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	<title type="text">Eliza Barclay | Vox</title>
	<subtitle type="text">Our world has too much noise and too little context. Vox helps you understand what matters.</subtitle>

	<updated>2023-09-18T13:39:21+00:00</updated>

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		<entry>
			
			<author>
				<name>Eliza Barclay</name>
			</author>
			
			<title type="html"><![CDATA[Thich Nhat Hanh’s final mindfulness lesson: How to die peacefully]]></title>
			<link rel="alternate" type="text/html" href="https://www.vox.com/2019/3/11/18196457/thich-nhat-hanh-health-mindfulness-plum-village" />
			<id>https://www.vox.com/2019/3/11/18196457/thich-nhat-hanh-health-mindfulness-plum-village</id>
			<updated>2022-02-28T18:31:30-05:00</updated>
			<published>2022-01-21T15:35:05-05:00</published>
			<category scheme="https://www.vox.com" term="Life" /><category scheme="https://www.vox.com" term="Politics" /><category scheme="https://www.vox.com" term="Religion" /><category scheme="https://www.vox.com" term="Science" /><category scheme="https://www.vox.com" term="World Politics" />
							<summary type="html"><![CDATA[Editor&#8217;s note: The International Plum Village Community of Engaged Buddhism has announced that Thich Nhat Hanh died on January 22, 2022, in Hu&#7871;, Vietnam. The interview below with one of his senior disciples was first published in March 2019. Thich Nhat Hanh has done more than perhaps any Buddhist alive today to articulate and disseminate [&#8230;]]]></summary>
			
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<img alt="" data-caption="Thich Nhat Hanh, 92, reads a book in January 2019 at the Tu Hieu temple. “For him to return to Vietnam is to point out that we are a stream,” says his senior disciple Brother Phap Dung. | PVCEB" data-portal-copyright="PVCEB" data-has-syndication-rights="1" src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/15953315/2019_01_30_Thay_viewing_a_book_of_paintings___PHOTO___PVCEB_high_res.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" />
	<figcaption>
	Thich Nhat Hanh, 92, reads a book in January 2019 at the Tu Hieu temple. “For him to return to Vietnam is to point out that we are a stream,” says his senior disciple Brother Phap Dung. | PVCEB	</figcaption>
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<p><strong>Editor&rsquo;s note</strong>: The International Plum Village Community of Engaged Buddhism has <a href="https://twitter.com/thichnhathanh/status/1484612530228154373">announced</a> that <a href="https://www.facebook.com/thichnhathanh/photos/a.136121339634/10156881013129635/?type=3&amp;theater">Thich Nhat Hanh</a> died on January 22, 2022, in Hu&#7871;, Vietnam. The interview below with one of his senior disciples was first published in March 2019.</p>
<hr class="wp-block-separator" />
<p>Thich Nhat Hanh has done more than perhaps any Buddhist alive today to articulate and disseminate the core Buddhist teachings of mindfulness, kindness, and compassion to a broad global audience. The Vietnamese monk, who has written more than 100 books, is second only to the Dalai Lama in fame and influence.</p>

<p>Nhat Hanh made his name doing human rights and reconciliation work during the Vietnam War, which led Martin Luther King Jr. to nominate him for a Nobel Prize.</p>

<p>He&rsquo;s considered the father of&nbsp;<a href="https://en.wikipedia.org/wiki/Engaged_Buddhism">&ldquo;engaged Buddhism,&rdquo;</a><strong> </strong>a movement linking mindfulness practice with social action. He&rsquo;s also built a network of <a href="https://plumvillage.org/monastic-practice-centres/">monasteries and retreat centers</a> in six countries around the world, including the United States.</p>

<p>In 2014, Nhat Hanh, who is now 93 years old, had a stroke at&nbsp;<a href="http://plumvillage.org/about/thich-nhat-hanh/">Plum Village</a>, the monastery and retreat center in southwest France he founded in 1982 that was also his home base. Though he was unable to speak after the stroke, he continued to lead the community, using his left arm and facial expressions to communicate.</p>

<p>In October 2018, Nhat Hanh stunned his disciples by informing them that he would like to return home to Vietnam to pass his final days at the <a href="https://plumvillage.org/news/thich-nhat-hanh-returns-to-vietnam/">Tu Hieu root temple</a> in Hue, where he became a monk in 1942 at age 16. (The New York Times <a href="https://www.nytimes.com/2019/05/16/world/asia/thich-nhat-hanh-vietnam.html">reports</a> that nine US senators visited him there in April.)</p>

<p>As Time&rsquo;s Liam Fitzpatrick <a href="http://time.com/5511729/monk-mindfulness-art-of-dying/?xid=tcoshare">wrote</a>, Nhat Hanh was exiled from Vietnam for his antiwar activism from 1966 until he was finally invited back in 2005. But his return to his homeland is less about political reconciliation than something much deeper. And it contains lessons for all of us about how to die peacefully and how to let go of the people we love.</p>

<p>When I heard that Nhat Hanh had returned to Vietnam, I wanted to learn more about the decision. So in February I called up Brother Phap Dung, a senior disciple and monk who is helping to run Plum Village in Nhat Hanh&rsquo;s absence. (I spoke to Phap Dung in 2016 right after Donald Trump won the presidential election, about <a href="https://www.vox.com/science-and-health/2016/11/22/13638374/buddhist-monk-mindfulness">how we can use mindfulness in times of conflict</a>.)</p>

<p>Our conversation has been edited for length and clarity.</p>
<img src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/15947225/Thay_Phap_Dung___Uganda___PHOTO___Wouter_Verhoeven.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" alt="" title="" data-has-syndication-rights="1" data-caption="Brother Phap Dung, a senior disciple of Thich Nhat Hanh, leading a meditation on a trip to Uganda in early 2019. | Wouter Verhoeven" data-portal-copyright="Wouter Verhoeven" /><h3 class="wp-block-heading">Eliza Barclay</h3>
<p>Tell me about your teacher&rsquo;s decision to go to Vietnam and how you interpret the meaning of it.</p>
<h3 class="wp-block-heading">Phap Dung</h3>
<p>He&rsquo;s definitely coming back to his roots.</p>

<p>He has come back to the place where he grew up as a monk. The message is to remember we don&rsquo;t come from nowhere. We have roots. We have ancestors. We are part of a lineage or stream.</p>

<p>It&rsquo;s a beautiful message, to see ourselves as a stream, as a lineage, and it is the deepest teaching in Buddhism: non-self. We are empty of a separate self, and yet at the same time, we are full of our ancestors.</p>

<p>He has emphasized this Vietnamese tradition of ancestral worship as a practice in our community. Worship here means to remember. For him to return to Vietnam is to point out that we are a stream that runs way back to the time of the Buddha in India, beyond even Vietnam and China.</p>
<h3 class="wp-block-heading">Eliza Barclay</h3>
<p>So he is reconnecting to the stream that came before him. And that suggests the larger community he has built is connected to that stream too. The stream will continue flowing after him.</p>
<div class="youtube-embed"><iframe title="Sounds True Presents: Calligraphy with Thich Nhat Hanh" src="https://www.youtube.com/embed/NrCsCCB3-II?rel=0" allowfullscreen allow="accelerometer *; clipboard-write *; encrypted-media *; gyroscope *; picture-in-picture *; web-share *;"></iframe></div><h3 class="wp-block-heading">Phap Dung</h3>
<p>It&rsquo;s like the circle that he often draws with the calligraphy brush. He&rsquo;s returned to Vietnam after 50 years of being in the West. When he first left to call for peace during the Vietnam War was the start of the circle; slowly, he traveled to other countries to do the teaching, making the rounds. And then slowly he returned to Asia, to Indonesia, Hong Kong, China. Eventually, Vietnam opened up to allow him to return three other times. This return now is kind of like a closing of the circle.</p>

<p>It&rsquo;s also like the light of the candle being transferred, to the next candle, to many other candles, for us to continue to live and practice and to continue his work. For me, it feels like that, like the light is lit in each one of us.</p>
<h3 class="wp-block-heading">Eliza Barclay</h3>
<p>And as one of his senior monks, do you feel like you are passing the candle too?</p>
<h3 class="wp-block-heading">Phap Dung</h3>
<p>Before I met Thay in 1992, I was not aware, I was running busy and doing my architectural, ambitious things in the US. But he taught me to really enjoy living in the present moment, that it is something that we can train in.</p>

<p>Now as I practice, I am keeping the candlelight illuminated, and I can also share the practice with others. Now I&rsquo;m teaching and caring for the monks, nuns, and lay friends who come to our community just as our teacher did.</p>
<h3 class="wp-block-heading">Eliza Barclay</h3>
<p>So he is 92 and his health is fragile, but he is not bedridden. What is he up to in Vietnam?</p>
<h3 class="wp-block-heading">Phap Dung</h3>
<p>The first thing he did when he got there was to go to the stupa [shrine], light a candle, and touch the earth. Paying respect like that &mdash; it&rsquo;s like plugging in. You can get so much energy when you can remember your teacher.</p>

<p>He&rsquo;s not sitting around waiting. He is doing his best to enjoy the rest of his life. He is eating regularly. He even can now drink tea and invite his students to enjoy a cup with him. And his actions are very deliberate.</p>

<p>Once, the attendants took him out to visit before the lunar new year to enjoy the flower market. On their way back, he directed the entourage to change course and to go to a few particular temples. At first, everyone was confused, until they found out that these temples had an affiliation to our community. He remembered the exact location of these temples and the direction to get there. The attendants realized that he wanted to visit the temple of a monk who had lived a long time in Plum Village, France; and another one where he studied as a young monk. It&rsquo;s very clear that although he&rsquo;s physically limited, and in a wheelchair, he is still living his life, doing what his body and health allows.</p>

<p>Anytime he&rsquo;s healthy enough, he shows up for <a href="https://www.lionsroar.com/the-practice-of-sangha/">sangha gatherings </a>and community gatherings. Even though he doesn&rsquo;t have to do anything. For him, there is no such thing as retirement.</p>
<h3 class="wp-block-heading">Eliza Barclay</h3>
<p>But you are also in this process of letting him go, right?</p>
<h3 class="wp-block-heading">Phap Dung</h3>
<p>Of course, letting go is one of our main practices. It goes along with recognizing the impermanent nature of things, of the world, and of our loved ones.</p>

<p>This transition period is his last and deepest teaching to our community. He is showing us how to make the transition gracefully, even after the stroke and being limited physically. He still enjoys his day every chance he gets.</p>

<p>My practice is not to wait for the moment when he takes his last breath. Each day I practice to let him go, by letting him be with me, within me, and with each of my conscious breaths. He is alive in my breath, in my awareness.</p>

<p>Breathing in, I breathe with my teacher within me; breathing out, I see him smiling with me. When we make a step with gentleness, we let him walk with us, and we allow him to continue within our steps. Letting go is also the practice of letting in, letting your teacher be alive in you, and to see that he is more than just a physical body now in Vietnam.</p>
<h3 class="wp-block-heading">Eliza Barclay</h3>
<p>What have you learned about dying from your teacher?</p>
<h3 class="wp-block-heading">Phap Dung</h3>
<p>There is dying in the sense of letting this body go, letting go of feelings, emotions, these things we call our identity, and practicing to let those go.</p>

<p>The trouble is, we don&rsquo;t let ourselves die day by day. Instead, we carry ideas about each other and ourselves. Sometimes it&rsquo;s good, but sometimes it&rsquo;s detrimental to our growth. We brand ourselves and imprison ourselves to an idea.</p>

<p>Letting go is a practice not only when you reach 90. It&rsquo;s one of the highest practices. This can move you toward equanimity, a state of freedom, a form of peace. Waking up each day as a rebirth, now that is a practice. &nbsp;</p>

<p>In the historical dimension, we practice to accept that we will get to a point where the body will be limited and we will be sick. There is birth, old age, sickness, and death. How will we deal with it?</p>
<img src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/15947235/Plum_Village_Practice_Center___Thich_Nhat_Hanh_leading_walking_meditation_in_Plum_Village__France__2014_.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" alt="" title="" data-has-syndication-rights="1" data-caption="Thich Nhat Hanh leading a walking meditation at the Plum Village practice center in France in 2014. | PVCEB" data-portal-copyright="PVCEB" /><h3 class="wp-block-heading">Eliza Barclay</h3>
<p>What are some of the most important teachings from Buddhism about dying?</p>
<h3 class="wp-block-heading">Phap Dung</h3>
<p>We are aware that one day we are all going to deteriorate and die &mdash; our neurons, our arms, our flesh and bones. But if our practice and our awareness is strong enough, we can see beyond the dying body and pay attention also to the spiritual body. We continue through the spirit of our speech, our thinking, and our actions. These three aspects of body, speech, and mind continues.</p>

<p>In Buddhism, we call this the nature of no birth and no death. It is the other dimension of the ultimate. It&rsquo;s not something idealized, or clean. The body has to do what it does, and the mind as well.</p>

<p>But in the ultimate dimension, there is continuation. We can cultivate this awareness of this nature of no birth and no death, this way of living in the ultimate dimension; then slowly our fear of death will lessen.</p>

<p>This awareness also helps us be more mindful in our daily life, to cherish every moment and everyone in our life.</p>

<p>One of the most powerful teachings that he shared with us before he got sick was about not building a stupa [shrine for his remains]<strong> </strong>for him and putting his ashes in an urn for us to pray to. He strongly commanded us not to do this. I will paraphrase his message:</p>

<p>&ldquo;Please do not build a stupa for me. Please do not put my ashes in a vase, lock me inside, and limit who I am. I know this will be difficult for some of you. If you must build a stupa though, please make sure that you put a sign on it that says, &lsquo;I am not in here.&rsquo; In addition, you can also put another sign that says, &lsquo;I am not out there either,&rsquo; and a third sign that says, &lsquo;If I am anywhere, it is in your mindful breathing and in your peaceful steps.&rsquo;&rdquo;</p>
<h2 class="wp-block-heading">Further reading:</h2><ul class="wp-block-list"><li>Brother Phap Dung explains <a href="https://www.vox.com/science-and-health/2016/11/22/13638374/buddhist-monk-mindfulness">mindfulness for times of political conflict</a></li><li>Zen teacher Frank Ostaseski on <a href="https://www.vox.com/science-and-health/2017/12/7/16690024/buddhism-health-care-death-mindfulness-spirituality">what the living can learn from the dying</a></li><li>An interview with Robert Wright, the author of <a href="https://www.vox.com/science-and-health/2017/8/23/16179044/buddhism-meditation-mindfulness-robert-wright-interview"><em>Why Buddhism Is True</em></a></li></ul>
						]]>
									</content>
			
					</entry>
			<entry>
			
			<author>
				<name>Lauren Katz</name>
			</author>
			
			<author>
				<name>Eliza Barclay</name>
			</author>
			
			<title type="html"><![CDATA[How to listen to all of Vox’s Earth Month podcasts]]></title>
			<link rel="alternate" type="text/html" href="https://www.vox.com/2021/4/8/22360525/climate-change-clean-energy-earth-day-podcasts" />
			<id>https://www.vox.com/2021/4/8/22360525/climate-change-clean-energy-earth-day-podcasts</id>
			<updated>2021-04-28T16:09:44-04:00</updated>
			<published>2021-04-28T16:08:38-04:00</published>
			<category scheme="https://www.vox.com" term="Climate" /><category scheme="https://www.vox.com" term="Future Perfect" /><category scheme="https://www.vox.com" term="Podcasts" /><category scheme="https://www.vox.com" term="Science" />
							<summary type="html"><![CDATA[This April, Vox&#8217;s podcasts are teaming up to cover some of the most important issues threatening life on Earth. From sustainability to biodiversity to straight-up cool things about the natural world, we&#8217;ll focus on our planet and its limits in episodes throughout the month.&#160; We&#8217;ll tell stories about how a kayak changed one life to [&#8230;]]]></summary>
			
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<img alt="" data-caption="" data-portal-copyright="Vox" data-has-syndication-rights="1" src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/22462616/VOX_EarthMonth_LedeImage.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" />
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<p>This April, Vox&rsquo;s <a href="https://www.vox.com/pages/podcasts">podcasts</a> are teaming up to cover some of the most important issues<strong> </strong>threatening life on Earth. From <a href="https://www.vox.com/the-goods/2020/1/27/21080107/fashion-environment-facts-statistics-impact">sustainability</a> to <a href="https://www.vox.com/energy-and-environment/2019/12/9/20993619/biodiversity-crisis-extinction">biodiversity</a> to straight-up <a href="https://www.vox.com/unexplainable/22336644/ball-lightning-scientific-mystery-eyewitness-accounts-illustrations">cool things about the natural world</a>, we&rsquo;ll focus on our planet and its limits in episodes throughout the month.&nbsp;</p>

<p>We&rsquo;ll tell stories about <a href="https://open.spotify.com/episode/3JJ7aDhcVPvJJexNjQt8M3?si=fbf55b4a59364e85">how a kayak changed one life</a> to the trouble with gas stoves to how rising temperatures will change what food we have available to eat. And, of course, we&rsquo;ll dive deep into policy &mdash; including a <em>Weeds</em> palooza with four promising white papers on the details of how we can bring down greenhouse gas emissions.</p>

<p>Tune into <a href="http://podlink.com/todayexplained"><em>Today, Explained</em></a>, <a href="https://pod.link/voxconversations"><em>Vox Conversations</em></a>, <a href="http://podlink.com/theweeds"><em>The Weeds</em></a>, <a href="http://podlink.com/unexplainable"><em>Unexplainable</em></a>, <a href="https://pod.link/worldly"><em>Worldly</em></a>, <a href="https://pod.link/futureperfect"><em>Future Perfect</em></a><em>, </em><a href="https://www.vox.com/recode-daily"><em>Recode Daily</em></a><em>, </em>and <a href="https://pod.link/1549029999"><em>Vox</em> <em>Quick Hits</em></a><em> </em>to hear new Earth Month episodes every week. Below, you&rsquo;ll find a guide to every episode. Want to share all of the shows with your friends? Simply point them to <a href="http://vox.com/earthmonth">vox.com/earthmonth</a>.</p>
<hr class="wp-block-separator" /><h2 class="wp-block-heading">Climate change</h2>
<p><strong><em>The Weeds: </em>White-paper palooza |<em> </em>4/13</strong></p>

<p>It&rsquo;s an all white paper episode, folks. Vox climate reporter Umair Irfan joins Matt and Dara to take on three research papers all concerning climate change: first, on the social costs of carbon; then on the disparate effects of temperature rise on a diverse array of geographic regions; finally, on global migration due to climate change.</p>
<iframe src="https://embed.podcasts.apple.com/us/podcast/white-paper-palooza/id1042433083?i=1000517036804&amp;itsct=podcast_box&amp;itscg=30200&amp;theme=auto" height="175px" frameborder="0" allow="autoplay *; encrypted-media *;"></iframe>
<p><strong><em>Future Perfect: </em>Engineering our way out of the climate crisis | 4/14</strong></p>

<p>In an ideal world, cutting carbon emissions would be enough to stop global warming. But after dithering for decades, the world needs a back-up plan. Kelly Wanser is the leader of a group called SilverLining that works to promote research into what it calls &ldquo;solar climate intervention.&rdquo; Also called &ldquo;solar geoengineering,&rdquo; this approach involves putting particles into clouds that reflect back the sun, directly cooling the earth.</p>

