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Splintering vax guidance and a 'fundamentally fearless' scientist

August 19, 2025
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Morning Rounds Writer and Podcast Producer
Good morning. Yesterday I saw a press release with the headline "Seabirds only poop while flying" and thought — wow, science is amazing. Anyway, we've got three bits of vaccine/virus news to start you off this morning, plus more on indirect research costs, birth control, and wildfires.

vaccines

Major pediatric group makes its own vaccine recs

The American Academy of Pediatrics released its own immunization schedule for viruses including influenza, RSV, and Covid-19 this morning. The AAP recommends the covid shot for all children 6 months to almost 2 years of age, as well as older kids who are at higher risk for severe disease. This diverts from the FDA's vaccine framework, which limits access to Covid vaccines to people 65 and older, plus others who are at high risk of becoming seriously ill if they are infected.

"The AAP will continue to provide recommendations for immunizations that are rooted in science and are in the best interest of the health of infants, children and adolescents," AAP President Susan J. Kressly said in a statement. It's unclear what will happen now, as the AAP has been in sync with the CDC's Advisory Committee on Immunization Practices for decades. Read more from STAT's Anil Oza on what's ahead.


infectious disease

Texas declares measles outbreak over

The Texas Department of State Health Services declared yesterday that the measles outbreak centered in the western part of the state is over after more than 42 days without a new case. In total, 762 people were reported sick due to the outbreak and two children died

To put that in context: Halfway through the year, the U.S. reported more confirmed measles cases for 2025 than any year in over a quarter-century. There were at least 27 outbreaks across the country, but the one in West Texas has been the largest, accounting for a majority of cases. Some experts have been concerned that the U.S. would lose its official measles elimination status.

"Certainly, given the percentage of kids in the country who are not vaccinated against measles, it seems quite possible that if it doesn't happen this year, it might happen sometime soon," STAT's Helen Branswell said last month in a video on the outbreak. The AP has more on the end of the outbreak in Texas.  


conflicts

About those conflicts of interest RFK Jr. mentioned … 

One last piece of vaccine news for you: Conflicts of interest on CDC and FDA vaccine panels have declined to "historically low levels" in recent years, according to a study published yesterday in JAMA. The findings are likely to increase debate over a contentious issue pushed by health secretary Robert F. Kennedy Jr., who fired every member of the CDC's Advisory Committee on Immunization Practices in June.

"A clean sweep is needed to re-establish public confidence in vaccine science," Kennedy wrote about the decision in a Wall Street Journal op-ed. But between the years 2000 and 2024, the rate of conflicts on ACIP dropped from nearly 43% to 5%, researchers found. And on the FDA's Vaccines and Related Biological Products Advisory Committee, the rate fell from 11% to 0. Read more on the data from STAT's Ed Silverman. 



under pressure

Can this man fend off cuts to science funding?

Kayana Szymczak for STAT

Kelvin Droegemeier (above) is something of an endangered species these days — he's a scientist with credibility both within academia and in conservative circles. He ran the White House Office of Science and Technology Policy for part of President Trump's first term and has, over the years, forged an extensive network of relationships with policymakers and researchers to tackle thorny issues of national importance. Now, those skills are being put to the test as billions of dollars hang in the balance.

Droegemeier is leading an effort by a coalition of academic groups hoping to offer a viable alternative to the Trump administration's plan for reshaping research funding, particularly when it comes to indirect costs. "It's very important, but it's really difficult. And people have been talking about doing this for decades," said Neal Lane, who led OSTP under President Clinton. "Kelvin is fundamentally fearless."

Read more from STAT's Jonathan Wosen about Droegemeier's role in this high-stakes, politically charged, and wonky fight. And if you look back in the STAT archives, you'll see this isn't the first time we've asked if this man can do what seems like an impossible task. 


reproductive health

Early data on over-the-counter birth control

After receiving FDA approval in 2023, the first over-the-counter birth control pills in the U.S. hit shelves last spring. A study published yesterday in JAMA Network Open found that people who got the pill OTC were more likely than those who had prescriptions to be uninsured, under the age of 20, and living in rural areas. 

Researchers surveyed close to 1,000 people at physical and digital pharmacies to get a better understanding of how access to the medication may have changed. They also found that OTC users were about 32% more likely to have previously used no contraception methods, and 41% more likely to be shifting from less effective methods. 

While it's a small study, the results indicate that OTC access can increase the uptake of effective birth control, the authors wrote. The pill, which is a progestin-only medication, costs about $50 for a three-month supply. But there's still room for improvement: just a quarter of reproductive-age women have heard of the OTC product, according to a KFF survey from Sept. 2024.


first opinion 

The hidden neurological toll of wildfires

As wildfires become more common, there's a growing body of research exploring the deleterious health effects faced by people who live through them. One recent study found that long-term exposure to particulates from wildfire smoke is linked to a greater risk of developing dementia. It's part of a disturbing pattern, where some of the most severe effects on brain development, health, and function don't manifest until months to years after exposure, with some impacts not fully apparent for a generation.

In a new First Opinion essay, a neuroscientist and a data reporter explain how unprepared our current disaster response systems are to address the neurological health impacts of fires. "As climate disasters become more frequent and severe, protecting neurological health must become a central component of emergency preparedness and recovery efforts," they write. Read more on how the authors think we can change our approach.


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What we're reading

  • Private-equity backed prison health companies continue despite decade of alleged constitutional violations, The Guardian

  • Why direct-to-consumer sales are unlikely to significantly lower drug costs, STAT
  • Vaccine exemption requests in Texas spike in July, as some experts fear more families will opt out, Texas Tribune
  • First Opinion: Study saying monthly cash won't help children's health is highly misleading — even irresponsible, STAT

Thanks for reading! More next time,


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