Tag: childhood health

  • All Eyes on Florida As State Gets One Step Closer to Nixing Vaccine Mandates – The 74

    All Eyes on Florida As State Gets One Step Closer to Nixing Vaccine Mandates – The 74


    Get stories like this delivered straight to your inbox. Sign up for The 74 Newsletter

    A week after Florida health officials brought the state one step closer to abolishing childhood vaccine mandates, pediatricians, parents and advocates are expressing alarm over the ramifications. 

    If such a change goes into effect, “pediatric hospitals will be overwhelmed with [childhood] infections that have virtually been non-existent for the last 40 years,” said Florida-based infectious disease specialist Frederick Southwick. Southwick attended a Dec. 12 public comment workshop on the issue hosted by the Florida Department of Health. 

    “We’re in trouble right now,” he added, pointing to falling vaccine rates and the likelihood that some diseases could become endemic. “We’re getting there, and this [ending the mandate] would just do-in little kids.”

    The session delved into the proposed language the department has drafted for a rule change that would do away with vaccine mandates for four key immunizations: varicella, more commonly known as chickenpox; hepatitis B, pneumococcal bacteria and Haemophilus influenzae type B, or HiB. Currently, children cannot attend school in Florida without proof of these four immunizations, among others, including the measles, mumps and rubella vaccine. 

    Although Florida is not considering removing the mandate for the MMR vaccine, health experts see the move it is contemplating as eroding childhood immunization generally. It comes when more than 300 people are being quarantined in South Carolina because of a burgeoning measles outbreak.

    Rana Alissa is the president of the Florida Chapter of the American Academy of Pediatrics. (American Academy of Pediatrics)

    Rana Alissa, president of the Florida Chapter of the American Academy of Pediatrics, was also in attendance to express her concerns. She told The 74 this week that thanks to the success of vaccines, she’s never had to treat some of these “horrible diseases,” including HiB, which can lead to meningitis.

    “Don’t make our kids — Florida’s kids — guinea pigs to teach me and my classmates and other pediatricians how to manage these diseases,” she implored.

    Tallahassee parent Cathy Mayfield lost her 18-year-old daughter, Lawson, to meningitis in 2009, a few months before she was supposed to leave for college and just before she was due for a booster shot. (At the time, the booster was not recommended until college, according to Mayfield.)

    “You just don’t realize until it happens to you,” she said.

    She hopes others will learn the importance of vaccinating their own kids from her family’s story. 

    Cathy Mayfield, and her daughter, Lawson, who died in 2009 from meningitis. (Cathy Mayfield)

    “All the information I learned through our tragedy about vaccinations made me very supportive of the safeguards [they] offer,” she said.

    “You’ve also got to realize,” Mayfield added, “that your decisions affect your community, and that’s something I think has gotten lost in … all this conversation and hesitancy about vaccinations.”

    Equating vaccine mandates to slavery

    The workshop, which was announced the day before Thanksgiving, was held in Panama City Beach, in the Florida Panhandle, far from the state’s main population centers. About 100 people showed up to the session, which was characterized by attendees as heated but civil. Northe Saunders, president of the pro-vaccine advocacy organization American Families for Vaccines and who was there, estimated that about 30 people spoke in favor of keeping the current vaccine mandates, while approximately 20 spoke in opposition.

    Some speakers opposed to vaccine mandates included conspiracy theories in their arguments, according to news reports and numerous people present at the workshop, echoing language heard from the federal government since Secretary Robert F. Kennedy Jr., a long-time vaccine skeptic, took over the Department of Health and Human Services.

    One attendee argued that giving children multiple jabs in a 30-day period “accounts to attempted murder,” according to NBC News. A number of others questioned if this year’s reported measles outbreaks, which resulted in the deaths of two school-age, unvaccinated children in Texas, had actually occurred.

