*

Kennedy vows to tackle chronic disease, corruption, and

provide

data for informed decisions

*

Concerns among some advocates on his views on vaccines,

public

health policies

*

Vaccine makers' shares fall after Kennedy's appointment

announcement

(Adds Trump comments on RFK Jr in paragraph 6)

By Stephanie Kelly

NEW YORK, Nov 14 (Reuters) - President-elect Donald

Trump said on Thursday he has selected Robert F. Kennedy Jr., an

environmental activist who has spread misinformation on

vaccines, to lead the Department of Health and Human Services,

the United States' top health agency.

In a post on X, Kennedy vowed to work to end chronic

disease, clean up corruption and provide Americans with the data

they need to make informed decisions, vowing to Trump he would

work to "Make America Healthy Again."

Kennedy ran for president in this year's election as an

independent before dropping out in August and endorsing Trump in

exchange for a role in the Republican's administration.

Kennedy, the son and nephew of two titans of Democratic

politics, has frequently talked about tackling what he calls the

"chronic disease epidemic" of conditions including obesity,

diabetes and autism, and reducing chemicals in food.

"The Safety and Health of all Americans is the most

important role of any Administration, and HHS will play a big

role in helping ensure that everybody will be protected from

harmful chemicals, pollutants, pesticides, pharmaceutical

products, and food additives that have contributed to the

overwhelming Health Crisis in this Country," Trump said in a

post on social media.

Later on Thursday during a speech at his Mar-a-Lago home in

Florida, Trump praised Kennedy, saying he would do

"unbelievable" things in his new position. "We want you to come

up with things and ideas and what you've been talking about for

a long time," Trump said, without elaborating.

The Department of Health and Human Services oversees drug

regulation, public health agencies including the Centers for

Disease Control and Prevention and health insurance for more

than 140 million people including the poor, those aged 65 and

older, and the disabled through Medicare and Medicaid.

HHS had a $3.09 trillion budget for fiscal year 2024,

representing 22.8% of the U.S. federal budget.

Drew Altman, president of health research firm KFF,

described the move as historic and said what Kennedy, if

confirmed, would ultimately do in the role remains to be seen,

given he has not often discussed programs like Medicaid and

Medicare, which account for much of the U.S. health budget.

"Historically, secretaries have been people with real

experience and standing in national healthcare and he certainly

is not that, and has views from outside the mainstream, and is a

renegade appointment," Altman said.

The appointment, which had been seen as a possibility for

weeks, raised concern among some public health advocates who

said Kennedy could have a negative role in Americans' health

given his power over these agencies. The Democratic Party

decried the decision.

Some politicians and business groups supported the

nomination, such as the National Community Pharmacists

Association, which said it was encouraged by his willingness to

take on corporations.

HEALTH PRIORITIES

Kennedy has been a part of Trump's transition team and has

been reviewing candidate resumes for the top jobs at U.S. health

agencies.

Kennedy has suggested he would gut the 18,000-employee Food

and Drug Administration - which ensures the safety of food,

drugs and medical devices - and replace hundreds of employees at

the National Institutes of Health.

"FDA's war on public health is about to end," he wrote on X

in late October, adding that includes its "aggressive

suppression" of psychedelics, peptides, stem cells, raw milk,

sunshine, and other items.

"If you work for the FDA and are part of this corrupt

system, I have two messages for you: 1. Preserve your records,

and 2. Pack your bags," he wrote.

In early November, he said he would recommend fluoride be

removed from public water supplies, falsely claiming on X that

the chemical is associated with bone fractures and cancer.

In a New York Times opinion article published in September,

Kennedy criticized the popular Novo Nordisk weight

loss drug Ozempic, saying, "Instead of fixing our food system

and addressing the obesity crisis at its root, the author

focuses on a drug that may palliate the symptom - and gladden

the wallets of distant Big Pharma execs."

Dr. Ashish Jha, former White House COVID-19 Response

Coordinator and dean of the Brown University School of Public

Health, said: "Most people don't realize this is not about

fluoride in water, or even vaccines, as important as they are.

The HHS Secretary oversees Medicare. He and his appointees will

decide what medicines are available to the American people."

James Capretta, senior fellow at the American Enterprise

Institute and a former White House staffer under George W. Bush,

said it is not clear what impact Kennedy will have but that it

will not be immediate.

"There's lots of constraints on policy making on the agency

level, even at the secretarial level," he said.

VACCINES

Shares of vaccine makers including Pfizer Inc ( PFE ) and

Moderna ( MRNA ) fell after news of Kennedy's appointment and

were down in after-hours trading by as much as 2%.

Kennedy has been criticized for making false medical claims,

including that vaccines are linked to autism. He opposed state

and federal restrictions imposed during the COVID-19 pandemic

and was accused of spreading misinformation about the virus.

He disputes the anti-vaccine tag, saying he wants more

rigorous testing of vaccines instead. However, he chaired the

Children's Health Defense, a nonprofit organization that focuses

on anti-vaccine messaging.

In an interview in March, when he was still running for

president, Kennedy said Americans who want a vaccine for

themselves or their children would continue to have access to

them if he were to be elected. But he said he doubted the

efficacy of measles vaccines.

Measles is one of the most contagious human viruses and is

almost entirely preventable through vaccination. It requires 95%

vaccine coverage to prevent outbreaks among populations. U.S.

coverage rates have fallen below that level among young

children, the CDC said this month.

Vaccines have saved over 154 million lives in the 20th

century - the equivalent of six lives every minute of every year

for the past 50 years, said Michael Osterholm, an infectious

disease expert from the University of Minnesota.

"Immunization has continued to be the single greatest

contributor of any health intervention to ensuring that babies

not only see their first birthdays, but they continue leading

healthy lives into adulthood," he said.

(Reporting by Stephanie Kelly, Ahmed Aboulenein, Jasper Ward,

Alexandra Ulmer, Steve Holland and Julie Steenhuysen in Chicago;

Editing by Heather Timmons, Eric Beech, Jonathan Oatis, Caroline

Humer, Deepa Babington, Daniel Wallis and)