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Amesh Adalja

@ameshaa.bsky.social
986 followers 127 following 13K posts

Infectious Disease • Critical Care • EM Physician Independent voice on outbreaks, biosecurity & biothreat preparedness Pittsburgh • NYC Ameshadalja.com

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Amesh Adalja @ameshaa.bsky.social · 6m
“That’s what I don’t know: Are we seeing just an overreaction, not taking any chances, or have there been more cases than the index case?” www.healthbeat.org/2026/10/06/r...
healthbeat.org
Russia says lab worker didn’t die of plague. WHO, U.S. experts want to know what killed her.
The country’s anti-plague institutes have played an important role in preventing outbreaks and also have a history of supporting Soviet bioweapons programs, a biodefense expert says.
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Amesh Adalja @ameshaa.bsky.social · 8m
“The Russian authorities said on Wednesday that a researcher at a Siberian anti-plague institute who died from a mysterious pneumonia had been vaccinated against the pathogens she worked with and that no “emergency situations” had occurred at the lab.” www.nytimes.com/2026/10/07/w...
nytimes.com
Russia Says It Found No ‘Emergency’ in Plague Lab
New information around the death of a lab worker, including a statement that she had been vaccinated against the plague, came as U.S. officials demanded more data.
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Amesh Adalja @ameshaa.bsky.social · 16m
“Detection of 12% of cases in pulmonary samples supports the presumed respiratory route of infection,” www.cidrap.umn.edu/fungal-infec...
cidrap.umn.edu
Infections with little-understood deadly fungus jumped 4-fold in US from 2023 to 2025
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Amesh Adalja @ameshaa.bsky.social · 17m
“These purported benefits have no evidence base and do not outweigh the risks of unpasteurized milk consumption,” www.cidrap.umn.edu/foodborne-di...
cidrap.umn.edu
Raw milk poses serious infection risks with no added health benefits, pediatrician group warns
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Amesh Adalja @ameshaa.bsky.social · 1h
“The scientists identified a vulnerable piece of the recurring malaria parasite P. vivax, advancing efforts to develop a vaccine against relapse-causing infections.” www.wusf.org/health-news-...
wusf.org
USF researchers pursue vaccine against recurring malaria parasite
The scientists identified a vulnerable piece of the recurring malaria parasite P. vivax, advancing efforts to develop a vaccine against relapse-causing infections.
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Amesh Adalja @ameshaa.bsky.social · 1h
“surprising finding: participants who received the combination experienced fewer TEAEs and systemic adverse events than those who received the vaccine alone” www.pharmacytimes.com/view/phase-3...
pharmacytimes.com
Phase 3 Trial Finds Adding Monoclonal Antibody to mRNA Vaccine Improves COVID-19 Immunization Tolerability | Pharmacy Times
Michael Mina, MD, PhD, discusses phase 3 LIBERTY study data showing that the monoclonal antibody VYD2311, alone or combined with an mRNA COVID-19 vaccine, was associated with fewer adverse events than...
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Amesh Adalja @ameshaa.bsky.social · 1h
“new technique known as violet-blue photodynamic inactivation (VB-PDI) against 64 different strains of Campylobacter, which is found in around three quarters of all raw chicken sold in the UK. Every single strain was killed by the treatment, regardless of species or antibiotic resistance profile”
eurekalert.org
Blue light could cut food poisoning from raw chicken
A low-power blue light could be the key to significantly reducing food poisoning caused by raw chicken, scientists at the University of Reading have found. The technique is a viable alternative to chl...
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Amesh Adalja @ameshaa.bsky.social · 2h
“Public health serves us best when we can trust the CDC is counting what happened, not deciding to count what Secretary Kennedy prefers to have happened.” www.courant.com/2026/10/07/o...
courant.com
Opinion: Measles and death. Denialism at the CDC
Public health serves us best when we can trust the CDC is counting what happened, not deciding to count what Secretary Kennedy prefers to have happened.
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Amesh Adalja @ameshaa.bsky.social · 2h
“We don’t know anything about anything right now.” www.wired.com/story/what-w...
wired.com
You Probably Aren’t Going to Get the Plague
The death of a lab worker in Russia has authorities looking at whether plague played a role. Even if it did, though, the odds of it spreading are very low.
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Amesh Adalja @ameshaa.bsky.social · 2h
“Maryland looks good compared to a lot of states, but there are some of these pockets and gaps that are more concerning” www.thebanner.com/education/k-...
thebanner.com
These 248 Maryland schools are most vulnerable to measles outbreaks
Infectious-diseases experts say vaccination rates at some schools are concerning as Maryland sets a modern record for cases amid a wave of national outbreaks.
