Santa Fe New Mexican

CDC urges Americans to wear masks; Trump says he won’t

President also again dismisses recommenda­tion by Fauci for national stay-at-home order

- By Michael D. Shear and Sheila Kaplan

WASHINGTON — President Donald Trump said Friday that the Centers for Disease Control and Prevention was urging all Americans to wear a mask when they leave their homes, but he immediatel­y undercut the message by repeatedly calling the recommenda­tion voluntary and promising that he would not wear one himself.

“With the masks, it is going to be really a voluntary thing,” the president said at the beginning of the daily coronaviru­s briefing at the White House. “You can do it. You don’t have to do it. I am choosing not to do it. But some people may want to do it, and that’s OK. It may be good.

Probably will — they’re making a recommenda­tion. It’s only a recommenda­tion, it’s voluntary.

“Wearing a face mask as I greet presidents, prime ministers, dictators, kings, queens — I don’t know,” he added. “Somehow, I don’t see it for myself.”

Trump’s announceme­nt, followed by his quick dismissal, was a remarkable public display of the intense debate that has played out inside the West Wing over the past several days as a divided administra­tion argued about whether to request such a drastic change in Americans’ social behavior.

Dr. Steven Choi, the chief quality officer and associate dean at Yale New Haven Health System and Yale University School of Medicine, said the president’s behavior at the briefing contribute­d to confusion among health care workers and regular Americans.

“For anyone, particular­ly the president of the United States, to ignore recommenda­tions from the CDC is not only irresponsi­ble but selfish,” Choi said.

The president’s remarks came during a particular­ly contentiou­s briefing where Trump insulted reporters, jousted with members of his own administra­tion and returned to pugilistic form after several days in which he appeared to grasp the grim implicatio­ns of a virus that could kill hundreds of thousands of Americans.

Trump again dismissed the recommenda­tion of Dr. Anthony Fauci, the director of the National Institute of Allergy and Infectious Diseases, for a national stay-at-home order, saying he would leave such demands to the governors. But he did say that the federal government would pay hospitals to treat coronaviru­s patients, instead of allowing people to buy heavily subsidized insurance on the Affordable Care Act’s insurance exchanges, as many Democrats have urged.

The mask debate has played out in public and in private. Trump said Americans who choose to comply with the CDC’s recommenda­tion should use a basic cloth or face mask, not medical- or surgical-grade masks that are used by hospital workers and emergency workers. He also said people must still follow social distancing guidelines, which he called the “safest way to avoid the infection.”

Senior officials at the CDC have been pushing the president for days to advise everyone — even people who appear to be healthy — to wear a mask or a scarf that covers their mouth and nose when shopping at the grocery store or while in other public places.

The embrace of such a policy would be one of the most visible alteration­s to social habits in the United States in the face of a pandemic that has infected more than 1 million people around the globe and killed nearly 60,000 — a physical manifestat­ion of fear that has gripped millions of Americans.

The issue became more urgent after the CDC’s director, Dr. Robert Redfield, said that as many as a quarter of those already infected may show no symptoms but still contribute to “significan­t” transmissi­on. Local officials in New York and Los Angeles have already called for people to cover their faces in public. On Friday, the governor of Pennsylvan­ia called on his state’s residents to wear masks when they go out.

The surgeon general, Jerome Adams, stood next to the president Friday and urged Americans to comply. “The virus can spread between people interactin­g in close proximity, for example coughing, speaking or sneezing, even if those people were not exhibiting symptoms,” Adams said. “In light of this new evidence, the CDC recommends and the task force recommends wearing cloth face coverings in public settings where other social distancing measures are difficult.”

But some White House officials have resisted and Trump on Friday time and again said it was voluntary. Matthew Pottinger, the deputy national security adviser, who has been wearing a mask during meetings in the White House, has shown people studies that advocate the wide use of masks, one official said. Other officials believed that was excessive.

One top CDC official, who has seen emails from people in the West Wing, said some of Trump’s advisers were pressing him to recommend mask wearing only in “areas of widespread transmissi­on.” That worried CDC officials because the virus has already spread, largely undetected to most parts of the country. Wearing masks or other face coverings everywhere, including in places where there are few reported cases, will help slow the rate of infection, they believe.

The result was been a policy stalemate that played out on live television. Dr. Deborah Birx, coordinato­r of the White House coronaviru­s response, expressed serious reservatio­ns Thursday, saying asking all Americans to wear masks could inadverten­tly signal that Americans can abandon social distancing and return to public life as long as they wear a mask.

“We don’t want people to feel like, ‘Oh, I’m wearing a mask. I’m protected and I’m protecting others,’ ” Birx said at the daily briefing. Others at the White House have expressed worry that asking all Americans to wear masks could heighten shortages for doctors, nurses and emergency workers, even if they urge people not to seek the highly protective, and scarce, N95 masks used by hospital staff.

 ?? MARK ABRAMSON/NEW YORK TIMES ?? Pedestrian­s wearing face masks cross the street near Union Square in New York in March.
MARK ABRAMSON/NEW YORK TIMES Pedestrian­s wearing face masks cross the street near Union Square in New York in March.

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