here in the United States, epidemic preparedness hasn’t been a priority, to put it mildly. Let’s start with the leadership in the White House—or lack thereof. At the beginning of the Trump administration, public health legend Rear Admiral Tim Ziemer led a global health security team at the White House’s National Security Council. This, almost everyone agreed, was a very good thing: Ziemer had years of experience—under President George W. Bush, he had led a
successful effort to fight malaria overseas. His team, a group of world-class infectious disease and public health experts—was working on implementing a national
biodefense strategy to coordinate agencies in order to make the United States more resilient to the threat of biowarfare and epidemics.
But in 2018, when John Bolton assumed the role of national security advisor, Ziemer left, and Bolton
disbanded his team, amid
public outcry. No one has since filled the position. And Ziemer wasn’t the only public health advocate to jump ship: White House homeland security advisor Tom Bossert, a staunch advocate of infectious disease preparedness and the biodefense strategy,
left soon after Bolton took over.