CNN
–
The canceled meetings, banned web pages and limited updates about life -threatening diseases spread throughout the country. These are some of the effects of the real world caused by the mysterious and writing delegations management imposed by the administration of President Donald Trump on federal health agencies in recent weeks in the condensed influenza season and new H5N1 bird flu infection.
“President Trump suppresses the basic health information on which public health agencies and service providers depend on all parts of the country to take our jobs,” said Dr. Ruby Goldstein, Commissioner of the Ministry of Public Health in Massachusetts. “It endangers the health and well -being of Americans.”
When Trump entered his position last month, his administration immediately directed almost federal health agencies to stop external contacts. Although the initial stage of stopping, the emails obtained by CNN employees in the American Centers for Disease Control and Prevention have been requested to search for multiple layers of approval before issuing public communications or commitment to speaking events before the public.
Such limits had ripple effects, records appear. More changes can come as thousands of workers in the field of federal health have been targeted throughout the agencies on Friday, while employees at the Center for Disease Control called the “Valentine’s Day massacre”.
In Texas, the Ministry of Governmental Health canceled the fortification conference to be held in May due to “uncertainty about the ability of the employees of the Diseases Control Center to participate.” The screaming of the conference comes as some Texas provinces face measles that include non -fortified people.
Separately, representatives of the Disease Control Center at a meeting in Fort Lauderdale, Florida, with regard to controlling diseases caused by nutritional diseases and diseases transmitted by water at the end of last month.
“While local partners and state partners were able to communicate, we were prevented from addressing the issue presented and the goals of national observation,” said one of the health officials who asked not to be identified for fear of revenge. “Without consensus on national goals, judicial authorities cannot design and implement monitoring strategies.”
In Vermont, workers in the state’s Ministry of Health, such as those who monitor infectious diseases, observed that information from the Center for Disease Control does not flow through the channels that they usually relied on, according to a spokesman for the department that added this “can affect our ability to assess emerging issues and response “Like H5N1 bird influenza and a new malal from MPOX.
Meanwhile, three studies on bird influenza were late after the Trump administration released a call pause last month. One of these studies was released on Thursday and showed that bird flu may spread on a wider scale of the currently captured test.
“There are all these diseases in different outlooks or become a settlement in some cases where we really need data, information, instructions and consultations that are frequent Patriotism for the province’s health and city health “and” healthy “.
One of the employees of the Center for Disease Control, which spoke on the condition that his identity is not disclosed for fear of revenge, said that stopping external communication remains actually due to the rejection of the requests of the employees of the Disease Control Center to attend meetings or events with external health professionals regularly.
A message from the US Department of Health and Humanitarian Services, which was sent to the employees of the Disease Control Center on February 6, states that “the next stage planned from the temporary suspension of external communications began, and we will dismantle some contacts.” Email also determines that requests to attend events and participants in speaking must obtain approval from the local departments as well as the HHS Public Affairs Office, which also needed to realize some public communications that are not subject to stand.
HHS nor the Center for Disease Control did not respond to the suspension requests.
The changes in the Center for Disease Control – which include an order to stop communicating with the World Health Organization – come amid a broader direction for the Trump administration that confirms control over and overcoming parts of the federal government, although some of these efforts have opposed the courts.
For example, the Federal Judge ordered the administration on Tuesday to restore some public health web pages and data groups that federal health agencies fell from the Internet. Separately, the administration’s efforts to reduce financing have been banned by the National Health Institutes of Research programs at the country level by a federal court in Massachusetts.
But some doctors expressed their concerns during the past week about the lack of some basic health information, including preparatory drug guidelines, which protect people from HIV.
Emily McGhi, the clinical director of the Pittsburgh Center, which provides reproductive care for families, said that she is unable to reach Prep’s guidelines or the CDC treatment guide for sexually transmitted infection on Wednesday.
She said: “This is the way we reach the latest treatment systems for our customers.” “Why do you remove the instructions that help maintain the health of people?”
Doctors are often able to treat common conditions without the need to refer to the center of the Center for Disease Control, but when the patient’s history is more complicated, those signaling guidelines can be useful.
There are many things that we know how to deal, like chlamydia. We know how to deal with it. But if someone has an allergy to the drug or cannot take the normal medicine, then you need to go [to the CDC guidelines] Dr. Stella Dantas, head of the American College of Obstetricians and Gynecologists, said.
Both preparatory guidelines and the STI app returned at the end of last week.
In addition to the lack of data of the Disease Control Center, Dantas also said that ACOG meetings with representatives of the Disease Control Center have been affected since Trump took office last month.
Researchers at the Ministry of Old Warriors Affairs were also asked to obtain approval for any public confrontation events in the coming months, where the employees of the Ministry of Affairs of the Veterans will speak on behalf of the department, including providing their search results, according to the email messages sent to VA employees and review them CNN. The guidance is a major change in politics, which was mainly centered mainly to prevent the disclosure of the identification of old warriors.
A researcher in the administration said the state of not disclosing its identity for fear of revenge: The general discussion of research in the Ministry of Old Warriors – the largest integrated health care system in the country – “is very important.”
The researcher said that the administration has a unique vision in the health results of policies and can track things such as the effects of vaccinations in the old warriors or whether receiving vaccines is linked to certain diagnoses. Several seminars, which included non -VA members, have been restricted to VA employees in recent weeks, according to the shared email messages with CNN.
The researcher said: “VA research is funded in federal dollars and thus belongs to the public.”
A spokesman for the Ministry of Old Warriors Affairs said in a statement. And their families, careers and survivors.
While the administrations often enacted or temporarily to review information, the Trump administration’s borders in recent weeks seemed unusual in reducing communications and meetings on a broader scale.
Some local health agencies said that their relationship with the federal government remained strong.
A spokesman for the Ministry of Public Health in the Los Angeles Province said that despite “some changing and information that changes quickly” amid changing presidential departments, executive orders and court orders, the administration continued to reach federal partners, especially to respond to the fire and recovery activities.
In Nevada, where a dairy worker recently proved positively to bird flu, the Center for Diseases Control actively meets with health officials and supports efforts to maintain the virus in the Gulf. Meetings Office on State Responsibility.
“I don’t think anything falls through cracks on the side of the public health,” he said.
Others describe the current interaction with the federal government as more differences.
A spokesman for the Ministry of Health in Washington State said that the federal partners participated in urgent public health surroundings, but added that some routine meetings with these partners remained.
Dr. Manisha Gothani, Commissioner of the Ministry of Public Health in Connecticut, said that her colleagues had received federal information in time when they submitted specific requests, although she said that she had noticed a decrease in the United States government in a proactive way about information about health trends and updates at the national level or International.
She said: “We have eyes on what is happening in our state, and at the very local level they have eyes on what is happening in their jurisdiction, but pathogens do not live on the border.” . “This ecosystem for public health is very interconnected and no one can work independently.”