
CDC, commissioner reinforce polio eradication commitment
The CDC Polio Branch delegation was led by Dr Richard Franka, and met with Commissioner Karachi Syed Hasan Naqvi to discuss sustained efforts in the fight against polio.
During the meeting, the epidemiological significance of Karachi as a core polio reservoir was underscored - owing to its large, heterogeneous population and continuous population movement, which present complex challenges for eradication efforts. Both parties emphasised the importance of maintaining high-quality surveillance and vaccination coverage to interrupt transmission.
The active role of the deputy commissioners across Karachi was also acknowledged, particularly their continued leadership and on-ground coordination in supporting the polio eradication cause. Their commitment to ensuring effective implementation of polio campaigns and rapid response efforts have been instrumental in driving progress.
Commissioner Karachi, Syed Hasan Naqvi, reiterated the need to maintain NSTOP's support in core reservoir districts and stressed the importance of enhancing the capacity of frontline workers (FLWs) at the national level. He advocated for providing FLWs with a conducive working environment and proposed organising appreciation events to recognise their dedication and hard work - an essential step to boost morale and sustain motivation across the frontline workforce.
As a token of appreciation, souvenirs were presented to the CDC delegation in recognition of their ongoing support.
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Express Tribune
05-08-2025
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Arresting doctors
The writer is an Adjunct Professor of Epidemiology at the University of Nebraska and has worked for the US Centers for Disease Control and Prevention. He can be reached at jasghar@ Listen to article Two doctors were having a leisurely lunch on the banks of a river. While eating they noticed a body floating in the water. Both jumped in the water and dragged the person out of water and started resuscitating him. While busy saving the person, they noticed two more bodies floating in the river. They jumped again and dragged both out and started providing first aid. Again they noticed that many more bodies were coming their way. One of these doctors jumped into the water again to save them while the other, instead of jumping into water, started running upstream. The doctor in the water shouted to his friend: "John, you don't want to save them?" "First I need to find out why they are falling into the river," answered the second doctor. The moral of the story is that instead of focusing on symptoms, you need to find out the actual cause and treat it. Providing clinical care after certain numbers becomes impossible for any health system unless you figure out why people are getting sick in the first place and by providing preventive strategies at the basic level. Even though this story is narrated in an epidemiology textbook (Gordis), it's true across all subjects and fields. Recently there is an onslaught of Facebook reels and TikTok videos, where senior decision-makers (both politicians and bureaucrats) are visiting hospitals and dressing down medical superintendents and senior medical staff working there. Without trying to understand the root causes of failure of the health system, they are focusing on peripheral issues like: instead of token number 90, why is token number 91 seeing a doctor? An immediate investigation was ordered right there. Why was the flowerbed not cleaned and had dead leaves lying there? I am not making up both these incidents, as I have seen uploaded videos of these officials. And yes, there are some serious issues like prescribing outside medicines, especially if they have a stock in the store. But how a prescribing doctor knows about availability of certain medicines without having a working logistics management information system (LMIS). Question needs to be asked first that if hospital after hospital is not up to the mark, then the problem may not lie inside the hospital but in the health system. If no MS is performing then the first question we all need to ask is: how are they being appointed, what is the criterion for appointments and who is appointing them? The second question we need to ask is: what professional training is being provided to them once we select them for administrative positions? Readers will be surprised to know that in most instances there is absolutely no training before an appointment. Most government departments, including civil services, where starting grade is 17, like health department, gets extensive preboarding training while health system does not offer any type of preboarding training. Other departments of government normally have required administrative trainings for promotions to the next grade, but health system does not offer until very late in the career and that too is not given much importance. Many are given ad hoc positions instead of permanent positions just to keep them under the thumb. Tenure security is just a fancy word, and you could be moved on the whims of someone. This automatically translates into suboptimal performance. I am also dismayed at our public hospitals and want them to be improved. To make this happen first we need to: decrease the sick people needing hospitals by population management; provide clean drinking water to reduce 70% of disease burden on hospitals; transparently and fairly hire medical superintendents; provide them needed professional training; empower them administratively and financially to run public hospitals. Only then could we make them accountable. The current practice will only demotivate the whole department and result in the remaining good officers exiting from the public health system. Arresting doctors will not help but understanding their problems and working with them will improve the health services.


