An excellent column from the Iowa Capital Dispatch:
Wastewater tests show COVID infections surging, but pandemic fatigue limits precautions"Although it’s spotty and inconsistent in many places, wastewater
testing is pointing to a new wave of COVID-19 infections, with as many
as one-third of Americans expected to contract the disease by late
February.
"With pandemic fatigue also in full force, and deaths and
hospitalizations well down from peaks in 2021 because of high
vaccination and immunity rates, many people are inclined to shrug off
the new wave, fueled by the JN.1 variant. But COVID-19 continues to take
thousands of lives a month. Older, sicker people need to take
particular precautions, experts point out, and everybody should think
about the debilitating condition known as long COVID that can strike
even young, healthy people and last years.
"Wastewater testing indicates the current wave of COVID-19 peaked in
late December with 1.9 million daily infections, the highest since the
omicron wave of 2021. Iowa’s rate of COVID-19 infections was rated
“moderate” during the second week of January, down from a “high” level
the week of Dec. 31-Jan. 6, according to Iowa Department of Health and Human Services.
"Some experts want to maintain and expand wastewater surveillance to
stay on top of future waves at state and local levels, even as the
public has wearied of COVID-19 mitigation efforts.
“If you know you are one of the first communities where it’s surging,
that could be very helpful,” said Michael Hoerger, a Tulane University
School of Medicine assistant professor who made the national estimate about peak infection rates and future infection forecasts.
"Like many experts, Hoerger said everybody should be more aware of the
high risk and try to avoid getting infected or reinfected with
COVID-19, since every new infection increases the chance of long COVID.
He said Americans might be experiencing “descent neglect,” the
phenomenon that makes people more careless when things are getting
better.
“Everyone is vulnerable in some way. The best way to avoid getting long COVID is to avoid getting COVID,” Hoerger said.
"Deaths have declined more slowly in states with older populations
such as Vermont, Hawaii and Maine, according to a Stateline analysis of
preliminary data from the federal Centers for Disease Control and
Prevention. Vermont hospital employees started masking again earlier this month amid the new surge.
"Alarm bells are going off in other states as well: Indiana’s most populous county asked
residents with mild symptoms to avoid crowded emergency rooms to
prioritize care for patients seriously ill with COVID-19 and other
respiratory illnesses. Michigan reported its highest weekly COVID-19 death toll since late 2022, around 156, in mid-January. Illinois saw a 17% jump in COVID-19 hospitalizations in one week earlier this month.
"It can be hard to get a read on local trends, however, when testing is inconsistent and methods of analysis vary.
"The CDC publishes a “current conditions”
map based on wastewater analysis that shows “high” or “very high”
COVID-19 levels in wastewater for every state with sufficient data.
Iowa’s level is currently “very high” based on six sites reporting. The
categories are not specific but indicate virus levels that are high
compared with the past.
"But at the same time, public patience with masking and other
precautions is at a low, making it more likely that infection will
spread and claim new victims among the vulnerable.
"In South Carolina, Clemson University got high marks in 2020 for its wastewater surveillance program, earning a congratulatory visit
from the White House coronavirus task force. But today the university
has lost interest, said David Freedman, an environmental engineering
professor who ran surveillance for three sewer plants, including the
university’s.
"Today he monitors only one community plant, though he can see that
its level of COVID-19 is higher than at any time since 2021 by looking
at virus copies detected in tests. Even the university’s plant itself
has dropped out of testing, he said.
“The testing is free, but there’s some labor involved in collecting
the sample and sending it off, and I haven’t been able to convince the
university to keep doing it,” Freedman said. “Interest in this has
really fallen off.
“To me it’s almost unethical that we’re not warning people that this
highly transmissible virus is still with us and some people should
really be taking precautions,” he added. “Some people with higher health
risks should really be putting on a mask again.”
"A Clemson spokesperson, Joe Galbraith, said the university considers
wastewater testing to be a “valuable tool” but decided recently to rely
on individual COVID-19 testing instead to monitor the disease within the
university. Clemson is, however, partnering with the state and other
South Carolina universities to create a statewide wastewater testing
program, Galbraith said.
"There are statewide wastewater testing programs, based on partnerships with academia, in other states such as New York and Oregon.
"Older people and cancer patients make up an increasing proportion of
COVID-19 deaths, according to Stateline’s analysis. People 65 or older
made up 88% of those deaths last year, compared with 69% in the peak
year for deaths, 2021. Cancer patients made up 12% of COVID-19 deaths
last year, up from 5% in 2021.
"In some states with older populations, COVID-19 deaths remain
stubbornly high compared with other states. Vermont had the lowest
COVID-19 death rate in the country in 2021 but now ranks fourth in the
number of deaths per capita, behind Kentucky, West Virginia and
Mississippi.
"Last year Vermont had 220 deaths related to COVID-19, according to
the analysis. That was almost two-thirds of the 2021 total of 331 such
deaths.
"No other state had nearly as high a proportion: Hawaii was next with
35% of its peak-level 2021 "COVID-19 death toll happening in 2023. That
was followed by Maine (32%), Massachusetts (31%) and New Hampshire
(29%), all states with relatively old populations.
"Texas, which is relatively young, last year had 10% of the COVID-19
deaths that it did in 2021, about 4,700 compared with 48,000.
"Vermont has seen increased hospitalizations for COVID-19 this year
and has been suggesting that people wear masks if they think they were
exposed or have a high risk of serious illness, said Ben Truman, a
spokesperson for the state health department. The guidance also applies
to the flu and RSV, which are peaking in winter months, he said.
"Residents in Vermont reacted calmly and cooperatively in the early
days of the pandemic, saving lives early on compared to other states,
said John Davy, an epidemiologist for the state health department.
“It wasn’t divisive. It wasn’t an identity issue here,” Davy said.
"In some areas the latest wave of infections may even be higher than
the 2021 omicron wave, which crested at around 6.5 million infections
per day, according to Hoerger’s analysis. In Santa Clara County, home of
California’s Silicon Valley, wastewater shows some areas reached their highest infection counts ever earlier this month.
"Hospitalizations and deaths in the area remain low, said Sarah
Rudman, a deputy health officer at the county health department, but the
county is advising vulnerable people to consult with doctors and
consider masking. “It’s an individual decision,” she said.
"The county’s wastewater monitoring covers 90% of county residents and
has benefited from strong support from local universities. The county
uses an advanced form of measurement that can estimate the number of
cases in the community without individual testing, Rudman said. It helps
that the county started gathering data early and can compare levels
from the start of the pandemic, she added.
"Even those without underlying risk factors can get debilitating long COVID.
"Jay Breneman was 39 and athletic, cycling and training for marathons,
when he got COVID-19 in the summer of 2022 — too young to qualify for
medication such as Paxlovid at the time. He ended up bedridden or in a
wheelchair for more than a year.
"Now the president of the Erie, Pennsylvania, school board, Breneman
said he masks in public despite heckling, including from a man who told
him at the county Democratic Party headquarters on election night that
COVID-19 was “a hoax.”
“This has been hell. There’s no other word that describes it,”
Breneman said. “I wouldn’t wish it on anybody. And every single person I
know is sick with something right now. The last thing I want now is to
get sick again.”
==========
In other words, "people find it too exhausting to think about COVID, so they don't bother to protect themselves or others against COVID".
These
people are the problem. They are completely selfish regarding
communicable diseases, and their disregard and apathy are what I'm tired
of.
I personally would prefer to continue taking precautions than suffer real fatigue from Long COVID.