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      Sold-out farm shops, smuggled deliveries and safety warnings: US battle over raw milk grows

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      It’s 8am, and Redmond, an 11-year-old Brown Swiss dairy cow and designated matriarch of the Churchtown Dairy herd, has been milked in her designated stall. She is concentrating on munching hay; her seventh calf is hovering nearby.The herd’s production of milk, sold unpasteurised in half-gallon and quart glass bottles in an adjacent farm store, sells out each week. It has become so popular that the store has had to limit sales.Redmond and her resplendent bovine sisters, wintering in a Shaker-style barn in upstate New York, appear unaware of the cultural-political storm gathering around them – an issue that is focusing minds far from farmyard aromas of mud and straw.The production and state-restricted distribution of raw milk, considered by some to boost health and by ­others to be a major risk to it, has become a perplexing political touchstone on what is termed the “Woo-to-Q pipeline”, along which yoga, wellness and new age spirituality adherents can drift into QAnon conspiracy beliefs.Robert F Kennedy Jr, Donald Trump’s pick to run the US Department of Health, is an advocate. He has made unpasteurised milk part of his Make America Healthy Again movement and recently tweeted that government regulations on raw milk were part of a wider “war on public health”.View image in fullscreenRepublican congresswoman and conspiracy theorist Marjorie Taylor Greene has posted “Raw Milk does a body good”. But the US Food and Drug Administration (FDA) says that “raw milk can carry dangerous germs such as salmonella, E coli, listeria, campylobacter and others that cause foodborne illness”.Last week, the US Department of Agriculture issued an order to broaden tests for H5N1 – bird flu – in milk at dairy processing ­facilities, over fears that the virus could become the next Covid-19 if it spreads through US dairy herds and jumps to humans. Since March, more than 700 dairy herds across the US have tested ­positive for bird flu, mostly in California. But the new testing strategy does not cover farms that directly process and sell their own raw milk.At the same time, another dairy product has become the subject of conspiracy theories after misinformation spread about the use of Bovaer in cow feed in the UK. Arla Foods, the Danish-Swedish company behind Lurpak, announced trials of the additive, designed to cut cow methane emissions, at 30 of its farms. Some social media users raised concerns over the additive’s safety and threatened a boycott, despite Bovaer being approved by regulators.In the US, raw milk is seen as anti-government by the right, anti-corporate by the left, and amid the fracturing political delineations, lies a middle ground unmoved by either ideology.“Food production has always been political,” says Churchtown Dairy owner and land reclamation pioneer, Abby Rockefeller.Churchtown manager Eric Vinson laments raw milk has been lumped in with QAnon and wellness communities. “There’s an idea around that ­people who want to take ownership of their health have started to become conspiratorial,” he says. “It’s unfortunate. Raw milk may be a political issue but it’s not a right-left issue.”Iowa, Montana, North Dakota, Alaska, Georgia, and Wyoming have passed laws or changed rules to allow the sale at farms or shops since 2020. In New York, sales are legal at farms with permits, although supplies are smuggled into the city marked “for cats and dogs”. There is no suggestion Churchtown is involved in that.Amish communities abandoned a non-political stance in the national elections in November and voted Republican, in part over the raw milk issue. An Amish organic farm was raided by the Pennsylvania Department of Agriculture in January.There are also the health-aware “farmers’ market mums”, who say they are looking to raw milk for an immunity boost, and who harbour latent anger over the government pandemic response and vaccine mandates.View image in fullscreenRachel, a Manhattan mother of a three-year-old, who declined to be fully identified, citing potential social judgment, said: “After Covid, more of us started thinking about our bodies and health because of scepticism around doctors, hospitals and a corrupted health care system.” But like many people, she said, she felt she’d been “caught in the middle” of a political battle.Sales of raw milk are up between 21% and 65% compared with a year ago, according to the market research firm NielsenIQ. Mark McAfee, California raw milk advocate and owner of Raw Farm USA in Fresno, says production and supply across the state is growing at 50% a year. But the FDA and the Centers for Disease Control and Prevention call raw milk one of the “riskiest” foods people can consume. Experts say they are “horrified” by a trend they consider a roll-back of Louis Pasteur’s 19th-century invention of pasteurisation.Vinson disagrees with the idea that raw milk is “inherently dangerous” and argues, because conventional dairies rely on pasteurisation, “they don’t have to worry about sanitation around the milking practices – they can cut corners”. “You have to be more careful producing raw milk but it brings a higher price,” he adds.View image in fullscreenSince the pandemic, visitors to Churchtown have increased.Earlier this month, McAfee’s Raw Farm was hit by a notice from the California Department of Health warning that H5 virus, better known as bird flu, had been detected in a batch of cream-top whole raw milk.It’s not yet known if the virus can be transmitted to people who consume infected milk but the CDC officials warn that people who drink raw milk could theoretically become infected.Back at Churchtown Dairy, Vinson is tending the herd. A huge Jersey cow shadows her four-day old calf. At weekends, he offers tours of the barn to raw milk-curious visitors. “One of my main jobs is informing the public about farming and agricultural issues,” he says. That includes being receptive to changes. “It is important to say we don’t know everything and keep an eye open.” More

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      Mitch McConnell condemns petition to revoke approval of polio vaccine by RFK Jr adviser

