Madhu Pai, MD, PhD @paimadhu Twitter profile | Pikagi

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Madhu Pai, MD, PhD

@paimadhu

98,565

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4,720

Following

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Inaugural Chair, Department of Global & Public Health @McGill_SPGH . Canada Research Chair in Epi & Global Health. Editor @PLOSGPH . Tweets: own views. He/him.

🇨🇦🇮🇳

https://t.co/0eJYfCSxcG

Joined August 2015

Don't wanna be here? Send us removal request.

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@paimadhu

Madhu Pai, MD, PhD

5 days

Dreams can come true I fell in love with science as a kid Growing up in a small town in 🇮🇳, I would long for science mags & books, even take 3 hr bus rides to a city to hunt them 40+ y later, I find myself in @ScienceMagazine & @sciam , 2 of the biggest science mags in the 🌎

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@paimadhu

Madhu Pai, MD, PhD

3 years

Rich country problems: - Vaccinate kids or not? - Take Astra-Zeneca or not? - Continue to mask or not? - Travel again or not? Rest of the world: - Will we survive or not? - When will we see any vaccines? - Do our own leaders care? - Does the world care?

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Madhu Pai, MD, PhD

3 years

Some countries can donate arms very quickly but not vaccines

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@paimadhu

Madhu Pai, MD, PhD

5 years

20 yr ago, I received an email from a professor @UCBerkeley which changed my life. It just said: OK, you're on. I was puzzled. Found out later that he had agreed to supervise me & fund my PhD! Today, I paid it forward & sent an email to a prospective student: OK, you're on.

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@paimadhu

Madhu Pai, MD, PhD

4 years

India would have never eliminated polio, if people had to BUY polio vaccines Same logic applies for #COVID19

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@paimadhu

Madhu Pai, MD, PhD

3 years

I have this growing anxiety that once people in North America & Europe get vaccinated, they will think the pandemic is over and forget about the rest of the world

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@paimadhu

Madhu Pai, MD, PhD

1 year

Just learnt that an mRNA vaccine candidate has entered the Phase 1 for tuberculosis This is exactly how we should repurporse the mRNA platform!

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@paimadhu

Madhu Pai, MD, PhD

2 years

"I've stopped caring about the pandemic" is not the same as "pandemic is over"

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@paimadhu

Madhu Pai, MD, PhD

1 year

Must watch “The kindest person in the room is often the smartest”

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@paimadhu

Madhu Pai, MD, PhD

3 years

I'm not aware of any country that has contained #COVID19 by deliberately under-testing for cases & under-counting deaths

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@paimadhu

Madhu Pai, MD, PhD

3 years

Pandemic Gaslighting 101: There's no pandemic, get back to work It's a flu, get back to work It's mild, get back to work Kids are fine, get back to work Take Ivermectin, get back to work Economy is more important, get back to work No need to test, get back to work 1/2

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@paimadhu

Madhu Pai, MD, PhD

2 years

I am terrified that the anti-vax & anti-science lobby will derail years of progress we made in child vaccinations and pave the way for old infections like polio, measles and diphtheria to come back

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@paimadhu

Madhu Pai, MD, PhD

3 years

How to NOT deal with a pandemic: Big panic over a new variant that's not fully understood yet & punishing countries for reporting it No panic over the 3+ billion people who've had little access to vaccines, tests & therapeutics

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@paimadhu

Madhu Pai, MD, PhD

3 years

Privileged people in rich nations have no business declaring a global pandemic over Not when 2.8 billion people are yet to get their first vaccine dose Not when anti-viral drugs are so hard to access Not when the virus keeps evolving (BA.2, 4, 5) & getting more transmissible

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@paimadhu

Madhu Pai, MD, PhD

2 years

You really, really want to get that flu shot The US has never recorded this many positive flu tests in one week

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The US has never recorded this many positive flu tests in one week

And health care systems are getting absolutely crushed ... again.

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Madhu Pai, MD, PhD

3 years

Malaysia, Thailand, Taiwan & Vietnam were 'success' stories of last year Take a look now👇🏾 No Country Is Safe Until *All* Countries Are Safe

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Madhu Pai, MD, PhD

2 years

Reading a book which raises a tough question: why do (many?) people in high income countries prefer to do global health work in low-income nations, rather than look uncomfortably inwards at inequities within our nations?

