Second SftP statement on COVID-19 pandemic

The United States has entered a severe and dangerous phase of the COVID-19 pandemic.   Cases and deaths are surging, and many areas are facing critical shortages in hospital facilities and staff.  The gap in the hardships experienced by minority and low-income people compared to the rest of the population continues to widen, with those who have low paying manufacturing, sales, healthcare and service jobs forced to work in person while others are able to work from home.   This combined with generally denser living conditions and more common comorbidities has led to much higher case and death rates  of COVID-19 among these individuals.  Furthermore, over half of people of color surveyed are facing economic challenges as a result of the pandemic (reported here, here and here).

 

The depth of the crisis has been exacerbated by irresponsible actions of the government and private enterprises at national, state and local levels. At the federal level there is a glaring lack of national plan to address the pandemic with government officials failing to act and even encouraging people to flaunt public health rules. Congress continues in its failure to enact adequate legislation to provide economic relief to those impacted. The response of State governments has been uneven, with some States acting more responsibly and others being totally negligent.  In the private sector, employers are unrestrained by any pandemic-related safety regulations. Universities, pursuing a business model of success, prematurely opened for in-person instruction, creating hot spots for spreading COVID-19.

In justifying failed policies, government officials often promote a false and dangerous dichotomy between public health and economic growth. In fact the two are deeply intertwined. Economic deprivation increases morbidity and mortality,  while opening businesses and permitting public gatherings without adequate planning and testing, leads to outbreaks which disrupt economic growth. Indeed, countries that have used strong social policies to contain the cases and deaths in the pandemic have tended to do the best economically.

Scientific facts and concepts are critical to developing an effective pandemic policy.  Yet these concepts have been distorted and “weaponized” by government actors and conservative politicians. Added to the outright lies that COVID is no worse than the flu and that a vaccine would be available in a few weeks are more subtle distortions. For example:

  1. Herd immunity is a valid concept that describes how the spread of an epidemic declines when enough members of a population become immune to an infection so that propagation of the infection in the population is not sustained.  It is most safely achieved by mass vaccination.  This concept has been used to irresponsibly suggest that letting the pandemic run its course without public health intervention is a reasonable public health strategy. 
  2. Vaccines are expected to be effective in protecting individuals and slowing down the pandemic.   But they are not a panacea that negates the importance of public health restrictions and safer workplaces.   To do so, will result in many more lives lost and slow the process of economic recovery.  Every case prevented before and as  vaccines are  distributed will make vaccines more effective in limiting the spread and impact of the pandemic..

At the same time that scientific concepts are distorted in justifying irresponsible policies, important scientific research is neglected.  In order to minimize the spread and impact of COVID-19 we need more scientific knowledge on multiple fronts:  For example, we need studies to understand how long immunity lasts after recovery from COVID-19 and the long-term effects after recovery. We need better information on the comparative dangers of various activities, e.g. opening elementary schools, outdoor social gatherings, as well as the impacts of pandemic-related restrictions on child development and how to address them. We also need to determine the extent of additive and synergistic effects of COVID-19 and environmental exposures like air pollution, and the efficacy of vaccines across virus strains and against transmission from asymptomatic individuals. Finally, we must understand and address the reasons for “vaccine hesitancy”. Answers to these questions will enable us to save many lives and promote economic recovery. But research on these questions is inadequately supported by government and private sector organizations and when it is done it is often scattered, incomplete and distorted by political agendas.

The use of scientific work in combatting the pandemic has also been set back by an erosion of trust in critical federal public health agencies such as the CDC and FDA. Scientists exposing problems in public health policy in these agencies have been silenced or intimidated, and the agencies have often provided conflicting and inconsistent information to the public. Although workplaces are key settings for spreading the pandemic, the leading federal agencies on occupational health, OSHA and NIOSH, have been almost completely ineffective in making workplaces safer in terms of the spread of COVID-19.  OSHA has received thousands of whistleblower complaints related to COVID and has failed to act on almost all of them. Federal emergency paid sick leave is far from adequate and leaves many workers uncovered.

It is expected that the new administration in Washington will be more truthful in reporting on the status of the pandemic and will rely more on public health and scientific expertise in making policy decisions.  These are welcome changes. However, this will not be enough to combat the health and economic crisis we are facing. To do so we need:

  1. A national plan to control the pandemic that combines stringent public health restrictions with generous economic support to those most impacted by the pandemic.
  2. Strong federal and state legislation providing economic support to those most impacted by the pandemic, including ample, comprehensive and extended unemployment benefits, child care support, an end to evictions and support for gig, contingent and contract workers.
  3. Development and enforcement of regulatory standards for protecting workers from COVID hazards, including provisions for decreasing worker density, minimizing exposure, protection for whistleblowers and comprehensive extended paid leave for those ill with COVID, in quarantine, isolation or needed to provide assistance to family members.  These must be applied for all workers including undocumented, temporary, contract and gig workers.
  4. A detailed plan to distribute vaccines when they become available with proper consideration of optimizing deployment to minimize the spread and impact of the pandemic, and equity in distribution to different sectors of the population. For example, priority must be given to vaccinating prisoners and prison workers, because prisons are hotspots of the pandemic.
  5. Rebuilding and enhancement of the scientific and public health infrastructure that has declined in recent years, and promotion of research that examines the social and political determinants of disease spread and impact.
  6. A national plan to provide free universal healthcare coverage to all people, including undocumented immigrants.

