iiinova — where your digital self keeps evolving

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

False dichotomy. I don't think the rest of the system should be profit-based. Creating a public utility for primary care is about building the baseline to protect patients & clinicians from market forces now. We can fight for broad financing reform while building public infrastructure on the ground.

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

Yes specialty care should be a right, but high-margin specialty care cannibalizes workforce & funding away from community-based health. Framing primary care as a public utility isolates/protects daily health infrastructure so prevention and local access can't be starved by the rest of the system.

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

Primary care as a public utility isn't at odds with single-payer which fixes financing; public utility fixes delivery & access. We need primary care as guaranteed, neighborhood-level public infrastructure so health systems stop starving primary care in favor of high-margin specialty services.

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

Please take 25 minutes to listen to this heavy, necessary conversation. Even better, go back and listen to all 4 episodes released so far to see exactly how deep the roots of these equations go, and the magnitude of harm they are causing. 🔗 Link to Episode 4: www.nejm.org/do/10.1056/N... (4/4)

nejm.org

When Race Matters — ITT Episode 2.4 | NEJM

Audio Interview from the New England Journal of Medicine — When Race Matters — ITT Episode 2.4

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

We must root these biases out before AI is layered into our systems! If we automate a broken foundation, we'll see our already-shameful disparities on steroids! I’m not going to pretend that making the necessary changes will be easy. But nothing will change if we don’t care. 3/

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

I sat down with the New England Journal of Medicine podcast for Episode 4 of "The Race Equation" to dive deep into medical device bias, data flaws, and the urgent necessity of clinical hardware equity. 2/

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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

Thanks for raising this. Leadership tone is critical, and it must match the technical reality on the ground. Appreciate this input and will definitely touch on this disconnect, among others!

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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 · 30/12/2025

Exactly. Calling them essential while treating them as expendable. The 'viral underclass' was often forced to the frontlines, facing the greatest risk of exposure on top of other other factors putting them at risk. Heavy and worthwhile read.

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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 · 26/12/2025

"Sitting with it" is the perfect phrase. Much to unpack. Let's definitely compare notes :)

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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

This is in no way meant to diminish heroic efforts all over the US to keep people fed. But let's be clear, this is a crisis on top of multiple crises. It's painful to watch us repeat mistakes of the past 5 years while simultaneously dismantling all the systems that were built.

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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 · 25/10/2025

Amazing! I agree, mitigation definitely works and is worth it. Doing well, and glad to be connected here. 😊

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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

Don't get me wrong, I frequently disagreed with things I heard in prior ACIP meetings, but at least we were all working with data and facts. Watching unqualified people make decisions for the country based on feelings, hunches, vibes & ideology is an excruciating waste of time.

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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

The US is willingly relinquishing its role as a global leader in science & innovation. Others will step in. “Our government is building a resilient, forward-looking economy that positions Canada as a global leader in scientific research and innovation...”

canada.ca

Government of Canada announces major milestone in the Canadian biomanufacturing sector - Canada.ca

Moderna produces its first Canadian mRNA vaccines in its new state-of-the-art Quebec facility

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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

I think it's a bit more complicated than that. Homelessness is typically a regional issue, and there are often insufficient low-barrier points of access to compassionate, effective care.

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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

Physicians: Continue supporting patients with sound guidance & empathy "...And each of us must do what public health does best: look out for one another." 🙏🏾

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

🚨Calls to Action🚨 Congress: exercise oversight authority over HHS State & local government: fill funding gaps Philanthropy & private sector: step up community investment Medical groups: Continue standing up for science & truth

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

"...we did not always agree with our leaders, but they never gave us reason to doubt that they would rely on data-driven insights for our protection or that they would support public health workers." They cited Operation Warp Speed as a "shining example" of what HHS can do.

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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

HHS initial cuts canceled nearly 700 CDC grants worth about $11 billion. Now, of the 5 states with the most canceled grants, 4 are republican-led: Texas, Georgia, Oklahoma, and Ohio.

Red S States Hit Hardest by CDC Grant Terminations
Before Democratic-led jurisd ictions filed lawsuits in Aprilto retain their Centers for Disease Control and Prevention grants, terminations more closely resembled the distribution of CDC funding across the nation. After injunctions were issued in May and June, red states lost a greater share of public health infrastructure funding and support.

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