Christmas present for deskbound healthcare heroes: a vaccine shot

Our mole in the U.S. health care system, the author of Medical School 2020, reports that his hospital ended up being supplied with way more coronavirus vaccine than needed for patient-facing clinical workers. “It doesn’t last that long, so they needed to get rid of it.” Did they take the leftovers to the local nursing homes and try to save the elderly? “No,” he responded. “They’re just giving it to anyone with a badge, even if they’re not clinical.”

Happy Christmas Eve! Here’s hoping that Santa brings you a vaccine, even if you don’t need one!

Related:

  • “Does the flu vaccine work as well in elderly people?” (health.harvard.edu): The flu vaccine can be less effective in elderly adults. That’s because the flu vaccine works by priming the body’s own immune system to mount a response to the virus if it’s encountered. Older adults may have weaker immune systems, and therefore a weaker immune response to the vaccine.
  • “Fact check: Coronavirus vaccine could come this year, Trump says. Experts say he needs a ‘miracle’ to be right.” (NBC, May 15, 2020): “I think it’s possible you could see a vaccine in people’s arms next year — by the middle or end of next year [2021]. But this is unprecedented, so it’s hard to predict,” said Dr. Paul Offit, a professor at the Perelman School of Medicine at the University of Pennsylvania and the director of the Vaccine Education Center at Children’s Hospital of Philadelphia. … “A lot of optimism is swirling around a 12- to 18-month timeframe, if everything goes perfectly. We’ve never seen everything go perfectly,” [Rick] Bright said. “I still think 12-18 months is an aggressive schedule, and I think it’s going to take longer than that to do so.” Bright, an internationally recognized vaccine expert, filed a whistleblower complaint alleging that he was fired for opposing the use of an unproven coronavirus treatment promoted publicly by the president. Trump has called Bright a “disgruntled” employee.
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A friend’s COVID-19 journey

A friend here in Maskachusetts has been fairly careful to avoid COVID-19. He’s supposedly in a “bubble” with three kids, their mom, the outside nanny, and her boyfriend. He’s in a suburban fortress to which everything is delivered by an army of essential workers. Nonetheless, he began feeling unwell on December 7. On December 9, he had a PCR test, which came back negative. He and his wife both lost their senses of taste and smell, but otherwise the symptoms were milder than a typical cold. A December 14 sample tested positive. He is in his 40s and was fully recovered by December 17. The wife (30s) and kids (1-year-old twins; 3) recovered sooner. The children had mild symptoms for just a day or two (one of the 1-year-olds did test positive).

The source of the infection was traced to the nanny, a young migrant from Latin America. Perhaps her boyfriend was in a bubble with some gals from Tinder while the nanny was bubbling with the kids? Her immigration status is unclear, but “individuals detained by ICE were 13 times more likely to have COVID-19 than members of the U.S. general population in April-August 2020” (“Impact of COVID-19 on the Immigration System”).

Arranging testing here in Maskachusetts was burdensome and slow. After a couple of days to arrange a test, results took as long as four days to come back. As with roughly half of tests of folks who are infected, my friend’s first test was a false negative (probably due to his body not putting virus on the swab, not due to a mistake in the PCR process). He didn’t receive laboratory confirmation of his disease until after the end of the CDC-recommended quarantine period for the disease (i.e., Kary Mullis‘s invention wasn’t medically or epidemiologically useful).

Along with a higher rate of current COVID-19 infection than never-masked never-shut South Dakota (CDC), we also had more than a foot of snow fall on the ground prior to the official start of winter:

Where is global warming now that we need it?

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Windows or MacOS better for restricting teenager activity online?

As noted in Coronapanic proved Greta Thunberg right, 2020 will go down in history as the year when adults stole the most from children (a whole year of their educational and social life in hopes that a handful of (mostly very old) adults might live a few additional years).

American children are now supposed to be focused computer users all day at home in “remote school” with no supervision. Adults in this situation will generally get distracted with online shopping, online chatting with friends, social media, etc. But we have set up a system in which a teenager who fails to resist all of these temptations will lose a year of education.

