{"id":11672,"date":"2021-02-17T08:39:11","date_gmt":"2021-02-17T16:39:11","guid":{"rendered":"https:\/\/worldcampaign.net\/?p=11672"},"modified":"2021-02-17T08:43:15","modified_gmt":"2021-02-17T16:43:15","slug":"a-dismal-spring-awaits-unless-we-slow-the-spread-of-covid-19-the-new-york-times-credit-daniel-dreifuss-for-the-new-york-times-the-covid-19-omens-are-not-good-yes-over-the-past-two-weeks-endi","status":"publish","type":"post","link":"https:\/\/worldcampaign.net\/?p=11672","title":{"rendered":"&#8220;A Dismal Spring Awaits Unless We Slow the Spread of Covid-19&#8221;, The New York Times"},"content":{"rendered":"<p>By\u00a0<span class=\"css-1baulvz\">Ezekiel J. Emanuel,\u00a0<\/span><span class=\"css-1baulvz\">Rick Bright<\/span> and <span class=\"css-1baulvz last-byline\">C\u00e9line Gounder,\u00a0<\/span>Opinion, February 17, 2021<\/p>\n<p><em>The authors were members of President Biden\u2019s advisory board on Covid-19, which counseled him during the presidential transition period on how to respond to the pandemic.<\/em><\/p>\n<header class=\"css-1t1uiww euiyums1\">\n<div class=\"css-79elbk\" data-testid=\"photoviewer-wrapper\">\n<div class=\"css-1a48zt4 ehw59r15\" data-testid=\"photoviewer-children\">\n<figure class=\"sizeMedium layoutHorizontal css-1ox9jel\">\n<div class=\"css-bsn42l\"><picture><img decoding=\"async\" class=\"css-11cwn6f\" src=\"https:\/\/static01.nyt.com\/images\/2021\/02\/16\/opinion\/16emanuell1\/merlin_183426759_f9aad0e4-14f1-4f29-8fcd-5208b27da028-articleLarge.jpg?quality=75&amp;auto=webp&amp;disable=upscale\" sizes=\"((min-width: 600px) and (max-width: 1004px)) 84vw, (min-width: 1005px) 60vw, 100vw\" srcset=\"https:\/\/static01.nyt.com\/images\/2021\/02\/16\/opinion\/16emanuell1\/merlin_183426759_f9aad0e4-14f1-4f29-8fcd-5208b27da028-articleLarge.jpg?quality=90&amp;auto=webp 600w, https:\/\/static01.nyt.com\/images\/2021\/02\/16\/opinion\/16emanuell1\/merlin_183426759_f9aad0e4-14f1-4f29-8fcd-5208b27da028-jumbo.jpg?quality=90&amp;auto=webp 1024w, https:\/\/static01.nyt.com\/images\/2021\/02\/16\/opinion\/16emanuell1\/merlin_183426759_f9aad0e4-14f1-4f29-8fcd-5208b27da028-superJumbo.jpg?quality=90&amp;auto=webp 2048w\" alt=\"\" \/><\/picture><\/div><figcaption class=\"css-17ai7jg e18f7pbr0\"><span class=\"css-cnj6d5 e1z0qqy90\"><span class=\"css-1ly73wi e1tej78p0\">Credit&#8230;<\/span>Daniel Dreifuss for The New York Times<\/span><\/figcaption><\/figure>\n<\/div>\n<\/div>\n<\/header>\n<section class=\"meteredContent css-1r7ky0e\">\n<div class=\"css-1fanzo5 StoryBodyCompanionColumn\">\n<div class=\"css-53u6y8\">\n<p class=\"css-axufdj evys1bk0\">The Covid-19 omens are not good.<\/p>\n<p class=\"css-axufdj evys1bk0\">Yes, over the <a class=\"css-1g7m0tk\" title=\"\" href=\"https:\/\/www.nytimes.com\/interactive\/2020\/us\/coronavirus-us-cases.html\">past two weeks<\/a> ending Monday, Covid-19 cases were down by 41 percent and deaths by 22 percent. Yes, people are wearing masks. In a recent <a class=\"css-1g7m0tk\" title=\"\" href=\"https:\/\/kateto.net\/covid19\/COVID19%20CONSORTIUM%20REPORT%2031%20DISTANCING%20Jan%202021.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">national survey<\/a>, 80 percent of the respondents said they \u201cvery closely\u201d followed public health recommendations to don a mask outside the home. And yes, since the fall, fewer Americans <a class=\"css-1g7m0tk\" title=\"\" href=\"https:\/\/www.ipsos.com\/en-us\/news-polls\/axios-ipsos-coronavirus-index\" target=\"_blank\" rel=\"noopener noreferrer\">are attending<\/a> in-person gatherings with family and friends.<\/p>\n<p class=\"css-axufdj evys1bk0\">This is all good. Americans confronted the realities of a dark winter and stepped up. But this feel-good moment is obscuring what could be a dismal spring and the potential of further lockdowns unless we can continue to slow the spread of this virus.<\/p>\n<p class=\"css-axufdj evys1bk0\">Some signs point in the wrong direction. We probably just had millions of Super Bowl parties, ideal spaces for increasing spread. More worrisome, states are celebrating prematurely, rolling back their mask mandates, opening up indoor dining and permitting large gatherings, such as religious services and funerals \u2014 all well-established mechanisms for superspreading events.