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Column: Meet the most dangerous quack in America

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Column: Meet the most dangerous quack in America

It used to be fairly easy to dismiss Florida’s surgeon general, Dr. Joseph A. Ladapo, as a clownish anti-vaccine quack posing a danger mostly to residents of his home state.

That has become harder to do as time goes on, as Ladapo has moved from promoting useless treatments for COVID-19, such as the drugs hydroxychloroquine and ivermectin, to waging an ever-expanding fact-free campaign against the leading COVID vaccines.

This month, Ladapo established a new low for himself. In a public advisory issued Wednesday by the Florida Department of Health, he declared the vaccines “not appropriate for use in human beings” and counseled doctors to steer patients to other treatments. He explicitly called for a “halt in the use of COVID-19 mRNA vaccines.”

Scaring people unnecessarily like this has been hard to watch. … It is hard to believe that Dr. Ladapo actually issued that statement.

— Vaccine authority Paul Offit

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For several reasons, this advisory ranks as the single most dangerous statement by a government health agency since the start of the pandemic, if not for all time.

First and foremost, it’s based on a claim in a paper co-authored by known anti-vaccine activists that was almost instantaneously debunked upon its publication in October.

Then there’s the public health context: As COVID infections have been surging coast to coast, advisories from public health authorities to resume masking and take other protective measures, such as making sure you’re up to date on vaccinations, are almost invisible.

Even more worrisome, the incidence of other vaccine-preventable diseases may be rising. As many as nine cases of measles have been reported in Philadelphia, some associated with an infection started at a daycare center with a family that violated quarantine rules.

Among the victims, according to the Philadelphia Inquirer, are “an infant who was too young to get vaccinated, an unvaccinated older child and the older child’s unvaccinated parent.”

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Nine cases may not sound like a lot — 41 were reported nationwide in 2023 — but they could be a harbinger of worse to come, in clusters in which anti-vaccine propaganda has taken hold.

Finally, one must consider the source. Despite his state post and a tenured position as a professor of medicine at the University of Florida — courtesy of his patron Ron DeSantis, the extremist anti-vaccine Republican governor — Ladapo has zero credibility within the medical establishment. Taking medical advice from Ladapo makes about as much sense as taking investment advice from Sam Bankman-Fried or your view of academic integrity from Christopher Rufo.

Ladapo has become a card-carrying member of the anti-vaccine mafia. Just before Christmas, he appeared on a podcast hosted by anti-vax agitator Del Bigtree, who stirs up his audiences with hysterical rants against vaccines and who was recently appointed communications director for the presidential campaign of notorious anti-vax figure Robert F. Kennedy Jr.

Last January, a faculty committee at the University of Florida medical school found that Ladapo engaged in “careless, irregular and contentious” research practices that may have violated university rules. The committee referred its findings to the university’s research integrity officer, but that officer ruled that since the behavior at issue was performed in Ladapo’s role as surgeon general, not as a UF professor, he had no grounds to take action.

The accusations pertained to Ladapo’s recommendation that males aged 18 to 39 avoid the mRNA vaccines. He claimed that research indicated that for men in that age group, the vaccines presented a heightened risk of cardiac-related death.

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In fact, the research indicated no such thing; rather, it showed that the risk of cardiac death from the vaccines was statistically nonexistent and, in any case, was lower than the risk of cardiac death resulting from catching COVID-19. In fact, Ladapo had personally edited the state-sponsored analysis he cited in his recommendation to remove language in earlier drafts stating that there was “little suggestion of any [cardiac] effect immediately following vaccination.”

The Food and Drug Administration has been pushing back against Ladapo’s fire hose of misinformation and disinformation for the better part of a year. Last March, the agency informed him by letter that “overstating the risks, or emphasizing the risks without acknowledging the overwhelming benefits” of the vaccines — as Ladapo had done in his cardiac death warning — “puts people at risk of death or serious illness that could have been prevented by timely vaccination.”

That brings us to Ladapo’s latest adventure in medical quackery, his claim that no one should take the mRNA vaccines. Let’s take a look.

Ladapo’s advice is based on what he says is research that the Pfizer and Moderna mRNA COVID vaccines contain fragments of DNA that are injected into human cells, which they can contaminate and turn into cancer cells.

