Thursday Sep 28, 2023

‘We Are Not There Yet’: As States Drop Mask Rules, the C.D.C. Stands Firm

C.D.C. Resists Pressure to Change Guidance on Masks
Photo by Izzy Park on Unsplash

WASHINGTON — The White House has been meeting with outside health experts to plan a pandemic exit strategy and a transition to a “new normal,” but the behind-the-scenes effort is crashing into a very public reality: A string of blue-state governors have gotten ahead of President Biden by suddenly abandoning their mask mandates.

Two of the administration’s top doctors — Dr. Anthony S. Fauci, the president’s chief medical adviser for the pandemic, and Dr. Rochelle P. Walensky, the director of the Centers for Disease Control and Prevention, both expressed qualified optimism on Wednesday about the direction of the pandemic. If cases continue to fall and no new variants arise, the country “could be heading toward what we would consider more normality,” Dr. Fauci said in an interview.

But Dr. Fauci cautioned that the situation “is still unpredictable,” and said any transition out of the current crisis would be gradual. And Dr. Walensky said pointedly that while her agency is working on new guidance for the states, it is too soon for all Americans to take off their masks in indoor public places.

“Our hospitalizations are still high, our death rates are still high,” she said during a news briefing by the White House Covid response team. “So, as we work toward that and as we are encouraged by the current trends, we are not there yet.”

The gubernatorial frenzy to drop mask mandates comes as the White House Covid response coordinator, Jeffrey D. Zients, and the government’s top doctors are soliciting advice from a wide array of public health experts, including some former Biden advisers who have very publicly urged the president to shift course. Mr. Zients referenced the sessions briefly on Wednesday, saying the White House is also reaching out to governors and local public health officials to talk about “steps we should be taking to keep the country moving forward.”

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The talks, according to numerous participants, are aimed at drafting a fresh playbook for the delicate next phase of the pandemic, when the coronavirus threat is likely to recede but the possibility of a new variant and another deadly surge remains very real. They are addressing a range of issues beyond masking and mitigation, from how to get new antivirals to people who test positive for the virus to whether to upgrade ventilation systems in schools.

But the slow deliberations, within both the C.D.C. and Mr. Zients’ team, are putting the White House in a tough spot. As officials examine the science and chart a careful course, they run the risk of making the Biden administration look irrelevant as governors forge ahead on their own.

“The administration needs to read the room and see that nearly all elected leaders are moving on without them,” said Dr. Leana Wen, a former Baltimore health commissioner who has often been critical of the administration, adding, “No one is expecting the C.D.C. to say that everyone should go maskless right now. What they are looking for are clear metrics on when restrictions can be lifted and when they may need to return.”

Governors have said so themselves. Last week, after a bipartisan group of governors met with Mr. Biden, Gov. Asa Hutchinson of Arkansas, a Republican, told reporters he had emphasized to the president that the nation needs to “move away from the pandemic” and asked him for “clear guidelines on how we can return to a greater state of normality.”

It is now clear the states have decided not to wait. On Wednesday, the governors of New York, Rhode Island, Massachusetts and Illinois joined a growing list of Democrats who have dropped either a general statewide mask mandate or one that applies to schools.

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Asked about the moves, Jen Psaki, the White House press secretary, said the president was committed to fulfilling his campaign promise to listen to scientists and follow the data.

“That doesn’t move at the speed of politics,” she added. “It moves at the speed of data.”

The internal debate comes as the latest Covid-19 surge, fueled by the highly infectious Omicron variant, abates in much of the country. The seven-day average of new cases was about 253,000 on Wednesday, down from an average 800,000 in mid-January, according to a New York Times database. Hospitalizations are also declining, although deaths, a lagging indicator, continue to rise.

If the drop in cases and hospitalizations continues, as many experts expect, Mr. Biden himself will soon have some tough decisions to make: Should he declare an end to the national emergency that his predecessor, President Donald J. Trump, declared in March 2020? Should Mr. Biden lift the mask mandate that he imposed for travel on airplanes, trains and buses?

Credit…Al Drago for The New York Times

Michael T. Osterholm, the director of the Center for Infectious Disease Research and Policy at the University of Minnesota, said any new strategy must take that into account.


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Hailey Josephine

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