Thursday, February 05, 2026

Joshua Namm: "Acknowledging Hatred Against Jews Isn't “Complaining” - It's Life Saving"

You can't reason with antisemites, but you can speak up and call the world's attention to Jew-hatred, which Joshua Namm always does so eloquently in this column.

--------------------------------------- 

Acknowledging Hatred Against Jews Isn't “Complaining” - It's Life Saving
Joshua Namm, Feb 05, 2026

"I am obviously a vocal critic of antisemites and a chronicler of antisemitism.

"I have also long held that antisemitism hasn’t grown, instead, antisemitic incidents have grown because expressing antisemitic views was a social faux pas for a few decades following the horrors of World War 2. Now it is quickly becoming normalized, and people feel free once again to express vile views.

"Now it’s back, back in a big way, and at levels few of us have experienced given that we haven’t seen anything like it since the 1930s. While I still don’t believe that we are living in that same environment yet, it has become clear that this era has more potential to be “Germany in the 1930s” than any other since the Shoah (Holocaust).

"I write about antisemitism for a living and I am very active in the fight both in the real, and social media, worlds. So, I spend more time than the average person immersed in something that is (obviously) very negative. But, I have always had the opinion that it is even more negative for Jews to define Jewishness by how much others hate us. When I was growing up in the 70s and 80s, the less observant, meaning not “orthodox,” Jewish world was pretty obsessive about centering much of Jewish identity on the Shoah. It was completely understandable given how much closer in time we were to the event.

"And obviously, Holocaust education is still critical. But, when you aren’t being taught about Purim, Shavuot, Sukkot, etc., the mitzvot themselves, and the endless positives and joy inherent in being Jewish, there is a danger that Jewish identity becomes overly identified with the cultural aspects of being Jewish, and the biggest event in 20th century Jewish life: the Shoah.

"People meant well, the Holocaust, of course, left such a massive scar that not teaching about it would have been itself a crime. At the same time, there was always a danger that, for some of us, without focusing on the endless (literally) positive aspects of Judaism and being Jewish, the negatives of both the Holocaust and contemporary antisemitism would become the focus of what it means to be a Jew.

"In fact, a lot of being Jewish seemed to many to be bagels, a few Yiddish words here and there, and the Holocaust.

"And Fiddler on the Roof.

"That’s not Judaism. It’s also not necessarily even that Jewish.

"I’ve always disliked (meaning: hated) the stereotypes of Jews as complaining, nebishy, cowardly complainers. Maybe because my name is Joshua, the scholar/warrior Jew of Tanach (the Bible) always was the Jewish archetype that most resonated with me. I remember going to Israel for the first time when I was 17 (in 1985) and seeing Israeli soldiers with guns. They were cool: obviously extremely comfortable being Jewish, they appeared to be tough, supremely confident, and proud. Seeing them confirmed something in me that I hadn’t realized needed confirmation. These weren’t ghetto/pop culture stereotypes, but Jews with something else, a coolness that the American Jewish stereotypes, stereotypes born in the ghetto, didn’t have.

"Not that I didn’t have great role models. I was surrounded by American Jews who survived unimaginable poverty of the depression and served in World War 2 (my father being one of them). None of them represented, in the slightest, negative stereotypes.

"Later on, I became more observant and became part of the Chabad world (where I met some of the best friends, and best people, I have ever known and still know). And contrary to that stereotype, these were totally normal people, whose unapologetic pride in being Jewish easily rivaled the coolness of those Israeli soldiers I had seen years before. (And, I have always thought the threads were very cool too – long black coats, and black hats, how is that not cool?)

"There is a connection there, the IDF (Israeli Defense Forces) are the Jewish army protecting the Jewish people, and the black hat Jews are the army of G-d - on the job of spreading Jewish values, and protecting 3,500 years of Jewish continuity. Literally, their slogan is “Uforatzta,” or spreading forth, to reach every Jew on earth.

"That takes immense reservoirs of courage, and many of them risk, and have lost, their lives just to be there for us, unconditionally.

"On the other hand, I’ve never been into the “oy vey,” bagels (I like bagels, they just don’t define my Jewishness), complaining, obsessed with business, etc. stereotypes. Most of that idea has been pushed on us by a Hollywood that has always been embarrassed by how Jewish it actually is and still refuses to routinely show Jews as we are – not as movies and TV cartoonishly portray us.

"There are very, very few portrayals of Jews, that don’t conform to the cliché.

"So, between assimilation, and what we are fed through Hollywood, the image of the complaining, cowardly, “don’t make a scene” Jew is ubiquitous. And sadly, the world of more liberal Jewish organizations, religious and secular, often lives up to the stereotype, with endless, and self-important, position papers, elitist galas, constant tone-deaf statements, and endless fundraising. They too never want to “make a scene.”

"I used to explain the difference to people by saying: “Picture a typical American Jew.”

“Now, picture an Israeli fighter pilot.”

“Did you just picture two different things?”

"Then I would explain that both of these are the SAME THING. American Jews, French Jews, Israeli Jews, Ashkenazi Jews, Sephardic Jews, Mizrahi Jews – we are all equally Jewish, and like all people, we have a mix, and most of us are nothing like the typical Jewish stereotype.

"One of the most egregious parts of that stereotype is the contention that Jews somehow complain more than anyone else. Even some Jews, sadly, think that it’s “funny” to characterize us that way. I’ve never understood the people who embrace the embarrassing stereotypes. Everyone complains, but there is no evidence that Jews do it more than any other ethnic group.

"However, today that assertion has gone from annoying to dangerous.

"As antisemitic incidents multiply, it is ALL too easy for antisemites to dismiss our legitimate concerns by claiming that we are “just” Jews and “Jews always complain.”

"Even some Jews, who understandably don’t want to face the harsh reality of what has been escalating for at least a decade, and exploded after October 7th, unfortunately characterize being realistic about the situation as “complaining.

"Not to mention the fact that some of us aren’t comfortable with being outsiders, so the onslaught of recent events which serve to remind us that we ARE different, and that we are Jews, is uncomfortable (see my article “Antisemitism: The Assimilation Killer” for more on that subject.)

"This is true on the right, where there is a tendency to conflate being patriotic with conformity, especially in the last decade, and has sadly meant acknowledging more than ever that what is best for America, may not always be best for us. Which is partially a result of antisemites, and policies detrimental to Jews and Israel (which are the same thing whether you want to acknowledge it or not), being increasingly embraced by right-wingers more than at any time in the last 80 years. “Isolationism” has become an anti-Jewish euphemism once again. You get the feeling that many of these neo-Isolationists would be sitting around their radios cheering on Father Coughlin again if that scumbag the guy wasn’t dead.

"On the left, antisemitism has been widely, accepted for at least a decade – and that acceptance is increasing rapidly. The recent revelations of the antisemitic way in which Kamala Harris’ team treated potential running mate Josh Shapiro is the latest example. But, names like Ilhan Omar, Rashida Tlaib, Alexandria Ocasio-Cortez, and Keith Ellison demonstrate just how overtly entrenched anti-Jewishness is in the Democratic Party. As was their total willingness to accept any propaganda provided by Hamas regarding Gaza. Many of them won’t even acknowledge that Israel is the Jewish homeland, and use “Zionism” as though it were a dirty word.

"Normalizing antisemitism has become a primary tool for those who hate us.

"Jonathan S. Tobin recently covered this concept brilliantly in his article “What normalizing antisemitism looks like.”

"He writes:

"Since the Hamas-led Palestinian attacks in Israel on Oct. 7, 2023, American Jews have seen hatred directed against them steadily portrayed as not just a reasonable argument but the work of idealists who oppose a mythical “genocide” perpetrated by “white” oppressors and their supporters….We are now at the point where the views of those who feel that one Jewish state on the planet is one too many—while encouraging terrorism and even contemplating the genocide of Israelis—are considered acceptable public discourse. And many non-Jews and even a sizable minority of Jews in New York City think anyone aware of this should just stop complaining about it.”

"He was referring to poll by the (liberal) Honan Strategy group. It found that 53% of Jewish voters feel threatened by statements by New York Mayor Zohran Mamdani and his allies, while most non-Jews — 55% — say that’s an overreaction fueled by politics.

"Unless you actually believe that the statistics lie, and that attacks on Jews haven’t increased dramatically during the last decade, the most terrifying part of that poll is that more than half of New Yorkers think that we are all just “overreacting.”

"Jews are also about 10% of New York’s population. They are the targets of 57% of all hate crimes (all, not just religiously motivated crimes).

"The only reason any of this is even possible is precisely because complaining is viewed by the mainstream as an inherently Jewish trait.

"We have to reject all negative Jewish stereotypes. It isn’t an issue of pride, but of safety. We left the physical ghettos, now it is time to consign the mental ghettos to that same distant past.

"So what’s the best defense against Jewish ghetto stereotypes? Be a proud, unapologetic, warrior Jew (in mitzvot and, if necessary, in unapologetic self-defense). That starts with a psychological willingness to embrace being different. Jewish pride isn’t arrogance: it is confidence.

"At the beginning of the Book of Joshua it tells us how to behave when we have to deal with adversity: 'Did I not command you, be strong and have courage (chazak v’ematz), do not fear and do not be dismayed, for the Lord your G-d is with you wherever you go.'

"Chazak v’ematz: Be strong and have courage.

"And THAT is how we fight antisemitism.

"Never be afraid. Never give up.

"Am Yisrael Chai."

This article originally appeared in Orange County Jewish Life.

------------------------------------------------------------ 

Joshua Namm is a longtime Jewish community pro, former editor and current columnist for Orange County Jewish Life, passionate Israel advocate, and co-founder/co-CEO of Moptu, a unique social platform designed specifically for article sharing, and dedicated to the principle of free speech.  

Wednesday, February 04, 2026

I.C.E Derangement and Israel Derangement Syndromes

I had thought of the similarities myself.  Both I.C.E. and Jews are also reviled and harassed incessantly, and both I.C.E. and Israel receive consistently negative press.  The inciters (not 'protesters') who march against Israel are like the anti-I.C.E. inciters in Minnesota with their signs and their threats. Also, both Israel and I.C.E. are the good guys fighting the bad guys!

----------------------------------- 

The Daily Signal - Commentary
ICE and Israel Face the Same Dilemna

By Victor Joecks | February 04, 2026

"When you think about recent events in the Middle East, it’s easier to understand what’s happening in Minnesota.

"There are significant parallels between the tactics of Hamas and pro-illegal immigrant agitators. Start with this. Both have no realistic way to achieve their objective through conventional means.

"Despite the brutality of the Oct. 7 massacre, Hamas couldn’t defeat Israel militarily. That’s the reason it had to rely on a surprise attack. In response, Israel decimated Hamas’ leadership.

