Get the stronger flu vaccine this year

High-dose flu vaccine better protects against hospitalization, infection than standard-dose

Mary Van Beusekom, MS

Two new analyses conclude that high-dose influenza vaccine is more effective against hospitalization and infection than the standard-dose version.

For the first study, published in The Lancet, an international group of researchers, including two from vaccine maker Sanofi, parsed pooled data from two large trials comparing the efficacy of the high-dose inactivated influenza vaccine (HD-IIV) with the standard-dose (SD-IIV) version against hospitalization for flu or pneumonia in older adults.

The FLUNITY-HD trial was an individual-level pooled analysis of two pragmatic randomized trials: DANFLU-2 in Denmark from 2022 to 2025 and GALFLU from 2023 to 2025 in Spain. In both trials, participants were randomly assigned to receive either HD-IIV or SD-IIV and followed, starting 2 weeks later to May 31 of the following year, in each flu season.

At an estimated 515 older adults needed to be vaccinated with HD-IIV instead of SD-IIV to prevent one all-cause hospitalization, a simple switch from SD-IIV to HD-IIV could substantially reduce the burden of influenza on health systems.

FLUNITY-HD included 466,320 adults with an average age of 73.3 years; 48% were women, and 48.9% had one or more chronic conditions. 

Hospitalization for flu or pneumonia was documented in 0.56% of the HD-IIV group, compared with 0.62% of SD-IIV recipients (relative vaccine effectiveness [rVE], 8.8%). HD-IIV also lowered the rate of cardiorespiratory hospitalization (2.02% vs 2.16% in the SD-IIV group; rVE, 6.3%), flu hospitalization (0.11% vs 0.16%; rVE, 31.9%), and all-cause hospitalization (8.54% vs 8.73%; rVE, 2.2%).

Hospital admission for flu occurred in 0.07% of HD-IIV participants and 0.12% in SD-IIV recipients (rVE, 39.6%), and hospitalization for pneumonia was documented in 0.50% and 0.51%, respectively (rVE, 2.3%).

Participants in both groups died of any cause with similar frequency (0.61% vs 0.62%; rVE, 1.2%). The rate of serious adverse events was comparable between groups (16,032 vs 15,857).

The findings "will inform evidence-based decision making by health-care providers, policy makers, and immunization technical advisory groups, contributing to potential optimization of influenza vaccination strategies in the vulnerable older adult population globally," the authors wrote. 

"At an estimated 515 older adults needed to be vaccinated with HD-IIV instead of SD-IIV to prevent one all-cause hospitalization, a simple switch from SD-IIV to HD-IIV could substantially reduce the burden of influenza on health systems," they added.

29% greater protection against infection

The second study, published in the International Journal of Infectious Diseases, used a test-negative design to analyze inpatient and outpatient data from four studies on older vaccinated adults tested for flu during the 2022-23 and 2024-25 flu seasons.

The average patient age was 81.1 years, 52.1% were women, and 87.2% had at least one chronic condition, primarily cardiovascular disease (74.2%), respiratory conditions (27.0%), and diabetes (18.7%).

In this integrated analysis, Italian older adults vaccinated with HD-IIV tended to report fewer laboratory-confirmed influenza episodes than their counterparts vaccinated with SD-IIV.

A total of 102 (8.2%) flu cases were identified, all but two (98.0%) of which were type A. Cases were almost evenly distributed among type A(H1N1)pdm09 (52.0%) and A(H3N2) (48.0%).

Of 1,238 participants, influenza positivity was lower among HD-IIV recipients than in the SD-IIV group (6.6% vs 10.3%; rVE, 29%). Relative to SD-IIV, HD-IIV was 54% more effective against infection among adults aged 80 years and older.

In the entire cohort, rVE of HD-IIV versus SD-IIV estimated using an unadjusted model was 40%, but when parsimoniously (28%) or fully (29%) adjusted, the estimate wasn't statistically significant.

"In this integrated analysis, Italian older adults vaccinated with HD-IIV tended to report fewer laboratory-confirmed influenza episodes than their counterparts vaccinated with SD-IIV," the researchers wrote. "This benefit was particularly evident in the oldest old, where the observed rVE consistently indicated a meaningful effect, regardless of the modeling strategy employed."

