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The CDC needs to do more to show the public that transit is safe

Public transit is one of the safest indoor spaces during the COVID-19 pandemic for a plethora of reasons. But the perception of transit’s safety is lagging. The Centers for Disease Control and Prevention (CDC) has a lot of power to change the narrative and pursue vaccination sites that are transit-accessible, as we wrote in a joint letter to the agency with our partners. 

New York MTA’s Mask Force distributing free masks to subway riders. Photo courtesy of the MTA.

Public transit is incredibly important to our pandemic response, connecting riders and essential workers to jobs, groceries, healthcare and more—safely. With proper precautions such as wearing a mask, transit is one of the safest indoor spaces for COVID-19 transmission, with a plethora of studies failing to link disease spread to transit. 

Why is transit so safe? Buses and trains are highly-ventilated; riders must wear masks (thanks to a new requirement from the CDC); vehicles are cleaned frequently; and riders tend to spend a short amount of time on vehicles and in stations. 

But the CDC isn’t clearly communicating transit’s safety to the public. In fact, last summer the CDC actively encouraged Americans to avoid transit—guidance they updated after criticism from Transportation for America and our partners.

While we’re grateful that the CDC updated this guidance and last month instituted a mask requirement on transit and other forms of transportation, the CDC needs to do more. CDC guidance that does not make it clear that transit is safe undermines public confidence in this essential service and ultimately undermines our communities today and our recovery tomorrow. 

We urged the new CDC director, Rochelle Walensky, to communicate transit’s safety in a new letter written by Transportation for America and signed by our partners the Transport Workers Union, TransitCenter, the American Public Transportation Association (APTA), and the National Association of City Transportation Officials (NACTO). You can read the full letter here. 

It is also critical that the CDC considers transit access as a determining factor in choosing vaccination locations, and to provide guidance to states to ensure no one is denied access to a vaccine. As we wrote in our letter, no one should be denied access to a vaccine because they do not have access to a car. Public transit can and must play an important role in providing Americans with safe, convenient, and equitable transportation to vaccination appointments. 

We urge the CDC to clearly communicate how safe transit is to the public, and make transit access a factor in determining vaccination sites. Americans need transit—the CDC shouldn’t undermine it.

CDC quietly revises their guidance to encourage people to use transit safely

Two weekends ago the Centers for Disease Control and Prevention quietly revised their guidance for using public transportation after an outpouring of criticism from Transportation for America, NACTO, TransitCenter, the American Public Transportation Association, and others that the CDC was contradicting years of their own guidance that encouraging more driving incurs massive public health costs in pollution, respiratory illnesses, obesity, and preventable traffic deaths.

We will eventually get more of the country back to work as the pandemic subsides (in some places, even as it likely springs back in others.) Some parts of the country are already reopening in phases. But when we do start things up again, we will need public transportation to continue moving millions of people. And as we have throughout the pandemic, the country will look to the CDC for advice.

Yet, when the CDC first issued their guidance for public transit their lone, astonishing recommendation for employers of people who commute using public transportation was to offer those employees incentives encouraging them to drive and park, and allow flexible hours to commute when it’s less busy. Needless to say, we were aghast. As Beth Osborne, T4America director, told E&E last week in a story about the updated guidance, “I find responding to this guidance so frustrating and befuddling, I don’t know where to start.”

As former NYC DOT head Janette Sadik-Khan chimed in along those same lines, “The CDC telling workers to drive alone assumes that everyone owns a car and that cities can handle the traffic. This is a fever dream.  There’s no reopening cities w/o reopening transit. Ruling it out doesn’t make it safer.”

Scores of public letters were written to CDC. And then rather quietly two weekends ago, the CDC made some notable and encouraging changes to that guidance.

What changed?

They have added “if feasible” to that first part, as well as expanding upon the kinds of transportation that help avoid close contact like biking, walking, or riding with other household members. But much more importantly, rather than just urging transit riders to start driving—which is not possible for millions of Americans, would destroy our cities, and (by CDC’s own admission) would make air pollution worse and traffic fatalities increase—they direct employees to read other valuable guidance CDC has produced on protecting yourself on transportation. That guidance could also use some improvements but it’s at least they are pointing to practical advice for helping riders use transit and stay safe doing so as the country reopens.

