HHS and EPA looking into changes to nation’s fluoride guidance
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(WASHINGTON) — Health and Human Services Secretary Robert F. Kennedy Jr. said on Monday he plans to assemble a task force and ultimately change the Centers for Disease Control and Prevention’s guidance to stop recommending adding fluoride.
His comments came during a press conference in Utah, which just became the first state to ban fluoride from drinking water systems.
The Associated Press was the first to report Kennedy’s intended changes to the CDC guidance.
The CDC currently recommends the use of fluoride to prevent cavities.
If Kennedy, who has been outspoken in his support for removing fluoride from water, directs the CDC to change its guidance, it could lead to more cities and states removing fluoride from drinking water, a decision that’s made on the local level.
“Fluoride should not be in the water,” Kennedy said on Monday.
But the CDC’s guidance on fluoride is not enforceable, and a ban on fluoride, should it survive legal challenges, would ultimately need to come from the Environmental Protection Agency.
EPA Administrator Lee Zeldin, also in Utah with Kennedy on Monday, announced that the EPA, too, is reviewing “new science” on fluoride. EPA sets the maximum level of fluoride in water.
“We’re prepared to act based on the science,” Zeldin said at the press conference.
The review by EPA will “inform any potential revisions to EPA’s fluoride drinking water standard,” a press release said, specifically citing a report from the National Toxicology Program, a government-run division.
The August report found lower IQ in children who had higher levels of fluoride exposure — about twice the level recommended limit for U.S. drinking water — and said more research is needed to determine if the small doses recommended in the U.S. cause harm.
“Many substances are healthy and beneficial when taken in small doses but may cause harm at high doses. More research is needed to better understand if there are health risks associated with low fluoride exposures,” the report said.
The study was also cited in a federal judge’s ruling in September that ordered the EPA to take steps to lower the potential risk of fluoride.
U.S. District Judge Edward Chen said more research was needed to understand if the typical amounts of fluoride in the water in the U.S. were causing lower IQ in kids.
“I think we need to apply the cautionary principle in this country that we should do no harm,” Kennedy said Tuesday. “And it clearly is doing harm, and the tradeoff is IQ loss in kids, and we can’t afford that in this country. We need all the brain power that we can to handle the challenges of the future.”
In November, shortly before the election, Kennedy pledged that the Trump administration would advise all U.S. water systems to remove fluoride from public water on day one.
The American Dental Association, responding to Kennedy and Zeldin’s comments Tuesday, said fluoride in water was necessary for good oral health and at U.S.-recommended levels “does not negatively impact IQ levels.”
“The growing distrust of credible, time-tested, evidence-based science is disheartening. The myths that fluoridated water is harmful and no longer necessary to prevent dental disease is troublesome and reminds me of fictional plots from old movies like Dr. Strangelove,” said Brett Kessler, president of the American Dental Association.
“When government officials, like Secretary Kennedy, stand behind the commentary of misinformation and distrust peer-reviewed research it is injurious to public health.”
(LUBBOCK, Texas) — The measles outbreak in western Texas is continuing to grow with 20 additional cases confirmed, bringing the total to 279 cases, according to new state data published Tuesday.
Almost all of the cases are in unvaccinated individuals or in individuals whose vaccination status is unknown, according to the Texas Department of State Health Services (DSHS). Just two cases are among fully vaccinated individuals. At least 36 people have been hospitalized so far, the state said.
In the Texas outbreak, children and teenagers between ages 5 and 17 make up the majority of cases, at 120, followed by children ages 4 and under making up 88 cases, the DSHS data shows.
“Due to the highly contagious nature of this disease, additional cases are likely to occur in the outbreak area and the surrounding communities,” the DSHS said in its update.
The number of measles cases in Texas is close to the number confirmed for the entirety of last year in the U.S., which saw 285 cases nationwide, according to data from the Centers for Disease Control and Prevention.
Two likely measles deaths have been reported so far in the U.S. this year. The first reported death was in Texas, according to the DSHS. The child did not have any known underlying conditions, according to the department.
The death was the first U.S. measles death recorded in a decade, according to data from the CDC.
