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For American Military, Coronavirus Is an Enemy to Be Fought For American Military, Coronavirus Is an Enemy to Be Fought
(2 months later)
The commander of an American military post near the center of a coronavirus outbreak in South Korea delivered the sobering news to his troops in warriors’ terms: “We had a breach in our perimeter.”The commander of an American military post near the center of a coronavirus outbreak in South Korea delivered the sobering news to his troops in warriors’ terms: “We had a breach in our perimeter.”
A soldier at the post, Army Garrison Daegu, had tested positive for the virus on Tuesday — the military’s first active-duty case — and the commander, Col. Edward Ballanco, told the troops in a video address, “Let’s regroup and attack the virus.”A soldier at the post, Army Garrison Daegu, had tested positive for the virus on Tuesday — the military’s first active-duty case — and the commander, Col. Edward Ballanco, told the troops in a video address, “Let’s regroup and attack the virus.”
The battle plan he announced was aggressive: Close the office buildings the infected soldier used. Have “clean teams” disinfect anywhere the soldier had been. Quarantine whomever he had come in contact with. At the post gates, screen everyone for fever, troops and civilians alike. Tell many civilian workers to stay home. Close the post’s schools, golf course and bowling alleys. Cancel upcoming social events like the father-daughter dance.The battle plan he announced was aggressive: Close the office buildings the infected soldier used. Have “clean teams” disinfect anywhere the soldier had been. Quarantine whomever he had come in contact with. At the post gates, screen everyone for fever, troops and civilians alike. Tell many civilian workers to stay home. Close the post’s schools, golf course and bowling alleys. Cancel upcoming social events like the father-daughter dance.
The coronavirus threat may still seem distant to much of civilian America, but it has been a clear and present danger for the military almost from the start. The United States has more than 75,000 troops stationed in countries that are experiencing outbreaks, including South Korea, Japan, Italy and Bahrain.The coronavirus threat may still seem distant to much of civilian America, but it has been a clear and present danger for the military almost from the start. The United States has more than 75,000 troops stationed in countries that are experiencing outbreaks, including South Korea, Japan, Italy and Bahrain.
Several American bases sit next to cities where the virus is spreading, and they are intertwined with local communities, employing numerous civilian workers and housing many troops off base. A civilian worker at another Army post in South Korea tested positive on Thursday.Several American bases sit next to cities where the virus is spreading, and they are intertwined with local communities, employing numerous civilian workers and housing many troops off base. A civilian worker at another Army post in South Korea tested positive on Thursday.
And in any kind of crisis, the nation’s first resort is often to call on the military’s capabilities and resources, as it did when infected Americans evacuated from a cruise ship in Japan were quarantined on two air bases.And in any kind of crisis, the nation’s first resort is often to call on the military’s capabilities and resources, as it did when infected Americans evacuated from a cruise ship in Japan were quarantined on two air bases.
As the virus spreads around the globe, Defense Secretary Mark Esper told Congress this past week, the “first priority is protection of our people, both service members and families, and then make sure we protect our ability to accomplish our mission.” Whatever tasks troops may be called upon to perform, from erecting field hospitals in overwhelmed communities to transporting patients in cargo planes filled with isolation pods, military leaders have emphasized that they can be accomplished only if the troops are healthy.As the virus spreads around the globe, Defense Secretary Mark Esper told Congress this past week, the “first priority is protection of our people, both service members and families, and then make sure we protect our ability to accomplish our mission.” Whatever tasks troops may be called upon to perform, from erecting field hospitals in overwhelmed communities to transporting patients in cargo planes filled with isolation pods, military leaders have emphasized that they can be accomplished only if the troops are healthy.
This past week the military took several defensive steps against infection, curtailing some operations and restricting leave.This past week the military took several defensive steps against infection, curtailing some operations and restricting leave.
But like the global business supply chain, the United States military relies on constant movement of people and material among far-flung countries, so force protection can come at a cost. Steps meant to stave off or contain the virus may also compromise training and readiness.But like the global business supply chain, the United States military relies on constant movement of people and material among far-flung countries, so force protection can come at a cost. Steps meant to stave off or contain the virus may also compromise training and readiness.
