Global Health at Crossroads: Trump vs WHO on Tylenol

Paromita Das

New Delhi, 26th September: In recent days, a controversial statement from the U.S. President has ignited a global conversation about the safety of a commonly used drug during pregnancy. The focus: Tylenol, or acetaminophen, a staple pain reliever embraced by millions worldwide. The President’s assertions linking prenatal use of this medication to increased autism rates sent ripples across medical and public health communities, stirring fears and misconceptions. As misinformation threatens to cloud critical health decisions, it becomes imperative to separate fact from speculation and rely on scientific clarity to guide expectant mothers and healthcare providers. This article delves into the controversy, the scientific responses, and the broader implications for public health discourse.

Presidential Claims and Rising Public Concern

During a White House press conference, President Donald Trump declared that Tylenol is “not good” for pregnant women and urged avoiding its use unless faced with an extreme fever. He controversially stated that communities like the Amish and Cubans, who reportedly have limited access to acetaminophen, exhibit no autism, a claim that lacks scientific support. The President cited a disputed Harvard meta-analysis suggesting a 20-30% higher risk of autism and attention deficit hyperactivity disorder (ADHD) linked to prenatal exposure to acetaminophen. Furthermore, he hinted at plans to direct the U.S. Food and Drug Administration (FDA) to update Tylenol labels and initiate a public health campaign.

These remarks sparked an immediate public reaction, raising alarm among pregnant women and healthcare professionals alike. The underlying fear—that a widely trusted medication might pose developmental risks to unborn children—deeply unsettled families and practitioners who rely on acetaminophen’s proven safety profile.

WHO’s Clear Rebuttal: No Proven Link

In response to the escalating controversy, the World Health Organization (WHO) issued a comprehensive statement countering the President’s claims. WHO emphasized that, to date, there is no conclusive scientific evidence confirming any link between acetaminophen use during pregnancy and autism spectrum disorder (ASD). While some studies have observed correlations, WHO stressed these findings are inconsistent and fail to establish causation.

WHO statement on autism-related issues

The World Health Organization (WHO) emphasizes that there is currently no conclusive scientific evidence confirming a possible link between autism and use of acetaminophen (also known as paracetamol) during pregnancy.

Globally, nearly 62… pic.twitter.com/EoRH8Eotxl

— World Health Organization (WHO) (@WHO) September 24, 2025

Autism, a complex neurodevelopmental condition characterized by differences in social communication and repetitive behaviors, is understood to arise from multiple genetic and environmental factors. WHO reminded the public that the precise causes of autism remain unclear and that acetaminophen is not considered a causative agent.

Importantly, WHO reaffirmed that acetaminophen remains a safe and beneficial medication for managing pain and fever during pregnancy when used under medical supervision. Fever itself can pose significant risks to both mother and fetus, including miscarriage and developmental complications, making the safe treatment of fever critical.

Vaccines and Autism: Dispelling Persistent Myths

The WHO statement also tackled related misinformation, reaffirming that childhood vaccines, including those containing thiomersal or aluminum, do not cause autism. Extensive global research has consistently found no causal relationship between vaccines and ASD. Early studies proposing such links were flawed and have since been discredited.

By addressing vaccine myths alongside acetaminophen concerns, WHO sought to reinforce evidence-based public health guidance and combat narratives that undermine critical preventive healthcare measures.

Scientific Community Cautions Against Alarmism

Leading medical organizations echoed WHO’s stance. The American College of Obstetricians and Gynecologists (ACOG) has long supported the use of acetaminophen during pregnancy as the safest over-the-counter analgesic option. Experts caution that alarmist claims based on inconclusive studies jeopardize both maternal and fetal health by discouraging effective fever management. According to researchers, correlations between acetaminophen and autism may reflect confounding factors—such as maternal infections or inflammation during pregnancy—that independently increase autism risk.

Health experts stress the importance of consulting healthcare professionals before altering medication regimens and warn that misinformation may lead to harmful self-management decisions.

Science Must Guide Health Policy

The controversy underscores the dangers when political discourse outspeeds scientific rigor. While addressing autism is a vital public health goal, simplifications and unverified assertions risk sowing fear and confusion among vulnerable populations. Scientific consensus demands cautious interpretation of data and clear communication to guide safe practices.

Leadership in public health requires balancing genuine concerns with evidence-based medicine, ensuring policy and recommendations are grounded in the best available science. Relying on anecdote or incomplete data threatens trust in institutions and endangers health outcomes.

Prioritizing Evidence and Public Trust

As the Tylenol-autism debate unfolds, the WHO’s prompt and decisive rebuttal serves as a vital reminder of the importance of science-led guidance. Pregnant individuals should rely on trusted healthcare providers and established medical research when making decisions about medication use. Policymakers and leaders must resist the urge to make sweeping claims without rigorous evidence, recognizing the profound impact such statements have on public behavior and wellbeing.

Navigating complex medical questions requires patience, research, and transparency. For families and healthcare systems alike, placing science at the center of public communication ensures that health advances are safeguarded, and fears are addressed responsibly.