Feb 4, 2022

Overheard


"Look, if the power's out, and you're cold, just throw some books in the fireplace - you'll be OK."
Gov Greg Abbott (R-TX)


(no, not really)

Today's Poem

Meditations Before Kaddish, from the Mishkan T’filah

When I die give what’s left of me away
to children and old men that wait to die.

And if you need to cry,
cry for your brother walking the street beside you.

And when you need me, put your arms around anyone
and give them what you need to give me.

I want to leave you something,
something better than words or sounds.

Look for me in the people I’ve known or loved,
and if you cannot give me away,
at least let me live in your eyes and not your mind.

You can love me best by letting hands touch hands,
and by letting go of children that need to be free.

Love doesn’t die, people do.
So, when all that’s left of me is love, give me away

hat tip = @BlueGal

Jan6 Stuff

Talk openly about the shit you'd like to see happen - making no reference to anyone or even anything in particular - and someone will take it upon himself to do something he thinks fits with what you want.

Stochastic Probability.


Timothy Snyder's #1 admonition from his work "On Tyranny"
  1. Do not obey in advance. Much of the power of authoritarianism is freely given. In times like these, individuals think ahead about what a more repressive government will want, and then start to do it without being asked. You've already done this, haven't you? Stop. Anticipatory obedience teaches authorities what is possible and accelerates unfreedom.
Rachel Maddow:


USAmerica Inc is nine kinds of fucked up.

COVID-19 Update



Keep in mind that people who know about such things have been saying since the beginning that almost every government is under-reporting the numbers - sometimes in good faith, because it's really hard to count things in large numbers for a variety of reasons, and sometimes in very bad faith because politicians can give themselves a political disadvantage if they reports those numbers accurately.



WaPo: (pay Wall)

As Russia and the West face off over Ukraine, Russia battles omicron at home

As Russia and the West face off over Ukraine, Moscow is grappling with another crisis at home: a record-breaking coronavirus surge that has strained the country’s health-care system and sickened government officials, including inside the Kremlin.

The number of new coronavirus cases in Russia has soared since mid-January, setting daily infection records for two weeks straight. Authorities blame the highly transmissible omicron variant, which they now say is dominant in Russia.

According to official figures, the number of daily new cases on Friday reached more than 168,000 nationwide, compared to about 15,000 in early January. Almost 18,000 people are hospitalized with covid-19.

These figures, however, are probably a vast undercount.

“It is obvious that this number is higher and possibly much higher,” because “many people don’t get tested” or have symptoms, Kremlin spokesman Dmitry Peskov told reporters last week as new daily cases reached 100,000.

He also admitted that a number of people in the administration of President Vladimir Putin had been infected with the virus.

“The vast majority continue to work from home after having isolated themselves,” Peskov said, according to the Associated Press.

But even as some officials warned of the growing pressure on the health-care system, Putin on Thursday ruled out a lockdown.

At a meeting with Russian business executives that aired on state television, he said that the government is considering easing restrictions on people who come into contact with infected individuals, Agence France-Presse reported. Under the current rules, people must self-isolate for seven days after exposure.

“Life goes on” despite the “difficult” coronavirus situation, the AP quoted Putin as saying on Wednesday.

His prime minister, however, struck a different tone when speaking to a government coordination council this week. Mikhail Mishustin called for more widespread coronavirus testing and said that the government would allocate additional funding for virus sequencing and test components.

For much of the pandemic, Russia has eschewed public health measures, while mask mandates go largely unenforced. It also has an especially low coronavirus vaccination rate, compared with other European nations, leaving much of the population vulnerable to the rapidly spreading pathogen.

Skyrocketing cases are “increasing the burden on the entire health-care system, especially primary care,” Mishustin said Wednesday, according to a news release. “Overloaded doctors have to work practically around the clock in outpatient clinics and help patients who are receiving treatment at home.”

Some hospitals in Russia have postponed scheduled operations as resources are diverted to treating covid-19 patients, said Semyon Galperin, the head of the Doctors Defense League rights group. The Moscow Times reported this week that 15 regions had suspended routine medical care.

