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, and is headquartered in

Atlanta, Georgia Atlanta ( ) is the capital and most populous city of the U.S. state of Georgia. It is the seat of Fulton County, the most populous county in Georgia, but its territory falls in both Fulton and DeKalb counties. With a population of 498,715 ...

. The agency's main goal is the protection of

public health Public health is "the science and art of preventing disease, prolonging life and promoting health through the organized efforts and informed choices of society, organizations, public and private, communities and individuals". Analyzing the det ...

and safety through the control and prevention of disease, injury, and

disability Disability is the experience of any condition that makes it more difficult for a person to do certain activities or have equitable access within a given society. Disabilities may be Cognitive disability, cognitive, Developmental disability, dev ...

in the US and worldwide. The CDC focuses national attention on developing and applying disease control and prevention. It especially focuses its attention on

infectious disease An infection is the invasion of tissues by pathogens, their multiplication, and the reaction of host tissues to the infectious agent and the toxins they produce. An infectious disease, also known as a transmissible disease or communicable dise ...

, food borne pathogens,

environmental health Environmental health is the branch of public health concerned with all aspects of the natural and built environment affecting human health. In order to effectively control factors that may affect health, the requirements that must be met in ...

occupational safety and health Occupational safety and health (OSH), also commonly referred to as occupational health and safety (OHS), occupational health, or occupational safety, is a multidisciplinary field concerned with the safety, health, and welfare of people at wor ...

, health promotion, injury prevention and educational activities designed to improve the health of

United States citizens Citizenship of the United States is a legal status that entails Americans with specific rights, duties, protections, and benefits in the United States. It serves as a foundation of fundamental rights derived from and protected by the Constituti ...

. The CDC also conducts research and provides information on non-infectious diseases, such as

obesity Obesity is a medical condition, sometimes considered a disease, in which excess body fat has accumulated to such an extent that it may negatively affect health. People are classified as obese when their body mass index (BMI)—a person's we ...

and

diabetes Diabetes, also known as diabetes mellitus, is a group of metabolic disorders characterized by a high blood sugar level ( hyperglycemia) over a prolonged period of time. Symptoms often include frequent urination, increased thirst and increased ap ...

, and is a founding member of the

International Association of National Public Health Institutes The International Association of National Public Health Institutes (IANPHI) is an international umbrella organization of national public health institutes (NPHIs), public health government agencies working to improve national disease prevention and ...

.CDC Home Page
cdc.gov; retrieved November 19, 2008. The Director of the CDC is Rochelle Walensky (as of 2022). The Director reports to the

United States Secretary of Health and Human Services The United States secretary of health and human services is the head of the United States Department of Health and Human Services, and serves as the principal advisor to the president of the United States on all health matters. The secretary is ...

. Since 2020, the CDC has faced scrutiny for its handing of the

COVID-19 pandemic The COVID-19 pandemic, also known as the coronavirus pandemic, is an ongoing global pandemic of coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The novel virus was first identif ...

. In 2022, following an internal examination, Walensky acknowledged "some pretty dramatic, pretty public mistakes, from testing to data to communications" and called for a reorganization of the CDC.

History

Establishment

The Communicable Disease Center was founded July 1, 1946, as the successor to the

World War II World War II or the Second World War, often abbreviated as WWII or WW2, was a world war that lasted from 1939 to 1945. It involved the vast majority of the world's countries—including all of the great powers—forming two opposin ...

Malaria Control in War Areas Malaria is a Mosquito-borne disease, mosquito-borne infectious disease that affects humans and other animals. Malaria causes Signs and symptoms, symptoms that typically include fever, fatigue (medical), tiredness, vomiting, and headaches. In se ...

program of the Office of National Defense Malaria Control Activities. Preceding its founding, organizations with global influence in

malaria Malaria is a mosquito-borne infectious disease that affects humans and other animals. Malaria causes symptoms that typically include fever, tiredness, vomiting, and headaches. In severe cases, it can cause jaundice, seizures, coma, or death. S ...

control were the Malaria Commission of the

League of Nations The League of Nations (french: link=no, Société des Nations ) was the first worldwide intergovernmental organisation whose principal mission was to maintain world peace. It was founded on 10 January 1920 by the Paris Peace Conference that ...

and the

Rockefeller Foundation The Rockefeller Foundation is an American private foundation and philanthropic medical research and arts funding organization based at 420 Fifth Avenue, New York City. The second-oldest major philanthropic institution in America, after the Carneg ...

. The Rockefeller Foundation greatly supported malaria control, sought to have the governments take over some of its efforts, and collaborated with the agency. The new agency was a branch of the

U.S. Public Health Service The United States Public Health Service (USPHS or PHS) is a collection of agencies of the Department of Health and Human Services concerned with public health, containing nine out of the department's twelve operating divisions. The Assistant ...

and Atlanta was chosen as the location because

was endemic in the Southern United States. 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. With a budget at the time of about $1million, 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 (see National Malaria Eradication Program). Among its 369 employees, the main jobs at CDC were originally

entomology Entomology () is the science, scientific study of insects, a branch of zoology. In the past the term "insect" was less specific, and historically the definition of entomology would also include the study of animals in other arthropod groups, such ...

and engineering. In CDC's initial years, more than six and a half million homes were sprayed, mostly with

DDT Dichlorodiphenyltrichloroethane, commonly known as DDT, is a colorless, tasteless, and almost odorless crystalline chemical compound, an organochloride. Originally developed as an insecticide, it became infamous for its environmental impacts. ...

