health

cdc-tormented:-hr-workers-summoned-from-furlough-to-lay-off-themselves,-others

CDC tormented: HR workers summoned from furlough to lay off themselves, others


Traumatized CDC has lost 33% of its workforce this year, union says.

ATLANTA, GEORGIA – AUGUST 9: Bullet holes are seen in windows at the Centers For Disease Control (CDC) Global Headquarters following a shooting that left two dead, on August 9, 2025 in Atlanta, Georgia. On August 8, a gunman opened fire near the headquarters of the Centers for Disease Control, killing a DeKalb County Police Department officer before being found dead by gunfire. Credit: Getty | Elijah Nouvelage

The dust is still settling at the Centers for Disease Control and Prevention after a mass layoff on Friday, which former employees at the beleaguered agency are describing as a massacre.

In separate press briefings on Tuesday, a network of terminated CDC staff that goes by the name the National Public Health Coalition, and the union representing employees at the agency discussed what the wide-scale cuts mean for the American people, as well as the trauma, despair, and damage they have wreaked on the workers of the once-premier public health agency.

In a normal federal layoff—called a reduction in force, or RIF—the agency would be given a full outline of the roles and branches or divisions affected, as well as some explanation for the cuts, such as alleged fraud, abuse, or redundancy. However, the Trump administration has provided no such information or explanation, leaving current and former employees to essentially crowdsource what has been lost and only guess at the possible reasons.

The numbers

The union representing CDC workers, the American Federation of Government Employees (AFGE) Local 2883, has been assessing the cuts since termination emails began arriving in employee inboxes late Friday. The union estimates that the Trump administration sent termination notices to 1,300 CDC employees on Friday, in what they called an illegal “politically-motivated stunt.” Of those 1,300 terminations, around 700 were rescinded, beginning on Saturday.

The Trump administration said the 700 rescinded terminations were sent due to a “coding error.” But CDC workers didn’t buy that explanation, saying all the terminations were intentional, and some were only reversed after backlash erupted when people realized what the administration was trying to cut—for example, terminating the experts responding to domestic measles outbreaks and those responding to an Ebola outbreak in the Democratic Republic of the Congo who received RIF notices that were later rescinded. Still, with the rescissions, some 600 terminations appear to remain.

In all, the union estimated that the CDC has lost 33 percent of its workforce since the start of the Trump administration. In January, there were roughly 13,000 CDC workers total. Since then, about 3,000 have been fully separated from the agency, including 600 laid off in a RIF on April 1, and 2,400 who were either fired or forced out amid pressure campaigns. An additional 1,300 have been laid off but are not yet fully separated from the agency; they remain on paid administrative leave but are unable to do their work.

In the RIF Friday, laid-off employees said they were given notices that list their termination effective date as December 8, leaving a 60-day period in which they would be on administrative leave.

The RIF was carried out amid an ongoing government shutdown over a health care funding dispute, and the Trump administration has claimed that the RIF is a consequence of the shutdown. But the union, along with federal employment lawyers and even some senior government officials, say a RIF during a shutdown is illegal; a temporary lapse in government funding is not a legitimate reason for a RIF under federal regulations, and it runs afoul of a federal law that prohibits the government from incurring new costs during a shutdown, such as by promising severance packages.

Brutal cuts

In practice, a RIF amid a shutdown added more trauma to the demoralized staff. In opening remarks, Local AFGE 2883 President Yolanda Jacobs noted that the CDC Human Resources staff had been furloughed during the shutdown but were temporarily brought back into work just so they could process termination letters—including their own. A terminated CDC employee who spoke on condition of anonymity said that more than 90 percent of the HR staff is now gone.

Among the terminations were also mental health workers who were helping CDC staff recover from an August attack, in which a gunman fired over 500 rounds at CDC buildings full of agency employees and killed a local police officer.

