Jennifer Nuzzo, DrPH @JenniferNuzzo
Epidemiology and global health security policy. https://t.co/47uXVOSCLj… Speaking requests: https://t.co/mflNldsXnL thepandemiccenter.org Providence, RI Joined April 2009-
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You may have seen reports yesterday of an issue with H5N1 tests sent to labs. This does NOT mean there’s a problem with testing. It was a bad batch made by a manufacturer. @CDCgov caught and recalled it. This is actually a good sign RE: CDC’s oversight and responsiveness.
I joined twitter in the early days of the H1N1 influenza pandemic to keep track of news and developments. Hard to believe that was 15 years ago today.
There are many wonderful things about living in RI. But it’s insistence on over-roasting coffee is not one. Fortunately, a fresh shipment from @smallplanesdc arrived!
FDA announces no infectious #H5N1 was found in PCR positive milk. They used the “gold standard” egg inoculation tests that many have been waiting for. Together with NIAID grantee studies and past publications, it’s pretty conclusive the milk is safe. fda.gov/food/alerts-ad…
This innovative initiative is led by @community_noise’s Dr. Erica Walker who is part of our @Brown_Epi faculty. She is a ⭐️. I love her community-centered approach to public health research.
This innovative initiative is led by @community_noise’s Dr. Erica Walker who is part of our @Brown_Epi faculty. She is a ⭐️. I love her community-centered approach to public health research.
Thank you @MarthaDiMeo for sharing this local news report featuring @community_noise lab researcher @julietfangg 's great on-going work in Cranston. wpri.com/target-12/cran…
America has long been categorised as a “flawed democracy” by EIU, our sister company. See the full ranking in this year’s democracy index econ.st/3VXUlye 👇
👀US-based vet said that there is underreporting of H5N1 infections in farm workers "every dairy that I've worked with has – with the exception of one – had sick human beings at the same time they had sick cows" bovinevetonline.com/news/industry/…
👀US-based vet said that there is underreporting of H5N1 infections in farm workers "every dairy that I've worked with has – with the exception of one – had sick human beings at the same time they had sick cows" bovinevetonline.com/news/industry/…
A vet pleads with the US agriculture regarding H5N1: “Address it head-on...Don’t hide.” Agriculture "needs a comprehensive, cohesive plan to address the virus in dairy – and to also look at how to protect the beef, pork and poultry industries." bovinevetonline.com/news/industry/…
A vet pleads with the US agricultural regarding H5N1: “Address it head-on...Don’t hide.” Agriculture "needs a comprehensive, cohesive plan to address the virus in dairy – and to also look at how to protect the beef, pork and poultry industries." bovinevetonline.com/news/industry/…
H5N1 is indeed reminiscent of early COVID... AND early mpox, early Zika... The US needs to get better at issue spotting, thinking ahead and acting in advance to prevent the worse outcomes from happening...in stead of waiting until its obvious that more should have been done.
H5N1 is indeed reminiscent of early COVID... AND early mpox, early Zika... The US needs to get better at issue spotting, thinking ahead and acting in advance to prevent the worse outcomes from happening...in stead of waiting until its obvious that more should have been done.
@JenniferNuzzo This is what happens when the main agency in charge is USDA, which is protecting the dairy and meat industries. The CDC should have overall authority. There is going to be jockeying for power in the Executive Branch and politics will interfere with public health.
“US vets have heard anecdotes about more workers with these and other symptoms - such as fever, cough and lethargy - who do not want to be tested.” telegraph.co.uk/global-health/…
This whole thread is informative but I want to highlight the development described in this tweet as being particularly encouraging. Financial incentives have been said to help for surveillance in chickens.
This whole thread is informative but I want to highlight the development described in this tweet as being particularly encouraging. Financial incentives have been said to help for surveillance in chickens.
