Across the United States, state and local public health officials have found themselves at the center of a political storm as they combat the worst pandemic in a century, says the latest article in a series by The Associated Press and Kaiser Health News.
With the federal response fractured, the usually invisible workers charged with preventing the spread of infectious diseases have become a public punching bag and their expertise often disregarded, AP and KHN say.
Some of them have been targeted by far-right activists, conservative groups and anti-vaccination extremists who've coalesced around fighting mask orders, quarantines and contact tracing with protests, threats and personal attacks.
And the backlash has moved beyond the angry fringe, AP and KHN say. In the courts, public health authorities are being undermined. Lawmakers in at least 24 states have drafted legislation to weaken public health powers, which could make it harder for communities to respond to health emergencies in the future.
“What we’ve taken for granted for 100 years in public health is now very much in doubt,” says Lawrence Gostin, an expert in public health law at Georgetown University in Washington, D.C.
At least 181 state and local public health leaders in 38 states have resigned, retired or been fired since April 1, according to the ongoing AP/KHN investigation. Experts say it's the biggest exodus of public health leaders in American history. An untold number of lower-level staffers also have left their jobs.
One in 8 Americans — 40 million people — lives in a community that's lost its local public health department leader during the pandemic. Top public health officials in 20 states have left state-level departments. North Dakota has lost three state health officers, one after another, since May.
“I’ve never seen or studied a pandemic that has been as politicized, as vitriolic and as challenged as this one, and I’ve studied a lot of epidemics,” says Dr. Howard Markel, a medical historian at the University of Michigan. “All of that has been very demoralizing for the men and women who don’t make a great deal of money, don’t get a lot of fame, but work 24/7.”