Sidelining Scientists Can Only Make COVID-19 Worse
Michael Halpern
February 28, 2020
Scientific American
We need to hear about the risks directly from the experts, not through the filter of politicians
Anthony Fauci, Director of the National Institute of Allergy and Infectious Diseases, Mark Wilson Getty Images
In 1918, World War I was raging, and the Spanish flu arrived on American shores. But the Sedition Act banned communications that might undermine the war effort, including information that might slow down the movement of people or goods.
In that political climate, “public health officials, determined to keep morale up, began to lie,” wrote John Barry in Smithsonian magazine. “Each day the disease accelerated. Each day newspapers assured readers that influenza posed no danger.” Congress repealed the Sedition Act in 1920, but the damage was done. Hundreds of thousands of people in the United States would eventually die from the disease.
Over the next century, we developed complex disease monitoring systems. We created best practices for communicating disease risk. And we invested in the independence of government agencies, empowering government experts to openly share information about public health dangers.
The Centers for Disease Control and Prevention are now well practiced at risk communication. A 65-page manual details how the agency should communicate during a health crisis like the one we currently face. That’s why it’s so troubling that the White House has taken over communication around the coronavirus COVID-19.
While this move would be worrisome under any president, this administration creates unique challenges. Under this president, global disease surveillance systems were weakened, research programs were abandoned, and senior global health experts left the government. The president’s budget requests routinely seek extreme cuts at federal health agencies, including CDC. In the midst of this leadership vacuum, the president will say whatever he wants about virtually any topic without evidence, sometimes even contradicting the experts standing at his side.
There are echoes of 1918. The Washington Post reported that a government employee faced retaliation for raising concerns about unsafe assessment of potentially-infected individuals. The New York Times reported that public communications about the virus from CDC scientists will need “clearance.”
Senior NIH official and physician-scientist Anthony Fauci had to cancel several television appearances after the vice president took over the response effort. Fauci has said that he was not gagged, and we should take him at his word. But let me be clear: under no circumstances should the distribution of public health information be subject to White House or any other political clearance.
Open communication is not just good practice; it’s also policy. CDC’s (now archived) media policy puts the agency’s scientific staff in control of clearance of information. The CDC’s scientific integrity policy promotes sharing scientific information “in an open, timely, and appropriate way.”The coronavirus is moving rapidly across the globe. Our response must be focused and clear, prioritizing public health rather than fluctuations in financial markets or political advantage. We should hear directly from the experts, not just from political appointees with a political axe to grind.
Sadly, high-ranking officials continue to confuse the public. On February 28, White House Chief of Staff Mick Mulvaney suggested the media has an agenda. “The reason you’re seeing so much attention to it today is that they think this is what’s going to bring down the president,” he told a conference audience. “That’s what this is all about.” If millions of Americans are misled about the seriousness of this threat, we’re in real trouble.