Thread by @SethAHoffmanMD

1/10 🧵Are you wondering where the heck are we with #m̶o̶n̶k̶e̶y̶POX & how did we get here?!

@sacco9 shared this fantastic 🤩convo between @kai_wright & @reluctantlyjoe that is the clearest picture of this public health wreck decades in the making

wnycstudios.org/podcasts/anxie…

2/ Repeatedly the most underserved or marginalized are not receiving adequate care when clearly these populations need the greatest investment!

🙏Thank you @ncdhhs @KodyKinsley for publishing this data🙏

https://twitter.com/ncdhhs/status/1557467203699703809?s=20&t=CmdVSlZrTw5uyYTIuxEZ3A

3/ Being proactive and leading by example, as a primary investor in @BavarianNordic #Jynneos MPX vax, the US could've been there after 2017 Nigeria outbreak immunizing, but we & the global community continued to ignore black/brown plight...@Dimostic

nature.com/articles/d4158…

4/ My friend @AbraarKaran's piece in @EIDjournal @CDCgov demonstrates that we must actively pursue new knowledge on disease transmission and to not succumb to our preconceived ideas, just as @reluctantlyjoe suggests - #AlwaysBeUpdatingYourPrior!

wwwnc.cdc.gov/eid/article/28…

5/ Similarly, a piece we published last year on risk of #COVID19 mutations in #PLWHA not on treatment was misconstrued in the media to cause panic when focus should've been renewed effort to get people into care

wwwnc.cdc.gov/eid/article/27…

6/ @CDCDirector's announcement on restructuring @CDCgov is a much needed step in the right direction, but our approach to "combating" infectious disease also needs a rethink, moving away from a militaristic view, as described in @kai_wright & @reluctantlyjoe's convo...

7/ ...which resulted in all the #MPXV vax being stored within the National Security apparatus.

As a thought question, hearing the way @djrothkopf & @Ali_Wyne discuss US foreign policy has similarities to how we think about global public health

shorturl.at/giw02

8/ ...but perhaps our thinking should diverge in terms of the "leverage" we may seek geopolitically vs. in public health we must be a faithful active partner to our global community - our "global" health is inherently connected...

9/ And when we undervalue that connection, as we have time again in the past several years, the most underserved suffer.

Where the 2 podcasts meet in the middle is how we move FORWARD...

10/ we must work together as a global community to continuously set goals, and achieve those goals, so that we are better prepared in the future from a #GlobalHealthEquity standpoint, a #PandemicPreparedness standpoint, and a united research agenda for the betterment of humankind