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Posts by Tom Cotter

Thanks for sharing our story. Check out more data about the cuts to CDC at our updated dashboard.
From @firedbutfighting.bsky.social, your friendly illegally fired CDC staff and our allies.

5 months ago 1 1 0 0
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Judges order Trump administration to use emergency reserves for SNAP payments during the shutdown Two federal judge have ruled that the Trump administration must continue to fund the SNAP food aid program using emergency reserve funds during the government shutdown.

Judges order USDA to tap emergency reserves to keep SNAP payments for 41M Americans amid the shutdown. We need targeted federal funding and state emergency food plans to protect health equity.

More:

5 months ago 0 0 0 0
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US public health officials vigilant as newer mpox variant detected Risk to general public is low but cases in California suggest virus is spreading undetected in some communities

California reveals 3 hospitalized mpox cases, likely community transmission. I say we must scale genomic and wastewater surveillance and push targeted vaccination in affected networks. More: [www.theguardian.com/world/2025/nov/01/mpx-va...

5 months ago 0 0 0 0
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Measles Cases and Outbreaks Find the latest numbers of confirmed U.S. measles cases. CDC updates this page weekly.

CDC reveals 1,648 confirmed US measles cases across 42 jurisdictions as of Oct 28, 2025. We need targeted vaccination drives, school-based clinics, and faster local reporting to stop the spread. ([cdc.gov](www.cdc.gov/measles/data...)

More: www.cdc.gov/measles/data...

5 months ago 1 0 1 0

Reuters: Surgeon General nominee Casey Means has an inactive medical license and a record of promoting unscientific vaccine claims. We need strict Senate vetting and funded, evidence-based public health comms.

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5 months ago 0 0 0 0
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CDC employees on chaos of being fired, rehired and fired again: ‘stuck in limbo’ Americans’ health in jeopardy as agency plunged into tumult and inefficiency even after court ruled firings illegal

Guardian reveals chaos at CDC: ~1,300 staff in firing/rehire limbo. I say we must fund targeted hires and restore the workforce to protect outbreak surveillance.
[www.theguardian.com/us-news/2025/oct/31/cdc-...

5 months ago 1 0 1 0
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State emergency officials say new rules and delays for FEMA grants put disaster response at risk State emergency management officials say they're facing funding challenges from the federal government that threaten the country's ability to respond to crises.

AP reveals FEMA put $320M EMPG on hold and told states to exclude people removed under immigration laws. I say this undermines preparedness and puts communities at risk.

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5 months ago 0 0 0 0
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FEMA suspended $319.5M in Emergency Management Performance Grants until states update population counts to reflect deportations, Reuters reports; that pause threatens local disaster readiness and may widen equity gaps for vulnerable communities. More: ([reuters.com](www.reuters.com/legal/govern...)

5 months ago 0 0 0 0
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Preparing for a Future Without HPP: What States and Emergency Managers Need to Do Now | Health Response Alliance As the federal budget process moves forward, the proposed elimination of the Hospital Preparedness Program (HPP) has sent shockwaves through public health and emergency management communities. For ove...

Federal support for hospital disaster readiness is on the line. Here’s what states and local leaders should do now in case HPP goes away:
Link: healthresponsealliance.org/preparing-fo...

10 months ago 0 1 0 0
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Hospitals use this program to evacuate in disasters. Trump wants to cut it. The Hospital Preparedness Program helps hospitals and emergency managers save lives in wildfires, tornadoes, pandemics and other mass-casualty events.

The Hospital Preparedness Program is one of the only federal tools that helps evacuate hospitals during disasters.
Cutting it won’t save money. It will cost lives.
I spoke with E&E News about what’s at stake.
www.eenews.net/articles/hos...

11 months ago 3 3 0 0
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Breakdown: The Hospital Preparedness Program and the FY2026 Budget Threat | Health Response Alliance While still in draft form, the leaked FY2026 HHS budget proposal outlines major changes to how the federal government supports emergency preparedness in the healthcare system. Among the most significa...

The Hospital Preparedness Program (HPP) helped hospitals stay operational during the pandemic, wildfires, and mass casualty events.

