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Paul Elias Alexander is a Canadian health researcher and a former Trump administration official at the
U.S. Department of Health and Human Services The United States Department of Health and Human Services (HHS) is a cabinet-level executive branch department of the U.S. federal government created to protect the health of all Americans and providing essential human services. Its motto is " ...
(HHS) during the COVID-19 pandemic. Alexander was recruited from his part-time, unpaid position at McMaster University to serve as an aide to HHS assistant secretary for public affairs Michael Caputo in March 2020. In that role, Alexander pressured federal scientists and public health agencies to suppress and edit their COVID-19 analyses to make them consistent with Trump's rhetoric. Within the Trump Administration, Alexander advocated for a strategy of mass infection of the public with COVID-19 to build herd immunity. He sought to muzzle federal scientists and public health agencies to prevent them from contradicting the Trump Administration's political talking points.


Education

Alexander has a bachelor's degree in epidemiology from McMaster University in Hamilton, Ontario, and a master's degree from Oxford University. In 2015 he earned a
PhD PHD or PhD may refer to: * Doctor of Philosophy (PhD), an academic qualification Entertainment * '' PhD: Phantasy Degree'', a Korean comic series * ''Piled Higher and Deeper'', a web comic * Ph.D. (band), a 1980s British group ** Ph.D. (Ph.D. albu ...
degree from McMaster University's Department of Health Research Methods, Evidence, and Impact.


Career

Alexander had a contract role as a part-time, unpaid assistant professor at McMaster, a post "given to scholars working primarily outside the university." He was not employed by the university at the time he worked in the Trump administration. From 2017 until December 2019, Alexander was employed by the Washington, D.C.-based Infectious Diseases Society of America (IDSA), where he specialized in
systematic review A systematic review is a Literature review, scholarly synthesis of the evidence on a clearly presented topic using critical methods to identify, define and assess research on the topic. A systematic review extracts and interprets data from publ ...
s. At IDSA, Alexander worked on several
clinical practice guidelines Clinical may refer to: Healthcare * Of or about a clinic, a healthcare facility * Of or about the practice of medicine Other uses * ''Clinical'' (film), a 2017 American horror thriller See also * * * Clinical chemistry, the analysis of bodily flu ...
.


Advisor to Trump administration HHS official

In late March 2020, Alexander was recruited by Michael Caputo, the newly appointed assistant secretary for public affairs at the United States Department of Health and Human Services (HHS), as his scientific advisor. The two had become friends when Caputo hosted a talk radio show on which Alexander often appeared to talk about scientific subjects. Caputo, who has no scientific background, said in an interview that President Donald Trump had told him to "bring expertise" to his new position and that "the first call I made after I got off the phone with the president" was to offer Alexander a job.


Coronavirus pandemic and CDC reports

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 The COVID-19 pandemic in the United States is a part of the worldwide pandemic of coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). In the United States, it has resulted in confir ...
, 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. 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. 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. 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 ''The Journal of the American Medical Association'' (''JAMA'') is a peer-reviewed medical journal published 48 times a year by the American Medical Association. It publishes original research, reviews, and editorials covering all aspects of bio ...
'' 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." On June 20, 2020, Alexander sent a message to CDC Director
Robert R. Redfield Robert Ray Redfield Jr. (born July 10, 1951) is an American virologist who served as the director of the Centers for Disease Control and Prevention and the administrator of the Agency for Toxic Substances and Disease Registry from 2018 to 202 ...
, 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". A congressional committee has asked him to testify in September to give information about his interactions with CDC. 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. 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 Anthony Stephen Fauci (; born December 24, 1940) is an American physician-scientist and immunologist serving as the director of the National Institute of Allergy and Infectious Diseases (NIAID) and the chief medical advisor to the president. ...
's media comments. In an August 2020 email to HHS officials, Alexander claimed that Fauci was "scaring the nation wrongfully." Alexander demanded, among other things, that Fauci should refrain from promoting the wearing of masks by children in school and
COVID-19 testing COVID-19 testing involves analyzing samples to assess the current or past presence of SARS-CoV-2. The two main types of tests detect either the presence of the virus or antibodies produced in response to infection. Molecular tests for viral ...
of children. Fauci later said that he had not received the messages and would not have been influenced by them if he had. In emails in September 2020, Alexander celebrated two instances in which he said CDC officials had bowed to his pressure to water down information in CDC reports. Two days later, he asked
Scott Atlas Scott William Atlas (born July 5, 1955) is an American radiologist, political commentator, and health care policy advisor. He is the Robert Wesson Senior Fellow in health care policy at Stanford University's Hoover Institution, a conservative t ...
, then an advisor to the Trump White House, to assist him in disputing a CDC report on COVID-19 deaths; Atlas, Alexander, and others wrote a number of
op-ed An op-ed, short for "opposite the editorial page", is a written prose piece, typically published by a North-American newspaper or magazine, which expresses the opinion of an author usually not affiliated with the publication's editorial board. O ...
s to counter warnings from federal scientists. Caputo and Alexander also strategized on how to underplay the virus and push for a rapid end to COVID-19-related restrictions on business. The emails were later obtained by the House Select Oversight Subcommittee on the Coronavirus Crisis. In a Facebook Live video posted on his personal website on September 14, 2020, Caputo promoted a variety of unfounded accusations and conspiracy theories, including the idea that the CDC harbored a "resistance unit" to undermine Trump; Caputo also accused various scientists of "
sedition Sedition is overt conduct, such as speech and organization, that tends toward rebellion against the established order. Sedition often includes subversion of a constitution and incitement of discontent toward, or insurrection against, estab ...
" and "rotten science". In the same video, Caputo called Alexander a "genius" and defended his actions. 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. 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." McMaster University 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." 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". 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."


Activities after leaving the Trump administration

After leaving HHS Alexander became an "independent academic scientist and COVID-19 consultant researcher", according to his website. He was a participant in the
Freedom Convoy 2022 A series of protests and blockades in Canada against COVID-19 vaccine mandates and restrictions, called the Freedom Convoy (french: Convoi de la liberté, links=no) by organizers, began in early 2022. The initial convoy movement was created t ...
protest against vaccine mandates in Ottawa. He was a "board advisor" for "Taking Back our Freedoms", a group whose stated goal was "to bring a quick end to the so-called ‘C-19 health emergencies’ along with their unlawful ‘mandates’". In November 2022 Alexander was invited to advise the Alberta government by Premier Danielle Smith. In 2022 Skyhorse Publishing published ''Presidential Takedown: How Anthony Fauci, the CDC, the NIH and the WHO conspired to overthrow President Trump'', by Alexander and co-author Kent Heckenlively. The book was promoted as an "explosive behind-the-scenes look at Donald Trump's final months in office and how the COVID crisis response was a carefully crafted plan to ruin him". The book also alleges that there was a "personal vendetta of the CDC and HHS against Alexander himself".


References


External links


Paul Alexander's publications at ResearchGatePaul Alexander's website
{{DEFAULTSORT:Alexander, Paul E. Living people Year of birth missing (living people) Alumni of the University of Oxford McMaster University alumni Canadian medical researchers Trump administration personnel United States Department of Health and Human Services officials