R.I. health leaders set the record straight on Tylenol, vaccines, and autism
Roger Williams University Professor of Public Health Jacquline Cottle and the R.I. Public Health Institute鈥檚 Amy Nunn weigh in on public health matters ranging from COVID-19 shots to measles outbreaks to food dyes.

PROVIDENCE, R.I. 鈥 Rhode Island public health experts are challenging about a causal link between the active ingredient in .
Roger Williams University Professor of Public Health Jacquline Cottle and , Chief Executive Officer of the Rhode Island Public Health Institute and Open Door Health, appeared on the Rhode Island Report podcast, addressing public health matters ranging from COVID-19 vaccines to measles outbreaks to food dyes.
On Monday, President Trump to promote unproven and in some cases discredited ties between acetaminophen, vaccines, and autism as his administration announced a wide-ranging effort to study the causes of the complex brain disorder.
When asked about the connection between Tylenol and autism, Nunn said, 鈥淭o my knowledge, there is no association. I think we have seen a near compulsion about linking autism to a variety of different things that have no scientific backing. I think this is one of the things in that category. So I would encourage people to digest that information with a lot of caution.鈥
Cottle agreed that decisions on the use of Tylenol shouldn鈥檛 be made 鈥渦ntil there鈥檚 a much stronger scientific basis for that kind of a linkage.鈥
Rhode Island Department of Health Director Jerry Larkin issued a statement Monday, and said, 鈥淭he assertion that autism is caused by the use of acetaminophen, or Tylenol, during pregnancy is not backed by the full body of scientific evidence. Autism is complex, and there has been no evidence of a single cause in the decades it has been researched.鈥
On the podcast, Nunn spoke about the confusion caused by Health Secretary Robert F. Kennedy Jr.鈥檚 new vaccine advisers, who have this fall, leaving the choice up to those who want a shot.
Nunn said that confusion prompted her to join in writing a commentary piece for the Boston Globe, with the headline 鈥鈥
鈥淭he bottom line is you should probably do what you did last year,鈥 Nunn said on the podcast. 鈥淎nd that鈥檚 because the evidence hasn鈥檛 changed. It鈥檚 just that the public messaging around this has changed.鈥
Nunn and Cottle also responded to the 鈥鈥 strategy released in early September, and its vow to publish a study on 鈥渢he root causes of autism,鈥 which Kennedy. has suggested is linked to past vaccines.
鈥淭he science is unequivocal for the efficacy of vaccines and the fact that vaccines are not causing autism,鈥 Cottle said. 鈥淯nfortunately, for some people, until we can say what is causing it, there鈥檚 still going to be a desire for something to be more definitive.鈥
Nunn said the science on the health benefits of vaccination is 鈥渋ronclad.鈥
鈥淚f you take the long view and think about what are the things that have most extended life expectancy in the last century, there are three things: Potable water, eliminating respiratory ailments, and widespread vaccination,鈥 she said. 鈥淲e shouldn鈥檛 be coerced into thinking that we should be dialing back progress.鈥
Cottle and Nunn addressed the that began in Texas in January and spread to more than 700 people in three states. It began in a close-knit, low-vaccinated community, and the vast majority who got sick were unvaccinated.
鈥淭here鈥檚 a good likelihood that you鈥檙e going to see more outbreaks like that because much of our health status depends on both who鈥檚 vaccinated and then who鈥檚 not,鈥 Cottle said. 鈥淭he more people that are not getting vaccinated, the lower that herd immunity is. It goes beyond making a choice for yourself.鈥
Nunn and Cottle said they back Kennedy鈥檚 plan to . 鈥淚 think that it鈥檚 long overdue that we take a look at what we are eating and what鈥檚 available to our families and what鈥檚 being fed to our children, being marketed to our children,鈥 Cottle said.
The Rhode Island Report podcast is produced by The Boston Globe Rhode Island in collaboration with Roger Williams University. To get the latest episode each week, follow the Rhode Island Report podcast , , and other podcasting platforms, or listen in the player above. You can .