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Fauci Versus Frontline Doctors and Science: Pandemic Malpractice

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Americans suffer and die unnecessarily in this pandemic. Frontline doctors are ready and willing to use an effective at home/outpatient remedy. But they are being blocked because their medical freedom has been squashed. Dr. Anthony Fauci has ensured that the government only addressed the COVID-19 pandemic through contagion control and hospital treatment. Missing is what other nations have pursued: early home/outpatient treatment to keep people with symptoms and/or a positive test result out of hospital. Which is why they have much lower death rates.

Collusion between Fauci and leftist media block information and access to a hydroxychloroquine cocktail proven safe and effective by some courageous doctors offering home treatment. Countering his very positive image created by leftist media, this article digs deep into who Fauci really is and what he has done. Rather than following science and pursuing a complete public health strategy, he has seriously harmed Americans. He alone, it will be shown, accounts for at least half of deaths in the US.

1. The fight for HCQ based on good science is being defeated by Fauci controlled government and media bias against HCQ. He has killed medical freedom. Fauci biggest blunder, actually malpractice, is his emphasis on contagion control and hospitalized victims of the virus. He has stubbornly refused to acknowledge a mountain of evidence proving home, outpatient actions by doctors keeps people well and out of hospital. Here are examples of important data.

In those countries with wide early use of HCQ the death rate is 71 percent lower than in those nations, like the US, where its use has been limited by government. Close to 600,000 people have been saved worldwide. The data imply a saving of over 150,000 US lives, a figure that will increase as the number of deaths, sadly, keeps increasing without using home/outpatient use of HCQ.

Recently Dr. Harvey Risch said: “Many or most of the 220,000 deaths in the United States to date could have been prevented by widespread HCQ use that the FDA blocked. It is the FDA that is responsible for these deaths, not the president.” But Fauci is the power behind the throne, dictating FDA actions.

Frontline doctor Brian Tyson said that he has cured over 1,900 patients, and has said that between 75 and 80 percent of the over 200,000 deaths thus far could have been prevented by using HCQ!

A White Paper by Dr. Simone Gold concluded: “What we do know is that 70,000-100,000 excess American lives have been lost due to lack of access to HCQ.” The best website to help people get the proven early home care remedy is America Front Line Doctors.

Dr. Zev Zelenko a pioneer in using a HCQ cocktail, including zinc, that cut hospitalizations by 84 percent, started a petition in October, naming Fauci and other government officials who blocked HCQ use in March, noting: “Over 160,000 people were hospitalized and died unnecessarily. Let’s make life saving treatment available and end the pandemic. Let’s bring these criminals to justice.” Will this petition work? Not likely.

Another petition effort by top Texas doctors in July together with a direct request to FDA to unblock access to HCQ failed. This was emphasized: “At a statistically significant level, early-use hydroxychloroquine alone was associated with a 51 % reduction in the mortality rate of COVID patients receiving an early five-day course of hydroxychloroquine.”

A lawsuit by the Association of American Physicians and Surgeons against the FDA aims at releasing the federal HCQ stockpile. It makes the point: “They care more about their power over the HCQ Stockpile than the lives being lost daily without access to it.” Also: “Foreign countries have kept their mortality rates far lower – sometimes 90% lower – than the United States’ rate, by encouraging use of HCQ.”

And this group has published the excellent “A Guide to Home-Based COVID Treatment” that embraces early use of a HCQ cocktail. It makes this key point: “Zinc is critical. It helps block the virus from multiplying. Hydroxychloroquine is the carrier taking zinc INTO the cells to do its job.” Another key point: “During the ten days that Defendants took to file their mostly non-substantive opposition brief, roughly another 10,000 Americans died without timely access to HCQ.” Other drugs that also can be used early include: ivermectin, bromhexine, faviprivir, bamlanivimab, antibiotics, and steroids.

For early use of HCQ, 155 studies have shown a 64 percent reduction in negative virus impacts, hospitalizations or deaths. Early treatment studies are 100 percent effective.

But Fauci gets away with not refuting specific data. And has prevented the federal stockpile of HCQ being used by frontline doctors. In a recent Fauci article this statement undercuts his persistent claim that only randomized clinical trials can prove HCQ safe and effective, a view that has been thoroughly debunked: “Observational studies have substantial limitations but can be instructive.” Many of these support HCQ use.

The eminent Dr. Peter McCullough got it right: “HCQ was singled out as a political football early in spring. … [Fauci’s] opposition has become a rallying cry of the left-leaning mainstream media’s ‘Hydroxy Hysteria.’ The politicization of HCQ is an ongoing tragedy.” He got COVID-19 and used HCQ as part of his treatment protocol.

NIH officially says that it “does not recommend any specific antiviral or immunomodulatory therapy for the treatment of COVID-19” for non-hospitalized patients. This puts physicians in a terrible position who want to use what works. Moreover, over 40 state medical and pharmacy licensing boards and governors prohibit doctors from prescribing HCQ and patients from obtaining it.

Americans must understand that home/outpatient care is the missing, key element in the government’s management of the COVID-19 pandemic. They must shift their trust to frontline doctors who have a weapon against the virus as the latest activity of America’s Frontline Doctors proclaimed.

