Ian Welsh

The horizon is not so far as we can see, but as far as we can imagine

Category: health care Page 6 of 35

Calling My Shot on Letting Omicron Rip

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On January 13, 2022

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In a few years, we’re going to read a lot of op-eds and articles about how it was a mistake and “no one could have known.”

Like with the Iraq War, the housing bubble, Afghanistan, climate change, and everything else of importance, there are always people who got it right, and those people are generally the people who got other things right that those in the bubble don’t.

When you’re in the bubble, which includes the media, the most important thing is to not leave the pack. If you get something wrong, but almost everyone inside is wrong, you’re good. If you get it right, against the pack, your career can end and if it doesn’t it will be set back. (This is what happened to most public figures who warned about Iraq.)

Omicron is going to produce a huge wave of disabling, and a slew of downstream deaths. Children will get chronic damage from it which will last for years and, in some cases, for their entire lives. So will adults.

In Ontario, where I live, the government has decided to reopen schools this coming Monday, and said that it won’t tell parents about any Covid cases until 30 percent of students and teachers are out with Covid. (As most Covid cases are asymptomatic, this could mean as much as a 75 percent prevalence rate.) Wouldn’t want parents to protect their children from risks.

I’m really tempted to call this genocide. It’s certainly mass murder and mass-disabling. A lot of parents are complicit. Ontario originally closed schools, and I’d lay long odds that a blizzard of calls is part of why they’re reopening, also calls from business-owners and executives. School is mostly daycare, and if you don’t do a real shutdown with support, people need their daycare. (Though as a 70s kid, I’ll say that children can care for themselves during the day better than you think, younger than you think. Any reasonable ten year old, and many eight year olds.)

Anyway, we’re in the stupid season, just like before and during the first few months of Iraq, when fools opine about how it’s going great, kids will be fine, etc. As usual, we’ll have to wait for the damage to be done for the fools and psychopaths to admit that maybe some of them were wrong, but jeez, it was in good faith, and no one could have known, and since we were all wrong there shouldn’t be any consequences.

For the rest of my life, I will support bringing back the death penalty for any politicians and bureaucrats who supported sending children back to school during the Omicron surge. Hang them from the neck, every one — and throw in the business-people who forced workers with Covid to come in to work as well.

Meanwhile, New York has decided not to prosecute ex-Governor Cuomo for deliberately sending Covid-infected people to old-folks homes, thus killing huge numbers of old people, and then lying about them.

In this type of situation, you don’t take chances. You don’t expose the entire population including children to the new strain, waving your hands about how “mild” it is.

But this is barely “taking a chance,” this is odds-on a catastrophe unfolding as we watch, and those who do it either know it or should know it.

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Mass Democratic Legitimacy Loss from Mass Disabling

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On January 11, 2022

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The figures I have seen for Long Covid start at about 10 percent. You can have Long Covid without knowing it; there can be organ damage, including brain damage, without you having symptoms, but that damage will effect your future health and lifespan. Ironically, it may create a co-morbidity if you get Covid again and you’ll be considered part of a vulnerable population.

For some, it is very severe. One acquaintance had enough brain damage to cause aphasia, and needs speech therapy. Others go from fit to out-of-breath walking down the street.

As the policy in most Western nations is “Everyone will get it, let’s just make sure it doesn’t swamp the hospitals,” let’s run some numbers. Assume everyone is 80 percent. The US population is 329 million, so 263 million people will get Covid. Of those, assume 10 percent (and I’ve seen double that number, but we’re going with conservative estimates), about 33 million people, will get Long Covid.

In the EU, numbers run to about 36 million. Worldwide, excluding China and Japan (who seem to be handling Omicron), there are about 5.9 billion people (with some generous rounding against Long Covid). 80 percent of that is 3.9, so you’re talking 390 million people with Long Covid.

These are VERY conservative numbers. Long Covid estimates go as high as 20 percent that I’ve seen, and there is the issue of re-infection. If you get Covid multiple times, do you have multiple chances to get Long Covid? Bear in mind that there will be new variants as well, so immunity will not carry forward that well.

So it wouldn’t be hard for those headline numbers to double: 780 million worldwide, 72 million in the EU, and 66 million in the US.

