Cumulative Confirmed COVID-19 Cases

Friday, May 31, 2024

No Ceasefire

Biden just went on TV to give yet another call for a ceasefire between Israel and Hamas. Of course,  every time Israel is making progress against Hamas, there seems to be calls for a ceasefire, and always to Israel's detriment.

Here is the proposal:

"Phase 1 would entail a complete ceasefire, the withdrawal of IDF soldiers from Gaza, the partial release of some of the remaining hostages, a swap for Palestinian prisoners, and the entry of 600 trucks into the strip. This phase would last six weeks.

"Phase 2 would be a "permanent end to hostilities." If it were to take longer than six weeks to reach phase 2, the six-week ceasefire would extend. Additionally, this would include the release of the remaining live hostages, including soldiers. This would also mean the formal permanent cessation of hostilities.

"Phase 3 would include the reparation of the Gaza Strip. Once achieved, this phase would also include the return of the remains of the hostages who died in Hamas captivity."

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The answer should be no, no, and no.  How many times has Israel been through this sham?  You can't have "peace" with terrorists who want your country and your people eradicated.  "An end to hostilities" is a joke, since the hostility is caused by Hamas. The longer a ceasefire lasts (during which Hamas and its allies will fire at Israel), the more time Hamas has to rebuild and re-arm.

Biden should take care of the problems he's caused in his own country and let Israel finish the job to destroy Hamas.

Thursday, May 30, 2024

Hey, Rashida Tlaib! Read This!

From FrontPage magazine: Hamas Has Stolen $500 Million From Gaza Aid Since October 7
But can you guess whom the world blames for Gaza famine?

"Hamas has been stealing for its own members at least half of the aid sent to Gaza since October 7. This is not surprising. Hamas has been stealing aid money meant for the people of Gaza ever since it took control of the Strip in 2007. Just three Hamas leaders, Khaled Meshaal, Mousa abu Marzouk, and Ismail Haniyeh, have among themselves managed to steal the colossal sum of $11 billion in aid. And while Hamas has been complaining about Israel preventing aid from reaching the Strip, it is actually Hamas that has been harming Gazans, by diverting half of the billion dollars sent by donors to Gaza since October 7. More on this can be found here: “Hamas reaped hundreds of millions off Gaza aid since Oct. 7,” JNS, May 20, 2024:

The Hamas terrorist organization has profited by at least $500 million of the humanitarian aid coming into the Gaza Strip since the start of the war on Oct. 7, according to a report that aired on Israel’s Channel 12 last week.

Veteran analyst Ehud Yaari, a fellow at the Washington Institute for Near East Policy, told the broadcaster on Thursday that, according to a calculation he made with “a friend—I don’t know if I’m allowed to mention his name,” Hamas earned “no less” than half a billion dollars from the aid….

The Tzav 9 (“Order 9”) movement, which has led protests against Jerusalem’s decision to allow humanitarian aid to enter the Strip freely, said that while “the hostages are groaning in captivity, IDF soldiers are risking their lives and the children of the [Gaza] Envelope [Israelis living near the border with Gaza] do not sleep at night,” the terror group “continues to exist and enjoy financial prosperity.”…

The volume of aid provided to the hostile territory has more than doubled since the start of the war, according to data provided by the government to Israel’s Supreme Court in response to a petition by left-wing groups.

According to the Israel Security Agency (Shin Bet), Hamas terrorists divert at least 60% of the goods entering Gaza for their own purposes….

"The Israelis keep explaining to the world that there is no famine in Gaza in this sense: enough food aid is getting through to the Strip to supply the needs of all of its inhabitants, if it is distributed fairly. But it is not. There is a maldistribution of the aid that enters, where Hamas operatives immediately seize about 60% of the humanitarian aid — food, medicines, personal hygiene items — for themselves, their extended families, and their clans. What they do not use they sell, at inflated prices, to the Gazans. Now the Israelis have calculated the enormous size of that diversion of aid to Hamas — at least $500 million worth of aid. But no one protests, no one cares that Hamas does this to the people in Gaza. There is no way to blame the Jews for this grand theft, so it is of no interest."

COVID Causes New Health Problems Years Later

To the people who keep shrugging and saying that COVID is no big deal:

From the Well section of Fortune magazine: COVID can cause new health problems to appear years after infection, according to a study of more than 130,000 patients

"Even as national institutions struggle to coordinate meaningful trials for possible long COVID treatments, researchers continue to tally the damage. New findings suggest that the disease’s reach isn’t merely long—it’s still growing.

"Three years after their initial bouts with COVID-19, patients who’d once been hospitalized with the virus remained at “significantly elevatedrisk of death or worsening health from long COVID complications, according to a paper published May 30 in Nature Medicine.

"Even among those whose initial cases didn’t require a hospital stay, the threat of long COVID and several of its associated issues remained real, the researchers found. And cumulatively, at three years, long COVID results in 91 disability-adjusted life years (DALY) per 1,000 people—DALYs being a measure of years lost to poor health or premature death. That is a higher incidence than either heart disease or cancer.

“People are developing new-onset disease as the result of an infection that they had three years ago,” says Dr. Ziyad Al-Aly, a clinical epidemiologist at Washington University in St. Louis and lead author of the study. “It challenges the notion that these viruses are sort of self-contained or that after the acute first phase, they become inconsequential.”

