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pandemics
As Uganda Reports Ebola Death, Experts Sound Alarm on Trump's Order to Quit WHO
"This is pure stupidity that will only hurt us," warned one U.S. doctor and Ebola expert.
Jan 31, 2025
Public health experts pointed to the announcement of highly contagious hemorrhagic fever outbreaks in at least three central and eastern African nations this week to underscore what they say are the dangers of President Donald Trump's ideologically driven decision to withdraw the United States from the World Health Organization during a time of mounting pandemic threats.
Uganda Ministry of Health Permanent Secretary Diana Atwine said Thursday that a 32-year-old nurse died of Sudan Ebola virus the previous day in the capital Kampala amid the first new outbreak in two years. Atwine assured the public "that we are in full control" of the situation.
Uganda's alert followed reports of another potential Ebola outbreak, this one in the Western Democratic Republic of Congo. Additionally, health officials earlier this month announced an outbreak of suspected Marburg Virus Disease—a severe, often fatal illness similar to Ebola—in neighboring Tanzania. At least nine people have reportedly died.
World Health Organization (WHO) Director-General Tedros Adhanom Ghebreyesus said on social media Thursday that "a full-scale response is being initiated" by the Ugandan government and its international partners. In a statement, the WHO said it is "deploying senior public health experts and mobilizing staff from the country office to support all the key outbreak response measures."
During past outbreaks of Ebola—a severe viral disease spread via contact with infected bodily fluids, with a fatality rate of 50-90%—the U.S. Centers for Disease Control and Prevention (CDC) worked with the WHO to help stem the spread of the illness.
However, following Trump's January 20 executive order initiating a U.S. withdrawal from the WHO over its alleged "mishandling of the Covid-19 pandemic," CDC and other public health officials have been ordered to stop working with the United Nations body, effective immediately.
"The agencies that are statutorily responsible for protecting our health are unable to do that job because they are not able to pick up the phone and talk to people who might have information that could protect U.S. health and security," Jennifer Nuzzo, director of the Pandemic Center at Brown University's School of Public Health, toldStat this week.
"This is just one of the examples about how the United States loses access, loses the ability to protect American lives," Nuzzo explained. "We can't be everywhere, we can't have eyes and ears on the ground in every possible location [where] harm could be emerging. And this is what happens when we don't engage with institutions that can provide these lifesaving insights."
Experts said other existing or emerging epidemiological threats including bird flu underscore the lifesaving imperative of more, not less, international cooperation.
"Local health officials and doctors depend on the CDC to get disease updates, timely prevention, testing and treatment guidelines, and information about outbreaks," University of Southern California public health expert Dr. Jeffrey Klausner toldThe Associated Press in a recent interview.
"Shutting down public health communication stops a basic function of public health," he added. "Imagine if the government turned off fire sirens or other warning systems."
Dr. Ashish Jha, the former White House Covid-19 coordinator during the Biden administration, noted Thursday on social media that during Ebola outbreaks, the CDC "usually sends a team right away to help bolster staff that might already be there and support the ministry of health."
"There'd be clear communication from CDC and White House about what exactly is being done, what help we are sending, what American hospitals and others can do to be prepared should Ebola land here," Jha continued. "So what of this is happening? My sense is, not much—but we don't know."
"The communication freeze means CDC not sharing what if anything it is doing," he added. "Travel freeze means CDC staff likely not going. Directive to stop working with WHO means we're flying blind and don't have information about what is happening on the ground. None of this is good."
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What Trump’s Covid-19 Malfeasance Warns Us About the Next Epidemics
With confirmation hearings soon to begin for Kennedy and other healthcare department heads with similar views about to begin, the threat of future pandemics in an administration with a disastrous track record is another reason to urge their defeat.
Jan 15, 2025
One barely noticed pledge by President-elect Donald Trump during the 2024 campaign appeared in a May Time magazine interview that offers an especially ominous warning about Trump 2.0. If he won a new term, Trump said, he would “probably” disband the Office of Pandemic Preparedness and Response policy established by Congress in 2022.
Fast forward to his new nominees, especially Secretary of Health and Human Services anti-vax conspiracy theorist Robert F. Kennedy Jr., who has said he would pause National Institute of Health infectious disease and drug development research for eight years. As the saying goes, we might have a problem.
