Andrew Pavia
@andrewpaviamd.bsky.social
600 followers 130 following 230 posts
Infectious disease physician and epidemiologist, emerging infection follower, influenza and respiratory virus investigator, fan of pandemic preparedness, children's health and wannabe ski bum
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Reposted by Andrew Pavia
idsainfo.bsky.social
We call for the reversal of these dangerous firings, and for Congress to move quickly to pass full-year spending bills that ensure that proposed cuts to public health are averted and federal appropriations are spent as Congress intended.

Our full joint statement: https://bit.ly/3WBh8ig
andrewpaviamd.bsky.social
Congratulations Professor Howitt!!! Odd to think that he didn't join the faculty till 19 years after I left with my second degree from Brown, but no econ classes.
andrewpaviamd.bsky.social
The dust has not settled yet, see also reporting by @lenasun.bsky.social However, this action against key parts of CDC is dangerous, vengeful, and heedless of the risk to the health of all of us. The incompetence is equally staggering.
helenbranswell.bsky.social
100s of #CDC employees were notified Friday they were being fired — RIF'd. The firings cross multiple parts of the agency, endangering its core mission of keeping Americans safe.
Saturday, some were informed they were RIF'd in error.
Hard to imagine how this happens www.statnews.com/2025/10/11/c...
CDC battered by government shutdown firings, while some are rescinded
The White House’s mass firing of CDC staff on Friday has decimated offices related to injury prevention, respiratory disease surveillance, and chronic disease, according to four people familiar with t...
www.statnews.com
andrewpaviamd.bsky.social
I think we need to remember that even his friends say Tuberville is "dumb as a bag of rocks."
Reposted by Andrew Pavia
Reposted by Andrew Pavia
vox.com
Vox @vox.com · 8d
Earlier this week Gavi, the Vaccine Alliance — a public-private partnership that does more than any other organization to get vaccines to people in poor countries — reported that its vaccines saved a record-breaking 1.7 million people in 2024. That’s 400,000 more lives saved than in 2023.
2024 was a record-setting year for lifesaving vaccines
Vaccines delivered by Gavi saved the lives of 1.7 million people in poor countries
www.vox.com
Reposted by Andrew Pavia
drtomfrieden.bsky.social
9-month-old Mohamat died of malaria in Cameroon. Before U.S. aid cuts, he likely would have survived. Malaria deaths are rising after years of progress. Abrupt and irresponsible budget cuts can have deadly consequences.
Babies' deaths in Cameroon show how US aid cuts curtail malaria fight
Nine-month-old baby Mohamat burned with fever for three days before his family took him to the closest health centre in northern Cameroon, but it was too late. He died of malaria that day.
www.reuters.com
Reposted by Andrew Pavia
belongia.bsky.social
CDC is being run by politicians now.

"there are few experienced leaders left at the CDC; some 80% of..center leaders were laid off or terminated, or have [left]. Houry was the only permanent career official in CDC's office of the director... there were 10 political appointees remaining, she said."
publichealthguy1.bsky.social
a respected senior CDC official telling the public that the federal agency has undergone a hostile takeover and it barely makes the news because that’s the state of the world today
sheencr.bsky.social
This is another damning picture of Kennedy refusing to meet with senior scientists and get advice about infections or vaccines whilst he spreads disinformation #healthpolicy
andrewpaviamd.bsky.social
You definitely did your "one kind act a day." Decency is so rare these days on Capitol Hill
Reposted by Andrew Pavia
rephaleystevens.bsky.social
Health care chaos. Reckless cuts. Rising costs. Michiganders and families across the country are paying the price for RFK Jr.’s agenda. Enough is enough, which is why I’m drafting articles of impeachment.
Reposted by Andrew Pavia
thinkingautism.com
Things today's White House autism announcement did not do:

-Discuss strategies to increase supports and services for autistic people/families
-Highlight why autistic people and families deserve respect, not pity or fear
-Endorse one speck of autism research that is not dangerous pseudoscience
Reposted by Andrew Pavia
helenbranswell.bsky.social
"I’m not a doctor," President Trump said yesterday. That acknowledged lack of medical credentials did not stop him from offering medical opinions on risk factors for autism that the preponderance of the scientific evidence does not support. www.statnews.com/2025/09/22/t...
Trump, questioning vaccine safety, pushes major changes to how kids get shots
At a White House event, Trump linked vaccines to autism and urged major changes in how kids get their shots.
www.statnews.com
andrewpaviamd.bsky.social
Quote of the day from bsky.app/profile/kkje...
"I’ve never heard a faster fire hose of rumors and falsehoods coming from the highest office of the nation — at the very same time measles cases are at some of the highest rates we’ve seen in decades,”
andrewpaviamd.bsky.social
Again today CDC scientists showed mettle and expertise, in the face of a chaotic meeting filled with anecdotes, selected basic science studies and false claims. Many of the criticisms of the Covid response are valid, many are BS, but CDC folks are trying to protect the public health daily.
andrewpaviamd.bsky.social
The wording of this resolution is convoluted and confusing that most of us have no idea what this means in practice.

@elizabethjacobs.bsky.social referred to the meeting as a goat rodeo, but that is insulting to goat rodeo riders and goats), who are not nearly as disorganized.
elizabethjacobs.bsky.social
There is still massive confusion around the practical outcome of ACIP’s vote on COVID19 vaccines today.

Some are reporting that ACIP made no recommendations at all.

This is the exact wording of what they voted “yes” on. Shared clinical decisionmaking could mean talking to a pharmacist.
Screenshot says The pediatric and adult immunization schedules for administration of FDA-approved COVID-19 vaccines should be updated as follows:
• Adults 65 and older: Vaccination based on individual-based decision-making*
• Individuals 6 months to 64 years: Vaccination based on individual-based decision making-with an emphasis that the risk-benefit of vaccination is most favorable for individuals who are at an increased risk for severe
COVID-19 disease and lowest for individuals who are not at an increased risk, according to the CDC list of COVID-19 risk factors.
*Also known as shared clinical decision making.
power over the budget
Reposted by Andrew Pavia
kstephensonmd.bsky.social
Listening to ACIP meeting which is a catastrophe, as predicted. I’d like emphasize in all this that the CDC subject matter experts and leads have been tremendous and continue to represent good science on our behalf. I am very grateful for their dedication, despite internal and external pressure.
andrewpaviamd.bsky.social
Listening to Retsef Levi carry on. Confusion would be too kind. I think torturing logic and data is banned as cruel and unusual punishment
andrewpaviamd.bsky.social
Judge Merryday invoked Rule 8 with some very colorful language to dismiss Trump's suit against the NYT. It would be great to hear you discuss this either on StayTuned or Cafe insider. And what is the legal definition of "bench slap?"
Reposted by Andrew Pavia
belongia.bsky.social
ACIP is in chaos, they don't understand the policy implications, and it is only going to get worse.
drdemetre.bsky.social
That’s the problem. It doesn’t make sense. They should not be trusted to make policy recommendations. VFC providers have to adhere to ACIP recommendations. Who knows what it means if there is an ACIP recommendation that doesn’t comport to the VFC resolution?
andrewpaviamd.bsky.social
Special thanks to the @CDC scientists for great presentations, excellent scientific reviews, and enormous patience in the face of an enormously challenging and upsetting day at what used to be the ACIP
andrewpaviamd.bsky.social
As Dr. Monarez made clear from her testimony, these votes were essentially pre-determined by RFK Jr and his careful selection of like-minded supporters to staff ACIP. He asked her to guarantee in advance she would approve the votes, no matter the science.