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      Trump says US will impose new tariffs on heavy trucks, drugs and kitchen cabinets

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      Donald Trump on Thursday announced a new round of punishing tariffs, saying the United States will impose a 100% tariffs on imported branded drugs, 25% tariff on imports of all heavy-duty trucks and 50% tariffs on kitchen cabinets.The US president also said he would start charging a 50% tariff on bathroom vanities and a 30% tariff on upholstered furniture next week, with all the new duties to take effect from 1 October.Drug companies warned earlier this year that Americans would suffer the most if Trump decided to impose tariffs on pharmaceuticals.In 2024, the US imported nearly $233bn in pharmaceutical and medicinal products, according to the Census Bureau. The prospect of prices doubling for some medicines could send shock waves to voters as healthcare expenses, as well as the costs of Medicare and Medicaid, potentially increase.Pascal Chan, vice-president for strategic policy and supply chains at the Canadian Chamber of Commerce, warned that the tariffs could harm Americans’ health with “immediate price hikes, strained insurance systems, hospital shortages, and the real risk of patients rationing or foregoing essential medicines”.“We are already being crushed by the highest prescription drug costs in the world and this will cause them to skyrocket further,” 314 Action, a US advocacy group that tries to elect scientists to office, said in a statement. “If [Trump] goes through with these tariffs, people across the country will die.”Trump had previously suggested that pharmaceutical tariffs would be phased in over time so that companies had time to build factories and relocate production, making the sudden announcement of a 100% tariff more of a shock. On CNBC in August, Trump said he would start by charging a “small tariff” on pharmaceuticals and raise the rate over a year or more to 150% and even 250%.Trump said on Truth Social that the pharmaceutical tariffs would not apply to companies that are building manufacturing plants in the United States, which he defined as either “breaking ground” or being “under construction”. It was unclear how the tariffs would apply to companies that already have factories in the US.Several major pharmaceutical companies, including AstraZeneca, Roche, Novartis, Eli Lilly, and Johnson & Johnson, had already announced plans to invest in or increase manufacturing of their drugs in the US in an attempt to prepare for potential tariffs. Trump’s White House has touted these changes as a win.Markets dropped following the news, as concerns about the impact of Trump’s tariffs mounted. All three main indexes on Wall Street were down, having already fallen every day since Monday.Tokyo, Hong Kong, Shanghai, Sydney, Seoul, Wellington, Taipei and Manila retreated on Friday, with some pharmaceutical companies in Japan and South Korea leading the way.While Trump did not provide a legal justification for the tariffs, he appeared to stretch the bounds of his role as commander-in-chief by stating on Truth Social that the taxes on imported kitchen cabinets and sofas were needed “for National Security and other reasons”.He said the new heavy-duty truck tariffs were to protect manufacturers from “unfair outside competition” and said the move would benefit companies such as Paccar-owned Peterbilt and Kenworth and Daimler Truck-owned Freightliner.“We need our Truckers to be financially healthy and strong, for many reasons, but above all else, for National Security purposes!” Trump added.The new tariffs are another dose of uncertainty for the US economy with a solid stock market but a weakening outlook for jobs and elevated inflation. These new taxes on imports could pass through to consumers in the form of higher prices and dampen hiring, a process that economic data suggests is already underway.“We have begun to see goods prices showing through into higher inflation,” Federal Reserve chair, Jerome Powell, warned in a recent news conference, adding that higher costs for goods account for “most” or potentially “all” of the increase in inflation levels this year.Trump has pressured Powell to resign, arguing that the Fed should cut its benchmark interest rates more aggressively because inflation is no longer a concern.The US Chamber of Commerce urged the department not to impose new tariffs, noting the top five import sources are Mexico, Canada, Japan, Germany, and Finland “all of which are allies or close partners of the United States posing no threat to U.S. national security”.Trump has launched numerous national security inquiries into potential new tariffs on a wide variety of products. He said the new tariffs on kitchen, bathroom and some furniture were because of huge levels of imports which were hurting local manufacturers.skip past newsletter promotionafter newsletter promotion“The reason for this is the large scale ‘FLOODING’ of