Archives for category: Health

The Boston Globe reports on the questions that public officials are trying to resolve in Massachusetts:

State and city school officials haven’t made a firm commitment yet as to when Massachusetts public schools might reopen for a number of good reasons. Before they can welcome a million students back to their classrooms, administrators must resolve a seemingly endless series of hard questions.

How do you load elementary school children onto a bus while keeping them 6 feet apart?

How do you protect the estimated 20 percent of teachers who are 55 or older from getting seriously ill?

How do you serve lunch?

And that’s before you even get to the money problem: Running a school is about to get a lot more expensive, just as the crashing economy may force state and local governments to cut school budgets…

In in recent testimony before a legislative committee, state Education Commissioner Jeffrey C. Riley described potential recommendations that could make school look markedly different than before the pandemic, including the extensive reliance on social distancing, expanded mental health services, and the possible need for students and staff to wear masks.

In addition, Riley said schools may need to develop plans for “potential extended school closings.” He held out the possibility that schedules will need to be modified, and that at least some classes may continue to be taught remotely.

“The plan will include guidance on physical and virtual learning environments and many other topics,” Riley said in a statement.

Riley declined to provide an outline for when schools might resume in-person classes, saying only that officials were beginning to map out a plan to reopen schools “when conditions are right…”

Boston school Superintendent Brenda Cassellius struck a similarly cautious tone on providing a timeline for reopening the city’s 125 schools. There are just too many unknowns — including the possibility of a fall surge in COVID-19 cases — to provide even a tentative reopening date.

“It just depends on if we get through these phases [of reopening the state] successfully,” she said. “At this point we are still sheltering, and until we hit all the indicators, that will be our reality.”

New guidance from the federal government suggests school could be a lot less fun when it finally does reopen. Guidelines from the Centers for Disease Control and Prevention call for a three-step approach that includes reduced student movement within schools, canceled field trips and extracurricular activities, and meals that are served in classrooms. Staff should wear masks. Students and teachers should undergo daily temperature and symptom checks if possible, and high-risk staff should be allowed to work remotely.

Ultimately, the number of restrictions and safety measures is likely to vary from district to district, depending on the prevalence of the virus. But schools in Massachusetts, which has the fourth most cases in the country, are likely to be among the most disrupted.

“You could have school in Montana where school is functioning pretty normally, but there may be rolling closures in New York and Boston,” said John Bailey, a visiting fellow at the American Enterprise Institute.

“Hopefully these disruptions only impact this coming academic year,” he added, noting that vaccine development often takes at least 18 months. “If that is really the timeline, it means all these disruptions not just for this coming academic school year, but the following one, too.”

The problems start the moment a student climbs aboard the bus.

Cassellius estimated that, under current physical distancing guidelines, a school bus that typically holds around 65 students might be reduced to around 13 passengers. For Boston, which already has the second highest per-pupil transportation costs in the country, expanding bus service would be astonishingly expensive.

And that’s just the beginning. Are those students given a health check before boarding and, if so, who would do it? What if they arrive without a mask? How often must the buses be cleaned? And that’s to say nothing of the health and safety of the drivers.

“Half of our bus drivers are older than 60,” said Cassellius, who’s a member of the working group. “You can only imagine the contingencies we are building in terms of our fleet, in terms of our scheduling.”

It gets no easier once students arrive at school.

Just consider hand washing, which by some estimates could take nearly as long as some classes.

“I’ve seen some scenarios where they may recommend kids wash their hands every hour,” said Billerica Public Schools Superintendent Tim Piwowar, who’s part of the working group. For a class of 12 students, he said, each taking about 30 seconds to wash their hands, the loss in learning time could be staggering. “That’s six minutes of every hour. That’s a little over half an hour every day — of just hand washing.”

And what about the availability of on-site health care?

Jenny Gormley, president of the Massachusetts School Nurse Organization, said schools are running low on personal protective gear after donating their supplies to hospitals and emergency responders. She added that many schools do not currently have a full-time nurse on staff. Meanwhile, in Boston, Cassellius said that roughly a third of all school nurses are older than 60.

The CDC’s guidelines call for each school to create an “isolation room” to separate anyone who presents with COVID-like symptoms — further instructing school officials to wait 24 hours before disinfecting it after use. That’s going to be a major concern in urban districts such as Lynn, which are already over capacity.

“In a school of 500, at least two kids come to you every day with a fever,” said Gormley. “The CDC is saying it should not be used for 24 hours and disinfected — so does that mean we’ll need two of them?”

