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"He told us his Samoa trip had nothing to do with vaccines—now this letter shows that was false," Sen. Ed Markey said of President Donald Trump's health and human services secretary.
US Health and Human Services Secretary Robert F. Kennedy Jr. on Thursday faced calls for a criminal investigation after newly published documents appear to contradict his repeated testimony during Senate confirmation hearings that his 2019 trip to Samoa, which is linked to 83 measles deaths, “had nothing to do with vaccines.”
The advocacy group American Oversight on Thursday asked the US Department of Justice to investigate whether Kennedy knowingly made materially false statements during his 2025 Senate confirmation hearings. The request follows the publication of a January 2019 letter, signed by Kennedy and addressed to Samoa’s then-prime minister, Tuilaʻepa Saʻilele Malielegaoi, that explicitly proposed a vaccine-focused assessment of the Pacific island nation’s measles, mumps, and rubella (MMR) program.
“Robert F. Kennedy Jr. repeatedly testified before two separate Senate committees that his trip to Samoa had nothing to do with vaccines. But a letter he wrote to Samoa’s prime minister six years earlier appears to contradict that testimony,” American Oversight executive director Chioma Chukwu said Thursday in a statement.
“Congress relies on truthful testimony to do its job, particularly on matters as consequential as public health," Chukwu added. "If Kennedy lied to the Senate while seeking confirmation as the nation’s top health official, the Justice Department must investigate and hold him accountable.”
Questioned by Sen. Ron Wyden (D-Ore.) before the Senate Finance Committee, Kennedy said his trip had “nothing to do with vaccines,” describing it instead as an effort to introduce a medical informatics system to digitize the nation's health records.
The following day, when Sen. Ed Markey (D-Mass.) pressed him on the same issue before the Senate Health, Education, Labor, and Pensions Committee, Kennedy again said his trip had “nothing to do with vaccines.”
Markey's office released a statement Thursday noting that Kennedy "traveled to Samoa in 2019 to promote disinformation about the measles vaccine. Shortly after his trip, Samoa experienced a deadly outbreak of measles that killed over 80 people and has been attributed to mass vaccine disinformation."
My statement on new reporting that RFK Jr. lied to me in his Senate confirmation hearing.
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— Senator Ed Markey (@markey.senate.gov) August 27, 2026 at 1:47 PM
Of the 83 measles deaths during the outbreak, 72 were children under the age of 5. More than 1,860 hospitalizations in Samoa have been linked to the outbreak.
“New documents confirm what we already knew: RFK Jr. lied to Congress," Markey said. "He told us his Samoa trip had nothing to do with vaccines—now this letter shows that was false, just like it was false when he denied his role in the deadly outbreak that followed."
"This is a pattern, not a slip," he added. "RFK Jr. has lied to the Senate, lied to the American people, and jeopardized the health of children to advance his anti-vaccine agenda. He should never have been confirmed, and he cannot be trusted to run [the US Department of Health and Human Services] for even one more day."
Democratic Hawaii Gov. Josh Green, who is a physician, was invited by the Samoan government to help lead the measles response and recovery in the South Pacific archipelago.
“Misinformation and measles are a deadly combination—I saw that firsthand in Samoa," Green said on Thursday. "The truth is, this is a disease we know how to prevent. The MMR shot is the only proven and effective way to prevent the spread of measles."
"Vaccines save lives," he added. "Our public health decisions must be guided by doctors, scientists, and evidence—not conspiracy theories or political convenience. We owe it to every family to protect our children and communities, and make sure no one else dies from a preventable disease.”
The group 314 Action, which recruits, trains, and works to elect Democrats with expertise in science, published a statement Thursday noting that "now, America is facing its worst measles crisis in decades, and two more Americans have lost their lives to a disease we have long known how to prevent."
Public health experts have warned that the US is on track to lose its measles elimination status, which the country achieved in 2000, and blame the regression on declining vaccination driven by misinformation and conspiracy theories, including that vaccines are dangerous and even deadly.
Earlier this month, President Donald Trump signed an executive order overhauling federal recommendations for children that calls for separating the MMR vaccine into three individual shots.
"The only thing ‘lethal’ about vaccines is listening to RFK Jr.’s lies about them," said 314 Action. "America needs more leaders like Gov. Green who are willing to stand up to Trump and RFK Jr. and put public health over politics. We won’t stop fighting until RFK Jr. is fired or removed from office.”
"RFK Jr. must resign or be fired. Vaccines are safe and effective. Listen to your pediatrician," said US Sen. Angela Alsobrooks.
The Pennsylvania Department of Health on Tuesday announced that the state recently suffered its first two measles-related deaths in 35 years.
The two individuals who died were unvaccinated residents of Lancaster County, according to Pennsylvania DOH. The department has confirmed nearly 400 measles cases across the state so far in 2026.
Remarking on the two deaths, Pennsylvania Secretary of Health Dr. Debra Bogen noted that "measles was largely eliminated... for more than three decades," which is why many residents "are not familiar with this disease and don’t fully understand the potential severity of the illness."
"We want to ensure every Pennsylvanian has the information they need to protect themselves, their loved ones and their communities," Bogen added. "As a physician, I want to make sure that people understand that the MMR vaccine is safe and provides the best protection we have against measles."
