America’s ousted vaccine chief has told Sky News there will be more deaths from a growing measles outbreak unless the US government shifts its rhetoric on vaccination.
“Ultimately, they’re not gonna be able to run from reality,” said Dr Peter Marks, former head of vaccines at the US Food and Drug Administration (FDA).
Dr Marks also echoed concerns among public health experts that the federal administration’s stance on vaccinations and cuts to global health initiatives could make the world, including America, more vulnerable to other preventable diseases.
There have been 935 confirmed cases of measles in the US, with outbreaks in six states and cases reported in 23 others.
There are also related outbreaks in Mexico and Canada, which share links to the Mennonite religious community in which the US outbreak took hold.
Image: There have been outbreaks in Mexico and Canada, which share links to the Mennonite religious community. Pic: AP
Dr Marks was forced to resign as the director of the FDA’s Centre for Biologics Evaluation and Research in March after clashing with incoming US Health Secretary Robert F Kennedy Jrover his stance on vaccines and scientific evidence.
RFK Jr has come under intense criticism from public health experts after continuing, despite the outbreak, to endorse alternative and unproven ways to prevent and treat measles.
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Secretary Kennedy has since publicly endorsed the measles, mumps and rubella (MMR) vaccine as the safest and most effective way of preventing measles.
But at the same time, he has continued to criticise the MMR jab.
Image: RFK Jr has endorsed alternative and unproven ways to prevent and treat measles. Pic: AP
MMR – one of the safest and most well-studied vaccines in history – is credited with virtually eliminating measles in the US and much of the developed world in the early 21st century.
Uptake of the vaccine is now falling.
On Friday, as the latest data confirmed measles cases continued to rise, Secretary Kennedy instructed the federal agencies to review the use of alternative drugs in combination with vitamins for the treatment of measles and other diseases.
In an interview the same day, while maintaining he is not opposed to vaccination, Secretary Kennedy repeated erroneous claims that the MMR jab contains “aborted foetus debris and DNA particles”.
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1:15
From March: Why are measles cases so high?
‘These are needless deaths’
Three people have died in the US outbreak so far, two of them children. None had been vaccinated against measles.
“It’s fully appropriate to say that these are needless deaths,” said Dr Marks. “And we’re going to be having more of those if this measles outbreak continues to spread.”
He also believes public health experts need to get better at preventing “misleading information and lies” around vaccination to take hold.
“We have yet to find the kind of active, unified voice that we need to say: ‘hey guys, stop this stuff’,” said Marks.
“These people over there, they’re entitled to their opinion, but they don’t have to harm your kids by broadcasting it.”
He is careful not to directly criticise the man who forced him from his position at the FDA, urging him, instead, to listen to reason.
“To consider alternative viewpoints from those who have a lot of knowledge and experience,” said Marks.
Image: File pic: Reuters
‘A sad day for America’s children’
Others are less cautious about criticising RFK Jr: Paul Offit, a vaccinologist at the University of Pennsylvania, said: “When he was confirmed as Secretary of Health and Human Services, I think that was a sad day for America’s children.
“He has for 20 years been a virulent anti-vaccine activist, science denialist and conspiracy theorist.”
Prof Offit is also concerned about his impact on the rest of the world.
“We export our fears and I think with social media now, it’s much easier to amplify those fears.”
Uptake of the MMR jab is falling in the UK and parts of the EU. Cases of measles have increased there too but, with the exception of Romania, to a lesser extent than in the US.
An increase in measles, one of the most infectious diseases known to science, is often “an early warning sign” of falling vaccination rates more widely, according to the head of the UK’s vaccine advisory committee, Prof Andrew Pollard.
“Just as we’ve seen whooping cough outbreaks here in the UK over the last couple of years,” said Pollard.
“It’s not just MMR where the [vaccination] rates are lower, it’s also other vaccines where we’re not getting such high coverage.”
Image: File pic: Reuters
According to the World Health Organisation, 138 countries have reported measles cases with 61 experiencing large outbreaks. The highest number globally since 2019.
The situation could now get worse after the Trump administration froze the US annual contribution to the WHO, which stood at $960bn last year and has threatened to cut $300m for the global vaccine alliance (GAVI).
“That money not coming through for our next strategic cycle would mean that we will be unable to vaccinate about 75 million children,” said Sania Nishtar, CEO of GAVI.
According to GAVI, that could lead to well over a million additional child deaths over the next five years from diseases like Malaria, meningitis and yellow fever.
GAVI is urging the US administration to reconsider a funding cut, in part because US businesses manufacture many of the vaccines it supplies, but also because it keeps the US safe.
“We are the only agency in the world that maintains the stockpiles of vaccines,” said Nishtar.
