Vaccines and immunisation

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    Health experts raise alarm over RFK Jr’s ‘war on science’ amid mass firings and budget cuts

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    The Trump administration’s “war on science” appears to have entered a new phase in the aftermath of a recent supreme court decision that empowered health and human services secretary Robert F Kennedy Jr, a prominent vaccine sceptic, and other agency leaders, to implement mass firings – effectively greenlighting the politicization of science.The decision comes as Kennedy abruptly canceled a scheduled meeting of a key health care advisory panel, the US Preventive Services Task Force, earlier this month. That, combined with his recent removal of a panel of more than a dozen vaccine advisers, signals that his dismantling of the science-based policymaking at HHS is likely far from over.“The current administration is waging a war on science,” warned Celine Gounder, a professor of medicine and an infectious disease expert at New York University in a keynote talk in May to graduates of Harvard’s School of Public Health.“Today we see rising threats to the public health institutions that have kept our world safe for generations,” she said, citing “cuts to research that benefits the lives of millions, looming public health emergencies that are not being addressed with the urgency they demand, and a continued coordinated attack on the very idea of the scientific process.”Gounder added: “Over the past few months, we have seen the Trump administration engage not only in medical misinformation, but in active censorship of scientific discourse.”Since he took the helm at HHS, Kennedy’s unscientific views on vaccines and some other medical matters coupled with the agency’s widespread research and staff cuts, have prompted protests from scientists inside and outside HHS plus lawsuits.Medical experts say Kennedy’s policies are helping “sow distrust in vaccines” as measles cases soar to a more than three decade high, hurt vital healthcare research with draconian cuts, and helped foment a Trump administration “war on science” mentality.Kennedy sparked a firestorm in June by ousting 17 members of the Advisory Committee on Immunization Practices, which recommends vaccines to the Centers for Disease Control and Prevention and votes to provide updates to its vaccine schedule. He then named a new eight person vaccine panel – half of whom share Kennedy’s distrust of vaccines – who quickly retracted recommendations for flu vaccines containing an ingredient which many anti-vaxxers have falsely connected to autism.That move sparked sharp criticism from veteran doctors with a national pediatric group, which opted to boycott its first meeting.“Among the reasons we decided not to participate was because it clearly appeared to be an orchestrated effort to sow distrust in vaccines,” Sean O’Leary who chairs a committee on infectious diseases with the American Academy of Pediatrics, told the Guardian.Dissent has also spread at the National Institutes of Health, where dozens of science researchers and other staff in June released a detailed document, dubbed the Bethesda Declaration, warning that key missions of the premiere research agency at HHS were being damaged by the Trump administration’s budget cutting.Even before these moves, prominent healthcare scholars were sounding loud alarms about some HHS policies and the administration’s anti-science mentality – including its draconian budget cuts for research and staff cuts totaling over 10,000.Gounder said there has been a “flood of Orwellian doublespeak from public health agencies”, contributing to declining vaccination rates and making Americans more susceptible to diseases like measles, which recently hit a level not seen since 2000 when measles was declared eliminated in the US.Her critique has been amplified by public protests from healthcare experts troubled by its vaccine policies and large cuts to research and staff at the Food and Drug Administration, the NIH and other parts of HHS.On a separate legal front, a Rhode Island federal court in July ruled against HHS and Kennedy and put a temporary stop to the drastic revamping of HHS and some of its staff cuts.The ruling provided a court victory to a group of 19 Democratic state attorneys general, plus the District of Columbia, which in May sued Kennedy – plus other HHS leaders such as the FDA commissioner and the CDC’s acting director – attacking the restructuring as an “unconstitutional and illegal dismantling” of the agency. Kennedy, they alleged, has “systematically deprived HHS of the resources necessary to do its job”.The Rhode Island judge wrote that as members of the executive branch, Kennedy and the HHS do “not have the authority to order, organize, or implement wholesale changes to the structure and function of the agencies created by Congress”.For his part, Kennedy in March issued a statement defending the early HHS move to cut 10,000 full-time jobs: “We aren’t just reducing bureaucratic sprawl. We are realigning the organization with its core mission and our new priorities in reversing the chronic disease epidemic.”Those jobs have since been cut, as of Monday 14 July, after an 8 July order from the supreme court that allowed the restructuring plans to proceed. Many employees who were supposed to be laid off during the agency’s first round of 10,000 layoffs in April have been in limbo as the order made its way through the court system and later paused by federal judges. The reorganization, in addition to cutting staff, was supposed to consolidate the department’s 28 divisions into 15 and cut regional offices from 10 to five.Democrats in Congress too have voiced strong alarms about the thousands of HHS job cuts and their adverse impacts on healthcare and science.Ten congressional Democrats led by congressman Jamie Raskin of Maryland, whose district is home to thousands of NIH and FDA workers, wrote to Kennedy in March demanding the rehiring of thousands of illegally fired workers, warning of the “harmful consequences” for patient healthcare and science research.Raskin told the Guardian that Kennedy and the Trump administration’s actions reveal a “complete disregard for the law making powers of Congress. Trump wants to be both the implementer of the laws and the legislative branch, but that is not his job. It’s totally unconstitutional. They’re trying to cut off funds that have been lawfully appropriated by Congress”.O’Leary and many other medical experts warn that the dangerous ideologically driven cuts at HHS will have long-term consequences.“What we’re seeing across HHS is deeply concerning,” said O’Leary “NIH funding has never been politically or ideologically driven, but clearly that’s what we’re seeing now. Those cuts are going to have serious consequences for our country and healthcare.” More

