Paul Elias Alexander

Alexander and Caputo came under scrutiny for their months-long efforts to exert control over the public messaging of scientists and health officials regarding the coronavirus pandemic in the United States, in particular for efforts to influence the public messaging of the Centers for Disease Control (CDC) so that it would be more compatible with Trump's public statements.[5][8] Alexander's efforts were focused on the CDC's widely read Morbidity and Mortality Weekly Report (MMWR), which Caputo and Alexander regarded as containing "political content"; Alexander tried unsuccessfully to get all issues of MMWR held up until personally approved by him.[9]

Emails written by Alexander and Caputo detailed an attempt to silence career CDC scientists and question their findings as part of what current and former CDC officials called a "campaign of bullying and intimidation" that stretched for five months.[10] After Dr. Anne Schuchat, the principal deputy director of the CDC, who worked at the agency for 32 years, gave an interview to the Journal of the American Medical Association in which she urged the use of face masks to prevent the spread of the virus, Alexander emailed Caputo calling Schuchat "duplicitous" and claimed, "Her aim is to embarrass the president."[10] On June 20, 2020, Alexander sent a message to CDC Director Robert R. Redfield, criticizing a CDC report about risks to pregnant women from COVID-19. Alexander said that the report, whose limitations the CDC had acknowledged, would "frighten women" and give the impression that "the President and his administration can't fix this and it is getting worse". He said that in his "opinion and sense" the CDC was "undermining the president by what they put out".[11] A congressional committee has asked him to testify in September to give information about his interactions with CDC regarding COVID-19 deaths and infections, hydroxychloroquine as a treatment, and the impact the virus has on children. On August 8, 2020, Alexander wrote to Redfield that "CDC to me appears to be writing hit pieces on the administration"; he asked Redfield to change reports that had already been published and demanded that he be allowed to review and edit MMWR before publication.[8]

In August and early September 2020, Alexander sent several messages to press officers at the National Institutes of Health attempting to direct Dr. Anthony Fauci's media comments.[3] Among his demands were that Fauci should refrain from promoting the wearing of masks by children in school and COVID-19 testing of children.[3] Fauci later said that he had not received the messages and would not have been influenced by them if he had.[3]

In a Facebook Live video posted on his personal website on September 14, 2020, Caputo promoted a variety of what the New York Times described as "false accusations" and "bizarre conspirac[y]" theories.[12] The Times reported that he accused the CDC of harboring a "resistance unit" determined to undermine Trump; accused the CDC scientists of "sedition" and "rotten science"; and called upon Trump supporters to prepare for an insurrection.[12] In the same video, Caputo called Alexander a "genius" and defended his actions.[12][5] Two days later, HHS announced that Caputo would take a 60-day medical leave of absence from HHS, and that Alexander would permanently leave the department.[5][13] At a Senate hearing the same day, Redfield said he was "deeply saddened" by Caputo's claims, said they are "not true", and said that "The scientific integrity of the MMWR has not been compromised, and will not be compromised on my watch."[5] Two days after Alexander was ousted and Caputo went on leave, the CDC reversed its much-criticized statement saying that asymptomatic people who have been in close contact with a person infected with the coronavirus did not need to receive COVID-19 testing;[10] the statement had been placed on the CDC website by HHS leadership and the White House, over the objections of scientists and without going through the usual CDC scientific review process.[14]

McMaster University also distanced itself from Alexander, saying, "As a consultant, he is not speaking on behalf of McMaster University or the Department of Health Research Methods, Evidence, and Impact."[5]

In an interview with the Toronto Globe and Mail after his departure from HHS, Alexander defended his actions, stating that he had wanted the CDC to make their reports "more upbeat so that people would feel more confident going out and spending money", and that he "did not think agencies should contradict any president's policy".[15] Alexander also asserted that he was better suited than CDC scientists to assess data, saying: "None of those people have my skills. I make the judgment whether this is crap."[10][2]