iiinova — where your digital self keeps evolving

Noha Aboelata, MD @nohaaboelatamd.bsky.social · 30/05/2026

Clinical algorithm and hardware flaws are not just "tech glitches!" When medical devices perform poorly on darker skin, the real-world consequence is the systematic denial of treatment, benefits, and care for the people who need it most. 1/

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Noha Aboelata, MD @nohaaboelatamd.bsky.social · 09/05/2026

👏🏾👏🏾👏🏾 Leadership and clear communication from @WHO Director-General re: Hantavirus, including acknowledgement of the "pain of 2020." Improving post-pandemic means realizing that transparency, clarity, and empathy are part of the cure! Will discuss more in this week's People's Health Briefing.

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Noha Aboelata, MD @nohaaboelatamd.bsky.social · 14/03/2026

"A lot of these bureaucratic silos we have are actually killing people." Proud to share our work at @rootsempowers.bsky.social in today's @nytimes.com We must rethink how we fund & deliver care for the most marginalized if we want to see true generational change. www.nytimes.com/2026/03/13/h...

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Noha Aboelata, MD @nohaaboelatamd.bsky.social · 23/02/2026

🚨 3 active + 3 suspected & now 200+ latent TB cases at Riordan high and counting. Concerning timeline starting in September! Now up to 6 young people facing serious illness and 200+ families grappling with treatment risks and decisions. Where was the clinical urgency? Where's the accountability? 🚩

Headline in Mission Local: TB tests reveal 204 latent cases at Riordan High in S.F.
Photo of school

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Noha Aboelata, MD @nohaaboelatamd.bsky.social · 01/02/2026

🚨Unusual and alarming! 3 active & 50 latent TB cases at Riordan high, and counting. When a well-resourced school sees this level of spread, it’s a siren for our public health infrastructure everywhere. Hoping for speedy containment & recovery. 🙏🏾

Tuberculosis outbreak at San Francisco high school
halts in-person classes

By Tara Campbell
Friday, January 30, 2026 9:42AM

FR.TOM SEAGRAVE"6O MAIN ENTRANCE

TUBERCULOSIS OUTBREAK AT RIORDAN HIGH
IN-PERSON CLASSES CANCELED THROUGH NEXT WEEK

A third confirmed case of TB is forcing San Francisco's Archbishop Riordan High School to halt in-person classes next week.

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Noha Aboelata, MD @nohaaboelatamd.bsky.social · 23/01/2026

The US is facing a critical deadline on the measles-free status we've held for over 25 years. Beyond the immediate risk, we have to talk about long-term effects like immune amnesia. 📺 Watch the full People’s Health Briefing here: www.youtube.com/live/NnUfNce...

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Noha Aboelata, MD @nohaaboelatamd.bsky.social · 30/12/2025

Hey East Bay: confirmed measles exposure at several high-traffic spots in Walnut Creek, Dec 17 - 24. Fortunately, Contra Costs County has high vax rates, making a large outbreak unlikely. But those who are unprotected (including babies) are still at risk. Stay safe & informed! 🙏🏾

ktvu.com

Measles case confirmed in East Bay, possible exposure at shopping mall, health officials warn

If you went shopping at this East Bay shopping plaza in the lead up to Christmas, you may have been exposed to measles, Contra Costa Health officials are warning.

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Noha Aboelata, MD @nohaaboelatamd.bsky.social · 26/12/2025

"Sirens, Silence, Standby." Whew. Visceral reminder of the constant high-decibel alarm heard in NY, letting us all know our public health infrastructure was crushing under the weight of the pandemic. The sirens have gone silent, facilitating leadership-driven denial while our crises continue.

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Noha Aboelata, MD @nohaaboelatamd.bsky.social · 26/12/2025

ICYMI, current contagious illness status update, brief review of 3 long covid articles, pertussis warning signs, worrisome Medicaid changes, and part 3 of 3 with Dr. Khan on Long covid.

