On October 20, 2023, health officials in the County of San Diego, California, put out a press release warning of a Salmonella outbreak linked to raw (unpasteurized) milk. Such an outbreak is not particularly surprising; the reason the vast majority of milk is pasteurized (heated briefly to kill germs) is because milk can easily pick up nasty pathogens in the farmyard that can cause severe illnesses, particularly in children. It's the reason public health officials have long and strongly warned against consuming raw milk.

At the time of the press release, officials in San Diego County had identified nine residents who had been sickened in the outbreak. Of those nine, three were children, and all three children had been hospitalized.

On October 25, the county put out a second press release, reporting that the local case count had risen to 12, and the suspected culprit—raw milk and raw cream from Raw Farm LLC—had been recalled. The same day, Orange County's health department put out its own press release, reporting seven cases among its residents, including one in a 1-year-old infant.

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A lawyer who represents Children's Health Defense—the rabid anti-vaccine organization founded by the equally fervent anti-vaccine advocate and current US health secretary, Robert F. Kennedy Jr.—has filed a lawsuit against Kennedy, alleging that he has failed to set up a task force to promote safer childhood vaccinations.

The task force's creation is outlined in the National Childhood Vaccine Injury Act of 1986, which is mainly known for setting up the National Vaccine Injury Compensation Program. The program provides compensation to people who have credible claims that they were injured by a vaccination, such as experiencing a very rare, severe side effect. It acts as a no-fault alternative to costly lawsuits against pharmaceutical companies. Otherwise, those lawsuits could deter pharmaceutical companies from marketing and developing vaccines, which would create a grave threat to vaccination rates and public health.

Tucked into the 1986 law is also a provision that states the US health secretary "shall establish a task force on safer childhood vaccines." The task force is intended to "promote the development of childhood vaccines that result in fewer and less serious adverse reactions than those vaccines on the market on the effective date of this part and promote the refinement of such vaccines." The task force is supposed to provide progress reports to Congress, which are to be submitted every two years.

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This story was originally published by ProPublica.

Five months after taking over the federal agency responsible for the health of all Americans, Robert F. Kennedy Jr. wants to overhaul an obscure but vital program that underpins the nation’s childhood immunization system.

Depending on what he does, the results could be catastrophic.

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The vaccine panel hand-selected by health secretary and anti-vaccine advocate Robert F. Kennedy Jr. on Thursday voted overwhelmingly to drop federal recommendations for seasonal flu shots that contain the ethyl-mercury containing preservative thimerosal. The panel did so after hearing a misleading and cherry-picked presentation from an anti-vaccine activist.

There is extensive data from the last quarter century proving that the antiseptic preservative is safe, with no harms identified beyond slight soreness at the injection site, but none of that data was presented during today's meeting.

The significance of the vote is unclear for now. The vast majority of seasonal influenza vaccines currently used in the US—about 96 percent of flu shots in 2024–2025—do not contain thimerosal. The preservative is only included in multi-dose vials of seasonal flu vaccines, where it prevents the growth of bacteria and fungi potentially introduced as doses are withdrawn.

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After anti-vaccine advocate and US health secretary Robert F. Kennedy Jr. fired all 17 experts who sat on a revered federal vaccine panel and restocked it with eight dubious members, a growing chorus of lawmakers, health experts, and public advocates are calling for a pivotal meeting scheduled for Wednesday to be scrapped and for the panel to be "dissolved" and remade with qualified members.

On June 9, Kennedy unilaterally cleaned out the Centers for Disease Control and Prevention's Advisory Committee for Immunization Practices (ACIP). Though vetting for the committee has historically taken up to two years, Kenney announced the eight new members two days later. Some of the members are clear anti-vaccine activists, others have espoused contrarian or anti-public health perspectives, and some also have little to no relevant expertise for being on ACIP.

"[T]he reconstituted ACIP is a farce," Robert Steinbrook, a director at consumer rights watchdog Public Citizen, said in a statement. "Rather than further sullying the ACIP and undermining public confidence in vaccines, this week’s meeting should be rescheduled after the Senate has confirmed a new CDC Director who can both appoint an authoritative and representative committee and be able to approve the panel’s recommendations."

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With ardent anti-vaccine activist Robert F. Kennedy Jr. in the country's top health position, use of a long-approved vaccine against measles, mumps, rubella, and varicella/chickenpox (MMRV) as well as flu shots that include the preservative thimerosal will now be reevaluated, putting their future availability and use in question. The development seemingly continues to vindicate health experts' worst fears that, as health secretary, Kennedy would attack and dismantle the federal government's scientifically rigorous, evidence-based vaccine recommendations.

Discussions of the two types of vaccines now appear on the agenda of a meeting for the Centers for Disease Control and Prevention's Advisory Committee for Immunization Practices (ACIP) scheduled for two days next week (June 25 and 26).

ACIP’s overhaul

On June 9, Kennedy summarily fired all 17 members of ACIP, who were rigorously vetted—esteemed scientists and clinicians in the fields of immunology, epidemiology, pediatrics, obstetrics, internal and family medicine, geriatrics, infectious diseases, and public health. Two days later, Kennedy installed eight new members, many with dubious qualifications and several known to hold anti-vaccine views.

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All 17 experts ousted from the federal vaccine advisory committee have spoken out about the drastic changes that anti-vaccine advocate and current US health secretary Robert F. Kennedy Jr. has made since taking office. Those changes include unilaterally restricting access to COVID-19 vaccines and summarily firing the entire Advisory Committee on Immunization Practices (ACIP), which had guided federal vaccine policies for more than 60 years.

