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Javier E

Warnings Ignored: A Timeline of Trump's COVID-19 Response - The Bulwark - 0 views

thebulwark.com/ne-of-trumps-covid-19-response

timeline trump response pandemic history policy politics

shared by Javier E on 27 Mar 20 - No Cached
  • the White House is trying to establish an alternate reality in which Trump was a competent, focused leader who saved American people from the coronavirus.
  • it highlights just how asleep Trump was at the switch, despite warnings from experts within his own government and from former Trump administration officials pleading with him from the outside.
  • Most prominent among them were former Homeland Security advisor Tom Bossert, Commissioner of the Food and Drug Administration Scott Gottlieb, and Director for Medical and Biodefense Preparedness at the National Security Council Dr. Luciana Borio who beginning in early January used op-eds, television appearances, social media posts, and private entreaties to try to spur the administration into action.
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  • what the administration should have been doing in January to prepare us for today.
  • She cites the delay on tests, without which “cases go undetected and people continue to circulate” as a leading issue along with other missed federal government responses—many of which are still not fully operational
  • The prescient recommendations from experts across disciplines in the period before COVID-19 reached American shores—about testing, equipment, and distancing—make clear that more than any single factor, it was Trump’s squandering of out lead-time which should have been used to prepare for the pandemic that has exacerbated this crisis.
  • What follows is an annotated timeline revealing the warning signs the administration received and showing how slow the administration was to act on these recommendations.
  • The Early Years: Warnings Ignored
  • 2017: Trump administrations officials are briefed on an intelligence document titled “Playbook for Early Response to High-Consequence Emerging Infectious Disease Threats and Biological Incidents.” That’s right. The administration literally had an actual playbook for what to do in the early stages of a pandemic
  • February 2018: The Washington Post writes “CDC to cut by 80 percent efforts to prevent global disease outbreak.” The meat of the story is “Countries where the CDC is planning to scale back include some of the world’s hot spots for emerging infectious disease, such as China, Pakistan, Haiti, Rwanda and Congo.”
  • May 2018: At an event marking the 100 year anniversary of the 1918 pandemic, Borio says “pandemic flu” is the “number 1 health security issue” and that the U.S. is not ready to respond.
  • One day later her boss, Rear Adm. Timothy Ziemer is pushed out of the administration and the global health security team is disbanded
  • Beth Cameron, former senior director for global health security on the National Security Council adds: “It is unclear in his absence who at the White House would be in charge of a pandemic,” Cameron said, calling it “a situation that should be immediately rectified.” Note: It was not
  • January 2019: The director of National Intelligence issues the U.S. Intelligence Community’s assessment of threats to national security. Among its findings:
  • A novel strain of a virulent microbe that is easily transmissible between humans continues to be a major threat, with pathogens such as H5N1 and H7N9 influenza and Middle East Respiratory Syndrome Coronavirus having pandemic potential if they were to acquire efficient human-to-human transmissibility.”
  • Page 21: “We assess that the United States and the world will remain vulnerable to the next flu pandemic or large scale outbreak of a contagious disease that could lead to massive rates of death and disability, severely affect the world economy, strain international resources, and increase calls on the United States for support.”
  • September, 2019: The Trump Administration ended the pandemic early warning program, PREDICT, which trained scientists in China and other countries to identify viruses that had the potential to turn into pandemics. According to the Los Angeles Times, “field work ceased when funding ran out in September,” two months before COVID-19 emerged in Wuhan Province, China.
  • 2020: COVID-19 Arrives
  • anuary 3, 2020: The CDC is first alerted to a public health event in Wuhan, China
  • January 6, 2020: The CDC issues a travel notice for Wuhan due to the spreading coronavirus
  • Note: The Trump campaign claims that this marks the beginning of the federal government disease control experts becoming aware of the virus. It was 10 weeks from this point until the week of March 16 when Trump began to change his tone on the threat.
  • January 10, 2020: Former Trump Homeland Security Advisor Tom Bossert warns that we shouldn’t “jerk around with ego politics” because “we face a global health threat…Coordinate!”
  • January 18, 2020: After two weeks of attempts, HHS Secretary Alex Azar finally gets the chance to speak to Trump about the virus. The president redirects the conversation to vaping, according to the Washington Post. 
  • January 21, 2020: Dr. Nancy Messonnier, the director of the National Center for Immunization and Respiratory Disease at the CDC tells reporters, “We do expect additional cases in the United States.”
  • January 27, 2020: Top White House aides meet with Chief of Staff Mick Mulvaney to encourage greater focus on the threat from the virus. Joe Grogan, head of the White House Domestic Policy Council warns that “dealing with the virus was likely to dominate life in the United States for many months.”
  • January 28, 2020: Two former Trump administration officials—Gottlieb and Borio—publish an op-ed in the Wall Street Journal imploring the president to “Act Now to Prevent an American Epidemic.” They advocate a 4-point plan to address the coming crisis:
  • (1) Expand testing to identify and isolate cases. Note: This did not happen for many weeks. The first time more than 2,000 tests were deployed in a single day was not until almost six weeks later, on March 11.
  • (3) Prepare hospital units for isolation with more gowns and masks. Note: There was no dramatic ramp-up in the production of critical supplies undertaken. As a result, many hospitals quickly experienced shortages of critical PPE materials. Federal agencies waited until Mid-March to begin bulk orders of N95 masks.
  • January 29, 2020: Trump trade advisor Peter Navarro circulates an internal memo warning that America is “defenseless” in the face of an outbreak which “elevates the risk of the coronavirus evolving into a full-blown pandemic, imperiling the lives of millions of Americans.”
  • January 30, 2020: Dr. James Hamblin publishes another warning about critical PPE materials in the Atlantic, titled “We Don’t Have Enough Masks.”
  • January 29, 2020: Republican Senator Tom Cotton reaches out to President Trump in private to encourage him to take the virus seriously.
  • Late January, 2020:  HHS sends a letter asking to use its transfer authority to shift $136 million of department funds into pools that could be tapped for combating the coronavirus. White House budget hawks argued that appropriating too much money at once when there were only a few U.S. cases would be viewed as alarmist.
  • Trump’s Chinese travel ban only banned “foreign nationals who had been in China in the last 14 days.” This wording did not—at all—stop people from arriving in America from China. In fact, for much of the crisis, flights from China landed in America almost daily filled with people who had been in China, but did not fit the category as Trump’s “travel ban” defined it.
  • January 31, 2020: On the same day Trump was enacting his fake travel ban, Foreign Policy reports that face masks and latex gloves are sold out on Amazon and at leading stores in New York City and suggests the surge in masks being sold to other countries needs “refereeing” in the face of the coming crisis.
  • February 4, 2020: Gottlieb and Borio take to the WSJ again, this time to warn the president that “a pandemic seems inevitable” and call on the administration to dramatically expand testing, expand the number of labs for reviewing tests, and change the rules to allow for tests of people even if they don’t have a clear known risk factor.
  • Note: Some of these recommendations were eventually implemented—25 days later.
  • February 5, 2020: HHS Secretary Alex Azar requests $2 billion to “buy respirator masks and other supplies for a depleted federal stockpile of emergency medical equipment.” He is rebuffed by Trump and the White House OMB who eventually send Congress a $500 million request weeks later.
  • February 4 or 5, 2020: Robert Kadlec, the assistant secretary for preparedness and response, and other intelligence officials brief the Senate Intelligence Committee that the virus poses a “serious” threat and that “Americans would need to take actions that could disrupt their daily lives.”
  • February 5, 2020: Senator Chris Murphy tweets: Just left the Administration briefing on Coronavirus. Bottom line: they aren't taking this seriously enough. Notably, no request for ANY emergency funding, which is a big mistake. Local health systems need supplies, training, screening staff etc. And they need it now.
  • February 9, 2020: The Washington Post reports that a group of governors participated in a jarring meeting with Dr. Anthony Fauci and Dr. Robert Redfield that was much more alarmist than what they were hearing from Trump. “The doctors and the scientists, they were telling us then exactly what they are saying now,” Maryland Gov. Larry Hogan (R) said.
  • the administration lifted CDC restrictions on tests. This is a factually true statement. But it elides that fact that they did so on March 3—two critical weeks after the third Borio/Gottlieb op-ed on the topic, during which time the window for intervention had shrunk to a pinhole.
  • February 20, 2020: Borio and Gottlieb write in the Wall Street Journal that tests must be ramped up immediately “while we can intervene to stop spread.”
  • February 23, 2020: Harvard School of Public Health professor issues warning on lack of test capability: “As of today, the US remains extremely limited in#COVID19 testing. Only 3 of ~100 public health labs haveCDC test kits working and CDC is not sharing what went wrong with the kits. How to know if COVID19 is spreading here if we are not looking for it.
  • February 24, 2020: The Trump administration sends a letter to Congress requesting a small dollar amount—between $1.8 billion and $2.5 billion—to help combat the spread of the coronavirus. This is, of course, a pittance
  • February 25, 2020: Messonier says she expects “community spread” of the virus in the United States and that “disruption to everyday life might be severe.” Trump is reportedly furious and Messonier’s warnings are curtailed in the ensuing weeks.
  • Trump mocks Congress in a White House briefing, saying “If Congress wants to give us the money so easy—it wasn’t very easy for the wall, but we got that one done. If they want to give us the money, we’ll take the money.”
  • February 26, 2020: Congress, recognizing the coming threat, offers to give the administration $6 billion more than Trump asked for in order to prepare for the virus.
  • February 27, 2020: In a leaked audio recording Sen. Richard Burr, chairman of the Intelligence Committee and author of the Pandemic and All-Hazards Preparedness Act (PAHPA) and the Pandemic and All-Hazards Preparedness and Advancing Innovation Act (reauthorization of PAHPA), was telling people that COVID-19 “is probably more akin to the 1918 pandemic.”
  • March 4, 2020: HHS says they only have 1 percent of respirator masks needed if the virus became a “full-blown pandemic.”
  • March 3, 2020: Vice President Pence is asked about legislation encouraging companies to produce more masks. He says the Trump administration is “looking at it.”
  • March 7, 2020: Fox News host Tucker Carlson, flies to Mar-a-Lago to implore Trump to take the virus seriously in private rather than embarrass him on TV. Even after the private meeting, Trump continued to downplay the crisis
  • March 9, 2020: Tom Bossert, Trump’s former Homeland Security adviser, publishes an op-ed saying it is “now or never” to act. He advocates for social distancing and school closures to slow the spread of the contagion.
  • Trump says that developments are “good for the consumer” and compares COVID-19 favorably to the common flu.
  • March 17, 2020: Facing continued shortages of the PPE equipment needed to prevent healthcare providers from succumbing to the virus, Oregon Senators Jeff Merkeley and Ron Wyden call on Trump to use the Defense Production Act to expand supply of medical equipment
  • March 18, 2020: Trump signs the executive order to activate the Defense Production Act, but declines to use it
  • At the White House briefing he is asked about Senator Chuck Schumer’s call to urgently produce medical supplies and ventilators. Trump responds: “Well we’re going to know whether or not it’s urgent.” Note: At this point 118 Americans had died from COVID-19.
  • March 20, 2020: At an April 2nd White House Press Conference, President Trump’s son-in-law Jared Kushner who was made ad hoc point man for the coronavirus response said that on this date he began working with Rear Admiral John Polowczyk to “build a team” that would handle the logistics and supply chain for providing medical supplies to the states. This suggestion was first made by former Trump Administration officials January 28th
  • March 22, 2020: Six days after calling for a 15-day period of distancing, Trump tweets that this approach “may be worse than the problem itself.”
  • March 24, 2020: Trump tells Fox News that he wants the country opened up by Easter Sunday (April 12)
  • As Trump was speaking to Fox, there were 52,145 confirmed cases in the United States and the doubling time for daily new cases was roughly four days.
xaviermcelderry

Is Quarantine Giving You Headaches, Back Pain, and More? - The Atlantic - 0 views

www.theatlantic.com/...617672

Quarantine Covid

shared by xaviermcelderry on 17 Jan 21 - No Cached
  • One morning in May, I rolled out of bed to find that my hip flexors were at it again. Dragging my rolled-up yoga mat to the middle of the floor to arrange my body into the now-familiar contortion—one leg straight back, the other forward and bent against the floor, then switch—I tried to piece together what was going on. Like most Americans, I hadn’t been on an airplane since February. I had been sitting at home virtually all the time, a situation of relative comfort and incredible luck. But in the weeks that followed, I folded my body into pigeon pose again and again, with minimal returns. As I lost hip flexibility, I also gained other problems, which accumulated over the next several months—low-grade headaches, sore shoulders, a stiff neck, dry skin.Recommended ReadingHow Your Laptop Ruined Your LifeAmanda MullAfter the Pandemic, the Office Dress Code Should Never Come BackAmanda MullAmericans Got Tired of Looking Bad on ZoomAmanda MullRecommended ReadingHow Your Laptop Ruined Your LifeAmanda MullArticleRecirc_itemMedia__1z
  • And people aren’t just working in more challenging physical circumstances; they’re also spending more time doing it. “In the office, people work for eight or nine hours, but now they find themselves working 10 or 12 hours at home just because there’s no commute time,” Natalia Ruiz, a physical therapist at NYU Langone Orthopedic Center, told me of her patients. “Expectations of productivity have increased because you’re working from home.” In her practice, she’s seen more complaints of back and neck pain, but also more “repetitive strain” injuries such as carpal tunnel syndrome, tendinitis in the hands and forearms, and pinched nerves in the elbows.
  • For people who aren’t of working age, the orthopedic concerns are a little different. Elderly people, who are at the highest risk from the virus itself, have also experienced some of the worst physical consequences of isolation. “The elderly are not taking their walks and are getting weaker in their legs,” Singh said. “They are losing confidence in their gait, which causes further weakness, and they enter a vicious cycle.” Many people have sharply reduced their exercise this year as gyms have closed, or they fear catching the coronavirus at those that have reopened, but for younger adults, who are generally more physically fit and less prone to injury, regaining some movement in creative ways is easier, and novel, unsupervised exercise is less risky (although Singh noted that he has seen some injuries from people who have used their new Pelotons vigorously but incorrectly).
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  • Even for people who spent their workdays indoors and on a computer before the pandemic, the routine of going into work—the process of getting dressed, going outside, getting in a car or boarding a train, interacting with co-workers, attending a meeting or two, and maybe going to happy hour afterward—likely provided enough variation and visual novelty to head off some of the vision problems people are having now.
  • The pandemic also seems to be causing a litany of skin and hair issues, according to research provided by the American Academy of Dermatology, some of which has not yet been published and has yet to be peer-reviewed.
martinelligi

