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Dennis Donovan

(18,770 posts)
Sun Mar 8, 2020, 09:08 AM Mar 2020

Juliette Kayyem: The U.S. Isn't Ready for What's About to Happen

https://www.theatlantic.com/ideas/archive/2020/03/us-isnt-ready-whats-about-happen/607636/

Even with a robust government response to the novel coronavirus, many people will be in peril. And the United States is anything but prepared.

7:00 AM ET

Juliette Kayyem
Former Department of Homeland Security official and author of Security Mom

For the professionals who try to manage homeland-security threats, reassuring the public after a natural disaster or terrorist attack—or amid a coronavirus outbreak like the one the world now faces—is just part of the job. I am a former federal and state homeland-security official. I study safety and resiliency issues in an academic setting, advise companies on their emergency-response plans, and trade ideas with people in public health, law enforcement, and many other fields. Since the beginning of the disease now known as COVID-19, I’ve also been receiving more and more text messages from nervous relatives and friends. The rash decisions that panic breeds have never made any emergency better. So like so many others in my field, I’ve been urging people, in as calm a tone as I can muster, to listen to experts and advising them about concrete steps they can take to keep their families, communities, and businesses safe. Wash your hands. Don’t touch your face. Avoid large gatherings. Don’t panic, and prepare as best you can.

Advice like mine is meant to be empowering, but now I fear it may also be misleading. If Americans conclude that life will continue mostly as normal, they may be wrong. The United States is far less prepared than other democratic nations experiencing outbreaks of the novel coronavirus. Low case counts so far may reflect not an absence of the pathogen but a woeful lack of testing.

Disruptions are almost certain to multiply in the weeks to come. Airlines are scaling back flights. Conferences, including Austin’s signature event, South by Southwest, are being canceled. The drop in imports is hurting global supply chains. Corporations are prohibiting their employees from traveling and attending mass gatherings. Stanford University just canceled its in-person classes for the rest of the winter quarter, and other institutions are likely to take similar steps. Government agencies and private companies alike will activate continuity-of-operations protocols, as they are called in my field. Get used to it.

Aggressive steps are essential to protecting the public from a deadly virus. Last week, the World Health Organization assessed the fatality rate at a shocking 3.4 percent, much higher than previously believed. Early on, many American medical experts withheld judgment about the limited data coming out of China, but information from around the world has now confirmed how severe COVID-19 is and how rapidly it is spreading. As Dr. Margaret Bordeaux, my colleague at the Security and Global Health Project at Harvard’s Kennedy School, told me, “None of us want to be Chicken Little, but there is too much consistent data to not begin to rattle the cage pretty loudly.”

</snip>


24 replies = new reply since forum marked as read
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Juliette Kayyem: The U.S. Isn't Ready for What's About to Happen (Original Post) Dennis Donovan Mar 2020 OP
We all need to take this seriously and do some real planning Sherman A1 Mar 2020 #1
I don't think ANY country is prepared. DFW Mar 2020 #2
"Low case counts .. may reflect ... a woeful lack of testing." Jarqui Mar 2020 #3
Yes, and idiot is still going to put his rally supporters at risk too, w/ still having his rallies. SWBTATTReg Mar 2020 #5
Reminds me of this guy.... paleotn Mar 2020 #8
How secure will people feel when wnylib Mar 2020 #15
There were economic indicators a recession was already on the way Jarqui Mar 2020 #17
Better yet, we need ads right now wnylib Mar 2020 #23
The small nonprofit where I work is planning its annual meeting for late March femmedem Mar 2020 #4
Good idea. Newest Reality Mar 2020 #7
Yes, I sent out an email to the board of directors and the responses I've gotten are open to it. femmedem Mar 2020 #21
I see... Newest Reality Mar 2020 #22
K&R, China reported CV19 genetic sequence on Jan 12!! We still don't have WHO's mass test kits !! uponit7771 Mar 2020 #6
One saving grace may be a warm spring which may slow it down enough to control it yaesu Mar 2020 #9
There won't be any vaccine in the fall. wnylib Mar 2020 #16
Republican leadership in a climate change world Mr. Ected Mar 2020 #10
I was thinking about a snippet from a report about the nursing home LiberalArkie Mar 2020 #11
K&R bronxiteforever Mar 2020 #12
We are not currently a "democratic nation", IMO. rickyhall Mar 2020 #13
But Trump/Pence say they are doing things in a perfect manner. keithbvadu2 Mar 2020 #14
The scary thing is, much of the public is still not aware. dewsgirl Mar 2020 #18
People, even in healthcare are in denial eilen Mar 2020 #19
It is all so damned terrifying and surreal, I can see how dewsgirl Mar 2020 #20
K & R. Thanks. N/T Judi Lynn Mar 2020 #24

Sherman A1

(38,958 posts)
1. We all need to take this seriously and do some real planning
Sun Mar 8, 2020, 09:12 AM
Mar 2020

for disruptions in areas of our lives that we never thought would be disrupted.

