Monday, August 17, 2026

One of The Greatest Generation, A Dachau Liberator Speaks

No matter how many times I have heard and read these stories over the years, I am always moved at the quiet heroism of the rescuers and the survivors, whose numbers are steadily dwindling.

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One of Dachau’s last living liberators still has somewhere to be. For decades, Hilbert ‘Hibby’ Margol kept quiet about what he saw in 1945. Now, at 102, the WWII veteran is racing to tell his story while he still can 

By Benyamin Cohen, 8-10-26, The Forward

Hilbert "Hibby" Margol at his home in Atlanta. 

"ATLANTA — Hilbert “Hibby” Margol wears two watches.

"It is the kind of detail that seems small until you can’t stop noticing it. One watch is ordinary. It has hands, numbers, the plain mechanics of telling time. The other is a Life Alert, the sort of device sold to people who live alone, or to the people who love them and can’t stand the thought of them living alone.

"Together the two watches say something about a man before he’s said a word himself: that he has outlived the need for almost everything, except the people determined to make sure he’s still here.

"He is 102. He lives by himself in the same two-story house in suburban Atlanta he shared with his wife of 77 years, Betty Ann, who died at 96 last September. The house still carries the warmth of her memory. Family photographs cover every surface that will hold them: the mantel, the end tables, the walls, climbing toward the ceiling like something that grew there on its own.

"There will soon be one more: Hibby’s fourth great-granddaughter, Callie Rose, was born two weeks ago.

"A framed photograph of French President Emmanuel Macron pinning the Legion d’Honneur to Margol’s chest — taken in 2024, when Margol was one of dozens of American veterans Delta Airlines chartered to Normandy for the 80th anniversary of D-Day — leans against the fireplace, not yet hung, as if the house has simply run out of room to keep up with the life still happening inside it.

"The coffee table has disappeared beneath medals and ephemera and the accumulated evidence of a hundred years, and it occurs to you, sitting across from him, that you are not in the home of a man winding down. You are in the home of a man still arriving.

The coffee table at the home of Hilbert 'Hibby' Margol is lined with ephemera from his years of service.
The coffee table at the home of Hilbert ‘Hibby’ Margol is lined with ephemera from
his years of service. Photo by Benyamin Cohen

"His iPhone buzzed. Then again. He glanced at it and rolled his eyes.

“That’s my daughter,” he said. “Checking on me.”

"His daughter is, herself, a senior citizen. The phone had no case — hadn’t needed one, he doesn’t drop things — which felt like its own kind of answer to a question I hadn’t yet asked: What does it look like to move through a century without ever quite losing your grip?

"On the day I visited this June, he had just returned from yet another trip to Normandy, marking another anniversary of a war he’d fought in as a young man and had spent most of the rest of his life not talking about. A week before that, the Atlanta Braves had honored him on the field on Memorial Day for the second year in a row.

Left to right: Scott Johnson of the Warrior Alliance, Chris Sale of the Atlanta Braves and Hilbert 'Hibby' Margol before a baseball game honoring veterans in May 2025 at Truist Park in Atlanta, Georgia.
Left to right: Scott Johnson of the Warrior Alliance, Chris Sale of the Atlanta Braves
and Hilbert ‘Hibby’ Margol before a baseball game honoring veterans in May 2025
at Truist Park in Atlanta. Photo by David J. Griffin/Icon Sportswire via Getty Images

"For six decades, Margol said almost nothing about what he had seen at the end of that war — not to his wife, not to his three children, not to anyone. And then, in his 80s, he started to talk about it, and he has not really stopped since.

"Margol is sharing his experience as one of a dwindling number of U.S. Army veterans alive today who helped liberate the Dachau concentration camp.

Inside the camp

"He and his identical twin brother, Howard — younger by ten minutes — served together in the war. That alone took some doing: the military generally kept siblings apart, a policy hardened after five Sullivan brothers died together when their ship sank in 1942. (It’s loosely the premise behind Saving Private Ryan.) It took a letter from the Margols’ mother to President Franklin D. Roosevelt to get an exception made.

"On the morning of April 29, 1945, the brothers were on the outskirts of Munich when they caught a strange, powerful smell drifting out of the woods.

Twin brothers, Howard (left) and Hibby Margol, served in the U.S. Army during World War II.
Twin brothers Howard (left) and Hibby Margol served together in the U.S. Army
during World War II. Courtesy of Jerry Margol

"Howard was the one who placed it. It reminded him of an unpleasant odor he would sometimes catch a whiff of in their mother’s kosher kitchen back home in Jacksonville, Florida — the way she would hold a freshly killed chicken over the gas flame of the stove to singe off the last of its pin feathers. Only this stench was much, much stronger.

"The brothers went to find the source. What they came to first was a line of boxcars. The first one they reached had its sliding door open. A dead man’s leg was dangling out of it. They opened the cars and found them packed with dead bodies in striped prisoner uniforms “like sardines,” Hibby would say.

"They had a small camera, liberated from a dead German officer a few weeks earlier, and they used it to take a photograph of one of the cars — a copy of which hangs in the United States Holocaust Memorial Museum in Washington, D.C.

"They pressed further into the woods and came out at another clearing. Above the entrance was a sign: ARBEIT MACHT FREI. Work will set you free.

"They had found Dachau.

"Beyond the gate was a wide-open yard ringed by low barracks buildings — and, in several places, bodies stacked the way you’d stack cordwood. The arrangement of them is the part that refused to make sense. Somebody had piled them, neatly, as routine.

"Neither brother had ever seen anything like it. “We didn’t understand what we were looking at,” Margol said. “It sort of reminded us of a movie set.”

"They learned only later that the camp’s ovens had run out of coal months earlier, and without coal, there was no way to cremate the bodies. So the corpses had simply been left where they lay.

"It took a moment to register that not everyone in the yard was dead. Off to one side, against a barracks wall, were four or five prisoners — some squatting, some just standing, none of them well. But alive.

"The camp’s roughly 32,000 prisoners walked free later that same day, once a Swiss Red Cross negotiator talked the SS commander into a peaceful surrender rather than a last stand.

Liberated prisoners at the Dachau concentration camp raise bottles of wine and celebrate in 1945.
Liberated prisoners at the Dachau concentration camp raise bottles of wine 
and celebrate in 1945. Photo by Universal History Archive/
Universal Images Group via Getty Images

"Years later, at a visit to mark the liberation’s 70th anniversary, an elderly survivor found Margol after a memorial service. She told him she’d been too sick with typhus that morning to understand what was happening around her. Then she leaned over and kissed him on both cheeks. “If you guys were two or three days later,” she told him, “I wouldn’t have made it.”

One family, two branches

"I’ve spent much of the past year following a different story: a family of cattle farmers in rural Illinois, building a synagogue in a two-acre cornfield out of the remains of closing synagogues — a Torah rescued from one congregation, an ark from another, stained-glass windows carried out of buildings that no longer exist. The building will also include a museum of tolerance, sharing the stories of the family’s ancestors — some who died in concentration camps, others who survived by being hidden in the homes of Christian families.

"The family is named Jakobs. You’ve met the 41-year-old farmer, Nik, in stories I’ve written about the Pennsylvania synagogue he dismantled, piece by piece, to save it; the groundbreaking of the new one rising in a field; and the family’s roots in the Netherlands, where his grandmother, Edith, spent nearly three years hidden in a farmhouse. This spring, I flew with the family to Stadskanaal, the small Dutch town that was her family’s refuge, to watch a local theater troupe stage a play about her survival.

Nik Jakobs, a cattle farmer in rural Illinois, is building a synagogue in a two-acre cornfield.
Nik Jakobs, a cattle farmer in rural Illinois, is building a synagogue 
in a two-acre cornfield. Photo by Benyamin Cohen

"It was in the Netherlands, reporting Jakobs’ story, that he first mentioned a name: Hibby. Jakob’s brother Bryce who left the farm for a career of his own, is married to one of Margol’s granddaughters. Margol’s great-granddaughters carry both halves of this history. On one side: relatives murdered in the Holocaust, and ancestors who survived it in hiding. On the other: a soldier who helped liberate one of the camps.

"I asked Margol what he made of it. He didn’t reach for anything grand. “Well,” he said, “it’s quite a story.”

The silence

"For decades, Margol said almost nothing about Dachau to his family. “We had written letters,” he said of the war years. “We figured that was sufficient.”

"Life moved on. Margol built a business selling furniture and appliances. He raised a family. The war became something that had happened to a younger man.

"Then came an invitation.

"In 2012, at 88, Margol joined about a dozen other American liberators on the International March of the Living, traveling to Poland with Holocaust survivors and thousands of Jewish teenagers. For the first time since the war, he wasn’t simply remembering what he’d witnessed. He was walking beside people whose lives had continued because soldiers like him had arrived when they did.

“It was such an emotional experience,” he later recalled of walking from Auschwitz to Birkenau, “that when I got home I said, now I have to start talking about it.”

"His first talk was at the public library near his home. More than 90 people showed up, on word of mouth alone. Then came another invitation. And another. Synagogues. Churches. High schools. A World War II roundtable. Adult education classes at Emory University. He stopped counting after 200 presentations. Today, he estimates he’s given close to 300.

German President Frank-Walter Steinmeier, right, greets Fred J. Nungesser Jr. in the presence of, left to right, Hilbert 'Hibby' Margol, Frank Arthur Athanason, Gideon Kantor and Enoch 'Woody' Woodhouse during a reception for U.S. veterans of World War II at Bellevue Palace in Berlin in Nov. 2025.
German President Frank-Walter Steinmeier, right, greets Fred J. Nungesser Jr. 
in the presence of, left to right, 
Hilbert ‘Hibby’ Margol, Frank Arthur Athanason, Gideon Kantor and 
Enoch ‘Woody’ Woodhouse during a reception for U.S. veterans of World War II
at Bellevue Palace in Berlin in Nov. 2025.
Photo by Sebastian Gollnow/picture alliance via Getty Images

"But talking about Dachau and reliving it are not the same thing. Years ago, touring the United States Holocaust Memorial Museum in Washington, D.C., with a small group, he had to walk through a boxcar on exhibit to continue the tour — cleaner and newer-looking than the one he remembered, but a boxcar all the same. “Emotionally,” he said, “I broke down.”

"For most of his life, Margol had carried the story alone. Now he worried what would happen if no one carried it after him.

"In September, Margol is returning to Germany with his son Jerry, 74 — this trip courtesy of the Best Defense Foundation, the veterans organization that has taken the two of them to battlefields around Europe, and which is now making a documentary about Margol and another veteran. The itinerary is still coming together, but it includes a stop that father and son have made together twice before: Dachau.

The next generation

"Long before Margol began speaking publicly about the Holocaust, he had already spent years building Jewish life closer to home.

"Rabbi Mark Zimmerman saw it firsthand. Zimmerman retired this summer after leading Congregation Beth Shalom in Atlanta for 38 years. He met Margol in 1988, when the rabbi arrived and Margol was, as he put it, “a young man of sixty-something.”

“He still comes to synagogue,” Zimmerman said. “He’s still sharp as a tack.”

"But what Zimmerman remembers most isn’t Margol’s longevity. It’s what he built.

"In the late 1990s, Beth Shalom needed an educational wing. Before the congregation had raised a dollar toward the project, Margol quietly wrote a $100,000 check so the synagogue could hire a professional fundraiser and launch the campaign. He and fellow congregant Stephen Klein later donated roughly $350,000 each to complete the building.

"Today the Klein-Margol Educational Wing houses the congregation’s preschool, administrative offices, chapel, library and youth lounge.

“In many ways,” Zimmerman said, “I owe my staying at Beth Shalom to Hibby and his vision. We still have a tremendous preschool because of that original vision.”

"Only years later did Zimmerman learn another part of Margol’s legacy, about liberating Dachau. Margol recently gave Zimmerman a copy of the memoir he and his son self-published, becoming one of the congregation’s living links to the Holocaust.

“His firsthand account is such a rare commodity,” Zimmerman said, “in a world where primary witnesses, for the most part, are dying out.”

"Nearly 800 miles away, in Sterling, Illinois, the other side of Margol’s family is at work on a version of the same project. Jakobs is building a synagogue, with a museum inside so his grandmother’s story outlives her. Margol has already seen how it turns out — his wing has held preschoolers for a quarter century. Jakobs broke ground this spring.

A hat, a promise

"I asked Margol if I could take his picture before I left. “Let me get my baseball hat,” he said, and disappeared into another part of the house.

"It’s the one with the patch of the 42nd Infantry Division — the Rainbow Division, one of the liberating forces at Dachau. The nickname dates to 1917, coined by a young Col. Douglas MacArthur because the division’s ranks were drawn from National Guard units in 27 different states.

"Room by room, the 102-year-old wandered through his home looking for the hat. He checked the kitchen. He looked at the hook by the door, where another cap was hanging, then shook his head and kept going.

"There was something almost unbearably ordinary about it, set against everything he’d just spent hours telling me. The boxcars. The smell. The gate. And now: Where did I put that hat?

"He found it, and came back into the room wearing it — the same hat, more or less, that has sat on his head in front of hundreds of audiences by now. He still says yes to the invitations. He still boards planes to Europe. When I asked what all of it was for, he didn’t hesitate.

“I hope and pray,” he said, “that the offspring of all the Holocaust survivors outlive the offspring of the deniers.”

