I think there is some confusion about those who think this is a “hoax”, those who don’t think its serious for them without considering others (like kids on spring break who say stupid s**t like “I don’t care if I get a cold”), and maybe a third group I will say I am in.
I am trained a a biologist. So I am following all the data, the papers, the mechanism of the disease, the potential treatments, what it means to have a novel pathogen where the population has no immunity whatsoever. I try to tell people not to be needlessly frightened, because a lot of people, specially in the US, can’t understand this is not a plague with 30-40% mortality rates. If you are healthy, younger, and get Covid-19 (which most likely you will at some point in the future) you will not die. You may be a asymptomatic, you may have a very light symptoms, or you may be one of the very few who will have a less mild version. From all the newer data the non at risk population who has severe complications it is an overreaction of their own immune system. There have a been a couple of small case studies where giving those people immunosuppressant drugs have worked very well (one in which a 44 year old who was in distress started recovering with 2 doses of the drug 8 hours apart as it turned off what is called a cytokines storm reaction). As we learn and pass this around there will be better and better treatment.
It is highly serious disease for at risk population. And the rate of infection and the uncontrolled onslaught will cause massive negative consequences in healthcare as Italy and soon the US will discover. What I see is its very hard to explain to people WHAT to take seriously. The baseless fear of the disease as deadly on its own is misplaced. The not understanding how the actions of those of us who are not at high risk can jeopardize so many others through the consequences is what is baffling. It almost requires a sense of community and understanding how each of our decisions and actions impact people around us. In some cultures this is something that is clearly a part of daily life. In other cultures this is foreign and you see some of it in the reaction of the governor of Florida and the disaster that I believe is about to hit that state. I know of too many people in the US who still say things like “my rights are more important than the lives of others.”
So I am in no way diminishing the seriousness of what is happening, but I try to put in context. Baseless fear and panic will not help the situation imho, but a clear grasp of what we are facing will. And from what I see there are other complications, like concerns that if you simply lock everyone down immediately and for too long people stop paying attention.
Here in the UK they have been trying to time the response to the right point in the spread curve. This has been controversial for some, as they wanted maximal action immediately. The initial data now starting to come out is showing (too early to tell) that they may have timed it right, the infection rate seems to be now below 1.0 (where it is around 2.5) and if this holds it means it is contained for now. And they are now quietly saying that if this holds NHS will not get overwhelmed with cases which is the other major fear. So at least here in UK we shall soon see all the modeling by the scientist, epidemiologists and experts worked well. Did they pick the right moment to enforce the lockdown?
Some early indication in California and Washington state also show some positive results. We are learning as we go, but even after initial containment the next problem is how do you start allowing spread in a controlled fashion in the non vulnerable population. You can’t just go back to full blast spread, and there is no feasible way to keep everyone locked down to contain it. And vaccine is a long way away and may not be 100% effective.
For those of you who are interested in how its going look at the new case change rate as measures are imposed. Deaths are the tragedy of the disease obviously, but they lag 3-4 weeks behind any measure taken. So even as the situation may be getting under control the death rate will lag and increase and most of the headlines are focused on the death rate for good reason.
There are a lot of very clever and useful new and faster tests coming online. So as time goes on the availability of testing will increase. But there are real shortages of chemicals needed, verification of new methods to make sure what the accuracy of the tests are, and production all means it takes time. But that is the ultimate way out of this, once we can easily tell who has already had the disease, who is actively sick, and who is not we can handle the control of spread problem much better and hopefully resume something more akin to normal life.