Coronavirus Tidbits #242, April 23, 2023
Announcements:
First, there is now a Resources Page here for the most commonly asked questions I'm getting.
Happy to continue to answer your questions/concerns as best I can, so don't be shy about that.
Reminder, Resilience: One Family's Story... is increasingly pertinent, as some of our politicians shift rightward. All proceeds go to Holocaust education.
Available here.
News
FDA authorizes second bivalent COVID boosters for seniors, other at-risk groups
The Food and Drug Administration (FDA) authorized second bivalent (two-strain) COVID-19 booster doses for people ages 65 and up and for those with weakened immune systems, a step designed to shore up immunity in the most vulnerable groups until fall.
In its announcement, the FDA also simplified the immunization recommendations for all age-groups to focus only on the bivalent vaccines. It said the Moderna and Pfizer-BioNTech monovalent (single-strain) vaccines are no longer authorized for use, though their full licensing remains intact for future supplemental actions.
COVID still a real risk for many people
The FDA said people ages 65 and older may receive a second bivalent dose at least 4 months after the initial bivalent dose. People with weakened immune systems can receive an extra bivalent dose at least 2 months following the last dose, with additional doses given at the discretion of healthcare providers.
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Covid is still a leading cause of death as the virus recedes -
free article from The Washington Post
Federal health officials say that covid-19 remains one of the leading causes of death in the United States, tied to about 250 deaths daily, on average, mostly among the old and immunocompromised...
Outside researchers also have pointed to a nationwide pattern of excess deaths, or the number of deaths exceeding what would have been predicted for that time period, which has surpassed the number of deaths attributed to covid.
https://www.washingtonpost.com/health/2023/04/16/covid-deaths-per-day/
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The NIH has poured $1 billion into #LongCovid research — with little to show for it
statnews.com/2023/04/20/lon And in the meantime, other promising endeavors struggle to get funding....
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Ed Yong's latest on Long Covid
Ed Yong explains why, even though 11% of US adults who have had Covid (6% of the US population) currently have LongCovid, you think you don't know anyone with it: "ignorance, denial, concerns about stigma."
This piece addresses the gaping flaws in the most common downplaying arguments. It covers biomarkers, disability claims, the spectrum of severity, the oft-repeated “I don’t’ know anyone with long COVID” line, and more. 2/
A key point: The flaws in these arguments become clear if you actually talk to long-haulers (& clinicians with extensive experience in treating them). Their experiences are the ground truth against which all other data must be understood. 3/
I also look at why this problem persists--why the marginalization of long COVID and related conditions morphs into new guises but never goes away. They're mirrors on our society, and the image they reflect is deeply unflattering. 4/
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More on SARS-CoV2 causing Diabetes:
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Bird flu requires urgent national coordinated response
Scientists are sounding the alarm about dangerous changes in the highly pathogenic H5N1 avian influenza from seasonal to year-round infections. They say an urgent coordinated national response is needed to combat the virus.
We've been dealing with low pathogenic avian influenza for decades in the poultry industry, but this is different," said Jennifer Mullinax, assistant professor in the University of Maryland Department of Environmental Science & Technology and a co-author of a study published Wednesday.
"This high pathogenic virus is wiping out everything in numbers that we've never seen before," Millinax and the co-authors wrote in the journal Conservation Biology.
The University of Maryland-led team includes research scientists and partners of the Disease Decision Analysis Research Group at the U.S. Geological Survey, Eastern Ecological Science Center.
The team found that the deadly bird flu H5N1 is a novel virus for American birds, and they said it is likely to become endemic, potentially posing risks to food security and the economy.
Full text: https://www.upi.com/Science_News/2023/04/19/h2n1-bird-flu-dangerous/5491681913849/
Diagnostics:
still an incredible, negligent last of testing.
