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Thursday, January 20, 2022

Zero-Covid policies threaten Hong Kong’s place in the world

Outside the closed doors of the Landmark Mandarin Oriental on the noisy, congested Queen’s Road Central that runs through the middle of Hong Kong’s business district, stands a lone guard wearing a plastic apron and gloves.

 The warning not to enter the once bustling five-star hotel — now a high security luxury prison — is symbolic of a city transformed by a pandemic and politics. Inside, guests in 111 rooms are captives of a draconian three-week quarantine policy that has mostly protected Hong Kong from Covid-19 but which has thrown into chaos its reputation as one of the most vibrant business centres in the world. The Landmark is one of 44 “designated quarantine hotels”, with around 12,500 rooms across Hong Kong — many far less luxurious — that now represent a long and frustrating pause for anyone arriving in the territory. 

 Global financial centres depend on the free movement of people and ideas. None of that is happening at the moment, say those working in the city’s financial and commercial industries. The city is emerging from a year in which it suffered a record population drop of 1.2 per cent, around 87,000 people, and fewer people than ever arrived to replace them. As long quarantines and travel bans on several countries including the US and UK persist — flights have been stopped until after Chinese new year in February at the earliest — that exodus is likely to intensify. Beijing’s efforts to curtail some of the civil freedoms enjoyed in Hong Kong amid widespread protests in 2019 had already raised questions over its role as a financial centre. 

 “If Hong Kong is not connected to the rest of the world, it loses its reason for being,” says Simon Cartledge, an analyst who has lived in the territory for three decades. “But thanks to the politics, the government can’t even consider a more pragmatic approach.” Companies are now voicing concerns about the difficulties of remaining operational in a city that once prided itself on ease of access. “I’ve loved Hong Kong for 28 years, but it is time to go,” says a British executive in the city’s entertainment industry, who will leave with his family at the end of the school year in June.

 “It’s impossible to work in Hong Kong if you do business in Asia because you can leave easily enough but you can’t get back. There are hardy souls who have done two or three quarantines . . .[but] it doesn’t suit businesspeople.” Some argue Hong Kong — for decades a springboard for companies doing business in mainland China — is being grindingly recast into just another Chinese city. They worry that the pandemic, and the city’s hardline approach to it, has accelerated that process. Others, however, talk of the promise of a transformation into a new model financial centre, one that continues to thrive on its status as a gateway to mainland China, but with far less in common with counterparts in New York or London. 

 “People are talking about the ‘death of Hong Kong as we know it’, but that is kind of the point. When anything big changes, for good or bad, the old version dies,” says the veteran Asia head of a large US global fund who intends to remain in Hong Kong. “The ‘we’ in that phrase you keep hearing are either western expats who have been here for years or decades or Hong Kong locals and both are projecting its future with a backward-looking lens.” ‘Corporate Armageddon’ Even the longer-term optimists for Hong Kong admit there are immediate causes for concern. Global businesses, which have suffered a dramatic collapse in hiring from outside Hong Kong, are braced for a wave of exits this summer. “I am worried about the ability to remain operational,” says the local head of a global bank in Hong Kong. “It is not compelling for anyone who is working [abroad] to come to Hong Kong. 

 “I run a firm with tens of thousands of employees in the region and I can’t visit any of them unless I subject myself to a lengthy quarantine,” he adds. “The ability to run the region from a hub when the city is closed to the rest of the world is clearly suffering.” The bank is losing scores of expats and locals who have family overseas, he adds, with attrition at senior levels double that of a normal year. Visa approvals for foreign professionals have crashed from more than 40,000 in 2019 to just over 10,000 in the first nine months of 2021, according to government data.

 Even before fears about the highly transmissible Omicron variant prompted Hong Kong to reassert its zero-Covid strategy, closing schools, implementing new limits on socialising and imposing the flight bans, the Asia Securities Industry and Financial Markets Association, Asia’s top financial lobby group, warned that almost half of large international banks and asset managers in the city believed business conditions would deteriorate over the next three years. Bonus season — which runs from now until April — has heightened anxieties about a potential brain drain at international banks. “All bets are off as to how many people will leave after bonuses are paid,” says one banker. “It is regional corporate Armageddon.”