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Noha Aboelata, MD @nohaaboelatamd.bsky.social · 25/12/2025

Been looking at this on my shelf for a couple years now saying "it's too soon." Finally ready to dive in, continuing to sharpen the analysis for a fight that has become even more uphill as we try to protect a safety net that was already inadequate. Respect to @thrasherxy for the work. ✊🏾

The Viral Underclass by Steven W. Thrasher

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Noha Aboelata, MD @nohaaboelatamd.bsky.social · 23/11/2025

ICYMI, last week's briefing: Remembering Coach Beam and the critical importance of solid coaches & mentors (and the potential harm of untrained ones). We also review data which has resumed following the end of the shutdown and Canada's loss of measles-free status.

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Reposted by Noha Aboelata, MD

Roots Community Health @rootsempowers.bsky.social · 18/11/2025

11/18/25- In today’s briefing we review, Remembering Coach John Beam; Canada Loses Measles-Free Status; Contagious Illnesses Update Watch now: www.youtube.com/watch?v=LosT... #RootsEmpowers #PHB #PublicHealth #COVID19 #CDC #SARSCoV2 #Wastewater #H3N2 #Influenza #Measles #RSV #Flu #H1N1 #FluVaccine

youtube.com

Remembering Coach John Beam; Canada Loses Measles-Free Status; Contagious Illnesses Update || S6E35

YouTube video by Roots Community Health

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Noha Aboelata, MD @nohaaboelatamd.bsky.social · 23/11/2025

Unacceptable! FDA delays in ByHeart formula recall allowed contaminated product to stay on shelves, prioritizing business confidentiality and putting babies at risk. Bureaucracy and business interests should never supersede infant safety! More here 👇🏾 www.instagram.com/p/DRaNu0OEmu...

FDA delays left recalled baby formula on store shelves, food safety experts say
HEALTHBEAT article
Image of ByHeart formula

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Noha Aboelata, MD @nohaaboelatamd.bsky.social · 23/11/2025

The 1st confirmed human case of H5N5 has lead to death. This is especially alarming given the gutting and destruction of US public health infrastructure. More on my IG (where I'm migrating) 👇🏾 www.instagram.com/p/DRYPZRtEm3...

1st human known to be infected with H5N5C strain of bird flu dies- ABC article, photo of poultry

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Reposted by Noha Aboelata, MD

Helen Branswell 🇨🇦 @helenbranswell.bsky.social · 03/11/2025

#PAHO 's regional verification commission for #measles elimination meets this week. The likely outcome: Canada will lose its measles-free status, due to its large & long-running outbreak. If so, the Americas region will also lose elimination status. www.statnews.com/2025/11/03/m...

statnews.com

The Americas, led by Canada, is on the brink of losing measles-elimination status

The Americas is the only region of the world to have stopped endemic transmission of measles. But its victory is on the verge of being rolled back.

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Noha Aboelata, MD @nohaaboelatamd.bsky.social · 02/11/2025

The SNAP crisis perfectly demonstrates the Panic-Neglect Cycle we do so well. Everywhere folks scrambling to plug the hole with short-term, unsustainable funds, creating budget instability and burnout across the entire safety net. We need a structural commitment to readiness.

pbs.org

'You cannot crowdsource $8 billion.' Here's what to know about the lapse in SNAP benefits

Even if the Trump administration funded the food assistance program immediately, experts tell PBS News that many of the 42 million SNAP recipients are unlikely to get their benefits on time.

