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Trump’s new CDC director ordered delay in counting 2 measles-related deaths

The US Centers for Disease Control and Prevention (CDCP) has made a very unusual decision. They have decided not to count two deaths associated with measles that were reported in the state of Pennsylvania. This is because they don’t know enough to say whether the measles was the cause or contributor to these fatalities.
Two people familiar with the decision said that Dr. Erica Schwartz is the new director of the CDC.
This move intensifies a dispute between US Department of Health and Human Services Sec. Robert F. Kennedy Jr. and state Democratic Governor Josh Shapiro as Keystone State tries to end a measles epidemic there.
Pennsylvania officials said that they investigated both deaths thoroughly before making any announcements.
Every reported case of measles is carefully reviewed by the Centers for Disease Control and Prevention (CDC) to ensure it fits their case definition for a case. The DOH, the Pennsylvania Department of Health’s press secretary, Neil Ruhland said that the DOH had provided the CDC with all the required data regarding two deaths associated with measles in Pennsylvania.
The CDC postponed its weekly measles update on Fridays. When it finally appeared over the weekend the number of deaths in 2026 were listed with an asterisk. A footnote was also added: “CDC will review additional information about the circumstances of the deaths and the causes of the deaths before including them this week’s outbreak update.” Information available at this point does not indicate whether or how measles contributed to or caused the deaths, or if the people died of other causes after being infected by measles. CDC will continue to update its national counts as new information is available.”
Kennedy’s HHS office was contacted by the CDC press office for a comment.
The CDC is responsible for reporting what’s known, and what hasn’t been confirmed. According to the current information available at CDC, two deaths associated with measles in Pennsylvania were not confirmed.
The information posted on the website reflects our commitment to the American public and transparency. This is a fundamental principle of the Trump Administration.
Schwartz’s choice was deemed highly abnormal by public health experts who are familiar with the inner-workings of the organization.
The idea that one would question the decision of the state’s epidemiologist was “pretty remarkable”, said Nirav Shah. He was the CDC principal deputy director until he resigned in February 2025.
Shah stated that the term “total deaths” is used to include people who have tested positive for a disease and died within ten days of the positive test. The determination as to whether someone died from or with an illness is not usually important.
Shah stated that it was “more than atypical” for the CDC to ignore this sort of decision and simply post vague language on their website. It is a perfect example of politicization in public health.
This is a major deviation from protocol,” Dr. Debhoury said. She was chief medical officer of the CDC before she resigned to protest Kennedy’s firing in August 2025, Schwartz’s successor, Dr. Susan Monarez.
Houry noted that the measles death in New Mexico reported last year involved a person who had tested positive for it after dying. This death was included in the totals for all of America, even though it was still under investigation.
The CDC then puts together the overall national picture. States do the investigations and it has become a standard protocol with the CDC, the Council of State and Territorial Epidemiologists and all states,” said she.
New CDC Director to undergo first test
Since she took up her post in mid-August, Schwartz’s every move has been watched. She is a doctor and has shown a strong commitment to science, vaccines, and medicine in previous positions. However her recent public comments have raised doubts about her ability to speak out as an independent voice within the administration. Many senators expressed concern during her confirmation hearing that she wouldn’t stand up against Kennedy who is known for his anti-vaccine activism.
She told her staff in the first meeting of all agency employees last month that she would disagree with Kennedy, if needed. However, she would never do it publicly.
Schwartz failed to pass her first major test in her role as CDC Director, according to Dr. Jeremy Faust.
Faust stated that “if she oversees an agency which is now only a mouthpiece of what her bosses believe, she has failed in her mission.”
Faust explained: “Here is the moment when she must decide whether or not I am merely a communications attachede for Secretary Kennedy. Or do I have an independent voice and speak up for science even if it contradicts what my bosses believe?
Counting measles deaths
Children’s Health Defense (the organization Kennedy co-founded and ran for many years) said that a Texas child who died of measles last year died instead from bacterial pneumonitis, which doctors could have treated differently. Pneumonia can be a serious complication from measles. This death was included in the CDC’s total of deaths from measles for 2025.
Kennedy said last week that the infant’s death in Pennsylvania may have “totally been fabricated”, claiming the Lancaster County Coroner did not keep a record of deaths related to measles.
Since then, the coroner Dr. Stephen Diamantoni has said his office is currently investigating a death that occurred due to spleen rupture. Diamantoni stated that the baby’s lung tissue showed evidence of measles, which suggests it had been infected before birth by its mother. The spleen can swell up and become fragile due to viral infections like measles. Diamantoni said that he had not seen evidence of an enlarged spleen. However, other experts said it was difficult to tell if the spleen is larger than usual after a rupture.
The Atlantic newspaper published Sunday details of an interview conducted with an Amish family from Lancaster County, whose son died soon after his birth. Unidentified couple said that they do not watch television or surf the web, but acknowledged their son’s death sounded similar to other deaths being discussed. He said that he received a message saying that a man called Kennedy had wanted to talk with him. However, Kennedy had never returned his call.
Mother said that she was suffering from severe measles during pregnancy and she gave birth shortly after going to the clinic for intravenous liquids. According to the Atlantic couple, their baby had a heartbeat, but it was not breathing. It did not survive.
According to The Atlantic, the mother believed that the measles had killed the child. Nobody had informed them that the baby’s spleen was lacerated.
Diamantoni announced on Tuesday that his office is investigating a second recent death of a patient who had tested positive for measles. According to The New York Times, the child is also an adult. CNN did not receive a reply from the Lancaster County Coroner’s Office to its questions regarding their investigations.
Public health impacts
Brian Castrucci is the president and CEO of de Beaumont Foundation. This nonprofit supports the public health department. He said that by casting doubts on Pennsylvania’s report before it has been reviewed, the risk was that routine scientific confirmation would be turned into an artificial controversy.
Castrucci told CNN that the rhetoric used to promote this issue was similar to what Covid did, which is a legitimate medical distinction but one that has been weaponized in order to create confusion rather than clarity.
Infectious diseases are not irrelevant.
David Margolius is the director of Cleveland’s public health. He said that it was frustrating to watch as the CDC shifted away from sharing data to inform others and became a “data editorizer.”
He said: “The political discussions about how this baby died are extremely frustrating and sad.”
This is both unprecedented and frustrating. It makes this a more political discussion than it needs to be. What should we do to protect our neighbor?

