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United States Medicine Politics

Fauci Warns 'Little Spikes' of Coronavirus Might Turn Into Outbreaks if States Reopen Too Soon (nbcnews.com) 401

Dr. Anthony Fauci on Tuesday warned of serious consequences if governors reopen state economies prematurely, saying he fears spikes in coronavirus infections could morph into further outbreaks of the disease. From a report: Testifying by videoconference before the Senate Health, Education, Labor and Pensions Committee, Fauci, the nation's top infectious disease expert, ticked through the criteria that the White House said states should meet before reopening. "My concern [is] that if some areas, city, states, or what have you, jump over those various checkpoints and prematurely open up without having the capability of being able to respond effectively and efficiently, my concern is that we will start to see little spikes that might turn into outbreaks," Fauci said in response to a question from Sen. Patty Murray, D-Wash.

Fauci and two of the other witnesses -- Dr. Robert Redfield, director of the Centers for Disease Control and Prevention, and Stephen Hahn, the head of the Food and Drug Administration -- are testifying by videoconference Tuesday because they self-quarantining after possible exposure to COVID-19. The fourth witness, Adm. Brett Giroir, assistant secretary for health and the administration's coronavirus testing coordinator, also testified remotely but is not in self-quarantine. Murray, the top Democrat on the committee, said in her opening statement that the U.S. needs "dramatically more testing," but added that testing "alone won't be enough to reopen our country."

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Fauci Warns 'Little Spikes' of Coronavirus Might Turn Into Outbreaks if States Reopen Too Soon

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  • by AndyKron ( 937105 ) on Tuesday May 12, 2020 @12:03PM (#60052340)
    Don't all outbreaks start with "little spikes"?
  • Not Happening (Score:5, Insightful)

    by Koby77 ( 992785 ) on Tuesday May 12, 2020 @12:05PM (#60052360)

    My concern [is] that if some areas, city, states, or what have you, jump over those various checkpoints and prematurely open up without having the capability of being able to respond effectively and efficiently,

    If after all these weeks the government doesn't have the capability, they will never have the capability.

  • by thunderfsck ( 6418260 ) on Tuesday May 12, 2020 @12:13PM (#60052404)
    Who does that guy think he is, an immunologist or something? My cousin's wife's brother's mechanic says it's all a hoax, so I don't know who to believe!
    • by gweihir ( 88907 ) on Tuesday May 12, 2020 @12:21PM (#60052446)

      Well, you could experimentally inject some disinfectant. That should give you a reliable data-point!

      • A single data point. Please trust me, I'm a statistician and to be sure we'd have to increase the sample size.

        I'm fairly sure it should be possible to find volunteers. Let's just say whoever does it may go out and play again, that should get us a relevant sample.

    • You obviously meant it as a joke but there is more truth to that than you realize. People trust those who they have personal relationships with more then "experts." The closer the bond the higher the trust. You believe your wife who trusts her brother who is good friends with his mechanic buddy.
  • by AnotherBlackHat ( 265897 ) on Tuesday May 12, 2020 @12:26PM (#60052462) Homepage

    Quarantine is just a delaying tactic.
    With no vaccine, insufficient testing, (no good tracking either) and over 50% asymptomatic carriers, we're all going to be infected eventually.
    Getting the disease is bad, but the alternative seems to be "get locked up for months and then get the disease anyway".
    I'm all for ramping up production of needed medical supplies and spreading out the impact on hospitals, but there comes a point where reduced economic activity is deadlier than the disease. Even if we knew for a fact that an effective treatment or vaccine was going to be available in September, we might be better off lifting the quarantine anyway.

    • This.

      Note that we really can't keep the economy shutdown till September. People have to eat, and there won't be so much of that as one might expect if people can't grow food, package it, ship it, sell it, plus the same for all the spare parts for everything used to grow it, package it, ship it, sell it, plus the spare parts needed to keep the factories that make the spare parts for everything...etc, etc, ad infinitum....

    • Re: (Score:3, Insightful)

      We should have been ramping up production months ago instead of denying what was happening around the world. The economic damage is a direct result of President Trump and his administration ignoring the facts. The current trend is to say, "China lied about the severity of the virus." and I am inclined to believe that, but why did President Trump and his administration believe their bullshit? He and his people have spent the last couple of years demonizing China for unfair trade and other issues, so why d
      • Re: (Score:2, Insightful)

        by dgatwood ( 11270 )

        The current trend is to say, "China lied about the severity of the virus." and I am inclined to believe that, but why did President Trump and his administration believe their bullshit? He and his people have spent the last couple of years demonizing China for unfair trade and other issues, so why did they all think China was on the level about the outbreak?

