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Criticized for Coronavirus Response, Trump Points to Obama Administration Criticized for Coronavirus Response, Trump Points to Obama Administration
(32 minutes later)
WASHINGTON — President Trump sought on Wednesday to deflect criticism of his administration’s response to the coronavirus onto his predecessor, complaining that a federal agency decision under President Barack Obama had made it harder to quickly enact widespread testing for the virus.WASHINGTON — President Trump sought on Wednesday to deflect criticism of his administration’s response to the coronavirus onto his predecessor, complaining that a federal agency decision under President Barack Obama had made it harder to quickly enact widespread testing for the virus.
“The Obama administration made a decision on testing that turned out to be very detrimental to what we’re doing, and we undid that decision a few days ago so that the testing can take place in a much more accurate and rapid fashion,” Mr. Trump said. “That was a decision we disagreed with. I don’t think we would have made it, but for some reason it was made. But we’ve undone that decision.”“The Obama administration made a decision on testing that turned out to be very detrimental to what we’re doing, and we undid that decision a few days ago so that the testing can take place in a much more accurate and rapid fashion,” Mr. Trump said. “That was a decision we disagreed with. I don’t think we would have made it, but for some reason it was made. But we’ve undone that decision.”
It was not entirely clear what he was referring to. Health experts and veterans of the government during Mr. Obama’s presidency said they were unaware of any policy or rule changes during the last administration that would have affected the way the Food and Drug Administration approved tests during the current crisis. Moreover, if there were, Mr. Trump did not explain why his administration did not change the rules during its first three years in office.It was not entirely clear what he was referring to. Health experts and veterans of the government during Mr. Obama’s presidency said they were unaware of any policy or rule changes during the last administration that would have affected the way the Food and Drug Administration approved tests during the current crisis. Moreover, if there were, Mr. Trump did not explain why his administration did not change the rules during its first three years in office.
The coronavirus outbreak is now into its third month. Testing restrictions were lifted over the weekend.The coronavirus outbreak is now into its third month. Testing restrictions were lifted over the weekend.
Mr. Trump appeared intent on focusing attention on the Obama administration at a time when his own handling of the outbreak has come under intense criticism. He made a point of using the former president’s name in comments to reporters during a White House meeting with airline executives, called to discuss the economic effect of the virus.Mr. Trump appeared intent on focusing attention on the Obama administration at a time when his own handling of the outbreak has come under intense criticism. He made a point of using the former president’s name in comments to reporters during a White House meeting with airline executives, called to discuss the economic effect of the virus.
Among other things, critics have pointed to the dismantling of a White House effort set up by Mr. Obama to respond to global health emergencies. The officials involved have left and not been replaced over the past two years, a point made by Obama administration veterans in recent days.Among other things, critics have pointed to the dismantling of a White House effort set up by Mr. Obama to respond to global health emergencies. The officials involved have left and not been replaced over the past two years, a point made by Obama administration veterans in recent days.
No coronavirus issue has attracted as much attention as testing, which even now lags behind other countries dealing with the virus. Local health agencies have complained that a lack of coronavirus tests has hindered their abilities to identify patients, and tight restrictions imposed by the Centers for Disease Control and Prevention on who could be tested have meant that some infected patients waited days before a diagnosis. The last restrictions were lifted Tuesday.No coronavirus issue has attracted as much attention as testing, which even now lags behind other countries dealing with the virus. Local health agencies have complained that a lack of coronavirus tests has hindered their abilities to identify patients, and tight restrictions imposed by the Centers for Disease Control and Prevention on who could be tested have meant that some infected patients waited days before a diagnosis. The last restrictions were lifted Tuesday.
“We want to make sure the American people can go to their doctor, can go to the local MedCheck or CVS and obtain access to coronavirus” tests, Vice President Mike Pence, who is leading the administration’s response to the virus, said Wednesday during a White House meeting with laboratory executives.“We want to make sure the American people can go to their doctor, can go to the local MedCheck or CVS and obtain access to coronavirus” tests, Vice President Mike Pence, who is leading the administration’s response to the virus, said Wednesday during a White House meeting with laboratory executives.
In raising the testing issue, the president appeared to refer to a practice that limited the ability of laboratories run by states, universities and private companies to conduct medical screenings not approved by the Food and Drug Administration.In raising the testing issue, the president appeared to refer to a practice that limited the ability of laboratories run by states, universities and private companies to conduct medical screenings not approved by the Food and Drug Administration.
