Mar 21, 2020 1:00 AM

US military's role in response to virus outbreak is growing

Posted Mar 21, 2020 1:00 AM

WASHINGTON (AP) — The Pentagon’s role in responding to the coronavirus outbreak in the United States began to rapidly expand Wednesday as officials announced that two Navy hospital ships and two Army field hospitals were preparing to deploy to help overburdened regions.

The latest moves are aimed at taking the pressure off local hospitals so that they can free up rooms and staff to deal with virus patients. Military hospital ships and field units are geared toward treating trauma cases.

The military moves, however, face limits. It will take as long as two weeks for the USS Comfort hospital ship to get to New York City, where the governor has been pressing for medical help.

And there are logistical and legal concerns about expanding the military’s role in civilian affairs, such as tasking it with enforcing quarantines. Defense officials also want to be careful not to do anything to weaken its ability to defend the nation.

A look at the military’s role in the crisis:

WHAT THE MILITARY IS DOING

The hospital ships are not on their way but are gathering staff and preparing to go.

The USS Mercy hospital ship, which is based on the West Coast, will be ready to move out “in days,” according to officials, and the USS Comfort is undergoing maintenance in Norfolk, Virginia, and will head to New York City within two weeks.

Navy officials are trying to expedite the Comfort’s departure. It was not yet clear where the Mercy will go, but it will be somewhere on the West Coast.

Air Force Brig. Gen. Paul Friedrichs, the surgeon for the Joint Chiefs of Staff, said the plan is to staff the ships with the typical mix of medical expertise, which primarily involves trauma treatment. The ships will take non-COVID-19 patients, easing the trauma treatment load on civilian hospitals.

He said staffing decisions will be based on what local leaders need and will mainly involve active-duty military personnel.

The Army, meanwhile, is preparing to deploy two field hospitals, according to Army Secretary Ryan McCarthy. One defense official said the two field hospitals will go to New York City and Seattle, two cities with the greatest need.

The official spoke on condition of anonymity to discuss details not yet made public.

Friedrichs said Army field hospitals will be able to provide about 1,000 beds. He said they have not put reserve medical units on alert because of concerns about taking those people out of the civilian jobs in the health care industry.

Defense Secretary Mark Esper said Wednesday that 1 million respiratory masks were immediately made available to the Department of Health and Human Services, and 4 million more will follow. The Pentagon also will provide to civilian agencies as many as 2,000 special-purpose military ventilators, he said.

Also, Army scientists are researching and testing vaccines for the coronavirus, in coordination with civilian agencies. On Tuesday, Esper visited Fort Detrick in Maryland, where the research is underway.

In addition, the Pentagon continues to provide housing at four military bases for some passengers taken from the Grand Princess cruise ship, which was hit with a cluster of coronavirus cases. It also has made available housing at other bases for people entering the U.S. at certain civilian airports and needing monitoring.

The most extensive role for the military so far is for the National Guard, which is being called up by governors to provide a range of support. At least 2,000 National Guard members in 23 states are working on virus support and response. Some are helping at state emergency operations centers; others are providing transportation for civilian health care providers; and some are collecting and delivering test samples.

WHAT THE MILITARY IS CONSIDERING

There are many more ways the military could assist in the COVID-19 crisis, and Pentagon leaders said those discussions are going on continually with federal and state officials.

Friedrichs told reporters Monday that defense officials are trying to identify “what’s within the realm of the possible,” while also spelling out what the trade-offs for that would be.

For example, Friedrichs said, officials are wary to mobilize large numbers of National Guard members because it would take them away from their civilian jobs, which in some cases are in health services already engaged in fighting COVID-19.

Esper has said he is considering activating National Guard and Reserve units for federal duty to help states with planning, logistics and medical support “as needed.” Such a move would need approval by President Donald Trump.

WHAT THE MILITARY COULD DO IN AN EXTREME EMERGENCY

The Defense Department has a detailed pandemic response plan that lays out the myriad things the military can do if requested, including a last-resort role in helping to impose quarantines and border restrictions.

