
Coronavirus Tidbits #262, Sept 10, 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.
New Post:
Where Have All The Masks Gone? And Where is the CDC?
https://www.forbes.com/sites/judystone/2023/09/07/where-have-all-the-masks-gone/?sh=219f88ec6c94
Unfortunately, Biden joked about not masking despite CDC recs after his wife got Covid--again. His excuse is that he tested negative.
News
COVID hospitalizations have now been slowly rising for 8 straight weeks
(9/1 report) For the week ending August 19, admissions increased 18.8% compared to the previous week. Deaths from COVID rose 17.6% last week and make up 2% of the nation's deaths.
Test positivity level at 14.9%.
Biobot's wastewater tracking shows a continuation of a gradual rise since about the middle of June, with levels highest in the South and West.
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COVID patients exhale high numbers of virus during the first eight days after symptoms start, as high as 1,000 copies per minute,
Covid isn’t caught from hands, it’s caught from breathing infected air We have all the tools to clean the air, it’s a political choice not to use them yet
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More COVID-19 studies suggest BA.2.86 may be less immune-evasive than feared
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Moderna says its new vax is effective vs new variants.
and generates an 8.7-fold increase in neutralizing antibodies in humans against BA.2.86 (Pirola), a new variant under monitoring and a similarly effective response against EG.5 and FL.1.5.1 variants.
The CDC says the highly mutated BA.2.86 variant may be more capable of causing infection in people who previously had COVID-19 or were vaccinated with previous vaccines.
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Clues from patients with rheumatic diseases point to a potential driver of long COVID
clues about long COVID in blood samples from patients with systemic autoimmune rheumatic disease.
The team found that among these patients, those who developed long COVID were more likely to have expanded, pro-inflammatory antibodies specific to a coronavirus that causes the common cold. Their findings suggest that a person's viral history, especially prior infection and expansion of antibodies against a pre-pandemic coronavirus, could prime the immune system for developing long COVID. The research is published in Science Translational Medicine.
https://medicalxpress.com/news/2023-09-clues-patients-rheumatic-diseases-potential.html
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Long Covid:
“Recovery is extremely rare” “Unfortunately the small chances of recovering from #LongCovid during first 2 years underscore that, as long as SARS-CoV-2 transmissions continue & few people are cured, LC will continue to accumulate”
https://www.thelancet.com/journals/lanepe/article/PIIS2666-7762(23)00143-6/fulltext
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new position paper on #SARS-CoV-2 reservoir (viral persistence) in Long COVID or post-acute sequelae of COVID (PASC):
https://www.nature.com/articles/s41590-023-01601-2#MOESM1\
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Other:
Mississippi Declared Endemic Area for Melioidosis Pathogen
Public Health Needs Support to Respond
Finding human cases of melioidosis in the Gulf Coast region calls for increased education, diagnostics, research and development in neglected areas of public health.
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Bird flu:
Diagnostics:
The FDA has extended the expiration dates of different test brands, lengthening their shelf lives to up to two years.
See the FDA's full list of test-kit expiration date extensions here.
Abbott's widely used BinaxNow COVID-19 test kits now have a shelf life of up to 22 months, depending on when the tests were manufactured. In January of 2023, the pharmaceutical firm told customers that kits they'd previously purchased "may now have a longer than labeled product expiry date." To see if a BinaxNOW COVID-19 Antigen Self Test kit in your possession has a new epiration date, you can search for its lot number in the attached list here.
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No-cost antigen and PCR tests are available to everyone at more than 15,000 sites across the country. This includes locations such as CVS, Walgreens and other pharmacies and clinics and some libraries.
People looking for no-cost locations near them can use the CDC's testing locator website.
(Note: Not in Cumberland now; maybe not if you are insured)
Drugs and Vaccines:
There's apparently debate as to who should get the updated Covid vaccines that are coming.
Paul Offitt is suggesting only those > 75 years, immunocompromised or pregnant, based on cost-effectiveness. This is basically what UK is doing.
In 2022, "In people who were not immunocompromised, the booster provided 62% and 69% protection against hospitalization and critical illness, respectively, for the first 59 days. But the immunity quickly waned to just under 50% for both between 60 and 119 days. Although protection against critical illness remained the same out to 179 days, it plummeted to 24% for hospitalization. The median age of the boosted group was 76 years old...
“Despite the majority of people not getting boosted, severe disease remain very low,” he points out. So if you’ve had, say, a booster shot in the past year and then COVID-19, another booster may not offer you much extra protection against severe disease....
“For people who are at high risk of severe disease, I think the answer is pretty simple and largely noncontroversial: A 4- to 6-month period of protection has a meaningful clinical benefit,” Barouch says. “It’s clear that that population benefits from a boost and probably more than one boost for the year.”...
Vaccination before infection reduced the risk of Long Covid by about 15%, the researchers reported in the July 2022 issue of Nature Medicine.
