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| How Much Should the Public Know About Who Has the Coronavirus? | How Much Should the Public Know About Who Has the Coronavirus? |
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| SAN JOSE, Calif. — When the first case of the coronavirus in Silicon Valley was discovered in late January, health officials were faced with a barrage of questions: What city did the patient live in? Whom had he come in contact with? Which health clinic had he visited before he knew he was infected? | SAN JOSE, Calif. — When the first case of the coronavirus in Silicon Valley was discovered in late January, health officials were faced with a barrage of questions: What city did the patient live in? Whom had he come in contact with? Which health clinic had he visited before he knew he was infected? |
| Dr. Sara Cody, the chief health officer for Santa Clara County, which has a population of two million across 15 cities, declined to give details. | Dr. Sara Cody, the chief health officer for Santa Clara County, which has a population of two million across 15 cities, declined to give details. |
| “I can’t give the city,” she said, adding “we are not going to be giving out information about where he sought health care.” | “I can’t give the city,” she said, adding “we are not going to be giving out information about where he sought health care.” |
| As the coronavirus spreads across the United States the limited disclosure of data by officials would seem to be a footnote to the suffering and economic disruptions that the disease is causing. | As the coronavirus spreads across the United States the limited disclosure of data by officials would seem to be a footnote to the suffering and economic disruptions that the disease is causing. |
| But medical experts say that how much the public should know has become a critical question that will help determine how the United States confronts this outbreak and future ones. | But medical experts say that how much the public should know has become a critical question that will help determine how the United States confronts this outbreak and future ones. |
| Residents are clamoring to see whether the virus has been detected in their neighborhoods so they can take more steps to avoid any contact. American researchers are starved for data, unlike their colleagues in other countries who are harnessing rivers of information from their more centralized medical systems. And local politicians complain that they cannot provide basic information on the spread of the virus to their constituents. | Residents are clamoring to see whether the virus has been detected in their neighborhoods so they can take more steps to avoid any contact. American researchers are starved for data, unlike their colleagues in other countries who are harnessing rivers of information from their more centralized medical systems. And local politicians complain that they cannot provide basic information on the spread of the virus to their constituents. |
| In the perennial tug-of-war between privacy and transparency in the United States, privacy appears to be winning in the coronavirus pandemic. | In the perennial tug-of-war between privacy and transparency in the United States, privacy appears to be winning in the coronavirus pandemic. |
| The bare-minimum approach to public disclosures in places like the San Francisco Bay Area is common across the United States. Armed with emergency powers in many areas, public health officers have vast discretion over what information they want, and do not want, to release to the public. Coronavirus cases in California are often listed by county, generally with very little additional information — such as gender, city of residence or age — provided. | The bare-minimum approach to public disclosures in places like the San Francisco Bay Area is common across the United States. Armed with emergency powers in many areas, public health officers have vast discretion over what information they want, and do not want, to release to the public. Coronavirus cases in California are often listed by county, generally with very little additional information — such as gender, city of residence or age — provided. |
| Critics of the threadbare public reporting say it is striking that even in Silicon Valley, which is home to leading technology companies that thrive off the collection of data, residents are given very little information about the movement and dynamics of the virus. | Critics of the threadbare public reporting say it is striking that even in Silicon Valley, which is home to leading technology companies that thrive off the collection of data, residents are given very little information about the movement and dynamics of the virus. |
| California, which has more than 4,600 cases, is a microcosm for how inconsistent the distribution of information has been during the pandemic. Los Angeles County provides a rough age distribution of patients and breaks down the cases into more than 140 cities and communities. On Friday, for example, the county reported 21 cases in Beverly Hills, 28 in the city of Santa Monica and 49 in the neighborhood of Melrose. | California, which has more than 4,600 cases, is a microcosm for how inconsistent the distribution of information has been during the pandemic. Los Angeles County provides a rough age distribution of patients and breaks down the cases into more than 140 cities and communities. On Friday, for example, the county reported 21 cases in Beverly Hills, 28 in the city of Santa Monica and 49 in the neighborhood of Melrose. |