"With more than 130,000 patients, the study is by far the largest so far to track the progress of the virus over a full three-year period. It expands on work by Al-Aly and others at the two-year mark that found patients had elevated risk for long-COVID-related conditions that included diabetes, lung problems, fatigue, blood clots, and gastrointestinal and musculoskeletal disorders.

"At three years, Al-Aly tells Fortune, the primary complications among those with mild initial COVID cases were found in the neurological, GI, and pulmonary systems. The persistent risk among those who’d been hospitalized, meanwhile, extended to seven organ systems and included severe conditions such as strokes, heart attacks, heart failure, and even Alzheimer’s disease.

"The study included nationally recognized researchers Al-Aly and coauthor Dr. Eric Topol, executive vice president and professor of molecular medicine at Scripps Research. It drew from patients within the Veterans Affairs St. Louis Health Care system. As such, the scientists note, the demography skews more male, white, and slightly older than other patient studies might.

“The data are encouraging in that there were no new-onset adverse health problems found in the third year after infection,” says Akiko Iwasaki, director of the Center for Infection and Immunity at the Yale University School of Medicine. But Iwasaki, who was not involved in the study, cautioned that some post-acute infection illnesses can turn up years later: “We will need to keep this type of long-term follow-up studies for extended periods.”

More health challenges for hospitalized patients

"Perhaps unsurprisingly, those whose initial COVID cases required hospitalization faced the greatest challenges over the course of the three-year study, a grim reminder that interventions like vaccinations and antivirals are critical, Al-Aly says. (Those in the study were all enrolled during 2020, meaning they were infected largely before vaccines and antivirals were available.)

“The story in hospitalized people is more stark,” the researcher says. “They have greater risk and longer risk horizon, with a burden of disease that is astronomically higher than non-infected people and higher than non-hospitalized individuals. Preventing hospitalization is very important.”

"The risk of new long COVID complications declined over time for both hospitalized and non-hospitalized patients, the study found.That’s the good news story,” says Al-Aly. The risk of death, meanwhile, became “insignificant” after the first year among those who didn’t have to go to a hospital—that is, most of us who’ve ever been infected by COVID.

"For those whose cases required hospitalization, though, the threat of death “remained persistently elevated even in the third year,” the researchers said. That group also faced far greater burden of health—about 90 DALYs per 1,000 people, compared to about 10 DALYs per 1,000 for the non-hospitalized group. (For context, both heart disease and cancer cause about 50 DALYs per 1,000 people.)

 “The difference in DALYs between the two groups should not be interpreted to mean that people with long COVID from less severe acute disease are not suffering greatly as a result of their long COVID symptoms,” says Dr. David Putrino, director of the Cohen Center for Recovery from Complex Chronic Illness at Mt. Sinai School of Medicine. “It only means that at three years out, they’re experiencing less overtly life-threatening sequelae” than those who initially required hospitalization.

"The stubborn presence of long COVID reinforces the notion that this is no ordinary virus. Viral persistence, chronic inflammation, and immune system dysfunction are all thought by scientists to come into play, though more study is needed.

What is the outlook for tackling long COVID?

"As for the question of what the term long COVID actually means—that is, how long it lasts—the science is still developing, Al-Aly says. He describes long COVID as “this sort of complex web of 80 or more different health problems,” some of which, like stroke or heart disease, could negatively affect patients for the rest of their lives.

“We don’t know what we don’t know,” says Al-Aly. “This is only at three years… We don’t know what’s going to happen at 10 years.” The research group is hoping to persuade its funders to continue following the patient cohort for at least that long, he said.

"For these and other reasons, researchers have led the charge to accelerate the pace of trials for long COVID treatments, the early efforts at which have been criticized for wasting money and critical time. Appearing before a U.S. Senate committee in January, Al-Aly told committee members that at least 20 million people in the country have been hit with long COVID. Globally, that number is estimated to be at least 65 million.

"That meeting was noteworthy in part because it represented the first Congressional hearing on long COVID since the start of the pandemic. Researchers hope that this latest study will again focus attention on a disease with a long tail and an unknowable future, and perhaps prod the National Institutes of Health to take a bigger swing at the issue.

“We need to be much bolder and much more ambitious with our trials,” Al-Aly says. “At the glacial pace that they’re going, we’re unlikely to get any definitive answers for decades to come.”

Wednesday, May 29, 2024

Melanie Phillips Column 5-28-24

Here we go yet again. It never stops. Whenever Hamas is at fault, Israel is always blamed. Israel is always seen as the villain, no matter what.  Hamas & the "Palestinians" have done to Israel what the Nazis had done to the Jews: demonize them thoroughly. And Jew-haters around  the world believe the worst because they were conditioned to believe it. Even October 7 didn't change that.

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The Rafah blood libel: Another murderous lie travels round the world before the truth gets its boots on - by Melanie Phillips

Once again, Israel has been accused  of heinous and inhuman behaviour — a charge that has incited yet further global hysteria and exterminatory hatred against the Jewish state — which turns out to be a vicious falsehood

On Sunday, Israel’s air force carried out a strike in Rafah targeting two senior Hamas commanders whom it had tracked by aerial surveillance to a compound in the Tal as Sultan area. 

Following this strike, a terrible fire broke out in a number of refugee tents where Gazans displaced by the war were burned alive. The Hamas-run health ministry says 45 civilians were killed here and many more injured.

This was clearly an appalling and horrifying thing to have taken place. But what happened next transformed a deeply regrettable tragedy of warfare into a malevolent blood libel.

