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“If there were justice,” he added, “we’d send and [sic] few dozen of these fascists to the gallows and gibbet their tarred bodies in chains until they fall apart.”

the 10 countries with the highest deaths per capita were all in Latin America or the Caribbean.

deep-seated skepticism among people like Mr. Arriaga — the workers who feed Mexico City and much of the nation — turned to shock, and eventually to resignation, as their neighbors, friends and loved ones died and their neighborhood became ground zero for the outbreak.

Officials had posted signs warning of Covid-19 and urging workers to report illnesses. In the beginning, most ignored them.“I think they made it up, to raise prices on the poor,” Mr. Arriaga said of the virus in March

A new reality set in for many: A prolonged economic shutdown was clearly impossible. People could wear masks, and distance as much as possible, but almost no one could afford to stay home. They had to keep working.

For the vast majority of people, risking illness or death has simply become the price of survival.

Mr. Arriaga’s own attempts to stay away from the market lasted only a month before he blew through his life savings and trudged back to work in fear.“I’ve got nothing left,” he said on a recent weekend, bracing himself for another long night in the market. “It’s either go out there and face the virus, or sit here and starve.”

Now, Mexico has the fourth-highest death toll in the world, with more than 70,000 lives officially lost to the virus. Experts say the real number may be tens of thousands more than that.

Tomas BravoMexico City8h agoGreat article. Even living in the same city there are different realities playing out, and this gives a good insight into the stories of some of the worst struck by the pandemic. Some local media have talked of these issues, but there is an ongoing effort from the government to deny these allegations. It is nice to see a story told from the perspective of individuals through which the bigger issues that have paved the way for this crisis are highlighted

(b) we see no arguments about mask wearing in CDMX stores/areas, and witnessed concerns about customers shooting up USA grocery stories if masks are enforced,

gtodonGuanajuato, Mexico3h ago@Ignacio Colin Perhaps in your neighborhood of sprawling Mexico City, the "community is strong and doing its part." Where I live, in Guanajuato, about half the people on the streets, and even in the stores, decline to wear masks, and half of those who do wear masks don't wear them properly; they appear to think they're chin-guards. The same is true in nearby León, a much larger city. In the state of Guanajuato, only San Miguel de Allende, with its large foreign population, takes Covid seriously.

BVINew York7h agoPowerful article with powerful images. I felt close to the shopkeepers and their families. The intimacy of these stories and revealing personal impact in such detail, without judgment, makes the story so much more human. "At every level, there is simply less." A sadly perfect summation of this pandemic's impact.

IvanMemphis, TN9h agoTwo failures seem to be conspiring to make this a catastrophe. First the governments failure to institute simple low cost and effective measures to reduce the spreed - like mandatory and enforced masks in crowded public areas. Second the failure of the public to take it serious and follow common sense guidance - because of paranoia about the motives of experts and government. I guess they are not that different from the US, except they have less resources to counter the predictable outcomes of these failures.

gnacio ColinMexico City8h agoOnce again, we are portrayed as a country that diminishes the virus’ impact and downplays it. It’s a great read but tbh most of the responsibility lays on the President, who has been adamant about employing techniques that do not combat the virus. Nonetheless, Mexico City’s government led by a PhD, Claudia Sheinbaum has done a great job and has countered the President in many ways regarding the management. We have a dormant President who chooses to look elsewhere instead of looking for solutions (he’s done the same with medication purchases, education, ecology, human rights commissions, to say the least). The Mexican community is strong and is doing its part on mitigating this national (and global) tragedy.

D. HendersonMexico City4h ago@Jorge Romero and @ E. Voigt, you have points and they are well taken. I live in CMDX and work in rural MX. In July, we made a "necessary" risky cross-country drive to see Ohio family b/c we suspect that such is impossible until a vaccine in spring 2021 or later. We used masks, face shields, alcohol solutions when at two hotels & gas stations. Some anectodal sharing

Like many people in Iztapalapa, they felt a sense of shame associated with the virus.“There’s a stigma,” said Mr. Dominguez, the organizer. “No one wants to admit they had it.”

ExPatMXAjijic, Jalisco Mexico7h ago@observer " We shouldn't be reporting on these "poor countries" as if we are so far removed on our American pedestal any longer." Thank you. Mexico is a magnificent country and the people remind me of how Americans treated each other with kindness and friendliness when I was young. They make eye contact on the streets, wish you a good day, you'll see teenage boys taking young siblings places with care and loving. There are some places in the US that this happens but a lot more places that it doesn't. Is the government corrupt? Certainly. But they are open about it while the US government is equally corrupt but hides it behind religion or other convenient excuses. We have been adopted" into a few Mexican families and attend birthdays, wedding, and fiestas. This article made me want to cry. The poor in Mexico are struggling to survive just as the poor in the US are similarly struggling. This article put faces on the essential workers who are risking their lives to feed their families (and the rest of the country) which I think is needed so the rest of us who are lucky can identify with what this disease is doing to people.

(c) CDMX is MASSIVE, centro de abastos is massive, hard to relay really its size and diversity and intensity. It IS "formally" and "informally" opening up again for many of the reasons explained in this article; it "feels" like a deal is being made with the COVID-19 devil (only time and the virus will dictate outcomes).

