In a 51–44 vote Wednesday, the US Senate confirmed Erica Schwartz as director of the Centers for Disease Control and Prevention, despite failing miserably to convince senators last month that she could stand up to anti-vaccine Health Secretary Robert F. Kennedy Jr.

The confirmation ends a nearly yearlong vacancy for the position since Kennedy fired the previous CDC director, Susan Monarez, last August. Monarez was ousted after she refused to rubber-stamp vaccine recommendations from a panel of Kennedy's hand-selected advisors, who hold similar anti-vaccine views to his own.

Schwartz is highly qualified for the role, coming to the CDC with a medical degree, a master’s degree in public health, and a law degree. She previously had a long stint as a Navy officer and held leadership roles including chief medical officer for the US Coast Guard and deputy surgeon general in the first Trump administration. Notably, she has been a public advocate for vaccines and outbreak preparedness.

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The Trump administration continues to respond sluggishly to the explosive, nationwide outbreak of Cyclospora—a unicellular parasite spread from human feces that has now sickened nearly 23,000 people in 47 states, killing two and sending over 500 to the hospital.

Michigan health officials reported the two deaths Monday, and The Washington Post first reported Tuesday that federal health officials have expanded a list of states with linked cases from nine to 15. But those updates still have not appeared on public outbreak pages for the Centers for Disease Control and Prevention or the Food and Drug Administration, and Americans are struggling to understand the risk of eating fresh fruits and vegetables.

In comments to Ars Technica on Monday, a spokesperson for the Department of Health and Human Services, which oversees CDC and FDA, said the outbreak information will be updated sometime "this week." Sources for The New York Times said that the CDC plans to set up a "formal response team" for the outbreak sometime this week. Cases in the outbreak began in June.

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