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appalachiablue

(41,128 posts)
Fri Apr 15, 2022, 01:15 PM Apr 2022

It's Not Over: COVID-19 Cases Are On The Rise Again In US

Last edited Fri Apr 15, 2022, 02:47 PM - Edit history (2)

Source: AP News

(40 mins ago). Yet again, the U.S. is trudging into what could be another COVID-19 surge, with cases rising nationally and in most states after a two-month decline. One big unknown? "We don't know how high that mountain's gonna grow," said Dr. Stuart Campbell Ray, an infectious disease expert at Johns Hopkins University.

No one expects a peak nearly as high as the last one, when the contagious omicron version of the coronavirus ripped through the population. But experts warn that the coming wave - caused by a mutant called BA.2 that's thought to be about 30% more contagious - will wash across the nation.

They worry that hospitalizations, which are already ticking up in some parts of the Northeast, will rise in a growing number of states in the coming weeks. And the case wave will be bigger than it looks, they say, because reported numbers are vast undercounts as more people test at home without reporting their infections or skip testing altogether.

At the height of the previous omicron surge, reported daily cases reached into the hundreds of thousands. As of Thursday, the seven-day rolling average for daily new cases rose to 39,521, up from 30,724 two weeks earlier, according to data from Johns Hopkins collected by The Associated Press...

Read more: https://apnews.com/article/covid-science-health-infectious-diseases-4b298e5339d399572e8f70bec118bde0



** NPR, April 14, 2022: 2 New Omicron Variants Are Spreading In N.Y. and Elsewhere. Here's what we know.

On Wednesday, health officials in New York said that two new omicron variants are spreading rapidly in the state. The variants appear to be causing a small surge in cases in central New York state, the department of health said. Known as BA.2.12 and BA.2.12.1, the variants are closely related to the BA.2 variant - a version of omicron that has caused surges across Europe and is now dominant across the U.S. Together the two new variants now comprise 90% of cases in central New York. But one of them, BA.2.12.1, contains a mutation that appears to give the variant an advantage, computational biologist Cornelius Roemer wrote on Twitter.

The mutation resides on the part of the virus that binds to human cells. And in previous variants, this mutation has helped the virus infect cells, studies have found. The BA.2.12. variant appears to have a growth advantage of about 30% to 90% per week over BA.2, Roemer estimates. "It looks like [the variant] has an advantage ... It has certainly rapidly grown in some places," epidemiologist William Hanage, at Harvard University, wrote in an email to NPR. Some of the variants' mutations could help the virus evade the immune system, he notes...
https://www.npr.org/sections/goatsandsoda/2022/04/14/1092812456/two-new-omicron-variants-are-spreading-in-n-y-and-elsewhere-heres-what-we-know

https://www.theguardian.com/world/2022/apr/14/ba2-variant-covid-cases-us-rise-north-east-omicron



- Customers wear face masks to protect against the spread of the coronavirus as they shop at the Reading Terminal Market in Philadelphia, Feb. 16, 2022. COVID cases are starting to rise again in the US, with numbers up in most states and up steeply in several.

One expert says he expects more of a "bump" than the monstrous surge of the first omicron wave, but another says it's unclear how high the curve will rise and it may be more like a hill.



- Travelers at Chicago Airport.

