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CDC to slash infectious-disease funding for states; California impact uncertain

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CDC to slash infectious-disease funding for states; California impact uncertain

The Centers for Disease Control and Prevention has notified the California Department of Public Health it is suspending grants it had provided to support the state’s infectious-disease response during the COVID-19 pandemic.

The directive was sent to all 50 states and will cancel roughly $12 billion in funding. California officials said they couldn’t immediately say how the cuts would affect state services.

“We are working to evaluate the impact of these actions,” Erica Pan, the state department’s director and state public health officer, said in a statement.

The funding was awarded during the height of the COVID-19 pandemic to aid the state with its respiratory virus monitoring, testing and response, immunizations and vaccines for children, and to help address health disparities, Pan said.

The cuts were reported earlier by NBC News, which quoted a statement from U.S. Department of Health and Human Services spokesman Andrew Nixon saying that the “COVID-19 pandemic is over, and H.H.S. will no longer waste billions of taxpayer dollars responding to a nonexistent pandemic that Americans moved on from years ago.”

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It is unclear how much funding the state had been awarded and how much is now being pulled, but a 2023 news release shows that the CDC awarded the state a $37-million grant to help strengthen the state’s health infrastructure, workforce and data systems.

According to the release, the grant award’s start date was Dec. 1, 2022, and was set to last through Nov. 30, 2027.

It couldn’t immediately be determined how much of the award has already been spent, but much of it was designated to support county health departments, including the Los Angeles County Department of Public Health, Riverside County Department of Public Health, Long Beach Health Department, Orange County Health Department and San Bernardino County Department of Public Health.

In addition, two other large awards were provided by the CDC to California in the immediate wake of the COVID pandemic: a $555-million grant during 2020 and $1.7 billion as part of the Coronavirus Response and Relief Supplemental Appropriations Act of 2021.

The state Department of Public Health didn’t immediately respond for a request for comment on what programs could be affected by the CDC’s cancellation of funding, nor how the state’s infectious-disease monitoring, testing, response and immunization programs could be affected.

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The Los Angeles County Department of Public Health received notices from the federal government that COVID-associated funding was going to be rescinded, a spokeswoman for the department said. It also received an informal notice from the state that COVID-related grants for vaccination services probably would be terminated.

“In total, these actions to rescind … COVID-associated funding will impact more than $45 million in core L.A. County Public Health funding,” the spokeswoman said. “Much of this funding supports disease surveillance, public health lab services, outbreak investigations, infection control activities at healthcare facilities, and data transparency. We are working to determine the impacts of the announcement of the loss of this funding.”

According to 2025-26 state budget figures, Gov. Gavin Newsom allocated $5.1 billion to the state’s health department; about $2.3 billion of that comes from federal funding.

Although Congress initially authorized the money for state health programs as part of its COVID relief bills, it has since been allowed to be targeted to other programs, such as testing and surveillance for other respiratory viruses.

California has been ground zero for the H5N1 bird flu since last March. Thirty-eight people in the state have been infected with the virus, most of them dairy workers who were exposed working with infected cows or milk. However, two of the people were children; the cause of their infection has not been determined.

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The virus has also infected 756 dairy herds; more than 75% of the state’s total dairy herds.

In addition, there have been eight measles cases since the beginning of the year, in addition to thousands of seasonal flu, COVID-19, norovirus and RSV cases.

Pan said the state will continue to advance public health and work to protect people.

“All Californians deserve to live in healthy and thriving communities, which is the role of public health,” she wrote in her statement, saying her department is “committed to seeking the resources required to support the critical, lifesaving infrastructure needed to keep people healthy and protect them against infectious disease, vaccine-preventable diseases and health emergencies.”

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Orbital Rocket Crashes After First Launch From Continental Europe

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Orbital Rocket Crashes After First Launch From Continental Europe

The engine shuddered to life around half past noon local time on Sunday, and with a guttural roar, the 92-foot-tall Spectrum rocket lifted slowly away from its launch tower, marking the first liftoff of its kind on the European continent.

The rocket, launched by Isar Aerospace from within the Arctic Circle at a spaceport on the icy Norwegian island of Andøya, was the first orbital flight outside of Russia to leave continental Europe. About 30 seconds after the rocket cleared the launchpad, it pitched to the side and plummeted back to earth.

