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Jason Nickerson

@jwnickerson.bsky.social

375 followers 198 following 137 posts

Humanitarian Representative to Canada for Doctors Without Borders/Médecins Sans Frontières (MSF) 🌎 Respiratory Therapist 🫁 Trail runner and adventurer🏃‍♂️ PhD and health researcher ☣️


Jason Nickerson's avatar Jason Nickerson @jwnickerson.bsky.social
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The world desperately needs to do better, more coordinated, and more equitable work in preparing for and responding to disease outbreaks and pandemics. That countries are unable to agree on many common-sense and reasonable proposals is, frankly, shameful. MedSky 🧪 www.nytimes.com/2024/05/24/h...

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Jason Nickerson's avatar Jason Nickerson @jwnickerson.bsky.social
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Depressing state of the art, film, and streaming industry:
“Studios can work very hard to hold your attention before deciding, at the last possible moment, that they’re better off throwing out artists’ work than letting you pay money to see it.”

www.nytimes.com/2024/04/09/m...

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Reposted by Jason Nickerson

J.M. Berger's avatar J.M. Berger @intelwire.bsky.social
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No matter how bad you think this will be just from the post and headline, you will not be prepared for how bad it is when you click on the link

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Jason Nickerson's avatar Jason Nickerson @jwnickerson.bsky.social
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That’s great! Thanks very much, I didn’t know this existed! ✌️

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Jason Nickerson's avatar Jason Nickerson @jwnickerson.bsky.social
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I spoke with CBC last night about the plan to build a pier - which won’t be operational for weeks - to deliver aid to Gaza, and why this is not a viable solution for addressing emergency needs that exist today. This is no a logistics problem, it is a political problem. www.cbc.ca/listen/live-...

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Jason Nickerson's avatar Jason Nickerson @jwnickerson.bsky.social
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Measles is a disease that is preventable with a highly effective vaccine, that too many people have not received in many countries with fragile public health systems. Scaling up global vaccinations is, once again, what's needed to protect people at home and abroad.

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Jason Nickerson's avatar Jason Nickerson @jwnickerson.bsky.social
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So, what needs to happen? We need catch-up vaccination campaigns around the world to target children who have missed doses or received none, up to at least age 5. In countries affected by crisis there are large pockets of zero-dose children that need to be prioritized.

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Jason Nickerson's avatar Jason Nickerson @jwnickerson.bsky.social
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There have been significant efforts to scale-up routine immunizations around the world, and this is indeed a major success. But the reality is that disease outbreaks like measles, diphtheria, cholera, etc. too often go unresponded to, with little attention. Until it's too late.

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Jason Nickerson's avatar Jason Nickerson @jwnickerson.bsky.social
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This all comes as countries debate how to respond to pandemics and strengthen global health security, and it highlights the absurdity of many of these discussions which are really about how rich countries should protect themselves, not how best to improve global public health.

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Jason Nickerson's avatar Jason Nickerson @jwnickerson.bsky.social
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Also of major concern is cholera, which has been seeing massive outbreaks around the world for the past several years. There is so much cholera right now, and so few vaccines, that the global cholera vaccine stockpile was empty in January and meets very little demand today. This is a major problem.

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Jason Nickerson's avatar Jason Nickerson @jwnickerson.bsky.social
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Unfortunately, it's not just measles that the world needs to be concerned about. We're seeing a rise in other vaccine-preventable illnesses like diphtheria. Right now, the world is facing the largest diphtheria outbreak in history with thousands of cases. IDSky

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Jason Nickerson's avatar Jason Nickerson @jwnickerson.bsky.social
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The consequence of low global vaccination coverage is that for several years, MSF teams have been responding to very large outbreaks of measles in places like DRC, Afghanistan, Somalia, and a record-breaking spike in measles cases in Nigeria. MedSky www.doctorswithoutborders.org/latest/recor...

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Jason Nickerson's avatar Jason Nickerson @jwnickerson.bsky.social
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We need to launch these measles vaccination campaigns because there are a lot of people globally who are unprotected. Some of this is because of COVID disruptions - in 2021 40 million children missed a measles vaccine dose, for example. www.who.int/news/item/23...

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Jason Nickerson's avatar Jason Nickerson @jwnickerson.bsky.social
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Measles spreads extremely rapidly, particularly in a population under stress and living in overcrowded conditions (e.g. camps). Measles vaccination is one of our top priorities in an emergency: In 2022 we vaccinated 4.1 million people against measles in response to outbreaks.

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Jason Nickerson's avatar Jason Nickerson @jwnickerson.bsky.social
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There is likely community transmission of measles in some parts of Canada, but there's a risk of importation of measles cases following international travel - this links to what we @msf.bsky.social have been warning of for years: there are huge gaps in vaccination coverage globally.

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Jason Nickerson's avatar Jason Nickerson @jwnickerson.bsky.social
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MSF's reaction to the US announcement about building a temporary pier to bring aid into Gaza is here. It is clear that this is not the solution that people in Gaza, and humanitarian organizations working in Gaza, urgently need.

www.doctorswithoutborders.org/latest/us-pl...

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Jason Nickerson's avatar Jason Nickerson @jwnickerson.bsky.social
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Existing border crossings into Gaza are an immediately viable and usable option - food and medicines are literally sitting at the Rafah border crossing, waiting to enter Gaza. Focusing on a temporary pier as a solution weeks from now is a distraction from the real problem.

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Jason Nickerson's avatar Jason Nickerson @jwnickerson.bsky.social
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Building a temporary pier to bring aid into Gaza - which will take weeks to build - is not a practical option for an emergency of this scale or urgency. People need food, medicine, fuel, and water today, not weeks from now. There are trucks sitting at existing border crossings into Gaza.

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Jason Nickerson's avatar Jason Nickerson @jwnickerson.bsky.social
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We are aware of statements about 🇨🇦 plans to airdrop aid into Gaza and emphasize that airdropping aid is in no way a substitute for humanitarian access and regular border crossings that allow medical supplies, food, fuel, and other relief items to enter. www.theglobeandmail.com/world/articl...

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Jason Nickerson's avatar Jason Nickerson @jwnickerson.bsky.social
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It’s so weird how when financial incentives are introduced as the main driver of patient care and essential health services, things get super gross and twisted really quick. Who’d have guessed?

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Jason Nickerson's avatar Jason Nickerson @jwnickerson.bsky.social
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Wow! Wild story! Was the antivenom readily available where you were, or was there some delay in getting it? Hope that you’ve made a full recovery!

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Jason Nickerson's avatar Jason Nickerson @jwnickerson.bsky.social
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Around 100,000 people die from venomous snakebites each year, and we are lacking effective, affordable antivenoms.
R&D for new antivenoms is underfunded, typical of many diseases that simply aren't profitable enough to attract investment.
But there's hope: MedSky 🧪

www.statnews.com/2024/02/21/a...

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Jason Nickerson's avatar Jason Nickerson @jwnickerson.bsky.social
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The conditions in the centres where people are detained arbitrarily and indefinitely, has had a detrimental effect on the physical and mental health of detainees. MSF is calling for long-term solutions that prioritize the rights and dignity of refugees: doctorswithoutborders-apac.org/en/doctors-w...

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Jason Nickerson's avatar Jason Nickerson @jwnickerson.bsky.social
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Last week, more than 100 Rohingya people fled a Malaysian detention centre. There are currently around 2,000 Rohingya refugees in detention in Malaysia, who remain stateless with no recourse to obtain legal status. toronto.citynews.ca/2024/02/02/m...

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Jason Nickerson's avatar Jason Nickerson @jwnickerson.bsky.social
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You can also send a letter to the Ministers and MPs who can influence Canada's response to the crisis in DRC and make sure they know that Canadians care about this emergency that's had dire consequences for millions of people: action.msf.ca/site/Advocac...

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Jason Nickerson's avatar Jason Nickerson @jwnickerson.bsky.social
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We at MSF are calling on the Canadian government to urgently scale-up its response to the humanitarian crisis in DRC. If you're in Canada, you can help by signing a Parliamentary Petition to push for Canada to act now: www.ourcommons.ca/petitions/en...

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Jason Nickerson's avatar Jason Nickerson @jwnickerson.bsky.social
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For months, MSF has been calling on Canada and other donors, and other humanitarian organizations, to urgently scale-up their response to this crisis. So far, the response from Canada has been minimal despite high and escalating needs. www.msf.org/drc-msf-call...

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Jason Nickerson's avatar Jason Nickerson @jwnickerson.bsky.social
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This is the latest escalation in fighting in DRC's North Kivu province, where more than 1 million people have been displaced by violence since March 2022 in a province that's been affected by conflict for more than 30 years.

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Jason Nickerson's avatar Jason Nickerson @jwnickerson.bsky.social
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MSF's medical teams in North Kivu, Democratic Republic of Congo (DRC) have received huge influxes of war-wounded patients in the last 2 weeks as thousands of people flee fighting.

www.msf.org/people-and-m...

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Jason Nickerson's avatar Jason Nickerson @jwnickerson.bsky.social
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There are massive gaps in access to pain medicines in many low- and middle-income countries, which often leads to the use of second or third line analgesics. Central African Republic just announced the withdrawal of metamizole from the market, for example. MedSky lengosongo.cf/2024/01/22/l...

