
Kennedy's advisers endorse flu vaccines — except for a few targeted by antivaccine activists
Lyn Redwood, a nurse practitioner who once ran the anti-vaccine group that Robert F. Kennedy Jr. founded, attends a meeting of the Advisory Committee on Immunization Practices at the Centers for Disease Control and Prevention in Atlanta on Thursday, June 26, 2025. (AP Photo/Shelby Lum)
By MIKE STOBBE and LAURAN NEERGAARD
The Trump administration's new vaccine advisers on Thursday endorsed this fall's flu vaccinations for just about every American but threw in a twist: Only use certain shots free of an ingredient antivaccine groups have falsely tied to autism.
What is normally a routine step in preparing for the upcoming flu season drew intense scrutiny after U.S. Health Secretary Robert F. Kennedy Jr. abruptly fired the influential 17-member Advisory Committee on Immunization Practices and handpicked replacements that include several vaccine skeptics.
That seven-member panel bucked another norm Thursday: It deliberated the safety of a preservative used in less than 5% of U.S. flu vaccinations based on a presentation from an antivaccine group's former leader — without allowing the usual public airing of scientific data from the Centers for Disease Control and Prevention.
The preservative, thimerosal, has long been used in certain vaccines that come in multi-dose vials, to prevent contamination as each dose is withdrawn. But it has been controversial because it contains a small amount of a particular form of mercury.
Study after study has found no evidence that it causes autism or other harm. Yet since 2001, all vaccines routinely used for U.S. children age 6 years or younger have come in thimerosal-free formulas — including single-dose flu shots that account for the vast majority of influenza vaccinations.
The advisory panel first voted, with one abstention, to back the usual U.S. recommendation that nearly everyone age 6 months and older get an annual flu vaccination. Then the advisers decided people should only be given thimerosal-free single-dose formulations, voting 5-1 with one abstention.
That would include single-dose shots that already are the most common type of flu vaccination as well as the nasal spray FluMist. It would rule out the subset of flu vaccine that is dispensed in multi-dose vials.
'There is still no demonstrable evidence of harm,' one panelist, Dr. Joseph Hibbeln, a psychiatrist formerly with the National Institutes of Health, said in acknowledging the committee wasn't following its usual practice of acting on evidence.
But he added that 'whether the actual molecule is a risk or not, we have to respect the fear of mercury' that might dissuade some people from getting vaccinated.
Normally the CDC's director would decide whether to accept ACIP's recommendation, but the Senate has not yet confirmed nominee Susan Monarez. Administration officials said Kennedy would make that decision.
While Thursday's debate involved only a small fraction of flu vaccines, some public health experts contend the discussion unnecessarily raised doubt about vaccine safety. Already, fewer than half of Americans get their yearly flu vaccinations, and mistrust in vaccines overall is growing.
'What should have been a rigorous, evidence-based discussion on the national vaccine schedule instead appeared to be a predetermined exercise orchestrated to undermine the well-established safety and efficacy of vaccines and fundamental basics of science,' said Dr. Jason Goldman of the American College of Physicians.
Public health experts decried the panel's lack of transparency in blocking the presentation of CDC's analysis of thimerosal that concluded there was no link between the preservative and neurodevelopmental disorders, including autism. The data had been posted on the ACIP's website Tuesday, but was later removed — because, according to ACIP member Dr. Robert Malone, the report hadn't been authorized by Kennedy's office. Committee members said they had read it.
The ACIP, created more than 60 years ago, helps the CDC determine who should be vaccinated against a long list of diseases, and when. Those recommendations have a big impact on whether insurance covers vaccinations and where they're available.
Kennedy has long held there was a tie between thimerosal and autism, and also accused the government of hiding the danger. Thimerosal was placed on the meeting agenda shortly after Kennedy's new vaccine advisers were named last week.
© Copyright 2025 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.
