Swedish Public Health Agency Reconsiders Role of State Epidemiologist Amid Criticism

The Swedish Public Health Agency is reversing its stance following criticism from Magnus Gisslén. The agency plans to review its medical expertise and may reinstate decision-making powers for the state epidemiologist.

"I am open to everything. We will evaluate it," says Olivia Wigzell, Director General of the Public Health Agency.

For several days, outgoing state epidemiologist Magnus Gisslén has delivered sharp criticism against the Public Health Agency, citing a lack of medical expertise, inefficiency, and power struggles. He has received support from several experts, including Lars Engstrand.

Initially, Director General Olivia Wigzell dismissed the criticism but has now announced that the agency will take several measures.

"We will conduct a review to better utilize our medical expertise in the field of infectious disease control. This may involve organizational changes," says Olivia Wigzell.

Reviewing Decision-Making Powers

Among other things, the role of the state epidemiologist will be reviewed.

"From now on, the state epidemiologist will attend all agenda items in the management group," says Olivia Wigzell.

During Anders Tegnell's tenure, the state epidemiologist had more influence, according to Magnus Gisslén's criticism. He himself only had an advisory role, not decision-making powers.

The change was made when Tegnell left his position.

"The idea was to focus more on the state epidemiologist function by not having the dual role of department head and state epidemiologist," says Olivia Wigzell.

However, reinstating decision-making powers may now be considered, according to the Director General.

"Yes, it may be considered. I am open to everything. We will evaluate it and have already started discussions," she says.

Gisslén: "Much is Required"

Magnus Gisslén welcomes the agency's serious consideration of the criticism.

"It's very good that they acknowledge the problems and take action. I have pointed this out for a long time. It's important that it is implemented. Quite a lot needs to be done to make it right."

He believes, for example, that the new state epidemiologist should be recruited externally and have a permanent seat in the management group.

"It's not enough to just adjunct the state epidemiologist to the management; more is required. There also needs to be medical expertise among the department heads with medical responsibility, and there needs to be substantial medical expertise in the management group," says Magnus Gisslén.