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Lakshmi G

@lakshmi-ganapathi

Pediatric Infectious Diseases Physician/ Global Public Health

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01.02.2025
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Latest posts by Lakshmi G @lakshmi-ganapathi

@ezralevin.bsky.social is onto something. I am less charitable: political leaders ask so little because they think so little of us. We are partners in democracy yet they poll-test, hire PR firms to message us rather than meaningfully engage. Mamdani’s appeal: he organized people in common purpose.

28.01.2026 13:17 πŸ‘ 93 πŸ” 19 πŸ’¬ 1 πŸ“Œ 0

I am so so sorry, Beth. Sending virtual hugs.

26.01.2026 13:41 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Alex Pretti was a colleague at the VA. We hired him to recruit for our trial. He became an ICU nurse- I lover working with him. He was a good kind person who lived to help and these fuckers executed him.

White. Hot. Rage.

24.01.2026 19:31 πŸ‘ 60629 πŸ” 18874 πŸ’¬ 1404 πŸ“Œ 741

I am so sorry, Dimitri. Heartbroken.

24.01.2026 20:26 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Bad-faith actors have employed a well-worn playbook to advance their commercial, political, and personal agendas. Analyses that do not account for the underlying political economy of these scientifically irrational but commercially logical policy decisions are incomplete.
bsky.app/profile/char...

08.01.2026 14:44 πŸ‘ 25 πŸ” 8 πŸ’¬ 2 πŸ“Œ 0

In 1933 a plurality of Germans voted for the NSDAP -- winning an election doesn't make your actions moral.

08.01.2026 15:50 πŸ‘ 1042 πŸ” 173 πŸ’¬ 44 πŸ“Œ 6

2/ Hepatitis B is a serious disease, and can lead to fulminant infection and death particularly in infants. I should note that said author was also wrong about Hepatitis B in a prior paper.

08.01.2026 15:19 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

1/The newspapers of the day are complicit in the erosion of public health in the US. In their quest for β€œdiverse” views and ”both sides”, what they have failed to ask is whether said opinion writers (in this case Emily Oster) actually have the foundational expertise to comment on public health.

08.01.2026 15:16 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Thank you for telling it as it should be told. That leaders in the academy use DEI, and co-opt the language of justice and rights when it is expedient and brings funding and quickly jump ship when it’s no longer either of these is even more glaring now.

08.01.2026 10:55 πŸ‘ 3 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
Preview
Harvard’s Ouster of Mary Bassett Is a Revolting Act of Cowardice The public health icon was brutally removed from her job for one reason: her opposition to genocide in Gaza.

@gregggonsalves.bsky.social details the ouster of Dr. Bassett from HSPH’s FXB Center for Human Rights as it should be told. Leaders in academia using DEI & language of justice when it brings funding but abandoning these when inconvenient is even more glaring now.
www.thenation.com/article/soci...

08.01.2026 10:43 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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I just finished a stretch of hospital clinical service and anecdotally was struck by how many children who were in for other reasons had yet to receive the flu vaccine. It is not too late to get a flu vaccine this year. The flu kills the healthy, including children.

07.01.2026 16:36 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

@gavinyamey.bsky.social and @jonshaffer.bsky.social write reminding physicians of the commitment to doing no harm..."Trump and RFK Jr are dismantling the core institutions of public healthβ€”doctors should be resisting their damaging health policies, not supporting them."

07.01.2026 14:39 πŸ‘ 11 πŸ” 5 πŸ’¬ 0 πŸ“Œ 0
Preview
US builds case to retain measles elimination status as infections mount U.S. officials are building a case that ongoing measles outbreaks in South Carolina and other states are unrelated to last year's major outbreak in Texas, as it tries to retain its status of having el...

You cannot simultaneously care about maintaining measles elimination status while actively campaigning against the vaccine that allowed this elimination status to be achieved in the first place.
That's not how any of this works πŸ€·πŸ½β€β™€οΈ
www.reuters.com/legal/litiga...

06.01.2026 23:34 πŸ‘ 142 πŸ” 46 πŸ’¬ 3 πŸ“Œ 3

Yesterday, I had an exchange w a scholar who defended Bhattacharya & Makary as reasonable thinkers after the vaccine schedule change announcement, arguing for the need for civility.
I argue here that we shouldn't prioritize civility over sound health policy
mirandayaver.substack.com/p/bless-thei...

06.01.2026 18:08 πŸ‘ 100 πŸ” 25 πŸ’¬ 14 πŸ“Œ 5

Thx for the kind wordsβ€”& for amplifying

While some physicians have pursued power by collaborating with Trump & RFK Jr to dismantle public health, many physicians, nurses, & public health workers are FIGHTING BACK

@defendpublichealth.bsky.social & @standupforscience.bsky.social are DOING THE WORKπŸ’ͺ

06.01.2026 19:36 πŸ‘ 62 πŸ” 14 πŸ’¬ 3 πŸ“Œ 0
Preview
Trump and RFK Jr are dismantling public healthβ€”aided and abetted by powerful doctors High profile physicians should be using their positions of power to resist Trump and RFK Jr’s damaging policies, not collaborating with them, say Gavin Yamey and Jonathan Shaffer President Donald Tr...

β€œThe present administration will continue to destroy evidence based public health programmes and policies unless clinicians, public health workers, and citizens fight back”.

