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Centers for Disease Control and Prevention Wiki2Web Clarity Challenge

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Study Guide: The Centers for Disease Control and Prevention (CDC): History, Operations, and Challenges

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The Centers for Disease Control and Prevention (CDC): History, Operations, and Challenges Study Guide

Founding and Early Mission (1946-1960s)

The Centers for Disease Control and Prevention (CDC) was established in 1946 primarily to combat infectious diseases like influenza and polio.

Answer: False

Explanation: The CDC was established in 1946 as the Communicable Disease Center, with its primary initial focus being the control and eradication of malaria, not influenza or polio.

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Atlanta was chosen as the CDC's headquarters because it was the most populous city in the Southern United States at the time of the agency's founding.

Answer: False

Explanation: Atlanta was chosen as the CDC's headquarters due to its relevance to the agency's initial focus on malaria control, not because it was the most populous city in the Southern United States.

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The Rockefeller Foundation played a role in the CDC's early development by transitioning its own malaria control efforts to governmental bodies.

Answer: True

Explanation: The Rockefeller Foundation supported malaria control initiatives and collaborated with emerging public health agencies, facilitating the transition of its efforts to governmental bodies, which influenced the CDC's early work.

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Robert W. Woodruff provided funds for the CDC to purchase land for its future headquarters due to his interest in disease prevention.

Answer: True

Explanation: Robert W. Woodruff's contribution included providing funds for the CDC's land acquisition for its headquarters, motivated by his interest in disease prevention.

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What was the primary initial focus of the CDC upon its establishment in 1946?

Answer: Eradicating malaria

Explanation: Upon its establishment in 1946, the CDC's primary initial focus was the control and eradication of malaria.

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Which U.S. city was chosen as the headquarters for the CDC due to its relevance to the agency's initial focus?

Answer: Atlanta

Explanation: Atlanta was selected as the CDC's headquarters due to its geographical relevance to the agency's initial focus on malaria control.

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Robert W. Woodruff's contribution to the CDC involved:

Answer: Providing funds for the acquisition of land for the CDC headquarters.

Explanation: Robert W. Woodruff's contribution involved providing funds for the acquisition of land for the CDC headquarters.

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Expansion of Scope and Structure (1960s-1990s)

The Epidemic Intelligence Service (EIS) was created in 1951 primarily to address concerns about potential biological warfare during the Vietnam War.

Answer: False

Explanation: The Epidemic Intelligence Service (EIS) was created in 1951 due to concerns about potential biological warfare during the Korean War, not the Vietnam War.

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The CDC's mission has remained focused solely on infectious diseases since its establishment.

Answer: False

Explanation: The CDC's mission has expanded significantly beyond infectious diseases to include areas such as injuries, environmental health threats, and workplace hazards.

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The CDC was known as the 'Center for Disease Control' before it was renamed 'Centers for Disease Control and Prevention' in 1992.

Answer: True

Explanation: The agency was known as the Center for Disease Control before its name was officially updated to Centers for Disease Control and Prevention in 1992.

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The National Center for Injury Prevention and Control was established in 1992 and faced opposition from gun rights organizations due to its research on firearm deaths.

Answer: True

Explanation: Established in 1992, the National Center for Injury Prevention and Control's research on firearm deaths generated opposition from gun rights organizations.

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The National Institute for Occupational Safety and Health (NIOSH) was originally founded within the CDC in 1973.

Answer: False

Explanation: The National Institute for Occupational Safety and Health (NIOSH) was absorbed by the CDC in 1973, rather than being originally founded within it.

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During the 2014 Ebola outbreak, Congress allocated $30 million towards the CDC's efforts to combat the virus.

Answer: True

Explanation: During the 2014 Ebola outbreak, Congress allocated $30 million to support the CDC's efforts in combating the virus.

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The National Center for Injury Prevention and Control focuses solely on preventing unintentional injuries like car accidents.

Answer: False

Explanation: The National Center for Injury Prevention and Control addresses a broader scope than just unintentional injuries like car accidents, also focusing on violence prevention.

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The CDC's focus expanded in the 1960s and 1970s to include sexually transmitted diseases and immunization programs.

