Health experts like the framework of the White House guidelines for reopening the U.S., but are troubled by the lack of detail. How big a drop in new cases constitutes a 'downward trajectory'? Why isn't doesn't widespread testing seem to be mandatory?
People cross an empty downtown Kansas City, Mo., street on Wednesday while stay-at-home orders continue in the state and much of the rest of the United States as part of an effort to curb the spread of the new coronavirus.People cross an empty downtown Kansas City, Mo., street on Wednesday while stay-at-home orders continue in the state and much of the rest of the United States as part of an effort to curb the spread of the new coronavirus.
Jha said using that system is akin to a back-up plan:"not as good and not as reliable [as adequate testing] but better than nothing." But many say that the"gating criteria" – the standards to be met to move to the next phase – in the guidelines are problematic. And Powers wondered how steep the plan's"downward trajectory" needs to be, for a state to enter the next phase:"Is it one fewer case per day? Is that sufficient or does it need to be more than that?"
Among the things listed as"core state preparedness responsibilities" is the ability to test people with symptoms for COVID-19 and do contact tracing for those who test positive, and for"sentinel surveillance sites" to screen for asymptomatic cases, including in vulnerable communities such as nursing homes.Dr. Lynn GoldmanShe notes that it's still difficult to acquire swabs to take the test and lab materials for analyzing it.
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