Amy Maxmen, PhD
@amymaxmen.bsky.social
27K followers 2.3K following 470 posts
Award-winning public health reporter at KFF Health News. Bylines at Nature, New York Times, National Geographic & more. [email protected] Signal: AmyMaxmen.25 www.amymaxmen.com & https://kffhealthnews.org/news/author/amy-maxmen
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amymaxmen.bsky.social
Hi! I'm a public health reporter moving from THERE to here. Give me a follow if you're interested in my writing & take:

Public health isn't only about outbreaks & vaccines. It's about making society healthier outside of clinics. It requires systemic change, equity, a belief in the common good.
Reposted by Amy Maxmen, PhD
tyleraking.com
The leadership of the measles outbreak response was fired in the RIF spree while RFK JR attempts to completely dismantle measles vaccine access for children.
Measles (Rubeola)
MENU V
As of October 7, 2025, a total of 1,563 confirmed* measles cases were reported in the United States. Among these, 1,542
measles cases were reported by 42 jurisdictions: Alabama, Alaska, Arizona, Arkansas, California, Colorado, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, lowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Minnesota, Missouri, Montana, Nebraska, New Jersey, New Mexico, New York City, New York State, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, Wisconsin, and Wyoming. A total of 21 measles cases were reported among international visitors to the U.S.
There have been 44 outbreaks** reported in 2025, and 87% of confirmed cases (1,355 of 1,563) are outbreak-associated. For comparison, 16 outbreaks were reported during 2024 and 69% of cases (198 of 285) were outbreak-associated.
amymaxmen.bsky.social
I'd love to hear from anyone who has been at agencies protecting public health this year (eg CDC, HHS, HRSA, HUD, NIH, OSHA). Privacy respected. Signal is AmyMaxmen.25

🧵Here's a thread of some of my stories this year on the impact of the Trump administration on America's public health.
amymaxmen.bsky.social
Hi! I'm a public health reporter moving from THERE to here. Give me a follow if you're interested in my writing & take:

Public health isn't only about outbreaks & vaccines. It's about making society healthier outside of clinics. It requires systemic change, equity, a belief in the common good.
amymaxmen.bsky.social
lenasun.bsky.social
NEW: @CDCgov hit hard by massive firings that several staff describe to me as a “bloodbath.”
Among those RIFd:
—leadership of the center for immunization and respiratory diseases;
—leadership of global health center
—leadership of the measles outbreak response; 1/4
Reposted by Amy Maxmen, PhD
ashtonpittman.bsky.social
ICE left David, a 17-year-old boy, stranded on the side of Interstate 20 after pulling over his immigrant father, Hector, in Mississippi.

David began running in the scorching sun after the car and watched as it disappeared from sight—soon headed to a Louisiana ICE prison.

Here's their story.
ICE Stranded a 17-Year-Old on I-20 After Arresting His Father. The Mississippi Dad Now Faces Deportation.
A 17-year-old watched as ICE arrested his immigrant father, Hector, on I-20 in June. The family faces mounting legal fees and the risk of deportation.
www.mississippifreepress.org
amymaxmen.bsky.social
My info is from sources close to CDC. The groups above are affected by sweeping RIF notices. I don't know if they are entirely eliminated but it seems close to it, if not. The 1,100 HHS number is from a Trump admin court filing summarized here federalnewsnetwork.com/government-s...
storage.courtlistener.com
amymaxmen.bsky.social
The Trump admin is in the midst of laying off 1,100-1,200 HHS staff. The CDC's outbreak responders, gone. The office producing CDC's weekly journal MMWR is gone. CDC staff securing sensitive data, gone. Worker safety, gone. Immunization group, gone.

Instead, Congress watches RFK "make the proof"
atrupar.com
RFK Jr on Tylenol and autism: "It is not proof. We're doing the studies to make the proof."
Reposted by Amy Maxmen, PhD
angierasmussen.bsky.social
I don’t know who needs to hear this but the CDC is being eviscerated right now. America is not going to have any kind of outbreak response capacity after tonight. Americans’ health data is no longer secure. Say goodbye to federal public health in any capacity. It’s a disaster. We won’t recover.
Reposted by Amy Maxmen, PhD
amymaxmen.bsky.social
But I can imagine good intentions. The lead author, Ann Bauer, recently told me there's simply NO decent evidence showing Tylenol early in life links to autism.

She didn't say it's impossible. Just that the data isn't there & it's hard to study well.

Inviting you to @ me @gavinyamey.bsky.social 😅
amymaxmen.bsky.social
They do nothing rule out the *MANY* other factors that come into play here. Their conclusion is that this is worth studying epidemiologically (they haven't.)

