From late May to late September, the previous government pledged to send 8,722 fans to 43 countries, but without clear criteria for determining which countries need fans or how many to send, the GAO found.
When the pandemic started to escalate in late March, Trump invoked the Defense Production Act to increase the production of N95 fans and masks, two key components in the battle against the coronavirus.
In May, the United States Agency for International Development began delivering the first fans abroad, GAO said, with initial shipments going to South Africa, El Salvador and Russia.
The National Security Council instructed USAID on decisions regarding “fan donations, including recipient countries, quantities and manufacturers.” But neither USAID nor the NSC provided any information on how disbursement decisions were made.
The NSC did not respond to questions from GAO, the report said.
Fan distribution was not part of USAID’s initial plan for Covid’s response, further complicating the effort.
Almost all 8,722 fans were distributed by December, but USAID did not have a reliable way to track machines and had only “limited information” about their locations, the report said. Only in December did USAID tell GAO that it had “started implementing” a process to locate fans, which involves gathering information from manufacturers, service providers, overseas ministries of health and partners.
The lack of knowledge about the location of the fans happened despite the agency having the resources to track the machines for long-term supervision.
Five countries accounted for almost half of the fans: Brazil, Indonesia and South Africa received 1,000 machines each, while El Salvador received 600 and Peru received 500. But the needs in these countries varied widely. El Salvador had 74 new cases and one death on the day USAID committed to placing ventilators, while Brazil had 33,322 new cases and 1,046 deaths.