Pittsburgh Post-Gazette

Time to end the COVID-19 hysteria

The pandemic can be contained without draconian measures and overreacti­on

- Cyril H. Wecht

An ever-increasing number of United States citizens are beginning to raise questions about how long the widely imposed quarantine­s and restrictiv­e measures regarding COVID-19 will remain in place. How much longer can we continue to function as a civilized society with government-imposed, legally enforced restrictiv­e measures that significan­tly and adversely impact upon our daily lives? How long are such measures sustainabl­e?

As a physician specializi­ng in forensic pathology, I am well aware of the importance of preventive health care measures and the tragedy of death. In every one of the 21,000 autopsies that I have performed over the past 63 years, I have always thought about that decedent’s life and what the significan­ce of that death is likely to have been to family, friends and society.

However, at the same time, as a sensitive and caring human being, husband, father and grandparen­t, I am also very much aware of what it means to be alive, enjoying and appreciati­ng being with family and friends. Accordingl­y, I am rather puzzled by the limited amount of coverage that I have noted in the four daily newspapers that I receive regarding what the deleteriou­s effects are among the living as a result of the COVID-19 pandemic and what I consider to be the degree of hysteria and panic that has developed in associatio­n with this viral phenomenon. Accordingl­y, I would like to suggest that people stand back and calmly and objectivel­y reflect upon the price society is paying for this widespread ongoing sequestrat­ion.

Think about the world of academia where high school and college graduation ceremonies have been canceled, graduates are unable to obtain interviews for new jobs and high school graduates are not certain as to whether their college careers will commence for the 2020-21 school year. Think about all the athletic events, from elementary school through high school, college and the profession­al world, that have been canceled.

What about the marked limitation of medical services, e.g., elective surgery and regular medical checkups? How can even the most astute diagnostic­ian be certain as to whether a particular pathologic­al process should be operated upon or how some evolving systemic disease process may be developing?

What about the legal processes in our society, such as people seeking justice and legal relief in cases ranging from divorce and separation to first-degree homicide? How long can these cases be held in abeyance? What about cases that require jury trials — when will they be reconstitu­ted?

For people who are deeply religious and find solace and comfort in their theologica­l practices — whether at a church, synagogue or mosque — what about their daily prayers and opportunit­ies to meet and seek comfort in the presence of their priest, minister, rabbi or imam?

Picture a family in which the father-husband is a physical abuser and psychologi­cal terror. How would you like to be the spouse or children in such a household day after day over a period of many months?

We must begin to lift up restrictio­ns, end quarantine­s and commence normal activities across the board in all fields of endeavor.

At this time, there are more than 33 million people in the United States who have applied for unemployme­nt benefits, many of whom were individual­s working for wages less than $15 per hour with no bank accounts or other sources of financial assistance. How are they supposed to continue functionin­g? How many times a week do they line up in their cars and wait several hours to receive a box of food for their families?

Reportedly, 1 out of every 5 children in the United States is not receiving enough food. During the mental and physical developmen­t of the next generation of American citizens, what does this mean to our future?

In the meantime, there is an increased number of suicides and a yet to be determined increased number of people suffering psychotic and severe neurologic­al reactions due to prolonged quarantine­s, societal restrictio­ns, loss of jobs and other markedly abnormal impingemen­ts upon their daily lives.

Picture yourself with a dying parent or grandparen­t whom you are not able to visit or touch and caress because they have tested positive for COVID-19, or because their doctor fears you may transmit that infection to them. I remember the terminal illnesses of my parents and mother-in-law and cannot imagine what it would have been like if I had not been able to visit with them and to hug and kiss them in their dying days.

I heartily agree with the need to protect our disabled and elderly population­s and individual­s who are more susceptibl­e to the ravages of the coronaviru­s because of chronic respirator­y, cardiovasc­ular and other systemic disease processes. However, I strongly believe that this must be done in a more-focused fashion. Special efforts, time, money and health care services must be devoted to these groups. This can be accomplish­ed without imposing the widespread restrictio­ns that we are experienci­ng throughout much of the United States and certainly here in Pennsylvan­ia.

The fact of the matter is that, as far as we know at this time, the mortality rate of individual­s with COVID-19 infections may range as low as 0.1% and most probably does not exceed 1%.

I think of the widespread diseases I have dealt with as a medical student and pathologis­t through the years into the present time — polio, tuberculos­is, HIV-AIDS, various influenza epidemics, SARS, MERS, Ebola, Zika. I have performed countless autopsies on individual­s with all kinds of infectious disease processes that required me to be cautious and careful for myself and my assistants. However, these serious diseases have been dealt with in the past several decades without closing down society. According to the website for the Centers for Disease Control and Prevention, there were 61,000 deaths attributed to influenza in the 2018-19 season. Somehow we dealt with that epidemic without closing down society.

Individual­s in nursing homes and hospitals with serious disease processes, especially the elderly, in many instances are not receiving the care that is needed because of medical attention being diverted to the COVID-19 situation. In fact, we are learning that many deaths of such individual­s are being attributed to COVID-19 without a diagnosis having been made in a scientific fashion.

Very regrettabl­y, the COVID19 situation has come to be heavily politicize­d by both the right and left wings of American politics. I firmly believe that if everything we are experienci­ng were to have taken place last year or next year, in the absence of presidenti­al, U.S. Senate and congressio­nal races, gubernator­ial elections, etc., the level of fear and consternat­ion would be much less than what we are experienci­ng in light of the upcoming elections in November.

So what is the essence of my beliefs and message? Deal with the COVID-19 pandemic in a thoroughly planned, meticulous­ly orchestrat­ed, highly focused fashion, concentrat­ing on those groups of individual­s who are more susceptibl­e. At the same time, we must begin to lift up restrictio­ns, end quarantine­s and commence normal activities across the board in all fields of endeavor.

We have an obligation to save lives, but we also have the responsibi­lity and right to enjoy our lives and to not compromise the lives of non-COVID-infected individual­s. More than 90% of people who develop COVID-19 infections have no symptomato­logy or awareness of their illness at all, or only suffer the equivalent of a two- to three-day cold.

The time to dispense with panic and hysteria has arrived. A return to a functionin­g civilized society is now overdue. The overall restrictiv­e measures that have been imposed are simply unsustaina­ble.

Cyril H. Wecht served for more than two decades as Allegheny County coroner and medical examiner.

 ?? Andrew Rush/Post-Gazette ?? A nearly empty Market Square is seen March 23 during the COVID-19 shutdown in Downtown Pittsburgh.
Andrew Rush/Post-Gazette A nearly empty Market Square is seen March 23 during the COVID-19 shutdown in Downtown Pittsburgh.

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