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Japan Today
an hour ago
- Japan Today
Israeli strikes kill at least 72 people in Gaza as ceasefire prospects move closer
Relatives react as they mourn over the body of a loved one killed, along with others, in Israeli strikes on the Gaza Strip, at Al-Shifa Hospital in Gaza City, Saturday, June 28, 2025. (AP Photo/Jehad Alshrafi) By WAFAA SHURAFA and SAM MEDNICK Israeli strikes killed at least 72 people across Gaza overnight Friday and into Saturday, health workers said, as ceasefire prospects were said to be improving after 21 months of war. Three children and their parents were killed in an Israeli strike on a tent camp in Muwasi near the southern city of Khan Younis. They were struck while sleeping, relatives said. 'What did these children do to them? What is their fault?' said the children's grandmother, Suad Abu Teima, as others knelt to kiss their bloodied faces and wept. Some placed red flowers into the body bags. Also among the dead were 12 people near the Palestine Stadium in Gaza City, which was sheltering displaced people, and eight more in apartments, according to staff at Shifa Hospital. More than 20 bodies were taken to Nasser Hospital, according to health officials. A midday strike killed 11 people on a street in eastern Gaza City, and their bodies were taken to Al-Ahli Hospital. Another strike on a gathering in eastern Gaza City killed eight including five children, the hospital said. A strike on a gathering at the entrance to the Bureij refugee camp in central Gaza killed two, according to Al-Awda Hospital. U.S. President Donald Trump says there could be a ceasefire agreement within the next week. Taking questions from reporters on Friday, he said, 'We're working on Gaza and trying to get it taken care of.' An official with knowledge of the situation told The Associated Press that Israeli Minister for Strategic Affairs Ron Dermer will arrive in Washington next week for talks on a Gaza ceasefire, Iran and other subjects. The official spoke on condition of anonymity because they were not authorized to speak to the media. Indirect talks between Israel and Hamas have been on again, off again since Israel broke the latest ceasefire in March, continuing its military campaign in Gaza and furthering the territory's dire humanitarian crisis. Some 50 hostages remain in Gaza, fewer than half believed to still be alive. They were among 251 hostages taken when Hamas attacked Israel on Oct. 7, 2023, sparking the war. 'What more is left to do in Gaza that has not already been done? Who else is left to eliminate?' Yotam Cohen, brother of hostage Nimrod Cohen, said Saturday evening as weekly rallies by families and supporters resumed following Israel's ceasefire with Iran. The war has killed over 56,000 Palestinians, according to the Health Ministry, which does not distinguish between civilians and combatants. It says more than half of the dead were women and children. It said the dead include 6,089 killed since the end of the latest ceasefire. Israel says it only targets militants and blames civilian deaths on Hamas, accusing the militants of hiding among civilians because they operate in populated areas. There is hope among families of hostages that Trump's involvement in securing the recent ceasefire between Israel and Iran might lead to more pressure for a deal in Gaza. Israeli Prime Minister Benjamin Netanyahu is riding a wave of public support for the Iran war and its achievements, and he could feel he has more space to move toward ending the war in Gaza, something his far-right governing partners oppose. Hamas has repeatedly said it is prepared to free all the hostages in exchange for an end to the war in Gaza. Netanyahu says he will end the war only once Hamas is disarmed and exiled, something the group has rejected. Meanwhile, hungry Palestinians are enduring a catastrophic situation in Gaza. After blocking all food for 2 1/2 months, Israel has allowed only a trickle of supplies into the territory since mid-May. More than 500 Palestinians have been killed and hundreds more wounded while seeking food since the newly formed Gaza Humanitarian Foundation began distributing aid in the territory about a month ago, according to Gaza's Health Ministry. Palestinian witnesses say Israeli troops have opened fire at crowds on roads heading toward the sites. The Israeli military says it has only fired warning shots and that it was investigating incidents in which civilians had been harmed while approaching the sites. Thousands of Palestinians walk for hours to reach the sites, moving through Israeli military zones. Separate efforts by the United Nations to distribute limited food have been plagued by armed gangs looting trucks and by crowds of desperate people offloading supplies from convoys. Saturday's death toll included two people killed by Israeli gunfire while waiting to receive aid near the Netzarim corridor, a road that separates northern and southern Gaza, according to Al-Shifa and Al-Awda hospitals, which each received one body. There was no immediate Israeli military comment. © Copyright 2025 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.


Japan Today
a day ago
- Japan Today
When doctors don't believe their patients' pain – experts explain medical gaslighting
By Elizabeth Hintz and Marlene D Berke For people with chronic gynecological pain conditions, pain can be constant, making everyday activities like sitting, riding a bicycle and even wearing underwear extremely uncomfortable. For many of these people – most of whom identify as women – sexual intercourse and routine pelvic exams are unbearable. Endometriosis and vulvodynia, or chronic genital pain, are common gynecological conditions that can cause severe pain. They each affect about 1 in 10 American women. Yet many women face skepticism and gaslighting in health care settings when they seek care for this type of pain. We know this well through our research on social cognition and on how people with misunderstood health conditions manage difficult conversations with their doctors and family, as well as through volunteer work alongside people living with these conditions. We've consistently found that medical gaslighting around chronic gynecological pain is a complex societal problem, fueled by holes in medical research and training. 'It's all in your head' A 2024 study of patients who went to a clinic for vulvovaginal pain – pain experienced in the external female genitals and vagina – found that 45% of these patients had been told that they 'just needed to relax more' and 39% were made to feel that they were 'crazy'. A staggering 55% had considered giving up on seeking care. These results echo what one of us – Elizabeth Hintz – found in her 2023 meta-synthesis: Female patients with chronic pain conditions frequently hear this 'It's all in your head' response from doctors. Another study followed patients in two different major U.S. cities who were seeking care for vulvovaginal pain. The researchers found that most patients saw multiple clinicians but never received a diagnosis. Given the challenges of seeking medical care, many patients turn to social media sources like Reddit for support and information. These studies, among others, illustrate how people with these conditions often spend years going to clinician after clinician seeking care and being told their pain is psychological or perhaps not even real. Given these experiences, why do patients keep seeking care? 