“People are just tired,” Galperin said. “Patients are tired. Doctors are tired. Everybody is tired.”

According to Viktor Zakharov, head of the Intelligent Logistics Center at St. Petersburg University, the number of new daily coronavirus cases may exceed 200,000 by late February.

At a news conference Thursday, Zakharov, who authored a mathematical model to track the spread of the virus, said that as many as 4 million people may be simultaneously ill when the omicron wave peaks around Feb. 22.

Alexei Kouprianov, an independent analyst who has tracked covid-19 data in St. Petersburg, recorded a near doubling of cases in Russia’s second-largest city over the past seven days, compared with the week before. Hospitalizations also rose but at a slower rate.
In the city, Kouprianov said, lines at clinics treating covid-19 patients stretch around the buildings and contacts at local hospitals say that many doctors are out sick.

“In Russia, [coronavirus] is like wildfire in the forest: Nobody cares,” Kouprianov said.


The swell of new cases and strain on the system has highlighted Russia’s vaccine hesitancy problem. It was one of the first nations to roll out coronavirus vaccines, with an abundant supply of its homegrown Sputnik V shot. But it has vaccinated only about half of its population so far.

General ambivalence, as well as mistrust, have prevented many adults from getting vaccinated.

About 70 percent of people infected with the omicron variant in Russia are unvaccinated, Anna Popova, the head of Russia’s consumer health watchdog, said last week, according to the Moscow Times.

But even as hospitals fill up, there appears to be little public appetite for far-reaching restrictions. Russia’s parliament last month indefinitely postponed the introduction of a system that would have limited the activities of unvaccinated people.

Still, some regions are implementing new measures. At least five have switched children to remote learning and four banned mass gatherings. The Tula region south of Moscow announced a 10-day regionwide holiday, the Moscow Times reported.

Russia’s labor ministry recommended this week that employers switch to remote work. Mishustin, the prime minister, told cabinet members on Jan. 21 to hold meetings online “where possible.”

Nationwide, deaths have fallen over the past month, according to official counts. But deaths typically lag infections, and Russian experts have accused authorities of dramatically undercounting deaths over the course of the pandemic.

Russia’s state coronavirus task force has reported 333,357 deaths from covid-19 — the highest toll in Europe. State statistics agency Rosstat has put the toll significantly higher, at 681,100 deaths between April 2020 and December 2021, according to the AP.

Examining excess mortality reveals an even starker discrepancy: A Moscow Times analysis found nearly a million excess deaths by the end of 2021. But experts who challenge the government’s pandemic data have faced retribution from authorities.


For now, deaths in St. Petersburg have held steady at around 60 per day, Kouprianov said.

“What I’m afraid of is that deaths will follow the curve of hospitalizations, but with a delay,” he said.

Today's Tweet


Straight Up

Mary Trump explains:


Black American History #4

Crash Course with Dr Clint Smith

Slave Codes - ostensibly to protect the slave holders' "investments", these laws made little or no distinction between enslaved black people and any other black folks.

Feb 3, 2022

More Rachel

She's killin' it lately.

Ol' Doc Maddow - Starting with Stochastic Terrorism and Nazi assholes, and the bullshit "reasoning" they base their actions on:



COVID-19 Update



WaPo: (pay wall)

What ‘live with the virus’ means may depend on where you live

It’s becoming the mantra of 2022, the most optimistic formulation of the end of the pandemic, less ambitious than “stop covid” but more than “flatten the curve.” The world, we are told, must learn to “live with the virus.”

But what “live with the virus” means may depend on where you live.

In Britain, Prime Minister Boris Johnson has been talking about a “long-term strategy for living with covid-19” that would “protect our liberty and avoid restrictions in future by relying instead on medical advances — especially the vaccines which have already saved so many lives.”

In Spain, Prime Minister Pedro Sánchez is encouraging people to start thinking about “the evolution of covid from pandemic to an endemic illness … It’s not going to be from one day to the next. And it won’t be immediately. But it will come.”

