May 22, 2025
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Morning Rounds Writer and Podcast Producer
Good morning! Sorry to write another blue box about food, but today's item on the nutritional value of kids' cereal is somehow making my stomach growl! I don't eat cereal but if I did, it would be Cap'n Crunch.

pharma

Five burning questions on the Covid-19 vaccine framework

A hand in shadow holds a vaccine syringe up, with the vial attached and facing down.

Matt Rourke/AP

FDA Commissioner Marty Makary promised stakeholders last week that the agency’s new Covid-19 vaccine framework would answer all of their questions. But as STAT’s Lizzy Lawrence and Helen Branswell report, it’s created maybe just as much confusion as clarity. 

Some of STAT’s most pressing questions are: What does this mean for Covid-19 vaccines already on the market? What happens if companies making Covid-19 vaccines decide they don’t want to run more studies? And will adults under 65 without risk factors be able to get vaccinated against Covid-19 anymore? 

Read more from Lizzy and Helen, who run through what we do and don’t know on each burning question. Plus: Alex Hogan made a great short video on the framework, and Jonathan Wosen explained how we know mRNA vaccines are safe and effective.

Keep an eye out for more news today, as the FDA’s vaccines expert panel is meeting to discuss if Covid-19 vaccines should be updated for the coming fall. Experts and industry figures will be watching the meeting closely, hoping to glean more about the framework.


mental health

Surprising results from private equity-owned psych hospitals

Private equity ownership of psychiatric hospitals grew rapidly from 2013 to 2021, but the quality of care did not diminish when compared to facilities not owned by private equity, according to a JAMA Psychiatry study published yesterday.

The study found that the facilities had higher occupancy rates and a lower staff-to-patient ratio compared to non-private equity owned facilities during the eight-year period. However, the facilities’ care quality did not decline, including lower usage of restraints and equal rates of seclusion, though the authors were quick to note that this data is self-reported and prone to tampering.

The authors also noted that the results were somewhat surprising, given private equity’s track record in health care. Private equity firms’ ownership often coincides with poorer health outcomes for many populations, including people with developmental disabilities, psychiatric care, and autism. More data is needed to determine the impact of private equity on psychiatric hospitals’ financials and quality of care. — O. Rose Broderick 


policy

LGBTQ+ researchers sue HHS, NIH over grant cuts

A group of physicians and researchers sued the NIH and HHS on Tuesday over the sweeping grant terminations that have impacted medical research on queer people as part of the implementation of President Trump’s executive orders targeting transgender people and diversity initiatives. It’s the second lawsuit to specifically focus on how the cuts have affected LGBTQ+ research, after another group sued in mid-May. 

The plaintiffs argue that the government action violates the Constitution’s Fifth Amendment guaranteeing equal protection on the basis of sex, sexual orientation, and gender identity, as well as the due process clause. Read more from me. 



trendcasting

How the nutritional value of kids’ cereal has changed

Solid blue lines indicate estimated mean nutrient values over time, and the shaded areas indicate 95% CIs. Nutrient values are reported per serving after adjusting for serving size. The y-axes differ to accommodate varying measurement scales for each nutrient. Source: Mintel Global New Products Database, children’s cereal products launched January 2010 to December 2023.

JAMA Network Open

Ready-to-eat cereal for kids has gotten less nutritious over time, according to a study published yesterday in JAMA Network Open. Researchers used data on new product launches (things like new packaging, new formulations, or a new variety) between 2010 and 2023 to analyze the trends.

Take a look at the graphs above to get an idea. Among cereals specifically marketed to kids, fat and sodium content showed the biggest increases over the time period, with jumps of 33% and 32% respectively. Meanwhile, protein and fiber ultimately decreased in cereals by 2023. The study authors call these trends “concerning,” and believe they suggest companies are prioritizing taste over nutritional quality. 

The study reminded me of a 2023 story by former STAT reporter Nick Florko about how Kellogg’s went to war over new nutrition label rules in Mexico. Back then, the FDA announced it was studying similar updated labeling for the U.S., so it would be easier for consumers to know if the food they were buying is healthy or not. It’s unclear if the Trump administration will continue pursuing new rules. So far, the administration has bargained with food manufacturers to phase out synthetic dyes, but some experts say that sugar and refined carbohydrates are a much bigger problem.


global health

How do you spell WHO without U.S.?

At this week’s annual meeting of the World Health Organization’s members in Geneva, officials and delegates spoke repeatedly of the disruption and crisis in international funding the organization is facing. They were upfront about program cuts, job losses, and the resulting increase in illnesses and deaths that is all but guaranteed to come. But they largely skated past the major cause of those problems — the U.S. pulling its long-standing funding from the WHO and other global health initiatives. 

“Let’s be clear: a reduced workforce means a reduced scope of work,” said Tedros Adhanom Ghebreyesus, the director-general of the WHO in his opening remarks. “The organization simply cannot do everything member states have asked it to do with the resources available.” But in the entire speech, Tedros didn’t explicitly mention the U.S. pullout once. Read more from STAT’s Andrew Joseph.


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