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Reposted by Jason Nickerson

Jason Nickerson's avatar Jason Nickerson @jwnickerson.bsky.social
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People with moderate to severe asthma have a growing list of treatment options - however, it's still not entirely clear how to bring them all together, how to use them, and when to stop using them (and they're expensive!). In today's Lancet: www.thelancet.com/journals/lan... MedSky 🧪

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Jason Nickerson's avatar Jason Nickerson @jwnickerson.bsky.social
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This is a thoughtful and helpful read on the challenges/differences of free speech and academic freedom. Academic freedom is extremely important - people and society deserve the benefit and generosity of our academic curiosity. In today's The Line: www.readtheline.ca/p/andrew-pot...

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Jason Nickerson's avatar Jason Nickerson @jwnickerson.bsky.social
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Many of these patents are spurious at best - inhaler caps, cartridge pins and springs, etc. - though some devices offer significant benefits for particle deposition. The inhalers in question, here, are not those. Good to see a government taking a hard look at this. MedSky 🧪

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Jason Nickerson's avatar Jason Nickerson @jwnickerson.bsky.social
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By playing the patent game and linking approval to the drug/device combo, pharma companies have been able to keep lower cost generics from entering the market. It's a complicated thing because in theory a generic could enter the market - but they don't: it's hard to compete.

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Jason Nickerson's avatar Jason Nickerson @jwnickerson.bsky.social
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Here's the rub in all of this: these are all old, off-patent drugs, being sold at ridiculous prices. The game by pharma companies has been to patent the drugs, then patent the devices several years later, and obtain approval for the drug/device combo.

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Jason Nickerson's avatar Jason Nickerson @jwnickerson.bsky.social
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Just taking one example from the above story on the price of inhalers, you can see how absurd the price differences are between different jurisdictions. This makes absolutely no sense. Advair HFA costs $319 in the US, but $26 in the UK? Wild. (It's $122-$173 in Canada, btw)

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Jason Nickerson's avatar Jason Nickerson @jwnickerson.bsky.social
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The second related story is that a group of US Senators are investigating the pricing of asthma and COPD inhalers - good, because (and I can't reiterate this enough) the way these things are priced is insane. thehill.com/policy/healt...

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Jason Nickerson's avatar Jason Nickerson @jwnickerson.bsky.social
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Because the way medicines are priced and sold - particularly in the US - is absolutely nonsensical, the launch of new "generic" fluticasone inhaler may actually cost patients more because of discounts and rebates, meaning some insurance may not cover it. www.statnews.com/2024/01/05/f...

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Jason Nickerson's avatar Jason Nickerson @jwnickerson.bsky.social
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First is that GSK discontinued their brand-name fluticasone inhalers (FLOVENT) on January 1st, and will instead sell authorized generics. Sounds good at first, but really this is a sleight of hand since GSK will still control the generics. www.npr.org/sections/hea...

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Jason Nickerson's avatar Jason Nickerson @jwnickerson.bsky.social
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Two big asthma and COPD medication stories coming out of the US this week, both highlighting the absurd way that inhalers - many of which are decades-old drugs delivered by decades-old device technologies - are priced out of reach of patients that need them.

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Reposted by Jason Nickerson

Reposted by Jason Nickerson

Jason Nickerson's avatar Jason Nickerson @jwnickerson.bsky.social
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Sudanese authorities have informed MSF of a ban on importing surgical supplies to hospitals in areas of Khartoum controlled by RSF forces. This is unconscionable & will directly impact our ability to provide trauma surgical care & also caesarean sections.

www.msf.org/surgical-sup...

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Jason Nickerson's avatar Jason Nickerson @jwnickerson.bsky.social
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An MSF convoy trying to evacuate our staff and their families was attacked in North Gaza today. One person was killed, another injured.
This is absolutely unacceptable and horrific. We condemn this in the strongest terms.
Ceasefire now.

www.msf.org/gaza-msf-con...

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Jason Nickerson's avatar Jason Nickerson @jwnickerson.bsky.social
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Gaza update.
Patients and medical staff are trapped in hospitals: Al-Shifa hospital has been hit several times, resulting in multiple deaths and injuries.
MSF urgently reiterates its calls to stop the attacks against hospitals & for an immediate ceasefire.

t.co/yfcAa0IsyJ

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Reposted by Jason Nickerson

Mike Caulfield's avatar Mike Caulfield @mikecaulfield.bsky.social
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The "unexpected" in the headline is slightly irksome. This was the main fear I expressed back in December 2017 when first asked about deepfakes and repeatedly since then. I have expressed this to every journalist who has called me about AI fakes since.

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Reposted by Jason Nickerson

Reposted by Jason Nickerson

Dr. Lucky Tran's avatar Dr. Lucky Tran @luckytran.bsky.social
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Twitter/X is now removing headlines from links and Threads/Meta is prohibiting searches of public health terms like Covid and vaccines. Billionaires are dangerously restricting people’s access to news.

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