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Janeen Madan Keller

@jmadankeller.bsky.social
169 followers 120 following 25 posts

Policy Fellow & Deputy Director @CGDev.org All things global health & development economics. Washington DC via Mumbai. Views my own.

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Janeen Madan Keller @jmadankeller.bsky.social · 06/02/2026
📣 New @cgdev.org Tough Times, Tough Choices brief The #GlobalFund faces shrinking donor support and increasing demands for reform. Read our recommendations on how the Fund can meet the moment: www.cgdev.org/publication/... with @rachelbonnifield.bsky.social & @peterbaker17.bsky.social
cgdev.org
A Radically Simplified Global Fund to Meet the Moment
This brief—the latest in our Tough Times, Tough Choices series—examines the Global Fund’s current approach to resource allocation and the implications of those choices in today’s funding environment. ...
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Janeen Madan Keller @jmadankeller.bsky.social · 18/12/2025
New @cgdev.org blog w Jocilyn Estes on the US bilateral GH compacts There's a lot we still don't know... and the risks of operationalizing a reconfigured approach (even if long overdue) at unprecedented speed & scale are real--with lives & public health gains at stake www.cgdev.org/blog/what-we...
cgdev.org
What We Know—and Don’t Know—About the Trump Administration’s Global Health Agreements
The State Department has announced an initial set of bilateral health cooperation agreements, signing eight memorandums of understanding (MOUs) with governments in sub-Saharan Africa. These compacts a...
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Center for Global Development @cgdev.org · 09/12/2025
Child mortality is expected to rise to 4.8m deaths in 2025, an increase of 200,000 preventable deaths compared to 2024. Read @jmadankeller.bsky.social and Rosie Eldridge’s recap of Gavi’s pledging summit in a CNN article on increased child deaths due to aid cuts: go.cgdev.org/3XHIuny
go.cgdev.org
Child deaths projected to rise for first time this century, as aid cuts reverse decades of progress | CNN
The number of children who die before age 5 is expected to rise for the first time this century, amid sweeping cuts to global health funding by high-income countries, according to a new report from th...
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Janeen Madan Keller @jmadankeller.bsky.social · 14/11/2025
New @cgdev.org piece w @rachelbonnifield.bsky.social on charting PEPFAR’s next chapter We propose a three-track framework, w some ideas on how to operationalize this evolution, with a healthy dose of caution on need for a prudent approach to safeguard PEPFAR's legacy
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Janeen Madan Keller @jmadankeller.bsky.social · 13/11/2025
📣Excited to share new @cgdev.org research w co-conspirators @clemencelanders.bsky.social & Rowan Rockafellow exploring an alternative funding path for the Global Fund in a shrinking aid landscape Full disclosure, it's a bit wonky🤓 so hang on for the ride Summary blog: www.cgdev.org/blog/weather...
cgdev.org
Weathering the Donor Downturn: The Case for a New Financial Model for the Global Fund
The Global Fund is heading into its replenishment with a lofty fundraising goal: $18 billion for the next three years (2026–2028). But in today’s world of shrinking aid budgets, that target might alre...
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Janeen Madan Keller @jmadankeller.bsky.social · 11/11/2025
ICYMI: New @cgdev.org‬ blog with Witold Więcek on a high-impact opportunity in global health that's especially relevant amid budget constraints: optimizing vaccine regimens & doses Thanks to Alex Tabarrok for coverage in @marginalrev.blogsky.venki.dev marginalrevolution.com/marginalrevo...
marginalrevolution.com
More From Less: Optimizing Vaccine Doses - Marginal REVOLUTION
During COVID, I argued strongly that we should cut the Moderna dose in order to expand supply. In a paper co-authored with Witold Więcek, Michael Kremer and others, we showed that a half dose of Moder...
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Center for Global Development @cgdev.org · 29/10/2025
Tomorrow! Dr. Seth Berkley joins @rglenner.bsky.social to discuss his new book, Fair Doses: An Insider’s Story of the Pandemic and the Global Fight for Vaccine Equity. They’ll unpack the science & lessons from the global vaccine effort. There's still time to RSVP! ⬇️ go.cgdev.org/4qtZdb7
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Charles Kenny @charlesjkenny.bsky.social · 24/10/2025
The World Bank Group is planning to reorganize its research functions. The results could be even uglier than the powerpoint: an end to independent research at the institution and conflicts of interest all over... New blog with @eeshani.bsky.social, link in reply.
