Things are often okay--until they are not. I abruptly vacated my month long idyllic trip to an island off the coast of North Carolina. Not because I felt imminent danger but I knew something was off. Rumors were swirling about potential COVID19 positive inhabitants hiding out on the island, the state shutting down the ferry service, or even worse--folks high up on legislative ladder trying to hang on to the farce as long as feasible.
The island had been battered by hurricanes and now North Carolina is coping with visitation by a plague.
Done and done. We would be stranded.
I was employed by a top Pharmaceutical company during 9/11 so although there was the right amount of fear and reverence--ginned up by being stowed under staircases until the final plane was accounted for--this feels different. We are all in the same boat, but no idea where we are headed.
Those of us with epidemiology chops know when we are being fed pollyanna inspired bunk. It isn't good news that there are few diagnosed cases if we have no idea how many people have been tested. Or how many tests are available. Or the limits of an already strained healthcare system. Or the plans for managing the onslaught of morbidity arriving within the next 2 weeks...
The Johns Hopkins COVID19 Resource Interactive Map
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In a world of "evidence-based" medicine I am a bigger fan of practice-based evidence.
Remember the quote by Upton Sinclair...
“It is difficult to get a man to understand something, when his salary depends upon his not understanding it!”