Tag Archives: CDC Data Tracker

Failure to Communicate

What we’ve got here is failure to communicate. Some men you just can’t reach. So you get what we had here last week, which is the way he wants it. Well, he gets it.

If you don’t recognize those famous lines, they are from the movie, Cool Hand Luke. A young Paul Newman plays Luke, a prisoner on a chain gang. Luke is unable to submit to the authorities that now control his life, even if the inevitable, foreseeable outcome is his death.

The setting is simple enough: the Captain (the warden) warns Luke:

You gonna get used to wearing them chains after a while, Luke. Don’t you never stop listening to them clinking, ’cause they gonna remind you what I been saying for your own good.

Never one to pass up a chance to resist authority, Luke responds with,

I wish you’d stop being so good to me, Cap’n.

After a moment’s pause, this retort unleashes Captain’s fury – “Don’t you ever talk that way to me,” then lashing Luke with a baton, knocking him into a ditch. Captain then delivers the iconic lines: “What we’ve got here is failure to communicate. Some men you just can’t reach.”

That, it appears, is where this country is with the anti-vaxxer, anti-mask crowd. They have chosen – yes, chosen, because belief is a choice, not a biological imperative – chosen to believe false prophets whose statements are resulting in thousands more avoidable COVID deaths. Arguing with these people about the science, the data, the facts is just like trying to tell Cool Hand Luke that he needs to shape up and make his life easier on himself and those around him. Luke can’t hear it and neither can the anti-vaxxers.

It is, therefore, time to change tactics. Beating the anti-vaxxers, while tempting, is not an acceptable solution. But thus far, with one or two notable exceptions, the government’s health authorities have proceeded by burying everyone in obscure and largely irrelevant information. If you don’t believe me, look at the CDC’s COVID Data Tracker website:  https://covid.cdc.gov/covid-data-tracker/#datatracker-home

This information is picked up by media and reported, more or less, in op-eds and other articles in the hope that the anti-vaxxers may read and be persuaded. There are other websites — CDC, New York Times and others – displaying vast quantities of COVID data, often in complex diagrams and charts that are difficult, if not impossible, for ordinary people to digest. The very complexity of the information makes many people leery of what the data says and, more importantly, often leads to inaccurate conclusions. Statistical skills in the general population are not a strong point.

The standard approach is not working, and it’s time for another approach. I recommend what I will call RealCOVID.

Here’s what I think should be done.

  1. COVID data should be reduced to its simplest essence, showing the most important information. At this time that is a comparison of deaths of vaccinated versus unvaccinated patients. Another useful analysis would be to add a simple presentation of the number of COVID infected survivors who continue to suffer adverse health effects and what the top ten or twelve such effects are. Keep it simple.
  2. The government should obtain, by whatever means necessary, prime-time space to display the latest death-data comparisons, as defined above, AND video from hospitals in which real doctors, real nurses, real EMTs briefly state what they have just experienced.
  3. Example: “I’m doctor LifeSaver and I work in the ICU. I just got off for the evening. I was attending to 12 COVID patients. Three, all unvaccinated, died during my shift. No vaccinated patients died. One of the other doctors and two nurses, all near physical and emotional collapse, had to leave the ICU early. That’s where we are.”
  4. The video should show, behind the doctor, a patient being intubated or perhaps even being prepped following death. In other words, show what is happening in the hospitals – give heft and bite to the statistics. Show the reality of COVID as it is happening. RealCOVID.
  5. The government, in cooperation with hospitals and clinics around the country, should have a daily COVID Report on prime-time cable and networks explaining what is happening and what is required to change the course of the pandemic.

I cite as an example the daily briefings that former Governor Cuomo conducted in New York during the peak of the pandemic in 2020. Those reports were seen all over the country. Whatever you may now think of Cuomo as a leader or whatever, the fact is that those briefings were authentic and, I believe, changed for the better the understanding and behavior of many, perhaps millions, of Americans. And they were a source of hope during the worst of the initial pandemic in New York, the then-epicenter.

These reports should not be presented by politicians nor by Dr. Fauci, but by in-the-trenches medical personnel who are qualified to speak in plain terms about the data and the proper defensive tools. We are blessed with many experts in epidemiology and other relevant fields of expertise regarding pandemics. Let’s use them.

No doubt many anti-vaxxers will remain unpersuaded. They have, for whatever reasons, become convinced beyond all reason that vaccines are evil and/or that government attempts to regulate behavior are an assault on freedom. We’re not likely to change their minds but instead of debating them, let’s just show them – every day, in every way. Maybe, just maybe, seeing the devastation will have an effect that complicated multi-page data/charts/diagrams will not.

What do we have to lose?

 

Facing the Abyss – What Should CDC Do Now?

