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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A sweeping analysis of health data from more than 1.2 million children in Denmark born over a 24-year period found no link between the small amounts of aluminum in vaccines and a wide range of health conditions—including asthma, allergies, eczema, autism, and attention deficit-hyperactivity disorder (ADHD).
The finding, published in the Annals of Internal Medicine, firmly squashes a persistent anti-vaccine talking point that can give vaccine-hesitant parents pause.
Small amounts of aluminum salts have been added to vaccines for decades as adjuvants, that is, components of the vaccine that help drum up protective immune responses against a target germ. Aluminum adjuvants can be found in a variety of vaccines, including those against diphtheria, tetanus, and pertussis, Haemophilus influenzae type b (Hib), and hepatitis A and B.
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Health and medical groups around the country are bracing for another grievous blow to America's infrastructure of evidence-based health, this time targeting preventive medicine.
Earlier this week, health secretary and ardent anti-vaccine activist Robert F. Kennedy Jr. abruptly canceled a meeting of the United States Preventive Services Task Force (USPSTF), a scientifically independent panel of up to 16 volunteer experts that issues rigorous, evidence-based recommendations on preventive care—on everything from colonoscopies to folic acid supplements in pregnancy. The panel uses a highly transparent and rigorous framework, grading recommendations on an A to D scale. Recommendations with an A or B grade are adopted nationwide, and health insurance plans are required to cover them at no cost to patients.
The meeting scheduled for Thursday was reportedly going to focus on cardiovascular disease. Kennedy canceled it without explanation.
© Getty | Kayla Bartkowski
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."
© Getty | Kayla Bartkowski
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).
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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Notorious anti-vaccine advocate David Geier has begun working at the US Department of Health and Human Services and is seeking access to sensitive vaccine safety data that the Centers for Disease Control and Prevention had previously barred him from accessing—at least twice—according to reporting from The Wall Street Journal.
Geier and his father, Mark Geier, who died in March, are known for peddling the thoroughly debunked falsehood that vaccines cause autism, publishing a long list of dubious articles in low-quality journals that push the idea. In particular, the two have blamed the mercury-containing vaccine preservative, thimerosal, despite numerous studies finding no link. Thimerosal was largely abandoned from vaccine formulations in 2001 out of an abundance of caution.
In 2011, an investigation by the Maryland State Board of Physicians found that the Geiers were misdiagnosing autistic children and treating them with potent hormone therapies in a treatment they dubbed the "Lupron Protocol." Mark Geier was stripped of his medical license. David Geier, who has no medical or scientific background and holds only a bachelor's degree, was disciplined for practicing medicine without a license.
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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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Health experts took to one of the country's leading medical journals to pen searing rebukes of Robert F. Kennedy Jr.'s first weeks as the country's top health official—and they called upon their colleagues to rise up to fight the misinformation and distrust they allege Kennedy, a long-time anti-vaccine advocate, is fomenting.
From gutting federal health agencies and knee-capping critical local public health programs, to delaying a significant vaccine advisory meeting, hiring a discredited anti-vaccine advocate to conduct a vaccine study, ousting the country's top vaccine regulator, and undermining the response to the mushrooming measles outbreak in Texas that stands to threaten the country's measles elimination status—the researchers had no shortage of complaints.
In one article, pediatric infectious disease expert Kathryn Edwards of Vanderbilt University recounted the timeline of the measles outbreak, noting the missteps, missed opportunities, and controversial comments Kennedy made along the way. The rundown included his trivialization of the outbreak, failure to strongly advocate for vaccination, promotion of unproven treatments, like cod liver oil, and delayed responses from the Centers for Disease Control and Prevention, which Kennedy controls.
© Getty | Jim Watson
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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