In a Dec. 6 letter to the FDA and in the Florida Department of Health advisory, Ladapo raised “concerns regarding nucleic acid contaminants in the approved … vaccines, particularly in the presence of lipid nanoparticle complexes, and Simian Virus 40 (SV40) promoter/enhancer DNA. … The presence of SV40 promoter/enhancer DNA may also pose a unique and heightened risk of DNA integration into human cells.”

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Followers of anti-vaccine propaganda will find familiar features in this statement. For one thing, it sounds science-y as hell, filled to bursting with abstruse terms and jargon. One would have to be an expert in the field to identify it as total balderdash. The statement also bristles with scary references to DNA contamination and cancer and to “billions of fragments [of DNA] per dose.”

The same goes for Ladapo’s hand-wringing in his statements about the FDA’s 2007 standards for DNA in vaccines and his implication that the COVID vaccines violate those standards.

Fortunately, scientific and medical professionals have weighed in. One is Paul Offit, a vaccine expert at Children’s Hospital of Philadelphia. Offit explains that it’s true that “small amounts of fragmented DNA” are injected into the body with the vaccines.

It’s also irrelevant. For those fragments to affect your DNA, he explains, “things would have to occur, all of which are for the most part impossible.”

The human cell has a panoply of mechanisms to destroy foreign DNA. Even if the fragments managed to penetrate the cell nucleus, which can’t happen, they would have to cut up the existing DNA, which would require a mechanism the fragments don’t have.

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“So the chance that DNA could affect your DNA is zero,” Offit said in a video interview with Medpage Today.

As for the Florida statement’s scary references to DNA contamination and cancer and to “billions of fragments [of DNA] per dose,” the vaccines don’t contaminate patients’ DNA, the fragments have no cancer-causing abilities, and that “billions” is, in the context of the vaccines, an incredibly tiny number.

The research paper on which Ladapo based his intimation that the vaccines breach the FDA’s DNA contamination standard is self-refuting. The paper, which was based on an analysis of 24 vials of the mRNA vaccines, actually found that in all cases the fragments were well below the concentration limits set by the FDA.

The FDA, in responding to Ladapo’s Dec. 6 letter, told him that studies of the vaccines showed “no evidence” that the shots damaged recipients’ DNA and that the experience of “hundreds of millions of individuals” who received the vaccines “indicate no evidence indicative of genotoxicity.”

On the other hand, “the challenge we continue to face is the ongoing proliferation of misinformation and disinformation about these vaccines which results in vaccine hesitancy that lowers vaccine uptake,” the FDA lectured Ladapo. “Given the dramatic reduction in the risk of death, hospitalization and serious illness afforded by the vaccines, lower vaccine uptake is contributing to the continued death and serious illness toll of COVID-19.”

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In the words of the veteran pseudoscience debunker David Gorski, disinformation like Ladapo’s output is “not about science. It’s about fear-mongering about vaccines.”

Ladapo’s words and actions have surely contributed to his state’s pathetic performance in getting its citizens vaccinated against COVID. With 11.6% of its population fully vaccinated with a booster as of last May, Florida had a rate among the lowest in the nation. (California’s rate was 20.6%.) Among those 65 and older — purportedly the population that Florida strives to protect — only 31.2% were fully vaccinated. (California: 48.3%.)

Florida’s death rate from COVID of 375 per 100,000 people is among the worst in the country. (California: 283.) You can ignore the defense that the difference is due to Florida’s relatively older population; states with even older median ages have done much better: Vermont (170), New Hampshire (245) and Maine (252). The difference is the indifference of Ladapo and DeSantis to their own residents’ health.

Ladapo’s colleagues in science and medicine face the challenge of understanding what drives someone with Ladapo’s credentials — a Harvard education and a stint on the medical faculty at UCLA — to descend so deeply into professional irresponsibility.

“It is hard to believe that Dr. Ladapo actually issued that statement,” Offit said of Ladapo’s advice to avoid the vaccines. “Scaring people unnecessarily like this has been hard to watch.”

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A push to end a fractured approach to post-fire contamination removal

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A push to end a fractured approach to post-fire contamination removal

The patchwork efforts to identify and safely remove contamination left by the 2025 Eaton and Palisades fires has been akin to the Wild West.

