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Sourya Shrestha

@souryashrestha.bsky.social
622 followers 763 following 31 posts

Infectious disease modeler | tuberculosis | pathogen interaction | global health | 🇳🇵| 🇺🇸

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Sourya Shrestha @souryashrestha.bsky.social · 18/09/2026
New paper estimating the epidemiological impact, costs and cost effectiveness of implementing preventive therapy (3HP) among adult household contacts of TB cases in Chitwan & Pyuthan, Nepal. Collab with researchers at @bnmtnepal.bsky.social @johnshopkinssph.bsky.social doi.org/10.1186/s442...
doi.org
Client Challenge
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Magdi Jacobs @magdi.bsky.social · 01/04/2025
Some notes about TB prevention, as a former TB patient. TB is a bacterial disease. There is a vaccine, but it has variable efficacy & is not widely used in the U.S.. So, you can't make a "personal choice" (vaccine) to maximally protect yourself against this disease. So what protects you?
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Joshua Weitz @joshuasweitz.bsky.social · 02/05/2025
This new guidance is yet another step closer towards an isolationist, diminished view of American science. Changing rules on the fly wastes time & effort and undermines the pipeline of discovery and innovation. Unacceptable & inexcusable (again): grants.nih.gov/grants/guide...
grants.nih.gov
NOT-OD-25-104: Updated NIH Policy on Foreign Subawards
NIH Funding Opportunities and Notices in the NIH Guide for Grants and Contracts: Updated NIH Policy on Foreign Subawards NOT-OD-25-104. NIH
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Randall Munroe @xkcd.com · 25/04/2025
PhD Timeline xkcd.com/3081
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Sourya Shrestha @souryashrestha.bsky.social · 25/04/2025
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Sourya Shrestha @souryashrestha.bsky.social · 22/04/2025
www.aacu.org/newsroom/a-c...
aacu.org
A Call for Constructive Engagement | AAC&U
A Call for Constructive Engagement
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The Ferrari Lab @theferrarilab.bsky.social · 15/04/2025
This is the People's money. This is my money and your money. We did not give it to one man to dispense as he pleases. It was allocated in good faith under the authority of the People's representatives.
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Sourya Shrestha @souryashrestha.bsky.social · 15/04/2025
Harvard standing up!
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Sourya Shrestha @souryashrestha.bsky.social · 02/04/2025
www.nytimes.com/2025/04/02/o... It may seem like a small outbreak, but this is how it starts. Also, measles infection is thought to wipe out existing immunity in our bodies to other infections, making us more vulnerable to them.
nytimes.com
Opinion | I Study Measles. I’m Terrified We’re Headed for an Epidemic.
The outbreak in Texas could become much, much worse.
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Krassensteins @krassenstein.bsky.social · 01/04/2025
BREAKING: As Cory Booker goes on to his 23rd hour straight, his livestream on TikTok has been “liked” over 175 million times. Yes 175 MILLION!
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Sourya Shrestha @souryashrestha.bsky.social · 29/03/2025
Gyanendra Shah fined for littering at least.
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Sourya Shrestha @souryashrestha.bsky.social · 29/03/2025
www.thenation.com/article/acti... They were targeted because they could be, because they are vulnerable.
thenation.com
What Will You Do?
What’s your “I am Spartacus” move to protect the more vulnerable, the targeted, the invisibled, the next-on-the-list?
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Edward Nirenberg @enirenberg.bsky.social · 29/03/2025
Peter Marks’s resignation letter. Everyone should read this.
Peter Marks, MD, PhD
Director, Center for Biologics Evaluation and Research U.S. Food and Drug Administration
10903 New Hampshire Avenue
Silver Spring, MD 20903
March 28, 2025
Sara Brenner, MD, MPH
Acting Commissioner of Food and Drugs
U.S. Food and Drug Administration
10903 New Hampshire Avenue
Silver Spring, MD 20903
Dear Dr. Brenner:
It is with a heavy heart that I have decided to resign from FDA and retire from federal service as Director of the Center for Biologics Evaluation and Research effective April 5, 2025. I leave behind a staff of professionals who are undoubtedly the most devoted to protecting and promoting the public health of any group of people that I have encountered during my four decades working in the public and private sectors. I have always done my best to advocate for their well-being and I would ask that you do the same during this very difficult time during which their critical importance to the safety and security of our nation may be underappreciated.