As nations decide to live with the virus, some disease experts warn of surrendering too soon

Health experts have warned against declaring that moment too soon. But many countries in Europe, where vaccination rates are high and hospitalizations through the omicron wave have been manageable, think they will get there before the United States does. Already this week, Denmark became the first European Union country to lift almost all its remaining restrictions, concluding that covid-19 no longer poses a “critical threat” to society. Prime Minister Mette Frederiksen said she looked forward to “an open Denmark with hugs, parties and festivals.”

Yet while people the world over are eager for a return to normal, there’s intense debate about what that should look like. Should people have to stay home if they’re infected? How should we track cases? How long do mass public health campaigns make sense?

The end of mandatory isolation

Most countries have ratcheted down their isolation requirements for people who test positive for the virus. Some followed the United States in recommending five days at home. Denmark advises four days for anyone with mild or no symptoms.

What the CDC’s latest guidance says about how long you need to isolate or quarantine

But as part of living with the virus, some countries and regions want to scrap isolation requirements entirely.

In England, the law pertaining to isolation — with associated fines of up to 10,000 pounds, or about $13,500 — is set to expire on March 24. Johnson said he doesn’t expect to renew it, and may ask Parliament to move the date forward.

“As covid becomes endemic,” Johnson said, “we will need to replace legal requirements with advice and guidance, urging people with the virus to be careful and considerate of others.”

In Spain, the Catalonia region has pondered abandoning isolation requirements for infected but asymptomatic people as soon as this spring. The thinking is that the vast majority of asymptomatic people will never know they had it anyway, and punishing those who took tests voluntarily would be unfair.

Antonio Zapatero, the deputy health secretary of the Madrid region, told The Washington Post he anticipated the rise of a “culture of self-care.”

“If you have symptoms, do a test. If you have symptoms, don’t go to work. If you have symptoms, don’t meet with other people,” he said.

But scientists are divided over how quickly governments should cede decisions about acceptable risk to individuals. “There is a huge amount of disagreement between different scientists on this issue,” said Paul Hunter, a professor of medicine at Britain’s University of East Anglia.

Hunter said his position has evolved over the past year and he now assesses the “costs and benefits of isolation have tipped away from being beneficial overall, probably to being harmful” in Britain, even if not everyone with symptoms would follow common sense and public health guidance going forward. He cited the negative impact of isolation on labor shortages and mental health, and the growing number of infections that already go undetected despite current isolation rules.

Troels Lillebaek, chairman of Denmark’s national coronavirus variant assessment committee, cautioned that exposing a large share of the population to the virus within a short time span could still overwhelm emergency rooms. Lillebaek suggested that restrictions may need to be re-envisioned in a seasonal context — with tighter rules in colder months that are most conducive to viral spread. “You could have a situation during spring and summer where there are other restrictions than during the winter,” he said.

Changing how to count cases

Since the earliest weeks of the pandemic, the world has been tracking the spread of the virus case by case by case. Those case counts have helped governments make decisions about when to impose restrictions and when to lift them, and because hospitalizations lag behind infections, case numbers have provided a critical early warning system for health systems.

But by definition, if and when it becomes endemic, the virus would persist in a more predictable way, at low or moderate levels in societies. Counting individual cases would lose some of its significance. And so some governments and epidemiologists have begun to explore new ways to track the virus.

Spain is working on a “sentinel surveillance system” that would estimate cases based on a statistically significant sample rather than counting each infection. That sort of system is regularly used for the flu. And several Spanish regions have been experimenting with it for the coronavirus.

Scientists in Madrid, for instance, selected eight community health centers and three hospitals where anyone who gets treated and has symptoms of a respiratory infection will get tested for the flu and the coronavirus.

“It is a very significant and representative sample of the Madrid region,” Zapatero said. Going forward, he said, “I don’t think we’ll count each case.”

People line up for coronavirus tests at La Paz hospital in Madrid on Dec. 28. (Manu Fernandez/AP)

At a national level, the plan could still face hurdles, including whether other countries would accept estimated cases as a legitimate way to assess risk levels in Spain. Spanish health officials say their model may in fact boost their understanding of the virus’s spread, as self-tests and strained official testing capacity currently skew the official figures.