these products into the United States by other outside Countries,” Trump said.Mexico is the largest exporter of medium- and heavy-duty trucks to the United States. A study released in January said imports of those larger vehicles from Mexico have tripled since 2019.Higher tariffs on commercial vehicles could put pressure on transportation costs just as Trump has vowed to reduce inflation, especially on consumer goods such as groceries.Tariffs could also affect Chrysler-parent Stellantis which produces heavy-duty Ram trucks and commercial vans in Mexico. Sweden’s Volvo Group is building a $700m heavy-truck factory in Monterrey, Mexico, due to start operations in 2026.Mexico is home to 14 manufacturers and assemblers of buses, trucks, and tractor trucks, and two manufacturers of engines, according to the US International Trade Administration.The country is also the leading global exporter of tractor trucks, 95% of which are destined for the United States.Mexico opposed new tariffs, telling the commerce department in May that all Mexican trucks exported to the United States have on average 50% US content, including diesel engines.Last year, the United States imported almost $128bn in heavy vehicle parts from Mexico, accounting for approximately 28% of total US imports, Mexico said.The Japanese Automobile Manufacturers Association also opposed new tariffs, saying Japanese companies have cut exports to the United States as they have boosted US production of medium- and heavy-duty trucks.Reuters and the Associated Press contributed reporting More

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      Trump’s absurd Tylenol claims heighten the suffering of pregnant women in the US | Moira Donegan

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      Robert F Kennedy Jr continued his futile search for a single pharmaceutical cause of autism on Monday, when the Trump administration claimed that distorted recent studies and misstated scientific evidence to allege a link between women’s Tylenol use during pregnancy and the development of autism in children. Kennedy has long spoken with disturbing disgust about autistic people, claiming at one press conference that autistic children “destroy families” and “will never pay taxes. They’ll never hold a job. They’ll never play baseball. They’ll never write a poem. They’ll never go out on a date.” He had previously pledged to find the cause of autism by this month.As part of his apparent quest to eliminate this vast and varied group of people – who do, in fact, pay taxes, hold jobs, play baseball, write poems, go on dates, and function as beloved and caring members of functional families – Kennedy has already sought to restrict access to common vaccines. In June, he fired every member of the advisory committee on immunization practices, an influential group of vaccine experts whose recommendations had long shaped policy for the Centers for Disease Control and Prevention. In place of the experts, he reconstituted the panel with a number of vaccine critics and cranks, whose incompetence has led to chaotic meetings and bizarrely changing vaccine recommendations. Donald Trump has recently joined his health secretary in casting aspersions on childhood vaccines – safe and effective treatments that have saved countless lives and are among the more wonderful miracles of human innovation. “It’s too much liquid,” the president said of the early childhood immunizations on Monday. “Too many different things are going into that baby at too big a number. The size of this thing, when you look at it.”Trump’s remarks came at what was supposed to be the debut for Kennedy’s new tactic: discouraging pregnant women from taking a common over-the-counter medication to ease pain or reduce fevers. At a rambling and shambolic press conference issued from the White House, Trump was unambivalent in his unproven assertions of the drug’s dangers. “Taking Tylenol is, uh, not good,” Trump said, flanked by Kennedy and Dr Mehmet Oz. “I’ll say it. It’s not good.” The president also offered his opinion that the weight-loss drug Ozempic doesn’t work, offering that his friends who take the drug are still fat. Kennedy, his face an uncanny color, stood awkwardly behind Trump, wearing a suit jacket that was visibly too small and with his head hanging slightly to the side; he looked a bit like a bored child at a prep school assembly. “Don’t. Take. Tylenol,” Trump continued, addressing pregnant women. “And don’t give it to the baby after the baby is born.”There is no evidence suggesting that Tylenol causes autism. A small number of studies have shown a correlation – not a cause – between acetaminophen use and incidents of neurological development disorders in early childhood. But these studies, aside from being inconclusive in their results, are also flawed in their methodologies: because pregnant women cannot be easily or ethically sorted into control groups, it is impossible for researchers to isolate Tylenol as a causal factor in the ensuing