<p>It&rsquo;s a novel and potentially hazardous policy &mdash; but one that Wanser and other experts argue could hold a lot of promise as the world braces for catastrophic climate impacts. Wanser and Vox&rsquo;s Dylan Matthews discuss how solar climate intervention works, how it could be implemented, and where it fits in with the goal of cutting emissions.</p>
<iframe src="https://embed.podcasts.apple.com/us/podcast/engineering-our-way-out-of-the-climate-crisis/id1438157174?i=1000517158287&amp;itsct=podcast_box&amp;itscg=30200&amp;theme=auto" height="175px" frameborder="0" allow="autoplay *; encrypted-media *;"></iframe>
<p><strong><em>Today, Explained:</em> Peanut butter and jellyfish | 4/19</strong></p>

<p>In partnership with <a href="https://www.eater.com/">Eater</a>, we will take a look at how rising temperatures will change our food systems: from poisonous lettuce to the merits of jellyfish when all of the clams die.</p>
<iframe src="https://embed.podcasts.apple.com/us/podcast/peanut-butter-and-jellyfish/id1346207297?i=1000517828538&amp;itsct=podcast_box&amp;itscg=30200&amp;theme=auto" height="175px" frameborder="0" allow="autoplay *; encrypted-media *;"></iframe>
<p><strong><em>Vox Quick Hits: Tell Me More: </em>Will the superpowers unite on climate? | 4/19</strong></p>

<p>The United States and China play leading roles in the global response to climate change: Together, they account for 43 percent of global carbon dioxide emissions. And it&rsquo;s not just actions in their own countries that matter; they are highly influential in the world, too. Many industrialized countries look to the US for cues on climate action, and many developing countries look to China.</p>
<iframe src="https://embed.podcasts.apple.com/us/podcast/will-the-superpowers-unite-on-climate-tell-me-more/id1549029999?i=1000517749918&amp;itsct=podcast_box&amp;itscg=30200&amp;theme=auto" height="175px" frameborder="0" allow="autoplay *; encrypted-media *;"></iframe>
<p><strong><em>Recode Daily</em>: The gas stove myth | 4/19</strong></p>

<p>You may be under the impression that a gas stove is better than an electric stove, but that&rsquo;s because the fossil fuel industry wants you to think that. Decades&rsquo; worth of campaigning and messaging has convinced the average renter and homeowner that gas stoves are the preferred choice. But really, they emit harmful fumes into your own home.</p>
<iframe src="https://embed.podcasts.apple.com/us/podcast/the-gas-stove-myth/id1479107698?i=1000517720341&amp;itsct=podcast_box&amp;itscg=30200&amp;theme=auto" height="175px" frameborder="0" allow="autoplay *; encrypted-media *;"></iframe>
<p><strong><em>Today, Explained:</em> The case for climate optimism | 4/20</strong></p>

<p>In 2019, David Wallace-Wells wrote a book called The Uninhabitable Earth. Just two years later, he&rsquo;s feeling hopeful &mdash; thanks to the world&rsquo;s biggest polluters.</p>
<iframe src="https://embed.podcasts.apple.com/us/podcast/the-case-for-climate-optimism/id1346207297?i=1000517960439&amp;itsct=podcast_box&amp;itscg=30200&amp;theme=auto" height="175px" frameborder="0" allow="autoplay *; encrypted-media *;"></iframe>
<p><strong><em>Vox Quick Hits: Tell Me More</em>: The blunt truth about weed farms | 4/20 </strong></p>

<p>Commercial marijuana production is increasing as more states legalize recreational use, but indoor weed farms have a significant impact on the climate. In fact, a recent study found that just an eighth of weed has a 41-pound carbon footprint. The solution? Finding a more climate-friendly way to grow marijuana, such as outdoor farms.</p>
<iframe src="https://embed.podcasts.apple.com/us/podcast/the-blunt-truth-about-weed-farms-tell-me-more/id1549029999?i=1000517873264&amp;itsct=podcast_box&amp;itscg=30200&amp;theme=auto" height="175px" frameborder="0" allow="autoplay *; encrypted-media *;"></iframe>
<p><strong><em>Future Perfect</em>: Should I still have kids if I&rsquo;m worried about climate change? | 4/21</strong></p>

<p>Climate scientist Kimberly Nicholas co-led a study that showed the single most effective thing an individual can do to decrease their carbon footprint is have fewer kids. Despite that finding, she still says that people who really want to have kids should go ahead with their plans. She explains how she squares that circle to Vox&rsquo;s Sigal Samuel, and the two discuss how to think about the decision to have kids or not and how to make meaning in a warming world.</p>
<iframe src="https://embed.podcasts.apple.com/us/podcast/should-i-still-have-kids-if-im-worried-about-climate-change/id1438157174?i=1000518082105&amp;itsct=podcast_box&amp;itscg=30200&amp;theme=auto" height="175px" frameborder="0" allow="autoplay *; encrypted-media *;"></iframe>
<p><strong><em>Worldly</em>: How Nigeria explains the climate crisis | 4/22</strong></p>

<p>In a very special Earth Month episode, Zack, Jenn, and Alex use Nigeria as a case study to uncover the deep reasons why it&rsquo;s so hard for the world to quit fossil fuels. Nigeria is a country deeply threatened by climate change, but it&rsquo;s also one with a major oil industry that hopes to lift millions out of poverty &mdash; a feat that has never been done without some degree of reliance on dirty energy.&nbsp;The team explains how these barriers affect the prospects for mitigating climate change in both Nigeria and globally, and talk about what solutions might help overcome these barriers.&nbsp;</p>
<iframe src="https://embed.podcasts.apple.com/us/podcast/how-nigeria-explains-the-climate-crisis/id1248862589?i=1000518246980&amp;itsct=podcast_box&amp;itscg=30200&amp;theme=auto" height="175px" frameborder="0" allow="autoplay *; encrypted-media *;"></iframe>
<p><strong><em>Today, Explained</em>: Is nuclear energy good or bad? | 4/22</strong></p>

<p>Where does nuclear energy fit into the climate conversation? Why is it taking a bigger role in some countries&rsquo; energy policies and why is it not in Biden&rsquo;s plan? Listen to the Atlantic&rsquo;s Robinson Meyer explain the arguments and then decide for yourself.&nbsp;</p>
<iframe src="https://embed.podcasts.apple.com/us/podcast/is-nuclear-energy-good-or-bad/id1346207297?i=1000518257539&amp;itsct=podcast_box&amp;itscg=30200&amp;theme=auto" height="175px" frameborder="0" allow="autoplay *; encrypted-media *;"></iframe>
<p><strong><em>Recode Daily: </em>If an atmospheric scientist had a billion dollars | 4/22</strong></p>

<p>Billionaires like Jeff Bezos, Elon Musk, and Bill Gates have made pledges to commit their earnings to saving our heating planet, but are they going about it in the best way possible? And do we want the fate of our planet to rest in their hands? Atmospheric science professor Kerry Emanuel explains how he&rsquo;d spend a billion dollars.</p>
<iframe src="https://embed.podcasts.apple.com/us/podcast/if-an-atmospheric-scientist-had-a-billion-dollars/id1479107698?i=1000518168074&amp;itsct=podcast_box&amp;itscg=30200&amp;theme=auto" height="175px" frameborder="0" allow="autoplay *; encrypted-media *;"></iframe>
<p><strong><em>Future Perfect: </em>Sucking the carbon out of the sky<em> | </em>4/28</strong></p>

<p>A conversation with Akshat Rathi, a PhD chemist turned Bloomberg reporter and expert on carbon removal as an industry. What does carbon removal even mean? Can we even do that? How can this be used, particularly by the oil industry, for better or worse?</p>
<iframe src="https://embed.podcasts.apple.com/us/podcast/sucking-the-carbon-out-of-the-sky/id1438157174?i=1000519050758&amp;itsct=podcast_box&amp;itscg=30200&amp;theme=auto" height="175px" frameborder="0" allow="autoplay *; encrypted-media *;"></iframe><hr class="wp-block-separator" /><h2 class="wp-block-heading">Clean energy and technology</h2>
<p><strong><em>Vox Conversations: </em>How to replace everything in the industrialized world<em> | </em>4/15</strong></p>

<p>If the entire world&rsquo;s energy infrastructure is going to be switched over to clean energy sources in a matter of decades, that&rsquo;s going to require an enormous amount of building; from electric vehicles to heat pumps to batteries to mass timber buildings to microgrids to electric cooktops, and on and on. It turns out we know quite a bit about how to accelerate technologies along those curves, and which technologies need help from which kinds of policies. Climate writer and Vox contributor David Roberts talks with Jessika Trancik, Associate Professor at the Institute for Data, Systems, and Society at M.I.T.</p>
<iframe src="https://embed.podcasts.apple.com/us/podcast/how-to-replace-everything-in-the-industrialized-world/id1081584611?i=1000517248114&amp;itsct=podcast_box&amp;itscg=30200&amp;theme=auto" height="175px" frameborder="0" allow="autoplay *; encrypted-media *;"></iframe>
<p><strong><em>Today, Explained</em>: It&rsquo;s electric! | 4/21</strong></p>

<p>Norway has lapped the world in adopting electric vehicles. Vox&rsquo;s Umair Irfan explains how the US might catch up.&nbsp;</p>
<iframe src="https://embed.podcasts.apple.com/us/podcast/its-electric/id1346207297?i=1000518117399&amp;itsct=podcast_box&amp;itscg=30200&amp;theme=auto" height="175px" frameborder="0" allow="autoplay *; encrypted-media *;"></iframe>
<p><strong><em>Recode Daily</em>: The surprisingly exciting future of batteries | 4/23 </strong></p>

<p>Batteries are crucial for the transition to an economy powered entirely by renewables. David Roberts, writer of the Volts newsletter, explains how lithium ion batteries will be used for a lot more than just electric cars.&nbsp;</p>
<iframe src="https://embed.podcasts.apple.com/us/podcast/the-surprisingly-exciting-future-of-batteries/id1479107698?i=1000518307129&amp;itsct=podcast_box&amp;itscg=30200&amp;theme=auto" height="175px" frameborder="0" allow="autoplay *; encrypted-media *;"></iframe><hr class="wp-block-separator" /><h2 class="wp-block-heading">Sustainability</h2>
<p><strong><em>Recode Daily</em>: Bitcoin&rsquo;s inconvenient truth | 4/20</strong></p>

<p>From cryptocurrencies to artificial intelligence language algorithms, big computing takes a lot of energy. Some transactions using cryptocurrency require as much energy as an EU resident uses in a month. Is there a way to make big computing greener?</p>
<iframe src="https://embed.podcasts.apple.com/us/podcast/bitcoins-inconvenient-truth/id1479107698?i=1000517873546&amp;itsct=podcast_box&amp;itscg=30200&amp;theme=auto" height="175px" frameborder="0" allow="autoplay *; encrypted-media *;"></iframe>
<p><strong><em>Recode Daily</em>: Is remote work better for the environment? | 4/21</strong></p>

<p>Working from home seems like it could be great for the climate. You don&rsquo;t need to drive a car to work, and companies won&rsquo;t need to heat and power large offices. But as Professor William O&rsquo;Brien explains, the reality is much more complicated, and without proper planning, remote work may lead to greater emissions in the future.</p>
<iframe src="https://embed.podcasts.apple.com/us/podcast/is-remote-work-better-for-the-environment/id1479107698?i=1000518019120&amp;itsct=podcast_box&amp;itscg=30200&amp;theme=auto" height="175px" frameborder="0" allow="autoplay *; encrypted-media *;"></iframe>
<p><strong><em>The Weeds</em>: How to build better transit infrastructure | 4/23</strong></p>

<p>Matt Yglesias is joined by professor and transit researcher Eric Goldwyn to talk about why transit projects in the U.S. often fail. They discuss several high-profile cases, including the Second Avenue subway line in New York, the Green Line Extension in Boston, and the DC Streetcar. Why do cities spearhead redundant transit lines on top of existing rights-of-way? Why do cities in other countries spend so much less per mile on transit than American cities do? And, how can the political opposition to mass transit be met, to build the more accessible and environmentally-conscious transit infrastructure of the future?</p>
<iframe src="https://embed.podcasts.apple.com/us/podcast/why-transit-projects-fail/id1042433083?i=1000518366347&amp;itsct=podcast_box&amp;itscg=30200&amp;theme=auto" height="175px" frameborder="0" allow="autoplay *; encrypted-media *;"></iframe>
<p><strong><em>Vox Quick Hits: One Good Answer</em>: Why it&rsquo;s hard to talk about sustainability in fashion | 4/28</strong></p>

<p>Only one out of the dozen or so most commonly cited facts about the fashion industry&rsquo;s huge environmental footprint is based on any sort of science, data collection, or peer-reviewed research. The rest are based on gut feelings, broken links, marketing, and something someone said in 2003.</p>

<p>If we&rsquo;re serious about recruiting the fashion industry into the fight to save our world from burning, these bad facts do us all a disservice. They make fashion activists look silly. They allow brands to wave vaguely at reducing their impact without taking meaningful action. And they stymie the ability to implement meaningful regulation, which needs to be undergirded by solid data.</p>
<iframe src="https://embed.podcasts.apple.com/us/podcast/fashions-environmental-impact-isnt-100-known-thats/id1549029999?i=1000518987172&amp;itsct=podcast_box&amp;itscg=30200&amp;theme=auto" height="175px" frameborder="0" allow="autoplay *; encrypted-media *;"></iframe><hr class="wp-block-separator" /><h2 class="wp-block-heading">Biodiversity</h2>
<p><strong><em>Vox Conversations</em>: The complicated history of wildlife conversation | 4/22</strong></p>

<p>Vox environmental reporter Benji Jones talks with journalist and author Michelle Nijhuis about her book Beloved Beasts: Fighting for Life in an Age of Extinction. They talk about the history of the conservation movement and its many characters, the standout successes and ugly truths, and why, even with millions of species under threat, there&rsquo;s still reason to hope.&nbsp;</p>
<iframe src="https://embed.podcasts.apple.com/us/podcast/the-complicated-history-of-wildlife-conservation/id1081584611?i=1000518173854&amp;itsct=podcast_box&amp;itscg=30200&amp;theme=auto" height="175px" frameborder="0" allow="autoplay *; encrypted-media *;"></iframe>
<p><strong><em>Unexplainable</em>: Phages | 4/28</strong></p>

<p>Phages are the most abundant biological entities on Earth (for every grain of sand in the world, there are a trillion phages), and we barely know anything about them. They contain 2 billion pieces of genetic code that exist nowhere else on Earth, and they kill half the world&rsquo;s bacteria every 48 hours. Cracking their code could be critical to understand our biological ecosystem, but even more tantalizingly, phages may be the answer to a host of currently incurable diseases. By 2050, 10 million people are projected to die each year from antibiotic-resistant infections, and phages could be our last hope.</p>
<iframe src="https://embed.podcasts.apple.com/us/podcast/a-virus-that-could-heal-people/id1554578197?i=1000518966529&amp;itsct=podcast_box&amp;itscg=30200&amp;theme=auto" height="175px" frameborder="0" allow="autoplay *; encrypted-media *;"></iframe><hr class="wp-block-separator" /><h2 class="wp-block-heading">The natural world</h2>
<p><strong><em>Vox Quick Hits: What&rsquo;s the Story? </em>The mushroom boom | 4/19</strong></p>

<p>It feels like mushrooms are everywhere these days, but why? Vox culture reporter Terry Nguyen explains why mushrooms are super versatile, and how the fungi took over food, wellness, and (of course) drugs.</p>
<iframe src="https://embed.podcasts.apple.com/us/podcast/welcome-to-the-age-of-big-shroom-whats-the-story/id1549029999?i=1000517777857&amp;itsct=podcast_box&amp;itscg=30200&amp;theme=auto" height="175px" frameborder="0" allow="autoplay *; encrypted-media *;"></iframe>
<p><strong><em>Unexplainable</em>: The Twilight Zone of the ocean | 4/21</strong></p>

<p>Every day, untold numbers of strange organisms rise from the middle of the ocean to its surface. They may be playing a crucial role in slowing climate change, so scientists are struggling to understand this migration &#8230; before it&rsquo;s too late.</p>
<iframe src="https://embed.podcasts.apple.com/us/podcast/the-twilight-zone-of-the-ocean/id1554578197?i=1000518013927&amp;itsct=podcast_box&amp;itscg=30200&amp;theme=auto" height="175px" frameborder="0" allow="autoplay *; encrypted-media *;"></iframe>
<p><strong><em>Today, Explained</em>: A plan to protect the planet | 4/23</strong></p>

<p>Or at least 30 percent of it.</p>
<iframe src="https://embed.podcasts.apple.com/us/podcast/a-plan-to-protect-the-planet/id1346207297?i=1000518394226&amp;itsct=podcast_box&amp;itscg=30200&amp;theme=auto" height="175px" frameborder="0" allow="autoplay *; encrypted-media *;"></iframe><hr class="wp-block-separator" /><h2 class="wp-block-heading">What to read/watch/buy</h2>
<p><strong><em>Vox Quick Hits: The Best Money I Ever Spent: </em>A kayak that made me appreciate where I come from | 4/8 </strong></p>

<p>When Max Ufberg left New York for Pennsylvania at the beginning of March in 2020, he assumed it wouldn&rsquo;t be for long. But as weeks became months, he found solace exploring the place that he had once been so eager to leave behind.</p>
<iframe src="https://embed.podcasts.apple.com/us/podcast/kayak-that-made-me-appreciate-where-i-come-from-best/id1549029999?i=1000516304736&amp;itsct=podcast_box&amp;itscg=30200&amp;theme=auto" height="175px" frameborder="0" allow="autoplay *; encrypted-media *;"></iframe>
<p><strong><em>Vox Quick Hits:  What to Watch: </em>Mother!<em> | </em>4/16</strong></p>

<p>Vox film critic <a href="https://www.vox.com/authors/alissa-wilkinson">Alissa Wilkinson</a> and critic-at-large <a href="https://www.vox.com/authors/emily-vanderwerff">Emily VanDerWerff</a> explain why <em>Mother! </em>is perhaps the weirdest environmental movie you&rsquo;ll ever see. They dig into the plot, the allegory and the ways it can be interpreted.</p>
<iframe src="https://embed.podcasts.apple.com/us/podcast/strangest-environmental-film-youll-ever-see-what-to/id1549029999?i=1000517417059&amp;itsct=podcast_box&amp;itscg=30200&amp;theme=auto" height="175px" frameborder="0" allow="autoplay *; encrypted-media *;"></iframe>
<p><strong><em>Vox Quick Hits: Ask a Book Critic:</em> </strong></p>

<p><strong>rden greener | 4/21</strong></p>

<p>Vox book critic <a href="https://www.vox.com/authors/constance-grady">Constance Grady</a> recommends books that teach you how to make your home and garden greener.</p>
<iframe src="https://embed.podcasts.apple.com/us/podcast/books-for-a-gardening-novice-ask-a-book-critic/id1549029999?i=1000518069634&amp;itsct=podcast_box&amp;itscg=30200&amp;theme=auto" height="175px" frameborder="0" allow="autoplay *; encrypted-media *;"></iframe>
<p><strong><em>Vox Quick Hits: The Best Money I Ever Spent: </em>A HEPA filter for my parents<em> </em>| 4/22</strong></p>

<p>After the California Camp Fire in 2018, Grace Linden&rsquo;s parents did not purchase an air purifier &mdash; nor did friends, or friends&rsquo; parents, or anyone she knew. But that changed by 2020, after more devastating fires and a year of no control due to the pandemic.</p>
<iframe src="https://embed.podcasts.apple.com/us/podcast/a-hepa-filter-for-my-parents-the-best-money-i-ever-spent/id1549029999?i=1000518198852&amp;itsct=podcast_box&amp;itscg=30200&amp;theme=auto" height="175px" frameborder="0" allow="autoplay *; encrypted-media *;"></iframe>
						]]>
									</content>
			
