Last week, I had the privilege of providing remarks at the Centers for Disease Control and Prevention (CDC) Public Health Grand Rounds – Seven Decades of Firsts with Seven CDC Directors. The event marked the 70th anniversary of the CDC. It gave former directors, including myself, an opportunity to reflect on the CDC’s great work in the past, its relevance and continued importance today, and its need to maintain public health in the future.
As the director of the CDC from 1990 to 1993, I saw tremendous change in public health. The CDC began cultivating partnerships with academia, public health agencies and the private sector. At the same time, the CDC started to face more complex challenges. In addition to its focus on communicable diseases, the CDC embraced its role as the nation’s prevention agency, formally adding “and Prevention” to its name. As the CDC has continued to change to address changing needs in public health, I am happy to say that, in my opinion, the CDC name and mission are still as strong as ever.
The focus on prevention was reflected in many of our efforts during my time as CDC director. For instance, in the early ’90s, the CDC funded prevention programs aimed at tackling the expansion of HIV/AIDS. In 1991, the CDC identified a sharp increase in cases of tuberculosis that were related to HIV infection and AIDS; in that same year, the CDC reported that the number of reported AIDS cases in the United States had reached 200,000. Recognizing that prevention activities were needed at the community level, the CDC funded five HIV/AIDS demonstration projects that extended prevention efforts to community sites and elicited the help of community residents and peer groups to motivate behavior change.
The CDC played critical roles in the past, and it continues to be a vital force for global public health today. Outbreaks of viral diseases such as Ebola in 2015 and Zika this year remind us of the important role that the CDC plays with regard to education and protection.
The CDC drives policy and action nationally and around the globe, as well as right here in North Carolina. It is a vital resource as we work to ensure the best patient outcomes for people across our state, and I am confident that the CDC will continue to be a global leader in disease control, prevention and protection.