USA TODAY International Edition

Viruses don’t get pandemic fatigue

- Dr. Richard E. Besser Dr. Richard E. Besser, a former acting director for the Centers for Disease Control and Prevention, is CEO of the Robert Wood Johnson Foundation.

One thing scientists know with certainty is that viruses don’t get pandemic fatigue, but people do. This matters today as America enters a dangerous period in which the actions of government and individual­s will likely determine how many people die and whose lives our society values.

We’ve known since the dawn of this pandemic that winter would be bad in terms of disease transmissi­on. Many politician­s put forth a different narrative, but public health leaders were clear that we should expect cases to spike and hospitals to be overwhelme­d. We’re witnessing the dark clouds of the pandemic storm today, reminiscen­t of the worst days of spring and summer.

The holiday season — with colder weather, more indoor gatherings and families traveling — is a virus’ friend.

As I led the Centers for Disease Control and Prevention in the earliest days of the H1N1 pandemic in the spring of 2009, we anticipate­d winter with heightened trepidatio­n. But one of the lessons then — and a critical point today — is that public health guidelines are only as effective as people’s ability to follow them.

As we enter this challengin­g period of the pandemic, too many Americans are reluctant to do those things that would help blunt the spread of the virus, Congress is at a stalemate and many people simply don’t have what they need to be safe.

Aid package long overdue

Long- overdue aid is stalled in Congress, and the coronaviru­s rescue package and subsequent legislatio­n that helped the nation navigate the early stages of COVID- 19 have largely been exhausted or include provisions that will expire Dec. 31:

h Paid sick leave supports that helped flatten the curve will go away.

h Enhanced income payments for unemployed workers and stimulus checks are no more, even as a million American workers have filed for unemployme­nt claims for more than 30 consecutiv­e weeks.

h Up to 40 million renters are at risk of losing their homes without an eviction moratorium extension.

h The number of uninsured Americans will likely eclipse 30 million by year’s end, a burden carried mainly by low- income workers and their families. Before the 2020 clock runs out, federal support also must be provided to fiscally strapped states battling this surge. To not do so would be unconscion­able.

We’ve already seen throughout this pandemic how essential workers who are keeping America moving have paid the greatest price in lost lives and suffering. Millions of front- line workers want to do the right thing to protect themselves, their families and their communitie­s, but they can’t because policies aren’t in place to support them.

Too many people are forced to make a choice between going to work or stay home to keep safe. We need to ensure that everyone can do what’s necessary to prevent community spread and save lives: Wear masks, social distance and isolate when sick.

Renters and homeowners must be confident that they can remain housed. The millions without work must have the income supports to feed their families and to protect themselves and their communitie­s. Those fortunate enough to be employed must have the confidence that should they or someone in their household fall ill, they can take paid leave.

With rates of food insecurity spiking, an increase in the Supplement­al Nutrition Assistance Program is long overdue. And states and health systems must have the funds necessary to handle this winter surge while planning for the equitable and swift distributi­on of vaccines.

Beginning of the end

We cannot neglect the reality that communitie­s of color have borne the brunt of this pandemic. Congress and other leaders in Washington must not ignore the disproport­ionate impact we’ve already witnessed, and they must not allow this miserable year to end without legislativ­e actions to mitigate the pain.

As a matter of public health and moral decency, lawmakers must act to provide the resources so people can protect their lives and livelihood­s.

As we look to a new year, there’s hope. New data from the Moderna, Pfizer and BioNTech vaccine trials are promising. Treatment advancemen­ts have improved COVID- 19 survival.

We can be more hopeful that a vaccine could begin to end the pandemic, but that won’t help us this winter. The ability to follow science- based public health measures has always been the best path toward rebuilding our economy, and this must be our focus.

We have passed a quarter of a million deaths in the United States from the COVID- 19 disease. Without actions by federal and state government­s — and a renewed commitment from the American people — the tsunami of suffering in 2020 will continue well into the new year.

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