Under current social distancing requirements, some classes may have to shrink to a third of their former size. So will students attend school in morning and afternoon shifts? Will they alternate days? Weeks? Even so, how do you keep first-graders from touching one another? And what will cleaning costs look like?

School leaders say remote learning is likely to continue to play some role when schools resume in-person classes. For instance, students could alternate days at home with days in school. But if teachers are expected to hold physical classes each day, who will staff online learning? Will classes have both in-person and online learners? Will districts have to hire more teachers? Will they enlist more subs? Will it fall to existing faculty…?

“We will need a New Deal level of funding from the federal government,” said Merrie Najimy, president of the Massachusetts Teachers Association.

One of the first tasks when students return to school will be to figure out their academic levels after the most disrupted school year in decades. Some students will have lost more ground than others, requiring educators to come up with individualized plans to catch students up.

In addition to potential educational backsliding, many students will be returning to school with fresh trauma, be it a parent out of work, a death in the family, or months locked away with abusive relatives.

Cassellius said trauma in schools is typically confined to, say, the death of an individual student or teacher, which often affects the entire school community.

“What you have now is every single child, every single family, and every single adult within the community being impacted by this pandemic,” she said. “It’s unbelievable the amount of trauma that we’re going to have.”

What’s more, the virus threatens to exacerbate longstanding social inequalities in a school system already marked by vast gaps in student opportunity and achievement. For example, more than 20 percent of Boston public school students have likely not logged on to one of the district’s main online platforms this month; many of those students were the most disadvantaged, including many English language learners.

“Whatever gaps existed before are going to be even wider, because this crisis has exacerbated the disparities for children in their learning circumstances outside of school,” said Paul Reville,a former state education secretary. “Some children have virtually 24/7 stimulation enrichment, others have virtually nothing.”

Similarly, Jal Mehta, a professor at Harvard’s Graduate School of Education, said the crisis offers an opportunity to fundamentally rethink how we educate students going forward. For example, since teachers’ in-person time with students will likely be limited, perhaps schools should concentrate on a few subjects in greater depth, while pruning away breadth in others, sort of like a college major.

“You’ve got to treat the contact time as gold,” said Mehta. “You want to think about what can we do in person that we couldn’t do at home, and vice versa.”

Others suggested holding tutorial sessions for low income students over the summer and other vacations — not unlike affluent families who send their kids to math camp. Still others called on schools to develop individual learning plans for all students, creating a more customized approach.

All of this, of course, will take money — lots of it.

“That’s going to be really where the shoe pinches,” said Reville, who warned against regarding a return to the status quo as a victory.

“That would be a gigantic wasted opportunity.”

What I learned from this article, among other things, is that the “Spanish flu,” which caused 50 million deaths around the world in 1918, did not start in Spain. The author argues that it actually started in Kansas and was brought to Europe by American troops who had come to make the world “safe for democracy.” And one other thing: the author, John M. Barry of Tulane, believes that Woodrow Wilson did not die of a stroke while at the Paris Peace Conference, but of the influenza.

This was no ordinary flu. It was deadly and devastating. The first wave was bad. The second wave was even worse.

For a fascinating look at the 1918 pandemic, read this article. It was written in 1917.

Peter Greene explains the CDC guidance for schools. He does so in his inimitable style.

He links to the official guidelines and reviews them.
Bear in mind that most parents, teachers, and students want to return to real school, but with precautions in place.

Trump says even if the coronavirus comes back for a second round, there will be no more shutdowns. That means that even if there is a sharp increase in infections and deaths, the economy will keep humming, no matter the risk to life.

The Boston Globe wrote:

President Trump said on Thursday that “we’re not gonna close the country” again if the coronavirus sees a resurgence.

During a tour of a Ford plant in Michigan, a reporter asked the president if he was concerned about a potential second wave of the illness.

“People say that’s a very distinct possibility. It’s standard. And we’re going to put out the fires. We’re not gonna close the country. We’re going to put out the fires — whether it’s an ember or a flame, we’re going to put it out. But we’re not closing our country.”

Put another way, Trump is willing to sacrifice as many lives as necessary to keep the economy open.

Salvador Rizzo of the Washington Post writes about a letter sent by Trump to the World Health Organization, in which he made false claims.

Trump is poorly staffed. He is ignorant and he is surrounded by sycophants who are dumber than he is.

