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Senate · Hearing transcript

Business meeting to consider pending calendar business.

Wednesday, July 15, 2026

Summary

  • Sen. Cassidy led votes advancing Jim Macy, David Prouty, Brett Matsumoto, and Michael McDonald to the Senate floor for confirmation.
  • Erica Schwartz (Nominee to be Director, Centers for Disease Control and Prevention) pledged radical transparency and unwavering scientific integrity to restore public trust.
  • Sen. Cassidy pressed Schwartz to commit she would reject junk science and defend established vaccine safety against federal political pressure.
  • Sen. Cassidy supported William Macy to restore quorum and clear backlogs while Sen. Sanders opposed Macy but backed David Prouty's worker protections.
  • Schwartz awaits further Senate action while the four reported nominees head to the full floor amid measles and Ebola response concerns.

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Hearing Details

Witnesses

Members Who Spoke

View on Congress.gov

Transcript

Sen. Cassidy (LA)18:44 – 20:24

The Senate Committee on Health, Education, Labor and Pensions will please come to order. Uh, we still uh need a few more people here, so I'll make my remarks, um punil- punishing the people who came early. Uh, and then we will vote on two nominees to be members of the National Labor Relations Board or the NLRB. If confirmed, Mister Jim Macy and Mister David Prouty will be charged with resolving lab- labor disputes and protecting workers' rights under federal law. This means clearing the backlog of cases caused by the Biden administration and restoring certainty for workers and the nation's economy. Mister Prouty has been confirmed once before as he served as a member of the NLRB for the past five years, and has now been re-nominated by President Trump. Mister Macy has decades of legal experience as an attorney negotiating collective bargaining agreements he'll bring a common sense and on the ground perspective to board decisions. We now have the opportunity to put workers first to maintain the board's quorum, so it works as intended. In addition to the NLRB nominees, we'll also vote on Mr. Brett, excuse me, Doctor Brett Matsumoto's nomination to be Commissioner of Labor Statistics. The current jobs report process is broken, with significant revisions undermining trust in critical BLS products that impact everyday Americans' finances. If confirmed, Mister Matsumoto will be tasked with bringing transparency, innovation and accuracy to our nation's economic data. We're also voting on Michael McDonald to be Chairman of the National Endowment for the Humanities. Mister McDonald's confirmation will allow for further preparations for the nation's quintessential implementation of policies to combat anti-semitism on college campuses and reorganization of grant funding to deserving scholars. With that, I recognize Senator Sanders.

Sen. Sanders (VT)20:25 – 21:37

Thank you. Um, Mister Chairman, I support David Prouty's renomination to serve on the NLRB board. And I am opposed to President Trump's three other nominees that we are considering today. We need members of the NLRB who will protect the constitutional rights of workers to form a union. The vast majority of workers in America want to form unions. They are stopped illegally time and time again. And that is the kind of, those are the kind of people we need on the NLRB who will protect workers. In my view, Mister Prouty will do just that. Unfortunately, I'm afraid that William Macy, the Republican nominee, who has spent most of his career representing the interests of management, will not. Uh, but that's not just my opinion. More importantly, it's what the AFL CIO, representing fifteen million American workers, believe. On June twenty fifth, the AFL sa- uh, CIO sent us a letter stating, quote, "We urge you to defend the NLRB's independence and workers' access to a fair day in court by maintaining its quorum with the advancement of member Prouty's nomination and declining to report Mister Macy's nomination to the senate floor i ask mr. chairman i ask unanimous consent to

Sen. Cassidy (LA)21:35 – 21:35

ok

Sen. Sanders (VT)21:37 – 22:33

enter this letter this letter into the record mr. chairman i ask unanimous consent to enter this letter into the record from the afl-cio without objection mr. chairman i will also vote no on mister masamoto's nomination to serve as the commissioner uh a commissioner of the bureau of labor statistics in my view we need a bls commissioner who will give us accurate and unbiased statistics on the unemployment rate in the American workforce not someone who will tell the president what he wants to hear. Unfortunately, I do not believe Mister Matsumoto will exercise the independence necessary for this important job. Finally, I'm opposed to Mister McDonald's nomination to serve as chairman of the National Endowment for the Humanities. Mister McDonald has repeatedly signed off on using NEH funds for projects that benefit President Trump and has repeatedly signed off on using NEH funds for projects that benefit President Trump including its attempt to build trump's absurd arch in a nation's capital without congressional authorization thank you mr. chairman

Sen. Cassidy (LA)22:35 – 22:42

seeing that the quorum is present i will now move to favorably report mr. macy's nomination the clerk shall call the roll i shall be voting yes

Clerk22:43 – 22:44

senator paul

Sen. Cassidy (LA)22:44 – 22:45

aye

Clerk22:45 – 22:46

senator collins

Sen. Cassidy (LA)22:46 – 22:47

aye

Clerk22:47 – 22:48

senator mirkowski

Sen. Cassidy (LA)22:48 – 22:48

aye

Clerk22:49 – 22:49

senator marshall

Sen. Cassidy (LA)22:49 – 22:50

aye

Clerk22:50 – 22:50

senator scott

Sen. Cassidy (LA)22:51 – 22:51

aye

Clerk22:51 – 22:52

senator holly

Sen. Cassidy (LA)22:52 – 22:52

aye

Clerk22:52 – 22:53

senator tuberville

Sen. Cassidy (LA)22:53 – 22:53

aye

Clerk22:54 – 22:54

senator banks

Sen. Cassidy (LA)22:54 – 22:55

aye

Clerk22:55 – 22:56

sir he's

Sen. Cassidy (LA)22:56 – 22:57

yes

Clerk22:58 – 22:58

center moody

Sen. Cassidy (LA)22:58 – 22:59

aye

Clerk23:00 – 23:00

sir armstrong

Sen. Cassidy (LA)23:01 – 23:02

aye i think that proxy votes interesting

Clerk23:02 – 23:03

senator sanders

Sen. Sanders (VT)23:03 – 23:03

no

Clerk23:04 – 23:04

senator murray

Sen. Sanders (VT)23:05 – 23:05

no by proxy

Clerk23:06 – 23:07

senator baldwin

Sen. Sanders (VT)23:07 – 23:08

no by proxy

Clerk23:09 – 23:09

senator murphy

Sen. Sanders (VT)23:10 – 23:11

no by proxy

Clerk23:11 – 23:12

senator kane

Sen. Sanders (VT)23:12 – 23:12

no

Clerk23:13 – 23:17

senator hassin senator hickenlooper senator markey

Sen. Sanders (VT)23:17 – 23:18

no

Clerk23:18 – 23:19

senator kim

Sen. Sanders (VT)23:19 – 23:19

no

Clerk23:20 – 23:23

senator blount rochester senator also brooks

Sen. Sanders (VT)23:24 – 23:24

no by proxy

Clerk23:26 – 23:26

Senator Husted.

Sen. Cassidy (LA)23:26 – 23:26

Come here.

Sen. Sanders (VT)23:30 – 23:33

Getting him here. That's why the down is on the screen.

Sen. Cassidy (LA)23:38 – 26:48

Unless the Democrat wishes to change their vote, we are going to wait for Senator Husted. But I will also inform that the passage of Mister Macy predicates what we do with Mister Prouty. mmm hmm oh hmm um hmm What? We told the Senator Husted is in the building, I will vote for Prouty if a Democrat will flip and vote for Macy, but we're not gonna bring up Prouty unless we get Macy on there. so i don't know about the future ideas ok when the building is coming up right now uh do you have to ask the other ones right now maybe no but what we're gonna do is we're gonna go to the other yeah we'll tickle them as well about the official meeting yeah exactly town house agency yeah yeah yeah do you hear me or not for a second oh john center houston he's

Clerk26:50 – 26:51

chairman cassidy

Sen. Cassidy (LA)26:51 – 26:51

aye

Clerk26:52 – 26:53

have twelve eyes eleven a's

Sen. Cassidy (LA)26:54 – 26:56

ok we decide that

Clerk26:56 – 26:59

oh oh senator baldwin

Sen. Baldwin (WI)27:01 – 27:02

what is the question

Unknown27:04 – 27:04

um

Sen. Baldwin (WI)27:04 – 27:05

no

Clerk27:05 – 27:09

no ok have twelve eyes eleven a's

Sen. Cassidy (LA)27:10 – 27:21

ok the ayes have it the nomination is agreed to and will be favorably reported to the senate we now move to mr. matzema uh doctor matzema to his voting um the clerk should call the roll i shall be voting yes

Clerk27:21 – 27:22

senator paul

Unknown27:22 – 27:23

aye

Clerk27:23 – 27:23

senator collins

Sen. Cassidy (LA)27:23 – 27:24

aye

Clerk27:24 – 27:25

senator borkowski senator marshall

Unknown27:26 – 27:26

aye

Clerk27:26 – 27:26

senator scott

Unknown27:27 – 27:27

aye

Clerk27:27 – 27:29

senator holly senator tuberville

Unknown27:28 – 27:29

aye

Clerk27:29 – 27:30

senator banks

Unknown27:29 – 27:30

aye

Clerk27:30 – 27:30

senator houston

Unknown27:31 – 27:31

aye

Clerk27:31 – 27:34

senator moody senator armstrong senator sanders

Unknown27:34 – 27:34

no

Clerk27:35 – 27:35

senator murray

Unknown27:36 – 27:36

no but how so

Clerk27:37 – 27:39

senator baldwin senator murphy

Unknown27:39 – 27:40

no but how so

Clerk27:41 – 27:42

senator kane

Unknown27:42 – 27:43

no but how so

Clerk27:42 – 27:51

senator hassan senator hickenlooper senator markey senator kim senator rochester senator alcer brooks

Unknown27:51 – 27:52

over at rochester

Clerk27:52 – 27:53

chairman cassidy

Unknown27:53 – 27:53

yes

Sen. Cassidy (LA)27:53 – 27:53

aye

Clerk27:53 – 27:55

twelve eyes eleven nays

Sen. Cassidy (LA)27:55 – 27:58

the ayes have it we should now move to um

Unknown27:57 – 27:58

ok that's a good one

Sen. Cassidy (LA)27:59 – 28:04

mr. mcdonald um the clerk should call the roll i shall be voting yes

Clerk28:04 – 28:04

senator paul

Unknown28:04 – 28:05

aye

Clerk28:05 – 28:07

senator collins murkowski senator murkowski

Unknown28:08 – 28:08

aye

Clerk28:08 – 28:09

senator marchel

Unknown28:09 – 28:10

aye

Clerk28:10 – 28:10

senator scott

Unknown28:10 – 28:11

aye

Clerk28:11 – 28:11

senator holly

Unknown28:11 – 28:12

aye

Clerk28:12 – 28:13

senator tubberill

Unknown28:13 – 28:13

aye

Clerk28:13 – 28:14

senator banks

Unknown28:14 – 28:14

aye

Clerk28:14 – 28:15

senator houston

Unknown28:15 – 28:15

aye

Clerk28:15 – 28:16

senator moody

Sen. Cassidy (LA)28:16 – 28:16

aye

Clerk28:16 – 28:17

senator armstrong

Sen. Cassidy (LA)28:17 – 28:18

aye

Clerk28:18 – 28:18

senator sanders

Sen. Cassidy (LA)28:18 – 28:20

more than six minutes

Clerk28:19 – 28:20

senator murray

Sen. Cassidy (LA)28:20 – 28:21

don't by proxy

Clerk28:22 – 28:22

senator baldwin

Sen. Cassidy (LA)28:23 – 28:24

no mmm

Clerk28:24 – 28:24

senator murphy

Sen. Cassidy (LA)28:25 – 28:26

don't by proxy

Clerk28:26 – 28:27

senator kain

Sen. Cassidy (LA)28:27 – 28:28

no

Clerk28:28 – 28:29

senator hassan

Sen. Cassidy (LA)28:29 – 28:29

no

Clerk28:29 – 28:31

senator hickenlooper senator markey

Sen. Cassidy (LA)28:32 – 28:32

oh

Clerk28:32 – 28:33

senator kim

Sen. Cassidy (LA)28:33 – 28:34

no no

Clerk28:33 – 28:35

senator rochester

Sen. Cassidy (LA)28:34 – 28:35

yes

Clerk28:35 – 28:36

senator alcer brooks

Sen. Cassidy (LA)28:36 – 28:37

don't by proxy

Clerk28:38 – 28:38

chairman cassidy

Sen. Cassidy (LA)28:39 – 28:39

aye

Clerk28:39 – 28:41

we have twelve eyes eleven ears

Sen. Cassidy (LA)28:41 – 28:44

those eyes have it we should now move to mr.

Clerk28:44 – 28:48

proudy uh the culture call the roll senator paul

Sen. Cassidy (LA)28:48 – 28:48

yeah

Clerk28:49 – 28:50

senator collins

Sen. Cassidy (LA)28:50 – 28:50

aye

Clerk28:51 – 28:54

senator mckoski senator marshall

Sen. Cassidy (LA)28:54 – 28:54

aye

Clerk28:55 – 28:55

senator scott

Sen. Cassidy (LA)28:55 – 28:56

no

Clerk28:57 – 28:57

senator holly

Sen. Cassidy (LA)28:57 – 28:57

aye

Clerk28:58 – 28:59

senator tuberville

Sen. Cassidy (LA)28:59 – 28:59

no

Clerk29:00 – 29:00

senator banks

Sen. Cassidy (LA)29:00 – 29:01

no

Clerk29:02 – 29:02

senator houston

Sen. Cassidy (LA)29:02 – 29:03

aye

Clerk29:04 – 29:04

senator moody

Sen. Cassidy (LA)29:04 – 29:05

no

Clerk29:06 – 29:07

senator armstrong

Sen. Cassidy (LA)29:07 – 29:07

aye

Clerk29:07 – 29:08

holly was first senator sanders

Sen. Cassidy (LA)29:09 – 29:09

aye

Clerk29:09 – 29:10

so they there we go senator murray

Sen. Cassidy (LA)29:11 – 29:12

no way don't pass

Clerk29:12 – 29:15

senator baldwin center murphy

Sen. Cassidy (LA)29:15 – 29:15

i by bert

Clerk29:17 – 29:18

senator kain

Sen. Cassidy (LA)29:18 – 29:18

aye

Clerk29:19 – 29:20

senator hasson

Sen. Cassidy (LA)29:20 – 29:20

aye

Clerk29:21 – 29:22

senator hickenlooper

Sen. Cassidy (LA)29:22 – 29:22

aye

Clerk29:23 – 29:25

senator markey senator kim

Sen. Cassidy (LA)29:25 – 29:26

aye

Clerk29:26 – 29:29

senator blount rochester senator Alcer brooks

Sen. Cassidy (LA)29:29 – 29:29

i by bert rochester

Clerk29:30 – 29:31

chairman cassidy

Sen. Cassidy (LA)29:32 – 29:32

no

Clerk29:33 – 29:35

have seventeen eyes six nays

Sen. Cassidy (LA)29:36 – 29:45

the eyes have it the nomination is agreed to and is favorably reported to the senate um thank you