    Florida leaders’ desire to become the first state to end all vaccine mandates was announced in September by its surgeon general, Joseph A. Ladapo, standing beside Gov. Ron DeSantis in the gym of a private Christian high school. In sharing their plan, Ladapo claimed that “every last [mandate] is wrong and drips with disdain and slavery.” 

    Only four vaccines are mandated through a Department of Health rule and are therefore under Lapado’s purview. The remaining nine, which in addition to the MMR shot include polio, are part of state law and can only be changed through legislative action. 

    Experts told The 74 this is a much more difficult feat, one that state legislators — even conservative ones — don’t seem to have an appetite for. Richard Hughes, a George Washington University law professor and leading vaccine law expert, said such a legislative attempt would “warrant legal action.”

    ‘We really need to turn this around’ 

    The debate in Florida and other states over mandatory childhood immunization comes as the country teeters on the edge of losing its measles elimination status. This year alone has seen nearly 2,000 confirmed cases, the most since 2000, when measles was declared eliminated in the U.S. by the World Health Organization. Just over 10% of cases have led to hospitalization. The current South Carolina outbreak has infected at least 138 people, and among those forced to quarantine are students from nine schools. 

    Significant educational implications from the outbreaks emerged in a new study by the Annenberg Institute at Brown University, which found that absences increased 41% in a school district at the center of the West Texas outbreak, with larger effects among younger students.

    The spread of measles is also a warning of the ramifications of dropping vaccine rates, according to William Moss, executive director at Johns Hopkins’ International Vaccine Access Center.

    “Measles often serves as what we [call] the canary in the coal mine,” he said. “It really identifies weaknesses in the immunization system and programs, because of its high contagiousness.”

    “Unfortunately, I see a perfect storm brewing for the resurgence of vaccine preventable diseases,” he added, “… We really need to turn this around.”

    Earlier this week, the Centers for Disease Control and Prevention got rid of a recommendation that all newborns receive the hepatitis B vaccine, and in the preceding months changed policies surrounding the measles, mumps, rubella and varicella (chickenpox) combination vaccine and this year’s COVID 19 booster — all based on recommendations from an advisory committee hand-picked by Kennedy. The universal birth dose of the hepatitis B vaccine, in place for decades, was credited with nearly eliminating the highly contagious and dangerous virus in infants.

    Lynn Nelson, the president of the National Association of School Nurses, fears that other, more conservative states will now look to Florida as an example.

    “We already have seen outbreaks all over, and they’re only going to escalate if you have an area of the country whose herd immunity levels slip down further than they already are, which I think will happen if those [anti-mandate rules] come into effect,” she said. “That, in combination with some of the other misinformation that’s coming out, people will feel validated in decisions not to immunize their children.”

    Florida’s Department of Health appears to be moving ahead to end requirements for the four vaccines it controls, despite a recent poll indicating nearly two-thirds of Floridians oppose the action. Proposed draft language presented at the Dec. 12 workshop would also allow parents to opt their kids out of the state’s immunization registry, Florida SHOTS, and expand exemptions. 

    Currently, all 50 states have vaccine requirements for children entering child care and schools. Parents across the country are able to apply for exemptions if their child is unable to get vaccinated for medical reasons and most states — including Florida — also have religious exemptions. Part of the proposed changes presented at the Dec. 12 meeting would add Florida to the 20 states that additionally have some form of personal belief exemptions, further widening parents’ ability to opt their kids out of routine vaccines. 

    The public comment period remains open through Dec. 22, after which the department will decide whether or not to move forward with the rule change. In the interim, advocates are pushing state health officials to conduct epidemiological research around the impact of removing the vaccine mandates and studies on the potential economic costs. Florida is heavily reliant on tourism and out-of-state visitors. 

    Without that information, pro-vaccine advocate Saunders said these critical public health care decisions will be made “at the whim of an appointed official.” 

    “The nation,” he added, “is looking at Florida.”


    Did you use this article in your work?

