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Trump Administration Temporarily Mutes Federal Health Officials

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Trump Administration Temporarily Mutes Federal Health Officials

The Trump administration, moving quickly to clamp down on health and science agencies, has canceled a string of scientific meetings and instructed federal health officials to refrain from all public communications, including upcoming reports focused on the nation’s escalating bird flu crisis.

Experts who serve on outside advisory panels on a range of topics, from antibiotic resistance to deafness, received emails on Wednesday telling them their meetings had been canceled.

The cancellations followed a directive issued on Tuesday by the acting director of the federal Department of Health and Human Services, who prohibited the public release of any public communication until it had been reviewed by a presidential appointee or designee, according to federal officials and an internal memo reviewed by The New York Times.

The directive enjoins the public release of “regulations, guidance documents, and other public documents and communications,” including any “notice,” “grant announcement,” news releases, speaking engagements or official correspondence with public officials, until they have received approval.

The new stricture applies to messages to email groups and to social media posts, and included a ban on announcements to The Federal Register, without which many official processes cannot continue. Some notices sent by the Biden administration in its final week were quickly withdrawn.

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The cancellations and communications crackdown sent a chill through employees of the Centers for Disease Control and Prevention and the broader scientific community. The directive was first reported by The Washington Post.

Representatives of the C.D.C. and the Food and Drug Administration declined to comment. The moratorium is to continue through Feb. 1.

The fallout was immediate.

Officials at the C.D.C. had been prepared to publish an issue of the influential Morbidity and Mortality Weekly Report on Thursday that included several items related to the widening bird flu outbreak on dairy and poultry farms.

The weekly reports have been called the “holiest of the holy,” a crucial means of communication about developments in public health. This week’s publication is now held up as a result of the order, according to two federal health officials who spoke on condition of anonymity because they were not authorized to speak publicly.

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Upcoming meetings of outside advisory panels on health issues have been canceled, according to panel members, who spoke anonymously for fear of retribution. Meetings to review grant proposals submitted to the National Institutes of Health were scrubbed, for example.

Members of the Presidential Advisory Council for Combating Antibiotic-Resistant Bacteria were told that their two-day meeting, scheduled for next Tuesday and Wednesday, had been canceled “as the new Administration considers its plan for managing federal policy and public communications.”

Those who had registered in advance for a celebratory dinner were told they would be “fully reimbursed within 48 hours” of receiving the email.

The directive was signed by Dr. Dorothy Fink, acting secretary of the Department of Health and Human Services. The confirmation hearing for Robert F. Kennedy Jr., whom President Trump has nominated to lead the department, is not expected for at least another week.

The administration has yet to name an acting director for the C.D.C. or an acting commissioner at the Food and Drug Administration, usually among the first moves by an incoming administration.

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The communications pause accompanies a spate of other changes facing federal employees since Mr. Trump’s inauguration on Monday, including a hiring freeze, an end to remote work and the shuttering of diversity, equity and inclusion offices and programs.

Late on Wednesday, Dr. Fink issued another directive aimed at ending diversity and inclusion efforts at H.H.S. and warned against attempting to “disguise these programs by using coded or imprecise language.” Her letter also encouraged employees to report on colleagues who were not compliant.

Former federal officials said it was not unusual for a new administration to limit communication during the initial transition, but the scope and duration of the latest pause were unexpected.

Staff members of the incoming Trump administration did not use the transition period to meet with federal health officials and to familiarize themselves with the agencies.

And while a pause on communications is not out of the ordinary, previous administrations have not restricted scientific publications like the M.M.W.R. or health guidelines because of their critical importance to public welfare.

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“It’s not unusual for a new administration to want to centralize communication,” said Dr. Richard Besser, the chief executive of the Robert Wood Johnson Foundation and a former acting director of the C.D.C.

“It is unusual to pause all communication from an agency where one of its critical responsibilities is keeping the public informed,” he added.

Privately, several federal officials said they were confused about whether the restriction on communications with The Federal Register included health data. Some officials seemed unaware of the restrictions at all.

