The most dangerous phase of the US Covid-19 crisis may be yet to come – The Guardian

April marked the most remarkable and, some would say, harmful phase of the Covid-19 crisis in the US. Deaths were increasing, bodies were accumulating in cooled trucks outside hospitals in New York City and ventilators and personal protective devices were in desperately brief supply. The economy was falling off the proverbial cliff, with joblessness skyrocketing to 14.7%.
The contaminated are now younger on average, further lowering casualties. With aid from the Coronavirus Aid, Relief, and Economic Security (Cares) Act, financial activity has stabilised, albeit at lower levels.
Or so we are being informed.

In reality, the more hazardous phase of the crisis in the United States may in fact be now, not last spring. While death rates among the contaminated are decreasing with better treatment and a more favourable age profile, fatalities are still running at roughly a 1,000 a day. This matches levels at the beginning of April, reflecting the truth that the number of new infections is half once again as high.
Death, in any case, is only one element of the infections toll. Lots of surviving Covid-19 patients continue to suffer persistent cardiovascular problems and impaired psychological function. The ramifications for morbidity– and for human health and financial well-being– are genuinely dire if 40,000 cases a day is the new typical.
And, like it or not, there is every indication that numerous Americans, or at least their existing leaders, are ready to accept 40,000 brand-new cases and 1,000 deaths a day. They have actually grown inured to the numbers.

If the economy again goes south, there will be less policy support now

This is likewise a more perilous stage for the economy. There will be less policy assistance now if the economy again goes south.
Congress seems incapable of replicating the bipartisanship that enabled passage of the Cares Act at the end of March. The $600 (₤ 462) weekly supplement to unemployment benefits has actually been allowed to end. Divisive rhetoric from Donald Trump and other Republican leaders about “Democrat-led” cities implies that aid for state and city governments is not in the cards.
Subsequently, if the economy falters a second time, whether since of insufficient financial stimulus or flu season and a second Covid-19 wave, it will not get the extra monetary and fiscal assistance that protected it in the spring.
The silver bullet on which everyone is counting, of course, is a vaccine. This, in reality, is the gravest threat of all.
There is a high possibility that a vaccine will be presented in late October, at Donald Trumps behest, whether phase 3 scientific trials confirm its security and effectiveness. This spectre conjures memories of Gerald Fords hurried swine influenza vaccine, likewise triggered by a looming presidential election, which resulted in cases of Guillain-Barré syndrome and multiple deaths. This episode, together with a questionable scientific paper linking vaccination to autism, did much to assist promote the modern-day anti-vax movement.
The threat, then, is not simply side-effects from a problematic vaccine however likewise extensive public resistance even to a vaccine that passes its phase 3 clinical trial and has the support of the clinical community. This is specifically worrisome insofar as scepticism about the benefits of vaccination tends to rise anyhow in the after-effects of a pandemic that the public-health authorities, allegedly competent in such matters, stopped working to avoid.

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April marked the most remarkable and, some would say, hazardous stage of the Covid-19 crisis in the United States. Deaths were increasing, bodies were piling up in cooled trucks outside health centers in New York City and ventilators and personal protective devices were in frantically brief supply. The more harmful phase of the crisis in the US might actually be now, not last spring. There will be less policy assistance now if the economy once again goes south. There is a high possibility that a vaccine will be rolled out in late October, at Donald Trumps request, whether or not phase 3 clinical trials verify its safety and efficiency.

Research studies have actually shown that living through a pandemic negatively impacts self-confidence that vaccines are safe and disinclines the impacted to vaccinate their children. This is particularly the case for people who are in their “impressionable years” (ages 18-25) at the time of direct exposure because it is at this age that mindsets about public law, consisting of health policy, are durably formed. This increased apprehension about vaccination, observed in a range of places and times, persists for the balance of the individuals lifetime.
The distinction now is that Trump and his appointees, by making reckless and unreliable claims, threat intensifying the problem. Therefore, if steps are not taken to assure the general public of the self-reliance and stability of the scientific process, we will be left just with the alternative of “herd resistance”, which, offered Covid-19s numerous recognized and thought comorbidities, is no option at all.
All this works as a warning that the most harmful phase of the crisis in the United States will more than likely start next month. Which is before considering that October is also the start of influenza season.
– Barry Eichengreen is teacher of economics at the University of California, Berkeley, and a former senior policy advisor at the IMF.
© Project Syndicate

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