76 replies = new reply since forum marked as read
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It's Not Over: COVID-19 Cases Are On The Rise Again In US (Original Post) appalachiablue Apr 2022 OP
Ugh this is getting old. Fuck COVID. Initech Apr 2022 #1
IK, Covid fatigue bigtime but we have to remain steady appalachiablue Apr 2022 #3
I'll still get every vaccine they tell me to! Initech Apr 2022 #6
Same here, taking all they've got to stay well!! appalachiablue Apr 2022 #8
COVID-19: Wastewater Surveillance CrispyQ Apr 2022 #2
Our county Delphinus Apr 2022 #29
The red & orange (which are "before treatment" and "after treatment" sampling points) in the below BumRushDaShow Apr 2022 #30
This was totally expected Iwasthere Apr 2022 #4
Who could have predicted it - besides anybody with a functioning brain... lagomorph777 Apr 2022 #57
Anti-vaxxers, Covid-19 is looking for you! BlueWavePsych Apr 2022 #5
Who is surprised? piddyprints Apr 2022 #7
it's not just them Skittles Apr 2022 #15
That may be. piddyprints Apr 2022 #26
Any idea what variant we're on? Throck Apr 2022 #9
I lost count! From NPR yesterday- 2 new Omicron Variants appalachiablue Apr 2022 #10
Not lethal Iwasthere Apr 2022 #12
They'll be rolling out a new naming scheme any day now... NullTuples Apr 2022 #32
Omicron Persei 8? Buckeye_Democrat Apr 2022 #36
Reality check: COVID cases are not the issue brooklynite Apr 2022 #11
That's because of the piss poor messaging that trivializes the completely unknown Ms. Toad Apr 2022 #13
I asked my neurologist if he knew BigmanPigman Apr 2022 #31
Precisely my point. Ms. Toad Apr 2022 #37
On long-term consequences--a friend had a mild case in Oct '21-lost sense niyad Apr 2022 #40
Yes. Ms. Toad Apr 2022 #41
yes but disease is still much less in vaccinated, even for most breakthrough infections LymphocyteLover Apr 2022 #59
So it isn't worth minor inconveniences Ms. Toad Apr 2022 #60
I agree with you on your last paragraph LymphocyteLover Apr 2022 #62
Minor inconveniences - Ms. Toad Apr 2022 #63
Yes, I agree with your points and that messaging could be better LymphocyteLover Apr 2022 #64
Please point to any population in the world where NPIs like masking have effectively... Yavin4 Apr 2022 #65
The U.S., among many other places. Ms. Toad Apr 2022 #67
Like this? Yavin4 Apr 2022 #68
Science is your friend. Ms. Toad Apr 2022 #69
Okay. I found some good science. Yavin4 Apr 2022 #70
Try some actual data, Ms. Toad Apr 2022 #71
Okay. You should have Randomized Control Trials to prove your point. Yavin4 Apr 2022 #73
2020 is the period in which mask order were absent, then implemented. Ms. Toad Apr 2022 #75
The virus is seasonal which means that it comes in waves. Masks or no. Yavin4 Apr 2022 #76
who could see that coming Skittles Apr 2022 #14
Yep. nt SunSeeker Apr 2022 #27
UK was about a third of their first Omicron spike with this wave Blues Heron Apr 2022 #16
about a third in terms of (detected) infections, about the same for hospitalization and death muriel_volestrangler Apr 2022 #20
Only 12 states with rising Covid hospitalization rates progree Apr 2022 #17
It's likely case numbers will be depressed because of the increase in at home testing littlemissmartypants Apr 2022 #18
We have been through this 6 times now and this is #7 BumRushDaShow Apr 2022 #19
Whoa, what rapid rise in Philly cases & hospitalizations! Tx. appalachiablue Apr 2022 #21
Yes it is concerning BumRushDaShow Apr 2022 #22
Based on reported cases, Buffalo went from wnylib Apr 2022 #34
Hospitalizations take several weeks to show up BumRushDaShow Apr 2022 #38
Unvaccinated conservatives are eager to share it with everyone IronLionZion Apr 2022 #23
It won't be over, it's endemic now. Akoto Apr 2022 #24
"it just seems to me that COVID is now like the flu" BumRushDaShow Apr 2022 #28
We never reached anything like "giving it our best" or "practically shutting down the country" NullTuples Apr 2022 #33
It is not yet endemic now. It is still a pandemic, with wnylib Apr 2022 #35
The Flu Zeitghost Apr 2022 #51
Not like covid does. wnylib Apr 2022 #52
For many folks, it is has been over a year since being vaccinated TomCADem Apr 2022 #25
With all those home test kits, it's probably impossible to know how much Emile Apr 2022 #39
Even so I dont think we should go back to a full lock down again. honest.abe Apr 2022 #42
I agree. For the last couple months... VarryOn Apr 2022 #44
I'm watching the rebroadcast of the Coachella livestream on YouTube and there is nary a mask in gldstwmn Apr 2022 #43
Young people who are at low risk and are outdoors. Ace Rothstein Apr 2022 #46
Danny Elfman played the main stage last night. He's 68. gldstwmn Apr 2022 #47
Again, outdoors. Ace Rothstein Apr 2022 #48
I did see the camera crews were all wearing gldstwmn Apr 2022 #53
I take issue with people chastising others for their masking choices at this point. Ace Rothstein Apr 2022 #56
I wasn't doing that. I merely noted there were no masks in a tightly packed crowd. gldstwmn Apr 2022 #58
What does one expect when not remotely close to being a vaccinated world with fast spreading virus? Brainfodder Apr 2022 #45
Just got my 2nd booster TexasBushwhacker Apr 2022 #49
My triple vaxxed husband who had Covid last February Danmel Apr 2022 #50
this is why EVERYONE needs to keep masking and social distancing Skittles Apr 2022 #54
Except that masks do nothing to stop transmission Yavin4 Apr 2022 #66
Not wearing masks doesn't work either nt noiretextatique Apr 2022 #74
3 new cases in my circle this week. mainer Apr 2022 #55
Yep, it's ripping through my friends and students. róisín_dubh Apr 2022 #61
Every year after college spring break Captain Zero Apr 2022 #72

Initech

(100,063 posts)
6. I'll still get every vaccine they tell me to!
Fri Apr 15, 2022, 01:28 PM
Apr 2022

If we have to get a 4th booster, fuck it! Give it to me!