He is an international laughing stock.

Rizzo writes:

Any letter signed by the U.S. president and sent to an international organization would have gotten a thorough scrubbing in previous administrations: research, vetting, fact-checking, multiple layers of review, the works.

It’s fair to say President Trump’s letter this week to the head of the World Health Organization got a much lighter touch. We found several false or misleading statements to fact check. And we weren’t the only ones who noticed. The editor of the Lancet, the British medical journal, issued a response accusing Trump of being “factually inaccurate.”

Here’s a sample of fishy claims in Trump’s letter dated May 18 to WHO Director General Tedros Adhanom Ghebreyesus:

“The World Health Organization consistently ignored credible reports of the virus spreading in Wuhan in early December 2019 or even earlier, including reports from the Lancet medical journal. The World Health Organization failed to independently investigate credible reports that conflicted directly with the Chinese government’s official accounts, even those that came from sources within Wuhan itself.”

Richard Horton, the Lancet’s editor in chief, issued a statement on Twitter pointing out no such study existed: “Please let me correct the record. The Lancet did not publish any report in early December, 2019, about a virus spreading in Wuhan. The first reports we published were from Chinese scientists on Jan 24, 2020.”

The Jan. 24 Lancet study says “the symptom onset date of the first patient identified was Dec. 1, 2019,” with patients in the study hospitalized between Dec. 16 and Jan. 2. The White House did not respond to a request for an explanation.

“On March 3, 2020, the World Health Organization cited official Chinese data to downplay the very serious risk of asymptomatic spread, telling the world that ‘COVID-19 does not transmit as efficiently as influenza’ and that unlike influenza this disease was not primarily driven by ‘people who are infected but not yet sick.’ China’s evidence, the World Health Organization told the world, ‘showed that only one percent of reported cases do not have symptoms, and most of those cases develop symptoms within two days.’”

Tedros did say this at a March 3 briefing, as part of a presentation on the ways covid-19 was different from the seasonal flu. But he also said “covid-19 causes more severe disease than seasonal influenza. … Globally, about 3.4 percent of reported covid-19 cases have died. By comparison, seasonal flu generally kills far fewer than 1 percent of those infected.” He urged governments to expand contact tracing because it would slow the spread of infections. “We can’t treat covid-19 exactly the same way we treat flu,” Tedros said, noting there would be no vaccine for some time.

For the full fact check, click here.

The Washington Post published this story of a child who became ill with a disease that afflicted her gmheart, caused by the coronavirus. The CDC calls it MIS-C, which is defined in the story. This same disease is also called the Kawasaki disease.

The day Juliet Daly’s heart gave out started much like every other Monday during the quarantine.

The 12-year-old from Covington, La., padded out of her room in her PJs shortly after 7 a.m., ate a half-bowl of Rice Krispies, and got on a Zoom call with her sixth-grade social studies class. She had been feeling unwell all weekend with twisting abdominal pains, vomiting and a fever of 101.5, but she seemed to be on the mend.

The weird thing, she recalled, was that her lips looked bluish in the mirror and she was super tired. In fact, she kept falling asleep unexpectedly. On the couch. In front of her computer. In the bath.

“I thought I was feeling a bit better,” she said, “but I couldn’t keep my eyes open.”

With all the news swirling around them about the pandemic, her parents, Sean and Jennifer Daly, had been monitoring their daughter’s illness closely. She had been healthy and did not have a cough, shortness of breath or other typical symptoms of covid-19, so Jennifer, a radiologist, initially suspected appendicitis, some kind of stomach bug, or perhaps the flu.

That afternoon, they took Juliet to the emergency department, where doctors noticed an unusual constellation of symptoms pointing to a different problem. Her heart rate was extraordinarily low, jumping around in the 40s when it should have been between 70 to 120 beats per minute. And when they squeezed her nails, they turned white and stayed white when they should have gone back to pink.

Juliet was in a kind of toxic shock, and her heart had become so inflamed it was barely beating.

It was still relatively early in the outbreak, April 6, and the hospital hadn’t seen other children in this condition. But the doctors knew enough about the pathogen’s effects on adults that they immediately suspected the coronavirus.

A girl survived two heart attacks. Doctors are linking them to coronavirus.

Cases like Juliet’s, a puzzling inflammatory syndrome in children believed linked to covid-19, had been popping up in different parts of the world for months, but it wasn’t until recently that health authorities began tracking the phenomenon.