Experts have given conflicting guidance on best practices. Shortly after the fires, the federal government suddenly refused to adhere to California’s decades-old post-fire soil-testing policy; California later considered following suit.

Meanwhile, insurance companies have resisted remediation practices widely recommended by scientists for still-standing homes.

A new bill introduced this week by state Assemblymember John Harabedian (D-Pasadena) aims to change that by creating statewide science-based standards for the testing and removal of contamination deposited by wildfires — specifically within still-standing homes, workplaces and schools, and in the soil around those structures.

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“In a state where we’ve had a number of different wildfires that have happened in urban and suburban areas, I was shocked that we didn’t have a black-and-white standard and protocol that would lay out a uniform post-fire safety standard for when a home is habitable again,” Harabedian said.

The bill, AB 1642, would task the state’s Department of Toxic Substances Control with creating standards by July 1, 2027. The standards would only serve as guidance — not requirements — but even that would be helpful, advocates say.

“Guidance, advisories — those are extremely helpful for families that are trying to return home safely,” said Nicole Maccalla, who leads data science efforts with Eaton Fire Residents United, a grassroots organization addressing contamination in still-standing homes. “Right now, there’s nothing … which means that insurance companies are the decision-makers. And they don’t necessarily prioritize human health. They’re running a business.”

Maccalla supports tasking DTSC with determining what levels of contamination pose an unacceptable health risk, though she does want the state to convene independent experts including physicians, exposure scientists and remediation professionals to address the best testing procedures and cleanup techniques.

Harabedian said the details are still being worked out.

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“What’s clear from my standpoint, is, let’s let the public health experts and the science and the scientists actually dictate what the proper standards and protocol is,” Harabedian said. “Not bureaucrats and definitely not insurance companies.”

For many residents with still-standing homes that were blanketed in toxic soot and ash, clear guidance on how to restore their homes to safe conditions would be a much welcome relief.

Insurance companies, environmental health academics, and professionals focused on addressing indoor environmental hazards have all disagreed on the necessary steps to restore homes, creating confusion for survivors.

Insurance companies and survivors have routinely fought over who is responsible for the costs of contamination testing. Residents have also said their insurers have pushed back on paying for the replacement of assets like mattresses that can absorb contamination, and any restoration work beyond a deep clean, such as replacing contaminated wall insulation.

Scientists and remediation professionals have clashed over which contaminants homeowners ought to test for after a fire. Just last week, researchers hotly debated the thoroughness of the contamination testing at Palisades Charter High School’s campus. The school district decided it was safe for students to return; in-person classes began Tuesday.

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Harabedian hopes the new guidelines could solidify the state’s long-standing policy to conduct comprehensive, post-fire soil testing.

Not long after the federal government refused to adhere to the state’s soil testing policy, Nancy Ward, the former director of the California Governor’s Office of Emergency Services, had privately contemplated ending state funding for post-fire soil testing as well, according to an internal memo obtained by The Times.

“That debate, internally, should have never happened,” Harabedian said. “Obviously, if we have statewide standards that say, ‘This is what you do in this situation,’ then there is no debate.”

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Expiration of federal health insurance subsidies: What to know in California

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Expiration of federal health insurance subsidies: What to know in California

Thousands of middle-class Californians who depend on the state-run health insurance marketplace face premiums that are thousands of dollars higher than last year because enhanced federal subsidies that began during the COVID-19 pandemic have expired.

Despite fears that more people would go without coverage with the end of the extra benefits, the number enrolling in Covered California has held steady so far, according to state data.

But that may change.

Jessica Altman, executive director of Covered California, said that she believes the number of people dropping their coverage could increase as they receive bills with their new higher premiums in the mail this month. She said better data on enrollment will be available in the spring.

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Altman said that even though the extra benefits ended Dec. 31, 92% of enrollees continue to receive government subsidies to help pay for their health insurance. Nearly half qualify for health insurance that costs $10 or less per month. And 17% of Californians renewing their Covered California policies will pay nothing for premiums if they keep their current plan.

The deadline to sign up for 2026 benefits is Saturday.

Here’s help in sorting out what the expiration of the enhanced subsidies for insurance provided under the Affordable Care Act, often called Obamacare, means in the Golden State.