"We are deeply concerned that these destabilizing decisions, made without clear rationale, may roll back the achievements of US immunization policy, impact people’s access to lifesaving vaccines, and ultimately put US families at risk of dangerous and preventable illnesses," the fired experts write in an editorial published in JAMA.

Kennedy dismissed the entire committee on June 9, accusing the former members of lacking public trust and being "plagued with persistent conflicts of interest," despite the committee's transparent disclosure and conflict of interest policies.

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Since 2017, a particularly dangerous strain of E. coli O157:H7 has emerged across the country to spark outbreaks, severe disease, and deaths. It spreads in various ways: via leafy greens and contaminated beef, like its relatives, but also recreational waters. Hundreds of people across 46 states have been infected, and health officials have documented at least nine separate outbreaks. One in 2018, linked to lettuce, caused over 200 infections across 37 states, killing five people and causing a severe kidney condition in 26.

Now, a sweeping genetic analysis by researchers at the Centers for Disease Control and Prevention suggests a tiny mutation in one of the bacteria's molecular weapons may be behind the strain's rise. The finding, published recently in the journal Emerging Infectious Diseases, provides insights into this clinically significant plague and its rise to prominence. It also highlights the role of the bacteria's sophisticated military tactics.

The mutated weapon is part of a complex system that E. coli and other harmful bacteria sometimes use called a Type 3 Secretion System (T3SS). This involves molecular machinery that basically functions like a syringe, complete with a long needle that is poked into the cells of its victims. The T3SS then directly injects a fleet of hostile proteins. Those proteins—called effectors—attack specific targets that collectively disable the host's defense responses and make the host more hospitable for its bacterial conqueror.

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As of Friday, April 25, the US has confirmed over 900 measles cases since the start of the year. The cases are across 29 states, but most are in or near Texas, where a massive outbreak continues to mushroom in close-knit, undervaccinated communities.

On April 24, the Centers for Disease Control and Prevention had tallied 884 cases across the country. Today, the Texas health department updated its outbreak total, adding 22 cases to its last count from Tuesday. That brings the national total to at least 906 confirmed cases. Most of the cases are in unvaccinated children and teens.

Overall, Texas has identified 664 cases since late January. Of those, 64 patients have been hospitalized, and two unvaccinated school-aged children with no underlying medical conditions have died of the disease. An unvaccinated adult in New Mexico also died from the infection, bringing this year's measles death toll to three.

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In now-rarified comments from experts at the Centers for Disease Control and Prevention, an agency official on Tuesday evening said the explosive measles outbreak mushrooming out of West Texas will require "significant financial resources" to control and that the agency is already struggling to keep up.

"We are scrapping to find the resources and personnel needed to provide support to Texas and other jurisdictions," said David Sugerman, the CDC's lead on its measles team. The agency has been devastated by brutal cuts to CDC staff and funding, including a clawback of more than $11 billion in public health funds that largely went to state health departments.

Sugerman noted that the response to measles outbreaks is generally expensive. "The estimates are that each measles case can be $30,000 to $50,000 for public health response work—and that adds up quite quickly." The costs go to various responses, including on-the-ground response teams, vaccine doses and vaccination clinics, case reporting, contact tracing, mitigation plans, infection prevention, data systems, and other technical assistance to state health departments.

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The rate of autism in a group of 8-year-olds in the US rose from 2.76 percent (1 in 36) in 2020 to 3.22 percent (1 in 31) in 2022, according to a study out Tuesday in the Morbidity and Mortality Weekly Report, a journal published by the Centers for Disease Control and Prevention.

The report's authors—researchers at the CDC and academic institutions across the country—suggest that the slight uptick is likely due to improved access to evaluations in underserved groups, including Black, Hispanic, and low-income communities.

The data comes from the CDC-funded Autism and Developmental Disabilities Monitoring (ADDM) Network. The national network has been tracking the prevalence of autism spectrum disorder (ASD) in 8-year-olds at a handful of sites since 2000, publishing estimates every two years. In 2000, ASD prevalence was 1 in 150, with white children from high-income communities having the highest rates of the developmental disability. In 2020, when the rate hit 1 in 36, it was the first year in which higher ASD rates were seen in underserved communities. That year, researchers also noted that the link between ASD and socioeconomic status evaporated in most of the network.

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European tourists who toted home bottles of water from a holy well in Ethiopia were likely hoping for blessings and spiritual cleansing—but instead carried an infectious curse and got an intestinal power cleanse.

Three people in Germany and four in the UK fell ill with cholera after directly drinking or splashing their faces with the holy water. Two required intensive care. Luckily, they all eventually recovered, according to a report in the journal Eurosurveillance.

The infections occurred in February after some of the patients reported taking independent trips to Ethiopia in January. Two of the German patients and three of the UK patients reported travel to the country, and several reported visiting a holy well called Bermel Giorgis (also spelled ‘Georgis’) in the Quara district. The German travelers and at least one of the UK travelers brought water home with them and shared it.

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Last week, Health Secretary and anti-vaccine advocate Robert F. Kennedy Jr. announced the Trump administration would hack off nearly a quarter of employees at the Department of Health and Human Services, which oversees critical agencies including the Food and Drug Administration (FDA), the Centers for Disease Control and Prevention (CDC), the National Institutes of Health (NIH), and the Centers for Medicare and Medicaid Services (CMS).

The downsizing includes pushing out about 10,000 full-time employees through early retirements, deferred resignations, and other efforts. Another 10,000 will be laid off in a brutal restructuring, bringing the total HHS workforce from 82,000 to 62,000.

"This will be a painful period," Kennedy said in a video announcement last week. Early yesterday morning, the pain began.

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