The former White House coronavirus response coordinator told CBS News’s “Face The Nation” that she saw Trump presenting graphs about the coronavirus that she did not help make. Someone inside or outside of the administration, she said, “was creating a parallel set of data and graphics that were shown to the president.”
Birx also said that there were people in the White House who believed the coronavirus was a hoax and that she was one of only two people in the White House who routinely wore masks.
Birx was often caught between criticism from Trump, who at one point called her “pathetic” on Twitter when she contradicted his more optimistic predictions for the virus, and critics in the scientific community who thought she did not do enough to combat false information about the virus from Trump, The Post’s Meryl Kornfield reports.
“Colleagues of mine that I’d known for decades — decades — in that one experience, because I was in the White House, decided that I had become this political person, even though they had known me forever,” she told CBS. “I had to ask myself every morning, ‘Is there something that I think I can do that would be helpful in responding to this pandemic?’ And it’s something I asked myself every night.”
Anthony Fauci,director of the National Institute of Allergy and Infectious Diseases,told the New York Times that Trump repeatedly tried to minimize the severity of the virus and would often chide him for not being positive enough in his statements about the virus.
Fauci also described facing death threats as he was increasingly vilified by the president’s supporters.“One day I got a letter in the mail, I opened it up and a puff of powder came all over my face and my chest,” he said. The powder turned out to be benign.
Anthony Fauci on Friday said that a lack of facts “likely did” cost lives over the last year in the nation’s efforts to fight the coronavirus pandemic.
In an appearance on CNN, the nation’s leading infectious diseases expert was directly asked whether a “lack of candor or facts” contributed to the number of lives lost during the coronavirus pandemic over the past year.
“You know it very likely did,” Fauci said. “You know I don’t want that … to be a sound bite, but I think if you just look at that,you can see that when you’re starting to go down paths that are not based on any science at all, that is not helpful at all, and particularly when you’re in a situation of almost being in a crisis with the number of cases and hospitalizations and deaths that we have.”
“When you start talking about things that make no sense medically and no sense scientifically, that clearly is not helpful,” he continued.
President Biden on Thursday unveiled a new national coronavirus strategy that is, in part, aimed at “restoring trust in the American people.”
When asked why that was important, Fauci recognized that the past year of dealing with the pandemic had been filled with divisiveness.
“There’s no secret. We’ve had a lot of divisiveness, we’ve had facts that were very, very clear that were questioned. People were not trusting what health officials were saying, there was great divisiveness, masks became a political issue,” Fauci said.
“So what the president was saying right from the get-go was, ‘Let’s reset this. Let everybody get on the same page, trust each other, let the science speak.’”
Fauci, who was thrust into the national spotlight last year as part of former President Trump‘s coronavirus task force, often found himself at odds with the former president. Trump frequently downplayed the severity of the virus and clashed publicly with Fauci.
Speaking during a White House press briefing on Thursday, Fauci said it was “liberating” to be working in the Biden administration.
There have been more than 24,600,000 coronavirus infections in the U.S. since the pandemic began, according to a count from Johns Hopkins University. More than 410,000 people have died.
Although only 17 states are currently reporting data on the racial and ethnic breakdown of vaccine recipients, the early data indicate that there are significant disparities in who is getting vaccinated, with the share of Black and Latino people among vaccinees lower than their share of the total population in those states.
Alarmingly, in our recent conversations with health system executives,those same disparities seem to be present among healthcare workers employed by hospitals and health systems. Anecdotally, across a half-dozen health systems we’ve spoken with in the past week, most report that they’ve had about 70 percent of their workers agree to get the first dose of the COVID-19 vaccine.
However, that number looks significantly different when broken down by race and ethnicity:on average, the uptake rate among White, Asian, and Pacific Islander workers has been closer to 90-95 percent, while among Black and Latino workers, it’s been closer to 30-40 percent. Bear in mind these are employees of health systems—in many cases they’re frontline caregivers—and given their work environments you might expect them to be less hesitant to get the vaccine.
