Former California public health director Dr. Sonia Angell on Feb. 27 in Sacramento, California. Photo: Justin Sullivan/Getty Images

At least 48 local and state-level public health leaders have retired, resigned or been fired across 23 states since April, according to a review by the AP and Kaiser Health News.

Driving the news: California public health director Dr. Sonia Angell resigned on Sunday without explanation, a few days after the state fixed a delay in reporting coronavirus test results that had affected reopenings for schools and businesses, AP reports.

  • New York City health commissioner Oxiris Barbot also resigned last week, citing "deep disappointment" that Mayor Bill de Blasio did not use the full extent of available disease control expertise to handle the pandemic.
  • Ohio health director Amy Acton, who helped shape Gov. Mike DeWine's (R) stringent response to the pandemic, resigned in June and said the demands of the job were not a "sustainable thing." Republican lawmakers attempted to strip her of the authority to issue lasting state health orders in May and protesters picketed outside of her home on multiple occasions.
  • West Virginia Public Health Commissioner Cathy Slemp was forced to resign in June after Gov. Jim Justice (R) openly criticized her at a press conference for allegedly overreporting the number of active coronavirus cases in the state.

Why it matters: The U.S. is reporting the most coronavirus cases and deaths in the world and has still not controlled the outbreak. The country's day-to-day response has largely been guided by local leaders — governors, mayors, and the health officials they rely on for recommendations.

Between the lines: "Public health leaders from Dr. Anthony Fauci down to officials in small communities have reported death threats, intimidation and personal attacks on themselves or their families," per AP.

  • Many of the resignations and firings are related to conflicts over shutting down businesses to enforce social distancing or issuing statewide face covering mandates, the CEO of the National Association of County and City Health Officials told AP.
  • Fauci said last week that his daughters and other members of his family were receiving death threats and harassment, telling CNN that he wouldn't have imagined in his "wildest dreams" that people would threaten officials over "pure public health principles."

Go deeper

16 hours ago - Health

200,000 Americans gone too soon

Data: Johns Hopkins; Chart: Axios Visuals

Today marks another devastating milestone in the 2020 history books:

The state of play: February 29: First reported U.S. coronavirus death; May 23: U.S. death toll hits 100,000; September 22: U.S. death toll hits 200,000, according to the Johns Hopkins tracker.

Updated 58 mins ago - Politics & Policy

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Global: Total confirmed cases as of 9 a.m. ET: 31,647,930 — Total deaths: 971,711 Total recoveries: 21,776,599Map.
  2. U.S.: Total confirmed cases as of 9 a.m. ET: 6,897,661 — Total deaths: 200,818 — Total recoveries: 2,646,959 — Total tests: 96,612,436Map.
  3. Health: Hospitals want more time to repay pandemic loans — Supply shortages continue to plague testing.
  4. Business: The high-wage jobs aren't coming back
  5. Vaccines: Johnson & Johnson begins large phase 3 trial — The FDA plans to toughen standards.
  6. Sports: Less travel is causing the NBA to see better basketball.

Hospitals want more time to repay pandemic loans

Illustration: Aïda Amer/Axios

Hospitals are approaching the deadline to repay coronavirus relief loans from the federal government, but their finances are still suffering as the pandemic drags on, Kaiser Health News reports.

The big picture: Hospitals — especially rural hospitals that were suffering before the pandemic — are hoping Congress will grant them an extension.

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