Over the past years I have been involved in enhancing the safety of our nation's blood supply, in advancing the field of cell and gene therapy, and in responding to public health emergencies. In the last of these, during the COVID-19 pandemic I had the privilege of watching the vision that I conceived for Operation Warp Speed in March 2020 in collaboration with Dr. Robert Kadlec become a reality under the leadership of HHS Secretary Azar and President Trump due to the unwavering commitment of public servants at FDA and elsewhere across the government. At FDA, the tireless efforts of staff across the agency resulted in remarkably expediting the development of vaccines against the virus, meeting the standards for quality, safety, and effectiveness expected by the American public. The vaccines undoubtedly markedly reduced morbidity and mortality from COVID-19 in the United States and elsewhere. Many of these same individuals applied learnings from the pandemic during a flawless response helping…ongoing multistate measles outbreak that is particularly severe in Texas reminds us of what happens when confidence in well-established science underlying public health and well-being is undermined.
Measles, which killed more than 100,000 unvaccinated children last year in Africa and Asia owing to pneumonitis and encephalitis caused by the virus, had been eliminated from our shores. The two-dose measles, mumps, rubella vaccine regimen (MMR) using over the past decades has a remarkably favorable benefit-risk profile. The MMR vaccine is 97% or more effective in preventing measles following the two-dose series, and its safety has been remarkably well studied. Though rarely followed by a single fever-related seizure, or very rarely by allergic reactions or blood clotting disorders, the vaccine very simply does not cause autism, nor is it associated with encephalitis or death. It does, however, protect against a potential devasting consequence of prior measles infection, subacute sclerosing panencephalitis (SSPE), which is an untreatable, relentlessly progressive neurologic disorder leading to death in about 1 in 10,000 individuals infected with measles. Undermining confidence in well-established vaccines that have met the high standards for quality, safety, and effectiveness that have been in place for decades at FDA is irresponsible, detrimental to public health, and a clear danger to our nation's health, safety. and security.
In the years following the pandemic, at the Center for Biologics Evaluation and Research we have applied the same unwavering commitment to public health priorities to the development of cell and gene therapies to address both hereditary and acquired rare diseases. During my tenure as Center Director we have approved 22 gene therapies, including the first gene therapy ever to be approved in the United States. However, we know that we must do better to expedite the development of treatments for those individual suffering from any one of the thousan…
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Sourya Shrestha @souryashrestha.bsky.social · 29/03/2025
www.nytimes.com/2025/03/20/b... the cure is where the disease is not, and the disease is where the cure is not
nytimes.com
John Green Is Obsessed With Tuberculosis. His New Book Explains Why.
In a new nonfiction book, the Y.A. novelist describes the disease as a window into “the folly and brilliance and cruelty and compassion of humans.”
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Atul Gawande @agawande.bsky.social · 26/03/2025
State Dept gave Congress its full list of 5,300+ USAID program terminations. The sweeping cuts for health alone - from global childhood vaccines to surveillance for deadly diseases to malaria work - entail massive loss of life & national security risk. www.nytimes.com/2025/03/26/h...
nytimes.com
U.S. to End Vaccine Funds for Poor Countries but Continue Some H.I.V. and TB Aid (Gift Article)
A 281-page spreadsheet obtained by The Times lists the Trump administration’s plans for thousands of foreign aid programs.
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Sourya Shrestha @souryashrestha.bsky.social · 26/03/2025
What world are we in??
