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A28    SCIENCE
               Monday 18 deceMber 2017


















            A CDC ban on ‘fetus’ and ‘transgender?’ Experts alarmed



            By MIKE STOBBE                                                                         not  use  words  like  ‘trans-  continue  to  use  the  best
             AP Medical Writer                                                                     gender’ and ‘diversity,’ it’s  scientific  evidence  avail-
            NEW  YORK  (AP)  —  Health                                                             a clear statement that you  able to improve the health
            leaders   say   they   are                                                             cannot  pay  attention  to  of  all  Americans.  HHS  also
            alarmed  about  a  report                                                              these issues.”               strongly  encourages  the
            that officials at the nation’s                                                         The CDC official who spoke  use  of  outcome  and  evi-
            top  public  health  agency                                                            to The Associated Press said  dence  data  in  program
            are  being  told  not  to  use                                                         the feedback to reconsider  evaluations  and  budget
            certain words or phrases in                                                            budget  language  came  decisions.”
            official budget documents,                                                             from  “higher-ups”  in  the  An  HHS  official  did  not  re-
            including  “fetus,”  ‘’trans-                                                          federal  government,  and  spond  to  any  additional
            gender”    and    “science-                                                            not  from  anyone  at  the  questions.  A  White  House
            based.”                                                                                CDC.  She  said  she  was  in-  official  referred  questions
            The health community was                                                               formed of the meeting but  to HHS.
            reacting  to  a  story  in  The                                                        she was not there, and did  The CDC is in a sensitive po-
            Washington Post published     This Nov. 19, 2013 file photo shows a Centers for Disease Control   not  know  who  made  the  sition. The White House and
            late Friday citing an anony-  and  Prevention  logo  at  the  agency’s  federal  headquarters  in   language suggestions.  some Republican lawmak-
            mous  source  who  said  the   Atlanta.                                                Since   President   Donald  ers have proposed dramat-
            prohibition was made at a                                                              Trump  took  office,  a  num-  ic  reductions  to  the  agen-
            recent  meeting  of  senior  authorized  to  talk  about  to  infectious  disease  out-  ber  of  federal  agencies  cy’s $7 billion discretionary
            budget officials at the U.S.  what happened.              breaks, like Ebola and Zika,  have moved to downscale  budget.
            Centers for Disease Control  A  spokesman  at  the  U.S.  and tracking a wide range  data  collection  on  topics  “Everybody  in  the  public
            and Prevention. The seven  Department of Health and  of  chronic  diseases  and  like  climate  change  and  health  community  recog-
            words  and  phrases  —  “di-  Human    Services,   which  other health problems.       homeless  people  who  are  nizes  that  there  is  a  slowly
            versity,” ‘’entitlement,” ‘’fe-  oversees  CDC,  said  in  a  For  decades,  the  agency  gay,  lesbian,  bisexual  and  growing  timidity  by  col-
            tus,” transgender,” ‘’vulner-  statement  that  it’s  a  mis-  has  had  a  mostly  sterling  transgender  and  to  re-  leagues  whose  budgets
            able,”  ‘’evidence-based”  characterization to say the  reputation  as  a  source  of  move  information  on  such  are dependent on the fed-
            and  “science-based”  —  CDC was banned from us-          scientific  information.  That  topics  from  some  govern-  eral  government.  I  have  a
            were not to be used in doc-  ing  certain  words.  But  HHS  the agency could be cen-  ment websites.               deep sympathy for the pre-
            uments  that  are  to  be  cir-  officials did not clarify or an-  soring  certain  language  The  CDC  has  in  the  past  dicament that they are in,”
            culated  within  the  federal  swer any other questions. In  sparked  alarm  and  anger  seemed  to  signal  an  inter-  Dr. Galea said.
            government and Congress  an  email  to  the  agency’s  from  some  science  and  est in less talk and data on  One  medical  leader  from
            in  preparation  of  the  next  employees  on  Saturday  public health experts.        certain subjects. Earlier this  an  outside  agency,  who
            presidential  budget  pro-   night,  CDC  Director  Dr.  “Here’s  a  word  that’s  still  year, for example, the HHS  works closely with CDC em-
            posal, the paper reported.   Brenda Fitzgerald noted the  allowed:  ‘ridiculous,’”  said  proposed deleting a ques-  ployees,  said  a  CDC  ban
            On Saturday a CDC official  media  report  and  wrote;  Rush  Holt,  chief  executive  tion of sexuality from a fed-  on certain words and terms
            confirmed  CDC  officials  “I  want  to  assure  you  that  officer of the American As-  eral data-collecting survey.  may not be limited to bud-
            were  given  “feedback”  CDC remains committed to  sociation for the Advance-          It was restored after an out-  get  documents.  He  said
            from  higher  ranks  of  the  our public health mission as  ment of Science, in a state-  cry  by  advocates  for  the  two  CDC  employees  told
            federal  government  at  a  a  science-  and  evidence-   ment reacting to the report.  LGBT community.             him  agency  workers  have
            recent  meeting  to  recon-  based institution. As part of  Dr. Sandro Galea, dean of  In  a  statement  respond-   been  told  not  to  use  the
            sider  certain  language  in  our commitment to provide  Boston  University’s  School  ing  to  the  Post  story,  HHS  term “health equity” in pre-
            draft  budget  documents.  for the common defense of  of Public Health, says these  spokesman        Matt   Lloyd  sentations  or  public  talks.
            But  she  said  she  did  not  the country against health  things matter “because the  said:  “The  assertion  that  The  term  refers  to  a  goal
            know if there was any spe-   threats,  science  is  and  will  words that we use ultimate-  HHS  has  ‘banned  words’  of  removing  obstacles  like
            cific  prohibition  about  us-  remain  the  foundation  of  ly  describe  what  we  care  is  a  complete  mischarac-  poverty and racial discrimi-
            ing those seven words. She  our work.”                    about  and  what  we  think  terization   of   discussions  nation in making sure peo-
            spoke on condition of ano-   The  Atlanta-based  CDC  is  are priorities.”             regarding  the  budget  for-  ple have an equal chance
            nymity, saying she was not  in  charge  of  responding  “If you are saying you can-    mulation  process.  HHS  will  to be healthy.q
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