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Citing ‘Biological Truth,’ Kennedy Issues Guidance Recognizing Only Two Sexes

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Citing ‘Biological Truth,’ Kennedy Issues Guidance Recognizing Only Two Sexes

Health Secretary Robert F. Kennedy Jr. announced on Wednesday that the Trump administration had adopted a set of official government “sex-based definitions” to give the public and federal agencies precise terms with which to describe categories including “male,” “female,” “woman” and “man.”

The definitions are listed in a one-page “guidance” that is aimed, in part, at keeping transgender women and girls out of female sports, discouraging gender-affirming care for young people and fulfilling President Trump’s pledge that the federal government will recognize only two sexes: male and female.

“This administration is bringing back common sense and restoring biological truth to the federal government,” Mr. Kennedy said in a statement. “The prior administration’s policy of trying to engineer gender ideology into every aspect of public life is over.”

A male is defined under the guidance as “a person of the sex characterized by a reproductive system with the biological function of producing sperm.” A female is “a person of the sex characterized by a reproductive system with the biological function of producing eggs (ova).”

But many medical experts, including the American Academy of Pediatrics, recognize that not everyone fits into neat categories of male and female. Some individuals are intersex and have sexual anatomy or chromosomes that do not fit typical definitions of male and female.

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Some children do not identify with either gender, or identify with a gender that does not correspond to their biological sex. The Academy has published its own set of definitions that include transgender youth, described as “a subset of gender-diverse youth whose gender identity does not match their assigned sex.”

As part of the Trump administration initiative, the Health and Human Services Department has launched a new web page for the federal Office on Women’s Health, whose portfolio includes reproductive health, maternal and behavioral health for women.

The new page, entitled “Protecting Women and Children,” features a video with Riley Gaines, the conservative activist and former University of Kentucky all-American swimmer who says she was put at a competitive disadvantage when competing against a transgender woman.

The page links to the guidance and the definitions. “Recognizing the immutable and biological nature of sex is essential to ensure the protection of women’s health, safety, private spaces, sports and opportunities,” the guidance states, adding that the move was “critical to scientific inquiry, public safety, morale, and trust in government itself.”

Mr. Kennedy’s announcement was in response to an executive order Mr. Trump issued on Jan. 20 that gave the health department 30 days to issue “clear guidance” to the public on how to interpret sex-based definitions.

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On Tuesday, Mr. Kennedy delivered a welcome address to department employees in which he said his agency would work toward helping Americans “discover our own paths to living our fullest lives, unleashing the potential in every one of us to make good personal choices that allow us to nourish, to heal and to develop ourselves.”

On Wednesday, opponents of the Trump administration and Mr. Kennedy rallied outside the offices of the Department of Health and Human Services to protest job cuts that have rid the department and its agencies of thousands of workers, including up-and-coming young scientists.

As a presidential candidate, Mr. Kennedy, who once counted himself a Democrat, did not make rolling back transgender rights a central part of his political persona. He once said it was not among “the issues that really matter to you, to me, to our children.”

But he has also made clear he would follow Mr. Trump’s lead. He has said he favors a ban on gender-affirming care, including puberty blockers and hormone therapy, for minors. He has also made unsubstantiated claims, based on a study in frogs, that the chemical atrazine in drinking water is causing sexual dysphoria in children.

Advocates for transgender rights called Mr. Kennedy’s nomination for health secretary “particularly alarming.” In a statement opposing his confirmation, Sinead Murano-Kinney of the group Advocates for Trans Equality called Mr. Kennedy “a conspiratorial figurehead, a yes-man, enabling the worst impulses of a president with a clear agenda to remove trans people from participating in public life.”

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Conservatives cheered Wednesday’s announcement. “It took many years of effort but we are finally back to science and common sense,” Roger Severino, who wrote the health section of the Heritage Foundation’s Project 2025 blueprint for overhauling the federal government, said on social media.

There are roughly 1.6 million youths and adults in the United States who identify as transgender, according to an estimate by the Williams Institute at the U.C.L.A. School of Law. Mr. Trump’s predecessor, President Joseph R. Biden Jr., made protecting transgender people a cornerstone of federal policy.

Mr. Biden’s assistant secretary for health, Dr. Rachel Levine, a pediatrician, made history by becoming the first transgender person to be confirmed by the Senate to a federal position.

Mr. Trump has rapidly reversed Biden administration policies. He has followed up his Jan. 20 executive order with a string of others aimed at stripping away the rights of transgender people in almost every corner of American life — including schools, hospitals, prisons, the military and housing.

Critics have objected not only to the substance of the orders, but to their harsh language. The order barring taxpayer dollars from financing medical interventions for transgender children is headlined “Protecting Children from Chemical and Surgical Mutilation.”

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Government agencies, including the Centers for Disease Control and Prevention, which is under the health department, were ordered to delete any language mentioning “gender ideology” from their websites. A judge has since ordered the C.D.C.’s page restored. Some are still down.

Other sites — including the C.D.C.’s Youth Risk Behavior Surveillance System — now carry a disclaimer.

“This page does not reflect biological reality and therefore the administration and this department rejects it,” the disclaimer says, adding that the information presented is “extremely inaccurate.”

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5 Surprising Ozempic Side Effects Doctors Are Finally Revealing (Like Back Pain and Hair Loss)

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5 Surprising Ozempic Side Effects Doctors Are Finally Revealing (Like Back Pain and Hair Loss)


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Relationship coach blames Oprah for pushing family estrangement ‘for decades’

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Relationship coach blames Oprah for pushing family estrangement ‘for decades’

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Oprah Winfrey is shining a light on family estrangement, which she calls “one of the fastest-growing cultural shifts of our time” — but one expert says the media mogul helped fuel that very culture.

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“A Cornell University study now shows that almost one-third of Americans are actively estranged from a family member,” Winfrey said on a recent episode of “The Oprah Podcast,” referring to adult children going “no-contact” with parents, siblings or entire family systems.

Winfrey said the trend is a “silent epidemic” that can be especially relevant during the holidays.

ONE TOXIC BEHAVIOR KILLS RELATIONSHIPS, LEADING HAPPINESS EXPERT WARNS

But family and relationship coach Tania Khazaal, who focuses on fighting “cutoff culture,” took to social media to criticize Winfrey for acting as if the estrangement crisis appeared “out of thin air.”

“Now Oprah is shocked by the aftermath of estrangement, after being one of the biggest voices pushing it for decades,” Canada-based Khazaal said in an Instagram video, which drew more than 27,000 likes and 3,000 comments.

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Oprah Winfrey recently discussed what she called a “silent epidemic” of family estrangement on her podcast. (Theo Wargo/Getty Images)

Khazaal claimed that Winfrey’s messaging started in the 1990s and has contributed to a cultural shift where walking away became the first resort, not the last.

According to the relationship coach, millennials, some of whom grew up watching Oprah, are the leading demographic cutting off family members — and even if it wasn’t intentional, “the effect has absolutely been harmful,” Khazaal told Fox News Digital.

FAMILY BREAKUPS OVER POLITICS MAY HURT MORE THAN YOU THINK, EXPERT SAYS

The coach, who has her own history with estrangement, questioned why Winfrey is now treating the issue as a surprising crisis.

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“Now she hosts a discussion with estranged parents and estranged kids, speaking on estrangement like it’s some hidden, sudden, heartbreaking epidemic that she had no hand in,” she said in her video.

Nearly one-third of Americans are estranged from a family member, research shows. (iStock)

Khazaal said she believes discussions about estrangement are necessary, but insists that people shouldn’t “rewrite history.”

“Estrangement isn’t entertainment or a trending conversation piece,” she added. “It’s real families, real grief, parents dying without hearing their child’s voice.”

JENNIFER ANISTON, KATE HUDSON, HEATHER GRAHAM’S SHOCKING REASONS THEY BECAME ESTRANGED FROM THEIR PARENTS

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Winfrey reportedly responded in the comments, writing, “Happy to have a conversation about it — but not on a reel. Will have my producer contact you if you’re interested.” But the comment was later deleted due to the backlash it received, Khazaal told Fox News Digital.

“I would still be open to that discussion,” Khazaal said. “The first thing I’d want her to understand is simple: Setting aside cases of abuse or danger, the family unit is the most sacred structure we have.” 

Experts emphasize that estrangement should be a last resort. (iStock)

“When children lose their sense of belonging at home, they search for it in the outside world,” she added. “That’s contributing to the emotional fragility we’re seeing today.”

Her critique ignited a debate online, with some social media users saying Khazaal is voicing a long-overdue concern.

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“The first time I heard, ‘You can love them from a distance’ was from Oprah … in the ’90s,” one woman said.

