Gregg Gonsalves Profile picture
I work @Yale focusing on operations research/epidemiology for infectious disease. In the real world: been an AIDS activist for ~30 yrs. Assoc. Prof YSPH.
Ella Sanders Profile picture eDo Profile picture (((NotOralHistory))), but actually *yes we are* Profile picture Michael Beaton Profile picture Woke Sister Profile picture 25 added to My Authors
6 May
So, go ahead and kill me, but @ScottGottliebMD was the one Trump appointment that turned out well. He also was a critical voice last year during all the madness coming from the Administration. 1/
He think the #TRIPSwaiver is less important about discouraging new vaccine R&D and more important as a signal that the "job is done" on global vaccine access. 2/
.@ScottGottliebMD thinks we need a "PEPFAR" scale mobilization out of the US for global SARSCOV2 vaccination. We think so too. There is common ground here. We can build on it. 3/
Read 5 tweets
4 May
Back in March 2020, I reverted to wild-type. I've spent about a decade or so @Yale trying to be an academic, doing my best to jump through the hoops lined up for each new acolyte to leap through to prove something, though no one knows what the something is. 1/
Back in March 2020, I went home, to those I love and trust, my comrades in the AIDS and access to medicines movement. If we were going to get through this, it was this crew who would do the saving. 2/
I felt like I would be shutting the door on some opportunities by returning to my activist roots, but what power and beauty flourishes there among those fighting for their lives, the lives of those they love, those they don't even know, continents away. 3/
Read 6 tweets
4 May
.@hiattf's editorial in @washingtonpost on #COVID19 vaccine access is odious, misinformed. Worst of all it's lazy. Why do your own research when you can recycle industry talking points? "Democracy dies in darkness," well so will millions w/o a vaccine. Thanks Fred.
Fred is also not a student of history. EVERY time one pushes back on industry they pull out the goose-that-laid-the-golden-egg meme. They did it 20 years ago with AIDS drugs, saying letting India make generics would kill innovation. Industry thrived. Did just fine. 2/
(We can also go back 50+ years to Kefauver-Harris when industry said more regulation would kill innovation, and industry flourished but I digress). 3/
Read 10 tweets
3 May
.@JakeSullivan46. It's NOT OK to dance around the fact that billions of people are waiting for a vaccine, proposals have been discussed to address this crisis and you're looking for the easy way out. 1/
As the @nytimes @JInterlandi has said it's not an IP issue, a manufacturing issue or a tech transfer issue--it's all three. Yet you're looking to appease industry as your first order problem. 2/
Why did you go into government? Seriously? To show how clever you can be in splitting the difference when lives are at stake? Do the right thing. 3/
Read 6 tweets
29 Apr
A paragraph @POTUS should have added to his speech last night: "As we move towards more and more people vaccinated across this great country of ours, we have to realize that outside our borders most of the world is still waiting for a vaccine." 1/
"What we see happening in India right now should concern us all and I’ve directed our agencies to work to help the world’s largest democracy get through this crisis." 2/
"But elsewhere on the planet Russia and China are stepping up to get vaccines to countries in need. The US and our allies in Europe and elsewhere cannot let our globe’s autocracies claim the moral high ground, showing more generosity than we are at the moment." 3/
Read 9 tweets
27 Apr
You know @JamesCarville fake populist schtick is getting on my nerves. He's been living high on the hog since 1992 and likes to pretend he's still a tribune of the common man. Like Ted Cruz. Or Josh Hawley. 1/
So he goes after faculty lounge politics (elite-bashing) and wokeness (which is just straight-up good old boy race-baiting). It's GOP-adjacent, I'll translate for him: he's doing the right's work on race and class for them. He's no friend to anyone who cares about justice. 2/
Girlfriend, you're history and you're toxic. You sold out old school Democratic values for a quick win in 92, with the can't beat-em-join-em reaction to the Reagan era. 3/
Read 5 tweets
26 Apr
Let's be clear. I support @POTUS and think he's done a good job thus far as president, EXCEPT on global #COVID19 vaccine access. 1/
We have several potent, safe vaccines against #SARSCoV2 now. It's really miraculous. Didn't think we'd be here with these choices now. But for billions around the world, these miracles are just something to read about. They will not get vaccinated anytime soon. 2/
What we have here in market failure. Straight up. Americans invested in these vaccines, directly through last year's billions of dollars to the companies, the support over the years to the research at NIH that made them possible. 3/
