The coronavirus pandemic in the US is now completely out of control.

We're missing any kind of leadership.
Any kind of effort to contain the runaway disease.

• Cases, all-time high (145k / day)
• Hospitalizations, all-time high (65,000)
• Deaths rising slowly to 1 / minute
2/ But what's happening in the states?

There is some mythology here. Most prominent:

'It's just hitting places that haven't had it. Of course that was going to happen.'

• It didn't _need_ to happen — that's our incompetence.

• The pandemic is everywhere, like never before.
3/ If you look at the data in the last 7 days, daily new cases have risen in all 50 states+DC.

IL +49% (11.4k / day)
MN +49% (4.8k)
PA +45% (3.7k)
OH +42% (5.3k)
CA +41% (6.4k)
MI +41% (5.7k)

That's just 6 states.

Notice 2 things:
->They are big states
->Case counts high
4/ But just to underscore: Cases are rising in all 50 states + DC.

No place has the virus under control.

Hospitalizations aren't just at an all-time high: So many people are in the hospital from covid-19 in some states that the health care system in those places is fracturing.
5/ Hospitalizations for covid-19 have also risen in every single state in the US + DC (except for 1, Idaho).

In 20 / 50 states, hospitalizations are up 30% or more. In a week.

One of the easy dismissals of the pandemic the last 4 months has been, 'It's just cases.'
6/ But 8 months into this, the only people admitted to the hospital are really sick.

Hospital admissions are not 'young people testing positive.' They are a sign of enormous impact on communities.

In Kansas, Illinois, Missouri, Utah, the Dakotas, the question is: Who gets care?
7/ Below is today's @washingtonpost story explaining how doctors and nurses fear having to decide not just between covid patients and 'postponable' medical care — but having to pick among which covid patients to give the most intensive care to.

washingtonpost.com/climate-enviro…
8/ I love the case of Arizona, from the summer.

Cases rocketed in Arizona — daily case counts going up by 10x in the space of 8 weeks.

May 8: 400 new cases / day AZ statewide

June 8: 1,100 cases

July 8: 3,800 cases

The pandemic roared through Arizona.

See graph below. Image
9/ But then Arizona grabbed hold & knocked the virus on its butt.

Daily new cases fell as fast as they rose:

July 8: 3,800 new cases / day

Aug 8: 1,050 cases

Sept 8: 500 cases

Down by 70% in 4 weeks.
Down again by 50% in 4 weeks.

How'd they do that? Can the US do it?
10 / A state that had disdained masks adopted them widely.

They closed the bars & the restaurants. They stayed home — they were careful to go out only when they needed to.

Nothing epic — the things we know *work*. And it worked.
11/ The pandemic is now so bad CNN is reporting that Doctors Without Borders is coming to the US to provide medical care in places that are overwhelmed.

Doctors Without Borders picks the places in the world in greatest medical crisis — they've come here.

cnn.com/2020/11/12/hea…
12/ The physicians, public health specialists, and state government officials say:

Things will get worse in the US in the next 4 to 6 weeks.

They don't have to. We know what works — and we know it works in 7 to 21 days.

We are the ones who can contain this — town by town.
13/ Re-upping this thread from last night.

Ordinary Americans can make a huge difference every day in the pandemic.

People are dying, people will die, who do not need to — not in some vague future, between now & Christmas.

But we also need leaders.

14/ Wherever you live right now in the US...

At whatever moment you took this pandemic most seriously in your own daily life...

At whatever moment you were most worried & so most cautious...

Do that now. Because it's as bad as it was when you were most worried — it's worse.

#

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More from @cfishman

12 Nov
The coronavirus pandemic isn't just out of control in the US — it's rampaging uncheckedacross the entire country.

Wednesday, Nov 11:

• Total cases, all-time high: 145,835
• Total hospitalizations, all-time high: 65,368
• Deaths, 2,811 — highest 2-day total since May 19 & 20
2/ So…

Where is Dr. Deborah Birx?

