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Old Jan 27, 2020, 9:09 am
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Coronavirus / COVID-19 : general fact-based reporting

 
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Old May 12, 2021, 12:53 pm
  #8281  
 
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Originally Posted by GUWonder
There was a shortage of equipment — including the mentioned swabs — that was a constraint upon the wider infection detection across the US.

And even well into Q3 2020, testing had to be rationed in the interior too because of supply constraints from manufacturers.. Here’s reagent supply shortages in Q3 2020 leading to test rationing in the US -
Production shortfalls in screening and diagnostic efforts that ramped up hugely from Q2 to Q4 2020 are a different thing from the slowed lab development that crimped surveillance in Q1. Especially as the initial seeding waves that transited the vast coastal hubs were far heavier and stealthier than first thought.


Originally Posted by GUWonder
- Equipment shortages for testing are an issue in India currently, along with other limits.
India’s current trouble is hardly USA’s pilot experience from a year ago. You would shift argument, but what is the point?

Last edited by FlitBen; May 12, 2021 at 1:03 pm
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Old May 12, 2021, 1:24 pm
  #8282  
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There were testing supply/stock and production constraints hitting the US in Q1 2020 that acted as a limit on the acquisition of information via more comprehensive testing across the US.

India's testing situation is an example of how "untimely disruption" of "information flow" is not an accurate explanation for testing problems. "Untimely disruption" of "information flow" is not an accurate explanation in the US nor in India, when it comes to testing problems.

The CDC advisory board has just voted on the recommendation to open up Pfizer-BioNTech vaccinations to 12-15 year olds.

With the FDA and CDC clearing Pfizer's use for adolescents, the vaccinations of this cohort can start.

CDC panel recommends Pfizer Covid vaccine for 12-15 year olds:

https://www.nbcnews.com/health/healt...-olds-n1267129

That's a very good sign that middle/junior/high schools should be able to get back to normal in-person learning after the summer.

Last edited by NewbieRunner; May 13, 2021 at 2:22 pm Reason: Merge consecutive posts by same member
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Old May 12, 2021, 1:40 pm
  #8283  
 
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Originally Posted by FlitBen
Production shortfalls in screening and diagnostic efforts that ramped up hugely from Q2 to Q4 2020 are a different thing from the slowed lab development that crimped surveillance in Q1. Especially as the initial seeding waves that transited the vast coastal hubs were far heavier and stealthier than first thought.
That is precisely what I was referring to! The US was flying blind in the early days of the pandemic, I thought that was common knowledge but I guess not. This wasn't rectified until around mid-March of 2020. Attributable to mistakes (now, in fairness it happens) by the expert class at the CDC and exacerbated by FDA regulations.
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Old May 12, 2021, 6:51 pm
  #8284  
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With a novel virus, what does "flying blind in the early days of the pandemic" mean? The CDC knew there was a lack of knowledge about the virus from the start, as that's part and parcel of being a novel virus. Testing is the most effective tool to respond to a novel virus hitting since the novel virus is novel because of a lack of familiarity with what the virus means, how it plays in the species, and how else to respond to it beyond the old and tried methods for tracking and tracing highly communicable diseases. Testing limitations undermine the ability to track and trace this virus' spread and respond from the position of being informed about the infection scene, both in the early days of a pandemic and even well after that -- India, case in point.

CDC says its ok to get the Covid-19 vaccines alongside other vaccines. For adolescents on a vaccination schedule, that means they can go in for a series of vaccinations at the same time instead of having to spread out the timing between the Covid-19 vaccine shots and other vaccine shots.

.....After a discussion of the issue Wednesday, the CDC advisory panel agreed that the coronavirus vaccine could be given at the same time as other vaccines. The American Academy of Pediatrics was expected to issue a policy statement Wednesday supporting the administration of the coronavirus vaccine with other childhood or adolescent inoculations — such as vaccines targeting human papillomavirus, known as HPV, or meningococcal disease. There are few vaccines that pose a problem when administered with other shots.
https://www.washingtonpost.com/healt...vaccine-12-15/

Last edited by GUWonder; May 12, 2021 at 7:10 pm
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Old May 12, 2021, 7:31 pm
  #8285  
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The botched testing in Feb and March 2020 hurt getting a good picture of where the virus was.
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Old May 13, 2021, 1:32 am
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BBC: Covid vaccines: Mixing increases reports of mild side-effects

Adults are more likely to report mild and moderate side-effects after mixing doses of the AstraZeneca and Pfizer Covid vaccines, a study indicates.