    We’d love to hear how The 74’s reporting is helping educators, researchers, and policymakers. Tell us how

    Source link

  • CDC Advisory Committee Votes to Overturn Decades-Old Hep B Vax Recommendations – The 74

    CDC Advisory Committee Votes to Overturn Decades-Old Hep B Vax Recommendations – The 74


    Get stories like this delivered straight to your inbox. Sign up for The 74 Newsletter

    The committee that advises on national vaccine policy today overturned a decades-long recommendation that newborns be immunized for hepatitis B, a policy credited with nearly eliminating the highly contagious and dangerous virus in infants. 

    The decision came in an 8-3 vote from the committee that has been handpicked by Health and Human Service Secretary Robert F. Kennedy Jr., a long-time vaccine skeptic. It followed three previous failed attempts to vote on the measure and two days of contentious, confused hearings that further undermined the group’s credibility.

    Amy Middleman, a longtime committee liaison and a University of Oklahoma pediatrics professor, said it was the first time the committee “is voting on a policy that, based on all of the available and credible evidence … actually puts children in this country at higher risk — rather than lower risk — of disease and death.”

    Susan J. Kressly, the president of the American Academy of Pediatrics, which is continuing to recommend the hepatitis B vaccine at birth, called the committee’s guidance “irresponsible and purposely misleading” and said that it will bring about more infections in infants and children.

    “This is the result of a deliberate strategy to sow fear and distrust among families” she said.

    The members of the Advisory Committee on Immunization Practices, known as ACIP, who voted in favor of the new guidance said the universal birth dose, first introduced in 1991, had likely played a small role in the reduction of acute cases and noted that the country’s policy was an outlier when compared to those of peer nations, which have more targeted approaches. They also raised concerns about the safety of the vaccine, arguing there were insufficient trials done, a claim that has been widely debunked.

    The committee’s new recommendations still include a dose of the vaccine within the first 24 hours of life for infants born to hepatitis B-positive mothers. But for those born to mothers testing negative, they recommend “individual-based decision-making, in consultation with a health care provider” to decide “when or if” to give the vaccine. 

    Removing the universal birth dose “has a great potential to cause harm,” dissenting committee member Joseph Hibbeln said, “and I simply hope that the committee will accept its responsibility when this harm is caused.”

    The committee also voted to upend the rest of the schedule for the hepatitis B vaccine, which is required for school attendance in the vast majority of states and historically included three doses in an infant’s first year. Now, after the first dose, parents will be encouraged to ask their doctors to check infants for a sufficient immune response before proceeding with any future doses, a practice that currently lacks any scientific evidence, according to vaccine experts.

    The recommendation now heads to Jim O’Neill, the acting head of the Centers for Disease Control and Prevention, newly installed after September’s ousting of the previously confirmed director, who said she resisted Kennedy Jr.’s demands to pre-approve vaccine recommendations and fire career scientists. 

    O’Neill’s decision could impact not only the vaccine’s availability, but also its accessibility, since both public and private health insurers look to these policies to determine coverage. 

    “The American people have benefited from the committee’s well-informed, rigorous discussion about the appropriateness of a vaccination in the first few hours of life,” O’Neill said in a statement Friday.

    Rochelle Walensky is the former CDC director and is now a Harvard University medical professor. (Harvard T.H. Chan School of Public Health)

    Former CDC director Rochelle Walensky, now a Harvard University medical professor who recently co-authored a paper on the importance of the hepatitis B birth dose, projected that eliminating it for infants whose mothers test negative will raise the number of newborn hepatitis B cases by 8% each year.

    “We rely on an infrastructure of vaccines not only to protect ourselves and our children, but to protect our communities and one another,” Walensky said. “Today’s meeting was just another one of those chisels in the infrastructure.”

    Paul Offit, the director of the Vaccine Education Center and an attending physician in the Division of Infectious Diseases at Children’s Hospital of Philadelphia, referred to the committee as “a clown show” in an interview on CNN Friday morning.

