BK. Titanji
@boghuma.bsky.social
33K followers 3.2K following 4.7K posts
Physician Scientist MDPhD Infectious Diseases Academic Medicine Global Health Science Communicator Posts are my opinions, not my employer's and not medical advice I bet on myself and double down https://substack.com/@bktitanji
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boghuma.bsky.social
I think I shall just pin this post because ....👀
boghuma.bsky.social
Here are 5 top things I'll be watching closely in global public health in 2025:

1. H5N1 outbreak trajectory
2. Impact of RFK Jr. on infectious dz control and vaccines in the US.
3. The mpox outbreak in Africa
4. Expanded access to Lenacapavir for HIV PrEP.
5. The US withdrawal from the WHO.
boghuma.bsky.social
😂😂😂😂
I just spat my coffee laughing
boghuma.bsky.social
Standing in solidarity with colleagues at the CDC who were fired as part of yet another RIF wave.
We are all less safe without their expertise and dedication.
sherylnyt.bsky.social
BREAKING: Friday night massacre underway at CDC. Doznes of "disease detectives," high-level scientists, entire Washington staff and editors of the MMWR (Morbidity and Mortality Weekly Report) have all been RIFed and received the following notice:
boghuma.bsky.social
He got the COVID and flu Vaccines like every 79 year old should this is a good thing.
"Cardiovascular age validated by by ECG and found to be 14 years younger than chronological age" is a nonsensical phrase.
I am an internist this is not something we do or write in medical reports.
boghuma.bsky.social
Like most wellness influencers the allure of money quickly gets to stray well outside the scope of their expertise. Not everyone can see through the misinformation when he start waxing eloquent about how to "cancer proof" your body in a soothing voice 🤷‍♀️
boghuma.bsky.social
Meditation, peddling dubious health advice and selling supplements. I have never bought into the hype of Jay Shetty and have tried unsuccessfully to finish an episode of his podcast and could not ignore the BS.
Fascinating profile of him in @statnews.com
www.statnews.com/2025/10/10/j...
Jay Shetty and his health advice are everywhere. It's by design
The wellness influencer and former monk Jay Shetty knows how to get attention and prop up his own interests.
www.statnews.com
boghuma.bsky.social
5 things I’m watching closely in U.S. public health this fall/winter:

1. COVID & influenza trends
2. H5N1 spillover risk
3. Measles resurgence
4. Public Health workforce strain
5. Impacts of Medicaid unwinding and insurance premiums rising
boghuma.bsky.social
I have shared about great days when every patient I see is a "YES" on vaccines but this isn't always the case & I want to share the other side as well. The positive I took from today is everyone was open to conversation on their "why NOT " and I think this moved them a bit closer to yes some day.
boghuma.bsky.social
Most people are not anti-vaccine and hesitancy is a wide spectrum ranging from not wanting to be inconvenienced to needing to know more, having questions & getting the timing right. I find that I have the most success when I try to meet people where they are without judgement.
Better luck next time
boghuma.bsky.social
I try not to internalize vaccine refusal as a failure on my part. Rather, I leverage this as an opportunity to have a conversation about the vaccine I am offering and answer question the person may have. This hopefully plants a seed for more favorable outcomes in future visits.
boghuma.bsky.social
In clinic today only 1/8 folks agreed to flu vaxx. Some days are like this. The reasons for refusal:
" the shot makes me sick"
" I have weekend plans I don't want anything to mess that up"
" I don't think I need it"
" I have never had the flu"
" there are too many shot doc"
" Let's do it next time"
boghuma.bsky.social
Of course like any other medication Tylenol when used incorrectly or in excess can cause adverse effects but that is not what has been suggested by RFK Jr and Co. 🤷‍♀️
boghuma.bsky.social
I have heard the full moon is in Aries or some thing like that this Month. I am sure that too in their minds causes autism
boghuma.bsky.social
Please add circumcision to the list of things that DO NOT cause autism. That list also includes Vaccines and Tylenol use in pregnancy.
Thanks for your attention to this matter.
boghuma.bsky.social
"Make the proof" colloquial phrase that means fabrication of data
atrupar.com
RFK Jr on Tylenol and autism: "It is not proof. We're doing the studies to make the proof."
boghuma.bsky.social
A 42 year legacy of:
- Human rights abuses
- Erosion of personal freedoms
- High unemployment
- Collapse infrastructure
- Declining GDP
- Rising insecurity and civil unrest.
boghuma.bsky.social
Cameroon my country has its presidential election this coming Sunday. The 92 year old president who has been in power 42 years is running again for a 7 year term. The only people who think having an authoritarian in power is "fun" have never lived under dictatorship. He will likely "win" again.
boghuma.bsky.social
In the era of widespread population immunity , among veterans COVID vaccines still reduced the risk for COVID related emergency room visits, hospitalization and death in the 2024-2025 vaccination season, especially in older veterans >65 years.
www.nejm.org/doi/full/10....
boghuma.bsky.social
Will definitely try to find you!
boghuma.bsky.social
There dark sides too, because trolling exists and humans sadly cannot help themselves ( I have experienced this and it is traumatizing), but overall the impact of microblogging on social media has been mostly positive for me.
boghuma.bsky.social
Many things
- New research collaborations resulting in several publications
- An expanded network of new friends and connections
- Reaching people I will never be able to connect with in real life through my science communication *advocacy.
- Invitations to give talks, guest speak on podcasts
conradhackett.bsky.social
Has anything great happened in your life because of social media?
boghuma.bsky.social
This is very sad and highlights the need of providing care for substance use disorder as an integral part of HIV prevention efforts. Clean needle exchange programs, addiction care and mental health support are sorely underfunded globally.