Archive for ‘U.S. Centers for Disease Control and Prevention’

05/04/2020

As Trump administration debated travel restrictions, thousands streamed in from China

(Reuters) – In defending his strategy against the deadly coronavirus, President Donald Trump repeatedly has said he slowed its spread into the United States by acting decisively to bar travelers from China on Jan. 31.

“I was criticized by the Democrats when I closed the Country down to China many weeks ahead of what almost everyone recommended. Saved many lives,” he tweeted, for instance, on March 2.

But Reuters has found that the administration took a month from the time it learned of the outbreak in late December to impose the initial travel restrictions amid furious infighting.

During that time, the National Security Council staff, the state department and other federal agencies argued about everything from how best to screen for sick travelers to the economic impact of any restrictions, according to two government officials familiar with the deliberations.

The NSC staff ultimately proposed aggressive travel restrictions to high-level administration officials – but it took at least a week more for the president to adopt them, one of the government officials said.

In meetings, Matthew Pottinger, deputy national security adviser and a China expert, met opposition from Treasury Secretary Steven Mnuchin and National Economic Council director Larry Kudlow, said two former NSC officials and one of the government officials involved in the deliberations. The two top aides were concerned about economic fallout from barring travelers from China, the sources said.

Each day that the administration debated the travel measures, roughly 14,000 travelers arrived in the United States from China, according to figures cited by the Trump administration. Among them was a traveler who came from Wuhan to Seattle in mid-January, who turned out to be the first confirmed case in the United States.

On Jan. 22, Trump downplayed the threat posed by the virus, telling CNBC from the World Economic Forum in Davos, Switzerland, “We have it totally under control.”

The battle within the White House over whether and how to stop infected travelers from China lasted nine more days.

On Jan. 31, Trump issued a proclamation barring entry of non-U.S. citizens, other than the immediate family of citizens and permanent residents, who had traveled to China within the last two weeks. The restrictions have since been expanded to many other countries.

It is unclear when the president was made aware of the NSC’s proposal and what prompted his decision to act, but the decision followed the World Health Organization’s declaration the day before that the epidemic was a “public health emergency of international concern.”

U.S. Centers for Disease Control and Prevention officials told Reuters that they contributed to the decision as part of the administration’s newly convened coronavirus task force.

A Treasury Department spokesperson said that Mnuchin “never objected to the decision to restrict flights from China.”

A White House spokesman, Judd P Deere, said: “Any suggestion that Larry Kudlow objected to restricting flights from China to contain COVID-19 and protect the health of the American people is completely false. Larry fully supported the President’s bold decision.”

In a statement, NSC spokesman John Ullyot said that the council’s early meetings about the coronavirus involved great expertise and robust discussion and were professional.

As of April 4, the coronavirus has infected more than 300,000 people in the United States, and killed over 8,000, according to the Reuters coronavirus tracker. The country has more cases than anywhere else in the world.

The sources for this story, former NSC members, public health officials and others involved in, or briefed on, the administration’s response, spoke on condition of anonymity because they were not authorized to comment on the record.

POPPING A FLARE

The NSC, which operates within the White House to coordinate policies and recommendations involving national security across agencies, was at the center of the effort to formulate the early response to the outbreak.

The council was first notified of the outbreak on the morning of Dec. 31, according to one of the government officials involved, when an NSC official was forwarded an email from a Department of Health and Human Services (HHS) attache in Beijing that had been sent to senior HHS officials the night before.

The “pop-a-flare” notice, as it is known, described strange cases of pneumonia that could not be definitively traced to seasonal flu, said the government official, who saw the message. The email said the Chinese would soon be notifying the World Health Organization, the official said.

On Jan. 3, Dr. Gao Fu, head of China’s disease control agency, informed his U.S. counterpart, Dr. Robert Redfield, director of the CDC, in an emotional telephone call that the outbreak was growing out of control, according to the same federal official and a former NSC official. Both said they had been informed of the details.

Gao’s agency did not respond to a request for comment.

Ullyot, the NSC spokesman, disputed the timeline, saying the council did not learn of the coronavirus outbreak until Jan. 3. The CDC, a part of HHS, confirmed to Reuters that it learned of an outbreak in late December and that the call with Gao occurred Jan. 3.

Health agencies were scrambling to gather information, the two government officials involved in the deliberations said. Questions went back to the U.S. Embassy in Beijing, and experts across the government: How many travelers arrive daily from Wuhan, China, the initial site of the outbreak? What U.S. airports do they fly into? What would be the pros and cons, including costs, of any travel restriction?

In discussions with the NSC, public health officials, including from HHS and CDC, initially argued for the targeted approach of medically screening travelers from Wuhan, as they sifted through information about where and how quickly the virus was spreading, one of the government officials involved said. Public health officials tend not to favor border closures because they can restrict medical response and divert limited resources.

