Pam Bailey
@pamipenem.bsky.social
ID physician, focusing in stewardship, vaccines and hospital epidemiology. Travel Enthusiast. Musician. Bibliophile.
Reposted by Pam Bailey
☀️ Morning, friends
Inspiration from one of our greats—Dr. Bill Foege, whose leadership helped eradicate smallpox.
Near the end of his life, he reminded us: public health can be great again. And he believed in all of us to carry it forward.
Inspiration from one of our greats—Dr. Bill Foege, whose leadership helped eradicate smallpox.
Near the end of his life, he reminded us: public health can be great again. And he believed in all of us to carry it forward.
February 5, 2026 at 11:32 AM
☀️ Morning, friends
Inspiration from one of our greats—Dr. Bill Foege, whose leadership helped eradicate smallpox.
Near the end of his life, he reminded us: public health can be great again. And he believed in all of us to carry it forward.
Inspiration from one of our greats—Dr. Bill Foege, whose leadership helped eradicate smallpox.
Near the end of his life, he reminded us: public health can be great again. And he believed in all of us to carry it forward.
Reposted by Pam Bailey
Here’s what you need to know about healthcare workers.
When we come to work in a storm, we pack an overnight bag in case we need to stay.
These people have your back.
Do you have theirs?
When we come to work in a storm, we pack an overnight bag in case we need to stay.
These people have your back.
Do you have theirs?
January 26, 2026 at 3:53 AM
Here’s what you need to know about healthcare workers.
When we come to work in a storm, we pack an overnight bag in case we need to stay.
These people have your back.
Do you have theirs?
When we come to work in a storm, we pack an overnight bag in case we need to stay.
These people have your back.
Do you have theirs?
Reposted by Pam Bailey
Our new article in @jama.com led by @nathanlo.bsky.social @stanfordmedicine.bsky.social jamanetwork.com/journals/jam...
Trends in County-Level Childhood Vaccination Exemptions in the US
This study examines US county-level trends in nonmedical and medical exemptions to childhood vaccination requirements.
jamanetwork.com
January 22, 2026 at 12:20 PM
Our new article in @jama.com led by @nathanlo.bsky.social @stanfordmedicine.bsky.social jamanetwork.com/journals/jam...
Reposted by Pam Bailey
This is the week that the US withdrawal from the WHO is supposed to be finalized
I spoke with @npr.org about how damaging the withdrawal will be, especially since RFK Jr has greatly weakened US national capacity to tackle health emergencies
www.npr.org/2026/01/20/g...
I spoke with @npr.org about how damaging the withdrawal will be, especially since RFK Jr has greatly weakened US national capacity to tackle health emergencies
www.npr.org/2026/01/20/g...
The divorce between the U.S. and WHO is final this week. Or is it?
The U.S. is the only country allowed to withdraw from the World Health Organization. And Jan. 22 is the day when Trump's pullout announcement should go into effect. But ... it's complicated.
www.npr.org
January 20, 2026 at 4:40 PM
This is the week that the US withdrawal from the WHO is supposed to be finalized
I spoke with @npr.org about how damaging the withdrawal will be, especially since RFK Jr has greatly weakened US national capacity to tackle health emergencies
www.npr.org/2026/01/20/g...
I spoke with @npr.org about how damaging the withdrawal will be, especially since RFK Jr has greatly weakened US national capacity to tackle health emergencies
www.npr.org/2026/01/20/g...
Reposted by Pam Bailey
#COVID19 vaccination before or during pregnancy was associated with lower risks of hospitalization, ICU admission, and preterm birth among those infected with SARS-CoV-2 in Canada.
ja.ma/3YC9x4b
ja.ma/3YC9x4b
January 15, 2026 at 1:00 PM
#COVID19 vaccination before or during pregnancy was associated with lower risks of hospitalization, ICU admission, and preterm birth among those infected with SARS-CoV-2 in Canada.
ja.ma/3YC9x4b
ja.ma/3YC9x4b
Reposted by Pam Bailey
We have the CDC-funded Hepatitis Vaccine trial in Guinea-Bissau protocol.
It’s worse than you thought.
Check it out, first in Inside Medicine…
with @pauloffit.bsky.social David Boulware and others.
insidemedicine.substack.com/p/scoop-the-...
It’s worse than you thought.
Check it out, first in Inside Medicine…
with @pauloffit.bsky.social David Boulware and others.
insidemedicine.substack.com/p/scoop-the-...
Scoop: The leaked protocol of the CDC-funded Hepatitis B vaccine trial in Guinea-Bissau. “This is another Tuskegee.”
