Tom Cotter
tomcotterer.bsky.social
Tom Cotter
@tomcotterer.bsky.social
CEO of healthresponsealliance.org
Reposted by Tom Cotter
Thanks for sharing our story. Check out more data about the cuts to CDC at our updated dashboard.
From @firedbutfighting.bsky.social, your friendly illegally fired CDC staff and our allies.
National Public Health Coalition released new data showing impacts of illegal firings across CDC since Jan 2025. CDC has lost one-third of its civil-service workforce & over 150 programs. Explore an interactive dashboard. See how cuts are undermining public health nationwide.
CDCDataProject.org
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November 2, 2025 at 7:25 PM
Judges order USDA to tap emergency reserves to keep SNAP payments for 41M Americans amid the shutdown. We need targeted federal funding and state emergency food plans to protect health equity.

More:
Judges order Trump administration to use emergency reserves for SNAP payments during the shutdown
Two federal judge have ruled that the Trump administration must continue to fund the SNAP food aid program using emergency reserve funds during the government shutdown.
apnews.com
November 2, 2025 at 1:39 PM
California reveals 3 hospitalized mpox cases, likely community transmission. I say we must scale genomic and wastewater surveillance and push targeted vaccination in affected networks. More: [https://www.theguardian.com/world/2025/nov/01/mpx-variant-us-public-health]
US public health officials vigilant as newer mpox variant detected
Risk to general public is low but cases in California suggest virus is spreading undetected in some communities
www.theguardian.com
November 2, 2025 at 2:20 AM
CDC reveals 1,648 confirmed US measles cases across 42 jurisdictions as of Oct 28, 2025. We need targeted vaccination drives, school-based clinics, and faster local reporting to stop the spread. ([cdc.gov](www.cdc.gov/measles/data...)

More: www.cdc.gov/measles/data...
Measles Cases and Outbreaks
Find the latest numbers of confirmed U.S. measles cases. CDC updates this page weekly.
www.cdc.gov
November 1, 2025 at 11:29 PM
Reuters: Surgeon General nominee Casey Means has an inactive medical license and a record of promoting unscientific vaccine claims. We need strict Senate vetting and funded, evidence-based public health comms.

More:
www.reuters.com
November 1, 2025 at 11:29 PM
Guardian reveals chaos at CDC: ~1,300 staff in firing/rehire limbo. I say we must fund targeted hires and restore the workforce to protect outbreak surveillance.
[https://www.theguardian.com/us-news/2025/oct/31/cdc-employees-hiring-firing-limbo]
CDC employees on chaos of being fired, rehired and fired again: ‘stuck in limbo’
Americans’ health in jeopardy as agency plunged into tumult and inefficiency even after court ruled firings illegal
www.theguardian.com
November 1, 2025 at 11:27 PM
AP reveals FEMA put $320M EMPG on hold and told states to exclude people removed under immigration laws. I say this undermines preparedness and puts communities at risk.

More:
State emergency officials say new rules and delays for FEMA grants put disaster response at risk
State emergency management officials say they're facing funding challenges from the federal government that threaten the country's ability to respond to crises.
apnews.com
November 1, 2025 at 5:14 PM
FEMA suspended $319.5M in Emergency Management Performance Grants until states update population counts to reflect deportations, Reuters reports; that pause threatens local disaster readiness and may widen equity gaps for vulnerable communities. More: ([reuters.com](www.reuters.com/legal/govern...)
www.reuters.com
October 31, 2025 at 5:09 PM
Federal support for hospital disaster readiness is on the line. Here’s what states and local leaders should do now in case HPP goes away:
Link: healthresponsealliance.org/preparing-fo...
Preparing for a Future Without HPP: What States and Emergency Managers Need to Do Now | Health Response Alliance
As the federal budget process moves forward, the proposed elimination of the Hospital Preparedness Program (HPP) has sent shockwaves through public health and emergency management communities. For ove...
healthresponsealliance.org
May 27, 2025 at 5:34 PM
The Hospital Preparedness Program is one of the only federal tools that helps evacuate hospitals during disasters.
Cutting it won’t save money. It will cost lives.
I spoke with E&E News about what’s at stake.
www.eenews.net/articles/hos...
Hospitals use this program to evacuate in disasters. Trump wants to cut it.
The Hospital Preparedness Program helps hospitals and emergency managers save lives in wildfires, tornadoes, pandemics and other mass-casualty events.
www.eenews.net
May 9, 2025 at 3:16 PM
The Hospital Preparedness Program (HPP) helped hospitals stay operational during the pandemic, wildfires, and mass casualty events.