. 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 Joseph Walter Mountin MD (October 13, 1891 – April 26, 1952) was an American physician and career United States Public Health Service (USPHS) officer who was the founder of the U.S. Centers for Disease Control and Prevention in Atlanta, Georgia. M ...

, the CDC continued to be an advocate for public health issues and pushed to extend its responsibilities to many other

communicable diseases An infection is the invasion of tissues by pathogens, their multiplication, and the reaction of host tissues to the infectious agent and the toxins they produce. An infectious disease, also known as a transmissible disease or communicable dise ...

. In 1947, the CDC made a token payment of $10 to

Emory University Emory University is a private research university in Atlanta, Georgia. Founded in 1836 as "Emory College" by the Methodist Episcopal Church and named in honor of Methodist bishop John Emory, Emory is the second-oldest private institution of ...

for 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 Robert Winship Woodruff (December 6, 1889 – March 7, 1985) was an American businessman who served as the president of The Coca-Cola Company from 1923 until 1985. With a large net worth, he was also a major philanthropist, and many educational ...

chairman of the board The chairperson, also chairman, chairwoman or chair, is the presiding officer of an organized group such as a board, committee, or deliberative assembly. The person holding the office, who is typically elected or appointed by members of the grou ...

The Coca-Cola Company The Coca-Cola Company is an American multinational beverage corporation founded in 1892, best known as the producer of Coca-Cola. The Coca-Cola Company also manufactures, sells, and markets other non-alcoholic beverage concentrates and syrups, ...

. Woodruff had a long-time interest in

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.

Growth

Epidemic Intelligence Service The Epidemic Intelligence Service (EIS) is a program of the U.S. Centers for Disease Control and Prevention (CDC). The modern EIS is a two-year, hands-on post-doctoral training program in epidemiology, with a focus on field work. History Creation ...

(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 Program Field Epidemiology is the application of epidemiologic methods to unexpected health problems when a rapid on-site investigation is necessary for timely intervention. A more expansive definition is: The practice of Epidemiology in the field. Work ...

s (FETP), which began in 1980. 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. The Training Programs in Epidemiology and Public Health Interventions Network (

TEPHINET Training Programs in Epidemiology and Public Health Interventions Network (TEPHINET) is a global professional network of Field Epidemiology Training Program, field epidemiology training programs (FETPs). As of August 2019, TEPHINET comprises 71 mem ...

) has graduated 950 students. The mission of the CDC expanded beyond its original focus on malaria to include

sexually transmitted disease Sexually transmitted infections (STIs), also referred to as sexually transmitted diseases (STDs) and the older term venereal diseases, are infections that are spread by sexual activity, especially vaginal intercourse, anal sex, and oral ...

s 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. 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.

Recent history

It was renamed to the plural Centers for Disease Control effective October 14, 1980, 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 The National Center for Health Statistics (NCHS) is a U.S. government agency that provides statistical information to guide actions and policies to improve the public health of the American people. It is a unit of the Centers for Disease Control ...

in 1987. An act of the

United States Congress The United States Congress is the legislature of the federal government of the United States. It is bicameral, composed of a lower body, the House of Representatives, and an upper body, the Senate. It meets in the U.S. Capitol in Washing ...

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. Since the 1990s, the CDC focus has broadened to include chronic diseases,

disabilities Disability is the experience of any condition that makes it more difficult for a person to do certain activities or have equitable access within a given society. Disabilities may be cognitive, developmental, intellectual, mental, physical, se ...

, injury control,

workplace hazards An occupational hazard is a hazard experienced in the workplace. This encompasses many types of hazards, including chemical hazards, biological hazards (biohazards), psychosocial hazards, and physical hazards. In the United States, the Nation ...

threats, and terrorism preparedness. CDC combats emerging diseases and other health risks, including birth defects,

West Nile virus West Nile virus (WNV) is a single-stranded RNA virus that causes West Nile fever. It is a member of the family ''Flaviviridae'', from the genus ''Flavivirus'', which also contains the Zika virus, dengue virus, and yellow fever virus. The virus ...

avian Avian may refer to: *Birds or Aves, winged animals *Avian (given name) (russian: Авиа́н, link=no), a male forename Aviation *Avro Avian, a series of light aircraft made by Avro in the 1920s and 1930s *Avian Limited, a hang glider manufacture ...

, swine, and

pandemic flu An influenza pandemic is an epidemic of an influenza virus that spreads across a large region (either multiple continents or worldwide) and infects a large proportion of the population. There have been six major influenza epidemics in the last ...

E. coli ''Escherichia coli'' (),Wells, J. C. (2000) Longman Pronunciation Dictionary. Harlow ngland Pearson Education Ltd. also known as ''E. coli'' (), is a Gram-negative, facultative anaerobic, rod-shaped, coliform bacterium of the genus ''Escher ...

, and bioterrorism, to name a few. The organization would also prove to be an important factor in preventing the abuse of

penicillin Penicillins (P, PCN or PEN) are a group of β-lactam antibiotics originally obtained from ''Penicillium'' moulds, principally '' P. chrysogenum'' and '' P. rubens''. Most penicillins in clinical use are synthesised by P. chrysogenum using ...

. 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 Botulinum toxin, or botulinum neurotoxin (BoNT), is a neurotoxic protein produced by the bacterium ''Clostridium botulinum'' and related species. It prevents the release of the neurotransmitter acetylcholine from axon endings at the neuromusc ...