ONE. Thank you NYT for this article and to the commentators for their sharing. Good. TWO. When comparing citizen behavior in CDMX streets to what we saw in TX, TN, AR, KY, OH we note (a) NOW 95-100% of people in CDMX streets, metro, tianguis (markets) use masks, compared with 40-50% (or less depending on USA area),

PaulRio de Janeiro10h agoI cannot speak for Mexico, but I can speak for Brazil, where many cities have seen their numbers plummet, sometimes by over 90%. This is the case in Rio where much has been open for weeks, months in the case of malls and many other public places, without dire consequences.

At this very moment I personally know more people sick in Europe than I do here in Rio or even in Brazil. This is not to minimize the impact that Covid had on Latin America, on Brazil and on Rio. The opposite in fact: it is close to undeniable that some measure of herd immunity was attained in many of the hardest hit places, including New York City, northern Italy and several Brazilian cities.

d) urban CDMX life is different than rural MX life (and other MX cities) always and now; yet, there is a general lack of trust across the board about info and institutions, so much so that we know the death rate IS not accurate, many die in their homes rather than go to hospitals). Survive is what we all must do.

The recovery of places like Manaus, Recife, Rio, São Paulo and other Brazilian cities has been woefully underreported by the New York Times and others. It is too bad because an analysis of the data and of the facts on the ground could yield valuable insight for other countries and cities, especially in poor or emerging countries.

misinformation was as rampant as the virus itself.Ms. Aquino’s cellphone brimmed with clips sent via WhatsApp. Some claimed that the virus was a Chinese conspiracy, others that bleach was a cure. Even President Andrés Manuel López Obrador offered his own theories, contending that a clean conscience helped prevent infection.

“I’ve heard government is paying people to claim their loved ones died from Covid,” Ms. Aquino whispered. “I have two friends who were offered money.”At best, the rumors sowed confusion and doubt. At worst, they were a death sentence.

A dull acceptance of the new reality filled Iztapalapa: Coronavirus is a necessary risk, and the reward for taking it is merely survival.

Thank you for this story about our new home country. We live far from Mexico City in the state of Jalisco where the governor and local officials took the virus seriously. So far their efforts have been rewarded with per capita numbers of cases around 20 per 100,000, some of the consistently best results anywhere in the world.

I was born and raised in Mexico and all my family is still there. Back in March I received video in which a central de abastos worker mocks the pandemic and people who are quarantining calling them lazy, and those wearing masks, gullible. The video to me helped illustrate the hard truth that México, like the USA, has parallel narratives. There are those who believe the science and consume fact-checked news, like my relatives. And there are also many who believe conspiracy theories or folk remedies, including misinformation on YouTube. I believe the official tally of the sick and dead is much lower than the real numbers. This disease is exposing the fragility of Mexico’s institutions, much like it has American ones.

As a full-time resident of Mexico I can attest that most Mexicans either have had a family member ill from Covid and/or have lost a family member to Covid. It has attacked not only low income but also middle and upper classes. It is rampant here but unfortunately the wealthy have better access to adequate health care. Most Mexicans I know are very vigilant about mask wearing; unfortunately the American tourists who come to holiday here are not vigilant and are reluctant to wear masks.

ilToronto

Rachael EiermannLos Cabos, Mexico

Brad BurnsMexico

American adults say they're drinking 14% more often during the coronavirus pandemic, according to a report in the journal JAMA Network Open. The increase in frequency of drinking for women was more pronounced, up 17% compared to last year.

Stores sold 54% more alcohol in late March compared the year prior, according to Nielsen.

"Alcohol compromises the body's immune system and increases the risk of adverse health outcomes," the WHO stated. "Therefore, people should minimize their alcohol consumption at any time, and particularly during the COVID-19 pandemic."

Two weeks after the killing of George Floyd, crowds inspired by Black Lives Matter protests in America marched to the statue of a slave trader named Edward Colston in the center of the English port city of Bristol. They wrapped ropes around the neck of the bronze effigy, pulled it to the pavement, rolled and dragged it through the streets, and then pushed it into the harbor.

Colston was Bristol's biggest philanthropist. His name adorned the city's concert hall, an office tower, as well as schools and streets. The plaque beneath the statue, which was erected in 1895, called him "one of the most virtuous and wise sons" of Bristol. What it failed to mention – and what angered the protesters – is that Colston made much of his fortune with the Royal African Company, which shipped tens of thousands of enslaved people across the Atlantic to work on plantations during Colston's tenure. An estimated one in five people died during the crossing.

A reader poll in the Bristol Post found about 60% of respondents backed protesters pulling down the statue, while around 40% thought it shouldn't have been toppled.

Bristol Mayor Marvin Rees, who has lived in Washington and Philadelphia, has had his own unnerving experiences with American police. He said he was flabbergasted when a cop in the U.S. once threatened to arrest him for jaywalking

After that, Rees says, he changed the way he dealt with police in the U.S. When asking for directions in New York City one day, he made sure to speak as he took care to approach an officer from the front.

Some white residents were doubly angry. They were still mad that the Colston statue had been pulled down illegally and that another statue had gone up without government authorization or public input.