The new budget cuts it entirely.

Our recent analysis explains why this matters - and what comes next.
🔗 healthresponsealliance.org/breakdown-th...
Breakdown: The Hospital Preparedness Program and the FY2026 Budget Threat | Health Response Alliance
While still in draft form, the leaked FY2026 HHS budget proposal outlines major changes to how the federal government supports emergency preparedness in the healthcare system. Among the most significa...
healthresponsealliance.org
May 5, 2025 at 2:13 PM
Just out: the FY2026 budget aims to eliminate the Hospital Preparedness Program and shrink public health readiness nationwide. If you're in health response or emergency management, this is a must-read. healthresponsealliance.org/breaking-fy-...
BREAKING: FY 2026 White House Budget Proposal: What Emergency Managers Need to Know | Health Response Alliance
Proposed cuts to hospital readiness, CDC emergency operations, and mental health surge programs could weaken national response capacity just as threats are growing. Here's what emergency managers and ...
healthresponsealliance.org
May 2, 2025 at 4:26 PM
Losing AmeriCorps will hurt.
It’s one less tool communities have to stay ready for hurricanes, pandemics, and more.
We need new solutions fast.
Full breakdown here: healthresponsealliance.org/breakdown-th...
Breakdown: The End of AmeriCorps and the Implications for Emergency Management and Public Health Readiness | Health Response Alliance
The dismantling of AmeriCorps represents more than a shift in national service programs - it poses a significant threat to emergency preparedness, public health response, and recovery capacity across ...
healthresponsealliance.org
April 28, 2025 at 5:50 PM
Measles could be endemic in the U.S. again.

Just a 5% increase in vaccine uptake could stop it.

Meanwhile, disinfo from powerful voices is doing real damage.
Breaking news: The United States faces millions of measles cases over the next 25 years if vaccination rates for the disease drop 10 percent, according to new research published Thursday.
Millions of U.S. measles cases forecast over 25 years if shots decline
Measles, once virtually wiped out in the United States, could become commonplace again if declining vaccination rates continue, a new model shows.
www.washingtonpost.com
April 24, 2025 at 5:48 PM
Remember when ASPR got moved under CDC? We broke down what that actually means for disaster response.
Months later, the concerns hold up—and with budgets on the chopping block, they're even more urgent.
Worth a reread:
🔗 healthresponsealliance.org/evaluating-t...
Evaluating the Move: What ASPR's Integration into the CDC Means for U.S. Emergency Preparedness | Health Response Alliance
Earlier this month, the U.S. Department of Health and Human Services (HHS) announced a broad restructuring, including the transfer of the Administration for Strategic Preparedness and Response (ASPR) ...
healthresponsealliance.org
April 24, 2025 at 5:41 PM
Federal preparedness programs are disappearing. MRC. HPP. H-CORE.

Public-private partnerships aren’t optional anymore - they’re essential.

HRA is helping local govs get ahead of the next crisis - not wait for D.C. to act.

Read: healthresponsealliance.org/breakdown-bu...
Breakdown: Building Smarter Partnerships for Local Resilience Amid Federal Cuts | Health Response Alliance
State and local governments face an uncertain future in public health preparedness following the leaked details of the 2026 HHS budget proposal, which outlines significant reductions and eliminations ...
healthresponsealliance.org
April 23, 2025 at 1:39 PM
Hospitals don’t magically coordinate disaster response. That takes investment.

The Hospital Preparedness Program makes it possible.

The leaked HHS budget would kill it.

