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Questions remain about the FDA's new Covid vaccination plan

May 21, 2025
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Morning Rounds Writer and Podcast Producer
Good morning! We've got a lot of news today, so let's dive right in:

the maha diagnosis

Three ideas to actually 'Make America Healthy Again'
RFK Jr. steps off a bus that advertises wellness and nutrition education health screenings

Melissa Majchrzak/AP

Yesterday, STAT's Isabella Cueto and J. Emory Parker published an in-depth guide to the country's chronic disease problem, and how health secretary Robert F. Kennedy Jr.'s MAHA Commission might organize its priorities. Their reporting, including extensive data analysis, highlighted several approaches that could reduce illness and death across the country in a relatively short timespan. Today, Isa has a new story outlining three key tactics that could actually make progress in the fight against chronic disease.

All the experts that Isa spoke with agree that chronic disease is the right focus for federal health agencies. But they also say it will take multiple, overlapping efforts to truly address. If it was easy, it would have been done already. Read the story to find out what three overarching tactics the experts and evidence are pointing to — and whether or not they align with the action Kennedy has taken so far.


policy

Questions remain about the FDA's new Covid vaccination plan 

The FDA announced yesterday that it will limit access to Covid-19 vaccines going forward to people 65 and older and others who are at high risk of becoming seriously ill if they are infected, and will require manufacturers to conduct clinical trials to show whether the vaccines benefit healthy younger adults and children. A team of STAT reporters have the story on the specifics, and what questions experts still have.

If nobody under age 65 is eligible for the shots when the new guidance goes into effect, that could even apply to young kids and babies, STAT's Usha Lee McFarling reports in a follow-up story. The possibility that Covid shots would become unavailable for kids alarmed pediatricians. "I see children admitted to the hospital with Covid and they're not all high-risk children — including those who go to intensive care units," said James Campbell, a professor of pediatrics and infectious diseases specialist. "If we have safe and effective vaccines that prevent illness, we think they should be available." Read more from Usha.


global health

With the U.S. gone, WHO nations will increase contributions

WHO member states approved a 20% increase in membership dues yesterday, while also endorsing its biennial budget of $4.2 billion for 2026 and 2027. Each nation will pay a higher amount into an overall smaller pool as WHO struggles financially after President Trump ordered the U.S. to withdraw from the organization. 

This is the second time in a row that member states have increased contributions by 20%. Still, the whole budget is 22% lower than the original approved number ($5.3 billion) for the next two years. The confirmation comes about a week after WHO announced that it was dramatically trimming its top management.



first opinion

This husband and wife photographed each other during her cancer journey
Anna Rathkopf sits in a hospital room with a blue striped medical gown wrapped around her. She stares solemnly into the camera.

Anna Rathkopf 

At 37, Anna Rathkopf was diagnosed with breast cancer. She and her husband Jordan, both photographers, immediately began to document her treatment and the way cancer affected their entire family. Only years later, as Anna's doctor told her that she was being transferred to survivorship care, did they begin to sort through all the photos they'd each taken along the way. 

"I realized I was afraid to enter 'survivorship,'" Anna writes in a First Opinion essay she and Jordan co-authored today about the photo project. "I felt the urgent need to process what I had gone through, something tangible to help me express and understand the emotions I had buried." 

Read the essay, where you can also see some of the striking photographs. And on today's episode of the First Opinion Podcast, you can hear Anna and Jordan talk about the project, and how seeing each other's photos helped them finally understand what the experience was like for the other person. (For example: Whereas Jordan always focused on documenting moments of love and resilience in his photos, he later saw how Anna's photos, like the above self-portrait, revealed her vulnerability and grief.)


medicine

How often are kids getting pulmonary embolism?

Blood clots that block arteries in the lungs are generally understood to be rare among children. But a new study abstract, presented yesterday at the American Thoracic Society 2025 International Conference, suggests it could happen more often than the earlier evidence has indicated. Previous studies have identified varying but low rates among youth — anywhere from 8.6 to 57 out of every 100,000 hospitalized children, but just 0.14 to 0.9 of every 100,000 in the general population, per one review.

The new study found that up to 6.3% of children who go to the emergency room with symptoms may end up diagnosed with acute pulmonary embolism (that's a whopping 6,300 per 100,000, if you want to compare rates). Out of more than 3,600 children ages 4 to 17 presenting symptoms of the condition in 21 U.S. emergency rooms, 3% were found to have pulmonary embolism alone; 1.8% had deep vein thrombosis; 1.3% had both.

It's the first prospective study to focus on the condition among young people, meaning patients were followed over time. But keep in mind: This study followed children who already had symptoms of the condition, so the rates can't be compared directly with those among all hospitalized children or the general population. The full paper has yet to be published, and more research is necessary.


cancer

Biden's diagnosis is part of worrisome trend

Cases of advanced prostate cancer have been rising sharply. That might be because PSA testing, which is used to screen for prostate cancer, became deeply controversial after a large 2009 study suggested it provided no mortality benefit. Experts said that led to the United States Preventive Services Task Force downgrading its recommendation for the test in 2012 and, potentially, reduced prostate screening for years. That was later revised to encourage men from the ages of 55 to 69 to have a conversation with their doctor about the PSA test, and experts now generally agree that the PSA test is beneficial and that the benefits outweigh the harms of screening.

Even so, scientists have seen a roughly 4 to 6% increase each year in advanced prostate cancer diagnoses. That continued through 2018, according to data from a JAMA Network Open paper and the SEER database, when the task force revised its recommendation. Read more from STAT's Angus Chen.


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What we're reading

  • A new system aims to save injured brains and lives, New York Times

  • Risk scores accurately predicted heart attacks, study finds. With CT scans, they did even better, STAT
  • The world now has its first ever pandemic treaty. Will it make a difference? NPR
  • Mental health apps can boost outcomes and lower costs, study finds, STAT

Thanks for reading! More tomorrow,


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