分类： health

The Trump administration has unveiled a new global health strategy, titled ‘America First Global Health Strategy,’ which marks a significant shift in how the United States approaches international health aid. Released on Thursday, the strategy emphasizes direct collaboration with recipient countries, prioritizing frontline health supplies, staff, and country-to-country agreements over traditional contractor-based models. This move comes after months of uncertainty following sweeping cuts to foreign aid earlier this year.

The plan requires recipient nations to co-invest in global health goals, particularly in combating diseases such as HIV/AIDS, malaria, tuberculosis, and polio. It also outlines a transition from aid dependency to self-reliance over the next few years. Notably, the strategy does not address several areas previously prioritized, including maternal and child health, cholera, and vaccine-preventable diseases like measles.

Secretary of State Marco Rubio highlighted the need to retain effective aspects of U.S. health foreign assistance while addressing inefficiencies. The strategy, however, lacks specific budget details, leaving questions about its financial feasibility. This announcement follows the dismantling of the United States Agency for International Development (USAID), which was integrated into the State Department as part of President Trump’s broader plan to reduce foreign aid.

The strategy also proposes changes to the President’s Emergency Plan for AIDS Relief (PEPFAR), a program previously lauded for its success. The new approach aims to allocate more funding directly to purchasing drugs and supporting health workers, reducing programmatic overheads that previously consumed up to 60% of funds. Additionally, the U.S. plans to promote its health innovations and products globally.

Critics, however, argue that an effective response to infectious diseases requires more than just products. Asia Russell, director of Health GAP, an HIV advocacy group, emphasized the importance of outreach to ensure patients access healthcare systems. She expressed concern that the U.S. is retreating from its leadership role in global health, particularly in the fight against HIV/AIDS.

The strategy also commits to a 72-hour U.S. response to disease outbreaks threatening Americans but notably omits any mention of climate change, which experts link to the increasing frequency of global outbreaks. Senior administration officials indicated that the U.S. will use next week’s U.N. General Assembly meetings in New York to engage in bilateral discussions with countries, aiming to finalize transition plans by March 2025.

In a significant move to enhance vaccine research and policy, the U.S. Centers for Disease Control and Prevention (CDC) has formed two new specialized working groups. These teams will focus on vaccines during pregnancy and the childhood immunization schedule, as announced by Dr. Martin Kulldorff, chair of the Advisory Committee on Immunization Practices (ACIP), on September 18, 2025. The working groups, composed of ACIP members, CDC staff, and external experts, aim to address critical gaps in vaccine safety and efficacy for these vulnerable populations. The initiative underscores the CDC’s commitment to advancing public health through targeted, evidence-based strategies. The announcement follows a series of meetings held in Atlanta, Georgia, where Dr. Kulldorff and other experts discussed the evolving landscape of immunization practices. This development is expected to have far-reaching implications for healthcare policies and maternal and child health outcomes in the United States.

In a pivotal moment for U.S. public health policy, the Centers for Disease Control and Prevention (CDC) is poised to redefine its vaccination guidelines under the leadership of Health Secretary Robert F. Kennedy Jr. A newly appointed advisory committee, handpicked by Kennedy, is set to convene on September 18 and 19, 2025, to deliberate on critical vaccine recommendations, including those for hepatitis B, measles-mumps-rubella-varicella (MMRV), and COVID-19. This meeting follows Kennedy’s controversial decision earlier this year to dismiss all 17 members of the CDC’s Advisory Committee on Immunization Practices (ACIP) and replace them with a smaller, 12-member panel. The new committee, chaired by Martin Kulldorff, a biostatistician and epidemiologist known for his opposition to COVID-19 lockdowns, has already stirred debate. Among the key issues on the agenda is the potential delay of the hepatitis B vaccine for newborns, a move that has drawn criticism from medical experts who argue that the birth dose has been instrumental in reducing hepatitis B infections. The committee will also review the use of a combined MMRV vaccine, which has been linked to a higher risk of seizures in young children compared to separate MMR and varicella vaccines. The reshuffling of the CDC’s leadership and advisory panels has raised concerns among public health officials, with some accusing Kennedy of prioritizing ideology over science. The meeting comes amid broader turmoil at the CDC, including the resignation of several senior officials who cited fears that policy decisions were being predetermined without adequate scientific review. As the nation watches, the outcome of these deliberations could mark a significant shift in U.S. vaccination policy, with far-reaching implications for public health.

U.S. Senator Adam Schiff (D-CA) has taken a proactive stance in ensuring continued access to routine vaccinations, sending letters to major health insurers ahead of a pivotal meeting of the CDC’s Advisory Committee on Immunization Practices (ACIP). In the letters, Schiff urged companies such as UnitedHealth Group, CVS Health, Elevance Health, Cigna, and Kaiser to publicly commit to covering vaccines for illnesses like measles and COVID-19, regardless of the committee’s recommendations. He emphasized that patients should not face out-of-pocket costs for these essential immunizations. Schiff’s move comes in response to recent changes within the ACIP, which have caused confusion among patients and healthcare providers. In May, Health and Human Services Secretary Robert F. Kennedy Jr., a known vaccine skeptic, announced that the CDC would no longer recommend the COVID-19 vaccine for healthy pregnant women and children. This decision, coupled with Kennedy’s replacement of ACIP members with less experienced or skeptical individuals, has raised concerns about the committee’s credibility. Schiff highlighted that the Affordable Care Act (ACA) mandates private insurers to cover vaccines recommended by the ACIP, but the statute did not anticipate the committee’s overhaul. In response, some states have allowed pharmacies to follow guidance from medical organizations like the American College of Obstetrics and Gynecology. Meanwhile, America’s Health Insurance Plans has assured that coverage for previously recommended vaccines will continue through the end of 2025. The ACIP is set to review recommendations for COVID-19, Hepatitis B, and the measles-mumps-rubella-varicella vaccines on September 18 and 19. Schiff’s initiative underscores the importance of maintaining evidence-based vaccine policies and ensuring public access to critical healthcare services.

