President Trump Addressed the Nation, Suspending Travel from Europe

 

The White House Live page posted the live address announcement, with a link to their YouTube channel. President Trump addressed the nation and also issued a travel suspension on Europe, excluding the U.K. He spoke into the camera from the Oval Office for ten minutes, sticking closely to his prepared remarks. He spoke seriously of both the threat and our nation’s resources to respond to the threat. He did not speak as an authoritarian ruler, instead of revealing that most of the actions he wishes to take require the assent, the action of the legislature. This is as it should be under our Constitution.

I took away the following highlights, and have posted the entire short address text below:*

  • Suspension of all travel from Europe, excluding the UK, for the next 30 days. This will actually stay in effect until his health experts advise otherwise, so the 30-day mark will be a reassessment date.**
    • Clusters here were seeded by travelers from Europe.
    • Exemptions for Americans undergoing appropriate screening.
  • Monitoring China and South Korea, as the situation improves we will consider reopening travel.
  • Cutting red tape for antiviral research and testing.
  • Young and healthy can expect to fully recover. The elderly population must be very very careful.
  • Smart action today will reduce the risk tomorrow.
  • We have the best economy, the most advanced medical care, and the most talented doctors, scientists and researchers in the world.
  • Targeted relief for workers sick or caring for others with coronavirus.
  • Our vast economic strength gives us more ability to respond to this health threat.
  • Massive loans to small businesses affected by the coronavirus.
    • Calling on Congress to authorize $50 billion for this.
  • 200 billion in tax payment relief.
  • Calling on Congress to give payroll tax relief quickly.

President Trump has been setting up the speech on Twitter:

Reading through the travel suspension, I note that the UN gets an exemption. This and other exemptions are almost certainly driven by laws and treaties. How about UN functionaries telecommuting for a month or so? The proclamation does not include the testing or screening measures he directed for anyone who would be exempt from the travel suspension.

At the same time, the proclamation makes clear that only passengers are affected, not cargo. President Trump was not perfectly clear on that in his remarks, so he cleaned it up with this tweet:


* The White House team uploaded the text of the address within 90 minutes of his delivering the remarks:

Remarks by President Trump in Address to the Nation

HEALTHCARE | Issued on: March 11, 2020

Oval Office

9:02 P.M. EDT

THE PRESIDENT: My fellow Americans: Tonight, I want to speak with you about our nation’s unprecedented response to the coronavirus outbreak that started in China and is now spreading throughout the world.

Today, the World Health Organization officially announced that this is a global pandemic.

We have been in frequent contact with our allies, and we are marshalling the full power of the federal government and the private sector to protect the American people.

This is the most aggressive and comprehensive effort to confront a foreign virus in modern history. I am confident that by counting and continuing to take these tough measures, we will significantly reduce the threat to our citizens, and we will ultimately and expeditiously defeat this virus.

From the beginning of time, nations and people have faced unforeseen challenges, including large-scale and very dangerous health threats. This is the way it always was and always will be. It only matters how you respond, and we are responding with great speed and professionalism.

Our team is the best anywhere in the world. At the very start of the outbreak, we instituted sweeping travel restrictions on China and put in place the first federally mandated quarantine in over 50 years. We declared a public health emergency and issued the highest level of travel warning on other countries as the virus spread its horrible infection.

And taking early intense action, we have seen dramatically fewer cases of the virus in the United States than are now present in Europe.

The European Union failed to take the same precautions and restrict travel from China and other hotspots. As a result, a large number of new clusters in the United States were seeded by travelers from Europe.

After consulting with our top government health professionals, I have decided to take several strong but necessary actions to protect the health and wellbeing of all Americans.

To keep new cases from entering our shores, we will be suspending all travel from Europe to the United States for the next 30 days. The new rules will go into effect Friday at midnight. These restrictions will be adjusted subject to conditions on the ground.

There will be exemptions for Americans who have undergone appropriate screenings, and these prohibitions will not only apply to the tremendous amount of trade and cargo, but various other things as we get approval. Anything coming from Europe to the United States is what we are discussing. These restrictions will also not apply to the United Kingdom.

