prevention
Many commentators have wondered what the bothches on Trump’s hands might be and whether they signify some sinister cause. The White House medical updates and Trump himself have attributed the bruising to a combination of factors:
- Frequent Handshaking: Both Trump and his physician have claimed that shaking hands with thousands of people causes minor soft-tissue trauma.
- Aspirin Use: His medical team disclosed that he takes daily low-dose aspirin as part of a routine cardiovascular prevention regimen, which thins the blood and allegedly increases the likelihood of noticeable bruising from minor bumps.
- Venous Insufficiency: Medical disclosures have also noted a diagnosis of chronic venous insufficiency which allegedly can contribute to bruising.
In my view, these official explanations are a good example of the BS that comes out of the White House these days. The marks Trump regularly displays on his hands are most likely actinic purpura, also known as senile purpura, or solar purpura, or Bateman’s purpura. This is a common and completely benign condition that causes easy bruising on the hands and forearms of older adults. First described by Bateman in 1818, this dermatosis presents as dark purple, irregularly shaped blotches on photo-exposed areas, particularly the dorsal surfaces of the hands and extensor aspects of the forearms. Despite its somewhat alarming appearance, actinic purpura has no health consequences and does not indicate systemic disease.
The condition affects approximately 10 per cent of people over age 50, with prevalence rising to around 30 per cent after age 75. It is painless and occurs more frequently in men than women and is strongly associated with fair skin tones and cumulative lifetime ultraviolet exposure. The prevalence increases exponentially with advancing age, reflecting the progressive nature of the underlying pathophysiological changes.
Actinic purpura results from increased fragility of superficial capillaries due to atrophy or damage of dermal connective tissue. Chronic ultraviolet radiation degrades collagen and elastin fibres, weakening the structural support for blood vessels. Ageing contributes through skin thinning and changes in fat distribution that bring vessels closer to the surface. Various medications exacerbate the condition, including corticosteroids, aspirin, warfarin, clopidogrel, and non-steroidal anti-inflammatory drugs. Minor trauma, such as negligible bumps, scratching, or poking, readily ruptures these fragile vessels. The brown pigmentation that occasionally persists after resolution results from haemosiderin deposition from lysed red blood cells.
Patients present with flat red lesions that progress to purple and then darken over time. The lesions are typically painless and non-tender, persisting for one to three weeks before resolution. They may leave permanent brown pigmentation and recur chronically with lifelong reappearance of new lesions. The differential diagnosis includes bleeding disorders, vasculitis, vitamin C deficiency, and drug-induced purpura. Actinic purpura is associated with by normal coagulation and platelet function, absence of inflammation, and confinement to photo-exposed skin areas.
The condition has no health consequences and is not associated with systemic disease or blood dyscrasias. It does not herald severe bleeding elsewhere and has no systemic implications. Crucially, actinic purpura is not associated with coronary or cerebral artery fragility, bleeding disorders, or internal vascular disease.
No specific treatment is required because the condition is self-resolving. Preventive measures include daily sunscreen application, protective clothing to prevent further photodamage, moisturisers to maintain skin suppleness, protective arm clothing to minimise trauma, and reducing topical steroid use on thin skin areas. Citrus bioflavonoids taken twice daily reduced lesions by 50 per cent in 70 seniors in a 2011 study that has not been independently confirmed. Vitamin C supplementation is only helpful if deficiency exists, with no benefit in non-deficient individuals.
The US Defense Secretary Pete Hegseth’s decision to make the annual flu vaccine optional for US military service members in April 2026 was not an exercise in “medical autonomy,” as he called it at the time. It was a recklessly ideological act that has now already cost a life. By lifting a long-standing, evidence-based mandate Hegseth dismissed as “absurd” and “overreaching,” he prioritized ill-advised principles over the health, welfare, and readiness of US service members.
The consequences arrived swiftly and were confirmed in mid-June 2026. At Lackland Air Force Base in Texas, at least 159–160 recruits fell ill with flu within weeks, with two hospitalizations. One sixth-week trainee, Keon McDaniel, died on June 16 at Brooke Army Medical Center after a medical emergency on June 12. While the official cause of death remains under investigation, sources report McDaniel had not received the flu vaccine. Vaccination rates among Air Force trainees plummeted to roughly 40% after the mandate was lifted, compared to near 100% coverage while immunization was mandatory.
The outbreak was so severe that the Air Force received an emergency exception from the Pentagon and reinstated mandatory flu shots for all recruits at Lackland – an admission that Hegseth’s policy was dangerously wrong. The exception was granted by the Under Secretary of Defense for Personnel and Readiness, which can authorize mandatory vaccination when risk assessments warrant it.
Hegseth styled himself “Secretary of War” while declaring mandatory vaccination “not rational.” Yet the mathematics of infectious disease are clear: in communal settings like military bases, where close contact is unavoidable, voluntary vaccination leads almost inevitably to outbreaks. Yet Hegseth ignored decades of public health evidence that flu vaccines reduce morbidity, prevent complications, and maintain operational readiness. His decision was irresponsible and little more than political posturing aligned with anti-vaccination rhetoric that currently undermines public health across the US under Trump’s administration.
