By Lena H. Sun, Rachel Roubein, Dan Diamond
The Washington Post

Trump health officials plan to link coronavirus vaccines to the deaths of 25 children as they consider limiting which Americans should get the shots, according to four people familiar with the situation who spoke on the condition of anonymity to describe confidential information.

The findings appear to be based on information submitted to the federal Vaccine Adverse Event Reporting System, which contains unverified reports of side effects or bad experiences with vaccines submitted by anyone, including patients, doctors, pharmacists or even someone who sees a report on social media. The Centers for Disease Control and Prevention emphasizes that the database is not designed to assess whether a shot caused a death, a conclusion that requires thorough investigations by scientists and public health professionals.

Trump health officials plan to include the pediatric deaths claim in a presentation next week to an influential panel of advisers to the CDC that is considering new coronavirus vaccine recommendations, which affect access to the shots and whether they’re free.

The plan has alarmed some career scientists who say coronavirus vaccines have been extensively studied, including in children, and that dangers of the virus itself are being underplayed. CDC staff in June presented data to the same vaccine committee showing that at least 25 children died who had covid-associated hospitalizations since July 2023 and that number was likely an undercount. Of the 16 old enough for vaccination, none was up-to-date on vaccines.

Food and Drug Administration Commissioner Marty Makary confirmed on CNN last week that officials were investigating reports of possible child deaths from the vaccine, including reviewing autopsy reports and interviewing families. Such a review could take months, according to health officials, and it is unclear when those investigations began.

The pediatric deaths presentation to the CDC’s Advisory Committee on Immunization Practices (ACIP) is not final, according to one person familiar with the matter, who spoke on the condition of anonymity to describe ongoing policy discussions. The full methodology for the analysis was not immediately clear.

“FDA and CDC staff routinely analyze VAERS and other safety monitoring data, and those reviews are being shared publicly through the established ACIP process,” HHS spokesperson Andrew Nixon said in an email. “Any recommendations on updated COVID-19 vaccines will be based on gold standard science and deliberated transparently at ACIP next week.”

The FDA in August approved the latest coronavirus vaccines for people ages 65 and older or who have risk factors for severe disease, but the CDC vaccine panel can recommend the shots more narrowly or broadly. The committee is weighing a plan to recommend the shot for those 75 and older but instruct people who are younger to speak to a physician before they get the vaccine, according to two people familiar with the matter who spoke on the condition of anonymity to share policy discussions. Another option would not recommend the vaccine to people under the age of 75 without preexisting conditions, the people said.

But limiting access for people ages 65 to 74 has raised concerns about a political backlash, said one federal health official who spoke on the condition of anonymity to share private conversations. According to CDC estimates, nearly 43 percent of people in that age group received the 2024-2025 version of the coronavirus vaccine.

Many countries do not recommend annual coronavirus vaccination for healthy children because they rarely die from covid and most experience mild symptoms. U.S. officials have justified yearly shots based on data showing infants and toddlers faced elevated risk of hospitalization and that significant shares of those who were hospitalized had no underlying conditions. They have also said vaccines offer children protection against long covid.

Health and Human Services Secretary Robert F. Kennedy Jr., a longtime critic of coronavirus vaccines, in May directed health officials to stop recommending the shots for otherwise healthy children. The CDC later instructed parents to consult a doctor before getting their children coronavirus vaccines. The American Academy of Pediatrics recommends annual coronavirus vaccines for all children ages 6 to 23 months and for older children if their parents want them to have protection.

Next week’s vaccine advisory panel’s meeting is critical because the recommendations determine whether insurers must pay for the immunizations, pharmacies can administer them and doctors are willing to offer them. Kennedy purged the membership of the panel earlier this year and appointed his own picks, most of whom have criticized coronavirus vaccination policy. He is considering adding additional critics of covid shots to the committee.

The previous vaccine panel was already considering a more targeted approach to coronavirus vaccination, recommending the shot for high-risk groups, but allowing others, including children, to get the vaccine if they wanted.

Tracy Beth Hoeg, one of Makary’s top deputies who was a critic of broad childhood coronavirus vaccination before joining the FDA, has been one of the officials looking into vaccine safety data, according to five people familiar with the matter who spoke on the condition of anonymity to describe private information.

The planned pediatric death presentation included attempts to interview some families, but it’s not clear what other information was used. Some of those same families had been previously interviewed by the CDC officials as part of vaccine safety tracking, according to one person familiar with the matter.

Harleen Marwah, a pediatrician at Mass General Brigham for Children who recently reviewed data on the coronavirus vaccine and its safety and efficacy in children, said new studies since June identified “no new safety concerns.” Marwah conducted the research on behalf of the Vaccine Integrity Project, a new initiative based at the University of Minnesota to provide scientific evidence to inform vaccine recommendations.

