/ CBS News
Breaking down Trump’s health agenda
The Trump administration is expected to tap Susan Coller Monarez, the deputy director of a federal health research agency, to serve as the acting head of the Centers for Disease Control and Prevention, multiple health officials tell CBS News.
Picking Monarez would close an unprecedented leadership gap atop the CDC, which is tasked with tracking and responding to a myriad of emerging diseases and health emergencies. Other health agencies have also been operating without acting heads.
Monarez is an unconventional pick to serve as the acting head of the CDC. Acting directors have historically been chosen from within the Atlanta-based agency, out of the ranks of career civil servants familiar with the CDC’s wide-ranging work.
Past directors in recent history have been medical doctors, while Monarez has a PhD. An acting director in the 1980s and 90s was also not a medical doctor, though he was a longtime career CDC official.
Monarez has served in various posts in the federal government over the years. She worked in the White House’s science and technology office under President Obama and at the Department of Homeland Security during the first Trump administration.
In the agency’s line of succession, Dr. Nirav Shah had been expected to be next in line to lead the CDC in the event of the director’s vacancy.
As the CDC’s principal deputy director, Shah had been closely involved in several of the agency’s most public responses, including fielding questions at regular press briefings on the unprecedented bird flu outbreak this past year. He was picked for the role in 2023 by a previous director, Dr. Rochelle Walensky.
Another CDC civil servant who had been seen as a possible acting head of the agency had been Dr. Deb Houry. Currently the agency’s chief medical officer, Houry had been tasked with leading the transition team’s meetings with the incoming administration. She has worked at the CDC for a decade
President Trump has picked former Congressman David Weldon to serve as his CDC director.
Previous directors have been able to start soon after they were picked. But under a law passed by Congress in 2022, Weldon will need to be confirmed by the Senate before starting in the position.
Alexander Tin is a digital reporter for CBS News based in the Washington, D.C. bureau. He covers federal public health agencies.
