Dr. Sara Cody spent her career at Santa Clara County’s Department of Public Health. When COVID-19 first struck the United States, Santa Clara County was among the earliest and hardest hit. Dr. Cody reflects on the intense decision-making of those early days, the public’s fatigue and frustration, and the necessity of coordinating decision-making across public health jurisdictions. Drawing on her early training in CDC’s Epidemic Intelligence Service—where she investigated outbreaks linked to contaminated apple juice and raw milk—those formative experiences shaped her approach to managing the pandemic. Dr. Cody’s story is one of a deep sense of duty to community and an inside look at what it means to lead in local public health when decisions have enormous consequences.

