Public Health Agency Criticized for Withdrawing Tonsillitis Guidelines

The Public Health Agency prioritized the relationship with external actors over science when it de-published recommendations regarding tonsillitis in the spring. This is the opinion of the outgoing state epidemiologist Magnus Gisslén, who elaborates on the criticism of his former employer.

» Published: August 20 2025 at 10:32

Public Health Agency Criticized for Withdrawing Tonsillitis Guidelines
Photo: Oscar Olsson/TT

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— Despite our recommendations being well-established in science, the new management at the Public Health Agency chose to withdraw them in the spring, says Gisslén in a video published on Wednesday.

The issue concerns recommendations that Gisslén was involved in developing and which, among other things through more generous testing, aimed to prevent the spread of group A streptococci.

But the recommendations created tensions with the Medical Products Agency and the Strama network, according to Gisslén.

The relationships with the Medical Products Agency and Strama were considered more important than preventing serious infections, says Gisslén.

The video is the second of a total of four with criticism of the Public Health Agency that Gisslén has announced that he will publish.

In his initial statements, he focused on the fact that there is "a lack of medical expertise in the management" of the Public Health Agency. In Wednesday's video, he is also addressing the government.

Is the responsible minister really aware of how weak the Public Health Agency's infectious disease control competence has become?

The Public Health Agency's director-general Olivia Wigzell has rejected the criticism and said that competence is always present when decisions are to be made.

TT has sought the responsible minister, Minister of Social Affairs Jakob Forssmed (KD), who declines to comment on today's post.

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By TTEnglish edition by Sweden Herald, adapted for local and international readers
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