Measles has made a major resurgence in the US in 2026, and in July the total number of documented cases of the virus surpassed the number recorded throughout all over 2025.
News of the measles-related deaths—the first recorded in the country this year—prompted some critics to point the finger at US Health and Human Services Secretary Robert F. Kennedy Jr., a longtime vaccine conspiracy theorist who was appointed by President Donald Trump to be America's top public health official.
Shaughnessy Naughton, president of 314 Action, declared that "measles is officially out of control," while demanding that Kennedy step down from leading HHS.
"How many more people need to die before there is a nationwide call for RFK Jr. to resign?" Naughton asked. "His anti-science, anti-vaccine policies are killing people and infecting a generation of Americans with dangerous vaccine skepticism that will take years to recover from... It’s time for RFK Jr. to step aside before he inflicts more harm."
Naughton's call for Kennedy's resignation was echoed by Sen. Angela Alsobrooks (D-Md.), whose own state is experiencing a measles outbreak.
"RFK Jr.'s lies and conspiracy theories are making Marylanders sick," Alsobrooks wrote in a Tuesday social media post. "RFK Jr. must resign or be fired. Vaccines are safe and effective. Listen to your pediatrician."
Tara C. Smith, professor of epidemiology at the Kent State University College of Public Health, pointed out that the US has already experienced more measles deaths during Kennedy's two years running HHS than it experienced throughout the prior 24 years combined.
"And outbreaks are still growing here in Ohio and in Pennsylvania," Smith added. "Utter madness that our government is encouraging this."
Biologist Lucky Tran, director of science communications and media relations at Columbia University, similarly observed that measles had been all but eliminated in the two decades before Kennedy took control of HHS.
"Measles was declared eliminated in the US in 2000, but will lose that status this year," wrote Tran. "This is an abject failure of public health leadership."
Kennedy has long used his influence to sow distrust of vaccines, including in Lancaster County, the location of the two most recent measles-related fatalities.
As The New York Times reported earlier this month, Kennedy in 2021 delivered a speech to an estimated 1,500 people in the county urging them to resist any government vaccine mandates.
"Those agencies are going to do everything in their power to make the Amish vaccinate," Kennedy said. "Because they cannot stand the fact that you are healthy."
The future HHS secretary also dismissed concerns about the danger of measles during the speech, recommending a mixture of "chicken soup and vitamin A" as a "cure" for the disease.
"The United States is experiencing a 35-year high for measles cases as federal officials continue to elevate misleading and disproven information about vaccines," said one medical expert.
Data released by the US Centers for Disease Control and Prevention on Monday showed that the rate of kindergartners with vaccine exemptions hit a record high over the last year as the nation's top health official continued to spread falsehoods about vaccine safety.
In all, CDC reported that 155,000 students, or 4.2% of all kindergartners enrolled in public schools, received vaccination exemptions in the 2025-2026 school year, an increase from the 3.6% of publicly enrolled kindergartners who received such exemptions in the prior school year.
The Washington Post noted in a Monday report on the data that "the biggest factor in the increasing exemption rate came from families seeking nonmedical exemptions," and that exemption rates now exceed 5% in nearly half of all US states.
The jump in vaccine exemptions comes as the US is dealing with the largest outbreak of measles it's experienced in over three decades.
Numbers released by the CDC last month revealed that there have been 2,318 recorded cases of measles this year, the highest number of cases recorded since the virus was declared eliminated in the country more than two decades ago.
Experts have said that this surge in measles cases is largely due to lower uptake of the measles vaccine.
Dr. James Campbell, member of the American Academy of Pediatrics' Committee on Infectious Diseases, told CBS News in an interview published Monday that the primary reason for the drop in vaccinations was the "chaos and confusion in vaccination recommendation systems in the last year or so," since the start of the second Trump administration.
Dr. Andrew Racine, president of the American Academy of Pediatrics, told the Post that it doesn't take a very large decrease in the vaccination rate to give the measles virus an opening.
"For some diseases like measles, even a small decrease in vaccination rates can lead to more outbreaks of disease," Racine explained, "because community immunity requires over 95% of susceptible individuals to be immunized."
"This risk is real," Raccine added. "The United States is experiencing a 35-year high for measles cases as federal officials continue to elevate misleading and disproven information about vaccines, inserting unnecessary fear and confusion into families’ decision making. And we are seeing the results."
The results could get even worse if President Donald Trump's executive order calling for the combined measles, mumps, and rubella (MMR) vaccination be divided into three separate shots gets implemented.
Experts have warned that separating the vaccines means that families will be less likely to have their children get all three shots, and the CDC's own website notes that "no published scientific evidence shows any benefit in separating the combination MMR vaccine into three individual shots."
Brad Woodhouse, president of Protect Our Care, said surging exemptions were a direct result of misinformation about vaccines being pushed by both Trump and US Health and Human Services Secretary Robert F. Kennedy Jr.
"Connect the dots," said Woodhouse. "Donald Trump and RFK Jr. frequently spew anti-vax lies to a national audience, parents get needlessly freaked out, exemptions surge, vaccination rates plummet, outbreaks of preventable diseases shatter records, kids die. Trump’s allergy to science and reality is its own deadly virus."
