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Sweet chili chicken and rice is one of those meals that tastes like your favorite takeout order but comes together with almost no effort at all. This version leans into every shortcut that makes weeknight cooking feel doable, frozen bell peppers, quick-cooking chicken tenders and a jar of sweet chili sauce you probably already have in your fridge. Paired with rice cooked in the Instant Pot, this dinner is ready in about 20 minutes and delivers that sweet, savory, saucy flavor you crave on nights when you’re too burnt out to chop, prep or fuss over anything complicated.
In the middle of my own cooking burnout, I realized how much I needed meals that felt fun again without being a lot of work. This sweet chili chicken checks every box. It’s simple, uses ingredients you likely already have and tastes like something you’d order out, which is such a win on nights when cooking feels like one more thing on your plate.
If you love quick, takeout-inspired meals, I have a few others you might want to add to your rotation. My Instant Pot teriyaki chicken is a longtime favorite because the Instant Pot does all the work and the flavor is incredible. The Asian ground chicken rice bowls are another easy weeknight go-to, especially when you want something fast but satisfying. And if you need the quickest option of all, my 10 minute Asian chicken is perfect with rice and veggies or tucked into lettuce wraps.
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Ingredient spotlight
The full list of ingredients is below, this is meant to highlight a few of the key ingredients
Chicken tenders – I like using chicken tenders because they’re the ultimate quick meal hack. A few snips with kitchen shears turns them into evenly sized pieces that cook fast and stay tender. If you don’t have tenders on hand, any boneless, skinless chicken will work here.
Sweet chili sauce – This is where most of the flavor comes from, so use any brand you love. I’ve tested this recipe with several brands and some are much thinner than others. If your sauce seems loose once it heats up, you can thicken it with a little arrowroot.
Arrowroot (optional) – You can use arrowroot, tapioca or cornstarch to thicken the sauce if needed. Some sweet chili sauces are already thick enough, so this step is optional. If you do use it, mix the starch into cold water first and stir until completely dissolved before adding it to the hot pan. This keeps the sauce smooth and prevents clumping.
Step by step instructions
Tips for success
Crispy chicken option: For a fun twist, air fry your favorite chicken tenders, chop them into bite-size pieces and toss them with the sauce and veggies. It adds a great texture with almost no extra effort.
Cut chicken into small, even pieces. The smaller the cubes, the faster and more evenly they cook. This keeps the chicken tender and helps the whole dish come together quickly.
Taste your sauce before thickening. Some sweet chili sauces are sweeter, spicier or thinner than others. Give it a quick taste once heated so you can adjust as needed.
Swap out the jasmine rice for quinoa or cauliflower rice if that works better for your family.
★ Did you make this recipe? Please give it a star rating below!
Rinse rice well. Add rice and water to instant pot and cook 3 minutes high pressure.
1.5 cups rice, 3 cups water
Preheat a large skillet over medium high heat.
Cut chicken into cubes. Spray pan with avocado oil and add chicken, cook chicken, .2 tablespoons coconut aminos and ½ teaspoon salt, cook 7-8 minutes stirring occasionally.
1.5 pounds chicken, 2 tablespoons coconut aminos, ½ teaspoon salt
Remove chicken from skillet and add frozen peppers and ½ teaspoon salt. Cook 5-6 minutes until defrosted.
14 oz frozen peppers, ½ teaspoon salt
Combine ¾ cup sweet chili sauce and 6 tablespoons coconut aminos.
¾ cup sweet chili sauce, 6 tablespoons coconut aminos
Add chicken back to pan and pour sweet chili sauce over chicken and peppers.
Optional: Make an arrowroot slurry – combine 1.5 teaspoons arrowroot and 1 tablespoon water. Stir with fork until fully dissolved. Pour into the pan and stir well.
1.5 teaspoons arrowroot powder, 2 teaspoons water
Cook 1-2 minutes then turn off heat.
Serve over rice with optional green onion.
Remove the tendon from chicken tenders. It takes an extra minute, but makes the chicken so much more enjoyable. I use the fork method: grip the white tendon with a paper towel, press a fork against the tender and pull. The tendon slides right out.
Add arrowroot only if needed. Some sweet chili sauces are already thick. Pour the sauce over the chicken first, then decide if it needs thickening. Always dissolve arrowroot in cold water before adding it to the hot pan to avoid clumping.
