A rundown of recent Trump administration vaccine policy changes
The Trump administration continued to reshape U.S. health policy in recent days with several moves that could change what vaccines people can get to protect themselves from common illnesses.
Some of the changes are immediate, others are still being discussed, and Health Secretary Robert F. Kennedy Jr. must still sign off on some.
Doctors' groups have expressed alarm at the moves made by Kennedy, a longtime anti-vaccine activist, and his appointees, who at times have ignored well-established science. Nearly 80 medical groups, including the American Medical Association, issued a statement backing vaccines against common respiratory ailments as 'among the best tools to protect the public.'
'We come together as physicians from every corner of medicine to reaffirm our commitment to these lifesaving vaccines,' the groups wrote.
Here's what to know about some of the recent vaccine policy changes:
Flu shots and thimerosal
On Thursday, a vaccine advisory group handpicked by Kennedy recommended that just about every American get a flu shot this fall.
But the group also said people should avoid shots containing thimerosal, a preservative used only in large multi-dose vials that has been proven to be safe. The ingredient isn't used in single-dose flu shots, the type of syringe used for about 95% of U.S. flu shots last season.
Status: Kennedy must sign off on the recommendations. Read more AP coverage here.
How to get a COVID-19 shot
Universal access to updated COVID-19 shots for the fall remains unclear, even after Kennedy's vaccine advisers were shown data showing how well the vaccines are working.
Kennedy changed CDC guidance last month, saying the shots are no longer recommended for healthy children and pregnant women — even though doctors groups disagree. And the Food and Drug Administration has moved to limit COVID-19 vaccinations among healthy people under age 65.
Status: Upcoming advisory meetings, regulatory decisions and policies from insurers and employers are likely to influence access. Read more AP coverage here.
Expanded warnings on COVID-19 vaccine labels
At the request of the FDA, makers of the two leading COVID-19 vaccines on Wednesday expanded existing warnings about a rare heart side effect mainly seen in young men.
Prescribing information from both Pfizer and Moderna had already advised doctors about rare cases of myocarditis, a type of heart inflammation that is usually mild. The FDA had asked the drugmakers to add more detail about the problem and to cover a larger group of patients.
Status: Labels are being updated now. Read more AP coverage here.
Changes considered for the childhood vaccine schedule
On Wednesday, Kennedy's vaccine advisers said they would be evaluating the 'cumulative effect' of the children's vaccine schedule — the list of immunizations given at different times throughout childhood.
The announcement reflected vaccine skeptics' messaging: that too many shots may overwhelm kids' immune systems. Scientists say those claims have been repeatedly investigated with no signs of concern.
The American Academy of Pediatrics said it would continue publishing its own vaccine schedule for children but now will do so independently of the government advisory panel, calling it 'no longer a credible process.'
Status: The examination is in its early stages. Read more AP coverage here.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute's Department of Science Education and the Robert Wood Johnson Foundation. The AP is solely responsible for all content.
Try Our AI Features
Explore what Daily8 AI can do for you:
Comments
No comments yet...
Related Articles
Winnipeg Free Press
3 hours ago
- Winnipeg Free Press
Flint's still-unfinished lead pipe replacement serves as cautionary tale to other cities
FLINT, Mich. (AP) — Jeffrey Bell watched as crews dug up and replaced neighbors' lead water pipes, hoping his mother's house would be next. Workers told him it wasn't on their list but probably assigned to another contractor. With Flint's lead pipe replacement program winding down this year, Bell and his elderly mother worried the home they share was forgotten. Betty Bell repeatedly called the city while continuing to buy bottled drinking water, as she had for years. Finally someone called to say the water line was fine — records indicate it was checked in 2017. But the Bells hadn't known that, exemplifying residents' confusion over a process marred by delays and poor communication. 'I have even more questions now,' Jeffrey Bell said. About a decade after Flint's water crisis caused national outrage, replacement of lead water pipes still isn't finished. Although the city recently said it completed work required under a legal settlement, the agreement didn't cover vacant homes and allowed owners to refuse, potentially leaving hundreds of pipes in the ground. The state agreed to oversee work on those properties and says it's determined to finish by fall. Flint's missteps offer lessons for municipalities that face a recently imposed federal mandate to replace their own lead service lines. The Trump administration is expected to soon tell a federal appeals court if it will stand by that mandate. 'I think other cities are racing not to be Flint,' said Margie Kelly, a spokesperson with the environmental nonprofit Natural Resources Defense Council, which reached a settlement with the city to force it to replace lead pipes. Flint falters Flint's crisis was set in motion in 2014, when a state-appointed emergency manager ended a contract with Detroit's water system and switched to the Flint River to save money. But the state didn't require treatment to prevent corrosion that caused lead to leach into the water. High levels of lead eventually were detected in drinking water and children's blood. Outbreaks of Legionnaires' disease that killed a dozen people were also linked, in part, to the city's water. In 2017, Flint entered into a settlement requiring it to replace all lead pipes and fix dug-up yards for free within three years. Funds were directed first toward homes with known lead lines at the NRDC's insistence, which meant workers couldn't tackle neighborhoods systematically. And finding those homes proved challenging because many records were missing or inaccurate — some handwritten on notecards dating to the early 1900s. 