Welcome to this week’s Pandora Report! 🍂 This issue unprecedented workforce disruptions at the CDC, as mass layoffs and leadership changes raises questions about ‘America’s first’ public health readiness; a deeper dive into the global fallout of U.S. foreign health aid cuts; and a look at the new biotech and AI race, where China’s rapid rise and fragile U.S. supply chains expose risks for both national security and innovation.
Thinking About Graduate Study in Biodefense?
The Schar School of Policy and Government has several upcoming recruitment events, including one for prospective PhD students:
🔗 See all upcoming events here.
☕ Plus: Regional coffee chats with faculty and admissions staff across Maryland, Virginia, and DC. Learn more here.
💡 Tuition Benefit: Master’s and certificate students living in Maryland and DC quality for in-state tuition rates. Learn more and register here.
CDC in Crisis: Mass Layoffs, Leadership Turmoil, and Vaccine Controversy
By Carmen Shaw, Co-Managing Editor
Wired said it best: “A Quarter of the CDC Is Gone.”
Following multiple rounds of mass firings, partial reversals, and several terminations still pending legal review, the union representing the employees at the U.S. Centers for Disease Control and Prevention (CDC) estimates that roughly 3,000 of its 13,000 staff received RIF (reduction-in-force) notices this year. Many of these affected worked on chronic disease prevention, nutrition and health initiatives, or handled state requests to investigate overdose and drowning deaths. Others were mental health professionals who supported staff after the August shooting at CDC headquarters in Atlanta.
Officials warn that these layoffs have left the CDC dangerously unprepared to protect Americans’ health and safety. “The CDC cannot protect all of us in the U.S. if they continue to have staff and resource cuts,” said Debra Houry, the former Chief Medical Officer.
The leadership turmoil doesn’t end there. In recent weeks, former acting CDC Director, Richard Besser, called the cuts “absolutely heartbreaking” and criticized current acting Director Jim O’Neill’s proposal to split the measles, mumps, and rubella (MMR) vaccine into three separate shots – despite O’Neill’s lack of public health or scientific training. The proposal has raised alarms from health experts, who warn that dividing the vaccine into multiple doses would increase the number of health care visits needed; reduce access to the vaccines; and lower overall vaccination rates.
Current CDC employees also missed IDWeek, the nation’s largest infectious disease conference – amid a recent uptick in measles and whooping cough cases across the U.S. During the conference, the New England Journal of Medicine (NEJM) and the Centers of Infectious Disease Research and Policy (CIDRAP) announced a new collaboration to fill gaps in federal public health communication. Together, they plan to publish “public health alerts” in the coming month, serving as an alternative to CDC’s paused Morbidity and Mortality Weekly Report (MMWR) – often referred to as “the voice of the CDC.”
Broader Impacts Across Health and Security Agencies in the U.S.
The CDC is not the only federal agency reeling from disruptions. The Centers for Medicare and Medicaid Services (CMS) has faced furloughs and staffing cuts – just days before the start of open enrollment. CMS later confirmed that workers would return on Oct. 27, noting that the agency would cover user operation fees as the federal government shutdown enters its fourth week.
Meanwhile, the National Nuclear Security Administration (NNSA) – responsible for overseeing the U.S. nuclear stockpile – furloughed 1,400 employees on Monday as part of the ongoing shutdown, with fewer than 400 remaining to safeguard the stockpile. Earlier this year, the Trump administration also fired hundreds of NNSA employees, before reversing the decision following criticism of jeopardizing national security.
Further Reading:
- “Local Health Leaders Rebuke Federal Vaccine Policy,” Joseph Choi, The Hill
The Fallout of U.S. Aid Cuts: Threats to Global Health
Global health leaders are sounding the alarm over a fractured aid system and declining U.S. support. At the World Health Summit in Berlin last week, executives from major institutions – including the Global Fund, Gavi, and the World Health Organization (WHO) – called to addressed the financial crisis facing global health as the abrupt withdrawal of U.S. aid under the Trump administration exposed structural problems that officials acknowledged had existed for years.