health of their children. There is as much evidence to suggest that those women whose children later developed autism got it from the Tylenol they took as there is to suggest that they got it because of a gust of wind, or because their mothers wore the color green. Fevers, however – which Tylenol is used to treat – pose proven risks to a fetus, and have been linked to cleft lip and palate, spina bifida, and congenital heart defects. “The conditions that people use acetaminophen to treat during pregnancy are far more dangerous than any theoretical risks and can create severe morbidity and mortality for the pregnant person and the fetus,” Dr Steven Fleischman, the president of the American College of Obstetricians and Gynecologists, said in a statement.Pregnant women do not lack for judgmental, frightening and dubiously factual instructions about their health. Everywhere, they are told that they risk the health of their fetus by partaking in a series of banal everyday activities – be it jogging or having coffee or eating a certain cheese – that they are told will lead, by obscure mechanisms that are never quite explained, to impossible and devastating health outcomes for their children-to-be. The admonishments are multiple and often contradictory, but they all tend to agree on one thing: that it is always good for women to deprive themselves of joy and relief – and to suffer more – for the sake of their fetuses.Health misinformation has thrived on the ignorance in which most women are kept about their bodies, particularly during pregnancy, and it feeds on the cruel combination of neglect and lack of interest with which many women have been treated by the medical system and the maximally judgmental and punitive treatment that they receive from others while pregnant. Frightened women, scared both for the health of their pregnancies and for the ways they will be blamed if something goes awry, seek out a way to secure a good outcome, and are met by charlatans, grifters and quacks who are happy to tell them lies in exchange for their attention and money. It is this very dynamic, fed like a sourdough starter in the damp and fecund social media environment of the pandemic, that Kennedy used to revive his own career after decades of scandal and disgrace.Now, this cynical exploitation of pregnant women’s fears, deployed to them at a time when they are most vulnerable, is coming from no less a place of authority than the White House itself.At the press conference, Trump advised pregnant women to simply endure their suffering. “A mother will have to tough it out,” he told them. Readers will forgive me if I posit that perhaps pregnant women in the US are already suffering enough. Six justices of the supreme court, three of them appointed by Trump himself, ruled in 2022 that they no longer have the federally protected right to terminate their pregnancies. The laws that have gone into effect since have cost several pregnant women their lives, as laws prohibit the medical interventions that could easily save them and allow them to die painful, premature and needless deaths. Other women have had their corpses desecrated for the sake of Trump’s anti-choice agenda, as hospitals and lawmakers use them as incubators against their will. Others are being forced to wait for care while they bleed and develop sepsis, risking their organs and their lives. The Trump administration has cut off Medicaid funding to some of the largest providers of sexual and reproductive healthcare, meaning many of the clinics that pregnant women rely on will now have to close. With doctors who provide gynecological and obstetric care fleeing states with strict abortion bans, many pregnant women in the US do not have access to competent medical care at all. As a result, more babies are being born sick, and more of them are dying. Women from states such as Florida report being forced to carry fetuses that have no chance of surviving, and then being forced to watch those infants suffer and die in the moments after birth. As Kennedy continues with his search for the causes of autism, his eugenic project will inevitably extract more and more coercion and violence on the bodies of pregnant women. Today’s fearmongering about Tylenol is only the beginning.It can seem darkly comedic at times how laughably incompetent Trump and his administration are. Kennedy’s ill-fitting suit; the president’s ramblings about his fat friends; the brazen indifference to truth in the absurd claim that Tylenol, perhaps the paradigmatic over-the-counter drug, is somehow this lurking danger. Trump’s idiocy and vulgarity give the lie to the pomp and dignity of his office; his now near-total capture of American political life mocks the promise of democracy. But pregnant women are not a punchline. Their hopes for their families, their fears for their bodies, their health, their comfort and their dignity – all of these are things Trump is willing to sacrifice at the altar of his own ego. Tylenol isn’t dangerous, but he is.