, Yersinia pestis and

Dengue fever Dengue fever is a mosquito-borne tropical disease caused by the dengue virus. Symptoms typically begin three to fourteen days after infection. These may include a high fever, headache, vomiting, muscle and joint pains, and a characterist ...

virus. On April 21, 2005, then–CDC Director

Julie Gerberding Julie Louise Gerberding (born August 22, 1955) is an American infectious disease expert who was the first woman to serve as the director of the U.S. Centers for Disease Control and Prevention (CDC). As of May 2022, she is the CEO of the Foundati ...

formally announced the reorganization of CDC to "confront the challenges of 21st-century health threats". She established four Coordinating Centers. In 2009 the

Obama Administration Barack Obama's tenure as the 44th president of the United States began with his first inauguration on January 20, 2009, and ended on January 20, 2017. A Democrat from Illinois, Obama took office following a decisive victory over Republican ...

re-evaluated this change and ordered them cut as an unnecessary management layer. As of 2013, the CDC's Biosafety Level 4 laboratories were among the few that exist in the world. They included one of only two official repositories of

smallpox Smallpox was an infectious disease caused by variola virus (often called smallpox virus) which belongs to the genus Orthopoxvirus. The last naturally occurring case was diagnosed in October 1977, and the World Health Organization (WHO) c ...

in the world, with the other one located 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 Anthrax is an infection caused by the bacterium ''Bacillus anthracis''. It can occur in four forms: skin, lungs, intestinal, and injection. Symptom onset occurs between one day and more than two months after the infection is contracted. The sk ...

. 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 The Atlanta City Council is the main municipal legislative body for the city of Atlanta, Georgia, United States. It consists of 16 members primarily elected from 12 districts within the city. The Atlanta City Government is divided into three bo ...

had voted to do so the prior December. The CDC and

had requested that the Atlanta city government annex the area. The headquarters were located in an

unincorporated area An unincorporated area is a region that is not governed by a local municipal corporation. Widespread unincorporated communities and areas are a distinguishing feature of the United States and Canada. Most other countries of the world either have ...

, statistically in the

Druid Hills Druid Hills is a community which includes both a census-designated place (CDP) in unincorporated DeKalb County, Georgia, United States, as well as a neighborhood of the city of Atlanta. The CDP's population was 14,568 at the 2010 census. The ...

census-designated place A census-designated place (CDP) is a concentration of population defined by the United States Census Bureau for statistical purposes only. CDPs have been used in each decennial census since 1980 as the counterparts of incorporated places, such ...

. On August 17, 2022, Dr. Walensky said the CDC would make drastic changes in the wake of mistakes during the COVID-19 pandemic. She outlined an overhaul of how the CDC would analyze and share data and how they would communicate information to the general public. In her statement to all CDC employees, she said: "For 75 years, CDC and public health have been preparing for COVID-19, and in our big moment, our performance did not reliably meet expectations." Based on the findings of an internal report, Walensky concluded that "The CDC must refocus itself on public health needs, respond much faster to emergencies and outbreaks of disease, and provide information in a way that ordinary people and state and local health authorities can understand and put to use" (as summarized by the New York Times).

Organization

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. 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 were: * Director ** Principal Deputy Director *** Deputy Director – Public Health Service and Implementation Science **** Office of Minority Health and Health Equity **** Center for Global Health **** Center for Preparedness and Response **** Center for State, Tribal, Local, and Territory Support *** Deputy Director – Public Health Science and Surveillance **** Office of Science **** Office of Laboratory Science and Safety **** Center for Surveillance, Epidemiology, and Laboratory Services ****

*** Deputy Director – Non-Infectious Diseases **** National Center on Birth Defects and Developmental Disabilities **** National Center for Chronic Disease Prevention and Health Promotion **** National Center for Environmental Health and

Agency for Toxic Substances and Disease Registry The Agency for Toxic Substances and Disease Registry (ATSDR) is a federal public health agency within the United States Department of Health and Human Services. The agency focuses on minimizing human health risks associated with exposure to haza ...

****

National Center for Injury Prevention and Control The U.S. Centers for Disease Control and Prevention's National Center for Injury Prevention and Control's mission is to provide leadership in preventing and controlling injuries, i.e., reducing the incidence, severity, and adverse outcomes of inju ...

*** Deputy Director – Infectious Diseases ****

National Center for Immunization and Respiratory Diseases The National Center for Immunization and Respiratory Diseases (NCIRD), formerly known as the National Immunization Program until April 2006, is charged with responsibility for the planning, coordination, and conduct of immunization activities in ...

**** National Center for Emerging and Zoonotic Infectious Diseases (includes the

Division of Global Migration and Quarantine The Division of Global Migration and Quarantine (DGMQ) is the part of the U.S. government responsible for U.S. Quarantine Stations and issuing quarantine orders. It is part of the National Center for Emerging and Zoonotic Infectious Diseases with ...

, which issues

quarantine A quarantine is a restriction on the movement of people, animals and goods which is intended to prevent the spread of disease or pests. It is often used in connection to disease and illness, preventing the movement of those who may have been ...

orders) ****

National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention The National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP), formerly the National Center for HIV, STD, and TB Prevention (NCHSTP) is a part of the Centers for Disease Control and Prevention and is responsible for public heal ...

*** National Institute for Occupational Safety and Health ** Office of the Director *** Chief of Staff *** Chief Operating Officer **** Human Resources Office **** Office of Financial Resources **** Office of Safety, Security, and Asset Management **** Office of the Chief Information Officer *** Chief Medical Officer *** CDC Washington Office *** Office of Equal Employment Opportunity *** Associate Director – Communication *** Associate Director – Laboratory Science and Safety *** Associate Director – Policy and Strategy 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.

