This week’s Pandora Report covers the Trump administration’s FY 2026 budget request and what it may entail for global health, public health, scientific research, and US nuclear weapons. Further updates on HHS and a federal case against a Chinese couple accused of smuggling a toxic fungus into the United States are included as well.
Trump’s Budget Request, Recission Plan Aim to Further Cut Global and Public Health Funding
The Trump administration’s recission package and FY 2026 budget request both aim to slash global and public health funding even further while giving conflicting reasons for cutting funding for some programs while increasing it for others. Some examples of these proposed cuts include ending US funding for Gavi, cuts to PEPFAR and the President’s Malaria Initiative, and a proposal to eliminate CDC’s Global Health Center as part of a 25% reduction in discretionary funding for HHS. The proposal reads in part, “The request eliminates funding for programs that do not make Americans safer, such as family planning and reproductive health, neglected tropical diseases, and nonemergency nutrition.”
Later, in its section about CDC, the proposal states, “The Budget eliminates duplicative, DEI, or simply unnecessary programs, including: the National Center for Chronic Diseases Prevention and Health Promotion; National Center for Environmental Health; National Center for Injury Prevention and Control; the Global Health Center; Public Health Preparedness and Response, which can be conducted more effectively by States; and the Preventive Health and Human Services Block Grant, the purposes for which can be best funded by States. The Budget refocuses CDC on emerging and infectious disease surveillance, outbreak investigations, preparedness and response, and maintaining the Nation’s public health infrastructure. The Budget maintains more than $4 billion for CDC.”
This request requires congressional approval, but it represents an incredibly short-sighted and misinformed move on the part of the administration. Slashing global and public health funding, including within CDC, in a bid to “refocus” CDC on emerging and infectious disease surveillance, outbreak investigation, and preparedness and response is nonsensical. Outbreaks do not have to start in the US to affect people in the US, as is evidenced by the current measles outbreaks in the US, which began with international travelers who were infected.
Furthermore, it will be incredibly difficult to be prepared for these threats when the administration is constantly cutting domestic public health and research funding. This budget proposal, as currently written, would also slash HHS’ by 25%, from $127 billion down to $95 billion. The administration would also like to cut NIH funding by $18 billion down to $27.5 billion.
At the same time, the proposal calls for $500 million funding for “Make American Healthy Again (MAHA),” which it describes as “Building on the work of the President’s Make America Healthy Again (MAHA) Commission and Executive Order 14212, “Establishing the President’s Make America Healthy Again Commission,” the Budget provides $500 million for the MAHA initiative, which would allow the Secretary to tackle nutrition, physical activity, healthy lifestyles, over-reliance on medication and treatments, the effects of new technological habits, environmental impacts, and food and drug quality and safety across HHS.”
While the proposal aims to continue HHS efforts to terminate and reduce offices and programs the administration deems duplicative, it also would give the proposed Administration for a Healthy America a $14 billion budget while combining OASH, HRSA, SAMHSA, ATSDR, and NIOSH. This is all while cutting funding for the US Preventative Services Task Force and the ACA Prevention and Public Health Fund.
This budget proposal represents more MAHA nonsense that pays yet more lip service to the idea of improving Americans’ health while continuing to cut funding for programs that actually help do that. Furthermore, it continues the Trump administration’s efforts to end US involvement in global health and international development, something that is already proving detrimental both for the United States itself as well as countless others around the world.
Further Reading:
- “The Disappearing Funds for Global Health,” Irena Hwang, Jon Huang, Emily Anthes, Blacki Migliozzi and Benjamin Mueller, The New York Times
- “Trump Budget Request and Rescission Plan Slashes Global Health Funding,” Sara Jerving, Devex
- “Sudden Impact: When Health Programs End,” Elna Schütz, Public Health
- “The U.S. Slashed HIV/AIDS Funding. Here is How Countries That Relied on it Might Adapt,” Simar Bajaj, STAT News
- “Deep Cuts Erode the Foundations of US Public Health System, End Progress, Threaten Worse to Come,” Laura Ungar and Michelle R. Smith, AP
- “New HHS Document Details Deep NIH Cuts as Part of Trump Budget Request,” Jonathan Wosen and Daniel Payne, STAT News
- “Exodus of USDA Veterinarians and Others Drives Fears that U.S. Farms Are at Risk,” Andrea Hsu, NPR
Trump Administration Requests Budget Increase for NNSA, DOD Nuclear Programs
The same budget request that would continue to slash funding for public health and critical scientific research also asks for a significant increase in funding for the National Nuclear Security Administration (NNSA). The request is for $25 billion, up from $19 billion this year, a 29% increase. $15.6 billion of this would be for the agency’s weapons accounts. This would support modernization efforts, infrastructure revitalization, and other S&T investments. The request also includes increases for DOD nuclear programs, which total about $28.9 billion in the request. Meanwhile, funding for the National Science Foundation would plummet 55% under this proposal, from $8.8 billion this year to $3.9 billion the next.
