(NEW YORK) — President-elect Donald Trump announced Tuesday that heart surgeon-turned-TV-host Dr. Mehmet Oz would lead the Centers for Medicare & Medicaid Services (CMS).
“America is facing a Healthcare Crisis, and there may be no Physician more qualified and capable than Dr. Oz to Make America Healthy Again,” Trump said in a statement. “He is an eminent Physician, Heart Surgeon, Inventor and World-Class Communicator, who has been at the forefront of healthy living for decades.”
The position of CMS administrator requires Senate confirmation.
Here’s what to know about Oz, his medical career and some medical claims he’s made that have come under fire.
Is Oz a real doctor?
Oz graduated with a Doctor of Medicine degree from the University of Pennsylvania School of Medicine and completed a Master of Business Administration from UPenn’s Wharton School of Business at the same time.
He completed his surgical training in cardiothoracic surgery at New York Presbyterian Hospital (Columbia Campus).
He was previously the director of the Cardiovascular Institute at New York Presbyterian Hospital and vice-chairman and professor of surgery at Columbia University College of Physicians and Surgeons. His title was then changed to Professor Emeritus of Surgery in 2018.
Medicine “was my calling,” Oz said in a Wharton Magazine profile from 2010. “I knew it from a very early age. I played a lot of sports growing up, and like a lot of other athletes, I really enjoyed the challenge of using my hands. I just loved the idea of being in a field where you could [do that].”
Oz began his TV career as a health expert on “The Oprah Winfrey Show” before launching “The Dr. Oz Show,” which ran from 2009 to 2022. The show ended when Oz launched an unsuccessful bid for the U.S. Senate in Pennsylvania.
What would Oz run as CMS administrator?
CMS administers the Medicare program, the federal health insurance program for those mostly aged 65 and older.
The agency also works with state programs to administer Medicaid, which is health insurance for disabled and low-income Americans, and the Children’s Health Insurance Program, which provides low-cost coverage to children with families that don’t qualify for Medicaid.
Oz has supported Medicare Advantage, which is run by commercial insurers and has been promoted by Trump. Project 2025 — a plan of conservative policy proposals proposed by the Heritage Foundation and not endorsed by Trump — has proposed Medicare Advantage be the default option for Medicare coverage.
Experts have said this could privatize the program and prevent people from receiving care from doctors and hospitals that don’t accept Medicare Advantage.
In Tuesday’s announcement, Trump said Oz would work closely with Robert F. Kennedy, Jr. the president-elect’s pick to lead the Department of Health and Human Services, which oversees CMS.
What are Dr. Oz’s past controversies?
During the early days of the COVID-19 pandemic, Oz promoted hydroxychloroquine, an anti-malarial drug, as a COVID-19 treatment. Trump later touted the drug as a “game changer,” although medical researchers warned more study was needed.
In June 2020, the U.S. Food and Drug Administration revoked emergency authorization for hydroxychloroquine and chloroquine to treat COVID-19, saying evidence shows the recommended dose is unlikely to be effective against the virus.
Oz also made past statements indicating that he endorsed spacing out childhood vaccines and expressed ambivalence towards a discredited theory that vaccines cause autism, according to a 2022 study. In later episodes of his TV show, Oz would go on to endorse the measles, mumps, rubella shot.
Oz also came under fire due to his claims about certain “miracle” products to help consumers lose weight.
During a 2014 hearing before the Senate Commerce, Science, and Transportation Committee on consumer protection, then-Sen. Claire McCaskill of Missouri grilled Oz, claiming he had a role in “perpetuating” scams.
“When you feature a product on your show, it creates what has become known as the ‘Oz effect,’ dramatically boosting sales and driving scam artists to pop up overnight using false and deceptive ads to sell questionable products,” she said. “While I understand that your message is also focused on basics like healthy eating and exercise, I’m concerned that you are melding medical advice news and entertainment in a way that harms consumers.”
During the hearing, Oz defended his statements, saying he believed in the benefits of the products he promoted on his show.
“I actually do personally believe in the items I talk about in the show. I passionately study them. I recognize that often times they don’t have the scientific muster to present as fact. But, nevertheless, I give my audience the advice I give my family all the time. I give my family these products, specifically the ones you mentioned. I’m comfortable with that part,” he said.
(YEMASSEE, SC) — With four primates still on the loose after 43 of them escaped on Nov. 6 from the Alpha Genesis Inc. research laboratory in South Carolina, the Low Country facility has come under intense scrutiny.
Animal rights groups have cited the company’s history of violations and previous monkey breakouts; a member of Congress has called for an inquiry into its oversight by multiple federal agencies; and residents voiced concern the furry fugitives might spread disease throughout their community.
On top of it all, Alpha Genesis founder and CEO Gregory Westergaard told ABC News his company is investigating whether the release of the monkeys was “an intentional act” by an employee.
The quest for freedom by the pack of young female rhesus macaques coincides with the rapid expansion of the 100-acre Alpha Genesis facility and is casting light on a disruption in the U.S. medical research industry that sounds like a plot for a science fiction thriller. A 2023 report sponsored by the National Institutes of Health warned of a crisis involving the Chinese government that “undermines the security of the nation’s biomedical research enterprise.”
The case of the absconding primates has also raised questions about why the amount of federal contracts received by the testing and breeding operation has jumped more than 160% since 2021. According to USASpending.gov, a government website that tracks federal spending, the company has been granted $19 million in federal contracts this year alone.