CrispyQ

(36,457 posts)
2. COVID-19: Wastewater Surveillance
Fri Apr 15, 2022, 01:22 PM
Apr 2022
https://covid.cdc.gov/covid-data-tracker/#wastewater-surveillance

Someone posted this tracker a few weeks ago. My area had a few oranges about a month ago, but now it's all blue. We'll see if it goes orange again.

BumRushDaShow

(128,870 posts)
30. The red & orange (which are "before treatment" and "after treatment" sampling points) in the below
Fri Apr 15, 2022, 09:15 PM
Apr 2022

are just outside of Philly (actually not far from where I live which is near the border of a suburban county).



The media, in article after article after article, is literally "shaming" the city for taking early mitigation steps to keep what could be "a huge spike" down to (hopefully) "a smaller hill".

lagomorph777

(30,613 posts)
57. Who could have predicted it - besides anybody with a functioning brain...
Mon Apr 18, 2022, 02:49 PM
Apr 2022

Ease up on masks and vaccinations, and around we go again. We've been around this Russian Roulette wheel so many times, I'm getting dizzy.

piddyprints

(14,642 posts)
7. Who is surprised?
Fri Apr 15, 2022, 01:32 PM
Apr 2022

The anti-vaxxers/anti-maskers are doing this to all of us.

I’m going to get my 2nd booster next week.

piddyprints

(14,642 posts)
26. That may be.
Fri Apr 15, 2022, 05:48 PM
Apr 2022

My point is that we wouldn't be in this situation if the anti-vaxxers and anti-maskers had been doing the right thing all this time. There's a decent chance we could have beaten it by now.

Yes, meanwhile, everyone is acting like it's all over with.

NullTuples

(6,017 posts)
32. They'll be rolling out a new naming scheme any day now...
Fri Apr 15, 2022, 09:55 PM
Apr 2022

Because has *any* measurement system remained a constant since January of 2020?

brooklynite

(94,503 posts)
11. Reality check: COVID cases are not the issue
Fri Apr 15, 2022, 01:55 PM
Apr 2022

If serious illness and death numbers are not significant, people aren't going to care about the rate of infection.

Ms. Toad

(34,062 posts)
13. That's because of the piss poor messaging that trivializes the completely unknown
Fri Apr 15, 2022, 02:08 PM
Apr 2022

long term consequences of COVID.

Until this disease is at least a decade old, we need to remain as focused on minimizing infection as on preventing short-term infection and death.

We have zero information about consequences more than 2 years from infection. The little we do know about consequences 1-2 year out (increased risk of heart disease; diminished cognitive function; decreased brain size - even in mild cases) should be setting off alarm bells for long-term health consequences. These results impact both mild and severe cases in vaccinated and unvaccinated individuals. Pretending that infections are OK, as long as they don't put you in the hospital or kill you in the near future is playing chicken with disastrous long-term public health consequences.

BigmanPigman

(51,584 posts)
31. I asked my neurologist if he knew
Fri Apr 15, 2022, 09:25 PM
Apr 2022

what long term effect it may have on the brain and his answer verified what I already thought...that they won't really know for about 10 years.

Ms. Toad

(34,062 posts)
37. Precisely my point.
Sat Apr 16, 2022, 01:35 AM
Apr 2022

The little we do know suggests consequences for both heart and brain which last beyond the duration of the disease. All we know at this point is that it lasts as long as we've been able to study it - no more than 2 years. Beyond that it's anyone's guess - and given what we do know, I'm not inclined to play with fire.

niyad

(113,265 posts)
40. On long-term consequences--a friend had a mild case in Oct '21-lost sense
Sat Apr 16, 2022, 06:17 AM
Apr 2022

of smell and taste. She still has no sense of taste. Granted, not as serious as cognitive, neurological, etc., but still a problem, especially for a cook.

Ms. Toad

(34,062 posts)
41. Yes.
Sat Apr 16, 2022, 11:32 AM
Apr 2022

It's hard to draw lines, but when I think about COVID risks I put them in 3 categories: The disease itself (with the risk of serious injury or death), long COVID (like your friend in which symptoms which start during COVID just hang on forever - loss of sense of taste and smell, extreme fatigue, palpitations, shortness of breath, anxiety, brain fog), and the great unknown of long term consequences - in which people have apparently fully recovered (or never had symptoms at all) - but later develop something triggered by COVID (increased heart risk, brain shrinkage, cognitive deficits, et. - although the latter fits in both long COVID and unexpected long term consequences).

In recent discussions here,I've talked about people like your friend. I get a lot of push back (it really doesn't happen to people who are vaccinated; it isn't that prevalent; it isn't that severe, etc.). My response above was pushing a new thing people ought to be attentive to when thinking about whether we should care about disease transmission.

When I run into a brick wall from one direction . . . I check to see if a different brick wall might be less stable.

LymphocyteLover

(5,643 posts)
59. yes but disease is still much less in vaccinated, even for most breakthrough infections
Mon Apr 18, 2022, 10:25 PM
Apr 2022

and people just want to live their lives... zero covid is not feasible


Ms. Toad

(34,062 posts)
60. So it isn't worth minor inconveniences
Tue Apr 19, 2022, 12:11 AM
Apr 2022

to prevent brain damage or heart disease (the two known long-term impacts that continue for as long as we have been able to study)?