The death of a young trainee is a human cost Hegseth cannot dismiss. Texas Congressman Joaquin Castro is now calling for a full DoD accounting of the outbreak and an investigation into McDaniel’s death. Whenever military leaders make policy decisions, they must prioritize readiness and safety over ideology. Hegseth failed that duty in the most appalling fashion. His flu shot reversal was by no way a victory for autonomy; it was a failure of leadership that endangered service members and will likely cost more lives if not urgently corrected across the entire armed forces.
As of June 20, 2026, the mandatory flu vaccine has not been reinstated across all armed forces – only at Lackland. The broader policy remains voluntary, leaving the rest of the military exposed to Hegseth’s stupidity and similar outbreaks.
Robert F. Kennedy Jr., the U.S. Health and Human Services secretary, is demanding that the journal Toxicology Reports explain in detail why it removed a 2021 paper he has cited in support of his anti-vaccine stance. The study had concluded that “While the findings in this paper are not proof of an association between infant vaccines and infant deaths, they are highly suggestive of a causal relationship.”
In his letter to the editors, Kennedy accuses the journal of suppressing research linking vaccines to sudden infant death. However, the evidence reveals quite clearly that Kennedy is not seeking transparency but rather attempting to bully a peer-reviewed journal that correctly identified fatal methodological flaws in a paper Kennedy continues to promote.
The removed study claimed to link vaccines to infant deaths using data from the Vaccine Adverse Event Reporting System (VAERS). The journal removed the paper because VAERS is a passive reporting system that cannot establish causality. Any conclusion claiming vaccines cause deaths from such data is therefore not valid. The editors determined the methodology was seriously flawed and that the author’s responses to critiques were unsatisfactory. Consequently, the paper would mislead readers and harm the public. In this situation, it would have been unethical NOT to retract!
Kennedy’s demand for a “full explanation” ignores that the journal had already provided a clear, evidence-based removal notice. He wants to know who reviewed the paper and what standards were applied, yet these are standard peer-review procedures. Framing a legitimate scientific correction as censorship reveals Kennedy’s disregard for science and evidence-based medicine. As HHS secretary, he is responsible for protecting public health, yet he continues to cite fraudulent research that contradicts established scientific consensus on vaccine safety.
The story is reminiscent of the ongoing conflict over the landmark Danish vaccine study published in the Annals of Internal Medicine. It tracked over 1.2 million children born in Denmark between 1997 and 2018. Exploiting a natural experiment created by evolving national immunization schedules, researchers analyzed the dose-response relationship of aluminum adjuvants. The study found no evidence linking increased cumulative exposure to an elevated risk of 50 chronic pediatric conditions, including neurodevelopmental, autoimmune, and allergic disorders.
Despite its massive scale and rigorous design, Kennedy labeled the research a “deceitful propaganda stunt” and demanded its retraction. However, Kennedy’s criticisms rely on data misrepresentation and a fundamental misunderstanding of epidemiological methodology. First, Kennedy cherry-picked non-significant supplementary data, falsely claiming a 67% increased risk of Asperger’s syndrome. In reality, the finding had a wide confidence interval, lacked statistical significance, and completely vanished when researchers analyzed the full follow-up data. Second, Kennedy objected to the lack of a completely unvaccinated control group. Experts counter that the unvaccinated cohort (1.2%) was too small to measure rare outcomes accurately and would introduce severe confounding bias due to differing family lifestyles. Finally, Kennedy levelled inaccurate claims of financial corruption against Denmark’s Statens Serum Institut, a public research body that had long since divested its vaccine manufacturing arm.
The medical community has firmly rejected Kennedy’s attacks. The journal refused his retraction demand, and independent experts have defended the study as the strongest available evidence of vaccine aluminum safety. After all, aluminum salts have been used safely for a century, and vaccine-derived amounts are eclipsed by daily environmental and dietary intake.
The inescapable conclusion is that Kennedy’s campaigns are not about accountability or about promoting scientific rigor; they are about promoting his dangerous type of misinformation. His continued advocacy of pseudoscience exposes his commitment to ideology over evidence, a truly dangerous stance for anyone leading the nation’s health agency. It is high time, I feel, that he gets sacked before he does any more lasting damage to public health in the US and beyond!
So-called alternative medicine (SCAM) likes to present itself as a champion of disease prevention. Its advocates routinely claim to promote health before disease develops, to strengthen the body’s defences, and to address root causes rather than symptoms. This rhetoric is highly attractive, because prevention sounds proactive, humane, and economical. Crucially, it is also good for the SCAM practitioner’s bank account. Yet there is a snag: almost none of the preventive claims made for SCAM are supported by reliable evidence, whereas the prevention that works comes overwhelmingly from conventional medicine and science.
To show preventive benefit, an intervention must demonstrably reduce the incidence of symptom, disease, complication, or mortality in properly designed studies. That may require randomised trials, epidemiological studies, large cohorts, reproducible findings, and enough follow-up to show that fewer people actually experienced the given endpoint. Mainstream medicine has repeatedly met this standard. Immunization, blood pressure control, smoking cessation, lipid lowering, cancer screening, and risk-factor modification are all products of biomedical research, not of alternative healing traditions.
