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parents-give-kids-more-melatonin-than-ever,-with-unknown-long-term-effects

Parents give kids more melatonin than ever, with unknown long-term effects


More children are taking the hormone in the form of nightly gummies or drops.

Two years ago, at a Stop & Shop in Rhode Island, the Danish neuroscientist and physician Henriette Edemann-Callesen visited an aisle stocked with sleep aids containing melatonin. She looked around in amazement. Then she took out her phone and snapped a photo to send to colleagues back home.

“It was really pretty astonishing,” she recalled recently.

In Denmark, as in many countries, the hormone melatonin is a prescription drug for treating sleep problems, mostly in adults. Doctors are supposed to prescribe it to children only if they have certain developmental disorders that make it difficult to sleep—and only after the family has tried other methods to address the problem.

But at the Rhode Island Stop & Shop, melatonin was available over the counter, as a dietary supplement, meaning it receives slightly less regulatory scrutiny, in some respects, than a package of Skittles. Many of the products were marketed for children, in colorful bottles filled with liquid drops and chewable tablets and bright gummies that look and taste like candy.

A quiet but profound shift is underway in American parenting, as more and more caregivers turn to pharmacological solutions to help children sleep. What makes that shift unusual is that it’s largely taking place outside the traditional boundaries of health care. Instead, it’s driven by the country’s sprawling dietary supplements industry, which critics have long said has little regulatory oversight—and which may get a boost from Secretary of Health and Human Services Robert F. Kennedy Jr., who is widely seen as an ally to supplement makers.

Thirty years ago, few people were giving melatonin to children, outside of a handful of controlled experiments. Even as melatonin supplements grew in popularity among adults in the late 1990s in the United States and Canada, some of those products carried strict warnings not to give them to younger people. But with time, the age floor dropped, and by the mid-2000s, news reports and academic surveys suggest some early adopters were doing just that. (Try it for ages 11-and-up only, one CNN report warned at the time.) By 2013, according to a Wall Street Journal article, a handful of companies were marketing melatonin products specifically for kids.

And today? “It’s almost like a vitamin now,” said Judith Owens, a pediatric sleep specialist at Harvard Medical School. Usage is growing, including among children who are barely out of diapers. Academic surveys suggest that as many as 1 in 5 preteens in the US now take melatonin at least occasionally, and that some younger children consume it multiple times per week.

Store shelves stocked with sleep aids

Sleep aids, many of them melatonin, are displayed for sale in a Florida store in 2023. In the US, melatonin is available over the counter, but in many other countries the hormone is a prescription drug mostly used by adults.

Credit: Joe Raedle/Getty Images

Sleep aids, many of them melatonin, are displayed for sale in a Florida store in 2023. In the US, melatonin is available over the counter, but in many other countries the hormone is a prescription drug mostly used by adults. Credit: Joe Raedle/Getty Images

On social media, parenting influencers film themselves dancing with bottles of melatonin gummies or cut to shots of their snoozing kids. In the toxicology literature, a series of reports suggest a rise in melatonin misuse—and indicate that some caregivers are even giving doses to infants. And according to multiple studies, some brands may contain substantially higher doses of the hormone than product labels indicate.

The trend has unsettled many childhood sleep researchers. “It is a hormone that you are giving to young children. And there’s just very little research on the long-term effects of this,” said Lauren Hartstein, a childhood sleep researcher at the University of Arizona.

In a 2021 journal article, David Kennaway, a professor of physiology at the University of Adelaide in Australia, noted that melatonin can bind to receptors in the pancreas, the heart, fat tissue, and reproductive organs. (Kennaway once held a patent on a veterinary drug that uses melatonin to boost the fertility of ewes.) Distributing the hormone over the counter to American children, he has argued, is akin to a vast, uncontrolled medical experiment.

“It is a hormone that you are giving to young children. And there’s just very little research on the long-term effects of this.”

To others, that kind of language might seem alarmist—especially considering that melatonin appears to have mild side effects, and that sleep problems themselves can have consequences for both child and parental health. Many caregivers report melatonin is helpful for their children, and it’s been given for years to children with autism and ADHD, who often struggle to sleep. Beth Malow, a neurologist and sleep medicine expert at Vanderbilt University Medical Center who has consulted for a pharmaceutical company that manufactures melatonin products, raised concerns about a tendency to highlight “the evils of melatonin” without noting that “it’s actually very safe, and it can be very helpful.” Focusing just on the negatives, she added, “is to throw the baby out with the bathwater.”

All of this leaves parents navigating a lightly regulated marketplace while receiving conflicting medical advice. “We know that not getting enough sleep in early childhood has a lot of bad effects on health and attention and cognition and emotions, et cetera,” said Hartstein. Meanwhile, she added, “melatonin is safe and well-tolerated in the short term. So there’s a big question of, well, what’s worse, my kid not sleeping, or my kid taking melatonin once a week?”

As for the answer to that question, she said: “We don’t know.”

Mother’s little helper

The urge—the desperate, frantic, all-consuming urge—to get a child to fall sleep is familiar to many parents. So is the impulse to satisfy that urge through drugs. Into the early 20th century, parents sometimes administered an opiate called laudanum to help young children sleep, even though it could be fatal. Decades later, when over-the-counter antihistamines like Benadryl became popular, some parents began using them, off-label, as a sleep aid.

“Most people are pretty happy to resort to over-the-counter medication if their kids are not sleeping,” one mother of two small kids told a team of Australian researchers for a 2004 study. “It really saves the children’s lives,” she added, because “it stops mums from throwing them against the wall.”

Compared to other sleep aids, melatonin supplements have obvious advantages. Chief among them is that they mimic a natural hormone: The body secretes melatonin from a pea-sized gland nestled in the brain, typically starting in the early evening. Levels peak after midnight, and drop off a few hours before sunrise.

Artificially boosting melatonin helps many people fall sleep earlier or more easily.