The western media, politicians and “humanitarian” groups parroted the Hamas claim that the Israelis had wilfully targeted a refugee camp that Israel itself had designated as a protected humanitarian area. The BBC chose to report that the Irish deputy prime minister, Micheál Martin, had condemned an Israeli air strike on a camp for displaced Palestinians, describing it as “barbaric”.

The fact that Israel had done what the world had demanded but said was impossible, by moving almost one million Gazans for their safety out of the area of Rafah where the IDF was about to conduct its military operations, counted for nothing. The strike on this humanitarian area, said the world — from the UN to the EU to the French president Emmanuel Macron — showed that there was “no safe space anywhere”. This apparently proved that the IDF assault on Rafah, in the teeth of the global requirement to desist, demonstrated the Israelis’ callous disregard for human life and the rules of war and therefore that they were truly monstrous.

Except that this was totally untrue. The Israeli strike had taken place one and half kilometres away from the designated humanitarian area. The IDF’s target location was inside the Rafah combat zone. You can see this clearly on the IDF map above.

According to the Israelis, the strike was carried out in accordance with international law, was based on intelligence and executed using precision weaponry.

Israeli jets had used two small bombs to minimise civilian casualties. The IDF said it had taken steps ahead of the attack to ensure that no women or children were in the Hamas compound. The strike took place more than 100 metres away from the shelters that caught fire. 

So what actually happened?

Earlier, Israeli officials told the Biden administration that shrapnel from the strike may have ignited a nearby fuel tank. Further information that has come to light, however, suggests that the tents were actually ignited by Hamas munitions.

This video footage, reportedly filmed by a Gaza resident in the immediate aftermath of the Israeli strike and obtained by the website Abu Ali Express, features an onlooker saying that what was hit was a Hamas Jeep “filled with ammo and weapons,” and he expressed a worry that “any moment a [Hamas] rocket can fly at us…”

The IDF says it now suspects that ammunition, weapons, or some other inflammatory material was stored in the area of the strike, causing a secondary blast and the fire that spread to the civilian tents.

The IDF has released an intercepted conversation between two Gazans suggesting that an ammunition store in the area had ignited. The first speaker says:

… and they say that they (the Hamas terrorists that were bombed) sat in a meeting and that there is a facility and in addition they had ammunition because all of the ammunition that started exploding. Bags of money were flying  in the air, Abu Rafiq. 
Second speaker: These (the ammunition that exploded)  were really ours?’ 
First speaker:  Yes, this is an ammunition warehouse. I tell you it exploded….I mean the Jewish bombing wasn’t strong, it was a small missile because it didn’t create a large hole. 
Second speaker:
And afterwards a lot of secondary explosions.  

The IDF has also released a satellite photo of the area indicating that there was at least one Hamas rocket launcher near the compound that was bombed.

So since this was not the designated humanitarian area, why were any civilian tents in this danger zone? Possibly these Gazans had been forced to remain there by Hamas; we don’t know. And we don’t yet know all the details of what actually happened, which await an Israeli military inquiry.

What’s now clear, however, is that Hamas was once again using Gazan civilians as canon fodder and human shields by situating amongst them terrorist leaders, rocket launchers and ammunition — incorporating civilians into what international law regards as legitimate military targets.

Israel’s prime minister, Benjamin Netanyahu, described the fire as “a tragic mishap”. Not, note, a “mistake”, as some media outlets have wrongly reported him as saying — which would have meant Israel erroneously bombed civilians. This was an event that was as unforeseeable as it was terrible. It was not Israel’s fault.

But of course, it has been turned into yet another weapon with which to demonise Israel by those wishing for its destruction, including the western media which promotes murderous blood libels about Israel as facts.

The day after the Rafah fire, this picture was published in various outlets purporting to show Gazans’ grief over one of the victims of the tent inferno. The New York Times captioned it: 
Mourners at a funeral in Rafah, in southern Gaza, on Monday.

Now look at the video from which this picture was taken (it was apparently broadcast by BBC News last night). The Quds News Network reportedly uploaded it with the caption: 
Two Palestinian brothers cry their eyes out as they take away the lifeless body of their sister — killed in the Israeli massacre last night in Rafah — for burial.

But you can see from the video that they are clearly not crying. They are trying to hide their laughter. And behind them a third man inside the car is also laughing — as the “corpse” underneath the sheet wriggles around (perhaps laughing too).   

This is an example of what’s been called “Pallywood” — staged tableaux of alleged Israeli perfidy to feed to the reliably credulous western media, whose minds have been totally fried by hatred of Israel and who are routinely used by the Palestinian Arabs to help deliver their genocidal agenda against Israel and the Jews. 

There were real Palestinian Arab victims in that terrible inferno on Monday night. But they were victims of Hamas, not of Israel. And the western media is busily helping feed Jewish victims to Hamas too.

Tuesday, May 28, 2024

Karma in Gaza

Another genius idea by Biden & Blinken goes sideways. Couldn't happen to a better group of Jew-haters.

From Virtual Jerusalem: US-Built Gaza Floating Pier Sinks

"The United States, seeking to bypass Israel, sunk $320 million into building the pier for Gaza. But stormy weather this weekend caused the pier to sink below the surf and also caused four naval ships to go aground. More Israeli weather control?"

Deliberately Putting Others at Risk of COVID

This is a good opinion piece, but it's not "we" who learned nothing from COVID. It's the self-absorbed, the COVID-deniers, the minimizers, the "it's only a hoax"-ers, the "it's only a cold" types who learned nothing and who still don't care about themselves or about others.  

