health

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

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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

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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 »

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

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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 »

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Measles quickly spreading in Kansas counties with alarmingly low vaccination

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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 »

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

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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 »

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

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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 »

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Measles arrives in Kansas, spreads quickly in undervaccinated counties

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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 »

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

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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 »

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

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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 »

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Florida man eats feral pig meat, contracts rare biothreat bacteria

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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 »

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Report: mRNA vaccines are in RFK Jr’s crosshairs; funding in question

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Ars Technica has reached out to the NIH and HHS for comment and will update this story with any new information provided. The agencies did not respond to comment requests from KFF.

Kennedy’s misinformation

Before becoming the top health official in America, Kennedy had long railed against vaccines, becoming one of the world’s most prominent anti-vaccine advocates and most prolific spreaders of misinformation and disinformation about vaccines. A 2019 study found Kennedy was the single leading source of anti-vaccine ads on Facebook. Kennedy subsequently faced bans from YouTube, Facebook, and Instagram for spreading misinformation.

Researchers directly blame Kennedy and the Trump administration for the attack on vaccine research.

“Kennedy’s war on vaccines has started,” the mRNA vaccine researcher in Philadelphia told KFF.

“There will not be any research funded by NIH on mRNA vaccines,” the scientist in New York similarly told the outlet. “MAGA people are convinced that these vaccines have killed and maimed tens of thousands of people. It’s not true, but they believe that.”

Kennedy has made various statements against vaccines generally, as well as mRNA vaccines specifically. He falsely claimed the vaccine causes severe harms, including causing neurodegenerative diseases, such as Parkinson’s. In 2021, during the height of the pandemic, Kennedy petitioned the Food and Drug Administration to revoke the authorization of COVID-19 vaccines and refrain from approving any future COVID-19 vaccines. A study in 2022, meanwhile, estimated that the vaccines had saved more than 3 million lives and prevented more than 18 million hospitalizations.

The NIH’s recent moves aren’t the first sign that Kennedy will use his powerful position to attack mRNA vaccines. Late last month, Bloomberg reported that HHS was considering canceling a $590 million grant to vaccine-maker Moderna to develop mRNA vaccines against potential pandemic influenza viruses. That includes the H5N1 virus that is currently devastating US poultry and spreading wildly in dairy cows.

An HHS spokesperson told media at the time that “while it is crucial that the US Department and Health and Human Services support pandemic preparedness, four years of the Biden administration’s failed oversight have made it necessary to review agreements for vaccine production.”

It remains unclear what is happening with that grant review. Moderna declined to comment when Ars reached out for any potential updates Monday.

Report: mRNA vaccines are in RFK Jr’s crosshairs; funding in question Read More »

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US measles outlook is so bad health experts call for updating vaccine guidance

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With measles declared eliminated from the US in 2000 and national herd immunity strong, health experts have recommended that American children get two doses of the Measles, Mumps, and Rubella (MMR) vaccine—the first between the ages of 12 and 15 months and the second between the ages of 4 and 6 years, before they start school.

Before 12 months, vulnerable infants in the US have been protected in part by maternal antibodies early in infancy as well as the immunity of the people surrounding them. But if they travel to a place where population immunity is unreliable, experts recommend that infants ages 6 to 11 months get an early dose—then follow it up with the standard two doses at the standard times, bringing the total to three doses.

The reason they would need three—and the reason experts typically recommend waiting until 12 months—is because the maternal antibodies infants carry can interfere with the vaccine response, preventing the immune system from mounting long-lasting protection. Still, the early dose provides boosted protection in that 6-to-11-month interval.

In the past, this early, extra dose was recommended for infants traveling internationally—to countries that hadn’t achieved America’s enviable level of herd immunity and were vulnerable to outbreaks. But now, with US vaccination rates slipping, herd immunity becoming spotty, cases rising by the day, and outbreaks simmering in multiple states, the US is no longer different from far-off places that struggle with the extremely infectious virus.

In an article published today in JAMA, prominent health experts—including former Centers for Disease Control and Prevention Director Rochelle Walensky—call for the US to update its MMR recommendations to include the early, extra dose for infants who are not only traveling abroad, but domestically, to any areas where measles is a concern.

“With some local immunization levels inadequate to avert outbreaks and ongoing disease spread in various regions of the country, a dichotomy between domestic and international travel is not appropriate,” the experts write. “For many travel itineraries, there may even be a higher risk of measles exposure at the US point of departure than at the international destinations.”

Vaccinating at-risk infants early is critical to their own health—as well as the people around them, the experts note. “[I]nfants younger than one year face a heightened risk of severe measles-related complications such as pneumonia, encephalitis, and death. Younger infants are also at increased risk of developing subacute sclerosing panencephalitis (SSPE), a rare measles complication that has a high fatality rate and may surface years after initial infection,” according to the experts.

US measles outlook is so bad health experts call for updating vaccine guidance Read More »