Trump’s strategy for combating coronavirus was destined to fail
The Trump Administration’s strategy to combat COVID-19, the novel coronavirus, began with a relatively simple focus: keep it out of the United States. In service of that goal, the White House issued drastic travel restrictions, imposed mandatory quarantines, and repeatedly told the public that these steps were working.
“We have contained this. I won’t say airtight but pretty close to airtight,” White House economic adviser Larry Kudlow said in a television interview on Feb. 25, echoing Trump’s tweeted declaration that the virus was “very much under control” in the United States.
But it wasn’t, and the administration’s rosy messaging was fundamentally at odds with a growing cacophony of alarm bells inside and outside the U.S. government. Since January, epidemiologists, former U.S. public health officials and experts have been warning, publicly and privately, that the administration’s insistence that containment was—and should remain—the primary way to confront an emerging infectious disease was a grave mistake.
In congressional testimony, in medical webcasts and in private discussions with health officials, they warned that the unique features of this flu-like virus made it impossible to control, and that the administration must use any time that containment measures might buy to prepare the country for an inevitable outbreak. The administration was using all its resources to blockade the doors, they warned, but the enemy was likely already in the house.
“The current U.S. policy to deny visas to travelers from China and to quarantine returning Americans is not the right approach,” Jennifer Nuzzo, an epidemiologist and expert in disease outbreak detection and response at the Johns Hopkins Center for Health Security, testified to Congress on February 5. “I am deeply concerned that these measures will make us less safe by diverting public health resources from higher priority disease mitigation approaches.”
Two days earlier, former FDA commissioner Scott Gottlieb had warned “we have to assume it’s already here and circulating.”
When it finally became indisputable that an outbreak was underway in Washington state, the administration was slow to catch up. There were not enough COVID-19 testing kits, hotlines were overwhelmed, and hospitals and public health departments were hobbled by a lack of reliable statistics on the spread of the disease. Experts say the U.S. response is now likely weeks—if not months—behind schedule. [Continue reading…]