It's not only about coming to work sick: anyone taking medical advice from Lady Gaga and Kim Kardashian aren't the smartest people anyway. 

It's about going anywhere in public while sick; you've seen the coughing, sneezing, maskless, inconsiderate fools in the supermarket, at the store, in the doctor's general waiting room (instead of the special "sick waiting room"), etc. These people simply cannot be bothered.

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By Arwa Mahdawi at The UK Guardian: Lady Gaga performed on stage with Covid. Did we learn nothing from the pandemic?

"The revelation that the popstar was ill during five shows has led to many celebrating her work ethic. It’s yet more evidence that our dangerous, damaging hustle culture is here to stay"

"Should you go into work when you’re sick with a contagious virus? Lady Gaga has spoken and the answer, it seems, is “sure, why not?” During a recent Q&A for an HBO concert special based on her 2022 Chromatica Ball tour, the pop star was asked to reveal something she had never shared before. In response, she said that she’d performed five shows while sick with Covid. It probably would have been wise to never share that little titbit, to be honest, and it is a little disturbing to nonchalantly share it now. Still, rather than seeming troubled by this information, the crowd watching the Q&A appeared to cheer and applaud while Lady Gaga grinned."

"To be fair, Lady Gaga isn’t a monster (though her fans are – they call themselves “Little Monsters”): she made it clear that she did have a little think about the ethics of spewing infectious droplets into an enclosed space. The singer said she shared her Covid diagnosis with everyone on her team at the time and told them they didn’t have to work if it made them uncomfortable. As for the concertgoers? “The way that I saw it is the fans are all putting themselves in harm’s way every day coming to the show,” she reasoned."

"These revelations have had a mixed response on social media. Some Lady Gaga fans marvelled at her work ethic and physical stamina. (And, morals aside, the fact that she could perform with Covid is impressive; I could barely wash my face.) Others called the pop star selfish and wildly irresponsible. Someone even claimed, in a viral but unsubstantiated tweet, that their aunt died of Covid after going to a Lady Gaga concert. “We wouldn’t have gone if we knew Gaga had Covid,” the person wrote."

"As Lady Gaga noted, there is clearly an automatic level of risk involved in going to a stadium-show packed with 50,000 screaming fans. Chances are, some of them will probably be Covid-positive. Does the fact that the headliner definitely has Covid significantly add to that risk? I’m obviously not qualified to give a statistical analysis, but I am qualified to say: “Dude, that was messed up.”"

"I mean, we do all remember that Covid killed at least three million people and left millions more with debilitating long Covid, right? I know that many of us have blanked the pandemic out of our minds, but we do understand that Covid hasn’t disappeared. And, in 2022, when Gaga was performing while Covid-positive, the worst days of the pandemic were still a raw memory. Most people were vaccinated, sure, but an awful lot of people were mourning loved ones who had died from the virus. It feels disrespectful for her not to have let her fans make an informed decision about going to her shows. Did we learn nothing from the pandemic?"

"Unfortunately, the answer to that question seems to be: “Nope.” There was a brief moment, in 2020, when I was naive enough to think the world might emerge from the pandemic a better place. Maybe, I thought, we’d all reassess what was truly valuable. And for a while, that did seem to be case when it came to hustle culture. For a sustained period there was a lot of chat about how Covid had started a trend of “quiet quitting” and got everyone to step away from toxic productivity."

"But capitalism is gonna capitalism, and it feels as if we’re right back to the bad old days of rise-and-grind culture where your inner worth is measured by your output. You can see it in Kim Kardashian’s viral advice telling women to “get your fucking ass up and work”. You can see it in the weird platform that LinkedIn has become, where every post is now someone building their personal brand with a 5,000-word piece of productivity porn. (The intro to one recent, egregious example: “I proposed to my girlfriend this weekend. Here’s what it taught me about B2B sales.”) And you can see it in the cheers that Lady Gaga’s admission of singing-while-sick received. It looks as if we’re firmly back in a world where coming into work while sick, and knowingly putting others at risk, isn’t just tolerated – it’s celebrated."

Monday, May 27, 2024

Spoiled, Coddled Jew-Haters

Seattle museum shut down by staffers who walk off job to protest exhibit on antisemitic hatred

"Nearly 30 Seattle museum staffers have shut down the art center in protest of its new 'Confronting Hate Together' exhibit, claiming portions of the show 'conflate anti-Zionism as antisemitism.'

"The workers, who form about half of the staff at the Wing Luke Museum, stormed off the job Wednesday, the day the exhibit opened, forcing the site to close and vowing to remain on strike until their demands are met.

'Zionism has no place in our communities and being anti-Zionist goes hand in hand with our own liberation as AA/NHPI,' wrote the disgruntled staffers, who work at the only pan-Asian art and history museum in the United States. 'Our solidarity with Palestine should be reflected in our AA/NHPI institutions.'"

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Anti-Jewish hatred has no place in our communities, you brainless idiots!  Anti-Zionism IS anti-semitism. These Hamas-collaborators ought to be fired at once to send a loud & clear message that this behavior will not be tolerated. I'm tired of there being no consequences for evil.

And how ironic that the exhibit they "stormed off" over is called 'Confronting Hate Together'.  Because of these lowlives, it should be retitled "Creating Hate Together".  I never  heard of AA/NHPI, but it probably stands for Anti-American/Nazis Hating People of Israel!


