CDC

“red-meat-allergy”-from-tick-bites-is-spreading-both-in-us-and-globally

“Red meat allergy” from tick bites is spreading both in US and globally


Remember to check for ticks after your next stroll through the woods or long grasses.

Hours after savoring that perfectly grilled steak on a beautiful summer evening, your body turns traitor, declaring war on the very meal you just enjoyed. You begin to feel excruciating itchiness, pain, or even swelling that can escalate to the point of requiring emergency care.

The culprit isn’t food poisoning—it’s the fallout from a tick bite you may have gotten months earlier and didn’t even notice.

This delayed allergic reaction is called alpha-gal syndrome. While it’s commonly called the “red meat allergy,” that nickname is misleading, because alpha-gal syndrome can cause strong reactions to many products, beyond just red meat.

The syndrome is also rapidly spreading in the US and around the globe. The Centers for Disease Control and Prevention estimates as many as 450,000 people in the US may have it. And it’s carried by many more tick species than most people realize.

Map showing alpha-gal syndrome prevalence.

Cases of suspected alpha-gal syndrome based on confirmed laboratory evidence.

Credit: CDC

Cases of suspected alpha-gal syndrome based on confirmed laboratory evidence. Credit: CDC

What is alpha-gal syndrome?

Alpha-gal syndrome is actually an allergy to a sugar molecule with a tongue-twisting name: galactose-alpha-1,3-galactose, shortened to alpha-gal.

The alpha-gal sugar molecule exists in the tissues of most mammals, including cows, pigs, deer, and rabbits. But it’s absent in humans. When a big dose of alpha-gal gets into your bloodstream through a tick bite, it can send your immune system into overdrive to generate antibodies against alpha-gal. In later exposure to foods containing alpha-gal, your immune system might then launch an inappropriate allergic response.

Picture of lone star tick

A lone star tick (Amblyomma americanum). The tick can cause alpha-gal syndrome as well as carry other diseases, including ehrlichiosis, tularemia, and Southern tick-associated rash illness.

A lone star tick (Amblyomma americanum). The tick can cause alpha-gal syndrome as well as carry other diseases, including ehrlichiosis, tularemia, and Southern tick-associated rash illness. Credit: wildpixel/Getty

Often this allergy is triggered by eating red meat. But the allergy also can be set off by exposure to a range of other animal-based products, including dairy products, gelatin (think Jell-O or gummy bears), medications, and even some personal care items. The drug heparin, used to prevent blood clotting during surgery, is extracted from pig intestines, and its use has triggered a dangerous reaction in some people with alpha-gal syndrome.

Once you have alpha-gal syndrome, it’s possible to get over the allergy if you can modify your diet enough to avoid triggering another reaction for a few years and also avoid more tick bites. But that takes time and careful attention to the less obvious triggers that you might be exposed to.

Why more people are being diagnosed

As an entomologist who studies bugs and the diseases they transmit, what I find alarming is how rapidly this allergy is spreading around the globe.

Several years ago, experts thought alpha-gal syndrome was primarily limited to the Southeastern US because it was largely associated with the geographical range of the lone star tick.

photo of tick feeding on human

How a tick feeds.

However, both local and global reports have now identified many different tick species across six continents that are capable of causing alpha-gal syndrome, including the prolific black-legged tick, or deer tick, which also transmits Lyme disease.

These ticks lurk in yards and urban parks, as well as forests where they can stealthily grab onto hikers when they touch tick-infested vegetation. As tick populations boom with growing deer and human populations, the number of people with alpha-gal syndrome is escalating.

Why ticks are blamed for alpha-gal syndrome

There are a few theories on how a tick bite triggers alpha-gal syndrome and why only a small proportion of people bitten develop the allergy. To understand the theories, it helps to understand what happens as a tick starts feeding on you.

When a tick finds you, it typically looks for a warm, dark area to hide and attach itself to your body. Then its serrated teeth chew through your skin with rapid sawing motions.

As it excavates deeper into your skin, the tick deploys a barbed feeding tube, like a miniature drilling rig, and it secretes a biological cement that anchors its head into its new tunnel.

A tick’s mouth is barbed so it can stay embedded in your skin as it draws blood over hours and sometimes days.

Credit: National Institute of Allergy and Infectious Diseases

A tick’s mouth is barbed so it can stay embedded in your skin as it draws blood over hours and sometimes days. Credit: National Institute of Allergy and Infectious Diseases

Once secure, the tick activates its pumping station, injecting copious amounts of saliva containing anesthetics, blood thinners, and, sometimes, alpha-gal sugars into the wound so it can feed undetected, sometimes for days.

One theory about how a tick bite causes alpha-gal syndrome is linked to the enormous quantity of tick saliva released during feeding, which activates the body’s strong immune response. Another suggests how the skin is damaged as the tick feeds and the possible effect of the tick’s regurgitated stomach contents into the bite site are to blame. Or it may be a combination of these and other triggers. Scientists are still investigating the causes.

What an allergic reaction feels like

The allergy doesn’t begin right away. Typically, one to three months after the sensitizing tick bite, a person with alpha-gal syndrome has their first disturbing reaction.

Alpha-gal syndrome produces symptoms that range from hives or swelling to crushing abdominal pain, violent nausea, or even life-threatening anaphylactic shock. The symptoms usually start two to six hours after a person has ingested a meat product containing alpha-gal.

Due to a general lack of awareness about the allergy, however, doctors can easily miss the diagnosis. A study in 2022 found that 42 percent of US health care practitioners had never heard of alpha-gal syndrome. A decade ago, people with alpha-gal syndrome might go years before the cause of their symptoms was accurately diagnosed. Today, the diagnosis is faster in areas where doctors are familiar with the syndrome, but in many parts of the country it can still take time and multiple doctor visits.

Unfortunately, with every additional tick bite or exposure to food or products containing alpha-gal, the allergy can increase in severity.

Chart showing tick relative sizes

The lone star tick isn’t the only one that can cause alpha-gal syndrome. Black-legged ticks have also been connected to cases.

Credit: US Army

The lone star tick isn’t the only one that can cause alpha-gal syndrome. Black-legged ticks have also been connected to cases. Credit: US Army

If you think you have alpha-gal syndrome

If you suspect you may have alpha-gal syndrome, the first step is to discuss the possibility with your doctor and ask them to order a simple blood test to measure whether your immune system is reacting to alpha-gal.

If you test positive, the main strategy for managing the allergy is to avoid eating any food product from a mammal, including milk and cheese, as well as other potential triggers, such as more tick bites.

Read labels carefully. Some products contain additives such as carrageenan, which is derived from red algae and contains alpha-gal.

In extreme cases, people with alpha-gal syndrome may need to carry an EpiPen to prevent anaphylactic shock. Reputable websites, such as the CDC and alphagalinformation.org, can provide more information and advice.

Mysteries remain as alpha-gal syndrome spreads

Since alpha-gal syndrome was first formally documented in the early 2000s, scientists have made progress in understanding this puzzling condition. Researchers have connected the allergy to specific tick bites and found that people with the allergy can have a higher risk of heart disease, even without allergy symptoms.

But important mysteries remain.

