This week's Infection Control Today's Hot Topics in IPC discusses US health leadership, H5N1, and more.
Saskia v. Popescu presents Hot Topics in Infection Prevention
New US Health Leadership
Three big announcements in health leadership came early this week – the Senate confirmed Marty Makary and Jay Bhattacharya as FDA commissioner and National Institutes of Health director. As journalist Lizzy Lawrence noted, “Both nominees faced pressure from senators on the workforce shakeups led by the US DOGE (Department of Government Service), and on their views on vaccines given [Robert F. Kennedy, Jr]’s history as a prominent vaccine critic.” (Kennedy is the current Secretary of Health and Human Services [HHS].)
Susan Monarez, PhD, was also announced as the nominee for leading that agency. Politico wrote, “Prior to joining the CDC earlier this year, Monarez had served as the deputy director for the Advanced Research Projects Agency for Health since January 2023. She is seen in the public health sphere as a more moderate pick than Dave Weldon, MD, the administration’s first nominee, and a former member of the US House of Representatives, whose past comments on vaccines and autism helped tank his nomination hours before his hearing was scheduled to begin.”
At a time when CDC funding for COVID-19-focused programs, such as long COVID symptoms, is being halted, the hope is that some leadership will advocate for the critical role of public health. The former lead for CDC communications also recently shared concerns about misinformation and the role of the current administration in spreading dangerous health dis- and misinformation.
More Measles
Additional cases have been identified in the outbreak growing across the US. The Texas Department of State Health Services (TDSHS) updated the case counts, with 18 new cases identified since late last week, bringing the 2025 total to 327. New Mexico is also experiencing an outbreak, which sits at 43 cases.
Across the US, 378 cases have been confirmed this year, with 42% in those aged 5 to 19 years and 64 hospitalized. There is growing concern around such high numbers, especially after the hospital labor and delivery exposure last week. Efforts are underway to remind people of the importance of vaccination and boosters, with many people unsure if the booster is needed.
Interesting Articles
The authors noted that “Females, individuals aged 10 [to] 29 years, suburban dwellers, and patients with chlamydia-gonorrhea coinfection had higher treatment rates than comparator groups. Chlamydia was infrequently treated with the recommended antibiotic, doxycycline (14.0% of cases), and gonorrhea was infrequently treated with the recommended antibiotic, ceftriaxone (38.7% of cases).” Time to treatment was also longer for those aged 50-59 and for non-Hispanic Black patients.
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