Showing posts with label public health. Show all posts
Showing posts with label public health. Show all posts

Tuesday, February 24, 2026

‘It’s the most urgent public health issue’: Dr Rangan Chatterjee on screen time, mental health – and banning social media until 18; The Guardian, February 16, 2026

Emine Saner, The Guardian; ‘It’s the most urgent public health issue’: Dr Rangan Chatterjee on screen time, mental health – and banning social media until 18 

"Chatterjee believes that “the widespread adoption of screens into our children’s lives is the most urgent public health issue of our time”. He was never very political, he says. He is the affable host of a successful health podcast, Feel Better, Live More, and his books strike an optimistic, inspiring tone – but on this issue he is passionate, his frustration obvious. “I think successive governments have been very weak here, and they are failing a whole generation of children. I think they’ve already failed a generation of children.”"

Wednesday, February 18, 2026

Honoring Alex Pretti’s Moral Courage and the Cost of Caring; The Hastings Center for Bioethics, February 17, 2026

Connie M. UlrichMary D. Naylor and Martha A. Q. Curley , The Hastings Center for Bioethics; Honoring Alex Pretti’s Moral Courage and the Cost of Caring

"The death of Alex Pretti, an ICU nurse who was killed last month in an anti-immigration protest in Minneapolis, is, first and foremost, a devastating loss for his loved ones. But it has also shaken the nursing profession to the core. 

People often encounter nurses at the bedside when they  are ill or someone close to them is ill. But nurses also have a long history of advocating for social justice in their communities, speaking out against unjust policies, challenging unsafe practices, and advancing public health reforms.

The 2025 Code of Ethics for Nurses reflects this activism. It calls on all nurses to be civically engaged and to work toward policies and systems that have positive ends for the communities in which we live and work. Alex met this call. 

Alex used his ICU training to help someone in need; it was second nature to him and reflected his primary obligation as a registered nurse to protect the rights and well-being of patients, families, and communities. He lost his life because he helped a woman during a protest against federal immigration action in Minneapolis. Pretti stepped in front of the woman, who was on the ground, to protect her from being pepper sprayed by U.S. Border Patrol agents. Agents then pinned Pretti to the ground and shot him.

Nurses are no strangers to conflict and moral turmoil. They take a professional and ethical oath to care for anyone — victim or perpetrator — regardless of their identity or ideological belief. But Alex’s death exposes a stark and troubling reality for every nurse and healthcare provider: Immigration enforcement agents are now occupying spaces that should be protected in hospitals, waiting rooms, lobbies, and clinics. These are places where patients must feel safe and trust that they will receive care without discrimination and be protected from intimidation. 

The presence of immigration enforcement agents in these places is creating profound moral distress and a climate of deep fear for all those who deliver care and for the people who need it most within these buildings. Nurses and other healthcare providers are caught in the age-old dilemma between what is ethical and what is legal: They question what they ought to do when faced with immigration enforcement agents standing outside hospital rooms and observing the care they are ethically and professionally obligated to protect.

When nurses and other healthcare providers cannot meet their ethical duties to protect the rights and welfare of their patients, this distress can intensify into a deeper wound with lingering residue of regret and a searing violation of their sense of integrity. 

For their part, patients may withhold critical health information, become afraid to ask questions, and mistrust health professionals when immigration enforcement agents are present. Patients who are immigrants are most vulnerable to these harms, but other patients may also experience them. The harms – to healthcare providers and patients – can ultimately compromise ethical decision-making, patient-and family-centered care, and the overall quality of care that all patients deserve, and healthcare providers are trained to deliver.

The patients and families cared for by Alex will always remember him. Nurses will remember Alex’s sacrifice – that his caring extended beyond the walls of his hospital to the stranger he protected in his community. 

Nurses can honor Alex’s moral courage through our individual and professional resolve. We must say no more to the infiltration of immigration enforcement into healthcare spaces that were previously off limits to them. We must speak out on re-establishing “safe zones,” hospital-wide policies that limit enforcement access, and confidential reporting mechanisms that reflect the humanity of the nursing profession towards those we took an oath to serve. 

May a better and more humane world prevail, reminding each of us that moral courage carries risk, but it also helps us rise to the occasion when change and moral repair are needed most. We are at that moment.

Connie M. Ulrich, PhD, RN, is a registered nurse and professor of nursing and of medical ethics and health policy at the University of Pennsylvania School of Nursing and a Hastings Center Fellow. LinkedIn: connieulrich1X: @cm_ulrich

Mary D. Naylor, PhD, RN, is a registered nurse and professor of gerontology and nursing at Penn’s School of Nursing. LinkedIn: Mary_Naylor,  X: @MaryDNaylor

Martha A.Q. Curley, PhD, RN, is a registered nurse and professor of pediatric nursing at Penn’s School of Nursing.LinkedIn: Martha-a-q-curleyX: maqcurleyBluesky: @maqc.bsky.social"

Tuesday, February 10, 2026

Trump Administration to Cut $600 Million in Health Funding From Four States; The New York Times, February 9, 2026

 , The New York Times; Trump Administration to Cut $600 Million in Health Funding From Four States

The states, all led by Democrats, used the grants to support a wide variety of functions, including H.I.V. prevention and surveillance.

"The Trump administration plans to rescind $600 million in public health funds from four states led by Democrats because it finds the grants “inconsistent with agency priorities,” according to documents reviewed by The New York Times.