“It’s shocking how much money is being spent on testing primates,” Rep. Nancy Mace, R-S.C., told ABC News.
Mace’s district encompasses the Beaufort County community of Yemassee, where the 6,701 primates housed at the sprawling Alpha Genesis facility nearly triple the number of town residents.
In a formal letter to the NIH, the agency that funds laboratory research, and the U.S. Department of Agriculture, which inspects and regulates breeding facilities, Mace expressed “very urgent concerns regarding federal oversight of Alpha Genesis.” Mace said the prolonged attempts to recapture all of the primates are “placing the animals and my constituents at risk.”
“A lot of constituents were concerned about whether or not the primates that escaped were sick or ill, or have been tested on,” Mace told ABC News. “There were a lot of folks concerned about the facility being a breeding facility and the testing that goes on there as well.”
The escape highlights an ‘issue of national security’
The incident some locals have referred to as “the great escape” has illuminated the international crisis hitting the animal research industry that Alpha Genesis’ Westergaard said has become “an issue of national security.”
In 2020, the Chinese government, the world’s primary breeder of research monkeys, banned the exports of nonhuman primates (NPH) to labs in the United States and elsewhere, triggering an international shortage of the animals just as research scientists were scrambling to come up with vaccines to combat the COVID-19 pandemic, according to a May 2023 report by National Academy of Engineering and National Academy of Medicine.
Primates, according to the NIH-supported report, are valuable in answering certain research questions because of their genetic, anatomic, physiologic and behavioral similarities to humans. However, the China ban on exporting research animals exacerbated the shortage and stalled NIH-funded research, according to the report.
The report concluded that the United States “needs to prioritize expansion” of domestic primate breeding programs.
“Relying on importing these animals from other countries is unsustainable, and dependence on international sources undermines the security of the nation’s biomedical research enterprise,” the report warned.
In 2021, the National Primate Research Centers could not meet two-thirds of researcher requests for rhesus macaques, according to the report.
“Researchers also face increased wait times for animals, and costs have risen 10% to 200% for a single animal, depending on the species,” the report said.
What we know about Alpha Genesis’ research
The crisis prompted Alpha Genesis to increase its domestic breeding of research primates. According to Rep. Mace, the company also manages the NIH’s so-called “Monkey Island” on Morgan Island in Beaufort County, which holds another 3,300 primates.
Westergaard told ABC News that Alpha Genesis employs 275 people, plus 30 or so contractors.
In addition to breeding lab monkeys, Alpha Genesis provides researchers across the country with biological products and materials, including serum, plasma, whole blood and tissue samples from a wide variety of research species, according to the company’s website. The private company’s researchers have helped develop several therapeutic drugs and vaccines, including those to treat the COVID-19 virus.
According to NIH online records provided to USASpending.gov, the crisis appears to be in accord with a boost in federal contracts Alpha Genesis has received, jumping from $7.3 million in 2021 to $12.3 million in 2022, $14.2 million in 2023 and $19 million this year.
Primates are worth up to $30,000 each
“The price of research monkeys has indeed increased a great deal since the Chinese banned all exports,” Westergaard said in an email to ABC News. “Prior to the ban monkeys sold for around $4K – $6K, after the ban prices have increased to $10K – $30K+ due to increased costs of raising animals in the US compared to China. An important point to note is that the shortage remains severe and a great deal of research in the US simply cannot be done because animals are not available at any cost.”
Westergaard said some suppliers of laboratory primates have turned to the illegal sourcing of wild-caught monkeys from Cambodia, “which we have not done.”
“It should also be noted that the Chinese government is seeking worldwide domination in medical research and the development of bio-weapons to target US citizens and our allies,” Westergaard said.
He added, “Alpha Genesis is a leading provider of NHPs to the US market and has been instrumental in attempting to fill this void. The alternative is to allow the Chinese to dominate medical development to the severe detriment of our National Security interests.”
“It should also be noted that the Chinese government is seeking worldwide domination in medical research and the development of bio-weapons to target US citizens and our allies,” Westergaard said.
He added, “Alpha Genesis is a leading provider of NHPs to the US market and has been instrumental in attempting to fill this void. The alternative is to allow the Chinese to dominate medical development to the severe detriment of our National Security interests.”
Human error or intentional act?
Asked by ABC News whether the rapid expansion of Alpha Genesis’ breeding and testing operations might have played a role in the escape of the 43 primates, Westergaard said the cause of the escape remains under investigation, including whether it was the result of “human error” or an “intentional act.”
“All the information we have thus far indicates that this is human error due to an employee failing to secure containment doors behind her, and a third door directly containing the animals, while doing routine cleaning and feeding,” Westergaard said in an email. “The enclosure was brand new and in perfect working order. We continue to investigate in an attempt to determine to the greatest extent possible whether this was or was not an intentional act.”
Westergaard said that immediately after the incident occurred, the employee’s supervisor told her she could be fired if it was determined that no structural failure of the primates’ enclosure led to the incident. Westergaard said the employee walked off the job and has not returned.
As of early Tuesday, four of the escaped primates remained on the loose, Westergaard said. Two were caught Monday, he said.
“The girls from today are in good health and the others continue to thrive,” Westergaard said Monday. “We believe the four monkeys remaining are probably all together either in the area adjacent to our property or somewhere else very close by.”
Mace has requested answers from NIH Director Monica Bertagnolli, USDA Deputy Administrator for Animal Care Sarah Helming, and Acting Director Axel Wolf of the NIH’s Office of Laboratory Animal Welfare. She also noted that this was not the first time problems had arisen at the research lab.
