DOWNLOAD THE LETTER** This is an open letter to America’s decision makers, on behalf of health professionals across the country. We’ll update the list regularly with signatures. If you’re a health professional and want to add your name, you can do so here
Dear decision makers,
Hit the reset button.
Of all the nations in the world, we’ve had the most deaths from COVID-19. At the same time, we’re in the midst of “reopening our economy,” exposing more and more people to coronavirus and watching numbers of cases — and deaths — skyrocket.
In March, people went home and stayed there for weeks, to keep themselves and their neighbors safe. You didn’t use the time to set us up to defeat the virus. And then you started to reopen anyway, and too quickly.
Right now we are on a path to lose more than 200,000 American lives by November 1st. Yet, in many states people can drink in bars, get a haircut, eat inside a restaurant, get a tattoo, get a massage, and do myriad other normal, pleasant, but non-essential activities.
Get our priorities straight.
More than 117,000 Americans had died of COVID-19 by mid-June. If our response had been as effective as Germany’s, estimates show that we would have had only 36,000 COVID-19 deaths in that period in the United States. If our response had been as effective as South Korea, Australia, or Singapore’s, fewer than 2,000 Americans would have died. We could have prevented 99% of those COVID-19 deaths. But we didn’t.
The best thing for the nation is not to reopen as quickly as possible, it’s to save as many lives as possible. And reopening before suppressing the virus isn’t going to help the economy. Economists have gone on record saying that the only way to “restore the economy is to address the pandemic itself,” pointing out that until we find a way to boost testing and develop and distribute a vaccine, open or not, people will not be in the mood to participate.
Listen to the experts.
Public health professionals have made clear that even after we’ve contained the virus by staying at home, in order to reopen American cities and towns safely, we will need:
— Enough daily testing capacity to test everyone with flu-like symptoms plus anyone they have been in close contact with over the last 2 weeks (at least 10 additional tests per symptomatic person). We currently have only 35% of the testing capacity we need to meet that threshold. The more people get sick, the more testing is required.
— A workforce of contact tracers large enough to trace all current cases. That’s 210,000 more contact tracers than we had in April, but the number keeps going up as infections rise. Most states are far short of the number of contact tracers they need.
In addition, we need more personal protective equipment (PPE) to keep essential workers like health professionals, emergency responders, and grocery store clerks safe.
Shut it down now, and start over.
Non-essential businesses should be closed. Restaurant service should be limited to take-out. People should stay home, going out only to get food and medicine or to exercise and get fresh air. Masks should be mandatory in all situations, indoors and outdoors, where we interact with others.
We need that protocol in place until case numbers recede to a level at which we have the capacity to effectively test and trace. Then, and only then, we can try a little more opening, one small step at a time.
You should bar non-essential interstate travel. When people travel freely between states, the good numbers in one state can go bad quickly.
If you don’t take these actions, the consequences will be measured in widespread suffering and death.
We need you to lead.
Tell the American people the truth about the virus, even when it’s hard. Take bold action to save lives — even when it means shutting down again.
Unleash the resources needed to contain the virus: massively ramping up testing, building the necessary infrastructure for effective contact tracing, and providing a safety net for those who need it.
Many of the actions of our government thus far have fallen short of what the moment demands. Mr. Trump, federal administration, honorable governors: we remind you that history has its eyes on you.
Sincerely,Matthew Wellington
Public Health Campaigns Director, U.S. PIRG
Ezekiel J. Emanuel, M.D., Ph.D.
Vice Provost of Global Initiatives
Chair, Department of Medical Ethics and Health Policy
Levy University Professor
Co-Director, Healthcare Transformation Institute
Perelman School of Medicine and The Wharton School
University of Pennsylvania
Krutika Kuppalli, MD
Infectious Diseases Physician and Emerging Leader in Biosecurity Fellow at Johns Hopkins Center for Health Security
William Hanage, PhD
Harvard T. H. Chan School of Public Health
Saskia Popescu, PhD, MPH, MA, CIC
University of Arizona
David Sherman, PhD
University of Washington
Richard H. Ebright, Ph.D.