Dr. Jerome Adams, who served as US surgeon general during Trump's first term, also criticized Kennedy's leadership in a Tuesday social media post.
"You can’t be the leader of all health policy in America, AND claim you’re for childhood vaccinations, AND ignore this trend/not have a clear plan to increase vaccine uptake," Adams wrote, "at least not if you’re serious about improving America’s health."
"When the Trump administration declares a crisis ‘under control’, it’s time to brace for the worst yet to come," said one critic.
The United States under Trump-appointed Health and Human Services Secretary Robert F. Kennedy Jr. is currently experiencing major public health crises, including record-high measles cases, an outbreak of a parasite that causes explosive diarrhea, and potential salmonella contamination that led to a recall of nearly two million egg cartons.
Numbers released by the US Centers for Disease Control and Prevention (CDC) on Friday revealed that there have been 2,318 recorded cases of measles this year, the highest number of cases recorded since the virus was declared eliminated in the country more than two decades ago.
Some public health experts who spoke with The New York Times said that lower uptake of the measles vaccine was to blame for the outbreak.
Jennifer Nuzzo, director of the Pandemic Center at the Brown University School of Public Health, told the Times that "this is just going to keep happening" in the US unless vaccination rates improve.
"It’s going to mean living in a perpetual state of vulnerability and risk until we get vaccination levels up," Nuzzo emphasized.
Dr. Jonathan Temte, a former chairman of the CDC’s vaccine advisory committee, placed blame for the outbreaks on the US Department of Health and Human Services (HHS) under the leadership of Kennedy, who prior to becoming America's top public health official was best known as an anti-vaccine conspiracy theorist.
“We have seen virtually no national messaging," said Temte. "We’ve seen no ad campaigns... I think that really tells us something about their priorities."
Brad Woodhouse, president of Protect Our Care, also slammed Kennedy's leadership at NHS, accusing him and President Donald Trump of being on "a suicide mission to scare America families away from vaccines without cause or evidence."
"What they’ve accomplished is a huge dip in vaccination rates and the worst measles crisis in 35 years," Woodhouse added. "While the nation’s measles elimination status is doomed, the Trump CDC apparently has not spent a dime on public service ads promoting the one thing that will get us out of the woods: the measles vaccine."
Measles isn't the only disease spreading throughout the country, as the US Food and Drug Administration (FDA) announced on Friday that "four new states... are now considered part" of the outbreak of cyclosporiasis, a foodborne illness that causes explosive diarrhea.
The FDA has said that iceberg lettuce sourced from Taylor Farms de Mexico is likely the source of the outbreak, which so far has led to nearly 2,000 infections and almost 100 hospitalizations.
News about the continued spread of the outbreak came two days after the FDA revealed it was investigating another potential source of cyclospora, the parasitic bacteria that causes cyclosporiasis.
Sen. Jon Ossoff (D-Ga.), who earlier this week demanded answers from Kennedy about his decision to terminate the CDC's previously required surveillance of cyclospora, sent the HHS secretary a letter on Friday ripping his leadership of the department.
"Your silence amidst an ongoing outbreak of diarrheal disease," Ossoff wrote, "is indicative of the reckless arrogance with which you demolished America's public health defense."
Woodhouse, in a statement released Thursday, noted that Kennedy had declared the outbreak "under control" this week even though federal data shows it growing.
"If history is any judge, when the Trump administration declares a crisis ‘under control’, it’s time to brace for the worst yet to come," said Woodhouse.
The FDA also announced on Wednesday that Midwest Poultry Services was voluntarily recalling nearly 1.6 million cartons of eggs over potential contamination by the bacteria salmonella.
As the FDA noted, salmonella infections often result in a number of unpleasant conditions, including "fever, diarrhea (which may be bloody), nausea, vomiting, and abdominal pain."
Economist Dean Baker summed up the current situation in the US in a Friday social media post: "War, diarrhea, measles, and now salmonella, that's pretty damn MAGA!"
"We don’t have a healthcare infrastructure to take care of a polio outbreak."
After the Trump administration official in charge of immunization policy suggested that childhood polio vaccines should be made optional, experts and survivors of the deadly disease are warning that it could make a furious comeback.
Dr. Kirk Milhoan, a pediatric cardiologist who is chair of the Advisory Committee on Immunization Practices, suggested on a podcast last month ending public schools' vaccine requirements for dangerous diseases, including measles and polio, which would be one of the most dramatic shifts in federal health policy in more than half a century.
Where these diseases once infected millions of people each year, Milhoan noted their dramatic decline in recent years, suggesting they no longer pose the threat they once did and that vaccines were therefore less necessary. However, he ignored the fact that the near-total eradication of these illnesses was due to society-wide vaccination in the first place.
In the first half of the 20th century, tens of thousands of people (mostly children) suffered paralysis from polio. The first vaccine was introduced in the USA in 1955. Notice the trend afterwards.(by @ourworldindata)
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— Information is Beautiful (@infobeautiful.bsky.social) January 26, 2026 at 2:55 PM
The US is already at risk of losing its measles eradication status after drops in vaccination rates caused the highest number of cases and deaths in more than three decades last year.