That 30-40 percent uptake rate is very worrisome, in two ways:caregivers outside of hospital settings, especially home care and nursing home workers, likely include a larger number of workers hesitant to get vaccinated. And in the general population, among whom health literacy is presumably much lower than among healthcare workers,it’s precisely those populations who are at highest risk of COVID infection, hospitalization, and death. (A further complication: health systems made it easy for their employees to get the shot. With vaccines for the general population still scarce, at-risk populations will inevitably have the most difficult time getting signed up, even if they want the vaccine.)
If health systems are the canary in the coal mine for vaccine hesitancy rates, we’re in for a tough challenge in getting the most vulnerable populations vaccinated in the months to come.
As one of his first official actions upon taking office Wednesday, President Biden signed an executive order implementing a federal mask mandate, requiring masks to be worn by all federal employees and on all federal properties, as well as on all forms of interstate transportation. Yesterday Biden followed that action by officially naming his COVID response team, and issuing a detailed national plan for dealing with the pandemic. Describing the plan as a “full-scale wartime effort”, Biden highlighted the key components of the plan in an appearance with Dr. Anthony Fauci and COVID response coordinator Jeffrey Zients.
The plan instructs federal agencies to invoke the Defense Production Act to ensure adequate supplies of critical equipment, including masks, testing equipment, and vaccine-related supplies; calls for new nationalguidelines to help employers make workplaces safe for workers to return to their jobs, and to make schools safe for students to return; and promises to fully fund the states’ mobilization of the National Guard to assist in the vaccine rollout.
Also included in the plan is a new Pandemic Testing Board, charged with ramping up multiple forms of COVID testing; more investment in data gathering and reporting on the impact of the pandemic; and the establishment of a health equity task force, to ensure that vulnerable populations are an area of priority in pandemic response.
But Biden can only do so much by executive order. Funding for much of his ambitious COVID plan will require quick legislative action by Congress, meaning that the administration will either need to garner bipartisan support for its proposed “American Rescue Plan” legislation, or use the Senate’s budget reconciliation process to pass the bill with a simple majority (with Vice President Harris casting the tie-breaking vote). Even that may prove challenging, given skepticism among Republican (and some moderate Democratic) senators about the $1.9T price tag for the legislation.
We’d anticipate intense bargaining over the relief package—with broad agreement over the approximately $415B in spending on direct COVID response, but more haggling over the size of the economic stimulus component, including the promised $1,400 per person in direct financial assistance, expanded unemployment insurance, and raising the federal minimum wage to $15 per hour.
Some of the broader economic measures, along with the rest of Biden’s healthcare agenda and his larger proposals to invest in rebuilding critical infrastructure, may have to wait for future legislation, as the administration prioritizes COVID relief as its first—and most important—order of business.
Over the last year, COVID-19 has taught us painful lessons about the pitfalls of wishful thinking. Early in the pandemic, some people speculated that the virus would slow down over as the weather got warmer over the summer months; instead, the U.S. experienced a deadly wave of new cases. A few months ago, I hoped that here in Southern California, it would be easier for people to avoid spreading the virus than in colder parts of the country, because people can socially distance outdoors more easily year-round. Instead, our outbreak is now among the world’s deadliest—on Monday, California became the first state to report more than 3 million cases of the virus. Here in Los Angeles County, so many people are dying that officials temporarily lifted air quality regulations to permit more cremations, the Los Angeles Times reports.
California’s struggles to contain COVID-19 can at least partly be attributed to pandemic fatigue—after nearly a year of wearing masks and avoiding contact with others, people’s resolve is simply wearing thin. However, while we may feel done with the virus, it isn’t done with us—between 70 and nearly 120 people per 100,000 have died of COVID-19 in California every day in the last week, while more than 3,200 have died each day nationwide; the U.S. just today passed the grim milestone of 400,000 COVID-19 deaths.