The number of infected children, while still small, is estimated to be a few hundred — larger than anyone anticipated for a disease thought to inflict little, if any, harm on children. Doctors in Britain and Italy had issued alerts in April, and the American Heart Association warned last week that some pediatric patients “are becoming very ill extremely quickly,” urging providers to evaluate them right away.

On Thursday night, the Centers for Disease Control and Prevention issued an advisory and gave the unusual condition a name — multisystem inflammatory syndrome in children, or MIS-C.

More than 100 children are believed to have it in New York state, with about half in New York City, where three have died. In recent days, medical centers in 14 other states have reported similar cases. Scientists still believe most children and young people experience only mild illness or none at all if they become infected with the coronavirus. But they’re concerned about the critical nature of the inflammatory syndrome cases, which seem to be appearing in children weeks after a wave of infections in their communities.

“We’ve been seeing kids steadily for two months,” said Roberta DeBiasi, infectious disease specialist at Children’s National Hospital in the District. “But this presentation is clearly different. It’s not that we just didn’t notice this before. It’s a new presentation. And the fact that it’s happening two months after the initial circulation of the virus gives weight to the idea that it’s an immune-mediated phenomena.”

Jennifer Owensby, a pediatric intensivist at Rutgers’s Robert Wood Johnson University Hospital in New Brunswick, N.J., said the first group of children she saw with covid-19 appeared to have classic respiratory symptoms, such as shortness of breath. Now, she said, “The vast majority are coming in with symptoms of cardiac failure, which is extremely rare in pediatrics, especially in normal, healthy kids — which is why this is so alarming.”

Writing in the Lancet medical journal this week, Italian doctors reported on a cluster of 10 children struck with the inflammatory condition in the coronavirus epicenter of Bergamo. The cases appear to have characteristics of an illness first identified in Japan known as Kawasaki disease, which causes inflammation in blood vessels and includes a persistent fever. But these children were older than is typical with Kawasaki, which usually strikes those younger than 5, and they had more serious heart issues.

Just like Juliet, who is among the first known children in the United States to develop multisystem inflammatory syndrome.

Sean Daly was at the hospital with “Jules,” as he sometimes called her, while Jennifer was on the phone from work.

A transportation planning consultant with no medical background, Sean remembers feeling confused as doctors told him they were giving his daughter an epinephrine drip to help her heart, and were sending her to a larger hospital with more expertise and equipment. They said they would put her on a ventilator to stabilize her for the helicopter trip to Ochsner Medical Center, about 50 miles away in New Orleans.

Sean, unaware of the gravity of his daughter’s condition, thought ridiculous thoughts about the absurdity of his shorts and flip-flops amid the alien-looking hospital workers in head-to-toe protective equipment. And he thought about how, just a few minutes earlier, his daughter had been well enough to walk across the parking lot and into the ER. He heard an announcement about something called a “code blue” and wondered why more and more people kept rushing into her room.

When the attending doctor finally popped out, Sean recalled, she was shaking. She said Juliet had gone into cardiac arrest, and it took them nearly two minutes of CPR, or cardiopulmonary resuscitation, to revive her.

“It didn’t process all that well with me,” he said. “She was telling me Juliet was ‘back,’ and I was like, ‘That’s good. I didn’t know she had gone anywhere.’ Thankfully I was not in the room. I don’t think I would have handled that.”

Jennifer was hysterical.

“It was horrific. It was beyond anything. It was shocking how quickly it happened,” she recalled.

‘Is she alive?’

When Jennifer arrived at Ochsner, she didn’t understand how she could have possibly beaten her daughter there. She had driven for about an hour in a semicircle around Lake Pontchartrain while Juliet had been airlifted.

“I was crying and freaking out,” she recalled. By the time she was able to grab a nurse, she feared the worst. “I just need to know one thing now,” she demanded. “Is she alive?”

Juliet’s helicopter had been delayed because she had coded a second time and, again, doctors restarted her heart. But by the time they wheeled her into the pediatric intensive care unit in the new hospital, some of her other organs had begun failing, too, probably because the heart was unable to pump the oxygen-filled blood they needed.

Juliet’s liver and kidneys were in shock. There was blood in her lungs. Her pancreas was inflamed.

Heartbeats are controlled by electrical impulses that travel down the right and left branches of the heart at the same speed. Somewhere in Juliet’s heart, a block was causing the system to go haywire.

A team of pediatric cardiology specialists gave Jennifer a name for her daughter’s condition: acute fulminant myocarditis — a sudden onset of heart failure, shock or life-threatening arrhythmias.

The doctors began medications, requisitioned a heart bypass machine in case it was needed, and prepared Jennifer for the possibility that Juliet might need a transplant.

“They were not sure she was going to make it the first night,” Jennifer said. “It was a total nightmare.”

Meanwhile, Juliet’s nasal swabs came back positive for the coronavirus and adenovirus, one cause of the common cold. The results were bewildering because none of the other family members — Sean, Jennifer or Juliet’s brothers, ages 5 and 16 — had been the least bit sick. But if her condition was post-viral, occurring weeks after infection — as scientists increasingly suspect in such cases — there were any number of ways she could have been exposed, since school had still been in session and stay-at-home orders had not yet been issued.

Since none of Juliet’s family had symptoms and test kits were in short supply in the area, doctors opted not to test them.

After confirming the coronavirus diagnosis, doctors gave Juliet an immunoglobulin product used successfully on Kawasaki patients. They ruled out using hydroxychloroquine, the anti-malarial touted by President Trump, because they were worried about cardiac side effects given her already fragile heart condition.

As Jennifer sat in the room with full protective equipment, including a face shield, mask and gown, she held her daughter’s hand. Only one parent was allowed, so Sean stayed at home with the boys.

Unable to sleep, Jennifer started a group text chat so she could keep family and friends updated. She played Juliet’s favorite song — Maroon 5′s “Moves Like Jagger” — vowed to be as optimistic as possible and prayed.

Recovery

That first night was torture. Juliet’s heart was starting and stopping, beating too fast and then too slow, as doctors adjusted the medications. But within 24 hours, almost miraculously, she seemed to be stabilizing. The numbers on her labs for her kidneys and liver were moving in the right direction, and the echocardiogram of her heart had improved.

While Jennifer joked with her husband about Juliet being a heavy sleeper, there were instances when her daughter woke up and seemed to understand her completely.

“We love you,” Jennifer would say. “You’re going to get better.”

She talked about an Easter egg hunt she would have in the yard with her brother, Dominic.

Juliet was able to give a thumbs up and squeeze her hand.

“I’m optimistic she is neurologically intact,” Jennifer texted to Sean. Her tone was clinical, but it had been one of her worst fears as a mother.

By Thursday, doctors were confident enough in Juliet’s progress that they took her off the ventilator, letting Juliet breathe on her own. She was still on a lot of medications and confused and upset about all the tubes coming out of her body.

Jennifer remembers reassuring her she was safe in the hospital, but that she was still very sick and weak.

Juliet’s reaction wasn’t what she expected: “No Mommy, I’m not weak. I’m strong!”

“The first day of regaining consciousness, I was freaking out. I wanted to go home badly,” Juliet recalled. She said she was terrified of how everyone kept stepping on all her cords, which were tangled and plugged in outside because the nurses wanted to limit how many times they came into her room. The Band-Aid on her neck was “way too sticky for humankind.” And she could taste the saline they were giving her via IV, and it was bad.

Then on April 15, almost as suddenly as she had been admitted nine days before, doctors told Juliet she was well enough to go home.

Juliet has no memories of when her heart stopped twice, and her parents are grateful for that.

She was discharged on four medications — two for the heart, a blood thinner and one for her pancreas — but bounced back physically in no time. She was able to return to her school’s online classes, in which she’s continuing her streak of As, and has no trouble riding her bike around the neighborhood.

Doctors monitoring her closely say the drugs are temporary and that they are hopeful she’ll make a full recovery. On Friday, she returned to Ochsner for the first time since her hospitalization for a one-month follow-up appointment. Jake Kleinmahon, the pediatric cardiologist who is treating her, said he was thrilled when the echocardiogram of her heart looked “completely normal.” Like other children with myocarditis, she is restricted from competitive sports for six months (Juliet’s parents say that’s not a problem as she doesn’t really like to sweat) but is otherwise free to engage in activities.

“I do not expect her to have any long-term complications or limitations, even though she came in so severely ill,” Kleinmahon said. “She is quite a fighter and such a brave young girl.”

The only odd change, Juliet said, is that she came out of the hospital with a monster craving for bacon, which she didn’t love before. And she no longer wanted doughnuts, which had been among her favorite foods. Such changes in taste are not uncommon after ICU stays, doctors say.