"President Donald Trump ran on deporting illegal immigrants, and voters gave him a resounding victory in 2024. Unlike most politicians, Trump is actually keeping his promises. Thanks to the “One Big, Beautiful Bill,” there’s plenty of funding to deport illegal immigrants, too.

"The proper way to counter this would be for pro-illegal immigrant activists to win an election or two. Then, they could change the law. But the Left’s commitment to democracy fades when its opponents are in power.

"Outmatched in bullets and ballots, both groups have sought to use political pressure to achieve their aims. Putting their own people in danger is key to these efforts. Hamas hides its military infrastructure in and around hospitals and schools. Israel either avoids attacking legitimate military targets, or Hamas rushes out pictures of dead women and children.

"Something similar is happening in Minnesota. Agitators are actively stalking U.S. Immigration and Customs Enforcement and then physically trying to prevent federal agents from arresting illegal immigrants."

"Crowd control should be a job for local cops. But Minnesota politicians have prevented local police from coordinating with Immigration and Customs Enforcement. In December, Minneapolis Police Chief Brian O’Hara even told residents to call the cops on ICE.

"Federal agents are put in a no-win situation. Either they allow agitators to stop them from arresting a criminal illegal immigrant, or they must use physical force to arrest the agitators. At a minimum, that will produce ugly-looking videos. 

"Twice when an agitator has resisted, things have turned deadly. Illegal immigration activists then promote out-of-context videos and lob vile accusations at federal agents.

"In both situations, there is a disproportionate focus on the actions of one side. Hamas launched a surprise attack on Israel. Hamas brutalized hostages for months or years. Hamas used human shields. Yet, the propaganda press, many on the left and even some on the right, obsessively focused on any perceived misdeeds by Israeli forces.

"The same is true in Minnesota and around the country. Last year, Minnesota Gov. Tim Walz called ICE a “modern-day Gestapo.” Philadelphia District Attorney Larry Krasner recently called ICE agents “wannabe Nazis” and vowed to “hunt you down.” Illinois Gov. JB Pritzker has said ICE’s work would “essentially” turn the country into “Nazi Germany.”

"The propaganda press largely ignores incendiary rhetoric like this. They barely even report on the violence committed by illegal immigration sympathizers. 

"In September, an anti-ICE gunman opened fire on an ICE field office in Dallas. Police believe he killed one detainee and injured two others.

"Pro-illegal immigration activists recently stormed a St. Paul church, terrifying children and disrupting the service.

"Recently, an anti-ICE agitator even reportedly bit off the finger of a federal agent.

"But the propaganda press offers frame-by-frame scrutiny of agents who have to make split-second decisions when an agitator resists arrest.

"These similarities show why it’d be a mistake for the Trump administration to capitulate in Minnesota. Israel withdrew from the Gaza Strip in 2005. Gaza residents didn’t thank Israel. They gave power to Hamas, setting the stage for the attack on Oct. 7, 2023.

"If violence gives illegal immigration agitators a de facto veto over federal immigration law, that violence will spread.

"Israel learned this lesson the hard way. ICE shouldn’t have to."

Unvaccinated Adults Over Fifty

You would think that by now, older people would be smarter than this. I guess not.

----------------------------------------

From CIDRAP 2-3-26:

Large share of older US adults haven’t had a recent flu or COVID vaccine, poll finds  

By Laine Bergeson, 

"Despite a severe influenza season and rising COVID-19 activity this winter, 42% of adults ages 50 and older remain unvaccinated, according to a new University of Michigan National Poll on Healthy Aging. The survey also highlights gaps in understanding the vaccines’ ability to reduce the risk of severe illness.

"The poll, conducted from December 29, 2025, to January 13, 2026, asked 2,964 US adults ages 50 to 98 about their vaccination status and reasons for not getting vaccinated. Overall, 42% reported that they had not received either a flu or COVID vaccine in the past six months. For 49% of people over 50, it had been more than a year since their last COVID vaccine, and 15% said they had never been vaccinated against COVID.

"In total, 29% said they had received both vaccines, while 27% had received just the updated flu shot. The poll findings did not include a margin of sampling error.

"The leading reason people gave for not getting vaccinated was thinking they didn’t need to: 28% of older adults who didn’t get the flu vaccine in the past six months and 29% of those who didn’t get a COVID-19 vaccine in the past year (or ever) cited this as the main reason. This may reflect how people underestimate their personal risk from respiratory diseases or the benefits of vaccination, or both, even as strong evidence suggests that staying current on vaccines helps reduce the risk of severe illness and death in older adults.

"Concerns about side effects and doubts about vaccine effectiveness were the next most-reported reasons for not getting vaccinated: 19% of respondents who didn’t get the flu vaccine and 27% who didn’t get the COVID vaccine cited side effects as the reason, and 18% of those who didn’t get the flu vaccine and 19% who didn’t get the COVID vaccine cited doubts about vaccine effectiveness. Only a nominal number of respondents cited time, cost, or eligibility concerns.

Nearly 4 in 10 with chronic conditions unvaccinated

"The poll found clear differences in vaccination rates among different subgroups, with uptake highest among those at greatest risk.

"Nearly half (46%) of adults ages 75 and older (who face the highest risk of severe illness) said they had received a COVID vaccine in the past six months, compared with 37% of those ages 65 to 74 and 20% of those ages 50 to 64. Flu vaccination rates were higher across all age-groups: 76% among those 75 and older, 64% among those ages 65 to 74, and 42% of those age 50 to 64.

"Adults with at least one chronic health condition were more likely than those without such conditions to have received both vaccines, but gaps remained. Nearly four in 10 respondents with chronic conditions (39%) said they had not received either vaccine in the past six months.

"The poll also highlights a group at growing risk: older adults who have never received a COVID vaccine. One in five adults ages 50 to 64 reported never being vaccinated against COVID, along with 12% of those ages 65 to 74 and 7% of those 75 and older.

"Income disparities were also evident. Nearly one in five respondents (19%) with household incomes under $60,000 said they had never received a COVID vaccine, compared with 12% of those with higher incomes.

2025 guideline changes didn’t impact vaccine uptake

"Last year, the Centers for Disease Control and Prevention changed its recommendation about which adults should receive the COVID vaccine, saying that those ages 50 to 64 who do not have any chronic health conditions that increase COVID risk do not need to be vaccinated.

"This shift didn’t appear to affect decision making around vaccination. Fewer than 1% of respondents who skipped the COVID vaccine in the past year said they did so because they thought they were no longer eligible.

"COVID vaccination is still recommended for most older adults, including two doses a year for everyone 65 and older and for people with compromised immune systems, and one dose a year for higher-risk adults under 65.

"Guidance on flu vaccination did not change. Annual flu vaccination is still recommended for everyone ages 6 months and older, and major medical societies and insurers continue to recommend and cover both flu and COVID vaccines for all adults.

Personal messaging may improve uptake

"Helping people understand what vaccination means for them personally may be key to improving uptake among adults 50 and older, says poll director and associate professor of internal medicine at the University of Michigan Medical School, Jeffrey Kullgren, MD, MPH.

"News coverage often describes vaccine effectiveness using population-level statistics such as percentage reductions in hospitalization or death. But that framing doesn’t always line up with the questions people may care about most: whether vaccination will keep them from getting sick at all or from becoming seriously ill.

“These findings suggest that we must do a much better job helping people in their 50s and up understand that they will benefit from getting these updated vaccines each year, that the vaccine side effects are mild and short-lived, and that even if they later get infected and develop symptoms, vaccination means they won’t get as sick,” says Kullgren in a news release.

"Even when a vaccine isn’t a perfect match for currently circulating strains, a recent dose primes the immune system to respond and may help reduce both the severity and duration of the illness.

"And, Kullgren adds, it’s not too late for anyone to get a flu or COVID vaccine this season."

Illegal Alien Crime

This is from Powerline, and it makes you wonder: if it's this bad in Tennessee, then why is Minnesota fighting so hard to protect their illegal aliens at the expense of their own citizens?  And why would you vote for Democrats whose priority this is?  It's criminal -- no pun intended.

------------------------------------------------------ 

The Havoc Wrought By Illegal Aliens

"In Tennessee, a state agency is required by law to compile data on crimes committed by illegal aliens. The numbers for 2025 have been released, and they are eye-opening:

The office of the Tennessee District Attorneys General Conference has released its annual state immigration report revealing that in 2025, illegal migrants committed 2,183 violent offenses, including 41 homicides, 145 sexual offenses, 11 child rapes, and more.

"This table tells the story:

"Tennessee has a little over two percent of the U.S. population, so, assuming Tennessee’s illegals are no more violent than the norm, that would translate to something like 100,000 violent offenses, 2,000 murders, and so on. There were about 14,000 or 15,000 murders in the U.S. in 2025, so illegals probably accounted for around 1/7 of them. These are the people whom the Democratic Party is determined to keep within our borders. One might reasonably ask why."

Tuesday, February 03, 2026

Your Local Epidemiologist: The Dose 2-3-26

Nipah in India, measles is the first building block to fall, flu increasing again, and US out but CA in on WHO

By Katelyn Jetelina and Hannah Totte, MPH, at Your Local Epidemiologist: The Dose, 2-3-26

As many of you are shoveling yourselves out of the snow, there is a lot happening in infectious diseases. Measles blew January out of the water, Nipah virus (yes, the virus that inspired the movie Contagion) is making headlines, and flu and RSV are still lingering.

Meanwhile, the U.S. officially left the WHO, which seems… poorly timed, to say the least. A heartbreaking photo marks the moment and stands in stark contrast to the pride I felt when I worked at WHO ten years ago.

What does this all mean for you? Let’s dig in.


Measles: the first crack in childhood disease protection

We are watching the first building block of childhood disease protection fall in real time: protection against measles. Because this is the most contagious virus on Earth, even small drops in vaccination coverage give it an opening. And boy, are we giving it openings both nationally and globally.

What’s happening globally. On January 23, 2026, the World Health Organization (WHO) announced six European countries lost their measles elimination status: Armenia, Austria, Azerbaijan, Spain, the United Kingdom, and Uzbekistan. Canada lost its elimination status late last year. This means measles is no longer a random event in these countries; it’s endemic and freely flowing.

This is due to several forces colliding:

  • Collective amnesia about vaccine-preventable diseases (vaccines are victims of their own success)

  • Global instability

  • A radically changed online information ecosystem

  • Bad actors exploiting spaces

  • Deepening mistrust in institutions

WHO will examine the U.S. measles elimination status in April, and all signs point toward us losing it.

What’s happening in the U.S. This year isn’t off to a great start. In January 2026 alone, 662 measles cases were reported. This is an astonishing number for a single month. It’s especially concerning because January is typically a slower month for measles spread.

Public health eyes are on several areas:

  • South Carolina, where a large outbreak has surpassed the size of Texas’s outbreak last year, and is spreading through a tightly knit religious community with low vaccination rates. Wastewater is showing some hopeful signs that the outbreak may be slowing down.

