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How Robert F. Kennedy Jr.’s Vaccine Agenda Risks a Resurgence of Deadly Childhood Plagues
This affects the entire country.

Dr. Adam Ratner hovered over a gravely ill infant in a New York City intensive care unit on a grim day in 2022. The 3-month-old girl spiked a fever two days earlier and had become lethargic. Soon she was having seizures and struggling to breathe.

She didn’t register Ratner’s towering frame or the bright hospital lights. Her eyes stared up and to the right, eerily frozen. 

He ran his hand over the soft spot on her head, which should have been flat. Instead, it bulged, a sign that too much fluid was building up inside her skull. 

The baby’s life was in danger, and Ratner needed to figure out why. He worried the culprit was bacterial meningitis, an infection of the membranes that protect the brain.

What came back on her lab tests was something out of the history books.

The infant’s meningitis was caused by invasive Haemophilus influenzae type b, or Hib, a type of bacteria that used to kill nearly 1,000 children a year in the U.S. A shot introduced in the late 1980s was so effective that Ratner, a veteran pediatric infectious disease doctor, was among the generations of physicians who had never seen a case. But the baby’s parents, Ratner learned, had chosen not to vaccinate her.

Disheartened, he told his colleagues, “This should be a never event.”

It wasn’t. The following year, Ratner treated another infant with Hib, then another, each of them unvaccinated. Two went home, but one had to be discharged to a rehabilitation facility. That 5-month-old boy had huge black pupils that didn’t respond to light, and he needed a ventilator to breathe. Ratner and his colleagues noted an “absence of brain stem reflexes,” indicating severe damage.

The U.S. government took a half century to build a vaccination system that shielded children from such a fate. Its success depended on two fundamental pillars: parents trusting in vaccines and children having access to them. Both are now in peril, thanks in no small part to the man steering America’s health policy.

Health and Human Services Secretary Robert F. Kennedy Jr., who founded an antivaccine group and once likened the immunization of children to a holocaust, is transforming a government that long championed the lifesaving benefits of shots into one that spreads doubts about their safety here and abroad. 

Kennedy is also considering changes that could prompt the few companies that make vaccines for American kids to abandon the U.S. market, leaving parents who want the shots unable to get them.

The threat to vaccine access reaches across the globe after Kennedy yanked the government’s $1.6 billion pledge to the aid group that provides shots for the world’s poorest children. For decades, the U.S. had funded such work not just as a humanitarian mission but as a way to keep Americans safe from unchecked contagions.

Kennedy’s efforts to reshape vaccine policies have been well chronicled, but ProPublica wanted to take a broader look at how the changes might affect Americans’ health in the years to come.

We found that long-forgotten plagues have roared back, killing and maiming children in parts of the world where access to vaccines or trust in them faltered. What seemed like subtle changes to a …
How Robert F. Kennedy Jr.’s Vaccine Agenda Risks a Resurgence of Deadly Childhood Plagues This affects the entire country. Dr. Adam Ratner hovered over a gravely ill infant in a New York City intensive care unit on a grim day in 2022. The 3-month-old girl spiked a fever two days earlier and had become lethargic. Soon she was having seizures and struggling to breathe. She didn’t register Ratner’s towering frame or the bright hospital lights. Her eyes stared up and to the right, eerily frozen.  He ran his hand over the soft spot on her head, which should have been flat. Instead, it bulged, a sign that too much fluid was building up inside her skull.  The baby’s life was in danger, and Ratner needed to figure out why. He worried the culprit was bacterial meningitis, an infection of the membranes that protect the brain. What came back on her lab tests was something out of the history books. The infant’s meningitis was caused by invasive Haemophilus influenzae type b, or Hib, a type of bacteria that used to kill nearly 1,000 children a year in the U.S. A shot introduced in the late 1980s was so effective that Ratner, a veteran pediatric infectious disease doctor, was among the generations of physicians who had never seen a case. But the baby’s parents, Ratner learned, had chosen not to vaccinate her. Disheartened, he told his colleagues, “This should be a never event.” It wasn’t. The following year, Ratner treated another infant with Hib, then another, each of them unvaccinated. Two went home, but one had to be discharged to a rehabilitation facility. That 5-month-old boy had huge black pupils that didn’t respond to light, and he needed a ventilator to breathe. Ratner and his colleagues noted an “absence of brain stem reflexes,” indicating severe damage. The U.S. government took a half century to build a vaccination system that shielded children from such a fate. Its success depended on two fundamental pillars: parents trusting in vaccines and children having access to them. Both are now in peril, thanks in no small part to the man steering America’s health policy. Health and Human Services Secretary Robert F. Kennedy Jr., who founded an antivaccine group and once likened the immunization of children to a holocaust, is transforming a government that long championed the lifesaving benefits of shots into one that spreads doubts about their safety here and abroad.  Kennedy is also considering changes that could prompt the few companies that make vaccines for American kids to abandon the U.S. market, leaving parents who want the shots unable to get them. The threat to vaccine access reaches across the globe after Kennedy yanked the government’s $1.6 billion pledge to the aid group that provides shots for the world’s poorest children. For decades, the U.S. had funded such work not just as a humanitarian mission but as a way to keep Americans safe from unchecked contagions. Kennedy’s efforts to reshape vaccine policies have been well chronicled, but ProPublica wanted to take a broader look at how the changes might affect Americans’ health in the years to come. We found that long-forgotten plagues have roared back, killing and maiming children in parts of the world where access to vaccines or trust in them faltered. What seemed like subtle changes to a …
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