Another terminated CDC worker who spoke on the condition of anonymity discussed the personal toll of the RIF. She had worked at the agency for over two decades and learned of her termination Friday night as she was doing dishes after making homemade pizza with her family—money worries kept them from ordering out. Her phone “started going crazy” as coworkers were checking in after receiving their RIF notices. She dug out her work laptop, which had been set aside since she was furloughed, to find her own RIF notice at the top of her inbox.

As text messages continued to come in through the night, she said it was “heartbreaking and devastating” when she realized the Trump administration was “actually dismantling us.”

“These are just hardworking Americans who just want to do their job, who just want to help people, who want to make sure the correct information is out there [and] that we are preventing things from happening,” she said.

Since the RIF has sunk in, she has started to worry more for her family and their finances. During the furlough, paychecks are uncertain. And her effective termination date in December will land between holidays, when hiring is slow. She worried about affording Christmas presents for her family.

She also said that staff have asked about getting other jobs while on administrative leave but were told that in order to do that, they would need to get approval from the CDC’s ethics office to ensure there were no conflicts of interest. But staff can’t actually do that because everyone at the ethics office also got RIF notices.

Losses

Throughout the briefings yesterday, staff highlighted that the RIF did not just trim here and there, as one might expect with cuts designed to make the organization leaner. Instead, it lopped off entire teams and branches, completely shutting down whole lines of work.

One former CDC employee spoke broadly of big hits to experts in chronic disease, global health, and the National Center for Health Statistics, which runs critical data collection that states and local health departments rely on. The CDC’s library staff are all gone. Suicide prevention experts have been cut, as well as communications and policy staff, who develop briefings and provide information to Congress members.

Abigail Tighe, a former CDC employee with National Public Health Coalition, tried to put the cuts in context, saying: “We are losing the people with all the knowledge to prevent childhood drownings, child abuse, and suicide. We’re losing the experts who help us track and understand the health and safety needs of our communities [and] the brave and brilliant professionals who, on a moment’s notice, respond to new and unknown outbreaks across the world. And that’s just a few examples.”

A terminated scientist who spoke on condition of anonymity said that her entire office was eliminated in the RIF. “My heart breaks for my colleagues and friends who have been tormented, traumatized, shot at, threatened daily. These are kind, hardworking, thoughtful people whose lives are being overturned,” she said.

But, “ultimately,” she said, “I am terrified for the public safety of our country.”

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.

CDC tormented: HR workers summoned from furlough to lay off themselves, others Read More »

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Measles outbreak in SC sends 150 unvaccinated kids into 21-day quarantine

Health officials in South Carolina are warning that the highly infectious measles virus is spreading undetected in communities in the northern part of the state, specifically Spartanburg and Greenville counties.

Last week, officials in Greenville identified an eighth measles case that is potentially linked to the outbreak. Seven outbreak cases had been confirmed since September 25 in neighboring Spartanburg, where transmission was identified in two schools: Fairforest Elementary and Global Academy, a public charter school.

Across those two schools, at least 153 unvaccinated children were exposed to the virus and have been put in a 21-day quarantine, during which they are barred from attending school, state officials said in a press conference. Twenty-one days is the maximum incubation period, spanning from when a person is exposed to when they would develop a rash if infected.

It’s unclear how the latest case in Greenville became infected with the virus and how they may link to the nearby Spartanburg cases.

“What this case tells us is that there is active, unrecognized community transmission of measles occurring in the Upstate [northern region of South Carolina], which makes it vital to ensure that the public have received their measles vaccinations,” the South Carolina Department of Public Health said in an announcement.

The two recommended doses of the measles, mumps, and rubella (MMR) vaccine are about 97 percent effective at blocking the infection, and that protection is considered lifelong. Without that protection, the virus is extremely contagious, infecting 90 percent of unvaccinated people who are exposed. The virus spreads easily through the air, lingering in the airspace of a room for up to two hours after an infected person has left.

Measles outbreak in SC sends 150 unvaccinated kids into 21-day quarantine Read More »

layoffs,-a-“coding-error,”-chaos:-trump-admin-ravages-the-health-dept.

