- Starting July 15, hospitals are to redirect their COVID-19 reporting away from the Centers for Disease Control and to the Department of Human and Health Services instead.
- The decision is billed as a way to “streamline” data collection across multiple government agencies.
- However, there are fears that the data won’t be completely transparent and available to the public now that it’s controlled by a Trump administration official.
The Trump administration ordered hospitals to bypass the Centers for Disease Control (CDC) and send information about COVID-19 to a central database controlled by the Department of Health and Human Services (HHS), starting July 15.
The move came as a shock to many health experts as the CDC has long been the agency where pandemic data has been submitted. However, the administration issued the policy change after discussions with hospitals and government task forces highlighted how cumbersome current data-submission processes are.
The government also hopes that by keeping the process streamlined, data will be more easily accessible to agencies other than just the CDC, including groups like the Coronavirus Task Force. That would allow the task force to better handle the pandemic and better allocate scarce resources like ventilators and remdesivir – a drug that is known to help reduce the recovery time of COVID-19.
The move to redirect which agency handles coronavirus information stemmed from a July 10 memo that laid out what Wednesday’s new rules would be. According to that HHS memo, back in late March, Vice-President Mike Pence sent a letter to hospitals across the U.S. asking them to send daily reports about the pandemic. It adds that since then, many government agencies have asked for similar information.
The administration claims that hospitals complained about how many different agencies were asking for information, adding that it was distracting administrators from actual hospital duties. Following these complaints, Dr. Deborah Birx, the White House coronavirus response coordinator, set up a call with hospital administrators and groups that represent hospitals to come up with a new plan.
Ultimately that call and other discussions led to the July 10 memo and Wednesday’s updates to how coronavirus data is collected.
Why Take the Data Away?
The move to switch COVID-19 data collection away from the semi-independent CDC and to the politically appointed HHS was a cause of concern for many. The largest complaint is that it’s moving the information away from experts who specialize in disease management and control.
Moving the information away from the experts has led to accusations that the administration is politicizing the science. Such an accusation was made on Tuesday in an open letter from the past heads of the CDC, both Democrat and Republican.
Dr. Nicole Lurie, former assistant secretary for preparedness and response during President Barack Obama’s administration, told The New York Times, “Centralizing control of all data under the umbrella of an inherently political apparatus is dangerous and breeds distrust,” adding, “It appears to cut off the ability of agencies like C.D.C. to do its basic job.”
This leads to another possible issue: that information won’t be made available. Like Dr. Lurie stated, there are fears the CDC and other groups will be blocked from the information. Jen Kates, Director of Global Health and HIV policy at the Kaiser Family Foundation also raised concerns to The New York Times.
“Historically, C.D.C. has been the place where public health data has been sent, and this raises questions about not just access for researchers but access for reporters, access for the public to try to better understand what is happening with the outbreak,” Kates said.
“How will the data be protected? Will there be transparency, will there be access, and what is the role of the C.D.C. in understanding the data?”
Streamlining the Data
However, despite concerns there are experts who think the decision is a good idea.
The CDC’s system is called the National Healthcare Safety Network and it’s known for being cumbersome and slow. On top of that, the guidelines for what data and how to submit it constantly changes, frustrating hospital administrators who have to report the data over and over again to a ton of different agencies who have shifting guidelines.
The new system, which is managed by TeleTracking, a health data firm in Pittsburgh, is supposed to remove some of those redundancies, partly by using one standardized submission form. Additionally, If hospitals report to their state, and that state then sends the info to HHS, the hospital can get a waiver and skip sending it to HHS themselves. Officials within the administration, like Michael R. Caputo, the Health and Human Services spokesman, explained the problem like this: “Today, the C.D.C. still has at least a week lag in reporting hospital data. America requires it in real time.”
Critics still point to one possible issue with this explanation, both systems use push data. Push data means both databases require hospitals, states, and agencies to actually input the data themselves and send it to the HHS. However, the July 10 memo does state that there are plans to automate the process, something the CDC has struggled to do for years.
Caputo tried to calm fears that the information was going to be locked away from the CDC and the public, saying, “The new, faster and complete data system is what our nation needs to defeat the coronavirus, and the C.D.C., an operating division of H.H.S., will certainly participate in this streamlined all-of-government response. They will simply no longer control it.”
He also went on to specifically say that the data would be available to the public. That information was also backed up by Dr. Birx, who gave assurances to hospital administrators back when this whole system was being set up that the info would be public.