Measles vaccination rates had already been dipping for years amid rising anti-vaccine sentiment. But it was shifted into overdrive after vaccination restrictions were narrowed by Trump's Secretary of Health and Human Services, Robert F. Kennedy Jr., who publicly spread doubt about the Measles, Mumps, and Rubella (MMR) vaccine's well-documented safety and efficacy.
At its peak in 1952, nearly 58,000 people became infected with polio. Over a third of them became paralyzed, and more than 3,000 died. A vaccine was introduced for the illness in 1955. Within just two years, the number of cases had dropped by 90%, and the disease was declared eliminated in the US in 1979.
Childhood vaccination rates have dropped across the board over the past five years. Where about 95% of kindergarteners received the measles and polio vaccines in the 2019-20 school year, that number had plummeted to 92.5% in 2024-25.
But because polio is several times less infectious than measles, the current national average coverage still provides substantial protection, though localized outbreaks remain possible in undervaccinated communities.
If childhood vaccination is made optional, however, those who have treated and lived with polio fear it could also come back with a vengeance.
Survivors say US healthcare system not ready for new cases – ‘the only thing to fix polio is the polio vaccine’
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— Guardian US (@us.theguardian.com) February 23, 2026 at 2:13 PM
In an interview with the Guardian published Monday, Grace Rossow, an operating-room communications coordinator, whose leg remains paralyzed from a case of polio as an infant in India, said the vaccine had “absolutely been a victim of its own success."
“People aren’t scared of polio anymore,” she said. “People don’t really see the daily side of living with a vaccine-preventable disease. With polio, you’re never going to fix us, and that’s the problem. The only thing to fix polio is the polio vaccine.”
Polio's status as a thing of the past has not only diminished the public's understanding of why it's important to prevent, but also how to treat it. Rossow said, "We don’t have a healthcare infrastructure to take care of a polio outbreak."
Art Caplan, one of the last remaining survivors of the 1950s outbreak, who has struggled with lifelong weakness in his legs due to the disease, said he's watched as most of the medical professionals who understood how to treat it retired and died. "There’s nobody left. They don’t see it."
Gordon Allan, a surgeon who is the orthopedic residency director and the total joint reconstructive fellowship director at Southern Illinois University School of Medicine, said that in the event of a new polio outbreak, most people in his field would have little idea how to treat those suffering from the illness.
“Orthopedics has really changed a lot now from the people who trained me," he said, noting that even those doctors only had experience treating post-polio symptoms.
“No one practicing has first-hand experience," he said. "Orthopedics was quite different because of polio, and all that stuff just faded away."
The last polio case in the United States was detected in New York in 2022 in an unvaccinated adult who became paralyzed from the illness.
None have been diagnosed since. But as measles has shown, outbreaks can spread very quickly in communities with large unvaccinated populations, which are often insular and religious.
Caplan said he was "furious" at Milhoan's contention that childhood vaccine requirements should be reconsidered just because polio is no longer around.
"If you could gather up the kids I saw die or become really severely disabled from 50 years ago, they would want you arrested," he said. "It’s horrifying, and the height of irresponsibility to leave the door open even a crack."
Three recent stories about measles have implications that are far more consequential for the fate of humanity than Trump’s racist memes or his destabilizing antics on the world stage.
Not until President Donald Trump is long gone will Americans feel the full impact of his most destructive policies and his administration’s incompetence. Today’s topic: Measles.
“For children, the risks of measles are especially grave. Complications, which occur in 1 in 5 people who have the disease, can include pneumonia, blindness, permanent neurologic injury, and death. These outcomes are well-documented, particularly among young children and those with delayed access to medical care.” (Theresa Cheng, MD, JD, assistant clinical professor in the Department of Emergency Medicine at UCSF-Zuckerberg San Francisco General Hospital and a lawyer.)
Measles is preventable, but community immunity requires a 92-94% vaccination rate. Since the introduction of the measles vaccine in 1963, the incidence of the disease has decreased by over 99%, thanks to the combination of immunity through prior exposure and vaccination rates above the required threshold.
Secretary of Health and Human Services Secretary Robert F. Kennedy Jr. is reversing that remarkable public health achievement.
Someone who does not get vaccinated puts others—mostly children who have no voice in the critical decision to protect or jeopardize their health—at serious risk of injury or death.
Three recent stories about measles have implications that are far more consequential for the fate of humanity than Trump’s racist memes or his destabilizing antics on the world stage.
Between 1991 and 2024, South Carolina had a total of only 8 measles cases—6 of which occurred within a single household in 2018.
In October 2025, the state reported the first three cases in the current outbreak.
As of February 17, South Carolina had 962 confirmed measles cases; 253 involve children under 5, 615 are ages 5 to 17, 85 are adults, and nine ages are unknown.
Since the outbreak, 20 individuals have been hospitalized with complications related to the disease.
Ninety-five percent of the infected individuals were not vaccinated.
The area of the state experiencing the greatest number of cases (95% of them) also led the state in the decline in vaccination rate: Spartanburg County’s rate dropped from 93.9% in 2021-2022 to 88.9% the current school year—well below the critical threshold required for community immunity.
