#COVID-19 positive cases in US

[don-lichterman]

Covid rises across US amid muted warnings and murky data

Covid rises across US amid muted warnings and murky data

COVID-19 is surging around the United States again in what experts consider the most transmissible variant of the pandemic yet. But something is different this time: The public health authorities are holding back. In Chicago, where the county’s COVID warning level was raised to “high” last week, the city’s top doctor said there was no reason for residents to let the virus control their lives. The…

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#Covid #Covid-19 news #COVID-19 positive cases in US #data #Indian Express #latest world news #murky #Muted #rises #US Covid-19 cases #warnings

[theculturedmarxist]

In photos of 2023’s World Economic Forum- or Davos as it is commonly called, after the Swiss resort town where it annually occurs- you might not notice the HEPA filters. They’re in the background, unobtrusive and unremarked upon, quietly cleansing the air of viruses and bacteria. You wouldn’t know- not unless you asked- that every attendee was PCR tested before entering the forum, or that in the case of a positive test, access was automatically, electronically, revoked. And if you happened to get a glimpse of the strange blue lights overhead, you could reasonably assume that their glow was simply a modern aesthetic choice, not the calming buzz of cutting edge Far UVC technology- demonstrated to kill microbes in the air.

It’s hard to square this information with the public narrative about COVID, isn’t it? President Biden has called the pandemic “over”. The New York Times recently claimed that “the risk of Covid is similar to that of the flu” in an article about “hold outs” that are annoyingly refusing to accept continual reinfection as their “new normal”. Yet, this week the richest people in the world are taking common sense, easy- but strict- precautions to ensure they don’t catch Covid-19 at Davos.

These common sense, easy precautions include high-quality ventiliation, use of Far UVC-lighting technology, and PCR testing. You’ll also see some masks at Davos, but generally, the testing + air filtration protocol seems to be effective at preventing the kind of super-spreader events most of us are now accustomed to attending.

It seems unlikely to me that a New York Times reporter will follow the super-rich around like David Attenborough on safari, the way one of their employees did when they profiled middle-class maskers last month. I doubt they will write “family members and friends can get a little exasperated by the hyper-concern” about the assembled Prime Ministers, Presidents and CEOs in Switzerland. After all, these are important people. The kind of people who merit high-quality ventilation. The kind of people who deserve accurate tests.

Why is the media so hellbent on portraying simple, scientifically proven measures like high-quality ventilation as ridiculous and unnecessary as hundreds of people continue to die daily here in the US?

Why is the public accepting a “new normal” where we are expected to get infected over and over and over again, at work events with zero precautions, on airplanes with no masks, and at social dinners trying to approximate our 2019 normal?

We deserve better. We deserve to be #DavosSafe as the hashtag going around on twitter puts it. Your children deserve to be treated with the care that world leaders are treating each other. Your family deserves to be protected from the disease which is still- unlike the flu- the third leading cause of death in the US. We don’t deserve to be shoved back into poorly ventilated workplaces while our politicians and press assure us that only crazy people would demand to breathe clean air.

Clean water and clean food are rights we fought for; we have regulatory bodies that ensure we aren’t exposed to pathogens via our water supply nor our food. In 1854, John Snow famously conducted his Broad Street Pump study in London and demonstrated that cholera was water-bourne; however, it took decades for our public policy to catch up with our scientific knowledge.

A public health case study published by the NBCI describes the years that followed:

The first use of chlorine as a disinfectant for water facilities was in 1897 in England. The first use of this method for municipal water facilities in the United States was in Jersey City, New Jersey, and Chicago, Illinois, in 1915. Other cities followed and the use of chlorination as standard treatment for water disinfection rapidly grew. During the 20th century, death rates from waterborne diseases decreased significantly, and although other additional factors contributed to the general improvements in health (such as sanitation, improved quality of life, and nutrition), the improvement of water quality was, without doubt, a major reason.

Forty-three years passed from the initial demonstration that pathogens were being spread via water, and public action and regulation to halt disease.

Can you imagine, in the 1890s, being somebody who argued against cleaning the water?

Can you imagine, in those years of plentiful cholera, calling the people who demanded shit-free water “hold outs”?

One thing COVID realists are accused of is being “doomsayers” and “fearmongers,” so let me share a dose of optimism about the future with you. When we choose- whenever we choose- to get COVID under control, there’s an exciting new world awaiting us. One, not only without constant COVID reinfection, but where our kids can grow up free of colds, flus, RSV, and many other common bugs. And no, contrary to what you may have heard, staying healthy (shockingly enough) is not bad for children!

Once we choose to institute ventilation standards and introduce new technologies like Far UVC lighting- and embrace masking as an easy, kind, and useful tool to control outbreaks- we can bring every nasty airborne pathogen under control the way we did cholera. We didn’t have the science before; now we do. (I mean that quite literally; I can’t recommend enough the linked Wired article cataloguing the long journey to establishing that Covid is, indeed, airborne).

We face a stark choice; down one road, the one with zero infrastructure upgrades, no air quality regulations, and Covid safety only for those who can afford it, you and your family will get Covid this year. You will get Covid next year. You will continue to get Covid over and over and over again, as the health problems - like cardiac damage, viral persistance, and immune system dysfunction- continue to build up. (The billionaires, of course, will not).

Down the other road, we quite simply treat ourselves the way Davos would. We engage with what the science is telling us and we build a safer, better world for our kids. We embrace the lessons this pandemic is teaching us, and let go of things we now know are harming people. We stop clinging desperately to the idea that 2019 will come back if we just get the virus one more time, and we come together to achieve what we’ve been told is impossible: elimination.

The economic elite thrive on our divisiveness and blame casting. They don’t mind that we’re calling each other names, engaging in racial stereotyping, or leaving disabled people to die, so long as we keep their machine running. But we can choose to stop throwing blame at each other, and direct it where it belongs: at the powerful people who’ve left us to suffer, at the politicians who are whipping people into a frenzy over masks instead of over our millions of dead, at the talking heads on TV that work so hard to convince us: you want to get sick. It’s better than being a *weirdo* or a *hold out*.

We needn’t wait 43 years to redirect our energies. France and Belgium have already introduced new air quality standards, and DIY projects to build Corsi-Rosenthal boxes for schools and healthcare settings have popped up around the country. We have the science, we have the technology. All we need now is the political will and the solidarity to truly end the pandemic- the kind of solidarity the super rich always show with one another.

The billionaires at Davos don’t accept continual Covid reinfection. They demand better. It’s time we demand better too.

#covid #covid 19 #covid prevention #davos world economic forum #world economic forum #forever covid

[starcchild]

((yeehaw going on another hiatus, this time indefinite, because I'm pretty certain I have covid

#ground control (ooc) #covid 19 tw #covid tw #((i say pretty certain bc my parents have it and the at home tests they took came back positive #however the test i took came back negative but i don't feel good whatsoever rip #I'll take another one later and see if that changes at all but so far it's fortunately a mild case for all of us #so rn we're just watching our symptoms)) #((also i did update my pinned post this time fdshgkfdj))

[probablyasocialecologist]

Though the Centers for Disease Control and Prevention has stopped counting Covid-19 cases, according to wastewater data—which emerged early on as an accurate tracker of the ebbs and flows of the virus—we are currently in one of the biggest surges of the pandemic, amid the spread of a new variant, JN-1, as the virus keeps mutating. More than three-quarters of U.S. hospital beds are currently in use due to Covid hospitalizations. Uptake of the most recent booster shot, which should help to protect against the new variant and lower the risk of severe cases and the odds of getting long Covid, hovers around 19 percent. Meanwhile, the most recent White House response to a question about whether they had any guidance for hospitals, some of which have brought back mitigation protocols in response to the most recent Covid spike, came courtesy of press secretary Karine Jean-Pierre: “Hospitals, communities, states, they have to make their own decisions. That’s not something we get involved in,” she replied, appearing exasperated. “We are in possibly the second-biggest surge of the pandemic if you look at wastewater levels,” said Dr. Monica Verduzco-Gutierrez, who runs a long-Covid clinic at the University of Texas, San Antonio, and has had ongoing Covid symptoms since August 2022. “There is no urgency to this. No news. No discussion in Congress. There is no education.”

