Washington’s Department of Health has cut over 300 employees who helped with the state’s pandemic response and hundreds more of these jobs are on the chopping block as federal COVID aid dries up.

The department already slashed 356 positions and will soon lose funding for 349 more. Funding for most of the jobs will lapse by July 2024 and all federal COVID-19 funds for staff will end by July 2025, according to an agency spokesperson, Roberto Bonaccorso.

Similar cuts are happening nationwide as federal COVID relief funding expires. Public health advocates are warning that as jobs like these are eliminated, it threatens to leave states in a weaker position responding to the next public health crisis.