"I think it's beautiful," Aidid said. "It stands for so much that Bristol has needed. When I walked past here today, I finally felt like it's not a direct insult to my humanity, to my life."

The next morning, government workers unbolted the statue and took it down, leaving the pedestal empty, once again.

In July, a London sculptor had his own statue hoisted up on the pedestal. It depicted a Black female protester holding her fist up in a Black power salute.

Of all the measures South Africa put in place, Dawood said the most important against the flu was school closures. Studies have shown that children exhibit the highest rates of infection and illness due to influenza. “I think that was the one that interrupted flu’s whole chain,”

experts have offered numerous explanations for why it is more infectious than the seasonal flu. Foremost is the extent to which it spreads when those who carry it are asymptomatic. Flu is almost always transmitted through symptoms such as sneezing and coughing.

Many people also carry “background immunities” for influenza, Dawood said. Repeated infections, as well as worldwide annual vaccination campaigns, have given large portions of the global population at least some influenza antibodies, although new strains appear nearly every year.

People also began taking extra health precaution

With coronavirus cases climbing steeply at the beginning of the country’s flu season, many people rushed to clinics to get flu shots, hoping to avoid at least one co-morbidity.

The continued implementation of personal protective measures may be so effective against flu transmission that entire strains of the virus that relied on incubation in the Southern Hemisphere’s winter before being passed back north might be eliminated for good

“If it works out like this, it would be a very beautiful positive side effect of covid, one of the few good things to come of it.”

The main threat to that possibility is reintroduction from the Northern Hemisphere, where many countries, and parts of the United States in particular, have not required mask-wearing and school closures.

he B.1.351 variant has already spread beyond South Africa to neighboring countries, the United States and Britain. Scientists believe one of its mutations may make it harder for antibodies to grab onto the virus and keep it from entering cells.Among scientists’ worries is that the variant first detected in Britain has acquired the same mutation, known as E484K, in some cases.

Because the trial participants in South Africa were relatively young and unlikely to become severely ill, it was impossible for the scientists to determine if the vaccine protected people from hospitalization or death. Immune responses detected in blood samples from vaccinated people suggest it could.

Like many developing countries, South Africa was relying on the relatively cheap and easy-to-store AstraZeneca shot — “the people’s vaccine,” as Ms. Taylor put it — to tamp down new outbreaks. When airport workers rolled vaccine crates out of the belly of an airplane last week, President Cyril Ramaphosa watched from the rain-soaked tarmac.

Given the proven safety of the AstraZeneca vaccine and the hope that it might yet prevent hospitalizations and deaths from the new variant, Professor Venter said that health officials should consider offering it to anyone who wanted it.

Instead of acting hard and fast, the government’s advisory groups went for herd immunity, says former chief scientific adviser Sir David King. “They opted for ‘behavioural nudges’, a light-touch gamble, saying: ‘Wash your hands, stay at home if you feel ill.’ Every other country was taking a different view.”

Anthony Costello, a former World Health Organization director and professorial research associate at the Institute for Global Health at UCL in London, agrees. “They got it wrong. Effectively, they were saying that Covid should be allowed to let rip. And there was no one there to challenge them.”

The subpoenas span documents from January 2011 to August 2019, including his tax returns, from Mazars

He added: "The Supreme Court never should have let this 'fishing expedition' happen, but they did."Mazars, in a statement, says it is "committed to fulfilling all of our professional and legal obligations."

Last July, the Supreme Court, voting 7-2, rejected the Trump's broad claims of immunity from a state criminal subpoena seeking his tax returns and said that as president he was not entitled to any kind of heightened standard unavailable to ordinary citizens. The justices sent the case back to the lower court so that the president could make more targeted objections regarding the scope of the subpoena.

In October, a federal appeals court said "there is nothing to suggest that these are anything but run-of-the-mill documents typically relevant to a grand jury investigation into possible financial or corporate misconduct."

"The subpoena is geographically sprawling, temporally expansive, and topically unlimited --all attributes that raise suspicions of an unlawful fishing expedition," William Consovoy wrote. "Even if disclosure is confined to the grand jury and prosecutors," he said "once the documents are surrendered" confidentially "will be lost for all time."

These Covid-19 vaccines are as much a victory for public health now as the Salk vaccine was then. We would do well to remind ourselves of the transformative power of vaccines that prevent disease without completely preventing infection when enough people take the vaccine. The sooner we reduce spread in the community and protect as many people as possible through vaccination, the sooner we’ll be able to relax.

The Rio Grande Valley is located near the U.S.-Mexico border and is a majority Hispanic region with a large number of undocumented and mixed-status families.

The authorization of Johnson & Johnson's vaccine could eventually help expand the supply of COVID-19 shots for Americans. But its availability won't make a huge difference right away.

the racial contract is a codicil rendered in invisible ink, one stating that the rules as written do not apply to nonwhite people in the same way.

The Declaration of Independence states that all men are created equal; the racial contract limits this to white men with property

The law says murder is illegal; the racial contract says it’s fine for white people to chase and murder black people if they have decided that those black people scare them.