Live: 1st Biden-Trump Presidential Debate : NPR - 0 views

apps.npr.org/...20200929-debate

debate politics us trump Biden

shared by martinelligi on 30 Sep 20 - No Cached
  • There are five weeks to go until Election Day, but almost a million ballots have already been cast in this election, according to Michael McDonald, a turnout expert at the University of Florida who runs the U.S. Election Project, which tracks voting. That’s up from less than 10,000 early votes cast at this time four years ago.
  • Biden’s 2019 tax return shows taxable income of $944,737 and a federal tax bill of $299,346. Harris and her husband, Doug Emhoff, reported $3,018,127 in taxable income and paid $1,185,628 in taxes.
  • There are five weeks to go until Election Day, but almost a million ballots have already been cast in this election, according to Michael McDonald, a turnout expert at the University of Florida who runs the U.S. Election Project, which tracks voting. That’s up from less than 10,000 early votes cast at this time four years ago.
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  • There are five weeks to go until Election Day, but almost a million ballots have already been cast in this election, according to Michael McDonald, a turnout expert at the University of Florida who runs the U.S. Election Project, which tracks voting. That’s up from less than 10,000 early votes cast at this time four years ago.
  • President Trump has baselessly claimed that widespread voter fraud is rampant in both in-person and mail voting systems, without providing any evidence. His challenger, former Vice President Joe Biden, has accused Trump of eroding confidence in U.S. democracy, and has stoked fears about whether Trump will actually leave office if voted out.
  • There are five weeks to go until Election Day, but almost a million ballots have already been cast in this election, according to Michael McDonald, a turnout expert at the University of Florida who runs the U.S. Election Project, which tracks voting. That’s up from less than 10,000 early votes cast at this time four years ago.
  • “We don’t expect Chris or our other moderators to be fact-checkers.”
  • of the election, a subject on which the two candidates have divergent views. President Trump has baselessly claimed that widespread voter fraud is rampant in both in-person and mail voting systems, without providing any evidence. His challenger, former Vice President Joe Biden, has accused Trump of eroding confidence in U.S. democracy, and has stoked fears about whether Trump will actually leave office if voted out.
  • President Trump has baselessly claimed that widespread voter fraud is rampant in both in-person and mail voting systems, without providing any evidence. His challenger, former Vice President Joe Biden, has accused Trump of eroding confidence in U.S. democracy, and has stoked fears about whether Trump will actually leave office if voted out.
  • President Trump has baselessly claimed that widespread voter fraud is rampant in both in-person and mail voting systems, without providing any evidence. His challenger, former Vice President Joe Biden, has accused Trump of eroding confidence in U.S. democracy, and has stoked fears about whether Trump will actually leave office if voted out.
  • There are five weeks to go until Election Day, but almost a million ballots have already been cast in this election, according to Michael McDonald, a turnout expert at the University of Florida who runs the U.S. Election Project, which tracks voting. That’s up from less than 10,000 early votes cast at this time four years ago.
  • “We don’t expect Chris or our other moderators to be fact-checkers.”
  • Trump’s and Biden’s records The Supreme Court: This issue has gained new importance with the announcement of Trump’s nominee to replace Justice Ruth Bader Ginsburg. COVID-19: Daily cases are on the rise in nearly half of U.S. states. The economy: Expect this to be closely tied to the pandemic. Race and violence in U.S. cities: The framing of this topic has drawn criticism, but protests against racism and police brutality are ongoing around the country. The integrity of the election: See the latest on election security from NPR here.
  • Trump’s and Biden’s records The Supreme Court: This issue has gained new importance with the announcement of Trump’s nominee to replace Justice Ruth Bader Ginsburg. COVID-19: Daily cases are on the rise in nearly half of U.S. states. The economy: Expect this to be closely tied to the pandemic. Race and violence in U.S. cities: The framing of this topic has drawn criticism, but protests against racism and police brutality are ongoing around the country. The integrity of the election: See the latest on election security from NPR here.
  • Biden’s 2019 tax return shows taxable income of $944,737 and a federal tax bill of $299,346. Harris and her husband, Doug Emhoff, reported $3,018,127 in taxable income and paid $1,185,628 in taxes.
  • Biden’s 2019 tax return shows taxable income of $944,737 and a federal tax bill of $299,346. Harris and her husband, Doug Emhoff, reported $3,018,127 in taxable income and paid $1,185,628 in tax
  • Biden’s 2019 tax return shows taxable income of $944,737 and a federal tax bill of $299,346. Harris and her husband, Doug Emhoff, reported $3,018,127 in taxable income and paid $1,185,628 in taxes.
  • The New York Times reports that Trump’s tax returns show millions of dollars in losses and that Trump paid only $750 in income taxes in each of 2016 and 2017, and in 10 of the last 15 years paid no income tax at all. The report also raised questions about questionable tax deductions made by Trump that could run afoul of tax law.
  • The New York Times reports that Trump’s tax returns show millions of dollars in losses and that Trump paid only $750 in income taxes in each of 2016 and 2017, and in 10 of the last 15 years paid no income tax at all. The report also raised questions about questionable tax deductions made by Trump that could run afoul of tax law.
  • almost a million ballots have already been cast in this election, according to Michael McDonald, a turnout expert at the University of Florida who runs the U.S. Election Project, which tracks voting. That’s up from less than 10,000 early votes cast at this time four years ago.
  • There are five weeks to go until Election Day, but almost a million ballots have already been cast in this election, according to Michael McDonald, a turnout expert at the University of Florida who runs the U.S. Election Project, which tracks voting. That’s up from less than 10,000 early votes cast at this time four years ago.
  • martinelligi on 30 Sep 20
     
    (My highlighter was not working at all but some important points in this article are:) -the moderator will not fact check -The topics covered will be Trump and Biden's records, COVID, SCOTUS, The economy, Race and violence in the USA, Integrity of election - Trump's tax records are likely to be scrutinized -Many sitting presidents do not do well in debates for re-election...will Mr. Trump?
Javier E

The Coronavirus in America: The Year Ahead - The New York Times - 0 views

www.nytimes.com/...oronavirus-america-future.html

pandemic response strategies US

shared by Javier E on 19 Apr 20 - No Cached
  • More than 20 experts in public health, medicine, epidemiology and history shared their thoughts on the future during in-depth interviews. When can we emerge from our homes? How long, realistically, before we have a treatment or vaccine? How will we keep the virus at bay
  • The path forward depends on factors that are certainly difficult but doable, they said: a carefully staggered approach to reopening, widespread testing and surveillance, a treatment that works, adequate resources for health care providers — and eventually an effective vaccine.
  • The scenario that Mr. Trump has been unrolling at his daily press briefings — that the lockdowns will end soon, that a protective pill is almost at hand, that football stadiums and restaurants will soon be full — is a fantasy, most experts said.
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  • They worried that a vaccine would initially elude scientists, that weary citizens would abandon restrictions despite the risks, that the virus would be with us from now on.
  • Most experts believed that once the crisis was over, the nation and its economy would revive quickly. But there would be no escaping a period of intense pain.
  • Exactly how the pandemic will end depends in part on medical advances still to come. It will also depend on how individual Americans behave in the interim. If we scrupulously protect ourselves and our loved ones, more of us will live. If we underestimate the virus, it will find us.
  • More Americans may die than the White House admits.
  • The epidemiological model often cited by the White House, which was produced by the University of Washington’s Institute for Health Metrics and Evaluation, originally predicted 100,000 to 240,000 deaths by midsummer. Now that figure is 60,000.
  • The institute’s projection runs through Aug. 4, describing only the first wave of this epidemic. Without a vaccine, the virus is expected to circulate for years, and the death tally will rise over time.
  • Fatality rates depend heavily on how overwhelmed hospitals get and what percentage of cases are tested. China’s estimated death rate was 17 percent in the first week of January, when Wuhan was in chaos, according to a Center for Evidence-Based Medicine report, but only 0.7 percent by late February.
  • Various experts consulted by the Centers for Disease Control and Prevention in March predicted that the virus eventually could reach 48 percent to 65 percent of all Americans, with a fatality rate just under 1 percent, and would kill up to 1.7 million of them if nothing were done to stop the spread.
  • A model by researchers at Imperial College London cited by the president on March 30 predicted 2.2 million deaths in the United States by September under the same circumstances.
  • China has officially reported about 83,000 cases and 4,632 deaths, which is a fatality rate of over 5 percent. The Trump administration has questioned the figures but has not produced more accurate ones.
  • The tighter the restrictions, experts say, the fewer the deaths and the longer the periods between lockdowns. Most models assume states will eventually do widespread temperature checks, rapid testing and contact tracing, as is routine in Asia.
  • In this country, hospitals in several cities, including New York, came to the brink of chaos.
  • Only when tens of thousands of antibody tests are done will we know how many silent carriers there may be in the United States. The C.D.C. has suggested it might be 25 percent of those who test positive. Researchers in Iceland said it might be double that.
  • China is also revising its own estimates. In February, a major study concluded that only 1 percent of cases in Wuhan were asymptomatic. New research says perhaps 60 percent were.
  • The virus may also be mutating to cause fewer symptoms. In the movies, viruses become more deadly. In reality, they usually become less so, because asymptomatic strains reach more hosts. Even the 1918 Spanish flu virus eventually faded into the seasonal H1N1 flu.
  • The lockdowns will end, but haltingly.
  • it is likely a safe bet that at least 300 million of us are still vulnerable.
  • Until a vaccine or another protective measure emerges, there is no scenario, epidemiologists agreed, in which it is safe for that many people to suddenly come out of hiding. If Americans pour back out in force, all will appear quiet for perhaps three weeks.
  • The gains to date were achieved only by shutting down the country, a situation that cannot continue indefinitely. The White House’s “phased” plan for reopening will surely raise the death toll no matter how carefully it is executed.
  • Every epidemiological model envisions something like the dance
  • On the models, the curves of rising and falling deaths resemble a row of shark teeth.
  • Surges are inevitable, the models predict, even when stadiums, churches, theaters, bars and restaurants remain closed, all travelers from abroad are quarantined for 14 days, and domestic travel is tightly restricted to prevent high-intensity areas from reinfecting low-intensity ones.
  • In his wildly popular March 19 article in Medium, “Coronavirus: The Hammer and the Dance,” Tomas Pueyo correctly predicted the national lockdown, which he called the hammer, and said it would lead to a new phase, which he called the dance, in which essential parts of the economy could reopen, including some schools and some factories with skeleton crews.
  • Even the “Opening Up America Again” guidelines Mr. Trump issued on Thursday have three levels of social distancing, and recommend that vulnerable Americans stay hidden. The plan endorses testing, isolation and contact tracing — but does not specify how these measures will be paid for, or how long it will take to put them in place.
  • On Friday, none of that stopped the president from contradicting his own message by sending out tweets encouraging protesters in Michigan, Minnesota and Virginia to fight their states’ shutdowns.
  • China did not allow Wuhan, Nanjing or other cities to reopen until intensive surveillance found zero new cases for 14 straight days, the virus’s incubation period.
  • Compared with China or Italy, the United States is still a playground.Americans can take domestic flights, drive where they want, and roam streets and parks. Despite restrictions, everyone seems to know someone discreetly arranging play dates for children, holding backyard barbecues or meeting people on dating apps.
  • Even with rigorous measures, Asian countries have had trouble keeping the virus under control
  • But if too many people get infected at once, new lockdowns will become inevitable. To avoid that, widespread testing will be imperative.
  • Reopening requires declining cases for 14 days, the tracing of 90 percent of contacts, an end to health care worker infections, recuperation places for mild cases and many other hard-to-reach goals.
  • Immunity will become a societal advantage.
  • Imagine an America divided into two classes: those who have recovered from infection with the coronavirus and presumably have some immunity to it; and those who are still vulnerable.
  • “It will be a frightening schism,” Dr. David Nabarro, a World Health Organization special envoy on Covid-19, predicted. “Those with antibodies will be able to travel and work, and the rest will be discriminated against.”
  • Soon the government will have to invent a way to certify who is truly immune. A test for IgG antibodies, which are produced once immunity is established, would make sense
  • Dr. Fauci has said the White House was discussing certificates like those proposed in Germany. China uses cellphone QR codes linked to the owner’s personal details so others cannot borrow them.
  • As Americans stuck in lockdown see their immune neighbors resuming their lives and perhaps even taking the jobs they lost, it is not hard to imagine the enormous temptation to join them through self-infection
  • My daughter, who is a Harvard economist, keeps telling me her age group needs to have Covid-19 parties to develop immunity and keep the economy going,”
  • It would be a gamble for American youth, too. The obese and immunocompromised are clearly at risk, but even slim, healthy young Americans have died of Covid-19.
  • The virus can be kept in check, but only with expanded resources.
  • Resolve to Save Lives, a public health advocacy group run by Dr. Thomas R. Frieden, the former director of the C.D.C., has published detailed and strict criteria for when the economy can reopen and when it must be closed.
  • once a national baseline of hundreds of thousands of daily tests is established across the nation, any viral spread can be spotted when the percentage of positive results rises.
  • To keep the virus in check, several experts insisted, the country also must start isolating all the ill — including mild cases.
  • “If I was forced to select only one intervention, it would be the rapid isolation of all cases,”
  • In China, anyone testing positive, no matter how mild their symptoms, was required to immediately enter an infirmary-style hospital — often set up in a gymnasium or community center outfitted with oxygen tanks and CT scanners.
  • There, they recuperated under the eyes of nurses. That reduced the risk to families, and being with other victims relieved some patients’ fears.
  • Still, experts were divided on the idea of such wards
  • Ultimately, suppressing a virus requires testing all the contacts of every known case. But the United States is far short of that goal.
  • In China’s Sichuan Province, for example, each known case had an average of 45 contacts.
  • The C.D.C. has about 600 contact tracers and, until recently, state and local health departments employed about 1,600, mostly for tracing syphilis and tuberculosis cases.
  • China hired and trained 9,000 in Wuhan alone. Dr. Frieden recently estimated that the United States will need at least 300,000.
  • There will not be a vaccine soon.
  • any effort to make a vaccine will take at least a year to 18 months.
  • the record is four years, for the mumps vaccine.
  • for unclear reasons, some previous vaccine candidates against coronaviruses like SARS have triggered “antibody-dependent enhancement,” which makes recipients more susceptible to infection, rather than less. In the past, vaccines against H.I.V. and dengue have unexpectedly done the same.
  • A new vaccine is usually first tested in fewer than 100 young, healthy volunteers. If it appears safe and produces antibodies, thousands more volunteers — in this case, probably front-line workers at the highest risk — will get either it or a placebo in what is called a Phase 3 trial.
  • It is possible to speed up that process with “challenge trials.” Scientists vaccinate small numbers of volunteers, wait until they develop antibodies, and then “challenge” them with a deliberate infection to see if the vaccine protects them.
  • Normally, it is ethically unthinkable to challenge subjects with a disease with no cure, such as Covid-19.
  • “Fewer get harmed if you do a challenge trial in a few people than if you do a Phase 3 trial in thousands,” said Dr. Lipsitch, who recently published a paper advocating challenge trials in the Journal of Infectious Diseases. Almost immediately, he said, he heard from volunteers.
  • The hidden danger of challenge trials, vaccinologists explained, is that they recruit too few volunteers to show whether a vaccine creates enhancement, since it may be a rare but dangerous problem.
  • if a vaccine is invented, the United States could need 300 million doses — or 600 million if two shots are required. And just as many syringes.
  • “People have to start thinking big,” Dr. Douglas said. “With that volume, you’ve got to start cranking it out pretty soon.”
  • Treatments are likely to arrive first.
  • The modern alternative is monoclonal antibodies. These treatment regimens, which recently came very close to conquering the Ebola epidemic in eastern Congo, are the most likely short-term game changer, experts said.
  • as with vaccines, growing and purifying monoclonal antibodies takes time. In theory, with enough production, they could be used not just to save lives but to protect front-line workers.
  • Having a daily preventive pill would be an even better solution, because pills can be synthesized in factories far faster than vaccines or antibodies can be grown and purified.
  • Goodbye, ‘America First.’
  • A public health crisis of this magnitude requires international cooperation on a scale not seen in decades. Yet Mr. Trump is moving to defund the W.H.O., the only organization capable of coordinating such a response.
  • And he spent most of this year antagonizing China, which now has the world’s most powerful functioning economy and may become the dominant supplier of drugs and vaccines. China has used the pandemic to extend its global influence, and says it has sent medical gear and equipment to nearly 120 countries.
  • This is not a world in which “America First” is a viable strategy, several experts noted.
  • “If President Trump cares about stepping up the public health efforts here, he should look for avenues to collaborate with China and stop the insults,”
  • If we alienate the Chinese with our rhetoric, I think it will come back to bite us,” he said.“What if they come up with the first vaccine? They have a choice about who they sell it to. Are we top of the list? Why would we be?”
  • Once the pandemic has passed, the national recovery may be swift. The economy rebounded after both world wars, Dr. Mulder noted.
  • In one of the most provocative analyses in his follow-up article, “Coronavirus: Out of Many, One,” Mr. Pueyo analyzed Medicare and census data on age and obesity in states that recently resisted shutdowns and counties that voted Republican in 2016.
  • He calculated that those voters could be 30 percent more likely to die of the virus.
  • In the periods after both wars, Dr. Mulder noted, society and incomes became more equal. Funds created for veterans’ and widows’ pensions led to social safety nets, measures like the G.I. Bill and V.A. home loans were adopted, unions grew stronger, and tax benefits for the wealthy withered.
  • If a vaccine saves lives, many Americans may become less suspicious of conventional medicine and more accepting of science in general — including climate change
Javier E

