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We quantify the effect of mask mandates in the United States. Our regression discontinuity design exploits county-level variation in COVID-19 cases, hospital admissions, and deaths across the border between states with and without mandates. We find a significant and substantial effect—mask mandates reduced new weekly COVID-19 cases, hospital admissions, and deaths by 55, 11 and 0.7 per 100,000 inhabitants on average. Crucially, we find that the effect of mask mandates depends on the attitudes toward mask wearing at the county level, with larger effects in counties more positively inclined towards mask wearing. Our results imply that mandates saved 87,000 lives through December 19, 2020, while a nationwide mandate could have saved 58,000 additional lives. These large effects suggest that mask mandates are a crucial tool to counter pandemics, particularly if accepted widely by the population. Our results are thus also relevant for countries who will not be able to immunize large swaths of their population in the short term.
Masks have been a ubiquitous and oft-politicized aspect of the COVID-19 pandemic. Years of painstakingly organized pre-pandemic planning documents led public health experts to initially discourage the use of masks, or even insinuate that they could lead to increased rates of spread. Yet seemingly in a matter of days in spring 2020, leading infectious disease scientists and organizations reversed their previous positions and recommended masking as the key tool to slow the spread of COVID and dramatically reduce infections. Unmasked tells the story of how effective or ineffective masks and mask mandate policies were in impacting the trajectory of the pandemic throughout the world. Author Ian Miller covers the earliest days of the pandemic, from experts such as Dr. Anthony Fauci contradicting their previous statements and recommending masks as the most important policy intervention against the spread of COVID, to the months afterward as many locations around the globe mandated masks in nearly all public settings. With easy-to-understand charts and visual aids, along with detailed, clear explanations of the dramatic shift in policy and expectations, Unmasked makes the data-driven case that masks might not have achieved the goals that Fauci and other public health experts created.
"A clarifying must-read in these uncertain times.” —GOVERNOR ANDREW CUOMO Journey behind the front lines of the coronavirus pandemic with Northwell Health, New York’s largest health system. What was it like at the epicenter, inside the health system that cared for more COVID-19 patients than any other in the United States? Leading Through a Pandemic: The Inside Story of Lessons Learned about Innovation, Leadership, and Humanity During the COVID-19Crisis takes readers inside Northwell Health, New York’s largest health system. From the C-suite to the front lines, the book reports on groundwork that positioned Northwell as uniquely prepared for the pandemic. Two decades ago, Northwell leaders began preparing for disasters—floods, hurricanes, blackouts, viruses, and more based on the belief that "bad things will happen and we have to be ready." Following a course highly unusual for an American health system, Northwell developed one of the most advanced non-government emergency response systems in the country. Northwell reached a point where leaders could confidently say "we are comfortable being uncomfortable in a crisis." But even with sustained preparation, the pandemic stands as a singularly humbling experience. Leading Through a Pandemic offers guidance on how hospitals and health systems throughout the country can prepare more effectively for the next viral threat. The book includes dramatic stories from the front lines at the peak of the viral assault and lessons of what went well, and what did not. The authors draw upon the Northwell experience to prescribe changes in the health care system for next time. Beyond the obvious need for increased stockpiles of supplies and equipment is the far more challenging task of fundamentally changing the culture of American health care to embrace a more robust emergency response capability in hospitals and systems of all sizes across the nation. The book is a must read for health care professionals, policy-makers, journalists, and readers whose curiosity demands a deeper dive into the surreal realm of the coronavirus pandemic.