The NSC’s Pottinger was pushing hard for strict travel restrictions – expressing doubt about the truth of the data China was releasing, according to the official.

There was “a lot of yelling, a sign of frustration,” said a former NSC staffer who was not in the meetings but got messages from colleagues in attendance expressing dismay. The person described the messages but did not share them with Reuters. The two current federal officials confirmed the acrimony.

The NSC struggled to reconcile conflicting viewpoints, the two government officials involved said.

The debate delayed the screening of travelers from China by at least a week, one of the officials said. CDC officials ultimately announced enhanced medical screenings for travelers from Wuhan at three international airports, in Los Angeles, San Francisco and New York’s John F. Kennedy, on Jan. 17, expanding them to 20 U.S. airports by Jan. 28.

At one point, during a meeting, Pottinger snapped at health officials that their approach “really has to take a step back,” so that national security interests could shape the response, the official said.

The CDC declined to comment on the debate.

Some former NSC officials who spoke to Reuters traced what they saw as an ineffective response by the council in part to structural changes in 2018 in which former National Security adviser John Bolton had folded the council’s Global Health Security and Biodefense directorate into a larger operation, with the result that pandemic planning was not as great a priority. Others said that, under Bolton, the NSC worked effectively on biopreparedness, but after he departed it lost a number of important experts.

NSC spokesman Ullyot rejected as false the suggestion that the council lacked expertise. The council is staffed by officials with “extensive experience in virology, infectious disease epidemiology, global health security, public health, and emergency response,” he said.

The NSC’s own public health experts were involved in the discussions from the beginning, advocating “early and often” for traveler screening and raising the issue of banning flights from Wuhan, he said.

While the conflict soured the interactions, one of the government officials involved said, data soon emerged that led the health agency officials to agree with Pottinger: A travel restriction for all of China was needed. They saw that there were thousands of travelers arriving daily from Wuhan’s Hubei province to the United States, as well as a rising number of Covid-19 cases reported by the Chinese government beginning in mid-January, the source said.

In its statement to Reuters, the CDC did not directly address what led to its ultimate decision to support the travel restrictions.

By Jan. 24, the staff of the NSC had proposed restricting flights from China, said the government official involved in the deliberations. But as Pottinger met with deputies from other cabinet-level agencies, the recommendation met with resistance because of concerns about spooking the markets and scaring the public, three sources with knowledge of the deliberations told Reuters.

STILL DIVIDED

With opinions still divided, the matter went to top White House aides, at which point Treasury Secretary Mnuchin and National Economic Council director Kudlow argued strongly against the travel restrictions, said two former NSC officials and the government official involved in the deliberations.

In addition to the impact on the stock market, the two top aides expressed concern about the supply chain for everything from semiconductors to ingredients for pharmaceuticals, said one of the government officials involved in the deliberations.

Pottinger was “pleading with Mnuchin and others” to stop travelers from coming, the former NSC official said.

By then, the first known patient in the United States – a man in his 30s who had traveled from Wuhan to Seattle on Jan. 15 – tested positive for the coronavirus disease, COVID-19.

He had slipped through travel screenings because his trip had been broken up, so the Wuhan origin of his trip had not been obvious to customs agents, said the government official with knowledge of the deliberations.

At the World Economic Forum in Davos, Switzerland, President Trump told CNBC on Jan. 22: “It’s one person coming in from China, and we have it under control. It’s going to be just fine.”

On Jan. 29, the Council of Economic Advisers, which advises the president on economic policy, presented an analysis describing a worst-case scenario of what a pandemic and travel restrictions could do to the economy, according to one of the government officials involved in the deliberations, who read it. The report supported Kudlow and Mnuchin’s arguments against such restrictions and “scared everyone,” the source said.

The next day, at an afternoon meeting of the White House’s newly formed coronavirus task force, as well as other attendees, travel restrictions were still being debated, according to the government official involved in the deliberations and a former NSC official who learned of the meeting from former colleagues.

During the meeting, Mick Mulvaney, then President Trump’s chief of staff, entered the room, telling a smaller group, including Pottinger: “The president wants to see you now,” according to the official involved in the deliberations and the former NSC officials.

Mulvaney referred questions to the White House, which did not respond.

Trump issued the order the next day. By then, the novel coronavirus was already carving a lethal path through a Seattle nursing home.

Source: Reuters

25/02/2020

South Korea to launch mass coronavirus testing, U.S. pledges $1 billion for vaccine

SEOUL/BEIJING (Reuters) – South Korea aims to test more than 200,000 members of a church at the centre of a surge in coronavirus cases, as countries stepped up efforts to stop a pandemic of the c that emerged in China and is now spreading in Europe and the Middle East.

More than 80,000 people have been infected in China since the outbreak began, apparently in an illegal wildlife market in the central city of Wuhan late last year.

