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Indi Trehan

@inditrehan.bsky.social

1.6K followers 400 following 120 posts

Global child health, malnutrition, infectious diseases, emergency medicine, climate change. Professor, pediatrician, researcher. Logical liberalism, bad puns. Rage, rage against the dying of the light. www.seattlechildrens.org/medical-staff/indi-trehan

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Indi Trehan @inditrehan.bsky.social · Aug 14

New special issue in @bmj.com BMJ Global Health summarizing many of the issues surrounding the 2023 @who.int Wasting Guidelines :: "Towards a stronger evidence base on wasting and nutritional oedema in infants and children"

BMJ Global Health: 10 (Suppl 5)

gh.bmj.com

Reposted by Indi Trehan

Jess Fanzo @jessfanzo.bsky.social · 2d

Published in Lancet today: We wrote about the alarming rates of acute malnutrition among under 5s in Gaza, linked to military conflict and severe restrictions on food and aid access. Let's hope the ceasefire allows for immediate humanitarian relief and international action: shorturl.at/QdaQU

Documenting atrocity: child malnutrition in Gaza

Since the egregious civilian massacre on Israeli civilians by Hamas on Oct 7, 2023, there have been grave concerns about the conduct of Israeli military operations in Gaza with regard to proportionali...

shorturl.at

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Reposted by Indi Trehan

Prof. Jennie Roe-mick 🏳️‍🌈 @romich.bsky.social · 3d

Wow. My University of Washington colleague Amy Hagopian was expelled from APHA for her pro-Palestinan advocacy. 🧵

academeblog.org/2025/10/07/w...

What to Do When Your Professional Association Breaks Your Heart

BY AMY HAGOPIAN Public health professionals are charged with responding to humanitarian crises. When hospitals are bombed, when children are deliberately starved, when doctors are assassinated, we’…

academeblog.org

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Indi Trehan @inditrehan.bsky.social · 2d

Incredible work; full study: www.thelancet.com/journals/lan...

Reposted by Indi Trehan

Our World in Data @ourworldindata.org · 3d

Declining child mortality, fast and slow

The image depicts a line chart illustrating child mortality rates, specifically the estimated percentage of newborns who do not survive past the age of five. The chart has two distinct lines: one representing Sweden in blue and the other representing South Korea in red.

Starting in the early 1800s, the blue line for Sweden shows a gradual decline in the child mortality rate, fluctuating around 35% at the beginning and continuing to decrease steadily over the years, reaching nearly 0% by 2023.

In contrast, the red line for South Korea begins more steeply in the mid-20th century, experiencing a rapid decline after 1950, ultimately approaching a very low percentage by 2023.

The sources for the data are listed at the bottom as Gapminder (2015) and the UN Inter-agency Group for Child Mortality Estimation (2025). The entire chart is labeled as CC BY for Creative Commons licensing.

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Reposted by Indi Trehan

Mrs. Betty Bowers @mrsbettybowers.bsky.social · 4d

Thanks, New Yorker

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Indi Trehan @inditrehan.bsky.social · 3d

Bring tissues.

Young lives cut short on an unimaginable scale: the 18,457 children on Gaza’s list of war dead

Every name on a list compiled by health authorities in Gaza of the child victims of Israel’s offensive

www.theguardian.com

Reposted by Indi Trehan

KaminskiMed @kaminskimed.bsky.social · 6d

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Finally! Our call on the U.S. medical community & establishment to break their silence on Gaza is out today at the New England Journal of Medicine. This is the first publication describing Gaza's human made humanitarian catastrophe in the Journal!!
www.nejm.org/doi/10.1056/...

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Reposted by Indi Trehan

Cincinnati Children’s Research @cincyresearch.bsky.social · 8d

U.S. Children Are Gradually Losing Access to Top Quality Emergency Care. #Pediatrics #CriticalCare #PedsICU @pccmdoc.bsky.social @pedcritcaremed.bsky.social @childrenshospitals.bsky.social
Study: www.jpeds.com/article/S002... Blog post: scienceblog.cincinnatichildrens.org/u-s-children...

The new emergency department drop off circle at Cincinnati Children's

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Reposted by Indi Trehan

UNICEF USA @unicefusa.org · 10d

5-year-old Suza from #DRCongo should still be alive. Malaria is treatable, but medicine wasn't available when she needed it.

Heartbreaking, urgent reporting from @washingtonpost.com shows how even brief interruptions in aid delivery can have dire consequences for vulnerable communities:

Trump’s USAID pause stranded lifesaving drugs. Children died waiting.

USAID antimalarial and HIV supplies valued at nearly $140 million were delayed in the first half of the year or not delivered at all due to the Trump administration’s foreign aid pause, The Post found...

wapo.st

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Indi Trehan @inditrehan.bsky.social · 11d

Happy to contribute our experience and data from Lao Friends Hospital for Children to this international study in jamanetworkopen.com — it’s definitely time for better pain control during intussusception reduction!

