CNN
–

One in the Centers for Disease Control and Prevention in the US Food and Drug Administration is shattering under the surveillance of US Health and Human Services Secretary Robert F. Kennedy Jr., stoking questions about whether seasonal flu shots or other life-saving vaccines are delayed or difficult to access.

According to an online note, the February meeting, which was postponed, was postponed, in response to the CDC’s Advisory Committee on Vaccination Practices (to respond to Public Comments), was postponed. The three-day meeting, What was scheduled for this week was to review the safety and efficacy of vaccines for meningococcal disease, which are being seen revived, as well as RSV, flu, chikungunya and MPOX. It also included two votes related to vaccines in children. It is a government program that purchases and distributes vaccines to state and local health departments for children whose families cannot otherwise pay.

ACIP is usually held three times a year in February, June and October. There is no word on whether or not the February meeting will be rescheduled or when. It is also unclear whether delays will prevent access to the shot.

On Wednesday, the FDA canceled its March 13 vaccine-related Biological Products Advisory Committee meeting. No explanation was given for cancellation.

In a statement to CNN on Thursday, the FDA said it would still consider structuring the flu shot, but it didn’t indicate whether it would seek advice guidance or allow public discussion and discussion that would occur in general.

“The FDA will publish recommendations to manufacturers to ensure the latest vaccines are available during the 2025-2026 flu season,” the statement said.

As the US grasps the brutal flu season and experiences a revival of measles, a vaccine-preventable disease, there is uncertainty about the government’s processes to regulate and recommend vaccines. Experts say these infectious diseases are on the rise as they hesitate to use the vaccine. I fear this is just encouraged by the new HHS director.

Kennedy claims he is not an anti-vaccine, but has repeatedly questioned the safety and efficacy of vaccinations, and has questioned the research and regulations that allow them to be used.

Kennedy, who shows he’s making money from law firms suing vaccine manufacturers, has surged some experts advising federal agencies about vaccines. During his confirmation hearing, Kennedy I’m wrong 97% of members of the CDC’s Vaccine Advisory Committee said they had a conflict of interest. In fact, the panel has strict policies to prevent conflicts and a screening process to ensure members are fair when they vote.

Members of the FDA’s Vaccine Committee are subject to strict conflicts of interest rules and must disclose potential conflicts during meetings.

This week, former CDC director Dr. Tom Frieden wrote that the false claim that ACIP members vote based on financial connections is one of the “most harmful” falsehoods about vaccines.

Frieden said the 97% figure came from a 2009 report published when he was CDC director. He is now the nonprofit resolved president and CEO, saving lives.

This was a long-term and detailed audit of conflicts of interest forms submitted by all experts who served as CDC advisors in 2007. He said 97% lacked at least one answer. He said it is not the same as a conflict of interest.

“I really think this is classic misinformation,” Frieden told CNN.

Frieden also raised an alarm about the postponed ACIP meeting, writing in a recent LinkedIn post:

As either vaccine board does not place any emphasis on vaccine regulations or recommendations, healthcare providers are worried that restrictions on vaccines and the ability of people to access them will be delayed.

“Canceling this meeting means that vaccine manufacturers may not have the critical information and time needed to produce and distribute target vaccines before the next flu season,” said Dr. Tinatan of the American Infectious Diseases Association after cancelling the FDA Influenza Shot Meeting. “If FDA meetings are not scheduled immediately, many lives will be lost that could be saved by vaccinations.”

In an open letter to Kennedy on February 20th, CDC directors Dr. Susan Monares and Senator Bill Cassidy, Physicians and chair of the Senate Health, Education, Labor and Pension Committee, a coalition of groups called the Partnership to combat infectious diseases, calling for a “quickly rescheduling” of the ACIP conference.

“Each ACIP conference holds enormous weight and relevance. Infectious diseases are constantly evolving the enemy. Vaccines are the best tool to constantly adapt and respond to the latest public health threats,” the letter states.

“To make America healthy, we need to have healthy discussions and timely evidence-based decisions. This conference is no different.”

There are several different ways to make an influenza vaccine, but the most common is to grow a selected candidate virus in chicken eggs.

Therefore, the choice of strains contained in the flu vaccine has been carefully adjusted so that manufacturers can deliver shots to doctors’ offices and pharmacies in time.

To sell the flu vaccine in the US, it must contain strains officially selected by the FDA.