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      US Senate minority leader and polio survivor Mitch McConnell has condemned attempts to undermine the polio vaccine after reports that a lawyer affiliated with Robert F Kennedy Jr – the health secretary pick for Donald Trump’s second presidency – petitioned for the Food and Drug Administration to revoke its approval of the vaccine.In a statement reported by numerous outlets on Friday, McConnell, who contracted the disease as a child in 1944 – 11 years before the licensing of the world’s first polio vaccine – said: “The polio vaccine has saved millions of lives and held out the promise of eradicating a terrible disease. Efforts to undermine public confidence in proven cures are not just uninformed – they’re dangerous.”The 82-year-old went on to add: “Anyone seeking the Senate’s consent to serve in the incoming administration would do well to steer clear of even the appearance of association with such efforts.”McConnell’s latest comment comes after the New York Times first reported that Aaron Siri, a lawyer helping Kennedy select incoming health officials for Trump’s second White House term, filed a petition in 2022 in which he called on the FDA to revoke its polio vaccine approval. Trump has nominated Kennedy, an avowed vaccine skeptic, as health secretary for his incoming administration – a move widely criticized by health experts.According to the New York Times, Siri filed the petition on behalf of the Informed Consent Action Network, a major anti-vaccination organization in the US. Siri has also asked federal regulators to withdraw or suspend vaccines for hepatitis B and 13 other vaccines, the outlet reported.Kennedy’s anti-vaccination beliefs have been widely debunked, including the unsupported link between vaccines and autism.Polio, also known as poliomyelitis, is a highly infectious viral disease that mostly affects children under five years old. Transmitted through contaminated water, food or contact with an infected person, the poliovirus destroys nerve cells in the spinal cord, in turn causing muscle wasting and paralysis.Since 1988, polio cases have decreased by more than 99% across the world, the US Centers for Disease Control and Prevention stated on its website, adding that polio vaccines have prevented approximately 20m cases of paralysis in children since then.skip past newsletter promotionafter newsletter promotionIn response to the reports, a Trump spokesperson for Kennedy Jr told the Washington Post that Siri “has never had a conversation about these petitions with Mr Kennedy or any of the [health and human services] nominees at any point”.Among other things, the spokesperson added that the vaccine “should be investigated and studied appropriately”, which it already has been. More

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      New Jersey governor asks Biden for federal help on unexplained drones – as it happened

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      Nancy Pelosi, the Democratic former speaker of the House of Representatives, sustained an injury while on an official visit to Luxembourg and was hospitalized, her office announced.“While traveling with a bipartisan Congressional delegation in Luxembourg to mark the 80th anniversary of the Battle of the Bulge, Speaker Emerita Nancy Pelosi sustained an injury during an official engagement and was admitted to the hospital for evaluation,” spokesperson Ian Krager said.“Speaker Emerita Pelosi is currently receiving excellent treatment from doctors and medical professionals. She continues to work and regrets that she is unable to attend the remainder of the CODEL engagements to honor the courage of our servicemembers during one of the greatest acts of American heroism in our nation’s history.”He added that the 84-year-old, who just won another term representing her district that centers on San Francisco, “looks forward to returning home to the US soon”.More signs have emerged of how Donald Trump will make good on his pledge to transform the US government, once he is inaugurated president. The New York Times has reported that Aaron Siri, a lawyer who has challenged the approval of vaccines for polio, hepatitis B and other preventable diseases, is sitting in on interviews for job candidates conducted by Robert F Kennedy Jr. Separately, the Wall Street Journal says that Trump’s transition team is exploring ways to downsize or get rid of banking regulators that were created in the wake of the Great Depression, and which have repeatedly stepping in to stabilize the US economy in the decades since.Here’s what else happened today:

      Phil Murphy, New Jersey’s Democratic governor, has asked Joe Biden for federal help to learn more about the unexplained drones flying over his state.

      Nancy Pelosi, the Democratic former House speaker, has been hospitalized after fracturing her hip in Luxembourg, during a trip to commemorate the Battle of the Bulge.

      Daniel Penny, who was acquitted earlier this week on charges related to the chokehold death of an unhoused man on a New York City subway, will attend the US army-navy football game with JD Vance.

      Anita Dunn, a former Biden White House adviser, criticized the pardon of Hunter Biden.