At the same time, we are monitoring the situation in China and in South Korea. And, as their situation improves, we will reevaluate the restrictions and warnings that are currently in place for a possible early opening.

Earlier this week, I met with the leaders of health insurance industry who have agreed to waive all copayments for coronavirus treatments, extend insurance coverage to these treatments, and to prevent surprise medical billing.

We are cutting massive amounts of red tape to make antiviral therapies available in record time. These treatments will significantly reduce the impact and reach of the virus.

Additionally, last week, I signed into law an $8.3 billion funding bill to help CDC and other government agencies fight the virus and support vaccines, treatments, and distribution of medical supplies.  Testing and testing capabilities are expanding rapidly, day by day.  We are moving very quickly.

The vast majority of Americans: The risk is very, very low. Young and healthy people can expect to recover fully and quickly if they should get the virus. The highest risk is for elderly population with underlying health conditions. The elderly population must be very, very careful.

In particular, we are strongly advising that nursing homes for the elderly suspend all medically unnecessary visits. In general, older Americans should also avoid nonessential travel in crowded areas.

My administration is coordinating directly with communities with the largest outbreaks, and we have issued guidance on school closures, social distancing, and reducing large gatherings.

Smart action today will prevent the spread of the virus tomorrow.

Every community faces different risks and it is critical for you to follow the guidelines of your local officials who are working closely with our federal health experts — and they are the best.

For all Americans, it is essential that everyone take extra precautions and practice good hygiene. Each of us has a role to play in defeating this virus. Wash your hands, clean often-used surfaces, cover your face and mouth if you sneeze or cough, and most of all, if you are sick or not feeling well, stay home.

To ensure that working Americans impacted by the virus can stay home without fear of financial hardship, I will soon be taking emergency action, which is unprecedented, to provide financial relief. This will be targeted for workers who are ill, quarantined, or caring for others due to coronavirus.

I will be asking Congress to take legislative action to extend this relief.

Because of the economic policies that we have put into place over the last three years, we have the greatest economy anywhere in the world, by far.

Our banks and financial institutions are fully capitalized and incredibly strong. Our unemployment is at a historic low. This vast economic prosperity gives us flexibility, reserves, and resources to handle any threat that comes our way.

This is not a financial crisis, this is just a temporary moment of time that we will overcome together as a nation and as a world.

However, to provide extra support for American workers, families, and businesses, tonight I am announcing the following additional actions: I am instructing the Small Business Administration to exercise available authority to provide capital and liquidity to firms affected by the coronavirus.

Effective immediately, the SBA will begin providing economic loans in affected states and territories. These low-interest loans will help small businesses overcome temporary economic disruptions caused by the virus. To this end, I am asking Congress to increase funding for this program by an additional $50 billion.

Using emergency authority, I will be instructing the Treasury Department to defer tax payments, without interest or penalties, for certain individuals and businesses negatively impacted. This action will provide more than $200 billion of additional liquidity to the economy.

Finally, I am calling on Congress to provide Americans with immediate payroll tax relief. Hopefully they will consider this very strongly.

We are at a critical time in the fight against the virus.  We made a life-saving move with early action on China. Now we must take the same action with Europe. We will not delay. I will never hesitate to take any necessary steps to protect the lives, health, and safety of the American people. I will always put the wellbeing of America first.

If we are vigilant — and we can reduce the chance of infection, which we will — we will significantly impede the transmission of the virus. The virus will not have a chance against us.

No nation is more prepared or more resilient than the United States. We have the best economy, the most advanced healthcare, and the most talented doctors, scientists, and researchers anywhere in the world.

We are all in this together. We must put politics aside, stop the partisanship, and unify together as one nation and one family.

As history has proven time and time again, Americans always rise to the challenge and overcome adversity.

Our future remains brighter than anyone can imagine. Acting with compassion and love, we will heal the sick, care for those in need, help our fellow citizens, and emerge from this challenge stronger and more unified than ever before.

God bless you, and God bless America. Thank you.

