While there's been uncertainty around the constantly shifting COVID-19 vaccine recommendations and guidelines in the United States, the Centers for Disease Control and Prevention (CDC) has provided clarification, something that forcefully contradicts recently expressed views by Health and Human Services (HHS) Secretary Robert F. Kennedy Jr. In a development that emphasizes increasing frictions between political figures and federal health agencies, the CDC has begun recommending COVID-19 vaccination for children between six months and 17 years old, but only in consultation with a health care provider. This nuanced stance is part of a larger shift toward collaborative clinical decision-making for pediatric vaccinations, as much as it is impeded by misinformation and policy ambivalence on public awareness.

Last week, Robert F. Kennedy Jr., known for his controversial views on vaccines, announced through a video posted on X (formerly Twitter) that the federal government was no longer advising COVID-19 shots for healthy children or pregnant women. Yet, the CDC's new vaccination schedule, published online shortly later, flatly contradicts Kennedy's assertion.

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The CDC then indicates that otherwise healthy children can still get the COVID vaccine, but the healthcare provider's clinical judgment and personal circumstances and preference should inform this decision. For many, this is a big reversal from previous recommendations that highly encouraged COVID vaccinations in children and pregnant women without condition.

The CDC's advice comes as Kennedy, temporarily on leave from the anti-vaccination group Children's Health Defense, remains to spread uncertainty regarding vaccine effectiveness and safety. While stating he only opposes vaccine mandates in favor of vaccine choice, not across-the-board opposition, Kennedy has repeatedly made false public claims that vaccines, including the COVID-19 vaccines, are associated with autism, claims refuted by decades of science.

Public health professionals have said the CDC's shift toward shared clinical decision-making provides more room for flexibility, enabling families and providers to partner together based on individual health histories and risks.

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This type of recommendation is good in theory but difficult to make in practice. Health insurance does not always cover vaccines under shared decision-making provisions. Look for inconsistency in coverage, prior authorization, and out-of-pocket expenses, all of which will discourage vaccination.

The American Academy of Pediatrics (AAP) was cautiously optimistic about the CDC's updated guidelines, commending the maintenance of access but criticizing the "deeply flawed process" that resulted in the change in policy. AAP President Susan Kressly noted continued concerns regarding the manner in which changes are communicated by federal agencies, cautioning that inconsistent messaging would compromise the nation's immunization infrastructure.

The new CDC vaccination schedule significantly does not include any special recommendation for healthy pregnant women, a fact Kennedy utilized in his video. Nonetheless, leading medical associations and professionals have quickly refuted any implication that COVID-19 vaccines are unsafe or unnecessary for pregnant women.

Dr. Steven J. Fleischman, president of the American College of Obstetricians and Gynecologists (ACOG), highlighted, "Even after the recommendation shift from HHS, the science remains unchanged. COVID infection during pregnancy can cause severe disability, stillbirth, and maternal death. The vaccine is safe and effective during pregnancy."

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Medical research repeatedly demonstrates pregnant women are at increased risk of severe COVID illness. Not only does vaccination lower hospitalization and death rates, it provides newborns with passive immunity through maternal antibodies. The lack of explicit guidance on the new CDC website has created concerns among advocates for maternal health, as they worry access and coverage will decrease without robust federal leadership.

Public Health vs. Personal Choice

Kennedy's framing of the issue is in terms of personal choice and informed decision. He has advocated for complete openness and more individual control over vaccine choices, saying, "People ought to have choice and ought to be informed by the best information."

But public health professionals caution that such rhetoric overlooks the collective aspect of immunization. Vaccines are only highly effective when they are given to large numbers of people, inducing "herd immunity" that shields those with weakened immune systems who cannot safely take vaccines themselves. Declining uptake jeopardizes this protection and can cause increased risks of subsequent outbreaks.

Vaccination choices don't impact people individually, they impact public safety. When more people don't vaccinate, everyone is more at risk, particularly young children and those who are immunocompromised.

As a result of these policy changes, access to care continues to be a priority. Insurers might, in response to the CDC's more permissive suggestion, opt to cut or curtail pediatric COVID vaccine coverage. In the absence of a specific directive, families might incur surprise costs or logistics issues, another barrier in an already complicated health system.

In addition, the FDA's proposed fall guidance means that new COVID boosters will only be licensed to high-risk individuals, including those over 65 or with serious comorbidities. The FDA has also asked vaccine manufacturers to conduct new, large-scale studies to affirm on-going safety and need—potentially postponing access for others.

This regulatory roadblock also adds to the vaccination picture for families attempting to make the most informed decisions with incomplete data and shifting guidelines.

