Senate hearing testimony reveals former CDC head's explanation for her termination
In a turn of events that has raised concerns within the medical community, former Centers for Disease Control and Prevention (CDC) Director Susan Monarez appeared before the Senate Committee on Health, Education, Labor and Pensions on Wednesday. Monarez was pushed out of her position leading the nation's public health agency just weeks after her confirmation.
The controversy surrounding Monarez's departure began when she claimed that Health Secretary Robert F. Kennedy spoke to President Trump "every day" about changing the childhood vaccine schedule. Monarez also stated that Kennedy pressured her to rubber-stamp his agenda and even suggested firing high-ranking scientists who disagreed with him.
During the Senate Finance Committee hearing on Sept. 4, Republican Sen. Bill Cassidy expressed his concern over Kennedy's handling of vaccines and the CDC. Sen. Cassidy accused Kennedy of undermining President Donald Trump's legacy on Operation Warp Speed. Three other Republicans – Sens. John Barrasso, Thom Tillis, and John Thune – also voiced their concerns.
Robert F. Kennedy Jr., in response, called Kennedy's handling of the CDC a "multiple vehicle pileup." Kennedy replaced all 17 members of the CDC's vaccine advisory committee (ACIP) in June with mostly handpicked advisers who share his vaccine-critical views. This change, part of Kennedy's efforts, has raised concerns about the independence of the committee and potential impacts on vaccine recommendations.
In her opening statement, Monarez gave a detailed timeline on the chain of events that led to her ouster. She claimed that Kennedy told her to preemptively accept recommendations from a CDC vaccine advisory panel and to fire career officials overseeing vaccine policy. Monarez also stated that Kennedy did not have any data or science to point to regarding the childhood vaccine schedule.
Monarez's testimony was supported by Deb Houry, former chief medical officer and deputy director for program and science at the CDC, who also appeared at Wednesday's hearing. Houry is one of four top CDC officials who resigned in protest after Monarez was ousted.
In an exchange with Democratic Sen. Elizabeth Warren, Kennedy claimed Monarez told him she was untrustworthy. However, in a hearing before the Senate Finance Committee on Sept. 4, Kennedy disputed Monarez's version of events. Kennedy claimed that he was simply trying to improve the CDC's vaccine recommendations and that Monarez was resistant to change.
Sen. Lisa Blunt Rochester called Kennedy's actions at the Finance Committee unsettling and said Kennedy needs to go. Sen. Bill Cassidy, on the other hand, is pursuing oversight of the CDC turmoil, stating that the onus is upon Monarez and Houry to prove that the criticisms leveled against them are not true.
A CDC committee is set to meet soon to discuss vaccine recommendations more broadly, including the measles, mumps, rubella, varicella (MMRV) vaccine, and Respiratory Syncytial Virus (RSV). Kennedy has replaced all of the members of this committee with handpicked people, raising further questions about the independence of the CDC's decision-making process.
As the situation continues to unfold, the medical community and the public await further developments and clarification on the events that led to Monarez's firing and the future of the CDC's vaccine policies.
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