Apr 15, 2021

COVID-19 Update

World
New Cases:  811,899 (⬆︎ .59%)
New Deaths:    13,551 (⬆︎ .46%)

USA
New Cases:   78,876 (⬆︎ .25%)
New Deaths:       921 (⬆︎ .16%)

Vaccination Scorecard
Total Vaccinations:           123.9 million (⬆︎ 1.31%)
Total Eligible Population:   46.4%
Total Population:                37.3%




People are trying to look forward to better times. We can hope they're not all ignoring the dangers of the right here right now.


How Epidemiologists Are Planning to Vacation With Their Unvaccinated Kids

The pandemic has made it tough for families to figure out safe travel options. So we asked some experts what they’re doing this summer.

Families are facing a dilemma this year: They’re itching to take a summer vacation, but their kids aren’t vaccinated. What to do?

The mental gymnastics involved in answering this question are exhausting. Our decision-making is clouded by unanswered questions about immunity, virus mutations and what case numbers will look like in the summer.

The most conservative approach would be to wait awhile longer and see how things shake out. But people are burned out from lockdowns, and vacation venues are selling out. At this point, all we really want to know is: What can we do this summer?

So we asked epidemiologists and other public health experts — a pretty cautious group — what they’re planning for their own summer vacations. Here are a few takeaways.

First, figure out what feels safe to you.

Does the thought of getting on a plane make you feel queasy? Or are you itching to be 35,000 feet in the air? Each family must figure out its own appetite for risk, the experts said.

Dr. Anthony S. Fauci, President Biden’s chief medical adviser for Covid-19, said in an interview on Monday that he is hoping to have “a little family reunion” in the summer with his adult daughters, after everyone gets vaccinated, “if things calm down the way I think they will.”

“One of them I haven’t seen in over a year, the others I haven’t seen in almost a year. I think that’s going to be my big plan in July,” Dr. Fauci said.

Even among experts, there is some uncertainty about the summer.

Jennifer Nuzzo, the lead epidemiologist for the Johns Hopkins Coronavirus Resource Center, is planning to travel domestically this year with her family — though they’ve held off on picking a spot as they gather information on what locales might pose more or less danger of exposure.

In her “exposure budget” she said she was prioritizing risks that had a clear benefit to the health and development of her kids, who are 4 and 7, such as visits with extended family.

The health of your family members is also a big consideration.

“We are very conservative as far as our risk level,” said Tara C. Smith, a professor of epidemiology at the Kent State University College of Public Health, in Ohio, who will be vacationing with younger relatives who aren’t yet eligible for vaccination and have health conditions. It’s not clear why some kids get very sick from Covid and others don’t, she said, and the possibility of a coronavirus infection is “not something that I want to deal with just because we tried to go and have some fun.”

Is it safe to travel?

Although the Centers for Disease Control and Prevention has spent the better part of a year discouraging nonessential travel to prevent further virus transmission, last week the agency announced that fully vaccinated people can now travel safely on mass transportation, including planes, in the United States.

But at a White House news conference announcing the new guidance, C.D.C. officials hedged, saying that they would prefer that people avoid travel because of the rising number of coronavirus cases, even though domestic travel is considered “low-risk” for those who are fully vaccinated. Most of the experts we spoke with plan to drive to their destinations, in part because their children are not vaccinated.

Sadie Costello, an occupational and environmental epidemiologist at the School of Public Health at the University of California, Berkeley, has two road trips planned — a camping trip with friends where the adults are vaccinated and the kids are not, and a family trip to a rental vacation house with a private pool.

“It’s a balance between Covid safety and mental health,” said Dr. Costello, who has two children, ages 10 and 14.

If your family does decide to fly, take precautions to lower the risk of getting infected. While traveling, make sure that everyone in your group 2 and older wears a mask, stay six feet from people outside your household, avoid crowds and wash your hands frequently or use hand sanitizer.

The C.D.C. recommends that all unvaccinated people get a coronavirus test one to three days before any trip and again three to five days after it’s over. They should also self-quarantine for seven days after a trip if they get tested and for 10 days if they do not get tested, the agency said.

Shorter flights where passengers remove their masks less often for snacks or drinks are most likely safer, the experts said.

