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johnsonma23

The forgotten faces of war | MSNBC - 0 views

  • Approximately 150,000 Syrian refugees, mainly Kurds, fleeing threats from the Islamic State of Iraq and Syria (ISIS) and Monday’s U.S.-led airstrikes have crossed into southern Turkey
  • tens of thousands of refugees, the majority of which are women, children and the elderly. They arrive exhausted and depleted after walking miles to safety on rough roads and carrying their belongings. 
  • had no doubt Syrians represented the largest refugee population in the world. In the three and a half years since the conflict began, 3.3 million Syrians have fled the country and 6.5 million have been internally displaced. As the war with ISIS intensifies, said Guterres, so too will the flood of refugees.
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  • Human rights advocates are urging world leaders to keep the focus on protecting civilians, even as the conversation shifts to U.S. airstrikes in Syria.
  • U.S. should do more to assist in resettling Syrians. Global funding is also far short of what the United Nations says is necessary to meet the humanitarian needs of the refugee population.
maddieireland334

'Making a Murderer' and failing justice system (Opinion) - CNN.com - 0 views

  • Laws are designed to keep chaos at bay, to set a foundation for a civil society. My not slowing down fast enough was not a threat to the social order.
  • About the time of my last ticket, the country was fighting over O.J. Simpson. Most white Americans were horrified that because they believed he got away with a double murder and didn't want to know about prosecutorial mistakes and dubious police actions. Most black people cheered that a system they had long believed was corrupt had been beaten, for once. A lead detective lying on the stand, using the n-word and bragging about planting evidence were not incidental facts to them
  • "Making a Murderer" is forcing us to confront those disparate views anew, as well as encouraging us to better understand that the people who are ticketed or jailed and imprisoned more, and more harshly, than the rest of us aren't necessarily more deserving of punishment than those of us who have skated by dent of birth, happenstance or policy design.
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  • Michelle Alexander did a great job detailing that arbitrariness in "The New Jim Crow."
  • "The clear majority of Americans of all races have violated drug laws. But due to resource constraints (and the politics of the drug war), only a small fraction are arrested, convicted, and incarcerated," she wrote. "In 2002, for example, there were 19.5 million illicit drug users, compared to 1.5 million drug arrests and 175,000 people admitted to prison for a drug offense."
  • everyone is innocent until proven guilty; you will only be convicted if there is no real doubt that you committed the crime -- are either outright lies or fantastical tales we tell ourselves.
  • Avery spent almost 18 years in prison for a rape he didn't commit. DNA testing done by the Innocence Project proved that a different man was the assailant. While he served time, the actual rapist was free to hurt other women. That man, Gregory Allen, is serving a 60-year prison sentence for a 1995 rape.
  • Since the airing of the documentary, we've learned that a juror in the Avery case said the verdict was a sort of compromise, that not everyone in the room believed he had done what he had been charged with: the definition of reasonable doubt if ever there was one. No matter; they sent him to prison anyway.
  • "The 'reasonable doubt' rule was not originally designed to serve the purpose it is asked to serve today: It was not originally designed to protect the accused. Instead, it was designed to protect the souls of the jurors against damnation," he wrote.
  • An alternate juror told me there's no doubt he would have voted not guilty had he been the 12th, not 13th juror -- which would have been enough to set Huggins free. Talk about arbitrary. Because of that roll of the dice, Huggins sits in prison hoping an appeal is successful instead of raising his young kids and taking care of his elderly mother.
  • I complained about the arbitrariness of a cop giving me a ticket in a speed trap. That's nothing compared to what men like Avery and Huggins -- and too many others -- face. Finally, the public seems to be recognizing that ugly reality.
sgardner35

Syria says Islamic State killed 300 in attacks in country's east - The Boston Globe - 0 views

  • The state-run SANA news agency said most of those killed in Saturday’s attacks were elderly people, women, and children, while opposition activists said many of the victims were Syrian soldiers and progovernment militiamen and their families.
  • The Britain-based Syrian Observatory for Human Rights, which documents the conflict through activists on the ground, said at least 135 people were killed. It said about 80 of them were soldiers and progovernment militiamen and the rest civilians. It added that many of them were shot to death or beheaded.The Islamic State controls most of Deir el-Zour province and much of the capital with the same name.
Javier E

