HHS reverses NIOSH firings that stripped coal miners’ health protections
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(MORGANTOWN, WV) — The Department of Health and Human Services on Tuesday reversed the firings of more than 100 federal employees with the National Institute for Occupational Safety and Health, the federal institute that helps protect coal miners from black lung, according to Republican Sen. Shelley Moore Capito.
Roughly 200 employees of the NIOSH office in Morgantown, West Virginia, were put on administrative leave in April and informed they would be formally fired in June. Some were temporarily brought back roughly two weeks ago, but until Tuesday they were told they would still be terminated next month.
In a letter sent Tuesday, a copy of which was obtained by ABC News, HHS said, “You previously received a notice regarding the Department of Health and Human Services’ (HHS) upcoming reduction in force (RIF). That notice is hereby revoked. You will not be affected by the upcoming RIF.”
The move comes after public pressure from Capito, and follows a series of ABC News reports detailing the impact the firings would have on black lung health care programs for coal miners.
Capito, announcing the reversals on X, said, “The heath and safety of our WV workers, including our miners, is of the utmost important and I will always advocate for their wellbeing.”
Critics said the initial firings, part of President Donald Trump’s efforts to slash the size of the federal government, belied his vow to reinvigorate America’s coal industry.
NIOSH has offices in several other states covering a range of issues from vehicle safety to firefighter health care. It’s unclear if any employees in those offices were also rehired.
ABC News reached out to HHS for comment.
The announcement came just hours before a federal judge ordered HHS Secretary Robert F. Kennedy Jr. to temporarily halt its dismissal of NIOSH officials who oversee the black lung surveillance program.
“Losing the services of these experienced and dedicated employees is an aspect of the irreparable harm to the miners and the public that cannot and should not be ignored,” U.S. District Judge Irene Berger wrote in her order Tuesday.
It was not immediately clear whether the ruling had anything to do with the Trump administration’s decision to reinstate the workers earlier Tuesday.
Judge Berger’s ruling came after a veteran coal miner named Henry Wiley, in April, challenged the Trump administration’s removal of the NIOSH employees, arguing that terminations endangered him and other miners.
The judge wrote Tuesday that Wiley and a handful of NIOSH officials who testified in a hearing last week persuaded her of the importance of NIOSH’s health screening program and a waiver called Part 90, which allows miners with early-stage black lung disease to transfer to roles out of the mines.
If the NIOSH dismissals were allowed to go forward, Berger wrote, “thousands of miners will go without screening for black lung, and those with black lung will be deprived of access to the Part 90 transfer option.”
Berger referenced Kennedy directly, writing, “Does the Secretary of the Department of Health and Human Services genuinely believe that a miner diagnosed with black lung is not being injured when the program designed to confirm his condition and provide him with workplace protections to prevent its progression is rendered inaccessible? This court does not share such a belief.”
Berger ordered the Trump administration to grant “full restoration of the NIOSH Respiratory Health Division, rescission of the [reduction in force letters], and compelling continued health surveillance” through the health surveillance program and Part 90.
She gave Kennedy three weeks to report in writing when the court’s orders have been satisfied.
In a statement to ABC News, plaintiffs attorney Sam Petsonk said, “This opinion gives life to our foundational principles of judicial review, empowering ordinary citizens like these coal miners to defend their rights.”
“We’re glad to see the Administration already taking some initial steps in the direction of complying with the order. America’s coal miners deserve nothing less, and in fact they deserve a heck of a lot more,” Petsonk said.
An HHS spokesperson told ABC News that Kennedy has been working hard to maintain NIOSH’s critical functions as HHS streamlines its operations, and that the Trump administration is committed to supporting coal miners and firefighters.
(DADE CITY, Fla) — Florida became the second state in the country after Utah to ban local governments from adding fluoride to their public water systems.
Gov. Ron DeSantis signed the bill at Simpson Lakes in Dade City — about 38 miles northeast of Tampa — on Thursday. The law is set to go into effect on July 1.
“We certainly now, in our society in 2025, we have the ability to deliver fluoride through toothpaste and all these other things,” DeSantis said at an event for the signing of the bill. “You don’t gotta force it and take away people’s choices. But the whole crux of the issue is you should be able to make decisions on the basis of informed consent.”
