COVID could fly to the US or we may not know

T saidThe rise of Covid cases in some parts of the U.S., as well as the decline in trials, has raised speculation that a large wave of the disease may be difficult. In fact, the land may be in the middle of climbing right now or we may not know it.

Viral testing and testing are important in the rapid response to new Covid infections. However, as the country tries to move away from the disease, the request for a lab test has been rejected and large amounts of federal money have been diverted. The change required some testing centers to close and others to increase costs in response to the completion of government testing programs. People rely heavily on quick tests at home if they decide to give it a try. But those results are not often reported, giving public health officials little insight into the true prevalence of the disease.

“There’s a lot more prevalence than we can figure out,” said Abraar Karan, a pediatrician at Stanford University. “Of course that’s now before the disease.”

Despite advances in science such as vaccines and antivirals, health experts say U.S. Covid is more vulnerable as it goes, not stronger.

“We’re in a much better position,” said Julia Raifman, an assistant professor of health law, policy and administration at the Boston University School of Public Health. “We learned more about the disease and how to treat it, and then we didn’t do what we needed to do to fix it.”

In late February, the Centers for Disease Control and Prevention began to rely on hospital admissions and the ICU’s ability to resolve community problems. That is a shift from relying on Covid case scores and the percentage of successful trials, which is widely believed to be a better picture of how much the patient is moving to another community. Some states, including Arizona, Hawaii, Nevada, and Ohio, all report daily Covid data to the CDC, making it more difficult to measure progress. of disease in those states.

According to the CDC, most of the country is found to be low -income. Health experts argue that this is deceptive, even though hospitalization and death usually occur days to weeks after the initial illness. Without extensive testing, it is impossible to see the rise until it takes a long time to do something about it.

“The CDC is downplaying the cases,” said Gregg Gonsalves, a clinical pathologist at Yale’s School of Public Health. “Their bells won’t ring until we see an increase in hospitalizations and deaths, which are signs of slowing down.”

Now it can be downloaded

While omicron is what triggers simple symptoms for healthy people, it has been noted, its potential has led to a significant spike in cases that have led many hospitals to break records. disease. Different types are responsible for the number of children attending the hospital. Blacks were treated in hospital twice as many as whites during the climb in New York. Medications are very effective in preventing serious illnesses if not in consistently preventing cases, which is one of the reasons why metrics have moved to clinics to improve the status of the disease. But it is not possible to follow the cases to make a blind. Experts say it is important to continue to follow them in order to prevent vulnerable communities and respond to new waves of disease before the health system is disrupted.

In recent weeks, lawsuits have begun in places such as New York, Massachusetts and Chicago, but the public outcry has escalated. Government leaders have widely publicized victory over the disease, but some local governments are beginning to demand more vigilance. New York City has been slow to introduce a mask order for children under 5 due to rising cases and the city health commission has told New Yorkers to return to masking i crazy.

However, even in New York things were much different than when the first earthquakes began. Gone are the days of long test lines and selling antigen tests. And all over the country, pop-up testing sites are starting to lose their cancer potential. While state testing services continue to operate in some areas, people without health insurance are facing high costs. And on March 22, the U.S. Health Resources and Services Administration will no longer allow further complaints from health care providers about Covid’s trial.

At the same time, speed testing has increased at home. The problem is, the CDC does not require people to report positive test results at home so the results of tests at home do not have access to health data.

“We’re probably underestimating the number of patients we have right now because there are a lot of patients with no symptoms or few symptoms and you forget about the people who are doing it. at home, ”said Anthony Fauci, senior medical adviser to President Joe Biden. Bloomberg TV on Wednesday.

In New Jersey, for example, Stacy Flanagan, director of health and human services for Jersey City, said three months ago two people called to report tests. good at home. Cases continue in the city with an average of 64 new cases each day, according to health department data. That’s almost double the number of daily cases reported in the past month.

“We’ve heard from just a handful of people call us and say,‘ I’ve done a home test and it’s good, ’” said Dave Henry, health director for Twelve Cities in Monmouth. County, New. Jersey.

Health professionals are left to gather data from a variety of sources. According to Rick Bright, a virologist and Director of the Rockefeller Foundation’s Pandemic Prevention Institute, it is he who uses CDC data and other sources to understand the spread of Covid. “However, we have to go to a small number of sites to try to integrate what’s really happening on the ground.”

Other metrics such as wastewater monitoring and air collection can be helpful in understanding how much of the virus is running in a community. For weeks, sewer data has shown that cases have been on the rise in some parts of the U.S. – predicting an increase in well -being in places like New York and Massachusetts that are already witnessing.

In the nation’s capital, more than 50 people who attended the elite Gridiron Club party on April 2 were tested positive for the coronavirus, the Washington Post reported – at least 8 percent of the total. those who went. The list of patients included the U.S. attorney general, the commercial secretary, aides to Vice President Kamala Harris and first wife Jill Biden, and the president’s sister.

Speaker of the House Nancy Pelosi, who did not attend the party, tried hard to raise concerns about the time she spent close to President Biden before his illness.

Hoao Home

The Museum maintains a large amount of information about Covid in the flow to capture further growth. Tom Inglesby, senior policy advisor for Biden’s Covid-19 Response Team, said the CDC receives 850,000 lab-related test results each day, which he believes is enough to Know the characteristics of the positivity rate and the different characteristics.

“It’s true that there’s a lot of movement right now to change over-the-counter testing, of course,” Inglesby said during a class discussion. “There are various activities that try to evaluate whether people are willing to report some of those experiments that are being done at home.” One biotech company, Ellume, has launched a in-home and in-app test that automatically reports quality tests to the CDC through a secure, HIPAA-compliant relationship.

Meanwhile, the CDC has vowed to increase its water surveillance efforts. The company does not have access to data from websites in every state, so it could be used to access some of the sample created. Looking at the environment, like other actors looking at Covid, can be problematic without more money from Congress. On Tuesday, lawyers reached an agreement to allocate another $ 10 billion to patient preparedness, which press secretary Jen Psaki said would provide funding for “benefits. Almost ”such as antivirals and experiments. But the bill was not cleared in the Senate.

“The information we get from the CDC becomes unreliable, there is a lot of detail, and time is wasted,” Bright said. “There are serious concerns about the lack of sustainable funding to continue over time and complete the work on the surveillance we are building to prevent disease.”

There may have been a lesson from the 1918 pandemic. After the outbreak of cases after the first two waves of influenza, public opinion shifted and many health issues were raised. But in 1919, in the aftermath of an epidemic, the fourth wave hit New York City, increasing deaths than the previous waves, according to a financial research. and the kingdom.

“These last waves of illnesses are sometimes fatal because people have left,” said Gonsalves from Yale.

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