As the world has learned to live with COVID-19, public health leaders stress that the key to retaining public trust is clear, consistent messaging. The CDC's confusing and incomplete website postings at last look on Friday, some pages still had outdated advice suggesting COVID vaccination for pregnant women have only fueled public doubts.

"Families have the right to transparency, but also to clarity," added Kressly of the AAP. "At the moment, too much confusion is present when firm guidance is needed."

An August report from CDC highlighted the life-saving power of childhood vaccination programs, estimating that between 1994 and 2023 they had prevented over 500 million illness cases, 32 million hospitalizations, and 1.1 million deaths. As vaccine hesitancy intensifies and policy shifts send mixed messages, experts worry these hard-won gains could be threatened.

Diabetes is known for its impact on blood sugar but one of the first and often overlooked warning signs may appear right in front of your eyes—literally. Changes in vision might be the first sign that there is something amiss, even ahead of the official diagnosis of diabetes.

The Centers for Disease Control and Prevention (CDC) reports that an estimated 30.3 million adults in the United States have diabetes, and nearly 90% of them have Type 2 diabetes—a condition in which your body becomes resistant to insulin and has difficulty regulating normal blood sugar levels. While the disease is usually linked to complications such as neuropathy or kidney disease, your eyes may be the first organ to exhibit signs of suffering.

The eye is a sensitive organ covered in a close network of blood vessels, particularly in the retina—the thin layer of tissue at the back of your eye that facilitates vision. High blood sugar levels over time can hurt these small blood vessels, making them become inflamed, leaky, or clogged. That's called diabetic retinopathy, and it's one of the first—and possibly most destructive—complications of diabetes.

Over one-third of working-age population with diabetes already have signs of diabetic eye disease, and it is still a major cause of blindness among this group. Many are also unaware they have it—until their eyesight is already compromised.

What is Diabetic Retinopathy?

Diabetic retinopathy often progresses painlessly and without any signs, at least in its early stages. That's why regular eye exams are so important—despite your vision appearing completely normal.

If left uncontrolled, diabetic retinopathy may result in impaired or even complete vision loss. Worse, the damage tends to be permanent. Early detection and therapy can slow or even prevent progression, but the secret is to be vigilant and preventive.

Early Warning Signs of Diabetes In Your Eyes You Can't Ignore

Floaters

Tiny specks, cobwebs, or worm-like forms floating in your line of sight are usually harmless. But a sudden proliferation of floaters—particularly if there's blurred or obscured vision—may indicate bleeding into the retina, a symptom of diabetic retinopathy.

Dark Spots

Any dimming of vision or blind spots, especially in the central visual field, are warning signs. These "blockages of vision" can indicate swelling of the retina or hemorrhaging—and need to be seen by an ophthalmologist right away.

Blurred Vision

Changes in blood sugar levels can disrupt your eye's ability to focus, causing fleeting or ongoing blurring. This can make it harder to read, drive, or identify faces and can continue to get worse if left unchecked.

Vision Loss or Shadows

Partial blindness, i.e., reduced peripheral vision or inability to see in dim light, can be a sign of advanced retinopathy or retinal detachment. Vision can even black out for a short time—a warning of extreme vascular damage.

If you have any of these symptoms, even if you don't have diabetes, it is important to consult an eye care professional immediately.

What Causes Diabetic Eye Damage?

Diabetic retinopathy occurs when high blood glucose levels start damaging the tiny blood vessels of the retina—the light-sensitive nerve tissue at the back of the eye. The vessels can become clogged, leak fluid or blood, or cause new and fragile, abnormal vessels to grow through a process known as neovascularization. This cascade can result in swelling, inflammation, scarring, and, eventually, retinal and optic nerve damage. In bad cases, the retina can come loose or fluid will pool in the macula (the retina's center portion), producing a condition called macular edema. These issues can lead to permanent loss of vision if left untreated.

Even though any diabetic is susceptible to developing diabetic retinopathy, there are some populations that are particularly at risk. These include those with Type 1 and Type 2 diabetes, especially those with poorly managed blood glucose levels. Pregnant women who develop gestational diabetes and individuals who have had diabetes for longer than five to ten years have a higher risk of retinal complications. Those with coexisting conditions like high blood pressure or elevated cholesterol are at even greater risk, as these issues can accelerate the damage to blood vessels in the eyes. Research indicates that up to 75% of people with Type 1 diabetes will develop some form of retinopathy, while approximately 50% of individuals with Type 2 diabetes show signs—often within the first decade following diagnosis.

Can Diabetic Retinopathy Be Cured?

