Coronavirus Thread: Worldwide Pandemic

iceberg_is_on_fire

Wearing Lions gear when it wasn't cool
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Lombardi Trophies in Allen Park

This is different. Heads should roll on this.

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They should not be able to get away with this. This should call for a reckoning of things but we are too eager to both sides shyt to not offend the wrong side. That's probably why this infuriates me so much. I've said numerous times, I'm an accountant, we are typically blunt and to the point anyways. That said, I will always tell you what you need to hear, not what you want to hear. I remember once, my mother in law saw me scolding one of my kids and remarked that I was pretty cold in my comments. I could only offer that that this was the first time I heard that the truth came with a temperature. Never demonstrative but we should shame these people. Talking sense to them is how we ended up here, a relapse with an even worse outlook than before. I honestly want every company to use every trick in the book to force compliance because I don't want to live this for the rest of my life. People being proud to be ignorant is something that makes me want to punch a hole through my wall.
 

thatrapsfan

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Opinion | We Need Clear Goals for Every Covid-19 Policy


Good column.


Any organization setting a mask mandate at this point in the pandemic in the United States must pair that mandate with an “off ramp” plan. Sleepwalking into indefinite masking is not in anyone’s interests and can increase distrust after an already very difficult year.

What if the stated goal is simply, “Kids need to be in school, period.” Considering the devastating costs of having children out of school last year, including dramatic and quantifiable learning loss in math and reading, this is a very reasonable and defensible goal. How might that then drive policy? Setting that goal would mean deploying more tools to keep children in school, like using rapid antigen tests and allowing kids who test negative to go to in-person class rather than mass quarantining hundreds or thousands of children who had close contact to people with the virus, as is happening now. Or, we accept that there will be more cases in children, recognizing that disease severity for a vast majority of kids is low.

Another hard question that is most likely also causing confusion and disagreement is how we define “severe” disease in children. Children can get Covid, but their death and hospitalization rates are much lower than for adults. The inflammatory syndrome MIS-C is rare. Long Covid has gained wide attention, but recent studies have shown that rates are low among children and not dissimilar to effects caused by other viral illnesses.

We’re not being cavalier by raising these points. Consider that in Britain the government doesn’t require masks for children in schools, and it’s not clear it will advise kids to get vaccinated, either. Britain has experts like we do, and they are looking at the same scientific data we are, they most assuredly care about children’s health the same way we do, and, yet, they have come to a different policy decision. Schools were prioritized over other activities and the risks of transmission without masks were considered acceptable.

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This reveals the crux of the problem in the United States. It’s not just the C.D.C., but everyone — including us public health experts — who is not always connecting our advice or policy recommendations to clear goals. The conflict is not about masks or boosters, it’s about the often unstated objective and how a mask mandate or a “boosters for all” approach may or may not get us there.

We use schools as the example here, but much of the same applies to broader societal questions over mass gatherings, live entertainment and returning to offices. There are questions around how vaccinated people should live their lives if the vaccines reduce the likelihood of spread but don’t absolutely and completely prevent breakthrough infections and transmission, which was never going to be the case.

If the goal is zero spread, which we think is not realistic, then the country would need to keep many of the most restrictive measures in place — an approach that has serious public health consequences of its own. If the goal is to minimize severe disease, some states with high vaccination rates might already be there. Low-vaccination states would still have work to do before loosening restrictions. Treating the country as a whole just doesn’t make sense right now because of the widespread differences in vaccination rates.

The emergence of the Delta variant has, understandably, caused many Americans to step back and use caution. But the same questions will be there when we emerge from this Delta surge, whether in a few weeks or next spring. We shouldn’t let ourselves off the hook with “easy” decisions today. At some point, the country needs to have an honest conversation with itself about what our goals really are.
 
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