The great artificial intelligence duopoly - The Washington Post - 0 views

  • The AI revolution will have two engines — China and the United States — pushing its progress swiftly forward. It is unlike any previous technological revolution that emerged from a singular cultural setting. Having two engines will further accelerate the pace of technology.
  • WorldPost: In your book, you talk about the “data gap” between these two engines. What do you mean by that? Lee: Data is the raw material on which AI runs. It is like the role of oil in powering an industrial economy. As an AI algorithm is fed more examples of the phenomenon you want the algorithm to understand, it gains greater and greater accuracy. The more faces you show a facial recognition algorithm, the fewer mistakes it will make in recognizing your face
  • All data is not the same, however. China and the United States have different strengths when it comes to data. The gap emerges when you consider the breadth, quality and depth of the data. Breadth means the number of users, the population whose actions are captured in data. Quality means how well-structured and well-labeled the data is. Depth means how many different data points are generated about the activities of each user.
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  • Chinese and American companies are on relatively even footing when it comes to breadth. Though American Internet companies have a smaller domestic user base than China, which has over a billion users on 4G devices, the best American companies can also draw in users from around the globe, bringing their total user base to over a billion.
  • when it comes to depth of data, China has the upper hand. Chinese Internet users channel a much larger portion of their daily activities, transactions and interactions through their smartphones. They use their smartphones for managing their daily lives, from buying groceries at the market to paying their utility bills, booking train or bus tickets and to take out loans, among other things.
  • Weaving together data from mobile payments, public services, financial management and shared mobility gives Chinese companies a deep and more multi-dimensional picture of their users. That allows their AI algorithms to precisely tailor product offerings to each individual. In the current age of AI implementation, this will likely lead to a substantial acceleration and deepening of AI’s impact across China’s economy. That is where the “data gap” appears
  • The radically different business model in China, married to Chinese user habits, creates indigenous branding and monetization strategies as well as an entirely alternative infrastructure for apps and content. It is therefore very difficult, if not impossible, for any American company to try to enter China’s market or vice versa
  • companies in both countries are pursuing their own form of international expansion. The United States uses a “full platform” approach — all Google, all Facebook. Essentially Australia, North America and Europe completely accept the American methodology. That technical empire is likely to continue.
  • The Chinese have realized that the U.S. empire is too difficult to penetrate, so they are looking elsewhere. They are trying, and generally succeeding, in Southeast Asia, the Middle East and Africa. Those regions and countries have not been a focus of U.S. tech, so their products are not built with the cultures of those countries in mind. And since their demographics are closer to China’s — lower income and lots of people, including youth — the Chinese products are a better fit.
  • If you were to draw a map a decade from now, you would see China’s tech zone — built not on ownership but partnerships — stretching across Southeast Asia, Indonesia, Africa and to some extent South America. The U.S. zone would entail North America, Australia and Europe. Over time, the “parallel universes” already extant in the United States and China will grow to cover the whole world.
  • Policy-wise, we are seeing three approaches. The Chinese have unleashed entrepreneurs with a utilitarian passion to commercialize technology. The Americans are similarly pro-entrepreneur, but the government takes a laissez-faire attitude and the entrepreneurs carry out more moonshots. And Europe is more consumer-oriented, trying to give ownership and control of data back to the individual.
  • An AI arms race would be a grave mistake. The AI boom is more akin to the spread of electricity in the early Industrial Revolution than nuclear weapons during the Cold War. Those who take the arms-race view are more interested in political posturing than the flourishing of humanity. The value of AI as an omni-use technology rests in its creative, not destructive, potential.
  • In a way, having parallel universes should diminish conflict. They can coexist while each can learn from the other. It is not a zero-sum game of winners and losers.
  • We will see a massive migration from one kind of employment to another, not unlike during the transition from agriculture to manufacturing. It will largely be the lower-wage jobs in routine work that will be eliminated, while the ultra-rich will stand to make a lot of money from AI. Social inequality will thus widen.
  • The jobs that AI cannot do are those of creators, or what I call “empathetic jobs” in services, which will be the largest category that can absorb those displaced from routine jobs. Many jobs will become available in this sector, from teaching to elderly care and nursing. A great effort must be made not only to increase the number of those jobs and create a career path for them but to increase their social status, which also means increasing the pay of these jobs.
  • There are also issues related to poorer countries who have relied on either following the old China model of low-wage manufacturing jobs or of India’s call centers. AI will replace those jobs that were created by outsourcing from the West. They will be the first to go in the next 10 years. So, underdeveloped countries will also have to look to jobs for creators and in services.
  • I am opposed to the idea of universal basic income because it provides money both to those who don’t need it as well as those who do. And it doesn’t stimulate people’s desire to work. It puts them into a kind of “useless class” category with the terrible consequence of a resentful class without dignity or status.
  • To reinvigorate people’s desire to work with dignity, some subsidy can help offset the costs of critical needs that only humans can provide. That would be a much better use of the distribution of income than giving it to every person whether they need it or not. A far better idea would be for workers of the future to have an equity share in owning the robots — universal basic capital instead of universal basic income.
Javier E

Roma is a cinematic triumph. Can it teach Trump's America the value of compassion? | Ar... - 0 views

  • Roma is based partly on memories of Cuarón’s Mexican barrio of yesteryear. Viewed from Chile, it comes across as an indictment of the hypocrisy and blindness of the elites that today govern this country and so many other countries of the region, including the United States.
  • The film reminds us of all the Cleos who dream of going to the US, fleeing from the sort of violence and exploitation subtly alluded to by Cuarón
  • Once they manage to make it across the US border, millions of avatars of Cleo – as invisible and neglected as in Chile – keep the nation safe and affluent and healthy. They clean and cook and care for the sick and the elderly and, of course, for the children. They do so with love; what other word is there to use?
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  • The word for love in Spanish is, of course, amor. And it seems significant, and maybe even deliberate, that amor is what you get if you spell Roma backwards: a love sadly lacking on our merciless planet today. Roma and the word amor, which it contains and hides, ask us how it can be possible that Cleo, the character, can cross effortlessly into the States, appearing on so many cinema screens across the country, while her real-life sisters are met with teargas and threats and insults.
  • here is no red carpet for any of the women who care for other people’s children with such devotion.
knudsenlu

Claudette Colvin: The 15-year-old who came before Rosa Parks - BBC News - 0 views

  • In March 1955, nine months before Rosa Parks defied segregation laws by refusing to give up her seat to a white passenger on a bus in Montgomery, Alabama, 15-year-old Claudette Colvin did exactly the same thing. Eclipsed by Parks, her act of defiance was largely ignored for many years. She herself didn't talk about it much, but she spoke recently to the BBC.
  • "I remember during Easter one year, I was to get a pair of black patent shoes but you could only get them from the white stores, so my mother drew the outline of my feet on a brown paper bag in order to get the closest size, because we weren't allowed to go in the store to try them on."
  • "The white people were always seated at the front of the bus and the black people were seated at the back of the bus. The bus driver had the authority to assign the seats, so when more white passengers got on the bus, he asked for the seats."
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  • "He wanted me to give up my seat for a white person and I would have done it for an elderly person but this was a young white woman. Three of the students had got up reluctantly and I remained sitting next to the window," she says.
  • Under the twisted logic of segregation the white woman still couldn't sit down, as then white and black passengers would have been sharing a row of seats - and the whole point was that white passengers were meant to be closer to the front.
  • "I was more defiant and then they knocked my books out of my lap and one of them grabbed my arm. I don't know how I got off that bus but the other students said they manhandled me off the bus and put me in the squad car. But what I do remember is when they asked me to stick my arms out the window and that's when they handcuffed me," Colvin says.
  • Instead of being taken to a juvenile detention centre, Colvin was taken to an adult jail and put in a small cell with nothing in it but a broken sink and a cot without a mattress.
  • After Colvin was released from prison, there were fears that her home would be attacked. Members of the community acted as lookouts, while Colvin's father sat up all night with a shotgun, in case the Ku Klux Klan turned up.
g-dragon

Where Is Christopher Columbus Buried? - 0 views

  • Two cities, Seville (Spain) and Santo Domingo (Dominican Republic) claim that they have the remains of the great explorer.
  • Some revere him for boldly sailing west from Europe at a time when to do so was considered certain death, finding continents never dreamed of by Europe's most ancient civilizations. Others see him as a cruel, ruthless man who brought disease, slavery, and exploitation to the pristine New World. Love him or hate him, there is no doubt that Columbus changed his world.
  • He died in Valladolid in May of 1506, and he was at first buried there. But Columbus was, then as now, a powerful figure, and the question soon arose as to what to do with his remains. He had expressed a desire to be buried in the New World, but in 1506 there were no buildings there impressive enough to house such lofty remains. In 1509, his remains were moved to the convent at La Cartuja, an island in a river near Seville.
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  • In 1877, workers in the Santo Domingo cathedral found a heavy leaden box inscribed with the words “Illustrious and distinguished male, don Cristobal Colon.” Inside was a set of human remains and everyone assumed they belonged to the legendary explorer. Columbus was returned to his resting place and the Dominicans have claimed ever since that the Spanish hauled the wrong set of bones out of the cathedral in 1795. Meanwhile, the remains sent back to Spain via Cuba were interred in an imposing tomb in the Cathedral in Seville. But which city had the real Columbus?
  • Columbus' remains were judged too important to fall into French hands, so they were sent to Havana. But in 1898, Spain went to war with the United States, and the remains were sent back to Spain lest they fall to the Americans.
  • Christopher Columbus traveled more after death than many people do in life! In 1537, his bones and those of his son Diego were sent from Spain to Santo Domingo to lie in the cathedral there. As time went on, Santo Domingo became less important to the Spanish Empire and in 1795 Spain ceded all of Hispaniola, including Santo Domingo, to France as part of a peace treaty.
  • The man whose remains are in the box in the Dominican Republic shows signs of advanced arthritis, an ailment from which the elderly Columbus was known to have suffered. There is, of course, the inscription on the box, which no one suspects is false. It was Columbus’ wish to be buried in the New World and he founded Santo Domingo: it’s not unreasonable to think that some Dominican passed off some other bones as those of Columbus in 1795.
  • The Spanish have two solid arguments. First of all, the DNA contained in the bones in Seville is an extremely close match to that of Columbus’ brother Diego, who is also buried there. The experts who did the DNA testing believe the remains are those of Christopher Columbus. The Dominican Republic has refused to authorize a DNA test of their remains. The other strong Spanish argument is the well-documented travels of the remains in question: had the lead box not been discovered in 1877, there would be no controversy.
  • The tourism factor alone is huge: many tourists would like to take their picture in front of Christopher Columbus’ tomb. This is probably why the Dominican Republic has refused all DNA tests: there is too much to lose and nothing to gain for a small nation that depends heavily on tourism.
  • The Dominicans refuse to acknowledge the DNA test done on the Spanish bones and refuse to allow one to be done on theirs: until they do, it will be impossible to know for sure.
manhefnawi

The Last Decade | History Today - 0 views

  • When the Spanish ambassador to England reported to his master in December 1558 about Queen Elizabeth and her newly established government, he lamented that ‘the kingdom is entirely in the hands of young folks, heretics and traitors’.
  • The Queen’s advancing age had at least two important consequences in the 1590s. Firstly, it underscored the continuing uncertainty over the royal succession, since Elizabeth had no children and had always refused to nominate a successor. Secondly, Elizabeth’s increasing dotage encouraged members of a younger generation to feel impatient at their sovereign’s conservatism and to resent the continuing sway of the elderly men and women who monopolised virtually all the key positions around her
  • Elizabeth’s courtiers and councillors during the 1590s always had to reckon on this likelihood and shaped their actions accordingly, even if they usually kept their preparations low-key for fear of angering the Queen and raising awkward questions about their loyalty to her – acting too precipitately might ruin their career and even expose them to charges of treason
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  • Wentworth’s gaoler, Sir Michael Blount, the Lieutenant of the Tower, was himself dismissed and imprisoned in late 1595 for stockpiling arms in anticipation of the Queen’s death. While Wentworth championed James VI of Scotland as Elizabeth’s successor, Blount supported the rival claim of the Seymour family
  • who should replace the Queen. Elaborate genealogies were constructed to undermine the credentials of each of the leading claimants to the English throne – including James VI – and to advance the case for the Infanta of Spain. This suggested that Doleman’s book was intended to clear the way for Philip II to claim Elizabeth’s throne for the Habsburgs
  • The loss of so many stalwarts of the Elizabethan regime significantly changed the nature of the Privy Council during the early 1590s and set the scene for political instability in the years that followed.
  • Routine actions by the Privy Council, such as the authorisation of government expenditure, had traditionally required the signatures of three, four or five members of the Council, but Burghley now began to authorise a growing number of actions entirely by himself. This was partly a concession to the demands of his extraordinary work load, but it also reflected his unprecedented new status as the Queen’s de facto chief minister.
  • Elizabeth’s willingness to grant Cecil a place on the council at the youthful age of twenty-eight represented a striking concession, but she rejected his bid to fill the vacant secretaryship of state. As a junior councillor without obvious portfolio, Cecil instead became his father’s assistant.
  • While Essex’s generation had grown up to hate Spain and to covet the riches and prestige of Spain’s global empire, she and Burghley were old enough to recall that France was England’s traditional enemy. Elizabeth’s goal was not a new European order or to become ‘Queen of the Seas’, but a return to the old European order, in which the inveterate rivalry between France and the Habsburgs would enable England to play those two great powers off against each other for the least risk and maximum diplomatic benefit
  • For their part, Essex and his followers interpreted this opposition as the jealousy of small-minded civilians who did not understand military matters and unfairly sought to deny Essex and his officers the rewards of victory
  • The personal nature of what was effectively an internal family feud also seemed bewildering to the Queen
  • This danger seemed all the more pressing because of the continuing uncertainty about the succession. Essex had long been the foremost English advocate of the claims of James VI, who was widely recognised as the most plausible candidate to succeed Elizabeth
  • By the time Elizabeth entered her final illness in March 1603, the secret alliance of Cecil and James had ensured there would be no succession crisis. As the old Queen lay dying, the burning question troubling her courtiers was not who would be the next sovereign of England, but who would be able to emulate Cecil and his closest allies in securing the new King’s favour
Javier E

