Osterholm Update Episode 201: The Twilight Zone of Immunization
Jan 29, 2026
They debate recent CDC remarks about measles and rising gaps in vaccination. They examine the U.S. withdrawal from WHO and how it affects global health collaboration. They review this winter’s respiratory virus trends, including flu, COVID-19 wastewater signals, and RSV. They discuss mpox immunity, evolving strains, and barriers families face accessing healthcare amid immigration enforcement.
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Remembering William Foege
- Michael Osterholm shared a personal dedication to Dr. William Foege, highlighting his mentorship and role in smallpox eradication.
- He reflected on Foege's humility, leadership, and shared Iowa roots.
WHO Withdrawal Harms Global Surveillance
- U.S. withdrawal from WHO severs long-term funding, staffing, and surveillance ties that enhance global and domestic outbreak response.
- Losing WHO collaboration will weaken influenza strain matching and early detection of emerging pathogens.
U.S. Technical Capacity Is Eroding
- CDC leadership and technical capacity have been weakened by recent vacancies and political appointments.
- That erosion limits U.S. ability to respond effectively to domestic and global public health crises.