 

Statement on COVID-19 Pandemic

SftP Statement on COVID-19 Pandemic                                

The COVID-19 Pandemic has generated multiple crises across healthcare, economic, and social systems in the U.S. and across the world.

Progressive and radical organizations must rise to meet the immediate challenges of these crises, while also working to replace the failing systems that gave rise to them. We must practice solidarity by aiding impacted communities and by marshaling scientists and scientific resources in these efforts. We demand accountability for the effects of these crises from government, financial, and social institutions. We must support institutions conducting, supporting, and applying scientific research related to the pandemic. 

The pandemic is causing great harm not only due to direct effects of COVID-19 on health, but also through economic devastation affecting livelihoods, housing, transportation, medical care, education, access to nutrition, and all systems necessary for our health and well-being. Physical distancing and anxieties regarding the pandemic will have negative impacts on mental health and social relationships, with even greater impacts on working people laid off amidst financial collapse. Meanwhile, the absence of adequate resources for healthcare, combined with the focus on protecting the financial sector, lay bare the priorities of the capitalist system. 

People in low income and marginalized populations, often with compromised health and denied adequate healthcare long before the pandemic, are the hardest hit. Current government assistance plans proposed during this crisis have been woefully inadequate and leave out major sections of the population: the unemployed, the houseless, the disabled, people who are imprisoned, and the vast majority of people with no wealth and much debt, who are disproportionately people of color. We demand that their needs are put first in public assistance programs dealing with the pandemic. 

It is crucial that we grow and amplify scientific knowledge amidst this pandemic through responsible transparent research and technological development.  Building knowledge about the virus and the disease, including publicly available resources for genomics, epidemiology, infection control and vaccine development will improve containment and medical treatment. Centering vulnerable populations in our priorities will help protect them and build the best overall public health strategy; when vulnerable populations have good healthcare, care is better for everyone. Projections of the extent and severity of COVID-19 are crucial for planning strategic deployment of resources; testing must be universally available and implemented. We demand that any science and technology developed to respond to the pandemic are available for all, without profit or patent.

Nurses and other healthcare workers are on the front lines of fighting the pandemic and face great risks delivering care. Supporting these workers is critical for public health. They must have access to the personal protective equipment, adequate testing resources, and training programs needed to stay safe while providing care. Additionally, we must support the right of these workers to form unions and engage in collective bargaining to support their interests. Public funds must be allocated to greatly increase the number of healthcare professionals and to adequately compensate them. We demand that all public and private healthcare institutions listen to and meet the needs of nurses and healthcare workers.

The workers who are ensuring adequate supplies of food, transportation, and other essential supplies by continuing to go to their jobs through the pandemic, are mostly underpaid and lack the resources to choose to not show up. Farmworkers, many of whom are migrants in precarious situations, are continuing to work in the fields. We demand that these workers be given adequate pay, benefits, and protection immediately, not only during the pandemic but permanently.

Production of masks, protective clothing, ventilation systems, isolation rooms, and other protective equipment must become a top economic priority, to be provided free wherever needed. Universities, research institutions, government agencies, the military, and private enterprises that have personal protective equipment in their inventories must offer these resources to support medical response to the pandemic. We demand that healthcare and essential service workers be given proper personal protective equipment for their safety.

This pandemic shows us the impact of neoliberal defunding of public health institutions and attacks on science, education and  public media. Stopping and reversing this trend is critical for our survival. The exorbitant funds allocated for the military and state security apparatuses should be immediately reallocated to public health and social support systems. Professionals with expertise and experience in infection control must be given the opportunity to provide honest communication to the public. We demand truth in reporting and accurate data about the pandemic.

Local efforts to support these needs and control the pandemic should be supported. However, there is a pressing need for more adequate infrastructure and leadership from the federal government. We must support, politically and financially, institutions such as the Centers for Disease Control and the National Institutes of Health, while at the same time greatly increasing the funding and political support for community health organizations and State and local health departments. We must develop and implement strategies for increasing the cooperation and collaboration of local health departments with the national institutions such as CDC. Combined, these measures help lay the groundwork for implementing the necessary programs for combating the pandemic and ensuring public health. We demand adequate funding and support for public research institutions.

The pandemic is a global phenomenon. It cannot be addressed by isolationist, xenophobic and  nationalistic “America First” policies. Internationalism and anticolonialism must guide collaborations across the world, for sharing research and resources, and for learning from best practices wherever they are occurring. In particular, sanctions that prevent countries such as Iran, Cuba, and Venezuela from accessing needed medical equipment and supplies must be suspended or cancelled.We demand a global and peaceful response to the pandemic.

Science for the People stands in solidarity with all people across the world as we work together to end the pandemic. We ask that scientists uplift these demands and provide aid where they can.

Science for the People

Click for Additional Projects and Resources Related to COVID-19

Sign Up to Help SftP Respond to COVID-19