GET https://rct.dev.bbntimes.com/science/out-of-the-blight-of-contagion-into-the-light-of-pandemic-and-pyramid

ArticleController :: show

Request

GET Parameters

None

POST Parameters

None

Uploaded Files

None

Request Attributes

Key Value
_controller
"App\Controller\ArticleController::show"
_firewall_context
"security.firewall.map.context.main"
_links
Symfony\Component\WebLink\GenericLinkProvider {#3626
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    3745 => Symfony\Component\WebLink\Link {#3745
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    3744 => Symfony\Component\WebLink\Link {#3744
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    3743 => Symfony\Component\WebLink\Link {#3743
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      -attributes: [
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    3741 => Symfony\Component\WebLink\Link {#3741
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      -rel: [
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      -attributes: [
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      ]
    }
    3740 => Symfony\Component\WebLink\Link {#3740
      -href: "/build/contact.js"
      -rel: [
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      ]
      -attributes: [
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      ]
    }
    3739 => Symfony\Component\WebLink\Link {#3739
      -href: "/build/scroll-infinite-article.js"
      -rel: [
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      -attributes: [
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      ]
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    3738 => Symfony\Component\WebLink\Link {#3738
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      -rel: [
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      -attributes: [
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      ]
    }
    3737 => Symfony\Component\WebLink\Link {#3737
      -href: "/build/cookie-style.css"
      -rel: [
        "preload" => "preload"
      ]
      -attributes: [
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      ]
    }
    3736 => Symfony\Component\WebLink\Link {#3736
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      -rel: [
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      -attributes: [
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    3735 => Symfony\Component\WebLink\Link {#3735
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      -attributes: [
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    3734 => Symfony\Component\WebLink\Link {#3734
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      -rel: [
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      -attributes: [
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}
_route
"article_show"
_route_params
[
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]
_security_firewall_run
"_security_main"
_stopwatch_token
"09899a"
category
"science"
slug
"out-of-the-blight-of-contagion-into-the-light-of-pandemic-and-pyramid"

Request Headers

Header Value
accept
"*/*"
accept-encoding
"gzip, br, zstd, deflate"
connection
"close"
cookie
"PHPSESSID=o94lq5r1fasc672jjr88ve1032"
host
"rct.dev.bbntimes.com"
user-agent
"Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)"
x-php-ob-level
"1"

Request Content

Request content not available (it was retrieved as a resource).

Response

Response Headers

Header Value
cache-control
"no-cache, private"
content-type
"text/html; charset=UTF-8"
date
"Sun, 01 Jun 2025 10:30:42 GMT"
link
"</build/runtime.js>; rel="preload"; as="script",</build/644.js>; rel="preload"; as="script",</build/502.js>; rel="preload"; as="script",</build/app.js>; rel="preload"; as="script",</build/view-more.js>; rel="preload"; as="script",</build/term-condition.js>; rel="preload"; as="script",</build/contact.js>; rel="preload"; as="script",</build/scroll-infinite-article.js>; rel="preload"; as="script",</build/app.css>; rel="preload"; as="style",</build/cookie-style.css>; rel="preload"; as="style",</build/term-condition-css.css>; rel="preload"; as="style",</build/contact-css.css>; rel="preload"; as="style",</build/comment-css.css>; rel="preload"; as="style""
x-debug-token
"3f106a"

Cookies

Request Cookies

Key Value
PHPSESSID
"o94lq5r1fasc672jjr88ve1032"

Response Cookies

No response cookies

Session 6

Session Metadata

Key Value
Created
"Sun, 01 Jun 25 10:29:42 +0000"
Last used
"Sun, 01 Jun 25 10:30:40 +0000"
Lifetime
0

Session Attributes

Attribute Value
_csrf/https-comment
"Joqny_Nm289LfVkqSeh70jU4r1NhnDSMYjUIiktDvhU"
_csrf/https-cookie_accept
"DPCSDzct0P10OVjbgxvz7OwqXIsEoEgIU4f9HCyiH64"

