health agency

WASHINGTON — America’s public health system is headed to a “very dangerous place” with Health Secretary Robert F. Kennedy Jr. and his team of anti-vaccine advisors in charge, fired Centers for Disease Control and Prevention chief Susan Monarez warned senators on Wednesday.

Describing extraordinary turmoil inside the nation’s health agencies, Monarez and former CDC Chief Medical Officer Debra Houry described exchanges in which Kennedy or political advisors rebuffed data supporting the safety and efficacy of vaccines.

Monarez, who was fired after just 29 days on the job following disagreements with Kennedy, told senators deadly diseases like polio and whooping cough, long contained, are poised to make a comeback in the U.S.

“I believe preventable diseases will return, and I believe we will have our children harmed by things they don’t need to be harmed by,” Monarez said before the Senate health committee.

Monarez describes her firing by RFK Jr.

Monarez said she was ordered by Kennedy to resign if she did not sign off on new vaccine recommendations, which are expected to be released later this week by an advisory panel that Kennedy has stocked with medical experts and vaccine skeptics. She said that when she asked for data or science to back up Kennedy’s request to change the childhood vaccination schedule, he offered none.

She added that Kennedy told her “he spoke to the president every day about changing the childhood vaccination schedule.”

Republican Sen. Bill Cassidy (R-La.), a physician who chairs the powerful health committee, listened intently as Monarez and Houry described conversations with Kennedy and his advisers.

“To be clear, he said there was not science or data, but he still expected you to change schedule?” Cassidy asked.

Cassidy carefully praised President Trump for his commitment to promoting health policies but made it clear he was concerned about the circumstances surrounding Monarez’s removal.

Houry, meanwhile, described similar exchanges with Kennedy’s political advisors, who took an unprecedented role in preparing materials for meetings of the CDC’s advisory vaccine panel.

Ahead of this week’s meeting of the panel, Houry offered to include data around the hepatitis B shot that is administered to newborns to prevent spread of the deadly disease from the mother. She said a Kennedy advisor dismissed the data as biased because it might support keeping the shots on the schedule.

“You’re suggesting that they wanted to move away from the birth dose, but they were afraid that your data would say that they should retain it?” Cassidy asked.

Critical vaccine decisions are ahead

During the Senate hearing, Democrats, all of whom opposed Monarez’s nomination, also questioned Kennedy’s motives for firing Monarez, who was approved for the job unanimously by Republicans.

“Frankly, she stood up for protecting the well-being of the American people, and for that reason she was fired,” said Sen. Bernie Sanders, an independent from Vermont who caucuses with Democrats.

Monarez said it was both her refusal to sign off on new vaccination recommendations without scientific evidence and her unwillingness to fire high-ranking career CDC officials without cause that led to her ousting.

Kennedy has denied Monarez’s accusations that he ordered “rubber-stamped” vaccine recommendations but has acknowledged he demanded firings. He has described Monarez as admitting to him that she is “untrustworthy,” a claim Monarez has denied through her attorney.

While Senate Republicans have been mostly loath to challenge Trump or even Kennedy, many of them have expressed concerns about the lack of availability of COVID-19 vaccines and the health department’s decisions to scale back some childhood vaccines.

Others have backed up Kennedy’s distrust of the nation’s health agencies.

Kansas Republican Sen. Roger Marshall, a doctor, aggressively questioned Monarez about her “philosophy” on vaccines as she explained that her decisions were based on science. Alabama GOP Sen. Tommy Tuberville said Trump was elected to make change and suggested Monarez’s job was to be loyal to Kennedy.

“America needs better than this,” Tuberville said.

The Senate hearing was taking place just a day before the vaccine panel starts its two-day session in Atlanta to discuss shots against COVID-19, hepatitis B and chickenpox. It’s unclear how the panel might vote on the recommendations, though members have raised doubts about whether hepatitis B shots administered to newborns are necessary and have suggested COVID-19 recommendations should be more restricted.

The CDC director must endorse those recommendations before they become official. Health and Human Services Deputy Secretary Jim O’Neill, now serving as the CDC’s acting director, will be responsible for that.

“I’m very nervous about it,” Monarez said of the meeting.

Seitz and Jalonick write for the Associated Press. AP writers Mike Stobbe in New York and Lauran Neergaard in Washington contributed to this report.

ATLANTA — Investigators identified a 30-year-old man from suburban Atlanta on Saturday as the person who opened fire on the U.S. Centers for Disease Control and Prevention, killing a police officer and spreading panic through the health agency and nearby Emory University.

