Well being and Human Providers Secretary Robert F. Kennedy Jr. (R) and Meals and Drug Administration (FDA) Commissioner Martin Makary on the White Home in Could, when Kennedy launched a Make America Wholesome Once more Fee report that blamed the rise in power sicknesses on ultraprocessed meals, chemical exposures, life-style components and extreme use of pharmaceuticals.
Kevin Dietsch/Getty Photographs North America
disguise caption
toggle caption
Kevin Dietsch/Getty Photographs North America
Well being Secretary Robert F. Kennedy Jr. has upended medical analysis and public well being within the U.S. in some ways. One of many concepts that could possibly be influencing his overhaul of federal well being companies dates again to historical Greece.
The miasma concept is among the first concepts that civilization hatched to attempt to clarify why individuals get sick.
“It goes again to Hippocrates,” says Dr. Howard Markel, an emeritus professor of medical historical past from the College of Michigan, Ann Arbor. “He wrote in a e book referred to as Epidemics, that epidemics got here from some sort of air pollution – some air pollution of the ambiance, of the air that we breathe. And therefore we bought horrible infectious illnesses.”
This concept that, in essence, dangerous air induced sickness was later championed by many others, together with Florence Nightingale. It additionally led to some issues that did assist battle illnesses, like cleansing up sewage.
However then got here the germ concept — considered one of humanity’s huge eureka moments. Scientists like Louis Pasteur and Robert Koch found it wasn’t some mysterious stench within the air from rotting rubbish that unfold illnesses. As an alternative, it was dwelling microscopic entities.
“They found what we all know as germs – microbes,” says Melanie Kiechle, a historian at Virginia Tech. “Micro organism and viruses and different microscopic supplies had been truly what induced sickness and likewise defined the unfold of sickness from one individual to a different. So miasma concept is debunked, primarily.”
The invention of germs led to breakthroughs like antibiotics and vaccines.
However in a e book Kennedy printed about 4 years in the past, The Actual Anthony Fauci: Invoice Gates, Large Pharma, and the International Battle on Democracy and Public Well being, the now- well being secretary harkens again to the miasma concept.
“Miasma concept emphasizes stopping illness by fortifying the immune system by way of vitamin and decreasing exposures to environmental toxins and stresses,” Kennedy writes.
However specialists say one drawback is how Kennedy defines miasma concept.
“I’ll categorically say that miasma concept, as historians of medication and science perceive it, isn’t what he’s saying it’s, interval,” says Nancy Tomes, a historian of germ concept at Stoney Brook College, who wrote The Gospel of Germs: Males, Girls and the Microbe in American Life.
However Kennedy’s take might assist clarify a few of his insurance policies, particularly about vaccines.
“The miasma concept is the notion that there are environmental poisons, not essentially rotting natural matter,” says Dr. Paul Offit, a vaccine skilled on the College of Pennsylvania. “For him, these environmental poisons are electromagnetic radiation, pesticides, vaccines. Vaccines are, for him, a modern-day miasma.”
And that is harmful, many specialists say.
“Can stress, air air pollution, different issues, make infections worse? Sure. However the reason for infections is a microorganism,” says Dr. Tina Tan, who heads the Infectious Illness Society of America. “It is the microorganisms which are making individuals sick.”
And vaccines have clearly been proven to securely and successfully defend individuals in opposition to harmful microorganisms, Tan and others say.
“He is attempting to present this false veneer of intellectualism by saying, ‘Oh, the miasma concept,'” says Dr. Amesh Adalja, a senior scholar on the Johns Hopkins Bloomberg Faculty of Public Well being Middle for Well being Safety. “This all simply obfuscation to help his concept that vaccines will not be precious.”
However another observers argue that Kennedy’s concepts in regards to the miasma and germ theories aren’t essentially mutually unique.
“The true debate right here is whether or not we will clear up public well being issues by growing therapies like vaccines, antibiotics, or different medicine? Or whether or not we’ll clear up these issues by strengthening individuals’s immune methods by way of more healthy habits?” says Gregg Girvan, a resident fellow on the Basis for Analysis on Equal Alternative, a Washington suppose tank. “And my response is, ‘Why can we not acknowledge that there’s reality in each positions?'”
Kennedy’s workplace didn’t reply to NPR’s request for extra details about his views in regards to the miasma and germ theories.