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      DoJ drops charges against Utah doctor accused of destroying Covid vaccines

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      The US Department of Justice dropped charges on Saturday against Michael Kirk Moore, the Utah doctor accused of destroying more than $28,000 worth of government-provided Covid-19 vaccines and administering saline to children instead of the shot.Pam Bondi, the US attorney general, announced the news in a statement on the social media platform X, saying the charges had been dismissed under her direction.“Dr Moore gave his patients a choice when the federal government refused to do so,” Bondi said. “He did not deserve the years in prison he was facing.”According to a 2023 press release from the US attorney’s office in Utah, Moore distributed at least 1,937 fraudulent vaccination record cards in exchange for either direct payment or required donations to a specific charity. The minors he gave saline shots to were under the impression, at the request of their parents, that they were receiving a Covid-19 shot. Moore ran the operations from a plastic surgery center in Midvale, Utah, and was charged, along with three other co-defendants, with conspiracy to defraud the United States.Far-right congresswoman Marjorie Taylor Greene thanked Bondi in a statement on X and called Moore a “hero who refused to inject his patients with a government-mandated unsafe vaccine”.The Utah senator Mike Lee also weighed in, saying on X that he was glad Moore could remain a free man and that countless Americans endured lies and lockdowns during the pandemic.Moore was indicted by the justice department in 2023. He pleaded not guilty to the charges, which also included conspiracy to convert, sell, convey and dispose of government property, and the conversion, sale, conveyance and disposal of government property.The fake vaccination records were sold under Moore’s scheme for $50 each, and operations allegedly ran between May 2021 and September 2022. Attorneys for Moore argued that the regulations set at the time by the Centers for Disease Control and Prevention (CDC) were unconstitutional.The charges against Moore were brought in when Joe Biden was president, but Covid-19 conspiracists and skeptics have been embraced in the new administration under Trump.Recently, the Trump administration canceled a $766m award to Moderna on the research and development of H5N1 bird flu vaccines, and officials announced new restrictions and regulations for Covid mRNA vaccines.The US health secretary, Robert F Kennedy Jr, who has for decades baselessly sowed doubt about vaccine safety, contrary to scientific research, thanked Moore in a statement on X back in April.“Dr Moore deserves a medal for his courage and his commitment to healing,” Kennedy Jr said. More

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

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

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      Pregnant doctor denied Covid-19 vaccine sues Trump administration

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

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

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

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

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

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

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

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      Who are the eight new vaccine advisers appointed by Robert F Kennedy?