Kennedy has gutted the Department of Health and Human Services. He has replaced scientific and medical experts with hacks who adhere here to his willful ignorance.
One of those appointees is the leader of the federal panel that recommends vaccines for Americans, Dr. Kirk Milhorn, chair of the Advisory Committee on Immunization Practices. On January 22, Milhorn said that vaccines protecting children from polio and measles, and perhaps all diseases, should be optional.
“What we are doing is returning individual autonomy to the first order—not public health but individual autonomy to the first order.”
What he and his colleagues are actually doing is killing us. Kennedy has already dropped six vaccines from the childhood immunization schedule.
Only individual states, which have ultimate responsibility for vaccine schedules, have saved the country from the full destructive force of Kennedy’s anti-science, anti-vaxxer crusade. But his ascension as head of the nation’s federal public health policy has empowered his allies to target state childhood vaccination mandates.
The Medical Freedom Act Coalition includes the Children’s Health Defense—a nonprofit group that Kennedy co-founded. It is pushing legislation that would end state laws that codify vaccination schedules. Such legislation is pending in several states.
Asked about the effort, Kennedy said he was not involved, but added, “I believe in freedom of choice.”
As the impact of his attack on science intensifies, the overall public health costs will be staggering.
Earlier this month, Chris Anders, a Republican state lawmaker in West Virginia, introduced a bill that would eliminate his state’s school vaccination mandates, including the requirement that county health departments offer free shots to low-income children.
“If people decide not to be vaccinated, that is their choice,” he argued. “Just like if they decide not to wear a seatbelt or a motorcycle helmet or anything else. If they decide that, they suffer the consequences.”
Kennedy, Milhorn, Anders, and their like-minded anti-vaxxers march under the “freedom of choice” banner. It’s a red herring that omits a crucial element of the equation: Someone who does not get vaccinated puts others—mostly children who have no voice in the critical decision to protect or jeopardize their health—at serious risk of injury or death.
For a long time to come, everyone else’s kids will bear those consequences.
The measles vaccine is the small tip of an enormous public health iceberg. Kennedy and his anti-vaxxers in charge of public health have “sent a chill through the entire [vaccine] industry,” according to Dr. John Coller of Johns Hopkins University, a member of the executive committee of the Alliance for mRNA Medicines.
As Kennedy creates unwarranted fears about the safety and efficacy of lifesaving vaccines, some Americans will continue to believe him and vaccine sales will suffer. As he cuts research funding for new vaccine development, America will be unprepared for the next pandemic. As the impact of his attack on science intensifies, the overall public health costs will be staggering.
Future historians will scratch their heads in disbelief at what we are doing to ourselves and our children.
One doctor warned that the outbreak "will become an epidemic if we don't act immediately."
Public health experts and immigrant advocates sounded the alarm Sunday over a measles outbreak at a US Immigration and Customs Enforcement internment center in Texas where roughly 1,200 people, including over 400 children, are being held.
Texas officials confirmed Saturday that two detainees at the Dilley Immigration Processing Center, located about 75 miles (120 km) southwest of San Antonio, are infected with measles.
"Medical staff is continuing to monitor the detainees' conditions and will take appropriate and active steps to prevent further infection," the US Department of Homeland Security (DHS) said in a statement. "All detainees are being provided with proper medical care."
DHS spokesperson Tricia McLaughlin said Sunday that ICE "immediately took steps to quarantine and control further spread and infection, ceasing all movement within the facility and quarantining all individuals suspected of making contact with the infected."
Responding to the development, Dr. Lee Rogers of UT Health San Antonio wrote in a letter to Texas state health officials that the Dilley outbreak "will become an epidemic if we don't act immediately" by establishing "a single public health incident command center."
"Viruses are not political," Rogers stressed. "They do not care about one's immigration status. Measles will spread if we allow uncertainty and delay to substitute for reasoned public health action."
Dr. Benjamin Mateus took aim at the Trump administration's wider policy of "criminalizing immigrant families and confining children in camps," which he called a form of "colonial policy" from which disease is the "predictable outcome."
Measles is a highly contagious viral disease that can kill or cause serious complications, particularly among unvaccinated people. The United States declared measles eliminated in 2000, but declining vaccination fueled by misinformation has driven a resurgence in the disease, and public health experts warn that the US is close to following Canada, which lost its elimination status late last year.
Many experts blame this deadly and preventable setback on the vaccine-averse policies and practices of the Trump administration, particularly at the Department of Health and Human Services, led by vaccine conspiracy theorist Robert F. Kennedy Jr.
US measles cases this year already exceed the total for the whole of 2023 and 2024 combined, and it is only January. Yikes.
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— Dr. Lucky Tran (@luckytran.com) January 29, 2026 at 12:29 PM
Critics also slammed ICE's recent halt on payments to third-party providers of detainee healthcare services.
Immigrant advocates had previously warned of a potential measles outbreak at the Dilley lockup. Neha Desai, an attorney at the Oakland, California-based National Center of Youth Law, told CBS News that authorities could use the outbreak as a pretext for preventing lawyers and lawmakers from inspecting the facility.
"We are deeply concerned for the physical and the mental health of every family detained at Dilley," Desai said. "It is important to remember that no family needs to be detained—this is a choice that the administration is making."