Read 13 tweets
17 Apr
@WesPegden @orinmoore So, Wes, denialism is a broader concept, discussed here: "There is an overwhelming consensus on the evidence among scientists yet there are also vocal commentators who reject this consensus, convincing many of the public, and often the media too..." 1/…
@WesPegden @orinmoore "...that the consensus is not based on ‘sound science’ or denying that there is a consensus by exhibiting individual dissenting voices as the ultimate authorities on the topic in question." 2/
@WesPegden @orinmoore "Their goal is to convince that there are sufficient grounds to reject the case for taking action to tackle threats to health." 3/
Read 19 tweets
16 Apr
.@WVGovernor, @EricJTarr4WV, @MooreCapitoWV, @claymarsh, @AyneAmjad. #WestVirginia just ignored #WestVirginia's own health advice. Here is a statement from the West Virginia Department of Health and Human Resources from a few years ago. 1/…
"Data collected by the West Virginia Health Statistics Center showed that West Virginia ranked #1 in drug overdose deaths in 2015, with a rate of 41.5 deaths per 100,000 people. Deaths attributed to opioids, namely heroin and fentanyl, are on the rise in the state." 2/
"Additionally, West Virginia currently ranks #1 in the country in incidence of acute hepatitis B and hepatitis C." 3/
Read 10 tweets
15 Apr
So, @WVGovernor @claymarsh @AyneAmjad @EricJTarr4WV have blood on their hands. Syringe exchange works. It prevents HIV transmission. It does not increase drug use or crime. That's the evidence. 1/
I mean really, what the fuck? #WestVirginia is in the midst of an opioid and HIV epidemic and these bozos decide that gutting harm reduction in the state is their go-to strategy. It's inexcusable nonsense. 2/
And @WVGovernor @claymarsh @AyneAmjad @EricJTarr4WV are ready to flush millions of dollars down the toilet. The costs of HIV, HCV treatment alone mount into the millions. This is on them. Every cent. Every dollar. Every death. 3/…
Read 7 tweets
11 Apr
.@DouthatNYT: in my youth, I was part of a Catholic evangelical group. But the homophobia, sexism, racism among its leaders shocked me. I walked away, never came back. This kind of pious hatred became policy for some denominations in the 80s, 90s. 1/…
So who walked away from whom? Preach homophobia from the pulpit, tell women they can't make reproductive choices on their own, support policies that hurt rather than help people through the @GOP and you have box-office poison. Who wants to be scorned as a matter of faith? 2/
If there is any spiritual stirring in my soul at this point it's people like @RevDrBarber and @RedLetterXians who point the way, not the noxious variety of American Christianity that has been in ascendancy for 3 decades now. 3/
Read 5 tweets
8 Apr
There are heroic people in #WestVirginia who are fighting to keep the state from more HIV and HCV infections, endocarditis, from more overdoses, sickness and death, but let's be clear @EricJTarr4WV is a public health menace. This bill will destroy needle exchange in the state. 1/
Watered down by @MooreCapitoWV Judiciary Committee, the bill going for full passage now hobbles syringe exchange in the state, making it supremely difficult to do the hard work of HIV prevention and harm reduction. 2/
Let's be 100% clear. @EricJTarr4WV has not a shred of scientific evidence to support his opposition to syringe exchange programs (SEPs). They prevent HIV. They do not promote drug use or increase crime. Full stop. Stop the bullshit. 3/
Read 11 tweets
6 Apr
Dear @BenSalango, In a recent economic analysis, the cost of treating the 35 new HIV cases related to intravenous drug use (IDU) in Kanawha County in 2020 is expected to run nearly $17 million. 1/
The cost of providing curative treatment for the 635 cases of chronic hepatitis C (HCV) associated with IDU in 2019 in Kanawha County is likely to be as much as $44.5 million. 2/
As you plan to effectively neuter harm reduction in Kanawha County, you must face the fact that you will add to these millions by your one single act. 3/
Read 7 tweets
3 Apr
@samhorwich @ezraklein I was first relieved that there at least was some pushback in the piece and it wasn’t 100% libertarian BS. But after a re-read realized it was a capitulation out of ignorance letting a purely ideological view of the regulatory state drive the narrative. 1/
@samhorwich @ezraklein The main tell here? People like Alex will always say less regulation as the answer to every question. Anyone who knows FDA, the history and politics, will realize the agency has drifted towards appeasement of its critics since the 1980s. I should know. I was one of them. 2/
@samhorwich @ezraklein Did FDA make mistakes over the past year? Surely, but in the larger context, these missteps (and even the agency’s better decision) are now being pitched by Goldwater Institute and others that it‘s now time for guess-what? More deregulation. Ezra walked straight into it. 3/