In a report last fall, the European CDC cautioned that “a sentinel approach would need a higher coverage of the population under surveillance compared with influenza surveillance, and both higher testing and sequencing intensity.”

Hunter agreed that sequencing will remain crucial. Similar to how the influenza shots’ composition is decided based on large-scale sequencing efforts, monitoring could be key to developing future vaccine generations against the coronavirus, he said.

“I could well imagine that we would be still sequencing many of the strains from the most severely ill people, and looking for the appearance of variants that are potentially threatening,” Hunter said.

From mass campaigns to targeted approaches

Responding to the pandemic has involved the largest-scale public health campaign the world has ever seen, with nationwide lockdowns, more than 4 billion people vaccinated and billions upon billions of tests. To be sure, the rollout of protection has reflected and reinforced global inequalities. Vaccination is still just getting underway in some countries, leaving populations vulnerable to infection and the world vulnerable to new variants. But as the global omicron wave begins to subside, some countries are beginning to talk about moving away from mass public health efforts. Instead, they want to focus on protecting the most vulnerable and on intercepting disease progression in those most susceptible to severe illness.

“As we evolve to move to living with COVID,” the U.K. Health Security Agency wrote in a draft policy paper viewed by Reuters, “response will move from a whole nation approach to a targeted response, focused on protecting the vulnerable.”

In Britain, that may mean the end of free antigen tests offered to all by the National Health Service. There was an uproar last month after a report in the Times that free tests would be limited to symptomatic people and people in high-risk communal settings. Johnson tried to calm fears — but would only commit to free tests being available “for as long as they’re very important.”


While Denmark dropped most coronavirus restrictions on Tuesday, including health passports and general mask mandates, it will maintain certain measures to protect vulnerable groups. Face masks will remain recommended in nursing homes, for example, and a new round of booster shots for vulnerable people could be rolled out later in the year.

Danish authorities have considered their massive testing and sequencing capacity a major advantage through the pandemic. But going forward, Lillebaek said he anticipates “more guidance for specific situations, rather than the general society.” Instead of mass testing, for example, authorities may advise people to get tested before meeting an immunocompromised or elderly person.

Workers wait for people at a shopping mall testing center in Copenhagen on Jan. 17. (Carsten Snejbjerg/Bloomberg)

Yves Hansmann, the head of an infectious diseases hospital unit in the French city of Strasbourg, said there may also need to be frequent testing of vulnerable individuals, to be able to provide care at early stages of illness. European countries have ordered millions of doses of anti-viral pills that the most vulnerable could take soon after the first sign of symptoms.

The focus of future booster campaigns may similarly lie on vulnerable groups, as is already the case with the fourth vaccine shot that’s become available in Denmark and Israel.

“We can’t vaccinate the planet every four to six months. It’s not sustainable or affordable,” Andrew Pollard, chair of the U.K.’s Committee on Vaccination and Immunization and chief investigator for the Oxford-AstraZeneca coronavirus vaccine, said in an interview with the Telegraph newspaper.

Clive Dix, the former chair of Britain’s vaccine task force, has called for more efforts to develop vaccines that are fine-tuned to protect vulnerable groups.

After two years of living with restrictions, learning to live with the virus may be daunting. People are understandably more excited about the return of indoor dining and consistent schooling than they are about the possibility, for instance, of working alongside someone newly infected with the virus. But there may not be a viable alternative.

“Neither the health system nor society as a whole can afford to continue testing asymptomatic people or people with mild symptoms and isolating all the positive ones, with the consequences that this entails at a social and economic level due to the massive sick leave of healthy people,” writers linked to one of the biggest medical associations in Spain opined in a recent oped. “We must put an end to the exceptionality: COVID-19 must be treated like other diseases.”

Jan6 Stuff

When 45* screams, "They stole the election!", he's acting in precise accordance with Daddy State Awareness Rule 1:
Every accusation is a confession.

Rachel Maddow lines out more of the attempted coup (this is a clip from a video I posted earlier).

I wanna be extra special sure it gets some play cuz this is turning out to be some Holy-Shit-Batman level fuckery.