Saturday, July 31, 2021
COVID-19 BIDEN+192 (JULY 31)
AWESOME News
- Data from the C.D.C. shows that many people in states like Louisiana, Mississippi and Missouri are now receiving their first doses. On Friday, more than 850,000 total shots were recorded in the U.S.
Florida breaks record with more
than 21,000 new COVID cases
233 staff members at 2 San Francisco
hospitals have tested positive, most in
breakthrough Delta infections.
Permission to stereotype. Granted.
CDC's third caveat in their report is,
Third, demographics of cases likely reflect those of attendees at the public gatherings, as events were marketed to adult male participants; further study is underway to identify other population characteristics among cases, such as additional demographic characteristics and underlying health conditions including immunocompromising conditions.
Oh my goodness CDC, you're missing the "quirky" characteristic you frigging knuckleheads! Did you really not know?
From Chief WaPo
The [slide presentation] includes CDC data from studies showing that the vaccines are not as effective in immunocompromised patients and nursing home residents, raising the possibility that some at-risk individuals will need an additional vaccine dose.
In the Age of Covid, that's the immunocompromised association I made--nursing homes, the elderly, cancer survivors--not Gays! Lol.
PROVINCETOWN, Mass. — By the Fourth of July, Provincetown’s tourist season had built to a prepandemic thrum. Restaurants were booked solid, and snaking lines formed outside the dance clubs. There were conga lines, drag brunches and a pervasive, joyous sense of relief.
“We really thought we had beat Covid,” said Alex Morse, who arrived this spring as town manager. “We had internalized those messages, that life will be back to normal. We beat this. We are the most vaccinated community in the state.”
Mr. Morse didn’t think much of it, five days after the holiday, when the town’s Board of Health logged two new cases of coronavirus. A week later, though, the cluster of cases associated with gatherings in Provincetown was growing by 50 to 100 cases per day. Alongside the numbers was an unsettling fact: Most of the people testing.
...
A community of health-conscious, left-leaning Northeasterners, known as a vacation mecca for gay men, Provincetown had one of the highest vaccination rates in the country, upward of 95 percent among permanent residents, Mr. Morse estimates.
On the weekend of July 4, it was also crowded. Around 60,000 people had jammed into a narrow spit of land, where many congregated, maskless, on sweaty dance floors and at house parties.
...
From the 965 cases that scientists have traced to gatherings in Provincetown, among them 238 residents
...
“We were told, ‘Now you’re vaccinated, and everyone is vaccinated, you can go out and live the pre-Covid lifestyle. People did, they were living with gusto. We were led to believe, ‘If you get the vaccine, you can go to a dance club, you can go to a house party and meet someone and make out.’ That’s what we thought the situation was.”-Steve Katsurinis, the chair of the town Board of Health
By the end of the week, Mr. Katsurinis was taking reports of positive coronavirus cases — all gay men, with an average age of 30 to 35.
What puzzled him, he said, was that so many of the infected people were vaccinated.
“I couldn’t believe, frankly, that vaccinated people were getting and spreading it, the way that the contact tracing people were saying,” he said. “I had that moment of saying, ‘I don’t believe that data is accurate.’”
Days passed, he said, before it was clear that the virus circulating was the Delta variant, “and I went, oh, OK. Delta is a different thing.”
“I don’t think we could have anticipated what Delta would do here,” he said.
Infectious disease specialists have praised the community’s meticulous contact tracing...
Mr. Morse said he was concerned about overreacting...But successive waves of tests showed a rising positivity rate, hitting a peak of 15 percent on July 15...The town’s positivity rate dropped to 4.6 percent on Thursday; its mask mandate will automatically become an advisory, and then be lifted, if it remains low.
Rick Murray, the general manager of the Crown and Anchor, a beachside inn that houses bars and nightclubs, said it is part of the community’s DNA to be “very, very responsible” in a health crisis.
“When the AIDS epidemic came, we took care of our own, and we will take care of our own now,” said Mr. Murray, who has been H.I.V. positive for 37 years. He said he anticipates that guarding against the virus will be challenging “for another two or three years, easily.”
