Opinion | It’s now or never for the U.S. if it hopes to keep coronavirus from burning out of control

An empty playground outside Achievement First charter school in Providence, R.I., on March 7. Tom Bossert served as homeland security adviser to President Trump from 2017 to 2018.outbreak was a domestic challenge for China and a border containment one for the United States and others. Now we are in the second phase: community mitigation. Math and history must guide our next steps.

The near-term objective should be to reduce the acute, exponential growth of the outbreak, in order to reduce suffering and the strain on our health-care system. That will require significant effort, but it can work, as we have seen: Hong Kong and Singapore have of covid-19 cases, staving off the terrifying exponential upward curve confronting Italy and pushing both the infection rate down and new cases out on the timeline.This virus is such a threat because it is both highly infectious and lethal, and not enough people are being tested, despite significant recent effort by the Centers for Disease Control and Prevention. By the time cases are confirmed, significant community transmission has likely already occurred.

Starting now, public health messaging should be framed in light of this clear objective. Community-based interventions are needed to delay the outbreak peakOn this, the 1918 flu taught us a lot. The difference between the steps taken in Philadelphia, which waited too long back then, and St. Louis, which acted quickly, is staggering. Aggressive interventions put off and ease the peak burden on hospitals and other health-care infrastructure.

Consider the actions taken in Italy. On Feb. 20, Italy reported three instances of infection and no known deaths. On Feb. 21, Italy had 20 cases and its first

mikiebarb Nothing about this makes me hopeful. Oy vey.

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