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A patient we'll call Juliet is a young woman you wouldn't have noticed if you had happened upon her in the market or on a bus in the African country where she lived. She looks healthy. But she isn’t. As specialists in drug-resistant tuberculosis (DR-TB), we saw her at our clinic because her treatment wasn’t working. We were shocked to see how many drugs were resistant in the bacilli Juliet was coughing up.
Now entering the fourth year of a historic pandemic, the U.S. public health system is at a crossroads. COVID-19 has exposed major weaknesses in our defenses against infectious diseases. Pre-pandemic, the U.S. was thought to be the country best prepared to manage an infectious disease outbreak; most experts never imagined that over one million Americans would die. It is still possible to build a positive legacy from the fires of COVID-19.
Guest Essay Credit...M. Scott Brauer for The New York Times Send any friend a story As a subscriber, you have 10 gift articles to give each month. Anyone can read what you share. By William Hanage and K.J. Seung Dr. Hanage is an epidemiologist at the Harvard T.H. Chan School of Public Health. Dr. Seung is a senior health and policy adviser for Partners in Health, a nonprofit focused on global health.
But we should not lose hope for getting this disease under control. Scientifically, the effort to develop the COVID vaccine has been an overwhelming success. And the vaccination campaign in the U.S. is going much better than in many other countries. While we support President Biden’s call for all Americans to protect themselves and their communities by getting vaccinated, we believe that a more strategic approach is needed in the vaccine campaign.
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