 Even some of the city’s top political establishment admit quarantine rules for travellers have taken a serious toll on how businesses operate © Chan Long Hei/Bloomberg In some cases, senior roles at financial institutions are remaining vacant for six months or more, according to headhunters — a situation described as “unheard of” by Ryan Gillespie at the search firm Prestwick Group.

 “Companies are saying we are losing some of our best people and we can’t find similar talent to replace them,” he adds. Proponents of the strict quarantine measures cite the low death toll in Hong Kong during the pandemic: just 213 deaths in a population of 7.5m. But even some of the city’s top political establishment admit it has taken a serious toll on how businesses operate. 

 Jeffrey Lam, an adviser to the de facto cabinet of chief executive Carrie Lam, says: “There is still [talent] coming to Hong Kong. But . . . it seems that a [few] more people are leaving the city. Recommended Coronavirus: free to read Free to read: Lockdowns compared: tracking governments’ coronavirus responses “I don’t think that will be a long-lasting issue, as Hong Kong still remains a place which is very attractive, with its low and simple tax [system] and a relatively stable business environment compared to other places. But I do think that the government needs to formulate new policies to attract more talent

.” But, as long as Beijing tightly controls the flow of capital in and out of China, Hong Kong retains a purpose. Others point to the continuing transformation of the stock market, with US politics pushing Chinese listings away from American markets and Chinese politics pulling them towards Hong Kong.

 “[Hong Kong’s] Hang Seng index was about property and banks. Now it is a liquid play on China,” says one veteran fund manager. “It may be hard to recruit from the US or Europe, but I don’t think any financial institutions are going to have any difficulty recruiting top talent from mainland China to come and work here. And that’s what financial centres are about — liquidity and talent.” 

 A ‘China first’ strategy Hong Kong’s status as an international centre for business and finance was at risk long before its zero-Covid strategy isolated it from the rest of the world. The intense political turmoil in the months prior to the pandemic had magnified the debate around the whole nature of the city’s relationship with China and what it represents to the outside world. Police arrest a protester against Hong Kong’s national security law imposed by Beijing.

 The law has been used to crush political opposition in the territory © Anthony Kwan/Getty Images After the handover of Hong Kong from Britain to China in 1997, the “one country, two systems” formula of Deng Xiaoping allowed the city to flourish as a gateway to what would soon become the world’s fastest-growing major economy. 

 The emergence of Hong’s Kong as a financial centre was built on two open gates: one connecting it to China and the other to the rest of the world. Trust in the fairness of its legal systems and the free flow of information put it on a footing with London and New York. Even now, some believe that the old logic will hold and that Hong Kong’s future is guaranteed by Beijing.

 Others believe that fails to understand how far the political situation has moved. Under President Xi Jinping, the Chinese Communist party decided it could no longer tolerate Hong Kong’s civil freedoms and its assertive pro-democracy movement. Beijing’s imposition of a national security law in June 2020 has been used to crush political opposition in the territory. When the pandemic erupted and China chose to shut itself off from the world, Hong Kong had no choice but to follow as Xi made clear that “one country” trumps “two systems”.

 That poses an unprecedented challenge for the territory. A Chinese academic, who advises the central government on Hong Kong but asked not to be named, says the situation is clear: “The more controls there are on movement between Hong Kong and the rest of the world, the fewer there can be between Hong Kong and China.”

 Lam has prioritised the restoration of quarantine free travel with China — the border has been effectively closed since early 2020 and mainland tourism is critical to the Hong Kong economy — rather than with the rest of the world. If she succeeds, it will be the first time in the 180-year history of modern Hong Kong that it has been open to China but not the outside world. People queue for Covid tests in Hong Kong. 

 Only then will Lam’s administration possibly be able to experiment with looser controls on international arrivals — as Singapore has done with quarantine free “vaccinated travel lanes” — but only if Beijing agrees. Recent Covid outbreaks in both Hong Kong and China mean quarantine-free travel between the two is again on hold. “It’s looking likely that opening with the mainland won’t be happening any time soon,” Cartledge says, “which leaves the international opening in limbo. The government’s zero-Covid strategy is inflicting [real] pain.” 

 The former chief executive of one of Hong Kong’s largest banks, speaking on condition of anonymity, says: “You will end up with a great deal more expats leaving and an acceleration of Hong Kong or Chinese executives into all the key positions. It will be a localisation, I can’t see any way around that. “Most businesses have enough gifted Hong Kong and Chinese people that this shouldn’t be a hardship, but over time [global businesses] will lose the connection between the Hong Kong/China business and headquarters in the US or elsewhere.

 “Hong Kong’s value will not be zero,” he adds, “but it will be different.”

 For those confined in Hong Kong hotel rooms, counting down the days to freedom, any change would be welcome. “You’re locked in a box for three weeks, you lose touch with everything,” says one British lawyer who had to leave the city, to travel to Europe for work, recently but is dreading his return. “That’s if I dare go back.” ​​

Canada Post employees may be sent home if they choose to wear an N95 mask

 Canada Post workers risk being sent home from work if they wear masks other than ones issued by the corporation, even if their masks are an upgrade in safety.

Employees who buy their own N95 masks and bring them to work are being told to switch to company issued cloth masks or risk being sent home.

“The mask requirements, like our vaccine mandate, are mandatory and necessary under direction from the (Employment and Social Development Canada [ESDC]),” a spokesperson for Canada Post said in an emailed statement. “Therefore anyone at work must comply.”

“If they don’t have the masks we’ve provided, we have additional masks and disposable medical masks on hand. If an employee still does not wish to comply, they are asked to leave the workplace.”

However, the office of the federal minister of labour told CTVNews.ca that there’s nothing in the Canada Labour Code or federal occupational health and safety regulations that prevents workers from wearing higher-quality face coverings.

“To add, there is no provision in the Code or COHSR that would prevent an employer from providing, or prevent an employee from wearing, respiratory protection in accordance with their Hazard Prevention Program. Employers can go above and beyond what they are required to do, either under the Code or as outlined in a direction issued by the Labour Program when contraventions are identified,” a spokesperson for Labour Minister Seamus O'Regan said in a statement. 

The Winnipeg Free Press first reported on the federal government’s position after the newspaper featured the story of a Canada Post worker who was sent home over the mask issue.

Canada Post said Public Health Agency of Canada supports the use of cloth masks and that the company following directives from the ESDC that require employees to wear company supplied masks to ensure their quality.

“The company fully supports these guidelines and therefore requires all employees to wear a Canada Post-supplied face covering, which is either a reusable cloth face covering or a disposable medical mask,” Canada Post said.

“Canada Post continues to monitor best practices and recommendations with respect to face coverings, and will update our requirements accordingly.”

In an emailed statement to CTVNews.ca, Canadian Union of Postal Workers (CUPW) National President Jan Simpson said the union is “concerned” that Canada Post is refusing to allow its members to wear N95 masks.

“Research on the new Omicron variant has established it is more transmissible through shared air than earlier variants,” he said in the statement.

“The union has asked Canada Post to provide N95 masks or suitable alternatives to all postal workers, and at the very least, allow those who’ve purchased their own N95 or KN95 masks to wear them. As COVID-19 continues to spread rapidly, Canada Post Corporation should be doing everything in its power to protect postal workers, who continue to help people stay home and stay safe.”

https://www.ctvnews.ca/canada/canada-post-employees-may-be-sent-home-if-they-choose-to-wear-an-n95-mask-1.5747165

NYC hospitals overrun with bodies during COVID death surge, staffing shortages

 A recent surge in fatalities combined with staffing shortages due to Omicron have created a backlog at the city Medical Examiner’s office that is having a ripple effect at local hospitals, The Post has learned.

Hospitals are scrambling to cope with the recent surge in COVID-19 fatalities across the city — with some shifting their dead patients between facilities as the ME’s office has been overrun, sources said.

“The whole hospital system is at capacity with patients and, of course, that includes the morgues,” one person familiar with the situation said.

A source at NYC Health + Hospitals, which operates the city’s public health care system, said, “We have so far been able to manage deaths by moving them from one hospital to another and getting additional storage units.”

A hospital official also said the Medical Examiner’s Office was “slammed” because it doesn’t have enough staffers to identify and transfer all the bodies in its morgues.

“Their coolers are stacking up,” the source said.

On Tuesday, the crisis even led the ME’s Office to reinstate the daily “Citywide Hospital Morgue Census” it established in April 2020 during the first wave of the pandemic that made the Big Apple the world’s epicenter of coronavirus fatalities.