[...]

Since the Biden administration declared the end of the national emergency in May, Americans across the political spectrum have largely followed the example set by the government and entirely disposed of any level of Covid precautions. Liberal and left-wing outlets have participated in the normalizing of Covid too, dismissing or even ostracizing people who still take precautions as if they are tin-hat conspiracy theorists. “We can’t be in lockdown forever,” has become a common refrain, as if wearing a mask on the subway constitutes “lockdown.” In September, Biden himself participated in the spread of this kind of harmful disinformation when he declared the pandemic “over” on 60 Minutes. “If you notice, no one’s wearing masks,” he said. “Everybody seems to be in pretty good shape.” This is, essentially, governing via “vibes”—so much for “following the science.”

[...]

The consequences of discarding all Covid precautions are becoming clearer, as more people get repeated infections and long-term symptoms, amid an alarming spike in heart problems among healthy young people. People are getting sick more often not due to the myth of “immunity debt,” which posits that the lack of exposure to other people during lockdown has made people less able to fight off infections (three years later), but because Covid weakens the immune system. Each time someone contracts Covid, the odds of long-term complications increase.

#covid19 #coronavirus #usa #democrats #biden

[stsgluver]

summary. instead of spending two weeks in a hot country, you're stuck in a cramped hotel with your boyfriend.

wc. 1.3k

tags. richly!gojo au, fluff, slightly suggestive themes but not really you've got to squint hard, swearing once

series masterlist

“i’m literally dying,” gojo whined, falling back dramatically onto the double bed in the room.

you shot him a glare from where you sat on the floor, searching through your suitcase for ibuprofen which you had grabbed in the airport’s pharmacy to help with the searing headache you had. despite his tendency to have migraines that could leave him bedridden for days, gojo had decided not to bring any painkillers just in case and that was just one of many reasons you might be killing him before the fortnight is over. “if you complain one more time you will be dead.”

you were meant to be going on a two week, all inclusive holiday with your darling boyfriend and his mega rich family in a hot foreign country, the worries of college pushed far to the back of your mind for fourteen days of pure bliss. 

but fate clearly didn’t think you’d earnt such restbite as upon arrival and taking the mandatory test, both you and gojo had tested positive for covid-19. the light sniffles he had put down to hayfever and the headache you’d assumed was just what came with having gojo satoru as a boyfriend, were in fact symptoms of the illness you both had.

so now here you were: isolating in a small hotel room until your isolation period was up, or you both tested negative. it was sparsely decorated – a double bed in the centre of the room and a television opposite. there was a small open wardrobe where gojo had dumped his suitcase and an ensuite that would just about fit your lanky boyfriend. although not the best, there was some air conditioning as well which made the stifling heat just a little bit more bearable.

the staff had given you a specific number to call if either of your symptoms got worse and food would be brought to you at specific times everyday (not like the usual room service gojo was used to where he’d order banquets of food at stupid times in the morning). there were also the morning tests that you now had to do daily which left you pathetically sneezing afterwards. all in all, nothing that you had expected for your get away.

after finally finding the medication, you quickly swallowed two pills down with a sip of water. the sooner they could kick in and actually do something to help ease your discomfort, the better.

crawling onto the double bed, gojo welcomed you with open arms and you gratefully curled into his side, throwing one of your legs over him. yes, it was boiling and yes, you were mildly irritated with your boyfriend, but you were also in pain and, for all his flaws (which he denied having any), nothing could top being held close by him. the two of you were clingy with each other at the best of times – being ill and feeling sorry for yourselves only made you both worse.

“pass me the remote,” you patted the space next to gojo blindly, too lazy to lift your head to actually search for it. it had now been almost an hour of you two cuddled up on the bed, and for the last thirty minutes gojo had been rewatching the same show over and over. whilst you headache had marginally subsided, listening to the same crappy show was only driving you insane.

“no, i like this show,” gojo whined, swatting your hand away.

“satoru,” you dragged out, muffled as you pressed your face further into his top, “you’ve watched this episode three times, you don’t need to watch it again.”

gojo hummed thoughtfully, running his hands through your hair. it was enough to make you fall asleep if you weren’t careful. “yes i do.”

“why?” you rested your chin on his chest, meeting the gaze of his bright blue eyes that sparkled as they looked down at you.

“because i’m ill.” he coughed twice for affect, sounding as pathetic as ever as he ‘checked’ himself for a fever too. 

you narrowed your eyes at him before pinching his side, causing him to let out a small yelp. “who’s fault is that?”

“covid’s.”

“no. yours,” you said pointedly, a little more alert as you relayed all the reasons why it was in fact gojo’s fault that you both had contracted this illness. “i said don’t go to geto’s party, we’re about to go on a very expensive holiday. you said but baby please please please-” you huffed, rolling back onto your back next to him defiantly. “so i gave in, as per, and now we’re–”

gojo brought his other hand to messily pat the top of your head, coaxing you to turn to face him. “i love it when you’re mad,” he was wearing a shit-eating grin that only widened when you blankly stared back at him – your annoyance radiating off of you in waves more powerful than the ones you could’ve been enjoying on the sun-ridden beach. “you’re so sexy.”

“you’re corny. and annoying,” you sat yourself up as you held out your hand, lifting a finger with each complaint, “and stupidly tall, and a pain in my ass… and i feel like you’re not even listening.” 

gojo crossed his arms behind his head as he condescendingly nodded along, gazing up at you with a lopsided smile. his top had risen up ever so slightly to expose a sliver of his abs and you hated how attractive he looked when all you wanted to do was throttle him for his childish behaviour.

“oh i’m listening baby,” he encouraged with a teasing tone, tracing small patterns on the exposed skin of your leg. “go on.” there was a fire in his wake, one that no hot weather could ever compare to, not even covid had this much of an affect on you.

“i don’t think i want to anymore,” you mumbled arms crossed as you slowly lay back down and avoided his eyes, trying not to give him any indication that you were a complete fool for his touch (like your sudden bashfulness wasn’t completely giving you away).

gojo was slow with his movements, thoughtful as he dragged his hand up along your thigh, grazing your hips, giving your waist a light squeeze as he traced the outline of your body. your breath was caught in your throat as you allowed him to do as he pleased, all previous grievances forgiven as you watched entranced. gradually, he closed the gap that you had created, shifting his body until he straddled you, holding his body up by resting on his forearms either side of your head.

gojo dipped his head down, lips milimetres from your own that you would barely even need to lift your head from the pillow to touch. his voice was an octave deeper as he spoke. “shame, i was just starting to–” 

and then he fell into a fit of very loud and very barky and very not sexy coughs. he didn’t even give you the decency of trying to limit the spread of his germs and buried his head into the crook of your neck once his coughs were over.

“mood fucking ruined,” you hit his shoulder lightly and he babbled something that was completely muffled and only tickled as his lips brushed your skin. “please let me at least change the channel so i die from this illness and not insanity.” 

gojo lifted his head up ever so slightly, just enough so that he could peck the corner of your lips and point to the spot next to you. “i slipped the remote under my pillow. tv’s all yours baby.”

a/n. I think this is like the first thing ive posted in almost a month. I MISS YOU GUYS xxx

taglist. @jar-03 @animeflower26 @hyori2

#— toru!! #satoru #gojo drabbles #gojo x reader #gojo #gojo satoru #gojou satoru x you #gojo fluff #gojou satoru #rich boy!gojo

[swampgallows]

There is more COVID-19 transmission today (January 2024) than during 94.7% of the pandemic.

💉 Please get the updated (new, not a booster) Covid vaccine. If you're in the US, ask your local pharmacy about the Bridge Access Program for free vaccines. You can also search vaccines.gov then select Bridge Access Program participant.

