by Marion Nestle

Currently browsing posts about: RFK Jr

Apr 2 2025

Keeping up with MAHA: RFK Jr’s latest actions

There is never a dull moment with Robert F. Kennedy Jr’s taking over the Department of Health and Human Services.

The Wall Street Journal announced this first: RFK Jr. Plans 10,000 Job Cuts in Major Restructuring of Health Department

Kennedy on Thursday said the agency would ax 10,000 full-time employees spread across agencies tasked with responding to disease outbreaks, approving new drugs, providing insurance for the poorest Americans and more. The cuts are in addition to roughly 10,000 employees who chose to leave the department through voluntary separation offers since President Trump took office, according to the department.

Together, the cuts would eliminate about one-quarter of a workforce that would shrink to 62,000. The department would lose five of its 10 regional offices.

RFK Jr explained what all this was about in a six-minute video) on Twitter (X: “We’re going to eliminate an entire alphabet soup of departments and agencies while preserving their core function.”The agency said the 25% reduction in workforce would not affect essential services.

That, however, is a matter of opinion.  As Politico put itRFK Jr.’s massive cuts stun staff, leave senior employees scrambling, which, one can only suppose, is the point.

To further explain, HHS issued Fact Sheet: HHS’ Transformation to Make America Health Again.

You can read it for yourself, but here are selected items that got my attention [my comments follow]

    • FDA will decrease its workforce by approximately 3,500 full-time employees, with a focus on streamlining operations and centralizing administrative functions. This reduction will not affect drug, medical device, or food reviewers, nor will it impact inspectors. [This is hard to believe.  Many staff have already left.  Were they scientists?  Who is left who can write Federal Register notices, for example].
    • The CDC will decrease its workforce by approximately 2,400 employees, with a focus on returning to its core mission of preparing for and responding to epidemics and outbreaks. [But the first layoffs were of probationary staff of the Epidemiology Intelligence Service.  They may have been hired back, but it’s hard to imagine what morale is like]
    • The consolidation and cuts are designed not only to save money, but to make the organization more efficient and more responsive to Americans’ needs, and to implement the Make America Healthy Again goal of ending the chronic disease epidemic. [How, pray tell]
    • A new Administration for a Healthy America (AHA) will…coordinate chronic care and disease prevention programs and harmonize health resources to low-income Americans. [This could work if done right and if adequate personnel are still available]

My question here is to what end?  What, exactly, does RFK Jr plan to do to Make America Healthy Again?

So far, he has done a few things:

  • Made it clear that food companies have to stop using artificial color dyes.
  • Started talking about closing the GRAS loophole (that allows companies to say whether additives are safe)
  • Indicated that he prefers beef tallow to seed oils.

I am all for getting rid of artificial colors and closing the GRAS loophole but neither of those is a major cause of obesity and its health consequences.  Nor will replacing seed oils with beef tallow addresss that problem; both have about the same number of calories.

If RFK Jr really wants to Make America Health Again, he needs to get American eating less junk food and more real food.  Yes, food colors are a marker of ultra-processed foods but they are mainly in candy, confectionary, and kids’ cereals.

I’m eagerly waiting to hear what RFK Jr plans to do to help Americans reduce calorie intake, reduce intake of ultra-processed foods, stop smoking, avoid drinking too much alcohol, become more physically active, and eat more vegetables.

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Apr 1 2025

Vitamin A for measles: no for prevention, yes for treatment

Nutritionist that I am, I was shocked to see this headline: Remedy Supported by Kennedy Leaves Some Measles Patients More Ill

Physicians at Covenant Children’s Hospital in Lubbock, Texas, say they’ve now treated a handful of unvaccinated children who were given so much vitamin A that they had signs of liver damage.  Some of them had received unsafe doses of cod liver oil and other vitamin A supplements for several weeks in an attempt to prevent a measles infection.

Vitamin A toxicity?  Two reasons for my shock:

  1. Vitamin a toxicity is extremely rare. Amounts typically in food never cause problems except when people eat polar bear or seal liver (or, in one instance, dog liver).  Even supplements cause only occasional cases.  The New York Times last reported a case of a child overdosing on vitamin A supplements in 1981.
  2. These children were given way too much Vitamin A for way too long.

The deal on Vitamin A and measles

  • Vitamin A will not prevent measles; vaccinations prevent measles.
  • Vitamin A is, however, used to treat active cases of measles.
  • The treatment involves two doses of vitamin A, one day apart.
  • The amounts depend on the age of the child.

Rationale for use of Vitamin A to treat measles

  • The World Health Organization recommends vitamin A for all children with acute measles, regardless of country of residence
  • Children in the US can have low serum vitamin A concentrations
  • Low vitamin A concentrations correlate with more severe measles disease
  • Measles virus can deplete vitamin A stores
  • In low- and middle-income countries, vitamin A is associated with decreased mortality and morbidity

Comment

  • When RFK Jr recommends vitamin A for measles treatment, he is repeating standard advice.
  • When he states or implies that vitamin A should be routinely supplemented, or used as a preventive measure for measles rather than vaccination, he puts sick children at serious risk of vitamin A overdose and toxicity.
  • He should not recommend or imply that vitamin A is a substitute for measles vaccination.
  • When he recommends vitamin A treatment for measles, he should insist on limiting supplements to two doses.
  • Measles is preventable with vaccination.
  • Vitamin A toxicity is preventable by avoiding supplements or using them only when needed and in appropriate amounts.
  • Animal foods are the best sources of Vitamin A; brightly colored vegetables are the best sources of the Vitamin A precursor, beta-carotene.

References

 

 

Feb 25 2025

What’s going on with the FDA? And MAHA?

Food Fix broke the news: Jim Jones, FDA Deputy Commissioner for Human Foods , resigned saying that the firings of the staff he had recruited over the last year made his job impossible.

The New York Times quotes Jones. 

They’ve created a real pickle for themselves,” by cutting staff members working on a key priority, Mr. Jones said. “You just can’t do an assessment [of food additives] for free and you can’t ban chemicals by fiat.

But wait!  Maybe you can.

The FDA is an agency of the Department of Health and Human Services (HHS).  And that brings me to its new secretary’s astonishing opening statement on his first day on the job.

I’m totally for making chronic disease a national priority for intervention, for getting conflicts of interest out of the FDA, and for focusing on child health.  And for Making America Healthy Again (MAHA).

I am eager to see what he does.

The FDA has long been plagued by cumbersome procedures (many of which do protect the public), conflicts of interest (especially the “revolving door” between the agency and industry), and apparent capture by the industries it is supposed to regulate.

Can RFK Jr address those problems in a way that promotes the public interest?  We shall see.

In the meantime, Jim Jones is being replaced by Kyle Diamantas, a lawyer from the large firm, Jones Day.

Not much is known about Mr. Diamantas, beyond his hunting turkeys with President Trump.

Food Fix quotes Vani Hari, the Food Babe as saying Diamantas “has a lot of Big Food contacts…I think that actually serves him. It puts him in an interesting position because he understands the stakeholders at play….I think that puts him in a good position to figure this out…He gets this issue.”

The nominee to be the new FDA Commissioner,  Martin Makary, has not yet been confirmed.

So much remains uncertain.  I am following all this with great interest.

Update on the chaos

The FDA has now rehired some of the people who were fired (particularly those supported by user fees).  Presumably, Jim Jones remains out.

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