Centers for Disease Control and Prevention - Wikipedia

United States government public health agency

The Centers for Disease Control and Prevention (CDC) is the national public health agency of the United States. It is a United States federal agency, under the Department of Health and Human Services,[2] and is headquartered in Atlanta, Georgia.[3]

The agency's main goal is the protection of public health and safety through the control and prevention of disease, injury, and disability in the US and worldwide.[4] The CDC focuses national attention on developing and applying disease control and prevention. It especially focuses its attention on infectious disease, food borne pathogens, environmental health, occupational safety and health, health promotion, injury prevention and educational activities designed to improve the health of United States citizens. The CDC also conducts research and provides information on non-infectious diseases, such as obesity and diabetes, and is a founding member of the International Association of National Public Health Institutes.[5]

The current Director of the CDC is Rochelle Walensky. The Director reports to the United States Secretary of Health and Human Services.[6]

History [ edit ]

Establishment [ edit ]

The Communicable Disease Center was founded July 1, 1946, as the successor to the World War II Malaria Control in War Areas program[7] of the Office of National Defense Malaria Control Activities.[8]

Preceding its founding, organizations with global influence in malaria control were the Malaria Commission of the League of Nations and the Rockefeller Foundation.[9] The Rockefeller Foundation greatly supported malaria control,[9] sought to have the governments take over some of its efforts, and collaborated with the agency.[10]

The new agency was a branch of the U.S. Public Health Service and Atlanta was chosen as the location because malaria was endemic in the Southern United States.[11] The agency changed names (see infobox on top) before adopting the name Communicable Disease Center in 1946. Offices were located on the sixth floor of the Volunteer Building on Peachtree Street.[12]

With a budget at the time of about $1   million, 59 percent of its personnel were engaged in mosquito abatement and habitat control with the objective of control and eradication of malaria in the United States[13] (see National Malaria Eradication Program).

Among its 369 employees, the main jobs at CDC were originally entomology and engineering. In CDC's initial years, more than six and a half million homes were sprayed, mostly with DDT. In 1946, there were only seven medical officers on duty and an early organization chart was drawn, somewhat fancifully, in the shape of a mosquito. Under Joseph Walter Mountin, the CDC continued to be an advocate for public health issues and pushed to extend its responsibilities to many other communicable diseases.[14]

In 1947, the CDC made a token payment of $10 to Emory University for 15 acres (61,000 m2) of land on Clifton Road in DeKalb County, still the home of CDC headquarters as of 2019. CDC employees collected the money to make the purchase. The benefactor behind the "gift" was Robert W. Woodruff, chairman of the board of The Coca-Cola Company. Woodruff had a long-time interest in malaria control, which had been a problem in areas where he went hunting. The same year, the PHS transferred its San Francisco based plague laboratory into the CDC as the Epidemiology Division, and a new Veterinary Diseases Division was established.[7]

Growth [ edit ]

The Communicable Disease Center moved to its current headquarters in 1960. Building 1 is pictured in 1963.

An Epidemic Intelligence Service (EIS) was established in 1951, originally due to biological warfare concerns arising from the Korean War; EIS evolved into two-year postgraduate training program in epidemiology, and a prototype for Field Epidemiology Training Programs (FETP), which began in 1980.[15] The FETP is a large operation that has trained more than 18,000 disease detectives in over 80 countries. In 2020 FETP celebrated the 40th anniversary of the CDC's support for Thailand's Field Epidemiology Training Program. Thailand was the first FETP site created outside of North America and is found in numerous countries, reflecting CDC's influence in promoting this model internationally.[16] The Training Programs in Epidemiology and Public Health Interventions Network (TEPHINET) has graduated 950 students.[17]

The mission of the CDC expanded beyond its original focus on malaria to include sexually transmitted diseases when the Venereal Disease Division of the U.S. Public Health Service (PHS) was transferred to the CDC in 1957. Shortly thereafter, Tuberculosis Control was transferred (in 1960) to the CDC from PHS, and then in 1963 the Immunization program was established.[18]

It became the National Communicable Disease Center effective July 1, 1967, and the Center for Disease Control on June 24, 1970. At the end of the Public Health Service reorganizations of 1966–1973, it was promoted to being a principal operating agency of PHS.[8]

Recent history [ edit ]

Arlen Specter Headquarters and Emergency Operations Center

It was renamed to the plural Centers for Disease Control effective October 14, 1980,[8] as the modern organization of having multiple constituent centers was established. By 1990, it had four centers formed in the 1980s: the Center for Infectious Diseases, Center for Chronic Disease Prevention and Health Promotion, the Center for Environmental Health and Injury Control, and the Center for Prevention Services; as well as two centers that had been absorbed by CDC from outside: the National Institute for Occupational Safety and Health in 1973, and the National Center for Health Statistics in 1987.[19]

An act of the United States Congress appended the words "and Prevention" to the name effective October 27, 1992. However, Congress directed that the initialism CDC be retained because of its name recognition.[20] Since the 1990s, the CDC focus has broadened to include chronic diseases, disabilities, injury control, workplace hazards, environmental health threats, and terrorism preparedness. CDC combats emerging diseases and other health risks, including birth defects, West Nile virus, obesity, avian, swine, and pandemic flu, E. coli, and bioterrorism, to name a few. The organization would also prove to be an important factor in preventing the abuse of penicillin. In May 1994 the CDC admitted having sent samples of communicable diseases to the Iraqi government from 1984 through 1989 which were subsequently repurposed for biological warfare, including Botulinum toxin, West Nile virus, Yersinia pestis and Dengue fever virus.[21]

On April 21, 2005, then–CDC Director Julie Gerberding formally announced the reorganization of CDC to "confront the challenges of 21st-century health threats".[22] She established four Coordinating Centers. In 2009 the Obama Administration re-evaluated this change and ordered them cut as an unnecessary management layer.[23]

As of 2013, the CDC's Biosafety Level 4 laboratories are among the few that exist in the world.[24] They constitute one of only two official repositories of smallpox in the world. The second smallpox store resides at the State Research Center of Virology and Biotechnology VECTOR in the Russian Federation. In 2014, the CDC revealed they had discovered several misplaced smallpox samples while their lab workers were 'potentially infected' with anthrax.[25]

