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RFK Jr. makes sweeping cuts in federal health programs, including CDC, FDA

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RFK Jr. makes sweeping cuts in federal health programs, including CDC, FDA

Robert F. Kennedy Jr. announced plans Thursday to slash the Department of Health and Human Services, cutting nearly a quarter of its workforce in a major restructuring that will consolidate several departments.

According to the Department of Health, the cuts will save $1.8 billion annually and — combined with previous downsizing — reduce the employee headcount from 82,000 to 62,000 full-time employees.

Under a restructuring plan, the number of health department divisions will drop from 28 divisions to 15 — including a new Administration for a Healthy America, or AHA. The number of regional offices will drop from 10 to five.

“We aren’t just reducing bureaucratic sprawl,” the Health secretary said in a statement. “We are realigning the organization with its core mission and our new priorities in reversing the chronic disease epidemic. This Department will do more — a lot more — at a lower cost to the taxpayer.”

Many in the national and global health community have been steeling themselves for dramatic change since Kennedy, an opponent of some vaccines and an advocate of stronger food safety, took office vowing radical reform.

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The primary target of Kennedy’s cuts is the Food and Drug Administration, which works to ensure the safety and efficacy of foods, drugs, medical devices, tobacco and other regulated products. It will cut its workforce by 3,500 full-time employees — a reduction that a health department fact sheet said “will not affect drug, medical device, or food reviewers, nor will it impact inspectors.”

The Centers for Disease Control and Prevention, a vast $9-billion agency that works to prevent chronic diseases, fight infectious disease outbreaks and make vaccine recommendations, will also cut 2,400 employees.

Dr. Tom Frieden, the former CDC director who now works as president and CEO of the nonprofit health organization Resolve to Save Lives, said Kennedy’s plans were unlikely to result in greater efficiency.

“Breaking up the agency by sending the experts in non-communicable diseases to another new agency isn’t efficient, it just creates new bureaucracy,” Frieden said in a statement to The Times. “Infectious diseases do not occur in a vacuum, and factors including pre-existing chronic diseases play critical roles in understanding and controlling infectious diseases.”

The CDC, Frieden said, has been the “flagship of public health for generations” as it pursued its “core mission of saving lives and protecting people from health threats of all kinds.”

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“No other part of the federal government has the depth and breadth tracking, understanding and supporting communities and providers to stop our leading killers,” Frieden said. “CDC has contributed to saving millions of lives — not just from infectious diseases but also from cancer, heart attack, stroke and other leading causes of death of Americans; better road safety; and prevention of injury and drug overdose.”

The National Institutes of Health, the primary federal government agency for conducting and supporting medical research, will cut 1,200 employees.

A former NIH official and Trump administration critic said the reductions would have far-reaching consequences.

“You can’t cut that many people without drastically having to scale back the work that NIH and HHS are doing,” said Nate Brought, who resigned last month from his position as director of NIH’s Executive Secretariat. “It’s just not possible.”

Brought said he worried that research on the LGBT community and AIDS would be completely cut and studies on cancer and childhood disease would falter.

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“We’ve already seen them cut back on HIV and AIDS assistance and, to some extent, research, and now I would not be surprised to see most of that go away as well,” he said. “Cancer research I think is a huge one… Anything that touches on any childhood disease being cut is going to obviously be a huge problem. I don’t think Americans are about children dying to meet their political goals.”

In an address posted to the social media platform X on Thursday, Kennedy painted a dark, apocalyptic picture of the U.S health department, noting that as its budget and staff increased, all that money has failed to improve the health of Americans.

“In fact, the rate of chronic disease and cancer increased dramatically as our department has grown,” he said. “Our lifespan has dropped. So Americans now live six years shorter than Europeans. We have the sickest nation in the world, and we have the highest rate of chronic disease. The US ranks last among 40 developed nations in terms of health, but we spend two to three times more per capita than those nations.”

Kennedy called his department an “inefficient” and “sprawling bureaucracy” that had seen rates of cancer and chronic disease increase as its budget had increased.