If California can’t get its outbreak under control, more pain could lie ahead. Officials have discovered that new variants of the virus are spreading in the Golden State, including a more transmissible strain first identified in the U.K., where caseloads are skyrocketing and hospitals are overwhelmed. What’s happening here in California could be a bellwether for the rest of the country, as the virus continues its spread mostly unchecked across the country and world.
Regardless of which variant is spreading, experts say the defensive measures remain the same: we need to keep wearing our masks (new research shows just how effective they are), maintaining physical distance from others, and spend as much time as possible at home. It’s natural to want to give up—or even bend just a little—and spend time with friends and family we haven’t seen in ages, or do other risky things. That temptation is all the more real now that multiple highly effective vaccines are here, and the end of the pandemic seems within sight. But the vaccination process has gone frustratingly slowly so far, and not enough of us have the necessary protection to let our collective guard down, especially given the presence of at least one highly transmissible mutation.
With those alarming new variants spreading across the globe, it’s probably time to recalibrate our behavior in favor of safety—until more people are inoculated, it’s vital for us to reduce spread through other proven means. In the coming weeks, Californians and Americans elsewhere must buckle down, with their eyes on the final mission: ensuring that as many people as possible survive to see the end of the pandemic.
While 28.4 million doses of the COVID-19 vaccine have been shipped to various U.S. states as of this morning, only about 10.6 million doses have been administered thus far, according to TIME’s vaccine tracker—representing 3.2% of the overall U.S. population.
India launched its nationwide coronavirus vaccine rollout on Saturday, starting with healthcare workers, according to the New York Times.Prime Minister Narendra Modi has said that the 1.3 billion-person country aims to vaccinate 300 million healthcare and other front line workers by July. More than 10.5 million people have been infected in India, and more than 152,500 people have died.
Yesterday, New York Governor Andrew Cuomo asked Pfizer whether his state could purchase vaccines directly from the pharmaceutical company, thus bypassing the federal government. But Dr. Celine Gounder, who’s advising President-elect Joe Biden on the pandemic, said that such a strategy could create problems. “I think we’ve already had too much of a patchwork response across the states,” Grounder said in an interview with CNBC today; she also argued that Cuomo’s idea could create a bidding war among states for vaccines.
TODAY’S CORONAVIRUS OUTLOOK
The Global Situation
More than 95.5 million people around the world had been diagnosed with COVID-19 as of 3 p.m. E.T. today, and more than 2 million people have died. On Jan. 18, there were 514,013 new cases and 9,276 new deaths confirmed globally.
Here’s how the world as a whole is currently trending:
Here’s where daily cases have risen or fallen over the last 14 days, shown in confirmed cases per 100,000 residents:
And here is every country with over 1.5 million confirmed cases:
Hua Chunying, a spokeswoman for China’s foreign ministry, is pushing back on findings from an independent World Health Organization report that was critical of Beijing’s early response to the COVID-19 outbreak. China’s early lockdowns, Chunying said, helped reduce deaths and infections, Al Jazeera reports. Still, China has been criticized for failing to adequately disclose the scope and nature of the outbreak when it first began.
German leaders have agreed to extend a lockdown for businesses and schools until Feb. 14 and to require medical masks on public transportation,Reuters reports. While Germany is now reporting fewer than half as many new cases as it was a month ago, experts have raised concerns about new coronavirus variants that are thought to be more contagious, some of which have been detected in the country.
The Situation in the U.S.
The U.S. had recorded more than 24 million coronavirus cases as of 3 p.m. E.T. today. More than 400,000 people have died. On Jan. 18, there were 141,999 new cases and 2,422 new deaths confirmed in the U.S.
Here’s how the country as a whole is currently trending:
And here’s where daily cases have risen or fallen over the last 14 days, shown in confirmed cases per 100,000 residents.
