Geoff Millikan

Only news about care, therapy, prevention of emerging infectious diseases. No politics. Not a medical doctor. Opinions are my own.

[Abraar Karan @AbraarKaran]

Read this:

In 2018, Adam Vainqueur, a teacher from Beni, Congo, contracted #Ebola.
When he recovered, he found that he had been fired from the private school where he worked and that his family had abandoned him. “When you are taken by the doctors, you are not expected to come back,” Vainqueur, now 28, said. “People knew and said the Ebola doctors were demons.”

“People fear you, your family chase you away or avoid you, at the market, people run away when they see you, or they give way when you go to fetch water,” he said. “People leave once they see you because they believe you have Ebola inside you.”

https://t.co/7CgyozLCTK

[Helen Branswell 🇨🇦 @HelenBranswell]

Most #Ebola outbreaks in history have been stopped without vaccines or specific therapeutics. Time-tested containment measures can get the job done.

[Rod Wong, MD @docrodwong]

a standing ovation for daraxonrasib at asco. over 40k oncologists, entrepreneurs, investors, and patient advocates together celebrating revmed's breakthru in the fight against pancreatic cancer. u never forget these moments. it's what innovation is all about.

[Krutika Kuppalli, MD FIDSA @KrutikaKuppalli]

Wonderful news from the #Ebola outbreak in DRC: four healthcare workers have recovered and been discharged.

Every Ebola survivor is worth celebrating. Behind each recovery is a team of clinicians, nurses, laboratorians, hygienists, cleaners, logisticians, and public health professionals working tirelessly under extraordinarily challenging circumstances.

Today we celebrate both the survivors and the teams who made these recoveries possible.
https://t.co/BDF5FkAvfc

[Tedros Adhanom Ghebreyesus @DrTedros]

@EliasMusiime @WHO Already on the ground.

[Geoff Millikan @nCoV2019Geoff]

@DrTedros @mvankerkhove @WHO What an absolutely fantastic message - unifying and hopeful and empathetic and with leadership.

[Tedros Adhanom Ghebreyesus @DrTedros]

To the people of DRC, especially to the people of Ituri

Jambo kwenu wakahaji wa Ituri

Mbote na bino, bato ya Ituri

My name is Tedros, and I am the Director-General of the World Health Organization (@WHO). But today, I am not writing to you as an official. I am writing to you as someone who knows your region, who has walked your streets, and who cares deeply about what happens to you and your families.

I am writing because I want to be with you in these moments. And I want you to know that you are not alone.

#Ebola is not new to me personally. From 2018 to 2020, I came fourteen times to North Kivu, the epicentre of the outbreak at that time. Fourteen visits to Beni, Butembo, Katwa, Goma, and many other communities. During that outbreak, Ebola spread across North Kivu, South Kivu, and reached parts of Ituri as well. I was alongside families who had lost their loved ones. I met health workers risking their lives every day. I met community leaders, traditional healers, religious leaders and business leaders who refused to abandon their people. I saw men and women show extraordinary courage in the most difficult of circumstances. The people there, who saw me coming back again and again, wanted to give me a name that belonged to their community. They asked me whether I was the first, second, or third child of my parents. When I told them I was the firstborn, they gave me the name Dr. Paluku. I carry that name with pride. It is not just a name. It is a bond. It is a reminder that this work is not about titles or institutions. It is about people. It is about you.

That outbreak was one of the most complex in history. It did not unfold in a stable, peaceful environment. It happened in the middle of armed conflict, with communities displaced, supply routes disrupted, and health workers operating under constant threat. People were fleeing violence while also trying to protect themselves and their families from a deadly disease. I remember being in Beni on more than one occasion while fighting was taking place on the outskirts of the city. We could hear it. And yet the health workers around me did not stop. They kept working. That kind of courage is something I will never forget. The challenges of that time are not so different from what you are facing today in Ituri. I understand that. I have seen it with my own eyes.

Mistrust ran deep, and the security situation cost us precious time. Our health workers were attacked. Clinics were targeted. People who were only trying to save lives found themselves caught in the middle of a conflict they did not start. Lives were lost that we might have saved, and that weighs on me still. But I also witnessed something remarkable. When we listened, when communities felt respected and heard, things began to change. Trust grew slowly, then more quickly. People came forward. And together, we managed to contain the outbreak. We did it. The people of DRC did it. I will never forget that.

Ebola is now back. This time, the outbreak is hitting Ituri province the hardest. More than 90% of all cases have been reported in Ituri province, with a small number of cases also reported in North Kivu and South Kivu. I know how frightening that is, and I know that the people of Ituri are bearing a burden that is not easy to carry.