In The Case for Vaccine Mandates, Alan Dershowitz—New York Times bestselling author and one of America’s most respected legal scholars—makes an argument, against the backdrop of ideologically driven and politicized objections, for mandating (with medical exceptions) vaccinations as a last resort, if proved necessary to prevent the spread of COVID. Alan Dershowitz has been called “one of the most prominent and consistent defenders of civil liberties in America” by Politico and “the nation’s most peripatetic civil liberties lawyer and one of its most distinguished defenders of individual rights” by Newsweek. He is also a fair-minded and even-handed expert on civil liberties and constitutional rights, and in this book offers his knowledge and insight to help readers understand how mandated vaccination and compulsion to wearing masks should and would be upheld in the courts. The Case for Vaccine Mandates offers a straightforward analytical perspective: If a vaccine significantly reduces the threat of spreading a serious and potentially deadly disease without significant risks to those taking the vaccine, the case for governmental compulsion grows stronger. If a vaccine only reduces the risk and seriousness of COVID to the vaccinated person but does little to prevent the spread or seriousness to others, the case is weaker. Dershowitz addresses these and the issue of masking through a libertarian approach derived from John Stuart Mill, the English philosopher and political economist whose doctrine he summarizes as, “your right to swing your fist ends at the tip of my nose.” Dershowitz further explores the subject of mandates by looking to what he describes as the only Supreme Court decision that is directly on point to this issue; decided in 1905, Jacobson v. Massachusetts involved a Cambridge ordinance mandating vaccination against smallpox and a fine for anyone who refused. In the end, The Case for Vaccine Mandates represents an icon in American law and due process reckoning with what unfortunately has become a reflection of our dangerously divisive age, where even a pandemic and the responses to it, divide us along partisan and ideological lines. It is essential reading for anyone interested in a non-partisan, civil liberties, and constitutional analysis.
Governments, businesses, and individuals around the world are thinking about what happens after the COVID-19 pandemic. Can we hope to not only ward off another COVID-like disaster but also eliminate all respiratory diseases, including the flu? Bill Gates, one of our greatest and most effective thinkers and activists, believes the answer is yes. The author of the #1 New York Times best seller How to Avoid a Climate Disaster lays out clearly and convincingly what the world should have learned from COVID-19 and what all of us can do to ward off another catastrophe like it. Relying on the shared knowledge of the world’s foremost experts and on his own experience of combating fatal diseases through the Gates Foundation, Gates first helps us understand the science of infectious diseases. Then he shows us how the nations of the world, working in conjunction with one another and with the private sector, how we can prevent a new pandemic from killing millions of people and devastating the global economy. Here is a clarion call—strong, comprehensive, and of the gravest importance.
Former New York Times reporter Alex Berenson offers all a combined version of three booklets in the controversial and best-selling Unreported Truths about Covid series - at one low price.Since the publication of the first booklet in June, Unreported Truths has offered an honest counterpart to over-the-top media coverage about the risks of the coronavirus and ways to stop it. Part 1 focused on the ways governments count and report Covid-19 deaths. Part 2 covered the history of lockdowns and the evidence that they work - or don't. And Part 3 gave the same treatment to masks and mask mandates.All three booklets draw on primary sources like Centers for Disease Control reports, news articles, and scientific papers - and all three offer direct links to the material so that you the reader can judge it for yourself.With a quarter-million copies sold, Unreported Truths has become an independent journalism phenomenon. And as the fight over our response to Covid drags on, knowing the facts is more important than ever! Now, for the first time, all three booklets are available in a single package. Whether you are wondering about the series, have read one booklet but are interested in the others, or simply want them together for convenience, the Combined Edition offers fresh flexibility.With a new introduction!
Pandemics are large-scale epidemics that spread throughout the world. Virologists predict that the next pandemic could occur in the coming years, probably from some form of influenza, with potentially devastating consequences. Vaccinations, if available, and behavioral methods are vital for stemming the spread of infection. However, remarkably little attention has been devoted to the psychological factors that influence the spread of pandemic infection and the associated emotional distress and social disruption. Psychological factors are important for many reasons. They play a role in nonadherence to vaccination and hygiene programs, and play an important role in how people cope with the threat of infection and associated losses. Psychological factors are important for understanding and managing societal problems associated with pandemics, such as the spreading of excessive fear, stigmatization, and xenophobia that occur when people are threatened with infection. This book offers the first comprehensive analysis of the psychology of pandemics. It describes the psychological reactions to pandemics, including maladaptive behaviors, emotions, and defensive reactions, and reviews the psychological vulnerability factors that contribute to the spreading of disease and distress. It also considers empirically supported methods for addressing these problems, and outlines the implications for public health planning.