'Chernobyl' Should Make Humanity Count Its Blessings - The Atlantic - 0 views

  • During a beautifully rendered scene, an elderly Communist Party apparatchik sits silently at a meeting of plant managers and local officials, all of whom are giving in to panic. He then rises and exhorts his comrades to gaze upon the portrait of the Soviet leader Vladimir Lenin on the wall, and to remember that Lenin would be proud of them—even though one of the reactors had already exploded and was, at that moment, on the verge of melting through the earth around them.
  • “Chernobyl,” Mazin tweeted to Bongino, “was a failure of humans whose loyalty to (or fear of) a broken governing party overruled their sense of decency and rationality. You’re the old man with the cane. You just worship a different man’s portrait.”
  • Once they captured a state, however, they were determined to keep it, and a regime founded by chance and based on a lie soon began to believe in its own infallibility. Socialism and communism were just words; the power and survival of the Soviet Communist Party were paramount. No one life was of any particular importance.
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  • Lenin and his comrades were European intellectuals who stumbled into power after “years of sitting in isolation and making up schemes for Communist revolution.”
  • From its inception, the Soviet Union was governed by a fundamentally psychotic regime that over successive generations was unable to comprehend reality, process information, or see beyond its own fevered and paranoid outlook
  • this scene captures something about the Soviet regime both at its most mundane and at its most dangerous. Everyone was accountable to everyone else. Any show of public defiance, or even a misplaced comment, could carry severe consequences
  • at a moment of great peril to millions of Soviet citizens and millions more people around the world, no one was accountable. Every bureaucrat and manager simply repeated the mantra of the gray, authoritarian system that produced them: I had my job. I did my job. I fulfilled my tasks. I did nothing wrong.
  • This state, run by delusional old men chasing, imprisoning, and shooting millions of their fellow citizens in a “circle of accountability,” controlled thousands of nuclear weapons pointed at the United States and its allies. We all lived under the constant threat that the commitment of a group of paranoids to ideas first bruited about in the coffeehouses of Victorian Europe would lead to global extermination.
  • We should also be grateful for our narrow escape not only from the burning reactors in the marshes of Pripyat, but from a state led by a cabal of dangerous men who, for the better part of a century, hijacked the fate of billions of human beings.
brickol

'Stranded at sea': cruise ships around the world are adrift as ports turn them away | W... - 0 views

  • Ports around the globe are turning cruise ships away en mass amid the corona pandemic, leaving thousands of passengers stranded even as some make desperate pleas for help while sickness spreads aboard.
  • at least ten ships around the world – carrying nearly 10,000 passengers – are still stuck at sea after having been turned away from their destination ports in the face of the Covid-19 pandemic. Some of the ships are facing increasingly desperate medical situations, including one carrying hundreds of American, Canadian, Australian and British passengers, currently off the coast of Ecuador and seeking permission to dock in Florida.
  • Dramatic scenes of coronavirus-stricken cruises, such as the Grand Princess in California and the Diamond Princess in Japan, have become synonymous with the pandemic. The plight of those still adrift highlights how cruise ships have become a kind of pariah of the seas, as cities push back against becoming the next home for a potentially infected vessel.
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  • As of Thursday, the Guardian had identified five ships in the Americas that were unable to unload nearly 6,000 passengers. At least three other ships were having trouble off the coast of Australia, including one which sought urgent medical attention for an outbreak of respiratory illness. Two more ships were trying to get passengers to ports in Italy.
  • Holland America said this week it had dispatched support in the form of another cruise ship carrying 611 extra staff, supplies and coronavirus test kits to meet up with the Zaandam, and that the cruise line is looking for other alternative locations to disembark passengers.
  • Passengers who spoke with the Guardian describe being locked down in the cabins, with three daily meals left on the floor outside their doors. Meanwhile the number of people reporting influenza-like symptoms has almost tripled this week: 56 passengers and 89 crew members, passengers say the ship’s captain has told them. Four elderly passengers reportedly required oxygen.
  • The fast-moving nature of the virus has added to the confusion – when many passengers left for vacations in early March there were no cases of Covid-19 in South America, so they thought it would be safe to travel.
  • cases of cruise ships being turned away from ports as a result of coronavirus fears began as early as January and escalated in February, with passengers being quarantined on the Emerald Princess in Japan on 3 February.
  • “There is a level of greed on the part of these companies,” he said. “They want to make every penny – and they make money when people are on the ships.”Cruise ships are drawing increasing government scrutiny for not doing enough to protect their passengers during this pandemic.
  • Despite Donald Trump’s repeated vows to bail out the cruise ship industry, money for cruise companies was not a part of the $500bn in aid for large employers included in stimulus bill passed by Congress on Wednesday.
  • Meanwhile a report from the US Centers for Disease Control this week laid the blame on cruise ships for spreading the virus in the crucial early weeks of the outbreak, linking hundreds of cases to the Diamond Princess and Grand Princess.
brookegoodman

Anger over Prince Charles's Covid-19 test is a warning sign of divisions to come | Gaby... - 0 views

  • We are all still in this together. But some of us are now falling so much deeper into it than others.
  • No wonder some were furious, then, when it emerged that Prince Charles had been tested despite suffering from what’s said to be only a mild case of coronavirus. Buckingham Palace insists it was done for sound clinical reasons, and even if it wasn’t, one princely test makes no practical difference to the ability of hundreds of thousands of key workers to get one.
  • Houses that normally sit shuttered and forlorn until Easter started opening up again the minute the schools shut – and so many people have been trying to book hideaway cottages on remote Scottish islands that ferry crossings are being restricted. Tiny communities with no cases of their own are understandably afraid of what wealthy urban refugees may bring with them, and fear curdles all too easily into resentment.
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  • The safety net knitted last week at breakneck speed, meanwhile, is already starting to fray at the edges. Renters worry that their three-month reprieve from eviction might not be as watertight as it looked; older people, told they can stay in and simply order food online, are being left with little choice but to venture out when supermarket delivery slots are booked solid for weeks.
  • But as time goes on, this virus may create unexpected new divides too. We desperately need mass antibody testing, said to be only weeks away, to establish who has already had the virus and might now be immune, on top of the existing tests showing who has it now. Reliable testing would let key workers go back to the frontline – or in some cases back home – and others return to the kind of non-essential jobs that keep an economy ticking over.
  • It may seem churlish to dwell on what divides us rather than what we are discovering we have in common. But the lesson of an epidemic that has seen doctors raiding DIY stores for protective masks, and children separated from their mothers by cold hard glass, is that it pays to be one step ahead, not running to catch up; that where we are now is not necessarily where we will be tomorrow. A crisis that has so far brought us together may soon, if we’re not careful, begin to push us apart.
Javier E