Scientists are still figuring out exactly how the tick bite tricks the human immune system and why tick saliva is a trigger for only some people. With growing public interest in alpha-gal syndrome, the next decade could bring breakthroughs in preventing, diagnosing, and treating this condition.

For now, the next time you are strolling in the woods or in long grasses, remember to check for ticks on your body, wear long sleeves, long pants, and tick repellent to protect yourself from these bloodthirsty hitchhikers. If you do get bitten by a tick, watch out for odd allergic symptoms to appear a few hours after your next steak or handful of gummy bears.

Lee Rafuse Haines is associate research professor of molecular parasitology and medical entomology at University of Notre Dame.

This article is republished from The Conversation under a Creative Commons license. Read the original article.

Photo of The Conversation

The Conversation is an independent source of news and views, sourced from the academic and research community. Our team of editors work with these experts to share their knowledge with the wider public. Our aim is to allow for better understanding of current affairs and complex issues, and hopefully improve the quality of public discourse on them.

“Red meat allergy” from tick bites is spreading both in US and globally Read More »

senate-confirms-cdc-director-as-top-fda-official-resigns-under-political-pressure

Senate confirms CDC director as top FDA official resigns under political pressure

As of yesterday, Susan Monarez is in and Vinay Prasad is out among top federal health officials.

In a 51–47 vote along party lines, the Senate confirmed Monarez as the director of the Centers for Disease Control and Prevention. She is the first nominee for CDC director to be required to get Senate confirmation, following a 2022 law requiring it. She is also the first person to serve in the role without a medical degree since 1953.

Monarez has a PhD in microbiology and immunology and previously served as the deputy director for the Advanced Research Projects Agency for Health (ARPA-H) under the Biden administration. Monarez quietly helmed the CDC as acting director from January to March of this year but stepped down as required when Donald Trump nominated her for the permanent role. Before that, Trump had nominated Dave Weldon, but the nomination was abandoned over concerns that his anti-vaccine views would torpedo his Senate confirmation.

In contrast, Monarez aligns with the evidence-based public health community and has support from health experts. Jennifer Nuzzo, director of the Pandemic Center at the Brown University School of Public Health, told NPR that she has known Monarez professionally for more than a decade. “She’s a loyal, hardworking civil servant who leads with evidence and pragmatism and has been dedicated to improving the health of Americans for the entirety of her career,” Nuzzo said of Monarez.

Similarly, Georges Benjamin, executive director of the American Public Health Association, told the outlet that Monarez “values science, is a solid researcher, and has a history of being a good manager. We’re looking forward to working with her.”

It remains to be seen how Monarez will balance evidence-based public health guidance with the ideologically driven choices of health secretary and fervent anti-vaccine advocate Robert F. Kennedy Jr.

Senate confirms CDC director as top FDA official resigns under political pressure Read More »

“it’s-shocking”:-massive-raw-milk-outbreak-from-2023-finally-reported

“It’s shocking”: Massive raw milk outbreak from 2023 finally reported


The outbreak occurred in 2023–2024, but little information had been shared about it.

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.

Both counties noted that the California Department of Public Health (CDPH), which had posted the recall notice, was working on the outbreak, too. But it doesn’t appear that CDPH ever followed up with its own press release about the outbreak. The CDPH did write social media posts related to the outbreak: One on October 26, 2023, announced the recall; a second on November 30, 2023, noted “a recent outbreak” of Salmonella cases from raw milk but linked to general information about the risks of raw milk; and a third on December 7, 2023, linked to general information again with no mention of the outbreak.

But that seems to be the extent of the information at the time. For anyone paying attention, it might have seemed like the end of the story. But according to the final outbreak investigation report—produced by CDPH and local health officials—the outbreak actually ran from September 2023 to March 2024, spanned five states, and sickened at least 171 people. That report was released last week, on July 24, 2025.

Shocking outbreak

The report was published in the Morbidity and Mortality Weekly Report, a journal run by the Centers for Disease Control and Prevention. The report describes the outbreak as “one of the largest foodborne outbreaks linked to raw milk in recent US history.” It also said that the state and local health department had issued “extensive public messaging regarding this outbreak.”

According to the final data, of the 171 people, 120 (70 percent) were children and teens, including 67 (39 percent) who were under the age of 5. At least 22 people were hospitalized, nearly all of them (82 percent) were children and teens. Fortunately, there were no deaths.

“I was just candidly shocked that there was an outbreak of 170 plus people because it had not been reported—at all,” Bill Marler, a personal injury lawyer specializing in food poisoning outbreaks, told Ars Technica in an interview. With the large number of cases, the high percentage of kids, and cases in multiple states, “it’s shocking that they never publicized it,” he said. “I mean, what’s the point?”

Ars Technica reached out to CDPH seeking answers about why there wasn’t more messaging and information about the outbreak during and soon after the investigation. At the time this story was published, several business days had passed and the department had told Ars in a follow-up email that it was still working on a response. Shortly after publication, CDPH provided a written statement, but it did not answer any specific questions, including why CDPH did not release its own press release about the state-wide outbreak or make case counts public during the investigation.

“CDPH takes its charge to protect public health seriously and works closely with all partners when a foodborne illness outbreak is identified,” the statement reads. It then referenced only the social media posts and the press releases from San Diego County and Orange County mentioned previously in this story as examples of its public messaging.

“This is pissing me off”

Marler, who represents around two dozen of the 171 people sickened in the outbreak, was one of the first people to get the full picture of the outbreak from California officials. In July of 2024, he obtained an interim report of the investigation from state health officials. At that point, they had documented at least 165 of the cases. And in December 2024, he got access to a preliminary report of the full investigation dated October 15, 2024, which identified the final 171 cases and appears to contain much of the data published in the MMWR, which has had its publication rate slowed amid the second Trump administration.

Getting that information from California officials was not easy, Marler told Ars. “There was one point in time where they wouldn’t give it to me. And I sent them a copy of a subpoena and I said, ‘you know, I’ve been working with public health for 32 years. I’m a big supporter of public health. I believe in your mission, but,’ I said, ‘this is pissing me off.'”

At that point, Marler knew that it was a multi-county outbreak and the CDPH and the state’s Department of Food and Agriculture were involved. He knew there was data. But it took threatening a subpoena to get it. “I’m like ‘OK, you don’t give it to me. I’m going to freaking drop a subpoena on you, and the court’s going to force you to give it.’ And they’re like, ‘OK, we’ll give it to you.'”

The October 15 state report he finally got a hold of provides a breakdown of the California cases. It reports that San Diego had a total of 25 cases (not just the 12 initially reported in the press releases), and Orange County had 19 (not just the seven). Most of the other 171 cases were spread widely across California, spanning 35 local health departments. Only four of the 171 cases were outside of California—one each in New Mexico, Pennsylvania, Texas, and Washington. It’s unclear how people in these states were exposed, given that it’s against federal law to sell raw milk for human consumption across state lines. But two of the four people sickened outside of California specifically reported that they consumed dairy from Raw Farm without going to California.