<\/p>\n<p class=\"css-axufdj evys1bk0\">Compounding these threats, new virus variants, especially <a class=\"css-1g7m0tk\" title=\"\" href=\"https:\/\/www.nytimes.com\/2021\/02\/07\/health\/coronavirus-variant-us-spread.html\">B.1.1.7<\/a>, are spreading across states. Their increased transmissibility could lead to tens of thousands of additional Covid-19 cases and, inevitably and tragically, a surge in hospitalizations and deaths, not to mention longer economic pain.<\/p>\n<div class=\"css-1fanzo5 StoryBodyCompanionColumn\">\n<div class=\"css-53u6y8\">\n<p class=\"css-axufdj evys1bk0\">The three of us were part of a 16-member <a class=\"css-1g7m0tk\" title=\"\" href=\"https:\/\/www.cnn.com\/2020\/11\/09\/health\/members-of-biden-covid-19-advisory-board\/index.html\" target=\"_blank\" rel=\"noopener noreferrer\">advisory board<\/a> that counseled Joe Biden on Covid-19 during the presidential transition. <a class=\"css-1g7m0tk\" title=\"\" href=\"https:\/\/int.nyt.com\/data\/documenttools\/b-iden-covid-19-advisory-board\/9f805bceb4395fbd\/full.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Five other members<\/a> of that board have contributed to this article. We urge President Biden to specify clear thresholds for government action and announce them to the public. States will then understand the rules, and Americans will know when to expect public health interventions, right up to full lockdowns. The public needs to know the number of Covid-19 cases per 100,000, the rate of increase and hospital and intensive care unit bed capacity. When these are going in the wrong direction, they serve as warning signs.<\/p>\n<p class=\"css-axufdj evys1bk0\">Even so, we have the ability to avoid lockdowns in March or April. Here\u2019s how.<\/p>\n<h2 id=\"link-1c02941f\" class=\"css-ow6j0y eoo0vm40\">Every American needs to wear a high-quality mask, and wear it correctly.<\/h2>\n<p class=\"css-axufdj evys1bk0\">The government needs to mail a package of surgical masks to every household. This should be paired with a multilingual, multicultural media messaging campaign to show people what a good mask looks like \u2014 multiple layers of fine fabric with an adjustable nose piece \u2014 and how to wear them correctly. That is: over your mouth <em class=\"css-2fg4z9 e1gzwzxm0\">and<\/em> nose and under your chin, with a tight fit across your nose and on the sides so the air you breathe goes in and out through the mask, not the sides. The message should also emphasize that it may be even more effective to wear two masks, a cloth mask over a surgical mask, to reduce viral transmission.<\/p>\n<h2 id=\"link-6227f780\" class=\"css-ow6j0y eoo0vm40\">We need to stay in our household bubbles.<\/h2>\n<p class=\"css-axufdj evys1bk0\">We need to stay away from groups \u2014 meaning no parties of 10 or more people. We need to do as much of our grocery and retail shopping online as we can. And if we need to shop in person, buy in bulk to reduce trips to the store and possible exposure to the virus.<\/p>\n<h2 id=\"link-6df2e2af\" class=\"css-ow6j0y eoo0vm40\">Take a vaccine.<\/h2>\n<p class=\"css-axufdj evys1bk0\">When it is your turn to get vaccinated, get vaccinated \u2014 with any vaccine authorized by the U.S. Food and Drug Administration. You should get vaccinated as soon as you are eligible. Take whichever vaccine is available. The studies suggest they all fully protect people from Covid-19-associated hospitalization and death.<\/p>\n<h2 id=\"link-5ae6003d\" class=\"css-ow6j0y eoo0vm40\">The government must help small businesses.<\/h2>\n<p class=\"css-axufdj evys1bk0\">We know indoor dining, bars and gyms are perfect for spreading the virus. Keeping them closed is essential. But small business owners and their employees should not be forced to choose between their livelihoods and the nation\u2019s public health. The government needs to provide them with financial support, strictly conditioned on those businesses being closed to indoor service. Similarly, workers need paid sick leave when they must stay home to quarantine.<\/p>\n<section class=\"meteredContent css-1r7ky0e\">\n<div class=\"css-1fanzo5 StoryBodyCompanionColumn\">\n<div class=\"css-53u6y8\">\n<h2 id=\"link-67166078\" class=\"css-ow6j0y eoo0vm40\">Protect our workers.<\/h2>\n<p class=\"css-axufdj evys1bk0\">We all are relying on workers in health care, farms, factories, grocery stores, police departments, child care and schools, as well as millions of others. Employers of these frontline workers must ensure they are as safe as possible with personal protective equipment, including N95 masks where needed, high-quality air ventilation and filtration systems and the like. The government needs to mandate that all workers at higher risk for exposure to Covid-19 have these safety measures. It must also work with manufacturers through advance purchasing agreements and other mechanisms to ramp up production of all necessary protective equipment to keep the health care system and economy working safely.