“There’s a big question of, well, what’s worse, my kid not sleeping, or my kid taking melatonin once a week?”

When a child takes a 1 milligram dose of melatonin, the hormone quickly enters their bloodstream, signaling to the brain that it’s time for sleep. Melatonin reaches levels in the blood that can be more than 10 times higher than natural peak concentrations. Soon, many children begin to feel drowsy.

Children can generally tolerate melatonin. Known side effects appear to be mild, and, compared to antihistamines, people taking low doses of melatonin are less likely to wake up feeling groggy the next morning.

As early as 1991, some researchers began administering small doses of the hormone to children with autism, who sometimes have extreme difficulty falling and staying asleep. A series of trials conducted in the Netherlands in the 2000s found that melatonin could also have modest benefits for non-autistic children experiencing insomnia, and it seemed to be safe in the short-term—although the long-term consequences of regularly taking the hormone were unclear.

The timing of the research coincided with a move in the US to loosen regulations on dietary supplements, led by Sen. Orrin Hatch of Utah, a supplement-industry hub.

News reports suggest that, by the late 2000s, some parents were trying melatonin for older children.

It’s hard to know for sure who first decided to market melatonin specifically to children, but a key player seems to be Zak Zarbock, a Utah pediatrician and father of four boys who, in 2008, began selling a drug-free, honey-based cough syrup. In 2011, his company, Zarbee’s, introduced a version of its children’s cough remedy that contained melatonin. Soon after, Zarbee’s launched a line of melatonin supplements tailored to children. In a 2014 press release, Zarbock stressed that “a child shouldn’t need to take something to fall asleep every night.” But melatonin, he said, could act like “a reset button for your bedtime routine” when things got out-of-whack. (Zarbock did not respond to interview requests.)

More products followed, and usage rates have climbed. One possible reason for that is that American children are having more difficulty falling asleep. Some experts think screen use is causing sleep problems, and rising rates of anxiety and depression among children may also be affecting slumber. Clinicians report treating families that use melatonin to counteract the stimulating effects of caffeine.

Another possibility—and they’re not mutually exclusive—is that supplement makers sensed a market opportunity and seized it. Gummies have made melatonin more palatable to children; supplement makers now market widely to parents online. At least one company seems to have made overtures to parents via a pediatrics organization: Vicks ZzzQuil, a popular line of children’s melatonin products, sponsored a 2020 webinar on sleep hosted by the American Academy of Pediatrics.

How to anger sleep scientists

Is melatonin a harmless natural supplement or a sleep drug? The culture, at times, seems unsure: It’s easy to find parents fretting in online forums about whether the gummies are safe. Daycare workers have undergone criminal prosecution after providing melatonin to their charges without parental consent.

In their marketing, meanwhile, supplement companies consistently describe their melatonin products as drug-free, non-habit-forming, and safe. In one promotional video for Zarbee’s, Zarbock, wearing sky-blue scrubs, tells parents that “in recent short- and long-term studies, melatonin has been shown to be safe and effective for children.” Echoing language used across the industry, Zarbee’s melatonin gummies are marketed today as “safe and drug-free.”

Such claims raise hackles among sleep scientists. “That kind of advertising is unconscionable,” wrote Kennaway, the Adelaide professor, in an email. “Melatonin ingested whether in a gummy or a tablet is being administered as a drug,he wrote. (In a brief statement sent by Tyra Weeks, a spokesperson, Zarbee’s noted its melatonin products are “regulated as a dietary supplement ingredient by the FDA,” adding that they “do not contain active pharmaceutical ingredients.”)

What’s behind the growing use of melatonin to help children sleep? Some experts think screen use is causing sleep problems, and rising rates of anxiety and depression among children may also be affecting slumber.

Credit: Johner Images/Getty Images

What’s behind the growing use of melatonin to help children sleep? Some experts think screen use is causing sleep problems, and rising rates of anxiety and depression among children may also be affecting slumber. Credit: Johner Images/Getty Images

Among other things, Kennaway worries that long-term melatonin use could have unintended effects, including on the developing reproductive system. While it is known that melatonin can interact with lots of tissues, not just the parts of the brain responsible for initiating sleep, many experts note that there is little long-term safety data on supplemental use of the compound.

“Don’t be fooled by thinking that somehow, this is like a vitamin. It’s a drug,” said Owens, the Harvard sleep specialist. “It’s a medication. And there are no really long-term studies that have looked at things like impact on pubertal development.” (Jess Shatkin, a child psychiatrist at New York University’s medical school, noted that such gaps are common even for marquee prescription medications: “I don’t know of a safety study of Zoloft that goes more than two years,” he said, by way of an example.)

Owens has been in clinical practice for 35 years. The arrival of melatonin, she said, felt abrupt: Around 10 years ago, it suddenly seemed that every patient in her clinic was taking it. She is concerned now about inappropriate use, including caregivers using the hormone for children who do not have insomnia; she has heard reports of a summer camp nurse handing it out to campers at bedtime.

“One of the things that disturbs me the most is when I hear a parent say, ‘Oh well, she asks for her melatonin every night and she says she can’t sleep without it,’” Owens said. “You’re setting up a potential lifetime of dependence on sleeping medication.” (Owens has testified in a lawsuit against Zarbee’s, and she consults for AGB-Pharma, a Swedish firm that makes a prescription melatonin drug.)

Is melatonin a harmless natural supplement or a sleep drug? The culture, at times, seems unsure.

Owens and other researchers say melatonin can be helpful for children with neurodevelopmental disorders like autism and ADHD, who may otherwise be unable to establish a stable sleep routine. And they say it may be useful for other children who struggle to sleep—with certain safeguards.

Recently, teams of researchers in Europe and the United States have evaluated what melatonin can do. Edemann-Callesen, the Danish researcher, works at the Centre for Evidence-Based Psychiatry. She recently led a team to systematically collect and review published studies of melatonin in children. The evidence, she said, was mixed. Studies suggest that melatonin can help children fall asleep around 15 or 20 minutes earlier, on average. Whether that translates to a more rested kid is less clear: “When you look at the evidence,” she said, “melatonin doesn’t affect daytime functioning.”