A possible second measles death was recorded after an unvaccinated New Mexico resident tested positive for the virus following their death. The New Mexico Department of Health (NMDOH) said the official cause of death is still under investigation.
New Mexico has reported a total of 33 measles cases so far this year, according to the NMDOH. Many of the cases have been confirmed in Lea County, which borders western Texas.
Health officials suspect there may be a connection between the Texas and New Mexico cases, but a link has not yet been confirmed.
The CDC has confirmed 301 measles cases in at least 14 states so far this year, including Alaska, California, Florida, Georgia, Kentucky, Maryland, New Jersey, New Mexico, New York, Pennsylvania, Rhode Island, Texas, Vermont and Washington, according to new data published Friday.
The majority of nationally confirmed cases are in people who are unvaccinated or whose vaccination status is unknown, the CDC said. Of those cases, 3% are among those who received just one dose of the MMR (measles, mumps and rubella) inoculation and 2% are among those who received the required two doses, according to the CDC.
The CDC recommends that people receive two doses of the MMR vaccine, the first at ages 12 to 15 months and the second dose between ages 4 and 6 years old.
One dose is 93% effective, and two doses are 97% effective, the CDC says. Most vaccinated adults don’t need a booster, per the health agency.
In the face of the growing measles outbreak, the federal health agency issued an alert on March 7 saying parents in the outbreak area should consider getting their children an early third dose of the MMR vaccine. Texas health officials have also recommended early vaccination for infants living in outbreak areas.
ABC News’ Youri Benadjaoud and Sony Salzman contributed to this report.
(AUSTIN, Texas) — The measles outbreak in western Texas has now reached 624 cases, with 27 new infections confirmed over the last five days.
Nearly all of the cases are among unvaccinated individuals or among those whose vaccination status is unknown, according to new data published by the Texas Department of State Health Services (DSHS) on Tuesday.
Currently, 10 cases are among residents who have been vaccinated with one dose of the measles, mumps and rubella (MMR) vaccine, while 12 cases are among those vaccinated with two doses.
At least 64 measles patients have been hospitalized so far, according to the DSHS, with the majority of cases presenting in children and teenagers between ages 5 and 17, followed by children ages 4 and under.
Gaines County, which borders New Mexico, remains the epicenter of the outbreak, with 386 cases confirmed so far, DSHS data shows.
This is a developing story. Please check back for updates.
(AUSTIN, TX) — Health and Human Services Secretary Robert F. Kennedy Jr. seemed to imply in recent days that the measles outbreak in western Texas was slowing down.
In a post on X on Sunday, Kennedy remarked on the second death linked to the outbreak, which occurred in an unvaccinated school-aged child.
About 10 minutes later, Kennedy edited the post to add that the curve has been flattening since early March, when he started sending in reinforcements from the Centers for Disease Control and Prevention — supplying clinics with vaccines and other medications.
“Since that time, the growth rates for new cases and hospitalizations have flattened,” he wrote.
However, data from the Texas Department of State Health Services showed that cases are increasing, with more counties in western Texas reporting infections.
Katherine Wells, director of public health for Lubbock, Texas, said last week that public health officials were projecting “a year-long timeline for control of the outbreak.”
“This is going to be a large outbreak, and we are still on the side of increasing number of cases, both due to spread and increased testing capacity,” she said.
Public health specialists told ABC News they are skeptical that the curve is flattening and believe that cases linked to the outbreak are not only increasing, but likely much higher than the official case count.
“This outbreak is far from under control — even if the curve begins to flatten, we still face major risks in under-vaccinated communities across the country,” said Dr. John Brownstein, an epidemiologist and chief innovation officer, as well as an ABC News contributor. “With so many pockets of low vaccination, we’re still on the brink of widespread, sustained transmission unless urgent action is taken.”
Likely more cases in Texas
As of Tuesday, there have been 505 confirmed measles cases in Texas, according to DSHS data.
Between March 28 and April 4, DSHS confirmed 81 cases — one of the highest totals confirmed in a single week since the first cases were identified in late January. The Texas Department of State Health Services does not make hospitalization rates available to the public.