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Noha Aboelata, MD @nohaaboelatamd.bsky.social · 25/10/2025

"There are too many cliffs that our young people are prone to falling off...They leave the school setting, they graduate...At 18, they fall off with certain benefits, or at 21 or 24. Because of the way our resources and systems are set up, young people fall through the gaps.” 👇🏾

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Noha Aboelata, MD @nohaaboelatamd.bsky.social · 25/10/2025

I don't know why Tylenol got caught in political crosshairs, but this administration has chosen to ignore medical facts and implicate an important medication based on unwarranted suspicion. Amidst this manufactured controversy, we risk overlooking an actual deadly crisis: acetaminophen overdose. 👇🏾

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Noha Aboelata, MD @nohaaboelatamd.bsky.social · 08/10/2025

This week's briefing: COVlD/respiratory surveillance data & telehealth access disrupted due to government shutdown; measles outbreak rages on as the Americas set to lose elimination status; CDC recommendations get further from science & reason. Watch 👇🏾

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Noha Aboelata, MD @nohaaboelatamd.bsky.social · 20/09/2025

This week's public health update reviews current covid & measles status, a recent measles-related death, and updates from states stepping up to mitigate the harm to health being caused at the federal level. Grateful for those bright spots! 🙏🏾

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Noha Aboelata, MD @nohaaboelatamd.bsky.social · 20/09/2025

"The ACIP is no longer a scientific committee. It is an ideology machine." I can't even bring myself to watch their meetings. Instead, I'm cheering for states and medical associations working to mitigate the damage and fill gaps. But the damage being done is immeasurable.

DrDemetre @dr_demetre
FINAL THOUGHT: When scientific process is not followed, the science that make the foundation for decisions is suspect and the decisions are therefore not valid. The ACIP S no longer scientific committee. It is an ideology machine. Istand by my justification for my resignation. Sending strength to the scientists being held hostage at CDC.

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Noha Aboelata, MD @nohaaboelatamd.bsky.social · 20/09/2025

Smart move! 1st made-in-Canada mRNA vaccines. "By supporting the production of vaccines here at home, we are supporting our economy while strengthening Canada’s ability to respond quickly and effectively to future public health emergencies." -Canadian Minister of Health

Government of Canada announces major milestone In the Canadian piomanufacturing sector
From:Innovation Science and Economic Development Canada
News release
Moderna produces its first Canadian MRNA vaccines in its new state-of- the-art Quebec facility
September 19,2025 - Laval, Quebec

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Noha Aboelata, MD @nohaaboelatamd.bsky.social · 14/09/2025

A new low! Reports out of SF suggest people are spraying non-overdosing homeless individuals with Narcan to induce painful withdrawal symptoms to get them to move. Another symptom of our society becoming more callous, polarized, and violent by the day. abc7news.com/post/san-fra...

abc7news.com

Report: Narcan allegedly being used for harm on SF homeless people who aren't overdosing

SF Standard Reporter David Sjoestedt spoke with ABC7 News to explain how some drug users in San Francisco are saying residents are using Narcan on them when they're sleeping and not overdosing to brin...

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Noha Aboelata, MD @nohaaboelatamd.bsky.social · 12/09/2025

When is the most optimal time to get the Covid vaccine? It depends! But if you haven't had covid in the last 5 months and live in the Northern hemisphere, the best time is right about now. I walk through the evidence in this week's People's Health Briefing 👇🏾

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Noha Aboelata, MD @nohaaboelatamd.bsky.social · 12/09/2025

Horrific. SSPE, a late complication of measles, is a progressive brain disorder that develops 2-10 yrs after seeming recovery from initial infection. Gradual, worsening loss of all neurological function, 100% fatal, no cure, occurs in ~1 in 600 who get measles as an infant. abc7.com/post/child-d...

abc7.com

Child dies from rare measles-related complication, LA County health officials say

Health officials reported the death of a Los Angeles County child from a complication of measles infection acquired during infancy.