How To Succeed at Ignoring COVID Without Really Trying

This well-written Washington Post article written by Fenit Nirappil and Sabrina Malhi validated my thoughts about the apathy towards COVID. As someone who has an immune system disease and who must take immunosuppressants, I could already see and feel it as the data ended, masks came off (in more ways than one), the warnings stopped, and the self-absorbed attitude returned. But to see it articulated in print makes it even worse, & it makes me more angry. Pretending that COVID doesn't exist is not a strategy.  

Pass this on to the other COVID-cautious people in your life - if there are any.

COVID will still be here this summer. Will anyone care?

By now, it’s as familiar as sunscreen hitting the shelves: Americans are headed into another summer with new coronavirus variants and a likely uptick in cases.

This is shaping up to be the first covid wave with barely any federal pressure to limit transmission and little data to even declare a surge. People are no longer advised to isolate for five days after testing positive. Free tests are hard to come by. Soon, uninsured people will no longer be able to get coronavirus vaccines free. 

“If a wave materializes this summer, we’re less poised to navigate the rough waters,” said Ziyad Al-Aly, an epidemiologist and long-covid researcher at the Veterans Affairs health-care system in St. Louis.

So we’re left with a virus that continues to hum in the background as an ever-present pathogen and sporadic killer. The public health establishment no longer treats covid as a top priority. Only a smattering of passengers still wear masks on trains and planes. Weddings, vacations and conferences carry on as normal. Many who do get sick won’t ever know it’s covid. Or care.

Covid returned to the headlines following the rise of new variants dubbed “FLiRT,” far catchier than the JN.1 variant that drove the winter wave. Leading the pack of those variants in the United States is KP.2, accounting for 28 percent of all infections as of early May, according to the Centers for Disease Control and Prevention. But public interest seems driven more by the name than the biological features of the variants, which appear unremarkable beyond the expected evolution of a virus to infect people more easily. 

Summer offers a reminder of why covid is unlike the flu, a more predictable fall and winter respiratory virus. Coronavirus ebbs and flows throughout the year, and hospitalizations have always risen in summer months when people travel more and hot weather drives people indoors. For now, covid activity is low nationally, the CDC said Friday. The number of Americans dying of covid is less than half what it was a year ago, with a death toll around 2,000 in April. The virus poses a graver threat to the severely immunocompromised and elderly. But it can still surprise younger healthy people, for whom a bout of covid can range from negligible sniffles to rarer long-term debilitating effects.

When Lauren Smith, a 46-year-old triathlete in New Jersey, got covid in late April, she figured it would be a “nothingburger” like her first case two summers ago. Instead, she said she developed persistent fatigue for weeks that has made it difficult to train, and she decided to pull out of her upcoming competition. Her case is one that doctors would call mild, but Smith says doing so obscures the reality of a virus more complicated than the flu.  

There’s no care or attention given to the fact that this is serious,” said Smith, noting that she was one of the only masked attendees at a recent Guster concert in Philadelphia. “I feel like so many people have said, ‘I’m tired of this, I don’t want to deal with this anymore.’ And I don’t feel like the CDC or any other agency is doing anything to combat that.” 

The Biden administration and the CDC don’t talk much about covid anymore, save for sporadic updates on data and variant tracking, and the president’s criticism, when campaigning, of his predecessor’s handling of covid. CDC Director Mandy Cohen hasn’t tweeted about covid since March. The agency declined to make an official available for an interview about its response.

The CDC and health authorities continue to promote the coronavirus vaccine, last updated in fall 2023 for a subvariant no longer in circulation, as the best form of protection against the disease. Just 23 percent of adults have received a dose of the latest vaccine, the CDC estimates. Experts say the existing formula should still confer protection against severe illness from the FLiRT variants. People 65 and older qualify for a second dose, but only 7 percent have received two shots. 

Expert advisers to the Food and Drug Administration are scheduled in June to recommend the composition of the coronavirus vaccine to be released in the fall to protect against the latest variants. 

But people without health insurance will no longer qualify for free vaccines under the CDC’s Bridge Access Program, which ends in August after providing more than 1.4 million free shots. Funding for the program ran out, and efforts to establish a broader national program offering free vaccines for adults have languished.

Peter Hotez, co-director of the Texas Children’s Hospital Center for Vaccine Development, said declining covid data collection will make it harder to persuade Americans that the virus poses enough of a threat to merit getting vaccinated. 

In April, hospitals stopped reporting confirmed covid-19 cases — ending the most commonly cited metric for measuring the virus’s toll. The CDC still tracks the levels of coronavirus detected in wastewater and discloses the percentage of emergency room visits with a diagnosed covid-19 case, which has been declining since February. But Hotez said the available metrics are no longer enough to properly grasp the covid situation. 

We’re kind of shooting blind now,” said Hotez, who is also dean of the National School of Tropical Medicine at Baylor College of Medicine.

Public health officials treat covid with less urgency in part because hospitals no longer report that covid patients pose a significant threat to their capacity.

Raynard Washington, who leads the Mecklenburg County health department in North Carolina, noted that while covid remains deadlier and more transmissible than the flu, the virus has become far more manageable because of vaccination.

“It’s not causing disruption to our everyday life like it used to,” Washington said

While health-care systems can manage covid waves, Otto Yang, associate chief of infectious diseases at UCLA’s David Geffen School of Medicine, said the immunocompromised and older adults at high risk of developing severe disease are often overlooked. 

 Those people unfortunately carry a heavy burden,” Yang said. “I’m not sure there is a good solution for them, but one thing could be better preventive measures.”

The covid protection measures that were a staple of earlier summers — requests to test before attending weddings, mask requirements at conferences, outdoor locations for celebrations — are falling by the wayside. 

Many summer campers, for instance, will no longer be forced to isolate for covid while asymptomatic since the CDC revised its quarantine protocols to allow people to reemerge after their fevers break, said Tom Rosenberg, president and chief executive of the American Camp Association. But other covid protections have stuck: Opening windows to improve ventilation, screening for symptoms of illness and discouraging parents from helping their kids unpack when they arrive. Regardless of the pandemic’s severity, Rosenberg said, camps seek to minimize disruptions from illness.

“Kids can have more fun,” Rosenberg said. “We want to keep them in camp as much as we can as long as they are well and ready to participate.” 

Others trying to keep precautions in place face greater challenges as they become outliers.

Organizers of Dyke Fest, an LGBTQ+ community gathering in D.C., wanted to be inclusive of immunocompromised people when they asked attendees to wear masks and test before coming to a bar where more than 250 attendees drank, browsed jewelry and art, and joined packed crowds watching drag performances. But compliance was spotty and enforcement tricky when rain drove people indoors, where drinking and masking don’t easily mix, and pandemic masking norms have eroded. 

“Culturally we are coming away from it as a society, so it gets much harder to ask people to really be consistent, because they aren’t doing it anywhere else,” said D Schwartz, one of the organizers. “You go into a movie theater now, you see maybe five people wearing a mask.”

Medically vulnerable people are adjusting to a world where they can’t count on people to mask anymore, even at the doctor’s office. In North Carolina, Republican lawmakers proposed legislation in May that would criminalize mask-wearing in public, even for medical reasons, in response to growing protests against the war in Gaza, where many protesters have worn medical masks.

The proposal floored Cat Williams, who received a double lung transplant and faces heightened danger from covid infections because she takes medication that suppresses her immune system. At medical appointments, she has had to plead with medical staff to cover their faces while she gets her blood drawn and undergoes X-rays. The prospect of getting arrested for wearing a mask and being forced to take it off in a crowded jail makes her even more fearful to leave home. And she worries mask skeptics will be emboldened to harass people who wear them. 

We have a target on our backs,” said Williams, 53, of Charlotte. “They don’t want anyone to give them the reminder that covid is around.”

Sunday, May 26, 2024

Deja Vu: Tragedy at Mt Everest

 

 

When I first saw this article and these photos, I thought it was a retrospective about the 1996 disaster written about in "Into Thin Air" by Jon Krakauer.  I saw similar photos in that book.  Then I saw the date, and I realized that people still haven't learned a thing from that terrible tragedy. 

Officials should either close Mt Everest to climbing for a few years; or restrict the climbing to a certain small number of experienced climbers, because this free-for-all has gotten completely out of hand.

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Mount Everest’s filthy base camp conditions, thick traffic jams in the spotlight as two climbers believed to be dead 

"Climbers have to navigate thick traffic jams, a filthy, sprawling base camp — and increasingly, death — while trying to get to the world’s highest Instagram hot spot.

"Renewed attention is being paid to the crowded conditions on Mount Everest, where two missing climbers were believed dead this week after part of an icy ridge collapsed.

"Social media videos appear to show a line of hundreds of climbers stranded in the aftermath of the tragic Tuesday incident in which British climber Daniel Paterson, 39, and his Nepali guide Pas Tenji Sherpa, 23, were dragged down the side of the mountain after a chunk of hardened snow overhanging the edge of a cliff suddenly fell, the BBC reported.

"The clips were just some of the dozens of images of an apparent constant rush hour getting to the top of the world. More than one clip on X in recent months shows climbers screaming as they watch dead bodies slide by them.

"In a separate incident, Kenyan climber Joshua Cheruiyot Kirui, 40, was found dead and his guide Nawang Sherpa, 44, remained missing after they vanished from the mountain on Wednesday.

“Everest; the highest, the dirtiest and the most controversial place on Earth,” wrote The Northerner on X. “Humans bypassing corpses, leaving people dying, ignoring help cries, making it dirtiest place with pollution & human wastes; all for the glory of summit. When will it stop?!”

"Indian mountaineer Rajan Dwivedi, who successfully summited Everest at 6 a.m. on May 19, wrote on Instagram that “Mt. Everest is not a joke and in fact, quite a serious climb.”

“I believe so far (more than) 7,000 have summited since 1st ascent in May 1953. Many end up with frost bites, snow blindness and various type of injuries that are not counted in any database,” he wrote on a post that included video of the endless, snaking line of climbers coming up and back down as they seized one of the rare weather windows.

“This video captured shows [sic] what we face on one rope line and negotiating interchanges during the traffic for upstream and downstream! The main reason is weather window to avoid the fierce cruising jet streams that could be 100-240mph!! For me, coming down was a nightmare and exhausting while huge line of climbers were coming up to maximize on the weather window.”

"Overcrowding on Everest has been a problem for years but the world’s biggest mountain has become an increasing concern to officials in recent years.

"Everest’s popularity hasn’t waned, despite frequents accidents and deaths on the mountain.

"The season is at its peak at the moment – with hundreds of climbers jammed side by side along the Hillary Step."