But Daniel Metzler, the chief executive of Isar Aerospace, was upbeat. He said in a statement that the test flight had “met all our expectations, achieving a great success,” despite the crash.

“We had a clean liftoff, 30 seconds of flight and even got to validate our Flight Termination System,” Mr. Metzler said. The rocket fell directly into the sea, the launchpad was not damaged, and no one was harmed when the spacecraft crashed, he added.

The Andøya Spaceport could not immediately be reached for comment. Earlier, it had posted on social media saying that “crisis management” had been activated following the crash, and that it was collaborating with the emergency services and Isar Aerospace.

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The test flight was seven years in the making for Isar Aerospace, a German-based company founded in 2018 with a mission to make satellite launches more accessible from Europe. European companies have been pushing ahead in space technology and research, exploring the potential of the space sector for defense, security and geopolitics.

“There’s about a million things that can go wrong and only one way things actually go right,” Mr. Metzler, Isar Aerospace’s chief executive, had in a video interview ahead of the launch. The team had rescheduled several earlier attempts to launch, citing unfavorable weather conditions. “Frankly, I’d be happy if we just fly 30 seconds,” he said at the time.

That amount of time, he said, would give the team plenty of information to analyze and use to improve their vehicle. And that is roughly how long the flight on Sunday lasted.

In the video, Mr. Metzler pointed out that SpaceX, the first private company to successfully launch a rocket of its own design into orbit, had three failed attempts before achieving that milestone in 2008.

Several private companies in Europe have been designing spaceports for a new wave of rockets. Sweden has revamped an old research base into a state-of-the-art satellite launching center north of the Arctic Circle, and Britain also opened a space center in Cornwall, in England’s far southwest. Misfires, however, can be costly: Virgin Orbit, the space company founded by British billionaire Richard Branson, ultimately folded after its failed attempt in 2023 to launch a rocket into orbit.

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“Space has really become a very crucial element in geopolitics, in global insights, and of course, it’s a huge economic opportunity,” said Mr. Metzler.

The company, which was initially backed by Bulent Altan, a former senior executive at Space X, has raised more than $430 million in funding from international investors, according to its website, including securing backing from NATO’s Innovation Fund.

Ali Watkins contributed to this report.

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Deadly, drug-resistant fungus CDC calls 'urgent threat' is spreading in hospitals

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Deadly, drug-resistant fungus CDC calls 'urgent threat' is spreading in hospitals

A deadly, drug-resistant fungus that preys on the sick and old is continuing to spread in hospitals and senior care facilities across the country, killing more than 1 in 3 infected.

Candida auris, a type of yeast that can cause life-threatening illness, was first identified in the U.S. in 2016 with 52 infections reported across the country, according to the U.S. Centers for Disease Control and Prevention.

The number of cases has more than doubled annually, hitting 4,514 in 2023, the latest year the CDC has data available. During this same period, California reported 1,566 infections, more than any other state.

The CDC issued a public safety announcement declaring C. auris an “urgent threat” in 2023 because it is resistant to many antifungal drugs, spreads rapidly in healthcare facilities and can cause severe infections with high death rates.

“The rapid rise and geographic spread of cases is concerning and emphasizes the need for continued surveillance, expanded lab capacity, quicker diagnostic tests, and adherence to proven infection prevention and control,” CDC epidemiologist Dr. Meghan Lyman said in a statement.

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Now, there are signs that the fungus is once again on the move. The Georgia Department of Public Health recently reported a surge in cases in healthcare facilities, and a recent study found an alarming rate of spread in Florida hospitals.

C. auris spreads through direct contact with colonized or infected individuals, contaminated surfaces and medical equipment.

A colonized person has the fungus on their skin but does not experience symptoms. In an infected person, the fungus invades the body and causes symptoms such as fever, chills, sepsis and organ failure.

The risk of infection is especially high for patients with catheters, breathing tubes or feeding tubes because they create direct entry points for C. auris to enter the bloodstream or lungs. Most healthy people are not at serious risk of complications from infections.

“Most of the patients that get infections with Candida auris are themselves pretty sick to start with,” said Stuart Cohen, chief of infectious diseases at UC Davis. “This is something that can push people over the edge and become life-threatening.”

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Studies have found C. auris infections have a mortality rate of 30% to 60%.

To prevent the spread of the disease, most California hospitals have implemented screening procedures for patients transferred from high-risk healthcare settings. Those found to have C. auris are then isolated from the rest of the hospital.