That decision usually comes after the World Health Organization’s Global Influenza Surveillance and Response Systems Conference, seven Cooperation Centres, and a network of four key regulatory labs based in the US, UK, Japan, China, China, Russia and Australia. Both the CDC and the FDA are members, and representatives from both agencies participated in the ongoing deliberations this week.

“The US has attended this conference,” Covid-19 technical lead Dr. Maria Van Kerkhove said in a news briefing on Friday.

“I want to be very clear that the US is still contributing. I know that there is a lot of attention right now, but I continue to emphasize the importance of this global system.”

These experts meet twice a year in autumn and spring to select strains of countries in the Southern and Northern Hemisphere.

On Friday, he announced the strain he believes will most closely match the virus that will make people sick next fall. These picks replace the H3N2 components of this year’s vaccine. This was only a partial match of the new virus with the circulating virus.

“I don’t think the match is perfect, but it’s a reasonable match and the best prevention we have against influenza infection,” Professor Ian Barr, deputy director of the Victorian Infectious Disease Reference Institute and a member of GISRS, said in a new briefing after the selection of strains.

What usually happens next is the 17-member FDA Vaccine Commission meeting recommendations, publicly discuss them, and then independently approve them. The agency will ultimately make a final decision. This may differ from an advisor, but is generally consistent.

There will be no advisory meetings this year. The FDA said it would still make recommendations to the manufacturers, but it did not specify how the decision would be or when it would come.

“If there’s no FDA recommended strain, US manufacturers are kind of deadlock,” said Dr. LJ Tan, Chief Policy and Partnership Director for nonprofit vaccine advocacy groups.

The influenza vaccine maker, who was contacted by CNN on Thursday, said missed the VRBPAC meeting would not break their course.

“Early every year we have started production for the 2025-2026 flu season in the Northern Hemisphere and are ready to support our final strain selection in time for the season,” Sanofi wrote in a statement to CNN.

GSK also said it will continue to work with the FDA on its recommendations for flu strains in the US.

But cancelling the VRBPAC meeting will steal Americans from public debate and debate, and debate that will take place when these experts meet. That reduces the transparency of the process, said Sunburn at Immunize.org.

“Bypassing the expert advisory board is extremely dangerous,” Tan said.

During a Senate confirmation hearing, Kennedy promised “radical transparency” at HHS.

“Public health agencies should be transparent and if you want Americans to restore confidence in public health agencies, you need transparency,” Kennedy said.

Vaccine advocates say the cancellation of the advisory board meeting will undermine that goal.

“We heard what we thought. We can see how we came to the conclusion that we did for people who are opposed to some things and are interested,” said Dr. Stanley Perman, a member of the FDA’s VRBPAC, a pediatrician and immunologist at the University of Iowa.

Perlman said he is also worried about skipping committee meetings to take the public out of the window into government’s vaccine decisions.

“Right now, the country is very fluid about what it thinks about vaccines, what it thinks about medical devices, what it thinks about drugs. Hopefully, the more transparent the committee is coming from, the more it’s going to be.”

Other experts agreed that the committee is a key layer of independent reviews.

“It’s like taking an expert out of a conversation,” said Dr. William Moss, a pediatrician who oversees the International Vaccine Access Center at the Johns Hopkins Bloomberg School of Public Health. “Many of these decisions are tricky and subtle, giving opportunities to a group of experts who are familiar with these vaccines and are familiar with these diseases. What you know is very important.”

The FDA has not stated how to choose vaccine strains for the fall, but if anyone recommends it means that the US will rely on data from the organization despite President Donald Trump’s order to withdraw support from WHO and stop sharing information.

“It’s part of the chaos whether it’s planned or just incompetent,” Moss said.

CNN’s Meg Tirrell contributed to this report.

CNN
–

Zahydie Burgos Ribot and her husband Francisco Rios check items from their travel bucket lists and check quality time together before Francisco can no longer travel, and before their brains forget.

The Florida-based couple recently crossed Alaska from the list. Their next trip is to Niagara Falls.

“We have an overall schedule,” Ribot said. “We choose to live every day with a lot of intentions.”

That’s because you know that Rios’ windows are closed to make new memories easier. About three years ago, at the age of 46, he was diagnosed with early onset. Alzheimer’s disease.

Rios is doing well with new treatments he has received through clinical trials, but Rivot is increasingly afraid that cuts in federal funding for biomedical research will hinder research.