					</entry>
			<entry>
			
			<author>
				<name>Eliza Barclay</name>
			</author>
			
			<author>
				<name>Brian Anderson</name>
			</author>
			
			<title type="html"><![CDATA[Down to Earth, our project on the biodiversity crisis, explained]]></title>
			<link rel="alternate" type="text/html" href="https://www.vox.com/22375394/biodiversity-crisis-explained-down-to-earth" />
			<id>https://www.vox.com/22375394/biodiversity-crisis-explained-down-to-earth</id>
			<updated>2023-09-18T09:39:21-04:00</updated>
			<published>2021-04-12T07:00:00-04:00</published>
			<category scheme="https://www.vox.com" term="Climate" /><category scheme="https://www.vox.com" term="Down to Earth" /><category scheme="https://www.vox.com" term="Future Perfect" />
							<summary type="html"><![CDATA[You can probably guess the three global threats that topped a recent list from the World Economic Forum.&#160; No. 1? Infectious disease. (Nothing like a pandemic to remind us of this.)&#160; No. 2? Inaction on climate change.&#160; No. 3? Weapons of mass destruction. But No. 4? That one might surprise you: biodiversity loss. The forum&#8217;s [&#8230;]]]></summary>
			
							<content type="html">
											<![CDATA[

						
<figure>

<img alt="" data-caption="" data-portal-copyright="Amanda Northrop/Vox" data-has-syndication-rights="1" src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/22432231/intro_lede.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" />
	<figcaption>
		</figcaption>
</figure>
<p>You can probably guess the three global threats that topped a <a href="https://www.weforum.org/agenda/2021/01/these-are-the-worlds-greatest-threats-2021/">recent list</a> from the World Economic Forum.&nbsp;</p>

<p>No. 1? Infectious disease. (Nothing like a pandemic to remind us of this.)&nbsp;</p>

<p>No. 2? Inaction on climate change.&nbsp;</p>

<p>No. 3? Weapons of mass destruction.</p>

<p>But No. 4? That one might surprise you: biodiversity loss. The forum&rsquo;s survey found that the irreversible impacts of ecosystem collapse and species extinction pose a greater global risk in 2021 than the debt crisis.</p>

<p>A number of recent events have helped spark this awakening &mdash; from the breathtaking <a href="https://www.worldwildlife.org/stories/3-billion-animals-harmed-by-australia-s-fires#:~:text=Australia's%20bushfire%20crisis%20was%20one,displaced%20nearly%203%20billion%20animals.">3 billion animals</a>, many of them rare, killed or displaced in the 2020 Australia wildfires to the possible emergence of the coronavirus from wildlife farms in China. There&rsquo;s also been a wave of groundbreaking studies in the past year &mdash; on the rapid rate at which mammals, birds, amphibians, insects, and plants are disappearing; on <a href="https://www.gov.uk/government/publications/final-report-the-economics-of-biodiversity-the-dasgupta-review">the economics of biodiversity</a>; on <a href="http://www.fao.org/news/story/en/item/1391139/icode/">Indigenous communities&rsquo; forest</a> management expertise; and on the <a href="https://www.nature.com/articles/s41586-021-03405-6">cost of invasive species</a> &mdash; that have helped clarify this mounting ecological catastrophe underway and the necessary responses.&nbsp;</p>

<p>The stakes of addressing this crisis &mdash; from safeguarding against the next pandemic, to  ensuring baseline ecosystem functioning to sustain life, to protecting the rights of Indigenous people and our food systems &mdash; could not be higher. And there are signs that stronger policies could be forthcoming: The Biden administration, in its first climate executive order, included <a href="https://www.vox.com/22251851/joe-biden-executive-orders-climate-change-conservation-30-by-2030">a target of &ldquo;30 by 30&rdquo;</a> with a goal of saving 30 percent of America&rsquo;s land and oceans by 2030. In October, countries will come to the table at the UN Convention on Biological Diversity to hopefully cement what could be <a href="https://www.vox.com/22175698/climate-change-treaty-trump-china-eu-uk-paris-agreement-biden">the Paris agreement</a> of biodiversity.&nbsp;</p>

<p>All in all, it feels like the right moment to launch <a href="https://www.vox.com/down-to-earth">Down to Earth</a>, a new Vox reporting initiative on the global biodiversity crisis, led by senior science editor Eliza Barclay, editor Brian Anderson, and reporter Benji Jones. We&rsquo;ll also feature freelance contributors from a diverse range of communities around the world.&nbsp;</p>

<p>Supported by the <a href="https://bandfdn.org/">BAND Foundation</a>, a private family foundation that makes grants primarily around nature conservation and epilepsy care, Down to Earth brings Vox&rsquo;s signature explanatory journalism to a complex crisis that&rsquo;s linked to &mdash; but too often overshadowed by &mdash; climate change. Our reporting will build on our award-winning 2019 <a href="https://www.vox.com/a/supertrees">supertrees project</a> to uncover connections between the biodiversity crisis and other news of the moment with an emphasis on political and corporate accountability; solutions; the interconnections in the fragile web of life; and cascading impacts. There&rsquo;ll even be optimism!&nbsp;&nbsp;&nbsp;</p>
<h2 class="wp-block-heading">Why this is needed now</h2>
<p>While there&rsquo;s growing awareness of the catastrophic loss of species and the massive failure of countries to hit conservation targets, the general public still has a poor understanding of what the biodiversity crisis even is, let alone who&rsquo;s driving it and what we stand to lose.</p>

<p>This crisis evokes paralysis. Aside from donating to conservation organizations (save the pandas!) or planting pollinators, many citizens and policymakers aren&rsquo;t sure what, exactly, to do about it.</p>

<p>Down to Earth will zero in on the &ldquo;now what?&rdquo; to move the conversation forward, away from tired tropes of pristine wilderness to spotlight the effects of a crisis that might still feel invisible to many.</p>

<p>We&rsquo;ll be looking at big questions, starting with the 30 by 30 target: How should the Biden administration &mdash; with <a href="https://www.vox.com/2021/3/15/22309327/deb-haaland-interior-senate-vote-confirmed">Deb Haaland</a>, the first Native American to lead the US Department of the Interior &mdash;&nbsp;advance both national and international biodiversity goals? What would it really take to hit targets to preserve a certain percentage of not only this country but the planet?&nbsp;</p>

<p>We&rsquo;ll also step back and ask: How well do protected areas actually work? Has any country or region even totally nailed biodiversity policy, for that matter?&nbsp;</p>

<p>How do we sort through the conflict between building infrastructure &mdash; roads, bridges, and housing &mdash; with biodiversity protection? How do we conserve something when there&rsquo;s no way to value it in the marketplace?</p>

<p>Which corporations are taking substantive and meaningful action to halt pollution and habitat and biodiversity loss?&nbsp;</p>

<p>What&rsquo;s killing mussels? And, seriously, where the heck do eels mate?</p>

<p>You get the idea. Biodiversity isn&rsquo;t just about species &mdash; it&rsquo;s about abundance; healthy, functioning ecosystems; and cultural diversity too.&nbsp;</p>

<p>To get down to Earth, well, that&rsquo;s down to us.</p>
						]]>
									</content>
			
					</entry>
			<entry>
			
			<author>
				<name>Eliza Barclay</name>
			</author>
			
			<author>
				<name>Dylan Scott</name>
			</author>
			
			<title type="html"><![CDATA[The exponential rise in Covid-19 hospitalizations, in one chart]]></title>
			<link rel="alternate" type="text/html" href="https://www.vox.com/2020/11/12/21560902/covid-19-risk-hospitalizations-chart-texas-illinois" />
			<id>https://www.vox.com/2020/11/12/21560902/covid-19-risk-hospitalizations-chart-texas-illinois</id>
			<updated>2020-12-04T16:10:11-05:00</updated>
			<published>2020-12-04T15:21:49-05:00</published>
			<category scheme="https://www.vox.com" term="Covid-19" /><category scheme="https://www.vox.com" term="Health" /><category scheme="https://www.vox.com" term="Health Care" /><category scheme="https://www.vox.com" term="Policy" /><category scheme="https://www.vox.com" term="Politics" /><category scheme="https://www.vox.com" term="Science" />
							<summary type="html"><![CDATA[Far more Americans are currently hospitalized with Covid-19 than at any other point in the pandemic, a grim indicator that the third big wave of cases in the US is the worst wave to date by a lot. On December 2, 100,226 people across the United States were in the hospital after testing positive for [&#8230;]]]></summary>
			
							<content type="html">
											<![CDATA[

						
<figure>

<img alt="" data-caption="A medical staff member holds the hand of a coronavirus patient in the Covid-19 intensive care unit at the United Memorial Medical Center on November 10, 2020, in Houston, Texas. | Go Nakamura/Getty Images" data-portal-copyright="Go Nakamura/Getty Images" data-has-syndication-rights="1" src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/22032922/1229570259.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" />
	<figcaption>
	A medical staff member holds the hand of a coronavirus patient in the Covid-19 intensive care unit at the United Memorial Medical Center on November 10, 2020, in Houston, Texas. | Go Nakamura/Getty Images	</figcaption>
</figure>
<p>Far more Americans are currently hospitalized with <a href="https://www.vox.com/coronavirus-covid19">Covid-19</a> than at any other point in the pandemic, a grim indicator that the <a href="https://www.vox.com/21523039/covid-coronavirus-third-wave-fall-winter-surge">third big wave</a> of cases<strong> </strong>in the US is the worst wave to date by a lot.</p>

<p>On December 2, 100,226 people across the United States were in the hospital after testing positive for the novel coronavirus, according to data reported by the <a href="https://covidtracking.com/">Covid Tracking Project</a>. That&rsquo;s significantly higher than the last two peaks recorded on April 15 and July 23, when the New York City and the Southeast and Southwest, respectively, were <a href="https://www.vox.com/coronavirus-covid19/2020/3/27/21195162/new-york-coronavirus-news-andrew-cuomo-hospitals-population-ventilators">epicenters</a> of the US outbreak. (As the Covid Tracking Project <a href="https://covidtracking.com/blog/erratic-hospital-numbers-deaths-still-rising-this-week-in-covid-19-data-july">notes</a>, the national and state hospital data have been erratic and incomplete, and reported totals may continue to shift.)</p>
<img src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/22145527/third_wave_hosp_covid_chart_DEC1.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" alt="" title="" data-has-syndication-rights="1" data-caption="" data-portal-copyright="Christina Animashaun/Vox" />
<p>What&rsquo;s clear from the data is that Covid-19 migrated across the country to new regions this fall. In the spring, hospitalizations were overwhelmingly concentrated in the Northeast. In the summer, more than half of hospitalized Covid-19 patients were in the South and West: states like <a href="https://www.vox.com/future-perfect/2020/7/8/21311347/arizona-coronavirus-pandemic-covid-outbreak">Arizona</a>, <a href="https://www.vox.com/future-perfect/2020/7/6/21308351/california-coronavirus-pandemic-covid-outbreak">California</a>, <a href="https://www.vox.com/future-perfect/2020/7/17/21324398/florida-coronavirus-covid-cases-deaths-outbreak">Florida</a>, Georgia, and <a href="https://www.vox.com/covid-19-coronavirus-us-response-trump/21326204/texas-coronavirus-rio-grande-houston">Texas</a>.</p>

<p>Now, every state is battling an active outbreak, and many of them are severe. &ldquo;There&rsquo;s so many places, with so many people, that the numbers are just drastically higher,&rdquo; said Daniel McQuillen, an assistant professor of medicine at Tufts and a senior physician in the division of infectious diseases at Beth Israel Lahey Health, at a November <a href="https://www.idsociety.org/">Infectious Diseases Society of America</a> briefing.</p>

<p>&ldquo;There are no more hot spots,&rdquo; said Murtaza Akhter, an emergency medicine physician with Valleywise Health Medical Center in Phoenix, Arizona. &ldquo;Everywhere is a hot spot.&rdquo;</p>

<p>As of December 3, California had the highest number of hospitalizations of any state (9,702), and Texas was in second place with 9,151 people in the hospital; Midwestern states like Michigan, Illinois, and Ohio have also seen record spikes in cases in recent weeks and now have more than 4,000 people hospitalized each.</p>

<p>&ldquo;The hospitalization number is the best indicator of where we are,&rdquo; Eric Topol, a professor of molecular medicine and director of the Scripps Research Translational Institute, told Vox this summer. That&rsquo;s because it&rsquo;s a better measurement of the severity of the pandemic than Covid-19 testing, which only finds a fraction of cases and includes more mild cases. &ldquo;We&rsquo;re going to go to new heights in the pandemic that we haven&rsquo;t seen before. Not that what we saw before wasn&rsquo;t horrifying enough.&rdquo;</p>
<img src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/22030735/GettyImages_1229570053t.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" alt="" title="" data-has-syndication-rights="1" data-caption="Medical staff treat a coronavirus patient in the Covid-19 intensive care unit at the United Memorial Medical Center in Houston, Texas, on November 10, 2020. | Go Nakamura/Getty Images" data-portal-copyright="Go Nakamura/Getty Images" />
<p>Some states like Utah and North Dakota have lower total hospitalizations but also fewer hospitals and hospital beds &mdash; and they&rsquo;re now reaching a woeful tipping point of hospitals stretched to maximum capacity.</p>

<p>&ldquo;Here in Salt Lake City, we provide a lot of [specialized infectious disease and ICU care] to people in four states as far away as Montana, Arizona, and Wyoming &#8230; and our hospitals and caregivers are extraordinarily stressed,&rdquo; Andrew Pavia, the chief of pediatric infectious diseases at the University of Utah School of Medicine, said at the IDSA briefing. &ldquo;Our ICUs are full, but that includes overflow ICUs that have been purpose-built, taking advantage of the time we&rsquo;ve had to plan.&rdquo;</p>

<p>This was, unfortunately, to be expected (although it wasn&rsquo;t inevitable). As the weather has turned cooler and states failed to fully control their outbreaks, transmission picked up when people moved indoors. Nearly all the states currently experiencing an increase in new cases and hospitalizations also did not experience major outbreaks in the spring or summer, so residents were less fearful and took less action to prevent the spread of the virus.</p>

<p>&ldquo;There was a political climate where there&rsquo;s distrust of government and reluctance to take harsh measures&rdquo; in places like Utah, Pavia said. &ldquo;Many of these states did not have mask mandates until very recently, and some don&rsquo;t even have them today and have very limited restrictions on mass gatherings.&rdquo;</p>

<p>Deaths have nearly hit a new record high as well, reaching 2,733 on December 2, reversing a steady decline that had begun in early May after the first wave and in August after the second wave.</p>

<p>Cumulatively, 13.9 million Americans have tested positive for Covid-19 since the pandemic began, and more than 267,000 of them have died. With hospitalizations surging and several states reporting thousands of new cases a day, CDC Director Robert Redfield <a href="https://www.cnbc.com/2020/12/02/cdcs-redfield-says-the-most-difficult-months-in-health-history-loom.html">said Wednesday</a> Americans are in for &ldquo;the most difficult in the public health history of this nation.&rdquo;&nbsp;</p>

<p>The new hospitalizations, and the untenable pressure they&rsquo;re putting on the health care system, are also a reminder of how critical it is for states to implement and enforce measures like <a href="https://www.vox.com/future-perfect/21299527/masks-coronavirus-covid-19-studies-research-evidence">mandatory face masks</a>, restrictions on bars and restaurants, and for the federal government to fix <a href="https://www.vox.com/future-perfect/2020/7/10/21317860/coronavirus-testing-problems-delays-shortages-covid">testing</a> and contact tracing problems. &ldquo;It should be an all-points bulletin to really bear down on this, because otherwise there&rsquo;s no limit on where this might go,&rdquo; said Topol.</p>
<h2 class="wp-block-heading">Hospitals are running out of staff and beds for Covid-19 patients</h2>
<p>The good news is that infectious disease experts think many hospitals are better prepared to handle surges in Covid-19 patients than they were in the spring. For the most part, they have the equipment they need and they know how to deploy it. They also have more standardized protocol for treating the sickest patients.</p>

<p>Yet hospitals in hot spots across the country are maxing out their staff, equipment, and beds, with doctors and nurses warning that the <a href="https://www.vox.com/2020/3/10/21171481/coronavirus-us-cases-quarantine-cancellation">worst-case scenario</a> of hospital resources being overwhelmed have already arrived as their states have failed to get control of the coronavirus.</p>

<p>&ldquo;The surge of Covid-19 patients takes away from our ability to care for the sick patients that are already in Arkansas,&rdquo; said a nurse at a major health system in Little Rock, who asked to go unnamed fearing retaliation from her employer. &ldquo;We have so many nurses quarantined that we&rsquo;re not able to staff our oncology unit appropriately, and our patients are being negatively affected. Covid-19 is right now overburdening our health care system in Arkansas.&rdquo;</p>
<img src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/22030756/GettyImages_1216851013t.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" alt="" title="" data-has-syndication-rights="1" data-caption="An aerial view of the field hospital for coronavirus patients at Ernest N. Morial Convention Center in New Orleans, Louisiana, on April 4, 2020. | Chris Graythen/Getty Images" data-portal-copyright="Chris Graythen/Getty Images" />
<p>Hospitals in several states are also straining to find enough specialists to treat very sick Covid-19 patients.</p>

<p>&ldquo;ICU beds don&rsquo;t take care of people &mdash; you need staff,&rdquo; Pavia said. &ldquo;And one of the things that many of the Western states have in common is a relative shortage of the people we need to take care of very sick people during a pandemic like this: ICU doctors, probably most importantly ICU nurses, and infectious disease physicians, respiratory therapists. These folks have been working flat out for eight or nine months, and three months into the surge, they&rsquo;re exhausted, they&rsquo;re stressed.&rdquo;</p>

<p>Staffing is a universal problem in hot spots. Gov. Gary Herbert of Utah said the state will have to bring in out-of-state nurses to help with the surge, and officials and health care providers in South Dakota, Tennessee, <a href="https://www.azfamily.com/news/continuing_coverage/coronavirus_coverage/arizonas-banner-health-to-hire-1-000-nurses-for-possible-influx-of-covid-19-patients/article_25debdf2-23cc-11eb-bd70-d30119531841.html">Arizona</a>, and Wisconsin are requesting them too</p>

<p>In Texas, officials are setting up medical tents in El Paso and Lubbock in response to the rapid rise in hospitalized Covid-19 patients and a dwindling number of hospital beds. &ldquo;El Paso, Texas, is almost completely out of ICU beds; Lubbock, the same thing,&rdquo; said McQuillen.</p>

