Early on, the dozen federal officials charged with defending America against the coronavirus gathered day after day in the White House Situation Room, consumed by crises. They grappled with how to evacuate the United States consulate in Wuhan
The members of the coronavirus task force typically devoted only five or 10 minutes, often at the end of contentious meetings, to talk about testing, several participants recalled.
But as the deadly virus from China spread with ferocity across the United States between late January and early March, large-scale testing of people who might have been infected did not happen - because of technical flaws, regulatory hurdles, business-as-usual bureaucracies and lack of leadership at multiple levels, according to interviews with more than 50 current and former public health officials, administration officials, senior scientists and company executives.
The result was a lost month, when the world's richest country - armed with some of the most highly trained scientists and infectious disease specialists - squandered its best chance of containing the virus's spread. Instead, Americans were left largely blind to the scale of a looming public health catastrophe.
The absence of robust screening until it was "far too late" revealed failures across the government, said Dr. Thomas Frieden, the former C.D.C. director. Jennifer Nuzzo, an epidemiologist at Johns Hopkins, said the Trump administration had "incredibly limited" views of the pathogen's potential impact. Dr. Margaret Hamburg, the former commissioner of the Food and Drug Administration, said the lapse enabled "exponential growth of cases."
And Dr. Anthony S. Fauci, a top government scientist involved in the fight against the virus, told members of Congress that the early inability to test was "a failing" of the administration's response to a deadly, global pandemic. "Why," he asked later in a magazine interview, "were we not able to mobilize on a broader scale?"
At the start of that crucial lost month, when his government could have rallied, Donald
was dismissive of the threat to the public's health or the nation's economy. By the end of the month, Mr. Trump claimed the virus was about to dissipate in the United States, saying: "It's going to disappear. One day - it's like a miracle - it will disappear."
By early March, after federal officials finally announced changes to expand testing, it was too late. With the early lapses, containment was no longer an option. The tool kit of epidemiology would shift - lockdowns, social disruption, intensive medical treatment - in hopes of mitigating the harm.
Now, the United States has more than 100,000 coronavirus cases, the most of any country in the world. Deaths are rising, cities are shuttered, the economy is sputtering and everyday life is upended. And still, many Americans sickened by the virus cannot get tested.
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