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      Robert F Kennedy Jr, the US health secretary, named eight new vaccine advisers this week to a critical Centers for Disease Control and Prevention (CDC) panel after firing all 17 experts who had held the roles.New members of the panel include experts who complained about being sidelined, a high-profile figure who has spread misinformation and medical professionals who appear to have little vaccine expertise. Kennedy made the announcement on social media.“All of these individuals are committed to evidence-based medicine, gold-standard science, and common sense,” Kennedy said in his announcement. “They have each committed to demanding definitive safety and efficacy data before making any new vaccine recommendations.”Formally called the Advisory Committee on Immunization Practices (ACIP), the panel advises the CDC on how vaccines should be distributed. Those recommendations in effect determine the vaccines Americans can access. This week, Kennedy also removed the career officials typically tasked with vetting ACIP members and overseeing the advisory group, according to CBS News.Kennedy is a widely known vaccine skeptic who profited from suing vaccine manufacturers, has taken increasingly dramatic steps to upend US vaccine policy.“ACIP is widely regarded as the international gold standard for vaccine decision-making,” said Helen Chu, one of the fired advisers, at a press conference with Patty Murray, a Democratic US senator.“We cannot replace it with a process driven by one person’s beliefs. In the absence of an independent, unbiased ACIP, we can no longer trust that safe and effective vaccines will be available to us and the people around us.”Robert W MaloneArguably the most high-profile new member, Robert W Malone catapulted to stardom during the Covid-19 pandemic, appearing across rightwing media to criticize the Biden administration while describing himself as the inventor of mRNA technology.Messenger RNA technology powers the most widely used Covid-19 vaccines. While Malone was involved in very early experiments on the technology, researchers have said his role was limited.Malone’s star rose quickly after appearing on the Joe Rogan podcast in 2022, where he and Rogan were criticized for spreading misinformation. On the show, Malone promoted the idea that both ivermectin and hydroxychloroquine could be possible treatments for Covid-19, but said research on the drugs was being suppressed. Ivermectin and hydroxychloroquine have not been shown to improve outcomes from Covid-19.“Malone has a well-documented history of promoting conspiracy theories,” said Dr Jeffrey D Klausner, an epidemiologist and infectious disease expert at the University of Southern California, who recently told the New York Times he was in touch with Kennedy about his appointments.Martin KulldorffKulldorff is a former Harvard professor of biostatistics and an infectious disease epidemiologist originally from Sweden. He said in an essay for the rightwing publication City Journal that he was fired because he refused to be vaccinated in line with the school policy.Like Malone, he rose to prominence during the pandemic as a “Covid contrarian” who criticized the scientific consensus – views he said alienated him from his peers in the scientific community. He voiced his opposition to Covid-19 vaccine mandates and, in his essay, complained of being ignored by media and shadow-banned from Twitter.Kulldorff co-authored the Great Barrington Declaration, which called for limited closures instead of pandemic lockdowns before vaccines were available. The document became a touchstone for the American political right.Before the pandemic, Kulldorff studied vaccine safety and infectious disease, including co-authoring papers with members of CDC staff, such as on the Vaccine Safety Datalink. He was a member of the CDC’s Covid Vaccine Safety Working Group in 2020, but said later he was fired because he disagreed with the agency’s decision to pause Johnson & Johnson’s Covid-19 vaccine and with Covid-19 vaccine mandates. He served on the Food and Drug Administration’s (FDA) drug safety and risk management advisory committee around the same time.He has since enjoyed support from people already within the administration, including the Great Barrington Declaration co-author Dr Jay Bhattacharya, current head of the National Institutes of Health (NIH), and Dr Vinay Prasad, head of the Food and Drug Administration’s (FDA) Center for Biologics Evaluation and Research, which handles vaccines.Cody MeissnerMeissner is a professor of pediatrics at the Geisel School of Medicine at Dartmouth. He previously held advisory roles at the FDA and CDC, including ACIP from 2008-2012.In 2021, Meissner co-wrote an editorial with Dr Marty Makary, now the head of the FDA, which criticized mask mandates for children. In April, he was listed as an external adviser to ACIP on the respiratory syncytial virus (RSV) committee.Notably, Meissner is listed in a new conflicts of interest tool launched by the health department in March. Kennedy had criticized the fired ACIP members as “plagued with persistent conflicts of interest”.