On Friday, the center for diseases measures was based on thousands of pages, including terms such as “transgender”, “LGBT”, and “pregnancy”, and “complied with the Presidential Order that prohibits materials that promote gender ideology. “
According to high officials with knowledge of questions, by Monday, some pages have reappeared in response to intense media reports, rebound from the science community, and concerns about the health of the people.
Purge also wiped out the vaccine information statement. This must be given to the patient before vaccination. Contraceptive guideline. And some pages about how race and racist discrimination affect the results of health. In addition, a database containing the 20 -year HIV data that doctors rely on to determine whether a pregnant woman lives in a high HIV rate is deleted, and it is necessary to test the virus in the third term. There is.
Some of these resources have revived, but the return was not completely smooth. For example, HIV database charts and tables can be reached by Google search, but the CDC's unique portal remained broken.
A CDC employee said, “We are fully and completely implemented the presidential decree,” said a senior official, who was afraid of retaliation and said anonymously. However, “historical data, articles, and clinical guidelines are still available,” authorities said. “It's essentially how this is applied.”
Shake -up was accompanied by two other orders for exposure of information on a particular topic. According to the e -mail viewed by New York Times, CDC scientists have been ordered to withdraw the publications on pending in a forbidden scientific magazine late on Friday.
Apart from that, the claims for CDC employees to hold scientific conferences or communicate with other organizations or the general public, according to other emails acquired by The Times, indefinitely on Saturdays. Is extended to.
“I'm very afraid and I'm very angry at what's going on,” said Dr. INA Park, a HIV expert, is another sexually transmitted disease at the University of California, San Francisco. I said.
This command also targets other government website pages, including the Health and Human Services category support, including the web pages of the reasonable price care method 1557. This provision prohibits “discrimination based on race, color, country, age, disability, or gender (including pregnancy, sexual orientation, sexuality, sexual characteristics) in the target health program or activity”. I am. It also returned online on Monday.
The recommendation of CDC is the foundation for clinical clinical treatment in the United States. All hospital procedures include institutional documents, and clinicians regularly refer to recommendations through websites or institutions apps.
However, searching for several terms at present will lead to a dead link or an important detailed page. Alternatively, the search can get a suggestion to investigate another topic instead. For example, searching for the word “abortion” suggests that users “try to hire.”
Some pages (for example, transgender health pages) were expected to remain absent because they could promote “gender ideology”.
According to Dr. Richard Vessor, a CDC deputy director in 2009, said:
“We are not talking about ideology here, but talking about public health,” he added. “We are talking about people who are in danger of life.”
The loss of pages has already affected medical care. In Washington, Dr. Tim Menza, a medical clinic in King County, was worried that gay and bisexual men had lost their progress due to the difficulty of early syphilis.
Dr. Jessica Wayer, an obstetrician gynecologist in New Hampshire State Koncord, said it would not be able to guide patient contraception without accessing complicated qualified standards. For example, contraceptive guidelines include recommendations for patients with various medical conditions. It also lists drug interactions that must be considered and provide information on new methods such as vaginal rings to the provider.
“If the patient is suffering from hypertension or migraine, she needs to know what is safe for her,” said Dr. Alison Stevee, an obstetrician gynecologist in North Carolina.
The CDC website has been changed on the surface to comply with Trump's presidential order on diversity, fairness, package, accessibility, and women's defense. However, Dr. Weyer said that vaccine information statements and contraceptive guidelines are unrelated to these orders.
“This seems to be an intentional deletion of important information that provides safe contraception. I think this is terrible,” she said. “It seems that you want to control women instead of protecting women.”
Although the administrative order did not mention races, some resources on structural racism and health disparity of a specific community disappeared on Friday.
In the United States, race and ethnic groups are strongly linked to health. Black and native American women are two to three times as white women who die after pregnancy and after giving birth, and the baby is about twice the risk of dying before the first birthday. Diabetes, obesity, and other chronic diseases are much more common, and the average life expectancy is low among racial and ethnic minority groups.
According to Linda Goler BlOUNT, president of Women's Black Health Imperative, a protected organization, racial information is important in order to support medical providers focusing on the most risky groups. During COVID PANDEMIC, health researchers have discovered that the pulse oximeter device that measured the blood oxygen level “did not work for people with dark skin.” The disparity may have contributed to a higher mortality rate among the color communities.
“If you can't collect data due to race, ethnic identity, and gender, you'll see that the mortality rate will increase,” Blout said.
Trump's order has deleted over 8,000 websites over 12 US government websites. In some cases, the administrative order has also targeted the work of private citizens.
Healthcare research and quality federal government agencies that issue papers from both the government and academic researchers will be a condition of conditions that include “transgender” and “non -binary” to employees until 5:00 pm on Friday. Published, the patient safety network was given to scrub. “LGBT” and “gender identity”.
One was deleted from 2022, which described how to better identify the patient in the emergency treatment room, which is in danger of suicide. Dr. Gordon Siff, the main person in the dissertation, is the quality and safety director of Harvard Medical University's Primary Care Center. He is not a government scientist. This paper includes high -risk groups include gender, young, veterans, indigenous people, lesbian, gay, bisexual, transgender, queer/question (LGBTQ). “
Dr. Shift said he was shocked by the new administration's “extreme censorship.” “The overall idea that risk factors or explanations should be based on political ideology, not data or truth,” he said.
Some experts are investigating the legality of the government's deletion content from the federal websites and papers written by CDC scientists. However, in the case of Dr. Siff, the administration has clearly crossed the line, saying Rally Gustin, the director of the World Health Organization Center for World Health Law.
“For me, it's a classic censorship that violates Article 1,” said Gustin.
“The administration may be silent for government health authorities to carry out public affairs, but cannot draw civil scientists into the censorship,” he added. “And all censorship to express the word that the government opposes.”
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