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United States Medicine

New York Times Investigates How in America 'the Virus Won' (nytimes.com) 388

"Invisible outbreaks sprang up everywhere. The United States ignored the warning signs," writes the New York Times, in a detailed interactive data visualization.

"We analyzed travel patterns, hidden infections and genetic data to show how the epidemic spun out of control." By mid-February, there were only 15 known coronavirus cases in the United States, all with direct links to China... The patients were isolated. Their contacts were monitored. Travel from China was restricted.

None of that worked. Only a small part of the picture was visible. Some 2,000 hidden infections were already spreading through major cities...

Genetic samples linked to the Seattle outbreak appeared in at least 14 states, said Trevor Bedford, a professor at Fred Hutchinson Cancer Research Center... In New York City, where officials had found only a single case by March 1, roughly 10,000 infections had spread undetected... More than 5,000 contagious travelers left New York City in the first two weeks of March, estimates suggest... People [from New York City] also made more than 25,000 trips to New Orleans, where genetic data suggests that a large early outbreak stemmed from infections from New York...

Travel from the city helped to spread that variant across the country. "New York has acted as a Grand Central Station for this virus," said David Engelthaler of the Translational Genomics Research Institute. By the time President Trump blocked travel from Europe on March 13, the restrictions were essentially pointless. The outbreak had already been spreading widely in most states for weeks... The New Orleans outbreak helped seed infection across Louisiana and the South...

Even now, America remains in the dark. Most infected people are never tested. There is little capacity to trace and isolate the contacts to those who do test positive.

After the lockdowns expired, new cases spiked once again.

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New York Times Investigates How in America 'the Virus Won'

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  • by dskoll ( 99328 ) on Sunday June 28, 2020 @11:38AM (#60238118) Homepage

    The virus is winning because leadership in the USA is MIA, governments are dysfunctional, and there's a strong streak of stupidity and anti-science sentiment.

    • More specifically (Score:5, Insightful)

      by raymorris ( 2726007 ) on Sunday June 28, 2020 @12:20PM (#60238290) Journal

      You're right that government has some real problems in the US.
      Largely because it's so partisan due to our first-past-the-post voting system, which is pretty much the worst of dozens of voting systems.

      That said, what, exactly, would have helped prevent THIS situation? Quoting TFS:

      --
      Genetic samples linked to the Seattle outbreak appeared in at least 14 states ...
      More than 5,000 contagious travelers left New York City in the first two weeks of March
      People from New York City also made more than 25,000 trips to New Orleans,
      --

      It spread around the country quickly because people travelled around the country spreading it. If Louisiana hadn't let people in, Louisiana wouldn't have a bunch of covid cases. The United States is twice the the size of EU geographically and we did virtually nothing to contain the spread when we knew where the hot spots were. In Europe they didn't let people just fly out from the hot spots in Italy and bring it to the UK or wherever they wanted to.

      Obviously there are reasons that we didn't want to limit travel. It would made a difference, though.

      • Re:More specifically (Score:5, Interesting)

        by fermion ( 181285 ) on Sunday June 28, 2020 @01:09PM (#60238496) Homepage Journal
        One issue brought up this article is that is was not a government issue initially, but a social one. The virus was initially mostly contained north of the Mason Dixon. By Mid march, everything should have been locked down, but what you see that is when the virus began to grow. I was locked down by late March. This was not a partisan thing. We were in a red state and we locked down. Schools were shut down. What we see that individuals did not respect the risk and continued traveling, and it was another month before socially, the risk was apparent. While it is now clearly a partisan issue, Trump threw two parties which were by any definition germ warfare, there are also still social issues. California never got the virus under control, is reopening, and is blaming a small hispanic county for all of it's problems. The reality is that people in California are traveling, infecting each other, and the country. The same is true in Texas, Florida, and Arizona. However, Texas is going back into lockdown and not blaming the Mexicans.
      • You're right that government has some real problems in the US. Largely because it's so partisan due to our first-past-the-post voting system, which is pretty much the worst of dozens of voting systems.

        That said, what, exactly, would have helped prevent THIS situation?