Mace, who told ABC News she is against animal testing, cited in her letter a September 2022 USDA inspection report of Alpha Genesis that found six separate incidents of animals escaping from their primary enclosures between January and August of 2022. Mace also cited escapes dating back to 2014, when more than two dozen monkeys slipped out of the facility, resulting in a fine from the USDA.
The 2022 USDA inspection report, which ABC News reviewed, also found an infant monkey died after becoming entangled in a stretch of gauze material used in an enclosure to hold a water bottle; said two primates were found dead in their enclosures with their fingers entrapped in structures inside their cages; and documented that one animal died from trauma and four others required veterinary care after they were placed in incorrect enclosures and were attacked by other primates unfamiliar with them.
As a result of the inspection, Alpha Genesis, according to the report, took corrective action to secure enclosures and “made significant changes” to avoid putting primates in the wrong enclosures.
The latest USDA routine inspection of Alpha Genesis lab was conducted on May 21 and concluded, “No non-compliant items identified during this inspection,” according to USDA online records.
“This is also true of several other inspections in recent years,” Westergaard said. “For a facility of this size that is quite remarkable.”
Mace said she met with Westergaard last week to discuss the escape and what Alpha Genesis is doing to round up the monkeys.
“It was an interesting conversation,” Mace said. “He tried to tell me how good the primates have it at his facility. And my response was, they have it good until you kill them with disease.”
Asked about the conversation, Westergaard responded: “I spoke to the congresswoman last week and at that time she said that she recognized the economic importance of our company to the people of the Low Country and that as a locally-owned business, she would continue to offer her full support.”
Alternatives to testing primates
Angela Grimes, CEO of Born Free USA, an international wildlife conservation and animal protection organization, told ABC News that her group has sent a letter to Alpha Genesis offering to rehome the escaped primates to its animal sanctuary in South Texas, where more than 200 rhesus macaque monkeys now reside, including some rescued from U.S. research labs. She said an anonymous donor has pledged $250,000 to help move the animals to the sanctuary.
“What we’d like to see is these animals be released to the Born Free USA sanctuary in South Texas, where they can have some of that freedom that they’ve just gotten a taste of,” Grimes said.
Grimes said Alpha Genesis has not responded to her group’s offer.
The nonprofit Born Free USA Primate Sanctuary, a 175-acre facility in Dilley, Texas, has been accredited since 2009 by the Global Federation of Animal Sanctuaries, GFAS executive director Valerie Taylor told ABC News, adding that her group conducts rigorous assessments and inspections of animal sanctuaries across the United States and around the globe to ensure the highest standard of animal care possible. Taylor said U.S. animal sanctuaries undergo accreditation every three years and that her organization recently visited the Born Free USA sanctuary as part of the reaccreditation process.
“We meet and exceed GFAS’ highest standards,” Grimes said.
Grimes said the medical research industry needs to research alternatives to subjecting primates to experimental testing of deadly diseases.
“I understand human health is important, but I also look at the other viable alternatives that are out there that do not result in the suffering and death of animals,” Grimes said.
Westergaard said testing of primates is necessary, though.
“There is no safe or effective way to make the leap from simpler model organisms like mice and rats to humans without using NHPs as an intermediary,” Westergaard said. “The therapeutics created using NHPs as research models directly lead to lifesaving and life-prolonging treatments and cures for human disease. Without NHPs as a research model, the world would still be ravaged with wide-spread polio, smallpox wouldn’t be eradicated, and HIV would still be a death sentence.”
(SAN MATEO COUNTY, Calif.) — Health officials in California have confirmed the first domestic case of a more severe strain of mpox in a traveler from Eastern Africa, according to the U.S. Centers for Disease Control and Prevention.
The risk to the public remains low, according to the agency. Health officials are working to identify any people who may have been exposed to the person who recently traveled from Eastern Africa and was treated shortly after returning to the U.S. at a local medical facility, the CDC said.
Casual contact — including during travel — is unlikely to pose significant risks for transmission, the agency noted.
This is the first confirmed case in the U.S. of a strain, or clade, of the virus called clade 1b.
Another strain, clade 2b, was primarily responsible for the global outbreak in 2022. During the outbreak, mpox primarily spread through close sexual contact — and a strong vaccination effort was credited with helping slow the surge of cases. This less severe version continues to circulate in the U.S at low levels. The CDC does not currently recommend booster shots for those who are considered high-risk and already fully vaccinated.
Clade 1b was recently found in September in the Congo, likely responsible for a growing outbreak in Africa that led the World Health Organization to declare a global health emergency. Early data shows that this clade is more severe and may be spreading through other contact routes in households and often to children.
People with mpox, which was formerly known as monkeypox, often get a rash that can be located on hands, feet, chest, face, mouth or near the genitals, the CDC said.
(NEW YORK) — With the recent pick of Robert F. Kennedy Jr. to lead the Department of Health and Human Services, the environmental attorney’s views on vaccines have been thrust back into the spotlight.
Kennedy has been a prominent vaccine skeptic, arguing that more research of vaccines is needed, although he has claimed in interviews that he has “never been anti-vaccine.”
Vaccine researchers tell ABC News that his recent comments don’t align with his past campaigns and that, if confirmed, he could convince vaccine-hesitant parents to not vaccinate their children.