Where is Dr. Anthony Fauci?

Where is Dr. Robert Redfield?

• Birx, coordinator of the White House covid task force
• Fauci, director of the Nat'l Institute of Allergy & Infectious Diseases
• Redfield, director of the CDC

Where are they?
3/ At least in public, no one is asking the question:

How do we get the pandemic under control?

How do we even *start* to corral the spread of the virus this time — the third time?

Look at the slope of the curve — cases rising almost straight vertical.
Read 15 tweets
9 Nov
Vaccine news this Monday morning:

Really big.

Really good.

(Preliminarily.)

Pfizer & German partner BioNTech report their vaccine — furthest along in US trials — is 90% effective.

That's better than the most optimistic hopes scientists & doctors had.

statnews.com/2020/11/09/cov…
2/ How big is this news as the pandemic is raging out of control across the US and Europe?

US stock market futures are indicated up 1,400 points for the Dow at the open (9:30 am), which is 5%, and would send the Dow to a new all-time record at the opening.
3/ The US public health expert Ashish Jha, now dean of the school of public health at Brown, says, 'If that headline really number really holds up, that is huge. That is much better than I was expecting and it will make a huge difference.'
Read 15 tweets
9 Nov
This was the scene — a sea of fans — on the field at Notre Dame as they beat Clemson Saturday in double overtime.

Notre Dame brought students back in person. But not imagining this.

Yesterday ND president took bold coronavirus action because of this crowd.
2/ Notre Dame imposes mandatory ‘exit testing’ for coronavirus on all students.

When notified it is your turn to test, you must appear. If you don’t, ND will freeze your academic status — you won’t be able to register for spring term. You won’t have access to transcripts.
3/ And Notre Dame students aren’t allowed to leave campus for home for Thanksgiving until they test negative.

If they test positive, they must stay in South Bend until they are negative, to help prevent ND students from spreading the virus back to their homes.

Letter below.
Read 6 tweets
6 Nov
The tradition on a day like today — the day it becomes clear who the president-elect is — would be for the winner to give a 'victory' speech and the loser to give a concession speech.

Those are filled with thanks (on both sides) for the work of staff & the votes of supporters.
2/ They are gracious, they aim for unification.

It is hard to imagine Donald Trump giving a speech in that style (last night's speech underscores that).

Is it possible Trump will simply not give a concession speech?

He's not a man who 'concedes' anything, based on observation.
3/ John McCain conceding in 2008:

'The American people have spoken, and they have spoken clearly.

'A little while ago, I had the honor of calling Sen. Obama to congratulate him…on being elected the next president of the country we both love.'

Read 8 tweets
6 Nov
Trump: ‘There’s been a lot of shenanigans and we can’t stand for that.’

Jake Tapper: ‘Pathetic.…A feast of falsehoods.’
2/ Brett Baier, Fox News: ‘We have not seen the evidence. We have not seen the hard evidence.’
3/ Anderson Cooper, CNN: ‘The president of the United States, flailing like an obese turtle in the sun on his back.’

Dana Bash, CNN: ‘If this was such a big plot by the Democrats, why didn’t they do better?’
Read 5 tweets
5 Nov
If you're a parent, one thing you surely want in your children is the skill of losing well.

Play hard, strive for what you want — in sports, in school, in things like theater or newspaper.

But…
2/ …But if you don't get it, if you fall short, if someone else is better, if someone else is chosen, you don't want petulance, defiance, tantrums.

That's a hard emotional skill to teach as a parent — accepting 'defeat' in all kinds of circumstances with grace & resilience.
3/ Pro-tip: Filing lawsuits when you don't get what you want is a sign that you (or your child) doesn't have that skill.

The furious tactics of the Trump campaign are a lesson in many things — how not to be a leader, how not to be a small 'd' democrat.

...>
Read 5 tweets

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