Kristen Stuppy, MD, FAAP bsky.app
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Itâs reasonable to be nervous but the mechanisms that prevent/spot contamination are structural (manufacturing standards + lot release + surveillance), not based on trusting any one administrationâs âpromise.â
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Recalls can happen in any high-volume manufacturing ecosystem (food, drugs, vaccines). The key point is that the system is built to detect problems and pull lots if needed. CDC explicitly notes that specific vaccine lots can be withdrawn or recalled when thereâs a quality issue.
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Are vaccines âsafe under the Trump administration,â given federal cuts? Two separate issues:
Are the regulatory guardrails still the same?
The legal/regulatory framework for vaccine quality (cGMP, lot release, surveillance) remains the framework FDA/CDC operate under.
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At this point, the connection between COVID-19 infection and new pancreatic cancer is not strong or clearly established.
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Thereâs an interesting hypothesis that the âRussian fluâ pandemic of 1889â1890 may not have been influenza at all, but instead an early pandemic caused by a human coronavirus (possibly OC43). That idea comes mostly from molecular clock analyses suggesting OC43 may have jumped from cattle to humans.
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A prolonged cough epidemic could fit many pathogens: influenza, pertussis, tuberculosis, adenovirus, or endemic coronaviruses. The historical descriptions simply arenât specific enough to identify a cause.
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So while itâs biologically possible that an ancient respiratory epidemic involved a coronavirus, thereâs no scientific way to test that idea. The Russian flu hypothesis has some phylogenetic grounding the cough of Perinthus remains a historical speculation.
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But we donât have preserved viral samples from that pandemic, so it remains unproven. The âCough of Perinthus,â described by Hippocrates, is a much harder question. We only have brief clinical descriptions of a resp outbreak from ~2,400 years ago no specimens, no epi & limited diagnostic detail.
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Longer article but not much information on post-viral syndrome part of story:
âI wasnât wellâ: Mairead McGuinness on health issues that prompted presidential election withdrawalÂ
www.irishtimes.com/politiâŚ.
www.irishtimes.com
âI wasnât wellâ: Mairead McGuinness on health issues that prompted presidential election withdrawal
Former EU commissioner says she was disappointed but outcome âdoesnât cause me sleepless nights. That ship has passedâ
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No children in camps!! Public health and medical colleagues we need to keep speaking up! No camps. No more families torn apart and mistreated. End this now!
Mike Hixenbaugh@mikehixenbaugh.com
NEW: A baby held in immigration detention became so sick, she had to be rushed to a hospital in severe respiratory distress. âShe was at the brink of dying,â a lawyer told me. But the girl didnât go home after her 10-day hospital stay; instead, ICE put her and her mother back in lock up at Dilley.
www.nbcnews.com
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Once every decade some advertiser rediscovers Trio, and their Trio and Error album. Iâll admit, Iâm here for it. But I will point out I bought the LP in college.
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I had a 75 yo patient who really wanted to do an African safari trip. The YF vaxx is contraindicated above 65. We talked about and he made a shared informed decision. He did not get the vaccine. He went on the safari trip and had a delightful time. Showed me pics at his next visit with me đ
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Would i go trekking through the Amazon if I were you? Probably not. Would i feel safe traveling to an urban setting in a country with sporadic YF outbreaks, probably while taking necessary precautions to prevent mosquito bites and other exposures. It's always risk vs. Benefits
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You will have to make a risk tolerance for yourself if you decide to travel to a country where YF is circulating and infection is a possibility. Do you rely on your vaccination despite your current immunocompromise? Talking it through with your PCP may help. Goodluck
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This is a scenario for which there's no absolute certainty regarding your degree of protection. You have protection, how much? I don't have an answer for you because there's simply no data on how many previously vaccinated people on jak inh who have gone on to acquire de novo YF infection.
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Incidence of Chronic HBV Infection Among People with HIV in Yunnan Province, China: A Retrospective Observational Cohort Study (2004â2024)
â
Just Accepted
đ bit.ly/4cersWo
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Raising awareness means making measles local and real with clear public-health messaging, rapid outbreak response, and making vaccination easy, trusted, and accessible. Sadly the current national health leadership is stacked with anti science zealots who do not believe in promoting vaccination.
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My dad had a rough early diagnosis of multiple myeloma that was diagnosed in the ED. I appreciated the care he received instead of just being told he had a back strain.
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The risks are generally mild sore arm, fever, or rash in a small % of people. Serious adverse events are rare. Adults may have more noticeable post-vaccine symptoms than children, but these are usually short-lived. During local measles cases or outbreaks, vaccination becomes even more important.
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If someone never received MMR and isnât immune, getting the vaccine as an adult is recommended and safe. MMR is a live-attenuated vaccine that has been used for decades, with a strong safety record.T he benefit is protection vs. measles, mumps, & rubella infxns that can cause serious complications
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âSchultzel says as a doctor, he would not advise her to sit this one out.
"No. You know, at the end of the day, this is really core to her being. And so I think, really, it's not for us to decide.â Um⌠while I agree itâs her decision, as a doctor, your advice should be prioritizing her health.
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Like every biological product it has a shelf life which is dependent on the preservatives and method of storage. Some product can be stored for several months. This is highly variable and not a question for which there is a straightforward answer
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Yes, having shingles does produce some natural immune boosting against varicella-zoster virus, but itâs not reliably protective against future episodes. Recurrent shingles can and does occur, especially as people age or if immune function changes.
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