“The Department of Homeland Security stopped updating its annual models of the havoc that pandemics would wreak on America’s critical infrastructure in 2017, according to current and former DHS officials with direct knowledge of the matter.
From at least 2005 to 2017, an office inside DHS, in tandem with analysts and supercomputers at several national laboratories, produced detailed analyses of what would happen to everything from transportation systems to hospitals if a pandemic hit the United States.”
” the work abruptly stopped in 2017 amid a bureaucratic dispute over its value, two of the former officials said, leaving the department flat-footed as it seeks to stay ahead of the impacts the COVID-19 outbreak is having on vast swathes of the U.S. economy. Officials at other agencies have requested some of the reports from the pandemic modeling unit at DHS in recent days, only to find the information they needed scattered or hard to find quickly.”
““A lot of what we’re doing now is shooting in the dark, and there’s going to be secondary impacts to infrastructure that are going to be felt in part because we didn’t maintain these models,” said one of the former DHS officials. “Our ability to potentially foresee where the impacts are or may manifest is a result of the fact that we don’t have the capabilities anymore.””
” Much of the blame for the switch in focus at DHS, according to two of the former officials, falls on longtime DHS employee Robert Hanson, who became division director of prioritization and modeling at the department’s Office of Cyber and Infrastructure Analysis (OCIA) in May 2016.”
“Hanson wanted to focus more on visualizations of events like hurricanes and “going down rabbit holes that really didn’t need to be done,” according to one of the former officials. He also wanted to focus more on elections and cybersecurity because “cyber is the magic word to attract money,” said the other former official.
“They’ve allowed a lot of capability to decay, including the pandemic models and transportation models and a whole bunch of other stuff in favor of chasing the soccer ball on different cyber things,” including trying to use machine learning and AI in work on cybersecurity, this person said.
In an interview, Hanson acknowledged decreasing some funding away from pandemic modeling to other topics of research because he had “been given direction by my leadership at the time to reprioritize a lot of the projects,” and he agreed it was necessary. He also said that when he took over the modeling program, it was considered “ineffective” by DHS leadership and by executive branch overseers.
Hanson thought, too, that pandemic modeling was best done by the Centers for Disease Control and Prevention, the former DHS officials said, although the CDC’s mandate is different and researchers there don’t focus on how a pandemic could affect non-health related infrastructure.”
“It wouldn’t be easy for DHS to rebuild its capacity to model pandemics, given the brain drain within the department: Many of the people who worked on the models have now scattered across the government or left government service altogether, one of the former officials said.”
“current officials are left essentially to reinvent the wheel in the middle of a pandemic”
” “I’ve heard people say it’s a black swan. It’s not a black swan,” said one of the former DHS officials. “This is the whitest of white swans. This was absolutely inevitable, and the fact is we didn’t even maintain the capacity that we had or even the records of what we had done so that information could be quickly located and turned over to people who are making the critical operations right now.””
“New York is both the country’s most populous city and its most densely populated. Vinetz said both the city’s high density and the fact that it is densely populated across a large region could be exacerbating factors. Vinetz also cited the city’s status as a hub for global travel as a factor that could be contributing to the outbreak there.”
“there are too many unknowns to draw firm conclusions at this point, and residents of the rest of the country should not assume they will avoid New York City’s fate”
” interviews with New York residents and officials suggested that both the New York lifestyle – replete with shoulder-to-shoulder public transportation, frequent dining out because of the limits of apartment living, and reliance on crowded city parks for daily recreation – as well as a certain stubbornness in curbing it may have contributed to New York’s high infection rate.”
““Hong Kong, Singapore and Tokyo also have density and nowhere near the kinds of outbreaks we have,” Hendrix said. “Density also requires good governance coupled with reinforced strong social norms to counter the spread of contagious disease. What you’re seeing today is the fruit of a slow government response to a crisis.”
While Cuomo and Mayor Bill de Blasio have been ahead of the federal government in issuing calls for social distancing, an early spate of mixed messaging from elected officials may have led some New Yorkers — especially those who perceive themselves as young and healthy — to take unnecessary risks.”
“Less than three weeks ago – March 5 – de Blasio took a subway ride to show his confidence in the safety of the city’s transportation system and his administration told the city’s 4.3 million straphangers that they were safe riding in jam-packed subway cars as long as no one coughed or sneezed directly on them.”
“Cuomo claims that the high rate of cases is correlated to testing at “the highest per capita level in the United States.””
“At the White House podium over the last few weeks, each member of the Trump administration’s coronavirus task force has been cognizant of two messages: one for millions of Americans; another for the man just a few feet away. Even the health experts — many of them not political appointees — have made sure to deliver some praise to the president to help the medicine go down as they dish out some of the more dire predictions about the growing pandemic.
Critics have noted that aides have been premature at times to lavish compliments on the president as they continue to fight the virus. They compared the constant thank-yous to Trump’s televised Cabinet meetings, during which Trump went around the room and had each senior official praise him.
“It undermines the credibility of the experts. … What people need are the facts. They don’t need experts spending time fluffing up the commander in chief,” David Lapan, a former Pentagon spokesperson and vice president of communications at Bipartisan Policy Center said.”
