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The hard reality of coronavirus: There is no ‘cure’
www.fastcompany.com ^ | 03-03-20 | Ruth Reader

Posted on 03/04/2020 2:09:47 PM PST by Red Badger

While President Trump pushes pharmaceutical companies to “cure” coronavirus, healthcare experts are making sure to temper expectations—by warning the public that a vaccine could be months or even years away.

During Trump’s meeting with pharmaceutical representatives on Monday, Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, cautioned the public not to expect a quick vaccine. “He’s asking the question: When is it going to be deployable?” he said, referring to the president, “and that is going to be at the earliest a year to a year and a half.”

Certainly, therapeutics are critical in the long term, and at least a dozen pharma companies and biotech firms are working on developing a vaccine. Moderna has already shipped a potential vaccine to health officials at the National Institute of Allergy and Infectious Diseases, which will begin clinical trials in April. Gilead Sciences has also launched clinical trials for a medicine called remdesivir that has been shown to be effective against coronaviruses in animal studies. In the short term, however, public health officials are focused on containing the new virus, not curing it.

Coronavirus, after all, is spreading rapidly. There are over 93,313 confirmed cases worldwide and 3,118 deaths as of this writing, with at least 108 cases in the U.S. So far, the Centers for Disease Control and Prevention is recommending minor precautions such as frequent hand washing and keeping hands away from your face. It also counsels that people who are feeling sick should stay home. Despite the CDC’s straightforward advice, some are taking more extreme measures to avoid contagion. Groups such as Mobile World Congress and the American Physical Society have canceled large conferences, and SXSW is facing pressure to do the same. While these cancellations may seem like an overreaction, avoiding large crowds where people shake hands is probably a good thing.

Expert opinion is divided on the efficacy of these interventions. “There is a lot of debate in the public health community as to actually how effective those kinds of social distancing interventions are,” says Dr. William Schaffner, medical director of the National Foundation for Infectious Diseases. He envisions two potential scenarios for how the disease will move next. The first is that the initial cases in the U.S. will stay relatively local and then come to a close fairly quickly. The other possibility is that as more health systems become able to test for the coronavirus, they’ll discover that COVID-19 has actually spread much more widely than previously thought. At that point, he says, health officials will start recommending social distancing, “which will cause a fair amount of turmoil, discomfort, and economic loss, as people are urged to become semi-hermits.”

Still, he says, there is evidence that these tactics buy time. “From a medical care perspective I would rather have the epidemic stretched out a bit, because then there won’t be quite as many people coming immediately to healthcare facilities and swamping them out,” Schaffner told me. Considering that there is yet no COVID-19 vaccine or “cure,” in Trump’s words, time is a crucial tool in managing public health.

Preparation is one of the best ways to mitigate future shocks to healthcare or economic systems. “Prepping gets a bad name,” says Aubree Gordon, associate professor of epidemiology at the University of Michigan School of Public Health. “It’s actually a social wide responsibility.” She says that it’s not a bad idea to prepare for spending two weeks to a month at home. Stocking up on food and medicines now means that the shelves will be stocked for people who, for whatever reason, were not able to do so earlier.

Health experts agree that if you are experiencing symptoms—high fever, coughing—rather than rushing to a clinic, you should call your doctor and ask for their opinion. If you do not have a primary care doctor, you can call a medical nurse line or schedule a tele-health visit with a doctor online. Most people who contract COVID-19 will experience mild symptoms that can likely be managed from home. However, people who are above the age of 65 or have compromised immune systems are likely to experience more aggressive symptoms. If a person starts experiencing shortness of breath, they should get in touch with a health professional immediately. “One of the big signs you’re developing pneumonia is difficulty breathing,” says Gordon. How to contain the fallout

It’s important, in particular, for businesses to prepare for how efforts to contain coronavirus will impact day-to-day operations. Companies should think about how to enable their staff to work or other alternative arrangements in the event that federal and local governments begin enforcing travel restrictions.