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Noha Aboelata, MD @nohaaboelatamd.bsky.social · 03/09/2025

Excellent! The moment I've been waiting for. California, Oregon & Washington will work together on vaccine guidance since we no longer have a credible CDC. Many questions on the authority the alliance will have, but still, a strong and necessary move!

nytimes.com

Snubbing Kennedy, States Announce Plans to Coordinate on Vaccines

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Noha Aboelata, MD @nohaaboelatamd.bsky.social · 02/09/2025

Warning & Call to Action from 9 former CDC Directors/Acting Directors serving under Presidents from Carter to Trump: US lives are being endangered due to a political agenda. Worthy scientists are being pushed out when they won't rubber stamp the insanity.

nytimes.com

Opinion | We Ran the C.D.C.: Kennedy Is Endangering Every American’s Health

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Noha Aboelata, MD @nohaaboelatamd.bsky.social · 01/09/2025

CDC grant cancellations initially hit blue & red states pretty evenly, and 4 of the 5 jurisdictions with the most terminated grants were led by Democrats (CA, DC, Illinois & Mass). Now, ~80% of the cuts have been restored to blue states, compared with <5% in red states. www.cnn.com/2025/08/26/h...

cnn.com

Blue states that sued kept most CDC grants, while red states feel brunt of Trump clawbacks | CNN

The Trump administration’s cuts of public health funds to state and local health departments had vastly uneven effects depending on the political leanings of where someone lives, a new KFF Health News...

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Noha Aboelata, MD @nohaaboelatamd.bsky.social · 31/08/2025

US public health in crisis: infrastructure being gutted, vaccine access being limited, eliminated virus (measles) making a resurgence, falling childhood vax rates making many vulnerable to vax-preventable illness, infant & maternal mortality rates rising & healthcare safety net being cut via HR1. 👇🏾

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Noha Aboelata, MD @nohaaboelatamd.bsky.social · 31/08/2025

New Mexico issues public health order to mitigate challenges with c19 vaccine access. Hoping other states will follow suit.

koat.com

State steps in to ensure access to COVID-19 vaccine

Public health order counters potential limitations set by the USFDA

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Noha Aboelata, MD @nohaaboelatamd.bsky.social · 19/08/2025

Devastating. Mom with sepsis, lost her unborn child and lucky to be alive herself, toddler w/possible hemolytic uremic syndrome, had surgery for intussusception still under care - all due to raw milk consumption which is being touted by our highest level health "leaders."

clickorlando.com

Mother sues Florida dairy farm, claims she lost fetus after raw milk led to bacterial infection

A New Smyrna Beach dairy farm was named in a lawsuit filed by a woman who claims she lost her fetus after falling ill while caring for her toddler who became sick after drinking raw, unpasteurized mil...

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Reposted by Noha Aboelata, MD

Victoria H @crownvic63.bsky.social · 17/08/2025

I was overjoyed when 600K people were added to Medicaid rosters in North Carolina knowing that county safety nets could finally accommodate people that were not eligible. Now it’s going to crash harder than ever. I don’t know if I have enough steam to continue in community health nursing.

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Noha Aboelata, MD @nohaaboelatamd.bsky.social · 17/08/2025

Kicking people off their Medicaid coverage is bad for everyone. More sick people, untreated chronic and communicable disease, and more pressure on our emergency systems and hospitals. "...the math points to a crisis California’s safety net can’t sustain."

sacramento.newsreview.com

Healthcare CEO warns of a system on the brink • Sacramento News & Review

Timely reports from Sacramento News & Review writers on breaking news and big issues.

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Noha Aboelata, MD @nohaaboelatamd.bsky.social · 17/08/2025

8/11/25 Briefing: What to know as kids head back to school; new data on kids and covid vaccine; new CDC Director confirmed; medical groups barred from CDC advisory committee work groups due to allegations of bias, while the real biases of advisory committee members goes ignored.

youtube.com

Back to School: New Covid & Kids Data; NEW CDC Director & Vax Panel Shake-Up || S6E24

YouTube video by Roots Community Health

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Noha Aboelata, MD @nohaaboelatamd.bsky.social · 09/08/2025

Alarming! Non-medical exemptions for childhood vaccines are increasing & coverage is decreasing. In Idaho, with 15.4% exemptions, only 78% of kindergartners entered school last year with polio vax - below the immunity threshold! Just one imported case could mean an outbreak.

