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Tim Lahey @timlaheymd.bsky.social · 8h

Chaotic governance

open.substack.com/pub/insideme...

Breaking News: RIFs in reverse. Some CDC workers have been brought back, in latest whiplash.

This is breaking news.

open.substack.com

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Reposted by Tim Lahey

Amy Maxmen, PhD @amymaxmen.bsky.social · 18h

The Trump admin is in the midst of laying off 1,100-1,200 HHS staff. The CDC's outbreak responders, gone. The office producing CDC's weekly journal MMWR is gone. CDC staff securing sensitive data, gone. Worker safety, gone. Immunization group, gone.

Instead, Congress watches RFK "make the proof"

Aaron Rupar @atrupar.com · 2d

RFK Jr on Tylenol and autism: "It is not proof. We're doing the studies to make the proof."

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Reposted by Tim Lahey

Jeremy Faust, MD @jeremyfaust.bsky.social · 1d

We have breaking news in Inside Medicine.

We had heard rumors of RIFs to CDC.

But this is the first visual confirmation that it has occurred tonight, and at high levels in the agency.

Here is what we know...and then some well-sourced rumors (but rumors, nonetheless, not confirmed) 🧵...

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Reposted by Tim Lahey

Angie Rasmussen @angierasmussen.bsky.social · 1d

I don’t know who needs to hear this but the CDC is being eviscerated right now. America is not going to have any kind of outbreak response capacity after tonight. Americans’ health data is no longer secure. Say goodbye to federal public health in any capacity. It’s a disaster. We won’t recover.

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Kathleen Bachynski @bachynski.bsky.social · 20h

“Roughly 70 Epidemic Intelligence Service officers — the so-called “disease detectives” who respond to outbreaks around the globe — received layoff notices, according to a person familiar with them. The service was spared during an earlier round of layoffs in February.”

Trump Administration Lays Off Dozens of C.D.C. Officials

www.nytimes.com

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Tim Lahey @timlaheymd.bsky.social · 19h

How is this still happening?

www.usatoday.com/story/opinio...

Medical students shouldn't be performing pelvic exams patients don't know about | Opinion

An informed consent law in Michigan would ensure that patient wellbeing remains the focus of medical practices, even when trainees are present.

www.usatoday.com

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Tim Lahey @timlaheymd.bsky.social · 1d

Such meager evidence of sense but, hey, we’ll take the win

www.medpagetoday.com/infectiousdi...

CDC Expands Access to COVID Shots for Pregnant Women

Agency's vaccine advisors' recommendations about shared decision-making appear to apply

www.medpagetoday.com

Tim Lahey @timlaheymd.bsky.social · 1d

GOP-controlled White House, Senate and House of Representatives are simply forced -- by themselves -- to continue taking a wrecking ball to the federal government

www.nytimes.com/live/2025/10...

Trump Administration Live Updates: Federal Layoffs ‘Have Begun,’ White House Says

www.nytimes.com

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Tim Lahey @timlaheymd.bsky.social · 1d

"The authors appeared to accept very bad evidence when it supported a specific set of beliefs, and discarded evidence of any quality when it did not support this"

gidmk.substack.com/p/the-cass-r...

The Cass Review Continues To Be Severely Flawed

A new paper from an Australian team shines a light on the problems with the review

gidmk.substack.com

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Tim Lahey @timlaheymd.bsky.social · 1d

Dalbavancin works for semi-complicated Staph bacteremia, if you can get it

Paul Sax @paulsaxmd.bsky.social · 1d

What the DOTS trial of Staph bacteremia tells us:
• Dalbavancin d1 and d8 vs daily IVs for WEEKS
• No left-sided IE/CNS/prosthetics
• Dalba not superior by DOOR endpoint, but similar clinical outcomes.
Big implications for inpt care. More here! #IDSky tinyurl.com/3hjzkt96

DOTS: Optimism Around a “Negative” Dalbavancin Trial

The DOTS randomized clinical trial of dalbavancin versus standard-of-care for Staph aureus bacteremia (SAB) just landed in JAMA, where it undoubtedly will be featured in numerous ID, hospitalist, and ...

tinyurl.com

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Tim Lahey @timlaheymd.bsky.social · 1d

"Expanding Medicaid in the remaining 10 non-expansion states, which constitute the top six states with the highest uninsurance rates among adults 19 to 64 years of age ... may lead to improvements in cancer outcomes"

www.medpagetoday.com/hematologyon...

