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Is this new tobacco product actually safer?

May 28, 2025
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Morning Rounds Writer and Podcast Producer
Good morning, it's Wednesday. Sadly there's no new episode of Survivor tonight, but later this morning, we'll learn which returning players will make up the cast for season 50. Fingers crossed for some good ones.

public health

RFK Jr. unilaterally rolls back Covid vaccine recs

Health secretary Robert F. Kennedy Jr. announced yesterday that he has struck the recommendation that healthy children and healthy pregnant people get Covid-19 booster shots, STAT's Helen Branswell reports. Kennedy signed a directive outlining  the change — a document Helen has viewed — on May 19. It's not clear why he waited over a week to announce it.

The announcement came in the form of a video posted to the social media platform X. In the video, Kennedy was flanked by NIH head Jay Bhattacharya and FDA commissioner Marty Makary. Glaringly absent was anybody from the CDC — the agency that actually sets policy for who should get approved vaccines. Read more from Helen on what the experts said and on what could happen next.

And in a new column published this morning, STAT's Matthew Herper argues that Kennedy's move amplifies mistakes Trump health officials accused their predecessors of making. The action "represents a bulldozing of safeguards intended to keep public health officials honest and their decisions transparent," he writes. More here from Matt. 


women

Mental health worsens for U.S. mothers

Between 2016 and 2023, mental health significantly declined among mothers in the U.S., according to a study published yesterday in JAMA Internal Medicine. And while the decline happened broadly across socioeconomic groups, mental and physical health were significantly lower among single mothers, those with less education, with publicly insured or uninsured kids, and those born in the U.S. 

Study authors analyzed self-reported data from a nationally representative survey where respondents categorized their own mental and physical health as either excellent, very good, good, or fair/poor. Over the eight-year period, excellent mental health decreased by 12.4 percentage points — from 38% to 26% —  while fair/poor mental health went up by 3.5 percentage points. Those 3.5 points translate to an almost 64% increase.

While fathers experienced similar declines in mental health over the years, the prevalence was consistently worse among mothers. In 2023, one in 12 mothers reported fair/poor mental health, compared to just one in 22 fathers. The findings support the idea that "maternal mortality may be a canary in the coal mine for women's health more broadly," the authors wrote.


smoking

Is this new tobacco product actually safer?

If you live in Austin, Texas or Fort Lauderdale, Fla., Philip Morris International is piloting a new tobacco product it wants you to try: IQOS, pronounced "eye-koss," which the company bills as "the next step in tobacco harm reduction." It's a heated tobacco product, meaning that it works by warming the tobacco, rather than burning it. Research funded by the company says that the emissions of harmful chemicals from the device are 90% lower than from cigarettes. But other research shows that it's likely more harmful than e-cigarettes. 

As Philip Morris leans into futuristic branding and enticing marketing tactics including performances by musicians Lauryn Hill and Wyclef Jean, critics wonder why U.S. regulators are allowing these products in the first place. And since the Trump administration dismantled the CDC's Office of Smoking and Health, it's clear that the country will have a harder time monitoring trends and health effects once the device becomes more widely available. 

STAT's Sarah Todd dives into all of this in her latest story. Click for the comprehensive background you need on heated tobacco products, and stay for the telling statements that Philip Morris shared in response to her reporting.



trends

Small progress reducing deaths from alcohol, drugs, and suicide

A line graph shows the prevalence of alcohol-induced deaths, drug overdose deaths, suicides, and the combination of all three from 1999 to 2023. All lines show a steady increase until around 2019, when the rate increases even more. All deaths have slowly begun to come down in the last couple years.

Trust for America's Health 

More than 200,000 people in the U.S. died due to alcohol-induced causes, drug overdose, or suicide in 2023. Those deaths have been steadily increasing since the turn of the millennium, as you can see in the graph above. While the last few years have brought some small relief, there's a long way to go if the country is going to bring rates down closer to what they were 20 years ago. 

A new report on these deaths from the nonprofit, non-partisan advocacy group Trust for America's Health, titled Pain in the Nation, argues that ongoing staff cuts and budget reductions at federal health agencies put even more lives at risk. The report's policy recommendations include restoring funding to the CDC, bringing the agency's workforce back, funding prevention efforts at schools and in communities, limiting access to lethal means of suicide like medications and guns, and more. 


policy

RFK Jr. says NIH may publish 'in-house' rather than in 'corrupt' journals

And more news from Kennedy: In a podcast interview yesterday, the health secretary said, "We're probably going to stop publishing in the Lancet, New England Journal of Medicine, JAMA and those other journals because they're all corrupt." The journals, he said, publish studies that are funded by the pharmaceutical industry. As a substitute for them, he continued, the NIH will establish medical journals for its various institutes and centers — unless current journals change "radically."

The belief that journals have negatively manipulated the scientific record is not a new position for Kennedy, but the latest comments signal that he may use his position as the nation's top health official to influence research that journals publish. Read more from STAT's Anil Oza.


first opinion

How ageism and sexism hurt women in medicine

While women make up more than half of all medical students, they make up just 29% of full professors, 27% of deans, and 25% of both department chairs and health care CEOs. In a new First Opinion essay, two emergency medicine physicians detail the gendered ageism that women in medicine have to face as their careers progress. 

"The systemic discrimination may be vague," they write, "until one looks around to find that the number of mid-career and senior-career women is disproportionately small." The authors have ideas for how to solve this additive problem, including term limits for leadership positions and proactive succession planning.

Read the essay, which also includes a fascinating breakdown of the three workplace personas a woman often has projected upon her: Jennifer, Jane, and Janet.


More around STAT
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What we're reading

  • Donald Trump's war on gender is also a war on government, The New Yorker

  • Opinion: Race doesn't affect the onset or progression of disease — racial bias does, STAT
  • Federal cuts ripple through a bioscience hub in rural Montana, KFF Health News
  • Podcast: The biggest questions facing regenerative medicine, STAT

Thanks for reading! More tomorrow,


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