Dr Satoshi Akima, FRACP
@toshiakima.bsky.social
Nephrology & Internal Medicine. Immunothrombosis incl DIC. ISTH Member. No Conflicts of Interest. Views my own etc
Pinned
The Central Error of the Pandemic…
Is that of running pandemic management by laissez-faire socioeconomic principles.
If you grasp this, all the other errors fall into place as the inevitable consequence of following that line of thought. 🧵 1/x
Is that of running pandemic management by laissez-faire socioeconomic principles.
If you grasp this, all the other errors fall into place as the inevitable consequence of following that line of thought. 🧵 1/x
Reposted by Dr Satoshi Akima, FRACP
In patients with type 2 diabetes and atherosclerotic cardiovascular disease, tirzepatide was noninferior to dulaglutide with respect to major cardiovascular events. Full SURPASS-CVOT trial results and Research Summary: nej.md/4qd5rLx
#MedSky #EndoSky #CardioSky
#MedSky #EndoSky #CardioSky
December 27, 2025 at 2:10 PM
In patients with type 2 diabetes and atherosclerotic cardiovascular disease, tirzepatide was noninferior to dulaglutide with respect to major cardiovascular events. Full SURPASS-CVOT trial results and Research Summary: nej.md/4qd5rLx
#MedSky #EndoSky #CardioSky
#MedSky #EndoSky #CardioSky
“This trial shows that this intranasal, shelf-stable H5N1 vaccine could play a major role in pandemic preparedness, offering a practical and scalable way to help protect people from evolving strains of the virus.”
Intranasal vaccine against H5 avian flu provokes broad immune response in adults in phase 1 trial
www.cidrap.umn.edu
December 28, 2025 at 9:26 AM
“This trial shows that this intranasal, shelf-stable H5N1 vaccine could play a major role in pandemic preparedness, offering a practical and scalable way to help protect people from evolving strains of the virus.”
Reposted by Dr Satoshi Akima, FRACP
Some people may not realize that Tamiflu isn’t the only option. Other flu treatments are available in the United States. These alternatives sometimes fly under the radar.
www.cnn.com/2025/12/26/h...
www.cnn.com/2025/12/26/h...
Tamiflu isn’t the only recommended flu treatment in the US. These are the others. | CNN
When the flu strikes, it can feel relentless: rising fever, hacking cough, stuffy nose and sore throat. For many people, relief can come in the form of Tamiflu, a prescription antiviral medication use...
www.cnn.com
December 28, 2025 at 4:18 AM
Some people may not realize that Tamiflu isn’t the only option. Other flu treatments are available in the United States. These alternatives sometimes fly under the radar.
www.cnn.com/2025/12/26/h...
www.cnn.com/2025/12/26/h...
Reposted by Dr Satoshi Akima, FRACP
Amazing that this review paper from 2021 just became my most cited paper of my 30+ yr career. I am honored to have been the lead first co-corresponding author with @ChiaWang8. COVID is indeed airborne--as are most other respiratory viruses. @ucsandiego.bsky.social
www.science.org/doi/full/10....
www.science.org/doi/full/10....
Airborne transmission of respiratory viruses
A Review discusses the scientific basis of and factors controlling airborne transmission of respiratory viruses including coronavirus.
www.science.org
December 27, 2025 at 11:51 PM
Amazing that this review paper from 2021 just became my most cited paper of my 30+ yr career. I am honored to have been the lead first co-corresponding author with @ChiaWang8. COVID is indeed airborne--as are most other respiratory viruses. @ucsandiego.bsky.social
www.science.org/doi/full/10....
www.science.org/doi/full/10....
Merry Christmas all! It struck me today that this is the first Xmas since the 2021 Omicron wave that I have had zero COVID inpatients. The lull isn’t expected to last. x.com/jpweiland/st...
