No one in global health expected the COVID-19 pandemic. We expected a massive pandemic. Everyone knew that was coming. But we didn’t expect a…
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February 2023

This is not a COVID essay, not directly. It’s an avian influenza essay. I have been watching the bird flu news with a lot of concern. Here are some…
Lately I feel surrounded by death. I know that that's some pretty dramatic language, but it's really how I feel. I haven't lost anyone close to me. But…
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January 2023

I'm in Cairo right now, on a work trip. I flew here from my home in Sri Lanka. The flights were Colombo, Dubai, Cairo, and then I'll do that in the…
I’m going to do better at keeping my mask on. I have no problem masking in public indoor spaces. Private spaces, though, are hard. Large work meetings…
Immunity debt is a new phrase based on an old idea. When your immune system comes into contact with a antigen - bacteria, virus, whatever - it produces…
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December 2022

five predictions
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always on the grind + COVID = (more) disaster
My kids’ school went mask-optional two weeks ago. I have feelings about this. I asked both my kids to keep wearing their masks, and so far they both…
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November 2022

if you test positive, get Paxlovid
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So, Thanksgiving. In which we commemorate historical lies unironically by spending unmasked time seated close together indoors. Usually with the people…
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But we're not
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