The programs slated to be cut are in California, Colorado, Illinois and Minnesota. They include grants to state and local public health departments as well as to some nongovernmental organizations. A list of the cuts was shared with relevant congressional committees on Monday.

The funds are administered through the Centers for Disease Control and Prevention. They include grants given to states for a variety of purposes, including hiring staffs, modernizing data systems and managing disease outbreaks. Some programs are aimed at the needs of specific communities.

Some of the cuts will be finalized this week and others over the coming weeks, totaling roughly $600 million. The figure was first reported by The New York Post."

Friday, November 28, 2025

For Trump, there’s Columbus Day and Victory Day, but no World Aids Day; The Guardian, November 27, 2025

, The Guardian ; For Trump, there’s Columbus Day and Victory Day, but no World Aids Day


[Kip Currier: Not recognizing December 1st's World AIDS Day is another clear indication of what Trump 2.0 values and prioritizes and what it doesn't.

Ask yourself why Trump wouldn't continue acknowledging this public health and humanitarian effort that began in 1988.

As an interesting side note, Trump's mentor Roy Cohn -- who, as the BBC noted in 2024, taught Trump to "attack, counterattack and never apologise" -- passed away from AIDS in 1986 at the age of 59. 

Seeing the examples cited in this Guardian article of topics Trump has commemorated makes the administration's explanation even more unconvincing.]


[Excerpt]

"For the first time since 1988 the US government said it will no longer commemorate World Aids Day, which honors those who have lost their lives to the disease, celebrates efforts to combat the epidemic and raises awareness.

“An awareness day is not a strategy,” a state department spokesperson, Tommy Pigott, told the New York Times.

However, since returning to office Donald Trump has signed multiple proclamations for awareness days – and awareness weeks and awareness months – on topics that are apparently more to his liking. They include:"

Wednesday, November 26, 2025

Trump Administration Will No Longer Commemorate World AIDS Day; The New York Times, November 26, 2025

, The New York Times; Trump Administration Will No Longer Commemorate World AIDS Day


[Kip Currier: How disconcerting it is to see the Trump 2.0 administration make this policy change from years of recognizing December 1st's World AIDS Day, particularly when many other proclamations have been issued this year for "World Autism Awareness Day, National Manufacturing Day and World Intellectual Property Day", as reported in the New York Times article.]


[Excerpt]

"Every year since 1988, the United States has marked Dec. 1 as World AIDS Day, when people mourn those who died of the disease, honor efforts to contain the epidemic and raise awareness among the general public.

Not this year.

The State Department this month instructed employees and grantees not to use funds from the United States government to commemorate the day. The directive is part of a broader policy “to refrain from messaging on any commemorative days, including World AIDS Day,” according to an email viewed by The New York Times.

Employees and grantees may still “tout the work” being done through various programs “to counter this dangerous disease and other infectious diseases around the world,” the email said. And they may attend events related to the commemoration.

But they should “refrain from publicly promoting World AIDS Day through any communication channels, including social media, media engagements, speeches or other public-facing messaging."...

So far this year, the White House has issued proclamations for dozens of other observances, including World Autism Awareness Day, National Manufacturing Day and World Intellectual Property Day.

The Trump administration froze foreign aid early in the year, derailing many public health programs dedicated to fighting H.I.V., the virus that causes AIDS. Modeling studies have suggested that cuts by the United States and other countries could result in 10 million additional H.I.V. infections, including one million among children, and three million additional deaths over the next five years.

To some activists, the administration’s decision was a painful reminder of the early days of the epidemic, when H.I.V. was neglected as a public health crisis...

World AIDS Day is when the State Department sends data to Congress from the President’s Emergency Fund for AIDS Relief, known as PEPFAR, which provides money for H.I.V. programs worldwide. The program’s budget was sharply cut back earlier this year, and the administration is reported to be planning to end it."

Thursday, November 20, 2025

CDC changes website to promote debunked vaccines-autism link; Axios, November 20, 2025

Maya Goldman , Axios; CDC changes website to promote debunked vaccines-autism link

"The Centers for Disease Control and Prevention has updated its website to promote the widely debunked claim that vaccines may cause autism. 

Why it matters: Health Secretary Robert F. Kennedy Jr. has repeatedly linked vaccines to autism, and now the public health agency he oversees is publicly reversing its position to reflect that belief. 

Multiple studies over decades have disproven links between childhood vaccines and developing autism. 

State of play: The agency's webpage on vaccines and autism, updated Wednesday, now says the statement that vaccines don't cause autism "is not an evidence-based claim because studies have not ruled out the possibility that infant vaccines cause autism."

"Studies supporting a link have been ignored by health authorities," the website continues. 

HHS in September released plans to contract with Rensselaer Polytechnic Institute to research connections between vaccines and autism. 

Career scientists at the agency were not consulted about the changes and were caught off guard by them, the Washington Post reported.

The CDC site previously said studies showed there was no connection between receiving vaccines and developing autism."

Saturday, August 30, 2025

‘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."

Tuesday, August 12, 2025

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

 , 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."

Tuesday, July 15, 2025

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

 , 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."

Monday, July 7, 2025

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

, 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."

Thursday, June 26, 2025

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

 , 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.”"

Saturday, February 1, 2025

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

 and 


[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."

Tuesday, January 28, 2025

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

, 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."