Jackie Fortiér
A doc the Department of Health and Human Services despatched to lawmakers to assist Secretary Robert F. Kennedy Jr.’s determination to alter U.S. coverage on covid vaccines cites scientific research which might be unpublished or beneath dispute and mischaracterizes others.
One well being knowledgeable referred to as the doc “willful medical disinformation” in regards to the security of covid vaccines for youngsters and pregnant girls.
“It is so far out of left field that I find it insulting to our members of Congress that they would actually give them something like this. Congress members are relying on these agencies to provide them with valid information, and it’s just not there,” mentioned Mark Turrentine, a professor of obstetrics and gynecology at Baylor College of Medicine.
Kennedy, who was an anti-vaccine activist earlier than taking a task within the Trump administration, introduced May 27 that the Centers for Disease Control and Prevention would not advocate covid vaccines for pregnant girls or wholesome youngsters, bypassing the company’s formal course of for adjusting its vaccine schedules for adults and youngsters. The announcement, made on the social platform X, has been met with outrage by many pediatricians and scientists.
The HHS doc meant to assist Kennedy’s determination, obtained by KFF Health News, was despatched to members of Congress who questioned the science and course of behind his transfer, in response to one federal official who requested to not be recognized as a result of he wasn’t licensed to debate the matter publicly.
The doc has not been posted on the HHS web site, although it’s the first detailed rationalization of Kennedy’s announcement from the company.
Titled “Covid Recommendation FAQ,” the doc distorts some reliable research and cites others which might be disputed and unpublished, medical consultants say.
HHS director of communications Andrew Nixon instructed KFF Health News, “There is no distortion of the studies in this document. The underlying data speaks for itself, and it raises legitimate safety concerns. HHS will not ignore that evidence or downplay it. We will follow the data and the science.”
HHS didn’t reply to a request to call the writer of the doc.
One of the studies the HHS doc cites is beneath investigation by its writer relating to “potential issues with the research methodology and conclusions and author conflicts of interest,” in response to a hyperlink on the study’s webpage.
“This is RFK Jr.’s playbook,” mentioned Sean O’Leary, chair of the Committee on Infectious Diseases for the American Academy of Pediatrics and an assistant professor of pediatrics on the University of Colorado School of Medicine. “Either cherry-pick from good science or take junk science to support his premise — this has been his playbook for 20 years.”
Another study cited within the doc is a preprint that has not been peer-reviewed. Under the examine’s title is an alert that “it reports new medical research that has yet to be evaluated and so should not be used to guide clinical practice.” Though the preprint was made out there a yr in the past, it has not been printed in a peer-reviewed journal.
The FAQ supporting Kennedy’s determination claims that “post-marketing studies” of covid vaccines have recognized “serious adverse effects, such as an increased risk of myocarditis and pericarditis” — circumstances by which the guts’s muscle or its protecting, the pericardium, undergo irritation.
False claims that the 2024 preprint confirmed myocarditis and pericarditis solely in individuals who obtained a covid vaccine, and never in folks contaminated with covid, circulated on social media. One of the study’s co-authors publicly rejected that concept, as a result of the examine didn’t examine outcomes between individuals who have been vaccinated and people contaminated with the covid virus. The examine additionally centered solely on youngsters and adolescents. The HHS doc omitted quite a few other peer-reviewed studies which have proven that the danger of myocarditis and pericarditis is larger after contracting covid for each vaccinated and non-vaccinated folks than the danger of the identical problems after vaccination alone.
O’Leary mentioned that whereas some instances of myocarditis have been reported in vaccinated adolescent boys and younger males early within the covid pandemic, the charges declined after the 2 preliminary doses of covid vaccines have been spaced additional aside.
Now, adolescents and adults who haven’t been beforehand vaccinated obtain just one shot, and myocarditis not exhibits up within the knowledge, O’Leary mentioned, referring to the CDC’s Vaccine Safety Datalink. “There is no increased risk at this point that we can identify,” he mentioned.
In two cases, the HHS memo makes claims which might be actively refuted by the papers it cites to again them up. Both papers assist the security and effectiveness of covid vaccines for pregnant girls.
The HHS doc says that one other paper it cites discovered “an increase in placental blood clotting in pregnant mothers who took the vaccine.” But the paper doesn’t include any reference to placental blood clots or to pregnant girls.
“I’ve now read it three times. And I cannot find that anywhere,” mentioned Turrentine, the OB-GYN professor.
If he have been grading the HHS doc, “I would give this an ‘F,’” Turrentine mentioned. “This is not supported by anything and it’s not using medical evidence.”
While members of Congress who’re physicians ought to know to examine references within the paper, they could not take the time to take action, mentioned Neil Silverman, a professor of scientific obstetrics and gynecology who directs the Infectious Diseases in Pregnancy Program on the David Geffen School of Medicine at UCLA. “They’re going to assume this is coming from a scientific agency. So they are being hoodwinked along with everyone else who has had access to this document,” Silverman mentioned.
The workplaces of three Republicans in Congress who’re medical medical doctors serving on House and Senate committees centered on well being, together with Sen. Bill Cassidy (R-La.), didn’t reply to requests for remark about whether or not they obtained the memo. Emily Druckman, communications director for Rep. Kim Schrier (D-Wash.), a doctor serving on the House Energy and Commerce Committee, confirmed that Schrier’s workplace did obtain a duplicate of the doc.
“The problem is a lot of legislators and even their staffers, they don’t have the expertise to be able to pick those references apart,” O’Leary mentioned. “But this one — I’ve seen much better anti-vaccine propaganda than this, frankly.”
C.J. Young, deputy communications director for the House Energy and Commerce Committee, confirmed that Democratic workers members of the committee obtained the doc from HHS. In the previous, he mentioned, comparable paperwork would assist make clear the justification and scope of an administration’s coverage change and could possibly be assumed to be scientifically correct, Young mentioned.
“This feels like it’s breaking new ground. I don’t think that we saw this level of sloppiness or inattention to detail or lack of consideration for scientific merit under the first Trump administration,” Young mentioned.
On June 4, Rep. Frank Pallone (D-N.J.) and Schrier introduced a bill that might require Kennedy to undertake official vaccine choices from the Advisory Committee on Immunization Practices, or ACIP. Young mentioned the motivation behind the invoice was Kennedy’s determination to alter the covid vaccine schedule with out the enter of ACIP’s vaccine consultants, who play a key function in setting CDC insurance policies round vaccine schedules and entry.
Kennedy introduced June 9 on X that he would take away all 17 members of ACIP, citing alleged conflicts of curiosity he didn’t element, and exchange them. He introduced eight replacements June 11, together with individuals who had criticized vaccine mandates in the course of the covid pandemic.
We’d like to talk with present and former personnel from the Department of Health and Human Services or its part businesses who consider the general public ought to perceive the impression of what’s occurring throughout the federal well being paperwork. Please message KFF Health News on Signal at (415) 519-8778 or get in touch here.