Health
Lab Leak or Not? How Politics Shaped the Battle Over Covid’s Origin
WASHINGTON — Within the spring of 2021, with research of the coronavirus pandemic’s origins going nowhere and the problem embroiled in bitter partisan politics, David Relman, a microbiologist at Stanford, quietly made a request of his congresswoman.
He informed his consultant, Anna Eshoo, that he was organizing a letter from main scientists calling for an open and impartial investigation into the origins of Covid-19 — together with into whether or not it had come from a laboratory in Wuhan, China. He needed to know if she would publicly endorse the thought.
The outreach labored. As quickly because the letter appeared on-line within the prestigious journal Science, Ms. Eshoo turned one of many first Democrats in Congress to name for an investigation into the origins of Covid.
It was the prelude to a political sea change on the problem: Inside weeks, President Biden ordered a top-to-bottom intelligence evaluation of how the pandemic started, which has since come to blended conclusions.
The story of the hunt for Covid’s origin is partly concerning the stonewalling by China that has left scientists with incomplete proof, all of it a few virus that’s continually altering. For all the info suggesting that the virus could have jumped into individuals from wild animals at a Chinese language market, conclusive proof stays out of attain, because it does for the competing speculation that the virus leaked from a lab.
However the story can be about politics and the way each Democrats and Republicans have filtered the accessible proof by way of their partisan lenses.
Some Republicans grew fixated on concept of a lab leak after former President Donald J. Trump raised it within the early months of the pandemic regardless of scant proof supporting it. That turned the speculation poisonous for a lot of Democrats, who seen it as an effort by Mr. Trump to distract from his administration’s failings in containing the unfold of the virus.
The extraordinary political debate, now in its fourth yr, has at occasions turned scientists into lobbyists, competing for policymakers’ time and favor. Dr. Relman is only one of a number of researchers and like-minded thinkers who has efficiently labored the corridors of energy in Washington to drive journalists, policymakers and skeptical Democrats to take the lab leak concept critically.
However the political momentum has not all the time aligned with the proof. At the same time as the thought of an unintended lab leak has now gained standing in Washington, findings reported final week bolstered the market idea. Mining a trove of genetic information taken from swabs on the Huanan Seafood Wholesale Market in Wuhan in early 2020, virus consultants stated they discovered samples containing genetic materials from each the coronavirus and illegally traded raccoon canines. The discovering, whereas hardly conclusive, pointed to an contaminated animal.
The brand new information from the market means that China is holding onto clues that might reshape the talk. However for now, a minimum of, the thought of a lab leak appears to have prevailed within the courtroom of public opinion: Two latest polls present that roughly two-thirds of Individuals consider that Covid most likely began in a lab.
‘Conspiracy Theories’
In January 2020, because the virus started circulating in Wuhan, Matthew Pottinger, a deputy nationwide safety adviser to Mr. Trump who had labored as a reporter in China, developed suspicions concerning the Wuhan Institute of Virology, identified for its superior analysis on bat coronaviruses.
Extra on the Coronavirus Pandemic
- Covid Origins: The W.H.O. rebuked China for withholding analysis which will hyperlink the origin of Covid to wild animals, asking why the info was faraway from a scientific database. Earlier than the info went lacking, a global crew of consultants who started analyzing it discovered that it supported the thought that the pandemic may have begun with illegally bought raccoon canines at a Wuhan market.
- Maternal Mortality: Authorities information reveals that demise of pregnant girls in 2021 elevated by 40% in contrast with 2020 and by 60% in contrast with 2019. Covid was a contributing issue within the rise, a separate report suggests.
- Paxlovid: A panel of professional advisers to the F.D.A. endorsed Paxlovid as a remedy for adults with Covid who’re at excessive threat for extreme sickness. The transfer is more likely to result in full approval of the drug, which has been accessible underneath emergency use authorization.
Mr. Pottinger quietly made a proper request asking intelligence officers to analyze the brand new outbreak.
In Washington’s polarized ecosystem, the notion that the virus may have come from the Wuhan lab was seeping into public debate. On Capitol Hill, Senator Tom Cotton, Republican of Arkansas, raised the thought in a Senate listening to and on Twitter.
Round that very same time, in accordance with emails disclosed later, some American virologists privately informed well being officers, together with Dr. Anthony S. Fauci, then the director of the Nationwide Institute of Allergy and Infectious Ailments, that the virus may have been engineered in a lab, however required extra examine.
Once they examined information, together with on naturally occurring viruses that shared vital options with the brand new virus, they concluded the alternative. In a examine, they wrote that the virus was “not a laboratory assemble or a purposefully manipulated virus.”
The examine additionally stated the virus was unlikely to have developed in the middle of sure laboratory experiments. (It didn’t look intently at whether or not a scientist gathering or isolating a pure virus may have by chance launched it, a speculation for which there stays no direct proof.)
These findings strengthened the view from a February 2020 letter in The Lancet by which scientists, anxious that lab leak fears threatened information sharing from China, condemned “conspiracy theories” a few lab-related origin.
Outstanding scientists could have been publicly aligned, however the president didn’t share their view. On the finish of April 2020, Mr. Trump introduced that he had seen intelligence that supported a lab leak however was “not allowed” to share it. Mr. Pottinger stated that he didn’t recall briefing Mr. Trump on the origins query, and that he didn’t see the president’s remark coming.
Democrats confirmed little inclination to analyze the pandemic’s origins. Just like the president’s references to the “China virus,” his suggestion of a lab leak sounded to them like xenophobia and risked fueling anti-Asian sentiment. They trusted Dr. Fauci, who had stated that the proof strongly instructed that the virus had not been manipulated. (He has since stated he’s open to the thought of a lab accident.) Ms. Eshoo stated his feedback made her doubt these espousing a lab leak idea.
“It appeared to me that Dr. Fauci, no matter he knew, didn’t lead him to consider what they had been believing,” Ms. Eshoo stated.
Altering Democrats’ Minds
When Mr. Biden received the 2020 election, some consultants who known as for a fuller investigation of the lab leak speculation noticed a chance to influence Democrats to present the thought a more in-depth look.
In December 2020, Jamie Metzl, a biosecurity and know-how professional on the Atlantic Council who had labored within the Clinton administration, organized a personal phone name with Jake Sullivan, the incoming nationwide safety adviser. Mr. Metzl made the case, he stated, “{that a} research-related origin was a really actual chance.”
Mr. Metzl joined a small group, organized by French and Belgian scientists, who had stated the lab leak speculation couldn’t be dominated out. The scientists, he stated, had been having bother getting letters revealed in science journals. With Mr. Metzl’s assist, the group revealed its views in information shops around the globe.
Across the identical time, in March 2021, some virus consultants turned pissed off by a much-anticipated report on the pandemic’s origins by the World Well being Group and China.
The report didn’t hint Covid instances way back to consultants needed. And it ranked the thought of the virus being carried to Wuhan on frozen meals packages — an inconceivable situation, however one which China favored as a result of it may push blame past the nation’s borders — as extra probably than a laboratory incident.
There was nonetheless no proof of a lab leak, however a lot remained unknown — and China appeared so decided to face in the best way of solutions — that extra scientists started urging a more in-depth look.
Dr. Relman of Stanford organized the letter to Science with different outstanding colleagues, together with Alina Chan, a scientific adviser on the Broad Institute in Cambridge, Mass., and Jesse Bloom, a virologist on the Fred Hutchinson Most cancers Heart in Seattle.
In August, Mr. Metzl helped plan a personal bipartisan briefing for senators concerning the lab leak speculation, the place Dr. Relman and Dr. Bloom spoke.
“I left the assembly with a way more open thoughts,” stated Senator Richard Blumenthal, Democrat of Connecticut.
