Experts worry CDC is sidelined in Coronavirus response; question Trump administration

The Centers for Disease Control and Prevention has repeatedly found its suggestions for fighting the coronavirus outbreak taking a backseat to other concerns within the Trump administration. That leaves public health experts outside the government fearing the agency's decades of experience in beating back disease threats are going to waste.

“You have the greatest fighting force against infectious diseases in world history. Why would you not use them?” said Dr. Howard Markel, a public health historian at the University of Michigan.

Complaints of CDC sidelined 

The complaints have sounded for months. But they have become louder following repeated revelations that transmission-prevention guidance crafted by CDC scientists was never adopted by the White House. The latest instance surfaced Thursday when The Associated Press reported that President Donald Trump's administration shelved a CDC document containing step-by-step advice to local authorities on how and when to reopen restaurants and other public places during the current pandemic.

The administration has disputed the notion that the CDC had been sidelined, saying the agency is integral to the administration's plans to expand contact tracing nationwide. But it's clear that the CDC is playing a much quieter role than it has during previous outbreaks.

The nation's COVID-19 response has seen a strange turn for the CDC, which opened in 1946 in Atlanta as The Communicable Disease Center to prevent the spread of malaria with a $10 million budget and a few hundred employees. Today, the agency has a core budget of more than $7 billion — a sum that has been shrinking in recent years — and employs nearly 11,000 people. The CDC develops vaccines and diagnostic tests. Its experts advise doctors how best to treat people, and teach state, local and international officials how to fight and prevent disease. Among the CDC's elite workforce are hundreds of the world's foremost disease investigators — microbiologists, pathologists, and other scientists dispatched to investigate new and mysterious illnesses.

In 2009, when a new type of flu virus known at the time as swine flu spread around the world, the CDC held almost daily briefings. Its experts released information on a regular basis to describe the unfolding scientific understanding of the virus, and the race for a vaccine. The federal response to the coronavirus pandemic initially followed a similar pattern.

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CDC and COVID-19

CDC first learned in late December of the emergence of a new disease in China, and the US identified its first case in January. In those early days, the CDC held frequent calls with reporters. It also quickly developed a test it could run at its labs, and a test kit to be sent to state health department labs to detect the virus. But February proved to be a disaster. The test kit was flawed, delaying the ability of states to do testing. A CDC-run surveillance system, meant to look for signs of the virus in people who had thought they had the flu, was slow to get off the ground.

Officials at the CDC and at other federal agencies were slow to recognize infections from Europe were outpacing ones from travelers to China. But politically speaking, one the most striking moments that month was something that the CDC — in the eyes of public health experts — got perfectly right.

In late February, Dr. Nancy Messonnier — a well-respected CDC official who was leading the agency's coronavirus response — contradicted statements by other federal officials that the virus was contained. “It's not so much a question of if this will happen anymore, but rather more a question of exactly when this will happen – and how many people in this country will have a severe illness,” she said.

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Stocks plunged. President Donald Trump was enraged. The White House Coronavirus Task Force moved to the center stage. Vice President Mike Pence took control of clearing CDC communications about the virus. CDC news conferences stopped completely after March 9. Messonnier exited the public stage.

CDC Director Robert Redfield continued to keep the low profile he's had since getting the job. Two other task force members — Deborah Birx, the task force coordinator, and Anthony Fauci of the National Institutes of Health — became the task force's chief scientific communicators.

Health experts have praised Fauci, but they say CDC's voice is sorely missed. The government has continued to look to CDC officials for information and guidance, but there have been repeated instances when what the agency's experts send to Washington is rejected. In early March, administration officials overruled CDC doctors who wanted to recommend that elderly and physically fragile Americans be advised not to fly on commercial airlines because of the new coronavirus, the AP reported.

Read: Trump admin ignoring CDC guidelines to reopen United States amid COVID-19: Reports

And last week, officials nixed CDC draft guidance that was researched and written to help faith leaders, business owners, educators, and state and local officials as they begin to reopen. The 17 pages of guidelines were never approved by Redfield to present to the White House task force, said an administration official who spoke on condition of anonymity to discuss internal deliberations. They were only discussed at the task force level once the drafts leaked publicly, and no decisions about them were ever made. Still, the CDC guidelines were the subject of intense debate at the upper echelons of the White House. Some officials saw them as essential to helping businesses and other organizations safely reopen.

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