When asked about this, a spokesperson for the White House said, “The president’s budget strengthens U.S. leadership in research and development by ensuring that federal funding goes to legitimate research, not woke waste.”
Further Reading:
- “Why We Should Worry About Nuclear Weapons Again,” Jon B. Wolfsthal, Hans Kristensen, and Matt Korda, The Washington Post
- “The U.S. Can’t Afford to Lose the Biotech Race with China,” Eric Schmidt and Dawn Meyerriecks, Time
Advisory Committee on Immunization Practices Lead Resigns
Lakshmi Panagiotakopoulos, a senior official at CDC overseeing the Advisory Committee on Immunization Practices (ACIP), resigned recently following a directive from Secretary Kennedy to update CDC’s recommendations for COVID-19 vaccinations. Panagiotakopoulos was with CDC for over a decade. In an email to ACIP’s COVID-19 vaccines work group, she wrote, “My career in public health and vaccinology started with a deep-seated desire to help the most vulnerable members of our population, and that is not something I am able to continue doing in this role.”
RFK Jr. Announces Moderns Will Test Its COVID-19 Vaccine Against Placebo
Sec. Kennedy announced this week that Moderna has agreed to conduct a placebo-controlled trial for its new COVID-19 vaccine, mNEXSPIKE. This came after the FDA’s limited approval of the vaccine for adults aged 65 and up and people aged 12-64 with at least one underlying health condition, a departure from previous FDA approvals for COVID-19 vaccines. Efforts to require placebo-controlled trials are considered by many experts to be both unnecessary and unethical for established vaccines like those for COVID-19 because of the risk of exposing people to preventable illness while delaying vaccine availability and potentially undermining public trust.
PRC Nationals Charged with Smuggling Pathogen into US
Two PRC nationals, Jian Yunqing and Liu Zunyong, have been charged with conspiring to smuggle Fusarium graminearum (Gibberella zeae), a toxic fungus, into the United States. The fungus is known to cause substantial agricultural damage. Allegedly, the pair intended to smuggle it into the University of Michigan laboratory Jian is a postdoc in. The pair researched the fungus together as university students in China. They have been charged with with conspiracy, smuggling goods into the United States, false statements, and visa fraud.
UK National Audit Office Finds Country Not Ready for Major Animals Disease Outbreaks
Recent reporting from the UK’s National Audit Office reveals that just 5% of live animal imports to the country undergo physical checks, much lower than the target of 100% set by the Animal and Plant Health Agency. This is reportedly primarily due to delays and technological issues, raising concerns about the UK’s ability to respond effectively to outbreaks of diseases like bird flu and foot-and-mouth disease.

“ASPPH Broken Lifelines: The Economic Consequences of Defunding Academic Public Health”
From ASPPH: “The Association of Schools and Programs of Public Health (ASPPH) has released Broken Lifelines, a new report outlining how recent federal funding cuts are harming academic public health. The report highlights the deep economic, institutional, and workforce impacts of the 2025 budget disruptions and why restoring federal investment is critical to the nation’s health and preparedness.”
“Public Health Preparedness: HHS Needs a Coordinated National Approach for Diagnostic Testing for Pandemic Threats”
This GAO report assesses HHS’ COVID-19 response. In this study, GAO found that “Infectious diseases with pandemic potential—such as avian influenza—pose a threat to American lives, national security, and economic interests. The Department of Health and Human Services (HHS) leads federal diagnostic testing efforts related to such diseases. It must work with public and private stakeholders who, among other things, administer tests and collect data.”
“An expert roundtable GAO convened suggested nearly 100 actions HHS should take to improve diagnostic testing development, deployment, guidance, and data collection for the future. Several actions also cut across these areas. HHS officials said they are taking some steps to improve diagnostic testing related to the actions suggested by experts. For example, to help expand the number of entities able to test during an emergency, HHS has developed guidance for non-traditional laboratories seeking approval to perform testing.”
