Ardent anti-vaccine activist and current US Health Secretary Robert F. Kennedy Jr. is reportedly on thin ice with Trump for not being anti-vaccine enough for the president's liking, according to a report late Monday from The Wall Street Journal.

Trump has become fixated on the completely false, thoroughly debunked claim that vaccines cause autism, the Journal reported. People familiar with the president's scattered thinking say Trump wants an autism remedy to be part of his legacy and thinks scaling back childhood vaccinations is a way to secure that achievement. As such, he has grown frustrated and disappointed that Kennedy hasn't done more to cut back federal childhood vaccine recommendations or confirm a link to the neurodevelopmental disorder.

In May, the president reportedly aired his disappointment, calling out Kennedy for having "the yips" that were preventing him from acting on his zealous anti-vaccine agenda while holding the highest health position in the country. In June, Trump reportedly vented in the Oval Office to Kennedy that he wasn't doing enough.

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Anti-vaccine Health Secretary Robert F. Kennedy Jr. has made it one of his top priorities to convince Americans to "eat real food," including more fresh fruits and vegetables. But, it's a hard sell when those real foods are causing real eruptions of explosive diarrhea across the country.

The Food and Drug Administration is investigating six outbreaks of foodborne diarrheal illnesses caused by Cyclospora, a unicellular parasite known for spreading from human feces onto fresh produce. Past outbreaks have been linked to leafy greens, fresh basil, fresh cilantro, snow peas, green onions, and raspberries. The Centers for Disease Control and Prevention has tallied a record high of over 11,500 confirmed and probable cases across 41 states, with over 300 requiring hospitalization. And that case total is almost certainly an undercount.

The largest of the outbreaks is linked to Taylor Farms' iceberg lettuce that was sold at Taco Bell restaurants and many other companies. The outbreak has sickened thousands of people across nine states, up from five states identified last week. One of the affected states is Michigan, which alone has reported 9,253 cases as of July 27. The other five outbreaks have no identified source.

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Two nominees for high-profile health roles in the Trump administration faced scrutiny from the Senate health committee Wednesday—and both crashed and burned in their own special ways.

The Senate Committee on Health, Education, Labor, and Pensions (HELP) scrutinized Erica Schwartz, the nominee for director of the Centers for Disease Control and Prevention, and Sean Kaufman, up for the role of assistant secretary for preparedness and response.

Schwartz's assignment

Public health experts were "cautiously optimistic" about Schwartz's nomination. She is well-respected and holds views in line with evidence-based medicine, including being supportive of vaccinations—in contrast to anti-vaccine Health Secretary Robert F. Kennedy Jr., whom she will serve under. She is also highly qualified for the role, with a medical degree, a master's degree in public health, and a law degree. She's had a long career as a Navy Officer and previously held the roles of chief medical officer for the US Coast Guard and deputy surgeon general in the first Trump administration.

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With no new data or clear reasoning, a panel of advisors hand-selected by anti-vaccine Health Secretary Robert F. Kennedy Jr. voted last September to strip federal recommendations for a combination shot against measles, mumps, rubella, and varicella (chickenpox). An analysis published today by independent researchers does the work the advisors neglected to do before the vote and, in turn, shows how harmful the decision is to vulnerable US toddlers.

The decision last fall followed clumsy discussion by Kennedy's dubiously qualified advisors, who make up the Advisory Committee on Immunization Practices (ACIP) for the Centers for Disease Control and Prevention. Most noticeably, their unprompted review of the MMRV vaccine did not include a standard decision-making framework ACIP has historically used to comprehensively evaluate what the change would mean for US children in practice—including basic questions, such as which children would be affected.

Still, the decision meant that private health insurance providers would no longer be required to cover the vaccine, called MMRV. It also meant the shot would no longer be available through a federal program that provides vaccines to about half of American children, mostly from low-income families.

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