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transcript:美国前卫生局局长杰罗姆·亚当斯接受《与玛格丽特·布伦南面对全国》采访实录,2026年4月19日

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2026-04-19T12:39:00-0400 / 哥伦比亚广播公司新闻

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以下是2026年419日《与玛格丽特·布伦南面对全国》节目播出的对特朗普政府首任卫生局局长杰罗姆·亚当斯医生的采访实录。

玛格丽特·布伦南: 我们现在请来美国前卫生局局长杰罗姆·亚当斯医生,他今天上午从印第安纳波利斯加入我们的节目,医生,很高兴您再次做客。自肯尼迪部长在蒙塔雷斯医生上任仅一个月后将其解雇以来,美国参议院一直没有确认疾控中心主任人选。但本周,总统提名埃丽卡·施瓦茨医生领导疾控中心。我知道她曾担任您的卫生局副局长。您是否认为这是白宫的刻意选择,挑选了真正支持疫苗接种的人选?

杰罗姆·亚当斯医生: 当然。我们之前也曾讨论过,法布里齐奥和沃德的民调显示,如果共和党继续推行反疫苗政策,他们将在中期选举中付出代价。但我想说,施瓦茨医生是绝佳人选。她拥有医学博士、法学博士和公共卫生硕士学位,在海岸警卫队拥有超过20年的公共服务经历,曾任首席医疗官,正如您提到的,她还在公共卫生服务部门服役,以海军少将军衔退役。这也是我当初亲自挑选她担任我的副局长的原因。

玛格丽特·布伦南: 您是否担心她能否在不受政治干预的情况下开展工作?

杰罗姆·亚当斯医生: 这是一个很好且公平的问题,玛格丽特。客观来说,她是本届政府迄今为止提名的最合格的卫生官员人选。我想感谢总统和卫生与公众服务部高级顾问克里斯·克伦普选择了她。但话说回来,和您一样,我在乐观的同时也对施瓦茨医生所处的环境保持审慎态度。我们之前已经见识过苏珊·蒙塔雷斯的遭遇,就在上周,代理疾控中心主任还压制了一份《发病率和死亡率周报》,该报告显示,今年冬季新冠疫苗降低了健康成年人的急诊就诊率。此外,施瓦茨医生仍需通过参议院确认程序,她显然将在疫苗问题上与小罗伯特·肯尼迪展开交锋。近期的历史经验告诉我们,即便她获得确认,在这个对疫苗持怀疑态度的卫生与公众服务部内,她也将面临真正的压力,可能被迫优先遵循意识形态而非科学证据。同时,她还需要应对日益严重的麻疹疫情、疾控中心内部低落的士气,以及持续的预算削减影响。

玛格丽特·布伦南: 好的,卫生部长本周将再次前往国会作证。您刚才提到了麻疹。今年前四个月,美国的麻疹感染病例已经超过1700例。我们注意到,上周肯尼迪部长在宣誓作证时,似乎改变了他关于麻疹疫苗的言论。麻疹疫苗可以预防麻疹感染。我们来听听这段对话。

[开始播放录音]

众议员玛德琳·迪恩: 你能不能告诉我们,能不能告诉所有人,麻疹疫苗是否安全有效?是或否?

卫生与公众服务部部长小罗伯特·F·肯尼迪: 麻疹疫苗——

众议员玛德琳·迪恩: 是或否?

部长小罗伯特·F·肯尼迪: 是。

众议员玛德琳·迪恩: 谢谢。

部长小罗伯特·F·肯尼迪: 对大多数人来说,它是安全的。

众议员玛德琳·迪恩: 你能不能同意接种疫苗比感染麻疹安全得多?

部长小罗伯特·F·肯尼迪: 可以。

[结束播放录音]

玛格丽特·布伦南: 所以这是一个有保留的回应,但看起来仍然是一种支持。您认为他是被证据说服了吗?

杰罗姆·亚当斯医生: 他还在宣誓作证时承认,在最近得克萨斯州的疫情中,接种疫苗可能挽救了一名去世儿童的生命。因此,这些表态是他迄今为止对麻疹疫苗最强烈的公开支持。正如您所说,这种不冷不热的支持恰逢有报道称,白宫指示他停止对疫苗发表负面言论,为中期选举做准备。但即便如此,他给出的这种有保留、温和的回应,仍有可能在当前这个我们面临数十年来最严重的麻疹卷土重来、疫苗接种率下降、可预防疫情暴发、给州和地方带来数百万美元损失以及数千天学校停课的时刻,传递出混乱的信号。

玛格丽特·布伦南: 是的,我知道疾控中心的数据显示疫苗接种率一直在下滑。我还注意到一段对话,也想播放给您听听。部长被多次问及他和总统过去发表的有关孕妇使用泰诺与儿童自闭症相关的言论。来自犹他州的共和党议员布雷克·摩尔告诉肯尼迪,他自己10岁的儿子温尼是神经多样性人士,他说肯尼迪的言论伤害了他的家人。我们来听听这段。

[开始播放录音]

众议员布雷克·摩尔: 我们最终发布的内容让我很失望。我的妻子受到了伤害,有那么一瞬间,直到她回过神来,我们讨论了这件事之后,她都觉得自己好像要为此负责。我们甚至不知道她怀孕期间是否服用过泰诺,但那对她来说确实是一段伤人的经历。

[结束播放录音]

玛格丽特·布伦南: 但在这个问题上,肯尼迪并未让步。他仍然声称那些显示两者没有关联的研究是“垃圾”。实际情况是怎样的?

