New COVID variant NB.1.8.1 could be more than 1 in 3 cases, CDC projects
What to know about changes in CDC guidance for COVID-19 vaccine
The new COVID-19 variant NB.1.8.1, which was linked to a large surge of hospitalizations in parts of Asia, could now make up more than 1 in 3 cases across the United States, the Centers for Disease Control and Prevention projected this week.
Last month, the CDC's airport surveillance program had detected cases of the variant in arriving international travelers from several countries. The agency now says that nearly half of the COVID infections detected in that program the last week of May were the NB.1.8.1 variant.
The CDC cautioned that "precision in the most recent reporting period is low" for their estimates, meaning the projections carry a wide margin of error. Still, the estimated increase in prevalence in the U.S. highlights the variant's high transmissibility — something experts had warned about as soon as it began spreading in this country.
"Data indicates that NB.1.8.1 does not lead to more severe illness compared to previous variants, although it appears to have a growth advantage, suggesting it may spread more easily. In other words, it is more transmissible," Subhash Verma, a professor of microbiology and immunology at the University of Nevada, Reno School of Medicine, previously told CBS News.
Symptoms of the variant are broadly similar to those seen in earlier strains, Verma noted. Typical symptoms include respiratory issues such as cough and sore throat, as well as systemic issues like fever and fatigue.
As health officials continue monitoring the virus, the Trump administration has recently made moves to change access to vaccines for some Americans.
In May, the Food and Drug Administration said it will continue approving COVID-19 vaccine updates for seniors and those with an underlying medical condition, including pregnancy or diabetes, but will require vaccine makers to conduct major new clinical trials before approving them for wider use.
The decision means many people without underlying conditions may not have access to updated shots this fall.
Health and Human Services Secretary Robert F. Kennedy Jr. also said last month that he would remove the CDC's recommendation for children and healthy pregnant women to get vaccinated against COVID-19. Later that week, however, the CDC said that kids with no underlying health conditions "may receive" COVID-19 vaccines.
"Where the parent presents with a desire for their child to be vaccinated, children 6 months and older may receive COVID-19 vaccination, informed by the clinical judgment of a healthcare provider and personal preference and circumstances," the CDC says in its new guidance.
contributed to this report.
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Los Angeles Times
18 minutes ago
- Los Angeles Times
Many forget childhood deaths, disabilities from diseases before widespread vaccination. Not these families
SIOUX FALLS, S.D. — In the time before widespread vaccination, death often came early. Devastating infectious diseases ran rampant in America, killing millions of children and leaving others with lifelong health problems. These illnesses were the main reason why nearly 1 in 5 children in 1900 never made it to their 5th birthday. Over the next century, vaccines virtually wiped out long-feared scourges like polio and measles and drastically reduced the toll of many others. Today, however, some preventable, contagious diseases are making a comeback as vaccine hesitancy — often fed by misinformation — pushes immunization rates down. And well-established vaccines are facing suspicion even from public officials, including the head of the U.S. Department of Health and Human Services, Robert F. Kennedy Jr., a longtime anti-vaccine activist. 'This concern, this hesitancy, these questions about vaccines are a consequence of the great success of the vaccines — because they eliminated the diseases,' said Dr. William Schaffner, an infectious disease expert at Vanderbilt University Medical Center. 'If you're not familiar with the disease, you don't respect or even fear it. And therefore you don't value the vaccine.' Anti-vaccine activists even portray the shots as a threat, focusing on the rare risk of serious side effects while ignoring the far larger risks posed by the diseases — and years of real-world data that experts say prove the vaccines are safe. Some Americans know the reality of these preventable diseases all too well. For them, news of measles outbreaks and rising whooping cough cases brings back terrible memories of lives forever changed — and a longing to spare others from similar pain. With a mother's practiced, guiding hand, 80-year-old Janith Farnham helped steer her 60-year-old daughter's walker through a Sioux Falls art center. They stopped at a painting of a cow wearing a hat. Janith pointed to the hat, then to her daughter Jacque's Minnesota Twins cap. Jacque did the same. 