If you do not want an mRNA vaccine for whatever reason, consider Novavax: it is protein-based like other typical vaccines from the last few decades, and many (including myself) report minimal side effects. Talk to your doctor if you have questions or concerns.

😷 Wear a mask in public and/or any enclosed areas. "Mask" means a respirator of KN95/N95 filtration or higher, not a cloth or surgical (blue) mask. Covid is airborne, so an airtight seal and particulate filter is necessary for protection. Different kinds of respirators are used for everything from toxic fumes to asbestos removal; when worn properly, they greatly reduce risk.

Here is a guide for proper use and fitting of a respiratory mask.

Here is a short video by 3M (respirator manufacturer) on the importance of fit-testing.

🧪 Have tests ready. With the new variants it can sometimes take 5-8 days to test positive, so be sure to test twice, 48 hours apart. If you're in the US, you can get 4 free rapid tests sent to your home through USPS. Local schools and libraries also may have free rapid tests. If you qualify for the Test to Treat program, you can receive free at-home NAAT tests and treatment for both flu AND Covid, and access to telehealth. The earlier you test positive, the more likely you will be eligible for treatment with Paxlovid.

🔁 If you can afford it, air purifiers and HEPA filters can help reduce transmission. Making a Corsi-Rosenthal box is simple and inexpensive. If weather permits, keeping windows open helps. Ventilation allows fresh air to circulate.

👃 Nasal sprays and CPC mouthwash are other useful prophylactic measures when used in conjunction with PPE and other modes of mitigation like masking and distancing.

🚬There is still a risk of Covid when outside, similar to exposure from secondhand smoke or a fire. Since Covid is spread through aerosols, it can hang in the air like smoke.

🐶 As with other coronaviruses, many household pets can get Covid. If you have been exposed, avoid contact with animals.

"But I'm not old or weak. Why should I care?"

☣ Covid can still kill you or disable you for life, even if your initial sickness is "mild". Even if you are young and have no preexisting conditions. 90% of the original "long haulers" had "mild" cases.

🩺 Covid increases your risk of stroke, blood clots, and heart disease by 2 to 5 times within a year of infection. It can also cause brain damage, which is part of the loss of taste and smell and cognitive symptoms like brain fog.

🩸 Covid is able to infect multiple organ systems because it travels through the bloodstream and attacks the mitochondria, leading to dysfunction and chronic fatigue.

⚠ Reinfection doesn't make your body better at fighting Covid; it just does more damage to your immune system, akin to HIV. A damaged immune system is worse at fighting off illness, more susceptible to infection, and can lead to serious complications like pneumonia. And with every reinfection, your chances of developing Long Covid increase. Therefore, the best protection for your immune system is to avoid getting Covid as much as possible.

I know everyone is tired of this. But if there was any time to be vigilant, it is now. Please, let's protect each other.

#covid

[lesbian-disaster-academic]

Since there's been some discussion of this on a prior post I made, let's address

Neurodivergent Skill-Regression: What is it & Why Does it Happen?

Content Warning! This post will make brief mention of various topics, including: childhood abuse (not explicit), depression, suicidal ideation, car accidents, the COVID-19 pandemic, and throwing up.

Okay, let's begin with a quick preface. I'm writing from the Global North, in a capitalist economy, and in a country founded on (ongoing!) systems of colonialism. Therefore, that's how I'll be situating this discussion (just because it's what I know best). Neurodivergence and Capitalist Exploitation Under capitalism, productivity and extraction in the name of profit become of the utmost importance. Extraction can take place in the form of extracting physical resources (think fracking on Turtle Island), extracting labour, etc. Ultimately, neurodivergence itself is not an ill-formed or "bad" mind. It is only conceptualized and coded as such because capitalism and various other interlocking systems of oppression are actively hostile to minds that, in some way, subvert capitalist and colonial ideals. (however, this is not to negate, invalidate, or trivialize the fact that adhd/asd/ocd/bpd/etc. are disabilities. by their very nature, they impede and disrupt functioning. what is considered "functional", however, is determined by this capitalist/colonialist state and the things it values. this is all simply to say that we would be able to more easily exist and thrive within a society that doesn't reward self-destruction in the name of accumulating capital for the upper class) Of course, living in a system that is not built for you is going to be exhausting—it takes a toll on you, both physically and mentally. This can be further compounded if you are marginalized in other ways; for instance, if you're a person of colour, working class, a woman, 2SLGBTQ+, an immigrant, or a combination of these.

Masking and Burnout Many neurodivergent folx are forced into positions in which they have to mask. For the sake of clarity, "masking", in this case, involves concealing one's neurodivergent traits. For me, that might look like suppressing compulsions, consciously regulating my facial expressions, working longer and harder to accomplish tasks because I can't focus, or scripting conversations before I have them. These manifestations are often invisible to outsiders, but they take a heavy toll on us, and can often result in neurodivergent burnout. This is where the skill-regression comes in. An Example... Let me give you a personal example of what neurodivergent skill-regression can look like! Prior to the pandemic, I was a highly productive person. I was designated "gifted" (whatever that means) and was top of my class in every single class. I was participating in (and running) multiple clubs, working a steady job, volunteering within the community, and learning new instruments and languages. I was a skilled pianist and painter, and also very athletic. From the outside looking in, I appeared successful: I had a massive scholarship lined up at the most prestigious university in the country. I was generally well-liked. I was creative and skilled in both the humanities and STEM (mostly humanities lol), etcetera etcetera. But I was in no way okay. I was incredibly depressed and suicidal. I had multiple undiagnosed anxiety disorders and neurodivergencies. I was experiencing relentless abuse at home. I was throwing up every few days out of pure fear and stress. I was constantly sick, crying (in secret, and then later too numb to cry), overwhelmed, exhausted, and apathetic. And yet I refused to stop pushing my body and mind to their limit because I had this ingrained belief surrounding my productivity—if I slowed down, would I be worth anything? At the time, to my mind, the answer was a staunch no (even though I didn't apply this thinking to anyone but myself lol). So I repressed everything. I pushed it all to the side and kept moving forward. To put it in perspective, I got hit by a truck at one point, but I was so scared of being late to a thing and disappointing my parents that I just apologized and kept going. This kind of behaviour went on for close to a decade. And then the pandemic hit. And I was forced to stop. I was made to (by virtue of my relative privilege) take a moment to sit down, look around, and actually feel things. And it hit me like a ton of bricks: All the weight of the anger and fear and everything that I had been repressing for the sake of survival came RUSHING in. Now? You want to know what I'm like now? I am very burnt out and incredibly unproductive. I have the attention span of a gnat. Where I used to be able push through exhaustion or else tamp it down with consistently high levels of adrenaline, I now almost ALWAYS feel tired, to the point where I have to lay down. I used to be able to toss together an essay in the span of a couple hours. And, yes, while I can still put an essay together quickly, it’s not going to necessarily be good. Likewise, where I used to be able to mask my neurodivergent traits, I'm now hyperaware of how exhausting it all is, which makes it more difficult to appear neurotypical in public.

The thing is, when you have something like adhd as well as an anxiety disorder, the anxiety can pretty effectively mask the adhd. But once I started medication and more intense therapy, I got a hold on my anxiety and alllll of my coping mechanisms fell away. I no longer had that constant, vibrating fear to force me to maintain attention, and push myself to the breaking point.

It’s like not aging for 80 years and then suddenly having decades collapse into you in the span of moments. So Where Does This Leave Us? Okay, that was a loooong tangent, sorry. Returning to the original point. As the infinitely cool and talented @revenantscholar mentioned in a previous post of mine, when you exist in an unsafe environment (or one which is generally not built with you in mind), it's difficult to hold onto the skills you once had. Your body goes into survival mode and prioritizes keeping you alive. Once you have returned to a space where you can unmask and be physically/emotionally/mentally SAFE, you have the capacity to relearn some of those skills. Not all of them, necessarily, and not all at once. But these things do return—and even if they don't (listen to me, this is important), that doesn't make you stupid/bad/worthless. You are living in a world that is not built for people like you and I, and it sucks, and it's painful and scary, and we will continue to fight for a better future. In the meantime, it's important to remember that you are worthy of care, compassion, empathy, and support regardless of what you can contribute/do. You are incredibly important and I'm so glad you're here. (Thank you for listening. I'm drawing on my human rights knowledge from my degree, and also my own personal experience. However, feel free to correct me or ask any questions you might have! I'm also happy to provide resources/citations if needed. Now go drink water and rest if you need to! Ily!)

