As Trump’s administration moves to disassemble international public health safeguards, pull funding from local health departments and legalize health misinformation, some experts are now afraid that the country is setting the stage for a long -term renovation.
If federal health officials do not change the lessons, large multi -speed epidemics such as the one that has been torn through Western Texas, jumping into neighboring states and killing two people, it can become the rule.
“We have actually opened the door to return this virus” said Dr. Thomas R. Frieden, former director of the Disease Control and Prevention Centers.
In order for an outburst to occur in the United States, the virus must first be introduced into the country and must reach a large, non -vaccinated population.
Recent events have made both conditions more and more likely, said Dr. William Moss, an epidemiologist at the Johns Hopkins Bloomberg Public Health School.
Efforts to control the dissemination of measles internationally have been disturbed by the recent Trump administration decision to retire from the World Health Organization, which manages a network with more than 700 laboratories monitoring measles cases in 164 countries.
The program – which contributes to the safeguarding immediate response of public health to emerging homes – is based on the United States to fund the entire annual budget of $ 8 million.
Gavi funds were not included in a list sent by the Foreign Department to Congress last week of programs that intends to continue to support. However, the Agency has not yet received an official grant end letter and its leadership is pressing on the administration to maintain funding.
Both the withdrawal that and the possible loss of Gavi’s funding are likely to increase measles cases abroad, increasing the possibility that a US traveler will bring the virus back to the country, said Dr. Walter Orenstin, a peer professor at the University of Emory University.
“People do not understand that support of global immunization not only is good for their countries but for our country” He said.
This week’s redundancies on the CDC included members of the staff who communicate with the public during infectious diseases and assist campaigns to encourage vaccination.
Communications will now gather at the Ministry of Health and Human Services, under the control of Health Minister Robert F. Kennedy Jr., a skeptic vaccine. The section did not respond to requests for comments.
Dr. Frieden, the former CDC director, described the cuts as a “recipe for disaster”.
The national immunization rate for measles, which declined during the Covid-19 pandemic, did not rise to the 95 % required to prevent the spread of the virus to a community. This increases the chances that an imported case will land in a vulnerable population and ignition.
About 93 percent of children in kindergarten had the MMR shot in the school year 2023-24. However, vaccination rates are distributed unevenly. Some communities have rates of about 80 percent, compensating from others, where the number is closer to 99 percent.
Now that HHS has moved to reduce billions of dollars in local health departments, it can fight to cancel the fireplaces early, allowing the virus to reach other non -vaccinated communities. (A judge temporarily blocked funding cuts after a coalition of states that sued Trump’s administration.)
During the states of emergency of infectious diseases, there are local health departments that investigate the source of the pathogen and identify anyone who may have been exposed so that they can have quarantine.
The process of monitoring contacts is time consuming and intensive, especially for a virus as contagious as measles.
“A fire burns and at the same time we close all fire departments” said Jennifer Nuzzo, Director of the Pandemic Center at the Brown University School of Public Health.
The current home that started in western Texas shows no sign of deceleration. There have been more than 480 cases in the area and 56 hospitalizations since late January. The outburst has also spread to the limits of the states, ill 54 people in New Mexico and 10 in Oklahoma.
The genetic sequence has indicated that the epidemic is also linked to 24 cases of measles discovered in the southwestern Kansas.
Measles was officially eliminated in the United States in 2000, but the speed at which the Texas epidemic has increased and the fact that it has already jumped into other sub-communities is very likely that the United States will lose this regime, Dr Nuzzo said.
Measles is no longer considered eliminated if a chain of infections continues for more than twelve months. Public Health officials in West Texas have predicted that the epidemic will continue for a year.
A large measles epidemic that spread through New York State parts for almost 12 months costs almost the country’s eliminating regime in 2019.
“We just lost it with a hair,” said Dr. Nuzzo. “Where we are now is worse than that. ”
Mr Kennedy has provided implicit support for vaccination and has underlined the unsafe -tested measles, such as the cake of the garden. According to doctors in Texas, his approval for alternative therapies has contributed to patients who delay critical care and ingestion of toxic levels of vitamin A.
Mr Kennedy recently took advantage of a prominent form in the anti -vaccine movement to work in a study that examines the theory of long -standing vaccines associated with autism.
If the country loses the elimination situation, Dr. Moss said, it is unlikely that the rates of infection will resemble those of the pre-empty era, when measles was infected almost every child until the age of 15.
But it would be likely to mean more frequent and larger outbreaks that make life more dangerous to the most vulnerable society: babies are too young to be vaccinated and immunosuppressed.
“There are immediate consequences-the tolls of health, the long-term effects on health, “Dr. Nuzzo said.” Measles epidemics are like incredibly expensive and annoying. ”
“It’s also just an embarrassment. It puts the United States at the same level as some of the most limited regulations limited to the world in the world and from the step with most high -income countries.”