The military could be called on to help establish “mass casualty” treatment sites, provide shelter for displaced persons and help provide postal, power, water and sewer services, food deliveries and mortuary tasks. Troops also could provide logistics, communications and other support for law enforcement and the National Guard. Drafted and overhauled several times in recent years, the military’s plan is closely guarded and officials decline to discuss details publicly.

Officials, however, say that there is a broad assumption that local law enforcement, border control officers and the National Guard under the governors’ command would be the first line of defense to stem the spread of any virus through travel restrictions at the borders and along state lines or outbreak areas.

IMPACT ON THE MILITARY

So far, 49 members of the military have tested positive for the virus, along with 14 Defense Department civilians, 19 military dependents and seven contractors.

For most people, the new coronavirus causes only mild or moderate symptoms, such as fever and cough. For some, especially older adults and people with existing health problems, it can cause more severe illness, including pneumonia.

The vast majority of people recover from the new virus. According to the World Health Organization, people with mild illness recover in about two weeks, while those with more severe illness may take three to six weeks to recover. Worldwide, more than 200,000 cases have been confirmed, while more than 8,500 people have died.

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Continue Reading Panhandle Post
Mar 21, 2020 1:00 AM
FIRST FIVE: In crisis times, balancing safety and freedom
Lata Nott is chief content officer of the Freedom Forum.

In times of crisis, safety and freedom may seem like they’re at odds with each other. A society that respects individual liberty can’t implement the same kinds of drastic laws and policies that a more authoritarian one can.

This puts more of an onus on citizens of a democracy to make responsible choices. As we face a virus that we can easily pass on without realizing it, that may not cause any symptoms in those who are young and healthy but is potentially deadly to the elderly and those with preexisting conditions, we need to keep in mind that our independent media and civil society can be assets in this fight, as long as we balance our personal freedoms with care and compassion for each other.

As I write this column, 7,038 people have tested positive for COVID-19 in the United States. The highly contagious nature of the virus has led Ohio to postpone its presidential primary, Washington and Maryland to shut down all restaurants and bars (except for delivery and takeout) and California to call for all people 65 and older to shelter inside their homes. More than 30 states have closed their schools. On Sunday, the Centers for Disease Control and Prevention recommended that no gatherings of 50 people or more be held in the U.S. for the next eight weeks. On Monday, it amended that warning to apply to gatherings of more than 10 people. I’m certain that by the time you read this, there will be more cases of COVID-19, as well as more shutdowns, both voluntary and mandated by state and local officials.

All of this was unimaginable last week. Just last month, the coronavirus seemed like a rather distant problem, even though the first confirmed case in the U.S. occurred in late January. We had several weeks to observe China’s handling of COVID-19 and at first, a lot of our conversations had a tone of reluctant admiration for how swiftly an authoritarian government could act in the face of an outbreak. In a matter of days, the Chinese government had quarantined entire cities, suspended travel, closed schools and businesses and built two new specialized hospitals. What democracy could match that?

It didn’t take long for the truth to come to light. Not that the Chinese government had been censoring information and violating civil liberties — that was sort of a given — but that censoring information and violating civil liberties actually made the outbreak worse. China’s suppression of news about the outbreak prevented health care practitioners and individuals from being able to take appropriate precautions and hindered officials from being able to coordinate a response. As this personal essay from an anonymous resident of Wuhan put it, “Before this coronavirus, I always thought it was OK to sacrifice some level of democracy and freedom for better living conditions. But now I have changed my attitude. Without democracy and freedom, the truth of the outbreak in Wuhan would never be known.”

