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dremilyrsmith.bsky.social
Associate Professor @GWPublicHealth. Epidemiologist. #GlobalHealth. I study infection & nutrition in pregnancy. Advocate for evidence. Alumna @HarvardChanSPH @EmoryRollins. Lover of coffee, crosswords, & cooking with friends.
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“We must resist the impulse to ‘keep our heads down’ and act out of fear and for self-preservation.” A brief history and a call to action from Chris Duggan & Zulfi Bhutta in NEJM. t.n.nejm.org/r/?id=haf814...

One thing about researchers is we will publish our way through the attempts to cancel us. New paper in @jama.com, the authors examine the impact of NIH grant cancellations on the US research enterprise by institute or center and ward type. jamanetwork.com/journals/jam...

Since this was published yesterday, NPR reports JAMA joins NEJM on the list of journals that confirms they’ve been sent threatening letters by Trump’s DOJ, ominously referencing their tax-exempt status in a bid to compel regime-friendly editorial choices. www.scientificamerican.com/article/the-...

@chrislhayes.bsky.social Good book, but you left out the recipe for the chocolate chip cookies with a hint of habanero. Please advise!

From JAMA Health Forum: Buprenorphine treatment during pregnancy for opioid use disorder was associated with significantly improved maternal and infant outcomes compared to no treatment. #PAS2025 https://ja.ma/3EyF00J

This isn't about scientists alone. NIH generates jobs and economic investment in communities across the country. This is an attack on your community, your state, your livelihood, your health, your survival. H/T @joeallenjoe.bsky.social.

👶🏼 Many #vaccines are not effective in newborns. So how do we protect them from infectious disease? 🤰🏽 By vaccination in #pregnancy! Here we review… 💉 Established campaigns vs whooping cough, flu, COVID 💡 New approaches to RSV, GBS 🌈 Future challenges, opportunities #ReproSky #ImmunoSky #IDSky

—> ~40% of organizations whose grants the NIH cut in its first month of slashing are in states Trump won in Nov —> Of ~220 organizations that had grants terminated, at least 94 were public universities, including flagship state schools in places such as Florida, Georgia, Ohio, Nebraska, and Texas

Absolutely 💯 Science today is a team sport! Teams that have taken years to build. And the infrastructure we use to do our jobs has been built over decades by our own work and those who came before us.

To be clear, this mistake hurts real humans. Clinical trials decommissioning, layoffs in process, office & lab space being closed. Because of a mistake?! And please note the Trump admin lawyers can’t even get their story straight on why/how/what the mistake was. www.nytimes.com/2025/04/18/b...

NEW: The entire NIH payment system is currently frozen for all grantees. This is tied to DOGE’s new “Defend the Spend” caper, reported in today’s Post, which has already led to payment cutoffs to doctors and health workers at hospitals treating the poor.

And so the destruction of public health & academia continues 💔 www.thecrimson.com/article/2025...

If you're keeping track of the long list of things this admin's done that flies in the face of MAHA, censoring and ultimately losing the top intramural nutrition scientist studying food processing and health is definitely towards the top.

Segregated Science is Mediocre Science But the Trump Admin is moving to make it as mediocre as possible -- "Six percent of White males who serve on [nih review] boards were fired, compared with half of Black and Hispanic females and a quarter of all females," www.washingtonpost.com/science/2025...

Oropouche virus may be more widespread than previously known, with as many as one in ten people in the region with prior infection 👇

Just up late here in the US, chatting with colleagues about how to halt an ongoing pediatric clinical trial in East Africa. One of the many pieces of research caught in the crosshairs here. Feeling awful for patients and their parents and the study nurses. 😔

Research at Harvard—from medicine to technology to education and business—touches countless lives, moving us closer to disease cures, next-generation technology, and a more secure future for millions of people. Shame on this administration. www.harvard.edu

“Make no mistake, the scientific workforce is being gutted. The withholding of scientific resources as a form of punishment…is happening in nearly every American biomedical research institution. The US’s capacity to do science, & its ability to draw & retain scientific talent is being discarded.”

Note that pregnancy-related deaths spiked during the pandemic to 44.1 deaths per 100,000 live births in 2021, before declining to 32.6 deaths in 2022. This is up from 25.3 deaths in 2018. These numbers are astronomical! Unacceptable. And so much higher than other high income countries.

I have lived through a lot of similarly flawed thinking in nutrition science. Take the Paleo diet obsession. Life expectancy was probably ~30 years at the time? Yet somehow legions of folks are convinced this is key to health. Seems we frequently fall victim to this kind of flawed, nostalgia logic.

Cruel and chaotic cuts to US federal government programs literally cost lives.

“Kennedy has been working at unprecedented speed to decapitate and gut the NIH and CDC, recognized as the premier agencies for biomedical research and the promotion and protection of public health” @newsweek.com www.newsweek.com/potentially-...

Emerging viruses generally emerge from their natural animal reservoirs, like these hantaviruses. Hantas are prevalent in rodents & as ecosystems continue to be disrupted, we will see more spillover to humans. Shutting down research is the worst thing we could do to counter these emerging threats.

Peaceful #HandsOff protest in DC yesterday. Lots of former federal workers and mad scientists🧪

Can confirm that folks in my professional sphere have certainly cancelled or moved plans for non-US citizens to be flying in and out of the US.

The message is: crowd large. Many politicians, administrators, and business leaders, in bowing to Trump, have drawn confidence and comfort from the perceived vibe shift. Events like this puncture that delusion.

“That tech fantasy is running on fumes. We all know it’s not going to work. But the fantasy compels risk-averse universities and excites financial speculators because it promises the power to control what learning does without paying the cost for how real learning happens.” 💯

Sending love to fellow faculty, teachers, lunch ladies, administrators, etc. Education in America in 2025 apparently is not for the faint of heart. 💔

Very cool study design!

New list of priority pathogen families for R&D investment from the UK Health Security Agency 🦠🧫 assets.publishing.service.gov.uk/media/67d99a...

Domestic Violence and Maternal Mortality Are Rising. The NIH Just Defunded a Project to Study Both. A lead researcher thinks the $400,000 grant was canceled because the project had “equity” in the title. www.motherjones.com/politics/202...

The ACA was cool because before the ACA EVERY SINGLE CHILD WITH CANCER hit their annual and lifetime limits almost immediately and were denied insurance for the rest of their lives and after the ACA that’s illegal.

DYK that during pregnancy, gingivitis or gum problems are common & some people have loose/wiggly teeth. We recently finished mixed methods work about health-related quality of life in pregnancy in 5 countries, and mention of oral health issues was one thing that surprised me. It wasn’t on my radar.

New study from Mexico suggests indirect, food systems benefits following a national policy requiring warning labels for foods high in calories, fat, salt or with added no-calorie sweeteners or caffeine 👀 journals.plos.org/plosmedicine...

The Diabetes Prevention Program study has been running since the early 1990s, changing the way we understand prevention and long term outcomes for people with diabetes. The study, its participants, and hundreds of research staff have all been unceremoniously canceled by the Trump Admin,

Just wrapping up a CITI ethics training refresher course only to find an outdated / offensive description of pregnant women as a vulnerable population, where vulnerable individuals are described as those who “do not have the decision-making capacity to provide voluntary informed consent”!

There is only a single staffer remaining in the White House Office of Pandemic Preparedness and Response Policy. This report comes today alongside a new report of H7N9 avian flu among a flock in Mississippi (the first H7N9 report since 2017).

Schumer is acceding to the GOP’s plan to blow up D.C.’s budget by prohibiting us from spending a billion dollars *of our own money,* forcing devastating cuts to vital services out of pure spite toward our city and its residents. And he doesn’t bother defending his decision to throw us under the bus.

Here is what’s challenging when talking about the measles or bird flu. The risk to the general public right now is generally low. BUT the way to keep risk low is for the government to take action. Making this distinction is hard. And public pressure for action is probably helpful. Tough balance.

17 million genomes later. Wow.

“In 2022, Johns Hopkins affiliates accounted for over 93,600 jobs and over $15 billion in economic output in Maryland” And those workers have produced wordclass healthcare and ground breaking research for decades. What is the Trump administration trying to accomplish here?