7 Hard and Crucial Lessons of Covid-19

Plaguing the world for more than a year, the coronavirus has forced reckonings in everything from scientific understanding to heart-wrenching inequities in health care and the economy. Given the human tendency to ignore history, here, for the record, are seven vital lessons we can take from the Covid-19 pandemic, which could start benefiting us now and for generations to come.

1. Virus science just underwent a paradigm shift

Sanitizing groceries and drowning our homes with bleach was wrongheaded, in hindsight. That early advice reflected an outdated view of how the coronavirus, influenza, and other respiratory viruses spread, some of it based on experiments done in the 1930s.

Combining expertise in atmospheric chemistry, aerosol physics, and disease transmission, a few often-ignored scientists were pointing out many months ago how SARS-CoV-2, the Covid-causing coronavirus, really gets around:

“The main mode of transmission is through the air, by breathing in aerosols that contain the virus,” explains one of those experts, Jose-Luis Jimenez, PhD, a chemistry professor at the University of Colorado, Boulder. “There are zero cases where the virus has been shown to transmit [via] a surface.”

(Other researchers have echoed the absence of any documented cases of surface transmission. It may have happened, but it’s clearly not the most common means.)

Unfortunately, Jimenez and other virus-transmission experts complain, the World Health Organization and U.S. Centers for Disease Control and Prevention have been slow to acknowledge the outsized role of airborne spread and to translate what leading experts have been saying since last spring into loud and clear advice.

“Millions of people have been infected because we emphasized defending ourselves against a mode of transmission that’s minor (surfaces) while ignoring the major one (air),” Jimenez tells Elemental. “Going forward, we need to realize that most or all respiratory viruses likely transmit through the air in the same way as SARS-CoV-2, and we need to prepare for the next pandemic or the seasonal flu [by] building on this paradigm shift on how transmission works.”

So while hand-washing remains important for protection against disease in general and may help with Covid, we now know that masksdistancing, air filtration, and ventilation are the key ways to lower the risk of coronavirus infections in homes, businesses, schools, or anywhere people gather.

2. We were not prepared for this

Covid-19 has killed more Americans than any conflict since the Civil War. Yet the agencies that research and defend against disease are underfunded, scientists argue. The Department of Defense’s budget is about $700 billion. The annual budget for the National Institutes of Health, which oversees the CDC, the Food and Drug Administration, and other health agencies, is around $40 billion — lower than it was nearly two decades ago. Meanwhile, state budgets and staffing aimed at battling health emergencies have been slashed over the past dozen years.

Yet trillions of federal dollars are now being spent to deal with the disastrous health and economic fallouts of inadequate pandemic preparation and response.

“The amount of money we have spent and lost during Covid-19 is greater than we would spend for a war,” points out Krutika Kuppalli, MD, an assistant professor of infectious diseases at the Medical University of South Carolina. “Yet infectious-diseases research is not funded nearly at the level that our Department of Defense is funded because people do not conceptualize the destruction from outbreaks on the level of a war.”

The United States lacked masks, gowns, and other necessary equipment. There was no system in place for widespread disease testing, contact tracing, or rapid vaccine distribution. Meanwhile, the entire U.S. health care system was (and remains) riddled with social inequities and segmented policies that left it woefully unprepared to react properly to the threat, communicate consistently to the public, and treat the sick.

Kuppalli is one of many infectious-disease experts that view this debacle as a warm-up for next time — when an even deadlier new pathogen promises to rear its ugly pandemic head.

“We need to have local, state, and national stockpiles of essential resources such as personal protective equipment, medications, and other supplies,” she says. “We also need to fund infectious-diseases research and pandemic response consistently and not be reactive to these outbreaks.”This Pandemic Is Not Even the ‘Big One’Covid-19 is merely a wake-up call to scenarios that keep infectious-disease experts up at nightelemental.medium.com

3. Viruses will exploit every opportunity we give them

Who knew the novel coronavirus would be so infectious and deadly, that it could evolve, resurge multiple times, learn to evade treatments and vaccines, and plague humanity for more than a year? Well, lots of scientists did. And per their expectations, clearly stated in spring 2020, the coronavirus didn’t magically disappear. Instead, it took full advantage of patchwork, stop-and-start, often ostrich-level prevention strategies in the United States and elsewhere.