Of the 171 cases, 159 were confirmed cases, which were defined as being confirmed using whole genome sequencing that linked the Salmonella strain causing a person’s infection to the outbreak strain also found in raw milk samples and a raw milk cheese sample from Raw Farm. The remaining 12 probable cases were people who had laboratory-confirmed Salmonella infections and also reported consuming Raw Farm products within seven days prior to falling ill.

“We own it”

In an interview with Ars Technica, the owner and founder of Raw Farm, Mark McAfee, disputed much of the information in the MMWR study and the October 2024 state report. He claimed that there were not 171 cases—only 19 people got sick, he said, presumably referring to the 19 cases collectively reported in the San Diego and Orange County press releases in October 2023.

“We own it. It’s ours. We’ve got these 19 people,” he told Ars.

But he said he did not believe that the genomic data was accurate and that the other 140 cases confirmed with genetic sequencing were not truly connected to his farm’s products. He also doubted that the outbreak spanned many months and into early 2024. McAfee says that a single cow that had been purchased close to the start of the outbreak had been the source of the Salmonella. Once that animal had been removed from the herd by the end of October 23, subsequent testing was negative. He also outright did not accept that testing identified the Salmonella outbreak strain in the farm’s raw cheese, which was reported in the MMWR and the state report.

Overall, McAfee downplayed the outbreak and claimed that raw milk has significant health benefits, such as being a cure for asthma—a common myth among raw milk advocates that has been debunked. He rejects the substantial number of scientific studies that have refuted the variety of unproven health claims made by raw-milk advocates. (You can read a thorough run-down of raw milk myths and the data refuting them in this post by the Food and Drug Administration.) McAfee claims that he and his company are “pioneers” and that public health experts who warn of the demonstrable health risks are simply stuck in the past.

Outbreak record

McAfee is a relatively high-profile raw milk advocate in California. For example, health secretary and anti-vaccine advocate Robert F. Kennedy Jr. is reportedly a customer. Amid an outbreak of H5N1 on his farm last year, McAfee sent Ars press material claiming that McAfee “has been asked by the RFK transition team to apply for the position of ‘FDA advisor on Raw Milk Policy and Standards Development.'” But McAfee’s opinion of Kennedy has soured since then. In an interview with Ars last week, he said Kennedy “doesn’t have the guts” to loosen federal regulations on raw milk.

On his blog, Marler has a running tally of at least 11 outbreaks linked to the farm’s products.

In this outbreak, illnesses were caused by Salmonella Typhimurium, which generally causes diarrhea, fever, vomiting, and abdominal pain. In some severe cases, the infection can spread outside the gastrointestinal tract and into the blood, brain, bones, and joints, according to the CDC.

Marler noted that, for kids, infections can be severe. “Some of these kids who got sick were hospitalized for extended periods of time,” he said of the some of the cases he is representing in litigation. And those hospitalizations can lead to hundreds of thousands of dollars in medical expenses, he said. “It’s not just tummy aches.”

This post has been updated to include the response from CDPH.

Photo of Beth Mole

Beth is Ars Technica’s Senior Health Reporter. Beth has a Ph.D. in microbiology from the University of North Carolina at Chapel Hill and attended the Science Communication program at the University of California, Santa Cruz. She specializes in covering infectious diseases, public health, and microbes.

“It’s shocking”: Massive raw milk outbreak from 2023 finally reported Read More »

rfk-jr.-wants-to-change-program-that-stopped-vaccine-makers-from-leaving-us-market

RFK Jr. wants to change program that stopped vaccine makers from leaving US market


RFK Jr. is targeting a little-known program that underpins childhood immunizations in the US.

US Secretary of Health and Human Services Robert F. Kennedy Jr. testifies before the Senate Committee on Health, Education, Labor, and Pensions on Capitol Hill on May 20, 2025 in Washington, DC. Credit: Getty | Tasos Katopodis

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.

In his crosshairs is the Vaccine Injury Compensation Program, a system designed to provide fair and quick payouts for people who suffer rare but serious side effects from shots—without having to prove that drugmakers were negligent. Congress created the program in the 1980s when lawsuits drove vaccine makers from the market. A special tax on immunizations funds the awards, and manufacturers benefit from legal protections that make it harder to win big-money verdicts against them in civil courts.

Kennedy, who founded an anti-vaccination group and previously accused the pharmaceutical industry of inflicting “unnecessary and risky vaccines” on children for profits, has long argued that the program removes any incentive for the industry to make safe products.

In a recent interview with Tucker Carlson, Kennedy condemned what he called corruption in the program and said he had assigned a team to overhaul it and expand who could seek compensation. He didn’t detail his plans but did repeat the long-debunked claim that vaccines cause autism and suggested, without citing any evidence, that shots could also be responsible for a litany of chronic ailments, from diabetes to narcolepsy.

There are a number of ways he could blow up the program and prompt vaccine makers to stop selling shots in the US, like they did in the 1980s. The trust fund that pays awards, for instance, could run out of money if the government made it easy for Kennedy’s laundry list of common health problems to qualify for payments from the fund.

Or he could pick away at the program one shot at a time. Right now, immunizations routinely recommended for children or pregnant women are covered by the program. Kennedy has the power to drop vaccines from the list, a move that would open up their manufacturers to the kinds of lawsuits that made them flee years ago.

Dr. Eddy Bresnitz, who served as New Jersey’s state epidemiologist and then spent a dozen years as a vaccine executive at Merck, is among those worried.

“If his unstated goal is to basically destroy the vaccine industry, that could do it,” said Bresnitz, who retired from Merck and has consulted for vaccine manufacturers. “I still believe, having worked in the industry, that they care about protecting American health, but they are also for-profit companies with shareholders, and anything that detracts from the bottom line that can be avoided, they will avoid.”

A spokesperson for PhRMA, a US trade group for pharmaceutical companies, told ProPublica in a written statement that upending the Vaccine Injury Compensation Program “would threaten continued patient access to FDA-approved vaccines.”

The spokesperson, Andrew Powaleny, said the program “has compensated thousands of claims while helping ensure the continued availability of a safe and effective vaccine supply. It remains a vital safeguard for public health and importantly doesn’t shield manufacturers from liability.”

Since its inception, the compensation fund has paid about $4.8 billion in awards for harm from serious side effects, such as life-threatening allergic reactions and Guillain-Barré syndrome, an autoimmune condition that can cause paralysis. The federal agency that oversees the program found that for every 1 million doses of vaccine distributed between 2006 and 2023, about one person was compensated for an injury.

Since becoming Health and Human Services secretary, Kennedy has turned the staid world of immunizations on its ear. He reneged on the US government’s pledge to fund vaccinations for the world’s poorest kids. He fired every member of the federal advisory group that recommends which shots Americans get, and his new slate vowed to scrutinize the US childhood immunization schedule. Measles, a vaccine-preventable disease eliminated here in 2000, roared back and hit a grim record—more cases than the US has seen in 33 years, including three deaths. When a US senator asked Kennedy if he recommended measles shots, Kennedy answered, “Senator, if I advised you to swim in a lake that I knew there to be alligators in, wouldn’t you want me to tell you there were alligators in it?”

Fed up, the American Academy of Pediatrics and other medical societies sued Kennedy last week, accusing him of dismantling “the longstanding, Congressionally-authorized, science- and evidence-based vaccine infrastructure that has prevented the deaths of untold millions of Americans.” (The federal government has yet to respond to the suit.)