END

9:12 P.M. EDT

** The travel suspension order is already posted [emphasis added]:

Proclamation—Suspension of Entry as Immigrants and Nonimmigrants of Certain Additional Persons Who Pose a Risk of Transmitting 2019 Novel Coronavirus
HEALTHCARE | Issued on: March 11, 2020

On January 31, 2020, I issued Proclamation 9984 (Suspension of Entry as Immigrants and Nonimmigrants of Persons Who Pose a Risk of Transmitting 2019 Novel Coronavirus and Other Appropriate Measures To Address This Risk). I found that the potential for widespread transmission of a novel (new) coronavirus (which has since been renamed “SARS-CoV-2” and causes the disease COVID-19) (“SARS-CoV-2” or “the virus”) by infected individuals seeking to enter the United States threatens the security of our transportation system and infrastructure and the national security. Because the outbreak of the virus was at the time centered in the People’s Republic of China, I suspended and limited the entry of all aliens who were physically present within the People’s Republic of China, excluding the Special Administrative Regions of Hong Kong and Macau, during the 14-day period preceding their entry or attempted entry into the United States, subject to certain exceptions. On February 29, 2020, in recognition of the sustained person-to-person transmission of SARS-CoV-2 in the Islamic Republic of Iran, I issued Proclamation 9992 (Suspension of Entry as Immigrants and Nonimmigrants of Certain Additional Persons Who Pose a Risk of Transmitting 2019 Novel Coronavirus), suspending and limiting the entry of all aliens who were physically present within the Islamic Republic of Iran during the 14-day period preceding their entry or attempted entry into the United States, subject to certain exceptions.

The Centers for Disease Control and Prevention (CDC), a component of the Department of Health and Human Services, has determined that the virus presents a serious public health threat, and CDC continues to take steps to prevent its spread. But CDC, along with State and local health departments, has limited resources, and the public health system could be overwhelmed if sustained human-to-human transmission of the virus occurred in the United States on a large scale. Sustained human-to-human transmission has the potential to cause cascading public health, economic, national security, and societal consequences.

The World Health Organization has determined that multiple countries within the Schengen Area are experiencing sustained person-to-person transmission of SARS-CoV-2. For purposes of this proclamation, the Schengen Area comprises 26 European states: Austria, Belgium, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Italy, Latvia, Liechtenstein, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Slovakia, Slovenia, Spain, Sweden, and Switzerland. The Schengen Area currently has the largest number of confirmed COVID-19 cases outside of the People’s Republic of China. As of March 11, 2020, the number of cases in the 26 Schengen Area countries is 17,442, with 711 deaths, and shows high continuous growth in infection rates. In total, as of March 9, 2020, the Schengen Area has exported 201 COVID-19 cases to 53 countries. Moreover, the free flow of people between the Schengen Area countries makes the task of managing the spread of the virus difficult.

The United States Government is unable to effectively evaluate and monitor all of the travelers continuing to arrive from the Schengen Area. The potential for undetected transmission of the virus by infected individuals seeking to enter the United States from the Schengen Area threatens the security of our transportation system and infrastructure and the national security. Given the importance of protecting persons within the United States from the threat of this harmful communicable disease, I have determined that it is in the interests of the United States to take action to restrict and suspend the entry into the United States, as immigrants or nonimmigrants, of all aliens who were physically present within the Schengen Area during the 14-day period preceding their entry or attempted entry into the United States. The free flow of commerce between the United States and the Schengen Area countries remains an economic priority for the United States, and I remain committed to facilitating trade between our nations.

NOW, THEREFORE, I, DONALD J. TRUMP, President of the United States, by the authority vested in me by the Constitution and the laws of the United States of America, including sections 212(f) and 215(a) of the Immigration and Nationality Act, 8 U.S.C. 1182(f) and 1185(a), and section 301 of title 3, United States Code, hereby find that the unrestricted entry into the United States of persons described in section 1 of this proclamation would, except as provided for in section 2 of this proclamation, be detrimental to the interests of the United States, and that their entry should be subject to certain restrictions, limitations, and exceptions. I therefore hereby proclaim the following:

Section 1. Suspension and Limitation on Entry. The entry into the United States, as immigrants or nonimmigrants, of all aliens who were physically present within the Schengen Area during the 14-day period preceding their entry or attempted entry into the United States is hereby suspended and limited subject to section 2 of this proclamation.

Sec. 2. Scope of Suspension and Limitation on Entry.