U.S. Health and Human Services Secretary Robert F. Kennedy Jr. is aggressively advancing sweeping changes to the nation’s vaccine policies, despite significant opposition from scientists, lawmakers, and public health experts. Since taking office, Kennedy has restricted eligibility for COVID-19 vaccines, removed the country’s top public health official, expanded federal support for state-level vaccine exemptions, dismantled the vaccine recommendation review process, and reshaped a national vaccine advisory board with like-minded experts. These actions have drawn sharp criticism from medical societies, Democrats in Congress, and even members of Kennedy’s own family, who have called for his removal. Public health leaders warn that his policies could restrict access to critical vaccines for children, potentially reversing decades of progress in immunization. Kennedy’s supporters, however, argue that his efforts aim to restore public trust in health agencies and promote greater scrutiny of vaccine safety. The ongoing debate comes as a Kennedy-appointed advisory board prepares to vote on potential changes to childhood vaccine recommendations, a decision that could have far-reaching implications for public health nationwide.

The U.S. Centers for Disease Control and Prevention (CDC) is set to host a pivotal meeting this week, where vaccine advisers will vote on a proposal to eliminate recommendations for the combined measles, mumps, rubella, and varicella (MMRV) vaccine for children under four. This decision comes amid heightened scrutiny from Health Secretary Robert F. Kennedy Jr., who has long questioned vaccine safety despite overwhelming scientific evidence to the contrary. Kennedy has promoted the unfounded claim that the MMRV vaccine is linked to autism, a theory repeatedly debunked by rigorous scientific studies. The Advisory Committee on Immunization Practices (ACIP) will convene on September 18-19 to deliberate on the proposal, as outlined in a draft agenda on the CDC’s website. The meeting follows Kennedy’s controversial decision in June to dismiss all 17 ACIP members and appoint eight new advisers, some of whom have previously opposed vaccines. Since assuming his role under the Trump administration, Kennedy has initiated a review of vaccine policies, including the measles shot, which remains the most effective method to prevent the highly contagious and potentially deadly virus. Currently, the CDC recommends that children under four receive separate doses of the MMR and varicella vaccines, with the MMRV vaccine preferred for older children. This year, the U.S. has reported 1,454 measles cases, the highest in over three decades, underscoring the urgency of the debate. The MMRV vaccine is marketed in the U.S. by pharmaceutical giants Merck and GSK, with Merck also offering the ProQuad shot, which protects against measles, mumps, rubella, and varicella.

In a revealing Senate hearing on September 17, former CDC Director Susan Monarez detailed her contentious interactions with U.S. Health Secretary Robert F. Kennedy Jr., which ultimately led to her dismissal. Monarez testified before the Senate Health, Education, Labor, and Pensions (HELP) Committee, shedding light on Kennedy’s demands for pre-approval of changes to the childhood vaccination schedule without scientific review. Kennedy allegedly insisted on blanket approval of recommendations from the agency’s vaccine advisory board and required Monarez to seek political staff approval for her decisions, actions she resisted to maintain the CDC’s scientific integrity. Monarez was fired on August 28 after just 29 days in office, a move that has sparked widespread criticism and led to the resignation of four CDC officials. The hearing also highlighted the broader debate over U.S. vaccination policy, with Kennedy advocating for reduced vaccine use and public health experts calling for his resignation. Republicans and Democrats alike expressed concerns over the politicization of vaccine policy, with some Democrats apologizing for their initial lack of support for Monarez. The Department of Health and Human Services defended Kennedy’s actions, stating that any changes to the vaccine schedule would be science-based. The CDC’s Advisory Committee on Immunization Practices, now with 12 new members, is set to discuss two children’s vaccines in an upcoming meeting, raising questions about the future of U.S. vaccination policy.

In a notable divergence from federal guidelines, the West Coast Health Alliance, encompassing California, Oregon, and Hawaii, has issued updated recommendations for COVID-19 vaccinations. On Wednesday, the alliance urged all adults and children seeking protection to receive the updated vaccines, particularly emphasizing the importance for children aged six to 23 months and those aged two to 18 with risk factors or no prior vaccination history. This stance contrasts sharply with the U.S. Food and Drug Administration’s (FDA) recent approval, which limited the updated vaccines to individuals with health conditions and those aged 65 and older. The alliance’s recommendations come in response to sweeping changes in federal vaccine policy under Health Secretary Robert F. Kennedy Jr., which included the withdrawal of COVID-19 vaccine recommendations for pregnant women and healthy children in May. These federal shifts have prompted medical organizations and states to establish their own guidelines ahead of the fall immunization campaign, aiming to ensure continued access to vaccines. Typically, the Advisory Committee on Immunization Practices, a federal advisory body to the Centers for Disease Control and Prevention (CDC), provides guidance on vaccine administration post-FDA approval. Notably, the West Coast Health Alliance’s recommendations for respiratory syncytial virus and influenza vaccines align with those of the CDC.