Sunday, March 22, 2020

Tighten the Fight to State-by-State or City-by-City, and Test, Test, Test

   This far in, and with what we've learned, we should take the coronavirus fight to the states, to the cities, to the counties.
   And, test, test, test.
   Say what you will, we are not testing anywhere near as much as we should -- nowhere as much as we must.
   "We have a simple message to all countries -- test, test, test. All countries should be able to test all suspected cases. They cannot fight this pandemic blindfolded." So says Tedros Adhanom Ghebreyesus, director-general of the World Health Organization.
   But, the United States continues to fall short in taking such advice..
   South Korea? One of the countries most successful in fighting the virus? It has tested more per capita than any nation in the world.
   But, what of India? It, too, is one of the most successful nations. So far. But, it has one of the lowest test rates, per capita. Its strategy has been to test those who enter the country. But, until community transmission is detected, there is no need for wide-spread testing.
   One wonders if India's death figures are accurate, if they are as low as is being reported. Have there been more cases, and deaths, but they simply aren't in the count? Perhaps not. Perhaps it is as the country says, No community transmissions, so no need to test. But, who knows.
   But, America? What should we do now that we have 3,500 detected cases, and the spread is already in every state?
   Perhaps, draw the lines tighter. Isolate state-by-state or community-by-community. Draw a line around each city. Don't let anyone in unless they are tested. And, trace down each person who already has tested positive, and test those they have made contact with. If you don't have the personnel to do this, get it. With all the people who have lost their jobs, hire some of them, if necessary. Or, if you have medical personnel sidelined since elective surgeries are on hold, utilize them, putting them back to work. Insist that the federal government loosen regulatory requirements. Find manufacturers who will immediately convert their sites to producing PPEs (personal protective equipment), test kits, ventilators and whatever else is needed, including masks for the public.
   And, test everyone who needs to be tested. Everyone.
   You can better circle the wagons if there are few. The coronavirus threat is so large, it becomes difficult -- impossible -- to draw all the wagons into the same circle on a nationwide basis.
   So, circle the wagons on a state-by-state or community-by-community basis.

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