With confirmation hearings soon to begin for Kennedy and other healthcare department heads with similar views about to begin, the threat of future pandemics in an administration with a disastrous track record is another reason to urge their defeat.
If the U.S. had the same death rate as Australia, The New York Times later reported, about 900,000 American lives would have been saved.
The 2022 law was prompted by the worst pandemic in a century, that has killed over 1.2 million Americans. The law’s roots were in a pandemic global health security office former President Barack Obama set in the National Security Council. It followed Obama’s experiences with the H1N1 swine flu pandemic in 2009 that killed up to 575,000 people globally, including more than 12,000 in the U.S., and the 2014 Ebola outbreak that claimed thousands of lives in West Africa and provoked a major scare in the U.S.
Trump eliminated the office in 2018, suggesting, The Associated Press reported, “that he did not see the threat of pandemics in the same way that many experts in the field did.” In March, 2020, former pandemic office director Beth Cameron wrote she was “mystified” by the unit’s shutdown “leaving the country less prepared for pandemics… all with the goal of avoiding a six-alarm blaze.” Trump officials insisted they were fully prepared. Facts on the ground tell a different story.
In December 2019 the first reports emerged of patients in China suffering symptoms of an unknown pneumonia-like illness, drawing reminders of the Severe Acute Respiratory Syndrome Coronavirus, SARS Cov-1. By early January 2020, the World Health Organization (WHO) began referring to the outbreak as a 2019 Novel Coronavirus, soon to be renamed Covid-19.
With infections spreading in Asia, the U.S. Centers for Disease Control and Prevention (CDC) in late January reported the first U.S. cases. The first U.S. deaths occurred in January 2020. By mid-March, when Cameron’s op-ed appeared, the WHO confirmed more than 118,000 Covid cases and 4,291 deaths.
Australia, which had a similar profile of libertarian individualism and a right-wing prime minister in 2020, created a bipartisan response with opposition Labor Party and state leaders, and medical officers out front. They quickly subsidized production and distribution of masks, prioritized testing and contact tracing, and understood some shutdowns were necessary. If the U.S. had the same death rate as Australia, TheNew York Times later reported, about 900,000 American lives would have been saved.
Trump: ‘It’s Going to Be Fine’
The first year of Covid-19 was critical to establishing the protocols and public health protections to confront the crisis and reduce the deaths and suffering. But, due to widespread government failures, infections spread like wildfires. Yet the Trump administration was glacially slow to react. In his first public statement January 22, 2020, Trump declared, “We have it totally under control. It’s one person coming in from China. It’s going to be just fine.”
In multiple comments tracked by Rep. Lloyd Doggett (D-Texas), Trump downplayed the danger. February 2020: “Looks like by April… when it gets a little warmer, it miraculously goes away,” “CDC and my Administration are doing a GREAT job of handling Coronavirus,” “We’re going very substantially down, not up,” and, “One day, it’s like a miracle, it will disappear.”
Due to Trump’s malfeasance; promotion of misinformation, including false miracle cures; and actively discouraging government and community safety steps to slow the spread, Covid-19 exploded.
As Trump’s term ended on January 20, 2021, the U.S. recorded 25 million cases, and over 400,000 deaths.
Embracing the sluggish signals from Washington, hospitals stalled on adopting critical safety protocols and were ill-prepared for the flood of desperately ill patients that led to cascading deaths, with bodies piling up in makeshift morgues or refrigerated trucks outside hospital doors. It was made worse by inadequate isolation of infected patients and shortages of ventilators and proper protective equipment for overwhelmed nurses and other healthcare workers who paid a horrific price with thousands of deaths and many leaving due to unwillingness to work in unsafe conditions.
Trump’s failures continued for months. At a White House press conference on April 3, Trump eroded a new tepid CDC guidance people consider wearing masks, as other countries were now requiring to reduce transmission of the virus, by adding he would not do so.
Trump’s position, New York University sociologist Eric Klinenberg recalled, “undermined it,” suggesting “to anyone in his world that wears a mask, it’s cowardly, weak, feminine, so no one’s going to wear masks. [It] becomes clear to everyone in the Republican establishment that bearing your face is the way to show solidarity and support to the president,” reinforcing a partisan political divide on not just masks but soon all public health measures.