      Moira Donegan is a Guardian US columnist More

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      Trump officials unveil highly contentious conclusions on autism

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      The Trump administration unveiled highly contentious conclusions about the causes of autism, together with a push for research purporting to find a possible “cure” for the condition on Monday.After months of widely trumpeted investigations spearheaded by the health secretary, Robert F Kennedy Jr, Donald Trump announced that pregnant women should limit their use of acetaminophen, usually branded as Tylenol in the US, which he claimed heightens the risk of autism when it used by pregnant women, an assertion hotly contested by scientists internationally and contradicted by studies.Speaking from the White House, flanked by Kennedy, the president said he had “waited for 20 years for this meeting … and added: “It’s not that everything’s 100% understood or known, but I think we’ve made a lot of strides.”But he declared: “Taking Tylenol is not good … All pregnant women should talk to their doctors about limiting the use of this medication while pregnant.”Kennedy followed, announcing that the health department and US Food and Drug Administration would work to change the label on acetaminophen risks.He also spoke about upcoming recommendations that the hepatitis B shot, currently given to newborns as part of the national vaccine standards, should be given in a delayed manner or in smaller doses, despite limited evidence of the impacts.The announcements were made by Trump amid a blaze of fanfare at the White House, in a ceremony attended by other senior administration figures.Trump, who has frequently voiced his concern over autism and said, along with Kennedy, that the US is suffering from an “epidemic”, flagged up a major initiative on Sunday at Charlie Kirk’s memorial in Arizona.“Tomorrow we’re going to have one of the biggest announcement[s] … medically, I think, in the history of our country,” he said. “I think you’re going to find it to be amazing. I think we found an answer to autism.”One in 31 children aged eight had a diagnosis of autism spectrum disorder (ASD) – a condition denoting communication and social difficulties, along with repetitive behaviors – in the US in 2022, according to the US Centers for Disease Control and Prevention (CDC). That compares to about one in 150 in 2000.Kennedy, who previously peddled the theory that the condition is caused by vaccinations, has attributed the rise to “environmental toxins”.However, specialists say the increase is mainly due to increased screening, combined with evolving definitions of the disorder. They have also said the causes are predominantly dictated by genetics.Scientists in the US and UK reacted to the Tylenol link sceptically, with British physicians denouncing it as “fearmongering” that risked stigmatising parents of children with autism.Speaking on a call organized by Defend America Action, a campaign group, Debra Houry, a former chief medical officer and deputy director at the CDC, told journalists: “As of three weeks ago, we hadn’t seen evidence that acetaminophen was linked with autism, so it’s curious to know how quickly that was developed.”“There are many studies which refute a link, but the most important was a Swedish study of 2.4m births published in 2024 which used actual sibling data and found no relationship between exposure to paracetamol [known in the US as acetaminophen] in utero and subsequent autism, ADHD or intellectual disability,” said Dr Monique Botha, associate professor in social and developmental psychology at Durham University“The fearmongering will prevent women from accessing the appropriate care during pregnancy.US medical practitioners also cast doubt on the putative link with acetaminophen.Dan Jernigan, another former CDC career scientist and former director of the national center for emerging and zoonotic infectious diseases, criticised Kennedy’s efforts to study autism.“We were all asked to be a part of autism studies and to put together [an autism plan],” he said. We helped develop some of that. But then over time, what we saw was [Kennedy] having an increasingly top down approach, essentially ‘my way or the highway,’ with no regard again for the scientific processes.”Some researchers have also pleaded caution on hopes for leucovorin, which has been reportedly shown in some tests to trigger marked improvements in the speaking and understanding ability of some people with autism.Irva Hertz-Picciotto, an epidemiologist and autism specialist at the University of California, Davis, told the Washington Post that unrealistic expectations could lead to a loss of trust.“I worry that it feels like everything is now tainted that comes out of the current administration,” she said.Bruce Mirken, communications co-chair of Defend Public Health, poured cold water on the announcements in advance. “While we don’t know what he will claim today, we do know that Kennedy has a history of false statements related to autism and that the scientific evidence shows there is no ‘autism epidemic’,” he said.Additional reporting by Melody Schreiber and agencies More