As the country suffers, King Donald rolls out his latest self-indulgent rape of history

Sure, of course Abraham Lincoln used a bathroom that looked like one in Trump Plaza

Brad Reed

The bathroom adjacent to the White House’s Lincoln Bedroom is seen after being remodeled by President Donald Trump. 

 (Image via Truth Social)

As millions of families across the US are about to lose their access to food aid over the weekend, President Donald Trump on Friday decided to show off photos of a White House bathroom that he boasted had been refurbished in “highly polished, statuary marble.”

Trump posted photos of the bathroom on his Truth Social platform, and he explained that he decided to remodel it because he was dissatisfied with the “art deco green tile style” that had been implemented during a previous renovation, which he described as “totally inappropriate for the Lincoln Era.”

“I did it in black and white polished Statuary marble,” Trump continued. “This was very appropriate for the time of Abraham Lincoln and, in fact, could be the marble that was originally there!”

Charlestown mobile home park residents buy their own properties to defend against predatory buyers

Coop ownership to preserve the future

Cassie Powell, University of Richmond

EDITOR'S NOTE: In Charlestown, the residents of the Border Hill Mobile Home Park on South County Trail (Route 2) put together financing for a $5.125 million group purchase of their 16-acre mobile home complex. Deb Foss, treasurer of the Border Hill Mobile Home Park Home-Owners Association noted “We wanted to purchase the park to secure our future. We didn’t want to wait for a hedge fund to come in and jack up our lot rents or kick us out" as described in the following article.

With help from the Cooperative Development Institute and financial support from the Rhode Island Foundation, they closed the deal on September 29. It's a great success story and congrats to the new owners!   - Will Collette

One of America’s most affordable paths to homeownership is slipping away.

At manufactured home parks – sometimes called trailer parks or mobile home parks – rents are rapidly rising due to large-scale buyouts by private equity firms.

Although private equity’s foray into the housing market is not new, the buyout of mobile home parks by investment firms is on the rise – with devastating consequences for residents. Over the past decade, rents in these parks have risen 45%, according to census data. Once a park is sold, the risk of eviction rises significantly in the following year.

SNAP facts

Trump is now in a fight with Pope Leo

Imprisoned immigrants are not only denied access to clergy but also to lawyers and to family. Also decent food, medical treatment, safe and sanitary quarters since they are kept in conditions more like concentration camps than jails. Pope Leo, a native of Chicago, DOES know what he's talking about.

Trump claims ​‘wind mills’ kill whales but then kills the science that would prove (or disprove) it

Guess we'll just have to take King Donald's word on it

Researchers at the New England Aquarium spotted this
right whale during an aerial survey in 2021. The Trump administration
recently clawed back nearly $500,000 in federal funding for the
aquarium's whale-monitoring program. (New England Aquarium;
 photo taken under NMFS Permit #19674)

By Clare Fieseler

The Trump administration has repeatedly blamed offshore wind farms for whale deaths, contrary to scientific evidence. Now the administration is quietly abandoning key research programs meant to protect marine mammals living in an increasingly busy ocean.

The New England Aquarium and the Massachusetts Clean Energy Center, both in Boston, received word from Interior Department officials last month stating that the department was terminating funds for research to help protect whale populations, effective immediately. The cut halted a 14-year-old whale survey program that the aquarium staff had been carrying out from small airplanes piloted over a swath of ocean where three wind farms — Vineyard Wind 1, Sunrise Wind, and Revolution Wind — are now being built.

Federal officials did not publicly announce the cancellation of funds. In a statement to Canary Media, a spokesperson for the New England Aquarium confirmed the clawback, saying that a letter from Interior’s Bureau of Ocean Energy Management dated Sept. 10 had ​“terminated the remaining funds on a multi-year $1,497,453 grant, which totaled $489,068.”

EDITOR'S NOTE: On October 28, Bloomberg News reports that RFK Jr. has ordered the CDC to "probe the potential harms of offshore wind farms." This follows the pattern of Bobby Jr.'s abuse of the scientific method. Rather than have the science inform your conclusions, under Trump and Kennedy, you determine the conclusion and then twist the science to fit. - Will Collette

Landmark Study Finds Alternative Autism Treatments Lack Scientific Proof

Patients deserve safe and effective care

By University of Southampton

A sweeping international review of nearly 250 analyses has found that popular complementary and alternative treatments for autism lack strong scientific support, and their safety is rarely evaluated.

