Tuesday, May 10, 2022

The Public Health Prophet We Did Not Heed, Aaron Kheriaty

The Public Health Prophet We Did Not Heed

By Aaron Kheriaty   May 10, 2022  

In 2006, Henderson and his colleagues at the University of Pittsburgh Center for Health Security, where Henderson also maintained an academic appointment, published a landmark paper (embedded below) with the anodyne title, “Disease Mitigation Measures in the Control of Pandemic Influenza,” in the journal Biosecurity and Terrorism: Biodefense Strategy, Practice, and Science.

They found the most helpful strategy would be isolating symptomatic individuals (but not those who had merely been exposed) at home or in the hospital, a strategy that had long been part of traditional public health. They also cautioned against reliance on computer modeling to predict the effects of novel interventions, warning that, “No model, no matter how accurate its epidemiologic assumptions, can illuminate or predict the secondary and tertiary effects of particular disease mitigation measures.” Furthermore, “If particular measures are applied for many weeks or months, the long-term or cumulative second- and third-order effects could be devastating socially and economically.”

Regarding forced quarantines of large populations, the authors noted, “There are no historical observations or scientific studies that support the confinement by quarantine of groups of possibly infected people,” and they concluded, “The negative consequences of large-scale quarantine are so extreme (forced confinement of sick people with the well; complete restriction of movement of large populations; difficulty in getting critical supplies, medicines, and food to people inside the quarantine zone) that this mitigation measure should be eliminated from serious consideration.”

Needless to say, we did not heed any of this advice in March of 2020. We instead forged ahead with lockdowns, masks, social distancing, and the rest. When faced with covid, we rejected time-tested principles of public health and embraced instead the untested biosecurity model. We are now living in the aftermath of this choice.

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