Failures of Competence

Date:

Et tu, C.D.C.?

For years, the Centers for Disease Control and Prevention has been the most trusted agency in the federal government. In 2003, when Gallup did a survey to determine what the public thought of various federal agencies, the C.D.C. topped the list, with 66 percent of respondents describing it as “excellent” or “good.”

Last year, a similar Gallup poll showed that the C.D.C.’s approval rating had dropped to 60 percent, which was still better than any other agency. The C.D.C. has seen the country through SARS and the swine flu virus. The general perception was not only that it did important, apolitical work, but that it was highly competent. “I used to call the C.D.C. the shining star of federal agencies,” says Lawrence O. Gostin, a global health expert at Georgetown Law.

And then came Ebola.

The Ebola outbreak is not exactly enhancing the C.D.C.’s reputation for competence. At first, the agency reassured the public that American hospitals were ready to handle any Ebola cases that came their way.

That has turned out not to be the case. When Thomas Eric Duncan was diagnosed with Ebola in Dallas, the C.D.C. did not immediately fly in an expert team — something that the C.D.C. director, Tom Frieden, now says it should have done. Most recently, the C.D.C. appears to have allowed one of the Dallas nurses who helped Duncan to take a flight from Ohio to Texas even though she had a slightly raised temperature. When it became clear that she had contracted the virus — the second nurse to do so — Frieden was forced to admit that letting her on the plane was a mistake.

Read full article here.

Joe Nocera – New York Times – Oct. 17, 2014.

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