Just about all drugs have side effects. What’s unusual about vaccines is that they’re given to healthy people—even newborns on their first day of life. And many shots protect not just the individuals receiving them but also the broader community by making it harder for deadly scourges to spread. The Centers for Disease Control and Prevention estimates that routine childhood immunizations have prevented more than 1.1 million deaths and 32 million hospitalizations among the generation of Americans born between 1994 and 2023.

To most people, the nation’s vaccine system feels like a solid, reliable fact of life, doling out shots to children like clockwork. But in reality it is surprisingly fragile.

There are only a handful of companies that make nearly all of the shots children receive. Only one manufacturer makes chickenpox vaccines. And just two or three make the shots that protect against more than a dozen diseases, including polio and measles. If any were to drop out, the country could find itself in the same crisis that led President Ronald Reagan to sign the law creating the Vaccine Injury Compensation Program in 1986.

Back then, pharmaceutical companies faced hundreds of lawsuits alleging that the vaccine protecting kids from whooping cough, diphtheria, and tetanus caused unrelenting seizures that led to severe disabilities. (Today’s version of this shot is different.) One vaccine maker after another left the US market.

At one point, pediatricians could only buy whooping cough vaccines from a single company. Shortages were so bad that the CDC recommended doctors stop giving booster shots to preserve supplies for the most vulnerable babies.

While Congress debated what to do, public health clinics’ cost per dose jumped 5,000 percent in five years.

“We were really concerned that we would lose all vaccines, and we would get major resurgences of vaccine-preventable diseases,” recalled Dr. Walter Orenstein, a vaccine expert who worked in the CDC’s immunization division at the time.

A Forbes headline captured the anxiety of parents, pediatricians, and public health workers: “Scared Shotless.” So a bipartisan group in Congress hammered out the no-fault system.

Today, the program covers vaccines routinely recommended for children or pregnant women once Congress approves the special tax that funds awards. (COVID-19 shots are part of a separate, often-maligned system for handling claims of harm, though Kennedy has said he’s looking at ways to add them to the Vaccine Injury Compensation Program.)

Under program rules, people who say they are harmed by covered vaccines can’t head straight to civil court to sue manufacturers. First, they have to go through the no-fault system. The law established a table of injuries and the time frame for when those conditions must have appeared in order to be considered for quicker payouts. A tax on those vaccines — now 75 cents for every disease that a shot protects against — flows into a trust fund that pays those approved for awards. Win or lose, the program, for the most part, pays attorney fees and forbids lawyers from taking a cut of the money paid to the injured.

The law set up a dedicated vaccine court where government officials known as special masters, who operate like judges, rule on cases without juries. People can ask for compensation for health problems not listed on the injury table, and they don’t have to prove that the vaccine maker was negligent or failed to warn them about the medical condition they wound up with. At the same time, they can’t claim punitive damages, which drive up payouts in civil courts, and pain and suffering payments are capped at $250,000.

Plaintiffs who aren’t satisfied with the outcome or whose cases drag on too long can exit the program and file their cases in traditional civil courts. There they can pursue punitive damages, contingency-fee agreements with lawyers and the usual evidence gathering that plaintiffs use to hold companies accountable for wrongdoing.

But a Supreme Court ruling, interpreting the law that created the Vaccine Injury Compensation Program, limited the kinds of claims that can prevail in civil court. So while the program isn’t a full liability shield for vaccine makers, its very existence significantly narrows the cases trial lawyers can file.

Kennedy has been involved in such civil litigation. In his federal disclosures, he revealed that he referred plaintiffs to a law firm filing cases against Merck over its HPV shot in exchange for a 10 percent cut of the fees if they win. After a heated exchange with Sen. Elizabeth Warren during his confirmation proceedings, Kennedy said his share of any money from those cases would instead go to one of his adult sons, who he later said is a lawyer in California. His son Conor works as an attorney at the Los Angeles law firm benefiting from his referrals. When ProPublica asked about this arrangement, Conor Kennedy wrote, “I don’t work on those cases and I’m not receiving any money from them.”

In March, a North Carolina federal judge overseeing hundreds of cases that alleged Merck failed to warn patients about serious side effects from its HPV vaccine ruled in favor of Merck; an appeal is pending.

The Vaccine Injury Compensation Program succeeded in stabilizing the business of childhood vaccines, with many more shots developed and approved in the decades since it was established. But even ardent supporters acknowledge there are problems. The program’s staff levels haven’t kept up with the caseload. The law capped the number of special masters at eight, and congressional bills to increase that have failed. An influx of adult claims swamped the system after adverse reactions to flu shots became eligible for compensation in 2005 and serious shoulder problems were added to the injury table in 2017.

The quick and smooth system of payouts originally envisioned has evolved into a more adversarial one with lawyers for the Department of Justice duking it out with plaintiffs’ attorneys, which Kennedy says runs counter to the program’s intent. Many cases drag on for years.

In his recent interview with Carlson, he described “the lawyers of the Department of Justice, the leaders of it” working on the cases as corrupt. “They saw their job as protecting the trust fund rather than taking care of people who made this national sacrifice, and we’re going to change all that,” he said. “And I’ve brought in a team this week that is starting to work on that.”

The system is “supposed to be generous and fast and gives a tie to the runner,” he told Carlson. “In other words, if there’s doubts about, you know, whether somebody’s injury came from a vaccine or not, you’re going to assume they got it and compensate them.”

Kennedy didn’t identify who is on the team reviewing the program. At one point in the interview, he said, “We just brought a guy in this week who’s going to be revolutionizing the Vaccine Injury Compensation Program.”

The HHS employee directory now lists Andrew Downing as a counselor working in Kennedy’s office. Downing for many years has filed claims with the program and suits in civil courts on behalf of clients alleging harm from shots. Last month, HHS awarded a contract for “Vaccine Injury Compensation Program expertise” to Downing’s firm, as NOTUS has reported.

Downing did not respond to a voicemail left at his law office. HHS didn’t reply to a request to make him and Kennedy available for an interview and declined to answer detailed questions about its plans for the Vaccine Injury Compensation Program. In the past, an HHS spokesperson has said that Kennedy is “not anti-vaccine—he is pro-safety.”

While it’s not clear what changes Downing and Kennedy have in mind, Kennedy’s interview with Carlson offered some insights. Kennedy said he was working to expand the program’s three-year statute of limitations so that more people can be compensated. Downing has complained that patients who have certain autoimmune disorders don’t realize their ailments were caused by a vaccine until it’s too late to file. Congress would have to change the law to allow this, experts said.

A key issue is whether Kennedy will try to add new ailments to the list of injuries that qualify for quicker awards.

In the Carlson interview, Kennedy dismissed the many studies and scientific consensus that shots don’t cause autism as nothing more than statistical trickery. “We’re going to do real science,” Kennedy said.

The vaccine court spent years in the 2000s trying cases that alleged autism was caused by the vaccine ingredient thimerosal and the shot that protects people from measles, mumps, and rubella. Facing more than 5,000 claims, the court asked a committee of attorneys representing children with autism to pick test cases that represented themes common in the broader group. In the cases that went to trial, the special masters considered more than 900 medical articles and heard testimony from dozens of experts. In each of those cases, the special masters found that the shots didn’t cause autism.

