The Trump administration’s shake-up of the Centers for Disease Control and Prevention (CDC) has forced Mississippi to stop gathering critical data on women’s experiences before, during and after pregnancy – even as the state recently declared a public health emergency over its surging infant mortality rate.
Mississippi has suspended data collection for Pregnancy Risk Assessment Monitoring System (Prams), a national database that has been integral to policymaking on maternal and infant health for nearly four decades, the Guardian has learned.
Prams functions as a partnership between state-level health officials and a little-known but influential CDC agency called the Division of Reproductive Health, which has lost most of its staff – nearly 100 people – in the Trump administration’s purges of federal workers, according to records in a lawsuit filed by several Democratic-led states over the purges.
As a result, many of the division’s projects, including Prams, have sputtered to a halt, the lawsuit alleges.
The division will likely be unable to obtain accurate nationwide data on maternal and infant health in 2024, 2025 and 2026, an unnamed CDC staffer said in one declaration included in the lawsuit.
Researchers rely on Prams data to test out potential health interventions to improve maternal and child health, while states use it to make the case for federal funding for programmes that aim to reduce infant deaths, improve care for women and help children with special needs.
Source: The Guardian, 16 September 2025
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