As a doctor at a Boston network gym that serves a giant minority population, dr. Julita Mir had a close-up view of the devastating effect of the coronavirus pandemic, even beyond the obvious.
Mir talks about the Guatemalan patient who cried a letter allowing him to paint despite the symptoms of COVID-19, and a Vietnamese patient who postponed his liver ultrasound for six months while taking refuge in the place, only to be placed in the middle. . -August who had a pretty big tumor. Mir also meets other people who take Tylenol before a temperature check so that he can succeed and get permission to paint that day.
But as the US so far as the US and its allies have been able to do so. But it’s not the first time It’s close to 200,000 COVID-19 deaths, more than any other country, what worries Mir is not so much what he’s noticed, but what he’s looking for in the coming months, as a combination of points threatens to undo recent advances. – and cause a fatal fall.
“My biggest concern is that we may see cases of influenza, possibly COVID, possibly some of the other respiratory viruses,” Mir said, “and because immediate tests won’t be done widely, we’ll be in front of people and we may not know what they’ve got. ‘
Many members of the medical network express their concerns.
The return of academics to schools and schools amid the prevalence of coronavirus, combined with the advent of flu season and the relief of restrictions after a cycle of hardening, is a worrying situation for public fitness experts.
In California, which has the maximum number of people and instances of COVID-19 in any state, the difficult and overwhelming situations ahead can be more confusing through the smoke-filled air of an already overactive chimney season that you still have two months to do.
Dr. John Swartzberg, emeritus professor of infectious diseases and vaccines at the University of California, Berkeley, said he hopes the existing national trend of reducing coronavirus-related deaths will continue through September. Array then gradually increases selections in October and even more in November. . Array COVID-19 deaths delay infections by about a month.
“It’s hard for me to think of a positive situation where things will happen in October and November,” said Swartzberg, who is highly critical of President Donald Trump’s administration’s reaction to the pandemic. “I don’t see a good enough replacement in comportamiento. no see any build-up in the tests. I see that political winds remain oppressive in doing the right things. ‘
Swartzberg spent 30 years in clinical practice and stated that it is not difficult to diagnose influenza through a phone call or a face-to-face consultation with a patient, which has replaced with the arrival of COVID-19, which has symptoms very similar to those from influenza and other illnesses caused by breathing viruses that spread in the fall and winter when the bleak weather triggers others to move indoors.
In the absence of easy-to-perform coronavirus tests with immediate effects, which remains a major impediment in much of the country, coVID-19 confusion and proliferation, and resulting flu instances can lead to what some call a ‘twindemic’, which can overwhelm the health care system.
According to the Centers for Disease Control and Prevention, an average of 37,000 Americans have died from influenza a year since 2010, CDC Director Dr. Robert Redfield said he was involved in the imaginable effect of an early flu boost in The Coronavirus Crisis The Season, which begins regularly in late October , expands over the next two months and peaks in January and February.
As young people and young adults return to the classroom for the first time since the hasty closure of schools and schools in March, the chances of transmission of the disease are particularly improved, it is unclear how many young people transmit the coronavirus. Recent studies imply that they would, possibly be transmitters even if they are asymptomatic.
“There is a question about the role schools will play with COVID, but surely there is no doubt about the role schools play with influenza,” Swartzberg said. “Schools are the breeding ground for the flu. Young people take it to mother and dad, grandmother and grandfather».
Older populations are at increased risk of the maximum severe effects of COVID-19 and the progression of the disease at the same time or successively with influenza can be fatal.
School reopening has already resulted in coronavirus case groups in several states, forcing them to return to distance education. Universities were an even bigger problem, reporting more than 10,000 positive tests from the start of the fall consultation to the end of August, and more. a dozen schools across the country reported more than 1,000 cases. The University of Alabama alone recorded more than 1,000 cases in the first nine days of the course, and more than 2,300 academics have tested positive so far.
A New York Times survey of more than 1,500 higher education institutions found at least 88,000 infections and 60 deaths since the start of the pandemic.
Dr. George Rutherford, an infectious disease specialist at the University of California, San Francisco, who runs the touch studies program in California, calls colleges, the best schools and universities “large COVID-19 incubators,” noting that they have been the source of epidemics in other parts of the world.
Given the initial effects in the United States, the outlook for the coming months is encouraging.
“That the fate of the Western world is in the hands of children 12 to 22 years old, it’s a little scary,” Rutherford said.
However, Rutherford discovered a sign of hope in reports from Australia, whose flu season precedes and serves as a harbinger of the Australian winter of August 31, and Rutherford said the country of 25 million had its mildest flu season within five years.
There may be other reasons at stake, but it appears that the measures taken to keep the coronavirus at bay were a contributing factor.
“Smart cash says there has been less flu flow in Australia this winter and this can be a side effect of increased respiratory precautions, such as dressing in a mask and social estating,” Rutherford said.
The Australian government has also launched a competitive vaccination campaign, expanding the number of influenza vaccines it has received from 13. 2 million in 2019 to 18 million and selling loose vaccines. A survey in late May that 72% of Australians had been or did not end up being vaccinated against the flu.
That figure would possibly not be successful in the United States, where less than the American side won a flu shot last year. Redfield told WebMD last month that the CDC had purchased another 10 million doses and that it expected that 65% of Americans would get the vaccine, mitigating the effect of influenza that matches COVID-19.
Mir, the infectious disease doctor in Boston, said many families had not vaccinated their children this year for fear of being exposed to coronavirus.
He also heard about taking strong action against a COVID-19 vaccine once it became available, in line with a Gallup ballot published on August 7 that showed that 35% of Americans would not receive the vaccine even if released and approved through the Federal Drug Administration. .
Reluctance to immunize has a major challenge for public fitness officials, which is a component of what Dr. Anthony Fauci, the country’s leading infectious disease specialist, has called “antiscientific bias” array political tension in the CDC and FDA.
Barbara Koenig, a bioethics expert at the University of California, San Francisco, who served on the CDC Director’s Advisory Committee, notes that the pandemic reaction has a social size that is reflected in public attitudes toward face masks, maintaining social distance, and vaccination. Acceptance.
“In some cases, the concept that freedom is the maximum life price is very, very powerful,” Koenig said. “We also live in a time when the public does not accept as true or unreliable, and reduced confidence in clinical experience. These things hinder our efforts to combat influenza and COVID’.
And they only go up to the difficulties experienced through patients in gyms like the one who’s practicing mir. One of those patients, Guatemalan, was not looking for therapy for his illness, but was looking for permission to do so.
Mir told him to isolate himself.
She cried and said, ‘I don’t have any money, I live from check to check, give me a cough medication and I promise I won’t cough in front of anyone, give me a letter so I can paint this week and feed my family,” Mir recalls. “This is an example of how other people have suffered from this pandemic. “
According to some forecasts, suffering will continue. The COVID-19 style cited from the University of Washington Institute of Health Assessment and Metrics predicts more than 231,000 deaths in the United States through November 3, Election Day, and more than 279,000 through December 1, five days after Thanksgiving.
Deaths have declined over the following week, a average of 650 per day, below the average daily deaths in the country in August, but the IHME style predicts that daily deaths will increase to 1,038 in October and 2,267 by the end of November.
While some fitness experts like Redfield and dr. Deborah Birx of the White House Coronavirus Working Group have stated that the United States can still oppose this trajectory by more strictly adhering to masking and social distance patterns, model prediction is consistent with what other personal fitness professionals expect.
Dr. Matt Lambert, an emergency physician in Washington, D. C. , who expressed skepticism that universities can operate safely with academics on campus amid the pandemic, said a synergy between influenza and COVID-19 would lead to an increase in hospitalizations and Fall and Winter Deaths.
“Partly because of human behavior, and partly because of the way viruses behave seasonally, I think we’re going to start seeing an upward end towards the end of October,” said Lambert, who mentioned demonstrations in schools and elsewhere factor. “I think we can see numbers much higher than we’re seeing now. “