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Andrew Pavia

@andrewpaviamd.bsky.social

Infectious disease physician and epidemiologist, emerging infection follower, influenza and respiratory virus investigator, fan of pandemic preparedness, children's health and wannabe ski bum

613 Followers  |  134 Following  |  246 Posts  |  Joined: 18.11.2024  |  2.0644

Latest posts by andrewpaviamd.bsky.social on Bluesky

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

18.11.2025 22:10 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Is that a Faustian bargain or just a Faustian slip

18.11.2025 22:09 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

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

18.11.2025 22:08 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Personalized Cancer Vaccines Are Almost Hereβ€”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

18.11.2025 14:26 β€” πŸ‘ 2563    πŸ” 1349    πŸ’¬ 91    πŸ“Œ 108

Perfect summary of RFK's approach to "science"

18.11.2025 21:58 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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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" β€” 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...

18.11.2025 14:47 β€” πŸ‘ 219    πŸ” 93    πŸ’¬ 7    πŸ“Œ 13

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/...

18.11.2025 21:57 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

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.

14.11.2025 21:22 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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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...

14.11.2025 21:13 β€” πŸ‘ 3    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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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: β€œThis is your...

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

08.11.2025 15:33 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

What are the criteria for bringing Bar action for violating the prohibition against bringing frivolous or vindictive cases. Can an action be brought against Texas AG Paxton for bringing the clearly frivolous, unsubstantiated, and politically motivated suit agains J&J? What about Ms. Halligan?

28.10.2025 20:37 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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'This is a completely different level of anti-vaccine engagement than we've ever seen before,' says epidemiologist Dr. Seth Berkley Epidemiologist Dr. Seth Berkley spoke to Live Science about the importance of vaccine equity and the obstacles undermining it, as well as the political challenges to vaccines being raised in the U.S.

β€œWhen we realized #COVID was going to become a more severe infection, we put together #COVAX. In the end, we did the fastest and largest rollout of vaccines in history" β€” @drsethberkley.bsky.social

Dr. Berkley speaks with @livescience.com about vaccine equity his new book and more ‡️

28.10.2025 17:34 β€” πŸ‘ 9    πŸ” 4    πŸ’¬ 0    πŸ“Œ 0
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Opinion | Being Fired From CDC Is Like Losing a Patient A physician's reflections on being RIF'd

It says a lot that the author of this important piece felt the need to remain anonymous. Trolling, doxing, and even retribution are real consequences of speaking the truth. Being Fired From CDC Is Like Losing a Patient www.medpagetoday.com/opinion/seco...

28.10.2025 20:19 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Evidence-Based ACIP is So Back Never underestimate vaccinologists with a standardized framework for interpreting evidence

Dr. @angierasmussen.bsky.social is devastating yet again:Evidence-Based ACIP is So Back open.substack.com/pub/rasmusse...

24.10.2025 23:03 β€” πŸ‘ 35    πŸ” 13    πŸ’¬ 0    πŸ“Œ 0
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Science for vaccine policy: Independent review of the September 2025 ACIP processes, deliberations and votes Since 1964, the Advisory Committee on Immunization Practices (ACIP) has shaped US vaccine policy but recently underwent significant structural and pro…

Hot off the press at Vaccine, the former (competent) ACIP used a standardized tool for evaluating vaccine advisory committee performance to deliver a solid evidence-based ass-whupping on the quacks that RFK, Jr replaced them with.

I'll briefly explain why 🧡
www.sciencedirect.com/science/arti...

24.10.2025 21:45 β€” πŸ‘ 171    πŸ” 62    πŸ’¬ 3    πŸ“Œ 1
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Quality of decisions made by CDC vaccine advisers has nose-dived, former voting members say

A systematic evaluation of the β€œnew ACIP” under RFK jr. www.cidrap.umn.edu/adult-non-fl...

25.10.2025 12:37 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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What a Difference a Year Makes -- with Bonus Halloween Video At last year’s IDWeek β€” the annual meeting of the Infectious Diseases Society of America β€” a group of us veterans in the HIV/ID world wrapped up a busy day of symposia, abstracts, and posters with a l...

Spent a lot of time at #IDWeek2025 thinking about life as an ID specialist in the USA one year ago compared to now.

Summary: Times are tough, but the community and people remain strong. Stay that way, everyone.

(Plus can't-miss bonus video.) #IDsky
blogs.jwatch.org/hiv-id-obser...

24.10.2025 00:37 β€” πŸ‘ 35    πŸ” 7    πŸ’¬ 4    πŸ“Œ 0
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To Everyone Who Has Served at CDC: Thank You You changed the world for the better. The data shows it.