“If there’s an Ebola outbreak anywhere in the world, we would be the ones mobilising the stockpiles to ensure that the outbreak is contained. There and then, preventing it from reaching American shores.”
Dr Marks predicts that the administration will be forced to shift its stance if the outbreak continues to grow and vaccine-hesitant Americans begin to witness the typically unseen impact vaccinations have.
He said: “As the deaths start to crank up, public opinion will certainly change because they will see once again what happens when people around them are dying or getting very sick.”
There are developments in the quest for peace in Ukraine.
It’s been one of those days when different snippets of news have come together to create a picture of sorts. The jigsaw remains complicated, but the suggestion is neither the Ukrainiansnor the Europeans have been privy to the developments.
The most intriguing development came at lunchtime on Thursday.
“He must have got this from K…” wrote Donald Trump‘s special envoy Steve Witkoff on X. He clearly thought he was sending a private message.
He was replying to a scoop of a story by Axios’s Barak Ravid.
Image: Steve Witkoff, Trump’s envoy for the Middle East and trusted Ukraine peace plan man. Pic: Reuters
The story revealed a “secret” plan to end the Ukrainewar. The report suggested the Americans had been talking secretly to the Russians about a renewed effort to bring the war to an end, which involved Ukraine ceding land it still controls to Russia.
Who is “K” in Witkoff’s message? It’s probably Kirill Dmitriev, who has become Putin’s unofficial and unlikely envoy to Washington. Kyiv-born and Stanford-educated Dmitriev is, essentially, Witkoff’s Russian opposite number.
In a sense, they are the yin and yang of this geopolitical puzzle. Witkoff is a real estate mogul. Dmitriev is an economist. They are opposing forces with backgrounds that are, on the face of it, equally unsuited to geopolitical conflict resolution. Yet their two leaders are trusting them with this huge task.
Image: Kirill Dmitriev was in Alaska for the Trump-Putin summit earlier this year. Pic: Reuters
‘Territorial concessions’ in 28-point plan
So, back to the developments to have emerged over the last 24 hours.
First, we know senior US Department of War officials, including Army Secretary Dan Driscoll, have arrived in the Ukrainian capital to meet their counterparts there.
Their visit was scheduled but the focus shifted. The plan to discuss drone technology and the winter offensive morphed into a discussion about a Russian-presented peace plan Witkoff and Dmitriev had been discussing.
Image: Rescue workers clear rubble after a Russian strike on Ternopil, Ukraine. Pic: AP
This is the second development. The Axios report – which Witkoff seems inadvertently to have suggested came from Dmitriev – claims the two envoys met recently in Florida (Witkoff’s base) to discuss a 28-point plan for peace.
A defence official told our partners at NBC News that Driscoll has been briefed on the 28-point plan. Driscoll and his military staff are thought to have been presenting an initial brief to the Ukrainian side of this Russian-sponsored plan.
Ukrainian sources have suggested to me in clear terms they are not happy with this Witkoff-Dmitriev plan. Sources tell me it includes “territorial concessions” and “reductions in military strength”. The Ukrainian position is the plan represents the latest attempt to “play the American government”.
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0:50
Death toll rises after Russian strikes
What’s happening with security guarantees?
Ukraine wants security guarantees from the US. Trump signalled during Zelenskyy’s last visit to Washington that he was willing to provide those. This was framed by the Europeans as a huge positive development, even though the White House did not spell out the crucial detail – what would these guarantees actually entail?
The latest reporting, from Axios, suggests the security guarantees (still undefined, publicly at least) are dependent on Ukraine giving up the whole of the Donbas region – this would include about 15% of territory Russia does not currently hold.
Crucially, the areas of the Donbas from which Ukraine would withdraw (the 15%) would be considered a demilitarised zone. The plan is very similar to one floated by Vice President JD Vance in the months before Trump won last year’s election, which was roundly rejected as a non-starter at the time.
Another source, from a third country close to the negotiations, has told me the Qataris are playing a role in the talks and were present at the weekend when Steve Witkoff met Ukraine’s national security advisor Rustem Umerov last weekend.
Qatari and Turkish mediation, along with the multipoint peace plan for Gaza, is being projected as a model transferable to Ukraine despite the conflict, challenges, and root causes being wholly different.
Other European sources told me this morning they were not aware of this Russian-American plan. It’s worth remembering it’s in the interests of the Russians to be seen to be engaged in peace proposals in order to avoid secondary sanctions from the US.
Zelenskyy has been in Turkey over the past 24 hours, where he singled out Trump’s efforts to find peace.
Image: Volodymyr Zelenskyy and Recep Tayyip Erdogan at a press conference in Ankara. Pic: AP
“Since the beginning of this year, we in Ukraine have supported every decisive step and the leadership of @POTUS, every strong and fair proposal aimed at ending this war.” Zelenskyy wrote. “And only President Trump and the United States have sufficient power to make this war come to an end.”