Autism spectrum disorder (ASD) is a developmental condition that affects how people communicate, process information, and interact with others. It is estimated to affect around 1 in 100 people worldwide.

In a study published in Nature Human Behaviour, researchers from Paris Nanterre University, Paris Cité University, and the University of Southampton reviewed 248 meta-analyses, which together included 200 clinical trials and more than 10,000 participants.

The research examined how well complementary, alternative, and integrative medicines (CAIMs) work in treating autism, as well as their safety. The team analyzed 19 different approaches, such as animal-assisted therapy, acupuncture, herbal remedies, music therapy, probiotics, and Vitamin D.

The team also created an online platform to make it easier for people to see the evidence they generated on different CAIMS.

American oligarchs cash in on Trump

10 Richest Americans Have Gained $700 Billion in Wealth Since Trump Reelection

Jake Johnson

New research published November 3 shows that the 10 richest people in the United States have seen their collective fortune grow by nearly $700 billion since Donald Trump secured a second term in the White House and rushed to deliver more wealth to the top in the form of tax cuts.

The billionaire wealth surge that has accompanied Trump’s return to power is part of a decades-long, policy-driven trend of upward redistribution that has enriched the very few and devastated the working class, Oxfam America details in Unequal: The Rise of a New American Oligarchy and the Agenda We Need.

Between 1989 and 2022, the report shows, the least rich US household in the top 1% gained 987 times more wealth than the richest household in the bottom 20%.

As of last year, more than 40% of the US population was considered poor or low-income, Oxfam observed. In 2025, the share of total US assets owned by the wealthiest 0.1% reached its highest level on record: 12.6%.

The Trump administration—in partnership with Republicans in Congress—has added rocket fuel to the nation’s out-of-control inequality, moving “with staggering speed and scale to carry out a relentless attack on working-class families” while using “the power of the office to enrich the wealthy and well-connected,” Oxfam’s new report states.

“The data confirms what people across our nation already know instinctively: The new American oligarchy is here,” said Abby Maxman, president and CEO of Oxfam America. “Billionaires and mega-corporations are booming while working families struggle to afford housing, healthcare, and groceries.”

“Now, the Trump administration and Republicans in Congress risk turbocharging that inequality as they wage a relentless attack on working people and bargain with livelihoods during the government shutdown,” Maxman added. “But what they’re doing isn’t new. It’s doubling down on decades of regressive policy choices. What’s different is how much undemocratic power they’ve now amassed.”

Are we headed back persistent worries about nuclear war?

Donald Trump has Effectively Ended All Nuclear Agreements

Dr. Bandy X. Lee

I wish I did not have to do titles in all bold—but we have arrived at this point in so many domains! Even as day-to-day matters are consuming us, I have emphasized the need to respond proactively and to understand deeply, so as to prevent things getting out of hand. 

This includes matters related to the future welfare of our country, our world, ourselves, and our families—no person can afford to ignore what is happening. 

As nuclear weapons have proliferated tremendously, increasing the magnitude of their destructive power and the speed at which they can be employed, not to mention their metastasizing types, we have become psychologically inured to their presence. 

This is a huge, quite possibly fatal, mistake to let happen. There are very good reasons Albert Einstein and his colleagues tried to bring to our consciousness this potential through “the Doomsday Clock”—soon after they quickly realized that their scientific discoveries had changed the human condition—which now counts down in seconds rather than minutes.

Especially in the new political, economic, and military situation we are now in, we need to urgently bring our focus to de-escalation, not only of the weapons but of the ways we think about the weapons and about how we are conducting international affairs.

Just minutes before Donald Trump was scheduled to meet with Xi Jinping of China, he declared that the U.S. would resume nuclear testing—for the first time since 1992. With this statement, he has, in effect, effectively ended all nuclear agreements.

It's how I was raised.

