Crawford Kilian
crof.bsky.social
Crawford Kilian
@crof.bsky.social
Retired college teacher, recovering novelist. Born 1941 (CO2: 310 ppm). Still doing journalism and walking the dog. I've been writing for @thetyee.ca for over 20 years.
Reposted by Crawford Kilian
"It took only weeks for Trump to turn the US from a biomedical & global health leader to a pariah, shattering trust while shattering lives, all the while posing fundamental threats to a law-based international order grounded in human rights & democratic governance"

journals.plos.org/globalpublic...
The Trump presidency: Cascading global shocks on global health
journals.plos.org
November 28, 2025 at 2:08 AM
Reposted by Crawford Kilian
👀
People who care about climate change are “dreaming nostalgically about the past.” - Minister Hodgson

Gotcha. That explains a lot.
November 28, 2025 at 2:16 AM
Reposted by Crawford Kilian
Average American Thanksgiving: President declares total ban on immigration, calls an esteemed democratic governor a slur, and then goes on TV to talk about Somalis like animals when asked about a mass shooting by a former child soldier and member of a CIA associated death squad.
Trump: “I will permanently pause migration from all Third World Countries … denaturalize migrants who undermine domestic tranquility, and deport any Foreign National who is a public charge, security risk, or non-compatible with Western Civilization.“
November 28, 2025 at 4:54 AM
Reposted by Crawford Kilian
A night of fires, leaks and ultimatums. Ukrainian drones hit deep inside Russia, Pokrovsk is burning with street battles, and Trump’s peace plan is cracking under new intelligence leaks and European pushback.
TOP NEWS TODAY 🔝 27 November 2025 | Meanwhile in Ukraine
Get more from Meanwhile in Ukraine on Patreon
www.patreon.com
November 28, 2025 at 1:46 AM
Characterisation of new HIV diagnoses achieved in emergency departments using an opt-in strategy, Catalonia, Spain, July 2021 to March 2024
BACKGROUND HIV screening strategies in alternative settings, such as emergency departments (EDs), aim to increase diagnosis of occult infections and achieve 95–95–95 targets for 2030. AIM To assess the effectiveness of an opt-in HIV screening strategy in EDs based on six clinical scenarios from a 2020 Spanish consensus document, while examining patient characteristics and linkage to-care. METHODS This descriptive, multicentre, retrospective study analysed epidemiological, clinical, and linkage-to-care data of individuals aged ≥ 18 years newly diagnosed with HIV between July 2021 and March 2024 in 17 EDs covering 73% of the population in Catalonia, Spain. RESULTS From 23,105 HIV serologies performed, there were 172 new diagnoses (positivity rate: 0.7%). Of these, 88.4% (152/172) were assigned male at birth, had a median age of 39 years (IQR: 30–50), and 47.9% (81/169) were Spanish. Sexual transmission was reported in 75.6% (130/172) of cases, with 55.5% (81/146) heterosexual. Fiebig stage data, available in 78.5% (135/172) of cases, showed 57.8% (78/135) had acute infection. Advanced HIV was found in 24.2% (30/124). Diagnoses related to the six clinical scenarios accounted for 54.6% (94/172) of cases. For all new diagnoses, 82.0% (137/167) were linked to specialised healthcare and started antiretroviral treatment within 9 days (IQR: 4–17), with no significant differences regarding urban/rural hospital coverage areas. CONCLUSION An opt-in HIV screening strategy in the ED is feasible and effective, especially in detecting highly transmissible patients with acute infection. However, one in five newly diagnosed individuals remained untreated, highlighting the need for improved linkage to care.
www.eurosurveillance.org
November 28, 2025 at 12:30 AM
Rising scabies incidence in Spain: a retrospective observational analysis of four national data sources, 2011 to 2023
BACKGROUND Scabies is a skin disease caused by the mite Sarcoptes scabiei, resulting in intense itching and rash, and sometimes secondary infections with complications. Scabies is not typically a notifiable disease, which makes estimating its burden of disease challenging. In recent years, sharp increases have been reported in Europe. AIM This study characterises scabies epidemiology in Spain from 2011 to 2023. METHODS This retrospective study triangulated data from primary care, hospital admissions, occupational diagnoses and outbreaks. Annual incidence rates (IRs) were calculated to assess temporal evolution, demographics and geographic distribution. Joinpoint regression identified IR changes, and time-series analysis explored seasonality. Occupational and outbreak data analysis identified high-risk activities and settings. RESULTS Incidence rates increased across all data sources, with marked acceleration from 2020–21. The greatest rise was seen in primary care (annual percentage change rose from 22.8% (95% CI: 7.2–31.9) in 2011–20 to 65.8% (95% CI: 47.5–96.6) in 2020–23). The IR was highest amongst 15–24-year-olds. Hospitalisations, with highest IR among people > 65 years, peaked each January. Occupational diagnoses were predominantly registered in healthcare settings (82.0%). Islands and northern coastal regions were most affected. Outbreaks were most frequent in households and nursing homes, with largest outbreaks in healthcare settings. CONCLUSIONS Given the increasing incidence of scabies in Spain, a strong response is needed to improve prevention, diagnosis, and treatment. Improved surveillance and targeted public health initiatives could mitigate further spread, as well as further research to better elucidate the mite-related and epidemiological factors that underline the recent increases across Europe.
www.eurosurveillance.org
November 28, 2025 at 12:29 AM
Reposted by Crawford Kilian
November 27, 2025 at 11:13 PM
Danielle Smith Wins Even If a Pipeline Is Never Built via @thetyee.ca thetyee.ca/Opinion/2025...
Danielle Smith Wins Even If a Pipeline Is Never Built | The Tyee
The deal with Carney boosts the premier. But a lot of people are going to hate it.
thetyee.ca
November 27, 2025 at 10:21 PM
Reposted by Crawford Kilian
As an autistic person, the only thing I want to know from @nature.com is why is the mum also a chair
Hey @nature.com, have you got an explanation for how the hell THIS happened? & especially why you accepted a paper with such a bizarre piece of genAI slop in it?!
& more to the point, why we should take you seriously at all going forward?
www.nature.com/articles/s41...
November 27, 2025 at 7:37 PM
Reposted by Crawford Kilian
I’m a contributor with the Big Picture Science radio show, and this week’s episode features a history of H5N1 bird flu. We look at how the virus has made its way into creatures traveling by wing, hoof, and fin.
Since 2005, the number of wild and domesticated birds H5N1 has killed is greater than the combined human populations of the U.S. and Russia. On this week's episode, why this version of avian influenza won’t go away. bigpicturescience.org/episodes/flu...
November 27, 2025 at 6:51 PM
Reposted by Crawford Kilian
High levels of plutonium at the Hunters Point was reported a few weeks ago, but now the story is "Navy covered up high levels of airborne plutonium." The Bayview, adjacent to Hunters Point, has historically been a Black neighbourhood in SF, and one of its most marginalized communities.
November 27, 2025 at 5:43 PM