Between 2024 and 2025, global development assistance for health fell 21%, driven primarily by a 67% drop in U.S. funding – over $9 billion – according to the Institute for Health Metrics and Evaluation. Health Policy Watch notes: “Tens of millions of lives, particularly among children under five and people in the world’s poorest countries, are threatened by the cuts.”
Therefore, ongoing RIFs in the U.S. now unfortunately also include reductions-in-funding. This reflects a shift in foreign aid priorities, exemplified by the State Department’s America First Global Health Strategy. While the strategy promotes bold U.S. leadership, observers warn that it overlooks the realities faced by communities on the ground. Disregarding the needs of low- and middle-income countries (LMICs) risks worsening the very problems the strategy aims to solve.
The Swift American Exit Threatens Communities Worldwide – from Somalia to the DRC
The consequences of U.S. aid cuts to LMICs are already being felt. For years, funding from the U.S. Agency for International Development (USAID) sustained hundreds of community health clinics, food programs, and maternal health initiatives worldwide. When the Trump administration dismantled the agency and slashed foreign aid, much of this support abruptly ended – including programs run by Save the Children and the International Medical Corps.
U.S. humanitarian aid to Somalia, for example, has plummeted – from an average of $450 million per year over the past decade to just $128 million in 2025, crippling programs that once provided fortified food and basic healthcare services. The impact is devastating: in Baidoa, a city in southern Somalia, emergency feeding centers are overwhelmed with malnourished children suffering from preventable diseases like measles, diphtheria, cholera, and whooping cough. Save the Children had to close some emergency centers and other countries, including the UK, Germany, and the Netherlands, have also reduced contributions.
Global initiatives are also affected. The Global Polio Eradication Initiative (GPEI), a coalition to eradicate polio including the World Health Organization (WHO) and the Gates Foundation, will see a 30% budget reduction in 2026 and a $1.7bn funding gap through 2029, largely due to the U.S. withdrawal from WHO. To copy, GPEI plans to prioritize surveillance, vaccination in high-risk areas, and adopt strategies such as fractional dosing, which stretches limited vaccine supplies while protecting children from infection.
These funding shortfalls exacerbate ongoing health crises. In Democratic Republic of Congo (DRC), one of the worst cholera outbreaks in a decade is rapidly spreading, with 20 of 26 provinces affected. Since mid-October, more than 58,000 suspected cases and over 1,700 deaths have been reported. Doctors Without Borders warns that the country’s healthcare system is ill-equipped to contain the outbreak amid shortages of medical supplies and vaccines.
Further Reading:
- “Proposed UK Cuts to Global Aid Fund Could Lead to 300,000 Preventable Deaths, Say Charities,” Peter Walker, The Guardian
- “Advancing the Responsible Use of Digital Technologies in Global Health,” WHO Science Council
- “The New Face of Pandemic Preparedness,” GPMB
The New Biotech Race: How Supply Chain Fragility and China’s Rise Threaten U.S. Health Security
From life-saving medicines to AI, U.S. leadership in critical technologies and supply chains is under pressure. The pandemic revealed how fragile global supply chains for essential drugs had become – and how quickly technological dependencies can turn into security risks. Now, these vulnerabilities are deepening, spanning from the factory to the cloud.
China is rapidly becoming a global biotech powerhouse. Over the past five years, Chinese companies producing cancer and gene therapy drugs have more than doubled licensing agreements for their intellectual property, while they’ve also invested heavily in raw material production and advanced manufacturing capacity. In contrast, the U.S. still lacks a coordinated national biotechnology strategy. Federal research funding in the U.S. has also stagnated, regulatory systems remain fragmented burdened with barriers to slow the translation of discoveries from lab to market, and private investors remain cautious to fund cutting-edge research in the face of political and economic uncertainty. As Todd Young writes in Foreign Affairs, failure for the U.S. to act decisively could mean ceding control over the technologies that define global health, economic power, and national and international security in the decades ahead.
