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 |
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.