In late April 2020, as the U.S. death toll passed 60,000, Trump said, “This is going away.” In May, amid 80,000 deaths, Trump said, “We have met the moment, and we have prevailed.” In June, with 110,000 dead Americans, Trump said, “It is dying out, it’s going to fade away.”
On August 31, with the death count passing 180,000, Trump said, “We’ve done a great job in Covid, but we don’t get the credit” blaming a “fake news media conspiracy.” For months, Trump demanded an end to steps some states were implementing to limit infections. As Trump’s term ended on January 20, 2021, the U.S. recorded 25 million cases, and over 400,000 deaths.
National Nurses United (NNU), one of the first to respond to prior pandemics during H1N1 in 2009 and Ebola in 2014, had gained valuable experience. By early January, 2020, “before most people in the U.S. had even heard of Covid-19,” as The New York Times noted, NNU began mobilizing and aggressively pushing employers, government elected officials, and health and regulatory agencies to implement decisive safety actions. In contrast to public agencies, NNU launched multiple public endeavors from rallies to marches, vigils, pickets, and other collective action, including strikes, to demand optimal protections for nurses, other healthcare workers, patients, and the broader public.
Employers took their lead from Trump and the federal agencies he influenced, including the CDC and Occupational Safety and Health Administration (OSHA) that continually eroded safety guidelines and workplace regulations. Hospitals, observed NNU executive director Bonnie Castillo, RN, “took a gamble relative to how much to have and how much to be prepared. And the CDC came out with guidelines shifting, commensurate to what the hospitals are complaining of. The lower standard is cheaper. So they just kept lowering and lowering, all the way down to bandannas. They’re looking at us like fodder.”
The racist Legacy of Trump’s Covid-19 Malfeasance
Trump’s mismanagement and indifference to who was most harmed proved catastrophic for communities of color, including a large percentage who were essential workers in transit, food processing, service industries, and healthcare.
Early in the pandemic, Trump sought to shift blame from his administration to China, repeatedly referring to Covid-19 as “the China virus,” though by April the U.S., with 4% of the world’s population, accounted for 17% of global Covid-19 deaths. Trump’s racist scapegoating ignited a sharp rise in anti-Asian hate speech and physical assaults.
His future HHS nominee Kennedy was among those adding fuel to the fire. At a 2023 New York press event Kennedy claimed “there is an argument that it is ethnically targeted. COVID-19 attacks certain races disproportionately… The people who are most immune are Ashkenazi Jews and Chinese.”
“We’re being treated like we don’t matter and we’re dispensable.”
Asian American and Pacific Islander (AAPI) healthcare workers subsequently reported a rise in racist incidents, both in hospital settings and in their daily lives. Twice as many verbal and physical assaults were directed at women. “We must unite to challenge anti-Asian violence, harassment, and racism,” said University of California San Diego RN Dahlia Tayag at a statewide California Nurses Association protest against ongoing anti-Asian hate crimes.
The disproportionate racial impact was evident in Covid=19’s devastating toll on Filipino healthcare workers. Kansas City RN Celia Yap Banago, one of many RNs who had pressed her hospital to fix inadequate protections, was one of the first RNs to die in April 2020. “We were being told we’re not allowed to wear masks because it’s going to scare our patients,” said Jenn Caldwell, RN.
By August 2023 when the government stopped reporting healthcare-worker Covid-19 data, 5,753 healthcare workers, including 501 RNs, had died of Covid-19. In a June interview, Zenei Triunfo-Cortez, RN, CNA/NNOC’s first Filipina president, noted that nurses call for help from Trump and Congress “fell on deaf ears… Our employers are banking on (CDC) guidelines, which have been watered down… We’re being treated like we don’t matter and we’re dispensable.”