<p>&ldquo;We are the 11th-largest city in the state of Texas and we have two field hospitals on their way to town,&rdquo; Jarrett Atkinson, Lubbock&rsquo;s city manager, <a href="https://www.kcbd.com/2020/11/10/city-manager-concerned-that-mobile-hospital-tents-are-now-needed-lubbock/">told KCBD</a> in November. &ldquo;I can absolutely assure you that never in my career did I think we would be deploying field hospitals to Lubbock, Texas.&rdquo;</p>
<img src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/22030769/GettyImages_1264685606t.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" alt="" title="" data-has-syndication-rights="1" data-caption="Medics wait outside an apartment to transport a woman with possible Covid-19 symptoms to the hospital on August 7, 2020, in Austin, Texas. | John Moore/Getty Images" data-portal-copyright="John Moore/Getty Images" />
<p>According to McQuillen, both El Paso and Lubbock have been &ldquo;much less stringent with their populations [mandating] simple things like wearing masks, and socially distancing.&rdquo; He compared that to Massachusetts and other Northeast states where he says strict measures during the spring surge made a big difference in reversing the steep climb in cases and hospitalizations. Yet too many states ignored that critical lesson, and now are paying the price.</p>
<h2 class="wp-block-heading">Daily deaths are creeping up again but are still far below the earlier peak</h2>
<p>While daily Covid-19 hospitalizations are surging, another key metric, daily deaths, reached 2,733 on December 2, the highest it has been since April during the first surge, according to the <a href="https://covidtracking.com/data/charts/us-daily-deaths">Covid Tracking Project</a>. It&rsquo;s an ominous sign that deaths will reach horrifying new levels in the coming weeks and months, given that cases and hospitalizations are now at new highs.</p>
<div class="video-container"><iframe src="https://volume.vox-cdn.com/embed/c30d9af46?player_type=youtube&#038;loop=1&#038;placement=article&#038;tracking=article:rss" allowfullscreen frameborder="0" allow=""></iframe></div>
<p>It&rsquo;s possible, experts say, that fewer people who are hospitalized will end up dying in this winter stage of the pandemic as compared to the spring. As Vox&rsquo;s Julia Belluz <a href="https://www.vox.com/2020/10/28/21528116/covid-19-death-rates-hospitalizations-icu-beds">reported</a>, there have been significant improvements in mortality in the US and Europe in the past several months, as doctors&rsquo; understanding of Covid-19 and how to treat it has improved:</p>
<blockquote class="wp-block-quote has-text-align-none is-layout-flow wp-block-quote-is-layout-flow">
<p>Now, there&rsquo;s strong evidence that common&nbsp;<a href="https://www.nejm.org/doi/full/10.1056/NEJMoa2021436"><strong>steroids like dexamethasone</strong></a>&nbsp;can reduce the risk of mortality in severely sick inpatients. Putting&nbsp;<a href="https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2767574"><strong>patients to rest on their stomachs instead of their backs</strong></a>&nbsp;(a practice known as proning) also seems to help.</p>

<p>Though there&rsquo;s still a lot of progress to be made, the treatment approach has become more standardized over time, said&nbsp;<a href="https://www.massgeneral.org/doctors/20933/jennifer-mannegoehler"><strong>Jen Manne-Goehler</strong></a>, an infectious disease doctor at Brigham and Women&rsquo;s and Massachusetts General hospitals. When she started treating Covid-19 patients in the spring, it felt like practice was changing every few days. Now it&rsquo;s more streamlined &mdash; and that&rsquo;s undoubtedly helping with survival, too.</p>
</blockquote>
<p>That said, if hospitals in the hard-hit states run out of beds and staff to treat the incoming flow of patients, more people who could have been saved may die. When ICU staff were stretched in the spring, &ldquo;ICU patients just didn&rsquo;t get the same attention,&rdquo; intensive care doctor Lakshman Swamy, who works with the Cambridge Health Alliance, told Belluz.</p>

<p>Murtaza Akhter, the Arizona doctor, worries that his emergency room will be completely overwhelmed around Christmas, about one month after Thanksgiving, when many people are expected to have been infected after ignoring or the public health guidance to avoid family gatherings. He says he&rsquo;s most worried about the &ldquo;borderline patients who may otherwise have been admitted to the ER &mdash; they may now be more likely to go home because there are no hospital beds. And of those people, a very distinct fraction will have a worse outcome.&rdquo;</p>

<p>This is one big reason why overtaxed hospitals will lead to more deaths. &ldquo;This Covid-19 surge really has a huge downstream effect everywhere, not just on Covid patients but everybody else because it&rsquo;s not like car accidents magically stopped or heart attacks stopped, they&rsquo;re still there. The ones who do come in and get discharged, more often than many get worse outcomes.&rdquo;</p>
						]]>
									</content>
			
					</entry>
			<entry>
			
			<author>
				<name>Eliza Barclay</name>
			</author>
			
			<author>
				<name>Jag Bhalla</name>
			</author>
			
			<title type="html"><![CDATA[How affluent people can end their mindless overconsumption]]></title>
			<link rel="alternate" type="text/html" href="https://www.vox.com/21450911/climate-change-coronavirus-greta-thunberg-flying-degrowth" />
			<id>https://www.vox.com/21450911/climate-change-coronavirus-greta-thunberg-flying-degrowth</id>
			<updated>2021-02-23T11:20:16-05:00</updated>
			<published>2020-11-20T08:09:36-05:00</published>
			<category scheme="https://www.vox.com" term="Climate" /><category scheme="https://www.vox.com" term="Covid-19" /><category scheme="https://www.vox.com" term="Future Perfect" /><category scheme="https://www.vox.com" term="Health" />
							<summary type="html"><![CDATA[If 2020 teaches us anything, it&#8217;s that the next crisis we could have prevented is probably right around the corner, and it will be painful. A pandemic that scientists warned was very likely to occur arrived and has already killed well over 250,000 people in the US. Dozens of predicted, large wildfires &#8212; the latest [&#8230;]]]></summary>
			
							<content type="html">
											<![CDATA[

						
<figure>

<img alt="" data-caption="A new report from Oxfam and the Stockholm Environment Institute shows the strikingly unequal way rich people are depleting the global carbon budget. | Getty Images" data-portal-copyright="Getty Images" data-has-syndication-rights="1" src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/21906776/GettyImages_699087378.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" />
	<figcaption>
	A new report from Oxfam and the Stockholm Environment Institute shows the strikingly unequal way rich people are depleting the global carbon budget. | Getty Images	</figcaption>
</figure>
<p>If 2020 teaches us anything, it&rsquo;s that the next crisis we could have prevented is probably right around the corner, and it will be painful. A pandemic that scientists warned was <a href="https://www.vox.com/science-and-health/2018/2/23/16974012/trump-pandemic-disease-response">very likely</a> to occur arrived and has already killed well over <a href="https://coronavirus.jhu.edu/map.html">250,000 people</a> in the US. Dozens of predicted, <a href="https://www.nifc.gov/fireInfo/nfn.htm">large wildfires</a> &mdash; the <a href="https://www.vox.com/21452781/zogg-fire-glass-wildfire-california-climate-change-hurricanes-attribution-2020-debate">latest evidence</a> of the climate emergency &mdash; recentlu torched the American West, their smoke <a href="https://www.latimes.com/projects/california-fires-damage-climate-change-analysis/">more damaging to health</a> than almost any fire season on record.&nbsp;&nbsp;</p>

<p>But it&rsquo;s not too late to intervene and limit climate chaos.</p>

<p>A June <a href="https://www.nature.com/articles/s41467-020-16941-y">paper</a> in <em>Nature Communications</em> clarifies whose actions in this moment are &ldquo;central to any future prospect of retreating to safer environmental conditions.&rdquo; Yes, government and industry leaders are on the hook to decarbonize operations and infrastructure. But it&rsquo;s also the affluent who use far more resources than the poor &mdash; more energy and more material goods per capita than the planet can sustain.</p>

<p>&ldquo;Highly affluent consumers drive biophysical resource use (a) directly through high consumption, (b) as members of powerful factions of the capitalist class and (c) through driving consumption norms across the population,&rdquo; the authors write.&nbsp;</p>

<p>The rich or merely affluent, it turns out, are actually the ones blowing through the world&rsquo;s carbon budget &mdash; the maximum amount of cumulative emissions that can be added to the atmosphere to hit <a href="https://www.vox.com/energy-and-environment/2020/1/3/21045263/climate-change-1-5-degrees-celsius-target-ipcc">the&nbsp;Paris agreement&rsquo;s 1.5 degrees Celsius of warming goal</a>.</p>

<p>According to a September <a href="https://www.sei.org/wp-content/uploads/2020/09/research-report-carbon-inequality-era.pdf">report</a> from Oxfam and the Stockholm Environment Institute, the richest 10 percent of the world&rsquo;s population &mdash; those who earned $38,000 per year or more as of 2015 &mdash; were responsible for 52 percent of cumulative carbon emissions and ate up 31 percent of the world&rsquo;s carbon budget from 1990 to 2015.</p>

<p>Meanwhile, the richest 1 percent of people &mdash; who made $109,000 or more per year in 2015 &mdash; alone were responsible for 15 percent of cumulative emissions, and used 9 percent of the carbon budget.</p>

<p>The <a href="https://ourworldindata.org/co2-and-other-greenhouse-gas-emissions">rapidly accelerating growth in total emissions worldwide</a> isn&rsquo;t mainly about an improvement in quality of life for the poorer half of the world&rsquo;s population, either. Instead, the report <a href="https://www.sei.org/wp-content/uploads/2020/09/research-report-carbon-inequality-era.pdf">finds</a>, &ldquo;nearly half the growth has merely allowed the already wealthy top 10 percent to augment their consumption and enlarge their carbon footprints.&rdquo; <a href="https://www.sciencedirect.com/science/article/pii/S0959378020307779">Another recent study</a> found that affluent frequent fliers who make up just 1 percent of the global population are responsible for 50 percent of carbon dioxide emissions&nbsp;from commercial aviation.</p>

<p>In sum, as Tim Gore, head of climate policy at Oxfam, said in a <a href="https://www.oxfam.org/en/press-releases/carbon-emissions-richest-1-percent-more-double-emissions-poorest-half-humanity">statement</a>, &ldquo;The over-consumption of a wealthy minority is fueling the climate crisis yet it is poor communities and young people who are paying the price.&rdquo;</p>

<p>Somehow, in all the campaigns to inspire climate action, the onus on well-off people to take the lead on sustainable consumption has been lost. But the Covid-19 pandemic may turn out to be the best opportunity &mdash; especially for the affluent among us &mdash; to shift consumption habits.</p>

<p>Here&rsquo;s why: When we cut back on energy-intensive travel and <a href="https://www.nytimes.com/2020/09/16/business/retail-sales-consumer-spending-rise.html">shopping</a> in the spring, it was easier to see the mindlessness, and even lack of satisfaction, in these patterns. For some people, &ldquo;the Covid-19 crisis has shown that maybe we can do things differently, that a simpler life can be more fulfilling and provide more happiness,&rdquo; says Tommy Wiedmann, a professor of sustainability research at UNSW Sydney and a co-author of the <em>Nature Communications</em> paper.</p>

<p>Permanently reducing air travel, driving, home energy use, food waste, and shopping to protect our kids and grandkids from climate chaos need not lead to any reduction in quality of life. In fact, it may even go a long way toward improving it (for ourselves and others). As Vox&rsquo;s Sigal Samuel <a href="https://www.vox.com/future-perfect/2020/6/9/21279258/coronavirus-pandemic-new-quarantine-habits">reported in June</a>, the top change readers she surveyed said they wanted to maintain after quarantine was &ldquo;reducing consumerism.&rdquo; &ldquo;A long period of being shut in and not spending as much has led to the realization that so much of our consumer behavior is about instant gratification, not lasting happiness,&rdquo; she writes.</p>

<p>We can also use lessons from our new Covid-constrained life for further economic reforms tailored to the climate emergency reality we find ourselves in. As Pope Francis put it in a Saturday speech on climate change, &ldquo;The current economic system is unsustainable. We are faced with a moral imperative &#8230; to rethink many things,&rdquo; including means of production, consumerism, waste, indifference to the poor, and harmful energy sources, according to <a href="https://uk.reuters.com/article/us-climatechange-pope/pull-investments-from-companies-not-committed-to-environment-pope-says-idUKKBN26V0XN">Reuters</a>.</p>

<p>In particular, degrowth is a promising framework for meeting basic needs and improving well-being while staying within the carbon budget and <a href="https://www.stockholmresilience.org/research/planetary-boundaries/planetary-boundaries/about-the-research/the-nine-planetary-boundaries.html">planetary boundaries</a>.</p>

<p>While individual contributions to climate change may be dwarfed by the contributions of fossil fuel companies and <a href="https://www.vox.com/energy-and-environment/2019/10/10/20904213/climate-change-steel-cement-industrial-heat-hydrogen-ccs">heavy industry</a>, individual changes can also spread by &ldquo;<a href="https://www.washingtonpost.com/outlook/2020/02/20/how-peer-pressure-can-help-save-planet">behavioral contagion</a>,&rdquo; <a href="https://www.vox.com/energy-and-environment/2020/1/29/21083250/climate-change-social-tipping-points">social tipping points</a>, and positive feedback loops.</p>

<p>Here we&rsquo;ll lay out some of the key opportunities for fellow fortunates who have the economic freedom to choose how and what they consume. Individual, grassroots changes are essential to a bigger systemic change; personal growth and flourishing can happen through resource degrowth.</p>
<img src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/21906726/GettyImages_1205721221.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" alt="" title="" data-has-syndication-rights="1" data-caption="Optional consumption in the form of long-distance travel is imposing unoptional burdens on future humans for centuries. | Getty Images/Cavan Images RF" data-portal-copyright="Getty Images/Cavan Images RF" /><h2 class="wp-block-heading">Yes, individual choices matter, especially if you’re affluent</h2>
<p>From a global perspective, middle-class Americans are in the top 10 percent income-wise. &ldquo;A $59,000 income in the United States has enough buying power to put you in the 91st percentile <a href="https://www.washingtonpost.com/graphics/2018/business/global-income-calculator/">globally for per-person income</a>,&rdquo; according to the Washington Post. And beyond that, our fellow fortunates all have &ldquo;optional consumption&rdquo; that we engage in, often unreflectively.</p>

<p>Given that leverage, every energy reduction we can make is a gift to future humans, and all life on Earth. And we should be on guard for excuses to avoid changing individual consumption behaviors; they&rsquo;re often based on logical, arithmetic, and moral errors.</p>

<p>For instance, affluent people sometimes argue that their consumption choices don&rsquo;t matter because they&rsquo;re just one person on a planet of more than 7 billion. But consider the physics of tipping points using an analogy from a 2019 piece we wrote, &ldquo;<a href="https://www.vox.com/energy-and-environment/2019/5/17/18626825/alexandria-ocasio-cortez-greta-thunberg-climate-change">12 excuses for climate inaction and how to refute</a>,&rdquo; which helps explain why our decisions today are so much more critical than they were a decade ago &mdash; or even this time last year.&nbsp;</p>

<p>A useful image here is a pile of sand on one side of a weighing scale; at or near the tipping point, it&rsquo;s easy to see that every tiny grain of sand contributes to when that side of the scale ultimately falls. Your seemingly tiny contribution &mdash; the optional flight, the round-the-clock air conditioning, the thrice-weekly portion of beef &mdash; can, arithmetically, add up to make a critical difference. And &ldquo;the bigger your carbon footprint, the bigger your moral duty,&rdquo; Greta Thunberg said in her <a href="https://www.theguardian.com/environment/2019/jan/25/our-house-is-on-fire-greta-thunberg16-urges-leaders-to-act-on-climate">widely cited 2019 speech</a> at the World Economic Forum in Davos, Switzerland.</p>

<p>Where the weighing scale image fails is that there isn&rsquo;t just one tipping point or one single outcome, but rather a spectrum. The fewer greenhouse gases we emit, the nearer to the safer end of the spectrum we can stay, and the less climate chaos we will create.&nbsp;</p>

<p>We usually have options where we can choose to have more or less climate impact. Every time we choose more and not less, we&rsquo;re imposing compounding burdens on others and on our descendants. Our choices will determine whether the future is &ldquo;merely grim, rather than apocalyptic,&rdquo; as New York&rsquo;s David Wallace-Wells writes in his book <em>The Uninhabitable Earth</em>.</p>

<p>Restrained consumption is also a way to prevent the deepening of racial and economic injustice and inequality &mdash; low-income people and people of color are <a href="https://www.theguardian.com/us-news/2020/sep/21/sitka-alaska-community-changed-forever-climate-change-cora-dow?utm_campaign=Hot%20News&amp;utm_medium=email&amp;_hsmi=95767748&amp;_hsenc=p2ANqtz%E2%80%94WOf9VbDkfTm4SJ8Ovetm8UZu6NGWgAnS-2exDUE0TXrwMDH63At1uyu7EhMb1u9-6g7qTpEbo6PsV7EwnObzYZfydjQ&amp;utm_content=95767748&amp;utm_source=hs_email">among the first</a> to lose the most in climate disasters. Working toward justice means being a resource-responsible consumer.&nbsp;</p>

<p>&ldquo;I think it is important for people to say that they will not do certain types of consumption anymore,&rdquo; <a href="https://environment.leeds.ac.uk/see/staff/1553/professor-julia-steinberger">Julia Steinberger</a>, a professor of ecological economics at the University of Leeds and a co-author of the <em>Nature Communications</em> paper, tells Vox. &ldquo;It&rsquo;s about making this way of life more visibly unacceptable. The rich could show their status and prestige with other things than lots of cars and huge houses and lots of material wealth.&rdquo;</p>

<p>With all this in mind, here are five potential resource-responsible actions to commit to, in no particular order:</p>
<ol class="wp-block-list"><li><strong>Drive and fly less</strong>, since the top 10 percent uses around 45 percent of land transport energy and 75 percent of air transport energy, per a 2020 <a href="https://www.vox.com/energy-and-environment/2020/3/20/21184814/climate-change-energy-income-inequality">paper</a> by Steinberger in <em>Nature Energy</em>.</li><li><strong>Retrofit your house and purchase clean energy</strong>, since <a href="https://www.pnas.org/content/117/32/19122">roughly 20 percent</a> of US energy-related greenhouse gas emissions come from heating, cooling, and powering households.</li><li><strong>Buy food mindfully (less meat and dairy, don’t waste what you buy)</strong>, since meat and dairy account for around <a href="http://www.fao.org/3/i3437e/i3437e.pdf">14.5</a> percent of global greenhouse gas emissions, according to the UN’s Food and Agricultural Organization.</li><li><strong>Shop less</strong>, since the fashion industry generates <a href="https://www.nature.com/articles/s41558-017-0058-9">at least 5 percent of global emissions</a>. </li><li><strong>Ditch status-signaling SUVs</strong>, since SUVs were <a href="https://www.theguardian.com/us-news/2020/sep/01/suv-conquered-america-climate-change-emissions">the second-largest source of the global rise in emissions</a> over the past decade, eclipsing all shipping, aviation, heavy industry, and even trucks.</li></ol><h2 class="wp-block-heading">The pleasures of much of our consumption are fast forgotten, but the costs are slow and will be felt by generations for centuries to come</h2>
<p>Despite what consumption enthusiasts and their enablers (marketers, economists, etc.) preach, the benefits and pleasures of much of our consumption are fleeting. Many of us have an inkling of this from our own experience, but we&rsquo;re trapped on the treadmill of unthinking hedonic habits.&nbsp;</p>

<p>That enduring lack of true satisfaction is confirmed by much ancient wisdom: Enlightenment, or Nirvana, is the &ldquo; the absence of greed, absence of dislike, and absence of egoism,&rdquo; as the Buddhist writer and scholar Stephen Batchelor notes in an interview with On Being&rsquo;s Krista Tippett. And one of the most <a href="https://twitter.com/econnaturalist/status/1251561458812542979">robust findings in social science</a>, according to economist Robert Frank at Cornell, is the research on how emotional well-being doesn&rsquo;t improve&nbsp;above <a href="https://www.purdue.edu/newsroom/releases/2018/Q1/money-only-buys-happiness-for-a-certain-amount.html">an annual (individual) income of $75,000</a>.</p>
<figure class="wp-block-embed is-type-rich is-provider-twitter wp-block-embed-twitter alignnone"><div class="wp-block-embed__wrapper">
<blockquote class="twitter-tweet" data-dnt="true"><p lang="en" dir="ltr">Things that don’t matter right now:<br><br>&#8211; Clothes<br>&#8211; Shoes<br>&#8211; Watches<br>&#8211; Jewelry<br>&#8211; Cars<br><br>What’s the new status symbol during a lockdown?</p>&mdash; Andrew Wilkinson (@awilkinson) <a href="https://twitter.com/awilkinson/status/1246141686058795017?ref_src=twsrc%5Etfw">April 3, 2020</a></blockquote>
</div></figure>
<p>Some of our least effective consumption occurs in the form of self-soothing habits. When we&rsquo;re feeling bad, or anxious, or bored, we often seek relief in <a href="https://www.psychologytoday.com/us/blog/the-science-behind-behavior/202003/how-anxiety-affects-our-buying-behaviors">impulsive shopping</a>, a.k.a. retail therapy.&nbsp;</p>