    “Honestly, it’s a parody of what this committee used to be,” he said. “It’s hard to watch, and for those of us who care about children, it’s especially hard to watch.”

    Offit said he doubted that the committee understood how hepatitis B was transmitted in young children — half the time through the mother during childbirth but just as often through casual contact with someone who was chronically infected and didn’t know it. About 50% of the millions of Americans infected with hepatitis B are unaware of it.

    “By loosening the [immunization] reins, you are just putting children in harm’s way,” Offit said.

    The hepatitis B vaccine was first recommended by ACIP in 1982. Before that point, an estimated 200,000 to 300,000 people, including about 20,000 children, were infected with the highly contagious virus each year. 

    This was particularly dangerous for infants who have a 90% chance of developing liver cancer or chronic liver disease, if they contract the virus. For 4- and 5-year-olds, that chance remains high at 30-40%.

    Committee members argued the guidance change reflected a return to pre-1990s policies that focused on a targeted approach, rather than a universal one. A number of them said that these earlier practices were successful and sufficient in cutting hepatitis B rates, a claim other experts — including those at the CDC — refuted. 

    In a departure from typical practices, presentations on disease rates and safety concerns at the hearing were not given by CDC subject-matter experts, but instead were led by a climate researcher and a known anti-vaccine activist, who authored a since-retracted paper on the impact of rising autism rates. 

    Amy Middleman, a pediatrics professor at the University of Oklahoma. (University of Oklahoma)

    When one CDC hepatitis B expert was invited to weigh in during a question-and-answer period, he expressed concern about the presented research and emphasized the lack of evidence to support the committee’s changes. Middleman jumped in at one point to correct the committee when it misinterpreted “the conclusions of my own study.”

    Throughout the meeting, Kennedy Jr.’s appointees spoke about the importance of protecting parents’ rights, seemingly pitting this against public health policy. 

    “My personal bias is to err on the side of enabling individual decision making and individual rights over the right [of] the collective,” said Robert Malone, the committee’s vice chair who led the meeting since newly appointed chair Kirk Milhoan, a cardiologist and critic of the COVID vaccine for children, was unavailable to attend in person.

    Earlier this year, the committee also voted to change policies surrounding the measles, mumps, rubella and varicella (chickenpox) combination vaccine and this year’s COVID 19 booster.

    Historically, committee members were highly qualified medical professionals, vetted for months to years before serving. But, in an unprecedented upheaval in June, Kennedy Jr. fired all 17 existing advisory members via a Wall Street Journal op-ed — after promising he would leave the committee’s recommendations intact — and hastily replaced them. 

    Many of the new members have espoused anti-vaccine rhetoric and other scientific misinformation and a number of them do not have medical degrees or significant experience in the field. 

    Cody Meissner, a professor at Dartmouth’s Geisel School of Medicine and the only committee member to have previously served, also opposed the guidance change.

    Cody Meissner is a professor at Dartmouth’s Geisel School of Medicine. (Dartmouth College)

     “We’ve heard ‘do no harm’ is a moral imperative,” he said. “We are doing harm by changing this wording, and I vote no.”

    The committee vote was the latest in a wave of policy changes, firings and general chaos at the CDC and HHS that have alarmed experts since Kennedy Jr. took charge almost a year ago. 

    Last week, the Food and Drug Administration’s chief medical and scientific officer released an unsupported memo claiming COVID-19 vaccinations had contributed to the deaths of at least 10 children. Last month, Kennedy Jr. ordered CDC staff to change information on their website to promote a link between vaccines and autism, a widely discredited theory that he has promoted for years.

    According to Offit, the negative impacts are already being seen: This year tallied the greatest number of measles cases (1,828) since it was declared eliminated in 2000, the majority of which were in unvaccinated children, two of whom died. It marked the first pediatric measles deaths since 2003.

    There have also been nearly 300 childhood flu deaths — among predominantly unvaccinated kids — the most seen since the country’s last flu pandemic and whooping cough cases are surging in some states. The highly contagious respiratory infection, prevented through the DTaP vaccine, has killed three unvaccinated infants in Kentucky.