The new budget cuts it entirely.

Our recent analysis explains why this matters - and what comes next.
🔗 healthresponsealliance.org/breakdown-th...

11 months ago 2 1 0 1
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BREAKING: FY 2026 White House Budget Proposal: What Emergency Managers Need to Know | Health Response Alliance Proposed cuts to hospital readiness, CDC emergency operations, and mental health surge programs could weaken national response capacity just as threats are growing. Here's what emergency managers and ...

Just out: the FY2026 budget aims to eliminate the Hospital Preparedness Program and shrink public health readiness nationwide. If you're in health response or emergency management, this is a must-read. healthresponsealliance.org/breaking-fy-...

11 months ago 1 1 1 0
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Breakdown: The End of AmeriCorps and the Implications for Emergency Management and Public Health Readiness | Health Response Alliance The dismantling of AmeriCorps represents more than a shift in national service programs - it poses a significant threat to emergency preparedness, public health response, and recovery capacity across ...

Losing AmeriCorps will hurt.
It’s one less tool communities have to stay ready for hurricanes, pandemics, and more.
We need new solutions fast.
Full breakdown here: healthresponsealliance.org/breakdown-th...

11 months ago 0 0 0 0

Measles could be endemic in the U.S. again.

Just a 5% increase in vaccine uptake could stop it.

Meanwhile, disinfo from powerful voices is doing real damage.

11 months ago 1 0 0 0
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Evaluating the Move: What ASPR's Integration into the CDC Means for U.S. Emergency Preparedness | Health Response Alliance Earlier this month, the U.S. Department of Health and Human Services (HHS) announced a broad restructuring, including the transfer of the Administration for Strategic Preparedness and Response (ASPR) ...

Remember when ASPR got moved under CDC? We broke down what that actually means for disaster response.
Months later, the concerns hold up—and with budgets on the chopping block, they're even more urgent.
Worth a reread:
🔗 healthresponsealliance.org/evaluating-t...

11 months ago 0 0 0 0
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Breakdown: Building Smarter Partnerships for Local Resilience Amid Federal Cuts | Health Response Alliance State and local governments face an uncertain future in public health preparedness following the leaked details of the 2026 HHS budget proposal, which outlines significant reductions and eliminations ...

Federal preparedness programs are disappearing. MRC. HPP. H-CORE.

Public-private partnerships aren’t optional anymore - they’re essential.

HRA is helping local govs get ahead of the next crisis - not wait for D.C. to act.

Read: healthresponsealliance.org/breakdown-bu...

11 months ago 1 1 0 0
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Breakdown: The Hospital Preparedness Program and the FY2026 Budget Threat | Health Response Alliance While still in draft form, the leaked FY2026 HHS budget proposal outlines major changes to how the federal government supports emergency preparedness in the healthcare system. Among the most significa...

Hospitals don’t magically coordinate disaster response. That takes investment.

The Hospital Preparedness Program makes it possible.

The leaked HHS budget would kill it.

This isn’t belt-tightening. It’s pulling out the foundation and pretending the building will stand.

Read our breakdown:

11 months ago 2 1 0 0
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Breakdown: What the Leaked HHS Budget Proposal Means for the Medical Reserve Corps (MRC) | Health Response Alliance The leaked HHS budget proposal for FY2026 outlines deep cuts to federal public health programs. Among the most consequential is the proposed elimination of the Medical Reserve Corps (MRC) - a move tha...

No MRC means fewer responders. Fewer shelter staff. Fewer vaccine lines. Fewer people when everything else is stretched thin.

That’s what this budget proposal does. Read the breakdown:
healthresponsealliance.org/breakdown-wh...

11 months ago 1 0 0 1
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Breakdown: What the Leaked HHS Budget Proposal Means for the Medical Reserve Corps (MRC) | Health Response Alliance The leaked HHS budget proposal for FY2026 outlines deep cuts to federal public health programs. Among the most consequential is the proposed elimination of the Medical Reserve Corps (MRC) - a move tha...

Cutting the Medical Reserve Corps to save money is like selling your fire extinguisher to cover your heating bill.