Market Clues
As backers of the lab leak concept made their case in Congress, Michael Worobey, an evolutionary biologist on the College of Arizona, got down to take a look at these claims. Having as soon as investigated — and helped to discredit — a idea that AIDS got here from contaminated polio vaccines, he believed a lab leak was doable and so he signed the Science letter.
He first nudged the scientific journal Nature, he stated, to request that researchers from the Wuhan Institute of Virology make accessible genetic sequences of earlier coronaviruses they’d reported within the journal. They did, and shortly thereafter, in Might 2021, posted a examine describing these viruses, none of which was intently sufficient associated to the pandemic virus that genetic tinkering may have produced it.
Subsequent, Dr. Worobey analyzed the earliest identified Covid sufferers, discovering {that a} disproportionate quantity had labored at or visited the market.
In the meantime, proof emerged that dwell mammals identified to unfold coronaviruses — together with raccoon canines, furry mammals associated to foxes — had been being bought on the Huanan market earlier than the pandemic. And in September 2021, a report of coronaviruses lately found in Laotian bats confirmed that naturally occurring viruses had been able to latching onto human cells.
New details about the work of the Wuhan Institute of Virology was additionally intensifying issues a few lab leak, at the same time as onerous proof of such an incident remained elusive.
To some scientists, the institute’s efforts to check never-before-seen coronaviruses raised questions on what else it might need collected. These questions turned extra pointed with information within the fall of 2021 that EcoHealth Alliance, a analysis group, had sought Protection Division funding in 2018 to associate with the virology institute on experiments that might have genetically altered coronaviruses.
The proposal was not funded. However the issues fueled Republican assaults on Dr. Fauci for his institute’s funding of different EcoHealth tasks and drew consideration to the lab leak idea.
Richard Ebright, a molecular biologist at Rutgers College who had publicly argued {that a} lab leak needs to be thought-about, stated he helped Congressional aides vet questions that Senator Rand Paul, a Republican, needed to ask Dr. Fauci at upcoming hearings. And Dr. Relman stated that he tried to assist Republicans on the Home Vitality and Commerce Committee, who had been inspecting the analysis, discover frequent floor with Democrats.
Congressional inquiries gained steam at the same time as Dr. Worobey’s analysis leaned towards a market origin. In February 2022, he and others reported that the clustering of early Covid instances across the Huanan market couldn’t be defined purely by probability. A second examine by the crew, wanting on the genetic range of viruses collected early within the outbreak, additionally pointed to the market.
The research, revealed in Science, persuaded many virologists that the notoriously dangerous wild animal commerce had, as on earlier events in China, ignited a lethal outbreak.
However some scientists and lawmakers had been unconvinced. Within the Senate, aides had been many months right into a bipartisan investigation of the origins of the pandemic, together with the lab leak concept. The ensuing report — in an indication of tolerating partisan divisions, it was endorsed solely by Republicans — stated that security dangers on the Wuhan Institute of Virology made a lab leak probably. However it offered no direct proof to recommend it had really occurred.
Weeks after the report’s launch, Republicans received management of the Home.
Poisonous Politics
This month, the brand new Home Subcommittee on the Coronavirus Pandemic convened its first listening to to look at the pandemic’s origins. The market idea was barely mentioned.
Some scientists noticed the listening to as one-sided and rife with scientific inaccuracies. Dr. Ebright, although, noticed a chance. With Home Republicans main Covid hearings and Democrats holding the Senate by solely a slim majority, he hopes to mobilize the general public to push for bipartisan Senate hearings on Covid origins.
“The political stability is on the knife’s edge,” he stated. “A really small quantity of advocacy may have important influence.”
Different scientists, although, stated that the marketing campaign by lab leak proponents, removed from making a extra open dialogue, had given rise to such vitriolic assaults that many researchers are reluctant to talk publicly concerning the situation.