How to evaluate and eventually ease coronavirus restrictions - The Washington Post - 0 views

  • In recent days, epidemiologists and infectious disease specialists, as well as former top agency officials, have rushed to put out their own plans — by publishing preprint papers online and sharing ideas on Twitter and in op-eds
  • a consensus of sorts has begun to coalesce around several key ingredients for an American strategy to move forward while minimizing human and economic casualties. They include mounting a large-scale contact tracing effort, widespread testing, building up health care capacity before easing restrictions, making future quarantines more targeted, and allowing those who have recovered and have some immunity to go back to work.
  • While overall the peak of the epidemic may occur in late April or early May, the timing may be different in different states.
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  • The plan was published Sunday by the American Enterprise Institute. Its lead author — Scott Gottlieb, former Food and Drug Administration commissioner in the Trump administration
  • “The goal is to outline a plan that will allow a gradual return to a more normal way of life without increasing the risk” that the epidemic will resurge.
  • Most economists and health experts say there is no way to restart the economy without addressing the underlying problem of the coronavirus. As long as the pandemic continues to spread, the markets will be in turmoil and any businesses will struggle to stay open, they say.
  • instead of giving false reassurances and deadlines, the White House should tell people the hard truth about the current situation and a coherent strategy they can work toward. “The social distancing, being stuck at home, the deaths we’re going to be seeing. People want to know what it’s for. That there’s a plan.”
  • the road map Gottlieb’s group outlined stresses the need to move away from the current decentralized system and “toward more coordinated execution of response.”
  • The plan divides coming months into four phases and sets “triggers” for states to move from one phase to the next.
  • The latest proposal is a 19-page plan with a step-by-step timeline, with clear benchmarks states and regions would need to meet to safely move forward to the next step
  • With most of the nation now in phase one of the epidemic, the goal should be a sharp increase in hospital critical care beds and an increase of testing to 750,000 people a week to track the epidemic — a number Gottlieb said could be achieved in the next week or two.
  • For a state to move to phase two, it should see a sustained reduction in new cases for at least 14 days, and its hospitals need to be able to provide care without being overwhelmed.
  • “The reason we set it at 14 days is that’s the incubation period of the virus,” said Rivers of Johns Hopkins. “That way you know the downward trend is certain and not because of a holiday or blip or some other delay in reported cases.”
  • States that have moved into phase two would begin gradually lifting social distancing measures and opening schools and businesses, while increasing surveillance.
  • The key goals thereafter would be accelerating the development of new treatments and deploying tests to determine who has recovered from infection with some immunity and could rejoin the workforce.
  • Phase 3 occurs when the nation has a vaccine or drugs to treat covid-19 in place and the government launches mass vaccinations
  • For weeks, World Health Organization officials have stressed such lockdowns are only helpful for slowing down the virus and buying time to deploy more targeted and comprehensive measures, which the U.S. has not yet done.
  • Trump has repeatedly returned to strategies of bans and movement restriction
  • Phase 4 involves rebuilding the nation’s capacity to deal with the next pandemic by building up its scientific and public health infrastructure.
  • Mike Ryan, WHO head of emergency programs, recently urged countries to focus on finding and isolating infected people and their contacts. “It’s not just about physical distancing, it’s not just about locking down,”
  • Many experts’ recent proposals for a U.S. strategy have similar stressed the importance of large-scale contact tracing — because it was a cornerstone for successful efforts like South Korea and Singapore.
  • as countries have shown success with it against this coronavirus, that thinking has changed.
  • such contact tracing is “impractical now in many places but more practical once case numbers have been reduced and testing scaled up” and “could alleviate the need for stringent social distancing to maintain control of the epidemic.”
  • Rapidly building up that capacity — either with community volunteers or short-term hires — will be crucial in coming months, said Rivers of Johns Hopkins. “If you build capacity up and bring cases down, it starts looking a lot more possible.”
  • Many proposals tackle the problem of the tanking economy.
  • Gottlieb-Johns Hopkins plan, for example, calls for widespread use of blood tests to identify people who have had the infection and now are immune — called serology testing
  • People who are immune could return to work, or take on high-risk roles in the health care system and help people, especially the elderly, who are still quarantined at home.
  • Such serology tests have not been deployed before like this on such a large scale
  • during Ebola outbreaks in Africa, survivors were often the ones who provided care, watched over the children of sick patients and buried the dead.
  • One challenge unaddressed by most proposals and op-eds, however, is how to get such detailed plans adopted by the White House, whose response has weighed down by infighting and unclear leadership ping-ponging in recent weeks among Trump, Pence and health advisers like Anthony S. Fauci and Deborah Birx and others.
  • Health officials and scientists involved in the federal response, especially from the Centers for Disease Control and Prevention, have fought to be heard while straining to avoid offending Trump, who bristles at being publicly contradicted, undercut or overshadowed by praise for ideas or people beside himself, according to people who spoke on the condition of anonymity about sensitive deliberations.
  • On Thursday, Trump unveiled a plan of his own, though scarce in detail. He said he planned to help communities ease their restrictions and reopen for business by using on “robust” surveillance and categorizing counties across America into three “risk levels” — low, medium and high. More details are likely in coming days, White House officials said.
nrashkind

Lockdown, what lockdown? Sweden's unusual response to coronavirus - BBC News - 0 views

  • While swathes of Europe's population endure lockdown conditions in the face of the coronavirus outbreak, one country stands almost alone in allowing life to go on much closer to normal.
  • After a long winter, it's just become warm enough to sit outside in the Swedish capital and people are making the most of it.
  • Compare that to neighbouring Denmark, which has restricted meetings to 10 people, or the UK where you're no longer supposed to meet anyone outside your household.
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  • Polls also suggest almost half of Stockholmers are remote working.
  • There are more guidelines than strict rules, with a focus on staying home if you're sick or elderly, washing your hands, and avoiding any non-essential travel, as well as working from home.
  • Demography may also be a relevant factor in the country's approach. In contrast to the multi-generational homes in Mediterranean countries, more than half of Swedish households are made up of one person, which cuts the risk of the virus spreading within families.
  • "My wife is also having her own company, so we pretty much depend on ourselves. Business is bad. I still have bills to pay. We're gonna have to call the banks," says owner Al Mocika.
  • Dr Emma Frans says history will be the judge of which politicians and scientists around Europe have made the best calls so far.
  • "Nobody really knows what measurements will be the most effective," she says. "I'm quite glad that I'm not the one making these decisions".
nrashkind