  • Utah and Arizona, where cases continue to raise concern.

  • ICE detention centers in Arizona and Texas are reporting cases. This is concerning because these facilities have close quarters, making them a perfect breeding ground for measles.

What’s most troubling, in all of this, is the silence from national leadership. In the past, federal health leaders publicly encouraged vaccination and ran national prevention campaigns. Right now, that messaging is absent. Awareness, education, and empowerment are not front and center. As a result, measles will likely demand far more public health attention in the years ahead.

What this means for you: If you’re vaccinated, you’re very well protected. About 96% of cases are among unvaccinated people. Check vaccination rates in your county using this map. If you have a child under 12 months old, an early first MMR dose at 6 months may be an option. Talk with your pediatrician.


Nipah virus: scary headlines, low risk

Do you remember the movie Contagion? That fictional outbreak was inspired by Nipah, a serious virus that can cause brain swelling and has a high fatality rate (40-75%). There’s no approved treatment yet, though vaccines are in development, including one in clinical trials at Oxford. Vaccine progress in the U.S. has largely stopped due to vaccine skepticism and regulatory headwinds.

Contagion | United Nations

Right now, Nipah is causing a small outbreak in India. Social media and international headlines are lighting up, but we are not on the brink of another pandemic.

Here’s why.

  1. The outbreak is small and controlled. This means the immediate risk is limited. Two nurses were infected in West Bengal. Indian health officials rapidly traced 196 contacts. All were quarantined, asymptomatic, and tested negative. This means the outbreak is under control. Some airports have added screening measures, despite no cases outside India, which appears to be an abundance of caution and possibly a reaction to exaggerated reports.

  2. Nipah does not spread easily between people. Infected people become very sick very quickly, often dying, which limits opportunities for the virus to move to others. Nipah spreads through direct contact with bodily fluids, like blood, or contaminated food, but not through the air. As a result, one person with Nipah typically infects fewer than one other person. Compare that to measles, which can infect about 18 unvaccinated people from a single case. In short, human-to-human transmission is extremely limited.

  3. Nipah primarily lives in animals. Fruit bats are the virus’s natural host, where it thrives. Occasionally, the virus jumps from bats to humans, particularly as deforestation, globalization, and climate change drive ecosystem changes. These spillover events are rare, and the virus does not easily spread from person to person.

Nipah poses a serious but highly localized risk rather than a global pandemic threat. While it could mutate, the risk of a pandemic is very, very small (about 2%).

What this means for you: Epidemiologists are keeping a close eye on this, and India has moved fast on containment. For now, Nipah still makes a great movie, but your risk is essentially zero.


Respiratory viruses: resurging

Reports of fever, cough, and sore throat are rising again, as is typical when schools resume after the holidays.

Source: CDC; Annotated by Your Local Epidemiologist.

This increase is mostly driven by flu, especially among children. RSV is also contributing.

Source: CDC; Annotated by Your Local Epidemiologist.

Covid-19 levels continue to drop nationally. While they remain highest in the Midwest, there might be increasing activity in the South. We will see where this virus takes us next.

What this means for you: At this point, it probably doesn’t make sense to get a flu vaccine until next season. Covid-19 vaccines for spring should be coming soon for those over 65 years old.


The U.S. officially leaves the WHO

More than ten years ago, I checked into the WHO headquarters in Geneva and took the picture below of all the UN flags—pride oozing from my veins as I worked toward a healthier world with all countries. Last week, I was sent a starkly different image: the U.S. flag being lowered at the WHO as the U.S. officially departed.

WHO has long needed support and reform; there’s no question about that. But reforming is very different from walking away, and it’s worth the effort. While this move may not directly affect all of us in the short term, the consequences are real: reduced financial support for low-income countries facing outbreaks like Nipah, diminished U.S. influence on the global stage, and Americans themselves becoming less informed and less prepared.

I wrote about this when the president first announced the plan to leave WHO, and the implications haven’t changed. Read more here:

The U.S. withdrawal from the WHO

·
January 23, 2025
The U.S. withdrawal from the WHO

More than 10 years ago, I moved to Geneva to work at the World Health Organization (WHO). I was a bright-eyed young epidemiologist with one mission: change the world! My job was admittedly unglamorous: sit in front of Excel, analyze HIV/AIDS drug prices across countries, and write a grueling report for each. and. every. country.

Did California join the WHO? Not exactly. States can’t be full members. But after the U.S. withdrawal, the California Department of Public Health began joining WHO weekly calls through the Global Outbreak Alert & Response Network, and other states will likely follow. This keeps states connected to critical information on global outbreaks and their potential impact on Americans, now that the CDC is no longer filling this role.

What this means for you: Health threats don’t respect borders. This will make it much harder for public health to protect you.


Bottom line

Infectious diseases love this time of year, and this week is no exception. I hope you all stay healthy, safe, and warm out there.

Love, YLE


Your Local Epidemiologist (YLE) is founded and operated by Dr. Katelyn Jetelina, MPH PhD—an epidemiologist, wife, and mom of two little girls. Hannah Totte, MPH, is an epidemiologist and YLE Community Manager. YLE reaches more than 425,000 people in over 132 countries with one goal: “Translate” the ever-evolving public health science so that people will be well-equipped to make evidence-based decisions.

Monday, February 02, 2026

Dr Ruth's COVID, Flu, Measles & More, 2/1/2026

There's a huge amount of important information in this latest newsletter by Dr. Ruth Ann Crystal!