'The city's overall management of the program was ineffective,' and it could have better coordinated work geographically, said Sarah Tallman, an attorney with the NRDC. That stalled the program and, ultimately, the city had to check every pipe anyway. COVID-19 also slowed work. Flint Department of Public Works Director Kenneth Miller, who was hired last year, said the city didn't know how many homeowners had opted out of lead pipe replacement or how many properties had simply been missed as contractors came and went. 'Just like any other organization, people get lax, people stop doing things, people get laid off and the person that used to do it doesn't do it anymore,' he said. Because the city didn't keep accurate records of repairs, a judge ordered officials to visually check thousands of properties that had been excavated. Yards torn up by contractors sometimes sat that way for months or years. For months, Danyele Darrough's lawn was a mess and the sidewalk and driveway were covered, she said. Grass seed that workers applied never grew. Finally this spring, nearly three years later, she bought bags of topsoil and seed to fix her lawn herself. 'It was like, yeah, we knew it; we couldn't trust them,' said Darrough. Miller said the city now has robust data management, which he recommends to other communities tackling lead lines. Steep population loss left thousands of vacant homes that will require contractors to cap lead lines where they're found, said Eric Oswald, drinking water director at Michigan's Department of Environment, Great Lakes and Energy. 'The state and the city wanted to absolutely make sure that … we leave no stone unturned,' he said. Trust is key In Flint, government at every level caused the lead crisis or delayed fixing it, according to an EPA inspector general report. The scandal damaged trust in government — nearly 700 Flint homeowners declined free lead pipe replacement, the NRDC said. Flint finally adopted an ordinance last year to prevent homeowners from opting out. 'It's very difficult to get across the finish line unless you've got something to enforce,' Oswald said. Benton Harbor, across the state, implemented a similar provision early on, helping its work move smoothly. Now officials are working from a list of more than 4,000 properties where there could be a lead line, sending letters and making in-person visits to homes, if needed. Miller said he hopes the outreach will show that customer service is now a priority, but it will take time to rebuild trust. Some also distrust the Environmental Protection Agency, which in May lifted a long-standing emergency order for Flint water. The agency said it's now safe to drink from the tap after years of tests showing sharply reduced lead levels. 'We don't know what to believe,' resident Aonie Gilcreast said at a recent community gathering. 'We don't trust the system' because officials have said 'time after time after time …. that everything was fine.' As other cities and towns start replacing their own lead pipes — there are roughly 9 million in the U.S. — one thing should be top of mind, experts say: Digging them up isn't just a construction job, but also a test of community trust. To replace the lines that connect the water main in the street to homes, workers usually must dig in the street and yard, and enter the home. When residents trust local government, they're more willing to grant that access. 'With lead, as with everything else, the first time people hear from their water utility can't be when there is a concern,' said Greg Kail, spokesperson at utility industry group American Water Works Association. Instead, it is important for utilities to reach out to residents about what they plan to do and enlist trusted community groups in the effort. Newark charges forward Newark, New Jersey, avoided Flint's pitfalls when facing its own lead crisis. In 2019, about two years after elevated levels were revealed and with funds available, the mayor said the city would replace more than 20,000 lead pipes at no cost to residents — and do it within three years. But a challenge soon emerged: Newark has lots of renters who couldn't approve the work. 'We couldn't get into the houses. We couldn't find the owners,' said Kareem Adeem, Newark's water and sewer director. 'They don't live there. They had no interest in taking care of the lead service line.' So the city passed an ordinance making lead pipe removals mandatory and giving renters permission to approve the work. Then contractors moved quickly through the city block by block — a lesson learned from Flint. For the most stubborn holdouts, officials told them when they'd start replacement work and said they'd turn the water off until the resident allowed them to complete it. The threat was enough. They never had to actually turn off anybody's water, Adeem said. Sometimes, people would recognize Adeem from TV and he could start a conversation — a crack in a resident's determination to say no. He worked with trusted community groups, too. And the decision that ensured people's property was cleaned up afterward? The contractors weren't fully paid until they finished the work and fixed any damage. ___ The Associated Press receives support from the Walton Family Foundation for coverage of water and environmental policy. The AP is solely responsible for all content. For all of AP's environmental coverage, visit
Winnipeg Free Press
a day ago
- Winnipeg Free Press
Takeaways from interviews with families forever changed by diseases that vaccines can prevent
