Andrew Pavia

This is a great article! If you had the honor of knowing Stanley, as many of us did, or even if you never heard of him, you should read this to learn about his intellect, passion and many accomplishments. He directly helped save the lives of hundreds of thousands of children.

Subacute Sclerosing Panencephalitis after Measles Infection | NEJM A 7-year-old boy was brought to a hospital with a 3-month history of cognitive deterioration and seizures. He had contracted measles at 7 months of age while living in an area where the ...

#IDSky. The impact of the measles epidemic is enormous -misery, costs, and disruption. One tragic consequence, while rare, will be an increase in SSPE in a few years. I've seen one case and it was one of the saddest things I have ever seen-and that is saying a lot. www.nejm.org/doi/full/10....

If you are interested/concerned about changing vaccination policy in the United States — or its potential impact on vaccination policy globally — read this piece.

Inside RFK Jr.’s push against the flu vaccine that he links to his voice condition Trump’s health secretary has halted federal flu vaccine promotions, citing personal beliefs about vaccine risks.

Nice reporting by @lenasun.bsky.social and colleagues about the irrational and deceptive arguments that RFK Jr has used to take away the recommendation for routine influenza vaccine. Meantime, we have seen many unvaccinated kids with flu in the ICU, on ECMO, and who died. wapo.st/46jSng1

A line graph shown the number of NIH new and competitive awards funded for fiscal year 2026 (through 2/13/26) compared with fiscal years 2021-2025. The fiscal year 2026 is lagging well behind with only 569 awards made through 2/13/26 compared to >2000 for previous fiscal years.

New and competitive renewal awards.

The number of awards is 569 compared with more than 2200 through the same date in earlier fiscal years.

All ICs have now made awards except for NIAAA, NCCIH, NLM, FIC, and OD. NEI (Eye Institute) made its first award during the new period.

3/4

Statement on the planned hepatitis B birth dose vaccine trial in Guinea-Bissau WHO is aware of the proposed randomized controlled trial (RCT) on the hepatitis B birth dose vaccine in Guinea-Bissau. Based on questions raised in publicly available information and consultation with...

More consensus that the Kennedy proposed Hepatitis B trial in Guinea Bisseau is unscientific and unethical. www.who.int/news/item/13...

Exclusive: Key US infectious-diseases centre to drop pandemic preparation Staff members have been instructed to scrub this topic and ‘biodefense’ from the agency’s website.

www.nature.com/articles/d41...

Dozens of CDC Health Databases Have Gone Dark Under Trump: ‘The Consequences Will Be Dire’ Nearly half of routinely-updated CDC databases have experienced delays or shutdowns in 2025, with vaccination-related systems disproportionately affected, according to a new study.

"unexplained pauses" are making dozens of critical CDC databases go dark under RFK www.404media.co/dozens-of-cd...

This excellent commentary by @idsainfo.bsky.social CEO Dr. Jeanne Marrazzo looks at the impact of the administration on CDC's ability to gather and share data on diseases, essential to keeping us safe. www.acpjournals.org/doi/10.7326/...

Defying CDC, Pediatricians Recommend All Kids Get Vaccinations Against 18 Diseases The American Academy of Pediatrics’ recommendations for hepatitis B, influenza and other shots buck changes made by the Trump administration.

www.wsj.com/health/healt...

Outstanding article by Jonathan Cohn

Public health giant William Foege, who helped eradicate smallpox, has died at 89 ‘I wish we could have spared him from seeing that’: Friends of Bill Foege on his legacy, and his anger over anti-vaccination.

At a time when public health is under attack, and CDC has no qualified director, it is worth remembering the life, career and teachings of a towering figure (and not just because he was 6'7") in public health, Dr. Bill Foege. www.statnews.com/2026/01/25/w...

Controversial US study on hepatitis B vaccines in Africa is cancelled $1.6m project drew outrage over ethical questions about withholding vaccines proven to prevent disease

Good news (for now) that this Tuskegee experiment has been cancelled. Worrisome for ethical problems around withholding proven protections. And it would've siphoned money from global measles programs. Kudos to @jeremyfaust.bsky.social for Inside Medicine's scoop. www.theguardian.com/us-news/2026...

Medical groups will ask court to block new CDC vaccine recommendations | CNN Six prominent medical associations say they will ask the courts to reverse the US Centers for Disease Control and Prevention’s new recommendations for what vaccines children should get.

IDSA and other prominent medical associations are calling on courts to reverse CDC’s new recommendations for what vaccines children should get.