        Easy. It's the same reason that President Trump believes everything that comes out of President Putin's mouth. Our president loves totalitarian autocrats, and wishes he could be one. He frequently says that he wishes he had the sort of power that they do, and continually lavishes praise upon them, seemingly at every turn.

        In his business world, having a single leader whose word is obeyed unquestioningly is the only style of leadership President Trump has ever known, demonstrated, or respected. Unfortunat

    • I came here to say exactly this. With many people now on the verge of personal financial collapse, we're no longer talking money vs. life; it has become life vs. life.

      The world is a dangerous and uncertain place, and as terrible as it sounds we have to be adults about it, Keep Calm and Carry On.
    • The argument of should we or shouldn't we is over. They have already started opening up and it will be a disaster. But they won't stop opening up either. LA county announced that over the weekend 40% of the newly reopened businesses didn't follow the recommended guidelines and yet they said overall it was a success. Facts don't matter anymore, it's all politics and we're opening, no matter what.

      But the real disaster isn't going to be the virus. The eviction moratorium ends may 31 and they aren't even talkin

      • It's already warm in L.A. and it's going to get warmer. The virus spread is not likely to be severe.

        It takes time for an eviction to be processed. You can't throw someone on the street the same day you file papers. Furthermore, most landlords will realize that they have nothing to gain by evicting their renters because there will be nobody to replace the evicted. Wise landlords will accept late payments for a month or two.

        Mass evictions would be likely to encourage class lawsuits and the quick issuance of t

  • by alvinrod ( 889928 ) on Tuesday May 12, 2020 @12:37PM (#60052524)
    Sweden did very little compared to other countries and just let people exercise common sense. Sure they have had a much higher rate of cases and more deaths, but their medical system didn't get overloaded and it's unlikely that it will be moving forward. Even though we don't have a cure, we've still learned a lot about treating the most severe cases.

    At some point countries won't be able to depend on quarantine measures to help them because unless they're willing to remain closed and under quarantine until a vaccine is developed anyone who doesn't get infected and develop some kind of immunity is only likely to get infected later. In an ideal world we'd be able to do things in a controlled manner to make sure we're getting enough of the people who probably won't get seriously ill infected while isolating those who are so that a herd immunity can be built up, but we can't even handle basic shit.

    While it's probably easy for most of the people who post on /. to work from home, there are huge parts of the economy where that just isn't possible.
    • by Opportunist ( 166417 ) on Tuesday May 12, 2020 @01:23PM (#60052808)

      There's 4 things you might want to consider concerning Sweden.

      One, their infection rates are still rising heavily and there's no sign that they're going to "flatten" any time soon.
      Two, ignoring tiny countries where every single death turns into a couple hundred-per-million due to having way fewer citizens than a million, Sweden is currently number 6 in the per-capita death toll list. Tendency upwards, too.
      Three, unlike the US, Sweden has quite extraordinary surplus capacities in its ICUs. Something you can't really do if you run your healthcare system for-profit.
      Four, Swedes tend to be quite "nice". In other words, if you ask them nicely to please do what their governments kindly suggests, they usually tend to do it and not do the exact opposite just to show that you can't boss them around.

      Can you imagine what this would look like in the US?

      • by alvinrod ( 889928 ) on Tuesday May 12, 2020 @02:29PM (#60053094)

        One, their infection rates are still rising heavily and there's no sign that they're going to "flatten" any time soon.

        I'm not sure if you're just basing this on data from a few weeks ago or if you're just misinformed. If you look at the most recent data [worldometers.info] and had to draw a trend line you might say that it appears as though the number of new cases is going down and that they're over the hump. Even if that's being optimistic, it doesn't appear as though the infection rate is increasing. It looks like the number of deaths is also falling as well.

        Two, ignoring tiny countries where every single death turns into a couple hundred-per-million due to having way fewer citizens than a million, Sweden is currently number 6 in the per-capita death toll list.

