What you need to know about rising flu cases and bird flu concerns

As avian flu drives egg prices to record levels and increasingly poses a risk to humans, moves by the White House to cut spending and restrict communications have hobbled public health officials’ response, with the new administration yet to outline a clear strategy on how it plans to stem the spread of the virus.

State and local public health officials have gone weeks without regular updates on avian flu from the Centers for Disease Control and Prevention after President Donald Trump froze nearly all external communications from the agency, said a person familiar with the situation. It wasn’t until this week that some of those communications began to resume, the person said.

Widespread funding cuts across the government and new restrictions on funding for National Institutes of Health grants have also created uncertainty among infectious disease researchers and local health officials, who are unsure about what resources they will have to work with going forward. Meanwhile, cuts to the U.S. Agency for International Development have limited monitoring of the virus overseas.

“When you add that uncertainty, it plays into what health departments can do when their entire funding situation is at risk,” said Adriane Casalotti, chief of government and public affairs for the National Association of County and City Health Officials. “It makes it even harder to do more when you don’t think you’ll have the resources or they might get pulled out from under you.”

At the same time, key positions in the Trump administration central to responding to the threat of a pandemic have remained unfilled. And the secretaries running the Health and Human Services and Agriculture departments weren’t confirmed until this week, though bird flu was one of the first items on Agriculture Secretary Brooke Rollins' agenda after her confirmation.

The disruptions come at a potentially perilous time. The virus has been decimating poultry flocks, causing egg prices to more than double. It has been showing signs it can evolve to more easily thrive in a variety of species, including a new strain detected among dairy cattle this month. While there are no indications the virus can be transmitted among humans, at least 68 people in the U.S. have contracted avian flu and one person has died, according to the CDC. Researchers worry that the more the virus replicates, the more opportunities it will have to develop a mutation that would enable it to spread easily from human to human.

“This is getting more and more dangerous and urgent, and the scientific community is setting off alarm flares,” said Stephen Morrison, who directs the global health policy center at the Center for Strategic and International Studies. “But are they translating into the government moving at a faster pace or with a different resolve? No. Instead, we’re in a period of confused transition that’s been made worse by the disruptions in government function and the normal slowness of getting the new team in.”

The White House didn’t respond to a request for comment on its strategy for addressing avian flu and what additional steps it planned to take to address the spread of the virus.

Rollins, who was confirmed by the Senate Thursday, told reporters that she had a briefing in the Oval Office Thursday night and would be announcing more on the department’s plan to address egg prices “in the coming days.”

“We are looking at every possible scenario to ensure that we are doing everything we can in a safe, secure manner, but also to ensure that Americans have the food that they need,” Rollins said when asked about the price of eggs. “And as a mom of four teenagers, actually, I fully understand and feel the pain of the cost of these eggs.”

White House National Economic Council Director Kevin Hassett said in an interview on MSNBC Thursday that the Trump administration would soon have a strategy now that Rollins has been confirmed.

“It turns out, President Biden’s team didn’t have an avian flu strategy, and now we’re about to have one, as soon as Brooke Rollins is at the Department of Agriculture,” said Hassett.

In a statement on egg prices earlier this week, the White House said Rollins would take “bold, decisive action to address the crisis” by refocusing the agency tasked with stopping the spread of the virus among animals “on its core mission: protecting the health of the United States’ plants, animals, and natural resources while simultaneously lowering costs.”

So far, though, public health officials say the White House has created more confusion than clarity.

In West Virginia, Michael Kilkenny, head of the Huntington Health Department, said he hasn’t been getting regular updates from the CDC for the past several weeks.

“We just don’t know what’s happening right now. We don’t know if this is expanding into our area if we aren’t getting that communication from the CDC,” said Kilkenny. “In more rural areas, there are small health departments that, without the information they need coming from the CDC, they’re not going to be able to inform their small-flock farmers, poultry farmers or higher-risk agricultural workers that depend on the local health department for information or services.”

The prospect of potential federal funding cuts have also caused his and other health departments he works with to begin contingency planning and put hiring and new projects on hold.

“We are holding on hiring and we are holding on planning while we are waiting to see that there is clear evidence that things are going to be funded before we can spend our work time planning or even submitting for a project,” said Kilkenny. “That is how this disrupts us.”

Along with limiting CDC communications with local health officials, the World Health Organization has also been receiving limited information on the spread of avian flu in the U.S. since Trump signed an executive order to withdraw from the global health organization, WHO director-general Tedros Adhanom Ghebreyesus said during a Feb. 12 press conference.

The “near-total communication freeze” at public health agencies “is deeply unprecedented, and that alone scares me more than anything else,” said Jennifer Nuzzo, director of the pandemic center at the Brown University School of Public Health.