Rutgers University
Angela Rasmussen, PhD
Columbia Mailman School of Public Health
Seth Trueger, MD, MPH
Northwestern University
Megan Ranney, MD, MPH
Brown University & GetUsPPE
Sanjat Kanjilal MD, MPH
Harvard Medical School, Brigham & Women’s Hospital
Joan Casey, PhD
Columbia University Mailman School of Public Health
Karen Thickman, PhD
University of Washington, Department of Microbiology
Valerie Bengal, MD, FAAFP former UCSF Associate Clinical Professor
UC Santa Cruz and Capacitar International
Reshma Ramachandran, MD, MPP
National Clinician Scholars Program, Yale School of Medicine
Howard Forman, MD, MBA
Yale University
Ryan Marino, MD
Case Western Reserve University
Eric Goralnick, MD, MS
Brigham and Women’s Hospital/Harvard Medical School
Wade Berrettini, MD, PhD
University of Pennsylvania Perelman School of Medicine
Janet Perlman, MD, MPH
UCSF
David Rosen, MD, PhD
Washington University School of Medicine
Drew Schwartz, MD, PhD
Washington University School of Medicine
Krysia Lindan, MD, MS
University of California, San Francisco
Yaneer Bar-Yam, PhD
New England Complex Systems Institute
Margaret Handley, PhD, MPH
University of California San Francisco, Department of Epidemiology and Medicine
Thomas Lietman, MD
UCSF
Travis Porco, PhD, MPH
University of California, San Francisco
Veronica Miller, PhD
UC Berkeley School of Public Health
Kenneth Rosenberg, MD, MPH
PHSU-PSU School of Public Health
Jason Newland, MD
Washington University
Elizabeth Jacobs, PhD
Department of Epidemiology and Biostatistics, University of Arizona
Fern P. Nelson, M.D.
Veterans Administration Hospital
James Gaudino, MD, MS, MPH, FACPM
OHSU-PSU School of Public Health & Gaudino Consulting
Bruce Agins, MD, MPH
UCSF
Bonnica Zuckerman, MPH
UVM
Paul Song, MD
PNHP
Katherine Villers, MUA
Community Catalyst
Bethany Letiecq, PhD
George Mason University
Vineet Arora, MD, MAPP
University of Chicago and IMPACT4HC
Pete DeBalli, MD
UCF School of Medicine
Carrie Beckman, PharmD
UC Health
Krys Johnson, PhD, MPH
Temple University
Aalim Weljie, Ph.D. University of Pennsylvania
Michael Kelly, PhD, MSW
Loyola University Chicago School of Social Work
Kevin Foskett, PhD
University of Pennsylvania
John Hansen-Flaschen, MD
University of Pennsylvania
Garret FitzGerald, MD
University of Pennsylvania
Amy Humrichouser, MD
University of Michigan
Aurora Horstkamp, MD
Washington State University
Timothy Ellender, MD
Indiana University
Christine Brewer, MSW, MSN, RN
Villanova University
Pamela Norton, PhD
Drexel University College of Medicine
Diane McKay, Psy.D.
LECOM
Kay Mattson, MSW, MPH
Independent international Public Health Consultant
Dominique Ruggieri, PhD
School of Medicine and Center for Public Health Initiatives, University of Pennsylvania
Eve Bloomgarden, MD
Northwestern University and IMPACT4HC
Nicole Theodoropoulos, MD
UMass Memorial Medical Center
Catherine Marsh, B.A.
EndCoronavirus.org
Patricia Harper, MA
San Bernardino Balley College
Jamie Burke
Colorado State University
Jessica Garfield-Blake, MEd
Knox Trail Middle School Teacher
Jerry Soucy, RN, CHPN
Death Nurse, LLC
Jonathan Moreno, PhD
University of Pennsylvania
Lana Fishkin, MD
Thomas Jefferson University
Jack Colford, MD, MPH, PhD
UC Berkeley
Rohini Haar, MD, MPH
UC Berkeley School of Public Health
Maimuna Majumder, PhD, MPH
Boston Children’s Hospital & Harvard Medical School
Sangeeta Ahluwalia, PhD
RAND Corporation/UCLA
Laura Whiteley, MD
Brown University
Patience Afulani, PhD
UCSF
Vernon Chinchilli, PhD
Penn State College of Medicine
Pamina Gorbach, DrPH
Fielding School of Public Health, UCLA
Judith Hahn, PhD
University of California, San Francisco
Benjamin Lerman, MD
Alta Bates Summit Medical Center
William Davidson, M.D.
