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Miriam Lewis Sabin

@mimilewissabin

The Lancet’s North American Senior Executive Editor. Based in the Big 🍎. Former proud CDC & EIS, WHO, UNAIDS & GLOBAL FUND.Views are my own.

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Latest posts by Miriam Lewis Sabin @mimilewissabin

Workers demolish the facade of the East Wing of the White House on October 20, 2025 in Washington, DC. Copyright: Kevin Dietsch/Getty Images.

Workers demolish the facade of the East Wing of the White House on October 20, 2025 in Washington, DC. Copyright: Kevin Dietsch/Getty Images.

"the most disastrous year for US public health policy"

The US faces a critical public health crossroads as recent policy shifts threaten decades of progress.

What are the implications for future health security and scientific integrity?

Our Editorial: spkl.io/63326AcVQy

19.12.2025 14:33 πŸ‘ 10 πŸ” 11 πŸ’¬ 0 πŸ“Œ 1
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2025: an annus horribilis for health in the USA The US Advisory Committee on Immunization Practices vote on Dec 5 to no longer recommend the hepatitis B vaccine birth dose, which had ensured that babies exposed to hepatitis B would not later develo...

Essential Lancet editorial on how Trump, RFK Jr, Jay Bhattacharya and the rest of the MAHA/MAGA/Great Barrington Declaration crew are tearing apart US healthcare

www.thelancet.com/journals/lan...

19.12.2025 15:29 πŸ‘ 54 πŸ” 34 πŸ’¬ 3 πŸ“Œ 0
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2025: an annus horribilis for health in the USA The US Advisory Committee on Immunization Practices vote on Dec 5 to no longer recommend the hepatitis B vaccine birth dose, which had ensured that babies exposed to hepatitis B would not later develo...

2025: an annus horribilis for health in the USA - The Lancet www.thelancet.com/journals/lan...

19.12.2025 02:15 πŸ‘ 1 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0
Research in context panel for Lancet paper "The effects of government-led cash transfer programmes on behavioural and health determinants of mortality: a difference-in-differences study". Copyright: 2025 Elsevier Ltd. All rights are reserved.

Research in context panel for Lancet paper "The effects of government-led cash transfer programmes on behavioural and health determinants of mortality: a difference-in-differences study". Copyright: 2025 Elsevier Ltd. All rights are reserved.

Government cash transfer programmes can significantly improve health outcomes for women and children in low- and middle-income countries, study finds.

Explore the research ▢️ spkl.io/63324AgSyy

07.12.2025 14:00 πŸ‘ 5 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0
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US CDC: a public health agency in critical condition For almost 80 years, the US Centers for Disease Control and Prevention (CDC) has been the nation's immune system, detecting threats early, coordinating rapid responses, and safeguarding population hea...

www.thelancet.com/journals/lan...

28.11.2025 14:18 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

I am so sorry that this has happened to Carl Dieffenbach.

26.11.2025 16:58 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

As someone who has worked in HIV for 35+ years, I can tell you Carl is a consummate scientific leader. We’ve been lucky to have him at head of DAIDS. The only thing that wins here is the virus.

24.11.2025 10:21 πŸ‘ 269 πŸ” 61 πŸ’¬ 4 πŸ“Œ 2
A glorious selfie with the official MAHA lanyard seconds after I made it past Secret Service screening.

A glorious selfie with the official MAHA lanyard seconds after I made it past Secret Service screening.

About that exclusive, "closed-to-press" MAHA summit last week with RFK and JD Vance: I got in.

Here's what I saw. 🧡 πŸ§ͺ

www.nature.com/articles/d41...

21.11.2025 17:01 πŸ‘ 820 πŸ” 318 πŸ’¬ 28 πŸ“Œ 62
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Let’s go! Make a pledge, USG and other donor governments, that the world can be proud of. Save our existing investments and continue to accelerate progress against HIV,TB and malaria. #wewillnotgoback #globalfund

21.11.2025 13:25 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Opinion | Endless Gossipy Chatter About Epstein. One Glaring Omission.

The victims.πŸ‘‡πŸ‘‡πŸ‘‡Thank you #jenniferwiener @nytimes.com
Endless Gossipy Chatter About Epstein. One Glaring Omission. www.nytimes.com/2025/11/19/o...

20.11.2025 07:21 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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BREAKING NEWS: CDC employees terminated in apparent Friday night massacre. The Trump administration is using the shutdown to further weaken the our national public health infrastructure.

Continued dismantling of science and public health in the US.

open.substack.com/pub/insideme...

11.10.2025 12:21 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

There is an intermediate solution. We go back down the steps to the comedy clubs, as #LennyBruce did. Say whatever you want #JimmyKimmel and comedians everywhere. Publish your stand-up recordings on alternative media. Arrests may come, but protesters will support you. There is no alternative.

19.09.2025 12:11 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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β€˜Nuff said. #ACIP

18.09.2025 14:41 πŸ‘ 10 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0
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Happy Birthday, LIGO. Now Drop Dead.

#LIGO experiment is the best of what it means to be human. We must continue to understand the universe and the awesome forces that control our destiny.
www.nytimes.com/2025/09/10/s...

11.09.2025 02:40 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Funding Postauthorization Vaccine-Safety Science | NEJM The slow speed of science contributes to public concern about vaccines and reduced immunization coverage. Postauthorization safety research requires timely funding linked to the introduction of new .....