The newest raccoon canine information, which virologists stated added to driving proof for a market origin, created recent strain on China to share info which will hyperlink Covid’s origin to wild animals. However others stated the brand new findings associated to the market, like earlier ones, contained holes.
“I fear lots about our leaping on tidbits which can be incomplete and can’t be verified,” Dr. Relman stated.
After three years of divisive politics, Ms. Eshoo stated she would love the Covid origins inquiry to be taken out of Congress’s fingers and turned over to an impartial panel.
“In case you take partisan politics and also you combine that with science,” she stated, “it’s a poisonous mixture.”
Kitty Bennett and Kirsten Noyes contributed analysis.
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Health
As bird flu spreads, CDC recommends faster 'subtyping' to catch more cases
As cases of H5N1, also known as avian flu or bird flu, continue to surface across the U.S., safety precautions are ramping up.
The U.S. Centers for Disease Control and Prevention (CDC) announced on Thursday its recommendation to test hospitalized influenza A patients more quickly and thoroughly to distinguish between seasonal flu and bird flu.
The accelerated “subtyping” of flu A in hospitalized patients is in response to “sporadic human infections” of avian flu, the CDC wrote in a press release.
ONE STATE LEADS COUNTRY IN HUMAN BIRD FLU WITH NEARLY 40 CONFIRMED CASES
“CDC is recommending a shortened timeline for subtyping all influenza A specimens among hospitalized patients and increasing efforts at clinical laboratories to identify non-seasonal influenza,” the agency wrote.
“Clinicians and laboratorians are reminded to test for influenza in patients with suspected influenza and, going forward, to now expedite the subtyping of influenza A-positive specimens from hospitalized patients, particularly those in an intensive care unit (ICU).”
LOUISIANA REPORTS FIRST BIRD FLU-RELATED HUMAN DEATH IN US
The goal is to prevent delays in identifying bird flu infections and promote better patient care, “timely infection control” and case investigation, the agency stated.
These delays are more likely to occur during the flu season due to high patient volumes, according to the CDC.
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Health care systems are expected to use tests that identify seasonal influenza A as a subtype – so if a test comes back positive for influenza A but negative for seasonal influenza, that is an indicator that the detected virus might be novel.
“Subtyping is especially important in people who have a history of relevant exposure to wild or domestic animals [that are] infected or possibly infected with avian influenza A (H5N1) viruses,” the CDC wrote.
In an HHS media briefing on Thursday, the CDC confirmed that the public risk for avian flu is still low, but is being closely monitored.
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The agency spokesperson clarified that this accelerated testing is not due to bird flu cases being missed, as the CDC noted in its press release that those hospitalized with influenza A “probably have seasonal influenza.”
Niels Riedemann, MD, PhD, CEO and founder of InflaRx, a German biotechnology company, said that understanding these subtypes is an “important step” in better preparing for “any potential outbreak of concerning variants.”
“It will also be important to foster research and development of therapeutics, including those addressing the patient’s inflammatory immune response to these types of viruses – as this has been shown to cause organ injury and death during the COVID pandemic,” he told Fox News Digital.
Since 2022, there have been 67 total human cases of bird flu, according to the CDC, with 66 of those occurring in 2024.
The CDC recommends that people avoid direct contact with wild birds or other animals that are suspected to be infected. Those who work closely with animals should also wear the proper personal protective equipment (PPE).
Health
Sick Prisoners in New York Were Granted Parole but Remain Behind Bars
When the letter arrived at Westil Gonzalez’s prison cell saying that he had been granted parole, he couldn’t read it. Over the 33 years he had been locked up for murder, multiple sclerosis had taken much of his vision and left him reliant on a wheelchair.
He had a clear sense of what he would do once freed. “I want to give my testimony to a couple of young people who are out there, picking up guns,” Mr. Gonzalez, 57, said in a recent interview. “I want to save one person from what I’ve been through.”
But six months have passed, and Mr. Gonzalez is still incarcerated outside Buffalo, because the Department of Corrections has not found a nursing home that will accept him. Another New York inmate has been in the same limbo for 20 months. Others were released only after suing the state.