'Let me describe the pain that would drive me to try so many different doctors, tests and treatments,' a patient with vulvovaginal pain said to her doctor. For her, sex 'is like taking your most sensitive area and trying to rip it apart.' 'I can now wear any pants or underwear that I want with no pain,' said another patient after successful treatment. 'I never realized how much of a toll the pain took on my body every day until it was gone.' Medical gaslighting Many patients worldwide experience medical gaslighting – a social phenomenon where a patient's health concerns are not given appropriate medical evaluation and are instead downplayed, misattributed or dismissed outright. Medical gaslighting is rooted in centuries of gender bias in medicine. Women's reproductive health issues have long been dismissed as psychological or 'hysterical.' Genital and pelvic pain especially has been misattributed to psychological rather than biological causes: A century ago, Freudian psychoanalysts incorrectly believed that female sexual pain came from psychological complexes like penis envy. These historical views help shed light on why these symptoms are still not taken seriously today. Consequences of medical gaslighting In addition to the physical toll of untreated pain, medical gaslighting can take a psychological toll. Women may become isolated when other people do not believe their pain. Some internalize this disbelief and can begin to doubt their own perceptions of pain and even their sanity. This cycle of gaslighting compounds the burden of the pain and might lead to long-term psychological effects like anxiety, depression and post-traumatic stress symptoms. For some, the repeated experience of being dismissed by clinicians erodes their sense of trust in the health care system. They might hesitate to seek medical attention in the future, fearing they will once again be dismissed. Although some chronic gynecological pain conditions like endometriosis are gaining public attention and becoming better understood, these dynamics persist. A funding crisis Part of the reason for the misunderstanding surrounding chronic gynecological pain conditions is the lack of research on them. A January 2025 report from the National Academies found that research on diseases disproportionately affecting women were underfunded compared with diseases disproportionately affecting men. This problem has gotten worse over time. The proportion of funding from the National Institutes of Health spent on women's health has actually declined over the past decade. Despite these known disparities, in April 2025 the Trump administration threatened to end funding for the Women's Health Initiative, a long-running women's health research program, further worsening the problem. Without sustained federal funding for women's health research, conditions like endometriosis and vulvodynia will remain poorly understood, leaving clinicians in the dark and patients stranded. Disparities in care As hard as it is for any female patient to have their pain believed and treated, gaining recognition for chronic pain is even harder for those who face discrimination based on class or race. One 2016 study found that half of the white medical students surveyed endorsed at least one false belief about biological differences between Black and white patients, such as that Black people have physically thicker skin or less sensitive nerve endings than white people. The medical students and residents who endorsed these false beliefs also underestimated Black patients' pain and offered them less accurate treatment recommendations. Studies show that women are more likely to develop chronic pain conditions and report more frequent and severe pain than men. But women are perceived as more emotional and thus less reliable in describing their pain than men. Consequently, female patients who describe the same symptoms as male patients are judged to be in less pain and are less likely to be offered pain relief, even in emergency settings and with female clinicians. Compared to male patients, female patients are more likely to be prescribed psychological care instead of pain medicine. These lingering erroneous beliefs about gender and race are key reasons patients' pain is dismissed, misunderstood and ignored. The very real-life consequences for patients include delayed diagnosis, treatment and even death. Practical steps to disrupt medical gaslighting Correcting these problems will require a shift in clinical training, so as to challenge biased views about pain in women and racial minorities and to educate clinicians about common pain conditions like vulvodynia. Research suggests that medical training needs to teach students to better listen to patients' lived experiences and admit when an answer isn't known. In the meantime, people navigating the health care system can take practical steps when encountering dismissive care. They can educate themselves about chronic gynecological pain conditions by reading books like 'When Sex Hurts: Understanding and Healing Pelvic Pain' or educational information from trusted sources like the International Society for the Study of Women's Sexual Health, the International Pelvic Pain Society and the International Society for the Study of Vulvovaginal Disease. Although these steps do not address the roots of medical gaslighting, they can empower patients to better understand the medical conditions that could cause their symptoms, helping to counteract the effects of gaslighting. If someone you know has experienced medical gaslighting and would like support, there are resources available. Organizations like The Endometriosis Association and the National Vulvodynia Association offer support networks and information – like how to find knowledgeable providers. Additionally, connecting with patient advocacy groups like Tight Lipped can provide opportunities for patients to engage in changing the health care system. Elizabeth Hintz is Assistant Professor of Health Communication, University of Connecticut. Marlene D Berke has a PhD in Psychology, Yale University. The Conversation is an independent and nonprofit source of news, analysis and commentary from academic experts. External Link © The Conversation


Nikkei Asia
a day ago
- Nikkei Asia
Filipinos flock to 'virtual assistant' roles for pay and flexibility
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