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      Trump officials reportedly set to tie Tylenol to autism risk

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      Donald Trump’s administration is expected to tie pregnant women’s use of the popular medicine known as Tylenol to a risk for autism, contrary to medical guidelines, the Washington Post has reported.Trump officials on Monday are also expected to announce an effort to explore how the drug leucovorin could purportedly and potentially treat autism, according to the Post report published Sunday, which cited four sources with knowledge of the plans who spoke on the condition of anonymity because the announcement had not been made.Medical guidelines say it is safe for pregnant women to take Tylenol, the over-the-counter pain medication whose active ingredient is acetaminophen.Yet earlier in September, the Wall Street Journal reported that Trump’s health secretary Robert F Kennedy Jr planned to announce that use of Tylenol by pregnant women was potentially linked to autism spectrum disorder, which is defined as a neurodevelopmental condition marked by social as well as communication difficulties and behaviors that are repetitive.Meanwhile, as the Post reported, some medical trials involving administering leucovorin to children with autism have shown “what some scientists describe as remarkable improvements in their ability to speak and understand others” – though those trials are considered early.The Post’s report came a day after Trump publicly said “we’re going to have an announcement on autism on Monday”.Without offering specifics, the president added: “I think it’s gonna be a very important announcement. I think its gonna be one of the most important things that we will do.“Reuters contributed reporting More

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      Democrats reject spending bill over healthcare cuts as shutdown looms

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      The US federal government drew closer to a shutdown on Friday, after Democrats made good on their vow not to support a Republican-backed measure that would extend funding for another two months because it did not include provisions to protect healthcare programs.The GOP-controlled House of Representatives had in the morning approved a bill to extend government funding through 21 November on a near party-line vote, but Democrats swiftly blocked it in the Senate, where most legislation must receive at least some bipartisan support. Republicans, in turn, rejected a Democratic proposal to extend funding through October while preventing cuts to healthcare programs, setting up a standoff that could see federal agencies shutter and workers sent home just nine months into Donald Trump’s term.“Senators will have to choose: to stand with Donald Trump and keep the same lousy status quo and cause the Trump healthcare shutdown, or stand with the American people, protect their healthcare, and keep the government functioning,” the top Senate Democrat, Chuck Schumer, said before the votes.Democrats have seized on the annual government funding negotiations to use as leverage against Trump’s policies and particularly cuts to Medicaid, the healthcare program for poor and disabled Americans, which Republicans approved in the One Big Beautiful Bill Act earlier this year. They are also demanding an extension of subsidies for Affordable Care Act (ACA) insurance plans that are set to expire at the end of 2025, after which healthcare costs for millions of Americans are expected to increase.“We don’t work for Donald Trump, we don’t work for JD Vance, we don’t work for Elon Musk, we work for the American people,” Hakeem Jeffries, the top House Democrat, said before the chamber voted. “And that is why we are a hard no on the partisan Republican spending bill because it continues to gut the healthcare of everyday Americans.”Republicans have backed a “clean” continuing resolution that extends funding without making significant changes to policies. Both parties’ proposals include millions of dollars in new security spending for judges, lawmakers and executive branch officials in response to the conservative activist Charlie Kirk’s killing.The stopgap measures are intended to give congressional appropriators more time to pass the 12 bills that authorize federal spending for the fiscal year.John Thune, the Republican Senate majority leader, called the Democratic proposal “fundamentally unserious” in a speech following the House vote.