Much of the concern centered on the C.D.C., whose responsibilities certainly include public communications. The agency, for example, recently made doctors and patients aware of potential health risks about an emerging version of mpox and an outbreak of Marburg disease in Rwanda.

The agency has offered findings on the mental health effects of the pandemic on health care providers and new guidelines extending the recommendation for pneumococcal vaccines, and has warned of an increase in the incidence of tularemia, a rare infectious disease, in the United States.

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State and city health officials rely on C.D.C. notices to make decisions for their communities, such as when to ramp up flu testing or which disease symptoms to keep an eye out for, said Chrissie Juliano, executive director of the Big Cities Health Coalition, which represents leaders of urban public health departments.

While much of that information can be delayed a few days, she said she hoped that the administration had a plan for disseminating more pressing public health information, especially in relation to the bird flu outbreak.

In the past year, the bird flu virus, called H5N1, has affected dozens of animal species and more than 35 million wild and commercial birds, resulting in soaring egg prices. It has also infected at least 67 people; the country recorded its first bird-flu-related human death in December.

“Can something like the bird flu turn on a dime in 10 days?” Ms. Juliano said. “Yes. I would hope that if those signals are seen at the federal level, information is going to get out.”

Dr. Ashish Jha, dean of the Brown University School of Public Health and the Biden administration’s former Covid czar, said the pause on communications was most likely a product of the Trump administration’s “particularly bumpy” transition into the White House, rather than a coordinated effort to withhold information.

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Still, public health experts are wary of any changes to access of federal health data. Memories from Mr. Trump’s last term, during which political appointees repeatedly meddled in C.D.C. reports and doctored guidance documents, are still raw.

“I think if it goes anywhere beyond Feb. 1, then we have a much more serious problem,” Dr. Jha said.

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What to plant (and what to remove) in California’s new ‘Zone Zero’ fire-safety proposal

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What to plant (and what to remove) in California’s new ‘Zone Zero’ fire-safety proposal

After years of heated debates among fire officials, scientists and local advocates, California’s Board of Forestry and Fire Protection released new proposed landscaping rules for fire-prone areas Friday that outline what residents can and can’t do within the first 5 feet of their homes.

Many of these proposed rules — designed to reduce the risk of a home burning down amid a wildfire — have wide support (or at least acceptance); however, the most contentious by far has been whether the state would allow healthy plants in the zone.

Many fire officials and safety advocates have essentially argued anything that can burn, will burn and have supported removing virtually anything capable of combustion from this zone within 5 feet of houses, dubbed “Zone Zero.” They point to the string of devastating urban wildfires in recent years as reason to move quickly.

Yet, researchers who study the array of benefits shade and extra foliage can bring to neighborhoods — and local advocates who are worried about the money and labor needed to comply with the regulations — have argued that this approach goes beyond what current science shows is effective. They have, instead, generally been in favor of allowing green, healthy plants within the zone.

The new draft regulations attempt to bridge the gap. They outline more stringent requirements to remove all plants in a new “Safety Zone” within a foot of the house and within a bigger buffer around potential vulnerabilities in a home’s wildfire armor, including windows that can shatter in extreme heat and wooden decks that can easily burst into flames. Everywhere else, the rules would allow residents to maintain some plants, although still with significant restrictions.

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The rules generally do not require the removal of healthy trees — instead, they require giving these trees routine haircuts.

Once the state adopts a final version of the rules, homeowners would have three years to get their landscaping in order and up to five years for the bigger asks, including removing all vegetation from the Safety Zone and updating combustible fencing and sheds within 5 feet of the home. New constructions would have to comply immediately.

The rules only apply to areas with notable fire hazard, including urban areas that Cal Fire has determined have “very high” fire hazard and rural wildlands.

Officials with the Board will meet in Calabasas on Thursday from 1 p.m. to 7 p.m. to discuss the new proposal and hear from residents.

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Some L.A. residents are championing a proposed fire-safety rule, referred to as “Zone Zero,” requiring the clearance of flammable material within the first five feet of homes. Others are skeptical of its value.

