From the PBS News Hour: Let’s hope the response improves quickly

A very sobering interview broadcast on the PBS News Hour on Thursday, March 12.

As the novel coronavirus pandemic takes hold in the U.S., some Americans are expressing concerns over how the government is handling the situation, the availability of testing kits and the U.S. response in comparison to that of other countries. Dr. Ashish Jha of the Harvard Global Health Institute joins Judy Woodruff to discuss the “deeply disappointing” U.S. management of the outbreak.

Read the Full Transcript

Judy Woodruff:

So, many Americans are talking about their concerns over how the government is responding to the pandemic, the ability to get testing, and how the U.S. response compares to other countries.

Ashish Jha, who runs the Harvard Global Health Institute, watches all this. And he joins me now.

Dr. Jha, first of all, how do you size up the way the U.S. has responded, compared to other countries, to this pandemic, this coronavirus crisis?

Ashish Jha:

You know, Judy, the American response has been deeply disappointing.

In almost every way, our response has been far less effective than every other major country in the world. It’s baffling, actually. We have, in the CDC, arguably the best public health agency in the world. All of us thought that the CDC was going to — was prepared and was going to help fight this virus. The federal response has been a fiasco.

Judy Woodruff:

And I want to, just for and you for our audience, play again something we aired a few minutes ago.

And this was an exchange with Anthony Fauci, who is the — of course, who has been in charge of much of the treatment of infectious diseases in this country.

He was in a hearing on Capitol Hill today, followed by something the president said today.

Let’s listen.

Rep. Debbie Wasserman Schultz, D-Fla.:

There’s not one person that can ensure that these tests can be administered, yes or no?

Anthony Fauci:

The system does not — is not really geared to what we need right now, what you are asking for. That is a failing.

Rep. Debbie Wasserman Schultz:

A failing, yes.

Anthony Fauci:

It is a failing. Let’s admit it.

Rep. Debbie Wasserman Schultz:

OK.

Anthony Fauci:

The idea of anybody getting it easily, the way people in other countries are doing it, we’re not set up for that.

President Donald Trump:

We have them very heavily tested. If an American is coming back or anybody’s coming back, we’re testing. We have a tremendous testing setup where people coming in have to be tested.

Judy Woodruff:

Ashish Jha, what do you make of this?

Ashish Jha:

Well, of course, Dr. Tony Fauci is right. It has been a failing.

And what your viewers need to understand is, if you get sick tomorrow with coronavirus, and you reach out to your doctor or you talk to your doctor, and your doctor wants to test you for coronavirus, he or she can’t.

Most doctors today cannot test people for coronavirus, because we just don’t have the tests. Every other major country has figured out how to do it. South Korea is testing 15,000 people a day.

Across the European Union, people are getting tests. Even Iran and Vietnam are testing more regularly than we are. We have just managed to bungle this so incredibly badly that most Americans cannot get the test they need. And, as Dr. Fauci said, it’s a failing.

Judy Woodruff:

Who has dropped the ball here?

Ashish Jha:

You know, it’s very hard to sort out. The World Health Organization put together a test kit; 60 countries accepted it. America decide to go its own way and not follow the WHO test kit.

That’s OK, because America has a strong track record of developing its own test. And then it’s been one kind of debacle after another. My best sense is that the administration has not prioritized this. They have no sense of urgency over this.

And when you look at what’s happening across the country, with school closures, the NBA, and March Madness, all that being shut down, it’s basically because we can’t test anybody. We have lost the most powerful tool we have for fighting this disease. And so we’re having to resort to a whole lot of other things.

Judy Woodruff:

What is it going to take to catch up?

Ashish Jha:

Well, I still can’t quite figure out why the testing — you know, last week, Vice President Pence said we’re going to have a million tests available.

I’m speaking to state health officials who tell me that they’re rationing tests. They still can’t get the tests out to doctors who need them. So there is some set of technical issues that really need prioritization.

And for us to not get really walloped by this infection, we have to implement very kind of draconian, difficult measures, like shutting down public meetings, like sending kids home, like ensuring people are not going to the office or going out to restaurants or movies.

We’re going to have to do all of that until we really get a grip on the infection.