This isn’t belt-tightening. It’s pulling out the foundation and pretending the building will stand.

Read our breakdown:
Breakdown: The Hospital Preparedness Program and the FY2026 Budget Threat | Health Response Alliance
While still in draft form, the leaked FY2026 HHS budget proposal outlines major changes to how the federal government supports emergency preparedness in the healthcare system. Among the most significa...
healthresponsealliance.org
April 22, 2025 at 12:58 PM
No MRC means fewer responders. Fewer shelter staff. Fewer vaccine lines. Fewer people when everything else is stretched thin.

That’s what this budget proposal does. Read the breakdown:
healthresponsealliance.org/breakdown-wh...
Breakdown: What the Leaked HHS Budget Proposal Means for the Medical Reserve Corps (MRC) | Health Response Alliance
The leaked HHS budget proposal for FY2026 outlines deep cuts to federal public health programs. Among the most consequential is the proposed elimination of the Medical Reserve Corps (MRC) - a move tha...
healthresponsealliance.org
April 21, 2025 at 12:42 PM
Cutting the Medical Reserve Corps to save money is like selling your fire extinguisher to cover your heating bill.

The MRC isn’t a luxury. It’s what helped us scale testing, shelters, and surge clinics when things fell apart.
healthresponsealliance.org/breakdown-wh...
Breakdown: What the Leaked HHS Budget Proposal Means for the Medical Reserve Corps (MRC) | Health Response Alliance
The leaked HHS budget proposal for FY2026 outlines deep cuts to federal public health programs. Among the most consequential is the proposed elimination of the Medical Reserve Corps (MRC) - a move tha...
healthresponsealliance.org
April 21, 2025 at 12:42 PM
Well, this isn't particularly helpful: covid.gov
Lab Leak: The True Origins of Covid-19
THE ORIGIN “The Proximal Origin of SARS-CoV-2” publication — which was used repeatedly by public health officials and the media to discredit the lab leak
covid.gov
April 18, 2025 at 10:14 PM
This budget proposal would significantly scale back the federal role in emergency health response.
Cuts affect @cdcgov.govmirrors.com preparedness grants, @fda.gov food safety labs, @asprgov.bsky.social deployments, and more.
April 18, 2025 at 5:45 PM
FEMA took 43 days to deny Washington’s disaster request after a major storm. No justification.

If this is the new standard, every state should be worried.

This analysis outlines what’s shifting - and why planners should take it seriously
April 16, 2025 at 6:44 PM
Doesn’t matter where you stand on ICE raids.

If they happen during a disaster:

people avoid care

shelters lose trust

response gets harder for everyone

This isn’t about politics - it’s about preparedness. healthresponsealliance.org/why-emergenc...
Why Emergency Leaders Must Prepare for ICE Presence in Shelters and Medical Facilities | Health Response Alliance
As the new federal administration doubles down on immigration enforcement, emergency managers and healthcare leaders face a critical - and largely overlooked - gap in preparedness planning: how to han...
healthresponsealliance.org
April 9, 2025 at 1:59 PM
A hurricane doesn’t wait for inflation to cool off.
A pandemic doesn’t care if your clinic closed.
Preparedness isn’t a nice-to-have.
healthresponsealliance.org/emergencies-...
Emergencies Don't Care About the Economy | Health Response Alliance
As the 2025 hurricane season looms, emergency managers and public health professionals are facing a double threat: natural disasters on the horizon and a potential economic recession already taking sh...
healthresponsealliance.org
April 7, 2025 at 1:38 PM
Tariffs on PPE, syringes, and meds? We've seen this before—and we know how it plays out.

This assessment from @HealthResponse lays out what’s at risk for emergency response and patient care:
🔗 healthresponsealliance.org/trumps-tarif...
Trump's Tariffs: The Impending Crisis for Healthcare and Patient Care | Health Response Alliance
President Trump's tariff announcement on April 2, 2025, has set the stage for significant disruptions in the U.S. medical device industry and broader healthcare sector. These tariffs present immediate...
healthresponsealliance.org
April 3, 2025 at 1:11 PM