First, I’m wondering why there isn’t a service in which someone in India or the Philippines will remote desktop into the child’s computer and stay there all day. The remote proctor can then shout out “Hey, get back to your school browser. Tiktok will not help you get into Yale.” Let the remote proctor connect to a speaker in the corner of the room to do the shouting and call the monthly service Telescreen. Perhaps for a reduced monthly fee, the folks in India/Philippines could use conventional operating system controls and alert parents on a daily or weekly basis, block out new chat sites daily, etc.

For those who want to do it all themselves, but not stand over the child/teenager every day, what operating system is best? Windows has an extensive array of controls, I think, when the parent is the Admin account and the child is a User account. Some explanations:

A friend who has a history of monitoring activity within his household (see Au pair to green card) says the following:

Windows does it perfectly. There’s a browsing and search history monitor. You can restrict by host. If his chat apps are inside the browser, you can block the host name. It knows about browsers even you don’t know about. The parent can easily see that he is spending 4 hours a day on somechat.com and then go see herself what it is and then block it with one click. It can all be done remotely.

(Some of the protections on web activity may work only if the browser is Microsoft’s own Edge program.)

How about the Macintosh? This Macworld UK article suggests that it is easy to block categories of web sites, but not individual hosts. A third-party app, bark, seems to go deeper at $100/year.

Should we ask Professor Dr. Jill Biden, Ed.D. for advice in this area?

Finally, why isn’t there a good marketplace for American parents to hire teachers/tutors from foreign countries to sit virtually with their children in the sad parody that we call “remote school”? For a higher fee, instead of a proctor who can block time-wasting activities (such as blogging!), the teenager gets a qualified teacher to look at assignments, suggest references, etc. There are markets for language tutors, right? Why not a market for a remote private teacher for one’s kids? It could be useful also for parents whose children are “homeschooled”.

Touchscreen gloves for the child who needs to be online in the snow…

From our in-house 11-year-old artist, who is not a screen-time junkie. I wonder how much paint will be coming off with the tape that she used…

Readers: What is the technical solution? Windows, Mac, Windows+App/Service, or Mac+App/Service? And why can’t we easily pay the foreigners who might be able to help our children stay focused on their schoolwork?

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Coronaplague, experts, and Prohibition

A reader sent me “THE “EXPERT CONSENSUS” ALSO FAVORED ALCOHOL PROHIBITION” (ZeroHedge):

Most people today regard America’s experiment with alcohol prohibition as a national embarrassment, rightly repealed in 1933. So it will be with the closures and lockdowns of 2020, someday.

In 1920, however, to be for the repeal of the prohibition that was passed took courage. You were arguing against prevailing opinion backed by celebratory scientists and exalted social thinkers. What you were saying flew in the face of “expert consensus.”

To sum up the “science” behind Prohibition, society had tremendous numbers of pathologies on the loose and they all traced to one dominant variable: liquor. There was poverty, crime, fatherless households, illiteracy, political alienation, social immobility, city squalor, and so on. You can look carefully at the data to find that in all these cases, there is a common element of alcohol. It only stands to reason that eliminating this factor would be the single greatest contribution to eliminating the pathologies. The evidence was incontrovertible. Do this, then that, and you are done.

Of course, my neo-Prohibitionist heart was warmed by this. Everything that we say about coronaplague goes double or 10X for alcohol! The loss of life-years from alcohol is far larger than an unmitigated coronaplague could have ever caused (since, in addition to the virus targeting the elderly/sick, eventually humans do develop immunity). Alcohol also creates a lot of misery among those whom it doesn’t kill.

So… once the COVID-19 dragon is slayed, let’s raise a glass to a renewed expert consensus around purging the U.S. of alcohol!

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#MarkedSafe from Homemade Cookies and Crafts

Email from the local school:

Dear Parents and Caregivers,

As we approach the December break, it is a time of year where many families and school staff like to give homemade baked goods and crafts as gifts of appreciation. Due to the ongoing COVID-19 pandemic we are going to respectfully ask to put a hold on this practice as a part of our ongoing efforts to keep everyone safe.

We have all worked hard to keep each other safe and to keep our schools open. We appreciate your willingness to find alternative ways to express your gratitude this year. A letter to the teacher with a specific thanks would be greatly appreciated!