Layoffs, a “coding error,” chaos: Trump admin ravages the health dept.

Federal health agencies are reeling from mass layoffs on Friday that appear to have particularly devastated the Centers for Disease Control and Prevention, despite some terminations being rescinded on Saturday.

Numbers are still sketchy, but reports from Friday indicate that more than 4,000 federal workers overall were initially targeted for layoffs. The Trump administration linked the firings to the ongoing government shutdown, which legal experts have suggested is illegal. Unions representing federal workers have already filed a lawsuit challenging the move.

Of the reported 4,000 terminations, about 1,100 to 1,200 were among employees in the Department of Health and Human Services (HHS). HHS is a massive department that houses critical federal agencies, including the Centers for Disease Control and Prevention, the National Institutes of Health, the Food and Drug Administration, and the Centers for Medicare & Medicaid Services, among others. Before Trump’s second term, the HHS workforce was about 82,000, but that was slashed to about 62,000 earlier this year amid initial cuts and efforts to push civil servants out.

While it’s unclear where all the new cuts occurred, reports from anonymous and external sources describe a major gutting of the CDC, an agency that has already been severely wounded, losing significant numbers this year. Its former leaders have accused the Trump administration of censoring its scientific work. It suffered a dramatic ousting of its Senate-confirmed director in August. And it was the target of a gunman weeks earlier, who shot over 500 rounds at its employees, killing a local police officer.

As terminations went out Friday, reports indicated that the terminations hit staff who produce the CDC’s esteemed journal Morbidity and Mortality Weekly Report, employees responding to the measles outbreaks in the US, others responding to the Ebola outbreak in the Democratic Republic of the Congo, workers in the Global Health Center, and disease detectives in the Epidemic Intelligence Service.

Layoffs, a “coding error,” chaos: Trump admin ravages the health dept. Read More »

childhood-vaccines-safe-for-a-little-longer-as-cdc-cancels-advisory-meeting

Childhood vaccines safe for a little longer as CDC cancels advisory meeting

An October meeting of a key federal vaccine advisory committee has been canceled without explanation, sparing the evidence-based childhood vaccination schedule from more erosion—at least for now.

The Advisory Committee on Immunization Practices (ACIP) for the Centers for Disease Control and Prevention was planning to meet on October 22 and 23, which would have been the committee’s fourth meeting this year. But the meeting schedule was updated in the past week to remove those dates and replace them with “2025 meeting, TBD.”

Ars Technica contacted the Department of Health and Human Services to ask why the meeting was canceled. HHS press secretary Emily Hilliard offered no explanation, only saying that the “official meeting dates and agenda items will be posted on the website once finalized.”

ACIP is tasked with publicly reviewing and evaluating the wealth of safety and efficacy data on vaccines and then offering evidence-based recommendations for their use. Once the committee’s recommendations are adopted by the CDC, they set national vaccination standards for children and establish which shots federal programs and private insurance companies are required to fully cover.

In the past, the committee has been stacked with highly esteemed, thoroughly vetted medical experts, who diligently conducted their somewhat esoteric work on immunization policy with little fanfare. That changed when ardent anti-vaccine activist Robert F. Kennedy Jr. became health secretary. In June, Kennedy abruptly and unilaterally fired all 17 ACIP members, falsely accusing them of being riddled with conflicts of interest. He then installed his own hand-selected members. With the exception of one advisor—pediatrician and veteran ACIP member Cody Meissner—the members are poorly qualified, have gone through little vetting, and embrace the same anti-vaccine and dangerous fringe ideas as Kennedy.

Corrupted committee

So far this year, Kennedy’s advisors have met twice, producing chaotic meetings during which members revealed a clear lack of understanding of the data at hand and the process of setting vaccine recommendations, all while setting policy decisions long sought by anti-vaccine activists. The first meeting, in June, included seven members selected by Kennedy. In that meeting, the committee rescinded the recommendation for flu vaccines containing a preservative called thimerosal based on false claims from anti-vaccine groups that it causes autism. The panel also ominously said it would re-evaluate the entire childhood vaccination schedule, putting life-saving shots at risk.