杰罗姆·亚当斯医生: 实际情况是,对于孕妇出现发烧或剧烈疼痛的情况,泰诺仍然是我们拥有的最安全、研究最多的选择之一。毫无证据地提出相反观点是危险的、不负责任的,正如您听到那位议员所说,这会极大地污名化父母,并可能对母亲和婴儿造成真正的伤害。科学是基于数据发展的,而非教条和轻率的否定。他口中的“垃圾”,是一项针对150万儿童的丹麦研究,该研究提供了明确、高质量的证据,证明孕妇使用泰诺并不会增加孩子患自闭症的风险。事实上,在这项研究中,孕妇使用泰诺的孩子自闭症风险反而更低。

玛格丽特·布伦南: 我想问问您关于总统昨天在椭圆形办公室宣布的事项。他当时身边环绕着播客主持人乔·罗根和多名海军海豹突击队员,他表示希望推动联邦对致幻药物的研究,并提高这类药物的可及性。他们特别宣传了其中一种药物,我想应该是伊博格碱。

杰罗姆·亚当斯医生: 没错。

玛格丽特·布伦南: 美国民众需要了解关于这种药物及其用途的哪些信息?

杰罗姆·亚当斯医生: 首先,每年有近1500万美国人经历严重的精神疾病,在退伍军人中,这一比例约为四分之一。因此,显然我们必须加快对有前景的治疗方法开展严谨的循证研究。伊博格碱、裸盖菇素等致幻剂的早期研究显示,在难治性病例中,它们有可能快速改善症状和功能。因此,昨天的行政命令指示拨款5000万美元用于研究,要求食品药品监督管理局优先审查突破性疗法认证,并指示FDA和 Drug Enforcement Administration(缉毒局)根据《有权尝试法案》放宽相关障碍。重要的是,它保留了FDA和DEA的全面监管权,因此这并非将致幻剂合法化或重新分类。不过,尽管这项行政命令的内容合理,但其宣传方式却被你提到的与乔·罗根一同亮相的活动盖过了风头,这场活动像一场世界摔角娱乐的宣传造势。凯文·萨贝特等人就曾表示,这实际上掩盖了真正值得关注的议题,掩盖了这项本可能具有建设性的行政命令的意义。

玛格丽特·布伦南: 好的,关于行政命令的内容。感谢亚当斯医生,总能从您这里获得独到的见解。我们稍后回来。

Transcript: Former U.S. Surgeon General Jerome Adams on “Face the Nation with Margaret Brennan,” April 19, 2026

2026-04-19T12:39:00-0400 / CBS News

The following is the transcript of the interview with first Trump administration surgeon general Dr. Jerome Adams that aired on “Face the Nation with Margaret Brennan” on April 19, 2026.

MARGARET BRENNAN: We turn now to former U.S. Surgeon General, Dr. Jerome Adams, who joins us this morning from Indianapolis, good to have you back, doctor. The country has been without a Senate confirmed CDC director since Secretary Kennedy fired Dr. Monarez just a month into her term. But this past week, the president nominated Dr. Erica Schwartz to lead the CDC. I know she worked as your deputy surgeon general. Do you see this as a deliberate choice by the White House to pick someone who actually does support vaccines?

DR. JEROME ADAMS: Well, absolutely. And again, we’ve talked in the past about the fact that the Fabrizio and Ward poll showed that Republicans were going to pay in the midterm elections if they continued on an anti-vaccine push. But I want to say Dr. Schwartz is a home run pick. She has an MD, a JD and an MPH and more than two decades of public service in the Coast Guard, where she was chief medical officer and in the Public Health Service, as you mentioned, which she retired from as a Rear Admiral, and it’s why I personally selected her to be my deputy surgeon general.

MARGARET BRENNAN: Do you have concerns that she will be able to, you know, conduct herself without political interference?

DR. JEROME ADAMS: Well, it’s a great, and it’s a fair question, Margaret. I’d say she is objectively the most qualified health nominee we’ve seen from this administration so far, and I want to give the President and senior HHS adviser Chris Klomp credit for tapping her, but that said, my optimism as yours comes with a healthy dose of caution about the environment around Dr. Schwartz. We’ve seen this before, as you mentioned with Susan Monarez, and just last week, the acting CDC director held back an MMWR report showing COVID vaccines reduced ER visits in healthy adults this winter. Further, Dr. Schwartz still has to get through Senate confirmation, where she will clearly be pitted against RFK on vaccines. And recent history tells us, if she’s confirmed, she will be under real threat to follow ideology over evidence in what is a vaccine skeptical HHS, while also confronting a growing measles outbreak, low CDC morale and ongoing DOGE cut impacts.

