😂jammer wel van dat visgerecht

GERMAN PRESIDENT STEINMEIER:

“.. the United States has broken with the values that it helped to establish ..

“.. we have now moved beyond the stage where we can lament the lack of respect for international law or the erosion of the international order; we are far beyond that, I believe.”

Persisting barriers to health care access include:
1️⃣ Low acceptability, poor alignment between provider and population attitudes
2️⃣ Capacity + lack of integration of social & medical services
3️⃣ Geographical accessibility
4️⃣ Affordability and administrative barriers.

@itmantwerp.bsky.social

Mortality and barriers to healthcare among people experiencing homelessness in Paris: a mixed-methods study - International Journal for Equity in Health International Journal for Equity in Health - Homelessness is a global problem with significant public health implications. Persons experiencing homelessness (PEH) face poorer health outcomes and...

🔬ARTICLE: MORTALITY AND BARRIERS TO HEALTH CARE ACCESS IN HOMELESS PEOPLE IN PARIS
Work by @evelinec.bsky.social
➡️ Median age of death 54 years, 26 years (!!) below general population
➡️ Most deaths due to cancer and cardiovascular diseases - like in the general pop
link.springer.com/article/10.1...

Denying medical assistance is unacceptable in any circumstances.

Israel’s threat to withhold registration from MSF & other INGOs is a cynical and calculated attempt to prevent organizations from providing services in #Gaza and the #WestBank, #Palestine.

https://ow.ly/XQwE50XR5OE

New PREPRINT! tinyurl.com/yynzevrh Thanks to a true transdisciplinary collaboration, we developed and evaluated a low-cost community #AMR intervention set in rural Burkina Faso and DRCongo. Combining #WHO #AWaRe–based feedback/training (medicine providers) and AMR awareness campaigns (community).

For me, it's sobering to realize that another year passed while most primary care practices and hospitals around the world still lack a structural approach or resources to tackling #AMR.

Luckily the relentless energy of those AMR advocates offers an annual boost of morale

Every year during #WorldAntimicrobialAwarenessWeek I'm surprised by the diversity of media, approaches, and key messages used to reach and mobilize the public or healthcare workers, and to promote better antibiotic use—driven each time by the tireless and unparalleled energy of so many AMR advocates

Waarom jaarlijks nog 200.000 kinderen sterven door antibioticaresistentie In Europa treft antibioticaresistentie vooral ouderen en ziekenhuispatiënten, terwijl in lage-inkomenslanden vooral kinderen sterven aan infecties die resist...

Nu het #WAAW is, schreef ik voor EOS een blog over ons onderzoek met CRUN in Burkina Faso.
Waarom zijn er zoveel ernstige resistente bacteriële infecties op een plek waar antibioticagebruik niet excessief is?
www.eoswetenschap.eu/gezondheid/w...
#AMR @itmantwerp.bsky.social

Waarom jaarlijks nog 200.000 kinderen sterven door antibioticaresistentie In Europa treft antibioticaresistentie vooral ouderen en ziekenhuispatiënten, terwijl in lage-inkomenslanden vooral kinderen sterven aan infecties die resist...

www.eoswetenschap.eu/gezondheid/w...

😱😱 it's not just the abstract

a global health journal gives you a limit of 200 words for the abstract of an article you've been working on for years so you decide to use these words to provide historical context 😬 #AMR

The image presents a line graph illustrating the share of electricity generated from fossil fuels and renewables in the Netherlands from 1985 to 2024. The horizontal axis marks the years, starting at 1985 on the left and progressing to 2024 on the right. The vertical axis indicates the percentage of electricity generation, ranging from 0% to 100%. A brown line represents fossil fuels, which shows a gradual decline over the years, starting near 90% in 1985 and dropping sharply after 2015, approaching close to 40% by 2024. In contrast, a blue line illustrates renewables, showing a slow increase from nearly 0% in 1985 to a significant rise, crossing the fossil fuel line in 2024 to surpass it. The title notes the historic shift in Dutch electricity generation, indicating that for the first time, most electricity now comes from renewable sources. Data source: Ember (2025), Energy Institute (2024). The graph is licensed under CC BY.

