September 18, 2025
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Morning Rounds Writer and Reporter
In Monday’s issue of Your Local Epidemiologist, Katelyn Jetelina wrote: “If you’re sick, it’s most likely the cold or Covid-19.” Both an expired test and a fresh one are telling me I don’t have Covid, so this must just be my first nasty cold of the season. Thanks to Rose for switching newsletter days with me this week. Now let’s get to the news, because there’s plenty.

politics

The CDC is unwell, and other takeaways from yesterday’s Senate hearing

Kevin Dietsch/Getty Images

Two former CDC leaders testified before the Senate health committee yesterday in a tense hearing to investigate alleged political influences on the decision-making of America’s leading public health institution.

What emerged was a picture of an agency hollowed out not just by job losses but also by a new internal climate of fear, as STAT’s Liz Cooney wrote. At one point, former CDC Chief Medical Officer Debra Houry corrected a senator, saying it was actually 500 bullets, not 150, fired at the agency’s Atlanta headquarters last month. “Each bullet was meant for a person, and each of my staff were very traumatized afterwards,” she said. Read more from Liz on the state of affairs at CDC.

Sen. Bill Cassidy (R-La.) opened the hearing with a call for the truth about how and why CDC Director Susan Monarez, who’d been confirmed by the Senate, was forced out. For her part, Monarez told lawmakers that health secretary Robert F. Kennedy Jr. plans to change the childhood vaccine schedule this month. (Nota bene: Even if vaccine recommendations change, health insurers have just pledged to cover the same vaccines they do now.)

STAT’s Daniel Payne and Isabella Cueto have three key takeaways on the political dynamics at play.


interview process

Former Fox News journalist defends her ‘drug czar’ qualifications

Also on Capitol Hill yesterday: A confirmation hearing for the nation’s top drug policy job directing the White House Office of National Drug Control Policy.

Nominee and former Fox News journalist Sara Carter defended her credentials to skeptical Democratic lawmakers. Carter won multiple journalism awards early in her career, and in recent years has pivoted to right-wing reporting focused largely on drug trafficking and border security. Her nomination is notable in that she has no prior government experience and no formal training or experience in law enforcement, medicine, or public health. Read more from STAT’s Lev Facher about how senators questioned her qualifications.


on schedule?

ACIP meets today and tomorrow

And now, let’s turn to today’s potentially explosive government meeting. The Advisory Committee on Immunization Practices is gathering in Atlanta this morning to review the childhood vaccination schedule. As Monarez signaled, experts fear that ACIP could propose severe changes that limit commonly used vaccines.

At the group’s last meeting, some members expressed skepticism towards vaccines, but the group did not make any recommendations that created major disruptions to the current schedule for children. Now, with Monarez gone and five new members added to the committee, experts worry members could “be very much emboldened to make more aggressive changes,” Jose Romero, a former chair of the committee, told STAT’s Elaine Chen earlier this month. Read more on what moves experts will be watching for. 

The committee plans to discuss Covid-19 vaccines, but also other shots to protect against infectious diseases like hepatitis B. STAT’s Eric Boodman wrote last week about how the universal infant vaccination for hep B came to be, and why it matters.



meanwhile

The future of foreign subawards at NIH

Historically, American researchers have been allowed to direct some portion of their NIH funding to international collaborators through what’s called a foreign subaward. The practice was helpful in building international networks for studying conditions like childhood cancer, rare genetic disorders, or illnesses like malaria and tuberculosis that are more prevalent in other parts of the world. But it has come under intense scrutiny since the Covid-19 pandemic. 

Citing concerns over a lack of transparency in how foreign subawards are managed, the NIH announced this spring that it would no longer allow them. The abrupt restrictions were billed by agency leaders as a temporary measure while the NIH transitioned to a new structure better equipped to track how dollars are spent. Last week, the NIH quietly released the outlines of this new structure, but its brief announcement lacked key details about how researchers should submit proposals under this new policy or when it will go into effect. 

STAT’s Megan Molteni spoke with Jon Lorsch, the NIH acting deputy director for extramural research, NIH grants officials, and outside experts about the plan. Read more on what this could mean for international research collaborations.


mental health

Trump wants more involuntary commitment. But does the public?

In July, President Trump signed an executive order that, among other things, aimed to expand involuntary commitments as part of a plan to end homelessness. But how do Americans feel about forcing people to be medicated or hospitalized against their will? 

A new survey study, published yesterday in JAMA Network Open, found that a sizeable minority of people across political affiliations are supportive of such policies. Out of nearly 1,500 respondents, 40% supported policies that make it easier to force a person to take medication against their will, 42% supported mandatory and involuntary long-term hospital stays, and 45% supported short-term involuntary commitment. On the other hand, 72% support policies to expand community services and 65% support expanded peer-led services.

“The overwhelming support for noncoercive policies presents an opportunity for bipartisan policymaking,” two researchers write in an accompanying commentary.


find my

Where in the world is David Geier's laptop?

All these meetings yesterday, but one got cancelled. Abruptly taken off the schedule was a discussion between Kennedy, anti-vaccine campaigner David Geier, and leaders of the country’s most robust database tracking vaccine safety. The group was likely going to discuss using the database to investigate if there’s a link between autism and the national childhood vaccine schedule, according to somebody invited to attend.

Geier and his father had access to the database about twenty years ago, but quickly lost it after managers learned they were pursuing a different research question from what had been approved. Since Kennedy hired Geier in March to reanalyze that data, he’s regained access to the old numbers. To use it, Geier had to visit the CDC’s Atlanta campus, which has a terminal through which researchers can securely access the data. Then, a former CDC official gave Geier a laptop to remotely access VSD data from anywhere. Right now Geier only has access the old data, but it’s unclear what might happen if the meeting is rescheduled. Read more from STAT’s Rose Broderick.   


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