Swap bell peppers if needed. If you don’t have frozen bell peppers or don’t love them, use chopped frozen broccoli or frozen green beans. Both cook quickly and keep this recipe burnout-friendly.
Use frozen or microwaveable rice for speed. If you don’t have an Instant Pot (or the energy to cook rice), microwave frozen jasmine rice to keep this meal under 15 minutes.
If this recipe makes too much rice, freeze the leftovers to use in future recipes (I use Soupercubes for this).
Nutrition Information
Nutrition Facts
Amount per Serving
Where does nutrition info come from? Nutrition facts are provided as a courtesy, sourced from the USDA Food Database.
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Course: dinner
Cuisine: American, Asian
Keyword: chicken with sweet chili sauce, sweet chili chicken, sweet chili chicken and rice, sweet chili chicken rice bowl
Let others know by rating and leaving a comment below!
Other additions
Spice -Add a pinch of crushed red pepper flakes or stir in a teaspoon or two of sriracha or a tablespoon of garlic chili oil if you want a little heat to balance the sweet chili sauce.
Brightness – Finish the dish with a squeeze of fresh lime juice and a sprinkle of chopped cilantro. It lifts the flavors and adds a fresh pop without extra effort.
Color – For a little extra color and crunch, toss in a handful of chopped green onions right before serving.
Common questions
Can I make this with leftover chicken or rotisserie chicken?
Yes. This is one of my favorite ways to use leftover meal-prepped chicken or rotisserie chicken (a true cooking burnout staple). Just warm the chicken in the pan once the veggies are hot, then add the sauce and let everything heat through.
Can I use chicken breasts instead of tenders?
Definitely. Chicken breasts or thighs both work well. Just cut them into small, even pieces so they cook quickly and stay tender.
Can I use a different veggie?
Yes. Any quick-cooking frozen veggie works here. Frozen broccoli, green beans or even a stir-fry mix all make great burnout-friendly substitutions.
What if my sauce gets too thick?
Add a splash of water or broth to loosen it. Sweet chili sauce thickens quickly as it cooks, especially if you used arrowroot.
What if my sauce is too thin?
Stir in a slurry of arrowroot mixed with cold water, then simmer for 1 to 2 minutes until it thickens.
Can I make this spicy?
Yes. Add sriracha, crushed red pepper flakes or chili onion crunch if you want a little more heat.
Can I serve this with something besides rice?
Absolutely. It’s great with noodles, cauliflower rice, quinoa or inside lettuce wraps.
Can I make this in advance?
Absolutely. This dish reheats really well and works great for meal prep. If you know you’re cooking it specifically for meal prep, boneless skinless chicken thighs tend to reheat the best and stay juicy.
How long do leftovers last in the fridge?
Store leftovers in an airtight container for up to 3 days. You can portion the chicken and rice together in meal prep containers if you’re planning ahead for lunches or busy nights.
I’ve shared my holiday gift guide, but many of you have asked for a gift guide of unusual ideas that aren’t the normal kitchen gear, clothing, and toys. This list of gift ideas is just that… a compilation of unique and creative ideas that your recipient likely won’t already have!
All of these gifts are practical, healthy, and usable, so they won’t sit on a shelf. Give them for a wedding, birthday, or just because. As a bonus, if you live in the same house as your recipient, you can also take advantage of the health benefits of these gifts!
Food and Drink
Chemex With Coffee
I have two rules when it comes to coffee… I don’t drink it every day, and I only drink good coffee. My Chemex is one of my favorite ways to make coffee. It’s a pour-over coffee maker that makes coffee without any trace of bitterness or acidity. Plus, it’s beautiful.
Years ago I got to try camel milk at a conference and was surprised to learn how nutritious it really is. It’s more similar to human breastmilk than cow or goat milk and it doesn’t have the same proteins that many are allergic to. This also means you can freeze it and the texture stays the same.
If you don’t happen to have a camel dairy in your neighborhood, here’s where you can buy frozen camel milk.
Barukas Nuts
A totally different type of nut, Barukas nuts have a unique nutritional profile. They’re found only in South America and are wild-harvested. Barukas are thought to be the healthiest nut thanks to their high protein, fiber, minerals, trace elements, and antioxidants. They’re roasted to neutralize anti-nutrients and increase absorption and taste great in recipes or as a snack.
