One question we are going to have to answer and come to terms with is; what is an "Acceptable yearly death rate due to Covid19"?Hopefully, it's not as deadly.
As our treatment options and success rates improve, and vaccination penetration increases (as well as the boosters), this will become an endemic source of a manageable disease. Larger spikes in infection will become seasonal, or new variant wave driven, "normal" occurrences. We'll just learn to stop freaking out about it.
Forget about achieving herd immunity - it ain't happening in the US, never mind in less medically capable parts of the world. In the entire modern history of the world, we've only managed to eradicate one and only one virus, smallpox, after decades of global vaccination efforts. There is zero political will to attempt anything of the kind with Covid-19.
https://www.statnews.com/2021/05/19...cientists-look-to-the-past-to-see-the-future/
https://www.washingtonpost.com/health/2021/10/31/when-does-the-pandemic-end/
Interesting reads, thanks.Hopefully, it's not as deadly.
As our treatment options and success rates improve, and vaccination penetration increases (as well as the boosters), this will become an endemic source of a manageable disease. Larger spikes in infection will become seasonal, or new variant wave driven, "normal" occurrences. We'll just learn to stop freaking out about it.
Forget about achieving herd immunity - it ain't happening in the US, never mind in less medically capable parts of the world. In the entire modern history of the world, we've only managed to eradicate one and only one virus, smallpox, after decades of global vaccination efforts. There is zero political will to attempt anything of the kind with Covid-19.
https://www.statnews.com/2021/05/19...cientists-look-to-the-past-to-see-the-future/
https://www.washingtonpost.com/health/2021/10/31/when-does-the-pandemic-end/
Well, in a way, we're finding out. The last 12 months were ~500K deaths from COVID. 200K of that was in the December 2020-March 2021 timeframe when vaccines weren't widely available. Another 100K was in March-June 2021. Finally, there were another 200K between June and December 2021 when vaccines were widely available, though uptake varied. In the best case scenario, we're looking at ~300-400K deaths/year. At this point, there are two basic paths in the road depending on who is in charge in your state/country:One question we are going to have to answer and come to terms with is; what is an "Acceptable yearly death rate due to Covid19"?
The U.S. looses anywhere from 36,000 to as many as 60,000 a year from the flu.
Will we accept the same figure from Covid19?
What if after all acceptable measures we get an annual death rate of twice that of the flu?
What if it is much worse; say upwards of 250,000 a year, year after year after year.
Will we just learn to deal with it and move on?
Or will there be a concerted effort, along with some pretty draconian measures, implemented to get that quarter-million down to something we can "live with?
Hopefully, it's not as deadly.
As our treatment options and success rates improve, and vaccination penetration increases (as well as the boosters), this will become an endemic source of a manageable disease. Larger spikes in infection will become seasonal, or new variant wave driven, "normal" occurrences. We'll just learn to stop freaking out about it.
Forget about achieving herd immunity - it ain't happening in the US, never mind in less medically capable parts of the world. In the entire modern history of the world, we've only managed to eradicate one and only one virus, smallpox, after decades of global vaccination efforts. There is zero political will to attempt anything of the kind with Covid-19.
https://www.statnews.com/2021/05/19...cientists-look-to-the-past-to-see-the-future/
https://www.washingtonpost.com/health/2021/10/31/when-does-the-pandemic-end/
I think this is a good point. It's the combo pack of contagious and lethal that makes COVID different. If it develops into a strain that is somewhere on the order of the flu in terms of lethality, then we basically go back to normal. That depends on delta dying out, though.I think it is important on this thread to clearly define “spikes” of “what?”
Especially when cases are occurring in patients with previous natural or vaccinated exposure, it will be informative to look at the data in terms of deaths, hospitalizations, symptomatic but not hospitalized, and asymptotic pick up by random testing.
With the caveat that regarding “Long Covid”, we have no accepted definition so we have no good data, am I crazy in thinking that a potential variant that is more infectious but far less malignant in terms of death and hospitalizations (particularly in previously infected or vaccinated people) may not be such a bad thing, particularly if it outcompetes Delta or more malicious strains?
There is of course the risk of mutations of an initially less malevolent strain reverting to something more dangerous, and I am not proposing we change our stance on promoting masks and vaccinations, but just maybe the Spanish Flu maturation phase( (into something less malignant) may be the norm.
In any case, reports of deaths and hospitalization rates I think are more relevant when comparing new to previous variants.
Our local hospital had 23 beds out of 80 filled. 7 are vaccinated. ICU has 5 patients, all on ventilators, 3 have been vaccinated. Population here is approximately 475,000. I am curious though, im seeing in the news that all those that have gotten the latest version, all seem to be vaccinated, can that be true?
News from New Hampshire: "COVID-19 hospitalizations reached a new high Tuesday in New Hampshire as 13 more deaths were reported. State health officials said there are 441 Granite Staters hospitalized for COVID-19, the most at any point of the pandemic. Hospitalizations have been rising steadily since the beginning of November."
News from Maine: "Hospitalizations broke another record Tuesday, with 367 hospitalized, including 110 in intensive care, and 59 patients on ventilators."
Is New England the tail end of the last spike, or the beginning of the next spike?
I am curious though, im seeing in the news that all those that have gotten the latest version, all seem to be vaccinated, can that be true?
I am curious if the spread of Omicron impies it is more infectious than Delta (Therefore more ”successful” and likely to dethrone/supplant Delta.) It remains to be seen however if acquired immunity from Omicron is protective against Delta.That depends on delta dying out, though.
I wonder if in 20 years or so we will really understand what happened, and perhaps more importantly, how we can prepare for the next superbug.