The protocol reveals that the trial will withhold the Hepatitis B birth dose from thousands—without placebos, without universal maternal screening, and with endpoints critics call indefensible.
insidemedicine.substack.com
January 15, 2026 at 10:57 AM
We have the CDC-funded Hepatitis Vaccine trial in Guinea-Bissau protocol.
It’s worse than you thought.
Check it out, first in Inside Medicine…
with @pauloffit.bsky.social David Boulware and others.
insidemedicine.substack.com/p/scoop-the-...
It’s worse than you thought.
Check it out, first in Inside Medicine…
with @pauloffit.bsky.social David Boulware and others.
insidemedicine.substack.com/p/scoop-the-...
Reposted by Pam Bailey
County-level data indicate a sharp rise in nonmedical childhood #vaccination exemptions in the US from 2010 to 2024, with post-pandemic rates highest in Utah, Idaho, Oregon, Wisconsin, and Arizona.
ja.ma/4qm20m6
ja.ma/4qm20m6
January 14, 2026 at 6:54 PM
County-level data indicate a sharp rise in nonmedical childhood #vaccination exemptions in the US from 2010 to 2024, with post-pandemic rates highest in Utah, Idaho, Oregon, Wisconsin, and Arizona.
ja.ma/4qm20m6
ja.ma/4qm20m6
Vaginal estrogen would probably fix more resistant “UTIs” than any other intervention.
Only 9% of Medicare beneficiaries with genitourinary syndrome of menopause filled a prescription for vaginal estrogen. Most women, including those with painful sex, vaginal atrophy, and recurrent UTI, did not fill a prescription. ja.ma/45bvcUe
December 23, 2025 at 6:24 PM
Vaginal estrogen would probably fix more resistant “UTIs” than any other intervention.
Reposted by Pam Bailey
Prof. Lawrence Gostin and I wrote about the threat to states school immunization requirements from both litigation and legislation, especially worrying given federal actions undermining vaccine access
jamanetwork.com/journals/jam...
jamanetwork.com/journals/jam...
State Vaccine Law and Policy—A New Threat to Public Health
This Viewpoint discusses the importance of understanding the evolution and current trajectory of state-level vaccine requirements for assessing the stability of the nation’s immunization infrastructur...
jamanetwork.com
December 18, 2025 at 8:42 PM
Prof. Lawrence Gostin and I wrote about the threat to states school immunization requirements from both litigation and legislation, especially worrying given federal actions undermining vaccine access
jamanetwork.com/journals/jam...
jamanetwork.com/journals/jam...
Reposted by Pam Bailey
12 former commissioners of the FDA came together to write a Perspectives piece for the New England Journal of Medicine; raising our concerns about recent changes to vaccine approval policy at the FDA and its implications for patients and public health.
December 3, 2025 at 10:28 PM
12 former commissioners of the FDA came together to write a Perspectives piece for the New England Journal of Medicine; raising our concerns about recent changes to vaccine approval policy at the FDA and its implications for patients and public health.
Reposted by Pam Bailey
The harmful and biased medical advice from social medial influencers, highlighting lack of expertise and financial conflicts. Many specific examples and recommendations provided
bmj.com/content/391/...
bmj.com/content/391/...
December 4, 2025 at 1:32 AM
The harmful and biased medical advice from social medial influencers, highlighting lack of expertise and financial conflicts. Many specific examples and recommendations provided
bmj.com/content/391/...
bmj.com/content/391/...
Reposted by Pam Bailey
🚨 >50% of ID fellowships went unfilled—just as the need is surging.
Currently on ID consults and seeing unprecedented volumes and an increasingly immunocompromised population at risk for life-threatening infections.
I’m worried we’re heading toward fewer specialists when we need them most.
Currently on ID consults and seeing unprecedented volumes and an increasingly immunocompromised population at risk for life-threatening infections.
I’m worried we’re heading toward fewer specialists when we need them most.
December 4, 2025 at 5:24 AM
🚨 >50% of ID fellowships went unfilled—just as the need is surging.
Currently on ID consults and seeing unprecedented volumes and an increasingly immunocompromised population at risk for life-threatening infections.
I’m worried we’re heading toward fewer specialists when we need them most.
Currently on ID consults and seeing unprecedented volumes and an increasingly immunocompromised population at risk for life-threatening infections.
I’m worried we’re heading toward fewer specialists when we need them most.
Always thankful for the opportunity to share the research we've (@amyhcrockett.bsky.social and OG partner @juliejusto.bsky.social, and @priyanori.bsky.social as OG cheerleader and coconspirator) been doing, and bring the ID fellows (sans bluesky profiles!) along for the ride.
