- On Monday, the Centers for Disease Control and Prevention quietly made a massive change to its coronavirus testing recommendations.
- Its new guidance states that asymptomatic individuals who have knowingly had extended contact with infected persons may not necessarily need to get tested.
- The change elicited mass confusion and criticism from health experts who noted that the CDC has warned about the dangers of asymptomatic spread for months.
- Brett Giroir, U.S. assistant secretary for health, denied accusations that the White House had ordered the changes and affirmed that Dr. Anthony Fauci had signed off on the change.
- Dr. Fauci later denied Giroir’s claim, saying he did not approve any changes because he was in surgery when the new guidance was discussed.
CDC Changes Testing Recommendation
The Centers for Disease Control and Prevention is currently embroiled in a bitter battle between health experts and government officials after narrowing its coronavirus testing recommendations to exclude most asymptomatic people, even if they’ve had known contact with an infected person.
That guidance was quietly changed Monday but later elicited sharp criticism, including from Dr. Anthony Fauci, one of the lead members of the White House Coronavirus Task Force and director of the National Institute of Allergy and Infectious Diseases.
“If you have been in close contact (within 6 feet) of a person with a COVID-19 infection for at least 15 minutes but do not have symptoms,” the CDC guidelines now read, “you do not necessarily need a test unless you are a vulnerable individual or your health care provider or State or local public health officials recommend you take one.”
“It is important to realize that you can be infected and spread the virus but feel well and have no symptoms,” the CDC also notes.
The updated guidance comes despite the fact that, for months, the CDC has recommended people should get tested for COVID-19 if they have had close contact with a known infected individual, even if they are not showing symptoms.
It also comes despite the fact the CDC has emphasized that asymptomatic cases play a major role in COVID-19 infections. In fact, last month, the CDC said it believes up to 40% of infected individuals are asymptomatic.
According to Axios, “some models suggest nearly half of transmission events can be traced back to when individuals were still pre-symptomatic.”
When asked about why this change was made, Brett Giroir, the assistant secretary for health at the Department of Health & Human Services, said in a statement: “This Guidance has been updated to reflect current evidence and best public health practices, and to further emphasize using CDC-approved prevention strategies to protect yourself, your family, and the most vulnerable of all ages.”
“Through continuously evaluating the data we know we have strong, proven preventive measures for reducing the spread of COVID-19: wearing a face mask, watching your distance, washing your hands and avoid large gatherings and crowded indoor spaces.”
Doctors Sound Alarms
Many health experts were quick to point out that the change seemed contradictory to the currently understood mode of transmission for COVID-19, as well as the CDC’s previous guidance.
“Testing those [who] have possibly been exposed to someone with COVID is an important part of contact tracing to help identify and reduce spread,” Fred Davis, a New York doctor, told Fox News. “When we have the resources to test, we should be testing those with known exposure to help identify and recommend proper quarantine.”
Infectious disease expert Dr. Ravina Kullar also expressed concern, telling Fox News:
“I am not sure if these recommendations were based on the labs being overwhelmed or a desire to make the case numbers look better; regardless, I am stunned by these recommendations.”
As doctors search for answers, others have accused the White House of either directing or pressuring the change. According to CNN, a federal official said pressure came from the “top down.” Similarly, The New York Times cited two federal health officials who said the guidelines were part of a White House directive.
Those allegations follow repeated instances of President Donald Trump criticizing the country’s level of coronavirus testing.
“When you do testing to that extent, you’re going to find more people,” Trump said at a June rally. “You’re going to find more cases. So I said to my people, ‘Slow the testing down, please!’ They test and they test. We got tests that people don’t know what’s going on.”
Giroir told reporters Wednesday that he doesn’t actually expect the volume of tests to decrease even with these new guidelines. He also denied allegations that the White House had ordered the CDC to narrow its guidelines, though he did say that it was approved by the White House last week.
