Heavy cuts at the CDC threaten to upend Kentucky's public health infrastructure, as local officials describe confusion and uncertainty around the agency's guidance.

Without stable support for public health agencies and preventative efforts like immunization, officials worry communities will not be properly prepared for the next health crisis.

The government shutdown also threatens other supports for community health, including food assistance programs.

Upheaval at the Centers for Disease Control and Prevention has plunged Kentucky's public health infrastructure into a state of confusion and uncertainty, officials said, and some local departments are beginning to question the credibility of the agency's guidance.

Amid cuts to federal programs and mass layoffs at federal agencies, Kentu

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