Where is the Safety Zone?

The proposed Safety Zone with stricter requirements to remove all vegetation would extend 1 foot from the exterior walls of a house.

In a few areas with heightened vulnerabilities to wildfires, it extends further.

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The Safety Zone covers any land under the overhang of roofs. If the overhang extends 3 feet, so does the Safety Zone in that area. It also extends 2 feet out from any windows, doors and vents, as well as 5 feet out from attached decks.

What plants would be allowed in the Safety Zone?

Generally, nothing that can burn can sit in the Safety Zone. This includes mulch, green grass, bushes and flowers.

What plants would be allowed in the rest of Zone Zero?

Homeowners can keep grasses (and other ground-covers, like moss) in this area, as long as it’s trimmed down to no taller than 3 inches.

The rules also allow small plants — from begonias to succulents — up to 18 inches tall as long as they are spaced out in groups. Residents can also keep spaced-out potted plants under this height, as long as they’re easily movable.

What about fences, trees and gates?

Any sheds or other outbuildings would need noncombustible exterior walls and roofs in Zone Zero — Safety Zone or not.

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Residents would have to replace the first five feet of any combustible fencing or gates attached to their house with something made out of a noncombustible material, such as metal.

Trees generally would be allowed in Zone Zero. Homeowners would need to keep any branches one foot away from the walls, five feet above the roof and 10 feet from chimneys.

Residents would also have to remove any branches from the lower third of the tree (or up to 6 feet, whichever is shorter) to prevent fires on the ground from climbing into the canopy.

Some trees with trunks directly up against a house in this 1-foot buffer or under the roof’s overhang might need to go — since keeping branches away from the home could prove difficult (or impossible).

However, the board stressed it wants to avoid the removal of trees whenever feasible and encouraged homeowners to work with their local fire department’s inspectors to find case-by-case solutions.

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What’s new and what’s not

Some of the rules discussed in Zone Zero are not new — they’ve been on the books for years, classified as requirements for Zone One, extending 30 feet from the home with generally less strict rules, and Zone Two, extending 100 feet from the house with the least strict rules.

For example, homeowners are already required to remove any dead or dying grasses, plants and trees. They also have to remove leaves, twigs and needles from gutters, and they already cannot keep exposed firewood in piles next to their house.

Residents are also already required to keep grasses shorter than 4 inches; Zone Zero lowers this by an inch.

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Video: Rescuers Mount a Likely Final Push to Save a Stranded Whale

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Video: Rescuers Mount a Likely Final Push to Save a Stranded Whale

new video loaded: Rescuers Mount a Likely Final Push to Save a Stranded Whale

Rescue crews mounted a likely final push to save a stranded humpback whale off the coast of Northern Germany on Friday. The large mammal, nicknamed “Timmy,” captivated the nation after it was stranded in shallow waters for weeks.

By Jorge Mitssunaga

April 17, 2026

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1,200% jump in kratom-related calls to poison control centers in last decade, analysis shows

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1,200% jump in kratom-related calls to poison control centers in last decade, analysis shows

Over the last decade, poison control centers around the country have received tens of thousands of calls from consumers of kratom products reporting adverse and life-threatening health effects, with researchers saying reports in 2025 reached a new level. California’s poison center is reporting similar findings.

Last month, researchers analyzed information from the National Poison Data System and found that between 2015 and 2025, poison control centers across the nation received 14,449 calls related to kratom. More than 23% of those calls, or 3,434, were made last year, according to a published report in the Centers for Disease Control and Prevention. That represents a more than 1,200% increase from 2015, when only 258 calls were reported.

Officers gather illegally grown kratom plants in 2019 in Phang Nha province, Thailand. The country decriminalized the possession and sale of kratom in 2021.

(Associated Press)

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Kratom is derived from the leaves of Mitragyna speciosa, a tree native to Southeast Asia. It has a long history of being used for chronic pain or to boost energy and in the U.S., research points to Americans also using it to alleviate anxiety. In low doses, kratom appears to act as a stimulant but in high doses, it can have effects more like opioids.