      Trump said Republicans should repeal daylight savings time.
      Texas has launched a legal challenge to laws enacted by Democratic states to shield doctors who prescribe abortion pills, the Associated Press reports.The lawsuit by the Republican-led state against a New York doctor who prescribed abortion pills to a Texas woman could spark a fight over how abortion pills, which are the most common way the procedure is accessed, are prescribed. Here’s more, from the AP:
      Texas has sued a New York doctor for prescribing abortion pills to a woman near Dallas, launching one of the first challenges in the U.S. to shield laws that Democrat-controlled states passed to protect physicians after Roe v. Wade was overturned.
      Texas Attorney General Ken Paxton filed the lawsuit on Thursday in Collin County, and it was announced Friday.
      Such prescriptions, made online and over the phone, are a key reason that the number of abortions has increased across the U.S. even since state bans started taking effect. Most abortions in the U.S. involve pills rather than procedures.
      Mary Ruth Ziegler, a law professor at the University of California, Davis, School of Law, said a challenge to shield laws, which blue states started adopting in 2023, has been anticipated.
      And it could have a chilling effect on prescriptions.
      “Will doctors be more afraid to mail pills into Texas, even if they might be protected by shield laws because they don’t know if they’re protected by shield laws?” she said in an interview Friday.
      The lawsuit accuses New York Dr. Margaret Daley Carpenter of violating Texas law by providing the drugs to a Texas patient and seeks up to $250,000. No criminal charges are involved.
      In yet more Donald Trump policy news, the president-elect just weighed in on daylight saving time, saying on Truth Social he will support undoing it:
      The Republican Party will use its best efforts to eliminate Daylight Saving Time, which has a small but strong constituency, but shouldn’t! Daylight Saving Time is inconvenient, and very costly to our Nation.
      He’s not the only one in the GOP who’d like to see the seasonal time change – in which Americans set their clocks back an hour in the fall, and forward an hour in the spring – go away:The New York Times reports that Nancy Pelosi fell and broke her hip during her trip to Luxembourg.Citing unnamed people close to the Democratic former House speaker, they said doctors were confident they could repair the damage in a “routine operation”, but it was not yet known if that would be done in Luxembourg or the United States.New Jersey’s recently elected Democratic senator Andy Kim said he went out last night with a police officer to Round Valley reservoir in the state, where he could see the unexplained drones flying over.“The officer pointed to lights moving low over the tree line. Sometimes they were solid white light, others flashed of red and green,” Kim wrote on X.He continued:
      We oriented ourselves with a flight tracker app to help us distinguish from airplanes. We often saw about 5-7 lights at a time that were low and not associated with aircraft we could see on the tracker app. Some hovered while others moved across the horizon.
      We saw a few that looked like they were moving in small clusters of 2-4. We clearly saw several that would move horizontally and then immediately switch back in the opposite direction in maneuvers that plane can’t do.
      The police officer said they see them out every night. They only seem to start when it gets dark and they disappear before dawn. They get reports that they sometimes fly low over homes, especially up in the hills.
      The officer said they’ve tried to get closer with use of a helicopter but that the drones would turn off the lights and go dark if approached.
      New Jersey’s Democratic governor Phil Murphy is asking Joe Biden for more help from the federal government in determining the cause of a series of mysterious drones seen flying over the state.In a letter sent to Biden today, Murphy wrote:
      While I am sincerely grateful for your administration’s leadership in addressing this concerning issue, it has become apparent that more resources are needed to understand what is behind this activity. This week, the FBI testified in a joint subcommittee hearing before Congress that the federal government alone cannot address UAS [unmanned aircraft systems]. New Jersey residents deserve more concrete information about these UAS sightings and what is causing them.
      Here’s more on the unknown drones and Murphy’s request to the president:Progressive congresswoman Alexandria Ocasio-Cortez has picked up the support of two congressional caucuses in her bid to be named the top Democrat on the prominent oversight committee.The Congressional Progressive Caucus announced its endorsement of Ocasio-Cortez, writing on X:
      AOC’s fearless advocacy leading the Oversight Committee will help ensure Democrats retake the House in 2026. Our Caucus is proud to support her candidacy.
      The Congressional Hispanic Caucus’s incoming leadership committee is also backing her, saying:
      With her strong national profile and media presence, Rep. Ocasio-Cortez is critical in combating misinformation and ensuring the truth reaches the American people.
      Travis Timmerman, an American imprisoned in Syria for seven months, has been flown out of the country, the US military told AP.A US official said Timmerman was flown out on a US military helicopter. The 29-year-old said he had gone to Syria on a Christian pilgrimage and was not ill-treated while in Palestine Branch, a notorious detention facility operated by Syrian intelligence.He said he was freed by “the liberators who came into the prison and knocked the door down (of his cell) with a hammer”.Timmerman said he was released Monday morning alongside a young Syrian man and 70 female prisoners, some of whom had their children with them.He had been held separately from Syrian and other Arab prisoners and said he didn’t know of any other Americans held in the facility.Annoyance has been growing among politicians and law enforcement in New Jersey following proliferating reports of drone flights in recent weeks, including almost 50 on Sunday night alone. The Guardian’s Richard Luscombe has this report on the growing demand for answers:The governor of New Jersey has demanded that Joe Biden take control of an investigation into mysterious and more frequent appearances of multiple large drones flying over his state amid mounting frustration that federal officials are downplaying the incidents.Democrat Phil Murphy released on Friday a letter he wrote to the White House to express his “growing concern” after representatives from the Pentagon and FBI ruled out involvement by the US military, or hostile foreign actors, in numerous sightings of unexplained flying objects above about a dozen counties since the middle of November.“It has become apparent that more resources are needed to fully understand what is behind this activity,” he wrote in the letter, published the same day that reports emerged of multiple drones breaching airspace at Naval Weapons Station Earle in Monmouth county.“I respectfully urge you to continue to direct the federal agencies involved to work together until they uncover answers as to what is behind the UAS [unmanned aircraft systems] sightings.”Tens of millions of Americans cast ballots in the November election that sent Donald Trump back to the White House – and tens of millions of other did not bother. The Guardian’s Jedidajah Otte spoke to some of those in the latter group to learn why:The 2024 US presidential election had been widely characterized as one of the most consequential political contests in recent US history. Although turnout was high for a presidential election – almost matching the levels of 2020 – it is estimated that close to 90 million Americans, roughly 36% of the eligible voting age population, did not vote. This number is greater than the number of people who voted for either Donald Trump or Kamala Harris.More than a month on from polling day, eligible US voters from across the country as well as other parts of the world got in touch with the Guardian to share why they did not vote.Scores of people said they had not turned out as they felt their vote would not matter because of the electoral college system, since they lived in a safely blue or red state. This included a number of people who nonetheless had voted in the 2020 and 2016 elections.While various previous Democratic voters said they had abstained this time due to the Harris campaign’s stance on Israel or for other policy reasons, a number of people in this camp said they would have voted for the vice-president had they lived in a swing state.“I’m not in a swing state, and because of the electoral college my vote doesn’t count. I could have voted 500,000 times and it would not have changed the outcome,” said one such voter, a 60-year-old software developer with Latino heritage from Boston.Donald Trump has made clear that ordering a draconian crackdown on undocumented immigrants will be one of the first things he does, once he becomes president. The Guardian’s Adrian Carrasquillo reports that migrant rights groups are preparing to fight back:With Donald Trump ready to unleash his mass deportation policy in January, many local and national immigrant rights, legal aid and civil rights organizations are preparing for the unexpected.During his campaign, Trump often spoke of launching – on day one – “the largest deportation program of criminals in the history of America”. Now that he has been elected, various rights groups are preparing for the uncertainty of how quickly and to what extent Trump will be able to execute his plans.After his inauguration, these groups expect a flurry of executive orders around rescinding Joe Biden’s orders on immigration and facilitating efforts to deport people. Trump is likely to rescind old rules on who is a priority for deportation, making it clear that authorities will deport anyone at any time. NBC News reported there could be five executive orders on immigration.Also expected is an immediate focus on criminals and work-site raids, which the former acting Immigration and Customs Enforcement (Ice) director and incoming “border czar” Tom Homan has confirmed.“Trump’s going to try to go big and portray his effort as focused on criminals,” said Vanessa Cardenas, the executive director of America’s Voice. “But of course, they’re blurring the lines on who is considered a criminal.”More signs have emerged of how Donald Trump will make good on his pledge to transform the US government, once he is inaugurated president. The New York Times has reported that Aaron Siri, a lawyer who has challenged the approval of vaccines for polio, hepatitis B and other preventable diseases, is sitting in on interviews for job candidates conducted by Robert F Kennedy Jr. Separately, the Wall Street Journal says that Trump’s transition team is exploring ways to downsize or get rid of banking regulators that were created in the wake of the Great Depression, and which have repeatedly stepping in to stabilize the US economy in the decades since.Here’s what else has happened today so far:

      Nancy Pelosi, the Democratic former House speaker, has been hospitalized after sustaining an injury in Luxembourg, during a trip to commemorate the Battle of the Bulge.

      Daniel Penny, who was acquitted earlier this week on charges related to the chokehold death of an unhoused man on a New York City subway, will attend the US army-navy football game with JD Vance.