    Did you use this article in your work?

    We’d love to hear how The 74’s reporting is helping educators, researchers, and policymakers. Tell us how

    Source link

  • Most Americans Believe in the Effectiveness of Childhood Vaccines — But There’s a Catch – The 74

    Most Americans Believe in the Effectiveness of Childhood Vaccines — But There’s a Catch – The 74


    Get stories like this delivered straight to your inbox. Sign up for The 74 Newsletter

    This story was originally reported by Barbara Rodriguez of The 19th. Meet Barbara and read more of their reporting on gender, politics and policy.

    Although a majority of Americans are confident that childhood vaccines are highly effective against serious illness, Republicans’ trust in vaccine safety and support of school requirements is dropping, according to new polling from Pew Research Center.

    Sixty-three percent of Americans are extremely or very confident in the effectiveness of childhood vaccines, according to a survey published Tuesday. But Democrats and those who lean Democrat are much more likely than Republicans and Republican-leaners to hold that view — 80 percent versus 48 percent.

    And while the majority of Americans believe in the safety of vaccines — 53 percent believe childhood vaccines have been tested enough for safety and 51 percent agree that the childhood vaccine schedule is safe — there is significantly more uncertainty among Republicans. For Democrats, 74 percent show high confidence in the safety testing of vaccines and 71 percent believe the childhood vaccine schedule is safe. For Republicans, those numbers are 35 percent and 32 percent, respectively.

    “Both things can be true, that people believe in vaccines’ effectiveness overall and the confidence is a little softer on safety,” said Eileen Yam, director of science and society research at Pew who was part of the primary research team. “But writ large, that’s been pretty stable to see confidence in vaccines. But at the same time, when it comes to things like school requirements, or ‘telling me what to do,’ or requiring me to do something — that’s where you see the bristling on the Republican side.”

    Americans have become more skeptical of requiring that children get the measles-mumps-rubella (MMR) vaccine to attend public school. Sixty-nine percent support it, a decline from 82 percent in 2016. Most of the drop can be attributed to Republicans — with just 52 percent believing in the requirement, compared to 79 percent in 2016. For Democrats, that support was 83 percent in 2016 and actually climbed to 86 percent this year.

    This all comes amid a major measles outbreak in the United States that started in Texas and has spread to multiple other states. And while students are required in each state to get the MMR vaccine to attend public school, officials in Florida have indicated a willingness to drop that requirement.

    Pew found broad and consistent support for the MMR vaccine: 84 percent believe its benefits outweigh its risks (of which there are minor side effects). When Pew first started asking about this in 2016, support was at 88 percent. Yam said the findings show some agreement on the benefits of the MMR vaccine. While 92 percent of Democrats believe the benefits of the vaccine outweigh the risks, 78 percent of Republicans do, too.

    Health and Human Services Secretary Robert F. Kennedy, an anti-vaccine activist who has revamped a key panel that helps decide vaccine policy, has questioned the safety of the MMR vaccine without evidence. He has the backing of President Donald Trump, who has perpetuated misinformation this year about childhood vaccines.

    Pew surveyed parents and found a majority with minor children (57 percent) say they are extremely or very confident in childhood vaccines’ effectiveness. Republican parents are far less likely than Democratic parents to have that confidence (45 percent versus 71 percent), belief in safety testing (29 percent versus 63 percent) and the childhood vaccine schedule (27 percent versus 58 percent).

    Democrats are more likely than Republicans to say medical scientists should have a major role in decisions about childhood vaccines (85 percent vs. 62 percent). There are more partisan fissures on the role of parents: 71 percent of Republicans say that parents of young children should have a major role in policy decisions about childhood vaccines. For Democrats, it’s 46 percent.