How 2020 Forced Facebook and Twitter to Step In - The Atlantic - 0 views

www.theatlantic.com/...617493

facebook twitter knowledge truth social media tech misinformation culture history

shared by Javier E on 05 Nov 23 - No Cached
  • mainstream platforms learned their lesson, accepting that they should intervene aggressively in more and more cases when users post content that might cause social harm.
  • During the wildfires in the American West in September, Facebook and Twitter took down false claims about their cause, even though the platforms had not done the same when large parts of Australia were engulfed in flames at the start of the year
  • Twitter, Facebook, and YouTube cracked down on QAnon, a sprawling, incoherent, and constantly evolving conspiracy theory, even though its borders are hard to delineate.
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  • As platforms grow more comfortable with their power, they are recognizing that they have options beyond taking posts down or leaving them up. In addition to warning labels, Facebook implemented other “break glass” measures to stem misinformation as the election approached.
  • Nothing symbolizes this shift as neatly as Facebook’s decision in October (and Twitter’s shortly after) to start banning Holocaust denial. Almost exactly a year earlier, Zuckerberg had proudly tied himself to the First Amendment in a widely publicized “stand for free expression” at Georgetown University.
  • The evolution continues. Facebook announced earlier this month that it will join platforms such as YouTube and TikTok in removing, not merely labeling or down-ranking, false claims about COVID-19 vaccines.
  • the pandemic also showed that complete neutrality is impossible. Even though it’s not clear that removing content outright is the best way to correct misperceptions, Facebook and other platforms plainly want to signal that, at least in the current crisis, they don’t want to be seen as feeding people information that might kill them.
  • It tweaked its algorithm to boost authoritative sources in the news feed and turned off recommendations to join groups based around political or social issues. Facebook is reversing some of these steps now, but it cannot make people forget this toolbox exists in the future
  • Down-ranking, labeling, or deleting content on an internet platform does not address the social or political circumstances that caused it to be posted in the first place
  • Even before the pandemic, YouTube had begun adjusting its recommendation algorithm to reduce the spread of borderline and harmful content, and is introducing pop-up nudges to encourage user
  • Platforms don’t deserve praise for belatedly noticing dumpster fires that they helped create and affixing unobtrusive labels to them
  • Warning labels for misinformation might make some commentators feel a little better, but whether labels actually do much to contain the spread of false information is still unknown.
  • News reporting suggests that insiders at Facebook knew they could and should do more about misinformation, but higher-ups vetoed their ideas. YouTube barely acted to stem the flood of misinformation about election results on its platform.
  • When internet platforms announce new policies, assessing whether they can and will enforce them consistently has always been difficult. In essence, the companies are grading their own work. But too often what can be gleaned from the outside suggests that they’re failing.
  • And if 2020 finally made clear to platforms the need for greater content moderation, it also exposed the inevitable limits of content moderation.
  • Content moderation comes to every content platform eventually, and platforms are starting to realize this faster than ever.
  • even the most powerful platform will never be able to fully compensate for the failures of other governing institutions or be able to stop the leader of the free world from constructing an alternative reality when a whole media ecosystem is ready and willing to enable him. As Renée DiResta wrote in The Atlantic last month, “reducing the supply of misinformation doesn’t eliminate the demand.”
  • Even so, this year’s events showed that nothing is innate, inevitable, or immutable about platforms as they currently exist. The possibilities for what they might become—and what role they will play in society—are limited more by imagination than any fixed technological constraint, and the companies appear more willing to experiment than ever.
rerobinson03

Joe Biden's 2020 - The New York Times - 0 views

www.nytimes.com/...020-presidential-campaign.html

shared by rerobinson03 on 03 Nov 20 - No Cached
  • Joseph R. Biden Jr. began his 2020 presidential campaign by losing, and then losing some more
  • Mr. Biden is now facing President Trump in a contest dominated by a global pandemic and a summer of unrest over police killings of Black Americans.
  • Mr. Biden’s year got off to a rocky start. In February, Iowans dealt him his first setback with a fourth-place finish in the state’s caucuses, and New Hampshire’s primary a week later went even worse. He finished in fifth place — and fled the state before the results came in.
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  • Then came South Carolina. It was the first early contest where a large number of Black voters would register their preferences, and Mr. Biden enjoyed good will with those voters, stemming from his loyal service at the side of President Barack Obama.
  • When the results came in, he had won — and he had done so decisively, with more than twice as many votes as his closest rival, Mr. Sanders.
  • On Super Tuesday, Mr. Biden won 10 of 14 states, including some that he never campaigned in. His former rivals continued to coalesce around him over the next week. Senators Kamala Harris of California and Cory Booker of New Jersey endorsed Mr. Biden before Michigan’s primary a week later.
  • Mr. Biden re-emerged on Memorial Day, placing a wreath at a veterans memorial in Wilmington, Del., and wearing a mask, in contrast to how Mr. Trump had been appearing.
  • The next week, he met with community leaders at a Black church in Wilmington following the death of George Floyd in police custody
  • His campaign organized occasional in-person events in Delaware and neighboring Pennsylvania that were designed with safety in mind, with large white circles on the ground ensuring social distancing among reporters who attended.
  • After months of suspense, he selected Ms. Harris, a former rival, to join the Democratic ticket.
  • Mr. Biden and Ms. Harris accepted their nominations in front of socially distanced reporters at an event center in Wilmington — a far cry from the packed arena that was supposed to have cheered them on. On the convention’s final night, supporters gathered in their cars as if at a drive-in theater, and the new Democratic ticket joined them for a fireworks display.
  • Once again, his campaign held carefully arranged events with social distancing and mask wearing, a stark contrast to Mr. Trump’s crowded rallies.
  • Mr. Biden was returning from a campaign trip to Minnesota when the news broke: Justice Ruth Bader Ginsburg had died. Mr. Trump and Senate Republicans moved quickly to appoint Judge Amy Coney Barrett in her place.
  • Mr. Biden tried to frame the court fight as a battle over the future of health care in America, warning about Mr. Trump’s desire for the Supreme Court to strike down the Affordable Care Act.
  • The first debate was the subject of great anticipation, presenting Mr. Trump with a chance to change a race that was unfolding in Mr. Biden’s favor. It also put a spotlight on Mr. Biden after Mr. Trump had spent months portraying him as a senile old man.
  • The meeting, however, was remembered not for Mr. Biden’s performance but for Mr. Trump’s constant interruptions.
  • Later that week came another seismic development: Mr. Trump tested positive for the coronavirus. Within two weeks, he had recovered and returned to the campaign trail with large rallies that flouted public health guidance.
  • Mr. Biden stuck to his approach. He made more visits to battleground states but refrained from holding crowded events.
  • In the final weeks, Mr. Biden pioneered a pandemic-appropriate substitute for traditional events: drive-in campaign rallies.His speeches quickly took on a new soundtrack, with applause lines punctuated by the beeping of car horns.
  • On the last weekend before Election Day, Mr. Biden campaigned with former President Barack Obama in Michigan, a state their ticket won twice. With coronavirus cases surging in many places, they condemned Mr. Trump over his handling of the pandemic.
  • Mr. Biden finished the campaign much the way he had started, presenting himself as a unifying figure who would work to repair the damage inflicted by Mr. Trump’s presidency.
Javier E

How Will the Coronavirus End? - The Atlantic - 0 views

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strategies effects pandemic culture politics history crisis