My son estranged himself from us for five years,” one mother commented. “The pain, hurt and damage never goes away.”

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Others, however, argued that Winfrey’s podcast episode was empathetic and that estrangement shouldn’t be oversimplified.

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Mental health experts say the conversation around estrangement is more complex than any single celebrity influence, and reflects broader cultural shifts.

Experts say today’s focus on boundaries and emotional well-being has reshaped family expectations. (iStock)

In the episode with Winfrey, Joshua Coleman, a California-based psychologist, said, “The old days of ‘honor thy mother and thy father,’ ‘respect thy elders’ and ‘family is forever’ has given way to much more of an emphasis on personal happiness, personal growth, my identity, my political beliefs, my mental health.” 

Coleman noted that therapists sometimes become “detachment brokers” by unintentionally green-lighting estrangement.

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Jillian Amodio, a licensed master’s social worker at the Maryland-based Waypoint Wellness Center, told Fox News Digital that while public figures like Winfrey help normalize these conversations, estrangement might just be a more openly discussed topic now.

“Estrangement used to be handled privately and quietly,” she said.

Winfrey’s take on family estrangement is prompting a broader discussion amid the holiday season. (iStock)

But even strained relationships can be fixed with the right support, experts say.

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Susan Foosness, a North Carolina-based clinical director of patient programs at Rula Health, said families can strengthen their relationships by working with a mental health professional to improve communication, learn healthier conflict-resolution skills, and build trust and empathy through quality time together.

“No family is perfect,” Foosness told Fox News Digital.

Khazaal agreed, saying, “Parents need to learn how to listen without slipping into justification, and children need help speaking about their pain without defaulting to blame or avoidance.”

Fox News Digital reached out to Winfrey for comment.

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Major measles outbreak leads to hundreds quarantined in US county, officials say

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Major measles outbreak leads to hundreds quarantined in US county, officials say

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South Carolina is facing a major measles outbreak, resulting in the quarantine of hundreds of residents.

The South Carolina Department of Health (DPH) reported in a media briefing on Wednesday that the current number of measles cases has reached 111 as part of the current Spartanburg County outbreak.

DPH first reported a measles outbreak in the Upstate region on Oct. 2.

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The health department confirmed that 254 people are currently in quarantine and 16 are in isolation to prevent further spread.

The health department confirmed that 254 people are currently in quarantine in the upstate region. (Getty Images)

“This significant jump in cases is unfortunate,” a DPH spokesperson commented on the outbreak.

Public exposure was identified at Inman Intermediate School, with 43 of their students in quarantine.

“This significant jump in cases is unfortunate.”

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Eight other intermediate and middle schools in the area are also reportedly undergoing quarantine. The DPH said multiple students have had to quarantine twice due to repeat exposure.

“Vaccination continues to be the best way to prevent the disruption that measles is causing to people’s education, to employment and other factors in people’s lives and our communities,” the spokesperson said.

“This significant jump in cases is unfortunate,” a DPH spokesperson commented on the current outbreak. (iStock)

Out of the 111 confirmed cases, 105 were unvaccinated. Receiving a vaccination within 72 hours has been shown to prevent measles infection, the DPH spokesperson noted. 

Some cases are related to travel exposure, while others are from an unknown source, suggesting that measles is circulating in the community, the DPH noted.

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Connecticut has also reported its first measles case in four years, according to the Connecticut Department of Public Health.

The department confirmed on Thursday that an unvaccinated child in Fairfield County, under the age of 10, was diagnosed with measles after recently traveling internationally.

“Vaccination continues to be the best way to prevent the disruption that measles is causing,” a DPH spokesperson said. (iStock)

The child began to show symptoms several days later, including a runny nose, cough, congestion, fever and a rash starting at the head and spreading to the rest of the body.

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The Connecticut DPH noted that measles is “highly contagious” and can spread quickly through the air via coughing or sneezing. The CDC has estimated that nine out of 10 unvaccinated individuals who encounter an infected person will develop the measles virus.

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According to the International Vaccine Access Center, more than 1,800 cases of measles have been reported in 2025, which is the most since the U.S. declared the virus eliminated in 2000. It is also the most cases recorded in three decades.

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“The single best way to protect your children and yourself from measles is to be vaccinated,” DPH Commissioner Manisha Juthani, M.D., wrote in a statement. “One dose of measles vaccine is about 93% effective, while two doses are about 97% effective.”

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