Drugs and Vaccines:
Dexamethasone still beneficial for some inpatients with COVID-19
Early administration of dexamethasone is associated with significantly reduced odds of mortality or discharge to hospice for inpatients with COVID-19 receiving supplemental oxygen or mechanical ventilation (MV) and/or extracorporeal membrane oxygenation (ECMO), according to a study published online April 18 in JAMA Network Open.
https://medicalxpress.com/news/2023-04-dexamethasone-beneficial-inpatients-covid-.html?
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No link found between mRNA COVID-19 vaccination and retinal vascular occlusion
Researchers at Case Western Reserve University and the Cleveland Clinic in Cleveland, Ohio, have investigated the potential link between new-onset retinal vascular occlusion (RVO) after receiving the COVID-19 vaccination and compared the relationship with two historically used vaccinations.
https://medicalxpress.com/news/2023-04-link-mrna-covid-vaccination-retinal.html?
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Narcan's over-the-counter price will still put it out of reach for many, experts say
The life-saving drug "Narcan" is expected to be available over-the-counter later this year, but its price tag is expected to put it out of reach for many below the poverty line.
https://medicalxpress.com/news/2023-04-narcan-over-the-counter-price-experts.html?
Devices and Masks:
You can rehash the point that masks impede communication, but if you use that as a reason to abandon masks, rather than as a reason to adopt masks with clear panels, you're just antimasker and a lazy scholar. Yes, shame all around. h/t @ToshiAkima https://t.co/xw0IWdWraI pic.twitter.com/9JNFsG8m4U
— Loretta Torrago (@Loretta_Torrago) April 18, 2023
Encourage businesses and other venues to create more covid safety.
printable PDF to share offline: https://media2-production.mightynetworks.com/asset/57587984/Covid_Safety_is_Easy_Printable_Flyer.pdf
Epidemiology/Infection control:
Red line shows hospital-acquired COVID cases in NY State.
— Yaneer Bar-Yam @yaneerbaryam@forall.social (@yaneerbaryam) March 22, 2023
(from https://t.co/CCSA4h30oy) pic.twitter.com/mcrKkO8WEt
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COVID-19 outbreak hits large Bay Area hospital, prompting new mask rules
Kaiser Permanente Santa Rosa Medical Center has reinstated a temporary mask mandate after more than a dozen hospital workers and patients at the medical center tested positive for the coronavirus this week, officials confirmed.
The outbreak came as California tallied an average of 1,330 new daily COVID-19 cases, or about 3.3 per 100,000 residents on Thursday — roughly the same figures as a month earlier. The state’s seven-day rolling coronavirus test positivity rate, which tracks the percentage of lab test results that are positive for the virus, ticked up slightly to 5.4%, with an average of 10 people dying each day due to the virus.
https://t.co/HNi4jEBtgX (paywalled)
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Tips, general reading for public:
Ventilate.
Mask.
Vax.
Politics:
Covid:
Covid was the No. 3 cause of death in America between 2020-2022.
It's receded a lot - but still on pace to be a top-10 cause of death this year.
“There are still people who are getting wicked sick," an infectious-disease doctor at Mass General told me. https://www.washingtonpost.com/health/2023
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Monkeypox:
Abortion/Reproduction:
The controversial article Matthew Kacsmaryk did not disclose to the Senate--he had submitted an article to a Texas law review criticizing Obama-era protections for transgender people and those seeking abortions and had his name removed.
https://www.washingtonpost.com/politics/2023/04/15/matthew-kacsmaryk-law-review/
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Climate/Environment:
This is a must-read Vox piece on what's causing the water crisis in the West: Cows.
There's no way around it. We're draining the Colorado river for cows. Everything else is a literal drop in the bucket. Municipal conservation cannot solve the problem. Drying up golf courses and lawns cannot solve the problem.
It's. The. Cows.
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Greed:
The CEO-to-worker pay gap at America’s largest public companies is now 399-to-1. In 1965, the ratio was 20-to-1.
This explosion in CEO pay relative to the pay of workers isn’t because CEOs have become so much more valuable.