These are—staggering numbers, and their affect on our societies cannot be underestimated. The deaths are terrible, but the bad health and disabling of many (and remember, that organ damage will lead to disabling later in people who seem fine now) will require us to restructure large chunks of our society to support those who are injured. Many people will not be able to work, or their working lives will be reduced in length and intensity.

What’s worse about this is that, while people die only once, they can remain sick and disabled for decades. So unlike the Spanish Flu, say, Covid will be with us in ways we can’t ignore — every time someone looks at a friend or loved one who is sick because of it. No matter what people “feel” now, years to decades of watching the consequences will sour them.

Letting Covid run wild through the world was a choice. We made it. A few societies didn’t.

Ironically (or not?), the Chinese Communist Party decided to not let their population die in droves and acquire long-term health problems (the number for China would be 112 million at the conservative end). Most Western “democracies” chose to have mass deaths and Long Covid.

This isn’t just about the horrid consequences of our choice to let Covid rage and mutate, this is also a mass legitimacy loss event for the West and for democracy, though a very few democracies have proved non-psychopathic.

If “freedumb” means governments that let you die or get Long Covid, is it “freedumb” worth having? If being ruled by “commies” means that you live and stay healthy and so do your parents, grandparents, and kids, is “Communism with Chinese characteristics” so bad?

That’s a question a lot of people are going to be asking themselves.

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Again, on Omicron & “Just Give Up and Let Everyone Get It”

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On January 4, 2022

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Start with this:

Omicron is more infectious than Delta. Its symptoms are concentrated more in the upper respiratory tract, which is one reason it is substantially less deadly, but upper respiratory tract infections are worse for children and better for adults.

Though it’s unclear how much less deadly Omicron is than Delta (because there are too many confounding variables like previous infection and vaccination), let’s do some clarifying math, as if you were back in school.

If Omicron is half as deadly as Delta, and four times as many people get it, how many people will die compared to Delta?

If five times as many people get it will more people die or less?

This is before we get into the question of hospitals being overwhelmed, meaning some people don’t get care, including people with problems other than Covid.

Then we have the multiplication of re-infection. Omicron appears to be optimized for re-infection. It’s not a case of “everyone gets it.” It’s a question of “How many times will you get it and does each time increase the chance of organ damage/Long Covid and/or death?” You can get the flu multiple times, then die from the last time, happened to one of my friends in his 30s.

Finally, a variant this widespread has many, many more chances to mutate. It might mutate towards even more mildness, but there’s no guarantee of that. Delta certainly wasn’t more mild.

Sending children back to schools during the Omicron surge is insanity.

I notice, also, that at least two nations are handling Omicron: China and Japan, so it isn’t a case of, “It can’t be done,” and gnashing, weeping, and pretending that we would do something — if something was possible. Something has always been possible and most nations have always refused to do what needed to be done.

That something has always been a mix of policies; not just vaccines, but track-and-trace, quarantines, lockdown, and improved ventilation. (Indeed it may be that one reason Japan is doing so well is that they acknolwedged Covid was airborne early and have taken that into account in their response.) US schools keeping doors and windows locked out of fear of shooters is an amazing case of statistical innumeracy, and every country which hasn’t been changing ventilation systems to deal with Covid is a country which is not serious about saving lives and avoiding a mass crippling of their population.

Covid has been a mass-crippling event. Millions of people will be disabled, for who knows who long, with affects on our societies and our sacred economies which will, themselves, be disabled.

Nor is there any particular reason to think that “herd immunity” from natural immunity will work, as Covid is good at re-infecting and immunity drops fast.

This is a brilliant and wonderful scenario for anyone who owns shares in vaccine manufacturers, with their boosters every few months (more often than every six, as we are seeing it), but bad for everyone else.

Covid is and always was a worldwide phenomena, which required a worldwide response. That could have happened if the major powers had agreed and done not only the right things themselves, but also assisted everyone else in doing the right thing. Instead, vaccine chauvinism, profit opportunities, and so on took precedence.

China’s leaders, totalitarian tyrants, apparently cared enough about their population to stop Covid, even at economic cost. Our leaders, seeing that Covid was a huge profit opportunity (billionaire wealth has about doubled), decided that mass death and disabling was a cost they were happy for their “free” subjects to pay.