DFW

(54,443 posts)
2. I don't think ANY country is prepared.
Sun Mar 8, 2020, 09:18 AM
Mar 2020

Too big, too fast.

I went down to Bavaria for a small gathering on Friday. I heard that the Bavarian ministry of health canceled it at midnight. Half the people in the hotel on Saturday morning weren't even aware of the cancellation. I met with some colleagues from France and Russia in my hotel room, and turned around and returned to Düsseldorf. My outfit will pick up the €110 I paid in advance for the hotel room. But I was going to spend Saturday night in some bed alone, I figured I could just as easily do it in my house as in a hotel room in Munich.

The good news is that apparently my wife was given space on an El Al flight from Tel Aviv to Warsaw today, and should somehow find a flight to Düsseldorf by this evening.

Jarqui

(10,130 posts)
3. "Low case counts .. may reflect ... a woeful lack of testing."
Sun Mar 8, 2020, 09:20 AM
Mar 2020

and a convenient way for Trump to lull his supporters into a false sense of security to prop up his economy that "things are not that bad" "it's just a hoax"

But like everything else Trump, it's going to backfire.

SWBTATTReg

(22,166 posts)
5. Yes, and idiot is still going to put his rally supporters at risk too, w/ still having his rallies.
Sun Mar 8, 2020, 09:26 AM
Mar 2020

Just wait and see ... I see one of two things possibly happening: (1) a rally goer will come down sick w/ the CV and rallies get canceled (as they should be, not to expose other innocent people) (2) people just will stop going period, without any prompting by government officials, and rump will show up, to a rally with dismal numbers, perhaps under a hundred or so supporters?

Idiot.

wnylib

(21,612 posts)
15. How secure will people feel when
Sun Mar 8, 2020, 12:24 PM
Mar 2020

all around them people are sick and some are dying?

The truth will dawn on them too late.

Reminds me of Xmas, 2007. I knew a couple people whose homes were in jeopardy of foreclosure. I took a temporary retail job in a local mall that Xmas to pull in some extra cash. Business was slower than you would expect for the holidays. This was before online sales became strong enough to be a serious threat to brick and mortar stores. Regular employees said it was slower than usual.

A trickle of reports existed then about an economic slowdown and some home foreclosures, but Bush & co. were countering that with statements about a robust economy, good economic indicators, and strong holiday sales. My coworkers said, "Where?"

Eight months later, the housing market crashed and the Great Recession hit.

Jarqui

(10,130 posts)
17. There were economic indicators a recession was already on the way
Sun Mar 8, 2020, 12:57 PM
Mar 2020

I've posted such links on this site before.

I'd say very roughly the bulk of economists were split between whether it would come before Nov 2020 or after. The majority agreed it was coming fairly soon. Some said, it wouldn't take much to trigger it sooner. And here we very probably are - though it will take time (a couple of quarters) for the numbers to become 'official' . I suspect there were schemes among the wealthy and Trump admin to try to band-aid it until after the election. Iyt was essential for Trump because it is about the only thing that has kind of gone right for him (off the momentum of Obama's economy - not because he did anything special except spend massive deficits from tax cuts for the 1% that the country could not afford to prop it up)

They should run ads of him calling this a hoax every day until the election showing the tally of Americans dying and ads showing how he stopped the CDC from warning the elderly to not fly - which will inevitably kill some of the elderly.

wnylib

(21,612 posts)
23. Better yet, we need ads right now
Sun Mar 8, 2020, 05:09 PM
Mar 2020

that tell people the truths about covid that Trump is suppressing. Not political ads that people might shrug off as partisanship in an election year, but public information ads featuring respected medical people from respected medical facilities or agencies. AMA, Mayo Clinic, etc.

They could be blunt about their message, e.g. "You may have heard that flying is safe for seniors, but it isn't, and here's why." Then explain how a virus can survive on a surface for several hours, how people on planes share circulated air in an eclosed space, sit close together, etc. Tell people that seniors and people with lung, heart, and immune disorders are mosr vulnerable.

We need other ads to tell people how this is different than the flu, how it attacks the lungs, blocks off air, and causes permanent damage if you survive.

