On Tuesday, thousands of staffers at the Centers for Disease Control and Prevention in Atlanta received early morning emails asking them to resign. The centers affected included those working on reproductive health, chronic disease, occupational safety, birth defects, smoking, tuberculosis, asthma and air quality, accidental and intentional injury, and prevention of violence and prevention of sexually transmitted diseases, including HIV.
“It’s a blood bath this morning,” one CDC employee messaged me. Several others told me that their entire departments had received the letters. It wasn’t immediately clear whether everyone who had received the notices would ultimately be laid off.
“I regret to inform you that you are being affected by a reduction in force (RIF) action,” the letters stated. “After you receive this notice, you will be placed on administrative leave and will no longer have building access beginning Tuesday, April 1, unless directed otherwise by your leadership.” This action follows the announcement last week, by Health and Human Services Secretary Robert F. Kennedy, Jr. to cut 10,000 employees from the agency. “This overhaul will be a win-win for taxpayers and for those that HHS serves,” Kennedy said in a statement. “That’s the entire American public because our goal is to Make America Healthy Again.”
Yet the staffers I talked to weren’t convinced that the cuts would improve public health or efficiency—on the contrary, they said they worried that government efforts to improve the lives of Americans would be undermined.
An employee I’ll call Amanda (she didn’t want me to use her name for fear of retribution) works in the Web-Based Injury and Statistics Query and Reporting System (WISKARS) a team within the Injury Center that is responsible for processing all the data around injuries, including both fatal and nonfatal injuries caused by guns. Her branch of 40 employees all received RIF notices. “The cost analysis, the return on investment, all of the non-fatal and fatal data processing that goes to our lobbyists, our congressmen, our decision-makers, senators—all of that is gone,” she said. Her team also provides data that determine the leading causes of injury-related deaths.
An employee I’ll call Jen is a health scientist in the Division of Violence Prevention, with a specific focus on sexual and intimate partner violence. Jen and her team “had an inkling” that given the Trump administration’s gutting of other programs that prevent sexual violence, their work might be imperiled. In January, the US Department of Education enacted policies that would protect students accused of sexual harassment and assault. In February, the Department of Defense paused its military sexual assault prevention training. That same month, rape crisis centers reported that their scheduled federal funding payments hadn’t arrived.
“All of the actions, including getting rid of my team, is showing sexual violence prevention isn’t a priority,” Jen said, “and in fact, they don’t think it is needed at all.”
Jen noted that the teams in her center that work on opioid overdose prevention and suicide prevention did not appear to be affected by the cuts yet. The fact that those groups were spared may reflect the Trump administration’s focus on the impact of the opioid epidemic, especially on rural communities—yet it’s not clear whether the teams that support this work would remain intact. Emily, the employee whose data team in the Injury Center all received notices, said that she and her colleagues had been working on machine learning initiatives for opioid overdose and suicide data. That work will cease to exist if her department is laid off.
Another employee, whom I’ll call Emily, told me that her unit, the entire office of public health practice at the Center for Chronic Disease, had also received RIF notices. Many of which, she added, contained factual errors, including misinformation about employees’ previous performance reviews, which are used to calculate their severance pay.
Emily noted that her team’s job is “to work across every programmatic cooperative agreement in the center, across all those staff, and try to create efficiencies in the work that they do, guide them toward measuring the impact and return on investment of our programs.” That mandate seems in line with what the Trump administration through Elon Musk’s Department of Government Efficiency has identified as their goal. Nonetheless, they all still received the RIF notices.
“It would be great if there was a plan and then some kind of logic to how people are fired. But that’s not the way this administration is functioning.”
In addition to harming their work, staffers reported that the disorganized nature of the cuts had created an atmosphere of widespread confusion and stress. Until last week, they said, even leadership had been uncertain of what was to come. Colleagues “were telling me that at 2 a.m. they can’t stop checking their computer,” said Jen. “They’re afraid to step away from their computer because they’re afraid they [suddenly] won’t have access.” Emily added, “It would be great if there was a plan and then some kind of logic to how people are fired. But that’s not the way this administration is functioning.”
Several centers convened all-staff meetings on Tuesday morning. In some cases, employees reported, their leaders had to negotiate with security simply to let staffers who had received RIF notices back in the building to attend the meetings. Those who did not receive the notice reported that metal detectors had been set up at the entrances to at least one CDC building—a security measure that had not existed previously. CDC spokespeople did not immediately respond to my request for comment.
The employees I talked to said they worried that given the sweeping nature of the cuts, much of the work the agency does will simply cease to exist. “Where’s the plan to replace this work?” asked Jen. “There is no plan. It is just being removed.”