“The few instances of documented transmission on airplanes were long flights,” said Dr. Arthur L. Reingold, the head of the epidemiology division at the University of California, Berkeley, School of Public Health.

The experts we spoke with are not planning to travel abroad, in part because cases continue to surge in many part of the world, and because there are strict protocols for re-entering the United States.

Where should we stay?

You don’t necessarily need to sequester in your hometown, go camping or rent a house with a private pool like you might have done last year — although those are all fine, lower-risk options. Hotels or resorts can be safe for families, too, provided that you ask yourself a crucial question: Can you take the right precautions and keep distance between your family and other people while you’re there?

Think about the various spots within a hotel or its surroundings where you or your family would be most likely to get infected, suggested Dr. Abraar Karan, an internal medicine physician at the Brigham and Women’s Hospital and Harvard Medical School.

It might be in a crowded elevator, an indoor restaurant or the lobby. If you are traveling with people who aren’t fully vaccinated, try to avoid these areas as much as possible, he said.

Whitney R. Robinson, an associate professor of epidemiology at the Gillings School of Global Public Health at the University of North Carolina at Chapel Hill, is hoping to vacation in South Carolina this summer with relatives she hasn’t seen for more than a year — provided that case numbers are low.

She plans to do mostly outdoor activities during the trip, and said she and her kids, who are 2 and 6, will avoid indoor dining or long, lingering meals.

But Dr. Robinson has already started imagining other potential scenarios: If it rains, for example, they can gather indoors but will open all the windows. When indoors, “I’ll probably try to wear masks and have my kids wear masks,” she said.

If you’re staying at a resort and plan to use a kids club that provides child care and organized activities, be sure to ask a lot of questions beforehand, the experts advised. Ideally you’d want the kids to wear masks, play in small groups at least six feet apart from one another and spend most of the time outdoors.

“It’s similar to a school environment — but with the big difference that it’s bringing together people from totally different networks from all around the world,” Dr. Robinson said. “Personally, it’d be a ‘no’ from me.”

Do we need masks while vacationing outdoors?

If you’re outdoors in a crowded place where your family cannot maintain six feet of distance from people outside your household, wearing a mask is still a good idea for your kids and yourself, too, even if you’re fully vaccinated.

But if you are outdoors and can maintain distance from other people, the risk of infection is very low if you choose not to wear a mask outdoors, regardless of whether you’re vaccinated or not, the experts said.

“If you’re more than six feet from somebody outdoors, I don’t think your mask is going to make that much of a marginal difference at that point, because the risk is already so low,” Dr. Karan said.

“The pool is a question mark,” said Dr. Smith, who said most of her vacation will be spent at the beach. “If it’s very crowded we won’t be going into it.”

What if we need to change our minds?

All the experts we spoke with said you should be prepared to pivot if infections are on the rise.

“Surges may result in more restrictions,” which could be local or more widespread, and could affect mass transit, said Karen Edwards, chairwoman of the department of epidemiology and biostatistics at the University of California, Irvine.

“If you are set on travel that would include flying to specific destinations, including international destinations, then I would be prepared to change those plans and have a backup that would still give you and your family a much-needed break and change of scenery,” she added.

Dr. Nuzzo agreed that everyone should be aware of the possibility of a fourth surge, but she remained optimistic.

“My mental picture of the summer is that we’re going to be in a much better place than we are now,” she said.

There's reason to be cautiously optimistic, because we're kinda in the back stretch as vaccinations start to overtake the spread, but there's even greater reason for prudence because the idiocracy is always with us. So -

DO WHAT YOU NEED TO DO
JUST DON'T GET STOOPID

Apr 14, 2021

Announcement

Google says they're dropping the Follow-By-eMail gizmo as of July 2021.

And like a dope, I went in to edit it - which it wouldn't let me do - and I ended up deleting it.

Sorry 'bout that.


COVID-19 Update

World
New Cases:   735,558 (⬆︎ .54%)
New Deaths:    12,882 (⬆︎ .43%)

USA
New Cases:   77,720 (⬆︎ .24%)
New Deaths:       819 (⬆︎ .14%)

Vaccination Scorecard
Total Vaccinations:           122.3 million (⬆︎ 1.24%)
Total Eligible Population:    45.8%
Total Population:                 36.8%




I can't say I don't care - even about a buncha whiny-butt pussies who piss-n-moan about "lockdowns", and then refuse to do the one thing that gets us all out of lockdown mode.

