Crawford Kilian
crof.bsky.social
Crawford Kilian
@crof.bsky.social
Retired college teacher, recovering novelist. Born 1941 (CO2: 310 ppm). Still doing journalism and walking the dog. I've been writing for @thetyee.ca for over 20 years.
Another day in Trumpistan: January 22, 2026 open.substack.com/pub/heatherc...
January 22, 2026
Vice President J.D.
open.substack.com
January 23, 2026 at 3:18 PM
Reposted by Crawford Kilian
This is where we are: the chair of Advisory Committee on Immunization Practices is questioning the #polio vaccine.

Have we forgotten polio wards?
Children in iron lungs.

Vaccines stopped this. Questioning them risks bringing it back.

How does this Make America Healthy? We should all be terrified.
January 23, 2026 at 5:30 AM
Reposted by Crawford Kilian
Indonesia takes action against mining firms after floods devastate population of world’s rarest ape
Indonesia takes action against mining firms after floods devastate population of world’s rarest ape
Conservationists hail the ‘desperately needed’ measures and urge greater protection after up to 11% of endangered Tapanuli orangutans wiped out
www.theguardian.com
January 23, 2026 at 5:31 AM
Reposted by Crawford Kilian
Jens-Frederik Nielsen, Prime Minister of Greenland: First of all, nobody other than Greenland and the Kingdom of Denmark have the mandate to make deals or agreements about Greenland and the Kingdom of Denmark without us. That’s not going to happen.
January 23, 2026 at 4:45 AM
Reposted by Crawford Kilian
DIVEST FROM FASCISTS #2
On the heels of yesterday‘s news 👆 that a 🇩🇰 pension fund was dumping its US Treasuries, it now emerges that 🇸🇪 pension fund Alecta “reportedly sold between $7.7 billion and $8.8 billion worth of U.S. Treasury bonds over the course of last year.”
Second Pension Fund Dumps U.S. Treasury Holdings as Trump Spirals
Donald Trump’s unpredictability has sent at least two countries running.
newrepublic.com
January 22, 2026 at 2:47 AM
Reposted by Crawford Kilian
Canadian soldiers returning from Afghanistan after “doing nothing for the USA.”