The consequences of this drift are already visible. Nearly 700 medicines approved in the U.S., including antibiotics and generics for heart disease, seizures, and HIV, rely on at least one chemical solely sourced from China. A new module on the USP Medicine Supply Map highlights vulnerabilities in the U.S. upstream pharmaceutical supply chains. They highlighted three key findings:
- Most key starting materials (KSMs) used to synthesize active pharmaceutical ingredients (APIs) are extremely concentration, with 58% sole-sourced from a single country.
- There are sourcing clusters in China and India, with China supplying 41% of KSMs used in US-approved APIs and India 16%.
- Many APIs rely on one country for key ingredients.
From USP: “To strengthen American medicine supply chain, we should incentivize diverse manufacturing through onshoring and friend-shoring and modernize procurement practices to prioritize reliability and resilience alongside cost.”
Further Reading:
- “Artificial Intelligence Models and Systems,” VCDNP
- “IST Launches the AI Risk Barometer Project in Partnership With the Future of Life Institute,” Institute for Security and Technology
- “Anthropic Has A Plan to Keep its AI From Building A Nuclear Weapon. Will It Work?” Matthew Gault, WIRED
- “Five Years into Manufacturing the Future,” BIOMADE
- “NIST Center for AI Standards and Innovation Selects Signature Science, LLC for AI Safety Basic Ordering Agreement,” Signature Science LLC
- “Mirror Biology: Governing the Next Frontier of Life Sciences,” Lakshmy Ramakrishnan, Observer Research Foundation (ORF)
- “Boosting UK Supply Chain Resilience to Mitigate Catastrophic Biological Risks,” Center for Long-Term Resilience
Avian Influenza Updates
By Margeaux Malone, Pandora Report Associate Editor
PAHO Reports Continued Spread of Bird Flu Across the Americas
Last week, the Pan American Health Organization (PAHO) released its latest epidemiological update on highly pathogenic avian influenza A subtype H5N1 (HPAI), documenting the ongoing expansion of the virus across the Americas. Since 2022, 19 countries and territories in the Americas Region have reported 5,063 outbreaks of HPAI to the World Organization for Animal Health (WOAH), with 115 additional outbreaks recorded since PAHO’s last update published May 2025.
Between 2022 and October 2025, 76 human infections and two deaths caused by HPAI were reported across five countries in the Americas (United States, Canada, Chile, Mexico, and Ecuador). On October 2, Mexico confirmed its second human H5 infection this year (the neuraminidase of the strain has yet to be identified). A 23-year-old female with no history of seasonal influenza vaccination or recent travel developed symptoms including fever, runny nose, and difficulty swallowing which progressed to hemoptysis (coughing up blood) and chest pains requiring hospitalization. Subsequent RT-PCR testing of the patient’s respiratory samples confirmed infection with influenza type A (H5). The patient was treated with oseltamivir (Tamiflu) and discharged on October 11. Environmental investigation revealed influenza A(H5)-positive samples from poultry and pigeons found in her apartment building’s courtyard. Fortunately, this patient recovered; however, globally, the cumulative fatality rate of H5N1 since 2003 remains alarmingly high at 48%, with 475 deaths among 990 cases across 25 countries.
The PAHO report also noted the continued unprecedented jump of avian influenza from birds to mammalian species. In the United States alone, 1,080 dairy herds across 18 states have been affected since March 2024, with 27 additional herds identified since May. The Canadian Food Inspection Agency has reported 20 detections in wild mammals in Canada this year. PAHO emphasized the concerning increase in HPAI detection in both terrestrial and marine mammals worldwide, including companion and production animals, and the need for heightened surveillance and implementation of biosecurity measures to reduce virus spread. This week, USDA’s Animal and Plant Health Inspection Service (APHIS) reported dozens of new detections in wild waterfowl across multiple states, including mallards in New Hampshire, black vultures in four states, and various species in Minnesota, Montana, and Oregon. The ease with which the virus transmits from wild birds to domestic flocks underscores ongoing surveillance challenges.
Although avian influenza outbreaks primarily affect animals, the virus still poses ongoing risks to public health. PAHO urges continued intersectoral collaboration between Member States to strengthen human-animal surveillance and improve infection prevention and control in health and agricultural settings.
Further Reading:
- “RNA replicon vaccination confers long-lasting protection against H5N1 avian influenza in 23 zoo bird species,” Marion Stettler et al., Nature Communications
- “France raises bird flu alert level to ‘high’ after new cases,” Reuters
- “Turkey prices soar ahead of Thanksgiving as US flock now smallest in 40 years,” Brooker Steinberg, New York Post
NEW: The Role of the Media in Investigating the Origin of the COVID-19 Pandemic
From Brookings: Free media institutions are essential for informing the public and serving as a check on those in power — uncovering corruption and other malfeasance through investigative reporting, and elevating transparency in our governing processes. The media was perhaps even more important when the COVID-19 pandemic started in 2020, as it played a key role in disseminating public health information and shaping public perception.
On October 27, the Brookings Center on Regulation and Markets will hold an event to examine the role of the media in investigating the origin of the SARS-CoV-2 virus and draw important lessons for journalistic investigations of future crises to ensure independence and accountability in reporting. This event is part of a CRM workstream on biosafety regulation and pandemic prevention, which also included a recent event on “Building resilience: Enhancing biosafety, biosecurity, and pandemic preparedness.”
This event will take place from 1:30 – 3:15 PM EDT on October 27 in Washinton, DC, and virtually. Learn more and register here.
NEW: DC Biosecurity Happy Hour at Blackfinn DC!
This will be an informal event for biosecurity enthusiasts and professionals in DC to get to know each other outside of email and Zoom calls and talk about new ideas in this space.
The next event will be from 5:30 – 7:30 PM ET in Washington, DC, on Monday, November 3. Register here.
2025 Scowcroft Institute Pandemic Policy Summit, “Bridging the Gaps: Resilient Supply Chains in the Age of Pandemics.”
From the Scowcroft Institute of International Affairs: “This summit will convene scholars, policymakers, emergency managers, international partners, and industry leaders to examine the vulnerabilities exposed by recent global health emergencies and explore innovative policy solutions to strengthen domestic and global supply chain resilience. Together, we will identify strategies to ensure the reliable flow of critical goods and services in the face of future pandemics and public health crises.”
The summit will take place on October 27-28 in College Station, TX. Learn more and register here.
Exploring Applications of AI in Genomics and Precision Health: A Workshop
From NASEM: “The National Academies’ Roundtable on Genomics and Precision Health will host a hybrid public workshop on October 28 to explore current and potential future applications for AI in genomics and precision health along the continuum from translational research to clinical applications. The workshop will:
- Explore the current implementation of AI in genomics and precision health (e.g., variant interpretation, data integration, patient and participant identification, return of results, treatment selection).
- Discuss potential benefits and challenges of future AI applications (e.g., data harmonization and security, workforce, and usefulness for all).
- Consider evaluations for and impact of the accuracy of, and bias inherent to, AI technologies in genomics-related research and clinical care.
- Examine lessons learned from applications of AI in other fields that may be transferable to genomics and precision health throughout the translational research process.”
This workshop will take place 8:30am-5:00pm ET on October 28. Register here.
Global Conference on Biological Threat Reduction
From the World Organisation for Animal Health: “In October 2025, WOAH is hosting its third Global Conference, with the goal of galvanising advocacy efforts to manage the rising risk of biological threats from across the world.”
“The Global Conference on Biological Threat Reduction – which will take place in Geneva on 28-30 October 2025 – will bring together top minds in the fields of
health-security, emerging technologies, and biothreat reduction policies, from the public and private sectors – to focus on the latest strategies, challenges and innovations in combating biological threats to our interconnected ecosystems.”
“The Conference will bring together approximately 400 participants from different sectors, including animal health, law enforcement and security, public health, international and regional organisations, investment and development partners, private sector and industry representatives, research, academia and regulatory authorities, youth organisations.”
“Attendees will engage in thought-provoking discussions and innovative technical presentations aimed at strengthening prevention, preparedness and response capabilities across the world.”
“The event will be guided by a narrative that traces WOAH’s commitment to biological threat reduction and the increasingly relevant role it plays at the health-security interface. Against the backdrop of an uncertain future, WOAH believes that synergies between sectors can drive positive change – making the world a safer and healthier place. ”
Learn more and register here.