Excellent article by @jonshaffer.bsky.social and @gavinyamey.bsky.social on the phenomenon of doctors who broke bad.

06.01.2026 19:29 πŸ‘ 118 πŸ” 59 πŸ’¬ 5 πŸ“Œ 1
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Science Based Satire: The Forces I Enabled Are Attacking Science Just Like They Said They Would. Here’s Why Left Leaning Public Health Experts are to Blame. No one could have foreseen these attacks on science and medicine. There were no warnings, and no one sounded the alarm bell.

I discussed that essay here...

sciencebasedmedicine.org/science-base...

06.01.2026 16:31 πŸ‘ 11 πŸ” 3 πŸ’¬ 0 πŸ“Œ 0

Infectious Diseases.

06.01.2026 16:38 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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4/ The dismantling of vaccines contravenes the same fundamentals of public health. We get vaccinated not just for ourselves but to protect others. Public health principles do not change. Those who failed to uphold these principles during Covid, who cry wolf now or remain mum have much to reckon.

06.01.2026 14:59 πŸ‘ 36 πŸ” 13 πŸ’¬ 1 πŸ“Œ 0

3/ They framed approach to public health as differing values. Rather the battle was always about upholding the principles of public health (as a collective public good we all contribute to) versus a constant onslaught that prized individualism and guarding individual privileges above all.

06.01.2026 14:59 πŸ‘ 33 πŸ” 12 πŸ’¬ 1 πŸ“Œ 1
Preview
Science, Competing Values, and Trade-offs in Public Health β€” The Example of Covid-19 and Masking | NEJM Pandemic-era decision making requires the transparent balancing of multiple rights, and complex decisions should be widely and publicly debated by public health institutions.

2/ But the truth is thereβ€˜s a direct line from then to now. Public health relies on a fundamental principle: it is collective. Instead all these experts, propped up wishy washy β€œYou do you” health, and fueled the notion that the public had lost faith in public health.
www.nejm.org/doi/full/10....

06.01.2026 14:59 πŸ‘ 32 πŸ” 11 πŸ’¬ 1 πŸ“Œ 0
Preview
Opinion | We Didn’t Get Covid Right. But This Is Just Wrong.

🧡This needs to be said. There were many in ID who during Covid agreed along with the current leaders of NIH & FDA in their naysaying, and collaborated with them (remember urgency of normal?) who are now being quoted in the press saying, β€œBy golly we don’t agree now!” www.nytimes.com/2025/07/17/o...

06.01.2026 14:59 πŸ‘ 52 πŸ” 19 πŸ’¬ 5 πŸ“Œ 4

Good to see Trump chain Makary, Oz, and Bhattacharya to this policy.

Leaves no doubt moving forward that every sick child moving forward is on their hands too.

06.01.2026 00:39 πŸ‘ 67 πŸ” 17 πŸ’¬ 2 πŸ“Œ 4

And all the people in the fraternity who propped Prasad, Makary, Hoeg and colleagues up during COVID, you don’t get to now cry about the destruction of public health in the U.S.

06.01.2026 00:19 πŸ‘ 3 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Pediatric ID Physician here. Iβ€˜ll never forget the young adult who lost her limbs to disseminated meningococcal ds, Iβ€˜ll never forget the healthy children who did not get the flu vaccine and were well one day, and dead the next. The HHS is the biggest threat to children’s health.

06.01.2026 00:13 πŸ‘ 22 πŸ” 13 πŸ’¬ 1 πŸ“Œ 0
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Today’s announcement that HHS is drastically altering the U.S. childhood vaccine schedule without a transparent process or clear scientific justification represents the latest reckless step in Secretary Kennedy’s assault on the national vaccine infrastructure.

Our statement: https://bit.ly/497Tj8V

05.01.2026 22:37 πŸ‘ 43 πŸ” 25 πŸ’¬ 0 πŸ“Œ 2

1). The US is in the middle of the worst flu season in a decade.
2). Pertussis cases are the highest they have been in 20 years.
3). Measles has rebounded and elimination status has been lost.
RFK.Jr. has not recommended vaccination, instead he is aggressively rolling back vaccine policy.

05.01.2026 20:42 πŸ‘ 484 πŸ” 212 πŸ’¬ 20 πŸ“Œ 17
Petition to Reinstate Dr. Mary Bassett as the FXB Center Director

What direction will we take the future of our field of public health?

We are at a crossroads

Dr. Mary Bassett represents the best of us, and I hope will continue to be supported in leading the way forward

Heartened to see much support for her on this petition

docs.google.com/document/d/e...

11.12.2025 15:29 πŸ‘ 46 πŸ” 19 πŸ’¬ 2 πŸ“Œ 2

Incredibly depressing capitulation by an organization that could do a hell of a lot better

10.12.2025 21:16 πŸ‘ 7 πŸ” 5 πŸ’¬ 0 πŸ“Œ 0
The New York City Dept of Health staff clap for Dr. Mary Bassett on her last day as Health Commissioner

The New York City Dept of Health staff clap for Dr. Mary Bassett on her last day as Health Commissioner

It's difficult to convey the magnitude of appreciation I have for Dr. Mary Bassett's principled leadership and contributions to public health, but

This video from her last day as the New York City Department of Health
Commissioner comes close

fb.watch/DVGL9J9Ew1/?...

10.12.2025 22:17 πŸ‘ 34 πŸ” 8 πŸ’¬ 2 πŸ“Œ 0