Tuesday, February 3, 2026
HomeHealthFormer CDC director weighs in on management shakeup : NPR

Former CDC director weighs in on management shakeup : NPR

The White Home says CDC Director Susan Monarez was fired as a result of she was not aligned with President Trump’s mission to make America wholesome once more. What does the exodus imply for the company?



MARY LOUISE KELLY, HOST:

And now to a portrait of an company in obvious freefall. I might let you know who’s in cost at the moment on the Facilities for Illness Management in Atlanta if we knew. To recap, Susan Monarez had simply been confirmed as director on the finish of July. Yesterday on X, the Division of Well being and Human Providers posted that she is not in cost. Monarez mentioned, not so quick, that she wouldn’t resign, that solely the president has the facility to fireplace her, which White Home press secretary Karoline Leavitt says he has completed. After which late this afternoon, we discovered that Well being and Human Providers Deputy Secretary Jim O’Neill will probably be named interim director of the CDC. That is in line with an administration official not licensed to debate the choice.

Nicely earlier at the moment, I spoke with somebody who is aware of nicely the challenges of working the CDC – Dr. Tom Frieden. He was director there throughout the Obama administration. And I requested him is it clear to him who’s in cost?

TOM FRIEDEN: No, it isn’t. That is unprecedented. There has, within the 80-year historical past of the CDC, by no means been a director fired and by no means had a scenario like this the place you’ve gotten basically a purge, the place a lot of the highest management leaves from in the future to the following. The CDC works 24/7 to guard People from threats. And when the highest leaders who’ve been there by means of Democratic and Republican administrations for many years, depart, we’re all much less secure.

KELLY: You’ve got simply identified that it isn’t simply Susan Monarez as director who seems to have exited the CDC within the final 24 hours. We all know of 4 different senior leaders who’ve left, together with the CDC’s chief medical officer, together with the director of the Heart on Immunization and Respiratory Illnesses. What are you listening to from Atlanta headquarters at the moment?

FRIEDEN: I am not in contact with of us at CDC. I can solely think about what’s taking place there, but it surely’s a extremely unhappy day. The CDC has scientists and medical doctors and specialists who dedicate their careers to defending People from threats. And what we have seen over the previous six to eight months is half of the entire CDC facilities eradicated, together with the facilities that cope with most cancers, continual illness, a lot of the middle that offers with harm, like traumatic mind accidents, the middle that offers with packages that cope with environmental well being. These are actual threats that People face and to which we are actually far more weak. And maybe the largest risk is the shortage of excellent data. I by no means thought I might see the day once I could not depend on the CDC web site for fact-based data with transparency about the way it bought there, what it is recommending and why.

KELLY: So to these – and I’ll put myself on this camp – making an attempt to determine what precisely is occurring – I’ll be aware reporting from my colleague, Selena Simmons-Duffin, she has reporting that HHS Secretary Robert F. Kennedy Jr. had clashed with Susan Monarez over his vaccine insurance policies. Her attorneys have put out a press release saying she was focused for refusing to – and I am quoting – refusing to “rubber-stamp unscientific, reckless directives.” Do you’ve gotten any perception into what could also be enjoying out behind the scenes right here?

FRIEDEN: What I can take is what Secretary Kennedy has mentioned a couple of group referred to as the Advisory Committee on Immunization Practices, a couple of group referred to as Gavi, the Vaccine Alliance. And to be blunt, he has repeatedly acknowledged issues which are false, which are unfaithful, which are primarily based on actually unscientific beliefs and the lack of understanding. I needed to spend a few days monitoring down certainly one of them. It was a reference to an obscure examine that has since been debunked.

So what we’re seeing is basically an unraveling of the well being protections, significantly on vaccinations – the firing, as Secretary Kennedy did, of all members of the ACIP, the putting in of people that do not have a vaccine truth historical past, the putting in of people that have very unusual beliefs on vaccines that do not have a scientific foundation. And this is not nearly some committee right here or there. This committee determines whether or not half of the kids in America have entry to life-saving childhood vaccines.

KELLY: I’ll be aware that on the White Home at the moment, press secretary Karoline Leavitt mentioned the president has the authority to fireplace those that should not aligned along with his mission. That’s correct. I may also be aware that I referred to as this a management void on the prime of the CDC. The U.S. nonetheless doesn’t have a confirmed surgeon basic in that put up. You recognize, as nicely, public belief in our public well being establishments was already tremendously broken after the COVID pandemic. What sort of influence may a void on the prime of CDC have?

FRIEDEN: For 80 years, CDC has been a beacon of well being safety for the US and the world, and that beacon is now in grave hazard of being extinguished, and all of us could be much less secure in consequence. To regain belief means being clear about what choices are being made, how, on what foundation. That really is how the Advisory Committee on Immunization Practices has labored for 60 years. That’s not how choices on what vaccines to advocate have been made prior to now six months.

KELLY: That is Dr. Tom Frieden, former director of the CDC. His new e book, “The System For Higher Well being,” is out subsequent month. Dr. Frieden, thanks in your time.

FRIEDEN: Thanks.

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