Session Usage

6 Usages
Stateless check enabled
Usage
Symfony\Component\Security\Csrf\TokenStorage\SessionTokenStorage:76
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Symfony\Component\Security\Csrf\TokenStorage\SessionTokenStorage:79
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    "function" => "handle"
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    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/autoload_runtime.php"
    "line" => 29
    "function" => "run"
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]
Symfony\Component\Security\Core\Authentication\Token\Storage\UsageTrackingTokenStorage:41
[
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/security-core/Authentication/Token/Storage/UsageTrackingTokenStorage.php"
    "line" => 41
    "function" => "getMetadataBag"
    "class" => "Symfony\Component\HttpFoundation\Session\Session"
    "type" => "->"
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  [
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    "function" => "getToken"
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    "function" => "handle"
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    "function" => "display"
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    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/twig/twig/src/TemplateWrapper.php"
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    "function" => "render"
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    "function" => "render"
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  [
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    "line" => 453
    "function" => "doRenderView"
    "class" => "Symfony\Bundle\FrameworkBundle\Controller\AbstractController"
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    "function" => "doRender"
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    "function" => "show"
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    "function" => "handleRaw"
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    "function" => "handle"
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    "function" => "run"
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  [
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    "line" => 5
    "args" => [
      "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/autoload_runtime.php"
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]
Symfony\Component\Security\Http\Firewall\ContextListener:171
[
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    "line" => 171
    "function" => "remove"
    "class" => "Symfony\Component\HttpFoundation\Session\Session"
    "type" => "->"
  ]
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    "line" => 116
    "function" => "onKernelResponse"
    "class" => "Symfony\Component\Security\Http\Firewall\ContextListener"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/event-dispatcher/EventDispatcher.php"
    "line" => 220
    "function" => "__invoke"
    "class" => "Symfony\Component\EventDispatcher\Debug\WrappedListener"
    "type" => "->"
  ]
  [
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    "line" => 56
    "function" => "callListeners"
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    "line" => 202
    "function" => "filterResponse"
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    "function" => "require_once"
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]

Flashes

Flashes

No flash messages were created.

Server Parameters

Server Parameters

Defined in .env

Key Value
APP_ENV
"dev"
APP_SECRET
"0a988e63f011514eaabfc650b599af4d"
CORS_ALLOW_ORIGIN
"*"
DATABASE_URL
"mysql://bbndb_rctuser:33F5W25z40or0f7@localhost:3306/rct_bbntimes"
GOOGLE_RECAPTCHA_SECRET_KEY
"6LdV5fgpAAAAANxzTG8ZMfIjil1wu-1vrQvnUt-x"
GOOGLE_RECAPTCHA_SITE_KEY
"6LdV5fgpAAAAAENKcn73MJAhQrbtQeqgyC4wDLMP"
MAILER_DSN
"smtp://no-reply%40rct.dev.bbntimes.com:Bl6%26gLD48%26Of919@rct.dev.bbntimes.com:465"
MARIADB_PASSWORD
"i!87pK&!85ezc8"

Defined as regular env variables

Key Value
APP_DEBUG
"1"
BASE
"/public"
CONTEXT_DOCUMENT_ROOT
"/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com"
CONTEXT_PREFIX
""
DOCUMENT_ROOT
"/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com"
FCGI_ROLE
"RESPONDER"
GATEWAY_INTERFACE
"CGI/1.1"
HTTPS
"on"
HTTP_ACCEPT
"*/*"
HTTP_ACCEPT_ENCODING
"gzip, br, zstd, deflate"
HTTP_CONNECTION
"close"
HTTP_COOKIE
"PHPSESSID=o94lq5r1fasc672jjr88ve1032"
HTTP_HOST
"rct.dev.bbntimes.com"
HTTP_USER_AGENT
"Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)"
PASSENGER_COMPILE_NATIVE_SUPPORT_BINARY
"0"
PASSENGER_DOWNLOAD_NATIVE_SUPPORT_BINARY
"0"
PATH
"/usr/local/sbin:/usr/local/bin:/usr/sbin:/usr/bin:/sbin:/bin:/snap/bin"
PHP_SELF
"/public/index.php"
PP_CUSTOM_PHP_CGI_INDEX
"plesk-php81-fastcgi"
PP_CUSTOM_PHP_INI
"/var/www/vhosts/system/rct.dev.bbntimes.com/etc/php.ini"
QUERY_STRING
""
REDIRECT_BASE
"/public"
REDIRECT_HTTPS
"on"
REDIRECT_PASSENGER_COMPILE_NATIVE_SUPPORT_BINARY
"0"
REDIRECT_PASSENGER_DOWNLOAD_NATIVE_SUPPORT_BINARY
"0"
REDIRECT_REDIRECT_HTTPS
"on"
REDIRECT_REDIRECT_PASSENGER_COMPILE_NATIVE_SUPPORT_BINARY
"0"
REDIRECT_REDIRECT_PASSENGER_DOWNLOAD_NATIVE_SUPPORT_BINARY
"0"
REDIRECT_REDIRECT_SCRIPT_URI
"https://rct.dev.bbntimes.com/science/out-of-the-blight-of-contagion-into-the-light-of-pandemic-and-pyramid"
REDIRECT_REDIRECT_SCRIPT_URL
"/science/out-of-the-blight-of-contagion-into-the-light-of-pandemic-and-pyramid"
REDIRECT_REDIRECT_SSL_TLS_SNI
"rct.dev.bbntimes.com"
REDIRECT_REDIRECT_STATUS
"200"
REDIRECT_REDIRECT_UNIQUE_ID
"aDwr0MKRU4EOIvXUbAxhhQAAAJU"
REDIRECT_SCRIPT_URI
"https://rct.dev.bbntimes.com/science/out-of-the-blight-of-contagion-into-the-light-of-pandemic-and-pyramid"
REDIRECT_SCRIPT_URL
"/science/out-of-the-blight-of-contagion-into-the-light-of-pandemic-and-pyramid"
REDIRECT_SSL_TLS_SNI
"rct.dev.bbntimes.com"
REDIRECT_STATUS
"200"
REDIRECT_UNIQUE_ID
"aDwr0MKRU4EOIvXUbAxhhQAAAJU"
REDIRECT_URL
"/public/science/out-of-the-blight-of-contagion-into-the-light-of-pandemic-and-pyramid"
REMOTE_ADDR
"216.73.216.183"
REMOTE_PORT
"17880"
REQUEST_METHOD
"GET"
REQUEST_SCHEME
"https"
REQUEST_TIME
1748773840
REQUEST_TIME_FLOAT
1748773840.1666
REQUEST_URI
"/science/out-of-the-blight-of-contagion-into-the-light-of-pandemic-and-pyramid"
SCRIPT_FILENAME
"/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/public/index.php"
SCRIPT_NAME
"/public/index.php"
SCRIPT_URI
"https://rct.dev.bbntimes.com/science/out-of-the-blight-of-contagion-into-the-light-of-pandemic-and-pyramid"
SCRIPT_URL
"/science/out-of-the-blight-of-contagion-into-the-light-of-pandemic-and-pyramid"
SERVER_ADDR
"5.196.1.209"
SERVER_ADMIN
"[no address given]"
SERVER_NAME
"rct.dev.bbntimes.com"
SERVER_PORT
"443"
SERVER_PROTOCOL
"HTTP/1.1"
SERVER_SIGNATURE
"<address>Apache Server at rct.dev.bbntimes.com Port 443</address>\n"
SERVER_SOFTWARE
"Apache"
SSL_TLS_SNI
"rct.dev.bbntimes.com"
SYMFONY_DOTENV_VARS
"APP_ENV,APP_SECRET,DATABASE_URL,MARIADB_PASSWORD,CORS_ALLOW_ORIGIN,MAILER_DSN,GOOGLE_RECAPTCHA_SECRET_KEY,GOOGLE_RECAPTCHA_SITE_KEY"
UNIQUE_ID
"aDwr0MKRU4EOIvXUbAxhhQAAAJU"

Sub Requests 6

CookieController :: renderAnalysis (token = ef6bdf)

Key Value
_controller
"App\Controller\CookieController::renderAnalysis"
_format
"html"
_locale
"en"
_stopwatch_token
"b5f454"