Requiring dairy cows to be tested before moving between states could be useful *IF* the movement of cows is driving transmission. But what's the evidence of that? Also, this policy does little to protect farm workers, which is should be our #1 concern. washingtonpost.com/health/2024/04…
Requiring dairy cows to be tested before moving between states could be useful *IF* the movement of cows is driving transmission. But what's the evidence of that? Also, this policy does little to protect farm workers, which is should be our #1 concern. washingtonpost.com/health/2024/04…
It's hard for me to interpret this map of infected farms without wondering whether testing practices is shaping which states are reporting infections and which aren't.
It's hard for me to interpret this map of infected farms without wondering whether testing practices is shaping which states are reporting infections and which aren't. https://t.co/Jk11U1ZERa
@JenniferNuzzo And a key component of that is metagenomic sequencing, sequencing a ton of the RNA/DNA in a sample to see if some reads contain pathogen genetic material. Powerful, and not targeted at particular pathogens. I spoke with @apoorva_nyc about this. nytimes.com/2024/04/24/hea….
Biggest takeaway? USDA's testing policy is creating misleading surveillance for H5N1. Instead of testing to help protect farm workers and to detect worrisome viral changes, it feels like we're shining the dimmest light possible in hopes of not finding infections in cows.
Biggest takeaway? USDA's testing policy is creating misleading surveillance for H5N1. Instead of testing to help protect farm workers and to detect worrisome viral changes, it feels like we're shining the dimmest light possible in hopes of not finding infections in cows.
Dr Ellie Murray, ScD @EpiEllie
127K Followers 2K Following Epidemiology asst professor @BUSPH |social media ed @amjepi | cohost @casualinfer podcast | Causal inference & public health #epitwitter🇨🇦 insta/🧵:laughing.e
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Monica Gandhi MD, MPH @MonicaGandhi9
91K Followers 664 Following MD, MPH; ID/HIV MD; UCSF (tweets own); No conflicts; Wrote book on COVID & pandemic playbook pub. Mayo Clinic Press called Endemic: A Post-Pandemic Playbook
Helen Branswell 🇨�.. @HelenBranswell
221K Followers 2K Following I cover infectious diseases @statnews. 2020 Polk winner. Nieman '11. She/her. #H5N2 #birdflu #Covid #polio #flu, #RSV. I have not paid for a blue checkmark.
Prof Gavin Yamey @gav.. @GYamey
41K Followers 8K Following Professor of Global Health & Public Policy @DukeU. Director, Center for Policy Impact in Global Health. DJ @wxdu. TIME columnist. He/him. Tallest Jew on Earth.
Dr. Tara C. Smith @aetiology
123K Followers 6K Following Infectious disease epidemiologist, writer, mom. Antibiotic resistance, zoonotic disease, scicomm, zombies. She/her. Same handle @ bsky
Dr. Saskia Popescu @SaskiaPopescu
68K Followers 1K Following Infectious disease epidemiologist - Biodefense & Global Health Security | Sr Fellow @CSRisks | Asst Prof @UMmedschool | Affiliate @georgetown_ghss @scharschool
Stefan Baral @sdbaral
49K Followers 4K Following 🇨🇦🇸🇪,MD,MPH FRCPC (CM) & CCFP (Fam Med), 🏳️🌈 ally No COI Papers: https://t.co/FQjCu7BsNE Course: https://t.co/yLabiMSsvj COVID Talk: https://t.co/u1t1lAc0vT
Katelyn Jetelina @dr_kkjetelina
62K Followers 1K Following Epidemiologist, educator, professor, world traveller, lover of ice cream and the ocean. Mom of 2 under 2. Publisher of Your Local Epidemiologist
Megan Ranney MD MPH �.. @meganranney
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Edward Nirenberg 🇺.. @ENirenberg
36K Followers 6K Following Views my own, but you can borrow them if you feel so inclined. Anti-disease. Big Nerd Energy. “A homework person.” Fun at parties. Antibody hoarder. he/him
Joseph Allen @j_g_allen
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Rick Bright @RickABright
46K Followers 3K Following Practical, Innovative, Hyper-focused on saving lives. Immunologist, Virologist, Pandemic Nemesis. Posts are mine.