(a) Section 1 of this proclamation shall not apply to:

(i) any lawful permanent resident of the United States;

(ii) any alien who is the spouse of a U.S. citizen or lawful permanent resident;

(iii) any alien who is the parent or legal guardian of a U.S. citizen or lawful permanent resident, provided that the U.S. citizen or lawful permanent resident is unmarried and under the age of 21;

(iv) any alien who is the sibling of a U.S. citizen or lawful permanent resident, provided that both are unmarried and under the age of 21;

(v) any alien who is the child, foster child, or ward of a U.S. citizen or lawful permanent resident, or who is a prospective adoptee seeking to enter the United States pursuant to the IR-4 or IH-4 visa classifications;

(vi) any alien traveling at the invitation of the United States Government for a purpose related to containment or mitigation of the virus;

(vii) any alien traveling as a nonimmigrant pursuant to a C-1, D, or C-1/D nonimmigrant visa as a crewmember or any alien otherwise traveling to the United States as air or sea crew;

(viii) any alien

(A) seeking entry into or transiting the United States pursuant to one of the following visas: A-1, A-2, C-2, C-3 (as a foreign government official or immediate family member of an official), E-1 (as an employee of TECRO or TECO or the employee’s immediate family members), G-1, G-2, G-3, G-4, NATO-1 through NATO-4, or NATO-6 (or seeking to enter as a nonimmigrant in one of those NATO categories); or

(B) whose travel falls within the scope of section 11 of the United Nations Headquarters Agreement;

(ix) any alien whose entry would not pose a significant risk of introducing, transmitting, or spreading the virus, as determined by the Secretary of Health and Human Services, through the CDC Director or his designee;

(x) any alien whose entry would further important United States law enforcement objectives, as determined by the Secretary of State, the Secretary of Homeland Security, or their respective designees, based on a recommendation of the Attorney General or his designee;

(xi) any alien whose entry would be in the national interest, as determined by the Secretary of State, the Secretary of Homeland Security, or their designees; or

(xii) members of the U.S. Armed Forces and spouses and children of members of the U.S. Armed Forces.

(b) Nothing in this proclamation shall be construed to affect any individual’s eligibility for asylum, withholding of removal, or protection under the regulations issued pursuant to the legislation implementing the Convention Against Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment, consistent with the laws and regulations of the United States.

Sec. 3. Implementation and Enforcement. (a) The Secretary of State shall implement this proclamation as it applies to visas pursuant to such procedures as the Secretary of State, in consultation with the Secretary of Homeland Security, may establish. The Secretary of Homeland Security shall implement this proclamation as it applies to the entry of aliens pursuant to such procedures as the Secretary of Homeland Security, in consultation with the Secretary of State, may establish.

(b) Consistent with applicable law, the Secretary of State, the Secretary of Transportation, and the Secretary of Homeland Security shall ensure that any alien subject to this proclamation does not board an aircraft traveling to the United States.

(c) The Secretary of Homeland Security may establish standards and procedures to ensure the application of this proclamation at and between all United States ports of entry.

(d) An alien who circumvents the application of this proclamation through fraud, willful misrepresentation of a material fact, or illegal entry shall be a priority for removal by the Department of Homeland Security.

Sec. 4. Termination. This proclamation shall remain in effect until terminated by the President. The Secretary of Health and Human Services shall recommend that the President continue, modify, or terminate this proclamation as described in section 5 of Proclamation 9984, as amended.

Sec. 5. Effective Date. This proclamation is effective at 11:59 p.m. eastern daylight time on March 13, 2020. This proclamation does not apply to persons aboard a flight scheduled to arrive in the United States that departed prior to 11:59 p.m. eastern daylight time on March 13, 2020.

Sec. 6. Severability. It is the policy of the United States to enforce this proclamation to the maximum extent possible to advance the national security, public safety, and foreign policy interests of the United States. Accordingly:

(a) if any provision of this proclamation, or the application of any provision to any person or circumstance, is held to be invalid, the remainder of this proclamation and the application of its provisions to any other persons or circumstances shall not be affected thereby; and

(b) if any provision of this proclamation, or the application of any provision to any person or circumstance, is held to be invalid because of the lack of certain procedural requirements, the relevant executive branch officials shall implement those procedural requirements to conform with existing law and with any applicable court orders.

