Pandemic Prediction Checklist: H5N1
Pandemic Prediction Checklist: Monkeypox
Correlation may imply some sort of causal link.
For guessing its direction, simple models help you think.
Controlled experiments, if they are well beyond the brink
Of .05 significance will make your unknowns shrink.
Replications show there’s something new under the sun.
Did one cause the other? Did the other cause the one?
Are they both controlled by what has already begun?
Or was it their coincidence that caused it to be done?
Bad incentives are preventing Americans from using air purifiers and far-UVC to reduce sickness in schools and daycares.
Schools often aren’t penalized linearly with the number of absences. Short-term occasional absences from illness may have no impact on their budgets. Improved student scholastic performance due to reduced illness may take years to manifest and actually decrease the amount of funding they receive. Any effect of reduced illness on improved scholastic performance will be obscured by many other factors on a per-school basis, so that benefits can only be quantified through scientific efforts.
Daycares are often small, corner-cutting businesses and are already in high demand and not that professional or organized. Investing in sanitary measures might improve the bottom line, but it takes effort and time to realize any benefits and the costs are paid upfront.
Trying to push costs onto families results in a freerider problem, where individual families are incentivized to duck the costs of paying for sanitation in public spaces while benefitting from it personally.
States often gate access to grant money for air quality improvements behind time-consuming applications requiring up-front expense and expertise to establish proof of need. Cities and states are the logical payers for these public health efforts, and already have demonstrated a willingness to set aside money for air quality improvements.
I believe that city- and state-level public health advocacy to motivate easy-to-access grant money for daycares and schools specifically to reduce respiratory illness would be the right way to work on this problem. The money they dispense needs to be easy to access, and it would also be useful to tie reductions in sick days to cash payments or tax credits somehow, although this would require establishing trustworthy baselines and measurements in a way that would be difficult to measure and subject to annual variations in illness severity.