Re: Corona Virus: It's a Marathon, Not a Sprint
Posted: Mon Sep 26, 2022 7:01 am
Flat Time Society! IA Shubrubba! IA!
That is not dead which can eternal lie, and with strange aeons bring us some web forums whereupon we can gather
http://garbi.online/forum/
Flat Time Society! IA Shubrubba! IA!
Prelude to winter? With exceptions, COVID cases are increasing in the Northeast with BA4.6 starting to make a move. Highest along Eastern seaboard with Region 7 exception. BA4.6 is pretty immune invasive & evades Evusheld preventive antibody. May be recombinant variant. New vax!
It's absolutely a triumph that we were able to significantly impact hospitalizations and death so quickly. That's also why it's so frustrating to see ~300-500 people a week dying from vaccine preventable disease. Sure, some of them were vaccinated, but broadly...still frustrating.Kurth wrote: Wed Sep 28, 2022 10:48 am It highlights just how few people are getting seriously ill - let alone facing death - from COVID today.
If that's the case, smoove, I'm afraid you may never stop stressing about COVID. The more I read about "Long Covid," the more it seems to my untrained self that it's a large, nebulous penumbra of disassociated symptoms and conditions that certainly may be tied back to a COVID infection, but establishing that is going to be incredibly difficult (if not impossible). From what I've read, the most common "Long Covid" conditions are neurological. The CDC lists them as:Smoove_B wrote: Wed Sep 28, 2022 11:19 amAnd I know I'm a broken record on this, but it's not just about death. Initially? Sure. The Long Covid element is still unclear and I'm not sure we're going to get answers anytime soon. I had someone ask me when I was going to stop stressing about all this and I think my answer is now connected to Long Covid. Namely, identifying exactly what it is, who's at greatest risk and figuring out how to treat it (if possible).Kurth wrote: Wed Sep 28, 2022 10:48 am It highlights just how few people are getting seriously ill - let alone facing death - from COVID today.
Do you think there will ever be a time when we've been able to quantify these symptoms and credibly establish a direct causal connection to COVID? I mean, isn't it more likely that we'll be investigating and debating the impacts and nature of "Long Covid" well into the next decade if not beyond?Difficulty thinking or concentrating (sometimes referred to as “brain fog”)
Headache.
Sleep problems.
Dizziness when you stand up (lightheadedness)
Pins-and-needles feelings.
Change in smell or taste.
Depression or anxiety.
+1Blackhawk wrote: Wed Sep 28, 2022 3:10 pm Short of death, I'm not that worried about the immediate experience of being sick with COVID. Sickness and pain suck. Hospitals suck. But all are temporary things, and things I've survived before. I'm more worried about what the remaining years of my life are going to be like.
Maybe Long COVID isn't what we think it is. Maybe we'll find that it's temporary, too. Maybe we'll find a 'cure'. Or maybe we won't, and it really is going to have me barely functional for the remaining 20-40 years of my life. We just don't know.
And if we don't know, how foolish would I have to be to completely disregard it? It's not a guarantee, but it is, without question, a risk, and one where being wrong could destroy my life and my dreams. We're not talking about shutting down the country here, but basic precautions that are nothing but a minor inconvenience? Hey, do you. But you'll have to forgive me if I think that the cost/risk balance is pretty heavy in favor of getting a shot and putting on a damned mask.
+1Max Peck wrote: Wed Sep 28, 2022 4:39 pm+1Blackhawk wrote: Wed Sep 28, 2022 3:10 pm Short of death, I'm not that worried about the immediate experience of being sick with COVID. Sickness and pain suck. Hospitals suck. But all are temporary things, and things I've survived before. I'm more worried about what the remaining years of my life are going to be like.
Maybe Long COVID isn't what we think it is. Maybe we'll find that it's temporary, too. Maybe we'll find a 'cure'. Or maybe we won't, and it really is going to have me barely functional for the remaining 20-40 years of my life. We just don't know.
And if we don't know, how foolish would I have to be to completely disregard it? It's not a guarantee, but it is, without question, a risk, and one where being wrong could destroy my life and my dreams. We're not talking about shutting down the country here, but basic precautions that are nothing but a minor inconvenience? Hey, do you. But you'll have to forgive me if I think that the cost/risk balance is pretty heavy in favor of getting a shot and putting on a damned mask.
That's pretty much where my head is at too.
Still amazing to me how amazingly useful this turned out to be. Useful in terms of data collection. How that data is used? Maybe not so much.MA COVID wastewater levels took a big jump in recent days - no state case/hospitalization reports since Thurs given weekly state reporting. But it’s clear that we are on a rapid upswing. Plan accordingly.
I’m in exactly the opposite camp.Victoria Raverna wrote: Thu Sep 29, 2022 12:14 am I can understand if there are people that are against vaccine because they don't trust it but I can't understand people that are against wearing masks to prevent COVID-19.
We're drifting into the other thread here, but how do you feel about mandating masking in places where people need to be? Ignoring work (which is a giant, gaping hole), what about places like doctor's offices, post office, supermarkets, banks, mass transit and arguably schools? Here I'm focusing on places that people don't have a choice but to go in order to conduct business or they're legally required to be present (like school or a courtroom).Kurth wrote: Thu Sep 29, 2022 1:35 am It’s not that the vax or boosters are without a cost (one I’m also privileged enough to bear while taking a paid sick day if I have to), but they are short term and seem far more bearable to me than perpetually masking up and social distancing.
Doctors’ offices make sense to me. Most people hopefully don’t have to spend an inordinate amount of time there, and the people who are there have a much higher likelihood of being at risk due to health issues. It seems like a mandate that strikes a common sense balance.Smoove_B wrote: Thu Sep 29, 2022 10:46 amWe're drifting into the other thread here, but how do you feel about mandating masking in places where people need to be? Ignoring work (which is a giant, gaping hole), what about places like doctor's offices, post office, supermarkets, banks, mass transit and arguably schools? Here I'm focusing on places that people don't have a choice but to go in order to conduct business or they're legally required to be present (like school or a courtroom).Kurth wrote: Thu Sep 29, 2022 1:35 am It’s not that the vax or boosters are without a cost (one I’m also privileged enough to bear while taking a paid sick day if I have to), but they are short term and seem far more bearable to me than perpetually masking up and social distancing.
Again, moving away from "perpetually masking everywhere" to making sure we're focusing on places and areas that at-risk people need to be.
I do think he's correct, and his observation is likely what's been eating at me (and my peers) this whole time - a realization that not only is the current effort FUBAR but all indications point toward nothing changing in the bigger picture; it will indeed all happen again and we're going to let it. It's making my area of knowledge seem completely useless - because it's pretty clear now that when pressed, we're not going to do the right thing.Things have undoubtedly improved since the peak of the crisis, but calling the pandemic “over” is like calling a fight “finished” because your opponent is punching you in the ribs instead of the face.
Mariame Kaba: “Hope is a discipline.”
Paul Farmer: “You fight the long defeat.”
James Stockdale: Combine “the need for absolute, unwavering faith that you can prevail” with “the discipline to begin by confronting the brutal facts.”
These are my touchstones.
I know we're not always on the same page with this stuff, but I do feel for you and others in your profession. I can only imagine how frustrating this has all been. That said, I don't think you can take our COVID response -- which has absolutely been FUBAR by any sane and rational review -- and apply that generally to come to the conclusion that your area of knowledge now seems "completely useless."Smoove_B wrote: Fri Sep 30, 2022 10:56 am I would also like to take a sabbatical, so yeah - I feel it Mr. Yong. This quote is one I should print out and hang around my neck:
I do think he's correct, and his observation is likely what's been eating at me (and my peers) this whole time - a realization that not only is the current effort FUBAR but all indications point toward nothing changing in the bigger picture; it will indeed all happen again and we're going to let it. It's making my area of knowledge seem completely useless - because it's pretty clear now that when pressed, we're not going to do the right thing.Things have undoubtedly improved since the peak of the crisis, but calling the pandemic “over” is like calling a fight “finished” because your opponent is punching you in the ribs instead of the face.
A rather prominent public health figure was chased off Twitter last night, so it's been a rough 12 hours. It's also reinforced just how horrific social media is, especially for Covid-19 related discussions. After 2.5+ years it's now worse, not better.
EDIT: Regardless, from deep (so deep) in his thread (above) he provides this gem:
Mariame Kaba: “Hope is a discipline.”
Paul Farmer: “You fight the long defeat.”
James Stockdale: Combine “the need for absolute, unwavering faith that you can prevail” with “the discipline to begin by confronting the brutal facts.”
These are my touchstones.
This is the most current article I could quickly find from a general news organization:Kurth wrote: Fri Sep 30, 2022 1:46 pm
Anyway, my point is just to suggest that maybe you shouldn't take the view that our failures in the face of COVID mean that effectively responding to other infectious disease is going to be impossible in the future.