“What can happen will happen in the permissible environment afforded to the virus in the U.S. and other countries,” says Mark Cameron, PhD, an immunologist and medical researcher in the School of Medicine at Case Western Reserve University in Ohio.

History is poised to repeat sooner than anyone would wish, Cameron and other experts fear. The pace of new cases has bottomed out at troublingly high levels, new variants are more infectiousin some cases deadlier, and prone to at least partially evade existing treatments and vaccines. With states lifting mask mandates and other mitigation strategies long before vaccinations approach helpful herd-immunity numbers, there is “plenty of opportunity” for the coronavirus to resurge yet again, Cameron says.

“We should know better by now,” he tells me. “Understanding what can happen is our best opportunity to prevent what will happen.”Variant or ‘Scariant’: When to Worry About Covid Virus StrainsPlus, the most important way to prevent more variants from emergingelemental.medium.com

4. Novel viruses should never be taken lightly, by anyone

This one you probably know by heart: The coronavirus is highly infectious yet often causes no symptoms, hitching stealthy rides in unwitting incubators of all ages. Young people don’t die at high rates — though more than 300 children and teens have succumbed — but it’s clear they contribute to transmission.

That much we know. But there is much we’re still learning.

In addition to the staggering death toll, the virus also causes inexplicable “long Covid” symptoms, ranging from fatigue, “brain fog,” and gastrointestinal issues to anxiety and depression, typically with no identifiable cause or obvious medical markers. People across all age groups are suffering for months after infection, says Francis Collins, MD, director of the NIH. Just one example: 13-year-old Madilyn Dayton, once an active athlete, can now barely stay awake for her school Zoom classes, running on half her former energy six months after catching Covid.

“We do not know yet the magnitude of the problem,” Collins says, “but given the number of individuals of all ages who have been or will be infected with SARS-CoV-2, the coronavirus that causes Covid-19, the public health impact could be profound.”Covid Casualties That Will Haunt Us ForeverThings big and small that will never be the same post-pandemiccoronavirus.medium.com

5. In-school learning is a foundation of our society

Few pandemic mitigation efforts proved more disruptive to society than school closures, which debilitated normal family function and forced working parents into the stressful and often impossible roles of substitute teacher or daycare provider. Yet in many states, schools were shuttered while the pathogenic petri dishes otherwise known as bars, restaurants, and gyms remained open, to the great consternation of scientists who know how to end a pandemic.

One tragic result: a disproportionately negative impact on women.

Since the start of the pandemic, nearly 500,000 more women than men have left the U.S. workforce, whether due to layoffs or because they’ve shouldered the bulk of the increased burden for childcare. Countless more women have reduced their work hours and missed out on advancement opportunities.

“The U.S. economy has always been hard on women, impacted by gender bias, a pronounced wage gap, and societal norms,” notes Michelle Williams, dean of Harvard T.H. Chan School of Public Health. “The pandemic has done epic damage to the progress women have made in the workforce over the past few decades.”

Children are suffering, too. School closures leave millions of kids without a square meal and the social support they rely on, fueling increases in anxiety and depression. With less-effective online education, Covid-era kids will make less money throughout life compared to children of other generations, a factor that will drag on the entire economy for decades to come.

6. Social inequities are widespread, debilitating, deadly, and enduring

Because of extreme disparities in access to health insurance and health care and other systemic disadvantages, people of color are disproportionately susceptible to contracting Covid-19, and then more likely to die from it. Already, the pandemic has shaved off three years of life expectancy for U.S. Latinos and two years for Black people, yet just 0.68 years for white Americans.

Bible verses for today’s meditation and inspiration: Matthew E. McLaren’

Then you will call on me and come and pray to me, and I will listen to you. Jeremiah 29:12 NIV

Be joyful in hope, patient in affliction, faithful in prayer. Romans 12:12 NIV

And when you pray, do not keep on babbling like pagans, for they think they will be heard because of their many words. Matthew 6:7 NIV

The Lord is near to all who call on him, to all who call on him in truth. Psalm 145:18 NIV

‘Call to me and I will answer you and tell you great and unsearchable things you do not know.’ Jeremiah 33:3 NIV

“For where two or three gather in my name, there am I with them.” Matthew 18:20 NIV

 Let us then approach God’s throne of grace with confidence, so that we may receive mercy and find grace to help us in our time of need. Hebrews 4:16 NIV

who is unseen. Then your Father, who sees what is done in secret, will reward you. Matthew 6:6 NIV

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