They simply do not want workers and lower incomes to vote. History shows that when more people vote democrats win. Something these anti democracy people hate

Well, Then. (Another Exec. Order)

This came in Notifications on my tablet, which I only use as a book reader as it’s too old for updates of any sort. Anyway, I found the headline curious, so I read it, and here it is. I linked a news story at the end, too. We’ll discuss. Good Morning! 🌞

LAUNCHING THE GENESIS MISSION

Executive Orders

November 24, 2025

By the authority vested in me as President by the Constitution and the laws of the United States of America, it is hereby ordered:

Section 1.  Purpose.  From the founding of our Republic, scientific discovery and technological innovation have driven American progress and prosperity.  Today, America is in a race for global technology dominance in the development of artificial intelligence (AI), an important frontier of scientific discovery and economic growth.  To that end, my Administration has taken a number of actions to win that race, including issuing multiple Executive Orders and implementing America’s AI Action Plan, which recognizes the need to invest in AI-enabled science to accelerate scientific advancement.  In this pivotal moment, the challenges we face require a historic national effort, comparable in urgency and ambition to the Manhattan Project that was instrumental to our victory in World War II and was a critical basis for the foundation of the Department of Energy (DOE) and its national laboratories.

This order launches the “Genesis Mission” as a dedicated, coordinated national effort to unleash a new age of AI‑accelerated innovation and discovery that can solve the most challenging problems of this century.  The Genesis Mission will build an integrated AI platform to harness Federal scientific datasets — the world’s largest collection of such datasets, developed over decades of Federal investments — to train scientific foundation models and create AI agents to test new hypotheses, automate research workflows, and accelerate scientific breakthroughs.  The Genesis Mission will bring together our Nation’s research and development resources — combining the efforts of brilliant American scientists, including those at our national laboratories, with pioneering American businesses; world-renowned universities; and existing research infrastructure, data repositories, production plants, and national security sites — to achieve dramatic acceleration in AI development and utilization.  We will harness for the benefit of our Nation the revolution underway in computing, and build on decades of innovation in semiconductors and high-performance computing.  The Genesis Mission will dramatically accelerate scientific discovery, strengthen national security, secure energy dominance, enhance workforce productivity, and multiply the return on taxpayer investment into research and development, thereby furthering America’s technological dominance and global strategic leadership.

Sec. 2.  Establishment of the Genesis Mission.  (a)  There is hereby established the Genesis Mission (Mission), a national effort to accelerate the application of AI for transformative scientific discovery focused on pressing national challenges.

(b)  The Secretary of Energy (Secretary) shall be responsible for implementing the Mission within DOE, consistent with the provisions of this order, including, as appropriate and authorized by law, setting priorities and ensuring that all DOE resources used for elements of the Mission are integrated into a secure, unified platform.  The Secretary may designate a senior political appointee to oversee day-to-day operations of the Mission.

(c)  The Assistant to the President for Science and Technology (APST) shall provide general leadership of the Mission, including coordination of participating executive departments and agencies (agencies) through the National Science and Technology Council (NSTC) and the issuance of guidance to ensure that the Mission is aligned with national objectives.

Sec. 3.  Operation of the American Science and Security Platform.  (a)  The Secretary shall establish and operate the American Science and Security Platform (Platform) to serve as the infrastructure for the Mission with the purpose of providing, in an integrated manner and to the maximum extent practicable and consistent with law:

(i)    high-performance computing resources, including DOE national laboratory supercomputers and secure cloud-based AI computing environments, capable of supporting large-scale model training, simulation, and inference;

(ii)   AI modeling and analysis frameworks, including AI agents to explore design spaces, evaluate experimental outcomes, and automate workflows;

(iii)  computational tools, including AI-enabled predictive models, simulation models, and design optimization tools;

(iv)   domain-specific foundation models across the range of scientific domains covered;

(v)    secure access to appropriate datasets, including proprietary, federally curated, and open scientific datasets, in addition to synthetic data generated through DOE computing resources, consistent with applicable law; applicable classification, privacy, and intellectual property protections; and Federal data-access and data-management standards; and

(vi)   experimental and production tools to enable autonomous and AI-augmented experimentation and manufacturing in high-impact domains.