The emotional part of her recovery has been more challenging. Juliet thinks about other kids who might become sick with the same syndrome. She says she would advise them “not to freak out too much because freaking out makes things worse. Because that’s what I did, and that didn’t help at all.”

She worries more about her family and friends, their future and hers, and the strange world of viruses she knew nothing about before.

“I feel like I’m a bit self-conscious about my body because I don’t know what’s going to happen next,” she said. “I’m worried about how there’s a lot of other stuff you can get.”

Veteran teacher Arthur Goldstein fears that Republican Senator Mitch McConnell will use his power to destroy public services in New York and other states whose revenues have been devastated by the pandemic.

He writes:

If we want to continue to get care when we’re sick, give our children education, and have police and firefighters to protect us, we’re going to need a federal bailout that devotes real money to real people, as opposed to corporations. It seems like common sense, but common sense seems to be the least common of all the senses.

In NYC, where I work, it took decades to recover from the teacher shortage that followed 1975 layoffs. Students sat in classes of 50 or more. We now know that class size is not merely an educational priority, but also a health priority. Can you imagine trying to social distance 50 students in a classroom?

Not everyone considers that worth worrying about. According to Senate Majority Leader Mitch McConnell, we may or may not get federal aid for actual working people in states and communities. Evidently, before we consider such frivolities, we need to protect businesses that compel people to work in an epidemic. Perish forbid, says McConnell, they should be held responsible when their employees get sick or die. This notwithstanding, Americans who worked their whole lives in expectation of a pension are not a priority for McConnell. This is a curious value.

I’m not at all sure why business takes priority over people. We’ve bailed out big airlines and big hotels. Evidently McConnell and his BFFs need to travel and stay somewhere, and roadside inns just won’t do. Even as tens of millions of Americans find themselves newly without jobs or health insurance, we’ve made sure Wall St. didn’t feel too much pain.

McConnell himself need not worry. Aside from whatever money he’s accrued during his Senate career, he’ll be getting a fixed pension of $139,200 a year, courtesy of US taxpayers. .I’ve yet to hear him say that Congressional pensions ought to be cut or rescinded, despite massive red ink in the federal budget. So why, then, is he so hard on states having trouble meeting their obligations?

The answer, of course, is that these states are blue states. The GOP Senate appears to believe states that didn’t vote for them don’t deserve to be helped. Therefore it’s okay for them to go bankrupt. Then they won’t have to bother with unimportant things like paying pensions or providing health service for unimportant people who don’t add value to Wall St. We’re talking about, teachers, cops, firefighters, nurses, among others who seem to matter not at all to McConnell.

But if Congress refuses to help states, it will harm ALL states, not just blue states. It will even hurt Kentucky, McConnell’s home state. Teachers, police, fire fighters, all public sector workers will be harmed.

Keep reading.

The Lancet, one of the world’s most prestigious medical journals, called on Americans to replace Trump for his grossly incoherent response to the pandemic.

One of the world’s oldest and best-known medical journals Friday slammed President Trump’s “inconsistent and incoherent national response” to the novel coronavirus pandemic and accused the administration of relegating the Centers for Disease Control and Prevention to a “nominal” role.

The unsigned editorial from the Lancet concluded that Trump should be replaced.
“Americans must put a president in the White House come January, 2021, who will understand that public health should not be guided by partisan politics,” said the journal, which was founded in Britain in 1823.

The strongly worded critique highlights mounting frustration with the administration’s response among some of the world’s top medical researchers. Medical journals sometimes run signed editorials that take political stances, but rarely do publications with the Lancet’s influence use the full weight of their editorial boards to call for a president to be voted out of office.

The death toll in the US has passed 85,000 and continues to rise.

Bob Shepherd lists what he hopes will be the lessons learned from the pandemic nightmare.

Since I agree with him, I hope you will read his six lessons.

Feel free to add your own ideas.

Number one: Distance learning is a crock, and teachers are really, really important.

John Thompson, historian and retired teacher, has posted here many times about education and politics in his home state of Oklahoma.

He writes today about the politics of the pandemic:

When David Holt was elected mayor of Oklahoma City, I shared some of the concerns of fellow educators. I worried that the former Republican state senator would push for more charters, perhaps even the so-called “portfolio model.” But, what I’ve seen has been a civil rights advocate who actually listened to all sides. I repeatedly hear from friends that Holt has probably spent more time in African-American churches than all of our city’s previous mayors combined, and I suspect that is a big reason why he hasn’t bought the simplistic spin which many other Oklahoma leaders have.

