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"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.”
The harm Trump's health secretary is doing when it comes to disease prevention could end being nearly impossible to calculate.
Vaccines have saved millions of lives. But for decades, Robert F. Kennedy Jr. has pursued a single-minded crusade against them. Numerous scientific studies have debunked his false claim that vaccines cause autism. But now he’s weaponizing the nation’s public health system to promote his ideological quackery.
Once a Crackpot, Always a Crackpot – But Now Possessing the Power of Life and Death
In a 2021 podcast, Kennedy urged Americans to “resist” CDC guidelines on when kids should get vaccines.
In 2021, Kennedy said, “I see somebody on a hiking trail carrying a little baby and I say to him, better not get them vaccinated.”
In a video promoting his non-profit organization’s anti-vaccine sticker campaign, Kennedy appeared onscreen next to a sticker that declared “IF YOU’RE NOT AN ANTI-VAXXER YOU AREN’T PAYING ATTENTION.”
In a July 2023 podcast, he said, “There’s no vaccine that is, you know, safe and effective.”
Sen. Bill Cassidy (R-LA), a physician, knows that Kennedy’s anti-vaccine claims are bogus. But Kennedy assured him that he would protect “the public health benefit of vaccinations” and maintain without changes the Centers for Disease Control and Prevention (CDC) Advisory Committee on Immunization Practices (ACIP). That committee of outside experts reviews the most recent data on all vaccines to assess safety, efficacy, and clinical need. It develops a recommended guidance schedule for all vaccines, including seasonal flu shots and COVID boosters. Physicians rely on that guidance in counseling patients, and insurance companies and government programs use it to determine the vaccines they will cover.
Based on Kennedy’s promises, Sen. Cassidy cast the deciding vote to confirm him as Secretary of Health and Human Services.
Timeline of Destruction
In RFK Jr.’s mission to spread his lies, he has systematically gutted the world’s premier public health organization.
In March, Kennedy announced that he would conduct a study to find the cause of autism by September – an absurd mission with a nonsensical end date.
Leading his autism “study” is David Geier, a discredited vaccine skeptic who isn’t a physician. In 2012, the Maryland State Board of Physicians pursued charges against Geier, alleging that he had engaged in the unlicensed practice of medicine while working on autistic kids with his father, who was a physician at the time. His father’s medical license was suspended following claims that he had “endangered autistic children and exploited their parents by administering a treatment protocol that has a known substantial risk of serious harm and which is neither consistent with evidence-based medicine nor generally accepted in the relevant scientific community.”
Paging Sen. Cassidy
On August 25, Kennedy demanded that newly-confirmed CDC Director Dr. Susan Monarez fire career CDC officials and commit to backing his advisory committee if it recommended restricting access to proven vaccines. She refused.
That evening, Dr. Monarez called Sen. Cassidy, who then called Kennedy. The next day, an angry Kennedy reiterated his ultimatum to Dr. Monarez. Again, she refused. The next day, she received a call from the White House personnel office telling her that she was fired.
Four of the highest-ranking CDC officials resigned in protest: Dr. Debra Houry (deputy director and chief medical officer), Dr. Demetre Daskalakis (director of the National Center on Immunization and Respiratory Diseases), Dr. Daniel Jernigan (director of the National Center for Emerging and Zoonotic Infectious Diseases), and Dr. Jennifer Layden, (director of the Office of Public Health Data, Surveillance, and Technology).
In his resignation letter, Dr. Daskalakis warned that the current environment “treats CDC as a tool to generate policies and materials that do not reflect scientific reality and are designed to hurt rather than to improve the public's health.” He wrote that the administration’s “desire to please a political base will result in death and disability of vulnerable children and adults.” In an email to colleagues, he denounced “the ongoing weaponization of public health.”
On August 27, Trump presided over a televised, three-hour North Korea-style cabinet meeting. He asked Kennedy about autism, and RFK Jr. responded, “We are doing very well. We will have announcements as promised in September. We’re finding interventions, certain interventions are clearly, almost certainly causing autism. And we’re going to be able to address those in September.”
Trump then rambled for several minutes, revealing that he had no understanding of the complexity behind the increase in autism diagnoses and concluding, “I think we maybe know the reason and I look forward to being with you in that press conference.”
Kennedy was offering Trump a simple and incorrect solution to a complex problem.
But Sen. Cassidy knows that the answer to the autism puzzle isn’t simple – and it isn’t vaccines. On August 28, he called for a delay in the CDC’s upcoming vaccine advisory committee meeting. He said that if the meeting proceeds, “any recommendations made should be rejected as lacking legitimacy” given concerns about the panel “and the current turmoil in CDC leadership.”
The same day, Kennedy named Jim O’Neill as acting director of the CDC. O’Neill, a former Silicon Valley biotech executive, is not a physician or a scientist.
The Reckoning Ahead
Until it affects them personally, most Americans don’t—or won’t—the magnitude of ruinous government action. The long run is always somebody else’s problem. Along with the public’s short attention span, Trump relies on that principle to govern.
So have Senate Republicans. Abdicating their constitutional responsibilities to reject Trump’s unfit nominees for critical government posts, they have put incompetent ideologues like RFK Jr. in charge of life-and-death decisions.
But eventually, the long-run arrives. And when it does, millions of Americans will pay the ultimate price.
"I am unable to serve in an environment that treats CDC as a tool to generate policies and materials that do not reflect scientific reality and are designed to hurt rather than to improve the public's health," said top CDC official who resigned in protest.
It's being called the Wednesday Night Massacre.
Total "chaos" erupted at the Centers for Disease Control on Wednesday after the forced removal of CDC Director Susan Monarez, handpicked by President Donald Trump just months ago, was followed by the disgruntled resignations of other top officials at the agency who openly warned that health secretary Robert F. Kennedy Jr. is running the place into the ground while putting the nation's public health system at risk of collapse and threaten millions of lives.
That Monarez was no longer the director was announced by the Department of Health and Human Services, led by RFK Jr., via social media on Wednesday afternoon. Hours later, lawyers for Monarez said her removal was a firing, not a resignation, and they accused the director of "weaponizing public health for political gain" after she clashed with Kennedy over new immunization guidelines related to the Covid-19 vaccine.
A letter from Monarez's lawyer said she was targeted because she challenged the new policy that would put "millions of American lives at risk" and represents deeper concerns about the agency's agenda under Kennedy's leadership.
Her ouster, her legal team said, "is about the systematic dismantling of public health institutions, the silencing of experts, and the dangerous politicization of science. The attack on Dr. Monarez is a warning to every American: Our evidence-based systems are being undermined from within."
"The CDC is being decapitated. This is an absolute disaster for public health." —Dr. Robert Steinbrook, Public Citizen
In an announcement earlier Wednesday, the Food and Drug Administration (FDA) narrowed the kinds of conditions people need to have in order to receive approval for available Covid-19 vaccines.
As the Washington Post reports, the new FDA guidance sparked concern among public health experts who say the policy shift "injects uncertainty for Americans not considered high-risk who want to get another coronavirus vaccine. They said it's not clear who will ultimately be able to get the shot, whether insurance will cover it and whether they can get vaccinated at their local pharmacy."
In response to Monarez's firing—and other underlying issues at the agency under RFK Jr.'s leadership, at least four other top CDC officials resigned in protest Wednesday night.
Demetre C. Daskalakis, director of the National Center for Immunization and Respiratory Diseases; Daniel Jernigan, director of the National Center for Emerging and Zoonotic Infectious Diseases; Dr. Jennifer Layden, who led the office of public health data; and CDC Chief Medical Officer Debra Houry all submitted their resignations.
