WASHINGTON — President Trump declared the Covid-19 pandemic a national emergency on Friday, the first time such a declaration has been issued over an infectious disease outbreak since the H1N1 influenza pandemic of 2009.

In a Rose Garden press conference, Trump said his declaration would free $50 billion in federal resources to combat the spread of the novel coronavirus and the respiratory disease it causes, which has sickened over 1,000 Americans and killed thousands more worldwide.

The declaration also instructs state governments to set up emergency operations centers; directs hospitals nationwide to activate emergency preparedness contingency plans; and allows health secretary Alex Azar to waive regulations that could hinder health professionals’ response capabilities.

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The Trump administration, in conjunction with the tech giant Google, also said it will unveil a website that Americans can use to determine whether they are presenting Covid-19 symptoms, and whether they should seek testing. (Later on Friday, however, a news report indicated the promise was misleading: Google’s website will only be capable of directing patients in the San Francisco Bay Area to testing facilities.)

Seema Verma, the administrator of the Centers for Medicare and Medicaid Services, said the agency would soon issue guidance directing nursing homes to prohibit nearly all visits that are not deemed medically essential.

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Trump said his administration would relax rules that govern “critical care” hospitals. Under the emergency declaration, those hospitals would no longer be limited to 25-bed capacities or admit only patients who doctors expect would be discharged within 96 hours. 

Trump also pledged that his administration, in conjunction with private-sector companies, would “vastly increase and accelerate” the availability and production of coronavirus test kits. 

Asked whether he accepted blame for substantial shortages in test kits — and defective tests that the Centers for Disease Control and Prevention initially distributed — Trump said simply: “I don’t take responsibility at all.” 

The move is the latest dramatic escalation of the Trump administration’s response to the novel coronavirus and the respiratory disease it causes, Covid-19. On Wednesday, Trump banned non-U.S. residents from entering the country from Europe — weeks following similar bans targeting China, Iran, and parts of South Korea and Italy. And it follows sweeping action from Congress, which recently allocated over $8 billion to respond to the pandemic. 

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Less than an hour after Trump left the Rose Garden podium, his administration formally issued the emergency declaration, which relies on the National Emergency Act — the same law that former president Barack Obama used to bolster his administration’s response to the H1N1 influenza pandemic of 2009.

The law grants the president and executive branch sweeping powers to act quickly and decisively to respond to an emergency, said James Hodge, a professor at Arizona State University who specializes in health law. 

“If you had a National Emergency Act declaration, what that’s really saying to all federal agencies is: We need you to get in the game of responding, in real time, to everything that we need to do nationally,” Hodge said. “And that may include suspending or waiving key provisions of federal law that are inhibiting our response.”

Trump also issued an emergency declaration using the Stafford Act, which could allow the administration to mobilize the Federal Emergency Management Administration, Hodge said.

Such a declaration could serve as “a way to funnel more resources to states through FEMA, and also to invoke a series of federal powers that can be even more extensive than what you’ve seen done to date,” he said. “That’s predictable, because there’s a deep fund of some resources that FEMA can tap into immediately.”

 

The emergency declaration comes in the wake of Trump’s numerous attempts to downplay Covid-19’s severity. In recent weeks, he has argued that the seasonal flu causes more deaths than the coronavirus, described Democrats’ criticisms of his administration’s response as a “hoax,” and falsely claimed that any American seeking a test could receive one.

Trump’s move comes six weeks after health secretary Alex Azar declared the novel coronavirus a national public health emergency. The Obama administration first declared H1N1, or “swine flu,” a public health emergency in April 2009, when the U.S. had reported roughly 20 cases and no deaths. The World Health Organization declared H1N1 a pandemic in June 2009.

That October, as the crisis ballooned to claim over 1,000 American lives, Obama declared H1N1 a full-scale national emergency. In the end, the disease infected over 60 million people in the United States, and killed over 12,000.

Presidents commonly use emergency declarations to extend the powers of their administrations and of the federal government. Trump, controversially, has previously used the National Emergencies Act to divert funds from other government programs to building a wall on the U.S.-Mexico border. Obama used the same act to carry out a number of foreign policy actions, like imposing sanctions targeted at Somalian pirates or to punish Russia’s recent attempt to annex the disputed, formerly Ukrainian territory of Crimea. Numerous emergency declarations from past administrations remain active — including one, targeting Iran, that dates to 1979, during former president Jimmy Carter’s administration. 

Beyond the legal and bureaucratic power that national emergency declarations can wield, it may prove most impactful simply by virtue of its source, said Wendy Parmet, a health policy and law professor at Northeastern University.

“There’s a lot of pragmatic stuff these declarations do, but the messaging and symbolic aspect obviously means more to come from the president,” she said. “Especially given the fact that over the course of the last two months, the president’s messaging has not been consistent.”

During the press conference, Trump also reversed course on his own plans to be tested for the coronavirus. Last week, he rode on Air Force One with a lawmaker who had recently been exposed. And last weekend, Trump was photographed standing next to an aide to Brazilian president Jair Bolsonaro who later tested positive for the virus. 

Trump said he would “most likely” be tested. “Not for that reason,” he said, “but because I think I will do it anyway. Fairly soon. We’re working on that. We’re working on a schedule.” 

  • This needed to get into the spotlight: late declarations, chaotic health care, shortages of everything (tests, ventilators, masks, gowns, tubing, beds, etc – and soon Doctors & health care workers too), presidential denial & moronic denial, then this flip-flops. It is totally mis-managed un-preparedness. Were it not such a disaster that is only just beginning, it would be laughable. Take care everyone, do your darnedest to avoid needing medical care.

    • Obama had 8 years to stockpile all of those supplies to which you refer…. where are they? This will be an unfortunate case study re socialized medicine vs our US healthcare system…I know in which country I’d prefer to live in the event I’m personally infected.

    • Obama had 8 years to stockpile resources, 7 of those years AFTER he dealt with H1N1 so he should have known what to prepare for. More so than any other president in our lifetimes.

      But don’t worry Janice, your savior can do no wrong, we know

  • So, is this projected to be worse/same/ or no one knows as the H1N1 virus? Does anyone know? Is it the uncertainty that is causing the panic this time versus 2009? I’m 47 and remember the 2009 pandemic. This seems to have caused a great deal of panic, anxiety, and emotion in the world. Much more so than the 2009 pandemic. Why is this? Can a scientist weigh in on this, please?

  • It’s easy to write this article and point fingers when looking back on time. The old saying comes to mined “Hindsight is 20/20”. You can’t predict the future. Instead of pointing finger, lets join hands as one America and fight this pamdemic.

  • It is shame and quite sad that such a professional page like STAT can also be bias and fake when it come to Trump.
    Focus on your científicos skills and do not spoil this brilliant effort !!
    Shame !!!!

    • Bias? Really Jac? Are you a big Bernie and/or Joe fan/supporter?

      If this whole coronavirus thing subsides by say September, I am pretty sure Trump would be re-elected since he would instinctively and naturally and rightfully claim all the credit, just like what he has been doing for the low unemployment rate, and the democrats would have nothing to argue against.

      Six more months to go!

  • So Lev,

    Can this declaration then compel the FDA to approve any treatment or vaccine for Covid19 to be reviewed and approved expeditiously, even beyond the (oft designated, announced, and used by the FDA and still slow and prodding priority review)?

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