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@paimadhu

Madhu Pai, MD, PhD

7 months

What a sad and shameful statistic for humankind “This is the biggest cohort of pediatric amputees in history”

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The Children Who Lost Limbs in Gaza

More than a thousand children who were injured in the war are now amputees. What do their futures hold?

www.newyorker.com

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@paimadhu

Madhu Pai, MD, PhD

3 years

Hope I’m wrong but this feels like a lull before the next variant & wave

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@paimadhu

Madhu Pai, MD, PhD

3 years

Treatments that are not proven & not routinely advised for COVID-19: o Ivermectin o Azithromycin o Baricitinib o Bevacizumab o Convalescent Plasma o Doxycycline o Favipiravir o Fluvoxamine o Hydroxychloroquine o Itolizumab o Interferon alpha-2b o 2-DG

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Madhu Pai, MD, PhD

4 years

The #Hydroxychloroquine story has some lessons for all of us: 1. If you are a researcher, don't oversell early results 2. If you are a journalist, don't hype the research 3. If you are a policy maker, don't make hasty decisions 4. If you are the public, listen to scientists

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Madhu Pai, MD, PhD

3 years

We (public) invest in vaccines and then have to fight for vaccines equity

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Madhu Pai, MD, PhD

2 years

Even as some leaders are declaring the pandemic 'over,' spare a thought for 2.5 billion people who have not yet received a single shot of the Covid vaccine

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@paimadhu

Madhu Pai, MD, PhD

3 years

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@paimadhu

Madhu Pai, MD, PhD

3 years

Example of how not to write a headline I fixed it for you @Reuters

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@paimadhu

Madhu Pai, MD, PhD

3 years

For the lucky, triple-vaccinated folks, Omicron may be "mild" What about the 3.3 billion souls still waiting for their first dose?

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@paimadhu

Madhu Pai, MD, PhD

3 years

“Pandemic of the unvaccinated” is actually two pandemics: "Pandemic of people who choose to be unvaccinated" "Pandemic of people who have no access to vaccines" Solutions are different

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@paimadhu

Madhu Pai, MD, PhD

3 years

Triple-vaccinated people in the global North are rushing to declare the pandemic over when ZERO (0%) of low-income country populations are triple-vaccinated

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@paimadhu

Madhu Pai, MD, PhD

4 years

Huge lesson from this pandemic: Voting is a matter of life and death Bad leadership is killing millions

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@paimadhu

Madhu Pai, MD, PhD

2 years

We are all migrants

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@paimadhu

Madhu Pai, MD, PhD

3 years

New variants + Vaccine Inequity + Poor Leadership = Disaster

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@paimadhu

Madhu Pai, MD, PhD

3 years

If you are double or triple vaccinated and are worried about #Omicron , spare a thought for the 3+ billion people who are still waiting for their first dose Do more than spare a thought. Advocate for vaccine equity!

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Madhu Pai, MD, PhD

3 years

We (humankind) can fly a helicopter on Mars & land a probe on a comet. But we cannot get #COVID19 vaccines to all people in all countries? We are never scientifically bankrupt. We are morally bankrupt.

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@paimadhu

Madhu Pai, MD, PhD

3 years

You can’t make this up Some Canadians are declining Moderna vaccines as boosters (they only want Pfizer) Meanwhile, three in four African healthcare workers remain unvaccinated

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@paimadhu

Madhu Pai, MD, PhD

3 years

From the annals of vaccine inequity: 12 year olds in high-income countries might get vaccinated in a few weeks/months 72 year olds in many low-income countries might not see a vaccine until 2022 or later

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@paimadhu

Madhu Pai, MD, PhD

3 years

3.5 billion people in🌍 have not had a single Covid 💉 Meanwhile, rich nations are: - throwing away expired vaccines - giving booster shots - offering lotteries to people who are hesitant - hoarding doses for next year 𝙃𝙊𝙒 𝙒𝙄𝙇𝙇 𝙏𝙃𝙄𝙎 𝙋𝘼𝙉𝘿𝙀𝙈𝙄𝘾 𝙀𝙑𝙀𝙍 𝙀𝙉𝘿?