“Forcing this in the water supply is trying to take that away from people who may want to make a different decision rather than to have this in water,” DeSantis added.
DeSantis said the state has received praise from Health and Human Services Secretary Robert F. Kennedy Jr., who has been critical of fluoride.
Local communities in Florida had moved to stop adding fluoride to the public water supply prior to the statewide bill, with Miami-Dade County commissioners voting in favor 8-2 last month to ban fluoride.
Commissioner Roberto Gonzalez, who sponsored the legislation, referred to fluoride as a “neurotoxin” and said that studies show it “should not be in the water.”
Fluoride is a mineral that naturally occurs in water sources such as lakes and rivers, and is even naturally present in some foods and beverages, according to the American Dental Association(ADA).
It is added to some dental products, such as toothpaste, to help prevent cavities.
High-quality studies show fluoride prevents cavities and repairs damage to teeth caused by bacteria in the mouth. Fluoride makes tooth enamel stronger and rebuilds weakened tooth enamel, the ADA says.
Fluoride also replaces minerals lost from teeth due to acid breakdown, according to the Centers for Disease Control and Prevention (CDC).
However, influential skeptics such as Kennedy have long raised doubts about the benefits of fluoride.
Kennedy has claimed that fluoride in drinking water affects children’s neurological development and that other countries that have removed fluoride from their water supplies have not seen an increase in cavities.
Last month, during a press conference in Utah, Kennedy said he plans to assemble a task force and change guidance from the CDC to stop recommending adding fluoride to drinking water.
Additionally, this week, the FDA announced it is taking action to remove concentrated ingestible fluoride prescription drug products for children from the market. This does not include toothpaste with fluoride or fluoride rinses.
A large review paper published in January 2025 suggested a link between fluoride and lower IQ in children, but much of the underlying data was pulled from other countries, where fluoride exposure is far higher than levels used in drinking water in the U.S.
Some health professionals have also expressed concerns about excessive fluoride intake and potential toxicity.
Many doctors and dental associations, however, argue that fluoride in water is still a crucial, low-risk/high-reward public health tool, especially for disadvantaged children and adults who may not be able to practice regular dental hygiene.
ABC News’ Cheyenne Haslett and Sony Salzman contributed to this report.
(WASHINGTON) — Health and Human Services Secretary Robert F. Kennedy Jr., one of the nation’s most publicly recognized vaccine skeptics, took a softened approach on vaccines when he answered questions before a House committee Wednesday morning, saying, “I don’t think people should be taking medical advice from me.”
Kennedy, who also testified before a Senate committee the same day, defended the massive cuts to the department’s workforce and laid out his priorities for the Trump administration’s proposed budget.
Kennedy’s congressional committee appearances marked the first time he testified before Congress since his confirmation hearings in late January, and forced Kennedy to confront statements he made that critics said were evidence of promises broken.
Kennedy says his ‘opinions about vaccines are irrelevant’
During the House hearing, Kennedy avoided sharing his own thoughts about vaccines — which have previously invited skepticism — instead deferring to the doctors running the National Institutes of Health and Centers for Disease Control and Prevention.
Asked by Democratic Rep. Mark Pocan if he would today vaccinate his own children for measles and chickenpox, Kennedy said “probably” for measles, but that “what I would say is my opinions about vaccines are irrelevant.”
“I don’t want to seem like I’m being evasive, but I don’t think people should be taking advice, medical advice from me,” Kennedy said.
He said he has directed NIH Director Jay Bhattacharya to try to “lay out the pros and cons, the risks and benefits, accurately as we understand them, with replicable studies,” for people to “make that decision.”
His comments mark a departure from his strong opinions about vaccines before taking office as HHS secretary.
During his confirmation hearing in January, Kennedy said that he supports vaccines, although he refused to unequivocally say that vaccines don’t cause autism, despite numerous existing studies already showing there is no link. However, in March, the HHS confirmed that the CDC will study whether vaccines cause autism.
Shortly after Kennedy said people should not take his medical advice, some public health experts criticized the comments — with one saying that giving people guidance “is [Kennedy’s] job.”
“The problem is that is his job — the top line of his job description — is the nation’s chief health strategist. That is the top line of every health official, federal, state, local leader. That is his job, is to give people the best advice that he can. I believe that he’s giving up on, in my view, his chief responsibility,” Georges Benjamin, executive director of the American Public Health Association, told reporters on a call in which he and other health leaders responded to Kennedy’s testimony in front of the House Appropriations Committee.
