Tom Bossert in WaPo on The Time to Act...
Simply put, as evidence of human-to-human transmission becomes clear in a community, officials must pull the trigger on aggressive interventions. Time matters. Two weeks of delay can mean the difference between success and failure. Public health experts learned this in 1918 when the Spanish flu killed 50 million to 100 million people around the globe. If we fail to take action, we will watch our health-care system be overwhelmed.
Consider the actions taken in Italy. On Feb. 20, Italy reported three instances of infection and no known deaths. On Feb. 21, Italy had 20 cases and its first attributed death. Officials implemented interventions, including school closures, the following day and instituted a cordon sanitaire affecting 50,000 people. That’s aggressive, but it was too late.
On Feb. 22, Italy reported 63 cases and a second death. A little more than a week later, there were 2,036 cases, with 140 patients in serious condition and 52 deaths. Today, the numbers continue to climb, with more than 9,100 cases and 460 dead, and on Monday the government expanded travel restrictions to the entire country.
That Italy spread timeline is frightening for its rapidity...
We are already behind the 8ball and local action may prove to be the clincher as no coordinated federal response seems to be coming...