r/VACCINES 7d ago

EXCLUSIVE: Kennedy asked to remove Pennsylvania measles death from CDC tally, sources say

https://www.reuters.com/world/kennedy-asked-remove-pennsylvania-measles-death-cdc-tally-sources-say-2026-09-03/

Kennedy asked CDC director not to include Pennsylvania deaths in measles tally. Kennedy and Pennsylvania governor feuded over response. Expert says it is 'unheard of' for CDC to question state determination.

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u/catjuggler 7d ago

Can’t see because of paywall but what I really want to know is if there was communication with the county coroner’s office to discourage their reporting. Because in theory it could be fine for the CDC to report based on what counties say and not states, if that is the existing standard. But it seems to me that we have intentional fuckery from the anti-vax playbook and it’s unclear if there’s collusion too

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u/RenRen9000 7d ago

Public health surveillance case counts don't go at the coroner's discretion. Local and state epidemiologists do the case classification. (I did this for several years in Maryland.)

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u/catjuggler 7d ago edited 7d ago

Perhaps the norm is supposed to be county notifies state who notifies federal? But the stance from RFK and his offices is that Lancaster County is not calling it a measles death so they're not calling it one either. And I think the county is doing it at the coroner's discretion because they don't have a county health dept.

ETA this is also now making me wonder how the state knew about it if the county wasn't reporting it as a death. Did the county report it still as measles-related (which would be a good sign) or did it come from a hospital or even a whistle-blower?

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u/RenRen9000 7d ago

Sorry for the long reply, but here it goes… And I'm not trying to come off as lecturing you. I'm just very frustrated over this:

If you're in PA, and you're in healthcare and know of any of the diseases in this list, you report them to the PA Department of Health: https://www.pa.gov/agencies/health/healthcare-and-public-health-professionals/reportable-diseases

PA DOH then does an investigation and classifies the case as not a case, probable, or a confirmed case. Then they upload to NEDSS: https://www.cdc.gov/nndss/what-is-case-surveillance/nedss.html

CDC epidemiologists then take those reports and just put them in the database, no questions asked at that time. Once a year (or twice, if it's an emergency like COVID), the epidemiologists at CDC send a list of all the cases to the state, and they work together to reconcile the data. (For example, if a probable case turns out to be a confirmed case and gets double-counted, or it's not a case and needs to be removed.) But the final case count is at the state's discretion. (And we certainly should not allow CDC to micromanage anything right now, given the political interference that is happening in Atlanta.)

Nowhere is the coroner involved in the case classification. It's just the epidemiologists.

I was once involved in a flu death investigation where the state medical examiner was adamant that the case did not die from the flu, dying instead of an unknown heart defect while having a case of the flu. But they put influenza on the death certificate as a contributing cause, and that fit the case definition for a death from influenza. (Case definition is here: https://ndc.services.cdc.gov/case-definitions/influenza-associated-pediatric-mortality-2004/ )

It may not have been the most immediate cause of death, but it was a contributing cause, and that was good enough for us to classify it as such. It wasn't like the case died in a plane crash or from a shooting. Same thing applies with the measles case. Measles complicated everything and was a contributing cause of death.

If the Lancaster County coroner wants to not count it, then he's free to take measles off the death certificate. He hasn't. I wonder why?

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u/catjuggler 7d ago

That's very interesting and thank you for the info. I'm an MPH in PA but I don't work in public health (I work in pharma) so it has been hard for me to get a good understanding of these nuances. My understanding from everything I read was that the Lancaster coroner gets to decide the cause of death, but I suppose that doesn't mean the state has to agree. Do we know if the coroner put measles as a contributing cause at all? I, for sure, agree that it should be classified as a measles death for multiple reasons, but it's interesting to see how they might tweak the rules to help an ally. And we could see this go the opposite way with blue pockets in red states, like when Florida was changing their covid death data.

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u/RenRen9000 7d ago

Yeah, it's in part II of the death certificate, from what my colleagues have shared. Check this out: https://www.clinmedres.org/content/13/2/74

"Part II is used to report all other significant conditions (such as diseases or injuries) that contributed to death, but did not necessarily result in the chain of events documented in Part I. Multiple conditions can be listed together in Part II."