Benjamin pointed out that Kennedy has, in fact, seemed to advise people on how to treat measles, leading them toward unproven remedies.
Democrats push Kennedy on cuts: ‘You can’t fire 90% of the people and assume the work gets done’
Democrats on both the House and Senate committees questioned Kennedy about cuts to HHS — with several testy exchanges.
Including the roughly 10,000 people who have left over the last few months through early retirement or deferred resignation programs, the overall staff at HHS is expected to fall from 82,000 to around 62,000 — or about a quarter of its workforce.
Democratic Sen. Tammy Baldwin, quoting ABC News’ reporting last week, asked Kennedy about cuts to the CDC’s lead poisoning prevention program.
Though the program has been completely gutted and the expert staff has been laid off, Kennedy said he believes lead poisoning to be an “extremely significant concern” and said he does not intend to eliminate the program.
Kennedy suggested that HHS would still spend the money appropriated to the program — but didn’t offer any details on how the work would continue without any expert staff.
In another heated exchange, Democratic Sen. Patty Murray asked Kennedy about cuts to National Institute for Occupational Safety and Health, including the reinstatements that are mostly in Ohio and West Virginia. She said no one has been reinstated in the Western states, including at the Spokane, Washington, office that does research into miner safety.
“The work in NIOSH will not be interrupted,” Kennedy said. “We understand it’s critically important function, and I did not want to see it end.”
Murray quipped back, “I would just say you can’t fire 90% of the people and assume the work gets done.”
During the earlier House hearing, Kennedy continued to maintain that widespread cuts at HHS have not impacted key health programs, saying he has not withheld any funding for lifesaving research at NIH and continues to prioritize pillars such as Head Start, Medicare and Medicaid.
But in a tense back-and-forth with Democratic Rep. Rosa DeLauro, ranking Member of the House Appropriations Committee, she demanded Kennedy’s assurance that he would not cut programs that have been approved and funded by Congress, which has “the power of the purse” ascribed to it in the Constitution.
Kennedy said he would spend appropriated money — which drew repeated exasperation from DeLauro, who pointed to $20 billion in cuts to NIH.
Kennedy asserted that his goal at HHS is to focus on the chronic disease epidemic and deliver effective services for those who rely on Medicare, Medicaid and other services by cutting costs to taxpayers.
“We intend to do more, a lot more with less. The budget I’m presenting today supports these goals and reflects two enduring American values, compassion and responsibility,” Kennedy said.
DeLauro slammed Kennedy and the Trump’s administration for the cuts to HHS, including the elimination of entire divisions.
“Mr. Secretary, you are gutting the life-saving work of the Department of Health and Human Services and its key agencies while the Republicans in this Congress say and do nothing,” DeLauro said. “Because of these cuts, people will die.”
DeLauro also finished the hearing with an impassioned plea for Kennedy to stop cutting programs, telling him he does not have the authority to go against what Congress allocated in the budget.
“You do not have the authority to do what you are doing,” she said.
Kennedy rebuked criticism of his agency’s response to the measles outbreak, which has surpassed 1,000 cases for the first time in five years, according to the CDC.
A total of 92 patients have been hospitalized over the course of the outbreak and two school-aged children died in Texas. Both were unvaccinated and had no known underlying conditions, according to the Texas Department of State Health Services.
“We are doing a better job at CDC today than any nation in the world controlling this measles outbreak,” Kennedy said.
DeLauro hit back, saying that Kennedy’s comparison of the U.S. response to measles to the response of other countries was unfair.
“Mr. Secretary, you keep comparing the U.S. to other countries, compare us to Europe, but the Europe you are referring to is the WHO European region, [which] has 53 countries in Europe and in Asia, including those with low … vaccination rates like Romania and that has never eliminated measles,” she said. “If you compare us to western Europe countries that we often compare ourselves to, like Great Britain, they have seen no measles death.”
Kennedy argued that the U.S. is doing better than other countries in the Americas with smaller populations, including Canada and Mexico.
DeLauro scolded Kennedy for promoting vaccine skepticism in the wake of a measles outbreak spreading across the U.S.