“The terms of the Racial Contract,” Mills wrote, “mean that nonwhite subpersonhood is enshrined simultaneously with white personhood.”

as the process in the Arbery case shows, the racial contract most often operates unnoticed, relying on Americans to have an implicit understanding of who is bound by the rules, and who is exempt from them.

Donald Trump’s 2016 election campaign, with its vows to enforce state violence against Mexican immigrants, Muslims, and black Americans, was built on a promise to enforce terms of the racial contract that Barack Obama had ostensibly neglected, or violated by his presence.

Struggling white farmers in Iowa taking billions in federal assistance are hardworking Americans down on their luck; struggling single parents in cities using food stamps are welfare queens.

Black Americans struggling in the cocaine epidemic are a “bio-underclass” created by a pathological culture; white Americans struggling with opioid addiction are a national tragedy.

Poor European immigrants who flocked to an America with virtually no immigration restrictions came “the right way”; poor Central American immigrants evading a baroque and unforgiving system are gang members and terrorists.

The coronavirus epidemic has rendered the racial contract visible in multiple ways. Once the disproportionate impact of the epidemic was revealed to the American political and financial elite, many began to regard the rising death toll less as a national emergency than as an inconvenience.

The lives of workers at the front lines of the pandemic—such as meatpackers, transportation workers, and grocery clerks—have been deemed so worthless that legislators want to immunize their employers from liability even as they force them to work under unsafe conditions.

In East New York, police assault black residents for violating social-distancing rules; in Lower Manhattan, they dole out masks and smiles to white pedestrians.

The implied terms of the racial contract are visible everywhere for those willing to see them. A 12-year-old with a toy gun is a dangerous threat who must be met with lethal force; armed militias drawing beads on federal agents are heroes of liberty.

by mid-April, conservative broadcasters were decrying the restrictions, small bands of armed protesters were descending on state capitols, and the president was pressing to lift the constraints.

the pandemic has introduced a new clause to the racial contract. The lives of disproportionately black and brown workers are being sacrificed to fuel the engine of a faltering economy, by a president who disdains them. This is the COVID contract.

In the interim, data about the demographics of COVID-19 victims began to trickle out. On April 7, major outlets began reporting that preliminary data showed that black and Latino Americans were being disproportionately felled by the coronavirus. That afternoon, Rush Limbaugh complained, “If you dare criticize the mobilization to deal with this, you’re going to be immediately tagged as a racist.”

That night, the Fox News host Tucker Carlson announced, “It hasn’t been the disaster that we feared.” His colleague Brit Hume mused that “the disease turned out not to be quite as dangerous as we thought.” The nationwide death toll that day was just 13,000 people; it now stands above 70,000, a mere month later.

That more and more Americans were dying was less important than who was dying.

The disease is now “infecting people who cannot afford to miss work or telecommute—grocery store employees, delivery drivers and construction workers,”

Containing the outbreak was no longer a question of social responsibility, but of personal responsibility. From the White House podium, Surgeon General Jerome Adams told “communities of color” that “we need you to step up and help stop the spread.”

Public-health restrictions designed to contain the outbreak were deemed absurd. They seemed, in Carlson’s words, “mindless and authoritarian,” a “weird kind of arbitrary fascism.” To restrict the freedom of white Americans, just because nonwhite Americans are dying, is an egregious violation of the racial contract.

majority-black counties “account for more than half of coronavirus cases and nearly 60 percent of deaths.” The disproportionate burden that black and Latino Americans are bearing is in part a direct result of their overrepresentation in professions where they risk exposure, and of a racial gap in wealth and income that has left them more vulnerable to being laid off. Black and Latino workers are overrepresented among the essential, the unemployed, and the dead.

“Due to the meatpacking, though, that’s where Brown County got the flare,” Roggensack interrupted to clarify. “It wasn’t just the regular folks in Brown County.”

Roggensack was drawing a line between “regular folks” and the workers who keep them fed, mobile, safe, and connected. And America’s leaders have treated those workers as largely expendable, praising their valor while disregarding their safety.

In South Dakota, where a Smithfield plant became the site of an outbreak infecting more than 700 workers, a spokesperson told BuzzFeed News that the issue was their “large immigrant population.”

“We can’t keep our country closed down for years,” Trump said Wednesday. But that was no one’s plan. The plan was to buy time to take the necessary steps to open the country safely. But the Trump administration did not do that, because it did not consider the lives of the people dying worth the effort or money required to save them.

the only tension between stopping the virus and reviving the economy is one the Trump administration and its propaganda apparatus have invented. Economists are in near-unanimous agreement that the safest path requires building the capacity to contain the virus before reopening the economy—precisely because new waves of deaths will drive Americans back into self-imposed isolation, destroying the consumer spending that powers economic growth

The frame of war allows the president to call for the collective sacrifice of laborers without taking the measures necessary to ensure their safety, while the upper classes remain secure at home.

But the workers who signed up to harvest food, deliver packages, stack groceries, drive trains and buses, and care for the sick did not sign up for war, and the unwillingness of America’s political leadership to protect them is a policy decision, not an inevitability

Trump is acting in accordance with the terms of the racial contract, which values the lives of those most likely to be affected less than the inconveniences necessary to preserve them.