The journal paper practically writes itself: “The role of Toll House cookies in the spread of a respiratory virus.”

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Coronapanic has taken us from virtue signaling to explicit virtue declarations?

Since April, my Facebook feed has been alive with posts of the form “I did X while social distancing.” These are from people who live in places where social distancing is required by law. Some examples:

  • Got to have an (outdoor, socially distanced) visit with my grandma today! (from someone who considers herself an independent thinker)
  • Today I attended a socially distanced picnic with the faculty at CAP DU…
  • Lovely day for socially-distanced apple-picking (above pictures of masked apple pickers)
  • Made it out for a socially distanced, masked, and peaceful demonstration re: the future livelihood of the Pt Reyes Tule Elk….
  • Socially distanced at the beach. (above pictures of children at a beach)
  • … was able to have a socially distanced dinner with him outside at a restaurant last night. (above pictures of mother and adult son, right next to each other with no masks)
  • It was a great weekend of socially distanced outdoor time…

We don’t see this in other domains where a person’s failure to comply with the law could have a statistical chance of killing others. Prior to coronapanic, people didn’t post the following, for example:

  • how do you like my new haircut? obeyed speed limit to/from the barber shop
  • cooked lasagna for friends; washed hands prior to cooking to prevent transmission of norovirus and other potentially lethal pathogens
  • wonderful meal with my cousins (served tofu and broccoli because I don’t want them to die from complications of type 2 diabetes)
  • enjoyed walk around neighborhood; held kids’ hands when crossing street so they didn’t get run over
  • nice flight to Martha’s Vineyard; made sure to fuel airplane prior to departure and ran checklists

I don’t think we can say that these folks are posting their mask and social distance virtue in order to influence others. They’ve already defriended anyone who dares to say that the W.H.O.’s advice through early June 2020 (masks for the general public won’t help) was correct. So the only people who are likely to be reading these posts are (a) living in states where masks and social distancing are required by law and disobedience is punishable via arrests, imprisonment, and fines, and (b) already in agreement with the idea of salvation through social distancing and masks.

Nearly 3 million Americans die in a typical year from various causes. Why is it only COVID-19 that motivates people to declare their virtuous attempts to reduce deaths via some sort of action?

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Karen has COVID-19 (California current case rate surpasses South Dakota’s)

California can legitimately claim to be the Land of Karen. No group of Americans has ever been more active in proclaiming their own superiority on a wide range of political issues. When coronaplague hit, therefore, it was only natural that California Karens dominated Facebook with tales of their superior shutdown and greater vigilance regarding masks. Their heroic and intelligent human action kept the virus from doing what it had done in other states.

When Californians weren’t celebrating their own achievements in prevailing in their self-declared war on coronavirus, they would spend a lot of time gleefully highlighting the high rate of plague in South Dakota, whose governor dared to deny their most cherished belief, i.e., that humans are in charge of the virus and can decide how prevalent infection will be. While the plague raged in South Dakota, the Media of the Church of Shutdown was packed with articles about the stupidity of South Dakotans, Republicans in general, and Kristi Noem in particular.

Today’s plague map from the CDC (cases within the preceding week/100,000 population):

The righteous of California were the 4th most plagued Americans, with 101 daily cases per 100,000 (averaged over the preceding 7 days). Wicked mask-denying never-shut South Dakotans? 66/100k. Righteous masked-and-shut folks in Maskachusetts? 68/100,000. Trump voters in Florida? 50 cases per 100,000.

Californians, in other words, are proving the Swedish MD/PhDS right, i.e., continental non-Asian countries can shut down if they want, but they probably won’t be special when the final stats are tabulated.

Who wants to bet on the number of U.S. media articles that will point out that the California current case rate, despite more than half a year of masks, exceeds that of no-mask-order South Dakota or that of no-masks-at-all Sweden?

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No pictures of convicted criminals getting the COVID-19 vaccine?

Our media and my Facebook feed are both jammed with images of health care workers getting vaccinated against COVID-19 (but a lot of them should be among the roughly one third of Americans who’ve already had the infection).