“Instead of working with Republicans to fund the government through a clean, nonpartisan continuing resolution, so that we can get back to bipartisan negotiations on appropriations, Democrats are yielding to the desires of their rabidly leftist base and are attempting to hold government funding hostage to a long list of partisan demands,” he said.Under pressure from their base to oppose Trump and still smarting from a disappointing performance in last year’s elections, the spending impasse will pose a major test of Democratic unity across Congress.Maine’s Jared Golden was the only Democrat to vote for the Republican spending bill in the House, while Washington’s Marie Gluesenkamp Perez missed the vote but said she supported it. In the Senate, only Pennsylvania’s John Fetterman voted for the Republican spending bill. All represent states or districts won by Trump last year.Of greater concern to Democrats is whether Schumer, the Senate minority leader, will be able to resist pressure not to allow a shutdown. A similar spending deadlock took place earlier in the year but ended on a sour note for Democrats after Schumer encouraged his colleagues to vote for a Republican bill to keep the government funded, arguing a shutdown would be “devastating”.House Democrats opposed that bill and felt burned by Schumer’s compromise, but are once again counting on the Senate minority leader not to back down.“I think Senator Schumer knows he’s got to hold the line there. We’ll see what this negotiation brings, but this is about fighting for healthcare. That’s an easy one for them to give us,” said the California congressman Ami Bera after the vote.Democrats writ large believe they have leverage they need against a president who opinion polls show is growing unpopular with many voters, even though government shutdowns can bring their own risks for the party that instigates them.“I don’t know how you could be in control of the House, the Senate, the executive, have more votes on the supreme court, and then blame the other party that’s completely not in power. That’ll be a new one,” said the Florida congressman Jared Moskowitz. Asked if he was concerned about Schumer’s resolve to oppose the Republican bill, he replied: “I’m Jewish, I have a lot of anxiety, all the time.”The appropriations process is historically bipartisan, but the progressive Washington congresswoman Pramila Jayapal warned that even if a spending deal is reached, Republicans have damaged their trust with Democrats by actions like cancelling funding Congress had approved for foreign aid and public media.“We need to make sure that once we approve a budget, that they don’t just go back and do a partisan vote to strip money away or close an agency. So, there’s got to be some provision in there about making and keeping a promise, versus getting us to vote for something, saying that they’re going to do something, and then changing their mind the very next day and passing a partisan rescission package,” she said.There is little time left for Congress to find a compromise. Both chambers are out of session next week for the Rosh Hashanah holiday, and on Friday afternoon, the House’s Republican leaders cancelled two days in session that had been scheduled for the end of September, denying the Democrats the opportunity for another vote on the issue before funding lapses. More

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      RFK Jr and red flags: key moments from ousted CDC director’s testimony

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      Two former Centers for Disease Control (CDC) leaders testified at a fiery congressional hearing on Wednesday – taking aim at Robert F Kennedy Jr’s sweeping changes to the agency and the country’s public health system.Susan Monarez, the CDC director who was fired after less than a month, and Debra Houry, the chief medical officer who resigned after a decade at the agency, faced lawmakers on the Senate health, education, labor and pensions (Help) committee.The hearing, chaired by Republican senator Bill Cassidy, saw senators from both sides of the aisle question the impact of RFK Jr’s dismantling of vaccine standards. Here are the main takeaways.1. Monarez said she was fired for not complying with RFK Jr’s vaccine agendaMonarez said Kennedy demanded “blanket approval” of “each and every one of the recommendations” in the upcoming vaccine advisory panel meeting. Monarez claimed Kennedy said if she could not do that she would need to resign.“I did not resign, and that is when he told me he had already spoken to the White House about having me removed,” Monarez said.When Bernie Sanders asked Monarez why she refused to rubber-stamp vaccine recommendations without seeing them or the evidence behind them, she explained it was not negotiable.