Dr. Demetre Daskalakis on where public health goes from here

What happens when the people responsible for protecting public health are sidelined by politics? Dr. Demetre Daskalakis—former CDC division director, White House deputy coordinator for the national mpox response, and newly appointed chief medical officer at Callen-Lorde Community Health Center—has spent three decades at the intersection of infectious disease, activism, and policy. In this episode, he traces his journey from arriving in New York City at 17 during the height of the HIV/AIDS epidemic to leading America's mpox response and ultimately resigning from the CDC over the politicization of vaccine science. Dr. Daskalakis shares why he believes joy—not fear—should drive public health messaging, how his early days in the East Village shaped his approach to patient communication, and what the measles resurgence reveals about eroding institutional trust. A vital conversation on moral leadership in medicine.New episodes are released every other week, wherever you get your podcasts. If you're a US-based physician, continue this conversation on Roon: ⁠www.roon.com⁠Sign up for our substack: ⁠⁠https://rohanramakrishna.substack.com/⁠⁠ Find us on Instagram and X: @roondoctors If you have a question, comment, or suggestion for a future guest, please email us: [email protected](00:00) Intro(00:37) Who is Dr. Demetre Daskalakis(03:55) Arriving in New York at 17 during the AIDS crisis(05:15) The AIDS Memorial Quilt and finding his calling(07:19) Learning bedside manner from drag queens(08:35) Translating complex science for patients and politicians(10:32) When politicians understand but choose not to act(11:49) Shock of transitioning to government leadership(13:30) Proudest achievement: Making HIV prevention about joy(15:40) Advice for physicians entering public health(17:02) The revolution in HIV treatment(19:49) PrEP access and health equity in America(21:06) When mpox arrived in the US(22:27) The mpox redemption story(26:36) Fighting misinformation and protecting LGBTQ communities(29:24) Why monkeypox became mpox and back again(31:40) Leading CDC immunization during measles resurgence(33:15) The dangerous myth of natural immunity(36:13) Vaccine coverage decline and close-knit communities(39:21) How to rebuild vaccine trust(40:33) How normal CDC vaccine policy works(45:16) When vaccine policy moved to Twitter(47:12) Career scientists on a hijacked plane(49:40) Why he returned to New York and Callen-Lorde(51:12) What everyone should know about Callen-Lorde(53:16) AI and the future of community health(54:24) Advising the Mamdani transition team(57:18) Any interest in running for office(58:22) Lightning round: Mentors, books, and final advice(01:01:24) Outro