What expired?

In 2021, Congress voted to temporarily to boost the amount of subsidies Americans could receive for an ACA plan. The law also expanded the program to families who had more money. Before the vote, only Americans with incomes below 400% of the federal poverty level — currently $62,600 a year for a single person or $128,600 for a family of four — were eligible for ACA subsidies. The 2021 vote eliminated the income cap and limited the cost of premiums for those higher-earning families to no more than 8.5% of their income.

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How could costs change this year for those enrolled in Covered California?

Anyone with income above 400% of the federal poverty level no longer receives subsidies. And many below that level won’t receive as much assistance as they had been receiving since 2021. At the same time, fast-rising health costs boosted the average Covered California premium this year by more than 10.3%, deepening the burden on families.

How much would the net monthly premium for a Los Angeles couple with two children and a household income of $90,000 rise?

The family’s net premium for the benchmark Silver plan would jump to $699 a month this year from $414 a month last year, according to Covered California. That’s an increase of 69%, costing the family an additional $3,420 this year.

Who else could face substantially higher health bills?

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People who retired before the Medicare-qualifying age of 65, believing that the enhanced subsidies were permanent, will be especially hit hard. Those with incomes above 400% of the federal poverty level could now be facing thousands of dollars in additional health insurance costs.

How did enrollment in Covered California change after the enhanced subsidies expired on Dec. 31?

As of Jan. 17, 1,906,033 Californians had enrolled for 2026 insurance. That’s less than 1% lower than the 1,921,840 who had enrolled by this time last year.

Who depends on Covered California?

Enrollees are mostly those who don’t have access to an employer’s health insurance plan and don’t qualify for Medi-Cal, the government-paid insurance for lower-income people and those who are disabled.

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An analysis by KFF, a nonprofit that provides health policy information, found that nearly half the adults enrolled in an ACA plan are small-business owners or their employees, or are self-employed. Occupations using the health insurance exchanges where they can buy an ACA plan include realtors, farmers, chiropractors and musicians, the analysis found.

What is the underlying problem?

Healthcare spending has been increasing faster than overall inflation for years. The nation now spends more than $15,000 per person on healthcare each year. Medical spending today represents about 18% of the U.S. economy, which means that almost one out of every five dollars spent in the U.S. goes toward healthcare. In 1960, health spending was just 5% of the economy.

What has California done to help people who are paying more?

The state government allocated $190 million this year to provide subsidies for those earning up to 165% of the federal poverty level. This money will help keep monthly premiums consistent with 2025 levels for those with an annual income of up to $23,475 for an individual or $48,225 for a family of four, according to Covered California.

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Where can I sign up?

People can find out whether they qualify for financial help and see their coverage options at the website CoveredCA.com.

What if I decide to go without health insurance?

People without insurance could face medical bills of tens of thousands of dollars if they become sick or get injured. And under California state law, those without coverage face an annual penalty of at least $900 for each adult and $450 for each child.

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Department of Education finds San Jose State violated Title IX regarding transgender volleyball player

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Department of Education finds San Jose State violated Title IX regarding transgender volleyball player

The U.S. Department of Education has given San José State 10 days to comply with a list of demands after finding that the university violated Title IX concerning a transgender volleyball player in 2024.

A federal investigation was launched into San José State a year ago after controversy over a transgender player marred the 2024 volleyball season. Four Mountain West Conference teams — Boise State, Wyoming, Utah State and Nevada-Reno — each chose to forfeit or cancel two conference matches to San José State. Boise State also forfeited its conference tournament semifinal match to the Spartans.

The transgender player, Blaire Fleming, was on the San José State roster for three seasons after transferring from Coastal Carolina, although opponents protested the player’s participation only in 2024.

In a news release Wednesday, the Education Department warned that San José State risks “imminent enforcement action” if it doesn’t voluntarily resolve the violations by taking the following actions, not all of which pertain solely to sports:

1) Issue a public statement that SJSU will adopt biology-based definitions of the words “male” and “female” and acknowledge that the sex of a human — male or female — is unchangeable.

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2) Specify that SJSU will follow Title IX by separating sports and intimate facilities based on biological sex.