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HealthNews

In This ‘Quasi-Medical Space,’ Sexual Assaults and Death

Americans who travel abroad in search of psychedelic healing can sometimes find something much more dangerous. The New York Times explains how loosely-regulated clinics across Latin America have coincided with deaths, abuses, and allegations of ibogaine and other potent substances. Some patients have died from heart problems and organ failure. Others report being told to stop taking psychiatric medications, mix dangerous drugs or take prescription pills before they are properly screened. In a JAMA study of 50 clinics, fewer than 50% had trained medical personnel on their staff. Only 10% were equipped with emergency training. The Times highlights claims of sexual abuse and exploitative marketing, such as a Florida woman alleging she was raped in Mexico by a medical professional.
According to reports, patients have been videotaped or sold services when they are still intoxicated. Amy McGuire is the head of Baylor’s Center for Medical Ethics and Health Policy and the co-author on the JAMA Report. She says, “We are seeing these for-profit companies pop up in the quasi-medical sector without any safeguards.” The real danger is in that area. As US demand and interest grow, experts warn that a boom in an unregulated, overseas industry can cause serious harm and lead to repercussions. This is what psychedelics supporters fear. Jesus Alonso Olamendi, the head of the Legal Defense Program at the International Center for Ethnobotanical Education, Research, and Service, says that the substance itself isn’t the issue. It’s not the substance that is the problem, but the abuse of substances or the unethical treatment of patients who are impaired. You can read the full article here.
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More than 400 Floridians diagnosed with Cyclospora amid lettuce-linked outbreak

Health officials are continuing to track an outbreak of Cyclospora infection in Florida, which is linked to the recalled iceberg lettuce.
Florida, according to the Centers for Disease Control and Prevention (CDC), is one of several states that have reported cases.
All recalled icebergs lettuce that was connected with the outbreak have been taken off the market by the U.S. Food and Drug Administration.
According to new CDC statistics, women are responsible for 56% (or all) of the Cyclospora cases reported in the United States.
The parasite Cyclospora can lead to intestinal disease. The symptoms can be diarrhea, cramps in the stomach, fatigue, and nausea.
Experts in health say that Cyclospora is more prevalent during the warmer months. The season typically ends around fall.
Officials continue to urge consumers to check for recalled food products and follow the safety guidelines.

