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In a much anticipated public appearance, Susan Monarez, the former head of the Centers for Disease Control and Prevention, defended her short tenure at the embattled public health agency. She testified that she was ousted last month because she refused to follow Health Secretary Robert F. Kennedy Jr.'s demands to pre-approve vaccine recommendations for the public and fire career scientists.

"Even under pressure, I could not replace evidence with ideology," Monarez told members of the Senate Committee on Health, Education, Labor and Pensions on Wednesday. "Vaccine policy should be guided by evidence and credible science."

Monarez rejected Secretary Kennedy claims – outlined in a 

 op-ed and reiterated during a congressional hearing in early September – that she was fired because she was not a "trustworthy person."

In her testimony, Monarez described a string of events that she said eventually led to her dismissal, including her clash with Kennedy over changes to an influential CDC committee that issues recommendations on vaccines.

She recounted a "tense" meeting with him in late August in which she said Kennedy told her the "childhood vaccine schedule would be changing starting in September and that she "needed to be on board."

Senator Bill Cassidy, a Republican who chairs the committee and a medical doctor was key to advancing Kennedy's nomination, began the hearing by pointing out that Monarez was not only the first CDC director ever confirmed by the Senate but she had also received unanimous support from his party.

 that she had "unimpeachable scientific credentials."

"What happened? Did we fail? Was there something we should have done differently?" Cassidy said. "The American people need all the facts, not a version of the facts that fits a certain narrative or agenda."

Also testifying was the CDC's former chief medical officer, Dr. Deb Houry, who resigned alongside other top agency officials at the end of last month in protest of the changes at CDC.

The hearing comes on the eve of the next meeting of the vaccine advisory committee, which is scheduled for Thursday morning in Atlanta.

Kennedy fired the entire 17-member Advisory Panel on Immunization Practices in June, chose 

. Many of the members he chose have a history of being critical of vaccines.

Following the August 8 shooting at the CDC headquarters in Atlanta, Monarez said Kennedy directed her to return to Washington D.C., though that would have meant missing the memorial service for the officer killed in the shooting. Monarez said she was "unwilling" to skip the service.

When she finally met with Kennedy on August 25, he demanded she pre-approve the vaccine advisory panel's forthcoming recommendations and that she should resign if she was not willing to. "He just wanted blanket approval," she testified.

He told her he had "already spoken with the White House several times about having" her removed, she said.

This story will be updated as testimony continues.

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Susan Monarez says RFK Jr. told her to commit to decisions in advance, without reviewing evidence and to dismiss vaccine experts.

Ousted CDC director testifies she was fired for resisting pressure from RFK Jr.

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