Some doctors took the assurance at face value, like Dr. Janis Orlowski, who told The New York Times, “We are comfortable with [the switch] as long as they continue to work with us, as long as they continue to make the information public, and as long as we’re able to continue to advise them and look at the data.”
She also believes the switch is “a sincere effort to streamline and improve data collection.’’
However, as of Wednesday afternoon, there’s no data coming out at all. The New York Times reports, “the Health and Human Services database that will receive new information is not open to the public, which could affect the work of scores of researchers, modelers and health officials who rely on C.D.C. data to make projections and crucial decisions.”
There’s a key distinction there; the difference between the information being made public down the line, and having direct access to the database itself. The lack of data could be because the HHS system just went online as of July 15 and hospitals have yet to begin submitting their information.
It remains to be seen if HHS will beat the CDC timeline of “at least a week” to get the data about COVID-19 out, and whether or not it’ll be available to the public.
Biden to Mandate COVID Vaccines for Federal Workers as CDC Changes Masking Guidance
News of the efforts came on the same day that the U.S. reported more than 100,000 new daily COVID cases for the first time since February.
Federal Vaccine Mandate
President Joe Biden will announce Thursday that all federal employees must get vaccinated against COVID-19 or consent to strict testing and other safety precautions, White House officials told reporters Tuesday.
Earlier in the day, Biden said he was considering the requirement but did not provide any more information.
While the officials also said the details are still being hashed out, they did note that the policy would be similar to ones recently put in place by California and New York City, which respectively required state and city workers to get the jab or submit to regular testing.
Also on Tuesday, the Centers for Disease Control and Prevention updated their guidelines to recommend that Americans who live in areas “of substantial or high transmission,” as well as all students and teachers, wear masks indoors regardless of their vaccination status.
Delta Causes Spikes, But Vaccines Still Prove Effective
The renewed COVID mitigation efforts come as the delta variant is driving massive surges all over the country.
Coronavirus cases have quadrupled throughout July, jumping from a weekly average of 11,799 on the first day of the month to 63,248 on Tuesday, according to The New York Times tracker. Tuesday also saw new daily infections topping 100,000 for the first time since February, with more than 108,000 reported, per The Times.
While the vast majority of new infections are among people who have not been vaccinated, there have also been increasing reports of breakthrough cases in people who have received the jab.
Those cases, however, do not mean that the vaccines are not effective.
No vaccine prevents 100% of infections. Health officials have said time and time again that the jabs are intended to prevent severe disease and death, and they are doing just that.
According to the most recent data for July 19, the CDC reported that only 5,914 of the more than 161 million Americans who have gotten the vaccine were hospitalized or died from COVID-19 — a figure that represents 0.0036% of vaccinated people.
While safety precautions may be recommended for some people who have received the vaccine, many media narratives have overstated the role breakthrough cases play in the recent spikes. As New York Magazine explains, it is imperative to understand these new mask recommendations are not happening because the vaccine is not effective, but because not enough people are getting the vaccine.
“Because breakthrough infections have so often made the news due to their novelty, that can create a perception of more cases than are actually happening — particularly without more robust tracking of the actual cases to provide context,” the outlet wrote.
See what others are saying: (The Washington Post) (The New York Times) (CNBC)
Wisconsin Police Deny Planting Evidence in Viral Video, Release Their Own Body Cam Footage
The footage police released shows that during a search, officers found a corner tear from a plastic bag inside a backseat passenger’s pocket. An officer then discarded it into the car after determining that it was empty.
Viral Video Appears To Show Officer Planting Evidence
The Caledonia Police Department in Wisconsin has responded to a viral cell phone video that appears to show an officer planting a small plastic baggie inside of a car during a traffic stop.
The now-viral footage was posted to Facebook by a man who goes by GlockBoy Savoo.
The user, who also filmed the clip, wrote in his post’s caption that the officer did this “just to get a reason to search the car” and said the cop didn’t know he was being recorded by the passenger.
Police Shut Down Accusations With Their Own Footage
After that video spread across social media, many were outraged, calling the Caledonia police dirty for seemingly planting evidence. All the outrage eventually prompted the department to announce an investigation Saturday.
Within hours, the department provided an update, claiming that officers didn’t actually plant any evidence or do anything illegal.
Police shared a lengthy summary of events, along with two body camera clips from the incident. That statement explained that the driver of the vehicle was pulled over for going 63 in a 45mph zone.
Two passengers in the backseat who were then spotted without seatbelts were asked to identify themselves and step out of the car. During a search of one passenger’s pockets, an officer pulled out “an empty corner tear” from a plastic baggie.
