https://amgreatness.com/2020/08/26/discipline-determination-and-data-will-get-us-through-the-pandemic/
While discussing many pandemic-related issues with friends and colleagues, we were reminded of the quip of journalist and satirist H.L. Mencken: “For every complex problem, there is an answer that is clear, simple, and wrong.”
As we battle the SARS-CoV-2 virus, and the illness it causes, COVID-19, the “fog of war” continues on both the medical and epidemiological fronts. On the public health side, different studies, especially those that involve modeling, seem to reach conflicting, or at least ambiguous, conclusions. And politicians and pundits have jumped in to make the fog denser, with many policy prescriptions contaminated by misinformation, ideological spin, and partisan politics.
Obtaining clarity about many aspects of COVID-19 has been elusive. Dr. Anthony Fauci has emphasized the virus’s unique “protean manifestations”: “I have never seen a virus in which you have 20 percent to 40 percent of individuals who could have no symptoms at all, to individuals who get mild illness and do not need to go to a hospital, to people confined to their beds at home for weeks with multiple post-viral syndromes,” he said.
SARS-CoV-2 is also unusual in being able to infect a broad spectrum of body tissues beyond the respiratory tract, including the digestive tract, neurons that mediate smell and taste, kidneys, and most critically, the heart and lining of blood vessels.
Infection often leads to widespread inflammation and tiny clots, which cause secondary deleterious effects. Moreover, an Italian research study found that upwards of 85 percent of patients who had been hospitalized have persistent, sometimes serious aftereffects that can drag on for an indeterminate amount of time, and possibly permanently. (The virus is too recent to know conclusively.)
The clear lesson is that efforts to prevent infection are critical. But, absent a vaccine, which is still likely far off, that’s complicated and involves difficult cost-benefit calculations.