As public health officials start recommending some level of isolation, companies will have to figure out how they are going to provide for workers who do not have paid time off. “We should be careful to understand this is not just a matter of government. This is the whole community that has to respond,” said Scott Burris, director of Temple Law School’s Center for Public Health Law Research, on a press call sponsored by the ACLU. Burris is one of 45o health officials that have signed an open letter describing what measures the government should take to ensure everyone gets access to equitable care during an outbreak and that public safety is maintained.

“Companies that at the moment don’t have paid sick leave policies, or at the moment are not thinking about their responsibilities for responding, should be thinking about how they’re going to keep paying their employees even if their employees can’t come to work because they’re complying with public health orders,” says Burris. He emphasizes that you can’t put people in economic jeopardy for protecting public health.

One way or another, businesses will have to find a way to keep sick workers home. Allowing them to work risks spreading the disease to other workers. It is also possible that under emergency circumstances the government could step in and either provide for workers or force businesses to provide some sort of sick leave, Burris says. “In this one for the long haul”

There is hope that amid these efforts to contain COVID-19, a treatment such as the one Gilead Sciences is working on will become available sooner than expected and may further slow the disease, with health officials determining its effectiveness based upon some key criteria.

“The major question now is: Does it work against coronavirus disease, and if so how much? Does it provide a marginal benefit, or does it provide a lot? Is it better to treat later the sick people or earlier—people who are not as ill?” says Schaffner of the National Foundation for Infectious Diseases. Any potential drug has to be evaluated for side effects, he notes, adding that even if they are minimal, it will take time to ramp up production of a treatment.

Unlike with SARS and MERS, two very deadly coronaviruses that have caused similar levels of panic, COVID-19 may not go away. “I don’t think this virus is going away. I think it will probably recur,” says Ian Lipkin, director of the Center for Infection and Immunity at Columbia University’s Mailman School of Public Health, in a video published in February. He started working in China during the 2003 SARS outbreak. SARS killed a high percentage of people who came into contact with the virus, but it died off quickly over the course of eight months. COVID-19 is expected to be more flu-like and may never totally disappear. While that may seem scary, it actually incentivizes pharmaceutical companies to continue working on both treatments and vaccines.

“We have to be in this one for the long haul,” he says.


TOPICS: Business/Economy; Health/Medicine; Science; Society
KEYWORDS: coronavirus; covid19
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And the Dems, as usual, will not let a crisis go to waste...........
1 posted on 03/04/2020 2:09:47 PM PST by Red Badger
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To: Red Badger

That is a lie

Colloidal silver, and silver Ions , kills all viruses and bacteria


2 posted on 03/04/2020 2:12:06 PM PST by Truthoverpower (The guv mint you get is the Trump winning express !)
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To: Red Badger

Test every possible variation on prisoners.

I would out Trump Trump:

“You *WILL* have a vaccine AND a cure in two weeks, or we’ve got PLENTY of room in Gitmo.

The Seabees could build an airport in 24 hours in WW2, no way does anything have to take longer than a few weeks besides a Mars shot.


3 posted on 03/04/2020 2:14:02 PM PST by RedStateRocker (Nuke Mecca. Deport all illegals. Abolish the DEA, IRS and ATF,.)
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To: Red Badger

Sleep with physical .990+ silver coins and bars! No virus, but a stiff neck. LOL! :)


4 posted on 03/04/2020 2:18:47 PM PST by ksc (Silver, Virus)
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To: RedStateRocker

Wow. How did you associate the Seabees building anything with finding a treatment for a virus :-)

The comment about prisoners is too silly to address.

actually your whole post was too silly to address I don’t know why I did :-)


5 posted on 03/04/2020 2:19:49 PM PST by dp0622 (Radicals, racists Don't but w finger at me I'm a small town white boy Just tryin' to makne ends meet)
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*


6 posted on 03/04/2020 2:20:05 PM PST by PMAS (All that is necessary for the triumph of evil is that good men do nothing)
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To: Red Badger

Sure there is a cure - it’s called “having a halfway-decent immune system”.