CSA Box
A great way to support local farms and give the gift of fresh veggies all year. CSA stands for “Community Supported Agriculture,” and it means the member is essentially sharing in the yield of the farm that year. We’ve been a member of several different CSAs over the years and loved them all.
You can find products like dairy, meat, fruits, veggies, and even fresh-cut flowers, depending on the farm. Search here for CSAs in your area to find one near you.
Cacao Calm
An absolutely delicious and healthy hot cocoa drink! This one also makes a great stocking stuffer. Cacao calm is expertly crafted by my friend and chocolatier Jonathan Pantalis to have a beneficial amount of stress-relieving adaptogens. I love drinking this before bed!
Clearly Filtered Water Bottle
I’ve bought (and used) several different water bottles over the years, but this one from Clearly Filtered is certainly unique. It’s stainless steel and has a built-in filter that eliminates up to 99.99% of contaminants without removing beneficial minerals. Plus, you can refill it from practically anywhere for fresh, filtered water.
Nature Lovers
Mountain Rose Herbs
One of my favorite places to get high-quality, ethically sourced herbs. Mountain Rose Herbs is my go-to for bulk herbs, but they also have essential oils, tinctures, teas, and bath and body products. Give them some ready-made products or some ingredients to make their own DIY projects.
Flower Press and Glass Frame
Many people love to decorate their homes with fresh flowers, but flowers don’t last that long. With a wooden flower and plant press though, they can preserve nature for years to come! Once they’ve pressed a variety of leaves and flowers, they can arrange them in a beautiful display with this hanging glass frame.
Mushroom Log
You may have heard of mushroom growing kits that come in a box, but these fungi come with their very own log. They can grow organic shiitake mushrooms in just 10 days from inside their own home. They don’t even need to have a green thumb since these mushrooms are guaranteed to grow. Each box/log can grow two crops of mushrooms.
Kids
Kids Daylight Computer
It’s like an iPad but so much better. I love my Daylight Computer and use it when I need to take notes before bed. Their kids’ version is similar, with no blue light, no flashy colors or videos that overstimulate, and features calm learning apps and experiences.
The Kids’ Daylight Computer values curiosity and growth and can even be used outside in direct sunlight.
Talkbox
Know some kids (or their family) who want to learn a foreign language? Talkbox is unique in that it approaches language in a natural progression. First, we hear a language, then we see it, then we learn how to speak it.
I also love that it’s designed to be used in real-life, everyday situations, and the whole family is involved!
Puzzle Boxes
These beautiful Japanese puzzle boxes are a unique way for older kids and adults to keep valuable items safe, and they’re fun to learn. They’re handmade and require creativity and problem-solving. Or gift a Money Maze Puzzle Box with cash inside. This way they get the fun of a puzzle plus cash to get whatever they want.
Balance Bike
This one is only recommended for the 5-and-under crowd on your list. It’s a fun approach to a training bike. No training wheels or pedals here, just an ultra-light bike that teaches balance. The best part? Kids can carry it, put it away, and move it on their own.
Bodycare
Red Light Facemask
This one can look a little weird when you’re wearing it, but the benefits are well worth it! For anyone who wants targeted red light therapy on their face to help with inflammation and aging. The red light face mask works at a cellular level to rejuvenate cells.
Hard Lotion
I started making lotion bars years ago and have quite a few recipes on the blog. You can also add any skin-friendly essential oil you want to the base recipe here. And if you prefer not to DIY, MadeOn makes great hard lotion bars that meet my standards. Use code wellnessmama for a discount.
Red Light Toothbrush
I recently switched to this red light toothbrush and I’m loving it! It combines two of my favorite things: oral health and red light therapy. The near infrared and red light help to calm gum inflammation and promote circulation. And the sonic vibrations stimulate and massage.
Ice Roller
I’ve been known to dunk my face in ice water for some facial cold therapy. Not everyone wants to do that though, so an ice roller is the next best thing. It helps depuff the skin, drain lymph, and tighten and tone skin. I love the mint ice roller from Skinny Confidential.
LED Teeth Whitening
Ditch the whitening strips with this LED teeth whitener. This option does not use peroxide or other chemicals that can cause irritation, burns, and enamel erosion. Instead, they use a natural whitening gel with remineralizing hydroxyapatite, charcoal, essential oils, and other natural ingredients. And the LED system uses red and blue light therapy to target bacteria and reduce inflammation.