Hilbert 'Hibby' Margol wearing a hat and jacket with the patch of the 42nd Infantry Division — the Rainbow Division, one of the liberating forces at Dachau.
Hilbert ‘Hibby’ Margol wearing a hat and jacket with the patch of the 
42nd Infantry Division - — the Rainbow Division, one of the liberating 
forces at Dachau. Photo by Benyamin Cohen

Sunday, August 16, 2026

More Info On The Current COVID Surge

Happily, this Forbes article was not behind a paywall when I saw it today (8-16)

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COVID-19 Is Rising In America— Here’s What To Know About Vaccines, Xocova, Paxlovid And Pregnancy

Forbes 8-16-26, by Omer Awan, Senior Contributor. Dr. Omer Awan is a practicing physician who covers public health.

"COVID-19 infections are growing or are likely to be growing in all 50 states in the United States, according to CDC reporting.

"The rise in infections has been eclipsed by other serious illnesses such as food-borne diseases such as Cyclospora as well as the fastest growing Ebola outbreak on record in the Democratic Republic of Congo. Although there is a current summer surge in disease, overall respiratory illness activity has been low and hospitals have not been overwhelmed secondary to broad immunity in the population from prior infections and vaccinations. The virus COVID-19 can, however, cause severe disease, particularly in the elderly, those with chronic medical conditions and individuals with weakened immune systems.

How Can You Protect Yourself?

"The CDC has not updated recommendations on the COVID-19 shot due to litigations of the Trump administration’s effort to upend the childhood vaccination schedule. The American Academy of Pediatrics still recommends everyone 6 months of age and older get the annual COVID-19 vaccine for maximum protection against severe illness. Vaccination against COVID-19 offers the best protection against getting sick, being hospitalized and even death.

"In addition, staying home when sick, improving indoor ventilation, testing when symptoms develop and using a high-quality mask like an N-95 in crowded or poorly ventilated areas can also reduce transmission. This type of layered protection can mitigate the spread of disease, particularly during COVID-19 surges in both the summer and winter.

When Will The Updated COVID-19 Vaccine Arrive?

"The new updated COVID-19 vaccine should be available early this fall and will likely target the dominant circulating strain, which is the JN.1-lineage XFG variant. The exact timing of pharmacy availability will vary as manufacturers distribute the updated vaccine. The shots should still be covered free of charge from private insurance companies as well as through government programs like the Vaccines for Children program.

Xocova And Paxlovid

"Two distinct anti-viral medications have been approved by the FDA for the management of COVID-19: Xocova and Paxlovid. Xocova was approved in May of this year for post-exposure prophylaxis in adults and adolescents 12 years of age and older after being in contact with someone with COVID-19. The drug should be taken within 3 days of exposure, as it has been shown to reduce symptomatic COVID-19 by 67%.

"Paxlovid, on the other hand, is a treatment for COVID-19. It is usually prescribed for eligible patients with mild to moderate COVID-19 infection who are at high risk of progressing to severe disease. Treatment should be started within 5 days of symptom onset.

Vaccine Misinformation Continues To Spread

"Recent false claims have been circulating online that the COVID-19 vaccine caused an 82% miscarriage rate among pregnant women. That number does not represent the miscarriage rate among vaccinated pregnant women. The claim stems from a misinterpretation of early pregnancy-safety data in which incomplete follow-up was improperly treated as evidence of miscarriage. 

"The CDC itself, on its own website, states that studies involving more than a million pregnant women have found no increased risk of miscarriage, stillbirth, preterm delivery or birth defects.

"COVID-19 has not disappeared, but it certainly has not returned to levels seen in 2020. Americans should respond to rising transmission with current evidence as opposed to panic or misinformation. The best source of information on COVID-19 and vaccines is your doctor, and these conversations are critical to ensure better health and well-being."

An Attack On Rep. Fine Is An Attack On All Jews

Mamdani has normalized hateful antisemitic rhetoric and lies against Jews and Israel. Now, this Jew-hater Bilzerian, a Republican, has thought that attacking Florida's Congressman Randy Fine in an outrageously antisemitic ad would be perfectly acceptable.

Where is the condemnation of Bilzerian and his ad by the Republicans?  Everyone should be outraged.  I can't imagine any decent Floridians actually voting for such a loathsome individual. He should be excoriated and ostracized, and definitely not elected.

Good for Ambassador Huckabee for calling attention to this worsening trend.

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Newsmax, August 15, 2026 

Huckabee Hits 'Most Disgusting' TV Ad Targeting Randy Fine

"U.S. Ambassador to Israel Mike Huckabee on Saturday condemned Republican congressional candidate Dan Bilzerian over a series of antisemitic social media attacks targeting Rep. Randy Fine, R-Fla., calling the material ''possibly the most disgusting political thread'' he has seen.

''Bilzerian has taken Jew-hate to a new low,'' Huckabee wrote on X, urging users to follow the thread and adding that Bilzerian ''shouldn't get near Congress.''

"Huckabee’s criticism comes days before Tuesday’s Republican primary in Florida’s 6th Congressional District, where Bilzerian is challenging Fine, one of the few Jewish Republicans serving in Congress.

"Bilzerian, an internet personality with millions of social media followers, has repeatedly attacked Fine over his Jewish identity and staunch support for Israel.

"The latest controversy centers on a roughly two-minute video Bilzerian posted Thursday that is predominantly made up of AI-generated imagery and portrays Fine using antisemitic stereotypes and demonic imagery.

"The video refers to Fine as a ''fat Jew,'' says he has ''poison to sell'' and includes a reference to reconsidering the views of an ''Austrian painter," a widely understood reference to Adolf Hitler.

"It also declares ''America only and Israel never'' and says Fine ''needs tar and feather.''

"The video follows months of similar rhetoric from Bilzerian.

"He has repeatedly called Fine a ''fat Jew,'' questioned the accepted death toll of six million Jews in the Holocaust and promoted claims about Jewish control and ''Jewish supremacy.'' Bilzerian has rejected accusations that he is antisemitic and has argued that his attacks are directed at what he describes as Jewish supremacy and U.S. support for Israel."

Saturday, August 15, 2026

9/11 Survivors and Their Rescuers: Reunited

I remember this squeegee rescue as if it had happened yesterday rather than 25 years ago. You can bet I'll be watching the new National Geographic program about September 11, premiering on August 21. 

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"When al-Qaeda terrorists struck the World Trade Center on 9/11, six strangers found themselves trapped in an elevator in a desperate fight for survival.

"As the express elevator climbed to its first stop on the 67th floor, American Airlines Flight 11 plowed into the North Tower at 8:46 am, causing the elevator to shudder and free-fall down the shaft.

"One of the passengers pushed an emergency button, but the elevator had already plummeted 15 stories before stopping near the 50th floor.