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HealthNews

Research Suggests Muscles Lower Risk of Infection

Your biceps may be doing more than helping you lift groceries—they could be helping you dodge infections, too. A study of more than 458,000 adults in the UK suggests that people with lower muscle mass face a greater chance of contracting infections, especially respiratory illnesses and sepsis, a dangerous overreaction to infection, the Washington Post reports. “Our results support the concept that skeletal muscle health is closely linked to immune resilience and infection susceptibility,” said co-author Jinbo Chen of Central South University in Changsha, China.
Researchers sorted participants into three groups for the study, which was published in MedScience: normal muscle, low muscle (pre-sarcopenia), and low muscle plus weakness (sarcopenia). Both low-muscle groups saw more infections than those with healthier muscles, even after accounting for age, income, and other health issues. Younger adults with sarcopenia were hit hardest, hinting that early muscle loss may signal deeper health problems. Scientists say chronic inflammation, poor nutrition, and weakened immune responses that often accompany sarcopenia may help explain the pattern.
One expert listed warning signs for loss of muscle mass for Newsweek: taking longer to climb stairs, struggling to open jars or carry luggage, walking more slowly, finding it tougher to get out of a chair without using your arms. The study can’t prove that losing muscle causes infections, but experts say it adds to evidence that muscle is central to “immune resilience.” For now, the advice is that regular strength training—about two full-body sessions a week—along with vaccinations, good hygiene, and managing chronic conditions may help keep both muscles and infections in check, even well into older age.
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This Vitamin Deficiency Can Cause Fatigue And Headache

