‘Public health is in trouble,’ says high-ranking CDC leader who resigned in protest; PBS News, August 28, 2025

Amna Nawaz, Aznar Merchant , PBS News; ‘Public health is in trouble,’ says high-ranking CDC leader who resigned in protest

"Amna Nawaz:

• So let's just start with your decision. Why did you feel the need to resign?

• Dr. Debra Houry:

  It was such a tough decision. I love the CDC. The work we do is so important.

  But I had just felt we had reached a tipping point when it came to our science and our data and being able to do the work we needed to do. I was concerned about the future of CDC and my ability to be a leader at the CDC and to do what was needed to be done on the inside. I thought my voice and the voice of my colleagues that also resigned with me would be more powerful on the outside.

• Amna Nawaz:

  What does reaching that tipping point, as you put it, mean to you?

  You saw Dr. Monarez's lawyers reference the unscientific and reckless directives. What does that mean to you?

  • Dr. Debra Houry:

    Yes, so we have an immunization committee meeting coming up in a few weeks. And many of us, myself included, were concerned about some of the recommendations might walk back vaccines in our country.

    To me, that's one of the tipping points. I think another tipping point is just the loss of Dr. Monarez. We hadn't had a CDC director for several months. When she came on board, she brought scientific rigor and some new ideas around public comment and how to really make sure data drove the decisions.

    When she had done some of these changes, she was brought to the secretary's office for discussion. And, at that point, I became concerned that she wouldn't be able to implement changes that were needed at CDC, and without that leadership, it would just leave us vulnerable again. And I thought that was the point to say, enough is enough and to really raise that Bat Signal that public health and CDC is in trouble.

    
    

    • Amna Nawaz:

      You have also said previously that her firing makes it easier for Secretary Kennedy's appointees to change vaccine recommendations. You just mentioned fearing a walk-back in some of those vaccine policies.

      What does that mean specifically? What could we see ahead?

    • Dr. Debra Houry:

      So, if we don't have a CDC director, and if there's not an acting CDC director, then the secretary would sign recommendations like he did for the last ACIP, or vaccine committee, meeting.

      So things like the COVID vaccine or hepatitis B vaccine, they could choose to change ages on it or the populations that have access to it. I'm just concerned about changing vaccine access in our country and that we need to focus more on the safety and effectiveness of vaccines, shared decision-making around vaccines, and not talking about misinformation around vaccines.

      
      

      • Amna Nawaz:

        And changes to things like the hepatitis B vaccine, are those conversations you were a part of during your time there? Those are being discussed?

      • Dr. Debra Houry:

        So I know that the work groups have been asked to look at hepatitis B. They're in the middle of pulling a systematic review together right now.

        So I would imagine that means they will be discussed. My concern is, we have pulled evidence reviews together before for the ACIP meetings, that we had one that was pulled down and not discussed. I think it's really important when we do work at CDC for our data, our science and our evidence reviews to be publicly posted, so the public can also review them and understand.

        And, to me, that is transparency and something we were trying to move towards, particularly with the secretary's commitment to radical transparency. That would mean having publicly available data and documents."

Man develops rare condition after ChatGPT query over stopping eating salt; The Guardian, August 12, 2025

Dan Milmo , The Guardian; Man develops rare condition after ChatGPT query over stopping eating salt

"A US medical journal has warned against using ChatGPT for health information after a man developed a rare condition following an interaction with the chatbot about removing table salt from his diet.

An article in the Annals of Internal Medicine reported a case in which a 60-year-old man developed bromism, also known as bromide toxicity, after consulting ChatGPT."

Measles cases are surging in Europe and the US. This is what the anti-vax conspiracy theory has brought us; The Guardian, July 14, 2025

Zoe Williams , The Guardian; Measles cases are surging in Europe and the US. This is what the anti-vax conspiracy theory has brought us

"The effects of the MMR controversy, specifically, are revealing themselves now, nearly 30 years later: measles cases in Europe are at the highest levels in 25 years; in the US, cases are at a 33-year-high; last week it was reported that a child in Liverpool had died having contracted measles. It’s unknown whether the child was vaccinated (no vaccine can guarantee complete immunity) and it doesn’t matter – it wouldn’t make it any less tragic if that child’s parents had been caught in the swirl of misinformation, or any more tragic if they hadn’t. And it wouldn’t be germane anyway: everybody is better protected when everybody is vaccinated. This is never a decision you are making just for yourself.