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Janeen Madan Keller @jmadankeller.bsky.social · 15/10/2025
Tmw/Thursday: Don't miss this stellar #AnnualMeetings @cgdev.org panel on solutions to the GH financing crisis @sanianishtar.bsky.social @gavi.org @jarottingen.bsky.social @wellcometrust.bsky.social Mamta Murthi World Bank Hitoshi Hirata JICA & @rglenner.bsky.social www.cgdev.org/event/sustai...
cgdev.org
Sustainable Solutions to the Global Health Financing Crisis
This event brings together leading experts and policymakers to explore feasible solutions to the current global health financing crisis. The discussion will center on how major global health and devel...
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Rachel Glennerster @rglenner.bsky.social · 09/10/2025
@cgdev.org is hosting a lineup of thought-provoking events during the IMF & World Bank Annual Meetings. We hope to see you there! #CGDEvents #2025AnnualMeetings
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Center for Global Development @cgdev.org · 22/09/2025
A new PEPFAR blueprint is taking shape. If backed by real resources, it could lay the groundwork for a sustainable transition and true country ownership. @rachelbonnifield.bsky.social & @jmadankeller.bsky.social unpack strategic shifts that could define PEPFAR’s next chapter: bit.ly/3Kvx7eT
bit.ly
PEPFAR’s Next Chapter: From the Ashes, a Path for Constructive US Global Health Engagement?
A new PEPFAR blueprint is beginning to take shape, offering a surprisingly strong foundation for a constructive path forward. If backed by real resources and well implemented, it could lay the groundw...
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Our World in Data @ourworldindata.org · 18/08/2025
Vaccines are one of the most powerful tools in public health. They have saved hundreds of millions of lives by preventing deadly diseases like measles, polio, and smallpox. Before vaccines, these infections were common; surviving them often meant facing severe complications or lifelong disability.
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The New York Times @nytimes.com · 17/08/2025
USAID funded roughly half the world’s supply of ready-to-use therapeutic food. The dismantling of the agency has disrupted the global supply chain that provides the packets, leaving thousands of malnourished children at risk of dying.
nytimes.com
A $45 Treatment Can Save a Starving Child. US Aid Cuts Have Frozen the Supply
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Our World in Data @ourworldindata.org · 28/07/2025
✍️ New article: "The world left its fight against tuberculosis unfinished — how can we complete the job?"
Bar chart showing the death rate from tuberculosis in 2021 for a selection of countries. Someone in Lesotho, the Central African Republic, or Gabon is at least 3,000 times more likely to die from TB than someone in the United States or Denmark. Data source: WHO (2024). Chart CC BY Our World in Data.
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Center for Global Development @cgdev.org · 21/07/2025
With a $2.5B shortfall, Gavi, the Vaccine Alliance, faces tough choices.💉📉 Ahead of this week’s Board meeting, @cgdev.org experts propose five ways Gavi 6.0 can stretch resources while protecting its most impactful work: bit.ly/3IyStXX
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Saloni @scientificdiscovery.dev · 21/07/2025
In February, the US gov shut down the Demographic & Health Surveys. It was the only data source on maternal & child health, births, household structure in many countries – making it crucial for research. In a new article I explain why it should be rescued. ourworldindata.org/demographic-...
Map of countries where the DHS was the only source of maternal mortality data
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Orin Levine @orinlevine.bsky.social · 18/07/2025
How do you find $2.5 B in savings when every decision has consequences for access to life-saving vaccines? With Center for Global Development colleagues, here are 2 core principles and 5 suggestions. Give it a read and let us know what you think. #gavi
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Janeen Madan Keller @jmadankeller.bsky.social · 18/07/2025
Amid a broader global health financing crisis, @gavi.org faces a $2.5B budget shortfall Read our new @cgdev.org brief on how Gavi 6.0 can take a bigger leap w @rachelbonnifield.bsky.social @peterbaker17.bsky.social @tomldrake.bsky.social & @orinlevine.bsky.social www.cgdev.org/publication/...
cgdev.org
How Gavi 6.0 Can Take a Bigger Leap
Gavi’s board and leadership must stretch scarce resources to fulfill a challenging double mandate: (1) stabilizing immunization outcomes and fiscal solvency in Gavi-eligible countries facing severe he...