Clerk29:45 – 29:46

you're welcome

Sen. Cassidy (LA)29:47 – 42:16

the committee stands adjourned you The Senate Health Education Labor and Pensions Committee will please come to order. Dr. Schwartz, Mister Kaufman, thank you both for appearing before the committee and for your willingness to serve. Uh, a lot of this conversation for me is gonna revolve around vaccines. Why? Vaccines should be settled, should be settled. Uh, but right now there's a lot of flurry of misinformation when it comes to immunizations. Uh, so that matters a lot to me. When I attended LSU, I drove a professor to work every day. quadriplegic from polio, if he had, if he had the polio vaccine have been available, uh, doctor Keister would have lived a life ambulatory like everyone else. But as it was, his whole life was every night sleeping with something to help him breathe. Um, a routine inexpensive vaccine which was not available, had it been available, would have altered his life wonderfully. I've told the story before of an eighteen year old patient I had as a physician, with acute hepatitis B, eighteen years old, having to send her off for a liver transplant, when a fifty dollar vaccine would have prevented that. There is misinformation all over the place, including that hepatitis B vaccine can cause autism and things like that. It is absurd and it's undermining trust, and if part of what we're trying to do is re-establish trust in public health, you have to wonder why people would spread that misinformation. Um. So, why don't we have trust? Well, they didn't trust it under President Biden, they don't trust it under President Trump, they don't don't trust it under Secretary Kennedy. So I can't say we can point a finger at any one thing, but I will say the agencies you seek to lead are integral to the United States public health and medical preparedness and response capabilities. To do your jobs, you will need buy-in from the American people. According to a recent study, the percentage of US adults reporting high confidence in the centers for disease control and prevention fell from eighty-two percent in february twenty twenty to fifty-six percent in june twenty twenty two along with decreasing trust in other us health institutions mister kaufman and doctor schwartz you're both smart you're experienced you will have the opportunity and the responsibility if you get the jobs to rebuild public trust the us needs to be ready for the next emergency the ebola outbreak in africa is spreading far more widely than people thought it would and they're not quite sure how it is um uh my staff here wrote cyclosporiosis but i think it's crypto um sporidiosis which is causing outbreaks throughout the country i don't know who's right but it's something that starts with a c and ends with an sis and and if you get it uh tie yourself to a toilet for the next you know uh whatever Uh, but that is a public health issue which is obviously impacting us. We need smarter strategies and we need better investment with the limited resources we have, whether it's CDC, BARTA, the Strategic National Stockpile, or ASPRA's industrial-based programs. Uh, again, how do we get to where public trust is broken down? Clearly, mistakes were made during COVID-19. Uh, under the Biden administration, CDC failed to communicate crucial information and allowed outside political groups like teachers' unions to influence whether schools were safe to be open, as opposed to relying on scientific data. ASPRA is less well known to the public, but plays a key logistical role in ensuring that responders have the supplies they need and when they need them. In addition to deploying products and supporting US manufacturing, ASPRA coordinates the federal medical response and supports the development of life-saving tests treatments and vaccines. ASPR played a leading role in Operation Warp Speed, demonstrating what can be accomplished when government works quickly and effectively with the private sector. Importantly, ASPR will work with potentially MRNA vaccines. MRNA vaccines, which some people wish to cast doubts upon for no other reason than, people don't understand them, and so let's cast a doubt upon it. And beyond COVID, misinformation about the safety of routine vaccinations, Creates skepticism, imagine that. Mothers and fathers confused as to whether vaccines are safe to give their children. As a result, we see thousands getting measles. We see, unfortunately, deaths from measles, a vaccine preventable disease, um, um, just lying at the feet of folks in, uh, casting misinformation on these issues. Parents should not have to guess whether information on the CDC's website reflects the best available science, rather than the preferences of political appointees. This is what has led to children being hospitalized and dying from diseases preventable with the vaccine. So, let me be clear. And I say this not as anything but a an analysis of the data. Vaccines are overwhelmingly safe and effective. They they have saved and countless lives. Study after study shows they do not cause autism, whether given at birth or whether given later in life. Hepatitis B is not just transmitted sexually or through drug users, um, and it is, um, and the best way to stop somebody from ending up with costly and expensive liver failure is through a birth dose. As a physician, as I've mentioned, I've had patients die from diseases they would not have died from had they been immunized. Any equivocation of these facts, and I shall not be able to support your immunization, your, your, your nomination. Because when trust is destroyed, it's hard to be effective. I go back to being a doctor. As a physician, you're taught to search for the truth and use the truth for your solutions. It's the only way you make the correct diagnosis and the correct prescription. Doctor, uh, Mister Kaufman, when we met in my office, it was a very pleasant visit. I will say that things have come to light since then in the press that have been sent to me, uh, that you have previously made comments regarding vaccines causing autism, and questioned the necessity of the birth dose of Hepatitis B. uh additionally you have said that you hate the c. d. c. i'm gonna give you a chance to wait you're gonna be involved with aspirin you hate the c. d. c. i mean like what in the heck is going on there um uh turmoil at the top of the nation's top public health agency is not good for the health of the american people and it raises questions about how other public health and medical agencies like aspirin operate we need unbiased leaders who make decisions based upon science, not politics or ideology and are committed to protecting children's health. Some of my colleagues on the other side of the aisle have expressed regret for not voting to confirm Doctor Monarez to lead the CDC. Today we'll again have a very strong nominee to lead the CDC. I ask you to listen with an open mind and to consider supporting someone who is a highly qualified nominee committed to facts and science. You have confirmed, Doctor Swartz and Mister Kaufman, you will be tasked with bringing stability and restoring public trust in HHS i look forward to hearing how you will accomplish this with that i recognize senator sanders

Sen. Sanders (VT)42:16 – 45:46

thank you mr. chairman let me thank doctor erica schwartz who has been nominated to be director of the center for disease control and prevention cdc and sean Kaufman who has been nominated to be the assistant secretary for preparedness and response for being with us today uh mr. chairman let us be clear uh the major reason we are here today on is because secretary kennedy fired doctor susan monaris the first senate uh the first senate confirmed cdc director after less than one month on the job so why did she get fired after being on the job for less than one month what crime did she commit well i don't think it's complicated doctor monaris it turned out refused to act as a rubber stamp for secretary kennedy's very dangerous agenda to limit the use of safe and effective vaccines. Doctor Moneris, to her credit, stood up for science, for public health, and for the scientific method. Frankly, she stood up for protecting the well-being of the American people. And that was the reason that she was fired. And, Mister Chairman, what has taken place since, uh, that firing? Last year, the United States had the worst measles outbreak in over thirty years. with nearly twenty three hundred cases reported we are on track to surpass that number this year in april there was a global global outbreak of hand the virus linked to a cruise ship thirteen people got sick and three people died now an ebola outbreak is spreading in the democratic republic of the congo and uganda with over nineteen hundred cases and over seven hundred deaths reported it's the third largest ebola outbreak ever reported and no treatment or vaccines exist yet for this strain. In the United States, vaccination rates are falling. Let me repeat that. Vaccination rates are falling. Children are now in danger of getting sick and dying from illnesses that vaccines could have prevented. Secretary Kennedy's response to these crises has been to spread misinformation. Fire scientists who disagree with him and wage an unprecedented war on science and vaccines, vaccines that have saved millions of lives. Mr. Chairman, uh, as you well know, our committee received two hundred and fifty pages of emails from officials at the CDC and HHS that have confirmed what many of us have feared. These emails have shown that Secretary Kennedy tried to make it more difficult for working families to get vaccines for their children at no cost, He directed CDC staff to pursue the bogus link that vaccines cause autism, a link that has been thoroughly debunked by the scientific and medical community. He has spread misinformation about the largest measles outbreak in the US in over thirty years. And Secretary Kennedy stopped a flu vaccination campaign during a flu season that had killed sixteen thousand people. Um, Mister Chairman, Bottom line here is we need people in HHS who have the courage to stand up for science, to protect our kids, to protect the health and well-being of the American people, and to stand up to a secretary who is moving this country in a very dangerous direction. Thank you.

Sen. Cassidy (LA)45:48 – 45:51

We should now proceed with opening statements. Dr. Schwartz.

Erica Schwartz (Witness)45:52 – 45:53

Maybe so.

Sen. Cassidy (LA)45:54 – 45:55

Hmm? Go.

Erica Schwartz (Witness)45:55 – 45:58

ranking member and distinguished sorry

Sen. Cassidy (LA)45:58 – 46:01

i'm sorry i'm supposed to read your bio imagine that you know what i'm saying my bad

Erica Schwartz (Witness)45:59 – 46:00

ok

Sen. Cassidy (LA)46:01 – 47:08

uh um We're joined today by Dr. Erika Swartz, nominee to be the director of the Centers for Disease Control and Prevention, or the CDC. She is a board she is board certified in occupational medicine. She served as a Navy occupational medicine physician before joining the Public Health Service Commission Corps to serve the Coast Guard in two thousand five. She served as the deputy surgeon general from January, twenty nineteen to April, twenty twenty one. She earned a BS in biomedical engineering and her MD from Brown University, an MPH from the Uniformed Services University of Health Sciences, and a JD from the University of Maryland. Thank you for being here and thank you for your dedication to public health and military service.

Erica Schwartz (Witness)47:10 – 52:40

Uh, thank you, Chairman. Chairman, ranking members, distinguished members of the committee, thank you for the opportunity to appear before you today. It is truly an honor to be nominated for the role of Director of the Centers for Disease Control and Prevention. I'd also like to thank President Trump and Secretary Kennedy for the trust they placed in me with this nomination. I am deeply honored by the opportunity to continue serving our nation. I would also like to recognize my husband, whose unwavering support has made a lifetime of service possible. The most important thing to know about me is that I come from a God-fearing military family. My father and my older sister were in the Navy. My older brother was in the Marines, and my younger brother was in the Army. And I had the privilege of serving both in the Navy and with the Coast Guard. For my family, service was not a job. It was a calling, it was a responsibility, and it was an act of faith. My academic career included a biomedical engineering degree and a medical doctorate from Brown University, a master of public health in in epidemiology, and a law degree. After medical school, I served as a Navy occupational medicine physician and clinical epidemiologist, focused on protecting service members from hazardous exposures while learning public health from a mission-first operational perspective. I later transferred to the United States Public Health Service and was detailed to the Coast Guard where I focused on forced health protection for responders to major national and global crises including hurricanes Katrina and Rita, the twenty ten Haiti earthquake, the Deep Water Horizon oil spill disaster, and the West Africa Ebola outbreak. In each of these moments, The men and women of the Coast Guard counted on me to get it right. There was no margin for error. I eventually served as the Coast Guard's Chief Medical Officer, a at the st- at the rank of Two Star Admiral, where I was responsible for the Coast Guard's health care system, their safety system, and their work life program. I was later asked to serve as the United States Deputy Surgeon General. During my tenure, our nation faced one of the greatest public health threats in modern history, the COVID-19 pandemic. One of my core responsibilities was ensuring access to diagnostic testing without overwhelming the healthcare system. My team and I rapidly designed and operationalized a scalable public-private solution. We established drive-through testing sites in every state, in Puerto Rico and the District of Columbia, testing nearly eleven point five million individuals. Public health is in my DNA. I'm here because I want to continue serving our nation and because I believe deeply in the mission of the CDC. If confirmed, my first priority will be restoring trust in public health institutions through radical transparency and unwavering scientific integrity. As CDC Director, my sacred responsibility is to provide the American people with public health guidance that is clear, honest, and evidence-based. I will never betray the science. Second, we must modernize the CDC into a near real-time public health enterprise, capable of detecting threats early and responding faster. Twenty first century threats require twenty first century systems. Third, we must empower states, tribes, local communities and territorial partners as the operational backbone of American public health. Public health works best closest to the people. The CDC should provide tools, embedded expertise, operational support, and funding flexibility, not rigid top-down control. The CDC is home to an extraordinarily talented and dedicated workforce. If confirmed, I would support them, empower them, and ensure they have the tools and leadership necessary to succeed. At a time when trust in institutions has been challenged, we have an opportunity to restore confidence, strengthen scientific integrity, modernize our systems, and refocus on the CDC's core mission, protecting the health and safety of the American people. I am committed to working with this committee, with public health leaders across America, with communities across our nation, to ensure the CDC fulfills its mission with excellence, integrity, transparency, and accountability. Thank you for your consideration. I look forward to your questions.

Sen. Cassidy (LA)52:42 – 53:07

Thank you, Doctor Schwartz. Uh, next. We are joined by Mister Sean Coffman, nominated to be the Assistant Secretary for Preparedness and Response, or ASPER. Mister Coffman earned his Bachelor of Science and Master of Public Health degrees from San Diego State University with a focus on health promotion and behavioral science. He has thirty years of public health experience with a focus on infectious disease preparedness,

Sean Kaufman (Witness)53:29 – 59:04

Thank you, Chairman Cassidy. Ranking members Sanders and members of the Senate Help Committee, Thank you for the opportunity to appear before you today as you consider my nomination to serve as Assistant Secretary for Preparedness and Response at the Department of Health and Human Services. I am deeply honored by this nomination and grateful to President Trump, Secretary Kennedy, for their confidence and trust. Most importantly, I thank God and my family. I'm especially grateful to my wife Jacqueline, my daughter Jamie Lynn, and my brother Kevin, who are with us today. i also wanna recognize my father a retired united states marine corps officer my brother a retired fbi special uh special agent and my son adan who currently serves as united states army aviator flying black hawk helicopters along with my son sean patrick my family has dedicated their lives to serving this nation in different ways their sacrifices and those of my mother have been greater than anyone should ever have to bear in support of my career in public service Their love, encouragement and unwavering support have made this moment possible. I am forever grateful. I am equally thankful for my mentors, my colleagues and friends who have shaped my career. I also wanna recognize the extraordinary men and women who protect America's health every day, some of which are engaged in Ebola with Ebola overseas. From ASPER, CDC, all of Department of Health and Human Services, the Department of State, to health care systems, laboratories, emergency responders, and organizations like Samaritan's Purse, these professionals stand between crisis and recovery. Today, as Americans continue supporting response to Ebola overseas, they remind us that preparedness is never theoretical. It's lived every day through service and sacrifice. For more than thirty years, I have dedicated my career to protecting people from biological threats. My work began during the HIV AIDS pandemic and has included responses to the september eleventh attack the two thousand one anthrax attacks sars h one n one ebola and covid-nineteen i led preparedness efforts for the emory university ebola treatment unit which cared for the first ebola patients treated in the united states and deployed to liberia and nigeria through the west africa ebola epidemic in two thousand fourteen throughout my career i have worked to strengthen preparedness before disasters occur and improve responses when they do. I have seen first hand the lifesaving impact of vaccines. Let me be clear. Vaccines save lives. They are safe and effective and remain one of the most important tools in public health for preventing infectious diseases and protecting the American people. The threats facing our nation continue to evolve We must remain prepared for emerging infectious diseases, deliberate biological threats, and increasingly complex challenges driven by advances in biotechnology, artificial intelligence, and rapidly changing technologies. At the same time, chemical, radiological, nuclear, cyber, and natural disasters are all hazards that require an integrated approach that is faster, more agile, and more resilient than ever before. ASPR exists for one reason, to save lives. There is no greater responsibility in public service, and if confirmed, I will devote myself fully to that mission. My priorities will be straightforward. First, I hope to strengthen and reauthorize Papa, with all of us together, to keep pace with today's threats while improving coordination and accountability across the government. second i want to accelerate the development of medical countermeasures which includes vaccines therapeutics diagnostics and other lifesaving capabilities so america is never caught unprepared third i want to invest in the people who make preparedness possible our healthcare workers emergency responders laboratorians public health professionals and scientists assuring they are trained equipped and supported for the challenges ahead Fourth, I'd like to modernize how we develop, manufacture, stockpile, and deliver critical medical resources so they reach Americans quickly when every minute matters. And finally, I want to strengthen partnerships across the federal government with our state, local, tribal, and territorial partners while working closely with health care systems, industry, academia, and non-profit communities. Preparedness is a shared responsibility, and our success depends on working together before a crisis, not simply reacting after one begins. Throughout my career, I have learned one enduring lesson. Preparedness is not measured by what we are doing during a disaster. It is measured by what we do before one arrives and how we commit ourselves to those who have survived. If confirmed, I will lead with integrity, urgency, humility, and accountability. i will work everyday to insure that when the next emergency comes, and history tells us it will, the american people have confidence that their government is prepared, to respond quickly, effectively, compassionately, and in a manner worthy of trust. Thank you, and i look forward to your questions.

Sen. Cassidy (LA)59:09 – 59:49

Um, dr. schwartz. Your predecessor was let go because she would not make decisions that she felt which she was instructed to make, that she felt were going to be bad for public health. Uh, she did not have the ability to demote or reassign people, uh, and she objected to decisions and because of that, according to her, was brought in and browbeaten, and eventually let go. What commitment, one, will you commit to this committee and to the American people to have the same integrity as she, that if it asks to do something which is wrong for public health, that you will stand up as she did, object, if necessary, publicly.

Erica Schwartz (Witness)59:52 – 1:00:34

Chairman, thank you for the question and thank you for meeting with me earlier. The one thing that I can tell you is how I lead and how I live, and I have lived and I have led by my integrity. I have spent over twenty-five years in the uniformed services, leading by integrity. That is what I can commit to you and to the committee. that I will continue to live and lead by my integrity. You are a physician, I'm a physician. We both took the Hippocratic oath. For me, the Hippocratic oath meant that I would never harm my patients. Their health and well-being took primacy. If I'm confirmed as a CDC director, the nation's health and well-being will take primacy, and I will never compromise on that.

Sen. Cassidy (LA)1:00:34 – 1:01:02

Now, we know that the secretary has put people at the CDC who are there basically to look for evidence. However, they can find it in phishing expeditions. uh expeditions of how vaccines may cause problems uh they can't find it but they keep on doing it now do you have the will you have you been told that you will have the ability to reassign people who are being counter-productive in terms of promoting trust in public health measures which have been shown time and time again to be safe

Erica Schwartz (Witness)1:01:03 – 1:01:14

chairman i am sitting here because the president nominated me and the secretary and i have had conversations and those conversations were about my background the fact that i spent twenty five years

Sen. Cassidy (LA)1:01:12 – 1:01:47

let me interrupt i have limited time this is almost a yes and no uh will you have the ability to reassign demote get rid of people who are harmful to our public health venture based upon the scientific knowledge that is generally known because um uh the unwavering scientific integrity as you say uh with evidence-based and free from political uh science, not betraying science, standing on science, the truth, even in difficult moments. Do you have, will you have the ability to do that, uh, with free of political interference?

Erica Schwartz (Witness)1:01:47 – 1:01:56

Chairman, the secretary absolutely will allow me to be the CDC director. That is why I'm sitting here before you. The secretary knows that I

Sen. Cassidy (LA)1:01:55 – 1:02:38

Yes, but that's, and I almost feel like I'm having to go after this question a little bit more firmly than I feel like I should. You can be CDC director and just take orders. We need a CDC director that will actually stand up to crazy, stupid things being said. that undermine faith in immunization. Are you the person, and I'm being very direct here, because obviously I feel like we've got thousands of kids hospitalized because people have promoted that immunization is bad and now kids have died because of it. It is evil to do that. And people persist. You are the bulwark. So I'm asking, will you have the ability and the firmness to stand up to that political meddling, to say, no, that's wrong and this is right?

Erica Schwartz (Witness)1:02:39 – 1:02:54

Chairman, you have my assurances that I will continue to lead by my integrity. I will never compr- compromise on the science. I will always, always have the public's health in mind. I have spent over twenty-five years making sure that my being.