“When I arrived, I found that over half of our employees don’t even come to work,” Kennedy said. “HHS has more than 100 communications offices and more than 40 IT departments and dozens of procurement offices and nine HR departments. In many cases, they don’t even talk to each other. They’re mainly operating in their silos.”

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During the Biden administration, Kennedy said the health department budget had increased by 38% as staffing increased by 17%.

“But all that money has failed to improve the health of Americans,” he said.

Dorit Reiss, a professor of law at UC San Francisco who specializes in public health, questioned the premise that the nation’s health agencies were overstaffed.

“If anything, the FDA and CDC are understaffed, they don’t have as many people as they need to combat the many challenges we’re facing,” she said, and noted that the nation was in the middle of a measles outbreak. “This isn’t a good time to cut the organization that’s at the front line of fighting it.”

The new Administration for a Healthy America — which according to a fact sheet will “more efficiently coordinate chronic care and disease prevention programs and harmonize health resources to low-income Americans” — will have multiple divisions including, Primary Care, Maternal and Child Health, Mental Health, Environmental Health, HIV/AIDS, and Workforce.

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Kennedy admitted that his overhaul of the department would be a “painful period” for the agency. But he said he wanted all employees to rally together “behind a simple, bold mission.”

“I want every HHS employee to wake up every morning asking themselves, ‘What can I do to restore American health today?’ I want to empower everyone in the HHS family to have a sense of purpose and pride and a sense of personal agency and responsibility to this larger goal. We’re going to save taxpayers nearly $2 billion a year, and we’re going to return HHS to its original commitment to public health.”

Brought however, said that the government had never been less efficient than it was now under the Trump administration.

“At this point, morale is at an all-time low, productivity is at an all-time low, and then you’re going to throw something like this on top of it,” he said.

“People who are constantly being told that they’re about to be fired, that their jobs are in danger,” he added, “are not doing their best work, as efficiently and as well as they are capable of and as they were before.”

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Contributor: Factory farming of fish is brewing pathogens

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Contributor: Factory farming of fish is brewing pathogens

The federal government recently released new dietary guidelines aimed at “ending the war on protein” and steering Americans toward “real foods” — those with few ingredients and no additives. Seafood plays a starring role. But the fish that health advocates envision appearing on our plates probably won’t be caught in the crystal blue waters we’d like to imagine.

Over the past few decades, the seafood industry has completely revolutionized how it feeds the world. As many wild fish populations have plummeted, hunted to oblivion by commercial fleets, fish farming has become all the rage, and captive-breeding facilities have continually expanded to satiate humanity’s ravenous appetite. Today, the aquaculture sector is a $300-billion juggernaut, accounting for nearly 60% of aquatic animal products used for direct human consumption.

Proponents of aquaculture argue that it helps feed a growing human population, reduces pressure on wild fish populations, lowers costs for consumers and creates new jobs on land. Much of that may be correct. But there is a hidden crisis brewing beneath the surface: Many aquaculture facilities are breeding grounds for pathogens. They’re also a blind spot for public health authorities.

On dry land, factory farming of cows, pigs and chickens is widely reviled, and for good reason: The unsanitary and inhumane conditions inside these facilities contribute to outbreaks of disease, including some that can leap from animals to humans. In many countries, aquaculture facilities aren’t all that different. Most are situated in marine and coastal areas, where fish can be exposed to a sinister brew of human sewage, industrial waste and agricultural runoff. Fish are kept in close quarters — imagine hundreds of adult salmon stuffed into a backyard swimming pool — and inbreeding compromises immune strength. Thus, when one fish invariably falls ill, pathogens spread far and wide throughout the brood — and potentially to people.

Right now, there are only a handful of known pathogens — mostly bacteria, rather than viruses — that can jump from aquatic species to humans. Every year, these pathogens contribute to the 260,000 illnesses in the United States from contaminated fish; fortunately, these fish-borne illnesses aren’t particularly transmissible between people. It’s far more likely that the next pandemic will come from a bat or chicken than a rainbow trout. But that doesn’t put me at ease. The ocean is a vast, poorly understood and largely unmonitored reservoir of microbial species, most of which remain unknown to science. In the last 15 years, infectious diseases — including ones that we’ve known about for decades such as Ebola and Zika — have routinely caught humanity by surprise. We shouldn’t write off the risks of marine microbes too quickly.