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Amesh Adalja @ameshaa.bsky.social · 2h
“Flu in the United States traditionally starts in the South and Southeast, and then sort of migrates up and then west,” www.huffpost.com/entry/early-...
huffpost.com
Doctors Are Warning About An ‘Unusual’ Flu Surge Happening Right Now
After a rough flu season in 2025-2026, experts have thoughts about the upcoming one.
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Amesh Adalja @ameshaa.bsky.social · 2h
“A Russian journalist named Pavel Stepanov wrote on his Telegram channel that the technician had accidentally broken a vial before she got sick. “The problem is that she concealed the incident,” he wrote” www.science.org/content/arti...
science.org
Possible plague death at a Siberian lab baffles scientists
Much is unclear about the tragedy, but plague researchers say there is “zero” chance of an epidemic
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Amesh Adalja @ameshaa.bsky.social · 2h
“In response to Trump’s offers of assistance, Rospotrebnadzor offered to aid the U.S. with its own domestic health challenges, citing rising measles cases and a “fatal case of plague” recorded in New Mexico in June.” www.themoscowtimes.com/2026/10/07/u...
themoscowtimes.com
U.S. Embassy Urges Citizens to Leave Russia Over Siberian Plague Suspicions - The Moscow Times
The U.S.
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Amesh Adalja @ameshaa.bsky.social · 2h
“The WHO chief also said the global health body has sought details on “reports of a second employee with pneumonia of undetermined cause,” www.forbes.com/sites/siladi...
forbes.com
Russian Plague Scare: WHO Asks About Reported Second Illness Ahead Of Trump-Putin Call
President Donald Trump said he has a call scheduled with Russian counterpart Vladimir Putin “very soon” amid reported U.S. frustration over lack of details from Moscow.
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Amesh Adalja @ameshaa.bsky.social · 2h
“Flight crews are not expected to diagnose diseases, but they may conduct what’s known as passive surveillance of passengers for signs of illness” www.washingtonpost.com/health/2026/...
washingtonpost.com
How airlines could help contain Russian plague using lessons from past outbreaks
SARS, Ebola and covid highlighted role of plane travel in spreading — and tracking — outbreaks.
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Amesh Adalja @ameshaa.bsky.social · 2h
“Alex Greninger, a virologist at the University of Washington in Seattle, says that his laboratory detected G155E in 13 of 17 H1N1 samples taken from people..The samples had come from hospitals and clinics in Seattle over the past few months” www.nature.com/articles/d41...
nature.com
Flu season could kick off ‘incredibly’ early — what scientists are watching
Cases in the Northern Hemisphere are cropping up weeks early, and they are dominated by a virus with a concerning mutation.
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Amesh Adalja @ameshaa.bsky.social · 2h
Quoted on the Irkutsk lab worker's death. Plague is treatable and spreads poorly, and an anti-plague institute has antibiotic protocols for exposures. A quarantined hospital, 200 monitored contacts, and the national health chief flying in don't match that. Russia needs to say what this was.
today.com
Could the Suspected Pneumonic Plague Case in Russia Lead to an Outbreak? Experts Weigh in
A Russian lab worker’s mysterious death of suspected pneumonic plague has led to quarantines and global alarm. Here’s what health experts want you to know.
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Amesh Adalja @ameshaa.bsky.social · 6h
“HIV prevention services fell by about one-third to almost two-thirds, and use of PrEP dropped by as much as 72%, while testing fell by as much as 64%. Treatment was also hit, with antiretroviral therapy dropping 22% to 32%” www.bloomberg.com/news/article...
bloomberg.com
US Aid Cuts Drove Sharp HIV Service Drops in Africa, Study Finds
US funding cuts caused sharp and lasting declines in HIV prevention, testing and treatment services at organizations serving some of the people most vulnerable to the virus in Uganda and Zimbabwe, acc...
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Amesh Adalja @ameshaa.bsky.social · 6h
"With all four dengue serotypes now circulating in ⁠Bangladesh, we are considering conducting vaccine trials in the country," www.reuters.com/business/hea...
reuters.com
Bangladesh considers dengue vaccine trials as outbreak worsens
Bangladesh is considering carrying out clinical trials of a vaccine against dengue fever after thousands of patients have been ​hospitalised with the disease and hundreds have died, a ‌minister said o...
