,SURVIVAL IS ,RESI/ANCE 

,PEOPLE 3 

,AU?OR 3 ,CRIME?,9C4 

,TEXT 3 

,I WORK AS A NURSE 9 ! EM]G5CY ROOM ( A ,LEVEL ,I ,TRAUMA ,C5T] 9 ! S\?WE/]N ,UNIT$ ,/ATES4 ,WE HAVE NOT BE5 HIT H>D BY ! P&EMIC YET1 BUT WE >E ANTICIPAT+ & PREP>+ = ?AT 9 ! WEEKS TO COME4 ,OP]ATIONAL *ANGES TO \R TRIAGE PROCESS HAVE BE5 MADE3 WE >E TRIAG+ PATI5TS 9 L>GE T5TS \TSIDE1 WE HAVE SET UP D$ICAT$ ,C,O,V,I,D FLOORS1 & 9T5SIVE C>E UNIT CAPACITY IS BE+ EXP&$4 ,!SE ?+S ALL HAPP5$ LAT] ?AN !Y %\LD HAVE4 ,WE >E RUNN+ \T ( TE/S & HAVE A LIMIT$ SUPPLY1 SO WE'RE ONLY TE/+ HEAL?C>E WORK]S :O >E SICK1 PATI5TS :O >E AT HI< RISK DUE TO !IR HEAL? HI/ORY1 & ?OSE 9 RESPIRATORY DI/RESS :O REQUIRE HOSPITALIZATION4 

,AT FIR/1 MY FACILITY WASN'T IMPLEM5T+ ! NECESS>Y SAFETY PROTOCOLS 9 RESPONSE TO PATI5TS :O W]E COM+ 9 ) SOME ( ! LESS COMMON E>LY SIGNS ( ,C,O,V,I,D-#a#i 7ABDOM9AL ISSUES1 JAUNDICE1 LOSS ( TA/E & SMELL74 ,BECAUSE PATI5TS ) !SE SYMPTOMS W]5'T 9ITIALLY ID5TIFI$ AS PUTT+ HEAL?C>E WORK]S AT RISK :5 ?IS ALL />T$ = US LA/ MON?1 WE W]E ALL BASICALLY EXPOS$ BE=E A MORE REGIM5T$ ISOLATION POLICY WAS PUT 9 PLACE4 ,WE >E RUNN+ L[ ON P]SONAL PROTECTIVE EQUIPM5T 7,P,P,E74 ,:AT K9D ( ,P,P,E WE HAVE ACCESS TO1 & H[ WE BE+ TOLD TO USE IT1 IS *ANG+ DAILY4 ,RI<T N[ ,I AM BAK+ AN ,N#i#e MASK 9 MY OV5 AT #aeh DEGREES ,FAHR5HEIT = #c M9UTES1 9 ORD] TO /]ILIZE IT = REUSE4 ,!SE >E MEANT TO BE ONE-TIME USE2 H[EV]1 WE >E RUNN+ L[ & ,I AM PREP>+ TO NO LONG] BE GIV5 ANY MORE PROTECTIVE EQUIPM5T4 ,AS HEAL?C>E WORK]S1 WE'RE COM+ TOGE!R TO DO A H>D JOB1 9 ! WAY WE ALWAYS HAVE4 ,MORBIDITY1 MORTALITY & TRAUMA /EW>D%IP HAVE ALWAYS BE5 A P>T ( IT4 ,REALLY SICK CASES >E JU/ BEG9N+ TO %[ UP 9 \R ,]4 ,PEOPLE :O USUALLY COME 9TO ! HOSPITAL ) NON-EM]G5CY ISSUES >E /AY+ AWAY2 H[EV]1 WE >E GETT+ A LOT ( PATI5TS FROM NURS+ HOMES1 JAILS1 & DIALYSIS CL9ICS4 ,!SE PATI5TS W]E ALREADY M$ICALLY VULN]ABLE & >E V]Y ILL :5 PRES5T+4 ,AS ! WEEKS PASS1 WE >E PUTT+ Y\NG] & Y\NG] PATI5TS ON V5TILATORS4 ,WE HAVE NOT RUN \T ( V5TILATORS YET4 ,AS NURSES1 WE >E BE+ PRESSUR$ TO DO MORE ) FEW] RES\RCES1 & !RE IS NO 5D 9 SI<T4 ,I ?9K IT MAYBE SEEM EASI] = ORGANIZ]S 9 O!R 9DU/RIES TO PROPOSE ?