In at least two subsequent cases, children with autism were granted compensation because they met the criteria listed in the program’s injury table, according to a vaccine court decision. That table, for instance, lists certain forms of encephalopathy—a type of brain dysfunction—as a rare side effect of shots that protect people from whooping cough, measles, mumps, and rubella. In a 2016 vaccine court ruling, Special Master George L. Hastings Jr. explained, “The compensation of these two cases, thus does not afford any support to the notion that vaccinations can contribute to the causation of autism.”

Hastings noted that when Congress set up the injury table, the lawmakers acknowledged that people would get compensated for “some injuries that were not, in fact, truly vaccine-caused.”

Many disabling neurological disorders in children become apparent around the time kids get their shots. Figuring out whether the timing was coincidental or an indication that the vaccines caused the problem has been a huge challenge.

Devastating seizures in young children were the impetus for the compensation program. But in the mid-1990s, after a yearslong review of the evidence, HHS removed seizure disorder from the injury table and narrowed the type of encephalopathy that would automatically qualify for compensation. Scientists subsequently have discovered genetic mutations that cause some of the most severe forms of epilepsy.

What’s different now, though, is that Kennedy, as HHS secretary, has the power to add autism or other disorders to that injury table. Experts say he’d have to go through the federal government’s cumbersome rulemaking process to do so. He could also lean on federal employees to green-light more claims.

In addition, Kennedy has made it clear he’s thinking about illnesses beyond autism. “We have now this epidemic of immune dysregulation in our country, and there’s no way to rule out vaccines as one of the key culprits,” he told Carlson. Kennedy mentioned diabetes, rheumatoid arthritis, seizure disorders, ADHD, speech delay, language delay, tics, Tourette syndrome, narcolepsy, peanut allergies, and eczema.

President Donald Trump’s budget estimated that the value of the investments in the Vaccine Injury Compensation Program trust fund could reach $4.8 billion this year. While that’s a lot of money, a life-care plan for a child with severe autism can cost tens of millions of dollars, and the CDC reported in April that 1 in 31 children is diagnosed with autism by their 8th birthday. The other illnesses Kennedy mentioned also affect a wide swath of the US population.

Dr. Paul Offit, a co-inventor of a rotavirus vaccine and director of the Vaccine Education Center at Children’s Hospital of Philadelphia, for years has sparred with Kennedy over vaccines. Offit fears that Kennedy will use flawed studies to justify adding autism and other common medical problems to the injury table, no matter how much they conflict with robust scientific research.

“You can do that, and you will bankrupt the program,” he said. “These are ways to end vaccine manufacturing in this country.”

If the trust fund were to run out of money, Congress would have to act, said Dorit Reiss, a law professor at University of California Law San Francisco who has studied the Vaccine Injury Compensation Program. Congress could increase the excise tax on vaccines, she said, or pass a law limiting what’s on the injury table. Or Congress could abolish the program, and the vaccine makers would find themselves back in the situation they faced in the 1980s.

“That’s not unrealistic,” Reiss said.

Rep. Paul Gosar, an Arizona Republican, last year proposed the End the Vaccine Carveout Act, which would have allowed people to bypass the no-fault system and head straight to civil court. His press release for the bill—written in September, before Kennedy’s ascension to HHS secretary—quoted Kennedy saying, “If we want safe and effective vaccines, we need to end the liability shield.”

The legislation never came up for a vote. A spokesperson for the congressman said he expects to introduce it again “in the very near future.”

Renée Gentry, director of the George Washington University Law School’s Vaccine Injury Litigation Clinic, thinks it’s unlikely Congress will blow up the no-fault program. But Gentry, who represents people filing claims for injuries, said it’s hard to predict what Congress, faced with a doomsday scenario, would do.

“Normally Democrats are friends of plaintiffs’ lawyers,” she said. “But talking about vaccines on the Hill is like walking on a razor blade that’s on fire.”

Photo of ProPublica

RFK Jr. wants to change program that stopped vaccine makers from leaving US market Read More »

rfk-jr.’s-cdc-panel-ditches-some-flu-shots-based-on-anti-vaccine-junk-data

RFK Jr.’s CDC panel ditches some flu shots based on anti-vaccine junk data


Flu shots with thimerosal abandoned, despite decades of data showing they’re safe.

Dr. Martin Kulldorff, chair of the Advisory Committee on Immunization Practices, during the first meeting of the CDC’s Advisory Committee On Immunization Practices on June 25, 2025. Credit: Getty | Bloomberg

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.

However, thimerosal is more common elsewhere in the world for various multi-dose vaccine vials, which are cheaper than the single-dose vials more commonly used in the US. If other countries follow the US’s lead and abandon thimerosal, it could increase the cost of vaccines in other countries and, in turn, lead to fewer vaccinations.

Broken process

However, it remains unclear what impact today’s vote will have—both in the US and abroad. Normally, before voting on any significant changes to vaccine recommendations from the Centers for Disease Control and Prevention, the committee that met today—the CDC’s Advisory Committee on Immunization Practices (ACIP)— would go through an exhaustive process. That includes thoroughly reviewing and discussing the extensive safety and efficacy data of the vaccines, the balance of their benefits and harms, equity considerations, and the feasibility and resource implications of their removal.

But, instead, the committee heard a single presentation given by anti-vaccine activist, Lyn Redwood, who was once the president of the anti-vaccine organization founded by Kennedy, Children’s Health Defense.

Thimerosal has long been a target of anti-vaccine activists like Redwood, who hold fast to the false and thoroughly debunked claim that vaccines—particularly thimerosal-containing vaccines—cause autism and neurological disorders. Her presentation today was a smorgasbord of anti-vaccine talking points against thimerosal, drawing on old and fringe studies she claimed prove that thimerosal is an ineffective preservative, kills cells in petri dishes, and can be found in the brains of baby monkeys after it has been injected into them. The presentation did not appear to have gone through any vetting by the CDC, and an earlier version contained a reference to a study that does not exist.

Yesterday, CBS News reported that the Centers for Disease Control and Prevention is hiring Redwood to oversee vaccine safety. In response, Sen. Patty Murray (D-Wash.) called Redwood an “extremist,” and urged the White House to immediately reverse the decision. “We cannot allow a few truly deranged individuals to distort the plain truth and facts around vaccines so badly,” Murray said in a statement.

CDC scientists censored

Prior to the meeting, CDC scientists posted a background briefing document on thimerosal. It contained summaries of around two dozen studies that all support the safety of thimerosal and/or find no association with autism or neurological disorders. It also explained how in 1999, health experts and agencies made plans to remove thimerosal from childhood vaccines out of an abundance of caution for concern that it was adding to cumulative exposures that could hypothetically become toxic—at high doses, thimerosal can be dangerous. By 2001, it was removed from every childhood vaccine in the US and remains so to this day. But, since then, studies have found thimerosal to be perfectly safe in vaccines. All the studies listed by the CDC in support of thimerosal were published after 2001.