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Amesh Adalja @ameshaa.bsky.social · 6h
“Kenya's health ministry director-general, Patrick Amoth, said the patient may have passed through airport screening because medication had masked his symptoms. Uganda's health ministry said screening teams observed he had a normal temperature at Entebbe airport” www.reuters.com/business/hea...
reuters.com
Kenya confirms first Ebola case after man who travelled from Congo dies
Kenya confirmed its first Ebola case on Tuesday after a Kenyan citizen who had travelled from Democratic Republic ‌of Congo died in Nairobi.
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Amesh Adalja @ameshaa.bsky.social · 7h
“A formal message from the United States — known as a démarche in diplomatic lingo —seeks to remind Russia that it has obligations under international law to share information about disease outbreaks with other governments in a timely manner” www.washingtonpost.com/national-sec...
washingtonpost.com
U.S. raises pressure on Russia for information on plague death
The State Department is pushing Moscow for details about the potential leak of pneumonic plague in Siberia.
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Amesh Adalja @ameshaa.bsky.social · 7h
“Russia’s Central Asian neighbors — including Kazakhstan, Kyrgyzstan, Uzbekistan and Tajikistan — have implemented closer border checks on people on entering their countries in response to the death.” thehill.com/policy/healt...
thehill.com
Plague in Russia sparks concern, COVID-19 pandemic memories: 5 things to know
The death of Russian lab technician researching the plague has set off alarms abroad and at home as observers note resemblances to the conditions that some theorized preceded the COVID-19 pandemic.…
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Amesh Adalja @ameshaa.bsky.social · 7h
“Asked what the U.S. intelligence community was saying about the case, Trump said the U.S. is in “very deep discussions” on the topic.” www.post-gazette.com/news/world/2...
post-gazette.com
Trump says he has call scheduled with Putin to discuss possible case of pneumonic plague in Russia
WASHINGTON — President Donald Trump on Tuesday said he has a call scheduled with Russian President Vladimir Putin to discuss a possible case of plague...
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Amesh Adalja @ameshaa.bsky.social · 7h
“Based on available data, laboratory test results, and health status, medical monitoring for 100% of the contacts has now been concluded” — but why were the monitored and for what symptoms? triblive.com/news/world/h...
triblive.com
How Russia and the world are responding to a possible case of pneumonic plague after lab worker dies
GENEVA — The World Health Organization says a possible case of pneumonic plague in Russia presents a “very low” risk outside the country as investigators look into what caused the de...
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Amesh Adalja @ameshaa.bsky.social · 7h
“That history gives us good reason to ask questions about what is happening now. The appropriate response is neither panic nor blind reassurance, but a clear demand for transparency and data.” www.statnews.com/2026/10/06/r...
statnews.com
Infectious disease expert: The mysterious pneumonia in Russia deserves attention, not panic
Chill out about reports about plague in Siberia, writes infectious disease doctor Krutika Kuppalli.
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Amesh Adalja @ameshaa.bsky.social · 7h
NIH now says biodefense is outside its mission and is routing countermeasure funds through DoD. Moving the money does not move NIAID's civilian, public-facing orientation with it which DoD might not have. That is the gap to watch. Quoted in The Scientist: www.the-scientist.com/niaid-moves-...
the-scientist.com
NIAID Moves Away from Biodefense; Experts are Worried. | The Scientist
The National Institute of Allergy and Infectious Diseases’s strategic plan for 2026–2030 also omitted emerging infectious diseases and pandemic preparedness.
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Amesh Adalja @ameshaa.bsky.social · 8h
Measles lingers in the air. An infected person leaves a room, and someone walking in an hour later can still catch it. That is why a Target exposure matters. Allegheny County now has its first resident case of 2026. My comments to WTAE: youtu.be/brrn0Fj3i8M?...
youtu.be
Measles case confirmed in Allegheny County with possible exposure at McCandless Target
YouTube video by WTAE-TV Pittsburgh
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Amesh Adalja @ameshaa.bsky.social · 8h
Russia's response to the Irkutsk lab death (closed hospitals, hazmat suits, its CDC chief flying in) is out of scale for plague, which antibiotics treat. It fits a pneumonia from something less familiar. Some Soviet anti-plague institutes worked on far more than plague. Quoted In Newsweek
newsweek.com
US travel warning remains as Russia plague death questions grow
The episode has attracted international attention because initial media reports linked the laboratory worker’s death to pneumonic plague.
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Amesh Adalja @ameshaa.bsky.social · 17h
Update on the Siberian Pneumonia Death (10/6/2026)
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Amesh Adalja @ameshaa.bsky.social · 20h
“The pandemic should have been a lesson in how important biosecurity really is. Instead, we’re unlearning its lessons in less than a decade. The Russian plague incident could be an essential wake-up call” apple.news/AC-KRyRSaSqG...
apple.news
The real reason the Russia plague case should scare you — Vox
A woman’s death last week near a Russian facility studying the plague immediately put the world on alert. This is the plague, after all, responsible for the deaths of some half of the humans in Europe...