“The goal is, first and foremost, to keep the people in your hospital safe,” Cohen said. “When somebody comes in for a procedure, they’re not expecting to go home with a life-threatening illness or having spent time in an ICU from a hospital infection.”

Most common disinfectants do not kill C. auris, which can live on surfaces for weeks. There are, however, specialized products that hospitals can use to eliminate the yeast.

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Kennedy Turns to a Discredited Vaccine Skeptic for Autism Study

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Kennedy Turns to a Discredited Vaccine Skeptic for Autism Study

A steadfast figure in the anti-vaccine movement who has helped shape Health Secretary Robert F. Kennedy Jr.’s thinking on a possible link to autism has joined his department to work on a study examining the long-debunked theory, according to people familiar with the matter.

The new analyst, David Geier, has published numerous articles in the medical literature attempting to tie mercury in vaccines to autism. In 2012, state authorities in Maryland found that he had been practicing medicine without a license alongside his father, Mark Geier, who was a doctor at the time.

Maryland authorities also suspended Mark Geier’s medical license following claims that he endangered children with autism and exploited their parents, according to state records.

Federal judges have rejected their research on autism and vaccines as too unreliable to stand up in court.

David Geier’s new government role has stunned public health experts, who had already expressed concerns about Mr. Kennedy’s decisions to cancel a long-held vaccine meeting and to cut grants focused on understanding vaccine hesitancy.

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In addition, David Geier’s involvement in government research heightens their fears that vaccine confidence could be further eroded, especially after Mr. Kennedy’s recent embrace of questionable alternative treatments for measles during the sprawling outbreak in Texas.

“If we increase vaccine hesitancy and immunization rates go down further, we will see more vaccine-preventable disease outbreaks,” said Dr. Christopher Beyrer, director of the Duke Global Health Institute. “That’s how it works.”

Several experts said that appointing David Geier to work on a study of vaccine safety preordains the outcome — like having a basketball referee show up in one team’s jersey.

“You’d think you’d want a fresh eye,” said Edward L. Hunter, a former head of the Washington office of the Centers for Disease Control and Prevention.

“This isn’t a fresh eye. They have already published their results, and spending all this time and money is not going to help anyone. I am quite certain they’ll come to the same conclusion.”

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An official with Mr. Kennedy’s Department of Health and Human Services declined to comment. Two White House spokesmen did not respond to a request for comment. David Geier did not reply to emails or calls requesting comment.

Mary Holland, chief executive of Children’s Health Defense, the anti-vaccine nonprofit Mr. Kennedy ran until his presidential bid, praised David Geier on its website on Wednesday, describing him as “a brilliant, extremely knowledgeable researcher with deep expertise on mercury.”

(Over the weekend, federal officials ordered the nonprofit to remove a mock C.D.C. web page suggesting a link between vaccines and autism.)

David Geier is listed in the Department of Health and Human Services directory as a “senior data analyst.” News of his role in the agency was initially reported by The Washington Post.

Earlier this month, federal officials announced plans for a large study to re-examine whether there was a connection between vaccines and autism. Mr. Trump has voiced support for H.H.S. officials who wanted to revisit the issue, citing increases in autism diagnoses in children over the decades.

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About 1 in 36 children have an autism diagnosis, according to C.D.C. data collected in 11 states, compared with 1 in 150 children in 2000.

Many scientists believe the rise is due in part to increased awareness of the disorder and changes in how it is diagnosed by medical professionals, though genetic and environmental factors could be playing a role as well.

The Senate confirmed Mr. Kennedy largely because he won over the chairman of the Senate health committee, Bill Cassidy, Republican of Louisiana, who is a medical doctor and strong proponent of childhood vaccines.

Mr. Cassidy has said that further research into any supposed link between vaccines and autism would be a waste of money and a distraction from studies that might shed light on the “true reason” for the rise in autism rates.

On Thursday, Mr. Cassidy said he wanted confirmation of David Geier’s role, aside from news reports. He mentioned that he had breakfast with Mr. Kennedy on Thursday but said the topic did not come up.

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At one of his confirmation hearings, Mr. Kennedy shot back at Mr. Cassidy, citing a study from an ecosystem of vaccine critics that he said proved a connection between vaccines and autism.

David Geier comes from a similar circle of researchers. Along with his father, he played a formative role in Mr. Kennedy’s thinking.