Read 27 tweets
1 Apr
Last note to @ATabarrok & @ezraklein. We got lucky w/ vaccines. Many other decisions @US_FDA are made at margins & the push from libertarian right to further weaken the approval process serves no one. We know less & less about what we put in our bodies, pay more & more for it. 1/
We just don't "figure it out later." As @VPrasadMDMPH, @jsross119, @akesselheim have noted evidentiary basis for drugs, etc. is getting weaker. There are opportunity costs, real human dangers about letting ineffective, poorly tested agents out on market. 2/
No one was going to suggest delaying vaccine EUAs w/ the data we saw emerge. Frankly, the process worked. It almost failed w/ hydroxychloroquine because of political pressure, notion that there were few downsides to putting the drug out there for a new indication w/o evidence. 3/
Read 8 tweets
1 Apr
Our roads & bridges are crumbling. Our transportation network: a joke. I've seen better airports in countries the size of Utah. @POTUS isn't betting on big government as @SangerNYT says. 1/…
This framing makes it partisan, as if the key question is how big would you like your government? I'd like a 21st century nation please. With basic infrastructure up to code. Write that article. 2/
I mean for god's sake, the Mies-Van-Der-Rohe less-is-more minimalist ideology of government has ruined us. Infrastructure crumbling, public health so weak, education sub-par, inequality so deep. This is not a sign of a healthy nation. 3/
Read 13 tweets
26 Mar
So there are some ghouls on Twitter crowing that "other" states are seeing increases in #COVID19 cases this week, some substantial. The implication is look how good we're doing, compared to those "other" states. 1/
It doesn't matter who is doing it. We should not be heralding the deaths of fellow Americans as if this is some contest. 2/
Some aspects of what has happened are predictable, some are not, but to look at the differences in COVID19 rates right now and use it as a political cudgel to undermine our national response, sound public health practice is gruesome. 3/
Read 7 tweets
22 Mar
I am sympathetic to this case & know some of the authors here, but frankly people from around the world have been saying this for months now. It's largely been coming from the global South, not asking for handouts but transfer of know-how. Great to have these people on board. 1/
But let's not obscure the fact the delays in American leaders speaking out like this has cost lives. We could have had a global plan for scale-up, not a solely domestic one from the start. 2/
Now let's get down to business. @POTUS needs to tell the companies that the USG will underwrite tech transfer, scale-up of production, mobilization of precursor commodities and chemicals, now, today, not this summer. 3/
Read 13 tweets
20 Mar
.@GovRonDeSantis is a @Yale and @Harvard grad. He knows exactly what he's doing in embracing quackery & pseudo-science. It is a calculated, cynical, political move. 1/
It's an embrace of anti-scientific thinking because he thinks this is the way to power. This is his only rationale, his only desire. 2/
This man is dangerous. He would do anything to advance his career. He belongs no where near the Florida Governor's mansion, let alone the White House. He is emerging as a worse, even more scary version of Trump. 3/
Read 6 tweets
19 Mar
No @GovRonDeSantis. You got lucky. And now you're dancing on the graves of the dead. Why don't you go visit the relatives of the 32,000 dead in your state? Those among the 2M infected who will live with long-term effects of #COVID19. 1/
You miserable fuck. Never let a crisis go to waste. You see a way to profiteer from the pandemic for your political future and you're all in. 2/
Sound public health measures still apply. Widen out the lens & you'll see overall, some countries went all-in w/ containing #COVID19 in Oceania/East Asia, while many in the Western Hemisphere & Europe couldn't get it together to do that. Result? They fared better than we did. 3/
Read 11 tweets
18 Mar
.@adamcancryn: it's not just about opioids. It's about Exondys 51, Avandia, Plan B, and much much more. Woodcock is a classic case of regulatory capture. We deserve better. via @politico
Pharma & the patient groups on their payroll think the FDA is "theirs," with speedy approval the main goal, not the public health. They think this is "their pick," it's their sandbox. It's time for a change. Not someone who has been part of the biggest missteps in recent history.
Four cancer drugs had their indications voluntarily withdrawn over past few months. FDA is meeting to discuss further withdrawals due to lack of clinical evidence. They're feeling the heat, but what we're seeing is tip of the iceberg. Patients need access AND answers.
Read 6 tweets