Poor diet, environmental toxins, unhealthy habits and pharmaceuticals are contributing to a national rise in chronic illnesses, particularly among children, top Trump officials said in a Thursday report that lays the groundwork for a ‘Make America Healthy Again’ overhaul of government policy.

The “Make America Healthy Again” report calls for increased scrutiny of the childhood vaccine schedule, a review of the pesticides sprayed on American crops and a description of the nation’s children as overmedicated and undernourished.