Cuts have eliminated more than a dozen US government health-tracking
programs
[May 05, 2025]
By MIKE STOBBE
NEW YORK (AP) — U.S. Health Secretary Robert F. Kennedy Jr.’s motto is “
Make America Healthy Again,” but government cuts could make it harder to
know if that's happening.
More than a dozen data-gathering programs that track deaths and disease
appear to have been eliminated in the tornado of layoffs and proposed
budget cuts rolled out in the Trump administration's first 100 days.
The Associated Press examined draft and final budget proposals and spoke
to more than a dozen current and former federal employees to determine
the scope of the cuts to programs tracking basic facts about Americans'
health.
Among those terminated at the Centers for Disease Control and Prevention
were experts tracking abortions, pregnancies, job-related injuries, lead
poisonings, sexual violence and youth smoking, the AP found.
"If you don’t have staff, the program is gone,” said Patrick Breysse,
who used to oversee the CDC’s environmental health programs.
Federal officials have not given a public accounting of specific
surveillance programs that are being eliminated.
Instead, a U.S. Department of Health and Human Services spokeswoman
pointed the AP to a Trump administration budget proposal released
Friday. It lacked specifics, but proposes to cut the CDC's core budget
by more than half and vows to focus CDC surveillance only on emerging
and infectious diseases.
Kennedy has said some of the CDC's other work will be moved to a
yet-to-be-created agency, the Administration for a Healthy America. He
also has said that the cuts are designed to get rid of waste at a
department that has seen its budget grow in recent years.
“Unfortunately, this extra spending and staff has not improved our
nation’s health as a country," Kennedy wrote last month in The New York
Post. "Instead, it has only created more waste, administrative bloat and
duplication."
Yet some health experts say the eliminated programs are not duplicative,
and erasing them will leave Americans in the dark.
“If the U.S. is interested in making itself healthier again, how is it
going to know, if it cancels the programs that helps us understand these
diseases?” said Graham Mooney, a Johns Hopkins University public health
historian.
The core of the nation’s health surveillance is done by the CDC’s
National Center for Health Statistics. Relying on birth and death
certificates, it generates information on birth rates, death trends and
life expectancy. It also operates longstanding health surveys that
provide basic data on obesity, asthma and other health issues.
The center has been barely touched in layoffs, and seems intact under
current budget plans.
But many other efforts were targeted by the cuts, the AP found. Some
examples:
Pregnancies and abortion
The Pregnancy Risk Assessment Monitoring System, which surveys women
across the country, lost its entire staff — about 20 people.
It’s the most comprehensive collection of data on the health behaviors
and outcomes before, during and after childbirth. Researchers have been
using its data to investigate the nation's maternal mortality problem.
Recent layoffs also wiped out the staffs collecting data on in vitro
fertilizations and abortions.
Those cuts are especially surprising given that President Donald Trump
said he wants to expand IVF access and that the Heritage Foundation's
Project 2025 playbook for his administration called for more abortion
surveillance.
Lead poisoning
The CDC eliminated its program on lead poisoning in children, which
helped local health departments — through funding and expertise —
investigate lead poisoning clusters and find where risk is greatest.
Lead poisoning in kids typically stems from exposure to bits of old
paint, contaminated dust or drinking water that passes through lead
pipes. But the program's staff also played an important role in the
investigation of lead-tainted applesauce that affected 500 kids.
Last year, Milwaukee health officials became aware that peeling paint in
aging local elementary schools was endangering kids. The city health
department began working with CDC to test tens of thousands of students.
That assistance stopped last month when the CDC’s lead program staff was
terminated.
City officials are particularly concerned about losing expertise to help
them track the long-term effects.
"We don't know what we don't know," said Mike Totoraitis, the city’s
health commissioner.
Environmental investigations
Also gone is the staff for the 23-year-old Environmental Public Health
Tracking Program, which had information on concerns including possible
cancer clusters and weather-related illnesses.