The Economic Standard deeply examined HCQ and concluded: “By systematically misrepresenting HCQ’s efficacy and safety for political ends, its opponents have deprived many tens of thousands of Americans of a potentially life-saving treatment and risk even more in the months and years to come. Members of the news media, public health community, and regulatory agencies must stop politicizing the use of this medicine…The burden of proof has been met. HCQ should be more widely recommended, prescribed and promoted to treat COVID-19 right now.

The main point regarding all these data and conclusions is that there is substantial evidence on the side of using HCQ and that the media-hyped meme that Fauci is a trusted expert is nonsense. In his essay “How Expert Worship Is Ruining Science” Pasha Kamyshev made this astute observation: “The debate over HCQ has both sides thinking the other is killing people. One side happens to be right. History will not judge those who were wrong on this very kindly.” To be crystal clear: Fauci is wrong. But as long as he prevails more people die unnecessarily every day.

2. In his emphasis on contagion control, Fauci continually promotes public fear, anxiety and loss of freedoms by promoting masks and lockdowns. Though necessary to some extent, it has failed in getting even close to ending the pandemic. An insightful analysis says it all in its headline: “Italy Did Everything Fauci Recommends. Now, They Have Near Record-Breaking Virus Numbers.” The New England Journal of Medicine received attention when it said in May: “wearing a mask outside health care facilities offers little, if any, protection from infection…universal masking alone is not a panacea …masks serve symbolic roles.” Also in May, as to wearing masks, Fauci said: “I think we should be recommending it.” But in October as soon as candidate Biden talked about a national mandate for masks, Fauci said it would be a “great idea” to have a national mask mandate. Fauci is not just a tool of the left; he is a leftist. Moreover, Fauci also said that constitutional states’ rights helped explain why the pandemic was not being overcome.

3. He is close to big drug companies who want to make billions of dollars selling medicines, vaccines and treatments. Example: His pushing the expensive drug remdesivir for hospitalized patients only while ignoring home/outpatient care using inexpensive generic medicines. It can make billions of dollars for Gilead. The government spent at least $70.5 million of taxpayer money on its development. He got the drug approved before usual phase 3 testing was completed, and paid for the clinical trial. Significantly, the NIH advisory panel that reviewed remdesivir for the FDA had, among 54 scientific panel members 18 with financial ties to pharma companies

A recent study by WHO produced negative findings for this drug. Science Magazine did a thorough examination of remdesivir. Consistent with all of its findings is this: “The bottom line from the trials so far is there simply isn’t enough evidence that remdesivir works, says Jason Pogue, president of the Society of Infectious Diseases Pharmacists.”

A detailed examination of remdesivir concluded: “When you consider that Fauci, by virtue of being NIAID’s director, has a vested interest in the development of remdesivir, and that it was he who declared the results to be ‘highly significant,’ it certainly suggests that he, too, should be declaring a conflict of interest in remdesivir’s fate.” It is now fully approved for hospital use despite much evidence against it.

4. Fauci the fearmonger rarely provides relevant specific facts, numbers and details. He is a master of generalities and hedging language. He routinely emphasizes the number of rising cases but not the number of declining death rates as many people get cured naturally, and better hospital treatments curb deaths. Judy Mikovits who worked at NIH for many years warned:, what Fauci “is saying is absolute propaganda.”

Fauci is brilliant at using soft language to deliver a hard blow. Recently, he told a conference of infectious disease experts that the covid pandemic is worse in the US because of a failure to avoid crowds. First, at least 20 countries have a higher death rate per number of confirmed cases. Second, Americans have more serious underlying health problems, such as obesity. heart problems, and diabetes, often with poor access to health care.

At another conference Fauci emphasized that it is “absolutely essential” to have full transparency, subtly criticizing President Trump for saying that early in the pandemic he did not want to panic everyone. Yet early on Fauci said wearing masks was not necessary. Later he said he was originally afraid of making it difficult for frontline health providers obtaining masks. So, his lack of transparency was okay.

5. As a globalist he has not condemned China for intentionally creating the global pandemic or the World Health Organization for its many failures. Fauci has had a long relationship with both China and the WHO. With an annual budget of near $6 billion he has funneled money to help create the China Wuhan lab that produced COVID-19 ($7.4 million). Early in the pandemic he praised China’s response efforts that WHO championed and China’s transparency, but this did not hold up under scrutiny. As a federal civil servant, he has not always put his country ahead of the interests of China and the WHO.

6. Fauci is a self-serving narcissist, now a household name. He uses every opportunity to keep his name ubiquitous. This is how he maintains power. He opines on all aspects of life, like advising Americans to not celebrate Thanksgiving with family. The highest paid federal employee – $417,608 versus $400,000 for the president – also makes big money, legally, in other ways. Ken McCarthy revealed: “The Albany Medical Center gave him half a million dollars for ‘science innovation.’ Now, it just happens that Albany Medical Center lives on NIH grants.”

7. He poses as a public health official, but does not fully acknowledge all the negative impacts of actions he advocates. Particularly, he ignores many negative health impacts from contagion controls, especially lockdowns that seriously harm American society and economy. Neither is Fauci an epidemiologist. Trained as a physician, he is a super-bureaucrat who has largely supplanted CDC, the Surgeon General and FDA. A new investigation revealed his power to control whether any vaccine gets approved or not. It noted “Dr. Anthony Fauci will see data from government-funded vaccine trials before the FDA does.”

8. He is the epitome of a deep state operative. Though on the White House pandemic task force he subversively undermines efforts by frontline doctors and the president. On an extensive interview on CBS 60 Minutes he complained about having constraints from the White House on media appearances. On 6o Minutes! He has opined against White House events being unsafe. But he did not condemn the many leftist [black lives matter] street protests and riots in many cities with huge numbers of people without masks in close proximity to each other.

Fauci opined recently that President Trump resuming in-person rallies is “asking for trouble.” But a recent analysis found that “there is no verifiable evidence to show that Trump rallies have meaningfully increased the spread of Covid-19.” Emma Colton put Fauci on the spot by getting him to refuse to criticize a large women’s march as a virus spreading event, in contrast to his widely spread comment criticizing a rather small White House event.

At a recent conference Dr. Fauci said that the first COVID-19 vaccines will aim to reduce symptoms but not necessarily prevent infection. This undermines President Trump’s emphasis on vaccine use as well as public interest in using a vaccine.

Fauci recently said: “it will be easily be the end of 2021 and perhaps even into the next year before we start having some semblances of normality.” This undermines the positive stance of President Trump and cannot possibly make the public feel good.

9. With his huge annual budget of nearly $6 billion, he dispenses about $4 billion a year to outside people and groups. Many physicians and epidemiologists have widely divergent professional opinions. But they fear talking about Fauci and losing financial support. Several frontline doctors sent a detailed letter in August with many serious questions, but Fauci did not respond. One of those doctors observed “rigorous questioning of Dr. Fauci with challenges from his peers has never has occurred. Dr. Fauci’s opinions remain not only unchallenged, but those with opposing views are censored.”

10. Don’t be fooled by his grandfather demeanor. Recognize that he is a subversive collaborator with the leftist media campaign against President Trump. Worse, as a physician he has failed his oath to first do no harm. Daily, the mainstream media treat Fauci as a deity, but there have been some critics with wise observations, mostly in conservative media. These views counter the propaganda of the mainstream media.

Jim Hoft said: “From the beginning of this pandemic Fauci has been completely misguided and inaccurate in his predictions and treatment of the Chinese COVID-19 virus.”

Brent Smith asked the right question: “How does Dr. Anthony Fauci still have a job? He’s part of the Inside-the-Beltway Deep State and has attempted to undermine the president since he was elevated to the position of Doctor COVID Know-it-All.”

Thomas Lifson made this wise observation: “The suppression of the use of hydroxychloroquine in combination with zinc to treat COVID-19 amounts to the biggest public health scandal since the Tuskegee Study.”

Stacey Lennox correctly noted: “Every possible outpatient treatment from HCQ to inhaled corticosteroids have been suppressed or ignored by the NIH and FDA and Dr. Fauci specifically. This dismissal of early outpatient treatment is unconscionable as is the suppression and silencing of clinicians who have observational data to share from caring for actual patients.”

On the FDA stopping HCQ use, Dr. Kristin Held, president of the American Association of Physicians and Surgeons, said it “contributed to increased COVID cases and death…. Who bears responsibility for such evil? …Dr. Fauci failed us. We were not prepared, and preparedness was his charge. He can no longer be trusted.”

But all these truth-telling efforts have, so far, failed to budge Fauci, FDA and NIH into a new position unblocking HCQ use for early home/outpatient use. Evidence of this failure is that on November 1 just ahead of the presidential election the Washington Post had a full-page story with the headline “Fauci offers blunt assessment of what lies ahead in U.S.” In it Fauci praised Biden’s approach over Trump’s, again revealing Fauci’s leftist commitment.

The next day the Washington Post had another full-page story on the White House bypassing FDA to distribute HCQ from the national stockpile. Only at the end of the story is there some limited attention to doctors using HCQ for treating COVID-19 patients, including 400,000 prescriptions for HCQ from May through August. At the same time another Washington Post story on the possible firing of Fauci after the presidential election does not justify it on the basis of his failure to save lives. All three articles miss the critical point. Missing from the official government-Fauci strategy is early home/outpatient treatment, as used successfully in some nations. This is being defeated by politics, not science. Would firing Fauci open the door for this missing approach?

A letter to the editor sent to the Post by three eminent doctors made this important observation: “Now Fauci is the architect of 200,000 needless deaths from COVID-19, while he pushed the approval of the now-discredited remdesivir by larding his review panels with inordinate members having economic ties to its manufacturer. There are clinically-established medications to treat COVID-19 immediately when it becomes symptomatic: hydroxychloroquine, ivermectin, bromhexine, faviprivir, bamlanivimab, antibiotics, steroids, zinc, vitamins, on-and-on. But Fauci did not direct NIH randomized trials of early use of these medications. Instead he gambled away millions of lives on a strategy of late-stage hospitalization with remdesivir and the rest of us sheltering in place in fear, waiting to be saved by a COVID-19 vaccine of unknown effectiveness.”