President-elect Joe Biden plans to continue a travel ban on non-U.S. citizens from European countries and Brazil, reversing outgoing President Donald Trump’s order to end the ban on Jan. 26, six days into Biden’s presidency. Jennifer Psaki, Biden’s incoming press secretary, tweeted that the Biden administration plans “to strengthen public health measures around international travel.” A week ago, the U.S. Centers for Disease Control and Prevention ordered that almost all airline passengers must have a negative coronavirus test or proof of recovery before entering the U.S.
The United States on Tuesday passed 400,000 deaths from COVID-19, a stunning total that is only climbing as the crisis deepens.
The country is now averaging more than 3,000 coronavirus deaths every day, according to Johns Hopkins University data, more than the number of people killed in the Sept. 11, 2001, terror attacks, and the daily death toll has been rising. The effects of a surge in gatherings and travel over the holidays are now coming into focus.
The grim milestone of 400,000 deaths came on the last full day in office for President Trump, who has long rejected criticism of his handling of the pandemic.
The situation threatens to get even worse as a new, more contagious variant of the virus becomes more prevalent. The Centers for Disease Control and Prevention (CDC) warned last week that one of the new variants, first discovered in the United Kingdom, could be the predominant strain in the U.S. by March.
Vaccines offer hope, but it is crucial for the inoculation campaign to progress as quickly as possible to get as many people protected before the new variant takes greater hold.
The U.S. vaccination campaign has started slowly, though there are signs it is beginning to pick up some speed. President-elect Joe Biden has pledged a more aggressive federal role in the vaccination effort, including using the National Guard and the Federal Emergency Management Agency to set up more vaccination sites.
In the short term, however, the country is in for a bleak period.
“I think we still have some dark weeks ahead,” she said.
The country passed 300,000 deaths in mid-December.
At the end of March, as the crisis was beginning, Trump said that if deaths are limited to between 100,000 and 200,000 “we all, together, have done a very good job.” The country has long ago exceeded those numbers.
The U.S. has by far the most COVID-19 deaths of any country in the world. Brazil follows with around 210,000, and India and Mexico are around 150,000, according to Johns Hopkins University.
More than 124,000 people are in the hospital with coronavirus in the U.S., according to the COVID Tracking Project, though the number is starting to decline somewhat from a peak of over 130,000 about a week ago.
The spread of the more contagious variant, however, threatens to send that number spiking again.
Health officials stress they haven’t determined whether the variant might be more contagious or resistant to vaccines.
A coronavirus variant first identified in Denmark has ripped through Northern California — including outbreaks at nursing homes, jails and a hospital in the San Jose area — prompting state and local officials to investigate whether it may be more transmissible.
California officials disclosed the rise of the variant Sunday night after genetic monitoring linked it to a fast-growing share of new cases, as well as to the outbreaks in Santa Clara county, which includes San Jose.
This rising variant is distinct from the highly contagious mutation discovered by Britain, which has also been found in California, and which federal health officials projectcould become the dominant strain in the United States by March based on its proven higher transmissibility.
Experts stress that they need to look more closely at the circumstances of the Northern California outbreaks, as well as at the latest variant — this one, known as L452R — before declaring it more contagious or more dangerous than the virus already broadly circulating.
The L452R variant was first detected in northern Europe in March and has since been confirmed in more than a dozen states, including California in May. The discovery did not garner much attention at the time because all viruses change constantly as they replicate. But public health authorities deem some variants to be “of concern” if evidence suggests they might be more contagious, potentially deadlier or resistant to vaccines.
California publicized the latest variant at a late Sunday news conference after researchers identified it in about 25 percent of samples collected between Dec. 14 and Jan. 3, a surge from 3.8 percent of samples collected in the preceding three-week period.
“That is suggestive, and it’s a little worrisome,” Charles Chiu, a virologist at the University of California at San Francisco said at the briefing. But Chiu stressed it was too early to conclude the variant is more infectious because scientists do not know whether their sampling was representative or whether the variant’s increase might be due to random chance, or even a series of superspreader events.
