When the coronavirus surfaced last year, no one was prepared for it to invade every aspect of daily life for so long, so insidiously. The pandemic has forced Americans to wrestle with life-or-death choices every day of the past 18 months and theres no end in sight.
Scientific understanding of the virus changes by the hour, it seems. The virus spreads only by close contact or on contaminated surfaces, then turns out to be airborne. The virus mutates slowly, but then emerges in a series of dangerous new forms. Americans dont need to wear masks. Wait, they do.
At no point in this ordeal has the ground beneath our feet seemed so uncertain. In just the past week, federal health officials said they would begin offering booster shots to all Americans in the coming months. Days earlier, those officials had assured the public that the vaccines were holding strong against the Delta variant of the virus, and that boosters would not be necessary.
As early as Monday, the Food and Drug Administration is expected to formally approve the Pfizer-BioNTech vaccine, which has already been given to scores of millions of Americans. Some holdouts found it suspicious that the vaccine was not formally approved yet somehow widely dispensed. For them, emergency authorization has never seemed quite enough.
Americans are living with science as it unfolds in real time. The process has always been fluid, unpredictable. But rarely has it moved at this speed, leaving citizens to confront research findings as soon as they land at the front door, a stream of deliveries that no one ordered and no one wants.
Is a visit to my ailing parent too dangerous? Do the benefits of in-person schooling outweigh the possibility of physical harm to my child? Will our family gathering turn into a superspreader event?
Living with a capricious enemy has been unsettling even for researchers, public health officials and journalists who are used to the mutable nature of science. They, too, have frequently agonized over the best way to keep themselves and their loved ones safe.
But to frustrated Americans unfamiliar with the circuitous and often contentious path to scientific discovery, public health officials have seemed at times to be moving the goal posts and flip-flopping, or misleading, even lying to, the country.
Most of the time, scientists are edging forward in a very incremental way, said Richard Sever, assistant director of Cold Spring Harbor Laboratory Press and a co-founder of two popular websites, bioRxiv and medRxiv, where scientists post new research.
There are blind alleys that people go down, and a lot of the time you kind of dont know what you dont know.
Biology and medicine are particularly demanding fields. Ideas are evaluated for years, sometimes decades, before they are accepted.
Researchers first frame the hypothesis, then design experiments to test it. Data from hundreds of studies, often by competing teams, are analyzed before the community of experts comes to a conclusion.
In the interim, scientists present the findings to their peers, often at niche conferences that are off-limits to journalists and the general public, and hone their ideas based on the feedback they receive. Its not unusual to see attendees at these meetings point out sometimes harshly every flaw in a studys methods or conclusions, sending the author back to the lab for more experiments.
Fifteen years elapsed from the description of the first cases of H.I.V. to the identification of two proteins the virus needs to infect cells, a finding crucial to research for a cure. Even after a study has reached a satisfying conclusion, it must be submitted for rigorous review at a scientific journal, which can add another year or more before the results become public.
Measured on that scale, scientists have familiarized themselves with the coronavirus at lightning speed, partly by accelerating changes to this process that were already underway.
Treatment results, epidemiological models, virological discoveries research into all aspects of the pandemic turns up online almost as quickly as authors can finish their manuscripts. Preprint studies are dissected online, particularly on Twitter, or in emails between experts.
What researchers have not done is explain, in ways that the average person can understand, that this is how science has always worked.
The public disagreements and debates played out in public, instead of at obscure conferences, give the false impression that science is arbitrary or that scientists are making things up as they go along.
What a non-scientist or the layperson doesnt realize is that there is a huge bolus of information and consensus that the two people who are arguing will agree upon, Dr. Sever said.
Is it really so surprising, then, that Americans feel bewildered and bamboozled, even enraged, by rapidly changing rules that have profound implications for their lives?
Federal agencies have an unenviable task: Creating guidelines needed to live with an unfamiliar and rapidly spreading virus. But health officials have not acknowledged clearly or often enough that their recommendations may and very probably would change as the virus, and their knowledge of it, evolved.
Since the beginning of this pandemic, its been a piss-poor job, to say it in the nicest way, said Dr. Syra Madad, an infectious disease epidemiologist at the Belfer Center for Science and International Affairs at Harvard.
Leaders in the United States and Britain have promised too much too soon, and have had to backtrack. Health officials have failed to frame changing advice as necessary when scientists learn more about the virus.
Aug. 24, 2021, 7:58 a.m. ET
And the officials have not really defined the pandemics end for example, that the virus will finally loosen its stranglehold once the infections drop below a certain mark. Without a clearly delineated goal, it can seem as if officials are asking people to give up their freedoms indefinitely.
One jarring backtrack was the mask guidance by the Centers for Disease Control and Prevention. The agency said in May that vaccinated people could drop their masks, advice that helped set the stage for a national reopening. Officials did not emphasize, or at least not enough, that the masks could be needed again. Now, with a new surge in infections, they are.
