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Misinformation abounds in RFK Jr.’s second hearing

January 31, 2025
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Disability in Health Care Reporting Fellow

Too much news to include below, but apparently we should all be scratching our itches

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RFK Jr.'s second hearing: autism, GLP-1s, opioid treatment, and more

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Robert F. Kennedy Jr. returned to Capitol Hill yesterday for a second appearance before senators who'll vote on his bid to lead the Department of Health and Human Services. Despite making public claims of being pro-science, he doubled down on vaccine criticism and misinformation.

If confirmed, Kennedy would oversee agencies that approve, study, and recommend vaccines. But he refused to say that he believes vaccines do not cause autism, even as senators challenged him on this issue, citing evidence from more than a dozen studies showing that vaccination is not associated with the condition. Rachel Cohrs Zhang and Matthew Herper have more on this exchange

Kennedy praised the blockbuster GLP-1 weight loss drugs, but wrongly asserted that doctors offer them as frontline treatments to 6-year-old children with obesity. He does not believe the drugs should be first-line treatment for obesity, echoing the views of several public health leaders — including former FDA commissioner Robert Califf

Tackling the U.S. drug epidemic was a key part of Kennedy's presidential campaign, and he made clear at the Thursday hearing that he endorsed the use of methadone and buprenorphine, two highly effective treatments for opioid use disorder, writes Lev Facher. However, he later falsely labeled 12-step recovery programs like Alcoholics Anonymous and Narcotics Anonymous as the "gold-standard" of opioid addiction.

RFK Jr. can afford to lose only three Republican votes. Senate health committee chair Bill Cassidy (R-La.) pressed Kennedy repeatedly to disavow a link between vaccines and autism, and the nominee demurred. A gastroenterologist who specialized in liver disease, Cassidy's vote could be the deciding factor on RFK Jr.'s confirmation.

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POLITICS

ACIP gambit

Before leaving office, President Biden's health secretary added eight new candidates to a critical committee that helps set U.S. vaccination policy — a move that could hinder the Trump administration's attempt to shape the panel with its own appointees, several sources have told STAT

"It was very intentional," a former senior Health and Human Services Department official said. "It was our goal to fill every vacancy on every [federal advisory committee] the department has, with particular focus on ones like [the Advisory Committee of Immunization Practices] where maintenance of our scientific expertise was critical."

The intention was to stack the committee with people who, unlike President Trump's pick as health secretary, Robert F. Kennedy Jr., have not expressed skepticism about vaccines. The moves would seem to deprive Kennedy — should he be confirmed as HHS secretary — of a chance to name new members of the ACIP, which helps the Centers for Disease Control and Prevention determine the appropriate use of vaccines, until 2027. But experts in public health and vaccine law note that people who sit on the committee have at-will appointments — and the next HHS secretary could easily overturn the last one's best-laid plans.


FALLOUT

NSF payment system offline

Postdoctoral researchers who rely on grants from the National Science Foundation are beginning to report that President Trump's federal funding freeze — announced, then blocked by a judge — nonetheless is having an impact, as the NSF's online payment system remains down. An NSF email seen by STAT suggested salaries had been suspended to "ensure only eligible activities" are funded. 

"If the freeze is not stopped, I might lose my house," said one biologist doing a postdoctoral fellowship in the Southeast, who spoke on condition that neither his name nor his state of residence be used, out of fear of retaliation. He said he had enough in his bank account to last until March, but had no idea how long the pay stoppage might last.

That suggested that the agency would not be paying any of its grantees until it determined that their work did not conflict with President Trump's executive orders, including those dismantling diversity initiatives and rolling back protections of transgender rights. 



ACTIVISM

March for Science goes MIA

The second Trump administration looks a lot like the first: attacks on institutions of science and political appointees who eschew scientific consensus. In 2017, those ingredients led to the historic March for Science, with more than a million people participating in 600 cities across the globe. But there are no plans for another march.

"We have retreated from the gains made immediately post the March for Science, but that's because of the concerted and structured attack on the academy and on scientific institutions and on scientific knowledge," said Agustín Fuentes, an anthropologist at Princeton University who recently wrote a piece in Science calling for more scientists to operate as political advocates.

Check out a great read from STAT's Anil Oza about why science advocacy and scientists' willingness to speak out look so different at the dawn of a second Trump administration. 


TREATMENT

Anxiety and antidepressants

Researchers confirmed that antidepressants lead to a significant reduction in generalized anxiety disorder symptoms in the short term. 

The long-awaited update, published by the Cochrane Database of Systematic Reviews, considered by some to be the gold-standard of evidence-based health care, considered evidence from 37 unique randomized control trials with 12,226 participants and found that these drugs are effective compared to a placebo.

The drugs' long-term impacts are muddier, said Prof. Peter Tyrer, an emeritus psychiatry professor at Imperial College London who was not involved in the study. Some patients have difficulties stopping antidepressants because of withdrawal problems. 

"The main reason why antidepressants were preferred to benzodiazepines (drugs that are equally effective in treating generalised anxiety) was the dependence risk, we just seem to have shifted the problem of adverse effects from one class of drugs to another," Tyrer said. 


OUTBREAKS

Ebola case confirmed in Uganda

Ugandan health officials on Thursday confirmed a case of Ebola in the capital, Kampala, in a 32-year-old nurse. The man died Wednesday at the Mulago National Referral Hospital in Kampala. Officials identified 45 people who were in contact with the man; none have showed any signs of Ebola. 

Any Ebola outbreak raises fears of transmission, but an outbreak of the disease in an urban setting like Kampala raises particular concerns. The man was also infected with the Sudan strain of Ebola, for which there are no licensed therapeutics or vaccines. The news arrives three years after the country had an outbreak caused by Ebola Sudan that led to 164 cases, including 55 deaths.

The confirmation of an Ebola case comes at a fragile time in global health. Under the new Trump administration, the U.S. is moving to withdraw from the World Health Organization and has already paused communications with WHO officials, steps that American and international health officials have widely decried and warned threaten global and U.S. health security. Read more here.


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Thanks for reading! More tomorrow,
Timmy

Timmy


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