Monday, June 7, 2021

National Geographic: Are we there yet? What happens if the U.S. can't reach herd immunity

By Amy McKeever

    Even though herd immunity isn't necessarily the end of COVID-19 like many people assume, it is an important step toward making sure outbreaks are preventable and fewer in number. Herd immunity occurs once enough people are immune to a disease, either by vaccination or infection, that the virus can no longer find any hosts. This means that the transmission rate would be less than 1. Based on the transmission rate of around 3 to 4 during the early days of COVID, scientists estimated that around 60-70% vaccination would be required for herd immunity, though that number has since risen to 85% due to more dangerous variants. But many health officials in the U.S. are becoming more concerned that we may not reach that number due to a combination of slowing vaccination rates and increased hesitancy and false information.
    The Biden Administration and various state governments are working to try to get more people vaccinated, using tactics like offering free beer or lottery entries for full vaccination. But what happens if the U.S. can't reach herd immunity?
    The most important thing here is that a majority of the almost 50% of people vaccinated are 65 or older or otherwise compromised in the case that they contract the virus. Should they get it now, they are better protected, meaning that death rates will go down a lot, which is key in ending a pandemic. Even if pockets do continue to have outbreaks, they will be controlled, and likely won't cause major shutdowns. In fact, Israel was able to reopen at 54% vaccination with no major side effects.

Sunday, June 6, 2021

The New Yorker: Are U.S. Officials Under Silent Attack?

By Adam Entous

    In 2016, U.S. officials in Cuba began to complain of a mysterious ailment that caused them to hear a cricket-like buzz or feel pressure on their skull. For many it resulted in subsequent migraines and health consequences, prompting the removal of U.S. officials and diplomats from Cuba. It became known as the Havana Syndrome and was largely ignored in the U.S. as a one-time event. However, later in the year, top White House and C.I.A agents also began to report cases. Still, the syndrome was a mostly cold case until it was reopened in 2020 as more cases emerged.
    Charles Kupperman and John Bolton were some of the few that were truly concerned. They had people they knew to be affected go to doctors, but nothing could be found that was wrong. The C.I.A and F.B.I still had no interest and took care of the cases they had internally. Finally, in 2020, the latest set of Trump Administration national security officials decided to take the mounting number of cases to the Pentagon.
    Top White House officials now believe that these issues were caused by Russia. They have a track record of experimenting with pulsed microwaves, which could be used to extract data either from individuals or electronics they carry. Several cases of the Havana Syndrome were recorded with Russian G.R.U intelligence personnel nearby. This isn't enough to fully incriminate Russia, but with a new administration, many believe that the culprit will soon be caught.

Sunday, May 30, 2021

Justice

By Michael Sandel

My thoughts: It is very interesting to read about the different types of theories on justice, especially as we enter into debates about social justice, what the government can and cannot do, and how certain actions should be punished. Ultimately, it seems like no single theory can cover everything - different ideas fit in different situations, because the world is too complex for one simple theory of justice.

    There are several theories of justice: utilitarianism, libertarianism, and ideas from various scholars including Aristotle, Kant, and Rawls - all of whom have differing ideas on what is just. In reality, all of them have flaws and cannot apply to every scenario, but the justifications are interesting.
    Utilitarianism puts the utility of the most amount of people first - that is, the majority of society must benefit, even if some individuals are disadvantaged. Of course, this raises the question of what rights individuals have, which is what libertarianism stands for.
    Libertarianism guarantees rights to all individuals. This is essentially what liberalists are trying to do - use government power to make sure everyone has equal access.
    Aristotle takes a slightly different approach. He believed that everything should be distributed fairly, and no one should have more than anyone else. But that would mean that certain people with lots of wealth would have to have their money taken away for redistribution. This doesn't seem very fair to these people, who probably got that wealth through hard work.
    Kant's idea had three components to it. Justice is only about external actions which one takes to influence others. Second, justice isn't about what people want - rather, there is a set just action, regardless of what people want. Third, the content of a transaction doesn't matter - it need only be voluntary. The biggest issue here is that if an action is voluntary, but the seller or another actor knows that the person is being scammed, is that just?
    Finally, Rawls claims that in a just society, everyone has as much freedom as possible without infringing on the rights of others, and inequality is only allowed if someone in a lower position is not disadvantaged.



In medieval times, philosophers and theologians believed that the exchange of goods should be governed by a “just price,” determined by tradition or the intrinsic value of things. But in market societies, the economists observed, prices are set by supply and demand. There is no such thing as a “just price.”

There is nothing unjust about these prices, Sowell explained; they simply reflect the value that buyers and sellers choose to place on the things they exchange.

Should the state prohibit price gouging, even if doing so interferes with the freedom of buyers and sellers to make whatever deals they choose?

The standard case for unfettered markets rests on two claims—one about welfare, the other about freedom.

How do defenders of price gouging laws respond? First, they argue that the welfare of society as whole is not really served by the exorbitant prices charged in hard times...Second, defenders of price-gouging laws maintain that, under certain conditions, the free market is not truly free.

Aristotle maintains that we can’t figure out what a just constitution is without first reflecting on the most desirable way of life. For him, law can’t be neutral on questions of the good life. By contrast, modern political philosophers—from Immanuel Kant in the eighteenth century to John Rawls in the twentieth century—argue that the principles of justice that define our rights should not rest on any particular conception of virtue, or of the best way to live. Instead, a just society respects each person’s freedom to choose his or her own conception of the good life.

At the heart of the disagreement are rival conceptions of moral character and military valor. Those who insist that only bleeding wounds should count believe that post-traumatic stress reflects a weakness of character unworthy of honor. Those who believe that psychological wounds should qualify argue that veterans suffering long-term trauma and severe depression have sacrificed for their country as surely, and as honorably, as those who’ve lost a limb.

One obvious difference is that bailout bonuses come from the taxpayer while the bonuses paid in good times come from company earnings. If the outrage is based on the conviction that the bonuses are undeserved, however, the source of the payment is not morally decisive. But it does provide a clue: the reason the bonuses are coming from the taxpayer is that the companies have failed. This takes us to the heart of the complaint. The American public’s real objection to the bonuses—and the bailout—is not that they reward greed but that they reward failure.

we’ve identified three ways of approaching the distribution of goods: welfare, freedom, and virtue. Each of these ideals suggests a different way of thinking about justice.

The answer is that moral reflection is not a solitary pursuit but a public endeavor. It requires an interlocutor—a friend, a neighbor, a comrade, a fellow citizen. Sometimes the interlocutor can be imagined rather than real, as when we argue with ourselves.

Is morality a matter of counting lives and weighing costs and benefits, or are certain moral duties and human rights so fundamental that they rise above such calculations? And if certain rights are fundamental in this way—be they natural, or sacred, or inalienable, or categorical—how can we identify them? And what makes them fundamental?

Utilitarians see our tendency to recoil at placing a monetary value on human life as an impulse we should overcome, a taboo that obstructs clear thinking and rational social choice.

The class composition of today's volunteer army bears out this objection, at least to some extent. Young people from low- to middle-income neighborhoods are disproportionately represented in the ranks of active-duty army recruits.

The argument for upholding the surrogacy contract draws on the two theories of justice we've considered so far - libertarianism and utilitarianism. The libertarian case for contracts is that they reflect freedom of choice...The utilitarian case for contracts is that they promote the general welfare...

Friday, May 28, 2021

GHLC at JHU: Dr. Richard Cash


Dr. Richard Cash, MD, MPH, Senior Lecturer on Global Health at the Harvard T.H. Chan School of Public Health Department of Global Health and Population, is one of the primary developers of Oral Rehydration Therapy

Science to the People: The Development and Dissemination of ORT to the Community

- 50 years ago, dehydration used to be a leading cause of death for young children (30%, 4 million)
- Dehydration was caused by diseases like cholera, which caused diarrhea --> loss of fluids
- People couldn't get IV's in developing countries --> lots of deaths
- Solution had to be:
    Cheap
    Easy to use
    Effective
    Acceptable
- A mix of isotonic salt and glucose maintained hydration
- A mix called Oral Rehydration Therapy
    It consisted of a mix of water and various salts, sugars, and minerals

-The problem was the administration of ORT
    There weren't enough doctors or nurses to do it, so mothers had to learn it
    No one had a standard measuring cup or tool in rural Bangladesh

- Instructors went around to villages measuring out sizes for the mothers and teaching them how much solution to mix
- Instructors were paid based on how much the people learned
- It worked

- It is key to make change at the local level