Alex Geiger MD, MPH, AAHIVS
amgeig.bsky.social
Alex Geiger MD, MPH, AAHIVS
@amgeig.bsky.social
Med-Peds Primary Care Physician. Passionate about care for the underserved and marginalized.
Reposted by Alex Geiger MD, MPH, AAHIVS
Summary of what happened at Temu ACIP this morning:

As expected, they overturned the 30+ year recommendation for the birth dose of HepB vaccine, which has reduced the incidence of pediatric HepB by 99%.

They provided no credible evidence to support this decision.
December 5, 2025 at 4:09 PM
Reposted by Alex Geiger MD, MPH, AAHIVS
AI and prior authorizations, together at last
September 3, 2025 at 1:06 AM
Reposted by Alex Geiger MD, MPH, AAHIVS
Linda Gail Bekker highlighted the critical importance of oral loading with lenacapavir. Missing it significantly delays (to 28 days) the time taken to achieve target concentrations which are reached by day 2 with loading

#IAS2025
@iasociety.bsky.social
July 17, 2025 at 9:48 AM
Reposted by Alex Geiger MD, MPH, AAHIVS
😕🇺🇸
July 5, 2025 at 9:23 PM
Reposted by Alex Geiger MD, MPH, AAHIVS
Mural of Statue of Liberty in shame unveiled in France the day before 4th of July
July 4, 2025 at 1:32 PM
Reposted by Alex Geiger MD, MPH, AAHIVS
“No children are dying on my watch,” said Rubio. It's blatantly false. Credible estimates count 190K deaths so far.

In Kenya, I am seeing devastating impact, incl this child's starvation & many deaths directly caused by Rubio’s actions. More in my @msnbc.com clip. www.instagram.com/atul.gawande...
Atul Gawande on Instagram: "“No children are dying on my watch,” said Rubio. It's blatantly false. So far, 190,000 children and 90,000 adults have died due to the dismantling of USAID (even assuming...
9 likes, 0 comments - atul.gawande on May 24, 2025: "“No children are dying on my watch,” said Rubio. It's blatantly false. So far, 190,000 children and 90,000 adults have died due to the dismantlin...
www.instagram.com
May 24, 2025 at 9:28 PM
Reposted by Alex Geiger MD, MPH, AAHIVS
Here is your occasional reminder that

The United States has plenty of resources to feed, house, and provide medical care for everyone

We have made a choice as a society that, rather than doing that, we would rather allow people to selfishly hoard these resources

This is a choice
May 21, 2025 at 10:52 AM
Reposted by Alex Geiger MD, MPH, AAHIVS
Good morning.

Republicans are trying to push through a bill that would throw 13M people off their insurance. All for a tax cut for the rich.

That’s the combined population of

West Virginia
Hawaii
New Hampshire
Maine
Montana
Rhode Island
both Dakotas
Alaska
Vermont
Wyoming
May 14, 2025 at 12:17 PM
Reposted by Alex Geiger MD, MPH, AAHIVS
BILL GATES: “The picture of the world’s richest man killing the world’s poorest children is not a pretty one.”

@financialtimes.com
www.ft.com/content/bdd9...
May 8, 2025 at 12:27 PM
Reposted by Alex Geiger MD, MPH, AAHIVS
1/ For ProPublica’s “Life of the Mother” series, winner of the 2025 Pulitzer Prize for public service, we reported on five pregnant women who died after not receiving timely medical care in states with strict abortion bans.

These are their stories 🧵
May 7, 2025 at 12:00 AM
Reposted by Alex Geiger MD, MPH, AAHIVS
Varenicline significantly boosts nicotine vaping cessation rates among youth compared to placebo and enhanced usual care.

by Evins AE, Cather C (...) Schuster RM et 12 al. in JAMA #MedSky

👉 get more here

📖 read the article:
Varenicline for Youth Nicotine Vaping Cessation
This randomized clinical trial evaluates the efficacy of varenicline plus behavioral counseling, compared with placebo plus behavioral counseling or with enhanced usual care (behavioral counseling alone), for nicotine vaping cessation in youth who do not smoke tobacco regularly.
jamanetwork.com
May 2, 2025 at 4:37 PM
Reposted by Alex Geiger MD, MPH, AAHIVS
The Indiana General Assembly just passed HB 1515 and at the last minute slipped in a provision that all allied health professional schools must be on an A-F or similar merit system

93% of medical schools have left the A-F system because it does not improve learning

This is really really bad
April 25, 2025 at 2:44 AM
Reposted by Alex Geiger MD, MPH, AAHIVS
Preventing people from becoming ill is what should unite leaders, not divide us. RFK Jr. is sabotaging public trust in vaccines. This will only continue to have dangerous consequences for our public health.

