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A leading pediatrician was already worried about the future of vaccines. Then RFK Jr. came along

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A leading pediatrician was already worried about the future of vaccines. Then RFK Jr. came along

The best and the worst thing about vaccination, pediatrician Dr. Adam Ratner says, is that it “makes nothing happen.”

A child successfully inoculated against a vaccine-preventable disease — the measles, let’s say, to name the most infectious of them all — doesn’t fall sick with that condition, doesn’t miss school, doesn’t go to the hospital. They don’t suffer life-changing complications. They don’t die prematurely.

This absence of action can make it easy to forget the role vaccination played in keeping that child healthy. It can be easy to confuse a society that has responsibly controlled measles for a society that is no longer threatened by measles.

These moments of complacency are when vaccine rates dip and illnesses long kept at bay by effective public health programs begin creeping back, Ratner said.

And almost always, the first preventable illness to elbow its way back onto the scene is measles — a highly contagious virus that’s stunningly adept at exploiting our social and physical weaknesses.

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Measles “is the thing we see first when public health starts to falter,” Ratner said recently from his office in New York City.

“It’s not that humans aren’t susceptible to these diseases, or that Americans are somehow magically protected against these things that used to kill lots of us,” he said. “They can come back. And they will.”

Ratner, who heads the pediatric infectious disease unit at NYU Langone’s Hassenfeld Children’s Hospital, tracks the history of the virus and its vaccination in his new book “Booster Shots: The Urgent Lessons of Measles and the Uncertain Future of Children’s Health.”

Ratner began drafting the book after the 2018-19 measles outbreak in New York City, in which he treated some of the roughly 650 people who fell ill.

He continued writing during the COVID-19 pandemic, as debates over trust in public health turned bitter and rancorous.

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It publishes as the Senate seems poised to confirm President Trump’s nominee, Robert F. Kennedy Jr., a prominent vaccine critic, as the next health secretary.

“He’s written a book that, sadly, couldn’t be better timed,” said Dr. Paul Offit, a virologist and immunologist at the University of Pennsylvania.

“As people become less and less comfortable about vaccines, as they become more and more cynical about vaccines, immunization rates are starting to decline. That’s already happening,” said Offit, who runs the Vaccine Education Center at the Children’s Hospital of Philadelphia, where Ratner was a fellow. “Measles is the canary in the coal mine because it is the most contagious, far and away, of the vaccine-preventable diseases.”

In the book, which publishes Tuesday, Ratner describes a virus with an “unmatched ability to spread from person to person” that once regularly claimed the lives of at least 400 U.S. children per year.

Although a safe, cheap and effective vaccine to prevent most cases has been available “since well before the moon landing,” Ratner writes, measles has proved remarkably effective at undermining the collective effort required to keep populations healthy. The vaccine is to an extent a chronic victim of its own success.

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“The better that we get at using the measles vaccine, the lower the case rates go. The lower the rates, the less people think about measles,” Ratner writes. Parents may wonder why it’s worth giving children an injection to prevent a disease that no one ever gets. Politicians may question whether vaccination drives are worth funding.

“When we forget,” Ratner writes, “measles thrives.”

Before the measles vaccine’s introduction in 1963, nearly all U.S. children contracted it before their 15th birthday, resulting in up to 4 million cases each year, according to the U.S. Centers for Disease Control. An estimated 48,000 people were hospitalized annually with serious complications such as encephalitis.

The measles vaccine, which in 1971 was combined with inoculations for mumps and rubella, is widely considered a triumph of public health. Since 2000, the MMR vaccine has saved an estimated 60.3 million lives.

There were 284 cases of measles in the U.S. last year, 40% of which required hospitalization. A full 96% of cases were in people who were unvaccinated, did not finish their MMR series or whose vaccine status was not known, according to the CDC.

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Yet total eradication remains elusive, and control over the virus is precarious, Ratner warns.

A population achieves herd immunity from measles when more than 95% of people are fully vaccinated. Last year’s cohort of kindergartners failed to reach that target, with only 92.7% completing their measles, mumps and rubella vaccine series. Uptake rates among kindergartners for all vaccines declined from the year before.

Globally, armed conflict and social upheavals can upend vaccination goals. But it doesn’t require violence to derail public health goals, Ratner writes.

“Even in wealthy nations, when anti-vaccine charlatans and pseudoscience peddlers thrive, when funding to vaccination programs is cut, when well-meaning parents do not learn how to tell reliable information from its opposite and thus fail to vaccinate their children, measles is often the first sign,” Ratner writes. “It is also a sure indication that other problems are not far behind.”

Ratner finished the book well before the 2024 election and Kennedy’s subsequent elevation.

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Kennedy was for several years chair of Children’s Health Defense, a nonprofit that falsely claims childhood vaccines cause autism, and has a well-documented history of publicly questioning the science behind the shots. He described the health effects of vaccines as a “holocaust” in 2015, for which he later apologized.

During confirmation hearings before two Senate committees last month, Kennedy said that his views on vaccines have been mischaracterized, and that he supported the childhood vaccination schedule.

The prospect of an outspoken vaccine critic heading the Department of Health and Human Services “is horrifying,” Ratner said in a recent interview. “I can’t imagine a worse situation for public health in the country.” (His views on Kennedy are solely his own, he noted, and don’t represent the position of his hospital.)

“People are trying to make political points, and people are angry about lots of things. But the problem is that the fallout is real children,” Ratner said. “When we can’t get new vaccines licensed, when we have to fight to keep the ones that are already licensed on a recommended schedule, it is children . . . that are going to suffer.”

There have been skeptics of inoculation for as long as humans have been experimenting with it. Ratner notes that when Puritan minister Cotton Mather advocated publicly in 1721 for variolation, an early form of smallpox vaccination, a grenade came crashing through his window bearing a note: “You Dog, Dam you: I’ll inoculate you with this, with a Pox to you.”

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Hanging in his office is a framed vintage poster the CDC commissioned in the late 1970s, when the Vietnam War and Watergate had shaken the public’s faith in government authorities.

Above the “Star Wars” characters R2-D2 and C-3PO, the poster asks: “Parents of Earth, Are Your Children Fully Immunized?” It’s a reminder that vaccine hesitancy has been with us for decades, he says, and that accessible, trusted messengers can make a difference. The stakes could hardly be higher.

“Adam’s thesis is spot on: Public trust in science and public health is at an all-time low,” said Jay Vornhagen, a microbiologist and immunologist at Indiana University School of Medicine.

If we don’t find ways to rebuild that trust — if the medical and public health communities don’t reconnect with the public, and vice versa —more people, mostly children, will suffer,” Vornhagen said. “We need to come together as a community, to see the humanity in one another, and to make choices that extend beyond ourselves.”

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Why new dads shouldn’t panic about low testosterone

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Why new dads shouldn’t panic about low testosterone

Three months after his son was born, Kevin Maguire felt alone.

It was 2019. He had recently moved to Barcelona with his wife and daughter and was working on marketing projects for Fortune 500 companies. The birth of his son, Bodhi, should have been a joyous event. But Maguire, now 43, became sad and irritable, and didn’t want to be around his newborn. He withdrew from family and friends, often playing video games late into the night or finding excuses to get out of the house.

“I would take the dog out for a walk,” Maguire said. “I wanted to get far away enough that I wouldn’t bump into anyone I knew and I would just sit and cry.”

Desperate for answers, he entered his symptoms online. Maguire, author of the recently published book “The New Fatherhood: Why Everything They Told You About Being a Dad Is Wrong, and How Embracing It Will Transform Your Life,” knew to look for signs of the “baby blues” in his wife. But he was surprised by articles that said men could experience postpartum depression too. The diagnosis resonated and he began writing about his condition and the trials of fatherhood on Substack.

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New dads face psychological pressures, from sleepless nights to sky-high bills, which can contribute to postpartum depression. So can shifting hormone levels.

“One thing I found in my lab’s research is that when new dads have really low levels of testosterone, they might report more symptoms of postpartum depression,” said Darby Saxbe, a professor of psychology at USC and author of the recently published “Dad Brain: The New Science of Fatherhood and How It Shapes Men’s Lives.”

While hormonal shifts can create challenges, they also help men adapt to fatherhood, Saxbe explained. Several hormones can spike in men when they become dads, including oxytocin, linked to better relationship quality; vasopressin, associated with emotional bonding; and prolactin, which promotes lactation in women and caregiving behavior in guys.

New dads can also experience a decline in testosterone. According to a 2011 paper from University of Notre Dame professor Lee Gettler, part of the largest study on fatherhood and testosterone ever conducted, men averaged around a 25% drop in testosterone after becoming fathers.

While dads have reasons to be concerned by plummeting levels of testosterone, a modest dip isn’t necessarily a disaster — in fact, it can make men better parents and partners.

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“We often get invested in the idea that men should always have the highest possible levels of testosterone,” Saxbe said. “What the research tells us is a little more nuanced. You really want flexibility. You want a hormonal system that can adapt to the different demands of your life.”

The prospect of a decline might scare soon-to-be fathers, especially those on TikTok and Instagram, where accounts push the idea that having “high T” is the key to being a “real man,” according to a recent study in the journal Social Science & Medicine.

Influencers stand to profit persuading men there’s a widespread “masculinity crisis,” the researchers found, noting that 72% of the accounts they analyzed had a stake in testosterone supplements and treatments.

But studies show more testosterone isn’t always better. “We found that when dads have higher testosterone, even before birth, they’re less invested [than men with lower testosterone] in co-parenting a few months after birth,” Saxbe said. High T fathers were more stressed from parenting than their lower T counterparts, and had partners who were less satisfied in their romantic relationships.

This jibes with the challenge hypothesis, which says, in multiple species, testosterone levels rise when males battle for attention from potential mates and go down when it’s time to take care of the young.

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While a small decline can be adaptive, dads face mental health risks when their testosterone drops too low.

There is no “normal” level of testosterone, said Dr. Jesse Mills, director of the Men’s Clinic at UCLA Health. Experts recommend that men should consider treatment if their levels dip below 300 nanograms per deciliter (ng/dL). But men metabolize testosterone in different ways, meaning a healthy level for one might be low for another.

“If a new dad comes to me and his testosterone is 298 [ng/dL], he’s below the threshold,” Mills said. “But if he has zero symptoms and everything else is going great — he’s over the moon with his new child, he’s so happy — that’s not somebody I’m going to treat with testosterone.”

He notes that the drop in testosterone fathers experience can partly be attributed to the stresses that come with a new kid: less sleep, a poor diet and fewer trips to the gym. That means there are precautions that expectant fathers can take that don’t involve testosterone replacement therapy (TRT).

Still, while some guys with low testosterone levels might not need TRT, others in the “normal” range could benefit from treatment. (Dads who want another kid soon, beware. Mills notes that testosterone replacement therapy can take a man’s sperm count to zero.)

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Both Mills and Saxbe stress that men should be paying attention to symptoms of low testosterone — such as depression and low libido — rather than trying to reach or maintain an ideal number. They also agree that tending to mental health concerns is hugely important for new fathers.

Eventually, after Maguire researched his condition, he recovered after time spent meditating, exercising and bonding with his son.

“A lot of new dads don’t realize how much they’re struggling because they feel ashamed or because they don’t realize it’s common shortly after the birth of a baby,” Saxbe said.

When they struggle, fathers can fixate on testosterone because that’s what modern culture tells them will make them feel better. And sometimes testosterone replacement therapy works. But Saxbe stresses a lot of men could use psychotherapy or support groups that bring dads together, as well as more time bonding with loved ones in general.

“The thing that predicts a man’s well-being and longevity is the quality of his relationships with other people,” said Saxbe. “You can be the world’s best weightlifter. You can have a low body-fat percentage. You can be killing it at work. Those things don’t predict how happy you’re going to be at 80.”

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Video: NASA Announces Artemis III Crew

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Video: NASA Announces Artemis III Crew

new video loaded: NASA Announces Artemis III Crew

transcript

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NASA Announces Artemis III Crew

NASA announced the crew of Artemis III mission, which will fly to low-Earth orbit to test rendezvous and docking maneuvers with one or two lunar landers.

“I am excited to welcome you as the next crew in the Artemis journey to successfully return to the moon — this time to stay.” “I’m honored by the role that I’ve been given. I’m also very humbled by the task in front of us. But first and foremost, I’m grateful.” “So with that, the Artemis II crew, comrade, hands you the baton. You got the controls.” “As you know, we had a significant anomaly at our Launch Complex 36A on May 28. We’ve redoubled our efforts and are moving forward.”

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NASA announced the crew of Artemis III mission, which will fly to low-Earth orbit to test rendezvous and docking maneuvers with one or two lunar landers.

By Alisa Shodiyev Kaff

June 9, 2026

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Santa Monica Mountains’ last steelhead trout survived the Palisades fire — and even had babies

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Santa Monica Mountains’ last steelhead trout survived the Palisades fire — and even had babies

Scientists feared the Santa Monica Mountains’ last remaining steelhead trout were dead, smothered by debris flows unleashed by the Palisades fire.

But the endangered fish surprised them: A team of biologists recently spotted 30 of the rare trout — and 21 babies — in Topanga Creek.

“There was a lot of happy dancing in the creek,” said Rosi Dagit, principal conservation biologist for the Resource Conservation District of the Santa Monica Mountains, which works with public and private landowners to conserve natural resources.

That’s because the steelhead here are endangered, at both the state and federal levels. Once, they swam in most streams of the Santa Monicas, but their numbers plummeted amid overfishing and coastal development. Increasingly frequent wildfire has further stressed their habitat. Topanga Creek, a biodiversity hot spot, is home to their last known population in the mountains that stretch from the Hollywood Hills to Point Mugu in Ventura County.

The trout that were spotted, including this one, are part of a distinct Southern California population that’s listed as endangered at the state and federal levels.

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(RCDSMM Stream Team)

The California Department of Fish and Wildlife spearheaded a complex mission to rescue trout threatened by the Palisades fire that sparked in January 2025.

Time was of the essence. The fire hadn’t yet been fully contained. But rain was on the way, which would sweep massive amounts of sediment from the denuded hillsides into the water. Fish are often killed this way.

Crews stunned the fish with electricity, scooped them up in buckets, trucked them to a hatchery and ultimately moved them to Arroyo Hondo Creek in Santa Barbara County.

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Within days, Topanga Creek was choked with mud. Some assumed the fish left behind were goners.

But in March, the conservation district’s team found four. The following month, when water conditions were clearer, they saw more.

“These fish continue to amaze me,” said Kyle Evans, environmental program manager for the state Department of Fish and Wildlife, who had seen the damage to the creek. “I had seen populations get wiped out in similar situations. So when I heard, I was thrilled.”

Evans surmises the fish that survived were in an area of the creek where less charred material and sediment were swept in.

“These fish likely hunkered down, were hiding under some rocks or places to try to get away from the main concentration of flow,” he said. “And luckily they weren’t buried.”

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The ones that were spotted were fairly small, around 6 to 14 inches. Rainbow trout and steelhead trout are the same species, but with different lifestyles. If the fish remain in freshwater, they’ll be considered rainbows. However, they can migrate to the ocean and become steelhead, where they typically grow larger before returning to their natal waters to spawn.

Topanga Creek hasn’t fully recovered from the damage it sustained, but scientists say it’s looking better. Surveys last year were “so depressing,” Dagit said, with very few animals, and stretches that were essentially transformed into flat roads from all the sediment buildup. Some of the riparian canopy burned right down to the creek.

Then came 32 inches of rain over the last nine months, scouring out and moving sediment, creating deeper pools. Dagit said they recently found newt egg masses for the first time in years, as well as a few adult newts and many frogs. Plants that provide cover are starting to recover.

She provided photos comparing certain pools last year and this year, some dramatically transformed. In September 2025, the Shrine Pool could have been an overgrown hiking trail. This April, it was filled with shallow water.

Shrine Pool, Sept. 2025, left, and the same location, April 2026, right.

The Shrine Pool in September 2025, left, and the same location in April 2026, right, with RCDSMM’s Isaac Yelchin donning a wetsuit.

(RCDSMM Stream Team)

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Topanga Creek is home to another endangered fish, the small but hardy northern tidewater goby, often described as cute. Not long before the trout operation, Dagit led a rescue of hundreds of these fish too. Many were repatriated to the lagoon at the mouth of the creek in a moving ceremony last June.

There’s still the matter of what to do with the trout that were moved to Santa Barbara County last year. Evans would like to bring them home to the Santa Monicas at some point, but isn’t sure if it will happen. On one hand, they could bolster the small, genetically isolated surviving population. On the other, they might inadvertently bring in a disease or bacteria. There is some time to decide. Evans estimates the creek still needs to recover for two to three more years.

For now, the fish are functioning fine in their adopted creek. Experts worried the trauma wrought by the move would disrupt their spawning process, but they had babies that spring. This year, they spawned again.

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