Friday, Jan. 13, 2017: The joint Obama-Trump transition

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Friday, Jan. 13, 2017: The joint Obama-Trump transition teams run an exercise for pandemic preparedness.

The outgoing Obama team runs the Trump transition team through a series of pandemic-scenarios ..

https://www.politico.com/news/2020/03/16/trum...mic-132797 . The transition documents, obtained by POLITICO .. https://www.politico.com/f/?id=00000170-e50c-...5ff3310000 , show that the purpose of the exercise is to familiarize the incoming team with “domestic incident management policy and practices” in the face of major crises.

Key takeaways from the exercise include: (1) a collective understanding of the science and the disease must drive response decisions; (2) days and even hours are paramount in order to build as much lead time as possible; (3) a coordinated and unified national response and message is necessary; and (4) “medical countermeasure strategy is key for success,” including social distancing and addressing shortages in ventilators and personal protective equipment.

Trump administration attendees include ..


https://obamawhitehouse.archives.gov/the-pres...n-exercise : Steven Mnuchin, Rep. Mike Pompeo, Wilbur Ross, Betsy DeVos, Dr. Ben Carson, Elaine Chao, Stephen Miller, Marc Short, Reince Priebus (resigned), Rex Tillerson (fired), Gen. James Mattis (fired), Rep. Ryan Zinke (resigned), Sen. Jeff Sessions (resigned), Sen. Dan Coats (fired), Andrew Puzder (not confirmed), Dr. Tom Price (resigned), Gov. Rick Perry (resigned), Dr. David Shulkin (fired), Gen. John Kelly (resigned), Rep. Mick Mulvaney, Linda McMahon (resigned), Sean Spicer (fired), Joe Hagin (resigned), Joshua Pitcock (resigned), Tom Bossert (fired), KT McFarland (resigned), Gen. Michael Flynn (awaiting criminal sentencing), Gary Cohn (resigned), Katie Walsh (resigned), and Rick Dearborn (resigned).

[... to be nice let's just take the earliest one from each of 2018 and 2019 .. umm, no, let's not be ...]

December 2017: The Trump administration bans the CDC from using the terms “evidence-based” and “science-based.”

Gaslight that statement. And learn the meaning of the word you're projecting.


The Trump administration instructs senior officials at the CDC that they should not use the phrases “science-based” or “evidence-based” and instead use the suggested phrase: “CDC bases its recommendations on science in consideration with community standards and wishes.”

February 9, 2018: President Trump signs bill that cuts $1.35 billion in funding for Prevention and Public Health Fund at the CDC.


Gaslight that one too.

President Trump cuts $1.35 billion of funding for the CDC’s Prevention and Public Health Fund, established in 2016 as part of the Affordable Care Act. The fund supports programs that monitor healthcare associated infections, programs that are responsive to rapidly emerging health issues, and programs that improve public health immunization infrastructure, among other things.

February 13, 2018: The Intelligence Community’s Worldwide Threat Assessment warns of major pandemic risks.

In written testimony before Congress on the presentation of the Intelligence Community’s Worldwide Threat Assessment, the Director of National Intelligence Dan Coats writes:
-
The increase in frequency and diversity of reported disease outbreaks—such as dengue and Zika—probably will continue through 2018, including the potential for a severe global health emergency that could lead to major economic and societal disruptions, strain governmental and international resources, and increase calls on the United States for support.


A novel strain of a virulent microbe that is easily transmissible between humans continues to be a major threat, with pathogens such as H5N1 and H7N9 influenza and Middle East Respiratory Syndrome Coronavirus having pandemic potential if they were to acquire efficient human-to-human transmissibility.
-
April 9, 2018: John Bolton starts his first day as National Security Adviser.

John Bolton replaces H.R. McMaster as President Trump’s National Security Adviser.

April 10, 2018: Bolton fires Homeland Security Advisor, Tom Bossert.

Early in the morning, Bolton informs Tom Bossertthat he is fired. As White House Homeland Security Advisor Bossert “had called for a comprehensive biodefense strategy against pandemics and biological attacks,” reports the Washington Post.

May 7, 2018: White House proposes cutting global health budget.

The White House sends a plan to Congress proposing budget cuts. It includes cutting out $252 million for health security preparedness in funds remaining from the 2014-2015 Ebola epidemic.

May 7, 2018: The National Security Council’s director of medical and biodefense preparedness warns that pandemic flu is the top health security concern and that the country is not prepared for it.

Luciana Borio, NSC director of medical and biodefense preparedness, states, “The threat of pandemic flu is the number one health security concern. Are we ready to respond? I fear the answer is no.” Borio’s statement is part of her remarks at a symposium at Emory University to mark the 100th anniversary of the 1918 influenza pandemic.

May 8, 2018: The National Security Council removes the top official responsible for pandemic response and disbands the global health security team.

President Trump’s National Security Advisor, John Bolton, removes Rear Adm. Timothy Ziemer from the National Security Council and disbands Ziemer’s unit, the Directorate for Global Health Security and Biodefense. Previously, Ziemer was the sole senior official focused on pandemic preparedness. He is not replaced.

[... ok, fast forward four months to a whiff of positive policy ...]

September 18, 2018: President Trump issues a Presidential Memorandum and National Biodefense Strategy designed to ensure a comprehensive and coordinated approach to biological incidents.

The memorandum establishes a Biodefense Steering Committee, which is chaired by the Secretary of Health and Human Services and includes the Secretary of State, the Secretary of Defense, the Attorney General, the Secretary of Agriculture, the Secretary of Veterans Affairs, the Secretary of Homeland Security, and the Administrator of the Environmental Protection Agency. The memo also directs the Secretary of Health and Human Services (Alex Azar) to create a Biodefense Coordination Team and that the Assistant to the President for National Security Affairs (then John Bolton) will serve as the lead for policy coordination and review.

The National Biodefense Strategy outlines a high-level roadmap of the U.S. response to biological threats and incidents.. The 2018 report identifies the need to “establish manufacturing surge capacity” for diagnostic tests and personal protective equipment in anticipation of a pandemic.

January 29, 2019: The Intelligence Community’s Worldwide Threat Assessment warns that the U.S. is vulnerable to a global pandemic.

As part of the annual WorldWide Threat Assessment by the Intelligence Community, the Office of the Director of National Intelligence warns that a major disease outbreak is one of the top global threats in the world, writing: “We assess that the United States and the world will remain vulnerable to the next flu pandemic or large-scale outbreak of a contagious disease that could lead to massive rates of death and disability, severely affect the world economy, strain international resources, and increase calls on the United States for support.”


April 2019: HHS Secretary Alex Azar says what keeps everyone in the Biodefense world up at night is the threat of a pandemic flu.
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