AppController :: renderHeader (token = 9cc44a)

Key Value
_controller
"App\Controller\AppController::renderHeader"
_format
"html"
_locale
"en"
_stopwatch_token
"911c82"
slug
"home"

ArticleController :: trendingArticle (token = b743e9)

Key Value
_controller
"App\Controller\ArticleController::trendingArticle"
_format
"html"
_locale
"en"
_stopwatch_token
"7a8f29"
category
"Science"

ArticleController :: relatedArticles (token = 60deae)

Key Value
_controller
"App\Controller\ArticleController::relatedArticles"
_format
"html"
_locale
"en"
_stopwatch_token
"d42932"
current_article
App\Entity\Article {#1094
  -id: 5890
  -title: "Out of the Blight of Contagion, into the Light: of Pandemic and Pyramid"
  -slug: "out-of-the-blight-of-contagion-into-the-light-of-pandemic-and-pyramid"
  -introtext: """
    <div id="ember73" class="ember-view">\r\n
    <div class="reader-article-content" dir="ltr">\r\n
    <p><span style="color: #000000;">We are, no doubt, all comparably eager to consign this blighted interval - of coronavirus contagion, social upheaval, recrimination and fear - to the history books.&nbsp;</span></p>\r\n
    """
  -content: """
    \r\n
    <p><span style="color: #000000;">One day, this will all just be a reference in a tale told to grandchildren, an episode stripped of its visceral impacts and neatly archived.&nbsp;</span></p>\r\n
    <p><span style="color: #000000;">Before living through COVID19, though well-schooled in the great</span>&nbsp;<a href="https://www.cdc.gov/flu/pandemic-resources/1918-pandemic-h1n1.html" target="_blank" rel="nofollow noopener">flu pandemic of 1918</a>, <span style="color: #000000;">I never paused to wonder what it felt like to be a family caught up in it, waiting for fate to play out that century ago.</span>&nbsp;<a href="https://www.us.elsevierhealth.com/jekels-epidemiology-biostatistics-preventive-medicine-and-public-health-9780323642019.html" target="_blank" rel="nofollow noopener">Textbooks on epidemiology and public health</a>&nbsp;<span style="color: #000000;">preserve the facts, but are very antiseptic to feeling and the human experience.&nbsp;Now I know.</span></p>\r\n
    <p><span style="color: #000000;">One day, this will be sanitized accordingly, too, and how welcome that view from here.</span></p>\r\n
    <p><span style="color: #000000;">I contend the transition from this dark blight of contagion can be accelerated by a suffusion of light.&nbsp;It waits not at the end of a tunnel, but at the top of a pyramid.&nbsp;The pyramid in question is made of data, and we need to build it.</span></p>\r\n
    <p><span style="color: #000000;">The pyramid we need looks like the below, and is responsive to our urgent needs for illumination.&nbsp;</span></p>\r\n
    <p>We talk about the virulence, or severity, of SARS-CoV-2 infection, but the blunt reality is- we don’t know.&nbsp;We certainly know that some cases are severe, that some cases are lethal.&nbsp;But we just don’t know the denominator: how many people in the United States (or world) have been infected?&nbsp;The overall severity of this infection derives from the ratio of severe cases to total, and we simply can’t know that without knowing the total.</p>\r\n
    <p>We talk about the&nbsp;<em>case fatality rate</em>, but that, too, is unknowable without the denominator.&nbsp;That figure is the ratio of deaths from a given cause- coronavirus infection in this case- to the total number exposed.&nbsp;We don’t know the total number exposed.</p>\r\n
    <p>A pyramid constructed of the data highlighted above would answer all of our most pressing questions.&nbsp;<em>Who is at risk of severe infection, and who is not?&nbsp;Can we safely achieve herd immunity by&nbsp;</em><a href="https://www.linkedin.com/pulse/proposed-framework-risk-based-interdiction-david/" target="_blank" rel="noopener"><em>loosening interdictions in phases, based on risk stratification</em></a><em>?&nbsp;How much of this contagion has been asymptomatic?&nbsp;Is it infection, or&nbsp;</em><a href="https://www.nytimes.com/2020/03/20/opinion/coronavirus-pandemic-social-distancing.html" target="_blank" rel="nofollow noopener"><em>haphazard interdiction</em></a><em>, that is hurting more people?</em></p>\r\n
