A review by the Kaiser Health News service and The Associated Press finds at least 48 state and local health leaders have resigned, retired or been fired since April across 23 states.
At least 38,000 state and local public health jobs have disappeared since the 2008 recession, leaving a skeletal workforce for what was once viewed as one of the worlds top public health systems.
In Oklahoma, both the state health commissioner and state epidemiologist have been replaced since the outbreak began in March.
She said she knows many public health department leaders who are considering resigning or retiring because of the strain.
Our elected officials in positions of power, whether presidents, governors or mayors, they arent supporting staff better or aligning messages," forcing public health officials to bear the political pressure, Brown said.