Red Light Hat
Is your recipient looking for fuller, healthier hair? BON CHARGE has a new red light therapy cap that uses 650nm red light to stimulate hair follicles. It takes just 10 minutes a day and they can easily wear it while doing other activities.
Rest and Recover
JOOVV Go light
I bought one for my mom years ago and she loves it! Red light therapy helps improve skin, boost collagen, and improve mitochondrial function. The Go Light from Joovv is a mini version for on-the-go red light therapy. I also have a Joovv Combo light, a modular option. So your recipient can purchase more panels later on for a more full-body experience.
Trigger Point Massage
A Trigger Point Massage Tool looks like a cane but works for self-massage. It hits hard-to-reach spots and is great for releasing tension in the back. I love to use this while watching a movie (bonus if you’re sitting on the yoga ball chair too!).
Myobuddy Massager
I got the Myobuddy Massager as a gift and it’s one of my favorite things now! It’s basically percussive massage meets myofascial release meets infrared heat. It feels like a mixture of deep tissue massage and fascia massage, and I find it so relaxing! Use the code wellnessmama for a discount.
Sauna Blanket
There are so many benefits to daily sauna use, and an at-home one is the easiest way to accomplish this. We have a two-person Clearlight Sauna and I love it because it’s my “quiet box” where I go to sweat, listen to a podcast, and get a few minutes of me time.
The sauna blanket from BON CHARGE is an affordable, portable option. Use code wellnessmama20 for a discount. I also like the sauna blankets from Higher Dose. Use code wellnessmama15 for a discount.
Pranamat
Improve sleep, relieve tension, and increase relaxation in just a few minutes a day. The Pranamat has thousands of acupressure relief points that increase blood flow to muscles in your back and neck. This can help reduce inflammation and pain while releasing endorphins. It also boosts circulation and helps muscles breathe a sigh of relief!
Unlike other acupressure mats, Pranamat uses natural fibers like untreated cotton, linen, and buckwheat hulls for pillow stuffing. Use code wellnessmama for a discount.
WAVwatch
I got to try the WAVwatch at a conference and I bought it on the spot! It uses restorative frequencies to target specific organs and areas in the body. The WAVwatch comes preloaded with 166 frequency sets that address everything from sleep issues to reproductive health to headaches and more. Use code wellnessmama for a discount.
LeelaQ Energy Products
You don’t have to understand quantum mechanics to harness its power. LeelaQ offers their quantum blocks, which harmonize energy and help protect from harmful energies like 5G and other radiation. They offer a variety of quantum energy products for every budget.
Mini Trampoline
Great for the lymphatic system, as an easy way to exercise, and just plain fun! A mini trampoline (also called a rebounder) will fit in most houses, and jumping on it is a great daily practice. They’re great to keep in the living room while watching your favorite shows or for small brain and movement breaks during the day.
Balance Chair
Have someone on your list who works at a desk for part of the day? Many companies are fine with switching out a chair for a more ergonomic chair, even if they won’t go for a standing workstation. This balance chair combines a yoga ball and a rolling chair for a desk chair that engages the core and negates some of the harmful aspects of sitting.
Full Spectrum Lamp
For anyone who experiences Seasonal Affective Disorder or daytime sleepiness, a sunlight lamp may be the answer. It has a bright full-spectrum bulb that simulates daytime, even indoors, and even in the winter. This is the one I use to keep my cortisol levels healthy.
Everything Else
Magic Wallet
Not just any wallet. This magic leather wallet is like a magical illusion and is fun to use. It’s also made by my favorite leather company, Saddleback Leather. Made from full-grain leather and comes with a 100-year guarantee.
Daylight Computer
I started using the innovative new Daylight Computer after sunset because it’s more circadian-friendly. There’s no blue light, so it won’t mess with your hormones and can be used even in direct sunlight. It has a fast, paper-like display to read, write, take notes, and use your favorite apps. The first computer that’s more nature and human-focused for a distraction-free digital experience.
Pet Probiotic
Have a pooch-loving friend or family member who would love a gift for their pet? Get healthy probiotics for their cat, dog, or horse here. It contains probiotics, prebiotics, and digestive enzymes for better digestion and happier pets.
Probiotics For the Home
It turns out our homes have a microbiome just like our guts, mouths, and skin. We can improve our gut bacteria in many ways, but we can also support our skin and gut microbiome by interacting with probiotics in our environment.
These beneficial bacteria may also help ward off mold and odors in the home. Homebiotic is probiotics for the home environment that the super-crunchy person on your list may just love!
Personalized Photo Book
I make a photo book for each of my kids every year with special memories from the past year. Use Mixbooks to customize the design and size and get hardcover or lay-flat options. Record memories from a special trip or event in your photo book for your recipient to cherish.
What are some unique gifts you’ve given or gotten over the years? I’d love to hear about it in the comments!
‘Candy Wintergreen’ will grab your attention with its bright and refreshing lime-green coloring.
‘Candy Wintergreen’
It provides stunning contrast when grouped with poinsettias of other colors or can be used for a non-traditional nod to the holidays.
‘Candy Wintergreen’ has an upright growth habit and holds its bracts aloft above its dark green foliage.
This cultivar is usually available mid-season.
10. Green Envy
Are you a fan of green flowers? If so, add ‘Green Envy’ to your “must have” list!
This novelty cultivar is light green or chartreuse in color. Bracts have wavy margins and are held upright, creating a very perky appearance.
‘Green Envy.’ Photo via Alamy.
‘Green Envy’ will be a beautiful compliment to your classic, scarlet colored poinsettias – it works well as an accent color when grouped with other varieties.
A late season variety, ‘Green Envy’ has good heat tolerance.
11. Golden Glo
While some poinsettias categorized as white may have a yellowish tint, ‘Golden Glo’ is outright, unabashedly yellow.
It has golden yellow bracts which become more intense in color as they mature and dark green foliage.
‘Golden Glo’
After you use ‘Golden Glo’ as part of your autumn decor, it will look beautiful paired with traditional colors as you move into the winter holidays.
It is a compact cultivar which has above average heat tolerance.
12. Gold Rush
Another excellent choice for fall decorating, ‘Gold Rush’ is a deep golden color with hints of pink.
The clusters of flowers in the centers of the bracts are small, calling the viewer’s attention to its colorful modified foliage.
‘Gold Rush’
Another benefit to using ‘Gold Rush’ as a fall plant is that it has improved heat tolerance and will cope with warm autumn weather better than some other varieties.
‘Gold Rush’ is typically available from the middle of autumn.
Bicolored and Variegated
Although poinsettias with solid coloring are pretty enough on their own, you may want to expand your holiday houseplant repertoire after you feast your eyes on these variegated novelty cultivars with their intriguing patterns.
13. Christmas Beauty Princess
‘Christmas Beauty Princess’ is a royal knockout.
The bracts are red with rose or white flares in the centers – with the white color becoming more pronounced as the plant matures.
‘Christmas Beauty Princess’
Bracts are medium sized and contrast with lush, dark green foliage.
‘Christmas Beauty Princess’ holds up well in warmer conditions and makes a good choice for those in southern states.
This variety is a late season poinsettia.
14. Cinnamon Star
If warming spices make you feel cozy during the winter months, you might enjoy a visual reminder from ‘Cinnamon Star.’
‘Cinnamon Star’
This cultivar has a golden, peachy hue with darker pink flecks.
This early season poinsettia holds its colorful crown upright above dark green leaves.
15. Ice Punch
Looking for a punch that will knock your socks off without leaving you with a headache later? Try ‘Ice Punch.’
This striking cultivar has ruddy-colored bracts with contrasting white blazes.
The bracts have wavy margins and the dark green leaves are exceptionally pointed.
And despite its icy name, it holds up well to heat.
‘Ice Punch’ is available early in the holiday season.
16. Jingle Bells
Just like the famous holiday song, ‘Jingle Bells’ is a merry reminder of the Christmas season with its bright colors and whimsical pattern.
‘Jingle Bells’
This cultivar is bright crimson with white flecks, and the occasional all-white bract.
‘Jingle Bells’ has oak leaf shaped bracts and dark green foliage.
17. Jubilee Jingle Bells
‘Jubilee Jingle Bells’ is bright red with splashes of hot pink.
