Milwaukee struggles through growing lead crisis — with federal help nowhere to be found
Kat Cisar and her six-year-old twins, who attend a Milwaukee school that was found to have hazardous lead in the building. (ABC News)
(MILWAUKEE) — Kat Cisar, a mother of 6-year-old twins, found out in late February that her kids were potentially being exposed to harmful lead paint and dust at their Milwaukee school. By May, their school was on a growing list of eight others across the city, found to have degrading, chipping interiors that were putting children at risk.
Several schools have had to temporarily close for remediation efforts, including the one Cisar’s kids attend.
“We put a lot of faith in our institutions, in our schools, and it’s just so disheartening when those systems fail,” Cisar said.
Milwaukee’s lead crisis began late last year, when a young student’s high blood lead levels were traced back to the student’s school.
Since then, health officials have been combing through other Milwaukee schools to find deteriorated conditions that could harm more children. The plan now is to inspect roughly half of the district’s 106 schools built before 1978 — when lead paint was banned — in time for school to return in the fall. They plan to inspect the other half before the end of the year.
In the last few months, tests have turned up elevated blood lead levels in at least three more students, and the health department expects that number to grow as it continues to offer free testing clinics around the city.
Lead exposure — especially harmful for young children — can cause growth delays, attention disorders and even brain damage, according to the Centers for Disease Control and Prevention (CDC).
Cisar’s own children’s tests for lead levels showed no acute poisoning, but Cisar said they’ll have to keep monitoring it. Her children attended the school for three years.
“When you have little kids who are 3, 4, 5, 6 years old in a classroom like that, that’s worrisome,” she said.
The local impacts of federal cuts
Despite public health officials’ requests, federal help is not coming to Milwaukee — for now. The CDC’s National Center for Environmental Health was gutted on April 1, as part of the Trump administration’s effort to lay off 10,000 employees at the Health and Human Services Department (HHS), which oversees agencies like FDA and CDC.
The cuts included lead exposure experts who were planning to fly to Milwaukee later that month to help the city respond to the situation.
That has complicated the on-the-ground response, Milwaukee Commissioner of Health Mike Totaraitis told ABC News.
“We rely on the federal government for that expertise,” Totoraitis said. “So to see that eliminated overnight was hard to describe, to say the least.”
Erik Svendsen, division director of the CDC’s National Center for Environmental Health before it was eliminated, said the layoffs have left Milwaukee on its own.
“Without us, there is no other unit at the federal level that is here to support them in doing what they need to do,” Svendsen told ABC News.
And not just when it comes to this lead crisis, Svendsen said. Milwaukee — and other cities — won’t have CDC assistance for other environmental threats that affect the buildings people use, the air people breathe and the water they drink, he said.
“States and local public health departments are on their own now as we prepare for the heat, wildfire, algal bloom, tornado, flood and hurricane seasons,” Svendsen said.
An HHS spokesperson told ABC News the CDC’s lead prevention work will be consolidated under a new division under HHS Secretary Robert F. Kennedy Jr. — though Svendsen said he and his team have not been rehired.
Without the experts, Svendsen said the future of the work is still in limbo.
For his part, Totoraitis, the Milwaukee health commissioner, said he empathizes with the frustration expressed by parents — some of whom argue that the issue began at a local level and should be solved there.
“Putting my feet in the parents’ shoes… thinking, ‘Hey, I’m sending my kid to school, it should be safe, it should be free of lead hazards’ — and unfortunately, that’s not what we found,” Totoraitis said.
“We found that systemic issues of poor maintenance and poor cleaning had left countless hazards across multiple schools that really put students at danger,” he said.
But the extent of the problem, Totoraitis said, only furthered his department’s reliance on the experts at the CDC, with whom he said they’d been constantly in contact with for the last few months.
Funding crunch: Hire more teachers or paint a wall?
Buildings in the U.S. built before 1978 can be properly maintained by locking the old paint under layers of fresh new paint. But budget constraints in Milwaukee delayed that upkeep, officials said.
“Underfunding in schools for many, many years has really put districts at a very difficult choice of whether they should have teachers in the classroom and lower class sizes or have a paraprofessional to support — or whether they paint a wall,” said Brenda Cassillius, who started as Milwaukee Public Schools superintendent one month ago.
“And so I think now we are learning and growing,” Cassillius said, to “make sure that we have the resources in place to deal with these really serious infrastructure issues.”
Cisar, whose twins are back at their school after cleanup efforts, said she still feels like there’s lots of blame to go around.
The lack of CDC resources, she said, has only compounded a longstanding issue in Milwaukee. But she said the lack of federal support has been disheartening, nonetheless.