Read more: www.cnn.com/2026/01/14/h...

Scoop: The leaked protocol of the CDC-funded Hepatitis B vaccine trial in Guinea-Bissau. “This is another Tuskegee.” The protocol reveals that the trial will withhold the Hepatitis B birth dose from thousands—without placebos, without universal maternal screening, and with endpoints critics call indefensible.

We have the CDC-funded Hepatitis Vaccine trial in Guinea-Bissau protocol.

It’s worse than you thought.

Check it out, first in Inside Medicine…

with @pauloffit.bsky.social David Boulware and others.

insidemedicine.substack.com/p/scoop-the-...

Opinion | How RFK Jr. plans to bankrupt vaccine manufacturers Health Secretary Robert F. Kennedy Jr. wants to flood the vaccine injury compensation program to hurt vaccine access in the U.S.

This must read commentary by Zeke Emanuel and Paul Friedrichs explains the dangerous endgame of RFK jr and his allies to end no fault compensation for vaccine injuries and replace it with unlimited litigation roulette. This will enrich RFK jr and friends. www.washingtonpost.com/opinions/202...

Medical schools must prepare tomorrow’s doctors for yesterday’s diseases Medical schools must now prepare tomorrow’s doctors for yesterday’s diseases.

That we're in a place, at a time, when someone has to write this headline, this article — it's almost unfathomable. Please do read @krutikakuppalli.bsky.social's take. www.statnews.com/2026/01/12/m...

gift link: wapo.st/4pFHsEe

Kennedy adds two OB-GYNs to vaccine advisory panel amid review of shots for pregnant women ACIP is reviewing the shots recommended for pregnant women as RFK Jr. upends federal vaccine policy.

Two more grossly unqualified members with clear anti-vaccine bona fides, the only apparent qualification of RFK's "ACIP" Kennedy adds two OB-GYNs to vaccine advisory panel amid review of shots for pregnant women www.statnews.com/2026/01/13/n... via @statnews.com

Great and much needed fact checking. Thank you. I have reposted and I hope it gets the "eyeballs" it deserves.

Is that a Faustian bargain or just a Faustian slip

Many people, thankfully, will not even see the original screed. However the fact checking by @angierasmussen.bsky.social and @jeremyfaust.bsky.social is a great read. Highly recommended

Personalized Cancer Vaccines Are Almost Here—But Federal Funding Cuts Could Derail Them Vaccines based on mRNA can be tailored to target a cancer patient’s unique tumor mutations. But crumbling support for cancer and mRNA vaccine research has endangered this promising therapy

Vaccines based on mRNA can be tailored to target a cancer patient’s unique tumor mutations. But crumbling support for cancer and mRNA vaccine research has endangered this promising therapy

Perfect summary of RFK's approach to "science"

How RFK Jr., America's celebrity health secretary, is steamrolling science RFK Jr. is plowing ahead with sweeping changes to U.S. health care that have thrilled supporters, purged opponents, and horrified critics.

"Decision-based evidence-making" — that's how one former #CDC leader described the approach to scientific decision making under the HHS secretary in a meaty examination of Kennedy's unprecedented tenure by several @statnews.com colleagues. www.statnews.com/2025/11/18/r...

Of course there is no evidence to back up their goals. No evidence suggests combining MMR in one vaccine is dangerous. A study of 1.2 million kids just came out showing no risk from aluminum adjuvants www.acpjournals.org/doi/10.7326/...

Jay Clayton is not even an experienced prosecutor, if his bio can be trusted, although he seems to be a better lawyer than Lindsay Halligan, which is like saying the NY Jets are a better football team than my high school team.

Development of a Novel Carbon Emissions Estimation Tool for Disposable Waste Associated With Antimicrobial Packaging, Preparation, and Administration in the Hospital Setting We developed a novel tool for estimating greenhouse gas emissions from single-use waste generated from IV antimicrobials in the hospital setting. This tool

#IDSky Nice article by Emily Spivak's team from @utah.edu on the environmental impact of medical waste! It provides another reason to choose wisely and be good stewards academic.oup.com/ofid/article...

SARS‑CoV‑2 (COVID-19) (@sarscov2covid19) Just spoke with my CDC sources. They said RFK Jr. has banned further testing of symptomatic farm workers after several tested positive for H5N1. Internal messages warned CDC staff: “This is your...

Reporting from Jeremy Faust if correct this verges on criminal substack.com/@sarscov2cov...