JWeiland on X: "BA.3.2 "Cicada" now looks poised to potentially sweep. Only two other highly divergent variants have swept: Omicron and Pirola. BA.3.2 has a number of signficant structural changes; large NTD deletions and orf8 is gone. @LongDesertTrain suggests these could... https://t.co/nToLlVJJKX" / X
BA.3.2 "Cicada" now looks poised to potentially sweep. Only two other highly divergent variants have swept: Omicron and Pirola. BA.3.2 has a number of signficant structural changes; large NTD deletions and orf8 is gone. @LongDesertTrain suggests these could... https://t.co/nToLlVJJKX
x.com
December 25, 2025 at 1:46 AM
Merry Christmas all! It struck me today that this is the first Xmas since the 2021 Omicron wave that I have had zero COVID inpatients. The lull isn’t expected to last. x.com/jpweiland/st...
Reposted by Dr Satoshi Akima, FRACP
76 % höhere Wahrscheinlichkeit, innerhalb von 30 Tagen an COVID zu sterben im Vergleich zu Influenza
- Daten Populationsstudie Süd Korea 2022/23
Das ist das #milde Omicron SARS-Cov-2 🖕🏻 dass ihr jährlich bekommt anstatt Influenza alle 5 bis 8 Jahre
www.ijidonline.com/article/S120...
- Daten Populationsstudie Süd Korea 2022/23
Das ist das #milde Omicron SARS-Cov-2 🖕🏻 dass ihr jährlich bekommt anstatt Influenza alle 5 bis 8 Jahre
www.ijidonline.com/article/S120...
December 23, 2025 at 8:20 PM
76 % höhere Wahrscheinlichkeit, innerhalb von 30 Tagen an COVID zu sterben im Vergleich zu Influenza
- Daten Populationsstudie Süd Korea 2022/23
Das ist das #milde Omicron SARS-Cov-2 🖕🏻 dass ihr jährlich bekommt anstatt Influenza alle 5 bis 8 Jahre
www.ijidonline.com/article/S120...
- Daten Populationsstudie Süd Korea 2022/23
Das ist das #milde Omicron SARS-Cov-2 🖕🏻 dass ihr jährlich bekommt anstatt Influenza alle 5 bis 8 Jahre
www.ijidonline.com/article/S120...
Reposted by Dr Satoshi Akima, FRACP
"Study finds that despite broad COVID vaccine availability, COVID still deadlier than flu in hospitalized patients"
Korean health data on 15 million cases found COVID had 76% higher odds of death within 30 days among hospitalised patients than influenza (2022–23)
www.cidrap.umn.edu/covid-19/stu...
Korean health data on 15 million cases found COVID had 76% higher odds of death within 30 days among hospitalised patients than influenza (2022–23)
www.cidrap.umn.edu/covid-19/stu...
December 22, 2025 at 11:22 PM
"Study finds that despite broad COVID vaccine availability, COVID still deadlier than flu in hospitalized patients"
Korean health data on 15 million cases found COVID had 76% higher odds of death within 30 days among hospitalised patients than influenza (2022–23)
www.cidrap.umn.edu/covid-19/stu...
Korean health data on 15 million cases found COVID had 76% higher odds of death within 30 days among hospitalised patients than influenza (2022–23)
www.cidrap.umn.edu/covid-19/stu...
Reposted by Dr Satoshi Akima, FRACP
Delighted to hear that The Invisible Doctrine, the film by @peterhutchison.bsky.social and @lucas-sabean.bsky.social, is being offered free to view on YouTube for the holiday season. It's all yours! youtu.be/gR4eSEetKP0
The secret history of Neoliberalism | The Invisible Doctrine | Full Film
YouTube video by Journeyman Pictures
youtu.be
December 22, 2025 at 7:57 AM
Delighted to hear that The Invisible Doctrine, the film by @peterhutchison.bsky.social and @lucas-sabean.bsky.social, is being offered free to view on YouTube for the holiday season. It's all yours! youtu.be/gR4eSEetKP0
Reposted by Dr Satoshi Akima, FRACP
Well, I think recent data suggests ~90% chance that BA.3.2 will quickly take over and replace the BA.2.86 (Pirola) lineages that dominated for more than 2 years.