<p>What longer-lasting reliefs beat fleeting fun? You may have experienced part of the answer in these Covid-constrained conditions. For many, an activity as simple as a walk has been their day&rsquo;s treat.&nbsp;</p>

<p>That&rsquo;s especially true if you find beauty or curiosity on your walk, where you notice things interesting enough to achieve what Iris Murdoch called &ldquo;unselfing&rdquo; &mdash; taking you out of your self-centered anxieties, even if only temporarily. (Here&rsquo;s some background on this idea from <a href="https://www.brainpickings.org/2019/10/21/iris-murdoch-unselfing/">Maria Popova</a>.) <strong>&nbsp;</strong></p>

<p>These spirit-supporting pleasures typically take more effort than reaching for &ldquo;junk&rdquo; treats (like a quick online purchase). But, in addition to being more satisfying, they often lack negative knock-on effects, like putting more carbon into the atmosphere. This carbon cost isn&rsquo;t just about you &mdash; it is our collective legacy to our children and all future humans.&nbsp;</p>

<p>Hopefully, Covid-19 can teach us to pay attention to <a href="https://ideas.ted.com/the-9-limits-of-our-planet-and-how-weve-raced-past-4-of-them/">planetary boundaries</a> and other collective threats we&rsquo;ve long ignored. On climate, we should wake up to the intergenerational zero-sum game we are playing, where the carbon-generating and resource-depleting consumption we indulge in now compromises the safety of future humans.</p>

<p>Every physical resource is limited, or is renewable within certain limits. And this logic means there is no &ldquo;green growth&rdquo; solution here unless we reduce consumption: the approach known as &ldquo;degrowth.&rdquo;</p>
<h2 class="wp-block-heading">Degrowth, explained</h2>
<p>Even before Covid-19, a fundamental restructuring of the economy was very clearly needed to right the gaping inequities, the shockingly lopsided accumulation &mdash; nay, hoarding &mdash; of wealth. The factors that led to that <a href="https://www.vox.com/2020/4/10/21207520/coronavirus-deaths-economy-layoffs-inequality-covid-pandemic">are only being exacerbated</a> by Covid-19. But as we recover from the pandemic,&nbsp;richer countries and citizens have a tremendous opportunity to remold under another paradigm.&nbsp;</p>

<p>Degrowth, as the economic anthropologist <a href="https://www.jasonhickel.org/about">Jason Hickel</a> puts it, is about rich countries &ldquo;actively scaling down resource use and energy use.&rdquo;</p>

<p>On a recent episode of the <a href="https://freakonomics.com/podcast/doughnut-economics/"><em>Freakonomics</em></a> podcast, he clarified: &ldquo;When people hear &lsquo;degrowth,&rsquo; they think that sounds like a recession. But here&rsquo;s the thing &#8230; a recession is what happens when a growth-oriented economy stops growing. It&rsquo;s a disaster. People lose their jobs. They lose their houses. Poverty rates rise, etc. &lsquo;Degrowth&rsquo; is calling for a shift to a fundamentally different kind of economy altogether.&rdquo;</p>

<p>As Wiedmann, Steinberger, and their co-authors describe it, degrowth is a &ldquo;downscaled steady-state economic system that is socially just and in balance with ecological limits.&rdquo;</p>

<p>Taking advantage of this opportunity also requires going beyond a focus on carbon emissions. Clean energy, for example, won&rsquo;t deliver a sustainable economy by itself. It&rsquo;s about our resource use more broadly. (Even preexisting sweeping proposals like the Green New Deal often don&rsquo;t address material limits.)</p>

<p>As <a href="https://www.jasonhickel.org/about">Hickel</a> wrote in June in <a href="https://foreignpolicy.com/2020/06/18/more-from-less-green-growth-environment-gdp">Foreign Policy</a>:</p>
<blockquote class="wp-block-quote has-text-align-none is-layout-flow wp-block-quote-is-layout-flow">
<p>Ecologists say that the planet can handle maximum annual resource use of about 50 billion metric tons per year. We crossed that planetary boundary in the late 1990s, and today we&rsquo;re overshooting it by more than 90 percent. This is what&rsquo;s driving ecological breakdown: Every additional ton of material extraction has an impact on the <a href="https://foreignpolicy.com/2020/06/18/more-from-less-green-growth-environment-gdp/">planet&rsquo;s ecosystems</a>.&nbsp;</p>
</blockquote>
<p>The outer limit works out to be about 6 metric tons per human per year. The current US average is 35 metric tons, with those toward the top of the income scale consuming vastly more. This means there is no avoiding the urgent need for deep cuts in energy and material use in rich nations, especially among those countries&rsquo; richest citizens.&nbsp;</p>

<p>Since we may not be able to remove much of the carbon that has already been emitted, or return the materials that have already been extracted, it&rsquo;s best now to adopt a forward-looking redemption stance. What matters most is reducing impacts from here on out, rather than prosecuting past &ldquo;sins,&rdquo; often committed unwittingly, or by rich-mimicking rather than explicit choice. And that means choosing not to mindlessly add more grains of sand to the scale.</p>

<p>There are green shoots visible of the vast changes needed. China committed Tuesday to achieve carbon neutrality by 2060 and peak its emissions by 2030. <a href="https://www.newyorker.com/magazine/2020/05/11/the-enduring-romance-of-the-night-train">Night trains</a> are coming back in Europe partially in response to people demanding low-carbon alternatives to flying. A group of European central bankers wrote in the <a href="https://www.theguardian.com/commentisfree/2020/jun/05/world-climate-breakdown-pandemic">Guardian</a> in June that &ldquo;the pandemic offers a unique chance to green the global economy&rdquo; and is mobilizing businesses, investors, banks, and governments &ldquo;to ensure climate risks are effectively managed in the financial system.&rdquo;&nbsp;</p>

<p>You, too, can bank on bettering your personal economy by creating a new normal of mindful consumption and making it visible to others in the affluent class, as Steinberger advises. You&rsquo;ll be a better, and probably happier, person. And other humans, including your kids, will thank you.&nbsp;</p>
<div class="video-container"><iframe src="https://volume.vox-cdn.com/embed/3a091b13d?player_type=youtube&#038;loop=1&#038;placement=article&#038;tracking=article:rss" allowfullscreen frameborder="0" allow=""></iframe></div>
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					</entry>
			<entry>
			
			<author>
				<name>Brian Resnick</name>
			</author>
			
			<author>
				<name>Eliza Barclay</name>
			</author>
			
			<title type="html"><![CDATA[You can get reinfected with Covid-19 but may still have immunity. Let’s explain.]]></title>
			<link rel="alternate" type="text/html" href="https://www.vox.com/science-and-health/2020/8/24/21399041/covid-19-reinfection-nevada-hong-kong-case-immunity" />
			<id>https://www.vox.com/science-and-health/2020/8/24/21399041/covid-19-reinfection-nevada-hong-kong-case-immunity</id>
			<updated>2020-10-14T11:02:42-04:00</updated>
			<published>2020-10-13T15:59:35-04:00</published>
			<category scheme="https://www.vox.com" term="Covid-19" /><category scheme="https://www.vox.com" term="Explainers" /><category scheme="https://www.vox.com" term="Health" /><category scheme="https://www.vox.com" term="Science" />
							<summary type="html"><![CDATA[Researchers at the University of Nevada have reported that a 25-year-old man was reinfected in June with SARS-CoV-2, the virus the causes Covid-19. He joins a handful of other confirmed&#160;cases of reinfection in people without immune disorders &#8212; in Belgium, the Netherlands, Hong Kong, and Ecuador &#8212; where researchers have demonstrated that the genetic signature [&#8230;]]]></summary>
			
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<img alt="" data-caption="A human B-cell. These are the immune system cells that make antibodies. | &lt;a href=&quot;https://www.flickr.com/photos/niaid/29196367446/in/photolist-su1wdR-rx2LVN-rx2WTU-LtZ1RC-L6xiiJ-Lnq4SW-a4RLoY-NM7i5Y&quot;&gt;NIAID&lt;/a&gt;" data-portal-copyright="&lt;a href=&quot;https://www.flickr.com/photos/niaid/29196367446/in/photolist-su1wdR-rx2LVN-rx2WTU-LtZ1RC-L6xiiJ-Lnq4SW-a4RLoY-NM7i5Y&quot;&gt;NIAID&lt;/a&gt;" data-has-syndication-rights="1" src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/21812761/29196367446_6cd69ba1ed_3k.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" />
	<figcaption>
	A human B-cell. These are the immune system cells that make antibodies. | <a href="https://www.flickr.com/photos/niaid/29196367446/in/photolist-su1wdR-rx2LVN-rx2WTU-LtZ1RC-L6xiiJ-Lnq4SW-a4RLoY-NM7i5Y">NIAID</a>	</figcaption>
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<p>Researchers at the University of Nevada have reported that a 25-year-old man was reinfected in June with SARS-CoV-2, the virus the causes Covid-19. He joins a handful of other confirmed&nbsp;cases of reinfection in people without immune disorders &mdash; in Belgium, the Netherlands, <a href="https://twitter.com/cwylilian/status/1297835718513815552">Hong Kong</a>, and Ecuador &mdash; where researchers have demonstrated that the genetic signature of the second infection did not match that of the first.</p>

<p>According to a new <a href="https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(20)30764-7/fulltext">study</a> on the Nevada case, published in&nbsp;<em>The Lancet Infectious Diseases</em>&nbsp;journal, the patient first tested positive in April, and then tested negative for the virus twice. In June, 48 days later, &ldquo;the patient was hospitalized and tested positive for a second time,&rdquo; according to the authors, and he experienced severe symptoms. There were major genetic differences between the two infections, suggesting that the patient got the virus twice. (Since then, the patient has recovered.)</p>

<p>The report is in line with what immunity <a href="https://www.vox.com/2020/7/22/21324729/getting-covid-19-twice-immunity-antibodies-vaccine-herd-immunity">experts have been telling us is possible</a> with this virus: that reinfection is possible and, to some extent, expected, with a coronavirus. But it also shows us how much we still have to learn: about how much protection a single infection can confer, about what exactly a robust long-duration immune response looks like, and about what determines the severity of disease in a second infection.</p>

<p>&ldquo;Does immunity protect an individual from disease on reinfection?&rdquo; writes Yale immunobiology researcher Akiko Iwasaki in an <a href="https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(20)30783-0/fulltext">accompanying editorial </a>in <em>The Lancet Infectious Diseases</em>. &ldquo;The answer is not necessarily, because patients from Nevada and Ecuador had worse disease outcomes at reinfection than at first infection.&rdquo;</p>

<p>The Nevada case is an important finding, since in the two other confirmed cases of reinfection, the patients had mild disease or were asymptomatic. Scientists still don&rsquo;t know how common reinfection is (it may well be <a href="https://www.nytimes.com/live/2020/10/14/world/covid-coronavirus/yes-you-can-be-reinfected-with-the-coronavirus-but-its-extremely-unlikely">very rare</a>), nor can they determine an individual&rsquo;s chances of getting infected again.</p>

<p>They do know there are many, many components of our immune system that work together to fight the coronavirus, and immunity doesn&rsquo;t mean one single thing. And while we&rsquo;re waiting for scientists to figure it all out, everyone, including those who&rsquo;ve already had the virus, should still try to avoid getting infected at all.</p>

<p>The new study &ldquo;strongly suggests that individuals who have tested positive for SARS-CoV-2 should continue to take serious precautions when it comes to the virus, including social distancing, wearing face masks, and handwashing,&rdquo; said Mark Pandori, of the Nevada State Public Health Laboratory at the University of Nevada Reno School of Medicine and lead author of the study, in a statement.</p>

<p>Let&rsquo;s walk through the basics of immunity, and what we&rsquo;re learning about reinfection.</p>
<h2 class="wp-block-heading">There are no simple stories about immunity and Covid-19</h2>
<p>The immune system is profoundly complicated, and &ldquo;immunity&rdquo; can mean many different things. A lot of this nuance gets lost in headlines about immunity.</p>

<p>For instance: Previous research has shown that neutralizing antibodies &mdash; immune system proteins that latch onto pathogens and prevent them from infecting cells &mdash; <a href="https://www.vox.com/2020/7/22/21324729/getting-covid-19-twice-immunity-antibodies-vaccine-herd-immunity">can wane</a> in the months after a Covid-19 infection, particularly when the initial infection was mild. Some <a href="https://www.cnn.com/2020/07/13/health/covid-immunity-antibody-response-uk-study-wellness/index.html">wondered</a> if that meant the end of herd immunity hopes.</p>

<p>In the Nevada case, we know that &ldquo;the patient had positive antibodies after the reinfection, but whether he had pre-existing antibody after the first infection is unknown,&rdquo; writes Iwasaki.</p>

<p>But what&rsquo;s often misunderstood is that antibodies are only one component of the immune system, and losing them does not leave a person completely vulnerable to the virus.</p>

<p>In fact, there are several parts of the immune system that may contribute to lasting protection against SARS-CoV-2.</p>

<p>One is killer T-cells. &ldquo;Their names give you a good hint what they do,&rdquo; <a href="https://www.lji.org/faculty-research/labs/sette/">Alessandro Sette</a>, an immunologist at the La Jolla Institute for Immunology, <a href="https://www.vox.com/2020/7/12/21321653/getting-covid-19-twice-reinfection-antibody-herd-immunity">told</a> me in July. &ldquo;They see and destroy and kill infected cells.&rdquo;</p>

<p>Antibodies, he explained, can clear virus from bodily fluids. &ldquo;But if the virus gets inside the cell, then it becomes invisible to the antibody.&rdquo; That&rsquo;s where killer T-cells come in: They find and destroy these hidden viruses.</p>

<p>While antibodies can prevent an infection, killer T-cells deal with an infection that&rsquo;s already underway. So they play a huge role in long-term immunity, stopping infections before they have time to get a person very sick.</p>

<p>And it&rsquo;s not just killer T-cells and antibodies. There are also helper T-cells, which facilitate a robust antibody cell response. &ldquo;They are required for the antibody response to mature,&rdquo; Sette says.</p>

<p>Some proportion of the population (<a href="https://www.nature.com/articles/s41577-020-0389-z.pdf">perhaps 25 to 50 percent of people</a>) seems to have some preexisting T-cells (of both varieties, but the helper kind have been more commonly observed) that respond to SARS-CoV-2, despite these people never having been exposed to SARS-CoV-2. The hypothesis is that these people may have acquired these T-cells from being infected with other strains in the coronavirus family of viruses. <a href="https://www.theatlantic.com/health/archive/2020/08/covid-19-immunity-is-the-pandemics-central-mystery/614956/">Researchers</a> still don&rsquo;t really understand what role these preexisting T-cells play in preventing or attenuating infection (<a href="https://www.theatlantic.com/health/archive/2020/08/covid-19-immunity-is-the-pandemics-central-mystery/614956/">if any</a>).</p>

<p>But wait, there&rsquo;s more! There&rsquo;s another group of cells called memory B-cells. B-cells are the immune system cells that create antibodies. Certain types of B-cells become memory B-cells. These save the instructions for producing a particular antibody, but they aren&rsquo;t active. Instead, they hide out &mdash; in your spleen, in your lymph nodes, perhaps at the original site of your infection &mdash; waiting for a signal to start producing antibodies again.</p>
<h2 class="wp-block-heading">All the things “immunity” can mean</h2>
<p>All these different components of the immune system mean &ldquo;immunity&rdquo; isn&rsquo;t just one thing.</p>

<p>Immunity could mean a strong antibody response, which prevents the virus from establishing itself in cells. But it could also mean a good killer T-cell response, which could potentially stop an infection very quickly: before you feel sick and before you start spreading the virus to others.</p>

<p>&ldquo;In many infections, the virus does reproduce a little bit, but then the immune response stops this infection in its tracks,&rdquo; Sette explains. Also possible: &ldquo;You do get infected, you do get sick, but your immune system does enough of a job curbing the infection, so you don&rsquo;t get as sick.&rdquo;</p>

<p>Immunity might also result from an awakening of memory B-cells. If an individual has memory B-cells and is exposed to the virus again, &ldquo;that infection will stimulate a much faster antibody response to the virus, which would, theoretically lead to faster clearance of the virus and potentially less severe infection,&rdquo; <a href="https://www.mayo.edu/research/faculty/theel-elitza-s-ph-d/bio-00055003">Elitza Theel</a>, the director of the infectious diseases serology laboratory at the Mayo Clinic, said in a July interview.</p>

<p>In general, <a href="https://www.vox.com/2020/7/22/21324729/getting-covid-19-twice-immunity-antibodies-vaccine-herd-immunity">scientists believe</a>, the stronger the infection (and immune response) that occurs during an initial infection, the longer immunity will last.</p>

<p>So reinfection may still be possible, but it may not mean severe illness. When a virus invades a body, generally, the body remembers.</p>
<h2 class="wp-block-heading">Could asymptomatic infections spread the virus? Unclear.</h2>
<p>It&rsquo;s still not known what the latest reinfection study means for how long the pandemic will last. If reinfections happen regularly (and we have no idea how common they might be), then it might take longer to achieve herd immunity without a vaccination (which is an un-ideal, and cynical, goal to begin with). How long immunity lasts, on average, and how common reinfection is are key <a href="https://www.vox.com/science-and-health/2020/5/15/21256282/immunity-duration-covid-19-how-long%5C">unknown variables</a> in figuring out how long the pandemic may last in the absence of an effective vaccine or treatment.</p>

<p>&ldquo;Reinfection cases tell us that we cannot rely on immunity acquired by natural infection to confer herd immunity; not only is this strategy lethal for many but also it is not effective,&rdquo; Iwasaki wrote in the editorial. &ldquo;Herd immunity requires safe and effective vaccines and robust vaccination implementation.&rdquo;</p>

<p>We also have much more to learn about how often reinfections lead to more clusters of cases. Recently, I asked <a href="https://www.lji.org/faculty-research/labs/crotty/">Shane Crotty</a>, an immunologist at the La Jolla Institute for Immunology, about this very scenario.</p>

<p>&ldquo;Could there be an &lsquo;immunity&rsquo; scenario,&rdquo; I asked, &ldquo;where, after having recovered&nbsp;from Covid, a person could get infected again but not feel sick at all, and also be able to spread it?&rdquo;</p>

<p>&ldquo;It is a good question, and the answer is that no one knows,&rdquo; Crotty replied. &ldquo;There are cases with other diseases where asymptomatic immune people can be infectious. There is definitely a lot to learn still about immunity to SARS-CoV-2.&rdquo;</p>
						]]>
									</content>
			