Need more proof that the pro-HCQ battle is being lost? The day before the first Post story a medical publication had an article by a senior doctor with impeccable credentials making the point that studies on HCQ “conclusively demonstrated the drug’s lack of efficacy.”

In sum, Americans, including politicians, stop trusting Fauci if saving lives and preventing hospitalizations are paramount. Understand that he has cut medical freedom, preventing doctors from using their best judgment to keep patients healthy and out of hospital. Follow the science. Stop following Fauci. Stay with this question: How many more will die unnecessarily due to not getting the available, proven treatment? Do not remain stuck on stupid.

Dr. Hirschhorn has long worked on health issues, including being a full professor at the University of Wisconsin, Madison, directing a research program between the colleges of engineering and medicine; also, a senior official at the Congressional Office of Technology Assessment and the National Governors Association. He has authored a number of books and hundreds of articles and has served as an executive volunteer at a major hospital for over ten years. He is active with a network of physicians and epidemiologists advocating early home/outpatient care to keep Americans out of hospital and is a member of the American Association of Physicians and Surgeons.

Covid-19 Vaccine Protocols Reveal That Trials Are Designed To Succeed Not Save Lives

Covid-19 Vaccine Protocols Reveal That Trials Are Designed To Succeed

  • close inspection of the protocols raises surprising concerns.
  • These trials seem designed to prove their vaccines work, even if the measured effects are minimal. 
  • Prevention of infection is not a criterion for success for any of these vaccines.
  • the implicit conclusion that the vaccines are not expected to prevent infection, only modify symptoms of those infected.
  • Moderna, Pfizer, and AstraZeneca—do not require that their vaccine prevent serious disease only that they prevent moderate symptoms
  • These vaccine trials are testing to prevent common cold symptoms. 
  • One of the more immediate questions a trial needs to answer is whether a vaccine prevents infection. If someone takes this vaccine, are they far less likely to become infected with the virus? These trials all clearly focus on eliminating symptoms of Covid-19, and not infections themselves. Asymptomatic infection is listed as a secondary objective in these trials when they should be of critical importance. 
  • These protocols do not emphasize the most important ramifications of Covid-19 that people are most interested in preventing: overall infection, hospitalization, and death. It boggles the mind and defies common sense that the National Institute of Health, the Center for Disease Control, the National Institute of Allergy and Infectious Disease, and the rest would consider the approval of a vaccine that would be distributed to hundreds of millions on such slender threads of success.

Hong Kong Flu VS Woodstock

Chief Science Officer for Pfizer Says “Second Wave” Faked on False-Positive COVID Tests, “Pandemic Is Over” – Global ResearchGlobal Research – Centre for Research on Globalization

https://www.globalresearch.ca/chief-science-officer-pfizer-says-second-wave-faked-false-positive-covid-tests-pandemic-over/5724753

  • In 1968 the Hong Kong Flu hit the US (.5% IFR,) taking 100,000 people when the US had a markedly lower population. Not single alarm was raised, not a single store closed nor even a network news story. The following summer the largest gathering in US history took place, Woodstock.
  • Mass hysteria is never accidental, but benefits someone.
  • half or even “almost all” of tests for COVID are false positives. Dr. Yeadon also argues that the threshold for herd immunity may be much lower than previously thought, and may have been reached in many countries already.
  • given the “shape” of all important indicators in a worldwide pandemic, such as hospitalizations, ICU utilization, and deaths, “the pandemic is fundamentally over.”
  • “Were it not for the test data that you get from the TV all the time, you would rightly conclude that the pandemic was over, as nothing much has happened. Of course people go to the hospital, moving into the autumn flu season…but there is no science to suggest a second wave should happen.”
  • The survival rate of COVID-19 has been upgraded since May to 99.8% of infections. This comes close to ordinary flu, the survival rate of which is 99.9%.
  • “It is now established that at least 30% of our population already had immunological recognition of this new virus, before it even arrived…COVID-19 is new, but coronaviruses are not.”
  • “…epidemiological studies show that, with the extent of prior immunity that we can now reasonably assume to be the case, only 15-25% of the population being infected is sufficient to bring the spread of the virus to a halt…”
  • The authors explain that what the PCR test actually measures is “simply the presence of partial RNA sequences present in the intact virus,” which could be a piece of dead virus which cannot make the subject sick, and cannot be transmitted, and cannot make anyone else sick.
  • Dr. Yeadon builds the case that any “second wave” of COVID, and any government case for lockdowns, given the well-known principles of epidemiology, will be entirely manufactured.
  • “going off current testing practices and results, Covid-19 might never be shown to disappear.”
  • Of course, the most famous incidence of PCR test unreliability was when the President of Tanzania revealed to the world that he had covertly sent samples from a goat, a sheep, and a pawpaw fruit to a COVID testing lab. They all came back positive for COVID.
  • In August, the government of Sweden discovered 3700 false COVID positives from test kits made by China’s BGI Genomics. The kits were approved in March by the FDA for use in the US.
  • Another argument made by Yeadon et al in their September paper is that there has been no difference in outcomes related to lockdowns.
  • “The shape of the deaths vs. time curve implies a natural process and not one resulting mainly from human interventions…Famously, Sweden has adopted an almost laissez faire approach, with qualified advice given, but no generalised lockdowns. Yet its profile and that of the UK’s is very similar.”
  • “It’s important that you know most scientists don’t accept that it [Ferguson’s model] was even faintly right…but the government is still wedded to the model.”
  • Yeardon joins other scientists in castigating governments for following Ferguson’s model, the assumptions of which all worldwide lockdowns are based on.
  • Sweden now has a lower death rate per-capita than the US, which it achieved without the terrific economic damage still ongoing in the US. Sweden never closed restaurants, bars, sports, most schools, or movie theaters. The government never ordered people to wear masks.
  • Dr. Yeadon speaks bitterly of the lives lost as a result of lockdown policies, and of the “savable” countless lives which will be further lost, from important surgeries and other healthcare deferred, should lockdowns be reimposed
  • One opinion was put forth by US Representative Thomas Massie (R-KY) when he said on the Tom Woods Show on August 16th:

    “The secret the government is keeping from you is that they plan to keep us shut down until there is some kind of vaccine, and then whether it’s compulsory at the federal level, or the state level, or maybe they persuade your employers though another PPP program that you won’t qualify for unless you make your employees get the vaccine, I think that’s their plan. Somebody convince me that’s not their plan, because there is no logical ending to this other than that.”

  • In 1957, a pandemic hit, the H2N2 Asian Flu with a .7% Infection Fatality Rate, which killed as many people per capita in the US as the COVID has claimed now. There was never a single mention of it in the news at the time, never mind the extraordinary upheaval that we see now.

CORONAVIRUS Testing Change

Coronavirus: CDC quietly downplays testing need for asymptomatic people

  • The Centers for Disease Control and Prevention is no longer recommending testing for everyone who’s been exposed to Covid-19, saying people who don’t have symptoms “do not necessarily need a test.”
  • The agency quietly revised its testing guidance for asymptomatic individuals Monday, advising people who are vulnerable to the virus to get tested if they have been within 6 feet of an infected individual for at least 15 minutes.The agency previously recommended testing for anyone with a “recent known or suspected exposure” to the virus even if they did not have symptoms.
  • “You do not necessarily need a test unless you are a vulnerable individual or your health care provider or State or local public health officials recommend you take one,” the CDC’s site now says of people without symptoms who were in close contact with an infected person for at least 15 minutes. “A negative test does not mean you will not develop an infection from the close contact or contract an infection at a later time.”
  • “current best estimate” is that up to 50% of spread of the virus occurs before patients begin to experience symptoms.
  • Assistant Secretary for Health Adm. Brett Giroir, who leads the Trump administration’s testing effort, defended the policy change, saying it empowers local health officials and clinicians.
  • He also denied allegations of bowing to political pressure from the Trump administration.
  • “Let me tell you, right up front that the new guidelines are a CDC action,” he said, adding that members of the White House coronavirus task force, including Dr. Anthony Fauci and CDC Director Dr. Robert Redfield, discussed and agreed on the new guidelines. 
  • New York Gov. Andrew Cuomo also slammed the change in guidance, calling it “political propaganda” designed to support the reelection efforts of President Donald Trump.

Will The Real COVID-19 Worldview STAND-UP?

There are two competing Pandemic narratives. One pushed by people who are…untrustable. The other side…by people who are risking everything to speak sense into this chaotic and insane panic.”

Homicide by Government

Information without context.

Wearing a mask may soon be mandatory depending on where you live and this is causing a debate about whether or not masks are actually effective when it comes to protecting your health during a pandemic. Multiple studies have now concluded that masks are not only ineffective but they in fact offer a disadvantage to those who choose to wear them. In this video Dan Dicks of Press For Truth speaks with Denis Rancourt a PHD and former professor of physics at the University of Ottawa about a paper he wrote titled “Masks Don’t Work: A Review of Science Relevant to COVID-19 Social Policy” to discuss the science behind masks, why they don’t work and how society should handle this highly contentious issue moving forward.

Press for Truth

The ADA and Face Mask Policies

Disability Issues Brief: The ADA and Face Mask Policies

Disability Issues Brief

A project of the Southeast ADA Center and Burton Blatt Institute (BBI) at Syracuse University

Updated: 7/2/2020

Introduction

The COVID-19 pandemic has changed our world in many ways. People with disabilities, people with chronic health conditions such as heart disease, lung disease, and diabetes, and people over the age 60, are at a higher risk of becoming infected and most likely to become seriously ill. Safety measures such as social distancing, stay at home orders, and the wearing of face masks or cloth face coverings are now part of our daily lives. For the purposes of this document, the term “face mask” will be used for both face masks and cloth face coverings.

Wearing a face mask is one important way to slow the spread of COVID-19. The Centers for Disease Control and Prevention (CDC) recommends wearing a face mask in public places like grocery stores and pharmacies, where it is hard to stay six feet apart from other people. [1] Several state and local governments are requiring the use of a face mask when in public spaces.

Wearing a face mask may be difficult for some people with a disability. State and local government agencies or private businesses that want customers to use a face mask may have questions and concerns. This fact sheet offers answers to questions about the issue of face mask policies, reasons why a person with a disability might not be able to wear a face mask, and the legal rights a person has under the Americans with Disabilities Act (ADA).