Bodies are seen inside the Wyckoff Hospital in Brooklyn in April 2020.
Bodies are seen inside the Wyckoff Hospital in Brooklyn in April 2020.
REUTERS
The city Medical Examiner's Office has been renting large refrigerator trucks to store more dead COVID-19 patients.
Coolers are “stacking up,” a source told The Post about the recent death surge. A refrigerated truck is seen outside the County Medical Examiner’s office in Brooklyn on Wednesday, Jan. 19, 2022.
Paul Martinka

The online form’s mandatory questions include, “In Days, How Long Have You Been Holding Your Oldest Case?”

The Greater New York Hospital Association also held a private, online webinar Wednesday to discuss “mitigation measures” to deal with delays in “decedent retrieval” by the ME’s Office and funeral homes.

The GNYHA, which represents more than 160 hospitals and health care systems statewide, cited “numerous factors, including an increase in citywide fatalities and unprecedented staffing shortages brought on by the current Omicron wave.”

A general view of the New York City Office of the Chief Medical Examiner located at 520 First Avenue in New York, NY on May 14, 2020.
Funeral directors slammed the Medical Examiner’s Office for unprecedented delays in cremations.
Christopher Sadowski

New York City’s daily deaths from COVID-19 surged from 65 on Jan. 1 to 128 on Jan. 11, with incomplete data showing a decline to 55 on Sunday, according to official city figures.

But disease-transmission rates are still high in all five boroughs amid the continuing spread of the highly contagious but far less deadly Omicron variant, according to the US Centers for Disease Control and Prevention.

Funeral directors said there’s a seven-day wait — up from just one — for cremations in and around New York City due to increased demand.

“The system is flooded and we’ve been working our asses off,” one funeral director said as he waited outside the ME’s Office in Manhattan.

“I’m getting two bodies now that I’m not cremating until Saturday because the crematory’s backed up.”

The funeral director added that a “good crematory” with six burners can handle “maybe 18 bodies a day.”

The Manhattan Medical Examiner's office on East 30th Street and First Avenue.
The ME’s Office began using the “Citywide Hospital Morgue Census” again.
James Messerschmidt
The Manhattan Medical Examiner's office on East 30th Street and First Avenue on January 19, 2022.
An ME Office spokesperson said the census was brought back because of Omicron’s spread.
James Messerschmidt

“If somebody gets sick, then it slows down,” he added. “You can’t throw five bodies in at once and pick out the ashes.”

A spokesperson for the ME’s Office said it “has instituted measures in the past week to expedite removals and relieve hospitals experiencing increased caseloads and limited storage capacity.”

Spokesperson Julie Bolcer also said the daily hospital morgue census “was instituted again as part of the response to Omicron variant.”

In March 2020, funeral home employees arrive at a Fort Greene hospital to claim coronavirus bodies for burials.
In March 2020, funeral home employees arrive at a Fort Greene hospital to claim coronavirus bodies for burials.
Paul Martinka
Refrigerated tractor trailers used to store bodies of deceased people are seen at a temporary morgue during a COVID outbreak in May 2020.
Refrigerated tractor trailers used to store bodies of deceased people are seen at a temporary morgue during a COVID outbreak in May 2020.
REUTERS

“If hospitals need [the ME’s Office] to step in and assist with storage, the census will show that,” Bolcer added.

GNYHA spokesman Brian Conway said, “Staffing shortages worsened by the Omicron surge have impacted all stakeholders … involved in managing fatalities (by no means all of them COVID-related) in New York City. As a result, hospitals have had to manage higher numbers of decedents than before the current Omicron surge. OCME recently expanded its capacity, which is easing pressure on the hospitals. GNYHA is coordinating closely with hospitals across the City, OCME, NYC Emergency Management, and others to help manage the situation.”

https://nypost.com/2022/01/20/nyc-hospitals-overrun-with-bodies-during-covid-death-surge-staffing-shortages/

Americans out sick because of COVID-19 surges to record 8.8 million

 A record of 9 million Americans are out sick due to the current surge of novel coronavirus cases in the country, representing about 6 percent of the U.S. workforce, according to data collected by the Census Bureau.