AI-Accelerated Biological Risk: Delving into Asia’s Challenges and Emerging Solutions
From Singapore AI Safety Hub: “As AI-enabled biodesign accelerates, so do the questions around responsible development, risk mitigation, and international cooperation. This 90-minute virtual roundtable brings together experts from AI safety, biosecurity research and policy to explore:
🔬 What are the most urgent AI-bio risks we face today—and which ones aren’t getting enough attention?
🌏 How does Asia’s unique regulatory and research landscape shape these challenges and opportunities?
🛡️ What solutions and interventions show the most promise for responsible governance?
🚀 What practical steps should researchers, policymakers, and practitioners prioritize in the next 12 months?
This panel will explore the convergence of AI and biosecurity—unpacking Asia’s unique challenges, emerging solutions, and the pathways toward responsible governance. From urgent risk assessment to practical next steps for researchers and policymakers, this is a conversation you won’t want to miss.”
This virtual roundtable will take place from 9:00 AM-10:30 AM EDT on Thursday, October 30. Register here.
Nexus Series: AI x Bio: Workshop 1
From AI for SynBio: “Agentic AI and Biological Design Tools reduce the required expertise for new biotech developments enabling new benefits and novel harms. To guard against these harms, technical and policy solutions leveraging these AI and biotech advances should be deployed proactively to help red-team and safeguard against misuse in an exponentially changing landscape. This workshop series will shape the safeguards necessary to prevent harm and empower the community with technical and policy resources for the changing threat landscape. The workshop seeks participation from academia, non-profits, industry, and government.”
This event will take place on November 13. Register here.
GHS 2026
From GHS: “We’re excited to officially announce that the 4th Global Health Security Conference (GHS2026) will be held in Kuala Lumpur on the 9 – 12 June, 2026!”
“Building on the incredible momentum of GHS2024 in Sydney, we look forward to bringing together the global health security community once again – this time in one of Southeast Asia’s most vibrant and dynamic cities.”
“Registration and Call for Abstracts are now live!”
Learn more, submit abstracts, and register here.
The Human Biosafety Health Foundation – A New Hub for Biosafety in the Mediterranean
From the Human Biosafety Health Foundation: “The Human Biosafety Health Foundation has been established to promote research, training, and international cooperation in the fields of biosafety, public health, and health resilience. The Foundation aims to serve as a Mediterranean hub for the development of shared and innovative strategies in response to global challenges related to conventional and non-conventional biological threats, climate change, and health emergencies. The Scientific Committee is composed of medical officers and biosafety experts in high biocontainment transport from the Italian Air Force, ensuring a highly qualified, interdisciplinary, and operationally secure approach. By bringing together academic expertise, institutions, and civil society, the Foundation seeks to build an integrated network for health security, based on knowledge, prevention, and prediction.”
Learn more and get involved here.
Notice of Funding Opportunity (NOFO) – Addressing Agricultural Biorisk Evidence Base Gaps with Applied Research
“There is a global recognition that the current evidence base to inform laboratory and on-farm biological risk management has gaps, and that applied agricultural biosafety and biosecurity policies are not always based on evidence. This notice of funding will support the design and implementation of applied agricultural biorisk research to address evidence gaps in working with high-consequence veterinary and agricultural pathogens as identified during the RAV3N Biorisk and Biosafety Gap Assessment Workshop or similar gap analysis like the WOAH working group agent specific biorisk gap analysis. ERGP is seeking proposals that address one or more key focus area components listed below. Each proposal will go through an internal ERGP and external expert review. Successful proposals should address at least one of the key focus areas and at least one component under that area.”
Learn more and submit your proposal by October 31 here.
