Reviving the US Centers for Disease Control

Editorial in The Lancet, May 16, 2020:

In the decades following its founding in 1946, the CDC became a national pillar of public health and globally respected. It trained cadres of applied epidemiologists to be deployed in the USA and abroad. CDC scientists have helped to discover new viruses and develop accurate tests for them. CDC support was instrumental in helping WHO to eradicate smallpox. However, funding to the CDC for a long time has been subject to conservative politics that have increasingly eroded the agency's ability to mount effective, evidence-based public health responses. In the 1980s, the Reagan administration resisted providing the sufficient budget that the CDC needed to fight the HIV/AIDS crisis. The George W Bush administration put restrictions on global and domestic HIV prevention and reproductive health programming.

The Trump administration further chipped away at the CDC's capacity to combat infectious diseases. CDC staff in China were cut back with the last remaining CDC officer recalled home from the China CDC in July, 2019, leaving an intelligence vacuum when COVID-19 began to emerge. In a press conference on Feb 25, Nancy Messonnier, director of the CDC's National Center for Immunization and Respiratory Diseases, warned US citizens to prepare for major disruptions to movement and everyday life. Messonnier subsequently no longer appeared at White House briefings on COVID-19. More recently, the Trump administration has questioned guidelines that the CDC has provided. These actions have undermined the CDC's leadership and its work during the COVID-19 pandemic.

There is no doubt that the CDC has made mistakes, especially on testing in the early stages of the pandemic. The agency was so convinced that it had contained the virus that it retained control of all diagnostic testing for severe acute respiratory syndrome coronavirus 2, but this was followed by the admission on Feb 12 that the CDC had developed faulty test kits. The USA is still nowhere near able to provide the basic surveillance or laboratory testing infrastructure needed to combat the COVID-19 pandemic.

But punishing the agency by marginalising and hobbling it is not the solution. The Administration is obsessed with magic bullets—vaccines, new medicines, or a hope that the virus will simply disappear. But only a steadfast reliance on basic public health principles, like test, trace, and isolate, will see the emergency brought to an end, and this requires an effective national public health agency. The CDC needs a director who can provide leadership without the threat of being silenced and who has the technical capacity to lead today's complicated effort.

The Trump administration's further erosion of the CDC will harm global cooperation in science and public health, as it is trying to do by defunding WHO. A strong CDC is needed to respond to public health threats, both domestic and international, and to help prevent the next inevitable pandemic. Americans must put a president in the White House come January, 2021, who will understand that public health should not be guided by partisan politics.

Bay Area Budgeting 2

California Would Delay Deepest Cuts under Legislature’s Alternative to Gavin Newsom’s Budget (Alexei Koseff in the San Francisco Chronicle, June 4, 2020)

California Democrats Reject Newsom’s Budget Cuts, Make a Deal Counting on Money from Trump (Sacramento Bee, June 3, 2020)

As Cities Make Deep Cuts because of COVID-19, Police Departments Are Keeping Their Funding (Fast Company, June 1, 2020)

Will Effective K-12 Education Survive Gov. Newsom’s May Revise Budget? (Black Voice News, May 29, 2020)

California’s Coronavirus Budget Crisis Leaves Newsom and Lawmakers at Odds (John Myers in the Los Angeles Times, May 28, 2020)

California Assembly Meets as Rare Committee to Talk Budget (Santa Monica Daily Press, May 27, 2020)

Valid Assumptions or "Tacky bluffs" -- the Econ Forecast Shaping Newsom's Budget (ABC10.com, May 20, 2020)

The 2020‑21 Budget: Initial Comments on the Governor's May Revision (Legislative Analyst's Office, May 17, 2020)

Safety Net Programs Threatened by California’s Budget Deficit (LA Progressive, undated)

State Budget Information (California State Association of Counties, undated)

Coronavirus Forces Sharp Cuts to Schools, Healthcare in California, Newsom Says (John Myers, Los Angeles Times, May 14, 2020)

Bay Area Budgeting 1

News Analysis: California’s $54-Billion Deficit Fueled by Coronavirus Will Test a Decade of Preparations (John Myers, Los Angeles Times, May 14, 2020)

California Cut Schools and Raised Taxes in Its Last Recession. What Will Newsom Do Now? (Sacramento Bee, May 13, 2020)
BART Seeks Further Federal Funding to Address Deficit: "Our Budget Is Deep in the Red" (SFGATE, May 12, 2020)

Bay Area Cities Face Grim Financial Outlook amid Budget Slashing. Here’s What They Are Planning to Cut (San Francisco Chronicle, May 10, 2020)

California Is Reckoning With Its Huge Budget Deficits (Ed Kilgore at New York Magazine, May 7, 2020)

Here’s How a $54 Billion Deficit Will Hurt Californians (Calmatters.org, May 7, 2020)

California Lawmakers Set to Return Monday as Coronavirus Lingers (KTLA.com, May 3, 2020)

CalMatters Commentary: State Budget Will Take a Very Big Hit from Coronavirus (Ventura County Star, May 3, 2020)

We Surveyed the "Rainy day" Funds of 6 States to See How Prepared They Were for a Major Emergency. The Results Paint a Grim Picture for the Country's Economic Recovery (Business Insider, May 2, 2020)

California Governor: Expect Budget Gap in "Tens of Billions" (Bloomberg, May 1, 2020)

Coronavirus: Alameda County Finances to Suffer because of Pandemic (East Bay Times, May 1, 2020)

Opinion: City and State Auditors Warn of Oakland's Financial Peril and Mismanagement (Oakland Post, April 30, 2020)

Tough Times for Oakland as Coronavirus Outbreak Blows Giant Hole in Budget (San Francisco Chronicle, April 26, 2020)

Bay Area Braces for Budget Deficits as Coronavirus Dries Up Local Tax Dollars (KQED.org, April 24, 2020)

Coronavirus Prompts California Cities To Project 2-Year Losses Of $6.7 Billion (CBSN Bay Area, April 24, 2020)

Looming Budget Crisis "Like Nothing Oakland Has Ever Before Experienced" (Berkeleyside, April 21, 2020)

Coronavirus: East Bay Cities Bracing for Financial Hit as They Prepare Budgets (San Jose Mercury News, April 21, 2020)

Coronavirus: Financial Crisis for School Districts in Alameda Co. (Alameda, CA Patch, 4/20/2020)