A National Geographic docuseries premiering Aug. 21 reunites survivors of the 9/11 terrorist attacks on the Twin Towers 25 years later with the strangers and rescuers who changed their lives.

A National Geographic docuseries premiering Aug. 21 reunites survivors of the 9/11 terrorist attacks on the Twin Towers 25 years later with the strangers and rescuers who changed their lives. National Geographic/Virginia Sherwood

"As a choking cloud of thick white smoke that smelled like chemicals began pouring into the cabin, panic wasn’t an option — it was a death sentence.

"So the six men  — including a window cleaner and two Port Authority officials — calmly pooled their brains and their brawn.

"First, they worked together to open the stuck automatic metal doors with their hands.

"But there was no exit on the other end — just a solid wall with the number “50” stenciled on it.

"Then, a burst of MacGyver-level ingenuity from someone always on the outside looking in at the WTC.

"Window cleaner and Polish immigrant Jan Demczur quickly whipped out the brass squeegee from the bucket by his feet and began frantically pecking at layers of drywall in a circular motion.

"Some of the others worked in tandem, punching and kicking the drywall until there was a hole large enough for everyone to crawl out.

"They landed in a men’s bathroom, where they met firefighters imploring them to leave.

John Paczkowski, George Phoenix, and Jan Demczur reunited.

John Paczkowski, George Phoenix and Jan Demczur (left to right) are reunited October 9, 2025 in Manhattan. The three previously worked in the North Tower of the World Trade Center and were stuck in an elevator together on 9/11. National Geographic/Virginia Sherwood

"So they rushed down 50 flights of stairs and bolted out of the North Tower at 10:23 AM.

"Five minutes later, the tower collapsed.

"Demczur reunited with two of the men — John Paczkowski and George Phoenix — as part of National Geographic’s new docuseries, “9/11 Reunited,” which premieres Aug. 21 at 8 p.m. The three-part series can also be streamed in its entirety the following day on Disney+ and Hulu.

"Both Paczkowski and Phoenix are filmed warmly embracing Demczur in a meet-up at a Manhattan bar, thanking him for helping save their lives.

Firefighters navigate the rubble of the World Trade Center.

Firefighters navigate the rubble of the World Trade Center on Sept. 11, 2001. Alamy Stock Photo

“Seeing Jan and George again after all of these years reminded me of not only the tragedy of that day and the enduring grief we feel for all who were lost, but also the raw humanity of what we shared, how blessed we are to still be alive, and the responsibility we have to live life to its fullest,” Paczkowski told The Post

"The trio are among 14 survivors of the worst terror attack on US soil in history — which left 2,977 dead — who reunited with rescuers and other strangers who changed their lives for the docuseries.

"In the opening episode shared with The Post, both Paczkowski and Phoenix discussed how the Twin Towers held a special place in their hearts long before 9/11.

Debbie St. John, injured on 9/11, sitting in a wheelchair.

Deborah St. John, who was injured on 9/11 by a falling piece of an airplane. National Geographic/Virginia Sherwood

"Paczkowski, who worked on the 67th floor as the Port Authority’s assistant director of operations, said working there was a “dream come true.” Phoenix, a PA senior engineer, recounted falling in love with his future wife, Martha, during a date at the WTC’s observation deck.

"The first episode also features Deborah St. John – who suffered severe injuries after being struck by debris from the second plane to hit the WTC on 9/11 – re-uniting with Stefan Horlacher, a stranger who rushed to her aid, administering first aid on the street amid mass chaos and flagging down an ambulance.

“We knew that there were a significant number of 9/11 survivors who made deeply meaningful connections amidst the horror of 9/11 but, for a whole host of reasons, hadn’t seen each other since,” said director Julian Jones, who created the series in collaboration with the National September 11 Memorial & Museum and production company 72 Films.

“In reaching out to the survivors, we became aware that many felt they had things they wanted to say but felt they couldn’t — until now. After 25 years, the reunions became a chance for these survivors to say ‘thank you,’ to pass on a message, to honor the dead, and to reckon with their past.”

The COVID Summer Surge Is Here

Is there a summer COVID-19 surge this year? Yep, it's ramping up again

NPE, August 14, 202612:37 PM ET
Heard on All Things Considered 

"Hantavirus. Ebola. West Nile. Measles. And, of course, cyclospora — that stomach parasite making people miserable across the country. Americans have plenty to worry about this summer.

"But remember COVID-19? It may not be surprising that many people may have almost forgotten about COVID. Unfortunately, COVID hasn't forgotten about us.

"We're now in the midst of a growing summer surge of COVID here in the United States," says Dr. John Brooks, an infectious disease doctor at Emory University in Atlanta, Ga., who used to work at the Centers for Disease Control and Prevention. "I think most of us kind of feel like it's fading away and are certainly very grateful for that. But nationally we're seeing it ticking up pretty much everywhere."

"The virus is spreading the most again in the South and West, but is also on the rise in the Northeast and Midwest. The good news is the virus is still at very low levels. And so far this summer's wave seems to be continuing the trend of getting milder each year, sending fewer people to the hospital and causing fewer deaths.

"What we're seeing is very likely evidence of growing herd immunity if you will," Brooks says. "More and more people have had one or more infections that give them some immunity against the virus and have had more than one vaccination, or maybe both. And all of that really has begun to offer us a lot of protection."

"Now, that doesn't mean people don't have to worry about COVID at all anymore. The disease still makes lots of people feel awful for a week or two, foiling their summer vacations and forcing them to miss work and school.

"And COVID can still cause serious disease for some people, sending them to emergency rooms, causing hospitalizations and even sometimes still causing death.

"COVID-19 is still dangerous, particularly for older adults, infants and people who are immunocompromised," says Caitlin Rivers, an epidemiologist at Johns Hopkins University in Baltimore, Md. And that is a lot of Americans. "In a typical office, if you have 20 colleagues, it's likely that one or two of them have some degree of immunocompromise. So it's very common that people have risk factors that make COVID-19 dangerous."

"Unlike the flu, which only surges during the winter each year, COVID sees spikes twice a year – both in the summer and winter. The reason for that remains unclear.

"Rivers says she still masks up when she's in crowded places like busy airports, and recommends that people stay up to date on their vaccines. The next shots look like a good match for the dominant strain of COVID that's circulating and should start becoming available soon.

"Unlike previous years, the CDC hasn't issued updated recommendations for the vaccines because of litigation over the Trump administration's efforts to overhaul immunizations in the U.S. The administration no longer recommends that everyone aged 6 months and older routinely get an annual shot.

"But major medical groups still do recommend it. And insurers have indicated they will keep covering vaccines. The shots are likely to remain available for free through government programs like the Vaccines for Children program.

"Public health experts worry that conflicting messages will cause confusion, discouraging people from getting another shot.