Dr Ruth Ann Crystal's COVID news & more newsletter 5/25/24

Here's the latest update from the always-reliable Dr Ruth Ann Crystal, packed with an amazing amount of information:

The FLiRT mutations KP.2 and KP.3 now make up more than 40% of COVID cases in the United States. They are pushing JN.1 and its descendants out. Wastewater SARS-2 levels are “MINIMAL” overall for the nation, but are just starting to increase in the west. Some of this may be due to Hawaii which is at a “HIGH” or “VERY HIGH” level of SARS-CoV-2 in their wastewater. Delaware, Minnesota and Nevada have “MODERATE” levels of virus in wastewater. According to JP Weiland, nationwide 1 in every 217 people are currently infected with COVID. COVID hospitalizations are no longer being reported at the national level and Biobot has stopped reporting their wastewater data as well. 

From https://iowacovid19tracker.org/

The new SARS-CoV-2 forecasting analytics website reports that as of May 21, 2024, COVID infections are growing in Hawaii, Arizona, Montana, Texas, Louisiana and Massachusetts. COVID infections are “likely growing” in Alaska, California, Oregon, Nevada, Wyoming, Virginia, New Jersey and Rhode Island. In the Bay Area, Palo Alto wastewater is now at a “HIGH” level for COVID virus although it seems to be plateauing and San Francisco Oceanside had a big uptick that quickly normalized. 

Internationally, there are increases in COVID levels in Australia, New Zealand and Singapore. According to Mike Honey, a new variant descendant LB.1 is just starting to increase in Singapore, New Zealand and the United States. LB.1 is a “DeFLiRT” variant because it added a deletion mutation on the spike protein (S31Del) to the FLiRT mutation (F456L + R346T) combination which appears to increase its efficiency.

From https://x.com/Mike_Honey_/status/1792916810708209988

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Vaccines

The BCG (Bacillus Calmette-Guérin) vaccine was developed against Tuberculosis over 100 years ago, but it is known to protect against other infectious diseases as well. A Phase III randomized clinical trial from Harvard shows that multiple doses of the BCG vaccine protected adults with Type I diabetes from COVID infections better than the initial mRNA COVID vaccines. It also protected this group against other infectious diseases. The BCG vaccine worked against COVID variants Delta and Omicron in this study.

Masks

A new mega-review from T. Greenhalgh and colleagues examined over 100 published reviews and primary studies on masking. It showed that masks are effective at reducing transmission of respiratory diseases if worn correctly. N95 respirator masks are more effective than surgical masks or cloth masks and there is a dose-response effect to wearing masks. The review also showed that mask mandates are effective in reducing community transmission of respiratory infections. Masks work! Fortunately, the North Carolina House of Representatives defeated the bill that had been approved by the NC Senate this week, so wearing masks in North Carolina remains legal.

Long COVID

A large study of almost 230,000 people from Italy shows that three years after a positive COVID test, there was a persistent increased risk of all major adverse cardiovascular and cerebrovascular events including heart attack, stroke, heart failure, atrial fibrillation and myocarditis or pericarditis with an odds ratio of 1.73.

From: https://academic.oup.com/cardiovascres/article-abstract/120/6/623/7631430

Dr. Svetlana Blitshteyn is a neurologist specializing in autonomic disorders like POTS. This week, I really enjoyed listening to a discussion between Dr. Blitshteyn and Dr. Eric Topol on his podcast. She had excellent recommendations on how to approach POTS and Long COVID and gave helpful insights into workup and treatment.

A small (n=12), sham-controlled, double-blind, randomized clinical trial examined the effects of transcutaneous vagus nerve stimulation (tVNS) on Postural Tachycardia Syndrome (POTS). Participants received either active tVNS on the tragus of the ear or sham stimulation on the earlobe for one hour daily for two months. Those in the active tVNS group had a decrease in antiadrenergic autoantibodies and inflammatory cytokines, and better heart rate variability. Larger studies are needed to confirm these findings. 

A group from Germany used DMI (diffusion microstructure imaging) MRI to evaluate people with cognitive impairment, olfactory dysfunction and fatigue from Long COVID (Post-COVID-condition, PCC). They found “widespread alterations in cerebral microstructure, attributed to a shift in volume from neuronal compartments to free fluid, associated with the severity of the initial infection.” Cognitive impairment, olfactory dysfunction and fatigue in Long COVID were linked to microstructural changes in specific brain networks that could be seen on DMI MRI.

Fig. 2: Spatial distribution and direction of microstructural changes after COVID-19.

 

The definition of Long COVID is not standardized and varies among public health agencies, such as the CDC, WHO, and UK NICE, depending on the time elapsed since the initial COVID illness. A new review from AHRQ looks at how to define Long COVID and what models of care are being used to treat Long COVID in different places. They found that “Long COVID models of care were characterized by 5 key principles: a core “lead” team, broad multidisciplinary expertise, comprehensive access to diagnostic and therapeutic services, a patient-centered approach, and providing capacity to meet demand.” As more people are infected by COVID, more people are getting Long COVID. We need excellent models of care to best treat this chronic and disabling disease. 

From: https://www.acpjournals.org/doi/10.7326/M24-0677

Great Britain Olympic-level rower O. Cousins has Long COVID. In an interview with the BBC, she complained that the “Lightning Process”, a three-day course costing more than £1,000, had tried to teach her that she was sick because of negative thoughts. She knew that she was physically ill from Long COVID and was being gaslit. Critics have said that the Lightning Process is exploiting people with Long COVID who are desperate to feel better. We need to focus funding on finding real treatments that actually work for Long COVID.

