Eight former directors of the Centers for Disease Control and Prevention have issued a unified statement opposing a proposed State Department plan to restructure the President’s Emergency Plan for AIDS Relief (PEPFAR), set for implementation on June 1, 2026.
The joint warning, published in STAT News, represents an extraordinary consensus among public health leaders spanning decades of global health experience. The former directors contend that transferring operational control from the CDC to State Department management would compromise the program’s scientific rigor and field implementation capacity.
PEPFAR operates across more than 50 countries, delivering HIV treatment and prevention services while maintaining critical disease surveillance infrastructure. The former directors emphasize that this restructuring would eliminate institutional epidemiological expertise and pandemic preparedness capabilities that extend far beyond HIV prevention.
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