Thursday, January 6, 2022

COVID and Organization

 

During WW II the Manhattan Project was an example of massive resource management and the efficient use of people. During the current pandemic we see just the opposite. It is becoming a massive Government mess up. Players playing games with each other and senior management apparently clueless. For example, the data states that almost 95% of those infected have been vaccinated already. 

My suggestion, for what it is worth, is a General Groves organization. Not a General from the current woke military but a person like Groves. A brusque goal oritnetd individual. 

The suggested organization, independent of everything would look as above.

. Testing: An entity which would coordinate all testing protocols and reach agreements with vendors.

Variants: An entity which would identify, track, and describe any and all variants. It would also anticipate putative variants.

Therapeutics: An entity which would coordinate, fund, and integrate all therapeutic options ensuring efficacy and effectiveness in a timely manner.

Immunization: An entity which would coordinate, communicate, and assist any and all entities providing for immunizations. It would also ensure that immunizations were kept current as variants were identified.

Data Management: An entity responsible for the coordination, collection, distribution and transparency of any and all relevant data. 

Health Care Coordination: An entity which would coordinate and assist any and all providers to ensure timely and effective provisioning of all elements of prevention, treatment, and communication.

Quality: An entity which would monitor and assure quality of delivery.

Logistics: An entity which would assist and effect optimal logistics as regards to distribution, planning, availability, and assistance.

The only requirement for people working in this group would be that they never held any Government job for longer than a year. 

Now the "usual suspects", the forever on cable "academics", have also come out in force, each suggesting some, in my opinion, useless strategy. For example in JAMA:

Another part of this humility is recognizing that predictions are necessary but educated guesses, not mathematical certainty. The virus, host response, and data will evolve. Biomedical and public health tools will expand, along with better understanding of their limitations. The incidence of SARS-CoV-2, vaccination rates, hospital capacity, tolerance for risk, and willingness to implement different interventions will vary geographically, and national recommendations will need to be adapted locally.

But these very same were predicting by the hour. Another states:

First, the CDC needs to collect and disseminate accurate real-time, population-based incidence data on COVID-19 and all viral respiratory illnesses. The US should not be reliant on extrapolating cases and outcomes from data collected from a few, underrepresentative sites. The country needs a comprehensive testing and reporting system for all viral respiratory illnesses. Data from all medical and testing facilities, all emergency department cases, and all hospitalizations, ICU admissions, and deaths need to be reported to the CDC and linked to anonymized sociodemographic, vaccination, and clinical outcomes data. The reporting system should accommodate the ability to incorporate data from at-home tests, ensuring a simple mechanism to self-report results, and should provide real-time reporting on a public website.

 As we have noted again and again it appears the CDC does not work weekends and holidays. Thus one should have no reliance on such an entity. This same academic states:

In addition, there needs to be a system for clear recommendations from trusted public health authorities, advising local governments and the public about the appropriate use of facial coverings, depending on the setting; an individual’s vaccination, immune, and risk status; and the level of community transmission. An easily interpretable risk assessment map that encompasses these variables to provide immediate risk determination at the zip code level for individuals could be developed and updated daily. Such a system would help reduce confusion and guesswork that many individuals face today as they make daily decisions on how to protect themselves.

Frankly no one trusts the Government. Just look at the most recent back and forth from the CDC. The premise of the above is unattainable.