I’ve attributed Mayor Holt’s open-mindedness, in large part, to the conversations that went with his celebration of the 60th anniversary of the nation’s largest Sit-In movement, which was led by Oklahoma City teachers and students. He listens. He’s not afraid to face hard facts of life.

In his 2020 State of the City address, Mayor Holt proposed a “big picture, everything-is-on-the-table, visionary conversation” about making schooling a team effort. Holt said it would “truly” be a collaboration between the OKCPS, the City of Oklahoma City, and community partners. Our schools and city need a “unified vision,” he explained. We especially need educators who “feel free to talk about the things nobody could achieve on their own.”

https://oklahoman.com/article/5656021/holt-focuses-2020-state-of-the-city-speech-on-idea-of-collaborative-conversation-to-improve-public-schools

Mayor Holt is now facing a challenge he cannot overcome on his own. And sadly, the stakes this month are life and death. I strongly believe that most people in Oklahoma City support the mayor’s leadership and his shelter-in-place policies. But we’re also the state where “one city abandoned its mask rule after store clerks were threatened,” and a McDonald’s customer shot two employees because she was “angry that the restaurant’s dining area was closed.”

https://www.nytimes.com/aponline/2020/05/08/business/bc-us-virus-outbreak-customer-tensions.html?searchResultPosition=4

So, I’m turning to a national education blog in order to tell a full story of a conflict that is growing across the nation. And since the Oklahoma governor intends to open up the state to an even more dangerous degree on May 15, our mayor, who has listened so respectfully to all sides but, above all, to the science, needs the public’s support.

For the first month of the COVID-19 pandemic, it looked like Mayor David Holt would be going down in history as Oklahoma City’s version of Dr. Anthony Fauci. Holt deserves much of the credit for helping Oklahoma City once be ranked by the New York Times as one of the nation’s top cities where “There May Be Good News Ahead.” The Times further explains that the April contagion’s decline occurred in Tulsa and Oklahoma City, but that the state is facing a rebound of the virus.

After facing irresistible pressure to prematurely reopen the city’s economy, it might seem like the Holt-Fauci comparison won’t endure. I believe that the next few weeks could further illustrate Holt’s and Fauci’s similarities. In both cases, the outcomes could be tragic.

In early March, Mayor Holt made it clear, “We will listen to the CDC (Center for Disease Control), we will listen to our local public health officials and we will follow the best science that the world has to offer.” Despite pressure to reopen Oklahoma City’s economy to boost short-term economic outputs, Holt says, “We will prioritize life.”

https://journalrecord.com/2020/04/20/mayor-holt-plan-to-reopen-will-prioritize-life/?utm_term=Mayor%20Holt%3A%20Plan%20to%20reopen%20%5Cu2018will%20prioritize%20life%5Cu2019&utm_campaign=JR%20Intelligence%20Report%3A%20Oil%20below%20zero%3B%20State%20revenue%20failure%20declared%3B%20Mayor%20Holt%3A%20Plan%20to%20reopen%20%5Cu2018will%20prioritize%20life%5Cu2019&utm_content=email&utm_source=Act-On+Software&utm_medium=email

Similarly, as explained by Stanford’s David Reiman, Dr. Fauci “has essentially become the embodiment of the bio-medical and public-health research” which must drive decision-making. He’s done so by becoming “completely a-political and nonideological.” Fauci learned from the AIDS crisis, where he was among the first to sound the warning. He listened to protesters and adjusted his thinking based on solid evidence. Then and now, and when dealing with epidemics in between, Fauci saved countless lives by placing science over politics.

https://www.newyorker.com/magazine/2020/04/20/how-anthony-fauci-became-americas-doctor

Dr. Fauci is disparaged by rightwingers as “Dr. Doom Fauci.” Mayor Holt has faced similar pressures. He must deal with Gov. Kevin Stitt’s dangerously mixed messages. And the Oklahoma Council of Public Affairs (OCPA), a free-market think tank, has pushed a petition, claiming it “appears to fall in line with the recent goals announced by Gov. Kevin Stitt.” The OCPA denigrated “shelter-in-place” orders as “oppressive.” In doing so, it makes the type of simplistic claim which could be doubly dangerous as we navigate the complexities of returning to a more normal economy.

https://oklahoman.com/article/5660521/tulsa-tea-party-leader-organizing-back-to-work-rallies
https://oklahoman.com/article/5659690/stitt-says-his-safer-at-home-order-is-the-same-as-a-shelter-in-place-is-it
https://www.ocpathink.org/post/citizen-petition-supports-reopening-state

OCPA President Jonathan Small argues that Oklahoma doesn’t face a shortage of hospital beds so there is no “valid reason” for not allowing people to return to work. In fact, a premature attempt to return to normal could spread the virus, undermining the economy, as well as causing avoidable deaths. This will remain especially true until widespread testing for the virus is in place.