Locations

Most CDC centers are located in

Atlanta Atlanta ( ) is the capital and most populous city of the U.S. state of Georgia. It is the seat of Fulton County, the most populous county in Georgia, but its territory falls in both Fulton and DeKalb counties. With a population of 498,715 ...

. Building 18, which opened in 2005 at the CDC's main Roybal campus (named in honor of the late Representative

Edward R. Roybal Edward Ross Roybal (February 10, 1916 – October 24, 2005) was a member of the Los Angeles City Council for thirteen years and of the U.S. House of Representatives for thirty years. Biography Roybal was born on February 10, 1916, into a Me ...

), contains the premier BSL4 laboratory in the United States. A few of the centers are based in or operate other domestic locations: * The

is primarily located in Hyattsville, Maryland, with a branch in

Research Triangle Park Research Triangle Park (RTP) is the largest research park in the United States, occupying in North Carolina and hosting more than 300 companies and 65,000 workers. The facility is named for its location relative to the three surrounding cities ...

in North Carolina. * The National Institute for Occupational Safety and Health's primary locations are

Cincinnati Cincinnati ( ) is a city in the U.S. state of Ohio and the county seat of Hamilton County. Settled in 1788, the city is located at the northern side of the confluence of the Licking and Ohio rivers, the latter of which marks the state line wit ...

;

Morgantown, West Virginia Morgantown is a city in and the county seat of Monongalia County, West Virginia, Monongalia County, West Virginia, United States, situated along the Monongahela River. The largest city in North-Central West Virginia, Morgantown is best known as th ...

;

Pittsburgh Pittsburgh ( ) is a city in the Commonwealth (U.S. state), Commonwealth of Pennsylvania, United States, and the county seat of Allegheny County, Pennsylvania, Allegheny County. It is the most populous city in both Allegheny County and Wester ...

;

Spokane, Washington Spokane ( ) is the largest city and county seat of Spokane County, Washington, United States. It is in eastern Washington, along the Spokane River, adjacent to the Selkirk Mountains, and west of the Rocky Mountain foothills, south of the Canada ...

; and

Washington, D.C. ) , image_skyline = , image_caption = Clockwise from top left: the Washington Monument and Lincoln Memorial on the National Mall, United States Capitol, Logan Circle, Jefferson Memorial, White House, Adams Morgan, ...

, with branches in

Denver Denver () is a consolidated city and county, the capital, and most populous city of the U.S. state of Colorado. Its population was 715,522 at the 2020 census, a 19.22% increase since 2010. It is the 19th-most populous city in the Unit ...

;

Anchorage, Alaska Anchorage () is the largest city in the U.S. state of Alaska by population. With a population of 291,247 in 2020, it contains nearly 40% of the state's population. The Anchorage metropolitan area, which includes Anchorage and the neighboring Ma ...

; and Atlanta. * The CDC Washington Office is based in Washington, D.C. * Two divisions of the National Center for Emerging and Zoonotic Infectious Diseases are based outside Atlanta. The Division of Vector-Borne Diseases is based in

Fort Collins, Colorado Fort Collins is a home rule municipality that is the county seat and the most populous municipality of Larimer County, Colorado Larimer County is a county located in the U.S. state of Colorado. As of the 2020 census, the population was 359 ...

, with a branch in

San Juan, Puerto Rico San Juan (, , ; Spanish for "Saint John") is the capital city and most populous municipality in the Commonwealth of Puerto Rico, an unincorporated territory of the United States. As of the 2020 census, it is the 57th-largest city under the jur ...

. The Arctic Investigations Program is based in Anchorage. In addition, CDC operates quarantine facilities in 20 cities in the U.S.

Budget

CDC's budget for fiscal year 2018 was $11.9billion. The CDC offers

grants Grant or Grants may refer to: Places *Grant County (disambiguation) Australia * Grant, Queensland, a locality in the Barcaldine Region, Queensland, Australia United Kingdom *Castle Grant United States * Grant, Alabama *Grant, Inyo County, C ...

to help organizations advance health, safety and awareness at the community level in the United States. The CDC awards over 85 percent of its annual budget through these grants.

Workforce

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. Doctor of Osteopathic Medicine (DO or D.O., or in Australia DO USA) is a medical degree conferred by the 38 osteopathic medical schools in the United States. DO and Doctor of Medicine (MD) degrees are equivalent: a DO graduate may become licens ...

, or

M.D. Doctor of Medicine (abbreviated M.D., from the Latin ''Medicinae Doctor'') is a medical degree, the meaning of which varies between different jurisdictions. In the United States, and some other countries, the M.D. denotes a professional degree. T ...

). Common CDC job titles include engineer,

entomologist Entomology () is the scientific study of insects, a branch of zoology. In the past the term "insect" was less specific, and historically the definition of entomology would also include the study of animals in other arthropod groups, such as arach ...

epidemiologist Epidemiology is the study and analysis of the distribution (who, when, and where), patterns and risk factor, determinants of health and disease conditions in a defined population. It is a cornerstone of public health, and shapes policy decision ...