It’s probably the most depressing conspiracy theory there is, not because the impacts are so much graver than some cranks who believe the Earth to be flat, but because vaccination is the most concrete proof of how much we rely on one another’s care and rationality. That’s true beyond disease – we also need each other for democracy, science, culture, civic life and everything – but in no other area can you see that, count it and put it on a graph."

Medical Societies Sue Kennedy and H.H.S. Over Vaccine Advice; The New York Times, July 7, 2025

Apoorva Mandavilli, The New York Times; Medical Societies Sue Kennedy and H.H.S. Over Vaccine Advice

 "Six leading medical organizations filed a lawsuit on Monday against Robert F. Kennedy Jr., the health secretary, and the federal Department of Health and Human Services, charging that recent decisions limiting access to vaccines were unscientific and harmful to the public.

The suit, filed in federal court in western Massachusetts, seeks to restore Covid vaccines to the list of recommended immunizations for healthy children and pregnant women.

Mr. Kennedy has been on a “decades-long mission” to undermine vaccines and to portray them as more dangerous than the illnesses they are designed to prevent, said Richard H. Hughes IV, a lawyer who teaches vaccine law at George Washington University and is leading the effort.

“The secretary’s intentions are clear,” Mr. Hughes said: “He aims to destroy vaccines.”

The plaintiffs include the American Public Health Association, the American Academy of Pediatrics, the Infectious Diseases Society of America, the American College of Physicians, the Society for Maternal-Fetal Medicine and the Massachusetts Public Health Alliance."

Kennedy Withdraws U.S. Funding Pledge to International Vaccine Agency; The New York Times, June 25, 2025

Stephanie Nolen , The New York Times; Kennedy Withdraws U.S. Funding Pledge to International Vaccine Agency

"The U.S. health secretary, Robert F. Kennedy Jr., who has moved to undermine public immunization programs in the United States, took his efforts global on Wednesday, accusing the leading international vaccine organization of having “ignored the science” in immunizing children around the world.

In confrontational remarks sent by video to global leaders who had gathered to support the organization, Gavi, Mr. Kennedy said the United States would withdraw its financial support for the group’s work purchasing vaccines for children in poor countries...

In the video, which was played in the last minutes of the summit, Mr. Kennedy accused Gavi’s leaders of being selective in their use of science to support vaccine choices, and said that the United States would not deliver on a $1.2 billion pledge made by the Biden administration until the organization changed its processes...

In a statement, Gavi’s leaders rejected the suggestion that its vaccine purchases were driven by anything other than the best available evidence.

“Any decision made by Gavi with regards to its vaccine portfolio is made in alignment with recommendations by the World Health Organization’s Strategic Advisory Group of Experts on Immunization (SAGE), a group of independent experts that reviews all available data through a rigorous, transparent and independent process,” Gavi’s statement said. “This ensures Gavi investments are grounded in the best available science and public health priorities.”

Dr. Atul Gawande, a surgeon who led global health work in the Biden administration, called Mr. Kennedy’s remarks “stunning and calamitous.”"

CDC site scrubs HIV content following Trump DEI policies; NBC News, January 31, 2025

Berkeley Lovelace Jr. and Benjamin Ryan, NBC News; CDC site scrubs HIV content following Trump DEI policies

[Kip Currier: The late Toni Morrison, 1993 Nobel Prize Winner for Literature, observed that "Access to knowledge is the superb, the supreme act of truly great civilizations.” Fittingly, that inspirational declaration greets visitors at an entrance to New York Public Library, one of the world's greatest repositories of knowledge.

As the Trump administration, in just its first weeks, continues to "disappear" information and impede access to knowledge, as illustrated by this NBC News article, the role of libraries, archives, and museums in preserving information and providing access to knowledge and the full range of human experience has never been greater in the nearly 250 year history of the U.S.

It is incumbent upon those who work in and on behalf of libraries, archives, and museums to prepare themselves for the concerted governmental and oligarchic efforts and pressure that will likely soon manifest against them, as they strive to safeguard the nation's memory, historical record, and collections from censorship, removal, and destruction.]

[Excerpt]

"The Centers for Disease Control and Prevention on Friday is scrubbing a swath of HIV-related content from the agency’s website as a part of President Donald Trump’s broader effort to wipe out diversity, equity and inclusion initiatives across the federal government.

