Lunchtime pandemic reading.
Standard disclaimer: this is a roundup of informative pieces I've read that interest me on the severity of the crisis and how to manage it. I am not a qualified medical expert in ANY sense; at best I am reasonably well-read laity. ALWAYS prioritize advice from a qualified healthcare provider who knows your specific medical situation over advice from people on the Internet.
This is also available as an email newsletter at https://lunchtimepandemic.substack.com if you prefer the update in your inbox.
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Misuse of ivermectin has killed at least 14 people so far this year. "The number of Americans suffering serious adverse health effects after consuming ivermectin to treat Covid-19 has more than doubled since the anti-parasitic drug was falsely touted as a cure for the virus.
The US Food and Drug Administration has received 49 reports of poisoning and other serious reactions linked to human consumption of ivermectin to treat Covid so far this year. The equivalent figure for the whole of 2020 was 23 cases, according to data released to the Financial Times. Of those 49 cases, 14 resulted in deaths. However, the FDA said due to limited data it could not determine whether the cause of death was directly linked to the use of ivermectin or other causes.
It follows a surge in ivermectin use following its promotion by some conservative commentators as a potential treatment for Covid-19, even though it has not been approved by regulators to treat the virus. Outpatient prescriptions of the drug have increased 24-fold on pre-pandemic levels, reaching 88,000 in the week ending August 13, according to data from IQVIA, a research firm.
Authorities in New Mexico said this week they are investigating whether the deaths of two people with Covid-19 were linked to overdoses of ivermectin.
And in a sign that adverse reaction reporting to the FDA may underestimate the scale of the problem, there have been 26 overdoses on the drug in New Mexico since the start of December, compared to just two in the previous 11 months."
Source: https://www.ft.com/content/9715bd16-bcb2-4bfc-bbd9-b7316d787698
Commentary: the solution is fairly straightforward: use medicines for their intended purposes as directed by a qualified medical professional. In the case of COVID-19, vaccination is the best, simplest strategy.
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Google finally getting around to banning some anti-vax content on YouTube. "YouTube is taking down several video channels associated with high-profile anti-vaccine activists including Joseph Mercola and Robert F. Kennedy Jr., who experts say are partially responsible for helping seed the skepticism that’s contributed to slowing vaccination rates across the country.
As part of a new set of policies aimed at cutting down on anti-vaccine content on the Google-owned site, YouTube will ban any videos that claim that commonly used vaccines approved by health authorities are ineffective or dangerous. The company previously blocked videos that made those claims about coronavirus vaccines, but not ones for other vaccines like those for measles or chickenpox.
Misinformation researchers have for years said the popularity of anti-vaccine content on YouTube was contributing to growing skepticism of lifesaving vaccines in the United States and around the world. Vaccination rates have slowed and about 56 percent of the U.S. population has had two shots, compared with 71 percent in Canada and 67 percent in the United Kingdom. In July, President Biden said social media companies were partially responsible for spreading misinformation about the vaccines, and need to do more to address the issue."
Source: https://www.washingtonpost.com/technology/2021/09/29/youtube-ban-joseph-mercola/
Commentary: A day late and a million lives short, but better than nothing.
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You can't spread what you don't have. "For many fully vaccinated Americans, the Delta surge spoiled what should’ve been a glorious summer. Those who had cast their masks aside months ago were asked to dust them off. Many are still taking no chances. Some have even returned to all the same precautions they took before getting their shots, including avoiding the company of other fully vaccinated people.
Among this last group, a common refrain I’ve heard to justify their renewed vigilance is that “vaccinated people are just as likely to spread the coronavirus.”
This misunderstanding, born out of confusing statements from public-health authorities and misleading media headlines, is a shame. It is resulting in unnecessary fear among vaccinated people, all the while undermining the public’s understanding of the importance—and effectiveness—of getting vaccinated.
So let me make one thing clear: Vaccinated people are not as likely to spread the coronavirus as the unvaccinated. Even in the United States, where more than half of the population is fully vaccinated, the unvaccinated are responsible for the overwhelming majority of transmission."
Source: https://www.theatlantic.com/ideas/archive/2021/09/the-vaccinated-arent-just-as-likely-to-spread-covid/620161/
Commentary: Vaccines continue to work at reducing both spread and severity of disease. That said, continue to mask up - it costs nothing and it has tremendous upside benefits.
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A reminder of the simple daily habits we should all be taking.
1. Wear the best mask available to you when you'll be around people you don't live with, even after you've been vaccinated. Respirators are back in stock at online retailers, too. Wear an N95/FFP2/KN95 that's NIOSH-approved or better mask if you can obtain it. If you can't get an N95 mask, wear a surgical mask with a cloth mask over it.
2. Verify your mask's NIOSH certification here: https://www.cdc.gov/niosh/npptl/usernotices/counterfeitResp.html
3. Get vaccinated as soon as you're able to, and fulfill the full vaccine regimen. Remember that you are not vaccinated until everyone you live with is vaccinated. If you received an adenovirus vaccine (J&J/AstraZeneca), consider getting an mRNA single shot booster (Pfizer/Moderna) if permitted.
4. Wash/sanitize your hands every time you are in or out of your home.
5. Stay out of indoor spaces that aren't your home and away from people you don't live with as much as practical. Minimize your contact with others and avoid indoor places as much as you can; indoor spaces spread the disease through aerosols and distance is less effective at mitigating your risks.
6. Aim to have 3-6 months of living expenses on hand in case the pandemic gives another crazy plot twist to the economy.
7. Replenish your supplies as you use them. Avoid reducing your stores to pre-pandemic levels in case an outbreak causes unexpected supply chain disruptions.
8. Ventilate your home as frequently as weather and circumstances permit, except when you share close airspaces with other residences (like a window less than a meter away from a neighboring window).
9. Masks must fit properly to work. Here's how to properly fit a mask:
10. If you think you may have been exposed to COVID-19, purchase a rapid antigen test. This will detect COVID-19 only when you're contagious, so follow the directions clearly. https://amzn.to/3fLAoor
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Common misinformation debunked!
There is no basis in fact that COVID-19 vaccines can shed or otherwise harm people around you.
Source: https://www.reuters.com/article/factcheck-covid19vaccine-reproductivepro-idUSL1N2MG256
There is no mercury or other heavy metals in the Pfizer mRNA vaccine.
Source: https://www.technologyreview.com/2020/12/09/1013538/what-are-the-ingredients-of-pfizers-covid-19-vaccine/
There is no basis in fact that COVID-19 vaccines pose additional risks to pregnant women.
Source: https://www.nejm.org/doi/full/10.1056/NEJMoa2104983
There is no genomic evidence at all that COVID-19 arrived before 2020 in the United States and therefore no hidden herd immunity:
Source:
There is no evidence SARS-CoV-2 was engineered, nor that it escaped a lab somewhere.
Source: https://www.washingtonpost.com/world/2020/01/29/experts-debunk-fringe-theory-linking-chinas-coronavirus-weapons-research/
Source: https://www.nature.com/articles/s41591-020-0820-9
Source: https://www.nationalgeographic.com/science/2020/05/anthony-fauci-no-scientific-evidence-the-coronavirus-was-made-in-a-chinese-lab-cvd/
Source: https://www.smh.com.au/national/are-we-ignoring-the-hard-truths-about-the-most-likely-cause-of-covid-19-20210601-p57x4r.html
There is no evidence a flu shot increases your COVID-19 risk.
Source: https://www.factcheck.org/2020/04/no-evidence-that-flu-shot-increases-risk-of-covid-19/
Source: https://academic.oup.com/cid/advance-article/doi/10.1093/cid/ciaa626/5842161
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Disclosures and Disclaimers
I declare no competing interests on anything I share related to COVID-19. I am employed by and am a co-owner in TrustInsights.ai, an analytics and management consulting firm. I have no clients and no business interests in anything related to COVID-19, nor do I financially benefit in any way from sharing information about COVID-19.
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A common request I'm asked is who I follow. Here's a public Twitter list of many of the sources I read.
https://twitter.com/i/lists/1260956929205112834
This list is biased by design. It is limited to authors who predominantly post in the English language. It is heavily biased towards individual researchers and away from institutions. It is biased towards those who publish or share research, data, papers, etc. I have made an attempt to follow researchers from different countries, and also to make the list reasonably gender-balanced, because multiple, diverse perspectives on research data are essential.
This is also available as an email newsletter at https://lunchtimepandemic.substack.com if you prefer the update in your inbox.