Vaccination and Immunization

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      Trump’s Choices for Health Agencies Suggest a Shake-Up Is Coming

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      The picks to oversee public health have all pushed back against Covid policies or supported ideas that are outside the medical mainstream.A longtime leader of the anti-vaccine movement. A highly credentialed surgeon. A seven-term Florida congressman. A Fox News contributor with her own line of vitamins.President-elect Donald J. Trump’s eclectic roster of figures to lead federal health agencies is almost complete — and with it, his vision for a sweeping overhaul is coming into focus.Mr. Trump’s choices have varying backgrounds and public health views. But they have all pushed back against Covid policies or supported ideas that are outside the medical mainstream, including an opposition to vaccines. Together, they are a clear repudiation of business as usual.“What they’re saying when they make these appointments is that we don’t trust the people who are there,” said Dr. Paul Offit, director of the Vaccine Education Center at Children’s Hospital of Philadelphia and an adviser to the Food and Drug Administration.Some doctors and scientists are bracing themselves for the gutting of public health agencies, a loss of scientific expertise and the injection of politics into realms once reserved for academics. The result, they fear, could be worse health outcomes, more preventable deaths and a reduced ability to respond to looming health threats, like the next pandemic. “I’m very, very worried about the way that this all plays out,” Dr. Offit said.But other experts who expressed concerns about anti-vaccine views at the helms of the nation’s health agencies said that some elements of the picks’ unorthodox approaches were welcomed. After a pandemic that closed schools across the country and killed more than one million Americans, many people have lost faith in science and medicine, surveys show. And even some prominent public health experts were critical of the agencies’ Covid missteps and muddled messaging on masks and testing.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Dr Martin Makary Chosen to Head the FDA

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      President-elect Donald J. Trump announced on Friday that he would nominate Dr. Martin A. Makary, a Johns Hopkins University surgeon with a contrarian streak, to be commissioner of the Food and Drug Administration.In a post on social media, Mr. Trump said: “F.D.A. has lost the trust of Americans and lost sight of its primary goal as a regulator.” He said that Dr. Makary would work under Robert F. Kennedy Jr., the president-elect’s choice for the cabinet-level role as health secretary, to “properly evaluate harmful chemicals poisoning our nation’s food supply and drugs.”“I am confident that Dr. Makary, having dedicated his career to high-quality, lower-cost care will restore the F.D.A. to the gold standard of scientific research and cut the bureaucratic red tape at the agency to make sure Americans get the medical cures and treatments they deserve,” Mr. Trump said in a statement.Mr. Trump announced two other top health picks on Friday evening as well. He chose Dr. Dave Weldon, a physician and former congressman from Florida, to lead the Centers for Disease Control and Prevention.For years, Dr. Weldon championed the notion that thimerosal, a preservative once used widely in vaccines, caused an explosion of autism cases around the world. In 2007, he backed a bill proposing to take vaccine safety research out of the hands of the C.D.C. Health officials reject the idea that research shows any link between thimerosal and autism.Mr. Trump also put forward Dr. Janette Nesheiwat, a physician and Fox News contributor, to be surgeon general. She worked caring for patients after Hurricane Katrina, an announcement from Mr. Trump said, and on the front lines of the Covid pandemic in New York City. She also markets vitamin B and vitamin C dietary supplements.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Florida Surgeon General Urges End to Fluoride in Water, Backing RFK Jr.’s Push

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      Florida’s surgeon general issued guidance on Friday that called for a halt to adding fluoride to the water supply, backing a similar push by Robert F. Kennedy Jr. — President-elect Donald J. Trump’s pick to lead the Department of Health and Human Services.Dr. Joseph A. Ladapo, who was appointed by Gov. Ron DeSantis, a Republican, cited recent research that highlighted the potential risk of heightened exposure to the chemical — including lower I.Q.s in children. Health experts agree that excessive exposure to fluoride over a long period of time can cause health problems, but the Centers for Disease Control and Prevention and the American Dental Association say that fluoridated water does not pose any of these risks at the level currently recommended by the Environmental Protection Agency.“Due to the neuropsychiatric risk associated with fluoride exposure,” Dr. Ladapo’s guidance said, “particularly in pregnant women and children, and the wide availability of alternative sources of fluoride for dental health, the State Surgeon General recommends against community water fluoridation.”Dr. Ladapo has played a prominent role in Mr. DeSantis’s administration, often supporting the governor in political fights over pandemic-era health policy. More recently, Dr. Ladapo called for a halt to the use of Covid vaccines earlier this year, citing widely debunked concerns about contaminants in the vaccine.He also contradicted widespread medical guidance about the spread of measles, sending a letter to parents after an outbreak of the disease at an elementary school that said it was up to parents and guardians to determine when their children can attend school, even if those children have not been vaccinated for measles.The guidance on fluoridation in Florida follows heightened attention on the issue after recent statements by Mr. Kennedy, an environmental lawyer who has no medical or public health degrees, and Mr. Trump. Mr. Kennedy declared on social media this month that, as president, Mr. Trump would advise communities to stop adding fluoride to drinking water. Mr. Kennedy described the chemical as “an industrial waste associated with arthritis, bone fractures, bone cancer, IQ loss, neurodevelopmental disorders and thyroid disease.”In a recent interview with NBC News, Mr. Trump said the idea of doing away with fluoridation “sounds OK to me.”Sheryl Gay Stolberg More

