Review 賞賛するd ワクチン director's leadership before 解雇する／砲火／射撃ing
NASHVILLE, Tenn. (AP) - Before a 最高の，を越す Tennessee health 公式の／役人 recommended 解雇する／砲火／射撃ing the 明言する／公表する's former ワクチン director over （人命などを）奪う，主張するs that 含む shortcomings in her leadership, her 監督者 had 賞賛するd her "strong leadership" as recently as last month while her program 直面するd "very 激しい scrutiny and 業績／成果 期待s," によれば a 明言する／公表する 職業 業績／成果 evaluation 循環させるd 公然と on her に代わって.
The 暫定的な 業績／成果 review sheds 付加 light on the circumstances 主要な up to the July 12 termination of Dr. Michelle Fiscus, who has spent the last week speaking 国家的に in rebuttal to a 解雇する／砲火／射撃ing she argues was political appeasement for 共和国の／共和党の 国会議員s who were ガス／煙ing over the department's COVID-19 ワクチン outreach 成果／努力s for 適格の minors.
In a July 9 letter, Tennessee's 長，指導者 医療の officer, Tim Jones, said Michelle Fiscus should be 除去するd 予定 to （民事の）告訴s about her leadership approach and her 扱うing of a letter explaining ワクチン接種 権利s of minors for COVID-19 発射s, which helped 誘発する the （激しい）反発 from 国会議員s. The Department of Health 解放（する）d her 職員／兵員 とじ込み／提出する, 含むing the 解雇する／砲火／射撃ing 推薦 letter, in 返答 to public 記録，記録的な／記録するs requests from news 出口s.
Tennessee 公式の／役人s didn't 含む her 業績／成果 reviews, which are 免除されたd under 明言する／公表する public 記録，記録的な／記録するs 法律, but Fiscus' husband Brad 解放（する）d them in rebuttal. Several years' 価値（がある） of them show her 業績／成果 was みなすd "優れた," 含むing for October 2019 through September 2020. Over the 週末, Brad Fiscus said they 位置を示すd two more 最近の 暫定的な evaluations. One followed a 法律を制定する 会合 last month that put the department in the hot seat over its childhood ワクチン messaging 成果／努力s.
That 会合 is 簡潔に について言及するd in the June 業績／成果 review by Fiscus' 監督者, 明言する／公表する epidemiologist John Dunn, who 示唆するs she "work closely with her 監督者 during the 近づいている month to 調整する and （疑いを）晴らす all ワクチン c ommunications に引き続いて 法律を制定する (政府 操作／手術s) 審理，公聴会s 焦点（を合わせる）d on (Tennessee Department of Health) immunization 優先s and 活動／戦闘s."
Neither review 直接／まっすぐに について言及するs her much-discussed 覚え書き on the 円熟した Minor Doctrine, which traces 支援する to a 1987 明言する／公表する 最高裁判所 事例／患者 and 許すs children 14 and up to be vaccinated without a parent´s 同意. The 推薦 to 解雇する／砲火／射撃 her （人命などを）奪う，主張するs she sent around "her own 解釈／通訳" of the doctrine. Fiscus has said the letter she sent providers was verbatim from 文書s 供給するd by the department´s 長，指導者 合法的な counsel. She 供給するd email 記録，記録的な／記録するs to 支援する up the 主張.
In this image made from ビデオ, Miche lle Fiscus speaks to the Associated 圧力（をかける）, from Franklin, Tenn., on Tuesday, July 13, 2021. Fiscus, Tennessee's 最高の，を越す ワクチン接種s 公式の／役人, said she couldn't stay silent after was she was 解雇する／砲火／射撃d this week まっただ中に scrutiny from 共和国の／共和党の 明言する／公表する 国会議員s over her department's outreach 成果／努力s to vaccinate 十代の少年少女s against COVID-19. (AP Photo)
Dunn's evaluations 賞賛する Fiscus 多重の times. The June review says the 明言する／公表する's "COVID ワクチン接種 planning and program 実施 have been excellent" under her.
It also laments that ワクチン接種 率s have been "disappointing 予定 in part to Tennessee´s 全住民 demographics and 核心 beliefs on ワクチン接種." Dunn について言及するs Fiscus' work to 促進する the ワクチン, but says "the communications approach has been いっそう少なく 強健な than 支持するd for from the (Tennessee Department of Health) 視野 because of overarching 政府 Comms team 客観的なs" outside of the department's Communicable and 環境の 病気s and 緊急 Preparedness 分割.
"I 高く評価する／（相場などが）上がる Dr. Fiscus and her 決意," Dunn wrote. "The 実施 計画（する） has been very successful in reaching the most at-危険 in our 全住民."
In the June review, Dunn 公式文書，認めるs the loss of some 従業員s and some staff （民事の）告訴s to department leaders and human 資源s. In both reviews, Dunn でっちあげる，人を罪に陥れるs staff-関係のある 関心s within the 状況 of how the 前例のない COVID-19 返答 has taken a （死傷者）数 on health 労働者s 全国的な.
"The （死傷者）数 of COVID has been 劇の," the June review 明言する／公表するs. "Dr. Fiscus has balanced her 責任／義務s 井戸／弁護士席 and should continue to 焦点（を合わせる） on her team and herself in regards to work-life balance, professional 開発, and 職業 satisfaction."
Within the April review, Dunn raises 関心s over the 提案s 存在 floated by 国会議員s 予定 to the pandemic. He 強調する／ストレスd the importance of communicating with the department's 合法的な counsel and "法律を制定する leads" because "COVID has created much 法律制定 which 脅すs (the Communicable an d 環境の 病気s and 緊急 Preparedness 分割) and public health program 客観的なs."
Late last week, Fiscus 解放（する）d a point-by-point rebuttal on the （人命などを）奪う，主張するs made in the 解雇する／砲火／射撃ing 推薦.
She also 答える／応じるd to the 知事´s office regarding her （人命などを）奪う，主張するs that the Health Department stopped outreach for vaccinating minors for all 病気s, not just COVID-19, which she has 支援するd up through departmental email 記録，記録的な／記録するs, 説 she never said the children´s ワクチンs program had been 停止（させる）d. What has been stopped, she said, are "共同s between 地元の health departments and outside 機関s, such as schools, to 供給する ワクチンs outside of a 地元の health department" and "any 試みる／企てるs to communicate to parents that their children are in need of 批判的な 決まりきった仕事 immunizations during this 支援する-to-school season."
共和国の／共和党の Gov. 法案 物陰／風下´s office and the Health Department have 拒絶する／低下するd to comment 直接／まっすぐに on Fiscus´ 解雇する／砲火／射撃ing.
One 目だつ Tennessee 共和国の／共和党の 重さを計るd in Friday, though without 指名するing Fiscus or the pause over outreach for childhood ワクチンs.
Former U.S. Sen. 大多数 Leader 法案 Frist, a 外科医, tweeted that "it is the 責任／義務 of our 明言する／公表する´s leaders to take いつかs uncomfortable, even 人気がない, positions when the health and lives of our people are at 火刑／賭ける."
"Tennessee can stand by #science and #savelives, or we can その上の a dangerous 傾向 that is eroding public health and 信用 in 政府," Frist tweeted.