shared by Javier E on 25 Mar 20 - No Cached
  • 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.
  • 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.
  • “No matter what, a virus [like SARS-CoV-2] was going to test the resilience of even the most well-equipped health systems,”
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  • To contain such a pathogen, nations must develop a test and use it to identify infected people, isolate them, and trace those they’ve had contact with. That is what South Korea, Singapore, and Hong Kong did to tremendous effect. It is what the United States did not.
  • That a biomedical powerhouse like the U.S. should so thoroughly fail to create a very simple diagnostic test was, quite literally, unimaginable. “I’m not aware of any simulations that I or others have run where we [considered] a failure of testing,”
  • The testing fiasco was the original sin of America’s pandemic failure, the single flaw that undermined every other countermeasure. If the country could have accurately tracked the spread of the virus, hospitals could have executed their pandemic plans, girding themselves by allocating treatment rooms, ordering extra supplies, tagging in personnel, or assigning specific facilities to deal with COVID-19 cases.
  • None of that happened. Instead, a health-care system that already runs close to full capacity, and that was already challenged by a severe flu season, was suddenly faced with a virus that had been left to spread, untracked, through communities around the country.
  • With little room to surge during a crisis, America’s health-care system operates on the assumption that unaffected states can help beleaguered ones in an emergency.
  • That ethic works for localized disasters such as hurricanes or wildfires, but not for a pandemic that is now in all 50 states. Cooperation has given way to competition
  • 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.
  • 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,”
  • “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.”
  • it will be difficult—but not impossible—for the United States to catch up. To an extent, the near-term future is set because COVID-19 is a slow and long illness. People who were infected several days ago will only start showing symptoms now, even if they isolated themselves in the meantime. Some of those people will enter intensive-care units in early April
  • 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.
  • The first and most important is to rapidly produce masks, gloves, and other personal protective equipment
  • it would also come at a terrible cost: SARS-CoV-2 is more transmissible and fatal than the flu, and it would likely leave behind many millions of corpses and a trail of devastated health systems.
  • This agency can also coordinate the second pressing need: a massive rollout of COVID-19 tests.
  • These measures will take time, during which the pandemic will either accelerate beyond the capacity of the health system or slow to containable levels. Its course—and the nation’s fate—now depends on the third need, which is social distancing.
  • 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.
  • Given the slow fuse of COVID-19, to forestall the future collapse of the health-care system, these seemingly drastic steps must be taken immediately, before they feel proportionate, and they must continue for several weeks.
  • Persuading a country to voluntarily stay at home is not easy, and without clear guidelines from the White House, mayors, governors, and business owners have been forced to take their own steps.
  • when the good of all hinges on the sacrifices of many, clear coordination matters—the fourth urgent need
  • Pundits and business leaders have used similar rhetoric, arguing that high-risk people, such as the elderly, could be protected while lower-risk people are allowed to go back to work. Such thinking is seductive, but flawed. It overestimates our ability to assess a person’s risk, and to somehow wall off the ‘high-risk’ people from the rest of society. It underestimates how badly the virus can hit ‘low-risk’ groups, and how thoroughly hospitals will be overwhelmed if even just younger demographics are falling sick.
  • A recent analysis from the University of Pennsylvania estimated that even if social-distancing measures can reduce infection rates by 95 percent, 960,000 Americans will still need intensive care.
  • There are only about 180,000 ventilators in the U.S. and, more pertinently, only enough respiratory therapists and critical-care staff to safely look after 100,000 ventilated patients. Abandoning social distancing would be foolish. Abandoning it now, when tests and protective equipment are still scarce, would be catastrophic.
  • If Trump stays the course, if Americans adhere to social distancing, if testing can be rolled out, and if enough masks can be produced, there is a chance that the country can still avert the worst predictions about COVID-19, and at least temporarily bring the pandemic under control. No one knows how long that will take, but it won’t be quick. “It could be anywhere from four to six weeks to up to three months,” Fauci said, “but I don’t have great confidence in that range.”
  • there are three possible endgames: one that’s very unlikely, one that’s very dangerous, and one that’s very long.
  • The first is that every nation manages to simultaneously bring the virus to heel, as with the original SARS in 2003. Given how widespread the coronavirus pandemic is, and how badly many countries are faring, the odds of worldwide synchronous control seem vanishingly small.
  • The second is that the virus does what past flu pandemics have done: It burns through the world and leaves behind enough immune survivors that it eventually struggles to find viable hosts. This “herd immunity” scenario would be quick, and thus tempting
  • The U.S. has fewer hospital beds per capita than Italy. A study released by a team at Imperial College London concluded that if the pandemic is left unchecked, those beds will all be full by late April. By the end of June, for every available critical-care bed, there will be roughly 15 COVID-19 patients in need of one.  By the end of the summer, the pandemic will have directly killed 2.2 million Americans,
  • The third scenario is that the world plays a protracted game of whack-a-mole with the virus, stamping out outbreaks here and there until a vaccine can be produced. This is the best option, but also the longest and most complicated.
  • there are no existing vaccines for coronaviruses—until now, these viruses seemed to cause diseases that were mild or rare—so researchers must start from scratch.
  • The first steps have been impressively quick. Last Monday, a possible vaccine created by Moderna and the National Institutes of Health went into early clinical testing. That marks a 63-day gap between scientists sequencing the virus’s genes for the first time and doctors injecting a vaccine candidate into a person’s arm. “It’s overwhelmingly the world record,” Fauci said.
  • The initial trial will simply tell researchers if the vaccine seems safe, and if it can actually mobilize the immune system. Researchers will then need to check that it actually prevents infection from SARS-CoV-2. They’ll need to do animal tests and large-scale trials to ensure that the vaccine doesn’t cause severe side effects. They’ll need to work out what dose is required, how many shots people need, if the vaccine works in elderly people, and if it requires other chemicals to boost its effectiveness.
  • No matter which strategy is faster, Berkley and others estimate that it will take 12 to 18 months to develop a proven vaccine, and then longer still to make it, ship it, and inject it into people’s arms.
  • as the status quo returns, so too will the virus. This doesn’t mean that society must be on continuous lockdown until 2022. But “we need to be prepared to do multiple periods of social distancing,” says Stephen Kissler of Harvard.
  • First: seasonality. Coronaviruses tend to be winter infections that wane or disappear in the summer. That may also be true for SARS-CoV-2, but seasonal variations might not sufficiently slow the virus when it has so many immunologically naive hosts to infect.
  • Second: duration of immunity. When people are infected by the milder human coronaviruses that cause cold-like symptoms, they remain immune for less than a year. By contrast, the few who were infected by the original SARS virus, which was far more severe, stayed immune for much longer.
  • scientists will need to develop accurate serological tests, which look for the antibodies that confer immunity. They’ll also need to confirm that such antibodies actually stop people from catching or spreading the virus. If so, immune citizens can return to work, care for the vulnerable, and anchor the economy during bouts of social distancing.
  • Aspects of America’s identity may need rethinking after COVID-19. Many of the country’s values have seemed to work against it during the pandemic. Its individualism, exceptionalism, and tendency to equate doing whatever you want with an act of resistance meant that when it came time to save lives and stay indoors, some people flocked to bars and clubs.
  • “We can keep schools and businesses open as much as possible, closing them quickly when suppression fails, then opening them back up again once the infected are identified and isolated. Instead of playing defense, we could play more offense.”
  • The vaccine may need to be updated as the virus changes, and people may need to get revaccinated on a regular basis, as they currently do for the flu. Models suggest that the virus might simmer around the world, triggering epidemics every few years or so. “But my hope and expectation is that the severity would decline, and there would be less societal upheaval,”
  • After infections begin ebbing, a secondary pandemic of mental-health problems will follow.
  • But “there is also the potential for a much better world after we get through this trauma,”
  • Testing kits can be widely distributed to catch the virus’s return as quickly as possible. There’s no reason that the U.S. should let SARS-CoV-2 catch it unawares again, and thus no reason that social-distancing measures need to be deployed as broadly and heavy-handedly as they now must be.
  • Pandemics can also catalyze social change. People, businesses, and institutions have been remarkably quick to adopt or call for practices that they might once have dragged their heels on, including working from home, conference-calling to accommodate people with disabilities, proper sick leave, and flexible child-care arrangements.
  • Perhaps the nation will learn that preparedness isn’t just about masks, vaccines, and tests, but also about fair labor policies and a stable and equal health-care system. Perhaps it will appreciate that health-care workers and public-health specialists compose America’s social immune system, and that this system has been suppressed.
  • Attitudes to health may also change for the better. The rise of HIV and AIDS “completely changed sexual behavior among young people who were coming into sexual maturity at the height of the epidemic,”
  • Years of isolationist rhetoric had consequences too.
  • “People believed the rhetoric that containment would work,” says Wendy Parmet, who studies law and public health at Northeastern University. “We keep them out, and we’ll be okay. When you have a body politic that buys into these ideas of isolationism and ethnonationalism, you’re especially vulnerable when a pandemic hits.”
  • Pandemics are democratizing experiences. People whose privilege and power would normally shield them from a crisis are facing quarantines, testing positive, and losing loved ones. Senators are falling sick. The consequences of defunding public-health agencies, losing expertise, and stretching hospitals are no longer manifesting as angry opinion pieces, but as faltering lungs.
  • After COVID-19, attention may shift to public health. Expect to see a spike in funding for virology and vaccinology, a surge in students applying to public-health programs, and more domestic production of medical supplies.
  • The lessons that America draws from this experience are hard to predict, especially at a time when online algorithms and partisan broadcasters only serve news that aligns with their audience’s preconceptions.
  • “The transitions after World War II or 9/11 were not about a bunch of new ideas,” he says. “The ideas are out there, but the debates will be more acute over the next few months because of the fluidity of the moment and willingness of the American public to accept big, massive changes.”
  • One could easily conceive of a world in which most of the nation believes that America defeated COVID-19. Despite his many lapses, Trump’s approval rating has surged. Imagine that he succeeds in diverting blame for the crisis to China, casting it as the villain and America as the resilient hero.
  • One could also envisage a future in which America learns a different lesson. A communal spirit, ironically born through social distancing, causes people to turn outward, to neighbors both foreign and domestic. The election of November 2020 becomes a repudiation of “America first” politics. The nation pivots, as it did after World War II, from isolationism to international cooperation
  • The U.S. leads a new global partnership focused on solving challenges like pandemics and climate change.
  • In 2030, SARS-CoV-3 emerges from nowhere, and is brought to heel within a month.
  • 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.
Javier E

States and experts begin pursuing a coronavirus national strategy in absence of White H... - 0 views

www.washingtonpost.com/...t-tracing-coronavirus-strategy

pandemic rseponse strategies US government

shared by Javier E on 11 Apr 20 - No Cached
  • A national plan to fight the coronavirus pandemic in the United States and return Americans to jobs and classrooms is emerging — but not from the White House.
  • a collection of governors, former government officials, disease specialists and nonprofits are pursuing a strategy that relies on the three pillars of disease control:
  • Ramp up testing to identify people who are infected.
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  • Find everyone they interact with by deploying contact tracing on a scale America has never attempted before.
  • focus restrictions more narrowly on the infected and their contacts so the rest of society doesn’t have to stay in permanent lockdown.
  • Instead, the president and his top advisers have fixated almost exclusively on plans to reopen the U.S. economy by the end of the month, though they haven’t detailed how they will do so without triggering another outbreak
  • Administration officials, speaking on the condition of anonymity to describe internal deliberations, say the White House has made a deliberate political calculation that it will better serve Trump’s interest to put the onus on governors — rather than the federal government — to figure out how to move ahead.
  • without substantial federal funding, states’ efforts will only go so far
  • The next failure is already on its way, Frieden said, because “we’re not doing the things we need to be doing in April.”
  • In recent days, dozens of leading voices have coalesced around the test-trace-quarantine framework, including former FDA commissioners for the Trump and George W. Bush administrations, Microsoft founder Bill Gates and top experts at Johns Hopkins, Columbia and Harvard universities.
  • On Wednesday, former president Barack Obama weighed in, tweeting, “Social distancing bends the curve and relieves some pressure … But in order to shift off current policies, the key will be a robust system of testing and monitoring — something we have yet to put in place nationwide.”
  • And Friday, Apple and Google unveiled a joint effort on new tools that would use smartphones to aid in contact tracing.
  • What remains unclear is whether this emerging plan can succeed without the backing of the federal government.
  • “It’s mind-boggling, actually, the degree of disorganization,” said Tom Frieden, former Centers for Disease Control and Prevention director. The federal government has already squandered February and March, he noted, committing “epic failures” on testing kits, ventilator supply, protective equipment for health workers and contradictory public health communication.
  • Experts and leaders in some states say remedying that weakness should be a priority and health departments should be rapidly shored up so that they are ready to act in coming weeks as infections nationwide begin to decrease
  • In America, testing — while still woefully behind — is ramping up. And households across the country have learned over the past month how to quarantine. But when it comes to the second pillar of the plan — the labor-intensive work of contact tracing — local health departments lack the necessary staff, money and training.
  • In South Korea, Taiwan, China and Singapore, variations on this basic strategy were implemented by their national governments, allowing them to keep the virus in check even as they reopened parts of their economy and society
  • In a report released Friday, the Johns Hopkins Center for Health Security and the Association of State and Territorial Health Officials — which represents state health departments — estimate 100,000 additional contact tracers are needed and call for $3.6 billion in emergency funding from Congress.
  • “We can’t afford to have multiple community outbreaks that can spiral up into sustained community transmission,” he said in the interview.
  • Unless states can aggressively trace and isolate the virus, experts say, there will be new outbreaks and another round of disruptive stay-at-home orders.
  • “All people are talking about right now is hospital beds, ventilators, testing, testing, testing. Yes, those are important, but they are all reactive. You are dealing with the symptoms and not the virus itself,”
  • The nonprofit Partners in Health quickly put together a plan to hire and train 1,000 contact tracers. Working from their homes making 20 to 30 calls a day, they could cover up to 20,000 contacts a day.
  • Testing on its own is useless, Nyenswah explained, because it only tells you who already has the virus. Similarly, tracing alone is useless if you don’t place those you find into quarantine. But when all three are implemented, the chain of transmission can be shattered.
  • Until a vaccine or treatment is developed, such nonpharmaceutical interventions are the only tools countries can rely on — besides locking down their cities.
  • to expand that in a country as large as the United States will require a massive dose of money, leadership and political will.
  • “You cannot have leaders contradicting each other every day. You cannot have states waiting on the federal government to act, and government telling the states to figure it out on their own,” he said. “You need a plan.”
  • When Vermont’s first coronavirus case was detected last month, it took two state health workers a day to track down 13 people who came into contact with that single patient. They put them under quarantine and started monitoring for symptoms. No one else became sick.
  • He did the math: If each of those 30 patients had contact with even three people, that meant 90 people his crew would have to locate and get into quarantine. In other words, impossible.
  • Since 2008, city and county health agencies have lost almost a quarter of their overall workforce. Decades of budget cuts have left the them unable to mount such a response. State health departments have recently had to lay off thousands more — an unintended consequence of federal officials delaying tax filings until July without warning states.
  • In Wuhan, a city of 11 million, the Chinese had 9,000 health workers doing contact tracing, said Frieden, the former CDC director. He estimates authorities would need roughly one contact tracer for every four cases in the United States.
  • “In the second wave, we have to have testing, a resource base, and a contact-tracing base that is so much more scaled up than right now,” he said. “It’s an enormous challenge.”
  • Gov. Charlie Baker (R) partnered with an international nonprofit group based in Boston
  • “You will never beat a virus like this one unless you get ahead of it. America must not just flatten the curve but get ahead of the curve.”
  • The group is paying new hires roughly the same salary as census takers, more than $20 an hour. As of Tuesday — just four days after the initial announcement — the group had received 7,000 applicants and hired 150.
  • “There’s a huge untapped resource of people in America if we would just ask.”
  • “There needs to be a crash course in contact tracing because a lot of the health departments where this is going to need to happen are already kind of flat-out just trying to respond to the crisis at hand,”
  • Experts have proposed transforming the Peace Corps — which suspended global operations last month and recalled 7,000 volunteers to America — into a national response corps that could perform many tasks, including contact tracing.
  • On Wednesday, the editor in chief of JAMA, a leading medical journal, proposed suspending the first year of training for America’s 20,000 incoming medical students and deploying them as a medical corps to support the “test, trace, track, and quarantine strategy.”
  • The national organization for local STD programs says $200 million could add roughly 1,850 specialists, more than doubling that current workforce.
  • Technology could also turn out to be pivotal. But the invasive nature of cellphone tracking and apps raises concerns about civil liberties.
  • Such technology could take over some of what contact tracers do in interviews: build a contact history for each confirmed patient and find those possibly exposed. Doing that digitally could speed up the process — critical in containing an outbreak — and less laborious.
  • In China, authorities combined the nation’s vast surveillance apparatus with apps and cellphone data to track people’s movements. If someone they came across is later confirmed as infected, an app alerts them to stay at home.
  • In the United States, about 20 technology companies are trying to create a contact tracing app using geolocation data or Bluetooth pings on cellphones
aidenborst

Trump, Biden and the Tough Guy, Nice Guy Politics of 2020 - The New York Times - 0 views

www.nytimes.com/...mp-biden-masculinity-2020.html

campaign US trump politics gop election Biden polls gender

shared by aidenborst on 02 Nov 20 - No Cached
  • Kindness. Humility. Responsibility. These traits were once “the definition of manliness,” Barack Obama told a crowd on Saturday, campaigning in Flint, Mich., for his former running mate, Joseph R. Biden Jr.
  • “It used to be being a man meant taking care of other people, not going around bragging,” Mr. Obama said.
  • n two days, Americans will take their shot, making a choice between two presidential candidates who resemble vastly different case studies in what a man, even in 2020, should do or be.
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  • On the one extreme is President Trump, who leaves little subtlety in his approach: Bragging about his sexual prowess, along with the size of his nuclear button, proclaiming “domination” over coronavirus and mocking his opponent for the size of his mask (“the biggest mask I’ve ever seen”), as if mask-wearing is somehow weak.
  • He has said he believes men who change diapers are “acting like the wife.” “Macho Man” is the song that plays at his rallies, even after the Village People objected. “He seeks to distinguish himself as the manliest — and thus, in his mind, the most-qualified — person to be president,” said Kelly Dittmar, a scholar at the Center for American Women and Politics at Rutgers University.
  • On the other end of the spectrum, or perhaps somewhere in the middle, is Mr. Biden, a “Dad-like” figure, as the philosopher Kate Manne put it, who has vowed to be America’s protector through a dark period, with some combination of strength, empathy and compassion.
  • “He’s offering a more paternalistic type of masculinity, in that you can be a strong leader, but still be compassionate and empathetic,” said Marianne Cooper, a sociologist at Stanford University who studies gender and work.
  • “Ultimately, masculinity still matters, we’ve learned. It’s how candidates still try to prove they are the best candidate,” said Ms. Cooper. “And so, even in 2020, Democrats decided the safest bet to beat a white man in his 70s is another white man in his 70s.”
  • From Richard Nixon to Ronald Reagan and right on through Mr. Trump, largely white, Christian, heterosexual presidential candidates have “performed” manhood in all sorts of ways: Donning hard hats and posing inside military tanks; battling over who would be the better guy to have a beer with; and implying their opponents were soft, weak, or “sleepy.”
  • “Michael Dukakis had a 17-point lead over Bush in the summer of 1988,” said Mr. Katz, whose book on presidential masculinity has been adapted into a documentary called “The Man Card.” “So what did they do? They relentlessly attacked his manhood. They suggested he was a failed protector, that he was ‘soft,’ that he wasn’t a ‘real man.’”
  • “I think the performance of masculinity means a lot,” he noted, “because it has the potential to eclipse all else.”
  • Girls receive a message that they “become” women — typically through a biological event like menstruation — while men are told throughout their lives to “be” men or to “man up,” as if masculinity is something that can be easily lost.“You don’t really say ‘be a woman’ the way you say ‘be a man’ or ‘man up,’” she said.Image
  • “Trump is the personification of this masculinity contest culture,” Ms. Cooper said. “It’s bad for organizations, it’s terrible for a country.”
  • Maybe women were always the intended audience for the contests. Whether that’s true, they seem to be ready to render a clear judgment. Mr. Biden is leading among women by as much as 20 points.
Javier E