“Maybe that would have just been a little bit of help — but it really sends the message of, ‘You don’t matter,'” she said.
(WASHINGTON) — The first 100 days of President Donald Trump’s second term have been filled with mass firings, cancellations of research grants, university funding cuts and questions over what should be studied.
Thousands of people have been let go at federal agencies and critical research has been put on hold. Additionally, Health and Human Services Secretary Robert F. Kennedy Jr. has questioned the safety and efficacy of vaccines and antidepressant medications despite dozens of studies proving they are safe and effective.
Doctors and public health specialists critical of the administration tell ABC News they view these actions as an “attack” on science, damaging the reputation of respected agencies and by questioning what is believed to be established science.
“It’s completely unprecedented,” Steve Cohen, senior vice dean of Columbia University’s School of Professional Studies and a professor of public affairs at Columbia’s School of International and Public Affairs, told ABC News. “It’s frankly a little unhinged. I’ve never seen anything like it.”
The White House did not respond to ABC News’ request for comment.
An HHS official told ABC News that framing the actions of the admiration as an “attack” is “fundamentally dishonest.”
“Further reviewing pharmaceutical products with gold standard science and common sense is not an'”attack on science’ — it’s what the American people have asked for and deserve,” the official said. ” Let’s be clear: Secretary Kennedy is not anti-vaccine — he is pro-safety, pro-transparency, and pro-accountability.”
Thousands of layoffs
Earlier this month, HHS began to lay off 10,000 workers as part of a massive restructuring plan.
Sources previously told ABC News that affected offices included most of the Centers for Disease Control and Prevention’s Office on Smoking and Health, key offices in the Center for Tobacco Products, most of the National Institute for Occupational Safety and Health, and the entire assisted reproductive technology team at the CDC.
There have also been local impacts in communities due to federal layoffs. ABC News previously reported in March, the CDC was poised to send its lead ‘disease detectives’ to Milwaukee amid an ongoing lead crisis in schools, but the entire division was cut under sweeping HHS layoffs, leaving local health officials without help they were relying on.
Erik Svendsen, the director of the division that oversaw the CDC’s Childhood Lead Poisoning Prevention branch, previously told ABC News that what’s happening in Milwaukee is a real world example of the impact of their absence.
“Without us, there is no other unit at the federal level that is here to support them in doing what they need to do,” he said.
On Monday, officials in Milwaukee announced two additional schools are closing due to this crisis
Despite Kennedy saying some programs and employees would soon be reinstated because they were mistakenly cut, it still leaves thousands of federal employees without jobs.
Scientists have also been laid off at NASA, the Environmental Protection Agency, the Department of Agriculture and the National Oceanic and Atmospheric Administration.
Cohen said these firings have put studies on hold and have greatly reduced the capacity of the federal government to review research.
“Scientists inside agencies, whether they’re environmental scientists or medical scientists or people focusing on vaccines or drugs, are being fired, and so some of the research capacity in Washington, in the federal government is being eliminated, and also their ability to judge proposals from universities,” he said.
“The only place I haven’t seen [firings] happen yet are the laboratories,” Cohen added.
Cuts that are currently proposed or have already been implemented include the elimination of the Office of Infectious Disease and HIV Policy, created by Brett Giroir, the former U.S. assistant secretary for health.
Giroir, who helped convince Trump in his first term to set a goal to end the HIV epidemic in the U.S., wrote in a post on social media last week that the president could ruin his legacy and mission with such cuts.
Canceling research grants, funding cuts to universities
Millions of dollars’ worth of grants have been terminated at the National Institutes of Health related to studies involving LGBTQ+ issues, gender identity and diversity, equity and inclusion (DEI) because they do not “effectuate” the “priorities” of President Donald Trump’s administration, according to copies of termination letters sent to grant recipients and viewed by ABC News.
Dr. Harold Varmus, a cancer researcher at Weill Cornell Medicine in New York City and former director of the NIH, said these terminations are “detrimental” because they may be affecting people in the middle of clinical trials, or affecting the early stages of experimental work.
Research projects focusing on minority populations have major benefits, Varmus noted.
“The purpose of health research in this country is to address problems faced by everybody and to explore every facet of a population that may affect their health,” he said. “To single out certain categories of individuals who would not be appropriate to study seems ludicrous to me … one of the great strengths of America is that we are diverse.”
Universities have also been threatened with funding cuts — or have seen funds frozen — if they don’t fulfill their obligations under Title VI of the Civil Rights Act to protect Jewish students on campus and to end race-based programs.
