Detailed federal guide from CDC for reopening country suppressed as national death toll climbs
The Trump administration has shelved a document created by the nation’s top disease investigators with step-by-step advice to local authorities on how and when to reopen restaurants and other public places during the still-raging coronavirus outbreak.
The 17-page report by a Centers for Disease Control and Prevention team, 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 officials as they begin to reopen.
It was supposed to be published on May 1, but agency scientists were told the guidance “would never see the light of day,” according to a CDC official. An unauthorized copy was privately released to reporters, prior to the White House decision to shelve it. Seven of those pages have since appeared online and gone viral across social media.
The Trump administration has been closely controlling the release of guidance and information during the pandemic spurred by a new coronavirus that scientists are still trying to understand, with the president himself leading freewheeling daily briefings until last week.
Traditionally, it has been the CDC’s role to give the public and local officials guidance and science-based information during public health crises. During the coronavirus pandemic, however, the CDC has not had a regular news briefing in nearly two months. CDC Director Dr. Robert Redfield has been a member of the White House coronavirus task force, but largely absent from public appearances.
The dearth of real-time, public information from the nation’s experts has struck many current and former government health officials as dangerous.
“CDC has always been the public health agency Americans turn to in a time of crisis,” said Dr. Howard Koh, a Harvard professor and former health official in the Obama administration during the H1N1 swine flu pandemic in 2009. “The standard in a crisis is to turn to them for the latest data and latest guidance and the latest press briefing. That has not occurred, and everyone sees that.”
The Trump administration has instead sought to put the onus on states to handle COVID-19 response. This approach to managing the pandemic has been reflected in President Donald Trump’s public statements, from the assertion that he isn’t responsible for the country’s lackluster early testing efforts, to his description last week of the federal government’s role as a “supplier of last resort” for states in need of testing aid.
The rejected reopening guidance was described by one of the federal officials as a touchstone document that was to be used as a blueprint for other groups inside the CDC who are creating the same type of instructional materials for other facilities.
The guidance contained detailed advice for making site-specific decisions related to reopening schools, restaurants, summer camps, churches, day care centers and other institutions. It had been widely shared within the CDC and included detailed “decision trees,” flow charts to be used by local officials to think through different scenarios.
Some of the report’s suggestions already appear on federal websites. But the guidance offered specific, tailored recommendations for reopening in one place. For example, the report suggested restaurants and bars should install sneeze guards at cash registers and avoid having buffets, salad bars and drink stations.
The shelved report also said that as restaurants start seating diners again, they should space tables at least 6 feet apart and try to use phone app technology to alert a patron when their table is ready to avoid touching and use of buzzers.
“You can say that restaurants can open and you need to follow social distancing guidelines. But restaurants want to know, ‘What does that look like?’ States would like more guidance,” said Dr. Marcus Plescia, chief medical officer of the Association of State and Territorial Health Officials.
The White House’s own “Opening Up America Again” guidelines released in April were more vague than the CDC’s unpublished report. They instructed state and local governments to reopen in accordance with federal and local “regulations and guidance” and to monitor employees for symptoms of COVID-19.
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