Milwaukee Journal Sentinel

WH revives part of CDC plan to reopen US

Administra­tion changes tune once news broke of report being buried

- Jason Dearen

GAINESVILL­E, Fla. – The decision to shelve detailed advice from the nation’s top disease control experts for reopening communitie­s during the coronaviru­s pandemic came from the highest levels of the White House, according to internal government emails obtained by the Associated Press.

The files also showed that after the AP reported Thursday that the guidance document had been buried, the Trump administra­tion ordered key parts of it to be fast-tracked for approval.

The trove of emails showed the nation’s top public health experts at the Centers for Disease Control and Prevention spending weeks working on guidance to help the country deal with a public health emergency, only to see their work quashed by political appointees with little explanatio­n.

The document, titled “Guidance for Implementi­ng the Opening Up America Again Framework,” was researched and written to help faith leaders, business owners, educators and state and local officials as they begin to reopen. It included detailed “decision trees,” or flow charts aimed at helping local leaders navigate the difficult decision of whether to reopen or remain closed.

White House spokeswoma­n Kayleigh McEnany said Friday that the documents had not been approved by CDC Director Robert Redfield. The new emails, however, show that Redfield cleared the guidance.

This new CDC guidance – a mix of advice already released along with newer informatio­n – had been approved and promoted by the highest levels of its leadership, including Redfield. Despite this, the administra­tion shelved it on April 30.

As early as April 10, Redfield, who is also a member of the White House coronaviru­s task force, shared via email the guidance and decision trees with President Donald Trump’s inner circle, including his son-in-law Jared Kushner, top adviser Kellyanne Conway and Joseph Grogan, assistant to the president for domestic policy. Also included were Dr. Deborah Birx, Dr. Anthony Fauci and other task force members. Three days later, CDC’s upper management sent the more than 60-page report with attached flow charts to the White House Office of Management and Budget, a step usually taken only when agencies are seeking final White House approval for documents they have cleared.

The 17-page version later released by the AP and other news outlets was only part of the actual document submitted by the CDC, and targeted specific facilities like bars and restaurant­s. The AP obtained a copy Friday of the full document. That version is a more universal series of phased guidelines, “Steps for All Americans in Every Community,” geared to advise communitie­s as a whole on testing, contact tracing and other fundamenta­l infection control measures.

On April 24, Redfield again emailed the guidance documents to Birx and Grogan, according to a copy viewed by the AP. Redfield asked Birx and Grogan for their review so that the CDC could post the guidance publicly. Attached to

Redfield’s email were the guidance documents and the correspond­ing decision trees – including one for meatpackin­g plants. “We plan to post these to CDC’s website once approved. Peace, God bless r3,” the director wrote. (Redfield’s initials are R.R.R.)

Redfield’s emailed comments contradict the White House assertion Thursday that it had not yet approved the guidelines because the CDC’s own leadership had not yet given them the green light.

Two days later, on April 26, the CDC still had not received any word from the administra­tion, according to the internal communicat­ions. Robert McGowan, the CDC chief of staff who was shepherdin­g the guidance through the OMB, sent an email seeking an update. “We need them as soon as possible so that we can get them posted,” he wrote to Nancy Beck, an OMB staffer.

Beck said she was awaiting review by the White House Principals Committee, a group of top White House officials. “They need to be approved before they can move forward. WH principals are in touch with the task force so the task force should be aware of the status,” Beck wrote to McGowan.

According to the documents, the CDC continued inquiring for days about the guidance that officials had hoped to post by May 1, the day Trump had targeted for reopening some businesses, according to a source who was granted anonymity because they were not permitted to speak to the press.

On April 30, the CDC’s documents were permanentl­y shelved.

The agency had not heard any specific critiques from either the White House Principals Committee or the coronaviru­s task force in days, so officials asked for an update.

“The guidance should be more crosscutti­ng and say when they should reopen and how to keep people safe. Fundamenta­lly, the Task Force cleared this for further developmen­t, but not for release,” wrote Quinn Hirsch, a staffer in the White House’s office of regulatory affairs in an email to the CDC’s parent agency, the Department of Health and Human Services.

CDC staff working on the guidance decided to try again.

The administra­tion had released its Opening Up America Again Plan, and the clock was ticking. Staff at the CDC thought if they could get their reopening advice out there, it would help communitie­s do so with detailed expert help.

But hours later on April 30, McGowan told CDC staff that neither the guidance documents nor the decision trees “would ever see the light of day,” according to three officials who declined to be named because they were not authorized to speak to reporters.

The next day, May 1, the emails showed, a staffer at the CDC was told “we would not even be allowed to post the decision trees. We had the team (exhausted as they are) stand down.”

The CDC’s guidance was shelved. Until Thursday.

That morning, the Associated Press reported that the Trump administra­tion had buried the guidance, even as many states had started allowing businesses to reopen.

After the story ran, the White House called the CDC and ordered them to refile all of the decision trees, except one that targeted churches. An email obtained by the AP confirmed the agency resent the documents late Thursday, hours after news broke.

 ?? ALEX BRANDON/AP ?? Dr. Robert Redfield, director of the Centers for Disease Control and Prevention, has seen his agency’s advice on the coronaviru­s pandemic closely controlled by the Trump administra­tion.
ALEX BRANDON/AP Dr. Robert Redfield, director of the Centers for Disease Control and Prevention, has seen his agency’s advice on the coronaviru­s pandemic closely controlled by the Trump administra­tion.

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