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Morning Briefing

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Thursday, Oct 15 2020

Full Issue

Longer Looks, Part 1: Interesting Reads You Might Have Missed

Each week, KHN finds longer stories for you to sit back and enjoy over the weekend. Part 1 is all about COVID.

Even as vaccines are hailed as our best hope against the coronavirus, dozens of scientific groups are working on an alternate defense: monoclonal antibodies. These therapies shot to prominence just this month after President Trump got an infusion of an antibody cocktail made by Regeneron and credited it for his apparent recovery, even calling it a 鈥渃ure.鈥 Monoclonal antibodies are distilled from the blood of patients who have recovered from the virus. Ideally, antibodies infused early in the course of infection 鈥 or even before exposure, as a preventive 鈥 may provide swift immunity. (Mandavilli, 10/12)

The United States may be within months of a profound turning point in the country鈥檚 fight against the coronavirus: the first working vaccine. Demonstrating that a new vaccine was safe and effective in less than a year would shatter the record for speed, the result of seven-day work weeks for scientists and billions of dollars of investment by the government. Provided enough people can get one, the vaccine may slow a pandemic that has already killed a million people worldwide. (Zimmer, 10/12)

In the Western world, bouts of illness are regularly described as 鈥渂attles.鈥 Viruses and other pathogens are 鈥渆nemies鈥 to be 鈥渂eaten.鈥 Patients are encouraged to 鈥渂e strong鈥 and praised for being 鈥渇ighters.鈥 鈥淚t鈥檚 so embedded in our nature to give encouragement in that way,鈥 says Esther Choo, an emergency physician at Oregon Health and Science University, 鈥渂ut it鈥檚 language that we try not to use in health care.鈥 ... Equating disease with warfare, and recovery with strength, means that death and disability are linked to failure and weakness. That 鈥渄oes such a disservice to all of the families who have lost loved ones, or who are facing long-term consequences,鈥 says Megan Ranney, an emergency physician at Brown University. Like so much else about the pandemic, the strength-centered rhetoric confuses more than it clarifies, and reveals more about America鈥檚 values than the disease currently plaguing it. (Yong, 10/9)

What month is this again? Hundreds of thousands of deaths since the pandemic began in March, we seem to be right back where we started, like passengers trapped on a demonic carousel. Everything could still get worse. This week, Anthony Fauci warned of a new surge in cases, as Americans move from the virus-dispersing outdoors into more crowded and less-ventilated public spaces in colder months. Or everything could get better. Thanks largely to new treatments and more knowledge about this virus, hospitalization-fatality rates have declined across Europe and the United States. As a result, new surges are less likely to re-create the springtime spike in deaths. Individuals are also far more conscientious and alert to the risks. (Thompson, 10/12)

One of the biggest lessons of the Covid-19 pandemic is that speed matters. The window of opportunity to find and stop a rapidly spreading virus is vanishingly small and intolerant of mistakes. 鈥淥nce you get behind the curve on these epidemics, it is really difficult to turn it around,鈥 said Jeremy Farrar , director of the Wellcome Trust, which funds health-related research. 鈥淎cting late is a disaster.鈥 (McKay, 10/11)

When the new disease first arrived, little was clear beyond the fact that it killed with terrifying speed. Near-certain death trailed the first symptoms by four days or less. The doctors were helpless. This city was soon overwhelmed with corpses. Workers in church yards dug pits down to the water table, layering bodies and dirt, more bodies and dirt. One writer of the time compared the mass graves to 鈥渓asagna.鈥 Seven centuries later, the plague in Europe stands as an example of a pandemic at its worst 鈥 what happens when so many people die so quickly that some foresee the end of the human race. Few places were hit harder than Florence, whose population in 1348 was cut by at least a third and possibly far more. (Harlan and Pitrelli, 10/15)

Fear and bad press slowed down or canceled school reopenings elsewhere. Many large urban school districts chose not to open for in-person instruction, even in places with relatively low positivity rates. Chicago, L.A., Houston鈥攁ll remote, at least so far. It鈥檚 now October. We are starting to get an evidence-based picture of how school reopenings and remote learning are going (those photos of hallways don鈥檛 count), and the evidence is pointing in one direction. Schools do not, in fact, appear to be major spreaders of COVID-19. (Oster, 10/9)

Running, jumping and climbing are a big part of being a kid 鈥 and for parents, it鈥檚 probably better for all that activity to happen on a playground, rather than the living room furniture. But it hasn鈥檛 been easy to do that during this very housebound year. Public playgrounds were shut down, along with everything else, under the stay-at-home orders issued at the beginning of the coronavirus pandemic. When they reopened in the D.C. region during the summer, parents and caregivers were left to decide whether it was safe to return to the monkey bars and slides. (Chapin, 10/8)

In late September, Heidi Larson, an anthropologist and the founder of the Vaccine Confidence Project in London, sat on a Zoom call with the project team for Verified, a United Nations-led group that is working to combat a rising tide of misinformation about potential vaccines for Covid-19.Dr. Larson, 63, is arguably the world鈥檚 foremost rumor manager. She has spent two decades in war torn, poor and unstable countries around the globe, as well as in rich and developed ones, striving to understand what makes people hesitant to take vaccines. She is obsessed with the origin and evolution of rumors, which she calls 鈥渃ollective problem solving,鈥 and has come to see most anti-vaxxers 鈥 a term she considers too oppositional 鈥 not as uneducated, science-denying individualists but as people with genuine questions and doubts in search of guidance. 鈥淭his is a public cry to say, 鈥業s anyone listening?鈥 she writes in her recently released book 鈥淪tuck: How Vaccine Rumors Start and Why they Don鈥檛 Go Away.鈥 (Anderson, 10/13)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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