I know that many of you are exhausted. You are already carrying so much: malaria, hunger, insecurity, and the daily struggle to keep your families safe. And now Ebola. It is not fair, and I will not pretend otherwise.

But I also want to say something else about Ituri, because this province deserves to be seen for more than its hardships. Ituri is a place of remarkable energy. It is a province of vibrant commerce, of entrepreneurial spirit, of communities that have refused to be defined by the conflicts around them. The markets of Bunia buzz with life. Traders, farmers, teachers, and young people building their futures against all odds. That spirit, that refusal to give up, is exactly what we need now. It is the foundation on which we will build our response. We do not come to Ituri with only medicine and expertise. We come to join a community that already knows how to fight for its survival.

I want to say a special word to the young people of Ituri. You are growing up in circumstances that no young person should have to face. And yet what I see, again and again, is not despair but determination. You are the future of this province and this country. In this outbreak, you have a vital role to play. Talk to your friends and your families. Share what you know about Ebola. Help break the fear and the silence that allow this virus to spread. Your voice carries further than you know, and we need it now more than ever.

And to the health workers of Ituri, I want to say this: you are seen, and you are not alone. Every day you go to work knowing the risks, and you go anyway. You do it for your patients, for your communities, for your families. You are the backbone of this response. Without you, none of this is possible. I know the conditions are hard. I know the resources are often not enough. I know that fear and exhaustion are real. Please know that WHO stands with you, that we are working to get you the support you need, and that your courage and dedication are known and deeply valued far beyond the borders of this province.

I also know that the security situation in parts of this region remains very difficult. Conflict and displacement make everything harder, including reaching people who need care and keeping health workers safe. I want to be honest: this is one of our greatest challenges. We cannot do this work if those who are trying to help are prevented from doing so or put in danger. We are working closely with all relevant partners to ensure that the response can reach every community that needs it, and that no one is left behind because of where they live or what is happening around them.

That is why today I am making a direct appeal to all warring parties in this region: please, declare a ceasefire. Even briefly. Even just enough to let health workers through. People are dying from Ebola who do not have to die. Children are sick. Families are suffering. No cause, no conflict, no grievance is worth condemning innocent people to death from a preventable disease. A ceasefire, even a temporary one, would save lives. I urge you, I implore you: give us the space to help the people who need it most.

I also know that there is anger and mistrust in some communities, and I understand why. Trust must be earned, it cannot be assumed. We have not always done things correctly. But I promise you, we are here to learn as much as we are here to help.

I need to be honest with you about something important. Most previous Ebola outbreaks in DRC were caused by a virus called Ebola Zaire, for which we have vaccines and treatments. This outbreak is caused by a different virus called Ebola Bundibugyo. There are currently no approved vaccines or treatments for it. This is serious, and you deserve to hear that plainly. But I also want you to know this: while there are no specific treatments for Bundibugyo, there is much we can do together to prevent the spread of this virus and save lives. Early supportive care in our treatment centers can make a real difference. If you or someone you know falls ill, please do not wait. Coming forward early can make the difference between life and death. And everything we do, we will do with you. We will listen to you, we will share information with you, and we are here to help. And for those we cannot save, we will mourn with you. We will help you grieve your lost loved ones with safe and dignified burials.

We are working under the leadership of the Government of DRC, together with all relevant partners, united around one goal: to stop this outbreak and protect your communities. No one is working alone. No one is working at cross purposes. We are coordinated, we are committed, and we are here.

That is why I am coming to Bunia. I will be there in person, alongside my colleagues, meeting your leaders, listening to your concerns, and doing everything in my power to help you. I will not be managing this from a comfortable office far away.

This is the 17th Ebola outbreak in DRC. Together, you have overcome every single one before. That is not a small thing. That is a testament to the strength and resilience of your communities. I have seen that strength with my own eyes.

My brothers and sisters of Ituri, I want you to know that the world is watching your courage. You are not forgotten. Together, we will overcome this outbreak, as you have overcome every challenge before. Your resilience is the light that guides us all.

We will get through this one too. Not because of anyone, but because of you.

Our teams are already on the ground, and they will stay for as long as necessary. And when this outbreak is over, we will not quietly disappear. We will not forget you. We will stay, and we will keep working with you to build health systems that protect every person in every community.

I look forward to seeing you in Bunia soon. Until then, please know that you are in my thoughts.

