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Morning Briefing

Summaries of health policy coverage from major news organizations

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Tuesday, Apr 7 2020

Full Issue

'What Do I Know, I鈥檓 Not A Doctor': Trump Continues To Hawk Malaria Drugs Despite Lack Of Scientific Evidence

President Donald Trump's interest in the malaria drug hydroxychloroquine alarms some scientists who say that peddling false hope in the midst of a pandemic is dangerous and that the drug's side effects can be severe. Others, however, are taking their cue from Trump and prescribing the medication.

President Trump made a rare appearance in the Situation Room on Sunday as his pandemic task force was meeting, determined to talk about the anti-malaria medicine that he has aggressively promoted lately as a treatment for the coronavirus. Once again, according to a person briefed on the session, the experts warned against overselling a drug yet to be proved a safe remedy, particularly for heart patients. 鈥淵es, the heart stuff,鈥 Mr. Trump acknowledged. Then he headed out to the cameras to promote it anyway. 鈥淪o what do I know?鈥 he conceded to reporters at his daily briefing. 鈥淚鈥檓 not a doctor. But I have common sense.鈥 (Baker, Rogers, Enrich and Haberman, 4/6)

Trump held out promise for the drug as he grasps for ways to sound hopeful in the face of a mounting death toll and with the worst weeks yet to come for the U.S. The virus has killed more than 10,000 in the U.S., and measures meant to contain its spread have taken a painful economic toll and all but frozen life in large swaths of the country. But medical officials warn that it鈥檚 dangerous to be hawking unproven remedies, and even Trump鈥檚 own experts have cautioned against it. (Miller and Riechmann, 4/7)

At the briefing later that evening, a reporter asked Dr. Fauci for his view on whether there is evidence hydroxychloroquine helps treat coronavirus. The president interrupted before he could answer. 鈥淒o you know how many times he鈥檚 answered that question? Maybe 15鈥15 times,鈥 Mr. Trump said, pointing at the reporter. 鈥淵ou don鈥檛 have to ask the question.鈥 (Ballhaus and Hopkins, 4/6)

The rush to focus on unproven drugs also comes after months of lost opportunities to contain the spread of the outbreak. 鈥淭here鈥檇 be less focus on [hydroxychloroquine] now if we had planned better then,鈥 said one official, who added that the drug is seen by some career scientists as a 鈥淗ail Mary鈥 effort to find a Covid-19 cure. Trump is as enthusiastic about the drug in private as he is in public, said one senior administration official. He talks about the drug so often, another official added, because he views it as a potential therapy for the coronavirus when people have no other options. (Diamond and Cook, 4/6)

Trump鈥檚 swift embrace of hydroxychloroquine 鈥 as well as azithromycin, which he has hyped as 鈥渙ne of the biggest game changers in the history of medicine鈥 鈥 illustrates the degree to which the president prioritizes anecdote and feeling over science and fact. It also has provoked an ugly divide within a White House already besieged as it struggles to make up for lost time in slowing the spread of the coronavirus. The president has frequently clashed with or undercut scientists leading the effort against the virus, from equivocating on whether to wear masks in public to repeatedly pressing to reopen businesses sooner than advised by public health experts. (Rucker, Costa, McGinley and Dawsey, 4/6)

President Donald Trump's top trade adviser, Peter Navarro, said Monday that Dr. Anthony Fauci's caution about the effectiveness of an anti-malaria drug that the president has been urging as a treatment for the coronavirus warrants a "second opinion." Asked about an Axios report that he and Fauci got into a heated argument about the drug during a coronavirus task force meeting Saturday, Navarro told CNN, "There was that discussion on Saturday, and if we didn't have disagreement and debate in the Trump administration, this administration would not be as strong as it is." (Gregorian, 4/6)

With the coronavirus crisis deepening on his watch, President Donald Trump in recent weeks has promoted a still-unproven malaria drug as a possible "game changer," touted his administration's "unprecedented" moves to fast-track a vaccine, and praised the work of the National Institutes of Health. But when Barack Obama was still in the White House and facing earlier global health crises, Trump expressed much different views, denouncing NIH as "terrible," claiming vaccines "can be very dangerous," and cautioning against medicines that have yet to be proven safe and effective. (Levine, 4/7)

New York Gov. Andrew Cuomo (D) said Monday that early responses to the antimalarial drug hydroxychloroquine 鈥渁necdotally鈥 suggest its use in the coronavirus fight has been 鈥渆ffective,鈥 but that official data was still forthcoming. Asked about the progress of the trials at his daily press briefing, Cuomo noted that state officials have allowed use of the drug in combination with the antibiotic Zithromax in hospitals 鈥渁t their discretion.鈥 (Budryk, 4/6)

The lack of vaccines and treatment for the novel coronavirus has allowed it to sweep the planet virtually unchecked. With a regimen of hunkering down and hand-washing the only effective way to slow its path, national leaders are desperate to find a medicine that could have an effect. But President Trump鈥檚 cheerleading for anti-malarial drugs has raised hopes beyond what is supported by the scientific facts. (Rowland, 4/6)

Some politicians and doctors are sparring over whether to use hydroxychloroquine against the new coronavirus, with many scientists saying the evidence is too thin to recommend it now. HOW IS IT BEING USED? The drug can help tame an overactive immune system. It鈥檚 been used since the 1940s to prevent and treat malaria, and to treat rheumatoid arthritis and lupus. It鈥檚 sold in generic form and under the brand name Plaquenil in the United States. Doctors also can prescribe it 鈥渙ff label鈥 for other purposes, as many are doing now for COVID-19. (4/7)

There is also some evidence that some Americans have tried to self-administer chloroquine formulations in the wake of Trump鈥檚 comments. One eBay seller recently sold hundreds of packets of chloroquine phosphate 鈥 which is also marketed as an antiparasitic used in fish tanks 鈥 for hundreds of dollars apiece. And in Arizona, a man died after ingesting chloroquine phosphate to guard against the coronavirus. Below, STAT fact-checks Trump鈥檚 full remarks on hydroxychloroquine from his Sunday briefing. (Facher, 4/6)

India, the world鈥檚 main supplier of generic drugs, said on Tuesday it will allow limited exports of the anti-malaria drug hydroxychloroquine that U.S. President Donald Trump has touted as a potential weapon in the fight against the coronavirus. (Dasgupta and Miglani, 4/6)

In mid-March, a cryptocurrency investor, a law school graduate and a self-described philosopher found each other on Twitter. They discussed their hopes that a little-known drug called hydroxychloroquine could help contain the accelerating coronavirus outbreak. Two days later, two of them published a paper about the drug鈥檚 potential on Google Docs, falsely claiming the imprimatur of two major universities and the National Academy of Sciences. (Nguyen, 4/7)

More than a dozen House Democrats on Monday called on the Trump administration to lift restrictions on research聽that uses human fetal tissue to allow for studies on potential treatment for COVID-19. The lawmakers argued in聽a letter聽to Health and Human Services Secretary Alex Azar that such studies could lead to developing coronavirus treatments more quickly. Public health officials have estimated that a vaccine will not be available for at least another 12 to 18 months. (Marcos, 4/6)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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