If you’re a regular reader of this blog, you know two things – my support for vaccines is unwavering, and my loathing of Donald Trump is unmatched by just about anyone in politics. Seriously, Trump makes me yearn for the days when George W Bush was running things. So when it comes to the future of vaccines and Donald Trump, I’ve reached a whole new level of abhorrence.

In case you’ve not kept up, let’s have a quick review of Donald Trump’s views on vaccines. They’re not good.

First, Trump has been tweeting about vaccines since 2012. He thinks that vaccines cause autism, and he’s been wrong on almost everything about them. He thinks that that children get too many vaccines, he’s wrong on that too, although if he has some medical background which he hid from the world, we’d be glad to hear what his research tells us about “too many vaccines.” He claims that doctors are wrong about vaccines. Oh really? Where’s the evidence.

I don’t know why I would ask for evidence from a man who spends almost all of his day denying evidence for most science.

Of course, the fraudster Andrew Wakefield has had an ongoing bromance with Trump, and explicitly endorsed Trump for President. Talk about putting the fear into the future of vaccines.

The bromance continued after the election, which has had more than a few pro-science types nervously joking that Wakefield might be appointed CDC Director. Of course, Trump wouldn’t choose Wakefield for such an illustrious position. It just doesn’t make sense. Of course, it doesn’t make sense that Betsy DeVos, who has approximately zero knowledge of the American educational system, is confirmed to be Secretary of Education under Trump. I’m laughing nervously.

Next up, Trump had a meeting with vaccine denier, Robert F. Kennedy, Jr., who, despite his family’s illustrious liberal name and support of science, wanted to work for Trump to investigate the safety of vaccines. Depending on the source, Trump either asked or didn’t ask Kennedy to chair a vaccine safety commission. We’re hoping Trump didn’t, but you never know.

Then, Trump named Tom Price to head the Department of Health and Human Services (HHS), which has the ultimate responsibility for America’s vaccine program. Price is a physician, which should be a good thing at HHS. Unfortunately, Dr. Price belongs to a radical, right wing physician’s group called the Association of American Physicians and Surgeons (AAPS). If you’ve never heard of AAPS, they are a politically conservative non-profit association founded in 1943 to “fight socialized medicine and to fight the government takeover of medicine.” Along with being opposed to many public health and right to healthcare issues, they’re not big fans of vaccines and mandatory vaccinations.

Given all of this bad news, where do we stand right now with regards to the future of vaccines and Donald Trump? Well, let’s get to the good news first. Because those of us who are appalled by Donald Trump need all the good news we can get.

Before we discuss the Trump administration’s actions on vaccines, let’s make sure everyone understands that the American public is not in sync with Trump’s views on vaccines. According to the Pew Research Center, 82% of Americans support requiring students in public schools to be vaccinated against measles, mumps and rubella with the MMR vaccine. Moreover, Pew found that about 88% of Americans say that the benefits of vaccines outweigh any risks – an overwhelmingly positive finding about the public perception of vaccines.

On the topic of the future vaccines and Trump, not only is he wrong about the science, but he’s way outside of the mainstream of American’s feelings about vaccinations. Since Trump seems addicted to polls, maybe he’ll see this Pew poll and let the CDC do its job with being encumbered by an anti-science directive. One can only hope. But we’ll circle back to the CDC in a couple of paragraphs.

Also on the “good news” side of things, during the confirmation hearing for Dr. Price, he was asked whether vaccines caused autism – his answer, “I think the science in that instance is that it does not,” was reassuring. Price also said that he would “make certain that factual informing (of public health issues) is conveyed to Congress and the president and the American people.”

Sadly, his comments about vaccines were sometimes less than “full-throated” support. When asked if he believed that the CDC (which is part of HHS) schedule (pdf) for vaccinations should be followed by parents, he answered, “I think that the science and healthcare has identified a very important aspect of public health, and that is the role of vaccinations.” It’s a good answer to some question somewhere, but it did not answer the question about the CDC schedule, which Trump thinks is wrong. I hope I’m not reading between the lines, but it is troubling to read these statements.

A few other pieces of good news should brighten our day with regards to vaccines. Andrew Wakefield has not been nominated to head the CDC. Of course, Trump hasn’t chosen anyone for Director as of yet.

And on the bad side of the news, the CDC seems to be under pressure to bend to Trump’s will. The CDC cancelled a conference on climate change and public health – climate change has a huge impact on public health, and the CDC should be at the forefront of the scientific information about it. Unfortunately, with a climate change denier in the White House, the CDC probably was under pressure to cancel.

I guess the news around the CDC is mostly bad these days.

As for the vaccine investigative commission (or whatever it will be called) that is supposedly going to be headed by Robert F Kennedy, Jr? Well, other than the flurry of reports when they met in early January, there hasn’t been a stitch of news since then – thus on our scale of no news is probably better than whatever horrible news we’ll get from Trump about the future of vaccines, this averages out to pretty good news. Right now, we don’t know anything, other than Kennedy and Trump met to discuss vaccines. There’s no word from the White House whether Kennedy will be heading up this investigation, even if there’s going to be an investigation into vaccines.

Right now, we’re not sure which way the wind is blowing on Donald Trump’s influence on the future of vaccines. Will the CDC quit promoting its vaccine schedule? Will Tom Price push his views about vaccines in a positive or negative way? Will Robert F. Kennedy Jr have a major role in what we perceive about vaccines? Will Trump change his mind and do nothing?

As with almost everything this administration has done, we expect the worst and hope for the best. Unfortunately, “the worst” keeps happening. But, so far, there’s nothing but rumors and suppositions about what will happen with vaccines. And for today, we’ll take that as hopeful. But I’m not sure what’s going to happen tomorrow or next week with regards to Donald Trump and vaccines. I’m hoping that the future of vaccines looks good, but I’ve got a bad feeling about this.

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