Carolina I. Andrada
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ciandrada.bsky.social
Carolina I. Andrada
@ciandrada.bsky.social
Health security policy & governance, climate & health, vaccines | 🇦🇷 | Formerly: @CSISHealth @JHSPH_CHS @georgetownmsfs @johnshopkins | thoughts mine
Really great points. PAHO’s Strategic Fund is an excellent example of pooled procurement done right, and it’s been essential in supporting local manufacturing within LAC.
Interesting essay and good food for thought.

I disagree on pooled procurement.

I'll paste the relevant section below, but tldr Adeyi argues that PP is unaccountable & hinders local purchasing.

I disagree. Imho pooled procurement is one of the best tools we have to scale up local manufacturing. 1/
Time For Sunset Strategy? Global Health After GAVI & The Global Fund

Guest Essay by Olusoji Adeyi

Geneva Health Files Newsletter Edition #261 [The Files In-Depth]

genevahealthfiles.substack.com/p/time-for-s...
March 25, 2025 at 8:19 PM
@pritipatnaik.bsky.social @genevahealthfiles.bsky.social I’m a GH researcher writing an article on US withdrawal from WHO. I’ve got some questions about INB negotiations - would you be open to chatting? Thanks so much!
March 18, 2025 at 8:15 PM
How did I end up a citizen of the two stupidest countries on earth. Somebody explain to me what I did to piss God off so terribly.
February 5, 2025 at 9:19 PM
Reposted by Carolina I. Andrada
Under Trump, EPA scientists say managers encouraged them to delete evidence of chemicals’ harms, including cancer, miscarriage and neurological problems, from their reports. And in some cases, they said, their managers deleted the information themselves.

By @fastlerner.bsky.social
EPA Scientists Said They Were Pressured to Downplay Harms From Chemicals. A Watchdog Found They Were Retaliated Against.
Three reports issued by the agency’s inspector general detailed personal attacks suffered by the scientists — including being called “stupid,” “piranhas” and “pot-stirrers” — and called on the EPA to…
propub.li
December 3, 2024 at 4:00 AM
The US critically needs to develop policies to combat next-gen threats like these. We need more research and more advocacy going towards the rise of súpertangles.
Study: Overuse Of Hair Detangler Giving Rise To Product-Resistant Supertangles
theonion.com/study-overus...
December 3, 2024 at 5:24 AM
Reposted by Carolina I. Andrada
Since some seem determined not to get it:

Arguing science shouldn’t be political is like arguing that ducks shouldn’t be waterfowl.

Sure, whatever floats your boat, but they wouldn’t be ducks then would they?

Science is a collective human effort at sensemaking—the very definition of political.
When I was 5, I loved science, which I took to be planets and magnets and chemicals and shit.

Soon I realized science was a collective human activity, and these were just the objects of its attention.

Anyway, whenever I read an OpEd on how science isn't political, I think "Are you 5 years old?"
November 22, 2024 at 7:53 AM
Reposted by Carolina I. Andrada
African Group of Negotiators: "totally unacceptable and inadequate", "will lead to unacceptable loss of life in Africa and around the world, and imperils the future of our world"

Australia's Minister for Climate Change and Energy, Chris Bowen: "a genuine attempt"
Panama's lead negotiator Juan Carlos Monterrey is *furious* with latest #COP29 texts

"The $250bn offered by [rich] countries is a spit on the face of vulnerable nations. They offer crumbs while we bear the dead. Outrageous, evil and remorseless."

Liveblog 👇
www.theguardian.com/environment/...
Cop 29 live: call for $1.3tn in climate finance by 2035 in new draft text
Text ‘decides’ on $250bn for developing countries by 2035 and calls for nations to make additional contributions
www.theguardian.com
November 22, 2024 at 10:50 PM
Reposted by Carolina I. Andrada
Finally out- our study of travel burdens and health system factors and rural-dwelling adults' breast, cervical, and colorectal cancer screening receipt link.springer.com/article/10.1...
Longer travel times to acute hospitals are associated with lower likelihood of cancer screening receipt among rural-dwelling adults in the U.S. South - Cancer Causes & Control
Purpose Given rural hospitals’ role in providing outpatient services, we examined the association between travel burdens and receipt of cancer screening among rural-dwelling adults in the U.S. South r...
link.springer.com
November 22, 2024 at 1:26 PM
Reposted by Carolina I. Andrada
Breaking: Florida's top health official calls for an end to fluoride in state's drinking water.

Joseph Ladapo, Florida's surgeon general who has been bidding for a spot in Trump admin, cites controversial studies about the risk of fluoride to developing brains.

w @fenitn.bsky.social
Florida surgeon general calls for halting fluoride in water, echoing RFK Jr
The state’s top health official cited controversial studies that suggest the widely hailed public health practice poses a risk to developing brains.
www.washingtonpost.com
November 22, 2024 at 9:12 PM
Reposted by Carolina I. Andrada
His next pick for USAID
November 19, 2024 at 9:47 PM
Health security needs to rapidly develop contingency plans for dealing with the effects of increased climate disasters. Hurricane Michael wiped much of the healthcare infrastructure of my town in FL - but what happens if a Cat 5 hurricane makes landfall in Miami?
November 19, 2024 at 10:08 PM
Reposted by Carolina I. Andrada
Why do we have to prove vaccines work with data? It’s not like it was ever up for debate before 2020.