------------------------------------------

COVID, Flu, Measles & More, 2/1/2026
Ruth Ann Crystal MD, Feb 02, 2026

TL;DR: The Midwest and Northeast have high levels of COVID. Flu had peaked, but looks like there may be a second wave starting which is common for influenza. RSV remains high across the United States and is affecting young children and older adults. Babies under age 1 are most often being hospitalized for RSV. The CDC ACIP chair proposed making polio and measles vaccines optional for children, despite a raging outbreak of measles currently in South Carolina that is already even bigger than the Texas measles outbreak from last year.

Flu

Seasonal influenza activity remains elevated nationally. After three weeks of decreasing cases, flu cases increased this week. It is not uncommon for flu seasons to have a couple of peaks in cases. Influenza A (H3N2) accounts for most cases, but influenza B activity is increasing nationally as well.

Last year’s pediatric flu deaths were the highest since the CDC began tracking them, yet the influenza vaccine is no longer recommended for all children following recent changes to the pediatric vaccine schedule by the CDC. This week, 8 more children died of influenza, bringing the total to 52 pediatric flu deaths this season. The CDC estimates that unvaccinated children made up 90% of pediatric deaths from flu.

In California, Influenza levels are high in Bay Area wastewater and continue to rise in all California regions, with children having a higher positivity rate than adults. “Many Californians are visiting emergency departments and hospitalization rates for children are increasing for flu. CDPH urges vaccination, testing, and quick treatment to avoid serious illness.”

COVID

COVID infections are VERY HIGH in the Midwest right now and are HIGH in the Northeast. Levels of COVID are MODERATE in the South per the CDC. The West Coast is seeing LOW levels of COVID in wastewater, probably because we had a high late summer wave. Mike Hoerger predicts that there are 732,000 new COVID infections daily in the U.S. and that about 1 in 67 people has COVID now, although there are great variations depending on region. For instance, every 1 in 17 people in Oklahoma and in South Dakota are infectious with COVID now, and about every 1 in 24 people in Michigan and Indiana have COVID.

COVID in wastewater per CDC:

From: https://www.cdc.gov/nwss/rv/COVID19-nationaltrend.html

WastewaterSCAN (today) COVID is HIGH especially in the Midwest and Northeast:

From: https://data.wastewaterscan.org/

COVID and Children

“COVID-19 may leave silent cardiac footprints in children.” Researchers in Athens followed 137 children for one year after COVID infection and found a persistent reduction in left ventricular global longitudinal strain (GLS), indicating subclinical heart dysfunction despite normal standard echocardiograms. Nearly one quarter (24%) reported Long COVID symptoms, most commonly fatigue in 17%. Children with moderate to severe infections also had elevated sICAM-1 levels, suggesting ongoing endothelial activation.

Dr. Buonsenso, who runs a specialty clinic in Italy for children with Long COVID, reviewed studies showing that COVID reinfection more than doubles the risk of a Long COVID diagnosis in people under 21. In America, more children are living with Long COVID than with asthma, which was the most common chronic illness of childhood. The effects of Long COVID will be long-lasting for these children and will likely carry broader societal consequences. He emphasizes the urgent need for clinical trials that include children and young adults, who are currently excluded from most treatment studies.

New CDC research of 11,057 U.S. children found that 1.4% of school-aged kids had Long COVID, which was linked to chronic absenteeism (missing more than 18 school days for health reasons) and functional limitations. Children with Long COVID were also more likely to report memory problems than those without it (18.3% vs. 8.6%). Long COVID continues to be a serious public health concern for school-aged children- improved ventilation and air filtration, vaccination and masking are important to protect kids from reinfections with COVID.

Antiviral treatments
Traws Pharma reported ongoing clinical study data showing that its COVID antiviral Ratutrelvir appears safe with no viral rebound in early data. Ratutrelvir does not contain ritonavir like Paxlovid and provides faster symptom relief for COVID infections.

“Choroid plexus enlargement is a neuroimaging biomarker of neuroinflammation and neurodegeneration.” NYU researchers analyzed brain MRIs and blood biomarkers from 179 people and found that those with Long COVID had enlargement of the choroid plexus and reduced cerebral blood flow. These changes were linked to cognitive decline and higher levels of Alzheimer’s-related plasma biomarkers, including GFAP and p-tau217. Choroid plexus changes on MRI may serve as a marker of ongoing neuroinflammation and a higher risk of neurodegenerative processes after COVID. The authors propose that these MRI changes could serve as imaging markers to track neurological symptoms, neuroinflammation, and Alzheimer’s disease risk after COVID infection.

In a Munich study of 102 people with Long COVID and 204 matched controls, retinal vessel analysis revealed persistent retinal microvascular damage consistent with ongoing endothelial dysfunction. This impairment was most pronounced in Long COVID patients who met criteria for ME/CFS and closely tracked with inflammation, symptom severity, and neurocognitive complaints. The findings suggest retinal imaging may offer a simple, noninvasive way to measure endothelial dysfunction in post-viral syndromes.

Researchers from Italy report that patients with Long COVID exhibit significantly disrupted salivary cortisol rhythms, indicating a fundamental breakdown in the body’s stress response and internal biological clock. These hormonal abnormalities in the hypothalamic–pituitary–adrenal (HPA) axis correlate closely with reported levels of fatigue and cognitive “brain fog,” suggesting that the virus causes a persistent state of physiological stress. Symptom severity correlated with the degree of cortisol disruption.