Answer: True

Explanation: During the 1960s and 1970s, the CDC broadened its focus to encompass areas such as sexually transmitted diseases and immunization programs.

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The Epidemic Intelligence Service (EIS) was established in 1951 primarily due to concerns related to:

Answer: Potential biological warfare during the Korean War

Explanation: The Epidemic Intelligence Service (EIS) was established in 1951 primarily due to concerns regarding potential biological warfare during the Korean War.

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Which of the following is NOT mentioned as an area the CDC's mission expanded to include beyond infectious diseases?

Answer: Space exploration safety

Explanation: While the CDC's mission expanded to include injuries, environmental health threats, and workplace hazards, space exploration safety is not mentioned as an area of expansion.

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What was the CDC's role during the 2014 Ebola outbreak in West Africa?

Answer: It coordinated the return of infected aid workers for specialized treatment.

Explanation: During the 2014 Ebola outbreak, the CDC coordinated the return of infected aid workers for specialized treatment.

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The National Center for Injury Prevention and Control aims to identify causes of injuries and develop methods for their:

Answer: Prevention

Explanation: The National Center for Injury Prevention and Control aims to identify causes of injuries and develop methods for their prevention.

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Which of the following programs was established by the CDC in 1963?

Answer: Immunization program

Explanation: The CDC established an immunization program in 1963.

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Key Programs, Publications, and Data Systems

The Public Health Associate Program (PHAP) is a short-term internship for graduate students focusing on research methodology.

Answer: False

Explanation: The Public Health Associate Program (PHAP) is a two-year paid fellowship for recent college graduates, not a short-term internship for graduate students focused solely on research methodology.

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The CDC manages the Behavioral Risk Factor Surveillance System (BRFSS) and the Pregnancy Risk Assessment Monitoring System (PRAMS).

Answer: True

Explanation: The CDC is responsible for managing key public health surveillance systems, including the Behavioral Risk Factor Surveillance System (BRFSS) and the Pregnancy Risk Assessment Monitoring System (PRAMS).

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The CDC's 'yellow book' provides guidance for international travelers on vaccine recommendations and destination-specific health risks.

Answer: True

Explanation: The CDC's publication known as the 'yellow book' offers guidance for international travelers concerning vaccine recommendations and health risks specific to their destinations.

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The Vaccine Adverse Event Reporting System (VAERS) is solely managed by the Food and Drug Administration (FDA).

Answer: False

Explanation: The Vaccine Adverse Event Reporting System (VAERS) is jointly managed by the CDC and the Food and Drug Administration (FDA), not solely by the FDA.

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The Morbidity and Mortality Weekly Report (MMWR) is one of the key publications produced by the CDC.

Answer: True

Explanation: The Morbidity and Mortality Weekly Report (MMWR) is recognized as one of the principal publications issued by the CDC.

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The CDC combats antibiotic resistance through its 'National Action Plan for Combating Antibiotic Resistant Bacteria,' which includes developing the Antibiotic Resistance Lab Network.

Answer: True

Explanation: The CDC addresses antibiotic resistance via its 'National Action Plan for Combating Antibiotic Resistant Bacteria,' which involves the development of the Antibiotic Resistance Lab Network.

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The CDC's 'yellow book' is updated annually to reflect the latest travel health guidelines.

Answer: False

Explanation: The CDC's 'yellow book,' officially titled 'CDC Health Information for International Travel,' is updated every two years, not annually.

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The Vaccine Safety Datalink (VSD) project allows the CDC to share data related to vaccine safety with healthcare organizations.

Answer: True

Explanation: The Vaccine Safety Datalink (VSD) project enables the CDC to share vaccine safety data with collaborating healthcare organizations.

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The Division of Select Agents and Toxins manages the Federal Select Agent Program (FSAP) in conjunction with the Department of Agriculture.

Answer: True

Explanation: The Division of Select Agents and Toxins manages the Federal Select Agent Program (FSAP) in collaboration with the Department of Agriculture.

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What is the primary function of the Public Health Associate Program (PHAP)?

Answer: To provide a two-year paid fellowship for recent college graduates in public health settings.