Charlestown neighbors need help

Suspension of SNAP (Food Stamps) causing problems everywhere

Fellow Charlestown Residents, Recently, a friend saw very long lines at the RICAN food assistance location — a reminder that many of our neighbors are feeling the strain. If you’re in a position to help, RICAN is always grateful for donations of nonperishable food items like: canned fruit (Note: they are all set with canned veggies) pasta rice cereal pet supplies Baby Food (Note: please check the expiration dates on the baby food. It has a shorter time frame than other foods.) Every contribution makes a difference for a local family. And, of course, cash donations allow RICAN to fill gaps in their offerings. RICAN Drop-off Location: 805 Alton Carolina Rd, Charlestown, RI 02813 The donation bin is in front of the Thrift Shop Hours: Monday - Friday 9am - 2pm Let’s continue to look out for one another and keep Charlestown the caring community we’re proud to call home. Paid for by Charlestown Residents United P.O. Box 412 Charlestown, RI 02813 Visit our Website   Charlestown Residents United | PO Box 412 | Charlestown, RI 02813 US

With humor and candor, Hillary tells Providence audience her views on truth and democracy

At Brown, Hillary Clinton reflects on her career, encourages the pursuit of truth and diplomacy

Brown University

Looking back on her five-decade career in public service, Hillary Rodham Clinton can count numerous accomplishments and successes from her tenure as U.S. secretary of state, first lady, U.S. senator and other roles as a leader and advocate.

But what would she do differently? Without hesitation, she said it would be the 2016 U.S. presidential election.

“Obviously, I’d win,” Clinton declared to a packed house in Brown’s Pizzitola Sports Center during the University’s 104th Stephen A. Ogden Jr. ’60 Memorial Lecture on International Affairs on Thursday, Oct. 30. 

“I should caveat that — I’d win the electoral college,” she quipped, eliciting a burst of cheers as she nodded to having won the popular vote.

Presidential politics, tales from the world of diplomacy, and U.S.-international relations were among the topics that Clinton discussed in a wide-ranging conversation with Brown University President Christina H. Paxson. 

Clinton was the latest among dozens of leaders and diplomats to participate in the 60-year-old Ogden Lecture series, which has hosted everyone from His Holiness the Dalai Lama to New York Times publisher A.G. Sulzberger to heads of state including Jacinda Ardern (New Zealand), Mikhail Gorbachev (Soviet Union) and Theresa May (U.K.). 

Clinton’s visit was co-presented by Brown 2026, an initiative to observe the U.S. semiquincentennial and the role of research universities in advancing democratic societies, and by the University’s Thomas J. Watson Jr. School of International and Public Affairs, which celebrated its launch during a public event at Brown on Oct. 25.

Who gets SNAP benefits to buy groceries and what the government pays for the program

By the numbers

Tracy Roof, University of Richmond

The Supplemental Nutrition Assistance Program has helped low-income Americans buy groceries for decades with few disruptions.

But on Nov. 1, 2025, the federal government halted the flow of funds to states to distribute as SNAP benefits. The Trump administration blames this unprecedented disruption on the federal government shutdown, which began a month earlier. Following multiple court orders, federal officials said they plan to distribute at least a portion of the US$8 billion that’s supposed to flow monthly to the states to cover the costs of the program’s benefits. On Nov. 6, another judge ordered the distribution of all SNAP funds that were due in November.

Although the program costs billions, the benefits that families and individuals can receive from it are modest. The most a person living on their own can get is $298 a month, but many people receive far less. The average benefit is an estimated $6.17 daily – which falls below some estimates of the minimum cost of eating a nutritious diet in the United States.

The Conversation U.S. asked Tracy Roof, a political scientist who has researched the history of government nutrition programs, to explain who SNAP helps, how enrollment varies from state to state and what the program costs to run.

How many Americans are enrolled in SNAP?

The number of people getting SNAP benefits soared during the Great Recession, a big downturn that began in December 2007 and had long-lasting effects on the economy.

Because of high unemployment and poverty rates, more people were eligible for SNAP during those years. Many states, eager to bring dollars into their economies from federally funded SNAP benefits, made unprecedented efforts to enroll eligible families. SNAP enrollment peaked in 2013 at roughly 15% of Americans. The number of the program’s participants fell as the economy recovered, but never returned to pre-recession levels because a greater share of eligible families continued to enroll in the program after the economic crisis than before.