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Angie Rasmussen @angierasmussen.bsky.social · 26/03/2025
Yesterday when I talked to @maxkozlov.bsky.social about this, I wondered which of my NIH-funded colleagues would have their grants cut. All of them. Research on pandemic viruses has now ground to a screeching halt in the US. www.nature.com/articles/d41...
nature.com
Exclusive: NIH to cut grants for COVID research, documents reveal
Studies on climate change and South Africa are also on the latest list of grants to be terminated, according to updated documents obtained by Nature.
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The Ferrari Lab @theferrarilab.bsky.social · 26/03/2025
NTY reports that US support for Gavi is to be suspended. The US has supplied upwards of 10-15% of Gavi's total budget. We have expected this since 20 January, but that makes it no less callous and short sighted. Vaccination abroad is both a humanitarian good and in the financial interest of the US
nytimes.com
U.S. to End Vaccine Funds for Poor Countries (Gift Article)
A 281-page spreadsheet obtained by The Times lists the Trump administration’s plans for thousands of foreign aid programs.
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Joanne Flynn @joanneflynn19.bsky.social · 26/03/2025
I too have been dismissed from NIAID Board of Scientific Counselors along with 3 other women and a non-white man
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Barb McQuade @barbmcquade.bsky.social · 15/03/2025
From interview of Lee Bollinger, 1st Amendment scholar who served as dean of @UMichLaw, president of @UMich, and president of Columbia University. www.chronicle.com/article/were...
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Pete Dodd @petedodd24.bsky.social · 10/03/2025
A tracker estimating TB deaths from USAID funding discontinuation #IDsky #TBsky tb.impactcounter.com
tb.impactcounter.com
Tuberculosis Impact Counter | Tracking TB Funding Impact
Tracking the impact of TB funding via USAID
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Prem Thakker ツ @premthakker.bsky.social · 14/03/2025
Columbia announced mass suspensions, expulsions, and degree revocations the same day it received a letter from the Trump administration telling them to do just that if they wanted to keep getting funding
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David Fahrenthold @fahrenthold.bsky.social · 13/03/2025
NEW: DOGE backtracks on promises of transparency, making its new errors harder to find. (We found more anyway) www.nytimes.com/2025/03/13/u...
nytimes.com
DOGE Makes Its Latest Errors Harder to Find
Elon Musk’s group obscured the details of some new claims on its website, despite promises of transparency. But The Times was still able to detect another batch of mistakes.
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Sourya Shrestha @souryashrestha.bsky.social · 13/03/2025
My home institution is reeling. www.nytimes.com/2025/03/13/u...
nytimes.com
Federal Cuts Prompt Johns Hopkins to Cut More Than 2,000 Workers
The university, a leader in scientific research, has been hard hit by the Trump administration’s cuts, which will slash at least $800 million from its budget.
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Joshua Weitz @joshuasweitz.bsky.social · 12/03/2025
As noted below, they will not stop w/Columbia www.wsj.com/health/healt...
wsj.com
Johns Hopkins Plans Staff Layoffs After $800 Million Grant Cuts
Local and international health research efforts are already winding down as the university braces for even more potential cuts.
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Sourya Shrestha @souryashrestha.bsky.social · 12/03/2025
Vindictive bullying in the open..
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Dare Obasanjo @carnage4life.bsky.social · 09/03/2025
The coolest thing I’ve seen today is that a bunch of volunteer public health professionals and developers have restored the CDC website from before January 20th 2025. This differs from an archive in that they want to rebuild the links between pages and replicate the full website.
restoredcdc.org
Centers for Disease Control and Prevention
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Madhu Pai, MD, PhD @madhupai.bsky.social · 03/03/2025
“University presidents are staying quiet as Trump tries to destroy their institutions. It won't work” @gregggonsalves.bsky.social www.thenation.com/article/soci...
thenation.com
Universities Are Under Attack. Silence Is Not an Option.
University presidents are staying quiet as Trump tries to destroy their institutions. It won't work.