Between Dec. 29 and Jan. 10, 8.8 million people told the Bureau they were not working due to COVID-19 diagnosis or were taking care of someone with an illness. 

Another 3.2 million people told the Bureau they weren’t working due to concerns of the virus spreading and getting infected from it, up 25 percent from December.

"Time and time again, we see that this economic recovery is tied to the pandemic and public health measures," Luke Pardue, an economist with payment service Gusto, told CBS News.

The new figures are the highest since Census began doing the survey around the start of the pandemic, topping last January's peak of 6.6 million workers out, according to The Washington Post.

The U.S. is currently dealing with a winter surge of COVID-19 infections as the omicron variant has taken hold across the nation.

According to Centers for Disease Control and Prevention (CDC) data, the number of COVID-19 hospitalizations and deaths continued to increase nationwide in the first week of January.

The health agency also said the omicron variant now accounts for 98 percent of virus cases in the U.S., CBS News reported. 

The Labor Department also reported 286,000 first-time jobless claims last week, which was a jump from 55,000 jobless claims from the previous week and the highest total since October, the Post reported. 

Oxford Economics's Nancy Vanden Houten told CBS News she expects new claims to return to about 200,000 a week once the omicron wave passes.

https://thehill.com/policy/finance/economy/590646-americans-out-sick-because-of-covid-19-surges-to-record-9-million

Supreme Court rebuffs abortion providers again over Texas 6-week ban

 The Supreme Court on Thursday rebuffed abortion providers’ latest legal maneuver in their challenge to Texas’ 6-week ban, which has sharply reduced abortion access in the state since taking effect nearly five months ago. 

The order, issued without comment, was unsigned but appeared to divide the court along ideological lines, with the court’s three liberal justices writing in dissent.

At issue is a procedural fight over which tier of the lower federal courts the case should return to after a divided Supreme Court ruled last month that abortion providers could contest the ban in federal court and list Texas state licensing officials as defendants.

Abortion providers had asked the Supreme Court to send the case back to a federal district court, where the judge presiding over their challenge had previously blocked the Texas law. But the justices instead returned the case to the conservative U.S. Court of Appeals for the 5th Circuit, which has allowed the ban to remain while the case proceeds.

The 5th Circuit has since added a new layer of litigation. In a 2-1 vote, the federal appeals court panel asked the top Texas state court to interpret the law, S.B. 8, and determine whether state licensing officials are appropriate defendants.

This legal mechanism, known as state certification, has at a minimum prolonged the litigation and, depending on how the Texas Supreme Court rules, could wind up erasing abortion providers’ narrow path to federal court.

As the certification process got underway, abortion providers went back to the Supreme Court to ask that the justices return their case to the federal trial court to avoid undue delay, a request the majority denied in Thursday’s order.

Justice Sonia Sotomayor blasted the majority in a dissent that was joined by fellow liberal justices Stephen Breyer and Elena Kagan.

“Instead of stopping a Fifth Circuit panel from indulging Texas’ newest delay tactics, the court allows the state yet again to extend the deprivation of the federal constitutional rights of its citizens through procedural manipulation,” Sotomayor wrote. “The Court may look the other way, but I cannot.”

https://thehill.com/regulation/court-battles/590681-supreme-court-rebuffs-abortion-providers-again-over-texas-6-week-ban

Mich. nursing homes ordered to offer on-site booster shots

 Michigan’s health director on Thursday ordered nursing homes to offer on-site booster shots to residents who are not up to date on the COVID-19 vaccine in a state that lags others in vaccinating people in long-term care facilities.

The facilities must comply within 30 days.

Nearly 75% of eligible nursing home residents have gotten a booster dose. Gov. Gretchen Whitmer in December set a goal of getting 95% of eligible nursing home residents a booster by the end of January.

The average percentages of fully vaccinated residents and staff among reporting Michigan nursing homes are about 85% and 70% — the 13th- and fifth-lowest averages in the U.S., according to the federal government. The number of vaccinated health care employees in nursing homes could soon rise because of a federal mandate — upheld by the Supreme Court — requiring vaccinations for most U.S. health care workers.

The deadlines for the first and second shots are Jan. 27 and Feb. 28.

