June 26, 2025
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nominations
Trump’s CDC pick walks a fine line on RFK Jr.Susan Monarez has long grey hair and speaks at a microphone. The camera is at a steep diagonal angle.

Kayla Bartkowski/Getty Images

Susan Monarez was not President Trump’s first pick to lead the CDC — former Representative Dave Weldon, a vaccine skeptic and the initial nominee, was withdrawn amid concerns that lawmakers would not confirm him — but yesterday, she became the first nominee to appear before the Senate. As members of the Health, Education, Labor and Pensions Committee grilled her, one question kept coming up: If confirmed as the agency’s director, would she stand up to her boss, Robert F. Kennedy Jr.?

Overall, Monarez gave little indication she would be a foil to any of Kennedy’s plans. “If I’m confirmed as CDC director, I will make sure that I’m focused on the mission at hand at CDC, but also as supportive as I can be to the Secretary’s goals of making America healthier again,” she said at one point. But she also said that “vaccines save lives” and the government should promote them. Read more analysis of the hearing from STAT’s Chelsea Cirruzzo.


vaccines

Everything you need to know (so far) about the ACIP meeting 

And about that expert vaccine panel — yesterday began the highly anticipated two-day hearing of the Advisory Committee on Immunization Practices. It’s the first meeting of the group after Kennedy fired all 17 of its former members and replaced them with seven hand-picked panelists. 

The meeting’s agenda focused on Covid and RSV vaccines and antibodies. But agenda items on two vaccine skeptic hobby horses were inserted into today’s schedule: a discussion of the MMRV vaccine and of a preservative called thimerosal. And new co-chair Martin Kulldorf announced that the panel would start a review of long-approved vaccines, as well as the cumulative effect of the shots given to children and adolescents. Read more from Jason Mast on what happened yesterday, and keep an eye out for more coverage later today.


ousted

Eric Green says his ‘decapitation’ is still a mystery

Three months ago, Eric Green became the first institute director at the National Institutes of Health to be ousted by the Trump administration. Today, it’s still unclear who ordered the removal, even to Green himself. 

“I do believe there were people put into the department by the White House before Kennedy arrived,” Green said to STAT’s Anil Oza, in his first public comments since being forced out. “I think they had their agenda for who was going to get terminated, and why and how.” For weeks after his termination, Green kept going to the NIH campus in Bethesda, helping his former staff navigate uncharted waters. He was there on April 1, when sweeping layoffs hit all of HHS, operating “as the consoler in chief,” he said.

Read more on what Green had to say about his three decades at the NIH, how he was approaching work under the new administration before his removal, and what he’s hoping to do next.

And in case you missed it: Anil also scooped yesterday that the NIH is halting further terminations of grants. An email announcing the decision didn’t say why, but came a week after a federal judge in Boston ruled that some of the terminations were “void and illegal,” and just hours after the same judge refused the administration’s request to pause his order.



cancer

Generic cancer drugs are failing quality tests

Cancer patients in more than 100 countries are at risk of receiving ineffective treatments and potentially fatal side effects, reports a team from the Bureau of Investigative Journalism (TBIJ).

Generic drugs are used all around the world, but they’re especially relied upon in places with fewer resources and less access to more expensive treatments. A study published yesterday in the Lancet Global Health examined 189 samples of drugs to treat common cancers, including breast, ovarian, and leukemia, and found that about one-fifth failed. While some contained so little of their key ingredients that pharmacists said it’s the same as doing nothing, others contained too much, putting patients at risk of organ damage or death. 

Part of the problem is that manufacturers are operating in a global market driven solely by price, experts say. In places with weaker regulations and surveillance, this can lead to scrimping on the amount or quality of a drug’s active ingredient. Read more from TBIJ.


funding

States anxiously await news on cancer tracking & prevention funds

And on the cancer threats here in the U.S.: By next week, state and local programs that identify U.S. cancer trends, curbing new cases, and improving screening should find out if their annual contract allocations from the CDC will be renewed. In a normal year, they would’ve heard by now, but that’s not this year. Health secretary Robert F. Kennedy Jr. has outlined a desire to squeeze various offices into a new, central division, the Administration for a Healthy America. And some states’ contracts for cancer surveillance work with the National Cancer Institute have already been cut by nearly 20%.

Now, state public health workers fear their federally funded programs could be deeply cut or eliminated altogether, STAT’s Isabella Cueto reports. “We really don’t know what we’re up against unless we know what the map of the battleground looks like,” said Chuck Wiggins, director of the New Mexico Tumor Registry, who lost two staff members this spring after a contract was cut. Read more from Isa on what’s at stake.


mental health

Massive study adds to evidence base on ADHD meds

A new study, published yesterday in JAMA Psychiatry, followed nearly 250,000 Swedish people using ADHD medication for 14 years, and found that the treatments can reduce risks of traffic crashes, injuries, and criminal behavior. Most notably, the study found that these results persisted even as more girls, women, and adult men received diagnoses. 

When ADHD was first identified in the 1960s, it was mainly seen in young, white boys. Those demographics have balanced out over the decades as other groups receive more attention, so the researchers were interested in whether or not the current understanding of medication’s benefits would still apply with a wider pool. 

 “I wish we had access to this kind of data for the U.S.,” said Ryan Sultan, a psychiatrist who was not part of the study. Here in the U.S., medication prescriptions for ADHD are skyrocketing — largely thanks to telehealth and diminishing stigma — while shortages are imperiling people’s access to these critical treatments. Read more from STAT’s O. Rose Broderick on the study and what it means.


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