President Donald Trump said Friday his administration was now recommending Americans wear “non-medical cloth” face coverings, a reversal of previous guidance that suggested masks were unnecessary for people who weren’t sick.
Trump said the recommendations, which came after a week of heated deliberations inside the White House, were voluntary and that he would not partake.
“I don’t think I’m going to be doing it,” he said, going on to suggest it was hard to envision such a thing in the Oval Office: “Wearing a face mask as I greet presidents, prime ministers, dictators, kings, queens — I just don’t see it.”
After weeks of insisting Americans should not wear face masks to prevent the spread of coronavirus — and even suggesting their use could increase the chance of infection — administration officials this week engaged in an internal debate over reversing course, according to people familiar with the matter.
Behind the scenes, officials were divided about the wisdom of advising Americans to cover their faces in public, which some fear could cause a lapse in the social distancing efforts that remain officials’ best hope of preventing further spread.
At stake was another turnabout for a White House that has sown confusion with its response to the coronavirus pandemic sweeping the nation. The debate over masks has come to encapsulate a federal effort marked by repeated reversals, conflicting recommendations, low stockpiles and competing for internal interests that often lead to muddled messaging.
Speaking at the White House briefing on Friday, the US surgeon general acknowledged the change in position had stoked some uncertainty.
“It has been confusing to the American people,” Dr Jerome Adams said. He described the change as spurred by new information suggesting people without symptoms may account for a significant amount of transmission.
The guidelines, Adams said, would suggest Americans wear cloth face masks in public settings where social distancing guidelines are difficult to maintain, such as grocery stores.
Senior officials at the CDC told the White House this week that stronger guidelines were necessary to prevent the virus from spreading between asymptomatic people, according to people familiar with the internal discussions.
The agency sent memos to the White House outlining their recommended guidance this week, people familiar with the documents said. They made clear that cloth face coverings — not medical-grade masks — were being recommended.
But after receiving them, some of Trump’s advisers cautioned a nationwide recommendation might have negative side effects and advocated something more limited in scope, potentially only in areas that are hardest hit.
The debate played out in meetings of the coronavirus task force in the White House Situation Room, where the issue first arose again early this week. Officials engaged in a “serious discussion” of the topic, according to a source close to the conversations.
“That is being discussed really very actively. We were discussing it actively today in the task force and I can assure you, it’s going to be on the agenda tomorrow,” Dr. Anthony Fauci said on CNN on Thursday evening. “Given the fact that we know that asymptomatic people are clearly transmitting infection, it just makes commonsense that it’s not a bad idea to do that.”
The CDC said on its website as of last month that it “does not recommend that people who are well wear a face mask to protect themselves from respiratory diseases, including COVID-19.”
And officials were vocal that Americans not go out to purchase masks.
“It is not necessary for Americans to go out and buy masks,” Vice President Mike Pence said during an appearance on CNN on March 1. In late February, the Surgeon General tweeted: “Seriously people — STOP BUYING MASKS! They are NOT effective in preventing the general public from catching #Coronavirus, but if health care providers can’t get them to care for sick patients, it puts them and our communities at risk!”
Officials said those entreaties reflected a concern inside the administration that average Americans would begin stockpiling surgical masks or N95 respirators, making it difficult for hospital workers to access necessary gear.