Explanation: The primary function of the Public Health Associate Program (PHAP) is to provide a two-year paid fellowship for recent college graduates working in public health settings.

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Which of the following is a key dataset managed by the CDC for tracking health behaviors?

Answer: Behavioral Risk Factor Surveillance System (BRFSS)

Explanation: The Behavioral Risk Factor Surveillance System (BRFSS) is a key dataset managed by the CDC for tracking health behaviors.

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What is the official title of the CDC's travel health publication commonly known as the 'yellow book'?

Answer: CDC Health Information for International Travel

Explanation: The official title of the CDC's travel health publication commonly known as the 'yellow book' is 'CDC Health Information for International Travel'.

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The CDC utilizes the Vaccine Safety Datalink (VSD) project to:

Answer: Share vaccine safety data with healthcare organizations.

Explanation: The CDC utilizes the Vaccine Safety Datalink (VSD) project to share data related to vaccine safety with healthcare organizations.

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What is the function of the Division of Select Agents and Toxins regarding dangerous pathogens?

Answer: To regulate and oversee laboratories working with select agents and toxins.

Explanation: The Division of Select Agents and Toxins functions to regulate and oversee laboratories that work with select agents and toxins.

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Organizational Structure, Operations, and Workforce

The CDC is organized into Centers, Institutes, and Offices (CIOs), with its main campuses located exclusively within the city of Atlanta.

Answer: False

Explanation: While the CDC is organized into Centers, Institutes, and Offices (CIOs), its main campuses are located in the Atlanta metropolitan area, but not exclusively within the city of Atlanta itself (e.g., Lawrenceville campus).

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Building 18 of the CDC's Roybal Campus houses one of the premier Biosafety Level 4 (BSL-4) laboratories in the United States.

Answer: True

Explanation: Building 18 on the CDC's Roybal Campus is recognized for housing one of the United States' premier Biosafety Level 4 (BSL-4) laboratories.

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The CDC's annual budget for Fiscal Year 2024 was approximately $1.5 billion.

Answer: False

Explanation: The CDC's reported annual budget for Fiscal Year 2024 was $11.581 billion, not approximately $1.5 billion.

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The CDC workforce includes professionals such as epidemiologists, physicians, and statisticians, but not engineers or entomologists.

Answer: False

Explanation: The CDC workforce encompasses a broad range of professionals, including engineers and entomologists, in addition to epidemiologists, physicians, and statisticians.

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The CDC Foundation is an official governmental branch responsible for direct CDC operations.

Answer: False

Explanation: The CDC Foundation is an independent, private, nonprofit organization established to support the CDC's mission, rather than an official governmental branch.

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The CDC's Biosafety Level 4 (BSL-4) laboratories are equipped to handle highly dangerous pathogens that pose a high risk of aerosol transmission.

Answer: True

Explanation: The CDC's Biosafety Level 4 (BSL-4) laboratories are specifically designed and equipped to manage highly dangerous pathogens with a significant risk of aerosol transmission.

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The CDC's 'State of CDC' report details the agency's budget, workforce, and operational priorities.

Answer: True

Explanation: The 'State of CDC' report provides comprehensive details regarding the agency's budget, workforce composition, and key operational priorities.

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Which of the following is NOT mentioned as one of the main CDC campuses mentioned in the source?

Answer: Clifton Road Campus

Explanation: The source identifies the Chamblee Campus, Roybal Campus, and Lawrenceville Campus as primary campuses. While the Roybal Campus was formerly known as the Clifton Road Campus, Clifton Road is not listed as a current primary campus name.

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What is the significance of Building 18 at the CDC's Roybal Campus?

Answer: It contains one of the premier Biosafety Level 4 (BSL-4) laboratories.

Explanation: Building 18 at the CDC's Roybal Campus is significant because it houses one of the premier Biosafety Level 4 (BSL-4) laboratories in the United States.

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What was the CDC's annual budget for Fiscal Year 2024?

Answer: $11.581 billion

Explanation: The CDC's annual budget for Fiscal Year 2024 was $11.581 billion.

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Which of the following is NOT listed as a type of professional constituting the CDC workforce?