The Racial Disparity of Infections and Death
Centuries of structural racism accelerate the disproportionate impact of any crisis, including pandemics. As Trump was continuing to downplay the tsunami of infections and deaths, and discouraging safety procedures, the racial impact escalated. Black Chicagoans, 30% of city residents, comprised 72% of the Covid-19 deaths. Black Michigan residents, under 15% of the population, accounted for 40% of the deaths. Milwaukee African Americans, 26% of the population, totaled 70% of Covid-19 deaths. Similar rates were evident across the country, from states with large Black populations like North and South Carolina, to those with smaller percentages, such as Nevada and Connecticut.
Latinos were 80% of the first people admitted for care at San Francisco’s large public hospital and in Latino San Jose neighborhoods. Native Hawaiians and Pacific Islander infection and death rates were also higher in California. In March 2020, New Mexico Gov. Michelle Lujan Grisham cited “incredible spikes” in Navajo Nation. Two months later, Navajo Nation still had higher Covid-19 infection cases per capita than much more publicized, hard-hit New York City.
Columnist Jamelle Bouie linked the disparities to “longstanding structural inequities.” Systemic racism in healthcare had a long history, evident in less access to medical institutions and caregivers, provider treatment biases, lower rates of costly health coverage, housing segregation, and higher concentration in polluted neighborhoods. Hospitals in Black neighborhoods were far more likely to close than in mostly white areas, a National Institutes of Health study found.
“What it meant to be an essential worker was to be deemed expendable.”
Black and Latino workers were also far more likely to hold “essential” jobs. Many were concentrated in lower paid jobs often forced to keep working due to economic need or employer pressure, including in food services, grocery and drug stores, and poultry and other meat processing plants. The Guardianreported alarmingly high transit worker death rates among bus and subway drivers, mechanics, and maintenance workers in New York, Boston, Chicago, St. Louis, Detroit, Washington D.C., and other major cities.
In September 2020, the CDC drew condemnation for reportedly soft-pedaling safety precautions due to political interference at a South Dakota meatpacking plant. All these factors resulted in workers of color having less economic ability or opportunity to shelter or work from home, and less access to safety measures, from masks to social distancing on the job where they risked constant exposure.
It also reinforced a class chasm with “a lot of professional and more affluent people who could afford to make the kind of sacrifices this public emergency called for who were able to protect themselves, able to sustain a level of comfort that other people in America were not,” says sociologist Klinenberg.
“It wasn’t like when we called them essential, we said, because you’re essential we’re going to honor you, we’re giving you masks, you get the best access to healthcare in the world, and here’s a bonus from all of us and our forever gratitude. What it meant to be an essential worker was to be deemed expendable. And it wasn’t just you, you got exposed to the virus, then you were more likely to go back home to your family who also got exposed to the virus. So you’ve got these neighborhoods throughout the country where there’s a lot of working class people who are getting exposed and they have higher mortality,” he added.
“Covid was kind of a search light that showed us everyone, everywhere we had studiously looked away from,” writer and activist Naomi Klein observed. “Suddenly we’re forced to think about the way in which our culture produces disposable people, whether they are working in elder care facilities when there’s suddenly Covid outbreaks, or the poultry plants [that] were Covid hotspots. Places where you never see a camera because we’re not supposed to think about, [like] what’s going on in prisons.” Klein cited “the myth of neoliberalism, like we are just individual people and families, and we don’t owe anything to each other. Covid said that wasn’t the case because you can’t just treat individuals, you have to treat a body of enmeshed individuals.”
Workers and unions had to fight their employers and public agencies under Trump to protect their members and the public. Union pressure, Castillo told The New York Times, moved some hospitals to act. In the first six months alone, NNU “staged more than 350 socially distanced protests, including two vigils in front of the White House for the nurses who died from the virus.”
Though Trump’s first term ended with the rollout of a Covid-19 vaccine, lasting damage had been done with his encouragement of opposition to critical community protections from masking to social isolation to needed closures to reduce the spread of the virus, and his sympathy for an escalating anti-vax movement. NNU early in 2021 characterized the Trump administration’s response as “one of denial and abandonment.”
Going forward, with Trump nominating people with similar views opposing the importance of a robust approach to public health, including full preparedness and action on sure-to-come future epidemics, there is ample cause for concern. A new avian flu’s first U.S. death has already occurred. Measles, polio, and other illnesses could mushroom, especially with health officials hostile to vaccines in charge of health agencies with vaccination rates already declining.
With confirmation hearings approaching, The New York Times this week reported the alarming vaccination drop “creating new pockets of students no longer protected by herd immunity [with]… now an estimated 280,000 kindergartners without documented vaccination against measles, an increase of some 100,000 children from before the pandemic.” Resurgence of polio, once virtually eradicated, is also a threat.
Rising temperatures from climate change mean that bacteria not only grow faster but are also associated with increased antibiotic resistance, facilitating the rise of new deadly pandemics. Factor in expected cuts in federal agencies and reduced enforcement of workplace and community protections by an administration more friendly to corporate demands for cuts in regulations.
Over the coming days and years, our vigilance and mass action will be critical to protecting public health.
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Staring Down the Abyss of 2025
The basis of hope for a better future, I believe, is the courage to accept reality. A change of collective consciousness is our best shot at not only surviving but thriving.
Jan 05, 2025
2025 offers an intriguing mix of the certain and the uncertain.
Here’s what is certain: Democratic institutions will continue to crumble, witness the erosion of the rule of law in the U.S. and elsewhere; long-standing norms governing public affairs, such as a bar to prosecuting political opponents, will loosen their grip on behavior; countless species, especially among birds and insects, will go extinct; a host of “unnatural” disasters attributable to climate change, like wild fires and floods, will devastate wondrous landscapes and settled communities; politically or environmentally-induced mass migration, as experienced now in the various parts of the world, will become more pervasive; income inequality between the top 0.01% and the lowest 50% will increase; economic stability, as in the world-wide acceptance of the U.S. Dollar, will wane.
While not a certainty there’s reason to give added credibility to the risks of nuclear warfare, catastrophic climate tipping points, metastatic ethnic cleansing, and a world-wide pandemic, with mass extinction the result.
Within our own narrower, national context, certainties include the highest ever figures for extraction of natural gas and oil, continued increases in chronic diseases such as Type-2 diabetes and cancer, ballooning healthcare costs per capita, upward swings in gun sales and school shootings, dramatically increased levels of homelessness, and more intrusion of microplastics into the oceans and into our bodies.
An unfettered grasp of our situation can offer up considerable light, hope, even optimism; and it can strengthen our resolve and solidify our resilience.
Uncertain are the targets, timing, locales, extent of severity, and designation of victims related to these eminently predicable developments in the world and in our country. Unclear is what will constitute right and effective action in the face of this inevitable political, social, and environmental unravelling. Finally, the grounding for individual and collective action—spiritual moorings, moral anchors, forms of mutual aid—remains inchoate.
To be human is to know we are going to die. This is certain. With each passing day of 2025, my physical being will be undergoing its own forms of unravelling, making death more proximate. What I don’t know is when and under what circumstances it will occur. Nor do I know for sure what my attitude and affect will be should I be conscious at the time.
With increasing disintegration worldwide and the social fabric in this country fraying, what can one do, how should one approach and contend with encroaching forms of “death” in the world and in this country? What are citizens’ essential responsibilities? For me what are mine as a mate, a father, grandfather, and friend?
You, the reader, might conclude, as you absorb all this, “How pessimistic, how fatalistic!” It will likely surprise you that that is not my mind set at all. Rather I am of the mind that the truth indeed sets one free. An unfettered grasp of our situation can offer up considerable light, hope, even optimism; and it can strengthen our resolve and solidify our resilience. Take a hard look at the obverse: that burying unvarnished realities has improved our prospects. Hardly! Denial, obfuscation, euphemism, soft- pedaling, and distraction have not improved things. In fact, a strong case can be made that they have produced exactly the opposite, a deepening of our plight.
So I beckon my fellow citizens to adopt a different strategy, one that willfully accepts our dire circumstances, without wallowing in them, thus offering the chance of achieving more positive outcomes than our current predicament presages. The basis of hope for a better future, I believe, is the courage to accept reality. A change of collective consciousness is our best shot at not only surviving but thriving.
That I will die soon is certain. That 2025 heralds negative trend lines on multiple fronts is certain. But this is where the parallel can end. With a willingness on all our parts to accept our dire lot we can begin to veer away from what now seems a foregone conclusion.
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