“For those who know the president, public praise and flattery are a valuable political currency. Trump has been noticeably more gracious towards several Democratic governors during the coronavirus outbreak, often citing their praise of his current leadership.
The president on Sunday noted that state governors were “very, very complimentary” on a recent nationwide coronavirus call.
“I watched, over the last few days, Gov. [Andrew] Cuomo, I watched Gavin Newsom,” Trump said, referencing the Democratic governors in New York and California, two of the hardest-hit states. “I watched both of them. And they’ve been, you know, very complimentary.””
“The president is hyper aware of TV ratings, which are compiled weekly for him in the White House, and viewership of the briefings during the daytime hours have seen a notable spike as Americans anxiously watch from home.
Administration officials say it’s an opportunity for experts from the task force to answer questions, but it also gives the president a national platform to assure the public and offer himself a pat on the back.”
“the Fed under Chair Jerome Powell, which has endured more than a year of abuse from President Donald Trump for not doing more to boost the economy, is now embarked on the quickest and most massive response to a crisis in its more than 100-year history.”
“All three of the shows making up the network’s top-rated primetime lineup — Tucker Carlson, Sean Hannity, and Laura Ingraham — featured segments about the coronavirus that ran with misinformation President Trump has embraced, from advocating that people start thinking about heading back to work even if it could leave more people dead to promoting unproven and potentially dangerous drugs as coronavirus cures.
Trump and his high-profile backers are struggling to come to grips with the reality that there are no shortcuts back to normalcy. And now shows watched by millions could put a lot of people’s health and lives in danger.”
“The world is experiencing a shortage of surgical masks and respirators. Countries around the globe are scrambling to bulk up their mask supplies to help curb the spread of the novel coronavirus and allow medical professionals to safely treat infected patients. It’s crucial for health care workers, doctors, and nurses on the front lines of the disease to have the proper protective gear to lower the risk of contracting Covid-19, but America’s mask supply is being so rapidly depleted that even the Centers for Disease Control and Prevention has suggested homemade masks, like bandanas or scarves, “as a last resort” for health care providers in “settings where face masks are not available.”
Public health officials warned about a strain in the supply chain for masks and other equipment in late February, when the pandemic started to spread in the US, which prompted regular people to snatch up medical supplies. By hoarding masks and respirators, civilians have contributed to the shortage of personal protective equipment (PPE) for health workers. (The US government is also partly to blame for overwhelming the health care system by not taking fast enough action to test citizens.)”
“So why is it so hard to produce new masks? The New York Times reported that China made half of the world’s masks before the outbreak, and while factory production has increased nearly twelvefold, the country has kept most of its inventory as it sought to control the virus. US mask manufacturers are also seeing unprecedented demand for masks, with Prestige Ameritech, the country’s biggest producer, aiming to make 1 million masks a day, compared to an average 250,000 before the pandemic.
Despite these efforts, the short-term future appears grim.”
“Top health officials first learned of the virus’s spread in China on January 3, US Health and Human Services Secretary Alex Azar said Friday. Throughout January and February, intelligence officials’ warnings became more and more urgent, according to the Post — and by early February, much of the Office of the Director of National Intelligence and the CIA’s intelligence reports were dedicated to warnings about Covid-19.
All the while, Trump downplayed the virus publicly, telling the public the coronavirus “is very well under control in our country,” and suggesting warm weather would neutralize the threat the virus poses.
Privately, Trump reportedly rebutted health and intelligence officials’ attempts to get him to take action to prepare communities in the US while rebuking officials who were delivering sober risk assessments.”
“Trump is finally taking the virus more seriously, but it’s still unclear how widespread the effects of delays in action will be.”
“Doctors, nurses, and hospital administrators have been warning that they might run out of PPE for weeks now, but the warnings have become more urgent in recent days. For many hospitals, running out of masks is no longer something that “might happen.” The shortage is here.
Among the resources running dangerously low are N95 respirators, the masks that cup the face closely and have been approved by the National Institute for Occupational Safety and Health (NIOSH) to block the inhalation of 95 percent of small airborne particles.
According to NIOSH guidance for extending N95 supply, hospitals should advise their staff to, “discard N95 respirators following close contact with, or exit from, the care area of any patient co-infected with an infectious disease requiring contact precautions.” But as the shortage worsens, reusing these masks is becoming the go-to method of preservation.”
” To avoid having to reuse N95 masks, many hospitals are allocating them only to staff members who are directly entering patient rooms — which, in turn, means limiting the number of staff members who enter patient rooms in the first place.”
“”The management is telling the nurses to wear masks that are not N95, even though most of us would feel more comfortable and safer with the N95,” says another nurse, who works at Baptist Health in Miami. “We are trying to fight for what’s right but when the CDC says you can wear a bandana or scarf in the place of a mask, it’s hard,” referring to the CDC’s guidance for optimizing the supply of facemasks. It notes, “In settings where facemasks are not available, HCP might use homemade masks (e.g., bandana, scarf) for care of patients with COVID-19 as a last resort.””
” “We are desperate,” said another nurse who works at a New York hospital, who said she had spent her one day off running around collecting donations for PPE. “Please urge anybody who can donate any masks, but most importantly N95s, to do so.””