The CDC’s main HIV page was down temporarily but has been restored. The CDC began removing all content related to gender identity on Friday, according to one government staffer. HIV-related pages were apparently caught up in that action.

CDC employees were told in a Jan 29. email from Charles Ezell, the acting director of the U.S. office of personnel management, titled “Defending Women,” that they’re not to make references or promote “gender ideology” — a term often used by conservative groups to describe what they consider “woke” views on sex and gender — and that they are to recognize only two sexes, male and female, according to a memo obtained by NBC News.

Employees initially struggled with how to implement the new policy, with a deadline of Friday afternoon, the staffer said. Ultimately, agency staffers began pulling down numerous HIV-related webpages — regardless of whether it included gender — rushing to meet the deadline. It was unclear when the pages might be restored.

“The process is underway,” said the government agency staffer, who requested anonymity for fear of repercussions. “There’s just so much gender content in HIV that we have to take everything down in order to meet the deadline.”

The White House did not immediately respond to requests for comment. Communications representatives within the CDC’s HIV and STD prevention departments did not return requests for comment; last week, the Trump administration ordered all employees of HHS, which includes the CDC, to stop communicating with external parties. 

Trump’s sweeping executive order to wipe out DEI programs across the federal government threatens to upend the CDC’s efforts to combat HIV among Black, Latino and transgender people — groups disproportionately affected by the virus — according to public health experts."

Move Fast and Break the Government; The Bulwark, January 28, 2025

SAM STEIN AND 

BENJAMIN PARKER

, The Bulwark; 

Move Fast and Break the Government

"A letter from the Office of Management and Budget, obtained last night by The Bulwark, instructed federal agencies that they were to “temporarily pause all activities related to obligation or disbursement of all Federal financial assistance,” effective “on January 28, 2025, at 5:00 PM.”

What, exactly, does this mean? The note was vague, stating that the pause was for activities that “may be implicated by [Trump’s] executive orders, including, but not limited to, financial assistance for foreign aid, nongovernmental organizations, DEI, woke gender ideology, and the green new deal.” But immediate speculation among those scrutinizing the letter was that things like food assistance, financial aid to students, grants for university-based research, and many other government functions could come to a stop. The scope of what could be impacted was honestly hard for them to comprehend.

“Nobody knows,” said one person on the receiving end of the memo, when asked the extent of the federal aid that would stop.

Perhaps that’s the point.

In recent days, agency officials and those dependent on government contracts have described being left in a state of darkness by the administration they now serve; like families cowering in their basement shelters waiting to go out to see the damage the tornado has caused. Getting guidance on what was now allowed and what was prohibited was hard to do, in part lobbyists and even Congress were no better informed.

Federal health and research agencies appear to be particularly confused. Over the weekend, several people posted online about their clinical cancer trials having come to an abrupt halt as the National Institutes of Health imposed restrictions on hiring, travel, communication, and other functions. The scientific and medical community was, rightfully, alarmed at the possibility that people suffering from deadly diseases would be denied treatment by their own government.

By Monday, the NIH finally issued some guidance. In another letter obtained by The Bulwark, acting NIH Director Matthew Memoli assured colleagues that, “Clinical trials at NIH or NIH-funded institutions are ongoing,” and that “travel restrictions do not apply to research participants traveling to NIH to participate in a clinical trial or protocol.”

A victory? Yes. But a limited one. In that same letter, Memoli said that no money would be available for “new studies, new equipment, or research services unrelated to the studies that were started prior to Jan. 20, 2025.” In other words, don’t make future plans.

And it’s not just at the NIH, either. Two people directly familiar with the matter told The Bulwark on Monday that the National Science Foundation abruptly canceled peer review panels. “All review panels scheduled for the remainder of this week, 1/28-1/31 will be rescheduled to a future date as appropriate,” read the guidance given. The NSF did not return repeated requests for comment. Nor has the White House over the past few days.

The breakneck speed of Trump’s orders could quickly turn into an acute constitutional crisis, with the executive branch essentially usurping the power of the purse from the legislative body. Certainly, it has already had profound political and psychological effects. Federal employees described utterly dispirited workplaces, where paranoia is creeping in. There is a belief that the new administration is set on turning the government into a tool for Trump and searching for the pretext to fire anyone unwilling to go along. It did not go unnoticed that the statement from the DOJ official announcing the firings on Monday noted that “Acting Attorney General James McHenry made this decision because he did not believe these officials could be trusted to faithfully implement the President’s agenda” (emphasis ours).

