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For instance, in a video of Ms. McEnany on the Fox Business show “Trish Regan Primetime” from February 25, circulated by Andrew Kaczynski of CNN, the new press secretary said, “We will not see diseases like the coronavirus come here, we will not see terrorism come here, and isn’t that refreshing when contrasting it with the awful presidency of President Obama?”

Since Ms. McEnany made that statement, more than 350,000 people in the U.S. have been infected with the coronavirus.

Mr. Meadows has clashed with Ms. Grisham, a Trump loyalist who was one of the few remaining advisers who worked on the president’s 2016 campaign, targeting her as someone he wanted to replace, according to administration officials.

The communications shop has long been a focus of complaints within the White House, dating back to the first months of Mr. Trump’s term.

Mr. Trump, who sees himself as his own best spokesman, has frequently complained about his media coverage. Ms. Grisham was rarely on television, but she was known for aggressive exchanges defending her boss on Twitter.

She also was among the few administration officials who fought for reporters to have access to high-profile events on the president’s trips to authoritarian countries, getting into a physical fight with officials in North Korea when they tried to block access to the American media while Mr. Trump was on a trip to Asia.

In a release describing Ms. Grisham’s new role, Mrs. Trump said that Ms. Grisham “has been a mainstay and true leader in the administration from even before day one, and I know she will excel” as the chief of staff.