Continuing #WAAW with opportunities in peripartum stewardship, as discussed in our latest podcast: buff.ly/dbhiyQr where @pamipenem.bsky.social and coauthors discuss how QI work builds momentum (and relationships) in this unique population.
Episode 25: Stewardship Opportunities in Peripartum Infections
In this episode of The ASHE Podcast, host Dr. Priya Nori speaks with Dr. Alexia Foy-Crowder, Dr. Pam Bailey, and Dr. Grace Pazienza about their ASHE paper, “Stewardship opportunities in peripartum inf
soundcloud.com
November 23, 2025 at 4:13 PM
Always thankful for the opportunity to share the research we've (@amyhcrockett.bsky.social and OG partner @juliejusto.bsky.social, and @priyanori.bsky.social as OG cheerleader and coconspirator) been doing, and bring the ID fellows (sans bluesky profiles!) along for the ride.
You know you work in infection prevention when this is your care package from coworkers before traveling.
November 4, 2025 at 7:18 PM
You know you work in infection prevention when this is your care package from coworkers before traveling.
Reposted by Pam Bailey
If there are elections happening in your state or local area, exercise your right to vote this #ElectionDay.
November 4, 2025 at 7:04 PM
If there are elections happening in your state or local area, exercise your right to vote this #ElectionDay.
Now out in @ichejournal.bsky.social, our teaching elective that we put together while grant funding still existed--we made IP fun, and students gained confidence in their skills. <3 my team and am glad to see this out there! doi.org/10.1017/ice....
October 27, 2025 at 8:48 PM
Now out in @ichejournal.bsky.social, our teaching elective that we put together while grant funding still existed--we made IP fun, and students gained confidence in their skills. <3 my team and am glad to see this out there! doi.org/10.1017/ice....
Reposted by Pam Bailey
#Climate-related disasters have impacted nearly two-thirds of US drug production facilities from 2019 to 2024, highlighting vulnerabilities in the #pharmaceutical supply chain.
ja.ma/4njQHZs
ja.ma/4njQHZs
October 23, 2025 at 10:00 AM
#Climate-related disasters have impacted nearly two-thirds of US drug production facilities from 2019 to 2024, highlighting vulnerabilities in the #pharmaceutical supply chain.
ja.ma/4njQHZs
ja.ma/4njQHZs
Reposted by Pam Bailey
📢Epipocalypse: Bug Detective's Kickstarter is halfway thru!⏱️
Help bring this educational game to life and get a copy before time runs out. Please RT to spread the word!
#IDSky #MedSky #EpiSky
www.kickstarter.com/projects/pha...
Help bring this educational game to life and get a copy before time runs out. Please RT to spread the word!
#IDSky #MedSky #EpiSky
www.kickstarter.com/projects/pha...
Epipocalypse: Bug Detectives, A Medical Card Game
Learn infectious diseases by playing cards. Symptoms, transmission, reservoirs, and more!
www.kickstarter.com
October 14, 2025 at 10:23 PM
📢Epipocalypse: Bug Detective's Kickstarter is halfway thru!⏱️
Help bring this educational game to life and get a copy before time runs out. Please RT to spread the word!
#IDSky #MedSky #EpiSky
www.kickstarter.com/projects/pha...
Help bring this educational game to life and get a copy before time runs out. Please RT to spread the word!
#IDSky #MedSky #EpiSky
www.kickstarter.com/projects/pha...
Reposted by Pam Bailey
This article investigated how IV to PO switch therapy could potentially impact the carbon footprint generated by the healthcare sector. A GHG emissions tool was used to estimate the CO2 equivalents of the plastic waste generated by potentially unnecessary IV antibiotics. doi.org/10.1017/ash....
Estimated greenhouse gas emissions associated with unnecessary intravenous antimicrobials administered in the hospital setting | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core
Estimated greenhouse gas emissions associated with unnecessary intravenous antimicrobials administered in the hospital setting - Volume 5 Issue 1
doi.org
October 15, 2025 at 11:45 AM
This article investigated how IV to PO switch therapy could potentially impact the carbon footprint generated by the healthcare sector. A GHG emissions tool was used to estimate the CO2 equivalents of the plastic waste generated by potentially unnecessary IV antibiotics. doi.org/10.1017/ash....
I had this idea basically live on @sidpharm.bsky.social breakpoints podcast with @juliejusto.bsky.social and @brainofbpharm.bsky.social and here it is! Another tool in our stewardship toolbox (thinking about single use plastics!)