"The message is that COVID vaccine and flu vaccine will be available, they're covered by insurers, they're recommended by medical societies. People should get them and get them for their kids," says Clare Hannan, executive director of the Association of Immunization Managers, which advocates for immunization programs.

"There's also even a new drug, called Xocova, that people can take right after they've been exposed to the virus to cut their chances of actually getting sick from COVID.

"It is something for people to just have in the back of their mind," Brooks says. It is expected to be a useful tool in hospitals and nursing homes when exposures happen to vulnerable people."

NY Assemblywoman Who Represents Shoplifters

Another good reason the Democrat Socialists cannot be allowed to win in November. Meet the charming Emily Gallagher, who somehow got elected to the NY State Assembly and who thinks that stealing is a human right.

When I asked a clerk at my CVS why rows of products were behind lock and key, she told me that every week, groups of thugs would come in and brazenly and quickly steal whatever was on the shelves. The police couldn't respond in time to arrest them.  So the store had to lock up the products or continue to lose money. Obviously, these gangs must also have a so-called "biological need". 

I have a strong biological need to vote Republican this November!

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Woke Brooklyn lawmaker suggests shoplifting should be LEGALIZED because thieves have 'biological need' for the things they steal

"A progressive New York City lawmaker says shoplifters should be left in peace to steal items like toothpaste and soap.

"Emily Gallagher - a Democrat Socialist member of the New York State assembly - shared a clip on her X account that also villainized drugstores, which have been forced to lock products in plexiglass cases because of rampant theft.

"Gallagher wrote that 'no one should be arrested - much less jailed' for stealing toothpaste' and said in a speech that such thefts were just 'crimes of poverty.'

"Speaking at an event, she continued: 'People who were stealing things like toothpaste, people who were stealing things like soap. 

"'And that means if you're stealing those things, you need them.

"'And we are choosing to protect billion dollar companies like CVS and Walgreens over the people who are struggling to get by.'

"Gallagher represents NYC's District 50, which comprises the wealthy Brooklyn neighborhoods of Williamsburg and Greenpoint.

"Many residents of New York and other big cities have complained that soft-on-crime policies such as those pushed by Gallagher have worsened their quality of life. 

"The drug store chains she sought to villainize now lock tens of thousands of everyday products in cases, which can only be opened by staff forced to endure regular abuse and anti-social behavior.

"But Gallagher was unrepentant and continued:  'I would say that the true crime is that there is such incredible wealth disparity in this city.

"'That there are people who can be thrown in jail simply for having a biological need.'

"Gallagher said she would push for 'treatment not jail' punishments."

Friday, August 14, 2026

Lowlife Luigi Pleads Guilty to Murder in Federal Court

As if we all didn't already know,  he stalked and murdered in cold blood Brian Thompson, the CEO of United HealthCare (above).

The murderer will be sentenced in December, hopefully to the death penalty, or else life in prison without parole.

Now, hopefully, we can hear less about this publicity-seeking killer and his sick female fans, and more about Brian Thompson and his grieving family.

Thursday, August 13, 2026

Your Local Epidemiologist - California, 8-13-26

I thought I'd blog this edition of the California version of Your Local Epidemiologist - The Dose, by Matt Willis, to show how COVID is surging there. And if it can surge there, it can surge in other states as well, so be prepared.

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Covid-19 and West Nile surge, and California is protecting vaccine access
The CA Dose, August 13, 2026

Matt Willis, Aug 13, 2026 

Covid-19 hospitalizations are climbing ahead of a murky vaccine rollout, West Nile virus is posting its worst numbers in 20 years, and California is holding the line on vaccine access while the White House backslides even further. We’ll start with Covid-19.

Covid-19 illnesses are ramping up

After watching Covid-19 activity rise in wastewater through July, we’re seeing impacts in emergency departments and hospitals. In the last week of July, an average of 33 people were hospitalized with Covid-19 per day statewide. Hospitalizations have been steadily increasing, and are projected to reach over 70 daily Covid-19 admissions by the end of the month.

Virus levels in California have been upgraded from
low to moderate in the national wastewater surveillance system (NWSS).

Covid-19 wastewater levels: California, August 2025 to now

Source: CDC

All California regions are seeing surges in virus activity, with the greatest rise in the central part of the state.

Source: CDPH

Where are the 2026-2027 fall Covid-19 vaccines? I’ve been looking for any sign of when the new vaccine will hit the market, and it’s been crickets.

This silence may be related to the uncertainty manufacturers feel this year. ACIP, the body that turns FDA approval into an actual recommendation, hasn’t met since December. ACIP was sued based on a lack of scientific basis for their changes to the childhood vaccine schedule, and won’t meet again until October 21–23.

The August 10 presidential executive order reinforced that the Covid-19 vaccine was dropped from the universal recommendation list for kids and pregnant women, and legal pushback is expected. So it’s kind of a mess at the federal level, and that has a chilling effect on vaccine roll outs. I expect we’ll know more by the end of the month.

Should you get vaccinated now? I recommend that if you’re at risk for more serious illness, go with the bird in hand and get the current vaccine. The likelihood of being exposed when you’re out and about is rising daily. You can find a shot near where you live in California at MyTurn.

Masks: We’re going to see more people using masks out there, and that’s a good thing. These days mask choices are about personal protection, and a well fitted N-95 type mask is highly protective against infection.

For anyone at higher risk for serious disease, or if you’re really focused on not getting Covid-19, its a good time to brush off the mask and consider wearing it in indoor public spaces when the virus is circulating at high levels. For me, we’re not there yet, but I’ll continue to provide updates on virus activity to guide your decisions.


West Nile virus update

West Nile virus numbers are rising fast, and California has now recorded its first deaths of the season.

Here’s how the numbers have changes since my last WNV post. Since July 26:

  • Human cases: 5 → 18 (11 counties) — including two deaths, in King and Glenn counties. This was Glenn county’s first WNV death ever. New first cases for this season were reported in Glenn, Kern, Riverside, and San Joaquin counties.

  • Dead birds: 251 → 330 (20 counties).

  • Mosquito samples: 1,001 → 1,890 (27 counties)

  • Sentinel chickens: 2 → 16 (6 counties), including a first detection in Colusa County.

  • Horses: 1 → 4 (4 counties), including a first case in Merced County.

This map shows WNV activity in California, calling out the counties where first detections in humans or animals happened between July 26 and October 7.

Source: CDPH; Annotated by Emely Bonilla, YLE.

18 WNV cases is more than twice the average for this time of year in California—peak season is still ahead of us. The national case count has climbed from 91 (July 21) to 181 (August 11), the highest in 20 years.

California is one of five states with elevated WNV activity.