SCAM, by contrast, tends to use prevention in a loose, impressionistic, and unfalsifiable way. A practitioner may claim that a treatment “balances energy,” “supports immunity,” or “keeps the body in harmony,” but such phrases do not establish a preventive effect. They are placeholders for evidence, not evidence itself. In practice, the absence of disease after treatment is treated as proof that the treatment worked, even though the same outcome occurs every day without any intervention at all.
Acupuncture is a good example. Its defenders portray it as a preventive system capable of preserving general health or warding off illness, but the evidence base does not support that claim. Some reviews do suggest that acupuncture may help with some pain-related and symptom-focused conditions, yet its preventive value is largely unproven. I am not aware of solid evidence to show that acupuncture prevents anything – but, if I am wrong, please do correct me.
Chiropractic care is even more revealing because preventive claims are often tied to the doctrine of spinal “subluxation” and nervous system dysfunction. Yet the literature on prevention is thin and methodologically weak. I am not aware of solid evidence to show that chiropractic prevents anything – but, if I am wrong, please do correct me.
Herbalism benefits from the romantic appeal of “natural” remedies, but that appeal should not be confused with demonstrated preventive efficacy. Individual plant compounds have certainly inspired real drugs, yet that is a triumph of pharmacology, not of herbalism as a system. When herbal medicines are tested for prevention, results are usually weak, inconsistent, or insufficient to support recommendation. I am not aware of solid evidence to show that herbal medicine prevents anything – but, if I am wrong, please do correct me.
Homeopathy is one of the most extreme cases within SCAM. It is often sold as gentle, individualized, and even preventive, but its basic principles are scientifically implausible, and its clinical evidence is either flawed or negative. Preventive homeopathy, including ideas such as “homeoprophylaxis,” is particularly problematic because it can give people a false sense of security while displacing interventions that genuinely prevent disease, such as vaccination. I am not aware of solid evidence to show that homeopathy prevents anything – but, if I am wrong, please do correct me.
SCAM speaks almost constantly about prevention, but the evidence for actual preventive benefit is close to non-existent. What we know about prevention, what truly reduces disease incidence and improves population health, comes from conventional medicine, epidemiology, public health, and biological science. SCAM will no doubt continue to borrow the language of medicine and prevention, but – as far as I can see – it has failed to supply the proof.
The health-related news comimg out of the US get more worrying by the day. In June 2026, a New World screwworm was detected in Texas cattle for the first time since 1966, a catastrophic failure traceable to the Trump administration’s systematic dismantling of animal disease prevention programs. The flesh-eating parasite, whose larvae consume living tissue and can kill livestock within days, has returned due to preventable policy choices.
Trump slashed over $382 million in USAID funding dedicated to international disease monitoring, including specific programs tracking screwworm spread through Central America and Mexico. More than 100 US-funded FAO programs were thus terminated, representing nearly 10% of the FAO’s planned budget. Scientists had warned for months that screwworm was advancing north through Mexico, accumulating 9,574 confirmed cases by late 2025, yet the administration cut surveillance funding precisely when vigilance was most critical.
The consequences are now undeniable. An infected three-week-old calf was discovered in La Pryor, Texas, approximately 30 miles from the Mexican border, triggering a 20-kilometer quarantine zone. The pest could further shrink the US cattle herd, already at its lowest level in 75 years, potentially costing Texas alone up to $1.8 billion in economic losses through livestock deaths, medication expenses, and labor costs.
Beyond negligence, Trump actively undermined US ranchers. In October 2025, he announced plans to import Argentine beef to lower grocery prices, calling domestic cattle producers’ concerns about tariffs as not understanding economics. The cattle industry condemned this as “undermining the future of farmers” and creating “turmoil at a crucial time”. Canadian authorities subsequently imposed temporary livestock import restrictions from affected Texas areas, emblematic of the international trade vulnerabilities the outbreak creates.
The administration’s response – claiming they “bought time” while defending against inevitable predictions that models showed screwworm entering in 2025 – reads as damage control rather than genuine accomplishment. Meanwhile, the USDA established sterile fly releases and quarantines, emergency measures that should have been unnecessary with proper preventative funding.
Trump’s agricultural policy combines reckless budget cuts with market interference that harms American producers. The screwworm outbreak is not merely bad luck; it is the direct result of prioritizing ideological slashing of foreign aid over protecting American food security and the livelihoods of ranchers who already face record-high consumer prices and shrinking herds.
New World screwworm poses serious, potentially fatal dangers to humans through myiasis, where larvae burrow into and consume living tissue. While primarily affecting livestock, humans can be infested as well – particularly those with open wounds, diabetes, or peripheral vascular disease. The first US human case was confirmed in August 2024. Infestations cause painful, foul-smelling wounds that worsen rapidly and can lead to death if untreated, with scalp involvement carrying an 8% mortality rate as larvae may burrow through the skull into the brain.
Update 11/6/26:
USDA had already confirmed the first US livestock case in decades in a 3-week-old calf in Zavala County, Texas, and by June 9, 2026 it was reporting six domestic animal detections, including cases in Texas, New Mexico, and a goat in Gillespie County.
