We're back to hockey-stick growth in Covid-19 numbers
The latest numbers from the MWRA's Deer Island treatment plant are out and they're not looking good.
The numbers, which show how much of the virus is being excreted by MWRA customers in Boston and other parts of the area, have become a predictor of actual Covid-19 diagnoses seven to ten days out. But even before that, our Covid hospitalization numbers are on the rise as well, Jon Levy, chair of environmental health at the BU School of Public Health, reports:
Boston-area wastewater levels are where they were in early Jan and rising fast. MA COVID hospitalizations are at highest since winter Omicron wave, with > 100 COVID deaths last week for the first time in a long time. Little public acknowledgment. We have become comfortably numb.
BPS today announced eight school days of indoor masking, but said nobody will be penalized for refusing to put on a mask.
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(edit: should explain I mean "crap" as in the exclamation. not implying the data is "crap". well it is crap literally but not figuratively. what was I saying again?)
BPS will “ask and expect” (but not mandate or punish non-participants) students and staff to mask for the first two weeks. Which: good. As they point out in the announcement, January 2022 averaged nearly 20% absence amongst students and such short staffing that schools could barely stay open, at our own school the family liaison was teaching classes. Hopefully with a bit of prevention we can avoid that disruption again.
This is what every post Xmas will look like…
…for a long time.
Who gives a shit!
Who gives a shit!
Not just covid
Hospitals are currently overflowing with cases of flu, RSV, and Covid and there's a real shortage of pediatric beds. As anyone who's had kids or had co-workers with kids knows, schools are hotbeds of germ transmission and kids are generous at sharing with family who then share with others in their offices.
Masking is protective against viruses and bacteria in general. Wearing a mask both protects you from catching things and also protects people around you from catching anything you may currently be infectious for, whether or not you are symptomatic yet.
We used to “flatten the curve”
But 2+ years of attempting (and failing) to stop Covid means the kiddos are catching up on 2 winters without exposure to the everyday germs that are a part of growing up. What is happening with flu and RSV now is inevitable. If we were taking the same precautions this winter that we took last winter, everything would be delayed until next year, with worse results.
Do I know you?
Are you in public health?
Or are your "theories" your own?
man with opinions, god forbid he keep those to himself.
Assertions about how the immune system works are not “opinions.” They have an objective truth value that can be deduced from data. Such statement are either consistent with the existing body of observed data ir inconsistent with the existing body of observed data.
You pontificate on the Catholic Church, no?
But in my case my views come from reading and watching numerous reports on the uptick.
But I'm sure you can enlighten us with the real reason why, after 2 quiet winters, RSV and influenza are back with a vengeance. Here's an article on RSV, in case you haven't been keeping up with things. It also mentions influenza.
Any thoughts on China's second wave of Covid while we're at it?
Nah, it's immune system damage from COVID
"What doesn't kill you makes you stronger" is not an accurate summary of viral epidemiology. Why would you need an updated flu shot every year if getting exposed to the flu in 2020 would protect you from the flu in 2022? They studied immunity from RSV in the 1990s and it's certainly not 2+ years of protection: "By 2 months about one-half and by 8 months two-thirds of the subjects became reinfected." Plus, while the US never really had an enforced and policed "lockdown" such as China, some countries like Sweden proudly never had any real restrictions or mandates of any kind from day 1 - and they're seeing the same massive wave of pediatric sickness, including in "samma barn i år som förra året" - the same children this year as last year. You can also see that we in the Northeast had plenty of sickness last year - Rhode Island for instance had no RSV in 2020, but they had as much or more RSV in 2021 than in 2018-2019, and still had a massive wave this year that strained the hospitals.
Meanwhile, there is substantial evidence that COVID infection damages your immune system for months and thereby makes you more susceptible to other infections.
That article goes on to explain the immune damage being caused by COVID. Here's some other mainstream reporting:
Some peer-reviewed scientific papers from major journals have documented many types of immune damage. For instance:
And much much more. The data is out there. This Twitter thread compiles some more.
Ever read about the influenza outbreak of 1918?
It affected an age group typically not affected by influenza. But you know the reason why, so I won't insult you by dredging that up.
I do indeed
It's because scientifically-illiterate and/or selfish people didn't wear face masks that help prevent the spread of a novel, deadly, airborne pathogen, despite medical science at the time communicating clearly it was an important aspect of public health in such a scenario.
So you missed the part
Where a segment of the population that is usually relatively unaffected by influenza was disproportionately affected by the virus.
Unclear what you're getting at
I didn't miss that part? The virus that caused the 1918 pandemic was more deadly than previous local influenza strains, so it killed more people, and more diverse groups had worse outcomes. Similarly, SARS-CoV-2 is a very nasty coronavirus, much more so than our typical "common cold" coronaviruses, so it harms more people, and harms them more. Quod erat demonstrandum.
You should study the outbreak
Unlike other influenza outbreaks, the 1918 outbreak affected people aged 20-40 disproportionately. One of the reasons given for this is that the 20-40 cohort had missed exposure to similar influenza strains when they were younger. Again, more kids are catching RSV this season because they didn't the previous 2 seasons. Long term, this will even out, but this is what we are seeing this year.