Source: CDC


Why is this a severe year for WNV? There’s no formula for predicting year to year variability in West Nile burden. But temperature plays a major role.

This past winter and spring in California were among the hottest on record. Normally, in colder winter months, a fraction of mosquito populations die off. This year more made it through the warmer winter—and into a record hot spring. Higher temperatures accelerate reproduction for both mosquitoes and West Nile virus. The warming climate contributes to the burden of West Nile virus in California.

Sentinel chickens. In the last two weeks, WNV detection in sentinel chickens jumped from 2 to 16. It’s worth describing what a sentinel chicken actually is. I see them as unsung surveillance heroes. They’re out there right now, stationed in coops strategically placed around the state, getting bitten by whatever mosquitoes happens by. They’re naturally immune to WNV, and build antibodies after being infected. Local vector control workers draw a bit of chicken blood every week or two to see what’s shown up. They’re an inexpensive, low tech and critical part of our infectious disease intelligence system.

What you can do:

  • Report dead birds. Call 1-877-WNV-BIRD (1-877-968-2473)—they’ll decide whether to send someone to retrieve and test the bird.

  • Prevent bites. Dump standing water around your home at least weekly (flowerpots, pet bowls, old tires, anything that collects rain or hose runoff), make sure screens are intact, and use an EPA-registered repellent during dawn and dusk, when Culex mosquitoes—the species that carries WNV—are most active. There’s no vaccine and no treatment for WNV, so avoiding the bite is the best protection.


California’s vaccine firewall

On Monday, President Trump signed an executive order that recommends immunizations for 11 diseases, down from the 18 the CDC recommended in 2024. Vaccines against RSV and hepatitis A and B would shift from universal recommendation to something offered only to higher-risk kids, and the order calls for the combined MMR shot to be split into three separate injections given at separate visits.

Does the presidential EO matter? I’d love to ignore it, because these presidential guest appearances into the world of science are predictably unscientific, designed to get attention, and carry less practical relevance for us in California (more on that later). And an executive order isn’t even the legal mechanism to impact vaccine policy in the U.S.—this one is already being challenged. But it’s not benign.

Once again, this roils the national vaccine waters and leaves people feeling confused about what it all means— just as we’re preparing to get our kids back to school. So here’s what to know about this week’s executive order.

First, this is not new rhetoric. The president is just putting more ink behind the changes RFK Jr announced months ago — disruptions that are intended to unravel the U.S. childhood vaccine schedule. Those changes were challenged by the American Academy of Pediatrics, and have not gone into effect as the lawsuit unfolds. The EO does not change that.

Second, the EO is not feasible, even if it were good science. (It isn’t.) The divided MMR vaccine doesn’t exist in the U.S.—it wasn’t manufactured and distributed in the U.S. because it makes too much sense, practically, economically, and scientifically to be protected against three terrible diseases with one shot.

Third,
the EO does not change California’s immunization recommendations or school and child care vaccination requirements.

Last, and most important, California saw this coming and built protections.
Last year, when it became clear the federal science steering wheel was in reckless hands, California moved fast to get some distance.

In September the governor signed AB 144, a bill to insulate us from eroding federal health standards. AB 144 locks in, as a floor, the preventive-care and immunization recommendations that were in effect on January 1, 2025—before RFK Jr.’s vaccine overhaul.

Health plans in California must keep covering vaccines, without any new disruptions
no cost-sharing, and no extra paper work or permissions. That extends to Medi-Cal, which can cover childhood vaccines outside the federal Vaccines for Children program for lower income families.

Regional support. California also joined the West Coast Health Alliance, with Oregon, Washington, and Hawaii, to hold solid, science-based regional standards. Across the West Coast, instead of being stuck with federal recommendations, our vaccine access is tied to the guidance of the American Academy of Pediatrics, the American College of Obstetricians and Gynecologists, and the American Academy of Family Physicians. All of which reliably stick to the science, and focus on what’s best for their patients.

So what does a California family need to know before school starts?

Nothing has changed. The same vaccines, in the same formulations, on the same schedule, are still recommended for California kids. Access hasn’t budged—not through your pediatrician, not through your insurance, not through Medi-Cal. Because AB 144 already grounds us in a pre-RFK Jr. baseline, and in the professional societies’ evidence-based guidance.

We’re benefiting from state public health and elected leaders who read the moment a year ago. While the federal vaccine conversation lurches from lawsuit to lawsuit, California families can tune it out and get the shots they need.


Bottom line

That’s it for this week! Next week we’ll focus on getting kids safely back in school.

Love,

Matt


Dr. Matt Willis is the author of Your Local Epidemiologist in California. A California native, he’s served as a primary care physician, CDC epidemiologist, and public health officer for Marin County, where he guided the pandemic response. He lives in Marin with his family and their dogs Teddy and Ramona.

A special thanks to Emely Bonilla, Masters in Public Health candidate at UC Berkeley and summer intern at YLE, for her contributions to today’s edition.

Tuesday, August 11, 2026

Ten Tips From Infectious Disease Experts

From TIME Magazine's Angela Haupt 8-10-26:

10 Things Infectious-Disease Experts Don’t Worry About 

Every year, Jill Roberts sends her microbiology students out to swab the filthiest surface they can find on campus. Most of them march straight to the bathroom—and every year, they’re wrong. “You won’t believe what I found in the computer lab,” a lone student will tell her. “Oh yeah, I will,” says Roberts, a molecular epidemiologist and professor at the University of South Florida College of Public Health. The bathroom gets cleaned every day; the keyboard everyone shares does not.

That’s the key to how infectious-disease experts rank risk: The things that feel gross and the things that actually make you sick aren't always the same. It’s an oddly freeing distinction. Sort the genuine threats from the merely unpleasant ones, and a surprising amount of everyday dread will dissipate. 

Here are 10 things infectious-disease experts don’t worry about.

Disinfecting every surface

Dr. Peter Chin-Hong, an infectious-disease specialist at the University of California, San Francisco, has a simple way of deciding where to focus his attention: “I respect air more than surfaces,” he says.

That’s especially true during respiratory virus season. Instead of constantly wiping down counters and doorknobs, he thinks about ventilation. When a large group of people comes over, for example, he cracks open a window. If the heat or air conditioning is running, he makes sure it’s bringing in outside air instead of simply recirculating what’s already in the room.

That doesn’t mean surfaces never matter. The U.S. Centers for Disease Control and Prevention recommends cleaning food-preparation surfaces with hot, soapy water—and sanitizing those contaminated by raw meat or poultry. If someone is sick, clean frequently touched surfaces first, then apply a U.S. Environmental Protection Agency-registered disinfectant according to its label. But a slightly dusty coffee table isn’t where Chin-Hong directs most of his energy. Improving the air typically gives you “a bigger bang for your buck,” he says.