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My most immediate concern, the one that really makes me sweat, is the emergence of drug-resistant bacteria among farmed fish. Aquaculturists are well aware that their fish often live in a festering cesspool, and so many growers will mix antibiotics — including ones that the World Health Organization considers medically important for people — into fish feed, or dump them straight into water, to avoid the consequences of crowded conditions and prevent rampant illness. It would be more appropriate to use antibiotics in animals only when they are sick.

Because of this overuse for prevention purposes, more antibiotics are used in seafood raised by aquaculture than are used in humans or for other farmed animals per kilogram. Many of these molecules will end up settling in the water or nearby sediment, where they can linger for weeks. In turn, the 1 million individual bacteria found in every drop of seawater will be put to the evolutionary test, and the most antibiotic-resistant will endure.

Numerous researchers have found that drug-resistant strains of bacteria are alarmingly common in the water surrounding aquaculture facilities. In one study, evidence of antibiotic resistance was found in over 80% of species of bacteria isolated from shrimp sold in multiple countries by multiple brands.

Many drug-resistant strains in aquatic animals won’t be capable of infecting humans, but their genes still pose a threat through a process known as horizontal transfer. Bacteria are genetic hoarders. They collect DNA from their environment and store it away in their own genome. Sometimes, they’ll participate in swap meets, trading genes with other bacteria to expand their collections. Beginning in 1991, for example, a wave of cholera infected nearly a million people across Latin America, exacerbated by a strain that may have picked up drug-resistant adaptations while circulating through shrimp farms in Ecuador.

Today, drug-resistant bacteria kill over a million people every year, more than HIV/AIDS. I’ve seen this with my own eyes as a practicing tuberculosis doctor. I am deeply fearful of a future in which the global supply of fish — a major protein source for billions of people — also becomes a source of untreatable salmonella, campylobacter and vibrio. We need safer seafood, and the solutions are already at our fingertips.

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Governments need to lead by cracking down on indiscriminate antibiotic use. It is estimated that 70% of all antibiotics used globally are given to farm animals, and usage could increase by nearly 30% over the next 15 years. Regulation to promote prudent use of antibiotics in animals, however, has proven effective in Europe, and sales of veterinary antibiotics decreased by more than 50% across 25 European countries from 2011 to 2022. In the United States, the use of medically important antibiotics in food animals — including aquatic ones — is already tightly regulated. Most seafood eaten in the U.S., however, is imported and therefore beyond the reach of these rules. Indeed, antibiotic-resistance genes have already been identified in seafood imported into the United States. Addressing this threat should be an area of shared interest between traditional public health voices and the “Make America Healthy Again” movement, which has expressed serious concerns about the health effects of toxins.

Public health institutions also need to build stronger surveillance infrastructure — for both disease and antibiotic use — in potential hotspots. Surveillance is the backbone of public health, because good decision-making is impossible without good data. Unfortunately, many countries — including resource-rich countries — don’t robustly track outbreaks of antibiotic-resistant pathogens in farmed animals, nor do they share data on antibiotic use in farmed animals. By developing early warning systems for detecting antibiotic resistance in aquatic environments, rapid response efforts involving ecologists, veterinarians and epidemiologists can be mobilized as threats arise to avert public health disasters.

Meanwhile, the aquaculture industry should continue to innovate. Genetic technologies and new vaccines can help prevent rampant infections, while also improving growth efficiency that could allow for more humane conditions.

For consumers, the best way to stay healthy is simple: Seek out antibiotic-free seafood at the supermarket, and cook your fish (sorry, sushi lovers).

There’s no doubt that aquaculture is critical for feeding a hungry planet. But it must be done responsibly.

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Neil M. Vora is a practicing physician and the executive director of the Preventing Pandemics at the Source Coalition.