Who are the barbarians?

And now it’s killing and crippling our children.

Your leaders kill and hurt you for money and power. That is how they have acted since Reagan and Thatcher took power.

They’re killing you. They’re killing your children. They’re crippling you. They’re crippling your children.

You make excuses for them, but the Chinese and Japanese leaders made other choices and so far, at least, they have avoided mass death among adults, elders, and children. Perhaps they’ll be overwhelmed eventually, I don’t know, but so far they’ve held the line.

Your leaders kill, cripple, hurt, and impoverish you for money. They’re doing it to your children now.

Is there anything they can and will do that will cause revolution?

Because removing them, en-masse, and trying them for their crimes is the only thing that will ever make the world better, or give  you even the faintest chance of dealing with climate change and environmental collapse in a humane manner.

Covid has been a practice run for when climate change starts really hitting. It shows which societies are able to respond to a collective challenge.

Most of our societies have failed and because climate change, like Covid, is a world problem, that a few societies haven’t failed is unlikely to matter much, even to them. They’ll just stay together under pressure longer than we will.

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CDC Jumps the Shark & Experts Die Another Death

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On December 29, 2021

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So, days after American Airlines asked for a reduction in quarantine length, the Center for Disease Control (CDC) reduced recommended quarantine length to five days.

Remarkable.

The CDC, the WHO, and many other health organizations have repeatedly disgraced themselves. At the start, they advised against masks. Masks clearly do help, and because, at the time, they thought that Covid was spread by droplets, masks were completely indicated. The CDC took too long to admit that Covid was airborne, recommended children go back to school, and so on.

In general, health authorities in too many countries have not recognized that airborne spread requires improved ventilation and filtering. School boards have forced teachers to keep windows closed. Vaccine approvals have been political — Sputnik V was an excellent vaccine pre-Omicron, but it was Russian, so, not approved in most Western countries.

Health authorities in many countries have not tracked and traced, have not quarantined properly, and so on.

All of this has broken trust with public health organizations and with experts in general.

People want scientists in organizations like the WHO and CDC to be non-political, to say what the best science says, and they haven’t and now trust is broken.

In general, the idea of expertise has been broken over the last few decades, because experts acted badly or weren’t experts.

This requires a bit of unpacking and “expert” is a bad word. Economists are experts, but they are not scientists, they’re ideologues. They study how the world should be and try and force the world to be like that.

Economists are moral philosophers, in effect — or theologians. If they presented themselves like, “We believe in markets and utility maximization and utility is a metaphysical concept for us, and we think this is the best way to organize society,” that’d at least be honest.

If they were honest, you could sort of trust them. “Oh, so macro-economists are like Christian preachers who say that society should be based on their beliefs of what an ideal society is like!!” That’s not at all the same sort of “expert” as a biologist or physicist.

Over 99 percent of economists didn’t predict the financial collapse. They didn’t realize there was a housing bubble. When economists, and other fake scientists, presented themselves as scientific experts (whose advice, when followed, was CRAP), they discredited the very idea of expertise.

Then actual scientists let themselves be politically compromised and now, they have completed the job.

I read a lot of people who say, “Trust the experts.” Shut up.

The experts disgraced themselves. The economists, the psychologists, the biologists, etc, etc. Too many of them have either presented themselves as something they’re not (scientists) or are actual scientists whom have fudged the science.

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This even goes down to hedging things that are well agreed upon. Climate change, for example.

The consensus forecasts have almost been universally too optimistic, for decades, because scientists were playing political games and trying to be palatable.

Actual scientists need insulation from politics. People who are playing politics need to not be insulated from politics. Central bankers and economists are not scientists, they are political actors whose actions hurt some people & help others.

Central banks should be under direct control of elected officials. Scientists in the CDC and WHO should be heavily insulated from political power. Climate scientists need insulation as well.

Expertise has to be politically disinterested. For example, with the initial mask guidance, honest communication would have been:

The best science is that masks help protect us from Covid. Surgical and N95 masks are currently in short supply, so please use cloth masks right now. Here’s how to make them yourselves.

That’s honest, and it doesn’t break trust.