Answer: Urban planners

Explanation: The CDC workforce includes professionals such as entomologists, toxicologists, medical technologists, but not urban planners.

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What does the CDC's 'State of CDC' report primarily provide?

Answer: An overview of the agency's activities, budget, and workforce.

Explanation: The CDC's 'State of CDC' report primarily provides an overview of the agency's activities, budget, and workforce.

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Historical Controversies and Ethical Considerations

The Tuskegee syphilis experiment was a study conducted by the CDC involving the observation of untreated syphilis in Black men without their informed consent.

Answer: False

Explanation: The Tuskegee syphilis experiment was inherited by the CDC from the U.S. Public Health Service. The study began in 1932 and concluded in 1972, meaning it was not solely conducted by the CDC, which was established in 1946.

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The Dickey Amendment, enacted in 1996, prohibited the CDC from using any funds for research related to gun violence prevention.

Answer: False

Explanation: The Dickey Amendment restricted the CDC's use of funds for advocating or promoting gun control, thereby significantly reducing funding for gun violence prevention research, rather than prohibiting all such research.

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What significant ethical issue did the CDC inherit from its predecessor agency?

Answer: The Tuskegee syphilis experiment

Explanation: The CDC inherited the significant ethical issue of the Tuskegee syphilis experiment from the U.S. Public Health Service.

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What was the impact of the Dickey Amendment on CDC research funding?

Answer: It restricted the use of funds to advocate or promote gun control, significantly reducing gun violence research funding.

Explanation: The Dickey Amendment restricted the CDC's use of funds for advocating or promoting gun control, leading to a significant reduction in gun violence research funding.

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Modern Challenges, Political Influence, and Reforms

The CDC's 'Preparedness 101: Zombie Apocalypse' campaign was designed to encourage public preparedness for various emergencies by using a popular culture theme.

Answer: True

Explanation: The 'Preparedness 101: Zombie Apocalypse' campaign utilized a popular culture theme to engage the public and promote preparedness for a range of real-world emergencies.

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During the COVID-19 pandemic, the CDC was praised for its flawless testing protocols and transparent communication.

Answer: False

Explanation: During the COVID-19 pandemic, the CDC faced criticism for issues including flawed testing protocols and challenges in transparent communication.

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The Trump administration reportedly pressured the CDC to alter scientific reports related to COVID-19 to align with the President's public statements.

Answer: True

Explanation: Reports indicate that the Trump administration exerted pressure on the CDC to modify scientific reports concerning COVID-19, aiming to align them with the President's public statements.

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The politicization of the CDC during the COVID-19 pandemic led to an increase in public trust in the agency.

Answer: False

Explanation: The perceived politicization of the CDC during the COVID-19 pandemic resulted in a significant decline in public trust, contrary to an increase.

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In August 2022, CDC Director Rochelle Walensky announced plans to maintain the agency's existing structure and communication strategies.

Answer: False

Explanation: In August 2022, CDC Director Rochelle Walensky announced plans for a significant overhaul of the agency, acknowledging shortcomings in its pandemic response and aiming to improve its structure and communication strategies.

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During the second Trump administration, the CDC was reportedly ordered to cease collaboration with the World Health Organization (WHO).

Answer: True

Explanation: During the second Trump administration, the CDC reportedly received orders to discontinue collaboration with the World Health Organization (WHO).

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In early 2025, CDC scientists were reportedly ordered to retract research using terms related to climate change and DEI.

Answer: True

Explanation: In early 2025, CDC scientists reportedly faced directives to retract research that included terms associated with climate change and Diversity, Equity, and Inclusion (DEI).

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Mass layoffs and program dismantling at the CDC in 2025 were attributed to budget cuts and an administration agenda.

Answer: True

Explanation: Mass layoffs and the dismantling of various programs at the CDC in 2025 were reportedly linked to budget reductions and the implementation of an administration's agenda.

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The perpetrator of the 2025 CDC headquarters shooting was motivated by a belief that the COVID-19 vaccine caused depression and suicidal thoughts.