SIOUX FALLS, S.D. (AP) — In the time before widespread vaccination, devastating infectious diseases ran rampant in America, killing millions of children and leaving others with lifelong health problems. Over the next century, vaccines virtually wiped out long-feared scourges like polio and measles and drastically reduced the toll of many others. Today, however, some preventable, contagious diseases are making a comeback as vaccine hesitancy pushes immunization rates down. And well-established vaccines are facing suspicion even from public officials, with Robert F. Kennedy Jr., a longtime anti-vaccine activist, running the federal health department. 'This concern, this hesitancy, these questions about vaccines are a consequence of the great success of the vaccines – because they eliminated the diseases,' said Dr. William Schaffner, an infectious disease expert at Vanderbilt University Medical Center. 'If you're not familiar with the disease, you don't respect or even fear it. And therefore you don't value the vaccine.' Anti-vaccine activists even portray the shots as a threat, focusing on the rare risk of side effects while ignoring the far larger risks posed by the diseases themselves — and years of real-world data that experts say proves the vaccines are safe. Some Americans know the reality of vaccine-preventable diseases all too well. Here are takeaways from interviews with a few of them by The Associated Press. Getting a disease while pregnant can change two lives. Janith Farnham has helped shepherd her daughter Jacque through life for decades. Jacque, 60, was born with congenital rubella syndrome, which resulted in hearing, eye and heart problems at birth. There was no vaccine against rubella back then, and Janith contracted it in early pregnancy. Though Janith, 80, did all she could to help Jacque thrive, the condition took its toll. Jacque eventually developed diabetes, glaucoma, autistic behaviors and arthritis. Today, Jacque lives in an adult residential home and gets together with Janith four or five days a week. Janith marvels at Jacque's sense of humor and affectionate nature despite all she's endured. Jacque is generous with kisses and often signs 'double I love yous,' even to new people she meets. Given what her family has been through, Janith finds it 'more than frustrating' when people choose not to get children the MMR shot against measles, mumps and rubella. 'I know what can happen,' she said. 'I just don't want anybody else to go through this.' Delaying a vaccine can be deadly. More than half a century has passed, but Patricia Tobin still vividly recalls seeing her little sister Karen unconscious on the bathroom floor. It was 1970, Karen was 6, and she had measles. The vaccine against it wasn't required for school in Miami where they lived. Though Karen's doctor discussed immunizing the first grader, their mother didn't share his sense of urgency. 'It's not that she was against it,' Tobin said. 'She just thought there was time.' Then came a measles outbreak. After she collapsed in the bathroom, Karen never regained consciousness. She died of encephalitis. 'We never did get to speak to her again,' Tobin said. Today, all states require that children get certain vaccines to attend school. But a growing number of people are making use of exemptions. Vanderbilt's Schaffner said fading memories of measles outbreaks were exacerbated by a fraudulent, retracted study claiming a link between the MMR shot and autism. The result? Most states are below the 95% vaccination threshold for kindergartners — the level needed to protect communities against measles outbreaks. Preventable diseases can have long-term effects. One of Lora Duguay's earliest memories is lying in a hospital isolation ward with her feverish, paralyzed body packed in ice. She was three years old. It was 1959 and Duguay, of Clearwater, Florida, had polio. It was one of the most feared diseases in the U.S., experts say, causing some terrified parents to keep children inside and avoid crowds during epidemics. Given polio's visibility, the vaccine against it was widely and enthusiastically welcomed. Given polio's visibility, the vaccine against it was widely and enthusiastically welcomed. But the early vaccine that Duguay got was only about 80% to 90% effective. Not enough people were vaccinated or protected yet to stop the virus from spreading. Though treatment helped her walk again, she eventually developed post-polio syndrome, a neuromuscular disorder that worsens over time. She now gets around in a wheelchair. The disease that changed her life twice is no longer a problem in the U.S. So many children get the vaccine — which is far more effective than earlier versions — that it doesn't just protect individuals but it prevents occasional cases that arrive in the U.S. from spreading further and protects the vulnerable. When people aren't vaccinated, the vulnerable remain at risk. Every night, Katie Van Tornhout rubs a plaster cast of a tiny foot, a vestige of the daughter she lost to whooping cough at just 37 days old. Callie Grace was born on Christmas Eve 2009. When she turned a month old, she began having symptoms of pertussis, or whooping cough. She was too young for the Tdap vaccine against it and was exposed to someone who hadn't gotten their booster shot. Wednesdays Columnist Jen Zoratti looks at what's next in arts, life and pop culture. At the hospital, Van Tornhout recalled, the medical staff frantically tried to save her, but 'within minutes, she was gone.' Today, Callie remains part of her family's life, and Van Tornhout shares the story with others as she advocates for vaccination. 'It's up to us as adults to protect our children – like, that's what a parent's job is,' Van Tornhout said. 'I watched my daughter die from something that was preventable … You don't want to walk in my shoes.' ____ The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute's Department of Science Education and the Robert Wood Johnson Foundation. The AP is solely responsible for all content.
