With COVID-19 in evolution and the emergence of new variants, one domino propagates the other, fuelling new waves of the pandemic.
An “infodemic” (evidence overload) of misinformation propagates mixed messaging and public opinions on key public health interventions, including masking, social distancing and vaccination. Mixed messaging and public opinion, combined with pandemic fatigue, propagate an anti-masking and anti-vaccination stance, and movements against vaccine mandates across the country. Non-adherence to these basic prophylactic measures propagates increased SARS-CoV-2 acquisition and transmission; and leads to substantially worse outcomes, including a multi-fold increased risk of death.
Concurrently, many continue to try to counteract the falling dominoes. Physicians, nurses, pharmacists and other allied health continue to wade through rapidly evolving evidence to bring the most effective interventions to the bedside and provide care to patients. The call for health-care leaders to keep up with policies that respond to the changing demands – both health-related and others – with COVID-19 continues. Moreover, individuals and families continue to be called forward to join what is perhaps the biggest contribution: rolling up a sleeve to get vaccinated, keeping masked-up, maintaining social distancing, and propagating evidence-based information in response to misinformation.