washingtonpost.com 
<https://www.washingtonpost.com/world/national-security/americans-at-world-health-organization-transmitted-real-time-information-about-coronavirus-to-trump-administration/2020/04/19/951c77fa-818c-11ea-9040-68981f488eed_story.html>
  


Americans at World Health Organization transmitted real-time information about 
coronavirus to Trump administration


Karen DeYoung

9-12 minutes

  _____  

A number of CDC staffers are regularly detailed to work at WHO in Geneva as 
part of a rotation that has operated for years. Senior Trump-appointed health 
officials also consulted regularly at the highest levels with the WHO as the 
crisis unfolded, the officials said.

The presence of so many U.S. officials undercuts President Trump’s charge that 
the WHO’s failure to communicate the extent of the threat, born of a desire to 
protect China, is largely responsible for the rapid spread of the virus 
<https://www.washingtonpost.com/health/2020/02/28/what-you-need-know-about-coronavirus/?arc404=true&tid=lk_inline_manual_3&itid=lk_inline_manual_3>
  in the United States.

The administration has also sharply criticized the Chinese government for 
withholding information.

But the president, who often touts a personal relationship with Chinese 
President Xi Jinping and is reluctant to inflict damage on a trade deal with 
Beijing, appears to see the WHO as a more defenseless target.

Asked early Sunday about the presence of CDC and other officials at the WHO, 
and whether it was “fair to blame the WHO for covering up the spread of this 
virus,” Deborah Birx, the State Department expert who is part of the White 
House pandemic team, gently shifted the onus to China, and the need to 
“over-communicate.”

“It’s always the first country that get exposed to the pandemic that has a — 
really a higher moral obligation on communicating, on transparency, because all 
the other countries around the world are making decisions on that,” Birx told 
ABC’s This Week. “And when we get through this as a global community, we can 
figure out really what has to happen for first alerts and transparency and 
understanding very early on about … how incredibly contagious this virus is.”

Following a Trump-hosted video conference of the leaders of the Group of Seven 
industrialized nations on Thursday, a White House statement said “much of the 
conversation centered on the lack of transparency and chronic mismanagement of 
the pandemic by the WHO.”

The group’s focus on the global health organization during the call stemmed 
largely from Trump’s announcement two days earlier that he was freezing all 
U.S. funding 
<https://www.washingtonpost.com/politics/trump-announces-cutoff-of-new-funding-for-the-world-health-organization-over-pandemic-response/2020/04/14/f1df101e-7e9f-11ea-a3ee-13e1ae0a3571_story.html?tid=lk_inline_manual_15&itid=lk_inline_manual_15>
  for it, saying donors would be discussing “what do we do with all of that 
money that goes to WHO.” The United States provides up to $500 million a year 
in assessed and voluntary contributions, significantly more than any other 
nation.

In statements following the G-7 call, however, other leaders emphasized the 
need to build up the WHO, rather than tear it down.

French President Emmanuel Macron “expressed his support for the WHO and 
underscored the key role it must play,” according to a statement from his 
office. German Chancellor Angela Merkel “made clear that the pandemic can only 
be defeated with a strong and coordinated international response,” her 
spokesman said. “In this context, she expressed full support for the WHO as 
well as a number of other partners.”

German Foreign Minister Heiko Maas warned that the WHO “cannot be weakened or 
in any way be called into question politically. … Every inch that the U.S. 
withdraws from the wider world, especially at this level, is space that will be 
occupied by others — and that tends to be those that don’t share our values of 
liberal democracy,” he said.

Canada, Japan and the European Union — all of whom participated in the call — 
also issued strong statements backing the organization.

A G-7 statement issued after the call supported the need to review WHO 
performance. “We cannot have business as usual and must ask the hard questions 
about how [the pandemic] came about,” British Foreign Secretary Dominic Raab, 
standing in for virus-stricken Prime Minister Boris Johnson, said. But he 
stressed a post-crisis review should be “driven by science.”

In announcing the funding cutoff, Trump charged last week that the WHO parroted 
incorrect Chinese statements and “failed to investigate credible reports … that 
conflicted directly with the Chinese government’s official accounts.” He 
criticized “the inability of the WHO to obtain virus samples” that China 
continues to refuse to supply.

A Senate aide who has tracked the issue said “there was clearly an effort” by 
China “not to provide transparent data and information” in the early stages of 
the outbreak.

“We were looking to WHO to provide that information, and they did not. It was 
unclear as to whether they didn’t get that transparency from the Chinese, or 
that they chose not to share what they did get under pressure from the 
Chinese,” said the aide who, like others, spoke on the condition of anonymity 
to discuss a sensitive matter.

