The preexisting conditions of the coronavirus pandemic


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These same people are also likely to suffer from the chronic conditions that characterize the global burden of disease – due to poverty, lack of universal health care, lack of access to high-quality food, and a public health system that has discontinued its funding, by some. mathematical calculations, To the tune of $ 4.5 billion before COVID-19 was just a flash in the eye of a bat. “Your risk of dying if you don’t have an underlying comorbidity is less than 0.1 percent,” says Gallia. “People of lower socioeconomic status and people of color were more at risk. In some ways, it’s that simple.”

To paraphrase a popular book, This Is Hell of the Catch. The virus that causes COVID-19 has always been deadly. But fewer poor people, fewer people with conditions that turned out to be serious comorbidities, and a better healthcare system focused on prevention rather than magic cures would have meant The same deadly virus Fewer people were killed. “Why has COVID become the problem it started with?” Gallia asks. First, we have historically reduced the investment in the public health systems needed to actually maintain our health. Second, we have reduced our investment in the social and economic conditions that create a healthy world. ”

And hunting becomes even more attractive. Earlier this week at Article In the Journal of the American Medical AssociationAccording to two economists at Harvard University that each Death cases Diseases caused by COVID-19 so far, and those likely to occur before mid-2021, along with losses to the economy, psychological suffering and lost production, will reach a single staggering number: $ 16 trillion. This represents about 90 percent of the annual gross domestic product of the United States. “For a family of four, the estimated loss would be about $ 200,000,” the economists wrote. Roughly half of that amount is income lost from the recession caused by COVID-19. The rest is the economic effects of a shorter, less healthy life. “

even in that The burden is unfairly shared. “By shutting down the economy, we are hurting the poor and people of color economically more than keeping it open,” says Alan Krupnick, economist and senior fellow at Resource for the Future. But you cannot open up the economy until people have reasonable expectations that they will be safe when they go to a restaurant or bar, or go to work. The disease needs to be taken care of first so the economy can thrive. ”This is the income effect, and it creates a feedback loop. Trying to deal with the effects of the epidemic after the economy has already engulfed the economy makes the economic effects worse for the most vulnerable … which means that in order to survive on To survive financially, they have to expose themselves to more risks … which makes their comorbidities even more dangerous.

Some researchers have described COVID-19 as not a pandemic but ratherSyndrome“-a A synergistic epidemic Of the related intertwining problems, each one makes others worse. This is bad. On the bright side, however, syndromes present more opportunity targets. Expensive drugs and rapid vaccine trials are the kinds of long shots you don’t have to bet on unless you (or your government) do a population-wide public health boring job on the front end. The GBD report quietly hints that it is not too late. For COVID-19 specifically, that will be messages about wearing masks, finding out how to deploy widespread improvements in ventilation systems, and providing assistance to people so they can stay at home. This all works in Singapore, Taiwan, South KoreaAnd even Wuhan. It can work here. But the global disease burden figures show how to build a system that can handle all kinds of other problems, including contagious surprises like SARS-CoV-2. And that same system will make the world a happier and healthier world – a world strong enough to get rid of SARS-CoV-3 one day, too.

This story originally appeared wired.com.


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