Childhood vaccines safe for a little longer as CDC cancels advisory meeting Read More »

trump-admin-fires-more-health-employees-amid-government-shutdown

Trump admin fires more health employees amid government shutdown

Questionable cull

Today’s layoffs are the work of White House Budget Director Russell Vought, a lead creator of the Project 2025 playbook, which planned a massive reduction in the federal workforce. In a post on X earlier today, Vought announced that the terminations “have begun.”

But as The Washington Post has previously reported, senior government officials have warned that Vought’s layoffs amid a shutdown are likely illegal, running afoul of the Antideficiency Act. The law forbids the government from incurring new expenses during a shutdown, and the process of laying employees off—which includes severance packages—does just that.

Federal employment lawyers told the Post that the move is almost certainly illegal for a second reason: Under federal regulations, a shutdown-driven lapse in funding does not count as one of the reasons federal employees can be terminated.

Last week, the American Federation of Government Employees and other unions representing federal workers filed a lawsuit over threats that the Trump administration would try to lay off workers during the shutdown.

In a statement today, AFGE National President Everett Kelley said, “It is disgraceful that the Trump administration has used the government shutdown as an excuse to illegally fire thousands of workers who provide critical services to communities across the country.”

“AFGE is currently challenging President Trump’s illegal, unprecedented abuse of power, and we will not stop fighting until every reduction-in-force notice is rescinded,” Kelley said.

Trump admin fires more health employees amid government shutdown Read More »

after-rfk-jr.’s-shenanigans,-covid-shot-access-will-be-a-lot-like-last-year

After RFK Jr.’s shenanigans, COVID shot access will be a lot like last year

In an interview with Ars Technica in August, Brigid Groves, vice president of professional affairs for the American Pharmacists Association (APhA) signaled that efforts to limit access to COVID-19 vaccines is concerning to APhA, which is the leading organization representing pharmacists.

“We are concerned about that because the data and evidence point to the fact that this vaccine is safe and effective for [young, otherwise healthy] patients,” Groves said. “So, to suddenly arbitrarily limit that is very concerning to us.”

And, with the CDC’s permissive recommendations, pharmacies are not limiting them. Representatives for both CVS and Walgreens told The Washington Post that they would not require patients under 65 to prove they have an underlying condition to get a COVID-19 vaccine. CVS won’t ask you to self-attest to having a condition, and Walgreens also said that it won’t require any proof.

“In simplest terms, if a patient wants to get the vaccine, they’ll get it,” Amy Thibault, a CVS spokesperson, told the Post.

With the shared decision-making, there may be extra forms about risks and benefits that might take an extra few minutes, but it should otherwise be just like past years.

On Tuesday, this reporter was able to easily book same-day appointments for an updated COVID-19 vaccine at local CVS and Walgreens pharmacies in North Carolina, without attesting to any medical conditions.

Children

Shots for younger children could be trickier: While adults and older children can visit their pharmacy and get vaccinated relatively easily, younger children (particularly those under age 5) may have a harder time. Pharmacists typically do not vaccinate those younger children—which has always been the case—and parents will have to visit the pediatrician.

Pediatricians, like pharmacists, are likely to be supportive of broad access to the shots. The American Academy of Pediatrics has said that all children should have access. The AAP also specifically encourages children under age 2 and children with underlying conditions to get vaccinated, because those children are at higher risk of severe disease.

After RFK Jr.’s shenanigans, COVID shot access will be a lot like last year Read More »

nearly-80%-of-americans-want-congress-to-extend-aca-tax-credits,-poll-finds

Nearly 80% of Americans want Congress to extend ACA tax credits, poll finds

According to new polling data, nearly 80 percent of Americans support extending Affordable Care Act (ACA) enhanced premium tax credits, which are set to expire at the end of this year—and are at the center of a funding dispute that led to a shutdown of the federal government this week.

