San Antonio Express-News

White House leaves D.C. officials in dark on outbreak

- By Ashraf Khalil

WASHINGTON — Officials with the Washington, D.C., Department of Health have been unsuccessf­ul in trying to connect with the White House to assist with contact tracing and other protocols regarding the ongoing COVID-19 outbreak that has infected President Donald Trumpand several senior staff members.

“We have reached out to the WhiteHouse on a couple of different levels, a political level and a public health level,” Washington Mayor Muriel Bowser said Monday. She added that a D.C. health department representa­tive who reached out to the White House “had a very cursory conversati­on that we don’t consider a substantia­l contact from the public health side.”

The lack of communicat­ion represents an unwelcome obstacle for the D.C. government, which has worked to contain the spread of the virus through mandatory mask requiremen­ts and limits on the size of gatherings.

Bowser acknowledg­ed on Monday that White House medical officials “have their hands full” at the moment. But a D.C. official, speaking on condition of anonymity because they weren’t authorized to comment on the record, said White House doctors have not informed the D.C. Department of Health of any of the positive test results — a necessary step before contact tracing and quarantini­ng can begin.

There have been multiple attempts to contact them, the official said.

Bowser’s government, which has publicly feuded with the Trump administra­tion multiple times, is in a difficult position regarding the current outbreak. The Trump White House has operated for months in open violation of several D.C. virus regulation­s, hosting multiple gatherings that exceeded the local 50person limit and in which many participan­ts didn’t wear masks.

A Sept. 26 Rose Garden ceremony to announce Trump’s nomination of Amy Coney Barrett for the SupremeCou­rt is nowregarde­d as a potential infection nexus, with multiple attendees, including Notre Dame University President Rev. John Jenkins, testing positive afterward. Jenkins flew in to attend the ceremony from Indiana, a state D.C. classifies as a virus hot spot — meaning he would have been expected to quarantine for two weeks upon arrival.

Washington’s local virus regulation­s don’t apply on federal property, but the current outbreak has blurred those distinctio­ns. Trump inner-circle members like former counselor Kellyanne Conway, who has also tested positive, are D.C. residents, as are many of the staffers, employees, Secret Service members and journalist­s who have had close contact with infected officials. But the Health Department has been unable to conduct contact tracing or any of the other normal protocols. Instead it has been forced to entrust the White House medical staff to conduct its own contact tracing.

“There are establishe­d public health protocols at the White House that are federal in nature,“Bowser said. “We assume that those protocols have been engaged.”

The White House said Monday that it had a “robust” contact tracing program in place and procedures that follow Centers for Disease Control and Prevention specificat­ions.

Dr. LaQuandra Nesbit, head of the D.C. Health Department, said the process must begin with an official notificati­on from a medical profession­al.

“If that informatio­n has been provided to us … the D.C. contact trace force will do its work,” Nesbit said.

The situation has been further complicate­d by the apparent resistance of some senior Trump officials to voluntaril­y quarantine and the inability of the D.C. government to force the issue. Attorney General William Barr, who was repeatedly seen in close contact with Conway and other infected people, said over the weekend that he would limit his activities or movements. On Monday he reversed course and a spokesman said Barr would self-quarantine “for now.”

The CDC has said repeatedly that it has a team ready to help the White House investigat­e how the outbreak unfolded. The White House so far has not asked for such assistance, but such an investigat­ion could sort out who started the outbreak and whether the spread happened at the outdoor gathering or at related indoor events or both, several infectious disease experts said in a conference call with reporters.

“If that informatio­n has been provided to us … the D.C. contact trace force will do its work.”

Dr. LaQuandra Nesbit, head of the D.C. Health Department

 ?? Alex Brandon / Associated Press ?? A member of the cleaning staff on Monday sprays the James Brady Briefing Room of the White House, where the president, first lady and aides have tested positive for the coronaviru­s.
Alex Brandon / Associated Press A member of the cleaning staff on Monday sprays the James Brady Briefing Room of the White House, where the president, first lady and aides have tested positive for the coronaviru­s.

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