A few final points:
- Precautions consist in measures like keeping wounds clean and covered, wearing protective clothing, using insect repellent, and sleeping indoors with screens are essential.
- Treatment might include Ivermectin – yes, the drug that was hyped for COVID might finally come into its own.
- The US meat market share in Europe is extremely small, less than 1% of Europe’s total meat consumption.
- The whole story might seem insignificant, would it not confirm the many other ways in which the Trump administration is almost systematically endangering public health in the US and beyond (see previous posts).
For several decades, eggs were commonly portrayed as a major cause of raised cholesterol and cardiovascular disease. That position has been substantially revised: current evidence suggests that dietary cholesterol has a relatively modest effect on blood cholesterol in most people, whereas saturated and trans fats are more important determinants of LDL cholesterol and cardiovascular risk.
The physiology is more nuanced than the older “cholesterol-in, cholesterol-out” model implied. The liver does synthesise cholesterol endogenously, and many people compensate for increased dietary cholesterol by reducing hepatic production, but the degree of compensation varies considerably between individuals. For that reason, eggs are not best understood as “heart-healthy” in all circumstances, but rather as a food whose impact depends on the wider dietary pattern and the individual’s metabolic risk profile.
There is stronger support for improving lipid profiles by changing the quality of dietary fat and increasing fibre intake. Replacing saturated fats with unsaturated fats, particularly polyunsaturated fats, is associated with lower LDL cholesterol and a reduced risk of cardiovascular events, while soluble fibre helps lower LDL cholesterol by interrupting enterohepatic bile acid recycling. In practical terms, this means that foods such as olive oil, nuts, seeds, legumes, oats, vegetables, and oily fish are more consistently supported than a narrow focus on single items such as eggs.
Low-carbohydrate and ketogenic diets are more complex. Many people lose weight on them, which may improve some cardiometabolic markers, but a subset of lean individuals show pronounced rises in LDL cholesterol and related atherogenic markers during carbohydrate restriction. Emerging evidence also indicates that gut microbial changes may contribute to altered lipid metabolism, although this area is still developing and should not be overstated.
Highly restrictive “detox” or “alternative” dietary programs are unsupported by clinical evidence and may be nutritionally unbalanced and thus harmful. They might be claimed to “purify” the body or reset metabolism, but heart health is better served by sustainable patterns that improve LDL cholesterol, support fibre intake, and minimise excess saturated fat.
What does all that mean in practice? Here are a few simple rules that follow from the new insights:
- Do not over-emphasize dietary cholesterol (e.g., eggs) as a primary driver of cardiovascular risk.
- Focus instead on reducing saturated and trans fat intake.
- Replace saturated fats with unsaturated fats, especially polyunsaturated fats (e.g., use olive oil, eat nuts and seeds).
- Increase intake of soluble fibre (e.g., oats, legumes, vegetables) to help lower LDL cholesterol.
- Consider overall dietary patterns rather than judging single foods in isolation.
- Recognize that individual responses to dietary cholesterol vary; tailor intake accordingly if lipid levels are a concern.
- Include foods with consistent cardiovascular benefit, such as oily fish, plant-based foods, and whole grains.
- Be cautious with low-carbohydrate or ketogenic diets, particularly if lean, and monitor lipid profiles if following such diets.
- Prioritize sustainable, balanced eating patterns over restrictive or extreme diets.
- Avoid “detox” or alternative dietary regimens lacking clinical evidence, as they are ineffective or harmful.
Key references
- Carson JAS, Lichtenstein AH, Anderson CAM, et al. Dietary cholesterol and cardiovascular risk: a science advisory from the American Heart Association. Circulation. 2020;141:e39–e53.
- Estruch R, Ros E, Salas-Salvadó J, et al. Primary prevention of cardiovascular disease with a Mediterranean diet. N Engl J Med. 2013;368:1279–1290.
- Hooper L, Martin N, Jimoh OF, et al. Reduction in saturated fat intake for cardiovascular disease. Cochrane Database Syst Rev. 2020;(5):CD011730.
- British Heart Foundation. Healthy eating – reduce your risk of developing heart disease. 2023. – Search
- NHS. Facts about fat. 2022. – Search
- Ketogenic Diet reduces friendly gut bacteria and raises cholesterol levels
- Gut bacteria can break down cholesterol | Nature Reviews Cardiology
- Healthy eating: applying All Our Health – GOV.UK
The US resurgence of measles in 2026 serves as a stark, data-driven refutation of the anti-vaccine rhetoric championed by quacks like Robert F. Kennedy Jr. For years, vaccine antagonists have framed immunisations as a matter of personal autonomy, minimizing the societal dangers of declining rates. Yet, public health is not governed by ideology, but by biology. The realities of 2026 – marked by over 2,000 confirmed measles cases across 40 US jurisdictions – demonstrate that when charlatans undermine trust in medical science, the real-world consequence is the return of preventable, highly contagious and dangerous diseases.
The core flaw in RFK Jr.’s rhetoric, it seems to me, is the failure to understand that vaccine protection is a collective barrier, not just an individual shield. Measles is one of the most infectious viruses known to humanity, requiring a high community vaccination threshold of 95% to maintain herd immunity. When coverage drops below this line, the virus easily finds pathways to spread. Because of sustained anti-vaccine sentiment, US kindergarten MMR coverage dropped from 95.2% in 2019–2020 to a dangerous 92.5% by the 2024–2025 school year. This decline left roughly 286,000 children unprotected, effectively dismantling the wall that kept measles at bay for decades.
Furthermore, public health crises thrive on localized vulnerability. While national averages can mask the severity of the issue, anti-vaccine messaging often clusters within specific communities, creating relatively dense pockets of under-vaccinated populations. When measles enters these communities, it does not remain isolated; it triggers rapid, localized outbreaks where almost all of cases are tied directly to these transmission clusters.
Beyond its well-known immediate dangers, a measles infection inflicts severe, long-term damage on the human body by causing a phenomenon known as immune amnesia. The measles virus actively targets and destroys memory T and B cells, the specialized white blood cells responsible for remembering past pathogens. A single measles infection can wipe out 11% to 73% of a person’s preexisting antibodies, effectively erasing the body’s immunological memory. While the patient develops immunity to measles itself, their defense system is left “flying blind” against other entirely unrelated viruses and bacteria they had previously beaten or been vaccinated against. This induced state of generalized immunosuppression typically lasts from two to five years, leaving recovered individuals dramatically more vulnerable to secondary, life-threatening infections long after the initial measles rash has cleared.
Ultimately, the current measles spikein the US illustrates that US public health control is being sabotaged. When prominent morons like RFK Jr. weaponize anti-vax delusions and distort clinical data, they do not simply foster debate, they actively erode the herd immunity threshold. The current US outbreak proves that the protection wall has thinned below the critical margin of safety. Far from being under control, measles has found a resurgence precisely because the rhetoric of figures like RFK Jr. has opened the door for a dangerous, preventable virus to reclaim its ground in and beyond the US.
On May 27, 2026, the U.S. Food and Drug Administration (FDA) and Centers for Disease Control and Prevention (CDC) announced they are investigating a 3rd multistate outbreak of Salmonella infections linked to moringa powder supplements in 2026. Moringa oleifera supplements (including green powders and capsules) are heavily marketed as a “superfood” and a natural multivitamin powerhouse. They are primarily promoted for:
- Nutritional Support: Providing high concentrations of protein, iron, calcium, and vitamins A, C, and E.
- Energy & Metabolism: Boosting daily vitality and supporting healthy weight management.
- Blood Sugar & Heart Health: Helping to regulate glucose levels, lower cholesterol, and manage blood pressure.
- Immune & Inflammation Support: Using rich antioxidant content (like quercetin) to combat cellular stress and ease joint pain or chronic inflammation.
The agencies re-opened an outbreak investigation originally closed on March 17 after discovering 22 new illnesses from 4 US states. The total now stands at 119 patients across 36 states infected with Salmonella Typhimurium or Salmonella Newport strains, including 32 hospitalizations and no deaths. Illness onset dates range from August 22, 2025, to April 26, 2026.
Among 79 interviewed patients, 70 reported consuming moringa leaf powder products. The recalled product list expanded to include TNvitamins-brand Ultra Potent Complete Green Superfood Moringa capsules and Doctor’s Pride Complete Green Superfood Ultra Potent Moringa capsules distributed by Total Nutrition Inc., plus Why Not Natural Pure Organic Moringa capsules and All Live it Up-brand Super Greens dietary supplement powders.
The new investigation involves Salmonella Typhimurium infections linked to MOGO-brand moringa powder capsules distributed by MOGO Moringa LLC of St. Louis. 18 people infected with the outbreak strain have been reported from 14 states, with illness onset from February 3 to April 7, 2026. Of 8 interviewed individuals, 6 reported consuming moringa powder capsules, including 4 who specifically consumed MOGO-brand products. Seven hospitalizations occurred with no deaths reported. MOGO Moringa LLC has recalled specific lots (#15525AA EXP 6/2027 and #00926AA EXP 1/2028) of MOGO-brand Pure Moringa Oleifera capsules. The FDA is conducting traceback investigations to identify the contamination source and working with state partners to collect samples.
In April 2026, the FDA closed a separate outbreak investigation involving moringa supplements contaminated with “extensively drug-resistant” Salmonella. This outbreak linked to Rosabella-brand moringa powder capsules distributed by Ambrosia Brands LLC resulted in seven illnesses across seven states, with three hospitalizations.
Three moringa-related outbreaks in a single year underscore systemic issues affecting botanical ingredients in the global natural health industry, particularly regarding imported moringa leaf powder contamination. Health officials urge consumers who used moringa products and developed symptoms – diarrhea, abdominal cramps, fever within 12-72 hours – to seek medical attention and inform doctors about potential Salmonella exposure. Healthy adults typically remain ill for 4-7 days. Severe diarrhea may require hospitalization.