      Anita Dunn, a former White House adviser to Joe Biden, criticized the pardon of Hunter Biden.
      Remember Herschel Walker?The former NFL player was a Republican candidate for Senate in Georgia two years ago, but lost to Democrat Raphael Warnock after allegations of a variety of problematic conduct by Walker emerged.Walker has not been heard from much since then, and Atlanta Journal-Constitution columnist Patricia Murphy has revealed the reason why: he went back to school to get a degree he set aside to pursue a career in football.Here’s more:
      It’s not often that a story in politics makes you smile, especially these days. But that’s exactly what’s happening with the news that Herschel Walker, the former University of Georgia star running back, is graduating this week with a bachelor’s degree from the University of Georgia at the age of 62.
      Like a lot of people, Walker had planned to get his degree long ago, but, as he explained, “life and football got in the way.” In his case, “life” meant a lot – starting with getting married and signing a multimillion-dollar contract to play for Donald Trump’s New Jersey Generals in the short-lived USFL. From there, he moved to Texas to play for the Dallas Cowboys before becoming a sort of journeyman – playing for three more NFL teams and eventually returning to Dallas to play for the Cowboys once again.
      …
      Despite Washington Republicans’ most aggressive defense during the campaign’s frenzied final weeks, Walker lost to Warnock in a runoff and quickly disappeared from public view. He put his house in Atlanta on the market, cut off contact from most of his political staff and, for all anybody knew, returned to Dallas where he’d started out.
      But then, more than a year after the campaign ended, came a picture. It was Walker, tucked into a tight desk-and-chair combo, snapped in a classroom during summer school classes on UGA’s main campus in Athens. A call to the registrar’s office confirmed that he had quietly reenrolled as an undergraduate at UGA’s College of Family and Consumer Sciences where he began more than 40 years earlier. Yes, at the age of 62, Walker was a college student again.
      It’s important here to say that this was no publicity stunt. There were no press releases to the Atlanta Journal-Constitution nor quiet tipoffs from Walker or his team. He simply seemed to be back in Athens to take care of long unfinished business. More

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      RFK Jr to research unsupported link between vaccines and autism, Trump says

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      Donald Trump has said Robert F Kennedy Jr, his nominee for health secretary, may investigate a supposed link between vaccines and autism – despite a consensus among the medical establishment debunking any such connection.In a wide-ranging interview with NBC, the US president-elect claimed an investigation was justified by the increasing prevalence of autism diagnoses among American children over the past 25 years.“When you look at what’s going on with disease and sickness in our country, something’s wrong,” Trump said after the interviewer, Kristen Welker, asked him if he wanted to see some vaccines eliminated – a position for which Kennedy has argued.“If you take a look at autism, go back 25 years, autism was almost nonexistent. It was, you know, one out of 100,000 and now it’s close to one out of 100.”According to the Centers for Disease Control and Prevention (CDC), one out of every 36 children in the US were diagnosed with autism in 2020, compared with one in 150 in 2000.Kennedy, a noted vaccine sceptic, has repeatedly peddled discredited theories that the conditions is caused by childhood vaccinations.“I do believe that autism does come from vaccines,” he said in a 2023 Fox News interview in which he called for more vaccine testing.“We should have the same kind of testing place or control trials that we have for other every other medication. Vaccines are exempt from pre-licensing control trials, so that there’s no way that anybody can tell the risk profile of those products, or even the relative benefits of those products before they’re mandated. We should have that kind of testing.”Trump – who has previously said Kennedy would be allowed to “go wild” on health – said his health secretary pick would not “reinvent the wheel totally”.“He’s not going to upset any system,” he said.But on autism, he added: “Somebody has to find out. If you go back 25 years ago, you had very little autism. Now you have it … When you talk about autism, because it was brought up, and you look at the amount we have today versus 20 or 25 years ago, it’s pretty scary.”Scientists have attributed the rise in autism diagnoses to improved screening methods while saying it is caused by a complex mix of factors, including genetics, environment and conditions during pregnancy and birth.The World Health Organization has definitely ruled out a connection between autism and the measles, mumps and rubella (MMR) vaccine or other childhood inoculations.Research led by the British doctor Andrew Wakefield asserting a link between autism and the MMR jab was later discredited, with the Lancet, a medical journal, issuing a full retraction of a paper it had published based on it.Wakefield was later banned from practicing in Britain after being found by the country’s general medical council to have broken its rules on research and to have acted “dishonestly” and with a “callous disregard” for children’s health.The Guardian reported in 2018 that Wakefield had attended an inaugural ball marking the start of Trump’s first presidency the previous year at which he was quoted calling for a shakeup of the US medical establishment.“What we need now is a huge shakeup at the Centers for Disease Control and Prevention – a huge shakeup,” he said. “We need that to change dramatically.” More

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      Raw milk CEO whose products have been recalled may lead US raw milk policy