(b)  The Secretary shall take necessary steps to ensure that the Platform is operated in a manner that meets security requirements consistent with its national security and competitiveness mission, including applicable classification, supply chain security, and Federal cybersecurity standards and best practices.

(c)  Within 90 days of the date of this order, the Secretary shall identify Federal computing, storage, and networking resources available to support the Mission, including both DOE on-premises and cloud-based high-performance computing systems, and resources available through industry partners.  The Secretary shall also identify any additional partnerships or infrastructure enhancements that could support the computational foundation for the Platform.

(d)  Within 120 days of the date of this order, the Secretary shall:

(i)   identify a set of initial data and model assets for use in the Mission, including digitization, standardization, metadata, and provenance tracking; and

(ii)  develop a plan, with appropriate risk-based cybersecurity measures, for incorporating datasets from federally funded research, other agencies, academic institutions, and approved private-sector partners, as appropriate.

(e)  Within 240 days of the date of this order, the Secretary shall review capabilities across the DOE national laboratories and other participating Federal research facilities for robotic laboratories and production facilities with the ability to engage in AI-directed experimentation and manufacturing, including automated and AI-augmented workflows and the related technical and operational standards needed.

(f)  Within 270 days of the date of this order, the Secretary shall, consistent with applicable law and subject to available appropriations, seek to demonstrate an initial operating capability of the Platform for at least one of the national science and technology challenges identified pursuant to section 4 of this order.

Sec. 4.  Identification of National Science and Technology Challenges.  (a)  Within 60 days of the date of this order, the Secretary shall identify and submit to the APST a detailed list of at least 20 science and technology challenges of national importance that the Secretary assesses to have potential to be addressed through the Mission and that span priority domains consistent with National Science and Technology Memorandum 2 of September 23, 2025, including:

(i)    advanced manufacturing;

(ii)   biotechnology;

(iii)  critical materials;

(iv)   nuclear fission and fusion energy;

(v)    quantum information science; and

(vi)   semiconductors and microelectronics.

(b)  Within 30 days of submission of the list described in subsection (a) of this section, the APST shall review the proposed list and, working with participating agency members of the NSTC, coordinate the development of an expanded list that can serve as the initial set of national science and technology challenges to be addressed by the Mission, including additional challenges proposed by participating agencies through the NSTC, subject to available appropriations.

(c)  Following development of the expanded list described in subsection (b) of this section, agencies participating in the Mission shall use the Platform to advance research and development aligned with the national science and technology challenges identified in the expanded list, consistent with applicable law and their respective missions, and subject to available appropriations.

(d)  On an annual basis thereafter, the Secretary shall review and update the list of challenges in consultation with the APST and the NSTC to reflect progress achieved, emerging national needs, and alignment with my Administration’s research and development priorities.

Sec. 5.  Interagency Coordination and External Engagement.  (a)  The APST, through the NSTC, and with support from the Federal Chief Data Officer Council and the Chief AI Officer Council, shall convene relevant and interested agencies to:

(i)    assist participating agencies in aligning, to the extent permitted by law, their AI-related programs, datasets, and research and development activities with the objectives of the Mission in their respective areas of expertise, while avoiding duplication of effort across the Federal Government and promoting interoperability;

(ii)   identify data sources that may support the Mission’s aim;

(iii)  develop a process and resourcing plan in coordination with participating agencies for integrating appropriate and available agency data and infrastructure into the Mission, to the extent permitted by law and subject to available appropriations, including methods under which all agencies contributing to the Mission are encouraged to implement appropriate risk-based security measures that reflect cybersecurity best practices;

(iv)   launch coordinated funding opportunities or prize competitions across participating agencies, to the extent permitted by law and subject to available appropriations, to incentivize private-sector participation in AI-driven scientific research aligned with Mission objectives; and

(v)    establish mechanisms to coordinate research and development funding opportunities and experimental resources across participating agencies, ensuring agencies can participate effectively in the Mission.

