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    Medical charlatans have existed through history. But AI has turbocharged them | Edna Bonhomme

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    Nearly a year into parenting, I’ve relied on advice and tricks to keep my baby alive and entertained. For the most part, he’s been agile and vivacious, and I’m beginning to see an inquisitive character develop from the lump of coal that would suckle from my breast. Now he’s started nursery (or what Germans refer to as Kita), other parents in Berlin, where we live, have warned me that an avalanche of illnesses will come flooding in. So during this particular stage of uncertainty, I did what many parents do: I consulted the internet.This time, I turned to ChatGPT, a source I had vowed never to use. I asked a straightforward but fundamental question: “How do I keep my baby healthy?” The answers were practical: avoid added sugar, monitor for signs of fever and talk to your baby often. But the part that left me wary was the last request: “If you tell me your baby’s age, I can tailor this more precisely.” Of course, I should be informed about my child’s health, but given my growing scepticism towards AI, I decided to log off.Earlier this year, an episode in the US echoed my little experiment. With a burgeoning measles outbreak, children’s health has become a significant political battleground, and the Department of Health and Human Services, under the leadership of Robert F Kennedy, has initiated a campaign titled the Make America Healthy Again commission, aimed at combating childhood chronic disease. The corresponding report claimed to address the principal threats to children’s health: pesticides, prescription drugs and vaccines. Yet the most striking aspect of the report was the pattern of citation errors and unsubstantiated conclusions. External researchers and journalists believed that these pointed to the use of ChatGPT in compiling the report.What made this more alarming was that the Maha report allegedly included studies that did not exist. This coincides with what we already know about AI, which has been found not only to include false citations but also to “hallucinate”, that is, to invent nonexistent material. The epidemiologist Katherine Keyes, who was listed in the Maha report as the first author of a study on anxiety and adolescents, said: “The paper cited is not a real paper that I or my colleagues were involved with.”The threat of AI may feel new, but its role in spreading medical myths fits into an old mould: that of the charlatan peddling false cures. During the 17th and 18th centuries, there was no shortage of quacks selling reagents intended to counteract intestinal ruptures and eye pustules. Although not medically trained, some, such as Buonafede Vitali and Giovanni Greci, were able to obtain a licence to sell their serums. Having a public platform as grand as the square meant they could gather in public and entertain bystanders, encouraging them to purchase their products, which included balsamo simpatico (sympathetic balm) to treat venereal diseases.RFK Jr believes that he is an arbiter of science, even if the Maha report appears to have cited false information. What complicates charlatanry today is that we’re in an era of far more expansive tools, such as AI, which ultimately have more power than the swindlers of the past. This disinformation may appear on platforms that we believe to be reliable, such as search engines, or masquerade as scientific papers, which we’re used to seeing as the most reliable sources of all.Ironically, Kennedy has claimed that leading peer-reviewed scientific journals such as the Lancet and the New England Journal of Medicine are corrupt. His stance is especially troubling, given the influence he wields in shaping public health discourse, funding and official panels. Moreover, his efforts to implement his Maha programme undermine the very concept of a health programme. Unlike science, which strives to uncover the truth, AI has no interest in whether something is true or false.AI is very convenient, and people often turn to it for medical advice; however, there are significant concerns with its use. It is injurious enough to refer to it as an individual, but when a government significantly relies on AI for medical reports, this can lead to misleading conclusions about public health. A world filled with AI platforms creates an environment where fact and fiction meld into each other, leaving minimal foundation for scientific objectivity.The technology journalist Karen Hao astutely reflected in the Atlantic: “How do we govern artificial intelligence? With AI on track to rewire a great many other crucial functions in society, that question is really asking: how do we ensure that we’ll make our future better, not worse?” We need to address this by establishing a way to govern its use, rather than adopting a heedless approach to AI by the government.Individual solutions can be helpful in assuaging our fears, but we require robust and adaptable policies to hold big tech and governments accountable regarding AI misuse. Otherwise, we risk creating an environment where charlatanism becomes the norm.

    Edna Bonhomme is a historian of science More

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      US dairy industry to remove synthetic dyes from ice-cream, RFK Jr says