Do you wear seat belts - an equivalent inconvenience to wearing masks - now that we have cars with air bags?

It's not binary - all COVID all the time v. zero COVID. It also isn't like the common cold or even influenza, when we have decades of knowledge to be confident that there aren't consequences which will pop up a decade or two down the road. Because of this, the goal needs to be to minimize the risk infections, not merely prevent immediate death or hospitalization. To focus exclusively avoiding the immediate severe risk is to court long-term health care disaster.

Ms. Toad

(34,062 posts)
63. Minor inconveniences -
Tue Apr 19, 2022, 03:51 PM
Apr 2022

Like getting periodic booster and continuing to wear masks when indoors in large crowes (or whenever the cases are above 50/100,000 over 2 weeks), keeping mask mandates on public transportation, and - when transmission moves above 50/100,000 cases over 2 weeks - in any indoor location. The shift to hospitalization-based criteria for safe behavior is focused on minimizing the immediate dramatic public health consequences - not on preventing disease.

The messaging should be directed at how easy it is to to take small very effective steps to prevent disease transmision, not on how much freedumb we can have if we limit our focus to preventing dramatic current consequences.

LymphocyteLover

(5,643 posts)
64. Yes, I agree with your points and that messaging could be better
Wed Apr 20, 2022, 04:01 PM
Apr 2022

At the same time Republicans have really shit the bed with COVID and half the country just doesn't want to deal with it. I don't know how to get around that.

Yavin4

(35,437 posts)
65. Please point to any population in the world where NPIs like masking have effectively...
Thu Apr 21, 2022, 12:27 AM
Apr 2022

stopped or even slowed transmission. S. Korea where masking is highly adopted has been leading the world in new cases for weeks now. S. Korea now has more cases per million than the US.

All efforts to stop or even slow transmissions around the world have all failed.

Ms. Toad

(34,062 posts)
67. The U.S., among many other places.
Thu Apr 21, 2022, 06:36 PM
Apr 2022

All you have to do is to compare the new case rate the day a mask mandate is implemented to the new case rate 2 weeks later. The measure of how high new cases are in the face of masking., without a relevant comparison population, says exactly zero about how much higher it would be without masking.

To suggest otherwise suggests a fundamental misunderstandingh of science.

Yavin4

(35,437 posts)
68. Like this?
Thu Apr 21, 2022, 10:35 PM
Apr 2022
All you have to do is to compare the new case rate the day a mask mandate is implemented to the new case rate 2 weeks later. The measure of how high new cases are in the face of masking., without a relevant comparison population, says exactly zero about how much higher it would be without masking.


Shows the opposite of masks working.


/photo/1

Yavin4

(35,437 posts)
70. Okay. I found some good science.
Thu Apr 21, 2022, 11:11 PM
Apr 2022

Below is a link to a presentation by Stephen E. Petty. He is often called to testify in court as an expert witness.

Here's a brief look at his bio:

Stephen E. Petty, P.E., C.I.H. is president and owner of EES Group, Inc (www.eesinc.cc), a forensic engineering and environmental health and safety (EHS) corporation. EES Group, Inc. was founded in 1996; since that time he has conducted or supervised thousands of forensic investigations and served as an expert witness in over 200 legal cases. He practices in the fields of chemical, civil, environmental, and mechanical engineering as well as the field of industrial health and safety. Mr. Petty

https://www.routledge.com/authors/i424-stephen-petty

&t=4s

Ms. Toad

(34,062 posts)
71. Try some actual data,
Fri Apr 22, 2022, 01:18 AM
Apr 2022

rather than a thought exercise based on creating a straw man from effective, poorly fitted, improperly worn masks.

Here is effectiveness as actually measured (not theorized): Table 1: 2-layer, 600 TPI well-fitted masks (row 11) are as effective at filtration of aerosols as N95 masks (top row). Same for 2-layer quilter's cotton masks with a layer of a different fabric (rows 17, 18, 20).

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7185834/?fbclid=IwAR1KJMJbo4l5BgVBmGqaR52RwoltEfYInlL_3hXQSQ3HdTRchhZYZZqtuuE

And the fact that aerosolized particles linger is precisely why masks are needed. (He is correct as to the 6' rule - you can find posts of mine discussing aerosolized particles from spring 2020, talking both about the issue of the particles lingering, and 6' being meaningless if you bother searching.

And then he brings out the right wing gnat/chain link fence argument to theorize (using the worst case scenario) that masks are next to worthless. Actual studies measuring filtration dispute his gnat/chain link fence argument - as does the pattern of new cases following mask mandates.