Elizabeth Hertel, director of the state Department of Health and Human Services, said vaccinations are even more important because the rapidly spreading omicron variant can more readily evade people’s immunity from vaccines and past infections.

“We want to make sure our most vulnerable Michiganders are protected from the virus,” she said in a written statement.

The order does not require nursing home residents to be vaccinated.

It came the same day that Republican-led legislative committees held a joint hearing to review state auditors’ recent report that found nearly 2,400 more COVID-19 deaths tied to long-term care facilities than the 5,675 reported by the state as of July, including 1,335 linked to facilities that must report such deaths. GOP lawmakers cited the figures while again questioning the Democratic governor’s orders, which her administration has said were not enforced, requiring nursing homes to admit or readmit recovering coronavirus patients early in the pandemic.

Hertel, as she did previously, disputed the accuracy of the review — saying she has faith that facilities accurately self-report deaths to the state because they could lose their license otherwise.

“Without somebody coming down and doing a standardized audit of facilities, I’m concerned that the numbers that you’re depending on can’t be depended on by us,” said Sen. Ed McBroom, a Vulcan Republican who chairs the Senate Oversight Committee.

https://apnews.com/article/coronavirus-pandemic-health-business-michigan-nursing-homes-87c05fbe4cac3cc6c9c128d80e88024f

Aiming to make CDC nimble, agency director has rankled many

 From the beginning of the COVID-19 pandemic, the top U.S. public health agency has been criticized as too slow to collect and act on new information.

Now, increasingly, the Centers for Disease Control and Prevention is also being criticized for moving too fast.

One year into Dr. Rochelle Walensky’s tenure as director, her bid to make the CDC more agile is being challenged by political pressures, vocal scientists and the changing virus itself. In its haste, some experts say, the agency has repeatedly stumbled — moving too quickly, before the science was clear, and then failing to communicate clearly with local health officials and the public.

“I think they are absolutely trying to be more nimble — and that’s a good thing. I don’t criticize that,” said Dr. Georges Benjamin, executive director of the American Public Health Association. “I criticize the fact that when you’re doing this quickly, in an evolving environment, you can’t just put it out there and think that people understand it.”

Walensky has said that she came to the CDC thinking about ways to speed data collection and reporting. She once told The Associated Press that she didn’t want the agency to spend months gathering data that gets published after it’s useful. “Like, no one will care,” she said.

Speaking to the AP last week, she said she was proud of what the agency had accomplished in the past year. Her examples included a torrent of CDC scientific reports, rapid identification of concerning vaccine side effects and quick research into new variants.

Among her particular points of pride: Last spring, the CDC was quick to investigate and report on rare but concerning side effects in some vaccine recipients, including an unusual blood clot in young women who had received Johnson & Johnson shots. The identification of about 15 cases — out of more than 8 million people who had gotten the vaccine — led the government to pause the dispensing of J&J shots for 11 days.

“Everyone has said that during a pandemic, CDC has to move faster,” she said. “I think we really did that.”

Her efforts, though, have sometimes gone awry:

— The agency’s decision late last month to shorten isolation and quarantine caught many by surprise. Public confusion included questions such as whether the guidance applied to children and why people didn’t need to test negative before going back to their jobs.

— The CDC briefly overstated the omicron variant’s penetration in the U.S. In mid-December, the agency estimated 73% of the previous week’s coronavirus infections were due to omicron. A week later, the CDC shaved it to 23%, based on additional data. (The CDC turned out to be a week early: Omicron now reigns.)

— Last spring, Walensky said fully vaccinated people could stop wearing masks in many settings, only to reverse course as the then-new delta variant spread.

Walensky has many defenders. They say that in most cases, core decisions made sense at the time they were made. The real problem, they say, was with how they were rolled out and communicated.

‘WE NEED TO DO AN OVERHAUL’

The CDC has long been considered the crown jewel of U.S. public health, with great minds working to investigate illness and coordinate national efforts to prevent it. But it also has been repeatedly criticized as timid and slow in a crisis.

Much of the problem has been lack of funding and governmental authority, said Shelley Hearne, a John Hopkins University professor of health policy and management. She noted, for example, that the CDC can’t require doctors or states to report disease case counts or other vital information.

Walensky is not going to change that, Hearne said.

“If the pandemic has shown anything, it’s that we need to do an overhaul of how we protect our health,” she said.