WHO Reviews 'Available' Evidence On Coronavirus Transmission Through Air : NPR - 0 views

  • The World Health Organization says the virus that causes COVID-19 doesn't seem to linger in the air or be capable of spreading through the air over distances more than about three feet.
  • But at least one expert in virus transmission said it's way too soon to know that.
  • "I think the WHO is being irresponsible in giving out that information. This misinformation is dangerous," says Dr. Donald Milton, an infectious disease aerobiologist at the University of Maryland School of Public Health.
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  • "The epidemiologists say if it's 'close contact' then it's not airborne. That's baloney," he says.
  • Of course, the world is struggling with a shortage of the most protective medical masks and gear.
  • What's more, one study of hospital rooms of patients with COVID-19 found that "swabs taken from the air exhaust outlets tested positive, suggesting that small virus-laden droplets may be displaced by airflows and deposited on equipment such as vents." Another study in Wuhan hospitals f
  • "The U.S. CDC has it exactly right,"
  • When epidemiologists are working in the field, trying to understand an outbreak of an unknown pathogen, it's not possible for them to know exactly what's going on as a pathogen is spread from person to person, Milton says. "Epidemiologists cannot tell the difference between droplet transmission and short-range aerosol transmission."
  • For the average person not working in a hospital, Milton says the recommendation to stay 6 feet away from others sounds reasonable.
  • People shouldn't cram into cars with the windows rolled up, he says, and officials need to keep crowding down in mass transit vehicles like trains and buses.
  • With coronavirus cases continuing to climb and hospitals facing the prospect of having to decide how to allocate limited staff and resources, the Department of Health and Human Services is reminding states and health care providers that civil rights laws still apply in a pandemic.
  • States are preparing for a situation when there's not enough care to go around by issuing "crisis of care" standards.
  • But disability groups are worried that those standards will allow rationing decisions that exclude the elderly or people with disabilities.
  • On Saturday, the HHS Office for Civil Rights put out guidance saying states, hospitals and doctors cannot put people with disabilities or older people at the back of the line for care.
  • Severino said his office has opened or is about to open investigations of complaints in multiple states. He did not say which states could be the focus of investigation, but in the last several days, disability groups in four states — Alabama, Kansas, Tennessee and Washington — have filed complaints.
  • In Kansas and Tennessee, disability groups and people with disabilities say state guidelines would allow doctors to deny care to some people with traumatic brain injuries or people who use home ventilators to help them breathe.
  • The ventilator issue is coming up in New York, which may soon be the first place where there are not enough ventilators to meet the demand of patients. Gov. Andrew Cuomo said the state will need double its current amount in about three weeks.
  • Severino said Saturday that his office was concerned about complaints of possible ventilator reallocation, an issue that had been raised in New York and Kansas.
  • The PREP Act provides immunity to tort liability claims for manufacturers or drug companies that are asked to scale up quick responses to a disaster such as a nuclear attack or a pandemic.
  • Severino said his office would investigate civil rights violations and it would be up to another office at HHS, the general counsel's office, to make waivers under the PREP Act.
  • Some disability advocates have worried whether that exception could be used to trump civil rights laws that protect people with disabilities from treatment decisions.
  • He was 98 years old.
  • The Reverend Joseph Lowery, co-founder of the Southern Christian Leadership Conference, died Friday, according to a statement by the Joseph & Evelyn Lowery Institute for Justice and Human Rights.
  • The statement said Lowery died peacefully at home Friday night, surrounded by his daughters.
  • Known affectionately as the "Dean" of the Civil Rights Movement, Lowery was a part of pivotal moments in the nation's history
  • At an appearance on the national mall in 2013, at the age of 91, he led the crowd in the chant "Fired Up? Ready to go?" The event marked 50 years since the 1963 March on Washington, which Lowery attended as a contemporary of the Rev. Martin Luther King, Jr. At that 50th anniversary appearance, he warned that hard-fought gains were under attack.
  • Joseph Echols Lowery was born in Huntsville, Alabama in 1921. He was the son of a teacher and a shopkeeper. The young Lowery experienced firsthand the brutalities of the Jim Crow South and would spend his life fighting for racial justice.
  • One of the first protests he organized was as a young Methodist minister in Mobile, Alabama in the early 1950s. It was aimed at desegregating city buses.
  • From there, Lowery helped coordinate the 1955 Montgomery bus boycott, the non-violent movement that desegregated the city's public transportation and led to the formation of the Southern Christian Leadership Conference.
  • Four decades later, at a gathering of civil rights foot soldiers in Montgomery, Lowery reflected on that accomplishment, noting that the number of black elected officials in the country had gone from less than 300 in 1965 to nearly 10,000 by 2005.
  • "It changed the face of the nation," said Lowery.
Javier E

Opinion | Germany Has Relatively Few Deaths From Coronavirus. Why? - The New York Times - 0 views

  • Germany, it seems, is not immune to the ravages of the pandemic.
  • Except in one way: Very few people seem to be dying. As of Saturday, of the 56,202 confirmed cases of the coronavirus, just 403 patients have died. That’s a fatality rate of 0.72 percent. By contrast, the current rate in Italy — where over 10,000 people have died — is 10.8 percent. In Spain, it’s 8 percent. Over twice as many people have died in Britain, where there are around three times fewer cases, than in Germany.
  • What is going on here? And what can we learn from it?
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  • First and foremost: Early and persistent testing helps. And so does tracking people.
  • Across the country, the pattern was repeated. Local health departments and federal authorities worked together to test, track and quarantine exposed citizens.
  • Germany has also been better at protecting its older residents, who are at much greater risk. States banned visits to the elderly, and policymakers issued urgent warnings to limit contact with older people
  • Patients over the age of 80 make up around 3 percent of the infected, though they account for 7 percent of the population. The median age for those infected is estimated to be 46; in Italy, it’s 63.
  • many more young people in Germany have tested positive for the virus than in other countries
  • “Both skiing and carnival may have affected the low average age of the first wave of confirmed cases,”
  • In general, countries that test less and reserve it for those already very ill, like Italy, have higher fatality rates.
  • Though Germany’s health care system is overall in good shape — recently modernized, well staffed and funded, with the highest number of intensive-care beds per 100,000 patients in Europe — it hasn’t really been tested yet.
  • On average, a severely ill Covid-19 patient dies 30 days after being infected
  • It’s quite possible that Germany is just behind the curve
nrashkind

