Coronavirus: Top US health official clashed repeatedly with his superiors over pandemic

Bright disagreed with ‘culture of cronyism that didn’t emphasise scientific data’

Rick Bright: recently ousted director of the US Biomedical Advanced Research and Development Authority.
Rick Bright: recently ousted director of the US Biomedical Advanced Research and Development Authority.

A top US health official who said he was ousted over his concerns regarding a drug pushed by the Trump administration for the coronavirus also clashed repeatedly with his superiors over other issues related to the pandemic, according to a complaint the official filed on Tuesday.

Rick Bright, who had served as the director of the Biomedical Advanced Research and Development Authority (Barda) until the end of last month, disagreed with his supervisors at the Department of Health and Human Services over the seriousness of the threat of the novel coronavirus, shortages of protective gear and contracts that went to companies with political connections.

Attorneys for Bright filed the complaint with the Office of Special Counsel. The document says Bright’s former boss, assistant secretary for preparedness and response Robert Kadlec, created a culture of cronyism that didn’t emphasise scientific data.

Bright, who was moved to a less visible role at the National Institutes of Health (NIH), wants to remain as Barda director.

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“Dr Bright was transferred to NIH to work on diagnostics testing – critical to combating Covid-19 – where he has been entrusted to spend upwards of $1 billion to advance that effort,” said Caitlin Oakley, an HHS spokeswoman. “We are deeply disappointed that he has not shown up to work on behalf of the American people and lead on this critical endeavour.”

Bright’s complaint outlines his concerns over contracts he says HHS officials pushed based on political considerations rather than scientific data. He raised red flags regarding hydroxychloroquine and chloroquine, two drugs Trump and his administration had touted as Covid-19 treatments despite a lack of clinical evidence.

“Dr Bright opposed the broad use of chloroquine and hydroxychloroquine as lacking scientific merit,” the complaint said, “even though the administration promoted it as a panacea and demanded that New York and New Jersey be ‘flooded’ with these drugs, which were imported from factories in Pakistan and India that had not been inspected” by US drug regulators.

Bright was specifically concerned that Bayer AG’s donation of one million chloroquine doses to the strategic national stockpile consisted of drugs made in uninspected overseas factories. He said in the complaint he was told March 23rd to “drop everything” and make the donation available to the American public. The Food and Drug Administration has said it tested the pills’ quality.

Bright pushed to make the drugs available only in a limited pilot and then worked with the FDA’s Janet Woodcock, who leads the agency’s drug centre, to craft an emergency authorisation for the drug that limited it to hospitalized patients. The emergency authorisation “would better protect patients by enabling physicians to closely monitor their progress in a hospital setting and treat any side effects of the drug”, according to the complaint.

Bright also says he tried to warn HHS secretary Alex Azar and other officials about the seriousness of the virus and the nation’s lack of preparedness on January 23rd. He was later told that raising his concerns and pushing for federal funds for Barda created a controversy and offended HHS leadership. – Bloomberg