, biologist, physician,

veterinarian A veterinarian (vet), also known as a veterinary surgeon or veterinary physician, is a medical professional who practices veterinary medicine. They manage a wide range of health conditions and injuries in non-human animals. Along with this, vet ...

behavioral scientist Behavioral sciences explore the cognitive processes within organisms and the behavioral interactions between organisms in the natural world. It involves the systematic analysis and investigation of human and animal behavior through naturalistic o ...

nurse Nursing is a profession within the health care sector focused on the care of individuals, families, and communities so they may attain, maintain, or recover optimal health and quality of life. Nurses may be differentiated from other health c ...

medical technologist A medical laboratory scientist (MLS) or clinical laboratory scientist (CLS) or medical technologist (MT) performs diagnostic testing of blood and body fluids in clinical laboratories. The scope of a medical laboratory scientist's work begins wit ...

, economist, public health advisor, health communicator, toxicologist, chemist,

computer scientist A computer scientist is a person who is trained in the academic study of computer science. Computer scientists typically work on the theoretical side of computation, as opposed to the hardware side on which computer engineers mainly focus (al ...

, and statistician. The CDC also operates a number of notable training and fellowship programs, including those indicated below.

Epidemic Intelligence Service (EIS)

The

(EIS) is composed of "boots-on-the-ground disease detectives" who investigate public health problems domestically and globally. 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. The EIS program is a model for the international

Public Health Associates Program

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 has 159 associates in 34 states.

Leadership

The Director of CDC is a

Senior Executive Service The Senior Executive Service (SES) is a position classification in the civil service of the United States federal government equivalent to general officer or flag officer rank in the U.S. Armed Forces. It was created in 1979 when the Civil Service ...

position 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.Wilgoren, Debbi and Shear, Michael D.
"Obama Chooses NYC Health Chief to Head CDC"
''The Washington Post'', May 16, 2009. The CDC director concurrently serves as the Administrator of the

. 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) and three who have served during the Carter administration (including one acting director not shown here). Two served under Bill Clinton, but only one under the Nixon to Ford terms.

Datasets and survey systems

* CDC Scientific Data, Surveillance, Health Statistics, and Laboratory Information. * Behavioral Risk Factor Surveillance System (BRFSS), the world's largest, ongoing telephone health-survey system. *

Mortality Medical Data System The Mortality Medical Data System (MMDS) is used to automate the entry, classification, and retrieval of cause-of-death information reported on death certificates throughout the United States and in many other countries. The National Center for He ...

. *

Abortion statistics in the United States Both the Guttmacher Institute and the Centers for Disease Control and Prevention (CDC) regularly report abortion statistics in the United States. They use different methodologies, so they report somewhat different abortion rates, but they show simil ...

* CDC WONDER (Wide-ranging ONline Data for Epidemiologic Research) * Data systems of the

Areas of focus

Communicable diseases

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

measles Measles is a highly contagious infectious disease caused by measles virus. Symptoms usually develop 10–12 days after exposure to an infected person and last 7–10 days. Initial symptoms typically include fever, often greater than , cough, ...

, and others.

Influenza

The CDC targets the transmission of

influenza Influenza, commonly known as "the flu", is an infectious disease caused by influenza viruses. Symptoms range from mild to severe and often include fever, runny nose, sore throat, muscle pain, headache, coughing, and fatigue. These symptoms ...

, including the H1N1 swine flu, and launched websites to educate people about hygiene.

Division of Select Agents and Toxins

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." The CDC runs a program that protects the public from rare and dangerous substances such as

and the Ebola virus. The program, called the Federal

Select Agent Under United States law, Biological select agents or toxins (BSATs) — or simply select agents for short — are bio-agents which (since 1997) have been declared by the U.S. Department of Health and Human Services (HHS) or by the U.S. Department ...

Program, calls for inspections of labs in the U.S. that work with dangerous pathogens. 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 Emory University Hospital is a 733-bed facility in Atlanta, Georgia, specializing in the care of acutely ill adults. Emory University Hospital is staffed exclusively by Emory University School of Medicine faculty who also are members of The Emor ...

, the home of a special unit to handle highly infectious diseases. 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.

Non-communicable diseases

The CDC also works on non-communicable diseases, including chronic diseases caused by

, physical inactivity and tobacco-use. The work of the Division for Cancer Prevention and Control, led from 2010 by

Lisa C. Richardson Lisa C. Richardson is an American physician who is the Director of CDC Division of Cancer Prevention and Control. She is responsible for the Colorectal Cancer Control Program, the National Breast and Cervical Cancer Early Detection Program, the N ...

, is also within this remit.

Antibiotic resistance

The CDC implemented their ''National Action Plan for Combating Antibiotic Resistant Bacteria'' as a measure against the spread of

antibiotic resistance Antimicrobial resistance (AMR) occurs when microbes evolve mechanisms that protect them from the effects of antimicrobials. All classes of microbes can evolve resistance. Fungi evolve antifungal resistance. Viruses evolve antiviral resistance. ...

in the United States. This initiative has a budget of $161million and includes the development of the

Antibiotic Resistance Lab Network The Antibiotic Resistance Lab Network (ARLN) is a group of Laboratory, laboratories of the United States Centers for Disease Control and Prevention established to supplement the work of local and state public health laboratories in the identificat ...

Global health

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 The World Health Organization (WHO) is a specialized agency of the United Nations responsible for international public health. The WHO Constitution states its main objective as "the attainment by all peoples of the highest possible level of h ...

(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. 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). The CDC has been 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). The CDC has also been involved in implementing the U.S. global health initiatives President's Emergency Plan for AIDS Relief (PEPFAR) and

President's Malaria Initiative The President's Malaria Initiative (PMI) is a U.S. Government initiative to control and eliminate malaria, one of the leading global causes of premature death and disability. The initiative was originally launched by U.S. president George W. Bush ...

Travelers' health

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." 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 A tourist attraction is a place of interest that tourists visit, typically for its inherent or an exhibited natural or cultural value, historical significance, natural or built beauty, offering leisure and amusement. Types Places of natural b ...

. 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)

Vaccine safety

The CDC uses a number of tools to monitor the safety of vaccines. The

Vaccine Adverse Event Reporting System The Vaccine Adverse Event Reporting System (VAERS) is a United States program for vaccine safety, co-managed by the U.S. Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA). VAERS is a postmarketing surveil ...

(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." 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. The Vaccine Safety Datalink (VSD) works with a network of healthcare organizations to share data on vaccine safety and adverse events. The Clinical Immunization Safety Assessment (CISA) project is a network of vaccine experts and health centers that research and assist the CDC in the area of vaccine safety. CDC also runs a program called V-safe, a smartphone web application that allows COVID-19 vaccine recipients to be surveyed in detail about their health in response to the shot.

CDC Foundation

The CDC Foundation operates independently from CDC as a private, nonprofit

501(c)(3) A 501(c)(3) organization is a United States corporation, trust, unincorporated association or other type of organization exempt from federal income tax under section 501(c)(3) of Title 26 of the United States Code. It is one of the 29 types of 50 ...

organization incorporated in the State of Georgia. The creation of the Foundation was authorized by section 399F of the

Public Health Service Act The Public Health Service Act is a United States federal law enacted in 1944. The full act is codified in Title 42 of the United States Code (The Public Health and Welfare), Chapter 6A (Public Health Service). Contents The act clearly establis ...

to support the mission of CDC in partnership with the private sector, including organizations, foundations, businesses, educational groups, and individuals. From 1995 to 2022, the Foundation raised over $1.6 billion and launched more than 1,200 health programs. Bill Cosby formerly served as a member of the Foundation's Board of Directors, continuing as an honorary member after completing his term.

Activities

The Foundation engages in research projects and health programs in more than 160 countries every year, including in focus areas such as

cardiovascular disease Cardiovascular disease (CVD) is a class of diseases that involve the heart or blood vessels. CVD includes coronary artery diseases (CAD) such as angina and myocardial infarction (commonly known as a heart attack). Other CVDs include stroke, h ...

cancer Cancer is a group of diseases involving abnormal cell growth with the potential to invade or spread to other parts of the body. These contrast with benign tumors, which do not spread. Possible signs and symptoms include a lump, abnormal b ...

, emergency response, and

infectious diseases An infection is the invasion of tissues by pathogens, their multiplication, and the reaction of host tissues to the infectious agent and the toxins they produce. An infectious disease, also known as a transmissible disease or communicable dise ...

, particularly

HIV/AIDS Human immunodeficiency virus infection and acquired immunodeficiency syndrome (HIV/AIDS) is a spectrum of conditions caused by infection with the human immunodeficiency virus (HIV), a retrovirus. Following initial infection an individual ...

Ebola Ebola, also known as Ebola virus disease (EVD) and Ebola hemorrhagic fever (EHF), is a viral hemorrhagic fever in humans and other primates, caused by ebolaviruses. Symptoms typically start anywhere between two days and three weeks after becom ...

, rotavirus, and

COVID-19 Coronavirus disease 2019 (COVID-19) is a contagious disease caused by a virus, the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The first known case was COVID-19 pandemic in Hubei, identified in Wuhan, China, in December ...

. * EmPOWERED Health Program: Launched in November 2019 with funding from Amgen, the program works to empower cancer patients to become actively involved in the decision making around their treatments.

Criticism

In 2015,

BMJ ''The BMJ'' is a weekly peer-reviewed medical trade journal, published by the trade union the British Medical Association (BMA). ''The BMJ'' has editorial freedom from the BMA. It is one of the world's oldest general medical journals. Origina ...

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.

Controversies

Tuskegee study of untreated syphilis in Black men

For 15 years, the CDC had direct oversight over the

Tuskegee syphilis experiment The Tuskegee Study of Untreated Syphilis in the Negro Male (informally referred to as the Tuskegee Experiment or Tuskegee Syphilis Study) was a study conducted between 1932 and 1972 by the United States Public Health Service (PHS) and the Cente ...

. 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 Informed consent is a principle in medical ethics and medical law, that a patient must have sufficient information and understanding before making decisions about their medical care. Pertinent information may include risks and benefits of treatme ...

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.

Gun violence

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 The Dickey Amendment is a provision first inserted as a rider into the 1996 omnibus spending bill of the United States federal government that mandated that "none of the funds made available for injury prevention and control at the Centers for D ...

, passed with the support of the

National Rifle Association The National Rifle Association of America (NRA) is a gun rights advocacy group based in the United States. Founded in 1871 to advance rifle marksmanship, the modern NRA has become a prominent Gun politics in the United States, gun rights ...

, 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". Advocates for

gun control Gun control, or firearms regulation, is the set of laws or policies that regulate the manufacture, sale, transfer, possession, modification, or use of firearms by civilians. Most countries have a restrictive firearm guiding policy, with on ...

oppose the amendment and have tried to overturn it. Looking at the history of the passage of the Dickey Amendment, in 1992,

Mark L. Rosenberg Mark L. Rosenberg (born 1945) is an American physician and public health researcher. He joined the Task Force for Global Health in 1999, retiring as president and CEO in 2016. Rosenberg also served as Assistant Surgeon General and as Rear Admiral ...