					</entry>
			<entry>
			
			<author>
				<name>Eliza Barclay</name>
			</author>
			
			<title type="html"><![CDATA[Trump and his staff’s refusal to wear a face mask is a catastrophe]]></title>
			<link rel="alternate" type="text/html" href="https://www.vox.com/2020/10/2/21498414/trump-coronavirus-mask-white-house-kayleigh-mcenany" />
			<id>https://www.vox.com/2020/10/2/21498414/trump-coronavirus-mask-white-house-kayleigh-mcenany</id>
			<updated>2020-10-05T14:35:07-04:00</updated>
			<published>2020-10-05T12:35:52-04:00</published>
			<category scheme="https://www.vox.com" term="2020 Presidential Election" /><category scheme="https://www.vox.com" term="Covid-19" /><category scheme="https://www.vox.com" term="Donald Trump" /><category scheme="https://www.vox.com" term="Health" /><category scheme="https://www.vox.com" term="Politics" /><category scheme="https://www.vox.com" term="Science" />
							<summary type="html"><![CDATA[On Monday, we learned White House press secretary Kayleigh McEnany tested positive for the coronavirus that causes Covid-19. McEnany &#8212; and others in the White House cluster &#8212; failed to follow public health guidelines and quarantine, though she had been exposed to colleagues confirmed to have Covid-19. She also briefed reporters twice &#8212; on Friday [&#8230;]]]></summary>
			
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<figure>

<img alt="" data-caption="President Trump walks along the Colonnade with Judge Amy Coney Barrett after a news conference to announce Barrett as his nominee to the Supreme Court on September 26. | Alex Brandon/AP" data-portal-copyright="Alex Brandon/AP" data-has-syndication-rights="1" src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/21931984/AP_20270789646213_10.12.57_AM.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" />
	<figcaption>
	President Trump walks along the Colonnade with Judge Amy Coney Barrett after a news conference to announce Barrett as his nominee to the Supreme Court on September 26. | Alex Brandon/AP	</figcaption>
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<p>On Monday, we learned White House press secretary Kayleigh McEnany tested positive for the coronavirus that causes Covid-19. McEnany &mdash; and <a href="https://thehill.com/homenews/house/519569-barr-reverses-will-quarantine-for-several-days-after-potential-coronavirus">others in the White House cluster</a> &mdash; failed to follow public health guidelines and quarantine, though she had been exposed to colleagues confirmed to have Covid-19.</p>

<p>She also briefed reporters twice &mdash; on Friday and Sunday &mdash; without wearing a mask, putting them at risk of the virus.</p>
<figure class="wp-block-embed is-type-rich is-provider-twitter wp-block-embed-twitter alignnone"><div class="wp-block-embed__wrapper">
<blockquote class="twitter-tweet" data-dnt="true"><p lang="zxx" dir="ltr"><a href="https://t.co/SKT9xq8rqs">pic.twitter.com/SKT9xq8rqs</a></p>&mdash; Kayleigh McEnany 45 Archived (@PressSec45) <a href="https://twitter.com/PressSec45/status/1313138387994509313?ref_src=twsrc%5Etfw">October 5, 2020</a></blockquote>
</div></figure>
<p>McEnany joins a list of at least <a href="https://twitter.com/PeterJ_Walker/status/1313162082406207489">20 people </a>in the White House cluster &mdash; including two of McEnany&rsquo;s aides, White House staff, journalists, Congress members, and others &mdash; who&rsquo;ve tested positive<strong> </strong>after <a href="http://vox.com/donald-trump">Trump</a> and first lady Melania Trump <a href="https://www.vox.com/2020/10/2/21498281/trump-covid-19-coronavirus-positive">announced they tested positive</a> on Friday. White House aide Hope Hicks, who had traveled with the president earlier in the week, also tested positive and was reportedly experiencing symptoms Wednesday. The president has been receiving treatment at Walter Reed, and may be discharged Monday.</p>

<p>The growing outbreak at the White House is an extraordinary turn of events for Trump, whose <a href="https://www.vox.com/future-perfect/21498300/trump-covid-coronavirus-positive-test-policy-failure">egregious mishandling</a> of the Covid-19 pandemic is the main reason the virus&rsquo;s toll on Americans has been so severe, in terms of both <a href="https://coronavirus.jhu.edu/map.html">cases</a> and <a href="https://coronavirus.jhu.edu/map.html">deaths</a>. It&rsquo;s also a reminder of how important it is for everyone to take well-established precautions to prevent infection &mdash; precautions the president and his staff have scorned, dismissed, and misconstrued over the course of the pandemic.</p>

<p>In particular, the president and his staff&rsquo;s failure<strong> </strong>to consistently wear a face mask while in close contact with colleagues and reporters in the White House and in public settings &mdash; the <a href="https://www.cdc.gov/media/releases/2020/p0714-americans-to-wear-masks.html">guidance</a> of his own Centers for Disease Control and Prevention &mdash; put them at higher risk for infection and of spreading the virus to others, since asymptomatic people can transmit the virus.</p>

<p>On Twitter, public health experts pointed out that a mask might have protected Trump when he was around Hope Hicks, an adviser who was <a href="https://www.bloomberg.com/news/articles/2020-10-02/trump-aide-hope-hicks-tests-positive-for-coronavirus-infection">revealed to have tested positive for the coronavirus</a> in reporting by Bloomberg last week.</p>
<figure class="wp-block-embed is-type-rich is-provider-twitter wp-block-embed-twitter alignnone"><div class="wp-block-embed__wrapper">
<blockquote class="twitter-tweet" data-dnt="true"><p lang="en" dir="ltr">If <a href="https://twitter.com/realDonaldTrump?ref_src=twsrc%5Etfw">@realDonaldTrump</a> getting <a href="https://twitter.com/hashtag/COVID19?src=hash&amp;ref_src=twsrc%5Etfw">#COVID19</a> doesn’t solve the <a href="https://twitter.com/hashtag/facemask?src=hash&amp;ref_src=twsrc%5Etfw">#facemask</a> wearing debate once and for all, remember this- . <a href="https://twitter.com/hashtag/Masks?src=hash&amp;ref_src=twsrc%5Etfw">#Masks</a> decrease the risk of <a href="https://twitter.com/hashtag/COVID19?src=hash&amp;ref_src=twsrc%5Etfw">#COVID19</a> up to 85%, so if POTUS had worn a mask when around <a href="https://twitter.com/hashtag/HopeHicks?src=hash&amp;ref_src=twsrc%5Etfw">#HopeHicks</a> he may have not gotten <a href="https://twitter.com/hashtag/COVID19?src=hash&amp;ref_src=twsrc%5Etfw">#COVID19</a></p>&mdash; Krutika Kuppalli, MD FIDSA (@KrutikaKuppalli) <a href="https://twitter.com/KrutikaKuppalli/status/1311985610916331526?ref_src=twsrc%5Etfw">October 2, 2020</a></blockquote>
</div></figure>
<p>Let&rsquo;s walk through why face masks remain one of our most important tools for fighting Covid-19 &mdash; along with <a href="https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(20)30457-6/fulltext">hand-washing, distancing, isolation, and contact tracing</a> &mdash; and why the president and his staff&rsquo;s words and actions on face masks have been so detrimental to America&rsquo;s battle with the virus.</p>
<h2 class="wp-block-heading">Why face masks protect against Covid-19</h2>
<p>Scientists have learned a lot about how SARS-CoV-2, the virus that causes Covid-19, spreads and what we can do to stop it. The first step is when a sick person exhales, laughs, sings, or coughs, they expel heavy droplets and tiny aerosols containing the virus into the air. The heavy droplets will typically fall to the ground within 6 feet of the person, but studies show that under the right indoor conditions, the virus can float in the air in small particles, like aerosols, and spread to others that way, too.</p>

<p>Infected people in close contact with people they know drive the majority of infections, according to contract tracing. As Muge Cevik, a physician and&nbsp;<a href="https://twitter.com/mugecevik/status/1257392347010215947"><strong>virology expert</strong></a>&nbsp;at the University of St. Andrews, has written, when we&rsquo;re around people outside our immediate household, &ldquo;the risk increases with longer and frequent exposure, close proximity, number of contacts, and group activities especially dining.&rdquo; The risk goes up in indoor settings, particularly in crowded and poorly ventilated spaces.</p>

<p>Maintaining at least 6 feet of distance between people has been a critical piece of guidance to prevent spread via large drops. But we&rsquo;ve also learned that face masks covering the nose and mouth prevent both heavy droplets and aerosols (in the case of N95 masks) from being released by an infected wearer in the first place &mdash; and from being inhaled by a non-infected wearer. It&rsquo;s why the <a href="https://www.vox.com/2020/6/6/21282108/masks-for-covid-19-world-health-organization-guidelines-cloth-n95">World Health Organization</a> and the CDC for several months have recommended cloth masks for the general public.</p>

<p>Since the virus began spreading uncontrolled around the world, there&rsquo;s been a ton of <a href="https://www.vox.com/future-perfect/21299527/masks-coronavirus-covid-19-studies-research-evidence">new research</a> looking at the efficacy of masks of <a href="https://twitter.com/erictopol/status/1273759784374644736?lang=en">different materials</a> and in different settings for preventing the spread of Covid-19. The consensus has settled around this: Face&nbsp;masks (including cloth masks and N95s) worn consistently in higher-risk settings, like public or social gatherings with people outside your household, significantly reduce the transmission of the coronavirus and other respiratory diseases. (Read the Mayo Clinic&rsquo;s helpful <a href="https://www.mayoclinic.org/diseases-conditions/coronavirus/in-depth/coronavirus-mask/art-20485449">tips</a> for putting on and taking off a cloth mask.)</p>
<img src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/21931978/GettyImages_1276450067.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" alt="" title="" data-has-syndication-rights="1" data-caption="President Trump and first lady Melania Trump wearing face masks while standing beside the flag-draped coffin of Ruth Bader Ginsburg. | Alex Wong/Getty Images" data-portal-copyright="Alex Wong/Getty Images" />
<p>To be clear, masks are not 100 percent effective, and they have to be worn properly and consistently to get the most out of them. And while there&rsquo;s more evidence showing that masks prevent the wearer from spreading the virus to others, there&rsquo;s also new evidence that they protect the wearer from being infected &mdash; reducing risk by <a href="https://www.ucdavis.edu/coronavirus/news/your-mask-cuts-own-risk-65-percent/">65 percent</a>, according to one study.</p>

<p>&ldquo;If you ask me my opinion about what&rsquo;s the simplest, most effective option? Mask-wearing,&rdquo; Harvard T.H. Chan School of Public Health epidemiologist Michael Mina told <a href="https://www.wbur.org/commonhealth/2020/06/30/face-masks-most-effective-defense-coronavirus">WBUR</a>. &ldquo;I think there&rsquo;s no doubt about that.&rdquo;</p>

<p>Because of the growing evidence that masks work, <a href="https://masks4all.co/what-countries-require-masks-in-public/">86 percent of the world&rsquo;s population</a> lives in places that have a nationwide or statewide requirement of masks in public places or universal mask use. It&rsquo;s why <a href="https://masks4all.co/what-states-require-masks/">most US states</a> now have some kind of mask mandate, and why some cities, like <a href="https://www.npr.org/sections/coronavirus-live-updates/2020/09/30/918704017/new-york-city-imposes-fines-of-up-to-1-000-for-those-who-refuse-to-wear-face-mas">New York City</a>, are distributing masks for free and imposing fines on people who don&rsquo;t wear them in public.</p>
<h2 class="wp-block-heading">Trump and his staff’s refusal to wear a mask put others at risk</h2>
<p>Trump has a long history of questioning, scorning, and mocking the practice of wearing face masks to prevent Covid-19 spread. When the CDC changed its guidance in April to recommend that all Americans wear masks when they leave home, Trump <a href="https://www.nytimes.com/2020/04/03/world/coronavirus-news-updates.html">said</a>, &ldquo;You can do it. You don&rsquo;t have to do it. I am choosing not to do it. Somehow, I don&rsquo;t see it for myself.&rdquo;</p>

<p>The New York Times has a helpful <a href="https://www.nytimes.com/2020/10/02/us/politics/donald-trump-masks.html">timeline</a> of his other comments on masks, which reveals a confusing amalgam of statements on his own use of them and their effectiveness.</p>

<p>It&rsquo;s hard to overstate how problematic it is for a leader like Trump to be misconstruing and undermining public health guidance like this for the general public. Consistent, clear, and evidence-based public health messaging in a pandemic is <a href="https://www.newyorker.com/magazine/2020/05/04/seattles-leaders-let-scientists-take-the-lead-new-yorks-did-not">critical</a>. And by casting doubt on face masks and failing to set an example for the country by wearing one, Trump has done the American people a terrible disservice.</p>

<p>His staff has also set a very poor example on masks. Chief of Staff Mark Meadows, for instance, denied the scientific evidence that they work. &ldquo;I will gladly wear my mask each and every day, if that&rsquo;s what makes the difference,&rdquo; Meadows <a href="https://twitter.com/American_Bridge/status/1306632930735935489">said</a> in September. &ldquo;And it doesn&rsquo;t.&rdquo;</p>

<p>McEnany may have thought her negative test meant she was in the clear and didn&rsquo;t have to wear a mask while briefing reporters Friday and Sunday. But her positive test reveals that she was potentially infectious and may have been transmitting the virus &mdash; a risk she could have dramatically reduced by wearing a mask.</p>

<p>Trump has also <a href="https://twitter.com/ddale8/status/1311998568497065986">repeatedly made fun of</a> his opponent former Vice President Joe Biden on the campaign trail for following the guidance and wearing a mask in public:</p>
<figure class="wp-block-embed is-type-rich is-provider-twitter wp-block-embed-twitter alignnone"><div class="wp-block-embed__wrapper">
<blockquote class="twitter-tweet" data-dnt="true"><p lang="en" dir="ltr">Here&#039;s Trump mocking Biden for wearing a mask at the debate on Tuesday. He traveled to that debate with Hope Hicks, who has tested positive for coronavirus. <a href="https://t.co/MvFs3HR2Z3">pic.twitter.com/MvFs3HR2Z3</a></p>&mdash; Brian Tyler Cohen (@briantylercohen) <a href="https://twitter.com/briantylercohen/status/1311839895921467393?ref_src=twsrc%5Etfw">October 2, 2020</a></blockquote>
</div></figure>
<p>The stark contrast between the two candidates&rsquo; positions on mask-wearing was also on display at the debate in how their family members showed up. According to Washington Post columnist <a href="https://twitter.com/joshrogin/status/1312022468278841344">Josh Rogin</a>, Cleveland Clinic officials &ldquo;tried to give masks to Trump&rsquo;s family and guests at the Cleveland debate, but &lsquo;they refused to put those masks on.&rsquo;&rdquo;</p>
<div class="twitter-embed"><a href="https://twitter.com/dansaltzstein/status/1311997233848619011" target="_blank" rel="noopener noreferrer">View Link</a></div>
<p>Trump&rsquo;s rejection of mask-wearing is fundamentally irresponsible behavior not just because <a href="https://www.vox.com/2020/10/2/21498328/trump-covid-19-risk-factors">he&rsquo;s put his own health at great risk</a>.</p>

<p>&ldquo;People who don&rsquo;t wear a mask increase the risk of transmission to everyone, not just the people they come into contact with,&rdquo; Dean Blumberg, chief of pediatric infectious diseases at UC Davis Children&rsquo;s Hospital, said in a recent <a href="https://www.ucdavis.edu/coronavirus/news/your-mask-cuts-own-risk-65-percent/">statement</a> about his research on face masks. &ldquo;It&rsquo;s all the people those people will have contact with. You&rsquo;re being an irresponsible member of the community if you&rsquo;re not wearing a mask.&rdquo;</p>

<p>But even after the president&rsquo;s positive test, masks remained optional at the White House, with the exception of National Security Council staff who were mandated to wear masks in common areas, according to <a href="https://twitter.com/AlexWardVox/status/1312152936475099136">Vox&rsquo;s Alex Ward</a>.</p>
						]]>
									</content>
			
					</entry>
			<entry>
			
			<author>
				<name>Umair Irfan</name>
			</author>
			
			<author>
				<name>Eliza Barclay</name>
			</author>
			
			<author>
				<name>David Roberts</name>
			</author>
			
			<title type="html"><![CDATA[California’s recurring wildfire problem, explained]]></title>
			<link rel="alternate" type="text/html" href="https://www.vox.com/21430638/california-wildfires-2020-orange-sky-august-complex" />
			<id>https://www.vox.com/21430638/california-wildfires-2020-orange-sky-august-complex</id>
			<updated>2020-09-13T17:42:30-04:00</updated>
			<published>2020-09-10T18:10:00-04:00</published>
			<category scheme="https://www.vox.com" term="Climate" /><category scheme="https://www.vox.com" term="Explainers" /><category scheme="https://www.vox.com" term="Technology" />
							<summary type="html"><![CDATA[The images and reports out of California this week are overwhelming: concurrent colossal wildfires laying waste to property and landscapes, freaky orange skies, massive smoke clouds, worsening air quality, more than 64,000 people forced to evacuate, and all of it compounding the risks of Covid-19. If this feels like d&#233;j&#224; vu, here&#8217;s why: Wildfires are [&#8230;]]]></summary>
			
							<content type="html">
											<![CDATA[

						
<figure>

<img alt="" data-caption="A burned residence smolders from the Bear Fire, part of the North Complex Fires, in Butte County, California, on September 9, 2020. | Josh Edelson/AFP/Getty Images" data-portal-copyright="Josh Edelson/AFP/Getty Images" data-has-syndication-rights="1" src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/21870465/GettyImages_1228427814.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" />
	<figcaption>
	A burned residence smolders from the Bear Fire, part of the North Complex Fires, in Butte County, California, on September 9, 2020. | Josh Edelson/AFP/Getty Images	</figcaption>
</figure>
<p>The images and reports out of California this week are overwhelming: <a href="https://www.fire.ca.gov/incidents/">concurrent colossal wildfires</a> laying waste to property and landscapes, freaky orange skies, massive smoke clouds, <a href="https://www.airnow.gov/state/?name=california">worsening<strong> </strong>air quality</a>, more than <a href="https://www.latimes.com/california/story/2020-09-10/massive-august-fire-now-largest-in-california-history-at-471-000-acres-and-counting">64,000 people</a> forced to evacuate, and all of it compounding the risks of Covid-19.</p>
<figure class="wp-block-embed is-type-rich is-provider-twitter wp-block-embed-twitter alignnone"><div class="wp-block-embed__wrapper">
<blockquote class="twitter-tweet" data-dnt="true"><p lang="en" dir="ltr">The 2020 fire season has been record-breaking, in not only the total amount of acres burned at just over 3 million, but also 6 of the top 20 largest wildfires in California history have occurred this year. <a href="https://t.co/CmmhH5wTVX">pic.twitter.com/CmmhH5wTVX</a></p>&mdash; CAL FIRE (@CAL_FIRE) <a href="https://twitter.com/CAL_FIRE/status/1304123896103280645?ref_src=twsrc%5Etfw">September 10, 2020</a></blockquote>
</div></figure>
<p>If this feels like d&eacute;j&agrave; vu, here&rsquo;s why: Wildfires are growing more common and more severe in California. The most recent season of horror was 2018, which had&nbsp;<a href="https://projects.sfchronicle.com/trackers/california-fire-map/">10&nbsp;large fires that each<strong> </strong>burned more than 500 acres</a>. Most infamous was the Camp Fire, which left 86 people<strong> </strong>dead in Paradise and caused more than&nbsp;<a href="https://www.latimes.com/local/lanow/la-me-ln-camp-fire-insured-losses-20190111-story.html">$16.5 billion in losses</a>, according to the German insurance company Munich RE.</p>