The poll, conducted by KFF and released Friday, found that 78 percent of Americans want the tax credits extended, including 92 percent of Democrats, 59 percent of Republicans—and even a majority (57 percent) of Republicans who identify as Donald Trump-aligned MAGA (Make America Great Again) supporters.

A separate analysis published by KFF earlier this week found that if the credits are not extended, monthly premiums for ACA Marketplace plans would more than double on average. Specifically, the current average premium of $888 would jump to $1,904 in 2026, a 114 percent increase.

Consequences

The polling released today found that, in addition to broad support for the credits, many Americans are unaware that they are in peril. About six in ten adults say they have heard “a little” (30 percent) or “nothing at all” (31 percent) about the credits expiring.

“There is a hot debate in Washington about the looming ACA premium hikes, but our poll shows that most people in the marketplaces don’t know about them yet and are in for a shock when they learn about them in November,” KFF President and CEO Drew Altman said in a statement.

Yet more concerning, the poll found that among people who buy their own insurance plans, 70 percent said they would face a significant disruption to their household finances if their premiums were to double. Furthermore, 42 percent said they would ultimately go without health insurance in such a case. Currently, over 24 million Americans get their insurance through the ACA Marketplace.

Nearly 80% of Americans want Congress to extend ACA tax credits, poll finds Read More »

rfk-jr.-drags-feet-on-covid-19-vaccine-recommendations,-delaying-shots-for-kids

RFK Jr. drags feet on COVID-19 vaccine recommendations, delaying shots for kids

Previously, the FDA narrowed the shots’ labels to include only people age 65 and older, and those 6 months and older at higher risk. But the ACIP recommended that all people age 6 months and older could get the shot based on shared decision-making with a health care provider. Although the shared decision-making adds a new requirement for getting the vaccine, that decision-making does not require a prescription and can be done not only with doctors, but also with nurses and pharmacists. Most people in the US get their seasonal COVID-19 vaccines at their local pharmacy.

Ars Technica reached out to the HHS on Thursday about whether there was a determination on the COVID-19 vaccine recommendations and, if not, when that is expected to happen and why there is a delay. The HHS responded, confirming that no determination had been made yet, but did not answer any of the other questions and did not provide a comment for the record.

In past years, ACIP recommendations and CDC sign-offs have happened earlier in the year to provide adequate time for a rollout. In 2024, ACIP voted on COVID-19 vaccinations in June, for instance, and then-CDC Director Mandy Cohen signed off that day. Now that we’re into October, it remains unclear when or even if the CDC will sign off on the recommendation and then, if the recommendation is adopted by the CDC, how much longer after that it would take for states to roll out the vaccines to children in the VFC program.

“Children who depend on this program, including children with chronic conditions, are still waiting unprotected. The delay in adopting COVID-19 vaccine recommendations puts their health at risk, reduces access and choice for families, and puts a strain on providers who want to deliver the best care for their youngest patients,” Susan Kansagra, the chief medical officer of the Association of State and Territorial Health Officials, said in a statement to Stat.

For now, children and adults with private insurance have access to the shots without the final sign-off, and health insurance companies have said that they will continue to maintain coverage for the vaccines without the final federal approval.

RFK Jr. drags feet on COVID-19 vaccine recommendations, delaying shots for kids Read More »

woman-hospitalized-with-pain-and-vomiting—diet-soda-cured-her

Woman hospitalized with pain and vomiting—diet soda cured her

A 63-year-old woman showed up at the emergency department of the Brigham and Women’s Hospital in Boston with severe stomach pain, nausea, and vomiting.

She told doctors that for the past month she had developed severe nausea, non-bloody vomiting, and pain she described as a burning feeling that spread from her upper abdomen, through her right side, and around to her back. Nothing she did made it better.

The doctors started collecting her medical history, which was lengthy. The woman had Type 2 diabetes, Stage 2 chronic kidney disease, opioid use disorder, and gastroesophageal reflux disease (GERD), among other conditions. While she was taking many medications, she noted that for the past year she had also been taking semaglutide, a GLP-1 weight-loss drug, and had lost about 40 pounds (over 19 percent of her body weight).

In an interactive case report published this week in the New England Journal of Medicine, the doctors laid out how they figured out what was going on and treated it—with a surprisingly simple solution.

Possibilities

The doctors started doing lab tests and imaging, and they admitted her to the hospital. A computed tomography (CT) scan of her abdomen revealed bile-duct enlargement and a swollen stomach that seemed to be full of a semi-solid mass. Similarly, magnetic resonance imaging (MRI) also picked up a mass in her stomach, one with mottling that doctors assumed were air bubbles. The imaging also found bile duct enlargement, which could be linked to her history of opioid use—or to a gastric bezoar.

Gastric bezoars are masses that form in the stomach. There are different kinds depending on what the masses are made of. The most common is a phytobezoar, which is made from clumped fruit and vegetable components, particularly non-digestible materials such as cellulose. A notable subtype of phytobezoar is the diospyrobezoar, which is formed from eating an excessive amount of persimmons.  The fruit’s skin is brimming with tannins that form a glue-like substance when they hit gastric acid, aiding the formation of a mass that is notoriously hard and difficult to treat.

Woman hospitalized with pain and vomiting—diet soda cured her Read More »

ebola-outbreak-in-dr-congo-rages,-with-61%-death-rate-and-funding-running-dry

Ebola outbreak in DR Congo rages, with 61% death rate and funding running dry

Jeopardized efforts

This week, the IFRC requested $25 million to contain the outbreak, but it has only $2.2 million in emergency funds for its outbreak response so far. The WHO likewise estimated the cost of responding to the outbreak over the next three months to be $20 million. But WHO spokesperson Tarik Jasarevic told the AP on Thursday that it only had $4.3 million in funding to draw from—a $2 million emergency fund and $2.3 million in funding from the United Kingdom, Germany, and the Gavi vaccine alliance.

“Without immediate support, gaps in operations will persist, jeopardizing efforts to contain the outbreak and protect vulnerable communities,” Jasarevic said.

In the past, the US Agency for International Development, USAID, has provided critical support to respond to such outbreaks. But, with funding cuts and a dismantling of the agency by the Trump administration, the US is notably absent, and health officials fear it will be difficult to compensate for the loss.

Mathias Mossoko, the Ebola Response Coordinator in Bulape, told the AP that the US has provided “some small support” but declined to elaborate.

Amitié Bukidi, chief medical officer of the Mweka health zone—another health zone in the Kasai province—told the outlet that there was still much work to do to contain the outbreak. “The need is still very great,” he said. “If USAID were to be involved, that would be good.”

Ebola outbreak in DR Congo rages, with 61% death rate and funding running dry Read More »

anti-vaccine-allies-cheer-as-trump-claims-shots-have-“too-much-liquid”

Anti-vaccine allies cheer as Trump claims shots have “too much liquid”


Why babies don’t pop like water balloons when they get vaccines—and other info for Trump.

President Donald Trump, flanked by senior health officials, speaks during a news conference on September 22, 2025 inside the Roosevelt Room at The White House in Washington. Credit: Getty | Tom Brenner

When the bar is set at suggesting that people inject bleach into their veins, it’s hard to reach a new low. But in a deranged press event on autism Monday evening, President Trump seemed to go for it—sharing “rumors” and his “strong feelings” not just on Tylenol but also his bonkers views on childhood vaccines.

Trump was there with his health secretary, anti-vaccine activist Robert F. Kennedy Jr., to link autism to the use of Tylenol (acetaminophen) during pregnancy. While medical experts condemn the claim as unproven and dangerous (which it is), Kennedy’s anti-vaccine followers decried it as a distraction from their favored false and dangerous explanation—that vaccines cause autism (which they don’t).