Compounding the problem is pressure on the CDC from both Republican and Democratic administrations to speak in harmony with the White House. That’s not new, but there is now more second-guessing by other scientists and public health experts on social media.

And then there’s the general fracturing of the nation.

Some politicians and others have repeatedly undermined the CDC’s message, said Benjamin, of the American Public Health Association. CDC directors “didn’t have this kind of mischief going on in the past,” he said.

TOO SLOW

Early in 2020, the CDC was slow to send out test kits to help state labs identify the earliest coronavirus infections. The agency’s kits had a design flaw and were contaminated.

CDC officials were initially focused on the risk of infections spreading from China and were slow to understand how much coronavirus was coming from Europe.

The agency also was criticized for being too slow to recommend people wear masks, to recognize that the virus can spread through the air and to ramp up systematic testing to detect new variants.

In 2020, the Trump administration was accused of political interference for working to control CDC messaging that might contradict the White House’s portrayal of how the crisis was unfolding.

Walensky, an infectious-disease specialist known for her communications skills, vowed to restore public trust under President Joe Biden.

This week marks Walensky’s anniversary as CDC director, and the agency is still criticized as slow at times.

For example, the CDC last week updated its website to acknowledge N95 masks are more protective than other types and the better choice for most people — something that has long been obvious to scientists.

“So why has its guidance come out late time & time again?” Lawrence Gostin, a Georgetown University public health law expert, asked on Twitter.

On Wednesday, Biden defended the CDC, saying: “The messages, to the extent they’ve been confusing — it’s because the scientists, they’re learning more.”

TOO FAST

Public health experts note the fast-changing pandemic has forced the CDC to reverse decisions that made sense at one point but later became problematic.

One example: For much of the pandemic, the CDC had advised Americans to wear masks when near others. But last spring, Walensky changed the guidance, saying fully vaccinated people could stop covering up in most settings.

Walensky said the decision was driven by rising vaccination numbers and declines in COVID-19 cases, hospitalizations and deaths. Her call was characterized as a sensible incentive to get more people vaccinated.

“If we had not followed the science (at the time), and said masks need to stay on, I think we would have lost credibility,” she said last week.

Still, the change surprised senior administration officials and some medical experts, who called it premature.

Within weeks, the delta variant triggered a new virus wave. A Massachusetts outbreak in July demonstrated the variant’s ability to spread among vaccinated people, so Walensky recommended the vaccinated return to wearing masks in places where delta was fueling infections.

“We saw data on a Friday from Barnstable County,” she said. “We had new guidance out on (the following) Tuesday.”

Even public health leaders who voice strong support for Walensky have lamented how some CDC recommendations are communicated — without background briefings or documents that fully detail the scientific evidence.

In some instances, local health officials have learned about guidance changes through news reports, and then struggled to incorporate them, said Adriane Casalotti of the National Association of County and City Health Officials.

The CDC has become cautious about briefing others beforehand because such information has repeatedly been leaked to the media, said one agency official, who was not authorized to discuss the matter and spoke to the AP on condition of anonymity.

But that has created another kind of problem.

Last month, the agency cut the recommended isolation period for Americans with the coronavirus from 10 to five days, provided they have no symptoms. With no warning of the change, states scrambled for additional detail.

“We had a one-page media release” and a lot of unanswered questions, said Dr. Natasha Bagdasarian, Michigan’s chief medical executive, explaining why the state delayed adopting the CDC recommendations.

Walensky acknowledged the recommendations were rushed, but insisted it was for good reason.

The agency had already decided the change was warranted, given research showing infectiousness was reduced after five days, she said. But Walensky felt she had to react to mounting reports that health care facilities and other businesses were struggling to maintain staffing amid omicron’s surge.

With forecasts that infections were going to explode, “we needed to act quickly, given what we were about to face,” she said.

Some observers say the CDC is in a can’t-win situation: It is criticized when it waits for medical evidence to accumulate, and criticized when it acts quickly on scant data.

Hearne sympathizes.

“No one is used to watching a learning curve like this,” she said. “This isn’t normal.”

https://apnews.com/article/coronavirus-pandemic-science-business-health-centers-for-disease-control-and-prevention-cf09f8a3d28915ac314ea97dd4a52c3b