“I refused to do it because I have built a career on scientific integrity, and my worst fear was that I would then be in a position of approving something that would reduce access of life-saving vaccines to children and others who need them,” she said.2. Monarez and Houry raised flags about the impact of Kennedy’s vaccine agendaAn Advisory Committee on Immunization Practices (ACIP) meeting on Thursday loomed over the hearing. RFK Jr has replaced many members of the panel with other people who question the science of government recommended vaccines.“I know that the medical community has raised concerns about whether or not, again, they have the commensurate backgrounds to be able to understand the data and the evidence and to evaluate it appropriately,” Monarez said.Monarez also said there was a risk of vaccines being restricted without rigorous review. She continued: “The stakes are not theoretical. We already have seen the largest measles outbreak in more than 30 years, which claimed the lives of two children. If vaccine protections are weakened, preventable diseases will return.”Meanwhile Houry said she had “significant concerns” about the ACIP meeting as the public had not been able to weigh in.The pair said the prospect of future pandemics is what keeps them up at night. Answering a question by Democratic senator John Hickenlooper, Monarez and Houry expressed concern over how the US might respond to future pandemics.“I don’t believe that we’ll be prepared,” Monarez said. Houry echoed similar sentiments, saying: “I’m concerned about the future of [the] CDC and public health in our country.”3. Monarez said RFK Jr had expressed disdain for CDC employees“He called, in that context, [the] CDC the ‘most corrupt federal agency in the world’,” Monarez said. “He said that CDC employees were killing children and they don’t care. He said CDC employees were bought by the pharmaceutical industry. He said the CDC forced people to wear masks and social distance like a dictatorship.”Monarez said the health secretary did not express condolences for David Rose, the police officer who was killed during the recent shooting at the CDC headquarters in Atlanta. The perpetrator had blamed the Covid vaccine for making him depressed and suicidal.4. Monarez and Houry said politics is driving changes to vaccine recommendationsWhen asked about the public implications of health decisions made by political staff, Monarez expressed concern. She added: “These are important and highly technical discussions that have life-saving implications.”Similarly, Houry accused Kennedy of “politicizing” the CDC, saying that the secretary “censored CDC science, politicized its processes and stripped leaders of independence”.In response to a question about career scientists who have been excluded from the director’s office, Houry said that nearly everyone who left is political.“A level down we do have center directors, although 80% are now acting because they’ve been fired, resigned or retired,” Houry said.5. Monarez said that Kennedy deemed her untrustworthy for expressing her concernsMonarez laid out a timeline of events that resulted in her firing.In a meeting with Kennedy, Monarez claimed he was “very concerned” that she had spoken to members of the Help committee about what was being asked of her, with regard to approving vaccine recommendations and firing career officials.“He told me I was never to do it again,” Monarez said.When Republican senator Ashley Moody questioned whether Monarez’s decision to contact the committee chair was calculated, Senator Cassidy pushed back.“It is entirely appropriate for someone with oversight concerns to contact my office, or me, or, frankly, any of us,” he said. “Upon receiving outreach from Dr Monarez, I contacted both the secretary and the White House to inquire what was happening and to express concerns about what was alleged.” More

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      ‘Americans should be alarmed’: Experts say loss of expertise at CDC will harm US health

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      After high-profile departures and sweeping layoffs, the US Centers for Disease Control and Prevention (CDC) faces an unprecedented loss of expertise and a simultaneous erosion of trust as top health leaders undermine vaccines and other vital health tools.“Americans should be alarmed,” said Nirav Shah, former principal deputy director at CDC and now a visiting professor at Colby College. “All of these moves leave us less safe, and it comes at a time of rising public health threats.”Project 2025, the conservative blueprint for the second Trump administration, vowed to strip the CDC of its ability to issue guidance on vaccines and to end required testing for new pathogens.The changes to US health will be felt for decades, and the cutbacks and changes will erode the public’s already wavering trust in health officials, experts say.