Rebuilding and restoring confidence in CDC will be an important and challenging task for the new CDC . . .  Director under the Biden Administration. (Photo by MANDEL NGAN / AFP via Getty Images)
To say that the Centers for Disease Control and Prevention (CDC) has had a tough time over the past four years would mean that some of the characters in Games of Thrones have encountered some complications. When Joe Biden becomes the U. S.. . President on 20. On January 1st, because he was elected to that position, one of his priorities must be repairing the CDC. It takes a lot more than a glue stick, tape, and disinfectant.
It begins with choosing the right person to lead the agency responsible for protecting the nation’s health. According to Tyler Pager, who reports for POLITICO, Biden has already selected his candidate: Rochelle Walensky, MD, MPH. If she turns out to be the new director, Walensky will have her work cut out for her. Imagine Extreme Makeover: CDC Edition. and the U must lead. S.. . of what will be the worst part of the Covid-19 coronavirus pandemic so far. It was also a pandemic in which the U. . S.. . The national response was about as coordinated as a cast of marmots reenacting the Broadway musical Mamma Mia! while driving golf carts.
The CDC, led by President Donald Trump, had its share of the drama. Trump’s first selection as a director, Dr. Brenda Fitzgerald, hadn’t gotten off to a great start. In this case, « ???? did not get the biggest starts » ???? means â ???? got off to a bad start. one???? In fact, she came when she was 17. Director of the CDC not much further than the start. As Rita Rubin previously described for Forbes, questions arose early on as to whether Fitzgerald had the scientific qualifications to run the CDC and whether Fitzgerald had promoted the use of antiaging therapies that were not supported by evidence. Anyway, apart from maybe the song « Party in the U ». S.. . A, â ???? Most antiaging treatments are questionable at best, and like duck noise at worst.
Fitzgerald only stayed in the position for 208 days, which is about 20 Scaramuccis. Just five months after their tenure there, which is shorter than many celebrity marriages, members of the U. . S.. . The Senate raised concerns about financial conflicts of interest, such as participating in prescription drug monitoring programs and buying stocks of tobacco companies after he became head of the CDC. In fact, the CDC director who holds tobacco stocks is not very good. Those whoopsies resulted in her being killed on Jan.. January 2018, which by the way was also National Backward Day.
Trump finally chose Robert R.. . Redfield, MD, a virologist, when she was 18. Director of the CDC. Compared to many of his predecessors among other presidential administrations, Redfield did not seem to make nearly as many public statements and briefings. As Brett Murphy and Letitia Stein reported for the US TODAY in October, former CDC director William Foege Redfield had written a message on how to deal with the Covid-19 coronavirus pandemic: « You could acknowledge the tragedy in advance if you were bad respond, apologize for what happened and your role in consenting. He advised: « Don’t be afraid that this has been an unacceptable burden on our country. « . It’s a slaughter, not just a political argument. one???? If you haven’t figured it out already, wasn’t that message exactly a « Hello, how are you »? letter.
In addition, Robert Kuznia, Curt Devine and Nick Valencia reported for CNN in March about concerns that the CDC was being « silenced ». from the White House. Well, the word « muzzle » ???? rarely has positive connotations. « It’s a great relationship other than muzzle me » isn’t something you usually hear unless you’ve willingly enrolled in a kennel. It has been feared that the Trump administration has overwritten science with political agendas. It got to the point that there were reports from Trump administration officials even changing the CDC’s scientific reports, as I reported for Forbes in September.
It is important that the CDC can exist independently as a scientific and public health organization. To do this, the CDC needs a leader who is able to interact directly with the public and stand by scientific principles, even when they may go against the wishes of the White House. Otherwise, the public will continue to lose confidence in the CDC. Selena Simmons-Duffin covered how confidence in CDC was at a nadir in September for NPR.
Walensky would give the position significant scientific credibility. A search on PubMed will reveal that it has well over 200 scientific publications. She is currently the director of the Infectious Disease Department at Massachusetts General Hospital (MGH) and Professor of Medicine at Harvard Medical School. Her research has mainly focused on HIV and AIDS policies. This included developing mathematical models such as microsimulation and decision analysis models to assess the cost-effectiveness of HIV testing, care and prevention strategies in both U’s. S.. . and international. She was Chair of the Office of AIDS Research Advisory Council (NIH) and a member of the U. . S.. . Department of Health and Human Services Panel on Antiretroviral Guidelines for Adults and Adolescents. DR. Walensky studied at Washington University in St. . Louis, who graduated in 1991, earned her M. . D.. . from the Johns Hopkins School of Medicine in 1995, adding an M. . P. . H. . from Harvard School of Public Health in 2001. She completed her medical degree at Johns Hopkins Hospital and her Infectious Disease Fellowship on the MGH and Brigham and Women’s Hospital combined program.