China’s death toll was 2,663 by the end of Monday, up 71 from the previous day. But the World Health Organization (WHO) has said the epidemic in China peaked between Jan. 23 and Feb. 2 and has been declining since.

However, fast-spreading outbreaks in Iran, Italy and South Korea, and first cases in several Middle East countries, have fed worries of a pandemic, or worldwide spread of the virus.

“We are close to a pandemic, but there is still hope the epidemics in Iran, Italy, South Korea, etc. can be controlled,” said Raina MacIntyre, head of the Biosecurity Programme at the Kirby Institute at the University of New South Wales.

South Korea has the most virus cases outside China and reported its tenth death and 144 new cases, for a total of 977. President Moon Jae-in said the situation was “very grave”.

In Europe, Italy has become a new front line, with 220 cases reported on Monday, up from just three on Friday. The death toll in Italy is seven.

Global stock markets stabilised on Tuesday after a wave of early selling petered out and Wall Street futures managed a solid bounce after a sharp selloff the previous day on fears about the spreading coronavirus.

“If travel restrictions and supply chain disruptions spread, the impact on global growth could be more widespread and longer lasting,” said Jonas Goltermann, senior economist at research consultancy Capital Economics in London.

PUBLIC ANXIETY

About 68% of South Korea’s cases are linked to the Shincheonji Church of Jesus, where the outbreak is believed to have begun with a 61-year-old woman. It is not known how she became infected.

The church said it would provide authorities the names of all its members in South Korea, estimated by media at about 215,000 people. The government would test them all as soon as possible, the prime minister’s office said.

“It is essential to test all of the church members,” it said in a statement. Authorities said they were testing up to 13,000 people a day.

The U.S. and South Korean militaries have said they may cut back joint training due to the virus, in one of the first concrete signs of its fallout on global U.S. military activities.

The disclosure came during a visit to the Pentagon on Monday by South Korean Defence Minister Jeong Kyeong-doo, who said 13 South Korean troops had the virus.

The U.S. military said a woman who tested positive for the virus had visited one of its bases in the hard-hit city of Daegu. It was the first infection connected to U.S. Forces Korea, which has about 28,500 American troops on the peninsula.

The U.S. military urged troops to “use extreme caution” off base, while the U.S. Centers for Disease Control and Prevention said Americans should avoid non-essential travel to South Korea.

IRAN ISOLATION

Outside mainland China, the outbreak has spread to about 29 countries and territories, with a death toll of about three dozen, according to a Reuters tally.

Afghanistan, Bahrain, Iraq, Kuwait and Oman reported their first new coronavirus cases, all in people who had been to Iran where the toll was 14 dead, media said, and 61 infected.

The outbreak threatens to isolate Iran further. The United Arab Emirates, which has 13 virus cases, suspended all flights with Iran for at least a week, state media said.

Iraq extended an entry ban on travellers from China and Iran to those from five other countries over virus fears, its health ministry said.

In Japan, which has reported four deaths and 850 cases mostly linked to a cruise ship, Health Minister Katsunobu Kato said it was too early to talk about cancelling the Tokyo Olympics due to start on July 24.

The United States pledged $2.5 billion to fight the disease, with more than $1 billion going toward developing a vaccine, with other funds earmarked for therapeutics and the stockpiling of personal protective equipment such as masks.

China reported a rise in new cases in Hubei province, the epicentre of the outbreak. But excluding those, China had just nine new infections on Monday, its fewest since Jan. 20.

With the pace of new infections slowing, Beijing said restrictions on travel and movement that have paralysed economic activity should begin to be lifted.

“Low-risk areas … are to restore order in production and life, cancel transport restrictions and help enterprises,” state planner official Ou Xiaoli told a briefing.

Source: Reuters

25/01/2020

China virus toll hits 41; Australia reports first four cases

BEIJING (Reuters) – The death toll from China’s coronavirus outbreak jumped on Saturday to 41 as the Lunar New Year got off to a gloomy start, with Hong Kong declaring a virus emergency, scrapping celebrations, and restricting links to mainland China.

Australia on Saturday confirmed its first four cases, Malaysia confirmed three and France reported Europe’s first cases on Friday, as health authorities around the world scrambled to prevent a pandemic.

Hong Kong leader Carrie Lam on Saturday declared a virus emergency in the Asian financial hub, with five confirmed cases, immediately halting official visits to mainland China and scrapping official Lunar New Year celebrations.

Inbound and outbound flights and high speed rail trips between Hong Kong and Wuhan, the epicentre of the outbreak, would be halted, and schools, now on Lunar New Year holidays, would remain shut until Feb. 17. The territory was also treating 122 people suspected of having the disease.