Run by ICE and private prison profiteer CoreCivic, the Dilley Immigration Processing Center has been plagued by reports of poor health and hygiene conditions. The facility is accused of providing inadequate medical care for children.
Detainees—who include people legally seeking asylum in the US—report prison-like conditions and say they've been served moldy food infested with worms and forced to drink putrid water. Some have described the facility as "truly a living hell."
The internment center has made headlines not only for its harsh conditions, but also for its high-profile detainees, including Liam Conejo Ramos, a 5-year-old abducted by ICE agents in Minneapolis last month and held along with his father at the facility before a judge ordered their release last week. The child's health deteriorated while he was at Dilley.
On Sunday, the League of United Latin American Citizens (LULAC)—the nation's oldest Latino civil rights organization—held a protest outside the Dilley lockup, demanding its closure.
"Migrant detention centers in America are a moral failure,” LULAC national president Roman Palomares said in a statement. "When a nation that calls itself a beacon of freedom detains children behind razor wire, separates families from their communities, and holds them in isolated conditions, we have crossed a dangerous line."
The US is at risk of losing its measles-eradicated status early next year, according to Scientific American.
US Rep. Pramila Jayapal on Friday demanded that the Trump administration "stop lying and follow the science" as an outbreak of measles in South Carolina grew and officials warned that low vaccination rates in the affected area likely mean the crisis will continue worsening.
Since the outbreak began in October in Spartanburg County, near the state's northern border, the highly infectious disease has sickened at least 129 people. The vast majority of people who have been infected have not been inoculated against measles, which is 97% preventable via the measles, mumps, and rubella (MMR) shot—which has been erroneously attacked for years by anti-vaccine activists including Health and Human Services Secretary Robert F. Kennedy Jr.
As President Donald Trump and Kennedy "push deadly anti-vaccine conspiracy theories, measles is making a comeback across America," said Jayapal (D-Wash.) on Friday. "People will die because of this."
At least three people, including two children, have already died this year in US measles outbreaks
More than 1,900 measles cases and 47 outbreaks have been reported across the country in 2025, compared with 285 cases across 16 outbreaks last year.
In South Carolina, more than 250 people have been exposed to the disease in schools, a healthcare facility, and a church, forcing dozens of unvaccinated children to quarantine for 21 days; some were exposed twice and had to be isolated for two separate three-week periods.
“That’s a significant amount of time,” Linda Bell, the state's epidemiologist, said at a recent press conference. “Vaccination continues to be the best way to prevent the disruption that measles is causing to people’s education, to employment.”
But Spartanburg County's ongoing outbreak is being driven by “lower-than-hoped-for vaccination coverage,” Bell said.
Public health experts consider a 95% vaccination rate to be the level at which the spread of measles can be eliminated in a community. Only about 90% of students in the county had all required childhood immunizations. South Carolina allows religious exemptions for school immunization requirements. Many of the schools where students have quarantined have vaccination rates "well below 90%," the New York Times reported.
Across South Carolina, MMR vaccination rates among schoolchildren has fallen significantly since 2020, from 96% to 93.5%.
Kennedy has been a longtime denier of vaccine science. In 2019, his anti-vaccine group, Children's Health Defense, tried to sue New York state over its vaccine requirement, which is one of just five in the country that doesn't allow for nonmedical exemptions.
In April, Kennedy visited a Texas community where two unvaccinated children had died of measles and acknowledged in a social media post that "the most effective way to prevent the spread of measles is the MMR vaccine."
“Vaccination continues to be the best way to prevent the disruption that measles is causing to people’s education, to employment.”
But during his visit he also promoted, without evidence, two therapeutic treatments that one vaccine expert told NPR are "valueless" in treating measles. In 2023 Kennedy told podcaster Joe Rogan that the vaccine was not linked to a decline in deaths.
He has recently continued fueling overall skepticism about immunizations, with the Centers for Disease Control and Prevention (CDC) panel he assembled advising that newborn babies whose mothers test negative for hepatitis B should not receive a dose of a vaccine for the disease—sparking fear among public health experts that major progress in reducing childhood cases of the disease over the past three decades will be reversed.
In November the CDC website was changed to say a link between vaccines and autism—a theory that has long been debunked—cannot be ruled out. Two months earlier, as measles cases surged in another outbreak around the Utah-Arizona border, Trump called for combination children's vaccines like the MMR to be split up into separate shots—a call made decades ago by Dr. Andrew Wakefield, who lost his medical license over his 1988 study that linked autism to the combination vaccine, which was later retracted.
High vaccine rates allowed the US to declare measles eliminated in 2000, but Scientific American reported Thursday that the current measles outbreaks are bringing the US "toward losing its measles-free status by early next year."
The worsening measles outbreak in South Carolina, said Sen. Ed Markey (D-Mass.), "is yet another horrifying consequence of Trump and RFK Jr.'s Make America Sick Agenda."
Republican Gov. Henry McMaster has urged residents to be vaccinated against measles, but said on Thursday, "We are not going to do mandates on people to go get vaccinated."
Andrew Nixon, a spokesperson for the US Health and Human Services Department, also continued to suggest that vaccination is principally a matter of personal liberty rather than public health, telling the New York Times that people in the affected community in South Carolina should talk to their doctors about "what is best for them."
