Nolan Cianci (HPM ’21), Mara Menk (HPM ’22), and Devin Strynkowski (HPM ’21), coached by MPH program director and HPM faculty member Elizabeth Van Nostrand, placed 2 nd in the Penn State University Health Care Management Case Competition
WTAE - HPM’s Mark Roberts said a drop in coronavirus cases means that people are following social distancing guidelines. He thinks President Trump's plan is “reasonable,” but he added, “What we need to do is understand the impact of the decisions we’re making on the disease and on the economy.”
CNN – The scramble for successful treatments is disjointed and chaotic, according to Pitt Med's Derek Angus (BCHS '92). There are two million people who already have this disease. If even one in 10 has been able to participate in a trial, we could have gone through 100 different drugs by now and known definitively which ones worked or not. The disorder is global, and there aren’t enough tests right now to practice effective public health.
WASHINGTON POST - “It’s a cacophony—it’s not an orchestra. There’s no conductor,” said Pitt Med and HPM faculty's Derek Angus (BCHS '92), who is leading a covid-19 trial to test multiple therapies. “My heart aches over the complete chaos in the response.” The lack of coordination puts the world at risk of ending up with a raft of inconclusive and conflicting studies and little idea of what interventions work for the next wave of illness.
ASSOCIATED PRESS - A dozen patients had serious problems but it’s not clear whether they were from the drug or their disease. UPMC critical care chief and HPM faculty member Derek Angus (BCHS '92) said the recovery rate is good but “there is no way of knowing from this series if the antiviral drug was helpful.”
WTAE – “The solution is to find an optimal tradeoff between doing something now, such as prescribing a drug off-label, or waiting until traditional clinical trials are complete,” said Derek Angus (BCHS '92), chair of Pitt Med's Department of Critical Care Medicine. “By building this one-stop solution at the point-of-care, we are rolling out an approach that can assure that every patient admitted with COVID-19 can be enrolled in the program.”
WTAE – “We don’t really know what’s the proportion of people who get the disease that don’t have any symptoms at all, what’s the proportion of people who have mild symptoms, and what’s the proportion of people who have severe symptoms requiring hospitalization,” said Mark Roberts, chair of health policy and management at Pitt Public Health.
WHYY PHILADELPHIA – Referencing the model used in recent White House briefings, Mark Roberts, HPM chair and director of the Public Health Dynamics Laboratory, said, “It’s a surprisingly accurate model. Their predictions of what today would look like three weeks ago are very good.” The model puts the U.S. about nine days away from the peak of COVID spread.
PUBLIC SOURCE - How might we come out of extreme social distancing? Mark Roberts, director of the Public Health Dynamics Lab, thinks the most interesting option might be relaxing social distancing behaviors based on the ability to know whether the person is immune to the disease or not. We could test and say you are immune and can go back to work. That would be the most accurate way of doing it.
90.5 WESA - “If nobody ever went out and nobody ever touched anybody else, this disease could not pass at all,” said HPM's Mark Roberts, director of the Public Health Dynamics Laboratory. He thinks the current restrictions on daily life need to continue for the time being. “If people went about their lives as normal, there would be tens of thousands of cases requiring hospitalization in western Pennsylvania alone.”
MEDSCAPE - In an editorial issued just days after these new guidelines, Pitt Med's Derek C. Angus (BCHS '92), who is also an HPM distinguished professor and associate editor with JAMA, and Lamontagne of Canada say these "represent an excellent first step toward optimal, evidence-informed care for patients with COVID-19.”
PENN LIVE - “There’s a substantial likelihood we are going to see a surge that might reflect the worst-case scenario,” said HPM's Jeremy Kahn, also professor of critical care medicine. “I’d be hard-pressed to think of anything as too extreme.... I'm a little skeptical this is the most efficient solution." It would be best to move less severe cases before putting critically ill patients “in an ad-hoc ICU at a dorm or hotel.”
PITTSBURGH POST-GAZETTE - FRED offers frightening predictions about what Pennsylvania residents could face with COVID-19. “These are very scary numbers, and one thing I hope to impress upon people is that this is serious,” said Mark Roberts, director of the Public Health Dynamics Lab and chair of health policy and management. “Social distancing is seriously important…. There’s hope that further action can drive that prediction downward.”
90.5 WESA – Inmaculada Hernandez (HPM ’16) said what’s concerning is that discounts are often paid directly to insurers. This means people who are un- or under-insured generally don’t benefit from the markdowns. “This is probably increasing disparities in health care access…. We are not doing a good job of protecting patients against increases in co-pays, out-of-pocket costs and certainly those that don’t have insurance.”
THE HILL - Epidemiologist Donald Burke emphasized the need to improve the scientific basis to improve readiness: the understanding of which virus groups to watch, the field capabilities to detect spillovers in remote places before they become regional outbreaks, the organizational capacities to control outbreaks before they become pandemics, plus the laboratory tools and skills to recognize known viruses speedily, to characterize new viruses alm...