Regrettably, diabetic retinopathy has no cure. The condition can be prevented from worsening if intervention is made early. Thanks to the advancements in medical technology, a number of treatment avenues can be employed. Anti-VEGF injections are usually used to prevent abnormal vessels from growing on the retina. Laser therapy is also an effective method that involves destroying leaking vessels and preventing vision loss. In more serious instances, vitrectomy surgery might be necessary to eliminate scarring tissue or blood within the eye. Most importantly, the most important thing is to control diabetes properly—adhering to healthy blood sugar levels, blood pressure, and cholesterol can go a long way in preventing serious eye complications in the long run.

Protect Your Vision with These 3 Non-Negotiable Steps

If you’ve noticed floaters, blurriness, or dark spots, don’t dismiss them. These could be more than visual annoyances—they might be early cries for help from your body. Although it's clear that preventive care, lifestyle changes, and monitoring are your best weapons against diabetes-related blindness.

1. Prioritize Lifestyle Interventions

Exercise, proper diet, and weight control are important. Include low-impact activity such as walking, yoga, or swimming. Follow a diet with high fiber, antioxidants, and whole grains and reduce saturated fats and refined carbohydrates.

2. Monitor Blood Sugar and A1C Levels

Regular blood sugar checks and routine monitoring of A1C levels (which measure average glucose over three months) can help you detect and correct abnormal trends. Aim for an A1C below 7%, or as recommended by your healthcare provider.

3. Don’t Skip Eye Exams

Your diabetes care regimen should include a dilated eye exam once a year. These tests alone can detect early signs of diabetic retinopathy. More frequent examinations may be warranted if risks or symptoms rise.

Your vision is not simply a measure of how well you see—it's literally a window to your overall health. In some cases, eye problems might be the first sign that you have diabetes. That's why receiving regular eye exams—even in the absence of obvious symptoms—is a key component of preventive care.

A new study has found that teenagers who are "night owls"—meaning they prefer to stay up late and wake up later—tend to act more on impulse, sometimes in ways that aren't good for them. This is different from "early bird" teens who like to go to bed and wake up early. These new findings will be shared at an upcoming big meeting for sleep doctors, the American Academy of Sleep Medicine (AASM).

Impulsivity Not Linked to Body Clocks

You might think that acting on impulse has something to do with a teen's internal body clock, which tells them when to sleep and wake up. This clock is managed by a hormone called melatonin. However, this study found something surprising: the teens' impulsivity wasn't connected to their melatonin levels at all.

Instead, how impulsive a teen was seemed to be linked to whether they said they preferred staying up late. Experts noted there was no strong connection between melatonin levels and impulsivity, suggesting that other psychological or behavioral factors might be influencing both a teen's impulsiveness and their desire to be a night owl, apart from their body's internal clock.

How the Study Was Done and What They Saw

For this study, researchers looked at information from 210 teenagers. The teens filled out questionnaires to describe how impulsive they were and what their preferred sleep habits were. They also gave saliva samples to check their melatonin levels and wore a special wristband for a week to keep track of their sleep.

The study showed that teens who liked staying up late were more likely to act without thinking, especially when they were feeling negative emotions. These teens also tended to give up easily on tough tasks instead of trying to stick with them.

Why This Matters and What Parents Can Do

Acting on impulse can lead to serious problems, like using alcohol or drugs. Because of this, the researchers believe that parents might be able to help their teens by encouraging them to go to bed and wake up at more regular times.

This research is set to be shared at the AASM meeting. It's good to remember that information shared at these types of meetings is usually considered early findings until it's officially reviewed and published in a medical journal.

Why Do Teens Need More Sleep?

The Canadian Paediatric Society explains that teens need extra sleep because they're going through a period of really fast physical, mental, and emotional growth. Your body and brain are doing a lot of work!

You might think a little less sleep isn't a big deal, but medical research proves otherwise. Teens who regularly don't get enough sleep are more likely to struggle in school. Why? Being tired messes with your memory, concentration, and most importantly, your motivation (your drive to achieve goals).

Over-tired teens are also more likely to be in car crashes and other accidents because sleepiness slows down your reaction times. Research also shows that not getting enough sleep can affect your mood. Simply put, teens who don't get enough sleep are more likely to experience depression, which is a serious health issue.

Tips to Help You Get More Sleep

If you're constantly feeling sleepy, there are several things you can try to improve your rest. Start by creating a relaxing bedtime routine, making sure your room is cool, dark, and quiet, and always falling asleep in your bed rather than in front of the TV. Aim for at least 8 hours of sleep each night, with many teens needing 9 or 10, and try to go to bed and wake up around the same time daily, even on weekends (staying within 2-4 hours of your weekday wake-up). Expose yourself to morning light right after waking and exercise daily, but avoid intense workouts close to bedtime.