Officials urged people to follow public health guidelines to minimize the risk of contracting the variant as new daily cases in the hard-hit state plateau at more than 38,000, while deaths average more than 515 daily.
“It’s too soon to know if this variant will spread more rapidly than others,” said Erica Pan, California’s state epidemiologist, “but it certainly reinforces the need for all Californians to wear masks and reduce mixing with people outside their immediate households to help slow the spread of the virus.”
Genetic sequencing of viruses is still limited in the United States, preventing health officials from having a real-time picture of all the strains of coronavirus spreading across the country and their prevalence.
California’s preliminary data is based on fewer than 400 samples that overwhelmingly came from the state’s north. Southern California is the heaviest hit part of the state, with deaths in Los Angeles County reaching one every seven minutes and ICU beds and oxygen running out, although hospitalizations have begun to plateau. Environmental regulators on Sunday temporarily lifted limits on cremations because of a backlog in Los Angeles County.
The L452R strain in California raised alarms because it is associated with several large outbreaks in Santa Clara County, including one at a hospital that infected at least 90 people and killed one staff member. Officials at Kaiser Permanente San Jose Medical Center said a staff member wearing an inflatable Christmas tree costume to spread holiday cheer likely spread coronavirus-laden droplets instead.
Sara Cody, Santa Clara’s top public health official, described that episode as a “very unusual outbreak with a lot of illnesses, and it seemed to spread quite fast.” The county is working with state health officials and the CDC to investigate what happened, she said.
Cody cautioned that the outbreak could have been driven by factors unrelated to the variant, such as changes in ventilation or personal protective equipment practices at the hospital.
“The takeaway is not that we need to start worrying about this,” Cody said Sunday. “The takeaway is, this is a variant that’s becoming more prevalent, and we need to lean in and understand more about it.”
County officials on Monday disclosed other places where the variant had been found as a result of aggressive genetic sequencing, “including cases associated with the Kaiser outbreak, skilled nursing facility outbreaks, cases in jails and shelters, and specimens from testing sites in the community,” according to a statement. “This suggests that the variant is now relatively common in our community.”
Chiu, the virologist who conducted the genetic sequencing, said a deeper investigation must be done to determine if the strain is more transmissible like the one found in the United Kingdom.
He also raised concerns that a mutation associated with the variant might make it more resistant to vaccines because it occurs in a critical part of the spike protein that is targeted by the vaccines,but he added that the virus must be grown in a lab and tested more fully before any conclusions can be drawn.
“Mutations happen all the time,” said William Hanage, an epidemiologist at the Harvard T.H. Chan School of Public Health. “Some of them take off and the great majority of them don’t. The main reason why we are paying attention to this is because this mutation has previously been noted as being of particular concern in terms of diminishing the efficacy of the immune response.”
Carlos del Rio, a professor of medicine and global health at Emory University, said the rising prevalence of the variant shows the urgent need for more genetic sequencing in the United States and for greater compliance with public health measures such as wearing masks and avoiding crowds.
“We really need to hunker down because if you are really concerned about mutations, stop transmission,” del Rio said. “The more mutations you see, the more uncontrolled transmission you will see.”
After starting the new year with record-high cases, deaths and hospitalizations, the United States is starting to see signs of slowing spread despite fears of a post-holiday surge that would continue through January. The seven-day average of new infections has slowed since last Tuesday, and hospitalizations have started to plateau, according to Washington Post tracking.
Still, Scott Gottlieb, a former Food and Drug Administration commissioner, warned that the advent of more transmissible variants could reverse that progress.
“As current epidemic surge peaks, we may see 3-4 weeks of declines in new cases but then new variant will take over,” Gottlieb tweeted Sunday, referring to the British variant. “It’ll double in prevalence about every week. It’ll change the game and could mean we have persistent high infection through spring until we vaccinate enough people.”