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Janeen Madan Keller @jmadankeller.bsky.social · 10/07/2025
1st edition of our @cgdev.org series "Tough Times, Tough Choices" is hot off the press Facing budget cuts, we argue WHO's leadership must chart a path of retrenchment to a lean @who.int for the global good w/ @peterbaker17.bsky.social & @rachelbonnifield.bsky.social www.cgdev.org/publication/...
cgdev.org
A Lean World Health Organization for the Global Good
In this brief—the first in the Tough Times, Tough Choices series that will target the major global health and development institutions and their funders—we propose a different approach: radically stre...
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Janeen Madan Keller @jmadankeller.bsky.social · 03/07/2025
From coop to cave: Inside the high-tech hunt for #H5N1 and Disease X Great piece in the @telegraphnews.bsky.social by @sneweyy.bsky.social www.telegraph.co.uk/global-healt...
telegraph.co.uk
From coop to cave: Inside the high-tech hunt for H5N1 and Disease X
The Telegraph joined scientists in Cambodia’s vibrant wet markets and vast bat caves to test revolutionary new disease surveillance tools
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Janeen Madan Keller @jmadankeller.bsky.social · 27/06/2025
#FfD4 kicks off next week against the backdrop of aid cuts & a traffic jam of replenishments among health & other concessional funds But it's clear these funds need a major overhaul. Our new @cgdev.org blog highlights 3 action items: www.cgdev.org/blog/concess... cc: @clemencelanders.bsky.social
cgdev.org
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Janeen Madan Keller @jmadankeller.bsky.social · 26/06/2025
"It’s fair to say that humanitarianism's “Great Depression” moment has come. The sudden, almost overnight loss of US Government funding has exacerbated a reality where the majority of humanitarian needs were already unfunded. Something has to give."
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Atul Gawande @agawande.bsky.social · 25/06/2025
This is a travesty & a nightmare. The US was a founder of @gavi.org. It lowers global vaccine costs, has vaccinated 1B children, & averted 19M deaths. This pull out will cost 100s of thousands of children's lives a year - and RFK Jr will be personally responsible. www.politico.com/news/2025/06...
politico.com
RFK Jr. says US won’t donate to global vaccine effort
Kennedy ripped into Gavi, the Vaccine Alliance, in a video address at its pledging summit.
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Janeen Madan Keller @jmadankeller.bsky.social · 25/06/2025
Cutting US funding for @gavi.org which leads on global vaccination efforts is incredibly shortsighted and misguided @charlesjkenny.bsky.social & I argued why in this @cgdev.org blog 👇 www.cgdev.org/blog/why-tru...
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Center for Global Development @cgdev.org · 15/05/2025
The Trump admin's proposed solution for high US drug prices is misguided, writes @rachelbonnifield.bsky.social, @charlesjkenny.bsky.social, & @jmadankeller.bsky.social. It risks stifling drug innovation and slashing access abroad, with little benefit to US patients⬇️ www.cgdev.org/blog/market-...
cgdev.org
The Market for Prescription Drugs Is Broken. Here’s Why Trump’s Executive Order Would Make It Worse
The US pays—by far—the highest prices for on-patent prescription drugs of any country on earth. The White House just issued an executive order purporting to fix this problem. But the proposed solution...
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Rachel Bonnifield @rachelbonnifield.bsky.social · 13/05/2025
US drug prices are way too high—but the Trump EO to “fix” them would make things worse for everyone. We break down the economics of reference pricing here — and explain why it’s a bad approach for the US 👇 With @charlesjkenny.bsky.social and @jmadankeller.bsky.social www.cgdev.org/blog/market-...
cgdev.org
The Market for Prescription Drugs Is Broken. Here’s Why Trump’s Executive Order Would Make It Worse
The US pays—by far—the highest prices for on-patent prescription drugs of any country on earth. The White House just issued an executive order purporting to fix this problem. But the proposed solution...
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Janeen Madan Keller @jmadankeller.bsky.social · 13/05/2025
📣New @cgdev.org blog on the latest Trump EO to curb high drug prices We breakdown why the proposed policy prescription of "reference pricing" is misguided... with a healthy dose of econ101 🤓 w/ @charlesjkenny.bsky.social & @rachelbonnifield.bsky.social www.cgdev.org/blog/market-...
cgdev.org
The Market for Prescription Drugs Is Broken. Here’s Why Trump’s Executive Order Would Make It Worse
The US pays—by far—the highest prices for on-patent prescription drugs of any country on earth. The White House just issued an executive order purporting to fix this problem. But the proposed solution...