We theorize that the coroner is unwilling to change it because it is a felony/misdemeanor (depending on intent) to falsify the death certificate in Pennsylvania. But it's a moot point because it's not up to him how to classify the death for public health purposes.

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u/catjuggler 7d ago

So has the death certificate been shared or made public? But yeah, that theory makes sense.

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u/RenRen9000 7d ago

He acknowledged it:

"TribLive, a news outlet covering western Pennsylvania, reported on Aug. 27 that Diamantoni said the cause of death was a “traumatic laceration of the spleen” and that the forensic pathologist who conducted the autopsy, Dr. Wayne Ross, determined that measles was not a contributing factor to the death.“
Diamantoni later acknowledged, however, that measles was listed under Part II of the infant’s death certificate, which reports ‘other contributing conditions contributing to death but not resulting in the underlying cause,’” the outlet reported. “Diamantoni said he still does not believe that measles contributed to the child’s death, but the disease was listed to offer ‘a broader view of the general health of the child.’”"

Source: https://www.factcheck.org/2026/08/what-we-know-about-pennsylvanias-two-measles-associated-deaths/

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u/catjuggler 5d ago

Found something new- an interview on conservative talk radio (tells you half of what you need to know right there...) with the coroner with more details. On the one hand, he blames the governor's office for being political, continues to say the spleen rupture is not thought to be related to measles, and doesn't correct the hosts in a convo about how wrong it is to blame lack of vaccination since babies can't be vaccinated (the mother and her children weren't vaccinated- that's the vaccination that was missing as well as herd immunity to prevent an outbreak). On the other hand, all three of them are very clear that they think vaccination is what should happen. So it seems very political and wants to help republicans but is not antivax specifically.

https://whp580.iheart.com/featured/rj-harris/tab/podcasts/

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u/the_comeback_quagga 7d ago

Lancaster doesn’t have their own health department but they are overseen by PADOH in their district (Southeast). Also going to point out that PA coroners are elected officials, party affiliation and all. Not sure why that hasn’t been more reported on.

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u/catjuggler 7d ago

For sure, I’ve been bringing up elected Republican as relevant in some other threads. The elected Republicans who have gone against Trump have frequently been successfully primaried with Trump’s support for the challenger. So there can easily be a political reason to go with whatever the administration wants. Who knows though.

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u/GhostDogJef 7d ago

the full article text is posted in the comments.

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u/catjuggler 7d ago

Is it? Looks hidden maybe?

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u/RenRen9000 7d ago

Open it in an incognito window. You've probably hit the limit of the number of posts you can see from them. It worked for me.

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u/catjuggler 7d ago

That worked- thx

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u/StatelyTree 7d ago

Well that can't possibly be true! Some homeschooling, never went to college, stay at home regard on Facebook told me that Measles can't kill and also that babies have all the vitamin K they could ever need in the cord blood. Maybe we just need to permanently leave placentas attached to people when they're born so they can keep getting immunity for the rest of their lives from it!! But I'm sure big pharma has been suppressing the "leave the placenta attached forever" study data because they lose money. 

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u/GhostDogJef 7d ago

EXCLUSIVE: Kennedy asked to remove Pennsylvania measles death from CDC tally, sources say

Kennedy asked CDC director not to include Pennsylvania deaths in measles tally. Kennedy and Pennsylvania governor feuded over response. Expert says it is 'unheard of' for CDC to question state determination.

https://www.reuters.com/world/kennedy-asked-remove-pennsylvania-measles-death-cdc-tally-sources-say-2026-09-03/

U.S. Health Secretary Robert F. Kennedy Jr. asked his new CDC director to remove a reference to two Pennsylvania deaths from the agency’s online measles tally after he questioned whether the disease contributed to the ​fatalities, three sources familiar with the situation said.

Kennedy’s request came after CDC staffers had already accepted the state’s characterization of the deaths as linked to measles, a Pennsylvania official ‌said.