Collective solidarity in response to the coronavirus remains largely intact—most Americans support the restrictions and are not eager to sacrifice their lives or those of their loved ones for a few points of gross domestic product. The consistency across incomes and backgrounds is striking in an era of severe partisan polarization

But solidarity with the rest of the nation among elite Republicans—those whose lives and self-conceptions are intertwined with the success of the Trump presidency—began eroding as soon as the disproportionate impact of the outbreak started to emerge.

CNN chief medical correspondent Dr. Sanjay Gupta said that the coronavirus could spread at protests depending on factors like mask-wearing, how closely people gathered, and how long people stayed in close contact.

"It is a contagious virus. People being outside, people wearing masks, people moving by each other more quickly may reduce the likelihood of significant exponential growth. But that's still the concern."

The virus has particularly impacted African-Americans, who make up a disproportionate percentage of Covid-19 cases and deaths.

For one, the textbook combination of identification, isolation and quarantine for contacts helped stop the potential spread of coronavirus an Air Force basic training camp. Military doctors said their approach kept the case count to just five among 10,000 recruits at Joint Base San Antonio-Lackland in Texas in March and April.

The base used techniques including quarantine, social distancing, early trainee screening, rapid isolation and monitored re-entry to slow the transmission, the researchers said in a report published by the US Centers for Disease Control and Prevention Tuesday.

"Climate only would become an important seasonal factor in controlling COVID-19 once a large proportion of people within a given community are immune or resistant to infection," Collins wrote, citing experts in infectious disease transmission and climate modeling.

The US should have 100 million doses of one candidate Covid-19 vaccine by the end of the year, Dr. Anthony Fauci, the director of the National Institute of Allergy and Infectious Diseases (NIAID) and a member of the White House coronavirus task force, said Tuesday.

Churchill set a frenetic pace for his whole government, showering his aides with “Action This Day” memos.

The second element of British resilience was intense social connection. People were forced together every night in tightly packed group or family shelters.

In national crises, a sort of social and psychological arms race takes place. The threat—whether bombings or a pandemic—ramps up fear, unpredictability, divisiveness, fatalism, and feelings of weakness and meaninglessness. Nations survive when they can ramp up countervailing emotions and mindsets

Third, laughter. Brits credit themselves, accurately, for being a comic people. During the war, every disaster was turned into an occasion for humor,

The fourth factor in British resilience was moral purpose. Friedrich Nietzsche once remarked that “he who has a why to live for can endure any how.” The Brits had a firm sense of the moral rightness of their cause, the unique evil Hitler represented, and the reason they had to endure all this

Finally, there was equality. During moments of threat and crisis, people are intensely sensitive to inequality, to the feeling that some people are being treated better than everybody else.

The pressure of the situation induced people to be frenetically social. Singers offered free concerts, which were packed. Larson reports that young women would set up dates for every night, planning weeks in advance, so as to never be alone

This happens when countries take actions, even if only symbolic ones, that make frightening situations feel more controllable and predictable. This happens when they foster social solidarity by paying extreme attention to fairness. This happens when they intensify social connection and create occasions for social bonding and shared work.

Societies that build resilience do not hide behind a wall of happy talk or try to minimize the danger.

Resilience is built when people confront a threat realistically, and discover that they have the resources to cope with it together.

Resilience is built when people tell a collective story about the danger that places the current terror they are facing within a larger redemptive context. When all this is over, we’ll be better because of it.

What was once a scary threat to be avoided, releasing a surge of destructive cortisol, becomes a challenge to be met, releasing a cascade of adrenaline.

Evolution equipped us to deal with short bursts of terror, such as getting chased by a lion, not to cope with long, unrelenting months of stress.

Isolation, fear, and stress send the autonomic nervous system into overdrive, and weaken the immune system. The social-distancing measures we are taking to avoid the coronavirus make us more susceptible to it when it comes.

in some ways, COVID-19 presents an even more dire challenge to us than the bombing did to Great Britain in 1940. A study by the Russell Sage Foundation found that what makes societies resilient during a crisis are high levels of faith in institutions, high social trust, high levels of patriotism and optimism, and high levels of social and racial integration. The United States that confronts the coronavirus pandemic has catastrophically low levels of all these things.

Worse, unlike the Blitz, this pandemic deprives us of the thing social resilience needs most—close physical and social connectio

In America, the pandemic finds a country that has already seen a recent tripling of the number of people suffering from depression, a sharp increase in mental-health issues of all varieties; a sharp rise in suicides, and record levels of tribal hostility and polarization. The dread and isolation that COVID-19 causes threaten to exacerbate all this, to drive people even farther apart.

Today, the world is threatened by a virus. The moral story we tell has to be less about the evil we face and more about the solidarity we are building with one another. The story we tell has to be about how we took this disease and turned it into an occasion to become a better society

Frank M. Snowden, a Yale historian who studies pandemics, wrote in his book “Epidemics and Society” that definitive accounts of this plague have largely vanished.

History Today, a monthly magazine of historical writing published in London, calls this pandemic “the greatest catastrophe ever.” The number of deaths — 200 million — is just astounding. Put it this way: That would be like wiping out roughly 65 percent of the current U.S. population. (Covid-19 disease modeling predicts U.S. deaths to potentially reach 240,000.)

