Gisslén is ending his role as state epidemiologist at the Swedish Public Health Agency after losing confidence in the leadership. He directs strong criticism at the agency, claiming it has “serious deficiencies in both leadership and medical expertise”.
Magnus Gisslén, who is a senior physician and professor of infectious diseases at Sahlgrenska University Hospital in Gothenburg, Sweden, took on the role of state epidemiologist in 2023, but after two years he has had enough of the agency. One of the biggest problems is the lack of medical competence in the leadership.
“Today there is not a single doctor or person with deeper medical expertise in the agency’s management group. This is remarkable. We’re talking about the agency responsible for infectious disease control issues in everyday life and crisis situations“, he writes in the Bonnier publication DN.
“Important infectious disease control aspects may be overlooked”
Gisslén writes that the role of state epidemiologist previously, for example when Anders Tegnell held the title, involved a management role and a place in the agency’s leadership group. Now those mandates have been removed and the state epidemiologist has only an advisory role, without decision-making authority. In practice, this means that people without medical knowledge make decisions about Swedes’ health.
“Managers without medical competence lack the ability to evaluate complex medical issues, which risks leading to wrong priorities and important infectious disease control aspects being overlooked”.
Furthermore, he points out that his attempts to “strengthen the agency’s scientific foundation and medical competence” have not succeeded due to a lack of “willingness to change”, and that he has lost confidence in the agency.
“Change is required, and ultimately it is the government’s responsibility to ensure that Sweden has an infectious disease control agency that possesses the necessary competence to fulfill its mission”.
Senior physician Erik Sturegård will become the new state epidemiologist from September 1, according to the Swedish Public Health Agency.