    <p>To be clear, the construction of this pyramid does not require vast resources.&nbsp;We don’t need millions of test kits.&nbsp;We simply need to do representative, random sampling in a critical mass of us-&nbsp;<a href="https://www.cdc.gov/brfss/index.html" target="_blank" rel="nofollow noopener">as the CDC does routinely</a>- and then extrapolate.&nbsp;This is not perfect, it’s just very, very good- and monumentally better than the dense fog of ignorance from which policy proposals are emanating now.</p>\r\n
    <p>We are not limited to only extreme and dire choices:&nbsp;<a href="https://www.linkedin.com/pulse/coronavirus-con-tempo-interdiction-choreography-surf-david/" target="_blank" rel="noopener"><em>expose everyone to the risk of infection for the sake of normalcy</em></a>, or&nbsp;<a href="https://www.usnews.com/news/economy/articles/2020-04-16/more-than-22-million-americans-file-for-unemployment-in-past-4-weeks" target="_blank" rel="nofollow noopener"><em>abandon all hope of life as we knew it for the sake of one-size-fits-all interdiction</em></a>.&nbsp;</p>\r\n
    <p>With the guidance of data, we can determine who can encounter this pathogen at very low risk, and who must be kept away from it.&nbsp;A&nbsp;<a href="https://www.nytimes.com/2020/03/22/opinion/coronavirus-economy.html" target="_blank" rel="nofollow noopener">data-informed pivot to vertical interdiction</a>&nbsp;remains possible.&nbsp;&nbsp;We still have the opportunity to protect the vulnerable; resume living, learning, and work in phases; make our safest possible way&nbsp;to herd immunity; achieve the “all clear” that lets grandparents hug their grandchildren once more;&nbsp;<a href="https://www.truehealthinitiative.org/covid/" target="_blank" rel="nofollow noopener">minimize the total harms of infection and societal collapse alike</a>; resurrect life much as we knew and loved it, before all this.</p>\r\n
    <p>Or at least, we might have that opportunity.&nbsp;To know for sure, we need to rise above the fog down here and get to the light.&nbsp;To know for sure, we need to build, and climb, a pyramid of data.&nbsp;We can; we should.</p>\r\n
    <p>As I’ve hastened to note before, the numbers used in that construction cannot substitute for, and should never obscure,&nbsp;<a href="https://journals.sagepub.com/doi/abs/10.4278/ajhp.101103-CIT-359" target="_blank" rel="nofollow noopener">the experiences of individual patients and families</a>.&nbsp;If you are a family who has lost a loved one to this scourge, I doubt you care all that much what the accurate case fatality rate is.&nbsp;You only care about the hole the pandemic punched into your lives, and rightly so.&nbsp;My heartfelt condolences to you.</p>\r\n
    <p>I truly understand this challenging juxtaposition, of the one and the many.&nbsp;I write this under some time pressure:&nbsp;I leave tomorrow for a deployment of several days to a New York City hospital as a volunteer physician.&nbsp;I am doing that because while I think striving to exert a beneficial influence on public policy is important, it is not more important than rendering care to a person in acute need.&nbsp;Writing about policy today, departing to a hospital tomorrow, makes me reflect, as I have across&nbsp;<a href="https://davidkatzmd.com/" target="_blank" rel="nofollow noopener">the span of my career</a>, on how clinical medicine and public health are both greater and lesser than the other.&nbsp;For impact at scale, public health – both its practice, and contributions to salutary policy decisions -is the greater.&nbsp;But for immediacy, intimacy, and the indelible impressions of human interaction- nothing rivals the privilege of clinical care.&nbsp;</p>\r\n