Of course, now that it’s our turn to deal with the virus, it’s hard to argue that we’re doing much better. For weeks, the Trump administration downplayed the severity of the situation, contradicting public health experts and news media reports and delaying containment and mitigation efforts. According to The Washington Post, early problems with manufacturing coronavirus tests, “along with an initial decision to test only a narrow set of people and delays in expanding testing to other labs, gave the virus a head start to spread undetected — and helped perpetuate a false sense of security that leaves the United States dangerously behind.” Officials in China are reportedly watching our mishandling of the outbreak with a “mix of shock and pleasure. They find it hard to believe that the world’s top superpower might be bungling its response to the virus, even after having had weeks to prepare for its possible arrival.”

 As the national security law blog Lawfare has pointed out, many observers are using the coronavirus as a proxy war for democracies versus authoritarian systems. This is, of course, an oversimplification, but it does highlight an important truth — civil liberties do have an impact on how governments deal with crises. Our freedoms of press and speech ensure the free flow of information, but they also allow misinformation to spread. And while South Korea, a fellow democracy but one with less regard for civil liberties, was able to curtail its COVID-19 outbreak by forcibly shutting down a series of churches where the virus initially spread, it’s hard to imagine an American government official doing the same. Such an action, “might register to many Americans as an egregious violation of basic First Amendment instincts regarding the freedom of religion, right to assemble and separation of church and state.”

Our state, city and federal officials do have the power to place people in isolation or quarantine, but that power is tempered by the Constitution (the government cannot confine people arbitrarily and without adequate explanation) and by the norms of our society (the impact on liberty means that these are considered measures of last resort). Officials in the U.S. are more likely to recommend that people voluntarily practice social distancing. And even when they do make some aspects of this behavior compulsory, these policies aren’t nearly as draconian as they would be in an authoritarian system. When Ohio Gov. Mike DeWine ordered bars, restaurants and recreation centers closed, he added, “we hope that Ohioans will follow this advice. Just as with every other law or rule, you can’t enforce it every time.” Compare this to language a Chinese party committee used to discourage citizens from hiding infections: “Whoever deliberately delays or conceals reporting for the sake of their own interests will be forever nailed to history’s pillar of shame.”

Our democratic approach means that we run the risk of our citizens not taking the warnings seriously. Former New Jersey Gov. Chris Christie observed on Monday that, “There are still too many Americans going out to restaurants, bars and other public areas as if this is business as usual.” In a way, this is the cost of our freedoms. We’ve been advised, whether we are healthy or ill, to practice social distancing, by minimizing contact with other people, limiting nonessential travel, working from home and avoiding gatherings. But for most of us, this isn’t a mandate. Instead, it’s a choice we make — every time we cancel plans, stay in our homes and forego human contact for another day. These decisions might not make much of a difference to your personal health and safety, but can have an outsized impact on the health and safety of others. As the director of the National Institutes of Health, Francis Collins, has said, “I think we as a nation have to get into a place of not just thinking about ourselves, but thinking about everybody else around us, and particularly the most vulnerable people — those who are older and those people with chronic diseases. Young people may have a relatively low risk of serious illness, kids seem to have a very low risk, but if you want to avoid what could be the deaths of hundreds of thousands of people, then it is incumbent on all of us to severely limit our social interactions. We need to ask the question about every interaction we have and whether it is necessary or not.”

It can be quite daunting to realize that flattening the curve — slowing the rate of new infections in order to buy researchers more time to develop vaccines and give hospitals some respite — is a responsibility that falls on all of us as individuals. But the thing about democracies is that they’re fundamentally optimistic about human nature. We give people civil liberties, knowing full well that some will abuse those rights, because we expect that, on the whole, most will use them wisely. We protect heinous speech, false information and pointless assembly from government crackdowns because we don’t want to risk infringing on valuable speech, information and assembly — and with that there is an inherent assumption that it’s worth it, that the good outweighs the bad.

There is no requirement that you exercise your freedoms responsibly, but the fact that you have them reflects the underlying belief that you will.

Lata Nott is chief content officer of the Freedom Forum. Contact her via email at [email protected], or follow her on Twitter at @LataNott.