| Across the United States there is even less consistency. New York is listing cases by age bracket, gender and borough despite calls for more localized reporting. Connecticut lists data by town. Florida provides its residents with a wealth of data on the pandemic. The state’s Department of Health has a detailed dashboard and reports showing the spread of the virus — rich with data on the cities affected, the number of people tested, the age brackets of patients, whether they are Florida residents, and the number of cases in nursing homes. | Across the United States there is even less consistency. New York is listing cases by age bracket, gender and borough despite calls for more localized reporting. Connecticut lists data by town. Florida provides its residents with a wealth of data on the pandemic. The state’s Department of Health has a detailed dashboard and reports showing the spread of the virus — rich with data on the cities affected, the number of people tested, the age brackets of patients, whether they are Florida residents, and the number of cases in nursing homes. |
| Health departments in the Bay Area make the case that releasing more granular data could heighten discrimination against certain communities where there might be clusters. The first cases in the Bay Area were among ethnic Chinese residents returning from trips to China. | Health departments in the Bay Area make the case that releasing more granular data could heighten discrimination against certain communities where there might be clusters. The first cases in the Bay Area were among ethnic Chinese residents returning from trips to China. |
| “Pandemics increase paranoia and stigma,” said Dr. Rohan Radhakrishna, the deputy health officer of Contra Costa County, across the Bay from San Francisco, which provides only the total number of cases in the county on its website. “We must be extra cautious in protecting individuals and the community.” | “Pandemics increase paranoia and stigma,” said Dr. Rohan Radhakrishna, the deputy health officer of Contra Costa County, across the Bay from San Francisco, which provides only the total number of cases in the county on its website. “We must be extra cautious in protecting individuals and the community.” |
| In Santa Clara, health officials say they cannot disclose how many cases are found in each city because of the nation’s strict medical privacy law, the Health Insurance Portability and Accountability Act, or HIPAA, signed by President Bill Clinton in 1996. | In Santa Clara, health officials say they cannot disclose how many cases are found in each city because of the nation’s strict medical privacy law, the Health Insurance Portability and Accountability Act, or HIPAA, signed by President Bill Clinton in 1996. |
| But that law was designed for the protection of personal data at doctors’ offices and in hospitals and includes provisions for the release of otherwise protected information during emergencies. | But that law was designed for the protection of personal data at doctors’ offices and in hospitals and includes provisions for the release of otherwise protected information during emergencies. |
| Using the law as a justification for limiting the release of aggregate data about the coronavirus is “ridiculous,” according to Arthur L. Caplan, a professor of bioethics at the N.Y.U. School of Medicine in New York City. | Using the law as a justification for limiting the release of aggregate data about the coronavirus is “ridiculous,” according to Arthur L. Caplan, a professor of bioethics at the N.Y.U. School of Medicine in New York City. |
| Prof. Caplan is among many experts who say the coronavirus is likely to spur a reassessment of medical privacy laws. Already, the Trump Administration waived some provisions of the law this month. | Prof. Caplan is among many experts who say the coronavirus is likely to spur a reassessment of medical privacy laws. Already, the Trump Administration waived some provisions of the law this month. |
| “HIPAA was written for a time when there were paper charts,” Prof. Caplan said. The coronavirus, he said, “will cause us to rethink a lot of things.” | “HIPAA was written for a time when there were paper charts,” Prof. Caplan said. The coronavirus, he said, “will cause us to rethink a lot of things.” |
| “We will also have to plan for better data exchange and testing,” he said. | “We will also have to plan for better data exchange and testing,” he said. |
| The U.S. approach contrasts sharply with that of Singapore and Taiwan, whose fights against the virus have been praised as among the most effective. Both governments make public the suspected linkages of cases, anonymized by numbers. In Singapore the authorities sometimes list neighborhoods where patients lived, their workplaces and churches or mosques that they attended. | The U.S. approach contrasts sharply with that of Singapore and Taiwan, whose fights against the virus have been praised as among the most effective. Both governments make public the suspected linkages of cases, anonymized by numbers. In Singapore the authorities sometimes list neighborhoods where patients lived, their workplaces and churches or mosques that they attended. |
| I. Glenn Cohen, an expert in bioethics at Harvard Law School, says the guiding principle during this crisis should be sharing more rather than less. | I. Glenn Cohen, an expert in bioethics at Harvard Law School, says the guiding principle during this crisis should be sharing more rather than less. |
| “Public health depends a lot on public trust,” he said. “If the public feels as though they are being misled or misinformed their willingness to make sacrifices — in this case social distancing — is reduced.” | “Public health depends a lot on public trust,” he said. “If the public feels as though they are being misled or misinformed their willingness to make sacrifices — in this case social distancing — is reduced.” |
| “That’s a strong argument for sharing as much information as you can,” he said. | “That’s a strong argument for sharing as much information as you can,” he said. |