The city of Atlanta annexed the property of the CDC headquarters effective January 1, 2018, as a part of the city's largest annexation within a period of 65 years; the Atlanta City Council had voted to do so the prior December.[3] The CDC had requested that the Atlanta city government annex the area. The headquarters were located in an unincorporated area,[26] statistically in the Druid Hills census-designated place.[27]

Organization [ edit ]

CDC's Roybal campus in Atlanta, Georgia

Tom Harkin Global Communications Center

The CDC is organized into "Centers, Institutes, and Offices" (CIOs), with each organizational unit implementing the agency's activities in a particular area of expertise while also providing intra-agency support and resource-sharing for cross-cutting issues and specific health threats. Generally, CDC "Offices" are subdivided into Centers, which in turn are composed of Divisions and Branches.[7] However, the Center for Global Health and the National Institute for Occupational Safety and Health are freestanding organizational units and do not belong to a parent Office. As of August 2019, the CIOs are:

The Office of Public Health Preparedness was created during the 2001 anthrax attacks shortly after the terrorist attacks of September 11, 2001. Its purpose was to coordinate among the government the response to a range of biological terrorism threats.[29]

Locations [ edit ]

Most CDC centers are located in Atlanta. Building 18, which opened in 2005 at the CDC's main Roybal campus (named in honor of the late Representative Edward R. Roybal), contains the premier BSL4 laboratory in the United States.[30][31][32]

A few of the centers are based in or operate other domestic locations:[33]

In addition, CDC operates quarantine facilities in 20 cities in the U.S.[34]

Budget [ edit ]

CDC's budget for fiscal year 2018 is $11.9   billion.[35] The CDC offers grants that help many organizations each year advance health, safety and awareness at the community level throughout the United States. The CDC awards over 85 percent of its annual budget through these grants.[36]

Workforce [ edit ]

As of 2021,[update] CDC staff numbered approximately 15,000 personnel (including 6,000 contractors and 840 United States Public Health Service Commissioned Corps officers) in 170 occupations. Eighty percent held bachelor's degrees or higher; almost half had advanced degrees (a master's degree or a doctorate such as a PhD, D.O., or M.D.).[37]

Common CDC job titles include engineer, entomologist, epidemiologist, biologist, physician, veterinarian, behavioral scientist, nurse, medical technologist, economist, public health advisor, health communicator, toxicologist, chemist, computer scientist, and statistician.[38] The CDC also operates a number of notable training and fellowship programs, including those indicated below.

Epidemic Intelligence Service (EIS) [ edit ]

The Epidemic Intelligence Service (EIS) is composed of "boots-on-the-ground disease detectives" who investigate public health problems domestically and globally.[39] When called upon by a governmental body, EIS officers may embark on short-term epidemiological assistance assignments, or "Epi-Aids", to provide technical expertise in containing and investigating disease outbreaks.[40][41][42] The EIS program is a model for the international Field Epidemiology Training Program.

Public Health Associates Program [ edit ]

The CDC also operates the Public Health Associate Program (PHAP), a two-year paid fellowship for recent college graduates to work in public health agencies all over the United States. PHAP was founded in 2007 and currently[when? ] has 159 associates in 34 states.[43]

Leadership [ edit ]

David Sencer points to a depiction of

Triatomine sp.

, which transmits

Chagas disease

The Director of CDC is a Senior Executive Service position[44] that may be filled either by a career employee, or as a political appointment that does not require Senate confirmation, with the latter method typically being used. The director serves at the pleasure of the President and may be fired at any time.[19][45][46] The CDC director concurrently serves as the Administrator of the Agency for Toxic Substances and Disease Registry.[47]

Twenty directors have served the CDC or its predecessor agencies, including three who have served during the Trump administration (including Anne Schuchat who twice served as acting director)[8][48] and three who have served during the Carter administration (including one acting director not shown here).[49] Two served under Bill Clinton, but only one under the Nixon to Ford terms.

Datasets and survey systems [ edit ]

Areas of focus [ edit ]

CDC and

MSF

staff preparing to enter an

Ebola

treatment unit in

Liberia

, August 2014

Communicable diseases [ edit ]

The CDC's programs address more than 400 diseases, health threats, and conditions that are major causes of death, disease, and disability. The CDC's website has information on various infectious (and noninfectious) diseases, including smallpox, measles, and others.

Influenza [ edit ]

The CDC targets the transmission of influenza, including the H1N1 swine flu, and launched websites to educate people about hygiene.[60]

Division of Select Agents and Toxins [ edit ]

Within the division are two programs: the Federal Select Agent Program (FSAP) and the Import Permit Program. The FSAP is run jointly with an office within the U.S. Department of Agriculture, regulating agents that can cause disease in humans, animals, and plants. The Import Permit Program regulates the importation of "infectious biological materials."[61]

The CDC runs a program that protects the public from rare and dangerous substances such as anthrax and the Ebola virus. The program, called the Federal Select Agent Program, calls for inspections of labs in the U.S. that work with dangerous pathogens.[62]

During the 2014 Ebola outbreak in West Africa, the CDC helped coordinate the return of two infected American aid workers for treatment at Emory University Hospital, the home of a special unit to handle highly infectious diseases.[63]

As a response to the 2014 Ebola outbreak, Congress passed a Continuing Appropriations Resolution allocating $30,000,000 towards CDC's efforts to fight the virus.[64]

Non-communicable diseases [ edit ]

The CDC also works on non-communicable diseases, including chronic diseases caused by obesity, physical inactivity and tobacco-use.[65] The work of the Division for Cancer Prevention and Control, led from 2010 by Lisa C. Richardson, is also within this remit.[66][67]

Antibiotic resistance [ edit ]

The CDC implemented their National Action Plan for Combating Antibiotic Resistant Bacteria as a measure against the spread of antibiotic resistance in the United States. This initiative has a budget of $161   million and includes the development of the Antibiotic Resistance Lab Network.[68]

Global health [ edit ]

