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Trump Needs to Fix Dysfunctional CDC

Image: Trump Needs to Fix Dysfunctional CDC

CDC Director Dr. Tom Frieden arrives in Miami, Fla, in August of this year,  during the Zika outbreak. (Alan Diaz/AP) 

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Tuesday, 06 Dec 2016 09:10 AM Current | Bio | Archive

Superbugs are making it more and more dangerous to go to a hospital. A scary newcomer  — a fungus called Candida auris — has popped up in hospitals in New York, New Jersey, Illinois, and Maryland. So far this lethal infection has sickened 13 patients, killing four of them, according to the Centers for Disease Control and Prevention's latest disease tracking.

"We need to protect vulnerable patients," declares CDC head Thomas Frieden. Don't believe him. He's all talk, no action. On his watch, superbugs have continued to rage through hospitals. The new Trump administration should dump Frieden and install a CDC head who will finally take meaningful action to make our hospitals safer.

Hospital infections kill at least 75,000 a year – double the toll from car accidents, and over ten times the toll from HIV/AIDS. But under Frieden, the CDC is ignoring the peril, and putting the agency’s resources, staff, and attention elsewhere. In a recent interview, Frieden doubled down, insisting "there's more to disease prevention than stopping infectious diseases." Huh?

The agency was founded to stop infectious diseases, and that mission is more vital than ever. As antibiotics lose their punch, hospital infections make getting medical care too risky. Even routine procedures like bypass surgery and C-sections can turn deadly.

But Frieden insists the agency’s domestic priorities are reducing auto accidents and curbing smoking, obesity, and teen pregnancy. Hospital safety doesn’t even make his top ten.

Even worse than Frieden’s nanny state mentality is his severe case of globalism. He says his highest priority eradicating polio, though there were only 74 cases last year, all in remote corners of the world, none in the United States.

Frieden's misguided and wildly expensive philosophy is that "a disease threat anywhere is a disease threat everywhere."

The CDC has 1,700 workers employed in over 60 countries. It’s literally taking over the role of the World Health Organization (WHO), except at U.S. taxpayers’ expense, according to Princeton expert Ramanan Laxminarayan.

For example, it’s building health infrastructure from scratch for poor countries, including laboratories, disease detection and reporting systems, and training programs for medical personnel. Not just in the three countries affected by Ebola, but throughout Africa and Asia.

Never mind that many health departments in the U.S. are hampered by a lack of these facilities to detect emerging superbugs and threats like Zika.

The CDC supplies AIDS drugs to two-thirds of the world, spending a whopping $6 billion per year. But the CDC budgets less than $160 million a year to research superbugs, and comes up with only $33 million a year to combat them in hospitals.

At times the priorities are laughable.

The CDC sprang into action and sent staff to Kazakhstan when it was discovered that scientists there weren’t publishing enough research papers in medical journals. In response, the CDC proudly launched "multiple programs to improve scientific output of Central Asia scientists."

Yet the CDC stood by idly when the deadly germ CRE emerged in New York hospitals a decade ago. Now that germ has spread, to hospitals nationwide.

And what about C. diff, which kills 29,000 people in the U.S. each year?

Two recent studies in leading medical journals show that C. diff can linger on the surfaces in a hospital room for two years, putting every patient placed in that room at a substantial infection risk.

Hospital rooms are cleaned so inadequately that over half the surfaces are overlooked, leaving C. diff to lurk. But the CDC has done virtually nothing to improve hospital cleaning procedures. Rather than recommending new technologies that fog rooms with disinfectants, kill germs with ultra-violet light, or use ionized water, the CDC dawdles year after year, saying "more research is required."

Maybe the CDC should recall its staff from Kazakhstan to assess the situation.

Donald Trump pledged to clean up the dysfunctional Veterans Administration. He should add reforming the CDC, the other health agency with blood on its hands.

Betsy McCaughey is a patient advocate, and is chairman of  the Committee to Reduce Infection Deaths. She is also a constitutional scholar, syndicated columnist, regular contributor on Fox News and CNBC, and former lieutenant governor of New York. In 1993 she read the 1,362-page Clinton health bill, warned the nation of what it said, and made history. McCaughey earned her Ph.D. in constitutional history from Columbia University. She is author of "Beating Obamacare 2014" and "Government by Choice: Inventing the United States Constitution." For more of Betsy's reports, Go Here Now.

 


 

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McCaughey
Superbugs are making it dangerous to go to a hospital. Hospital rooms are cleaned inadequately. The CDC has done nothing to improve hospital cleaning procedures. President-elect Donald Trump should reform the CDC.
cdc, frieden, hospital, who
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2016-10-06
Tuesday, 06 Dec 2016 09:10 AM
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