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    Trump administration eviscerates maternal and child health programs

    Multiple maternal and child health programs have been eliminated or hollowed out as part of the Department of Health and Human Services (HHS) layoffs, prompting alarm and disbelief among advocates working to make Americans healthier.The fear and anxiety come as a full accounting of the cuts remains elusive. Federal health officials have released only broad descriptions of changes to be made, rather than a detailed accounting of the programs and departments being eviscerated.“Pediatricians, myself included, are losing sleep at night – worried about the health of the nation’s children,” said Dr Sue Kressly, president of the American Academy of Pediatrics.“The one that stands out to me is the Maternal and Child Health Bureau. There is no way to make our country healthier by eliminating expertise where it all starts, and it all starts at maternal and child health.”The health secretary, Robert F Kennedy Jr, announced HHS would eliminate 10,000 jobs as part of a restructuring plan. Together with cuts already made by Elon Musk’s unofficial “department of government efficiency”, HHS is likely to lose 20,000 workers – roughly one-quarter of its workforce.“We aren’t just reducing bureaucratic sprawl,” Kennedy said. “We are realigning the organization with its core mission and our new priorities in reversing the chronic disease epidemic.”Piecemeal and crowd-sourced information, which has filled the vacuum left by a lack of information from the health department, appears to show maternal health programs slated for elimination, many without an indication of whether they will be reassigned. The Guardian asked HHS to comment on the cuts but did not receive a response.The picture of cuts was further muddied on Thursday when Kennedy told reporters, according to Politico: “We’re going to do 80% cuts, but 20% of those are going to have to be reinstalled, because we’ll make mistakes.”In the aftermath of the height of the Covid-19 pandemic, there’s been much conservative criticism of public health agencies, particularly the Centers for Disease Control and Prevention (CDC). Pandemic policy continues to be an animating force within the Republican party, whose supporters are cynical about the value of federal public health programs following federal vaccine mandates.The cuts to maternal health programs may serve a second purpose for Republicans.Such programs have come under fire in some conservative states, in part because the experts involved investigate deaths that could have been prevented with abortion services – now illegal or severely restricted in nearly two dozen conservative states.As part of the restructuring, the administration announced 28 divisions would be folded into 15, including the creation of a new division, called the “Administration for a Healthy America”, or “AHA”.The administration argued the “centralization” would “improve coordination of health resources for low-income Americans and will focus on areas including, primary care, maternal and child Health, mental health, environmental health, HIV/Aids and workforce development”.Meanwhile, experts in HIV/Aids, worker health and safety, healthcare for society’s most vulnerable, and experts in maternal and child health have received “reduction in force” notices, a federal term for layoffs, or have been placed on administrative leave with the expectation of being eliminated.“It certainly appears there was a particular focus on parts of HHS that dealt with women’s or reproductive health,” said Sean Tipton, chief policy officer at the American Society for Reproductive Medicine, about the cuts.He added: “How in the world you can justify the CDC eliminating the division of maternal mortality is beyond me.”Among the divisions hard-hit was the Health Resources and Services Administration (HRSA), an operating division of HHS like the CDC, which housed the the Maternal and Child Health Bureau. HRSA lost as many as 600 workers.The CDC’s division of reproductive health, which studies maternal health, appeared to have been nearly eliminated, according to multiple reports, with some of the division’s portfolio also expected to be folded into AHA.skip past newsletter promotionafter newsletter promotionThe entire staff of a gold-standard maternal mortality survey, a program that was called the Pregnancy Risk Assessment Monitoring System, was also put on leave, Stat reported. The epidemiologist in charge of the CDC survey, Jennifer Bombard, wrote to colleagues on Tuesday: “[T]he entire CDC PRAMS team, including myself, has received the Reduction in Force (RIF) notice from HHS today.”A HRSA hotline that had fielded calls from new moms seeking mental health support was also cut, Stat reported. Layoffs at the Administration for Children and Families have jolted providers of federally backed high-quality childcare for low-income families, a program called Head Start.The CDC’s only experts on infertility were laid off, just days after Trump described himself as the “fertilization president” at an event marking Women’s History Month. The team had collected congressionally mandated statistics on fertility clinics’ success rates. Without the workers, it is unclear who at the department will help fertility clinics comply with the law.“I’m astounded, sad, perplexed,” said Barbara Collura, president of Resolve: The National Infertility Association. “Infertility impacts one in six people globally, and now we don’t have anybody at the CDC who knows anything about infertility and IVF?”A division of the CDC called the National Center for HIV, Viral Hepatitis, STD, and Tuberculosis Prevention also appeared to be gutted, with the director Jonathan Mermin placed on administrative leave. Among the center’s many tasks, it worked to curb the spread of congenital syphilis, a debilitating disease that is on the rise in the US.The March of Dimes, an influential non-profit whose mission is to improve the health of mothers and babies, said the cuts “raise serious concerns” at a time when maternal mortality rates remain “alarmingly high”.“As an OB-GYN and public health leader, I can’t overstate the value these resources and programs – and our partners across CDC, HRSA, and NIH – have brought to families and frontline providers,” said Dr Amanda Williams, the interim chief medical Officer at the March of Dimes.“We rely on the data, research, clinical tools and partnerships built by the Division of Reproductive Health (DRH) and HRSA to protect maternal and infant health – especially in communities hit hardest.”Heads of National Institutes of Health (NIH) centers were also forced out – and, apparently, offered reassignment to the Indian Health Service to be stationed in Alaska, Montana or Oklahoma, the journal Nature reported. Such large-scale reassignments are unprecedented, according to Stat.Among those to be placed on leave was one of the federal government’s pre-eminent leaders of research, the director of the National Institute of Allergy and Infectious Diseases (NIAID) Dr Jeanne Marrazzo. Marrazzo had expertise in sexually transmitted infections and women’s reproductive tract infections – a background that gave health advocates hope of curbing the US’s sky-high STD rates. Dr Diana Bianchi, director of the Eunice Kennedy Shriver National Institute of Child Health and Human Development, was also forced out.“These cuts are significant,” Kressly said. “And the policy and program changes that are made because the cuts impact real people in real communities, and I’m not just talking about the people who lost their jobs.” More

