Figure A

The Trump administration is gutting U.S. public health infrastructure, reducing HHS staff by 20,000: Approximate HHS staff reductions by "Fork in the Road" initiative and division

Division Approximate Reductions
“Fork in the Road” 10,000
FDA 3,500
CDC 2,400
NIH 1,200
NIOSH 875
CMS 300
Other 1,725
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Economic Policy Institute

Source: Department of Health and Human Services, "Fact Sheet: HHS' Transformation to Make America Healthy Again", Accessed April 2025. US News, "Major Job Cuts at NIOSH Pose Risks to Worker Safety, Critics Warn", April 1, 2025. 

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