When the COVID-19 pandemic upended the U.S. economy in 2020, the number of people with SNAP benefits soared again. President Donald Trump has blamed high enrollment in SNAP on the Biden administration “haphazardly” handing benefits “to anyone for the asking.”

That assertion is misleading. While the Biden White House increased benefits, it did not expand who was eligible for SNAP. In fact, President Joe Biden agreed to apply work requirements and time limits to more SNAP recipients. Moreover, states, not the federal government, are primarily responsible for determining eligibility and enrolling people in SNAP. The number of people who received SNAP benefits during Biden’s presidency never exceeded 43 million – the peak reached in September 2020 during the first Trump administration.

The number of people using SNAP benefits to buy groceries has not fallen substantially because the number of people in poverty and the cost of living, including what Americans pay for food, have both increased since 2020.

Trump’s anti-Venezuela actions lack strategy, justifiable targets and legal authorization

Even if they have proof - which they have not shared - it is still murder to kill people in international waters absent a declaration of war 

Jeffrey Fields, USC Dornsife College of Letters, Arts and Sciences

The image accompanying Secretary of Defense
Pete Hegseth’s Oct. 28, 2025, social media announcement
that the U.S. had destroyed four vessels in the
Pacific allegedly smuggling narcotics. 
Pete Hegseth X account

“I think we’re just going to kill people that are bringing drugs into our country. OK? We’re going to kill them. You know, they’re going to be, like, dead,” Donald Trump said in late October 2025 of U.S. military strikes on boats in the Caribbean Sea north of Venezuela.

The Trump administration asserted without providing any evidence that the boats were carrying illegal drugs. Fourteen boats that the administration alleged were being operated by drug traffickers have been struck, killing 43 people.

On Oct. 24, the administration began a substantial military buildup in the region. The Pentagon moved the aircraft carrier USS Gerald R. Ford and some of its strike group, along with several other naval ships, to the Caribbean and moved F-35 fighter jets to Puerto Rico. This is the largest U.S. naval deployment in the Caribbean Sea since the Cuban missile crisis in 1962.

According to the White House, the naval buildup and strikes on boats in international waters are part of counternarcotics operations. The vessels targeted allegedly belonged to Venezuelan drug smugglers, though the administration has produced no evidence that there were drugs on the boats, or what type. Trump has named fentanyl as one of them.

At times the president and some of his advisers have referred to the operators and occupants of the boats as “narco-terrorists.” But they have offered no explanation why the people would be considered terrorists.

The president and his advisers’ own words have also indicated that the larger intentions of the administration could be to topple the government of Nicolás Maduro in Venezuela.

But as a former political-military analyst and former senior adviser at the Department of Defense, I find it hard to discern a coherent strategy or objective.

The U.S. deployed its largest warship, the USS Gerald R. Ford, to the Caribbean, north of Venezuela, following multiple strikes on vessels allegedly involved in drug trafficking. Omar Zaghloul/Anadolu via Getty Images

The Charlestown Town Council December 2 Special Election

Who is best for Charlestown?

By Will Collette

Now that the Blue Tide has swept over Nov. 4’s off-year elections, it’s time for Charlestown to focus on its December 2 special election to pick a successor to Rippy Serra whose unexpected death created a vacancy.Rippy served as Council vice-president, was a stalwart in the Charlestown Republican Town Committee (CRTC) and a leader in the non-partisan Charlestown Residents United (CRU) that ended the long rule of the Charlestown Citizens Alliance with landslide wins in the 2022 and 2024 elections. The December 2 election features three women who will appear in the following order on the ballot. 

At the top of the ballot is Democrat Jill Fonnemann well known to patrons of the Rathskeller where she works as beverage director and has organized numerous community fund-raisers. She is endorsed by the Charlestown Democratic Town Committee (CDTC) and the CRU. Spoiler alert: Jill is also my personal choice. Second on the ballot is Laura Rom, chair of the CRTC, who wants to keep Rippy’s seat Republican. She currently serves on the town Planning Commission and chairs the Charter Revision Commission. She is endorsed by the CRTC and shares a joint endorsement from the CRU with Jill Fonnemann. In a statement, the CRU explained why it issued this unusual joint endorsement:

A Message from Charlestown Residents United (CRU)

As many in the Charlestown community know, Council Member, Rippy Serra passed away this past August.  His dedication, integrity, and commitment to serving all residents left a lasting impact, and his loss is still felt by many in our town.