50-80% weekly advantage noted in Euorpe in recent months is convincing that it's turned a corner
50-80% weekly advantage noted in Euorpe in recent months is convincing that it's turned a corner
December 18, 2025 at 4:23 AM
Well, I think recent data suggests ~90% chance that BA.3.2 will quickly take over and replace the BA.2.86 (Pirola) lineages that dominated for more than 2 years.
50-80% weekly advantage noted in Euorpe in recent months is convincing that it's turned a corner
50-80% weekly advantage noted in Euorpe in recent months is convincing that it's turned a corner
Reposted by Dr Satoshi Akima, FRACP
Asymptomatic: The Silent Spread of COVID-19 and the Future of Pandemics via Johns Hopkins U Press is now #20 in epidemiology in Amazon and 40% off...
Addresses the roots of Covid grievances (hint: never the flu) & how to realign preparedness to control silent spread:
www.amazon.com/Asymptomatic...
Addresses the roots of Covid grievances (hint: never the flu) & how to realign preparedness to control silent spread:
www.amazon.com/Asymptomatic...
December 21, 2025 at 10:18 PM
Asymptomatic: The Silent Spread of COVID-19 and the Future of Pandemics via Johns Hopkins U Press is now #20 in epidemiology in Amazon and 40% off...
Addresses the roots of Covid grievances (hint: never the flu) & how to realign preparedness to control silent spread:
www.amazon.com/Asymptomatic...
Addresses the roots of Covid grievances (hint: never the flu) & how to realign preparedness to control silent spread:
www.amazon.com/Asymptomatic...
Reposted by Dr Satoshi Akima, FRACP
Doctors urge pregnant women to get flu and COVID #vaccines as the respiratory illness season approaches www.kkco11news.com/2025/12/17/d...
Doctors urge pregnant women to get flu and COVID vaccines as the respiratory illness season approaches
Health experts say that vaccines are the most effective prevention against serious complications from respiratory illnesses.
www.kkco11news.com
December 21, 2025 at 8:51 PM
Doctors urge pregnant women to get flu and COVID #vaccines as the respiratory illness season approaches www.kkco11news.com/2025/12/17/d...
Reposted by Dr Satoshi Akima, FRACP
Standford Study on Myocarditis shows covid infection is much worse than vaccination
So why are right wing media outlets and commentators misrepresenting the paper to attack vaccines?
open.substack.com/pub/counterd...
So why are right wing media outlets and commentators misrepresenting the paper to attack vaccines?
open.substack.com/pub/counterd...
Standford Study on Myocarditis shows covid infection is much worse than vaccination
So why are right wing media outlets and commentators misrepresenting the paper to attack vaccines?
open.substack.com
December 21, 2025 at 8:34 PM
Standford Study on Myocarditis shows covid infection is much worse than vaccination
So why are right wing media outlets and commentators misrepresenting the paper to attack vaccines?
open.substack.com/pub/counterd...
So why are right wing media outlets and commentators misrepresenting the paper to attack vaccines?
open.substack.com/pub/counterd...
Reposted by Dr Satoshi Akima, FRACP
Hospitals which have cut registered nurses or replaced them with lower-paid staff have seen a surge in death rates, a major study has revealed.
(£) www.thetimes.com/uk/healthcar...
(£) www.thetimes.com/uk/healthcar...
Death rates rise when NHS cuts back on nursing
Using lower-paid workers to plug the gaps left by a failure to hire registered nurses damages safety, new research has shown
www.thetimes.com
December 21, 2025 at 12:14 PM
Hospitals which have cut registered nurses or replaced them with lower-paid staff have seen a surge in death rates, a major study has revealed.
(£) www.thetimes.com/uk/healthcar...
(£) www.thetimes.com/uk/healthcar...
Reposted by Dr Satoshi Akima, FRACP
One of the reasons why I go so hard on science misinformation/disinformation, is that as a working scientist it is frustrating to see your research misreported to push an agenda.
For example, consider this piece of right-wing propaganda from The Telegraph that was just published
For example, consider this piece of right-wing propaganda from The Telegraph that was just published
December 20, 2025 at 10:49 PM
One of the reasons why I go so hard on science misinformation/disinformation, is that as a working scientist it is frustrating to see your research misreported to push an agenda.
For example, consider this piece of right-wing propaganda from The Telegraph that was just published
For example, consider this piece of right-wing propaganda from The Telegraph that was just published
Reposted by Dr Satoshi Akima, FRACP
Yep, can confirm. Atypical HUS triggered by influenza, rhabdo triggered by influenza, AKI triggered by influenza, and just plain influenza that makes your kid feel like they got run over by a truck and can’t breathe.
We have admitted a ton of kids in the past two weeks, even a baby just a few days old. The ED is swamped. Very few had gotten the vaccine. While not perfect, it is extremely safe and helps reduce severity of illness.
So far this season, there have been at least 4.6 million illnesses from the flu in the U.S., causing more than 49,000 hospitalizations and 1,900 deaths.
www.nbcnews.com/health/healt...
www.nbcnews.com/health/healt...
December 20, 2025 at 2:46 PM
Yep, can confirm. Atypical HUS triggered by influenza, rhabdo triggered by influenza, AKI triggered by influenza, and just plain influenza that makes your kid feel like they got run over by a truck and can’t breathe.
Reposted by Dr Satoshi Akima, FRACP
Australian C19 Weekly Update - 19th December 2025
Note: Cases recorded are from PCR testing only. Actual cases are significantly higher.
Data from: nindss.health.gov.au/pbi-dashboard/
Thanks to @angiecibisdesign for the design!
1/4
Note: Cases recorded are from PCR testing only. Actual cases are significantly higher.
Data from: nindss.health.gov.au/pbi-dashboard/
Thanks to @angiecibisdesign for the design!
1/4
December 20, 2025 at 12:59 AM
Australian C19 Weekly Update - 19th December 2025
Note: Cases recorded are from PCR testing only. Actual cases are significantly higher.
Data from: nindss.health.gov.au/pbi-dashboard/
Thanks to @angiecibisdesign for the design!
1/4
Note: Cases recorded are from PCR testing only. Actual cases are significantly higher.
Data from: nindss.health.gov.au/pbi-dashboard/
Thanks to @angiecibisdesign for the design!
1/4
Reposted by Dr Satoshi Akima, FRACP
AUSTRALIA Weekly COVID Update — 19 Dec 2025
🔹 QLD: ⬆️ UP (+11.6%) 32 in hospital
🔹 NSW: ⬆️ UP (+5.6%)
🔹 SA: ⬆️ UP (+2.5%) 3 deaths reported
🔸 WA: ⬇️ DOWN (–4.1%) Avg 12/day hospital
▫️ VIC: Next update 29 Dec
▫️ TAS: Next update 9 Jan
▫️ ACT: Reporting paused for 2025
🔹 Aged care: ⬆️ UP (+18.9%) 1 death
🔹 QLD: ⬆️ UP (+11.6%) 32 in hospital
🔹 NSW: ⬆️ UP (+5.6%)
🔹 SA: ⬆️ UP (+2.5%) 3 deaths reported
🔸 WA: ⬇️ DOWN (–4.1%) Avg 12/day hospital
▫️ VIC: Next update 29 Dec
▫️ TAS: Next update 9 Jan
▫️ ACT: Reporting paused for 2025
🔹 Aged care: ⬆️ UP (+18.9%) 1 death
December 19, 2025 at 7:14 AM
AUSTRALIA Weekly COVID Update — 19 Dec 2025
🔹 QLD: ⬆️ UP (+11.6%) 32 in hospital
🔹 NSW: ⬆️ UP (+5.6%)
🔹 SA: ⬆️ UP (+2.5%) 3 deaths reported
🔸 WA: ⬇️ DOWN (–4.1%) Avg 12/day hospital
▫️ VIC: Next update 29 Dec
▫️ TAS: Next update 9 Jan
▫️ ACT: Reporting paused for 2025
🔹 Aged care: ⬆️ UP (+18.9%) 1 death
🔹 QLD: ⬆️ UP (+11.6%) 32 in hospital
🔹 NSW: ⬆️ UP (+5.6%)
🔹 SA: ⬆️ UP (+2.5%) 3 deaths reported
🔸 WA: ⬇️ DOWN (–4.1%) Avg 12/day hospital
▫️ VIC: Next update 29 Dec
▫️ TAS: Next update 9 Jan
▫️ ACT: Reporting paused for 2025
🔹 Aged care: ⬆️ UP (+18.9%) 1 death
Reposted by Dr Satoshi Akima, FRACP
Australian COVID-19 weekly stats update:
The risk estimate increased a touch to 0.1% “Currently Infectious”, or 1-in-812.