<p>This August was California&rsquo;s warmest on record (as it was for <a href="https://twitter.com/Weather_West/status/1304079136181243904">five other states as well</a>), setting the stage for the extraordinary streak of extra-large fires burning now. Five of the current fires are in the 20 largest wildfires in the state&rsquo;s history: the August Complex (the largest blaze in state history as of Thursday), the SCU Lightning Complex, the LNU Lightning Complex, the North Complex, and the Bear Complex. As their names hint, these are megafires that gained size and strength when smaller fires combined into unified blazes.</p>

<p>The heat wave that preceded this terrifying swarm was not a blip. <a href="https://climatetoolbox.org/tool/climate-mapper?product=fire&amp;variable=vpp&amp;season=30d&amp;mapMin=-0.001&amp;mapMax=6.001&amp;opacity=0.7&amp;colorPalette=invBrBG&amp;numColors=7&amp;outOfBoundsColor=transparent&amp;baseMap=World_Topo_Map&amp;mapZoom=5&amp;mapCenterLat=38.00000&amp;mapCenterLon=-108.40000">The weeks of arid, hot air</a> that crisped out the forests and shrubs now aflame are part of a familiar pattern of extreme weather events: the climate crisis accelerating right in our faces.</p>

<p>As the climate heats up, many other states in the West, including Oregon and Colorado, are seeing larger, more devastating fires and more dangerous air quality from wildfire smoke. But California is at particular risk, both because its increasingly volatile <a href="https://www.vox.com/2018/4/24/17270340/california-rain-drought-flooding-climate-change">weather</a> may bring more droughts than other states and because it has more people and more buildings. Let&rsquo;s walk through the details of how we got here.</p>
<img src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/21870480/GettyImages_1228420181.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" alt="" title="" data-has-syndication-rights="1" data-caption="A Butte County firefighter douses flames at the Bear Fire in Oroville, California, on September 9, 2020. | Josh Edelson/AFP/Getty Images" data-portal-copyright="Josh Edelson/AFP/Getty Images" /><h2 class="wp-block-heading">California’s forests have become tinderboxes</h2>
<p>To understand why California is experiencing so many devastating fires year after year, let&rsquo;s look at two basic forces at play.</p>

<p>The first is climate change. According to a 2019 <a href="https://agupubs.onlinelibrary.wiley.com/doi/abs/10.1029/2019EF001210">paper</a> in the journal <em>Earth&rsquo;s Future</em>, California&rsquo;s annual burned area has increased more than fivefold since 1972, which the authors attribute in part to a warming climate. The total annual area burned during summer fires is rising fastest, they note, though the climate fingerprint is getting clearer in the increase in areas burned in the fall as well.</p>
<img src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/19291765/ca_wildfires.png?quality=90&#038;strip=all&#038;crop=0,0,100,100" alt="climate and wildfire" title="climate and wildfire" data-has-syndication-rights="1" data-caption="" data-portal-copyright="&lt;a href=&quot;http://gov.ca.gov/wp-content/uploads/2019/04/Wildfires-and-Climate-Change-California’s-Energy-Future.pdf&quot;&gt;Gov. Gavin Newsom’s Strike Force report&lt;/a&gt; on wildfires and climate change" />
<p>California&rsquo;s forests and shrublands have been subjected to wildfire pretty much forever; fire is a natural part of many of the state&rsquo;s ecosystems and the Indigenous peoples of California set controlled burns to manage the landscape. What&rsquo;s different now is that the season is getting longer, it&rsquo;s gotten harder to manage the forest, and the fires are on average getting bigger and more destructive.</p>

<p>&ldquo;Climate change is amplifying fire behavior and fire size,&rdquo; Alan Ager, a researcher at the US Forest Service who studies how to manage wildfire risk on federally managed forests and other lands, told Vox in 2019. &ldquo;Fire can travel larger distances&rdquo; than in the past because there&rsquo;s more fuel.</p>

<p>The basic recipe for a monster 21st century wildfire is this: Take hot air and no rain and moisture evaporating from trees, shrubs, and soil. After a series of these long, expansive, hot, dry spells, trees and shrubs will be transformed into ideal tinder to feed a fire. The bigger the area affected, the more available fuel. All you need then is a spark, which could come from a power line failure, a cigarette, or a firecracker.</p>
<img src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/19182271/all_regions_wildfires_80.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" alt="" title="" data-has-syndication-rights="1" data-caption="" data-portal-copyright="Christina Animashaun/Vox" />
<p>Climate models&nbsp;<a href="https://agupubs.onlinelibrary.wiley.com/doi/full/10.1029/2019EF001210">show</a>&nbsp;that as temperatures continue to rise, the atmosphere and land in some regions, like California&rsquo;s forests, will grow more arid. There will be more frequent and intense droughts, followed by intense periods of rain &mdash; a form of <a href="https://www.vox.com/2018/4/24/17270340/california-rain-drought-flooding-climate-change">weather whiplash</a>. This prompts the growth of thick underbrush, which then dries out in the subsequent droughts and becomes highly flammable kindling.</p>

<p>A newer phenomenon scientists are seeing in 2020 is wildfires that grow dramatically overnight because temperatures aren&rsquo;t dropping like they used to. &ldquo;One of the things we see with human-caused climate change is that the overnight lows are getting warmer,&rdquo; said Matthew Hurteau, associate professor of biology at the University of New Mexico. &ldquo;In the past, the sun sets, the temperature drops, the relative humidity goes up, and fire behavior dies down, and that&rsquo;s when a lot of progress gets made in terms of fire suppression, because the flame lengths are shorter.&rdquo;</p>

<p>But this year, the Bear Fire, <a href="https://www.sacbee.com/news/local/article245611590.html">one of the three fires that became the North Complex Fire</a>, expanded by 100,000 acres overnight, destroying almost every structure in the 525-person community of Berry Creek, according to the <a href="https://www.sacbee.com/news/local/article245611590.html">Sacramento Bee</a>. &ldquo;That kind of fire growth, especially at night, that&rsquo;s a climate signal for sure,&rdquo; said Hurteau.</p>

<p>The second factor making the state more fire-prone is poor forest management.</p>

<p>In 2019, journalist Mark Arax published <a href="https://story.californiasunday.com/gone-paradise-fire">an extraordinary feature story on the Paradise fire</a>, California&rsquo;s most destructive fire ever. In it, he tells the tale of how, in the 1990s, the state&rsquo;s timber industry came to be dominated by rampant clear-cutting. Varied, diverse forests, with patches of scrub and trees alternating, served as natural fire breaks. Wildfires came to them periodically, as is natural and necessary for regeneration, but they did not spiral out of control.</p>

<p>After a clear cut, forests are replanted as monocrops. There are no natural breaks, no variation, which makes them extraordinarily vulnerable to rapidly spreading fire.</p>

<p>And in the early 2000s, park rangers practiced a certain form of forestry management &mdash; prescribed burns, clearing brush, remediating clear cuts. But it fell out of favor as an increasingly large, paramilitary fire brigade took over. &ldquo;As rangers joined up with the ranks of better-paid firefighters,&rdquo; Arax writes, &ldquo;their numbers dwindled to maybe 250, even as the number of firefighters inside the [Department of Forestry and Fire Protection] jumped to 7,000.&rdquo;</p>

<p>Firefighters put out fires; they don&rsquo;t do prescribed burns. But consistent fire suppression only increases the amount of dry, flammable material.</p>

<p>As <a href="https://www.latimes.com/opinion/story/2019-10-14/newsom-clear-cutting-rim-fire-california">this LA Times story</a> reveals, California&rsquo;s clear-cutting and forest mismanagement continue to this day.</p>
<img src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/21870513/GettyImages_1271075230.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" alt="" title="" data-has-syndication-rights="1" data-caption="Paul and Ronne Falgren look through the rubble of their home burned by the LNU Lightning Complex Fire in Lake Berryessa, California, on August 31, 2020. | Jane Tyska/Digital First Media/East Bay Times/Getty Images" data-portal-copyright="Jane Tyska/Digital First Media/East Bay Times/Getty Images" /><h2 class="wp-block-heading">More and more people are building (and rebuilding) in fire-prone areas</h2>
<p>California also has a housing crisis, born largely of the fact that wealthier urban residents refuse to allow more housing to be built in urban areas, near jobs. Consequently, as more residents stream into the state, the price of existing urban housing stock rises and development sprawls outward. More and more of that development is being pushed into the &ldquo;wildland-urban interface&rdquo; (WUI), where wildfires are more frequent and more difficult to fight.</p>

<p>Some 11.3 million people &mdash; more than any other state with regular wildfires &mdash; live in the WUI in California. That&rsquo;s 30 percent of the state&rsquo;s population living near a lot of potential wildfire fuel. And more than 2.7 million Californians currently live in &ldquo;very high fire hazard severity zones,&rdquo; areas where the population is expected to keep growing. (Cal Fire is currently updating its hazard zone maps and expects to roll out new ones by 2021.)</p>

<p>Again, California is not alone. A <a href="https://www.pnas.org/content/115/13/3314.short">2018 study in <em>PNAS</em></a> found that between 1990 and 2010, the WUI was &ldquo;the fastest-growing land use type in the conterminous United States.&rdquo; This is happening in lots of states.</p>
<img src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/19291768/ca_wildfires_wui.png?quality=90&#038;strip=all&#038;crop=0,0,100,100" alt="houses in the wui" title="houses in the wui" data-has-syndication-rights="1" data-caption="" data-portal-copyright="&lt;a href=&quot;http://gov.ca.gov/wp-content/uploads/2019/04/Wildfires-and-Climate-Change-California%E2%80%99s-Energy-Future.pdf&quot;&gt;Gov. Gavin Newsom’s Strike Force report&lt;/a&gt; on wildfires and climate change" />
<p>But it&rsquo;s particularly concentrated in California, where a million houses were built in the WUI during those same years. In Mother Jones, Jeffrey Ball has a <a href="https://www.motherjones.com/environment/2019/08/burn-build-repeat-why-our-wildfire-policy-is-so-deadly/">feature story</a> on the state&rsquo;s terrible land use policies, which encourage sprawl, and specifically building (and rebuilding) in fire-prone areas, in a dozen different ways, including subsidized insurance. (See also <a href="https://www.technologyreview.com/s/612430/california-must-reinvent-its-practices-and-policies-for-a-deadly-new-fire-reality/">this piece</a> in MIT Technology Review by James Temple.)</p>

<p>A recent <a href="https://www.fs.usda.gov/treesearch/pubs/58114">study</a> by Ager and colleagues found that 1,812 communities in the western US could be significantly impacted by future wildfires. Of the top 20 most exposed communities on the list, 14 were in California.</p>

<p>Add all this together &mdash; increasing heat from global warming, several years of unusually high winds and low humidity, poor logging practices with fewer preventive burns, more people living on forested ridges and hills in remote, fire-prone areas &mdash; and the result is disaster.</p>
<h2 class="wp-block-heading">Why California can expect wildfire season to get worse</h2>
<p>Parts of Northern California and the Sierra Nevada can expect to see the most fire activity directly linked to human-caused climate change in the coming decades, according to the <em>Earth&rsquo;s Future </em>paper.</p>

<p>But &ldquo;you can throw a dart anywhere around Los Angeles and San Diego and you will hit an area with significant fire potential,&rdquo; too, Chris Keithley, research manager for the Fire and Resource Assessment Program at Cal Fire, said.</p>

<p>And there&rsquo;s a huge mismatch, Ager&rsquo;s study found, between the increased wildfire threat and how cities are planning future development.</p>

<p>The state&rsquo;s population is also growing, leading to a <a href="http://www.sciencedirect.com/science/article/pii/S0264837714001409?via%3Dihub">significant overlap</a> between the areas of high fire risk and areas with a growing population density, as you can see in these maps from a 2014 study of population trends in California projecting out to 2050:</p>
<img src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/9447511/BothPics.png?quality=90&#038;strip=all&#038;crop=0,0,100,100" alt="" title="" data-has-syndication-rights="1" data-caption="A map showing population density growth projections (left) and a map showing fire hazards. | Mann et al./Land Use Policy" data-portal-copyright="Mann et al./Land Use Policy" />
<p>The study estimated that by 2050, 645,000 new houses in California will be built in &ldquo;very high&rdquo; wildfire severity zones.</p>

<p>Just as it&rsquo;s time to consider <a href="https://www.vox.com/2014/5/22/5735144/rising-sea-levels-abandoning-the-coasts">retreating from the coasts</a> because of sea level rise, it may be time to consider encouraging people to retreat from some of the riskiest fire-prone<strong> </strong>areas.</p>

<p>&ldquo;I think planned retreat should be part of a suite of options,&rdquo; said <a href="https://seas.umich.edu/research/faculty/paige_fischer">Paige Fischer</a>, a social scientist who studies wildfires at the University of Michigan. So far, though, the state has done little to discourage new construction in high-risk areas or encourage people to move out of harm&rsquo;s way.</p>

<p>In response to the billions of dollars in<strong> </strong>losses from the California wildfires of 2017 and 2018, insurance companies are now beginning to <a href="https://www.nytimes.com/2019/08/20/climate/fire-insurance-renewal.html?auth=login-email&amp;login=email&amp;module=inline">refuse to renew fire and homeowner liability insurance</a> and <a href="https://www.nytimes.com/2019/08/28/us/wildfires-insurance.html">hike rates</a> for homeowners in fire-prone areas, the New York Times has reported.</p>

<p>But forcing people to move is an especially tough ask in California, given the <a href="https://www.vox.com/policy-and-politics/2018/12/7/18125644/scott-wiener-sb-50-california-housing">housing crisis</a>. Many Paradise residents who lost their homes in the Camp Fire had moved there <a href="https://www.vox.com/energy-and-environment/2018/11/16/18098441/paradise-california-wildfire-housing">to escape the unaffordable rents and home prices of the Bay Area</a>.</p>

<p>The federal and state governments have <a href="http://acconsensus.org/2019/03/06/cal-fire-lists-35-top-sites-at-risk-fuel-reduction-is-agencys-goal-for-bay-area-state/">increased funding</a> for fire suppression and managing fire fuel like the <a href="https://www.vox.com/2018/9/1/17800358/california-mendocino-wildfire-dead-trees">millions of dead trees</a> on public and private lands, but much more is needed.</p>

<p>&ldquo;The thing that gets missed in all of this is that fires are a natural part of many of these systems,&rdquo; said Matthew Hurteau, the University of New Mexico professor studying climate impacts on forests. &ldquo;We have suppressed fires for decades actively. That&rsquo;s caused larger fires.&rdquo;</p>

<p>More prescribed burning could help limit potential megafire<strong> </strong>fuels, but many communities oppose it because of the short-term smoke risk. &ldquo;Fuel management efforts need to be substantially increased,&rdquo; Ager agreed.</p>

<p>That responsibility falls largely to federal and state agencies like the Forest Service that manage public lands. People who live in high-risk areas can also do more to manage the land and structures on their private property, for instance reducing flammable vegetation around homes and using fire-repelling building materials, Fischer said.</p>

<p>Climate change demands both immediate action to reduce emissions and immediate threats, and also long-term adaptation to a more hostile climate. California is a leader on the former &mdash; it <a href="https://www.vox.com/energy-and-environment/2018/9/11/17844896/california-jerry-brown-carbon-neutral-2045-climate-change">has committed</a> to 100 percent clean energy by 2045 and total, economy-wide carbon neutrality by 2045. And Gov. Gavin Newsom has also been trying to rally support for new funding from the state legislature to take on the threat of fire in a warming world.</p>

<p>But he and other California leaders still have a long way to go in helping communities play better defense against, and prepare long-term for, wildfire. &ldquo;We are overloaded with assessments and short on actions,&rdquo; said Ager.</p>
						]]>
									</content>
			
					</entry>
			<entry>
			
			<author>
				<name>Eliza Barclay</name>
			</author>
			
			<author>
				<name>Brian Resnick</name>
			</author>
			
			<title type="html"><![CDATA[Hurricane Laura: The danger of storm surge, explained]]></title>
			<link rel="alternate" type="text/html" href="https://www.vox.com/2020/8/27/21403161/hurricane-laura-storm-surge-flooding-unsurvivable" />
			<id>https://www.vox.com/2020/8/27/21403161/hurricane-laura-storm-surge-flooding-unsurvivable</id>
			<updated>2020-08-27T13:27:58-04:00</updated>
			<published>2020-08-27T12:18:49-04:00</published>
			<category scheme="https://www.vox.com" term="Climate" /><category scheme="https://www.vox.com" term="Science" />
							<summary type="html"><![CDATA[Hurricane Laura made landfall at 1 am ET Thursday in Cameron, Louisiana, as a fierce Category 4 hurricane with 150 mph winds. It has since downgraded to a Category 1 hurricane, with wind speeds of 75 mph, and is moving north. But perhaps the most dangerous part of the storm may be the storm surge [&#8230;]]]></summary>
			
							<content type="html">
											<![CDATA[

						<div class="video-container"><iframe src="https://volume.vox-cdn.com/embed/0f9908ac4?player_type=youtube&#038;loop=1&#038;placement=article&#038;tracking=article:rss" allowfullscreen frameborder="0" allow=""></iframe></div>
<p><a href="https://www.vox.com/2020/8/26/21401440/hurricane-laura-texas-louisiana-marco-storm-track-katrina">Hurricane Laura</a> made landfall at 1 am ET Thursday in Cameron, Louisiana, as a fierce Category 4 hurricane with 150 mph winds. It has since downgraded to a Category 1 hurricane, with wind speeds of 75 mph, and is moving north.</p>

<p>But perhaps the most dangerous part of the storm may be the storm surge that still threatens coastal areas.</p>

<p>Storm surge, or coastal flooding, <a href="https://weather.com/storms/hurricane/video/storm-surge-risk-explained">tends to be the deadliest</a> aspect of hurricanes. It results from<strong> </strong>the storm&rsquo;s winds pushing water onshore several feet above the normal tide, and it can trap people in their homes, wash away houses, and make rescue missions harrowing and slow. Rising sea levels&nbsp;linked to climate change have also increased the risk of storm surge and property damage in coastal cities and regions.</p>

<p>The National Hurricane Center (NHC) <a href="https://www.nhc.noaa.gov/text/refresh/MIATCPAT3+shtml/DDHHMM.shtml">said</a> Thursday morning a storm surge warning was still in effect from Sabine Pass, Texas to Port Fourchon, Louisiana; this kind of warning means a danger of life-threatening flooding. People located in these zones should follow evacuation and other instructions from local officials.</p>
<img src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/21822568/Screen_Shot_2020_08_27_at_12.17.10_PM.png?quality=90&#038;strip=all&#038;crop=0,0,100,100" alt="" title="" data-has-syndication-rights="1" data-caption="A map of the National Hurricane Center’s storm surge watch/warning for Hurricane Laura. | NHC/NOAA/NWC" data-portal-copyright="NHC/NOAA/NWC" />
<p>But so far, the highest storm surge reported seems is 9 feet, according to meteorologist Chris Gloninger:</p>
<figure class="wp-block-embed is-type-rich is-provider-twitter wp-block-embed-twitter alignnone"><div class="wp-block-embed__wrapper">
<blockquote class="twitter-tweet" data-dnt="true"><p lang="en" dir="ltr">‼️<a href="https://twitter.com/hashtag/Laura?src=hash&amp;ref_src=twsrc%5Etfw">#Laura</a> Surge Thraad‼️ Highest <a href="https://twitter.com/hashtag/StormSurge?src=hash&amp;ref_src=twsrc%5Etfw">#StormSurge</a> recorded seemed to be around 9 ft. Yes, that’s devastating, but it appears the “reasonable worst case scenario surge” was x2 higher than what occurred in most communities. 1/ <a href="https://t.co/0BdvWTXd93">pic.twitter.com/0BdvWTXd93</a></p>&mdash; Chris Gloninger, CCM, CBM (@ChrisGloninger) <a href="https://twitter.com/ChrisGloninger/status/1298959512297234432?ref_src=twsrc%5Etfw">August 27, 2020</a></blockquote>
</div></figure>
<p>But other meteorologists <a href="https://twitter.com/MichaelRLowry/status/1298968079892918272">say it&rsquo;s too soon to assess</a> the total storm surge from Hurricane Laura. The water pushed on land by the winds could also still reach up to 40 miles inland &ldquo;and flood waters will not fully recede for several days after the storm,&rdquo; according to the NHC.</p>