CDC still needs to go further on transportation, such as encouraging drivers to clean their cars to make carpooling safe, providing more (new, quick, flexible) facilities for bike parking, petitioning cities to create new safe space for biking/walking, but this was an important recognition by CDC of the ways that their previous guidance actually contradicted their own incredibly valuable, decades-long work to help address health by encouraging more walking, more biking, and more transit use in metro areas across the country.

As TransitCenter has been documenting, other affected countries (Japan, South Korea, and even France.) have restored all or part of their transit service and have seen passenger counts return to pre-pandemic levels, all without an outbreak. It’s clearly possible to bring transit back safely, and CDC should be the ones helping to make this possible.

Our cities won’t function without it.

As the struggle in New York is already demonstrating—the mayor with social distancing vs. the MTA with universal mask-wearing—even with better guidance from the CDC (which they should still improve), it can still be a battle because of jurisdictional issues endemic to transit, which is rarely controlled by one city or locality. These changes are a good step but the CDC should be leading the charge with good recommendations that also weigh the relative short- and long-term risks of safely reopening transit systems and encouraging riders to return vs. millions more cars on the road.

Federal program that helps tackle health disparities threatened in ’18 budget

Congress is threatening to eliminate a small yet significant federal program housed within the Centers for Disease Control and Prevention (CDC) that helps local communities take concrete steps to prevent someone’s zip code from being the most powerful determinant in their long-term health.

Walking, biking, and access to transit are part of a suite of healthy choices promoted by T4America and our colleagues at the National Complete Streets Coalition. People who walk or bicycle more for transportation are shown to have lower rates of heart disease, diabetes and other conditions that can complicate or shorten lives. And the demand for more opportunities to safely walk and bicycle is at an all-time high, in both heartland towns and urban centers alike.

Scores of communities are eager to find ways to improve the health of their most vulnerable residents — the people most likely to suffer from poor health outcomes — and those less likely to have access to safe streets for walking or biking. They want to know how to steer more of their transportation dollars into projects that will bring significant health benefits and reduce these disparities.

The Racial and Ethnic Approaches to Community Health program (REACH), a small program within the CDC, has helped these communities meet the demand for more active transportation projects, address the wide disparities in health from zip code to zip code, increase access to opportunities, and create a foundation of shared and sustainable prosperity.

REACH is an evidence-based program that directly tackles these health disparities and is the only community health program currently funded at the CDC.

Both the House and Senate Appropriations bills for next year (FY 2018) eliminate funding for this critical program. Please take a moment to send a message to your representatives and urge them to keep it going. 

A group of more than 200 diverse organizations — including The National Complete Streets Coalition and Transportation for America — signed a letter urging Congress to provide the program with another $50 million round of funding.

These funds are helping a plethora of communities make healthy living a reality. (We produced a series of case studies that includes some of these communities here.) It equips them to tackle the risk factors for some of the most expensive and burdensome health conditions impacting racial and ethnic groups. Without these funds communities across the country will have an even harder path to reduce disparities like these cited by the CDC:

  • Non-Hispanic blacks have the highest rate of obesity (44 percent), followed by Mexican Americans (39 percent).
  • The rate of diagnosed diabetes is 18 percent higher among Asian Americans, 66 percent higher among Hispanic/Latinos, and 77 percent higher among non-Hispanic blacks compared to non-Hispanic whites.
  • American Indians and Alaskan Natives are 60 percent more likely to be obese than non-Hispanic whites and have the highest prevalence of diabetes, with a rate more than double that of non-Hispanic whites
  • The incidence rate of cervical cancer is 41% higher among non-Hispanic black women and 44% higher among Hispanic/Latino women compared to non-Hispanic white women.

And as shown by the National Complete Streets Coalition in their last Dangerous by Design report, people of color are significantly overrepresented in pedestrian deaths.

Solving these kinds of pernicious issues doesn’t happen overnight.

But the REACH program is investing directly in local community coalitions with multiple years of awards, providing the time and resources necessary to address the many root causes of racial and ethnic disparities and reverse the upward trend of chronic disease.

Help protect REACH. Congress must continue to fund REACH in FY18 at the same level of investment ($50.95 million) as was provided in FY 2017.

A few of the groups leading the effort have set up an easy page for sending a message here.

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