Winnipeg Free Press
a day ago
- Winnipeg Free Press
How to protect yourself from ticks year-round
WASHINGTON (AP) — Ticks can be active in any season and it's important to check for and remove the bloodsuckers as quickly as possible — especially after you've been outside hiking, gardening or enjoying nature. 'Humans are outside more in summer so we hear about more tick infections,' said Sam Telford, an infectious diseases expert at Tufts University. But he urges caution year-round because 'every season is tick season.' While tick populations vary a lot regionally, some Northeastern states including Maine, Massachusetts and Rhode Island are seeing 'above average' numbers of American dog ticks this year, said Telford. And New York state is seeing a higher number of reported deer tick bites this year than last year, said Saravanan Thangamani, who studies tick-borne diseases at SUNY Upstate Medical University. How ticks can spread disease Ticks, like mosquitos, need to feed on blood. But instead of a quick prick, they are slow feeders – with hooked mouth parts that attach into the skin of deer, rabbits, dogs and people. There are many different species of ticks found globally and only some spread germs that can make people sick. A main worry is blacklegged ticks, also called deer ticks, which can spread Lyme disease. Once found mainly in New England and pockets of the Midwest, the ticks are now present over a wider range. A tick bite doesn't always lead to illness. 'If you remove a tick within 24 hours of attachment, it's fairly unlikely that you will get infected,' said Telford. How to check for ticks Ticks are usually found low to the ground, in leaf litter or grassy areas. Check your clothing for ticks and do a full-body check including under the arms and behind ears, knees and hair. 'If you're out all day long, try to do a quick check for ticks every few hours,' said Bobbi Pritt at the Mayo Clinic. 'When you go back inside, take a shower. That will wash off any unattached ticks, and you're also more likely to spot any other ticks.' Use tweezers to remove the tick and grasp it as close to the skin as possible to pull from the head. If you don't have them handy, you can also use your fingernails, the edge of a credit card or any semi-sharp object. How to keep ticks away The best approach is to minimize tick exposure altogether. Bug sprays containing ingredients such as DEET can be sprayed on exposed skin to ward off ticks and mosquitos, said Telford. Wear long sleeves and pants, and you can also spray clothing with repellents containing permethrin, a chemical similar to a natural ingredient in chrysanthemums that makes ticks avoid the flowers. Protect your pets from ticks Don't forget to pay attention to outdoor pets. Medications can prevent fleas and ticks from attaching to a dog's skin. But it's still a good idea to check the fur after being outside. 'Wherever pets can't easily groom themselves, that's where the ticks will be – on the ears, around the muzzle area, under the collar, between the toes,' said Thangamani. Dogs and cats roaming outdoors can also bring ticks into the house. 'If pets bring ticks in, a tick can live in the house for months until it finds its next blood meal,' which could be another household member, he said. Wednesdays Columnist Jen Zoratti looks at what's next in arts, life and pop culture. What to do after a tick bite After removing the tick, keep an eye on the skin around the bite. If a rash or flu-like symptoms appear within several days or weeks, see a doctor. The Centers for Disease Control and Prevention does not recommend tick testing because results may not be reliable. ___ The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute's Science and Educational Media Group and the Robert Wood Johnson Foundation. The AP is solely responsible for all content.