Cohen believes universities are at odds with the administration because some on the political right view universities as “left wing.” By “weakening the finances of universities, they can force them to change the ideologies that they believe are being promoted in the classrooms,” he argued.
The problem with this idea, according to Cohen, is that the administration’s actions are hurting the least ideological parts of universities, such as engineering schools or medical centers. At Columbia, for example, several institutes and centers are conducting Alzheimer’s research, he said.
“Those are the places that are being attacked,” Cohen said. “It’s pretty ironic, but the greatest danger, actually, is that one of America’s fundamental economic strengths is the creativity and the innovation of our scientists, and that is now under attack by the Trump administration.”
Questioning safety, efficacy of vaccines
Kennedy has shared vaccine skepticism in the past and has continued to do so as HHS secretary.
In the wake of several ongoing measles outbreaks and over 800 cases so far this year, Kennedy has shared contradicting views about vaccines.
In a post on X on April 6, he said that “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 cures for measles.
Dr. Peter Hotez, a professor of pediatrics and molecular virology at Baylor College of Medicine in Houston, said the statements Kennedy has made in support of the MMR vaccine are “half-hearted.”
“The reason I say ‘half-hearted’ or insufficient is because each time he talks about using the MMR vaccine, he qualifies it,” Hotez told ABC News. “He then draws this false equivalency between either getting the MMR vaccine or this cocktail of interventions that would do absolutely nothing.”
Last month, HHS confirmed that the CDC will study “all the potential culprits” including whether vaccines cause autism despite numerous existing studies already showing there is no link.
Hotez said epidemiologic studies show that children who received either the MMR vaccine, or vaccines containing thimerosal — a compound used as a preservative in vaccines — are not more likely to be diagnosed autism than kids who didn’t receive those vaccines.
Additionally, Hotez said about 100 genes have been identified that are involved in the development of autism, many by the Broad Institute at Harvard and the Massachusetts Institute of Technology.
He believes rising rates of autism diagnoses are likely due to wider testing and expanding diagnostic criteria. Hotez added that there could be an environmental exposure influencing autism genes, but that it’s not vaccines.
In 2017, he discussed with Kennedy an investigation looking at “about half a dozen chemical exposures” in early pregnancies but Kennedy “had no interest,” according to Hotez, who later documented these conversations in a book he published in 2018.
“He apparently seems to not understand the science or doesn’t care about the science. He’s got his fixed beliefs and doesn’t want to let any of the facts or scientific findings get in the way of his fixed belief,” Hotez said. “And it’s completely irresponsible having someone like that as Health and Human Services secretary.”
Claims around antidepressant use
Earlier this year, Trump issued an executive order to study the use of several medications including antidepressants and antipsychotics.
The order called for the formation of the “Make America Healthy Again” commission — to be chaired by Kennedy — with an aim to understand chronic diseases.
Among the goals of the commission is to “assess the prevalence of and threat posed by the prescription of selective serotonin reuptake inhibitors, antipsychotics, mood stabilizers, stimulants, and weight-loss drugs.”
Dr. Joseph Saseen, associate dean for clinical affairs and a professor in the departments of clinical pharmacy and family medicine at the Skaggs School of Pharmacy and Pharmaceutical Sciences at the University of Colorado, said there are plenty of studies and analyses in the medical literature looking at the prevalence of SSRIs.
“We have an overwhelming amount of information,” he told ABC News. “These medicines, particularly SSRIs, are the most frequently prescribed antidepressants for patients with major depressive disorder. There is a plethora of information evaluating efficacy in a broad range of patient populations for which these medicines are indicated.”
Saseen says these medications do have side effects, just like any drug, but the benefits significantly outweigh the risks for most people in the general population who have major depressive disorder and anxiety disorders.
Kennedy has also falsely linked the use of antidepressants to school shootings and claimed during his Senate confirmation hearings that members of his family had a harder time stopping SSRI use than heroin use.
Experts have said there is no evidence that equates ending the use of antidepressants to ending the use of heroin or to suggest that people on SSRIs are more likely to be violent.
Saseen said it’s reasonable to question scientific research, either to reaffirm or dispute findings, but it must be done following the scientific method.
“Question it the real way, not the cowardly way,” he said. “The cowardly way is labeling things as threats or as bad without taking a scientific approach. The key is you need to use appropriate methodologies, not vocal inflections and very triggering and polarizing words to create an uprising.”
ABC News’ Dr. Jade Cobern, Cheyenne Haslett, Will McDuffie and Sony Salzman contributed to this report.
(WASHINGTON) — Bird flu is continuing to spread in animals across the United States more than a year after the first human case was detected.