Dr. Richard Pan, a pediatrician and a former Democratic state senator in California, was among those who declared the events should be seen as the "Wednesday Night Massacre at the CDC"—a reference to the infamous Saturday Night Massacre during the Watergate scandal under President Richard Nixon in 1973.
In his explosive resignation letter made public, Dr. Daskalakis said he did not make the decision lightly.
"However," he stated, "after much contemplation and reflection on recent developments and perspectives brought to light by Secretary Robert F. Kennedy Jr., I find that the views he and his staff have shared challenge my ability to continue in my current role at the agency and in the service of the health of the American people. Enough is enough."
The letter continues:
I am unable to serve in an environment that treats CDC as a tool to generate policies and materials that do not reflect scientific reality and are designed to hurt rather than to improve the public’s health. The recent change in the adult and children’s immunization schedule threaten the lives of the youngest Americans and pregnant people. The data analyses that supported this decision have never been shared with CDC despite my respectful requests to HHS and other leadership. This lack of meaningful engagement was further compounded by a “frequently asked questions” document written to support the Secretary’s directive that was circulated by HHS without input from CDC subject matter experts and that cited studies that did not support the conclusions that were attributed to these authors. Having worked in local and national public health for years, I have never experienced such radical non-transparency, nor have I seen such unskilled manipulation of data to achieve a political end rather than the good of the American people.
It is untenable to serve in an organization that is not afforded the opportunity to discuss decisions of scientific and public health importance released under the moniker of CDC. The lack of communication by HHS and other CDC political leadership that culminates in social media posts announcing major policy changes without prior notice demonstrate a disregard of normal communication channels and common sense. Having to retrofit analyses and policy actions to match inadequately thought-out announcements in poorly scripted videos or page long X posts should not be how organizations responsible for the health of people should function.
Critics of RFK Jr. and Trump, including public health advocates and Democratic lawmakers charged with oversight, slammed the chaos and the deeper threat to the American people that the administration's misguided attacks on the CDC have triggered.
"President Trump and Sec. Kennedy are trying to purge anyone who stands up against their anti-science agenda at the CDC," said Sen. Rafael Warnock (D-Ga.). "They're risking disease outbreak and another pandemic just to advance their own extremist goals."
Sen. Bernie Sanders (I-Vt.) called for an immediate hearing before the Committee on Health, Education, Labor, and Pensions (HELP), of which he is the ranking member. "It's outrageous that Sec. Kennedy is trying to fire the CDC Director—after only a few weeks on the job—for her commitment to public health and vaccines," said Sanders. "Vaccines save lives. Period."
One former CDC staffer, who went unnamed, told Rolling Stone that what's happening now at the agency is "the work of a death cult."
According to Dr. Georges C. Benjamin, MD, executive director of the American Public Health Association, the ouster of Monarez, just weeks after her confirmation in the US Senate, "is yet another glaring sign of Secretary Kennedy’s failed leadership and reckless mismanagement. His tenure has been marked by chaos, disorganization, and a blatant disregard for science and evidence-based public health."
The episode, Benjamin continued, "underscores his administrative incompetence and his disdain for the expertise that the public and our public health agencies rely on. RFK Jr. must be removed from his position."
He wasn't the only one calling for Kennedy's immediate removal. "Fire him," declared Sen. Patty Murray (D-Wash.) in a social media post.
"We cannot let RFK Jr. burn what's left of the CDC and our other critical health agencies to the ground—he must be fired," Murray said in a separate statement. "I hope my Republican colleagues who have come to regret their vote to confirm RFK Jr. will join me in calling for his immediate termination from office."
Dr. Robert Steinbrook, the health research director for Public Citizen, said, "Ousting the first Senate-confirmed CDC director weeks into the start of her tenure makes absolutely no sense and underscores the destructive chaos at RFK Jr.'s Department of Health and Human Services."
"The CDC is being decapitated," warned Steinbrook. "This is an absolute disaster for public health."