Globally, the CDC works with other organizations to address global health challenges and contain disease threats at their source. They work with many international organizations such as the World Health Organization (WHO) as well as ministries of health and other groups on the front lines of outbreaks. The agency maintains staff in more than 60 countries, including some from the U.S. but more from the countries in which they operate.[69] The agency's global divisions include the Division of Global HIV and TB (DGHT), the Division of Parasitic Diseases and Malaria (DPDM), the Division of Global Health Protection (DGHP), and the Global Immunization Division (GID).[70]

The CDC is integral in working with the WHO to implement the International Health Regulations (IHR), an agreement between 196 countries to prevent, control, and report on the international spread of disease, through initiatives including the Global Disease Detection Program (GDD).[71]

The CDC is also a lead implementer of key U.S. global health initiatives such as the President's Emergency Plan for AIDS Relief (PEPFAR) and the President's Malaria Initiative.[72]

Travelers' health [ edit ]

The CDC collects and publishes health information for travelers in a comprehensive book, CDC Health Information for International Travel, which is commonly known as the "yellow book."[73] The book is available online and in print as a new edition every other year and includes current travel health guidelines, vaccine recommendations, and information on specific travel destinations. The CDC also issues travel health notices on its website, consisting of three levels:

"Watch": Level 1 (practice usual precautions)

"Alert": Level 2 (practice enhanced precautions)

"Warning": Level 3 (avoid nonessential travel)[74]

Vaccine safety [ edit ]

The CDC monitors the safety of vaccines in the U.S. via the Vaccine Adverse Event Reporting System (VAERS), a national vaccine safety surveillance program run by CDC and the FDA. "VAERS detects possible safety issues with U.S. vaccines by collecting information about adverse events (possible side effects or health problems) after vaccination."[75] The CDC's Safety Information by Vaccine page provides a list of the latest safety information, side effects, and answers to common questions about CDC recommended vaccines.[76]

Foundation [ edit ]

The CDC Foundation operates independently from CDC as a private, nonprofit 501(c)(3) organization incorporated in the State of Georgia. The creation of the Foundation was authorized by section 399F of the Public Health Service Act to support the mission of CDC in partnership with the private sector, including organizations, foundations, businesses, educational groups, and individuals.[77][78]

In 2015, BMJ associate editor Jeanne Lenzer raised concerns that the CDC's recommendations and publications may be influenced by donations received through the Foundation, which includes pharmaceutical companies.[79]

Controversies [ edit ]

Tuskegee study of untreated syphilis in Black men [ edit ]

For 15 years, the CDC had direct oversight over the Tuskegee syphilis experiment.[80] In the study, which lasted from 1932 to 1972, a group of Black men (nearly 400 of whom had syphilis) were studied to learn more about the disease. The disease was left untreated in the men, who had not given their informed consent to serve as research subjects. The Tuskegee Study was initiated in 1932 by the Public Health Service, with the CDC taking over the Tuskegee Health Benefit Program in 1995.[80]

Gun violence [ edit ]

An area of partisan dispute related to CDC funding is studying firearms effectiveness. Although the CDC was one of the first agencies to study gun violence as a public health issue, in 1996 the Dickey Amendment, passed with the support of the National Rifle Association, states "none of the funds available for injury prevention and control at the Centers for Disease Control and Prevention may be used to advocate or promote gun control".[81] Advocates for gun control oppose the amendment and have tried to overturn it.[82]

Looking at the history of the passage of the Dickey Amendment, in 1992, Mark L. Rosenberg and five CDC colleagues founded the CDC's National Center for Injury Prevention and Control, with an annual budget of approximately $260,000. They focused on "identifying causes of firearm deaths, and methods to prevent them".[83] Their first report, published in the New England Journal of Medicine in 1993 entitled "Guns are a Risk Factor for Homicide in the Home", reported "mere presence of a gun in a home increased the risk of a firearm-related death by 2.7 percent, and suicide fivefold—a "huge" increase."[83] In response, the NRA launched a "campaign to shut down the Injury Center." Two conservative pro-gun groups, Doctors for Responsible Gun Ownership and Doctors for Integrity and Policy Research joined the pro-gun effort, and, by 1995, politicians also supported the pro-gun initiative. In 1996, Jay Dickey (R) Arkansas introduced the Dickey Amendment statement stating "none of the funds available for injury prevention and control at the Centers for Disease Control and Prevention may be used to advocate or promote gun control" as a rider.[81] in the 1996 appropriations bill."[83] In 1997, "Congress re-directed all of the money for gun research to the study of traumatic brain injury."[83] David Satcher, CDC head 1993-98[84] advocated for firearms research.[83] In 2016 over a dozen "public health insiders, including current and former CDC senior leaders" told The Trace interviewers that CDC senior leaders took a cautious stance in their interpretation of the Dickey Amendment and that they could do more but were afraid of political and personal retribution.[83] Rosenberg told The Trace, "Right now, there is nothing stopping them from addressing this life-and-death national problem!"[83]

In 2013, the American Medical Association, the American Psychological Association, and the American Academy of Pediatrics sent a letter to the leaders of the Senate Appropriations Committee asking them "to support at least $10   million within the Centers for Disease Control and Prevention (CDC) in FY 2014 along with sufficient new taxes at the National Institutes of Health to support research into the causes and prevention of violence. Furthermore, we urge Members to oppose any efforts to reduce, eliminate, or condition CDC funding related to violence prevention research."[85] Congress maintained the ban in subsequent budgets.[82]

Ebola [ edit ]

In October 2014, the CDC gave a nurse with a fever who was later diagnosed with Ebola permission to board a commercial flight to Cleveland.[86]

COVID-19 [ edit ]

The first confirmed case of COVID-19 was discovered in the U.S. on January 20, 2020.[87] But widespread COVID-19 testing in the United States was effectively stalled until February 28, when federal officials revised a faulty CDC test, and days afterward, when the Food and Drug Administration began loosening rules that had restricted other labs from developing tests.[88] In February 2020, as the CDC's early coronavirus test malfunctioned nationwide,[89] CDC Director Robert R. Redfield reassured fellow officials on the White House Coronavirus Task Force that the problem would be quickly solved, according to White House officials. It took about three weeks to sort out the failed test kits, which may have been contaminated during their processing in a CDC lab. Later investigations by the FDA and the Department of Health and Human Services found that the CDC had violated its own protocols in developing its tests.[89][90] In November 2020, NPR reported that an internal review document they obtained revealed that the CDC was aware that the first batch of tests which were issued in early January had a chance of being wrong 33 percent of the time, but they released them anyway.[91]