“Mass. Prisoners Among The First To Get COVID Vaccines” (WBUR):

Among those first in line for the COVID-19 vaccine in Massachusetts are correction workers and the nearly 13,000 people incarcerated in jails and prisons in the state.

Massachusetts is one of six states to specifically include prisoners in the first phase of vaccinations…

Why no photos of happy convicts?

(Separately, does this make sense? Why aren’t prisoners likely to be among the 100+ million Americans who’ve already had at least an asymptomatic infection? Would it be more efficient to find Mask Karens whose phone mobility data show that they’ve been hiding in bunkers and give them the vaccine first? (also weight the virtuousness of their Facebook posts and assume that those who’ve been promoting mask use are the least likely to have become immune the natural way))

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Should fat Americans chow down in order to become obese and get the COVID-19 vaccine?

Suppose that you’re slightly fatter than the ordinarily chubby American (average BMI of 27, which is “overweight”). Maybe your BMI is 28.5, for example. Would it make sense to chow down at illegal holiday gatherings this year in hopes of hitting an “obese” BMI of 30? At that point, you could get priority for the COVID-19 vaccine.

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Proof that coronapanic is specific to COVID-19?

To the Swedish MD/PhDs, e.g., Johan Giesecke and Anders Tegnell, most of the world’s reaction to coronavirus is irrational panic. To the Karens with whom I am friends on Facebook, hiding in a bunker while waiting for the next batch of governors’ orders is an entirely rational, even “scientific”, response to a disease that has killed a significant number of people.

I wonder if we can look at how Americans respond to influenza as a way to determine how much of the COVID-19 shutdown is rationally motivated.

Influenza kills 80,000 Americans, mostly elderly, in a typical “bad” year and up to 225,000 (population-adjusted) in an exceptional year, such as 1957-58. Influenza infection can also leave victims with serious long-term health effects, such as impaired heart function. From the CDC:

Sinus and ear infections are examples of moderate complications from flu, while pneumonia is a serious flu complication that can result from either influenza virus infection alone or from co-infection of flu virus and bacteria. Other possible serious complications triggered by flu can include inflammation of the heart (myocarditis), brain (encephalitis) or muscle (myositis, rhabdomyolysis) tissues, and multi-organ failure (for example, respiratory and kidney failure). Flu virus infection of the respiratory tract can trigger an extreme inflammatory response in the body and can lead to sepsis, the body’s life-threatening response to infection. Flu also can make chronic medical problems worse. For example, people with asthma may experience asthma attacks while they have flu, and people with chronic heart disease may experience a worsening of this condition triggered by flu.

So let’s says that COVID-19 is 5X as bad, for both lethality and long-term effects on survivors, as a bad flu.

What happens when the flu season arrives in the U.S.? Do we shut down schools in communities where flu is “spiking”? Do young healthy adults don masks, saying that though they aren’t at risk they want to protect the elderly? Do people work from home whenever they’re able to? Do we establish any limits on retail or restaurant capacity, ban indoor dining, or limit hours?

In my experience, the answer to all of the above is “No.” From what I have seen, Americans tape up “It’s flu season; wash your hands” signs in a few places and continue with life as usual.

A rational and consistent group of humans, therefore, would respond to COVID-19 with something like 5X the actions taken during flu season. We would see 5X as many “wash your hands” signs. Children who lost 3 minutes of schooling during flu season (time spent washing hands instead of studying) would lose 15 minutes of schooling during COVID-19. Or maybe two windows would be opened in every classroom and mixing of students in the cafeteria would be curtailed in favor of lunch at desks. Instead, the reaction is 120X. Children lose 360 minutes of schooling (school entirely shut down) per day rather than 3 minutes. Children lose their social life, playgrounds, etc.

The same analysis could be done for adults. If they’re hiding in their bunkers 5 days per week currently, that would be consistent with their flu season response if they had previously hid 1 day per week during flu season.

Our universities are always in the vanguard

From the above article, the 20th century’s best ideas are alive and well:

Typical penalties include writing letters of apology, performing community service projects, meeting with advisers, and completing educational research papers about public health—not to mention the shame most feel after having been shown to have placed their fellow students at risk.

Readers: Does the above way of looking at coronapanic make sense?

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