Since it's that time of year, here's a selection of some of my favorite articles I wrote in 2022.
My main focus is #HIV. Here, for @pozmagazine, a look at advances in antiretroviral treatment & prospects for a functional cure. 1/ poz.com/article/long-w…
For @aidsmap, a report from #AIDS2022 about a 5th person cured of #HIV after a stem cell transplant. (The 4th such case was reported earlier in the year at #CROI2022/#CROI22). 2/
I did a couple articles on #HIV vaccines, which remain elusive. But mRNA technology is advancing that effort & also showing promise for cancer vaccines. 3/
2022 was, of course, the year of #monkeypox/#mpox. Gay/bi/MSM communities & advocates really stepped up to curb transmission & demand better government response. 4/
While #monkeypox/#mpox hit gay/bi/MSM communities hard, it never spread widely outside that population, despite much alarmism predicting it would, as I reported for @Slate. 5/ slate.com/technology/202…
Speaking of STIs, exciting research out of #AIDS2022 by @annieluet et al on using the antibiotic doxycycline after sex to prevent gonorrhea, syphilis & chlamydia. San Francisco @SF_DPH is already rolling out #doxyPEP. Here's my report for @eBARnews. 7/ ebar.com/story.php?3193…
Since the start of pandemic people wondered if #HIV meds, especially tenofovir or Truvada, might prevent or treat COVID -- & now #longCOVID. So far research is mixed, but with growing evidence of SARS-CoV-2 persistence, antivirals are an area to watch. 8/ poz.com/article/new-st…
On the liver front, for @hepatitismag I covered an unexplained outbreak of acute hepatitis among young children. The crisis appears to be over but (despite the headline of this piece) we still don't have definitive answers. 9/ hepmag.com/article/myster…
Finally, outside the medical realm, #sexworker advocate Carol Leigh died in November. Not entirely unrelated though -- she was a member of ACT UP & advocated for people with #HIV, people who use drugs & incarcerated people. 10/ ebar.com/story.php?3208…
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This psychologizing of people with different risk tolerance is tedious. Mask proponents can't grasp that we've seen evidence over 3 years that masking doesn't appear to affect case trajectories much at the community level & decided marginal benefits aren't worth the drawbacks. 1/
.@ianmSC can be a gadfly, but he's posted many graphs like this showing that cities & countries with mask mandates or strong masking culture have case trajectories similar to those of places that don't. 2/
If masks had a substantial protective effect at the community level, it should be clearly apparent by now, like the substantial effect of vaccines on COVID hospitalization & deaths. 3/
Another recent study by @profchloeorkin et al found that mpox risk factors differed for cis & trans women, with the latter being more likely to be exposed via sex & having more sex partners & a higher STI rate. 2/ poz.com/article/study-…
In Orkin's study, 8% of cisgender women & 50% of trans women were #HIV positive. The CDC study, too, saw high HIV rates: 60% for transgender women, 29% for trans men & 44% for gender-diverse people. 3/
I think this is a terrible idea. As we saw many times with #COVID & now #monkeypox the accepted consensus can change -- & it should change as we get more evidence. Who's smart enough & prescient enough to decide what's misinformation? 1/ nytimes.com/2022/08/29/tec…
Yes, sometimes misinformation is obvious -- those are the easy cases.
- Is SARS-CoV-2 airborne?
- Were school closures beneficial or harmful?
- How common is long COVID?
- Is monkeypox an STI?
Just a few questions where experts disagree & our understanding has evolved. 2/
There's a new round of dis/misinformation about the safety of #COVID vaccines during pregnancy. While pregnant women weren't included in clinical trials (as is typical), hundreds of thousands have safely gotten the vaccines in the real world.
It's true children historically got #monkeypox in African countries where the virus is endemic. But until recently, MPX was considered rare. It was not thought to spread easily between humans & outbreaks were small. That's still the case for everyone *except* gay/bi/MSM. 1/
That remained true until an outbreak in Nigeria in 2017, when cases shifted towards young urban men. Dr. Ogoina (profiled here) & other experts think it might be transmitted sexually there as well (& not necessarily limited to sex between men). 2/ n.pr/3PPiCR5
Currently, ~440 of the ~48,000 global cases in 2022 (~1%) are in countries that historically reported monkeypox. About 1/2 the children with MPX worldwide are in these countries & the gender breakdown, while still majority male, isn't so heavily skewed. 3/ worldhealthorg.shinyapps.io/mpx_global/
Just to be clear, @WHO reports 140 people under age 18 with #monkeypox. @CDCgov reports <20 in US. There has been no known transmission in schools. Official data lags, but cases in children have remained well under 1% for 3 months. 1/
If MPX were going to spread like wildfire among kids — & if it were easily transmitted through casual contact or the air — surely we’d have started to see some indication of that by now. 2/
I know people don’t trust PH these days — assuming they’re either minimizing threats to get people back to work or exaggerating risk to impose restrictions — but @CDCgov says no extra MPX precautions are needed in schools. 3/ cdc.gov/poxvirus/monke…