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The Wicked Problem of Lifting Social Distancing & Isolation

The issue of when or how to lift social distancing and isolation is a wicked problem. A “Wicked Problem” in policymaking defeats standard solutions because of the interaction between the wicked problem and its potential solutions. The application of the correct solution to one aspect of the wicked problem often complicates another aspect of the problem. Solving wicked problems is best done through the iterative process in which a partial solution is applied, the problem is re-defined, the next partial solution is applied, and the process is repeated. This process is termed “Muddling Through”, and it is dependent upon the ability to test a partial solution and react to it.

The Acceptable Loss – The Trolley Dilemma of Managing COVID-19 Pandemic

The COVID-19 pandemic takes its toll in terms of human lives and global economic consequences. Social distancing has proven to be the most promising strategy against emerging viruses without borders, but the heavy economic damage that follows puts in question the possibility of its continuation. In fact, weighing the two elements raises an important debate: What is the acceptable loss in order to win this battle?

Avoiding the Three As: Apathy, Atrophy & Attrition

Emergency management is everything to everybody, but it often lacks the glue that is so desperately needed to manage catastrophic events. This is likely the result of two common pitfalls that the profession has long suffered from, pitfalls that can begin as soon as one walks out of the meeting or training room door: apathy and atrophy. Apathy can be defined as a lack of interest, passion, excitement, or concern. When not effectively addressed, apathy can then lead to atrophy, a long gradual decline in effectiveness. Such weakening is caused by underuse of key knowledge, skills, and abilities.

The Epitome of Failure – Part 1

At about 6:15 a.m. on 8 November 2018, an iron hook holding up a 115,000-volt line broke, dropping the live wire and sparking a blaze. Thirty minutes later, what would come to be known as the Camp Fire was out of control. Officials ordered the evacuation of the nearby town of Paradise, home to 26,000 people. The town was soon burned to the ground. Within hours, the fire destroyed 13,893 homes and killed more people (85), than any other California wildfire.

Call to Action for “Unprecedented” Events

News agencies often use the term “unprecedented” when referring to COVID-19 and other recent disasters and events. Unprecedented refers to something that was not known or experienced before. However, it is often used synonymously with the word “unexpected.” Of course, COVID-19 did not exist before 2019, Hurricane Sandy did not exist before 2012, the U.S. was not attacked by terrorists on the scale of 9/11 before 2001, and so on.

Triggered Collapse, Part 6: A Nationwide Call to Action

Similar to pandemic preparedness, the U.S. government is not doing enough to prepare for failure of municipal water systems when the electric grid goes down. Government programs do not address loss of law and order or cessation of food production and delivery services. Elected and appointed officials often downplay the number of deaths to be expected and the lack of preventative measures. They also do not acknowledge people taking advantage of stresses on law enforcement to loot and maraud in the event of a collapse. Swift action is needed now to mitigate potential consequences of a future triggered collapse.

Inventions Birthed by Necessity

If necessity is the mother of invention, the new coronavirus is quickly birthing a lot of innovations. Parts of U.S. society may be forever changed by this pandemic. As of 13 April 2020, the United States had over 550,000 confirmed cases and nearly 22,000 deaths, with emergency preparedness and response agencies preparing for much more to come. Combinations of social distancing, home quarantine, closure of schools and universities, and case isolation are now being extensively practiced. Creativity is being implemented each day to overcome response barriers to those at work and meet the needs of those asked to stay at home.

Reconsideration of Healthcare Providers in the Age of COVID-19

Lately, there have been a number of discussions about protecting healthcare workers, bolstering the ranks with volunteerism, and utilizing alternative care sites and providers. There have been call-ups of retired clinicians of all stripes, field promotions of health sciences students, and alternative venues for care like telemedicine. However, one group that does not seem to be as considered or fully addressed is that of home health workers. Although they are often tangentially referenced in healthcare environment conversations, this unique, variable, and incompletely accounted landscape is potentially an area of increased risk for providers, patients, public spread, and mortality.

Triggered Collapse, Part 5: Gaps in National Disaster Planning Scenarios

In contrast to experts’ estimates of millions of deaths, the U.S. Department of Homeland Security (DHS) pandemic influenza planning scenario refers to just 87,000 casualties – not much more than a bad seasonal flu. This version of the scenario seen in public forums has planning assumptions on virus lethality, worker absenteeism, and maintenance of law and order that are irresponsibly optimistic. When planning for security, it is better to err on the side of worst-case scenarios. The DHS uses 15 National Planning Scenarios. Scenario 3 is “Biological Disease Outbreak – Pandemic Influenza,” and Scenario 4 is “Biological Attack – Pneumonic Plague.”

Military Use for Continued Law Enforcement During the Pandemic

As the United States continues to respond to the coronavirus pandemic, police departments across the country are beginning to feel the impact of the virus on their day-to-day staffing. In New York, three officers have died, more than 900 members of the NYPD have tested positive for the coronavirus and 5,200 have called out sick. In Detroit, Michigan, two officers have died due to the coronavirus, including a 38-year old dispatcher and nearly one-fourth of the force is quarantined. In Puerto Rico, the entire police department of RincĂłn is quarantined. In California, law enforcement officials are exploring the option of assigning detectives, administrative personnel, and special operations personnel to street duty. However, the country has other reinforcements that should be deployed.
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