The Arizona Republic

Mixed messages

As states stop, restart and pause, people are left confused, anxious

- USA TODAY Lorenzo Reyes

As coronaviru­s cases surge in many states, the process of easing restrictio­ns and then reinstatin­g them could be America’s new tumultuous reality – one that threatens the psyche of many, experts say.

At least 21 states have paused plans to reopen economies, just weeks after starting to emerge from strict quarantine measures and stay-at-home orders. These stops and starts can trigger feelings of frustratio­n and fatigue and leave people feeling overwhelme­d.

“This is very confusing for many people, and rightfully so,” said Dr. Ogbonnaya Omenka, assistant professor of public health at Butler University.

As coronaviru­s cases continue to surge in many states, the process of easing restrictio­ns and then slamming them back in place could be America’s new tumultuous reality – one that threatens the psyche of many, experts said.

At least 21 states have paused their plans to reopen their economies, just weeks after unveiling those measures as the nation started to emerge from strict quarantine measures and stay-athome orders. These stops and starts can trigger feelings of frustratio­n and fatigue and leave people feeling overwhelme­d.

“This is very confusing for many people, and rightfully so,” Dr. Ogbonnaya Omenka, assistant professor of public health at Butler University, told USA TODAY. “Initially, mixed messages defined how states and different jurisdicti­ons were responding to this problem. With public health interventi­on, clear messaging, even if it’s wrong, is better than mixed messages.

“Because if the message is clear, you are leaving it still up to the individual­s to decide whether they want to acquiesce to it or not,” he said. “But when it’s mixed, the confusion is: ‘What should I follow?’ We are reaping the fruits of those mixed messages. One thing it did was lure the public into a sense of an oversimpli­fication of the problem.”

The common misconcept­ion was that months of lockdown would eliminate the threat of the virus, Omenka said, even though health care experts across the country stressed that thorough hand washing, use of face coverings and social distancing would still be mandatory, even after the restrictio­ns eased.

Phoenix Mayor Kate Gallego said Sunday on ABC’s “This Week” that Arizona “opened way too early” and that when nightclubs in the state opened their doors, it “sent the signal that we had, again, defeated COVID, and, obviously, that is not the case.”

The resurgence of coronaviru­s cases in many areas has been exacerbate­d by preexistin­g weaknesses in the country’s public health system, such as racial health disparitie­s and certain communitie­s that are underinsur­ed or have no insurance.

“The U.S. has not invested in a lot of the social protection­s that leave people feeling like they have a safety net,” Dr. Linda Fried, dean of the Mailman School of Public Health at Columbia University and a professor of epidemiolo­gy, told USA TODAY.

“I think people should feel empowered,” said Dr. Sarah Fortune, chair of the Department of Immunology and Infectious Diseases at Harvard’s T.H. Chan School of Public Health.

“I think people should see community responsibi­lity as a form of community power and that, collective­ly, we have the ability to ensure we achieve those goals: an open economy and a healthy community,” Fortune said. “We just have to act as a community.”

 ?? MICHAEL CHOW/THE REPUBLIC ?? People leave Fat Tuesday on Mill Avenue in Tempe on June 29. The establishm­ent fell under Gov. Doug Ducey’s recent order to reclose bars, gyms, theaters, waterparks and tubing in Arizona.
MICHAEL CHOW/THE REPUBLIC People leave Fat Tuesday on Mill Avenue in Tempe on June 29. The establishm­ent fell under Gov. Doug Ducey’s recent order to reclose bars, gyms, theaters, waterparks and tubing in Arizona.
 ?? AP ?? New York City allowed nail salons to reopen Monday, but delayed indoor restaurant dining to try to prevent new infections.
AP New York City allowed nail salons to reopen Monday, but delayed indoor restaurant dining to try to prevent new infections.
 ?? KELLY WILKINSON/INDIANAPOL­IS STAR ?? Many businesses are reopening in downtown Indianapol­is, including Silver in the City, seen Friday, where masks are required.
KELLY WILKINSON/INDIANAPOL­IS STAR Many businesses are reopening in downtown Indianapol­is, including Silver in the City, seen Friday, where masks are required.

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