The novel coronavirus is a strange
lurking but highly infectious agent; it absolutely affects different individuals
in dramatically different ways. It can be a fearsome killer, crushing the life
out of victims with intense pain and discomfort, crippling others with strained
recoveries and often permanent impairments. Or nothing. No symptoms at all. As
my August 16th The COVID-19 Lottery blog
makes perfectly clear, the 40% of those infected with COVID-19 who are
asymptomatic are still carriers of the disease. Since identifying and isolating
these secret carriers are obviously at the core of containing the virus;
testing (and contact tracing) obviously need to be increased, probably
exponentially. But if you believe in that GOP agenda of opening the economy
wide now – damn the consequences – more testing is obviously going to identify
more infections… and bad numbers make reopening the economy difficult to
justify.
Think of all the college, primary and
high schools that have opened up to in-person instruction, only to have
accelerating new cases explode resulting in shutdowns or at least additional
quarantines. Or those college students unable to resist maskless indoor
partying. For states that care, a resurgence of COVID-19 infections is reason
to slow down and perhaps retrench those reopenings. Like Hawaii: “Four weeks ago [end of July], Hawaii had a
total of 1,688 confirmed coronavirus cases since the start of the pandemic and
was reporting an average of 45 new cases per day, according to an NBC News
analysis. [Hawaii then lifted some of its travel restrictions.]
“Since then, the total number of COVID-19
cases has reached 6,700 and public health officials are now reporting around
200 new cases per day. During this time, the death toll has also nearly
doubled, jumping from 26 to 49, the figures show… Hawaii is the latest state to
see increases in cases; the Southern and the Sun Belt states have been
experiencing an explosion of new cases and deaths in recent months following
many reopening in May at the urging of President Donald Trump just as the
pandemic was picking up steam in those areas.
“The
death toll in the United States climbed to more than 180,000 Wednesday [8/26] and
the number of confirmed cases was fast approaching 6 million, according to
the latest
NBC News figures. Both are
world-leading numbers.
“While Hawaii’s numbers are low compared to
the rest of the U.S., they have set off alarm bells and Gov. David Ige, a
Democrat, has given the green light to a second ‘stay-at-home, work-from-home”
order for the island of Oahu. It begins at 12:01 a.m. Thursday [8/27] and will
remain in effect for two weeks.” NBC News, August 27th.
It seems as if those silent carriers are
indeed transmitting the virus, threatening the effort to reopen the economy to
“normal,” a powerful push from Trump and the GOP who need the economy to at
least look as if it were recovering before the November election. As has been
the case with GOP states like Arizona and Florida, where right-wingers have
reconfigured once reliable COVID-19 statistics into confusing and misleading
presentations, the feds seem to have embraced that same philosophy under orders
from the White House. The noble response would have been for the relevant
medical experts to resign in protest, putting public health ahead of their
government careers. They haven’t. Instead, they bowed to medically dangerous
political pressure.
The federal government, even those trusted
purportedly neutral federal medical agencies (like the Centers for Disease
Control) noted above, is obviously intent on suppressing bad numbers, even if accurate
numbers are the only current path to contain the pandemic. “Trump administration officials on Wednesday [8/26]
defended a new recommendation that people without Covid-19 symptoms abstain
from testing, even as scientists warned that the policy could hobble an already
weak federal response as schools reopen and a potential fall wave looms.
“The
day after the Centers for Disease Control and Prevention issued
the revised guidance, there were conflicting reports
on who was responsible. [Despite denials] Two federal health officials said the
shift came as a directive to the C.D.C. from higher-ups at the White House and
the Department of Health and Human Services.” New York Times, August 26th.
The Republican Congress, reluctant to support workers staying home even in hot
spots by providing continuing income support, has forced too many Americans
back to jobs and school without remotely the necessary precautions or providing
the costly support that school districts absolutely need to create any
semblance of safety (if that is even possible in many venues). Standby for the
second wave, even as we are watching re-escalating numbers in what’s left of
the first wave.
So
far, the smart play for states with higher infection and mortality rates is
simply to ignore “all things Trump,” and that includes those once trustworthy
federal agencies that are willing to bend to political pressure and reverse
what they clearly stated earlier were necessary and prudent practices. There is
no way to contain this pandemic until there is a widely available effective
vaccine… without a uniform, actively enforced policy of containment, including
mandatory wearing of masks where risks are present, safe distancing,
exceptionally wide testing and contact tracing. The Trump administration,
constantly touting unproven or even dangerous “treatments” and “cures,” opposes
“all of the above.”
California,
which the Trump GOP has labeled a rogue state of radical leftists, understands
that to protect its residents, it must ignore this failing, Trump-mandated set
of scientifically incorrect practices and guidelines. “The CDC is no longer recommending a
14-day quarantine for travelers. After the government issued a mandatory
quarantine for travelers arriving in the U.S. from Wuhan, China, in February,
the guidance that travelers isolate for two weeks was adopted by several states
and encouraged by local officials as a key tool in mitigating the spread of the
novel coronavirus — especially among people who may be asymptomatic.
“[California] Gov. Gavin Newsom on
Wednesday [8/26] said he disagrees with the CDC’s new guidance and insisted
that it will not affect California… ‘I don’t agree with the new CDC guidance.
Period. Full stop,’ he said. ‘We will not be influenced by that change.’
“Los Angeles County Public Health
Director Barbara Ferrer said those traveling to places with high transmission
rates should be mindful of the potential to contract the virus and expose
others to it. She also reminded residents that L.A. County is a COVID-19 hot
spot and that traveling from the community could present a risk to outsiders…
‘My message really is: Whether you’re flying or staying home, you need to be
mindful that we have to reduce our transmission,’ she said. ‘The way we do that
is by reducing exposure to other people.’
“The CDC also is no longer advising
those without symptoms to be tested, even if they have been in contact with an
infected person. Ferrer, however, said the county’s recommendation still
stands: Anyone who has been exposed to someone with the virus should get tested
and self-quarantine… ‘This is particularly important if a public health
official or doctor tells you to get tested,’ she said.
“Newsom said Wednesday [8/26] that
California had signed a contract with an East Coast medical diagnostics company
to more than double the number of coronavirus tests that can be processed in
the state, eventually expanding capacity to roughly a quarter of a million
tests a day… Under the $1.4-billion agreement, a new Santa Clarita lab will be
able to provide testing results within two days, far quicker than the average
five- to seven-day processing times offered by other labs.
“The expanded testing capacity and
quicker results will increase the ability of health officials to quickly
isolate people who test positive for the virus and to track down and test those
who came in contact with them, Newsom said, steps that are crucial to slowing
the spread of COVID-19.” Los Angeles Times, August 27th. We’re all
in this together, except for that rather significant contingent of Trump
believers who are not in it at all. See you in the second wave! The virus itself
continues to be unimpressed with the politics of denial.
I’m
Peter Dekom, and we doomed ourselves to the worst possible COVID-19 outcome
when we substituted mythology, denial and disbelief for medical reality and
scientific facts.
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