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      Mark McAfee, a California raw milk producer whose products have been recalled several times recently due to bird flu contamination, said he has been approached by Robert F Kennedy Jr’s team to guide the upcoming administration on raw milk policy.McAfee, whose dairy products were recalled after state officials detected bird flu virus in milk samples, said that the transition team for Kennedy, the nominee to lead the Department of Health and Human Services, asked him to apply for a position advising on raw milk policy and standards development. The idea, he told the Guardian, would be to create a “raw milk ordinance”, mirroring the existing federal “standard milk ordinance”.Kennedy is a notable fan of raw, or unpasteurized, milk, including McAfee’s products. If confirmed, he has said, he would work to remove restrictions on raw milk, which the Food and Drug Administration and the Centers for Disease Control and Prevention (CDC) have so far advised against consuming.Kennedy’s team did not respond immediately to the Guardian’s request for comment.If McAfee, whose farm is the largest producer of raw milk in the US, were to gain a role in the upcoming administration, it would be in line with the upcoming administration’s broader edict to put industry heads in roles regulating the very products they sell.Trump has also appointed oil executive Chris Wright for secretary of energy, and Wall Street executive Howard Lutnick for commerce secretary.McAfee’s Raw Farm in Fresno supplies raw milk and milk products to grocery stories across California, and has the unique distinction of supplying the kefir used in the smoothies at Los Angeles’s celebrity-approved Erewhon market.Nicole Shanahan, Kennedy’s running mate when he ran against Trump for the Republican presidential nomination, interviewed McAfee for a documentary about raw milk released earlier this year. She told McAfee that Kennedy was a fan, and drinks his milk when he is home in Malibu. In a post on X in October, Kennedy said that with Trump in office, the FDA’s “war on public health” would end, as would its “aggressive suppression” of raw milk.Raw milk, which is not heated to kill harmful pathogens, has been linked to the outbreak of bacterial infections including a strain of E coli that can cause kidney failure. McAfee’s farm has also been involved in several lawsuits stemming from a salmonella outbreak that sickened at least 171 people in California last year.The federal government does not regulate the sale of raw milk – states do – but the FDA prohibits the interstate sale of unpasteurized milk for human consumption. In 2008, McAfee’s company pleaded guilty to putting “pet food” stickers on its raw milk in order to illegally sell it across state lines for human consumption.McAfee and other proponents of raw milk have claimed that it has more beneficial enzymes and diverse probiotics than pasteurized milk. The current FDA and researchers have countered that milk is not, in fact, a significant source of probiotics in the first place, and that the bacteria found in raw milk – which come through infected udder tissues, or the dairy environment including soil and cow manure), and milking equipment – are not the kinds that benefit our digestive systems.But the consumption of raw milk has come under particular scrutiny this year amid a bird flu, or H5N1, outbreak, which included the first documented human cases of the virus. No known cases of bird flu virus have been confirmed in people who drank raw milk, although there are three cases in North America where the source has not been identified. Contact with raw milk and the handling of raw milk, however, has been associated with infections – especially among dairy workers.Research suggests that milk carries huge amounts of viral particles. “The most infectious thing from the cows is the milk,” said Meghan Davis, a molecular epidemiologist at Johns Hopkins University studying environmental health. In some cases, cows that tested negative for H5N1 in their respiratory tracts were found to be carrying the virus in their milk.Consuming raw milk amid the bird flu outbreak, Davis said, is inherently risky. While most people who have been infected with bird flu have reported mild illnesses, people with compromised or suppressed immune systems could experience more severe symptoms. And as more people are infected, the virus is more likely to mutate and develop more infectious or severe strains that could affect the broader population.“The impact of another pandemic would be awful,” said Davis. “Especially of a pandemic that really affects our food-producing animals as well as people.”Cats who have drunk infected raw milk have exhibited severe neurological symptoms and died.Still, McAfee vehemently denies that raw milk could be implicated in any such risks.“This is the newest platform for the FDA to attack us,” McAfee said. “There are no reported illnesses in the United States regarding [bird flu] and raw milk. Zero. But yet they say the sky is falling.”Like other proponents of raw milk, he has suggested that milk from infected cows boosts immunity to bird flu by passing on antibodies. Antibodies to H5N1, however, have not been found in raw milk products, and cow antibodies would not confer immunity to humans.This week, Raw Farm voluntarily recalled all milk and cream products made between 9 and 27 November after tests found bird flu virus in retail samples and dairy storage and bottling sites. The California department of food and agriculture also quarantined the farm and suspended the distribution of Raw Farm product produced on or after 27 November. More

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      Anti-opioid groups are ‘optimistic’ about Trump’s tariffs. Will the move help tackle the fentanyl crisis?

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      Anti-opioid campaigners in the US have welcomed Donald Trump’s threat to hit Mexico, China and Canada with increased trade tariffs if they do not curb the smuggling of the powerful drug driving the US opioid epidemic.Families and doctors grappling with a crisis that has claimed about 900,000 lives say the move may signal that a second Trump administration will finally get serious about tackling the flow of fentanyl into the US. But they also warn that much more needs to be done to reduce demand for opioids and to rein in the power of the pharmaceutical industry which created the epidemic.Trump said last week that he will issue an executive order on his return to the US presidency next month imposing a 25% tariff on goods from Mexico and Canada until their governments clamp down on the smuggling of fentanyl and other drugs into the US, and on people crossing the northern and southern borders illegally.The president-elect also said he will impose a 10% additional tariff on imports from China as the leading manufacturer of the precursor chemicals used by drug cartels to manufacture fentanyl, a highly potent synthetic opioid that is now the single largest cause of drug overdose deaths in the US.Ed Bisch, who lost his 18-year-old son Eddie to a prescription opioid overdose in 2001, said that tariffs are a sign that Trump “means business”.“I’m optimistic that the threat of substantial tariffs will lead to major cooperation in reducing the fentanyl poisoning of America,” he said.Bisch and other campaigners also say that some of Trump’s cabinet choices may signal a greater engagement with the crisis by the next administration, particularly as Robert F Kennedy Jr, who is nominated as health secretary, was a heroin user and the vice-president-elect, JD Vance, wrote a bestselling book, Hillbilly Elegy, about growing up in a household and region hit by drug addiction.Trump campaigned in 2016 and again this year on commitments to tackle the opioid epidemic which has devastated regions of America in ways that are often unseen in other parts. The crisis dragged entire communities deeper into poverty, drove up crime and greater dependency on welfare, and tore families apart.Millions of children have been raised by their grandparents because the intervening generation was imprisoned, dead or in no condition to parent. In West Virginia, the state worst hit by the epidemic, nearly half of all grandparents are raising their grandchildren.The opioid crisis has also played an important part in undermining public confidence in government institutions and medical practice in parts of the US because the epidemic grew out of the pharmaceutical industry pushing the wide prescribing of narcotic pain killers from which drug makers made billions of dollars with the complicity of the Food and Drug Administration (FDA). The epidemic then evolved as illegal supplies of heroin and then fentanyl drove up the death toll.But critics say Trump failed to follow through on his campaign promises in 2016 and his next administration will be a test of how really committed is he is on the issue in the face of what is likely to be major pushback from the drug industry.As president in 2017, Trump declared the opioid crisis a public health emergency.“No part of our society, not young or old, rich or poor, urban or rural has been spared this plague,” he said at the time.But two years later, the Government Accountability Office (GAO) criticised the Trump administration for a lack of coordination of efforts and failing to fulfill a legal requirement to issue a national drug control strategy.Robert Kent, who served as general counsel for the White House office of national drug control policy under Joe Biden, credits Trump with declaring the epidemic an emergency and establishing an opioid commission that issued guidelines on how to combat the crisis.“In Trump’s first term, he was the one who declared an opioid public health emergency, which is still in effect. The problem was there were no concrete actions taken specifically as a result. He didn’t put significant new resources into it,” he said.Kent said that the Biden administration put a greater emphasis on “harm reduction” such as the provision of overdose antidotes and test strips allowing drug users to detect fentanyl. But he fears those may be in danger from Republicans who see such measures as enabling drug use.Andrew Kolodny, director of Physicians for Responsible Opioid Prescribing and one of the first doctors to raise the alarm about the dangers of mass prescribing prescription painkillers, said harm reduction was necessary but did not get to the root causes of the epidemic.“It’s not hard for Trump to do better than Biden did on opioids. There were some good things that came out of the Biden administration. It was nice to see the federal government move more in a direction of harm reduction. But beyond that there wasn’t really that much done so by Biden,” he said.“When Biden ran for office, he put out a platform on how he would address the opioid crisis if he was president, and it was an excellent platform. But he never really implemented the plan.”Kolodny said that if Trump wants to have a significant impact in reducing opioid addiction he needs to create cheaper and easier access to treatment.“The vast majority of people with opioid use disorder actually want help for it. The reason they keep using fentanyl is that it’s much easier to get fentanyl and cheaper to get fentanyl than it is to get yourself onto buprenorphine or methadone treatment or find a doctor or programme that will very quickly enroll you in treatment when you ask for it,” he said.Researchers are still trying to decipher a drop in overdose deaths in the US last year. They believe better treatment and prevention are playing a part. The Drug Enforcement Administration said earlier this month that the amount of fentanyl found laced into other drugs had dropped and that they were therefore less potent and dangerous. The DEA head, Anne Milgram, attributed that to the Biden administration’s targeting of Mexican cartels and their supply chains.But Kent is cautious.“There’s a lot of people running around because we’ve seen a slight reduction in overdose deaths feeling like that’s mission accomplished when we’re only losing 93,000 people versus 111,000 a year. I would never define that as success in my world. Even within those numbers, underserved communities are being higher impacted at this point. In Black and brown communities the numbers are going up while the other numbers are going down. So there’s work to be done,” he said.Kent said he agrees with the need for an increased focus on the border.“We need to increase the number of staff at the border, just for a whole bunch of reasons, including illicit drugs coming across. There needs to be an investment in screening technology. And there needs to be a continued effort with China, trying to convince China to work with its chemical companies to stop selling the chemical precursors to the Mexican cartels so they can create the fentanyl,” he said.Bisch and others whose lives have been hit by the opioid epidemic are also keen to see broader reform of a system that enabled the drug companies to push mass prescription of opioids on the public in ways not permitted in other countries.Bisch supports Trump’s nomination for attorney general, Pam Bondi, who as Florida’s attorney general cracked down on doctors and “pill mills” churning out opioid prescriptions to anyone who would pay. In 2010, Florida dispensed more opioid prescriptions than every other US state combined as people travelled from across the country to buy the painkillers in bulk. Bisch wants to see Bondi use federal laws to prosecute the drug company executives who made false claims about the safety of prescription opioids in order to get them approved.He also backs Trump’s nomination of Kennedy, who has accused the FDA of putting the financial interests of the pharmaceutical industry ahead of people’s health by effectively encouraging the prescribing of too many drugs and the selection of Marty Makary to head the FDA. Makary has said doctors in the US prescribe too many medications compared with the rest of the world.“The best way to lower drug costs in the US is to stop taking drugs we don’t need,” he told the US Senate in September.In nominating Makary, Trump said the “FDA has lost the trust of Americans and lost sight of its primary goal as a regulator”. He said Makary and Kennedy would work together to “properly evaluate harmful chemicals poisoning our nation’s food supply and drugs”.Bondi is expected to have a relatively easy path to approval by the US Senate. But Kennedy and Makary may face a more difficult time. Kennedy, in particular, will face scrutiny over his rejection of vaccines. But Kolodny said they will also be up against the pharmaceutical industry.“I’ll actually be shocked if Kennedy gets confirmed and if Makary gets confirmed for FDA commissioner because big pharma doesn’t want them, and big pharma has a lot of muscle on Capitol Hill,” he said. More

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      Trump cabinet criticized as hodgepodge team unified only by ‘absolute fealty’ to him

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      During Donald Trump’s first administration, his vice-president became the target of an angry mob amid calls for him to be hanged. His top diplomat was fired via Twitter and branded “dumb as a rock”. His first attorney general was given his marching orders and called “very weak” and “disgraceful”.Despite it all, Trump has had no trouble recruiting a team eager to serve when he returns to the White House in January, even if his initial pick for attorney general, Matt Gaetz, was forced to back out amid allegations of sexual misconduct.Trump’s cabinet for his second term is nearly complete just three weeks after his stunning election victory over Kamala Harris. To his Maga (Make America great again) followers it is a team of all the talents, poised to enforce an agenda of mass deportations, gutting the federal bureaucracy and “America first” isolationism.To critics with memories of Trump’s first cabinet, however, it is an ideological hodgepodge glued together only by unquestioning fealty to the incoming 78-year-old commander-in-chief. Some have compared it to the gathering of exotic aliens in the Star Wars cantina. Others predict they will soon be fighting like rats in a sack as different factions compete for Trump’s attention.“The same thing that happened last time will happen this time,” said Rick Wilson, co-founder of the Lincoln Project, an anti-Trump group. “He cannot resist chaos. It is his drug. He will eventually start doing what he always does and turn on different people and start sandbagging his own choices for these various jobs.“It’s that pattern he has. He comes out one day and says, ‘I love so and so,’ and then the next he’s talking to his friends saying, ‘Hey, you think Tillerson’s doing a good job or is he screwing me over?’ Those things are patterns we’ve seen in Trump’s personal life, his business life and his prior administration. An 80-year-old man is not going to be a changed person.”Eight years ago, Trump arrived in Washington as a political neophyte in need of a helping hand. He appointed a cabinet that included traditional conservatives of whom he knew little. This time, he returns as a former president who has transformed the Republican party and prioritises unwavering loyalty and adherence to his agenda over qualifications and experience.This was most obvious sign of this was the selection of Gaetz for attorney general, a position key to Trump’s plans to deport undocumented immigrants, pardon January 6 rioters and seek retribution against those who prosecuted him over the past four years. Gaetz’s replacement, Pam Bondi, is a longtime ally who declared after Trump was criminally charged that the “investigators will be investigated”.View image in fullscreenThere was a similar motivation behind the choice of Pete Hegseth, a former Fox News host, for defence secretary despite him having no track record in government. Hegseth fits with a drive to purge perceived “woke” policies from the military. He has denied allegations made in a police report that he sexually assaulted a woman in 2017 at a conference in California.Trump’s selections are sending mixed economic signals. The nomination of the Wall Street billionaire Scott Bessent to head the treasury implies an attempt to reassure markets (it is also notable because Bessent used to work for George Soros, the target of countless rightwing conspiracy theories). But Howard Lutnick, nominated for commerce secretary, has praised the president-elect’s proposed use of tariffs. Vice-president-elect JD Vance is also among those pushing a more protectionist agenda on trade.And Trump’s pick of Lori Chavez-DeRemer, a congresswoman from Oregon, as labor secretary could be one of the rare selections that draws bipartisan support. She is considered one of the most union-friendly Republicans in Congress, and her selection was viewed as a way for Trump to reward union members who voted for him.On foreign policy, Trump made a relatively conventional choice in Marco Rubio for secretary of state. The Florida senator has advocated in the past for a muscular foreign policy with respect to foes including China, Iran and Cuba. But the president-elect also intends to put Tulsi Gabbard, a former Democrat who has previously made statements sympathetic to Russia, as director of national intelligence.Other picks include Brooke Rollins, president of the America First Policy Institute thinktank, as agriculture secretary; Doug Burgum, a wealthy former software company executive, as interior secretary; and Linda McMahon, former chief executive of World Wrestling Entertainment, as education secretary – overseeing an agency that Trump pledged to eliminate.Then there is Robert Kennedy Jr, an anti-vaccine activist and sceptic of established science. Kennedy’s career as an environmental lawyer could put him at odds with Trump’s “drill, baby, drill” philosophy and figures such as Lee Zeldin, set to lead the Environmental Protection Agency with a mandate to slash environmental regulation. Kennedy has also been condemned by Mike Pence, the former vice-president, and other social conservatives for supporting abortion rights.Outside the cabinet, Elon Musk and Vivek Ramaswamy’s “Department of Government Efficiency”, while lacking official authority, signals a strong push for drastic budget cuts and deregulation. And despite campaign trail denials, Trump has embraced Project 2025, a controversial plan from the Heritage Foundation thinktank, by appointing figures such as Russell Vought as director of the Office of Management and Budget.skip past newsletter promotionafter newsletter promotionThe person who will have to make sense of it all is Susie Wiles, a longtime Florida political operative who will become the first woman to serve as White House chief of staff. She will hope to avoid the fate of chiefs of staff who failed to last the course of Trump’s first term as, like a sports coach, she seeks to make disparate players gel into a cohesive whole.In an analysis for the New York Times, David Sanger, who has covered five US presidents, identified “a revenge team”, “a calm-the-markets team” and “a government shrinkage team”, commenting: “How these missions will mesh and where they will collide is one of the biggest unknowns of the incoming administration.”But others argue that the cabinet’s range of experiences and worldviews will pale into insignificance when set against their devotion to the Trump cult. Kurt Bardella, a Democratic strategist, said: “Regardless of whatever individual ideological leanings these people have had at varying points in their adult lives, it’s largely irrelevant because the only litmus test we have seen put forward is absolute fealty to Donald Trump.“As we have seen in the Republican party overall, absolute fealty to Donald Trump overshadows any ideological belief. We could take almost every issue that used to be a part of the Republican party and show how the party has moved to a diametrically opposite position. This is not a party governed by ideology any more. It is governed by personality. It is governed by loyalty to Donald Trump.”Bardella, a former Republican congressional aide, added: “They’re all going to get in a room and they’re just going to go: ‘Here’s what we think. What do you think, boss? Oh, OK, well, that’s what we’re all going to do.’ The idea that there’s going to be ideologically rooted debate, vigorous debate happening in the Trump administration is absurd. It’s laughable.”Notably, Trump’s cabinet is more diverse than in his first term, although it again has only three people of colour in secretary positions. Rubio would be the first Latino to serve as America’s top diplomat; Bessent could become the first openly gay Republican cabinet member confirmed by the Senate; Gabbard would be the first director of national intelligence from the Pacific Islander community.But seasoned Trump watchers detect no method in the madness and suspect that the former reality TV star will once again act on impulse and thrive on conflict. Chris Whipple, the author of The Gatekeepers, a book about White House chiefs of staff, said: “I don’t think there’s any evidence that Trump has learned anything about governing since his first term.“There’s a lot of wishful thinking among a lot of commentators that OK, he’s had four years in office, he learned a lot, he’s had all this time to plan with Project 2025 and the America First Policy Institute and he’s got his act together. I just don’t think that’s true. I don’t see any evidence that there’s any sort of plan here other than ‘this guy looks good for that job, and Robert F Kennedy Jr has got a cool last name’.” More

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      ‘The science of fluoride is starting to evolve’: behind the risks and benefits of the mineral