MARGARET BRENNAN: Well, the secretary will be before Congress again this week. You mentioned measles. The U.S. is already at over 1,700 measles infections in the first four months of this year. We did note that when Secretary Kennedy was under oath this past week, he seemed to change his rhetoric around the MMR vaccine. That’s the vaccine that prevents measles infections. Take a listen.

[START SOUND ON TAPE]

REPRESENTATIVE MADELEINE DEAN: Can you tell me, can you tell all of us, is the MMR vaccine safe and effective, yes or no?

HEALTH AND HUMAN SERVICES SECRETARY ROBERT F. KENNEDY JR.: The MMR vaccine–

REP. MADELEINE DEAN:Yes or no?

SECRETARY ROBERT F. KENNEDY JR.:Yes.

REP. MADELEINE DEAN: Thank you.

SECRETARY ROBERT F. KENNEDY JR.: It’s safe for most people.

REP. MADELEINE DEAN: Can you agree that getting the vaccine is a lot safer than getting measles?

SECRETARY ROBERT F. KENNEDY JR.: Yes.

[END SOUND ON TAPE]

MARGARET BRENNAN: So that was a qualified response, but it was still an endorsement, it seemed. Is he persuaded by the evidence, do you think?

DR. JEROME ADAMS: Well, he also acknowledged under oath it was possible vaccination could have saved the life of a child who died in the recent Texas outbreak. So these statements represent his strongest public endorsement of the measles vaccine to date. Not coincidentally, as you mentioned, this tepid support comes after reports the White House has instructed him to stop talking negatively about vaccines and head of- ahead of midterms. But the qualified and tempered answer he gave, it still risks, Margaret, sending mixed messages at a time when we’re facing our worst measles resurgence in decades, falling vaccination rates, preventable outbreaks, incurring millions in state and local costs and thousands of days of school missed.

MARGARET BRENNAN: Yeah, and I know that CDC data shows that the vaccine rate- the vaccination rate has been sliding. I did note this one exchange that I also want to play for you here, because the secretary was asked a few times about past statements both he and the president of the United States have made linking Tylenol use in pregnant women to autism in their children. A Republican lawmaker Blake Moore of Utah told Kennedy that his own 10-year-old son Winnie is neurodivergent, and he said that Kennedy’s remarks were hurtful. Listen to this.

[START SOUND ON TAPE]

REPRESENTATIVE BLAKE MOORE: I was underwhelmed with what we ultimately put out. My wife was hurt, and she felt for a split second until she came to her senses and we talked about this, that there was any way she was responsible. We don’t even know if she took Tylenol during her pregnancy, but that- that was a hurtful moment for her.

[END SOUND ON TAPE]

MARGARET BRENNAN: But on this, Kennedy did not give ground. He is still saying that studies showing there is no linkage are, quote, garbage. What is the reality?

DR. JEROME ADAMS: Well, the reality is that for pregnant women dealing with fever or significant pain, Tylenol remains one of the safest and most studied options we have. And suggesting otherwise without evidence, is dangerous. It’s irresponsible, and as you heard the Congressman say, it is extremely stigmatizing towards parents and risks real harm to moms and babies. The science moves forward with data, not with dogma and with dismissal and the garbage he was referring to was a Danish study of 1.5 million children that came out, and it presents queer- clear, high quality evidence that pregnant women who use Tylenol do not have an increased risk of autism. In fact, in that study, they had a lower risk of autism.

MARGARET BRENNAN: I want to ask you about what the president announced yesterday in the Oval Office. He was surrounded by podcaster Joe Rogan, a number of Navy SEALs, and he said he wants to boost federal research into psychedelic drugs and make them more available.

Specifically, they were touting this one drug, ibogaine, I believe, is how you say it.

DR. JEROME ADAMS: Correct.

MARGARET BRENNAN: What do Americans need to know about this particular drug and the uses of it?

DR. JEROME ADAMS: Well, first of all, almost 15 million Americans experience serious mental illness every year, and among veterans, that burden is about one in four. So it’s clear we do have to accelerate rigorous evidence based research into promising treatments. Early studies of psychedelics such as ibogaine and psilocybin have shown potential for rapid improvements in symptoms and functioning in treatment resistant cases. So yesterday’s executive order, it directs 50 million in research funding, instructs the FDA to prioritize reviews for vouchers for breakthrough- breakthrough therapy, and directs the FDA and DEA to ease barriers under Right to Try. Also, importantly, it maintains full FDA and DEA oversight, so it’s not legalization or reclassification of psychedelics, but the content, while reasonable, was- was overshadowed by the rollout, as you mentioned with Joe Rogan, it was a spectacle resembling a WWE promotion. And people such as Kevin Sabet actually have said, well, this actually overshadows the substance that we’ve seen, and what I think could be a productive EO.

MARGARET BRENNAN: Okay, executive order. All right, thank you there, Dr. Adams, always good to get your insights. We’ll be right back.

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