#adhd #actually adhd #actually neurodiverse #executive dysfunction #adult adhd #adhd paralysis #adhd hacks #attention deficit hyperactivity disorder #disability justice #autism #audhd #actually ocd #actually autistic #neurodivergent #neurodivergent burnout #burnout #bpd #depression #mental health #anti-capitalism #dyspraxia #dyscalculia #dyslexia #obsessive compulsive disorder #ocd #neurodivergent things #actually disabled #tw: childhood abuse #adhd skill regression #skill regression

[vague-humanoid]

Just a few days before our interview, Jill’s (Ed: not her real name) immunologist sent her to the hospital to rule out pulmonary embolism, which happens when a blood clot gets stuck in an artery of the lung. In Jill’s case it would be a Long COVID symptom amongst many others she had been battling over the last year: including swelling around the tissue of her heart, memory deficits, sudden heart-rate surges, fatigue and abnormal kidney test results.

By that point, she’d had COVID four times, despite taking stringent precautions. She was born with a primary immune deficiency. And, without a fully functioning immune system she needs weekly injections of human immunoglobulins from plasma donations. A very small viral load can make her sick and she’s at a much higher risk of severe outcomes from COVID than most people.

“Every time I catch it, it adds new layers to my disabilities,” she says. “COVID is slowly killing me.” Her haematologist believes the past COVID infections have further damaged her immune system. She is looking at a possible lupus diagnosis.

Her voice is raspy and soft over the phone. She pauses when I ask how she is doing.

“Well, I got COVID,” she says. “Again.”

At the hospital appointment several nurses were not wearing their masks properly, and one kept pulling it down to talk with Jill, who had to remove hers to get her lungs checked. As someone who is very isolated with her family — everyone works and goes to school from home — Jill believes that the appointment led to her most recent infection.

She’s always been careful with her health but in the past, she worked in the school system. By 2020 she moved to a remote position and at that time still had many options for safely connecting with those around her and she could attend health-care appointments without concern. About a year ago, nearly all restrictions were lifted in Alberta and that’s when she got her first COVID infection.

Three years in, nearly everyone she knows has moved on including — most bafflingly to her — many of the medical professionals she sees. But, Jill says, moving on is not a privilege afforded to people like her.

Recently, PCR testing became inaccessible to health-care providers, who, in the past, were able to test regularly. And while Alberta Health Services (AHS) still requires masks, any health-care settings outside AHS can make their own rules. So, once masking was no longer mandated in public settings, many dropped requirements — this includes many of the specialists seeing immunocompromised people, including those Jill now sees due to Long COVID.

“The variants have been left to run rampant and I have really become more and more scared,” she says.

“Governments are saying: Oh we can re-open because we have all these tools. But they are not available to the immunocompromised population. So, the monoclonal antibodies are no longer effective against the current variants. Because the variants are so immune-based, the vaccines were never particularly effective for immunocompromised people because of the nature of our immune systems.”

As well, Jill says that there are many contraindicated drugs that cannot be taken with Paxlovid, the drug which is used to treat COVID patients in specific circumstances. According to Health Canada, Paxlovid “is used in adults to treat mild to moderate coronavirus disease 2019 (COVID-19) in patients who have a positive result from a severe acute respiratory syndrome Coronavirus 2 viral test and who have a high risk of getting severe COVID-19, including hospitalization or death.”

She still takes the vaccines with hopes they will help, and while she believes Paxlovid is saving her life with this current infection, she says it is not a guarantee against more Long COVID symptoms. And, for the infection prior to the current one, the drug was not available due to a kidney infection caused by the virus.

“I have to access my medication, my health care. And by people not masking around me, I have no way to protect myself,” she says. “If you don’t want to wear masks as a society then you are going to leave the immunocompromised people behind.” And she says many high risk people are not able to work from home, or have their kids in online classes or maybe struggle to afford masks or air purifiers — many social and financial issues make individual protections far more challenging or impossible. She is currently in a court battle with her ex.

“He wants increased access, in-person school and group extracurricular activities. All things that put me at higher risk of infection,” says Jill.

Recently, she went to her cardiologist to find that no patients or staff were masking.

“I really realize now I have to be my own advocate,” she says.

She has to constantly think ahead. So, she now calls beforehand to see if the appointment can be done remotely or if the staff can mask. She’s also decided to start carrying around a laminated sheet that explains her medical condition as it is often something she needs to repeat at each appointment or in the emergency room. 

Like many others, she’s found ways to navigate her way around a harrowing array of risks. And yet, even with all these precautions, she can not control the actions of others which can directly affect her health.

Holly (Ed: not her real name), is retired and lives in a small community just outside Edmonton. She’s currently thinking about her next visit to her doctor, who hasn’t been taking precautions from the beginning.

“It’s exhausting always trying to get around how there is no protection for us anymore,” she says. “I’m thinking why am I made to feel crazy when my own doctor won’t wear a mask? Won’t acknowledge that it’s airborne?”

But the worst part, she claims, was that he minimized the effects of COVID, saying it was rarely an issue and only affects a certain demographic. Holly does not believe that is true, but regardless it is of little comfort when her husband, who’s in his 70s, has chronic health complications.

“I think patients are rightfully concerned, particularly when they go in for health care,” says physician Neeja Bakshi. “I think the medical community should be doing whatever we can to protect those who are coming in.”

It’s true, she says, that hospitals are no longer overwhelmed, and fewer people are dying; there is less of an acute emergency. But COVID is still circulating, people are still dying, and Long COVID (aka post COVID-19 condition) should be on everyone’s radar.

Recently, the World Health Organization announced an end to the global health emergency. But it also said earlier that “one in 10 infections result in post COVID-19 condition suggesting that hundreds of millions of people will need longer term care.”

COVID can cause organ damage — particularly affecting the heart, kidneys, skin. Plus, there’s risk of brain and immune damage, along with increased risks for cancer and autoimmune disease.

And, while no one knows yet how long that damage could persist, a study published in the Journal of the Royal Society of Medicine says 59 per cent of Long COVID patients had organ damage a year later.

In 2022, Bakshi started a Long COVID clinic at her health facility Park Integrative Health, treating patients from across Canada. Every week she completes upwards of 20 disability forms for people who need to take time off work due to the debilitating effects of Long COVID.

While certain health complications make Long COVID more likely, anyone can be affected regardless of the severity of their infection or the state of their health. The indiscriminate nature of COVID is one of the things that’s been most shocking to Bakshi. She’s treated a number of elite athletes who went from performing at a professional level to struggling to have enough energy to brush their teeth.

Many patients struggle with stigma not just from medical professionals but from family, friends and employers. It’s an invisible illness, says Bakshi, so patients may look fine and are often misdiagnosed as something psychosomatic.

“I’m immersed in the world. But I don’t feel like you can deny it exists. And I think it’s a bit of ignorance on the medical community’s part if they say they don’t know anything about Long COVID. There are very specific disease patterns and symptoms,” says Bakshi.

There is also a lack of support. The most proven management strategy for Long COVID or even any COVID infection is recovery and rest, says Bakshi. But that’s not possible for many people. Initially, in 2020, there was forced rest through quarantine periods, but that time off has become shorter, as employers don’t have to pay for employees to be off at all.

“We are not a society that is built on support. We’ve already set ourselves up to fail from a recovery perspective,” says Bakshi.

Jill has found validation in Bakshi’s clinic as one of her patients. But that experience stands out amongst a sea of specialists who have given up on precautions.

“Instead of recommending upgraded masks, air cleaners and UV, or working from home, immunologists that manage my condition recommend wearing a mask if you want and enjoying your life—as short as that may be. I am not sure if this is complacency, or giving up… Either way, education and change need to happen or far too many valuable lives will be lost and disabled unnecessarily,” says Jill.

Savvy AF.  Blunt AF.  Edmonton AF.

[phoenixyfriend]

Suggested topics to call your reps about today, 1/29/24! I've been doing two subjects per call recently; one is almost always about the events in the middle east, and then one is domestic policy. I'm including a bit of verbiage you can use as basis for what you say (if you agree with me).

BOTH SENATE AND HOUSE: Reinstate funding for UNRWA. While the claims made by Israel that employees of the relief agency were involved in Oct. 7th are troubling, this arm of the UN is currently providing food, water, shelter, and medical care to the 2.3 million displaced peoples of Gaza. It is especially disturbing and concerning that the many children of Gaza, who are already suffering due to this conflict, are now having this support revoked. FOR THE SENATE: Urge your senator to put their support behind Bernie Sanders and his motion to restrict funding to Israel until a humanitarian review of the IDF's actions in Gaza has been completed. FOR THE HOUSE: Urge your representative to put their support behind Rep. Rashida Tlaib's petition for the US government to recognize the IDF's actions in Gaza as ethnic cleansing and forced displacement, and put a stop to it.

House of Representatives: Expansion of the child tax credit. The House of Representatives is currently voting on whether or not to expand the child tax credit that was instated during COVID-19. This credit offers a return on taxes for individuals with children, but currently does not apply to families that are too poor to qualify. During COVID, this tax credit was expanded to include those families, and child poverty fell to record lows, but as it was a temporary measure, those children are getting left behind again. Given the effectiveness the expansion of this tax regulation showed in the past, it would be a net positive for the country as a whole to codify it more permanently.

Senate: Majority Leader Chuck Schumer has initiated actions against a nicotine patch company, pushing for stronger regulation on the company Zyn. They company's marketing, like many other cigarette, e-cig, vape, and nicotine gum corporations over the decades, has been uncomfortably effective on minors, and may in some cases be drawing in people who never would have touched a traditional cigarette. (This is maybe not the most pressing issue right now, but it is an issue, and it's one that the Senate is already talking about in the moment.)

#politics #fuck it I'm doing this now I guess? #phoenix politics #united states #call your reps

[sgiandubh]

The ripple effect

So finally, it would seem the news from Hollywood are not good at all. A press release from SAG-AFTRA informs us that AMPTP/TPTB chose to drop the towel after a very long negotiation process (not a good sign, in my book), that continued even after their latest unacceptable offer, as you can read down below (https://x.com/sagaftra/status/1712368110253285730?s=20):

The mainstream media (always NYT, in this house) reported also on the studios' offer, which may or may not be helpful for understanding what exactly is at stake (https://www.nytimes.com/2023/10/12/business/media/actors-strike-talks-suspended.html?searchResultPosition=2):

Now that is a very hardball, completely insolent position. I am peeling my eyes in disbelief at the idea of offering 'further protections around the use of A.I.', when it was hoped that the use of A.I. would be treated as an exception, not as future reality the industry should work 'around'. This is what really is at stake, not the almost abusive allegation of 'unbearable economic burden' (that is a mafioso pretext) an 800 million USD yearly viewership bonus would supposedly entail. The real financial impact of such a compromise solution, as disclosed by SAG-AFTRA, is negligible: 'less than 57 cents/subscriber'.

And, to make things worse, it would seem the studios deliberately lied to the press, too (it would not be the first time - we shippers know it so well, eh?):

All this circus, despite a cataclysmic impact on California's economy:

(Sourced at: https://www.nytimes.com/2023/09/21/realestate/writers-strike-rent-ny-la.html).

And that was the situation three weeks ago, when I found this article and promptly set it aside, waiting for the right moment to share it with you. And you know the situation is serious, when news like these are to be found not in the business, but in the real estate section of the newspaper. Along with this kind of comments, likely to suggest the possibility of unrest, if things go on like this:

People living in their flats without electricity or sleeping in their cars: it would seem this strike added unwanted insult to the drastic COVID injury in this particular sector of the labor market.

But what interested me the most about this whole affair was the ripple effect on the British film industry, in an attempt to see what is next for OL's Season 8. Thankfully, I didn't have to go very far and speculate more than the NYT did itself. Oh, and before Mordor starts shouting insanities, their LHR's correspondent paper, back in September, is called 'Hollywood Strikes Send a Chill Through Britain’s Film Industry' (https://www.nytimes.com/2023/09/19/business/hollywood-strikes-uk-filmmaking-industry.html):

Despite my unflappable optimism, I have to say that doesn't sound good at all, especially when you know this is precisely the case for OL, a production 'with stars who are SAG-AFTRA members' (or at least compelled to stand in solidarity with the strike, by SAG-AFTRA's own statement of conduct). I predict a very late start for the shooting of Season 8. And further unrest in the UK sector 'in the middle of next year' means that UK based and staffed productions may be fewer and less important, since that calendar announced by Equity could seriously compromise their promotion, a risk not many studios are willing to take. So less alternatives for both S&C, at least for the UK alone.

The writers' strike was a very long one - five months. I suppose the studios are willing to play for time and prefer a long stalemate of the negotiations with SAG-AFTRA, in the attempt of breaking the union consensus from the inside. With people's economies gone and the prospect of a dire, uncertain way ahead, there is no way SAG-AFTRA's compensations, mainly aimed at keeping people afloat with their rent costs, could cover the real impact on its members' everyday lives, on the long run. They would also prefer to foolishly cry over a fictitious 800 million USD 'burden' and not see the (at least) six times bigger negative impact on the local economy, which translates both in net losses of profit for thousands of businesses (mainly SMEs) and thousands of lost jobs.

And in the middle of all this, it would seem that Herself is on her way to the NYCC. Whatever for, sweet summer child, I would brazenly ask this strange, diminutive woman who started it all.

#sag aftra strike

[mariacallous]

SONNEBERG, GERMANY—First, in true German fashion, the rules were outlined: no alcohol on site, flagpoles capped at three meters, no protesting past 8 p.m. The demonstration followed, with hundreds congregated in the town square shouting insults at the incumbent government; cracking jokes at the expense of refugees, the LGBTQ+ community, and the media; and waving a sea of German flags, with a few Russian ones dotted among them.

“Anyone who dares call us Nazis will be reported to the police,” one of the protesters shouted from a makeshift stage propped up outside Sonneberg’s City Hall, a white mansion built between the world wars. “Germany first,” the protester continued, beckoning the crowds to join in singing the national anthem under a rainy, dark sky.

At 8 p.m. sharp, the crowd quickly dispersed—but they’ll be back next Monday, as they are every week. During the COVID-19 pandemic, they rallied against lockdowns. Now, they call for the overthrow of the current government coalition, and in recent months, the numbers of agitators have started to swell. Many are affiliated with the right-wing party Alternative for Germany (AfD), and although members say they strongly reject what Nazi Germany stood for, a regional chair of the party, Björn Höcke, is on trial for concluding a 2021 speech with the phrase “Everything for Germany”—a slogan widely used by the Nazis. (Under German law, the use of speech, propaganda, and symbolism associated with the Nazi Party and other terrorist groups is prohibited.)

Sonneberg district, home to 56,000 people, is where AfD has celebrated its biggest success to date: Last year, Robert Sesselmann, 51, was elected as the district administrator in a runoff with 52.8 percent of the vote, making Sonneberg the first county in Germany to elect a far-right candidate since the Nazi era. But Thuringia’s AfD branch—where Sonneberg is located—has already been questioning the legitimacy of state institutions and asserted that the Federal Republic of Germany is not a sovereign state, but rather controlled by external powers.