Alasdair Munro @apsmunro
55K Followers 628 Following Senior Clinical Research Fellow in Paediatric Infectious Diseases | Clinical trials | Vaccines | Antibiotics | Husband and dad
Abraar Karan @AbraarKaran
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Michael Mina @michaelmina_lab
220K Followers 1K Following Physician-Scientist, MD,PhD. Immunology, Epidemiology, Infectious disease, Autoimmunity, Biotech, Diagnostics, Math. CSO, CMO. Past: Harvard Faculty. DM’s Open
Jon Levy @jonlevyBU
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Amesh Adalja @AmeshAA
38K Followers 2K Following Infectious disease MD (also CCM & EM) focused on pandemics, emerging infections, biosecurity, biotech https://t.co/0U7G1vKrK6
Luke @casos_86
156 Followers 5K Following
Curiosity @curiosity_itis
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Wear a mask & Hug a H.. @NYCsocial_tw
3K Followers 5K Following There has never been a time when the people who burn books were the good guys. #CovidIsNotOver #SlavaUkraini
Dr. Grumpy Biologist .. @DoNotGaslightMe
487 Followers 932 Following Evolutionary biology PhD, dog minder, cat fetishizer, lefty rural southerner, optimistic pessimist, collapse aware sensu lato, eukaryote. She/her
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Kim Patton @EskimoDogMom
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FredhasAsthma @FredHasAsthma
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confusedsloth @confusedsloth11
27 Followers 197 Following I thought I was out, but they pulled me back in. Progressive. Here for serious politics and silly memes.
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john @eawjohn
59 Followers 396 Following
Just Here For The New.. @ktho641521
1K Followers 5K Following Notes From the Twitteverse during the High Pandemic. @[email protected] justhereforthenews on BlueSky @[email protected]
Guenter N @_guenter_
112 Followers 723 Following
Raqchan🌻 @houghfarmer
195 Followers 340 Following Small-scale farmer raising pastured Low-line cattle.
UNMC Global Center fo.. @UNMC_GCHS
2K Followers 729 Following The Global Center for Health Security encompasses all biopreparedness, infectious disease, and high-consequence infections research, education and clinical care
Jessica Nix @jessicanix_
661 Followers 816 Following health reporter @business fmr @climate, @technology // views are all mine📝 // @columbiajourn & @smpagwu
امین نعامی @n_amy58834
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Gerson Freitas Jr. @gersonjr
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583 Followers 249 Following Laboratory of an influenza immunologist and vaccine advocate
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423 Followers 2K Following Community Leader/Co-Owner of Presleys' Country Jubilee @presleysbranson & Branson Visitor TV @bransonvisitor. @BransonMayor 2007- April 2015. @lietostrangers
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Free Palestine @explorer2322244
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Matthew Stoker @matthewbstoker
248 Followers 156 Following He/him. Interests in Global Health, Critical Care, Immunology, Virology, Vaccinology, Global Epi and Malnutrition, RPCV Maternal & Child Health Guatemala
The one and only Kay @KayStephen16
4K Followers 6K Following 45 is a 🤡. Not a fan of ex-President Dorito. Member of team vermin. RIP Mom and Dad, lost to Covid. Love my @Patriots! Backup account: @kayoscar17
GailReedMEDICC @MediccGail
4K Followers 5K Following Health care journalist, MEDICC Review Editor. Mom & grandma!#LatinAmerica #BLM #vaccineswork #WomenInSTEM #UnBlockCuba #climatecrisis Posts mine.
willians mera zavala @williansmera
690 Followers 4K Following contacto: 593 987762052. [email protected]
Cape Cod Designs @CapeCodApparel
283 Followers 2K Following 🍀https://t.co/oOQwYZIun2💥FREE SHIPPING Worldwide 💥SPRING SALE; %25 Off on Orders +$50 💥APRIL DEAL; Subscribe and GET Additional %10 Off
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Vanessa @yellownessvjt04
922 Followers 1K Following Working hard to be part of solutions rather than problems 💙💛
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91K Followers 664 Following MD, MPH; ID/HIV MD; UCSF (tweets own); No conflicts; Wrote book on COVID & pandemic playbook pub. Mayo Clinic Press called Endemic: A Post-Pandemic Playbook
Helen Branswell 🇨�.. @HelenBranswell
221K Followers 2K Following I cover infectious diseases @statnews. 2020 Polk winner. Nieman '11. She/her. #H5N2 #birdflu #Covid #polio #flu, #RSV. I have not paid for a blue checkmark.