Sec. 7. General Provisions. (a) Nothing in this proclamation shall be construed to impair or otherwise affect:

(i) the authority granted by law to an executive department or agency, or the head thereof; or

(ii) the functions of the Director of the Office of Management and Budget relating to budgetary, administrative, or legislative proposals.

(b) This proclamation shall be implemented consistent with applicable law and subject to the availability of appropriations.

(c) This proclamation is not intended to, and does not, create any right or benefit, substantive or procedural, enforceable at law or in equity by any party against the United States, its departments, agencies, or entities, its officers, employees, or agents, or any other person.

IN WITNESS WHEREOF, I have hereunto set my hand this eleventh day of March, in the year of our Lord two thousand twenty, and of the Independence of the United States of America the two hundred and forty-fourth.

DONALD J. TRUMP

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  1. Gumby Mark (R-Meth Lab of Demo… Coolidge
    Gumby Mark (R-Meth Lab of Demo…
    @GumbyMark

    Jason Obermeyer (View Comment):

    Gumby Mark (R-Meth Lab of Demo… (View Comment):

    At this point the President is following, not leading.

    Your mistaking giving in to panic for “leadership.”

    That’s it?  That’s all you’ve got?  Sad!

     

    • #31
  2. Jason Obermeyer Member
    Jason Obermeyer
    @JasonObermeyer

    Gumby Mark (R-Meth Lab of Demo… (View Comment):

    Jason Obermeyer (View Comment):

    Gumby Mark (R-Meth Lab of Demo… (View Comment):

    At this point the President is following, not leading.

    Your mistaking giving in to panic for “leadership.”

    That’s it? That’s all you’ve got? Sad!

    Well, I answered a one sentence statement with a one sentence response, but I’ll elaborate:

    I’ve had bouts of anxiety, depression, and obsessive compulsive disorder in my life, and even I frankly have no idea how some of you get out of bed with even the normal, background level of risk associated with life. Part of this particular situation is because of the unknowns involved, but we simply cannot react this way in the face of every unknown.

    Doing things in an abundance of caution sounds good, but in practice it isn’t always. A comment on Powerline said it this way:

    I have observed something in 20+ years in overseas facilities: Security-types will continually one-up each other in the productivity/efficiency-stifling security measures they are willing to recommend. That is because they are not responsible for an operational result, only to try their best to keep the bad thing from happening (whatever that is). The operational decider (the ambassador, the President, a unit commander) has to do the risk-gain and cost-benefit calculations and be willing to overrule the security types. In our current situation, the “security types” are the medical and government officials making the calls to cancel things. These senior officials literally have nothing to lose taking the most conservative choice. The sports industry just has to fall in line – they cannot withstand the conservative judgment tide. This dynamic is so destructive.

    *As a side note I have not seen the CDC (the actual experts) actually recommend these mass cancelations yet.

    We see this dynamic play out in a number of cases:

    • We have lengthy FDA trials that save some from harmful drugs while denying many a potentially lifesaving treatment.
    • We used to recommend mammograms all the time, but it was then learned that the complications of false positives might not make it always worthwhile.
    • We accept a background level of deaths from coal production and air pollution in order to prevent the slight risk that more widespread use of nuclear power will awaken Godzilla.

    In all of those instances, the problem is that the things we seek to avoid (harmful drugs, cancer, Godzilla) are dramatic but the harms of caution are more indirect and less obvious. Its obvious when someone underestimates a problem, but no one is every called to account for incorrectly exercising an abundance of caution.

                  

     

    • #32
  3. Jason Obermeyer Member
    Jason Obermeyer
    @JasonObermeyer

       You stated that there was a hole in Trump’s speech related to what we should do, but haven’t we been told to avoid gatherings if possible and especially if vulnerable. As far as what we can do, that maybe it; but people need the National Daddy to hold their hand in times of perceived peril.

