Miami Letter
Miami Letter
Miami Letter
We've never written a letter to you before, but we've never experienced a crisis like the one we
are currently facing. We are the people who are witnessing first-hand the impact that COVID-19
is having on people in our community, and we have seen a frighteningly rapid increase in the
number of people with severe and life-threatening respiratory illnesses coming into our
emergency rooms. The low number of confirmed cases in published reports does not show the
true number of people who have been infected by the virus in Miami, or anywhere else in the
USA for that matter. It only reflects that we are far behind where we should be in testing. All of
us expect that if and when COVID-19 testing reaches the appropriate levels, the number of
confirmed cases will explode. What we have seen in the emergency rooms in Miami confirms
what is being reported from other American cities: young and otherwise healthy people are also
becoming severely ill from COVID-19. This is not just a problem for the elderly and chronically-
ill. It is a dangerous threat to all of us.
One of the most insidious aspects of this epidemic is that it draws strength from people's
skepticism and feelings of invulnerability. If people need to personally experience COVID-19 by
having a loved one or close friend infected in order to take this crisis seriously, then it will be too
late and we will suffer the full brunt of this epidemic. The worst-case scenarios indicate that over
a million Americans may eventually die of COVID-19 if we are unable to control its spread. We
have had good fortune not to be the first country to be affected, and we have seen the devastation
the virus can cause in countries where it spirals out of control. We have also seen that social
distancing has been very successful in reducing the spread of the virus and the death rate in many
Asian countries.
Every close interaction between people creates a risk of virus transmission by microscopic
droplets that can travel up to six feet from a carrier's nose and mouth. The virus remains alive on
surfaces for up to three days. It is virtually impossible to avoid being exposed to the virus if one
comes in contact with a carrier or something they have touched. Since many carriers have no
symptoms at all, we must avoid all unnecessary contact with EVERYONE that we are not
currently living with. As difficult as it is, we must learn to live with a minimum of in-person
social interactions until the epidemic is under control. We are all going to have to sacrifice a
great deal temporarily for a better future for ourselves and the most vulnerable among us. The
more determinedly we practice social distancing now, the sooner we can end this epidemic and
get back to our normal lives. If we choose to ignore the danger and try to live the same way as
always we risk allowing this epidemic to overwhelm our health care system the way it has in
northern Italy, with thousands of people dying in hospital hallways without even the comfort of
having their families nearby.
We are a large and diverse group of medical professionals. Pretty much the only thing we all see
eye to eye on is that we want our community to stay as healthy as possible, and we want to see as
few people as possible needing our services. We have no other agenda, and absolutely no reason
to mislead you. Please understand and believe that this is the worst health crisis that we who are
currently living have ever faced. We need every last one of you to do his or her part to help us
kick this virus out of Miami, out of America, and off our planet forever. Thank you and please
stay safe and healthy.