But I'm really really really sick of having to babysit these assholes. Learn yourself up or fuck the fuck off.

Early 1970s - the Ford Pinto had an annoying tendency to explode when crashed into from behind. Nobody freaked out and told us they'd never drive any car ever again.

Airliners crash once in a while - usually killing everyone on board. We still fly commercial.

Every year, we see over 100,000 gun casualties, with 30,000 dead. And you know there's a big overlap between ammosexuals and anti-vaxxers - how many of these fucking idiots are also swearing off guns?


Vaccine pause threatens to worsen ‘hesitancy’ problem

The pause in distribution of the Johnson & Johnson vaccine this week threatens to create a significant hurdle to President Biden’s campaign to combat “vaccine hesitancy,” just as the administration approaches a critical point in its efforts to persuade Americans wary of getting vaccinated.

Many of those eager for a coronavirus vaccine have now received one, and officials are increasingly focused on rural and minority communities suspicious of the vaccines’ safety. Officials’ decision to halt distribution of a vaccine, however cautionary, following potentially serious side effects, however rare, could set back those efforts, public health experts said.

Compounding the challenge, the Johnson & Johnson vaccine has been central to Biden officials’ strategy for inoculating skeptical and hard-to-reach populations. Unlike other authorized vaccines, Johnson & Johnson’s version does not need to be stored at ultracold temperatures and, crucially, it requires only one dose.

“This is devastating,” said Frank Luntz, a longtime GOP pollster who has been working to win over vaccine-hesitant Republicans. “At the very moment that conservatives were starting to reconsider their hesitancy, they are told that their fears are real and justified. Right now, there are thousands of people saying, ‘See, I told you so.’ ”

Biden officials were quick to minimize the impact of the pause, which was enacted as authorities reviewed reports of six U.S. cases of a rare but severe type of blood clot among the approximately 7 million people who received the shot.

They noted that only a small fraction of Americans have received the Johnson & Johnson vaccine and stressed that the administration remains on track to meet its inoculation goals even without it, given the ample supplies of the Pfizer-BioNTech and Moderna vaccines.

“This announcement will not have a significant impact on our vaccination program,” Jeffrey Zients, Biden’s coronavirus response coordinator, said in a hastily arranged appearance in the White House briefing room on Tuesday, adding that the country has “more than enough” of the other vaccines to continue the current rate of 3 million shots a day.

Later in the day, Biden added that the need for a pause reaffirmed his strategy to acquire extra doses for the federal program and to hold on to them even as pressure has built to send supply abroad.

“I made sure we have 600 million doses,” Biden told reporters in the Oval Office, referring to the Pfizer and Moderna vaccines. “So there’s enough vaccine that is basically 100 percent unquestionable for every single, solitary American.”

But in a tacit recognition of the need to address constituencies already skeptical of the coronavirus vaccines, Biden officials fanned out talk to target audiences.

Surgeon General Vivek H. Murthy was booked to appear Tuesday night on TV programs run by the right-leaning Sinclair Broadcast Group and Gray Television to discuss the Johnson & Johnson safety review. The two news organization have programming in many local media markets.

José Montero, a top official at the Centers for Disease Control and Prevention, went on Univision and Telemundo to reach Latino audiences.

Members of Biden’s coronavirus response team also held a call with more than 2,300 members of their “community corps,” a group the White House has collected of “trusted messengers.” Senior administration officials briefed prominent Black physicians. Top CDC and Food and Drug Administration officials reached out to key members of Congress. And the CDC held a call with top doctors and plans to brief clinicians on their decision, the White House said.

“People are very eager to see how we react to this. Do we put the data out? Do we try to sweep it under the rug? Do we contextualize it?” said Andy Slavitt, the White House’s senior adviser for the coronavirus response. “The approach we’ve chosen to take is one that is very much fact-based, very much conversation-based and very much ‘give people the real information.’ I think that’s all you can do.”

Various groups of Americans are reluctant to take the coronavirus vaccine for different reasons.

