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U.S. Health Workers Responding to Coronavirus Lacked Training and Protective Gear, Whistle-Blower Says U.S. Health Workers Responding to Coronavirus Lacked Training and Protective Gear, Whistle-Blower Says
(about 4 hours later)
WASHINGTON — Federal health employees interacted with Americans quarantined for possible exposure to the coronavirus without proper medical training or protective gear, then scattered into the general population, according to a government whistle-blower. WASHINGTON — Federal health employees interacted with Americans quarantined for possible exposure to the coronavirus without proper medical training or protective gear, then scattered into the general population, according to a government whistle-blower who lawmakers say faced retaliation for reporting concerns.
In a portion of a complaint filing obtained by The New York Times that has been submitted to the Office of the Special Counsel, the whistle-blower, described as a senior leader at the Department of Health and Human Services, said the team was “improperly deployed” to two military bases in California to assist the processing of Americans who had been evacuated from coronavirus hot zones in China and elsewhere. The team was “improperly deployed” to two military bases in California to assist the processing of Americans who had been evacuated from coronavirus hot zones in China and elsewhere, according to a portion of a narrative account shared with Congress and obtained by The New York Times ahead of a formal complaint to the Office of the Special Counsel, an independent government agency that handles federal whistle-blower complaints.
The staff members were sent to Travis Air Force Base and March Air Reserve Base and were ordered to enter quarantined areas, including a hangar where coronavirus evacuees were being received. They were not provided training in safety protocols until five days later, the person said. Staff members from the Department of Health and Human Services’ Administration for Children and Families were sent to Travis Air Force Base and March Air Reserve Base in late January and early February and were ordered to enter quarantined areas, including a hangar where coronavirus evacuees were being received, the complaint said. They were not provided safety-protocol training until five days into their assignment, said the whistle-blower, who is described as a senior leader at the health agency.
Without proper training or equipment, some of the exposed staff members moved freely around and off the bases, with at least one person staying in a nearby hotel and leaving California on a commercial flight. Many were unaware of the need to test their temperature three times a day. Without proper training or equipment, some of the exposed staff members moved freely around and off the bases, with at least one person staying in a nearby hotel and leaving California on a commercial flight. Many were unaware of the need to test their temperatures three times a day.
“I soon began to field panicked calls from my leadership team and deployed staff members expressing concerns with the lack of H.H.S. communication and coordination, staff being sent into quarantined areas without personal protective equipment, training or experience in managing public health emergencies, safety protocols and the potential danger to both themselves and members of the public they come into contact with,” the whistle-blower wrote. “I soon began to field panicked calls from my leadership team and deployed staff members expressing concerns with the lack of H.H.S. communication and coordination, staff being sent into quarantined areas without personal protective equipment, training or experience in managing public health emergencies, safety protocols and the potential danger to both themselves and members of the public they come into contact with,” the whistle-blower wrote. House Democrats said on Thursday that the official who voiced concerns to superiors about the situation was subjected to professional retaliation.
In a statement on Thursday, the Department of Health and Human Services acknowledged the complaint without elaborating. In a statement on Thursday, the Department of Health and Human Services acknowledged the complaint, which was first reported by The Washington Post, without elaborating.
“We take all whistle-blower complaints very seriously and are providing the complainant all appropriate protections under the Whistleblower Protection Act,” said Caitlin B. Oakley, deputy assistant secretary and a national spokeswoman for the Office of the Assistant Secretary of Public Affairs. “We are evaluating the complaint and have nothing further to add at this time.” “We take all whistle-blower complaints very seriously and are providing the complainant all appropriate protections under the Whistleblower Protection Act,” said Caitlin B. Oakley, a deputy assistant secretary and a national spokeswoman for the Office of the Assistant Secretary for Public Affairs. “We are evaluating the complaint and have nothing further to add at this time.”
Updated Feb. 26, 2020Updated Feb. 26, 2020
The account surfaced after President Trump sought to play down the danger of a domestic coronavirus outbreak amid bipartisan concern about a sluggish and disjointed response by the administration to an illness that public health officials have said is likely to spread through the United States. The first American case of coronavirus in a patient with no known contact with hot zones or other coronavirus patients emerged near Travis Air Force Base this week. A former department official who spoke on the condition of anonymity said that two senior officials there who were directly involved with the situation believed the whistle-blower was making the accusations in an effort to protect their job after being told they would be reassigned. The officials involved contended that the teams were not in any danger, the person said, and that testing was not done because none of the personnel showed symptoms of being sick.
The whistle-blower’s account raised questions about whether the Trump administration has taken adequate precautions in its handling of the virus to date, and whether Mr. Trump’s minimization of the risks has been mirrored by other top officials when confronted with potentially disturbing developments. The account surfaced as President Trump seeks to play down the danger of a domestic coronavirus outbreak amid bipartisan concern about a sluggish and disjointed response by the administration to an illness that public health officials have said is likely to spread across the United States. The first American case of coronavirus in a patient with no known contact with hot zones or other coronavirus patients emerged this week near Travis Air Force Base.