On Saturday, the agency’s commissioner, Stephen M. Hahn, allowed those labs to use tests that they had independently developed. The labs had to submit evidence of the tests’ accuracy before the F.D.A. completes its review. Dozens of labs have now applied for emergency approval under the decision.On Saturday, the agency’s commissioner, Stephen M. Hahn, allowed those labs to use tests that they had independently developed. The labs had to submit evidence of the tests’ accuracy before the F.D.A. completes its review. Dozens of labs have now applied for emergency approval under the decision.
Dr. Robert Redfield, the C.D.C. director, said the change was quickly making tests more available. “It’s really very important,” he said at the White House event with Mr. Trump. “It’s what’s changed the availability of testing overnight.”Dr. Robert Redfield, the C.D.C. director, said the change was quickly making tests more available. “It’s really very important,” he said at the White House event with Mr. Trump. “It’s what’s changed the availability of testing overnight.”
Michelle Forman, a spokeswoman for the Association of Public Health Laboratories, whose members had complained that the Food and Drug Administration took too long to approve their tests, said there were some discussions during the Obama administration about whether to tighten restrictions on laboratories that developed their own tests, but “nothing was ever put into place.”Michelle Forman, a spokeswoman for the Association of Public Health Laboratories, whose members had complained that the Food and Drug Administration took too long to approve their tests, said there were some discussions during the Obama administration about whether to tighten restrictions on laboratories that developed their own tests, but “nothing was ever put into place.”
She said the association, which represents state and local government labs, was not aware of any Obama-era rules that changed how the labs were regulated or how applications in a public health crisis were reviewed.She said the association, which represents state and local government labs, was not aware of any Obama-era rules that changed how the labs were regulated or how applications in a public health crisis were reviewed.
Dr. Luciana Borio, who oversaw public health preparedness for the National Security Council in Mr. Trump’s White House and was previously the acting chief scientist at the Food and Drug Administration under Mr. Obama, also said she was unaware of any such rule changes during the last administration.Dr. Luciana Borio, who oversaw public health preparedness for the National Security Council in Mr. Trump’s White House and was previously the acting chief scientist at the Food and Drug Administration under Mr. Obama, also said she was unaware of any such rule changes during the last administration.
The F.D.A. had long held that in an emergency, it wanted to ensure that labs develop tests that were accurate, she said. But “it shouldn’t be more onerous, in theory, because these are very speedy and streamlined,” she said, adding that such approvals can happen within 24 hours.The F.D.A. had long held that in an emergency, it wanted to ensure that labs develop tests that were accurate, she said. But “it shouldn’t be more onerous, in theory, because these are very speedy and streamlined,” she said, adding that such approvals can happen within 24 hours.
The Project Bioshield Act of 2004 enabled the Food and Drug Administration to require labs to get agency permission to perform certain tests during a public health emergency. In 2009, the Obama administration used that authority for the first time for the H1N1 virus, according to Dr. Joshua Sharfstein, who was then the agency’s principal deputy commissioner.The Project Bioshield Act of 2004 enabled the Food and Drug Administration to require labs to get agency permission to perform certain tests during a public health emergency. In 2009, the Obama administration used that authority for the first time for the H1N1 virus, according to Dr. Joshua Sharfstein, who was then the agency’s principal deputy commissioner.
Separately, during the Obama administration, the Food and Drug Administration first started proposing the regulation of lab-developed tests, but that was to apply outside of emergency situations. It was never finalized. It would have required high-risk lab-developed tests to get premarket review.Separately, during the Obama administration, the Food and Drug Administration first started proposing the regulation of lab-developed tests, but that was to apply outside of emergency situations. It was never finalized. It would have required high-risk lab-developed tests to get premarket review.
The Food and Drug Administration took the position that during a public health emergency, nongovernment labs should come to it before doing tests. But at any time, the agency was prepared to suspend that practice, as it did on Saturday.The Food and Drug Administration took the position that during a public health emergency, nongovernment labs should come to it before doing tests. But at any time, the agency was prepared to suspend that practice, as it did on Saturday.
Dr. Sharfstein said that the Trump administration hindered itself by giving first approval for a coronavirus test to the C.D.C., which meant that private labs could not conduct testing for clinical reasons without their own approval.Dr. Sharfstein said that the Trump administration hindered itself by giving first approval for a coronavirus test to the C.D.C., which meant that private labs could not conduct testing for clinical reasons without their own approval.