In that press conference, Girior was asked if Fauci specifically approved the change, to which he affirmed that Fauci had.
“Yes, all the docs signed off on this before it even got to the task force level.” Giroir said. “We worked on this all together to make sure that there was absolute consensus that reflected the best possible evidence, and the best public health for the American people.”
“I worked on them. Dr. Fauci worked on them. Dr. [Deborah] Birx worked on them. Dr. [Stephen] Hahn worked on them.”
However, according to Fauci, that is not true. In fact, in an interview with CNN’s Sanjay Gupta on Wednesday, Fauci said he hadn’t even been at that meeting when the changes were made because he was undergoing surgery.
“I was under general anesthesia in the operating room and was not part of any discussion or deliberation regarding the new testing recommendations,” Fauci said.
“I am concerned about the interpretation of these recommendations and worried it will give people the incorrect assumption that asymptomatic spread is not of great concern. In fact it is.”
Governors Condemn Changes and Increase Testing
Along with medical experts, the governors of at least two states have said they will refuse to follow the new guidelines.
“I don’t agree with the new CDC guidance period, full stop,” California Governor Gavin Newsom (D) said, “and it’s not the policy in the state of California. We will not be influenced by that change. We’re influenced by those that are experts in the field that feel very differently.”
New York Governor Andrew Cuomo (D) similarly slammed the change by condemning it as “political propaganda” and said the New York Department of Health would not follow it.
“Shame on the people at the CDC,” Cuomo said.
Like others, Cuomo accused the Trump administration of changing testing recommendations “because they don’t want publicity that there is a Covid problem.”
“Because the president’s politics are, ‘COVID isn’t the problem. We’re past Covid,’” he said. “’It’s all about the economy, and the economy is doing great. We’re going to focus on the economy.’ And that’s his re-election strategy. So he’s using the CDC as a campaign rhetorical device.”
Michael Caputo, HHS assistant secretary for public affairs, later responded by denying claims that the White House was involved and shifted the blame back to Cuomo for “[proceeding] to seed the coronavirus throughout New York nursing homes, killing thousands.”
“Cuomo must not understand this guidance has been updated to place an emphasis on testing individuals for clinical and public health reasons, including the testing of asymptomatic people when directed by public health leaders or health care providers,” Caputo said.
Dr. Howard Zucker, New York state’s health commissioner, then bit back, saying, “I have spoken with the scientists at the CDC, and they say it’s political.”
Why Might the CDC Have Changed Its Guidance?
According to CNN, this new guidance could be the brainchild of CDC Director Robert Redfield. Last month, a change was proposed after a surge of coronavirus cases strained testing resources, prompting officials to look for new messaging on how to reduce excess testing.
That also aligns with other reports, including one from Politico which cites a person close to the CDC who defended the changes as necessary. According to that source, the recent changes prioritize testing for those at a higher risk of infection and address concerns that tests are being spread thin by a high demand of people who are unlikely to have been exposed to the virus.
Nonetheless, critics warn that slowing the rate of testing for asymptomatic people could have the opposite effect and result in more at-risk populations unknowingly coming into contact with the virus.
Biden Mistakenly Calls Out For Dead Lawmaker at White House Event
The remarks prompted concerns about the mental state of the president, who previously mourned the congresswoman’s death in an official White House statement.
Video of President Joe Biden publicly asking if a congresswoman who died last month was present at a White House event went viral Wednesday, giving rise to renewed questions about the leader’s mental acuity.
The remarks were made at the White House Conference on Food, Nutrition, and Health, which Rep. Jackie Walorski (R-In.) had helped convene and organize before her sudden death in a car accident.
The president thanked the group of bipartisan lawmakers who helped make the event happen, listing them off one by one, and appearing to look around in search of Rep. Walorski when he reached her name.
“Jackie, are you here? Where’s Jackie?” he called. “I think she wasn’t going to be here to help make this a reality.”