Thinking back to the exuberant crowds of June, [Liz Carney, 500 said it was “a bit naïve” to think it was safe to congregate inside — but also, she misses them.
“There was just a joy and an exhilaration,” she said. “It was very exciting. I wish I had taken a twirl on the dance floor while I had a chance.”
As patients stream into a Covid
I.C.U. in Florida, hopes fade.
MIAMI — The resurgence of the coronavirus has burdened hospitals anew across the country, with a rush of patients fueled by the virus’s virulent Delta variant catching doctors off guard. Florida has reported the highest daily average hospitalizations in the nation, 36 for every 100,000 people over the past two weeks...
Health workers...at Miami’s Jackson Memorial Hospital, feel disbelief that they must endure another surge.
...
Jackson, Florida’s largest public hospital, had 232 Covid-19 patients on Friday, still half the 485 it had on July 27, 2020, its pandemic peak. But a sharp rise in recent hospitalizations prompted administrators to limit visitors and warn that more stringent measures could soon be necessary.
‘The war has changed.’ In just days,
the U.S. shifts tactics against the virus.
What a difference a week makes.
...
“This virus is in the driver’s seat and we are chasing it,” said Dr. Ali Mokdad, an epidemiologist at the University of Washington and former C.D.C. scientist.
It was a sharp turnaround from the national mood in early July, when President Biden had promised Americans that a more normal life would resume in time for Independence Day parties, describing the holiday as the start of a “summer of freedom.” Instead, in one episode in Provincetown, Mass., an outbreak that began after the town’s Fourth of July festivities has grown to more than 880 cases — almost three-quarters of them among fully vaccinated people.
It is just one episode, one episode chosen by CDC for one study because of its prominence, the levels of full vaccination among victims and in the state, and the availability of good, hard data. I wondered about this last night: Is there reason to doubt generalizing from this "one episode"? CDC did not think so. "In just days" they shifted from vaccinations as their "most important strategy" to coequals, vax and masks. Is there reason to believe this one episode is aberrational? The infection rates among the fully vaccinated in Provincetown (Barnstable County) were truly astonishing to scientists and laypeople alike. Every other study has found the vaccines are extraordinarily efficacious in preventing 1) infection 2) hospitalization ("serious illness") and, 3) death from COVID-19 and only slightly less effective against the Delta variant. Yet, you can't prove that by the data from Provincetown-Barnstable County. In fact, that data proves pretty near the opposite: more, both in raw numbers and as a percentage, of infections among the fully vaccinated than in the "other" category. "Similar" viral loads; more hospitalizations (albeit with a very small, perhaps unreliable sample size). Staying firmly in our lane and dispensing with the "less" and "more", we encounter this solid bedrock from Provincetown-Barnstable County data:
It does not follow from the data on this one outbreak that vaccination is an efficacious strategy against Delta
The CDC paper on Provincetown-Barnstable County acnowledges that bedrock:Improving communications around vaccine breakthrough and vaccine effectiveness
Outbreak of SARS-CoV-2 Infections, Including COVID-19 Vaccine Breakthrough Infections, Associated with Large Public Gatherings — Barnstable County, Massachusetts, July 2021*
*This is the published report. The New York Times, Forbes, and the Washington Post all report that there was a slide presentation at CDC that painted an even more dire picture. Dr. Walensky, CDC director briefed Congress on the internal slide presentation, but it has not been made public. NYT and WaPo have seen some of the slides. This new unpublished data is at bottom below the hash marks.
7:26 p.m. July 30.
This is the CDC report that caused the change of guidance. Excerpts:
Summary
What is added by this report?
In July 2021, following multiple large public events in a Barnstable County, Massachusetts, town, 469 COVID-19 cases were identified among Massachusetts residents who had traveled to the town during July 3–17; 346 (74%) occurred in fully vaccinated persons. Testing identified the Delta variant in 90% of specimens from 133 patients. Cycle threshold values were similar among specimens from patients who were fully vaccinated and those who were not.
What are the implications for public health practice?