Overall, she said, there just isn’t much research out there to draw on.

In both the US and Europe, experts are converging on certain recommendations: Families should consult a health care provider before use. They should try simple, non-pharmacological steps to improve sleep first, and only turn to melatonin if that fails. They should start with a low dose—typically around 0.5 mg. And they should only use melatonin for a few weeks as a kind of crutch, ideally dosing the hormone to help establish a better sleep routine and then weaning the child off the supplement.

Some families have been scared off by alarming reports about melatonin. Malow, the Vanderbilt sleep expert, began studying melatonin in the 2000s, as a sleep aid for children with autism. Recently, she said, some families who rely on the supplement to help their children have gotten jumpy: “I had a lot of families tell me in clinic, ‘I’m really worried about melatonin. I read this, I read that, is it safe?” She makes sure they’re using a brand that submits its products to external certification. “And I’d be like, you know, it’s working. It’s working for your kid. Why stop it?”

In 2021, Malow and several colleagues published a study of melatonin safety, looking at 80 children and adolescents who had taken the hormone over the course of two years. They did not flag any serious side effects, and the children’s puberty seemed to progress normally. (The study was funded by Neurim Pharmaceuticals, which manufactures a melatonin drug prescribed outside the US.)

Malow acknowledged the study was small, but she said the findings aligned with her own years of clinical experience. “At least it’s something,” she said. “And I have not, in my experience, had any kids where I was concerned, or the parents were concerned, that puberty was delayed because of melatonin use.”

Consult with your family doctor

Last year, the Council for Responsible Nutrition, a leading supplement industry group, published voluntary guidelines for its members. Among them: put products in child deterrent packaging; tell people to consult a pediatrician before using melatonin; and warn caregivers that melatonin is “for occasional and/or intermittent use only.”

Plenty of manufacturers aren’t part of CRN, and it’s not hard to find suppliers that aren’t in compliance with those recommendations. And whether parents follow the recommendations is something else entirely. User reviews and academic surveys indicate that some parents are dosing regularly for months or years on end, and the products themselves seem packaged for long-term use: For example, the company MaryRuth’s sells bottles of children’s melatonin gummies labeled “2 month supply.” Natrol, a popular brand that warns caregivers that the product is “for occasional short-term use only,” sells bottles containing 140 doses. (MaryRuth’s did not respond to requests for comment, and a spokesperson for Natrol declined to comment.)

Meanwhile, as melatonin sales climb, a growing body of evidence points to cases of misuse.

One issue: Children seem to be sometimes finding, and swallowing, gummies and other melatonin products. Calls to poison control centers for pediatric melatonin ingestion increased 530 percent between 2012 and 2021, according to one analysis published by the US Centers for Disease Control and Prevention.

Mostly, nothing happened: Among small children, the large majority of the incidents were resolved without the child experiencing symptoms at all. When symptoms do appear, they tend to be mild—drowsiness, for example, or gastrointestinal upset. (Achieving a lethal dose of melatonin appears to be virtually impossible, said Laura Labay, a forensic toxicologist at NMS Labs, which provides toxicology testing services.)

Still, some experts have expressed concern that melatonin misuse might, in rare cases, contribute to more serious outcomes.

In 2015, Sandra Bishop-Freeman, now the chief toxicologist at the North Carolina Office of the Chief Medical Examiner, was called to review on a tragic case. A 3-month-old girl had died in her crib. More than 20 bottles of melatonin were found in the home, and an investigation showed that the girl and her twin sister had been given 5 milligram doses of melatonin multiple times per day to help them sleep. The infant’s blood levels of melatonin were orders of magnitude above the natural range.

“Oftentimes when I explore topics, it’s because we find things that were previously unknown or confusing to us,” Bishop-Freeman told Undark. She wasn’t sure if melatonin had contributed to the infant’s death. But as she read more about the hormone, she felt concerns, especially when her office received several more cases involving elevated levels of melatonin. “It was hard to just tell the pathologist, ‘Eh, no worries, everyone thinks it’s safe, so you’re fine,’” she said.

User reviews and academic surveys indicate that some parents are dosing regularly for months or years on end, and the products themselves seem packaged for long-term use.

In 2022, Bishop-Freeman and colleagues published a paper detailing seven cases of undetermined pediatric deaths where bloodwork revealed elevated levels of melatonin. (They’ve seen more since finishing the paper.) “We don’t want to overstate these findings,” she said: The causes of the deaths are unknown, and the presence of melatonin may just be a coincidence. But her team can’t rule out the hormone as a possible contributor, she said, and investigators should be alert to elevated melatonin levels, which may sometimes be overlooked.

Labay, the forensic toxicologist, said she found those concerns plausible. But, she added, “I think I’m still waiting for the paper that says, ‘This was a pure melatonin death and there was no other contributing cause to that death.'”

Melatonin gummies have made the drug more palatable to children, and supplement makers now market them widely to parents online. But data suggests that the widespread availability of the supplements, often resembling candy, can lead to misuse.

Credit: Joe Raedle/Getty Images

Melatonin gummies have made the drug more palatable to children, and supplement makers now market them widely to parents online. But data suggests that the widespread availability of the supplements, often resembling candy, can lead to misuse. Credit: Joe Raedle/Getty Images

As more children take melatonin, some experts want the supplement industry to do more to prevent them from taking too-large quantities. Pieter Cohen, an internist and a prominent critic of supplement industry practices, faulted regulators for not requiring childproof caps and questioned why companies sell what he describes as higher-than-necessary doses of the hormone.

Many products also have considerably more melatonin than is listed on the label. Last year, a US Food and Drug Administration team analyzed melatonin content in 110 products that appeared in online searches for things like “melatonin + child,” and found dozens of mismatches. In one case, a product contained more than six times the amount on the label.