Washing their sheets constantly

If your weekly sheet-washing routine occasionally becomes an every-other-week routine, Roberts isn’t concerned. She regularly hears from people who are convinced their bedding needs near-constant attention. “People are like, ‘I need to wash my sheets every 15 minutes,’” she says. “No, you really don’t. Every once in a while would be great, but people are excessive with the clean things.” 

For most healthy people, bedding isn’t a major source of infectious disease. Roberts would much rather see people focus on washing their hands at important times—like before eating and after using the bathroom—and handling raw food safely.

“We’re not supposed to be sterile,” she says. “People have microbes, and it’s actually healthy to have microbes on you.”

Antibacterial soap

Chin-Hong doesn’t seek out soap with an antibacterial label. “I just use plain soap, because regular soap works really well,” he says.

The important part is using it—and doing so at the right times. Chin-Hong washes his hands before eating, after using the bathroom, after handling raw food, and after caring for someone who’s sick. He thinks about timing more than frequency, rather than washing or sanitizing indiscriminately throughout the day.

“It’s about habit of mind rather than using technology or fancy additives,” he says. In other words: You don’t need the bougiest bottle on the shelf. You need to remember to use the ordinary one next to the sink. 

Their winter coat

The COVID pandemic left some people wondering whether everything they wore needed to go directly into the washing machine. Roberts fielded plenty of questions about items that had rarely seemed urgent before. “Do I need to wash my winter coat? Not really,” she says.

Socks are a different story: They should be washed regularly because fungi thrive in warm, damp environments. The distinction illustrates how Roberts evaluates risk. Rather than treating everything we wear as equally germy, she considers where microbes are likely to grow—and whether the item could realistically help spread them.

Eating sushi and other foods they love

This one boils down to your personal risk/reward balance. To some food-safety experts, enjoying a roll of raw fish isn’t worth the risk. Dr. Heidi Torres, an infectious-disease physician and assistant professor of clinical medicine at Weill Cornell Medicine, has plenty of colleagues who refuse to eat raw foods like sushi and beef tartare. She isn’t one of them. “They’re probably safer than me,” she says. “I love those things, and I refuse to stop eating them.”

To reduce her risk, she’s selective about where she eats them. She looks for restaurants that appear clean, have good health-department ratings, and are busy enough that ingredients aren’t sitting around for days. “I’m not gonna pick up that gas-station sushi,” she says.

Dr. Daniel Griffin, chief of the division of infectious disease at Island Infectious Disease Medical in Long Island, N.Y., takes a similar approach when he travels internationally. Despite being a parasitologist, he still wants to try the local cuisine. “Sometimes I’ll take risks I wouldn’t normally take,” he says, “but it’s to have that cultural experience.” He remains thoughtful about what he orders and how it was prepared—but he doesn’t let his expertise strip the fun out of eating.

Washing their reusable bags after every grocery trip

The tote bags living in your trunk are technically supposed to be washed, and almost nobody does it. Roberts is relaxed about that, within reason. "You grocery shop once a week? You probably don't need to wash them all that much," she says. However, it’s a different story if you shop daily, or if you skip the produce bags and let loose vegetables roll around in the tote. Then they've earned a trip through the laundry. 

One reason reusable bags don’t get washed: People choose pretty ones they’re reluctant to ruin in the laundry. Roberts suggests saving those for other errands and using a plain, machine-washable tote for groceries. “If you want to save that one, don’t use it for your groceries,” she says. “Use your ugly one that you got for free, and then throw it in the laundry.” That way, if raw meat leaks or loose produce rolls around inside, you won’t hesitate to wash it.

Travel 

Chin-Hong doesn’t dread getting on a plane or visiting a new part of the world. “I don’t worry about travel,” he says. What does he do instead? Prepare.

Before a trip, he makes sure he’s up to date on vaccines and learns about the specific health risks at his destination. Depending on where he’s going, that might mean packing insect repellent, taking medication to prevent malaria, or learning what food and water precautions travelers should follow once they arrive.

That advance work is what allows him to relax once he gets there. He identifies the handful of precautions that match the destination—and doesn’t spend the trip imagining everything that could go wrong.

Following a perfect phone-cleaning routine

Yes, your phone is dirty. Roberts has her students swab their own phones, and they’re routinely horrified by what grows. “We pick up things from the bathroom,” she says. “We pick up E. coli and things like that on the phone.”

Yet the experts aren’t necessarily disinfecting theirs every night. Dr. Ashley Drews, medical director of infectious diseases and system epidemiologist at Houston Methodist, readily admits she doesn’t clean hers as often as recommended. “Between you and me, I’m not that good about it,” she says. “Maybe this is one of those do-as-I-say-not-as-I-do.”

If you want to clean yours, Drews recommends removing the case and wiping both it and the phone with a not-too-wet alcohol-based wipe, then letting everything air-dry before putting the case back on. Roberts takes an even simpler approach: When the screen starts looking visibly grimy, she wipes down the entire phone. Neither one is losing sleep over missing a day.

Settling for hand sanitizer

Hand sanitizer isn’t a lazy or inferior choice in every situation. “A lot of people ask, ‘Well, can I just use the hand sanitizer?’” Roberts says. “And sure—they’re very effective.”

She keeps it within reach when soap and water aren’t convenient, especially before eating on the go. “Just pop one of those things into your bag, and hit that hand sanitizer before you pick up a hamburger,” she says.

There are exceptions. Alcohol-based sanitizer doesn’t work well against norovirus, Griffin says. If someone nearby is vomiting or has diarrhea, he makes a point of washing thoroughly with soap and water. Sanitizer also isn’t ideal when your hands are visibly dirty. But for ordinary use when you’re out and about, there’s no reason to feel guilty about reaching for it.

Eliminating every possible risk

Torres knows how easily learning about infectious diseases can send someone spiraling. “You can end up wanting to live in a bubble and never go outside—and that’s just impossible,” she says. “If you go too far down the rabbit hole, you get a little depressed.”

Her goal is to minimize risk, not eliminate it. That might mean choosing the reputable sushi restaurant, skipping the overcrowded hot tub, or washing her hands before eating. It doesn’t mean avoiding every food, destination, or activity that carries even a remote possibility of illness.

Chin-Hong thinks about risk as a continuum, rather than dividing the world into safe and dangerous. “I want to engage with the world,” he says. “I’m not afraid of most things. I just prioritize things different ways.”

Your Local Epidemiologist: The Dose: 8-11-26

EO for routine childhood vaccines, Covid-19, fire, heat, and more

The Dose (August 11)

This week started off with a bang with an executive order on routine childhood vaccinations. So much for this administration not touching childhood vaccines before the midterms. I try to break down the signal from the noise for you below (there was a lot of noise.)