| Experts also point out that it was the government’s suppression of information about the virus in China that allowed it to spread quickly before measures were taken to stem it. | Experts also point out that it was the government’s suppression of information about the virus in China that allowed it to spread quickly before measures were taken to stem it. |
| On Friday the health authorities in Santa Clara, which has more than 590 cases and is home to the headquarters of companies like Google and Apple, added a dashboard that charts the number of daily cases and other metrics. | On Friday the health authorities in Santa Clara, which has more than 590 cases and is home to the headquarters of companies like Google and Apple, added a dashboard that charts the number of daily cases and other metrics. |
| But the county’s public information office says it will not publicly disclose the number of cases in each city because doing so could make individuals more easily identifiable. | But the county’s public information office says it will not publicly disclose the number of cases in each city because doing so could make individuals more easily identifiable. |
| In a sign of how contested the question of public disclosure is, disagreement exists even within the Santa Clara County government. | In a sign of how contested the question of public disclosure is, disagreement exists even within the Santa Clara County government. |
| Dr. Jeffrey V. Smith, the county executive, who is both a medical doctor and a lawyer, argues that more precise geographical information about the spread does not help combat the virus because it is already widespread. | Dr. Jeffrey V. Smith, the county executive, who is both a medical doctor and a lawyer, argues that more precise geographical information about the spread does not help combat the virus because it is already widespread. |
| Updated June 24, 2020 | |
| Scientists around the country have tried to identify everyday materials that do a good job of filtering microscopic particles. In recent tests, HEPA furnace filters scored high, as did vacuum cleaner bags, fabric similar to flannel pajamas and those of 600-count pillowcases. Other materials tested included layered coffee filters and scarves and bandannas. These scored lower, but still captured a small percentage of particles. | |
| A commentary published this month on the website of the British Journal of Sports Medicine points out that covering your face during exercise “comes with issues of potential breathing restriction and discomfort” and requires “balancing benefits versus possible adverse events.” Masks do alter exercise, says Cedric X. Bryant, the president and chief science officer of the American Council on Exercise, a nonprofit organization that funds exercise research and certifies fitness professionals. “In my personal experience,” he says, “heart rates are higher at the same relative intensity when you wear a mask.” Some people also could experience lightheadedness during familiar workouts while masked, says Len Kravitz, a professor of exercise science at the University of New Mexico. | A commentary published this month on the website of the British Journal of Sports Medicine points out that covering your face during exercise “comes with issues of potential breathing restriction and discomfort” and requires “balancing benefits versus possible adverse events.” Masks do alter exercise, says Cedric X. Bryant, the president and chief science officer of the American Council on Exercise, a nonprofit organization that funds exercise research and certifies fitness professionals. “In my personal experience,” he says, “heart rates are higher at the same relative intensity when you wear a mask.” Some people also could experience lightheadedness during familiar workouts while masked, says Len Kravitz, a professor of exercise science at the University of New Mexico. |
| The steroid, dexamethasone, is the first treatment shown to reduce mortality in severely ill patients, according to scientists in Britain. The drug appears to reduce inflammation caused by the immune system, protecting the tissues. In the study, dexamethasone reduced deaths of patients on ventilators by one-third, and deaths of patients on oxygen by one-fifth. | The steroid, dexamethasone, is the first treatment shown to reduce mortality in severely ill patients, according to scientists in Britain. The drug appears to reduce inflammation caused by the immune system, protecting the tissues. In the study, dexamethasone reduced deaths of patients on ventilators by one-third, and deaths of patients on oxygen by one-fifth. |
| The coronavirus emergency relief package gives many American workers paid leave if they need to take time off because of the virus. It gives qualified workers two weeks of paid sick leave if they are ill, quarantined or seeking diagnosis or preventive care for coronavirus, or if they are caring for sick family members. It gives 12 weeks of paid leave to people caring for children whose schools are closed or whose child care provider is unavailable because of the coronavirus. It is the first time the United States has had widespread federally mandated paid leave, and includes people who don’t typically get such benefits, like part-time and gig economy workers. But the measure excludes at least half of private-sector workers, including those at the country’s largest employers, and gives small employers significant leeway to deny leave. | The coronavirus emergency relief package gives many American workers paid leave if they need to take time off because of the virus. It gives qualified workers two weeks of paid sick leave if they are ill, quarantined or seeking diagnosis or preventive care for coronavirus, or if they are caring for sick family members. It gives 12 weeks of paid leave to people caring for children whose schools are closed or whose child care provider is unavailable because of the coronavirus. It is the first time the United States has had widespread federally mandated paid leave, and includes people who don’t typically get such benefits, like part-time and gig economy workers. But the measure excludes at least half of private-sector workers, including those at the country’s largest employers, and gives small employers significant leeway to deny leave. |