www.axios.com/2025/04/23/m...
April 23, 2025 at 6:18 PM
Reposted by Alex Geiger MD, MPH, AAHIVS
Last month, the CDC Division of Viral Hepatitis found the source of a Hepatitis C outbreak in Florida that state officials had been unable to solve since December. Now the entire Division has been fired, leaving investigations of outbreaks in OR, PA, MA, NM, WI, WV and GA, unsolved in addition to FL
April 17, 2025 at 12:59 AM
Reposted by Alex Geiger MD, MPH, AAHIVS
This is an amazingly brave and well written letter of resignation by a PCCM physician and public servant who has decided that staying in a role at the NIH caused such moral dissonance that he had to leave

Kudos, Josh
"With Sadness and Resolve: Why I Resigned as Chief Medical Officer of an #NIH Institute and What Comes Next"

www.atsjournals.org/doi/10.1513/... [open access @annalsats.bsky.social ]

Powerful essay, including resignation letter by Dr Josh Fessel in the tradition of
www.linkedin.com/posts/nathan...
With Sadness and Resolve: Why I Resigned as Chief Medical Officer of an NIH Institute and What Comes Next | Annals of the American Thoracic Society | Articles in Press
www.atsjournals.org
April 16, 2025 at 7:31 PM
Reposted by Alex Geiger MD, MPH, AAHIVS
IN EL SALVADOR: Senator Van Hollen says Trump is in violation of court orders — and is paying El Salvador to imprison an innocent man. (And #KilmarÁbregoGarcía is not the only one)
April 16, 2025 at 7:22 PM
Reposted by Alex Geiger MD, MPH, AAHIVS
“It’s amazing that others in this room underwrote electing a man who, in the last week, single-handedly destroyed all of American science. It’s amazing how much good science you can destroy with $320 million and RFK Jr, very fast.”

— Seth Rogen’s censored remarks presenting the Breakthrough Prize
April 16, 2025 at 3:10 AM
Reposted by Alex Geiger MD, MPH, AAHIVS
How to “determine the cause of autism by September”:

Step 1: decide you already know the cause.
Step 2: skip all the typical study design, ethics review, and data collection steps.
Step 3: cherry-pick, p-hack, and fudge your way to data that declare “success”.
April 11, 2025 at 2:12 PM
Reposted by Alex Geiger MD, MPH, AAHIVS
The story gets worse.
April 8, 2025 at 11:36 AM
As a father of an absolutely perfect queer black boy who is also madly in love with football, this makes me so happy. Guess we have some new jerseys to buy…
www.nola.com/sports/lsain...
Saints DT Khalen Saunders shares why he is hosting a LGBTQ-friendly football camp
Saints defensive tackle Khalen Saunders, along with another former NFL player, is planning to host an inclusive event.
www.nola.com
April 8, 2025 at 10:12 PM
Reposted by Alex Geiger MD, MPH, AAHIVS
Hoosier measles is now a thing

Getting my titres checked this week
April 8, 2025 at 2:53 PM
Reposted by Alex Geiger MD, MPH, AAHIVS
“Tubman’s photograph is now gone. In its place are images of Postal Service stamps that highlight “Black/White cooperation” in the secret network and that feature Tubman among abolitionists of both races.”

wapo.st/4jdXL8m
Amid anti-DEI push, National Park Service rewrites history of Underground Railroad
Since Trump took office, the park service, an agency charged with preserving American history, has changed how its website describes key moments from slavery to Jim Crow
wapo.st
April 6, 2025 at 12:05 PM
We have a town turkey here in Brownsburg, IN too. Tilden Tom loves blocking traffic.
In case if you're wondering why I'm going to be late to work today, this is what I'm dealing with in Brighton right now...

📹: @omgdiana.bsky.social
April 3, 2025 at 9:39 PM
Reposted by Alex Geiger MD, MPH, AAHIVS
NEW @vanityfair.com: When Americans died, were blinded, had eyeballs removed from tainted eye drops,
@fda.gov relied on Dr Timothy Pohlhaus, among its few top sterile drug manufacturing experts. He, thousands more, were fired from US health agencies yesterday. www.vanityfair.com/news/story/t...
The Expert Who Kept Eye Drops From Blinding You Was Fired Yesterday
Robert F. Kennedy Jr. and the so-called Department of Government Efficiency terminated thousands of experienced public health professionals in an April Fools’ Day massacre. We’re all about to pay the ...
www.vanityfair.com
April 2, 2025 at 9:22 PM
Reposted by Alex Geiger MD, MPH, AAHIVS
Statement from Lambda Legal Senior Attorney & HIV Project Director Jose Abrigo (@gojoseabrigo.bsky.social) on today’s massive cuts to our federal HIV infrastructure ⬇️
April 2, 2025 at 12:31 AM