        What do the countries that stay shutdown look like if they try to reopen and all of the people who previously didn't get infected end up getting it? Maybe they could have better screening in place to prevent future cases from spreading as widely as they previously would have, but until there's either a vaccine in place, sufficient heard immunity, or the virus mysteriously fades away, it's only delaying the inevitable.

        Three, unlike the US, Sweden has quite extraordinary surplus capacities in its ICUs. Something you can't really do if you run your healthcare system for-profit.

        Even in the U.S. the problems of an overrun healthcare system never really materialized. New York was hit worse than just about everywhere else and managed to weather the storm. There was even a recent article [forbes.com] that showed for whatever reason, a lot of the newest cases that were winding up in hospitals were from people staying at home. Even in New York the extra field hospitals that we constructed were largely unnecessary [apnews.com] so it's unlikely that we'll see a massive outbreak that overwhelms the U.S. system.

        I'm not sure if the statement about Sweden having some extraordinary surplus capacity in ICU is true either, but I can't find good data. The wikipedia page [wikipedia.org] (for just hospital beds in general, not ICU beds) has the U.S. ahead of Sweden (2.77 vs. 2.34) based on the 2016 figures. A Forbes article [forbes.com] citing a few different studies shows the U.S. as having more ICU beds than many European countries, but Sweden isn't included in the numbers. There's a list that compares European countries [tradingeconomics.com], but no indication of where the numbers come from. Relatively speaking, Sweden doesn't have more than other European countries and is actually on the lower end. There's a peer reviewed study [nih.gov] (though it's from 2013) that shows the U.S. having more than Sweden, though the authors point out that differences in definitions between countries can make direct comparisons difficult.

        Four, Swedes tend to be quite "nice". In other words, if you ask them nicely to please do what their governments kindly suggests, they usually tend to do it and not do the exact opposite just to show that you can't boss them around.

        Most Americans would probably do the same if asked nicely. The problem is that America still has that same rebellious streak we've always had. We just don't like being "told" what to do. Trying to do it is going to have the opposite effect as desired. I think the other problem is that the governm

  • Mushroom-shaped?

  • May as well resign ourselves to the reality that we have to learn to live with this.
    Give up on the futile "Lockdown"; the genie is out of the bottle.

    * Bolster healthcare.
    * Improve aged care homes.
    * Hygiene education.
    * Increase interpersonal distance spacing for pubic transport and spaces.
    * Masks mandatory in public until healthcare can handle the load.

    The rest of the world can just "Move along... nothing to see here..."

    The old and unwell had very little milage on the clock; yes there are outliers but gener

  • by CQDX ( 2720013 ) on Tuesday May 12, 2020 @01:14PM (#60052758)

    He is focused on the here and now of Covid-19 and how to prevent deaths in the short-term. He is not looking at the economic devastation and collective depression and anger of the population from an extended lockdown. At some point the lockdown will have to be lifted. The question is if you do it in time to avoid a global depression otherwise you'll have 10's or 100's of millions of unemployed people that will actually be physically weaker an unable to fight this and other diseases. I think the big tell here that it has gone on too long with no comprehensive plan to recover is that medical personnel are now being laid off in various sectors. The lockdown was to prevent them (healthcare workers) from being overwhelmed, not to put them out of work!

    • by Gilgaron ( 575091 ) on Tuesday May 12, 2020 @01:53PM (#60052962)
      A lot of medical best practices don't mesh will with profit. For another example, to develop a new antibiotic is very difficult and expensive. If you come up with a new one, the best thing from a mercantile standpoint is to market it heavily and sell it. From a medical or scientific view the best thing is to store it away and only use it where antibiotic resistance is a problem.
    • I think the big tell here that it has gone on too long with no comprehensive plan to recover

      There is a comprehensive plan to recover.

      The plan is you lock down for a few months, and use the time to build up your testing and contact tracing capability so that you can quarantine only the people who must be quarantined. Which is what every other first-world nation is doing, and why they're leaking their lockdowns.

      The federal government is explicitly ignoring the plan, in favor a strategy of denial.

      The question is if you do it in time to avoid a global depression otherwise you'll have 10's or 100's of millions of unemployed people

      Too late. We already have 10's of millions of unemployed people.

      Which is why opening back up isn't goin

  • Comment removed (Score:4, Interesting)

    by account_deleted ( 4530225 ) on Tuesday May 12, 2020 @03:33PM (#60053296)
    Comment removed based on user account deletion

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