Sara Cody

Sara H. Cody^[2] is an American physician, epidemiologist and public health official who serves as the health officer and also as the public health director of Santa Clara County, California. At the time of the 2020 COVID-19 outbreak, she became a regular presence in the media to communicate COVID-19 news and policy.

Cody was born and grew up in Palo Alto, California, where she graduated from Palo Alto High School.^[3] She earned a degree in human biology from Stanford University and a Doctor of Medicine from Yale School of Medicine. Following an internship and residency in internal medicine at Stanford University Medical Center, she completed a two-year fellowship in epidemiology and public health as an Epidemic Intelligence Service (EIS) officer ("disease detective") with the Centers for Disease Control and Prevention.^[1]

During her fellowship as an EIS officer, she investigated the 1996 international outbreak of E. coli O157:H7 that was linked to unpasteurized Odwalla apple juice, which killed a 16-month-old girl and sickened 70 people, of whom 25 were hospitalized and 14 developed the hemolytic uremic syndrome.^[4] She also led an investigation into a salmonella outbreak in Santa Clara County that was traced to cheese made from raw milk and sold in local Hispanic markets.^[5]

After completion of this fellowship, Cody joined the Public Health Department of Santa Clara County. In 1998, she became the communicable disease controller and deputy health officer for the county. In this role she oversaw surveillance and investigation of 83 reportable diseases, conducted investigations on outbreaks, and responded to SARS, H1N1 and other public health emergencies.^[1][6] In the years after the September 11 attacks, Cody worked with the then-county health officer Marty Fenstersheib to model Santa Clara County's emergency response to a bioterrorism attack or pandemic. This model included such measures as social distancing, shutting schools, and at its most extreme, stay-at-home orders.^[7]

In October 2013, Cody became county health officer.^[1] Since July 2015, she has also been the director of the Santa Clara County Public Health Department.^[1][8]

Cody plans to retire on April 11, 2025, after serving as a Santa Clara County official for almost 27 years. Deputy Health Officer Dr. Sarah Rudman will fill her dual positions in an acting capacity.^[9]

Along with other public health officers in the region, Cody was largely credited for promptly advocating for measures that would limit the spread of COVID-19 when the pandemic reached the United States in 2020.^[10][11] She led the Santa Clara County Public Health Department to establish an incident command center on January 23, three days after the first confirmed case in the country, then established a contact tracing mechanism in an effort to stop the propagation of the disease.^[7] Cody issued the first guidelines on the closure and cancellation of public gatherings on March 3, extending them on March 9 to sporting events, festivals, and bars.^[7]

She was an early advocate of requiring residents to "shelter-in-place", leading to the order imposed on March 16, 2020 in seven Bay Area counties, the first such order in the United States.^[7] California Governor Gavin Newsom extended the policy to the whole state three days later.^[12][11] Cody later explained: "If you are going to do something really drastic like shelter-in-place, you want to do it as early as you possibly can. Because if you wait to do it, you get all the harms, all of the social and economic disruptions, but you miss a lot of the benefit."^[13]