Tuesday, March 24, 2020

Coronavirus Update

So it's been a while, because I teach a very intensive course until Spring Break. What better time than now to dive back into the blog?

I won't rehash the usual advice or news, since there's a constant fire hose of these all day long. I'm sure any readers of this blog are up to speed on hygiene, and of course what coronavirus is, and why people are worried about it. There's a lot of speculation out there: When will it peak? When will it decline? How many people may die of COVID-19? When can we go back to back to "normal" (whatever that ends up looking like)? But speculation is mostly a waste of time. Most experts will be wrong, either by a lot of a little. A few will say they "called it," but mostly they'll have just gotten lucky.

If it sounds like I'm a bit jaded by this experience, I am. In the middle of the chaos, there's no time to ask the deeper questions that need to be asked. Those deeper questions are what interest me the most, though, perhaps because I am only mildly inconvenienced by this catastrophe. There are many folks who are a lot worse off than just "inconvenienced," so I've mostly kept my thoughts to myself.

So, in no particular order, I'll go ahead. Perhaps it's time to share.

The Silence of an Early Spring
This was the parking lot at Target. On a Tuesday. At 11 AM.
Credit: Author
My spouse desperately need a new computer in order to teach from home, so we went forth. Nothing available. Here's what we found inside, at the Starbucks entrance inside Target.

Credit: Author
This is certainly the most closed down we've been since 9-11. Maybe more so. So far it's been difficult for people, but I haven't heard about any adverse health effects, such as suicides, homicides, relapse of depression, violence, or health problems directly attributable to the closing down of America. Perhaps my readers have, and perhaps I'm not paying enough attention. I am hearing about a lot of people turned away from hospitals, ERs, and doctors' offices because of the perception--I think--that it's just too risky to do your job in a time like this. 

The counter-argument: It is too risky to see anyone but the sickest COVID-19 patients right now!

But it isn't.

According to NPR, a Dutch researcher found that many health care workers were already infected with the novel coronavirus. So a lot us may already have had it--and not known it. No symptoms. Yet it's changing how we work. Just today a colleague of mine had to take her husband back to the hospital for readmission, because he was discharged--just days ago--"too soon" with a major kidney problem, because of the collective organizational worry about what's coming. 

I get it: How bad can it get? is the question that troubles hospitals, who are trying to create capacity for anticipated thousands of very sick patients, even though these acute shortages are only being really being seen in major cities. In the rest of Pennsylvania, the numbers suggest that while growth is geometric, some of this owes to increased testing. Deaths remain modest, with 6 out of 644 cases as of 2 PM Monday (most in the Philadelphia area), 1%, twice the rate death from the flu, but the flu has caused 128,000 cases and 100 deaths in Pennsylvania so far, and the season isn't over yet

So one question that I look forward to answering after we all head back to the Starbucks, when this is over, will be: What was it about this thing made it seem like a coming apocalypse? We don't take flu, or tuberculosis, or HIV seriously enough to devote efforts to limit their spread (or we'd already have enough masks and gloves in a stockpile somewhere). Why this?


This is an antimalarial drug, but it's also used for autoimmune diseases like lupus and rheumatoid arthritis. A nationwide shortage of the drug now exists because prescribers are hoarding the drug for themselves and their families. I have a family member with lupus who is on this drug, and although I haven't heard from her yet, I have heard about numerous cases in which people with these serious diseases cannot get it, because it's been hoarded by the very people charged with helping the sick.

Perhaps the shortage of personal protective equipment has led to this behavior. Maybe not. Perhaps it's just self-centeredness, a doppleganger of the "self-ism" of many of our societies  in the West, in which individual "freedom" is believed to eclipse the common good.

Anyway, I found it interesting that in just a few days of this behavior, several people have died from taking this drug. (The link is just a couple of the cases reported so far--maybe this will cause people to rethink taking medical advice from a real estate developer.)

If you are considering, I would not recommend it. I myself would use a homeopathic remedy--at least the cure won't kill me.

Panic Buying

Or is it something else, maybe boredom? After all, we're pretty much left with just the grocery stores for outside entertainment in the presence of others of our kind. Here's an example:

Credit: Julie Moffitt
The pasta aisle at a local supermarket. I do hope none of this ends up in a landfill when it's too stale to eat. Maybe people will donate to food banks, especially with all the unemployed now coming online.

I understand. We're freaking out. But why? Should seem obvious, one could say. Deaths, lockdowns, mysterious, invisible invaders among us (sound familiar?), and all sorts of disruption with no clear end date. If I examine the real data so far, I can conclude that we have a serious health problem on our hands that mostly afflicts people 50 and older, that it seems alarmingly contagious but modestly fatal--the vast majority live when circumstances allow, such as healthy food supplies, clean water, avoidance of well-known bad habits (In China 52% of men smoke), and exercise some healthy behaviors, the fatality rate seems a modest 1%--and will probably be lower once we have a real denominator. We don't actually know how many people even are infected with the novel coronavirus.

Today I began to wonder Did we need something to happen? Were things too easy? Were we somehow bored? Did we need "a kick in our complacency," as Jean-Luc Picard put in Star Trek?
Things were not great for a lot of people, but we were tolerating it. This communal freak out accomplishes laying bare the inequities and poverties of many parts of the world, thus to inspire better discussions about how to fix those inequities. 

I mean, people are gettin' an education about their "health insurance". Am I right?

I'm not sure that I would say that people are somehow "causing" this. But this epidemic was probably influenced by the growing power of Chinese agribusiness, which like America's, forces the less wealthy to find other means of support, when they see a market to over-exploit.

In other words: systems move as an interconnected wave. It's not possible for me to imagine that this is objective decision-making in the face of limited data; rather it is the collective psychic seizure that for a moment frames everything into such relief, it can no longer be ignored. So...
  • We should have been better prepared for this.
  • Politicians politicizing catastrophe should be publicly flogged.
  • Individuals should have been better prepared, both by equitable wealth-structures and personal effort.
  • We need to have a real conversation about what's possible and what's desirable, real soon.
So that's going to mean new discussions. I kinda hope it upends the current political stalemate. That's what I'm thinkin' about. How about you?

Special Thanks: to Julie Moffitt. I love bouncing ideas around with you. Inspiration.

UPDATE 3/25/20: COVID-19 cases in U.S. 55,000; deaths, 801. From the CDC: "CDC estimates that so far this season there have been at least 38 million flu illnesses, 390,000 hospitalizations and 23,000 deaths from flu." Context.

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