HIV and ID Observations

April 4th, 2021

More Excellent News on COVID-19 Vaccines — and Baseball Gets a Policy Right

Big announcement this week from CDC, saying that people who have been fully vaccinated for COVID-19 can safely travel. Of course many didn’t need this permission, as data increasingly show the vaccines not only powerfully protect you, but protect others. But having official endorsement from our cautious federal health agency surely means the data are especially strong. […]

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February 15th, 2021

Time to Fix the HIV Testing Algorithm — and Here’s How to Do It

Remember the revised HIV testing algorithm that debuted in 2014? The one that was supposed to solve all our problems? First, it included a “highly sensitive” screening test that started with a “4th Generation” combination antibody/antigen test. This decreased the window period between acquiring HIV and having a positive test, thanks to the antigen. Great! (These “generation” […]

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December 13th, 2020

Brush with Greatness — Rochelle Walensky to Head CDC

There’s an overused expression that, despite its familiarity, really does describe some people perfectly. It’s when you say someone “lights up a room.” My ID colleague and friend Dr. Rochelle Walensky certainly stands as a prime example. Right from the moment we first met during her interviews for ID fellowship in the late 1990s, I noticed […]

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October 12th, 2020

“Dying in a Leadership Vacuum” — Defended

This past week, the Editors of the New England Journal of Medicine published a piece entitled “Dying in a Leadership Vacuum.” It’s a scathing indictment of the United States government’s response to COVID-19, in particular our inability to have a science- and evidenced-driven approach to control a disease that has now killed more than 215,000 Americans. One […]

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August 30th, 2020

Cases of SARS-CoV-2 Reinfection Highlight the Limitations — and the Mysteries — of Our Immune System

In case you didn’t notice, or perhaps were “off the grid” taking some well-earned time away from COVID-19 news, this past week we heard about several cases of SARS-CoV-2 reinfection. We’ll come back to them in a moment, but first, some questions: Why does one parent never get sick when their kids start coughing and sneezing and […]

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August 9th, 2020

Rapid Home Testing for Contagious COVID-19: How to Make It Happen

You know that feeling when you have an aha moment. If you’re not familiar with the phrase, we can’t do better than our friends from Merriam-Webster: aha moment (noun):  a moment of sudden realization, inspiration, insight, recognition, or comprehension This is how I felt when research revealed three key findings related to COVID-19 transmission: A small number […]

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July 26th, 2020

Time to Amplify Our Voices Calling for Inexpensive Rapid Home Testing for COVID-19

Earlier this month, I highlighted how inexpensive rapid home testing for COVID-19 could get us out of this mess faster than a vaccine. To spare you re-reading the whole thing, here are the main points. Imagine a simple test done on a saliva sample placed on a paper strip. Results back in 15 minutes. Available without a […]

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May 31st, 2020

America the Not So Beautiful Right Now, with a Must-Read Book Suggestion

Have you read W. Kamau Bell’s The Awkward Thoughts of W. Kamau Bell:  Tales of a 6′ 4″, African American, Heterosexual, Cisgender, Left-Leaning, Asthmatic, Black and Proud Blerd, Mama’s Boy, Dad, and Stand-Up Comedian? If you haven’t, may I suggest you put it at the top of your list, and pronto? In addition to being funny, […]

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April 6th, 2020

Dear Nation — A Series of Apologies on COVID-19

(What I’m sincerely hoping we’ll be hearing in an upcoming press conference, and soon.) Dear Fellow Americans, I’d like to take a brief moment in today’s press briefing to say something that is long overdue. I’m sorry. In a moment, I’ll cite the specifics of what I’ll be apologizing about. But first, I want to acknowledge the sadness of this […]

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March 8th, 2020

As Testing Ramps Up, Diagnoses of Coronavirus Disease in the U.S. Will Soon Increase Substantially — How Will We Respond?

Brace yourself. As coronavirus disease (COVID-19) occurs at multiple locations around the United States, the number of confirmed cases here is about to increase big time. There are two reasons: New infections More testing Believe it or not, despite statements by certain politicians, COVID-19 tests still cannot be ordered by any clinician who believes it should be […]

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