The evidence was overwhelming. graphics.wsj.com/infectious-d...
Battling Infectious Diseases in the 20th Century: The Impact of Vaccines
The number of infected people, measured over 70-some years and across all 50 states and the District of Columbia, generally declined after vaccines were introduced.
graphics.wsj.com
November 19, 2024 at 8:17 PM
Reposted by Carolina I. Andrada
Are you not entertained? 🫠🫠🫠🫠🫠🫠🫠🫠
Welp: "Trump says he is nominating TV doctor Mehmet Oz to lead Centers for Medicare and Medicaid Services."
November 19, 2024 at 9:21 PM
Nothing useful to say other than I’m going to slam my head into a hard surface now
November 19, 2024 at 9:28 PM
Reposted by Carolina I. Andrada
Genetic sequencing of the #H5N1 #birdflu virus from the Canadian teenager shows worrying changes. It doesn't mean H5 is taking off — but it's a reminder that it might, says @scottehensley.bsky.social. "This is exactly the scenario that we fear.” www.statnews.com/2024/11/18/b...
H5N1 bird flu virus in Canadian teenager displays mutations demonstrating virus’ risk
The H5N1 virus that infected a Canadian teen appears not to have spread, but it shows signs of mutation that makes flu virologists nervous.
www.statnews.com
November 18, 2024 at 9:30 PM
Reposted by Carolina I. Andrada
NEW: Childhood vaccination rates in the U.S. continue to decline, a trend started during COVID. Of note, the share of kids with a vaccine exemption rose, most of which was due to non-medical exemptions. w/ @liz-williams.bsky.social

www.kff.org/policy-watch...
Childhood Vaccination Rates Continue to Decline as Trump Heads for a Second Term | KFF
This policy watch provides an update on the latest trends in children’s routine vaccination and exemption rates and discusses how these trends could be impacted by the administration change.
www.kff.org
November 18, 2024 at 2:16 PM
I feel this so hard that I’m literally pushing up my wedding by two years to Wednesday (yes, this Wednesday) to have A) a white, straight husband to legitimize me in case I need that legitimacy and B) an immigration Plan C
As a 1st gen immigrant, I feel a lot of Americans don’t understand how fragile democracy is

I’ve seen dictators rise to power using populist narratives

I’ve witnessed fundamental rights violations due to their policies and unchecked power

I was worried in 2016 but now I’m terrified
November 19, 2024 at 4:32 AM
Reposted by Carolina I. Andrada
I'm happy to announce that my book, "The Foreign Gaze: Essays on Global Health", is now out!

You can order the print copy and download the e-copy (open access) here: www.editions.ird.fr/produit/728/...

The book comes with a playlist for your listening pleasure: open.spotify.com/playlist/5K5...
November 18, 2024 at 10:35 PM
Reposted by Carolina I. Andrada
Something I'm very proud of: @viralemergence.bsky.social has spent years now using ML models to figure out which orthopoxviruses could pose a risk to human health (left) and trace them back to their animal hosts (right)

Links:
www.cell.com/patterns/pdf...
www.biorxiv.org/content/10.1...
November 19, 2024 at 2:13 AM
Reposted by Carolina I. Andrada
And yes, this study demonstrated a causal link
November 17, 2024 at 10:10 PM
Reposted by Carolina I. Andrada
Shifting power in global health will require leadership by the Global South and allyship by the Global North

Our essay in this month's Lancet with @shashikalb.bsky.social & @ckyobutungi.bsky.social

www.thelancet.com/journals/lan...
Shifting power in global health will require leadership by the Global South and allyship by the Global North
Global health continues to be a field where Global North actors see themselves as leaders.1,2 Although the decolonising global health movement has exposed the deep inequities inherent within the archi...
www.thelancet.com
November 17, 2024 at 3:53 PM
@publichealthguy.com this is my baby, her name is Chungus (and this is @paulcormarie.bsky.social)
November 17, 2024 at 4:39 PM
Reposted by Carolina I. Andrada
"New PrEP medications are heavily marketed, yet, generic PrEP dominated the market... This could be attributed to a 2021 fed. guidance directing insurers to cover the cost of generic PrEP medication w/o pt cost-sharing, suggesting that effective health policy can result in lower... expenditures." 🛟📈
Trends in Oral and Injectable HIV Preexposure Prophylaxis Prescriptions in the US, 2013-2023
This study examines the prescribing trends of 3 oral preexposure prophylaxis medications and a long-acting injectable option from 2013 to 2023.
jamanetwork.com
November 17, 2024 at 4:31 AM