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Amy Maxmen, PhD @amymaxmen.bsky.social · 10/04/2025
🚨My latest: Trump's deportation tactics are undermining the bird flu response, outreach workers say. Detecting cases is key but farmworkers at highest risk - mainly immigrants - are afraid to leave home for care. @kffhealthnews.org / ABC kffhealthnews.org/news/article...
kffhealthnews.org
Trump’s Immigration Tactics Obstruct Efforts To Avert Bird Flu Pandemic, Researchers Say - KFF Health News
Preventing and detecting bird flu infections among farmworkers is a key defense against a potential pandemic. Immigration raids and threats have undermined these efforts, researchers say.
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Janeen Madan Keller @jmadankeller.bsky.social · 09/04/2025
In DC for spring meetings? Join me & @clemencelanders.bsky.social on Wed Apr 23 for a @cgdev.org event on how multilateral funds can evolve in the face of shrinking resources and growing needs RSVP ➡️ www.cgdev.org/event/how-do...
cgdev.org
How Do Multilateral Funds Survive the Donor Retreat?
Multilateral concessional funds like Gavi or the World Bank’s IDA are the largest source of development finance for the world’s poorest countries. But with shrinking donor commitments, the system need...
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Dan Diamond @ddiamond.bsky.social · 09/04/2025
A week ago, the Trump administration laid off thousands of people at HHS and its agencies. The cuts were so deep, and touched so much, we're still learning about the impacts. Here are a couple stories that have stood out to me. 1) @levfacher.bsky.social on the gutting of a pain-research office.
statnews.com
Unique pain research office eliminated in HHS purge
Pain is the most costly chronic health problem in the U.S. In latest RIFs at NIH, an entire division devoted to pain research was closed down.
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Janeen Madan Keller @jmadankeller.bsky.social · 04/04/2025
Rollout of ‘miracle’ HIV prevention drug is threatened by Trump cuts to global AIDS relief program www.statnews.com/pharmalot/20... via @statnews.com
statnews.com
Rollout of ‘miracle’ HIV prevention drug is threatened by Trump cuts to global AIDS relief program
PEPFAR had been set to lead the rollout of Gilead Science's lenacapavir, which has been hailed as a "miracle" of HIV prevention.
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Janeen Madan Keller @jmadankeller.bsky.social · 04/04/2025
Millions of women in some of the world's poorest countries will lose access to contraception as a result of Trump aid cuts -- that's bad for women's health, their communities, and for economies www.nytimes.com/2025/04/01/h...
nytimes.com
Millions of Women Will Lose Access to Contraception as a Result of Trump Aid Cuts
The United States was a key supplier of contraceptives in many developing countries. The Trump administration has ended that support.
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Markus Goldstein @markusgold.bsky.social · 28/03/2025
@jmadankeller.bsky.social & @charlesjkenny.bsky.social take a look at the consequences of the US cancelling support for GAVI. 20-500K additional deaths: www.cgdev.org/blog/why-tru...
cgdev.org
Why the Trump Administration's Plan to Cut Funding to Gavi is Shortsighted
In a list of thousands of terminated USAID awards that was sent to Congress this week is a devastating cut suggesting the Trump administration might be planning to end funding to Gavi, the global init...
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Charles Kenny @charlesjkenny.bsky.social · 15/02/2025
Survey of PEPFAR contractors Jan 24-28 suggested 36% of organizations had already shut down by that point. As of February 9, most services remained paused. Of 65 PEPFAR partners surveyed, less than 10% had restarted providing any services. www.amfar.org/wp-content/u...
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Jen Kates @jenkatesdc.bsky.social · 06/02/2025
The more detailed #PEPFAR limited waiver language is being sent to implementers. As has been noted, PrEP can only be offered to pregnant & breastfeeding women. BUT, it also says that even those already on #PrEP CANNOT continue on it. #foreignaidfreeze
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Justin Sandefur @justsand.bsky.social · 06/02/2025
Curious how many mothers and children worldwide will die from slashing USAID programs? We'll never know, because we're gonna stop counting.
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Kai Kupferschmidt @kakape.bsky.social · 06/02/2025
“USAID-backed studies have been shuttered, data streams have dried up, researchers and technical staff have been fired or put on leave, a system to predict food crises has been muzzled, and a USAID-supported global health journal has stopped reviewing manuscripts.” From our @science.org news team 🧪
science.org
'It’s tectonic:’ U.S. foreign aid freeze deals a blow to research around the globe
Dismantling of USAID could disrupt many clinical trials and wipe away U.S. “soft power” in developing countries, scientists warn
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Josh Michaud @joshmich.bsky.social · 05/02/2025
One-third of all US global health assistance, just over $4 billion per year, has been directed through USAID in recent years. Shuttering its maternal, child health, tuberculosis, malaria, HIV and other programs will have predictable, terrible, results for those served. www.kff.org/interactive/...