It can be really difficult for public perception and public understanding when these big organizations seem to reverse course in a way that is really not clear, said Ellie Murray, a science communicator and public health expert at Boston University.
It does not help that the C.D.C. and the World Health Organization, the two leading public health agencies, have disagreed as frequently as they have in the past 18 months on the definition of a pandemic, on the frequency of asymptomatic infections, on the safety of Covid-19 vaccines for pregnant women.
Most Americans have a decent grasp of basic health concepts exercise is good, junk food is bad. But many are never taught how science progresses.
In 2018, 15-year-olds in the United States ranked 18th in their ability to explain scientific concepts, lagging behind their peers in not just China, Singapore and the United Kingdom, but also Poland and Slovenia.
In a 2019 survey by the Pew Research Center, many Americans correctly identified fossil fuels and the rising threat of antibiotic resistance, but they were less knowledgeable about the scientific process.
UnderstandVaccine and Mask Mandates in the U.S.
And basic tenets of public health often are even more of a mystery: How does my behavior affect others health? Why should I be vaccinated if I consider myself low-risk?
People werent primed before to understand a lot of these concepts, Dr. Madad said. We should have known that we couldnt expect the public to change their behaviors on a dime.
Both information and disinformation about Covid-19 surface online, especially on social media, much more now than in previous public health crises. This represents a powerful opportunity to fill in the knowledge gaps for many Americans.
But health officials have not taken full advantage. The C.D.C.s Twitter feed is a robotic stream of announcements. Agency experts need not just to deliver messages, but also to answer questions about how the evolving facts apply to American lives.
And health officials need to be more nimble, so that bad actors dont define the narrative while real advice is delayed by a traditionally cumbersome bureaucracy.
Theyre not moving at the speed that this pandemic is moving, Dr. Murray said. That obviously creates a perception in the public that you cant just rely on those more official sources of news.
In the middle of a pandemic, health officials have some responsibility to counter the many spurious voices on Twitter and Facebook spreading everything from pseudoscience to lies. Risk communication during a public health crisis is a particular skill, and right now Americans need the balm.
There are some people whose confidence outweighs their knowledge, and theyre happy to say things which are wrong, said Helen Jenkins, an infectious disease expert at Boston University.
And then there are other people who probably have all the knowledge but keep quiet because theyre scared of saying things, which is a shame as well, or just arent good communicators.
Health officials could begin even now with two-minute videos to explain basic concepts; information hotlines and public forums at the local, state and federal levels; and a responsive social media presence to counter disinformation.
The road ahead will be difficult. The virus has more surprises in store, and the myths that have already become entrenched will be hard to erase.
But its not too much to hope that the lessons learned in this pandemic will help experts explain future disease outbreaks, as well as other urgent problems, like climate change, in which individual actions contribute to the whole.
The first step toward educating the public and winning their trust is to make plans, and then communicate them honestly flaws, uncertainty and all.
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- 2024 CDC COVID-19 guidelines: Isolation, masks, what you should know - The Arizona Republic - February 29th, 2024 [February 29th, 2024]
- Long Covid and Impaired Cognition More Evidence and More Work to Do | NEJM - nejm.org - February 29th, 2024 [February 29th, 2024]
- Prospective Memory Assessment before and after Covid-19 | NEJM - nejm.org - February 29th, 2024 [February 29th, 2024]
- A pandemic that won't go away as COVID enters its 5th year, NZ needs a realistic strategy - The Conversation - February 29th, 2024 [February 29th, 2024]
- Older US adults should get another COVID-19 shot, advisers say - Detroit News - February 29th, 2024 [February 29th, 2024]
- Vaping increases susceptibility to COVID-19 infection, study finds - News-Medical.Net - February 29th, 2024 [February 29th, 2024]
- Older U.S. adults should get another covid-19 shot, advisers say - TribLIVE - February 29th, 2024 [February 29th, 2024]
- Vapers More Susceptible to COVID-19 Infection Than Tobacco Smokers, Reveals Study | Weather.com - The Weather Channel - February 29th, 2024 [February 29th, 2024]