No need to use scare tactics or tones. Calm, factual, informative tones are necessary now. We need factual information to make people take it seriously without panicking. Young people have died from it too, not just elderly sick ones.

Young people who do not take it seriously can spread it, causing illness among the more vulnerable.

Yesterday and today I ran into people who shrugged it off as a "new flu. So what?"

femmedem

(8,208 posts)
4. The small nonprofit where I work is planning its annual meeting for late March
Sun Mar 8, 2020, 09:21 AM
Mar 2020

and I'm starting to think we should cancel. No known cases within forty miles of us--not even any known cases among state residents--but we would normally have about sixty attendees sitting quite close together, and our members and volunteers skew over fifty.

Newest Reality

(12,712 posts)
7. Good idea.
Sun Mar 8, 2020, 09:59 AM
Mar 2020

It is possible that this may not peak until late April or in May.

If it continues at the current rate, that means about 1 to 3-billion cases at that point. These are two new strains and we have to keep an eye on the numbers as it emerges.

femmedem

(8,208 posts)
21. Yes, I sent out an email to the board of directors and the responses I've gotten are open to it.
Sun Mar 8, 2020, 02:20 PM
Mar 2020

I think we'll make a decision by late next week, but I hope the board opts to cancel.

And here in the femmedem household, although I'm an introverted stay-at-home, Mr. femmedem is an extroverted musician who spends a few evenings a week with his buds in a bar or rehearsing with his decades-younger, bar-hopping bandmates. I'm getting nervous about it, especially since I don't have health insurance and he's going to take offense when I ask him to wash his hands when he comes home.

Newest Reality

(12,712 posts)
22. I see...
Sun Mar 8, 2020, 02:30 PM
Mar 2020

Well, that does make things difficult.

Maybe keeping abreast of this and pointing out calmly that it is not like a common flu, etc,, would help a little? The femmedems do want to be healthy and live to go to meetings and the bar to hang out, etc.

Some caution and concern and even erring on the safe side might be most prudent at this juncture. Sometimes, people don't take a crises seriously until it has progressed to the point that they can't avoid it. Others don't like to "panic" and then play it down, sometimes too much. Strong concern about this is a middle ground and precautions fit in that stance.

Good luck with that and use whatever skills you have to make important points. You never know.

yaesu

(8,020 posts)
9. One saving grace may be a warm spring which may slow it down enough to control it
Sun Mar 8, 2020, 11:25 AM
Mar 2020

but it looks like it may be seasonal like the flu from now on & the 1918 flu came back much much worse the second season where it killed the most. Imagine us & the economy dealing with this again in the fall, will there be enough vaccine to make a difference?

wnylib

(21,612 posts)
16. There won't be any vaccine in the fall.
Sun Mar 8, 2020, 12:32 PM
Mar 2020

Not for covid 19. It will take a year and a half before tgere is a covid vaccine.

Regular flu vaccine? Don't know. Companies and labs might be focussed more on seeking a covid vaccine. Flu vaccines are different each year because different strains of flu virus dominate each year. Every year new flu vaccines have to be manufactured.

Mr. Ected

(9,670 posts)
10. Republican leadership in a climate change world
Sun Mar 8, 2020, 11:25 AM
Mar 2020

Values dollars over common sense and life itself.

The psychophants who vote for this shit deserve what they get. It's the rest of us that don't.

LiberalArkie

(15,729 posts)
11. I was thinking about a snippet from a report about the nursing home
Sun Mar 8, 2020, 11:34 AM
Mar 2020

"Federal officials say more testing for the illness will likely see the number of known cases increase."

DUH

keithbvadu2

(36,922 posts)
14. But Trump/Pence say they are doing things in a perfect manner.
Sun Mar 8, 2020, 11:50 AM
Mar 2020

But Trump/Pence say they are doing things in a perfect manner.

dewsgirl

(14,961 posts)
18. The scary thing is, much of the public is still not aware.
Sun Mar 8, 2020, 01:50 PM
Mar 2020

I reached out to someone who has known me for 25 years, he knows me better than anyone, I'm pretty sure he thinks I have completely lost my mind.😔

eilen

(4,950 posts)
19. People, even in healthcare are in denial
Sun Mar 8, 2020, 02:07 PM
Mar 2020

They are saying it is like the flu. They think they are not at risk because they are not over 70. They have no idea.

dewsgirl

(14,961 posts)
20. It is all so damned terrifying and surreal, I can see how
Sun Mar 8, 2020, 02:11 PM
Mar 2020

it would be hard to wrap your mind around, especially if you haven't been paying attention. Many including the medical community are about to be seriously taken off guard.😔

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