Prof Gavin Yamey @gav.. @GYamey
41K Followers 8K Following Professor of Global Health & Public Policy @DukeU. Director, Center for Policy Impact in Global Health. DJ @wxdu. TIME columnist. He/him. Tallest Jew on Earth.
Dr. Tara C. Smith @aetiology
123K Followers 6K Following Infectious disease epidemiologist, writer, mom. Antibiotic resistance, zoonotic disease, scicomm, zombies. She/her. Same handle @ bsky
Dr. Saskia Popescu @SaskiaPopescu
68K Followers 1K Following Infectious disease epidemiologist - Biodefense & Global Health Security | Sr Fellow @CSRisks | Asst Prof @UMmedschool | Affiliate @georgetown_ghss @scharschool
Stefan Baral @sdbaral
49K Followers 4K Following 🇨🇦🇸🇪,MD,MPH FRCPC (CM) & CCFP (Fam Med), 🏳️🌈 ally No COI Papers: https://t.co/FQjCu7BsNE Course: https://t.co/yLabiMSsvj COVID Talk: https://t.co/u1t1lAc0vT
Megan Ranney MD MPH �.. @meganranney
111K Followers 3K Following I fix problems and promote health 🔸️Dean @YaleSPH🔸️ER doc 🔸️ Cofounder @researchaffirm #ThisIsOurLane🔸️she/hers
Joseph Allen @j_g_allen
46K Followers 4K Following Assoc Prof @HarvardChanSPH; Lancet @CommissionCOVID (Chair Task Force on Safe Work/School/Travel); Coauthor of HEALTHY BUILDINGS @Harvard_Press; WaPo, NYT, HBR
Rick Bright @RickABright
46K Followers 3K Following Practical, Innovative, Hyper-focused on saving lives. Immunologist, Virologist, Pandemic Nemesis. Posts are mine.
Alasdair Munro @apsmunro
55K Followers 628 Following Senior Clinical Research Fellow in Paediatric Infectious Diseases | Clinical trials | Vaccines | Antibiotics | Husband and dad
Abraar Karan @AbraarKaran
68K Followers 975 Following infectious disease doctor, researcher @stanford
Michael Mina @michaelmina_lab
220K Followers 1K Following Physician-Scientist, MD,PhD. Immunology, Epidemiology, Infectious disease, Autoimmunity, Biotech, Diagnostics, Math. CSO, CMO. Past: Harvard Faculty. DM’s Open
Amesh Adalja @AmeshAA
38K Followers 2K Following Infectious disease MD (also CCM & EM) focused on pandemics, emerging infections, biosecurity, biotech https://t.co/0U7G1vKrK6
Caitlin Rivers @cmyeaton
191K Followers 387 Following Infectious disease epidemiologist, associate professor @JHSPH_CHS. Writing about outbreaks and public health at https://t.co/6KMmlVUsTs
Carlos del Rio @CarlosdelRio7
58K Followers 2K Following Executive Associate Dean Emory Univ SOM; co-Director Emory CFAR; International Secretary of NAM. Posted opinions are own. RT not endorsements.
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143K Followers 2K Following Epidemiologist/mathematician. Co-director of @LSHTM_CEPR and @TEDFellow. Author of The Rules of Contagion. Views own.
Linsey Marr https://w.. @linseymarr
67K Followers 127 Following Engineering professor @virginia_tech with expertise in airborne transmission of viruses, air quality, nanotechnology. Avid recreational athlete.
