“All conditioned things are impermanent – when one sees this with wisdom, one turns away from suffering.”
In times of chaos and tribulation, it seems wise to refer to the teachings of those who sought to understand suffering. Impermanence is the word that comes to mind, yet humanity finds comfort in permanence.
At the August 14th Ethnic Media Services briefing on the science behind COVID-19, doctors on the frontlines reaffirmed the motif I had been seeing – a contradictory society seeks change, yet is resistant to it.
This moment of truth in American history requires quick and consistent change. I wonder, can we rise up to the challenge?
Dr. Ashish Jha, Professor of Global Health at the Harvard T.H. Chan School of Public Health and the Director of the Harvard Global Health Institute remarked “America may have the worst response of any country in the world, to this pandemic” and added that we were in the same position, if not worse condition than Brazil, Russia, and Turkey. Further, he stresses that success with outbreak control has nothing to do with imposing government structures, the culture of the country, or the wealth of a nation.
Government: Russia’s authoritarian government is struggling with containment.
Culture: East Asian and European countries are dissimilar in their cultural practices but both have managed to lower their COVID rates.
Wealth: Vietnam, a developing nation, until recently, had avoided COVID-related deaths.
“It’s tempting to look for explanations for why other countries are doing better”, cautions Dr. Jha. He logically builds to the conclusion that where we have failed is in deploying ONE action effectively across all states. That is all that is required. With one-third of the U.S. population on the brink of succumbing to the pandemic, one third already fully at risk, and one-third managing to keep the pandemic at bay, mismatched messaging is wreaking havoc. Without a coordinated response from strong federal leadership, the COVID death numbers will not plateau.
The onus of information dissemination and access to resources lies heavily on those in positions of power but behavioral change can come from the top-down and the bottom-up.
Impermanence. The ability to adopt thought that lasts for an undetermined period of time.
No one wants to be in lockdown. No one wants to wear a mask outside. No one wants to continuously get tested.
Just one of these, fully implemented and enforced, could be the key to end suffering.
Dr. Nirav Shah, Senior Scholar at Stanford University’s Clinical Excellence Research Center and an elected member of the National Academy of Medicine, informs his research from the positive COVID control he has seen in Asian countries where schools remain open. He notes, “Right now there is a false choice between lives and livelihood.” That choice drives contention and spreads misinformation.
What is needed to re-open safely?
Early warning systems, broad & efficient testing, effective quarantine/isolation, adequate treatment capacity, actionable data collection, and vaccines.
He brings forth antigen testing as the cheaper, faster method to detect COVID. Cost-effective and almost instantaneous results, I am feeling more optimistic as he continues to speak.
Early warning systems and actionable data collection rely on the immediate transfer of information to an online database to make it accessible. Temperature monitoring using a thermometer linked to the internet would increase the efficiency of detecting COVID hotspots and roll out timely mandates required to limit spread. Dr. Shah’s blend of technology and the pandemic is the obvious way to move forward. Daily reporting is the necessary next step.
So why haven’t we already been using this technology?
“We really need to start to think about a fundamentally different approach that protects privacy and lets public health [professionals] do their job”, Dr. Shah frustratedly shakes his head.
He is moving fast and hits a wall with effective quarantine/isolation and vaccines. The U.S. has expended no energy to strategize or provided resources for isolation and most vaccines are a year out still.
“We are not anywhere close to doing well”, ends Dr. Shah.
It seems Dr. Shah and Dr. Jha come to similar conclusions – the United States has the resources and the intelligence to rewrite the course we have taken with regards to the pandemic.
A grim message but I leave with positive outcomes. Testing is changing and so is data collection. Mitigation and prevention of COVID is plausible.
Can we adapt? Can we change? Can we make space for impermanence in our lives to end suffering?
Srishti Prabha is the Assistant Editor at India Currents and has worked in low income/affordable housing as an advocate for children, women, and people of color. She is passionate about diversifying spaces, preserving culture, and removing barriers to equity.