Update, 7/6/26:
Following the May 27, 2026, announcements, Total Nutrition Inc. expanded its voluntary recall on June 2 to include Lot 2748 (Exp. 07/2027) for both TNVitamins and Doctor’s Pride brands after a traceability review linked it to previously contaminated raw materials. Meanwhile, the active investigation into MOGO-brand capsules remains unchanged with 18 reported illnesses, and the FDA continues to urge consumers to check their pantries for any remaining Rosabella-brand products from the closed April outbreak. Federal and state health officials are actively working with major online platforms—including Amazon, Walmart, and TikTok Shop—to ensure all recalled moringa supplements are fully removed from the market, while reminding consumers to seek medical care if they experience Salmonella symptoms.
Dr. Toby Rogers, a political economist and fellow at the libertarian Brownstone Institute, ignited a firestorm in March 2026 when he declared the current childhood vaccination program “one of the greatest crimes in human history” (“libertarian” refers to someone who advocates for extreme individual liberty—particularly freedom from government mandates and regulations—believing that the state should be minimized and that individuals should have absolute autonomy over their own bodies, property, and choices without state coercion).
Rogers’ 2026 statement is not an isolated outburst but the culmination of years of vaccine skepticism. After his partner’s son was diagnosed with autism in 2015, Rogers abandoned his original doctoral focus to study autism’s causes, reviewing nearly 1,000 studies over four years. He concluded that vaccines are the primary driver of the autism epidemic. The overwhelming scientific consensus, however, is that vaccines are safe and that autism’s rise stems from improved diagnosis, broader criteria, and complex genetic and environmental factors unrelated to immunization (see the plethora of previous posts on this subject). His PhD thesis, The Political Economy of Autism, and subsequent publications have been widely criticized by the scientific community. Its methodological flaws include:
- selection bias,
- cherry-picking,
- inclusion of weak studies,
- dismissing robust epidemiological research.
Rogers’ 2026 statement elevates personal conviction and contested research over scientific rigor and public health reality. Rogers argues that children receive too many vaccines too early, warning of “cumulative effects” on developing immune systems. Yet the Institute of Medicine has found no evidence of major safety concerns with the current childhood immunization schedule, and the National Academy of Sciences has repeatedly affirmed that vaccines are safe and effective. Rogers dismisses the 22 major studies confirming vaccine safety as “worthless” because they lacked a true unvaccinated control group—a standard that is both ethically impossible and scientifically unnecessary given the massive population data demonstrating vaccine safety over decades.
Rogers’ evidence relies heavily on a handful of independent studies to support his claims. These studies have been criticized for small sample sizes, selection bias, failure to control for confounders, and methodological flaws so severe that some of Rogers’ co-authored papers, such as “Autism Tsunami,” were retracted from peer-reviewed journals. His claim that vaccinated children have dramatically higher rates of autism and chronic disease rests on research that has not withstood independent replication or scrutiny by mainstream scientists. By contrast, the scientific community’s confidence in vaccine safety derives from massive, longitudinal studies involving millions of children, rigorous clinical trials, and decades of population surveillance.
Rogers’ credibility is compromised not least because he is a regular contributor to Children’s Health Defense, an anti-vaccine organization founded by Robert F. Kennedy Jr. that has a long history of spreading debunked claims. Roger’s testimony before the US Senate Subcommittee on Investigations in September 2025, titled “How the Corruption of Science has Impacted Public Perception and Policies Regarding Vaccines,” tried to position him as a whistleblower exposing “flawed science.” In reality, it relied on the same flawed studies and conspiracy narratives that have been repeatedly discredited by the scientific community.
Rogers receives funding from several anti-vaccine and libertarian organizations, though specific salary figures are not publicly disclosed :
- Brownstone Institute is a libertarian think tank founded by economist Jeffrey Tucker that promotes vaccine skepticism, “medical freedom,” and opposition to public health mandates. The institute is funded by libertarian donors and provides fellowships to researchers who align with its ideology.
- Children’s Health Defense is explicitly an anti-vaccine organization led by Mary Holland (CEO) and founded by Robert F. Kennedy Jr. The organization has illuminated funding sources through IRS 990 filings, showing it raised millions of dollars and pays researchers, speakers, and staff. In Rogers’ Senate testimony, he explicitly stated: “Since then I’ve continued my research with Children’s Health Defense, as an independent journalist, and as a Fellow at Brownstone Institute”.
- Rogers also appears at MAHA Institute conferences (Make America Healthy Again), which is aligned with HHS Secretary Robert F. Kennedy Jr.’s movement and features speakers from anti-vaccine organizations including Children’s Health Defense.
Rogers’s financial ties to anti-vaccine organizations create clear conflicts of interest. His research supports the organizational mission of Children’s Health Defense and Brownstone Institute, and his income appears tied to producing content that aligns with these organizations’ anti-vaccine advocacy. The political economy of Rogers’ work is thus ironic: while he critiques the “political economy of autism” and government response, his own research is funded by private organizations with clear ideological and financial incentives to promote vaccine skepticism.
Rogers is not a medical doctor. He has a doctorate in political economy from the University of Sydney and a Master’s in public policy. He holds no medical degree or formal training in medicine, immunology, epidemiology, or vaccine science. His expertise is in political economy, not medical or vaccine research, which means his claims about vaccine safety and autism lack the scientific credentials required to make authoritative medical assertions.