May a state or local government agency or business require customers to wear a face mask?

On March 11, 2020, the World Health Organization (WHO) declared COVID-19 as a pandemic.[2] The Centers for Disease Control and Prevention (CDC) notes that studies have shown that many people who do not have symptoms of COVID-19 can spread the virus to other people. Because it takes four to fourteen days for someone to show symptoms, they also may infect others without knowing it. [3] This means that the virus can be shared between people who are close to each other. For example, people who are speaking, coughing, or sneezing may spread the virus even if they do not have symptoms.[4] Therefore, the CDC recommends that people over age two wear a face mask in public where it can be hard to stay six feet apart from others.[5]

Based upon the CDC guidance, a business or government agency may require customers to wear a face mask to limit the spread of COVID-19. Guidance from the CDC is likely to change as the COVID-19 pandemic evolves. Therefore, private businesses and government agencies should follow the most current information on maintaining safety by reviewing the Centers for Disease Control and Prevention (CDC) Coronavirus (COVID-19) information.

Is there a reason a person might not be able to wear a face mask?

The CDC states that a person who has trouble breathing, is unconscious, incapacitated, or otherwise unable to remove the face mask without assistance should not wear a face mask or cloth face covering.[6]

Examples of a person with a disability who might not be able to wear a face mask

  • Individuals with respiratory disabilities such as asthma, chronic obstructive pulmonary disease (COPD), or cystic fibrosis may not be able to wear a face mask because of difficulty in or impaired breathing. People with respiratory disabilities should consult their own medical professional for advice about using face masks. The CDC also states that anyone who has trouble breathing should not wear a face mask.[7]
  • People with post-traumatic stress disorder (PTSD), severe anxiety, or claustrophobia (an abnormal fear of being in enclosed or narrow places),[8] may feel afraid or terrified when wearing a face mask. These individuals may not be able to stay calm or function when wearing a face mask.
  • Some people with autism are sensitive to touch and texture. [9] Covering the nose and mouth with fabric can cause sensory overload, feelings of panic, and extreme anxiety.
  • A person who has cerebral palsy may have difficulty moving the small muscles in the hands, wrists, or fingers. Due to their limited mobility,  they may not be able to tie the strings or put the elastic loops of a face mask over the ears. This means that the individual may not be able to put on or remove a face mask without assistance.
  • A person who uses mouth control devices such as a sip and puff to operate a wheelchair or assistive technology, or uses their mouth or tongue to use assistive ventilators will be unable to wear a mask.

If a person with a disability is unable to wear a face mask, do I still have to allow them in my business or government agency?

Many state and local governments have either recommended or issued executive orders requiring people to use face masks in public. Private businesses have also developed policies requiring the use of face masks. The ADA does not have any rules that address the required use of face masks by state and local governments or private business owners.

If a person with a disability is not able to wear a face mask, state and local government agencies and private businesses must consider reasonable modifications to a face mask policy so that the person with the disability can participate in, or benefit from, the programs offered or goods and services that are provided. A reasonable modification means changing policies, practices, and procedures, if needed, to provide goods, services, facilities, privileges, advantages, or accommodations to an individual with a disability.[10] The requirement to modify a policy, practice, or procedure does not include individuals without disabilities, as they are not protected under the ADA.

Examples of reasonable modifications to a face mask policy

  • Allow a person to wear a scarf, loose face covering, or full face shield instead of a face mask;
  • Allow customers to order online with curbside pick-up or no contact delivery in a timely manner;
  • Allow customers to order by phone with curb-side pick-up or no contact delivery in a timely manner;
  • Allow a person to wait in a car for an appointment and enter the building when called or texted; or
  • Offer appointments by telephone or video calls.

Are there any situations when an agency or business does not have to provide a reasonable modification to the face mask policy?

There are three reasons under the ADA that a state or local government agency or private business may not have to provide a reasonable modification.

Fundamental Alteration

A state or local government agency or private business may not have to provide a reasonable modification if the modification would change the nature of the service, program, activity, goods, services, or facilities.[11][12] A fundamental alteration is a change to such a degree that the original program, service, or activity is no longer the same.[13]

  • Example of a fundamental alternation: A customer requests that a store deliver her items to her home as a reasonable modification so that she does not have to enter the store. The store does not offer a home delivery. Therefore, the store would not have to grant the request for home delivery since it would be a fundamental alteration of their services.

Undue Burden

A state and local government agency or private business is not required to take any action that it can demonstrate would result in an undue financial or administrative burden. An undue burden is a significant difficulty or expense.[14][15]

  • Example of an undue burden: A person would like to visit a municipal library when no other customers are present. He requests that staff allow him in 30 minutes before the building opens. This might be an undue burden for the library due to limited staffing.

Direct Threat

A state or local government agency or private business may not have to provide a reasonable modification to the face mask policy if the individual with a disability poses a direct threat to the health or safety of others.

