obvert
Posts: 14050
Joined: 1/17/2011
From: PDX (and now) London, UK
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ORIGINAL: RangerJoe
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ORIGINAL: obvert
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ORIGINAL: warspite1
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ORIGINAL: Encircled
.....(though in your Presidents case, the states rights thing does complicate it a lot more)
warspite1
Why is the US States situation more complicated than the German Lander?
For the avoidance of doubt that is a genuine question.
It's not. Most Americans simply don't know anything about the political makeup of Germany or any similarities that exist with the US.
The Lander system has worked well there as early on the regional governments all activated local labs for testing and isolating people with the virus.
There were local labs testing early on as well. One in Washington state comes to mind.
In Germany local regions tested extensively, and didn't restrict to people who'd been to Wuhan or had been in contact with an infected person, as the US guidelines did when tests were scarce. They also traced contacts effectively. The US is doing great with tests now, but the beginning could have been a lot better. I wish it had been.
https://www.washingtonpost.com/politics/2020/03/30/11-100000-what-went-wrong-with-coronavirus-testing-us/
China developed its own test. The WHO adopted a test from German researchers and published testing protocols in mid-January. Those protocols could be adopted by other countries to produce their own tests or countries could use tests provided by the WHO. The CDC publicly shared the details of the test it designed on Jan. 24 — three days after the first case of coronavirus was confirmed in Washington state.
Government should focus on working with private industry to develop easy-to-use, rapid diagnostic tests that can be made available to providers.” Borio told NPR on Jan. 30: “The most important and effective way to control epidemics is to identify patients who are infected, exposed to the virus, and isolate them.”
Even though the United States had cases in the single digits in late January, some public health officials were increasingly worried.
But the government did almost the exact opposite of what Borio and Gottlieb proposed. CDC issued narrow guidance on which patients qualified for a test — only those with recent travel to Wuhan or those who had come into contact with an infected person.
And this from an article on early cases in WA.
https://www.nytimes.com/2020/03/01/health/coronavirus-washington-spread.html
local health officials in Seattle said that delays in being able to test for the virus had slowed identification of community cases, meaning those who did not travel to places with major outbreaks or have contact with known patients. “If we had the ability to test earlier, I’m sure we would have been able to identify patients earlier,” said Dr. Jeffrey Duchin, health officer for Seattle and King County.
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"Success is the ability to go from one failure to another with no loss of enthusiasm." - Winston Churchill
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