7 posted on 03/04/2020 2:20:10 PM PST by The Duke (President Trump = America's Last, Best Chance)
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To: Red Badger

And do not touch your face..even when you want to turn a page..especially when giving a press conference about not touching your face

https://twitter.com/RexChapman/status/1235252608845197314


8 posted on 03/04/2020 2:21:00 PM PST by RummyChick
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To: Truthoverpower

You’re that guy that looks like Papa Smurf after taking too much colloidal silver, aren’t you?


9 posted on 03/04/2020 2:25:05 PM PST by Boogieman
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To: Red Badger

Doubt there will be a vaccine either.


10 posted on 03/04/2020 2:25:14 PM PST by PghBaldy (12/14 - 930am -rampage begins... 12/15 - 1030am - Obama's advance team scouts photo-op locations.)
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To: Red Badger

When they quarantine/shut down that BIG MONEY generator, the canary in the money mine, Vega$...WATCH OUT...Katie bar the door, I was very concerned at first. I am reading less and less FEAR PORN every day. Also, no leftie protests 10 deep around L4 labs. That said, stay healthy. Your Mileage May Vary.

https://www.youtube.com/watch?v=fNFzfwLM72c

Health/life/info/opinion/1A BUMP!


11 posted on 03/04/2020 2:26:24 PM PST by PGalt (Past Peak Civilization?)
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To: Red Badger
Of course there's a cure. The Democrat science experts in Congress assure me that spending $8 billion in taxpayer money will do the trick.

Hey, if those damn Republicans deniers would quit blocking it, we could spend enough to lower the Earth's temperature, too!

12 posted on 03/04/2020 2:26:35 PM PST by colorado tanker
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To: RummyChick
Didja ever notice that by the coffeepot or water cooler is a stack of paper/Styrofoam cups jammed together?

The guy before you couldn't get them apart soooooo.

He grabs the top cup and pulls up while holding the next cup down with his head scratchin', nose pickin' grubby fingers!

Touching precisely the one place on the next cup down where your lips will go!

13 posted on 03/04/2020 2:29:00 PM PST by null and void (By the pricking of my lungs, Something wicked this way comes ...)
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To: Truthoverpower

I have some old silver coins.

If I put one in each nostril......................


14 posted on 03/04/2020 2:32:24 PM PST by Red Badger (If people were to God like dogs are to people, the world would be a really great place..............)
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To: All

Has anybody seen the new Corona virus CoVid-535? Look closely...you can see the crown-like bling on top of the mini-kings heads.


15 posted on 03/04/2020 2:32:31 PM PST by PGalt (Past Peak Civilization?)
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To: null and void

watch how they handle your cups at places like Hardees or Mcdonalds after handling all kinds of money


16 posted on 03/04/2020 2:32:39 PM PST by RummyChick
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To: dp0622

Nothing needs to take as long as these bloody executives say it will.

Get it done. Now.

We’ve grown into a country that thinks it takes years or decades to do what should take days or weeks.


17 posted on 03/04/2020 2:39:44 PM PST by RedStateRocker (Nuke Mecca. Deport all illegals. Abolish the DEA, IRS and ATF,.)
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To: null and void

I make my own breakfast and green tea every morning. I despise doughnut shops and gas stations.


18 posted on 03/04/2020 2:40:13 PM PST by waterhill (I Shall Remain, in spite of __________.)
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To: Red Badger

There’s no cure for the common cold either. So what’s the point?


19 posted on 03/04/2020 2:44:12 PM PST by unixfox (Abolish Slavery, Repeal the 16th Amendment)
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To: unixfox

Good point!


20 posted on 03/04/2020 2:49:05 PM PST by Dalberg-Acton
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