It is much more than a battle over vaccines in the United States.
It has become a proxy war about trust, freedom, and the role of government in public health.
The debate about childhood immunisations, once a matter of bipartisan consensus, is now a defining clash between federal government, state leadership and the medical community.
At the centre of it is the federal government’s sharp policy shift under US health secretary Robert F Kennedy Jr.
He has rolled back vaccine recommendations and reshaped advisory committees with sceptics.
States have responded along ideological lines – Florida planning to abolish all vaccine mandates; California, Oregon, and Washington forming a “Health Alliance” to safeguard them.
The western states felt they had to act when the head of the agency tasked with disease prevention was sacked.
Image: Robert F. Kennedy Jr appears before the Senate Finance Committee on Thursday. Pic: AP
Image: Senator Elizabeth Warren speaks at the hearing. Pic: AP
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2:10
Is US politics fuelling a deadly measles outbreak?
Jab mandates compared to ‘slavery’
Several senior figures at the Centers for Disease Control and Prevention have resigned since Susan Monarez was removed.
The turmoil in public health has led to a fragmented system where Americans’ access to vaccines and the rules governing them, largely depend on where they live.
Likening vaccine mandates to “slavery”, Florida’s surgeon general Joseph Ladapo said the government had no right to dictate them.
“Your body is a gift from God. What you put into your body is because of your relationship with your body and your God,” he said.
It is a tug of war between collective responsibility or individual choice and one that will redefine public health in this nation.
Democrat Zohran Mamdani – who described himself as “Trump’s worst nightmare” – is set to become New York’s next mayor, Sky’s US partner network NBC News projects.
The projected win – with 60.2% of votes counted – comes after one of the most colourful races in years and looks set to have a profound effect on US national politics.
Mr Mamdani will be the first Muslim, first South Asian, and youngest person in a century to be elected as New York City mayor.
The first reaction from the Democrat came on social media while votes were still being counted, where Mr Mamdani posted a video of a subway coming to a stop as a tannoy says: “The next and last stop is: City Hall.”
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After the current Democratic mayor, Eric Adams, announced he would run as an independent after a corruption scandal, Andrew Cuomo emerged as frontrunner to take the party’s nomination.
But in a major upset, relative outsider Mr Mamdani took the nomination instead, and became the favourite for mayor. Cuomo then chose to run as an independent.
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4:08
Who is Zohran Mamdani?
On the eve of the election, Mr Trump said Mr Mamdani – who is known for left-wing policies and campaigning on issues like affordable housing – would bring “disaster” to the city.
He encouraged backers of Curtis Sliwa, the Republican candidate who trailed in polling, to transfer their votes to Mr Cuomo instead.
Image: Pic: NDZ / STAR MAX / IPx / AP
New York’s mayoral race was one of four elections on Tuesday serving as a bellwether referendum on Mr Trump’s second term as president.
Democrats Abigail Spanberger and Mikie Sherrill won their races to become state governor in Virginia and New Jersey, respectively.
This breaking news story is being updated and more details will be published shortly.
A cargo plane has crashed near an airport in Kentucky.
Louisville Metro Police Department (LMPD) say officers are attending the scene of the accident near Louisville International Airport.
The force added: “LMPD and multiple other agencies are responding to reports of a plane crash near Fern Valley and Grade Lane.
“Grade Lane will be closed indefinitely between Stooges and Crittenden. Injuries reported.”
UPS said it has been notified of an incident involving one of its aircraft. In a statement on its website, the company said three people were on board.
Image: A fireball erupts near airport property after reports of a plane crash at Louisville International Airport, Kentucky. Pic: Jon Cherry / AP
Image: Pic: Brad Harvey / AP
Image: Pic: Jon Cherry / AP
A shelter-in-place order was also issued within five miles of the Kentucky airport, which is also home to UPS Worldport, the delivery firm’s largest package handling facility in the world.
The airport said that all arriving and departing flights are temporarily suspended, that the airfield is closed, and warned passengers should closely monitor their flights.
The US Federal Aviation Authority (FAA) said the crash happened around 5.15pm local time (10.15pm UK time) as the plane left the airport, bound for Honolulu in Hawaii.
It added that the aircraft was a McDonnell Douglas MD-11 plane, primarily used by cargo airlines.
Kentucky governor Andy Beshear added on social media: “First responders are onsite, and we will share more information as available.
“Please pray for the pilots, crew and everyone affected. We will share more soon.”
This breaking news story is being updated and more details will be published shortly.
Former US vice president Dick Cheney has died from complications of pneumonia and cardiac and vascular disease, his family has said.
In a statement, his family said the 84-year-old was surrounded by his wife Lynne, daughters Liz and Mary, and other family members.
The Republican was one of the most polarising vice presidents in US history under George W Bush from 2001 to 2009, and was a leading advocate of the invasion of Iraq in 2003.
Image: Dick Cheney with George W Bush. Pic: Reuters
In later life, he became a target of Donald Trump, especially after his daughter, Liz Cheney, became the leading Republican critic and examiner of Mr Trump’s actions surrounding the January 6 2021 insurrection at the US Capitol.
“In our nation’s 246-year history, there has never been an individual who was a greater threat to our republic than Donald Trump,” Mr Cheney said in a TV advert for his daughter.
“He tried to steal the last election using lies and violence to keep himself in power after the voters had rejected him. He is a coward.”
Image: Dick Cheney looks on as his daughter Liz Cheney takes the oath of office in 2017. Pic: AP
Last year he said he was voting for Kamala Harris, the Democratic candidate, to be president against Mr Trump.
Mr Cheney survived five heart attacks and declared in 2013 he woke up each morning “with a smile on my face, thankful for the gift of another day”.
Image: Pic: Reuters
His family’s statement said: “For decades, Dick Cheney served our nation, including as White House Chief of Staff, Wyoming’s Congressman, Secretary of Defense, and Vice President of the United States.
“Dick Cheney was a great and good man who taught his children and grandchildren to love our country, and to live lives of courage, honor, love, kindness, and fly fishing.
“We are grateful beyond measure for all Dick Cheney did for our country.
“And we are blessed beyond measure to have loved and been loved by this noble giant of a man.”
This breaking news story is being updated and more details will be published shortly.