This is by a substantial margin the best thing I have seen on the coronavirus, and where we are with respect to it. My confidence that the Trump administration and the Republican senatorial majority are up to the task of organizing this is too low to measure: Richard Danzig and Marc Lipsitch: Prepare Now for the Long War Against Coronavirus https://www.bloomberg.com/opinion/articles/2020-03-20/prepare-now-for-the-long-war-against-coronavirus: 'It’s essential to clearly envision the problems we’ll face over the next 12 to 18 months and mobilize to respond right away. Here are five priority problems and the actions we should take now.... Minimizing errors and uncertainties about and maximizing confidence in our judgments about cure will soon become as important as present efforts at disease detection. People who recover from Covid-19 probably can work in hospitals, emergency response settings and ordinary jobs without fear of infection.... We need to identify these people and assess how soon after their recovery they become unlikely to infect others.... Assuring that someone has immunity against this new virus requires tests that are distinct from the PCR tests of nose and throat swabs now being used to identify infections. We need to develop and distribute antibody tests.... Problem: If current efforts at social distancing succeed in spacing out infections, we face many months of demand for treatment.... It’s essential to reduce demand for hospitalization by establishing methods to support lengthy treatment at home... telemedicine, house calls by nurse practitioners, on-line instruction for home care-givers, and support for safe travel... the production of enormous quantities of ventilators, personal protective equipment for health care workers and other medical supplies, and to ramp up our capacity for viral testing.... Pervasive illness affecting most of the U.S. population over the course of a year will threaten not just health care systems but other critical infrastructure as well.... People responsible for food production and delivery, power distribution, telecommunication, drinking water, transportation, cyber services and police need to ramp up efforts to protect and maintain these systems, and to detect and report any fragilities and failures. The Defense Department should be engaged to backstop these systems.... It is essential to ensure that the U.S. can hold a national election in November safely, securely and democratically, even if contagion persists and social distancing is still necessary.... This problem might be best addressed by enlisting a private, non-partisan entity (for example, a major foundation) to offer expert advice to Congress and to state and federal officials. With a sense of urgency and more than half a year to plan, voting by mail or via the internet—or other alternatives—could be made to work everywhere.... A long school shutdown and widespread illness will mean missed education, the loss of school nutrition for needy kids, difficulties for teachers separated from their workplace, and psychological effects.... The 50 states can address these issues individually, or they can, more effectively, band together to devise high-quality approaches... We can win... by treating it as both an emergency and a long-term challenge. We are rich, ingenious and resolute enough to prevail. But this virus has already shown we cannot wait until the moment of need to get organized...


#noted #2020-03-27

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