How robots could help us combat pandemics in the future - CNN - 0 views

shared by nrashkind on 29 Mar 20 - No Cached
  • Although many people around the world are practicing social distancing during the coronavirus pandemic, those on the frontlines fighting the virus can't stay home. Experts agree that robots could take over the "dull, dirty and dangerous" jobs humans are currently fulfilling.
  • The panel reminds us that similar plans for robotic assistance were created after the 2015 Ebola outbreak -- but the funding and motivation dropped off.
  • We could have been ready, and now we're trying to play catchup during a pandemic, the researchers said.
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  • I don't think that we are ready this time, but hopefully with our collective efforts we can be more ready next time," said Guang-Zhong Yang, founding editor of Science Robotics, one of the authors of the editorial and dean of the Institute of Medical Robotics at Shanghai Jiao Tong University.
  • It's one of many examples showing how robots could prevent human contact from spreading the virus.
  • Yang, who did not test positive for the virus, said some developed robotic technologies are already helping, like robots being used for disinfecting hospitals and surfaces like plastic, metal and glass where the virus can live for up to 72 hours.
  • Yang's work primarily focuses on surgical robots, which can be operated remotely. He thinks they could be used to help clinicians who are treating contagious patients in crowded ICU wards.
  • The authors of the editorial, consisting of robotics experts across the globe, identified key areas where robots could lend assistance that would remove humans from harm's way during a pandemic.
  • This includes disease prevention, diagnosis and screening, patient care and disease management.
  • Remote presence robots could also stand in the place of someone in a meeting, basically providing their presence through a video screen.
  • The pandemic is also highlighting a need for assistance and social robots to help those at home, especially the elderly.
  • And roboticists are realizing that some of the simplest tasks, which carry risk during pandemics, could be assumed by robots.
  • Roboticists don't want to see us in this situation again -- realizing the resources we need in the middle of a problem with limited methods of action.
Javier E

Opinion | Trump Is Asking Us to Play Russian Roulette With Our Lives - The New York Times - 0 views

  • More specifically: As a society, we will be betting that as large numbers of people stop sheltering in place, the number of people who will still get infected with Covid-19 and require hospitalization will be less than the number of hospital beds, intensive care units, respirators, doctors, nurses and protective gear needed to take care of them.
  • it is clear that millions of Americans are going to stop sheltering in place — their own President is now urging them to liberate themselves — before we have a proper testing, tracking and tracing system set up.
  • Until we have a vaccine, that kind of system is the only path to dramatically lowering the risk of infection while partially opening society — while also protecting the elderly and infirm — as Germany has demonstrated.
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  • What will be so cruel about this American version of Russian roulette is how unfair it will be
  • This is the state of play when you have a president who one minute is responsibly issuing sober guidelines for when and how people should go back to work, and the next minute is telling states that they are responsible for getting the testing, tracking and tracing units that we need in place and then, in the third minute, is inciting people on Twitter to “liberate” their workplaces, cities and beaches — even though none of the conditions are in place to do so safely.
  • “Liberate”? Think about the use of that word. We were not in jail! We were not doing something wrong! We were doing what our president, governor, mayor, and national epidemic experts told us to do: behave responsibly and shelter in place to break the transmission of this virus.
  • Is there anything more irresponsible that this president could do, after weeks of complimenting the American people for how they pulled together and sacrificed to shelter in place — patriotically doing their part to bend the curve of this virus?
  • When the president is calling on governors to “let their people go” before comprehensive testing facilities are in place, he is basically saying that, until there is a vaccine, we are betting on herd immunity. Achieving herd immunity requires that more than two-thirds of a community be immune, a process that could involve many more deaths, if proper preparations are not in place.
  • That may work out for some places and people. It may not.
  • First, this is the bet Trump is urging you to make in his “liberate” tweets — when he should be ordering out the National Guard and mobilizing American industry to get testing everywhere.
  • Second, this bet will fall very unfairly and unevenly in our society, when so little testing and tracing is in place.
  • third, if this is the future, every business, restaurant, hotel, theater, sporting facility, factory, nonprofit and government office needs to ask itself: What does my business look like when, on the best days, the responsible people coming to my door will be wearing a mask, gloves, distancing six feet apart and volunteering to have their temperature taken before they enter, and the irresponsible ones won’t be? How do I handle that?
  • Bottom line, my fellow Americans: Your president is telling you that you’re on your own to make these decisions. And if this strategy works, you can be sure that he will take credit. And if it doesn’t, you can be sure that he will tweet that it was all Anthony Fauci’s idea.
Javier E

Trump's war on pragmatism - The Washington Post - 0 views

  • We Americans have always fancied ourselves practical, can-do people who put old feuds aside when faced with a big collective problem.
  • it’s no accident that one of the United States’ great contributions to philosophy is William James’s theory of pragmatism. Our bias is toward ideas that work and innovation by way of trial and error.
  • This tradition acknowledges that we often have multiple goals. In the coronavirus crisis, this means beating the pandemic and getting the economy humming again.
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  • President Trump is failing because he has abandoned our commitments to favoring problem-solving over ideological posturing and to acting nationally in the face of looming catastrophe.
  • Instead of rallying the resources required for a nationally organized testing program, Trump told the nation’s governors that the federal government will “be standing alongside of you.”
  • Having thrown the burden of resolving the crisis on those governors, Trump might at least have encouraged his own supporters to back off their reflexive opposition to a gradual and considered approach to economic recovery
  • Instead, Trump championed the extremists who continued their marches on several state capitals over the weekend demanding an abrupt and reckless end to the temporary shutdowns that have slowed the virus’s spread
  • Why? “They seem to be protesters that like me,” he said gleefully.
  • Considering this lack of leadership, what would a William James pragmatist do?
  • Virtually everyone except for Trump and his apologists understands the obvious: Reopening the economy requires, first, a national commitment to a robust testing program fully backed by the federal government
  • “Even if the government-imposed social distancing rules are relaxed to encourage economic activity, risk-averse Americans will persist in social distancing, and that behavior, too, will restrain the hoped-for economic rebound,
  • Those who shout for opening the economy in the name of freedom don’t think much about the freedom of workers to protect themselves from a potentially deadly disease. And employers do not want to find themselves facing legal liabilities for infected employees.
  • If the economy is substantially reopened without adequate testing, said Thea Lee, president of the Economic Policy Institute, the most vulnerable would include “low-wage workers, women, people of color, immigrants, and the elderly.” They are “concentrated in the riskiest jobs, with the least financial cushion, and the least likely to have employer-provided benefits or protections,”
Javier E