The United States is experiencing its largest and most significant measles outbreak in over 30 years. With 1,168 cases confirmed in 34 states through early June 2025, the country is poised to exceed the 2019 outbreak total of 1,274, putting the measles elimination status America gained in 2000 at risk.

The recent surge is more than four times the number of cases that were reported in 2024 (285 cases), an alarming trend that public health officials warn can be exacerbated if not addressed immediately.

As of data provided by the Centers for Disease Control and Prevention (CDC), measles have already been reported in 34 states, which include densely populated areas like California, Texas, Florida, New York, and Illinois, as well as relatively more rural states like South Dakota, Montana, and Vermont. Particularly, Texas registers 742 cases, with almost 100 hospitalizations, though the transmission there has dwindled in recent weeks.

The CDC has identified 17 separate outbreaks, a rapid increase from the 16 that occurred throughout all of 2024. The outbreaks have caused 89% of all reported cases of measles this year, indicating that clustered exposures — frequently due to travel or regional vaccine refusal — are responsible for driving the surge.

The demographic statistics tell an unmistakable story of vulnerability:

• 5 to 19 years of age comprise 38% of total cases
• Adults comprise 33%
• Children under the age of 5 years comprise 29%

Alarmed, 95% of cases were either unvaccinated or their vaccination history was unknown. Just 3% of individuals who were infected had both doses of the measles, mumps, and rubella (MMR) vaccine.

Three fatalities have already been confirmed: two in unvaccinated school-age children in Texas with no pre-existing health condition, and one in New Mexico, that of an unvaccinated adult. These sad incidents highlight how dangerous the illness can be, particularly when preventable by vaccination.

Is Decreasing Vaccination Rates Spurring the Surge?

The CDC advises two MMR doses—one at 12 to 15 months, and a second at 4 to 6 years. The two-dose regimen is 97% effective against measles. However, coverage is falling below thresholds critical to herd immunity:

Only 92.7% of kindergartners across the country got both doses of MMR in the 2023–2024 school year.

This is down from 93.1% the year before and 95.2% in 2019–2020 (pre-pandemic levels).

In some communities, coverage falls well short of herd immunity levels, allowing outbreaks to take hold.

Routine immunization programs were severely disrupted during the pandemic years, and residual vaccine hesitancy driven by misinformation has widened the gap further.

How International Travel and Global Outbreaks Are Contributing?

This year's surge has a very international element, with several new U.S. cases attributed to travelers returning from nations currently struggling with their own measles outbreaks. For example:

A teenage tourist in Virginia transmitted the virus to a child under 4 years old.

The same trend was observed in Georgia, where an unvaccinated local caught measles from an infected family member who was a tourist in a foreign country.

Across the globe, Canada is having a bigger outbreak with 2,755 cases, almost 2,000 of them in Ontario province alone. Sadly, the nation reported its first measles fatality of the year—a premature baby born to an unvaccinated woman. The UK Health Security Agency also made warnings prior to the summer travel season, warning that increasing case loads around the world could lead to further transmission.

Measles is one of the most infectious diseases known to mankind. The CDC states that a person infected with the virus can infect 9 out of 10 close contacts if the contacts are not immunized or are immune-deprived.

Symptoms of cough, runny nose, rash, and high fever may appear manageable—but the effects are dire. At risk are:

• Pneumonia
• Encephalitis (inflammation of the brain)
• Blindness
• Death, especially among children and immunodepressed persons

Because of these risks, measles continues to be a high-level threat, especially where vaccination levels drop below herd immunity levels (traditionally deemed to be close to 95%).

Is There A Way To Slow Down The Upward Trend?

Federal, state, and local health officials are stepping up to:

• Boost vaccination levels, particularly for school-age children
• Initiate public awareness campaigns to counteract vaccine misinformation
• Enforce stronger immunization requirements in schools and public institutions
• Strengthen port of entry and domestic travel hub surveillance and outbreak response

Experts emphasize that measles elimination remains within reach — but only if immediate action is taken to address the recent downturn in immunization confidence and expand access in underserved communities.

The return of measles in the United States is a wake-up call, not only for this country but also internationally. A disease that was declared eliminated is now re-emerging almost entirely because of preventable reasons such as vaccine reluctance and international travel in a world that is still coming out of COVID-19's shadow.

The current trajectory of data strongly implies that, absent of immediate public health measures, the U.S. might soon record its highest number of measles cases for any given year since 1992—a chastening moment for a country that was once at the forefront of measles control.