Your experience in decision analysis and microsimulation is a bonus. The use of such quantitative approaches in medicine and health care is relatively new and can help further incorporate epidemiological, clinical, and economic considerations into public health decision-making.
Of course, doing CDC will involve more than doing its research. There is coordination with various public health departments and organizations across the country. There is an understanding of the needs and challenges of very different population groups. There are also the management and business aspects of the position. And of course there is politics. Oh, politics.
Walensky’s selection has already been received differently by real public health experts and scientists than Fitzgerald’s selection in 2017. For example, Dr. med. Peter Hotez, Dean of the National School of Tropical Medicine, addressed:
Tatiana M. . Prowell, M.. . D.. . , an associate professor of oncology at the Johns Hopkins School of Medicine, where Walensky graduated, tweeted the following:
Harlan Krumholz, MD, of Harold H. . Hines, Jr. . Professor of Medicine at the Yale School of Medicine posted a picture of Walensky on Twitter:
And Wendy Armstrong, MD, Professor of Medicine, and Carlos del Rio, MD, Distinguished Professor of Medicine in the Department of Infectious Diseases at Emory University School of Medicine, had this exchange:
Again, these are well-known experts in medicine who have made exclamations, particularly in areas of great public health concern. This is a little different from being supported by a man known for selling pillows or reading brain scans.
Here is a video from Harvard College by Walensky discussing with Danoff Dean of Harvard College Rakesh Khurana the challenges of opening a residential college campus during the Covid-19 coronavirus pandemic:
Without a doubt, if Walensky’s job becomes CDC director, it will not be easy. It is much easier to inherit something that is doing well than something in crisis. The public only knows the tip of the iceberg of what happened to CDC during the Trump administration. Know when to clean up after a few guests have spent the weekend at your home when you weren’t there? Extend the weekend to more than three years and change the word « guests ». on any word you deem appropriate.
Ultimately, the solution won’t be a disinfectant (which, by the way, you should never inject into yourself). . The solution must come from scientific principles. CDC must be led by scientists and people who understand and value science. Whether it’s working with different public health departments and organizations or connecting with different populations, science, data and evidence needs to be the guiding light. The CDC must promote and advance science and ensure that science is not trumped by politics, so to speak. Science will help make the CDC’s messages to the public consistent, which in turn will help restore public confidence in the CDC. And trust will be so important in trying to coordinate the national response to the Covon-19 coronavirus pandemic.
I’m a writer, journalist, professor, systems modeler, computer and digital health expert, avocado eater, and entrepreneur, not always in that order. Currently I am
I’m a writer, journalist, professor, systems modeler, computer and digital health expert, avocado eater, and entrepreneur, not always in that order. I am currently Professor of Health Policy and Management at the School of Public Health at the City University of New York (CUNY), Executive Director of PHICOR (@PHICORteam), Professor courtesy of the Johns Hopkins Carey Business School, and Founder and CEO of Symsilico. Previously, I was Executive Director of the Global Obesity Prevention Center (GOPC) at Johns Hopkins University, Associate Professor of International Health at the Johns Hopkins Bloomberg School of Public Health, Associate Professor of Medicine and Biomedical Informatics at the University of Pittsburgh. and senior manager at Quintiles Transnational, works in biotechnology stock analysis at Montgomery Securities and is a co-founder of a biotechnology / bioinformatics company. My work has included developing computational approaches, models and tools to support health care decision makers on every continent (except Antarctica) and has been supported by a variety of sponsors including the Bill and Melinda Gates Foundation, the NIH and AHRQ supports CDC, UNICEF, USAID and the Global Fund. I have written over 200 scientific publications and three books. Follow me on Twitter (@bruce_y_lee) but don’t ask me if I know martial arts.
Centers for Disease Control and Prevention, Joe Biden, Massachusetts General Hospital, Dr. . Rochelle P. . Walensky, MD, Robert R.. . Redfield, Medicine, Infectious Diseases
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