The document also contained a list of nearly two dozen studies claiming to find a link to autism, but where described by the CDC as having “significant methodological limitations.” The Institute of Medicine also called them “uninterpretable, and therefore, noncontributory with respect to causality.” Every single one of the studies was authored by the anti-vaccine father and son duo Mark and David Geier.

In March, it came to light that Kennedy had hired David Geier to the US health department to continue trying to prove a link between autism and vaccines. He is now working on the issue.

The CDC’s thimerosal document was removed from the ACIP’s meeting documents prior to the meeting. Robert Malone, one of the new ACIP members who holds anti-vaccine views, said during the meeting that it was taken down because it “was not authorized by the Office of the Secretary [Kennedy].” You can read it here.

Lone voice

In the meeting today, Kennedy’s hand-selected ACIP members did not ask Redwood any questions about the data or arguments she made against thimerosal. Nearly all of them readily accepted that thimerosal should be removed entirely. The only person to push back was Cody Meissner, a pediatric professor at Dartmouth’s Geisel School of Medicine who has served on ACIP in the past—arguably the most qualified and reasonable member of the new lineup.

“I’m not quite sure how to respond to this presentation,” he said after Redwood finished her slides. “This is an old issue that has been addressed in the past. … I guess one of the most important [things] to remember is that thimerosal is metabolized into ethylmercury and thiosalicylate. It’s not metabolized into methylmercury, which is in fish and shellfish. Ethylmercury is excreted much more quickly from the body. It is not associated with the high neurotoxicity that methylmercury is,” he explained.

Meissner scoffed at the committee even spending time on it. “So, of all the issues that I think we, ACIP, needs to focus on, this is not a big issue. … no study has ever indicated any harm from thimerosal. It’s been used in vaccines … since before World War II.

But he did express concern that it could be removed from the vaccine used globally.

“The recommendations the ACIP makes are followed among many countries around the world,” he said. “And removing thimerosal from all vaccines that are used in other countries, for example, is going to reduce access to these vaccines.”

Anti-vaccine agenda

In the end, the seven-member panel voted in favor of recommending only those seasonal flu vaccines that did not contain thimerosal. There were three separate votes for this, making this recommendation for children, pregnant women, and all adults each, but all with the same outcome: five ‘yes’ votes, one ‘no’ vote (Meissner), and one abstention from anti-vaccine activist and nurse Vicky Pebsworth. After the vote, Pebsworth clarified that she did not support the use of thimerosal in vaccines, but had a quibble with how the voting questions were written.

Prior to the vote, ACIP Chair Martin Kulldorff gave a brief presentation on the MMRV vaccine (measles, mumps, rubella, and varicella/chickenpox). He previewed a proposed recommendation to vote on in a future meeting that would remove the CDC’s recommendation for that vaccine as well.

Photo of Beth Mole

Beth is Ars Technica’s Senior Health Reporter. Beth has a Ph.D. in microbiology from the University of North Carolina at Chapel Hill and attended the Science Communication program at the University of California, Santa Cruz. She specializes in covering infectious diseases, public health, and microbes.

RFK Jr.’s CDC panel ditches some flu shots based on anti-vaccine junk data Read More »

all-childhood-vaccines-in-question-after-first-meeting-of-rfk-jr.’s-vaccine-panel

All childhood vaccines in question after first meeting of RFK Jr.’s vaccine panel

A federal vaccine panel entirely hand-selected by health secretary and anti-vaccine activist Robert F. Kennedy Jr. gathered for its first meeting Wednesday—and immediately announced that it would re-evaluate the entire childhood vaccination schedule, as well as the one for adults.

The meeting overall was packed with anti-vaccine talking points and arguments from the new panel members, confirming public health experts’ fears that the once-revered panel is now critically corrupted and that Kennedy’s controversial picks will only work to fulfill his long-standing anti-vaccine agenda.

Controversial committee

An hour before the meeting began, the American Academy of Pediatrics came out swinging against the new panel, saying that the panel’s work is “no longer a credible process.” The organization shunned the meeting, refusing to send a liaison to the panel’s meeting, which it has done for decades.

“We won’t lend our name or our expertise to a system that is being politicized at the expense of children’s health,” AAP President Susan Kressly said in a video posted on social media.

The panel in question, the Advisory Committee on Immunization Practices (ACIP), has for more than 60 years provided rigorous public scientific review, discussion, and trusted recommendations to the Centers for Disease Control and Prevention on how vaccines should be used in the US after they’ve earned approval from the Food and Drug Administration. The CDC typically adopts ACIP’s recommendations, and once that happens, insurance providers are required to cover the cost of the recommended shots.

The system is highly regarded globally. But, on June 9, Kennedy unilaterally and summarily fired all 17 esteemed ACIP members and, two days later, replaced them with eight new people. Some have clear anti-vaccine views, others have controversial and contrarian public health views, and several have little to no expertise in the fields relevant to vaccines.

Last night, it came to light that one of the eight new appointees—Michael Ross, an obstetrics and gynecology physician—had withdrawn from the committee during a financial holdings review that ACIP members are required to complete before beginning work on the panel.

All childhood vaccines in question after first meeting of RFK Jr.’s vaccine panel Read More »

after-rfk-jr.-overhauls-cdc-panel,-measles-and-flu-vaccines-are-up-for-debate

After RFK Jr. overhauls CDC panel, measles and flu vaccines are up for debate

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.

Before ACIP was upended by Kennedy, the committee planned to meet for three days, from June 25 to 27, to discuss a wide array of vaccines, including those against anthrax, chikungunya, COVID-19, cytomegalovirus (CMV), Human papillomavirus (HPV), influenza, Lyme disease, meningococcal disease, pneumococcal disease, and respiratory syncytial virus (RSV). The committee was going to vote on recommendations for the use of COVID-19 vaccines, the HPV vaccine, influenza vaccines, the meningococcal vaccine, RSV vaccines for adults, and the RSV vaccine for maternal and pediatric populations.

In the new agenda, discussion on vaccines against CMV, HPV, Lyme disease, meningococcal disease, and pneumococcal disease has been dropped. So have votes for COVID-19 vaccines, HPV, meningococcal vaccines, and RSV vaccines for adults. Instead, the new ACIP will now discuss MMRV and influenza vaccines containing thimerosal. It will only vote on two matters: RSV vaccines for children and pregnant people, and influenza vaccines, including thimerosal-containing flu vaccines.

After RFK Jr. overhauls CDC panel, measles and flu vaccines are up for debate Read More »

all-17-fired-vaccine-advisors-unite-to-blast-rfk-jr.’s-“destabilizing-decisions”

All 17 fired vaccine advisors unite to blast RFK Jr.’s “destabilizing decisions”

The members highlighted their medical and scientific expertise, lengthy vetting, transparent processes, and evidence-based approach to helping set federal immunization programs, which affect insurance coverage. They also lamented the institutional knowledge lost by the removal of the entire committee and its executive secretary, as well as cuts to the CDC broadly. Together they “have left the US vaccine program critically weakened,” the experts write.

“In this age of government efficiency, the US public needs to know that the routine vaccination of approximately 117 million children from 1994–2023 likely prevented around 508 million lifetime cases of illness, 32 million hospitalizations, and 1,129,000 deaths, at a net savings of $540 billion in direct costs and $2.7 trillion in societal costs,” they write.

