这唐纳德·特朗普总统第二任期的第一周伴随着联邦卫生机构的彻底变革。
该机构表示，美国卫生与公众服务部(HHS)被政府告知停止所有非紧急外部通信，导致疾病控制和预防中心(CDC)无法发布数十年来的每周报告。
根据ABC新闻查阅的消息来源和内部通信，卫生机构的一些工作人员也被暂时禁止旅行，并被告知停止与世界卫生组织(世卫组织)的工作。
以下是过去一周的一些变化:
HHS被告知暂停所有对外通讯
本周早些时候，两个消息来源向美国广播公司证实，即将上任的政府告诉联邦卫生机构暂时暂停对外沟通。这包括隶属于HHS的机构，如疾病预防控制中心、食品药品监督管理局和国立卫生研究院。
据一名HHS官员称，该指令并未提及审查通信，以与即将上任的国务卿保持一致。
这位官员还说，暂停还不值得担心，但如果超过一周或妨碍正常功能，就值得担心了。
HHS周四在一份声明中表示，“HHS已经暂停与紧急情况没有直接关系或对维护健康至关重要的大众传播和公共露面。”。“这是一个短暂的停顿，让新团队建立一个审核和确定优先级的流程。对于HHS分部认为至关重要的公告，也有例外情况，但它们将根据具体情况而定。”
根据美国广播公司新闻(ABC News)查阅的一段录音，一名疾病预防控制中心官员周四在电话中告诉一些工作人员，一份发给联邦卫生机构领导层的备忘录指出，沟通中断将持续到2月1日。
暂停还导致疾病预防控制中心没有发布几十年前的每周报告，即所谓的发病率和死亡率周报(MMWR)，通常在周四下午发行。
该机构有时被称为“疾病预防控制中心之声”提到了MMWR作为其“及时、权威和有用的公共卫生信息和建议的科学出版的主要工具”
CDC官员还在电话中告诉工作人员，他们“正在等待关于科学出版物的指导，并希望很快就能分享一些东西。”
卫生官员不允许旅行
HHS所有员工的旅行也被暂时取消。在周四电话录音中，CDC官员告诉工作人员，这一变化立即生效。
这位官员在一次电话会议中说，“未来任何理由的旅行请求都不会被授权，也不会被批准。”此外，HHS旅行不适用于那些在1月20日之前接受演讲的员工，必须取消
这位官员在电话中说，该政策将继续有效，直到另行通知。
世卫组织的工作停止了
此外，消息人士称，联邦卫生机构已被命令停止任何涉及世卫组织的项目。
此前，特朗普在周一晚上签署了一项行政命令从世卫组织撤出美国.
在……里命令特朗普指责全球卫生机构对新冠肺炎疫情“处理不当”，没有采取“迫切需要的改革”，并受到其他成员国的政治影响。总统还表示，撤军是为了“被敲竹杠”。
A look at changes at US health agencies in the 1st week of the new Trump administration
Thefirst week of President Donald's Trump's second termcame with sweeping changes to federal health agencies.
The U.S. Department of Health and Human Services (HHS) was told by the administration to cease all non-emergency external communications, the agency said, resulting in the Centers for Disease Control and Prevention (CDC) failing to publish a decades-old weekly report.
Some staffers at health agencies are also temporarily banned from traveling and have been told to stop work with the World Health Organization (WHO), according to sources and internal communications reviewed by ABC News.
Here's a look at some of the changes over the past week:
HHS told to pause all external communications
Two sources confirmed to ABC News earlier this week that the incoming administration told federal health agencies to pause external communications for now. This includes the agencies that fall under HHS such as the CDC, the Food and Drug Administration and the National Institutes of Health.
The directive did not include a mention of reviewing communications to align with the incoming potential secretary, according to one HHS official.
The official also said the pause isn't cause for concern yet, but would be if it goes longer than a week or gets in the way of regular functions.
"HHS has issued a pause on mass communications and public appearances that are not directly related to emergencies or critical to preserving health," the HHS said in a statement on Thursday. "This is a short pause to allow the new team to set up a process for review and prioritization. There are exceptions for announcements that HHS divisions believe are mission critical, but they will be made on a case-by-case basis."
A memo sent to leadership at federal health agencies noted the communication hiatus will extend through Feb. 1, a CDC official told some staffers in a call on Thursday, according to an audio recording reviewed by ABC News.
The pause also resulted in the CDC not publishing a decades-old weekly report, known as theMorbidity and Mortality Weekly Report(MMWR), which is typically released on Thursday afternoons.
Sometimes called "the voice of the CDC," the agency hasreferred to the MMWRas its "primary vehicle for scientific publication of timely, authoritative, and useful public health information and recommendations."
The CDC official also told staffers in a call they were "awaiting guidance regarding scientific publications and hope to have something pretty soon to share on that."
Health officials not allowed to travel
Travel has also been temporarily canceled for all employees at HHS. In the audio recording of the Thursday call, CDC officials told the staffers that the change was effective immediately.
"Future travel requests for any reason are not authorized and cannot be approved," the official said in a call. "Further, HHS travel is not authorized for those employees who accepted speaking engagements prior to January 20, it must be canceled."
The official said on the call that the policy will remain in effect until further notice.
Work stopped with the WHO
Additionally, federal health agencies have been ordered to halt work on any projects involving the WHO, according to sources.
It comes after Trump signed an executive order on Monday eveningwithdrawing the U.S. from the WHO.
In theorder, Trump accused the global health agency of "mishandling" the COVID-19 pandemic, not adopting "urgently needed reforms" and being politically influenced by other member states. The president also said the withdrawal was about "being ripped off."