America’s elderly prison population is rising, partly because of more people serving long sentences for violent crimes. Nearly 16 percent of prisoners were over 55 in 2022, up from 5 percent in 2007. The share of prisoners over 65 quadrupled over the same time period, to about 4 percent.
Complex and costly medical conditions require more nursing care, both in prison and after an inmate’s release. Across the country, prison systems attempting to discharge inmates convicted of serious crimes often find themselves with few options. Nursing home beds can be hard to find even for those without criminal records.
Spending on inmates’ medical care is increasing — in New York, it has grown to just over $7,500 in 2021 from about $6,000 per person in 2012. Even so, those who work with the incarcerated say the money is often not enough to keep up with the growing share of older inmates who have chronic health problems.
“We see a lot of unfortunate gaps in care,” said Dr. William Weber, an emergency physician in Chicago and medical director of the Medical Justice Alliance, a nonprofit that trains doctors to work as expert witnesses in cases involving prison inmates. With inmates often struggling to get specialty care or even copies of their own medical records, “things fall through the cracks,” he said.
Dr. Weber said he was recently involved in two cases of seriously ill prisoners, one in Pennsylvania and the other in Illinois, who could not be released without a nursing home placement. The Pennsylvania inmate died in prison and the Illinois man remains incarcerated, he said.
Almost all states have programs that allow early release for inmates with serious or life-threatening medical conditions. New York’s program is one of the more expansive: While other states often limit the policy to those with less than six months to live, New York’s is open to anyone with a terminal or debilitating illness. Nearly 90 people were granted medical parole in New York between 2020 and 2023.
But the state’s nursing home occupancy rate hovers around 90 percent, one of the highest in the nation, making it especially hard to find spots for prisoners.
The prison system is “competing with hospital patients, rehabilitation patients and the general public that require skilled nursing for the limited number of beds available,” said Thomas Mailey, a spokesman for the New York Department of Corrections and Community Supervision. He declined to comment on Mr. Gonzalez’s case or on any other inmate’s medical conditions.
Parolees remain in the state’s custody until their original imprisonment term has expired. Courts have previously upheld the state’s right to place conditions on prisoner releases to safeguard the public, such as barring paroled sex offenders from living near schools.
But lawyers and medical ethicists contend that paroled patients should be allowed to choose how to get their care. And some noted that these prisoners’ medical needs are not necessarily met in prison. Mr. Gonzalez, for example, said he had not received glasses, despite repeated requests. His disease has made one of his hands curl inward, leaving his unclipped nails to dig into his palm.
“Although I’m sympathetic to the difficulty of finding placements, the default solution cannot be continued incarceration,” said Steven Zeidman, director of the criminal defense clinic at CUNY School of Law. In 2019, one of his clients died in prison weeks after being granted medical parole.
New York does not publish data on how many inmates are waiting for nursing home placements. One 2018 study found that, between 2013 and 2015, six of the 36 inmates granted medical parole died before a placement could be found. The medical parole process moves slowly, the study showed, sometimes taking years for a prisoner to even get an interview about their possible release.
Finding a nursing home can prove difficult even for a patient with no criminal record. Facilities have struggled to recruit staff, especially since the coronavirus pandemic. Nursing homes may also worry about the safety risk of someone with a prior conviction, or about the financial risk of losing residents who do not want to live in a facility that accepts former inmates.
“Nursing homes have concerns and, whether they are rational or not, it’s pretty easy not to pick up or return that phone call,” said Ruth Finkelstein, a professor at Hunter College who specializes in policies for older adults and reviewed legal filings at The Times’s request.
Some people involved in such cases said that New York prisons often perform little more than a cursory search for nursing care.
Jose Saldana, the director of a nonprofit called the Release Aging People in Prison Campaign, said that when he was incarcerated at Sullivan Correctional Facility from 2010 through 2016, he worked in a department that helped coordinate parolees’ releases. He said he often reminded his supervisor to call nursing homes that hadn’t picked up the first time.
“They would say they had too many other responsibilities to stay on the phone calling,” Mr. Saldana said.
Mr. Mailey, the spokesman for the New York corrections department, said that the agency had multiple discharge teams seeking placement options.
In 2023, Arthur Green, a 73-year-old patient on kidney dialysis, sued the state for release four months after being granted medical parole. In his lawsuit, Mr. Green’s attorneys said that they had secured a nursing home placement for him, but that it lapsed because the Department of Corrections submitted an incomplete application to a nearby dialysis center.
The state found a placement for Mr. Green a year after his parole date, according to Martha Rayner, an attorney who specializes in prisoner release cases.
John Teixeira was granted medical parole in 2020, at age 56, but remained incarcerated for two and a half years, as the state searched for a nursing home. He had a history of heart attacks and took daily medications, including one delivered through an intravenous port. But an assessment from an independent cardiologist concluded that Mr. Teixeira did not need nursing care.
Lawyers with the Legal Aid Society in New York sued the state for his release, noting that during his wait, his port repeatedly became infected and his diagnosis progressed from “advanced” to “end-stage” heart failure.
The Department of Corrections responded that 16 nursing homes had declined to accept Mr. Teixeira because they could not manage his medical needs. The case resolved three months after the suit was filed, when “the judge put significant pressure” on the state to find an appropriate placement, according to Stefen Short, one of Mr. Teixeira’s lawyers.
Some sick prisoners awaiting release have found it difficult to get medical care on the inside.
Steve Coleman, 67, has trouble walking and spends most of the day sitting down. After 43 years locked up for murder, he was granted parole in April 2023 and has remained incarcerated, as the state looks for a nursing home that could coordinate with a kidney dialysis center three times each week.
But Mr. Coleman has not had dialysis treatment since March, when the state ended a contract with its provider. The prison has offered to take Mr. Coleman to a nearby clinic for treatment, but he has declined because he finds the transportation protocol — which involves a strip search and shackles — painful and invasive.
“They say you’ve got to go through a strip search,” he said in a recent interview. “If I’m being paroled, I can’t walk and I’m going to a hospital, who could I be hurting?”
Volunteers at the nonprofit Parole Prep Project, which assisted Mr. Coleman with his parole application, obtained a letter from Mount Sinai Hospital in New York City in June offering to give him medical care and help him transition back into the community.
Still incarcerated two months later, Mr. Coleman sued for his release.
In court filings, the state argued that it would be “unsafe and irresponsible” to release Mr. Coleman without plans to meet his medical needs. The state also said that it had contacted Mount Sinai, as well as hundreds of nursing homes, about Mr. Coleman’s placement and had never heard back.
In October, a court ruled in the prison system’s favor. Describing Mr. Coleman’s situation as “very sad and frustrating,” Justice Debra Givens of New York State Supreme Court concluded that the state had a rational reason to hold Mr. Coleman past his parole date. Ms. Rayner, Mr. Coleman’s lawyer, and the New York Civil Liberties Union appealed the ruling on Wednesday.
Fourteen medical ethicists have sent a letter to the prison supporting Mr. Coleman’s release. “Forcing continued incarceration under the guise of ‘best interests,’ even if doing so is well-intentioned, disregards his autonomy,” they wrote.
Several other states have come up with a different solution for people on medical parole: soliciting the business of nursing homes that specialize in housing patients rejected elsewhere.
A private company called iCare in 2013 opened the first such facility in Connecticut, which now houses 95 residents. The company runs similar nursing homes in Vermont and Massachusetts.
David Skoczulek, iCare’s vice president of business development, said that these facilities tend to save states money because the federal government covers some of the costs through Medicaid.
“It’s more humane, less restrictive and cost-effective,” he said. “There is no reason for these people to remain in a corrections environment.”
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