The study was submitted to a journal in July 2024. So far, the agency has not taken any public action against those companies. “The FDA is not doing their job. They’re basically cowering to the industry,” Cohen said.

In a statement from the FDA, sent by spokesperson Lindsay Haake, the agency said that the products analyzed in the study were “individually evaluated to determine if any agency follow up was needed.” The statement added that “we do not discuss potential or ongoing compliance or enforcement matters with third parties.”

“The FDA is not doing their job. They’re basically cowering to the industry.”

Steve Mister, the president and CEO of the Council for Responsible Nutrition, said manufacturers often have to sell products with higher levels in order to make sure there’s melatonin available throughout a product’s shelf-life. Those so-called overages, he stressed, are modest and safe: “Whatever we put in, we still have confidence that it is safe on day one,” he said.

The supplement industry, Mister said, has taken ­steps to ensure that melatonin is used responsibly, including the guidelines his organization issued last year. “I think our voluntary program is an illustration that we want to step up and do some education of parents,” he said.

He pushed back against suggestions that the supplement industry was not a responsible steward of melatonin, or that it was unwise for the hormone to be sold as an over-the-counter supplement: “Look at the safety and look at the number of doses that are sold in this country every year, and how few adverse events there are, and how little evidence that there is a concern,” Mister said. Other countries, he added, may choose to limit melatonin to prescription-use only. “They like the way their system is set up. That doesn’t mean that it’s right for the US.”

Bedtime struggles take a toll on everyone

For parents whose children struggle to fall sleep, the costs of an interminable bedtime can feel high: exhausted children, burned-out parents, and family conflict that stretches into the night. In online videos and forums, parents disclose insecurity (“We are now at the stage in parenthood where we drug our kids,” one mother says in a TikTok) and gratitude (“It’s saved our sanity,” writes a parent on Reddit). Caregivers talk about their children getting better rest—but it can seem as if the supplement is as much for parents’ mental health as it is for children’s restful sleep.

From the vantage point of a chaotic bedtime, the safety concerns about melatonin can feel academic, privileging unknown or speculative harms (such as the possibility of long-term side effects) over the chance of immediate relief. In conversations, physicians and psychologists who devote their careers to children’s sleep stress the importance of a good night’s rest. But some worry melatonin is often used as a shortcut—and suggest there are more effective paths to improved sleep that families could take, especially if they had better support.

For parents whose children struggle to fall sleep, the costs of an interminable bedtime can feel high: exhausted children, burned-out parents, and family conflict that stretches into the night.

Candice Alfano, a professor of psychology at the University of Houston, runs a center devoted to studying childhood sleep and anxiety. In 2020 and 2021, she and her team conducted a survey of sleep health among children in foster care, who struggle with insomnia at far higher rates than the general population. Pharmacological treatments, they found, were widespread: More than one in 10 foster parents reported receiving a prescription medicine to help the children sleep. And close to half were using melatonin at least occasionally—and often regularly—to help the children sleep.

Alfano’s team has recently developed a sleep treatment program for foster families that, she said, may offer an alternative intervention to drugs and supplements. The initial findings, from a small pilot, suggest it’s effective.

The appeal of melatonin, though, remains, both for caregivers and for the pediatricians who advise them, Alfano said: “It’s seemingly a quick and easy suggestion: ‘You know, here’s something you could go get over the counter. You don’t even need a prescription from me.’”

But the goal, she said, is something else: “to teach these children how to sleep, rather than just sleep.”

This article was originally published on Undark. Read the original article.

Parents give kids more melatonin than ever, with unknown long-term effects Read More »

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Wealthy Americans have death rates on par with poor Europeans

“The findings are a stark reminder that even the wealthiest Americans are not shielded from the systemic issues in the US contributing to lower life expectancy, such as economic inequality or risk factors like stress, diet or environmental hazards,” lead study author Irene Papanicolas, a professor of health services, policy and practice at Brown, said in a news release.

The study looked at health and wealth data of more than 73,000 adults across the US and Europe who were 50 to 85 years old in 2010. There were more than 19,000 from the US, nearly 27,000 from Northern and Western Europe, nearly 19,000 from Eastern Europe, and nearly 9,000 from Southern Europe. For each region, participants were divided into wealth quartiles, with the first being the poorest and the fourth being the richest. The researchers then followed participants until 2022, tracking deaths.

The US had the largest gap in survival between the poorest and wealthiest quartiles compared to European countries. America’s poorest quartile also had the lowest survival rate of all groups, including the poorest quartiles in all three European regions.

While less access to health care and weaker social structures can explain the gap between the wealthy and poor in the US, it doesn’t explain the differences between the wealthy in the US and the wealthy in Europe, the researchers note. There may be other systemic factors at play that make Americans uniquely short-lived, such as diet, environment, behaviors, and cultural and social differences.

“If we want to improve health in the US, we need to better understand the underlying factors that contribute to these differences—particularly amongst similar socioeconomic groups—and why they translate to different health outcomes across nations,” Papanicolas said.

Wealthy Americans have death rates on par with poor Europeans Read More »

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RFK Jr.‘s bloodbath at HHS: Blowback grows as losses become clearer

Last week, Health Secretary and anti-vaccine advocate Robert F. Kennedy Jr. announced the Trump administration would hack off nearly a quarter of employees at the Department of Health and Human Services, which oversees critical agencies including the Food and Drug Administration (FDA), the Centers for Disease Control and Prevention (CDC), the National Institutes of Health (NIH), and the Centers for Medicare and Medicaid Services (CMS).

The downsizing includes pushing out about 10,000 full-time employees through early retirements, deferred resignations, and other efforts. Another 10,000 will be laid off in a brutal restructuring, bringing the total HHS workforce from 82,000 to 62,000.