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@paimadhu

Madhu Pai, MD, PhD

3 years

Hoarding vaccines is a moral failure, but allowing Covid vaccines to expire is a whole another level of moral bankruptcy

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@paimadhu

Madhu Pai, MD, PhD

3 years

Don't need to isolate or rest, get back to work Masks don't really work, get back to work Pandemic is over, get back to work We are moving on, get back work Too late to vax the world, get back to work We want our normal lives, so get back to work! 2/2

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@paimadhu

Madhu Pai, MD, PhD

4 years

Who reads PhD theses? True story: Before submitting, dude inserts $20 into the leather-bound thesis, which gets sent to univ. library. 20-yrs later, at his school reunion, dude visits the library. Miracle #1 : His thesis is still there Miracle #2 : the $20 bill is still there

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@paimadhu

Madhu Pai, MD, PhD

4 years

Countries that are busy banning travel from 🇮🇳 should also be working out ways to help India during this massive humanitarian crisis That is what global solidarity is all about

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@paimadhu

Madhu Pai, MD, PhD

3 years

The shameful reality of global health With this dismal level of #COVID19 vaccine access, how can the African continent face the devastating Delta variant?

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Madhu Pai, MD, PhD

3 years

The pandemic scares me What scares me more is the global rise of authoritarianism & right-wing populism

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Madhu Pai, MD, PhD

2 years

Next time I say 'hard to reach groups' I will remember this

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@paimadhu

Madhu Pai, MD, PhD

3 years

I'm truly blown away by some 'global health experts' who have absolutely no problems in advocating for 4th doses in rich nations, but say NOTHING about 2.8 billion people who have had zero doses How 'global' is your 'global health'?

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Madhu Pai, MD, PhD

3 years

This is truly terrifying The antivax movement might be focused on Covid right now, but they are coming after every single vaccine, even childhood vaccines that have saved millions of lives worldwide Imagine a resurgence of polio, measles, whooping cough, childhood TB, etc!

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@paimadhu

Madhu Pai, MD, PhD

3 years

The virus does not know (or care) if a crowded indoor space is a classroom or a library or a bar

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Madhu Pai, MD, PhD

8 months

We should not be seeing measles in 2024 We should not be seeing measles in 2024 We should not be seeing measles in 2024 We should not be seeing measles in 2024 We should not be seeing measles in 2024 #VaccinesWork #Measles

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Madhu Pai, MD, PhD

2 years

This is beyond shameful! Africa does not have a single dose of the monkeypox vaccine, despite being the only continent with confirmed deaths

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@paimadhu

Madhu Pai, MD, PhD

5 years

Journal: Ready to submit your manuscript? Me: Yup! (cracking my knuckles) Journal: Do you have all these ready? 1. Your login details 2. Your ORCID ID 3. Manuscript 4. Each image as separate file 5. Cover letter 6. COI for each author 7. Author signatures for all

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Madhu Pai, MD, PhD

3 years

Seeing my mom after 2 years! Thanks to the miracle of vaccines, she made it through the pandemic in 🇮🇳 All people everywhere deserve the same chance #VaccinEquity #VaccinesSaveLives

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Madhu Pai, MD, PhD

3 years

It would be so tragic if Canada allowed unused AstraZeneca Covid vaccines to expire, when there is time to send them to countries with a dire need right now

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@paimadhu

Madhu Pai, MD, PhD

4 years

OMG! I just texted my high school chemistry teacher in India & asked him a question that my 12-yr old asked me. He sent me this fully worked out solution. He is 72 & continues to be the amazing teacher he was 35 years ago! #Respect #teachers

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@paimadhu

Madhu Pai, MD, PhD

3 years

Even as some of us are getting excited about not needing to use masks, the global pandemic is getting worse... A pandemic ends when it ends everywhere. Let us all continue to advocate for vaccine equity & global solidarity.

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@paimadhu

Madhu Pai, MD, PhD

4 years

Mass vaccination cannot be done with a 9 to 5, M-F mentality

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Madhu Pai, MD, PhD

1 year

Some personal news Honored to Chair and lead a new Department at @mcgillu , where I began as junior faculty 17 years ago

@McGill_SPGH

McGill School of Population and Global Health

1 year

Exciting news! Dr. Madhu Pai @paimadhu has been appointed as the inaugural Chair of the Department of Global and Public Health (DGPH), School of Population and Global Health (SPGH), Faculty of Medicine and Health Sciences (FMHS), #McGill University, effective Oct 1.

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Madhu Pai, MD, PhD

2 years

On every epidemiologist’s bucket list! John Snow & Broad Street

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Madhu Pai, MD, PhD

3 years

When your department Chair has your back

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Madhu Pai, MD, PhD

3 years

A tale of 2 continents One has vaccines approved for kids (12+) Another is yet to vaccinate health workers #VaccineForAll #VaccineEquity

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Madhu Pai, MD, PhD

4 years

Dear World India desperately needs oxygen. ASAP. Please help!