John Hopkins Long COVID study is hoping to get people with Long COVID anywhere in the world to answer a one-time 20 minute questionnaire. The survey is available in multiple languages at https://covid-long.com/.

A few days ago, Charlie McCone posted on Twitter about Rutgers researcher Dr. William Hu who said, “The findings from our study lead us to believe that interferon — the body’s natural antiviral — and other drugs which target COVID-19 will be most beneficial in people with long COVID.” His study in Cell was on “Clinical and CSF single-cell profiling of post-COVID-19 cognitive impairment”. Medical journalist Liz Highleyman responded to Charlie’s tweet that interferon-alpha was used to treat Hepatitis C before newer Hepatitis drugs were created. But unfortunately, interferon-alpha has many side effects including very unpleasant, flu-like symptoms. A study in the NEJM in February 2023 showed that a single dose of a different interferon, Pegylated Interferon Lambda, protected people with acute COVID infection from being hospitalized or needing to go to the Emergency Department. I wonder if PEG Interferon Lambda could be used to treat Long COVID. PEG Interferon Lambda has fewer side effects than other interferons and has broad antiviral properties.

 

A.I.

Yesterday, the BBC reported that Google’s new AI Overview feature told users that the best way to keep cheese on pizza was to use a non-toxic glue. Google AI Overview also recommended eating at least one small rock a day for its vitamins and minerals. AI can be very helpful for certain tasks, but it is important to check its answers against reliable sources.

From: Google.com

Epic announced that they have launched an open-source AI validation tool via GitHub for healthcare systems to be able to evaluate AI models that integrate with any EHR

H5N1 Avian Flu

Wastewater testing for Avian Flu H5N1 will now be tracked by a 190-site network across 36 states run by Stanford, Emory and Verily Life Sciences at WastewaterSCAN. The tracking is funded by philanthropy. Sara Anne Willette used USDA and US WastewaterSCAN data to show H5N1 viral activity below:

The CDC reported that a second dairy worker was infected with H5N1 Bird Flu which presented with conjunctivitis like the first infected person. This week, scientists were able to generate a full genetic sequence of H5N1 virus from store-bought milk. Tracking H5N1 in commercial milk may offer another way to follow the H5N1 bird flu outbreak since some dairies are hesitant to report.

Several people have asked me if they could become immunized against bird flu from drinking either pasteurized or unpasteurized milk contaminated with the H5N1 avian flu virus. Drinking unpasteurized milk could make a person extremely sick. Pasteurized milk is safe to drink. Any inactivated viral proteins would be broken down by the gastrointestinal system and would not lead to immunization however.

A new study showed that mice given raw milk from H5N1-infected cows got extremely ill with systemic avian flu infection and the H5N1 virus was found to have spread to their lungs, hearts, kidneys, spleens, livers, mammary glands, and brains. Of note, the two mice whose mammary glands were infected had not been lactating. Cats that drank raw milk infected with H5N1 showed severe neurological symptoms including blindness, and half of them died from the disease. Ingesting raw milk with H5N1 could be very dangerous. 

Other news

The CDC unveiled a new Daily Heat Risk Map which allows people to type in their zip code to see what health risks there may be from heat that day. A “heat dome” this week caused power outages and led to deaths of howler monkeys in Mexico because of heat stroke. The extreme heat is expected to increase hurricanes this season as warm ocean temperatures can fuel the storms.

Male fertility has been decreasing and it appears that microplastics and pesticides are affecting sperm counts. Microplastics were found in testicles from humans and from pet dogs and are believed to cause inflammation leading to reduced sperm counts. A French fertility clinic reports that more than 55% of sperm samples tested contained high levels of glyphosate which is the pesticide in the weed killer Roundup. Not only can it affect sperm counts, but the authors found that glyphosate may also affect DNA of sperm which could have repercussions for his progeny.

Because of recent meningitis infections in visitors returning from Saudi Arabia, the CDC recommends that people traveling to the Hajj pilgrimage in Saudi Arabia or the Umrah pilgrimage be sure that they are up to date on travel vaccinations including the quadrivalent meningococcal vaccine. 

Using satellite radar imaging, scientists have discovered an ancient branch of the Nile river which may have been used to transport boulders to build the pyramids. Scientists had wondered why the pyramids had been built in that particular chain formation. It turns out that the river branch ran right along the area where 31 pyramids were built.

From: https://www.nature.com/articles/s43247-024-01379-7/figures/1

Congratulations to Bay Area nurse and grandmother Amy Appelhans Gubser who successfully swam almost 30 miles from the Golden Gate Bridge to the Farallon Islands! The water was a chilly 43 degrees, but that didn’t stop this “ultraswimmer” from completing the route.

Space

The European space telescope Euclid sent back 5 amazing pictures including one of Messier 78, “a vibrant star nursery enveloped in interstellar dust”. Messier is an "enormous cradle of baby stars" 1,300 light-years away.

From European Space Agency: Messier 78, a vibrant star nursery enveloped in interstellar dust https://www.esa.int/Science_Exploration/Space_Science/Euclid/ESA_s_Euclid_celebrates_first_science_with_sparkling_cosmic_views

This photo of Abell 2390 shows over 50,000 galaxies.

https://www.esa.int/Science_Exploration/Space_Science/Euclid/ESA_s_Euclid_celebrates_first_science_with_sparkling_cosmic_views

Have a good rest of your weekend,

Ruth Ann Crystal MD