Tweet
Community spread is a combination of things. The data is probably there on a state by state basis to make a stab on where the hot spots are. But it's not likely detailed enough to be dispositive one way or the other. But, yeah, parades, protests, bars, social gatherings of more than 10 people on the beach in the park, you name it. It doesn't make a lot of sense to argue about whether its one or the other ..... it's all of them in a proportion that we cannot know.
On a positive note, Norway did a study with a control arm that concluded gyms are not likely to be a place where SARS-CoV-2 is any more transmissible than a grocery story. The qualifier was it depends are prevalence of the virus, e.g., a gym in one county with a high prevalence rate is more at risk than one with a low one. I can't find the study on a cursory look but here's a couple of links. Not sure the NYT is not pay walled. The Baltimore Sun one is good to go.
https://www.baltimoresun.com/coronav...aam-story.html
https://www.nytimes.com/2020/06/25/h...s-fitness.html
Officials are, I believe, reacting appropriately by pulling back. Places where the GR is highest, e.g., FL, TX, AZ, CA, etc., are seeing Governors and local officials doing what they need to do. I'm not in the crowd that is saying it is't enough, we need X, Y or Z all of these things suggesting closing business and staying at home. The US is pretty much a larger than Sweden, Sweden experiment going forward. Shuttering the economy and sending everyone home to shelter in place is not a realistic option at this point. Working to manage the spread and decrease it is.
Its simple to close or keep bars closed and if a restaurant is open and serving alcohol, patrons are masked when they arrive, move around and leave - no mask no service. Why has this been so fucking hard for people to understand? Unfortunately, proprietors and staff have to be the bad guys in the absence of PH authorities and walking patrols - they can't be everywhere.Too bad. Do it and if patrons get shitty, call the police - word that your getting a citation that's going to cost you a couple hundred bucks spreads fast and has a good chance of working.
There are hot lines in S. FL to report non-compliance with masking requirements, places too crowded and bars serving liquor and stupidly winking about it. Id say most states or municipalities having evidence of community spread where mandating masks has become de-rigeur, have hot lines to rat on the guilty. Use them. This isn't about snitching is a bad thing, it's about keeping people employed, earning money and spending it. That ends, big time, if people keep being stupid and complaining about their rights and personal freedom.
It's harder to do this but in the new Phase II of reopening reality that is seeing increasing numbers of people who are experiencing varying degrees of C-19 symptoms and seeking care, we're going to have to figure out how to triage in the ED and manage care while keeping people out of hospitals. For those that need admission and/or intensive care, keep them alive and get them well and discharged so the next patient that needs a bed can have a bed. I have a feeling that the you will die if you get COVID alarmists are making a lot of people who don't need care go to the ED thinking they want to make sure they are not going to die. At the same time, ED Docs, a litigiousness avoiding group of MDs if there ever was one, are admitting folks who don't need admission .... out of my hands and into the hospitalists hands. Not my problem anymore. I've seen it, a lot, and that was before C-19.
I still think this is manageable and the messaging at the federal (excluding PDJT), state and local level is about right, IMO. I prefer an emphasis on education as opposed to increasing the fear factor and the press is doing that as a huge disfavor to the American public. There's a way to report health facts rationally, i.e., this is the problem, this is how you as an individual can mitigate the impact and this is how your local PH officials and hospitals are working on it. Back that messaging up with community based enforcement and we have a winner ..... ding, ding.
I'm sick of the alarmists. The house is on fire so we better all run for it instead of trying to put it out.
On a positive note, Norway did a study with a control arm that concluded gyms are not likely to be a place where SARS-CoV-2 is any more transmissible than a grocery story. The qualifier was it depends are prevalence of the virus, e.g., a gym in one county with a high prevalence rate is more at risk than one with a low one. I can't find the study on a cursory look but here's a couple of links. Not sure the NYT is not pay walled. The Baltimore Sun one is good to go.
https://www.baltimoresun.com/coronav...aam-story.html
https://www.nytimes.com/2020/06/25/h...s-fitness.html
Officials are, I believe, reacting appropriately by pulling back. Places where the GR is highest, e.g., FL, TX, AZ, CA, etc., are seeing Governors and local officials doing what they need to do. I'm not in the crowd that is saying it is't enough, we need X, Y or Z all of these things suggesting closing business and staying at home. The US is pretty much a larger than Sweden, Sweden experiment going forward. Shuttering the economy and sending everyone home to shelter in place is not a realistic option at this point. Working to manage the spread and decrease it is.
Its simple to close or keep bars closed and if a restaurant is open and serving alcohol, patrons are masked when they arrive, move around and leave - no mask no service. Why has this been so fucking hard for people to understand? Unfortunately, proprietors and staff have to be the bad guys in the absence of PH authorities and walking patrols - they can't be everywhere.Too bad. Do it and if patrons get shitty, call the police - word that your getting a citation that's going to cost you a couple hundred bucks spreads fast and has a good chance of working.
There are hot lines in S. FL to report non-compliance with masking requirements, places too crowded and bars serving liquor and stupidly winking about it. Id say most states or municipalities having evidence of community spread where mandating masks has become de-rigeur, have hot lines to rat on the guilty. Use them. This isn't about snitching is a bad thing, it's about keeping people employed, earning money and spending it. That ends, big time, if people keep being stupid and complaining about their rights and personal freedom.
It's harder to do this but in the new Phase II of reopening reality that is seeing increasing numbers of people who are experiencing varying degrees of C-19 symptoms and seeking care, we're going to have to figure out how to triage in the ED and manage care while keeping people out of hospitals. For those that need admission and/or intensive care, keep them alive and get them well and discharged so the next patient that needs a bed can have a bed. I have a feeling that the you will die if you get COVID alarmists are making a lot of people who don't need care go to the ED thinking they want to make sure they are not going to die. At the same time, ED Docs, a litigiousness avoiding group of MDs if there ever was one, are admitting folks who don't need admission .... out of my hands and into the hospitalists hands. Not my problem anymore. I've seen it, a lot, and that was before C-19.
I still think this is manageable and the messaging at the federal (excluding PDJT), state and local level is about right, IMO. I prefer an emphasis on education as opposed to increasing the fear factor and the press is doing that as a huge disfavor to the American public. There's a way to report health facts rationally, i.e., this is the problem, this is how you as an individual can mitigate the impact and this is how your local PH officials and hospitals are working on it. Back that messaging up with community based enforcement and we have a winner ..... ding, ding.
I'm sick of the alarmists. The house is on fire so we better all run for it instead of trying to put it out.
Comment