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    Chlorinated chicken: Is it bad for you and will it be sold in British supermarkets?

    British negotiators are in “intense discussions” with the United States on closer trade ties, the chancellor has said, in an attempt to ease the impact of Donald Trump’s looming tariffs.One of the products being touted as part of the free trade deal is chlorine-washed chicken – a controversial method of cleaning farmed animals to kill bacteria.While evidence suggests the chlorine wash itself is not harmful, critics argue treating chicken with the chemical will allow for poorer hygiene earlier on in the production process.Reform UK leader Nigel Farage said he would agree to allow American chlorine-washed chicken to be sold in the UK as part of a free trade deal with the US. He said, as part of a deal, US President Trump “would want US agricultural products to be sold in Britain”.However, Liz Webster, founder of Save British Farming, told The Independent: “The British public is rightly appalled by chlorinated chicken and hormone-fed beef. We are an animal-loving nation that values high standards, and we must not trade them away.”Packs of ‘Brexit Selection Freshly Chlorinated Chicken’ sit on display at ‘Costupper’ Brexit Minimart pop-up store, set up by the People’s Vote campaign group, in November 2018 More

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    Mehmet Oz confirmed by US Senate to lead Medicare and Medicaid

    Former heart surgeon and TV pitchman Dr Mehmet Oz was confirmed on Thursday to lead the Centers for Medicare and Medicaid Services (CMS).Oz became the agency’s administrator in a party-line 53-45 vote.The 64-year-old will manage health insurance programs for roughly half the country, with oversight of Medicare, Medicaid and Affordable Care Act coverage. He steps into the new role as Congress is debating cuts to the Medicaid program, which provides coverage to millions of poor and disabled Americans.Oz has not said yet whether he would oppose such cuts to the government-funded program, instead offering a vision of promoting healthier lifestyles, integrating artificial intelligence and telehealth into the system, and rethinking rural healthcare delivery.During a hearing last month, he told senators that he did favor work requirements for Medicaid recipients, but that paperwork shouldn’t be used to reaffirm that they are working or to block people from staying enrolled.Oz, who worked for years as a respected heart surgeon at Columbia University, also noted that doctors dislike Medicaid for its relatively low payments and some don’t want to take those patients.He said that when Medicaid eligibility was expanded without improving resources for doctors, that made care options even thinner for the program’s core patients, which include children, pregnant people and people with disabilities.“We have to make some important decisions to improve the quality of care,” he said.Oz has formed a close relationship with his new boss, Robert F Kennedy Jr. He’s hosted the health secretary and his inner circle regularly at his home in Florida. He’s leaned into Kennedy’s campaign to “make America healthy again” (Maha), an effort to redesign the nation’s food supply, reject vaccine mandates and cast doubt on some long-established scientific research.The former TV show host talks often about the importance of a healthy diet, aligning closely with Kennedy’s views.skip past newsletter promotionafter newsletter promotionWhile Oz has faced some criticism for promoting unproven vitamin supplements and holistic treatments – staples of the “Maha movement” – he’s regularly encouraged Americans to get vaccinated.Oz will take over the CMS days after the agency was spared from the type of deep cuts that Kennedy ordered at other public health agencies. Thousands of staffers at the Food and Drug Administration, the Centers for Disease Control and Prevention, and the National Institutes for Health are out of a job after mass layoffs that started on Tuesday.The CMS is expected to lose about 300 staffers, including those who worked on minority health and to shrink the cost of healthcare delivery. More

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    Voices: Is the NHS in crisis? Join The Independent Debate as public satisfaction hits record low

    A new poll has revealed a dramatic collapse in public satisfaction with the NHS, with almost two-thirds of people across England, Scotland, and Wales expressing their dissatisfaction. The British Social Attitudes (BSA) survey found that 59 per cent of respondents were “quite” or “very” dissatisfied with how the health service is run — the highest level recorded since the survey began in 1983.Concerns over access to care, long waiting times, and staffing shortages have contributed to this growing frustration. Worryingly, nearly one in ten people also reported experiencing harm due to NHS treatment or lack of access to care, with many suffering severe impacts.Despite this dissatisfaction, the majority of the public still believe in the founding principles of the NHS, calling for more funding and staff to restore trust in the system. Health Secretary Wes Streeting said the Government has “taken the NHS off life support,” citing a £26 billion investment, an end to strikes, falling waiting lists, and two million extra appointments delivered early.But critics are warning that these figures should serve as a wake-up call, urging the government to take urgent action.So, what’s your experience? Have you been impacted by NHS delays or a lack of access? Do you think the health service is in crisis, or is it still delivering for patients?And crucially, what should be done to fix it? Should the government be investing more, or does the NHS need deeper structural reforms?We want to hear from you. Vote in our poll and share your thoughts in the comments – we’ll feature the most insightful responses and discuss the results in the coming days.All you have to do is sign up and register your details – then you can take part in the debate. You can also sign up by clicking ‘log in’ on the top right-hand corner of the screen.Share your thoughts in the comments – we’ll feature the most compelling responses and share the results in the coming days.All you have to do is sign up and register your details – then you can take part in the discussion. You can also sign up by clicking ‘log in’ on the top right-hand corner of the screen. More

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    Trans soldiers served their country. Now the US is rolling back their healthcare

    When Savannah Blake joined the air force at 22 years old, she was looking for stable employment and a way out of poverty. For the last few years of her service, she worked as a cyberdefense operator in the intelligence squadron. But the work, which involved overseeing computers operating drone surveillance, eventually took a toll on her mental health.“If I had to watch any more of this, I was going to not be alive anymore,” Blake said, who says she experienced suicidal ideations. “I just felt like the bad guy. I felt evil.”View image in fullscreenAfter seven years of service, Blake, who is trans, left the air force with PTSD, generalized anxiety disorder and chronic depression. But she also left with the hope she could finally live as herself without fear of harassment from fellow service members. Last year, she began receiving estrogen through the Department of Veterans Affairs. Now she fears for the future of that care.“Every day, I wake up and I don’t know what the rules are anymore in the country I live in,” said Blake. “It’s becoming increasingly hard to see a future where we’re OK.”Blake is one of about 134,000 transgender veterans living in the US. It’s an alarming time to be someone like her. On his first day in office, Donald Trump issued an executive order recognizing only two sexes, stamping out gender identity in federal documents and public spaces. A series of other orders have attempted to restrict trans rights, including participation in sports, access to gender-affirming care for youth, educational materials in schools and military service.The crackdown has sent shock waves through the VA, which functions as one of the US’s largest healthcare providers, offering free or low-cost care to more than 9 million veterans. After Trump’s inauguration, some VA health centers began removing LGBTQ+ affiliated objects, including pride flags, rainbow magnets, stickers and posters.When Mary Brinkmeyer’s medical center ordered the removal of LGBTQ+ patient flyers and other affirming material days after Trump’s executive orders, she refused, and ultimately resigned. For nearly three years, she had worked as a psychologist and LGBTQ+ veteran care coordinator at the VA facility in Hampton, Virginia. Hospital leadership ordered her to stop LGBTQ+ outreach, advocacy and gender-affirming training to departments because it could be considered “gender ideology”.View image in fullscreen“We all have ethics codes in our professions that say that you’re supposed to do no harm, and that if you’re caught between institutional pressure and the ethics code, you’re supposed to resolve it in a way that’s consistent with the ethics code,” Brinkmeyer said.Brinkmeyer fears for the mental health of trans veterans, whom she saw experience “really intense suicidal crises” after Trump announced a ban on trans people enlisting in the military in 2017. After the election last November, some of her patients requested the removal of trans identifiers in medical records, and others withdrew from coverage over fears of being targeted and losing access to care. For many, those fears have become a reality.Rollbacks became official in March when the VA rescinded directive 1341, a policy that ensured “the respectful delivery of health care to transgender and intersex Veterans”, and announced the phasing out of gender-affirming medical care. The agency had been providing gender-affirming treatment including hormone therapy, prosthetics, hair removal, voice coaching and pre-surgical evaluation including letters of support for more than a decade. While cisgender veterans will still be able to access these treatments, veterans diagnosed with gender dysphoria are now excluded. Mental health services for trans patients and existing VA and military coverage for hormone therapy won’t be affected, according to the memo, which also formalizes banning trans patients from using facilities that align with their gender identity.View image in fullscreen“I am scared for the huge amount of people that are about to be forcibly separated, because the VA is not there to actually catch these people,” Blake said, referring to an influx of trans service members who could be forced out of the military under Trump’s transgender military ban. “I hate that the ladder was pulled up behind me.”‘A death sentence’The changes have put trans veterans seeking gender-affirming care in limbo. It has also created a climate of fear for the trans veterans already receiving hormone therapy, who worry it could be pulled at any time.View image in fullscreenThat’s the reality for Kaydi Rogers. While at the moment her hormone therapy will not be disrupted, she is terrified of losing access to estrogen if the VA continues its crackdown.Rogers spent about five decades acquiring estrogen pills through pharmacies in Mexico or friends with prescriptions.“I was desperate,” Rogers said. “I didn’t know any way of doing anything about what was going on with me. It was not a common thing back in the 70s and 80s to come out trans.”She finally switched to VA coverage because of the potential health risks of taking unregulated pills. But Rogers said if the VA ever stopped prescribing her estrogen, the desperation would return and she would again rely on self-medication for survival.Beyond her concerns about continued access to care, Rogers feels the loss of welcoming and safe spaces inside VA clinics. She says she tries to avoid drawing attention to herself during appointments, fearful of being harassed or attacked.“Before last year, every time I went to the VA, I went dressed as Kaydi and no one seemed to bother me or care,” Rogers said. “Now, not so much.”Other veterans share these safety concerns, including Lindsay Church, the executive director and co-founder of Minority Veterans of America. Church, who is non-binary and uses they/them pronouns, has experienced harassment and discrimination inside VA clinics in the past, and began carrying a printed copy of directive 1341 to prove they were entitled to treatment that respected their gender identity. With that directive rescinded and no guarantee of protection, they’ve canceled VA appointments and sought care elsewhere.View image in fullscreenThe veterans affairs secretary, Doug Collins, stated that trans veterans “will always be welcome at VA and will always receive the benefits and services they’ve earned under the law”. In response to questions about the new policy, the VA press secretary, Peter Kasperowicz, directed the Guardian to the press release from 17 March.Church said the discriminatory climate is having a chilling effect on trans veterans, regardless of whether their care plans have been discontinued under the VA’s new policy. “If I can’t use [my healthcare plan] because I’m scared of being harassed and intimidated, and experiencing physical violence in a bathroom, I can’t use the system,” they said.They called the policy reversal a “death sentence”.View image in fullscreen‘We tell them we will take care of you, and that’s a lie’Trans veterans face higher rates of homelessness, unemployment, PTSD and military sexual trauma compared with cisgender veterans. They are also twice as likely to die by suicide compared with cisgender veterans, and almost six times more likely than the general US population. Advocates and providers say these psychiatric and socioeconomic risk factors, when combined with the loss of an affirming medical environment, places an already vulnerable population even more at risk.One VA clinical social worker, who requested anonymity, said his LGBTQ+ patients don’t feel safe and are experiencing more suicidal ideations than before Trump took office.“I have seen an increase in suicide risk evaluations,” he said. “I’ve done more of those in the last two months than I’ve done the last two years.”View image in fullscreenAnother LGBTQ+ veteran care coordinator said a trans patient attempted suicide at her facility after Trump’s inauguration, and she fears there could be more people who attempt the same. She said notifying trans patients of the policy change has been heartbreaking.“I’ve worked for the past two and a half years to gain people’s trust, and now all of a sudden, I’m pulling out the rug from under them,” she said. “It feels terrible.”She had to tell one patient wanting to start hormone therapy that the VA could no longer help them, and is preparing the same message for trans patients on a months-long waitlist to begin treatment. While she has been looking for ways to provide alternatives, many of her trans patients live in rural areas where accessing gender-affirming care is difficult.Other VA employees see cutting trans healthcare as a betrayal of the benefits promised to service members when they enlist.“We’re asking these 17-year-olds to give their entire bodies to the US government,” said one VA nurse, who requested anonymity over fear of losing her job. “And they’re given one promise, which is that we will care for them. And this is part of care, whether you like it or not.”Gender-affirming medical care has been endorsed by every major medical association in the US, and medical providers say that politicians shouldn’t be allowed to decide how they care for their patients.“You’re giving so much to the military. You give your whole life, you have no say over where you live,” the nurse said. “Then we tell them we will take care of you, and that’s a lie. We’re lying to people – and not just trans veterans, all veterans.” More

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    Trump officials to cut Planned Parenthood family planning funds

    The reproductive health provider Planned Parenthood said the Trump administration would cut federal family planning funding as of Tuesday, affecting birth control, cancer screenings and other services for low-income people.Planned Parenthood said that nine of its affiliates received notice that funding would be withheld under a program known as Title X, which has supported healthcare services for the poor since 1970.The Wall Street Journal reported last week the US Department of Health and Human Services planned an immediate freeze of $27.5m in family planning grants for groups including Planned Parenthood.Planned Parenthood says more than 300 health centers are in the Title X network and Title X-funded centers received more than 1.5m visits in 2023. It not say how much funding would be halted by the Trump administration.The White House and HHS did not immediately respond to a Reuters request for comment. An HHS spokesperson said last week the department was reviewing grant recipients to ensure compliance with Donald Trump’s executive orders.Alexis McGill Johnson, president and CEO of Planned Parenthood, predicted that cancers would go undetected, access to birth control would be severely reduced, and sexually transmitted infections would increase as a result.“President Trump and Elon Musk are pushing their dangerous political agenda, stripping health care access from people nationwide, and not giving a second thought to the devastation they will cause,” McGill Johnson said in a statement.Trump has named billionaire Musk, who helped the president get elected, to head up an initiative to target government agencies for spending cuts.Conservatives have long sought to defund Planned Parenthood because it also provides abortions. However, US government funding for nearly all abortions has been banned since 1977. More

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    Trump makes sweeping HIV research and grant cuts: ‘setting us back decades’

    The federal government has cancelled dozens of grants to study how to prevent new HIV infections and expand access to care, decimating progress toward eliminating the epidemic in the United States, scientists say.The National Institutes of Health (NIH) terminated at least 145 grants related to researching advancements in HIV care that had been awarded nearly $450m in federal funds. The cuts have been made in phases over the last month.NIH, a division of the Department of Health and Human Services, is the largest funding source of medical research in the world, leaving many scientists scrambling to figure out how to continue their work.“The loss of this research could very well result in a resurgence of HIV that becomes more generalized in this country,” said Julia Marcus, a professor at Harvard Medical School who recently had two of her grants cancelled. “These drastic cuts are rapidly destroying the infrastructure of scientific research in this country and we are going to lose a generation of scientists.”In 2012, the FDA approved pre-exposure prophylaxis (PrEP), an antiviral drug taken once a day that is highly successful at preventing new HIV infections. While the drug has been a powerful tool to contain the virus, inequities remain in accessing those drugs and sustaining a daily treatment. Despite major progress, there are still 30,000 new infections each year in the US.Many of the terminated HIV-related studies focused on improving access to drugs like PrEP in communities that have higher rates of infections – including trans women and Black men. One of Marcus’s projects was examining whether making PrEP available over the counter would increase the use of the drug in vulnerable communities.“The research has to focus on the populations that are most affected in order to have an impact and be relevant,” said Marcus.Yet, this may be the justification for defunding so many HIV-related studies. A termination letter reviewed by the Guardian dated 20 March cited that “so-called diversity, equity and inclusion (DEI) studies are often used to support unlawful discrimination on the basis of race and other protected characteristics, which harms the health of Americans.”The National Institutes of Health did not expand on why the grants were terminated in response to questions from the Guardian. In a statement it said it is “taking action to terminate research funding that is not aligned with NIH and HHS priorities. We remain dedicated to restoring our agency to its tradition of upholding gold-standard, evidence-based science.”Many researchers were left stunned by the scale of the cancellations since in 2019, Donald Trump announced in his State of the Union address a commitment to eliminate the HIV epidemic in the country over the next 10 years. As part of this initiative, his administration negotiated a deal with drug companies to provide free PrEP for 200,000 low-income patients.“Scientific breakthroughs have brought a once-distant dream within reach,” said Trump in his address. “Together we will defeat Aids in America.”Amy Nunn, a professor at the Brown University School of Public Health, said she had even tailored grant proposals to fit the policy goals of the initiative, which included geographically targeting HIV prevention efforts. One of her studies that was terminated focused on closing disparities of PrEP use among African American men in Jackson, Mississippi.“They finally adopted those policies at the federal level,” Nunn said, noting that Trump was the first president to make ending the epidemic a priority. “Now they’re undercutting their own successes. It’s so strange.”Though hundreds of millions of dollars in federal funds had been awarded for the grants, the terminations will not recoup all of that money for the administration, since many are years into their work. Some are even already finished.Nathaniel Albright learned earlier this month that an NIH grant supporting his doctoral research was cancelled even though his project had already been completed. A PhD candidate at Ohio State University, Albright is defending his dissertation at the end of the month. Still, Albright is concerned how the cuts impact the future of the field.“It’s created an environment in academia where my research trajectory is now considered high risk to institutions,” said Albright, who is currently struggling to find postdoctorate positions at universities.Pamina Gorbach, an epidemiologist who teaches at University of California, Los Angeles, had been following hundreds of men living with HIV in Los Angeles for 10 years to learn their needs. She had been awarded an NIH grant to better facilitate their treatment through a local clinic. Her funding was cancelled earlier this month as well.“It’s really devastating,” said Gorbach. “If you’re living with HIV and you’re not on meds, you know what happens? You get sick and you die.”Clinic staff in Los Angeles will likely be laid off as a result of the cuts, said Gorbach. Others agreed one immediate concern was how to pay their research staff, since the funds from a grant are immediately frozen once it is terminated. The NIH funds also often make up at least a portion of university professor’s salaries, all said they were most alarmed by the impact on services for their patients and the loss of progress toward ending the epidemic.“This is erasing an entire population of people who have been impacted by an infectious disease,” said Erin Kahle, the director of the Center for Sexuality and Health Disparities at the University of Michigan who lost an NIH grant.Scrapping an entire category of disease from research will have innumerable downstream effects on the rest of healthcare, she added.“This is setting us back decades,” said Kahle. More

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    RFK Jr says they are poisoning us, influencers call them unnatural – but what is the truth about seed oils?

    It’s curious that something so bland could cause so much controversy. Most of us have a bottle of seed oil, normally called vegetable oil in the UK, in our kitchens – a nearly tasteless but very useful fat that has been a commonplace cooking ingredient for decades.And yet this previously unremarkable golden liquid has sparked online furore and vicious debate. Nutrition influencers on social media have described it as “toxic”, “inflammatory”, “unnatural” and the root cause of the obesity epidemic.The US health secretary Robert F Kennedy Jr, who has caused controversy with his views on subjects from vaccines to fluoride in drinking water, has said the population is being “unknowingly poisoned” by seed oils and urged people to revert to “traditional” fats such as butter, lard and beef dripping for better health.Last month the Wall Street Journal reported that fast food chains were promoting their shift away from seed oils after Kennedy’s criticisms. He even made a televised visit to a branch of Steak ’n Shake to praise its decision to cook fries in beef tallow instead.So should we really be ditching our bottles of vegetable and sunflower oils and covering everything in lard?Seed oils have been in widespread use since about the 1950s and, as well as being used for home cooking, are also in many ultra-processed foods. They include rapeseed (known as canola in the US and generally labelled as vegetable oil in the UK), sunflower, soya bean, corn, grapeseed, rice bran, sesame and safflower. While you can buy cold-pressed seed oils, the most common production method involves using a solvent (normally hexane) to extract the oil from the plant. It is correct that hexane is a toxic substance, but it is almost entirely removed from the final product by the refining process – the EU allows a maximum residual limit of 1mg per kilo.The refining process includes bleaching and deodorising, both of which critics have jumped on to claim that seed oil is “unnatural” and therefore “bad”.Tom Sanders, emeritus professor of nutrition and dietetics at King’s College London, who has spent his career researching dietary fat and health, explains: “The processing actually takes out potentially toxic material.”Sarah Berry, professor of nutritional sciences at King’s, agrees: “The end product, in my opinion, is very safe to eat.”The next allegation against seed oils is that they are “inflammatory”. This assumption is based on a fundamental misunderstanding of the science, says Berry.View image in fullscreenSeed oil critics claim that the type of omega-6 fatty acid present in them (called linoleic acid) can be inflammatory, whereas omega-3 – the other essential polyunsaturated fatty acid, found in foodstuffs such as oily fish, flaxseed and chia seeds – can reduce inflammation.“Because the enzymes used to convert omega-3 into anti-inflammatory chemicals are the same ones used to convert omega- 6, their argument is that having too much seed oil will mean the enzymes are stolen away from the omega-3,” says Berry.“This isn’t true. It’s true from a theoretical biochemical pathway. It’s true in mice upon unrealistic stimuli. But it is absolutely not true in humans.” In fact, randomised, controlled trials show that linoleic acid has either a neutral or, in most studies, an anti-inflammatory effect in humans.“The idea that linoleic acid is some sort of toxic thing is absolute nonsense,” says Sanders. “It’s an essential nutrient. Of the essential fatty acids it’s the most important one. If you’re deficient, it impairs immune function and platelet function doesn’t work.”It also has a potent cholesterol-lowering effect, says Berry, who is chief scientist at nutrition company Zoe. “It has been shown to reduce blood cholesterol significantly. Because of this and based on the current evidence I would say that not only are seed oils not bad for us, they are a healthy part of our diet.”Sanders attributes much of the decline in cardiovascular disease we’ve seen in the past 50 years to our increased consumption of seed oils. A few weeks ago, a study that followed 200,000 adults over 33 years found that those who replaced a tablespoon of butter a day with the same amount of plant-based oil such as soya bean or rapeseed had a 17% reduction in risk of death from all causes. The study, which was published in JAMA Internal Medicine also found a 17% reduction in risk of death from cancer.“Our study found that higher butter intake was associated with increased deaths from all causes and cancer, while higher intake of plant-based oils was associated with lower deaths from all causes, cancer and cardiovascular disease,” said lead study author Yu Zhang, a graduate student at Harvard TH Chan School of Public Health.Priya Tew, from Dietitian UK, says some of the confusion might have come from a 1960s study: “It showed men with heart disease had a higher intake of seed oils. But this was through margarines that also contain trans fats, which we know increase the risk of heart disease.”A similar logic applies to the argument that, as our intake of seed oils has risen – which it has more than 200-fold over the past 50 to 70 years – so too have our rates of chronic disease.“Association does not mean causality,” says Berry. “Think what else has changed; our food landscape is almost unrecognisable compared with 70 years ago. It’s estimated 60% of the seed oils we consume come from ultra-processed food which has many other chemicals that are unhealthy for us and processes that affect the healthfulness of the food.”In other words, it’s not the seed oil that’s the problem.Berry’s recent statements about seed oils have landed her in hot water. After appearing on a podcast explaining that seed oils are healthy, she received relentless hate mail, including being told she’s “the most hated scientist in America”.“It nearly got to the point where I was going to stop speaking out on the topic so I didn’t have to be subjected to such horrible comments and meanness. But then I thought, that’s exactly what they want. They want to shut down the real evidence, so it just galvanised me to speak out about it even more.”As always, with nutrition, it’s better to consider overall diet than to hyper-fixate on one ingredient. But these kind of messages don’t tend to get as much traction. “Human nature is such that we are more susceptible to risk and scare headlines,” Berry says. “They’re going to get more clicks than a balanced, boring nutrition scientist like myself saying seed oils are fine as part of a balanced diet.”Sanders says you don’t have to ditch your seed oils and you shouldn’t swap them for butter or lard. “The seed oil scare is all just gossip. It’s not based on any good science at all.” More