• America's COVID Spike Shows How a Second Wave Could Bring a Second Lockdown

    So far, we have found only two ways to contain fresh outbreaks.The first, and by far the least costly, is contact-tracing and isolation. It can be done manually without a tracing app, but it requires lightning-fast reactions and extreme efficiency. The second containment method: lockdowns. But lockdowns are destructive for the economy, and they carry with them an exceedingly high cost in personal, social, and medical terms. Juliet Samuel write in The Telegraphthat in the face of a possible second wave, “the stage is set for the great experiment. The top priority must be to get the tracing system working. But even if our Government is somehow incapable of that, it may yet find a set of distancing policies that keeps virus deaths at a low enough level without shutting everything down. Perhaps there is a balance to be struck, involving a mix of mask-wearing, better care-home procedures, loosening rules for the young before the old, keeping people outdoors and planning ways to do so in winter.”

  • 43% of U.S. Coronavirus Deaths Are Linked to Nursing Homes

    At least 54,000 residents and workers have died from the coronavirus at nursing homes and other long-term care facilities for older adults in the United States, according to a New York Times database. As of June 26, the virus has infected more than 282,000 people at some 12,000 facilities. While 11 percent of the country’s cases have occurred in long-term care facilities, deaths related to Covid-19 in these facilities account for more than 43 percent of the country’s pandemic fatalities.

  • Crisis Government

    Henry Kissinger once quipped: “There cannot be a crisis next week. My schedule is already full.” That was back in the 1960s, when it appeared that responding to crises required the government to take a break from its ongoing work. Philip Wallach writes in National Affairs that when we step back and regard 21st-century American politics, we ought to see that the crisis responses are not “anomalous,” but rather that they vastly exceed the “normal” actions of the government in terms of importance. “This change of perspective compels us to reject the idea that polarization is the defining feature of our era, and we must reassess our understanding of the American political system’s capacities and infirmities accordingly. The overall picture is still a negative one, of course, but for reasons that differ from those we are used to hearing about.”

  • Sweden’s Coronavirus Failure Started Long Before the Pandemic

    Many countries have criticized the Swedish government’s lax lockdown, but the deadly mistakes of defunding elder care and decentralizing public health oversight were made before anyone had heard of COVID-19. Carl-Johan Karlsson writes in Foreign Policy that Sweden has become a global outlier in ignoring calls for coronavirus lockdowns, with the government’s public health agency issuing recommendations rather than mandating certain behaviors, what’s considered a “light-touch strategy.” Critics of the Swedish approach point to the fact that Sweden has a higher death rate relative to its Scandinavian strict-lockdown neighbors (Denmark, Norway, and Finland). But Karlsson notes that a closer look reveals a more complex reality: the overwhelming majority of Swedish COVID-19-related deaths occurred in senior citizens care centers, so some criticisms of the Swedish COVID-19 response may still be premature, and others should rather be directed at mistakes made long before the current health crisis—namely the decline of central government oversight and, especially, a decadelong neglect of Sweden’s elderly population.

  • Coronavirus opens door to company surveillance of workers

    Employers are rushing to use digital tracking technology to reduce virus transmission in the workplace. Mohana Ravindranath writes in Politico that privacy experts worry that businesses will start using their newfound surveillance capabilities for purposes far beyond public health. The data could be used to evaluate workers’ productivity, see which colleagues are holding meetings or even flag an employee who unexpectedly ducks out of the office during work hours.

  • How the Coronavirus Short-Circuits the Immune System

    At the beginning of the pandemic, the coronavirus looked to be another respiratory illness. But the virus has turned out to affect not just the lungs, but the kidneys, the heart and the circulatory system — even, somehow, our senses of smell and taste. Gina Kolata writes in the New York Times that now researchers have discovered yet another unpleasant surprise. In many patients hospitalized with the coronavirus, the immune system is threatened by a depletion of certain essential cells, suggesting eerie parallels with HIV. The findings suggest that a popular treatment to tamp down the immune system in severely ill patients may help a few, but could harm many others.

  • A Coronavirus Vaccine Is Still Months Away, but an Antibody Treatment Could Be Closer

    Vaccines have gotten all the attention in the race to fight Covid-19, but there is a major push in the United States to develop antibody therapies to treat coronavirus. Jen Christensen writes for CNN that there’s so much of a push that some scientists think these treatments may be available this year, even before a vaccine.