The Trump administration is conducting a review of US Department of Health and Human Services restructuring and funding, resulting in the sudden cancellation of hundreds of research grants under the National Institutes of Health, and many others are abolished and awaiting a decision on whether funds will be renewed.

According to Democrats, 14 of the 35 Alzheimer’s Disease Research Centers in March were suspended by the NIH, which resulted in funding being suspended.

“The NIH suspended funding for 14 research grants to several universities. It is important to note that this action does not reflect the quality or importance of research, including important work being carried out in Alzheimer’s.” “Instead, this suspension was a necessary step to address compliance issues related to grant proposals that include language related to DEIs and concerns about anti-Semitism.”

Nixon said the NIH is “committed to further groundbreaking research into Alzheimer’s disease.” “However, we also have the responsibility to ensure that all grant proposals are consistent with established policies, including the language used in these proposals reflect the NIH’s commitment to non-discriminatory, merit-based research practices,” he said. “The institution is responsible for removing non-compliant languages ​​and encourages the necessary changes to ensure that these important Alzheimer’s disease research resumes.”

Ribot called the funds suspending surprise.

“This is amazing because these are important data that not only provide information about the prognosis, but also inform the trajectory of the disease and future treatment,” Ribot said.

Rios also follows these developments and continues to worry about his future.

“He asked me, but he was crying and literally torn the skin from his fingers due to anxiety,” Ribot said. “He knows what’s in danger. He knows. He wants to continue taking the medicine.”

Rios is taking part in a clinical trial conducted by Washington University in St. Louis, where he is undergoing Alzheimer’s disease lekenbi in combination with an experimental therapy called E2814, given as an intravenous injection, to delay the symptoms of Alzheimer’s disease.

Rivot trusts this trial by helping Rios suppress memory loss and cognitive decline.

Before Rios was diagnosed, he emotionally retreated and began to mutilate from his loved ones. Ribott even got lost as he was driving to the appointment of a doctor about 10 to 10 minutes from his home.

She initially thought he was showing signs of depression. However, Rios’s doctor realizes something else is happening in his brain and refers him to Johns Hopkins’ young onset dementia clinic in Baltimore.

“They ran more tests, they did genetic tests, when there was a final confirmation that it was Alzheimer’s,” Ribot said.

If funding for Rios’ clinical trials is cut, she said she won’t be able to lose access to the drugs he and other participants hope to give them. More time to live normally could delay the development of other impactful Alzheimer’s disease treatments.

The approximately 12 Alzheimer’s Disease Research Centers are still waiting for federal funding to be renewed, says Dr. Michael Gracius, a professor of neurology and neuroscience at Stanford University School of Medicine.

“Our five-year update was reviewed in October. We will usually make a decision around February,” he said, adding that his team’s research funding at the Stanford Alzheimer’s Disease Research Center has disappeared about three weeks ago.

“We seem to be heading for updates, but reading tea leaves is very difficult. It’s really challenging when you’re thinking about projects that you want to take on or hire a new research coordinator,” he said.

Grichius and his colleagues had to Restrain it They weren’t sure if the funds would come in, so he said they would start a research project.

The uncertainty around funding confuses him.

“It’s hard to imagine a more political topic than Alzheimer’s. It’s just that it affects people with red or blue or purple states. That’s very common. Most people have relatives in their families, or at least have relatives affected by Alzheimer’s,” Grisius said.

“It seems like the easiest target for federally funded research, but it’s not entirely clear that this progress will continue,” he said. “That’s a big part of my frustration, for me. It’s just that uncertainty.”

Preventive neurologist Dr. Richard Isaacson is also the founder of one of the first Alzheimer’s disease prevention clinics in the United States, and is waiting to see if federal grants will be renewed.

“We’re somewhere between Limbo and Purgatory,” he said.

Isaacson, who leads research at the Institute for Neurodegenerative Diseases in Florida, has developed a free online software called ResiveYourbrain, which aims to democratize access to brain medicine. User input Their risk factors for Alzheimer’s disease receive personalized risk assessments and personalized recommendations and time-sensitive reminders on how to improve brain health.

But without continuing the funding, “it may never be made public,” Isaacson said.

Advocates of fund cuts argue that the country should reduce “wasteful spending” and prioritize efficiency.