Plus: Michigan health officials say iceberg lettuce is now all clear, but we have a new produce item making us sick in 27 states: jalapeños. Covid-19, fire smoke, and heat risk continue to march forward. And we end with some good news.

Here’s your “disease weather report”, and most importantly, what it may mean for you and your family.


Disease weather report

Record-breaking Cyclosporo outbreak coming to a halt

The nationwide cyclosporiasis count is now more than 20,000 cases for the year, but that’s an undercount, since many people with milder symptoms simply stay home rather than seek care. The total will keep climbing, both because multiple outbreaks are underway and because the largest, centered in Michigan, is still working through a backlog of investigations. This could easily become the largest foodborne outbreak in history.

The contaminated lettuce behind it appears to be out of circulation: several metrics are declining quickly, including the test positivity rate. In Michigan, the outbreak’s epicenter, emergency department visits are falling, and the number of recent new infections is nearly zero. (See below.) That second metric is especially useful because it isn’t skewed by reporting delays or lab-confirmation backlogs.

Thanks to an FDA Enforcement Report, we now know the actual number of lettuce cases recalled was 236,192! Interestingly, only 2.5% of recalled lettuce was from Taco Bell. Almost half of the recalled product was supplied to Walmart. This makes Taylor Farms’ communications that much more atrocious because it means that many got sick when everyone thought it was just Taco Bell.

What this means for you: You can now return to all your leafy greens.

Salmonella in jalapeños

Another, separate outbreak (Salmonella this time, which means getting sick 12-72 hours after eating) is now active and linked to fresh jalapeños from Sinaloa, Mexico. The latest official CDC count is 345 people sick across 27 states, with 36 hospitalized. Two cases have antibiotic-resistant strains.

Chipotle and Qdoba both pulled the supplier’s jalapeños, and the recall has since expanded downstream to include prepared foods from brands such as Taylor Farms (yes, again), Ready Meals, Meal Simple, Higher Harvest, and Deli Kitchen that used the contaminated peppers as an ingredient.

What this means for you: Throw away (or avoid purchasing) jalapeños and associated foods at Hannaford, Kroger, Stop and Shop, Target, Trader Joe’s, Walmart, and Whole Foods.

Covid-19 summer wave continues to rise

Covid-19 levels remain low, but emergency visits are increasing in 43 states. We are clearly in a wave that has come like clockwork every summer since the pandemic, for reasons that still puzzle epidemiologists. As expected, hospitalizations have begun to increase after the typical lag in testing trends, but they remain at a record low.

Test positivity rate for Covid-19 (and flu and RSV). Source: CDC.

What this means for you: If you don’t want to get sick, the time to wear a mask in crowded, indoor areas is starting.

Air quality and heat galore

Air quality remains poor in the Northwest due to wildfires, which seem to be becoming increasingly common these days.

Also, more than 75 million people, concentrated in the South, will be at risk of heat illness.

Heat illness risk across the United States for August 11, 2026. Source: NOAA

What this means for you: Here are six things you need to know about heat illness.

6 things to know about heat illness

6 things to know about heat illness

When I picture a heat death, I used to imagine someone collapsing outside in the blazing sun while working at a construction site. That definitely happens, but what I learned while working at CDC is that it can also look like Shirley.


Spotlight: Executive order on childhood vaccines

Yesterday, an executive order and a press conference announced changes to the routine childhood vaccination schedule. (So much for the administration pulling back on vaccine policy before the midterms. More than 80% of Americans still strongly support having access to vaccines.) As expected, it was a lot of craziness, so instead of refuting everything, I’m here to tell you what it means for you today:

Not much. Families can still access all vaccines on the AAP schedule. Pediatricians should continue offering vaccines, and these vaccines remain covered without cost-sharing under current law.

What it is: Most of what the EO does is set direction and ask for plans. HHS has 90 days to present a plan for offering MMR as separate shots, which isn’t possible yet because single-antigen measles, mumps, and rubella vaccines aren’t currently manufactured in the U.S. In fact, nowhere in the world is there a single-dose version of vaccines. It would take years of research and development to execute this. Other pieces, such as a framework proposing to reclassify hepatitis A, hepatitis B, and rotavirus vaccines away from “recommended for all children” or the development of new vaccine adjuvants, don’t have set timelines at all.

What it is NOT: There is no new scientific data to justify a new policy. This is also not legislation. In other words, Congress didn’t pass it, and it can’t override state or federal law on its own. (Remember, vaccine policy is mainly determined by the states rather than the federal government.)

When I will worry: If one of three things happens:

  1. Autism is added to the Vaccine Injury Table. This could bankrupt the compensation program by opening it to a flood of lawsuits. If the program collapses, two things follow: families with vaccine injuries would lose their main source of compensation, and manufacturers, no longer protected from massive liability, would likely stop producing vaccines altogether.

  2. Funding for the Vaccines for Children Program is withdrawn, which would halt free vaccines for 1 in 2 children in the U.S.

  3. Federal powers (such as withholding funding) are used to compel states to change their vaccine exemption policies.

This EO may reach #3. It directs the Department of Justice to pursue legal action against states that don’t offer religious or medical exemptions from school vaccine requirements. Only a handful of states (California, Maine, West Virginia, Connecticut, and New York) have no religious exemptions, so they would be impacted the most, but it would take years with legal battles. All the other states could be impacted in other ways, but that depends on how the legal fights unfold, how far DOJ pushes it, and how states respond. Too many variables to call yet.

What this means for you: Chaos and confusion are the point. Keep a steady head. Families can still access all vaccines on the AAP schedule. Pediatricians should continue offering vaccines, and these vaccines remain covered without cost-sharing under current law.


Good news

  • Major depression among teens continues to decline, showing roughly a 30% drop in depression since peak years. This was also the case for deaths from suicide in older teens and adults through age 34. (Dr. Thomas Farley)

    Figure by Dr. Thomas Farley
  • An ancient protein could aid existing cancer treatments. C3, a protein that evolved long before the human circulatory system, may help with treating cancer more efficiently. When produced inside tumors, C3 blocks cells that suppress the immune system and provides an opportunity for immunotherapy to work more effectively. This effect was observed even in treatment-resistant tumors. (ScienceDaily)


Bottom line

Lettuce is safe, jalapeños aren’t (for now), and despite the headlines and a purposefully confusing press conference from the Health Secretary, nothing about your kids’ vaccines actually changed this week. Keep a steady head out there. It’s a lot to keep up with.

Love, YLE


Your Local Epidemiologist (YLE) comprises a team of experts, ranging from physicians to immunologists to epidemiologists to nutritionists, working together with one goal: to “translate” ever-evolving public health science so that people are well-equipped to make evidence-based decisions. The YLE suite of newsletters reaches over 475,000 people across more than 132 countries. This newsletter is free to everyone, thanks to the generous support of fellow YLE community members.