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Jeremy Berg @jeremymberg.bsky.social · 02/03/2025
I am not going to call this a Bluetorial, because I do not want to sully that term (which, at least I, find joyful). Let’s call it a Orwellial.
media.tenor.com
a cartoon of homer simpson holding a card
ALT: a cartoon of homer simpson holding a card
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George Conway ⚖️🇺🇸 @gtconway.bsky.social · 28/02/2025
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The Kyiv Independent @kyivindependent.com · 28/02/2025
It’s time to say it plainly. America’s leadership has switched sides in the war. The American people have not, and they should speak up.
kyivindependent.com
Editorial: A president just disrespected America in the Oval Office. It wasn’t Zelensky
It’s time to say it plainly. America’s leadership has switched sides in the war. The American people have not, and they should speak up. In the past several weeks, the U.S. leadership has demonstrate...
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The Kyiv Independent @kyivindependent.com · 01/03/2025
Trump and Vance have repeatedly claimed that Zelensky has not been sufficiently grateful for U.S. support throughout the war. We compiled instances where Zelensky has publicly expressed gratitude to the U.S., its people, and its leadership for being Ukraine’s largest supporter.
youtube.com
Zelensky thanks America for four minutes straight
YouTube video by Kyiv Independent
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Atul Gawande @agawande.bsky.social · 27/02/2025
Rubio terminated 5800 USAID contracts – more than 90% of its foreign aid programs – in defiance of the courts. Here’s a list of just some of the lifesaving awards that were terminated. Nearly all were Congressionally mandated. They’ve saved millions of lives. 🧵
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Stand Up for Science! @standupforscience.net · 28/02/2025
SAVE OUR SCIENCE! There's a war on science happening right now, and we're trying to win—for the sake of our families, our friends, and our communities. Want to support #StandUpforScience2025? Show up in DC, locally, call your representatives, or visit www.caaps.co/caapsstandup... ☀️
red background that says SOS - save our science!
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Sourya Shrestha @souryashrestha.bsky.social · 28/02/2025
This is what bullying looks like: www.nytimes.com/video/us/pol...
nytimes.com
Video: Trump, Zelensky and Vance Argue Over Ukraine War
President Trump and Vice President JD Vance scolded President Volodymyr Zelensky of Ukraine during a meeting in the Oval Office on Friday, claiming he was not grateful enough for U.S. aid.
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Stand Up for Science! @standupforscience.net · 12/02/2025
Welcome to the Bluesky account for Stand Up for Science 2025! Keep an eye on this space for updates, event information, and ways to get involved. We can't wait to see everyone #standupforscience2025 on March 7th, both in DC and locations nationwide! #scienceforall #sciencenotsilence
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Emily Wong @emilybethwong.bsky.social · 27/02/2025
“This is absolutely shattering, heartbreaking, and incomprehensible. The termination letters issued by the US state department in the last 24 hours mark the abrupt and devastating end to years — decades — of investment in lifesaving programmes” bhekisisa.org/health-news-...
bhekisisa.org
BREAKING: Trump orders USAID-funded HIV organisations in SA to shut down - Bhekisisa
In today’s newsletter, Mia Malan explains how US President Donald Trump ordered USAID-funded HIV organisations in SA to shut down. Sign up for our newsletter today. THIS IS A BREAKING, DEVELOPING STOR...
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Birat Nepal Medical Trust @bnmtnepal.bsky.social · 11/02/2025
On International Day of Women and Girls in Science, we express our heartfelt gratitude to Dr. Bhawana Shrestha of GENETUP for her unwavering dedication to supporting those affected by Tuberculosis. Thank you for your invaluable contributions. You inspire us all. #11February
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Sourya Shrestha @souryashrestha.bsky.social · 26/02/2025
A new publication describing our recent work in characterizing TB outbreak investigations in the United States and projecting their costs, impact, and cost-effectiveness in collaboration with researchers at @johnshopkinssph.bsky.social DTBE/CDC and CADPH wwwnc.cdc.gov/eid/article/...
wwwnc.cdc.gov
Model-Based Analysis of Impact, Costs, and Cost-Effectiveness of Tuberculosis Outbreak Investigations, United States
Impact of Tuberculosis Outbreak Investigations
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Sourya Shrestha @souryashrestha.bsky.social · 25/02/2025
Sort of semi-fired
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Carl T. Bergstrom @carlbergstrom.com · 24/02/2025
Not that you needed any more evidence that Musk is an utter buffoon but JFC.