Answer: True

Explanation: The individual responsible for the 2025 CDC headquarters shooting was reportedly motivated by a belief that the COVID-19 vaccine induced depression and suicidal ideation.

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As of January 2025, the Director of the CDC position requires Senate confirmation.

Answer: True

Explanation: As of January 20, 2025, the position of Director of the CDC requires confirmation by the Senate, a change enacted through the Consolidated Appropriations Act of 2023.

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The CDC's handling of the COVID-19 pandemic led to a significant increase in public trust, according to polls.

Answer: False

Explanation: Polls indicated a significant decline in public trust in the CDC following its handling of the COVID-19 pandemic.

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The CDC's 'Preparedness 101: Zombie Apocalypse' campaign aimed to:

Answer: Educate the public on preparedness for various real-world emergencies.

Explanation: The 'Preparedness 101: Zombie Apocalypse' campaign was designed to educate the public on preparedness for various real-world emergencies by using a relatable, albeit fictional, scenario.

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Which of the following was a major criticism leveled against the CDC's handling of the COVID-19 pandemic?

Answer: Faulty initial test kits and data management issues

Explanation: Major criticisms of the CDC's COVID-19 response included issues with the initial test kits and data management.

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Reports suggest that the Trump administration attempted to influence CDC reporting during the COVID-19 pandemic by:

Answer: Pressuring for the suppression or alteration of scientific reports.

Explanation: Reports indicate that the Trump administration attempted to influence CDC reporting during the COVID-19 pandemic by pressuring for the suppression or alteration of scientific reports.

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What was the consequence of the perceived political interference and pressure on the CDC during the COVID-19 pandemic?

Answer: A significant decline in public trust.

Explanation: The perceived political interference and pressure on the CDC during the COVID-19 pandemic resulted in a significant decline in public trust.

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CDC Director Rochelle Walensky announced plans in August 2022 to overhaul the agency primarily to:

Answer: Improve response times and data communication.

Explanation: In August 2022, CDC Director Rochelle Walensky announced plans to overhaul the agency primarily to improve response times and data communication.

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Which of the following actions was reportedly taken by the second Trump administration impacting the CDC?

Answer: Ordered staff to cease collaboration with the WHO.

Explanation: During the second Trump administration, the CDC was reportedly ordered to cease collaboration with the World Health Organization (WHO).

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What was a reported consequence of the directive for CDC scientists to retract research using specific terms in early 2025?

Answer: Criticism of censorship and impact on research scope.

Explanation: A reported consequence of the directive for CDC scientists to retract research using specific terms in early 2025 was criticism regarding censorship and its impact on the scope of research.

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What was the reported motivation behind the 2025 CDC headquarters shooting?

Answer: Distrust in vaccines, specifically the COVID-19 vaccine.

Explanation: The reported motivation behind the 2025 CDC headquarters shooting was distrust in vaccines, particularly the COVID-19 vaccine.

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What change regarding the CDC Director position was implemented through the Consolidated Appropriations Act of 2023?

Answer: The position requires Senate confirmation.

Explanation: The Consolidated Appropriations Act of 2023 mandated that the position of CDC Director requires Senate confirmation.

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How did the CDC's handling of the COVID-19 pandemic affect its public trust?

Answer: Public trust significantly declined due to perceived missteps.

Explanation: The CDC's handling of the COVID-19 pandemic led to a significant decline in public trust due to perceived missteps.

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Global Health Engagement

The CDC collaborates with international organizations like the WHO to address global health challenges and contain disease threats.

Answer: True

Explanation: The CDC actively collaborates with international organizations, such as the World Health Organization (WHO), to address global health challenges and contain disease threats.

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The CDC's collaboration with the WHO includes initiatives like the Global Disease Detection Program (GDD).

Answer: True

Explanation: The CDC's collaborative efforts with the World Health Organization (WHO) encompass initiatives such as the Global Disease Detection Program (GDD).

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How does the CDC collaborate with international bodies to address global health challenges?

Answer: By implementing the International Health Regulations (IHR) and partnering with organizations like the WHO.

Explanation: The CDC collaborates with international bodies by implementing the International Health Regulations (IHR) and partnering with organizations such as the WHO to address global health challenges.

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