A direct threat is a significant risk to the health or safety of others that cannot be eliminated by a modification of policies, practices, or procedures, or by the provision of auxiliary aids or services. [16][17] The determination that a person poses a direct threat to the health or safety of others may not be based on generalizations or stereotypes about the effects of a particular disability. It must be based on an individual assessment that considers the particular activity and the actual abilities and disabilities of the individual.[18][19]

During a pandemic, state and local government agencies and businesses should use the most up to date information from the Centers for Disease Control and Prevention (CDC), the U.S. Department of Labor Occupational Safety and Health Administration (OSHA), and the state public health agencies. Because the pandemic threat to health and safety will vary by region, you should consult your local public health agency for guidance.[20]

To limit a direct threat from the COVID-19 pandemic, a state or local government agency or private business may impose legitimate safety requirements necessary for safe operation. However, these groups must ensure that their safety requirements are based on real, specific risks, not on speculation, stereotypes, or generalizations about individuals with disabilities.[21][22] These safety requirements must be consistent with the ADA regulations about direct threat and legitimate safety requirements, and consistent with advice from the CDC and public health authorities.

In order to limit a direct threat and have safety requirements in place to address the COVID-19 pandemic, state and local government agencies and businesses may:

  • Develop policies and procedures for prompt identification and isolation of people with symptoms of COVID-19, including employees and customers;
  • Offer face masks to employees and customers;
  • Inform customers about symptoms of COVID-19 and ask sick customers to minimize contact with workers and other customers until they are healthy again;
  • Post signs with COVID-19 information in places that sick customers may visit (e.g., pharmacies, hospitals, public health agencies, grocery stores);
  • Include COVID-19 information in automated messages sent when messages are sent to customers via phone messages, text, or email; and/or
  • Limit customers in-person access to the buildings operated by a state or local government agency or private business, as appropriate.

How should I respond to a request for a reasonable modification to the face mask policy?

The U.S. Department of Justice issued two settlement agreements that provide guidance on the reasonable modification decision-making process.[23][24]

  1. Choose at least one person, and a back-up, who are authorized to receive and review requests for reasonable modifications. The decision-maker for a state or local government agency is the head of the public agency or their designee.[25]
  2. After receiving a request for a reasonable modification, talk with the individual with a disability to learn why the person needs to modify the face mask policy and to find a solution that meets ADA requirements. Decisions about reasonable modifications should be made in a timely manner.
  3. After the discussion, the government agency or private business may:
    1. Agree to the request.
      1. In most cases, businesses such as department stores, grocery stores, and pharmacies or government agencies such as the courthouse or drivers’ services, will be able to agree to the request without medical documentation.
    2. Request medical documentation about the person’s disability that is narrowly tailored and is absolutely necessary to:
      1. Verify that the individual meets the ADA definition of disability (i.e., has a physical or mental impairment that substantially limits one or more major life activities); or
      2. Describe the needed modification; or
      3. Show the relationship between the individual’s disability and the need for the requested modification.

      At this time, the U.S. Department of Justice or other federal agencies with enforcement authority have not provided guidance about whether a store can or cannot ask for medical documentation about a person’s inability to wear a mask due to a disability. Generally, guidance from the U.S. Department of Justice has not allowed asking for documentation for accommodations at businesses where you would have a brief interaction, such as grocery stores or pharmacies. A person with a disability typically does not carry disability documentation with them every place they visit. There are some places such as medical offices or hospitals that may need the medical documentation because a person who is not wearing a mask may infect other people who are sick.

    3. Deny the request. If a request for modification is denied, a state or local government agency or private business is encouraged to provide a written statement as to why the request was denied and provide a copy to the person with a disability, and keep a copy on file.

Best Practice Tip

Prepare a list of possible alternatives to a face mask/cloth face covering policy that you can share with people with disabilities who request a reasonable modification to your policy. (See: Examples of reasonable modifications to a face mask policy for examples of policy modifications.)

Summary

As the COVID-19 pandemic continues, state and local government agencies and private businesses must make reasonable modifications to allow people with disabilities to access the goods and services they offer. Following ADA requirements for reasonable modifications within federal, state, and local health and safety guidelines will allow you to keep employees and customers safe, reduce new infections, and still provide goods and services to everyone.

For more information about rights under the Americans with Disabilities Act (ADA) and how they apply to the coronavirus (COVID-19) pandemic, visit ADA, Disability & COVID-19 Resources (adacovid19.org). For questions and training on the ADA, contact your regional center in the ADA National Network at 1-800-949-4232 or visit adata.org. All calls are confidential. We do not give medical or legal advice. [Refer to: Disclaimer]

Endnotes

[1] Centers for Disease Control and Prevention. Recommendation Regarding the Use of Cloth Face Coverings, Especially in Areas of Significant Community-Based Transmission. (2020, April 3). Retrieved May 29, 2020, from https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/cloth-face-cover.html

[2] World Health Organization. (2020, April 27). WHO Timeline – COVID-19. Retrieved June 1, 2020, from https://www.who.int/news-room/detail/27-04-2020-who-timeline—covid-19

[3] Centers for Disease Control and Prevention. (2020, May 12). Clinical Questions about COVID-19: Questions and Answers. Retrieved June 4, 2020, from https://www.cdc.gov/coronavirus/2019-ncov/hcp/faq.html#Transmission

[4] Centers for Disease Control and Prevention. (2020, April 3). Recommendation Regarding the Use of Cloth Face Coverings. Retrieved June 2, 2020, from https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/cloth-face-cover.html