But in the last few years, a synthetic form of kratom refined for its psychoactive compound, 7-hydroxymitragynine or 7-OH, has entered the market that is highly concentrated and not clearly labeled, leading to confusion and problems for consumers. The synthetic form gaining momentum in the market is sparking concern among public health officials because of its ability to bind to opioid receptors in the body, causing it to have a higher potential for abuse.

Los Angeles County leaders, meanwhile, have grappled with differentiating the two and regulating the products that come in the form of powder, capsules and drinks and have been linked to six county deaths. Sales of kratom and 7-OH products were banned in the county in November.

In reviewing the data, which did not differentiate whether callers had consumed natural or synthetic kratom, researchers set out to understand the effect of what they believe is a “rapidly evolving kratom market,” and highlight the role poison centers can play as an early warning surveillance system to detect new trends.

National Poison Data System findings

The data showed that over the last 10 years, 62% of the kratom-related calls to poison control centers were from people who said they consumed the drug by itself, and the other 38% were from people who combined it with another substance or substances.

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Those who consumed kratom with another substance combined it most frequently with one or a combination of the following: alcohol, opioids, benzodiazepines (like Xanax or Valium), cannabis and cannabinoids, stimulants and antidepressants.

The data also broke down hospitalizations related to kratom — adults who took it alone or in combination and experienced “adverse” health effects; and adults who took it alone or in combination and experienced more serious “moderate” or “major” health effects, including death.

Kratom powder products are displayed at a smoke shop.

Kratom powder products are displayed in a smoke shop in Los Angeles in 2024.

(Michael Blackshire/Los Angeles Times)

Hospitalizations for adults who had consumed kratom alone and experienced adverse effects increased from 43 in 2015 to 538 in 2025. For those who took it in combination and were hospitalized with an adverse health effect, the total jumped from 40 in 2015 to 549 last year.

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The numbers were even higher for hospitalizations where the health effects were more serious or fatal.

In 2015, there were 76 reports of people being hospitalized after taking kratom alone and experiencing a serious health effect or dying. By last year, that number had climbed to 919. The reports of serious health effects, including death, for those who took kratom in combination with another substance grew from 51 in 2015 to 725 last year.

The research does not break down kratom-related deaths by year but states that there were 233 deaths over the 10-year study period, or just over 3% of all 7,287 serious medical outcomes. Of the total number of kratom-related deaths, 184 cases involved the consumption of multiple substances.

What California’s poison control system found in its state data

The California Poison Control System is currently reviewing its data concerning kratom-related calls but an initial analysis shows parallels to the national report, said Rais Vohra, medical director of the state poison control system.

“We have about 10% of the national population and about 10% of the national call volume with poison control,” Vohra said. “And so, not surprisingly, we were able to identify over 900 cases of calls related to kratom in that same period.”

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Local researchers are still deciphering the state data but they too have found that kratom-related calls are climbing.

“It’s accelerating, which I think is one of the main points of the [published] report,” Vohra said.

A majority of calls received by poison control come from healthcare facilities where “presumably someone has a problem … severe enough to warrant calling 911 or going to the emergency room, and that’s when our agency gets involved,” Vohra said.

Kait Brown, clinical managing director for America’s Poison Control Centers, said the fact that kratom and 7-OH are federally unregulated products sold online, in gas stations and smoke shops gives people across the country easy access.

And while kratom enthusiasts maintain that it has been used in its natural form for hundreds of years, “there are new formulations that are a little bit different than how people have used it, at least historically,” said William Eggleston, a pharmacist and the assistant clinical director of the Upstate New York Poison Center in Syracuse.

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People are no longer consuming kratom only as a powder or capsule but also in the form of an energy shot or extract; it’s similar for synthetic, more concentrated 7-OH products.

When regional poison centers compare their findings and experiences with the analysis of calls in the National Poison Data System, Eggleston said, “undeniably there is an increase in calls related to kratom.”

“But when you put it in the bigger perspective of all the calls … this is still a very small percentage of what we’re dealing with on a day to day basis,” he said.

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