“Losing top, experienced experts managing crucial units in the CDC is going to put all of us at risk,” said Dorit Reiss, professor of law at UC Hastings College of Law.The departure of four senior officials – Debra Houry, Demetre Daskalakis, Daniel Jernigan and Jennifer Layden – dealt “a big blow to our nation’s health preparedness”, Shah said.They joined thousands of health agency employees who have been laid off or resigned, with entire departments gutted, since Donald Trump was re-elected.“Next time there’s a problem, we will not have qualified leadership for our response,” Reiss said.The loss of “experienced, world-class” experts at the CDC is “directly related to the failed leadership of extremists” in charge of the Department of Health and Human Services (HHS), said Michael Osterholm, director of the Center for Infectious Disease Research and Policy at the University of Minnesota.The losses may continue under budget cuts, with proposed reductions of $5bn – a 42% decrease from 2024.Two of the recently ousted officials will testify before Congress on Wednesday. Susan Monarez, the most recent CDC director, who was fired after 28 days, criticized the administration’s “reckless” approach to science, including a request to “rubber-stamp” recommendations from the CDC’s independent advisers.The advisory committee on immunization practices (ACIP) plans to meet on Thursday and Friday. Advisers have indicated the committee will re-examine recommendations on routine childhood vaccinations such as those against hepatitis B and HPV (human papillomavirus).The Make Our Children Healthy Again Strategy released on Tuesday “reaffirms that Kennedy is gunning for childhood vaccines”, Reiss said.Emily Hilliard, an HHS spokesperson, said: “Secretary Kennedy has been clear: the CDC has been broken for a long time. Restoring it as the world’s most trusted guardian of public health will take sustained reform and more personnel changes.”When asked about Kennedy’s stance on childhood vaccines, Hilliard said that HHS is “reaffirming the importance of the doctor-patient relationship so people can make informed decisions about their health”, emphasizing the roles of “clear, honest information and personal choice”.Kennedy has also limited access to the Covid vaccines, restricting them only to people “at higher risk”, while also saying “anyone can get the booster”.“Kennedy’s claim that anyone can get them is deeply insincere,” Reiss said. He already removed, for example, the recommendation for pregnant people, making it harder for them to access the vaccine.skip past newsletter promotionafter newsletter promotion“While it’s legal to give vaccines off-label, not all doctors and pharmacists will, and depending what ACIP does, not all insurers will cover them”, including Medicaid, which is bound by ACIP recommendations, she said.Kennedy has repeatedly undermined the CDC and vaccines, calling the agency a “cesspool of corruption” and the Covid vaccine, for instance, the “deadliest vaccine ever made”. During the worst measles outbreak in decades, Kennedy framed vaccination as a personal choice. He has also cut millions of dollars for research on mRNA vaccines.Earlier this month, Trump defended the Covid and polio vaccines. But the president has given Kennedy sweeping control over the nation’s health and nutrition agenda.“In an era of rising threats to public health – whether it’s measles, whether it’s an Ebola outbreak, or whether it’s the continuing concern and threat from H5 [bird flu] – none of these things makes America healthy again,” Shah said.The acting director of the CDC, Jim O’Neill, has a background in biotechnology investing but he does not appear to have training in medicine or public health.“Based on what I understand, he does not have the requisite background to even be serving as acting director,” said Shah, who was acting director of the CDC while the Trump administration entered office.“Americans need to ask themselves: ‘Are we safe right now?’” Shah said. “‘Is there somebody who knows at the higher levels what should be done in the face of an emerging Ebola outbreak? Are they doing it? How do we know that?’”The news that top experts at the CDC haven’t briefed Kennedy is “alarming”, Shah said. ”If America’s top generals were planning a war and sketching out battlefield plans but had not talked to any of their lieutenants and colonels in the field, we would say that’s not leadership.”So far, many Americans have not yet felt the shock waves of Kennedy’s changes to public health, Shah said.For most people, “you don’t actually see the consequences of it until there’s an emergency”, Shah said. “And it’s way too late at that point.” More