    “That speaks to just a divergence in trust in science that we’ve been tracking since before the pandemic,” Yam said. “Just Republicans since the pandemic, their confidence in scientists, the way they look at the CDC has just dropped off much more than on the Democrat side. Democrats have had fairly stable views on scientists and on the CDC, in contrast to Republicans.”

    Pew also examined how recent Centers for Disease Control and Prevention recommendations have influenced Americans’ decisions around getting a COVID-19 shot. The agency recently agreed with Kennedy’s new vaccine panel to stop recommending the shot to everyone and to instead leave the choice up to people. Forty-four percent say they have heard nothing at all about the CDC’s changes to recommendations. Among those who have heard at least a little, 63 percent say it has had no influence on whether they got an updated vaccine.

    “The one big takeaway there is that policies really can’t influence behaviors if people haven’t heard about the policies or the recommendations,” Yam said. “And in this case, a lot of people haven’t heard about it, and some when they have, their minds were made up. They’ve already kind of decided, and it really didn’t influence their behavior one way or the other.”

    This story was originally published on The 19th.


    Did you use this article in your work?

    We’d love to hear how The 74’s reporting is helping educators, researchers, and policymakers. Tell us how

    Source link

  • Parents, Medical Providers, Vaccine Experts Brace for RFK Jr.’s HHS Takeover – The 74

    Parents, Medical Providers, Vaccine Experts Brace for RFK Jr.’s HHS Takeover – The 74


    Get stories like this delivered straight to your inbox. Sign up for The 74 Newsletter

    While Robert F. Kennedy Jr. ‘s Senate confirmation to head the Department of Health and Human Services was not unexpected, it still shook medical providers, public health experts and parents across the country. 

    Mary Koslap-Petraco, a pediatric nurse practitioner who exclusively treats underserved children, said when she heard the news Thursday morning she was immediately filled with “absolute dread.”

    Mary Koslap-Petraco is a pediatric nurse practitioner and Vaccines for Children provider. (Mary Koslap-Petraco)

    “I have been following him for years,” she told The 74. “I’ve read what he has written. I’ve heard what he has said. I know he has made a fortune with his anti-vax stance.”

    She is primarily concerned that his rhetoric might “scare the daylights out of people so that they don’t want to vaccinate their children.” She also fears he could move to defund Vaccines for Children, a program under the Centers for Disease Control and Prevention that provides vaccines to kids who lack health insurance or otherwise wouldn’t be able to afford them. While the program is federally mandated by Congress, moves to drain its funding could essentially render it useless.

    Koslap-Petraco’s practice in Massapequa Park, New York relies heavily on the program to vaccinate pediatric patients, she said. If it were to disappear, she asked, “How am I supposed to take care of poor children? Are they supposed to just die or get sick because their parents don’t have the funds to get the vaccines for them?” 

    And, if the government-run program were to stop paying for vaccines, she said she’s terrified private insurance companies might follow suit. 

    Vaccines for Children is “the backbone of pediatric vaccine infrastructure in the country,” said Richard Hughes IV, former vice president of public policy at Moderna and a George Washington University law professor who teaches a course on vaccine law.

    Kennedy will also have immense power over Medicaid, which covers low-income populations and provides billions of dollars to schools annually for physical, mental and behavioral health services for eligible students.

    If Kennedy moves to weaken programs at HHS, which experts expect him to do, through across-the-board cuts in public health funding that trickle down to immunization programs or more targeted attacks, low-income and minority school-aged kids will be disproportionately impacted, Hughes said. 

    “I just absolutely, fundamentally, confidently believe that we will see deaths,” he added.

    Anticipating chaos and instability

    Following a contentious seven hours of grilling across two confirmation hearings, Democratic senators protested Kennedy’s confirmation on the floor late into the night Wednesday. The following morning, all 45 Democrats and both Independents voted in opposition and all but one Republican — childhood polio survivor Mitch McConnell of Kentucky — lined up behind President Donald Trump’s pick.

