1| Title 42 is based in a public health authority, but was never about public health
In March 2020, the Director of the Center for Disease Control and Prevention (CDC) issued an order suspending entry to the United States for many individuals seeking to enter the U.S. from Mexico or Canada, citing the surging COVID-19 pandemic.
This policy is commonly referred to as Title 42, a reference to the section of U.S. law from which the authority is derived. This authority was established with the passage of the Public Health Service Act of 1944, but was mostly unused until it was invoked by the Trump Administration in 2020. This law gives the CDC the authority to bar individuals or goods from entering the U.S. if “the Surgeon General determines that by reason of the existence of any communicable disease in a foreign country there is serious danger of the introduction of such disease into the United States.”
Despite the Administration’s weak justifications, the Title 42 order has never really been about public health.
This was clearly demonstrated in a legal brief filed by dozens of epidemiologists and public health experts, laying out substantial evidence explaining that the Title 42 order had no basis in public health. They explained, for example, that COVID-19 infections were far higher in the U.S. than in any of the countries of origin for most migrants subject to Title 42, and showed how Title 42 was selectively applied and did not impact tens of millions of individuals, including green card and temporary visa holders, traveling into the United States.
Title 42 was intended to specifically target and restrict access for undocumented immigrants and asylum seekers in particular, and to act as an immigration policy, not a public health policy, with no basis in science or medical research. Its intended and realized effect was to advance the Trump Administration’s persistent efforts to dismantle the asylum system and restrict immigration.
The CDC announced its plans to lift the Title 42 order last year, but legal challenges led to the Supreme Court ordering that the policy remain in place for now. However, the CDC’s announcement that it would end the broader Public Health Emergency for COVID-19 on May 11th has paved the way for the Title 42 order to finally be lifted.