I call it an idea paper since it's just a quick & dirty exercise that researchers might do to formulate a hypothesis. IDK why it's published.
These ecological analyses identified positive correlations between autism/ASD prevalence and indicators of both prenatal and very early life paracetamol exposures. If these patterns are confirmed in formal epidemiologic studies, the use of paracetamol during pregnancy and at the time of circumcision may help to explain autism/ASD prevalence variations between the sexes, among countries, and within U.S. states and ethnic groups.
amymaxmen.bsky.social
There simply isn't data showing how much Tylenol children take early in life. So the researchers thought, gee, maybe we can assume that parents give their baby boys Tylenol after circumcision. It's a hell of a leap! They say so (in nerdspeak.)
It is important to acknowledge that this analysis has numerous and significant limitations. First and foremost, correlation is not causation and as such no causal inference is intended. Homogeneity of exposure and prevalence assessment methodologies among the studies has been assumed, but each may be subject to misclassification, confounding and bias. The change in autism/ASD prevalence, circumcision prevalence and paracetamol usage rates over time may not have been adequately addressed. Circumcision rates are presented as a proxy for an early male neonatal exposure to paracetamol. However, this assumption is not without significant limitations. The timeline for the actual implementation of child pain management protocols and the utilization of paracetamol with circumcision is not known. Additionally, pain management guidelines suggest that paracetamol alone is not sufficient to manage circumcision pain so a nerve block or local anesthesia may also be administered, which may be confounding factors.
amymaxmen.bsky.social
Children's Health Defense is like a funhouse mirror for scientific research. But not fun!

Re: circumcision. They cited a 2013 hypothesis-generating, idea paper, where researchers looked for any signs of a potential connection btwn early childhood Tylenol & autism. pubmed.ncbi.nlm.nih.gov/23656698/
Prenatal and perinatal analgesic exposure and autism: an ecological link - PubMed
This ecological analysis identified country-level correlations between indicators of prenatal and perinatal paracetamol exposure and autism/ASD. State level correlation was also identified for the ind...
pubmed.ncbi.nlm.nih.gov
amymaxmen.bsky.social
🧵RFK "HIV-doesn't-cause-AIDS" Jr. is now linking circumcision with autism.

This nonsense was posted by his anti-vax group Children's Health Defense years ago, and I looked into it.

www.youtube.com/watch?v=SS9D...
SHOCK CLAIM: RFK Jr. Says Children Circumcised Early Have Twice The Autism Rate Due To Tylenol Use
YouTube video by Forbes Breaking News
www.youtube.com
amymaxmen.bsky.social
When I was reporting in Sudan several years ago, a driver warned me not to tell government officials when I was leaving because the airport is where they stop and detain writers.

So, yeah, this is a very bad sign. www.theguardian.com/us-news/2025...
US anti-fascism expert blocked from flying to Spain at airport
Rutgers University professor who published book on antifa was informed at boarding gate that his trip was cancelled
www.theguardian.com
amymaxmen.bsky.social
Arriving in a Blackhawk helicopter and more, ICE raids an apartment building in Chicago.

"It was scary, because I had never had a gun in my face," said one resident.

"We're under siege. We're being invaded by our own military."

abc7chicago.com/post/ice-chi...

Citizen app video captured the chaotic scene, and neighbors say there were dozens of ICE agents.

"As I got to my unit to stick my key in the door, I was grabbed by an officer. And, I said, 'What's going on? What's going on?' He never actually told me. He said I was being detained.," said Alicia Brooks.

Neighbors like Eboni Watson say they ducked for cover as they heard several flash bangs.

"They was terrified. The kids was crying. People was screaming. They looked very distraught. I was out there crying when I seen the little girl come around the corner, because they was bringing the kids down, too, had them zip tied to each other," Watson said. "That's all I kept asking. What is the morality? Where's the human? One of them literally laughed. He was standing right here. He said, 'f*** them kids.'"
Reposted by Amy Maxmen, PhD
alexwild.bsky.social
I've obtained the Trump compact document, let me summarize it for you.
Screen cap of a document reading "COMPACT FOR ACADEMIC EXCELLENCE IN HIGHER EDUCATION
INTRODUCTION
American higher education is the envy of the world and represents a key strategic benefit for our
Nation. In turn, the U.S. university system benefits in a variety of ways from its extraordinary relationship
with the U.S. government. These include (i) access to student loans, grant programs, and federal contracts;
(ii) funding for research directly or indirectly; (iii) approval of student and other visas in connection with
university matriculation and instruction; and (iv) preferential treatment under the tax code. To advance the
national interest arising out of this unique relationship, this Compact for Academic Excellence in Higher
Education represents the priorities of the U.S. government in its engagements with universities that benefit
from the relationship. Institutions of higher education are free to develop models and values other than
those below, if the institution elects to forego federal benefits." with bits circled in color and translated to "Nice college you've got there. We hold all your money. It'd be a real shame if anything happened to it."