Pinning the blame on Tylenol instead of vaccines enraged Kennedy’s own anti-vaccine organization, Children’s Health Defense. In the run-up to the event Monday evening, CHD retweeted an all-caps defense of Tylenol, and CHD President Mary Holland called the announcement a “sideshow” in an interview with Steve Bannon.

But fear not. The rift was short-lived, as their big feelings were soothed mere minutes into Monday’s event. After smearing Tylenol, the president’s unscripted remarks quickly veered into an incoherent rant linking vaccines to autism as well.

At one point in his comments, he rattled off a list of anti-vaccine activists’ most vilified vaccine components (mercury and aluminum). But his attack largely ignored the content of vaccines and instead surprisingly focused on volume. Overall, his comments were incoherent, but again and again, he seemed to swirl back to this bizarre concern.

Wut?

If you piece together Trump’s sentence- and thought-fragments, his comments created a horrifying picture of what he thinks childhood vaccinations look like:

They pump so much stuff into those beautiful little babies. It’s a disgrace. I don’t see it. I think it is very bad. They’re pumping. It looks like they’re pumping into a horse. You have a little child, little fragile child, and you get a vat of 80 different vaccines, I guess, 80 different blends and they pump it in.

It seemed that Trump’s personal solution to this imagined problem is to space out and delay vaccines so they are not given at one time:

Break it up because it’s too much liquid. Too many different things are going into that baby at too big a number. The size of this thing, when you look at it, it’s like 80 different vaccines and beyond vaccines and 80. Then you give that to a little kid.

From Trump’s loony descriptions, you might be imagining an evil cartoon doctor wielding a bazooka-sized syringe and cackling maniacally while injecting a baby with a vat’s worth of 80 different vaccines until it inflates like a water balloon ready to burst.

But this cuckoo take is not how childhood vaccinations go in routine well-baby doctor’s visits. First, most vaccines have a volume of 0.5 milliliters, which is about a tenth of a teaspoon. And babies and children do not get 80 different vaccines ever, let alone at one time. In fact, no recommendations would see anyone get 80 different types of vaccines cumulatively.

By age 18, it’s recommended that people get vaccinated against 17 diseases, including seasonal flu and COVID-19. And some vaccines are combination shots, knocking out three or four diseases with one injection, such as the measles, mumps, rubella (MMR) vaccine or the Diphtheria, tetanus, & acellular pertussis (DTaP) vaccine. And again, even those combination shots are 0.5 mL total.

Modern vaccines

Trump’s claim of 80 vaccines doesn’t even stand up when you count vaccine doses rather than different vaccines. Some childhood vaccines require multiple doses—MMR is given in two doses, and DTaP is a five-dose series, for example. According to current recommendations, by age 18, kids should have 36 vaccine doses against childhood diseases. If you add in a flu shot every year, that’s 54 doses. If you add in a COVID-19 vaccine every year, that’s 72.

While 72 might seem like a big number, again, that’s spread out over 18 years and includes seasonal shots. And medical experts point to another key fact—the vaccines that children get today are much more streamlined and efficient than vaccines of yore. A helpful myth-busting info sheet from experts with Yale’s School of Public Health points out that in the mid-1980s, children under age 2 were vaccinated against seven diseases, but those old-school vaccines included more than 3,000 germ components that can spur immune responses (aka antigens). Today, children under age 2 get vaccinated against 15 diseases, but today’s more sophisticated vaccine designs include just 180 antigens, making the protection more targeted and reducing the risk of errant immune responses.

In all, the facts should dash any worries of nefarious doctors inflating children with vast volumes of noxious concoctions. But for those who may hew closely to the cautionary principle, Trump’s “space the shots out” plan may still seem reasonable. It’s not.

At most, children might get five or six vaccines at one time. But again, the number of antigens in those shots is far lower than those in vaccines children received decades ago. And the number of antigens in those vaccines is just a fraction of the number kids are exposed to every day just from their environments. If you’ve ever watched a kindergartener touch every surface and object in a classroom and then shove their fingers in their nose and mouth, you understand the point.