Ashish K. Jha, MD, MP.. @AshishKJha46
37K Followers 174 Following White House COVID-19 Response Coordinator, physician, researcher, husband, dad. Official account
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15K Followers 7K Following Health reporter @POLITICO covering Covid-19 and the @US_FDA. @AAJA+@AHCJ. Prescription Pulse co-author. Tips: [email protected]. DM for Signal.
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2K Followers 445 Following Emerging/endemic infectious diseases, mostly viruses. Pandemic Prevention. Early Warning. One Health. Science outside-the-box. Views my own. 🐘 + 🟦: eakarlsson
TompkinsLab @tompkins_lab
583 Followers 249 Following Laboratory of an influenza immunologist and vaccine advocate
Bovine Veterinarian @BovineVet
4K Followers 97 Following Bovine Veterinarian is the only business publication specifically targeted to beef and dairy veterinarians and nutritionists.
Brian Wasik @BrianRWasik
4K Followers 2K Following Researcher in Virus Tropism and Evolution. Opinions are my own... but should be yours too. Avatar: Joshua Chamberlain. RT = Reverse Transcriptase
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1K Followers 53 Following Humanitarian Physician; Director: Harvard Humanitarian Initiative, Chairman: Brigham and Women's Hospital Department of Emergency Medicine
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1K Followers 489 Following Associate Dean, @TAMUOneHealth, College of Veterinary Medicine & Biomedical Sciences; Director, Pandemic & Biosecurity Policy Program, @ScowcroftTAMU; @TAMU '76
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5K Followers 2K Following Mostly not here. wrote RISING & THE QUICKENING: Creation and Community at the Ends of the Earth (big love to my little indie @milkweed_books) * Teaches @Brown U
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4K Followers 4K Following Professor, Department of Political Science, University of Sao Paulo. @usponline @RedePesquisa @obscovid19br All views expressed are my own.
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1K Followers 1K Following RI Senator -District 32, Barrington, Riverside, Bristol. Primary care Nurse Practitioner. Proud Mom & Wife.
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2K Followers 925 Following RI State Representative for District 63 East Providence & Pawtucket, House Majority Whip, and proud Armenian-American 🇦🇲🇺🇸
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837 Followers 981 Following Climate & Health at Data for Science & Health @wellcometrust | Climate & Health scientist @IPCC_CH AR6 WGII author | previously PhD @cmmid_lshtm @UCLCBER
Niall Brennan @N_Brennan
6K Followers 665 Following Senior Advisor to @cdcdirector | Ex CAPO @clarifyhealth CEO @healthcostinst and CDO @cmsgov | Lucky hubby, proud dad, 🚴♂️ 🏃♂️ | 🇮🇪 and 🇺🇸 citizen
Israel Defense Forces @IDF
2.7M Followers 38 Following Official IDF X account. We post real-time information and updates from the field.
Senator Jack Reed @SenJackReed
111K Followers 52 Following Official Twitter feed of Rhode Island’s U.S. Senator Jack Reed. Chairman of the Senate Armed Services Committee.
Yuval Noah Harari @harari_yuval
632K Followers 53 Following Historian and bestselling author of 'Sapiens', 'Homo Deus', '21 Lessons for the 21st Century', 'Sapiens: A Graphic History', 'Unstoppable Us', and 'NEXUS'.