They've just gamed the system to line their pockets.
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Annual cost of SNAP: $113B
Annual revenue lost through billionaire tax evasion: $163B
GOP: Clearly the only solution to our debt crisis is starving the poor
MAGA GOP says they’ll raise the debt ceiling if they can cut food stamps for low income Americans. This is supervillian'esque behavior.
Just horrific. Low income people will needlessly starve as a result of this GOP cruelty.
Again, our problem isn't that we can't feed our neighbors in need—it's GOP can't satisfy billionaire greed.
One-fifth of U.S. households purchased guns during the pandemic, a national arming that exposed more than 15 million Americans to firearms in the home for the first time, academic studies show.
Americans purchased nearly 60 million guns between 2020 and 2022, according to an analysis by The Trace, a nonprofit, nonpartisan news organization that tracks gun violence. Yearly gun sales are running at roughly twice the level of 15 or 20 years ago.
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My Twitter account says I’ve subscribed to Twitter Blue. I haven’t.
— Stephen King (@StephenKing) April 20, 2023
My Twitter account says I’ve given a phone number. I haven’t.
Florida will now allow death penalty sentences with an 8-4 jury vote, they're looking to make sex crimes against children punishable by death, and soon being trans around kids will be a sex crime.
[Never mind that at least 30 people sentenced to death in Florida have been exonerated, more than in any other state.]
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So-called 'Don't Say Gay' rules expanded through 12th grade in Florida
Classroom instruction on sexual orientation and gender identity is limited.
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Disney’s response to DeSantis’s clownish press conference today, where he threatened to build a prison near Disney World among other idiotic things, was swift and epic:
The first-ever Disneyland After Dark: Pride Nite is coming to
There is an actual form on a government website [ago.mo.gov] where you can turn in your neighbors for being transgender for investigation by the lead prosecutor.
Do you not see where this is going?
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Montana Republicans demand transgender house rep. Zooey Zephyr be censured for “inappropriate and uncalled-for language”.
What did Zooey say?
Facts.
"If you are denying gender-affirming care and forcing a trans child to go through puberty, that is tantamount to torture, and this body should be ashamed.
If you vote yes on this bill, I hope the next time you bow your heads in prayer, you see the blood on your hands."
Republicans passed a bill in Texas to end countywide-voting, which allows voters to choose polling locations that are convenient or have short lines, and a bill allowing the state to take over county election administration on flimsy pretexts.
If signed into law, the fix is in. Republicans will close locations in opposition areas to engineer impossibly long lines for democrats, but keep voting fast and easy for Republicans.
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Feel good du jour:
Former trash hauler enrolled at Harvard Law raises $70K for janitors, other workers there
washingtonpost.com/lifestyle/2023
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— ALBΞRT MacGloan (@AlbertMacGloan) April 16, 2023
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Quite the story:
These construction workers filled a kid’s toy truck with dirt to make his day.. ❤️ pic.twitter.com/zwFQWN3Ljt
— Buitengebieden (@buitengebieden) April 13, 2023
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Murmuration of starlings in Spain.. pic.twitter.com/AmzVD49hIp
— Buitengebieden (@buitengebieden) April 15, 2023
Comic relief:
https://twitter.com/buitengebieden/status/1649760364601507840?s=20
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https://twitter.com/buitengebieden/status/1649703830437675009?s=20
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"Your mask is a bit different, but you are one of us now...." pic.twitter.com/u7wX84CZBx
— B&S (@_B___S) April 21, 2023
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https://twitter.com/buitengebieden/status/1649695547081605123?s=20
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https://twitter.com/buitengebieden/status/1649522806743351297?s=20
Perspective/Poem
What a great profile of @LongDesertTrain, a citizen scientist school teacher who became a #SARSCoV2 variant sleuth and has made multiple key contributions throughout the pandemic nature.com/articles/d4158
Bits of beauty: