preventive therapy! #IDSky
1. My favorite talk of the day was Brian Allwood's talk on post TB lung disease:
12.03.2025 15:50 β π 2 π 0 π¬ 1 π 0
π₯Very exciting data presented at #CROI2025 and just published in the Lancet:
PK data for once year IM Lenacapavir are higher than twice a year SC Len at 56week and support phase 3 study for PrEP. The public health impact of yearly LEN for prevention would be huge! #IDSky
11.03.2025 18:49 β π 14 π 5 π¬ 1 π 2
What about once daily DTG? The DOLPIN moms team did PK simulations...
β NO for daily DTG with 1HP in pregnancy, but 3HP is a possibility (troughs above goal). PK sampling of pregnant women taking daily DTG and 3HP is underway!
11.03.2025 18:00 β π 2 π 0 π¬ 1 π 0
Great to see a study on TB prevention in pregnancy! Jyoti Matad presents π¬ Dolphin Moms -PK study of DTG in pregnant women (20-34 weeks gestation) taking 1HP or 3HP.
Primary PK outcome: β
BID DTG levels therapeutic with both 1HP and 3HP. 2 women did not have therapeutic levels, due to adherence.
11.03.2025 18:00 β π 0 π 0 π¬ 1 π 0
#TBSky highlights #CROI2025 Day 1:
Neel Gandhi- Universal WGS study in South Africa among people with XDR TB show casual contact (residential proximity or shared clinic) is the epi link for ~50% of clustered participants, close contacts <10%. Comm.-based approaches needed to interrupt transmission
11.03.2025 18:00 β π 7 π 2 π¬ 2 π 0
@francochevalier.bsky.social Rallying for HIV research!!
11.03.2025 01:20 β π 3 π 2 π¬ 0 π 0
bsky.app/profile/lizh...
10.03.2025 02:31 β π 2 π 0 π¬ 0 π 0
"We condemn the censoring of science!". Powerful opening words from Diane Havlir for #croi2025
"Young researchers, we have your back. Community, we are with you"
Hell yes!!!
10.03.2025 00:08 β π 89 π 24 π¬ 1 π 2
HIV & ID physicians stand up for science to protect our patients. #IDStandsUpForScience
In honor of tomorrow's #StandUpForScience rallies, share the reason why you stand up for science with the hashtag #IDStandsUpForScience.
06.03.2025 23:35 β π 6 π 3 π¬ 0 π 2
Funding cuts to tuberculosis programmes endanger millions of lives
In the past two decades, tuberculosis (TB) prevention, testing, and treatment services have saved more than 79 million livesβaverting approximately 3.65 million deaths last year alone from the worldβs...
"Early reports to WHO from the 30 highest TB-burden countries confirm that funding withdrawals are already dismantling essential services, threatening the global fight against TB."
@who.int calling attention to impact of US funding cuts on #tuberculosis #IDsky π§ͺ
www.who.int/news/item/05...
05.03.2025 16:59 β π 117 π 64 π¬ 5 π 2
Tuberculosis Impact Counter | Tracking TB Funding Impact
Tracking the impact of TB funding via USAID
ATTN #EndTB advocates! Have you seen this new resource assessing the impact associated with the funding freeze & discontinuation on the #TB response? Check it out & make use of it in your awareness raising & #FundTBNow calls to action! Thank you @brookeenichols.bsky.social et al
tb.impactcounter.com
03.03.2025 21:53 β π 15 π 18 π¬ 1 π 1
Potential Health Policy Administrative Actions in the Second Trump Administration | KFF
Potential health policy administrative actions under the incoming Trump administration based on campaign positions and statements by President-elect Trump, President Trumpβs record during his first ad...
Status of our @kff.org list of potential Trump actions on global health after one week?
-Reinstate Mexico City Policy βοΈ
-Cease engagement in pandemic treaty βοΈ
-Halt funding for/withdraw from WHO βοΈ
-Rejoin Geneva Consensus βοΈ
-Invoke the Kemp-Kasten amendment βοΈ
www.kff.org/potential-he...
25.01.2025 14:49 β π 14 π 10 π¬ 2 π 1
#1/ Starting NOW Hybrid on Zoom & In-Person - @ucsfhealth.bsky.social #UCSFMGR w/ Dr. @annieluet.bsky.social on HIV in 2025: What's New, What's Next? Moderated by Dr. @bobwachter.bsky.social. Stay tuned for Live-Sky-ing of the learning pearls.
21.01.2025 19:54 β π 4 π 2 π¬ 2 π 0
Owner of MSW Media, host of The Daily Beans, UnJustified, and Cleanup on Aisle 45 podcasts. #Leguminati. Veteran. She/Her Substack: muellershewrote.com Secure contact: FedOath@pm.me
Signal: muellershewrote.23
Podcast: https://link.chtbl.com/TheDailyBeans
ER doc, public health professional, researcher, and former chief medical officer at the CDC. Working to improve health in communities while figuring out what is next for me
A grassroots effort of NIH alumni and community members mapping out the future of biomedical research. Not gov. affil.
Reach us at www.27unihted.org
Linktree: https://linktr.ee/27unihted
Privacy rights are civil rights.
Founder & former director of the Digital Justice Initiative at the Lawyersβ Committee for Civil Rights Under Law.
PhD candidate with the LSHTM TB Modelling Group | Geospatial epi, med anthro, and community-based research
Bethesda Declaration Signer.
Postdoctoral Fellow at the NIH.
NIH Fellows United/UAW 2750 Steward.
All opinions are my own.
Health Equity Scientist, Bethesda Declaration signer, work at NIH, speak in my personal capacity, photo: AP/Jose Luis Magana
Also on:
https://www.instagram.com/jmnorton
https://www.tiktok.com/@jennajmn
https://linktr.ee/declarationsofdissent
Trying to fight the good fight at @americasvoice.bsky.social πΊπΈ Immigrant rights, LGBTQ+ rights, cats. Cancer survivor. Views here my own β¨
Epidemiology. Global health equity. Views my own.
Professor of Medicine at U of MN; Practicing infectious disease doc; budding mycologist; interested in cryptococcal & TB meningitis. Ran some RCTs during COVID, but more excited to return to focus on RCTs on HIV-related meningitis & advanced HIV disease
Scholar, author, policy advisor
alondranelson.com
Science, Technology, and Social Values Lab
https://www.ias.edu/stsv-lab
Supporting a mission to make work of the highest methodological and ethical rigor openly available to the researchers, policy experts, and clinicians who depend on it to tackle urgent health crises and advance health equity.
Gavi, the Vaccine Alliance helps vaccinate half the worldβs children against deadly and debilitating diseases. #VaccinesWork #ForOurFuture
We aim to address health inequities and improve global health through education, research, and partnerships.
www.mcgill.ca/globalhealth
Research and data to make progress against the worldβs largest problems. Based out of Oxford University (@ox.ac.uk), founded by @maxroser.bsky.social.
Evidence-based nutrition & public health π±
π§βπPhD Nutrition Science | Dietitian | Mom of 2
Peds ID. Trained: @universidadCES Colombia and @nationwidekids @OhioState columbus OH, USA // Works at: @HPTU @HGMhospital @hospinfantilCM. Medellin Colombia. #IDSky
Tuberculosis Research Unit in Barcelona (UITB) and its Foundation (fuiTB).
TB and other infectious diseases: surveillance, control, research.
Bizum: π 08928.
AMR Antimicrobial Resistance
Fernanda C. Petersen,
Professor, University of Oslo and
Ulf R. Dahle,
Specialist Director,
Norwegian Institute of Public Health