The Department of State is turning the U.S. Centers for Disease Control and Prevention’s global HIV program into a disempowered, McKinsey consulting firm-esque entity that will receive resources at the whim of politically appointed Department of State leadership, according to a recent Substack post by Emily Bass. Released to government staff yesterday, the new “Guidance for U.S. Government Operations Under the America First Global Health Strategy” (including JPGs of the whole thing at the end of the document) lays out a plan for placing every aspect of global health foreign assistance funding and decision making in Department of State control, including the public health agendas and activities of the CDC, the nation’s bulwark against infectious disease threats.

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