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https://www.science.org/content/article/should-i-get-covid-19-booster
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Mix-and-Match
I had fully intended to get the Novavax shot as soon as available, having only had mRNA shots until now, and wanting to get the advantage of heterologous (mix and match) added kick in immune response (as compared to homologous/same vaccine dosing).--Eric Topol
https://erictopol.substack.com/p/the-ba286-variant-and-the-new-booster
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Novavax
How good is a Novavax booster and with previous mRNA doses? This long thread explores what kind of immune response a Novavax booster is giving people as a primary series and after 2 or 3 mRNA doses in recent studies, and what some of the benefits seem to be.
Novavax is a protein subunit vaccine that presents purified parts of the Spike protein, where mRNA vaccines get your cells to produce copies of the entire Spike protein. Protein based vaccines have been used for many years including for tetanus, diphtheria and hepatitis B
See initial thread:
and update: The one page web view is available here ( threadreaderapp.com/thread/1678360 ).
FDA currently doesn't allow people who have had mRNA vax to get follow-up w Novavax.
The ACIP is meeting next week and will hopefully change this.
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Devices and Masks:
Epidemiology/Infection control:
'A Flu' at the U.S. Open? Hmm!
— Plus: why I still mask in some, but not all, public situations
--Jeremy Faust https://www.medpagetoday.com/opinion/faustfiles/106200?
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WHO warns of 'concerning' COVID trends ahead of winter
The World Health Organization on Wednesday warned of "concerning trends" for COVID-19 ahead of winter in the Northern Hemisphere, calling for increased vaccinations and surveillance.
"Deaths are increasing in some parts of the Middle East and Asia, intensive care unit admissions are increasing in Europe and hospitalizations are increasing in several regions," he said.
But only 43 countries—less than a quarter of the 194 WHO member states —- are reporting COVID deaths to the agency, and only 20 provide information about hospitalizations, he added.
"We estimate that there are hundreds of thousands of people in hospital now for COVID," said Maria Van Kerkhove, the WHO's technical lead on COVID-19.
https://medicalxpress.com/news/2023-09-covid-trends-winter.html?
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Covid mortality and political affiliation:
Tips, general reading for public:
Ventilate
Mask
Vax
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Friends have been in the hospital. DD is ever so much more tactful than I. I called the hospital, acting as a patient advocate. The floor nurse was appalled that I asked staff to mask, since it isn’t mandated by #Maryland. I said I thought it unethical to give someone #longCovid or kill them with a nosocomial infection.
DD posted this on our friend's door.
She got much better compliance than I did.
Politics:
Covid/viruses:
Study finds COVID vaccine mandates significantly reduce infection rates on college campuses
New research from The Ohio State University College of Medicine finds COVID-19 vaccine mandates are highly effective at reducing the spread of the virus and increasing immunity in a university setting.
https://medicalxpress.com/news/2023-09-covid-vaccine-mandates-significantly-infection.html?
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The US quietly terminates a controversial $125m #wildlife virus hunting programme amid safety fears https://www.bmj.com/content/382/bmj.p2002 #zoonoses #spillover
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My workplace has gone from “Don’t come to work sick” to whatever this is. 😭 pic.twitter.com/QmnqtsOD42
— April - (she/her) (@AprilinBC) September 7, 2023
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New York's @GovKathyHochul just announced they will be sending free N95/KN95 masks and COVID tests to schools. Thank you to @COVIDAdvocacyNY and all the groups and advocates who have been pushing. Keep going: We need a free mask and test program for all New Yorkers! twitter.com/COVIDAdvocacyN
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JD Vance introduced bill to ban mask mandates
The “Freedom To Breathe Act.” “The act, which would be applied through the end of 2024, would prohibit any federal official from issuing mask mandates applying to domestic air travel, public transit systems or any school system.”
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Abortion/Reproduction:
How the Dobbs Decision Can Affect #Cancer Patients https://www.medpagetoday.com/obgyn/abortion/106182 #abortion
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Alabama can prosecute those who help women travel for abortion, attorney general says
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Antisemitism:
This map is utterly insane. Trans children across what seems to be a majority of the country’s territory are now banned from receiving care, with more bans on the way. All in the last two years! A horrifying crackdown on the most harmless minority imaginable - literal children. pic.twitter.com/4uEKp3ZW9O
— Will Stancil (@whstancil) August 28, 2023
GOP/TFG:
Trump could face copyright lawsuit for exploiting his mugshot (which belongs to the Feds)
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E Jean Carroll has WON her second defamation case! The judge has granted partial SUMMARY JUDGEMENT! The trial will only be to determine how much trump owes her in damages!
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Trump is poised to lose millions by using his mugshot to sell T-shirts if Fani Willis enforces Georgia’s copyright. Various legal experts have noted, Trump’s sale of that mug shot, taken by the Fulton County sheriff, likely violates U.S. copyright laws. This could mean the millions Trump is making off that photo may rightfully belong to the Fulton County sheriff — an entity that just happens to be in desperate need of funds to address the horrific conditions in the Fulton County Jail.