'That's so funny!' Janith said, leaning in close to say the words in sign language too. Jacque was born with congenital rubella syndrome, which can cause a host of issues including hearing impairment, eye problems, heart defects and intellectual disabilities. There was no vaccine against rubella back then, and Janith contracted the viral illness very early in the pregnancy, when she had up to a 90% chance of giving birth to a baby with the syndrome. Janith recalled knowing 'things weren't right' almost immediately. The baby wouldn't respond to sounds or look at anything but lights. She didn't like to be held close. Her tiny heart sounded like it purred — evidence of a problem that required surgery at 4 months old. Janith did all she could to help Jacque thrive, sending her to the Colorado School for the Deaf and the Blind and using skills she honed as a special education teacher. She and other parents of children with the syndrome shared insights in a support group. Meanwhile, the condition kept taking its toll. As a young adult, Jacque developed diabetes, glaucoma and autistic behaviors. Eventually, arthritis set in. Today, Jacque lives in an adult residential home a short drive from Janith's place. Above her bed is a net overflowing with stuffed animals. On a headboard shelf are photo books Janith created, filled with memories such as birthday parties and trips to Mt. Rushmore. Jacque's days typically begin with an insulin shot and breakfast before she heads off to a day program. She gets together with her mom four or five days a week. They often hang out at Janith's town home, where Jacque has another bedroom decorated with her own artwork and quilts Janith sewed for her. Jacque loves playing with Janith's dog, watching sports on television and looking up things on her iPad. Janith marvels at Jacque's sense of humor, gratefulness, curiosity and affectionate nature despite all she's endured. Jacque is generous with kisses and often signs 'double I love yous' to family, friends and new people she meets. 'When you live through so much pain and so much difficulty and so much challenge, sometimes I think: Well, she doesn't know any different,' Janith said. Given what her family has been through, Janith believes younger people are being selfish if they choose not to get their children the MMR shot against measles, mumps and rubella. 'It's more than frustrating. I mean, I get angry inside,' she said. 'I know what can happen, and I just don't want anybody else to go through this.' More than half a century has passed, but Patricia Tobin still vividly recalls getting home from work, opening the car door and hearing her mother scream. Inside the house, her little sister Karen lay unconscious on the bathroom floor. It was 1970, and Karen was 6. She'd contracted measles shortly after Easter. Though an early vaccine was available, it wasn't required for school in Miami where they lived. Karen's doctor discussed immunizing the first-grader, but their mother didn't share his sense of urgency. 'It's not that she was against it,' Tobin said. 'She just thought there was time.' Then came a measles outbreak. Karen — whom Tobin described as a 'very endearing, sweet child' who would walk around the house singing — quickly became very sick. The afternoon she collapsed in the bathroom, Tobin, then 19, called the ambulance. Karen never regained consciousness. 'She immediately went into a coma and she died of encephalitis,' said Tobin, who stayed at her bedside in the hospital. 'We never did get to speak to her again.' Today, all states require that children get certain vaccines to attend school. But a growing number of people are making use of exemptions allowed for medical, religious or philosophical reasons. Vanderbilt's Schaffner said fading memories of measles outbreaks were exacerbated by a fraudulent, retracted study claiming a link between the MMR shot and autism. The result? Most states are below the 95% vaccination threshold for kindergartners — the level needed to protect communities against measles outbreaks. 'I'm very upset by how cavalier people are being about the measles,' Tobin said. 'I don't think that they realize how destructive this is.' One of Lora Duguay's earliest memories is lying in a hospital isolation ward with her feverish, paralyzed body packed in ice. She was 3 years old. 'I could only see my parents through a glass window. They were crying and I was screaming my head off,' said Duguay, 68. 'They told my parents I would never walk or move again.' It was 1959, and Duguay, of Clearwater, Fla., had polio. It mostly preyed on children and was one of the most feared diseases in the U.S., experts say, causing some terrified parents to keep children inside and avoid crowds during epidemics. Given polio's visibility, the vaccine against it was widely and enthusiastically welcomed. But the early vaccine that Duguay got was only about 80% to 90% effective. Not enough people were vaccinated or protected yet to stop the virus from spreading. Duguay initially defied her doctors. After intensive treatment and physical therapy, she walked and even ran — albeit with a limp. She got married, raised a son and worked as a medical transcriptionist. But in her early 40s, she noticed she couldn't walk as far as she used to. A doctor confirmed she was in the early stages of post-polio syndrome, a neuromuscular disorder that worsens over time. One morning, she tried to stand up and couldn't move her left leg. After two weeks in a rehab facility, she started painting to stay busy. Eventually, she joined arts organizations and began showing and selling her work. Art 'gives me a sense of purpose,' she said. These days, she can't hold up her arms long enough to create big oil paintings at an easel. So she pulls her wheelchair up to an electric desk to paint on smaller surfaces such as stones and petrified wood. The disease that changed her life twice is no longer a widespread problem in the country. So many children get the vaccine — which is far more effective than earlier versions — that it doesn't just protect individuals but it prevents occasional cases that arrive in the U.S. from spreading further. 'Herd immunity' keeps everyone safe by preventing outbreaks that can sicken the vulnerable. But after three decades of eradication, the U.S. has seen isolated polio outbreaks in recent years, typically in communities with low vaccination rates. Every night, Katie Van Tornhout rubs a plaster cast of a tiny foot, a vestige of the daughter she lost to whooping cough at just 37 days old. Callie Grace was born on Christmas Eve 2009 after Van Tornhout and her husband tried five years for a baby. She arrived six weeks early but healthy. 'She loved to have her feet rubbed,' said the 40-year-old Lakeville, Ind., mother. 'She was this perfect baby.' When Callie turned a month old, she began to cough, prompting a visit to the doctor, who didn't suspect anything serious. By the next night, Callie was doing worse. They went back. In the waiting room, she became blue and limp in Van Tornhout's arms. The medical team whisked her away and beat lightly on her back. She took a deep breath and giggled. Though the giggle was reassuring, the Van Tornhouts went to the ER, where Callie's skin turned blue again. For a while, medical treatment helped. But at one point she started squirming, and medical staff frantically tried to save her. 'Within minutes,' Van Tornhout said, 'she was gone.' Van Tornhout recalled sitting with her husband and their lifeless baby for four hours, 'just talking to her, thinking about what could have been.' Callie's viewing was held on her original due date — the same day the Centers for Disease Control and Prevention called to confirm she had pertussis, or whooping cough. She was too young for the Tdap vaccine against it and was exposed to someone who hadn't gotten their booster shot. Today, next to the cast of Callie's foot is an urn with her ashes and a glass curio cabinet filled with mementos including baby shoes. 'My kids to this day will still look up and say, 'Hey, Callie, how are you?'' said Van Tornhout, who has four children and a stepson. 'She's part of all of us every day.' Van Tornhout now advocates for childhood immunization through the nonprofit Vaccinate Your Family. She also shares her story with people she meets, including a pregnant customer who came into the restaurant her family ran saying she didn't want to immunize her baby. She later returned with her vaccinated 4-month-old. 'It's up to us as adults to protect our children — like, that's what a parent's job is,' Van Tornhout said. 'I watched my daughter die from something that was preventable.… You don't want to walk in my shoes.' Ungar writes for the Associated Press.
Atlantic
an hour ago
- Atlantic
RFK Jr. Is Globalizing the Anti-Vaccine Agenda
This week, Robert F. Kennedy Jr. used his address to a global vaccine summit to disparage global vaccination. The conference was organized by Gavi, the world's leading immunization program, and in a recorded speech, Kennedy accused the organization of collaborating with social-media companies to stifle dissenting views on immunization during the coronavirus pandemic and said it had 'ignored the science' in its work. He criticized Gavi for recommending COVID-19 shots to pregnant women, and went deep on a discredited study that purported to find safety issues with a tetanus vaccine commonly used in the developing world. 'In its zeal to promote universal vaccination,' Kennedy claimed, Gavi 'has neglected the key issue of vaccine safety.' Kennedy's remarks confirmed what The New York Times first reported in March: that the United States, Gavi's third-largest donor, would stop pledging money to the organization. (Congress, which has always had final say over Gavi funding, has not yet weighed in.) They are also the first indication that the U.S.'s rejection of global vaccine campaigns stems from the Trump administration's opposition not only to foreign aid, but to vaccination itself. For the first time, Kennedy has managed to use the anti-vaccine agenda to guide American foreign policy. Gavi, at its most basic level, is Costco for immunizations, wielding its massive purchasing power to buy vaccines in bulk for cheap. National governments and private philanthropies pledge funding to it every five years. The United Kingdom and the Gates Foundation are its largest donors; the United Nations distributes the shots. The poorest countries pay 20 cents per vaccine, and prices rise along with national income. Since the partnership was launched, in January 2000, 19 countries —including Ukraine, Congo, and Guyana—have gone from relying on Gavi to paying for vaccinations entirely on their own. Indonesia, which accepted donations from Gavi as recently as 2017, pledged $30 million to the organization this funding cycle. Gavi, by its own estimate, has saved about 19 million lives and vaccinated 1 billion children. At the conference this week, the director of the World Health Organization noted that since 2000, the number of children who die each year before they reach the age of 5 has fallen by more than half, largely due to the power of vaccines. By Gavi's estimates, the U.S. canceling its Biden-era pledge to provide $1.2 billion this donation cycle could lead to the deaths of more than 1 million children who otherwise would have lived. (The Department of Health and Human Services did not respond to a request for comment.) In his recorded remarks, Kennedy said America would not send the money until Gavi can 're-earn the public trust' by 'taking vaccine safety seriously.' Cutting off millions of children's only access to routine vaccines is 'the most emphatic globalization of the anti-vaxxer agenda,' Lawrence Gostin, the faculty director of Georgetown's O'Neill Institute for National and Global Health Law, told me. Tom Frieden, the former director of the CDC, told me that after he heard Kennedy's remarks, 'I was literally sick to my stomach,' because 'unscientific, irresponsible statements like this will result in the deaths of children.' (The U.S. has run an international anti-vaccine campaign before: According to an investigation by Reuters, in 2020, the Pentagon unleashed bot accounts on multiple social-media platforms that impersonated Filipinos and discouraged uptake of China's Sinovac vaccine—the first COVID vaccine available in the Philippines—using a hashtag that read, in Tagalog, 'China is the virus.' The goal was not to combat vaccines, but to undermine China's influence.) Kennedy's prerecorded address held back his harshest critiques of Gavi. In his 2021 book, The Real Anthony Fauci, Kennedy paints 'Bill Gates's surrogate group Gavi' (the Gates Foundation co-founded Gavi) as nothing more than a profiteering 'cabal' and a facilitator of 'African Genocide.' To hear Kennedy tell it, 'virtually all of Gates's blockbuster African and Asian vaccines—polio, DTP, hepatitis B, malaria, meningitis, HPV, and Hib—cause far more injuries and deaths than they avert.' Decades' worth of safety and efficacy studies have proved him wrong. In his remarks to Gavi this week, Kennedy focused on the DTP (diphtheria, tetanus, and pertussis) shot, describing at length a 'landmark' 2017 study that found the vaccine increased all-cause mortality among girls in Guinea-Bissau. But as Frieden pointed out, this was in fact a relatively small observational study. In 2022, a randomized, double-blind, placebo-controlled trial of more than 50,000 newborns found that the DTP vaccine significantly decreased infant mortality. Frieden compared the evidence: 'Hundreds of kids versus 50,000 kids. Poorly done; well done.' Kennedy made efforts to take his anti-vaccine advocacy global before he became America's health secretary. In 2021, he delivered a webinar on the importance of expanding an 'international movement' for Children's Health Defense, the anti-vaccine organization he founded. In 2019, when Samoa was experiencing a major dip in measles immunization after an improperly prepared vaccine killed two children, Kennedy visited the prime minister and, on behalf of Children's Health Defense, reportedly offered to build an information system the country could use to track the health effects of vaccines and other medical interventions. When a deadly measles outbreak took hold later that year, Kennedy sent a letter to the prime minister suggesting that widespread vaccination might make unvaccinated Samoan children more likely to die of measles. (In an interview for a 2023 documentary, Kennedy said that 'I had nothing to do with people not vaccinating in Samoa' and that his conversations about vaccines with the prime minister had been 'limited.') Now, it seems, Kennedy has gained the power to realize his ambitions both domestically and abroad. Earlier this month, Kennedy dismissed all 17 members of the CDC's vaccine advisory committee, then replaced them with a group that includes several allies who have spread misinformation about the harms of vaccines. This week, as other countries pledged their support for Gavi, Kennedy's brand-new, handpicked panel convened for a discussion of the dangers of thimerosal, a vaccine ingredient that is a frequent target of anti-vaxxers despite having been found safe. The committee has formed a working group to review the 'cumulative effect' of childhood vaccination in the United States. As Kennedy said in his address to Gavi, 'Business as usual is over.'
The Hill
an hour ago
- The Hill
RFK Jr. is fighting a two-front war against chronic disease and anti-MAHA partisans
At a certain point, the gruesome reality of war fades into a white noise of fatalism. Hundreds of thousands killed in Iraq; tens of thousands killed in Afghanistan; over 1 million killed or wounded in Ukraine; Israel and Iran at each other's throats, with the fear of the U.S. being dragged into a wider war. Since the end of World War Two, it can be argued that there has been no 'just' war — just needless killing. While most on the left won't want to hear it or acknowledge it, there has been no president more firmly opposed to these 'forever wars' and the slaughter of young soldiers than President Trump. That said, there was one war Trump was anxious to wage — a war that counterintuitively saves lives, while taking none. To command the campaign, Trump selected Robert F. Kennedy Jr. 'Make America Healthy Again.' It's a nice slogan and looks good on the front of a hat, but what is it really about? The reality is that this program has the potential to save more lives than all those lost in the wars since WWII — and then some. As Trump's secretary of Health and Human Services, Kennedy has chosen to dedicate the rest of his working life to this quest. Why? To save lives that should not be lost in the battle against the unchecked and steadily advancing chronic disease epidemic raging in our nation. Tragically, millions of Americans are lost each year to such preventable disease. Depending upon the study, experts say that approximately 1 million Americans die each year from heart disease; over 1,300 per day, or approximately 500,000 per year, from obesity; 1.5 million Americans are newly diagnosed with diabetes each year, with over 100,000 passing away each year from the disease. Many of these deaths overlap; many are preventable; and many are caused by the foods, beverages and food additives we consume each day. But now Kennedy and his team at HHS have illuminated a bright light at the end of this dark and seemingly endless tunnel. On June 19, Kennedy posted, 'Big food brands are listening. From cereals to spices to fast food, artificial dyes and additives are being removed from America's food supply …' Along with that announcement, he attached a video reporting that General Mills was removing artificial food dyes from U.S. cereals and K-12 school foods by summer 2026 and removing all artificial dyes completely by the end of 2027; Kraft-Heinz just announced that they are removing all artificial dyes by the end of 2027; In-N-Out Burger announced that they removed artificial dyes from strawberry shakes and pink lemonade, using beet juice and turmeric instead. Steak 'N Shake will now be using beef tallow instead of vegetable oil to cook French fries, onion rings and chicken tenders; and McCormick spice company announced it is working to remove artificial food dyes and sodium. All of this comes on top of the banning of Red Dye No. 3, which potentially causes cancer. This is huge and truly transformative news for the health of the American people. None of it was really going anywhere until RFK Jr. came on the scene. While great news, little of this progress will hold unless the broken U.S. healthcare bureaucracy is torn down and rebuilt into an aerodynamic, perpetual-motion machine protecting the health of the American people. To this point, as Kennedy pointed out after his testimony before the House Commerce Committee earlier this week, 'We've thrown trillions of dollars at our health agencies — and the American people have only gotten sicker … we're transforming HHS from a bloated sick-care bureaucracy into a streamlined health care agency focused on outcomes—not waste.' He added, 'The path forward is clear: We will restore public trust by restoring public truth.' Unfortunately, while Kennedy was testifying before this committee regarding the president's 2026 Health and Human Services budget, we also got a troubling look at the other war he is forced to wage to 'Make America Healthy Again.' It is a war that Kennedy would like to avoid. Sadly, but quite predictably, a number of the Democratic members used the hearing for partisan purposes to fire loaded trick questions at Kennedy while demanding 'yes' or 'no' answers based on false premises. Most of them pompously went out of their way to prevent Kennedy from getting a word in edgewise in response. Why? Because they didn't care about any of his answers. That was not the point of the exercise. It was all partisan performance art. It was all about fundraising letters and voters back home. Kennedy is a well-known personality, they wanted to badger and harass him into getting the soundbite needed for their next reelection effort. The ironic part is that Kennedy would very much like to work with all the members taking partisan shots at him for self-promotion. He knows many of them and has worked with some in the past. Rather than be at 'war' with them, Kennedy desperately wants to enlist them as allies in the greater war which, as Kennedy has repeatedly stated, has made America 'the sickest nation in the world.' The American people are sick of being sick — and sick of the partisan nonsense that has put them at greater risk. Tens of millions now believe Kennedy is a prayer answered when it comes to combating those issues. They want and need their congressional representatives to join with Kennedy to make them and their children healthier. A 'war' that takes no lives but could potentially save millions. Kennedy is waging it but needs help from every power center to win it. Douglas MacKinnon is a former White House and Pentagon official.
