Centers for the control and prevention of diseases, long -considered nations – if not in the world – Prime Minister -Public Healthis Ground in crisis This not only threatens the health of Americans, but also in survival as a leading public health institution.
The degree of this crisis was fully exhibited during the Minister of Health and Social Services Robert F. Kennedy the Younger on September 4, 2025, Indications before the US SenateField
Kennedy's hearing came in spots of the controversial week in which Kennedy fired the director of CDCSusan Zhuros, stimulating 12 members of the Senate Financial Committee, including 11 democrats and independent Bernie Sanders Call Kennedy to resign From his position.
At least The four best leaders of the CDC resigned After the overthrow of the monter, citing pressure from Kennedy Refuse recommendations Based on sound scientific evidence.
I Teaching of a professor And a professional public health. Like Many of my colleaguesThe destruction occurring in the CDC in recent months made me try to find alternative reliable sources of medical information and sensations He is deeply interested in the future of public healthcareField
CDC reveals
These leadership shakes come to the fact that for several months of purposeful actions aimed at solving the structure, function and leadership of the CDC, as existed for decades.
Moisten began almost immediately, as soon as President Donald Trump took office in January 2025, when his administration assumed the wide reduction in the labor force of the CDC, in which health experts generally agreed with his threat. the ability to respond to arising threats to healthField
Trump used executive orders Limit the communication of the CDC employees with the public and other external agencies, As a World Health OrganizationField
A few weeks later he ordered as much as 10% of the total labor force that will be reducedField
Soon after, Kennedy, who was recently appointed Trump, began to destroy the long -standing institutions of CDC, such as Advisory Committee on Immunization PracticeReplacing all 17 members one step, which was widely condemned by health expertsField
Critics indicated the lack of qualifications for the new members of the committee, and more than half have never published on vaccinations and Many have a predetermined hostility in relation to vaccinesField
In June, more than 20 authoritative organizations, including the National Medical Association and the American Academy of Pediatrics, expressed serious concern about Influence on the capital capital committee on healthField
How the removal of the monyrus caused a crisis
Public health leaders welcomed July confirmation of the monasa as the new director of CDCConsidering its nomination as long -awaited relief for those who appreciate the actual data in the field of healthcare. Monarez Experienced scientist and career of a civil servantField
Many considered it as a potential voice of scientific wisdom among Uplained officials Assigned by Trump, who has a track record Politics that undermines public health and scienceField
In his role, the acting director, for which she was appointed in January, was calmly led A wave of abbreviations to labor force CDC and other steps that sharply changed the agency and Weakened the country's ability to manage the country's healthField
And yet the monyr was “Red lines” that she does not intersect: She will not dismiss the leadership in the CDC, and she will not be approved vaccine Politicians who contradict scientifically supported recommendations.
According to the monessIN Kennedy asked her to do both V August 27 A meetingWhen she refused, he asked her to resign.
Her lawyers pushed away, claiming that only the president had the authority to remove her, statement“When the director of the CDC Susan Zhusen refused unscientific, reckless directives and specialized health experts, she chose public protection due to servicing the political agenda. For this she was aimed. “
Ultimately, White House Made her official of dismissal Later that evening.
The agency is confused
Further, illustrating and deepening the crisis in the agency, August 8, an action movie who expressed anger over Covid-19 Vaccinations opened fire at the headquarters of CDCHaving killed a police officer.
Many health workers attributed this to this Disinformation is distributed by KennedyThe shooting field strengthened the tension and made a tangible sense of the threat in which the CDC acted over the stormy months from the beginning of the second term of Trump. One employee said that “CDC collapse. “
Public health experts, including former CDC directors, are alarming, they speak out about The unreliability of the agency’s positionSome field asking himself if CDC can even surviveField
Crisis of trust
Even before the very last shock waves, the Americans said that they Loss of trust and confidence in the leadership of CDC: In April, 44% of adults in the United States said that they would be less trusted by the CDC recommendations under the new leadership. This would undoubtedly undermine the US reaction if the country encounters another problem of public health, requiring a quick, coordinated response, for example Covid-19.
In addition to the installation of new members in the consulting committee on vaccines, Kennedy suddenly changed the recommendations for influenza and vaccines Covid-19 Without contribution from the CDC or the Consulting Committee on vaccinesAnd Contrary to the data presented by the scientists CDCField
Specialists and lawyers of public health currently warn the public that the recommendations for vaccines coming from the CDC consulting committee on the practice of immunization may not deserve confidence. They point to Lack of trust In the process of reviewing the new committee, the fact that the members made statements Unlike scientific evidence In the past and Inability to apply Certificate that the structure as compromising factors is for commerce. Critics of the Committee even describe Lack of basic understanding science for vaccines.
Impact on health is felt in real time, with suppliers of medical services Confusion message among parents As a result of conflicting recommendations on vaccines. Now those who want to vaccinate are faced with access barriers, with large retailers are placed New restrictions on access to vaccines In the face of federal pressure. This is, since the vaccination indicators have already been reduced, largely due to disinformationField
The final result is the environment in which the reliability of the CDC is in question, because people are not sure whether the recommendations made in the name of the CDC come from science and scientists or from politicians who are responsible.
Filling spaces
Authoritative organizations are working to fill the void created by the CDC instability, and the fact that recommendations are currently made on the basis of political will, and not on scientific evidence.
American Academy of Pediatrics And American college of gynecology Both released recommended vaccination graphs, which for the first time diverge from the recommendations of CDCField
And medical organizations Discussion of strategies This includes more weight for their recommendations than CDC, and creating ways for clinicians to get vaccines directly from manufacturers. These measures will create Wage paths to compensate For the leadership of CDC Voods.
Some states, including California, Oregon, Washington And New Mexico, establish their own leadership in relation to vaccinations. Scientists and public health doctors are trying Save data and observation systems What Trump's administration is deletedThe field but independent organizations may not be able to support this work without federal financing.
What is put on the card
Within the framework of its most important work in each aspect of public healthcare, the CDC controls larger operations, both national and in the worldThis cannot be simply transferred to states or individual organizations. Some public health answers, such as Infectant diseases And Food disease – It should be coordinated at the national level to be effective, since health risks are separated between state borders.
In the medical information space, which Damaged with misinformationTo have accurate, reliable healthcare statistics and leading principles based on actual data are necessary for public health teachers, how to find out what information to share and how to develop effective health programs. Doctors and other clinicians rely on the tracking of diseases to find out how best to approach the treatment of patients with infections. Covid-19 pandemic He made it clear to understand the importance of laboratory science, a single emergency response and the rapid distribution of effective vaccines for the public.
One of the strengths of the American management system is its ability to approach problems, including public healthcare, a cordified way, having a federal level of cooperation, which combines efforts at the state level.
CDC was Outstanding in the country the Institute of Public Health For more than eight decades as a result of its enormous coverage and unprecedented experience. Right now it all sits on a dangerous edge.
This edited article is reprinted from Talk According to Creative Commons. Read Original articleField