<p>The larger the area with tropical storm-force winds, the more potential for those winds to push water onshore, and the greater the impact of storm surge, Colorado State University atmospheric scientist Chris Slocum says. Portions of Louisiana, Mississippi, and Arkansas could also see up to 6 to 12 inches of rain with isolated totals of 18 inches from Laura, which will add to the floodwaters.</p>
<img src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/13054239/Screen_Shot_2018_09_13_at_11.25.20_AM.png?quality=90&#038;strip=all&#038;crop=0,0,100,100" alt="A graphic that shows a horizontal line indicating the average tide level." title="A graphic that shows a horizontal line indicating the average tide level." data-has-syndication-rights="1" data-caption="" data-portal-copyright="Sam Ellis/Vox" />
<p>The storm surge &ldquo;is a life-threatening situation,&rdquo; the NHC warns in its latest forecast. &ldquo;Persons located within these areas should take all necessary actions to protect life and property from rising water and the potential for other dangerous conditions.&rdquo;</p>
<h2 class="wp-block-heading">How to follow Hurricane Laura:</h2><ul class="wp-block-list"><li>The National Hurricane Center has a page updating every few hours with the latest watches and warnings for Laura. <a href="https://www.nhc.noaa.gov/#Laura"><strong>Check it out</strong></a>.</li><li>Follow the National Hurricane Center <a href="https://twitter.com/nhc_atlantic?lang=en"><strong>on Twitter</strong></a>; it will provide updates with all the latest forecasts, hazards, and warnings. </li><li>Follow the Capital Weather Gang’s <a href="https://twitter.com/capitalweather"><strong>Twitter account</strong></a>. These folks tend to live-tweet storm updates.</li><li>Here’s a <a href="https://twitter.com/EricHolthaus/lists/breaking-weather"><strong>Twitter list of weather</strong></a> experts via meteorologist and journalist Eric Holthaus. These experts will give you up-to-the-second forecasts and warnings.</li></ul><hr class="wp-block-separator" />
<p><strong>New goal: 25,000 </strong></p>

<p>In the spring, we launched a program asking readers for financial contributions to help keep Vox free for everyone, and last week, we set a goal of reaching 20,000 contributors. Well, you helped us blow past that. Today, we are extending that goal to 25,000. Millions turn to Vox each month to understand an increasingly chaotic world &mdash; from what is happening with the USPS to the coronavirus crisis to what is, quite possibly, the most consequential presidential election of our lifetimes. Even when the economy and the news advertising market recovers, your support will be a critical part of sustaining our resource-intensive work &mdash; and helping everyone make sense of an increasingly chaotic world. <a href="https://www.vox.com/pages/support-now"><strong>Contribute today from as little as $3.</strong></a></p>
						]]>
									</content>
			
					</entry>
			<entry>
			
			<author>
				<name>Dylan Scott</name>
			</author>
			
			<author>
				<name>Eliza Barclay</name>
			</author>
			
			<title type="html"><![CDATA[More people in the US are hospitalized with Covid-19 than at almost any other time]]></title>
			<link rel="alternate" type="text/html" href="https://www.vox.com/2020/7/23/21335549/covid-19-coronavirus-us-hospitalizations-record-florida-texas-california" />
			<id>https://www.vox.com/2020/7/23/21335549/covid-19-coronavirus-us-hospitalizations-record-florida-texas-california</id>
			<updated>2020-07-26T18:18:29-04:00</updated>
			<published>2020-07-24T14:27:37-04:00</published>
			<category scheme="https://www.vox.com" term="Covid-19" /><category scheme="https://www.vox.com" term="Health" /><category scheme="https://www.vox.com" term="Science" />
							<summary type="html"><![CDATA[More Americans are currently hospitalized with Covid-19 than at almost any other point in the pandemic, a grim indicator that the coronavirus pandemic is not slowing down in the US. On July 23, 59,846 people across the United States were in the hospital after testing positive for the novel coronavirus, according to data reported by [&#8230;]]]></summary>
			
							<content type="html">
											<![CDATA[

						
<figure>

<img alt="" data-caption="Catrina Rugar, 34, a traveling nurse from Florida, treats Covid-19 patients at Doctors Hospital at Renaissance in Edinburg, Texas. The coronavirus is spreading rapidly through the Rio Grande Valley in Texas. | Carolyn Cole/Los Angeles Times/Getty Images" data-portal-copyright="Carolyn Cole/Los Angeles Times/Getty Images" data-has-syndication-rights="1" src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/20148504/GettyImages_1227737165.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" />
	<figcaption>
	Catrina Rugar, 34, a traveling nurse from Florida, treats Covid-19 patients at Doctors Hospital at Renaissance in Edinburg, Texas. The coronavirus is spreading rapidly through the Rio Grande Valley in Texas. | Carolyn Cole/Los Angeles Times/Getty Images	</figcaption>
</figure>
<p>More Americans are currently hospitalized with <a href="https://www.vox.com/coronavirus-covid19">Covid-19</a> than at almost any other point in the pandemic, a grim indicator that the coronavirus pandemic is not slowing down in the US.</p>

<p>On July 23, 59,846 people across the United States were in the hospital after testing positive for the novel coronavirus, according to data reported by the <a href="https://covidtracking.com/">Covid Tracking Project</a>, just below the peak of 59,940 reached on April 15, when the New York City area was the <a href="https://www.vox.com/coronavirus-covid19/2020/3/27/21195162/new-york-coronavirus-news-andrew-cuomo-hospitals-population-ventilators">epicenter</a> of the US outbreak.<strong> </strong>(As the Covid Tracking Project <a href="https://covidtracking.com/blog/erratic-hospital-numbers-deaths-still-rising-this-week-in-covid-19-data-july">notes</a>, the national and state hospital data are erratic and incomplete at the moment, and reported totals may continue to shift.)</p>
<img src="https://platform.vox.com/wp-content/uploads/sites/2/chorus/uploads/chorus_asset/file/20304367/second_wave_hospital_chart_7_23_update.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" alt="" title="" data-has-syndication-rights="1" data-caption="" data-portal-copyright="Christina Animashaun/Vox" />
<p>What&rsquo;s clear is that Covid-19 has migrated across the country to many more regions in the three months since. In the spring, hospitalizations were overwhelmingly concentrated in the Northeast, but now more than half of hospitalized Covid-19 patients are in the South. The West has also seen the number of hospitalized Covid-19 patients double since April, while the Northeast now accounts for fewer than 5,000 of the nearly 60,000 current hospitalizations.</p>

<p>The current total is likely an undercount. Two states, Kansas and Hawaii, do not report current hospitalization data, and some states may temporarily <a href="https://covidtracking.com/blog/erratic-hospital-numbers-deaths-still-rising-this-week-in-covid-19-data-july">not be reporting full hospitalization numbers</a> because of a <a href="https://www.cnbc.com/2020/07/22/us-hospitals-scramble-to-adopt-new-hhs-coronavirus-data-system-some-states-see-data-blackout.html">recent change in the reporting system</a> ordered by the Trump administration.</p>

<p>&ldquo;The hospitalization number is the best indicator of where we are,&rdquo; Eric Topol, a professor of molecular medicine and director of the Scripps Research Translational Institute, told Vox. &ldquo;We&rsquo;re going to go to new heights in the pandemic that we haven&rsquo;t seen before. Not that what we saw before wasn&rsquo;t horrifying enough.&rdquo;</p>

<p>The growth has been driven by accelerating spread in <a href="https://www.vox.com/future-perfect/2020/7/8/21311347/arizona-coronavirus-pandemic-covid-outbreak">Arizona</a>, <a href="https://www.vox.com/future-perfect/2020/7/6/21308351/california-coronavirus-pandemic-covid-outbreak">California</a>, <a href="https://www.vox.com/future-perfect/2020/7/17/21324398/florida-coronavirus-covid-cases-deaths-outbreak">Florida</a>, Georgia, and <a href="https://www.vox.com/covid-19-coronavirus-us-response-trump/21326204/texas-coronavirus-rio-grande-houston">Texas</a> in particular. On April 15, when New York City hospitals were nearly being overrun with Covid-19 patients, Texas had about 1,500 patients hospitalized with the disease. Today, more than 10,000 Texans are hospitalized with Covid-19.</p>

<p>Some areas are reaching a woeful tipping point of hospitals stretched to maximum capacity, scrambling to find beds in other facilities for Covid-19 patients. Miami-Dade County <a href="https://www.miamidade.gov/information/library/2020-07-20-new-normal-dashboard.pdf">reported this week</a> that the number of patients in need of ICU care had exceeded the number of available ICU beds. More than 50 hospitals across the state say they have no ICU beds available.</p>

<p>Texas Medical Center in Houston <a href="https://www.tmc.edu/coronavirus-updates/overview-of-tmc-icu-bed-capacity-and-occupancy/">has already filled up</a> its usual non-pandemic ICU unit and been forced to rely on its surge capacity plans to handle the patient load. Earlier this month, 10 out of the 12 hospitals in the Rio Grande Valley <a href="https://www.texastribune.org/2020/07/04/texas-coronavirus-rio-grande-valley-hospitals/">reported</a> that they were completely full and needed to start transferring patients to hospitals elsewhere in the state.</p>

<p>This was, unfortunately, to be expected. Nearly all of the states currently experiencing an increase in new cases and hospitalizations started relaxing their social distancing restrictions in May and June before meeting the <a href="https://www.vox.com/2020/5/28/21270515/coronavirus-covid-reopen-economy-social-distancing-states-map-data">government&rsquo;s reopening guidelines</a> of having sufficiently reduced the virus&rsquo;s spread and adequately ramped up their testing and tracing capabilities. New cases began rising and hospitalizations followed a few weeks after that. Now deaths are ticking up again, reversing a steady decline that had begun in early May.</p>

<p>Four million Americans have had confirmed cases of Covid-19. More than 143,000 of them have died. With hospitalizations surging and several states still reporting thousands of new cases a day, experts say we are in for a difficult August and fall.</p>

<p>&ldquo;We&rsquo;ve still got 91 to 92 percent of people who are still vulnerable, who have not been infected,&rdquo; said Topol. &ldquo;And so that just shows how many more people can be hurt. Obviously many won&rsquo;t get so sick, but many will.&rdquo;</p>

<p>The new hospitalizations, and the untenable pressure they&rsquo;re putting on the health care system, are also a reminder of how critical it is for states to implement and enforce measures like <a href="https://www.vox.com/future-perfect/21299527/masks-coronavirus-covid-19-studies-research-evidence">mandatory face masks</a>, and for the federal government to solve <a href="https://www.vox.com/future-perfect/2020/7/10/21317860/coronavirus-testing-problems-delays-shortages-covid">testing</a> and contact tracing problems. &ldquo;It should be an all-points bulletin to really bear down on this because otherwise there&rsquo;s no limit on where this might go,&rdquo; said Topol.</p>
<h2 class="wp-block-heading">Hospitals are running out of staff, supplies, and beds for Covid-19 patients</h2>
<p>Hospitals in hot spots across the country are expanding and even maxing out their staff, equipment, and beds, with doctors warning that the <a href="https://www.vox.com/2020/3/10/21171481/coronavirus-us-cases-quarantine-cancellation">worst-case scenario</a> of hospital resources being overwhelmed is on the horizon if their states don&rsquo;t get better control of the coronavirus.</p>

<p>&ldquo;With Covid, a lot of times people who aren&rsquo;t sick enough yet get pushed to the back, and then they can become really, really sick unfortunately because we were focusing our efforts on the people who are on the brink of death,&rdquo; an emergency room doctor at the Banner Health system in the Phoenix metro area, who asked to go unnamed fearing retaliation from his employer, told Vox recently.</p>

<p>Other doctors in Arizona, where <a href="https://www.azdhs.gov/preparedness/epidemiology-disease-control/infectious-disease-epidemiology/covid-19/dashboards/index.php">85 percent of hospital beds statewide were in use</a> as of Thursday, have said the scarcity of resources means they&rsquo;ll soon be <a href="https://www.vox.com/coronavirus-covid19/2020/3/31/21199721/coronavirus-covid-19-hospitals-triage-rationing-italy-new-york">rationing medical care</a>, as doctors in Italy <a href="https://www.cbc.ca/radio/day6/covid-19-in-italy-sports-season-shutdown-re-reviewing-contagion-comedian-mae-martin-more-1.5495224/covid-19-forces-italian-doctors-to-make-life-and-death-choices-about-rationing-care-1.5495232">were forced to do</a>.</p>

<p>&ldquo;The fear is we are going to have to start sharing ventilators, or we&rsquo;re gonna have to start saying, &lsquo;You get a vent, you don&rsquo;t.&rsquo; I&rsquo;d be really surprised if in a couple weeks we didn&rsquo;t have to do that,&rdquo; says <a href="https://uacomp.resoapps.com/RA101908-Murtaza_Akhter/biography/index.hml">Murtaza Akhter</a>, an emergency medicine physician at Valleywise Health Medical Center in Phoenix.</p>

<p>The rampant transmission of the virus in Arizona and resulting pressure on hospitals are particularly infuriating to some emergency room and ICU staff, who say they&rsquo;re having to make decisions on the fly that they&rsquo;re uncomfortable making.</p>

<p>&ldquo;Sending people with Covid home with oxygen tanks because we don&rsquo;t have the resources for them? This is something I&rsquo;ve never done in my life before,&rdquo; says Akhter. &ldquo;This is crazy. And this is gonna be even worse in a couple of weeks. So far we&rsquo;re trying to hold steady, but how long will that last?&rdquo;</p>

<p>The psychological toll, he says, is serious too.</p>

<p>&ldquo;To come off a shift and be like, &lsquo;I&rsquo;m losing hope&rsquo; &mdash; that&rsquo;s a dangerous place to be in,&rdquo; he says. &ldquo;I don&rsquo;t want to feel that way. And that&rsquo;s because despite the horrible numbers, despite the fact I&rsquo;m still getting the Covid cases [in the ER], despite what we&rsquo;ve been saying to the media from the front line, I drive home from work and I literally see lots of people congregating together closely and in the grocery store not wearing masks.&rdquo;</p>

<p>Texas hospitals say they are in better shape now with personal protective equipment than they were in March and April, but that could change as the crisis gets worse. Roberta Schwartz, executive vice president at Houston Methodist, says her facilities have sometimes had trouble getting gowns and disinfectant wipes. John Henderson, who represents a trade association for rural hospitals in the state, says he recently &ldquo;got a couple of SOS calls.&rdquo;</p>

<p>Staffing is a universal problem in hot spots. Houston Methodist has already brought in out-of-state nurses and asked its administrative staff with nursing certifications to start doing medical work again. Nurses are also being asked to work longer and overnight shifts.</p>

<p>Rural hospitals in Texas aren&rsquo;t running out of beds yet, but they are running into a staffing shortage. These facilities might typically have five patients in a given unit, and the hospitals have staffed them accordingly. But now there might be as many as 20 patients.</p>

<p>&ldquo;You&rsquo;re working every nurse as much as you can work them and still not meeting the need,&rdquo; Henderson says.</p>

<p>It&rsquo;s not clear where more staff could come from. The state has already sent about 2,300 volunteers to the Rio Grande Valley, one of the hardest-hit areas in the state.</p>

<p>&ldquo;Other areas are requesting that workforce support,&rdquo; Henderson says. &ldquo;But there&rsquo;s not much more in terms of resources to be sent.&rdquo;</p>

<p>Another concern is ventilators. Rural hospitals in Texas would ordinarily transfer their patients in serious condition, the kind who might be on a ventilator for days, to a larger hospital in the city. But because urban hospitals are already overrun with Covid-19 patients, there is nowhere for the rural hospitals to send their patients. Instead, they are forced to keep those patients, causing their beds to fill up even more quickly.</p>

<p>And while the current coronavirus patients are younger than those seen in the spring, Henderson says his hospitals don&rsquo;t have enough of the nasal oxygen hookups that are used to help those patients breathe on their own and prevent them from being put on a ventilator.</p>

<p>&ldquo;They&rsquo;ve shown to be effective, but everybody&rsquo;s trying to get them,&rdquo; he says.</p>

<p>El Centro Regional Medical Center in Imperial County, one of California&rsquo;s biggest Covid-19 hot spots right now, has already brushed up against its worst-case scenario. The hospital recently saw its available ventilators dwindle to one.</p>

<p>Adolphe Edward, the hospital&rsquo;s CEO, convened an impromptu committee to evaluate the patients currently on ventilators so they could prioritize if another patient who needed one came through their door. They checked the patients&rsquo; lung capacity and considered whether they could risk taking one or two of them off the ventilator if the need arose.</p>

<p>Luckily, Edward figured out a workaround. He called another nearby hospital and asked if they had any ventilators available. They had two, which they shipped over to El Centro. For now, the machines are still there, though Edward says he and the other hospital have stayed in constant contact in case the ventilators need to be transferred again.</p>
<h2 class="wp-block-heading">Daily deaths are creeping up again but are still far below the earlier peak</h2>
<p>While daily Covid-19 hospitalizations are surging, another key metric, daily deaths, was 1,039 on July 23, still less than half of its May 7 peak of 2,742, according to the <a href="https://covidtracking.com/data/charts/us-daily-deaths">Covid Tracking Project</a>. Yet the trend is ominous, since daily deaths were dropping steadily by mid-June and then began rising again in early July.</p>

<p>On Thursday, Florida reported a new <a href="https://www.wesh.com/article/florida-coronavirus-deaths-july-23/33404536#">record single-day death toll</a> of 173. Texas hit its own respective record on Wednesday, with <a href="https://www.washingtonpost.com/nation/2020/07/22/covid-live-updates-us/">193 deaths</a>.</p>

<p>Since many Covid-19 fatalities to date have occurred among people who were hospitalized for weeks before succumbing, experts say they expect deaths will continue to rise in the coming days and weeks. Yet it&rsquo;s possible, they say, that fewer people who are hospitalized will end up dying in this summer stage of the pandemic as compared to the spring.</p>

<p>&ldquo;Hospitalizations undoubtedly are going to be associated with more deaths or chronic illnesses, but I&rsquo;m hoping that the deaths are not as steep as they were back in March and April,&rdquo; said Topol. &ldquo;And maybe that&rsquo;s because they are more young people that are sick and they will pull through. Maybe it&rsquo;s also because the treatments are getting better, not just the drugs but just the whole approach.&rdquo;</p>

<p>Overall, he says, &ldquo;The hope is that the relationship between hospitalizations and fatalities won&rsquo;t be as tight as it was, but we have to watch this closely because that&rsquo;s the optimistic view.&rdquo;</p>

<p><strong>Update, July 24:</strong> This article and its headline previously stated that hospitalizations had surpassed a peak reached in April. They have been updated to reflect irregularity in the hospitalization data.</p>
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