                    When pressed for exactly why Trump’s response has been insufficient, the usual answer is something about insufficient testing. I thought Dr. Drew’s Examiner Podcast interview was a little flippant, but his point about testing was well taken. We can’t just throw out everything we know about differential diagnosis in a panic. Mass testing isn’t done because it isn’t effective. I’ll put a marker down on the idea that in the final analysis, it was the other things South Korea did – which we are doing – that helped them through. Mass testing only brought the mortality rate down because it added mild cases that would have gone unnoticed to the denominator. The effect of mass testing on the spread of the disease probably won’t be significant.

    As a side note, we have become a society that values form over substance. Trump’s speech wasn’t great and maybe Biden’s was better, but it’s clear that this is what is more important to people than the actual outcome. I haven’t praised or criticized Trump for this situation because we don’t yet know what the outcome will be. At this point, there is probably nothing much that can be done systemically to change the course of events absent significant new information; all this worrying is worthless.

    • #33
  4. Hoyacon Member
    Hoyacon
    @Hoyacon

    Jason Obermeyer (View Comment):

    Gumby Mark (R-Meth Lab of Demo… (View Comment):

    At this point the President is following, not leading.

    Your mistaking giving in to panic for “leadership.”

    Premature assessment.

    • #34
  5. Jason Obermeyer Member
    Jason Obermeyer
    @JasonObermeyer

    Hoyacon (View Comment):

    Jason Obermeyer (View Comment):

    Gumby Mark (R-Meth Lab of Demo… (View Comment):

    At this point the President is following, not leading.

    Your mistaking giving in to panic for “leadership.”

    Premature assessment.

    Isn’t everything at this point?

    • #35
  6. Hoyacon Member
    Hoyacon
    @Hoyacon

    Jason Obermeyer (View Comment):

    Hoyacon (View Comment):

    Jason Obermeyer (View Comment):

    Gumby Mark (R-Meth Lab of Demo… (View Comment):

    At this point the President is following, not leading.

    Your mistaking giving in to panic for “leadership.”

    Premature assessment.

    Isn’t everything at this point?

    Yes.  Which is why whether this is an unjustified panic has yet to be determined.

    • #36
  7. Miffed White Male Member
    Miffed White Male
    @MiffedWhiteMale

    Jason Obermeyer (View Comment):
    When pressed for exactly why Trump’s response has been insufficient, the usual answer is something about insufficient testing. I thought Dr. Drew’s Examiner Podcast interview was a little flippant, but his point about testing was well taken. We can’t just throw out everything we know about differential diagnosis in a panic. Mass testing isn’t done because it isn’t effective. I’ll put a marker down on the idea that in the final analysis, it was the other things South Korea did – which we are doing – that helped them through. Mass testing only brought the mortality rate down because it added mild cases that would have gone unnoticed to the denominator. The effect of mass testing on the spread of the disease probably won’t be significant.

    I don’t get the significance of testing.

    If people present with flu-like symptoms, treat them.  A test might tell you whether they have normal flu or the corona virus.  But it’s not like we shouldn’t treat people just because we don’t have a test.

     

     

    • #37
  8. Snirtler Inactive
    Snirtler
    @Snirtler

    Jason Obermeyer (View Comment):
    *As a side note I have not seen the CDC (the actual experts) actually recommend these mass cancelations yet.

    I totally understand people warning against the dangers of over-reaction, but I’m persuaded by the danger sof not reacting decisively enough to an illness that really isn’t just the flu (i.e., higher fatality rate, no tested vaccine or treatment, so new no one has immunity to it).

    Fair point on whether actual experts recommend mass cancellations. Here’s what I found from the CDC website, from a media telebriefing on Wed 10:

    Q: I wonder from a public health perspective, is cancelling mass gatherings something we should broadly start doing or is that an overreaction? Where do we stand on that?

    Messonnier: It is really difficult to make those kind of pronouncements broadly. I think the thing at this point we’re recommending is consideration of the local situation, consideration of what is going on in the locale where the event is being held. <snip> So we’re looking both at risk of exposure but also the risk to the individuals and as you look at those two factors together, in consultation with local and state health departments, decisions may be different in different events and different locations.

    In Seattle, for example, the CDC has said this:

    “Due to widespread transmission in Seattle, Washington, CDC recommends extensive community mitigation activities …

    Every School/childcare: Extend spring break by an additional two weeks to be made up at the end of the standard term.•Cancellation of all school-associated congregations, particularly those with participation of high-risk individuals. •Consider implementing distance learning if feasible.