[5] Centers for Disease Control and Prevention. (2020, May 22). About Cloth Face Coverings. Retrieved June 2, 2020, from https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/about-face-coverings.html

[6] Centers for Disease Control and Prevention. (2020, May 22). About Cloth Face Coverings. Retrieved June 2, 2020, from https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/about-face-coverings.html

[7] Centers for Disease Control and Prevention. (2020, May 22). About Cloth Face Coverings. Retrieved June 2, 2020, from https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/about-face-coverings.html

[8] Definition of claustrophobia. (n.d.). Retrieved May 29, 2020, from https://www.dictionary.com/browse/claustrophobia?s=t

[9] Des Roches Rosa, S. (2020, May 11). Some autistic people can’t tolerate cloth face coverings. Here’s how we’re managing with our son. The Washington Post. Retrieved from https://www.washingtonpost.com/lifestyle/2020/05/11/some-autistic-people-cant-tolerate-face-masks-heres-how-were-managing-with-our-son/

[10] ADA National Network. Health Care and the Americans with Disabilities Act. (n.d.). Retrieved May 29, 2020, from https://adata.org/factsheet/health-care-and-ada

[11] U.S. Department of Justice. Americans with Disabilities Act Title II regulations: nondiscrimination on the basis of disability in state and local government services, (2010). Washington, D.C.: Dept. of Justice. Retrieved from https://www.ada.gov/regs2010/titleII_2010/titleII_2010_regulations.htm

[12] U.S. Department of Justice. Americans with Disabilities Act Title III Regulations: nondiscrimination on the basis of disability in public accommodations and commercial facilities (2017). Retrieved from https://www.ada.gov/regs2010/titleII_2010/titleII_2010_regulations.htm

[13] U.S. Department of Justice. (2008, October 9). ADA Best Practices Tool Kit for State and Local Governments – Chapter 1 ADA Basics: Statute and Regulations. Retrieved June 3, 2020, from https://www.ada.gov/pcatoolkit/chap1toolkit.htm

[14] U.S. Department of Justice. Americans with Disabilities Act Title II regulations: nondiscrimination on the basis of disability in state and local government services, (2010). Washington, D.C.: Dept. of Justice. Retrieved from https://www.ada.gov/regs2010/titleII_2010/titleII_2010_regulations.htm

[15] U.S. Department of Justice. Americans with Disabilities Act Title III Regulations: nondiscrimination on the basis of disability in public accommodations and commercial facilities (2017). Retrieved from https://www.ada.gov/regs2010/titleIII_2010/titleIII_2010_regulations.htm

[16] U.S. Department of Justice. Americans with Disabilities Act Title II regulations: nondiscrimination on the basis of disability in state and local government services, (2010). Washington, D.C.: Dept. of Justice. Retrieved from https://www.ada.gov/regs2010/titleII_2010/titleII_2010_regulations.htm

[17] U.S. Department of Justice. Americans with Disabilities Act Title III Regulations: nondiscrimination on the basis of disability in public accommodations and commercial facilities (2017). Retrieved from https://www.ada.gov/regs2010/titleIII_2010/titleIII_2010_regulations.htm

[18] U.S. Department of Justice. (1993, November). The Americans with Disabilities Act Title II Technical Assistance Manual Covering State and Local Government Programs and Services. Retrieved June 2, 2020, from https://www.ada.gov/taman2.html

[19] U.S. Department of Justice. (1993). Americans with Disabilities Act Title III Technical Assistance Manual – Covering Public Accommodations and Commercial Facilities. Retrieved June 3, 2020, from https://www.ada.gov/taman3.html

[20] U.S. Equal Employment Opportunity Commission. (2020, March 21). Pandemic Preparedness in the Workplace and the Americans with Disabilities Act. Retrieved June 5, 2020, from https://www.eeoc.gov/laws/guidance/pandemic-preparedness-workplace-and-americans-disabilities-act

[21] U.S. Department of Justice. Americans with Disabilities Act Title II regulations: nondiscrimination on the basis of disability in state and local government services, (2010). Washington, D.C.: Dept. of Justice. Retrieved from https://www.ada.gov/regs2010/titleII_2010/titleII_2010_regulations.htm

[22] U.S. Department of Justice. Americans with Disabilities Act Title III Regulations: nondiscrimination on the basis of disability in public accommodations and commercial facilities (2017). Retrieved from https://www.ada.gov/regs2010/titleIII_2010/titleIII_2010_regulations.htm

[23] U.S. Department of Justice. (2016, July 28). Settlement Agreement Between the United States of America and YMCA of the Triangle under the Americans with Disabilities Act (DJ # 202-54-148). Retrieved June 3, 2020, from https://www.ada.gov/ymca_triangle_sa.html

[24] U.S. Department of Justice. (2010, November 22). Settlement Agreement Between the United States of America and the District of Columbia under the Americans with Disabilities Act. Retrieved June 3, 2020, from https://www.ada.gov/dc_shelter.htm

[25] U.S. Department of Justice. (n.d.). Common Questions about Title II of the Americans with Disabilities Act [Text file]. Retrieved June 3, 2020, from https://www.ada.gov/pubs/t2qa.txt

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