(b)  The APST shall coordinate with relevant agencies in establishing, consistent with existing authorizing statutes and subject to available appropriations, competitive programs for research fellowships, internships, and apprenticeships focused on the application of AI to scientific domains identified as national challenges for the Mission, to include placement of program participants at DOE national laboratories and other participating Federal research facilities, with the purpose of providing access to the Platform and training in AI-enabled scientific discovery.

(c)  The Secretary, in coordination with the APST and the Special Advisor for AI and Crypto, shall establish mechanisms for agency collaboration with external partners possessing advanced AI, data, or computing capabilities or scientific domain expertise, including through cooperative research and development agreements, user facility partnerships, or other appropriate arrangements with external entities to support and enhance the activities of the Mission, and shall ensure that such partnerships are structured to preserve the security of Federal research assets and maximize public benefit.  To facilitate these collaborations, the Secretary shall:

(i)    develop standardized partnership frameworks, including cooperative research and development or other appropriate agreements, and data-use and model‑sharing agreements;

(ii)   establish clear policies for ownership, licensing, trade-secret protections, and commercialization of intellectual property developed under the Mission, including innovations arising from AI-directed experiments;

(iii)  implement uniform and stringent data access and management processes and cybersecurity standards for non-Federal collaborators accessing datasets, models, and computing environments, including measures requiring compliance with classification, privacy, and export-control requirements, as well as other applicable laws; and

(iv)   establish procedures to ensure the highest standards of vetting and authorization of users and collaborators seeking access to the resources of the Mission and associated research activities, including the Platform and associated Federal research resources.

(d)  The APST, through the NSTC, shall, to the extent appropriate, identify opportunities for international scientific collaboration to support activities under the Mission.

Sec. 6.  Evaluation and Reporting.  (a)  Within 1 year of the date of this order, and on an annual basis thereafter, the Secretary shall submit a report to the President, through the APST and the Director of the Office of Management and Budget, describing:

(i)    the Platform’s operational status and capabilities;

(ii)   progress toward integration across DOE national laboratories and other participating Federal research partners, including shared access to computing resources, data infrastructure, and research facilities;

(iii)  the status of user engagement, including participation of student researchers and any related training;

(iv)   updates on research efforts and outcomes achieved, including measurable scientific advances, publications, and prototype technologies;

(v)    the scope and outcomes of public-private partnerships, including collaborative research projects and any technology transitions or commercialization activities; and

(vi)   any identified needs or recommendations for authorities or interagency support to achieve the Mission’s objectives.

Sec. 7.  General Provisions.  (a)  Nothing in this order shall be construed to impair or otherwise affect:

(i)   the authority granted by law to an executive department or agency, or the head thereof; or

(ii)  the functions of the Director of the Office of Management and Budget relating to budgetary, administrative, or legislative proposals.

(b)  This order shall be implemented consistent with applicable law and subject to the availability of appropriations.

(c)  This order is not intended to, and does not, create any right or benefit, substantive or procedural, enforceable at law or in equity by any party against the United States, its departments, agencies, or entities, its officers, employees, or agents, or any other person.

(d)  The costs for publication of this order shall be borne by the Department of Energy.

                             DONALD J. TRUMP

THE WHITE HOUSE,

    November 24, 2025.

https://www.whitehouse.gov/presidential-actions/2025/11/launching-the-genesis-mission/

https://www.cbsnews.com/news/trump-executive-order-genesis-mission-ai-scientific-discovery-super-computer/

The Universe

The Observable Universe
Illustration Credit & LicenceWikipediaPablo Carlos Budassi

Explanation: How far can you see? Everything you can see, and everything you could possibly see, right now, assuming your eyes could detect all types of radiations around you — is the observable universe. In light, the farthest we can see comes from the cosmic microwave background, a time 13.8 billion years ago when the universe was opaque like thick fog. Some neutrinos and gravitational waves that surround us come from even farther out, but humanity does not yet have the technology to detect them. The featured image illustrates the observable universe on an increasingly compact scale, with the Earth and Sun at the center surrounded by our Solar Systemnearby starsnearby galaxiesdistant galaxiesfilaments of early matter, and the cosmic microwave background. Cosmologists typically assume that our observable universe is just the nearby part of a greater entity known as “the universe” where the same physics applies. However, there are several lines of popular but speculative reasoning that assert that even our universe is part of a greater multiverse where either different physical constants occur, different physical laws apply, higher dimensions operate, or slightly different-by-chance versions of our standard universe exist.