The COVID-19 virus that Trump predicted would “just go away” has now killed More than648,000 Americans out of more than40 million cases. https://wapo.st/38PnK3N

The leading states in new deaths are, unsurprisingly, South Carolina (+36%), Florida (+32%) and Texas (+24%). As cooler weather approaches and more people stay indoors more of the time, the cases/deaths toll can be expected to rise, especially in places with low vaccination rates and persistent refusal to follow national health guidance on masking and distancing. It is what it is.

Predictions now always face opposition from the determined crowd of COVID deniers, anti-maskers and anti-vaxxers who are doing their best to ignore reality and push the country closer to the abyss. This is happening despite the overwhelming evidence that the vaccines are safe and effective and that masking works to reduce infection rates. The excuses offered for rejecting vaccines, masking, etc. are too well known to warrant recital.

The CDC and the leaders of the healthcare community that know the most about all this have, to be sure, made “mistakes” during the runup from early 2020 to now. Those mistakes are an inevitable part of the steep learning curve during a novel virus epidemic, especially when combined with inept and corrupt national leadership promoting bogus cures and inspiring resistance to promising candidates to contain the spread. We are where we are.

The question now is what could be done to change the national narrative. I address this with full awareness that millions of Americans would rather risk a horrible death than be seen to “comply” with national health guidance. There may be nothing we can do about them, but I think there are some things we haven’t tried yet.

Starting with the CDC, setting aside the chaotic approach in the early days when Trump’s political pressure seemed to influence CDC’s public posture, I have been troubled by what I label “website data bloat.” The CDC Data Tracker [https://bit.ly/3hd72A0] is the object of my derision. The site is an extraordinary trove of information for Job and others with much patience, consisting of a multitude of boxes and lists and maps, many of which are redundant or require some study to fully understand what is being shown.

I speculate that the site is the product of turning over the communication function to programmers who believe more is always better and just don’t know where to stop or how to organize information to tell a story rather than “show what we’ve got.” But, whatever the root cause, the site, for all its robustness, does not communicate the story as dramatically as it could. And if anything cries out for dramatic storytelling, it is the continued, and avoidable, rampage of COVID through America.

It should come as no surprise at this late date that, having been blunted in impact among most older people (who, generally, have a higher percentage of vaccinated individuals than other cohorts), is turning its mindless “attention” toward other groups, including children, many of whom are too young to be vaccinated according to the latest protocols.

In my view, parents of young children who refuse vaccination should be prosecuted for child endangerment, but we know that’s not going to happen. We can, however, more effectively communicate the danger.

This is how. It will require a fundamental change in the way the government does things.

Instead of presenting a vast array of charts/graphs/pathways to still more charts/graphs and offering data in various formats (gross, per capita, per this and that), focus on one thing: the message. This is a situation in which the data should be used not just to inform but to persuade. To teach. To affect.

So, what to do?

First, move all the “just data” charts/graphs to the back of the site with a simple index of what’s there.

Second, in the front, using graphs backed by data, show the key facts in a direct comparison of, for example, deaths of vaccinated versus deaths of unvaccinated people over time. Include data on adverse effects of vaccinations to the extent it exists.

Third, add to the data on cases and deaths, the data on known cases of adverse health impacts (heart, lung, brain, etc.) for COVID “survivors,” information that has largely been ignored.

Fourth, stop focusing on the number of people with one shot. We know that for the main two vaccines, two shots are essential and that’s the key number to show. Focusing on one shot is misleading.

Fifth, show the damn videos!

A wealth of videos exists showing, especially, the end stage of COVID experience in hospital ICUs: the ones where the unvaccinated, wired and tubed beyond recognition, are facing intubation and medically induced comas and are begging doctors and nurses for vaccination and “do anything to save my life.” Show those videos in TV ads in lieu of the bland “please do the right thing” messages now in use. Show the healthcare providers, dressed like aliens from Planet X, saying, “I’m sorry but it’s too late. Vaccines can’t help you now.”

 Some people will see this as unacceptably harsh. To them I say, if you don’t like it, don’t watch. But if done properly (get some experts in this kind of dramatic communication on the task), this stands some chance of jolting resisters into doing the intelligent thing and rushing to get vaccinated.

Make the message simple and clear and unmistakable – if you don’t get vaccinated, this is what may await you. Or your family. Your children. Do it now.

We know from experience that presenting the public with vast quantities of unconsumable statistics is not achieving the level of success we need to stop the pandemic. It is time to pull out all the stops. Stop acting like the government and act like you’re trying to sell something: public health. Survival.

Do it now. We’re almost out of time. The abyss is nearer by the day. It doesn’t have to be this way. Act like it’s the emergency it really is. Just do it.