Amna Nawaz, Aznar Merchant , PBS News; ‘Public health is in trouble,’ says high-ranking CDC leader who resigned in protest
"Amna Nawaz:
So let's just start with your decision. Why did you feel the need to resign?
Dr. Debra Houry:
It was such a tough decision. I love the CDC. The work we do is so important.
But I had just felt we had reached a tipping point when it came to our science and our data and being able to do the work we needed to do. I was concerned about the future of CDC and my ability to be a leader at the CDC and to do what was needed to be done on the inside. I thought my voice and the voice of my colleagues that also resigned with me would be more powerful on the outside.
Amna Nawaz:
What does reaching that tipping point, as you put it, mean to you?
You saw Dr. Monarez's lawyers reference the unscientific and reckless directives. What does that mean to you?
Dr. Debra Houry:
Yes, so we have an immunization committee meeting coming up in a few weeks. And many of us, myself included, were concerned about some of the recommendations might walk back vaccines in our country.
To me, that's one of the tipping points. I think another tipping point is just the loss of Dr. Monarez. We hadn't had a CDC director for several months. When she came on board, she brought scientific rigor and some new ideas around public comment and how to really make sure data drove the decisions.
When she had done some of these changes, she was brought to the secretary's office for discussion. And, at that point, I became concerned that she wouldn't be able to implement changes that were needed at CDC, and without that leadership, it would just leave us vulnerable again. And I thought that was the point to say, enough is enough and to really raise that Bat Signal that public health and CDC is in trouble.
Amna Nawaz:
You have also said previously that her firing makes it easier for Secretary Kennedy's appointees to change vaccine recommendations. You just mentioned fearing a walk-back in some of those vaccine policies.
What does that mean specifically? What could we see ahead?
Dr. Debra Houry:
So, if we don't have a CDC director, and if there's not an acting CDC director, then the secretary would sign recommendations like he did for the last ACIP, or vaccine committee, meeting.
So things like the COVID vaccine or hepatitis B vaccine, they could choose to change ages on it or the populations that have access to it. I'm just concerned about changing vaccine access in our country and that we need to focus more on the safety and effectiveness of vaccines, shared decision-making around vaccines, and not talking about misinformation around vaccines.
Amna Nawaz:
And changes to things like the hepatitis B vaccine, are those conversations you were a part of during your time there? Those are being discussed?
Dr. Debra Houry:
So I know that the work groups have been asked to look at hepatitis B. They're in the middle of pulling a systematic review together right now.
So I would imagine that means they will be discussed. My concern is, we have pulled evidence reviews together before for the ACIP meetings, that we had one that was pulled down and not discussed. I think it's really important when we do work at CDC for our data, our science and our evidence reviews to be publicly posted, so the public can also review them and understand.
And, to me, that is transparency and something we were trying to move towards, particularly with the secretary's commitment to radical transparency. That would mean having publicly available data and documents."
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