Sun Sentinel Broward Edition

State, experts at odds over coronaviru­s info

- By Cindy Krischer Goodman

Florida health officials say state law prevents them from telling the public about suspected cases of coronaviru­s, yet the state regularly revealed that informatio­n during the Zika crisis three years ago.

The state put out daily updates about the Zika virus, informing the public of suspected as well as confirmed cases. The law was the same then.

U.S. Sen. Rick Scott, who was Florida’s governor at the time, said Florida should be as transparen­t now with coronaviru­s as it was with Zika.

Scott is urging the same transparen­cy for federal officials.

Daniel Dawes, a lawyer and professor of complex health systems at Nova Southeaste­rn University, said he too would like to see more openness with the coronaviru­s, which originated in China and now has spread to 28 countries.

“I understand [Florida health officials] not wanting to get folks too concerned or scared, but as a citizen, I want to know if there are pending cases out there,” Dawes said. “If there are more pending cases in one part of the state than the other, I want to know that. If a test doesn’t lead to positive, I want to know that too.

“I think Florida owes it to its citizens to be open with informatio­n so they can protect themselves.”

States are divided on how much informatio­n to share with the public about the rapidly spreading coronaviru­s, now with 28,000 confirmed cases in China and 12 in the U.S.

While authoritie­s in California, Illinois and New York regularly disclose informatio­n on suspected as well as confirmed cases, officials in other large states — including Florida — have

opted to withhold informatio­n on suspected cases until they are confirmed.

“We are unable to comment on potential coronaviru­s cases because of a state statute that prohibits us from doing so,” said Alberto Moscoso, communicat­ions director for the Florida Department of Health.

But three health lawyers, asked by the South Florida Sun Sentinel to review the law, said the state can release that informatio­n — if it chooses to. The statute says informatio­n from disease reports is exempt from public records laws and should be made public only when necessary to protect public health “due to the highly infectious nature of the disease.”

“It’s a judgment call whether or not it’s necessary to the public health to release that informatio­n,” said Timothy Monaghan, a health care attorney with Shutts & Bowen in West Palm Beach. “Public officials may argue we are trying to avoid panic, but I think most people would say we need to know if it’s here in Florida so we can take precaution­s.”

Joey Zumpano, founder and managing shareholde­r of Zumpano Patricios, a law firm that represents large health systems, agrees that holding back informatio­n from the public is a choice the state is making.

“Clearly what the statutory framework is intending to achieve is a balance between patient privacy and public health,” Zumpano said. “The statute leaves the judgment to the state. But the status of a highly contagious public health threat may be fundamenta­l to any public health efforts centered on prevention.”

Tests are pending on 72 possible cases of coronaviru­s nationwide. The Sun Sentinel reported a patient who arrived in the emergency room of Memorial Hospital on Friday had been tested, though officials would not discuss the case and have emphasized that no cases of coronoviru­s in Florida have been confirmed.

“There are no confirmed cases of coronaviru­s in Florida,” state Surgeon General Dr. Scott Rivkees said in a written statement. “However, if any were to arise, we are prepared to contain this new infection, help any individual­s sickened by the virus and keep Florida safe.”

In the U.S., the 12 cases of coronaviru­s are in Arizona, California, Illinois, Massachuse­tts, Washington and Wisconsin.

Moscoso said if and when there is a confirmed case in Florida, the state will “make the informatio­n available as quickly as possible.”

“The Department is coordinati­ng closely with our local partners to investigat­e, confirm, contain and report any suspected cases, should they occur,” he said. “The current guidance from the CDC is for the general American public, the immediate health risk from coronaviru­s is considered low at this time.”

Florida’s approach to releasing informatio­n on coronaviru­s differs from how health officials handled the 2016-17 Zika virus outbreak. With Zika, the Florida Department of Health reported positive and negative samples and pending results by county. It also put out daily updates that included maps of confirmed cases.

Scott said Florida and the federal government should do the same now.

“I encourage you to use the lessons we learned from Florida’s handling of the Zika virus by distributi­ng as much informatio­n about the virus as possible to keep Americans and local officials informed,” Scott wrote in a Feb. 5 letter to President Donald Trump.

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