“He’s really not a vaccine skeptic; I’m a vaccine skeptic,” Dr. Paul Offit, director of the Vaccine Education Center, an attending physician in the division of infectious diseases at Children’s Hospital of Philadelphia and a member of the Food and Drug Administration’s Vaccines and Related Biological Products Advisory Committee, told ABC News.
“Everybody who sits around the table at the FDA vaccine advisory committee is a vaccine skeptic, right? Show us the data, prove that this vaccine is safe, prove that it’s effective, because then and only then will we authorize it, or recommend authorization or licensure,” he said.
Offit argued that Kennedy is a “vaccine cynic,” adding, “He thinks that we’re not getting the right information, that there’s an unholy alliance between the pharmaceutical industry and the FDA with the [Centers for Disease Control and Prevention] to hide the real data, and he’s going to find the real data, which is utter nonsense.”
Claims that vaccines cause autism
Kennedy has previously claimed that the measles, mumps and rubella (MMR) vaccine — a myth that was born out of a now-debunked paper from the U.K. in 1998.
The fraudulent paper has since been discredited by health experts, retracted from the journal in which it was published, and its primary author, Andrew Wakefield, lost his medical license. More than a dozen high-quality studies have since found no evidence of a link between childhood vaccines and autism.
Dr. Peter Hotez, co-director of the Texas Children’s Hospital Center for Vaccine Development and dean of the National School of Tropical Medicine at Baylor College of Medicine, said he’s worried that COVID-19 vaccine hesitancy has spilled over into hesitancy towards childhood vaccines.
There have been more measles outbreaks this year than last year and a five-fold increase in whooping cough cases this year from the year before, according to CDC data, which Hotez says is a sign that more parents may be increasingly vaccine-hesitant.
According to the CDC, there have been a total of 277 measles cases reported in 30 states in 2024 — more than four times the amount last year — with 16 outbreaks this year compared to four outbreaks in 2023. An estimated 96% of measles cases this year were not fully vaccinated. Additionally, whooping cough cases are at the highest levels this year since 2014, according to CDC data.
This comes as vaccinations among kindergarteners dipped in the 2023-2024 school year for the fourth year in a row – failing to meet the 95% threshold goal aimed to prevent a single infection from sparking an outbreak. The last time that threshold was met was pre-pandemic, during the 2019-2020 school year.
“Now you put someone like Robert F. Kennedy Jr., the nation’s most prominent, well-known anti-vaccine activist at the top of the food chain, at the top of Health and Human Services,” Hotez said. “I don’t see how these things improve any. If anything, they could start to decline even further. …So, I worry about further erosion in the number of kids getting vaccinated in the U.S.”
Claims about the COVID-19 vaccine
Kennedy also spread vaccine misinformation during the COVID-19 pandemic including claims that Dr. Anthony Fauci, former director of the National Institute of Allergy and Infectious Diseases, and the Bill & Melinda Gates Foundation were trying to profit off a COVID-19 vaccine.
During a December 2021 Louisiana House of Representatives meeting discussing a proposal to require schoolchildren to receive the COVID-19 vaccine, Kennedy falsely called the vaccine the “deadliest vaccine ever made.”
Health officials say COVID-19 vaccines are safe and effective following clinical trials that involved tens of thousands of people, and have since helped save millions of lives.
Offit says he is worried that, as the head of the HHS, Kennedy would help select directors of the CDC, FDA and the National Institutes of Health who are not qualified, and could similarly espouse vaccine-skeptic views.
“My worry is that he is not going to pick technically competent people,” he said. “My worry is he’s going to have a role in selecting ideologues who are not well-educated about infectious diseases or vaccines, and maybe who lack government experience as well.”
Both Offit and Hotez said it will be important over the next four years for doctors to have conversations with vaccine-hesitant parents to educate them on the importance of vaccinating their children in case they are swayed by vaccine-skeptic rhetoric from Kennedy.
Offit said he is already getting emails from pediatricians about parents who are hesitant to vaccinate their children because of Kennedy’s past comments.
“Over the last few days, I’ve gotten emails from pediatricians, one particularly in Connecticut that comes to mind, where they’re saying, ‘Parents are coming in, and they’re saying they don’t want to get vaccines, in part because of what [Kennedy] said. What should we do?'” Offit said. “So, I think that’s where the rubber meets the road. It’s certainly a lot more work for clinicians than it used to be.”
(NEW YORK) — Women are stocking up on birth control and asking for long-term contraception methods following President Donald Trump being elected to a second term last week, doctors say.
Searches for “birth control” and “Plan B” doubled between Nov. 2 and the two days after the election, with a notable spike the day after the election, Google Search data shows.
Doctors told ABC News that patients are worried that access to birth control and contraception might be limited after Trump takes office due to efforts made during his first term and comments made on the campaign trail.
Dr. Brittany Cline, an OB-GYN at Northwestern Medicine, in Chicago, said she has seen an increase in the number of appointments being made for contraceptive or birth control counseling as well as appointments for long-acting contraceptives being either inserted or replaced or exchanged.
“We have, in clinic, seen many patients coming in for their [intrauterine device] replacements, even this week,” she told ABC News. “On Monday, I used all of our intrauterine devices that the clinic had, and I think that this is going to continue over the next few months and even years down the line, as people try to take some control over their bodies.”
Cline said she also received a message from a patient this week requesting four years of her birth control prescription be sent to a pharmacy.
‘That’s something that I have not, you know, seen before. Usually, we supply, you know, 12 months, one year at a time,” she said. “We do know that as many medications, there is a shelf life, and so it would not be safe for me to prescribe four years’ worth of contraception to a patient because of the shelf life.”