I am curious if the spread of Omicron impies it is more infectious than Delta (Therefore more ”successful” and likely to dethrone/supplant Delta.) It remains to be seen however if acquired immunity from Omicron is protective against Delta.
i believe it was the Pfizer CEO who stated that one of the reasons they HAVEN’T released new updated vaccines is that the current vaccines are still to some extent effective against current variants, including Delta, specifically in terms of hospitalization and death.
edit: my source was a post from @ThirstyBarbarian excerpt as follows
**************begin
I saw an interview with the head of Pfizer, and he said that when they get the genetic sequence for a new variant, they can design a variant-specific vaccine almost immediately. He said they have already designed an omicron-specific vaccine, and if it is deemed necessary, they could take it through testing, approval, manufacturing, and distribution in about 100 days. But they would only do it if current vaccines are found to not be effective enough. He said they did the same for delta, but it was never deployed, because current vaccines were considered good enough.
**************end
it’s important to remember that viruses don’t think, they randomly mutate with most mutations being neutral or even lethal to the VIRUS progeny. Severity of disease and particularly lethality of disease are not generally advantageous to the virus (if you are a bug, you’d rather infect someone, make him infect others, let him recover, than infect him again. OTOH, killing him or hospitalizing him takes him out of circulation, neither is a propagation advantage for the VIRUS.)
were it not for the unknowns of “Long Covid”, you can make an argument that variants with very very low lethality and hospitalization rates may be a positive for HUMANS, especially if the acquired immunity from such is still effective against the more lethal variants. Emphasize that neither the lethality nor hospitalization rates for Omicron are established, and may vary with whether the patient has NEVER been exposed to Covid previously, has HAD previous Covid (and then does it matter which strain?), or has been previously vaccinated, or BOTH previously infected AND vaccinated.
I wonder if in 20 years or so we will really understand what happened, and perhaps more importantly, how we can prepare for the next superbug.
Since there still seems to be a lot of discussion/argument/guessing about what happened with the Spanish Flu epidemic a hundred years ago, my guess is that humans will still be arguing about this pandemic 20 years from now and still long after all of us are dead.
In a major metro area (as opposed to rural), most people in the local population are vaccinated. So, a disproportionate number of the cases will be among the vaccinated.A local hospital where my brother works has reported steady declines in Covid related cases over the past 7 months with less than 1% of their beds taken by Covid patients. They have had no deaths related Covid since Oct. 2021 and no one currently in ICU for Covid related symptoms.
One thing I did find interesting is that the numbers of hospitalizations were pretty much split down the middle 51/49 for vaccinated vs unvaccinated.
I know this is one hospital but we're in a major metro area. The interesting thing is that the numbers being reported are a stark contrast from what you are hearing on main stream media. I can't believe that this hospital is doing anything differently than the others in the area. How are their numbers so far off from what is being reported?
A local hospital where my brother works has reported steady declines in Covid related cases over the past 7 months with less than 1% of their beds taken by Covid patients. They have had no deaths related Covid since Oct. 2021 and no one currently in ICU for Covid related symptoms.
One thing I did find interesting is that the numbers of hospitalizations were pretty much split down the middle 51/49 for vaccinated vs unvaccinated.
In a major metro area (as opposed to rural), most people in the local population are vaccinated. So, a disproportionate number of the cases will be among the vaccinated.
For example, if 80% of the people around are vaccinated, and chance of being hospitalized (per 100k people) for vaccinated people is a quarter that of the unvaccinated cohort, you will get similar absolute numbers of cases between vaccinated and unvaccinated.
What metro area are you in? There are a lot of differences between states, especially if they're in warmer or cooler climates.Very true. The part that I was questioning was how this hospital has shown a steady decline in cases and no deaths in more than 5 weeks while everyone else is claiming increased cases, increased deaths, increased "record" numbers in the hospitals.
Very true. The part that I was questioning was how this hospital has shown a steady decline in cases and no deaths in more than 5 weeks while everyone else is claiming increased cases, increased deaths, increased "record" numbers in the hospitals.
I'd say regional, at least by what I see moving patients around to different major hospitals. I'm routinely in and out of hospitals in Fort Wayne, Indianapolis, Toledo, Cleveland, Columbus, Chicago and Ann Arbor and see a similar pattern at all of them.The pandemic remains very local I. Terms of which area is spiking at which time.
What metro area are you in? There are a lot of differences between states, especially if they're in warmer or cooler climates.
Are the "hospitals are at capacity!" news stories you're seeing on the local news or are they national? I'm not seeing much of that kind of story, but we don't seem to be maxed out over here and I don't watch commercial national news. If it's local news, it seems like it's probably cherry picking (maybe one hospital specializes in COVID patients so more patients get sent there and it's pretty full?) or really stretching the truth. If it's national, it's probably focused on one particular state/region rather than a national trend.Chicago. Now you understand my confusion. We're being told by some that hospitals are at capacity while the people that work in some of these hospitals are wondering what everyone is talking about. I'm having dinner with a buddy tonight whos wife is an ICU nurse at one of the major hospitals in Chicago. I typically don't ask questions about covid as it almost always turns the conversation political but I'm curious to see what she is experiencing and her opinion as someone that is on the front lines of this thing.
It is important to remember that not all hospitals and not all ICUs are equal. Rural hospitals often lack the staff, specialists, and equipment necessary to treat these patients. Someone might start off in a community hospital and end up in a large regional or university affiliated hospital which can offer the specialty care (any type of specialty care, not just Covid) the patient needs. These hospitals fill up from people within the city and people being referred from hundreds of miles away. The backlog then affects everyone as people get held in the smaller hospitals while they are waiting for beds to open up.Here in Indiana it's getting worse on average but the urban places like Indianapolis and well vaxxed northerly suburbs are doing ok, while rural places are swamped.
Enter your email address to join: