Gavi

LONDON — U.S. Health Secretary Robert F. Kennedy Jr. says the country is pulling its support from the vaccines alliance Gavi, saying the organization has “ignored the science” and “lost the public trust.”

A video of Kennedy’s short speech was shown to a Gavi meeting in Brussels on Wednesday, where the organization that has paid for more than 1 billion children to be vaccinated through routine immunization programs was hoping to raise at least $9 billion for the next five years.

Kennedy, a longtime vaccine skeptic, mentioned Gavi’s partnership with the World Health Organization during COVID-19, accusing them of silencing “dissenting views” and “legitimate questions” about vaccine safety. His speech also cast doubt on the diphtheria, tetanus and pertussis vaccine — which WHO and other health agencies have long deemed to be safe and effective.

Gavi said in a statement Thursday that its “utmost concern is the health and safety of children,” adding that any decision it makes on vaccines to buy is done in accordance with recommendations issued by WHO’s expert vaccine group.

Some doctors in the United States criticized the decision. Dr. Paul Offit, director of the Vaccine Center at the Children’s Hospital of Philadelphia, said it was “incredibly dangerous” and warned that defunding immunization would put millions of children at risk.

Gavi is a public-private partnership including WHO, UNICEF, the Gates Foundation and the World Bank, and it is estimated that the vaccination programs have saved 18 million lives. The United States has long been one of its biggest supporters; before President Donald Trump’s reelection, the country had pledged $1 billion through 2030.

In just under four minutes, Kennedy called on Gavi “to justify the $8 billion America has provided in funding since 2001,” saying officials must “consider the best science available, even when that science contradicts established paradigms.” Kennedy said until that happens, the U.S. won’t contribute further to Gavi.

The health secretary zeroed in on the COVID-19 vaccine, which WHO, Gavi and other health authorities have recommended for pregnant women, saying they are at higher risk of severe disease. Kennedy called that a “questionable” recommendation; his U.S. Centers for Disease Control and Prevention recently stopped recommending it.

He also criticized Gavi for funding a rollout of a vaccine to prevent diphtheria, tetanus and pertussis in poorer countries, saying he’d seen research that concluded that young girls who got the vaccine were more likely to die from all other causes than children who weren’t immunized.

Gavi said scientists had reviewed all available data, including any studies that raised concerns, and that the diphtheria, tetanus and pertussis vaccine has “played a key role in helping halve childhood mortality.”

Some observational studies have shown that vaccinated girls do have a higher death rate compared to unvaccinated children, but there is no evidence the deaths are caused by the vaccine. But Offit said the studies cited by Kennedy were not convincing and that research examining links between vaccinations and deaths did not prove a causal connection.

“There’s no mechanism here which makes biological sense for why the [diphtheria, tetanus and pertussis vaccine] might result in more children dying,” Offit said.

Doctors Without Borders on Thursday predicted “countless children will die from vaccine-preventable diseases” as a result of the U.S. withdrawing support for Gavi.

“To invoke misleading and inaccurate claims about vaccine safety as the pretext for cutting all global vaccine funding is cruel and reckless,” said Mihir Mankad, the charity’s global health advocacy and policy director in the U.S. “When we vaccinate in the community, parents line up for hours to give their children a chance to be protected from these deadly diseases.

“For these children, vaccination programs … are a matter of life and death.”

Kennedy’s recorded speech to Gavi came on the same day that his reconstituted U.S. vaccine advisory panel met for the first time. He fired the previous 17-member panel this month and replaced it with a seven-member group that includes several vaccine skeptics.

Cheng writes for the Associated Press. The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education and the Robert Wood Johnson Foundation. The AP is solely responsible for all content.

Health and Human Services Secretary Robert F Kennedy Jr has announced that the United States will no longer contribute to Gavi, a global health programme that has vaccinated more than one billion of the world’s poorest children.