‘Jubilee Jingle Bells’
Like other jingle type poinsettias, the occasional bract with a very large splash of contrasting color will sometimes appear.
‘Jubilee Jingle Bells’ is available early to mid-season.
18. Mars Marble
If you prefer softer tones rather than intense ones, ‘Mars Marble’ might strike your fancy.
‘Mars Marble’ is a cream color, marbled with pale rose.
This poinsettia has an upright growth habit and dark green foliage.
‘Mars Marble’ is longer lasting than many other varieties and is available mid-season.
19. Monet Twilight
Why not turn your poinsettia display into an ode to the impressionists?
‘Monet Twilight’ will help you do just that. The creamy colored bracts are flecked with pink, and the color grows into deeper shades of reddish-pink as the plant matures.
‘Monet Twilight.’ Photo via Alamy.
Long bracts hang around the large flower clusters with darker hues emerging in younger growth, perhaps reminiscent of the deepening colors of the sky after sunset.
‘Monet Twilight’ is a mid-season cultivar.
20. Peppermint Ruffles
‘Peppermint Ruffles’ is a peppermint type and has bracts with wavy margins which give the plant a ruffled appearance.
‘Peppermint Ruffles.’ Photo via Alamy.
This variety is creamy yellow and pale pink, with darker pink flecks, and yellow veins.
‘Peppermint Ruffles,’ which bears some resemblance to ‘Visions of Grandeur,’ is available early in the holiday season.
21. Pink Candy
‘Pink Candy’ is a warm, dark pink sprinkled with even darker pink flecks.
Price: $36.99 (as of Dec 05, 2025 00:53:44 UTC – Details)
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Make soft, chewy no-bake cookies with peanut butter, honey, and oats. They’re easy and quick to prep, a fun addition to cookie trays, and store well in the fridge.
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A child gets immunized at a Florida pediatrician’s office in September.
Joe Raedle/Getty Images
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Joe Raedle/Getty Images
Powerful federal advisers this week are expected to make a controversial change to how babies are immunized against hepatitis B, and to question how pediatricians inoculate children against more than a dozen other infectious diseases, including measles, mumps, whooping cough and polio.
The Centers for Disease Control and Prevention’s Advisory Committee on Immunization Practices (ACIP) is convening Thursday and Friday for a closely watched meeting to rethink fundamental elements of the childhood vaccination schedule, which has protected children from dangerous diseases for decades.
The potential changes are welcomed by allies of Health and Human Services Secretary Robert F. Kennedy Jr., who has long questioned the safety and effectiveness of vaccines.
“We’re now starting to see truth telling about vaccines, and needless to say, pharma, medicine, academia, mainstream media are not happy,” Mary Holland of Children’s Health Defense said in a video posted to the group’s social media page. The nonprofit advocates against vaccines and was co-founded by Kennedy.
The meeting underscores grave concerns among many public health experts, who fear it will further erode childhood vaccinations, leading to a resurgence of preventable infectious diseases.
“We now seem to have entered a dangerous new phase in Secretary Kennedy’s campaign to shut down scientific expertise, silence the best available evidence, and replace it with his own personal agenda,” said Dr. Sean O’Leary, a professor of pediatric infectious diseases at the University of Colorado Anschutz who chairs the American Academy of Pediatrics’s committee on infectious diseases.
The CDC’s advisory committee, established in 1964, had long been considered a definitive source of information about childhood vaccines. It wields enormous power because its recommendations influence how doctors vaccinate patients and dictate whether insurance companies pay for shots.
But the committee has lost the trust of most mainstream medical groups since Kennedy replaced its members in June with his own slate. The committee has also abandoned longstanding collaborations with medical groups like the pediatrics academy and draws less on the experience of CDC experts.
The committee’s September meeting devolved into chaos. A scheduled vote on the hepatitis B vaccine was tabled amid confusion. The chairman was replaced this week. The new chair, Dr. Kirk Milhoan, is a pediatric cardiologist and fellow with the Independent Medical Alliance – a group which continues to recommend treating COVID with drugs like ivermectin, even though studies have shown it does not work.
Confidence in the CDC was further eroded last month when the agency changed its stance on whether vaccines may cause autism, a theory championed by Kennedy and other anti-vaccine activists but long debunked by a large body of high-quality research.
