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Celerity

(43,359 posts)
Thu Mar 26, 2020, 05:10 AM Mar 2020

How the Pandemic Will End

The U.S. may end up with the worst COVID-19 outbreak in the industrialized world. This is how it’s going to play out.

https://www.theatlantic.com/health/archive/2020/03/how-will-coronavirus-end/608719/



Three months ago, no one knew that SARS-CoV-2 existed. Now the virus has spread to almost every country, infecting at least 446,000 people whom we know about, and many more whom we do not. It has crashed economies and broken health-care systems, filled hospitals and emptied public spaces. It has separated people from their workplaces and their friends. It has disrupted modern society on a scale that most living people have never witnessed. Soon, most everyone in the United States will know someone who has been infected. Like World War II or the 9/11 attacks, this pandemic has already imprinted itself upon the nation’s psyche.

A global pandemic of this scale was inevitable. In recent years, hundreds of health experts have written books, white papers, and op-eds warning of the possibility. Bill Gates has been telling anyone who would listen, including the 18 million viewers of his TED Talk. In 2018, I wrote a story for The Atlantic arguing that America was not ready for the pandemic that would eventually come. In October, the Johns Hopkins Center for Health Security war-gamed what might happen if a new coronavirus swept the globe. And then one did. Hypotheticals became reality. “What if?” became “Now what?”

So, now what? In the late hours of last Wednesday, which now feels like the distant past, I was talking about the pandemic with a pregnant friend who was days away from her due date. We realized that her child might be one of the first of a new cohort who are born into a society profoundly altered by COVID-19. We decided to call them Generation C.

As we’ll see, Gen C’s lives will be shaped by the choices made in the coming weeks, and by the losses we suffer as a result. But first, a brief reckoning. On the Global Health Security Index, a report card that grades every country on its pandemic preparedness, the United States has a score of 83.5—the world’s highest. Rich, strong, developed, America is supposed to be the readiest of nations. That illusion has been shattered. Despite months of advance warning as the virus spread in other countries, when America was finally tested by COVID-19, it failed.

snip

great article so much more at the link
31 replies = new reply since forum marked as read
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How the Pandemic Will End (Original Post) Celerity Mar 2020 OP
Great Article, Worth the Read" OhioChick Mar 2020 #1
The Atlantic is doing superb work on all this, & they offered me an overseas EU student subscription Celerity Mar 2020 #2
They certainly are OhioChick Mar 2020 #5
that article is terrifying, mostly because it is so bloody probable and laid out so cogently Celerity Mar 2020 #6
Sadly enough, it carries truth n/t OhioChick Mar 2020 #7
trump's big easter party should just about do it rampartc Mar 2020 #3
IMO: trump's already a mass murderer, now he's killing his own followers. rickyhall Mar 2020 #11
I'm an atheist.... SergeStorms Mar 2020 #12
Good article!!! BigmanPigman Mar 2020 #4
It was a failure of leadership not capability lapfog_1 Mar 2020 #8
Exactly drmeow Mar 2020 #29
Go read this...a Great article ashredux Mar 2020 #9
Great read. STAY HOME. underpants Mar 2020 #10
We're doomed. chwaliszewski Mar 2020 #13
Yep, I read it last night -- It's the end of the world as we know it. mtngirl47 Mar 2020 #19
A must read. n/t Whiskeytide Mar 2020 #14
More from the article... SergeStorms Mar 2020 #15
Excellent information with several links. kentuck Mar 2020 #16
Very informative article. gademocrat7 Mar 2020 #17
Kick & Recommend bronxiteforever Mar 2020 #18
My granddaughter will be born at the end of April. dewsgirl Mar 2020 #20
one of the first of Generation C Celerity Mar 2020 #22
Thank you so much. My DIL would love a home birth at this dewsgirl Mar 2020 #24
did you look into high-risk birthing centres? They only deal with birthing, and have hospital-level Celerity Mar 2020 #25
She is on Tri Care through the military, I don't think it's covered. dewsgirl Mar 2020 #26
Thank you Cetacea Mar 2020 #21
Excellent article. Everyone should read it. liberalla Mar 2020 #23
WOW - what a great article. qwlauren35 Mar 2020 #27
Note this quote: Danascot Mar 2020 #28
Ran out of my Atlantic articles for the month. smirkymonkey Mar 2020 #30
They offered me an overseas EU student rate and I took it Celerity Mar 2020 #31

