Mike

Rational Optimist

[Mike @macdelaw]

Before going to med school, I spent about three years as a teacher while doing a diploma program at @KadPolytechnic . Speaking about my work with @MSF at @Eton_College a few weeks ago was a truly thrilling and nostalgic experience.

[Mike @macdelaw]

Arsenal!

[UEFA Champions League @ChampionsLeague]

The Champions League final: Paris Saint-Germain 🆚 Arsenal

🎨 @elfalso92 | #UCLfinal

[Rangers International FC @Rangers_Intl]

We are Champions of Nigeria for a RECORD 9th Time.

History made, and the badge worn with pride. 🏆🔴⚪️

#Mission9Completed #ChanpionsOfNigeria

[Jack Appleby @jappleby]

A good rule for Twitter health:

If you use your real name,
And your real face,
On your Twitter?

Never, ever engage with someone who doesn't use their own name + face on their Twitter.

[MSF Science @MSFsci]

First session today highlights a call for an implementation focus, to make this evidence matter #MSFscidays

[Mike @macdelaw]

We are LIVE at MSF Scientific Days 2026!

Joining colleagues from across the globe for a day of science, operational learning, and innovation in humanitarian healthcare. Looking forward to thought-provoking discussions.

#MSFScientificDays #MSF #HumanitarianMedicine #msfsci

[Premier League @premierleague]

🏆 ARSENAL ARE CHAMPIONS 🏆

[Craig Spencer MD MPH @Craig_A_Spencer]

There's a new Ebola outbreak in the DR Congo.

I'm already getting lots of questions, so let me tell you what you should know:

* This one is already big — "over 246 suspected cases and 65 deaths have been reported". This means we're just learning about this outbreak long after its already been spreading. This makes it harder to find contacts and all the cases. Most outbreaks don't get this big by the time they're over, let alone this big by the time we even recognize them.

* This one is in a really tough place — the outbreak is centered around the east of DR Congo, in a place with a lot of conflict, cross-border traffic, and instability. There may also be cases in the big city here, meaning worry for more/faster spread in an urban environment. I've worked up here, it's a tough spot to get to and work in, due to transport and conflict. There was an Ebola outbreak here in 2018-2019 that grew to over 3,000 cases.

* This is on a few borders — this outbreak is close to the Uganda and South Sudan borders. Uganda has a lot of experience with Ebola outbreaks, South Sudan less. Very possible there's already been cross-border cases, given size of the outbreak already. WHO and countries will be stepping up surveillance, but again, this is a place with a lot of conflict and instability.

* This is not your normal Ebola — most outbreaks have been of the Zaire strain of Ebola. That's the one we have vaccines and treatments for. But this outbreak appears to be due to the Bundyibugyo strain. This has caused a few outbreaks in DR Congo in the past, as well as over the border in Uganda. BUT there is no vaccine, and no treatment for this strain.

My initial reaction here is that this isn't good, at all. I'm glad Africa CDC is on it, as is WHO. But delayed recognition means this has already gotten big, at a confluence of borders with a lot of instability, and for a strain that we don't have any vaccines or treatments for.

I'll share updates as I hear them

[NCDC @NCDCgov]

🚨 PUBLIC HEALTH ADVISORY 🚨

The Nigeria Centre for Disease Control and Prevention (NCDC) has released a Public Health Advisory to address the recent reports of a Hantavirus cluster linked to international cruise ship travel involving multiple countries.

At this time, there is NO confirmed case of Hantavirus in Nigeria, and the overall risk to the public remains low.

🦠 What is Hantavirus?
Hantaviruses are viruses mainly carried by rodents. Humans can become infected through contact with infected rodents, their urine, droppings, saliva, or contaminated dust.

⚠️ Possible symptoms include:
☑️ Fever
☑️ Fatigue and body aches
☑️ Headache
☑️ Stomach-related symptoms
☑️ Difficulty breathing in severe cases

✅ How to protect yourself:
✔️ Keep your environment clean
✔️ Prevent rodent infestation
✔️ Store food properly
✔️ Dispose of waste safely
✔️ Avoid contact with rodents and their droppings
✔️ Practice regular hand hygiene

The NCDC is actively monitoring the situation and strengthening surveillance for emerging infectious diseases.

Please rely only on verified updates from official public health authorities and avoid spreading misinformation.

#PublicHealth #NCDCNigeria #Hantavirus #HealthAdvisory

[ESPN UK @ESPNUK]

An all-English European domination is still on the cards this season 💥

[WHO African Region @WHOAFRO]

❇️ What are #hantaviruses and how are they transmitted?
❇️ What are the symptoms and who is most at risk?
❇️ How can infection be prevented?

Learn more in @WHO’s factsheet: https://t.co/9FgAYeCxnI

[BBC Sport @BBCSport]

ARSENAL HAVE REACHED THE CHAMPIONS LEAGUE FINAL 👏

[Public Health at BMC @PubHealth_BMC]

Excited that BMC/Springer Nature will be attending the MSF Scientific Day on 20th May. Sign up: https://t.co/4sdrrrLt3o

Chat to us at the Springer Nature booth. Hope to see you there!

[Mike @macdelaw]

The dream is alive !

[BBC Sport @BBCSport]

A huge turnaround at Everton! 😮

[Mike @macdelaw]

Tell your story; it doesn’t have to be perfect.

[Reads with Ravi @readswithravi]

I’m in love with this sentence:

“Consistency looks like nothing is happening, until everything changes.”

[Médecins Sans Frontières (MSF) France @MSF_france]

Semaine mondiale de la #vaccination : bien que les vaccins soient l'un des outils les plus efficaces pour se prémunir des maladies, ils ne sont pas toujours abordables et adaptés à tous les contextes. Le point sur les progrès et les obstacles ⬇️
https://t.co/HsvkmZv9Ap

[MSF Science @MSFsci]

🔊📢New research from @MSF & @UniofOxford showcased at Scientific Days 2025 published today!
Current WHO criteria may miss nearly half of children at risk of dying from sepsis. Our new triage tools identify 89% — at a fraction of the referral rate. A potential gamechanger for remote & conflict-affected settings.

#SpotSepsis #MSFSci

[Médecins Sans Frontières (MSF) France @MSF_france]

Le #Nigeria fait face à l’une des épidémies de #diphtérie les plus graves et les plus longues de son histoire. Afin d'endiguer cette flambée épidémique, les équipes de MSF ont lancé une large campagne de vaccination ⬇️
https://t.co/mD79Ax5ICY

[Navalism @NavalismHQ]

"Set up systems, not goals."

@naval