A moral obligation for each of us

Someone named Jenny Mazzaferro posted this in the comments section of an article in the Montreal Gazette yesterday.

This is from somebody in the red zone in Italy. Please read (it). It's long but informative:

"I am writing to you from Bergamo, Italy, at the heart of the coronavirus crisis. The news media in the US has not captured the severity of what is happening here. I am writing this post because each of you, today, not the government, not the school district, not the mayor, (but) each individual citizen has the chance, today to take actions that will deter the Italian situation from becoming your own country’s reality. The only way to stop this virus is to limit contagion. And the only way to limit contagion is for millions of people to change their behavior today.

"If you are in Europe or the US you are weeks away from where we are today in Italy.

"I can hear you now. 'It’s just (the) flu. It only affects old people with preconditions.'

"There are two reasons why Coronavirus (sic) has brought Italy to its knees. First, it is a flu* (that) is devastating (and) when people get really sick they need weeks of ICU...and second... how fast and effectively it spreads. There is a two-week incubation period and many who have it never show symptoms.

"When Prime Minister Conte announced last night that the entire country, 60 million people, would go on lockdown, the line that struck me most was “there is no more time.” Because to be clear, this national lockdown is a "Hail Mary. What he means is that if the numbers of contagion do not start to go down, the system, Italy, will collapse.

"Why? Today the ICUs in Lombardy are at capacity – more than capacity. They have begun to put ICU units in the hallways. If the numbers do not go down, the growth rate of contagion tells us that there will be thousands of people who in a matter of a week (two weeks?) who will need care. What will happen when there are a hundred or a thousand people who need the hospital and only a few ICU places left?

"On Monday a doctor wrote in the paper that they have begun to have to decide who lives and who dies when the patients show up in the emergency room, like what is done in war. This will only get worse.

"There are (sic) a finite number of doctors, nurses, medical staff and they are getting the virus. They have also been working non-stop, non-stop for days and days. What happens when the doctors, nurses and medical staff are simply not able to care for the patients when they are not there?

"And finally for those who say that this is just something that happens to old people, starting yesterday the hospitals are reporting that younger and younger patients – 40, 45, 18 (years old), are coming in for treatment.

"You have a chance to make a difference and stop the spread in your country. Push for the entire office to work at home today, cancel birthday parties, and other gatherings, stay home as much as you can. If you have a fever, any fever, stay home. Push for school closures, now. Anything you can do to stop the spread because it is spreading in your communities– there is a two week incubation period– and if you do these things now you can buy your medical system time.

"And for those who say it is not possible to close the schools and do all these other things, locking down Italy was beyond anyone’s imagination a week ago.

"Soon you will not have a choice, so do what you can now.

"Please share."

People are accusing other people of politicizing COVID-19. I am exercising massive self-restraint in not making that accusation myself. But this is not a time for blame. This is a time for us all to be pulling together.

The good news is that the WHO reports that 70% of COVID-19 patients in China have recovered and have been discharged from the hospital. Obviously, that is wonderful news. But this is not China. In a totalitarian country, draconian measures can be easily taken to deal with a situation like this. Even some democracies have done a far better job of addressing this crisis than we have. In any case, it's great to hear that the corner has been turned in China. But it would be a tragic mistake to draw the wrong lesson from that fact, as large numbers of people inevitably will do.

Stopping air flights from Europe is one positive step, and the administration should be praised for doing so. But the virus is already here. Everything we know about epidemiology tells us that we are only a few weeks behind the curve and that by the end of March or the beginning of April what is going on in Italy will be happening here unless we take decisive steps now, collectively and individually. If we're going to stop that, we- each and every one of us, as individuals, and not just the government- are going to have to do as the article suggests.

That won't prevent the coming tragedy. But it can minimize it. And it's the moral obligation of each and every one of us to do what we can.


*It's not the flu- although I've heard it called "the Kung Flu," which I do sort of like. Nor- Rush Limbaugh to the contrary- is it the common cold.

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