The CDC has been monitoring coronavirus vaccine safety data since the first shots rolled out in the United States. Much stricter requirements were put in place for reporting adverse events than for other vaccines because the vaccines were initially fast-tracked under the FDA’s emergency response authority.

Death rates among all ages after mRNA coronavirus vaccination were below those for the general population, according to data presented to the CDC vaccine committee in June.

Noel Brewer, a public health professor at the University of North Carolina and one of the vaccine advisers terminated by Kennedy, said the focus on vaccine harms ignores the harms of coronavirus.

“They are leveraging this platform to share untruths about vaccines to scare people,” Brewer said. “The U.S. government is now in the business of vaccine misinformation.”

By Natalie B. Compton, Hannah Sampson
The Washington Post

While airfare prices are so confounding they can turn a rational person into a conspiracy theorist, there is still hope for the average traveler. Like any sport or hobby, shopping for flights is a skill you can hone.

Flight bookers this summer are already getting a break: Prices for domestic and international flights are down compared with last year, according to the travel booking site Hopper. And last-minute deals have been appearing to a surprising degree, flight-shopping service Going says, making this summer “a unique market” — albeit one that could change as the busiest travel dates of the season get near.

So how do you get the timing right? Here are our best tips, including price alert basics and a post-purchase hack.

1. Set price alerts

Tracking airfare can mess with your head. Are the airlines tracking my computer? Am I being punished for booking on a Wednesday instead of a Tuesday? The truth is that airfare prices are dynamic, and pricing algorithms are influenced by a long list of factors. The best way to track them is setting up alerts. Google Flights, Skyscanner and Hopper are among experts’ favorite price-tracking tools.

2. Sign up for deal newsletters

Price alerts are helpful when you have specific trips or dates and destinations in mind. But if you’re flexible or want some vacation inspiration, flight deal newsletters — free or for a paid subscription — are wonderful tools. You can sign up for newsletters from Going, Thrifty Traveler, Airfare Spot and Airfarewatchdog to get deals based on things such as your home airport or region. You may end up with a deal in your inbox that fits your travel needs.

3. Time your trip correctly

Traveling during off-peak parts of summer can change your vacation budget from a splurge to a bargain. That’s especially possible for people who don’t have to factor in school schedules.

“If you can shift your travel to September, even if it’s just the first week of September, you will see significant savings,” said Hayley Berg, lead economist for Hopper. “International trips are a great place to highlight this in the summer.”

In an interview in May, she said taking flights to Europe in late August instead of during busier midsummer weeks could save an average of $300. For many Asian destinations, the savings could amount to $500.

“It’s a really precipitous drop,” Berg said. She said flexibility around the days you fly is also important, with Tuesday and Wednesday departures offering deals.

“You can shave another percentage off,” she said.

4. Shop in advance, but not too far in advance

Going founder Scott Keyes calls this the “Goldilocks window”: the just-right booking period when cheap flights are most likely to pop up. For domestic travel, he says that’s one to three months out, and for international flights, it’s more like two to eight months. For peak season, when deals are harder to come by, add a few months to those recommendations.

Data from Google Flights shows prices for domestic flights are lowest between 21 and 60 days out. Those prices tend to bottom out around 44 days before takeoff. For Europe, it’s between 50 to 179 days, and for Mexico and the Caribbean, it’s from 37 to 87.

5. Keep an eye out for mistake fares

Sometimes airline mistakes are a good thing, such as when it comes to fares. Even though much of the online booking process for flights is automated, there are still some humans required on the service side — and with them comes human error, according to industry experts. Mistake fares are rare, but you can spot them by setting price alerts or subscribing to deal newsletters. Once you find one, book fast. Even if you don’t know whether you’ll use it, you can cancel within 24 hours and get a refund.

6. Learn how to work the airline sales

We have all seen them in our inboxes: Southwest fares for $49! JetBlue’s $44 flights! London on United for 22,000 points! But if you’ve struggled to actually get a fare that low, you’re not alone. Although advertised airfare sales sound enticing, it can feel impossible to take advantage of them. Sales are usually for specific routes, so be flexible in your booking. Also, make sure to check competitors’ prices, because experts say they will drop theirs when competitors have a sale. Check out our other best practices for finding deals during airline sales.

7. Stalk prices after you book

The savings don’t have to end after you book. Some will track and rebook flights multiple times if prices go down. (This works on rental cars and hotels, too.)

Many airlines dropped change and cancellation fees during the pandemic, so it’s easier to adjust your trip — even if that means rebooking the same flights at a cheaper price. As long as you aren’t on a Basic Economy ticket and your airline doesn’t have change fees, you can cancel your flight, get a credit, rebook and bank the savings for a future trip.