The incident flummoxed many, especially because Biden had even acknowledged her work on the conference in an official White House statement following her death last month.
“Jill and I are shocked and saddened by the death of Congresswoman Jackie Walorski of Indiana along with two members of her staff in a car accident today in Indiana,” the statement read.
“I appreciated her partnership as we plan for a historic White House Conference on Hunger, Nutrition, and Health this fall that will be marked by her deep care for the needs of rural America.”
The Age Maximum Question
Numerous social media users and news outlets presented the mishap as evidence that Biden, who is 79, does not have the mental capacity to serve as president. Others, meanwhile, raised the possibility of imposing an age maximum for the presidency.
Most of the comments against the president came from the right, which has regularly questioned his mental stability. However, the idea of an age limit goes beyond Biden and touches on concerns about America’s most important leaders being too old.
While Biden is the oldest president in history, former President Donald Trump — who is 76 and has also had his mental state continually questioned — would have likewise held that title if he had won re-election in 2020.
These concerns extend outside the presidency as well: the current session of Congress is the oldest on average of any Congress in recent history, and the median ages are fairly similar among Republicans and Democrats when separated by chambers.
There is also a higher percentage of federal lawmakers who are older than the median age. Nearly 1 out of every 4 members are over the age of 70.
What’s more, some of the people in the highest leadership positions are among the oldest members. Rep. Nancy Pelosi (D-Ca.), is the oldest-ever House Speaker at 82, Sen. Patrick Leahy (D-Vt.) — the president pro tempore of the Senate and third person in line for the presidency — is the same age, and Senate Minority Leader Mitch McConnell (R-Ky.) is 80.
As a result, it is unsurprising that a recent Insider/Morning Consult poll found that 3 in 4 Americans support an age max for members of Congress, and more than 40% say they view the ages of political leaders as a “major” problem.
Those who support the regulations argue that age limits are standard practice in many industries, including for airplane pilots and the military, and thus should be imposed on those who have incredible amounts of power over the country.
However, setting age boundaries on Congress and the President would almost certainly necessitate changes to the Constitution, and because such a move would require federal lawmakers to curtail their own power, there is little political will.
See what others are saying: (The New York Times) (Business Insider) (NBC News)
Churches Protected Loophole in Abuse Reporting for 20 years, Report Finds
In some cases, Clergy members failed to report abuse among their congregation, but state laws protected them from that responsibility.
A Nationwide Campaign to Hide Abuse
More than 130 bills seeking to create or amend child sexual abuse reporting laws have been neutered or killed due to religious opposition over the past two decades, according to a review by the Associated Press.
Many states have laws requiring professionals such as physicians, teachers, and psychotherapists to report any information pertaining to alleged child sexual abuse to authorities. In 33 states, however, clergy are exempt from those requirements if they deem the information privileged.
All of the reform bills reviewed either targeted this loophole and failed or amended the mandatory reporting statute without touching the loophole.
“The Roman Catholic Church has used its well-funded lobbying infrastructure and deep influence among lawmakers in some states to protect the privilege,” the AP stated. “Influential members of the Mormon church and Jehovah’s witnesses have also worked in statehouses and courts to preserve it in areas where their membership is high.”
“This loophole has resulted in an unknown number of predators being allowed to continue abusing children for years despite having confessed the behavior to religious officials,” the report continued.
“They believe they’re on a divine mission that justifies keeping the name and the reputation of their institution pristine,” David Finkelhor, director of the Crimes Against Children Research Center at the University of New Hampshire, told the outlet. “So the leadership has a strong disincentive to involve the authorities, police or child protection people.”
Abuses Go Unreported
Last month, another AP investigation discovered that a Mormon bishop acting under the direction of church leaders in Arizona failed to report a church member who had confessed to sexually abusing his five-year-old daughter.
Merrill Nelson, a church lawyer and Republican lawmaker in Utah, reportedly advised the bishop against making the report because of Arizona’s clergy loophole, effectively allowing the father to allegedly rape and abuse three of his children for years.