That implies a 4% chance that someone is infectious in a group of 30.
#COVID19 #SARSCoV2 #Australia
🧵
The risk estimate increased a touch to 0.1% “Currently Infectious”, or 1-in-812.
That implies a 4% chance that someone is infectious in a group of 30.
#COVID19 #SARSCoV2 #Australia
🧵
December 20, 2025 at 1:40 AM
Australian COVID-19 weekly stats update:
The risk estimate increased a touch to 0.1% “Currently Infectious”, or 1-in-812.
That implies a 4% chance that someone is infectious in a group of 30.
#COVID19 #SARSCoV2 #Australia
🧵
The risk estimate increased a touch to 0.1% “Currently Infectious”, or 1-in-812.
That implies a 4% chance that someone is infectious in a group of 30.
#COVID19 #SARSCoV2 #Australia
🧵
Reposted by Dr Satoshi Akima, FRACP
A recent modeling study in JAMA showed that if MMR vaccine rates drop 10% (easy to see happen with this), we’re back to 400,000-500,000 cases a year. Our current outbreak is 2,000. This turns the clock back to 1950 🚨🚨🚨
It is utterly catastrophic that RFK Jr. plans to end CDC recommendations for most childhood vaccines.
It’s a betrayal of science, ethics, compassion, and the people of the United States.
And it was also a specific goal of Project 2025 (page 254).
It’s a betrayal of science, ethics, compassion, and the people of the United States.
And it was also a specific goal of Project 2025 (page 254).
December 20, 2025 at 1:29 AM
A recent modeling study in JAMA showed that if MMR vaccine rates drop 10% (easy to see happen with this), we’re back to 400,000-500,000 cases a year. Our current outbreak is 2,000. This turns the clock back to 1950 🚨🚨🚨
Reposted by Dr Satoshi Akima, FRACP
This is a real disaster in the making. Babies are going to die. Full-stop.
"Why Denmark’s vaccine schedule works for Denmark — but not for the United States." www.statnews.com/2025/12/19/d... via @statnews.com
"Why Denmark’s vaccine schedule works for Denmark — but not for the United States." www.statnews.com/2025/12/19/d... via @statnews.com
Why Denmark's vaccine schedule works for Denmark — but not for the United States
With its vaccine schedule, “Denmark has made a values choice to accept preventable hospitalizations and illnesses that other countries have chosen to prevent.”
www.statnews.com
December 20, 2025 at 11:20 AM
This is a real disaster in the making. Babies are going to die. Full-stop.
"Why Denmark’s vaccine schedule works for Denmark — but not for the United States." www.statnews.com/2025/12/19/d... via @statnews.com
"Why Denmark’s vaccine schedule works for Denmark — but not for the United States." www.statnews.com/2025/12/19/d... via @statnews.com
Reposted by Dr Satoshi Akima, FRACP
1 in 500 Alaskans died from COVID-19 (2020–2023)
Over a roughly 3-year period, from March 2020 to May 2023, 1,564 Alaskans died from COVID-19.
“74% of those who died and were eligible for a COVID-19 vaccine had opted not to receive it.”
Source: archive.md/Ylork
Over a roughly 3-year period, from March 2020 to May 2023, 1,564 Alaskans died from COVID-19.
“74% of those who died and were eligible for a COVID-19 vaccine had opted not to receive it.”
Source: archive.md/Ylork
December 20, 2025 at 1:49 AM
1 in 500 Alaskans died from COVID-19 (2020–2023)
Over a roughly 3-year period, from March 2020 to May 2023, 1,564 Alaskans died from COVID-19.
