Five lessons the public health bureaucracy should learn from its COVID fumble — but won't

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Five lessons the public health bureaucracy should learn from its COVID fumble — but won't
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'It is no coincidence that doubt about the government’s ability to help the residents of East Palestine, Ohio, in the wake of a toxic train wreck this month followed several years of the CDCgov’s failed COVID 'guidance,'' Prof CarlSchramm writes.

FILE - In this Tuesday, Oct. 8, 2013, file photo, a sign marks the entrance to the federal Centers for Disease Control and Prevention in Atlanta. The CDC said in a press release on May 19, 2016, that at least one violation was uncovered in nearly 80 percent of public pool and hot tub inspections in five states. he premier federal agency tasked with protecting the health of Americans — the CDC — has set back trust in both science and government.

This reality is much more than unfortunate. In times of medical crises, people need to know they can trust scientists and public health experts to provide life-saving advice.First, let everyone see the data. The federal government’s default is always to sequester data. From the first, the CDC refused open access to data related to the number and location of COVID cases, hospitalizations, death rates, and its definitions for classifying cases.

Fourth, don’t circle the wagons to save a broken agency. From the start, it was apparent that the CDC was not likely to handle the COVID pandemic effectively. Within a few months, the Government Accounting Office issued critiques of the CDC’s feeble data management, leaving the agency with no real-time knowledge of how COVID was spreading, and that its confusing communications with the public were begging to be ignored.

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