I'd need to check but there are currently 30+ states that have pending legislation or are proposing legislation to limit, curb or completely remove public health authority. I've been part of a few (thankfully) outbreak investigations (waaaaaaaaay smaller scale) and the changes that are being proposed elsewhere would effectively remove the tools we've been using for close to a century, possibly longer in some cases. I don't even know how to adequately describe it, perhaps. But if (for example) there's a disease outbreak in 2024 involving multiple communities and new laws now prohibit me from contact tracing, they've effectively removed my ability to stop the disease from spreading and making it worse - things public health professionals are tasked with doing via laws and regulations set at a state level (at least in my state and I'd presume in most).Mounting legal challenges to pandemic public health rules — and judges’ increasing willingness to overrule medical experts — threaten to erode the influence of the Centers for Disease Control and Prevention and other government health authorities.
In the last year, four court rulings against the CDC, including one from the Supreme Court, have forced the agency to stop or change its pandemic mitigation orders. Most recently, a Florida district judge ordered a national injunction ending the agency’s mask mandate on public transport.
“Litigation invites litigation invites litigation,” said Wendy Parmet, faculty co-director at the Center for Health Policy and Law at Northeastern University. It’s a cycle that “creates enormous uncertainty about what CDC could do going forward should the pandemic worsen again, or should another pandemic or even a more regional outbreak arise.”
The high-profile challenges to the CDC sit atop thousands more lawsuits against state and local health authorities that have been filed during the pandemic, experts say, seeking to end localized social distancing and mask orders, vaccine mandates and business closures.
Who needs a "modern" pandemic when we are about to bring back polio, measles and diphtheria? /sarcasm /not so much sarcasmSmoove_B wrote: Fri Sep 30, 2022 2:01 pm EDIT: I guess to be clear, I do believe our laws and regulations likely need review and update; they were never designed to address a modern pandemic.
In the blink of an evolutionary eye, we've potentially made vaccines and medical therapies useless because of our "let it rip" philosophy. The virus is easily able to outpace whatever we're doing because we insist on letting it run experiment after experiment in our meatsacks, over and over again.The two subvariants of particular concern are known as BQ.1 and BQ.1.1, both off-shoots of the omicron variant BA.5 (but with several key changes.) Indeed, they seem able to evade many of the tools we have to defend against it, which could trigger a wave of hospitalizations, disabling victims with long COVID or death.
Also worrying are two other strains: one called BA.2.75.2, which seems to be spreading quickly in Singapore, India and regions of Europe; and XBB, which some research suggests is the most antibody-evasive strain tested, almost on the level of the SARS-CoV-1 virus (known then simply as "SARS") that caused an outbreak in 2003. This could make the new vaccines relatively useless (but still better than nothing.) Moreover, an outbreak caused by one of these highly drug- and antibody-resistant variants could be much worse due to many world governments performing far less testing and reduced public health surveillance compared to 2020 and 2021.
Thought this was also interesting:"The degree of immune escape and evasion is amazing right now, crazy," Yunlong Richard Cao, an immunologist at Peking University in Beijing, told Nature this week. Cao co-authored a paper, which has yet to be peer-reviewed, that seems to show previous infections by BA.5 and antibody drugs, including Evusheld and Bebtelovimab, aren't enough to stop a BQ.1 infection.
"Such rapid and simultaneous emergence of multiple variants with enormous growth advantages is unprecedented," Cao and his colleagues warned in the study. "These results suggest that current herd immunity and BA.5 vaccine boosters may not provide sufficiently broad protection against infection."
Meanwhile, BA.2.75.2, an offshoot of the Centaurus omicron subvariant, also shows stark ability to evade antibodies. While it isn't a big deal in the West yet, it is seemingly spreading quickly in India. Some research from Sweden, which also isn't yet peer reviewed but is in line with Cao's research, described BA.2.75.2 as "the most neutralisation resistant variant evaluated to date."
/runs back into bunkerNot only are variants changing, so are the symptoms. Recent reports from the U.K. suggest that a sore throat is now the dominant symptom of COVID infection, rather than fever or loss of smell.
"Fever and loss of smell are really rare now — so many old people may not think they've got COVID," Professor Tim Spector, co-founder of the Covid ZOE app, told The Independent. "They'd say it's a cold and not be tested."