The death toll in China rose to 41 on Saturday from 26 a day earlier and more than 1,300 people have been infected globally with a virus traced to a seafood market in the central city of Wuhan that was illegally selling wildlife.

Hu Yinghai, deputy director-general of the Civil Affairs Department in Hubei province, where Wuhan is located, made an appeal on Saturday for masks and protective suits. Hospitals in the city have made similar pleas.

“We are steadily pushing forward the disease control and prevention … But right now we are facing an extremely severe public health crisis,” he told a news briefing.

Vehicles carrying emergency supplies and medical staff for Wuhan would be exempted from tolls and given traffic priority, China’s transportation ministry said on Saturday.

Wuhan said it would ban non-essential vehicles from its downtown starting Sunday to control the spread of the virus, further paralysing a city of 11 million that has been on virtual lockdown since Thursday, with nearly all flights cancelled and checkpoints blocking the main roads leading out of town.

Authorities have since imposed transport restrictions on nearly all of Hubei province, which has a population of 59 million.

In Australia, three men, aged 53, 43 and 35 in New South Wales were in stable condition after they were confirmed to have the virus after returning from Wuhan earlier this month.

A Chinese national in his 50s, who had been in Wuhan, was also in stable condition in a Melbourne hospital after arriving from China on Jan. 19, Victoria Health officials said.

State-run China Global Television Network reported in a tweet on Saturday that a doctor who had been treating patients in Wuhan, 62-year-old Liang Wudong, had died from the virus.

Police officers stand guard in front of the closed gate of Lama Temple where a notice saying that the temple is closed for the safety concern following the outbreak of a new coronavirus is seen, in Beijing, China January 25, 2020. REUTERS/Carlos Garcia Rawlins

It was not immediately clear if his death was already counted in the official toll of 41, of which 39 were in the central province of Hubei, where Wuhan is located.

U.S. coffee chain Starbucks said on Saturday that it was closing all its outlets in Hubei province for the week-long Lunar New Year holiday, following a similar move by McDonald’s in five Hubei cities.

PROTECTIVE SUITS

In Beijing on Saturday, workers in white protective suits checked temperatures of passengers entering the subway at the central railway station, while some train services in eastern China’s Yangtze River Delta region were suspended, the local railway operator said.

The number of confirmed cases in China stands at 1,287. The virus has also been detected in Thailand, Vietnam, Singapore, Japan, South Korea, Taiwan, Nepal, and the United States.

The U.S. Centers for Disease Control and Prevention said on Friday it had 63 patients under investigation, with two confirmed cases. While China has called for transparency in managing the crisis, after cover-up of the 2002/2003 Severe Acute Respiratory Syndrome spread, officials in Wuhan have come in for criticism over their handling of the current outbreak.

In rare public dissent, a senior journalist at a Hubei provincial newspaper run by the ruling Communist Party on Friday called for a “immediate” change of leadership in Wuhan on the Twitter-like Weibo. The post was later removed.

REINFORCEMENTS TO WUHAN

The World Health Organization (WHO) declared the new coronavirus an “emergency in China” this week but stopped short of declaring it of international concern.

Human-to-human transmission has been observed in the virus.

China’s National Health Commission said it had formed six medical teams totalling 1,230 medical staff to help Wuhan.

Hubei province, where authorities are rushing to build a 1,000 bed hospital in six days to treat patients, announced on Saturday that there were 658 patients affected by the virus in treatment, 57 of whom were critically ill.

The newly-identified coronavirus has created alarm because there are still many unknowns surrounding it, such as how dangerous it is and how easily it spreads between people. It can cause pneumonia, which has been deadly in some cases.

Symptoms include fever, difficulty breathing and coughing. Most of the fatalities have been in elderly patients, many with pre-existing conditions, the WHO said.

NEW YEAR DISRUPTIONS

Airports around the world have stepped up screening of passengers from China, though some health officials and experts have questioned the effectiveness of such screenings.

There are fears the transmission could accelerate as hundreds of millions of Chinese travel during the week-long Lunar New Year holiday, which began on Saturday, although many have cancelled their plans, with airlines and railways in China providing free refunds.

The virus outbreak and efforts to contain it have put a dampener on what is ordinarily a festive time of year.

Sanya, a popular resort destination on the southern Chinese island of Hainan, announced that it was shutting all tourist sites, while the island’s capital city, Haikou, said visitors from Wuhan would be placed under 14-day quarantine in a hotel.

Shanghai Disneyland was closed from Saturday. The theme park has a 100,000 daily capacity and sold out during last year’s Lunar New Year holiday.

Beijing’s Lama Temple, where people traditionally make offerings for the new year, has also closed, as have some other temples.

Source: Reuters

Law of Unintended Consequences

continuously updated blog about China & India

ChiaHou's Book Reviews

continuously updated blog about China & India

What's wrong with the world; and its economy

continuously updated blog about China & India