This is helpful update to that chart. Takeaway is much the same. (HT @CT_Bergstrom)
I do think there is a reasonable rationale for looking at the March/April phase a little differently than May/June onward. In early phase we were fighting this much blinder than from summer on.
The states that got hit in the first crest in March/April were largely places with major travel hubs to Europe/China, and dense populations. And due to federal failings they had little preparedness, little support, and a lot less knowledge on how to fight it.
Other states would likely have followed suit if not for the shutdowns that spread across the country from mid-March, and held in place into late April/May.
The shutdowns spared the rest of the country from NYC-like outcomes.
By May, those first-crest states had brought down their curves and stabilized hospitals.
That was a critical moment for other states (including most red states) that *hadn't* been hit badly yet. Would they apply NY's lessons or ignore them?
We all know what happened next.
So while I don't agree with erasing March-May, I do think that deserves to be seen as a distinct phase.
Failing to control the outbreak in that early phase is a little more understandable than watching what happened in NY/NJ/CT etc and concluding the same can't happen to you.
Or to put it differently, which governance failure is worse:
Mishandling a novel threat with little knowledge or warning?
Or mishandling a known threat with the benefit of both knowledge and warning?
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If you're sticking with me to the second tweet, chances are you know that the "cluster approach" has been in place for 15 years now, and orients humanitarian coordination, planning, and operations around the major technical sectors.
It's got problems.
As we, and many before us, have found, the sector-driven logic of the clusters is increasingly at odds with what the system needs from humanitarian coordination.
Humanitarian ops need to be demand driven, integrated across sectors, and devolve power/resources toward the field.
But I'm not entirely persuaded that the data referenced in this article is robust enough to support the headline. theatlantic.com/ideas/archive/…
The key element that doesn't seem present in this data - is how the level of transmission in schools relates to level of transmission in the surrounding community. Existing CDC guidelines focus on that as a principal driver of in-school risk.
So if the data are telling us that school transmission is consistently low irrespective of localized transmission levels, that's a super relevant finding - but isn't addressed in this data set (only school-based mitigation measures are captured).
The three academics lay out their case here. It's pretty brief and easy to read.
Interestingly, it does not cite or reference a single piece of research to support their arguments, nor does the linked website containing their sign-on "declaration." unherd.com/2020/10/covid-…
The basic argument:
- COVID poses little risk of death beyond specific vulnerable groups
- Non-vulnerables face little risk so should just go ahead and get the disease
- Vulnerables should be sheltered while non-vulnerables get naturally infected
- Ta-da, natural herd immunity
Douthat's column and the powerful @AlecMacGillis piece it references both argue without much evidence that the resistance to school reopening is largely a reaction to Trump pushing schools to open.
Let's be explicitly clear: "learning to live with it" means needlessly accepting hundreds of thousands more preventable deaths and letting our hospitals get nuked yet again.
"Close the country" vs "learn to live with it" is a false choice, and one that exists only because of Trump's mishandling of the pandemic.
Peer countries have had shorter closures than we have precisely because they chose not to live with it but to control it.
There is an option besides indefinite closure vs let-it-rip: evidence-driven reopening + aggressive public health interventions centered around mass testing and tracing.
Trump's whole game since back in April/May is to make you forget that option exists.