But it’s also not hard to see how the tremors being sent throughout the government could hurt Trump in the long run. It starts with small examples of over-compliance with the vague orders that the administration has to walk back, like the Air Force removing videos honoring the Tuskegee Airmen from training materials because they believe those videos violated the administration’s anti-DEI push. They move to larger problems, like prison guards who are responsible for securing ISIS militants no longer turning up for work because their salaries have been cut. And then they become disasters on your watch, like infants dying because water was cut off in the foreign aid freeze.

That’s the thing about moving fast and breaking things. Sometimes you end up breaking things you wish you hadn’t and can’t repair."

Declaration of Helsinki revised to modernize research ethics standards; American Medical Association (AMA), November 6, 2024

American Medical Association (AMA); Declaration of Helsinki revised to modernize research ethics standards

"The World Medical Association (WMA) has updated its cornerstone ethical principles for medical research to modernize protections and reinforce respect for the rights and interests of human participants, while including new language on global justice, public health, vulnerability and consent for personal data collection and reuse.

For 60 years, these principles—dubbed the Declaration of Helsinki for the city in Finland where WMA members assembled to formally adopt them—have guided ethical conduct for medical research involving human participants on a global scale. 

The WMA General Assembly, whose constituent members represent more than 10 million physicians, recently met to adopt additional revisions crafted by an AMA-led work group from 19 countries. Through eight regional and topical meetings on many continents and two global public-comment periods, the work group gathered feedback from other experts and stakeholders including researchers, patients, bioethicists, regulators, medical leaders and others.

The AMA delegation to the World Medical Association plays a major role in proposing and authoring global policy issues including medical ethics, access to high-quality medical care, the physician workforce, public health, medical education, and advocacy for physicians’ and patients’ rights. As the predominant U.S. medical association, the AMA is the only national medical association eligible for membership in the World Medical Association, which was founded in 1947 in the wake [sic, of] involvement by physicians in medical atrocities during World War II.

The landmark amendments to the Declaration of Helsinki highlight the commitment “to reinforcing the ethical principles that guide medical research involving human participants, to safeguard patient rights and to ensure the integrity of scientific studies,” said WMA President Ashok Philip, MD, in a statement."

Peter Buxtun, whistleblower who exposed Tuskegee syphilis study, dies aged 86; Associated Press via The Guardian, July 15, 2024

 Associated Press via The Guardian; Peter Buxtun, whistleblower who exposed Tuskegee syphilis study, dies aged 86

"Peter Buxtun, the whistleblower who revealed that the US government allowed hundreds of Black men in rural Alabama to go untreated for syphilis in what became known as the Tuskegee study, has died. He was 86...

Buxtun is revered as a hero to public health scholars and ethicists for his role in bringing to light the most notorious medical research scandal in US history. Documents that Buxtun provided to the Associated Press, and its subsequent investigation and reporting, led to a public outcry that ended the study in 1972.

Forty years earlier, in 1932, federal scientists began studying 400 Black men in Tuskegee, Alabama, who were infected with syphilis. When antibiotics became available in the 1940s that could treat the disease, federal health officials ordered that the drugs be withheld. The study became an observation of how the disease ravaged the body over time...

In his complaints to federal health officials, he drew comparisons between the Tuskegee study and medical experiments Nazi doctors had conducted on Jews and other prisoners. Federal scientists did not believe they were guilty of the same kind of moral and ethical sins, but after the Tuskegee study was exposed, the government put in place new rules about how it conducts medical research. Today, the study is often blamed for the unwillingness of some African Americans to participate in medical research.

“Peter’s life experiences led him to immediately identify the study as morally indefensible and to seek justice in the form of treatment for the men. Ultimately, he could not relent,” said the CDC’s Pestorius."

Class explores how media impacts perceptions of health issues; University of Pittsburgh, University Times, July 11, 2024

MARTY LEVINE, University of Pittsburgh, University Times; Class explores how media impacts perceptions of health issues

"Communicating a message through storytelling, and not the mere recitation of facts, is key to public health communication, and Hoffman collaborates often with the Norman Lear Center at the University of Southern California, whose “Hollywood, Health and Society” project has conducted research on everything from “Increases in calls to the CDC National STD and AIDS hotline following AIDS-related episodes in a soap opera” to “The Impact of Food and Nutrition Messages on The Daily Show with Jon Stewart.” It also provides consultants to shows from “Breaking Bad” to “Black-ish,” and a Lear Center rep spoke in Hoffman’s class.

