Neil Vora, MD

Neil Vora, MD

@conservationdoc.bsky.social

TIME100 Next | TED Speaker | Executive Director, Preventing Pandemics at the Source | Senior Advisor for One Health, Conservation International | neilvora.com | personal account, views my own

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That is, they need to address rampant commercial wildlife trade (particularly in the US, which is one of the world's largest importers of wildlife), and also strengthen safety standards for critical research into dangerous pathogens.

While I’d love to know the “true” answer about how it emerged (based on peer-reviewed evidence, I favor a "wet market" origin over a "lab leak", but can't rule out the latter), it doesn’t change how we ought to move forward.

The US has closed its borders to certain classes of people--including Americans responding to Ebola--and livestock, yet has an open border policy when it comes to wildlife trade.

Think Global Health@thinkglobalhealth.org

New World screwworm has reemerged in the United States. @conservationdoc.bsky.social explains how this outbreak is a wake-up call for policymakers to prevent and prepare for major disease events involving animals and humans.

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This constant flow of animals is a dangerous game of pandemic roulette played with American lives, and simply must stop. It's a dangerous gain-of-function experiment that is allowed to take place, with no oversight, in living rooms and businesses across the country.

The US has closed its borders to certain classes of people--including Americans responding to Ebola--and livestock, yet has an open border policy when it comes to wildlife trade.

Think Global Health@thinkglobalhealth.org

New World screwworm has reemerged in the United States. @conservationdoc.bsky.social explains how this outbreak is a wake-up call for policymakers to prevent and prepare for major disease events involving animals and humans.

It is one of the world's largest purchasers of wildlife, each year importing tens of millions of live animals straight from the wild, creating the exact conditions needed for pathogens to spill over.

Neil Vora, MD reposted

A huge honor to have contributed to today's United Nations stakeholders meeting, helping inform Member States as they draft the Declaration for the upcoming UN High-Level Meeting on Pandemic Prevention, Preparedness, and Response.

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A huge honor to have contributed to today's United Nations stakeholders meeting, helping inform Member States as they draft the Declaration for the upcoming UN High-Level Meeting on Pandemic Prevention, Preparedness, and Response.

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1. Distinguish between primary and secondary prevention 2. Articulate commitments to address the drivers of spillovers 3. Urge Member States to develop national One Health action plans 4. Establish concrete financing commitments for primary prevention

A huge honor to have contributed to today's United Nations stakeholders meeting, helping inform Member States as they draft the Declaration for the upcoming UN High-Level Meeting on Pandemic Prevention, Preparedness, and Response.

I emphasized that the standard public health approach to zoonotic viruses is to wait for them to spill over and then scramble to respond. Such "watchful waiting", however, is inequitable. The communities that suffer spillovers are the first to be harmed, as we are seeing play out in DRC right now.

Wildlife trade is like a ticking time bomb in the hearts of the world's largest population centers. The world needs a robust legal framework to address the public health risks of wildlife trade (both legal and illegal). Until then, we're playing a dangerous game of pandemic roulette.

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This cruel and short-sighted policy will encourage secrecy while deterring Americans from volunteering for a critical mission. As this outbreak grows — already the third largest in history — the absence of the US only increases the probability of cases reaching the United States.

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In 2015, I led the largest Ebola active monitoring program in the United States, which allowed the US to keep its borders open to travelers from affected countries while managing risk effectively. This policy worked. The Trump administration's new policy, however, will not.

The US is now barring entry to non-citizens who were recently in Ebola-affected countries and — shockingly — to Americans who have been exposed, including those who went overseas precisely to save lives and protect everyone back home.

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But prevention is a bargain. Protecting tropical forests doesn't only reduce pandemic risk — it fights climate change and biodiversity loss at the same time. Every dollar spent on spillover prevention goes a long way.

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And in both cases we're seeing the limits of the public health establishment's reactive approach: wait for the outbreak, then respond. The people who suffer most from this reactive posture are usually those who are already marginalized.

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What's even more heartbreaking is knowing that outbreaks like this will only grow more frequent because of what we humans continue to do to animals and the natural world. In other words, we are doing this to ourselves.

This Ebola outbreak is occurring at the same time as an outbreak of hantavirus, another high-consequence pathogen. Different viruses, different circumstances — but both originate in animals.

Mike and I also took a deep dive into fur farming. While not responsible for either of these outbreaks, fur farming is a disaster in plain sight and banning it is a commonsense action that will leave humanity better off (not to mention the massive animal welfare implications).

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Eighteen EU member states already restrict fur farming but the European Commission is currently waffling on a bloc-wide ban. In the US, the Mink VIRUS Act would phase out mink farming within a year.

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Then there's the cruelty. Every US state treats killing a dog or cat as a felony, yet we tolerate the industrial-scale gassing and electrocution of millions of foxes, mink, and chinchillas each year.