Dr. Leslie Kantor, professor and chair of the Department of Urban Global Public Health at the Rutgers School of Public Health, in New Jersey, told ABC News that she has heard anecdotal reports of more traffic to websites that have information about birth control.
She said patients may be worried because of the federal contraceptive coverage guarantee. Under a provision of the Affordable Care Act, most private insurance plans must cover the full cost of most contraceptives, such as birth control, without making patients pay out-of-pocket costs.
If the incoming Trump administration allows employers and schools to use religious and moral exemptions to prevent coverage of contraceptives, as the White House did during Trump’s first term, this may lead to out-of-pocket costs that make contraceptives unaffordable to some, experts previously told ABC News.
The experts say patients may be concerned due to comments Trump made on the campaign trail suggesting he’s open to restricting contraceptives.
During an interview with Pittsburgh TV station KDKA-TV, Trump was asked if he supports any restrictions on a person’s right to contraceptives.
“Well, we’re looking at that and we’re going to have a policy on that very shortly,” Trump responded. “And I think it’s something you’ll find interesting and it’s another issue that’s very interesting.”
When asked to clarify if he was suggesting he was open to supporting some restrictions on contraceptives, “like the morning-after pill,” Trump dodged, saying. “Things really do have a lot to do with the states — and some states are going to have different policy than others.”
Some states have also taken it upon themselves to provide contraception access. In Michigan, Gov. Gretchen Whitmer launched Take Control of Your Birth Control, a program to provide Michigan families access to free contraception including over-the-counter oral birth control pills, emergency contraception, condoms and family planning.
Both Cline and Kantor recommended that patients speak to their health care providers about the best birth control method for them as well as what options are available for them down the road.
“The advice that I would give to people right now is this is a great time to figure out the best birth control method for you, and you can do that in a variety of ways,” Kantor said. “It’s a terrific time to find an ongoing method of birth control that will work. …There’s no reason, however, to panic. Access to birth control is not going away tomorrow, and in fact, it’s not going away on the day that Trump becomes president.”
ABC News’ Lalee Ibssa, Soo Rin Kim and Kelsey Walsh contributed to this report.
(NEW YORK) — Infant mortality rates remained relatively unchanged from 2022 to 2023, but racial and ethnic disparities still persist, new provisional federal data released early Thursday finds.
The U.S. provisional infant mortality rate in 2023 was 5.61 infant deaths per 1,000 live births, unchanged from the 2022 rate, according to a report from the Centers for Disease Control and Prevention’s National Center for Health Statistics (NCHS).
The report also found that infants born to Black mothers still died at much higher rates than those born to white and Asian mothers — more than double the rate of white infant mortality, according to the CDC.
Additionally, changes in the neonatal mortality rate from 3.59 deaths per 1,000 live births in 2022 to 3.65 deaths per 1,000 live births in 2023, and the postneonatal mortality rate from 2.02 deaths per 1,000 live births to 1.96 deaths per 1,000 live births from 2022 to 2023 were not seen as statistically significant, the report’s authors said.
Neonatal refers to the first four weeks of an infant’s life and postneonatal refers to the period between 28 days and 364 days after birth.
Dr. Danielle Ely, co-author of the report and a health statistician at the NCHS, said 2022 was the first year there was a significant increase in the infant mortality rate in about 20 years. That the rate did not increase in 2023 shows the rise in 2022 was likely not a fluke, she said.
“So what we’re seeing is that what we were hoping would be just a one-year blip is now a two-year higher rate,” she told ABC News. “It is unfortunate that it did not go down again to where it was in 2021 at least or at least down from 2022. It just quite literally stayed the same, the infant mortality did.”
Black infants died at a rate of 10.9 infant deaths per 1,000 live births, more than double the rate of 4.5 deaths per 1,000 live births for white women and 3.4 deaths per 1,000 live births for Asian women, per the CDC data.
Infants born to American Indian and Alaska Native women also had higher rates than white and Asian women at 9.2 deaths per 1,000 live births, according to the report.
Data also showed infants born to Hawaiian or Pacific Islander women died at a rate of 8.2 deaths per 1,000 live births, and those born to Hispanic women died at a rate of 5.0 deaths per 1,000 live births.
Why racial disparities continue to persist is “the $100 million question,” Dr. Kirsten Bechtel, a pediatric emergency medicine physician at Yale New Haven Children’s Hospital and an expert in infant mortality, told ABC News.
“One of things that’s great about this data is that it helps us work backward. It’s like the canary in the gold mine,” Bechtel, who was not involved in the report, said. “Death is an outcome that everyone agrees on is a problem, but why that problem happens is oftentimes subject to vigorous discussion.”
She said one reason behind the disparities could be that Black mothers have a higher rate of pre-term birth, and pre-term birth is associated with higher infant mortality.
“That has a lot to do with access to timely prenatal care,” Bechtel said. “Trying to get folks access to timely care during pregnancy and timely care that is evidence-based. We also know there is some elements of structural racism that is built into some of the care these women receive.”
Bechtel said the findings show that pregnant people need to be supported financially with access to medical care and by the community helping take care of a child.
“Raising a child can be very daunting, especially if you have socioeconomic challenges or you have to go to work and you can’t take time off after your baby’s birth,” she said. “So we really need to look at policies that support pregnant people.”
Harika Rayala, M.D., MSJ, is a neurology resident physician at the University of Virginia and a member of the ABC News Medical Unit.