Mandating masks was associated with a decrease in daily COVID-19 case and death growth rates within 20 days of implementation.


https://www.cdc.gov/mmwr/volumes/70/wr/mm7010e3.htm

Masks are effective - both as measured directly, and by observation of the drop in new cases within 20 days following mask mandates (and by the increase in cases following changes in recommendations about mask wearing)

This study provides evidence from a natural experiment on the effects of state government mandates for face mask use in public issued by fifteen states plus Washington, D.C., between April 8 and May 15, 2020. The research design is an event study examining changes in the daily county-level COVID-19 growth rates between March 31 and May 22, 2020. Mandating face mask use in public is associated with a decline in the daily COVID-19 growth rate by 0.9, 1.1, 1.4, 1.7, and 2.0 percentage points in 1–5, 6–10, 11–15, 16–20, and 21 or more days after state face mask orders were signed, respectively. Estimates suggest that as a result of the implementation of these mandates, more than 200,000 COVID-19 cases were averted by May 22, 2020.


https://www.healthaffairs.org/doi/10.1377/hlthaff.2020.00818

Depending on the region we consider, we find that face masks reduced the number of newly registered severe acute respiratory syndrome coronavirus 2 infections between 15% and 75% over a period of 20 days after their mandatory introduction.


https://www.pnas.org/doi/10.1073/pnas.2015954117

Yavin4

(35,437 posts)
73. Okay. You should have Randomized Control Trials to prove your point.
Fri Apr 22, 2022, 11:07 AM
Apr 2022

None of the links that you posted was an actual RCT.

A randomized controlled trial (or randomized control trial;[2] RCT) is a form of scientific experiment used to control factors not under direct experimental control. Examples of RCTs are clinical trials that compare the effects of drugs, surgical techniques, medical devices, diagnostic procedures or other medical treatments.


And both links that you posted were from 2020!!! The second link is from Germany which now has more cases per million than the U.S.!!!! And, they mandated N95 masks since Jan. 2021!!!.

I already posted a comparison of S. Korea and the U.S. I can post other population data if you want. You have yet to post any population data showing the effectiveness of masks.

Ms. Toad

(34,062 posts)
75. 2020 is the period in which mask order were absent, then implemented.
Fri Apr 22, 2022, 02:03 PM
Apr 2022

That's pretty much the best population-based measurement demonstrating the effectiveness of masks. There has been no other stark change in the mask-wearing behavior of the same population in the same disease mix and community disease level as the 2020 period when masks were not mandatory v. mandatory. The drop in new infections has been replicated over and over and over with the only change in the community being low mask wearing v. high mask wearing. But I suppose that's all random.

The data you are posting now doesn't involve anything even close to a before/after in a population with the current disease variant(s) which are more than 4 times as infectious. The fact that there is more disease now (with a very different disease) than before Jan 2021 (when the dominant strain was Delta) doesn't merit more than a "Duh." It proves nothing about the effectiveness of masks.

FYI - it would be unethical to run a RCT in to determine if masks with proven efficacy at blocking 95% + of particles the size of the virus which causes a deadly disease really prevent acquiring the disease. Hmm . . . let's test to see if condoms prevent transmission of AIDS. Participants will be randomly assigned to use condoms with holes in them v. intact condoms.

It's pretty rich that the person who believes a randomized control is necessary is touting comparisons between different countries, with different populations, different cultures around wearing masks, different disease variants cycling through at different times to prove masks are worthless. Not to mention using the right-wing gnat/chain-link fence meme in an attempt to prove the point.

Yavin4

(35,437 posts)
76. The virus is seasonal which means that it comes in waves. Masks or no.
Fri Apr 22, 2022, 08:31 PM
Apr 2022
There has been no other stark change in the mask-wearing behavior of the same population in the same disease mix and community disease level as the 2020 period when masks were not mandatory v. mandatory. The drop in new infections has been replicated over and over and over with the only change in the community being low mask wearing v. high mask wearing. But I suppose that's all random.


This is false. NYC implemented a mask mandate and other NPIs in April 2020, and still saw a rise in cases in the Fall and Winters of both 2020 and 2021. Shows that the virus is seasonal and masks have nothing to do with drops in cases.



FYI - it would be unethical to run a RCT in to determine if masks with proven efficacy at blocking 95% + of particles the size of the virus which causes a deadly disease really prevent acquiring the disease. Hmm . . . let's test to see if condoms prevent transmission of AIDS. Participants will be randomly assigned to use condoms with holes in them v. intact condoms.


A lot of states completely abandoned masks and other NPIs as early as 2020. It would have pretty easy to set up a RCT to measure infection rates of the maskless states vs. the masked states. You could easily select a control group from any of the maskless states and compare their infection rates with the masked mandated states. The chart below shows that there was no difference between the masked and unmasked states.

