Paul E. Alexander
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Paul Elias Alexander is a Canadian independent scientist, and a former
Trump administration Presidency of Donald Trump may refer to: * First presidency of Donald Trump, the United States presidential administration from 2017 to 2021 * Second presidency of Donald Trump, the United States presidential administration since 2025 See also * ...
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 US federal government created to protect the health of the US people and providing essential human services. Its motto is "Im ...
(HHS) during the
COVID-19 pandemic The COVID-19 pandemic (also known as the coronavirus pandemic and COVID pandemic), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), began with an disease outbreak, outbreak of COVID-19 in Wuhan, China, in December ...
. Alexander was recruited from his part-time, unpaid position at
McMaster University McMaster University (McMaster or Mac) is a public research university in Hamilton, Ontario, Canada. The main McMaster campus is on of land near the residential neighbourhoods of Ainslie Wood, Ontario, Ainslie Wood and Westdale, Ontario, Westd ...
to serve as an aide to HHS assistant secretary for public affairs
Michael Caputo Michael Raymon Caputo (born March 24, 1962) is an American political strategist and lobbyist. In April 2020, Caputo was appointed as assistant secretary of public affairs in the Department of Health and Human Services in the Trump administration ...
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 Herd immunity (also called herd effect, community immunity, population immunity, or mass immunity) is a form of indirect protection that applies only to contagious diseases. It occurs when a sufficient percentage of a population has become i ...
. 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 Epidemiology is the study and analysis of the distribution (who, when, and where), patterns and Risk factor (epidemiology), determinants of health and disease conditions in a defined population, and application of this knowledge to prevent dise ...
from
McMaster University McMaster University (McMaster or Mac) is a public research university in Hamilton, Ontario, Canada. The main McMaster campus is on of land near the residential neighbourhoods of Ainslie Wood, Ontario, Ainslie Wood and Westdale, Ontario, Westd ...
in
Hamilton, Ontario Hamilton is a port city in the Canadian Provinces and territories of Canada, province of Ontario. Hamilton has a 2021 Canadian census, population of 569,353 (2021), and its Census Metropolitan Area, census metropolitan area, which encompasses ...
, and a master's degree from
Oxford University The University of Oxford is a collegiate research university in Oxford, England. There is evidence of teaching as early as 1096, making it the oldest university in the English-speaking world and the second-oldest continuously operating u ...
. In 2015 he earned a
PhD A Doctor of Philosophy (PhD, DPhil; or ) is a terminal degree that usually denotes the highest level of academic achievement in a given discipline and is awarded following a course of graduate study and original research. The name of the deg ...
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 Assistant professor is an academic rank just below the rank of an associate professor used in universities or colleges, mainly in the United States, Canada, Japan, and South Korea. Overview This position is generally taken after earning a doct ...
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 The Infectious Diseases Society of America (IDSA) is a medical association representing physicians, scientists, and other health care professionals who specialize in infectious diseases. It was founded in 1963 and is based in Arlington, Virginia. ...
(IDSA), where he specialized in
systematic review A systematic review is a 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 published studies on ...
s. At IDSA, Alexander worked on several
clinical practice guidelines A medical guideline (also called a clinical guideline, standard treatment guideline, or clinical practice guideline) is a document with the aim of guiding decisions and criteria regarding diagnosis, management, and treatment in specific areas of ...
.


Advisor to Trump administration HHS official

In late March 2020, Alexander was recruited as scientific advisor by
Michael Caputo Michael Raymon Caputo (born March 24, 1962) is an American political strategist and lobbyist. In April 2020, Caputo was appointed as assistant secretary of public affairs in the Department of Health and Human Services in the Trump administration ...
, the newly appointed assistant secretary for public affairs at the
United States 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 US federal government created to protect the health of the US people and providing essential human services. Its motto is ...
(HHS). The two had become friends when Caputo hosted a talk radio show on which Alexander often appeared to talk about scientific and
pseudo-scientific Pseudoscience consists of statements, beliefs, or practices that claim to be both scientific and factual but are incompatible with the scientific method. Pseudoscience is often characterized by contradictory, exaggerated or unfalsifiable cl ...
subjects. Caputo, who has no scientific background, said in an interview that President
Donald Trump Donald John Trump (born June 14, 1946) is an American politician, media personality, and businessman who is the 47th president of the United States. A member of the Republican Party (United States), Republican Party, he served as the 45 ...
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 On December 31, 2019, China announced the discovery of a cluster of pneumonia cases in Wuhan. The first American case was reported on January 20, and Health and Human Services Secretary Alex Azar declared a public health emergency on Janu ...
, in particular for efforts to influence, distort and obfuscate the public messaging of the
Centers for Disease Control The Centers for Disease Control and Prevention (CDC) is the national public health agency of the United States. It is a United States federal agency under the Department of Health and Human Services (HHS), and is headquartered in Atlanta, ...
(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 The ''Morbidity and Mortality Weekly Report'' (''MMWR'') is a weekly epidemiological digest for the United States published by the Centers for Disease Control and Prevention (CDC). It was originally established as ''Weekly Health Index'' in 1930 ...
'' (''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 Anne Schuchat (born 1960) is an American medical doctor. She is a former rear admiral and assistant surgeon general in the United States Public Health Service Commissioned Corps. She also served as the principal deputy director of the Centers ...
, 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 ''JAMA'' (''The Journal of the American Medical Association'') 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 ...
'' 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, criticizing a CDC report about risks to pregnant women from
COVID-19 Coronavirus disease 2019 (COVID-19) is a contagious disease caused by the coronavirus SARS-CoV-2. In January 2020, the disease spread worldwide, resulting in the COVID-19 pandemic. The symptoms of COVID‑19 can vary but often include fever ...
. 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 The National Institutes of Health (NIH) is the primary agency of the United States government responsible for biomedical and public health research. It was founded in 1887 and is part of the United States Department of Health and Human Service ...
attempting to direct Dr.
Anthony Fauci Anthony Stephen Fauci ( ; born December 24, 1940) is an American physician-scientist and immunologist who served as the director of the National Institute of Allergy and Infectious Diseases (NIAID) from 1984 to 2022, and the chief medical ...
'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 A mask is an object normally worn on the face, typically for protection, disguise, performance, or entertainment, and often employed for rituals and rites. Masks have been used since antiquity for both ceremonial and practical purposes, ...
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 virus that cases COVID-19 and is responsible for the COVID-19 pandemic. The two main types of tests detect either the presence of the viru ...
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, 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 type of written prose commonly found in newspapers, magazines, and online publications. They usually represent a writer's strong and focused opinion on an issue of relevance to a targeted a ...
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 Facebook is a social-network service website launched on February 4, 2004, by Mark Zuckerberg. The following is a list of software and technology features that can be found on the Facebook website and mobile app and are available to users of ...
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 or organization, that tends toward rebellion against the established order. Sedition often includes subversion of a constitution and incitement of discontent toward, or insurrection against, establ ...
" 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 ''The Globe and Mail'' is a Canadian newspaper printed in five cities in western and central Canada. With a weekly readership of more than 6 million in 2024, it is Canada's most widely read newspaper on weekdays and Saturdays, although it falls ...
'' 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 The Canada convoy protest, known as the Freedom Convoy (French: ''Convoi de la liberté'') was a series of protests and blockades across Canada in early 2022, initially organized to oppose COVID-19 vaccine mandates for cross-border truck dr ...
protest against vaccine mandates in Ottawa. He was a "board advisor" for "Taking Back our Freedoms", a Canadian 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 Alberta is a Provinces and territories of Canada, province in Canada. It is a part of Western Canada and is one of the three Canadian Prairies, prairie provinces. Alberta is bordered by British Columbia to its west, Saskatchewan to its east, t ...
government by Premier
Danielle Smith Marlaina Danielle Smith (born April 1, 1971) is a Canadian politician, former lobbyist, and former columnist and media personality who has been serving as the 19th premier of Alberta and leader of the United Conservative Party (UCP) since 20 ...
. In 2022
Skyhorse Publishing Skyhorse Publishing, Inc. is an American independent book publishing company founded in 2006 and headquartered in New York City, with a satellite office in Brattleboro, Vermont. History The current president and publisher is founder Tony Ly ...
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". In 2022 Alexander became an advisor to The Wellness Company, a dietary supplement and telemedicine company owned and managed by prominent COVID-19 disinformation promulgator Peter McCullough. The Wellness Company sells various kits (and subscriptions) with names like, "COVID Emergency Kit," supplying unregulated supplements and disproven treatments. Alexander's newsletter, with about 40,000 subscribers, promotes right-wing talking points and medical disinformation, often recommending use of Wellness Company products.


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 First Trump administration personnel United States Department of Health and Human Services officials