        Getting testing out a month earlier. The FDC and CDC screwed up. [nytimes.com]

        https://www.google.com/search?... [google.com]

      • Largely because it's so partisan due to our first-past-the-post voting system, which is pretty much the worst of dozens of voting systems.

        Voting systems doesn't fix what you got. There are many democracies around the world with a variety of different systems. Many of them degrade to party politics and many of them become two party races regardless of what kind of a system they have. Even systems with minority party representation can also get stuck in the perpetual stupid cycle of simply undoing what the previous administration did.

        • It can happen but when no party has a plurality of seats they automatically have to learn to compromise.

          • Indeed but again that's not the result of the voting system. Two party stupidities as well as religious support for a political party happen with any voting systems.

            Fundamentally the problem is two-party politics, not the the FPTP system. ... well actually FPTP ultimately leads to two-party politics, but my point was that other systems don't prevent them either.

        • Re:More specifically (Score:5, Interesting)

          by raymorris ( 2726007 ) on Sunday June 28, 2020 @02:24PM (#60238844) Journal

          In the existing US system, first there is the primary - largely a competition to see which Republican can be MOST conservative and which Democrat can be MOST liberal. Then the two extreme candidates square off in the general election and half the country is pissed at the result. The winner is the person most disliked by half the country. You could hardly create a more divisive system if you tried.

          There are a dozen different varieties of ranked-choice systems, all of which tend to pick the candidate who is acceptable to the greatest number of people. While the US system finds the two most extreme candidates and then pits them against each other, those systems favor candidates that everyone can live with - typically because they are actually qualified for the job. As opposed to picking the most politically extreme person (but typically not so extreme that even most in their own party find them repulsive).

          That said, there are also other things that cause partisanship. Specifically, Congress tended to cooperate better across the aisle until 1987. Democrat Speaker of the House Tip O'Neill and president Reagan so things from different perspectives, but respected one another and understood that the other guy was trying to do the best for the country. They just disagreed about how to best serve the country.

          In '87, Reagan nominated a well-qualified but conservative judge for SCOTUS. Democrat leaders discussed a strategy. One suggestion was to go from talking about his qualifications to instead attacking a nominee personally, basically a political hack job. Leaders worried that this would start a cycle of partisan bitterness, a "gang war" in Congress replacing the negotiated statesmanship. The Dems ended up being more right than they could have imagined. Since Bork we never have recovered.

          • There are a dozen different varieties of ranked-choice systems, all of which tend to pick the candidate who is acceptable to the greatest number of people. While the US system finds the two most extreme candidates and then pits them against each other, those systems favor candidates that everyone can live with - typically because they are actually qualified for the job. As opposed to picking the most politically extreme person (but typically not so extreme that even most in their own party find them repulsi

    • Re: (Score:2, Insightful)

      by Tokolosh ( 1256448 )

      Correlation is not causation.

  • by Lije Baley ( 88936 ) on Sunday June 28, 2020 @11:48AM (#60238164)

    Tune in next year for the full Monday morning quarterbacking!

  • by bogaboga ( 793279 ) on Sunday June 28, 2020 @12:06PM (#60238226)

    Hubris and the false sense of superiority among many Americans and especially its leadership that engages in demagoguery has led to this.

    Had its leadership applied some common sense, things would have been different.

    Poor countries are doing much better than the so called greatest country in the world!! What more to expect?

    • Hubris and the false sense of superiority among many Americans and especially its leadership that engages in demagoguery has led to this.

      Had its leadership applied some common sense, things would have been different.

      Poor countries are doing much better than the so called greatest country in the world!! What more to expect?

      How South Korea Reined In The Outbreak Without Shutting Everything Down [npr.org]

      S. Korea total deaths: 282. Deaths/million 6

      USA! USA! Total deaths 128,243. Deaths per/million: 387.

      Average Deaths per Million: 64.5

      At least we are behind the French.

  • by schwit1 ( 797399 ) on Sunday June 28, 2020 @12:16PM (#60238266)

    The Death Rate is what counts [nypost.com]

    Nearly all the studies find between 10 and 100 times the number of total infections as reported infections, with the average somewhere around 20 to 25 times.