Vaccinations don’t overwhelm children’s immune systems. And there’s no evidence that spacing them out avoids any of the very small risks they pose.

Data against dogma

After Trump shared his personal feelings about vaccines, the American Academy of Pediatrics rushed to release a statement, first refuting any link between vaccines and autism and then warning against spacing out vaccine doses.

“Pediatricians know firsthand that children’s immune systems perform better after vaccination against serious, contagious diseases like polio, measles, whooping cough, and hepatitis B,” the AAP said. “Spacing out or delaying vaccines means children will not have immunity against these diseases at times when they are most at risk.”

Such messages make no impact on the impervious dogma of anti-vaccine activists, of course. While medical experts and organizations like AAP scrambled to combat the misinformation and assure pregnant people and parents that Tylenol was still safe and vaccines don’t cause autism, anti-vaccine activists cheered Trump’s comments.

“We knew today was going to be about acetaminophen,” CHD President Mary Holland said, speaking on Bannon’s podcast again after the event. “We didn’t know if he’d touch on vaccines—and he was all over it. It was an amazing, amazing speech.

“I’m happy to say he basically gave parents permission not to vaccinate their kids—and definitely not to take Tylenol.”

In a new pop-up message on Tylenol’s website, the maker of the common pain reliever and fever reducer pushed back on Trump’s feelings.

Tylenol is one of the most studied medications in history–and is safe when used as directed by expecting mothers, infants, and children.

The facts remain unchanged: over a decade of rigorous research, endorsed by leading medical professionals, confirm there is no credible evidence linking acetaminophen to autism.

The same is true for vaccines.

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.

Anti-vaccine allies cheer as Trump claims shots have “too much liquid” Read More »

anti-vaccine-groups-melt-down-over-reports-rfk-jr.-to-link-autism-to-tylenol

Anti-vaccine groups melt down over reports RFK Jr. to link autism to Tylenol

Results of this study indicate that the association between acetaminophen use during pregnancy and neurodevelopmental disorders is a noncausal association. Birthing parents with higher acetaminophen use differed in many aspects from those with lower use or no use. Results suggested that there was not one single “smoking gun” confounder, but rather that multiple birthing parents’ health and sociodemographic characteristics each explained at least part of the apparent association. The null results of the sibling control analyses indicate that shared familial confounders were involved, but do not identify the specific confounding factors.

Critical factors

Another factor to consider is that untreated fevers, and/or prolonged fevers during pregnancy—reasons to take Tylenol in the first place—are linked to increased risks of autism. And, as the Society for Maternal-Fetal Medicine pointed out earlier this month, untreated fever and pain during pregnancy carry other significant risks for both the mother and the pregnancy.

“Untreated fever, particularly in the first trimester, increases the risk of miscarriage, birth defects, and premature birth, and untreated pain can lead to maternal depression, anxiety, and high blood pressure,” SMFM noted.

With no clear evidence supporting a link between acetaminophen and autism, doctors highlight another fold in the issue: Acetaminophen is considered the safest pain reliever/fever-reducer during pregnancy. Nonsteroidal anti-inflammatory medications (also called NSAIDS), such as ibuprofen (Advil) and aspirin, can cause reduced blood flow, heart problems, and kidney problems in a fetus.

After The Wall Street Journal’s report of Kennedy’s plans, the American College of Obstetricians and Gynecologists (ACOG) reiterated its guidance for acetaminophen during pregnancy, writing on social media:

Acetaminophen remains a safe, trusted option for pain relief during pregnancy. Despite recent unfounded claims, there’s no clear evidence linking prudent use to issues with fetal development. ACOG’s guidance remains the same. When pain relief is needed during pregnancy, acetaminophen should be used in moderation, and after consulting your doctor.

Christopher Zahn, ACOG’s chief of clinical practice, put it more plainly, saying: “Pregnant patients should not be frightened away from the many benefits of acetaminophen, which is safe and one of the few options pregnant people have for pain relief.”

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