The Osterholm Quotes

"I still worry more about pandemic influenza than anything else because it could happen tomorrow."
"I think that this [Ebola vaccine] public-private partnership is somewhat broken. If we were really looking to prevent Ebola, we would have an African-prepared environment for Ebola. Every healthcare worker in any area of Africa that might experience a spillover would be vaccinated or offered a vaccine."
"Just like antimicrobial resistance, a vaccine to prevent pandemic influenza is majorly underfunded because both of these are not a crisis that we can yet see or feel. I think that’s the mindset we have to get away from. It would be like trying to secure all of your military equipment and all your troops the week after the war is declared."
"The mutation that potentially caused this health outcome in humans is occurring in a [Zika] virus where additional mutations could still occur, which could bring us other new health challenges,"
"What this study really means is that if you have an area with a Zika outbreak in 2013 or 2014, the Zika you see in 2017 could be a different virus. The speed at which mutation changes in the virus occur completely change the public health impact of the virus."
"We know that Zika did not cause microcephaly or neurological problems until 2014 or so. So the only conclusion is either people changed or the virus changed."
"[Flu vaccine effectiveness is] much more complicated than we thought. I know less about influenza today than I did 10 years ago."
"10% to 60% protection is better than nothing. But it's a terribly inadequate vaccine for a serious public health threat."
"Most Americans aren’t aware that public health agencies and health care organizations are constantly monitoring vaccine safety, never resting on previously conducted studies as proof of safety."
The study published [Sep 13] is a compelling example of how the public health and medical communities value vaccine safety as a top priority. Unfortunately, it will take more research to definitively determine if the connection between flu vaccine and miscarriage is real and, if so, what changes are needed for recommendations about getting vaccinated against the flu.
"We had people sand bagging [after a flood in 1997]. And the next day their arm would hurt so much [because of tetanus shots] they almost couldn’t sand bag.”
"As we looked at this more closely, in fact, even though punctures surely can occur, there’s absolutely no evidence that people are at more risk [of tetanus during flooding]."
"We must continue to invest in vaccines and strengthen the systems that protect our communities. We must also commit to reporting the most accurate numbers, even if it is politically challenging and the numbers are not the most convenient ones."
"Countries like Nigeria deserve our highest praise for reporting the most accurate estimates of [vaccine] coverage, not the highest possible number."
"On a really difficult high school science exam, an 86 per cent score might be considered pretty good. In the field of global health and security, 86 per cent of people protected is just not good enough."
"What this paper really calls for is a full-fledged effort in our research studies to understand when is it necessary to complete a certain course of antibiotics and when is it not — in fact, when it might even be advisable to do a short course."
"Today, as we recognize antibiotics for the very precious commodity that they are, we really need to go back and rethink what it means to be treated with antibiotics and how we can most effectively use them."
"This has been the storm coming for years. . . . We've known about it, but unfortunately, we're not ready."
“We aren’t much better prepared for Ebola today than we were during the crisis in West Africa, so you have to wonder. If we aren’t preparing for the outbreaks we know will happen in the near future, what good does it do to know about spillover events?”
"The billion dollar question is whether Aedes albopictus will play a role. Zika is going to continue. The real question is going to be not necessarily how big it will get in any location, but what is the geographic spread?"
"We can virtually guarantee there will be [Zika] activity, particularly along the Gulf region."
"Anybody who is vaccinated in a timely manner is one less person susceptible to the virus."
"If this thing [yellow fever] takes off in the urban areas of Brazil, we're in big trouble."
"Instead of wasting their time and energy debating the specifics of the Trump administration’s proposed budget, American lawmakers should determine what to prioritize... This includes increasing, not cutting, the CDC and NIH allocations, putting serious resources into a game-changing influenza vaccine, and promoting an international effort to combat profligate antibiotic use."
"Antimicrobial resistance is a slow-moving tsunami that within decades could bring us back to the infectious Dark Ages, when a simple scrape could kill and untreatable tuberculosis was rampant."


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