“Confronting the Non-Communicable Disease Burden in Developing Countries”
From FP Analytics: “As the leading cause of death worldwide, non-communicable diseases (NCDs) will kill an estimated 52 million people annually by 2030. Almost half of this burden can be attributed to cardiometabolic diseases, consisting of cardiovascular disease (CVD) and metabolic conditions such as diabetes, which are anticipated to result in a combined 35.6 million deaths annually by 2050. Though these impacts will be felt globally, three-quarters of NCD deaths are set to occur in low- and middle-income countries (LMICs) by 2030, especially in Africa and Asia. Indeed, LMICs will account for 85 percent of premature NCD deaths, stemming from limited access to prevention and treatment compounded by under-resourced and strained health systems. Considering that as much as 80 percent of NCDs can be prevented or delayed into old age through affordable interventions, the high rate of premature death—and high associated costs—represents a major policy failure for developing and wealthy countries alike.”
Read here.
Sequence Screening Tools Pass NIST Test
In this preprint article, “Inter-tool analysis of a NIST dataset for assessing baseline nucleic acid sequence screening,” RTX BBN, Battelle, Aclid, International Biosecurity and Biosafety Initiative for Science (IBBIS), SecureDNA, Todd Treangen and Signature Science, LLC worked with the National Institute of Standards and Technology (NIST) to empirically establish a baseline across all of the current deployed nucleic acid synthesis screening tools. NIST constructed a test dataset based on current screening recommendations and then sent blinded datasets to sequence screening tool developers for testing. Overall, there was a general agreement between the tools and NIST assignments of the sequences and all tools had a baseline performance of greater than 95% sensitivity and 97% accuracy.
“2024 Assessment of the DEVCOM Army Research Laboratory”
From NASEM: “The U.S. Army Combat Capabilities Development Command (DEVCOM) Army Research Laboratory (ARL) is the U.S. Army’s sole fundamental research laboratory focused on cutting-edge scientific discovery and technological innovations that offer great potential to strengthen the U.S. Army. The mission of ARL is to operationalize science for transformational overmatch in support of persistent Army modernization.”
“At the request of Army, this report examines the following four ARL competencies: biological and biotechnology sciences; network, cyber, and computational sciences; photonics, electronics, and quantum sciences; and sciences of extreme materials. The cross-cutting conclusions for the four competencies assessed in this report focus on encouraging a streamlined administrative approval process to enable conference attendance; creating bilateral forums with industry, academia, and government; continuing cross-pollination efforts through communication and collaboration; and increasing awareness of emerging computational methodologies.”
“Down with the Sickness: Biological Weapons in the Past, Present, and Future”
Michael Redlich recently published this Belfer Center paper: “In this paper I perform a survey of biological weapons. I begin with an overview of the subtypes of biological weapons and investigate the technical considerations associated with their production and deployment. I trace the history of their usage from the 14th century B.C.E. to the present, with particular emphasis on the Biological Weapons Convention of 1972 and biological weapon production since then. Consideration is given to the motivations of states that have chosen to pursue biological weapons. I examine, too, the United States’ biodefense program. In the final section I discuss possible future usage of biological weapons and propose several policy stances to reduce that threat.”
“Responsible Biodesign Workshop: AI, Protein Design, and the Biosecurity Landscape – Recommended Actions”
This preprint was authored by Rivera et al.: “This report presents Recommended Actions from the January 2025 Responsible Biodesign Workshop, which convened leading experts across AI-enabled biomolecular design and biosecurity policy. Building on existing community commitments for the Responsible Development of AI for Protein Design, the Recommended Actions aim to guide scientists, policy practitioners, and funding bodies in ensuring safe and beneficial development of AI-enabled biomolecular design tools. The Recommended Actions focus on advancing AI-Resilient nucleic acid synthesis security screening, assessing the risk-benefit landscape of biomolecular design capabilities, and building fora for sustained engagement between scientists and policy practitioners.”
“MATCH 2.0: A New Ledger for Nonproliferation”
From the Stimson Center: “Every year, States Parties to the Chemical Weapons Convention declare to the Organisation for the Prohibition of Chemical Weapons their trade in dual-use chemicals—substances with legitimate industrial uses that can also be weaponized. Yet year after year, these declarations don’t add up. In reporting for 2023, three-quarters of declared dual-use chemical transfers had discrepancies, representing a risk that some chemicals are unaccounted for and could potentially have been diverted for use as chemical weapons.”
“MATCH 2.0 explores a bold solution: can blockchain-style technology help nonproliferation stakeholders spot and fix these errors before they become risks? Through real-world testing, MATCH 2.0 shows how Distributed Ledger Technology (DLT) could help strengthen trust and transparency while preventing the reemergence of chemical weapons.”
Read here.
“Virus Hunter Peter Piot: How a Chance Encounter Sparked His Life Mission”
This piece from Stanford FSI details Peter Piot’s words at the annual Rosenkranz Global health Policy Research Symposium. Piot is famous for his work on Ebola and AIDS. Read here.