Since then, at least 70 people have fallen ill and at least one death was recorded in Louisiana, according to the Centers for Disease Control and Prevention.
The number of confirmed cases in humans has held steady for almost two months, but hundreds of dairy cows continue to be infected and raw milk samples in several states have tested positive for bird flu, according to federal health officials.
There is currently no evidence the virus is spreading between people, and the CDC has said the risk to the general public is low. However, some experts told ABC News fear the virus could still mutate or adapt to become more severe or transmissible.
Here’s the latest to know about the virus and current situation.
Bird flu in the U.S.
Bird flu, or avian influenza, is an infectious viral disease that primarily spreads among birds and is caused by infection with Avian Influenza A viruses
In March 2024, bird flu was reported in U.S. dairy cows for the first time. As of Friday, the virus has infected more than 1,000 herds across 17 states, according to the U.S. Department of Agriculture (USDA).
The CDC confirmed the first human case in April 2024 in a Texas dairy worker who was exposed to cows presumed to be infected. This is believed to be the first instance of mammal to human spread of the H5N1 strain.
Bird flu has also been causing outbreaks in poultry, leading to human cases among U.S. poultry farm workers and culling operations workers.
Three human cases have had no known or identifiable exposure to the virus.
Dr. Tony Moody, a professor of pediatrics and in immunology at Duke University School of Medicine, said there has been so much transmission of bird flu in animals that he wonders if mass immunity is far off.
“In terms of the cattle population and other animal reservoirs, I’m starting to wonder exactly how many more cases we’ll see because, at this point, we’re probably heading toward — and pun is intended here — herd immunity,” he told ABC News.
Moody said there is currently no evidence of human-to-human transmission, which he says raises the question of whether or not H5N1 is likely to make that jump.
What is the U.S. doing to fight bird flu?
According to the USDA, the agency is investing $1 billion to fight bird flu, including $500 million for biosecurity measures, $400 million in financial relief for affected farmers and $100 million for vaccine research.
Between March 2024 and now, the CDC said it — along with state and local health departments — have monitored at least 16,600 people exposed to infected animals and tested at least 880. Meanwhile, USDA is responsible for testing livestock herds.
Moody said ramping up testing on both sides would give public health workers better situational awareness.
“I think the real question comes down to: how much do we want to test animals and people in order to be able to nail down transmission events and really understand how frequently this is happening?” Moody said, “I would personally like to see better surveillance and more coordinated surveillance.”
He said he understands this might not be possible due to the allocation of limited resources, but it would provide a better national picture.
“I think that the problem we have right now is that we have an incomplete view because testing of animals falls under one department, testing of people falls under a different department,” Moody said. “They don’t necessarily communicate in real time with accurate information and, the two agencies in question here, they’ve got very different purposes.”
Dr. Dean Blumberg, chief of the division of pediatric infectious diseases at the University of California, Davis Health, said he is worried that there has been a curtailing of testing and surveillance.
“If we don’t have the data then we don’t know what next steps to take,” he told ABC News. “There is increased likelihood that there will be increased spread among animals and humans and, by the time we become aware of increased transmission, then it may be too late for successful mitigation.”Under the USDA’s National Milk Testing Strategy to test raw milk samples for bird flu, the agency has identified at least seven affected states.
Meanwhile, the Food and Drug Administration announced last year it was beginning to sample aged raw cheese to test bird flu, with early results showing most samples were negative.
On the vaccine front, the U.S. has licensed three bird flu vaccines, targeting the H5N1 strain, which are being held in a national stockpile. They are not available to the public and would only be distributed in case of an emergency.
Last year, the World Health Organization it launched an initiative to help accelerate the development of a human bird flu vaccine using messenger RNA (mRNA) technology.
Earlier this year, Moderna was awarded approximately $590 million from the federal government to help speed up the development of an mRNA-based bird flu vaccine, alongside other influenza vaccines.
What we don’t know
Although there is no evidence of human-to-human transmission yet, or that the virus has mutated to become more infectious, Moody said he still worried about mutations and adaptations.
Earlier this year, a dairy cow was found to be infected with another type of bird flu for the first time, which experts have previously said is evidence that the virus is adapting.
“The thing about this virus is that it mutates every time somebody gets infected, right?” Moody said. “We know that there is an intrinsic rate of mutation that the virus has, and as with most mutations, the vast majority … don’t lead to any additional pathogenicity or transmissibility.”
He went on, “But the more cases that you have, whether that is in chickens or cows or people, the more of those random events are occurring and we know that eventually the virus will probably find a way to increase its transmissibility to people or increase some other property that makes it a problem.”
