Undermining the US CDC puts lives at risk

I n the midst of a devastating pandemic, President Donald Trump is destroying the CDC’s ability to discharge its most vital responsibility: to maintain active surveillance of diseases by gathering, analysing and reporting data. Even by this president’s low standards, this is unconscionable.
With Covid-19 surging out of control and healthcare workers in many states struggling to keep up with the patient load, the president has authorised the Department of Health and Human Services (HHS) to demand that hospitals change the way they report data to the federal government. Stop sending statistics on patient numbers, bed availability, ventilators and other key data to the Centers for Disease Control (CDC) and Prevention, the agency said, and instead direct the information to HHS headquarters in Washington. Oh, and make this change within two days.
Don’t mistake this new policy for a bureaucratic adjustment of no great significance, or just one more effort by the Trump administration to annoy its critics. It’s much worse than that. This change is so reckless — make no mistake: people will die as a result — it borders on criminality. It isn’t the first time that President Trump’s administration has sidelined the CDC, a public health institution that has been a model for the world.
Administration officials have often questioned the agency’s guidance, including on mask-wearing and school reopening, and have gone so far as to accuse it of “undermining the president” in advising pregnant women of the risks of Covid-19. Robert Redfield, the current CDC director, has not conducted the kind of regular press briefings that, in a normal administration, give the public accurate information on disease outbreaks. It blocked CDC officials from appearing at a House committee hearing on school reopenings.
But this latest change is the most destructive so far. The CDC’s long-established National Healthcare Safety Network, the biggest and most-used infection-tracking system in the US, is trusted for the accuracy and completeness of its data. Until recently, it gathered the Covid-19 hospital statistics, analysed them and reported back to the states twice a week.
Now, the HHS has turned the job over to a Pittsburgh company, TeleTracking Technologies, which is to be paid more than $10 million, with no guarantee that the information will be made public.
HHS officials have informally indicated they will share the data, at least with hospitals. But public-health experts, state officials and hospital administrators are right to worry that it won’t be fully accessible. This administration has shown it’s more than willing to withhold and manipulate information, including on how coronavirus stimulus money has been spent. Trump has even called for slowing down coronavirus testing as a way of lowering the US case count — an obscenely blatant attempt to bury data that can save lives.

—Bloomberg