PNHP
E John Wherry, PhD
University of Pennsylvania
Mary Sullivan, RN, DNP
University of Massachusetts Medical School
Mark Cullen, MD
Stanford University
Nathan Wong, PhD
University of California, Irvine
Resa M. Jones, PhD, MPH
Temple University
Brandie Taylor, PhD
Temple University
Ondine von Ehrenstein, PhD, MPH
Fielding School of Public Health, UCLA
James Fletcher, MD, FACEP
Brody School of Medicine at East Carolina University
Meenakshi Bewtra, MD, MPH, PhD
University of Pennsylvania
David Albright, MD
UPMC
Michael Gough, MD
Catholic Health System of Buffalo and University at Buffalo Jacobs School of Medicine
Dianne Friedman, Ph.D.
Retired university professor
Karen Walter
University of Washington
Robin Taylor Wilson, PhD
Department of Epidemiology and Biostatistics, College of Public Health, Temple University
Janice Nash, RN, MSN, DNP
Carlow University College of Health and Wellness
Marsha Ellias-Frankel, MSW
American Association of Marriage & Family Therapists
Mae Sakharov, Ed D
Bucks County Community College
Mae Sakharov, MA, MED, EdD
Bucks County Community College
Brenna Riethmiller, MLIS
EndCoronavirus.org
Shakuntala Choudhury, PhD<
Statistical Research & Consulting LLC
Simin Li
NIST, EndCoronavirus.org, University of Maryland
Jeremy Rossman, PhD
Research-Aid Networks
Judith B Clinco, RN
Catalina In Home Services
Kari-Ann Hunter Thompson, PhD Student
Walden University
Aaron Green, PhD
Iridium Consulting
Kate Sugarman, MD
Unity Health Care
Joaquín Beltrán BA
Speak Up America, EndCoronavirus.org
Susan Safford, Ph.D.
Lincoln University of the Commonwealth of Pennsylvania
Graciela Jaschek, PhD, MPH
Temple University
Betelihem Tobo, PhD
Temple University
Michelle Davis, Phd
MSD Consulting
Maggie Baker, Ph.D.
Baker & Baker Associates
David Tuller, DrPH
School of Public Health, UC Berkeley
Ernest Wang, MD, FACEP
NorthShore University Health System
Ramzi Nahhas, PhD
Wright State University
Rhoda Pappert, MBA, MHA, FACHE, RN
Retired, University of Pittsburgh Medical Center
Christine Severance, D.O.
Doc Moms
Neil Sehgal, Ph.D, M.P.H.
University of Maryland School of Public Health
Antonio Gutierrez, CPL
United States Marine Corps
Mary McWilliams, MA
College Community Schools, Retired
Kristine Siefert, PhD, MPH
The University of Michigan
Deborah Cohan, MD, MPH
Professor, University of California San Francisco
Sherry Bassi, EdD, PHCNS,BC
University of CT , Western NMU (retired )
Anna Valdez, Ph.D., RN
Sonoma State University
Elizabeth Chamberlain, PhD
University of Colorado Anschutz SOM
Cameron Mura, PhD
University of Virginia
Elizabeth (Libby) Schaefer, MD, MPH
Harvard Medical School/Kaiser Permanente
Joyce Millen, PhD, MPH
Willamette University
Dina Ghosh, MD
Montefiore Medical Center
Jacob Newcomb, MD
VEP Healthcare
Sarah Friedland, LPC, LCMHC, ACS, DRCC
Volunteers of America
Neil Korman, MD, PhD
University Hospitals Cleveland Medical Center
Maura McLaughlin, MD
Blue Ridge Family Practice
Lynn Ringenberg, MD
Physicians for Social Responsibility/Florida
Krisztian Magori, PhD
Eastern Washington University
Timothy McLaughlin, MD
Blue Ridge Family Practice
Brian Thorndyke, PhD
Indiana University School of Medicine
Vee Martinez, Medical Assistant
Uci
Denise Somsak, MD
Pediatrician
Jeannine Tennyson, BSN, RN
School Nurse
Mark Peifer, PhD
UNC-Chapel Hill, Department of Biology
Marvin Brooke MD, MS
University of Washington
Michael Halasy, DHSc, MS, PA-C
Mayo Clinic
Kendal Maxwell, PhD
Cedars-Sinai Medical Center
Richard Reeves, MD, FACP
RAR Consulting LLC (Clinical Pharmacologist)
Brenden La Faive, EMT
WI Licensed EMT EMS
Gina Tartarelli, OT
Baystate
John Holmes, PhD
University Pennsylvania Perelman School of Medicine
Ramnath Subbaraman MD, MSc
Tufts University School of Medicine
Vi Tran, MSW
Kaiser Permanente Washington Health Research Institute
Anne Rimoin, PhD, MPH
UCLA Fielding School of Public Health
Marcella Smithson, M.S., MPH, LMFT
CAMFT
Steven Pergam, MD, MPH
Linda Girgis, MD
Dipesh Patel MPH
Mariposa Mccall, MD
Timothy Sankary, MD, MPH
Anthony Orvedahl, MD, PhD
Stanley Weiss, MD, FACP, FACE, FRCP Edin.
