181 state and local public health leaders had resigned, retired or been fired since April.

It's the largest exodus of public health leaders in American history, @annabarryjester @hannah_recht @MRSmithAP and I found in our latest #UnderfundedUnderThreat investigation.
Many of the public health officials left due to political blowback or pandemic pressure.

Some departed to take higher profile positions, or due to health concerns.

Others were fired for poor performance.

Dozens retired.
Some have become the target of far-right activists, conservative groups and anti-vaccination extremists who have coalesced around common goals: fighting mask orders, quarantines and contact tracing with protests, threats and personal attacks.
The backlash has moved beyond the angry fringe.

Lawmakers in at least 24 states have crafted legislation to weaken public health powers, which could make it more difficult for communities to respond to other health emergencies in the future.
A Supreme Court opinion last month:

"It is time — past time — to make plain that, while the pandemic poses many grave challenges, there is no world in which the Constitution tolerates color-coded executive edicts that reopen liquor stores and bike shops but shutter churches..."
Tisha Coleman, a public health administrator in rural Linn County, KS, has been pleading for a mask mandate.

People in town called her a sheep.

Commissioners said no, twice.

1 in 24 residents tested positive for #COVID19 .

Her mother died Sunday after time on a ventilator.
You can follow @LaurenWeberHP.
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