Explore the Observable Universe: Random APOD Generator
Tomorrow’s picture: stellar shell game

This Is Unsettling.

So, it should be shared. I’m sorry.

Far-right group with links to neo-Nazi leader offers online military training

Experts say Observations Group’s connections to the Base and Rinaldo Nazzaro present ‘urgent danger’

In the underworld of accelerationist neo-Nazis, where talk of attacks against western governments are commonplace, the spread of illegal weapons manuals and tradecraft on drone warfare are proliferating. Experts say, in some cases, that classes are being taught online with the input of leadership from proscribed terrorist groups with links to Russian intelligence.

Authorities have been warning, on both sides of the Atlantic, about the accessibility of drone technologies and military veterans on the far right with the knowhow to use them, presenting a grave national security threat.

“Offering military-style training materials, including drone tradecraft, to the extreme right indicates that this is for prepping purposes,” said Joshua Fisher-Birch, a terrorism analyst with close to a decade of experience tracking militant movements. “[To] improve the capacity of extremist networks to commit violence, or to encourage acts of violence specifically.”

Fisher-Birch says a well-connected and dangerous network called the Observations Group has emerged with a following among internationalist neo-Nazis and bills itself as a “paramilitary project to prepare people for modern warfare”.

Part of its operations, so far, is promoting militant course materials through its closed chat groups.

On its open Telegram channel, however, the group is already bragging about its online “​​military course” which it says covers “basic command training, and for those with no military experience, the course will cover the basics of preparing a soldier”, and can be purchased using a cryptocurrency wallet it uses for fundraising.

Observations Group continues: “You will receive the latest information on drones […] Nato and [war] doctrines, techniques for engaging in war on both sides of the Russian-Ukrainian conflict […] the integration of modern communications technologies and military concepts of future armies.”

The leader of the network told the Guardian that “I myself am in Russia” but that his “units are autonomous and located in different countries”. Its posts are in English and Russian, making clear it is not an American-based group, but says it is allied with an accused Kremlin spy and leader of the Base – an internationally designated neo-Nazi terrorist group, originating in the US.

“Good news: Norman Spear (leader of the paramilitary group ‘The Base’ and a former FBI analyst) is participating in the development of the first course as a military strategist,” it said in a post, referring to Rinaldo Nazzaro and one of the aliases he uses to mask his legal name.

Over the summer, former members of his group criticized Nazzaro for being an agent of Russian intelligence services – a charge he repeatedly denies – while the Ukrainian cell of the Base claimed responsibility for the July assassination of an intelligence officer in Kyiv.

Fisher-Birch explained how, “given Nazzaro’s likely connection to the Russian intelligence services or similar entities, it further indicates that the [Observations Group] project is potentially similarly connected”.

Nazzaro, reached on Telegram, did not deny his connections to the group.

“The Base has its own organic European network,” he said. “But we’re always open to collaboration with like-minded groups that recognize strength in unity.”

The Base, recently named to the European Union’s terrorist list, has been aggressively expanding on the continent in lockstep with an uptick in Russian sabotage operations, which have relied heavily on the online recruitment of operatives – often through Telegram.

Initially, Observations Group planned its course to be an in-person training camp in Czechia, but changed it to an online seminar where it is “already live”. The group declared new partnerships with an unnamed American extremist group and “in the future, our project will be able to officially conduct exercises and training sessions in the USA”.

“This situation,” Fisher-Birch said, “certainly benefits the Russian government.”

Lucas Webber, a senior threat intelligence analyst at Tech Against Terrorism, says the group and its connections to a real-world actor like the Base show it is part of an “urgent danger” on the far right.

“Extremist groups that learn from foreign war zones pose a dangerous contagion threat, channeling battlefield experience into domestic or transnational contexts,” he said, pointing out the use of cryptocurrency is another alarm bell.

“Relying on cryptocurrency for fees and circulating combat manuals masks the group’s financial operations and strategic plans, making detection and disruption more difficult for law enforcement.”

Multiple national security sources previously told the Guardian the FBI has major concerns about terrorist organizations eyeing the use of easily purchasable, first-person view drones for domestic attacks in the US. From Mexican drug cartels to Islamic State – drones are being incorporated into paramilitary strategies all over the world.

Evidence has already emerged that military-trained neo-Nazis in the US, with relevant drone skillsets, have begun advising others within the movement. A writer and alleged former marine has a popular Substack among extremists and claims to be a former member of the now-defunct Atomwaffen Division – another hyper-violent, proscribed terrorist group aligned with the Base and connected to murders in the US.

“I am a drone operator, one of the first in the infantry,” wrote the anonymous writer. “The future is cheap, 3D-printed drones with a [high-explosive] round zip tied to it.”

Webber believes accelerationists on the far right, who view acts of terrorism as a means of setting off a domino effect taking down world governments, are already implementing drones into potential operations.

“Preventing the shift from virtual coordination to tangible violence requires both monitoring of illicit financial flows and a commitment to taking down key digital channels that facilitate recruitment and training,” he said.

“Failure to intervene could allow these battlefield-inspired tactics to spread further, potentially leading to high-impact attacks against civilian or governmental targets.”

https://www.theguardian.com/world/2025/nov/17/far-right-paramilitary-the-base?CMP=share_btn_url

A bunch of bad things

Bessent: Migrants Brought “Diseased Cattle” To US

 

 

Trump: “Costs Are Way Down, Gasoline Is Now $2.50”

 

Another Epstein Email: “I Know How Dirty Donald Is”

Epstein Email: Bill Clinton Never Went To My Island

Murphy: Trump’s “Seriously Implicated” In Epstein Files

Massie To Trump And GOP: Stop Protecting Pedophiles

Staver: SCOTUS Insulted God, Obergefell Will Still Fall

 

All 27 Trump Judicial Nominees Won’t Say Biden Won

 

Stewart Rhodes: I’m Relaunching The Oath Keepers So That Trump Can “Call Us Up As Militia” To Fight The Left

Trump: Call My Insurance Subsidies Plan “Trumpcare”

Haters Vow To Continue Push To Overturn Obergefell

Heather Scott [photo] last appeared here in January 2025 when the Idaho House advanced her resolution which would have launched a formal state lawsuit against Obergefell.

She appeared here in February 2024 for her bill to ban the composting of human remains because people might dig up the bodies and eat them. (Yes, really.)

Scott first appeared here in 2020 when she called Idaho’s Republican governor “Little Hitler” over COVID lockdowns, which she compared to concentration camps.

She appeared here in 2022 when she held a talk on “the war of perversion against our children” by the LGBTQ community and invited a militia group to the stage.

Scott first made national news in 2017 when she defended white nationalism in a Facebook post.

Later that year she was stripped of her committee posts when she said that women only get Idaho leadership posts if they “spread their legs.”  

Photos show Scott, an Oath Keepers supporter, brandishing the Confederate battle flag at her campaign events.

Kazakhstan Moves To Criminalize “LGBTQ Propaganda”

 

UK Ends Caribbean Intel Sharing Over “Drug” Strikes

DOJ: Troops Not Liable In Lethal “Drug Boat” Strikes

 

Thune Ties Abortion Restrictions To Obamacare Funds

Billionaire Swiss Oligarchs Gifted Trump With Rolex Watch And “Engraved Gold Bar” In Pitch To Lower Tariffs

A few weeks ago, Rolex hosted Trump in their luxury suite at the US Open in Queens.