- How we met: She was in the next hospital bed and I loved her accent - The Guardian - February 29th, 2024 [February 29th, 2024]
- Fleet To Hit Record Size In 2024 But Still Suffering Covid Hangover - Forbes - February 29th, 2024 [February 29th, 2024]
- How vaccine hesitancy is contributing to rising rates of measles and COVID - PBS NewsHour - February 29th, 2024 [February 29th, 2024]
- How did COVID-19 impact cancer incidence trends in the US? - News-Medical.Net - February 29th, 2024 [February 29th, 2024]
- CT-based Assessment at 6-Month Follow-up of COVID-19 Pneumonia patients in China | Scientific Reports - Nature.com - February 29th, 2024 [February 29th, 2024]
- Covid in 2024: What to Know About Guidelines, Symptoms and Vaccines - WSJ - The Wall Street Journal - February 29th, 2024 [February 29th, 2024]
- Unlocking coronavirus structure through M protein research - News-Medical.Net - February 29th, 2024 [February 29th, 2024]
- SARS-CoV-2 fragments may cause problems after infection - National Institutes of Health (NIH) (.gov) - February 29th, 2024 [February 29th, 2024]
- People 65 and up should now get another COVID-19 vaccine, CDC recommends - cleveland.com - February 29th, 2024 [February 29th, 2024]
- Welcome to the 2024 CFA Annual Report | Covid-19 | news-journal.com - Longview News-Journal - February 29th, 2024 [February 29th, 2024]
- Exploring the reported adverse effects of COVID-19 vaccines among vaccinated Arab populations: a multi-national ... - Nature.com - February 29th, 2024 [February 29th, 2024]
- R.I. COVID-19 cases increased by 337 last week, with 2 deaths - Providence Business News - February 29th, 2024 [February 29th, 2024]
- Older US adults should get another COVID-19 shot, advisers say - NBC Bay Area - February 29th, 2024 [February 29th, 2024]
- Cognitive Deficits Seen in COVID-19 Patients Regardless of Symptom Duration - HealthDay - February 29th, 2024 [February 29th, 2024]
- CDC recommends seniors get another Covid-19 shot - Baltimore Sun - February 29th, 2024 [February 29th, 2024]
- Odds of Severe COVID-19 High for Hematologic Cancer Patients During Pandemic - HealthDay - February 29th, 2024 [February 29th, 2024]
- COVID-19 may have small but lasting effects on cognition and memory | Imperial News - Imperial College London - February 29th, 2024 [February 29th, 2024]
- More free home COVID-19 tests available from US government - WCVB Boston - November 20th, 2023 [November 20th, 2023]
- Seniors made up 63 percent of covid hospitalizations earlier this year - The Washington Post - November 20th, 2023 [November 20th, 2023]
- Fifth Covid-19 wave sees biggest bump in virus detection since ... - New Zealand Herald - November 20th, 2023 [November 20th, 2023]
- KFF COVID-19 Vaccine Monitor November 2023: With COVID ... - KFF - November 20th, 2023 [November 20th, 2023]
- What to Know About the New Dominant Covid Variant - The New York Times - August 12th, 2023 [August 12th, 2023]
- Should You Get Another Covid Booster Now, or Wait Until the Fall? - The New York Times - August 12th, 2023 [August 12th, 2023]
- A 'mini cyclone' helps detect coronavirus in the air - Science News Explores - August 12th, 2023 [August 12th, 2023]
- Infection prevention and control in the context of coronavirus ... - World Health Organization - August 12th, 2023 [August 12th, 2023]
- Serum ferritin level during hospitalization is associated with Brain ... - Nature.com - August 12th, 2023 [August 12th, 2023]
- Rhode Island Man Sentenced to Three Years in Prison for Theft and ... - Department of Justice - August 12th, 2023 [August 12th, 2023]
- Posts Exaggerate Significance of Swiss Study on Heart Risk and ... - FactCheck.org - August 12th, 2023 [August 12th, 2023]
- Wenstrup Presses Department of Education for Answers on Misuse ... - House Committee on Oversight and Reform | - August 12th, 2023 [August 12th, 2023]
- Biden Administration Fails to Share Intel on COVID-19 Origins, but Independent Evidence Is Piling Up - Heritage.org - June 24th, 2023 [June 24th, 2023]
- Do I need a booster vaccine if I recently had COVID? What if I'm not sure what I had? - The Conversation - June 24th, 2023 [June 24th, 2023]
- Psychics, wrestlers and churches: How online shopping and Covid changed mall tenants - Buffalo News - June 24th, 2023 [June 24th, 2023]
- Report: Incarcerated populations up 4% post-COVID - CorrectionsOne - June 24th, 2023 [June 24th, 2023]
- The National Average for Gross Revenue at ECP Locations Decreased for the Week of June 12 18, Jobson's Latest ... - Vision Monday - June 24th, 2023 [June 24th, 2023]
- ODNI Releases Report on the Potential Links Between the Wuhan ... - Office of the Director of National Intelligence - June 24th, 2023 [June 24th, 2023]
