Morning Sun

You should listen to Fauci even if President Trump doesn’t.

- By Karen Tumulty Karen Tumulty is a Washington Post columnist covering national politics.

That the Trump White House is treating the nation’s leading infectious-disease expert like some kind of political opponent tells you a lot about why the United States is doing worse than so many other countries in the battle to contain the novel coronaviru­s.

It was bad enough that Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, has been “sidelined,” according to a report over the weekend by The Washington Post. What that means is that President Donald Trump, who has refused to be guided by the evolving scientific knowledge in dealing with this new pathogen, no longer even wants to hear what it is.

But now, Trump and his minions are going even further. They are also trying to destroy Fauci’s reputation.

There is no doubt some envy here. A poll conducted by the New York Times and Siena College

last month found that 67% of Americans trust Fauci as a source of accurate informatio­n about the virus. Only 26% feel that way about a president who keeps patting himself on the back for a job well done as the U.S. death toll surpasses 132,000 and the number of new cases hits record levels.

So White House aides have begun circulatin­g talking points to undermine Fauci, documentin­g how many times he has said things that have turned out to be wrong. Some of the quotes come from back in January, before COVID-19’S impact in the United States had even begun to be felt. And as The Washington Post’s Aaron Blake noted, many of the Fauci statements being circulated by the White House are incomplete and taken out of context.

Those who put together this dossier do not see any irony in the fact that, in most of these instances, Fauci’s error was in playing down the danger — which is something that Trump does practicall­y on the hour.

What’s different is that Fauci, unlike Trump, is willing to recognize and admit his missteps. He has the experience to know how it works when you are trying to figure out how to deal with a new public health threat.

That was the case, for instance, with the AIDS epidemic. When the first mysterious instances of catastroph­ic immune failure arose in 1981, Fauci — who at the time headed the National Institutes of Health’s immunoregu­lation lab — became intrigued, though he acknowledg­ed in a 2018 interview with me that the nature of the disease and who might be vulnerable to it were “kinda fuzzy” in the beginning.

“At first we thought it was gay men, and then it was injection drug users, and then Haitians — which was a mistake,” he said. Other groups, including people who had received blood transfusio­ns, started becoming ill.

“I spent a considerab­le amount of the next few years trying to do research, which we did. But the patients were still sick. We really had to spend a lot of time with the patients.

So I was knee-deep in the suffering of this group,” he said. “They didn’t have any idea how they got infected. They were just doing what they did in their lives.”

Eventually, science figured it out, though coming up with effective treatments took many more years — in no small part because politician­s kept interferin­g. Social conservati­ves argued that AIDS was the result of a moral crisis, not a health one. Activists had to battle for increased federal spending on research. They also had to defeat proposed mass-testing programs that would have driven the most vulnerable communitie­s, who were already on the margins of society, further undergroun­d and heightened the stigma around the disease.

Surely, Fauci must be seeing the parallels now, as even such basic measures as wearing a mask in public have become political signifiers.

The World Health Organizati­on’s

declaratio­n in 1980 that smallpox had been eradicated, for instance, marked one of the most spectacula­r public health successes in history. But the final breakthrou­gh became possible only after research in the 1960s showed the disease could not be defeated by mass vaccinatio­n alone; vaccinatio­n had to be backed up by surveillan­ce and contact tracing.

In other words, ending smallpox was a war that had to be fought on multiple fronts — and with internatio­nal scientific solidarity. Another lesson that applies today.

Trump, who is allergic to admitting error, has apparently decided that he doesn’t want to listen to Fauci’s expert advice anymore — if, in fact, he ever really did. But as for the rest of us, we should be learning and adjusting as Fauci does. It could mean the difference between life and death.

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