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Amesh Adalja @ameshaa.bsky.social · 21h
Quoted in The Atlantic on the Russian "plague" case. A 200-person watch list doesn't fit how pneumonic plague spreads. A real lab exposure means immediate antibiotics, and none have been reported. Russia's opacity is driving the speculation www.theatlantic.com/health/2026/...
theatlantic.com
What We Really Know About the Russian ‘Plague’ Case
Even though many questions remain unanswered, the death probably isn’t cause for panic.
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Amesh Adalja @ameshaa.bsky.social · 22h
“CDC offices in Angola and South Sudan were shuttered last week, and the Zimbabwe office is slated to close at the end of the year, with a dozen other foreign offices expected to follow suit in the coming years” www.cidrap.umn.edu/anti-science...
cidrap.umn.edu
Some CDC foreign offices shutting their doors as US implements ‘America First’ policy
Offices in Angola and South Sudan closed last week, with the Zimbabwe office and others not far behind.
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Amesh Adalja @ameshaa.bsky.social · 23h
“But more recently Russia has maintained secrecy around its military biological-research facilities. Satellite imagery of one such site outside Moscow indicates significant expansion since Russia invaded Ukraine in 2022.” apple.news/A7W1DGOw9THW...
apple.news
The plague may have escaped from a lab in Siberia — The Economist
Russian secrecy means it unclear how grave the threat is
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Amesh Adalja @ameshaa.bsky.social · 23h
“Mosquito Management crews are increasing treatments by air and ground because the County's mosquito surveillance in many neighborhoods is showing dengue virus activity in the mosquito population” www.cidrap.umn.edu/dengue/tampa...
cidrap.umn.edu
Tampa woman dies from dengue as Florida fights surge of cases
Florida has tracked more than 250 locally acquired dengue cases this year.
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Amesh Adalja @ameshaa.bsky.social · 23h
“Officials said 28 contacts in Kenya are being observed, and are seeking 23 passengers and four crew members from the patient’s flight. It is not clear how the man traveled from DRC to Uganda, as Uganda has closed its borders to the neighboring country since May.” www.cidrap.umn.edu/ebola/kenya-...
cidrap.umn.edu
Kenya reports its first Ebola case, in man who died after arriving from DR Congo
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Amesh Adalja @ameshaa.bsky.social · 23h
“One particular bacterial species that appeared to benefit from the reduced bacterial diversity was Enterococcus faecium, an opportunistic pathogen that is a leading cause of hospital-associated infections” www.cidrap.umn.edu/antimicrobia...
cidrap.umn.edu
Study suggests sugar-rich foods amplify antibiotic disruption of the gut microbiome
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Amesh Adalja @ameshaa.bsky.social · 06/10/2026
In this TV interview I discuss the outstanding questions relating to the pneumonia case in Russia. It does not appear to be plague, which seem to me obvious from how they were reacting. www.cbsnews.com/video/what-w...
cbsnews.com
What we know about the apparent plague death in Russia
A 28-year-old scientist died in Russia after apparently being exposed to a pneumonic plague strain in a biological laboratory setting. Dr. Amesh Adalja explains more.
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Amesh Adalja @ameshaa.bsky.social · 06/10/2026
“A news release said Montana has recorded four other pediatric deaths since 2012 due to the invasive H. influenzae, but none of those were identified as type b.” dailymontanan.com/2026/10/05/c...
dailymontanan.com
Child dies from bacterial infection, state health department reports • Daily Montanan
A child died last month from complications of the invasive Haemophilus influenzae type b (Hib) infection, DPHHS said.
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Amesh Adalja @ameshaa.bsky.social · 06/10/2026
“One component of the bacterial immune system is the cyclic oligonucleotide–based antiphage signaling systems (CBASS) which lead to a “last resort” immune response that kills the bacterium before viruses can spread to neighbors” www.genengnews.com/topics/infec...
genengnews.com
Phage Proteases Trigger a Conserved Bacterial Antiviral Defense Pathway
Researchers have uncovered how phage proteases activate CBASS antiphage immunity, revealing a novel bacterial virus-sensing mechanism.
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Amesh Adalja @ameshaa.bsky.social · 06/10/2026
"It's really critical to get the diagnosis right. There are conflicting stories around it” www.axios.com/2026/10/06/m...
axios.com
Missing details keep U.S. plague response on hold
We still don't know which pathogen killed a Russian researcher, or how well contained it is.