But some noted that the WHO has no power to compel member governments to do its 
bidding.

The organization “has no intelligence capabilities, and no investigatory 
power,” said Daniel Spiegel, who served as ambassador to the United Nation’s 
Geneva-based organizations, including the WHO, for the Clinton administration. 
“They should have been more skeptical about what the Chinese were telling them, 
but they’re totally at the mercy of what governments provide.”

Among his complaints, Trump seems most aggrieved by the initial WHO failure to 
support his Jan. 31 decision to partially ban incoming travel from China. Days 
later, at a meeting of the WHO executive board, Director General Tedros Adhanom 
Ghebreyesus said there was no need to “unnecessarily interfere with 
international travel and trade” to halt the spread of the disease. That message 
reiterated what he had said before Trump’s announcement, after meeting with Xi 
in Beijing.

Trump called Tedros’ statement “one of the most dangerous and costly decisions 
from the WHO. … They were very much opposed to what we did,” he said last week. 
“Fortunately, I was not convinced and suspended travel from China, saving 
untold numbers of lives.”

International public health experts have long debated whether border closures 
helped stem the spread of infectious diseases, or worsen the situation by 
blocking cooperation among countries. But many, including Antony Fauci, head of 
the National Institute of Allergies and Infectious Diseases and a leading 
member of the administration's coronavirus task force, have said it was 
probably helpful in this case as the efforts of individual countries to contain 
and mitigate the virus were outpaced by its rapid global spread.

On Saturday, Trump said without elaboration that “we’re finding more and more 
problems” with the WHO. Speaking at a White House virus briefing, he said the 
administration was “doing some research” on “other ways” to spend money 
originally intended for both the WHO and the National Institutes of Health, 
which he said was “giving away $32 billion a year.”

The meaning of Trump’s reference to NIH, whose fiscal year 2020 budget totals 
$41.6 billion, was unclear.

The administration’s 2019 Global Health Security Strategy advocates increased 
cooperation with the WHO and other international health organizations. But 
although the United States has a three-year seat on the WHO executive board, 
expiring in 2021, the post has remained vacant. Last month, Trump nominated 
Assistant Secretary for Health Brett Giroir for the position.

U.S. participation in the range of Geneva-based U.N. organizations is 
supervised by the State Department’s Bureau of International Organization 
Affairs, whose assistant secretary left office last November after the 
department’s inspector general issued a sweeping condemnation of his 
leadership, including “political harassment” of career officials deemed 
insufficiently loyal to Trump. It is currently headed in an acting capacity by 
a deputy.

But below the level of political appointments, communication between the U.S. 
government’s public health bureaucracy and the WHO has continued throughout the 
Trump administration.

In addition to working at WHO, on assignments first reported Saturday by 
Washington Post columnist Dana Milbank 
<https://www.washingtonpost.com/opinions/2020/04/17/trump-tells-damnable-murderous-lie/?tid=lk_inline_manual_47&itid=lk_inline_manual_47>
 , CDC officials are often members of its many advisory groups. The emergency 
committee advising the organization on whether to declare “a public health 
emergency of international concern” during deliberations in mid to late January 
included Martin Centron, director for CDC’s Division of Global Migration and 
Quarantine.

When China eventually agreed to let a joint WHO mission into the country in 
mid-February, it included two U.S. scientists among 25 national and 
international experts from eight countries, although the Americans were not 
permitted to visit the “core area” in Wuhan.

>From the beginning of the outbreak, CDC officials were tracking the disease 
>and consulting with WHO counterparts. A team led by Ray Arthur, director of 
>the Global Disease Detection Operations Center at CDC, compiles a daily 
>summary about infectious disease events and outbreaks, categorized by level of 
>urgency, that is sent to agency officials.

Arthur, according to a CDC official who spoke on the condition of anonymity to 
discuss internal deliberations, has participated in the CDC daily “incident 
management” calls, discussing information he learned from WHO officials.

Information is passed up the chain of command from CDC to the Department of 
Health and Human Services in daily reports and telephone discussions, this 
official said.

Any information of a sensitive nature about the growing outbreak was and 
continues to be shared by CDC officials with other U.S. officials in a secure 
facility located behind the CDC’s Emergency Operations Center at its Atlanta 
headquarters.

In the early days of the virus response, those officials included HHS Secretary 
Alex Azar. Information about what the WHO was planning to do or announce was 
often shared days in advance, the CDC official said.

Anne Gearan and Yasmeen Abutaleb contributed to this report.

 

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