Kennedy has shared contradicting views about vaccines. In a post on X on April 6, Kennedy said that the “most effective way to prevent the spread of measles” is to receive the measles, mumps, rubella (MMR) vaccine. However, in a post later that evening, he said more than 300 children have been treated with an antibiotic and a steroid, neither of which are recognized treatments or cures for measles.
A particularly heated moment occurred when Democratic Sen. Chris Murphy told Kennedy that the secretary has equivocated when discussing the measles vaccine. Murphy noted instances in which Kennedy has touted the effectiveness of the vaccine before listing its potential harms.
Kennedy, angry at the line of questioning, interrupted Murphy, claiming his prior comments were true.
When Murphy pressed for Kennedy to say directly whether he recommended the measles vaccine for people, Kennedy, who told CBS News in an April interview that he did recommend the shot, said, “I am not going to just tell people everything is safe and effective if I know that there’s issues. I need to respect people’s intelligence.”
Vaccine specialists say the measles vaccine is durable and two doses in your youth is sufficient for lifelong protection without the need for a booster. The CDC notes on its website that the agency “considers people who received two doses of measles vaccine as children according to the U.S. vaccination schedule protected for life, and they do not ever need a booster dose.”
Numerous studies over decades across multiple countries have confirmed the safety and efficacy of the MMR vaccine, the American Academy of Pediatrics notes. Additionally, monitoring for the safety of a vaccine does not end after the shot has been licensed for use. There are federal health databases in which anyone can report side effects or reactions following a vaccine — officials are then able to review these reports and identify any potential safety issues.
(FORT LAUDERDALE, Fla.) — A case of active tuberculosis has been confirmed at a Florida high school, according to state health officials.
The Florida Department of Health in Broward County (DOH-Broward) identified the infected individual, who was recently on campus at Dillard High School in Fort Lauderdale, John J. Sullivan, chief of communications and legislative affairs for Broward County Public Schools (BCPS), told ABC News in a statement.
“In collaboration with DOH-Broward, Broward County Public Schools has identified and notified individuals who may have been in close contact. With parental consent, DOH-Broward will be on-site to provide testing. Impacted students and staff have been directly contacted,” the statement read.
Additionally, the school principal sent a letter to the community on Tuesday, making them aware of the case, BCPS told ABC News.
“No further action is needed unless you are contacted directly. Once again, if you have not been contacted directly or your child has received a letter to present to you, there is no action required at this time,” the letter read, in part. “We certainly thank you for your understanding as we continue to navigate through this.”
It’s unclear if the individual is a student, faculty member or staff member.
It comes after Kansas health officials and the Centers for Disease Control and Prevention said the state experienced one of the largest recorded tuberculosis outbreaks in U.S. history earlier this year.
Tuberculosis (TB) is a disease caused by a type of bacteria called Mycobacterium tuberculosis, according to the CDC. It is one of the world’s leading infectious disease killers, the federal health agency says.
TB is spread in the air from one person to another. When a person with TB coughs, speaks or sings, germs are expelled into the air — where they can linger for several hours — before another person breathes in the air and becomes infected.
Signs and symptoms include a cough that lasts for three weeks or longer, coughing up blood or phlegm, chest pain, weakness, fatigue, weight loss, loss of appetite, fever, chills and night sweats, according to the CDC.
Some people become infected with TB germs that live in the body for years without causing illness. This is known as inactive TB or latent TB.
People with inactive TB do not feel ill, do not have symptoms and cannot spread germs to other people, the CDC says. However, without receiving treatment, people with inactive TB can develop an active infection.
Last year, the U.S. saw more than 8,700 cases of TB, according to CDC data. Although TB cases have been steadily declining since the mid 1990s, rates increased in 2021, 2022 and 2023, with 2023 matching pre-pandemic levels.
There are several treatment regimens for TB disease that may last anywhere from four months to nine months depending on the course of treatment. Health care providers may consider specific regimens for patients with co-existing medical conditions such as diabetes or HIV.
A vaccine, known as Bacille Calmette-Guérin (BCG), is commonly given to children in countries where TB is common, although it is generally not recommended in the U.S. due to the low risk of infection with the bacteria, variable vaccine effectiveness among adults, and the vaccine’s potential interference with TB tests, the CDC notes. The BCG vaccine often leaves a scar where the recipient was given the shot.