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      In what Trump administration officials dubbed a “major announcement”, health and agriculture department leaders said the US dairy industry agreed to voluntarily remove synthetic dyes from ice-cream.The announcement continues the Trump administration’s pattern of voluntary agreements with industry – from health insurers to snack food makers.“This is relevant to my favorite food, which is ice-cream,” said the US health secretary, Robert F Kennedy Jr.“Since we came in about five and a half months ago and started talking about eliminating dyes and other bad chemicals from our food, we’ve had this extraordinary response from our industry.”Representatives of the dairy industry said that more than 40 ice cream companies agreed not to use synthetic dyes. Kennedy also alluded to the future release of new dietary guidelines, which would “elevate” dairy products, including full-fat dairy, to “where they ought to be in terms of contributing to the health of our children”.The head of the US Food and Drug Administration (FDA), Dr Marty Makary, also announced that his agency approved a new plant-based dye: “gardenia blue”.The value of full-fat dairy is an ongoing subject of debate in nutrition research circles. For decades, government health authorities have cautioned against too much saturated fats, sugars and refined grains because of their link to obesity and heart disease. Some high-profile researchers now argue that full-fat dairy may not be as harmful as once thought.That is a perspective shared by the US dairy industry, which has funded nutrition research and fought against government controls on dairy in school lunches since the Obama administration.The issue is also important in rural communities across dairy country, where farmers began displaying hand-painted hay bails outside farms with messages such as: “Drink whole milk 97% fat free”.The Trump administration has held a close relationship with the dairy industry for years, stretching all the way back to the president’s first term. In 2019, then agriculture secretary Sonny Perdue toasted dairy lobbyists with a glass of chocolate milk to celebrate the reintroduction of once-banned flavored milks back into schools.“This is a great day for dairy and a great day for ‘make America healthy again,’” said Michael Dykes, the president and CEO of the International Dairy Foods Association. “We’re so happy with the voluntary industry-led commitment.”Notably, the Trump administration’s effort to reach voluntary agreements with industry has also shown the strategy’s limits. For instance, Mars, the maker of Skittles and M&M’s, resisted Kennedy’s efforts. Meanwhile, on health insurance, experts have expressed skepticism that an agreement with private insurers will significantly help Americans. More

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      ‘Tremendous uncertainty’ for cancer research as US officials target mRNA vaccines

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      As US regulators restrict Covid mRNA vaccines and as independent vaccine advisers re-examine the shots, scientists fear that an unlikely target could be next: cancer research.Messenger RNA, or mRNA, vaccines have shown promise in treating and preventing cancers that have often been difficult to address, such as pancreatic cancer, brain tumors and others.But groundbreaking research could stall as federal and state officials target mRNA shots, including ending federal funding for bird flu mRNA vaccines, restricting who may receive existing mRNA vaccines and, in some places, proposing laws against the vaccines.The Trump administration has also implemented unprecedented cuts to cancer research, among other research cuts and widespread layoffs at the National Institutes of Health (NIH).At least 16 grants involving the word “mRNA” have been terminated or frozen, according to the crowdsourced project Grant Watch, and scientists have been told to remove mentions of mRNA vaccines from their research applications, KFF Health News reported in March.Researchers fear that therapeutic cancer vaccines will get “swept up in that tidal wave” against mRNA vaccines, Aaron Sasson, chief of surgical oncology at Stony Brook University, said in April.When it comes to mRNA breakthroughs, “the next couple of years are the most critical”, Elias Sayour, a professor for pediatric oncology research at the University of Florida, said.“If the progress we’ve made to date – which has been prodigious – if that is just stopped or stymied, it can absolutely affect the trajectory and the arc,” he said.The uncertainty around mRNA specifically, and research broadly, could also discourage researchers and institutions from beginning new projects, he said.“If we continue to seize on these gains in the next 10, 20 years, I do see a scenario where we’ve completely transformed how we take care of a large swath of human disease,” he said.Research on mRNA cancer vaccines has been under way for more than a decade, with more than 120 clinical trials on treating and preventing cancers. mRNA shots have shown promise for preventing the return of head and neck cancer; lymphoma; breast cancer, which accounts for 11.6% of all cancer deaths in the US; colorectal cancer; lung cancer; and kidney cancer, among others.Pancreatic cancer has a 10% survival rate and is the second leading cause of cancer deaths in the US, but in a small study, about half of the patients who received an mRNA vaccine did not see their cancer return, and they still had strong immune responses three years later.Early mRNA vaccine trials also indicated the recurrence of melanoma could be cut in half. And a small study co-authored by Sayour on glioblastoma showed the vaccines started affecting the tumors within 48 hours.Like any vaccine, mRNA cancer vaccines train the body to recognize and destroy harmful cells.Unlike foreign pathogens, such as infectious diseases, cancer is caused by the growth of the patient’s own cells.Some cancer vaccines are highly personalized, using a patient’s own cancer cells to treat their tumors or train their immune system to kill off those dangerous cells if they recur.“The ability to create specific vaccines for patients has tremendous, tremendous promise, but that was technology not possible five or 10 years ago,” said Sasson. “It really is a shift in the paradigm of how we treat cancers.”Researchers are also investigating vaccines that would target cancer cells more broadly by identifying “fingerprints” of certain cancers, said Sayour.Additionally, the vaccines could be created for other conditions, such as type 1 diabetes and multiple sclerosis, he said.“It has potential to get rid of a lot of the chronic morbidity we see from disease, to cure diseases that are degenerative, to overcome cancer evolution and cure patients,” Sayour said. “mRNA could be the healthcare that the movable-type printing press was for human knowledge.”Yet federal and state decision-makers have targeted mRNA vaccines in recent months.Vinay Prasad, director of the Center for Biologics Evaluation and Research at the US Food and Drug Administration (FDA), reportedly overrode scientists at the agency to limit some Covid vaccines, including a new mRNA shot from Moderna, to children older than 12. Prasad also introduced similar limitations on the Covid shot from Novavax, which does not use mRNA.On Thursday, the FDA approved the original Covid mRNA vaccine from Moderna for children between the ages of six months and 11 years – but they narrowed its use to children with at least one underlying condition. (The vaccine for people older than 12 was approved in 2022.)Prasad argued, in two memos recently released by the FDA, that the risks of Covid had dropped, while “known and unknown” side-effects could outweigh the benefits of getting vaccinated.Covid remains a leading cause of death in the US, with 178 deaths in the week ending 7 June, the last week for which the US Centers for Disease Control and Prevention (CDC) offers complete data.At the meeting of the CDC’s advisory committee on immunization practices (ACIP) in June, two of the new vaccine advisers – appointed by the health and human services (HHS) secretary, Robert F Kennedy Jr, after he fired the previous 17 advisers – broached the safety of Covid mRNA vaccines, indicating future scrutiny of these shots.Vicky Pebsworth, a registered nurse who has volunteered for years with the National Vaccine Information Center, said she was “very concerned” about side-effects from the Covid mRNA shots and asked for more data on safety, including “reproductive toxicity”.Shortly before being appointed to the ACIP, Pebsworth and the founder of the National Vaccine Information Center argued that the FDA should not recommend mRNA Covid-19 shots for anyone “until adequate scientific evidence demonstrates safety and effectiveness for both the healthy and those who are elderly or chronically ill”.At the June ACIP meeting, Retsef Levi, a professor of operations management at the MIT Sloan School of Management, said he believed mRNA side-effects were “being reported at rates that are far exceeding other vaccines even when you normalize to the number of doses, which does suggest something, I think”.skip past newsletter promotionafter newsletter promotionPreviously, Levi argued: “The evidence is mounting and indisputable that mRNA vaccines cause serious harm including death, especially among young people. We have to stop giving them immediately!”Another new ACIP adviser, Robert Malone, has also repeatedly argued against mRNA vaccines.In 2021, Kennedy, then chair of the anti-vaccine organization Children’s Health Defense, petitioned the FDA to revoke all approvals, and ban future approvals, of all Covid vaccines. He has called Covid shots the “deadliest vaccine ever made”.In May, Kennedy changed Covid vaccine recommendations from “should” to “may” for children, and eliminated the recommendation for pregnant women entirely.Also in May, the US canceled $766m in contracts for research on mRNA vaccines against H5N1 bird flu. Investment in the mRNA vaccine was not “scientifically or ethically justifiable”, Andrew Nixon, the HHS communications director, said in statements to the media, adding that the “mRNA technology remains under-tested”.Millions of mRNA vaccines have been given around the world, and the vaccines have been shown to be safe and effective in multiple studies.Bans or limitations on mRNA vaccinations have been introduced in seven states. One such bill in Idaho sought to pause “gene therapy immunizations” for 10 years – a category in which they incorrectly place Covid vaccines, and which could affect other therapeutics.Similarly, in Washington state, commissioners in Franklin county passed a resolution urging the local health facility to stop providing and promoting gene-therapy vaccines; they also incorrectly included Covid mRNA shots in this category.“There’s this scorched-earth mentality now, but I’m hopeful that once the dust settles, we’ll be able to reinstate or allow vaccine work for cancer purposes to proceed,” Sasson said.Cancer is the second leading cause of death in the US, and two in five people will be diagnosed with some form of cancer in their lifetime.There are currently only two FDA-approved vaccines that prevent cancer – hepatitis B and human papillomavirus (HPV) – and both have been targeted by anti-vaccine activists.In January, Trump hosted the launch of Stargate AI at the White House. The project could eventually identify cancers and develop mRNA vaccines in days, Larry Ellison, the chair of the tech company Oracle who is involved with the project, said at the launch.The project will be funded by private, not federal, dollars, but the work on cancer would draw upon research on cancer and mRNA, among other fields.Yet the Trump administration has slashed other critical funding for cancer research, prevention and treatment.The administration canceled more than $180m in grants through the National Cancer Institute (NCI) in the first three months of its term, and proposed cutting $2.7bn from the cancer center in the next NIH budget.The administration has cut back funding for some family planning providers, which frequently offer screenings for HPV and other cancer markers.Lawmakers have also made enormous cuts to Medicaid and insurance through the Affordable Care Act (ACA), which could mean uninsured and underinsured people wait longer for cancer treatment – or forgo it entirely.“There’s the potential for great harm, for massive public health issues to be set aside during this really broad approach of canceling research,” said Sasson. “There’s significant harm that’s going to happen by these sweeping changes.”For scientists who still have funding or those who are entering the field, “there’s tremendous uncertainty as to what the future will look like”, Sasson said.But he is optimistic that mRNA vaccines for cancer and other illnesses will be able to move forward.Scientists are often portrayed as “just trying to survive” funding cuts, but that’s not entirely accurate, said Sayour, before adding: “I don’t think many people in my field do this because they’re just trying to survive. I would want nothing more, honest to God, than to put myself out of business. We do this because we want to make a difference.”Sayour echoed concerns about both indirect and direct forces shaping progress on mRNA vaccines.“But I also want to be optimistic that our best days are ahead of us,” he said. More

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      Pregnant doctor denied Covid-19 vaccine sues Trump administration

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      A pregnant physician who was denied a Covid-19 vaccine is suing the Trump administration alongside a group of leading doctors associations, charging that the administration sought to “desensitize the public to anti-vaccine and anti-science rhetoric”, according to their attorney.The lawsuit specifically takes aim at health secretary Robert F Kennedy’s unilateral decision to recommend against Covid-19 vaccines for pregnant women and healthy children.Kennedy’s announcement circumvented expert scientific review panels and flouted studies showing pregnant women are at heightened risk from the virus, and made it more difficult for some to get the vaccine.“This administration is an existential threat to vaccination in America, and those in charge are only just getting started,” said Richard H Hughes IV, partner at Epstein Becker Green and lead counsel for the plaintiffs in a statement.The American Academy of Pediatrics, American College of Physicians and American Public Health Association are among a list of leading physicians associations named as plaintiffs in the lawsuit.“If left unchecked, secretary Kennedy will accomplish his goal of ridding the United States of vaccines, which would unleash a wave of preventable harm on our nation’s children,” said Hughes. “The professional associations for pediatricians, internal medicine physicians, infectious disease physicians, high-risk pregnancy physicians, and public health professionals will not stand idly by as our system of prevention is dismantled. This ends now.”In late May, Kennedy announced that the Centers for Disease Control and Prevention (CDC) would no longer recommend Covid-19 vaccines for healthy children or pregnant women. The announcement, made on social media, contradicted a raft of evidence showing pregnant women and infants are at especially high-risk from the disease, including from the administration’s own scientific leaders.In June, Kennedy went further by firing all 17 sitting members of a key vaccine advisory panel to the CDC. The advisory panel is a key link in the vaccine distribution pipeline, helping to develop recommendations insurers use when determining which vaccines to cover.That panel met for the first time in late June. Members announced they would review both the childhood vaccine schedule and any vaccines that had not been formally reviewed in seven years. They also recommended against a long-vilified vaccine preservative, in spite of a lack of evidence of harm.The news comes amid the largest annual measles case count in 33 years, and amid reports of more parents seeking early vaccination for their children, fearing vaccines will go into shortage or no longer be covered by insurance. More

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      US posts highest annual measles case tally in 33 years amid Texas outbreak

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      The annual tally of measles cases in the US is the highest in 33 years, as an ongoing outbreak in west Texas continues to drive cases.The latest figures mean Americans will have to look back to 1992 to find a worse year with the vaccine preventable disease. The official tally very likely undercounts the scope of the outbreak, experts told the Guardian.“When you talk to people on the ground, you get the sense that this outbreak has been severely underestimated,” said Dr Paul Offit, director of the vaccine education center at the Children’s Hospital of Philadelphia. Confirmed cases appear to be the “tip of a much bigger iceberg”, he said.Measles was declared eliminated in the US in 2000. However, as the pandemic disrupted routine childhood visits to the doctors and anti-vaccine organizations saw their coffers swell during the pandemic, measles vaccination rates have fallen below a critical threshold to prevent outbreaks in some communities.As of 4 July, Johns Hopkins University’s Center for Outbreak Response Innovation counted 1,277 measles cases. The Centers for Disease Control and Prevention (CDC) reports 1,267 cases, but has not updated its data since 2 July.“The number of new cases has slowed down, but I don’t think there’s any reason to suggest this will be our last,” said Dr Peter Hotez, a vaccine expert and dean for the national school of tropical medicine at Baylor College of Medicine in Houston, Texas.He later added: “It’s a very dark epidemic that never had to happen.”The latest national tally will eclipse 2019, when unvaccinated members of New York City’s isolated orthodox Jewish community drove a large outbreak, and the nation ended the year with 1,274 confirmed measles cases.Americans will need to look back to 1992 to find a higher annual measles tally. In 1992, the CDC confirmed 2,126 cases, with the largest outbreaks in Kentucky and Texas. Texas has confirmed 753 cases in 2025, according to the state health department, opening up the possibility that Texas could exceed the 1992 annual total as well.The enormous outbreak comes as Donald Trump’s health secretary, Robert F Kennedy Jr, who once ran an influential anti-vaccine group, has injected upheaval into US vaccine policy and spread misinformation about treatments for the disease.Measles is a viral disease characterized by a top-down rash, high fever, runny nose and red, watery eyes. The virus is one of the most infectious diseases known to medicine. There is no cure for measles. The best way to prevent measles is by getting vaccinated with the measles, mumps and rubella vaccine (MMR), which is 97% effective with two doses.Although most people recover, as many as one in five infected children require hospitalization; one in 20 get pneumonia and one in 1,000 can develop encephalitis, which can lead to lifelong disability, according to the CDC. The disease can also weaken the host’s immune system and lead to more future infections. In rare cases, measles can cause an incurable degenerative brain disorder. The US has already seen three deaths from measles this year, both in otherwise healthy children.Before a measles vaccine was licensed in 1963, an estimated 3-4 million Americans were sickened each year, 48,000 were hospitalized and an estimated 400-500 died, according to the CDC. From 1994 to 2023 in the US alone, the CDC estimates the measles vaccine saved 85,000 lives and prevented 104m illnesses.Although the vaccine has been wildly successful, it has also been the target of sustained misinformation by people who have a financial stake in reduced vaccine uptake.In 1998, a British doctor hypothesized a link between the MMR and increasing autism rates. The doctor, Andrew Wakefield, was later found to have committed fraud, failed to report conflicts of interest and lost his license. The article was retracted.Reams of science has since examined and re-examined the evidence, and found no link between the MMR vaccine and autism. Still, the debunked connection has found an afterlife as a talking point for anti-vaccine groups who have attracted a vocal minority of parents. The overwhelming majority of Americans still vaccinate children against measles.Now, alongside longtime anti-vaccine talking points about autism and “medical freedom”, Hotez said a new threat was the, “very pernicious health and wellness and influencer movement that’s got a big profit motive”.Outbreaks appear to be “occurring in the same [parts] of the US that had some of the lowest Covid vaccination rates”, said Hotez, introducing the possibility that anti-vaccine sentiment is “spilling over to childhood immunizations”.In June, Kennedy unilaterally fired all 17 expert members of a CDC advisory panel on vaccines and stacked the committee with seven ideological allies. The advisory committee is a key link in the vaccine distribution pipeline.Among those allies now serving on the committee are medical professionals with fringe beliefs and known anti-vaccines advocates. In June, the group met for the first time, and said it would form a new committee to re-evaluate the childhood vaccine schedule.“We’ve not only eliminated measles, we’ve eliminated the memory of measles,” said Offit. “People don’t remember how sick this virus can make you – or how dead it can make you.” More

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      Nurse on new CDC vaccine panel said to have been ‘anti-vax longer than RFK’

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      One of the new members of a critical federal vaccine advisory board has argued for decades that vaccines caused her son’s autism – a connection that years of large-scale studies and reviews refute.Registered nurse Vicky Pebsworth is one of eight new members to the Centers for Disease Control and Prevention’s (CDC) Advisory Committee on Immunization Practices (Acip), all hand-picked by the vaccine skeptic and Donald Trump’s health secretary Robert F Kennedy Jr.“She’s probably been anti-vax longer than RFK has,” said Dr David Gorski, a Wayne State University School of Medicine professor, who is considered an expert on the anti-vaccine movement.Kennedy fired all 17 of the committee’s previous members in June and stacked it with ideological allies. Pebsworth and Kennedy would have probably been known to each other, because their respective non-profits supported one another’s efforts.“If I had a child who I believed had been harmed by whatever – it doesn’t have to be vaccines – I wouldn’t then trust myself to be on a federal safety commission on that issue,” said Seth Mnookin, a Massachusetts Institute of Technology professor in science journalism who met and profiled Pebsworth in the mid-2000s.Pebsworth was also part of a 2020 lawsuit against Covid-19 vaccine mandates that aligns with Kennedy’s agenda. In a declaration to federal court, Pebsworth argued that “increases in the number of vaccines in the CDC schedule may be causally related to increases in the rates of chronic illness”, an assertion that appears to be based on a debunked study, but has long been a talking point of anti-vaccine activists.“They’re the oldest prominent organization,” said Mnookin, whose book is called The Panic Virus: A True Story of Medicine, Science, and Fear. The information center represents “the start of the modern-day anti-vaccine movement in the US”, said Mnookin.Pebsworth joined Acip from the National Vaccine Information Center, where she has served as volunteer research director since 2006, according to a résumé filed in the same case. The Guardian sent a list of questions and an interview request to Pebsworth, but did not receive a response.The National Vaccine Information Center started in Virginia as Dissatisfied Parents Together in 1982, before changing its name in 1995. The group went on to receive major funding support from Dr Joseph Mercola, once described as “the most influential spreader of coronavirus misinformation online”.Like other new members of Acip, Pebsworth comes to the role with medical credentials; she has a doctorate degree in nursing, taught college research courses and served as a consumer representative on federal panels.For decades, she has publicly argued that her son, Sam, was injured by the measles, mumps and rubella (MMR) vaccine in 1998 – despite evidence showing there is no connection between vaccines and autism.Pebsworth organized conferences about alternative treatments for autism as early as 2001, including one in Michigan where then-doctor Andrew Wakefield spoke and where she told a reporter she had placed her son on a restrictive diet and administered chelation therapy – a treatment for heavy metal poisoning. Neither has been found to effectively treat autism.“Back then in the early 2000s or the late 1990s, there were two main flavors of the anti-vax,” said Gorski.In Britain, Wakefield’s paper in the Lancet proposed a link between the MMR vaccine and autism. His paper would be retracted in 2010 amid evidence of fraud and conflicts of interest.“But then there was the American flavor with mercury and thimerosal, which had been used in several childhood vaccines as a preservative,” said Gorski. “Back in the day we used to call them the ‘mercury militias’, but others used to call it the ‘mercury moms’.”Thimerosal is a vaccine preservative that has been used since before the second world war. Its safety is considered settled science and yet it has been the subject of misinformation for decades.A galvanizing moment for the anti-vaccine movement came in 2015, when one of the worst measles outbreaks in years tore through Disneyland in California. The outbreak prompted lawmakers to tighten vaccine requirements for schools, drawing parents into the fray and providing a platform for anti-vaccine groups.“I used to call anti-vax the pseudoscience that spanned the political spectrum – you could find leftwing anti-vaxxers, rightwing anti-vaxxers,” said Gorski. “But now it’s really, really built into the right,” he said. “You can’t deny that any more. It’s become part of rightwing ideology.”In 2017, Pebsworth testified before a Virginia house subcommittee against a school mandate for a meningitis vaccine. In 2020, as Americans anxiously waited for a Covid-19 vaccine, she warned Americans could face unknown consequences from the vaccines. Pebsworth later testified in 2021 before the University of Hawaii’s board of regents, arguing against Covid-19 vaccines.In most public testimony, Pebsworth identifies herself not only as the volunteer research director for the National Vaccine Information Center, but also as “the mother of a child injured by his 15-month well-baby shots in 1998”.“Groups like hers and probably even more prominently the Informed Consent Action Network have seen that most vaccine policy is at the state level,” said an expert in state vaccine law who declined to go on the record for fear of retaliation from the Department of Health and Human Services.“They have a list of model legislation they encourage supporters to try to get introduced,” the expert said. At the same time, the groups have failed to accomplish their “big swings”: getting schools to drop vaccine mandates.The expert continued: “My sense is that legislators know they’re hearing from a very vocal minority. Landslide majorities still support requirements. It’s lower than it was before the pandemic, but the public still understands the needs for these laws.”By 2017, Trump was weighing whether this vocal group could become part of his coalition. Before his first inauguration in early January 2017, Trump publicly said he was considering Kennedy to head a new committee on vaccines and autism.Only days before she was appointed to ACIP, Pebsworth and the founder of the National Vaccine Information Center argued against Covid-19 vaccines, stating in part: “FDA should not be recommending mRNA Covid-19 shots for anyone until adequate scientific evidence demonstrates safety and effectiveness for both the healthy and those who are elderly or chronically ill.” More than 270 million Americans have received Covid-19 vaccines, and the federal government has closely monitored for rare events.That old trope of thimerosal played a leading role in the first meeting of Kennedy’s reconstituted Acip panel. Committee members heard a presentation against thimerosal from Lyn Redwood, the former president of the World Mercury Project, which would become Kennedy’s anti-vaccine group Children’s Health Defense. A report on thimerosal’s safety by career CDC scientists was pulled from the meeting by Kennedy’s office.Ultimately, members recommended against seasonal influenza vaccines that contain thimerosal in a decision that shocked medical and scientific communities. Pebsworth abstained, arguing she wanted to vote separately on whether to recommend influenza vaccines.Pebsworth later said she wanted to vote separately on whether to recommend seasonal flu vaccines. She did not respond to questions from the Guardian about how she would have voted on flu shots, if she had the chance. More

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      RFK Jr grilled on vaccine policies and healthcare fraud in bruising House hearing

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      Robert F Kennedy Jr, the US health secretary, faced a bruising day on Capitol Hill on Tuesday, including being forced to retract accusations against a Democratic congressman after claiming the lawmaker’s vaccine stance was bought by $2m in pharmaceutical contributions.In a hearing held by the House health subcommittee, Kennedy was met with hours of contentious questioning over budget cuts, massive healthcare fraud and accusations he lied to senators to secure his confirmation.Kennedy launched his attack on representative Frank Pallone after the New Jersey Democrat hammered him over vaccine policy reversals. “You’ve accepted $2m from pharmaceutical companies,” Kennedy said. “Your enthusiasm for supporting the old [vaccine advisory committee] seems to be an outcome of those contributions.”The accusation appeared to reference Pallone’s shift from raising concerns about mercury in FDA-approved products in the 1990s to later supporting mainstream vaccine policy – a change Kennedy suggested was motivated by industry money rather than science.After a point of order, the Republican chair ordered Kennedy to retract the remarks after lawmakers accused him of impugning Pallone’s character. But the pharma attack was overshadowed by accusations that Kennedy lied his way into office. Representative Kim Schrier, a pediatrician, asked Kennedy: “Did you lie to senator [Bill] Cassidy when you told him you would not fire this panel of experts?”Two weeks ago, Kennedy axed all 17 members of the CDC’s vaccine advisory committee, despite assurances to Cassidy during confirmation hearings.“You lied to senator Cassidy. You have lied to the American people,” Schrier said. “I lay all responsibility for every death from a vaccine-preventable illness at your feet.”Kennedy denied making promises to Cassidy.The hearing exposed the deepening fractures in Kennedy’s relationship with Congress, even among Republicans who initially supported his confirmation. What began as a routine budget hearing devolved into accusations of dishonesty, conflicts of interest and fundamental questions about whether Kennedy can be trusted to protect public health.In one moment, representative Alexandria Ocasio-Cortez pressed Kennedy about his ignorance to the Trump administration’s reported investigation of UnitedHealthcare, the nation’s largest health insurer, for criminal fraud in Medicare Advantage plans.“You are not aware that the Trump Department of Justice is investigating the largest insurance company in America?” Ocasio-Cortez asked again after suggesting he couldn’t confirm that it was happening.When she said that for-profit insurers such as UnitedHealthcare defraud public programs of $80bn annually, Kennedy appeared confused about the scale: “Did you say 80 million or billion?”“80 with a ‘B’,” Ocasio-Cortez said.For Democrats, Tuesday’s performance confirmed their worst fears about a vaccine-skeptical activist now controlling the nation’s health agencies. For Kennedy, it marked an escalation in his battle against what he calls a corrupt public health establishment pushing back on his radical vision.But behind the political theater lay a fundamental reshaping of America’s public health architecture. Kennedy’s cuts have eliminated entire offices and centers, leaving them unstaffed and non-functional. While he defended the reductions as targeting “duplicative procurement, human resources and administrative offices”, he hinted that some fired workers might be rehired once court injunctions on the layoffs are resolved.Kennedy recently replaced the fired vaccine advisers with eight new appointees, including known spreaders of vaccine misinformation. The move alarmed even supportive Republicans such as Cassidy, who called Monday for delaying this week’s advisory meeting, warning the new panel lacks experience and harbors “preconceived bias” against mRNA vaccines.Kennedy has long promoted debunked links between vaccines and autism, raising fears his appointees will legitimize dangerous anti-vaccine theories.He also explained why he was pulling Covid-19 vaccine recommendations for pregnant women, claiming “there was no science supporting that recommendation” despite extensive research showing the vaccines’ safety during pregnancy.“We’re not depriving anybody of choice,” Kennedy insisted. “If a pregnant woman wants the Covid-19 vaccine, she can get it. No longer recommending it because there was no science supporting that recommendation.”In another sidebar, Kennedy unveiled his vision for America’s health future: every citizen wearing a smartwatch or fitness tracker within four years. The ambitious scheme, backed by what he promised would be “one of the biggest advertising campaigns in HHS history”, would see the government promoting wearables as a possible alternative to expensive medications.“If you can achieve the same thing with an $80 wearable, it’s a lot better for the American people,” Kennedy said. More

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      Key RFK Jr advisers stand to profit from a new federal health initiative

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      Federal health officials are seeking to launch a “bold, edgy” public service campaign to warn Americans of the dangers of ultra-processed foods in social media, transit ads, billboards and even text messages.And they potentially stand to profit off the results.Ultra-processed foods are a fixation for the US health and human services (HHS) secretary, Robert F Kennedy Jr, a vaccine skeptic who believes the US industrialized food supply is a “primary culprit” behind many chronic diseases.“We need to fix our food supply. And that’s the number one thing,” Kennedy said at his confirmation hearing.Bringing healthier foods to Americans has proved to be one of the most resonant issues of Kennedy’s “Make America healthy again” (Maha) campaign – and arguably the only one that Democrats and Republicans agree on in principle.Kennedy has spent most of his tenure as health secretary dismantling key components of US vaccine infrastructure, instituting mass firings and defunding chronic disease prevention programs, such as for tobacco use.The secretary has been less successful in reigning in food makers. Food advocates have described voluntary changes between the government and manufacturers “disappointing”. Kennedy was criticized by congressional Republicans for targeting agricultural pesticides in the “Maha” report before it was even released – showing the limits of Republicans appetite for regulation, then the report itself was riddled with errors, likely generated by AI.“The campaign’s creative content will turn heads, create viral moments on social media, and – above all else – inspire Americans to take back their health through eating real food,” said a document published by the federal government that described the campaign.The campaign is expected to cost between $10m to $20m, according to documents. Anyone seeking to apply for the award will have a quick turnaround – the deadline is 26 June.“The purpose of this requirement is to alert Americans to the role of processed foods in fueling the diabetes epidemic and other chronic diseases, inspire people to take personal responsibility for their diets, and drive measurable improvements in diabetes prevention and national health outcomes,” it continued.The new public relations campaign also highlights the Trump administration’s unconventional approach to hiring – including its reliance on special government employees.A key adviser to Kennedy, Calley Means, could directly benefit from one of the campaign’s stated aims: popularizing “technology like wearables as cool, modern tools for measuring diet impact and taking control of your own health”.Calley Means is a senior Kennedy adviser, and was hired as a special government employee to focus on food policy, according to Bloomberg. He founded a company that helps Americans get such wearable devices reimbursed tax-free through health savings accounts.Casey Means is Calley’s sister. She also runs a healthcare start-up, although hers sells wearable devices such as continuous glucose monitors. She is Kennedy’s nominee for US surgeon general, and a healthcare entrepreneur whose business sells continuous glucose monitors – one such wearable device. Calley Means’s company also works with Casey’s company.Due to Calley Means’s status as a special employee, he has not been forced to divest from his private business interests – a situation that has already resulted in an ethics complaint. Consumer advocates, such as the non-profit group Public Citizen, had warned such hiring practices could cause conflicts of interest. HHS did not respond to a request for comment about Calley Means’s private business interests, or his role in crafting the publicity campaign.Although the publicity campaign focuses on the ultra-processed foods connection to diabetes, at least one high profile nutritionist was queasy about its focus.“The ultra-processed foods – some of those include breakfast cereals that are ultra-processed because they are fortified with vitamins,” said Walter Willett, a professor of epidemiology and nutrition at the Harvard TH Chan School of Public Health. “Those are good if they’re whole grain breakfast cereals and whole grain breads,” he said.Ultra-processed foods are generally recognized as sodas, salty snacks and frozen meals engineered to be shelf-stable, convenient and inexpensive. Such foods are associated with increased risk of type 2 diabetes – or insulin resistance.The mechanism by which such foods could increase risk of diabetes is unknown, a problem that extends in part from the “heterogeneous category” of foods that the ultra-processed category encompasses. The publicity campaign proposal does not venture into defining the category, even as Kennedy has fixated on it “poisoning the American people”.“When you say processed foods you don’t envision a Coke in your brain, and that’s the biggest problem,” said Willett, who added that most public service campaigns are carefully crafted and tested for effectiveness. More

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      CDC vaccine panel to review ingredient RFK Jr has targeted for removal

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      A key vaccine advisory panel reconstituted by health secretary and vaccine skeptic Robert F Kennedy Jr is slated to discuss thimerosal-containing influenza vaccines in its first meeting – an ingredient which has been a fixation of anti-vaccine activists for decades.The Centers for Disease Control and Prevention’s Advisory Committee on Immunization Practices (ACIP) will hold two separate votes later this month: one on “influenza vaccines” and one on influenza vaccines that contain thimerosal.Thimerosal is an ethylmercury preservative used in multi-dose vaccine vials to prevent fungi and bacteria growth. The preservative has been studied and deemed safe, but was nevertheless removed from all routine childhood vaccines in 2001 as a precaution.“I was there when we went through this the first time,” said Dr Paul Offit, director of the vaccine education center and an attending physician in the division of infectious diseases at Children’s Hospital of Philadelphia, about debates over the preservative in the early 2000s.Offit served on the ACIP panel in question from 1998 to 2003. He said the issue of thimerosal was vigorously debated and found safe then, prompting him to ask: “What’s the point?”In a short history of the thimerosal controversy published in the New England Journal of Medicine, Offit described how some parents became convinced thimerosal gave their children autism, resulting in thousands of autistic children receiving heavy metal chelation treatments each year.Studies have found no link between thimerosal and autism, according to the American Academy of Pediatrics. The National Vaccine Injury Compensation Program has also denied claims of a thimerosal-autism link. Kennedy, however, has written a book arguing against the use of thimerosal.Offit said the discussion of thimerosal appeared to geared to, “accomplish [Kennedy’s] goals of making vaccines less affordable, less accessible and more feared”, he said.“Here’s what you do know – you do know RFK Jr is an anti-vaccine, science-denying conspiracy theorist. He is devoted to this, he is a zealot, there is no middle ground with him,” said Offit. “He believes we have merely substituted infectious diseases for chronic diseases.”The panel’s advisory recommendations are critical because they result in vaccine “schedules”. These schedules are relied on by health insurers to determine which vaccines to cover and by clinicians who use them as an evidence-based guide on immunization – effectively giving the American public access to the medicines.Although the CDC does not always take the panel’s advice, the CDC typically affirms the panel’s decisions. However, the agency is currently without a leader, as Senate hearings have not yet been held for nominee and CDC career official Susan Monarez. As a result, Kennedy has signed off on some previous ACIP recommendations.Kennedy wrote a book on the preservative thimerosal in 2014 called Thimerosal: Let the Science Speak, in which he argues that “there is a broad consensus among research scientists that thimerosal is a dangerous neurotoxin that should be immediately removed from medicines”. Kennedy said in the book he is “pro-vaccine”.Until 9 June, the ACIP was an independent panel of 17 experts who served staggered terms and were rigorously vetted by career CDC staff. Kennedy broke with tradition when he fired the entire panel, claiming in a Wall Street Journal editorial that he was working to “restore public trust in vaccines”.The same week, Kennedy appointed eight new members to the committee, including medical professionals with little vaccine expertise and known vaccine skeptics.A wide spectrum of groups criticized the decision, from MomsRising, who said they were “alarmed and disgusted”, to major doctors’ groups such as the American Academy of Pediatrics, to public health leaders who described Kennedy’s actions as “a coup,” to the former members of the committee, who warned the independent panel was at “a crossroads”.The group is scheduled to meet the last week of June. Prior to Kennedy’s changes, they had been expected to discuss reducing the number of shots needed for human papilloma virus (HPV) and a meningococcal vaccine.On Wednesday, the panel released a draft agenda for its upcoming meeting. A wide range of vaccines will be discussed – including those against influenza; the tropical disease chikungunya; the measles, mumps, rubella and varicella (chickenpox) vaccine; anthrax; Covid and respiratory syncytial virus (RSV).The agenda scheduled a vote on recommendations for flu vaccines, including the multidose versions that still contain thimerosal. These vaccines are used only in adolescents and adults. The panel is also scheduled to vote on recommendations for maternal and pediatric versions of the respiratory syncytial virus (RSV).Notably, despite Kennedy’s repeated pledges of “radical transparency”, the draft agenda does not include the names of many speakers, which are listed as “TBD” (to be determined) for instance on “Covid-19 safety update”.New ACIP members have not been added to a conflict of interest tracker for ACIP members developed by the Trump administration. A spokesperson for HHS said the new members ethics agreements “will be made public” before they start work with the committee.In addition to the new draft agenda, there have also been changes to the committee’s meeting times not reflected in the Federal Register, according to Politico. The group will meet for two days instead of three, and there does not appear to be a vote scheduled on Covid vaccines. More