+S LIKE /RIKES1 BUT = HEAL?C>E WORK]S1 IT'S COMPLICAT$4 ,DUR+ PREVI\S NURS+ /RIKES ! HOSPITALS HAVE HAD ! ABILITY TO PAY TRAVEL]S TO FILL 9 DUR+ /RIKE DAYS4 ,EV5 NURSES \T ON /RIKE WANT PATI5TS TO HAVE SAFE C>E :ILE !Y >E AWAY1 MO/ NURS+ /RIKES >E NOT AB\T MONEY BUT AB\T RATIOS1 SAFE WORK+ CONDITIONS & ,P,P,E SUPPLIES4 ,RI<T N[ 9 A %ORT /AFF$ 5VIRONM5T GETT+ 5\< TRAVEL]S 9 TO /AFF ISN'T NECESS>ILY A POSSIBILITY4 ,SO :ILE WE >E RUNN+ \T ( ,P,P,E & GO+ TO WORK 9VOLVES RISK TO MYSELF & MY FAMILY1 NOT GO+ TO WORK WILL ALSO LEAD TO AN 9CREASE 9 DEA?S4 ,I ?9K ! ?+ ?AT IS YET TO BE DET]M9$ IS IF OR :5 WE WILL GET TO A PO9T ( SY/EM COLLAPSE & :AT ?AT WILL LOOK LIKE4 ,:5 WILL MY C[ORK]S />T GETT+ ILL & NE$ TO /AY HOME8 ,:5 WILL !Y />T TO DIE8 ,!Y HAVE />T$ TO DIE 9 O!R P>TS ( ! C\NTRY2 !Y HAVE DI$ 9 ,SPA91 ,ITALY & ,*9A4 ,:5 WILL PEOPLE'S ALTRUI/IC DESIRE TO /EM ?IS P&EMIC BE OV]:ELM$ BY !IR [N UTT] EXHAU/ION & MORAL CRISIS1 OR !IR FE> ( !IR [N DEA? OR ! DEA? ( !IR LOV$ ONES8 ,TOTAL HEAL?C>E SY/EM COLLAPSE CAN HAPP52 IT HAPP5$ ) DUR+ ! EBOLA EPIDEMIC 9 C]TA9 PLACES1 & IT C\LD HAPP5 ) ,C,O,V,I,D-#a#i4 ,IT SEEMS V]Y LIKELY ?AT ,C,O,V,I,D-#a#i CAN BE BO? AIRBORNE & TRANSMITT$ ?R\< DROPLETS AT ?IS PO9T4 ,PEOPLE CAN HAVE V]Y HI< VIRAL LOADS BE=E BECOM+ SYMPTOMATIC4 ,IT IS NOT JU/ A DISEASE ( ! OLD4 ,?OSE OV] #fe >E DEF9ITELY MORE AT RISK1 AS WELL AS ?OSE ) COMORBIDITIES 7I4E41 O!R HEAL? PROBLEMS7 & PEOPLE ) SUPPRESS$ IMMUNE SY/EMS4 ,H[EV]1 TE5AG]S & PEOPLE 9 !IR #bS1 #cS & #dS >E BE+ PUT ON V5TILATORS4 ,SOME >E DY+4 ,Y\R Y\? WILL NOT NECESS>ILY SAVE Y\1 & EV5 IF Y\ DON'T DIE Y\RSELF1 Y\ MAY 9ADV]T5TLY 9FECT SOMEONE :O DOES4 ,PROJECTIONS = MY >EA PR$ICT ?AT ! HEAL?C>E SY/EM WILL REA* PEAK OV]LOAD 9 LATE ,APRIL TO MID-,MAY1 IF ! ONLY COLLECTIVE EF=T TO FLATT5 ! CURVE ( 9FECTIONS WE UND]TAKE IS SOCIAL DI/ANC+4 ,! DIFF]5CE 9 MORTALITY BETWE5 AN APPROA* ( JU/ SOCIAL DI/ANC+ V]SUS %ELT]+ 9 PLACE IS />K3 9 MY >EA1 ! PROJECT$ DIFF]5CE IS OV] #a1 DEA?S4 ,?AT MEANS ?AT #a1 LIVES C\LD BE SAV$ IF PEOPLE ,/,A,Y ,H,O,M,E OV] ! NEXT ?REE MON?S1 & ONLY LEAVE ! H\SE ONCE A WEEK = GROC]IES1 IF POSSIBLE4 ,PEOPLE NE$ TO UND]/& ?AT HEAL?C>E IS NO GREAT PANACEA4 ,!RE >E ONLY AB\T #a1 ,I,C,U B$S ?AT CAN BE SAFELY /AFF$ 9 ! 