No Matter What Some Public Officials Say, the Message You Need to Hear Is “Stay Home”
Charles Ornstein (ProPublica) 18 March 2020
Mixed messaging from all levels of government is putting Americans at risk and will speed the spread of the coronavirus. No matter what politicians say, public health experts agree. Stay home, even if you feel fine.
 
On Saturday afternoon, U.S. Sen. Ted Cruz took to Twitter to ask his followers to heed the advice of public health officials and politicians on the other side of the aisle:
 
“If you can stay home, stay home,” the Texas Republican wrote. “And wash your hands.”
 
 
Hours later, the Republican governor of Oklahoma tweeted from a packed restaurant in Oklahoma City showing that he is performatively not doing this. “Eating with my kids and all my fellow Oklahomans at the @CollectiveOKC. It’s packed tonight! #supportlocal #OklaProud”
 
He deleted the tweet an hour later.
 
 
On Sunday morning, Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases at the National Institutes of Health, told CBS’ “Face the Nation,” “Right now, personally, myself, I wouldn’t go to a restaurant.”
 
Meanwhile, U.S. Rep. Devin Nunes, a California Republican, spoke on Fox News and said, “If you’re healthy, you and your family, it’s a great time to just go out, go to a local restaurant, likely you can get in easy. Let’s not hurt the working people in this country ... go to your local pub.”
 
 
Stay Home, Even if You Feel Fine
 
The discordant messages underscore the immense challenges conveying common messages during a public health crisis, one that has happened time and again as the novel coronavirus that causes COVID-19 has swept across the country.
 
“The most important thing is for people to change their daily routines and really reduce their social interactions,” said Dr. Joshua Sharfstein, a former federal and state health official who is now vice dean for public health practice and community engagement for the Bloomberg School of Public Health at Johns Hopkins University.
 
“I don’t think it is the consistent message from all health and political officials. If people are going to change the way they live their lives, they need to hear about the need to do that from every credible source of information they have because if they get mixed messages it’s easy to lapse back to not changing.”
 
From the availability of testing to the need to avoid handshakes, from where patients should go if they develop symptoms to whether to touch your face, the messages — and the actions by the public officials and even sometimes the doctors delivering those messages — have been contradictory.
 
The Tough Days Ahead
 
In the days ahead, consistent public health messages will be crucial, Sharfstein said, particularly if the virus continues spreading and places a burden on hospitals. Patients will need to know who to call if they get sick and when and where to seek medical care. Doctors will need to know where to send their patients.
 
In most cases, the answer is to avoid sending patients to the emergency room if they are showing mild or moderate symptoms of the virus. Those who become sicker or develop trouble breathing should follow up immediately with doctors or seek emergency care.
 
“A test itself is not treatment,” Sharfstein said. “A test illuminates what’s going on a little bit better. The response may just be to stay at home and monitor yourself.
 
While it’s better to have more testing capability, we’re not powerless because the major response is just going to be to stay at home.”
 
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