Opioid Administration and Reduction of Pediatric Ileocolic Intussusception

This cross-sectional study investigates whether fentanyl administration to manage pain prior to attempted ileocolic intussusception reduction is associated with failed reduction among children 4 to 48...

jamanetwork.com

Indi Trehan @inditrehan.bsky.social · 11d

Continuing to explore wasting relapse (aka wasting prevention in high-risk populations) in this new study led by colleagues at @lshtm.bsky.social and @acfusa.bsky.social. This time — WASH!

Association of Water, Sanitation, Hygiene and Animal Ownership With Relapse to Acute Malnutrition Among Children Aged 6–59 Months in Mali, South Sudan and Somalia: A Multi‐Site Prospective Cohort Study

Relapse rates post-SAM treatment varied: 32% in Mali, 63% in South Sudan, 21% in Somalia. Diverse WASH and animal ownership factors were linked to relapse risk, differing by context. Some WASH condit...

onlinelibrary.wiley.com

Indi Trehan @inditrehan.bsky.social · 12d

it is a strange time to be alive

Indi Trehan @inditrehan.bsky.social · 12d

Tremendous article and data analysis.

Foreign aid from the United States saved millions of lives each year

For decades, these aid programs received bipartisan support and made a difference. Cutting them will cost lives.

ourworldindata.org

Indi Trehan @inditrehan.bsky.social · 12d

Gaza patients being left to suffer as hospitals hit by painkiller…

Israeli restrictions leave doctors short of vital drugs

www.thebureauinvestigates.com

Reposted by Indi Trehan

الكسندرا ميراي @lexialex.bsky.social · 17d

The world is run by narcissistic egomaniacs because people have higher standards when they choose a gardener than when they choose political representatives. There is no scenario in life where "evil, but less evil" is an acceptable concept except politics. Imagine choosing a less evil babysitter.

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Reposted by Indi Trehan

WHO @who.int · 17d

WHO statement on autism-related issues

The World Health Organization (WHO) emphasizes that there is currently no conclusive scientific evidence confirming a possible link between #autism and use of acetaminophen (also known as paracetamol) during pregnancy

Full statement bit.ly/47YsgwI

WHO statement on autism-related issues

Follow @WHO for the latest updates

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Reposted by Indi Trehan

Paul Noth @paulnoth.bsky.social · 18d

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Indi Trehan @inditrehan.bsky.social · 21d

Trump’s Most Lethal Policy

Opinion | Trump’s Most Lethal Policy

www.nytimes.com

Reposted by Indi Trehan

Michael @fleerultra.bsky.social · 23d

so many dead canaries and we just keep on mining

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Reposted by Indi Trehan

Duncan McAlester @dmcalester.bsky.social · 23d

I’m reminded of Hemingway’s response when asked “how did you go broke?” He responded “two ways: gradually, then suddenly”.

We have entered the suddenly phase.

Indi Trehan @inditrehan.bsky.social · 23d

Wow, such stellar work.

The US town that pays every pregnant woman $1,500: ‘We’re not OK with our babies being born into poverty’

Infants in Rx Kids in Flint, Michigan, saw lower rates of prematurity and other issues, saving millions in NICU visits

www.theguardian.com

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Reposted by Indi Trehan

The Last Mile with USAID @thelastmileusaid.bsky.social · 24d

@jslay.bsky.social

A cartoon shows a man opening his front door to find a squad of heavily armed soldiers in riot gear pointing their weapons inside. He turns back toward his home, looking alarmed, and says, “Honey, did you post something negative about the regime?”

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Indi Trehan @inditrehan.bsky.social · 26d

This Is What Malnutrition Does to Children’s Bodies www.nytimes.com/interactive/...

For Gaza's Children, Acute Malnutrition Could Cause a Lifetime of Health Challenges

Why Gaza’s young are especially vulnerable.

www.nytimes.com

Reposted by Indi Trehan

Médecins Sans Frontières @msf.org · 28d

⚠️ Malnutrition in Kebbi state, Nigeria: “I don’t know how to say it any more clearly: this is an emergency.”

Malnutrition crisis in Nigeria is an emergency | MSF

Katrin Kisswani describes the devastating malnutrition crisis is unfolding in Kebbi state, northern Nigeria.

www.msf.org

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Indi Trehan @inditrehan.bsky.social · 28d

Excellent article with many important points.

Prof. Damian Roland @damianroland.bsky.social · 28d

On #WorldSepsisDay highlighting editorial (with @apsmunro.bsky.social )

"Time for paediatrics to screen out sepsis “screening”

www.bmj.com/content/381/...

(For example screening, by definition, requires patient to be asymptomatic. But many patients receiving a “sepsis screen” are symptomatic)

Time for paediatrics to screen out sepsis “screening”

It is time to remove the term, “sepsis screen,” from the paediatric lexicon, argue these authors Despite the success of vaccinations against organisms such as Haemophilus influenza type B and Neisser...