Truth be told, I’m not sure what’s going to happen but the trends are not looking great. In some ways you first need the story of the numbers which can now give us a glimpse of what we can expect because some places in the world have gone through a viral cycle of sorts. Now while the context of numbers can be lost on some, I want to share where I’m getting this from Duc C. Vuong. A lot of what of this is will be based off his video(s) late in August. He’s been a great resource all through the pandemic but before we get into the roots, the focus is trying to understand whats happening in the world.
During the first wave* of the pandemic we had no context for the numbers of infected and those who died. On April 1st when Spain and France were the face of the pandemic as Italy was beginning to drop, Spain had 9,700 cases (8,000 7-day avg) and on August 28th, they had almost 9800 cases (7,600 7-day avg). Likewise, France had 4,800 cases (4,500 7-day avg) and just had 7,000 cases (4600 7-day avg) on August 28th. The last piece of context is Italy and at their peak when most of the Western World, sadly, began to emphasize with the people suffering from COVID-19. At their peak they were are over 5,000 cases, sustained for over a week. While not as radical, they’re not at the same pace, cases have begun to rise as they’re climbing above 20% of their countries first peak.
*In America, please read: start. context below
In the United States, there was no end to the first wave… for the understanding of the impacts there.
As for the United States, which never flattened the numbers of cases or deaths to any sort of most of the world achieved as, our outcomes may be the most bleak. Now that we have the context for countries above as to where they stand right now (very bleak), how do we contextualize the space the United States is in. An effective way is to attempt to try and focus on the stories the numbers are telling us based on the past six months. Now while I am political this is about empathy as sad or pathetic as that might sound. On the chance anyone outside of my world has a chance to see this and maybe live would be the context above for the analysis below.
There are a few things we can glean from past to give us an idea of the numbers for tomorrow. First would be that the second wave is worse than the first. For countries like Spain and France, unless behavior curbs dramatically, they can see case numbers two to three fold of the first wave. If Italy was on the brink at 5,000 cases a day for a week, what happens if the second wave peak is at 12,000 cases a day? Will their systems collapse and what would that do to all cause mortality? How much non-direct death will be caused from the sheer scale of COVID (3.4% death rate globally: 8-30-2020)? Will there be enough treatment through therapies, or a vaccine by some miracle, to help bring outliers in death rate closer to the mean? Will it be significant enough to combat the pressure that volume of cases puts on their medical systems? Those are the kind of questions Europeans should be asking themselves right now if there’s any way to stymie the second wave begin to crash, west to east.
If those are the questions Europe what are the ones Americans face? What questions give us the context of what’s in front of us? In some ways our adversity is similar, but also quite different. While the scale paints a picture of a death rate between 3 -4% globally, that is not how the United States measure the current crisis. If you took the deaths of Spain (29,000), Italy (35,000), and France(30,000) and compare that to the United States alone the United States during the same period, we still double the deaths. By a factor of 2:1 of COVID mortality since the pandemic began on not a 1:1 comparison, but a 1:3 instead. Simply put, the only way I can contextualize COVID in America is doing what you can to prevent death. How much? It’s not even quantifiable but when we begin to realistically cross into a conversation of being too cautious, maybe that’s when we can find the value of how much or for how long. It’s not relevant when we can’t even prevent the death occurring in this country.
The idea that between 15,000 & 20,000 cases a day before we collectively thought we needed to close schools. Opening them will allow the virus to grow exponentially more than if schools waited a semester especially based on how much worse the loss of life has been in the States. The haphazard decision to open schools by the white house and that being at around 40,000-50,000 cases a day now, how do you begin to reconcile closing them before 20,000 daily cases and opening them before they fall below even 40,000.
Not only do the decisions bare skepticism relating to safety and caution, but the numbers also paint the American reality is worse than the very bleak outlook for Europe. Can the United States rapidly change the behavior of the people? Will there be a fundamental change as far as the white houses approach to COVID? If the numbers of cases can grow as Spain and France are projected above, has the number of people infected potentially limit the growth due to the scale of those already infected? Certainly the United States will have a new peak, but since the first wave never ended, there’s less certainty that can be drawn.
To round out the view Americans should adopt to accomplish as much prevention of death is difficult as our scenario is so different. Personally I believe that sharing our fears and emotions in this moment could be a start (virtually). Outside of that, keeping circles of peoples those whom you truly consider family physically and communicate remotely whether for work or your friends whom are outside of that and be empathetic. This is going to be very dark. Things are going to get worst. As far as death we’re top of the charts and it’s not close. With that, keep in contact with your friends and loved ones. Maintain the distance when in social spaces and do what you can to protect your mouth and nose from either spreading or contracting the virus. In short, wear your masks, wash your hands, and form preventive habits to give you and your family the best chance for lessened pain.
~Stay safe