| So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was “very rare,” but she later walked back that statement. | So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was “very rare,” but she later walked back that statement. |
| Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks. | Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks. |
| A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study. | A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study. |
| The unemployment rate fell to 13.3 percent in May, the Labor Department said on June 5, an unexpected improvement in the nation’s job market as hiring rebounded faster than economists expected. Economists had forecast the unemployment rate to increase to as much as 20 percent, after it hit 14.7 percent in April, which was the highest since the government began keeping official statistics after World War II. But the unemployment rate dipped instead, with employers adding 2.5 million jobs, after more than 20 million jobs were lost in April. | The unemployment rate fell to 13.3 percent in May, the Labor Department said on June 5, an unexpected improvement in the nation’s job market as hiring rebounded faster than economists expected. Economists had forecast the unemployment rate to increase to as much as 20 percent, after it hit 14.7 percent in April, which was the highest since the government began keeping official statistics after World War II. But the unemployment rate dipped instead, with employers adding 2.5 million jobs, after more than 20 million jobs were lost in April. |
| Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days. | Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days. |
| If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.) | If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.) |
| If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others. | If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others. |
| “Reporting positive tests with a census tract or a city name provides data that is not helpful,” Dr. Smith said. “In fact, such data has the risk of stigmatizing areas and regions of the country in a way that does not help.” | “Reporting positive tests with a census tract or a city name provides data that is not helpful,” Dr. Smith said. “In fact, such data has the risk of stigmatizing areas and regions of the country in a way that does not help.” |
| But David Cortese, a member of the county’s board of supervisors, says that the public has the right to know more and that a patient’s identity is unlikely to be revealed by giving a breakdown of cases by city. | But David Cortese, a member of the county’s board of supervisors, says that the public has the right to know more and that a patient’s identity is unlikely to be revealed by giving a breakdown of cases by city. |
| “I think when people can’t get information they freak out, they think something is being hidden from them, conspiracy theories grow, suspicions grow,” he said. “I think it’s always better to be as truthful, calmly, and transparent with the public as you can be.” | “I think when people can’t get information they freak out, they think something is being hidden from them, conspiracy theories grow, suspicions grow,” he said. “I think it’s always better to be as truthful, calmly, and transparent with the public as you can be.” |
| As an example, Mr. Cortese says he is alarmed that health officers have not made more information public on the coronavirus-related death of a homeless man in the county. Given the medical vulnerabilities of that population, doctors and advocates of homeless people have called his office demanding to know in which encampment the man lived so that they could advise other homeless people in the area to be more vigilant. The county, which refused to disclose that information, said in a statement that health officials screened 60 members of the “specific community” and tested nine symptomatic individuals for the coronavirus. All nine tests were negative, the county said. | As an example, Mr. Cortese says he is alarmed that health officers have not made more information public on the coronavirus-related death of a homeless man in the county. Given the medical vulnerabilities of that population, doctors and advocates of homeless people have called his office demanding to know in which encampment the man lived so that they could advise other homeless people in the area to be more vigilant. The county, which refused to disclose that information, said in a statement that health officials screened 60 members of the “specific community” and tested nine symptomatic individuals for the coronavirus. All nine tests were negative, the county said. |
| Mr. Cortese says it is obvious to him that more information on the spread of the pandemic should be shared. | Mr. Cortese says it is obvious to him that more information on the spread of the pandemic should be shared. |
| “At the height of the information age in Silicon Valley we have stumbled and fallen flat in terms of our ability to use the tools and resources that we have to get necessary information out to the people we serve,” Mr. Cortese said. | “At the height of the information age in Silicon Valley we have stumbled and fallen flat in terms of our ability to use the tools and resources that we have to get necessary information out to the people we serve,” Mr. Cortese said. |