    In other words, while the CDC reports 2.34 million Americans have been infected with the coronavirus, the actual number of infected and recovered people may be closer to 50 million. (CDC Director Robert Redfield told journalists Thursday that the number of cases may be 10 times higher than the earlier 2.34 million.)

    Thus, the death rate, which would be 5.2 percent based on that 2.34 million figure, is actually more like one-20th as high — or 0.26 percent.

    43% of deaths were in Nursing homes. [nytimes.com] This was not accidental. Cuomo had other options including the Navy Hospital ships.

    • Re: (Score:3, Informative)

      by laze2000 ( 189780 )

      The death rate is only part of the picture. It is a lagging indicator, meaning it reflects virus spread from a couple of weeks ago. The new cases rate spiking up in the last week or two will mean that the death rate will also increase in a couple weeks, once the current new cases have a chance to progress.

    • Oh good the death rate is dropping while we are seeing record infections. Give it a month and let's see those death numbers.

    • The death rates are down because 2 weeks ago the infection rates were showing signs to finally subside. But they recovered since, so I think it's safe to assume that the death rates are going to recover as well in 2-3 weeks.

    • by jeff4747 ( 256583 ) on Sunday June 28, 2020 @01:49PM (#60238668)

      Cuomo had other options including the Navy Hospital ships.

      The hospital ships....that refused COVID cases.

      Also, death rate is a lagging indicator. It's around 4-6 weeks behind current infections. Which means we'll have a surging death rate next month, thanks to all the people demanding we reopen while simultaneously demanding we don't expand testing and tracing.

      At which point, you'll forget you ever talked about death rates, and will move on to a different talking point.

  • Buy War Bonds (Score:5, Insightful)

    by PopeRatzo ( 965947 ) on Sunday June 28, 2020 @01:41PM (#60238628) Journal

    In World War II, Americans cared enough about their fellow humans that they put up with rationing, curfews, and all manner of limitations on their lifestyles to overcome a challenge.. In 2020, a significant portion of the population can't even be bothered to wear a little mask to keep others safe. They've turned not wearing a mask into some perverse political statement about "muh freedoms".

    In six months, COVID-19 has killed more Americans than we had combat casualties in any year during WWII. We're losing because of selfishness, failed leadership, and pure idiocy.

    And before you try to bring that weak "masks don't work" mess, here's a survey of the research:

    http://files.fast.ai/papers/ma... [files.fast.ai]

  • You know, I thought when this started, that this would be the wake up call. That this would maybe, just maybe, get people to think, realize and act like normal, rational people again.

    Heh. As if.

    You don't even have to go to Reddit, Facebook or any other sources where you'd expect people who can probably only write legibly if they have a speech-to-text plugin that can understand their drunken drawl, because even here on /. what you get are people who claim it's some liberal or conservative plot to rig the ele

    • So I say let the virus win. And judging from what we get to read here, it is on a good way to do so. Let it win. With a hint of luck, anything that comes after us will be more deserving to live.

      How Darwinist of you. I think we let the chips fall where they fall and the species will be better off because of it.

  • send the Marines (Score:4, Insightful)

    by Tom ( 822 ) on Monday June 29, 2020 @02:08AM (#60240754) Homepage Journal

    Everyone is going on about how that's Trump's fault. He certainly had a big share, but there's more behind that, as entire institutions don't fail this spectacularily because of one idiot at the helm.

    The problem is that the US society, as seen from the outside at least, has become militaristic to a degree not otherwise seen in states that aren't fascist states or dictatorships. The police is armed with military equipment, the military is deeply in bed with both the media (Hollywood especially) and the industry (the whole military-industrial-complex) and the general attitude to problems is to send troops, and if that doesn't work, send more troops.

    And a virus is something you can't defeat on a battlefield, you can't bomb it, and it doesn't give a fuck that you have nukes.

    It's a failure to see the world in all its complexity, to not reduce everything to "with us or against us" and other concepts taken straight out of a military playbook, and an over reliance on military and economic power.

    Also, arrogance at all levels.

  • I'm sure the virus wouldn't be so insensitive as to exploit such a noble cause as protesting police brutality and exploit it to its own advantage.

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