Google even has a tool for this: If a flight with its price guarantee drops, it will pay the difference. Prices are tracked from the time you book until your departure. It has some technicalities to it, but you can read more about the tool here.

8. Skip the skip-lagging

Skip-lagging, or “hidden-city ticketing,” involves booking a trip where you plan on getting off at a layover city and throwing away the last leg (or legs) of a flight. It might seem counterintuitive: You’re ultimately flying fewer miles in the sky, so why should it cost more money? Well, airlines typically price flights with a connection at a lower rate than directs because the latter are often in higher demand.

But airlines hate it, and in fact, most contracts of carriage from major airlines expressly forbid it. If an airline catches you trying to skip-lag, it could cancel your whole itinerary. So even if it saves you a few bucks, don’t risk it.

By Edward Russell
Special to The Washington Post

Travel writer Harriet Baskas faced a dilemma for her 20th wedding anniversary.

An assignment to Dallas-Fort Worth International Airport would see her miss the milestone with her husband and, while they had no standing traditions at home, a couples weekend package at the new Grand Hyatt DFW was enticing.

What if, she thought, he joined her for the trip to spend time together in an unconventional date spot?

That’s exactly what they did, taking a gourmet cooking class, enjoying the restaurants and soaking in the views of one of the world’s busiest airports.

That stay kicked off a tradition that has taken Baskas and her husband to an airport hotel roughly every five years, in places including Denver, Nashville and Vancouver.

Her favorite? The Westin Denver International Airport, where they watched “Top Gun” on the plaza.

“That was just a big treat to watch an aviation-themed movie at the airport outside our hotel,” she said.

Airport hotels are no longer dominated by the staid, cheap, bed-for-a-night abodes that were standard for so many decades. New accommodations hark back to the luxury of early aviation, featuring top-notch amenities that are enjoyable for weary vacationers, road warriors and even locals.

The TWA Hotel at New York’s John F. Kennedy International Airport features a high-end bar where aviation-themed drinks are a must. The rooftop pool at the Grand Hyatt DFW features sweeping views of the surrounding airport. And workouts in the high-floor gym at the Denver airport Westin come with a view of the Rocky Mountains.

From early practicality to modern amenities

The idea of an airport hotel dates to the origins of air travel itself, when those who could afford to fly faced long, multi-stop trips. A New York-to-Los Angeles flight on TWA in 1936 took more than 15 hours, according to a schedule from the time. Weather and other delays were common and often could require an overnight stay en route.

The Dearborn Inn was one of those early abodes, said Ted Ryan, an archivist at Ford Motor Co. Others included the Aerodrome Hotel at Britain’s Croydon Airport and the Oakland Airport Inn in California.

The Dearborn Inn opened adjacent to the former Ford Airport in Michigan in July 1931. The stately Georgian-style building designed by Albert Kahn served as an overnight respite for fliers and crews until the airport closed in 1947.

The hotel is still operating, though, and a recently completed multimillion-dollar, two-year renovation highlighted its aviation heritage.

Julie Mendola, who oversees real estate projects for Ford and worked on the renovation, said one feature reimagines a tradition from the company’s founder.

“Previously, when individuals traveled, Henry Ford would give them a boarding pass,” Mendola said. “We took the original phone booth (that) sits just off the lobby. When you step in you can actually print, email or text yourself a digital boarding pass.”

The “boarding pass” features your photo and a vintage aviation-themed background, Mendola said.

Between the Dearborn Inn’s “Americana” luxury, as a 1937 brochure put it, and today’s posh Hyatts and Westins was a long period of basic airport accommodations that served a need and not much else.

Henry Harteveldt, a travel-industry analyst at Atmosphere Research Group, noted the introduction of jumbo jets, such as Boeing’s 747 and the McDonnell Douglas DC-10, as a turning point for airport hotels. A lot more people could afford to fly on these new planes that seated hundreds of passengers.

“That really led to a growth in the number of (hotel) properties near an airport and a variety of properties near an airport,” he said.

One important cohort was business travelers. While earlier work trips involved a stay downtown or near a factory, the advent of mass air travel meant corporate fliers could go somewhere just for a meeting at the airport. And they needed a place to stay.

The Hilton Chicago O’Hare Airport Hotel catered to these road warriors. It opened in 1973 as one of the first hotels connected to an airport terminal, and it featured rooms that Architecture Plus magazine described at the time as “a good cut above standard practice.”

The growing demand for airport hotels attracted global brands — Hilton, Hyatt, Marriott — that brought a standard look and feel to properties, Harteveldt said, contributing to the sector’s staid reputation.