The Thuringia branch of the Office for the Protection of the Constitution has legally classified the AfD’s Thuringia branch as “right-wing extremist,” and the federal office is now deciding whether the party may be classified as a suspected case of right-wing extremism on the national level.

The question is pertinent, since the AfD is gaining in popularity not just in Thuringia, but nationwide. This trend picked up around the time of Germany’s last federal elections in 2021. Nationally, the AfD’s support base has grown to 22 percent, compared to 10.4 percent in 2021. Three states in the east—Thuringia, as well as Brandenburg and Saxony—head to the polls this fall, and a win for the AfD looks likely, as it’s polling around 30 percent in all three states.

“This is a stress test for Germany, and 2024 is a defining year,” said Olaf Sundermeyer, an editor at the Berlin-Brandenburg Broadcast (RBB) and longtime expert on right-wing extremism in Germany. Sundermeyer said that since the AfD was founded in 2013, “the party has continuously radicalized.”

Initially starting out as a euroskeptic party that primarily criticized the European Union’s handling of the eurozone crisis, the party—and its leadership—have continuously shifted toward more nationalist and populist positions, especially since 2015, when former Chancellor Angela Merkel welcomed around 1 million refugees into the country.

The legacy and shame of Nazi Germany continue to influence the nation’s politics, and until the AfD’s rise, German society strongly rejected far-right ideologies. But the economic impact of both the 2008 financial crisis and the 2015 refugee crisis have—at least partially—resulted in shifting public perceptions.

“The AfD has successfully managed to alter people’s perception of right-wing extremism, moving it away from its historically charged stigma of Nazism and thus effectively rendering it socially acceptable,” Sundermeyer told Foreign Policy. This, he said, is exactly what has happened in Sonneberg.

The AfD’s new heartland, a remote part of the countryside, was part of the communist German Democratic Republic until reunification in 1990. Surrounded by hills in the Thuringian Forest, Sonneberg’s cobblestone main street and stately houses date back to the Wilhelminian era before the First World War. The nearest major highway is about a half-hour’s drive.

Since reunification, scores of people have migrated westward, leaving many homes empty. Residents say that young people here struggle with drug abuse; that there are few places for them to hang out; and that public transport isn’t adequately connecting the district’s farther, remote villages, making it more difficult to access educational and job opportunities. Since reunification, the country’s east has been catching up to the former West Germany in terms of economic opportunities, but in Sonneberg—and throughout former East Germany—many people continue to feel acutely disadvantaged.

A group of young men lingering after the demonstration echoed these complaints as they chain-smoked Marlboros and packed up whistles and flags. They had opted to move into practical professions—such as construction work, plumbing, and roofing—one explained, to help “build Sonneberg, and Germany overall.”

Attending the demonstration wearing their company uniforms—grey overalls and work pants—the men were initially hesitant to speak to the Lügenpresse, or “lying, mainstream press,” as they described it. “No names please,” they asked politely after agreeing to talk. (“Lügenpresse,” a term used by the Nazis, has resurfaced in Germany’s right-wing circles, as well as among allies of former U.S. President Donald Trump.)

“People call us ‘rats,’ just because we support the AfD,” one of the men said. “There’s no freedom of speech here, no freedom of thoughts. Our country gets involved in wars we don’t want to be part of. The government manipulates the press, our German culture, and our traditions are vanishing due to mass immigration—food and energy prices have skyrocketed. It’s worse than during the German Democratic Republic, and we desperately need change—we need an alternative.” He paused to take a long drag on his cigarette, then added: “Germany is for Germans first—we can’t help others if we’re not helping ourselves.”

“It’s a possibility that the party drifts too far to the right,” he said, “and that’s certainly not what we want. We don’t want a return of Nazi times, but we need change.”

The party’s policy platform is unabashedly far right. For instance, AfD’s stance on immigration is that “the ideology of multiculturalism is a serious threat to peace and to the continued existence of the nation as a cultural unit.” The party advocates for a “German dominant culture” based on the values of Christianity instead of multiculturalism. Africa, the party’s website states, is a “house of poverty,” arguing that migration from the continent needs to be capped.

During a covert meeting last November, uncovered by independent German investigative outlet Correctiv, AfD politicians, together with neo-Nazis and several wealthy business owners, discussed the “remigration” of millions of people—including German citizen—on the basis of racial and religious criteria.

The group of young men in Sonneberg who spoke with Foreign Policy talked about the need for the “remigration” of immigrants, too, and some even had written it on signs. After the rally, though, they headed to dinner at the only restaurant still open: a kebab house owned by an Iraqi Kurd. Their waiter was a Syrian man who arrived in Germany three years ago.

According to the Federal Statistical Office, at least 28.7 percent of Germany’s population—more than 1 in 4 people—have a migration background, meaning that they immigrated to Germany themselves or were born into families with a history of migration. Migration is on the up, with 2.1 million people arriving in Germany in 2015, and 2.6 million in 2022. Germany’s coalition government has said it aims to attract 400,000 qualified workers from abroad annually to tackle labor shortages and demographic imbalances.

The desire for strong leadership is also on the rise in Germany as Russia’s war in Ukraine continues. Several of the AfD’s members have called for a separation from NATO and even the EU; many have turned to Russia, at least rhetorically, arguing that Germany needs to work with its neighbors. Sundermeyer told Foreign Policy that “the AfD is deeply anti-American but pro- Russian; anti-NATO and -EU, but in favor of turning toward alternative government structures such as authoritarianism.”

Meanwhile, German Interior Minister Nancy Faeser continuously calls right-wing extremism the “greatest extremist threat to Germany’s democracy.”

Still, for all the Sonneberg residents who voted for the AfD’s candidate, Sesselmann—who did not respond to interview requests by Foreign Policy—there are almost as many people who did not. And unless it’s during the weekly Monday demonstrations, people don’t usually flaunt their political opinions. The day after the weekly protest, at a food stall selling bratwursts during the lunch hour, conversations revolved around work, the weather, increased food and energy prices, and even Germany’s reunification—“before it, everything was better,” several people agreed.

“In Sonneberg, many voted AfD out of spite, while others don’t take an interest in politics but cast their votes for the AfD regardless,” said Regina Müller, a 61-year-old Green Party voter who owns an organic store decorated with anti-war slogans.

But, she added, “what many here don’t see is that [the AfD] are wolves in sheep’s clothing.”

[dontmeantobepoliticalbut]

At the beginning of July, Nancy Davis started feeling nauseous. The Baton Rouge resident considered COVID-19 or the flu, then decided to take a pregnancy test just in case. She saw the two blue lines denoting a positive test and ran to the living room to tell her boyfriend. They were both elated.

But their happiness was short-lived. At the first ultrasound, at Woman’s Hospital, the largest birthing center in Louisiana, the technician looked troubled and left the room. A woman in a white coat entered. Davis knew that wasn’t good.

The doctor pointed to the top of the head. There was no skull, she told Davis, an unsurvivable condition. The doctor tried to comfort her, saying this was one of the conditions that qualifies as an exception under the state’s abortion laws. Davis, about 10 weeks into her pregnancy, was still heartbroken.

“There was nothing I would have preferred more than to have this baby,” said Davis, 36. Instead, she prepared herself to pay an estimated $5,000 for an abortion at the hospital.

But that’s not what happened. Even after doctors at the hospital said they would provide an abortion once she got the diagnosis of acrania, a rare and fatal condition, from a specialist, the hospital called to tell her it would not be able to do it, she said. The hospital directed her to a Florida abortion clinic instead, or to carry the baby to term.

'MEDICALLY FUTILE'

Davis' predicament illustrates the gray area in Louisiana's new abortion law and the administrative regulations that attempt to explain it to medical professionals and the public. They all but forbid abortion, except to save the life of the mother or when the fetus is "medically futile," according to a list of conditions issued by the state.

Acrania does not appear on the state’s list of accepted conditions for abortion. But the state also has a broad exception for any “profound and irremediable congenital or chromosomal anomaly existing in the unborn child that is incompatible with sustaining life after birth in reasonable medical judgment.”