The Georgia Bureau of Investigation said the shooter, who died at the scene Friday, was Patrick Joseph White of Kennesaw, Ga. Officer David Rose of the DeKalb County Police Department was shot and mortally wounded while responding.

No one else was hit, although police said four people reported to emergency rooms with symptoms of anxiety. Many CDC employees sought cover in their offices as bullets strafed the CDC’s headquarters.

Police say White opened fire at the campus from across the street, leaving gaping bullet holes in windows and littering the sidewalk outside a CVS pharmacy with bullet casings. The attack prompted a massive law enforcement response to one of the nation’s most prominent public health institutions.

At least four CDC buildings were hit, CDC Director Susan Monarez said in a post on X, and dozens of impacts were visible from outside the campus. Images shared by employees showed bullet-pocked windows in agency buildings where thousands of scientists and other staffers work on critical disease research.

“We are deeply saddened by the tragic shooting at CDC’s Atlanta campus that took the life of Officer David Rose,” Health and Human Services Secretary Robert F. Kennedy Jr. said Saturday.

“We know how shaken our public health colleagues feel today. No one should face violence while working to protect the health of others,” his statement said.

Some laid-off employees rejected the expressions of solidarity Kennedy made in a “Dear colleagues” email, and they called for his resignation.

“Kennedy is directly responsible for the villainization of CDC’s workforce through his continuous lies about science and vaccine safety, which have fueled a climate of hostility and mistrust,” Fired but Fighting said.

Hundreds of CDC staffers sheltered in place during the shooting and many couldn’t leave for hours afterward Friday as investigators interviewed witnesses and gathered evidence. The staff was told to work from home or take leave on Monday.

CDC workers already faced uncertain futures due to Trump administration funding cuts, layoffs and political disputes over their agency’s mission. “Save the CDC” signs are common in some Atlanta-area neighborhoods, and a group of laid-off employees has been demanding that elected officials take action against the federal cuts.

This shooting was the “physical embodiment of the narrative that has taken over, attacking science, and attacking our federal workers,” said Sarah Boim, a former CDC communications staffer who was fired this year during a wave of terminations.

“It’s devastating,” said Boim, who helped to start an advocacy organization for the former employees called Fired But Fighting. “When I saw the picture of those windows having been struck by bullets, I really lost it,” she said, her voice cracking.

Without naming White on Friday night, Atlanta Mayor Andre Dickens described the gunman as a “known person that may have some interest in certain things.” He did not name a motive.

A neighbor of White told the Atlanta Journal-Constitution that White spoke with her multiple times about his distrust of COVID-19 vaccines.

Nancy Hoalst, who lives in the same cul-de-sac as White’s family, said he was friendly and “seemed like a good guy,” doing yard work and walking dogs for neighbors. But Hoalst said White would bring up vaccines even in unrelated conversations.

“He was very unsettled and he very deeply believed that vaccines hurt him and were hurting other people,” Hoalst told the Journal-Constitution. “He emphatically believed that.”

But Hoalst said she never believed White would be violent: “I had no idea he thought he would take it out on the CDC.”

A voicemail left at a phone number listed for White’s family in public records was not immediately returned Saturday morning.

Authorities don’t know whether White died from police fire or a self-inflicted gunshot, Atlanta Police Chief Darin Schierbaum said Friday.

White had been armed with a long gun, and authorities recovered three other firearms at the scene, according to a law enforcement official who spoke on condition of anonymity because they were not authorized to discuss the ongoing investigation.

The CVS remained closed Saturday morning, with one bullet hole in its front door and two more in a rear door. A bouquet was placed outside the building.

Rose, 33, was a former Marine who served in Afghanistan and graduated from the police academy in March and “quickly earned the respect of his colleagues for his dedication, courage and professionalism,” DeKalb County said in a statement.

“This evening, there is a wife without a husband. There are three children, one unborn, without a father,” DeKalb County Chief Executive Lorraine Cochran-Johnson said Friday.

Outside the complex that includes the CVS and four floors of apartments above the store, some people came to examine what had happened.

Sam Atkins, who lives in Stone Mountain, said gun violence feels like “a fact of life” now: “This is an everyday thing that happens here in Georgia.”

Monarez, the newly confirmed CDC chief, hailed the police response and called off in-person work Monday, telling staff in a Friday email that the shooting brought “fear, anger and worry to all of us.”

Amy writes for the Associated Press. AP writer Anthony Izaguirre in Albany, N.Y., contributed to this report.