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      Jared Polis Wants to Win Back the Hippies

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      It’s such a bother when politicians have to go and complicate your clean narrative about why they’re succeeding.Last week, I spoke to Jared Polis, the Democratic governor of Colorado. Polis’s state was, if not a bright spot for Democrats, a less-dark one. In New York, Democrats lost 11 points off their 2020 margin; in New Jersey, 10 points; in Massachusetts, nine and a half points; in California, nine points (though votes are still being counted); in Illinois, seven points. In Colorado, the difference was two and a half points. What is Polis, who won re-election in 2022 by a 19-point margin, doing right?One answer — and this, to be honest, was the answer I’d gone looking for — is focusing relentlessly on the cost of living. “You can’t just do one policy and expect, somehow, people will know it,” Polis told me. “But they generally understand the drumbeat of 30, 40 things you’re doing, each of which reduces costs in a different way. And so that’s been our strategy: to flood the zone with this work to reduce costs.”Polis points with pride to his successful efforts to expand pre-K and kindergarten and get a public insurance option onto the Colorado health exchanges — but also to his rejection of proposals to add benefits that would drive up costs. He’s happy to brag about reducing the tax rate for both businesses and individuals, walking me through every decimal-point reduction he achieved, and the many bills he’s signed to make it easier to build homes.“When you say something a lot, it means you generally believe it,” Polis said. “So here’s a line I often use: We want the best solutions from the left and the right to save people money.”But during our conversation, and in the days after, another answer emerged — and for Democrats this one is a little more challenging. Polis is a dissenter from the trends that swept through Democratic governance during the pandemic. He was unusual among Democratic governors for the emphasis he put on both personal responsibility and personal liberty. Colorado opened early, sparking a tourism boom, and Polis tried to rely more on information than compulsion.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      How Robert F. Kennedy Jr. Could Destroy One of Civilization’s Best Achievements

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      Even among the chaos generated by Donald Trump’s recent cabinet picks, one stands out for the extensive suffering and lasting institutional damage it may cause: his choice of Robert F. Kennedy Jr. to lead the Health and Human Services Department.Modern public health is one of civilization’s great achievements. In 1900, up to 30 percent of infants in some U.S. cities never made it to their first birthday. Since that time, vaccines, sanitation and effective medications have eliminated many previously commonplace illnesses and consigned others to extreme rarity. It’s easy to take much of that for granted, especially as those days have receded from living memory, but those achievements are fragile and can be lost.The danger isn’t merely that Kennedy — who has almost no experience in government or large-scale administration, and who has shown a sometimes breathtakingly loose connection to the truth — would be incompetent or misleading. At the helm of a department with over 80,000 employees and a $3 trillion budget, one that oversees key agencies such as the Centers for Disease Control and Prevention, the Food and Drug Administration and the National Institutes of Health, he would have control over the nation’s medicines, food safety, vaccines and medical research. With that power he could inflict significant harm to the public health system — and to the public trust that would be needed to rebuild it once he’s gone.Kennedy has brought attention to some worthwhile public health concerns, such as the downsides of ultraprocessed foods and the value of exercise. But beyond those reasonable issues, he has filled the internet and the airwaves with views on vaccines, food safety, medicines and supplements that are a mix of grave misrepresentations and far-fetched conspiracies.His opposition to vaccines has attracted the most attention. He doesn’t say just that they merit closer scrutiny, as some “vaccine skeptics” claim. Last year he told a podcaster that “there’s no vaccine that is, you know, safe and effective.” When it later became expedient, he denied that he had ever said such a thing. The truth is that he has long promoted the lie that vaccines cause autism, and the extravagantly false claim that “researchers have done very little to study the health” of children after they get shots for once-common diseases.Outside of the medical community, few people still know about all the diseases whose safe and effective vaccines he is lying about, so let me remind you about one of them: diphtheria. Once known as “the strangling angel of children,” it causes its young victims to slowly and painfully suffocate, turn blue and gasp as a thick film fills their throat. They lie dying for many agonizing days. The disease has been all but wiped out, but in Spain a few years ago, it cost the life of an unvaccinated boy of 6. His distraught antivax parents promptly vaccinated their surviving child.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Kennedy’s Views Mix Mistrust of Business With Bizarre Health Claims