Blues Heron

(5,931 posts)
16. UK was about a third of their first Omicron spike with this wave
Fri Apr 15, 2022, 02:35 PM
Apr 2022

If we experience anything like that - and why wouldn't we- do the math. What was our highest 7 day avg during the Omicron spike? Just over 750K at the peak? So maybe 250k/day with this one. Guess we will find out.

progree

(10,901 posts)
17. Only 12 states with rising Covid hospitalization rates
Fri Apr 15, 2022, 02:36 PM
Apr 2022

That's only 24% of the states. Not even one quarter. Nothing to worry our pretty little heads about.

(7 day moving average ending April 14 vs. 7 day moving average ending March 31)

https://www.nytimes.com/interactive/2021/us/covid-cases.html

littlemissmartypants

(22,632 posts)
18. It's likely case numbers will be depressed because of the increase in at home testing
Fri Apr 15, 2022, 02:45 PM
Apr 2022

And the decrease in reporting positive cases overall. I hope I'm wrong but this is what I suspect will happen. ❤

BumRushDaShow

(128,870 posts)
19. We have been through this 6 times now and this is #7
Fri Apr 15, 2022, 02:49 PM
Apr 2022

And the same nonsense that suggests that "it's done" or "it's now 'endemic'" keeps happening over and over.

This is why Philly put the mask mandate back (it technically won't be in effect until April 18th to give businesses time to dig out their signs).

On April 4th, Philly was reporting an "average of 94 cases per day". As of yesterday (10 days later), it is now up to an "average of 183 cases per day", which is a 100% increase. And these are PCR confirms in order to be counted as "a case". Last month just as the city dropped the earlier mask mandate, we had leveled off to about the upper 50 cases per day. Now we're rapidly approaching 200 - 300 cases per day.

On April 4th, the hospitalizations (which for the millionth time, are a lagging indicator) were at 48. As of yesterday 10 days later, they were up to 72 (and that was after hospitalizations had been sitting at ~44- 46 just this past Monday).

And finally last month at our lowest, the positivity bottomed out to ~2%. Now the current positivity is just shy of 8% as of yesterday.

BumRushDaShow

(128,870 posts)
22. Yes it is concerning
Fri Apr 15, 2022, 03:36 PM
Apr 2022

although I don't expect the same rate of increase that occurred with Delta and the original Omicron waves because health officials embraced the "throw off your masks and hug your grandkids" nonsense that happened May 2021, but finally put in a mask mandate in August 2021 when it was obvious that Delta was here -




City of Philadelphia
@PhiladelphiaGov
Beginning, August 12, masks are required in Philadelphia if you are indoors (unless proof of vaccination is required for entry) and at non-seated outdoor events with 1,000+ attendees.

Learn more ➡️http://ow.ly/G3Oa50FOWA1
Image
12:10 PM · Aug 11, 2021


And as Delta was ravaging the city, Omicron was on its tail through the fall and winter (and holidays), and by then, it was too late.

Hopefully doing this "early" plus having vaccinations (and boosts) in place, as well as a move into spring/summer (and more outdoors activities vs indoors), will help to mitigate a huge surge. I.e., perhaps it will match what happened with Delta here (a summer wave), which was nowhere near as bad as Omicron but still bad.

It's idiotic to wait until the hospitals have started filling up ONCE AGAIN before you scratch your head and say "Well... I... guess... we... should... do... something".

wnylib

(21,432 posts)
34. Based on reported cases, Buffalo went from
Sat Apr 16, 2022, 12:47 AM
Apr 2022

mild status to moderate this past week. I don't know if hospitalizations have increased yet.

BumRushDaShow

(128,870 posts)
38. Hospitalizations take several weeks to show up
Sat Apr 16, 2022, 05:15 AM
Apr 2022

after any increase in cases, and any deaths from those who were hospitalized, will lag weeks after a hospitalization happens.

"Common sense" says - "the more people who get infected the more could potentially need hospitalization" - and that is regardless of a fixed number of say, 1% of those infected needing hospitalization. A 1% chunk of the sheer numbers of infections at a start of such a "megawave", can still easily overwhelm a hospital system, which is what happened with Omicron this past fall and winter.

I.e., 1% needing hospitalization out of 10,000 infected in a small city of 100,000 (where 10% were infected) = 100, which may be manageable. But if 20% of that population of 100,000 are infected due to a more contagious variant, that = 20,000 infections, and using the same (fixed) 1% figure those infected needing hospitalization, you would now double the number of hospitalizations to 200, and boom! Hospital beds filled.

So this thing about completely "ignoring infections" is just ridiculous. It's like when you have a leaky pipe and there's a slow drip and you sortof ignore it. And then a couple weeks pass and the drip increases and unless you take some action to at least temporarily patch it, the pipe may eventually burst, after which you now have to not only pay for a replacement pipe, but for all the damage the water caused.



As a chem major in college (which became my degree), I was in a number of classes with pre-meds (many were buddies) and when it came to math and those future doctors... well... The engineering majors who I shared classes with had a better handle on it. I will say though, out of my graduating class of about 5000, there were only 30 who got chem degrees (and 1/2 of those were transfers or older students who came back to finish a degree - and this after we started out with 100 freshman chem majors in our on-campus ACS Student Affiliate chapter)!