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      A national conversation about fluoride’s health benefits exploded this fall after a federal toxicology report, court ruling and independent scientific review all called for updated risk-benefit analysis.Fluoride, a naturally occurring mineral in some regions, has been added to community water supplies since the mid-20th century when studies found exposure dramatically reduced tooth decay.The controversy, heightened by description of the mineral as “industrial waste” by Robert F Kennedy Jr, Donald Trump’s pick to lead the US health department, highlights questions some towns are now wrestling with: should the mineral’s well-established protective effects against tooth decay be prioritized lest Americans, and especially children, be subject to unnecessary pain and shame from an unhealthy smile? Or should the possibility of neurodevelopment effects be prioritized, even as studies continue?“Fluoride is the perfect example of helping people without them even having to do anything,” said Dr Sreenivas Koka, the former dean of the University of Mississippi Medical Center’s school of dentistry. The state is a “dental desert”, where there is only one dentist for every 2,120 residents. “Fluoride in the water – all you have to do is drink water and you’ll get the benefit.”Fluoride is added to about 72% of community water supplies in the US, according to the Centers for Disease Control and Prevention (CDC). The CDC again endorsed the practice in a scientific statement this May, saying it found no “convincing scientific evidence linking community water fluoridation with any potential adverse health effect or systemic disorder such as an increased risk for cancer, Down syndrome, heart disease, osteoporosis and bone fracture, immune disorders, low intelligence, renal disorders, Alzheimer disease, or allergic reactions”.Still, controversy over water fluoridation recently made headlines after two high-profile reports and a federal court ruling. The US National Toxicology Program set off a firestorm in August when it published a systematic review that found with “moderate confidence” that children exposed to fluoride levels twice those recommended for drinking water (1.5mg per liter versus the recommended 0.7mg per liter) “are consistently associated with lower IQ in children”.Then, in October, a new Cochrane Review lowered the estimated impact of fluoride, citing the widespread use of fluoride in toothpaste beginning in 1975.“Studies conducted in 1975 or earlier showed a clear and important effect on prevention of tooth decay in children,” Cochrane Review researchers wrote. “However, due to the increased availability of fluoride in toothpaste since 1975, it is unlikely that we will see this effect in all populations today.”The public debate comes as the National Institutes of Health (NIH), the world’s largest publicly funded research agency, is both a key funder of research advancing society’s understanding of fluoride’s non-dental health effects and an agency squarely in Trump’s crosshairs.The agency is one of the top targets for cuts and restructuring. Paradoxically, that could mean that critics such as Kennedy cut research on fluoride, even as the NIH funds research into potential detriments. The incoming administration has not made proposals on how to improve oral health in the US.Fluoride’s health benefits were investigated in the early 20th century, when a Colorado Springs dentist questioned why town residents had brown, mottled and decay-resistant teeth – now known as fluorosis.It was later found that fluoride naturally occurred at high levels in Colorado Springs, causing the cosmetic defects. Its decay-resistant properties were confirmed in a landmark 1945 study in Grand Rapids, Michigan, which found children in Grand Rapids were 60% less likely to develop dental caries (better known as cavities) with fluoride added to water.By 1999, the CDC hailed water fluoridation as one of public health’s greatest victories, alongside seat belts and vaccination. That view was buttressed by a 2015 Cochrane Review, considered the gold standard, that found fluoridating water at 0.7mg per liter led to a nearly 26% reduction in tooth decay, a figure still cited by the American Dental Association (ADA) and American Academy of Pediatrics (AAP) today.The need for preventive oral health solutions is profound in the US – more than 68 million people lack dental insurance and about one in four adults said in a survey they have avoided the dentist because of cost.In addition, school children lose an estimated average of 34m school hours each year due to unexpected dental visits; 2 million Americans visit the emergency room each year because of tooth pain; half a million travel abroad for cheaper care and one in five American seniors lack a single natural tooth. Lack of dental access is so common in some areas, doctors in prison frequently have patients who have never seen one.“One of the things I routinely ask young people in juvenile jail is: ‘Do you have a doctor? Do you have a dentist?’” said Dr Fred Rottnek, former medical director of St Louis county jails in Missouri and now a professor of community medicine at Saint Louis University School of Medicine. “A lot of them have never reported going to the dentist.”Modern inquiry into fluoride’s non-dental health effects began to pick up pace in 2015, when the National Toxicology Program (NTP) requested a systematic review on fluoride’s impact on neurodevelopment. By 2019, toxicology researcher Bruce Lanphear, of Simon Fraser University in Canada, co-authored a study finding fluoride exposure was associated with decreased IQ, which would later be incorporated into the NTP’s systematic review.“That gives you an indication that the science of fluoride is starting to evolve – it wasn’t set in stone 70 years ago,” he said.Lanphear, and a small group of like-minded toxicology researchers, argue now is the time for us to “pause and have an independent scientific committee look at all this new evidence” as “we have a lot of new science specifically about fluoride and the developing brain,” he said.Critics were buttressed again when a federal court ruled in September that the Environmental Protection Agency (EPA) needed to evaluate fluoride under the Toxic Substances Control Act.But physicians, dentists and mainstream professional associations from the American Dental Association to the American Academy of Pediatrics stand by recommendations for fluoridated water.While some towns step away from fluoride, communities such as Buffalo, New York, are restarting programs.“This is a shame if we don’t take advantage of what we know from the science,” said Koka about the preventive effects of fluoride. “Are there challenges to doing it right? Yes, but should they be so strong they overcome trying at all? That’s a tragedy.”The CDC has also refined guidance about fluoridation in recent years. In 2015, its water fluoridation recommendations went down to 0.7mg per liter of water, from 0.7 to 1.0mg per liter dependent on climate. Later, the CDC issued a 2019 report that advised parents of children younger than two to speak with their dentist about fluoridated toothpaste, and reminded parents of children younger than three to use only a “grain of rice”-sized “smear”.As critics argue that federal agencies’ recommendation lag behind, the US government’s National Institutes of Health (NIH) has become one of the chief funders of research into fluoride’s potential impacts on IQ.“Getting funding from the NIH shows they are interested in this important question,” said Christine Till, an assistant professor at York University in Canada and a co-investigator with Lanphear, whose grant studying tooth dentin and neurodevelopment in Canada was funded by the NIH, but turned down by the Canadian government.Others, such as Ashley Malin, epidemiology professor at University of Florida, and Dana Goin, assistant professor of epidemiology at Columbia University, have also received NIH funding to research fluoride’s non-dental health effects. Malin is studying fluoride’s impact on children’s sleep and Goin is investigating reproductive health effects.“There is a lot of ongoing work in this area, particularly in the US,” said Goin. “Hopefully, the results from these studies will help determine whether EPA drinking water regulations and CDC recommendations for water fluoridation are adequately balancing improvements in dental health from fluoridation versus any potential negative effects.”Goin’s current funding builds on her previous work, which found water fluoridation was not associated with small-for-gestational age or preterm births. She is now exploring whether fluoride is associated with gestational diabetes.Malin added that it’s a sign of “progress” that the studies can be discussed: “Over a decade ago, to even ask the question of whether optimally fluoridated, or the concentration in drinking water, could be impacting neurodevelopment was quite controversial.” More