Reposting
To Everyone Who Has Served at CDC: Thank You open.substack.com/pub/tomfried...

24.10.2025 15:19 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Another #IDWeek is over. A great gathering of scientists, clinicians, epidemiologists, advocates and students. @idweek.bsky.social. From Xavier Munoz's opening to the closing symposium with Drs. Marrazzo, Frieden, and Osterholm it was a call to preserve science to actually make America healthy.

23.10.2025 17:08 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Sadly I can't listen in in real time, but it should be an important discussion at a critical time.

23.10.2025 17:02 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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These two vaccine experts say this is when you should get covid, flu shots Flu season is here and a covid uptick is around the corner. Two infectious diseases experts offer their tips on how to plan for vaccination against those viruses.

Helpful tips from @cmyeaton.bsky.social and @andrewpaviamd.bsky.social on how (and when) to get the latest flu and COVID vaccines πŸ‘‡

Gift link:
wapo.st/4ndf3nK

19.10.2025 13:43 β€” πŸ‘ 13    πŸ” 8    πŸ’¬ 1    πŸ“Œ 0

This should really increase access to baloxavir. Oseltamivir is even cheaper at an average of about $25 on GoodRx but cheaper some places. We dramatically under treat flu in high risk and hospitalized patients.

16.10.2025 20:39 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Should be a good discussion! #IDTwitter

16.10.2025 20:35 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

My experience was like Dr. Tatanji's. I had a reasonable following and posted about vaccines, Covid, and air quality. After the algorithms changed in the Musk era, I was trolled in a way that rarely happened before. The excellent discussions and postings on #IDTwitter seemed to dry up as well.

16.10.2025 20:34 β€” πŸ‘ 3    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
Visual abstract, featuring pie graph showing IFIs affecting 3.1% of the 1012 patients in the DESCART registry who had refractory/relapsed B cell lymphoma treated with CD19 CAR T cell therapy. The IFI related mortality among these 3.1% was 22%. Mostly candidemia and pulmonary aspergillosis, followed by Aspergillus/mucormycosis co-infection, PCP, and other.

Visual abstract, featuring pie graph showing IFIs affecting 3.1% of the 1012 patients in the DESCART registry who had refractory/relapsed B cell lymphoma treated with CD19 CAR T cell therapy. The IFI related mortality among these 3.1% was 22%. Mostly candidemia and pulmonary aspergillosis, followed by Aspergillus/mucormycosis co-infection, PCP, and other.

Invasive Fungal Infections after CD19 CAR T-cell Therapy for B-Cell Lymphoma: a LYSA study from the DESCAR-T Registry

IFI occurred in 3% of patients receiving CD19 CAR-T for refractory/relapsed B cell lymphoma

www.clinicalmicrobiologyandinfection.org/article/S119... #OpenAccess #MedMycoSky

16.10.2025 13:33 β€” πŸ‘ 8    πŸ” 5    πŸ’¬ 1    πŸ“Œ 0
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First-Trimester COVID Vaccination Not Linked to Major Birth Defects Large study reinforces recent research demonstrating mRNA vaccine safety in pregnancy

"Our study confirms the fetal safety of mRNA COVID-19 vaccines during pregnancy, showing no increased risk of MCMs"

Another huge study shows no increased risk of major congenital malformations with COVID vaccines.

#MedSky + #ReproSky via medpagetoday.com

www.medpagetoday.com/infectiousdi...

16.10.2025 14:06 β€” πŸ‘ 73    πŸ” 27    πŸ’¬ 2    πŸ“Œ 1
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Brown University Rejects White House Deal for Special Treatment

Brown (my alma mater X2) and MIT are standing up for academic values and against bullying and blackmail. We should be proud of them. I hope all other Universities offered the Faustian bargain say no. Brown University Rejects White House Deal for Special Treatment www.nytimes.com/2025/10/15/u...

16.10.2025 15:16 β€” πŸ‘ 3    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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We call for the reversal of these dangerous firings, and for Congress to move quickly to pass full-year spending bills that ensure that proposed cuts to public health are averted and federal appropriations are spent as Congress intended.

Our full joint statement: https://bit.ly/3WBh8ig

13.10.2025 17:05 β€” πŸ‘ 13    πŸ” 9    πŸ’¬ 0    πŸ“Œ 1

Congratulations Professor Howitt!!! Odd to think that he didn't join the faculty till 19 years after I left with my second degree from Brown, but no econ classes.

13.10.2025 20:19 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

The dust has not settled yet, see also reporting by @lenasun.bsky.social However, this action against key parts of CDC is dangerous, vengeful, and heedless of the risk to the health of all of us. The incompetence is equally staggering.

13.10.2025 20:13 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

@andrewpaviamd is following 20 prominent accounts