President Trump is expected to nominate Heidi Overton, a top conservative policy aide, as the next commissioner of the Food and Drug Administration, according to multiple media reports.

Overton is currently the deputy director of the White House Domestic Policy Council and has played a key role in shaping a variety of health policies during Trump's second term. At times, she has notably angered members of the Make America Healthy Again movement, which was created by anti-vaccine Health Secretary Robert F. Kennedy Jr.

Overton has a medical degree from the University of New Mexico School of Medicine and earned a doctoral degree in clinical investigation from Johns Hopkins Bloomberg School of Public Health. While at Johns Hopkins, she worked with Marty Makary, the previous FDA commissioner who was ousted by Trump amid a cacophony of controversies.

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The federal agency tasked with studying ways to improve America's outstandingly poor healthcare system is "on the brink," experts warn. The Trump administration has cut its staff by 75 percent, canceled its grants en masse, and is refusing to spend tens of millions of dollars appropriated by Congress.

Whether the agency "will survive the second Trump administration is an open question," health policy experts Aaron Carroll and David Atkins wrote in an opinion piece published today in the Annals of Internal Medicine.

The agency in question is the Agency for Healthcare Research and Quality (AHRQ), which has focused on ways to improve patient safety, healthcare quality, care delivery, and new technologies and practices since the 1990s. In the past, "Republican leaders recognized that health care disparities were fundamental quality problems," Carroll and Atkins wrote. But recently, disparities in care have become partisan issues.

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As Americans cook their vegetables to at least 158°F to kill a diarrheal parasite that has sickened over 24,000 people and killed two this summer, one US Senator is turning up the heat on Health Secretary Robert F. Kenney Jr. over the government's "calamitous response" to the record outbreak.

In a letter sent Thursday, Elizabeth Warren (D-Mass.) called the federal response to the Cyclospora outbreak "botched" and "marred by missteps." She pointedly questioned whether corruption and incompetence within the Trump administration and its clear ties to Taylor Farms—the mammoth produce distributer that sold Mexican-grown iceberg lettuce linked to the outbreak—played a role in the federal government's failures.

"[P]olitical contributions and direct White House lobbying from Taylor Farms... raise urgent questions about the role this influence-peddling may have played in loosening federal food safety oversight and hampering the federal government’s response to the outbreak," Warren wrote in the letter.

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Backlash to Trump's vaccine order on Monday has been swift and sharp, with various public health and medical organizations and independent experts calling it "dangerous," "unscientific," "false and misleading," "so wrong," and saying it is "putting children's health at risk."

The responses are unsurprising; the medical and health communities have consistently fought against the anti-vaccine, anti-science agendas pushed by Trump and his health secretary, Robert F. Kennedy Jr., who has no background in science, medicine, or public health. The American Academy of Pediatrics—which called the order "not only disheartening but dangerous"—is leading a lawsuit against previous changes to federal childhood vaccine recommendations under Trump and Kennedy. In March, the organization, along with other medical groups, won a temporary injunction reversing most of the changes.

However, less expected among the scorn for Trump's order is the immediate pushback from the pharmaceutical industry.

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The White House is drafting an executive order on the disproven link between vaccines and autism, according to independent reports from The Washington Post and Bloomberg, which both cited unnamed sources with knowledge of the efforts.

Bloomberg reported that the executive order, which is still taking shape and is subject to change, could be issued as soon as next week. The Post said the order's drafting so far is aimed at the childhood vaccine schedule, autism research, and parental choice for vaccinations.

Dozens of high-quality studies encompassing data from millions of children worldwide have already been carried out on the topic and have consistently found no link between childhood vaccines and autism. The claim of a link stems from an unethical, fraudulent study that was retracted years ago, and its author was stripped of his medical license.

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Despite significant drama from Trump officials this year, the Food and Drug Administration has for the first time approved a flu vaccine that uses mRNA technology.

On Thursday, vaccine maker Moderna announced that its flu shot, mRNA-1010, aka mFLUSIVA, had earned approval for use in all adults ages 50 and up. The approval announcement follows a unanimous vote by FDA advisors in June to approve the vaccine. That vote was based on its superior efficacy to existing seasonal flu shots and a good safety record demonstrated in trials that included nearly 44,000 people. After that vote, the FDA set a goal of August 5 for a decision on the vaccine's fate.

While the unanimous support from FDA advisors boded well for Moderna's shot, the overall path to approval was treacherous and uncertain, even until the end. For one thing, current Health Secretary Robert F. Kennedy Jr. is a well-established anti-vaccine advocate who has worked diligently in his time in office to thwart vaccinations. One of his first acts as health secretary was canceling a federal campaign to encourage people to get flu shots in the midst of a bad flu season—despite the fact that the Centers for Disease Control and Prevention had already paid for the campaign and the flu season was killing relatively high numbers of children.

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In a 51–44 vote Wednesday, the US Senate confirmed Erica Schwartz as director of the Centers for Disease Control and Prevention, despite failing miserably to convince senators last month that she could stand up to anti-vaccine Health Secretary Robert F. Kennedy Jr.

The confirmation ends a nearly yearlong vacancy for the position since Kennedy fired the previous CDC director, Susan Monarez, last August. Monarez was ousted after she refused to rubber-stamp vaccine recommendations from a panel of Kennedy's hand-selected advisors, who hold similar anti-vaccine views to his own.

Schwartz is highly qualified for the role, coming to the CDC with a medical degree, a master’s degree in public health, and a law degree. She previously had a long stint as a Navy officer and held leadership roles including chief medical officer for the US Coast Guard and deputy surgeon general in the first Trump administration. Notably, she has been a public advocate for vaccines and outbreak preparedness.

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