Jurisdictions might consider expanded prevention strategies, including universal masking in indoor public settings, particularly for large public gatherings that include travelers from many areas with differing levels of SARS-CoV-2 transmission.
...
During July 2021, 469 cases of COVID-19 associated with multiple summer events and large public gatherings in a town in Barnstable County, Massachusetts, were identified among Massachusetts residents; vaccination coverage among eligible Massachusetts residents was 69%. Approximately three quarters (346; 74%) of cases occurred in fully vaccinated persons (those who had completed a 2-dose course of mRNA vaccine [Pfizer-BioNTech or Moderna] or had received a single dose of Janssen [Johnson & Johnson] vaccine ≥14 days before exposure)....Overall, 274 (79%) vaccinated patients with breakthrough infection were symptomatic.Walter A. Orenstein, associate director of the Emory Vaccine Center, said he was struck by data showing that vaccinated people who became infected with delta shed just as much virus as those who were not vaccinated. The slide references an outbreak in Barnstable County, Mass., where vaccinated and unvaccinated people shed nearly identical amounts of virus.
“I think this is very important in changing things,” Orenstein said.
A person working in partnership with the CDC on investigations of the delta variant, who spoke on the condition of anonymity because they were not authorized to speak, said the data came from a July 4 outbreak in Provincetown, Mass. Genetic analysis of the outbreak showed that people who were vaccinated were transmitting the virus to other vaccinated people. The person said the data was “deeply disconcerting” and a “canary in the coal mine” for scientists who had seen the data.
“I think the central issue is that vaccinated people are probably involved to a substantial extent in the transmission of delta,” Jeffrey Shaman, a Columbia University epidemiologist, wrote in an email after reviewing the CDC slides.
Friday, July 30, 2021
COVID-19 BIDEN+190 (July 29)
+151% Cases. Up.
The Spirit of Yul Brynner Lives
In Springfield, Mo., where coronavirus cases spiked this summer, Russell Taylor sat in a hospital gown, an oxygen cannula draped across his face, to offer a pro-vaccine testimonial in a hospital video. “I don’t see how I could not get it now,” he said.
A Texas man who underwent a double-lung transplant after contracting the virus made a plea on local television for others to get vaccinated.
And in a shaking voice, a hospital-clinic administrator in rural Utah described how she had been pummeled by double pneumonia and sepsis after choosing not to get vaccinated. The woman, Stormy, said it had taken weeks to summon the nerve to speak out in a video posted by her local health department. She only did so using her first name because she worried that Covid deniers would say she was making it all up.
CDC Delta Data
…the internal document lays out a broader and even grimmer view of the variant.
The Delta variant is more transmissible than the viruses that cause MERS, SARS, Ebola, the common cold, the seasonal flu and smallpox, and it is as contagious as chickenpox.
“Given higher transmissibility and current vaccine coverage, universal masking is essential,” the document said.
Infection with the Delta variant produces virus amounts in the airways that are tenfold higher than what is seen in people infected with the Alpha variant, which is also highly contagious, the document noted.
The amount of virus in a person infected with Delta is a thousandfold more than what is seen in people infected with the original version of the virus, according to one recent study.
…an analysis of a recent outbreak in Provincetown, Mass., which began after the town’s Fourth of July festivities. By Thursday, that cluster had grown to 882 cases. About 74 percent were vaccinated, local health officials have said.
I remember that vividly. It was shocking.
Detailed analysis of the spread of cases showed that people infected with Delta carry enormous amounts of virus in their nose and throat, regardless of vaccination status.
Infection with the Delta variant may be more likely to lead to severe illness, the document noted. Studies from Canada and Scotland found that people infected with the variant are more likely to be hospitalized, while research in Singapore indicated that they are more likely to require oxygen.
"May be" is a weasel word signifying nothing. I am skeptical that a weasel word would appear in a scientific document but I do not have access to "the document". In this instance I have no alternative but to take the word of the reporter, Apoorva Mandavilli, in whose reporting I lack trust.
Thursday, July 29, 2021
Trumpie, Ya Gettin' Ready?
