Did Pentagon Chief Austin’s Secret Hospitalization Break the Rules? 

US Secretary of Defense Lloyd Austin attends a welcome ceremony before an annual security meeting with South Korean Defense Minister Shin Won-sik at the Defense Ministry in Seoul, South Korea on November 13, 2023. (Reuters)
US Secretary of Defense Lloyd Austin attends a welcome ceremony before an annual security meeting with South Korean Defense Minister Shin Won-sik at the Defense Ministry in Seoul, South Korea on November 13, 2023. (Reuters)
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Did Pentagon Chief Austin’s Secret Hospitalization Break the Rules? 

US Secretary of Defense Lloyd Austin attends a welcome ceremony before an annual security meeting with South Korean Defense Minister Shin Won-sik at the Defense Ministry in Seoul, South Korea on November 13, 2023. (Reuters)
US Secretary of Defense Lloyd Austin attends a welcome ceremony before an annual security meeting with South Korean Defense Minister Shin Won-sik at the Defense Ministry in Seoul, South Korea on November 13, 2023. (Reuters)

US Secretary of Defense Lloyd Austin may have violated the law by failing to report his recent hospitalization to his boss, but likely only faces a reprimand from US President Joe Biden, despite some calls for his resignation, two legal experts said on Monday.

WHAT DID AUSTIN DO?

Austin, 70, was admitted on New Year's Day to an Intensive Care Unit at Walter Reed National Military Medical Center for what the Pentagon has said were "complications following a recent elective medical procedure," a fact the Defense Department kept under wraps for five days.

Austin sits just below Biden atop the chain of command of the US military, but his staff did not inform the White House of his condition for three days, and even his own top deputy was kept in the dark.

PUBLIC, PRIVATE PROTOCOL

His handling of the situation appeared to be a stark breach of protocol for high-ranking cabinet officials, who typically inform the public of planned medical absences ahead of time and identify who will be filling in for them.

Austin's duties require him to be available at a moment's notice to respond to any national security crisis. He said on Saturday that he "could have done a better job" and took "full responsibility" for the secrecy over his hospitalization.

White House officials have said Biden still has "complete confidence" in Austin, who remains in the hospital but has returned to his regular duties.

WHAT RULES MIGHT HE HAVE BROKEN?

Legal experts said Austin may have violated a US law on "reporting of vacancies" that requires executive agencies to report top-level absences and the names of anyone serving in an acting capacity to both houses of Congress. The law is largely procedural and does not spell out any penalties for lapses.

Legal experts said that Austin appears to have clearly violated the rule but will likely face only a reprimand and a warning from Biden. Any top deputies or staff responsible could face similar consequences.

Austin may have also violated internal US Department of Defense protocols, and officials say they are conducting a full review of the incident to determine how future lapses could be prevented.

WHEN DID HE TALK TO BIDEN?

Austin spoke to Biden, National Security Advisor Jake Sullivan and Secretary of State Antony Blinken on the morning of Jan. 1 before he went to the hospital, the White House said. The "secure conference call" was about the Middle East. Biden was in St. Croix on vacation at the time.

There was then no contact with the White House or National Security Council until Jan. 4, the White House said. Biden and Austin next spoke on Jan. 6, the White House said.

White House officials said Biden continued to be briefed on national security issues by other officials during Austin's hospitalization, and the president received his daily national security briefing prepared by the intelligence community. The daily briefing includes input from the Defense Department but is not produced by them.

WHAT DOES CONGRESS SAY?

Congressional leaders are calling for an inquiry.

Lawmakers from both parties said they were deeply concerned that the president did not know his top civilian commander was hospitalized for three days at a time when wars are being fought in Gaza and Ukraine.

US Senator Roger Wicker, the highest-ranking Republican on the Senate Armed Services Committee, said on Saturday that the situation was "unacceptable" and demanded a "full accounting of the facts immediately."

Former President Donald Trump, who is Biden's likely Republican challenger in the 2024 election, said on Sunday night that Austin should be fired for his "improper professional conduct and dereliction of duty."

Democratic Senator Jack Reed, the chair of the Senate Armed Services Committee, said: "This lack of disclosure must never happen again."

PENTAGON REVIEW

Asked if the general counsel's office at the Defense Department believed Austin violated laws, chief Pentagon spokesperson Air Force Major General Patrick Ryder told reporters: "We are considering the impact of any statutory reporting requirements and will provide updates as appropriate."

He later added that the reporting requirements being examined would not just involve Congress. "It's to Congress, the White House or anyone else," he said.



War-battered Gaza Faces Uphill Battle Against Polio

An UNRWA employee on September 9, 2020 provides polio and rotavirus vaccines for children at a clinic in Bureij refugee camp, central Gaza - AFP
An UNRWA employee on September 9, 2020 provides polio and rotavirus vaccines for children at a clinic in Bureij refugee camp, central Gaza - AFP
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War-battered Gaza Faces Uphill Battle Against Polio

An UNRWA employee on September 9, 2020 provides polio and rotavirus vaccines for children at a clinic in Bureij refugee camp, central Gaza - AFP
An UNRWA employee on September 9, 2020 provides polio and rotavirus vaccines for children at a clinic in Bureij refugee camp, central Gaza - AFP

The Gaza Strip's first recorded polio case in 25 years has health workers and aid agencies grappling with the steep obstacles to conducting mass vaccination in the war-torn Palestinian territory.

Unrelenting airstrikes by Israel more than 10 months into its war against Hamas, restrictions of aid entering the besieged territory and hot summer temperatures all threaten the viability of a life-saving inoculation drive.

Still, equipment to support the extensive campaign -- which UN agencies say could start on August 31 -- has already arrived in the region.

The Palestinian health ministry in the occupied West Bank said last week that tests in Jordan had confirmed polio in an unvaccinated 10-month-old baby from central Gaza, AFP reported.

According to the United Nations, Gaza had not registered a case for 25 years, although type 2 poliovirus was detected in samples collected from the territory's wastewater in June.

Poliovirus is highly infectious, and most often spread through sewage and contaminated water -- an increasingly common problem in Gaza as the Israel-Hamas war drags on.

The disease mainly affects children under the age of five. It can cause deformities and paralysis, and is potentially fatal.
UN bodies the World Health Organization (WHO) and children's agency UNICEF say the have detailed plans to vaccinate 640,000 children across Gaza.

But a major challenge remains Israel's devastating military campaign, after Hamas's October 7 attack.

"It's extremely difficult to undertake a vaccination campaign of this scale and volume under a sky full of air strikes," said Juliette Touma, director of communications for the UN agency for Palestinian refugees, UNRWA.

Under the UN plan, 2,700 health workers in 708 teams would take part, with the WHO overseeing the effort, said Richard Peeperkorn, the agency's representative in the Palestinian territories.
UNICEF would ensure the cold supply chain as vaccines are brought into and distributed across Gaza, spokesman Jonathan Crickx said.

Cold chain components including refrigerators arrived Wednesday at Israel's main international airport.

Some 1.6 million doses of the oral vaccine would follow, and are expected to enter Gaza on Sunday via the Kerem Shalom crossing, Crickx said.

The UN agencies plan to administer two doses each for about 95 percent of children under 10 in Gaza, according to Crickx. Surplus doses would cover expected losses to heat or other causes.

While Israel has repeatedly dismissed claims it was blocking aid into Gaza, relief workers have long complained of the many obstacles they face in getting supplies into the territory, which has suffered severe shortages of everything from fuel and medical equipment to food.

And once in Gaza, fighting, widespread devastation and crumbling infrastructure all complicate delivery and safe access.

Touma, who worked on polio response during wars in Iraq and Syria, said that "the return of polio to a place where it's been eradicated says quite a lot."

Israel's military campaign since October 7 has killed at least 40,223 people in Gaza.

Gaza's health care system has been decimated, with "only 16 out of 36 hospitals... still functioning, and only partially," Crickx said.

Out of those, only 11 facilities are capable of maintaining the cold chain, he added.

The vaccines would first be kept at a UN storage space in central Gaza, and then distributed to public and private health facilities as well as UNRWA shelters "hopefully by refrigerated trucks if we can find some, otherwise by cold boxes" filled with ice packs, Crickx said.
Many Gazans now live in makeshift camps or UNRWA schools, making them hard to reach, said Moussa Abed, director of primary health care at the Gaza health ministry.

Nearly all of the territory's 2.4 million people have been displaced at least once during the war.

UN Secretary-General Antonio Guterres has called for two seven-day breaks in the war to administer doses.

Abed said that "without a safe environment for the vaccination campaign, we will not be able to reach 95 percent of the children under the age of 10, which is the goal of this campaign."