@amyhcrockett.bsky.social @pamipenem.bsky.social: When selecting antibiotic regimens for conditions that have multiple appropriate regimens in guidelines, we should also consider the plastic waste--here is the example of chorioamnionitis. doi.org/10.1017/ash....
October 9, 2025 at 11:12 PM
I had this idea basically live on @sidpharm.bsky.social breakpoints podcast with @juliejusto.bsky.social and @brainofbpharm.bsky.social and here it is! Another tool in our stewardship toolbox (thinking about single use plastics!)
Reposted by Pam Bailey
Cochrane review shows RSV vaccines safe, effective
Data on the efficacy of RSV vaccines on women of childbearing age and on infants and children were more limited.
www.cidrap.umn.edu/r...
Photo: PAHO/Flickr cc
Data on the efficacy of RSV vaccines on women of childbearing age and on infants and children were more limited.
www.cidrap.umn.edu/r...
Photo: PAHO/Flickr cc
September 29, 2025 at 8:51 PM
Cochrane review shows RSV vaccines safe, effective
Data on the efficacy of RSV vaccines on women of childbearing age and on infants and children were more limited.
www.cidrap.umn.edu/r...
Photo: PAHO/Flickr cc
Data on the efficacy of RSV vaccines on women of childbearing age and on infants and children were more limited.
www.cidrap.umn.edu/r...
Photo: PAHO/Flickr cc
Reposted by Pam Bailey
💉New study of HPV vaccine shows “robust population-level effectiveness & herd protection in adolescent girls & young women”
From 2006-2023:
➡️ Proportion of vaxxed women positive for high-risk HPV-16 & -18 types fell 98.4%, proportion of unvaxxed women fell 71.6%
1/2
jamanetwork.com/journals/jam...
From 2006-2023:
➡️ Proportion of vaxxed women positive for high-risk HPV-16 & -18 types fell 98.4%, proportion of unvaxxed women fell 71.6%
1/2
jamanetwork.com/journals/jam...
Population-Level Effectiveness and Herd Protection 17 Years After HPV Vaccine
This cross-sectional study investigates population-level effectiveness and herd protection in the first 17 years after human papillomavirus (HPV) vaccination among adolescent girls and young women at ...
jamanetwork.com
September 29, 2025 at 11:00 PM
💉New study of HPV vaccine shows “robust population-level effectiveness & herd protection in adolescent girls & young women”
From 2006-2023:
➡️ Proportion of vaxxed women positive for high-risk HPV-16 & -18 types fell 98.4%, proportion of unvaxxed women fell 71.6%
1/2
jamanetwork.com/journals/jam...
From 2006-2023:
➡️ Proportion of vaxxed women positive for high-risk HPV-16 & -18 types fell 98.4%, proportion of unvaxxed women fell 71.6%
1/2
jamanetwork.com/journals/jam...
Reposted by Pam Bailey
Many Americans lack basic knowledge about fertility. Olga Khazan spoke with doctors and other experts about the information they think should be included in sex ed for middle and high schoolers: https://theatln.tc/X9LlT7B5
September 29, 2025 at 7:15 AM
Many Americans lack basic knowledge about fertility. Olga Khazan spoke with doctors and other experts about the information they think should be included in sex ed for middle and high schoolers: https://theatln.tc/X9LlT7B5
Reposted by Pam Bailey
The U.S. government has jumped the public health shark: the comments at the autism conference were unfounded and seemed designed to put childern and the unborn at risk. www.statnews.com/2025/09/23/t... via @statnews.com @artcaplan.bsky.social
The U.S. government has jumped the public health shark
“The Trump regime sees science as an enemy and public health as only fit for personal anecdotes and conspiracy,” writes Arthur Caplan.
www.statnews.com
September 24, 2025 at 5:07 PM
The U.S. government has jumped the public health shark: the comments at the autism conference were unfounded and seemed designed to put childern and the unborn at risk. www.statnews.com/2025/09/23/t... via @statnews.com @artcaplan.bsky.social
Reposted by Pam Bailey
ACOG reaffirms that acetaminophen is safe for managing pain and fever during pregnancy. No reputable studies support suggestions like those in HHS’s recent announcement linking acetaminophen use in pregnancy to autism; in fact, high-quality studies show no such risk. https://bit.ly/47Wxc59
September 22, 2025 at 9:24 PM
ACOG reaffirms that acetaminophen is safe for managing pain and fever during pregnancy. No reputable studies support suggestions like those in HHS’s recent announcement linking acetaminophen use in pregnancy to autism; in fact, high-quality studies show no such risk. https://bit.ly/47Wxc59