They also took direct aim at Kennedy, who unilaterally changed the COVID-19 vaccination policy, announcing the changes on social media. This “bypassed the standard, transparent, and evidence-based review process,” they write. “Such actions reflect a troubling disregard for the scientific integrity that has historically guided US immunization strategy.”

Since Kennedy has taken over the US health department, many other vaccine experts have been pushed out or left voluntarily. Peter Marks, the former top vaccine regulator at the Food and Drug Administration, was reportedly given the choice to resign or be fired. In his resignation letter, he wrote: “it has become clear that truth and transparency are not desired by the Secretary [Kennedy], but rather he wishes subservient confirmation of his misinformation and lies.”

All 17 fired vaccine advisors unite to blast RFK Jr.’s “destabilizing decisions” Read More »

new-covid-variant-swiftly-gains-ground-in-us;-concern-looms-for-summer-wave

New COVID variant swiftly gains ground in US; concern looms for summer wave

While COVID-19 transmission remains low in the US, health experts are anxious about the potential for a big summer wave as two factors seem set for a collision course: a lull in infection activity that suggests protective responses have likely waned in the population, and a new SARS-CoV-2 variant with an infectious advantage over other variants.

The new variant is dubbed NB.1.8.1. Like all the other currently circulating variants, it’s a descendant of omicron. Specifically, NB.1.8.1 is derived from the recombinant variant XDV.1.5.1. Compared to the reigning omicron variants JN.1 and LP.8.1, the new variant has a few mutations that could help it bind to human cells more easily and evade some protective immune responses.

On May 23, the World Health Organization designated NB.1.8.1 a “variant under monitoring,” meaning that early signals indicate it has an advantage over other variants, but its impact on populations is not yet clear. In recent weeks, parts of Asia, including China, Hong Kong, Singapore, and Taiwan, have experienced increases in infections and hospitalizations linked to NB.1.8.1’s spread. Fortunately, the variant does not appear to cause more severe disease, and current vaccines are expected to remain effective against it.

Still, it appears to be swiftly gaining ground in the US, fueling worries that it could cause a surge here as well. In the latest tracking data from the Centers for Disease Control and Prevention, NB.1.8.1 is estimated to account for 37 percent of cases in the US. That’s up from 15 percent two weeks ago. NB.1.8.1 is now poised to overtake LP.8.1, which is estimated to make up 38 percent of cases.

It’s important to note that those estimates are based on limited data, so the CDC cautions that there are large possible ranges for the variants’ actual proportions. For NB.1.81, the potential percentage of cases ranges from 13 percent to 68 percent, while LP.8.1’s is 23 percent to 57 percent.

New COVID variant swiftly gains ground in US; concern looms for summer wave Read More »

rfk-jr.-announces-8-appointees-to-cdc-vaccine-panel—they’re-not-good

RFK Jr. announces 8 appointees to CDC vaccine panel—they’re not good

Anti-vaccine advocate and current Health Secretary Robert F. Kennedy Jr. took to social media Wednesday to announce the names of eight people he is appointing to a critical federal vaccine advisory committee—which is currently empty after Kennedy abruptly fired all 17 previous members Monday.

In the past, the vetting process for appointing new members to the Centers for Disease Control and Prevention’s Advisory Committee on Immunization Practices (ACIP) could take years. But Kennedy has taken just two days.

The panel, typically stocked with vaccine, infectious disease, and public health experts, carefully and publicly reviews, analyzes, and debates vaccine data and offers recommendations to the CDC via votes. The CDC typically adopts the recommendations, which set clinical practices nationwide and determine insurance coverage for vaccinations.

Yesterday, Kennedy pledged that none of the new ACIP members would be “ideological anti-vaxxers.” However, the list of today’s appointees includes Robert Malone, who falsely claims to have invented mRNA vaccines and has spent the past several years spreading misinformation and conspiracy theories about them.

Speaking at an anti-vaccine rally in 2022, Malone spread dangerous falsehoods about mRNA COVID-19 vaccines: “These genetic vaccines can damage your children. They may damage their brains, their heart, their immune system and their ability to have children in the future. Many of these damages cannot be repaired.”

Troubling list

Malone aligned with the anti-vaccine crowd during the pandemic and has become a mainstay in conspiratorial circles and an ally to Kennedy. He has claimed that vaccines cause a “form of AIDS,” amid other nonsense. He has also meddled with responses to the measles outbreak that erupted in West Texas in January. In April, Malone was the first to publicize news that a second child had died from the highly infectious and serious infection, but he did so to falsely claim that measles wasn’t the cause and spread other dangerous misinformation.

RFK Jr. announces 8 appointees to CDC vaccine panel—they’re not good Read More »

after-rfk-jr.-fires-vaccine-advisors,-doctors-brace-for-blitz-on-childhood-shots

After RFK Jr. fires vaccine advisors, doctors brace for blitz on childhood shots


The medical community is outraged, but Sen. Bill Cassidy continues to be reassured.

US Secretary of Health and Human Services nominee Robert F. Kennedy Jr. listens as President Donald Trump holds a cabinet meeting at the White House in Washington, DC, on February 26, 2025. Credit: Getty | Jim Watson

The medical community is bracing for attacks on, and the possible dismantling of, federal recommendations for safe, lifesaving childhood vaccinations after health secretary and fervent anti-vaccine advocate Robert F. Kennedy Jr. abruptly fired all 17 members of a federal vaccine advisory committee Monday.

Outrage has been swift after Kennedy announced the “clean sweep” of the Centers for Disease Control and Prevention’s vaccine advisory panel, the Advisory Committee on Immunization Practices (ACIP). He made the announcement in a Wall Street Journal op-ed.

Open protest erupted at the CDC on Tuesday, with staff calling for Kennedy’s resignation. Staff rallied outside CDC headquarters in Atlanta, objecting to agency firings, cuts to funding and critical programs, scientific censorship, as well as ACIP’s ouster.

“I am here today to tell you that the secretary of health and human services, Robert F. Kennedy Jr., has shown himself to be a domestic health threat,” Anna Yousaf, an infectious disease researcher at the CDC’s National Center for Immunization and Respiratory Diseases, said amid the rally, according to CBS News.

“These attacks against scientific standards and well-established processes culminated yesterday when Secretary Kennedy announced that he is firing all of the members … of ACIP,” Yousaf continued, eliciting ‘boos’ from the crowd.

“The wrong side of history”

Meanwhile, the American Medical Association, which is currently holding its annual meeting in Chicago, passed an emergency resolution Tuesday calling for Kennedy to immediately reverse the ACIP purge and for the Senate to investigate Kennedy’s decision, according to reporting by MedPage Today.

Some AMA delegates expressed concern that the call for a congressional investigation was a “poison pill” that would diminish the impact of the rest of the statement and would fail to reveal any new information. But the concerns were easily quashed.

“We do not want to be on the wrong side of history,” said Jason Goldman, who introduced the emergency resolution and who is also president of the American College of Physicians. “The country is burning down. Our infrastructure is burning down. Whether the outcome of this investigation is preordained should not determine our ability and desire to… take a stand, fight for what we believe in, and ask the government to do their job.”