3) State that SJSU will not delegate its obligation to comply with Title IX to any external association or entity and will not contract with any entity that discriminates on the basis of sex.

4) Restore to female athletes all individual athletic records and titles misappropriated by male athletes competing in women’s categories, and issue a personalized letter of apology on behalf of SJSU to each female athlete for allowing her participation in athletics to be marred by sex discrimination.

5) Send a personalized apology to every woman who played in SJSU’s women’s indoor volleyball from 2022 to 2024, beach volleyball in 2023, and to any woman on a team that forfeited rather than compete against SJSU while a male student was on the roster — expressing sincere regret for placing female athletes in that position.

“SJSU caused significant harm to female athletes by allowing a male to compete on the women’s volleyball team — creating unfairness in competition, compromising safety, and denying women equal opportunities in athletics, including scholarships and playing time,” Kimberly Richey, Education Department assistant secretary for civil rights, said.

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“Even worse, when female athletes spoke out, SJSU retaliated — ignoring sex-discrimination claims while subjecting one female SJSU athlete to a Title IX complaint for allegedly ‘misgendering’ the male athlete competing on a women’s team. This is unacceptable.”

San José State responded with a statement acknowledging that the Education Department had informed the university of its investigation and findings.

“The University is in the process of reviewing the Department’s findings and proposed resolution agreement,” the statement said. “We remain committed to providing a safe, respectful, and inclusive educational environment for all students while complying with applicable laws and regulations.”

In a New York Times profile, Fleming said she learned about transgender identity when she was in eighth grade. “It was a lightbulb moment,” she said. “I felt this huge relief and a weight off my shoulders. It made so much sense.”

With the support of her mother and stepfather, Fleming worked with a therapist and a doctor and started to socially and medically transition, according to the Times. When she joined the high school girls’ volleyball team, her coaches and teammates knew she was transgender and accepted her.

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Fleming’s first two years at San José State were uneventful, but in 2024 co-captain Brooke Slusser joined lawsuits against the NCAA, the Mountain West Conference and representatives of San José State after alleging she shared hotel rooms and locker rooms with Fleming without being told she is transgender.

The Education Department also determined that Fleming and a Colorado State player conspired to spike Slusser in the face, although a Mountain West investigation found “insufficient evidence to corroborate the allegations of misconduct.” Slusser was not spiked in the face during the match.

President Trump signed an executive order a year ago designed to ban transgender athletes from competing on girls’ and women’s sports teams. The order stated that educational institutions and athletic associations may not ignore “fundamental biological truths between the two sexes.” The NCAA responded by banning transgender athletes.

The order, titled “Keeping Men Out of Women’s Sports,” gives federal agencies, including the Justice and Education departments, wide latitude to ensure entities that receive federal funding abide by Title IX in alignment with the Trump administration’s view, which interprets a person’s sex as the gender they were assigned at birth.

San José State has been in the federal government’s crosshairs ever since. If the university does not comply voluntarily to the actions listed by the government, it could face a Justice Department lawsuit and risk losing federal funding.

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“We will not relent until SJSU is held to account for these abuses and commits to upholding Title IX to protect future athletes from the same indignities,” Richey said.

San José State was found in violation of Title IX in an unrelated case in 2021 and paid $1.6 million to more than a dozen female athletes after the Department of Justice found that the university failed to properly handle the students’ allegations of sexual abuse by a former athletic trainer.

The federal investigation found that San José State did not take adequate action in response to the athletes’ reports and retaliated against two employees who raised repeated concerns about Scott Shaw, the former director of sports medicine. Shaw was sentenced to 24 months in prison for unlawfully touching female student-athletes under the guise of providing medical treatment.

The current findings against San José State came two weeks after federal investigators announced that the California Community College Athletic Assn. and four other state colleges and school districts are the targets of a probe over whether their transgender participation policies violate Title IX.

The investigation targets a California Community College Athletic Assn. rule that allows transgender and nonbinary students to participate on women’s sports teams if the students have completed “at least one calendar year of testosterone suppression.”

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Also, the Education Department’s Office of Civil Rights has launched 18 Title IX investigations into school districts across the United States on the heels of the Supreme Court hearing oral arguments on efforts to protect women’s and girls’ sports.

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