OPINION: In coronavirus response, we only get 2 strikes.
The experts tell us we must pursue de-escalation of social distancing at different times in different places aided by extensive testing, aggressive contact tracing, isolation and quarantine. This is no easy task.
On May 1, the virus will still be among us, living invisibly on surfaces and in people, like a minefield. On that day, we will not want to run blindly out of our homes into that minefield, lest we detonate a second wave of outbreak. There will be three kinds of people starting on May 1, and our job will be to sort them out, carefully and respectfully. There will be the susceptible, the infectious, and the already recovered.
A man is brought into Elmhurst Hospital in the Queens neighborhood, which has one of the highest infection rates of coronavirus in the nation, on April 03, 2020, in New York.Some of us will be infectious, whether we know it or not. To determine who is infectious, we need tests, and lots of them. Good communicators in a crisis give people relevant information they can use to make decisions. The information should have value to the people, not to the institution providing it. Good leaders set objectives and help people understand what is coming. What’s coming is hard work and a long, tedious summer.Some places will need to maintain or even increase, not just relax, social distancing in May. The U.S. is a big country and a community-based approach is appropriate.
We should be wary of an approach that simply accepts the number of available tests and backs into the health surveillance we can achieve, rather than the surveillance we actually need to clear enough mines. To maximize our chances, it will soon become appropriate to test the otherwise young and healthy with mild symptoms, and not the most intractable cases. We will have to change to focus to those who are mildly ill or not sick at all, and away from the very sick.
It took four months for the world to get to 250,000 cases. It took one week to go from 250,000 cases to 500,000 cases. We are now over one million and climbing. The need to trace contacts and quickly isolate and separate the infectious from the susceptible will require organized effort, people, discipline, and perhaps smartphone apps and other ingenuity.
France Dernières Nouvelles, France Actualités
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