Similar episodes appear to have happened elsewhere. Employees with the Health and Human Services Administration for Children and Families were also dispatched to Marine Corps Air Station Miramar to help other evacuees from Wuhan, China, the epicenter of the outbreak, someone with direct knowledge of the effort said. The complaint raised questions about whether the Trump administration had taken adequate precautions in its handling of the virus, and whether Mr. Trump’s minimization of the risks had been mirrored by other top officials when confronted with potentially disturbing developments.
It was the first time to his knowledge that employees of the family administration had ever dealt with a federal quarantine. Employees of the Centers for Disease Control and Prevention appeared to have one set of guidance. Other employees of the Health and Human Services Department operated under a different protocol. The workers who were sent to the scene were not medical professionals and usually help low-income Americans returning to the United States from foreign countries during crises.
The levels of protection varied even while he was at Miramar, he said. Standards were more lax at first, but once people arrived who appeared to be sick, workers began donning personal protective equipment. He is now back at work, and has yet to be tested for coronavirus exposure. In a narrative prepared for Congress, the whistle-blower painted a grim portrait of staff members who found themselves suddenly thrust into a federal effort to confront the coronavirus in the United States. The whistle-blower said their own health concerns were dismissed by senior administration officials as detrimental to staff “morale.” They were “admonished,” the complainant said, and “accused of not being team players,” and had their “mental health and emotional stability questioned.”
In the complaint, the whistle-blower painted a grim portrait of agency staff members who found themselves on the front lines of a frantic federal effort to confront the coronavirus in the United States without any preparation or training, and whose own health concerns were dismissed by senior administration officials as detrimental to staff “morale.” They were “admonished,” the complaint said, and “accused of not being team players,” and had their “mental health and emotional stability questioned.” After a phone call with health agency leaders to raise their fears about exposure to the virus, the staff members described a “whitewashing” of the situation, characterizing the response as “corrupt” and a “cover-up,” according to the narrative, and telling the whistle-blower that senior officials had treated them as a “nuisance” and did not want to hear their worries about health and safety.
After a phone call with health agency leaders to raise their fears about exposure to the virus, the staff members described a “whitewashing” of the situation, characterizing the response as “corrupt” and a “cover-up,” according to the complaint, and telling the whistle-blower that senior officials had treated them as a “nuisance” and did not want to hear their worries about health and safety. A separate team not connected to the whistle-blower complaint was dispatched to Marine Corps Air Station Miramar in San Diego to help coronavirus evacuees from Wuhan, China, the center of the outbreak, according to two people with direct knowledge of the effort. One of those people said they also lacked protective gear.
Representative Jimmy Gomez, Democrat of California, whose office received the complaint, appeared to allude to it on Thursday morning at a hearing with Alex M. Azar II, the secretary of Health and Human Services, in the House Ways and Means Committee. Mr. Gomez was contacted by the whistle-blower, whom he had met before his congressional service, in part because his committee has jurisdiction over the health agency. At Miramar, one of the people said, guidelines were unclear and sometimes contradictory, and different teams appeared to be following different protocols. Professional cleaning crews in full protective gear — eye and respiratory protection and gloves — cleaned the quarantine area at the same time that Centers for Disease Control and Prevention doctors wearing business suits interacted with evacuees at close range.
At the hearing, Mr. Gomez had a tense exchange with the secretary in which he suggested that staff from the Administration for Children and Families had been exposed to the virus without the requisite training and equipment, and then dispersed elsewhere in the United States. Standards were lax at first, this person said, but once patients appeared to become sick, workers began wearing personal protective equipment. One member of the team is now back at work and has yet to be tested for coronavirus exposure, the person added, although the C.D.C. sends daily texts checking in on whether they have symptoms.
“To your knowledge, were any of the ACF employees exposed to high-risk evacuees from China?” Mr. Gomez asked Mr. Azar. Representative Jimmy Gomez, Democrat of California, whose office received the whistle-blower complaint, appeared to allude to it on Thursday morning at a House Ways and Means Committee hearing with Alex M. Azar II, the secretary of health and human services.
“They should never have been, without appropriate PPE,” Mr. Azar responded, using the abbreviation for personal protective equipment, the term used for special suits designed to protect against infection. “If you were anyone in quarantine, to maintain quarantine, that should be the case.” “To your knowledge, were any of the A.C.F. employees exposed to high-risk evacuees from China?” Mr. Gomez asked Mr. Azar.
“They should never have been,” Mr. Azar responded, unless they had special suits designed to protect against infection. “To maintain quarantine, that should be the case.”