    James Hodge, a public health law expert at Arizona State University’s Sandra Day O’Connor College of Law, said that while it was good to see senators across the political spectrum asking tough questions and Kennedy offering up some concessions on vaccine-related policies and initiatives, he’s skeptical these will stick.

    “Whatever you’ve seen him do for the last 25 to 30 years is a much, much greater predictor than what you saw him do during two or three days of Senate confirmation proceedings,” Hodge said. “Ergo, be concerned significantly about the future of vaccines, vaccine exemptions, [and] how we’re going to fund these things.”

    Hodge also said he doesn’t trust how Kennedy will respond to the consequences of a dropoff in childhood vaccines, pointing to the current measles outbreak in West Texas schools.

    “The simple reality is he may plant misinformation or mis-messaging,” he said.

    During his confirmation hearings, Kennedy tried to distance himself from his past anti-vaccination sentiments stating, “News reports have claimed that I am anti-vaccine or anti-industry. I am neither. I am pro-safety … I believe that vaccines played a critical role in health care. All of my kids are vaccinated.”

    He was confirmed as Linda McMahon, Trump’s nominee to head the Department of Education, was sitting down for her first day of hearings. At one point that morning, McMahon signaled an openness to possibly shifting enforcement to HHS of the Individuals with Disabilities Education Act — a federal law dating back to 1975 that mandates a free, appropriate public education for the 7.5 million students with disabilities — if Trump were to succeed in shutting down the education department.

    This would effectively put IDEA’s $15.4 billion budget under Kennedy’s purview, further linking the education and public health care systems.

    In a post on the social media site BlueSky, Randi Weingarten, president of the American Federation of Teachers, wrote she is “concerned that anyone is willing to move IDEA services for kids with disabilities into HHS, under a secretary who questions science.”

    Keri Rodrigues, president of the National Parents Union and a parent of a child with ADHD and autism, told The 74 the idea was “absolutely absurd” and would cause chaos and instability. 

    Kennedy’s history of falsely asserting a link between childhood vaccines and autism — a disability included under IDEA coverage — is particularly concerning to experts in this light.

    “You obviously have a contingent of kids who are beneficiaries of IDEA that are navigating autism spectrum disorder,” said Hughes, “Could [we] potentially see some sort of policy activity and rhetoric around that? Potentially.”

    Vaccines — and therefore HHS — are inextricably linked to schools. Currently, all 50 states have vaccine requirements for children entering child care and schools. But Kennedy, who now has control of an agency with a $1.7 trillion budget and 90,000 employees spread across 13 agencies, could pull multiple levers to roll back requirements, enforcements and funding, according to The 74’s previous reporting. And Trump has signaled an interest in cutting funding to schools that mandate vaccines.

    “There’s a certain percentage of the population that is focused on removing school entry requirements,” said Northe Saunders, executive director of the pro-vaccine SAFE Communities Coalition. “They are loud, and they are organized and they are well funded by groups just like RFK Jr.’s Children’s Health Defense.”

    Kennedy will also have the ability to influence the makeup of the committees that approve vaccines and add them to the federal vaccine schedule, which state legislators rely on to determine their school policies. Hodge said one of these committees is already being “re-organized and re-thought as we speak.”

    “With him now in place, just expect that committee to start really changing its members, its tone, the demeanor, the forcefulness of which it’s suggesting vaccines,” he added.

    Hughes, the law professor, said he is preparing for mass staffing changes throughout the agency, mirroring what’s already happened across multiple federal departments and agencies in Trump’s first weeks in office. He predicts this will include Kennedy possibly asking for the resignations “of all scientific leaders with HHS.” 

    Kennedy appeared to confirm that he was eyeing staffing cuts Thursday night during an appearance on Fox News’s “The Ingraham Angle.”

    “I have a list in my head … if you’ve been involved in good science, you have got nothing to worry about,” Kennedy said.


    Get stories like these delivered straight to your inbox. Sign up for The 74 Newsletter

    Source link