Ebola virus. Image: Wiki Commons
Ebola virus. Image: Wiki Commons
Robert F. Kennedy Jr. and Donald Trump, in the name of America First, are imagining this country as if it’s a Medieval castle, and all they’ve got to do is dig a deeper moat and build higher stone walls, and we can scare those nasty pathogens away.
Republished with permission from Lucian K. Truscott IV
Lost in the shuffle last week during the firing of CDC Director Susan Monarez and four of the top officials at the agency is the fact that the Trump budget for next year will completely eliminate the division of the CDC devoted to outbreaks of disease around the world.
Do you remember the panic back in 2013 and 2014 over the Ebola epidemic in West Africa, principally in Guinea, Sierra Leone and Liberia? Secondary infections hit several health workers who returned to the U.S. and Spain, but the disease was contained by the expenditure of $2 billion by the U.S. through CDC labs and disease surveillance, the World Health Organization and USAID.
Naturally, one of the first things Trump did after taking office was order the U.S. out of the World Health Organization, end any further funding of WHO, and pull all U.S. government personnel and contractors out of working with WHO. So, there went any collaboration between the U.S. government and the World Health Organization over future pandemics or deadly disease outbreaks like Ebola.
But he wasn’t finished. Trump ordered all future health spending to be dedicated to “America first.” That led to severe cuts in CDC divisions and programs dedicated to international health cooperation. Trump eliminated the Maternal and Child Health Branch of the CDC, which worked with foreign countries to ensure that pregnant mothers receive HIV treatment so their babies would not be born infected. In 2024 alone, the CDC Maternal and Child Health Branch (MCHB) treated 300,000 children with HIV and treated 380,000 HIV positive pregnant and breast-feeding women.
According to NPR, Trump ordered staff cuts of 23 percent at the CDC’s Global Health Center and a 25 percent cut in contracts for the entire agency. He removed the director of the Global Health Center and assigned her to a minor job in the Indian Health Service, along with several other directors of CDC divisions, leaving the departments leaderless. Seven of the 15 branches within Global Health devoted to HIV prevention and treatment of Tuberculosis were eliminated.
The closing of USAID and its outposts in Africa and around the world eliminated a place of contact used by the Global Health Center to monitor the spread of infectious diseases around the world. Secretary of State Marco Rubio scrambled to reinstate funding for PEPFAR, the USAID program credited with saving the lives of 25 million people suffering from HIV since the inception of the program in 2003. But the damage was done. The only part of PEPFAR with expertise in maternal and childhood HIV treatment was connected to the Maternal and Child Health Branch of the CDC. That’s now gone.
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Lucian K. Truscott IV, a graduate of West Point, has had a 50-year career as a journalist, novelist and screenwriter. He has covered stories such as Watergate, the Stonewall riots and wars in Lebanon, Iraq and Afghanistan. He is also the author of five bestselling novels and several unsuccessful motion pictures. He has three children, lives in rural Pennsylvania and spends his time Worrying About the State of Our Nation and madly scribbling in a so-far fruitless attempt to Make Things Better.
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