The letter sent by the House Committee on Oversight and Government Reform said members wanted to talk to him because of the widely reported allegations that have been made against him, which he denies, and because of his relationship with Epstein and what he may have seen.
The committee is looking into Epstein’s crimes and his wider sex trafficking network. Andrew was given until today, 20 November, to respond.
Legally he isn’t obliged to talk to them, and to be honest it’s hard to imagine why he would.
The only time he has spoken at length about the allegations against him and his relationship with Epstein was that Newsnight interview in 2019, and we all know how much of a disaster that was.
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2:35
Releasing the Epstein files: How we got here
Yes, this could be an opportunity for him to publicly apologise for keeping up his links with Epstein, which he has never done before, or show some sympathy towards Epstein’s victims, even as he vehemently denies the allegations against him.
But while there is the moral argument that he should tell the committee everything he knows, it could also raise more uncomfortable questions for him, and that could feel like too much of a risk for Andrew and the wider Royal Family.
However, even saying no won’t draw all this to a close. There are other outstanding loose ends.
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13:31
The new Epstein files: The key takeaways
There could also still be a debate in parliament about the Andrew problem.
The Liberal Democrats have said they want to use their opposition debating time to bring the issue to the floor of the House of Commons, while other MPs on the Public Accounts Committee have signalled their intention to look into Andrew’s finances and housing arrangements.
And then there are the wider Epstein files over in America, and what information they may hold.
From developments this week, it seems we are edging ever closer to seeing those released.
All of this may mean Andrew in other ways is forced to say more than he wants to, even without opening up to the Congress committee.
Donald Trump has signed a bill approving the release of files relating to Jeffrey Epstein by the US Justice Department.
“I HAVE JUST SIGNED THE BILL TO RELEASE THE EPSTEIN FILES!” he said in a Truth Social post, following a lengthy preamble aimed at discrediting the Democrats.
“Democrats have used the ‘Epstein’ issue, which affects them far more than the Republican Party, in order to try and distract from our AMAZING Victories,” he continued.
Image: Donald Trump speaking in Washington earlier on Wednesday. Pic: Reuters
The Justice Department now has 30 days to release the documents it holds on the paedophile financier.
WHAT DOES THE BILL SAY MUST BE RELEASED?
All files relating to Epstein, including investigations, prosecutions, or custodial matters;
All files relating to Ghislaine Maxwell;
Flight logs or travel records for any aircraft, vessel, or vehicle owned, operated, or used by Epstein or any related entity;
Individuals named or referenced in connection with Epstein’s criminal activities, civil settlements, immunity or plea agreements, or investigations;
Entities with known or alleged ties to Epstein’s trafficking or financial networks;
Any immunity deals, non-prosecution agreements, plea bargains, or sealed settlements involving Epstein or his associates;
Internal DOJ communications concerning decisions to charge, not charge, investigate, or decline to investigate Epstein or his associates;
All communications concerning the destruction, deletion, alteration, misplacement, or concealment of files related to Epstein;
Documentation of Epstein’s detention or death, including witness interviews and autopsy reports.
How did we get here?
Mr Trump promised during last year’s election campaign to release the Epstein files in full, but has since spent months decrying them as a Democratic “hoax”.
His links to the Epstein have long been subject to scrutiny. Mr Trump has always denied any wrongdoing.
“Because of this request, the votes were almost unanimous in favor [sic] of passage,” Mr Trump wrote in his late-night post announcing the signing of the bill.
The House of Representatives was indeed near unanimous in voting for the material to be released, with 427 in favour and one against.
Hot on the heels of that vote, which was met with cheers in the chamber, the Senate said it too would pass the bill.
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1:35
House passes bill to release all Epstein files
Trump tries to tie Democrats to Epstein
Mr Trump’s post repeatedly labels Epstein as a Democrat, citing his past associations with the likes of Bill Clinton.
Emails, photos and other documents released by Congress in recent weeks have included references to Mr Trump, the UK’s since sacked US ambassador Lord Mandelson, and former British prince Andrew Mountbatten-Windsor, who has faced calls from members of the committee to give evidence.
Like Mr Trump, both Britons have denied any wrongdoing and expressed regret about their relationship with Epstein.
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2:23
What’s at stake for Andrew at US Congress committee?
Unrest in MAGA world
The issue has proved to be a major source of division within Mr Trump’s Make America Great Again movement.
Marjorie Taylor Greene, a long-time Trump backer who publicly fell out with the president just days ago, stood with Epstein survivors on the steps of the Capitol ahead of Tuesday’s Congress votes.
She said: “These women have fought the most horrific fight that no woman should have to fight. And they did it by banding together and never giving up.”