Priya Desai, a delegate who spoke on behalf of the medical student section, meanwhile, admonished the AMA for not taking a stand against Kennedy sooner. “We did not speak up back in November with the nomination of RFK [Jr.]… We did not speak up back in January… when he was officially endorsed. Congratulations, this poison pill we have swallowed. It is time for us to act now,” she said.

While calling to support and maintain the current ACIP structure and processes, the AMA’s emergency resolution also indicated that the association will try to establish an ACIP alternative if the CDC’s advisory committee becomes corrupted by Kennedy. The AMA will “identify and evaluate alternative evidence-based vaccine advisory structures and invest resources in such initiatives, as necessary,” the resolution reads.

“I’m very worried”

In an exclusive interview with Stat, one fired ACIP member, Helen Chu, a professor of infectious diseases at the University of Washington, said she and the rest of the board were blindsided by Kennedy’s firings. Other fired members told Stat that they could not do interviews with media after their institutions told them to keep a low profile to avoid reprisal from the Trump administration.

Chu told Stat that she did not know what ACIP’s future would look like—whether the committee would have decision-making authority, whether its discussions would remain transparent, or whether its members would continue to be experts. “But it is likely that it will send vaccine recommendations in a completely different direction than where they’ve been for the past 60 years,” Chu said.

She noted that some states have already started creating their own vaccine recommendations, which will “create an even more divided country.”

“I’m very worried,” she added. “ACIP is the model for the rest of the world in terms of how you carefully deliberate and are thoughtful and look at all of the data. … To disband what is often considered an international gold standard for vaccine policy, and to disband it in this way is just sending a very clear message to the rest of the world. And also sending a clear message to Americans that scientific expertise is no longer of use for making vaccine policy.”

Her interview also highlighted the extensive conflicts-of-interest vetting that ACIP members undergo. She was a relatively new member of the committee, only voting in one meeting prior to her termination. She had been vetted in a two-year process before that.

A big “nothing”

In Kennedy’s op-ed, he claimed that ACIP members are “plagued with persistent conflicts of interest.” But independent investigations have found that to be false. An investigation by Science found strict requirements for public disclosures, divestment of financial interests related to vaccines, and for members to recuse themselves from votes where a conflict exists.

Likewise, the editorial board of The Wall Street Journal, which opposes Kennedy’s role as health secretary, also found no evidence to support Kennedy’s attack on the now-ousted ACIP members. In a derisive response to Kennedy’s op-ed, the board wrote Tuesday that documents on ACIP members’ conflicts of interest “show that the members have properly recused themselves from decisions that involve products for which they served as trial investigators, as well as those of their competitors, or if they held stock in companies. In other words, the conflicts of interest were honestly handled.” The board concluded Kennedy’s claims “proved to be nothing.”

Since Kennedy’s ACIP purge, significant attention has shifted to Senator Bill Cassidy (R-La.), who sharply criticized Kennedy’s anti-vaccine stances but voted to confirm him anyway, saying Kennedy made public promises not to muddle vaccination policy. Those promises included not changing the ACIP.

Cassidy told a HuffPost reporter Tuesday that Kennedy did not break that promise by clearing out the ACIP. Rather, Kennedy promised he wouldn’t change “the process,” not that he wouldn’t change the committee members. In a social media post on Monday, Cassidy indicated that he continues to get reassurances from Kennedy about the promises. “Of course, now the fear is that the ACIP will be filled up with people who know nothing about vaccines except suspicion. I’ve just spoken with Secretary Kennedy, and I’ll continue to talk with him to ensure this is not the case.”

“Vindicating his critics”

The Wall Street Journal’s editorial board responded directly to Cassidy on this, writing: “That’s nice, but Mr. Kennedy seems more intent on vindicating his critics than pleasing the Senator.”

In a social media post late Tuesday, Kennedy only provided more fuel to concerns over his meddling in federal vaccine policy. The post was prefaced by saying that he would not appoint “ideological anti-vaxxers” to replace ACIP members. But, he then went on a lengthy tirade accusing ACIP of “malevolent malpractice” and attacking the evidence vaccine experts have used to assess the safety of routine childhood immunizations. Specifically, he squabbled over whether placebo-controlled trials used inert placebos or active controls.

Kennedy, who has no medical or scientific background and rejects germ theory, concluded by tying vaccines to a period in which “chronic diseases in our children exploded.” The post, like Kennedy’s lengthy history as an anti-vaccine advocate and conspiracy theorist, suggests he will continue to sow distrust about safe, lifesaving, and thoroughly vetted vaccines, if not directly work to undermine Americans’ access to them.

Kennedy says he will announce new ACIP members “in the coming days”—ditching the lengthy vetting process previously in place. The health department put out a news release suggesting that a previously scheduled meeting June 25–27 will still be held.

Photo of Beth Mole

Beth is Ars Technica’s Senior Health Reporter. Beth has a Ph.D. in microbiology from the University of North Carolina at Chapel Hill and attended the Science Communication program at the University of California, Santa Cruz. She specializes in covering infectious diseases, public health, and microbes.

After RFK Jr. fires vaccine advisors, doctors brace for blitz on childhood shots Read More »

anti-vaccine-advocate-rfk-jr.-fires-entire-cdc-panel-of-vaccine-advisors

Anti-vaccine advocate RFK Jr. fires entire CDC panel of vaccine advisors

“Most likely aim to serve the public interest as they understand it,” he wrote. “The problem is their immersion in a system of industry-aligned incentives and paradigms that enforce a narrow pro-industry orthodoxy.”

Kennedy, who is currently trying to shift the national attention to his idea of clean living and higher-quality foods, has a long history of advocating against vaccines, spreading misinformation and disinformation about the lifesaving shots. However, a clearer explanation of Kennedy’s war on vaccines can be found in his rejection of germ theory. In his 2021 book that vilifies infectious disease expert Anthony Fauci, he bemoaned germ theory as “the pharmaceutical paradigm that emphasized targeting particular germs with specific drugs rather than fortifying the immune system through healthy living, clean water, and good nutrition.”

As such, he rails against the “$1 trillion pharmaceutical industry pushing patented pills, powders, pricks, potions, and poisons.”

In Kennedy’s op-ed, he indicates that new ACIP members will be appointed who “won’t directly work for the vaccine industry. … will exercise independent judgment, refuse to serve as a rubber stamp, and foster a culture of critical inquiry.”

It’s unclear how the new members will be vetted and appointed and when the new committee will be assembled.

In a statement, the president of the American Medical Association, Bruce Scott, rebuked Kennedy’s firings, saying that ACIP “has been a trusted national source of science- and data-driven advice and guidance on the use of vaccines to prevent and control disease.” Today’s removal “undermines that trust and upends a transparent process that has saved countless lives,” he continued. “With an ongoing measles outbreak and routine child vaccination rates declining, this move will further fuel the spread of vaccine-preventable illnesses.”

This post has been updated to include a statement from the AMA. This story is breaking and may be updated further.

Anti-vaccine advocate RFK Jr. fires entire CDC panel of vaccine advisors Read More »