“74% of those who died and were eligible for a COVID-19 vaccine had opted not to receive it.”
Source: archive.md/Ylork
Over a roughly 3-year period, from March 2020 to May 2023, 1,564 Alaskans died from COVID-19.
“74% of those who died and were eligible for a COVID-19 vaccine had opted not to receive it.”
Source: archive.md/Ylork
Reposted by Dr Satoshi Akima, FRACP
As an ex-Tesla owner, I can absolutely confirm that the doors are a death trap in an accident
The front release mechanisms aren't obvious, but the ones in the back of the most popular models the 3 and Y are literally hidden
I made sure my family knew about them, but many owners wouldn't even know
The front release mechanisms aren't obvious, but the ones in the back of the most popular models the 3 and Y are literally hidden
I made sure my family knew about them, but many owners wouldn't even know
Tesla’s Dangerous Doors
A number of fatal car crashes involving Tesla vehicles has prompted increased scrutiny of its electric doors, triggering lawsuits over whether the design can leave passengers trapped. (Source: Bloombe...
www.bloomberg.com
December 19, 2025 at 2:08 AM
As an ex-Tesla owner, I can absolutely confirm that the doors are a death trap in an accident
The front release mechanisms aren't obvious, but the ones in the back of the most popular models the 3 and Y are literally hidden
I made sure my family knew about them, but many owners wouldn't even know
The front release mechanisms aren't obvious, but the ones in the back of the most popular models the 3 and Y are literally hidden
I made sure my family knew about them, but many owners wouldn't even know
Reposted by Dr Satoshi Akima, FRACP
Here's the latest variant picture for Europe (excluding the UK), to the end of November.
BA.3.2.* "Cicada" showed a slightly slowing growth advantage of 7% per day (49% per week) over XFG.* "Stratus", which predicts a crossover in late December.
#COVID19 #SARSCoV2 #EUR #BA_3_2 #XFG #Stratus
🧵
BA.3.2.* "Cicada" showed a slightly slowing growth advantage of 7% per day (49% per week) over XFG.* "Stratus", which predicts a crossover in late December.
#COVID19 #SARSCoV2 #EUR #BA_3_2 #XFG #Stratus
🧵
December 20, 2025 at 7:07 AM
Reposted by Dr Satoshi Akima, FRACP
Food for thought
Science populism, EBM and influencers
absolutelymaybe.plos.org/2025/12/19/s... from @hildabast.bsky.social
Science populism, EBM and influencers
absolutelymaybe.plos.org/2025/12/19/s... from @hildabast.bsky.social
Science Populism, Medicine Style - Absolutely Maybe
I hadn’t been aware of the term science populism until a video about it did the rounds recently. It was a light-bulb…
absolutelymaybe.plos.org
December 20, 2025 at 12:01 AM
Food for thought
Science populism, EBM and influencers
absolutelymaybe.plos.org/2025/12/19/s... from @hildabast.bsky.social
Science populism, EBM and influencers
absolutelymaybe.plos.org/2025/12/19/s... from @hildabast.bsky.social
Reposted by Dr Satoshi Akima, FRACP
Australian Influenza update:
The unusual second wave of influenza is continuing in most states of Australia, driven by the clade K (H3N2 clade 2a.3a.1, subclade K) – "Kangaroo variant".
#Influenza #Australia
🧵
The unusual second wave of influenza is continuing in most states of Australia, driven by the clade K (H3N2 clade 2a.3a.1, subclade K) – "Kangaroo variant".
#Influenza #Australia
🧵
December 20, 2025 at 5:07 AM
Australian Influenza update:
The unusual second wave of influenza is continuing in most states of Australia, driven by the clade K (H3N2 clade 2a.3a.1, subclade K) – "Kangaroo variant".
#Influenza #Australia
🧵
The unusual second wave of influenza is continuing in most states of Australia, driven by the clade K (H3N2 clade 2a.3a.1, subclade K) – "Kangaroo variant".
#Influenza #Australia
🧵