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Jen Kates @jenkatesdc.bsky.social · 03/02/2025
NEW: Our @kff.org explainer on Trump’s Executive Order Pausing Foreign Aid, related actions, and Implications for PEPFAR and other Global Health Programs. We walk through what has happened to date, and what is still unknown. www.kff.org/policy-watch...
kff.org
The Status of President Trump’s Pause of Foreign Aid and Implications for PEPFAR and other Global Health Programs | KFF
This policy watch provides an overview of the Trump administration's executive order to pause all foreign aid programs, including for global health, and related actions to date.
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Rachel Bonnifield @rachelbonnifield.bsky.social · 03/02/2025
To respond to viral claims from Elon Musk and others: No, 90 Percent of Aid Is Not Skimmed Off Before Reaching Target Communities Explainer with @justsand.bsky.social here: www.cgdev.org/blog/no-90-p...
cgdev.org
No, 90 Percent of Aid Is Not Skimmed Off Before Reaching Target Communities
A viral claim, spread and amplified by Elon Musk, suggests that only 10 percent of USAID money reaches its intended beneficiaries. This is a wildly incorrect and misleading interpretation of a differe...
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Janeen Madan Keller @jmadankeller.bsky.social · 02/02/2025
These are the very real, devastating, and wide-ranging consequences being felt from efforts to thwart USAID’s critical, life-saving work around the world - important reporting by @stephanienolen.bsky.social www.nytimes.com/2025/02/01/h...
nytimes.com
Health Programs Shutter Around the World After Trump Pauses Foreign Aid
Lifesaving treatment and prevention programs for tuberculosis, malaria, H.I.V. and other diseases cannot access funds to continue work.
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Rachel Bonnifield @rachelbonnifield.bsky.social · 24/01/2025
Exactly this. Reviewing foreign aid for consistency w/admin policy goals is reasonable. Many programs can absorb a 90 day pause w/o catastrophic impact. But a real stop work on bi-partisan malaria & HIV programs--delivering lifesaving medicines & bednets--quite literally means people will die.
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Charles Kenny @charlesjkenny.bsky.social · 25/01/2025
A quick look at the largest development programs listed on the foreign assistance dashboard, there are a number where a 90-day pause could significantly impact outcomes: Contributions to the Global Fund (financing prophylactics and treatments for AIDS, TB and malaria)...
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Craig Spencer MD MPH @craigspencer.bsky.social · 24/01/2025
PEPFAR is one of the most successful global health programs ever It provides HIV treatment for 20 million people And now it faces a funding delay of up to 6 months Without access to treatment, HIV can rebound in less than a month. This is self-defeating stupidity. www.nytimes.com/2025/01/24/u...
nytimes.com
Trump Pauses Disbursements to Program Supplying H.I.V. Treatment Worldwide
Pepfar, which is estimated to have delivered lifesaving treatment to as many as 25 million people in 54 countries, faces a funding delay of as long as 180 days.
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Sara Harcourt @saraharcourt.bsky.social · 20/01/2025
Further, the share of ODA going to health is at its lowest point in 10 years.
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Clémence Landers @clemencelanders.bsky.social · 16/01/2025
Funding multilateral finance: a look back at Obama-->Trump-->Biden and back to Trump. @jmadankeller.bsky.social @justinrhurley.bsky.social Nico Martinez and Rosie Eldridge @cgdev.org www.cgdev.org/blog/looking...
cgdev.org
Looking Back, Looking Ahead: Trends in US Multilateral Funding and What Trump’s Second Term Could Mean for Future Spending
What will the incoming Trump Administration mean for US funding to multilateral development initiatives? We drill down on US funding for a subset of the major multilateral development, health, and cli...
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Helen Branswell 🇨🇦 @helenbranswell.bsky.social · 05/12/2024
A new study suggests #H5N1 #birdflu circulating in cows might have an easier path to adapting to humans than previous versions of the virus. One mutation changed the receptors to which the virus binds from those in birds to those found in human upper airways. www.statnews.com/2024/12/05/h...
statnews.com
Single mutation in H5N1 bird flu virus may make it more infectious to humans, study finds
Study published in Science says a single hemagglutinin mutation, similar to one seen in a Canadian case, could make H5N1 better suited to infect people.
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