In May 2020, The Atlantic reported that the CDC was conflating the results of two different types of coronavirus tests — tests that diagnose current coronavirus infections, and tests that measure whether someone has ever had the virus. The magazine said this distorted several important metrics, provided the country with an inaccurate picture of the state of the pandemic, and overstated the country's testing ability.[92]

In July 2020, the Trump administration ordered hospitals to bypass the CDC and instead send all COVID-19 patient information to a database at the Department of Health and Human Services. Some health experts opposed the order and warned that the data might become politicized or withheld from the public.[93] On July 15, the CDC alarmed health care groups by temporarily removing COVID-19 dashboards from its website. It restored the data a day later.[94][95][96]

In August 2020, the CDC recommended that people showing no COVID-19 symptoms do not need testing. The new guidelines alarmed many public health experts.[97] The guidelines were crafted by the White House Coronavirus Task Force without the sign-off of Anthony Fauci of the NIH.[98][99] Objections by other experts at the CDC went unheard. Officials said that a CDC document in July arguing for "the importance of reopening schools" was also crafted outside the CDC.[100] On August 16, the chief of staff, Kyle McGowan, and his deputy, Amanda Campbell, resigned from the agency.[101] The testing guidelines were reversed on September 18, 2020, after public controversy.[102]

In September 2020, the CDC drafted an order requiring masks on all public transportation in the United States, but the White House Coronavirus Task Force blocked the order, refusing to discuss it, according to two federal health officials.[103]

In October 2020, it was disclosed that White House advisers had repeatedly altered the writings of CDC scientists about COVID-19, including recommendations on church choirs, social distancing in bars and restaurants, and summaries of public-health reports.[104]

In the lead up to 2020 Thanksgiving, at a press conference on November 20 the CDC advised Americans not to travel for the holiday saying, "It's not a requirement. It's a recommendation for the American public to consider." The White House coronavirus task force had its first public briefing in months on that date but travel was not mentioned.[105]

In May 2021, the CDC updated its guidance on airborne transmission of COVID-19.[106]

Controversy over the Morbidity and Mortality Weekly Report [ edit ]

During the pandemic, the CDC Morbidity and Mortality Weekly Report (MMWR) came under pressure from political appointees at the Department of Health and Human Services (HHS) to modify its reporting so as not to conflict with what Trump was saying about the pandemic.[107] Starting in June 2020, Michael Caputo, the HHS assistant secretary for public affairs, and his chief advisor Paul Alexander tried to delay, suppress, change, and retroactively edit MMR releases about the effectiveness of potential treatments for COVID-19, the transmissibility of the virus, and other issues where the president had taken a public stance.[107] Alexander tried unsuccessfully to get personal approval of all issues of MMWR before they went out.[108] Caputo claimed this oversight was necessary because MMWR reports were being tainted by "political content"; he demanded to know the political leanings of the scientists who reported that hydroxychloroquine had little benefit as a treatment while Trump was saying the opposite.[107] In emails Alexander accused CDC scientists of attempting to "hurt the president" and writing "hit pieces on the administration".[109] In October 2020, emails obtained by Politico showed that Alexander requested multiple alterations in a report. The published alterations included a title being changed from "Children, Adolescents, and Young Adults" to "Persons." One current and two former CDC officials who reviewed the email exchanges said they were troubled by the "intervention to alter scientific reports viewed as untouchable prior to the Trump administration" that "appeared to minimize the risks of the coronavirus to children by making the report's focus on children less clear."[110]

Eroding trust in the CDC as a result of COVID-19 controversies [ edit ]

A poll conducted in September 2020 found that nearly 8 in 10 Americans trusted the CDC, a decrease from 87 percent in April 2020. Another poll showed an even larger drop in trust with the results dropping 16 percentage points.[111] By January 2022, according to a NBC News poll, only 44% of Americans trusted the CDC compared to 69% at the beginning of the pandemic.[112] As the trustworthiness eroded, so too did the information it disseminates.[101] The diminishing level of trust in the CDC and the information releases also incited "vaccine hesitancy" with the result that "just 53 percent of Americans said they would be somewhat or extremely likely to get a vaccine."[111]

In September 2020, amid the accusations and the faltering image of the CDC, the agency's leadership was called into question. Former acting director at the CDC, Richard Besser, said of Dr. Redfield that "I find it concerning that the CDC director has not been outspoken when there have been instances of clear political interference in the interpretation of science."[113] In addition, Mark Rosenberg, the first director of CDC's National Center for Injury Prevention and Control, also questioned Redfield's leadership and his lack of defense of the science.[113]

Historically, the CDC has not been a political agency; however, the COVID-19 pandemic, and specifically the Trump Administration's handling of the pandemic, resulted in a "dangerous shift" according to a previous CDC director and others. Four previous directors claim that the agency's voice was "muted for political reasons."[114] Politicization of the agency has continued into the Biden administration as COVID-19 guidance is contradicted by State guidance[115] and the agency is criticized as "CDC's credibility is eroding".[116]

In 2021, the CDC, then under the leadership of the Biden Administration, received criticism for its mixed messaging surrounding COVID-19 vaccines, mask-wearing guidance, and the state of the pandemic.[117][118]

The CDC was criticized for shortening quarantine times after lobbying by airline companies, with the Association of Flight Attendants blasting the decision as forcing staff into a potentially "unsafe work environment".[119][120]

On June 10, 2022, the Biden Administration ordered the CDC to remove the COVID-19 testing requirement for air travelers entering the United States.[121]

Publications [ edit ]

Popular culture [ edit ]

Zombie Apocalypse campaign [ edit ]

On May 16, 2011, the Centers for Disease Control and Prevention's blog published an article instructing the public on what to do to prepare for a zombie invasion. While the article did not claim that such a scenario was possible, it did use the popular culture appeal as a means of urging citizens to prepare for all potential hazards, such as earthquakes, tornadoes, and floods.[128]