Smoking kills! Since most people now know about this fact, they have been looking for alternatives that are safe. Here I will discuss two of them: vaping and nicotine pouches.
VAPING
Vaping devices are electronic nicotine delivery systems that heat liquid into an inhalable aerosol. They have surged in popularity. Despite marketing claims to the contrary, substantial evidence reveals significant health risks.
Addiction
Nicotine, the primary active ingredient in most vape liquids, is one of the most addictive substances known. Research indicates that 17.8% of e-cigarette users report feeling “very addicted,” while 42.3% consider e-cigarettes equally or more addictive than combustible cigarettes. The addictive potential is amplified by several factors: modern vape devices use nicotine salts that deliver nicotine more rapidly and in higher concentrations than traditional cigarettes, and the high nicotine concentrations in many devices (often not listed on packaging) accelerate dependence. The more a person vapes, the more their brain and body adapt to nicotine, making cessation increasingly difficult. When nicotine enters the system, it triggers dopamine release, creating a “feel-good” sensation that reinforces continued use. However, nicotine’s effects wear off rapidly, triggering cravings and establishing a cycle of dependence. Nearly all vapes circulating contain nicotine, even when not listed on packaging, making prevaping users unknowingly vulnerable to addiction.
Toxicity
Vaping exposes users to a complex toxic chemical cocktail. The e-liquids contain propylene glycol and vegetable glycerin. These are ingredients meant to be eaten, not inhaled which become toxic when heated. When vaporized, these components transform into dangerous chemicals including acetaldehyde, acrolein, and formaldehyde, all of which can cause lung disease and cardiovascular disease. The two primary e-cigarette ingredients in the US are toxic to cells, with toxicity increasing alongside the number of additives in the e-liquid. Acrolein, a herbicide primarily used to kill weeds present in e-cigarettes, can cause acute lung injury, COPD, asthma, and potentially lung cancer. Vitamin E acetate, a thickening agent sometimes added to THC-containing vape products, was identified by the CDC as a “chemical of concern” in vaping-associated lung injuries. Flavoring agents pose additional risks. Diacetyl, a flavoring chemical linked to “popcorn lung” (bronchiolitis obliterans), is present in many flavored vapes and causes irreversible lung damage. Secondhand emissions contain nicotine, ultrafine particles, volatile organic compounds like benzene usually found in car exhaust, and heavy metals including nickel, tin, and lead. The FDA has not found any e-cigarette to be safe and effective for smoking cessation.
Cardiovascular disease
Vaping is associated with significant cardiovascular risks. Research has linked nicotine-containing e-cigarettes to acute changes in blood flow, including increased blood pressure and heart rate. These physiological effects can lead to atherosclerosis and increase the risk of heart attacks and strokes. Other e-cigarette ingredients, particularly flavoring agents, independently carry risks associated with heart and lung diseases in animal studies. A recent analysis found a significant association between former or current e-cigarette users and the development of several respiratory diseases within two years of use, suggesting cardiovascular and respiratory systems are simultaneously compromised.
Brain damage
The human brain does not fully develop until approximately age 25, making young users uniquely vulnerable. Regular nicotine vape use causes changes to brain development that negatively affect learning, concentration, mood, and memory. Nicotine rewires the brain, changing the parts responsible for decision-making, impulse control, and mood regulation. These changes can interfere with mood and make users more likely to become addicted to nicotine and other drugs. Nicotine exposure during adolescence also increases feelings of stress and worsens depression and anxiety. Vaping hasn’t been around long enough to see irreversible diseases yet, but biologically, damage is happening and inflammation is occurring—creating conditions that will lead to diseases later.
References
- American Lung Association. (n.d.). Health Risks of E-Cigarettes and Vaping. https://www.lung.org/quit-smoking/e-cigarettes-vaping/impact-of-e-cigarettes-on-lung
- American Lung Association. (2025). The Truth About What Vaping Is Doing to Your Body. https://www.lung.org/blog/illnesses-vaping-causes
- Panagis Galiatsatos, M.D., MHS. Johns Hopkins School of Medicine.
- European Journal of Public Health. (2022). Understanding addiction in e-cigarette users – the EVAPE project. Oxford Academic. https://academic.oup.com/eurpub/article/32/Supplement_3/ckac130.078/6765989
- National Institutes of Health. (2024). The Risks of Vaping. NIH News in Health. https://newsinhealth.nih.gov/2020/05/risks-vaping
- American Heart Association. (2023). As E-Cigarette Use Grows, More Research Needed on Long-Term Effects of Vaping. https://www.stroke.org/en/news/2023/07/17/as-e-cigarette-use-grows-more-research-needed-on-long-term-effects-of-vaping
- NSW Health. (n.d.). Vaping – Nicotine Addiction | Young People Factsheet. https://www.health.nsw.gov.au/tobacco/Factsheets/vaping-nicotine-addiction-young-people-factsheet.pdf
- Centers for Disease Control and Prevention. (2025). Health Effects of Vaping. https://www.cdc.gov/tobacco/e-cigarettes/health-effects.html
- National Institutes of Health. (2025). NIH-Funded Studies Show Damaging Effects of Vaping, Smoking on Blood Vessels. https://www.nih.gov/news-events/news-releases/nih-funded-studies-show-damaging-effects-vaping-smoking-blood-vessels
- Johns Hopkins Medicine. (2025). 5 Vaping Facts You Need to Know. https://www.hopkinsmedicine.org/health/wellness-and-prevention/5-truths-you-need-to-know-about-vaping
NICOTINE POUCHES
Nicotine pouches are small, smokeless, tobacco-free pouches containing nicotine. They have existed for a long time but have recently rapidly gained popularity, particularly among young people. They are often claimed to be safer alternatives to cigarettes. Is this claim true?