<\/p>\n<h2 id=\"link-1dddadef\" class=\"css-ow6j0y eoo0vm40\">The virus is not done with us.<\/h2>\n<p class=\"css-axufdj evys1bk0\">When we see a small rise in cases, that is a big red flag. It\u2019s the tremor before the earthquake. As we have seen over and over, four weeks after small increases in cases, there is an exponential rise in cases, to hundreds of thousands, followed in a few weeks by thousands of deaths per day. When Covid-19 rates begin to creep up, the surge is inevitable and imminent unless we take decisive action. Waiting until the spike occurs is thousands of deaths too late.<\/p>\n<p class=\"css-axufdj evys1bk0\">We may be done with Covid-19, but the virus is not done with us. We are all exhausted and frustrated, tired of masks and feeling constrained and bored with the monotony of life. We desperately want life to go back to normal.<\/p>\n<p class=\"css-axufdj evys1bk0\">But how soon we get there depends on the actions we take today. If we don\u2019t take the new virus variants more seriously than we have, tens of thousands more Americans will become sick and die.<\/p>\n<p class=\"css-pncxxs etfikam0\"><em><a class=\"css-1g7m0tk\" title=\"\" href=\"https:\/\/medicalethicshealthpolicy.med.upenn.edu\/faculty-all\/ezekiel-j-emanuel\" target=\"_blank\" rel=\"noopener noreferrer\">Ezekiel J. Emanuel<\/a> is the vice provost of global initiatives and a professor of medical ethics and health policy at the University of Pennsylvania. <a class=\"css-1g7m0tk\" title=\"\" href=\"https:\/\/www.nytimes.com\/2020\/05\/05\/us\/politics\/rick-bright-coronavirus-whistleblower.html\">Rick Bright<\/a> is an immunologist and a vaccine expert who was the director of the federal government\u2019s Biomedical Advanced Research and Development Authority from 2016 to 2020. He filed a whistle-blower complaint against the Trump administration over what he said was an ineffective response to the pandemic. <a class=\"css-1g7m0tk\" title=\"\" href=\"https:\/\/med.nyu.edu\/faculty\/celine-r-gounder\" target=\"_blank\" rel=\"noopener noreferrer\">C\u00e9line Gounder<\/a> is an infectious disease specialist and an epidemiologist and an assistant clinical professor of medicine at New York University\u2019s Grossman School of Medicine and Bellevue Hospital Center.<\/em><\/p>\n<p class=\"css-pncxxs etfikam0\"><a href=\"https:\/\/www.nytimes.com\/2021\/02\/17\/opinion\/covid-19-precautions.html?action=click&amp;module=Opinion&amp;pgtype=Homepage\">The New York Times<\/a><\/p>\n<\/div>\n<\/div>\n<\/section>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>By\u00a0Ezekiel J. Emanuel,\u00a0Rick Bright and C\u00e9line Gounder,\u00a0Opinion, February 17, 2021 The authors were members of President Biden\u2019s advisory board on Covid-19, which counseled him during the presidential transition period on how to respond to the pandemic. Credit&#8230;Daniel Dreifuss for The New York Times The Covid-19 omens are not good. Yes, over the past two weeks [&hellip;]<\/p>\n","protected":false},"author":1001004,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[53],"tags":[],"_links":{"self":[{"href":"https:\/\/worldcampaign.net\/index.php?rest_route=\/wp\/v2\/posts\/11672"}],"collection":[{"href":"https:\/\/worldcampaign.net\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/worldcampaign.net\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/worldcampaign.net\/index.php?rest_route=\/wp\/v2\/users\/1001004"}],"replies":[{"embeddable":true,"href":"https:\/\/worldcampaign.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=11672"}],"version-history":[{"count":5,"href":"https:\/\/worldcampaign.net\/index.php?rest_route=\/wp\/v2\/posts\/11672\/revisions"}],"predecessor-version":[{"id":11677,"href":"https:\/\/worldcampaign.net\/index.php?rest_route=\/wp\/v2\/posts\/11672\/revisions\/11677"}],"wp:attachment":[{"href":"https:\/\/worldcampaign.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=11672"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/worldcampaign.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=11672"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/worldcampaign.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=11672"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}