On Thursday, Senate Health, Education, Labor, and Pensions Committee Ranking Member Bernie Sanders (I-Vt.) said that along with the Republican Party's vote against extending Affordable Care Act subsidies, the Trump administration is raising questions about its push to "Make America Health Again" as it undermines "lifesaving vaccines and spark[s] disease outbreaks."
"The Trump administration," he said, "is endangering the health of the American people."
"The CDC is now completely compromised after Trump and RFK Jr. ousted or drove out real, well-intentioned, and intelligent scientists," said one physician.
US public health officials warned this week that the country is close to following Canada in losing its measles elimination status, a deadly and preventable setback many experts attribute to the vaccine-averse policies and practices of Health and Human Services Secretary Robert F. Kennedy Jr.
Centers for Disease Control and Prevention (CDC) officials have linked the ongoing measles outbreak in Arizona and Utah with the major outbreak in Texas that began in January, both of which are being caused by the same viral subtype. With no signs of slowing, and holiday travel and gatherings fast approaching, experts worry that measles transmission could escalate and the disease will no longer be considered eliminated.
Under World Health Organization guidance, "eliminated" means an absence of endemic virus transmission for 12 months or longer in a defined geographical area under a well-performing surveillance system.
Many public health experts blame the administration of President Donald Trump—and particularly Kennedy's policies—for the measles resurgence. Kennedy, who initially downplayed the seriousness of the Texas outbreak, has endorsed vaccines, but has also made unsupported or misleading claims about the safety and efficacy of measles shots.
"Absurd yet predictable," Dr. Michael O'Brien, an urgent care pediatrician, wrote Thursday on X. "The CDC is now completely compromised after Trump and RFK Jr. ousted or drove out real, well-intentioned, and intelligent scientists. As measles approaches endemic status in the US for the first time since 2000, the CDC has abandoned science and reason."
The anti-vaccination movement is largely to blame for the continuing measles outbreak and the fact that the U.S. is going to lose our measles elimination status. Until RFK Jr. is removed from office, things are only going to get worse. @jimalwine.bsky.social and I wrote about here:
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— Elizabeth Jacobs, PhD (@elizabethjacobs.bsky.social) November 19, 2025 at 2:18 PM
The United States declared measles eliminated in 2000. However, with 1,753 confirmed cases and three deaths in 45 reported outbreaks so far this year, experts say the US is at risk of following Canada, which announced earlier this month that it has lost its elimination status, which it enjoyed since 1998.
As in the US, experts attribute Canada's measles backsliding to declining vaccination rates, mis- and disinformation, and vaccine aversion—especially among religious groups. The West Texas outbreak began in the close-knit, unvaccinated Mennonite community in Gaines County, while the Arizona/Utah outbreak originated among members of a fundamentalist Mormon offshoot.
More than 9 in 10 reported US measles cases this year are among people who have either not been vaccinated or whose vaccination status is unknown.
"We are in this dire situation primarily due to the explosion of the anti-vaccine movement since the start of the Covid-19 pandemic."
Writing for LiveScience, University of Pennsylvania molecular virologist James Alwine and University of Arizona professor emerita and epidemiologist Elizabeth Jacobs warned Wednesday that measles is "a bellwether of declining vaccination rates—a wailing siren that other vaccine-preventable disease outbreaks are just around the corner."
"We are in this dire situation primarily due to the explosion of the anti-vaccine movement since the start of the Covid-19 pandemic," Alwine and Jacobs asserted. "The movement is responsible for undermining trust in scientists and vaccines via a tsunami of misinformation coming from social media accounts and podcast appearances."
The authors continued:
This was made worse when Senate Republicans confirmed Kennedy as secretary of HHS, despite the objections of tens of thousands of scientists, healthcare providers, and public health practitioners. Kennedy is an avowed anti-vaccination proponent who chaired Children's Health Defense, an organization that regularly promotes vaccine misinformation. He is also a conspiracy theorist and has claimed that Covid-19 is a "bioweapon" engineered to "attack Caucasians and Black people" while sparing Ashkenazi Jews; that WiFi causes brain cancer; and that drug use, not HIV, causes AIDS. His appointment opened the door to install anti-vaccine proponents as leaders in public health, such as replacing the members of the Advisory Committee on Immunization Practices (ACIP) with several individuals with links to the anti-vaccine movement. In confirming Kennedy, Senate Republicans utterly failed the people of the US and demonstrated a cavalier disregard for decades of scientific achievement.
In June, Sen. Bernie Sanders (I-Vt.) launched an investigation into Kennedy's ACIP purge. The following month, six major US medical organizations sued Kennedy, alleging his vaccine policies are placing children at grave and immediate risk.
"As the anti-vaccine movement continues to be nurtured by Kennedy and his followers, this threat will only continue to expand and grow more severe," Alwine and Jacobs warned. "Removing state vaccine requirements for school entry—as has happened in Florida—is demonstrative of this, and represents an unacceptable risk."
"Kennedy must be removed from office," they added, echoing a September demand by more than 1,000 current and former HHS officials. "There can be no improvements in public health or vaccination rates as long as he continues his destructive reign."