Sen. Cassidy (LA)1:02:54 – 1:03:21

That's not quite the direct answer I'm hoping for. I'm just saying that. And I know you've been through a murder board. One more time. I believe you're a woman of integrity. I accept that. Uh, but will you have the ability To say no to junk science and to say yes to that which has been firmly established and to stick up for what is actually right and true, as opposed to that which is superstition and prejudice.

Erica Schwartz (Witness)1:03:21 – 1:03:52

Chairman, I have always stood up for what is right and what is true, and I believe that I will continue to do that. You have my assurances that I will do that. I will never betray the the science, ever. I will go where the science leads us. I will not have predetermined answers to conclusions, I will make sure that the CDC is focused on scientific rigor, that the CDC is focused on radical transparency as we discussed in your office, and that the CDC, which is the most important thing to regain public trust, is that we lead with humility. There is an arrogance that

Sen. Cassidy (LA)1:03:52 – 1:04:06

So, excuse me, because I'm almost out of time, radical transparency includes if somebody puts people beneath you, or above you, or around you, and will not let you remove them, but they are doing wrong things,

Erica Schwartz (Witness)1:04:17 – 1:04:42

Chairman, I am not obviously there at the CDC, but you have my assurances that if I am confirmed as a CDC director, I will work with the team, the Principal Deputy Director, Sean Slavinski, who's already on the ground, and the Deputy Director, the Chief Medical Officer, Doctor Jennifer Shuford, to have those conversations. And if there's something that comes up that is concerning, you have my assurances that I will answer any questions that this committee has regarding exactly what you just mentioned.

Sen. Cassidy (LA)1:04:42 – 1:04:45

Senator Sanders. Thank you.

Sen. Sanders (VT)1:04:45 – 1:05:45

Doctor Schwartz, thank you very much for your service over the years. Um, according to the American Medical Association, which represents over two hundred and seventy thousand doctors, quote, "An abundance of evidence from decades of scientific studies shows no link between vaccines and autism." End quote. In fact, there have been more than forty scientific studies in seven countries, involving over five million people, finding that there is no link between vaccines and autism. And yet, today, the CDC has published false information on its website, suggesting that childhood vaccines cause autism. Doctor Schwartz, do you agree? The existing scientific evidence shows vaccines do not cause autism. If confirmed, will you commit to removing information on the CDC website suggesting a link between vaccines and autism?

Erica Schwartz (Witness)1:05:48 – 1:06:11

Senator, we do not know what causes autism. One in thirty-three children have a diagnosis of autism spectrum disorder, and we owe it to the American people to figure out why. The president had has asked secretary Kennedy to find out why it, what is causing the increase in autism.

Sen. Sanders (VT)1:06:09 – 1:06:20

I I look, I don't have a lot of time, and we all wanna find the cause of autism. The evidence is overwhelming that vaccines do not cause autism. Do you accept that evidence?

Erica Schwartz (Witness)1:06:21 – 1:06:23

I do accept that evidence, Senator.

Sen. Sanders (VT)1:06:24 – 1:06:34

If confirmed, will you commit to removing information on the CDC website suggesting a link between vaccines and autism.

Erica Schwartz (Witness)1:06:34 – 1:06:44

If confirmed, Senator, you have my commitment that I will look at that exact website. I have not seen that. I will speak with the secretary to understand why that information

Sen. Sanders (VT)1:06:43 – 1:06:54

But the secretary has put that stuff up there. What I'm asking you is, will you remove information which suggests a link between vaccines and autism?

Erica Schwartz (Witness)1:06:54 – 1:07:16

Senator, I have been in many situations where I I have had to uh, go to my superiors in the military to have conversations, very difficult conversations about things that may not have been, uh, um, con that may have been concerning to the troops or to the military personnel. And I, I will do the same with the secretary. I will go to the secretary if there is something

Sen. Sanders (VT)1:07:15 – 1:08:02

Sorry to interrupt, sorry, I just have a brief amount of time. Uh, in August of last year, secretary Kennedy's chief of staff's chief of staff sent an email to the previous CDC director demanding that quote, c. d. c. political leadership all have eyes on the decisions for approval, changes before they go into effect make America great." Within days, the c. d. c. director was fired for failing to approve Secretary Kennedy's anti-vaccine agenda. Doctor Schwartz, if confirmed, will you commit will you commit that you will report to Congress if you receive directives from Secretary Kennedy or any other individual in the Trump administration to implement policies that are unscientific and can harm the health and well-being of the american people

Erica Schwartz (Witness)1:08:03 – 1:08:09

senator i do not believe that the president or the secretary would ever do what you just mentioned but he do

Sen. Sanders (VT)1:08:09 – 1:08:14

really do you think that is the record that he would not do that

Erica Schwartz (Witness)1:08:15 – 1:08:15

senator

Sen. Sanders (VT)1:08:15 – 1:08:15

is that what you're saying

Erica Schwartz (Witness)1:08:16 – 1:08:22

senator that i do not think that the secretary or the president would ask me to do something like that

Sen. Sanders (VT)1:08:23 – 1:08:43

ok thank you uh mister goffman In twenty twenty two, you said that quote, you would rather perish end quote, than have any of your three children quote, receive an injection of the COVID vaccine, where the risks soundly outweigh the benefits gained end quote. Is that a in uh is that a true statement?

Sean Kaufman (Witness)1:08:44 – 1:08:45

Yes, it is, Senator.

Sen. Sanders (VT)1:08:46 – 1:09:00

And yet in twenty twenty one, President Trump called the COVID vaccine quote, one of the greatest achievements of mankind end quote. I don't usually agree with President Trump. And it certainly was a great achievement. So who's right? Were you right or was President Trump right?

Sean Kaufman (Witness)1:09:01 – 1:10:02

Senator, I think we we are both right. If I if I may t- explain that, because I think there have been several things and and Chairman Cassidy alluded to it earlier that have been mischaracterized. My children, thank God, are young and healthy. And right before that post, I had taken them to a Kroger, looked at antibodies, and they were all antibody positive for covid-nineteen. And the risk-benefit equation for my children didn't exist. However, and this is very important, and I wanna mention Trish Lawrence. Trish Lawrence is my, my wife's mom, who recently passed away from PLS. She had a condition, a very serious condition during covid. And I recommended, not only for Trish Lawrence, but her husband, Frank Lawrence, to get the covid-nineteen vaccine because it was very appropriate in that circumstance. I believe one hundred percent that vaccines are safe and effective, and that we should have conversations with our physicians to make a determination on which and what is the best risk-benefit equation for that patient.

Sen. Sanders (VT)1:10:03 – 1:10:04

OK. Thank you.

Sen. Murkowski (AK)1:10:10 – 1:12:02

Mr. Chairman, thank you. And, uh, Doctor Schwartz, Mister Kaufman, thank you for being here and, uh, uh, your willingness to serve. Um, a lot of discussion this morning, uh, about vaccines and vaccine policies. Know that I share the the concerns that the chairman has has outlined um with with uh what happens to an erosion of public trust when you have um decisions that are are advanced, that do not appear to to follow the science. Uh I have mentioned in this committee multiple times uh the example that uh Alaska set some decades ago uh we had historically um very very high uh hepatitis B rates, the highest in the nation, uh particularly in our Alaska Native communities and with Alaska Native children. And uh they embarked on a very ambitious, aggressive campaign, but effectively through through screening and vaccination and sustained universal newborn immunization, they have virtually eliminated uh hepatitis transmission in these uh communities and and prevented new cases of of hepatitis B, liver related causes uh cancer, which uh again the chairman has as mentioned. And I look to that as just one extraordinary example of of the value. And I know that uh, Mister Kaufman, you have made statements uh previously as it relates specifically to the hepatitis B vaccine. Um, and my question to you this morning is whether you agree that the hepatitis, uh, B birth dose remains an important tool for - for protecting high burden and - and rural states, um, such as Alaska.

Sean Kaufman (Witness)1:12:02 – 1:12:14

Senator, thank you for the question. And, to give you an answer other than yes, I will tell you that all three of my children, who I love more than anything, have received the infant dose of the hepatitis B vaccine.

Sen. Murkowski (AK)1:12:15 – 1:13:50

I think these are important because, uh, these c- types of, of clarifications are important because you see reference that unless you are a, a drug user or sexually, uh, your concerns about sexually transmitted diseases, but again, when we're talking about, uh, about those vaccines, uh, that can be given at birth that can prevent these, these horrible deaths, I think it needs to be made clear. We we get back to the issue of how do we establish public trust here. Um, I mentioned, I mentioned, uh, many of our tribal communities and, uh, we face in in the state of Alaska, um, challenges when it comes to to public, uh, health emergencies, natural disasters. It requires our tribal communities to to rely on close coordination with ASPR, with the Indian Health Service, tribal health systems, uh the Public Health Service Commission Corps, which I appreciate your leadership there, Doctor uh Schwartz. Um but there's just a lot of it challenges. It the challenges come with geography, limited health infrastructure, workforce shortages. And so directed to you, Mister Coffman, how how could you envision strengthening ASPR's partnership with IHS, uh the tribes, and the uh Public Health Service Commission Corps? to ensure that we're able to uh to respond timely and get effective support, because this is where we see the lags.

Sean Kaufman (Witness)1:13:51 – 1:14:38

Thank you, Senator, for the question. My past experiences in emergency response, one of my greatest worries is that emergency responders come in like seagulls. They fly in and then they fly out, and they leave the community with all the issues that they had before, and sometimes leaving the community worse off than better off. Uh, and and and and hearing Doctor Schwartz talk earlier um eh eh she has said that public health is always local and i will say that emergency response is local as well when something goes wrong the community knows best um and it's always uh it's always a great uh strategy to let the community lead during emergency situations so my plan would be to come in strengthen existing partnerships insure that individuals are empowered uh to respond and that they can serve their communities as they see fit

Sen. Murkowski (AK)1:14:39 – 1:15:56

Well, I appreciate that, we, I think we saw the benefits, um, uh, in delivering the COVID, uh, vaccines, where there was that on the ground response that really, um, made that difference. Doctor Shorts, um, uh, again sticking with, uh, Native communities, uh, as we know, you and I have discussed, uh, health disparities that, uh, we really need to be focusing on. I introduced yesterday a bill entitled the Native implementation act. It directs C to C to improve the quality, accuracy, and completeness of maternal and infant health data for American Indian, Alaska Native, Native Hawaiian populations by strengthening partnerships with tribes, tribal epidemiologist centers and other Native partners. Um, I'm just gonna ask you if you are confirmed to to work with us to address some of these long-standing challenges that we say with racial misclassification, with under-reporting, and and really just incomplete data collection. Um, we we have to do a better job as we're addressing maternal mortality issues and in ensuring that our our native communities um are adequately represented in the data that helps inform.

Erica Schwartz (Witness)1:15:59 – 1:16:09

Uh, Senator, you have my commitment to work with you and your team to make sure that we understand exactly what you submitted, uh, and to make sure that we're, uh, looking at that to your satisfaction.

Sen. Murkowski (AK)1:16:10 – 1:16:17

It's not in, just in that population, but in so many others, uh, that are underrepresented, and I know we have more work to do. Thank you, Mister Chairman.

Sen. Cassidy (LA)1:16:18 – 1:16:20

Thank you, Senator Murkowski. Now, Senator Baldwin.

Sen. Baldwin (WI)1:16:21 – 1:17:12

Thank you, Mister Chairman. Mister Kaufman, um, I have been seriously concerned by Secretary Kennedy's repeated actions to limit the use of vaccines and spread misinformation around the safety and efficacy of vaccines. Investing in new vaccines and innovative vaccine technology is critical, particularly during an Ebola outbreak, uh, and global health emergency. We need to be prepared for everything from the next pandemic to the next bad flu season. So I'll start with what I hope will be an easy question for you. Doctor. or Mister Kaufman, do you believe that MRNA vaccines, including the COVID-19 vaccine, are safe and effective, yes or no?

Sean Kaufman (Witness)1:17:12 – 1:17:14

Senator Baldwin, yes, I do.

Sen. Baldwin (WI)1:17:15 – 1:18:06

Thank you. Um, your statements that were referred to earlier under uh examination by uh Senator Sanders, um, where you indicated that uh you would rather uh i think the quote is as a father of three who would rather perish than have anyone of his children receive an injection um i caused a lot of concern and i think you're gonna have to do some strong work to clarify your views on uh this topic um i'm gonna ask the same question to you doctor schwartz but first i wanna thank you for your service to this nation Um, Doctor Schwartz, do you believe that MRNA vaccines, including the COVID-19 vaccine, are safe and effective?

Erica Schwartz (Witness)1:18:08 – 1:18:18

Uh, Senator, thank you for meeting with me earlier. I I do appreciate that. I I will say for the record, you do have the most beautiful office in the Senate. Um, that being said, I I do believe that MRNA

Sen. Baldwin (WI)1:18:18 – 1:18:20

You're all you're all welcome over afterwards.

Erica Schwartz (Witness)1:18:20 – 1:18:23

Yeah. I do believe that MRNA technology is safe and effective.

Sen. Baldwin (WI)1:18:24 – 1:20:26

Thank you. I appreciate that. Um, unfortunately, vaccine policy is just one example of political interference that you've heard, uh, several senators reflect upon, um, in public health decision making, uh, that we've seen during this administration that impacts the safety of Americans. This spring, a study about the effectiveness of COVID vaccines was suppressed within the Department of Um, public health uh grant awards now undergo a political scrubbing before they are awarded. The administration has now proposed adding a new office to formalize political review of CDC actions. If that isn't bad enough, a recent OMB proposed rule would create a government-wide mechanism requiring political review of every discretionary grant, add discre- uh, restrictions on what funded researchers can publish, and expand the government's authority to terminate grants on a whim. We need a CDC director that can demonstrate independence from political decision-making and a willingness to stand up uh when necessary to Secretary Kennedy. Doctor Schwartz, you have said many times that one of your top goals as CDC director would be to bring back trust to the CDC. How do you go about accomplishing a goal like that if the views of scientists can be overridden by political appointees? How would you operate in an environment, as I've just described, where there is now going to be political political scrubbing of every discretionary grant, uh, from the agency.

Erica Schwartz (Witness)1:20:27 – 1:22:17

Uh, Senator, thank you for the question, as you heard in my opening remarks, uh, restoring trust to the CDC is my number one priority, and I look at it in three ways. The first thing that I must do, that we must do, is to go where the science leads us, no matter what. Scientific integrity is core. The second thing is that radical transparency, and a lot of folks don't understand what radical And the way I think about radical transparency is when I was in the, with the Coast Guard, I was the medical unit leader in Deep Water Horizon, and there was a lot of confusion on the ground. I had a pilot who came up to me and he was very concerned about his exposure to the dispersants that were being used. And he asked me, " Doc Schwartz, am I gonna get cancer if I get exposed to this, this corrects it." And the radical transparency that I had to utilize was to tell him that I did not know. I didn't know if the mixture of Corexit, dispersants, uh, the, the, uh, the toxins in the, in the water would allow, would cause this individual to have ca- cancer long-term. But what I did tell him was, A, I didn't know, but I would, he was going to be enrolled in a long-term surveillance program, so that if any health effects happened, we would know it. And that assurance, even though I didn't know, even though I didn't know the answer to his question, that assurance was enough for him to complete the mission, effectively and successfully. That's the radical transparency that the American people wanna know. They wanna know what we know, what we don't know, and why we don't know it. And the third thing that's critical is leading with humility. I, I wanna be the CDC director for all Americans. I don't wanna be a paternalistic CDC director. I wanna be a CDC director in a very similar manner as I was the occupant, an occupational medicine physician, a patient-centered physician. I wanna be a nation-centered c d c director

Sen. Baldwin (WI)1:22:18 – 1:22:42

i appreciate those sentiments so much and i just wanna uh say that in the context of a an agency that is suppressing studies and uh having political scrubbing of uh grant decisions that's gonna be a real challenge and i want you to convince me that you are going to be able to push back against those attempts to interfere with radical transparency

Sen. Cassidy (LA)1:22:43 – 1:22:44

senator marshall

Sen. Marshall (KS)1:22:44 – 1:25:21

Thank you, Mister Chairman. Um, for both of you, I'm gonna ask you in a second about active pharmaceutical ingredients. You don't have to tell me what the problem is. I wanna talk about solutions. But before I get to that, I just wanna compliment both of you, two of the most qualified people I've seen in front of us. Uh, Doctor Schwartz, uh, incredible resume, two-star admiral. Um, ju- ju- just congratulations and thanks for, and, and most importantly your, your culture, your values, all those things that that I sure hope that my kids and grandkids look up and say that's that's the type of person I wanna be and the type of position I I wanna have and and Sean Coffman I think you're the right person for ASPA right now I think it's always good to go back and look at the fundamentals so what is ASPA you know this is something I didn't know of till I got here even though I'm a physician that it's the administration for strategic preparedness and response your motto stand ready move fast Your charge is, uh, in charge of medical, public health preparedness, response, and recovery. And I believe that for such a time as this, you've been prepared to do this job, your resume, hands-on experience inside public health laboratories, front-line response experience to anthrax, the test, West Niles vi- virus. Um, you understand federal infrastructure and inter-agency coordination. You've led private sector innovation in behavioral safety and disaster preparedness. Sean Coffman combines deep technical knowledge, real-world response experience, and proven leadership, exactly what we need to keep Americans safe. Now, so often this um committee seems like all we care about's vaccines. Uh, it's it's one percent of both of your world, maybe more, may maybe less. And I happen to agree there's concerns about the the MRNA MRNA technology. It's short-lived. Um, they don't stop the virus. Um, there are significant uh uh risk associated, especially young males. Uh, especially young males that have positive antibodies, right? And like you, I gave different advice to my parents than I did my kids. But I guess what I'm looking for, Mister Kaufman, is let's just say it's the next virus, it's the next epidemic. Are you committed to making sure that America has access to whatever vaccines that that are that you deem safe and worthy to put in the hands of doctors to make that same recommendation for their patients.