- U.S. Intelligence Agencies May Never Find Covid's Origins, Officials ... - The New York Times - June 24th, 2023 [June 24th, 2023]
- Covid-19 likely came from lab leak, says news report citing US energy ... - March 4th, 2023 [March 4th, 2023]
- Classified Energy Department report finds lab leak likely cause of ... - March 4th, 2023 [March 4th, 2023]
- Mayor Kirk Watson tests positive for COVID-19 - KEYE TV CBS Austin - February 5th, 2023 [February 5th, 2023]
- Biden's plan for ending the emergency declaration for COVID-19 signals a pivotal point in the pandemic 4 questions answered - The Conversation... - February 5th, 2023 [February 5th, 2023]
- Study finds one habit can significantly lower your odds of getting sick from COVID-19 - KATU - February 5th, 2023 [February 5th, 2023]
- How will life change once the COVID-19 emergency ends? - KFOX El Paso - February 5th, 2023 [February 5th, 2023]
- Shipping Corporation of India and Seven Islands Shipping re-join membership of INSA - ETInfra.com - January 30th, 2023 [January 30th, 2023]
- COVID-19 Response | United Nations - December 28th, 2022 [December 28th, 2022]
- Top German virologist says COVID-19 pandemic is over - Hindustan Times - December 28th, 2022 [December 28th, 2022]
- China says impossible to track COVID spread as virus surges - Al Jazeera English - December 14th, 2022 [December 14th, 2022]
- What are the most common COVID symptoms now? Its no longer fever, loss of taste - AL.com - December 14th, 2022 [December 14th, 2022]
- Entropy and life - Wikipedia - November 27th, 2022 [November 27th, 2022]
- Negentropy - Wikipedia - November 27th, 2022 [November 27th, 2022]
- Coronavirus: OC reported 1,602 new cases and six more deaths over the past week, as of Nov. 17 - OCRegister - November 19th, 2022 [November 19th, 2022]
- How COVID-19 damages lungs: The virus attacks mitochondria, continuing an ancient battle that began in the primordial soup - The Conversation - October 30th, 2022 [October 30th, 2022]
- How to save this winter on heating costs - WKYC.com - October 23rd, 2022 [October 23rd, 2022]
- 'Fonseca' book review: The Goan artist's biography misses the art of the matter - The New Indian Express - October 23rd, 2022 [October 23rd, 2022]
- Researchers' tests of lab-made version of Covid virus draw scrutiny - STAT - October 21st, 2022 [October 21st, 2022]
- Coronavirus: Orange County reported 1,427 more cases and seven more deaths in the past week as of Oct. 20 - OCRegister - October 21st, 2022 [October 21st, 2022]
- 3 Illinois Counties at High Community Level for COVID-19 as 1 Million Bivalent Booster Shots Have Been Administered - NBC Chicago - October 21st, 2022 [October 21st, 2022]
- What Is Coronavirus? | Johns Hopkins Medicine - October 17th, 2022 [October 17th, 2022]
- Gaston County reported 177 additional COVID-19 cases this week - Gaston Gazette - October 17th, 2022 [October 17th, 2022]
- Coronavirus Roundup: The Biden Administration Renews the Public Health Emergency for COVID-19 - GovExec.com - October 17th, 2022 [October 17th, 2022]
- Circulation of Public Warning Alert on COVID-19 vaccines fraudulently using PAHO's name and logo - World - ReliefWeb - October 17th, 2022 [October 17th, 2022]
- Time to Get Your Flu Shot and Your COVID-19 Booster Too - Health.mil - October 17th, 2022 [October 17th, 2022]
- Evasive COVID-19 subvariants that you dont know about are spreading fast - Poynter - October 17th, 2022 [October 17th, 2022]
- Deer and mink can harbor Covid-19: Why animal virologists say we need to worry - Inverse - October 17th, 2022 [October 17th, 2022]
- Europe likely entering another COVID wave, says WHO and ECDC - Reuters - October 17th, 2022 [October 17th, 2022]
- Without a nasal vaccine, the U.S. edge in fighting Covid is on the line - POLITICO - October 17th, 2022 [October 17th, 2022]
- COVID-19 Daily Update 10-17-2022 - West Virginia Department of Health and Human Resources - October 17th, 2022 [October 17th, 2022]
- Coronavirus: Government seeking to extend powers behind COVID restrictions until 2025 - Newshub - October 17th, 2022 [October 17th, 2022]
- Shocking: EcoHealth Alliance receives another round of funding for coronavirus bat research in Asia - The Center Square - October 17th, 2022 [October 17th, 2022]
- Opportunities in Health Education in the Post-COVID-19 Era: Transforming Viral to Vital - Cureus - October 17th, 2022 [October 17th, 2022]
- Fauci says COVID-19 was politicized by triple whammy of outbreak, division and 2020 election - WJTV - October 17th, 2022 [October 17th, 2022]
- How long does immunity from the new COVID bivalent boosters last 'in the real world'? - San Francisco Chronicle - October 17th, 2022 [October 17th, 2022]
- Respiratory illnesses have spiked among children. Here's what parents need to know. - Yahoo News - October 17th, 2022 [October 17th, 2022]