Updated May 28, 2020 Updated June 1, 2020
Exercise researchers and physicians have some blunt advice for those of us aiming to return to regular exercise now: Start slowly and then rev up your workouts, also slowly. American adults tended to be about 12 percent less active after the stay-at-home mandates began in March than they were in January. But there are steps you can take to ease your way back into regular exercise safely. First, “start at no more than 50 percent of the exercise you were doing before Covid,” says Dr. Monica Rho, the chief of musculoskeletal medicine at the Shirley Ryan AbilityLab in Chicago. Thread in some preparatory squats, too, she advises. “When you haven’t been exercising, you lose muscle mass.” Expect some muscle twinges after these preliminary, post-lockdown sessions, especially a day or two later. But sudden or increasing pain during exercise is a clarion call to stop and return home.
States are reopening bit by bit. This means that more public spaces are available for use and more and more businesses are being allowed to open again. The federal government is largely leaving the decision up to states, and some state leaders are leaving the decision up to local authorities. Even if you aren’t being told to stay at home, it’s still a good idea to limit trips outside and your interaction with other people.States are reopening bit by bit. This means that more public spaces are available for use and more and more businesses are being allowed to open again. The federal government is largely leaving the decision up to states, and some state leaders are leaving the decision up to local authorities. Even if you aren’t being told to stay at home, it’s still a good idea to limit trips outside and your interaction with other people.
Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks.Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks.
Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days.Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days.
If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.)If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.)
More than 40 million people — the equivalent of 1 in 4 U.S. workers — have filed for unemployment benefits since the pandemic took hold. One in five who were working in February reported losing a job or being furloughed in March or the beginning of April, data from a Federal Reserve survey released on May 14 showed, and that pain was highly concentrated among low earners. Fully 39 percent of former workers living in a household earning $40,000 or less lost work, compared with 13 percent in those making more than $100,000, a Fed official said.More than 40 million people — the equivalent of 1 in 4 U.S. workers — have filed for unemployment benefits since the pandemic took hold. One in five who were working in February reported losing a job or being furloughed in March or the beginning of April, data from a Federal Reserve survey released on May 14 showed, and that pain was highly concentrated among low earners. Fully 39 percent of former workers living in a household earning $40,000 or less lost work, compared with 13 percent in those making more than $100,000, a Fed official said.
There is an uptick in people reporting symptoms of chilblains, which are painful red or purple lesions that typically appear in the winter on fingers or toes. The lesions are emerging as yet another symptom of infection with the new coronavirus. Chilblains are caused by inflammation in small blood vessels in reaction to cold or damp conditions, but they are usually common in the coldest winter months. Federal health officials do not include toe lesions in the list of coronavirus symptoms, but some dermatologists are pushing for a change, saying so-called Covid toe should be sufficient grounds for testing.
Yes, but make sure you keep six feet of distance between you and people who don’t live in your home. Even if you just hang out in a park, rather than go for a jog or a walk, getting some fresh air, and hopefully sunshine, is a good idea.Yes, but make sure you keep six feet of distance between you and people who don’t live in your home. Even if you just hang out in a park, rather than go for a jog or a walk, getting some fresh air, and hopefully sunshine, is a good idea.
Taking one’s temperature to look for signs of fever is not as easy as it sounds, as “normal” temperature numbers can vary, but generally, keep an eye out for a temperature of 100.5 degrees Fahrenheit or higher. If you don’t have a thermometer (they can be pricey these days), there are other ways to figure out if you have a fever, or are at risk of Covid-19 complications.Taking one’s temperature to look for signs of fever is not as easy as it sounds, as “normal” temperature numbers can vary, but generally, keep an eye out for a temperature of 100.5 degrees Fahrenheit or higher. If you don’t have a thermometer (they can be pricey these days), there are other ways to figure out if you have a fever, or are at risk of Covid-19 complications.
The C.D.C. has recommended that all Americans wear cloth masks if they go out in public. This is a shift in federal guidance reflecting new concerns that the coronavirus is being spread by infected people who have no symptoms. Until now, the C.D.C., like the W.H.O., has advised that ordinary people don’t need to wear masks unless they are sick and coughing. Part of the reason was to preserve medical-grade masks for health care workers who desperately need them at a time when they are in continuously short supply. Masks don’t replace hand washing and social distancing.The C.D.C. has recommended that all Americans wear cloth masks if they go out in public. This is a shift in federal guidance reflecting new concerns that the coronavirus is being spread by infected people who have no symptoms. Until now, the C.D.C., like the W.H.O., has advised that ordinary people don’t need to wear masks unless they are sick and coughing. Part of the reason was to preserve medical-grade masks for health care workers who desperately need them at a time when they are in continuously short supply. Masks don’t replace hand washing and social distancing.
