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Explainer
Amid ongoing outbreaks, the flow of vital information between public health organizations ceases.
Words by Dawn Attride
Since President Donald J. Trump’s inauguration on Monday, public health officials have found themselves at a confusing — and potentially dangerous — standstill. On a global scale, the newly elected president has pulled the U.S. out of the World Health Organization (WHO) and now, has paused external communications for a number of government agencies. The move comes at a critical time for public health as human cases of bird flu have slowly increased, resulting in one death earlier this month, and a number of former public health officials have said the government is not testing enough for bird flu.
The sudden freeze means agencies like The Center for Disease Control and Prevention (CDC) and Food and Drug Administration (FDA) are unable to release communications such as scientific reports and health updates. Of particular concern: the pause has no concrete end date, which has left agency employees “confused” on its scope, according to The Washington Post.
Among the fallout is the cancellation of National Institute of Health (NIH) grant review panels, study sections and an indefinite ban on travel. “Asking for a pause on issuing new policy or regulations is reasonable while the new administration settles in, but a blanket freeze on all communications is unusual and could impair critical functions like outbreak response,” Sarah Sorscher, director of regulatory affairs for the Center for Science in the Public Interest, tells Sentient.
These specific measures for health agencies are worrying researchers nationwide, who have taken to social media platforms to air their experiences and frustrations. “All NIH study sections canceled indefinitely. This will halt science and devastate research budgets in universities,” writes Prof. Jane M. Liebschutz on BlueSky.
“Above and beyond the immediate fear and confusion that this freeze and communication black-out has caused, the longstanding implications will largely be determined by how long this situation lasts (I’ve seen insider estimates of February 1) and what is removed from NIH during the freeze,” Daniel P. Moriarity, an assistant professor of psychology at the University of Pennsylvania, writes to Sentient in an email. Interruption of NIH funding, for example, “could have direct consequences on the availability of physicians and clinicians to provide health care,” he writes.
While it’s unclear how long this freeze will last, the 2025 Presidential advisory meeting on combating antibiotic-resistant bacteria scheduled for January 28th and 29th has been canceled, indicating the pause could continue for quite some time.
It appears the freeze is already delaying CDC publications, such as their main weekly report that provides the public with timely health advice and research. This week’s iteration –– scheduled for earlier this week –– has not yet been published and was supposed to include new studies and data on the ongoing H5N1 avian influenza virus outbreak. This is not the first time these CDC reports have been affected by the Trump administration –– in 2020, officials at the HHS tried to “change, delay and prevent” such reports, particularly those related to COVID-19.
There is also ambiguity as to the breadth of the communications covered, according to a Center for Science in the Public Interest statement, which could hinder agency coordination during an outbreak of foodborne illness.
A spokesperson for the Department of Health and Human Services (HHS) tells Sentient that a pause on communications and public appearances are “not directly related to emergencies or critical to preserving health.” They also said, “This is a short pause to allow the new team to set up a process for review and prioritization. There are exceptions for announcements that HHS divisions believe are mission critical, but they will be made on a case-by-case basis.” A representative for the CDC declined to comment.
The shutdown of external agency communications and delayed report from the CDC on key bird flu updates comes at a critical time for vital health messaging between federal agencies and the public, considering the current outbreaks.
Avian flu has been circulating on factory farms, where the virus can spread through direct contact between workers and animals or droppings between infected (usually wild) birds and farm animals. The close-quarter conditions of factory farms makes them particularly susceptible to outbreaks, requiring stringent biosecurity protocols to stop the spread. Although rare, humans can get bird flu by coming into contact with infected animals, which is why dairy workers are largely affected by the current H5N1 strain, which has infected cow herds in 16 states, mainly California. So far, 67 humans have been sickened and one person has died from bird flu in the U.S.
At present, the current strain of avian flu cannot spread human-to-human but this may change if the virus mutates, which is why epidemiologists rely on accurate data from agencies like the CDC to track the spread. Another cause for concern is raw milk, which has been found to contain the virus but so far has only infected animals who consumed it.
As the pause only came into effect Wednesday, it remains to be seen how long this directive among federal health agencies will continue to hinder key reports, research and public health information.