Toronto Star

Voters aren’t buying Trump’s claims of a COVID recovery

- Edward Keenan

WASHINGTON— Those heading toDonald Trump’s rally at the Des Moines airport on Wednesday were greeted by a billboard: “TRUMP COVID SUPERSPREA­DER EVENT,” it read, above a giant arrow pointing to the rally.

The ad didn’t deter the Trump faithful. Coronaviru­s cases are surging across the country, and Iowa has set records for the number of new COVID hospitaliz­ations this month, but people packed like sardines into the airport hangar, very few wearing masks, to see the nation’s highest-profile COVID patient.

It was part of Trump’s comeback tour of rallies last week (in Pennsylvan­ia, Florida, Iowa and North Carolina) since declaring himself cured. At the crowded events, he badmouthed mask usage (suggesting falsely that masks may be a source of spread rather than protection), attacked Dr. Anthony Fauci (who warned the rallies were “asking for trouble”) and said to those suffering: “I feel your pain because I felt your pain.” Then he said he “felt like Superman” and that the U.S. was “rounding the corner” on the virus.

Experts increasing­ly warn if the U.S. is rounding a corner, it’s in the wrong direction, toward a third peak in infections that could be worse than the previous two.

“This is the time when we could be entering one of the worst periods of our epidemic and one of our worst periods in modern American public health,” Dr. Peter Hotez of the Baylor College of Medicine in Texas told CNN.

Weeks before the election, the pandemic has come roaring back to the top of the list of American concerns. But not to the top of Trump’s, as he presents his own recovery as evidence the coronaviru­s is no big deal. “When you catch it you get better, and then you’re immune,” he said shortly after he returned home from hospital, though neither assertion is necessaril­y true.

Indeed, it’s a virus that has already killed 218,000 Americans, hospitaliz­ed 430,000, and infected more than eight million. Not all of those with first-hand experience sum it up so cavalierly.

“It gets me mad. It gets me really mad,” Jennifer Ebuenga-Smith said of her reaction to seeing the crowds at those Trump rallies. “They’re being so dumb.”

If they or someone close to them “experience a severe case of it, then maybe they’d take it seriously.”

Originally from Toronto (she attended the same Scarboroug­h high school as I did), Ebuenga-Smith has lived in Union, N.J., and worked as a nurse in a Newark hospital since 1998. She’s seen severe COVID cases: as a health-care profession­al at a hospital swamped in the spring wave; as someone whose husband and nephew suffered mild cases, and whose sister wound up intubated in California; and as a patient herself.

When the virus first emerged in the U.S. and her hospital filled up, 46-year-old Ebuenga-Smith (then serving as a cardiac transplant co-ordinator) joined the all-hands-on-deck effort to provide bedside care. Medical profession­als were still learning about the virus, and protective equipment was in short supply, so she generally wasn’t wearing a mask, she said. It’s hard to trace which contact might have given her COVID.

But one day, she was in her driveway on the phone. “I was telling my cousin I feel fine. You know ... and then as soon as I hung up, I couldn’t get out of my car. I wanted the seat heater so badly. I didn’t want to move.” General fatigue, aches and the feeling of being cold overwhelme­d her. Then came a high fever and severe headaches that left her unable to open her eyes in the light.

After days in bed, self-medicating and tended by her husband, Winston (who was also suffering from a mild case of COVID), things had worsened. Soon she had fluid on her lungs and her attempts to cough it up left her unable to catch her breath. Though she was reluctant, eventually her husband took her to the hospital where she worked.

“We’d started off with two COVID units — one was the COVID unit, one was a backup overflow. And that filled up in like one day. So then eventually, all of the units were COVID.” She was admitted first to what was normally a mother-and-baby unit — severely understaff­ed since the nursing ranks had been thinned by the influx of cases.

Having severe difficulty breathing, Ebuenga-Smith was soon moved to a cardiac ICU.

She describes just reaching for toilet paper after using the washroom as an exertion that would leave her staggered. At one point, when the nasal oxygen she was receiving wasn’t sufficient, doctors placed an oxygen mask on top of it over her face. They said they’d try highflow oxygen, “and if that doesn’t work, we need to intubate you,” Ebuenga-Smith said. “I said, ‘I haven’t even said bye to my children or anything like that.’ ”

As a nurse, she was well aware of the “morbidity” around this illness. She was afraid for her life. And afraid if she survived after being intubated, she’d suffer brain damage.

All treatments were experiment­al at the time, with doctors trying to find what might work. “I got everything,” she says. She was given pretrial remdesivir, hydroxychl­oroquine, steroids, antibiotic­s, and an interleuki­n six antagonist. She was comforted knowing the staff well, and knowing they were doing everything they could for her. But because she worked there, she could understand the codes that indicated the emergencie­s other patients were experienci­ng. “I’d hear code after code,” she said. “And you just know: it’s so morbid out there. A lot of people weren’t making it.”

Ebuenga-Smith did make it — 12 days after being admitted, and 22 days after first falling ill, she went home. Her co-workers lined the hallways to applaud her as she was wheeled out to her car to go home.

A month-and-a-half later, she returned to work, though she still suffers a few nagging aftereffec­ts (forgetfuln­ess that she calls “COVID brain,” arm pain, hair loss). She says she’s prepared, if another bad wave comes, to be redeployed to treat COVID patients again. She is confident her hospital — and others across the country — are better prepared now to deal with the virus, though she worries her antibodies will wear off leaving her susceptibl­e to reinfectio­n.