Pricey convenience

Stacey Stegman, a spokesperson for Denver International Airport, said feedback on the Westin is generally positive, but it does get one frequent complaint.

“People love the convenience; they love the quality,” she said. “The only negative thing I typically hear is that it can be pricey at times.”

Travelers do have the option of cheaper hotels near the Denver airport. There are more than a dozen accommodations a little more than five miles from the terminal, with rates as low as $100 a night, Google Maps shows. But none of these offer the convenience and ease of the Westin that is steps from baggage claim.

Newer, more sophisticated airport hotels are relatively expensive and popular.

The Grand Hyatt at SFO, which opened in 2019, is full more than 80% of the time, the San Francisco International Airport spokesman Doug Yakel said. The cheapest room for a one-night stay on a recent Friday was $340, according to the hotel’s website.

And a top amenity for aviation enthusiasts? The views.

Harteveldt said the views of Los Angeles International Airport from the Hyatt Regency LAX, his favorite airport hotel, are excellent. That includes the one from the gym at the top of the hotel.

“That makes a workout more fun for an AV geek like me,” he said.

By Joshua Coleman
Special to The Washington Post

I recently learned from my mother that my father cheated on her when I was younger. She assured me she forgave him long ago, and they worked through it in couples therapy. She said they have a good marriage and have grown a lot since then, but ever since she told me, I haven’t been able to move past it. I haven’t wanted to see him since she told me, and I feel like something has been broken inside me toward him, even though we were always close. Not sure what to do, if anything. Any advice?

This question from a patient touches on the deep disappointment we can feel when a loved one’s actions conflict with our values — even when we are not directly involved. Such revelations can be particularly difficult when they involve a parent, making it hard to move past feelings of hurt or betrayal.

When we are growing up, our parents can seem infallible, incapable of making decisions that go against our most deeply held beliefs. We take pride in their successes and feel a sense of shame when they fail. To that extent, our identities are intertwined with who they are, the decisions they make and the lives they lead.

For my patient, her father’s actions shattered the image she had of him. She had never done what he did, nor could she imagine doing so. He betrayed not only her mother, but also my patient’s beliefs about who he is.

This kind of disillusionment can be painful, but there are ways to manage the feelings of betrayal and anguish. The following steps may help, especially in cases where the act isn’t outright unforgivable but still deeply conflicts with personal values.

Consider the person in full

People are not defined by a single act as either good or bad. When we feel let down by someone we love, it can help to take a broader view — recognizing their imperfections but also their worth. My patient was very close to her father, which may suggest he has many qualities she admired. Those attributes may also have helped her mother forgive him and feel motivated to preserve the marriage.

Examine your own motivations

Disappointment often stems from a core value being shaken. Culturally, we often view affairs as an unforgivable offense — cross the line and you’re out. Most of us value fidelity in marriage, and infidelity typically causes the other party enormous pain and disruption. My patient probably believes forgiving her father would mean excusing something that could have broken up her parents’ marriage and the home.

By identifying which value has been disrupted, we can reflect on whether it is an absolute boundary or if we are willing to balance it with others such as forgiveness, understanding or maintaining family ties.

Have an honest conversation

If possible, speaking directly to the person who disappointed you can be therapeutic. Expressing how their actions affected you may provide clarity, resolution or even a sense of closure. However, be prepared for the possibility that they may not want to discuss it or that their answers may not bring the resolution you seek.

If an open conversation does not provide closure, then acceptance may be the answer. You may have to recognize that the behavior wasn’t about you, but was about them and their struggles.

See them as doing the best they can

It can feel empowering to end or limit relationships with family or friends whose values conflict with ours. However, sometimes the more empowered position is to see them as doing the best they can given their own upbringing, social class, genetic predispositions or marriages. While we may define ourselves, when we are children, through our parents’ values, we get to choose those we embrace and those we put aside when we become adults.

One person’s actions don’t define love or relationships

A parent’s mistakes can feel deeply personal, shaping how you see yourself and the world. If your father betrayed your mother, you might feel tempted to believe that all men — or all relationships — are untrustworthy. But that’s not true. One person’s actions don’t define the nature of love or the integrity of others.

Rebuilding trust takes time

When someone we love disappoints us, healing doesn’t happen overnight. Allow yourself time to process your emotions and come to your own conclusions. However, try not to avoid the situation indefinitely — unresolved feelings can deepen over time, making them harder to confront later.

People are complex, capable of both mistakes and growth. In time, you may find that acceptance, rather than self-protection or judgment, is the path that brings you the most peace.

Joshua Coleman is a clinical psychologist and senior fellow with the Council on Contemporary Families. His newest book is “Rules of Estrangement: Why Adult Children Cut Ties and How to Heal the Conflict.”