Two physicians must sign off on the anomaly. But Woman’s still said it would not perform the abortion.

“In the absence of additional guidance, we must look at each patient’s individual circumstances and remain in compliance with all current state laws to the best of our ability,” said Caroline Isemann, a hospital spokesperson, in a statement.

That's not how some doctors have interpreted the law.

'THEY JUST WON'T FUNCTION'

“Acrania, to me, is synonymous with anencephaly, and it’s on the list,” said Dr. Cecilia Gambala, a maternal fetal medicine specialist at Tulane University School of Medicine, referring to another brain and spine defect. “There is no skull.”

Gambala said that even if hospital attorneys were uncomfortable with giving the go-ahead for an abortion based on the acrania diagnosis, they could use the broad exception that the state allows for when a fetus is incompatible with life. And acrania, in Gambala's opinion, meets that description.

"Babies can be born alive, they just won't function," Gambala said. "Their heart might be beating, they can breathe, but they have no brain tissue to actually develop as far as comprehending what's happening or reacting to anything."

GUIDANCE NEEDED

Cases like this will become more common until there is more clarity surrounding the law, whether from legislation, additional guidance from the state Health Department or litigation, said Matthew Brown, a New Orleans-based attorney specializing in health care law.

“The problem is very specific,” Brown said. “And that’s why the law doesn’t address it.”

Brown said the hospital may view the fetus as currently viable because acrania is not immediately fatal and there is still a heartbeat. It also doesn’t immediately endanger the life of the mother, even though the health risks and psychological risks are significant as the pregnancy continues.

Other hospitals may see the situation differently. Until there is more clarity, scenarios like this will continue to play out, he said.

"Any pregnant woman at this point, even the ones [who] are hoping for a healthy child and planning to give birth, is facing additional uncertainty about how they're going to be cared for under bad circumstances because of this law," Brown said.

After seeing a maternal fetal medicine specialist, Davis starting researching the condition on her own. She found devastating images of infants and fetuses who looked like they were missing parts of their heads. She read that babies with acrania are stillborn or die shortly after birth, just like her doctors told her.

“I haven’t run across a case where these babies live,” Davis said.

TIME IS RUNNING OUT

The nearest abortion clinic that can take Davis is an eight-hour drive, and would require a week's stay because she needs a consultation before the procedure.

“I can’t just get up and shoot out; I have kids,” said Davis, who has a 13-year-old and a 1-year-old and no transportation, after a hit-and-run wreck totaled her car a few months back.

Florida also bans abortions after the 15th week of pregnancy, and Davis is now nearing 14 weeks. The next-closest state, North Carolina, is a 15-hour drive.

In desperation, Davis visited Care Pregnancy Clinic, a pregnancy crisis center that discourages abortions, on Flannery Road. Staff gave her information on how to bury the baby and said their prayers were with her.

“It makes me feel horrible, like I’m alone in this,” Davis said. “It makes me feel like they just threw me to the wolves.”

After being told to go to Florida, Davis said she wanted other people to know how laws decided in the Louisiana Legislature play out in real life.

“I never in a million years thought it would affect me like this,” she said. “It seems like Louisiana is the hardest place right now to get that done. They don't even wanna say that word.”

#us politics #news #tweet #twitter #@davenewworld_2 #Louisiana #abortions #abortion bans #Florida #north carolina #nola.com #nola #acrania #stillborn #anencephaly #non-viable fetus #abortion is a human right #abortion is healthcare #2022 #reproductive rights are human rights #reproductive health #reproductive rights

[beardedmrbean]

Who knew? Nearly three and a half years after Covid-19 first appeared on the scene, the World Health Organisation has declared the pandemic officially over.

And there we all were thinking it had ended more than a year ago, when the UK and much of the rest of Europe abandoned the last of their Covid restrictions.

Late to recognise Covid as a pandemic, the WHO has also been late to acknowledge that thanks in large measure to Western medicines and vaccines, it is also now essentially part of history.

Perhaps that's because of the continued influence of China, which only very recently abandoned its zero-Covid policy.

As long as a major economy was still imprisoning its citizens at the slightest sign of infection, then I suppose it was indeed hard to declare the disease no longer a public health emergency.

For most of us, the pandemic has nevertheless been over for a long time now. 

The grimly dispiriting legacy is, however, still very much with us. 

In the UK, the national debt is a fifth of GDP higher than it was, inflation has soared to double digits, economically sub-optimal work from home remains deeply entrenched, labour shortages abide, and many people still complain of long term sickness – much of it unrelated to Covid as such but seemingly triggered by the pandemic's deprivations – with record numbers claiming out of work benefits.

The Government's response to Covid always looked to me like a ruinous over-reaction, and I became something of a lockdown sceptic.

I say “something of” because in the initial stages of the pandemic – call it the “we're all going to die” phase – something fairly dramatic was obviously called for, watching the TV images of emergency hospitals being built in Wuhan and overwhelmed ICU units in Northern Italy.

Politically, it would have been virtually impossible for the UK to have stood alone in remaining open even as virtually the whole of the rest of Europe was closing down. 

The Government would have fallen within weeks if it had stood by and done nothing. 

Even Sweden, which seems to have got its approach about right, eventually implemented a watered down version of the restrictions imposed elsewhere.

Instinctively, Boris Johnson, then Prime Minister, was against lockdown, preferring instead the idea of “herd immunity”, but then he became seriously ill himself, and ended up fully embracing the made-in-China response.

For some, such as the former Supreme Court judge Lord Sumption – who would regularly warn of police state authoritarianism – the objection was on principled libertarian grounds.

This was, however, very much a minority position. One of the most remarkable things about the whole sorry affair is quite how compliant the country proved, and how quickly we succumbed to instruction. 

Somewhat alarmingly, it turned out that supposedly freedom loving societies are remarkably willing to submit to authoritarian rule, especially if paid to stay at home, as was the case with furlough in the UK. 

Even the Government was surprised by the obedience.

Yet it was always abundantly clear that these were essentially temporary, wartime measures that would be lifted once the emergency was over, so on those grounds at least, most of us were initially willing to go along with the heavy handed approach imposed.

No, what worried me was not so much the loss of liberty as the economic impact, and once the case mortality rate was confirmed at less than 1 percent for advanced economies, the lack of proportionality and cost benefit consideration. 

I could never quite accept the argument that what was being done was similar to putting the economy into a medically induced coma, with the patient reawoken as if nothing had happened once the pandemic was over. 

As we can now see, the lasting damage was monumental.

It would no doubt have been disastrous had the health service been overwhelmed, but when the main justification for lockdown becomes the rallying call of “protect the NHS” you have to ask yourself what the whole thing was really all about. 

Insulating the health service from a sickness it is there to treat?

You cannot put a price on life, it can be argued, and therefore almost any cost is justified. It is also true that in the fog of war, mistakes are bound to be made; over-reaction is possibly better than under-reaction.

All the same, it now seems abundantly clear that the treatment was in many ways worse than the disease itself. We'll never know the counterfactual, or just how many lives were saved by imposing a strict series of lockdowns.

Most epidemiologists will tell you that it was a lot. 

But they are not paid to think about the wider consequences, and it is now patently clear that the lasting damage to education, the economy and to wider public health was off the scale.

What are the lessons? We don't need to wait for the results of the official inquiry, still years away, to know some of the answers. 

Let's make a start by examining the death toll, reported on a daily basis during the pandemic as if in some kind of international competition for how effectively each country was dealing with the crisis.

For a long time, Britain seemed to be bottom of the class, which in turn instructed the severity of the counter measures thought necessary. 

The worse the numbers looked relative to others, the more draconian and prolonged the restrictions became.

Given differing methodologies and reporting systems, the best way of measuring the impact is not through recorded deaths from Covid, but via the excess death rate over and above what would normally be expected. 

On this measure, most major advanced economies ended up in much the same place.

