As top doctors, I thought March would be the starting line of a career, a race to be informed as much as you can imagine about the new coronavirus as temporarily as you can imagine..
But we have lost the race, falling almost every other country, regardless of the extent used to measure good fortune in combating this virus.The Centers for Disease Control and Prevention now says its testing rules would exclude others who don’t.We have symptoms of COVID-19, now we can say this as a country: we didn’t just lose the race because we didn’t learn, we stopped looking to win.
Remember when Dr. Anthony Fauci and Dr. Deborah Birx took to the podium each and every day of the coronavirus organization’s briefings and said that the first key to controlling the virus was social estrangement, which was carried out using a massive technique that required others.let people stay inside their homes, masks?You don’t have to, more non-unusual evidence? Yes, we’re expanding capacity.Contact search, which of course is based on an effective testing program?Yes, a vital way to restrict viral transmission.
The rules of the masks were returned on April 3, after approximately 280,000 cases of COVID-19 were confirmed in the United States.Contact studies have been largely abandoned due to public fitness: the infrastructure does not exist and has not been developed to install it.force a comprehensive curriculum. In addition, touch search was hampered by few available tests: when it was available, the effects took too long to return, making an effective touch search strategy impossible.
This makes the most recent review of CDC tests more disconcerting, as we now know that nearly some of others inflamed by coronavirus are asymptomatic and can spread the virus.All this after the company had stated in the past that and the presymptomatic transmission “was a vital mode of transmission.
In my opinion, there are 3 forward-looking and worrying reasons for address replacement, a reversal that turns out to be wasting months of education about how the virus spreads.
First, the unavailability of testing. An anonymous Health and Human Services spokesman told the New York Times last week: “The testing capability has expanded significantly and we are not all the capacity we have developed.We have revised the rules to reflect existing evidence and the most productive public aptitude interventions.”What evidence exists and what are the most productive public fitness interventions?Countries that have effectively combated the percentage of the virus a non-unusual feature: a widespread detection program for symptomatic, presymptomatic and asymptomatic people, and a strong contact-seeking capability.See Germany, Singapore, South Korea and others.
Second, a misinterpretation of what was painted and what was not painted can also lead to the decision, a false impression that reflects the inability to be politely and temporarily informed about the pandemic.I can only hope this isn’t the case, as the CDC highlights its call to the agency with “CDC 24/7: Saving Lives, Protecting People.”At least the 24/7 component is possibly correct.
Thirdly, and the least of the delicateness of conforming is that political motivation is to be to blame for restricting the number of tests carried out in the country.President Trump said that “if we avoid the evidence now, we will have very few cases” and even partly jokingly (I think) said, “I told my people, slow down the evidence, please.”
This position clearly reflects a false impression of how and why the virus continues to spread so freely in our country.With the latest look at a basic precept of our strategy to combat the virus, one wonders how a scientist – at the CDC or – might have an idea that the new position is scientifically defensible.
As a result, the brain is rapidly evolving into the question of whether it is some kind of twisted political maneuver to restrict detection of an uncontrollable virus.However, I do not forget Hanlon’s knife, a saying that is transmitted at most: Never characteristic of malice which is well explained through stupidity.
I think which of those reasons, or a combination of them, explains the reversal will remain unknown for the time being.Perhaps we will only know after extensive investigative journalism or congressional hearings, which will unfortunately be a long time after more people die.
After a widespread complaint about cdc review guidelines, DR.Robert Redfield, Director of the CDC, attempted to oppose the recommendation, stating that “the controls may be for all close contacts of patients with COVID-19 shown or likely” and that “anyone who wants a COVID-19 check may possibly accept a check.Confused? Me too. Such confusing communication is not useful when a transparent and consistent message is needed to combat the virus.
Which brings me to my last point: trust.
Trust is a central detail in providing effective fitness care, only between the doctor and the patient, but also among the public and fitness care services guilty of protecting us from known and recent diseases.The care formula has been further eroded by the government’s reaction to coronavirus.
Our public fitness reaction, not the valiant efforts of our fitness staff, can only be characterized as inept, unprepared and in which political considerations have exceeded the potentially existing clinical consensus.The manipulation and gross distortion of what has been learned about the virus turns out to have won the day, possibly for electoral purposes.
It will be difficult to regain public trust and, after all, it will be.
Dr. David Weill is the Director of the Weill Consulting Group and the director of “Exhale: Hope, Healing and a Life in Transplant”.