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A SoCal beetle that poses as an ant may have answered a key question about evolution

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A SoCal beetle that poses as an ant may have answered a key question about evolution

The showrunner of the Angeles National Forest isn’t a 500-pound black bear or a stealthy mountain lion.

It’s a small ant.

The velvety tree ant forms a millions-strong “social insect carpet that spans the mountains,” said Joseph Parker, a biology professor and director of the Center for Evolutionary Science at Caltech. Its massive colonies influence how fast plants grow and the size of other species’ populations. That much, scientists have known.

Now Parker, whose lab has spent 8 years studying the red-and-black ants, believes they’ve uncovered something that helps answer a key question about evolution.

In a paper published in the journal “Cell,” they break down the remarkable ability of one species of rove beetle to live among the typically combative ants.

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The beetle, Sceptobius lativentris, even smaller than the ant, turns off its own pheromones to go stealth. Then the beetle seeks out an ant — climbing on top of it, clasping its antennae in its jaws and scooping up its pheromones with brush-like legs. It smears the ants’ pheromones, or cuticular hydrocarbons, on itself as a sort of mask.

Ants recognize their nest-mates by these chemicals. So when one comes up to a beetle wearing its own chemical suit, so to speak, it accepts it. Ants even feed the beetles mouth-to-mouth, and the beetles munch on their adopted colony’s eggs and larvae.

However, there’s a hitch. The cuticular hydrocarbons have another function: they form a waxy barrier that prevents the beetle from drying out. Once the beetle turns its own pheromones off, it can’t turn them back on. That means if it’s separated from the ants it parasitizes, it’s a goner. It needs them to keep from desiccating.

“So the kind of behavior and cell biology that’s required to integrate the beetle into the nest is the very thing that stops it ever leaving the colony,” Parker said, describing it as a “Catch-22.”

The finding has implications outside the insect kingdom. It provides a basis for “entrenchment,” Parker said. In other words, once an intimate symbiotic relationship forms — in which at least one organism depends on another for survival — it’s locked in. There’s no going back.

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Scientists knew that Sceptobius beetles lived among velvety tree ants, but they weren’t sure exactly how they were able to pull it off.

(Parker Lab, Caltech)

Parker, speaking from his office, which is decorated in white decals of rove beetles — which his lab exclusively focuses on — said it pays to explore “obscure branches of the tree of life.”

Sceptobius has been living in the forest for millions of years, and humans have been inhabiting this part of the world for thousands of years, and it just took a 20-minute car ride into the forest to find this incredible evolutionary story that tells you so much about life on Earth,” he said. “And there must be many, many more stories just in the forest up the road.”

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John McCutcheon, a biology professor at Arizona State University, studies the symbiotic relationships between insects and the invisible bacteria that live inside their cells. So to him, the main characters in the recent paper are quite large.

McCutcheon, who was not involved with the study, called it “cool and interesting.”

“It suggests a model, which I think is certainly happening in other systems,” he said. “But I think the power of it is that it involves players, or organisms, you can see,” which makes it less abstract and easier to grasp.

Now, he said, people who study even smaller things can test the proposed model.

Noah Whiteman, a professor of molecular and cell biology at UC Berkeley, hailed the paper for demystifying a symbiotic relationship that has captivated scientists. People knew Sceptobius was able to masquerade as an ant, but they didn’t know how it pulled it off.

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“They take this system that’s been kind of a natural history curiosity for a long time, and they push it forward to try to understand how it evolved using the most up-to-date molecular tools,” he said, calling the project “beautiful and elegant.”

As for the broader claim — that highly dependent relationships become dead ends, evolutionarily speaking, “I would say that it’s still an open question.”

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Video: Why Mountain Lions in California Are Threatened

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Video: Why Mountain Lions in California Are Threatened

new video loaded: Why Mountain Lions in California Are Threatened

Six subpopulations of mountain lions in California face mounting threats, including habitat fragmentation from highways, urban sprawl, and wildfires, as well as widespread rodenticide poisoning. Loren Elliott, a photojournalist for The New York Times, shows how he documents these elusive animals.

By Loren Elliott, Gabriel Blanco and Rebecca Suner

February 9, 2026

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