A slightly-shortened version of this article appeared as a
board of contributors article in the Sunday 26 July 2020 Waco Tribune-Herald
newspaper.
---------------------
There's been talk about Sweden's experience fighting the
Sars-CoV-2 pandemic. Sweden used less
restrictive quarantine measures and saw higher rates of infections. I have seen this result argued both
ways. But none of those making claims
consider the timing.
It's not just the measures taken, it's also the timing of when those measures
start relative to the viral "invasion". Sweden was aware of the problem, and started its measures early in the viral
invasion process.
Starting early enough has a tremendous effect at
"flattening the curve". The
not-so-strict nature of Sweden's measures show up in the slightly-higher
infection and death curves relative to its neighbors, who took stricter measures, but also started early. And that's the true
comparison.
That is not "sound-bite simple", but it is just not very hard to understand.
New York state on the other hand got started later in the
infection process with its very strict measures. The lateness of the start is why their
measures were just barely effective, and
the curves for infections and deaths very nearly swamped their capabilities to
handle it.
So why did New York get started so late? Because at that time, the federal government as embodied by the
Trump administration was still decrying this as a Democrat hoax, and still claiming it was no worse than any
other flu. You have all seen the video
footage of Mr. Trump and others saying those things, along about February and March.
These lies (not just "mixed signals", but out-and-out lies, if one is truly honest about it) coming from
the White House meant that New York,
California, and Washington state
got started too late, in their confusion
over guidance. So their infection rate
and death rate curves all spiked up very high.
Eventually, the CDC
experts got heard, and after too long a
delay, the "Trumpsters" in the
White House finally admitted this disease was a real problem. Yet the far-right/alt-right component of
their political base is still even today circulating lies and conspiracy theories
about this virus, including deliberately
stirring up erroneous claims of "my right not to wear a mask is
absolute".
And it is the resulting misbehavior by individual citizens, of deliberately not wearing masks to prevent
disease transmission (traceable to that third-to-a-half of the population that
still likes Trump no matter what), which
has caused the disastrous resurgence of the disease across the south and
southwest of the US.
The claim of an absolute right not to wear a mask is based
on a premise that is demonstrably false,
so the conclusion is false as well.
It is based on the notion that the mask is worn to protect the wearer
from infection, and that his choice does
not affect anyone else.
That is just dead wrong scientifically! The mask protects those around the wearer
from being infected by the wearer, which
is important, because most of those
spreading the disease do not know they have it.
Thus the choice not to wear a mask can have life-threatening
consequences for all in the vicinity. It
is simply not allowed legally, to
threaten the lives of others, in other
circumstances; this is no different.
Want proof of the disease-spreading connection to all the
lies that came from the far-right/alt-right?
Most of the states seeing the worst resurgence are so-called
"red" states. As Gomer Pyle
would say, "Surprise, surprise!" And we have recently seen where loyal
Trump-supporting governors are at odds with the mayors in their own states, over those governors' refusal to order
mask-wearing.
It is wrong to pitch this politically as a stark binary
choice (close down to save lives, or
open up to save the economy), because we
have learned a lot since this pandemic started.
There is no reason most businesses and other activities cannot
reopen, if disease transmission can be
prevented! But it usually
requires changes in HOW they do whatever it is they do, to accomplish that.
The only tools we have to employ are masks, the 6-foot rule, gloves,
disinfection in multiple forms,
and for the more extreme cases,
PPE like face shields and suits.
There are some businesses or activities that cannot effectively limit
disease transmission: those must remain
closed. And there's no way around that
ugly little fact of life!
Schools as we have known them may be one such that have to
stay closed. It's not the
classrooms, those can be
"fixed" by limiting class sizes to about a third of what we have
traditionally used, in order to have the
room to space everybody out 6 to 8 feet in all directions.
The school boards are going to balk at doing this because of
the money: 3 times the teachers and a
lot of portable buildings needing HVAC will cost a lot. So, at local election time, you have to remember who valued lives over
money, and who valued money over lives.
It's a moral choice.
Up to about 6th grade,
if you can get them inside their classrooms instead of congregating in
the schoolyard before school starts (and after it ends), you can stop disease transmission between
kids. School buses are another bad
problem, though, and also very expensive to solve. To space out where the kids sit on the bus, you will need a whole lot more buses and
drivers. Once again, this is very expensive to actually do.
But the school lunchroom will be very difficult to
change. You have to space-out all the
tables, the chairs around those
tables, and all the line-standers. You simply cannot have the giant dense crowds
in the lunchroom, that have been so
traditional up to now! It'll cost! And lunch hour won't be short anymore. Which means you will have fewer teachers
around to police it. They'll be teaching
classes.
So also it will be expensive to stop disease transmission
during recess, sports, and extracurricular activities. It can be done, but you must pay to do it! Locker rooms and stadium seating are the
hardest to remedy. But band halls and
science labs are problems as well.
From about 7th grade on up,
the students don't stay in the same classroom all day anymore. The halls are very densely crowded
shoulder-to-shoulder every 45 minutes or so,
as they change from class to class.
That simply cannot be allowed, if
disease transmission is to be prevented!
Period!
I don't have the answer to that one, but it is very clear indeed that we
need a whole new way of conducting and scheduling our junior high and high
school classes. That
change-classes crowded-hallway picture just cannot be allowed! If you cannot
change that, best to stay closed!
With the start of school only a few weeks away, I do not see how all this can be adequately
addressed. Yet it must be, as soon as possible. Why?
Because distance learning is a poor substitute for interactive
in-classroom learning. It is no
substitute at all, for folks with poor
access to the internet, which is way too
widespread in this country.
No comments:
Post a Comment