According to David Daigle, the associate director for Communications, Public Health Preparedness and Response, the idea arose when his team was discussing their upcoming hurricane-information campaign and Daigle mused that "we say pretty much the same things every year, in the same way, and I just wonder how many people are paying attention." A social-media employee mentioned that the subject of zombies had come up a lot on Twitter when she had been tweeting about the Fukushima Daiichi nuclear disaster and radiation. The team realized that a campaign like this would most likely reach a different audience from the one that normally pays attention to hurricane-preparedness warnings and went to work on the zombie campaign, launching it right before hurricane season began. "The whole idea was, if you're prepared for a zombie apocalypse, you're prepared for pretty much anything," said Daigle.[129]

Once the blog article was posted, the CDC announced an open contest for YouTube submissions of the most creative and effective videos covering preparedness for a zombie apocalypse (or apocalypse of any kind), to be judged by the "CDC Zombie Task Force". Submissions were open until October 11, 2011.[130] They also released a zombie-themed graphic novella available on their website.[131] Zombie-themed educational materials for teachers are available on the site.[132]

See also [ edit ]

References [ edit ]

Citations [ edit ]

  1. ^ "Centers for Disease Control and Prevention Salary Statistics". federalpay.org . Retrieved July 4, 2019 . The Centers for Disease Control and Prevention had 10,899 employees in 2015 ...
  2. ^ "Centers for Disease Control and Prevention". United States Department of Health and Human Services. October 4, 2019. Archived from the original on April 10, 2020 . Retrieved May 15, 2020 .
  3. ^ a b Niesse, Mark. "City of Atlanta's expansion to Emory and CDC approved". Atlanta Journal-Constitution . Retrieved December 5, 2017 .
  4. ^ "Mission, Role and Pledge". Centers for Disease Control and Prevention . Retrieved January 16, 2017 .
  5. ^ CDC Home Page, cdc.gov; retrieved November 19, 2008.
  6. ^ "HHS Organizational Chart". HHS.gov. October 24, 2008.
  7. ^ a b c Parascandola J (November–December 1996). "From MCWA to CDC—origins of the Centers for Disease Control and Prevention". Public Health Reports. 111 (6): 549–51. PMC 1381908 . PMID 8955706.
  8. ^ a b c d "Records of the Centers for Disease Control and Prevention (Record Group 442) 1921–2004". Guide to Federal Records. United States: National Archives and Records Administration. November 9, 2010. Archived from the original on November 19, 2010 . Retrieved October 4, 2009 .
  9. ^ a b Nájera JA (June 2001). "Malaria control: achievements, problems and strategies". Parassitologia. 43 (1–2): 1–89. PMID 11921521.
  10. ^ Stapleton DH (2004). "Lessons of history? Anti-malaria strategies of the International Health Board and the Rockefeller Foundation from the 1920s to the era of DDT". Public Health Rep. 119 (2): 206–15. doi:10.1177/003335490411900214. PMC 1497608 . PMID 15192908.
  11. ^ Sledge, Daniel (2012). "War, Tropical Disease, and the Emergence of National Public Health Capacity in the United States". Studies in American Political Development. 26 (2): 125–162. doi:10.1017/S0898588X12000107. hdl:10106/24372 . S2CID 145297402.
  12. ^ CDC (March 22, 2017). "Celebrating 7 Decades Of Firsts". Centers for Disease Control and Prevention . Retrieved June 14, 2020 .
  13. ^ Division of Parasitic Diseases (February 8, 2010). "Malaria Control in War Areas (1942–1945)". The History of Malaria, an Ancient Disease (2004). Atlanta, Georgia: Centers for Disease Control and Prevention . Retrieved March 21, 2011 .
  14. ^ Scheele, L. A (1952). "Dr. Joseph W. Mountin, pioneer in public health, 1891–1952". Public Health Rep. 67 (5): 425. PMC 2030772 . PMID 14930166.
  15. ^ "FETP 40th Anniversary | Division of Global Health Protection | Global Health | CDC". www.cdc.gov. March 12, 2021.
  16. ^ White, Mark; McDonnell, Sharon M.; Werker, Denise H.; Cardenas, Victor M.; Thacker, Stephen B. (2001). "Partnerships in International Applied Epidemiology Training and Service". American Journal of Epidemiology. 154 (11): 993–999. doi:10.1093/aje/154.11.993 . PMID 11724714.
  17. ^ "Thailand Field Epidemiology Training Program | TEPHINET". www.tephinet.org.
  18. ^ Beth E. Meyerson; Fred A. Martich; Gerald P. Naehr (2008). Ready to Go: The History and Contributions of U.S. Public Health Advisors. Research Triangle Park: American Social Health Association.
  19. ^ a b Etheridge, Elizabeth W. (February 20, 1992). Sentinel for Health: A History of the Centers for Disease Control . University of California Press. pp. 229–231, 342–343. ISBN 978-0-520-91041-6.
  20. ^ Centers for Disease Control (CDC) (1992). "CDC: the nation's prevention agency". MMWR Morb Mortal Wkly Rep. 41 (44): 833. PMID 1331740. Archived from the original on June 11, 2011.
  21. ^ "The eleventh plague: the politics of biological and chemical warfare" (pp. 84–86) by Leonard A. Cole (1993)
  22. ^ "CDC Office of Director, The Futures Initiative". CDC—National Center for Disease Control and Prevention. Archived from the original on June 29, 2016 . Retrieved December 28, 2008 .
  23. ^ Koenig, Robert. "New Chief Orders CDC to Cut Management Layers". Blogs.sciencemag.org. Archived from the original on September 20, 2009 . Retrieved April 16, 2012 .
  24. ^ "Viral Special Pathogens Branch" . Retrieved May 18, 2016 .