From the Pulitzer Prize–winning author of The Looming Tower, and the pandemic novel The End of October: an unprecedented, momentous account of Covid-19—its origins, its wide-ranging repercussions, and the ongoing global fight to contain it "A book of panoramic breadth ... managing to surprise us about even those episodes we … thought we knew well … [With] lively exchanges about spike proteins and nonpharmaceutical interventions and disease waves, Wright’s storytelling dexterity makes all this come alive.” —The New York Times Book Review From the fateful first moments of the outbreak in China to the storming of the U.S. Capitol to the extraordinary vaccine rollout, Lawrence Wright’s The Plague Year tells the story of Covid-19 in authoritative, galvanizing detail and with the full drama of events on both a global and intimate scale, illuminating the medical, economic, political, and social ramifications of the pandemic. Wright takes us inside the CDC, where a first round of faulty test kits lost America precious time . . . inside the halls of the White House, where Deputy National Security Adviser Matthew Pottinger’s early alarm about the virus was met with confounding and drastically costly skepticism . . . into a Covid ward in a Charlottesville hospital, with an idealistic young woman doctor from the town of Little Africa, South Carolina . . . into the precincts of prediction specialists at Goldman Sachs . . . into Broadway’s darkened theaters and Austin’s struggling music venues . . . inside the human body, diving deep into the science of how the virus and vaccines function—with an eye-opening detour into the history of vaccination and of the modern anti-vaccination movement. And in this full accounting, Wright makes clear that the medical professionals around the country who’ve risked their lives to fight the virus reveal and embody an America in all its vulnerability, courage, and potential. In turns steely-eyed, sympathetic, infuriated, unexpectedly comical, and always precise, Lawrence Wright is a formidable guide, slicing through the dense fog of misinformation to give us a 360-degree portrait of the catastrophe we thought we knew.
A renowned Harvard professor's brilliant, sweeping, inspiring account of the role of justice in our society--and of the moral dilemmas we face as citizens What are our obligations to others as people in a free society? Should government tax the rich to help the poor? Is the free market fair? Is it sometimes wrong to tell the truth? Is killing sometimes morally required? Is it possible, or desirable, to legislate morality? Do individual rights and the common good conflict? Michael J. Sandel's "Justice" course is one of the most popular and influential at Harvard. Up to a thousand students pack the campus theater to hear Sandel relate the big questions of political philosophy to the most vexing issues of the day, and this fall, public television will air a series based on the course. Justice offers readers the same exhilarating journey that captivates Harvard students. This book is a searching, lyrical exploration of the meaning of justice, one that invites readers of all political persuasions to consider familiar controversies in fresh and illuminating ways. Affirmative action, same-sex marriage, physician-assisted suicide, abortion, national service, patriotism and dissent, the moral limits of markets—Sandel dramatizes the challenge of thinking through these con?icts, and shows how a surer grasp of philosophy can help us make sense of politics, morality, and our own convictions as well. Justice is lively, thought-provoking, and wise—an essential new addition to the small shelf of books that speak convincingly to the hard questions of our civic life.
“This is a fascinating book. It is one of the best studies of the ways that parties and politics get conducted in any American state. Masket shows that legislators can be perfectly content without parties that control agendas and does a terrific job of explaining the transition from free-wheeling legislators to rigidly partisan voting blocs.” —Sam Popkin, University of California at San Diego “No Middle Ground makes a significant contribution to the study of American parties and legislative politics.” —Matthew Green, Catholic University of America Despite concerns about the debilitating effects of partisanship on democratic government, in recent years political parties have gained strength in state governments as well as in Washington. In many cases these parties function as machines. Unlike machines of the past that manipulated votes, however, today’s machines determine which candidates can credibly compete in a primary. Focusing on the history and politics of California, Seth E. Masket reveals how these machines evolved and how they stay in power by directing money, endorsements, and expertise to favored candidates, who often tend toward the ideological extreme. In a provocative conclusion, Masket argues that politicians are not inherently partisan. Instead, partisanship is thrust upon them by actors outside the government with the power to manipulate primary elections.