Cyberbiosecurity Quarterly Call for Papers
“We are pleased to announce the launch of Cyberbiosecurity Quarterly, a new academic and trade journal dedicated to the intersection of cybersecurity and the bioeconomy. Published by Kansas State University’s New Prairie Press and sponsored by the Bioeconomy Information Sharing and Analysis Center (BIO-ISAC), this quarterly journal will serve as an important resource for professionals, researchers, and policymakers working to safeguard digital and physical biological infrastructures. Cyberbiosecurity is an emerging discipline that addresses the protection of biomanufacturing, biomedical research, synthetic biology, digital agriculture, and other life sciences sectors from digital threats. This journal will explore topics at the nexus of cybersecurity, digital biosecurity, and the bioeconomy, including but not limited to:
- Best practices for network configuration and management in biomedical environments (ingress/egress protection, segmentation, isolation, access control, traffic protection, etc.)
- Cybersecurity Vendor Management and Assessment
- Cyber and Digital Biosecurity Education for the Bioeconomy’s Workforce
- The Quality-Cybersecurity Tension in Practice and Techniques for Mitigation
- Threat Intelligence for Cyber-Physical Biological Systems
- Regulatory and Policy Perspectives on Cyberbiosecurity
- Incident Response and Risk Mitigation in Biomanufacturing
- AI and Machine Learning in Digital and Cyber Biosecurity”
Learn more and submit your papers here.
Applied Biosafety Call for Papers
“The Editors of Applied Biosafety are pleased to announce a forthcoming Special Issue focused on the myriad of topics associated with global biosafety management. This special issue will showcase examples of innovative approaches, creative solutions, and best practices developed and used around the world for managing risks associated with the handling, use, and storage of infectious biological agents, toxins, and potentially infectious materials in research and clinical settings.”
Learn more and submit by November 1 here.
AIxBio Research Fellowship
From ERA: “ERA, in partnership with the Cambridge Biosecurity Hub, is now accepting applications for our AIxBio Fellowship – an eight-week, fully-funded research programme focused on addressing biosecurity risks amplified by advances in frontier AI. Running from 25th January to 22nd March, 2026 in Cambridge, UK, this fellowship offers researchers the opportunity to design and execute concrete research projects at the AIxBiosecurity interface.”
Learn more and submit your application by November 5 here.
Harvard LEAD Fellowship for Promoting Women in Global Health
From Harvard’s Global Health Institute: “To equip and empower more leaders in global health, the Harvard Global Health Institute, in collaboration with the Department of Global Health and Population at Harvard T.H. Chan School of Public Health, offers a transformational 1-year fellowship specifically designed to promote leadership skills in individuals in low- and middle-income countries who will, in turn, mentor future female leaders in global health. Candidates should be currently based/working in a LMIC, and plan to return there after their fellowship.
The fellowship experience provides global health leaders time to reflect, recalibrate, and explore uncharted territories. To date, fellows have come from 18 different countries, with representation from Africa, Asia, Eastern Europe, and South America. Their areas of focus have ranged from HIV/AIDS and healthcare to health policy at the highest levels of government. Past fellows’ areas of expertise span disciplines including research, advocacy, administration, and policy.”
Learn more and submit your application by November 30 here.
64th ISODARCO Course
From ISODARCO: “In recent years, the global security landscape has become increasingly volatile, shaped by a convergence of geopolitical tensions, technological advancements, and evolving nuclear doctrines. The post-Cold War order that once provided a measure of predictability in global security has eroded. Conflicts such as the wars in Ukraine and Gaza, rising tensions in the Indo-Pacific, and strategic competition between major powers have reshaped alliances and strategic postures.”
“At the same time, disruptive technologies including artificial intelligence, quantum computing, hypersonic missiles, and cyber threats – are adding new layers of complexity to both nuclear and conventional deterrence dynamics. These technologies are not only distorting the information landscape but also compressing decision-making timelines and complicating signaling mechanisms, increasing the risk of miscalculation.”
“Effectively managing nuclear escalation risks in this environment will require a combination of innovative diplomacy, technological safeguards, and renewed dialogue mechanisms to rebuild trust, reduce misperceptions, and stabilize strategic relations.”
“The ISODARCO 2026 Winter Course presents an invaluable opportunity for students and experts to discuss and examine these dynamics in depth and explore approaches to re-establishing strategic stability and reducing nuclear dangers in a volatile world.”
This course will take place January 11-18, 2026, in Andalo. Learn more and apply here.
The Pandora Report 