As we look ahead to the upcoming election to fill this important Council seat, Charlestown Residents United (CRU) recognizes the contributions that both candidates - Laura Rom (R) and Jill Fonnemann (D) - could bring to the Council.  We believe each candidate offers valuable experience and a strong commitment to serving our community.

Consistent with our mission as a nonpartisan, community-focused organization, CRU supports both candidates equally and remains committed to a respectful, informed and inclusive process.

We hope every resident will take the time to learn about each candidate’s vision, values and priorities and vote in a way that best reflects their hopes for Charlestown.

Together, we can continue fostering respect, transparency and collaboration in our community.

Charlestown has the distinction of being governed effectively and without drama – despite the partisan rancor roiling the country – by the CRU’s bi-partisan coalition. Together, they ended the financial mismanagement, shady land deals, secrecy and cover-up that marked the 10-year reign of the CCA. Thus the dual endorsement.

The third name on the ballot is a familiar one to any resident who follows local politics, Bonnita B. Van Slyke who is endorsed by the CCA.

Van Slyke on the right. Her puppet master
Ruth Platner to the left

Van Slyke has become the CCA’s main spokesperson, delivering the script prepared for her by the CCA’s de facto leader Planning Commissar Ruth Platner.

I’ve devoted a lot of time to debunking the endless stream of false statements that came from the Platner-Van Slyke duo over the past 10 years. There are a total of 62 articles so far featuring Van Slyke. You can read them all by CLICKING HERE.

The CCA is already cranking up its propaganda machine. As usual, they seem compelled to lie, even when it is so easy to disprove them. Here’s a “whopper” (one of Van Slyke’s favorite words) in their latest piece about the CCA and Van Slyke’s greatest claim to fame:

“Reduced the tax rate to one of the lowest in Rhode Island and adopted a policy to reserve sufficient savings to protect taxpayers in the event of emergencies.

This is a two-part false claim. First, the CCA did NOT reduce the tax rate and certainly not during Van Slyke’s tenure from 2014 to 2022. Simply look at the tax rate table from Town Tax Assessor Ken Swain that shows the tax rate steadily increased when the CCA took power in 2008 and dropped dramatically when the CRU kicked them out in 2022.

The CCA took power in 2008 and
were kicked out by the CRU in the
2022 election.

While Charlestown’s tax rate is very low compared to other municipalities, property values driven by non-resident purchases, not anything the CCA did or didn’t do, that determined your property tax bottom line.

Second, the CCA policy of raising the actual taxes you pay to pad the town’s surplus fund account spawned such scandals as the $3 million that went missing (“misallocated” was the term the CCA used).

It drove a series of shady land deals where Van Slyke acted as Platner’s puppet plus a systematic cover-up campaign by CCA tool, former Town Administrator Mark Stankiewicz.

Van Slyke's other recent campaign pieces are also packed with easily disproved and discredited claims as we'll be showing you over the coming weeks.

Over the month of November leading up to the December 2 special election, we’ll be covering these issues and more. 

We’ll look at why Charlestown needs Jill Fonnemann, a young, fresh new face, on the Council. 

We’ll also examine Van Slyke’s past record and current claims to see what Charlestown will get if she is returned to the Council.

Here are the ways you can vote:

You can also get an application for a mail ballot by e-mailing Town Clerk Amy Weinreich at arweinreich@charlestownri.gov. Amy turned my own request around very quickly.

Last Tuesday, November 4, record numbers of Americans turned out for off-year elections. “No Kings” translated into a Blue Wave that swept from Virginia to California sending a clear message that Americans do not want a corrupt, inept and repressive government.

We had that in Charlestown for 10 years under CCA rule. Your vote for Democrat Jill Fonnemann keeps Charlestown on a forward track for the benefit of all Charlestown’s people.