Medicaid Expansion Linked to Better Cancer Survival at 5 Years

Residents of rural, high-poverty areas derived greatest benefit versus non-expansion states

www.medpagetoday.com

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Tim Lahey @timlaheymd.bsky.social · 3d

This is excellent

yourlocalepidemiologist.substack.com/p/updated-20...

Updated 2025 fall vaccine guide

Your guide, frequently asked questions, webinar recording and resources

yourlocalepidemiologist.substack.com

Reposted by Tim Lahey

Prasad Jallepalli, MD, PhD @prasad.bsky.social · 4d

grateful to hear him say this out loud — too few institutions have this decency and courage

AFP News Agency @en.afp.com · 4d

"It is going to be disastrous if this continues"

Nobel Prize physics laureate John Clarke says Trump cuts will 'cripple' US scientific research

u.afp.com/SmAy

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Tim Lahey @timlaheymd.bsky.social · 3d

“I lost my son because of the funding cuts,” he says. “And it is not only me — many more children in other camps have also died helplessly from hunger, malnutrition and no medical treatment.”

apnews.com/article/myan...

Starving children screaming for food as US aid cuts unleash devastation and death across Myanmar

U.S. Secretary of State Marco Rubio has repeatedly said “no one has died" because of his government’s decision to gut its foreign aid program.

apnews.com

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Reposted by Tim Lahey

Angie Rasmussen @angierasmussen.bsky.social · 3d

Banning “dangerous gain-of-function” pathogen research is actually just banning pathogen research. TB causes chronic disease, the supposed cornerstone of the MAHA movement. Hard to see ending TB research on treatments as anything but another targeted attack on science in service of destroying it.

Rock Lab @rocklabtb.bsky.social · 3d

Ditto. Thanks for this Sarah. www.statnews.com/2025/10/06/g...

The NIH ordered me to stop my ‘dangerous’ gain-of-function research. It isn’t dangerous at all

Safe gain-of-function research is necessary to identify new treatments for diseases like for tuberculosis — but the NIH has imposed unfounded stops.

www.statnews.com

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Tim Lahey @timlaheymd.bsky.social · 3d

Having a signed form can make us feel like the informed consent box has been checked

This patient's story is a good example of how that's far from the truth

#bioethics

www.statnews.com/2025/10/08/i...

Patients shouldn’t be pressured to ‘just check that box’ on informed consent forms

Doctors should actually discuss informed-consent paperwork with their patients.

www.statnews.com

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Tim Lahey @timlaheymd.bsky.social · 3d

"We have watched with increasing alarm as the foundations of our nation’s public health system have been undermined. Science and expertise have taken a back seat to ideology and misinformation."

www.washingtonpost.com/opinions/202...

Opinion | Six surgeons general: It’s our duty to warn the nation about RFK Jr.

We took an oath to declare dangers when we found them. We’re doing that again today.

www.washingtonpost.com

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Reposted by Tim Lahey

Chise @sailorrooscout.bsky.social · 7d

GOOD NEWS! Researchers have made a HUGE breakthrough towards a UNIVERSAL antiviral. By targeting sugar molecules found on the surface of many viruses that SHARE structural similarities, they identified FOUR compounds that successfully BLOCKED infections from SEVEN different viruses.

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CIDRAP @cidrap.bsky.social · 8d

Want to see the data that support immunization for this season’s flu, COVID-19 & RSV immunizations?

✅ Evidence review complete
✅ New searchable tool
✅ Easy-to-use infographic guide

Check them out here:

www.cidrap.umn.edu/v...

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Reposted by Tim Lahey

Dr van Tilburg @drvantilburg.bsky.social · 9d

The Trump administration has stopped funding of PubMed, not considering a vital service.

Your doctor will not know the newest information that affects your health. This will cost lives.