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". 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." In response, the NRA launched a "campaign to shut down the Injury Center." Two conservative pro-gun groups,

Doctors for Responsible Gun Ownership The Second Amendment Foundation (SAF) is a United States nonprofit organization that supports gun rights. Founded in 1974 by Alan Gottlieb and headquartered in Bellevue, Washington, SAF publishes gun rights magazines and public education materials ...

and

Doctors for Integrity and Policy Research Doctor or The Doctor may refer to: Personal titles * Doctor (title), the holder of an accredited academic degree * A medical practitioner, including: ** Physician ** Surgeon ** Dentist ** Veterinary physician ** Optometrist *Other roles ...

joined the pro-gun effort, and, by 1995, politicians also supported the pro-gun initiative. In 1996,

Jay Dickey Jay Woodson Dickey Jr. (December 14, 1939 – April 20, 2017), was a Republican U.S. Representative for Arkansas's 4th congressional district from 1993 to 2001. The amendment known as the Dickey Amendment (1996) blocks the Centers for Disease Con ...

(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. in the 1996

appropriations bill An appropriation, also known as supply bill or spending bill, is a proposed law that authorizes the expenditure of government funds. It is a bill that sets money aside for specific spending. In some democracies, approval of the legislature is ne ...

." In 1997, "Congress re-directed all of the money for gun research to the study of traumatic brain injury."

David Satcher David Satcher, (born March 2, 1941) is an American physician, and public health administrator. He was a four-star admiral in the United States Public Health Service Commissioned Corps and served as the 10th Assistant Secretary for Health, and th ...

, CDC head 1993-98 advocated for firearms research. 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. Rosenberg told ''The Trace'', "Right now, there is nothing stopping them from addressing this life-and-death national problem!" In 2013, the

American Medical Association The American Medical Association (AMA) is a professional association and lobbying group of physicians and medical students. Founded in 1847, it is headquartered in Chicago, Illinois. Membership was approximately 240,000 in 2016. The AMA's state ...

, the

American Psychological Association The American Psychological Association (APA) is the largest scientific and professional organization of psychologists in the United States, with over 133,000 members, including scientists, educators, clinicians, consultants, and students. It ha ...

, and the

American Academy of Pediatrics The American Academy of Pediatrics (AAP) is an American professional association of pediatricians, headquartered in Itasca, Illinois. It maintains its Department of Federal Affairs office in Washington, D.C. Background The Academy was founded ...

sent a letter to the leaders of the Senate Appropriations Committee asking them "to support at least $10million 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." Congress maintained the ban in subsequent budgets.

Ebola

In October 2014, the CDC gave a nurse with a fever who was later diagnosed with

permission to board a commercial flight to

Cleveland Cleveland ( ), officially the City of Cleveland, is a city in the U.S. state of Ohio and the county seat of Cuyahoga County. Located in the northeastern part of the state, it is situated along the southern shore of Lake Erie, across the U.S. ...

COVID-19

The CDC has been widely criticized for its handling of the COVID-19 pandemic. In 2022, CDC director Rochlelle Walensky acknowledged "some pretty dramatic, pretty public mistakes, from testing to data to communications", based on the findings of an internal examination. The first confirmed case of

was discovered in the U.S. on January 20, 2020. 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 The United States Food and Drug Administration (FDA or US FDA) is a List of United States federal agencies, federal agency of the United States Department of Health and Human Services, Department of Health and Human Services. The FDA is respon ...

began loosening rules that had restricted other labs from developing tests. In February 2020, as the CDC's early coronavirus test malfunctioned nationwide, CDC Director

Robert R. Redfield Robert Ray Redfield Jr. (born July 10, 1951) is an American virologist who served as the director of the Centers for Disease Control and Prevention and the administrator of the Agency for Toxic Substances and Disease Registry from 2018 to 202 ...

reassured fellow officials on the

White House Coronavirus Task Force The White House Coronavirus Task Force was the United States Department of State task force during the Trump administration that "coordinate and overs wthe administration's efforts to monitor, prevent, contain, and mitigate the spread" of cor ...

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. 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. In May 2020, ''

The Atlantic ''The Atlantic'' is an American magazine and multi-platform publisher. It features articles in the fields of politics, foreign affairs, business and the economy, culture and the arts, technology, and science. It was founded in 1857 in Boston, ...

'' 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. 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. 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. 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. The guidelines were crafted by the

without the sign-off of

Anthony Fauci Anthony Stephen Fauci (; born December 24, 1940) is an American physician-scientist and immunologist serving as the director of the National Institute of Allergy and Infectious Diseases (NIAID) and the chief medical advisor to the president. ...

of the NIH. 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. On August 16, the chief of staff,

Kyle McGowan Kyle or Kyles may refer to: Places Canada * Kyle, Saskatchewan, Canada Ireland * Kyle, County Laois * Kyle, County Wexford Scotland * Kyle, Ayrshire, area of Scotland which stretched across parts of modern-day East Ayrshire and South Ayrshir ...

, and his deputy,

Amanda Campbell Amanda is a Latin feminine gerundive (i.e. verbal adjective) name meaning, literally, “she who must (or is fit to) be loved”. Other translations, with similar meaning, could be "deserving to be loved," "worthy of love," or "loved very much b ...