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Madhu Pai, MD, PhD

3 years

It's a "pandemic" when something bothers rich nations It's "endemic" when it stops bothering rich nations but continues to ravage low-income countries (e.g. TB, malaria, cholera) How will it go with Covid-19?

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Madhu Pai, MD, PhD

3 years

The Indian subcontinent is not OK

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Madhu Pai, MD, PhD

1 month

Years ago, I struggled with visas Today, I see my students struggling with visas Unfair, unjust, inequitable systems are still in place

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Madhu Pai, MD, PhD

3 years

13 year old daughter: "Are you doing something to improve global health, or are you just tweeting?" How is your day going? Better than mine, I hope?

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Madhu Pai, MD, PhD

4 years

Covid-19 is proof that science is not the rate limiting step for solving the biggest challenges in global health. Neglect is.

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Madhu Pai, MD, PhD

3 years

As India battles 3rd wave, I hope these drugs are not used for Covid: Ivermectin, Azithromycin, Doxycycline, convalescent plasma, Hydroxychloroquine, Vit C & D, Zinc, Colchicine, Itolizumab, Bevacizumab, Lopinavir-Ritonavir, Interferon alpha-2b, Favipiravir THEY DON'T WORK!!

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Madhu Pai, MD, PhD

3 years

The Delta variant is shredding past success stories to bits Last year, Vietnam was a success story Look at the trend now 👇🏾 Only 4% of the population has received 1 dose of 💉

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Madhu Pai, MD, PhD

3 years

Stunning visualization of Covid-19 vaccine inequity Nearly all countries in Africa are at 2% or less coverage for a single dose @MaxCRoser @OurWorldInData

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Madhu Pai, MD, PhD

1 year

Vaccines work Vaccine scientists win Nobel prizes Vaccinators are public health heroes

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Madhu Pai, MD, PhD

3 years

Only 2% of the African population has been vaccinated Zimbabwean sculptor David Ngwerume made this 👇🏾 @DavidNgwerume

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Madhu Pai, MD, PhD

3 years

Why aren't more people mad about the outrageous vaccine inequity that threatens the whole world?

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Madhu Pai, MD, PhD

5 years

Everyone in public health: We TOLD you: 1. To wash hands 2. Get vaccinated 3. Deliver universal health coverage 4. Do disease surveillance 5. Prepare for pandemics 6. Build solidarity, not walls 7. Invest in a stronger WHO 8. To not hide data It took you a pandemic to wake up?

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Madhu Pai, MD, PhD

2 years

I wrote this while battling the Covid virus. Please read and comment! How Many Variants And Deaths Are We Willing To Accept, Before We Protect The Whole World?

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@paimadhu

Madhu Pai, MD, PhD

3 years

It has happened before with TB, malaria and AIDS The Global North will 'move on' and the Global South will be left to deal with an 'endemic' killer infection @NASAdoc @Boghuma @Fredros_Inc & I wrote our first piece @TheAtlantic

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Madhu Pai, MD, PhD

3 years

In my global health class today, I asked students: "What is global health?" This answer grabbed my attention: "Global health is dismantling systems of oppression to ensure equitable health for everyone"

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@paimadhu

Madhu Pai, MD, PhD

3 years

I trained in medicine & public health for 15 years Never took a course on POLITICS & its profound effect on health & determinants of health Now learning the hard way because of Covid-19

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Madhu Pai, MD, PhD

3 years

The covid-19 crisis in India is a massive setback for the entire world. India needs the global community’s support to survive this crisis. My piece @washingtonpost with @PrakashLab

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Opinion | India’s covid-19 crisis is a dire warning for all countries

Other countries in the region are far less prepared to withstand surges. The world must act.

www.washingtonpost.com

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Madhu Pai, MD, PhD

3 years

Nothing like a new variant to bring out racism & xenophobia

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Madhu Pai, MD, PhD

1 year

Because of passport & visa privilege, global health meetings are becoming two-tiered: Global North participants: in person, speaking, asking questions, socializing & networking Global South: on Zoom, mostly off-camera, muted, asking questions via chat, or watching recordings

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Madhu Pai, MD, PhD

4 years

My wife and I have become 'cool' parents, thanks to this uncool pandemic. Our child has suddenly realized that both her parents are epidemiologists.