    <p>We all must strive to bridge that divide.&nbsp;The seemingly sanitized, dispassionate, anonymizing statistics of public health veil the stories of real people, real families, real feeling.&nbsp;We can honor that, while still allowing for the value intrinsic to those numbers, what they reveal about patterns.&nbsp;Only by knowing the patterns of this pandemic- from denominator through numerator, from the base of the pyramid to its peak- can we know the path to&nbsp;<a href="https://www.truehealthinitiative.org/covid/" target="_blank" rel="nofollow noopener">total harm minimization</a>.</p>\r\n
    <p>If there is a light after COVID19, it’s not at the end of a tunnel.&nbsp;It’s at the top of a pyramid.&nbsp;The pyramid is made of data.&nbsp;If we climb that pyramid, we have the best possible opportunity to get up, over, and beyond this- and lay it to rest as a historical episode of singular challenge and memorable cost.</p>\r\n
    <p>The pyramid will be useful for that purpose, too.&nbsp;After all, these structures are, famously, tombs.&nbsp;Let us use the data we need to make policy aimed at total harm minimization as the place we bury the dark days of COVID19.&nbsp;First, good data.&nbsp;Then, good understanding.&nbsp;Then, good policy.&nbsp;And then, good riddance.</p>\r\n
    <p><a href="http://davidkatzmd.com/" target="_blank" rel="nofollow noopener"><strong>Dr. David L. Katz</strong></a><em>&nbsp;</em>is a board-certified specialist in Preventive Medicine/Public Health.</p>\r\n
    <ul>\r\n
    <li><a href="https://www.nytimes.com/2020/03/20/opinion/coronavirus-pandemic-social-distancing.html" target="_blank" rel="nofollow noopener"><strong><em>New York Times OpEd by Dr. Katz</em></strong></a></li>\r\n
    <li><a href="https://www.nytimes.com/2020/03/22/opinion/coronavirus-economy.html" target="_blank" rel="nofollow noopener"><strong><em>New York Times OpEd by Thomas L. Friedman</em></strong></a></li>\r\n
    </ul>\r\n
    <p><a href="https://www.truehealthinitiative.org/wp-content/uploads/2020/04/TotalHarmMinimization-2020-04-07.pdf" target="_blank" rel="nofollow noopener"><strong><em>Click here</em></strong></a><strong><em>&nbsp;to access the one-page summary of #TotalHarmMinimization</em></strong></p>\r\n
    <p><a href="https://www.truehealthinitiative.org/covid/" target="_blank" rel="nofollow noopener"><strong><em>Click here</em></strong></a><strong><em>&nbsp;to access the total harm minimization resource library&nbsp;</em></strong></p>\r\n
    </div>\r\n
    </div>
    """
  -user: Proxies\__CG__\App\Entity\User {#1092 …}
  -createdAt: DateTime @1587392624 {#1145
    date: 2020-04-20 14:23:44.0 UTC (+00:00)
  }
  -updatedAt: DateTime @1628458215 {#1150
    date: 2021-08-08 21:30:15.0 UTC (+00:00)
  }
  -deletedAt: null
  -category: App\Entity\Category {#445 …}
  -status: "published"
  -imageCard: Proxies\__CG__\App\Entity\File {#1184 …}
  -ImageHeader: Proxies\__CG__\App\Entity\File {#1184 …}
  -featured: false
  -mainView: false
  -clicks: 1644
  -comments: Doctrine\ORM\PersistentCollection {#1125 …}
  -reviewed_at: DateTime @1587392624 {#1148
    date: 2020-04-20 14:23:44.0 UTC (+00:00)
  }
  -metakey: "out of the blight of contagion"
  -metadesc: "We are, no doubt, all comparably eager to consign this blighted interval - of coronavirus contagion, social upheaval, recrimination and fear - to the history books.\u{A0}"
  -robots: null
  -publishedAt: DateTime @1587392624 {#1147
    date: 2020-04-20 14:23:44.0 UTC (+00:00)
  }
  -canonical: null
  -superTag: null
}

AppController :: renderFooter (token = ff1510)

Key Value
_controller
"App\Controller\AppController::renderFooter"
_format
"html"
_locale
"en"
_stopwatch_token
"d4b601"

CookieController :: renderCookie (token = 25c772)

Key Value
_controller
"App\Controller\CookieController::renderCookie"
_format
"html"
_locale
"en"
_stopwatch_token
"6d0cde"