  • We Ran the CDC. Here’s How to Talk to the Public in a Health Crisis.

    With just a few words uttered during a media briefing in Geneva on Monday, the World Health Organization’s technical lead for coronavirus response sent a lightning bolt of doubt around the globe as to how transmission might occur during this pandemic. Jeffrey P. Koplan and Richard E. Besser — they each ran the CDC during a public health emergency – write in Barron’sthat when Maria Van Kerkhove walked back her statement about asymptomatic transmission a day later, noting that how often people without symptoms spread the disease “is a major unknown,” the damage already had been done. Communication failures like this, and the muted voice and ignored expertise of the Centers for Disease Control and Prevention during this pandemic, undermine the institutions we need and can have a dramatic impact on people’s health. Without trust, transparency, and truth, public health officials and government leaders will struggle to inform people and drive behaviors to serve the greater good.

  • Proper Perspective, and a New, Post-Pandemic Economic Paradigm

    Governments around the world have imposed economic and social lockdown in their countries in an effort to contain the spread of the coronavirus. These decisions were driven by dire predictions of several influential epidemiological models. Three months into the lockdowns and shutdowns, these decisions are subject to renewed examination and criticism.
    Ross Clark (also see here) questions the usefulness of variables such as “R”-naught (R0), and the underlying figures used in calculating them. Alistair Haimes and Greg Weiner raise more fundamental questions: were government leaders, facing a complex situation requiring costly decisions, too willing – indeed, eager — to accept the recommendations of scientists and modelers, without subjecting these recommendations to searching critiques and thorough examinations? “[I]t is already clear that there has been an unexampled disregard for the foundational pillars of the scientific method even as governments trumpet that they are ‘following the science’,” Haimes writes. Weiner writes that in tough situations, leaders should not outsource decisions to others. Exercising judgment – seasoned by experience, evenness of temperament, and due regard for expertise – “as the means of making political decisions is not only correct; it is unavoidable.”
    And judgment leavened by experience, Dr. Waqar Rashid writes, would help us keep this epidemic in perspective. He tells the story of the 1996 mad cow disease (BSE) scare to show that with a better perspective, an initial panicky reaction to a scary new outbreak is often found to have been unjustified.
    On 1 December 1862, President Abraham Lincoln sent a message to Congress, proposing the compensated emancipation of slaves. “The dogmas of the quiet past are inadequate to the stormy present,” he wrote. “As our case is new, so we must think anew, and act anew.” This is also Arnold Kling’s argument. The novel virus has created a novel economic predicament. “What is clear, however, is that the COVID-19 pandemic has accelerated the deterioration of the concepts that underpin contemporary macroeconomic-policy thinking in America,” he writes. “The time has come to jettison both the Keynesian and monetarist paradigms that macroeconomic policymakers employ and to pursue an alternative paradigm more suitable to the conditions prevailing in today’s economy.”

  • Ignoring the COVID Evidence

    There is no need to wait for history books to analyze and dissect every aspect of the disease and the U.K. governments’ response to it, Alistair Haimes writes in The Critic, “but it is already clear that there has been an unexampled disregard for the foundational pillars of the scientific method even as governments trumpet that they are ‘following the science’.” He argues that at every stage, the U.K. government has failed to apply scrutiny where it is due, or even to stop and check that it was on the right ladder before it carried on climbing. He adds: “I have no idea whether there will be either a second wave or a totally different epidemic in the next few years. But we urgently need to repair the infrastructure not just of our healthcare and procurement systems but also of the decision-making processes underpinning our scientific advice, our policy response and our legislative safeguards, ready for the next crisis that comes along. It should start with ensuring that the right questions will be asked, and that scrutiny is maintained and sustained when the going gets tough. We did not have to get this wrong the way we did: we must not repeat the fatal steps that brought us to where we are now.”

  • Controversy on COVID-19 Mask Study Spotlights Messiness of Science during a Pandemic

    Late last week, a group of researchers posted a letter that they had sent to the Proceedings of National Academy of Sciences (PNAS) requesting the retraction of a study published the week before that purportedly showed mask use was the most effective intervention in slowing the spread of COVID-19 in New York City. Stephanie Soucheray writes for CIDRAP that though PNAS editors have yet to respond to the request, scientists have roundly criticized the study’s methodology, and the entire kerfuffle has highlighted the difficulty of “doing science” amid a full-blown pandemic.

  • Prudence, Protests, and Pandemics

    On 10 April, during one of the manic news briefings which initially characterized the Trump administration’s erratic response to the coronavirus pandemic, a reporter asked the president what “metrics” he would use to make decisions about re-opening the economy. “The metric’s right here,” Trump said, pointing to his head. “That’s my metrics. That’s all I can do. I can listen to 35 people. At the end, I’ve got to make a decision.”  — Greg Weiner writes in National Affairs that “Trump’s ruminations in these briefings — which have ranged from the false to the harebrained, from the confused to the dangerous — may encourage caustic reactions. But the remark about metrics ranks as one of the more sensible things he has said on the topic.” Weiner adds: “There is an excellent case that Trump’s judgment is questionable. Certainly, he has derided any notion of expertise as well as the sources — such as experience, as opposed to impulse — from which it could meaningfully arise. His own decisions have been poorer as a result. But Trump’s endorsement of judgment — seasoned, as one hopes it is, and as one must acknowledge the president’s has not been, by experience, evenness of temperament, and due regard for expertise — as the means of making political decisions is not only correct; it is unavoidable.”

  • Hysteria over Germany's Surging R-Number Shows Why It's an Absurd Way to Measure COVID

    Germany’s “R” number: 1.06 on Friday, rising to 1.79 on Saturday and 2.88 on Sunday. Should the Germans be worried? Ross Clark writes in The Telegraph that the Germans should not, because the apparent acceleration in Germany’s R number shows the foolishness of focusing so much on a single figure. The rise in the number is entirely due to an outbreak in an abattoir in the town of Gutersloh in the region of North Rhine Westphalia, where 650 workers were found to have the virus. That is a closed environment kept at a chilled temperature which seems to have been an ideal place to promote the spread of the virus. It tells us nothing about COVID-19 in the rest of Germany (where, in fact, the numbers are in decline). “When the history of COVID-19 comes to be written, one issue which will need addressing is how mass fear was spread by the constant feeding of statistics by government and their agencies – figures which many people struggled to put into perspective. Here’s just a little more perspective. Germany so far has recorded 8,882 deaths from COVID 19. That is less than 1 percent of the approximately one million people who die in Germany every year,” Clark writes.

  • Can the Mad Cow Disease Outbreak Teach Us Anything about COVID-19?

    When so-called “mad cow disease” hit the headlines in 1996, I was in the final stages of finishing my medical degree. Information back then was harder to come by without social media, but it was probably more accurate and varied without the echo chambers that are now created. Even so, relative panic ensued and there are parallels to be drawn with the current Covid-19 crisis. Dr. Waqar Rashid writes in The Spectator that the thought of a terrifying illness which we would have no protection against has always been lurking in the recesses of the human condition as one of our greatest fears. Children are taught about the bubonic plague; the ‘black death’ no less. Smallpox and tuberculosis epidemics were not that long ago. As time has gone on though we have been protected by improved hygiene and diet, antibiotics and vaccination. In the western world especially, we felt very safe and had become complacent. Even TB, which will almost certainly kill far more people this year than Covid-19, is thought by many people in Britain to have been consigned to the past not so long ago. “This isn’t, of course, to discount the threat from COVID-19,” he writes. “Tens of thousands have died and each of these deaths brings with it grieving relatives mourning a life cut short. But it is vital that we see this illness in a wider context. And remembering how we reacted to Bovine Spongiform Encephalopathy (BSE) helps in some way towards doing that.”

  • The Limits of COVID Death Statistics

    As is often said, choose your statistics carefully and you can use them make just about any point you want to. Ross Clark writes in The Spectator, however, that rarely does the Office for National Statistics put out two releases – the first one here (showing that overall deaths in England and Wales, while they have fallen, are still running at 5.9 percent above the average for the time of year); the second one here (showing that overall deaths in England and Wales are running at 5.9 percent below the average of the past five years [8,686 compared with 9,233]). The differences are the result of different counting methods, and the fact that the second release covers a slightly longer period – but even so, we can assume that one contributing factor to the decline of overall death is almost certainly that COVID-19 has been killing large numbers of people who were close to death anyway – it brought their deaths forward, hence the large spike in April that will now be followed by a long period of below-average deaths. “One of the perverse outcomes of COVID-19 is that it might briefly flatter the figures for circulatory diseases and lung cancer. People whose deaths would have been attributed to those conditions will instead have gone down as Covid-19 deaths,” Clark writes.