The election of former President Donald Trump to a second term has put a spotlight on what his return to the White House may look like, particularly when it comes to women’s health.
Online searches for topics related to women’s health have spiked since the Nov. 5 election, particularly when it comes to birth control, Google data shows.
Searches for IUDs, birth control pills, and Plan B are trending higher than they have since June 2022, when Roe v. Wade was overturned, giving states the power to decide abortion access.
Since then, at least 14 states have ceased nearly all abortion services, and 21 states have put into effect restrictions on abortion.
The current abortion landscape combined with Trump’s comments about birth control on the campaign trail and his first administration’s efforts to roll back insurance coverage of contraceptives have led to uncertainty about what will happen in his second term.
Here are five questions answered.
1. What does the term ‘birth control’ include?
Birth control, also known as contraception, is the broad term for the act of preventing pregnancy.
The term includes everything from medicines and methods to devices and surgery used to prevent pregnancy, according to the National Library of Medicine.
One of the most widely-known and used types of contraception is the birth control pill, an oral, hormonal medication that commonly requires a prescription.
Around 14% of women in the United States between the ages of 15 to 49 currently use the pill, according to the Centers for Disease Control and Prevention.
2. What did Trump say about birth control on the campaign trail?
During an interview with a Pittsburgh TV station in May, Trump was asked if he supports any restrictions on a person’s right to contraceptives.
“Well, we’re looking at that and we’re going to have a policy on that very shortly,” Trump responded with. “And I think it’s something you’ll find interesting and it’s another issue that’s very interesting.”
When asked to clarify if he was suggesting he was open to supporting some restrictions on contraceptives, “like the morning-after pill,” Trump responded, “Things really do have a lot to do with the states — and some states are going to have different policy than others.”
The former president quickly took to social media to clarify his position, claiming that he was not advocating for restrictions on contraceptives.
“I HAVE NEVER, AND WILL NEVER ADVOCATE IMPOSING RESTRICTIONS ON BIRTH CONTROL, or other contraceptives,” he wrote in a May 21 post on his social media platform.
The Trump campaign further attempted to clarify, claiming the policy Trump was referring to during the interview was mifepristone, often used in pregnancy termination. However, Trump was not asked about the abortion medication.
After winning the 2024 presidential election, Trump and the transition team have been advised on health-related appointments by Robert F. Kennedy Jr., who has also been in discussions to possibly fill a major role in the next administration, sources familiar with the matter told ABC News.
ABC News has not found public comment from RFK Jr. on the issue of birth control.
3. What happened on birth control during Trump’s first administration?
During Trump’s first term, the Department of Health and Human Services issued new rules allowing more employers to opt-out of the Affordable Care Act mandate guaranteeing no-cost contraceptive services for women.
The Supreme Court upheld the HHS decision in a 7-2 ruling in 2020, giving an employer or university with a religious or moral objection to opt out of covering contraceptives for employees.
4. As president, what power does Trump have over birth control?
As president, Trump would have the authority to order rollbacks of measures implemented by President Joe Biden’s administration to protect birth control.
As recently as October, the Biden administration announced a plan to require insurers to fully cover over-the-counter contraceptives.
In January, the administration announced several other measures to protect contraception access, including federal agencies issuing new guidance to “clarify standards” and make sure Food and Drug Administration-approved contraceptive medications are available for free under the Affordable Care Act.
Once Trump is in office, he will also have the chance to appoint Supreme Court justices if vacancies arise. During his first term, Trump appointed three justices.
Trump could also work with Congress to enact legislation on women’s reproductive rights, including birth control. Following the Nov. 5 election, control of the House of Representatives is still up in the air, while ABC News has projected that Republicans will win the Senate.
5. What has the Supreme Court said on birth control?
When the Supreme Court overturned Roe v. Wade in 2022, a solo concurring opinion by Justice Clarence Thomas included a line on birth control.
In his opinion, Justice Clarence Thomas wrote that the court “should reconsider” Griswold v. Connecticut, the Supreme Court ruling that invalidated a Connecticut law that made it illegal to use birth control devices or to advise about their use.
“We have a duty to ‘correct the error’ established in those precedents,” Thomas wrote, citing the Griswold ruling among others.
ABC News’ Lalee Ibssa, Will McDuffie, Kelsey Walsh and Soo Rin Kim contributed to this report.
(NEW YORK) — A new study is highlighting a dramatic rise in caffeine-related emergency room visits among kids.
The study, released Monday by Epic Research, found the number of caffeine-related ER visits for middle school-aged children nearly doubled from 2017 to 2023, rising from 3.1 per 100,000 visits in 2017 to 6.5 per 100,000 visits in 2023.
For high school-aged children, the rate nearly doubled, rising from 7.5 per 100,000 visits in 2017 to 13.7 per 100,000 visits in 2023, according to the study.
Notably, the study, which looked at more than 223 million ER visits, found that boys had triple the rate of caffeine-related ER visits as girls.
The new study comes less than two months after the release of a report showing a rise in calls to poison centers involving children who consumed energy drinks, which often have high levels of caffeine.
The number of calls to U.S. poison centers about children consuming energy drinks increased about 20% in 2023 after years of remaining relatively flat, according to data from America’s Poison Centers, which accredits and represents 55 poison centers across the country.
Amid the alarming data, here are three things for parents and guardians to know about caffeine and kids.