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Amesh Adalja @ameshaa.bsky.social · 06/10/2026
In this television interview, I discuss the threat of biological weapons and how this aspect of the pneumonia story in Russia merits a lot more attention given their history of offensive bioweapons research www.foxnews.com/video/640632...
foxnews.com
Trump on mysterious death at Russian anti-plague lab: Plague is a 'rough disease' | Fox News Video
Fox News host Will Cain investigates a mysterious death at a Russian anti-plague lab on 'The Will Cain Show.'
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Amesh Adalja @ameshaa.bsky.social · 06/10/2026
“his biggest surprise was how many severe cases he was seeing in previously healthy individuals, and how many involved non-respiratory symptoms. Some patients had vomiting and diarrhea and were found to have.. hepatitis…encephalitis” www.washingtonpost.com/opinions/202...
washingtonpost.com
Opinion | Pennsylvania’s measles outbreak is worse than the numbers suggest
What doctors on the front lines are seeing should serve as a warning to other states.
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Amesh Adalja @ameshaa.bsky.social · 06/10/2026
“Who’s going to pick up the phone if there’s a Marburg outbreak and the Zimbabwe office has closed?” www.politico.com/news/2026/10...
politico.com
America’s disease detectives overseas are starting to close up shop
The State Department’s new approach to foreign aid is changing the way the Centers for Disease Control and Prevention works abroad.
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Amesh Adalja @ameshaa.bsky.social · 06/10/2026
“the patient had been living in Congo for the past seven years and fell ill about a month ago. He was treated at various hospitals before traveling by road to Kampala, where he boarded a flight to Nairobi” apnews.com/article/keny...
apnews.com
Kenya confirms first Ebola case after traveler from Congo dies in Nairobi
Kenyan authorities on Tuesday confirmed the country’s first imported Ebola case from Congo. It is the latest country hit by the fast-moving outbreak of the disease that aid workers say is spreading li...
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Amesh Adalja @ameshaa.bsky.social · 06/10/2026
“Moscow, which is required under global health rules to respond to WHO requests within 24 hours, previously told the WHO authorities were investigating whether pneumonic plague caused her death” www.reuters.com/business/hea...
reuters.com
Russia tells WHO there are no plague cases in Siberian city
Russian authorities told the World Health ​Organization on Tuesday that it has no cases ‌of plague in the city of Irkutsk in Siberia, where a laboratory worker at a plague research institute died last...
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Amesh Adalja @ameshaa.bsky.social · 06/10/2026
In this TV interview I discuss the measles trajectory in Pennsylvania. I anticipate all counties in the state will be impacted by the virus and should prepare proactively www.wpxi.com/news/local/a...
wpxi.com
Allegheny County resident tests positive for measles; shoppers at local Target may have been exposed
Officials say the resident is under 18 years old and is unvaccinated. They are recovering at home.
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Amesh Adalja @ameshaa.bsky.social · 06/10/2026
“The man, a Kenyan citizen who had lived in Congo for seven years, became ill a month ago and had been treated at hospitals in Congo” www.nytimes.com/2026/10/06/w...
nytimes.com
Kenya Records Ebola Case for First Time
The authorities said that the virus had been diagnosed in a man arriving from the Democratic Republic of Congo and that they were taking measures to prevent any spread.
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Amesh Adalja @ameshaa.bsky.social · 06/10/2026
"Until and unless certified international labs get a sample of the virus or bacteria that is causing the outbreak, there's not likely to be significant trust in what local and even federal authorities in Russia are saying," www.cbsnews.com/boston/news/...
cbsnews.com
What is pneumonic plague? Boston doctor says it does not have the same pandemic potential as COVID-19
The U.S. government is monitoring reports that a laboratory worker in Russia died​ from the pneumonic plague.
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Amesh Adalja @ameshaa.bsky.social · 06/10/2026
“A forensic pathologist excluded vaccines as the cause of death. ‘This is not a vaccine case’” www.nytimes.com/2026/09/30/w...
nytimes.com
She Says Vaccines Killed Her Twins. The Authorities Say She Did.
In a small Idaho town, a young mother is accused of killing her young twins. She blames the childhood vaccines they received.
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Amesh Adalja @ameshaa.bsky.social · 06/10/2026
“Myocarditis or pericarditis was exceedingly rare for RSVpreF” www.thecardiologyadvisor.com/news/rsvpref...
thecardiologyadvisor.com
RSVpreF Vaccine Does Not Increase Myocarditis Risk
The respiratory syncytial virus prefusion F protein-based vaccine does not increase the risk for severe myocarditis or pericarditis in adults.
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