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      Seven years after Americans celebrated the licensing of Jonas Salk’s polio vaccine, President John F. Kennedy called on Congress to finance a nationwide vaccination program to stamp out what he called the “ancient enemies of our children”: infectious disease.Now Kennedy’s nephew, Robert F. Kennedy Jr., is the nation’s chief critic of vaccines — a public health intervention that has saved millions of lives — and President-elect Donald J. Trump’s pick to become the next secretary of health and human services. Mr. Kennedy calls himself a vaccine safety activist. The press calls him a vaccine skeptic. His detractors call him an anti-vaxxer and a conspiracy theorist.Whatever one calls him, Mr. Kennedy is a polarizing choice whose views on certain public health matters beyond vaccination are far outside the mainstream. He opposes fluoride in water. He favors raw milk, which the Food and Drug Administration deems risky. And he has promoted unproven therapies like hydroxychloroquine for Covid-19. His own relatives called his presidential bid “dangerous for our country.”If there is a through line to Mr. Kennedy’s thinking, it appears to be a deep mistrust of corporate influence on health and medicine. In some cases, that has led him to support positions that are also embraced by public health professionals, including his push to get ultra-processed foods, which have been linked to obesity, off grocery store shelves. His disdain for profit-seeking pharmaceutical manufacturers and food companies drew applause on the campaign trail.People close to him say his commitment to “make America healthy again” is heartfelt.“This is his life’s mission,” said Brian Festa, a founder of We the Patriots U.S.A., a “medical freedom” group that has pushed back on vaccine mandates, who said he has known Mr. Kennedy for years.But like Mr. Trump, Mr. Kennedy also has a tendency to float wild theories based on scanty evidence. And he has hinted at taking actions, like prosecuting leading medical journals, that have unnerved the medical community. On Friday, many leading public health experts reacted to his nomination with alarm.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Polio Vaccination Underway in Gaza

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      Aid agencies said that children in some areas of northern Gaza where Israel is mounting an offensive against Hamas will miss the doses, compromising the effectiveness of the campaign.Thousands of children in Gaza City were receiving a second dose of polio vaccine this weekend in an effort that was delayed by intense Israeli bombardment and mass evacuation orders in northern Gaza, the United Nations and other aid agencies said.The second phase of the vaccination campaign was originally set to begin on Oct. 23 across the north of the territory, but it was postponed due to a lack of assurances about pauses in the fighting and bombardment to ensure the safety of health workers, the World Health Organization and UNICEF said in a statement on Friday.The first round of vaccinations in September took place across northern Gaza. Since then, the Israeli military has launched an intense offensive in northern Gaza against what it has said is a resurgence of Hamas in the area.A humanitarian pause for the second phase of the vaccination campaign was only assured for Gaza City, according to the U.N. agencies. They said that around 15,000 children under 10 in northern towns where the Israeli military has been carrying out the offensive over the last few weeks “remain inaccessible and will be missed during the campaign, compromising its effectiveness.”COGAT, the Israeli government agency that oversees policy in Gaza and the occupied West Bank, said on Sunday that 58,604 children under 10 had been vaccinated in northern Gaza since the second phase of the campaign began a day earlier. It added that Israel would continue to work to “facilitate an effective vaccination campaign.”The Gazan Health Ministry confirmed the number of vaccinations, and the campaign was expected to continue through Monday.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Rabies Death in Minnesota Linked to Exposure to Bat, Officials Say

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      The death, which was reported on Friday, is only the fifth fatal human rabies case in Minnesota since 1975, health officials said.A patient who was exposed to a bat in western Minnesota this year died from rabies this week, becoming the fifth person since 1975 to die from the treatable disease in the state, health officials said on Friday.The Minnesota Department of Health said in a statement that it was still investigating the death, and did not explicitly say that a bat had caused the rabies but confirmed that the patient was exposed to a bat in July.The U.S. Centers for Disease Control and Prevention confirmed the patient’s rabies diagnosis earlier this month. The Minnesota Department of Health said there was not a public health risk.Fewer than 10 rabies deaths are reported annually in the United States, according to the C.D.C., and 70 percent of those deaths are attributed to exposure to bats.Previous human cases in Minnesota — all of which were fatal — were recorded in 1917, 1964, 1975, 2000, 2007 and 2021, according to the department.“If left untreated, rabies is almost always fatal,” the department said. “Rabies treatment has proven to be nearly 100 percent effective at preventing the disease after an exposure, but it must be started before symptoms of rabies appear.”We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More