The lack of this vitamin can cause fatigue, headaches and memory problems — drinking increases your risk
Alcohol is a major factor in the development of alcoholism, according to neurologists and dietitians.
Some people are so used to feeling tired or having headaches that they just accept it. This is not something anyone should tolerate.
The body uses fatigue and headaches to communicate that there is something wrong, like a lack of nutrition or rest. You may not be getting enough sleep, water or nutrition.
Folate is a nutrient that can be easily overlooked. If not treated, it may cause headaches, fatigue and memory issues. What doctors don’t want you to forget.
Anemia can be caused by a folate deficiency, which can result in a variety of problems.
It’s not always easy to pinpoint the cause of fatigue. You may immediately think about certain factors, like not eating enough iron or protein. You may not be getting enough folate. Fatigue is the main symptom, according to Dr. Nada Hindiyeh. She’s a neurologist at Haven Headache & Migraine Center and chief medical officer.
The production of healthy red blood cell is dependent on folate. Anemia can occur if you don’t get enough folate. This is because your body doesn’t deliver oxygen to the cells as effectively as it should. Hindiyeh, a HuffPost contributor, said that this is why many people feel weak and tired.
Hindiyeh explained the effects of not getting enough folate over time, which can include headaches and cognitive issues. Hindiyeh said that folate is not a cause of migraines or headaches. However, it can result in folate-deficiency, otherwise known as megaloblasticanemia.
When someone is anemic they can develop fatigue, weakness, and headaches. Hindiyeh explained that a headache is usually caused by anemia, rather than a vitamin deficiency.
A folate deficiency may also negatively affect brain health over the long-term, particularly when it comes memory. A 2022 European Journal for Clinical Nutrition study found that low folate is associated with accelerated cognitive decline and an important marker for dementia among older adults.
According to a study in The Journal of Nutrition, Health, & Aging published in 2020, Dr. Shivang Joshi, assistant professor of Neurology at the University of Massachusetts, and vice president of Association of Migraine Disorders, many people who have a folate deficit also suffer from low vitamin B12 levels. This is associated with cognitive decline and memory issues.
Folate plays a role in normal brain functions, and a severe lack of it has been linked to cognitive problems. Hindiyeh said, “Memory is complex.”
The folate deficiency was just one of many possible causes for memory loss, she explained. Hindiyeh said that a folate deficit is not the first thing she would look at if someone had memory issues, but it can certainly be an important factor.
What is the most common cause of folate deficiencies?
The good news is that both neurologists have told HuffPost it’s rare to suffer from a folate shortage.
Joshi stated that it is difficult for Americans to be folate-deficient because many of their foods have been fortified.
Foods rich in folate include vegetables, fruits, grains, legumes, fish, dairy, meat and poultry, as well as nuts, seeds, and beans. Both doctors agreed that people who are deficient in folate may also be deficient other nutrients.
Some people may still be at risk of a deficiency in folate, even though folate is abundantly available. Sophia Guillot is a registered Dietitian with TeamNutrition. She told HuffPost people with alcohol abuse disorder have a higher chance of having a deficiency in folate because alcohol inhibits its absorption.
Joshi added that alcohol could also affect vitamin B12 absorption. This can lead to headaches, fatigue and memory issues. He stressed that it is not a result of drinking one or two glasses of alcohol regularly. It’s more a sign that you are chronically abusing alcohol.
Hindiyeh said, “Chronic alcohol abuse can affect folate in multiple ways.” Alcohol consumption reduces folate absorption and affects the way that body stores it. People who consume alcohol heavily also tend to be less nourished. These factors increase the likelihood of a deficiency when they are combined.
Guillot says that if you suffer from a health condition which can interfere with nutrient intake (e.g. celiac or inflammatory intestinal disease), your risk of folate deficiencies is also higher. Guillot said that pregnant women have an increased need for folate to help support cell division and DNA synthesis.
You can easily make sure that you get enough folate.
National Institutes of Health suggests that US non-pregnant adults consume 400 micrograms of equivalent dietary folate per day.
The term “dietary folate equivalents” is used because only certain percentages folate can be bioavailable if consumed as a form other than whole food, explained Kelsey Kunik. She’s a dietitian registered with Graciously Nourished.
If you take the folic supplement without food or with fortified products, only 50% of it will be absorbed.
Most Americans aren’t deficient in folate. If you experience fatigue, headaches, and memory issues regularly, and want to determine if your folate level is the cause, you can ask your doctor for a test. The simple blood test determines the amount of folate in your blood.
“Eating a varied diet helps ensure sufficient folate intake,” registered dietitian Amy Brownstein told HuffPost. Folate is found in many foods including dairy products, animal and plant-based foods. Black-eyed beans, boiled vegetables and breakfast cereals fortified with folate are the best sources. “Adding one serving of folate-rich foods to your diet can help you meet your folate requirements.”
Brownstein explained that women trying to conceive or who are currently pregnant can gain the most benefit by taking folate supplements. She said that folate was especially important in early pregnancy, when the spinal cord of the child is developing.
Brownstein stated that “incorporating foods rich in folate or taking multivitamins containing folate can help meet the needs.” It’s important to consult your doctor prior to taking any supplements, particularly if you suffer from any health issues. Health experts HuffPost spoke with said that it is unlikely to consume too much of folate through natural foods, but supplements containing folate should not be taken in excess.
It is uncommon, but a folate deficiency can occur. This can cause a variety of unpleasant symptoms. Consult your doctor if you experience fatigue, headaches, or memory issues. You can then pinpoint the cause, which is the first step in feeling more energetic and focused.
The original version of this article appeared in HuffPost.

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What is postpartum psychosis?