Hoffman was recently lead author on a published overview of current research evidence on the media and health, which found that “health storylines on fictional television influence viewers.”...

Pitt Public Health was the leader in developing the Salk vaccine for polio, she points out. Public health education and media literacy can be a sort of vaccination against misinformation, she says: “We often talk about it as inoculation. Misinformation is not going away. How can we make people less susceptible to it?”"

‘The situation has become appalling’: fake scientific papers push research credibility to crisis point; The Guardian, February 3, 2024

 Robin McKie, The Guardian; ‘The situation has become appalling’: fake scientific papers push research credibility to crisis point

"Tens of thousands of bogus research papers are being published in journals in an international scandal that is worsening every year, scientists have warned. Medical research is being compromised, drug development hindered and promising academic research jeopardised thanks to a global wave of sham science that is sweeping laboratories and universities.

Last year the annual number of papers retracted by research journals topped 10,000 for the first time. Most analysts believe the figure is only the tip of an iceberg of scientific fraud."

A Plea from Cleveland Clinic; December 21, 2021

12/21/21 email from Cleveland Clinic:

A Plea from Cleveland Clinic

"This past month has been sobering for many of us in healthcare. Nearly two years after the COVID-19 pandemic began, we’re seeing some of the highest volumes of patients with the disease in hospitals throughout the Midwest.

"Here at Cleveland Clinic, we’re caring for more than 800 patients with COVID-19 at our Ohio hospitals. Of these patients, more than 200 are in the intensive care unit. The majority of these patients are unvaccinated.  

Our Ohio emergency departments are filled. We have people waiting to get into our hospitals. Neighboring hospitals in our communities are facing the same issues. 

We’ve had to postpone many non-urgent surgeries in Ohio as we try to leave enough space for patients with COVID-19. Our physicians, nurses and caregivers are working around-the-clock to care for these sick patients. They are exhausted.  

Today, we come to you with a plea. Get vaccinated. Please. Whether you are due for your booster shot, undecided about getting your child vaccinated or have been leery of the vaccine all along. The science is clear. Vaccines save lives. Please, get vaccinated.

For those of you who have lost a loved one to COVID-19 this year, we extend our deepest sympathies. We feel your loss. We share in your grief. We, too, are heartbroken.

The only way we can get through this is together. Please do your part for yourself, your family and your community. Get vaccinated. Wear your mask, wash your hands and stay home if you're feeling ill. 

Cleveland Clinic will always be here for you when you need compassionate, high-quality care. The sun will rise tomorrow morning, and with it will bring renewed hope for a better day. 

We wish you and yours a joyous holiday season & a happy and healthy New Year."

Dysfunctional websites are making it harder for Americans to get vaccinated. Here’s how to fix that.; The Washington Post, March 31, 2021

Drew Altman , The Washington Post; Dysfunctional websites are making it harder for Americans to get vaccinated. Here’s how to fix that.

"Another useful supplement to more consumer-friendly websites would be an 800 number, staffed in multiple languages, with real people answering to help those who aren’t web savvy make appointments. In addition to friends and family helping each other, Facebook groups and apps are springing up to guide people through the website mazes. But a lot of Americans are not tech savvy. Many have sluggish Internet, have only a handheld device or are not online at all. People shouldn’t be penalized for not being plugged in. Many Americans need a human being to help them. A person answering an 800-number would be better than no real-time help, as is often the case today. The media could hold state officials’ feet to the fire if the number works poorly."

 

San Francisco recruits army of social workers, librarians and investigators to track Covid-19; The Guardian, May 1, 2020

Maanvi Singh , The Guardian; San Francisco recruits army of social workers, librarians and investigators to track Covid-19

"San Francisco has assembled an army of librarians, social workers, attorneys, investigators and medical students to find and warn anyone and everyone who may have been exposed to Covid-19...

Immigrant communities are justifiably worried that each time they share information about their status and location, “it will come back to haunt them,” Hayes-Bautista said. “It makes sense that people are scared.”...

San Francisco has similarly publicized that the contact tracing is “voluntary, confidential, and culturally and linguistically appropriate. Immigration status will have no bearing on these conversations.”"