That is already happening in South Korea, which has reported more than 1,700 cases of the viral illness, known as Covid-19. United States Forces Korea announced on Thursday that it was canceling annual joint military exercises with the South Korean military.That is already happening in South Korea, which has reported more than 1,700 cases of the viral illness, known as Covid-19. United States Forces Korea announced on Thursday that it was canceling annual joint military exercises with the South Korean military.
But officials said this past week that another joint training mission, in Thailand, had been allowed to go ahead.But officials said this past week that another joint training mission, in Thailand, had been allowed to go ahead.
“There is a balance we have to strike, and it’s not easy,” said Dr. Jonathan Woodson, who was assistant secretary of defense for health affairs from 2010 to 2016, and who coordinated the military’s response to the Ebola outbreak in 2015.“There is a balance we have to strike, and it’s not easy,” said Dr. Jonathan Woodson, who was assistant secretary of defense for health affairs from 2010 to 2016, and who coordinated the military’s response to the Ebola outbreak in 2015.
For as long as there have been armies, they have been menaced by the ready spread of diseases like typhoid, cholera and influenza that could tear through the ranks of troops in close quarters.For as long as there have been armies, they have been menaced by the ready spread of diseases like typhoid, cholera and influenza that could tear through the ranks of troops in close quarters.
Even in wartime, illness and noncombat injuries “have claimed far more soldiers than gunshot wounds,” Dr. Woodson said. “That forced the military to created a robust public health system. You have to take care of the troops, or you have no one left to do the fighting.” In the Army’s dawning days, George Washington ordered all his soldiers to be inoculated against smallpox.Even in wartime, illness and noncombat injuries “have claimed far more soldiers than gunshot wounds,” Dr. Woodson said. “That forced the military to created a robust public health system. You have to take care of the troops, or you have no one left to do the fighting.” In the Army’s dawning days, George Washington ordered all his soldiers to be inoculated against smallpox.
But health concerns have always competed with other priorities, Dr. Woodson said, and there is often debate over whether they should curtail operations, as they have in suspending the major exercise in South Korea.But health concerns have always competed with other priorities, Dr. Woodson said, and there is often debate over whether they should curtail operations, as they have in suspending the major exercise in South Korea.
“A lot of time, money and people are put into these exercises, and there are always people who want them to go forward,” he said. “But I think the leadership is being properly informed about the larger consequences.”“A lot of time, money and people are put into these exercises, and there are always people who want them to go forward,” he said. “But I think the leadership is being properly informed about the larger consequences.”
In many ways the military is better positioned than the civilian population to respond to a global outbreak. The armed forces are a young, healthy population that has universal health care. Bases with gates can easily limit access. Commanders have far more authority than civilian leaders to impose quarantines and vaccinations, close facilities and order troops to stay away from public gatherings.In many ways the military is better positioned than the civilian population to respond to a global outbreak. The armed forces are a young, healthy population that has universal health care. Bases with gates can easily limit access. Commanders have far more authority than civilian leaders to impose quarantines and vaccinations, close facilities and order troops to stay away from public gatherings.
“It’s the ideal public health environment, but it’s a double-edged sword,” said Carol R. Byerly, a former research historian for the Office of the Army Surgeon General. “You have great resources, great monitoring, but the needs of the military can also make the military more vulnerable.”“It’s the ideal public health environment, but it’s a double-edged sword,” said Carol R. Byerly, a former research historian for the Office of the Army Surgeon General. “You have great resources, great monitoring, but the needs of the military can also make the military more vulnerable.”
She noted that during World War I, the deadly 1918 flu pandemic was made worse by the mobilization of tens of thousands of young men who were concentrated in cramped Army training barracks.She noted that during World War I, the deadly 1918 flu pandemic was made worse by the mobilization of tens of thousands of young men who were concentrated in cramped Army training barracks.
The Army’s expert on communicable disease at the time, Dr. Victor Vaughan, visited Camp Devens in Massachusetts and was shocked by what he saw: “Hundreds of stalwart young men in the uniform of their country coming into wards of the hospital in groups of ten or more. They are placed on the cots until every bed is full, yet others crowd in. Their faces soon wear a bluish cast; a distressing cough brings up the bloodstained sputum. In the morning, the dead bodies are stacked about the morgue like cord wood.”The Army’s expert on communicable disease at the time, Dr. Victor Vaughan, visited Camp Devens in Massachusetts and was shocked by what he saw: “Hundreds of stalwart young men in the uniform of their country coming into wards of the hospital in groups of ten or more. They are placed on the cots until every bed is full, yet others crowd in. Their faces soon wear a bluish cast; a distressing cough brings up the bloodstained sputum. In the morning, the dead bodies are stacked about the morgue like cord wood.”
Dr. Vaughan and other military health officials appealed to President Woodrow Wilson to suspend the draft and stop sending crowded troopships to France. But generals seeking more troops for the trenches won the argument. The War Department later estimated that 35,000 American soldiers died of influenza before reaching Europe.Dr. Vaughan and other military health officials appealed to President Woodrow Wilson to suspend the draft and stop sending crowded troopships to France. But generals seeking more troops for the trenches won the argument. The War Department later estimated that 35,000 American soldiers died of influenza before reaching Europe.
“You’ve always had competing priorities,” Ms. Byerly said. “Medical officers are often seen as the mother hens of the military, and they are often seen as a burden and not listened to.”“You’ve always had competing priorities,” Ms. Byerly said. “Medical officers are often seen as the mother hens of the military, and they are often seen as a burden and not listened to.”
Updated June 1, 2020
Exercise researchers and physicians have some blunt advice for those of us aiming to return to regular exercise now: Start slowly and then rev up your workouts, also slowly. American adults tended to be about 12 percent less active after the stay-at-home mandates began in March than they were in January. But there are steps you can take to ease your way back into regular exercise safely. First, “start at no more than 50 percent of the exercise you were doing before Covid,” says Dr. Monica Rho, the chief of musculoskeletal medicine at the Shirley Ryan AbilityLab in Chicago. Thread in some preparatory squats, too, she advises. “When you haven’t been exercising, you lose muscle mass.” Expect some muscle twinges after these preliminary, post-lockdown sessions, especially a day or two later. But sudden or increasing pain during exercise is a clarion call to stop and return home.
States are reopening bit by bit. This means that more public spaces are available for use and more and more businesses are being allowed to open again. The federal government is largely leaving the decision up to states, and some state leaders are leaving the decision up to local authorities. Even if you aren’t being told to stay at home, it’s still a good idea to limit trips outside and your interaction with other people.
Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks.
Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days.
If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.)
More than 40 million people — the equivalent of 1 in 4 U.S. workers — have filed for unemployment benefits since the pandemic took hold. One in five who were working in February reported losing a job or being furloughed in March or the beginning of April, data from a Federal Reserve survey released on May 14 showed, and that pain was highly concentrated among low earners. Fully 39 percent of former workers living in a household earning $40,000 or less lost work, compared with 13 percent in those making more than $100,000, a Fed official said.
Yes, but make sure you keep six feet of distance between you and people who don’t live in your home. Even if you just hang out in a park, rather than go for a jog or a walk, getting some fresh air, and hopefully sunshine, is a good idea.
Taking one’s temperature to look for signs of fever is not as easy as it sounds, as “normal” temperature numbers can vary, but generally, keep an eye out for a temperature of 100.5 degrees Fahrenheit or higher. If you don’t have a thermometer (they can be pricey these days), there are other ways to figure out if you have a fever, or are at risk of Covid-19 complications.
The C.D.C. has recommended that all Americans wear cloth masks if they go out in public. This is a shift in federal guidance reflecting new concerns that the coronavirus is being spread by infected people who have no symptoms. Until now, the C.D.C., like the W.H.O., has advised that ordinary people don’t need to wear masks unless they are sick and coughing. Part of the reason was to preserve medical-grade masks for health care workers who desperately need them at a time when they are in continuously short supply. Masks don’t replace hand washing and social distancing.
If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.
If you’re sick and you think you’ve been exposed to the new coronavirus, the C.D.C. recommends that you call your healthcare provider and explain your symptoms and fears. They will decide if you need to be tested. Keep in mind that there’s a chance — because of a lack of testing kits or because you’re asymptomatic, for instance — you won’t be able to get tested.
Charity Navigator, which evaluates charities using a numbers-based system, has a running list of nonprofits working in communities affected by the outbreak. You can give blood through the American Red Cross, and World Central Kitchen has stepped in to distribute meals in major cities.
She said the military seemed to be reacting prudently to the coronavirus outbreak, but she warned that much was still unknown.She said the military seemed to be reacting prudently to the coronavirus outbreak, but she warned that much was still unknown.
“It’s always important to remember the history of infectious disease isn’t over,” she said. “We’ve lived in a golden age without a real pandemic, but we can’t get cocky.”“It’s always important to remember the history of infectious disease isn’t over,” she said. “We’ve lived in a golden age without a real pandemic, but we can’t get cocky.”
In February, the military began executing a plan it developed in 2005 to battle a pandemic. The plan provides a blueprint for helping with evacuation and quarantine of patients, assisting with supplies and medical care, and, if needed, providing manpower to keep the nation’s critical infrastructure running.In February, the military began executing a plan it developed in 2005 to battle a pandemic. The plan provides a blueprint for helping with evacuation and quarantine of patients, assisting with supplies and medical care, and, if needed, providing manpower to keep the nation’s critical infrastructure running.
As the threat levels laid out in military plans have been raised in recent weeks, more restrictions have been imposed. In several countries, including Bahrain, military schools have closed and students switched to online classes. At an Army post in northern Italy, theaters, gyms, day care centers and chapels have also been closed. Troops in South Korea were told on Thursday to cut all nonessential off-base activity.As the threat levels laid out in military plans have been raised in recent weeks, more restrictions have been imposed. In several countries, including Bahrain, military schools have closed and students switched to online classes. At an Army post in northern Italy, theaters, gyms, day care centers and chapels have also been closed. Troops in South Korea were told on Thursday to cut all nonessential off-base activity.
Some Navy ships near infected ports have been ordered to stay at sea at least 14 days as a safeguard. Troops stationed in the Middle East and Central Asia were told on Thursday they could no longer take leave or liberty.Some Navy ships near infected ports have been ordered to stay at sea at least 14 days as a safeguard. Troops stationed in the Middle East and Central Asia were told on Thursday they could no longer take leave or liberty.
“The situation is not going to cure itself overnight,” Maj. Gen. Roger Cloutier said in a video briefing to troops at the base in Italy. “In fact, it could get worse before it gets better.”“The situation is not going to cure itself overnight,” Maj. Gen. Roger Cloutier said in a video briefing to troops at the base in Italy. “In fact, it could get worse before it gets better.”
Colonel Ballanco, the post commander at Daegu, said in his video message that the infected soldier, a 23-year-old man, appeared to be doing well. Officials at the post did not respond to requests for further information.Colonel Ballanco, the post commander at Daegu, said in his video message that the infected soldier, a 23-year-old man, appeared to be doing well. Officials at the post did not respond to requests for further information.
In his address, Colonel Ballanco warned that while the Army would remain vigilant, “we have to watch out about going overboard.”In his address, Colonel Ballanco warned that while the Army would remain vigilant, “we have to watch out about going overboard.”
“The Army has to continue to function,” he said, adding, “If we have doubts, we put you in quarantine, but eventually, if 30 percent of our base is quarantined, we’re going to face some other problems.”“The Army has to continue to function,” he said, adding, “If we have doubts, we put you in quarantine, but eventually, if 30 percent of our base is quarantined, we’re going to face some other problems.”