What We’re Listening To 🎧
Biosecurity: Changing the Game, “Taking Biological Threats Off The Table Through Next-Generation Global South Leadership (Pt. II)”
“This episode is the second half of Dr. Dinah Nasike’s discussion with a group of next generation leaders who have decided to get involved in taking biological threats off the table by pitching a powerful proposal to the world on the 100 Days Mission: The Biosecurity Emerging Leaders Declaration at the 61st Munich Security Conference.”
Listen here.

NEW: INSPIRE: Readiness – Tackling Public Health Communication Conundrums: Rumors and Public Trust
“Join ASTHO for a timely conversation as we explore strategies to safeguard public health and build public trust. In today’s fast-paced information landscape, misleading rumors pose a serious threat to public health efforts, weakening trust and diminishing effective response. To address this complex issue, this webinar brings together experienced public health champions to share real-world strategies and lessons learned in their communities.”
“This INSPIRE: Readiness session will highlight communication tactics, cross-agency collaborations, and community engagement tools that may be used to help dispel harmful public health rumors. Inaccurate information, whether about vaccines, disease outbreaks, or public health mandates, can spread quickly through social media, word of mouth, or online forums – often overshadowing accurate messages from trusted sources. During this webinar, attendees will gain a deeper understanding of what it takes to manage public perception during health crises and how to build more resilient systems in the future.”
This event will take place on June 12, 2-3 pm EST. Learn more and register here.
International Pandemic Sciences Conference
“Representatives from academia, industry, civil society and policy are invited to gather in Oxford, UK, and online from 30 June – 1 July 2025 for the International Pandemic Sciences Conference 2025.”
“This year’s conference theme, Getting Ahead of the Curve, will explore how we can work together to predict, identify and control epidemic and pandemic threats globally. ”
“Over two days of plenary, parallel and networking sessions, stakeholders from different sectors and communities will have the opportunity to share ideas, experiences and strategies on prediction, early detection and control of pandemic threats. ”
“The International Pandemic Sciences Conference 2025 is hosted by the Pandemic Sciences Institute at the University of Oxford.”
Learn more, register, and submit abstracts here.
SBA.4 International Synthetic Biology and Biosecurity Conference in Africa
From SynBio Africa: “The SBA 4.0 conference will serve as a platform for fostering connections among industry, academia, community groups, and policymakers. It will showcase innovative applications of synthetic biology and AI, and highlight ongoing efforts in biomathematics, biomanufacturing, one-health, biosafety and biosecurity. It will also facilitate networking and information exchange. Key focus areas include tackling agriculture, health, environmental management, and industry challenges. In Africa, synthetic biology is poised to drive the national development agenda by promoting a sustainable bioeconomy, supporting health and agricultural systems, and aiding environmental conservation and restoration. This event will provide a vital opportunity for stakeholders to discuss and strategize the integration of synthetic biology innovations, address policy, legal frameworks, and communicate the benefits of the technology.”
This conference will take place July 23-25 in Kigali. Learn more and register here.
CTD-SPECTRE 2nd Annual Symposium
“The CTD-SPECTRE Symposium on Tropical and Emerging Infectious Diseases for Clinicians and Translational Scientists 2025 offers a unique opportunity to connect with global experts, gain cutting-edge insights, and collaborate with peers dedicated to infectious disease research and treatment.”
“Taking place September 16 -19, 2025, at the historic Grand Galvez in Galveston, TX, this immersive symposium will unite clinicians, translational investigators, and trainees to explore the latest breakthroughs in tropical and emerging infectious diseases.”
Learn more and register here.

[Training Programme] Disarmament and Non-Proliferation of WMD 2025
From the Asser Institute: “The global non-proliferation norms regarding the use and proliferation of weapons of mass destruction are under pressure. The threat posed by nuclear, chemical and biological weapons has reached levels of urgency not seen since the Cold War. Consequently, there is a growing demand for professionals with the necessary legal, technical and policy expertise to tackle the challenges of today’s non-proliferation and disarmament agenda. Register now for the fifteenth training programme on disarmament and non-proliferation of weapons of mass destruction, co-organised with the Organisation for the Prohibition of Chemical Weapons (OPCW) on 13-17 October 2025 in The Hague.”
“During this intensive training programme, you will receive a comprehensive overview of the international non-proliferation and disarmament framework. You will learn from renowned experts and practitioners in the field and engage in active discussions about key topics and current debates. The programme also provides you with the opportunity to build your professional network with experts in the field, as well as with your fellow participants.”
Learn more and register here.