The MRC isn’t a luxury. It’s what helped us scale testing, shelters, and surge clinics when things fell apart.
healthresponsealliance.org/breakdown-wh...

11 months ago 0 0 0 0
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Lab Leak: The True Origins of Covid-19 THE ORIGIN “The Proximal Origin of SARS-CoV-2” publication — which was used repeatedly by public health officials and the media to discredit the lab leak

Well, this isn't particularly helpful: covid.gov

11 months ago 0 0 0 0

I just spent most of today trying to do this via AI- you just spared me my sanity. Any chance you have one with the eliminations? Also, if you dont mind if I use this, how can I credit you?

11 months ago 3 0 0 0

This budget proposal would significantly scale back the federal role in emergency health response.
Cuts affect @cdcgov.govmirrors.com preparedness grants, @fda.gov food safety labs, @asprgov.bsky.social deployments, and more.

11 months ago 1 0 0 0
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FEMA took 43 days to deny Washington’s disaster request after a major storm. No justification.

If this is the new standard, every state should be worried.

This analysis outlines what’s shifting - and why planners should take it seriously

11 months ago 0 0 0 0
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Why Emergency Leaders Must Prepare for ICE Presence in Shelters and Medical Facilities | Health Response Alliance As the new federal administration doubles down on immigration enforcement, emergency managers and healthcare leaders face a critical - and largely overlooked - gap in preparedness planning: how to han...

Doesn’t matter where you stand on ICE raids.

If they happen during a disaster:

people avoid care

shelters lose trust

response gets harder for everyone

This isn’t about politics - it’s about preparedness. healthresponsealliance.org/why-emergenc...

1 year ago 0 1 0 0
Emergencies Don't Care About the Economy | Health Response Alliance As the 2025 hurricane season looms, emergency managers and public health professionals are facing a double threat: natural disasters on the horizon and a potential economic recession already taking sh...

A hurricane doesn’t wait for inflation to cool off.
A pandemic doesn’t care if your clinic closed.
Preparedness isn’t a nice-to-have.
healthresponsealliance.org/emergencies-...

1 year ago 0 0 0 0
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Trump's Tariffs: The Impending Crisis for Healthcare and Patient Care | Health Response Alliance President Trump's tariff announcement on April 2, 2025, has set the stage for significant disruptions in the U.S. medical device industry and broader healthcare sector. These tariffs present immediate...

Tariffs on PPE, syringes, and meds? We've seen this before—and we know how it plays out.

This assessment from @HealthResponse lays out what’s at risk for emergency response and patient care:
🔗 healthresponsealliance.org/trumps-tarif...

1 year ago 0 0 0 0
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HHS cuts could leave us vulnerable to future pandemics. 'This is a good day for any kind of emerging pathogen,' I shared with @ChiefHealthExec. We must prioritize public health readiness. www.chiefhealthcareexecutive.com/view/how-hhs...

1 year ago 0 0 0 0

Heartbreaking news about HHS layoffs. To those affected: I see you, I support you. Your work has shaped our public health landscape. If you need connections, recommendations, or just a chat, reach out. We need your expertise now more than ever.

1 year ago 0 0 0 0
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Critical Actions for ESF8 Planners Amid HHS Layoffs | Health Response Alliance The recent wave of layoffs at the U.S. Department of Health and Human Services (HHS) is more than just a staffing shakeup - it’s a warning sign. Federal support for public health and emergency prepare...

Federal funding delays. Lost contacts. Fewer deployable assets.
ESF8 emergency managers need a new playbook—now.
Practical guidance from Health Response Alliance:
🔗 healthresponsealliance.org/critical-act...

1 year ago 1 0 0 0
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How HHS cuts could hurt emergency response Tom Cotter, CEO of the Health Response Alliance, said the reductions could undermine efforts to track diseases and prepare for future pandemics. He’s worried about a preparedness program for hospitals...

Proposed HHS cuts could weaken the nation's ability to respond to disasters.
Our CEO @tomcotterer.bsky.social spoke with on why ASPR’s independence matters — and why states need strong federal coordination.
Read the piece: www.chiefhealthcareexecutive.com/view/how-hhs...

1 year ago 2 1 0 0
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