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In this photo provided by the Department of Health and Human Secretary, Robert F. Kennedy Jr., right, conducts the swearing-in ceremony of Jim O'Neill as the department's deputy secretary, June 9, 2025, in Washington, D.C.

Jim O’Neill is the brand new appearing director of the CDC. Right here, HHS Secretary Robert F. Kennedy Jr. swears him in as deputy secretary of HHS on June 9. O’Neill will serve in each roles.

Amy Rossetti/Division of Well being and Human Companies by way of AP


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Amy Rossetti/Division of Well being and Human Companies by way of AP

It has been per week of turmoil on the Facilities for Illness Management and Prevention. For workers on the public well being company headquartered in Atlanta, the primary inkling that one thing was amiss got here on Monday when a deliberate all-staff assembly was cancelled.

This is how occasions unfolded from there.

1. CDC Director Susan Monarez is out. 

CDC Director Susan Monarez led the company for lower than a month. She was confirmed by the Senate in late July, sworn in on July 31, led the company by way of a gunman’s assault on Aug. 8, and was compelled out of the job this week.

Her attorneys, Mark Zaid and Abbe Lowell, stated in an announcement that she was focused as a result of she “refused to rubber-stamp unscientific, reckless directives and hearth devoted well being consultants.”

Sources who weren’t licensed to talk publicly on the matter advised NPR that Monarez had a gathering that went very badly final week with Well being and Human Companies Secretary Robert F. Kennedy Jr. That kicked off the drama that performed out this week.

The Washington Publish broke the story, then HHS confirmed Monarez was out in a social media put up on the company’s X feed. Later, White Home press secretary Karoline Leavitt stated that she had been fired.

Monarez’s attorneys say that the firing has not been communicated to her by President Trump, and that’s obligatory as a result of it’s a place confirmed by the Senate.

2. Meet CDC Performing Director Jim O’Neill. 

Kennedy tapped one among his high advisors to be appearing director of the CDC. Jim O’Neill will proceed in his function at HHS, whereas main CDC. Kennedy introduced the transfer on Thursday in an e mail to employees obtained by NPR.

O’Neill beforehand served numerous roles at HHS beneath President George W. Bush. Since then he is largely run funding funds for billionaire tech investor Peter Thiel. He had a senate listening to for his present function in HHS.

O’Neill was an early supporter of Kennedy’s Make America Wholesome Once more motion and a vocal critic on social media of the CDC’s function throughout the pandemic. His social media deal with on X is @HHS_Jim.

Prior to now, he has expressed very robust libertarian views. For example, he has stated he thinks individuals ought to be capable to be compensated for donating human organs to assist incentivize extra provide. He made that time in a speech to The Seasteading Institute in 2009: “Eleven individuals each day die whereas ready for a kidney that might save their life. And there are many wholesome spare kidneys strolling round, unused.”

It is notable that he isn’t a doctor or a scientist. Monarez, who held different roles in authorities, has a doctorate in microbiology, and most CDC administrators have had medical levels. O’Neill’s background considerations Dr. Deb Houry, the chief medical officer of the CDC who resigned this week.

“You is usually a nice administrator however you do must at the very least have a information of the way you’d deal with an outbreak or an rising pathogen,” Houry advised NPR.

HHS didn’t instantly reply to NPR’s request for remark.

Employees and supporters of the Centers for Disease Control (CDC) hold signs and clap and cheer to honor former Centers for Disease Control (CDC) officials Dan Jernigan, Deb Houry, and Demetre Daskalakis outside its global headquarters on August 28, 2025 in Atlanta, Georgia. The three officials were honored after resigning in the wake of U.S. President Donald Trump's attempted firing of CDC director Susan Monarez.

CDC staff and supporters gathered outdoors the company’s headquarters in Atlanta Thursday to rally in assist of three leaders who resigned in protest of the firing of CDC director Susan Monarez.

Elijah Nouvelage/Getty Photos


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Elijah Nouvelage/Getty Photos

3. Extra CDC leaders resigned in protest. 

Apart from Houry, two different high CDC leaders resigned this week. Dr. Demetre Daskalakis led the Nationwide Heart for Immunization and Respiratory Illnesses, and Dr. Dan Jernigan led the Nationwide Heart for Rising and Zoonotic Infectious Illness.

Houry says it grew to become clear in a short time after Monarez was sworn in that she wasn’t going to have the ability to implement her coverage concepts on vaccines.

A key difficulty for Houry, Daskalakis and Jernigan are the actions Kennedy has taken that align with the views of anti-science activists. Houry advised NPR that ethically they could not abide the course the company is taking, and she or he stated they wished to time their departures for affect after the information broke that Monarez was being fired.

“We stated, ‘OK, that is our time,'” Houry says. “And we determined to do it collectively as a result of when a single senior chief leaves, , it will get a bit blip. However for us, we care concerning the company and the individuals. And that is the best way we may make that robust assertion.”

4. Rank-and-file CDC staff have been by way of the wringer.

On August 8, a gunman fired greater than 500 rounds of ammunition into the buildings of the CDC and killed Dekalb County Police Officer David Rose. The gunman was motivated by “discontent” with the mRNA covid vaccine and died by a self-inflicted gunshot wound, authorities stated. The incident occurred after Kennedy’s motion on Aug. 6 suspending $500 million in mRNA analysis grants.

The gunman’s assault additionally got here on the heels of a chaotic and complicated layoff course of at CDC, and a radical change in philosophical course for the company to focus solely on infectious illness. Kennedy reiterated that change in course in an e mail to all CDC employees obtained by NPR.

Whereas infectious illness has all the time been a precedence for the company, CDC has additionally tried to mitigate different issues that kill Individuals, corresponding to accidents and continual ailments. Kennedy is altering that with out a clear rationalization of how the federal well being infrastructure will deal with these points sooner or later.

5. Eyes are on congress subsequent.  

The Senate HELP Committee gave Monarez her listening to, and that committee is chaired by Republican Sen. Invoice Cassidy of Louisiana.

Cassidy is a doctor who spoke about his private experiences seeing the devastating diseases that may occur to unvaccinated kids throughout Kennedy’s affirmation listening to. He stated he voted to verify Kennedy after Kennedy promised to take care of federal vaccine insurance policies — which isn’t what Kennedy has accomplished.

Cassidy stated this week that his committee will conduct oversight of those CDC resignations. The rating Democrat on the identical committee, Sen. Bernie Sanders of Vermont, has referred to as for a listening to on the management shakeup. Cassidy has but to verify whether or not that may occur.

Cassidy has, nonetheless, referred to as for an necessary assembly on vaccines to be postponed. The Advisory Committee on Immunization Practices, often called ACIP, introduced Thursday that its fall assembly could be Sept. 18-19. Cassidy requested for that to be pushed again.

Kennedy fired all members of the ACIP committee and changed them together with his personal roster of people that don’t have the identical experience because the fired panel.

Gisele Grayson contributed to this report.

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