The coronavirus isn't another Hurricane Katrina. It's worse. - The Washington Post - 0 views

  • the United States again faces a circumstance in which the problem may be larger than the institutions that normally deal with it.
  • Public health is mainly the responsibility of states and localities. Americans may think the Centers for Disease Control and Prevention is leading a national response to the coronavirus. It isn’t. The CDC has a weak role in setting and implementing policy, and it is not sufficiently staffed to do the job people think it is doing.
  • The working group headed by Vice President Pence — while needed and helpful — only has the power of cajoling. In a public health emergency, there is no national coordinating function.
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  • some problems have a scope — say, fighting a war or constructing a national highway system — that overwhelms the theory of local control.
  • As America moves to the mitigation stage of the outbreak, social distancing measures — such as closing schools, ending mass gatherings and restricting travel — are the next line of defense. But the problem with such measures is that they tend to be imposed too late and/or lifted too early. And the current implementation of social distancing by states and localities can best be called spotty.
  • Dangerously and absurdly, political leaders have been using the low number of confirmed cases as the evidence of success when it is actually a measure of our blindness.
  • if sickness begins to come in a sudden rush, it will swamp the health-care system, leading to shortages of masks, hospital beds, ventilators and personnel (as it has in northern Italy).
  • “The glaring risk today,” as J. Stephen Morrison of the Center for Strategic and International Studies told me, “is that the elderly and those with fragile health suffer extreme illness but are unable to access life-sustaining care and die in large numbers.”
Javier E

Opinion | The Best-Case Outcome for the Coronavirus, and the Worst - The New York Times - 0 views

  • About four out of five people known to have had the virus had only mild symptoms, and even among those older than 90 in Italy, 78 percent survived.
  • Two-thirds of those who died in Italy had pre-existing medical conditions and were also elderly
  • “I’m not pessimistic. I think this can work.” She thinks it will take eight weeks of social distancing to have a chance to slow the virus, and success will depend on people changing behaviors and on hospitals not being overrun. “If warm weather helps, if we can get these drugs, if we can get companies to produce more ventilators, we have a window to tamp this down,”
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  • Dr. Neil M. Ferguson, a British epidemiologist who is regarded as one of the best disease modelers in the world, produced a sophisticated model with a worst case of 2.2 million deaths in the United States.
  • I asked Ferguson for his best case. “About 1.1 million deaths,” he said.
  • one can argue that the U.S. is not only on the same path as Italy but is also less prepared, for America has fewer doctors and hospital beds per capita than Italy does — and a shorter life expectancy even in the best of times.
  • up to 366,000 I.C.U. beds might be needed in the United States for coronavirus patients at one time, more than 10 times the number available. A Harvard study reached a similar conclusion.
  • This is an interval of quiet when the United States should be urgently ramping up investment in vaccines and therapies, addressing the severe shortages of medical supplies and equipment, and giving retired physicians and military medics legal authority to practice in a crisis
  • During World War II, the Ford Motor Company turned out one B-24 bomber every 63 minutes; today, we should be rushing out ventilators and face masks, but there’s nothing like the same sense of urgency.
  • After initial missteps in Wuhan, where the coronavirus was first discovered, China adopted protocols for protective gear that are more rigorous than those in the United States, involving N95 masks and face shields, double gowns, gloves and shoe covers, plus special areas to remove protective clothing — and all this worked. Not one of the 42,000 health workers sent to Wuhan is known to have become infected with the coronavirus. The United States isn’t protecting health workers with the same determination; it seems to be betraying them.
  • This crisis should be a wake-up call to address long-term vulnerabilities. That means providing universal health coverage and paid sick leave — and if you think that the coronavirus legislation Trump signed on Wednesday achieves that, think again. It guarantees sick leave to only about one-fifth of private-sector workers. It’s a symbol of the inadequacy of America’s preparedness.
  • “We are all making dying contingency plans at this point just in case,” she said. “Wills, backup people to take care of kids, recording bedtime stories.”
  • The United States is in a weaker position than some other countries to confront the virus because it is the only advanced country that doesn’t have universal health coverage, and the only one that does not guarantee paid sick leave
  • with infectious diseases, the burden will be shared by all Americans
  • In Italy, 8.3 percent of coronavirus cases involve health workers. A doctor in the Seattle area who is forced to reuse N95 masks told me that she and her colleagues fear that the lack of supplies will be deadly.
  • We may dodge a bullet this time, but experts have been warning for decades that a killer pandemic will come;
  • if we, too, can be scared enough to invest in public health and fix our health care system, then something good can come from this crisis — and in the long run, that may save lives.
  • Ferguson questions whether South Korea and other countries can sustain their success for 18 months until a vaccine is ready, even as new cases are constantly being imported
  • America and South Korea reported their first Covid-19 cases on the same day, but South Korea took the epidemic seriously, promptly created an effective test, used it widely and has seen cases go down more than 90 percent from the peak.
  • In contrast, the United States badly bungled testing, and President Trump repeatedly dismissed the coronavirus, saying it was “totally under control” and “will disappear,” and insisting he wasn’t “concerned at all.” The United States has still done only a bit more than 10 percent as many tests per capita as Canada, Austria and Denmark.
  • Peter Hotez, an eminent vaccine scientist at Baylor College of Medicine, told me that he and his colleagues have a candidate vaccine for the coronavirus but still haven’t been able to line up sufficient funding for clinical trials.
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