Med-Peds ID. Research on Improving the Sexual Health Cascade of Care (HIV, HIV Prevention, STI, and Mpox) Tweets are my own, RTs not endorsements
New York, NY
Joined March 2014
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I had the pleasure of speaking with @msaagmd on the @IAS_USA "Going anti-Viral" podcast about the latest updates on Mpox as a public health emergency. 🎙️
Catch the episode here: 🎧 Apple Podcasts: podcasts.apple.com/us/podcas… 📺 YouTube: youtu.be/GTwXSvkcJ74
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Amazing showing and work by members of our sexual health research working group from @cuimc_id, @ColumbiaPS, @HIVCenterARC presented at #STIConf2024 last week in Atlanta
Make sure to come check out all the posters from
@cuimc_id, @ColumbiaPS, @HIVCenterARC being presented at #STIConf2024 this afternoon.
Come check out the amazing STI prevention and mpox work from @cuimc_id, @ColumbiaPS, @HIVCenterARC
being presented at #STIConf2024
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Come check out the amazing STI prevention and mpox work from @cuimc_id, @ColumbiaPS, @HIVCenterARC
being presented at #STIConf2024
The U.S. clinical trial for #tecovirimat is an important step toward getting FDA approval and improving access to the treatment for #monkeypox says Timothy Wilkin, MD, MPH of @WeillCornell.
Watch the full media briefing: bit.ly/3TlpSpi
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There is an excellent review in @LancetMicrobe that concluded, "Reports from real-life outbreaks demonstrate that transmission is associated with close contact...so far respiratory transmission has not been specifically implicated." thelancet.com/journals/lanmi…
Tecovirimat did not reduce the duration of clade I mpox in the DRC.
This Post is from an account that no longer exists. Learn more
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This is an awesome summary of what we know so far and what’s going on!
It's #mpox (monkeypox) time again!
Here's what we think we know so far...
➡️There appear to be concurrent outbreaks in DRC with different viral subtypes & transmission routes (Clade Ia: traditional close physical contact with humans or animals; Clade Ib: largely sexually transmitted).
➡️Clade II, which caused the 2022 global outbreak, mostly among gay men, is still circulating at low levels in the US & elsewhere.
➡️Clade I transmission has not been reported outside Africa.
➡️Clade I is more deadly than Clade II (which mostly killed people with advanced HIV), but so far fatality rates look lower than historical reports.
➡️The Jynneos (aka Imvamune) MVA-BN vaccine appears to protect against both Clade I & II.
➡️Studies show two Jynneos doses are adequate without additional boosters (but I'd like more data on people with HIV).
➡️People who received one vaccine dose in 2022 can get the second at any time -- they don't need to start the series over.
➡️Intradermal injections & standard subcutaneous injections appear to be similarly effective (ditto on more data for people with HIV).
➡️TPOXX (tecovirimat) antiviral treatment appears effective for both Clade I & II mpox.
➡️The affected countries in Africa do not have adequate access to mpox vaccines or treatment & need them ASAP!
Here's the latest @WHO mpox situation report, released this week:
who.int/publications/m/item/…
Incredibly proud of the first work to come out of this project from our amazing team including Emma Tucker @ColumbiaPS @DelivetteC @harryreyesnieva @noemieelhadad and more from @cuimc_id and @ColumbiaDBMI
Using a Health Information Exchange to Characterize Changes in HIV Viral Load Suppression and Disparities During the COVID-19 Pandemic in NYC
✅ Just Accepted
🔓 Open Access
🔗 bit.ly/3TmCCiL
Honored to contribute to this vital case series improving our understanding of #MPX in cis women, trans women, and non-binary individuals assigned female at birth with the amazing @profchloeorkin @JohnPThornhill @Boghuma @AnuHazraMD @drmt and so many others whose work I admire
📣Today @TheLancet!📣 The 1st global case series on the epidemiological & clinical characteristics of monkeypox virus (MPXV) infection in cis & trans women & non-binary individuals assigned female at birth, to aid diagnosis & understanding of risk factors bit.ly/3tAxSIb
Test test test!
@ALPublicHealth reports 36 cases congenital #syphilis in 2021, highest since 2006, more in women who received prenatal care than those who didn’t. The most missed opportunities were lack of syphilis diagnosis in the early third trimester @CDCSTD @UAB_ID @UABOBGYN @uabpeds @ASTDA1
If you are in New York State the Clinical Guidelines Program has recommendations on how to provide EPT:
hivguidelines.org/sti-care/e…
@NYSDOH_CEI @HealthNYGov @RachelSolnickMD
Opinion: A CDC-recommended solution for treating sexually transmitted infections has been sitting on the shelf for 16 years. Electronic health records and other barriers prevent doctors from using it. That needs to change. buff.ly/3K6ycEg
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This is one of my most popular Grand Rounds topics at the moment, it shouldn't have to be...
Learn more:
ceitraining.org/courses/
std.uw.edu
@NYSDOH_CEI
@NNPTC
I'm in clinic but so far oddly excited by the table of contents!
#STITwitter
cdc.gov/mmwr/volumes/70/rr/r…
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Some good bedtime reading tonight!
Looking forward to #STITwitter thoughts
Reported #STDs increased for a 6th year in the U.S. in 2019, reaching a new, all-time high ➡ go.usa.gov/xsfwd #STDreport #STDWeek @CDCSTD
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