Addiction
Nicotine pouches are highly addictive by design. Nicotine is a well-established addictive drug that activates reward pathways in the brain, leading to dependence. Research demonstrates that nicotine salts used in pouches deliver higher concentrations more rapidly than traditional nicotine products, accelerating addiction. Among young people who try nicotine pouches, 73% continue using them, indicating strong addictive potential. The average user consumes half a can daily (8-12 pouches), with 10 pouches at 6mg equivalent to 1–1½ packs of cigarettes or 1½ e-cigarette pods daily. Alarmingly, the number of youths using nicotine pouches has doubled in the US since 2021, reaching now ~400,000 users. This rapid uptake among youth suggests that the product’s smokeless, odorless features make nicotine use more accessible and socially acceptable, facilitating addiction before users fully understand the consequences.
Toxicity
Nicotine pouches contain unregulated and potentially toxic levels of nicotine. While nicotine itself is not unregulated, many products in the US lack FDA authorization and are on the market illegally without proper safety testing. A 2022 study found that 26 of 44 nicotine pouch products contained cancer-causing chemicals, including ammonia, formaldehyde, chromium, and nickel. These contaminants likely result from inadequate manufacturing processes and quality control. The absence of standardized regulation means nicotine concentrations can vary significantly between products and even within batches, making dosing unpredictable. Furthermore, non-tobacco nicotine products may seem healthier than smoking, but they come with their own laundry list of health effects, and public health experts recommend avoiding nicotine altogether.
Cardiovascular disease
The cardiovascular risks associated with nicotine pouches are well-documented. Nicotine increases blood pressure, heart rate, and blood flow to the heart while constricting arteries. These physiological effects can lead to atherosclerosis and heart attacks. The American Heart Association explicitly warns that nicotine can damage the heart and other vital organs. However, some industry-sponsored research claims that nicotine administered through pouches has only transient effects on blood pressure and heart rate in healthy users, with no demonstrated long-term cardiovascular damage. This discrepancy highlights the importance of independent research versus industry-funded studies. Nevertheless, the mechanistic evidence—nicotine’s vasoconstrictive and hemodynamic effects—strongly suggests increased cardiovascular risk, particularly with chronic use or in individuals with pre-existing conditions.
Brain dmage
Nicotine damages brain development. The human brain does not fully develop until approximately age 25, making adolescents and young adults uniquely vulnerable to nicotine’s neurotoxic effects. Nicotine exposure during adolescence alters the development of the prefrontal cortex, the brain region responsible for attention, learning, memory, and impulse control. These changes can be permanent, leading to lasting cognitive deficits and difficulties with concentration and memory. Additionally, adolescent nicotine exposure increases the risk of psychiatric disorders, including anxiety and depression, and priming the brain for addiction to other substances. Nicotine pouches are particularly dangerous for youth precisely because of these developmental vulnerabilities. Given that 400,000 US youths now use nicotine pouches, the public health implications are substantial.
References
- American Lung Association. (2024). ZYN 101: What to Know About Big Tobacco’s Latest Addiction. https://www.lung.org/blog/zyn-nicotine-addiction
- American Heart Association. (2025). Triple Threat: The Hidden Dangers of E-Cigarettes, Oral Nicotine Pouches, and Vaping. https://www.heart.org/en/healthy-living/healthy-lifestyle/quit-smoking-tobacco/triple-threat-e-cigarettes-oral-nicotine-pouches
- Cleveland Clinic. (2024). Are Nicotine Pouches Safe? Health.ClevelandClinic.org. https://health.clevelandclinic.org/are-nicotine-pouches-safe
- Dentalcare.com. (2025). Nicotine Impact on Adolescent Brain Development. CE693. https://www.dentalcare.com/en-us/ce-courses/ce693/nicotine-impact-on-adolescent-brain-development
- Verywell Health. (2024). Is Zyn Bad for Your Heart? https://www.verywellhealth.com/is-zyn-bad-for-your-heart-8735079
- Yale Medicine. (2024). What Parents Should Know About Nicotine Pouches. https://www.yalemedicine.org/news/nicotine-pouches
- initiative to Undo. (2024). The Effects of Nicotine on the Adolescent Brain. https://www.undo.org/addicting-kids/the-effects-of-nicotine-on-the-adolescent-brain
- Tobacco Free Coalition. (2025). Not Your Grandparent’s Tobacco: The New Nicotine Products. https://www.tobaccofreeco.org/the-new-nicotine-products-2/
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Having lost several friends to lung cancer, I am convinced that the best alternative to smoking is quitting.