“This will be a painful period,” Kennedy said in a video announcement last week. Early yesterday morning, the pain began.

It begins

At the FDA—which will lose 3,500 employees, about 19 percent of staff—some employees learned they were being laid off from security guards after their badges no longer worked when they showed up to their offices, according to Stat. At CMS—which will lose 300 employees, about 4 percent—laid-off employees were instructed to file any discrimination complaints they may have with Anita Pinder, identified as the director of CMS’s Office of Equal Opportunity and Civil Rights. However, Pinder died last year, The Washington Post noted.

At the NIH—which is set to lose 1,200 employees, about 6 percent—new director Jay Bhattacharya sent an email to staff saying he would implement new policies “humanely,” while calling the layoffs a “significant reduction.” Five NIH institute directors and at least two other senior leaders have been ousted, in addition to hundreds of lower-level employees. Bhattacharya wrote that the remaining staff will have to find new ways to carry out “key NIH administrative functions, including communications, legislative affairs, procurement, and human resources.”

At CDC—which will lose 2,400 employees, about 18 percent—the cuts slashed employees working in chronic disease prevention, sexually transmitted diseases, HIV, tuberculosis, global health, environmental health, occupational safety and health, maternal and child health, birth defects, violence prevention, health equity, communications, and science policy.

Some leaders and workers at the CDC and NIH were reportedly reassigned or offered transfers to work at the Indian Health Services (IHS), an HHS division that provides medical and health services to Native American tribes. The transfers, which could require employees to move to a remote branch, are seen as another way to force workers out.

RFK Jr.‘s bloodbath at HHS: Blowback grows as losses become clearer Read More »

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The CDC buried a measles forecast that stressed the need for vaccinations

ProPublica is a Pulitzer Prize-winning investigative newsroom. Sign up for The Big Story newsletter to receive stories like this one in your inbox.

Leaders at the Centers for Disease Control and Prevention ordered staff this week not to release their experts’ assessment that found the risk of catching measles is high in areas near outbreaks where vaccination rates are lagging, according to internal records reviewed by ProPublica.

In an aborted plan to roll out the news, the agency would have emphasized the importance of vaccinating people against the highly contagious and potentially deadly disease that has spread to 19 states, the records show.

A CDC spokesperson told ProPublica in a written statement that the agency decided against releasing the assessment “because it does not say anything that the public doesn’t already know.” She added that the CDC continues to recommend vaccines as “the best way to protect against measles.”

But what the nation’s top public health agency said next shows a shift in its long-standing messaging about vaccines, a sign that it may be falling in line under Health and Human Services Secretary Robert F. Kennedy Jr., a longtime critic of vaccines:

“The decision to vaccinate is a personal one,” the statement said, echoing a line from a column Kennedy wrote for the Fox News website. “People should consult with their healthcare provider to understand their options to get a vaccine and should be informed about the potential risks and benefits associated with vaccines.”

ProPublica shared the new CDC statement about personal choice and risk with Jennifer Nuzzo, director of the Pandemic Center at Brown University School of Public Health. To her, the shift in messaging, and the squelching of this routine announcement, is alarming.

“I’m a bit stunned by that language,” Nuzzo said. “No vaccine is without risk, but that makes it sound like it’s a very active coin toss of a decision. We’ve already had more cases of measles in 2025 than we had in 2024, and it’s spread to multiple states. It is not a coin toss at this point.”

For many years, the CDC hasn’t minced words on vaccines. It promoted them with confidence. One campaign was called “Get My Flu Shot.” The agency’s website told medical providers they play a critical role in helping parents choose vaccines for their children: “Instead of saying ‘What do you want to do about shots?,’ say ‘Your child needs three shots today.’”

Nuzzo wishes the CDC’s forecasters would put out more details of their data and evidence on the spread of measles, not less. “The growing scale and severity of this measles outbreak and the urgent need for more data to guide the response underscores why we need a fully staffed and functional CDC and more resources for state and local health departments,” she said.

Kennedy’s agency oversees the CDC and on Thursday announced it was poised to eliminate 2,400 jobs there.

When asked what role, if any, Kennedy played in the decision to not release the risk assessment, HHS’s communications director said the aborted announcement “was part of an ongoing process to improve communication processes—nothing more, nothing less.” The CDC, he reiterated, continues to recommend vaccination “as the best way to protect against measles.”

“Secretary Kennedy believes that the decision to vaccinate is a personal one and that people should consult with their healthcare provider to understand their options to get a vaccine,” Andrew G. Nixon said. “It is important that the American people have radical transparency and be informed to make personal healthcare decisions.”

Responding to questions about criticism of the decision among some CDC staff, Nixon wrote, “Some individuals at the CDC seem more interested in protecting their own status or agenda rather than aligning with this Administration and the true mission of public health.”

The CDC’s risk assessment was carried out by its Center for Forecasting and Outbreak Analytics, which relied, in part, on new disease data from the outbreak in Texas. The CDC created the center to address a major shortcoming laid bare during the COVID-19 pandemic. It functions like a National Weather Service for infectious diseases, harnessing data and expertise to predict the course of outbreaks like a meteorologist warns of storms.

Other risk assessments by the center have been posted by the CDC even though their conclusions might seem obvious.

In late February, for example, forecasters analyzing the spread of H5N1 bird flu said people who come “in contact with potentially infected animals or contaminated surfaces or fluids” faced a moderate to high risk of contracting the disease. The risk to the general US population, they said, was low.

In the case of the measles assessment, modelers at the center determined the risk of the disease for the general public in the US is low, but they found the risk is high in communities with low vaccination rates that are near outbreaks or share close social ties to those areas with outbreaks. The CDC had moderate confidence in the assessment, according to an internal Q&A that explained the findings. The agency, it said, lacks detailed data about the onset of the illness for all patients in West Texas and is still learning about the vaccination rates in affected communities as well as travel and social contact among those infected. (The H5N1 assessment was also made with moderate confidence.)