Orexin (hypocretin) producing neurons in the hypothalamus regulate REM sleep and wakefulness. When they are lost, the brain cannot properly control sleep–wake transitions as seen in Narcolepsy type 1. A new preclinical study from Korea shows that SARS-CoV-2 infection in mice leads to long-lasting cortical neuronal injury and dysfunction of the hypothalamic orexin system. Increasing orexin reversed this effect, revealing a possible root cause of Long COVID extreme fatigue, sleep disruptions, and brain fog.

A new review from Montreal shows evidence that Long COVID neurological symptoms such as brain fog may actually start in the gut. When the intestinal barrier is damaged (“leaky gut”), in combination with SARS-CoV-2 viral persistence, microbial products (bacteria and virus fragments) can enter the bloodstream, which then trigger blood-brain barrier disruption, and subsequent brain neuroinflammation.

Figure 1. Proposed gut-brain axis linking intestinal barrier dysfunction to neuroinflammation in Long COVID.

From: https://www.frontiersin.org/journals/aging-neuroscience/articles/10.3389/fnagi.2025.1744415/full

Another interesting review looks at the importance of a different part of the gut-brain axis. Researchers from Arc Institute and the University of Pennsylvania describe how gut sensory signaling (“interoception”) detects nutrients, microbes, and immune signals and communicates this information directly to the brain. This ongoing gut–brain signaling helps regulate hunger, mood, and sleep, and may contribute to diseases such as IBS and post-viral syndromes like Long COVID.

Figure 5: Impact of gut interoception on physiology and disease

From: https://www.cell.com/neuron/abstract/S0896-6273(25)00923-7

In a cross-sectional study from Spain, researchers compared 157 people with Long COVID to healthy controls and found significant impairment in episodic memory. People with Long COVID had difficulty storing and retrieving information across multiple tests, even when given cues or recognition prompts.

Researchers at the Brigham and Women’s Faulkner Hospital studied 143 individuals with Long COVID, 170 with ME/CFS, 290 patients with hypermobile Ehlers-Danlos syndrome (hEDS), and 73 healthy controls. The authors found that “both Long COVID and ME/CFS demonstrate dysregulation in cerebrovascular blood flow, autonomic reflexes, and small fiber neuropathy, suggesting that these conditions may share a common underlying pathophysiology. However, differing distributions of findings in patients with hEDS raise the question of whether these conditions represent distinct but overlapping syndromes or reflect a shared underlying pathway.”

Share

Long COVID

Researchers from Cape Town, South Africa designed a novel sensor using nanobodies to detect the SARS-CoV-2 spike S1 protein with ultra-high sensitivity and specificity to a detection limit of just 0.04 pg/mL. The technology could allow monitoring of viral persistence by identifying SARS-CoV-2 at extremely low concentrations in the blood.

University of California San Francisco (UCSF) scientists with decades of HIV expertise have leveraged their experience to show SARS-CoV-2 viral persistence in the gut, bone marrow, brain and other tissues. By following a cohort of more than 1,700 people with Long COVID in the ongoing LIINC study, the team has demonstrated how chronic viral reservoirs drive ongoing immune activation and neurological symptoms in Long COVID. Treating Long COVID may require antiviral or immunomodulatory strategies similar to those used in HIV management.

VYD2311 is an investigational monoclonal antibody that shows in vitro antiviral activity against “all clinically recorded variants of SARS-CoV-2”. Invivyd, the maker of Pemgarda and VYD2311, will be launching a Phase 2 trial in mid-2026 with the SPEAR group to test multiple high doses of VYD2311 to treat people with Long COVID who show SARS-CoV-2 viral persistence.

Many people in the world, including some doctors, do not believe that Long COVID is a real disease. To combat misinformation, the World Health Organization (WHO), with support from the European Union, released “8 Long COVID myth-busters that use evidence-based information and real patient stories to clear up these myths and promote scientifically accurate understanding. These messages are published in the form of social media assets that can easily be adapted by any individuals and organizations and further shared.”

From: https://www.who.int/europe/event/myth-busters--debunking-long-covid-myths-and-misconceptions

Measles

The CDC reported that as of January 29, 2026, 588 confirmed measles cases were reported in the United States in 2026 with 3% (17 of 588 cases) hospitalized. Typically about 12% of people with measles are hospitalized for complications as was seen in 2025.

However, the South Carolina Department of Public Health reports that as of January 30, there are actually 847 cases of measles just in South Carolina alone. The South Carolina measles outbreak is now bigger than last year’s Texas outbreak of measles. “Dr. Linda Bell, South Carolina’s state epidemiologist, points out that in Texas, measles cases grew over the course of seven months, while in South Carolina it has taken just 16 weeks to surpass the Texas case count.”

Measles is extremely contagious and each person with measles will, on average, infect 12 to 18 other people (R0) in an unvaccinated population. The incubation period for measles is long, ranging from 7 to 21 days. So, if an unvaccinated person is exposed, they will need to quarantine from school or work for 21 days.

From: https://www.cnn.com/2026/01/27/health/largest-us-measles-outbreak-south-carolina

Today, U.S. Immigration and Customs Enforcement (ICE) stopped “all movement” at the Dilley family detention facility in Texas because two detainees are infected with measles. Immigrant advocacy lawyers express concern about conditions and urge that this not be used to block facility inspections. Dilley is the detention center where 5 year old Liam Conejo Ramos and his father were being detained, until they were flown back to Minnesota today. I hope that they were vaccinated against the measles or some people from that plane may need to quarantine as well.

