That Monarez was no longer the director was announced by the Department of Health and Human Services, led by RFK Jr., via social media on Wednesday afternoon. Hours later, lawyers for Monarez said her removal was a firing, not a resignation, and they accused the director of "weaponizing public health for political gain" after she clashed with Kennedy over new immunization guidelines related to the Covid-19 vaccine.
A letter from Monarez's lawyer said she was targeted because she challenged the new policy that would put "millions of American lives at risk" and represents deeper concerns about the agency's agenda under Kennedy's leadership.
Her ouster, her legal team said, "is about the systematic dismantling of public health institutions, the silencing of experts, and the dangerous politicization of science. The attack on Dr. Monarez is a warning to every American: Our evidence-based systems are being undermined from within."
"The CDC is being decapitated. This is an absolute disaster for public health." —Dr. Robert Steinbrook, Public Citizen
In an announcement earlier Wednesday, the Food and Drug Administration (FDA) narrowed the kinds of conditions people need to have in order to receive approval for available Covid-19 vaccines.
As the Washington Post reports, the new FDA guidance sparked concern among public health experts who say the policy shift "injects uncertainty for Americans not considered high-risk who want to get another coronavirus vaccine. They said it's not clear who will ultimately be able to get the shot, whether insurance will cover it and whether they can get vaccinated at their local pharmacy."
In response to Monarez's firing—and other underlying issues at the agency under RFK Jr.'s leadership, at least four other top CDC officials resigned in protest Wednesday night.
Demetre C. Daskalakis, director of the National Center for Immunization and Respiratory Diseases; Daniel Jernigan, director of the National Center for Emerging and Zoonotic Infectious Diseases; Dr. Jennifer Layden, who led the office of public health data; and CDC Chief Medical Officer Debra Houry all submitted their resignations.
Dr. Richard Pan, a pediatrician and a former Democratic state senator in California, was among those who declared the events should be seen as the "Wednesday Night Massacre at the CDC"—a reference to the infamous Saturday Night Massacre during the Watergate scandal under President Richard Nixon in 1973.
In his explosive resignation letter made public, Dr. Daskalakis said he did not make the decision lightly.
"However," he stated, "after much contemplation and reflection on recent developments and perspectives brought to light by Secretary Robert F. Kennedy Jr., I find that the views he and his staff have shared challenge my ability to continue in my current role at the agency and in the service of the health of the American people. Enough is enough."
The letter continues:
I am unable to serve in an environment that treats CDC as a tool to generate policies and materials that do not reflect scientific reality and are designed to hurt rather than to improve the public’s health. The recent change in the adult and children’s immunization schedule threaten the lives of the youngest Americans and pregnant people. The data analyses that supported this decision have never been shared with CDC despite my respectful requests to HHS and other leadership. This lack of meaningful engagement was further compounded by a “frequently asked questions” document written to support the Secretary’s directive that was circulated by HHS without input from CDC subject matter experts and that cited studies that did not support the conclusions that were attributed to these authors. Having worked in local and national public health for years, I have never experienced such radical non-transparency, nor have I seen such unskilled manipulation of data to achieve a political end rather than the good of the American people.
It is untenable to serve in an organization that is not afforded the opportunity to discuss decisions of scientific and public health importance released under the moniker of CDC. The lack of communication by HHS and other CDC political leadership that culminates in social media posts announcing major policy changes without prior notice demonstrate a disregard of normal communication channels and common sense. Having to retrofit analyses and policy actions to match inadequately thought-out announcements in poorly scripted videos or page long X posts should not be how organizations responsible for the health of people should function.
Critics of RFK Jr. and Trump, including public health advocates and Democratic lawmakers charged with oversight, slammed the chaos and the deeper threat to the American people that the administration's misguided attacks on the CDC have triggered.
"President Trump and Sec. Kennedy are trying to purge anyone who stands up against their anti-science agenda at the CDC," said Sen. Rafael Warnock (D-Ga.). "They're risking disease outbreak and another pandemic just to advance their own extremist goals."
Sen. Bernie Sanders (I-Vt.) called for an immediate hearing before the Committee on Health, Education, Labor, and Pensions (HELP), of which he is the ranking member. "It's outrageous that Sec. Kennedy is trying to fire the CDC Director—after only a few weeks on the job—for her commitment to public health and vaccines," said Sanders. "Vaccines save lives. Period."
One former CDC staffer, who went unnamed, told Rolling Stone that what's happening now at the agency is "the work of a death cult."
According to Dr. Georges C. Benjamin, MD, executive director of the American Public Health Association, the ouster of Monarez, just weeks after her confirmation in the US Senate, "is yet another glaring sign of Secretary Kennedy’s failed leadership and reckless mismanagement. His tenure has been marked by chaos, disorganization, and a blatant disregard for science and evidence-based public health."
The episode, Benjamin continued, "underscores his administrative incompetence and his disdain for the expertise that the public and our public health agencies rely on. RFK Jr. must be removed from his position."
He wasn't the only one calling for Kennedy's immediate removal. "Fire him," declared Sen. Patty Murray (D-Wash.) in a social media post.
"We cannot let RFK Jr. burn what's left of the CDC and our other critical health agencies to the ground—he must be fired," Murray said in a separate statement. "I hope my Republican colleagues who have come to regret their vote to confirm RFK Jr. will join me in calling for his immediate termination from office."
Dr. Robert Steinbrook, the health research director for Public Citizen, said, "Ousting the first Senate-confirmed CDC director weeks into the start of her tenure makes absolutely no sense and underscores the destructive chaos at RFK Jr.'s Department of Health and Human Services."
"The CDC is being decapitated," warned Steinbrook. "This is an absolute disaster for public health."