If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.
If you’re sick and you think you’ve been exposed to the new coronavirus, the C.D.C. recommends that you call your healthcare provider and explain your symptoms and fears. They will decide if you need to be tested. Keep in mind that there’s a chance — because of a lack of testing kits or because you’re asymptomatic, for instance — you won’t be able to get tested.If you’re sick and you think you’ve been exposed to the new coronavirus, the C.D.C. recommends that you call your healthcare provider and explain your symptoms and fears. They will decide if you need to be tested. Keep in mind that there’s a chance — because of a lack of testing kits or because you’re asymptomatic, for instance — you won’t be able to get tested.
Charity Navigator, which evaluates charities using a numbers-based system, has a running list of nonprofits working in communities affected by the outbreak. You can give blood through the American Red Cross, and World Central Kitchen has stepped in to distribute meals in major cities.Charity Navigator, which evaluates charities using a numbers-based system, has a running list of nonprofits working in communities affected by the outbreak. You can give blood through the American Red Cross, and World Central Kitchen has stepped in to distribute meals in major cities.
“They didn’t have to do it in the first place,” he said. “They’re reversing a decision that they themselves made.”“They didn’t have to do it in the first place,” he said. “They’re reversing a decision that they themselves made.”
Mr. Obama did not immediately respond to the president’s remarks on Wednesday, but he separately posted a message on Twitter urging Americans to follow advice from the C.D.C.Mr. Obama did not immediately respond to the president’s remarks on Wednesday, but he separately posted a message on Twitter urging Americans to follow advice from the C.D.C.
“Protect yourself and your community from coronavirus with common sense precautions: wash your hands, stay home when sick and listen to the @CDCgov and local health authorities,” he wrote. “Save the masks for health care workers. Let’s stay calm, listen to the experts, and follow the science.”“Protect yourself and your community from coronavirus with common sense precautions: wash your hands, stay home when sick and listen to the @CDCgov and local health authorities,” he wrote. “Save the masks for health care workers. Let’s stay calm, listen to the experts, and follow the science.”
Mr. Trump, joining the meeting with airline executives, which had been set to be led by Mr. Pence, sought to reassure Americans that the outbreak was under control and portrayed the cancellation of hundreds of thousands of international flights to affected countries like China as a boon for domestic travel.Mr. Trump, joining the meeting with airline executives, which had been set to be led by Mr. Pence, sought to reassure Americans that the outbreak was under control and portrayed the cancellation of hundreds of thousands of international flights to affected countries like China as a boon for domestic travel.
“A lot of people are doing a lot of domestic business now, I can tell you,” the president said. “They’re staying in this country. They feel safe because we have a — if you look at a percentage, we have a very, very small percentage” of infections.“A lot of people are doing a lot of domestic business now, I can tell you,” the president said. “They’re staying in this country. They feel safe because we have a — if you look at a percentage, we have a very, very small percentage” of infections.
Asked if he considered it safe to fly, Mr. Trump pointed at the executives around his table: “Where these people are flying, it’s safe to fly.”Asked if he considered it safe to fly, Mr. Trump pointed at the executives around his table: “Where these people are flying, it’s safe to fly.”
But the airline executives made clear that they were struggling to convince passengers of that. “Right now, the fear is almost worse than the virus,” Nicholas E. Calio, the president and chief executive of Airlines for America, the trade association for leading passenger and cargo airlines, told Mr. Trump, gently pressing him to do more to reassure the traveling public.But the airline executives made clear that they were struggling to convince passengers of that. “Right now, the fear is almost worse than the virus,” Nicholas E. Calio, the president and chief executive of Airlines for America, the trade association for leading passenger and cargo airlines, told Mr. Trump, gently pressing him to do more to reassure the traveling public.
The president did not directly offer any additional help. “Yeah, no, we’re doing a good job,” he responded.The president did not directly offer any additional help. “Yeah, no, we’re doing a good job,” he responded.
But the famously germ-phobic Mr. Trump said he was doing his part by following medical advice on how to avoid becoming infected. “I haven’t touched my face in weeks,” he said. “Been weeks. I miss it.”But the famously germ-phobic Mr. Trump said he was doing his part by following medical advice on how to avoid becoming infected. “I haven’t touched my face in weeks,” he said. “Been weeks. I miss it.”
Katie Thomas contributed reporting from Chicago, and Noah Weiland from Washington.Katie Thomas contributed reporting from Chicago, and Noah Weiland from Washington.