Like the Plague of Justinian, the Black Death was caused by the bubonic plague.

Explorers arrived to the New World bearing more than just turnips and grapes. They also brought smallpox, measles and other viruses for which New World inhabitants had no immunity.

it is estimated that upwards of 80–95 percent of the Native American population was decimated within the first 100–150 years following 1492

Again, blame the rats with those pesky fleas on their backs: “They were attracted by city streets filled with rubbish and waste, especially in the poorest areas,” according to the National Archives in England. While doctors, lawyers and royalty fled town, the poor were ravaged by the disease

There were no treatments. If you caught it, you had roughly two weeks to live. This caused people to become desperate.

The epidemic that swept London in 1854 spawned the sort of epidemiological investigations that take place in disease outbreaks today. That’s thanks to John Snow, an English physician who almost single-handedly took on the bacteria. While some scientists suspected cholera was transmitted through the air, Snow thought otherwise. “Through carefully mapping the outbreak, he finds that everyone affected has a single connection in common: they have all retrieved water from the local Broad Street pump,”

according to a CDC history. He ordered the pump-handle turned off, and people stopped getting sick.

In 1793, yellow fever swept through Philadelphia, then the nation’s capital, killing roughly 10 percent of the population. President George Washington and Secretary of State Thomas Jefferson high-tailed it out of town, ultimately settling on Washington as the nation’s capital.

It wasn’t until 1900 that U.S. Army researchers “pinpointed mosquitoes as the transmission vector for the disease,” according to a vaccine history project at the College of Physicians of Philadelphia.

The covid-19 pandemic has inspired lots of comparisons to the 1918 flu, sometimes called the Spanish flu, which got its name not because it originated in Spain but because it was World War I, and Spain was the only country being honest about the toll the pandemic took on the country.

The flu came in two waves, starting in 1918 and ending in 1920. The number of infected is staggering —as many as 500 million, with estimates of 50 million deaths worldwide, according to the CDC.

One man saw it coming: Maurice Hilleman. The doctor later regarded as the godfather of vaccines was working at the Walter Reed Army Institute of Research in 1957 when he read a New York Times article about a nasty flu outbreak in Hong Kong that mentioned glassy-eyed children at a clinic.

Hilleman requested samples of the virus be shipped to U.S. drugmakers right away so they could get a vaccine ready. Though 70,000 people in the United States ultimately died, “some predicted that the U.S. death toll would have reached 1 million without the vaccine that Hilleman called for,” according to the Philadelphia vaccine history project. “Health officials widely credited that vaccine with saving many lives.”

Before covid-19, this was the world’s most recent pandemic, infecting as much as 21 percent of the world’s population. Swine flu was a hodgepodge of several different flu strains that had never been collectively seen together

We could be individualistic, anti-authority, daring and self-sufficient because on an elemental level we felt so damn safe.

Some nations grow up relatively spared from foreign invasion and the frequent devastation of infectious disease. Gelfand finds that these are loose nations: individualistic, creative but also disordered, uncoordinated and reckless.

Gelfand wrote a book called “Rule Makers, Rule Breakers.” We Americans have been rule-breakers, the classic loose nation.

Over the first two decades of the 21st century, America has lost its sense of safety, the calm confidence that the future is ours, that our institutions are sound or even minimally competent.

if there was any shred of existential safety left, surely the pandemic has taken it away

We’ve had threats before, a few foreign incursions like in 1812, even pandemics when America was less just than it is today. But we’ve never had them smack in the middle of a crisis of confidence, a crisis of authority, plus social and spiritual crises all at once.

this is the first invasion of America

Welcome to life in the rest of the world.

most of us have understood we need to suspend the old individualistic American creed. In the midst of a complex epidemiological disaster, to be anti-authority is to be ignorant. In the midst of a contagion, to act as if you are self-sufficient is just selfish.

If the old American creed grew up in an atmosphere of assumed security and liberty, the new one is growing up in an atmosphere of vulnerability and precariousness.

In this atmosphere, economic resilience will be more valued than maximized efficiency. We’ll spend more time minimizing downside risks than maximizing upside gains

The local and the rooted will be valued more than the distantly networked. We’ll value community over individualism, embeddedness over autonomy.

the American identity that grows up in the shadow of the plague can have the humanity of shared vulnerability, the humility that comes with an understanding of the precariousness of life and a fierce solidarity that emerges during a long struggle against an invading force.

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Blaming black Americans for dying from a novel virus because they had diabetes or high blood pressure was precisely what Azar was doing

the moment when the US response to coronavirus escalated into a full culture war is revealing. The big protests at state capitols, with crowds of white Americans demanding their governors reopen the economy, started about a week after national news outlets began reporting in early April that black Americans made up a disproportionate number of the dead.

Systemic racism created the health disparities that made black and brown Americans more vulnerable to dying from coronavirus, public health experts say; and now the same racism is also shaping, and undermining, the country’s political response to the pandemic.

It’s not a new idea that thousands of people must die to preserve America’s “business as usual”. It’s not a new assumption many of those people will be brown or black.