WASHINGTON — Responses to the Elon Musk-directed email to government employees about what work they'd accomplished over the past week are expected to be fed into an artificial intelligence system to determine whether those jobs are necessary or not, according to three sources with knowledge of the system.

The information will go into an LLM (Large Language Model), an advanced AI system that looks at huge amounts of text data to understand, generate, and process human language, the sources said. The AI system will determine whether someone’s work is mission-critical or not.
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Sourya Shrestha @souryashrestha.bsky.social · 19/02/2025
www.nytimes.com/2025/02/19/w...
nytimes.com
Nepal Took a Risk on a $500 Million U.S. Grant. It May Now Regret It.
President Trump’s freezing of foreign aid provides an opening for China to portray America as an unreliable partner.
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Justin Wolfers @justinwolfers.bsky.social · 17/02/2025
One thing I've learned to do when I have questions about social security number holders who are age 100 or older is to look up the SSA Inspector General audit report, "Numberholders Age 100 or Older Who Did Not Have Death Information on the Numident." t.co/AdWTV8eIPV
t.co
https://oig.ssa.gov/assets/uploads/a-06-21-51022.pdf
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Kyle Griffin @kylegriffin1.bsky.social · 17/02/2025
BREAKING WAPO: Elon Musk's DOGE is seeking access to a heavily-guarded IRS system that includes detailed financial information about every taxpayer, business, and nonprofit in the country — sparking alarm within the tax agency. www.washingtonpost.com/business/202...
washingtonpost.com
Musk’s DOGE seeks access to personal taxpayer data, raising alarm at IRS
Musk’s DOGE seeks access to personal taxpayer data at IRS
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Sourya Shrestha @souryashrestha.bsky.social · 17/02/2025
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John Green @johngreensbluesky.bsky.social · 07/02/2025
Just received this photo from a friend of a warehouse in Kinshasa. These are tuberculosis medications--ALREADY PAID FOR--that aren't being distributed due to the Trump Administration's stop work order. TB treatment is being interrupted in SO many patients around the world. What does that mean? (1/2)
Photograph of a warehouse in Kinshasa where unboxed tuberculosis medications are going undistributed due to the stop work order by the Trump Administration.
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Gregg Gonsalves @gregggonsalves.bsky.social · 15/02/2025
There will be nothing left of biomedical research in the US when Trump is done. Just think about that and anytime you or someone you love has been sick or dying. www.science.org/content/arti...
science.org
‘Wrecking ball’: RFK Jr. moves to fire thousands of health agency employees
Supervisors deliver bad news across NIH, CDC
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Dr. Tom Frieden @drtomfrieden.bsky.social · 14/02/2025
Epidemic intelligence service officers are the cream of the cream. They're top doctors, veterinarians & other health professionals. They sign up for a two-year training program to serve the country. Not only is terminating them bad for the country, it's also a disgraceful violation of a commitment.
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Sourya Shrestha @souryashrestha.bsky.social · 13/02/2025
Another pandemic maybe brewing. This is exactly when we need a strong and competent government, that is able to coordinate and work with local public health bodies, to work with media to communicate information in a transparent and timely manner, to work with scientists to be better prepared.
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MIDAS Network @midas-network.bsky.social · 11/02/2025
Ecology and Evolution of Infectious Diseases Conference 2025. The call for abstracts is now open for the EEID 2025 conference at sites.nd.edu/eeid2025 with a submission deadline of March 17. The conference is June 16-19 at the University of Notre Dame.
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