Virgin Islands—have banded together to form the National Coalition for Public Health and Safety. The coalition aims to coordinate public health strategies and ensure access to evidence-based health information for all Americans. They are advocating for increased funding for state and local health departments, as well as pushing for the restoration of critical CDC programs.
“The CDC has been the backbone of our nation’s public health response for decades,” said California Governor Gavin Newsom, one of the coalition’s founding members. “We cannot afford to let political agendas undermine the health and safety of our communities. We must stand together to protect the health of all Americans.”
In addition to state and local efforts, independent organizations are also stepping in to fill the void left by the CDC. The World Health Organization (WHO) has pledged to provide technical assistance and support to states and local health departments to ensure that critical public health data continues to be collected and reported. The Gates Foundation and other philanthropic organizations have also committed funding to support public health initiatives in the absence of federal leadership.
Despite these efforts, experts warn that the loss of CDC data and leadership will have far-reaching consequences for public health in the U.S. and around the world. The lack of real-time data on vaccine rates, infectious diseases, and other critical health indicators could lead to delays in responding to outbreaks and implementing effective health policies.
“Without accurate and timely data, we are flying blind in our efforts to protect public health,” said Nuzzo. “We cannot afford to let politics interfere with the health and safety of our communities. We must work together to ensure that critical public health data continues to be collected and reported.”
As the battle for public health data and leadership continues, it is clear that state and local governments, independent organizations, and concerned citizens must come together to fill the void left by the CDC. The future of public health in the U.S. and around the world depends on our collective ability to protect and preserve the data and expertise that is essential for safeguarding the health and well-being of all people. The territory of Guam has recently taken a significant step towards improving public health across state lines by forming the Governors Public Health Alliance. This alliance aims to support and ensure access to healthcare for all residents, regardless of their location.
Raj Panjabi, a public health advisor to the group and former White House senior director for global health security and biodefense under the Biden administration, highlights the crucial role that state and territory leaders play in addressing health issues. He emphasizes that governors have always been at the forefront of responding to health threats, such as infectious diseases like avian flu, mpox, or RSV.
Despite some interruptions in CDC databases, which have since resumed updates, any delay in data collection can have serious consequences. When public health officials lack access to vital information about population vulnerabilities and disease threats, their ability to respond effectively is compromised.
States have historically relied on the CDC during major health threats to deploy federal epidemiologists and scientists to help trace sources of infection and deliver essential tools like vaccines. Information sharing is crucial during multistate outbreaks to coordinate response efforts and prevent further spread of disease.
While recent state and regional public health efforts have strengths, including data exchange and joint planning, Panjabi stresses that these initiatives do not replace the federal government, especially during national or global health crises like pandemics. Without a central authority that people trust, the fragmented public health system could exacerbate health disparities and hinder access to care for marginalized communities.
Concerns about growing health divides are shared by experts like Adams and Nuzzo, who warn that access to lifesaving tools like vaccines should not be determined by where one lives or the political affiliation of their leaders. It is essential to prioritize public health collaboration and coordination to ensure equitable access to healthcare for all residents.
In conclusion, the Governors Public Health Alliance is a promising step towards improving healthcare access and coordination across state lines. By working together and leveraging the strengths of state and federal resources, we can better protect public health and address health disparities in our communities.