  25. ^ Scutti, Susan (July 16, 2014). "CDC Smallpox and Anthrax Mishaps Signal Other Potential Dangers". Newsweek . Retrieved February 26, 2017 .
  26. ^ Torpy, Bill (August 7, 2017). "Torpy at Large: DeKalb has annexation anxiety over Emory, CDC". Atlanta Journal-Constitution . Retrieved March 11, 2020 .
  27. ^ CDC Home Page, cdc.gov; retrieved November 19, 2008. "1600 Clifton Rd. Atlanta, GA 30333, USA" Compare this to the CDP map: "2010 Census Block Map: Druid Hills CDP, GA." U.S. Census Bureau. Retrieved on June 1, 2017.
  28. ^ National Center of Emerging and Zoonotic Infectious Disease (February 14, 2019). "Divisions and Office Overview". cdc.gov . Retrieved October 30, 2020 .
  29. ^ "Bio-terrorism Office Gets a New Director". The New York Times. May 2, 2002 . Retrieved October 17, 2018 .
  30. ^ "CDC Structural Façade Inspection, Building 18". Innovative Engineering . Retrieved February 4, 2021 .
  31. ^ "Centre for Disease Control - Building 18". MCW Hemisphere . Retrieved February 4, 2021 .
  32. ^ Young, Alison (June 2, 2016). "Newly disclosed CDC biolab failures 'like a screenplay for a disaster movie' ". USA Today.
  33. ^ "Living in Atlanta". U.S. Centers for Disease Control and Prevention. April 23, 2019 . Retrieved May 29, 2019 .
  34. ^ "U.S. Quarantine Stations". U.S. Centers for Disease Control and Prevention. April 24, 2019 . Retrieved May 29, 2019 .
  35. ^ Office of Budget – CDC (May 23, 2017). "FY 2018 Budget in Brief". HHS.gov. Department of Health and Human Services . Retrieved July 25, 2018 .
  36. ^ "CDC Grants at LoveToKnow Charity" . Retrieved January 11, 2010 .
  37. ^ Office of the Associate Director for Communication (May 19, 2010). "State of CDC: Budget and Workforce". CDC Impact Story Topics. Centers for Disease Control and Prevention. Archived from the original (XHTML) on January 22, 2013 . Retrieved March 21, 2011 . For more data on 2008, click on the "2008" link.
  38. ^ "Top Jobs at the CDC". Employment Information Homepage. Centers for Disease Control and Prevention. April 1, 2008. Archived from the original on November 16, 2016 . Retrieved March 21, 2011 .
  39. ^ "Epidemic Intelligence Service". Centers for Disease Control and Prevention . Retrieved September 27, 2016 .
  40. ^ "Epidemiologic Assistance". Centers for Disease Control and Prevention . Retrieved September 27, 2016 .
  41. ^ Cliff, A.D. (2009). Infectious diseases: emergence and re-emergence: a geographical analysis. Oxford, UK: Oxford University Press. ISBN 978-0199244737.
  42. ^ Koplan, Jeffrey P.; Foege, William H. (December 1, 2011). "Introduction: the Centers for Disease Control and Prevention's Epi-Aids – a fond recollection". American Journal of Epidemiology. 174 (11 Suppl): S1–3. doi:10.1093/aje/kwr303 . ISSN 1476-6256. PMID 22135388.
  43. ^ Public Health Associate Program website, Cdc.gov; retrieved April 12, 2014.
  44. ^ "United States Government Policy and Supporting Positions (Plum Book)". U.S. Government Publishing Office. 2016 . Retrieved March 22, 2018 .
  45. ^ a b Wilgoren, Debbi and Shear, Michael D. "Obama Chooses NYC Health Chief to Head CDC", The Washington Post, May 16, 2009.
  46. ^ Patel, Kant; Rushefsky, Mark E.; and McFarlane, Deborah R. The Politics of Public Health in the United States. M.E. Sharpe, 2005; ISBN 978-0-7656-1135-2.
  47. ^ Dull, H. Bruce (May–June 1991). "About the CDC". American Journal of Preventive Medicine. 7 (3): 188. doi:10.1016/s0749-3797(18)30938-3.
  48. ^ "Past CDC Directors/Administrators". Office of Enterprise Communication. Centers for Disease Control and Prevention (U.S. Department of Health and Human Services). February 19, 2009 . Retrieved May 19, 2009 .
  49. ^ "Health Official Reigned in '76 Swine-Flu Fight". Wall Street Journal. May 4, 2011.
  50. ^ "National Public Health Institute, NPHI Advocacy". IANPHI. Archived from the original on October 15, 2010 . Retrieved April 16, 2012 .
  51. ^ "Principal Deputy Director: Anne Schuchat, MD". cdc.gov. August 2, 2019.
  52. ^ Hellmann, Jessie (January 31, 2018). "CDC head resigns after report she traded tobacco stocks". The Hill . Retrieved January 31, 2018 .
  53. ^ Sun, Lena H. (March 21, 2018). "Longtime AIDS researcher Robert Redfield picked to lead CDC". The Washington Post. ISSN 0190-8286 . Retrieved March 22, 2018 .
  54. ^ "CDC Data and Statistics". CDC – National Center for Chronic Disease Prevention and Health Promotion . Retrieved August 10, 2006 .
  55. ^ "Behavioral Risk Factor Surveillance System". CDC: National Center for Chronic Disease Prevention and Health Promotion . Retrieved August 5, 2006 .
  56. ^ "NCHS – Mortality Data – About the Mortality Medical Data System". CDC – National Center for Health Statistics . Retrieved January 9, 2007 .
  57. ^ "CDC – Data and Statistics – Reproductive Health". Centers for Disease Control and Prevention. April 4, 2012 . Retrieved April 16, 2012 .
  58. ^ "CDC WONDER". wonder.cdc.gov.
  59. ^ "CDC - NCHS - National Center for Health Statistics". www.cdc.gov. August 8, 2021.
  60. ^ "Influenza (Flu)". Centers for Disease Control and Prevention. June 4, 2021.
  61. ^ "About the Division of Select Agents and Toxins | CDC". Centers for Disease Control and Prevention. October 10, 2018 . Retrieved October 17, 2018 .
  62. ^ Cohen, Bryan. "CDC's Select Agents Program protects against bioterror threats" Archived October 18, 2014, at archive.today, BioPrepWatch, February 10, 2014; accessed October 17, 2014.
  63. ^ Achenbach, Joel; Dennis, Brady; Hogan, Caelainn. "American doctor infected with Ebola returns to U.S." The Washington Post . Retrieved August 2, 2014 .
  64. ^ "Continuing Appropriations Resolution, 2015" (PDF) . congress.gov . Retrieved September 17, 2014 .
  65. ^ "Overweight & Obesity". Centers for Disease Control and Prevention . Retrieved August 4, 2015 .
  66. ^ "Organization Chart". CDC . Retrieved August 17, 2021 .
  67. ^ "Division of Cancer Prevention and Control - at a glance" (PDF) . CDC . Retrieved August 17, 2021 .
  68. ^ "Antibiotic Resistance Lab Network | Antibiotic/Antimicrobial Resistance | CDC". Centers for Disease Control and Prevention. January 5, 2017 . Retrieved February 26, 2017 .
  69. ^ "CDC Global Health – What We're Doing". Centers for Disease Control and Prevention. September 15, 2017 . Retrieved April 19, 2018 .
  70. ^ "Organization of the CDC Center for Global Health". Centers for Disease Control and Prevention. March 24, 2016.
  71. ^ "Module 2: WHO and CDC Global Surveillance Systems". Unite for Sight.
  72. ^ "CDC's Role in Global HIV Control". Centers for Disease Control and Prevention . Retrieved April 19, 2018 .
  73. ^ "2018 Yellow Book Home | Travelers' Health | CDC". wwwnc.cdc.gov . Retrieved June 1, 2017 .
  74. ^ "Travel Health Notices | Travelers' Health | CDC". wwwnc.cdc.gov. August 29, 2019.
  75. ^ "Vaccine Adverse Event Reporting System (VAERS)". Centers for Disease Control and Prevention. July 23, 2020 . Retrieved August 28, 2020 .
  76. ^ "Safety Information by Vaccine | CDC". Centers for Disease Control and Prevention. July 17, 2020 . Retrieved August 28, 2020 .
  77. ^ "42 U.S. Code § 280e–11 – Establishment and duties of Foundation". Legal Information Institute . Retrieved September 12, 2016 .
  78. ^ "CDCfoundation.org". CDCfoundation.org . Retrieved April 16, 2012 .
  79. ^ Lenzer, Jeanne (May 15, 2015). "Centers for Disease Control and Prevention: protecting the private good?". BMJ. 350: h2362. doi:10.1136/bmj.h2362. ISSN 1756-1833. PMID 25979454. S2CID 37357486.
  80. ^ a b "U.S. Public Health Service Syphilis Study at Tuskegee:The Tuskegee Timeline". National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, CDC. December 22, 2015.
  81. ^ a b "Public Law 104–208" (PDF) . Congressional Record. September 30, 1996. ... none of the funds available for injury prevention and control at the Centers for Disease Control and Prevention may be used to advocate or promote gun control.
  82. ^ a b "Quietly, Congress extends a ban on CDC research on guns". Pri.org . Retrieved November 29, 2015 .
  83. ^ a b c d e f g Masters, Kate (April 5, 2016). "Why Did the CDC Stop Researching Guns?". The Atlantic . Retrieved February 21, 2018 . The agencys' former leaders say they could do more to explore the subject, but officials fear political—and personal—retribution.
  84. ^ Office of Public Health and Science (January 4, 2007). "David Satcher (1998–2002)". U.S. Department of Health and Human Services. Archived from the original on December 5, 2007 . Retrieved January 17, 2008 .
  85. ^ "Democrats push to restart CDC funding for gun violence research". Philly.com . Retrieved November 29, 2015 .
  86. ^ "Ebola nurse got CDC OK for Cleveland trip". October 15, 2014. Archived from the original on October 17, 2014 . Retrieved October 16, 2014 .
  87. ^ Holshue, Michelle L.; DeBolt, Chas; Lindquist, Scott; Lofy, Kathy H.; Wiesman, John; Bruce, Hollianne; Spitters, Christopher; Ericson, Keith; Wilkerson, Sara; Tural, Ahmet; Diaz, George (March 5, 2020). "First Case of 2019 Novel Coronavirus in the United States". New England Journal of Medicine. 382 (10): 929–936. doi:10.1056/NEJMoa2001191. ISSN 0028-4793. PMC 7092802 . PMID 32004427.
  88. ^ Whoriskey, Peter; Satija, Neena. "How U.S. coronavirus testing stalled: Flawed tests, red tape and resistance to using the millions of tests produced by the WHO". The Washington Post.
  89. ^ a b Sara Murray, Nick Valencia, Jeremy Diamond and Scott Glover. "How coronavirus testing fumbles squandered valuable time". CNN . Retrieved August 9, 2020 . {{cite web}}: CS1 maint: multiple names: authors list (link)
  90. ^ Willman, David (June 20, 2020). "CDC coronavirus test kits were likely contaminated, federal review confirms". The Washington Post.
  91. ^ Kelly, Alexandra (November 6, 2020). "CDC knew first coronavirus test was flawed but released it anyway: report". The Hill . Retrieved November 13, 2020 .
  92. ^ Meyer, Alexis C. Madrigal, Robinson (May 21, 2020). "How Could the CDC Make That Mistake?". The Atlantic . Retrieved August 9, 2020 .
  93. ^ Stolberg, Sheryl Gay (July 14, 2020). "Trump Administration Strips C.D.C. of Control of Coronavirus Data". The New York Times. ISSN 0362-4331 . Retrieved August 9, 2020 .
  94. ^ Ornstein, Charles. "Out of View: After Public Outcry, CDC Adds Hospital Data Back to Its Website — for Now". ProPublica . Retrieved August 9, 2020 .
  95. ^ "Who took down the CDC's coronavirus data? The agency itself". POLITICO . Retrieved August 9, 2020 .
  96. ^ CDC (July 16, 2020). "COVID-19 Data Dashboard – Patient Impact & Hospital Capacity". Centers for Disease Control and Prevention . Retrieved August 9, 2020 .
  97. ^ Wu, Katherine J. (August 25, 2020). "C.D.C. Now Says People Without Covid-19 Symptoms Do Not Need Testing". The New York Times. ISSN 0362-4331 . Retrieved September 1, 2020 .
  98. ^ Sheridan, Kate (August 27, 2020). "CDC director attempts to clarify controversial Covid-19 testing guidelines". STAT . Retrieved September 1, 2020 .
  99. ^ Branswell, Helen (August 27, 2020). "New Covid-19 testing guidelines, crafted at the White House, alarm public health experts". STAT . Retrieved September 1, 2020 .
  100. ^ "Covid-19 Live Updates: C.D.C. Website's Controversial Testing Guideline Was Not Written by C.D.C. Scientists". The New York Times. September 18, 2020. ISSN 0362-4331 . Retrieved September 18, 2020 .
  101. ^ a b Weiland, Noah, 'Like a Hand Grasping': Trump Appointees Describe the Crushing of the C.D.C., The New York Times, December 16, 2020
  102. ^ "After Criticism, C.D.C. Reverses Covid-19 Guidelines on Testing People Who Were Exposed". The New York Times. September 19, 2020. ISSN 0362-4331 . Retrieved September 19, 2020 .
  103. ^ Kaplan, Sheila (October 10, 2020). "Covid-19 Live Updates: White House Blocked C.D.C. From Mandating Masks on Public Transit". The New York Times. ISSN 0362-4331 . Retrieved October 10, 2020 .
  104. ^ McKay, Rebecca Ballhaus, Stephanie Armour and Betsy (October 15, 2020). "A Demoralized CDC Grapples With White House Meddling and Its Own Mistakes". Wall Street Journal. ISSN 0099-9660 . Retrieved October 15, 2020 .
  105. ^ "Coronavirus: CDC urges Americans not to travel for Thanksgiving". BBC News. November 20, 2020 . Retrieved November 21, 2020 .
  106. ^ May, Brandon (May 10, 2021). "After Months of Prodding, CDC Updates Guidance on COVID-19 Airborne Transmission". BioSpace . Retrieved April 23, 2022 .
  107. ^ a b c Diamond, Dan (September 11, 2020). "Trump officials interfered with CDC reports on Covid-19". Politico . Retrieved September 14, 2020 .
  108. ^ Sun, Lena H. (September 12, 2020). "Trump officials seek greater control over CDC reports on coronavirus". The Washington Post . Retrieved September 14, 2020 .
  109. ^ "Political Appointees Meddled in C.D.C.'s 'Holiest of the Holy' Health Reports". The New York Times. September 12, 2020 . Retrieved September 14, 2020 .
  110. ^ Diamond, Dan. "Trump official pressured CDC to change report on Covid and kids". Politico . Retrieved October 7, 2020 .
  111. ^ a b Monroe, Madeline (September 15, 2020). "Polls show trust in scientific, political institutions eroding". TheHill . Retrieved November 15, 2020 .
  112. ^ Hamblin, James (March 12, 2022). "Can Public Health Be Saved?". The New York Times. ISSN 0362-4331 . Retrieved April 1, 2022 .
  113. ^ a b "CDC director is seen as allowing agency to buckle to political influence". STAT. September 16, 2020 . Retrieved November 15, 2020 .
  114. ^ "CDC's politicization 'extremely dangerous' for Americans, says its former head". PBS. July 14, 2020 . Retrieved May 7, 2021 .
  115. ^ "New CDC guidance won't end NY mask mandate yet, Cuomo says". Iohud . Retrieved May 15, 2021 .
  116. ^ " 'CDC's credibility is eroding' amid conflicting mask guidance, ex-Obama official says". CNBC. May 12, 2021 . Retrieved May 15, 2021 .
  117. ^ Chow, Denise (April 6, 2021). "CDC's messaging problem highlights pandemic's uncertain future". NBC News . Retrieved April 17, 2021 .
  118. ^ Stanley-Becker, Isaac; Guarino, Ben; Stead Sellers, Frances; Eunjung Cha, Ariana; Sun, Lena H. (May 15, 2021). "CDC's mask guidance spurs confusion and criticism, as well as celebration". The Washington Post . Retrieved May 16, 2021 .
  119. ^ Ella Ceron (December 28, 2021). "Flight Attendant Union Slams New CDC Covid Guidelines That Airline CEOs Supported". Bloomberg News . Retrieved December 30, 2021 .
  120. ^ "Flight attendants fume as CDC gives airlines what they want on quarantine change". Politico. December 28, 2021 . Retrieved December 30, 2021 .
  121. ^ "US will end Covid-19 testing requirement for air travelers entering the country". June 11, 2022.
  122. ^ "CDC – Publications". CDC – National Center for Disease Control and Prevention . Retrieved October 10, 2012 .
  123. ^ "State of CDC Report". CDC – National Center for Disease Control and Prevention. Archived from the original on March 4, 2016 . Retrieved October 10, 2012 .
  124. ^ "Programs in Brief: Home Page". CDC – National Center for Disease Control and Prevention. Archived from the original on July 18, 2006 . Retrieved August 10, 2006 .
  125. ^ "Morbidity and Mortality Weekly Report". CDC – National Center for Disease Control and Prevention . Retrieved October 10, 2012 .
  126. ^ "Emerging Infectious Diseases". CDC – National Center for Disease Control and Prevention . Retrieved October 10, 2012 .
  127. ^ "CDC/National Center for Health Statistics" . Retrieved October 14, 2014 .
  128. ^ Khan, Ali S. (May 16, 2011). "Preparedness 101: Zombie Apocalypse". Centers for Disease Control and Prevention. CDC Zombie Warning . Retrieved March 8, 2014 .
  129. ^ "Centers for Zombie Control and Prevention". Skepticality Podcast. October 25, 2011. Archived from the original on December 25, 2013 . Retrieved March 8, 2014 .
  130. ^ "Are You Prepared? Video Contest". Prepare.challenge.gov. Archived from the original on July 13, 2012 . Retrieved April 16, 2012 .
  131. ^ "Zombie Novella|Zombie Preparedness|Are We Prepared?". Centers for Disease Control and Prevention. April 10, 2015. Archived from the original on July 29, 2017 . Retrieved February 26, 2017 .
  132. ^ "Zombie Preparedness | CDC". Centers for Disease Control and Prevention. April 10, 2015. Archived from the original on August 9, 2021 . Retrieved December 22, 2021 .

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