IronLionZion

(45,430 posts)
23. Unvaccinated conservatives are eager to share it with everyone
Fri Apr 15, 2022, 03:47 PM
Apr 2022

thankfully our side is more vaccinated and less likely to need hospitalization or die. It could make a difference in some close elections this November. Some important senate seats are in states with a lot of antivax maskholes.

Akoto

(4,266 posts)
24. It won't be over, it's endemic now.
Fri Apr 15, 2022, 04:42 PM
Apr 2022

We gave it our best to stop COVID, right down to practically shutting down the country and sealing ourselves away for a long time, but it just seems to me that COVID is now like the flu in that it's something we'll have to learn to live with in the long term. One day, all things being ideal, someone will come up with more reliable solutions to it.

Until then, wear your mask, wash your hands extra often, get vaccinations and boosters, etcetera and so on. We've all heard the steps a million times. It'd just help if more people held themselves to them, as bothersome as they are.

BumRushDaShow

(128,870 posts)
28. "it just seems to me that COVID is now like the flu"
Fri Apr 15, 2022, 06:58 PM
Apr 2022

It"s not "like the flu" because it has the potential to send someone who has never had any kidney disease, into either temporary or permanent dialysis.

NATIONAL KIDNEY FOUNDATION

Home » Coronavirus » Kidney disease & COVID-19
Kidney disease & COVID-19

(snip)


Acute kidney injury (AKI)

COVID-19 patients at significant risk of AKI


A new comprehensive report shows that people hospitalized with COVID-19 are at significant risk of AKI, which can lead to serious illness, dialysis, and even death. The study found patients with COVID-19, who were hospitalized between March 11 and April 26, were twice as likely to develop AKI as compared to non-COVID patients who developed AKI during the same time period in 2019 – 56.9% versus 25.1% respectively. AKI appears to be a marker of COVID-19 infection severity and the mortality rate is higher for these patients. Various COVID-19-related effects that are thought to contribute to AKI include kidney tubular injury (acute tubular necrosis) with septic shock, microinflammation, increased blood clotting, and probable direct infection of the kidney. Most patients with COVID-19-related AKI who recover continue to have low kidney function after discharge from the hospital.

Long term implications of acute kidney injury

It’s recommended that recovered COVID-19 patients who had an AKI or ARF should be seen regularly by a kidney doctor, because their risk of developing chronic kidney disease is higher than others. COVID-19 patients who did not develop an AKI, but who had blood and/or protein in their urine, should be monitored since they are at increased risk of developing chronic- and end-stage-kidney disease.

The link to kidney disease

Acute kidney injury, also known as acute renal failure (ARF), is not the same as chronic kidney disease (CKD), which will eventually lead to chronic kidney failure (CKF). Neither CKD or CKF are reversible diseases. Detecting proteins and/or blood in urine labs is an early sign of kidney involvement in people with confirmed COVID-19.

Kidney failure in otherwise healthy adults

There have been recent reports of nonelderly adults infected with COVID-19 who have developed an acute kidney injury (AKI) — sudden loss of kidney function. These adults did not have underlying medical conditions. With proper treatment, including dialysis in severe cases, AKI can be reversible.

https://www.kidney.org/coronavirus/kidney-disease-covid-19#acute-kidney-injury-aki


The study being referenced above took place at the beginning of the pandemic in March/April 2020 but there have been a number of them done since like -

https://www.karger.com/Article/Fulltext/511160
https://jasn.asnjournals.org/content/31/7/1380
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8347536/
https://jasn.asnjournals.org/content/32/1/151
https://bmcnephrol.biomedcentral.com/articles/10.1186/s12882-021-02557-x
https://www.nature.com/articles/s41581-021-00452-0

NullTuples

(6,017 posts)
33. We never reached anything like "giving it our best" or "practically shutting down the country"
Fri Apr 15, 2022, 10:02 PM
Apr 2022

At best some states performed what could best be called theater; as soon as they could possibly justify it they reopened again. Others never closed, providing a constant reservoir. And throughout even in the best states we had a vast number of counties that refused, Federalist judges that ruled against restrictions and CSPOA who made very public announcements that they weren't going to enforce any restrictions on people's "liberty".

As a nation, one of two major parties made refusal to contain the virus a major part of their platform. The President denied the virus, decimated federal agencies whose job it was to control it and educate the public, and then profited off the whole thing.

wnylib

(21,432 posts)
35. It is not yet endemic now. It is still a pandemic, with
Sat Apr 16, 2022, 01:11 AM
Apr 2022

pandemic waves and surges.

If it were endemic, it would always be present at a reasonably predictable level, as a background disease that people get once in a while, without worldwide surges spreading from one country to another. But it is still spreading in waves around the world with each new variant.

It is not unusual for a pandemic to last a couple years with waves rising and falling. The 1918 flu pandemic lasted 2 years with new waves arriving when people thought it was over after a lull.