Americans don’t have much of a national vocabulary for talking about collective action and sacrifice

a gun rights activist from Austin, Texas, has strong opinions about tyranny and freedom. But he said he was frustrated that some of his usual allies did not seem to understand that dealing with a novel virus, in a country where no one has immunity, required a different kind of politics.

“Our rights are being violated. That is all actually real,” Stokes said. “But this is one of the few times when that’s OK. Pandemics – these call for a collectivist response. They don’t work without one.”

For some wealthy Americans eager to reopen the economy, the motivating fear may be the risk of social change, the historian Roxanne Dunbar-Ortiz said.

It’s not surprising that Americans, who are used to tackling every problem through the lens of “individual rights”, would struggle with how to respond to the collective demands of a pandemic. “It’s this mismatch in terms of a social problem, and the tools we have at our disposal to make sense of it,” the sociologist Jennifer Carlson said.

Today, “who is being asked to die for the market to be open?” Blanchfield said. “It’s black people. It’s Native American tribal communities.”

European colonists established their settlements in the midst of the mass death of indigenous people and opened the American market for business “at gunpoint, in the wake of that epidemic”, said Patrick Blanchfield, the author of a forthcoming 500-year history of American gun violence. Enslaved black people died performing the essential labor that kept the economy running.

Early Puritan accounts of arriving in the New World and seeing indigenous people dying of illness are marked by a familiar self-righteousness. The Puritans look at an epidemic and “think it’s a divine dispensation”, Blanchfield said. “The very fact that people are dying is taken as both pragmatically offering market opportunities ... but also as a theological vindication of your own survivorship.”

Metzl argued in his book Dying of Whiteness that the way racism has shaped gun policy and healthcare choices in this country has led to outcomes that hurt black and brown Americans, but that also led to measurable increases in the deaths of white Americans. Today, he’s afraid that same dynamic is playing out again.

That Puritan instinct to see infection as a sign of guilt, and health as a kind of vindication, is currently playing out across the political spectrum.

American liberals sometimes treat their belief in science as a kind of religion, Blanchfield argued, fetishizing technocrats and rejoicing when conservatives who do not “believe in science” are punished.

This impulse to blame other people for getting sick is rooted in fear

“Everyone wants some narrative, to explain the unimaginable level of illness and death and vulnerability that we’re all feeling,” he said. “Everyone wants there to be a logic to this.

The victim-blaming on the left, though, has come from individuals’ Twitter accounts, not Democratic party leadership. The victim-blaming of black Americans has come from the highest levels of government.

Just days after national news outlets first reported the emerging racial disparities in coronavirus deaths, Trump’s surgeon general, Jerome Adams, said at a White House briefing that communities of color needed to “step up” and advised them to “avoid alcohol, tobacco, and drugs”.

Lecturing individual black Americans about smoking, rather than talking about African Americans’ increased environmental exposure to air pollution, a demonstrated coronavirus risk, was classic “victim-blaming”

Poll results from mid-March had shown black respondents were actually more likely than white respondents to see coronavirus as a serious threat to their own health, he said.

“It’s hard, when you have so many white people who are protesting and not social distancing, to argue that they are taking it more seriously and that’s why they are less likely to die,” he said.

But the same argument that black Americans were to blame for dying simply evolved, Kendi said, to focus more on their “pre-existing conditions”.

In Louisiana, Senator Bill Cassidy, a white Republican and a medical doctor, had already cast doubt on whether inequities rooted in systemic racism were the reason so many black Louisiana citizens were dying of coronavirus. “That’s rhetoric,” he told NPR in early April. The real answer, the answer backed by science, was that “African Americans are 60% more likely to have diabetes” and that “we need to address the obesity epidemic”.

Blaming the victims of American racial disparities for what they suffer has a reliable outcome: nothing is done. The deaths mount.

Ronald Reagan attacked America’s post-war investment in social programs, Kotsko said, “by pointing out that the generosity is now extending to black people” and suggesting that “it’s better to tear down the system of solidarity than to allow the wrong people to get the benefits”.

The coronavirus culture war is “kind of a petri dish of all the psychoses of US history”, as Dunbar-Ortiz, the author of An Indigenous People’s History of the United States, put it.

The Puritans had a form of torture called “pressing”, used during the Salem witch trials. They made the accused person lie on the ground, and then very slowly, over many days, placed one rock on their chest, and then another.

Calls for police divestment are a dominant theme of protesters’ policy demands. The radical idea is a product of how increased policing “has eaten up so much state and national resources at the expense of investment in black and brown communities,” says Vanita Gupta, the president and CEO of the Leadership Conference on Civil and Human Rights, who worked to overhaul departments in Cleveland, Baltimore, Chicago, and Ferguson, Missouri, as the former head of the Justice Department’s Civil Rights Division.  

At the federal level, protesters and civil-rights groups are urging Congress to pass, among other reforms, a national prohibition on chokeholds; the elimination of federal programs that offer military equipment to local law enforcement; the creation of a national public database of abusive police officers; and an end to qualified immunity, a doctrine that prevents police from being held liable in certain cases for breaking the law.

“Moments of passion pass and then you have to have people who are still at the table pushing.”