And that, along with not allowing people like economists, psychologists, and even psychiatrists, to pretend to be scientists is how you avoid loss of trust in experts.

Once you lose trust, you’re screwed. Real experts, who can be trusted, are now tarred with the same brush as those who have betrayed trust, and a plurality of the population has decided they don’t have to believe what the “experts” say, because in the past they’ve lied, been wrong, or perverted the science for political or business reasons.

 

Taking Omicron Seriously

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On December 23, 2021

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Omicron is insanely contagious. Where I live, cases are doubling every three days. There are places where the doubling rate is two days.

It appears optimized for blowing through vaccines and natural immunity, which is to be expected. We partially immunized the world, but didn’t wipe out Covid, and it mutated to adapt. Because, in many places, a majority had vaccination and natural immunity, the virus adapted to this.

I quoted this May 2021:

The first big breakout variant, the UK strain, was specifically adapted against masks. It was much more contagious, so minor mask lapses were more easily exploited. It spread more evenly, relying less on super-spreader events, and was more infectious to children, who mask poorly.

The next big breakout was the South African strain, which was part of the family of Covid strains that contain a mutation colorfully labeled “Eek,” which evades antibodies, especially from natural infection or weaker vaccines, because that was/is becoming a bigger impediment than masks.

Now that MRNA vaccines are becoming the tool of choice, if the virus is allowed to continue to circulate in a partially-vaccinated Western population, it is only a matter of time before that becomes the biggest impediment to Covid’s success, and viruses are selected for resistance to it.

(Cue swelling music). LIFE, LIFE finds a WAY!

So, that prediction (not mine, but adopted by me because it made sense), came true.

Now, it’s still unclear how virulent Omicron cases are, because there are a lot of confounding factors. While vaccines don’t protect nearly as much against it, they do make you a lot less likely to die or wind up hospitalized. My sense is that it’s probably about as virulent as the original strain, but not as virulent as Delta.

Omicron appears to be excellent at re-infecting. Odds are you can get it multiple times.

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We also don’t know, yet, how much Long Covid it produces. Bear in mind that, in about half of those people with symptomatic cases of original or Delta, there’s lung scarring even if they don’t have “Long Covid” symptoms. Brain damage is pretty common too, and Covid often damages kidneys. People who are young and fit have gotten this; I have an acquaintance whose brain damage was so bad he got aphasia — he now sounds like a stroke victim and is in speech therapy.

So I’d take this seriously, especially since we don’t know Long Covid works. It may be that your chances of getting it increase each time you have Covid, or just that you have a chance each Covid infection. While Omicron does defeat vaccines better than previous strains, mRNA vaccines (ideally three doses) do provide protection; ventilation will work, etc.

Omicron should never have happened. There should have been a coordinated global effort to eradicate the virus, using basic epidemiological principles that have worked where applied, like in China and New Zealand, combined with travel bans, quarantines, and worldwide vaccine rollout.

Sadly for you and me, but not for our lords and masters, Covid was hugely profitable to the richest people, so it was allowed to spread. Billionaires have seen their wealth double and you just can’t pass up that sort of profit event, certainly not for something as trivial as millions of people dying and possibly being crippled for life. “Hard decisions,” y’know?

(One silver lining of all this is that Omicron is so contagious it seems to be busting through elite cordons. Bill Gates is in isolation now, and if he gets it and dies, it will be exactly what he deserves.)

The deaths and suffering are about a lot more than Covid, as well. To use the simplest example, a lot of surgeries and procedures have been delayed during the plague, and people are suffering and dying because of that. Where I live, I’ve seen response to cancer discovery go from about two months from initial finding to surgery/treatment to well over four months (not sure how much over four months yet, finding out the hard way). That will turn some people’s treatable cancer into a death sentence. The same is true of heart issues, and so on.

This is what our elites do. They make themselves richer and more powerful, and they do so by hurting and killing other people. Whatever you think of the CCP, and there’s a great deal I do’t like, after initial denial and foolishness, they treated Covid seriously and not primarily as a profit event. Since a few Western states did likewise, we know this isn’t a case of “only totalitarian governments can,” but it’s still an indictment that a single party authoritarian state has handled the plague better than almost every “democratic” nation.

Grim news for the Christmas season, and totally unnecessary, but like with climate change and ecological collapse, it’s where we are. Because we let our elites kill us, but never even consider returning the favor.

Be as well as  you can be, and I hope you remain untouched by all this.

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On Respirators, Masks, and Getting Through the Pandemic

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On December 22, 2021

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With permission, I’ve elevated this comment, as I think it may be helpful to those trying to get through Covid.

Here’s how you get through this pandemic:

I buy N95 from Uline in bulk 300 respirators (15 cartons) at a time. It works out to less than a $1 per day for a fresh respirator everyday per person. The link is right here: https://www.uline.com/Product/Detail/S-9632/Disposable-Masks/Uline-N95-Standard-Industrial-Respirator . Where I live, Uline delivers in 1-2 days direct from their warehouse.

These Uline respirators are a ‘manly’ man’s respirators. They are itchy and rough but are a very tight fit on my face and I can endure. Working without taking time for sickness is important to me (+ I perform mentally very challenging tasks and can not lose any IQ points to COVID even if I otherwise have no severe symptoms). If you are not into that, these Korean DOBU respirators are the softest thing you will ever find:
https://www.amazon.com/DOBU-NIOSH-Foldable-Medium-Respirator/dp/B08ZYDH36H/ref=pd_lpo_1?pd_rd_i=B08ZYDH36H&psc=1

They are as soft as a plush toy but a bit too small for me. Women and children love these respirators.

We have tested close to a dozen of brands of respirators (blowing between 2-3K to purchase samples), and most were wanting in one aspect or another. LG health Patriot Mask (https://www.alg-health.com/industrial-non-surgical/) just has this nasty plastic smell that I can’t stand but otherwise is rather soft and well-fitting. Some are willing to overlook the smell (or air the respirator for a couple of days before using it).

I have a shelf on the inside side of my home door where I keep boxes of respirators. Before I step out I put one on, always. On the outside side of my home door, I have a trash bag, when I come back, I put the respirator I have on in the trash bag. Always and everyday, by now it is an instinct, a reflex, like putting pants on. I also have special glasses but I wear those only in transit. I do not take the respirator off outside of my home — never. So, no eating in restaurants, no lunch. I also discourage and shut down any parties at work and minimally participate in parties or events thrown by the superiors (which luckily the superiors seem to be on the same page) . When I get home, I wash hands and face, spray hair with 70% alcohol and change into home clothing. Too much you say? To me, it is better than being sick, even mildly. I hate being sick, I am never sick, I don’t remember when I was sick last time. Plus, as I point out above, what my colleagues and I do is intellectually taxing — any IQ point counts.

Ian – please use the comments to discuss getting through the pandemic.

Get Ready for More Shutdowns

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On December 17, 2021

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Omicron is VERY contagious. Where I am, we have doubling of cases every three days, and that seems typical.

No matter how much politicians don’t want more closures, this is going to overwhelm ICUs and force closures — unless politicians are willing to see people dying in the streets (which some may be).

So, expect new closures, soon. I would suspect that most governments will try to hold off until after Christmas, but even that may not be possible.

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Elementary School Covid Outbreaks in Ontario

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On December 10, 2021

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So, for a couple years now, almost, I’ve been warning about schools and Covid.

In Ontario, teenagers can be vaccinated and children under 12 only became eligible November 24th.

Vaccines do reduce cases; children are not immune, and they do spread it to others.

Ontario’s overall policy has been deranged. Currently, large sporting events and casinos are operating. Before they were, R wasn’t over 1, now it is.

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In any case, if you reside somewhere where children aren’t vaccinated and can reasonably, and you can legally keep your kids home, I’d do so unless the schools are properly ventilated (almost none of them are). Remember, again, that long-Covid is a thing, and could fuck you or someone you care about up for life, even if you don’t die from Covid.

Generally speaking, the most important thing is that Covid is airborne. Proper ventilation is a must. Buildings which just centrally recirculate air are delivering Covid directly to you, which is why most hotels aren’t a good place to quarantine people.

Personally, I’ve been keeping outside air circulation going where I live since Covid started, since otherwise I live in a central air building. Insufficient, but better than nothing.

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Be well and be safe.

 

 

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