Moody said he is also concerned about reassortment, which is when a hybrid — or recombinant — virus, is formed. An example is an individual getting infected with bird flu and seasonal influenza at the same time and a hybrid virus forming as a result.
He clarified that there is no evidence this has happened yet, and that he believes the U.S. is in a better position to respond today if a pandemic-like situation arises, “but nature has a way of surprising us.”
(Texas) — Central Texas is continuing to recover from devastating rains and “catastrophic” flooding that damaged homes and businesses and killed more than 100 people, many of whom were children.
Victims and first responders may suffer physical injuries from natural disasters, such as floods, but psychologists and disaster experts say such events can also exact a heavy mental health toll – and the resources to address that cost may not always be available.
“We don’t talk about mental health in general enough and mental health services, in general, are under-resourced. So, when it comes to disasters, we’re already strapped for resources,” Reggie Ferreira, a professor at Tulane University’s School of Social Work and director of the university’s Disaster Resilience Leadership Academy, told ABC News.
“I would definitely say, especially for decision makers, to prioritize mental health because, at the end of the day, you can have wonderful community-based programs,” he continued. “But if your community’s mental health is not taken care of first, these infrastructure programs don’t mean a lot in the long run.”
Mental health impact of natural disasters
A 2013 review of mental health responses to community disasters, published in the Journal of the American Medical Association, stated that one-third or more of individuals severely exposed to a natural disaster can develop post-traumatic stress disorder (PTSD) or other disorders.
Another 2023 meta-analysis found a connection between natural disasters and a deterioration of mental health. implying an increase in mental illness soon after extreme weather events.
Ferreira said every individual is unique, and so everyone may have a different response to a natural disaster, but there are common signs of trauma to look out for.
“Fear, disbelief, numbness, guilt as well,” he said. “You know, ‘Why am I experiencing this?’ Or, if someone has passed away, there’s a [survivor’s] guilt element that comes in. Longer term, there’s definite symptoms that [arise] such as depression, anxiety; post-traumatic stress disorder can come about.”
He continued, “There might just be a trigger that comes about, a particular smell or seeing an image or just recalling a particular event that happened with them during a disaster. This … results in cascading effects for people.”
Ferreira said some of those affected may turn to substance abuse as a result of the trauma, or experience conflict in relationships.
Climate scientists have said that climate change is likely to make extreme weather events, similar to those experienced in Texas, occur more frequently and with more intensity . This means “there will definitely be an increase in mental health symptoms as it relates to our changing climate,” according to Ferreira.
If you need help, Ferreira said it’s important to be aware of hotlines that are available, such as the American Red Cross’ Disaster Distress Helpline. It’s also helpful for people in an affected community to provide social support, if they can.
“If you were not impacted directly by the disaster, it’s important if you can get someone a meal or replace some of their daily tasks for them,” Ferreira said. “That social support in the long run really does have an impact on mental health outcomes.”
Effects on children
Natural disasters, like the floods in Texas, also can take a mental and emotional toll on children.
Marni Elyse Axelrad, clinic chief of the psychology division and a pediatric psychologist at Texas Children’s Hospital, said there are two groups of children to be concerned about: those who were severely affected and lived through the event, and those experiencing it via the news, on social media, or who know someone affected by the event.
For the children who were directly affected, “in the short term, we worry about seeing things like increased irritability and anger, loss of interest in things children were previously interested in, more or less sleep, changes in appetite, physical complaints and exacerbations of previous difficulties,” Axelrad told ABC News.
In the long term, the affects could lead to anxiety, depression, disruptive behavior and symptoms of PTSD, Axelrad said.
Children who were not directly affected can experience similar symptoms, Axelrad said, but noted that they can be lessened to varying degrees by reducing the child’s exposure to coverage of the natural disaster.
Axelrad said that there’s no right way or wrong way for a child to respond in the immediate aftermath of a natural disaster. However, it’s important to reestablish familiar routines for children as soon as possible. It’s also important for parents and other adults to validate a child’s feelings, as well as to spend extra time with them and to set a good example of coping skills through their own behavior. It also important to validate the feelings of children who were not directly affected by the natural disaster, she added.
“Making sure that we’re not invalidating a child’s feelings, [that] we’re not saying, ‘Stop crying, you weren’t a part of this. You’re so lucky that it wasn’t you,'” Axelrad said. “Those aren’t very helpful things to say. Rather, saying, ‘I also saw those images and they were really scary. I hear that you’re scared, and I want to reassure you about your safety’ is very important.”
“I think that sometimes we try really hard to minimize the negative feelings in our children and these negative feelings are normal and to be expected,” Axelrad added.