“We know that there have been more cases, at least sustained cases, over the past couple months. We know that the size of the outbreak has jumped pretty substantially over the past month,” Dr. Craig Spencer, an associate professor of the practice of health services, policy and practice at the Brown University School of Public Health, told ABC News.
ABC News has requested a copy of the data that Kennedy is referring to when making claims about the curve flattening, but has not yet heard back from the HHS.
“We don’t have a full picture of what’s happening on the ground because of our inability to reach some communities. And so, I certainly would not feel confident saying that we have plateaued,” he added.
Spencer said one reason he is not comfortable saying the outbreak has plateaued in Texas is that he believes the number of cases is likely an undercount.
Texas DSHS said any cases reported after March 16 are incomplete, and additional cases may be reported.
There have been two confirmed deaths linked to the Texas outbreak and a third death is being investigated in New Mexico in an unvaccinated adult who tested positive after dying.
“We know that there’s really, on average, about one death for every around 1,000 cases,” Spencer said. “We’ve already seen three deaths, which would make you suspect it’s probably more like 3,000 cases.”
“It feels very, very likely that the count is higher than 500,” he said, adding, “It’s not impossible for there to be three deaths among 500 cases, but statistically, one would expect more cases for that number of deaths.”
Dr. Megan Ranney, dean of the Yale School of Public Health, told ABC News there is risk in saying the cases have flattened when the data may suggest otherwise. Namely, she said is worried that people may be dissuaded from getting tested or treated.
“We know that many people are avoiding formal medical care and therefore testing. There is always a delay in reporting even when people are tested,” Ranney said. “I worry that people are afraid to get measles tested or to bring their kid in for care.”
“My other worry is we still want people to take prevention measures and, of course, we know the vaccine is not only the safest way, but also the most effective way to prevent infection with measles,” she continued.
Kennedy promotes catch-all treatments not intended for all measles cases
In a second social media post on Sunday evening, Kennedy shared that he had met the families of the two school-aged children who died of measles in Texas, as well as a third family who reportedly had a daughter in the ICU for three weeks with measles.
Kennedy said he also met with two physicians who have “treated and healed” about 300 children infected with measles in the Mennonite community with aerosolized budesonide and clarithromycin.
Aerosolized budesonide is a steroid used to reduce inflammation in the lungs, making it easier to breathe. Clarithromycin is an antibiotic used to treat bacterial infections.
“If you were to go to any evidence-based treatment guidelines, there is nothing that says you should treat patients with budesonide or clarithromycin,” Spencer said. “Now those are medications that have a broad suite of uses, and so I’m not going to say that they have absolutely no indication for measles, or really anything else.”
He said there are scenarios in which either medication may be used in a measles patient, but it is on a case-by-case basis.
“I don’t think that they’re hurting anyone, but they’re probably not helping anyone,” he added. “They are not at all tools that I would reach to as my first, or really even second, line of tools that I would use in someone presenting with symptoms consistent with measles.”
In an interview with ABC News Live on Monday, Dr. Peter Marks, the former director of the Center for Biologics Evaluation and Research within the Food and Drug Administration — who is reported to have been forced out — said budesonide, clarithromycin and vitamin A — another treatment endorsed by Kennedy — are neither preventatives nor “real treatment” for all cases of measles.
He highlighted the importance of receiving the measles, mumps and rubella, or MMR, vaccine. The CDC currently recommends that people receive two doses of the MMR vaccine, the first at ages 12 to 15 months and the second between 4 and 6 years old. One dose is 93% effective, and two doses are 97% effective against measles or nearly 100% effective against dying of measles after contracting it.
Some people may be at risk for an adverse reaction with any vaccine, so experts say it’s important to discuss the risks and benefits with a health care provider.
“It should be an easy decision, as easy as buying a car seat and strapping your kid in,” Marks said about getting a vaccine if eligible. “You would never drive without your kid strapped into their car seat. You know, if you had an 18-month-old, why wouldn’t you give that child something that could prevent your child from dying of an infection when there’s a one in 1,000 chance if they get measles, they would die from it?”
ABC News’ Dr. Mark Abdelmalek contributed to this report.