In September, Congresswoman Haley Stevens (D-Mich.) filed articles of impeachment against Kennedy, declaring that he "has violated his oath of office and proven himself unfit to serve the American people."
Advocacy groups and medical organizations have gathered more than 150,000 petition signatures calling for Kennedy's removal.
On Friday, Congresswoman Kim Schrier (D-Wash.), who chairs the Democratic Doctors Caucus, led 65 colleagues demanding that Kennedy "immediately correct" the CDC website "after it was updated to promote the widely disproven and dangerous claim that vaccines may cause autism."
"RFK Jr.’s decision to spread fringe conspiracy theories and misinformation on the CDC’s official website is reckless," Schrier said in a statement. "He’s scaring parents, undermining trust in the CDC, and putting children at risk.”
"Florida's decision to erase school vaccine requirements will cause preventable illness and death," said one immunologist. "Not just for kids in Florida, for whole communities, of all ages, across the country."
In a decision that has terrified medical professionals, Florida's surgeon general announced Wednesday that he would seek to end all childhood vaccine requirements in the state, which he compared to "slavery."
Currently, Florida requires children to be immunized against deadly diseases like measles, mumps, chickenpox, polio, and hepatitis in order to attend public school.
At a press conference alongside the state's anti-vaccine Republican Gov. Ron DeSantis, Florida's surgeon general, Dr. Joseph Ladapo, said that he believed the decision to make these vaccinations optional would receive the blessing of "God."
"Every last one of them is wrong and drips with disdain and slavery," Ladapo said of the mandates. "People have a right to make their own decisions. Who am I, as a government or anyone else, to tell you what you should put in your body? Our body is a gift from God. What you put into your body is because of your relationship with your body and your God."
Many Republican-led states have rolled back requirements for residents to receive the Covid-19 vaccination and, in some cases, restricted access to it. But Ladapo, who has in the past been caught personally altering data to exaggerate the risks of the Covid-19 vaccine, is treading new ground with his pledge to eliminate "every last one" of the state's childhood vaccine mandates, something no state, red or blue, has done.
While Ladapo's decision is unprecedented, it is in step with the position of the current Republican Party, which is making health policy under the stewardship of longtime anti-vaccine influencer Robert F. Kennedy, Jr, who is the secretary of Health and Human Services under President Donald Trump.
Kennedy has limited who is eligible to receive the Covid-19 vaccine and is reportedly considering pulling it from the market altogether. And alongside a handpicked panel of anti-vaccine activists, he has also launched an effort to revise the entire childhood vaccine schedule.
In April, as a measles epidemic swept through pockets of Texas with low vaccination rates and killed two unvaccinated children, Kennedy downplayed the disease's severity and hyped long-disproven claims about the dangers of the Measles, Mumps, and Rubella (MMR) vaccine, which virtually eradicated the disease in the US for over 20 years.
Since the Covid-19 pandemic, the number of parents declining to vaccinate their children has soared across the US. According to the Kaiser Family Foundation, during the 2019-20 school year, just three US states had rates of MMR vaccination lower than 90%. In 2025, that number had increased to 16.
As of July, 1,280 measles cases had been reported in the US—the most cases since 1992, before the MMR vaccine became part of the standard childhood vaccine schedule. In 92% of cases involving children and teenagers, the people who became infected were either unvaccinated or had unknown vaccination statuses.
Following news of Florida's decision to end childhood vaccine requirements, Dr. Paul Offit, the director of the Vaccine Education Center at Children's Hospital of Philadelphia, told the Washington Post: "We can expect that measles will come roaring back. Other infectious diseases will follow. This is an unprecedented move that will only put our children at unnecessary risk."
Measles is not the only vaccine-preventable illness experiencing a resurgence. After the rate of whooping cough vaccinations dropped below the 95% threshold required for herd immunity during the 2023-24 school year, the number of cases of the disease doubled, according to data from the Centers for Disease Control and Prevention (CDC).
"Florida will repeat what happened in West Texas, where immunization rates are low," said Dr. Peter Jay Hotez, a pediatrician who serves as Dean for the National School of Tropical Medicine at Baylor College of Medicine. "All for health freedom propaganda, and lousy Fox News sound bites."
According to CDC data, Florida has one of the lowest rates of childhood vaccination in the country, with just over 88% of kindergarteners receiving the required shots in the 2023-24 school year. But just as they did in Texas, the effects may harm people across the country.
"Florida's decision to erase school vaccine requirements will cause preventable illness and death. Not just for kids in Florida, for whole communities, of all ages, across the country," said Dr. Andrea Love, an immunologist and microbiologist, who writes a newsletter responding to medical misinformation. "Pathogens don't follow state lines."
Dr. Robert Steinbrook, director of Public Citizen's Health Research Group, called the plan "a recipe for disaster and exactly the wrong approach to protecting state residents from infectious diseases."
"High immunization rates against dangerous infectious diseases such as measles and polio protect individuals as well as their communities," Steinbrook said. "If this plan moves forward, Florida will terminate one of the most effective means of limiting the spread of infectious diseases and embolden [Kennedy] to wreak even more havoc on vaccinations nationally. The Florida Legislature and state residents must vociferously reject these plans."