Fuck YOU Donald Trump! 🤬
January 23, 2026 at 2:07 AM
Integrating AMR surveillance into wastewater monitoring systems in 2025: a position on the implementation of Article 17 of the Urban Wastewater Treatment Directive (UWWTD) - www.eurosurveillance.org/content/10.2...
Eurosurveillance | Integrating AMR surveillance into wastewater monitoring systems in 2025: a position on the implementation of Article 17 of the Urban Wastewater Treatment Directive (UWWTD)
The recast Urban Wastewater Treatment Directive (UWWTD) calls for monitoring antimicrobial resistance (AMR) in wastewater of large European agglomerations (≥ 100,000 person equivalents). Guidance on scope and methods is currently in development. Two European Joint Actions share a goal to harmonise procedures and indicators: the European Union (EU)-Wastewater Integrated Surveillance for Public Health (EU-WISH), aiming to strengthen wastewater-based surveillance (WBS) for public health and the EU-Joint Action Antimicrobial Resistance and Healthcare Associated Infections (EU-JAMRAI) 2, providing among others, approaches for environmental surveillance of AMR. An EU-WISH survey in 2024, mapping WBS AMR-related activities across Europe, revealed that of 27 countries surveyed, 11 had an operative AMR WBS system and mainly employed WBS to determine AMR trends, primarily through culture-based analyses, in-depth characterisation of specific bacteria, and quantitative PCR for specific resistance genes. Occasionally metagenomics was used. We argue that prioritising AMR WBS targets should consider the intended objectives of surveillance, which could include uncovering AMR trends and emerging AMR determinants in humans, the assessment of antimicrobial/AMR environmental release, and wastewater treatment efficiency. Targets should be assessed for their public health relevance and the usefulness of complementary information they provide, while integrating measurability, resource efficiency, and expertise from different One Health domains.
www.eurosurveillance.org
January 23, 2026 at 3:43 AM
Epidemiology of human salmonellosis in Czechia ─ a country with the highest European notification rate, 2012 to 2023 - www.eurosurveillance.org/content/10.2...
Eurosurveillance | Epidemiology of human salmonellosis in Czechia ─ a country with the highest European notification rate, 2012 to 2023
BACKGROUND Salmonellosis is the second most notified food-borne infection in Europe. In Czechia (CZ), the notification rate has consistently been above the European average, five times higher in 2013–2022. AIM We aimed to describe the epidemiology of salmonellosis in CZ in 2012–2023 and identify areas for improving surveillance and public health actions. METHODS We extracted data on notified salmonellosis cases from the national surveillance system and analysed the dataset for demographic characteristics, hospitalisation, transmission mode and suspected vehicle, descriptively and by chi-square tests and logistic regression. RESULTS In 2012–2023, 130,990 cases (102.7/100,000 inhabitants) were notified. The overall annual notification rate decreased from 111.7 per 100,000 in 2012–2017 to 94.2 per 100,000 in 2018–2023. Most cases were children and adolescents aged < 15 years (n = 68,370; 52.2%) and most were females (n = 68,425; 52.2%) but males dominated among cases aged < 15 years (35,790/68,370; 52.3%). Few cases were imported (n = 2,627; 2.0%) or outbreak-related (n = 5,361; 4.1%); most were diagnosed in June–October (n = 83,057; 63.4%). Of all notified cases, 22.2% (n = 29,082) were hospitalised. Age of ≥ 40 years was associated with hospitalisation and Salmonella sepsis (p < 0.001). Transmission mode was identified for 59,729 (45.6%) cases. CONCLUSION Despite a decline, the notification rates of salmonellosis remain high in CZ. The effectiveness of the surveillance system is reflected in relatively low hospitalisation rates compared with some other European countries, yet the source and transmission mode were unidentified in over half of the cases. We encourage enhancing epidemiological investigations, improving sample submission to the National Reference Laboratory and molecular surveillance.
www.eurosurveillance.org
January 23, 2026 at 3:42 AM
First use of Trumenba (MenB-fHbp) vaccine to control a nursery outbreak of serogroup B invasive meningococcal disease involving children previously immunised with Bexsero (4CMenB), England, November 2023 - www.eurosurveillance.org/content/10.2...
Eurosurveillance | First use of Trumenba (MenB-fHbp) vaccine to control a nursery outbreak of serogroup B invasive meningococcal disease involving children previously immunised with Bexsero (4CMenB), England, November 2023
In November 2023, the UK Health Security Agency was notified of PCR-confirmed group B (MenB) invasive meningococcal disease (IMD) in a 3-year-old child (Case A), followed by probable IMD in a 2-year-old (Case B, culture and PCR tests negative) attending the same nursery. An incident management team (IMT) was convened. Both children were fully vaccinated with the MenB vaccine 4CMenB (Bexsero, GSK Biologicals). All 39 children attending the nursery and nine staff received ciprofloxacin chemoprophylaxis preceded by pharyngeal swabbing. Pharyngeal swabbing yielded two MenB isolates matching Case A. Antibiotic sensitivity testing and assessment of 4CMenB vaccine coverage using the meningococcal antigen typing system (MATS) revealed the strain was not covered by the 4CMenB vaccine. Although the alternative MenB vaccine, MenB-fHbp (Trumenba, Pfizer), is only licensed from 10 years and has never been given to children previously immunised with 4CMenB, the IMT considered the benefits of outbreak control outweighed potential risks. Two doses were given 4 weeks apart to 38 children (one family declined) and all staff; there were no serious adverse events. Our findings highlight the utility of swabbing to identify outbreak strains and provide first evidence for safe use of the MenB-fHbp vaccine in children previously vaccinated with 4CMenB.
www.eurosurveillance.org
January 23, 2026 at 3:41 AM
Reposted by Crawford Kilian
Not hyperbolic to say this is lunacy.

ACIP Chair Milhoan offers classic antivax claim "Why vax for diseases that aren't as big a thing now as they used to be?" plus doubt-sowing.

Let's see how well his sci-dismissing beliefs & libertarian fixation comfort the afflicted in US he envisions. 🛟medsky😷
RFK Jr. appointee Kirk Milhoan has just clearly stated, out loud, that he wants to experiment on the people of the United States by seeing what happens as vaccination coverage plummets and infectious diseases spread.
January 23, 2026 at 1:38 AM
Reposted by Crawford Kilian
Haitian Midwife Delivers Babies in Knee-Deep Water during Hurricane Matthew in 2016--January 2026 open.substack.com/pub/johnacar... @crof.bsky.social
Haitian Midwife Delivers Babies in Knee-Deep Water during Hurricane Matthew in 2016--January 2026
hurricane matthew/cholera/maternal mortality rate
open.substack.com
January 23, 2026 at 2:39 AM
Reposted by Crawford Kilian
The United States has officially withdrawn from the World Health Organization.

This is a shameful move that puts both Americans and people all over the world at greater risk from disease outbreaks, which require international collaboration to contain.
January 23, 2026 at 1:57 AM
Reposted by Crawford Kilian
God how I miss when ACIP members at least had to understand the basics of infectious disease.
January 22, 2026 at 9:39 PM
"Worthwhile Canadian proposal" was once voted most boring headline possible. Not anymore: www.theguardian.com/commentisfre...
Europe must heed Mark Carney – and embrace a painful emancipation from the US | Paul Taylor
Trump’s tariff retreat should lull nobody into dropping their guard. The EU must join forces with Canada, Japan and other like-minded countries, says Paul Taylor of the European Policy Centre
www.theguardian.com
January 23, 2026 at 12:49 AM
Trump has always been a deadbeat: www.cidrap.umn.edu/public-healt...
US formally withdrawals from World Health Organization, leaving debt
www.cidrap.umn.edu
January 23, 2026 at 12:40 AM