Many African Americans remember the decades of mistreatment of Black patients at the hands of the medical profession. Some conservatives are wary of any government-sponsored push aimed at influencing Americans’ behavior. Others worry that the coronavirus vaccines were approved too quickly. Still others subscribe to unfounded conspiracy theories about the vaccines’ purpose.

Tuesday’s announcement could play into all of those anxieties, public health experts said.

“We’re very concerned that this announcement for very rare side effects could have a disproportionate impact in triggering and bringing fears to the surface,” said Douglas Kriner, a government professor at Cornell University who has studied vaccine hesitancy.

Kriner said survey respondents had raised questions about coronavirus vaccines that ranged from understandable to improbable. “Four percent of people volunteered in an open-ended question that death was a common side effect” of getting vaccinated, Kriner said.

The dilemma now facing U.S. officials parallels a problem that European leaders grappled with last month, after regulators paused AstraZeneca’s coronavirus vaccine for safety reviews, prompted by similar reports of rare blood clots.

The European Medicines Agency, the continent’s top regulator of pharmaceuticals, ultimately reaffirmed that the AstraZeneca vaccine was safe and effective. But polls found that public trust in the shot significantly declined in Europe after the episode.

British Prime Minister Boris Johnson, French Prime Minister Jean Castex and German President Frank-Walter Steinmeier all publicly received AstraZeneca shots in subsequent days as officials rushed to shore up confidence in the vaccine.

But because so many American leaders — including Biden, Vice President Harris and former president Donald Trump — have already been vaccinated, it is not clear whether American officials can use a similar strategy.

Slavitt cited significant differences between the European situation and the current pause. In many parts of Europe, he said, the AstraZeneca vaccine was the sole shot available, and the message from European authorities was sometimes contradictory.

“It just got confusing,” Slavitt said. “Confusion hurts you in this kind of situation, and I think if we avoid that we will minimize unnecessary damage.”

Leslie Francis, a medical ethicist at the University of Utah, agreed that being clear and transparent about a rare vaccine side effect is what public health officials should be doing. She said she believes a key reason officials are pausing the vaccine is for general public messaging.

“People want to make super sure no one has a reason to be suspicious of vaccination,” Francis said. “I think that reason is a really strong reason. It’s so important to seem trustworthy and to be trustworthy. It’s about bending over backwards about vaccines.”

Anthony S. Fauci, the director of the National Institute of Allergy and Infectious Diseases, played down the impact of the announcement on groups hesitant to get a vaccine.

He noted that about 120 million Americans have received shots, and that the majority were made by Pfizer or Moderna.

“There have been no red-flag signals from those,” Fauci said. “So you’re talking about tens and tens and tens of millions of people who receive vaccine with no adverse effect. This is a really rare event.”

When the pause was announced Tuesday morning, it prompted an immediate round of questions from governors who were participating in a regularly scheduled Tuesday call with the White House coronavirus response team.

Several of them raised concerns about whether it would damage their efforts to combat vaccine hesitancy. “Folks came in pretty hot,” said one person who was on the call, who spoke on the condition of anonymity to discuss a private conversation.

Nebraska Gov. Pete Ricketts (R), who was on the call, said he pushed the White House officials to keep the pause as brief as possible. “Your chance of dying from covid is much greater than the one in a million chance of developing this thrombosis from the vaccine,” Ricketts said.

He added that many in his rural state prefer the Johnson & Johnson vaccine because it only requires one dose and because it is more easily stored.

Trump weighed in with a statement decrying the decision to suspend distribution of the Johnson & Johnson product, saying it had proved “extraordinary” and warned that its “reputation will be permanently damaged” by the action.

He also predicted that those who have already taken the Johnson & Johnson vaccine will now be “up in arms” and suggested, without any evidence, that the pause was a political decision designed to help Pfizer, a company that Trump has railed against for failing to produce a vaccine ahead of the November election.

The Johnson & Johnson vaccine was authorized for emergency use in late February.

A senior administration official, who spoke on the condition of anonymity to speak frankly about a delicate situation, said the episode shows the strength of the system, not its weakness.

The clinical trials for the Johnson & Johnson vaccine included tens of thousands of people, the official said, but it would not necessarily have detected a problem that could be as rare as one in a million.

