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                                                                                                 U.S. NEWS Thursday 5 November 2020
            Public health may be U.S. election loser as coronavirus surges




            By LINDSEY TANNER
            AP Medical Writer
            Regardless  of  the  presi-
            dential  election  outcome,
            a  vexing  issue  remains  to
            be  decided:  Will  the  U.S.
            be able to tame a perilous
            pandemic that is surging as
            holidays,  winter  and  other
            challenges approach?
            Public  health  experts  fear
            the answer is no, at least in
            the short term, with poten-
            tially dire consequences.
            Donald    Trump's   current
            term doesn't end until Jan.
            20. In the 86 days until then,
            100,000  more  Americans
            will  likely  die  from  the  vi-
            rus  if  the  president  doesn't
            shift course, said Dr. Robert
            Murphy, executive director
            of  the  Institute  for  Global
            Health at Northwestern Uni-
            versity's  Feinberg  School
            of  Medicine,  echoing  es-
            timates  from  other  public
            health experts.
            As of Wednesday, the race    In this Oct. 27, 2020, Artist Suzanne Brennan Firstenberg walks among thousands of white flags planted in remembrance of Americans
            was  too  close  to  call,  with   who have died of COVID-19 near Robert F. Kennedy Memorial Stadium in Washington.
            several  key  battleground                                                                                                      Associated Press
            states still counting votes.
            The U.S. death toll is already  careful than ever," she said.  noted. "There's a lot of suf-  has  said  he  wanted  them  and  other  restrictions  to
            more than 232,000 and the  Polls  showed  the  public  fering that is going to hap-    available right away.        control   surging   cases,
            seven-day  rolling  average  health crisis and the econ-  pen  before  then,  which  So far, the FDA has granted  Trump  has  resisted  those
            for  new  daily  deaths  is  ris-  omy were top concerns for  could have been prevent-  full  approval  to  only  one  approaches  and  has  fo-
            ing.  Total  confirmed  U.S.  many Americans.             ed," Wen said.               drug — the antiviral remde-  cused  on  rebuilding  the
            cases  have  surpassed  9  They  are  competing  issues  Federal    health   officials  sivir  —  for  hospitalized  pa-  economy.
            million and new daily infec-  that  Trump  and  Demo-     have  said  they  believe  a  tients.  Dexamethasone  or  Absent  a  national  pan-
            tions are increasing in near-  cratic contender Joe Biden  vaccine  could  get  emer-  similar  steroids  are  recom-  demic strategy, curbing vi-
            ly every state.              view through drastically dif-  gency  use  authorization  mended for certain severe-   rus spread in the U.S. will de-
            "Where we are is in an ex-   ferent lenses.               before the end of the year.  ly ill patients under federal  pend  on  more  Americans
            tremely  dire  place  as  a  Trump has ignored the ad-    The  first  limited  supplies  of  treatment guidelines.  taking  necessary  precau-
            country.  Every  metric  that  vice  of  his  top  health  ad-  doses  would  then  be  im-  The government continues  tions  and  the  upcoming
            we  have  is  trending  in  the  visors,  who  have  issued  in-  mediately  distributed  to  to  sponsor  many  studies  holiday  season  will  make
            wrong direction. This is a vi-  creasingly urgent warnings  the most vulnerable popu-  testing  other  treatments  that  a  challenge,  said  Dr.
            rus that will continue to es-  in  recent  days  about  the  lations.  Doses  would  then  alone  and  in  combination  Cedric  Dark,  an  emergen-
            calate  at  an  accelerated  need  for  preventive  mea-  gradually  become  more  with remdesivir.                 cy physician in Houston.
            speed and that is not going  sures, instead holding rallies  widely available.         But  the  development  of  "It's going to be Thanksgiv-
            to stop on its own," said Dr.  where face coverings were  The timeline hinges on hav-  treatments  could  be  af-   ing, winter break for college
            Leana Wen, a public health  rare and falsely suggesting  ing a vaccine that's shown  fected  if  Trump  makes  students,  Christmas  time
            expert at George Washing-    that the pandemic is wan-    to  be  safe  and  effective,  good  on  threats  to  fire  Dr.  and  Hannukah,"  but  fami-
            ton University.              ing.                         which  experts  note  is  not  Anthony Fauci, the govern-  lies may have to resist close
            Dr.  Susan  Bailey,  president  By contrast, Democrat Joe  yet  a  certainty.  "The  vac-  ment's  top  infectious  dis-  get-togethers  this  year,  he
            of  the  American  Medical  Biden has rarely been seen  cine  has  to  move  at  the  ease  doctor,  or  other  top  said. Outbreaks on college
            Association,  said  there  are  in  public  without  a  mask  speed  of  science,"  said  health  officials  Trump  has  campuses mean many stu-
            things  Americans  can  do  and made public health a  Dr.  Joshua  Sharfstein,  vice  clashed with.                 dents may be bringing the
            now  to  help  change  the  key issue. Whether his voice  dean  for  public  health  Most  Americans  support  virus  home  and  spreading
            trajectory.                  will carry much influence if  practice  at  Johns  Hopkins  mandating  mask-wearing  it to parents and grandpar-
            "Regardless of the outcome  Trump is declared the win-    University and former Mary-  in public and think prevent-  ents, he said.
            of the election, everyone in  ner is uncertain.           land  state  health  depart-  ing the virus from spreading  Dark,  who  hasn't  seen  his
            America  needs  to  buckle  "President  Trump  has  al-   ment chief.                  is a higher priority than pro-  parents  in  over  a  year,
            down," Bailey said.          ready  made  clear  what  On the treatment front, the  tecting  the  economy,  ac-     has  had  to  adjust  his  own
            "A lot of us have gotten kind  his strategy is for COVID-19,  makers  of  two  experimen-  cording to AP VoteCast, a  holiday  plans.  This  year,
            of relaxed about physically  which  is  to  pretend  that  tal  antibody  drugs  have  nationwide survey  of over  Thanksgiving  will  be  in  his
            distancing, not washing our  there is not a contagious vi-  asked  the  Food  and  Drug  133,000 voters and nonvot-  parents'  garage,  with  the
            hands quite as often as we  rus all around us," Wen said.  Administration   to   allow  ers  conducted  for  The  As-  door  up,  chairs  at  least  6
            used  to,  maybe  not  wear-  Trump  has  been  touting  emergency use of them for  sociated Press by NORC at  feet  apart,  and  a  space
            ing our masks quite as faith-  treatments  and  vaccines,  people with mild to moder-  the University of Chicago.   heater if needed.
            fully. We all need to realize  which  won't  be  widely  ate COVID-19, and Trump,  While  several  European  "We can at least see each
            that  things  are  escalating  available  to  all  Americans  who received one when he  countries have imposed or  other,  from  a  distance,''
            and we've got to be more  until at least mid-2021, she  was  sickened  last  month,  proposed  new  lockdowns  Dark said.q
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