“I get it because the government wants to cut money. But Alzheimer’s is one of the most expensive diseases for our health care system,” says Isaacson.

According to the Alzheimer’s Disease Association, it is estimated that one in six Medicare dollars were spent on sick people last year, with the average people’s spending for older adults with Alzheimer’s disease being 2.8 times higher than the average average spending for all other elderly people.

“Saving money over time and doing it quickly feels like cutting Alzheimer’s research is a bad investment,” Isaacson said.

Some studies have waited to see if they continue, while some studies have already had to take steps to shut down.

When NIH cancels grants In March Several Alzheimer’s disease studies in relation to diversity, equity, inclusion, or DEI have been wiped out with the results.

Federal funding for multi-year research at the University of California, Davis’ Center for Alzheimer’s Disease Research has ended abruptly. This led the Center’s co-director, Dr. Charles DeCalli, to issue and fight appeals to bring the grant back to full.

“The appeal had to be made within 30 days. During that time, we had to close the investigation, so while I was working on the appeal, my team was doing everything that needed to be completed.

DeCarli’s appeal was successful. He won that fight, but is still recovering from the chaos.

“It’s been a very challenging month in my life,” DeCalli said. “The only reason this ended is that it includes the word “diversity” in the title. ”

The study, entitled “Clinical significance of accidental white matter lesions on MRI in diverse populations (actual) with cognitive complaints,” includes examining the impact of white matter damage in brain and vascular problems on cognitive performance and health outcomes. This study was funded by the National Institute of Neurological Disorders and Stroke at NIH.

Up to 25% of people who develop dementia later in life may have factors that contribute some kind of blood vessels to their illness, and DeCarli said his research will help with the “basic layout” for their diagnostic tests and treatment.

“When these studies are finished, we lose the opportunity to advance science,” he said.

Other research could face similar threats to funding. According to a policy notice issued Monday, the NIH said it will begin withdrawing medical research funds from universities with diversity and inclusion programs and boycotts of Israeli companies.

The agency states that if grant recipients do not comply with diversity and equity research and “federal guidelines except for banned boycotts, we “reserve the right to terminate the Financial Assistance Award and collect all funds,” the notice states.

This policy applies to domestic recipients of new updates, supplements, or continuation awards issued after April 21st, according to the notice.

Separately, Washington-based nonprofit Usagainstalzheimer’s tracks previously terminated grants and funding cuts at the NIH that took place in March and earlier this month, warning that it could stop progress in finding treatment for Alzheimer’s.

“In the past decade, there have been groundbreaking advances in researching Alzheimer’s disease, understanding where the disease comes from, understanding how to diagnose it, and ultimately how to treat it. But we still don’t have a cure.

“When looking at the list of affected grants, it seems like they’re looking for prevention, diagnosis, treatment and ultimately treatment, while also understanding the basics of the disease from the start,” he said. “We’ve made a lot of progress, but now it’s not time to take our feet off the accelerator.”

In the meantime, Ribot and Rios are about to lift their heads. They are keeping an eye on new developments in travel funding cuts and continue to focus on their travel bucket list.

“While he’s here, we live our lives while we’re here. We find joy. We cry and laugh. Even when we’re in despair, there’s hope,” Ribot said.

“I’m not going to make this disease romantic because it’s not. But there’s still purpose, meaning and joy,” she said. “We are not going to take away our present from this disease.”

CNN
–

New research shows that daily childhood vaccination rates continue to decline, with up to 51 million people sick in 25 years, measles could become endemic in the United States.

The disease is endemic in some other countries, but it means it occurs regularly within local and community, but was declared excluded in the United States in 2000 due to a vaccination effort with the highly effective measles-Munz-Rubella (MMR) vaccine.

More than 900 measles cases have been recorded in the US this year, according to a CNN tally using data from the state’s health department and the U.S. Centers for Disease Control and Prevention. In the decade since measles was declared excluded in the United States, there have been more cases, with one more year only.

More than half of US states have reported at least one case this year, but the majority are linked to an outbreak that is primarily in areas in West Texas, where no vaccinations have been received. Two children and one adult – died, and all were not vaccinated.

The new model, published Thursday in JAMA, examines the potential for disease spread in the United States over 25 years, based on various vaccination levels calculated using data from 2004 to 23.

Researchers at Stanford, Baylor, Rice and Texas A&M University estimate current state-by-state vaccination coverage for measles between 87.7% and 95.6%.