Judy Woodruff:

But are you concerned where we will get to a point where people will — who should be tested, who desperately need to be diagnosed one way or another, won’t be, and this virus will go on for longer than it should, and people will die as a result of that?

Ashish Jha:

I think there is reason to be concerned that’s already happening now.

If today, I, as a physician, wanted to test somebody that I was worried might have coronavirus, I can’t, generally, largely. Most Americans can’t get that test who need it.

And, you know, the doubling time of this disease is six days. And another way of thinking about it is, my guess is, about 10,000 Americans probably have the infection today. Officially, it’s only about 1,400, but my best guess is 5,000 to 10,000 Americans. That number is going to double in six days. It’s going to double again in another six days.

And until we get widespread testing available, we’re not going to be able to wrap our arms around this. And I think all of us in the public health community are baffled that we, the most sort of innovative, ingenious country, with all this scientific capacity, have not been able to do this. It’s really a failing of federal leadership.

Judy Woodruff:

And just in a few seconds, the number of hospital beds available?

Ashish Jha:

Yes, this is something that we have been looking at and are very worried.

If the infection rates spike, we don’t have enough hospital beds to take care of everybody. And so that’s the reason for this social distancing of trying to spread the infection out, so that not everybody gets infected at once.

I think, if we can do that, our hospitals, some of the best hospitals in the world, I think are going to be able to accommodate infected people. But we really have to make sure that we’re not seeing spikes in infection, and that we’re spreading the infection out over time, so the health care system can manage this.

I’m optimistic, but it’s not going to be easy. It’s going to require a lot of work.

Judy Woodruff:

Dr. Ashish Jha of Harvard’s Global Health school, we thank you very much.

Ashish Jha:

Thank you so much for having me.


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4 thoughts on “From the PBS News Hour: Let’s hope the response improves quickly

  1. Lei

    NPR, The equivalent of Eleanor Roosevelt Socialists!
    This media is so heavily weighted and totally imbalanced..while maintains drone Mona tones of serious journalism!

    Reply
    1. Tim

      Nope, the “media” demon and reporting are not the problem. The problem is all of this lying:

      What Mr. Trump Said

      “I don’t take responsibility at all because we were given a set of circumstances and we were given rules, regulations, and specifications from a different time.”

      False. The Food and Drug Administration issued a “draft guidance” in 2014 in which it sought to extend its authority to regulate laboratory-developed tests. But it’s wrong to blame that effort for the scattered and insufficient delivery of coronavirus tests as the guidance was not particularly relevant to emergency situations and was never finalized or generally enforced.

      A law enacted in 2004 created the process and requirements for the use of unapproved products in public health emergencies. Under the law and guidance set by the Trump administration itself, the Food and Drug Administration requires developers of laboratory-developed tests to submit information and to comply with certain procedures.

      The agency said in early March that it would permit unapproved tests for the coronavirus for 15 days while developers are preparing their emergency authorization request. Neither the 2004 law nor subsequent amendments restricted the Trump administration from doing so, nor did it hamper previous administrations in fast-tracking testing for other health crises.

      What Mr. Trump Said

      “If you go back to the swine flu, it was nothing like this. They didn’t do testing like this, and actually they lost approximately 14,000 people, and they didn’t do the testing. They started thinking about testing when it was far too late.”

      False. This is blatantly wrong. Diagnostic tests for the swine flu were approved and shipped out less than two weeks after the H1N1 virus was identified and a day before the first death in the United States.

      The Centers for Disease Control and Prevention identified the first case of the virus on April 14, 2009. The Obama administration declared swine flu a public health emergency on April 26. The Food and Drug Administration approved a rapid test for the virus two days later. At the time, the C.D.C. had reported 64 cases and zero deaths. The C.D.C. began shipping test kits to public health laboratories on May 1 (at 141 cases and one death) and a second test was approved in July. From May to September 2009, the agency shipped more than 1,000 kits, each one able to test 1,000 specimens.

      To be sure, researchers found flaws and limitations in the tests but testing was conducted. A vaccine became available in early October but, amid reports of shortages, President Obama declared the outbreak a national emergency later that month. The estimated death toll in the United States from the H1N1 epidemic was 12,469 from April 2009 to April 2010.

      Reality doesn’t care about what Trump spews and never will.

      Reply

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