The Coronavirus Could End American Exceptionalism - The Atlantic - 0 views

www.theatlantic.com/...611605

learning trends history crisis pandemic international

shared by Javier E on 21 May 20 - No Cached
  • many American politicians, especially those on the right, have in recent years paradoxically doubled down on American exceptionalism (we have a president who ran on an “America first” platform, after all) even as American power has declined relative to other countries’.
  • This kind of insularity might have been “relatively harmless when America bestrode the world like a colossus, but it’s dangerous when the country faces a raft of global challenges from China, to climate, to COVID-19,” Dominic Tierney, a political-science professor at Swarthmore College
  • Pandemics are, in fact, particularly ripe moments for cross-cultural learning
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  • Today, in the case of COVID-19, “all states face the same essential threat, and each government’s response is a kind of laboratory experiment,” Tierney said.
  • “The United States had the advantage of being struck relatively late by the virus, and this gave [us] a priceless chance to copy best practices and avoid the mistakes of others,” he noted.
  • When China began confining millions of people to their homes in January, the U.S. government should have gotten the message that the Chinese were grappling with a grave threat to the wider world, the Yale sociologist and physician Nicholas Christakis told me in March.
  • We lost six weeks” in the United States to prepare—“to build ventilators, get protective equipment, organize our ICUs, get tests ready, prepare the public for what was going to happen so that our economy didn’t tank as badly. None of this was done adequately by our leaders.”
  • By one estimate, from the epidemiologists Britta L. Jewell and Nicholas P. Jewell, if social-distancing policies had been implemented just two weeks earlier in March, 90 percent of the cumulative coronavirus deaths in the United States during the first wave of the pandemic might have been prevented.
  • Rather than using diagnostic tests that the World Health Organization had distributed to other countries early in the global outbreak, the Centers for Disease Control and Prevention insisted on developing its own, only to botch the rollout of those tests.
  • Even now, as a number of countries have swum feverishly toward safer ground, the United States has spent the past couple of months of near-nationwide lockdown merely treading water. It has yet to roll out robust testing across the country
  • It has also failed to develop proper contact-tracing systems, as other nations have, and to meaningfully flatten the curve outside New York.
  • Amid all this, Trump has exhibited more hubris than humility. The president has repeatedly claimed that the United States is leading the world in testing, which in part is an unflattering reflection of the U.S. outbreak’s huge scale and also is not true on a per-capita basis
  • As an example of ideas the United States could borrow from other countries, Tierney cited the fact that 750,000 people in Britain, which would be equivalent to nearly 4 million Americans, responded to the British government’s request to enlist in a “volunteer army” to help deliver food to vulnerable populations and provide other assistance.
  • A number of countries that have had more success against the coronavirus have demonstrated greater open-mindedness about learning from their peers. Taiwanese officials are watching Iceland’s mass-testing efforts, while the German government is explicitly modeling its response after South Korea’s “trace, test, and treat” campaign.
  • “Things have moved so quickly that there hasn't been much time for considered lesson-drawing,” he noted. Some countries were slow to institute strict lockdowns, despite witnessing the horrifying spread of the virus in Italy, while others “embraced approaches that broke with the broader consensus,” including “Sweden’s proposal
  • New Zealand’s record of learning
  • His colleague at the University of Otago, Michael Baker, told me that as a government adviser on the nation’s coronavirus taskforce, he was personally very influenced by a February 2020 WHO-China Joint Mission report, which suggested that the pandemic could be contained, and led him to advocate for New Zealand’s current strategy of eliminating the virus entirely from the country.
  • Yet Wilson added that New Zealand has lagged behind Asian countries in encouraging mass mask wearing, in rigorously quarantining incoming travelers, and in using digital technologies for contact tracing
  • In the United States too, even before the virus hit, attitudes toward learning from other countries were beginning to change
  • “The No. 1 place to live out the American Dream right now is Denmark,” Pete Buttigieg stated during one debate.
  • as a senator, Romney is urging the U.S. government to follow South Korea’s lead and “learn from those countries that were successful” in dealing with their outbreaks. Conservatives are championing Sweden’s laissez-faire approach as a blueprint for how to mitigate public-health damage while preserving freedom and the economy.
  • with the exception of the U.S. Paycheck Protection Program, “most of our economic-policy response has ignored useful lessons from abroad, explaining why our unemployment rate is skyrocketing above those in many other affected countries.”
  • Kelemen noted that the coronavirus crisis has led to a surge in interest among the American public and U.S. policy makers in harvesting lessons from other countries, most evident in the fact that everyone is following “the comparative charts of how countries are doing over time on infection rates or changes in year-on-year death counts.
anonymous

Strong Job Growth, a Terrible Job Market: The Bizarre 2020 Economy - The New York Times - 0 views

www.nytimes.com/...2020-terrible-job-market.html

politics economics

shared by anonymous on 06 Oct 20 - No Cached
  • he Bizarre 2020 Economy
  • 17 months for employment to return to full health.
  • hree concepts: the level at which the economy is functioning, how fast it is improving, and whether that speed is accelerating or decelerating.
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  • Editors’ PicksJim Carrey Plays Joe Biden in ‘S.N.L.’ Season PremiereHow to Have a Disagreement Like an Adult, According to Deepak Chopra30 Years After Reunification, Old German-German Border Is a Green OasisAdvertisementContinue reading the main story
  • The level of the bath water is very low. But it’s being filled rapidly. However, the spigot is being tightened so the pace at which the water is rising has slowed.
  • Disney’s plan to cut 28,000 theme park workers. Major airlines are poised to cut tens of thousands of jobs after the expiration of a provision requiring them to keep workers on their payrolls as a condition of bailout money.
  • The incumbent party points to whatever looks good in the data as proof that its policies are working, and the challenger identifies flaws that remain.
  • We may not know the answers to those questions, but it matters a lot for understanding what kind of economy either a second-term President Trump or President Joe Biden will have to handle. For now it’s not looking good.
katherineharron

Here's what we know about Pfizer's vaccine - CNN - 0 views

www.cnn.com/...index.html

covid

shared by katherineharron on 13 Dec 20 - No Cached
  • A US Centers for Disease Control and Prevention advisory committee has voted to recommend the Pfizer and BioNTech Covid-19 vaccine for people 16 and older a day after the US Food and Drug Administration issued emergency use authorization (EUA) for the vaccine.
  • CDC Director Dr. Robert Redfield must accept the committee's recommendation before the vaccine can be administered. But on Sunday morning, the first shipments had left a Pfizer plant in Michigan, bound for all 50 states.
  • Once the CDC accepts the recommendation, vaccinations can begin.
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  • This CDC advisory group had previously recommended that health care workers and residents of long-term care facilities should be the first to receive a vaccine when it receives EUA. The first shipments of the vaccine will be limited, so states will have to prioritize who should receive the vaccine first.
  • Keeping doctors and nurses healthy will be important for the continuing fight against the virus, which will stretch on for months, even after a vaccine is authorized. But Romero said that first group includes other people working in health care institutions, like those who deliver food and perform housekeeping.
  • Residents of long-term care facilities like nursing homes also need the protection. So far, they account for about 40% of coronavirus deaths in the US.
  • "I would project by the time you get to April, it will be ... 'open season,' in the sense of anyone, even the non-high priority groups could get vaccinated," Fauci said.
  • "We'll be in facilities that day in states that choose to begin as soon as possible," spokesman Ethan Slavin said.
  • The FDA is set to make a decision on a separate vaccine candidate by Moderna in the coming days
  • it's possible that 20 million people could get vaccinated in the next several weeks
  • Army Gen. Gustave Perna, chief operating officer of the federal government vaccine initiative Operation Warp Speed, previously said he believed vaccine administration will be able to begin vaccinations within 96 hours of authorization.
  • Phase 1a would be followed by Phases 1b and 1c, which could include essential workers at high risk of infection, other emergency personnel and people with underlying conditions who are at a higher risk of Covid-19 complications and death.
  • In the meantime, it's important that people continue to wear masks and social distance. JUST WATCHEDDr. Fauci explains importance of vaccine approval processReplayMore Videos ...MUST WATCH Play</
  • It's important to note, however, that Pfizer's vaccine requires two doses administered several weeks apart to reach 95% efficacy. So 100 million doses would vaccinate half the number of people.
  • Azar said earlier this month that 6.4 million doses of Pfizer vaccine would be allocated for shipment the first week. The initial shipment would include half of the doses, followed by the second half three weeks later.
  • Slaoui said he believes most doses will be injected within three to four days, but after that, "I think it will take a week."
  • The first shipments of the vaccine departed a Pfizer plant in Michigan on Sunday morning. A total of 189 boxes of vials are expected to arrive in all 50 states Monday. Another 3,900 vials are expected to ship later Sunday to US territories. Another 400 boxes packed with about 390,000 vials are expected to ship Monday and arrive at their destinations on Tuesday.
  • The vaccines will then be flown across the country, and the Federal Aviation Administration has said its air traffic controllers will prioritize flights carrying the vaccines.
  • But Pfizer's vaccine needs to be stored at incredibly cold temperatures, making the logistics of delivery even more complicated.
  • According to a briefing document released by the FDA's vaccine advisory committee, the most common side effects were reactions at the point of injection on the body, fatigue, headache, muscle pain, chills, joint pain and fever.
  • Health authorities in the UK, where the vaccine roll out began earlier this week, said Wednesday that people with "significant history of allergic reactions" should not receive the vaccine. The advice came after two health care workers "responded adversely" following their shots.
cartergramiak

2020 Election Live Updates: Trump Says 'Unsolicited Ballots' Will Be the Cause of Elect... - 0 views

www.nytimes.com/...trump-vs-biden

trump us policy

shared by cartergramiak on 17 Sep 20 - No Cached
  • Trump Says ‘Unsolicited Ballots’ Will Be the Cause of Election Night Delays. They Won’t.
  • But two tweets from President Trump Thursday morning erroneously sought to blame states that are automatically mailing out ballots to registered voters for the likely delays and baselessly stated that the results “may NEVER BE ACCURATELY DETERMINED,” an assertion dismissed by elections experts.
  • There is absolutely no evidence that states that automatically send out mail-in ballots to all voters have had issues with accuracy, and some such as Colorado, Washington and Oregon have been conducting their elections mostly by mail for years.
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  • Battleground states like Pennsylvania, Ohio, Michigan, Wisconsin, Georgia, Florida and North Carolina are no-excuse absentee states.
  • “We certainly have seen very active, very active efforts by the Russians to influence our election in 2020,”
  • Amy Dorris, a former model, alleges that Trump sexually assaulted her at the U.S. Open.
  • Arizona, the poll found, is one of the few battlegrounds in which a third-party candidate is likely to play a significant role on the presidential level. The Libertarian candidate Jo Jorgensen gets between 3 and 4 percent of the presidential vote, depending on the turnout model used.
  • “Look at her. … I don’t think so,” he said.
  • All of this rancor comes as absentee voting is already underway in multiple states. By the end of this week, voters will be able to cast in-person ballots in eight states.
  • Mr. Ratcliffe, a former Republican congressman from Texas who fiercely defended the president during the Russia investigation, has downplayed such threats, an approach the president prefers.
  • Joseph R. Biden Jr. holds a four-point edge over President Trump among registered voters in Arizona, though that advantage fades when the sample focuses only on likely voters, according to a Monmouth University poll released Thursday.
  • The woman, Amy Dorris, a former model, said she was invited, along with her boyfriend at the time, to Mr. Trump’s private box to watch the tennis match. Ms. Dorris was 24.
  • In Maricopa County, home to Phoenix, Mr. Biden held a 6-point lead among likely voters — a nine-point swing from 2016, when Mr. Trump won the county by 3 percentage points.
  • The news for Mr. Biden was a little rosier when the poll examined critical regions in the state.
  • Only one Democratic presidential candidate has prevailed in Arizona in the past 70 years: Bill Clinton in 1996.
  • “Joe Biden just has a fundamentally different view of what it means for the economy to be doing well than Donald Trump does,” she continued. “Joe Biden believes the economy is not doing well unless middle-class families and working people are doing well.”
  • “If Joe Biden gets elected, we can kiss goodbye to the economy that we’ve been enjoying,” a woman who describes herself as a small-business owner says in one ad. “He’s going to raise taxes, he’s already said that.”
  • On Tuesday night, President Trump returned to the theme during a town-hall-style meeting broadcast on ABC, where he was taken to task by Ellesia Blaque, an assistant professor at Kutztown University in Pennsylvania. She told him she had a congenital illness, demanded to know what he would do to keep “people like me who work hard” insured.
  • “We’re going to be doing a health care plan very strongly, and protect people with pre-existing conditions,” Mr. Trump told her, adding, “I have it all ready, and it’s a much better plan for you, and it’s a much better plan.”
  • And with tens of thousands of Americans losing their coverage to a coronavirus-induced economic turndown, fears of inadequate or nonexistent health insurance have never been greater.
  • MIAMI — Jeff Gruver voted for the first time ever in March, casting an enthusiastic ballot for Bernie Sanders in Florida’s presidential primary.
  • Mr. Gruver does not have the money. And he does not want to take any risk that his vote could be deemed illegal. Like more than a million other ex-felons, he has learned that even an overwhelming 2018 vote approving a state referendum to restore voting rights to most people who had served their sentences does not necessarily mean that they will ever get to vote.
  • Mike PenceTo be determined.
  • “I think he made a mistake when he said that,” Mr. Trump told reporters. “It’s just incorrect information.” A vaccine would go “to the general public immediately,” the president insisted, and “under no circumstance will it be as late as the doctor said.” As for Dr. Redfield’s conclusion that masks may be more useful than a vaccine, Mr. Trump said that “he made a mistake,” maintaining that a “vaccine is much more effective than the masks.”
  • “So let me be clear. I trust vaccines. I trust the scientists. But I don’t trust Donald Trump,” Mr. Biden said. “And at this moment, the American people can’t either.”
  • Attorney General William P. Barr has ratcheted up his involvement in partisan politics in recent days, floating federal sedition charges against violent protesters and the prosecution of a Democratic mayor; asserting his right to intervene in Justice Department investigations; warning of dire consequences for the nation if President Trump is not re-elected; and comparing coronavirus restrictions to slavery.
  • “Because I am ultimately accountable for every decision the department makes, I have an obligation to ensure we make the correct ones,” he said.
Javier E

