January 29, 2025
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Morning Rounds Writer and Podcast Producer
Good morning. As you'll read about below, President Trump signed an executive order last night to to end federal support for gender-affirming care for people under 19. If you are a patient, family member, or clinician who could be affected by this, I'd love to talk. You can email me at theresa.gaffney@statnews.com or I'm theresagaff.96 on Signal.

exclusive

Private emails show RFK Jr. making false claims about vaccines

Photo illustration: Alex Hogan/STAT; Photograph: Getty Images

The day before Robert F. Kennedy Jr.’s Senate confirmation hearing, his niece shared with STAT a trove of private emails between the two in which he expresses his respect for vaccine critics and antipathy toward scientific institutions like the CDC, pharma companies, and health leaders like Anthony Fauci. The emails span more than two years, starting at the height of the Covid-19 pandemic.

Kerry Kennedy Meltzer, a primary care physician, tried to be respectful in her responses to her uncle. “I love you Bobby,” she wrote. “I just wish I could take you to my ICU, and show you how much destruction this disease has caused.” Kennedy picks and chooses his arguments like the lawyer he is, but also includes untrue claims about the dangers of the Covid-19 vaccinations and questions the value of the annual flu shot. 

Read more on the illuminating emails. There’s also a follow-up story in which STAT’s Matt Herper contextualizes and fact-checks some of the most notable exchanges. 

Kennedy Melter is the second Kennedy relative that has commented on him this week. Former congressman Patrick Kennedy — his cousin — offered an unexpected defense of the HHS nominee yesterday, arguing that, “on addiction policy, I believe he is the leader we need to meet this moment.” Read more on that from STAT’s Lev Facher.

STAT reporters will be live-blogging the confirmation hearing today. Follow along here.


politics

The latest on executive orders and international health concerns:

As you can surely tell, STAT reporters have been working hard to get answers on issues stemming from the new Trump administration’s executive orders and memos. Here’s the latest:

  • In a Monday memo, the White House called for a pause in federal grants and loans. A follow-up memo on Tuesday indicated that Medicaid payments should not be affected by these pauses, but states have reported difficulties accessing Medicaid payment portals. A team of STAT reporters sorted out what happened and how states, universities, and other institutions have responded. (And right before the pause was set to be implemented yesterday evening, it was blocked by a federal judge.) STAT is continually updating the story, so read more here.
  • Trump signed a different executive order last night with the purpose of curtailing gender-affirming care for anybody in the U.S. under age 19. Last week, STAT’s Megan Molteni wrote about the science behind sex and gender after Trump’s initial order on redefining sex. And I’ve written previously about both the clear benefits of gender-affirming care for youth as well as the challenges researchers face in conducting studies on these medications. 
  • STAT’s Drew Joseph reported early yesterday that the Trump administration’s move to pause foreign aid has thrown PEPFAR — a program that helps provide HIV treatment to some 20 million people around the world — into disarray, with far-reaching consequences for patients. Later yesterday, the State Department issued a waiver to permit at least some funding, though questions about how exactly it applied to PEPFAR remained. Read more
  • In the midst of a communication pause between the Trump administration and the WHO, there’s a potential Ebola outbreak in a western part of the Democratic Republic of the Congo. Global health experts told STAT’s Helen Branswell that the news underscored how unwise it is for the U.S. to sever ties with the WHO. On top of that, in Tanzania (which shares a border with DRC) there’s an outbreak of Marburg fever, caused by a related virus. Read more from Helen.


science

How weed may affect brain function 

People who use a lot of cannabis over time may experience reduced brain activity in certain situations, according to a study published yesterday in JAMA Network Open. Between 2012 and 2015, researchers tested more than 1,000 people ages 22-36. About 63% of “heavy users” — meaning those who have used cannabis 1,000 times or more — in the study had lower amounts of brain activity during a task, such as solving a math problem, that tests one’s ability to remember other information. 

There were similar associations between recent cannabis use and poor performance on working memory tasks, but other functions like motor skills, reward processing, emotion, and language did not see the same effects.

It’s the largest study yet focusing on cannabis and brain function, the study authors write. Still, even larger and long-term studies are needed to fully understand the effects that cannabis has on the brain.


health inequities

Why are cervical cancer death rates so bad in the Mississippi Delta?

While politics over DEI are roiling Washington, work to end racial health disparities continues. This morning, the Southern Rural Black Women’s Initiative for Economic and Social Justice and Human Rights Watch released a report on the findings of 10 community health researchers who spent 18 months interviewing more than 150 women in the Mississippi Delta to understand the factors driving the area's inflated rates of cervical cancer, which are among the nation’s highest. 

The mortality rate for cervical cancer is 65% higher for Black women than white women. 

The report found that access to gynecological care was a major reason for the disparities. A cascade of factors are to blame, including Mississippi’s refusal to expand Medicaid through the ACA, which has contributed to rural hospital closures and helped fuel a shortage of OB-GYNs in the state. A lack of access to public transportation and racial discrimination from health providers also limited access, which led to less cancer screening and surgical treatment. Poor access to information on sexual and reproductive health, the report said, is another reason the state is ranked last in the nation in rates of uptake of the HPV vaccine which prevents cervical cancer.  — Usha Lee McFarling


science

The first mice with two dads have reached adulthood

There’s been so much news on the “chaos” beat this week that I just had to share this: Scientists in China have successfully engineered “bi-paternal” mice (those with two male parents) that have lived until adulthood, according to a study published yesterday in Cell Stem Cell. Previous attempts have been complicated due to genetic imprinting abnormalities that lead to defects, which the authors say is a major barrier to these types of experiments. But in this study, researchers individually modified 20 key imprinting genes using multiple different methods to combat that issue. 

It’s cool science (that MIT Technology Review explains in more detail) but don’t forget the caveats: These are mice, not humans, or even primates. Also: Most of these embryos didn’t even make it to birth — only seven mice made it that far out of 164 embryos. Not all of those seven made it to adulthood either, and those that did often had altered growth, a shortened lifespan, and were sterile.


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