Police claim the corner tear did not contain any illegal substances, though they said this type of packaging is a common method for holding illegal drugs.
In one body cam clip, an officer can be heard briefly questioning the backseat passenger about the baggie. Then, that piece of plastic gets handed off to different officers who also determined it as empty before the officer in the original viral video discarded it into the back of the car.
The officer can also be seen explaining where the plastic came from to the passenger recording him.
“Aye, bro you just threw that in here!” the front seat passenger says, as heard in his version of the events.
“Yeah, cause it was in his pocket and I don’t want to hold onto it. It’s on their body cam that they took it off of him…I’m telling you where it came from, so. It’s an empty baggie at the moment too, so,” the officer replies.
The department went on to explain that while it would discourage officers from discarding items into a citizen’s car, this footage proves that evidence was not planted.
Authorities also noted that no arrests were made in this incident and the driver was the only one issued a citation for speeding. The statement added that since four officers were present at the scene, police have more than six hours of footage to review but they promised to release the footage in full in the near future.
See what others are saying: (Heavy)(CBS 58) (Milwaukee Journal Sentinel)
Medical Groups, Local Leaders Push for Healthcare Workers and Public Employees To Get Vaccinated
The move comes as COVID cases have nearly quadrupled in the last month due to the rapid spread of the highly infectious delta variant.
Increased Calls for Mandatory Vaccinations in Certain Sectors
More than 50 of America’s largest medical groups representing millions of healthcare workers issued a statement Monday calling for employers of all health and long-term care providers to require mandatory COVID-19 vaccinations.
The groups, which included the American Medical Association, the American Nurses Association, and 55 others, cited contagious new variants — including delta — and low vaccination rates.
“Vaccination is the primary way to put the pandemic behind us and avoid the return of stringent public health measures,” they wrote.
The call to action comes as new COVID cases have almost quadrupled during the month of July, jumping from just around 13,000 infections a day at the beginning of this month to more than 50,000.
While the vast majority of new infections and hospitalizations are among those who have not received the vaccines, many healthcare workers remain unvaccinated. According to data collected by the Centers for Medicare and Medicaid Services, over 38% of nursing home staff were not fully vaccinated as of July 11.
An analysis by WebMD and Medscape Medical News found that around 25% of hospital workers who were in contact with patients had not been vaccinated by the end of May when vaccinations became widely available.
In addition to calls for medical professionals to get vaccinated, some local leaders have also begun to impose mandates for public employees as cases continue spiking.
Last month, San Francisco announced that it was requiring all city workers to get vaccinated. Also on Monday, New York City Mayor Bill de Blasio said that all municipal employees — including police officers and teachers — must either get the jab or agree to weekly testing by the time school starts in September.
Dr. Fauci Says U.S. Officials Are Considering Revising Mask Guidance for Vaccinated People
Numerous top U.S. health officials have applauded efforts by local leaders to mitigate further spread of the coronavirus, including the nation’s top infectious disease expert, Dr. Anthony Fauci, who confirmed Sunday that federal officials are actively considering whether to revise federal masking guidelines to recommend that vaccinated Americans wear face coverings in public settings.
In May, the Centers for Disease Control and Prevention said people who are vaccinated do not need to mask in public. Although that was a non-binding recommendation, many states and cities that had not already lifted restrictions on masking began to do so shortly after.
But now, local leaders in areas seeing big spikes have begun reimposing mask mandates — even for those who are vaccinated — including major counties like Los Angeles and St. Louis.
In his remarks Sunday, Fauci also emphasized that, despite claims from many conservatives, those efforts are in line with the federal recommendations, which leave space for local leaders to issue their own rules.
While Fauci and other top U.S. public health officials have encouraged local governments to take action, Republican lawmakers in several states are taking steps to limit the ability of local leaders and public health officials to take certain mitigation measures.
According to the Network for Public Health Law, at least 15 state legislatures have passed or are considering bills to limit the legal authority of public health agencies — and that does not even include unilateral action taken by governors.
Some of the leaders of states suffering the biggest spikes have banned local officials from imposing their own mask mandates, like Arkansas, which has the highest per capita cases in the country right now, as well as Florida, which currently ranks third.
Notably, some of the laws proposed or passed by Republicans could go beyond just preventing local officials from trying to mitigate surges in COVID cases and may have major implications for other public health crises.
For example, according to The Washington Post, a North Dakota law that bans mask mandates applies to other breakouts — even tuberculosis — while a new Montana law also bars the use of quarantine for people who have been exposed to an infectious disease but have not yet tested positive.