ACIP

CDC struggling to fight raging measles outbreak after deep funding, staff cuts

ACIP, CDC, health, measles, MMR, outbreak, vaccination / Rejus Almole / April 17, 2025

In now-rarified comments from experts at the Centers for Disease Control and Prevention, an agency official on Tuesday evening said the explosive measles outbreak mushrooming out of West Texas will require “significant financial resources” to control and that the agency is already struggling to keep up.

“We are scrapping to find the resources and personnel needed to provide support to Texas and other jurisdictions,” said David Sugerman, the CDC’s lead on its measles team. The agency has been devastated by brutal cuts to CDC staff and funding, including a clawback of more than $11 billion in public health funds that largely went to state health departments.

Sugerman noted that the response to measles outbreaks is generally expensive. “The estimates are that each measles case can be $30,000 to $50,000 for public health response work—and that adds up quite quickly.” The costs go to various responses, including on-the-ground response teams, vaccine doses and vaccination clinics, case reporting, contact tracing, mitigation plans, infection prevention, data systems, and other technical assistance to state health departments.

In the past, the CDC would provide media briefings and other public comments on the responses to such an extraordinarily large and fast-moving outbreak. However, Sugerman’s comments are among the first publicly made by CDC experts under the current administration. He spoke about the outbreak at the very end of an all-day public meeting of the agency’s Advisory Committee on Immunization Practices (ACIP), which discussed a broad range of vaccine and vaccine-preventable diseases over the course of the day.

The meeting was initially planned for February but was abruptly canceled and then rescheduled upon the Trump administration coming into office, including the new health secretary and longtime anti-vaccine advocate, Robert F. Kennedy, Jr. But, despite concern for ACIP’s future, the meeting proceeded more or less as usual on Tuesday and continues today with additional topics. The last 30 minutes of yesterday’s agenda was set aside for an update on the measles outbreak.

“I find it absolutely devastating that we’re having this update today,” ACIP chair Keipp Talbot said at the outset of Sugerman’s update. “There’s no reason why we have healthy children dying of measles in the US when this vaccine is amazing,” Talbot said, referencing the measles, mumps, and rubella (MMR) vaccine. “It’s highly effective and has very long-lasting immunity.” Two doses of MMR offer 97 percent protection against the virus, which is among the most infectious viruses known.

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RFK Jr. promptly cancels vaccine advisory meeting, pulls flu shot campaign

Indefinite changes

Stat asked the HHS specifically about the Wild to Mild campaign as well as promotional campaigns for other vaccines, but an HHS spokesperson puzzlingly responded with a statement saying: “No, the CDC was not told to take down the flu vaccination campaign webpage,” which wasn’t what the outlet had asked about.

The statement went on to say: “Unfortunately, officials inside the CDC who are averse to Secretary Kennedy and President Trump’s agenda seem to be intentionally falsifying and misrepresenting guidance they receive.” NPR received the same statement.

Meanwhile on Thursday, The Washington Post reported that the HHS told the CDC to indefinitely postpone a meeting of its vaccine advisory committee (the Advisory Committee on Immunization Practices, or ACIP), which Kennedy has criticized. ACIP, comprised of independent experts, meets regularly to review and discuss vaccine safety and efficacy data and vote on recommendations.

ACIP was previously scheduled to meet February 26 to 28 to discuss a large number of vaccines, including those against meningitis, influenza, RSV, chikungunya, HPV, mpox, pneumococcal infections, Lyme disease, COVID-19, and CMV. An HHS spokesperson told the Post that the meeting was “postponed to accommodate public comment in advance of the meeting,” but there is no rescheduled date.

Leading medical experts and organizations, such as the American Medical Association, quickly sent a joint letter urging Kennedy to preserve the meeting. “Each ACIP meeting holds tremendous weight and relevance,” the letter states. ‘Infectious diseases are constantly evolving opponents; vaccines are among the best tools for constantly adapting and responding to the latest public health threats. … Making America healthy requires healthy discussion and timely, evidence-based decisions. This meeting should be no different.”

But, also on Thursday, Politico reported that Kennedy is preparing to remove ACIP members. And, the AP noted earlier that during a speech to HHS employees on Tuesday, Kennedy vowed to investigate the CDC’s childhood vaccine schedule, despite assuring senators prior to his confirmation that he would not make changes to it.