Sean Kaufman (Witness)1:25:23 – 1:25:40

Senator Marshall, thank you for the the question, I also wanna thank you, I I I've actually done a lot of great work in your state at the USDA in Bath, and I wanna acknowledge the staff is phenomenal and excellent there as well. Um, to answer the question, I I will be committed to lead a phenomenal

Sen. Marshall (KS)1:25:49 – 1:25:49

Sure.

Sean Kaufman (Witness)1:25:49 – 1:26:07

And BARDA is responsible not only for looking at new technologies, because what we face today is we face the ability of our adversaries to actually genetically modify organisms creating novel threats that actually pose and put Americans drastically at risk, very similar to what we saw with COVID.

Sen. Marshall (KS)1:26:07 – 1:26:08

Right.

Sean Kaufman (Witness)1:26:08 – 1:26:18

So BARTA is not only interested in creating uh uh vaccine countermeasures to protect Americans, but also therapeutic so that when Americans get sick, they can

Sen. Marshall (KS)1:26:18 – 1:26:20

But, Mr. Coburn, I'm trying to get you some votes here.

Sean Kaufman (Witness)1:26:20 – 1:26:20

Yep.

Sen. Marshall (KS)1:26:20 – 1:26:28

Are you committed to getting the the vaccines into the hands of of doctors and nurses? And and and regardless of anything that's ever been said

Sean Kaufman (Witness)1:26:29 – 1:26:33

So absolutely one hundred percent. I'm sorry, I missed the softball.

Sen. Marshall (KS)1:26:33 – 1:26:46

Yeah. There there there you go. Doctor Schwartz, I I mentioned the API. You and I know what the huge problem i is. What what's the solution to bring API back home? Uh, uh, acting partners with really cool ingredients. Yeah.

Erica Schwartz (Witness)1:26:48 – 1:26:57

Senator, uh, I I actually have to get smarter on that. I have to be, uh, brutally honest here. I I haven't been really following that. Uh, but I would definitely love to work with your team and uh

Sen. Marshall (KS)1:26:57 – 1:27:06

Me, my my guess is the the diagnostics that you're using, uh, the therapeutics you want available will take API, uh, mister cop. And now maybe it's a bar to turn turn.

Sean Kaufman (Witness)1:27:06 – 1:27:35

That's right. That's right. Uh, yeah. there's new technology you know right now as you know there's a problem and i'm i'm so happy that you acknowledge it's actually a very very big problem BARDA can look at technology that actually uh uses different types of ingredients that can undermine the adversaries and put a need on more of a biological basis uh for future countermeasures than a chemical one so there are different strategies and technologies that the scientists of BARDA are looking into and will begin to explore to protect america

Sen. Marshall (KS)1:27:34 – 1:27:37

but but this is the problem that this committee needs to be looking at

Sen. Cassidy (LA)1:27:57 – 1:28:01

Thank you, Doctor Marshall. Uh, I think it's Senator Kaine.

Sen. Kaine (VA)1:28:02 – 1:31:13

Mr. Chairman, congratulations to the witnesses. Um, Doctor Swartz, I, and, and Mister Kaufman, I I appreciated both of our visits. Um, Dr. Shorts, I'll just begin this way. Um, I cast votes that I sometimes regret. I have cast some votes in favor of some Trump nominees that I've come to regret. But I've also come to regret a vote that I cast against a Trump nominee, and it's the predecessor, um, Dr. Menarez. Uh, she was before us and I thought she was very qualified, but I, I wondered whether she would have the backbone to stand up to political pressure. And It's interesting, Sanders Sanders asked a question that was that I think I asked in almost the same verbiage uh will you resist political pressure applied by the secretary or the president and her answer was they would never do such a thing and I thought wow, I think you're wrong, so I voted against her and she did demonstrate the backbone that I thought was really remarkable and I apologized to her at a hearing you know a year or so later. Uh, your answer was almost exactly the same as hers. I don't think I'll ever get Now, look, it's, that's kind of a theoretical, hypothetical question. So actually, I'd kind of like to ask one that is not theoretical or hypothetical, but that's, that's a very live issue right now. And it deals with tobacco and the Office of Smoking and Health at the CDC. In April of twenty twenty five, the entire Office on Smoking and Health was eliminated. Now, this is an office that is in statute and it's an office that receives credit. congressional appropriations, but the trump administration eliminated it. The contractors supporting the office were fired and the employees who have lost their jobs, actually, they've been on administrative leave getting paid for not doing their job while the legality of their firing is being contested in court. The elimination of the CDC's office has weakened the nation's longest standing tobacco control infrastructure. And meanwhile, the tobacco industry is filling the void. They're expanding their influence through the FDA authorization process. So, as an example, in May, the FDA authorized four new flavored e-cigarettes, the flavors that attract kids to s- use e-products, mango, blueberry, and others, um, directly appealing and, and I think addicting young people. In May, the FDA issued enforcement guidance stating that it wouldn't prioritize enforcement products that have not been approved. so long as they have a pending application that's been accepted for review. So there's been a a real effort to dismantle forty years of tobacco control infrastructure particularly as it goes to this issue of young people. So here's what I wanna know. You don't have any role in the FDA process and I I get that. But if confirmed, will you commit to spending congressionally appropriated dollars for the office on smoking and health, on fact-based tobacco control programs, free of tobacco industry influence, and bring back a sufficient staff infrastructure to make sure that you can carry out the mission for which Congress appropriates funds to the CDC.

Erica Schwartz (Witness)1:31:15 – 1:32:05

Senator, thank you again for meeting with me earlier and thank you for the question. Uh, as a board certified occupational medicine physician, you are speaking about something that is near and dear to my heart. promotion clinic when I was in the Navy at the Naval uh Health Clinic in Annapolis. And the number one thing that I focused on was smoking cessation. As you know, uh, smoking has so many significant adverse uh outcomes, whether it's cardiovascular disease, whether it's uh COPD, whether it's certain types of cancers. So I am very much concerned that what you just mentioned, I was not aware of, uh, that that is happening. You have my assurances that if I am confirmed as a CDC director, that i will work with your team your staff and work with you to understand if we are appropriated for this particular office why we are not in fact having that office being uh actively

Sen. Kaine (VA)1:32:05 – 1:32:45

well and and why it hasn't been done is one thing but going forward see we we have both of the leaders of the appropriations committee on this committee so senator murray is the lead democrat the ranking member senator collins is the chairman and when they appropriate money and congress votes on an appropriation we get the appropriations power in the constitution. It's not a presidential power. The, the Congress writes the budget. And so, my expectation of a CDC director is if we vote on an appropriations bill that says, here's the money for this office at the CDC, I don't care if it's the secretary, the president, or, you know, some blogger saying, well, we shouldn't spend the money. Once Congress votes for it, it's the law.

Erica Schwartz (Witness)1:32:44 – 1:32:44

Mm-hmm.

Sen. Kaine (VA)1:32:46 – 1:32:53

And I would just like to know, will you follow the law if we appropriate money for this mission? at the c. d. c.

Erica Schwartz (Witness)1:32:53 – 1:32:55

Senator, I will always follow the line.

Sen. Kaine (VA)1:32:55 – 1:33:48

Thank you for that. Um, my time is up. I'm gonna just say one last thing. You and I had a good visit about um, the routing of uh, commercial aviation from nations that are experiencing the Ebola outbreak into a few airports in the country, including Dallas. Um, and the need to make sure that those who are dealing with travelers from these nations have public health expertise, but also there's a lot of employees at dulles and i imagine at the other three airports who have their own questions and you committed to me in in my office that should you be confirmed you would make sure that the cdc gets to these locations where folks are coming in to try to have forums and provide information to whether it's the air traffic controllers flight attendants folks who work in the retail establishments in the in the means of radical transparency we wanna be able to answer folks questions and i appreciated your commitment on that Thank you.

Erica Schwartz (Witness)1:33:48 – 1:33:49

And and you still have my commitment, Senator.

Sen. Cassidy (LA)1:33:50 – 1:33:50

Senator Huston.

Sen. Husted (OH)1:33:51 – 1:36:47

Thank you, Mr. Chairman. Um, Mr. Kaufman, Dr. Schwartz, thanks for joining us today. Uh, I have um, a a question for uh, Dr. Schwartz about something that Ohio has a a great connection to, and that is Creutzfeldt-Jakob disease, CJD. As it's commonly referred, it's a rare and always fatal brain disease. and it belongs to the family of illness called prion diseases and it's right now there is no treatment for it uh or cure and ohio is playing playing a leading role in trying to change that because we have a research facility national prion disease pathology surveillance center in cleveland and it relies on cdc funding for the research that happens there and it helps scientists understand how the brain disease occurs and how it's passed from person to person perhaps from animals to persons and that's gets me to the next part of this which is chronic wasting disease which is another uh type of this disease it's a fatal condition uh it it preside resides mostly in deer in my state but also can happen with elk and moose and why and it's been detected in over thirty six states and uh across the country why does that matter because we harvest through hunting two hundred thousand plus deer a year which people eat And it's a way of maintaining the deer population in rural. States all across our country. And so. Uh, continued research and understanding of this is important. Uh, and the only way to really do that is through post modem post. Post mortem. Uh, human brain tissue analysis, and uh, it's imperative that. We continue to do this to. Monitor and understand how the disease works and how. if if and how there is a transfer from animals to humans and so what i am interested in your response to is um is just your reassurance that you will support the center's post mortem brain tissue analysis capacity uh as um and as we have more research and done on this uh that you would support additional research res research support if there's a backlog in this development of the postmortem uh analysis and that you will insure cdc effectively coordinates between itself and state health departments and others who are working on this to uh identify um the the laboratories and uh and the research that was that's looking into this to make sure that we're controlling this disease and understanding it better because if something like that happens where we get this transfer from animal animal to human beings it's uh huge, huge issues. So just want your reaction and reassurance on that particular issue.

Erica Schwartz (Witness)1:36:47 – 1:37:24

Uh, Senator, thank you, thank you for the question and thank you for meeting with me earlier. Uh, whether it's CJD or CWD, certainly if I am confirmed as a CDC director, I would work with your team to understand what are the capacities of the CDC to look into these types of uh very rare diseases I know their resource constraints are, you know, something that is a reality whether it's with the CDC or any other institution. So I certainly wanna make sure that I Uh, I'm, I was not aware of what you just described, but I wanna make sure if I am confirmed that I work with your team and the career scientists at the CDC to see what is our capacity what are we sa-, what are we appropriated to do and what we can do to address those issues.

Sen. Husted (OH)1:37:24 – 1:38:07

Yeah. Chronic wasting disease is um spreading in our state. I think it's spreading in in other states as well, uh, as a result, uh, as we head towards hunting season. This will continue to be something that you have a coordination with, necessary with our with the wildlife officers and health professionals and and and so forth so we just would very much uh uh appreciate your uh coordination and support of that um uh as we uh it's a big issue uh that not a lot of people talk about it's kind of an uh an a niche issue but it's but it's important so uh thank you and uh mr. chair i'll yield back the rest of my time

Sen. Cassidy (LA)1:38:08 – 1:38:09

senator hudson

Sen. Hassan (NH)1:38:10 – 1:38:32

Well, thank you, Mr. Chairman, and good morning, Dr. Schwartz and Mr. Kaufman. It's good to see you both. Congratulations on your nominations and congratulations and thanks to your families as well for supporting you in this. Um, Dr. Schwartz, just a few minutes ago, you said in response to a question from Senator Kaine, you will always follow the law. Mr. Kaufman, I assume that you would say the same thing.

Sean Kaufman (Witness)1:38:32 – 1:38:33

That is correct.

Sen. Hassan (NH)1:38:33 – 1:38:42

So just to be clear if the President of the United States instructs you to take an action that would break the law, will you follow the law or follow the president's instruction, doctor schwartz

Erica Schwartz (Witness)1:38:42 – 1:38:47

uh the president would never ask me to not follow the law but i will always follow the law

Sen. Hassan (NH)1:38:47 – 1:38:48

mister kaufman

Sean Kaufman (Witness)1:38:48 – 1:38:49

will follow the law

Sen. Hassan (NH)1:38:49 – 1:39:20

thank you and doctor schwartz um there are multiple examples of the president actively instructing people to break the law um over and over again so i hope you will update yourself on that because it's not a satisfactory response to say he would never do that um doctor schwartz the cdc director is responsible for protecting Americans and especially children from life-threatening disease outbreaks. If secretary Kennedy ordered you to stop promoting the flu vaccine during a deadly flu season would you carry out that order?

Erica Schwartz (Witness)1:39:22 – 1:39:39

Uh, Senator, when I was the dep- deputy surgeon general, I worked at the office of the surgeon general. And one of the things that was very concerning was that the the the the surgeon general had a number of campaigns, public health campaigns that he wanted to to do. And yet we had very limited resources.

Sen. Hassan (NH)1:39:39 – 1:39:40

Yeah, ma'am,

Erica Schwartz (Witness)1:39:39 – 1:39:40

So we had to wait.

Sen. Hassan (NH)1:39:40 – 1:39:50

I'm I'm asking you a different question, and I have limited time. So if you are instructed to stop promoting the flu vaccine during a deadly flu season, would you carry out that order, yes or no?

Erica Schwartz (Witness)1:39:51 – 1:39:54

We had to prioritize what we wou could focus on, what we couldn't focus on.

Sen. Hassan (NH)1:39:53 – 1:40:35

Look, I'm I'm I'm I'm gonna stop you again. This isn't a hypothetical question. The flu season last year killed almost three hundred children. And we have clear data from the CDC that the best way to save children's lives is by giving them the flu vaccine. Nevertheless, in the middle of the deadly flu outbreak last year, secretary Kennedy personally directed the CDC to immediately stop all promotion of the flu vaccine, including promotion campaigns that were already planned and paid for. So I wanna give you a chance to answer again. If the secretary ordered you to stop promoting the flu vaccine during a deadly flu season for children would you carry out that order yes or no?

Erica Schwartz (Witness)1:40:35 – 1:40:38

So, Senator, I, you know, I don't speak in hypotheticals, but I.

Sen. Hassan (NH)1:40:38 – 1:40:49

This isn't a hypothetical, it happened and I've got the email if you wanna see it later. So yes or no? Are you gonna protect our kids or are you gonna follow an uninformed um order from the secretary?

Erica Schwartz (Witness)1:40:49 – 1:40:54

Senator, I will always, always protect our children. I will protect them with the help of.

Sen. Hassan (NH)1:40:52 – 1:40:55

So you you would refuse that order, yes or no?

Erica Schwartz (Witness)1:40:56 – 1:41:08

Senator, my understanding of what happened back then was that the secretary has he has various priorities. And as he's, he as he's looking priorities in terms of what uh to fund, what not to fund.

Sen. Hassan (NH)1:41:07 – 1:41:10

Th that's I'm I'm sorry, that's not acceptable.

Erica Schwartz (Witness)1:41:08 – 1:41:08

It's a

Sen. Hassan (NH)1:41:10 – 1:41:40

You just heard Senator Cain talk about the appropriations process. The money was in the budget, it was there, and it protects and saves lives. And your answer is really disappointing. Let's go on to another issue. Federal regulations and decades of precedent make it clear that if confirmed, you would be at the top of the chain of command for vaccine recommendations to the public. in the United States. So, Doctor Schwartz, do you agree that you will be at the top of the chain of command with regard to final vaccine recommendations?

Erica Schwartz (Witness)1:41:40 – 1:41:52

Senator, my understanding is when the advisory committee on immunization practices makes a recommendation regarding vaccines they've been doing this since the nineteen sixties the CDC takes those recommendations we will,

Sen. Cassidy (LA)1:41:48 – 1:41:48

Right.

Erica Schwartz (Witness)1:41:52 – 1:42:00

the CDC director will uh work with his career scientist work with the chief medical officer of the CDC to analyze those recommendations look at the evidence

Sen. Hassan (NH)1:42:01 – 1:42:01

Right.

Erica Schwartz (Witness)1:42:01 – 1:42:18

uh, used to make those recommendations, and then the CDC director certainly can make that decision regarding, should they accept or not accept those recommendations. Um, but I also understand, and I could be wrong on this, that the secretary ultimately has the policy decision regarding that.

Sen. Hassan (NH)1:42:18 – 1:43:04

Let me update you. The president here is clear, and even the recent charter that secretary Kennedy's new ACIP will operate under, um, makes clear that the recommendations go to the The CDR CDC director, after consultation, examining the recommendations, all the things you just said, decides whether to adopt those recommendations or not. And then the charter says they inform the secretary. It is the the buck stops with the CDC director when it comes to vaccine recommendations. So do you commit that you will consider and make decisions on vaccine recommendations from scientific experts without political interference, from outside the chain of command, including secretary Kennedy or president Trump.

Erica Schwartz (Witness)1:43:05 – 1:43:14

Senator, your premise is is interesting. I don't think the secretary or the or the president would do what you just said, but you have my commitment to follow the science wherever the science may lead.

