Craig Spencer MD MPH Profile picture
Dec 22 6 tweets 2 min read Read on X
It’s being reported that the Trump administration plans to withdraw from the World Health Organization on day one.

This is not a huge surprise.

But it IS an absolutely stupid and self-defeating move.

And I say this as a longtime critic of the WHO…🧵
The first time the Trump administration tried to withdraw from the WHO back in 2020, I wrote for @USATODAY what we needed to do was build up, not tear down, the WHO.

Despite its faults, the WHO plays a huge role as ‘our eyes and ears around the world.’

usatoday.com/story/opinion/…
There is no other organization with the relationships and buy-in to do the critical work needed to keep us ALL safe—including us here in the U.S.

The WHO also has critical partnerships & programs that we benefit from for vaccines and critical health data

who.int/initiatives/gl…
The WHO works alongside the CDC, NIH, and other health organizations based in—or supported by–the U.S.

That work benefits the rest of the world by building up detection and response capacity.

And by extension, the U.S. reaps massive benefits.

statnews.com/2024/12/19/dem…
As @BhadeliaMD and I wrote regarding health agencies in the U.S.:

“Reforms that streamline processes, improve responsiveness, and enhance transparency are essential. But punishing these agencies for perceived overreach during Covid-19 is not.”

statnews.com/2024/12/19/dem…
The same should apply to the WHO.

The payoffs of the U.S. staying in and staying better protected are obvious and immense.

Withdrawing outright misses an opportunity to negotiate and build a BETTER World Health Organization.

And that puts us all at risk. That I can guarantee.

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Craig Spencer MD MPH

Craig Spencer MD MPH Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @Craig_A_Spencer

Dec 19
Hey @elonmusk, that’s not ‘bioweapon labs’

I’m (unfortunately) very uniquely qualified to tell you why this is important. And why you’re very wrong here.

I assure you, with 100% certainty, that cutting this is pure stupidity

(Also, did you read a few more lines to Sec 2315c?)
For anyone paying attention (is anyone still actually even here??)…

THIS 👆👆👆 is exactly how overconfidence mixed with a stunning lack of expertise and stubborn unwillingness to listen to people who actually know what they’re talking about will directly put you at risk.
I could happily speak on the congressional floor for hours about why we need BSL-2, BSL-3 (and BSL-4) labs. So could a lot of really qualified folks, many way smarter than me.

We could also talk about what happens if we don’t have them, and how that puts us all at risk.
Read 6 tweets
Dec 6
"What's happening with this mystery illness in the Congo"

I've gotten this text dozens of times in the past few days.

Here's what we know. What we don't.

And what really matters 🧵 Image
Since the end of October, there have been just under 400 cases of an 'unidentified' illness in the Kwango Province of Southwest DR Congo.

And 79 reported deaths.

Symptoms include "fever, headache, coughing, breathing difficulty, and anemia".

Kids under 5 appear most affected. Image
Breathing difficulties and other signs suggest a respiratory disease and likely respiratory transmission.

Epidemiologists have been sent to the area.

Testing is in process, with results expected in the next few days.

BUT we don't know anything for certain...
Read 11 tweets
Nov 12
10 years ago today I walked out of the hospital after surviving Ebola.

Back then I begged the world to strengthen our response to that crisis and prepare for others.

I’ve been reflecting on what we’ve learned over the last decade.

And the role of the U.S. in global health🧵 Image
The international response to Ebola in 2014 was way too slow and weak.

Too many people died because we didn’t have the experience, coordination or willpower to address the crisis quickly and head on.

In the aftermath, we focused on lessons learned. We made changes.
We created new ways to fund outbreak response at the global level.

The Africa CDC was created to help the continent better prepare for and respond to disease threats.

And changes were made in U.S. government to allow better coordination among agencies.

africacdc.org/about-us/our-h…
Read 15 tweets
Sep 30
As news of the Marburg cases in Rwanda spreads, I want to share some thoughts on where the outbreak stands, what will likely come next, and why this outbreak may (hopefully) end up being unlike other viral hemorrhagic fever outbreaks in the past 🧵
For those just tuning in, Marburg is a viral hemorrhagic fever, very similar to Ebola.

This is the 18th Marburg outbreak since 1967.

Most outbreaks fizzle out fast. This one, despite being just announced days ago, is already among the largest.

Although the incubation period, symptoms, and spread are very similar to Ebola, there are some really important differences.

Most importantly, we have FDA/WHO approved vaccines and treatments for Ebola.

But we only have experimental therapeutics and vaccines for Marburg.

fda.gov/emergency-prep…
Read 15 tweets
May 22
I teach a class on the history of humanitarian response.

We talk about how a field full of dead soldiers in 1859 in Solferino led to the ICRC, Geneva Conventions, & international humanitarian law.

Every year, my students always ask “the ICC seems useless, why do we need it?” 🧵
In the aftermath of World War II, the Nuremberg Trials was the first international war crimes tribunal.

I think we can all agree that prosecuting those responsible for the atrocities of the Holocaust was an important endeavor.

There were calls for a more permanent tribunal…

cfr.org/backgrounder/r…
But the ICC wasn’t established until 2002.

In the last 22 years, it has indicted 40 people and convicted only 10.

Given that it seems like bad guys get away with doing bad things with impunity all the time, many will question the ICC’s role and impact.

icc-cpi.int/about/the-court
Read 13 tweets
May 12
I can’t stop thinking of a baby girl I treated, just minutes after grenade shrapnel tore through her brain…🧵
I was in Burundi working as a trauma doctor in 2016.

Civil conflict enveloped the country. I was training local physicians to treat and stabilize life-threatening injuries.

Most of our patients had gunshot wounds

or had been pierced by grenade shrapnel

Sometimes both.
When violence erupted, we’d hear a furious bang at the hospital entrance

the large doors would open

then 60-70 people wound stream in, some walking, some carried.

Many bleeding. Some already dead.

We’d start to triage. We had trained for this. We had a system.
Read 12 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us!

:(