But the protests aren’t all about politics or policy goals, organizers and protesters told me. They’ve been an outlet for black Americans to express their hurt and fury that 400 years after the start of slavery, five decades after the passage of the Civil Rights Act, and six years after the police shot and killed Michael Brown in Ferguson, black Americans are still two and a half times more likely to be killed by police than white people. They are dying of COVID-19 at three times the rate of white people. And they’re more likely than white Americans to have lost jobs in the economic catastrophe spawned by the pandemic

“I remember a movie called Network. I remember [the news anchor] going to the window and saying ‘I’m mad as hell, and I’m not going to take it anymore!’” she told me. That’s how she says she felt when she saw the video of Floyd’s arrest.

Community leaders throughout the city organized a coordinated response, which the police, military and disconnected elected officials never could. Widespread confusion created by decentralized sources of destruction all around the city required a carefully networked response that was grounded in trusted community relationships.

Leaders put out calls on social media and through their own networks, and more than 1,000 residents showed up for a public meeting in Powderhorn Park. They created a plan for community defense that got shared on Facebook almost 8,000 times and crashed the website of the organization that hosted it.

a network of community defenders quickly emerged to protect residents. Their goals? Protect people’s ability to safely protest and tamp down on the chaos. These community defenders sought to enable democracy, not squelch it, so that organizers could advance the struggle for reforms.

“No single person or organization made this happen. It took years of people, especially black women, doing the groundwork of building trust and accountability. It takes years of conversations about what it means to be community. That is what gave us the opportunity to align when we needed to.”

Those connections are like antibodies that can be activated to rapidly develop a community immune response, anchoring the community even in the midst of tremendous public confusion. The fast-moving information environment meant people were constantly trying to differentiate fact from fiction. Trusted sources of information became ever more important.

The solution is not to meet destruction with destruction, or to douse the flames of people’s pain with empty words. Instead, what we learn from Minneapolis is that when people create solidarity from the ground up, they can hold one another and public institutions accountable to a higher standard that reflects all of their shared interests

Alondra Cano, a member of the City Council who leads its public safety committee, captured it best when she said to a reporter, “Protesting is good and needed,” but “that third space is needed where we are committed to each other.”

how to create a system of public safety that does not depend on a domineering police force

Roughly 40,000 got “abortive” polio, with fever, sore throat, headache, vomiting and muscle pain. Fifty-one were paralyzed, and five died,

It was “one of the worst biological disasters in American history: a man-made polio epidemic,” Offit wrote.

“People weren’t sure how you got it,” he said in an interview last week. “Therefore, they were scared of everything. They didn’t want to buy a piece of fruit at the grocery store. It’s the same now. … Everybody’s walking around with gloves on, with masks on, scared to shake anybody’s hand.”

The worst polio outbreak in U.S. history struck in 1952, the year after Offit was born. It infected 57,000 people, paralyzed 21,000 and killed 3,145. The next year there were 35,000 infections, and 38,000 the year after that.

Many survivors had to wear painful metal braces on their paralyzed legs or had to be placed in so-called iron lungs, which helped them breathe

In 1951, Jonas Salk of the University of Pittsburgh’s medical school received a grant from the National Foundation for Infantile Paralysis to find a vaccine. During intense months of research, he took live polio virus and killed it with formaldehyde until it was not infectious but still provided virus-fighting antibodies.

On April 26, 1954, Randy Kerr, a 6-year-old second-grader from Falls Church, Va., stood in the cafeteria of the Franklin Sherman Elementary School in McLean and became the first to be vaccinated in a massive field study.Salk’s vaccine was given to 420,000 children. A placebo was given to 200,000. And 1.2 million were given nothing.

She had started at NIH in 1937, had headed testing of vaccines for influenza, and in 1954 was asked to help test the Salk polio vaccine. The pressure was intense. “For weeks she and her staff worked around-the-clock, seven days a week,” O’Hern wrote.“This was a product that had never been made before, and they were going to use it right away,” Eddy had said.She began testing Cutter’s samples in August 1954 and continued through November, according to a later report in the Congressional Record. She found that three of the six samples paralyzed test monkeys.“What do you think is wrong with these monkeys?” she asked a colleague, Offit recounted.“They were given polio,” the colleague replied.“No,” Eddy said. “They were given the … vaccine.”

The study was posted on the pre-print server MedRXiv.org, which means it wasn't peer reviewed or published in a medical journal.

During a call with reporters, the director of the CDC talked about the need to strengthen systems that monitor fo respiratory illnesses.

But later in the call, he added that the surveillance systems that were in place "really did give us eyes on this disease as it began to emerge" and that his agency was "never blind when it came to surveillance for coronavirus 19."

"The disease spread under the radar," study author Alessandro Vespignani, director of the Network Science Institute at Northeastern University in Boston, said at the time.

"When we've heard about the number of diagnosed cases, we have to be mindful that the number of people who contracted SARS-CoV-2 is actually going to be much larger than that," Holtgrave said.

Some infected people may have had no symptoms, or only mild symptoms, and so never went to the doctor. Others might have wanted to get tested but couldn't find a doctor to test them, given the shortage of tests in February and March. It was winter virus season, and so some people who actually had Covid might have been diagnosed with the flu or another illness. Still others might have been suffering Covid symptoms but didn't go to the doctor because they feared catching the virus there.