The Unique U.S. Failure to Control the Virus - The New York Times - 0 views

www.nytimes.com/...coronavirus-us.html

failure pandemic politics history crisis trump culture policy control

shared by Javier E on 08 Aug 20 - No Cached
  • Already, the American death toll is of a different order of magnitude than in most other countries. With only 4 percent of the world’s population, the United States has accounted for 22 percent of coronavirus deaths. Canada, a rich country that neighbors the United States, has a per capita death rate about half as large
  • Together, the national skepticism toward collective action and the Trump administration’s scattered response to the virus have contributed to several specific failures and missed opportunities, Times reporting shows:a lack of effective travel restrictions;repeated breakdowns in testing;confusing advice about masks;a misunderstanding of the relationship between the virus and the economy;and inconsistent messages from public officials.
  • Some Republican governors have followed his lead and also played down the virus, while others have largely followed the science. Democratic governors have more reliably heeded scientific advice, but their performance in containing the virus has been uneven.
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  • In no other high-income country — and in only a few countries, period — have political leaders departed from expert advice as frequently and significantly as the Trump administration. President Trump has said the virus was not serious; predicted it would disappear; spent weeks questioning the need for masks; encouraged states to reopen even with large and growing caseloads; and promoted medical disinformation.
  • many agree that the poor results in the United States stem in substantial measure from the performance of the Trump administration.
  • “As an American, I think there is a lot of good to be said about our libertarian tradition,” Dr. Jared Baeten, an epidemiologist and vice dean at the University of Washington School of Public Health, said. “But this is the consequence — we don’t succeed as well as a collective.”
  • That tradition is one reason the United States suffers from an unequal health care system that has long produced worse medical outcomes — including higher infant mortality and diabetes rates and lower life expectancy — than in most other rich countries.
  • First, the United States faced longstanding challenges in confronting a major pandemic. It is a large country at the nexus of the global economy, with a tradition of prioritizing individualism over government restrictions.
  • The New York Times set out to reconstruct the unique failure of the United States, through numerous interviews with scientists and public health experts around the world. The reporting points to two central themes.
  • When it comes to the virus, the United States has come to resemble not the wealthy and powerful countries to which it is often compared but instead far poorer countries, like Brazil, Peru and South Africa, or those with large migrant populations, like Bahrain and Oman.
  • That’s more than five times as many as in all of Europe, Canada, Japan, South Korea and Australia, combined.
  • Over the past month, about 1.9 million Americans have tested positive for the virus.
  • one country stands alone, as the only affluent nation to have suffered a severe, sustained outbreak for more than four months: the United States.
  • Nearly every country has struggled to contain the coronavirus and made mistakes along the way.
  • it quickly became clear that the United States’ policy was full of holes. It did not apply to immediate family members of American citizens and permanent residents returning from China, for example. In the two months after the policy went into place, almost 40,000 people arrived in the United States on direct flights from China.
  • On Jan. 31, his administration announced that it was restricting entry to the United States from China: Many foreign nationals — be they citizens of China or other countries — would not be allowed into the United States if they had been to China in the previous two weeks.
  • A travel policy that fell short
  • In retrospect, one of Mr. Trump’s first policy responses to the virus appears to have been one of his most promising.
  • The administration’s policy also did little to create quarantines for people who entered the United States and may have had the virus.
  • ven more important, the policy failed to take into account that the virus had spread well beyond China by early February. Later data would show that many infected people arriving in the United States came from Europe
  • South Korea, Hong Kong and Taiwan largely restricted entry to residents returning home. Those residents then had to quarantine for two weeks upon arrival
  • South Korea and Hong Kong also tested for the virus at the airport and transferred anyone who was positive to a government facility.
  • “People need a bit more than a suggestion to look after their own health,” said Dr. Mackay, who has been working with Australian officials on their pandemic response. “They need guidelines, they need rules — and they need to be enforced.”
  • Travel restrictions and quarantines were central to the success in controlling the virus in South Korea, Hong Kong, Taiwan and Australia, as well as New Zealand, many epidemiologists believe. In Australia, the number of new cases per day fell more than 90 percent in April. It remained near zero through May and early June, even as the virus surged across much of the United States.
  • the tolls in Australia and the United States remain vastly different. Fewer than 300 Australians have died of complications from Covid-19, the illness caused by the virus. If the United States had the same per capita death rate, about 3,300 Americans would have died, rather than 158,000.
  • there is a good chance that a different version of Mr. Trump’s restrictions — one with fewer holes and stronger quarantines — would have meaningfully slowed the virus’s spread.
  • travel restrictions had been successful enough in fighting the coronavirus around the world that those views may need to be revisited.“Travel,” he said, “is the hallmark of the spread of this virus around the world.”
  • Traditionally, public health experts had not seen travel restrictions as central to fighting a pandemic, given their economic costs and the availability of other options, like testing, quarantining and contact tracing
  • But he added that
  • By early March, with the testing delays still unresolved, the New York region became a global center of the virus — without people realizing it until weeks later. More widespread testing could have made a major difference, experts said, leading to earlier lockdowns and social distancing and ultimately less sickness and death.
  • While the C.D.C. was struggling to solve its testing flaws, Germany was rapidly building up its ability to test. Chancellor Angela Merkel, a chemist by training, and other political leaders were watching the virus sweep across northern Italy, not far from southern Germany, and pushed for a big expansion of testing.
  • By the time the virus became a problem in Germany, labs around the country had thousands of test kits ready to use. From the beginning, the government covered the cost of the tests. American laboratories often charge patients about $100 for a test.
  • Without free tests, Dr. Hendrik Streeck, director of the Institute of Virology at the University Hospital Bonn, said at the time, “a young person with no health insurance and an itchy throat is unlikely to go to the doctor and therefore risks infecting more people.”
  • Germany was soon far ahead of other countries in testing. It was able to diagnose asymptomatic cases, trace the contacts of new patients and isolate people before they could spread the virus. The country has still suffered a significant outbreak. But it has had many fewer cases per capita than Italy, Spain, France, Britain or Canada — and about one-fifth the rate of the United States.
  • One measure of the continuing troubles with testing is the percentage of tests that come back positive. In a country that has the virus under control, fewer than 5 percent of tests come back positive, according to World Health Organization guidelines. Many countries have reached that benchmark. The United States, even with the large recent volume of tests, has not.
  • In Belgium recently, test results have typically come back in 48 to 72 hours. In Germany and Greece, it is two days. In France, the wait is often 24 hours.
  • The conflicting advice, echoed by the C.D.C. and others, led to relatively little mask wearing in many countries early in the pandemic. But several Asian countries were exceptions, partly because they had a tradition of mask wearing to avoid sickness or minimize the effects of pollution.
  • The double mask failure
  • By January, mask wearing in Japan was widespread, as it often had been during a typical flu season. Masks also quickly became the norm in much of South Korea, Thailand, Vietnam, Taiwan and China.
  • In the following months, scientists around the world began to report two strands of evidence that both pointed to the importance of masks: Research showed that the virus could be transmitted through droplets that hang in the air, and several studies found that the virus spread less frequently in places where people were wearing masks.
Javier E

He Could Have Seen What Was Coming: Behind Trump's Failure on the Virus - The New York ... - 0 views

www.nytimes.com/...oronavirus-trump-response.html

pandemic failure trump policy politics crisis

shared by Javier E on 12 Apr 20 - No Cached
  • “Any way you cut it, this is going to be bad,” a senior medical adviser at the Department of Veterans Affairs, Dr. Carter Mecher, wrote on the night of Jan. 28, in an email to a group of public health experts scattered around the government and universities. “The projected size of the outbreak already seems hard to believe.”
  • A week after the first coronavirus case had been identified in the United States, and six long weeks before President Trump finally took aggressive action to confront the danger the nation was facing — a pandemic that is now forecast to take tens of thousands of American lives — Dr. Mecher was urging the upper ranks of the nation’s public health bureaucracy to wake up and prepare for the possibility of far more drastic action.
  • Throughout January, as Mr. Trump repeatedly played down the seriousness of the virus and focused on other issues, an array of figures inside his government — from top White House advisers to experts deep in the cabinet departments and intelligence agencies — identified the threat, sounded alarms and made clear the need for aggressive action.
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  • The president, though, was slow to absorb the scale of the risk and to act accordingly, focusing instead on controlling the message, protecting gains in the economy and batting away warnings from senior officials.
  • Mr. Trump’s response was colored by his suspicion of and disdain for what he viewed as the “Deep State” — the very people in his government whose expertise and long experience might have guided him more quickly toward steps that would slow the virus, and likely save lives.
  • The slow start of that plan, on top of the well-documented failures to develop the nation’s testing capacity, left administration officials with almost no insight into how rapidly the virus was spreading. “We were flying the plane with no instruments,” one official said.
  • But dozens of interviews with current and former officials and a review of emails and other records revealed many previously unreported details and a fuller picture of the roots and extent of his halting response as the deadly virus spread:
  • The National Security Council office responsible for tracking pandemics received intelligence reports in early January predicting the spread of the virus to the United States, and within weeks was raising options like keeping Americans home from work and shutting down cities the size of Chicago. Mr. Trump would avoid such steps until March.
  • Despite Mr. Trump’s denial weeks later, he was told at the time about a Jan. 29 memo produced by his trade adviser, Peter Navarro, laying out in striking detail the potential risks of a coronavirus pandemic: as many as half a million deaths and trillions of dollars in economic losses.
  • The health and human services secretary, Alex M. Azar II, directly warned Mr. Trump of the possibility of a pandemic during a call on Jan. 30, the second warning he delivered to the president about the virus in two weeks. The president, who was on Air Force One while traveling for appearances in the Midwest, responded that Mr. Azar was being alarmist
  • Mr. Azar publicly announced in February that the government was establishing a “surveillance” system
  • the task force had gathered for a tabletop exercise — a real-time version of a full-scale war gaming of a flu pandemic the administration had run the previous year. That earlier exercise, also conducted by Mr. Kadlec and called “Crimson Contagion,” predicted 110 million infections, 7.7 million hospitalizations and 586,000 deaths following a hypothetical outbreak that started in China.
  • By the third week in February, the administration’s top public health experts concluded they should recommend to Mr. Trump a new approach that would include warning the American people of the risks and urging steps like social distancing and staying home from work.
  • But the White House focused instead on messaging and crucial additional weeks went by before their views were reluctantly accepted by the president — time when the virus spread largely unimpeded.
  • When Mr. Trump finally agreed in mid-March to recommend social distancing across the country, effectively bringing much of the economy to a halt, he seemed shellshocked and deflated to some of his closest associates. One described him as “subdued” and “baffled” by how the crisis had played out. An economy that he had wagered his re-election on was suddenly in shambles.
  • He only regained his swagger, the associate said, from conducting his daily White House briefings, at which he often seeks to rewrite the history of the past several months. He declared at one point that he “felt it was a pandemic long before it was called a pandemic,” and insisted at another that he had to be a “cheerleader for the country,” as if that explained why he failed to prepare the public for what was coming.
  • Mr. Trump’s allies and some administration officials say the criticism has been unfair.
  • The Chinese government misled other governments, they say. And they insist that the president was either not getting proper information, or the people around him weren’t conveying the urgency of the threat. In some cases, they argue, the specific officials he was hearing from had been discredited in his eyes, but once the right information got to him through other channels, he made the right calls.
  • “While the media and Democrats refused to seriously acknowledge this virus in January and February, President Trump took bold action to protect Americans and unleash the full power of the federal government to curb the spread of the virus, expand testing capacities and expedite vaccine development even when we had no true idea the level of transmission or asymptomatic spread,” said Judd Deere, a White House spokesman.
  • Decision-making was also complicated by a long-running dispute inside the administration over how to deal with China
  • The Containment IllusionBy the last week of February, it was clear to the administration’s public health team that schools and businesses in hot spots would have to close. But in the turbulence of the Trump White House, it took three more weeks to persuade the president that failure to act quickly to control the spread of the virus would have dire consequences.
  • There were key turning points along the way, opportunities for Mr. Trump to get ahead of the virus rather than just chase it. There were internal debates that presented him with stark choices, and moments when he could have chosen to ask deeper questions and learn more. How he handled them may shape his re-election campaign. They will certainly shape his legacy.
  • Facing the likelihood of a real pandemic, the group needed to decide when to abandon “containment” — the effort to keep the virus outside the U.S. and to isolate anyone who gets infected — and embrace “mitigation” to thwart the spread of the virus inside the country until a vaccine becomes available.
  • Among the questions on the agenda, which was reviewed by The New York Times, was when the department’s secretary, Mr. Azar, should recommend that Mr. Trump take textbook mitigation measures “such as school dismissals and cancellations of mass gatherings,” which had been identified as the next appropriate step in a Bush-era pandemic plan.
  • The group — including Dr. Anthony S. Fauci of the National Institutes of Health; Dr. Robert R. Redfield of the Centers for Disease Control and Prevention, and Mr. Azar, who at that stage was leading the White House Task Force — concluded they would soon need to move toward aggressive social distancing
  • A 20-year-old Chinese woman had infected five relatives with the virus even though she never displayed any symptoms herself. The implication was grave — apparently healthy people could be unknowingly spreading the virus — and supported the need to move quickly to mitigation.
  • The following day, Dr. Kadlec and the others decided to present Mr. Trump with a plan titled “Four Steps to Mitigation,” telling the president that they needed to begin preparing Americans for a step rarely taken in United States history.
  • a presidential blowup and internal turf fights would sidetrack such a move. The focus would shift to messaging and confident predictions of success rather than publicly calling for a shift to mitigation.
  • These final days of February, perhaps more than any other moment during his tenure in the White House, illustrated Mr. Trump’s inability or unwillingness to absorb warnings coming at him.
  • He instead reverted to his traditional political playbook in the midst of a public health calamity, squandering vital time as the coronavirus spread silently across the country.
  • A memo dated Feb. 14, prepared in coordination with the National Security Council and titled “U.S. Government Response to the 2019 Novel Coronavirus,” documented what more drastic measures would look like, including: “significantly limiting public gatherings and cancellation of almost all sporting events, performances, and public and private meetings that cannot be convened by phone. Consider school closures. Widespread ‘stay at home’ directives from public and private organizations with nearly 100% telework for some.”
  • his friend had a blunt message: You need to be ready. The virus, he warned, which originated in the city of Wuhan, was being transmitted by people who were showing no symptoms — an insight that American health officials had not yet accepted.
  • On the 18-hour plane ride home, Mr. Trump fumed as he watched the stock market crash after Dr. Messonnier’s comments. Furious, he called Mr. Azar when he landed at around 6 a.m. on Feb. 26, raging that Dr. Messonnier had scared people unnecessarily.
  • The meeting that evening with Mr. Trump to advocate social distancing was canceled, replaced by a news conference in which the president announced that the White House response would be put under the command of Vice President Mike Pence.
  • The push to convince Mr. Trump of the need for more assertive action stalled. With Mr. Pence and his staff in charge, the focus was clear: no more alarmist messages. Statements and media appearances by health officials like Dr. Fauci and Dr. Redfield would be coordinated through Mr. Pence’s office
  • It would be more than three weeks before Mr. Trump would announce serious social distancing efforts, a lost period during which the spread of the virus accelerated rapidly.Over nearly three weeks from Feb. 26 to March 16, the number of confirmed coronavirus cases in the United States grew from 15 to 4,226
  • The China FactorThe earliest warnings about coronavirus got caught in the crosscurrents of the administration’s internal disputes over China. It was the China hawks who pushed earliest for a travel ban. But their animosity toward China also undercut hopes for a more cooperative approach by the world’s two leading powers to a global crisis.
  • It was early January, and the call with a Hong Kong epidemiologist left Matthew Pottinger rattled.
  • Mr. Trump was walking up the steps of Air Force One to head home from India on Feb. 25 when Dr. Nancy Messonnier, the director of the National Center for Immunization and Respiratory Diseases, publicly issued the blunt warning they had all agreed was necessary.
  • It was one of the earliest warnings to the White House, and it echoed the intelligence reports making their way to the National Security Council
  • some of the more specialized corners of the intelligence world were producing sophisticated and chilling warnings.
  • In a report to the director of national intelligence, the State Department’s epidemiologist wrote in early January that the virus was likely to spread across the globe, and warned that the coronavirus could develop into a pandemic
  • Working independently, a small outpost of the Defense Intelligence Agency, the National Center for Medical Intelligence, came to the same conclusion.
  • By mid-January there was growing evidence of the virus spreading outside China. Mr. Pottinger began convening daily meetings about the coronavirus
  • The early alarms sounded by Mr. Pottinger and other China hawks were freighted with ideology — including a push to publicly blame China that critics in the administration say was a distraction
  • And they ran into opposition from Mr. Trump’s economic advisers, who worried a tough approach toward China could scuttle a trade deal that was a pillar of Mr. Trump’s re-election campaign.
  • Mr. Pottinger continued to believe the coronavirus problem was far worse than the Chinese were acknowledging. Inside the West Wing, the director of the Domestic Policy Council, Joe Grogan, also tried to sound alarms that the threat from China was growing.
  • The Consequences of ChaosThe chaotic culture of the Trump White House contributed to the crisis. A lack of planning and a failure to execute, combined with the president’s focus on the news cycle and his preference for following his gut rather than the data cost time, and perhaps lives.
  • the hawks kept pushing in February to take a critical stance toward China amid the growing crisis. Mr. Pottinger and others — including aides to Secretary of State Mike Pompeo — pressed for government statements to use the term “Wuhan Virus.”Mr. Pompeo tried to hammer the anti-China message at every turn, eventually even urging leaders of the Group of 7 industrialized countries to use “Wuhan virus” in a joint statement.
  • Others, including aides to Mr. Pence, resisted taking a hard public line, believing that angering Beijing might lead the Chinese government to withhold medical supplies, pharmaceuticals and any scientific research that might ultimately lead to a vaccine.
  • Mr. Trump took a conciliatory approach through the middle of March, praising the job Mr. Xi was doing.
  • That changed abruptly, when aides informed Mr. Trump that a Chinese Foreign Ministry spokesman had publicly spun a new conspiracy about the origins of Covid-19: that it was brought to China by U.S. Army personnel who visited the country last October.
  • On March 16, he wrote on Twitter that “the United States will be powerfully supporting those industries, like Airlines and others, that are particularly affected by the Chinese Virus.”
  • Mr. Trump’s decision to escalate the war of words undercut any remaining possibility of broad cooperation between the governments to address a global threat
  • Mr. Pottinger, backed by Mr. O’Brien, became one of the driving forces of a campaign in the final weeks of January to convince Mr. Trump to impose limits on travel from China
  • he circulated a memo on Jan. 29 urging Mr. Trump to impose the travel limits, arguing that failing to confront the outbreak aggressively could be catastrophic, leading to hundreds of thousands of deaths and trillions of dollars in economic losses.
  • The uninvited message could not have conflicted more with the president’s approach at the time of playing down the severity of the threat. And when aides raised it with Mr. Trump, he responded that he was unhappy that Mr. Navarro had put his warning in writing.
  • From the time the virus was first identified as a concern, the administration’s response was plagued by the rivalries and factionalism that routinely swirl around Mr. Trump and, along with the president’s impulsiveness, undercut decision making and policy development.
  • Even after Mr. Azar first briefed him about the potential seriousness of the virus during a phone call on Jan. 18 while the president was at his Mar-a-Lago resort in Florida, Mr. Trump projected confidence that it would be a passing problem.
  • “We have it totally under control,” he told an interviewer a few days later while attending the World Economic Forum in Switzerland. “It’s going to be just fine.”
  • The efforts to sort out policy behind closed doors were contentious and sometimes only loosely organized.
  • That was the case when the National Security Council convened a meeting on short notice on the afternoon of Jan. 27. The Situation Room was standing room only, packed with top White House advisers, low-level staffers, Mr. Trump’s social media guru, and several cabinet secretaries. There was no checklist about the preparations for a possible pandemic,
  • Instead, after a 20-minute description by Mr. Azar of his department’s capabilities, the meeting was jolted when Stephen E. Biegun, the newly installed deputy secretary of state, announced plans to issue a “level four” travel warning, strongly discouraging Americans from traveling to China. The room erupted into bickering.
  • A few days later, on the evening of Jan. 30, Mick Mulvaney, the acting White House chief of staff at the time, and Mr. Azar called Air Force One as the president was making the final decision to go ahead with the restrictions on China travel. Mr. Azar was blunt, warning that the virus could develop into a pandemic and arguing that China should be criticized for failing to be transparent.
  • Stop panicking, Mr. Trump told him.That sentiment was present throughout February, as the president’s top aides reached for a consistent message but took few concrete steps to prepare for the possibility of a major public health crisis.
  • As February gave way to March, the president continued to be surrounded by divided factions even as it became clearer that avoiding more aggressive steps was not tenable.
  • the virus was already multiplying across the country — and hospitals were at risk of buckling under the looming wave of severely ill people, lacking masks and other protective equipment, ventilators and sufficient intensive care beds. The question loomed over the president and his aides after weeks of stalling and inaction: What were they going to do?
  • Even then, and even by Trump White House standards, the debate over whether to shut down much of the country to slow the spread was especially fierce.
  • In a tense Oval Office meeting, when Mr. Mnuchin again stressed that the economy would be ravaged, Mr. O’Brien, the national security adviser, who had been worried about the virus for weeks, sounded exasperated as he told Mr. Mnuchin that the economy would be destroyed regardless if officials did nothing.
  • in the end, aides said, it was Dr. Deborah L. Birx, the veteran AIDS researcher who had joined the task force, who helped to persuade Mr. Trump. Soft-spoken and fond of the kind of charts and graphs Mr. Trump prefers, Dr. Birx did not have the rough edges that could irritate the president. He often told people he thought she was elegant.
  • During the last week in March, Kellyanne Conway, a senior White House adviser involved in task force meetings, gave voice to concerns other aides had. She warned Mr. Trump that his wished-for date of Easter to reopen the country likely couldn’t be accomplished. Among other things, she told him, he would end up being blamed by critics for every subsequent death caused by the virus.
anonymous