Britain was slightly worse than Germany and France, but not significantly so, and actually quite a bit better than Italy and Spain, according to estimates published in the Lancet. 

This was not the impression you got at the time, when the British response was widely viewed as uniquely incompetent. 

What is more, Scotland did worse than England, notwithstanding the plaudits the first minister, Nicola Sturgeon, received for outbidding Westminster on the countermeasures needed. 

The same is true of Wales, whose first minister, Mark Drakeford, was similarly lauded for a more restrictive and therefore seemingly capable approach. 

Well, not according to the numbers.

Culture wars, I'm afraid to say, are as likely to determine your view of the efficacy of lockdown as the underlying facts of the matter.

What we now know, however, is that lockdown is an extraordinarily costly way of dealing with a pandemic. 

It is to be hoped that this lesson at least has been learned, and that the response to future pandemics will therefore be better calibrated to the severity of the disease. 

A 1pc case mortality rate scarcely seems to justify what was done, even if it was admittedly much higher in older age cohorts.

A more consensual approach that keeps people properly informed but allows them to make their own choices on the degree of risk they are prepared to run must be the way forward.

#nunyas news #who knew? #lots of people did and you censored them #anyone that spoke out was ejected from the room

[covidsafehotties]

Preprint accepted April 25, 2024

Abstract

The COVID-19 pandemic emphasized the need for pandemic preparedness strategies to mitigate its impacts, particularly in the United States, which experienced multiple waves with varying policies, population response, and vaccination effects. This study explores the relationships between county-level factors and COVID-19 mortality outcomes in the U.S. from 2020 to 2023, focusing on disparities in healthcare access, vaccination coverage, and socioeconomic characteristics.

We conduct multi-variable rolling regression analyses to reveal associations between various factors and COVID-19 mortality outcomes, defined as Case Fatality Rate (CFR) and Overall Mortality to Hospitalization Rate (OMHR), at the U.S. county level. Each analysis examines the association between mortality outcomes and one of the three hierarchical levels of the Social Vulnerability Index (SVI), along with other factors such as access to hospital beds, vaccination coverage, and demographic characteristics.

Our results reveal persistent and dynamic correlations between various factors and COVID-19 mortality measures. Access to hospital beds and higher vaccination coverage showed persistent protective effects, while higher Social Vulnerability Index was associated with worse outcomes persistently. Socioeconomic status and vulnerable household characteristics within the SVI consistently associated with elevated mortality. Poverty, lower education, unemployment, housing cost burden, single-parent households, and disability population showed significant associations with Case Fatality Rates during different stages of the pandemic. Vulnerable age groups demonstrated varying associations with mortality measures, with worse outcomes predominantly during the Original strain. Rural-Urban Continuum Code exhibited predominantly positive associations with CFR and OMHR, while it starts with a positive OMHR association during the Original strain.

This study reveals longitudinal persistent and dynamic factors associated with two mortality rate measures throughout the pandemic, disproportionately affecting marginalized communities. The findings emphasize the urgency of implementing targeted policies and interventions to address disparities in the fight against future pandemics and the pursuit of improved public health outcomes.

#public health #mask up #covid #covid 19 #covid isn't over #pandemic #covid conscious #covid is airborne #wear a mask #coronavirus

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When will Biden require a positive test for anyone traveling from NYC to the US? [30 Dec 22]

[themedicalstate]

Cognitive impairment from severe COVID-19 equivalent to 20 years of ageing

Cognitive impairment as a result of severe COVID-19 is similar to that sustained between 50 and 70 years of age and is the equivalent to losing 10 IQ points, say a team of scientists from the University of Cambridge and Imperial College London.

The findings, published in the journal eClinicalMedicine, emerge from the NIHR COVID-19 BioResource. The results of the study suggest the effects are still detectable more than six months after the acute illness, and that any recovery is at best gradual.

There is growing evidence that COVID-19 can cause lasting cognitive and mental health problems, with recovered patients reporting symptoms including fatigue, ‘brain fog’, problems recalling words, sleep disturbances, anxiety and even post-traumatic stress disorder (PTSD) months after infection. In the UK, a study found that around one in seven individuals surveyed reported having symptoms that included cognitive difficulties 12 weeks after a positive COVID-19 test.

While even mild cases can lead to persistent cognitive symptoms, between a third and three-quarters of hospitalised patients report still suffering cognitive symptoms three to six months later.

To explore this link in greater detail, researchers analysed data from 46 individuals who received in-hospital care, on the ward or intensive care unit, for COVID-19 at Addenbrooke’s Hospital, part of Cambridge University Hospitals NHS Foundation Trust. 16 patients were put on mechanical ventilation during their stay in hospital. All the patients were admitted between March and July 2020 and were recruited to the NIHR COVID-19 BioResource.

The individuals underwent detailed computerised cognitive tests an average of six months after their acute illness using the Cognitron platform, which measures different aspects of mental faculties such as memory, attention and reasoning. Scales measuring anxiety, depression and post-traumatic stress disorder were also assessed. Their data were compared against matched controls.

This is the first time that such rigorous assessment and comparison has been carried out in relation to the after effects of severe COVID-19.

COVID-19 survivors were less accurate and with slower response times than the matched control population – and these deficits were still detectable when the patients were following up six months later. The effects were strongest for those who required mechanical ventilation. By comparing the patients to 66,008 members of the general public, the researchers estimate that the magnitude of cognitive loss is similar on average to that sustained with 20 years ageing, between 50 and 70 years of age, and that this is equivalent to losing 10 IQ points.

Survivors scored particularly poorly on tasks such as verbal analogical reasoning, a finding that supports the commonly-reported problem of difficulty finding words. They also showed slower processing speeds, which aligns with previous observations post COVID-19 of decreased brain glucose consumption within the frontoparietal network of the brain, responsible for attention, complex problem-solving and working memory, among other functions.

Professor David Menon from the Division of Anaesthesia at the University of Cambridge, the study’s senior author, said: “Cognitive impairment is common to a wide range of neurological disorders, including dementia, and even routine ageing, but the patterns we saw – the cognitive 'fingerprint' of COVID-19 – was distinct from all of these.”

While it is now well established that people who have recovered from severe COVID-19 illness can have a broad spectrum of symptoms of poor mental health – depression, anxiety, post-traumatic stress, low motivation, fatigue, low mood, and disturbed sleep – the team found that acute illness severity was better at predicting the cognitive deficits.

The patients’ scores and reaction times began to improve over time, but the researchers say that any recovery in cognitive faculties was at best gradual and likely to be influenced by a number of factors including illness severity and its neurological or psychological impacts.

Professor Menon added: “We followed some patients up as late as ten months after their acute infection, so were able to see a very slow improvement. While this was not statistically significant, it is at least heading in the right direction, but it is very possible that some of these individuals will never fully recover.”

There are several factors that could cause the cognitive deficits, say the researchers. Direct viral infection is possible, but unlikely to be a major cause; instead, it is more likely that a combination of factors contribute, including inadequate oxygen or blood supply to the brain, blockage of large or small blood vessels due to clotting, and microscopic bleeds. However, emerging evidence suggests that the most important mechanism may be damage caused by the body’s own inflammatory response and immune system.

While this study looked at hospitalised cases, the team say that even those patients not sick enough to be admitted may also have tell-tale signs of mild impairment.

Professor Adam Hampshire from the Department of Brain Sciences at Imperial College London, the study’s first author, said: “Around 40,000 people have been through intensive care with COVID-19 in England alone and many more will have been very sick, but not admitted to hospital. This means there is a large number of people out there still experiencing problems with cognition many months later. We urgently need to look at what can be done to help these people.”

Reference; Hampshire, A et al. Multivariate profile and acute-phase correlates of cognitive deficits in a COVID-19 hospitalised cohort. eClinicalMedicine; 28 Apr 2022; DOI: 10.1016/j.eclinm.2022.101417

Source: University of Cambridge. Image: GettyImages.

#science #medicine #academia #health #healthcare #medblr #infectious diseases #mental health #neuroscience