Sadly, that's where we're ultimately heading. However, I fear it'll be on a pile of dead and disabled people long before we get there. I was reading some infectious disease doctor's estimates over the weekend (because apparently that's how I relax now) that at our current pace we can expect a flu level of disease for COVID-19 (where it's killing ~30K a year) by 2030 or so. He was saying the issue is that we're acting like it's flu level now, but its 4X+ worse, which makes no sense.Isgrimnur wrote: Tue Oct 04, 2022 9:57 pm If we breed it down to a level of a rhinovirus, is that a win?
Yeah, I figured as much.Smoove_B wrote: Tue Oct 04, 2022 10:33 pm I think that's for the variants circulating in the UK and in India. For what we're seeing here in the U.S. that's still primarily BA.5, so I'd expect fever, sorry.![]()
Hope you get good news.
Tested neg this am, and she's feeling much better. Fingers crossed.
In a similar vein: Most Americans don’t plan to get a flu shot this season — lots of them say they’ll mask to avoid germs instead.LawBeefaroni wrote: Wed Oct 05, 2022 10:32 am Daughter went to sleep-over camp with school last week. Yesterday we got a close contact notification from the school. "Wear a mask for 6 days, continue to got to school. It's all good, we just have to inform you due to some stupid rules or whatever. Also, we will provide you with self-tests to be administered yesterday and in 2 days. We should have the tests to you by next week "
This is pretty much proof this is all a simulation. I mean COME ON.Zaxxon wrote: Wed Oct 05, 2022 10:39 amIn a similar vein: Most Americans don’t plan to get a flu shot this season — lots of them say they’ll mask to avoid germs instead.
LOLOLOLOLOLOL
we will provide you with self-tests to be administered yesterday
Zaxxon wrote: Wed Oct 05, 2022 10:39 amIn a similar vein: Most Americans don’t plan to get a flu shot this season — lots of them say they’ll mask to avoid germs instead.
LOLOLOLOLOLOL
The whole article is great, but man...that was tough to read.In health departments, too, the workforce is threadbare. As local leaders tackle multiple infectious diseases at once, “it’s becoming a zero-sum game,” says Maria Sundaram, an epidemiologist at the Marshfield Clinic Research Institute.
...
“I have staff doing the jobs of three to five people,” she said. “We are in absolute crisis.” Staff have left to take positions as Amazon drivers, who “make so much more per hour.”
Kurth wrote: Wed Sep 28, 2022 11:30 amSooo... I have all of those except the last one. The headaches also aren't constant so not a big deal until they hit.Difficulty thinking or concentrating (sometimes referred to as “brain fog”)
Headache.
Sleep problems.
Dizziness when you stand up (lightheadedness)
Pins-and-needles feelings.
Change in smell or taste.
Depression or anxiety.
I know that long Covid was tossed around as a possible cause to all myedical issues (the kidney failure and strokes and everything else) bit no way to confirm it.
I have decided to just not believe in Covid anymore. If Disney has taught me anything it's that if you dont believe in something it disappears.
Noble prize here I come!
It reminds me of that scene in Kindergarten Cop where the bad guy is in a pharmacy with his mom and the mom is getting meds for his son and he says something like "you gave me all that crap when I was a kid and I never even got sick" and the mom replies "why do you think you never got sick"Smoove_B wrote: Fri Sep 30, 2022 2:18 pm Seriously. Once again, vaccines and the childhood vaccination programs are a victim of their own success. How naive I was when I thought the vaccination issue would be put to rest in the mid 2000s. It's without question worse now than it was in the years that followed Wakefield's study.
It also reminds me of IT. When you do the job right and nothing ever breaks it makes it look like you aren't needed.
It's more per hour - the staff is almost certainly salary, but work so much over 40 hours to get all the work done that their pay per hour is better at Amazon.Victoria Raverna wrote: Thu Oct 06, 2022 12:09 am What type of staffs are those? I'm surprised Amazon's drivers "make so much more per hour" than workers in a research institute.
What stessier said, but they're not researchers. These are front-line local public health officials. People with a license to practice public health in some specific capacity but working for the general public. Normally they're doing environmental inspections, complaint investigations, permit and review of health-related projects, health education, etc... but now they're doing all that PLUS anything COVID-19 related. The one week I had a major foodborne disease outbreak I worked somewhere around 25 extra hours on top of the regular 40 hour work week. My boss did the same. Now imagine doing that for 2.5+ years. Driving an Amazon delivery truck would be a vacation at that point.Victoria Raverna wrote: Thu Oct 06, 2022 12:09 am What type of staffs are those? I'm surprised Amazon's drivers "make so much more per hour" than workers in a research institute.