In a video that aired at a Gavi fundraising event in Brussels on Wednesday, Kennedy said the group had made questionable recommendations around COVID-19 vaccines. He also raised concerns about the diphtheria-tetanus-whole cell pertussis vaccine, known by the acronym DTPw, though he provided no evidence to support those fears.

“I call on Gavi today to re-earn the public trust and to justify the $8bn that America has provided in funding since 2001,” Kennedy said in the video.

Kennedy added that Gavi should consider all available science before investing in vaccines. “Until that happens, the United States won’t contribute more,” he said.

The details of the video were first reported by the publication Politico and later by the news outlet Reuters.

Gavi said in a detailed statement that safety was one of its top priorities and that it acts in line with World Health Organization recommendations.

The statement also indicated that Gavi has full confidence in the DTPw vaccine, which it credits with having helped to cut child mortality in half in the countries it supports since 2000.

“The DTPw vaccine has been administered to millions of children around the world for decades, and is estimated to have saved more than 40 million lives over the past 50 years,” the statement notes.

The administration of US President Donald Trump has previously indicated that it planned to cut US funding for Gavi, representing around $300m annually, as part of a wider pullback from international aid.

Advocacy groups called on the US to reverse its decision.

“Kennedy claims that Gavi ignored science are entirely false,” nonprofit consumer advocacy organisation Public Citizen wrote in a statement.

“Gavi’s recommendations are grounded in global evidence and reviewed by independent experts. His suggestion otherwise fuels the same disinformation that has already led to deadly measles outbreaks and the resurgence of vaccine-preventable diseases, including polio.”

A longtime vaccine sceptic, Kennedy has upended the US medical establishment since taking office in February. He has raised questions about possible ties between autism and vaccines, though numerous studies have shown there is no link.

Earlier this month, Kennedy fired all 17 members of the expert panel on vaccines at the Centers for Disease Control and Prevention (CDC), known as the Advisory Committee on Immunization Practices (ACIP).

Created 60 years ago, the committee serves as an independent government body to review data and make recommendations about who should get vaccines. Those recommendations, in turn, can affect which vaccines health insurance plans may cover.

Of Kennedy’s initial eight replacement members, about half have advocated against vaccines.

Kennedy’s new vaccine advisers hold inaugural meeting

The newly revamped committee met for the first time on Wednesday, under intense scrutiny from medical experts worried about Americans’ access to lifesaving shots.

But already, conflicts are starting to simmer in and around the panel.

Ahead of the two-day gathering, government scientists prepared meeting materials calling vaccination “the best protection” during pregnancy — and said most children hospitalised for COVID-19 over the past year were unvaccinated.

That advice, however, conflicts with Kennedy’s. The health secretary already announced COVID-19 vaccines will no longer be recommended for healthy children or pregnant women, and his new advisers are not scheduled to vote this week on whether they agree.

COVID-19 remains a public health threat, resulting in 32,000 to 51,000 US deaths and more than 250,000 hospitalizations since last fall, according to the CDC.

Kennedy’s newly reconstituted panel also lost one of its eight members shortly before Wednesday’s meeting.

Michael Ross, a Virginia-based obstetrician and gynecologist, stepped down from the committee, bringing the panel’s number to just seven. The Trump administration said Ross withdrew during a customary review of members’ financial holdings.

The meeting opened as the American Academy of Pediatrics announced that it will continue publishing its own vaccine schedule for children, but now will do so independently of the ACIP, calling it “no longer a credible process”.

ACIP’s recommendations traditionally go to the director of the CDC. Historically, nearly all are accepted and then used by insurance companies in deciding what vaccines to cover.

But the CDC currently has no director, so the committee’s recommendations have been going to Kennedy, and he has yet to act on a couple of recommendations ACIP made in April.

Separately, on Wednesday, Senate hearings began for Trump’s nominee for CDC director, Susan Monarez.

During the hearings, she said she has not seen evidence linking vaccines and autism and said she would look into the decision to cut Gavi funding.

“I believe the global health security preparedness is a critical and vital activity for the United States,” she said.

“I think that we need to continue to support promotion of utilisation of vaccines.”