Donald Trump took office on January 20, 2025 and established the Department of Government Efficiency (DOGE), which reduced government departments and staff.[1] There have been contract cuts at the Department of Health and Human Services (HHS), which oversees the National Institutes of Health (NIH) and the Centers for Disease Control and Prevention (CDC).[1] HHS has laid off tens of thousands of employees, with some taking early retirement.[1] The Trump administration cut the NIH budget by four billion dollars, affecting research projects from cancer to HIV.[1] He issued an executive order withdrawing the US from the World Health Organization (WHO).[1][4][5][6] Thousands of workers in federal health agencies are being laid off.[1] There were interferences with the CDC's professional work, including the impact on the publication of the Morbidity and Mortality Weekly Report.[1] Holly Jarman of the University of Michigan stated that such changes lead to a loss of time and data.[1]