“He’s a card-carrying infectious disease person who knows the burden of these diseases, and he knows the risk and the benefit,” Dr Kathryn Edwards told CBS News. Edwards previously served as chair of the FDA’s vaccine advisory panel.Vicky PebsworthPebsworth is a nurse and the former consumer representative on the FDA’s vaccine advisory committee. She is also the Pacific regional director for the National Association of Catholic Nurses, according to Kennedy’s announcement.In 2020, Pebsworth spoke at the public comment portion of an FDA advisory panel meeting on Covid-19 vaccines. There, she identified herself as the volunteer research director for the National Vaccine Information Center (NVIC), “and the mother of a child injured by his 15-month well-baby shots in 1998”.The NVIC is widely viewed as an anti-vaccine advocacy organization “whose founder Barbara Lou Fisher must be considered a key figure of the anti-vaccine movement”, according to an article from 2023 on how to counter anti-vaccine misinformation.Retsef LeviLevi is a professor of operations management at the MIT Sloan School of Management who Kennedy described as an “expert in healthcare analytics, risk management and vaccine safety”.In 2021, he opposed Covid-19 booster shot approval during the public comment portion of an FDA advisory committee hearing. In 2022, he wrote an article calling for EMS calls to be incorporated into vaccine safety data, arguing that cardiovascular side-effects could be undercounted – an article that later required correction. The potential effects of Covid-19 vaccines on heart health have been a focal point of right-leaning criticism.Last month, Levi was criticized for publishing a pre-print paper – a paper without peer review – that he co-authored with Dr Joseph Ladapo, the Florida surgeon general, a vaccine skeptic. The paper alleged that people who took the Pfizer Covid-19 vaccine were more likely to die than those who received the Moderna vaccine.Michael A RossKennedy described Ross as “a Clinical Professor of Obstetrics and Gynecology at George Washington University and Virginia Commonwealth University, with a career spanning clinical medicine, research, and public health policy”.However, as first reported by CBS News, Ross’s name does not appear in faculty directories for either school. A spokesperson for George Washington University told the outlet that Ross did work as a clinical professor, but “has not held a faculty appointment … since 2017”.A spokesperson for Virginia Commonwealth University described Ross as “an affiliate faculty member” at a regional hospital system in the Capitol region.He is also listed as a partner at Havencrest Capital Management, as a board member of “multiple private healthcare companies”.Joseph R HibbelnHibbeln is a California-based psychiatrist who previously served as acting chief for the section of nutritional neurosciences at the NIH. He describes himself as an expert on omega-3, a fatty acid found in seafood.He also serves on the advisory council of a non-profit that advocates for Americans to eat more seafood. He practices at Barton Health, a hospital system in Lake Tahoe, California. His work influenced US public health guidelines on fish consumption during pregnancy.Dr James PaganoPagano is an emergency medicine physician from Los Angeles “with over 40 years of clinical experience”, and a “strong advocate for evidence-based medicine”, according to Kennedy. More

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      RFK Jr to remove all members of CDC panel advising on US vaccines

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      The health secretary, Robert F Kennedy Jr, is getting rid of all members sitting on a key US Centers for Disease Control and Prevention panel of vaccine experts and reconstituting the committee, he said on Monday.Kennedy is retiring and replacing all 17 members of the CDC’s advisory committee for immunization practices, he wrote in piece published in the Wall Street Journal.“Without removing the current members, the current Trump administration would not have been able to appoint a majority of new members until 2028,” Kennedy wrote.More details soon … More