The original, unedited testimony presented to Congress by Dr. Julie Gerberding, director of the Centers for Disease Control and Prevention (CDC) and obtained by ABC News was 14 pages long, but the White House Office of Management and Budget edited the final version down to a mere six pages.

Scientists and public health organizations called the move “frustrating,” “terrible” and “appalling.” The edits essentially deleted all sections that referred to climate change as a public health concern — including the risks of increased food-borne and waterborne diseases, worsening extreme weather events, worsening air pollution and the effect of heat stress on humans.

“Dr. Gerberding is the lead of the premiere public health agency in the U.S.,” said Kim Knowlton, a science fellow on global warming and health at the National Resources Defense Council in New York. “It’s shocking that she was not allowed to say in a public discussion some of these vital details.