“The loss of that program is going to greatly diminish the ability to
make linkages between what might be in the environment and what health
might be affected by that,” Breysse said.
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Demonstrators hold a rally in support of the Centers for Disease
Control and Prevention in front of the agency's headquarters in
Atlanta, Tuesday, April 1, 2025, after layoffs were announced. (AP
Photo/Ben Gray, File)
 Transgender data
In some cases, it’s not a matter of staffers leaving, but rather the
end of specific types of data collection.
Transgender status is no longer being recorded in health-tracking
systems, including ones focused on violent deaths and on risky
behaviors by kids.
Experts know transgender people are more likely to be victims of
violence, but now “it’s going to be much more challenging to
quantify the extent to which they are at higher risk,” said Thomas
Simon, the recently retired senior director for scientific programs
at the CDC's Division of Violence Prevention.
Violence
The staff and funding seems to have remained intact for a CDC data
collection that provides insights into homicides, suicides and
accidental deaths involving weapons.
But CDC violence-prevention programs that acted on that information
were halted. So, too, was work on a system that collects hospital
data on nonfatal injuries from causes such as shootings, crashes and
drownings.
Also going away, apparently, is the CDC's National Intimate Partner
and Sexual Violence Survey. The system is designed to pick up
information that's not found in law enforcement statistics. Health
officials see that work as important, because not all sexual
violence victims go to police.
Work injuries
The National Institute for Occupational Safety and Health, which
tracks job-related illnesses and deaths and makes recommendations on
how to prevent them, was gutted by the cuts.
Kennedy has said that 20% of the people laid off might be reinstated
as the agency tries to correct mistakes.
That appeared to happen last month, when the American Federation of
Government Employees said that NIOSH workers involved in a black
lung disease program for coal miners had been temporarily called
back.
But HHS officials did not answer questions about the reinstatement.
The AFGE's Micah Niemeier-Walsh later said the workers continued to
have June termination dates and “we are concerned this is to give
the appearance that the programs are still functioning, when
effectively they are not.”
There's been no talk of salvaging some other NIOSH programs,
including one focused on workplace deaths in the oil and gas
industries or a research project into how common hearing loss is in
that industry.
Smoking and drugs
The HHS cuts eliminated the 17-member team responsible for the
National Survey on Drug Use and Health, one of the main ways the
government measures drug use.
Also axed were the CDC staff working on the National Youth Tobacco
Survey.
There are other surveys that look at youth smoking and drug use,
including the University of Michigan's federally funded “Monitoring
the Future” survey of schoolkids.
But the federal studies looked at both adults and adolescents, and
provided insights into drug use by high school dropouts. The CDC
also delved into specific vaping and tobacco products in the ways
that other surveys don't, and was a driver in the federal push to
better regulate electronic cigarettes.
"There was overlap among the surveys, but each one had its own
specific focus that the other ones didn’t cover,“ said Richard Miech,
who leads the Michigan study.
Data modernization and predictions
Work to modernize data collection has been derailed. That includes
an upgrade to a 22-year-old system that helps local public health
departments track diseases and allows CDC to put together a national
picture.
Another casualty was the Center for Forecasting and Outbreak
Analytics, which tries to predict disease trends.
The center, created during the COVID-19 pandemic, was working on
forecasting the current multi-state measles outbreak. That forecast
hasn't been published partly because of the layoffs, according to
two CDC officials who spoke on condition of anonymity because they
are not authorized to discuss it and fear retribution for speaking
to the press.
Trump hasn't always supported widespread testing of health problems.
In the spring of 2020, when COVID-19 diagnoses were exploding, the
president groused that the nation’s ability to do more testing was
making the U.S. look like it had a worse problem than other
countries. He called testing “a double-edged sword.”
Mooney, the Johns Hopkins historian, wonders how interested the new
administration is in reporting on health problems.
“You could think it’s deliberate," he said. “If you keep people from
knowing, they’re less likely to be concerned.”
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