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Providers say they'll ignore the new vaccine schedule

January 15, 2026
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Morning Rounds Writer and Reporter

Good morning. Please don't mistake the lack of actual emojis in my write-up of Katie's story for a lack of whimsy on my part. Hubspot, the program through which I send you this email every morning, simply does not support emoji use. Sad face, I know.

politics

What new vaccine schedule?

When the Trump administration unilaterally cut the number of recommended pediatric vaccines, health secretary Robert F. Kennedy Jr. said it was intended to restore trust in public health. But major health systems and clinicians told STAT's Daniel Payne that they're putting their trust elsewhere. Ignoring the new vaccine schedule, they instead plan to follow guidance from the American Academy of Pediatrics, which is similar to previous U.S. policy. 

The decision underscores a growing divide between federal health authorities and major medical groups, and risks further balkanizing U.S. vaccine policy. Read more on what Daniel heard.


one big number

$1.9 billion

The Trump administration made major cuts to programs across the behavioral health field, including for addiction treatment, sources told STAT's Lev Facher and O. Rose Broderick. Then, almost as quickly, the cuts were reversed. While the reason for the about face is unclear, it came after lawmakers and advocates criticized the move.

The number of grants canceled, and then restored, was as high as 2,800, with as much as $1.9 billion at stake. Read more


public health

Alcohol-related emergencies accelerated since 2000

Alcohol–related emergency department visits ballooned between the early 2000s and 2022, new data from the CDC show. For men, the number of ED visits for diagnoses such as alcohol-induced psychosis, liver disease, myopathy, or gastritis increased by 101% between 2003 and 2022 — when the National Center for Health Statistics last collected survey data on emergency visits. 

Women's ED visits for alcohol-caused problems rose by 96% over the same time period. For both men and women, the rate of alcohol-related issues in the ED more than doubled. The CDC analysis included only illnesses that could be fully attributed to alcohol use, not things like falls or car crashes where alcohol was involved, for example. 

Rates of alcohol-related illnesses and deaths are thought to have increased alongside heavier drinking during the Covid pandemic. However, problems have been on the rise for decades, with especially steep increases among women, young adults and Native communities. (The Trump administration last year got rid of the CDC office focused on measuring and curbing alcohol-related harms.) — Isabella Cueto 



health tech

Emojis have entered the (medical) chat

A close up of a keyboard with a row of emojis in the touch screen tool bar at the top.

Stephen Lam/Getty Images

The appearance of emojis in clinical records is rare — for now. A new study analyzing emoji use in clinical notes at one Michigan medical center between 2020 and 2024 found that fewer than two in every 100,000 notes included them. But by the last quarter of 2025, emoji appeared in more than 10 notes per 100,000.

Most emojis used were, as STAT's Katie Palmer put it, "in the smiley lexicon." The classic eyes-closed smiley topped the list of most frequently used emojis with more than 1,772 uses in notes. But others were more complicated to decipher: A maple leaf was sixth with 382 uses, while clinicians used the reddened sweating face with a tongue out 21 times. 

"It does raise a question: Is that the right thing to do? And I don't have the answer to that," lead author David Hanauer said. Read more from Katie on how experts are weighing the potential risks and benefits of this trend, as well as one expert's best guess on what the maple leaf stands for.  


notable quotable

'You see that beautiful milk?'

That was President Trump, speaking yesterday from the White House where he signed the Whole Milk for Healthy Kids Act. The law allows schools to offer whole milk and reduced-fat milk for the first time since those options were eliminated as part of the Healthy, Hunger-Free Kids Act in 2012. STAT's Sarah Todd recently wrote about the peculiar politics of whole milk's return to U.S. schools.


one big number (added)

$9 billion

That's the new annual payout endorsed by the Gates Foundation governing board, according to an announcement yesterday. The move fulfills a commitment the organization made four years ago to increase the annual payout to $9 billion by this year. It also keeps the group on track to spend $200 billion before its planned shutdown in 2045. 

Funding will increase for programs focused on maternal health, polio eradication, American education, and vaccine development. It's needed work as global aid reels from U.S. disruptions over the last year. Still, Bill Gates is adamant that his money can't replace federal funding. "It's just not our role to say, OK, the U.S. government wants to save money and so we'll help them do that," he told STAT's Matt Herper last summer.


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What we're reading

  • Food companies are targeting users of weight-loss drugs with 'GLP-1 Friendly' labels, AP

  • My grandfather created the hepatitis B vaccine. Would he recognize public health in the U.S. today? STAT
  • States race to launch rural health transformation plans, KFF Health News
  • Enrollment in biomedical degree programs rose last fall despite funding turmoil, new data show, STAT

Thanks for reading! More next time,


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