Non-medical exemptions for childhood vaccines have been increasing since the 2020 2021 school year

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Reposted by Noha Aboelata, MD

davepermen @davepermen.net · 09/08/2025

I genuinely think waste-water surveillance is key to health on a societal level, in general. It's anonymous and invisible, so acceptance is easy to get, it's local enough to matter, can be scaled to global, and relatively low-cost. It allows fast & accurate responses for individuals and groups.

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Noha Aboelata, MD @nohaaboelatamd.bsky.social · 09/08/2025

The future of COVID-19? It's in the sewers!🦠 Excellent Minnesota study found SARS-CoV-2 levels in wastewater predictably surged ~1 week before a rise in symptomatic cases. This bolsters the case for improved wastewater surveillance as a key tool for public health. academic.oup.com/jid/advance-...

Wastewater Measures of SARS-CoV-2 Accurately
Predict Frequency of Symptomatic Infections in the
Community

JID

Charles R Doss , Mark J Osborn, Stacey Stark , Joshua Rhein, Jacalynn Donkersgoed,
Donna Budde, Shannon Champeau, Carolyn Meyer, Mason Hayden, Laura Landini,
Difan Ouyang, Lappui Chung,YiTang, Sara Vetter, TimothyW Schacker

Published: 24 July 2025

Background

Widespread immunity through vaccination or natural infection has altered the
predictive ability of wastewater for hospitalization and mortality.

Results

We collected 215 wastewater samples from the Twin Cities Wastewater Treatment
Plant over a 32-month interval. Over that period, there were 6879 positive SARS-
CoV-2 test results reported to Fairview Employee Health from individuals who
lived in the wastewater catchment area. We found that SARS-CoV-2 levels in
wastewater accurately predicted the subsequent COVID-19 case count the
following week in the community (P = .001).

as of 8/4/2025 source: https://doi.org/10.1093/infdis/jiaf242

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Noha Aboelata, MD @nohaaboelatamd.bsky.social · 09/08/2025

ICYMI. Kindergarten vaccine coverage dropping across the US while non-medical exemptions are rising; wastewater predicts symptomatic Covid; measles and respiratory illness updates week of 8/4/2025

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Noha Aboelata, MD @nohaaboelatamd.bsky.social · 09/08/2025

Another day, another stunning display of ignorance by RFK Jr. Vaccines are, in fact, a financial burden and a logistical challenge. Medical practices *only* take this on for the health of their patients and the community. RFK Jr is dangerous and must be removed.

Secretary Kennedy

Medical decisions should be made based on one thing: the
wellbeing of the person--never on afinancial bonus or a
government mandate. Doctors deserve the freedom to use
their training, follow the science, and speak the truth without
fear Of punishment.

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Noha Aboelata, MD @nohaaboelatamd.bsky.social · 09/08/2025

The administration emboldened this behavior, so of course they're saying nothing.

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Reposted by Noha Aboelata, MD

Physicians for a Healthy Democracy @physiciandemocracy.medsky.social · 06/08/2025

Please sign and share our petition to remove RFK Jr. www.change.org/p/rfk-jr-mus...

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Noha Aboelata, MD @nohaaboelatamd.bsky.social · 05/08/2025

Re: Prasad "...his hiring should have been more of a scandal than his firing." Truth!

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Reposted by Noha Aboelata, MD

GG @ghg1.bsky.social · 02/08/2025

Most working age Medicaid recipients are already working, or in school, or disabled, or taking care of a family member, or retired unable to find work.

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Noha Aboelata, MD @nohaaboelatamd.bsky.social · 02/08/2025

Add this to the list of shameful disparities we seem willing to accept in the US. "...among all subgroups, Latino essential workers who were potentially undocumented were hardest hit, with a staggering 91% increase in deaths compared with 8% for the White US-born subgroup."

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