Even worse, the Oklahoma Department of Commerce, the Governor’s Council on Workforce Development, the Oklahoma Employment Security Commission, and Stitt have indicated they support policies that could require workers to choose between their health and their income. Worse still, The Frontier reports that Secretary of Commerce and Workforce Development Sean Kouplen is urging employers to report workers “if they refuse a job offer from their former employer as the state begins to reopen.”

As state reopens, Oklahoma workforce leaders discuss asking for end to federal unemployment payments
State encourages businesses to report workers who refuse to return to jobs

Because of Oklahomans’ pre-existing health problems, our state is especially at risk. Like Dr. Fauci, Mayor Holt’s first and probably most important contribution was the decisiveness which kept Oklahoma City from repeating the tragic quarantine delays in Italy, Spain, Detroit, and New Orleans. When the virus peaks, however, more complicated and nuanced decisions must be made. As Charles Duhigg explains in the New Yorker, “Epidemiology is a science of possibilities and persuasion, not of certainty or hard proof.”

https://www.newyorker.com/magazine/2020/05/04/seattles-leaders-let-scientists-take-the-lead-new-yorks-did-not

Even though it made no sense to open barber shops, hair and nail salons, and spas by May 1 or earlier, nobody knows what is the right timing for reopening the economy. As Holt explains, “May 1st is not a light switch, it is a dimmer.” After expressing his concerns about Stitt’s reopening order, Holt said he intends to monitor data and adjust accordingly, and “If there’s a sudden shift, if there’s a spike, then obviously this experiment has failed and we have to go back to an earlier phase.”

http://www.msnbc.com/transcripts/msnbc-live/2020-04-27

Holt says he wields “a pen, not an army.” He correctly adds that people are choosing to respect public health officials’ expertise. Holt shares the credit for our social distancing successes, “People are staying home because they don’t want to die.” And yes, he was correct in asking, “who in their right mind” would want to end restrictions too early?

Oklahoma City Mayor Holt issues “shelter in place” order effective Sat night


https://kfor.com/news/local/people-are-staying-at-home-because-they-dont-want-to-die-oklahoma-mayor-stresses-importance-of-social-distancing/

A Greater Oklahoma City Chamber survey backs the mayor’s appraisal. It found 67 percent of responding businesses cited “employee fear” as the biggest barrier to reopening. Moreover, 37 percent of companies plan to bring employees back in stages, as opposed to 20 percent intending to return their entire staff at once.

https://journalrecord.com/2020/04/30/some-businesses-reopening-others-remain-closed/

Neither Holt nor Fauci know exactly what our next steps should be and when to take them. But, as long as we can learn from their leadership, we can all make wiser decisions.

Across the nation, some are responding to President Trump’s incitements, even bringing automatic weapons into the Michigan capitol to protest that state’s stay-at-home policies and in Stillwater, Ok, threatening violence to to stop the order to wear masks in businesses.

However, the New York Times’ David Brooks offers hope that Americans will listen to leaders like Holt and Fauci. Brooks distinguishes between “weavers and rippers.” He says, “The weavers try to spiritually hold each other so we can get through this together. The rippers, from Donald Trump on down, see everything through the prism of politics and still emphasize division.” Brooks concludes, “Fortunately, the rippers are not winning. America is pretty united right now.”

He cites polls showing that “98 percent of Democrats and 82 percent of Republicans supported social distancing rules,” and that “nearly 90 percent of Americans think a second wave of the virus would be at least somewhat likely if we ended the lockdowns today.”

As Nondoc reported, the early evidence on Oklahoma City’s reopening is mixed. Were it not for Holt’s leadership, however, I wonder how many more Oklahomans would be open to an absurd campaign to discredit “weavers” like Dr. Fauci and the Oklahoma experts who haven’t been able to persuade Stitt to slow down.

https://nondoc.com/2020/05/01/some-oklahoma-businesses-re-open/