And it is far worse than the flu. It can cause permanent organ damage even in people with mild cases. Long covid can happen to people who were positive but asymptomatic. The flu does not do that.

wnylib

(21,432 posts)
52. Not like covid does.
Sun Apr 17, 2022, 11:29 PM
Apr 2022

But it is true that the covid coronavirus is not the only virus that can have long term effects.


As a child, I devoped a kidney infection from a bout with the flu in the Asian flu epidemic. As an adult, a cold developed into viral bronchitis that left me with a crippling inflammatory muscle disorder, polymyalgia rheumatica, which required 2 years of Prednisone to get over.

But covid attacks the heart, lungs, kidneys, brain, blood vessels, and muscles, besides causing long covid in some people.

TomCADem

(17,387 posts)
25. For many folks, it is has been over a year since being vaccinated
Fri Apr 15, 2022, 05:09 PM
Apr 2022

So, not too surprising that cases are going up.

Of course, for folks who have not been vaccinated, there are folks like my Fox News loving cousin who is already on his second round of COVID, because he thinks the best way to get immunity is to just get the disease.

Emile

(22,679 posts)
39. With all those home test kits, it's probably impossible to know how much
Sat Apr 16, 2022, 05:36 AM
Apr 2022

it raised. Thank goodness we're all vaccinated!

honest.abe

(8,678 posts)
42. Even so I dont think we should go back to a full lock down again.
Sat Apr 16, 2022, 04:16 PM
Apr 2022

As long as you are vaccinated then life goes on.

 

VarryOn

(2,343 posts)
44. I agree. For the last couple months...
Sat Apr 16, 2022, 05:57 PM
Apr 2022

I know no one with it. There for a while I knew several.

I work on a campus of 5,000. Three weeks ago, we went back to return-to-work. It's gone well.

My wife and I are vaxxed. Neither of us have ever tested positive. Hopefully, that continues. But, we don't live in fear that it could happen.

gldstwmn

(4,575 posts)
53. I did see the camera crews were all wearing
Mon Apr 18, 2022, 01:00 AM
Apr 2022

masks today, a few in the audience too. I'm not sure why you found my observation about no one wearing masks objectionable. I only pointed out Danny Elfman's age to illuminate that there were people of all ages there. You could play with a mask on but you certainly can't sing with one. His set won Coachella. I would not have wanted to go on after him. There's also enough distance between the performers and audience where the risk is relatively low. The new variant is 30% more contagious than the previous one. I would have been uncomfortable in that crowd. I guess that is what you find objectionable. Are we shushing people into the corner who still have concerns now that COVID is "over"?

Ace Rothstein

(3,160 posts)
56. I take issue with people chastising others for their masking choices at this point.
Mon Apr 18, 2022, 02:37 PM
Apr 2022

I have no issue with people continuing to mask, it has no affect on me. But expecting people to mask for years on end isn't realistic, especially now that we have vaccines and treatments.

gldstwmn

(4,575 posts)
58. I wasn't doing that. I merely noted there were no masks in a tightly packed crowd.
Mon Apr 18, 2022, 04:07 PM
Apr 2022

You actually chastised me as a result of your own presumptions which is unfair. I am a human being doing their level best to navigate this whole thing. I lost an immediate family member. I think it is well within reason for me to wonder if we are really safe yet. I'm having a hard time convincing myself to get a fourth shot because with the third my temperature was spiking to 103.5 and that is dangerous. Today, 5 months from my last shot I would be uncomfortable in a crowd like that masked or unmasked. I am almost positive there will be a surge from Coachella but the thing is none of those people are local they are all going to return wherever they came from and spread it there. It will be hard to see because it will only show up in wastewater and hospitalizations as that is how we are tracking it now. If I could have my sister back I would wear a mask all the time. I'm sure her two kids and three grandkids would do the same.

Danmel

(4,913 posts)
50. My triple vaxxed husband who had Covid last February
Sun Apr 17, 2022, 10:37 PM
Apr 2022

Has it again. He tested positive with a home testing went and got tested at an urgent care. We are in the suburbs of NYC.
So far, knock wood, the rest of us are negative.

Skittles

(153,150 posts)
54. this is why EVERYONE needs to keep masking and social distancing
Mon Apr 18, 2022, 03:59 AM
Apr 2022

it's not just the unvaccinated getting covid

mainer

(12,022 posts)
55. 3 new cases in my circle this week.
Mon Apr 18, 2022, 01:32 PM
Apr 2022

My son and daughter-in-law both have it. My plumber has it. All acquired within the last week. All of them have been vaccinated and had their first booster.

Gawd.

róisín_dubh

(11,791 posts)
61. Yep, it's ripping through my friends and students.
Tue Apr 19, 2022, 06:18 AM
Apr 2022

I had it a couple weeks ago.

This is so fucking exhausting. I'm happy I'll soon have a job where I can work from home.

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