The vaccine committee is expected to hear the first report by a new working group tasked with scrutinizing the childhood vaccine schedule. The schedule is the finely calibrated timetable pediatricians use to administer the sequence of more than 30 doses to protect against more than a dozen diseases.
The scrutiny is especially troubling to many public health authorities, coming amid new outbreaks of vaccine preventable diseases, which are on the rise because of falling immunization rates.
“We have seen more measles cases in our country this year than we have in recent history. In my own community, we’re seeing quite significant upticks in pertussis,” said Dr. Raynard Washington, director of the Mecklenburg County Public Health Department, based in Charlotte, N.C., “Any barriers [to vaccination] that might be created by bureaucracy or process pose a threat to the public’s health.”
Vaccine proponents say every vaccine is carefully evaluated for safety and effectiveness before being added to the schedule. And researchers and regulators monitor all vaccines for safety issues after doctors start using them.
Children receive the roster of shots at a young age to make sure they don’t catch dangerous diseases when they’re most vulnerable, experts say.
“Every vaccine on that schedule and the recommended timing of it exists for a reason,” says pediatrician O’Leary. “It’s based on the age at which a child’s immune system can provide optimal protection after vaccination, balanced with the age when the child is at highest risk for a disease. There’s no reason to delay or space out vaccines – doing so just puts children at risk.”
Some who are worried about vaccines argue the number of different antigens and other ingredients could overwhelm a child’s immune system. But supporters say children are exposed to far more immune stimulation from naturally occurring microbes than from vaccines. And vaccines have been refined over the decades to minimize the number of ingredients they contain.
“Imagine saying we can only use medicines now that were developed before 1990,” O’Leary says. “Imagine where we would be in medicine today. These newer vaccines are a good thing. They save lives. That’s why we give them.”
A change for the hepatitis B vaccine
The first concrete step expected from the committee is a vote to change the current recommendation that all babies get vaccinated against hepatitis B within the first 24 hours of life.
It’s unclear what the committee might recommend, but it could include delaying the shot or requiring a detailed discussion with parents before administering the shot.
Proponents of the change argue universal vaccination at birth is unnecessary because hepatitis B is often spread through sexual contact and drug use. Babies could be protected by increased screening of pregnant women and only inoculating babies of mothers who test positive, some argue. Supporters of the change also point to other countries that don’t give newborns the dose.
But hepatitis B spreads other ways. The virus is highly infectious, and can be transmitted through contact with an infected person’s body fluids, such as their blood. People can also get infected by coming into contact with common household objects, such as toothbrushes, and towels, that have been contaminated by another family member.
A new analysis by researchers who have presented at past ACIP meetings finds that delaying hepatitis B vaccination by just a few months could lead to more than $222 million in excess healthcare costs and hundreds of preventable deaths each year.
Most babies infected with the virus end up with chronic infections, which increases their risk for liver disease, failure and cancer.
“Universal vaccination has been the cornerstone of hepatitis B elimination efforts for decades,” says Eric Hall, assistant professor of epidemiology at Oregon Health and Science University, and a co-author on the analysis. “It’s very important we continue this work and do not undo the important public health achievements of the past 45 years.”
Inoculating all babies at birth has resulted in a dramatic decrease in hepatitis B infections.
“The hepatitis B vaccine has one of the most well-established safety records of any vaccine, and it’s one of our best,” O’Leary says. “We’ve been using it for a long time. It’s one of our best tools to protect babies from chronic illness and liver cancer. This is a situation where one missed case is too many.”
He added that pediatricians partner with parents on children’s health. “You probably will also hear a lot from individuals in this meeting who claim parents don’t get a say in their children’s immunizations,” he said. “I want to be very clear when I say that’s completely false. … We want to make sure we’re protecting children from harmful diseases while also making sure the parents are fully informed and involved in the process.”
In addition, proponents of universal hepatitis B vaccination at birth argue there is no evidence the current approach is unsafe. And delaying the first dose would cause major problems because the subsequent two doses are administered as part of combination vaccines.
Experts are also alarmed that the CDC is investigating splitting up the MMR vaccine, which protects kids against measles, mumps and rubella in one shot. Giving kids three separate shots would mean more trips to the doctor and more needles, vaccine proponents say. They worry that, inevitably, more kids would end up missing vaccines.