Renewables have taken the lead in Dutch electricity production

Epidemiologist Epidemiologist for modelling AMR transmission in LMICMore than 500 staff members at the Institute of Tropical Medicine (ITM) contribute e...

Open position for an ID modeler @itmantwerp.bsky.social on community-level + healthcare transmission of resistant #AMR bacteria in LRS, working with Clinical Research Unit Nanoro, @esthervk.bsky.social, @bugwonk.bsky.social, KEMRI-wellcome Kilifi, myself,... #IDSky #EpiSky
www.itg.be/en/jobs-and-...

Thank you for sharing this. I don't get what @escmid.bsky.social hopes to obtain by restricting access after 6 months, or making it impossible to save posters

Belgian waste water tells the story: Alpha. Delta. Omicron. Then viral loads dropped 10×.

Not luck. Not just Omicron.
But population immunity — built by vaccines + infections. Vaccines helped to avoid millions of deaths in the process.

Graph: Raphael Janssens

🔗 www.linkedin.com/posts/vanguc...

Great work at GLASS that @esthervk.bsky.social presented at #ESCMIDglobal, providing regional trends in AMR prevalence in bloodstream infections #AMR #IDSky

GLASS report with 2022 AMU data is out #IDSky #AMR
iris.who.int/bitstream/ha...

It has per capita antibiotic use expressed in DDD per 1000 inhabitants per day, confirming DID is lower in most low-income than in most high-income countries

Would be great to link population-wide AMU to AMR prevalence

If you love strong, pour-over coffee, a team of physicists has a tip: Pour from as high as you can without causing the stream to break apart. That and more of the best in @science.org and science in this edition of #ScienceAdviser: www.science.org/content/arti... 🧪

Vienna was marvelous and going from Copenhagen to ESCMID by day- and nightrain was a fantastic experience

I am surprised not to have picked up any major new treatment, prevention, or public health intervention breakthrough. I might have missed them, maybe I was queuing in the wrong lane, but blame the #ESCMIDGlobal app for that

8. A meeting organised by the ESCMID Study Group for Antimicrobial Stewardship actors involved in AMS in LMICs shared experiences. I retain that scaling of AMS beyond few tertiary care hospitals is nearly absent in LMIC, but still nowhere near in most HIC too. Let apart in primary care.

7. Two sessions on AMR and vaccines demonstrated again the lack of (recent) studies measuring effectiveness of (new+existing) vaccines on reducing antimicrobial use and AMR. Willian Hausdorff suggested developing combination vaccines by clinical presentation could better convince policy makers

6. Erika Vlieghe gave a talk on developing a sepsis national action plan in Belgium and had to start with a disclaimer on the complexity of healthcare decisionmaking, having to deal with 7 health ministers. Preventive and curative care are dealt with by different state levels.

5. Sonephet Vantava demonstrated how in hospitals in Lao PDR, healthcare worker attitudes and PPS antibiotic use data from will be combined to inform #AMS addressing frequent antibiotic use before and after delivery. Knowledge influences attitudes differently by profession @icarsglobal.bsky.social

Vilada Chansamouth then demonstrated how they used pathogen distribution and AMR prevalence data to develop guidelines in Lao PDR

4. A session on AMR surveillance gave excellent examples of analyzing and using clin micro AMR surveillance data, largely all examples from SE Asia. Many LMIC still struggle analyzing the data they have. Would be great if @WHO copy-pastes more from these examples

3. A session on biomarkers reviewed evidence on use of CRP to treat outpatient respi tract infections or fevers in low-resource settings. Large differences in effectiveness largely due to differences in antibiotic use prevalence. A cheap single malaria +semiquantitative CRP lateral flow test awaited

(I need to post one at a time apparently - takes a bit of time)

2. On relevant metrics to evaluate #AMS interventions: Days of Antibiotic Spectrum Coverage/DASC not only measures days of treatment but also at how wide the spectrum is of the antibiotic administered. Narrowing treatment is measured, and thus effectiveness in limiting selective pressure