I Led the CDC. Here's My Advice for Erica Schwartz.

Erica Schwartz, MD, MPH, JD, the recently confirmed CDC director, assumes a challenging role at a critical juncture. She faces a weakened agency with a reduced workforce, simultaneous infectious disease outbreaks, and a public increasingly skeptical of federal guidance. This report offers guidance for Schwartz from a former CDC director, emphasizing the importance of building upon the agency's existing strengths, addressing outbreaks to restore trust, and utilizing clinical training to navigate the position.

The report also highlights the necessity of early and transparent communication, trusting specialized staff, and maintaining a strong bedside manner when delivering difficult news. Schwartz must resist rushing to fix what she perceives as issues and instead thoroughly understand the challenges within CDC. Furthermore, she should approach policymaking with evidence as the foundation, ensuring her decisions are grounded in scientific data.

The report concludes with a request for former CDC directors to support Schwartz and urges her to present a consistent, dedicated presence in Atlanta, at the Capitol, and among the public to foster trust and cooperation.