Meghan Cliffel, a mother of two in New York City ten years ago was back at work. She was working in December 2015 eight months after having her second daughter: “I was under a great deal of stress at work and didn’t feel like me, but I looked good,” she explained. It wasn’t till Friday, the 4th December 2015 that things changed dramatically for me.
Cliffel claims that she started to think she was “surveilled” on this day. She said, “And I’m just totally lost, in this terrifying, deluded reality where I think the whole city is trying to kill me, from that day on.”
She began to have hallucinations. Cliffel recalled: “The television starts to shift, and the image is a relative’s face. He then says, if she thinks that she will get out alive, there’s another thing in store for her.”
Colin remembers that the following morning, Meghan’s crisis affected the entire family. “I felt as if I were interacting with an entirely different person,” said Colin. Her behavior during those 12 intense hours was like nothing I had ever experienced before. It was like an epic battle, where she tried to rescue the girls, who were happily playing in our bedroom. I had to literally stand with my back against our bedroom’s door, to stop Meghan. Then, she turned around, and was trying to reach our apartment’s door because she threatened to climb to the top. “I’d say that she is a puncher like Mike Tyson. She came out with a bang and, you see, hit me twice.”
Colin dialed 911 and Meghan spent two weeks at Bellevue Hospital where Lithium was prescribed. Two months after she was diagnosed, Meghan learned that the mental disorder is postpartum psychosis.
Veerle B. Bergink is a psychiatrist at the School of Medicine in Mr. Sinai. She has studied postpartum psychosis for over 20 years. It should not be confused with postpartum depressive disorder, she says. Bergink describes postpartum psychosis as a “psychiatric crisis” with extreme symptoms: “Manias, racing thoughts or psychosis or losing reality or depression with psychotic characteristics, feeling so depressed that everything you do is wrong, or even a combination of all these.” These symptoms usually occur within the first few months of delivery.
Bergink responded, “Unfortunately suicide is the leading cause of death for mothers with postpartum mental illness.” Infanticide is very rare.”
Lindsay Clancy’s trial, which captivated the nation, was centered on postpartum psychosis. Clancy’s three children were killed by her in January 2023, neither the defense or the prosecution denied this.
Sprague argued that “the issue” was whether Clancy knew right from wrong at the moment she killed Cora and Dawson, as well as Callan. She also questioned whether Clancy could adapt her actions to meet the legal requirements.
Clancy’s attorney, Kevin Reddington argued, however, that Clancy was legally insane because of her psychosis, which she had not been diagnosed with: “This woman suffered from psychosis when she entered that basement.” She did not have a motive. “She loved her children.”
The jury was unable to reach a decision after seven days of deliberation, leading to a mistrial.
According to the Cleveland Clinic, the condition that is the subject of this trial, which affects 1 to 2 mothers per 1,000 babies born in the U.S. each year, could potentially impact up to 9,000 women annually.
Bergink stated, “It’s been around for thousands of year.” The ancient Greeks described it, and so have other cultures throughout history.
Bergink claims that there are less than 10 groups of researchers in the U.S. who study the disease. She said, “We do not know yet how to prevent this illness, as there are no funds for research.” If you can diagnose it, then we’ll be able to treat it. In our study, 98 percent of patients got better in a matter of weeks.
There is no known single cause of postpartum psychosis. The symptoms can change dramatically in a matter of hours or days, and the mothers can appear to be functioning intermittently. This can cause confusion for their families and doctors.
Jennifer Payne is a reproductive psychiatrist at University of Virginia School of Medicine and Vice Chair of Research. She said: “Postpartum Psychosis presents in a rarer form, and most psychiatrists are unaware of it.”
Payne hopes that the case of Lindsay Clancy, and its tragic outcome, will help educate both the public as well as the legal system on postpartum mental illness. Payne notes that there have been changes in nearly 25 years, since Andrea Yates’s murder trial for her five children when she was suffering from psychosis.
Payne stated, however, that “I do not think the legal system is well equipped to deal with cases of postpartum mental illness.” There is still a lot of stigma around maternal mental health, including psychiatric diagnoses.
Payne stated that she believes that “when it’s clear that the patient had postpartum paranoia and that they acted out of delusions, then that case shouldn’t progress into a trial for murder, but should be sent to mental health treatment.”
Meghan Cliffel, along with her husband Colin, decided three years after she recovered to have their third child. Meghan Cliffel said that the risk of a recurrence is one in three without medication. “I didn’t really want to take the medication because I thought I had done enough work for myself and my family. “Hard no,” was my husband’s response. After giving birth, in the hospital I started taking Lithium as a prophylactic. This continued for a full year. It was even better than my previous two. “I had so much joy when I did it again.”
The boy is six now. Cliffel decided to tell her story because of the media attention that has been given to the Lindsay Clancy trial. She said, “It is a serious illness.” There’s nothing to be ashamed of. And you can get better. This is an illness that’s difficult to treat and requires time and care. Take your time because it is a real and devastating disease.
You can contact the 988 Suicide & Crisis Lifeline if you are in an emotional crisis or a suicide crisis. Call or text 988. Chat with 988 Suicide & Crisis Lifeline by clicking here.
You can reach the NAMI Helpline, which provides information on mental health resources and supports, from Monday to Friday between 10 am and 10 pm. Call 1-800-950-6264 or send an email to info@nami.org.
More info on this:
Veerle Bergink is the director of Mount Sinai’s Women’s Mental Health Center in New York City.
Dr. Jennifer Payne is vice-chair of research, University of Virginia School of Medicine in Charlottesville (Va.), Charlottesville (Va.).
Postpartum Support International
meghancliffel.com (Official site)

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