The internal plan to roll out the news of the forecast called for the expert physician who’s leading the CDC’s response to measles to be the chief spokesperson answering questions. “It is important to note that at local levels, vaccine coverage rates may vary considerably, and pockets of unvaccinated people can exist even in areas with high vaccination coverage overall,” the plan said. “The best way to protect against measles is to get the measles, mumps, and rubella (MMR) vaccine.”

This week, though, as the number of confirmed cases rose to 483, more than 30 agency staff were told in an email that after a discussion in the CDC director’s office, “leadership does not want to pursue putting this on the website.”

The cancellation was “not normal at all,” said a CDC staff member who spoke anonymously for fear of reprisal with layoffs looming. “I’ve never seen a rollout plan that was canceled at that far along in the process.”

Anxiety among CDC staff has been building over whether the agency will bend its public health messages to match those of Kennedy, a lawyer who founded an anti-vaccine group and referred clients to a law firm suing a vaccine manufacturer.

During Kennedy’s first week on the job, HHS halted the CDC campaign that encouraged people to get flu shots during a ferocious flu season. On the night that the Trump administration began firing probationary employees across the federal government, some key CDC flu webpages were taken down. Remnants of some of the campaign webpages were restored after NPR reported this.

But some at the agency felt like the new leadership had sent a message loud and clear: When next to nobody was paying attention, long-standing public health messages could be silenced.

On the day in February that the world learned that an unvaccinated child had died of measles in Texas, the first such death in the U.S. since 2015, the HHS secretary downplayed the seriousness of the outbreak. “We have measles outbreaks every year,” he said at a cabinet meeting with President Donald Trump.

In an interview on Fox News this month, Kennedy championed doctors in Texas who he said were treating measles with a steroid, an antibiotic and cod liver oil, a supplement that is high in vitamin A. “They’re seeing what they describe as almost miraculous and instantaneous recovery from that,” Kennedy said.

As parents near the outbreak in Texas stocked up on vitamin A supplements, doctors there raced to assure parents that only vaccination, not the vitamin, can prevent measles.

Still, the CDC added an entry on Vitamin A to its measles website for clinicians.

On Wednesday, CNN reported that several hospitalized children in Lubbock, Texas, had abnormal liver function, a likely sign of toxicity from too much vitamin A.

Texas health officials also said that the Trump administration’s decision to rescind $11 billion in pandemic-related grants across the country will hinder their ability to respond to the growing outbreak, according to The Texas Tribune.

Measles is among the most contagious diseases and can be dangerous. About 20 percent of unvaccinated people who get measles wind up in the hospital. And nearly 1 to 3 of every 1,000 children with measles will die from respiratory and neurologic complications. The virus can linger in the air for two hours after an infected person has left an area, and patients can spread measles before they even know they have it.

This week Amtrak said it was notifying customers that they may have been exposed to the disease this month when a passenger with measles rode one of its trains from New York City to Washington, DC.

The CDC buried a measles forecast that stressed the need for vaccinations Read More »

report:-us-scientists-lost-$3-billion-in-nih-grants-since-trump-took-office

Report: US scientists lost $3 billion in NIH grants since Trump took office

Since Trump took office on January 20, research funding from the National Institutes of Health has plummeted by more than $3 billion compared with the pace of funding in 2024, according to an analysis by The Washington Post.

By this time in March 2024, the NIH had awarded US researchers a total of $1.027 billion for new grants or competitive grant renewals. This year, the figure currently stands at about $400 million. Likewise, funding for renewals of existing grants without competition reached $4.5 billion by this time last year, but has only hit $2 billion this year. Together, this slowdown amounts to a 60 percent drop in grant support for a wide variety of research—from studies on cancer treatments, diabetes, Alzheimer’s, vaccines, mental health, transgender health, and more.

The NIH is the primary source of funding for biomedical research in the US. NIH grants support more than 300,000 scientists at more than 2,500 universities, medical schools, and other research organizations across all 50 states.

In the near term, the missing grant money means clinical trials have been abruptly halted, scientific projects are being shelved, supplies can’t be purchased, and experiments can’t be run. But, in the long run, it means a delay in scientific advancements and treatment, which could echo across future generations. With funding in question, academic researchers may be unable to retain staff or train younger scientists.

Report: US scientists lost $3 billion in NIH grants since Trump took office Read More »

measles-quickly-spreading-in-kansas-counties-with-alarmingly-low-vaccination

Measles quickly spreading in Kansas counties with alarmingly low vaccination

The cases in Kansas are likely part of the mushrooming outbreak that began in West Texas in late January. On March 13, Kansas reported a single measles case, the first the state had seen since 2018. The nine cases reported last week had ties to that original case.

Spreading infections and misinformation

On Wednesday, KDHE Communications Director Jill Bronaugh told Ars Technica over email that the department has found a genetic link between the first Kansas case and the cases in West Texas, which has similarly spread swiftly in under-vaccinated communities and also spilled over to New Mexico and Oklahoma.

“While genetic sequencing of the first Kansas case reported is consistent with an epidemiological link to the Texas and New Mexico outbreaks, the source of exposure is still unknown,” Bronaugh told Ars.

Bronaugh added that KDHE, along with local health departments, is continuing to work to track down people who may have been exposed to measles in affected counties.

In Texas, meanwhile, the latest outbreak count has hit 327 across 15 counties, mostly children and almost entirely unvaccinated. Forty cases have been hospitalized, and one death has been reported—a 6-year-old unvaccinated girl who had no underlying health conditions.

On Tuesday, The New York Times reported that as measles continues to spread, parents have continued to eschew vaccines and instead embraced “alternative” treatments, including vitamin A, which has been touted by anti-vaccine advocate and current US Health Secretary Robert F. Kennedy Jr. Vitamin A accumulates in the body and can be toxic with large doses or extended use. Texas doctors told the Times that they’ve now treated a handful of unvaccinated children who had been given so much vitamin A that they had signs of liver damage.

“I had a patient that was only sick a couple of days, four or five days, but had been taking it for like three weeks,” one doctor told the Times.

In New Mexico, cases are up to 43, with two hospitalizations and one death in an unvaccinated adult who did not seek medical care. In Oklahoma, officials have identified nine cases, with no hospitalizations or deaths so far.

Measles quickly spreading in Kansas counties with alarmingly low vaccination Read More »

rfk-jr-claws-back-$11.4b-in-cdc-funding-amid-wave-of-top-level-departures

RFK Jr. claws back $11.4B in CDC funding amid wave of top-level departures

Those departures follow Kevin Griffis, head of the CDC’s office of communications, who left last week; Robin Bailey, the agency’s chief operating officer, left late last month; and Nirav Shah, a former CDC principal deputy director.

Pulled funding

Meanwhile, NBC News reported this afternoon that the Department of Health and Human Services (HHS) is pulling back $11.4 billion in funding from the agency, which it allocated to state and local health departments as well as partners.

NBC reported that the funds were largely used for COVID-19 testing and vaccination, and to support community health workers and initiatives that address pandemic health disparities among high-risk and underserved populations, such as rural communities and minority populations. The funds also supported global COVID-19 projects.

“The COVID-19 pandemic is over, and HHS will no longer waste billions of taxpayer dollars responding to a non-existent pandemic that Americans moved on from years ago,” HHS Director of Communications Andrew Nixon said in a statement. “HHS is prioritizing funding projects that will deliver on President Trump’s mandate to address our chronic disease epidemic and Make America Healthy Again.”

State health departments told NBC News that they’re still evaluating the impact of the withdrawn funding. On Monday, some grantees received notices that read: “Now that the pandemic is over, the grants and cooperative agreements are no longer necessary as their limited purpose has run out.”

Since the public health emergency for COVID-19 was declared over in the US on May 11, 2023, over 92,000 Americans died from the pandemic virus, according to CDC data. In total, the pandemic killed over 1.2 million in the US.

RFK Jr. claws back $11.4B in CDC funding amid wave of top-level departures Read More »

uk-on-alert-after-h5n1-bird-flu-spills-over-to-sheep-in-world-first

UK on alert after H5N1 bird flu spills over to sheep in world-first

In the UK, officials said further testing of the rest of the sheep’s flock has found no other infections. The one infected ewe has been humanely culled to mitigate further risk and to “enable extensive testing.”

“Strict biosecurity measures have been implemented to prevent the further spread of disease,” UK Chief Veterinary Officer Christine Middlemiss said in a statement. “While the risk to livestock remains low, I urge all animal owners to ensure scrupulous cleanliness is in place and to report any signs of infection to the Animal Plant Health Agency immediately.”

While UK officials believe that the spillover has been contained and there’s no onward transmission among sheep, the latest spillover to a new mammalian species is a reminder of the virus’s looming threat.

“Globally, we continue to see that mammals can be infected with avian influenza A(H5N1),” Meera Chand, Emerging Infection lead at the UK Health Security Agency (UKHSA), said in a statement. In the US, the Department of Agriculture has documented hundreds of infections in wild and captive mammals, from cats and bears to raccoons and harbor seals.

Chand noted that, so far, the spillovers into animals have not easily transmitted to humans. For instance, in the US, despite extensive spread through the dairy industry, no human-to-human transmission has yet been documented. But, experts fear that with more spillovers and exposure to humans, the virus will gain more opportunities to adapt to be more infectious in humans.

Chand says that UKHSA and other agencies are monitoring the situation closely in the event the situation takes a turn. “UKHSA has established preparations in place for detections of human cases of avian flu and will respond rapidly with NHS and other partners if needed.”

UK on alert after H5N1 bird flu spills over to sheep in world-first Read More »

measles-arrives-in-kansas,-spreads-quickly-in-undervaccinated-counties

Measles arrives in Kansas, spreads quickly in undervaccinated counties

On Thursday, the county on the northern border of Stevens, Grant County, also reported three confirmed cases, which were also linked to the first case in Stevens. Grant County is in a much better position to handle the outbreak than its neighbors; its one school district, Ulysses, reported 100 percent vaccination coverage for kindergartners in the 2023–2024 school year.

Outbreak risk

So far, details about the fast-rising cases are scant. The Kansas Department of Health and Environment (KDHE) has not published another press release about the cases since March 13. Ars Technica reached out to KDHE for more information but did not hear back before this story’s publication.

The outlet KWCH 12 News out of Wichita published a story Thursday, when there were just six cases reported in just Grant and Stevens Counties, saying that all six were in unvaccinated people and that no one had been hospitalized. On Friday, KWCH updated the story to note that the case count had increased to 10 and that the health department now considers the situation an outbreak.

Measles is an extremely infectious virus that can linger in airspace and on surfaces for up to two hours after an infected person has been in an area. Among unvaccinated people exposed to the virus, 90 percent will become infected.

Vaccination rates have slipped nationwide, creating pockets that have lost herd immunity and are vulnerable to fast-spreading, difficult-to-stop outbreaks. In the past, strong vaccination rates prevented such spread, and in 2000, the virus was declared eliminated, meaning there was no continuous spread of the virus over a 12-month period. Experts now fear that the US will lose its elimination status, meaning measles will once again be considered endemic to the country.

So far this year, the Centers for Disease Control and Prevention has documented 378 measles cases as of Thursday, March 20. That figure is already out of date.

On Friday, the Texas health department reported 309 cases in its ongoing outbreak. Forty people have been hospitalized, and one unvaccinated child with no underlying medical conditions has died. The outbreak has spilled over to New Mexico and Oklahoma. In New Mexico, officials reported Friday that the case count has risen to 42 cases, with two hospitalizations and one death in an unvaccinated adult. In Oklahoma, the case count stands at four.

Measles arrives in Kansas, spreads quickly in undervaccinated counties Read More »

mom-of-child-dead-from-measles:-“don’t-do-the-shots,”-my-other-4-kids-were-fine

Mom of child dead from measles: “Don’t do the shots,” my other 4 kids were fine

Cod liver oil contains high levels of vitamin A, which is sometimes administered to measles patients under a physician’s supervision. But the supplement is mostly a supportive treatment in children with vitamin deficiencies, and taking too much can cause toxicity. Nevertheless, Kennedy has touted the vitamin and falsely claimed that good nutrition protects against the virus, much to the dismay of pediatricians.

“They had a really good, quick recovery,” the mother said of her other four children, attributing their recovery to the unproven treatments.

Tragic misinformation

Most children do recover from measles, regardless of whether they’re given cod liver oil. The fatality rate of measles is nearly 1 to 3 in 1,000 children, who die with respiratory (e.g., pneumonia) or neurological complications from the virus, according to the Centers for Disease Control and Prevention.

Tommey noted that the sibling who died didn’t get the alternative treatments, leading the audience to believe that this could have contributed to her death. She also questioned what was written on the death certificate, noting that the girl’s pneumonia was from a secondary bacterial infection, not the virus directly, a clear effort to falsely suggest measles was not the cause of death and downplay the dangers of the disease. The parents said they hadn’t received the death certificate yet.

Tommey then turned to the MMR vaccine, asking if the mother still felt that it was a dangerous vaccine after her daughter’s death from the disease, prefacing the question by claiming to have seen a lot of “injury” from the vaccine. “Do you still feel the same way about the MMR vaccine versus measles?” she asked.

“Yes, absolutely; we would absolutely not take the MMR. The measles wasn’t that bad, and they got over it pretty quickly,” the mother replied, speaking again of her four living children.

“So,” Tommey continued, “when you see the fearmongering in the press, which is what we want to stop, that is why we want to get the truth out, what do you say to the parents who are rushing out, panicking, to get the MMR for their 6-month-old baby because they think that that child is going to die of measles because of what happened to your daughter?”

Mom of child dead from measles: “Don’t do the shots,” my other 4 kids were fine Read More »

bird-flu-continues-to-spread-as-trump’s-pandemic-experts-are-mia

Bird flu continues to spread as Trump’s pandemic experts are MIA

Under the Biden administration, OPPR also worked behind the scenes. At the time, it was directed by Paul Friedrichs, a physician and retired Air Force major-general. Friedrichs told CNN that the OPPR regularly hosted interagency calls between the US Centers for Disease Control and Prevention, the USDA, the Administration for Strategic Preparedness and Response, the US Food and Drug Administration, and the National Institutes of Health. When the H5N1 bird flu outbreak erupted in dairy farms last March, OPPR was hosting daily meetings, which transitioned to weekly meetings toward the end of the administration.

“At the end of the day, bringing everybody together and having those meetings was incredibly important, so that we had a shared set of facts,” Friedrichs said. “When decisions were made, everyone understood why the decision was made, what facts were used to inform the decision.”

Sen. Patty Murray (D-Wash.), who co-wrote the bill that created OPPR with former Sen. Richard Burr (R-N.C.), is concerned by Trump’s sidelining of the office.

“Under the last administration, OPPR served, as intended, as the central hub coordinating a whole-of-government response to pandemic threats,” she said in a written statement to CNN. “While President Trump cannot legally disband OPPR, as he has threatened to do, it is deeply concerning that he has moved the statutorily created OPPR into the NSC.”

“As intended by law, OPPR is a separate, distinct office for a reason, which is especially relevant now as we are seeing outbreaks of measles, bird flu, and other serious and growing threats to public health,” Murray wrote. “This should be alarming to everyone.”

Bird flu continues to spread as Trump’s pandemic experts are MIA Read More »

florida-man-eats-feral-pig-meat,-contracts-rare-biothreat-bacteria

Florida man eats feral pig meat, contracts rare biothreat bacteria

B. suis is an extremely infectious bacteria that’s usually found in pigs. The most common symptom in pigs is reproductive losses, such as stillbirths, though they can also develop other symptoms, such as abscesses and arthritis. In humans, it causes an insidious, hard to detect infection called brucellosis, which is used to describe an infection from any Brucella species: B. suis, B. melitensis, B. abortus, and B. canis.

In the US, there are only about 80 to 140 brucellosis cases reported each year, and they’re mostly caused by B. melitensis and B. abortus. People tend to get infected by eating raw (unpasteurized) milk and cheeses. B. suis, however, is generally linked to hunting and butchering feral pigs and hogs.

Until recently, the Brucella species were designated as select agents by the US government, a classification to flag pathogens and toxins that have the potential to be a severe threat to public health, such as if they’re used in a bioterror attack. The current list includes things like anthrax and Ebola virus. Brucella species were originally listed because they can be easily aerosolized, and only a small number of the bacterial cells are needed to spark an infection. In humans, infections can be both localized and systemic and have a broad range of clinical manifestations. Those include brain infections, neurological conditions, arthritis, anemia, respiratory involvement, pancreatitis, cardiovascular complications, like aneurysms, and inflammation of the spinal cord, among many other things.

In January, federal officials removed Brucella species from the select agents list—a designation that limits the types and amount of research that can be done on a pathogen. According to the US Department of Agriculture, the reason for the removal was to ease those limits, thereby making it easier for researchers to conduct veterinary studies and develop vaccines for animals.

Perilous present

After finding B. suis, the doctors went to gather more information about how the man could have contracted this rare species. The man said he wasn’t a hunter, but recalled receiving a gift of feral swine meat on several occasions in 2017 from a local hunter. Though he couldn’t recall the specific hunter who gave him the biohazardous bounty, he did remember handling the raw meat and blood with his bare hands—a clear transmission risk—before cooking and eating it.

Florida man eats feral pig meat, contracts rare biothreat bacteria Read More »