Sen. Hassan (NH)1:43:14 – 1:43:38

The secretary has interfered with vaccine recommendations to the point that he has dismantled ACIP and rewritten the charter in an attempt to, um, provide a particular scientific or, I would say, unscientific view on vaccine safety. It is outrageous and it is making us less safe. And I hope very much, if you are confirmed, that you will stand up to that kind of political interference. Thank you, Mister Chair.

Sen. Cassidy (LA)1:43:39 – 1:43:39

Senator Tuberville.

Sen. Tuberville (AL)1:43:40 – 1:44:47

Thank you, Mister Chairman. Thanks for being here today. Thanks for your willingness to serve. Uh, thank your willingness to to go through the education that you're going through. And thanks for your dedication to our country, talking about vaccines. Um I would hope the federal government would stay out of the damn vaccine business. I've got young grandkids that they want them to take seventy vaccines before they're two years old. That is bull crap. Let the parents decide that decision. That doesn't need to belong in the federal government. Now, if y'all wanna recommend it, I'm all for that, but my God, let's get away from this nonsense. I wanna get into something that the Biden administration got involved in. It's called monoclonal uh antibodies. Most of us never heard that. But it was saving lives. And the Biden administration wouldn't let you have it unless you had the damn vaccine. That is ridiculous. That is ridiculous. So, Mr. Kaufman, how do you go handle that situation if and when we have our next uh disaster in this country caused by humans basically by you know the federal government got involved in COVID how would you handle that?

Sean Kaufman (Witness)1:44:47 – 1:45:53

In two thousand fourteen, Senator, thank you for the question, uh, I had the opportunity to serve at Emory University's health care unit, doctor kent brantley and nancy reibel were treated for ebola during the two thousand fourteen uh epidemic i witnessed firsthand i saw a gentleman who was close as we would say when we serve on the front line with ebola compassionate cares about what we're gonna offer at this point i saw a gentleman within hours after taking a dose of monoclonal antivirus therapy come alive so much so that we actually ordered chick-fil-a for him and that's in his book he could read that i also have a brother who got covid really, really bad. And he went in Florida and got monoclonal antibiotic therapeutic solutions and recovered very, very well. Um, I believe that with the threats that we face today, with the ability to identify through genome sequencing and customize monol monoclonal antibiotic therapeutic solutions, that we must be absolutely prepared with this technology and it must be ready to roll, to be more prepared today than than we've ever been before.

Sen. Tuberville (AL)1:45:54 – 1:46:33

Thank you. Yeah, previous administrations, no, you unless you take the vaccine, you can't have these. That that's the stupidest thing I've ever heard. We kill millions of people that shouldn't have been, shouldn't have been killed because of that dec- that decision. We're worried about vaccines. Yeah, we got great vaccines. Let's give them if we want to. People don't wanna take them? Heck with it. You know, that's our right. This is a free country. That's the reason we don't have trust in this country. Uh, so, Mister Cobbin, how are you going to get trust back into our country through your position because my state of Alabama, they don't trust health. They don't trust federal government, and I don't blame them, but they surely don't trust the health in our country.

Sean Kaufman (Witness)1:46:33 – 1:47:48

Thank you, Senator, for that question. As a private businessman, one thing that I would always do to evaluate whether we did a great job or not is we would ask our clients upon finishing the work, are we trusted more than we were before? And I think the indicators today are, well, uh, maybe during COVID we didn't have necessarily uh the best showing in public health. And I appreciate the question because it gives me a chance to address something as well. Earlier I was asked by a senator, are the MR and A vaccines safe and effective? Absolutely. But you know what, I'm not gonna put an asterisk because, and this is important. Many, many, many, millions and millions of people around the world took those vaccines and did not suffer. But I cannot sit here and forget the ones that did. With any medical intervention there will always be adverse and it's insensitive, and it basically in my uh it erodes trust, when we choose to write them off, when we choose to fail to acknowledge that they have legitimate issues. And so, though I believe vaccines are safe and effective, I think it's important if I'm going to serve the American population that all of those individuals are recognized, treated with compassion, and acknowledged.

Sen. Tuberville (AL)1:47:49 – 1:48:17

Yeah, Doc- Doctor Swartz, I I just got a minute here, but I'd love to hear this. Secretary Kennedy and I, we we share the same desire about nutrition. Uh, I think it's more and more and more important every day about nutrition in our country, because what we eat is killing us, absolutely killing us. So, what role are you gonna be playing in the CDC with helping us have good food that's safe for us, that's safe for our kids? Uh, what's your, what's your role gonna be?

Erica Schwartz (Witness)1:48:18 – 1:48:21

Uh, coach, if I can call you that. Thank you for meet, thank you for meeting with me earlier.

Sen. Tuberville (AL)1:48:19 – 1:48:20

Please.

Erica Schwartz (Witness)1:48:21 – 1:49:15

Uh, I am all in on the Make America Health Healthy Again agenda. And, you know, as I look at what the secretary has already done and the president has ha- has already done. You know, they have introduced nutrition education in medical school. And I won't tell you when I graduated from medical school, but I can tell you, we did not have nutrition education in medical schools, uh, at the time when I was in medical school. Uh, the secretary is introducing physical fitness testing. I We, in my generation, we did physical fitness testing and this generation did not. Uh, he's removing those petroleum-based, uh, dyes and food dyes in food products. So I am fully committed, uh, if I am confirmed as a CDC director, to continue, uh, focusing on this make America healthy again, because we're looking at those things that are happening, uh, that to prevent diseases. And that's exactly what I've done my entire life as an occupational medicine physician I'm all about looking at those upstream effects, uh, looking at those things that we can prevent diseases and continue to make America. hea- healthy again.

Sen. Tuberville (AL)1:49:16 – 1:49:32

Well, thank you. Work on nutrition, work on physical fitness, work on exercise, because this damn thing right here is killing our kids, and killing everybody in this country because they're sitting around looking at it all day long. And if we don't do something about it, it's gonna be our fault, not our kids' fault. Thank you.

Sen. Cassidy (LA)1:49:33 – 1:49:34

Senator Kim.

Sen. Kim (NJ)1:49:34 – 1:50:00

Yeah, thank you, Chairman. Um, Dr. Schwartz, I wanted to start with you. I was a, uh, proud to be a, a career nonpartisan federal worker before in the civil service. Uh, I'm hearing from many across our government, but a lot at the CDC about low low morale, especially after the big cuts last year. How are how are you gonna try to address? How are you try gonna try to rebuild and give a sense of the trajectory of the CDC going forward?

Erica Schwartz (Witness)1:50:01 – 1:50:13

Senator, thank you again for the question and thank you for meeting with me earlier. Uh, when I think about trust, I always think about a particular instance in my career. I was the HIV program manager uh in the Coast Guard and I had to tell a young

Sen. Kim (NJ)1:50:14 – 1:50:16

I'm I'm asking about specific to the CDC.

Erica Schwartz (Witness)1:50:14 – 1:50:14

Coast Guard.

Sen. Kim (NJ)1:50:16 – 1:50:20

What what what are you gonna do in your first ten days, first twenty days?

Erica Schwartz (Witness)1:50:21 – 1:51:04

Senator, the reason why I was t- explaining this story is because this Coast Guard's Coast Guard member needed to trust me. He needed to trust what I was telling him about his HIV diagnosis. And the one thing he had to d- had to understand is that I truly cared about him. And once he understood that, he was able to ask questions, he knew he could have a fulsome career in the Coast Guard, he knew he could have a fulsome life. And I take that experience to heart, because that's exactly what I would bring if I'm confirmed as a CDC director. These career scientists, they have dedicated their lives to taking care of the American people. They have dedicated their lives working behind the scenes, where they get no credit whatsoever, to make sure they're protecting Americans from health, safety and security threats.

Sen. Kim (NJ)1:51:04 – 1:51:07

Will you oppose future large-scale cuts to CDC personnel?

Erica Schwartz (Witness)1:51:08 – 1:51:14

Senator, what I've heard, uh, through the news, I'm a private citizen here, is that, uh, the CDC is actually hiring more people. Uh, to

Sen. Kim (NJ)1:51:14 – 1:51:19

Well, I know that too, and I hope that to continue on, but would you oppose large scale cuts if that was proposed again?

Erica Schwartz (Witness)1:51:19 – 1:51:34

If I am confirmed as a CDC director, you have my my commitment that I will work with the team at the CDC to understand what are those gaps what are the things that are redundant where are those where are we having those inefficiencies to ensure that we have a CDC that can protect Americans from health, safety and security threats.

Sen. Kim (NJ)1:51:34 – 1:51:41

Mister Kaufman, I wanted to switch to you, I wanted to ask your thoughts about the medical reserve corps that would be underneath ASPR.

Sean Kaufman (Witness)1:51:42 – 1:51:44

oh i think they're absolutely essential

Sen. Kim (NJ)1:51:45 – 1:51:47

the medical reserve corps

Sean Kaufman (Witness)1:51:47 – 1:51:47

yes sir

Sen. Kim (NJ)1:51:47 – 1:51:52

uh the the thousands of volunteers all across the country think it's absolutely essential

Sean Kaufman (Witness)1:51:51 – 1:52:00

they're not only absolutely essential they're the tip of the iceberg should this country ever experience not only a biological attack or a natural disaster or a chemical attack they're very very important

Sen. Kim (NJ)1:52:00 – 1:52:17

ok well look i'll just say i'm glad to hear you say that i do think the thing that kinda confuses me right now is that this has been zeroed out in the president's budget uh set i mean when i was reading set for elimination what what are you gonna do about that

Sean Kaufman (Witness)1:52:15 – 1:52:34

yeah uh senator cam i'm hoping uh i know that the president uh establishes the policy but i believe the purse resides with congress and i'm hoping if you see the importance in this and it is important i'm hoping that you will make sure that those individuals are are well funded and resourced

Sen. Kim (NJ)1:52:34 – 1:52:42

well will you commit then if you're confirmed for this to fight from the inside and work with us to see if we can continue on with this program.

Sean Kaufman (Witness)1:52:42 – 1:52:47

Senator Kim, even with no budget, I will make sure those individuals get the best that we can give them with what we have.

Sen. Kim (NJ)1:52:47 – 1:52:54

Well, I'd prefer if it's not with no budget, I mean I the budget is not significant, I mean I think this is something that we should be able to continue on.

Sean Kaufman (Witness)1:52:54 – 1:52:55

Absolutely, Senator Kim.

Sen. Kim (NJ)1:52:55 – 1:53:17

The um uh uh miss uh Doctor Schwartz, just wanna go back to you. Uh you know huge part of CDC is about protecting America, especially when it comes to global health. Or can I guess I just wanted to ask you Your thoughts, whether or not the withdrawal that the Trump administration set forward from the World Health Organization makes the American people more or less safe globally.

Erica Schwartz (Witness)1:53:18 – 1:53:32

Uh, Senator, I think the World Health Organization does amazing things. But I also agree with President Trump that it was incredibly bureaucratic. And the Centers for Disease Control was doing the healthy lifting throughout the you know time that the World Health Organization.

Sen. Kim (NJ)1:53:32 – 1:53:36

So you think it's making us more safe to no longer be in the World Health Organization?

Erica Schwartz (Witness)1:53:37 – 1:53:43

I think what's so brilliant is that the President and Secretary Rubio have something called the American First Global Health Strategy.

Sen. Kim (NJ)1:53:43 – 1:53:49

And that's better than being a part of the World Health Organization? It's not something that we could do in additive to membership there?

Erica Schwartz (Witness)1:53:50 – 1:54:01

The American First uh Global Health Strategy, its purpose is to prevent diseases from coming to the homeland. And the Centers for Disease Control is working synergistically with that American First Global Health Strategy as well.

Sen. Kim (NJ)1:54:00 – 1:54:04

So you think we're better off now than we were a year and a half ago?

Erica Schwartz (Witness)1:54:04 – 1:54:07

i think we are protecting the taxpayer's

Sen. Kim (NJ)1:54:06 – 1:54:15

it's not that hard of a question that that mister kaufman i wanted to ask you what's your thought here do you think uh we're we're more or less safe with the withdrawal from the world health organization

Sean Kaufman (Witness)1:54:15 – 1:54:22

senator kim i think we are in the process of evaluating you know cuts sometimes i think it's important to to remember we're

Sen. Kim (NJ)1:54:22 – 1:54:24

i always thought that you try to evaluate before you make cuts

Sean Kaufman (Witness)1:54:24 – 1:54:35

well we are forty trillion in debt and the president has asked us to scale back and sometimes cuts don't necessarily mean poor outcomes it can actually lead to increased efficiency.

Sen. Kim (NJ)1:54:34 – 1:54:46

I just wanna say, I don't discount the bureaucracy and reforms that are being needed. But shooting from the hip in that way, I mean it's hurting our global reputation, it's hurting our ability to have forecasting incredibly important times. With that, I'll go back.

Sen. Cassidy (LA)1:54:47 – 1:54:48

Senator Banks.

Sen. Banks (IN)1:54:50 – 1:55:18

Doctor Schwartz, during the pandemic the CDC revised its guidelines on mask wearing, social distancing, and quarantine over and over again. It was confusing and frustrating for all Americans. It was later revealed that the science never supported many of the CDC's leadership's statements or the guidelines that were put in place. What internal safeguards exist at the CDC to prevent misleading the public and ensure transparency?

Erica Schwartz (Witness)1:55:20 – 1:56:35

Uh, Senator Banks, thank you for your letter, thank you for meeting with me. I will actually frame that letter, it's very, very lovely. Um, and thank you for the question. Uh, so If I am confirmed as a CDC director, I certainly wanna make sure, as you heard in my priorities, that we are being radically transparent with the American people. And so the first uh order of business for me is to really do a listening session with the CDC career scientists. I wanna make sure I understand what are we, what are their pain points? What are we doing as the CDC to help restore trust uh with the American public? Now the one thing I, I think that is very concerning to me is that, internally t to the CDC, there is a breakdown in trust between the career scientist and the politicals. And I wanna do everything that I can to make sure that we can, I can, and the team that's already on the ground can help build morale within the CDC. So if we have we if we have the same North Star protecting Americans from health, safety and and security threats domestically and internationally, the American public can feel safe and secure that we are going to be protecting them while they're sleeping, while they're not even thinking about public health. Because internally, within the CDC, we're one team, one fight, and we're protecting the American people from various threats.

Sen. Banks (IN)1:56:35 – 1:56:58

I think it's really important after what we went through that the American people deserve better. And what happened was a total disaster. And they're, they were lied to. Uh, on another, on another question, another front, what can the CDC do to better support and work directly with the states, rather than over-centralizing decisions? at the CDC level, the federal level, how can you better work with states like Indiana?

Erica Schwartz (Witness)1:56:59 – 1:58:10

So, s uh, Senator, thank you for the question. As you heard in my opening remarks, one of my priorities is to strengthen the relationship between the CDC and our state, tribal, local, and territorial partners. I do not wanna have a CDC that is a rigid, top-down CDC. I wanna work with the with the, our state partners, uh, to understand what are the things that we can do better, what are the things that uh, we, we, they need our help on, what are the things that they don't really need our help on. When I was the community-based testing site leader uh during COVID-nineteen, one of the things I recognized was that there were three types of states. There were states that they needed the, they needed just the idea, and then once they figured out how to do it, they said thank you very much, government. There was another group of states that said, well we just need like resources, personnel, and we're good. And then there was a third group of states that said we need everything, don't ever go away federal government. I would like for states to be more in that second and first category, where they're learning how to take care of their citizenry, and they're using the CDC only when they need to use the CDC. It's going to be a partnership, and you have my assurances that if I'm confirmed as a CDC director, I will continue working on that partnership.

Sen. Banks (IN)1:58:10 – 1:58:18

Uh, I believe you on that. Does the CDC have any missions that you think are inappropriate or should be performed by another agency?

Erica Schwartz (Witness)1:58:19 – 1:59:06

Uh, Senator, I am excited if I'm confirmed, uh, to understand what are the, I, I think I know what the core capabilities of the CDC are. I, I am a little bit biased. I focused on the original mission of the CDC back in nineteen forty six, focusing on protecting Americans from malaria. I, I do think that the CDC should have an infectious disease prevention focus. Um, I think over time the CDC has had some mission creep and it's tri- trying to be all things to all people and in a resource constrained environment forty trillion dollars, nearly forty trillion dollars in debt. we need to refocus and figure out what should the CDC be. And I would love to work with Congress, with the secretary, with the president to truly understand, is the core mission, should the core mission be infectious, prote- protecting Americans from infectious diseases, or should we continue to try to be all things to all people?

Sen. Banks (IN)1:59:07 – 1:59:36

Yeah, I hope we can get you on the job so you can quickly begin that process. Um, Indiana is frequently hit by tornadoes and floods, especially in the summer. Many of our emergency management officials in state and local government are really frustrated with FEMA. The CDC also has similar emergency preparedness and and response mission, um, to FEMA. What what is CDC's proper role in assisting stage states with natural disasters?

Erica Schwartz (Witness)1:59:37 – 1:59:58

Uh, so, Senator, I would absolutely say that we are taking a support the CDC should be taking a supporting role. Again, the CDC, in my opinion, should not be coming in, uh, you know, with our sharp elbows telling the states what to do. But the CDC should really be focusing on what does the state need us to do. And that's hopefully what I can uh uh uh continue to focus on if I'm confirmed as the CDC director.

Sen. Banks (IN)1:59:58 – 2:00:02

Thank you. You have my full support, both of you. Look forward to working with you. I yield back.

Erica Schwartz (Witness)2:00:02 – 2:00:02

Thank you.

Sen. Cassidy (LA)2:00:02 – 2:00:07

Senator, is it also Brooks or LBR? Also Brooks. OK.

Sen. Alsobrooks (MD)2:00:08 – 2:00:40

Right. Thank you. Um, it's good to see you again, Doctor Swartz, um, and good to see you, Mister Kaufman. And I thank you both for your willingness to serve. In April of this year, Secretary Hegseth posted a video where he said, and I quote, the notion that a flu vaccine must be mandatory for every service member, everywhere, in every circumstance at all times is just overly broad and not rational. So, Doctor Swartz, I wanna ask you whether you agree with Secretary Hegseth is a flu vaccine mandate irrational and absurd?

Erica Schwartz (Witness)2:00:41 – 2:01:29

Uh, Senator, thank you for meeting with me. Uh, I, as you know, I spent over twenty-five years in the uniformed services, and I have had my share of making, uh, the mandates for, uh, influenza and other vaccines, uh, uh, or at least following. I, I didn't make the mandate, but I followed, uh, leadership as they made the mandate for those vaccines, and I understood why. Uh, when you're in congregant living situations, when you're in submarines, when you're in on ships, close quarters, it is really important to make sure that you're you have what we call forced health protection. So I'm fully supportive of, in certain circumstances, mandating vaccines, uh, for, for military members, with the exception of, I, I believe in religious exemptions. And I believe that if there's a newer vaccine, uh, there, there should be some conversation as to whether that newer vaccine, uh, should be, uh, mandatory.

Sen. Alsobrooks (MD)2:01:29 – 2:01:37

OK, so you do not believe that there, that it's irrational and absurd to have a, uh, mandatory, uh, a flu- vaccine mandate in the military.

Erica Schwartz (Witness)2:01:38 – 2:01:52

Uh, there are a lot of double negatives there, but I think that uh what you're say asking me is do I believe in uh uh vaccine mandates, uh for military members. I do believe in certain circumstances, yes, uh there should be a requirement to have mandates in the military.

Sen. Alsobrooks (MD)2:01:52 – 2:02:28

OK. Now, he also said our men and women in uniform are forced to choose between their conscience and their country, even when those decisions pose no threat to our military readiness. And Doctor Sports, I know you've spent years overseeing health care delivery for Coast Guard personnel and led public health and medical readiness programs. And you've spoken about vaccines, uh, and how they were critical, as you did a moment ago, to responding to an outbreak. Uh, well, you spoke about Cape May, uh, the Coast Guard training center, and wonder whether you believe that an outbreak among our armed services pose a threat to our military readiness.

Erica Schwartz (Witness)2:02:29 – 2:03:21

Uh, Senator, as you mentioned, the example that I gave was, uh, when we were at, when I was, uh, in the Coast Guard, with the Coast Guard, uh, Cape May, Coast coast guard training center cape may we were seeing increases in febrile respiratory illnesses and it was due to adenovirus and we were trying our best to have non-medical uh countermeasures hand washing social distancing but nearly impossible when you have congregate living situations and you have recruits that are taping up the faucets because they wanna maintain uh a plus for their inspections uh in twenty eleven when the adenovirus vaccine did become available we did make it mandatory to allow, to make sure that we could actually prevent these outbreaks, and improve readiness, and improve training. And I will tell you, within a couple of weeks of us instituting that mandatory vaccine, the adenovirus vaccine, we did not see any such cases of outbreaks post the implementation of the vaccine.

Sen. Alsobrooks (MD)2:03:21 – 2:03:25

So those vaccine mandates can be effective and are important.

Erica Schwartz (Witness)2:03:24 – 2:03:24

Absolutely.

Sen. Alsobrooks (MD)2:03:25 – 2:03:45

Um, now also, Doctor Swartz, after your nomination, Secretary Kennedy's anti-vaccine ally, uh, Aaron, Aaron Siri called you the queen of mandating vaccines, uh, during your time at the Coast Guard. And so what is your response to Aaron Siri and other anti-vaccine advocates criticizing you for supporting vaccine mandates?

Erica Schwartz (Witness)2:03:45 – 2:04:29

Senator, I want to be, uh, the CDC director for all Americans. I don't wanna be the CDC director just for Americans that believe in vaccines. I wanna be the CDC director for Aaron Siri's and people that have concerns about vaccines. I I approach this position with humility. I wanna be a nation-centered CDC director. I wanna make sure I understand why parents have vaccine hesitancy. As uh Sean mentioned, I don't wanna ignore them, I don't wanna dismiss them, I wanna have an open conversation with them. I would love to have a conversation with Aaron Siri. I would love to understand his concerns about vaccines. I would love to have an open and transparent debate. And that's the kind of CDC director that I would like to be.

Sen. Alsobrooks (MD)2:04:29 – 2:05:15

So it sounds like you're more polite and more reasonable than Erin, Siri, but I have one more question about uh vitamin K. Uh, it's an essential nutrient, as you know, which helps blood clot. And a single vac- vitamin K shot is a highly effective intervention to prevent dangerous internal bleeding in newborns. Yet the vaccine misinformation and confusion that the secretary has championed for years, has now created a spillover effect that is increasingly causing parents to refuse the vitamin K shot in other routine care. In April of this year, Congresswoman Schrier, uh a pediatrician, uh asked the secretary to directly confirm for worried parents that the vitamin K shot was safe and he refused. Can you confirm for us today that the vitamin K shot is safe and would you recommend that parents get the shots for their babies?

Erica Schwartz (Witness)2:05:16 – 2:05:39

Senator, I can confirm that the vitamin K shot is safe. I I do uh worry like you about conflation of vitamin K with other concerning with other uh vi vaccines that parents may be concerned about. But vitamin K can absolutely reduce, uh, the hemorrhaging in children, newborns. Uh, I absolutely believe it is safe and it's effective, and I urge all parents to get the VAC, the vitamin K shot.

Sen. Alsobrooks (MD)2:05:38 – 2:05:39

Thank you. Thank you.

Sen. Cassidy (LA)2:05:40 – 2:05:40

Senator Hawley.

Sen. Hawley (MO)2:05:41 – 2:07:02

Thank you very much, Mr. Chairman. Uh, thanks to the nominees for being here. Congratulations on your nominations. Doctor Schwartz, if I could just start with you, I wanna ask you a question that I'm getting a lot now at home in the state of Missouri. And it's a question for which I don't have an answer, because I'm not a doctor and I'm not a scientist. But we have a lot of data centers in the state of Missouri. Uh, more and more. Sixty, I think right now in my state. Many more coming online. Nationally, of course, I think there's something on the order of four thousand with another three thousand planned as soon as this coming year, by the, maybe by the end of the calendar year. Here's my question to you. I get asked now pretty regularly, I would say constantly, about the health effects of living near a data center, which more and more people in my state do by virtue of their proliferation. Things like the effects of uh uh electromagnetic fields, uh neurological issues associated with the industrial drone, as it's called, constant noise. Now, I don't know the answers to any of this. And Secretary Kennedy and I were discussing it when he was sitting where you were just a month or two ago. His comment to me was, and I wanna make sure I quote him accurately. He said to me, this is his quote, " The risks to me are horrendous." "The risks to me are horrendous." And he said that HHS was gonna study the issue. My question to you is, do you know, is the CDC currently doing any kind of study of the health effects of living near one of these massive industrial data centers? Do you know?

Erica Schwartz (Witness)2:07:03 – 2:07:20

Uh, Senator Hawley, I don't know the answer to that question, but I do know that NIOSH, uh, they do these health, uh, these health hazard evaluations. And so the answer to that question would be directed to NIOSH, which is under the CDC. So if I am confirmed as a CDC director, I would actually love to work with your

Sen. Hawley (MO)2:07:27 – 2:07:46

Good. Well, that you anticipate my next question, which is that if you are confirmed, and I believe you will be, I hope you will be, uh, if you're confirmed, will you ensure that the CDC in whatever sub-component is appropriate, does a full-scale study of these health effects so that we can figure out what the answers are? Cuz I, I just don't know what to tell people. I mean, and I say that, I say, I just don't know.

Erica Schwartz (Witness)2:07:44 – 2:07:45

Mm-hmm.

Sen. Hawley (MO)2:07:46 – 2:08:11

I, I know that there's, there's proliferating studies, a number of studies say that there are health concerns. Course industry says, " Oh, there's no health concerns." I don't know. But I think we should get the answers, particularly as more and more Americans, we're talking about millions of Americans, live near one of these data centers. They're very controversial, as you know. So will the CDC and its appropriate sub-components under your leadership look into this and and try to get the data, the actual evidence, as it relates to these health effects?

Erica Schwartz (Witness)2:08:11 – 2:08:27

Uh, Senator, you have my commitment to work with your staff to find out exactly if an HHE has already been done by NIOSH. I, it could have, it could have already been done. So, If it has been done and if it hasn't been done, you have my commitment to work with your staff to understand why it hasn't been done, uh, and to find out if it, if it can be done.

Sen. Hawley (MO)2:08:27 – 2:09:47

Good, OK, good. I'm gonna, I'm gonna take that as a, as a yes. That's, that's, um, I think that was a yes. I'm gonna interpret it as such. Let me ask you about another piece of, of reporting. Um, the CDC collects data on abortions that are committed in the United States of America through a system called the Abortion Reporting System. Uh, this system is voluntary, and so a number of states not coincidentally large blue states, do not turn over any data, so that it's difficult to get a picture of, of just how many abortions and under what circumstances are committed in this country. We do know the numbers are going up, way up. Since the Dobbs' decision of just a few years ago, the numbers of abortions committed in the United States have gone way up. Uh, well over a million abortions last year. I'm sure the number, based on what we know so far, will be higher this year. And all of that is just based on what we can cobble together without full reporting. My question to you is, and I realize that the abortion reporting system there's been some talk of moving it to a different component in HHS other than CDC, but historically it's been located in what would be your agency. So if that continues to be the case, would you commit to trying to get as much information, again, to collect the data on the number and circumstances of abortions as is provided for in this system, to collect that data from these states and to work with those states that are currently holding out on not giving it, to actually get the data so that we can know, we can get a picture of what really is going on here. Will you do that?

Erica Schwartz (Witness)2:09:48 – 2:10:06

Uh, Senator, you have my commitment. Abortion surveillance is absolutely a critical uh component of what the CDC is currently doing. To your point, it may be moved to another uh uh agency within HHS. Uh, I also want in order I I agree, yes, I will look into that, but I also want to also make sure that um certain

Sen. Hawley (MO)2:10:03 – 2:10:03

Thank you.

Erica Schwartz (Witness)2:10:06 – 2:10:23

states are not conflating emergency services, and hiding abortions in that um emergency services uh, uh case definition. We need to make sure we're pulling out true abortions, and making sure that we're really having clear case definitions regarding abortion, so the data is actually accurate.

Sen. Hawley (MO)2:10:23 – 2:11:03

Tremendous. Fantastic. Uh, thank you for that, and I look forward to seeing you follow through. My time's almost expired, so I'll just flag. I want to give you a question for the record about another Missouri issue. An a- the Agency for Toxic Substances and Disease registry, which is underneath, would be underneath your purview. Some years ago, this agency issued a report about a toxic landfill in my state, and said that there were no health effects, no health concerns. I could just tell you subsequent data shows that that was totally wrong. Uh, we have some of the highest cancer rates in the nation around this landfill where there is nuclear radiation and its uh components. Uh, I wanna make sure that we get that science corrected and that we're getting the health and relief that the people of Missouri need. So I'll follow up with you on that. Thank you, Mr. Chairman.

Sen. Cassidy (LA)2:11:05 – 2:11:10

Senator Hickenlooper who snuck in just before uh blunt Rochester would have started, you know.

Erica Schwartz (Witness)2:11:11 – 2:11:11

Yeah.

Sen. Cassidy (LA)2:11:17 – 2:11:18

Senator Bl- Rochester then.

Sen. Blunt Rochester (DE)2:11:19 – 2:13:48

Thank you so much, Senator Hickenlooper. Thank you to the Chairman and ranking member, uh to Doctor Swartz and to Mister Kaufman. Uh thank you for being here and to your families. Uh Doctor Swartz, uh in the last eighteen months, as we all know, the CDC uh has had a confirmed director for only twenty-nine days. Um, you are well qualified. But we've seen a lot of people who were qualified struggle um to succeed in this administration. And I'd like to understand your thinking on several CDC, um key CDC and administration actions, uh to just to help the committee gauge your judgment and independence. And we had a a a very good meeting in my office. Um And and it's really important as well because I it's my understanding while the uh administration put your name forward, this was not Secretary Kennedy's choice. So you're gonna have to work with with him uh in this these efforts. And I I heard I wanna follow up on Senator Alsibrook's questions about um when you were chief medical officer for the Coast Guard. We had a really good conversation about that as well, and just your success there, um how you did mandate that the new military recruits receive um the uh the adenovirus uh vaccine in cape may and that this actually brought down the number of cases to zero. Is my correct? Um and I was really impressed by that um but I also know that in april um secretary hegseth, our defense secretary, rolled back the flu vaccine mandate uh that had in been in place in the united states since world war two um and so i guess my first question is um it you know it was widely reported that the that uh unsurprisingly a major flu outbreak occurred at lakland air force base in texas um that prompted the pentagon to then restore the flu vaccine requirements for new military recruits um so my question is Would you have advised uh Secretary Hegseth against the decision to roll back the flu vaccine mandate for American troops, particularly as we talk about readiness for our troops?

Erica Schwartz (Witness)2:13:50 – 2:13:55

Uh, Senator, I I really don't like speaking in hypotheticals, but what I will tell you is

Sen. Blunt Rochester (DE)2:13:55 – 2:14:11

So let's not speak as a hypothetical. Let's say you let's you are actually in line to be the next CDC director. So you're gonna be thought of as a medical expert for this country. Would you advise that?

Erica Schwartz (Witness)2:14:12 – 2:14:40

So, Senator, I believe, as a board certified occupational medicine physician, I believe that vaccines are safe and effective. I have personally given thousands of vaccines to military members for forced health protection and readiness. Uh, I do understand that there are some concerns, specifically about influenza, uh, because it has the thirty five to fifty seven percent effect uh, season to season, so I can understand why certain individuals may have some concerns about mandating a vaccine, that is not

Sen. Blunt Rochester (DE)2:14:39 – 2:14:41

But is it good medicine?

Erica Schwartz (Witness)2:14:41 – 2:14:46

not, I, I believe personally that influenza saves lives, and vaccine saves lives.

Sen. Blunt Rochester (DE)2:14:46 – 2:14:47

Vaccine.

Erica Schwartz (Witness)2:14:46 – 2:14:54

Uh, but I can understand why there are some concerns about mandating a vaccine that has, you know, thirty-five to fifty-seven percent of effectiveness season to season.

Sen. Blunt Rochester (DE)2:14:55 – 2:15:29

I, I wanna shift also to the measles outbreak. Um, the CDC did not post a single message in twenty twenty five encouraging people to get vaccinated for measles even as we were in the midst of one of the biggest measles outbreaks in over two decades. Um, the CDC also halted the wild to mild flu vaccine campaign and dramatically scaled back its back to school vaccine education efforts. Um, will you publicly urge Americans to get vaccinated?

Erica Schwartz (Witness)2:15:30 – 2:15:50

Uh, uh, Senator, a- absolutely. I, I, I am, I am a, as I said, I'm an occupational medicine physician. I have been vaccinating people throughout my entire twenty-five year plus career in the uniformed services. I believe in vaccines, but I do also understand that there is a, there's a large swath of Americans who have some vaccine hesitancy concerns. And I wanna be at the CDC.

Sen. Blunt Rochester (DE)2:15:49 – 2:15:53

Would you w- would you reinstate the back to school vaccine, uh, campaign?

Erica Schwartz (Witness)2:15:54 – 2:16:07

So, Senator, what I would like to do is make sure that I understand. I would I would actually like to talk to the CDC career scientists to understand what the current resources are to see if that can be.

Sen. Blunt Rochester (DE)2:16:06 – 2:16:38

Cuz I only have fourteen seconds and it says Senator Moody here. So I'm gonna jump to, can I jump to my last question for without questions for the record? Um, in January, Doctor Oz, Doctor Bhattacharya and Doctor McCary presented a memo to then-acting CDC Director Jim O'Neill, recommending the US adopt a narrower childhood vaccine schedule, based primarily on a comparison with Denmark. Do you agree with the memo's recommendation to no longer universally recommend all seventeen vaccines?

Erica Schwartz (Witness)2:16:38 – 2:17:06

Senator, I agree with the President of the United States who asked HHS to take a look at that said memo, and to find out if those recommendations were sound, if they were not sound. So if I'm confirmed as a CDC director, you have my commitment to take a look at that said memo, to understand whether comparing to Denmark makes sense or doesn't make sense, whether the evidence suggests that those six vaccines, influenza, covid, hepatitis A, hepatitis B, meningococcal,

Sen. Blunt Rochester (DE)2:17:06 – 2:17:11

I my my time unfortunately my time has expired and I want to respect the committee.

Erica Schwartz (Witness)2:17:06 – 2:17:08

rhodevirus are

Sen. Blunt Rochester (DE)2:17:11 – 2:17:44

And I know that Senator Cassidy, we have talked about this issue of vaccines for a while, particularly comparing ourselves to Denmark, which is ridiculous. Um, and I I I I will share with you, while I think you are immensely qualified, i i'm very very concerned that even qualified people have either had to change their positions or quit and so um again i i i i i wish us all luck on our our public health at this moment um and i yield back mister chairman

Sen. Cassidy (LA)2:17:45 – 2:17:46

senator moody

Sen. Moody (FL)2:17:46 – 2:21:21

thank you mister chairman uh appreciate uh you being here today stepping up for important jobs and i guess Putting yourself through this process is no easy task. I'm sure the job will be, um, har- very hard. Maybe this is a good tryout for that. Um, but we appreciate you being here. Um, it's so important that we have great people, uh, in these roles. Um, it's important that, that we have, uh, public health authorities that not only are prepared for disasters and pandemics, but can execute on their responsibilities in accordance with the constitution. the first principle of government to protect people's rights. And, boy, did every most every government official forget that when COVID hit, and especially under the last administration, although you know, in Florida, we tried to make every decision and, uh, to promote the health, safety, welfare of people through the lens of how do we also protect people's rights? And I'm listening to some of the questioning today And I think it it's important that we talk about this because if you'll remember, there was a time when folks wanted to shut down, shut people up in their homes, shut down churches, shut down schools, shut down businesses. In fact, they shut down the cruise industry for almost a year and a half before I came in, and we litigated and pushed back legally. But they used the CDC. I think they used an old quarantine law from forever ago. You know, that's a big deal to a lot of people in Florida. of the nation's cruises leave out of Florida. It affects a lot of jobs. And I think that there is this new almost political insanity, especially in this kind of party that seems to be taking over the Democratic Party. Um. I mean, at one of their conventions, the Democratic Socialists, they call themselves, although they are an extreme authoritarian group, they want to control lives. Uh, they required masks. And this wasn't like during COVID. This was Just recently, if you took a shot, masks, social distancing, which by the way, when I was Attorney General, I led a grand jury investigation, which said that that was created out of thin air with no basis in science. A six foot rule, you had to have your COVID shot to go, oh, and you had to have your booster shot within the last twelve months. This was just to attend the convention. This is a party that says they promote their policies and their mandates an extreme central government control over every facet of your lives, over individual autonomy. And that should scare every American. I don't care where you are on vaccines. I think that is a sym- symbolic argument, and it is an important argument of in the nearest of circumstances where you should force someone or have a mandate on someone. You know, Florida led the litigation charge against manda mandatory vaccines. They wanted to tell you what you put in your body. And yes, I think making someone choose service and country over autonomy and and individual liberty, that is a discussion we need to have, and I hope you have good answers for that. Um But I ask you, do you believe it's the first principle of government? Government is set up and should be and should be set up to effectuate protection of individual liberties first and foremost. Yes or no? Is that why our country was established? Doc, Doctor Schwartz.

Erica Schwartz (Witness)2:21:22 – 2:21:30

Uh, thank you, Senator Moody, and thank you for meeting with me, and thank you for representing the great state of Florida. Uh, I absolutely, I agree with that contention.

Sen. Moody (FL)2:21:30 – 2:21:44

And do you believe in your service as CDC director that you are going to have to make important decisions regarding health, but at all times you will have to be mindful of individual liberty?

Erica Schwartz (Witness)2:21:44 – 2:21:49

I a- I absolutely, excuse me, I absolutely agree with that contention, yes.

Sen. Moody (FL)2:21:50 – 2:23:18

And I think what we are seeing now in terms of what the insanity uh on the other side of the aisle in terms of the things that they want to mandate and cram down the throats of Americans and how much control of America they want, we have to be asking every nominee what they believe the purpose of government is. Because we are confronting now people that believe America should be something that it wasn't meant to be. And we have to have good, strong, bold, courageous leaders taking on these jobs to understand the evolution of this country, the success of the country, and what it was built on and why it exists and why we have been so successful. So thank you for taking on these roles. I do wanna ask you really quick. There are Florida is home to more than ten thousand World Trade Center health program members. It's the largest population outside the New York metropolitan area. Um there's been no clinical center of excellence that exists in our state. Um, as you know, um, your agency will oversee and administer the World Trade Center health program, which, which provides health care for nine eleven related conditions. We want Congress has previously encouraged the CDC to look at creating a center outside New York. They haven't done so. I think this needs attention. We have such a large population. in Florida, thousands. I know it doesn't shock anyone, but a lot of people have moved to Florida from New York. Thousands of people. We could really be a site. I'd ask you to commit to examining that.

Erica Schwartz (Witness)2:23:18 – 2:23:21

Uh, yes, Senator. You have my my commitment to look into that.

Sen. Moody (FL)2:23:21 – 2:23:22

OK. Thank you so much.

Erica Schwartz (Witness)2:23:22 – 2:23:23

Thank you.

Sen. Cassidy (LA)2:23:24 – 2:23:26

This will be Senator Hickenlooper.

Sen. Hickenlooper (CO)2:23:28 – 2:23:49

Thank you, Mr. Chair. Um, Mr. Groffman, uh, as you know, last year the administration abruptly, uh, canceled twenty-two projects. rough justice about five hundred million dollars in research on the MRNA platform to address disease. Um, I've been led to believe that you supported the cancellation of the research funding.

Sean Kaufman (Witness)2:23:50 – 2:23:51

That is correct, Senator.

Sen. Hickenlooper (CO)2:23:51 – 2:24:28

And a few months ago there was major news showing that MR MRNA, the the the platform of MRNA could be a promising, perhaps the perhaps transformational treatment pathway for patients with pancreatic cancer, which I'm sure as you know, pancreatic cancer is probably one of the most deadly forms of of cancer. Less than thirteen percent of the of people that get it survive five years. So if MRNA, research like this is being canceled, how can we begin to make sure that such a promising pathway is being adequately investigated?

Sean Kaufman (Witness)2:24:29 – 2:25:18

Senator, thank you so much for the question. MRNA platforms are uh extremely promising. In fact, we're gonna need them. Uh, we're gonna need them to deal with the threats that are coming tomorrow. NIH currently is doing hundreds of millions of dollars of research in MRNA platforms for cancer just as you've discussed. The MRNA c- uh cancellations that occurred, those MRNA cancellations that occurred were for the development of new MRNA vaccines. And, and, and this is the issue that, this is the reason why I support that cancellation. I believe we have hundreds of millions of people that were vaccinated for the with the first ever mRNA platform, the COVID-nineteen uh vaccine. First ever. We have so much we can learn. How to improve it. Why did most people not have a problem? Why did some people have a problem?

Sen. Hickenlooper (CO)2:25:18 – 2:25:21

Was that why we stopped the research? If we had so much to learn?

Sean Kaufman (Witness)2:25:21 – 2:25:32

The research was development of new, like so new using new viruses. The research in my opinion should be redirected to learn what worked well with the mRNA platform and what didn't because it was the first interaction with human health.

Sen. Hickenlooper (CO)2:25:33 – 2:25:35

So that implies we can't do two things at once.

Sean Kaufman (Witness)2:25:36 – 2:25:51

It, well, it, I'm try, uh, Senator, I think it's about being efficient and, and, and fiscally responsible. Meaning, why would we invest in, in new vaccines that we could actually make better by simply asking questions of the population today? What worked well, what didn't?

Sen. Hickenlooper (CO)2:25:51 – 2:26:15

I just, when I hear those stories, and I hear of the PHD students who are in the process of of doing possibly lifesaving research into things that could solve pancreatic cancer, all of a sudden that's to be stopped. Because that's something that's looking forward to a future use, cuz we haven't sufficiently studied the past. I'm I'm incredulous.

Sean Kaufman (Witness)2:26:15 – 2:26:21

Those, the the the studies you're referring to, specific to pancreatic cancer, those have not been canceled. Those continued in IHT.

Sen. Hickenlooper (CO)2:26:21 – 2:26:30

Well, how do you decide which ones are gonna be canceled? As close as I could tell, you canceled twenty-two projects was, which was the vast majority, if not almost, everyone at that time that was going on.

Sen. Cassidy (LA)2:26:29 – 2:26:30

Yes.

Sen. Hickenlooper (CO)2:26:31 – 2:26:39

So, how do you, what's, what's the determination of which one turns out to be most life-threatening, most transform transformational?

Sean Kaufman (Witness)2:26:39 – 2:27:10

To, uh, to use the MRNA platform in the way that it's designed to use, which gives us unbelievable flexibility, if we ever face a threat that comes out like COVID that's so novel, we're, we're able to sequence it, we're able to then plug it into an MRNA platform and deliver it. Meaning, even though we may, uh, have, have slowed the research down in that arena right now, We still have the capability today, if we are hit with a novel threat, to plug and play like we did in Operation Warp Speed, which by the by by by by the way, was a phenomenal accomplishment at present.

Sen. Hickenlooper (CO)2:27:10 – 2:29:17

Phenomenal accomplishment, but I my argument would be that it took us three hundred days to get, you know, needles in the arm. Uh, we gotta get that, if we wanna avoid shutting down global economies, we need to get that down to a hundred days. And that's why that what that research was largely to begin looking at, how do we have an array ready to go, So if we do get one of these, as everyone predicts, we will have another pandemic related uh infection. I feel that we should be ready to go right then and get it. Our goal should be a hundred days, not three hundred days. Um, Doctor Schwartz, let me ask you, uh, in April twenty twenty five, nearly ninety percent of the staff at the National Institute for Occupational Safety and Health, uh, or as they call it, NIOSH, uh, ninety percent of the staff jobs were terminated by in that uh doge uh event i guess you call it a doge events like a land uh uh uh an earthquake um this resulted in the niosh uh office in denver completely shutdown for a period of time um these positions have been reinstated but as i understand it uh not every staff member has returned to work some of them got other jobs have gone in different places um you've spoken about your background in occupational safety and occupational health. Um, I've, uh, I trust that you do understand that, the importance there. Um, right now back in Colorado, our a lot of people are battling white wildfires. It's not just Colorado, but Arizona and New Mexico, uh, Utah, many of the western states. Um, our firefighters are on the front lines and they're requiring on p quite protective equipment do their jobs and NIOSH office, in Denver, um, at that time, and I think it's still the national headquarters of the wildland firefighting program which is doing everything it can to protect those, uh, firefighters. When we need firefighters more than ever, um, why was the target this office and this, you know, that part of the program when it seems like that should be a priority?

Erica Schwartz (Witness)2:29:20 – 2:29:40

Uh, Senator, it was great to meet you, and I just wanted to say for the record I did listen to Wagon Wheel. Great banjo playing, so thank thank you for the recommendation. Uh, Senator, I I I did not know about what you just described as happening in Denver. Uh, you have my commitment, if I am confirmed as a CDC director, to look into that with your staff and with the the folks at the CDC.

Sen. Hickenlooper (CO)2:29:40 – 2:29:52

Great, appreciate that. Um, now come back to Dr. Schro- uh, well, I'll stick with you, I guess. I was gonna come back to Mr. Kaufman, but I will stick with you, um, and talk a little bit about ACIP. Just Am I out of time already?

Sen. Cassidy (LA)2:29:52 – 2:29:52

Mm-hmm.

Sen. Hickenlooper (CO)2:29:53 – 2:29:56

Oh, I thought I still had a minute twenty five left.

Sen. Cassidy (LA)2:29:55 – 2:29:56

What's going on?

Sen. Hickenlooper (CO)2:29:56 – 2:30:00

I thought you'd reset to zero. Anyway, thank you both. I appreciate you being here.

Sen. Cassidy (LA)2:30:02 – 2:30:03

Silly remote.

Sen. Murray (WA)2:30:03 – 2:30:17

Th- thank you very much, Mr. Chairman. Thank you both for being here today and your patience through all of us today. Um, Dr. Schwartz, I I wanna start with you. Do you think it is the role of the federal government to be tracking outbreaks like cyclosporisis?

Erica Schwartz (Witness)2:30:20 – 2:30:38

Senator, thank you uh for scheduling a meeting with me uh and I hope to have a a very productive conversation with you next week. Uh, I absolutely believe that one of the core missions of the Centers for Disease Control and Prevention is tracking outbreaks domestically uh and and also internationally.

Sen. Murray (WA)2:30:38 – 2:31:39

Well, uh, I absolutely do think it is part of the critical role of it. Um, and for everybody back home, and I think everybody's starting to realize that there is a parasite spreading today. Um, likely through some fresh types of produce and in sending people to the hospital with which doctors are calling explosive diarrhea. And here's the thing. The CDC used to conduct surveillance on this very infection through a program called Foodnet. But in July of twenty-five, thanks to Trump, CDC made reporting on that illness optional. Now we are here a year later, and we're already seeing over seven thousand confirmed or under investigation cases and over a hundred hospitalizations with no single cause having yet been identified, and those numbers are growing every day. So, Doctor Schwartz, you are a physician, you are a public health expert. Is there any scientific or medical justification for CDC having eliminated mandatory reporting of that parasite?

Erica Schwartz (Witness)2:31:39 – 2:31:53

Senator, uh, this is the first I've heard of that. Uh, cyclospora, as you know, is is, uh, a terrible, terrible disease, uh, you, as you mentioned. watery explosive diarrhea, uh, it's uh something that you would not want anyone to experience.

Sen. Murray (WA)2:31:54 – 2:31:57

So you were not aware that this was canceled a year ago?

Erica Schwartz (Witness)2:31:54 – 2:31:58

Uh, I Uh, Senator, I was not aware of that.

Sen. Murray (WA)2:31:58 – 2:32:04

OK. If you are confirmed, do you commit to reinstating the required reporting for Cyclospora?

Erica Schwartz (Witness)2:32:04 – 2:32:14

Uh, you have my commitment to work with your staff and work with the CDC, uh, scientists to understand what can be done, why was it, why did it, why did it stop, and what can we do moving forward.

Sen. Murray (WA)2:32:14 – 2:33:10

Well, OK, it is the job of our public health agencies to catch up like this and to take action, and it's hard to do when you have removed the reporting requirement, or fired expert staff, or undermined trust in public health. So for the record, to me, RFK Junior and Trump's war on the CDC is now landing people in the hospital. Outbreaks happen, but we shouldn't need thousands of people to get severely ill before we reinstate programs uh and systems that were haphazardly canceled. So I want you to follow up. Um, even when you're confirmed. Now, I am a huge proponent of for vaccine research, which is why I too, as Senator Hickenlooper just asked you about, Mister Kaufman, about the cancelling the five hundred million in MRNA vaccine research through BARDA, which is the prepare they prepare our country for any kind of future, um, issues like we all know we've had now. Um,

Sean Kaufman (Witness)2:33:10 – 2:33:10

Mm.

Sen. Murray (WA)2:33:10 – 2:33:37

and last August they cancelled that, and we know that the MRNA technology has grown tremendously and provides new opportunities for biomedical research. You you said you agreed with the secretary's decision to eliminate that. Uh, I I am where Sen- Senator Hickenlooper is. I don't understand how you want more research, but cancelling it is OK. And I just wanted to be on the record you are fine with that being cancelled.

Sean Kaufman (Witness)2:33:37 – 2:33:41

Uh, Senator Murphy, I think it's a it's the type of research I'm sorry,

Sen. Murray (WA)2:33:39 – 2:33:40

Sorry, sorry.

Sean Kaufman (Witness)2:33:41 – 2:33:59

S- Senator Murray, I my apologies. Senator, I think it's the the type of research that we're looking at. I do believe that going back and learning about what we can improve and, and why things worked well and why things didn't, uh, is absolutely critical research. But the research that was canceled was, was actually investing in new, uh, platinum

Sen. Murray (WA)2:33:59 – 2:34:18

Correct, so that we would be able to be ready for the next COVID. And I think for all Americans, we've lived through that. We don't wanna live through it again. And I think we, we really need that kind of research. But, Doctor Schwartz, um, you're here too, so same question. Do you agree with the secretary's decision to cancel MRNA um research funding?

Erica Schwartz (Witness)2:34:19 – 2:34:33

Uh, Senator, this is the first time I'm actually hearing about this. Uh, as a private citizen I certainly was not following that. Uh, as we had discussed before, uh, MRNA technology is safe and effective, and I definitely would like to know more about, uh, the, this topic.

Sen. Murray (WA)2:34:33 – 2:35:45

OK, I'd like to ask you about that again, but, Mister Kaufman, you have said we need more research on who received the COVID-19 vaccine. Well, good news is that CDC was doing just that, but then in April, the CDC delayed and they ultimately blocked the release of a report that demonstrated that the COVID-19 vaccine was highly effective. And that study, which was individ- in- eventually independently published in JAMA, showed a fifty percent decrease in hospitalization from that vaccine. And just for the record, this is important to me. This type of Political interference is really deeply disturbing. It doesn't do anything to instill the trust that, um, you have talked about, Doctor Schwartz, in this committee in our public health agencies. Uh, so I know I am out of time. I see my chairman has been very patient with everybody. Um, I I just wanna ask you, Doctor Schwartz, this is critical and I know some of my colleagues have pointed to ask you this. If you are confirmed as CDC Director and Secretary Kennedy, asks you to commit in advance to approving every recommendation that ASIC makes in the future regardless of scientific evidence, will you do that?

Erica Schwartz (Witness)2:35:46 – 2:35:50

Uh, Senator, the secretary would never ask me to do that, and you have my commitment that

Sen. Murray (WA)2:35:49 – 2:36:08

Well, yeah, this is not hypothetical, as you have heard this happened with the previous, uh, uh, Susen Monaris who was in and fired and came back here and actually told us, um, that she was, uh, outed because of her scientific integrity. So this is not Not hypothetical, it's a critical answer.

Sen. Cassidy (LA)2:36:10 – 2:36:10

What?

Sen. Murray (WA)2:36:10 – 2:36:23

Uh, so I'd like to know. Um, will you, if you're confirmed, commit in advance to uh um approving every recommendation that ACIP makes in the future regardless of scientific evidence.

Erica Schwartz (Witness)2:36:24 – 2:36:26

You have my you have my commitment, Senator.

Sen. Murray (WA)2:36:26 – 2:36:35

If if this H- Secretary of Educa- Educat- Health and Education, he- um, Health asks you not uh not to, will you um defy him and

Erica Schwartz (Witness)2:36:37 – 2:36:40

I will follow the science wherever it leads, Senator, you have my commitment on that.

Sen. Murray (WA)2:36:40 – 2:36:40

Thank you.

Sen. Cassidy (LA)2:36:42 – 2:37:10

Uh, I I will take the Senator, the Chairman's prerogative and ask a few follow-ups. Um, Mr. Kaufman, um, we gotta restore trust. You were running for office for school board, you said you hated the CDC. Um, boy, that's a good way to undermine trust. And I mean that, you know, kind of tongue in cheek, but no, really. That undermines trust in CDC if you're running for office and telling people you hate the CDC. What do you, what do you, comment on that, please?

Sean Kaufman (Witness)2:37:10 – 2:38:27

Senator Cassidy, Chairman, thank you so much for the opportunity to address it. In fact, there have been many statements post and many statements pre where I have said that the CDC is um America's treasure. Uh, and it is, and it remains that way. In fact, I've been working there since November and I believe the staff of CDC are exceptional. When I was running for school board, i believed in three fundamentals that i wanna bring to asper as well i believe that they provide the best information all of it income not not incomplete not just the good news but also the bad news as well everything i believe that we empower people to make decisions we don't make it for them we empower people with that information to make decisions that are right for themselves and their families and then we serve no matter what decision is made whether people chose to get vaccinated or not vaccinated we serve them equally we don't deprive them we don't hurt them, we don't demonstrate a lack of compassion towards people's decisions surrounding public health and medical interventions. At the time that decision was made, it was in a height, with the greatest amount of sensitivity, during COVID-nineteen. I have since made numerous statements about CDC, where they remain the national treasure. And at that time, heightened sensitivity, I did not agree with what CDC leadership was doing. The CDC workforce has always been the most dedicated workforce I have ever seen and I would have to get more.

Sen. Cassidy (LA)2:38:26 – 2:39:31

Yes, let me move on. Thank you for that explanation. I am almost flummoxed that you would support more research on the development of MRNA type vaccines. Um, now you speak of the need to do research on the side effects, the adverse events, et cetera, but that would either be CDC or NIH doing that research. At ASPR, you're supposed to be ASPR, not you, but ASPR. is supposed to be supporting advanced research and the development of pandemic vaccines. And the MRNA vaccine, as Doctor Swartz just pointed out, is safe, effective. It is rapidly able to be adopted for a new biosecurity threat. If the Chinese fashion a designer vaccine and they release it upon the world, our biosecurity depends upon the ability to rapidly respond to it. And an MRNA vaccine is probably our most rapid way. Uh, you really don't wanna do research on that, man?

Sean Kaufman (Witness)2:39:32 – 2:39:37

Senator Cassidy, I I I would always love to promote research. We were talking about a decision.

Sen. Cassidy (LA)2:39:37 – 2:39:53

No, but on this in particular, on MRNA vaccine as a future pandemic vaccine, which I consider just like a cornerstone of our biosecurity uh um response. Doesn't mean we're gonna use the vaccine, but to say we're not gonna research it?

Sean Kaufman (Witness)2:39:53 – 2:40:03

I get I get accused uh by my by by my wife all the time of caring too much about the technical aspects and but but i'm stuck on a technical aspect and i hope you give me some time to to explain that

Sen. Cassidy (LA)2:40:03 – 2:40:04

you gotta be quick though cause you know

Sean Kaufman (Witness)2:40:04 – 2:40:05

not i i i apologize

Sen. Cassidy (LA)2:40:05 – 2:40:05

i gotta go vote

Sean Kaufman (Witness)2:40:06 – 2:40:26

the if there is ever anything that's new senator cassie that comes out this novel the mrna platform is there and it will be used the way it's been used in the past the the current research that was being proposed was taking existing strains of things we know about and rather than using tested and proven vaccine platforms like viral vectors and traditional platforms

Sen. Cassidy (LA)2:40:26 – 2:40:27

let me stop you there

Sean Kaufman (Witness)2:40:27 – 2:40:27

Yes, sir.

Sen. Cassidy (LA)2:40:28 – 2:40:52

During the COVID outbreak, it was the traditional viral vector that caused the thromboembolic disease. The MRNA was safer than the traditional, the traditional viral vector. Now, do we not do more research on the traditional viral vector type vaccine? Because no, it had thromboembolic disease and people were dying of strokes, et cetera.

Sean Kaufman (Witness)2:40:52 – 2:40:59

Senator Cassie, I, if I am confirmed. i will care tremendously about patient outcomes.

Sen. Cassidy (LA)2:40:59 – 2:41:12

i stopped though the question here is i i'm just again flabbergasted that you would support stopping research on mrna vaccines because of there were some adverse events

Sean Kaufman (Witness)2:41:12 – 2:41:12

oh

Sen. Cassidy (LA)2:41:12 – 2:41:16

i mean there's an adverse event from the leave i took this morning for my bad for my bad knee

Sean Kaufman (Witness)2:41:17 – 2:41:17

yeah

Sen. Cassidy (LA)2:41:17 – 2:41:45

but that doesn't mean that we don't do continued research in non-steroidal anti-inflammatory drugs and it doesn't mean that i'll continue to take them Uh, because the risk benefit ratio clearly favors the benefit. There's been multiple studies of research, multiple research recent since the COVID pandemic showing the risk benefit ratio, for example, for pregnant women, favors taking the immunization. So I'll go back to how do you defend not doing research on MRNA vaccines going forward?

Sean Kaufman (Witness)2:41:46 – 2:41:51

Uh, well, moving forward, I would love to do more research on MRNA vaccines if we're looking at

Sen. Cassidy (LA)2:41:51 – 2:42:04

But I'm talking about as to develop another vaccine, because CDC and NIH the type of research you were describing the kind of um retrospective of ok, let's do a longitudinal follow-up. You are this is not, this is again directly in your ballywick.

Sean Kaufman (Witness)2:42:04 – 2:42:05

It is, absolutely.

Sen. Cassidy (LA)2:42:05 – 2:42:15

You would be responsible for yes, I approve this or I don't approve this. And the fact that you're casting doubt upon it, obviously is concerning.

Sean Kaufman (Witness)2:42:15 – 2:42:35

I'm sorry, Senator. I I and and I I don't believe I am casting doubt. I want research. I want a better MRNA platform. But I believe we, before we proceed, we owe it to those who had issues, not just to those who benefited and, and did OK. We owe it to everyone to explore how we can make the MRNA platform more viable.

Sen. Cassidy (LA)2:42:34 – 2:42:39

But how do you do that without doing the research? I mean, that's the whole point of research,

Sean Kaufman (Witness)2:42:39 – 2:42:39

We.

Sen. Cassidy (LA)2:42:39 – 2:42:41

to determine how to do that more safely.

Sean Kaufman (Witness)2:42:41 – 2:42:49

The, the COVID-19 MRNA vaccine was the only MRNA platform in human health ever used. It was the first time it was ever used. I think we should be asking questions.

Sen. Cassidy (LA)2:42:48 – 2:44:09

Well, there, there were circumstances surrounding that. Um, let me go on. Um, you had mentioned in some place, yeah, a deleted LinkedIn post about an association in your mind between the birth hepatitis B dose and the increased onset of various things, and then saying that in the countries that had a birth dose, they had the highest rates of hepatitis B. Course, that was misleading. The reason they started the birth dose is cuz they had a high rate of hepatitis B being passed from mother to baby. And if you look at the age at which they begin to have Hepatitis B immunization at birth, there was no Hepatitis B after that. It was the kids who weren't, it was the people who were not vaccinated, both that had the burden of disease. So your LinkedIn post was either uninformed or deliberately misleading. But when Murkowski speaks about Alaska, they had endemic Hepatitis B in the Alaska Native population and it's only with the birth those that went away. Now again, if we're talking about restoring trust, and either misinformation or, I don't know what you're thinking, why would you say, why would you repeat those damn lies? Uh, because that destroys trust. And we don't start getting back to where we trust unless people speak the truth.

Sean Kaufman (Witness)2:44:10 – 2:44:10

Yeah.

Sen. Cassidy (LA)2:44:10 – 2:44:19

I'm sorry to be kind of worked up about this, but I have seen people die from these vaccine-preventable diseases, including hepatitis B, and you're gonna be one of the leaders in our response.

Sean Kaufman (Witness)2:44:20 – 2:44:20

Yeah.

Sen. Cassidy (LA)2:44:20 – 2:44:24

i can um respond to that please

Sean Kaufman (Witness)2:44:24 – 2:44:40

senator cassie for thirty years in public health whether i have been at a university teaching in classes or i was in trenton new jersey with the post employees post anthrax exposure i have promoted vaccines as a as a public health

Sen. Cassidy (LA)2:44:40 – 2:44:42

i'm speaking specifically about that linkedin post

Sean Kaufman (Witness)2:44:42 – 2:45:31

the the linkedin post that that was pulled down for multiple reasons i'm a i'm a gen xer i'm i'm i'm i'm my social media skills are not as good as as everyone is today but i saw that it was decisive that it was actually dividing people senator and i didn't want to divide people as a result of that post but that post did have a critical aspect within that post senator cassie i did say that i've always believed that vaccines are the gold standard of public health it's in that same post and that post that that individuals have misrepresented and mischaracterized that i had tied the infant dose to autism that's a mischaracterization i have simply said public health to the people, to take a look at why there's been such an increase in autism and allergies. And even though I mentioned it in the same article, I never tied it directly to the infant dose of hepatitis B.

Sen. Cassidy (LA)2:45:32 – 2:45:46

So, putting it in the same article, of course, makes a connection. And the critical thing is, and I ask this not to be, not to be anything but illuminat- uh, trying to illuminate. Do you understand the difference between causation and association?

Sean Kaufman (Witness)2:45:46 – 2:45:48

One hundred percent, Senator.

Sen. Cassidy (LA)2:45:48 – 2:46:32

So, just because there is an increase of something when something begins to get done. I once vaccinated a young lady for hepatitis B. She subsequently got pregnant. There's no biological way in which the immunization caused her pregnancy. That's pretty well established how she got pregnant. And so, to establish an association and to imply, because it's in the same article, uh, and I think it would be disingenuous to suggest it wasn't an attempt to imply, uh, is, um, um, United States began recommending hepatitis B immunizations for infants of ninety one. Can you guess at which age most children are diagnosed with autism? Five years old. If you add five years to nineteen ninety one, you'll notice a sharp increase in autism rates around that time. Now, that looks like it's trying to establish a connection.

Sean Kaufman (Witness)2:46:34 – 2:47:06

Senator Cassidy, I uh uh I again believe in vaccines, I believe in the infant dose of hepatitis B, my children are vaccinated. I believe hepatitis B, I believe vaccines uh have eradicated smallpox and change the face of polio. And, uh, Senator Cassidy, I, I mean, I, I know what I wrote. I, I know what I did. I believe that autism and, uh, allergies in this country have significantly increased. I believe we owe it to the general public to explore and identify why. Vaccines are safe and effective, and do not have a direct

Sen. Cassidy (LA)2:47:05 – 2:47:34

So if you're elected, if you're, if you're approved to this job. Would you advocate for changing back to our previous topic? research for the use of the MRNA platform to develop, to see its potential, not to foreordain a conclusion, but to see its potential in fighting future respiratory viruses or any other type of illness for which it could be potentially applied.

Sean Kaufman (Witness)2:47:34 – 2:47:44

Senator Cassie, if I am confirmed, I will fight for the very best MRNA platform, vaccine strategy, For all Americans, should we face.

Sen. Cassidy (LA)2:47:44 – 2:47:46

That's not the same answer.

Sean Kaufman (Witness)2:47:46 – 2:47:50

I will fight for research, Senator Kennedy. Or Cassidy, sorry.

Sen. Cassidy (LA)2:47:50 – 2:49:01

Doctor Schwartz, one last question, then we'll wrap it up, and thank you both for your patience. I have a sense that you are way overprepped for this. Because in our conversation we spoke as two doctors. And here I spoke as, I I felt like you were always trying not to answer my question. Um, which was disappointing. Um. So, I could, if you don't know that, if you don't know that Kennedy asked Menares to approve blanket ACIP recommendations, then they didn't prep you on that. Cuz that's public knowledge. Now, he may dispute it, but that's public knowledge. And to claim that's a theoretical does a disservice to you. It really is. Um, um, and I'm here personally liking you, but feeling as if I'm having to represent the public health of the United States of America, so that it's not taken over by people who are ideologically inclined and looking to file a lawsuit, not looking to prevent disease. Um, so have you ever fired someone before?

Erica Schwartz (Witness)2:49:04 – 2:49:05

I have. I have, Chairman.

Sen. Cassidy (LA)2:49:05 – 2:49:14

And have you stood up to a senior, to someone in charge of you, and told them that you were wrong, that they were wrong, and that you would not carry out that order?

Erica Schwartz (Witness)2:49:14 – 2:50:29

Uh, as very specific example, Coast Guard wanted to transition from a paper health record system to an electronic health record system. My leadership asked me specifically what my recommendations were. It made sense to go with DOD. DOD was having a huge modernization with their EHR. Uh, not only that, it would save the the coast guard tremendous amounts of money. Not only that, we would be part of a broader ecosystem, our our beneficiaries, coast guard beneficiaries and our active duty members were using the DOD MTF ecosystem. I made that recommendation uh very clear to my leadership. My leadership said thank you for your recommendation and said we're gonna go ahead and build our own instance of an EHR. Several years later, sixty million taxpayer dollars later, they still did not have their own instance of an EHR. They looked to me and said, " Doc Schwartz, what was it that you recommended again?" And I said, " We should be going with the DOD EHR." I said many but sirs and but ma'ams throughout that five year, six year period as they were trying to create their own instance of an EHR. I was ignored. Uh, and uh, guess what? To this day, the Coast Guard is using the DOD EHR, per my recommendation. But there was a period of time where my recommendations were not listened to.

Sen. Cassidy (LA)2:50:25 – 2:50:25

So

Erica Schwartz (Witness)2:50:30 – 2:50:40

I respected the chain of command. I disagreed in private. But I, I certainly have had many instances where, like that, where my recommendations were ignored by the policymakers.

Sen. Cassidy (LA)2:50:41 – 2:51:17

It's a little bit of a different scenario than what I gave you. If you're presented with the absurdity to believe that the demographics of the United States are similar to those of Denmark, and there were, therefore we should adopt Denmark's type of recommendations, versus the knowledge that in the United States our demographics are our demographics are quite different. Uh, would you just carry out the order? Because you'll be at the place you'll be at the place where the rubber hits the road. Um, and this is not a theoretical, because we hear this coming down. But anyone that knows an iota of our demographics knows we are not Denmark.

Erica Schwartz (Witness)2:51:17 – 2:51:49

Uh, Chairman, you are a physician, I'm a physician, and you know exactly when you've had a question about something, some issue, whether it was something with hepatology, you didn't just look at American-based studies. You looked at something, some, some studies that were in other countries. You yourself hey listen, we are different. The demographics are different. My recommendation is not that we go with the, the Denmark study. What I was trying to say was this, the president asked the secretary, take a look, do a double-click. Maybe there's nothing there. Maybe there's something there.

Sen. Cassidy (LA)2:51:49 – 2:52:47

Of course, that's not my question. My question is, if a recommendation was to ma was made to implement a system which is not appropriate for the US demographics. One example. Alaska natives have a high incidence of mother to baby transmission of Hepatitis B. Denmark doesn't have that. We are different than Denmark. And so they said in Denmark they don't do it, we're not gonna do it. What do you think? I mean it couldn't just be I'm gonna take the order and execute it even if I disagree. It has to be something firmer. Stop. No. Timeout. This is wrong. Doc- Doctor Menares did that. And I think she will go down in history with great credit, even though I suspect she's being harassed. But that's the courage it takes to lead the CDC. So my question to you in that situation, would you just accept ACIP recommendations, even if they were attempting to adopt a system not appropriate for our country?

Erica Schwartz (Witness)2:52:48 – 2:53:24

Chairman, I would never, ever accept ACIP recommendations without doing a a deep dive into what those recommendations are or were. I would work with these career scientists at the CDC. I would work with Doctor Jennifer Schufert, who's the Chief Medical Officer at the CDC. We would look at the evidence. Where are they getting the evidence? Is it, is it, are these randomized controlled trials, are these cohort studies, are these test negative design studies? We would make sure we understood the weight of the evidence that they used to make those recommendations. And if the weight of the evidence isn't there, or if the science is, is, is questionable, uh, you have my, you have my, uh, commitment that I would not, at all, ever agree to those recommendations.

Sen. Cassidy (LA)2:53:26 – 2:53:43

Thank you. Thank you. Uh, do we have my script? Thank you again for both being here. It's been a long meeting, so thank you. For members wishing to ask questions for the record, those are due five PM tomorrow, July sixteenth. We stand adjourned.

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