With respect and solidarity,

Paluku
Tedros Adhanom Ghebreyesus
Director-General, World Health Organization

[Geoff Millikan @nCoV2019Geoff]

@BNOFeed Have these 23 deaths moved you to want to help the amazing people of Africa? Yes? There’s literally 2,000 children daily dying from malaria! Use your favorite search engine to find organizations putting mosquito netting in parent’s hands for $0.50 each. Donate there 🙏

[Kai Kupferschmidt @kakape]

One glimmer of hope in the Ebola response:
Within hours of the outbreak in DRC being declared, researchers convened to prepare drug trials.
A lot has changed on that front since the Ebola outbreak in West Africa a decade ago. But huge challenges remain…
My story in @ScienceMagazine

https://t.co/643i5g2N4B

[Geoff Millikan @nCoV2019Geoff]

@KrutikaKuppalli @PathogenScribe “punching ourselves in the throat” I believe would be the expression normally used here

[Democracy Now! @democracynow]

Dr. Craig Spencer is a public health professor and emergency medicine physician at Brown University who survived Ebola in 2014. He says it's not a coincidence that the world is seeing a new outbreak of the disease, as well as hantavirus and rising rates of measles in the United States.

"If you recall, it was just over a year ago that Elon Musk gleefully declared that they were throwing USAID into the wood chipper. And you may recall that Elon Musk also sheepishly said at his first Cabinet meeting that he mistakenly canceled Ebola prevention but turned it back on. For many folks, the story ended there, but what actually happened was there was an Ebola outbreak, and DOGE and Elon Musk cut all the support that we normally would have been giving to respond to that Ebola outbreak. The result was that exactly USAID, who in the past would have been supporting things like airport screening in Uganda, was not providing that logistical or financial support. USAID and other partners would have been providing support to make sure testing was adequate, to make sure a vaccine rollout could have taken place, but we didn’t have USAID on the ground.

"Similarly, CDC has long had relationships in this part of the continent, in Congo and in Uganda, and a lot of those relationships have broken down and withered over the past year, because we just haven’t been paying. Similarly, the U.S. has pulled out of the World Health Organization over the last year, which means that in normal circumstances our CDC folks are not able to even talk to World Health Organization people, something that is absolutely unbelievable and an incredible mistake for something that we should be able to do and be prepared for at all points.

"And the result is what we’ve seen over the past couple of weeks with hantavirus, we’ve seen with the dramatic increase in number of measles cases in the U.S., and now Ebola in DR Congo and across the border in Kampala. This is not all just a coincidence. This is a consequence of us cutting back our support, not only here at home, but also abroad.

https://t.co/Km03jENTdG

[Charlotte Alter @CharlotteAlter]

The Pope's humanist manifesto does something really interesting; not only does he call for new regulations and guardrails, but he also calls out what he describes as the "anti-human vision" pervasive in the tech world.

Human limitations, he argues, are not bugs in our code to be fixed or optimized. They're at the core of love, wonder, community, the shared vulnerability of being human.

https://t.co/nkS6v8gYnA

[Prof. Akiko Iwasaki @VirusesImmunity]

Is there an association between human herpesviruses (HHVs) reactivation and Long COVID? We analyzed HHV DNA shedding in saliva and found that HHV-6 correlates with Long COVID severity. Claire Laxton, @S_Tabachnikova, Lily Cooke, Kexin Wang et al.

https://t.co/jsZznyXiGq (1/)

[Geoff Millikan @nCoV2019Geoff]

@WHO @KrutikaKuppalli @DrTedros Thank you United Nations for the substantial financial assistance! @UN

[Ian M Mackay, PhD (he/him) @MackayIM]

Molecular Diagnostic Tests (RT-PCR) for Ebola Virus Bundibugyo Strain.

https://t.co/YSre0mOAFi

[Geoff Millikan @nCoV2019Geoff]

@thelonevirologi Good to know, but that’s too bad. Would’ve been nice if one vaccine worked against all of them.

[Jeremy Konyndyk @JeremyKonyndyk]

An insanely counterproductive message. Tells any US health workers that if they get infected trying to contain the outbreak, they won't be allowed home.

In the 2014 outbreak we did the opposite, because we knew that posture would undermine the response and extend the outbreak.

[Helen Branswell 🇨🇦 @HelenBranswell]

This is such a moving piece. If your interested in #Ebola — the damage it causes, the trauma families and communities and responders face during and after an outbreak — please read it. https://t.co/DZtQnLOQHQ

[World Health Organization (WHO) @WHO]

"After declaring the PHEIC, I immediately convened an Emergency Committee under the IHR, which met yesterday and agreed that the situation is a public health emergency of international concern, but is not a pandemic emergency.

WHO assesses the risk of the epidemic as high at the national and regional levels, and low at the global level"-@DrTedros #Ebola