A Year After Breonna Taylor's Killing, Family Says There's 'No Accountability' : NPR - 0 views

www.npr.org/...-says-theres-no-accountability

shared by anonymous on 24 Mar 21 - No Cached
  • Before Breonna Taylor's name became synonymous with police violence against Black Americans, she was an emergency medical technician in Louisville, Ky.The 26-year-old Black woman's friends and family say she was beloved, and relished the opportunity to brighten someone else's day.
  • Exactly one year ago, Louisville police gunned her down in her home. Now, her name is a ubiquitous rallying cry at protests calling for police reforms, and many social justice advocates point to her story as an example of how difficult it can be to hold police accountable for violent acts. The Louisville incident unfolded during a botched narcotics raid, when officers forced their way into her apartment in the early morning hours of March 13, 2020. Taylor was not the target of the raid and the suspect police were searching for was not at Taylor's home.
  • A year after Taylor's death, none of the officers who fired their service weapons — a total of 32 rounds — face criminal charges directly over Taylor's killing. At least three officers with connections to the raid have been terminated from the force.
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  • Some advocates are calling for Kentucky's Republican-controlled legislature to pass "Breonna's Law," which would ban no-knock warrants statewide. The Kentucky Senate passed a bill late last month restricting such warrants in certain situations, which many activists and Democratic lawmakers say does not go far enough. They had introduced a similar bill in the House in August, called "Breonna's Law," but the House Judiciary Committee voted on Wednesday to move forward with the Republican-sponsored proposal, according to WFPL.
  • But many advocates believe justice has not been done, citing the lack of criminal charges and saying they want to see broader criminal justice reform. Demonstrators plan to gather in downtown Louisville on Saturday to mark the anniversary of Taylor's death, member station WFPL reported. Activists say they hope to keep her memory alive and renew calls for justice, after the winter dampened on-the-ground protests.
  • In September, the city of Louisville announced a $12 million settlement in the wrongful death lawsuit filed by Taylor's family, which also included several police reforms.
  • Cameron, whose office took over as special prosecutor in the case in May, said at the press conference that both Mattingly and Cosgrove "were justified in their use of force."After the two officers forced their way into Taylor's apartment, her boyfriend Kenneth Walker fired on them. Walker, a licensed gun owner, has maintained that he did not hear the officers announce themselves before entering and mistook them for intruders. He fired a shot, which hit Mattingly in the leg.
  • Ju'Niyah Palmer, Taylor's sister, wrote on Instagram earlier this year that her heart was "heavy because we are only 2 months away from me not hearing, seeing or cuddling you for a whole year." Her mother, Tamika Palmer, recently filed complaints with the police department's professional standards unit against six officers for their role in the investigation that included the raid. In an Thursday interview with a Louisville CBS affiliate, Palmer expressed her frustration with the lack of accountability in the case and called on the community to continue demanding justice.
  • Last September, after months of protests in and around Louisville, the city was braced to hear whether a grand jury would hand down criminal indictments for LMPD officers Brett Hankison, Jonathan Mattingly and Myles Cosgrove. At a press briefing Sept. 23, Kentucky Attorney General Daniel Cameron announced no charges directly tied to Taylor's death. The grand jury handed down three criminal counts of wanton endangerment to Hankison, over shooting through Taylor's apartment into a neighboring residence.
  • The grand jury did not charge Mattingly, who shot six times, and Cosgrove, who fired a total of 16 rounds, including what federal investigators determined to be the round that ultimately killed Taylor.
  • Louisville Democratic Rep. Attica Scott, the primary sponsor of Breonna's Law, told NPR's All Things Considered on Friday that committee officials have said they will consider proposed amendments that would bring the two bills further into alignment.She also said she had written a letter to newly-confirmed Attorney General Merrick Garland this week, asking him to fully investigate Taylor's killing.
  • Cameron, Kentucky's first Black attorney general, told reporters that "evidence shows that officers both knocked and announced their presence at the apartment." He cited the officers' statements and one additional witness as evidence, but also acknowledged there is no video or body camera footage of the officers executing the search warrant.
  • Cameron's announcement sparked fresh outrage and demonstrations in Louisville, Atlanta, Denver, and Portland, among other cities. It added fuel to an already tense period in American society, where national protests focusing on racial justice inequities became a near-daily occurrence following high-profile police incidents with Black Americans, including George Floyd, Rayshard Brooks, Jacob Blake, Daniel Prude and others who were killed or seriously injured.
  • Days after Cameron's press conference, Taylor's mother, Palmer, said she was "reassured ... of why I have no faith in the legal system, in the police, in the law. ... They are not made to protect us Black and brown people."
  • In that same press conference, Crump raised questions about what evidence Cameron presented on behalf of Taylor to the grand jury. He also publicly called for the release of the transcripts of the proceedings, something that is extremely rare in grand jury cases. The court did so several weeks later, after some jurors took issue with Cameron's explanation for why no officer was directly charged in Taylor's death.
  • Hankison was terminated from LMPD in June, after the department found he fired "wantonly and blindly" into Taylor's apartment. In January, some nine months after Taylor's killing, the department formally terminated Cosgrove and another officer connected to the incident.
  • Both Cosgrove and Detective Joshua Jaynes, who secured the warrant for the raid on Taylor's home, were found to have violated department protocols, according to the termination letters made public on Jan. 6.
  • LMPD officials said that for Jaynes, "the evidence in this case revealed a sustained untruthfulness violation based on information included in an affidavit completed by you and submitted to a judge."LMPD said Cosgrove violated the department's protocols on use of deadly force and failed to activate his officer-worn body camera.
  • In that same batch of documents, LMPD also said that Mattingly, who was shot during the raid, was exonerated on both counts of violating department procedures on use of deadly force and de-escalation. It added, "no disciplinary action taken and the complaint will be dismissed." The disciplinary documents were released the same day Fischer, the Louisville mayor, formally announced that Erika Shields would be the city's next permanent police chief.
  • Shields resigned her post as Atlanta's police chief in the immediate aftermath of the killing of Rayshard Brooks, a Black man who was shot in the back during an encounter with white officers in a Wendy's parking lot in June.
anonymous

