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New York (AP) – The US health secretary Robert F. Kennedy, Jr., is “make America healthy again”, but the government's cuts could make it more difficult to know if this is happening.

More than a dozen data data programs that pursue deaths and illnesses seem to have been eliminated in the tornado of the layoffs and have proposed the budget cuts in the first 100 days of the Trump government.

The Associated Press examined the draft and the final budget proposals and spoke to more than a dozen current and former federal employees in order to determine the scope of the cuts in programs that pursue fundamental facts about the health of Americans.

The ap.

“If you don't have a staff, the program is gone,” said Patrick Breysse, who previously monitors the CDC environmental health programs.

Federal civil servants have not given public accounting specific monitoring programs that are eliminated.

Instead, a spokeswoman for the US Health and Human Services directed the AP on a proposal for the Trump administration published on Friday. However, details were missing, but suggests that the core budget of the CDC to lower more than half and swear to focus on CDC monitoring only on aspiring and infectious diseases.

Kennedy said some of the other works by the CDC are moved to an agency that is still to be created, the administration for a healthy America. He also said that the cuts are intended to remove waste in a department in which the budget has increased in recent years.

“Unfortunately, these additional expenses and employees have not improved our nation's health as a country,” Kennedy wrote in the New York Post last month. “Instead, it only created more waste, administrative inflation and duplication.”

However, some health experts say that the eliminated programs are not twice, and extinguishing the Americans will leave in the dark.

“If the United States is interested in making a healthier again, how will it know if you cancel the programs that helps us understand these diseases?” said Graham Mooney, a public health historian of Johns Hopkins University.

The country's health monitoring takes place by the CDC National Center for Health Statistics. With regard to birth and death certificates, it generates information about birth rates, death trends and life expectancy. It also carries out many years of health surveys to provide basic data on obesity, asthma and other health problems.

The center has hardly been touched in layoffs and seems to be intact according to current budget plans.

However, many other efforts were targeted by the cuts, the AP. Some examples:

Pregnancy and abortion

The surveillance system for pregnancy ratings that women interviewed across the country lost all of his staff – about 20 people.

It is the most comprehensive collection of data on health behavior and the results before, during and after birth. Researchers have used their data to examine the problem of the nation's mothers.

The recent layoffs also deleted the employees to collect the data on in -vitro -thin and abortation.

These cuts are particularly surprising because President Donald Trump said he wanted to expand the IVF access and that the 2025 project of the Heritage Foundation for his administration called for further monitoring of abortion.

Lead poisoning

The CDC eliminated its program for lead poisoning in children, which helped the local health departments through financing and expertise – the lead poisoning cluster and found where the risk is greatest.

The lead poisoning in children usually results from exposure to old colors, contaminated dust or drinking water, which leads through lead pipes. However, the programs of the program also played an important role in the examination of apple sauce that had affected 500 children.

Last year, Milwaukee's health officers became aware that the peeling of the color in aging in aging endangered children. The city's Ministry of Health began working with CDC to test tens of thousands of students. This support stopped last month when the CDC's lead program ended.

City officials are particularly concerned about losing specialist knowledge in order to pursue the long -term effects.

“We don't know what we don't know,” said Mike Totoraitis, the city's health commissioner.

Environment

Studies

The staff of the 23-year environmental persecution program for public health, which contained information to consider, including possible cancer clusters and weather-related diseases, is also path.

“The loss of this program will reduce the ability to reduce connections between what could be in the environment, and the health that may be influenced by it,” said Breysse.

Transgender data

In some cases, it is not about employees, but the end of specific data recording types.

The transgender status is no longer recorded in health point systems, including those who focus on violent deaths and risky behaviors by children.

Experts know that transgender people are more likely to become victims of violence, but now “it will be much more difficult to quantify the extent to which they have a higher risk,” said Thomas Simon, who recently retired, Senior Director for Scientific Programs at the CDC Department.

Violence

The staff and the financing seem to have remained intact for a CDC data acquisition that provides insights into murders, suicides and accidental deaths with weapons.

But CDC violence prevention programs that reacted to this information were stopped. Also working on a system that collects hospital data for non -fatal injuries from causes such as shootings, accidents and drowns.

Apparently it is the national intimate partner and sexual violence survey of the CDC. The system is intended to absorb information that cannot be found in the statistics of the law enforcement authorities. Health officers see this work as important because not all victims of sexual violence go to the police.

Work injuries

The National Institute for Occupational Safety and Health, which pursues occupational diseases and deaths and provides recommendations to prevent the cuts.

Kennedy said that 20% of the people dismissed could be restored if the agency tried to correct mistakes.

This seemed to have been done last month when the American Federation of Government said that Niosh workers who were involved in a black and letters of the disease for cabbage workers were temporarily called back.

However, HHS officials answered no questions about reinstatement. The Micah Niemeier-Walsh from AFGE later said that the workers continued to have Juni termination data and “we are concerned that this should give the appearance that the programs will still work if they are not effectively.”

It was not talked about saving some other Niosh programs, including one that focuses on deaths in the workplace in the oil and gas industry or a research project, as is a frequent hearing loss in this industry.

Smoking and drugs

The HHS cuts eliminated the 17-member team, which is responsible for the national survey on drug use and health, one of the most important opportunities that the government measures drug use.

The CDC employees who worked on the National Youth Tobacco Survey were also axed.

There are other surveys that deal with smoking young people and drug use, including the “monitoring of the future” of school kids from the University of Michigan.

However, the federal studies examined both adults and adolescents and provided insights into drug use through school dropouts. The CDC also dealt with specific steam and tobacco products like other surveys, and was a driver in the federal kick to better regulate electronic cigarettes.

“There was an overlap among the surveys, but everyone had their own specific focus, which the others did not cover,” said Richard Miech, who heads Michigan's study.

Data modernization and predictions

The work to modernize data acquisition was derailed. This includes an upgrade to a 22-year system that helps the local departments in public healthcare to pursue diseases and enables CDC to put together a national picture.

Another victim was the center for forecast and outbreak analyzes that tries to predict illness trends.

The center created during the Covid 19 pandemic was working on the prediction of the current measles outbreak with several countries. This forecast was not partially published because of the layoffs, according to two CDC officials who spoke on the condition of anonymity because they are not authorized to discuss them and to fear retaliation for retaliation for the press.

Trump has not always supported widespread tests of health problems.

In the spring of 2020, when the Covid 19 diagnoses exploded, the president made the ability of the nation to carry out more tests to make the United States look like it had a worse problem than other countries. He called the test “a double -edged sword”.

Mooney, the historian of Johns Hopkins, wonders how interested the new administration is in reporting on health problems.

“You might think it's deliberate,” he said. “If you keep people from knowing it, they are less concerned.”