THIS NEEDS TO BE READ NOW. I completely missed this very important piece in @nejm.org in 2024 explaining from some of my favorite vaccine and vaccine safety experts what is needed to improve safety systems and public trust. www.nejm.org/doi/10.1056/...

22.08.2025 18:10 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
Quote from a Correspondence letter in The Lancet. Quote reads: We call on policy makers, researchers, implementers, and advocates to stand behind these principles and reassert the global commitment to ending AIDS for good.

Quote from a Correspondence letter in The Lancet. Quote reads: We call on policy makers, researchers, implementers, and advocates to stand behind these principles and reassert the global commitment to ending AIDS for good.

Remarkable progress has been made in the response against HIV.

However, this progress is now at risk of destabilisation.

A new letter introduces the Kigali Call to Action, offering a roadmap for revitalising the global response against HIV: tinyurl.com/2sxwja37

21.07.2025 14:05 πŸ‘ 9 πŸ” 6 πŸ’¬ 0 πŸ“Œ 0
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US health policy: the Senate must act During his confirmation hearings, Robert F Kennedy Jr, now Head of US Health and Human Services (HHS), gave repeated reassurances to senators concerned about his credentials and beliefs. He promised t...

www.thelancet.com/journals/lan... @thelancet.com

19.07.2025 08:37 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Recommitting to global solidarity: introducing the Kigali Call to Action For more than two decades, the global community has united to fight the HIV pandemic, achieving remarkable progress. New HIV transmissions and AIDS-related deaths have dropped significantly, and milli...

The Kigali Call to Action #IAS2025 www.thelancet.com/journals/lan...

19.07.2025 07:49 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Aid cuts leave a million facing starvation in Nigeria – as food supplies run out Exclusive: Huge cuts to international aid – alongside intensifying conflict and the devastating impact of climate change – are creating a humanitarian crisis across Nigeria and its neighbours. Now, th...

Horrifyingly predictable when #USAID funding was cut. www.independent.co.uk/world/aid-fo...

07.07.2025 13:06 πŸ‘ 1 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
Research in context panel for Lancet paper "Evaluating the impact of two decades of USAID interventions and projecting the effects of defunding on mortality up to 2030: a retrospective impact evaluation and forecasting analysis". Copyright: 2025 The Author(s). Published by Elsevier Ltd. CC By 4.0.

Research in context panel for Lancet paper "Evaluating the impact of two decades of USAID interventions and projecting the effects of defunding on mortality up to 2030: a retrospective impact evaluation and forecasting analysis". Copyright: 2025 The Author(s). Published by Elsevier Ltd. CC By 4.0.

The US Agency for International Development (#USAID) funding has had a crucial role in improving global health.

A new study estimates that USAID programs have saved nearly 92 million lives over past 20 years.

Explore the research ▢️ tinyurl.com/2w2nkvv3

01.07.2025 13:04 πŸ‘ 83 πŸ” 35 πŸ’¬ 4 πŸ“Œ 6
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marco rubio announces that usaid, which began under president kennedy in 1961, has officially ceased operations

foreign assistance now to be run by state dept

lancet medical journal projecting 14 million more deaths in next 5 years with aid restrictions (from world's most vulnerable populations)

01.07.2025 20:56 πŸ‘ 171 πŸ” 61 πŸ’¬ 24 πŸ“Œ 11
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Rubio hails end of USAID as study says its elimination could contribute to 14 million deaths in next 5 years | CNN Politics US Secretary of State Marco Rubio hailed the end of the US Agency for International Development (USAID) Tuesday as a new analysis found that its demolition could contribute to 14 million deaths in the...

Why i do what i do @TheLancet www.cnn.com/2025/07/01/p...

02.07.2025 01:46 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
Statement

www.gavi.org/news/media-r...

25.06.2025 22:04 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Regulators Approve a Twice-Yearly Shot to Prevent H.I.V. Infection

Regulators Approve a Twice-Yearly Shot to Prevent H.I.V. Infection www.nytimes.com/2025/06/18/h...

18.06.2025 19:21 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Congrats Ursula!

18.06.2025 13:16 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
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Senior Editor Senior Editor Would you like to join The Lancet’s journal’s editorial team? Would you like to help ensure the best science for better lives? About our Team The Lancet is part of our family of world-re...

Dear All- amazing job opp! @thelancet.com Senior Editor in the NYC office. relx.wd3.myworkdayjobs.com/en-US/Elsevi...

16.06.2025 19:18 πŸ‘ 1 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0

What a dictator would say.

09.06.2025 05:47 πŸ‘ 566 πŸ” 124 πŸ’¬ 43 πŸ“Œ 5

What the?

07.06.2025 18:58 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Point well taken. Though I wouldn’t refer to anyone with a mental illness as insane:)!

07.06.2025 14:22 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
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Palantir’s Collection of Disease Data at C.D.C. Stirs Privacy Concerns

SCOOP: The CDC is planning to move information on cases of diseases like measles and polio to a data system managed by Palantir, raising concerns about patient privacy.

www.nytimes.com/2025/06/06/h...

06.06.2025 16:49 πŸ‘ 1074 πŸ” 567 πŸ’¬ 33 πŸ“Œ 74