Aluminum ingredients under fire
The committee is also studying the safety of an ingredient commonly used in vaccines, an additive that contains aluminum. Coming after other recent changes to vaccine policy, many public health experts worry that the administration may now try to remove the ingredient.
For almost a century, some important vaccines, including shots that protect against diphtheria, tetanus, hepatitis and the flu, have included aluminum salts, compounds that contain small amounts of aluminum. They are used as adjuvants to give the immune system an extra boost to make the shots protective.
“What aluminum does is it draws the immune system’s attention to that particular little protein so that it makes a much more robust immune response that you then are protected by,” O’Leary says.
One question the working group is considering is “do either of the two different aluminum adjuvants increase the risk of asthma?” according to a document outlining the group’s mandate.
Most public health experts say there’s no good evidence that aluminum adjuvants are unsafe and ample evidence that they pose no real concern. In fact, a large Danish study recently debunked any danger. People are exposed to far more aluminum on a daily basis from food, consumer products and their surrounding environment than from vaccines.
“Based on large, long-term studies and immunology research, there is no evidence that vaccines cause either allergies or autoimmune disorders e.g., Type 1 diabetes, rheumatoid arthritis, multiple sclerosis, systemic lupus,” Dr. Frank Virant, president of the Board of Directors at the American Academy of Allergy, Asthma & Immunology, wrote in an email to NPR.
But removing aluminum from vaccines would render them ineffective, and there are no substitute vaccines ready to go. It could take years to develop reformulated replacements.
Whether we’re visiting an expansive farm garden with impressive acreage or a small balcony garden with countless containers, I’m always impressed with the ways gardeners utilize their space. Arianne Baldomero inMinneapolis, Minnesota is one of those gardeners who provides endless inspiration despite a limited footprint. Arianne has shared her lively and inviting space a couple of times in the past (Zone 4b Minneapolis Garden and Arianne’s Garden in Minneapolis Part 1 and Part 2), and today she has returned with more sensational scenes from her garden during its peak.
Our garden is in Minneapolis, MN (zone 4B), making the most of our small urban space. Each winter and early spring, I start most of our annuals from seed. I love crafting container combinations and gathering homegrown flowers for bouquets. Our backyard patio truly becomes an extension of our kitchen in summer, where we cook, dine, and entertain outdoors.
Arianne’s garden abundance is evident the second you’re within eyesight of her home. This front yard bed brings the garden right up to the sidewalk and shows off a dazzling array of flowers and fun foliage plants.
But the real magic can be found once you make it to her backyard. This aerial shot from a second-story window gives a great lay of the land and offers some good perspective on just how much space Arianne has to work with. While it’s not nothing, particularly for a city garden, it is small enough that she needs to be smart and strategic with her plant selections and placements.
One of the many ways that Arianne makes the most of her space is with gorgeous container plantings. Like the rest of her garden, these containers often feature many bold and colorful foliage plants.
Here’s another fabulous example of Arianne’s incredible container combinations. Canna, coleus, and begonia bring a range of colors, patterns, and textures in a moody palette that get balanced by some peach-colored begonia blooms.
A closer look at this planting shows off more of the striking veining on these exciting annuals and tender perennials.
As I mentioned above, vibrant and color foliage is just as prevalent in Arianne’s beds as they are in her container concoctions. A radiant ‘Rainbow’s End’ hosta (Hosta ‘Rainbow’s End’, Zone 3–9) and a sea of other vibrant green foliage is the perfect compliment to the pink coleus in the foreground of this photo.
Here is another fantastic example of containers perfectly crafted to compliment the rest of the garden’s design. Pink and green plants are paired to perfection both in the ground and in hanging baskets.
Lastly, a corner bed with a small path nearly hidden by Arianne’s exuberant plantings. Yet again container plantings are used so successfully in this section of the garden that they blend seamlessly into the surrounding plants.
Arianne sent in so many fabulous photos of her spectacular garden that we’ll be returning to Minneapolis tomorrow to enjoy more of her gorgeous designs. If you already thought Arianne was ambitious in her small space, just wait until you see the cut flower arrangements she creates.
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To submit, send 5–10 photos to [email protected] along with some information about the plants in the pictures and where you took the photos. We’d love to hear where you are located, how long you’ve been gardening, successes you are proud of, failures you learned from, hopes for the future, favorite plants, or funny stories from your garden.
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