Brandon del Pozo, PhD.. @BrandondelPozo
9K Followers 2K Following Assistant professor at Brown conducting NIH-funded research on health, safety & justice. Former chief of police and NYPD precinct commander. NYC born & raised.Bird Flu H5N1—What We Know So Far About Its Spread To Cows forbes.com/sites/judyston…
@JenniferNuzzo @CDCgov Jennifer - are there plans for widespread H5N1 RAT test kits for cows and people to conduct mass testing? If not - why ? Ideally it would be as easy as getting covid test from @cvspharmacy
Important update on metadata of H5N1 in cattle (and back to birds): Thanks to the extraordinary detective skills of @flodebarre, we are pleased to be able to share this table containing locations and dates for several H5N1 cases in cattle and birds: github.com/andersen-lab/a…
@JenniferNuzzo I joined just a couple months later, probably at your suggestion! I was pregnant and esp worried about H1N1 and my OB told me horror stories at every visit. 🙄 Can you believe that baby boy is going to high school (and his brother applying to colleges) this fall?😬
FDA announces no infectious #H5N1 was found in PCR positive milk. They used the “gold standard” egg inoculation tests that many have been waiting for. Together with NIAID grantee studies and past publications, it’s pretty conclusive the milk is safe. fda.gov/food/alerts-ad…
@WWBugs @JenniferNuzzo @amymaxmen Cows are far more expensive than chickens. Also 90-100% of chickens die. Most cows so far seem to survive. It will be interesting to see if there is long lasting effects from infection though.
@JenniferNuzzo I wish there was a way where reports of it get benefits and support instead of potential penalties (thinking culling of large flocks of chickens) that cause hesitation to report because of economic fall backs. They need something out of reporting that’s good vs the negative
Thank you @MarthaDiMeo for sharing this local news report featuring @community_noise lab researcher @julietfangg 's great on-going work in Cranston. wpri.com/target-12/cran…
I’m in South Texas today giving the annual Garland Memorial Lecture sponsored by @AmerChemSociety Texas A&M Kingsville. Will speak on our @TexasChildrens molecular vaccine program for new vaccines to prevent hookworm anemia, schistosomiasis, Chagas, coronaviruses
1/ No live virus found in pasteurized milk from #H5N1 infected cows. The Director of @NIH's National Institute for Allergy and Infectious Diseases reported that, while researchers could recover genome fragments (which we knew from yesterday), they were unable to culture virus.
Interesting tidbits from a press conf today on #H5N1 #birdflu by US agencies —NIAID-funded researchers found commercial milk that was PCR-pos for H5, but could not grow live virus from it. (Good) —USDA & CDC admitted some farmers won't let them test. statnews.com/2024/04/24/h5n…
@JenniferNuzzo This is what happens when the main agency in charge is USDA, which is protecting the dairy and meat industries. The CDC should have overall authority. There is going to be jockeying for power in the Executive Branch and politics will interfere with public health.
4/ NOTE: -- @USDA_APHIS will now also reimburse "producers interested in the disease status of their asymptomatic animals." While not required, giving farmers an incentive test asymptomatic cows is a good step to address current blind spots in our testing. #H5N1 #HPAI
Very important to note here that qPCR positives are not the same as "virus particles." It's much easier to detect viral RNA by qPCR than it is to detect infectious virus or intact virus particles (as the article correctly notes). This finding does have some big implications:
#Breaking Testing conducted by the FDA on pasteurized commercially purchased milk has found genetic evidence of the H5N1 bird flu virus, the agency confirmed Tuesday. trib.al/5sU2zvO
@JenniferNuzzo And a key component of that is metagenomic sequencing, sequencing a ton of the RNA/DNA in a sample to see if some reads contain pathogen genetic material. Powerful, and not targeted at particular pathogens. I spoke with @apoorva_nyc about this. nytimes.com/2024/04/24/hea….
@JenniferNuzzo That is very interesting indeed. And I wholeheartedly agree that there has been a lot of looking under the lamp-post because that is where the light is good, with this outbreak. And all of this highlights the need for routine surveillance for emerging pathogens.
@JenniferNuzzo The USDA has over 100,000 employees. That's a lot of "we" going on. The genome sequences took months to publish.
OK, I think we're close to decisive evidence that US bovine H5N1 had a single origin from birds, and that when related viruses from birds *have* been found, they are jumps from cattle back into birds. Grackles, blackbirds, chickens all show mammalian adaptation like PB2 M631L.
@JenniferNuzzo Agreed. It’s a mistake to treat a lot of the issues from spring 2020 as “Trump issues” instead of “U.S. government issues.” For example, the testing debacle stemmed from a CDC policy that was also a problem during Zika.
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