5TIRE ,UNIT$ ,/ATES4 ,!RE >E ONLY TWO CATEGORIES ( PEOPLE RI<T N[3 HEAL?C>E WORK]S & O!R ESS5TIAL WORK]S LIKE GROC]S1 & EV]YONE ELSE BUY+ US TIME444 ,TE/+ CAPACITY IS NOT HI<4 ,! ,U,S GOV]NM5T TURN$ D[N @s#a#g ,WORLD ,HEAL? ,ORGANIZATION TE/+ KITS 9 ORD] TO MAKE !IR [N MORE EXP5SIVE TE/S ?AT DID NOT 9ITIALLY WORK4 ,DON'T GET FIXAT$ ON BE+ ABLE TO BE TE/$2 IT'S A VIRAL ILLNESS1 SO KN[+ = SURE ?AT Y\ HAVE IT WON'T NECESS>ILY *ANGE :AT Y\ %\LD DO TO MANAGE IT4 ,IT TAKES SUPPORTIVE C>E1 LOT ( FLUIDS1 TEMP]ATURE MANAGEM5T & SO =?4 ,IF Y\ />T %[+ SYMPTOMS LIKE A FEV] & A DRY C\<1 ASSUME ?AT Y\ HAVE IT & QU>ANT9E4 ,ONLY GO TO ! HOSPITAL IF Y\ >E 9 RESPIRATORY DI/RESS4 ,IF Y\ DO GO TO ! HOSPITAL & !Y S5D Y\ HOME1 ,G,O ,B,A,C,K IF Y\ >E HAV+ 9CREAS$ %ORTNESS ( BREA? OR DIFFICULTY BREA?+4 ,PEOPLE :O 9ITIALLY PRES5T ) MILD SYMPTOMS MAY /ILL NE$ OXYG5 & RESPIRATORY SUPPORT LAT] 9 ! C\RSE ( !IR ILLNESS4 ,?IS IS AN ILLNESS ?AT WILL T\* ALL ( \R LIVES BY ! TIME ! P&EMIC EBBS4 ,WE ALL KN[ SOMEONE :O WILL DIE1 WE JU/ DON'T KN[ :O YET4 ,DESPITE ! URG5CY WE FEEL TO DO SOME?+ TO SUPPORT ! MO/ VULN]ABLE RI<T N[1 WE NE$ TO BE V]Y C>EFUL & ?\<TFUL AB\T H[ WE P>TICIPATE4 ,I AM TRY+ TO GET ! AN>*I/ MUTUAL AID COLLECTIVES H]E TO CONCEPTUALIZE !MSELVES AS POT5TIAL VECTORS BETWE5 VULN]ABLE POPULATIONS ?AT W\LDN'T O!RWISE CROSS-POLL9ATE4 ,WE ALL HAVE TO CONSID] \RSELVES AS POT5TIAL VECTORS4 ,WELL-MEAN+ AN>*I/S MI<T 9ADV]T5TLY 9FECT H\SE-LESS FOLKS1 ,I,V DRUG US]S1 ,H,I,V-POSITIVE HOME MEALS RECIPI5TS1 UNDOCUM5T$ FAMILIES1 & ELD]S ON ! RES]VATION4 ,SOME ( ?OSE >E PRETTY DI/9CT POPULATIONS ?AT MI<T NOT ORD9>ILY OV]LAP MU*4 ,BUT ! NE$LE EX*ANGE1 FOOD PROGRAMS1 HOME WELLNESS VISITS1 & *ILDC>E (F]$ BY \R FRI5DS C\LD GET EV]YONE 9FECT$4 ,I ?9K \R FRI5DS >E SM>T & !Y WILL MITIGATE RISKS1 BUT ,I AM WORRI$ AB\T CLEAN+ PROTOCOLS :5 SUPPLIES />T RUNN+ L[4 ,:ATEV] PROJECT Y\ >E PUTT+ Y\R TIME 9TO JU/ BE SURE Y\ HAVE FUNCTIONAL PROTOCOLS & Y\ >E HOLD+ ONE ANO!R ACC\NTABLE TO !M4 ,PLEASE ,D,O ,N,O,T ACCEPT WELL-MEAN+ FRONTL9E WORK]S :O WANT TO %[ UP PHYSICALLY 9 Y\R PROJECTS RI<T N[4 ,AS A HOSPITAL WORK] ! ,L,A,/ ?+ ,I %\LD BE DO+ ON MY DAYS (F IS 9T]ACT+ ) HI< RISK POPULATIONS4 

,I ?9K AN>*I/S >E T5ACI\S1 & HAVE UND]/OOD ! LIMITS ( CAPITALISM & H[ TO SURVIVE DUR+ MOM5TS ( SY/EM COLLAPSE = A LONG TIME4 ,WE'VE HAD EXP]I5CE PREP>+ = SOCIAL EM]G5CIES1 & ?IS P&EMIC IS PROVID+ OPPORTUNITIES TO HELP O!RS REFRAME ! SOCIAL CONTRACT4 ,WE HAVE A LOT TO (F]6 ,H[EV]1 ,I ?9K AN>*I/S NE$ TO BE C>EFUL TO NOT EQUATE QU>ANT9E OR LOCKD[N ) GOV]NM5T REPRESSION4 ,\R NATURAL 9CL9ATIONS TO %IRK AU?ORITY MAY NOT S]VE US 9 ALL CASES4 ,I ?9K !RE IS A T5SION BETWE5 ! NE$ TO FOLL[ A REASONABLE PUBLIC HEAL? APPROA*1 & ! FACT ?AT ?IS IS BE+ IMPLEM5T$ BY LOCAL1 /ATE & F$]AL GOV]NM5T ACTORS4 ,WE NE$ TO BE NUANC$1 PRAGMATIC1 & ?\<TFUL AB\T ALL ( ?IS4 ,TAKE ! ADVICE & ASSESS :AT IT MEANS TO Y\4 ,%\LD WE PU% ! /ATE TO LET \R FRI5DS \T ( DET5TION FACILITIES & JAILS8 ,HELL1 YES6 ,%\LD WE PU% BACK AB\T CURFEW1 %ELT] 9 PLACE ORD]S & %UTT+ D[N \R DAILY LIVES8 ,N,O1 ,W,E ,%,\,L,D ,N,O,T4 ,WE NE$ TO %ELT] 9 PLACE4 

,I KN[ ?AT BE+ ADVIS$ TO ONLY SEE IMM$IATE FAMILY & Y\R CLOSE/ MONOGAM\S P>TN] JU/ ISN'T ADVICE ?AT WORKS = \R COMMUNITY4 ,BUT PLEASE TRY TO FOLL[ SOME V]SION ( %ELT] 9 PLACE & LIMIT CONTACTS ) O!RS4 ,DO NOT EQUATE QU>ANT9E ) GOV]NM5T REPRESSION2 ?IS TIME ! /ATE IS TRY+ TO KILL US BY GETT+ US TO LOOS5 \R ISOLATION PRACTICES & GO BACK TO WORK OR \T 9TO ! WORLD AS CONSUM]S TOO SOON4 ,= MY P>T1 ,I AM WORK+ OV]TIME & ,I HAVE MADE O!R LIV+ >RANGEM5TS = ?OSE CLOSE/ TO ME 9 MY LIFE4 ,I AM SEE+ MY KIDS ONCE A WEEK \TSIDE = A FEW H\RS & ,I AM NOT T\*+ !M4 ,MY LIFE IS V]Y PHYSICALLY ISOLAT$ RI<T N[1 BUT ,I HAVE FRI5DS :O HAVE DONE WAY MORE TIME 9 SOLIT>Y CONF9EM5T ?AN ?IS1 & IT IS WOR? IT TO KEEP MY COMMUNITY SAFE4 ,I PROMISE TO KEEP GO+ TO WORK WELL PA/ ! PO9T ( MADNESS2 JU/ TRY TO DO Y\R P>T & /AY HOME4 ,! P&EMIC IS %[+ EV]YONE H[ DESP]ATELY WE NE$ A FUNDAM5TAL *ANGE 9 \R APPROA* TO HEAL?C>E4 ,?IS MAY NOT S\ND V]Y RADICAL1 BUT SO LONG AS ! /ATE EXI/S1 ,I DO ?9K ?AT HEAL?C>E NE$S TO BE A UNIV]SAL RI<T1 9 ORD] = US TO SURVIVE TO FI<T ON = A BETT] WORLD4 ,I ?9K ! EXP]I5CE ( ! P&EMIC MAY BE 5\< TO F9ALLY GET A S+LE PAY] HEAL?C>E SY/EM 9 PLACE 9 ! ,UNIT$ ,/ATES--ONE ( ! ONLY SILV] L9+S ( ?IS AWFUL SITUATION4 ,A PR(IT-DRIV5 SY/EM CANNOT ACCOMMODATE /RATEGIC LONG-T]M P&EMIC PLANN+4 ,I ?9K ?AT WE WILL F9ALLY SEE SOME *ANGE >\ND ?IS4 ,( C\RSE1 IT WILL BE TOO LATE = ! HUNDR$S ( ?\S&S :O WILL DIE 9 ?IS P&EMIC1 BUT IT MAY SAVE LIVES 9 ! FUTURE4 ,! LA/ FEW WEEKS HAVE TAU<T O!RS :AT WE AS AN>*I/S HAVE ALREADY KN[N = A LONG TIME3 WE DON'T HAVE TO LIVE ?IS WAY4 ,WE DON'T NE$ TO KILL \RSELVES WORK+ FULL TIME TO PAY R5T2 \R KIDS %\LD HAVE DEC5T S*OOL+ & FOOD ON ! TABLE2 \R EMPLOY]S %\LD C>E IF WE HAVE *ILDC>E2 SOCIETY %\LD GIVE A %IT IF PEOPLE CAN ACCESS HEAL?C>E4 ,WE DON'T HAVE TO BE 5SLAV$ TO ! NEOLIB]AL DEA? MA*9E4 ,R5T /RIKE IS REAL4 ,PEOPLE >E GIV+ TO O!RS & ( !MSELVES 9 ! UNIQUE WAY !Y DO DUR+ A P&EMIC4 ,WE CAN TAKE C>E ( EA* O!R1 EV5 AFT] ?IS IS OV]4 ,WE CAN *ECK 9 ON \R NEI<BORS1 FREE PEOPLE FROM PRISONS1 DO POLITICAL SOLID>ITY WORK4 ,WE CAN BE MORE PRES5T ) \R FAMILY1 LIVE LIFE AT A SL[] PACE & POOL RES\RCES4 ,I HOPE1 DESPITE ALL ! DEA? ?AT IS TO COME1 ?AT PEOPLE HOLD ONTO ! SMALL BUT MEAN+FUL ?+S WE CAN DO = ONE ANO!R4 ,LET'S ACT AS ?\< \R 9DIVIDUAL SURVIVAL DEP5DS ON ! SURVIVAL ( ALL PEOPLE 9 \R COMMUNITIES4 ,LET'S ,N,O,T CONCEPTUALLY SEE \RSELVES AS ! O!R4 ,AN>*I/S (T5 T5D T[>DS EXCEPTIONALISM1 ID5TIFY+ \RSELVES AS \TSID]S 9 RELATION TO SOCIETY4 ,?AT ISN'T GO+ TO WORK RI<T N[4 ,Y\ MAY GET SICK2 Y\ >E NOT IMMUNE4 ,Y\ MAY NE$ ASSI/ANCE4 ,WE >E ALL 9 ?IS TOGE!R4 ,?ANK Y\ = EV]Y?+ Y\'RE DO+4 ,MAY WE ALL SURVIVE ?IS 9TACT4 ,MORE ?AN EV] RESI/ANCE IS SURVIVAL4 ,SURVIVAL IS RESI/ANCE4 ,LOVE & HEAL?4 

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