Dr. Anne Schuchat, a 32-year veteran of the C.D.C. and its principal deputy director, had appealed to Americans to wear masks and warned, “We have way too much virus across the country.” But Dr. Alexander, a part-time assistant professor of health research methods, appeared sure he understood the coronavirus better.
“Her aim is to embarrass the president,” he wrote, commenting on Dr. Schuchat’s appeal for face masks in an interview with the Journal of the American Medical Association.
“She is duplicitous,” he also wrote in an email to his boss, Michael R. Caputo, the Health and Human Services Department’s top spokesman who went on medical leave this week. He asked Mr. Caputo to “remind” Dr. Schuchat that during the H1N1 swine flu outbreak in 2009, thousands of Americans had died “under her work.”
Of Dr. Schuchat’s assessment of Covid-19’s dangers, he fumed, wrongly, “The risk of death in children 0-19 years of age is basically 0 (zero) … PERIOD … she has lied.”
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Far from hiding what they knew about the virus’s danger, as Bob Woodward’s new book contends President Trump was doing, the emails seem to indicate that aides in Washington were convinced of their own rosy prognostications, even as coronavirus infections were shooting skyward.
At the same time, Mr. Caputo moved to punish the C.D.C.’s communications team for granting interviews to NPR and attempting to help a CNN reporter reach him about a public-relations campaign. Current and former C.D.C. officials called it a five-month campaign of bullying and intimidation.
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In another instance, Mr. Caputo wrote to C.D.C. communications officials on July 15 to demand they turn over the name of the press officer who approved a series of interviews between NPR and a longtime C.D.C. epidemiologist, after the department in Washington had moved to take ownership of the agency’s pandemic data collection.
“I need to know who did it,” Mr. Caputo wrote. A day later, still without a reply, Mr. Caputo wrote back. “I have not received a response to my email for 20 hours. This is unacceptable,” he said. “I need this information to properly manage department communications. If you disobey my directions, you will be held accountable.”
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In the months leading up to their exits, the two had routinely worked to revise and delay the C.D.C.’s closely guarded and internationally admired health bulletins, called Morbidity and Mortality Weekly Reports, in an effort to paint the administration’s pandemic response in a more positive light.
Far from apologetic, Dr. Alexander told The Globe and Mail of Toronto this week that the C.D.C. had written “pseudoscientific reports” and that he was better suited to examine data than agency scientists.
“None of those people have my skills,” Dr. Alexander said. “I make the judgment whether this is crap.”
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In another email to an agency communications officer who had directed a CNN reporter to contact Mr. Caputo about a vaccine public relations campaign, Mr. Caputo shot back, “In what world did you think it was your job to announce an administration public service announcement campaign to CNN?”
The C.D.C. press official then apologized, which did not satisfy Mr. Caputo. “We will discuss this on a teleconference tomorrow. I want your H.R. representative in attendance,” he wrote.
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Dr. Alexander also had his own ideas of the virus’s staying power. He disputed Dr. Schuchat’s claim that children were vulnerable to it. Studies have repeatedly demonstrated that while it is rare, the virus can be lethal to children, who can readily transmit it to more vulnerable family members.
“It also causes no symptoms as it is so mild … you don’t even know you have it,” Dr. Alexander wrote. “Many people never knew they had it. Not one indication. It is very false her statement that it causes death in children.”
At one point in his response to Dr. Schuchat, Dr. Alexander appeared to endorse the largely rejected strategy of “herd immunity,” or allowing the virus to freely spread until enough people develop antibodies that it dies for lack of human hosts.
“Importantly, having the virus spread among the young and healthy is one of the methods to drive herd immunity,” he wrote. “This was not the intended strategy but all must be on deck now and it is contributing positively at some level.”