1. Milk and water are recommended for kids.
Both the U.S. Food and Drug Administration and the American Academy of Pediatrics say water and milk are the best drink options for kids.
The current U.S. dietary guidelines say children under the age of 2 should not have any caffeine. For kids under age 12, caffeine is also not recommended.
It is not known exactly how much caffeine is safe or unsafe for teens or young children, since studies of its effects are not permitted on children.
For adults, the FDA has cited around 400 milligrams of caffeine a day as a generally safe amount, though it notes there is “wide variation” in people’s sensitivity to caffeine.
For reference, a 12-ounce caffeinated soft drink contains anywhere from 23 to 84 milligrams of caffeine, according to the FDA, while a 12-ounce cup of coffee contains 113 to 247 milligrams of caffeine.
2. Caffeine is also in foods, not just drinks.
While caffeine is most often thought of as an ingredient in drinks like coffee, sodas and energy drinks, it is also found in different foods and products, according to the FDA.
Ice cream, chewing gum, protein bars, chocolate chips, energy bars and some over-the-counter medications may also contain caffeine, which has the same effects as when it occurs naturally in drinks like coffee or tea, according to the agency.
Decaffeinated teas and coffees also contain some caffeine.
The FDA recommends reading product ingredient labels carefully to check for caffeine. When it is added to a product, it must be listed on the label as “caffeine.”
When caffeine is naturally in a product, like chocolate, just the caffeine-containing ingredient is listed, according to the FDA.
Multiple signs may indicate a caffeine overdose or poisoning including but not limited to an increased heart rate, heart palpitations, increased blood pressure, nausea or anxiousness. Children with caffeine poisoning may also experience rapid breathing or tremors.
In severe cases, too much caffeine can lead to seizures or cardiac arrest.
In milder cases, too much caffeine can cause dehydration, upset stomach, sleep changes, headaches and jumpiness.
If a child or adult exhibits any such symptoms after consuming a caffeinated drink, they should seek medical attention immediately.
For poisoning-related questions, or if you need emergency assistance, you can contact Poison Help at 1-800-222-1222, or visit PoisonHelp.org.
ABC News’ Youri Benadjaoud contributed to this report.
(WASHINGTON) — The Centers for Disease Control and Prevention (CDC) is updating its recommendations for testing, treatment and protection for workers who may be exposed to animals infected with bird flu.
The update comes after the agency found evidence of dairy workers with positive antibodies, suggesting more bird flu infections that previously reported, according to a new report released Thursday afternoon.
Serologic testing, which looks at antibodies in the blood, found that eight out of 115 workers, or 7%, who were exposed to bird flu during outbreaks among cows at dairy farms in Michigan and Colorado had evidence of recent infection.
All eight workers said their jobs included either milking cows or cleaning a milking parlor. Four workers recalled experiencing symptoms, mainly conjunctivitis, also known as pink eye. The remaining four patients said they did not experience symptoms when the cows were ill.
As a result, the CDC said it is updating its guidance addressing who should be tested for bird flu to include workers who were exposed to bird flu and do not have symptoms.
“There may be individuals infected but who do not recall having symptoms,” Dr. Nirav Shah, the CDC’s principal deputy director, told reporters during a media call Thursday morning. “That means we need to cast a wider net in terms of who is offered a test.”
Secondly, the CDC is now recommending offering oseltamivir – a prescription medication to treat influenza that’s often marketed under the name Tamiflu – to asymptomatic workers who have experienced high-risk exposure to animals infected with bird flu and who did not wear adequate personal protective equipment (PPE).
Shah said a high-risk exposure event could include a splash in the face with raw cow milk, or a culling event without PPE being worn.
He added that the Tamiflu treatment recommendation both reduces asymptomatic cases from becoming symptomatic because they are being treated, and reduces the risk of infected individuals spreading the virus to close contacts.
Lastly, the Shah said the CDC was changing its PPE guidance for workers.
Although the risk of bird flu transmission from dairy cows to humans Is low, the CDC said there have been few reports addressing how PPE is used during work activities on dairy farms.
The new CDC report said the Colorado Department of Public Health and Environment (CDPHE) and the Colorado Department of Agriculture (CDA) offered PPE to all Colorado farms before or during the bird flu outbreak in cows in 2024.
When asked if they had access to PPE before a bird flu outbreak, 88% of workers reported access to gloves, 76% reported access to eye protection such as safety glasses or goggles, 71% reported access to rubber boots or boot covers, and 69% reported access to head covers, according to the report.
“Reported use of many individual PPE items was higher among dairy workers who reported exposure to ill cows in the week before or week after the detection of [bird flu] on the farm compared with those who did not report exposure to ill cows,” according to the CDC report.
Shah said that CDC recommendations will now prioritize what PPE a farm worker should wear based on which farm tasks present the highest risk for bird flu.
“Simply put, the higher-risk activities will call for more PPE use,” Shah said. “The purpose of these actions is to keep workers safe, to limit the transmission of H5 [bird flu] to humans and reduce the possibility of the virus changing,” Shah said.
As of Thursday, there have been 46 human cases of bird flu reported in the U.S. this year, Dr. Demetre Daskalakis, the CDC’s director of the National Center for Immunization and Respiratory Diseases, said during the media call.
Of those cases, 26 were due to the outbreak in dairy cows and 20 were due to people coming into contact with infected poultry. There is one case in Missouri that had no known animal exposure.
All of the patients experienced mild conjunctivitis or mild respiratory symptoms and all have recovered, according to the CDC.
