卫生公平

‘There’s No Separating Health Equity from Public Health’

On May 1, deans from schools of public health at Emory University, the University of Washington, George Washington University, and the University of Minnesota joined SPH Dean Ad Interim 迈克尔•斯坦 to discuss the public health implications of the Trump administration’s actions in its first 100 days.

可以说，特朗普政府的头100天给联邦政府、美国规范和外交政策带来的变化，比现代历史上任何一届总统政府都要大。

5月1日星期四，公共卫生学院召集了公共卫生学院的院长们，对自1月20日以来出现的一系列行政命令、大规模联邦裁员和澳门威尼斯人注册网站研究经费削减进行了解释。

Moderated by Dean Ad Interim 迈克尔•斯坦, the Public Health Conversation 公共卫生和新政府：头100天 reconvened 丹尼尔·法林先生, James W. Curran Dean of Public Health at Emory University Rollins 公共卫生学院; 希拉里·古德温华盛顿大学公共卫生学院院长； 林恩高盛乔治华盛顿大学米尔肯学院公共卫生学院院长迈克尔和洛里·米尔肯； and 梅林达小矮星, dean and Mayo Chair in Public Health at the University of Minnesota 公共卫生学院 to continue a dialogue 该组织认为 at SPH shortly after the 2024 presidential election, on the future of public health under a second Trump 议程.

Many of the anticipated challenges the deans highlighted last November have indeed come to fruition, but the scale and speed of these developments have taken both supporters and opponents 感到意外.

The conversation quickly turned to vaccines and some of the concerning federal actions that have taken place under the leadership of health secretary Robert F. Kennedy, Jr., including a 取消了 independent advisory committee meeting about the 2025-2026 influenza vaccine, tepid promotion from RFK, Jr. of the 儿童麻疹疫苗 amid a 多态 measles outbreak; and the launch of a 澳门威尼斯人注册网站研究 to investigate links of childhood vaccination and autism, which has already been thoroughly debunked by credible 澳门威尼斯人注册网站研究.

计划中的自闭症澳门威尼斯人注册网站研究是“令人沮丧的”，Fallin说。 “We don’t see an association between vaccines and autism, [and] the mere question can lead to hesitancy, which has terrible consequences.” 她说，尽管我们在美国和全球各地看到了接种疫苗的成功故事，“就在我们说话的时候，或者在过去的几个月里，我们已经看到了我们国家因疫苗可预防疾病而死亡的实际情况。” 所以这真的很令人失望。”

The group also discussed the massive repercussions of Department of Government Efficiency-led gutting of federal agencies and spending, which has led a 减少25% in US Health and Human Services staff, the dismantling of US foreign aid, the elimination of thousands of 澳门威尼斯人注册网站研究 资助 (as the Trump administration appeals a ruling to block this effort), the cancellation of $11.4 billion in COVID-era资金 for state and local testing, vaccination, and staff hiring, and the proposed 整合 of divisions within the National Institutes of Health.

“These are things that we talked about back in November as being possibilities, and I’m saddened to see that I think the reality has exceeded my worst fears,” said Godwin. “这些[澳门威尼斯人注册行动]不仅对联邦劳动力和他们直接从事的工作产生了深远的影响，而且对州和地方卫生管辖区以外的拨款和项目以及学术界的拨款项目产生了深远的影响……所有这些都对我们在整个公共卫生系统中所做的工作产生了深远的影响。”

Goldman discussed how the administration’s policy moves are threatening environmental 卫生政策 and science.

“The [Environmental Protection Agency] administrator on March 12 put forth this 议程 for the EPA that [said] they’re going to do everything they can to thwart enforcement of environmental regulations,” Goldman said, referring to the EPA的计划 to rollback regulations on climate change, power plants, and vehicle emissions standards. “…However, these measures are running counter to very powerful economic forces such as the fact that solar and wind energy are becoming cheaper and cheaper and cheaper. 电池正变得越来越便宜。 And so there’s a lot of incentives for industry to move forward with greener energy.”

那么，对特朗普的议程，公共卫生部门应该做出怎样的回应呢？

“We’re really going to have to think about tailoring communication strategies—and that’s going to require a lot more listening to what people’s challenges and concerns are,” Pettigrew said. “有很多人觉得被体制抛弃了。 They don’t feel like they’re listened to in a way that they’re actually being heard. We’re going to have to do that work.”

法林说，对于从事公共卫生领域的人来说，保护自己的心理健康并保持对驱使他们从事这一职业的激情的关注也很重要。

I think whatever that story is for you, I bet at some point it’s anchored in a concept of 卫生公平,” Fallin said. “…There’s no separating 卫生公平 from public health. 如果我们思考一下我们的目的，它与我们都应该享有健康作为一项人权的想法有关。”

院长们还为进入公共卫生工作队伍的毕业生提供了指导和建议。 观看下面的完整对话。