@maggieNYT·Jun 1
"In reversal, Austin schools to offer virtual learning for kindergarten through 6th grade"
Sarah Gallardo [a mother]...applied after the Round Rock school district canceled its virtual option. While she was glad to hear the district had reversed course, she said she needs long-term option because her son Raymond [a 4th grader] thrived under virtual learning and his attention-deficit hyperactivity disorder makes it hard for him to sit through regular classes.
Ms. Gallardo, do you think Raymond's ATHD would have been improved if the school district followed Dr. Walensky's advice that schooling should be in person and Raymond must be masked?
Team USA's Suni Lee wins gold
Leniency?! Throw this Heroic First Responder a Parade!
Wednesday, July 28, 2021
Walk Back Walensky*
In Reversal, C.D.C. to Recommend Some Vaccinated People Wear Masks Indoors
The new guidance would mark a sharp turnabout from the agency’s position since May that vaccinated people do not need to wear masks in most indoor spaces.
This hurts CDC's and Dr. Walensky's credibility. I started wearing a N95 again a couple of days ago after seeing the rise of cases nationwide and in particular in the Asshole of America, and especially after reading about what the scientists refer to confusingly as "breakthrough" infections, a term that I delete every fucking time I see it. Experts: To normal people "breakthroughs," especially in science, are good things. Couldn't you have come with a new term, "breakout," "outbreak," break in,"?Reversing a decision made just two months ago, the Centers for Disease Control and Prevention is expected to recommend on Tuesday that people vaccinated for the coronavirus resume wearing masks indoors in certain areas of the country.
The change follows reports of rising...infections [of] the Delta variant...in people who were fully immunized, and case surges in regions with low vaccination rates. The vaccines remain effective against the worst outcomes of infection...involving the Delta variant.
But the new guidance, the details of which are expected later Tuesday, would mark a sharp turnabout from the agency’s position since May that vaccinated people do not need to wear masks in most indoor spaces.
Cowardly Cubans
COVID-INDIA, COVID-U.S.
India was the first country ravaged by Hurricane Delta. India's cases and deaths graphs from Johns Hopkins:
COVID-19 BIDEN+189
Now I know the increases are...decreasing.
14-day change (through 7/27)
+145% Cases. (okay, that's up one percentage point beat me whip me).+70% Hospitalizations. Down 2%.
+6% Deaths. Down 1%
Worst.
Very bad.
Least bad. Barely worse. Delta dawn is not killing Americans in the slightest proportionate to the increases in cases and hospitalizations.
The Land of the Free and the Home of the Prioritizing-Well-Being-Selfs
“We wholeheartedly support Simone’s decision and applaud her bravery in prioritizing her well-being. Her courage shows, yet again, while she is a role model for so many.”-U.S.A. Gymnastics
“I’m still struggling with some things,” Biles said after the event. “It just sucks when you are fighting with your own head.”
Biles told her coach and a team doctor that she was not in the right “head space” to continue because she was afraid of injuring herself, and also because she didn’t want to jeopardize the team’s chances at winning a medal.
While she had come to the Tokyo Olympics feeling “pretty good,” the weight of expectations on her as Team U.S.A.’s biggest star at the Tokyo Games became tougher by the day, and in the hours before the team final she said she was shaking and couldn’t nap. In the end, the pressure was just too heavy for her to bear, she said.
In the days leading up to the Olympics, Biles had been struggling with a few skills and was trying to overcome a mental block that kept her from easily performing her routines. That mental block is not uncommon in gymnastics, [a U.S.A. Gymnastics coach] said, but it usually happens at practice, not at a competition.
“I think a lot of people don’t realize that it’s such a mental sport,” [the coach] said... explaining that the mental blocks take a while to work through before a gymnast can begin trusting herself enough to perform her skills again. “If you have a week or two to prepare, you could probably get her back to what she needed to do.”
In Biles’s case at these Games, however, she did not have two weeks to spare.
Okay, that is a full, balanced, fair account of the Simone Biles incident, taken from the New York Times. The undersigned will incur a wrathful shitstorm raining down upon his head with his take following, and that is going to be the way it is going to be.