, resigned from the agency.Weiland, Noah,
'Like a Hand Grasping': Trump Appointees Describe the Crushing of the C.D.C.
', The New York Times, December 16, 2020 The testing guidelines were reversed on September 18, 2020, after public controversy. 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. 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. In the lead up to 2020

Thanksgiving Thanksgiving is a national holiday celebrated on various dates in the United States, Canada, Grenada, Saint Lucia, Liberia, and unofficially in countries like Brazil and Philippines. It is also observed in the Netherlander town of Leiden and ...

, 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. The New York Times later concluded that the CDC's decisions to "ben to political pressure from the Trump White House to alter key public health guidance or withhold it from the public ..cost it a measure of public trust that experts say it still has not recaptured" as of 2022. In May 2021, following criticism by scientists, the CDC updated its COVID-19 guidance to acknowledge airborne transmission of COVID-19, after having previously claimed that the majority of infections occurred via "close contact, not airborne transmission". Until 2022, the CDC withheld critical data about COVID-19 vaccine boosters, hospitalizations and wastewater data. On June 10, 2022, the Biden Administration ordered the CDC to remove the COVID-19 testing requirement for air travelers entering the United States.

Controversy over the Morbidity and Mortality Weekly Report

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. 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. Alexander tried unsuccessfully to get personal approval of all issues of MMWR before they went out. 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. In emails Alexander accused CDC scientists of attempting to "hurt the president" and writing "hit pieces on the administration". 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."

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

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. By January 2022, according to a

NBC News NBC News is the news division of the American broadcast television network NBC. The division operates under NBCUniversal Television and Streaming, a division of NBCUniversal, which is, in turn, a subsidiary of Comcast. The news division's var ...

poll, only 44% of Americans trusted the CDC compared to 69% at the beginning of the pandemic. As the trustworthiness eroded, so too did the information it disseminates. The diminishing level of trust in the CDC and the information releases also incited "

vaccine hesitancy Vaccine hesitancy is a delay in acceptance, or refusal, of vaccines despite the availability of vaccine services and supporting evidence. The term covers refusals to vaccinate, delaying vaccines, accepting vaccines but remaining uncertain abou ...

" with the result that "just 53 percent of Americans said they would be somewhat or extremely likely to get a vaccine." 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." In addition, Mark Rosenberg, the first director of CDC's

, also questioned Redfield's leadership and his lack of defense of the science. Historically, the CDC has not been a political agency; however, the

, 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." Politicization of the agency has continued into the Biden administration as COVID-19 guidance is contradicted by State guidance and the agency is criticized as "CDC's credibility is eroding". 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.

Publications

* CDC publications * State of CDC report * CDC Programs in Brief * '' Morbidity and Mortality Weekly Report'' * '' Emerging Infectious Diseases'' (monthly journal) * ''

Preventing Chronic Disease ''Preventing Chronic Disease'' is a peer-reviewed open access medical journal established by the National Center for Chronic Disease Prevention and Health Promotion (Centers for Disease Control and Prevention), covering research on all aspects of ...

'' * Vital statistics

Popular culture

Zombie Apocalypse campaign

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 A zombie (Haitian French: , ht, zonbi) is a mythological undead corporeal revenant created through the reanimation of a corpse. Zombies are most commonly found in horror and fantasy genre works. The term comes from Haitian folklore, in whic ...

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. 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 Twitter is an online social media and social networking service owned and operated by American company Twitter, Inc., on which users post and interact with 280-character-long messages known as "tweets". Registered users can post, like, and ...

when she had been tweeting about the

Fukushima Daiichi nuclear disaster The was a nuclear accident in 2011 at the Fukushima Daiichi Nuclear Power Plant in Ōkuma, Fukushima, Japan. The proximate cause of the disaster was the 2011 Tōhoku earthquake and tsunami, which occurred on the afternoon of 11 March 2011 and ...

and

radiation In physics, radiation is the emission or transmission of energy in the form of waves or particles through space or through a material medium. This includes: * ''electromagnetic radiation'', such as radio waves, microwaves, infrared, visi ...

. 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. Once the blog article was posted, the CDC announced an open contest for

YouTube YouTube is a global online video platform, online video sharing and social media, social media platform headquartered in San Bruno, California. It was launched on February 14, 2005, by Steve Chen, Chad Hurley, and Jawed Karim. It is owned by ...

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. They also released a zombie-themed graphic novella available on their website. Zombie-themed educational materials for teachers are available on the site.

References

Citations

Sources

External links

*
CDC
in the ''

Federal Register The ''Federal Register'' (FR or sometimes Fed. Reg.) is the official journal of the federal government of the United States that contains government agency rules, proposed rules, and public notices. It is published every weekday, except on feder ...

''
CDC-Wide Activities and Program Support
account on

USAspending.gov ttp://www.usaspending.gov USASpending.govis a database of spending by the United States federal government. History Around the time of the Act's passage, OMB Watch, a government watchdog group, was developing a site that would do essentially eve ...

CDC Online Newsroom

CDC Public Health Image Library

CDC Global Communications Center

CDC Emerging Infectious Diseases LaboratoryAtlanta, Georgia

CDC WONDER online databases

Vaccine Safety Monitoring Systems and Methods (CDC) a slide deck presented at October 2019 Advisory Committee on Immunization Practices (ACIP) meeting
{{DEFAULTSORT:Centers For Disease Control And Prevention 1946 establishments in Georgia (U.S. state) Biosafety level 4 laboratories Government agencies established in 1946 Medical and health organizations based in Georgia (U.S. state) Medical research institutes in the United States Buildings and structures in DeKalb County, Georgia Buildings and structures in Atlanta Organizations based in Atlanta Organizations based in DeKalb County, Georgia Government health agencies