The United States crossed the grim milestone of 500,000 deaths from Covid-19 on Monday, a year since announcing its first known death from the virus on February 29, 2020, in the Seattle area.Why does the world’s leading power have the highest death toll and what lessons are American health specialists learning from the past year? Here, infectious disease experts Joseph Masci and Michele Halpern provide answers to some of the key questions. Masci, 70, is one of the leaders of Elmhurst Hospital in Queens, which was at the heart of New York’s epidemic. Halpern is a specialist at the Montefiore hospital group in New Rochelle, a New York suburb where the epidemic arrived in force in February 2020. – Why has the United States been hit so hard? – Prior to this pandemic, the United States observed coronaviruses “from a distance,” explained Masci.
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Click To Start Selling NowMasci said the group of public hospitals of which Elmhurst is a part found strategies to distribute the burden among NYC’s 11 public hospitals by transferring patients very quickly. “We’ve turned from one hospital with 500 beds, to 11 hospitals with about 5,000 beds. It’s worked very nicely.” More generally, Halpern says the pandemic has made everyone realize that “hospitals need resources.” “You have to invest in research, but you also have to invest in hospitals, in nursing homes. They have to have enough staff, they have to have the equipment that they need and the personnel has to be happy,” she added. The epidemic has also sharply exposed inequalities, not just in health care but also in housing, with Black and Latino communities dying in disproportionately high numbers. “We have to look at housing, and how it can be better suited to handling future epidemics. There are others coming,” said Masci. – Will we still be wearing masks in December? – Vaccines are rolling out but health experts are cautious due to uncertainties surrounding the British and South African variants of the virus. Masci says that if the variant strains don’t turn into a huge problem and once we’ve reached the point where 70-80 percent of the population is vaccinated then “there’s a good chance” we won’t wear masks anymore. “(But) suppose these variant strains do take hold, become more of a problem, are vaccine resistant, and we’re all closing schools and putting masks and locking down again in a few months, (then) it’s a lot harder to say by December, ‘We’ll be out of the woods.'” Halpern says it’s reassuring that the second wave was largely controlled, in New York at least. “I have hopes that the vaccines will be effective and will tamper future waves. But it’s hard to be sure whether our vaccines will be effective in the longer term, or on new variants. I don’t think anyone knows that.