    Every assisted living facility, Senior living facility and adult day program:  Implement social distancing measures, e.g.:oCancel large gatherings (e.g., group social events with 10 or more people)oAlter schedules to reduce mixing (e.g., stagger meal, activity, arrival/departure times)oLimit programs with external staff

    Every Workplace: Implement social distancing measures, e.g.:oSpacing workers at the worksiteoStaggering work schedulesoDecreasing social contacts in the workplace (limit in-person meetings)

    Every Community and Faith-based Organization: Implement social distancing. Reduce activities (e.g., religious services, group congregation), especially for organizations with individuals at risk of severe illness. Consider offering video/audio of events.•Cancel large gatherings (e.g., >250 people) or move to smaller groupings. •Professional and college sporting events as well as concerts or any large crowd entertainment events should be cancelled or broadcast without audience participation. •For organizations that serve high-risk communities, cancel gatherings of more than 10 people and stagger access to support services.•Move faith-based and community gatherings of any size to video-accessible venues or postpone/cancel.

     

     

    • #38
  9. Jason Obermeyer Member
    Jason Obermeyer
    @JasonObermeyer

    Miffed White Male (View Comment):

    Jason Obermeyer (View Comment):
    When pressed for exactly why Trump’s response has been insufficient, the usual answer is something about insufficient testing. I thought Dr. Drew’s Examiner Podcast interview was a little flippant, but his point about testing was well taken. We can’t just throw out everything we know about differential diagnosis in a panic. Mass testing isn’t done because it isn’t effective. I’ll put a marker down on the idea that in the final analysis, it was the other things South Korea did – which we are doing – that helped them through. Mass testing only brought the mortality rate down because it added mild cases that would have gone unnoticed to the denominator. The effect of mass testing on the spread of the disease probably won’t be significant.

    I don’t get the significance of testing.

    If people present with flu-like symptoms, treat them. A test might tell you whether they have normal flu or the corona virus. But it’s not like we shouldn’t treat people just because we don’t have a test.

     

    I think the idea is that if you test some during the period when they are asymptomatic but communicable, you can isolate them. The argument against that seems to be that it doesn’t actually work enough to be worth the effort and resources that could be used elsewhere. 

    • #39
  10. Gumby Mark (R-Meth Lab of Demo… Coolidge
    Gumby Mark (R-Meth Lab of Demo…
    @GumbyMark

    Jason Obermeyer (View Comment):

    You stated that there was a hole in Trump’s speech related to what we should do, but haven’t we been told to avoid gatherings if possible and especially if vulnerable. As far as what we can do, that maybe it; but people need the National Daddy to hold their hand in times of perceived peril.

    When pressed for exactly why Trump’s response has been insufficient, the usual answer is something about insufficient testing. I thought Dr. Drew’s Examiner Podcast interview was a little flippant, but his point about testing was well taken. We can’t just throw out everything we know about differential diagnosis in a panic. Mass testing isn’t done because it isn’t effective. I’ll put a marker down on the idea that in the final analysis, it was the other things South Korea did – which we are doing – that helped them through. Mass testing only brought the mortality rate down because it added mild cases that would have gone unnoticed to the denominator. The effect of mass testing on the spread of the disease probably won’t be significant.

    As a side note, we have become a society that values form over substance. Trump’s speech wasn’t great and maybe Biden’s was better, but it’s clear that this is what is more important to people than the actual outcome. I haven’t praised or criticized Trump for this situation because we don’t yet know what the outcome will be. At this point, there is probably nothing much that can be done systemically to change the course of events absent significant new information; all this worrying is worthless.

    Thanks for the response.  Now I understand and you’ve raised some good issues.

    I can only speak to “panic” as it applies to myself.  I usually underreact to things like this for some of the reasons you raise.  We’ve all been through a lot of false alarms.  When the Ebola panic happened a few year ago I thought it an overreaction.  When H1N1 occurred, I evaluated it, and decided to continue my frequent business traveling.  A few years ago when many of my colleagues stopped traveling to the Mexican city where we had business because of the eruption of violence I continued and I’m still here!  That’s my usual mode.  Look at the evidence and often I find it overhyped.

    Something I try to do when these circumstances arise is to evaluate the available information and look at it, certainly informed by the past, but also independently to see if there is something different that distinguishes it from past false alarms.  It’s also important to do this so we are not blinded by past situations

    By the nature of the beast the information we have in these circumstances is always imperfect and subject to new developments.  In this case I reached the conclusion that this is different from many of the past situations.  Since I’ve covered those reasons on various threads previously I’ll just briefly mention some; (1) the reaction of the Chinese government, which has always been notoriously indifferent to the fate of its citizens, took actions that have crippled, at least in the short term, it’s own economy in order to stop the spread of the disease, (2) the speed with which healthcare systems in the most developed part of a developed country can be overwhelmed by the seriousness of the illnesses (Italy), (3) the sharp growth curves we are seeing in much of Europe and the U.S. – case doublings every 2-3 days which combined with the hospitalization rate could cause problems in those places and (4) the results of the ongoing global experiment in containment strategies from the early (Hong Kong, Taiwan) to the mid-stream (South Korea) to the late (Italy).  In sum we have a very serious and very contagious illness which if steps are not taken to slow down the growth curve could overwhelm the healthcare system.  I may be wrong – in fact, I hope I am wrong.  But my reaction is not panic.

    • #40
  11. Clifford A. Brown Member
    Clifford A. Brown
    @CliffordBrown

    Friends are happy that Ireland was exempted. They are flying tomorrow from Phoenix to Dublin for a two week vacation, getting around by rental car. They are south of the high risk age and do not have other significant risk factors.

    • #41
  12. Miffed White Male Member
    Miffed White Male
    @MiffedWhiteMale

    Jason Obermeyer (View Comment):

    I don’t get the significance of testing.

    If people present with flu-like symptoms, treat them. A test might tell you whether they have normal flu or the corona virus. But it’s not like we shouldn’t treat people just because we don’t have a test.

     

    I think the idea is that if you test some during the period when they are asymptomatic but communicable, you can isolate them. The argument against that seems to be that it doesn’t actually work enough to be worth the effort and resources that could be used elsewhere. 

    If people are asymptomatic why would they get tested?  

    I think we have better things for the labs and medical professionals to be doing besides testing 330 million people.

     

     

    • #42
  13. The Reticulator Member
    The Reticulator
    @TheReticulator

    Miffed White Male (View Comment):

    Jason Obermeyer (View Comment):

    I don’t get the significance of testing.

    If people present with flu-like symptoms, treat them. A test might tell you whether they have normal flu or the corona virus. But it’s not like we shouldn’t treat people just because we don’t have a test.

     

    I think the idea is that if you test some during the period when they are asymptomatic but communicable, you can isolate them. The argument against that seems to be that it doesn’t actually work enough to be worth the effort and resources that could be used elsewhere.

    If people are asymptomatic why would they get tested?

    I think we have better things for the labs and medical professionals to be doing besides testing 330 million people.

    Maybe we can order self-test kits from Amazon, just like we order DNA kits from ancestry.com. (I have no idea of how bad an idea that might be, partly because I don’t know what the test consists of.)

     

    • #43
  14. Clifford A. Brown Member
    Clifford A. Brown
    @CliffordBrown

    The Reticulator (View Comment):

    Miffed White Male (View Comment):

    Jason Obermeyer (View Comment):

    I don’t get the significance of testing.

    If people present with flu-like symptoms, treat them. A test might tell you whether they have normal flu or the corona virus. But it’s not like we shouldn’t treat people just because we don’t have a test.

     

    I think the idea is that if you test some during the period when they are asymptomatic but communicable, you can isolate them. The argument against that seems to be that it doesn’t actually work enough to be worth the effort and resources that could be used elsewhere.

    If people are asymptomatic why would they get tested?

    I think we have better things for the labs and medical professionals to be doing besides testing 330 million people.

    Maybe we can order self-test kits from Amazon, just like we order DNA kits from ancestry.com. (I have no idea of how bad an idea that might be, partly because I don’t know what the test consists of.)

     

    Maybe a little skull and crossbones for positive and the yellow smiley face for negative.

    • #44
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