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Covfefe-19 The 12th Part: The Only Thing Worse Than This New Board Is TrumpVirus2020

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Just think, California did all that really cool #Science stuff.

All-cause mortality is often described as the “gold-standard.” Here’s 2020 data:

FL: 13.8% excess

CA: 15.5% excess

All the more striking since FL is 2nd oldest, CA 45th.

Maybe ignoring textbook pandemic planning & electing instead to CaNCeL SoCiEtY wasn’t the best call?

And it’s getting worse for CA: December saw 40.3% excess deaths, vs 15.8% in FL. Wow.
 
The MN COVID vaccine lottery is a bit weird. One of my wife’s coworkers also won an appointment, but she has to drive to Thief River Falls for the shot. Say what?!
 
Yuck. I had seen they were looking into this a few months ago. Reminds me of what happens to some people after getting mycoplasma pneumonia.- hyper activation of allergies and reactivity.

This matches my conversations with our attending docs here - they've been treating COVID as a CV disease since Spring. Dexamethasone and other anti-inflammatory treatments significantly reduced mortality, and even through the summer intensivists were looking at this totally differently than respiratory illnesses (other than treating those symptoms).


But yeah. Totes the flu.
 
Former posters who have recently gotten the ban hammer disagree.

Yeah I still don't get that one. I mean I get the idea of picking a sacrificial lamb to pretend you still monitor the board but that is the wrong sacrificial lamb. That is like the NCAA destroying Cleveland State instead of Kentucky.
 
The MN COVID vaccine lottery is a bit weird. One of my wife’s coworkers also won an appointment, but she has to drive to Thief River Falls for the shot. Say what?!

I signed my parents up for it...it asks you where you would like to get the shot at least for the old people. No idea how it works for us younger people.
 
The J&J news was quite encouraging at least...

Extremely. A third option, and a single dose one that doesn't require special freezers.

I would advise everyone to be careful with doomscrolling through awful headlines. The media is driving a lot of fears about these new strains. They're not good. But vaccinations will assist in enormous ways.
 
Agree, but Manaus is a really interesting case and the article was good. I don’t see that as doomsday posting
 
Agree, but Manaus is a really interesting case and the article was good. I don’t see that as doomsday posting

I admit I didn't read that article. I'm just tired of seeing super negative headlines on the J&J news, trying to tell us it's somehow bad news (it isn't).

The new strains are problematic, and super frustrating that the SA strain sneaks around current vaccines. But it isn't all bad - even a 50% efficacy halves the number of infections. And J&J reports a 100% reduction in death and enormous reduction in severity. This is outstanding news!

These are also only 1st generation vaccines. Once we're able to control the spread (which we should have been able to do via distancing and mask usage but yaknow...) the mutations will slow down significantly. And even if we need periodic boosters - it will finally become as rare and minor an issue as colds and flu.


Despite our best efforts, the end is truly in sight.
 
The Manaus article explains the 4 possible reasons for what is happening, and it’s easy enough for non medical people to understand.

the terrifying part is in these Lower income nations, vaccine distribution may be an issue and it’s a race against time (even more so than in a place like the US)
 
The Manaus article explains the 4 possible reasons for what is happening, and it’s easy enough for non medical people to understand.

the terrifying part is in these Lower income nations, vaccine distribution may be an issue and it’s a race against time (even more so than in a place like the US)

Excellent article. Also to consider that until they start to get worldwide vaccine coverage there is more space for the virus to develop different variants and unless they stop the stratification of distribution here the affluent types are not going to have as many underlings to do the things they are too special to do themselves.
This is going to be with us for a long time. Unless you are living in a place that has intelligent response and ability to be isolated- island places, big travel restrictions- things are still going to be a roll of the dice.
 
With out doom scrolling- which I have been pretty successful at avoiding- This whole mutation thing is scary. Anyone who understands mutation and either undertreating/mistreating infection is aware that infectious agents have been around a helluva lot longer than humans. They are adaptable and they are pretty good at survival. It takes a coherent, cohesive response to suppress spread. I wish I saw that happening.
 
With out doom scrolling- which I have been pretty successful at avoiding- This whole mutation thing is scary. Anyone who understands mutation and either undertreating/mistreating infection is aware that infectious agents have been around a helluva lot longer than humans. They are adaptable and they are pretty good at survival. It takes a coherent, cohesive response to suppress spread. I wish I saw that happening.

I think right now we’re basically at the same point we were a year ago. There are only a few confirmed cases of the South African variant and a few dozen instances of the UK variant, but given how unconnected the people are the real number must be in the thousands. I really can’t wrap my head round why we aren’t having a hard shutdown for at least a month.
 
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