Monday, February 17, 2025

Apparently I live on a different planet than a lot of people

A Washington Post article said yesterday that "Some of the emerging [Trump administration] policies have been driven by backlash to the covid-19 response, after Trump made clear his disdain for the nation’s public health infrastructure. He and allies have said the U.S. approach to the virus, including mask and vaccine mandates and school shutdowns, was heavy-handed, a position that some Democrats now share too."

Although that sentiment is nothing new, I continue be dumbfounded by the notion that the country's response to Covid, a once-in-a-century (we hope) pandemic, was "heavy-handed." There were almost 900,000 daily reported cases in January of 2022. There were 1.35 million cases reported on January 10 of that year. Daily hospitalizations peaked at around 163,000 that same month. Daily deaths were around 2,600. In January 2021, daily deaths were well over 3,000. A 9/11's worth of deaths. Every. Single. Day. The highest daily death count that month was 4,197.

In the U.S., more than 1.1 million people have died of Covid. During its rampage it became the third leading cause of death, behind heart disease and cancer. Life expectancy in the U.S. declined by 2.7 years between 2019 and 2021.

So I remain flabbergasted by claims of over-reaction. By my lights, protecting the public from such catastrophic events is a vital role of the public health infrastructure, and of government. Many who disparage that role are apparently too stupid to realize they are likely alive today as a consequence of the government's "heavy-handedness."

But set that aside. The article also said "the Centers for Disease Control and Prevention was told Friday to lay off an estimated 10 percent of its staff, including nearly an entire class of “disease detectives” — the infectious-disease experts charged with helping spot the next epidemic." [Update: More recent reporting by the New York Times says the "disease detectives" are apparently being spared, but vast numbers of other public heath researchers and scientists are being summarily fired.]

Current serious public health concerns include the rising incidence of avian influenza, which some fear could become the world's next deadly pandemic. The disease has ravished egg laying flocks (it's why egg prices are so high), has been working its way through dairy cattle herds, and is increasingly infecting humans (one has died) that come into contact with those herds. Should the virus acquire the mutations needed to spread easily from person to person, it's off to the pandemic races.

There's more. "Global health leaders have warned about a new outbreak of Ebola virus in Uganda and other emerging outbreaks overseas," said the Post article.

And Trump's move to pull the U.S. out of the World Health Organization will hamper our ability to coordinate with other countries as diseases spread.

As an aside, Robert F. Kennedy Jr., now confirmed as HHS secretary, has said the U.S. should pause infectious disease research for 10 years. Kennedy wants to concentrate instead of chronic diseases. Because of course we can't do both.

Also worth noting is that USAID, the world's largest foreign aid organization, has a large and crucial role in strengthening disease surveillance systems globally, particularly in developing countries. USAID, which Trump is in the process of shutting down, is vitally involved in detecting the emergence of the next pandemic.

Trump has also gratuitously announced he'll withhold federal aid from schools that have Covid mandates, which the Post notes is largely moot, since most such mandates were removed almost two years ago.

This is what passes for leadership now. But what right do I have to complain? We knew this was what we were getting, and chose it anyway.

Copyright (C) 2024 James Michael Brennan, All Rights Reserved

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