Tuesday, May 5, 2020

Thoughts About Covid-19

There has been a lot of argument and gnashing of teeth over the pace at which we stop sheltering-in-place and begin acting more normal. People have correctly said that if we begin going about our lives more or less normally, additional people will be infected and a few of those will die.

On the other hand, there are plenty of behaviors we continue knowing that they increase the risks of dying. Something like 35,000 people die in auto accidents every year, that dissuades few people from traveling by auto. Obesity is a negative factor for health, yet nearly half of us are overweight. You get the point.

It is clear older Americans in long-term care facilities are at extreme risk, they are doing most of the dying. Such places need to continue to take serious precautions, if only to keep their customers alive and paying.

Doing so is complicated by the reality that most employees of these establishments are low-wage minorities. Evidence suggests minorities are at increased risk of contracting CoV and unwittingly bringing it to work. I'm not sure how we solve this issue, maybe replace them with friendly robots?

If doctors can focus on managing the cytokine storm in sick patients, it is likely CoV is no more dangerous than influenza. Which is not to say it's safe, but flu is a risk we all take, and most of us will suffer from a few times in a long life, without it greatly disrupting our living patterns.