FDA faces leadership crisis as tobacco regulator is ousted

The FDA removed its chief tobacco regulator, Brian King, amid significant cuts across the agency. King, disappointed by his placement on administrative leave, saw multiple employees in the FDA’s tobacco center also receive termination notices. His tenure included actions against flavored e-cigarettes, contributing to a decline in teen vaping rates. This leadership change follows the ousting of vaccine chief Dr. Peter Marks, with plans to eliminate 3,500 FDA positions targeting scrutiny of childhood vaccines and ultra-processed foods. Incoming commissioner Marty Makary will face challenges managing an agency that has lost many experts. Tobacco-related diseases remain a major public health concern despite lower smoking rates. Criticism of the FDA’s tobacco center has heightened from lawmakers and public health advocates, while the tobacco industry pushes for faster approvals of e-cigarettes. Under King's leadership, several flavored e-cigarette applications faced rejection, resulting in legal challenges against the FDA.

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