2020 lightning and tornado numbers were down -- but not tornado fatalities - CNN - 0 views

www.cnn.com/...index.html

shared by anonymous on 16 Jan 21 - No Cached
  • There was some good news to come out of 2020: fewer tornadoes and fewer lightning strikes across the United States. But sadly, fewer tornadoes did not mean fewer fatalities -- a stark reminder that the timing and location of such storms can be critical.With a preliminary tally of 1,053, 2020 saw the lowest annual number of tornadoes since 2015, when 971 were recorded,
  • Still, tornadoes last year killed 78 people, the highest count since 2011, when a super outbreak in late April led to 553 deaths.
  • Similarly, two events in 2020 contributed to the majority of last year's fatalities. In the first -- March 2 into 3 -- 10 tornadoes rolled through Tennessee, including Nashville, killing 24 people.
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  • The following month ended up being the second-most active April on record for tornadoes, behind only 2011 for total number. Every day in April but one -- April 5 -- saw at least a Marginal Risk (level 1 of 5) for severe storms somewhere across the contiguous US,
  • 2020's second significant outbreak -- on April 12 and 13 -- produced more than 140 tornadoes. It was also the deadliest tornado outbreak in six years, with 32 fatalities
  • "Tornadoes are the same way. Some of the strongest tornadoes every year occur in rural parts of the country, so damage can be limited, but if a tornado, even a weaker one, strikes a major metro area, damage and fatalities can be extensive,"
  • There were 14 killer tornadoes in April 2020. Then, into May 2020, a shift in the weather pattern began to favor development of strong troughs in the eastern US.
  • Another potentially deadly weather phenomenon -- lightning strikes -- also saw tallies drop in 2020. There were about 170 million lightning events last year across the continental US, down about 52 million from 2019,
  • Unsurprisingly, Texas ranks No. 1 in total lightning strikes, due in part to its huge land area, Vaisala reports. By square kilometer, though, Florida tops the list, with Texas sixth. Iowa, Montana, New Mexico, and Wyoming all saw far fewer lightning strikes in 2020.
  • Sometimes a single event can account for a large number of lightning strikes. An example is the Midwestern derecho event last summer. It spawned 8% of all Iowa lightning strikes in 2020, with over 27,000 cloud-to-ground strikes. Despite this, Iowa -- which based off the average from 2010-2019 places 13th for most strikes -- actually dropped to the No. 22 spot last year.Other states saw big increases in lightning strikes in 2020. Georgia jumped four spots, cracking the Top 10 for only the third time. Ohio, Michigan and North Dakota also notched more lightning strikes last year, with over 2 million cloud-to-ground strikes each.
  • Preliminary numbers show lightning killed 17 people across the US in 2020, the second-lowest total since 2010, according to the National Weather Service.
  • Lightning in some Western states can be especially concerning in the summer months due to the potential for sparking wildfires. But not all lightning is created equal.
  • And lightning frequency isn't the only consideration for fire weather.
  • Oftentimes as thunderstorms develop out West, the surrounding air is so dry that any rain that falls actually gets evaporated before it reaches the ground, a phenomena called "virga." Lightning can still occur within these storms, which don't have the benefit of moisture to extinguish any fires a strike might set.
brookegoodman

Reporting on the Australian fires: 'It has been heartbreaking' | Membership | The Guardian - 0 views

www.theguardian.com/...lia-bushfires-reporting-crisis

Crisis

shared by brookegoodman on 19 Jan 20 - No Cached
  • Australia’s unprecedented bushfire crisis has unfolded in waves across the spring and summer, demanding coverage across many months that has encompassed a vast geographical area and has tried to make sense of dozens of interrelated narratives, from the personal stories of individuals caught in the disaster to the devastation of wildlife, social media misinformation and the overarching relevance of the climate crisis.
  • But of course an event of this size and drama cannot be covered solely from the office. The logistical challenges of putting reporters and photographers into fire zones hundreds of kilometres from their Sydney or Melbourne bases have been huge
  • Reporting events on this scale has been challenging enough, but putting them in the context both of Australian domestic politics and the wider question of climate change has put even greater demands on our reporters and opinion writers. From the start we have been at pains to keep the climate crisis at the forefront of our coverage, by explaining the science and holding the government to account for its response.
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  • That night the temporary campground under the bridge swelled to the hundreds, including many who had fled with just the clothes on their backs and who were now sleeping in their cars. The discount department store sold out of tents that night, we were told. Many people had not intended to flee, but changed their minds when they saw the size and speed of the smoke column.
  • The next morning at the official evacuation centre it was easy to spot those whose houses had been lost. They walked around white-faced, desperate to talk to someone but wary of the notebook. I made friends with the animals: 250 horses held safe in the saleyards, countless dogs, five chickens laying eggs in the back of a Landrover. Shellshocked humans who did not want to talk about how they were doing told me about how their pets were faring, and then their kids, and then finally themselves.
  • My first fire callout this season was to the well-heeled Sydney suburb of Turramurra in November, where no property was lost, houses were doused in the delightfully coloured pink fire retardant and some departing firefighters handed us ice creams on their way out.
  • Reporting on the fires requires a lot of driving, instinct and guesswork. There is often more information in the newsroom than on the ground, and we relied a lot on firefighters, the fire and traffic apps and radio broadcasts. I also received text updates on wind and weather changes from my dad, who can read charts better than I can.
  • In Kurrajong Heights, photographer Jessica Hromas and I met a strike team waiting for a fire to come up from the gorge and into the suburbs. A firefighter told us where to park our car – facing out and with doors unlocked – and said he’d give us a radio so he could tell us when to escape.
  • There has been a lot of anger and politics swirling around Australia’s bushfires, as well as a lot of facts – some relevant, some not, and some fake.
  • So while some of my colleagues have been delivering blistering and heart-wrenching narratives from the fire grounds, I’ve been knee deep in academic papers about bushfires, and conversations about the Forest Fire Danger Index and the Indian Ocean dipole.
  • As the fires took hold in NSW and continued in Queensland, a blame game emerged. These fires had little to do with the climate crisis, some were saying, but were down to “greenies” and their “policies” to stop hazard-reduction burning in forests and national parks.
  • I’ve spoken to I don’t know how many experts in their field over the last few months. I’ve disturbed conservationists and scientists on their holidays. One ecologist on Kangaroo Island was telling me what was going on while she and her children evacuated her house from the threat of a fire. The climate crisis comes up in every conversation.
  • We have upheld our editorial independence in the face of the disintegration of traditional media – with social platforms giving rise to misinformation, the seemingly unstoppable rise of big tech and independent voices being squashed by commercial ownership. The Guardian’s independence means we can set our own agenda and voice our own opinions. Our journalism is free from commercial and political bias – never influenced by billionaire owners or shareholders. This makes us different. It means we can challenge the powerful without fear and give a voice to those less heard.
Javier E

The American Nightmare - The Atlantic - 0 views

www.theatlantic.com/...612457

American dream nightmare racism

shared by Javier E on 01 Jun 20 - No Cached
  • Another racial text—published by the nation’s premier social-science organization, the American Economic Association, and classified by the historian Evelynn Hammonds as “one of the most influential documents in social science at the turn of the 20th century”—elicited more shock in 1896.
  • “Nothing is more clearly shown from this investigation than that the southern black man at the time of emancipation was healthy in body and cheerful in mind,” Frederick Hoffman wrote in Race Traits and Tendencies of the American Negro. “What are the conditions thirty years after?” Hoffman concluded from “the plain language of the facts” that black Americans were better off enslaved. They are now “on the downward grade,” he wrote, headed toward “gradual extinction.”
  • Hoffman knew his work was “a most severe condemnation of moderate attempts of superior races to lift inferior races to their elevated positions.” He rejected that sort of assimilationist racism, in favor of his own segregationist racism. The data “speak for themselves,” he wrote. White Americans had been naturally selected for health, life, and evolution. Black Americans had been naturally selected for disease, death, and extinction. “Gradual extinction,” the book concluded, “is only a question of time.
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  • With its pages and pages of statistical charts, Race Traits helped catapult Hoffman into national and international prominence as the “dean” of American statisticians. In his day, Hoffman “achieved greatness,” assessed his biographer. “His career illustrates the fulfillment of the ‘American dream.’”
  • e don’t see any American dream,” Malcolm X said in 1964. “We’ve experienced only the American nightmare.”
  • A nightmare is essentially a horror story of danger, but it is not wholly a horror story. Black people experience joy, love, peace, safety. But as in any horror story, those unforgettable moments of toil, terror, and trauma have made danger essential to the black experience in racist America. What one black American experiences, many black Americans experience. Black Americans are constantly stepping into the toil and terror and trauma of other black Americans
  • Because they know: They could have been them; they are them. Because they know it is dangerous to be black in America, because racist Americans see blacks as dangerous.
  • To be black and conscious of anti-black racism is to stare into the mirror of your own extinction.
  • Ask the souls of the 10,000 black victims of COVID-19 who might still be living if they had been white. Ask the souls of those who were told the pandemic was the “great equalizer.” Ask the souls of those forced to choose between their low-wage jobs and their treasured life. Ask the souls of those blamed for their own death. Ask the souls of those who disproportionately lost their jobs and then their life as others disproportionately raged about losing their freedom to infect us all. Ask the souls of those ignored by the governors reopening their states.
  • The American nightmare has everything and nothing to do with the pandemic. Ask the souls of Breonna Taylor, Ahmaud Arbery, and George Floyd. Step into their souls.
  • History ignored you. Hoffman ignored you. Racist America ignored you. The state did not want you to breathe. But your loved ones did not ignore you. They did not ignore your nightmare. They share the same nightmare.
  • Your loved ones are protesting your murder, and the president calls for their murder, calls them “THUGS,” calls them “OUT OF STATE” agitators. Others call the violence against property senseless—but not the police violence against you that drove them to violence. Others call both senseless, but take no immediate steps to stem police violence against you, only to stem the violence against property and police.
  • Mayors issue curfews. Governors rattle their sabers. The National Guard arrives to protect property and police. Where was the National Guard when you faced violent police officers, violent white terrorists, the violence of racial health disparities, the violence of COVID-19—all the racist power and policy and ideas that kept the black experience in the American nightmare for 400 years?
  • perhaps the worst of the nightmare is knowing that racist Americans will never end it. Anti-racism is on you, and only you. Racist Americans deny your nightmare, deny their racism, claim you have a dream like a King, when even his dream in 1967 “turned into a nightmare.”
  • Black people are supposed to be feared by all, murdered by police officers, lynched by citizens, and killed by COVID-19 and other lethal diseases. It has been proved. No there there. Black life is the “hopeless problem,” as Hoffman wrote.
  • In the first nationwide compilation of racial crime data, Hoffman used the higher arrest and incarceration rates of black Americans to argue that they are, by their very nature and behavior, a dangerous and violent people—as racist Americans still say today.
  • Hoffman compiled racial health disparities to argue that black Americans are, by their very nature and behavior, a diseased and dying people. Hoffman cataloged higher black mortality rates and showed that black Americans were more likely to suffer from syphilis, tuberculosis, and other infectious diseases than white Americans.
  • While black Americans view their experience as the American nightmare, racist Americans view black Americans as the American nightmare.
  • Racist Americans, especially those racists who are white, view themselves as the embodiment of the American dream. All that makes America great. All that will make America great again. All that will keep America great.
  • Their American dream—that this is a land of equal opportunity, committed to freedom and equality, where police officers protect and serve—is a lie. Their American dream—that they have more because they are more, that when black people have more, they were given more—is a lie. Their American dream—that they have the civil right to kill black Americans with impunity and that black Americans do not have the human right to live—is a lie.
  • Take Minneapolis. Black residents are more likely than white residents to be pulled over, arrested, and victimized by its police force. Even as black residents account for 20 percent of the city’s population, they make up 64 percent of the people Minneapolis police restrained by the neck since 2018, and more than 60 percent of the victims of Minneapolis police shootings from late 2009 to May 2019. According to Samuel Sinyangwe of Mapping Police Violence, Minneapolis police are 13 times more likely to kill black residents than to kill white residents, one of the largest racial disparities in the nation. And these police officers rarely get prosecuted.
  • A typical black family in Minneapolis earns less than half as much as a typical white family—a $47,000 annual difference that is one of the largest racial disparities in the nation. Statewide, black residents are 6 percent of the Minnesota population, but 30 percent of the coronavirus cases as of Saturday, one of the largest black case disparities in the nation, according to the COVID Racial Data Tracker.
  • In April, many Americans chose the racist explanation: saying black people were not taking the coronavirus as seriously as white people, until challenged by survey data and majority-white demonstrations demanding that states reopen. Then they argued that black Americans were disproportionately dying from COVID-19 because they have more preexisting conditions, due to their uniquely unhealthy behaviors. But according to the Foundation for AIDS Research, structural factors such as employment, access to health insurance and medical care, and the air and water quality in neighborhoods are drivers of black infections and deaths, and not “intrinsic characteristics of black communities or individual-level factors.”
  • Americans should be asking: Why are so many unarmed black people being killed by police while armed white people are simply arrested? Why are officials addressing violent crime in poorer neighborhoods by adding more police instead of more jobs? Why are black (and Latino) people during this pandemic less likely to be working from home; less likely to be insured; more likely to live in trauma-care deserts, lacking access to advanced emergency care; and more likely to live in polluted neighborhoods? The answer is what the Frederick Hoffmans of today refuse to believe: racism.
brookegoodman

Tulsi Gabbard, running for president, won't seek re-election to Congress - 0 views

www.nbcnews.com/...on-t-seek-re-election-n1071756

politics us

shared by brookegoodman on 25 Oct 19 - No Cached
  • Democratic presidential candidate Tulsi Gabbard said Thursday that she will not run for re-election for her U.S. representative seat, saying she wants to focus on trying to secure her party’s nomination to challenge President Donald Trump.
  • "I believe that I can best serve the people of Hawaii and our country as your president and commander-in-chief,"
  • An Iowa Democratic caucus poll out this week put Gabbard at 3 percent, with former Vice President Joe Biden, Massachusetts Sen. Elizabeth Warren, and South Bend, Indiana, Mayor Pete Buttigieg in the top three spots.
  • ...5 more annotations...
  • Clinton did not mention Gabbard by name but said she believes one candidate is "the favorite of the Russians."
  • Clinton was referring to the GOP grooming Gabbard, not Russians.
  • Gabbard reacted by tweeting that Clinton is “the queen of warmongers, embodiment of corruption, and personification of the rot that sickened the Democratic Party for so long."
  • Trump attacked Clinton for the suggestion earlier this week, and said Clinton and other Democrats claim everyone opposed to them is a Russian agent.
  • ratic presidential candidate Tulsi Gabbard said Thursday that she will not run for re-election for her U.S. representative seat, saying she wants to focus on trying to secure her party’s nomination to challenge President Donald Trump.Gabbard, who represents Hawaii, made the announcement in a video and email to supporters."I believe that I can best serve the people of Hawaii and our country as your president and commander-in-chief," Gabbard said in the video.Let our news meet your inbox. The news and stories that matters, delivered weekday mornings.Sign UpThis site is protected by recaptcha&nbsp;Privacy Policy&nbsp;|&nbsp;Terms of Service She also expressed gratitude to the people of Hawaii for her nearly seven years in Congress.In January, Hawaii state Sen. Kai Kahele, a Democrat, said he would run for Gabbard's seat, NBC affiliate KHNL of Honolulu reported.An Iowa Democratic caucus poll out this week put Gabbard at 3 percent, with former Vice President Joe Biden, Massachusetts Sen. Elizabeth Warren, and South Bend, Indiana, Mayor Pete Buttigieg in the top three spots.She is in a crowded field of Democrats seeking the nomination to run for president. Another candidate, U.S. Rep. Tim Ryan, D-Ohio, ended his long-shot presidential campaign Thursday.RecommendedvideovideoMcConnell: If the House impeaches Trump, Senate will hold trial 'until we finish'2020 Election2020 ElectionTim Ryan drops out of presidential raceHillary Clinton recently suggested that she believed Republicans were grooming one of the Democrats for a third-party candidacy. Clinton did not mention Gabbard by name but said she believes one candidate is "the favorite of the Russians."
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