Democratic State Sen. Victoria Steele proposed three bills in response to the case to close the loophole but told the AP that key Mormon legislators thwarted her efforts.
In Montana, a woman who was abused by a member of the Jehovah’s Witnesses won a $35 million jury verdict against the church because it failed to report her abuse, but in 2020 the state supreme court reversed the judgment, citing the state’s reporting exemption for clergy.
In 2013, a former Idaho police officer turned himself in for abusing children after having told 15 members of the Mormon church, but prosecutors declined to charge the institution for not reporting him because it was protected under the clergy loophole.
The Mormon church said in a written statement to the AP that a member who confesses child sex abuse “has come seeking an opportunity to reconcile with God and to seek forgiveness for their actions. … That confession is considered sacred, and in most states, is regarded as a protected religious conversation owned by the confessor.”
See what others are saying: (Associated Press) (Deseret) (Standard Examiner)
Texas AG Ken Paxton Allegedly Flees Official Serving Subpoenas in Truck
Following the news, a judge granted the attorney general’s request to quash the subpoenas.
Paxton on the Run
Texas Attorney General Ken Paxton fled his own home in a truck Monday morning to evade an official trying to serve him a subpoena, according to an affidavit filed in federal court.
Last month, several nonprofits filed a lawsuit seeking to block Texas from charging individuals under the state’s abortion ban in cases that happened out of state or prior to Roe v. Wade being overturned.
Two subpoenas were issued summoning Paxton to a Tuesday court hearing, one for his professional title and the other addressed to him personally.
Early on Monday Ernesto Martin Herrera, a process server, knocked on the front door of Paxton’s home in McKinney and was greeted by Texas state senator Angela Paxton, who is the Attorney General’s wife.
According to the affidavit, Herrera identified himself and informed her that he was delivering court documents to Mr. Paxton. She responded that her husband was on the phone and in a hurry to leave, so Herrera returned to his vehicle and waited for Ken to emerge.
Nearly an hour later, the affidavit states, a black Chevrolet Tahoe pulled into the driveway, and 20 minutes after that, the attorney general stepped out.
“I walked up the driveway approaching Mr. Paxton and called him by his name,” Herrera wrote in the affidavit. “As soon as he saw me and heard me call his name out, he turned around and RAN back inside the house through the same door in the garage.”
Shortly afterward, Angela exited the house and climbed into a truck in the driveway, leaving a rear driver-side door open.
“A few minutes later I saw Mr. Paxton RAN from the door inside the garage towards the rear door behind the driver side,” Herrera wrote. “I approached the truck, and loudly called him by his name and stated that I had court documents for him.”
“Mr. Paxton ignored me and kept heading for the truck,” he continued.
The affidavit adds that Herrera placed the documents on the ground by the vehicle and stated that he was serving a subpoena, but the Paxtons drove away.
Process Server or Lingering Stranger?
Following the publication of the affidavit in The Texas Tribune, Ken attacked the news outlet on Twitter and claimed to fear for his safety.
“This is a ridiculous waste of time and the media should be ashamed of themselves,” he wrote. “All across the country, conservatives have faced threats to their safety – many threats that received scant coverage or condemnation from the mainstream media.”
“It’s clear that the media wants to drum up another controversy involving my work as Attorney General, so they’re attacking me for having the audacity to avoid a stranger lingering outside my home and showing concern about the safety and well-being of my family,” he continued.
On Monday, the attorney general filed two requests: a motion to quash the subpoena and another to seal the certificates of service, which included the affidavit.
His lawyers argued that Herrera “loitered at the Attorney General’s home for over an hour, repeatedly shouted at him, and accosted” him and his wife.
U.S. District Judge Robert Pitman granted both requests on Tuesday.
In a statement, the attorney general said that Herrera is “lucky this situation did not escalate further or necessitate force.”