Mr. Gomez said his understanding was that the teams sent to March and Travis air bases faced a “chaotic” situation.Mr. Gomez said his understanding was that the teams sent to March and Travis air bases faced a “chaotic” situation.
“I would not accept your proposition that it was chaotic at all times,” Mr. Azar said. “I am not aware of any violation of quarantine or isolation protocols.”“I would not accept your proposition that it was chaotic at all times,” Mr. Azar said. “I am not aware of any violation of quarantine or isolation protocols.”
“Do you think that breaking basic protocols and exposing untrained human service employees to the coronavirus before allowing them to be dispersed around the country could have endangered the employees and other Americans?” March air base in Riverside, Calif., housed 195 people evacuated from Wuhan, China, for 14 days beginning in late January, while Travis in Northern California has housed a number of quarantined people in recent weeks, including some of the nearly 400 Americans on the Diamond Princess cruise ship that had docked in Japan.
“I don’t believe that has taken place,” Mr. Azar replied. At a hearing of the House Foreign Affairs Committee after the accusations surfaced, William A. Walters, a top medical official at the State Department, denied that any protocols had been broken.
The complaint, which was reported by The Washington Post, surfaced the day after the Centers for Disease Control and Prevention confirmed the first known instance of a person testing positive without exposure to anyone known to be infected with the coronavirus, also known as Covid-19, or recent travels to any of the countries where it is circulating. The C.D.C. said that it was possible the patient, who is a resident of Solano County, Calif. — home to Travis Air Force Base — could have been exposed to a returning traveler who was infected. “Every precaution has been taken,” said Dr. Walters, the head of operational medicine at the department’s Bureau of Medical Services. “I can say unequivocally that everyone involved with those evacuations were properly equipped and trained.”
March Air Reserve Base in Riverside, Calif., housed 195 people evacuated from Wuhan, China, for 14 days beginning in late January, while Travis in Northern California has housed a number of quarantined people in recent weeks, including some of the approximately 400 Americans on the Diamond Princess cruise ship that had docked in Japan. Representative Richard E. Neal, Democrat of Massachusetts and the chairman of the Ways and Means Committee, said the complaint appeared to be part of a pattern of ineptitude and mistrust of civil servants by the Trump administration.
The staff members, who had some experience with emergency management coordination, were woefully underprepared for the mission they were given, according to the whistle-blower.
“They were not properly trained or equipped to operate in a public health emergency situation,” the official wrote. “They were potentially exposed to coronavirus; appropriate measures were not taken to protect the staff from potential infection; and appropriate steps were not taken to quarantine, monitor or test them during their deployment and upon their return home.”
Some of the staff raised concerns with top officials with the agency, but saw no changes. The whistle-blower said they complained to Charles Keckler, an associate deputy secretary at Health and Human Services, in an email on Feb. 10. After the email, the complaint said, top officials, including Lynn Johnson, the assistant secretary for the Administration for Children and Families, “admitted that they did not understand their mission,” and that her agency “broke protocols” because of the “unprecedented crisis” and an “‘all hands on deck’ call to action” by Dr. Robert Kadlec, the top official for public health emergencies and disasters.
Since learning of the whistle-blower’s concerns last Wednesday, Mr. Gomez’s office and officials with the Ways and Means Committee have repeatedly pressed the Centers for Disease Control and Prevention for details. The whistle-blower has also notified the C.D.C. and the health agency inspector general about the concerns.
Representative Richard E. Neal, Democrat of Massachusetts and chairman of the Ways and Means Committee, said the complaint appeared to be part of a pattern of ineptitude and mistrust of civil servants by the Trump administration.
“The president has spent years assaulting our health care system, draining resources from key health programs, and showing utter disdain for career federal employees who are the backbone of our government,” Mr. Neal said in a statement provided to The Times. “It’s sadly no surprise we’re seeing this degree of ineptitude during a terrible crisis.”“The president has spent years assaulting our health care system, draining resources from key health programs, and showing utter disdain for career federal employees who are the backbone of our government,” Mr. Neal said in a statement provided to The Times. “It’s sadly no surprise we’re seeing this degree of ineptitude during a terrible crisis.”
Mr. Neal and Mr. Gomez requested additional information on Thursday evening from Mr. Azar, from the inspector general’s office at the Department of Health and Human Services and from the Government Accountability Office, a nonpartisan watchdog, citing the concerns raised in the whistle-blower report.
In a pair of letters, Mr. Neal and Mr. Gomez formally requested a briefing from Mr. Azar within a week, saying that they were “deeply troubled that H.H.S. seems to have ignored valid public health concerns” as well as reports that the agency had retaliated against the whistle-blower instead of taking action.
In the letter to the Government Accountability Office, they expressed concerns that “management decisions at H.H.S. could have contributed to the spread of the virus within the United States.”
Michael D. Shear and Catie Edmondson contributed reporting.