| Frustration over the dearth of data also extends to epidemiologists trying to understand the dynamics of the spread of the virus. | Frustration over the dearth of data also extends to epidemiologists trying to understand the dynamics of the spread of the virus. |
| Joseph Lewnard, a professor of epidemiology at the University of California, Berkeley School of Public Health, says researchers are hamstrung in the United States by the lack of specific data on testing and on the symptoms patients show. | Joseph Lewnard, a professor of epidemiology at the University of California, Berkeley School of Public Health, says researchers are hamstrung in the United States by the lack of specific data on testing and on the symptoms patients show. |
| To make up for the lack of public data, researchers are scraping information on cases from news outlets and other media accounts, he said. They are mainly relying on data from South Korea, China and Italy to try to predict the spread of the virus. | To make up for the lack of public data, researchers are scraping information on cases from news outlets and other media accounts, he said. They are mainly relying on data from South Korea, China and Italy to try to predict the spread of the virus. |
| “We are right now learning and trying to project what is happening here in the United States almost entirely based on observations from these other countries,” Prof. Lewnard said. | “We are right now learning and trying to project what is happening here in the United States almost entirely based on observations from these other countries,” Prof. Lewnard said. |
| Moritz Kraemer, a scholar at Oxford University who is leading a team of researchers in mapping the global spread of the coronavirus, says China’s data “provided incredible detail,” including a patient’s age, sex, travel history and history of chronic disease, as well as where the case was reported, and the dates of the onset of symptoms, hospitalization and confirmation of infection. | Moritz Kraemer, a scholar at Oxford University who is leading a team of researchers in mapping the global spread of the coronavirus, says China’s data “provided incredible detail,” including a patient’s age, sex, travel history and history of chronic disease, as well as where the case was reported, and the dates of the onset of symptoms, hospitalization and confirmation of infection. |
| The United States, he said, “has been slow in collecting data in a systematic way.” | The United States, he said, “has been slow in collecting data in a systematic way.” |
| Dr. C. Jason Wang, a researcher at Stanford University, who has studied how Taiwan handled the coronavirus outbreak, says some of the measures taken in Taiwan would most likely not be accepted in the United States given privacy concerns. The government, for example, merged the airport immigration database with the national medical database so that doctors could immediately see if a patient had traveled out of the country. | Dr. C. Jason Wang, a researcher at Stanford University, who has studied how Taiwan handled the coronavirus outbreak, says some of the measures taken in Taiwan would most likely not be accepted in the United States given privacy concerns. The government, for example, merged the airport immigration database with the national medical database so that doctors could immediately see if a patient had traveled out of the country. |
| But Dr. Wang says the proactive approach that Taiwan took to the virus, including aggressive tracing of cases, has helped keep the total number of confirmed infections — 283 on Saturday — much lower than experts initially expected. By comparison, the borough of Queens in New York City, with one-tenth the population of Taiwan, has 10,000 cases. | But Dr. Wang says the proactive approach that Taiwan took to the virus, including aggressive tracing of cases, has helped keep the total number of confirmed infections — 283 on Saturday — much lower than experts initially expected. By comparison, the borough of Queens in New York City, with one-tenth the population of Taiwan, has 10,000 cases. |
| Some of the information being released to the public in Taiwan and Singapore would most likely be uncontroversial in the United States, he said. Taiwanese authorities, for example, have pointed out linkages between anonymized cases, including family clusters, in an effort to warn the public how easily the virus is transmitted within households. | Some of the information being released to the public in Taiwan and Singapore would most likely be uncontroversial in the United States, he said. Taiwanese authorities, for example, have pointed out linkages between anonymized cases, including family clusters, in an effort to warn the public how easily the virus is transmitted within households. |
| Prof. Caplan of the N.Y.U. School of Medicine says it is paradoxical that the United States is providing less precise information to its citizens on the outbreak than Singapore, which puts limits on the spread of information through internet controls. | Prof. Caplan of the N.Y.U. School of Medicine says it is paradoxical that the United States is providing less precise information to its citizens on the outbreak than Singapore, which puts limits on the spread of information through internet controls. |
| “Here we expect to get information so we have our choices and we make our decisions,” he said. “Our notion is information is the oxygen for democracy. Wouldn’t we want to receive more information than them?” | “Here we expect to get information so we have our choices and we make our decisions,” he said. “Our notion is information is the oxygen for democracy. Wouldn’t we want to receive more information than them?” |