This tracker is updated periodically and currently reflects major positions known to be filled or likely to be retained thus far in the second Trump administration (other key roles will be added as filled). Some of the officials noted in this tracker may be on administrative leave and not performing the duties of their roles under direction from the Trump administration.

Position Official
WHITE HOUSE/EXECUTIVE OFFICE OF THE PRESIDENT
National Security Advisor/Assistant to the President for National Security Affairs, National Security Council (NSC) Marco Rubio
Director, Office of National AIDS Policy (ONAP) Vacant
Director, Office of Management and Budget (OMB) Russ Vought
U.S. Trade Representative, Office of the United States Trade Representative (USTR) Jamieson Greer
Director, Office of Science and Technology Policy (OSTP) Michael Kratsios
Director, Office of Pandemic Preparedness and Response Policy (OPPR) Gerald Parker Jr.
DEPARTMENT OF STATE
Secretary of State Marco Rubio
Permanent U.S. Representative to the United Nations, U.S. Mission to the United Nations Mike Waltz (Designate)
Dorothy Shea
U.S. Global AIDS Coordinator and Senior Bureau Official for Global Health Security, Bureau of Global Health Security and Diplomacy Jeffrey Graham
Principal Deputy Coordinator for PEPFAR, Bureau of Global Health Security and Diplomacy Rebecca Bunnell
Principal Deputy Coordinator for Global Health Security & Diplomacy, Bureau of Global Health Security and Diplomacy Jeffrey Graham
Director, Office of U.S. Foreign Assistance Resources Jeremy Lewin
Principal Deputy Director, Office of Global Women’s Issues Katrina Fotovat
Senior Bureau Official, Bureau of International Organization Affairs McCoy Pitt
Assistant Secretary of State for Oceans and International Environmental and Scientific Affairs (OES) Tony Fernandes
Under Secretary for Civilian Security, Democracy, and Human Rights Albert Gombis
Senior Bureau Official, Bureau of Democracy, Human Rights, and Labor Riley Barnes
Assistant Secretary of State for Population, Refugees, and Migration Adam Zerbinopoulos
U.S. AGENCY FOR INTERNATIONAL DEVELOPMENT (USAID)*
Administrator Marco Rubio
DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS)
Secretary Robert F. Kennedy Jr. 
Assistant Secretary for Global Affairs, Office of Global Affairs (OGA) Vacant
Assistant Secretary for Health Dorothy Fink
Surgeon General Janette Nesheiwat (Designate)
Principal Deputy Assistant Secretary for Preparedness and Response, Office of the Assistant Secretary for Preparedness and Response (ASPR) John Knox
Director, Center for the Biomedical Advanced Research and Development Authority (BARDA), ASPR Gary Disbrow
HHS/CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC)
Director Susan Monarez (Designate and Acting)
Principal Deputy Director Vacant
Director, Office of Readiness and Response Henry Walke
Director, Washington Office Jeff Reczek
Director, Global Health Center (GHC) Paige Alexandra Armstrong
Director, Division of Global Health Protection, GHC Benjamin Park
Director, Division of Global HIV and TB, GHC Hank Tomlinson
Director, Global Immunization Division, GHC John Vertefeuille
Director, Division of Parasitic Diseases and Malaria, National Center for Emerging and Zoonotic Infectious Diseases (NCEZID) Simon Agolory
Director, Influenza Division, National Center for Immunization and Respiratory Diseases (NCIRD) Vivien Dugan
HHS/NATIONAL INSTITUTES OF HEALTH (NIH)
Director Jay Bhattacharya
Director, National Institute of Allergy and Infectious Diseases (NIAID) Jeffrey Taubenberger
Director, Office of Global Research, NIAID Joyelle Dominique
Director, Division of AIDS, NIAID Carl Dieffenbach
Director, Division of Microbiology and Infectious Diseases (DMID), NIAID Emily Erbelding
Director, Vaccine Research Center, NIAID Ted Pierson
Director, Office of AIDS Research (OAR); NIH Associate Director for AIDS Research Geri Donenberg
Director, Fogarty International Center (FIC); NIH Associate Director for International Research Kathleen Maletic Neuzil
Director, Center for Global Health, Office of the Director, National Cancer Institute Satish Gopal
Director, Office of Global Health, Office of the Director, National Institute of Child Health and Human Development Vesna Kutlesic
Director, Center for Global Mental Health Research, National Institute of Mental Health Leonardo Cubillos
HHS/FOOD & DRUG ADMINISTRATION (FDA)
Commissioner Marty Makary
Deputy Commissioner for Policy, Legislation, and International Affairs Grace Graham
Associate Commissioner for Global Policy and Strategy Mark Abdoo
HHS/HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA)
Administrator Thomas Engels
Associate Administrator, Bureau of HIV/AIDS Heather Hauck
Director, Office of Global Health, Office of Special Health Initiatives Melissa Ryan Kemburu
DEPARTMENT OF DEFENSE (DoD)
Secretary Pete Hegseth
Assistant Secretary of Defense for Health Affairs, Personnel and Readiness (P&R) Keith Bass (Designate)
Steve Ferrara
Commander, Naval Medical Research Command (NMRC) Franca Jones
Director, DoD HIV/AIDS Prevention Program (DHAPP) Brad Hale
Commander, Walter Reed Army Institute of Research (WRAIR) Eli Lozano
Director, U.S. Military HIV Research Program (MHRP) Julie Ake
Chief, Armed Forces Health Surveillance Division (AFHSD) Richard Langton
Chief, Global Emerging Infections Surveillance (GEIS), AFHSD Vacant
OTHER AGENCIES AND DEPARTMENTS
Peace Corps*: Director Allison Greene
Council of the Inspectors General on Integrity and Efficiency*: Chair, Pandemic Response Accountability Committee Michael Horowitz
Council of the Inspectors General on Integrity and Efficiency*: Executive Director, Pandemic Response Accountability Committee Kenneth Dieffenbach
Department of Agriculture (USDA): Secretary Brooke Rollins
Environmental Protection Agency (EPA)*: Assistant Administrator for International and Tribal Affairs Vacant
Department of Homeland Security (DHS): Chief Medical Officer Herbert Wolfe
Department of the Treasury: Special Inspector General for Pandemic Recovery Vacant
NOTES: * indicates an independent or quasi-independent agency. Acting officials in italics. Officials who the White House has signaled it intends to nominate or who are formally awaiting Senate confirmation are noted as “Designate.” tbd means to be determined. As of May 2, 2025. Also see NIH/FIC, Global Health Initiatives at NIH, available at: https://www.fic.nih.gov/Global/Global-Health-NIH/Pages/institute-center-ics-global-health.aspx.

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