Share

Government and Medicine News

Minnesota physician Dr. Trappey wrote an important piece in the New England Journal of Medicine this week entitled “We Do Care”. I highly recommend it. You can read the full article here. He talks about how as physicians, we must first do no harm (primum non nocere) and discusses how difficult it has been in Minnesota as ICE shoots people in the streets and then does not let physicians give them medical care as they die of their gunshot wounds. Sick patients are scared to go to the hospital to seek care, and when they do finally come in, they are much sicker than they would have been if they had come in earlier. He talks about tear gas being used on children and “critically ill infants whose parents are too terrified to come to the hospital to comfort them.”

The Annals of Medicine reports widespread “unexplained pauses” in nearly half of the CDC’s public health surveillance databases in 2025, especially for vaccination and respiratory disease data, raising concerns that gaps in real-time data could weaken evidence-based policy and public trust.

This week, the new chair of the federal vaccine advisory panel Dr. Kirk Milhoan (CDC’s Advisory Committee on Immunization Practices) suggested in a podcast interview that routine childhood immunizations, including polio and measles, should be made optional. Vaccines have a long proven history of protecting public and individual health.

The American Academy of Pediatrics (AAP), endorsed by 12 leading medical and healthcare organizations, released its updated 2026 Childhood and Adolescent Immunization Schedule which is based on scientific evidence. At least 28 states have announced they will not follow the CDC’s new pared-down childhood vaccine recommendations. I anticipate that these states will follow the AAP recommendations, but there may be variations depending on the state.

A day after the U.S. federal government left the World Health Organization (WHO), the state of California joined the WHO’s Global Outbreak Alert and Response Network, aiming to maintain international public-health cooperation despite federal disengagement.

A new analysis shows that the U.S. federal government has lost over 10,000 STEM Ph.D. scientists since the start of the Trump administration. This massive “brain drain” means that our nation is losing the high-level expertise which could affect research and innovation in many fields.

Other news

The autonomic nervous system (ANS) is broken into 3 parts:

1. the sympathetic nervous system (fight or flight),

2. the parasympathetic nervous system (rest and digest) and

3. the enteric nervous system (ENS).

The enteric nervous system (ENS) consists of a mesh-like system of nerves that line and surround the gastrointestinal (GI) tract and control GI motility and secretion.

Muscularis macrophages (ME-Macs) are specialized immune cells residing in the muscle layers of the intestines and are considered “trained guardians”, working with enteric neurons of the ENS to regulate motility, protect against injury, and support tissue repair to keep the gut healthy. A new study in Nature shows how the α-synuclein (αS) protein that clumps in the brains of people with Parkinson’s disease actually originates in the gut. The α-synuclein is picked up by ME-Macs in the intestines. This triggers expansion of circulating T cells that do not remove the toxic α-synuclein from the ENS (gut nervous system) and the CNS (brain). Depleting gut ME-Macs in this study led to reduction of α-synuclein pathology in the brain. “These results indicate ME-Macs as early cellular mediators of αS pathology along the gut–brain axis, presenting cellular mechanisms that may underlie body-first Parkinson’s Disease.”

ME-Macs: The Gut’s Role in Parkinson’s Disease via the Gut-Brain Axis

Image made with Gemini Nano Banana

Researchers from the Snyder lab at Stanford announced CordDB, a comprehensive database of umbilical cord blood metabolite profiles linked to clinical data. The database is available at https://corddb.stanford.edu/. Major findings in analysis of the cord blood samples “include (1) characterization of the umbilical cord arteriovenous gradient, revealing that fatty acids are a primary source of carbon for the developing fetus; (2) the presence of an umbilical cord signature in healthy newborns, characterized by elevated levels of vitamin B5 and tryptophan betaine; (3) the association of microbial metabolites with the health status of the mother and the health outcomes of the newborn; (4) association of the taurine metabolic pathway with newborn health; (5) the ability to predict lung surfactant administration based on cord blood molecular profiling; (6) the demonstration that bupivacaine is metabolized by the newborn; and (7) the observation that when mothers receive betamethasone, the metabolically predicted gestational age of the newborn is different than their actual gestational age.” The group plans to expand the CordDB database by adding data from a large variety of maternal-fetal conditions over time.

Newborn dried blood spot screening for inborn errors of metabolism is a routine test in many countries. Researchers from the Aghaeepour lab at Stanford analyzed routine newborn dried blood spot metabolites from 13,536 premature infants and used a deep learning model to create a “metabolic health index”. The index predicts which premature babies will go on to develop lung, brain, eye, or intestinal complications more accurately than gestational age or birthweight alone and was validated in an independent cohort of 3,299 very premature newborns from Ontario, Canada.

Image made with Nano Banana

Score another one for the shingles vaccine! A new study from the University of Southern California of 3,884 adults age 70+ shows that those who received the shingles vaccine had decreased inflammation, slower epigenetic aging, and a lower overall biological aging score. “Biological aging improvements were most pronounced within three years post-vaccination.” Other studies have shown that the live-attenuated shingles vaccine reduces or delays dementia.

Several new articles came out in Nature magazine this week showing that fecal microbiota transplantation (FMT) from healthy donors before immunotherapy can improve efficacy against melanoma, non-small cell lung cancer, and renal cell carcinoma. Treatment response rates were much higher than expected with the addition of the FMT.

This week, I discovered the website of award-winning wildlife photographer Suzi Eszterhas. She is known for documenting animals with their babies as seen by this sea otter with her 3 day old newborn pup.

Have a great week,

Ruth Ann Crystal MD