If you ever get curious about pandemics, I recommend The Great Influenza by John Barry. Here's something from 2012 on the theory.
That doesn't say what you think it says
The 2012 paper you posted suggests one hypothesis that says:
This means that people who had developed acquired immunity to a previous influenza strain, when then exposed to the 1918 flu strain, had an inappropriately strong T cell driven immune response, causing self-inflicted harm to the body which made these people vulnerable to other unrelated pathogens such as bacteria. Consistent with this theory, if those people had masked in 1889 and avoided exposure to that particular influenza strain, they would have had BETTER outcomes during the 1918 pandemic, even if they got infected at that point.
To be clear, post-covid immune hyperactivation followed by T cell exhaustion leading to inhibited immune responses to future pathogens is one of the things being reported in the links in my original post. And this will be exacerbated, not reduced, by additional rolling waves of COVID, flu, and RSV infection every year.
If nobody in MA had RSV for two years and getting RSV will fix the issue, why did they have it last year and then have it worse this year? What do you think about the RI data I posted? Or that Swedish children's hospitals are seeing the same kids two years in a row? To paraphrase the experts like pediatric immunologists in the recent articles I posted earlier, getting infected with a virus is never a good and helpful thing - it's a bad thing that causes harm, and those harms can interact and compound, as demonstrated by that 2012 article you yourself posted.
The Covid-19 vaccines should've been made mandatory.
A huge part of the problem is due to the fact that the Covid-19 vaccines, unlike polio vaccines and other vaccines, were not made mandatory for everybody who was able to get the Covid-19 vaccinations from the beginning. Thanks to the anti-vaxxers, and the anti-Covid-19 vaxxers, and thanks to ex-President Donald Trump, we're not even close to being out of the woods yet.
Had the Covid-19 vaccinations been made mandatory from the beginning for everybody, regardless of age who was able to get those vaccines, we'd be out of the woods and back to normal, or at least close to it, by now.
Unfortunately, I'm not sure
While I don't disagree with you that mandating them may have been the best public health option available at the time and objectively better than what we did instead, I'm not sure that could have gotten us back to normal.
1) When they were first being deployed, there simply wasn't enough vaccine available for everyone at the same time. As you remember, there were months of priority tiers because supply was legitimately constrained. However, there was a lot of interest and sharp voluntary uptake of the vaccines through the Spring, until we hit around the 50% mark nationally. Mandates could have kept that uptake rate constant for the rest of 2021, except...
2) Vaccine efficacy wanes, quickly. The mRNA vaccines are extremely effective at rallying an intense immune response fast and if you were 2 weeks out from your 2nd shot in the Summer of 2021, you were basically invulnerable from COVID - but protection from infection really only ever lasted 4-8 months or so, and protection against hospitalization and death wanes some time after that. I "bandited" my first booster in late summer 2021 because they weren't broadly approved, but the neutralizing antibody data (Pfizer's own, as well as Israeli population data) was extremely clear that they stop working against infection fast. Besides acute death there are many reasons you'd want to avoid a survivable, mild COVID infection - such as the development of Long COVID, ME/CFS, increased risks for sudden heart attacks and strokes which can happen for a year or more after infection, the immune system damage outlined above, increased risk of developing diabetes, etc. So you can't just immunize everyone once, you have to immunize everyone AT once, or within a pretty short timeframe to make the population protected from transmission, otherwise you have rolling waves of vaccinated but infectious people. Which is not avoidable, because...
3) It's everywhere. I think we as a species had a very narrow window to put the genie back in the bottle, but no realistic hope of doing so across all nations. Modern air travel is just a totally new variable in viral pandemics and you cannot vaccinate the entire human race simultaneously, so people flying from Rome to London to NYC will keep reintroducing it to populations. And even if you could, it's a zoonotic disease that is now widespread in many other animal species, including our regional wild white-tail deer. But even if you ALSO drop edible vaccine pods in the woods, COVID seems very good at developing immune escape...
4) Since SARS-CoV-2 evolved in a bat, which has one of the most intense immune systems in the animal kingdom; humans are easy mode. It keeps easily evolving to defeat our immunity and increase its transmissibility, and updated vaccines don't really provide updated protection to the same degree as the original, quasi-sterilizing vaccine. Since it transmits pre-symptomatically, there's no evolutionary pressure to reduce disease severity, and the so-called "milder" Omicron variants are mainly an illusory effect largely due to the population immunity that we had already developed against previous variants by that time. We have never created a durable coronavirus vaccine before, and I'm not entirely sure that even WITH hypothetical frequently-updated, widely-taken nasal boosters that rally a tissue-resident immune response in the airway, we would be able to truly return to a 2019 normal. It would be better, safer, and more stable, certainly...
None of this is to be fatalist in the "well, no use worrying about it then, just gotta live with it" sense. COVID is a chronic society-wrecking event, as the economic/employment and air travel and supply chain chaos has shown from 2020 through today - and there's always the potential a quirk mutation will make it much, much, much worse. Avoiding it is one of the most important things you can do for your short- and long-term health. I don't do indoor dining anymore. I wear a KN95 or N95 or P100 in all indoor settings with mixed households, barring strict post-gathering quarantining and testing. That's "living with" COVID.