Cathie Currie, PhD
Pamela Koehler, JD, MPH
Daisy Sherry, PhD, ACNP-BC
Joyce Garrison, PhD
Susan Walker, MS
Jeffrey Cohn, MD, MHCM
Jared Rubenstein, MD
Marian Betz, MD, MPH
Ann Batista, MD
Morgan Eutermoser, MD
Marc Futernick, MD
Farheen Qurashi, MD, FACS
Megan Whitman, MD
Iris Riggs, PhD
Catherine Cowley-Cooper, RN
Michael Core, MD
Jason Ayres, MD
Craig Norquist, MD
Vasilis Pozios, MD
Michael Becker, DO, MS
Alan Peterson, MD
Kay Vandenberg, MD, FACOG
Melissa Freeman, MD
Robin Aronow, MA
Syra Madad, DHSc, MSc, MCP
Reid Masters, MD
Keelin Garvey, MD
Laurence Carroll, MD
Constance Regan, Ed.D
Cynthia Baum-Baicker, Ph.D.
Ilene Tannenbaum, NP
Virginia Soules, MD
Jean Goodloe, DO
Lindsay Martin, PhD
Teresa Brandt, MD
Annamaria Murray, RN
Judith F. Rand, PhD
Victor Ilegbodu, MD, PhD, MPH
Rebecca Benson, MHA, PBT(ASCP)MLT CM, CHCO, QMBHC
Stanley Weiss, MD, FACP, FACE, FRCP Edin.
Carol Leslie, Chief Program Officer
Briggs Clinco, In-Home Care Client Coordinator
Baruch Blum, BS
Theo Allen, BS
Eunice Wong, BFA, E-RYT, CPT
Michael Hertz, MD, MPH
Patrick Keschl, LPN, NHA
Michael Hertz, MD, MPH
Constance Walker, MD, MA, MPH
Shauna Laughna, PhD
Jeremy Ogusky, MPH
Amparo Adkins, MSN, RN
Kate Shinberg, RN
Sally Rosenfeld, MD
Andrew Frank, MD
Lynn Santillo, RN
Regina Goetz, PharmD, PhD
Martha Christie, MA, Pharm.D
James Perez, MS
Martha Christie MA, Pharm.D
Lise Spiegel, PhD
David Hanson, MD
Jennifer Castro, M. Ed
Oleh Hnatiuk, MD, FACP, FCCP
Elizabeth Holder, JD
Maryanne Llave, RN
Jason Deutsch, MD
Monica Modi, MD
Eric Mueller, MD
Xuan Le, M.D
Tanya Wiseman, BSN,RN
Raul Easton-Carr, M.D.,M.P.H.
Brandon Crossley, CNA
Michelle Crossley, RN
Jacob Malone, RN
Kanika Blunt, RN
Luiza Davila, Healthcare specialist
Barbara McCoy, Teacher
G. J. Ledoux, PhD
Jane Corrarino, DNP, RN, C
Theresa DeLuca, RN
Allison Williams-Wroblewski, Pharm.D.
Macklin Guzman, DHSc, MPH
William David Wick, PhD
Joanna Harran, AGACNP-BC, MSN, APRN, RN
Michael Manning, BS, LMT (3rd year med student)
Karen Smith, DNP, FNP-BC
Monty Bradford, RN
Dominique Motta, RN, BSN, CPN
Russell Etheridge, BSN, RN, CNML
Ariana Ornelas, RN
Sherry Wells, AEMT