(WASHINGTON) — Vice President Kamala Harris said former President Donald Trump will roll back health care protections if he wins the presidential election.
Speaking to reporters on Thursday in Madison, Wisconsin, Harris said Trump unsuccessfully tried to repeal the Affordable Care Act (ACA), the landmark law signed by then-President Barack Obama in 2010, while he was president.
“Insurance companies could go back to a time where they would deny you coverage for health insurance based on pre-existing conditions, such being a survivor of breast cancer, asthma, diabetes,” Harris said. “The American people, regardless of who they are voting for, know the importance of Obamacare in terms of expanding coverage to health care, based on the fundamental principle I hold deeply: access to health care should be a right and not just a privilege for those who can afford it.”
“Health care for all Americans is on the line in this election,” Harris continued.
In a post on his social media platform Truth Social, Trump falsely claimed not wanting to end the ACA, even though he repeatedly tried to do so while president.
Here is what we know about Trump’s health care agenda if he is elected to a second term:
‘Concepts’ of a heath care plan
During the ABC News presidential debate in September, Trump said he was interested in replacing the ACA — also known as “Obamacare” — but implied that he didn’t have any specific plans in place.
“Obamacare was lousy health care. Always was,” Trump said. “It’s not very good today and, what I said, that if we come up with something, we are working on things, we’re going to do it and we’re going to replace it.”
When asked to clarify if he had a health care plan, the former president said he had “concepts of a plan” to replace the ACA but provided no details.
“If we can come up with a plan that’s going to cost our people, our population, less money and be better health care than Obamacare, then I would absolutely do it,” Trump said.
After Harris’ press conference on Thursday, Trump took to Truth Social to deny wanting to end the ACA.
“Lyin’ Kamala is giving a News Conference now, saying that I want to end the Affordable Care Act. I never mentioned doing that, never even thought about such a thing,” he wrote Thursday morning.
Trump made several attempts to repeal the ACA during his presidency but failed to do so.
He attempted to partially repeal the ACA by passing the American Health Care Act (ACHA). The plan would have repealed the individual mandate and the employer mandate, amended Medicaid eligibility and weakened protections for patients with pre-existing conditions.
The ACHA passed the House in May 2017 but failed to pass in the Senate. Perhaps mostly infamously, the Senate attempted to pass a so-called “skinny repeal” in late July 2017 but it was rejected, with Republican Sens. John McCain, Susan Collins and Lisa Murkowski siding with Senate Democrats to kill the bill.
During a closed-door campaign event for a fellow Republican House candidate earlier this week, House Speaker Mike Johnson said that there will be “no Obamacare.”
“We want to take a blowtorch to the regulatory state,” Johnson said in footage first reported by NBC News. “Health care is one of the sectors, but we need this across the board.”
“No Obamacare?” an attendee of the event asked Johnson.
“No Obamacare,” Johnson replied. “The ACA is so deeply ingrained, we need massive reform to make this work, and we got a lot of ideas on how to do that.”
Trump’s campaign has worked to separate itself from the speaker’s comments with Karoline Leavitt, national press secretary for the Trump campaign, telling ABC News in a statement that repealing the ACA is “not President Trump’s policy position.”
“As President Trump has said, he will make our health care system better by increasing transparency, promoting choice and competition, and expanding access to new affordable health care and insurance options. Kamala Harris broke our health care system, President Trump will fix it,” the statement continued.
The 2024 GOP platform currently calls for expanding access to “new” affordable health care and prescription drug access as well as protecting Medicare and increasing transparency in the health care sector.
Trump enlists Kennedy to oversee health care policy
Trump has also suggested that he intends to tap Robert F. Kennedy, Jr. — who dropped out of the presidential race in August and endorsed Trump — to help shape health care policies if he wins a second term.
During the Alfred E. Smith Memorial Foundation Dinner — an annual white-tie dinner to raise money for Catholic charities — earlier this month, Trump said Kennedy will “make us a healthier place.”
“We’re gonna let him go wild for a little while, then I’m gonna have to maybe reign him back, because he’s got some pretty wild ideas, but most of them are really good,” Trump said at the dinner. “I think he’s a — he’s a good man, and he believes, he believes the environment, the healthy people. He wants healthy people, he wants healthy food. And he’s going to do it. He’s going to have a big chance to do it, because we do need that.”
Kennedy said Trump has “promised” him “control of the public health agencies,” but Trump’s team said no decisions have been made yet on who will be leading these agencies if he wins the election.
However, Trump implied during a rally in Henderson, Nevada, on Thursday that Kennedy would play a role in shaping women’s health care policies.
“Robert F. Kennedy Jr., we have,” Trump said. “And he’s gonna work on health, and women’s health, and all of the different reasons ’cause we’re not really a wealthy or a healthy country. We’re not.”
There are currently no women’s health care issues listed in the 2024 GOP platform aside from keeping “men out of women’s sports.”
“The only thing President Trump and his campaign team are focused on is winning on November 5th. Everything after that is after that, and President Trump has made clear that Bobby Kennedy will play an important role,” Jason Miller, senior adviser to the Trump campaign told ABC News in a statement.
In response to Trump saying Kennedy will oversee women’s health, Harris reposted a clip of Trump’s comments on X with the caption “No” followed by a heart emoji.
The Harris campaign did not immediately respond to ABC News’ requests for comment.
ABC News’ Lalee Ibssa, Soorin Kim, Will McDuffie, Lauren Peller and Kelsey Walsh contributed to this report.
