One of her counties, Otsego, became a hotspot relative to its population of about 25,000. It has had 102 confirmed cases and 10 deaths. She said the majority of the EMS workforce had been affected by COVID-19, with at least two workers on ventilators fighting for their lives. At least in the beginning, supply shortages were so acute the health department had to approve any testing and hospitals had to reuse PPE.
"Those were really scary days when we had our first cases in Michigan and then it ramped up so quickly, and without a vaccine and without a cure, all we have in our toolbox are those protective measures like social distancing and isolation and quarantine," Peacock said. "To get that message out there was critical. It was as critical as putting someone in the hospital."
Peacock's departments got the message out via virtual meetings, press conferences, press releases and social media posts.
Not everyone was happy. Some thought there wasn't enough information; others thought there was too much. Some questioned the motivation. That stung, she said, because it was science and safety, not politics.
The goal was to "flatten the curve," meaning to slow the rate of infection so it didn't spike above the hospitals' capacity to handle it. But the more the situation improved, there was more criticism.
"In public health, we always talk about how one of our biggest challenges is that nobody notices when we're doing our best work," Peacock said. "We always say, 'It's the disease you didn't get. It's the emergency you avoided.'
"And so, when all of this was ramping up, we knew that we would know that we flattened the curve when everybody started to freak out and wonder why we were making such a big deal of this. And it's exactly what happened.
"In some ways, that's been the biggest challenge, and that's what I told Jeff. I called him several times throughout all of this, because I have had many moments where I felt like, 'Oh, my gosh, I get what he goes through now.'"