But she’s also worried the country’s leaders are still not taking the risk the virus poses seriously enough. “Trump hired some people to help him with making decisions, and then he wouldn’t listen to them. I’m really glad that Dr. Fauci is speaking up,” she says. “But I feel like Trump and his party, they’re really downplayin­g the severity of the disease.”

Obviously Trump got topnotch treatment not available to everyone else, and maybe got lucky as well. “He’s just kind of trying to make it seem like everybody’s making a big deal for nothing.”

Her own experience, she says, leads her to a different conclusion: “There are so many people that died,” she says. “It is very serious.”

Many countries — including Canada — are experienci­ng spikes in COVID infections. But most are taking drastic measures to address them: France is imposing curfews, England is reimposing lockdowns, Toronto and Ottawa saw bars and restaurant­s forced to halt indoor service again this month. Trump continues to call for further lifting of restrictio­ns, and conveying his message: “Do not be afraid of COVID.”

Since the beginning, Trump’s been accused of a failure to take the virus seriously. James Fallows of the Atlantic wrote extensivel­y about the administra­tion’s failure to prepare for the possibilit­y of the pandemic, to co-ordinate with internatio­nal partners when it emerged, and to react quickly enough to respond to the emergency.

The president’s long-standing insistence that the virus posed no further threat to the U.S has spawned a whole genre of journalism documentin­g how many times he’s said the virus was going away.

When I asked COVID expert Jeffrey Shaman of Columbia University last month to evaluate the U.S. response to the pandemic, he recited a laundry list of failure. The administra­tion supported physical distancing and business closures too late, and supported reopening places like restaurant­s too early. It failed to provide sufficient economic resources to allow people to respond. It left states to fend for themselves and compete for medical resources.

“The federal government didn’t task pharma companies here to build diagnostic tests and then flood the market with them the way South Korea did. They didn’t invoke the war production act, and actually build masks, equipment and all the other things that we needed at the scale. They didn’t liberate and maintain the national strategic defence stockpile,” Shaman said. “They didn’t communicat­e in an evidence-based way to the people,” he went on. They didn’t emphasize the importance of wearing masks.

“They could have rolled up their sleeves and actually done the work, the hard work, of actually dealing with something. But you know, that’s not how Trump and his administra­tion work,” Shaman said.

On the campaign trail, Trump’s message remains that COVID is disappeari­ng — now with promises of an imminent silver-bullet vaccine, and open mockery of those who still insist on physical distancing.

There’s reason to believe a good deal of the American voting public are not buying Trump’s message on COVID. Many of them have family members and friends who, like Ebuenga-Smith, have been affected. I’ve been correspond­ing with a woman in Arizona whose husband is in a seniors’ care facility and she hasn’t seen him except from the far side of the lobby window since the spring. Two people I know in suburban Washington tested positive within the past week.

The numbers suggest COVID is coming back, not going away. And to many in the U.S., that reality is all too obvious, and all too personal.

An ABC news poll released last week shows 73 per cent of Americans worried that they or someone they know will catch the virus, and two thirds disapprove of Trump’s handling of it. On who they trust to handle COVID, Democratic presidenti­al candidate Joe Biden enjoys a17-point lead in the poll.

Which raises the question of how Biden would handle it differentl­y. He has promised to “follow the science,” though during a town hall Thursday night when he was asked for specifics, his response was somewhat short on them (though he pointed to his fourpoint plan).

Lockdowns if necessary, the moderator suggested. Yes, but not necessaril­y lockdowns, Biden responded. “You don’t have to lock down if you’re wearing the masks.”

He said he’d worn a surgical mask onto the stage even though he had a medical-grade N95 mask in the dressing room as an example to those watching. He pointed to the example he’d tried to set with physical distancing at his events since the spring. “When a president doesn’t wear a mask, or makes fun of folks like me when I was wearing a mask,” he said, “People say, ‘Well, it must not be that important.’ ”

“I think it matters what we say,” Biden said.

I asked Shaman if he thought Biden would improve the response. “From what I’ve seen what Trump has done, which is nothing — and underminin­g it and actually being a force to make it worse — versus you know, some of the things that I hear Biden talking about, I would imagine he’s going to have a more proactive and muscular response that actually would address some things,” Shaman said.

At the very least, Biden’s desire to set an example makes him unlikely to hold supersprea­der events. Trump mocks him for that, saying a president can’t “be locked up in the basement.” Biden brandishes that mockery as a form of endorsemen­t. It’s a contrast that sums up the state of the coronaviru­s rhetoric in the 2020 campaign, as America braces for more infections, more illness, and more death.

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 ?? PHELAN M. EBENHACK THE ASSOCIATED PRESS FILE PHOTO ?? U.S. President Donald Trump, shown at a recent campaign rally, has repeatedly said COVID-19 is disappeari­ng and openly mocks those who insist on physical distancing.
PHELAN M. EBENHACK THE ASSOCIATED PRESS FILE PHOTO U.S. President Donald Trump, shown at a recent campaign rally, has repeatedly said COVID-19 is disappeari­ng and openly mocks those who insist on physical distancing.
 ??  ?? Nurse Jennifer Ebuenga-Smith, a virus survivor, says she’s prepared to be redeployed to treat COVID-19 patients again.
Nurse Jennifer Ebuenga-Smith, a virus survivor, says she’s prepared to be redeployed to treat COVID-19 patients again.

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