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Madhu Pai, MD, PhD

3 years

I ❤️ cardiologists & cardiac surgeons. But they are not public health experts. Hope 🇮🇳 media & government is aware.

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Madhu Pai, MD, PhD

3 years

A pandemic is a gigantic mirror which reveals a lot about our countries, our leaders, our systems, our priorities, and our own selves

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Madhu Pai, MD, PhD

2 years

“Non-White” scientists appear on fewer editorial boards, spend more time under review, and receive fewer citations

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Madhu Pai, MD, PhD

3 years

I really, really, really want this pandemic to end BUT

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Madhu Pai, MD, PhD

4 years

If the world could pick 1 leader in this crisis, my vote would go to @jacindaardern .

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Madhu Pai, MD, PhD

4 years

Indians outside India are 💔💔 and feeling helpless. But we are not. Let's organize, mobilize & find ways to support 🇮🇳!

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Madhu Pai, MD, PhD

3 years

WOW! This #COVID19 guideline by DGHS @MoHFW_INDIA is what 🇮🇳 needs! No antibiotics, anti-parasitic, plasma, Coronil, 2DG, Favipiravir & other unproven meds! No routine CT scans! O2, rational use of steroids, Remdesivir/Toci in specific, limited cases

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Madhu Pai, MD, PhD

3 years

2020: These were Covid success stories: - Vietnam - Thailand - Australia - Malaysia - Taiwan - Rwanda - Kerala (🇮🇳) 2021: All are struggling! Lessons: 1. Never declare success 2. Track variants 3. Maintain public health measures 4. Vaccinate, vaccinate, vaccinate!

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Madhu Pai, MD, PhD

4 years

Covid-19 is proof that bad leadership kills people. We MUST VOTE for good leaders.

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Madhu Pai, MD, PhD

7 months

On #WorldHealthDay , world leaders should commit to not bombing hospitals & healthcare workers Not a big ask

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Madhu Pai, MD, PhD

2 years

Hi @Twitter Africa CDC is a major public health agency in the Africa region Why is their account suspended??

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Madhu Pai, MD, PhD

2 years

If BA.5 is the worst variant of SARS-CoV2 we have ever seen, what happens to 80% of people in low-income countries that are unvaccinated? We have failed to protect millions, even as the virus evolves and mutates...

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Madhu Pai, MD, PhD

3 years

After 10 brutal, lonely days fighting Covid, my friend in 🇮🇳 is smiling again today. He made it! 🙏🏽 to all people who helped or showed solidarity ❤️

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Madhu Pai, MD, PhD

3 years

Two worlds in two pictures

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Madhu Pai, MD, PhD

3 years

A *pan*demic ('pan' means 'all') does NOT end when: - I'm lucky enough to get 💉 - My country reaches high vaccine coverage - When I can travel again - When my kid(s) gets 💉 - When my family is safe It ends, when it ends for ALL people on 🌍

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Madhu Pai, MD, PhD

3 years

This gave me some much needed 🤣🤣 Mumbai vada variant with ‘spice’ proteins

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Madhu Pai, MD, PhD

5 years

Student interest in global health is at an all time high. Student 'clubs' come up with these sorts of well-intentioned but dodgy ideas for 'global health missions' all the time:

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Madhu Pai, MD, PhD

3 years

The virus is bad enough But when combined with idiotic & criminally negligent politicians, it is catastrophic

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Madhu Pai, MD, PhD

4 years

Whenever this pandemic ends, let's remember all the 'leaders' who failed us during a crisis

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@paimadhu

Madhu Pai, MD, PhD

4 years

If I were to teach an informal, free, online course on fundamentals of epidemiology for health & science journalists, would there be any takers? Content would be a version of what I have at:

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@paimadhu

Madhu Pai, MD, PhD

3 years

Pandemics are highly profitable to some That’s why ending it will not be easy Will require a citizens’ movement

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@paimadhu

Madhu Pai, MD, PhD

3 years

Rich nations are very quick to ban travel but very slow to share vaccines & know-how

@yodifiji

Dr. Ayoade Alakija

3 years

Israel ALSO bans travel from South Africa, Lesotho, Botswana, Zimbabwe, Mozambique, Namibia, Eswatini due to new “super” variant. This was our greatest fear & were almost prophetic in predicting that the world would eventually shut Africa out having denied us access to vaccines

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