Express Tribune
25-06-2025
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US CDC vaccine panel cites nonexistent study in Thimerosal review, sparks controversy
A general view of the Centers for Disease Control and Prevention (CDC) headquarters in Atlanta, Georgia September 30, 2014. Photo|:REUTERS/ Listen to article A review on the use of the preservative thimerosal in vaccines slated to be presented on Thursday to the US Centers for Disease Control and Prevention's outside vaccine committee cites a study that does not exist, the scientist listed as the study's author said. The report, called "Thimerosal as a Vaccine Preservative" published on the CDC website on Tuesday, is to be presented by Lyn Redwood, a former leader of the anti-vaccine group Children's Health Defense. It makes reference to a study called "Low-level neonatal thimerosal exposure: Long-term consequences in the brain," published in the journal Neurotoxicology in 2008, and co-authored by UC Davis Professor Emeritus Robert Berman. But according to Berman, "it's not making reference to a study I published or carried out." Berman said he co-authored a similarly named study in a different journal - Toxicological Sciences - that came to different conclusions than those suggested by Redwood. "We did not examine the effects of thimerosal in microglia... I do not endorse this misrepresentation of the research," he said. Reuters is the first to report on the inaccurate citation from Redwood's planned presentation. Later on Tuesday, the CDC uploaded a new version of Redwood's presentation, removing the slide that cited the Berman study. The meeting has become increasingly controversial after Health Secretary Robert F. Kennedy Jr. just weeks ago abruptly fired all previous 17 members of the expert panel and named eight new members, half of whom have advocated against vaccines. The CDC ACIP Slides have been removed from the CDC website. Will they reappear for public review before the meeting? Or is HHS "radical transparency" = hiding data and presentations from the public and presenting false data to ACIP? — Dr. David B (@boulware_dr) June 25, 2025 Kennedy, a long-time anti-vaccine activist, founded the Children's Health Defense. Both Republican US Senator Bill Cassidy of Louisiana and Democratic US Senator Patty Murray of Washington said the June 25 and 26 meeting should be postponed. The summary of the presentation suggested that there are enough thimerosal-free flu vaccines and that all pregnant women, infants and children should receive only those shots. Those aren't CDC slides. They are the slides for the presentation by Lyn Redwood, former president of Children's Health — Helen Branswell 🇨🇦 (@HelenBranswell) June 25, 2025 It was not clear if the new advisory panel would be asked to vote on such a move. Redwood's presentation was in contrast to a separate report posted by CDC staff on the CDC website on Tuesday that says evidence does not support a link between thimerosal-containing vaccines and autism or other neurodevelopmental disorders. Kennedy has long pushed a link between vaccines and autism contrary to scientific evidence. Redwood could not be immediately reached for comment. An HHS spokesman said the study being referenced was the Toxicological Sciences study Berman said was being misrepresented. The CDC's briefing material reviewed some studies on neurodevelopmental outcomes and vaccines that contain thimerosal, which has long been used in the US in multi-dose vials of medicines and vaccines to prevent germs from growing in them. According to the CDC report, 96% of all influenza vaccines in the US were thimerosal free during the 2024-25 flu season. It also added that the number of pregnant women receiving a thimerosal-containing flu vaccine has decreased over time, with only 0.3% of doses given in 2024 containing thimerosal. Kennedy wrote a book in 2014 claiming that thimerosal, a mercury-based preservative, causes brain damage. On Monday, Cassidy, who heads the US Senate Committee on Health, Education, Labor and Pensions, called for the meeting to be delayed, saying it should not take place with a relatively small panel and without a CDC director in place. Murray, a senior member and former chair of the HELP Committee, has also called for the fired panel members to be reinstated or the meeting be delayed until new members are appropriately vetted. Earlier, a newly appointed panel of vaccine advisers by US Health Secretary Robert Kennedy Jr. is now down to seven after a member withdrew ahead of the committee's first meeting, a spokesperson for the Department of Health and Human Services (HHS) said on Tuesday. Earlier in June, Kennedy had named eight members to serve on the US Centers for Disease Control and Prevention's (CDC)Advisory Committee for Immunization Practices (ACIP), including several who have advocated against vaccines, after abruptly firing all 17 members of the independent committee of experts. "Dr. Michael Ross decided to withdraw from ACIP during the financial holdings review required of members before they can start work on the committee," HHS spokesperson Andrew Nixon said in a statement, adding the committee would have benefited from his service and expertise. The New York Times first reported the news on Ross' departure. A list of voting members for the panel on the CDC's website didn't feature Ross' name as of Tuesday night. The panel, which advises the US CDC on who should get the shots after they are approved by the US Food and Drug Administration (FDA), is due to meet on June 25 and 26. 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Express Tribune
09-06-2025
- Express Tribune
CDC, commissioner reinforce polio eradication commitment
A delegation from the US Centers for Disease Control and Prevention (CDC) Polio Branch discussed sustaining momentum toward eradication goals, including continued CDC technical assistance and capacity building of health department staff. The critical role of NSTOP officers in supporting District Emergency Operations Centers (DEOCs) was highlighted as a key element of the response structure. The CDC Polio Branch delegation was led by Dr Richard Franka, and met with Commissioner Karachi Syed Hasan Naqvi to discuss sustained efforts in the fight against polio. During the meeting, the epidemiological significance of Karachi as a core polio reservoir was underscored - owing to its large, heterogeneous population and continuous population movement, which present complex challenges for eradication efforts. Both parties emphasised the importance of maintaining high-quality surveillance and vaccination coverage to interrupt transmission. The active role of the deputy commissioners across Karachi was also acknowledged, particularly their continued leadership and on-ground coordination in supporting the polio eradication cause. Their commitment to ensuring effective implementation of polio campaigns and rapid response efforts have been instrumental in driving progress. Commissioner Karachi, Syed Hasan Naqvi, reiterated the need to maintain NSTOP's support in core reservoir districts and stressed the importance of enhancing the capacity of frontline workers (FLWs) at the national level. He advocated for providing FLWs with a conducive working environment and proposed organising appreciation events to recognise their dedication and hard work - an essential step to boost morale and sustain motivation across the frontline workforce. As a token of appreciation, souvenirs were presented to the CDC delegation in recognition of their ongoing support.