ICE To Spend $180 Million On Migrant Bounty Hunters

ICE Ordered To Release 615 Arrested In Illinois “Blitz”

Noem Vows Chicago “Surge” After Pritzker Calls Trump “Demented” Over Sending Troops To Nonexistent Mall

 

Boston University Student Republicans Leader Called ICE On Car Wash Workers, All Nine Had Work Permits

Kash Patel’s Girlfriend Gets FBI Security Detail

 

“Department Of War” Name Change To Cost $2 Billion

Google Sues Outfit Behind Massive Texting Scams

Texas Issues Alert Over Whooping Cough Outbreak

Canada To US Travel Drops For Tenth Straight Month

Trump Gets “Options” On Potential Venezuela Invasion

Trump Re-Pardons Rioter For Unrelated Gun Crimes

 

Trump Admin Moves To Free Colorado QAnon Ex-Clerk

 

NPR: More LGBTQs Are Buying Guns Due To Trump

Trump Illegally Licenses “Presidential Seal Beer Pong”

Trans Troops Sue Over Revoked Retirement Benefits

 

Patel Exempted Bongino From FBI Background Check

USDA Sec: Everyone Must Reapply For SNAP Benefits

MI Lawmakers Approve “Christ The King” Resolution

David Barton Rewrites Texas Social Studies Courses

MAHA Cultists Are Injecting Themselves With Peptides

 

Ms. Rachel Calls-Out NYT In Response To Leaked Internal Memo

Whatever Else May Come

from the end of the shutdown,-and I have huge hope that we the people will continue to stand together to help each other through the days!-we do get the Astronomy Photo of the Day again!

Orion and the Running Man
Image Credit & Copyright:R. Jay Gabany

Explanation: Few cosmic vistas can excite the imagination like The Great Nebula in Orion. Visible as a faint, bland celestial smudge to the naked-eye, the nearest large star-forming region sprawls across this sharp colorful telescopic image. Designated M42 in the Messier Catalog, the Orion Nebula’s glowing gas and dust surrounds hot, young stars. About 40 light-years across, M42 is at the edge of an immense interstellar molecular cloud only 1,500 light-years away that lies within the same spiral arm of our Milky Way galaxy as the Sun. Including dusty bluish reflection nebula NGC 1977, also known as the Running Man nebula at left in the frame, the natal nebulae represent only a small fraction of our galactic neighborhood’s wealth of star-forming material. Within the well-studied stellar nursery, astronomers have also identified what appear to be numerous infant solar systems.

Tomorrow’s picture: pixels in space

The Incalculable Cost Of The Gaza Genocide

Abby Martin joins the program to discuss her new film, Earth’s Greatest Enemy which exposes the U.S. military as the world’s largest polluter. Live-streamed on November 6, 2025.

 

Masked Agents Drive Off With Man’s Toddler During ICE Raid

Health News Updates

Infant formula botulism cluster, black box warning for HRT, flu is waking up, new blood pressure guidelines, and more by Katelyn Jetelina

This is your weekly Dose. Read on Substack

The shutdown may finally be coming to an end. Our health care costs, unfortunately, will not. I’ll be back on Wednesday with a deep dive into just how spectacularly absurd our health care system has become.

In the meantime, RSV and flu are picking up speed, and a concerning infant formula recall has been linked to a rare botulism cluster, thanks to a small but mighty team in California. The FDA is expected to remove the black box warning from hormone replacement therapy—a move that’s scientifically sound but bound to spark drama from HHS. We also have new blood pressure guidelines that could make prevention a lot more personal. And amidst it all, a few more pieces of genuinely good news to end on a high note.

Let’s dive in!


Disease “weather” report: RSV and flu gaining momentum

It will take some time for the CDC data systems to ramp up again after being offline for over 40 days. For now, we’ll continue to rely on the alternative sources, such as Dr. Caitlin Rivers’ updates and the PopHive dashboards.

RSV continues to climb slowly but steadily, especially among children under five. National growth is still linear—not yet exponential—but that acceleration could occur at any time.

The flu remains relatively low but is beginning to increase, particularly among young children. As Dr. Rivers notes, “Hawaii has moved to moderate activity, Arizona has surpassed its seasonal baseline, and New York cases jumped 49% in the past week.”

Source: New York State Department of Health Respiratory Surveillance Report

U.S. childhood flu vaccination rates have dropped from 62% to 49% over the past five years. Last year saw one of the deadliest seasons on record, with 280 pediatric deaths—the highest since tracking began in 2004. About 90% of those children weren’t fully vaccinated. Our deadliest flu season came at a time of historically low vaccination rates, which can’t be a coincidence. We don’t yet know this season’s coverage, but if it falls further, we could be facing another tragic record.

Covid-19 remains in a lull, though we typically see a winter rise starting in mid-to-late November.

I’m really hoping these three viruses don’t peak simultaneously. Hospitals strain under just a bad flu season; I couldn’t imagine the “big three” all at the same time. Historically, their peaks have staggered, but given how little we truly understand about these overlapping patterns, that may have been more a matter of luck than a rule. Time will tell.

What this means for you: This is the best time to get vaccinated. It’s certainly not too late.


Infant formula outbreak and Listeria in pasta

Over the weekend, a troubling cluster of infant botulism cases was linked to ByHeart Whole Nutrition Infant Formula. Even during a government shutdown and an increasingly challenging environment, outbreak teams have been working around the clock to protect our most vulnerable.

What this is: Infant botulism is extremely rare but serious. It occurs when Clostridium botulinum spores—commonly found in soil, dust, and some foods—germinate in a baby’s intestines and release toxins that can paralyze muscles, interfere with breathing, and require intensive care. In a typical year, the U.S. sees 160–180 cases, often linked to environmental exposure or foods like honey. Even a small cluster of cases is a clear red flag.

What we know: Clostridium botulinum spores have been detected in ByHeart infant formula, resulting in the hospitalization of 13 infants across 10 states. The California Department of Public Health (CDPH) played a key role in identifying this cluster. CDPH is the only source in the world for BabyBIG—the lifesaving antitoxin—and manages all clinician calls and treatment distribution. Their team noticed a spike in requests and discovered that the affected infants all consumed the same formula brand, prompting an alert to CDC. Importantly, ByHeart produces just 1% of U.S. infant formula, so this alone is unlikely to cause a national shortage. (Be sure to sign up for YLE CA for a deeper dive this Thursday.)

What we don’t know: Epidemiologists are investigating whether contamination is truly confined to ByHeart or reflects a broader issue in the manufacturing or ingredient sourcing process.

What to do: Stop using ByHeart Whole Nutrition Infant Formula immediately. Retailers should pull it from shelves, including Amazon, Kroger, Walmart, Whole Foods, Target, and Sam’s Club.

There is also the ongoing Listeria outbreak associated with frozen pasta dishes, including some sold at Trader Joe’s and other grocery chains. We’ve covered this before, but according to the agency’s ongoing investigation, two more brands of food are linked to the outbreak. There’s a long list of recalled products you can find here. Throw out immediately.

In total, there have been 27 illnesses reported, 25 hospitalizations, and six deaths in 18 states since late September.

Case Count Map Provided by CDC: Image includes map of the United States of America with the following states highlighted as having cases in this outbreak: California, Florida, Hawaii, Illinois, Indiana, Louisiana, Michigan, Minnesota, Missouri, North Carolina, Nevada, Ohio, Oregon, South Carolina, Texas, Utah, Virginia, Washington
Number of cases associated with the pasta Listeria outbreak. Source: CDC

HRT ‘black box’ warning may be gone soon

Word is that the FDA will remove the black box warning from hormone replacement therapy (HRT) this week. (It may now be pushed back with the government reopening.) If this announcement reflects the HRT review conducted at HHS last month, it will likely be messy and riddled with inaccuracies. However, if you look at the science without the drama, removing the black label is not unreasonable.

The black box warning—the strictest warning label, meant for drugs with potentially life-threatening risks—was enacted after a 2002 Women’s Health Initiative study found increased risks of stroke and breast cancer. Since then, research has revealed crucial nuance: risks depend on timing, dose, and delivery. Starting HRT earlier, using low-dose or localized estrogen, and tailoring therapy to each woman can be both effective and safe.

What this story is really about: Menopause is universal, yet too often misunderstood. While the science continues to evolve, the major problem is that clinical practice and training have lagged far behind. Women deserve evidence-based care, informed clinicians, and the freedom to make choices rooted in both science and compassion. We are still far from what is needed for women.

POLL

(snip-poll won’t embed here; go to the Substack page. The question is if readers would like to see a deep dive into HRT. If you wish to vote, click “read on Substack”, above.)

New blood pressure guidelines

Major new blood pressure guidelines dropped for the first time in years.

At the center of the update is an enhanced assessment tool called the PREVENT calculator, developed by the American Heart Association. It’s designed to estimate a person’s 10-year risk of cardiovascular disease using factors like blood pressure, cholesterol, smoking, and diabetes. The model was built using data from 6.5 million U.S. adults aged 30 to 79, making it one of the most representative tools available.

Here’s what stands out:

  • A new threshold for medication. The key number to watch is 7.5%. If your 10-year risk of heart disease is at or above that level, physicians are now encouraged to consider medication even if your blood pressure hovers around 130/80 mmHg. If your risk is below that, lifestyle changes, like healthy eating, exercising, and better stress management, remain the first step.
  • A focus on home monitoring. The guidelines also emphasize checking blood pressure at home. Growing evidence shows that home readings may actually be more accurate predictors of long-term risk than in-office measurements. So spending $45 on an arm monitor if you have hypertension might be a great (even lifesaving!) idea.

What this means for you: This makes heart health more personalized than ever. You can calculate your own 10-year risk using the PREVENT calculator (although you will need some pretty specific numbers from your last blood panel). Regardless, aim for blood pressure readings below 130/80, and use these new tools to guide smarter—and earlier—prevention.


Good news!

Here are some of the great things worth highlighting:

  • The American Academy of Pediatrics (AAP) is standing up for science. The organization filed an updated lawsuit last week against HHS Secretary Robert F. Kennedy, Jr., asking a court to disband a panel (ACIP) appointed by RFK Jr. and to overturn recent decisions made by that panel. Then, to proceed under court supervision. The legal move is a direct push to restore expert-led vaccine policymaking.
  • The Vaccine Integrity Project (VIP) is stepping up on Hep B. With the next ACIP meeting coming up in early December, where the agenda will likely include the Hepatitis B vaccine for infants, the childhood vaccination schedule, and HPV—VIP, an independent group of scientists formed in response to waning trust in RFK Jr.’s ACIP, is conducting an evidence review ahead of what could be a contentious meeting. Their work helps ensure the science remains front and center.
  • Vaping among youth has seen a decline; but we still have a long way to go. A new study has found that the number of U.S. teens vaping has decreased overall. That’s progress. But among those who still do it, vaping is becoming more frequent and harder to quit—signs that use is shifting from experimentation toward dependence for some. If you have a teen who vapes, check out the EX Program, which is a free, anonymous text-messaging program designed specifically for young people who vape. There’s also SmokefreeTXT for Teens.

Question grab bag: You ask, we answer!

How long does the Covid-19 vaccine last? I got mine in September, do I need to get another?

study published last week confirmed what we’ve consistently seen: protection against Covid-19 wanes over time. A study of more than 1.8 million Americans from the previous season showed protection against infection and severe disease declined after 4-5 months. The findings underscore the benefit of getting a Covid-19 vaccine every six months, especially for adults over 65, who accounted for nearly 80% of hospitalizations in the study.


In case you missed it

  • Help shape our AI + Health conversation. Thanks to everyone who responded to our survey last week! We’re running the AI and health survey to hear your thoughts on using tools like ChatGPT, Claude, Copilot, and PerplexityAI to get health information. If you missed it, take the survey here.
  • New York YLE’s Marisa discussed the state reaching a historic low in youth tobacco use.
  • California YLE Matt discussed the impact of ICE raids on access to healthcare.

Have a wonderful week!

Love, YLE (snip)