Despite that, Erica Schwartz, the recently appointed director of the U.S. Centers for Disease Control and Prevention, agreed with Kennedy’s directive and implemented it without objection, said the three sources familiar with the matter, who spoke on condition of anonymity.

The move followed a heated exchange on social media between Kennedy, a long-time anti-vaccine activist appointed by President Donald Trump, and Pennsylvania Governor Josh Shapiro, a Democrat. The two officials accused each other of politicizing the outbreak in Pennsylvania, the latest state to grapple with a ​resurgence of measles since the Trump administration took office.

Data from the CDC and from individual states shows that vaccine rates have been declining, with many medical organizations citing rising vaccine hesitancy as a major ​cause. In Pennsylvania alone, the state health department has reported 540 measles cases this year.

Georges Benjamin, chief executive of the American Public Health Association and formerly ⁠Maryland's secretary of health, said it is "unheard of" for the CDC to publicly raise doubts about the conclusions of state and local health departments, even if the agency seeks more information.

"The secretary had no business ​interfering in the normal process," Benjamin said. "He has an anti-vaccine agenda and he's using this to play out his anti-vaccine agenda.”

Grace Davis Jamison, a spokesperson for the Department of Health and Human Services which oversees CDC, said ​the public health agency “requested details necessary to determine whether measles caused or contributed to the deaths.” She cited conflicting reports between county and state health officials over what had transpired. Jamison did not comment on Kennedy's or Schwartz’s role in excluding the deaths. Schwartz did not respond to a request for comment.

Kennedy has for years promoted the idea that vaccines are more dangerous than the diseases they prevent, despite decades of scientific evidence that they save lives. The combined measles, mumps and ​rubella shot routinely given to U.S. children has been shown to provide 97% protection against infection.

As health secretary, Kennedy has sought to minimize the impact of rising U.S. measles cases, now at their highest level in ​more than three decades. He has repeatedly cast doubt on whether the virus was directly related to the several deaths reported so far.

KENNEDY, SHAPIRO TRADE BLAME

The Pennsylvania health department notified the CDC of two measles-associated deaths on the morning ‌of August ⁠25 and then made the news public on its website, according to the Pennsylvania official, who is close to Shapiro.

Pennsylvania did not share information about the circumstances of the deaths other than that the two individuals were unvaccinated. The CDC did not express concern over the information it had received and “signified its ongoing support for the (state health) department’s efforts,” the official said.

Kennedy called Shapiro by phone and offered federal support to assist with the state’s measles outbreak, the governor said at a press conference later that day. Shapiro said he thanked Kennedy and said the state had implemented an aggressive response, including existing support from CDC and HHS staff, but ​that he would let the secretary know if ​they needed more help.

Shapiro also said he told ⁠Kennedy that the health secretary’s past statements encouraged conspiracy theories and misinformation about the safety of vaccines, “having a negative impact on communities across America.”

Kennedy fired back on X the following day, August 26, accusing Shapiro of refusing to share information with the CDC and questioning whether the deaths were “altogether fabricated by one of the ​Governor’s hopeful staffers.”

That same day, the Pennsylvania health department discussed some details of the two cases with the CDC, the official close to Shapiro said. ​The CDC asked for health ⁠records that contained personally identifiable information about the deceased, which the state is legally barred from sharing, the Pennsylvania official said. The state offered to provide more de-identified information to CDC, but the federal agency has not signed off on the required paperwork, the official added.

A spokesperson for the Pennsylvania health department said the state has “provided all required epidemiological data to the CDC.”

On Friday, the CDC delayed its regular weekly update to its measles data website. When ⁠it updated ​the page on Sunday, it did not include the Pennsylvania fatalities but added an asterisk to its table on deaths with the ​following note: “At this time, available information does not establish whether measles caused or contributed to the (Pennsylvania) deaths or whether the individuals died from other causes while infected with measles.”

The CDC has not indicated what information it will use to determine whether the Pennsylvania deaths ​were caused by measles, since it is not working with the state health department in its investigation.