Mr. Kennedy interviewed David Geier for an essay in 2005, “Tobacco Science and the Thimerosal Scandal,” in which he accused the C.D.C. of deliberately hiding vaccine data, under chapter headings like “Conspiracy” and “The Cover-Up.”

Mr. Kennedy described the Geiers’ belief that thimerosal, a mercury-containing preservative used in some vaccines, was linked to childhood autism. The preservative has since been removed from most childhood vaccines but is still used in some flu shots.

In a Rolling Stone article called “Deadly Immunity,” Mr. Kennedy credited the Geiers with being among the few who had gained access to C.D.C. vaccine data, which he said they used to “demonstrate a powerful correlation between thimerosal and neurological damage in children.” (The magazine later withdrew the article, but did not elaborate.)

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Almost a decade later, in Mr. Kennedy’s book, “Thimerosal: Let The Science Speak,” he paid homage to the Geiers, mentioning them nearly 250 times. He called them a “father-and-son team of independent medical researchers” who had “published extensively on the topic of thimerosal and its potential link to neurodevelopmental disorders, particularly autism.”

Mr. Kennedy acknowledged that the two had become “lightning rods of controversy in the vaccine safety debate.”

“The Geiers have published no fewer than thirteen epidemiological studies of the associations between Thimerosal and health effects in U.S. populations, employing accepted statistical practices,” Mr. Kennedy wrote in the book.

On a podcast in 2022, Mr. Kennedy credited the Geiers’ research for showing that vaccines “had nothing to do with” a decline in infectious diseases over decades. “It was all an illusion,” Mr. Kennedy said, attributing the decrease to improving sanitation and nutrition.

The Geiers’ work has been repeatedly discredited by other scientists and federal court decisions.

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An extensive review of the purported link between vaccines and autism in 2004 by the Institute of Medicine, an elite group of doctors and researchers, panned the Geiers’ studies. The review found their work to be marred by flaws “making their results uninterpretable.”

The institute’s report on a connection with the measles shots said: “The committee concludes that the evidence favor rejection of a causal relationship between M.M.R. vaccine and autism.”

In 2011, the Maryland Medical Board accused David Geier of practicing medicine without a license alongside his father at a Rockville, Md., clinic for children with autism.

One mother of a 10-year-old boy with autism balked when David Geier reportedly ordered 24 different blood tests for her son.

His father, Mark Geier, lost his medical license in 2012. Records in that case indicate that both father and son promoted a theory that thimerosal caused autism.

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State authorities found that the Geiers had offered treatment with puberty-blocking drugs. To some patients, they offered chelation, a procedure to remove heavy metals from the blood, records show. David Geier was assessed a $10,000 fine.

Judges have rejected the Geiers’ efforts to serve as experts on vaccine safety in court. Records show that judges challenged the father-son team’s billings for hundreds of thousands of dollars related to services they provided as experts for a specialized vaccine injury court.

The judges cited David Geier’s lack of qualifications, which include a bachelor’s degree in biology, and raised concerns about his father’s credibility.

Judge George L. Hastings Jr. said in 2016 that David Geier was not qualified to render an expert opinion in a National Vaccine Injury Compensation court case.

Judge Hastings said his report “is neither useful nor relevant, because he is not qualified as an expert concerning the matters he discusses.”

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In a review of two Geier studies this week, Jeffrey S. Morris, director of the division of biostatistics at the University of Pennsylvania, said he found what appeared to be a numerical sleight of hand that made it appear that vaccines caused a spike in autism.

“When I look at these two studies, they are so fatally flawed that I have serious concerns that any study that they’re going to design is going” to be rigorous enough, he said, “to yield valid results.”

To Mr. Hunter, formerly of the C.D.C., the decision to spend federal funds on a new study of a debunked theory would come at the cost of a meaningful discovery.

Since he became health secretary, Mr. Kennedy has presided over cutbacks involving research into nearly every aspect of health care and diseases. On Thursday, he announced a massive reorganization and reduction in the work force from 82,000 to 62,000.

“To me, the big shame is that with budget cuts, we are not ramping up research into what is actually causing autism,” Mr. Hunter said. “And if you are worried about vaccine-preventable disease, this is such a clear setback.”

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Michael Gold contributed reporting from Washington. Alain Delaquérière contributed research. Jeremy Singer-Vine provided data analysis.

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