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Fani Willis says jurors were doxxed to intimidate them in Trump charges
Willis said at least 23 jurors in the case have had their personal information — including their names, ages, addresses and vehicle details —posted anonymously on "conspiracy theory websites" hosted by a Russian company as part of an effort to "harass and intimidate them."
- She and other members of her office were also doxed, and their personal information was often "intertwined with derogatory and racist remarks," Willis said in the filing.
- The information about her included her family members' names, their dates of birth, home and work addresses, phone numbers, email addresses and "GPS coordinates."
https://www.axios.com/2023/09/07/trump-georgia-fani-willis-jurors-dox
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Trump has paid Fabrizio Lee nearly $600,000 THIS YEAR for polling and travel expenses per FEC filings. Fabrizio Lee is responsible for the WSJ poll all over the major networks today.
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Medicare announced the first 10 drugs selected for negotiation under President Biden’s Inflation Reduction Act. These drugs are used to treat some of the most common diseases – and in 2022, it cost seniors up to $6,497 in out-of-pocket costs for just one of these drugs. Every single Republican in Congress voted against the law that made this possible.
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Supremes:
Musk:
Alabama:
A bill lawmakers will take up during a special session next week would hide all information about where the governor travels on the state dime and with whom, retroactively to before she took office. The proposal comes the same week a lawsuit was filed over the Arkansas State Police’s ongoing refusal to share the names of the governor’s travel companions and some of her travel expenses.
But this wholesale rework of the state’s longstanding Freedom of Information Act extends far beyond the governor’s trips and expenses. It would let state government officials operate largely in secret. Should it pass next week, the law will hide from journalists and citizens any communications or documents about proposed policy changes, leaving us no way to know what a state agency is about to do until they do it and decide to tell us about it.
https://arktimes.com/arkansas-blog/2023/09/08/arkansas-republicans-launch-all-out-assault-on-foia
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Mike Huckabee warns that if Trump's legal problems prevent him from winning in 2024, "it is going to be the last American election that will be decided by ballots rather than bullets." bit.ly/45FMY06
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Arizona:
Fondomonte, owned by a major Saudi Arabian dairy company, has acquired extensive land holdings in western Arizona. In this area, there are no regulations governing groundwater extraction, and state authorities do not monitor it. Furthermore, Fondomonte has secured leases for thousands of acres from the state, facilitated by officials who have since left their positions. Remarkably, the company doesn't pay for the water it uses, raising concerns about the exploitation of local water resources.
https://www.washingtonpost.com/politics/2023/07/16/fondomonte-arizona-drought-saudi-farm-water/
from the #StopCopCity RICO indictment - without a hint of irony pic.twitter.com/wm6VTllNFJ
— Cop City NIMBY (@Josh_Lingsch) September 5, 2023
Cop City II: a sequel that's even bigger and more expensive than the original pic.twitter.com/HZIsx0BRVL
— Gritty is the Way (@Gritty20202) August 27, 2023
Tennessee:
Gloria Johnson, Member of 'Tennessee Three' looks to challenge Marsha Blackburn for Senate
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Great ad by Johnson:
There is a movement afoot in Tennessee. Now I'm running for US Senate because our work doesn't stop here. Join us. pic.twitter.com/6XKFLuRfkc
— Rep. Gloria Johnson (@VoteGloriaJ) September 5, 2023
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Texas:
Texas declares an electricity grid emergency amid heat-driven surge in power demand, says there is a possibility that blackouts may be needed.
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Federal judge David Ezra rules Texas must remove the border buoys by Friday, Sept. 15.
https://www.cnn.com/2023/09/06/politics/texas-mexico-border-water-barriers-migrants
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Wisconsin:
Republicans threaten to impeach Justice Protasiewicz and remove our chief elections officer.
Feel good du jour:
https://twitter.com/AJEnglish/status/1699271203121447079?s=20
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‘We love you Karen’: How Starbucks workers rallied to help one of their own washingtonpost.com/lifestyle/2023
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Dale Schroeder spent his life savings sending 33 students to college. He grew up poor in Iowa, never married, had no children, worked as a carpenter at the same company for 67 years & only owned 2 pairs of jeans.
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— Buitengebieden (@buitengebieden) September 6, 2023
Comic relief:
— out of context dogs (@contextdogs) September 9, 2023
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https://twitter.com/buitengebieden/status/1699916630531142014?s=20
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https://twitter.com/buitengebieden/status/1700576152576815279?s=20
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https://twitter.com/buitengebieden/status/1700397380258980333?s=20
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Dogs are the best.. 💪 pic.twitter.com/XpwR2C7HyC
— Buitengebieden (@buitengebieden) September 8, 2023
Perspective/Poem
Whatever artistic or cultural statement organizers of #BurningMan planned to make this year will never be as important as the statement inadvertently made when all those people in the desert tried to drive home.
— Brent Toderian (@BrentToderian) September 9, 2022
The most powerful cultural force in North America —car dependency. pic.twitter.com/HLqhFmPnyS
Bits of beauty:

