Should patients be told when they’re part of an outbreak in a hospital? Does pathogen genomics change that? I first started this paper in 2020 in my bioethics class, and happy to share it peer reviewed, published now! www.cambridge.org/core/journal...
Alex Sundermann, DrPH
@sundermannaj.bsky.social
Assistant Professor in Epidemiology @ Pitt Public Health | Outbreaks, Genomic Epidemiology, Public Health 🕵🏼♂️ | DrPH, CIC, FAPIC | Hubs & Dad of 2 https://www.publichealth.pitt.edu/directory/alexander-sundermann
Supporting a brilliant, life-long public servant from afar Yes, he sits in my desk at all times!
Biofire cyclospora % positive looks like it has finally peaked 👀 🤞🏻💩
I talked to @newyorker.com about the cyclospora outbreak, surveillance, and how this makes us think about investment in public health “It’s hard for the public to recognize when public health is working, because when it works, you don’t see it,” Sundermann told me www.newyorker.com/culture/prog...
Grocery Shopping in the Age of Explosive Diarrhea
The cyclospora outbreak lays bare our underfunded and overwhelmed public-health system.
newyorker.com
The administration is: “shifting research funding away from universities toward individual researchers” …do they know how research works? …who is doing this by themself?… www.nytimes.com/2026/07/22/u...
Trump’s Plan for Science: More Money for A.I., Less for Universities (Gift Article)
Michael Kratsios, President Trump’s science adviser, proposed overhauling how the government funds research. Democrats said Mr. Trump’s actions had weakened science.
nytimes.com
@nathanraabe.bsky.social & I talked to @cidrap.bsky.social on NDM transmission in healthcare - lots of infection prevention implications Unless you are using genomics, you may miss the between-species transmission Thanks @cvdall.bsky.social for the chat! www.cidrap.umn.edu/antimicrobia...
The resistance gene that’s causing ‘nightmares’ in US hospitals
cidrap.umn.edu
I’m on the video platforms a lot lately and trying to explain all the ✨outbreaks✨ we’ve had lately!
This is a *fantastic* video that explains exactly WTF is going on with Taylor Farms and how tracing works TLDR: - they are responsible - the false positive was only on one of several samples - it’s difficult to test parasites - there may still be other sources - Taylor Farms is being shady AF
This is a *fantastic* video that explains exactly WTF is going on with Taylor Farms and how tracing works TLDR: - they are responsible - the false positive was only on one of several samples - it’s difficult to test parasites - there may still be other sources - Taylor Farms is being shady AF
A cool ‘negative finding’ So much of these supplies are thrown out after discharge. Nice knowing at least they don’t often have pathogens on them
NEW in ICHE: do paper packaged medical supplies in the PICU have pathogens? ➡️ 0/140 (0%) of supplies sampled at discharge had no pathogens on them ➡️ 8/140 had non-pathogens collected #IDSky 📃: doi.org/10.1017/ice....
Ongoing multi-country NDM outbreak in Europe No point source identified, but it’s something being shared given lack of travel among cases Lots of medical devices/medications considered, but nothing common as of yet Super interesting 👀 www.eurosurveillance.org/content/10.2...
Eurosurveillance | Ongoing multi-country outbreak of carbapenem-resistant Enterobacter hormaechei ST1344 carrying bla NDM-5 in the European Union/European Economic Area, March 2025 to April 2026
In seven EU/EEA countries, the emergence of NDM-5-producing Enterobacter hormaechei ST1344 among patients has been detected. In minimum spanning tree analysis of core genome-multilocus sequence-typing (cgMLST) profiles, isolates cluster with ≤ 4 allelic differences. The outbreak includes 57 cases (29 female/28 male; median age: 73 years), which occurred between March 2025 and April 2026. Many were hospitalised (n = 45), some with extensive prior medical treatment, and only three reported travel abroad. A cross-border investigation, including coordinated exposure questionnaires, has not yet identified a source.
eurosurveillance.org
Since when do we compare mortality rates of other viruses when deciding what to do with quarantine measures? CDC says at-home quarantine = OK A non-medical, non-scientific RFK overrules and enforces federal quarantine www.washingtonpost.com/health/2026/...
Great interview from @helenbranswell.bsky.social w/ WHO Director When other health issues & armed conflict cause >> deaths than Ebola + mistrust/misinformation = difficulty to get best practices to contain spread But also the perspective that other countries only care now d/t threat to them
How do you persuade people they need to take #Ebola seriously when more in their midst are dying from other diseases & armed conflict? That is the challenge #WHO DG Tedros confronted when he visited the outbreak zone in DRC this week. “Ebola is a lesser evil." www.statnews.com/2026/06/13/w...
“The woman said she regretted not getting her kids vaccinated when the outbreak started.” These kinds of stories are helpful for the vaccine hesitant parents The goal isn’t to convince the anti-vax, but out compete the vacuum that they have taken in public communications A great read below ⤵️
My story on America's regressive, new reality is now up @kffhealthnews.org (without a paywall) kffhealthnews.org/public-healt...
My story on America's regressive, new reality is now up @kffhealthnews.org (without a paywall) kffhealthnews.org/public-healt...
Anguished Parents. Doctors in Tears. Utah’s Long Measles Outbreak Takes a Toll. - KFF Health News
Measles has been spreading in Utah for nearly a year, straining hospitals, schools, and parents. The state’s outbreak provides a glimpse into a new era in America’s health, in which vaccine-preventabl...
kffhealthnews.org
I went to Utah to see what life is like in America's new reality, where vaccine-preventable diseases are common again. Utah's measles outbreak has lasted 10 months. Pediatricians teared up in interviews. Mothers were stressed. 🧵My latest @wired.com @kffhealthnews.org www.wired.com/story/anguis...
“[the editorial has gone] from being completely unknown to, as of last night, the 50th-most cited, most-viewed paper in the entire world among 300,000 papers published in the last month.” True Streisand effect happening
Fallout continues from the ADA's decision to forcibly expel five diabetes experts from its annual meeting in New Orleans for handing out copies of an editorial criticizing federal cuts to biomedical research. Liz Cooney has the latest: www.statnews.com/2026/06/09/a...
Absurd in context of 1) dangers it causes to people & children, & 2) the 0 benefits raw milk “I’ve put a couple kids in the hospital ... But here’s the thing: I’m a pioneer. And I’m going against the grain here. I’m climbing a mountain they say you can’t climb” www.propublica.org/article/mark...
He Profits Off Raw Milk That’s Making People Sick. The Government Isn’t Stopping Him.
With Raw Farm, the largest raw-milk dairy in the country, Mark McAfee has capitalized on a once-fringe product that’s been thrust into the mainstream in recent years and backed by Health Secretary Rob...
propublica.org
ADA censors scientists at their own conference on Friday 2 (maybe more) board members resign by Monday It shows scientists in solidarity with each other 👏🏻 www.medpagetoday.com/special-repo...
Leaders Resign From ADA After Experts Booted From Meeting
Resignations included the organization's president-elect and scientific sessions chair
medpagetoday.com
I wouldn't be where I am professionally w/o AHRQ, which funded my postdoc at UCLA, where I began work toward Coverage Denied. In my latest Substack, I wrote on why Republicans' effort to eliminate AHRQ is so dangerous for patients and hobbles health policy training. open.substack.com/pub/miranday...
Why House Republicans' Plan to Eliminate AHRQ Would Be a Disaster
The House of Representatives is at it again, working to eliminate the Agency for Healthcare Research and Quality (AHRQ), a proposed cut that is as misguided as it is dangerous.
open.substack.com
New CDC MMWR on Ebola risk: "To help reduce the risk for continued spread ... ongoing collaboration between CDC and international partners and coordination among U.S. government agencies are essential" Instead 'ongoing' should be 're-established and sustained' www.cdc.gov/mmwr/volumes...
Assessment of Risk to the U.S. Population from the ...
This report describes the risk posed by the current Ebola outbreak to the general U.S. population.
cdc.gov
House Appropriations released its FY27 bill, again working to eliminate Agency for Healthcare Research and Quality (AHRQ), which it calls "duplicative." My friend/colleague @sundermannaj.bsky.social & I wrote on AHRQ's necessity. thehill.com/opinion/heal... appropriations.house.gov/sites/evo-su...
appropriations.house.gov
God forbid we give new mothers paid parental leave /s My (amazing) county exec is proposing 18-weeks paid parental leave 👏🏻 It’s absurd there is pushback on this. We are one of the only countries that doesn’t offer paid leave triblive.com/local/valley...
Allegheny County residents, business owners clash over impact of proposed paid parental leave
An ambitious proposal to require 18 weeks of paid parental leave for workers in Allegheny County drew overwhelming public interest Tuesday as more than 80 people signed up to speak at a public hearing...
triblive.com
New paper from Pitt colleagues: medical cannabis use & risk for infections ➡️ Limited case reports (they highlight theirs linking using WGS crypto [super interesting]) ➡️ no uniform standards ➡️ need for ANY research, testing criteria, data on infection risk #IDSky academic.oup.com/cid/advance-...
Current state of knowledge on medical cannabis use and risk for infections: A practical guide for clinicians
Abstract. Patients and clinicians broadly support medical cannabis, but acknowledge limited understanding of products, efficacy, and safety. Here, we revie
academic.oup.com
Also notable in this new rule: conference attendance has to be explicitly stated WHICH conferences you plan on attending and approved That alone will disrupt scientific conference attendance
For a clear description of what is in the new OMB grant-making regulations, see elizabethginexi.substack.com/p/summary-of... 1/2
New pre-print from our group: NDM transmission over 5-years at our hospital ➡️ 6 clusters NDM transmission (2-28 plasmids) ➡️ *Multi-species* transmission seen (up to 9 in 1 cluster) ➡️ Strong unit-level exposures Shows us what current IP practice misses! #IDSky 📃: www.medrxiv.org/content/10.6...
2nd attack on Ebola center where people demanded bodies back I haven’t seen news reports cover the need for safe/dignified burials in these incidents The practice which needs close, trusted community contacts www.washingtonpost.com/world/2026/0...
Young men storm a Congo hospital treating Ebola patients to demand bodies of their kin
A local hospital official says that angry young men stormed a hospital treating Ebola patients at the heart of an outbreak in eastern Congo, demanding the bodies of their relatives
washingtonpost.com
WHO press briefing just now reports another hantavirus case in Netherlands from a crew member Still no secondary transmission outside the cruise ship which is good news
"The Ebola outbreak in the Democratic Republic of the Congo is spreading rapidly", says @drtedros.who.int at @who.int presser. 82 cases and 7 deaths have been confirmed in DRC. "But we know the epidemic in DRC is much larger. There are now almost 750 suspected cases and 177 suspected deaths."
Young men torched an Ebola center bc they were mad they couldn't retrieve their friend's body for burial, AP reports. People get mad when their loved ones are disappeared. If that's not taken seriously, the whole response will go south. My piece from 2015 www.nationalgeographic.com/adventure/ar...
How the Fight Against Ebola Tested a Culture’s Traditions
West Africans altered cherished burial traditions after anthropologists enlisted pastors, imams, and chiefs to allow safer rituals.
nationalgeographic.com
“[Trump said] People who volunteer to help in Ebola outbreaks “must suffer the consequences”” Complete lack of compassion
And another one www.theguardian.com/us-news/2026...