“If you’re on an airplane, the gold standard doesn’t mean you don’t run into turbulence,” the official added. “The gold standard means that you have practices and tools for dealing with situations that occur and minimize the damage.”

Some public health experts backed up this contention.

“This should add to our confidence, not shake it — even for six cases, the Biden administration made the decision to prioritize safety,” said Brian Castrucci, an epidemiologist who leads the de Beaumont Foundation, a public health organization. “What concerns me most is how this moment, these data, will be weaponized by those interested in sowing seeds of doubt in the vaccine.”


I really do care about you though - it's just that sometimes I show my love by poking you with a sharp stick.

Apr 13, 2021

Taking A Shot At It

Trae Crowder, suggesting a little reverse psychology.

Overheard

"The officer isn't a racist asshole, she's just dangerously incompetent" is not the slam dunk defense you might think it is.


Shit's Gotta Change

Trevor Noah - The Daily Show

Today's Tweet



Quick Thought

A million years ago, I sat in a classroom at Arvada West High School and listened to a veteran of the Colorado State Patrol as he told us - with more than a touch of real pride - that in his whole career, he'd never drawn his weapon.

The guy had been a cop longer than I'd been alive.

He told us straight out that under any but the most dire circumstances, drawing your weapon meant you'd failed at your job as a peace officer.

COVID-19 Update

World
New Cases:   588,258 (⬆︎ .43%)
New Deaths:      8,803 (⬆︎ .30%)

USA
New Cases:   56,522  (⬆︎ .18%)
New Deaths:       460 (⬆︎ .08%)

Vaccination Scorecard
Total Vaccinations:           120.8 million (⬆︎ 1.34%)
Total Eligible Population:    45.2%
Total Population:                 36.4%




It's to be taken seriously and we want to be sure there are as many safeguards in place as possible while still being able to deliver the necessary services to people.

So now, lemma just say - fuck the anti-vaxxers and the whiny-butt vaccine-reluctant pussies who're are sure to go swarming across the intertoobz to make another mess because of this, and to delay the efforts to get this fucking monster under control.


FDA, CDC call for pause in use of Johnson & Johnson vaccine after six reported cases of rare blood clots


Federal health officials on Tuesday called for a pause in the use of the Johnson & Johnson coronavirus vaccine, saying they are reviewing reports of six U.S. cases of a rare and severe type of blood clot in people after receiving the vaccine.

All six cases occurred among women between the ages of 18 and 48, and symptoms occurred six to 13 days after vaccination, according to a statement issued by the Food and Drug Administration and the Centers for Disease Control and Prevention.

The CDC will hold a meeting Wednesday of its Advisory Committee on Immunization Practices to review the cases and assess their potential significance, the statement said. The FDA will continue to investigate the cases.

“Until that process is complete, we are recommending a pause in the use of this vaccine out of an abundance of caution,” the statement said. “This is important, in part, to ensure that the health care provider community is aware of the potential for these adverse events and can plan for proper recognition and management due to the unique treatment required with this type of blood clot.”

The type of clot, called cerebral venous sinus thrombosis, was seen in combination with low levels of blood platelets, the agencies said. Treatment is different from what might typically be administered; while usually an anticoagulant called heparin is used to treat blood clots, it is dangerous to give heparin in this situation. Alternative treatments need to be given, they said.

The officials said the clots “appear to be extremely rare.”
They said people who have received the Johnson & Johnson vaccine who develop severe headache, abdominal pain, leg pain or shortness of breath within three weeks after vaccination should contact their doctor.

The rare blood clots, paired with low levels of platelets, were first detected in people in Europe who had received the vaccine developed by AstraZeneca and the University of Oxford. European regulators said it was “plausible” that the clots were linked to that vaccination and have also been reviewing four similar clotting cases after vaccination with the Johnson & Johnson vaccine, which uses a similar technology.

In a statement, Johnson & Johnson spokesman Jake Sargent said the company shares all adverse event reports about individuals who receive the vaccine with health authorities.

“At present, no clear causal relationship has been established between these rare events and the Janssen COVID-19 vaccine,”
Sargent said. “We continue to work closely with experts and regulators to assess the data and support the open communication of this information to healthcare professionals and the public.”

Apr 12, 2021

Today's Tweet



I laughed. I cried. I threw things.