A mental block can be as no-go as a physical block; "not right in the head space", Ms. Biles' words, as not right as not right in the knee space. There is no fault blowing out your knee, no fault in blowing your mind. You can't go in either state. There's no shame in whatever ailment kept you out. But neither is it "bravery" or "courage". You can't go! There's nothing you can do about it.
Hell, Kyrie Irving missed a basketball game because he had been bitten by bed bugs. Justise Winslow missed most of two seasons when his back didn't feel "right"--although team doctors thought Winslow could go, that it was psychosomatic. This is the thing, though: the examples of Kyrie Irving and Justise Winslow do not help make Ms. Biles' quitting more credible, they make Ms. Biles less credible.
But there is more to Simone Biles' situation. Although not in quotation marks as Ms. Biles' words I have no doubt that when the New York Times writes, she said she was shaking and couldn't nap that she said she was shaking and couldn't nap.
Shaking from nerves. That's not a mental block.
The weight of expectations...the pressure was just too heavy for her to bear, she said.
Biles told her coach and a team doctor...she was afraid of injuring herself, and also because she didn’t want to jeopardize the team’s chances at winning a medal.
Didn't want to hurt the team: that is transparent bullshit. You take one for the team, like Willis Reed hobbling out after half-time. Reed was the star, Biles was the star. Stars don't help the team by sitting out. Simone Biles was the best gymnast that ever was. It was not a mental block, like an arterial blockage, something that threatened her "well-being" and forced her to no-go, it was a failure of heart. Simone Biles went woolly in the knees; she spit the bit; she was Devon Loch coming down the stretch to the finish line and belly-flopping. Simone Biles just quit. And not just on herself, on her team. There is shame in that.
COVID-19 BIDEN+188
3-D Animation Champlain Towers South, Mike Bell
"A Fight for the Soul of America"
Our national anthem has it that America is the "land of the free and the home of the brave." This site contains much writing on the soul, "the animating principle," of America--that a can-do optimism animated America, that yes, we had bravery in our soul. We had the "spirit" to complete a solo trans-Atlantic flight in 1927; the daring, in 1962, to "choose to go to the moon, not because it is easy but because it is hard." And to do it in 1969. There is also much writing here that the soul of America was changed by 9/11, that afterwards we became a more inward-looking, tentative, fearful country.
Where was the Joseph Welch of 1954 to stand up to a dangerous demagogue in 2015-2020? Ted Cruz? Marco Rubio?
The 2020 election was "a fight for the soul of America" as candidate Joe Biden said repeatedly in 2020. It was, now-President Biden was right. We, and he, won the fight but the battle for America's soul is not over.
Even a repudiated, disgraced figure still makes Republicans cower in fear.
Where was the civic responsibility of 1955 in eagerly volunteering for testing of a new polio vaccine?
Where was the other-centered heroism of the individual ordinary American that we saw in Lenny Skutnik in 1982 among the professionals in Surfside in 2021?
We have lost it. Anybody here seen my old friend, Uncle Sam? I just looked around and he was gone. The soul is a malleable thing and having changed before it can change back again but ever since 2001 we have lost our soul.
'Eers
College Football ‘Super League’?
Monday, July 26, 2021
FT Miami-Skaid Fire Rescue 1, Dead 98
Estelle Hedaya, 54 years old, was the last victim identified.
Should we reprise the "Heroes Welcome"? No.
Speaking from a coronavirus unit in Washington Regional Medical Center in Fayetteville, Dr. Michael Bolding said he wished people could see these patients' faces. The video, posted on Facebook on July 16, has been shared more than 6,300 times.
Bolding said the sick people knew "that they may be short for this world because they didn't get their vaccine."
"...that look on a patient's face, I promise you, would be more motivating than anything to go ahead and get your vaccine if you have not already," he said.
Oh my goodness. Do any of you remember the Yul Brenner "don't smoke" commercial?
This is the key to vaccinations. Get a sick person to agree to speak in a "get vaccinated" commercial.