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Underlying Conditions

Dr. Céline Gounder

Medicine, public health, and health policy. What the science says, what the system does, and who pays the price.

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Issues445Founded2 years agoLast Issue5 days ago
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Latest Issues

Doctors find only 1 in 4 lung cancers as early as the Pope’s lung spot

  • Is it cancer?

    • Small lung cancers have good odds.

    • Why don’t more Americans get screened for lung cancer?

    • What about people who never smoked?

Is it cancer?

Pope Leo XIV said on October 11th that doctors found a nodu...

5 days ago
20

Lab-acquired plague: the 2009 Chicago case and the 2026 Irkutsk death

Illustration created using Gemini Nano Banana Pro.

  • The strain that was supposed to be harmless.

  • What happened in that Chicago lab?

  • What the tidy version leaves out.

  • Sixty-five contacts, thirty coworkers, no further cases...

7 days ago
19

Second Irkutsk plague case: what WHO asked Russia to verify

  • What was already gone when WHO asked.

    • How do you fact-check a rumor?

    • What happened to the first reports?

    • Why does a second case matter so much?

    • Sverdlovsk took 13 years.

    • What cuts against this?

What was a...

9 days ago
22

Darya Shipilova: what the Irkutsk Institute scientist worked on

Map created using Claude.

  • What pathogens did Darya Shipilova work on?

  • What’s a plague focus?

  • What circulates in Gorno-Altai and Tuva?

  • Who collects the strains?

  • The 2024 monograph, and what is in it.

  • What vaccin...

9 days ago
21

This season’s flu shot is a partial match again. Is the new mRNA flu shot better?

  • Flu season started early this year.

    • Last season’s mismatched shot still cut hospitalizations.

    • Has the virus changed again?

    • The first mRNA flu shot in the US.

    • How mFlusiva compares with a standard flu shot.

    • More si...

11 days ago
20

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  • Dr. Céline Gounder

    Dr. Céline Gounder is a physician, epidemiologist, and medical journalist. Read her newsletter UNDERLYING CONDITIONS at https://www.celinegounder.com.

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