OhioChick

(23,218 posts)
1. Great Article, Worth the Read"
Thu Mar 26, 2020, 05:22 AM
Mar 2020
"Partly, that’s because the White House is a ghost town of scientific expertise. A pandemic-preparedness office that was part of the National Security Council was dissolved in 2018. On January 28, Luciana Borio, who was part of that team, urged the government to “act now to prevent an American epidemic,” and specifically to work with the private sector to develop fast, easy diagnostic tests. But with the office shuttered, those warnings were published in The Wall Street Journal, rather than spoken into the president’s ear. Instead of springing into action, America sat idle.

Derek Thompson: America is acting like a failed state

Rudderless, blindsided, lethargic, and uncoordinated, America has mishandled the COVID-19 crisis to a substantially worse degree than what every health expert I’ve spoken with had feared. “Much worse,” said Ron Klain, who coordinated the U.S. response to the West African Ebola outbreak in 2014. “Beyond any expectations we had,” said Lauren Sauer, who works on disaster preparedness at Johns Hopkins Medicine. “As an American, I’m horrified,” said Seth Berkley, who heads Gavi, the Vaccine Alliance. “The U.S. may end up with the worst outbreak in the industrialized world.”

A big K&R

Celerity

(43,359 posts)
2. The Atlantic is doing superb work on all this, & they offered me an overseas EU student subscription
Thu Mar 26, 2020, 05:34 AM
Mar 2020

I love to support these great semi-long form journo magazines.

rampartc

(5,407 posts)
3. trump's big easter party should just about do it
Thu Mar 26, 2020, 05:35 AM
Mar 2020

for profit medicine, globalized industry, "just on time" logistic, scientific ignorance, positive thinking, suppression of facts and statistics, criminal leadership at the presidential level, etc etc etc

if this were a biological attack it could not have been better designed to exploit the weaknesses of american culture.

rickyhall

(4,889 posts)
11. IMO: trump's already a mass murderer, now he's killing his own followers.
Thu Mar 26, 2020, 07:10 AM
Mar 2020

People can be so stupid. Go to church Easter & die. Not me, I'm be watching tv.

SergeStorms

(19,201 posts)
12. I'm an atheist....
Thu Mar 26, 2020, 07:20 AM
Mar 2020

but I've noticed many churches in the area are offering services online. For what it's worth.

drmeow

(5,018 posts)
29. Exactly
Thu Mar 26, 2020, 11:07 PM
Mar 2020

"he United States has a score of 83.5—the world’s highest. Rich, strong, developed, America is supposed to be the readiest of nations. That illusion has been shattered. Despite months of advance warning as the virus spread in other countries, when America was finally tested by COVID-19, it failed."

America didn't fail - Trump failed.

Edited to add - We didn't actually deserve that high of a score but at least with good leadership the f**king inadequacies in our healthcare system would not have been nearly the liability they are.

mtngirl47

(989 posts)
19. Yep, I read it last night -- It's the end of the world as we know it.
Thu Mar 26, 2020, 07:51 AM
Mar 2020

I have been optimistic about my chances. Now I need to think about the coming post-covid world.

SergeStorms

(19,201 posts)
15. More from the article...
Thu Mar 26, 2020, 07:26 AM
Mar 2020

In the U.S., the Strategic National Stockpile—a national larder of medical equipment—is already being deployed, especially to the hardest-hit states. The stockpile is not inexhaustible, but it can buy some time. Donald Trump could use that time to invoke the Defense Production Act, launching a wartime effort in which American manufacturers switch to making medical equipment. But after invoking the act last Wednesday, Trump has failed to actually use it, reportedly due to lobbying from the U.S. Chamber of Commerce and heads of major corporations.

Some manufacturers are already rising to the challenge, but their efforts are piecemeal and unevenly distributed. “One day, we’ll wake up to a story of doctors in City X who are operating with bandanas, and a closet in City Y with masks piled into it,” says Ali Khan, the dean of public health at the University of Nebraska Medical Center. A “massive logistics and supply-chain operation [is] now needed across the country,” says Thomas Inglesby of Johns Hopkins Bloomberg School of Public Health. That can’t be managed by small and inexperienced teams scattered throughout the White House. The solution, he says, is to tag in the Defense Logistics Agency—a 26,000-person group that prepares the U.S. military for overseas operations and that has assisted in past public-health crises, including the 2014 Ebola outbreak.

This agency can also coordinate the second pressing need: a massive rollout of COVID-19 tests. Those tests have been slow to arrive because of five separate shortages: of masks to protect people administering the tests; of nasopharyngeal swabs for collecting viral samples; of extraction kits for pulling the virus’s genetic material out of the samples; of chemical reagents that are part of those kits; and of trained people who can give the tests. Many of these shortages are, again, due to strained supply chains. The U.S. relies on three manufacturers for extraction reagents, providing redundancy in case any of them fails—but all of them failed in the face of unprecedented global demand. Meanwhile, Lombardy, Italy, the hardest-hit place in Europe, houses one of the largest manufacturers of nasopharyngeal swabs.

We're fucked.

dewsgirl

(14,961 posts)
24. Thank you so much. My DIL would love a home birth at this
Thu Mar 26, 2020, 08:15 AM
Mar 2020

rate, but she is high risk, so that's not possible.

Celerity

(43,359 posts)
25. did you look into high-risk birthing centres? They only deal with birthing, and have hospital-level
Thu Mar 26, 2020, 08:36 AM
Mar 2020

tech.

dewsgirl

(14,961 posts)
26. She is on Tri Care through the military, I don't think it's covered.
Thu Mar 26, 2020, 09:10 AM
Mar 2020

She's been trying to look into alternatives.

qwlauren35

(6,148 posts)
27. WOW - what a great article.
Thu Mar 26, 2020, 09:50 AM
Mar 2020

I think the painful part is the envisioning of Trump winning and the country becoming more xenophobic and isolationist.

The wonderful thing would be if we could respond to something like this within 1 month.

Let's shoot for that.

Danascot

(4,690 posts)
28. Note this quote:
Thu Mar 26, 2020, 10:54 AM
Mar 2020
Think of it this way: There are now only two groups of Americans. Group A includes everyone involved in the medical response, whether that’s treating patients, running tests, or manufacturing supplies. Group B includes everyone else, and their job is to buy Group A more time. Group B must now “flatten the curve” by physically isolating themselves from other people to cut off chains of transmission.
 

smirkymonkey

(63,221 posts)
30. Ran out of my Atlantic articles for the month.
Thu Mar 26, 2020, 11:37 PM
Mar 2020

I am thinking maybe these days I should just pony up and get a subscription. I'm on a pretty tight budget, but I really love their articles. The one good thing about quarantine is that I am saving quite a bit of money by not leaving my apartment.

No money on commuting, beverages (mostly iced tea), lunch, the occasional treat, Uber/Lyft, dinners/movies, etc. Also, every time I go into a grocery/drug store, I just kind of throw things into my cart on a whim, whereas when I shop virtually, I am a bit more frugal and focused. I also just eat less and I'm less hungry for some reason.

Celerity

(43,359 posts)
31. They offered me an overseas EU student rate and I took it
Fri Mar 27, 2020, 09:43 AM
Mar 2020

They are superb and I love to support great writing.

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