Chills, headaches and muscle pain were reported more frequently when different vaccine doses were combined.

Any adverse reactions were short lived, with no other safety concerns.
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Old May 13, 2021, 7:01 am
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A lot of participants in the Novavax clinical trial Facebook group are thinking about getting double vaccinated. There's no other way to get legal proof of vaccination before mid to late summer since the vaccine is not approved yet. People have a real terror of mixing vaccines, because it's been drilled into all of our heads that mixing is bad. I bet if mixing becomes the norm, and people aren't even told what kind of vaccine they got (like the flu shot. They don't tell you anything more than "it's a flu shot"), the higher side effect percentage from mixing would evaporate.
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Old May 13, 2021, 8:38 am
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BBC: Ohio launches vaccine lottery with $1m cash prizes for jabs

The US state of Ohio is giving five people $1m (Ł710,000) each for getting their Covid-19 vaccines.

It's part of a lottery launched to boost flagging take-up of jabs.

To convince the undecided, eye-catching giveaways - including beer, donuts, tickets to sporting events and cash prizes - are being offered in different parts of the country.
Beer, donuts - Ohio I'm on my way.
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Old May 13, 2021, 2:18 pm
  #8289  
 
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Originally Posted by GUWonder
There were testing supply/stock and production constraints hitting the US in Q1 2020 that acted as a limit on the acquisition of information via more comprehensive testing across the US. -
Originally Posted by bambinomartino
That is precisely what I was referring to! The US was flying blind in the early days of the pandemic, I thought that was common knowledge but I guess not. This wasn't rectified until around mid-March of 2020. Attributable to mistakes (now, in fairness it happens) by the expert class at the CDC and exacerbated by FDA regulations.
Originally Posted by exp
The botched testing in Feb and March 2020 hurt getting a good picture of where the virus was.
For sure, the history is worth relearning. The short delay in testing development is what undermined surveillance at the arrival onset, not the material shortages of the massive commercial ramp-ups that came later.
CDC 'really let the country down' on COVID-19 testing, says White House adviser Peter Navarro
- Health and Human Services Secretary Alex Azar agreed it was not a question of "health versus economy," but "actually health versus health." "We see suicidality. We see reduction in cardiac procedures, cancer screenings, pediatric vaccinations. There is a very real health consequence to these shutdowns that must be balanced against as we try to reopen this economy and move forward," Azar said on CBS News "Face the Nation."

But Azar disputed Navarro's criticism of the CDC. "I don't believe the CDC let this country down," he said. When asked if he took responsibility for the early failure to develop a test for the virus, Azar said, "We were confronting a situation here that's completely novel. There has never been a national, immediate testing regime across public and private sectors. We have had to literally build this from the ground up," Azar said. He argued that the CDC's job was to develop a test for the "initial diagnosis" and that it was the role of private companies to produce them on a large scale.

"What problem did the CDC have?" Azar asked, downplaying the early testing issues. He said a contamination problem with a reagent at the end stage of the test development, "which never led to false negatives or false positives," slowed down the ability to ramp up distribution of the tests for a "couple of weeks”.

"But that was never going to be the backbone of testing, of broad mass testing in the United States," Azar said. –

Originally Posted by GUWonder
- India's testing situation is an example of how "untimely disruption" of "information flow" is not an accurate explanation for testing problems. "Untimely disruption" of "information flow" is not an accurate explanation in the US nor in India, when it comes to testing problems.
Originally Posted by GUWonder
With a novel virus, what does "flying blind in the early days of the pandemic" mean? The CDC knew there was a lack of knowledge about the virus from the start, as that's part and parcel of being a novel virus. -
The CDC could not know what they were not being let on about initial findings, for CCP officials were witholding key information despite their familiarity with public health best practices.

Development of the epidemiology is always vital and yet the Chinese did not fully cooperate early on, as the reporting shows.
Covid-19: Five days that shaped the outbreak
- "It was reportable," says Professor Lawrence Gostin, Director of the WHO Collaborating Center on national and global health law at Georgetown University in Washington DC, and a member of the International Health Regulations roster of experts. "The failure to report clearly was a violation of the International Health Regulations."

Dr Maria Van Kerkhove, a WHO epidemiologist who would become the agency's Covid-19 technical lead, joined the first of many emergency conference calls in the middle of the night on 1 January. "We had the assumptions initially that it may be a new coronavirus. For us it wasn't a matter of if human to human transmission was happening, it was what is the extent of it and where is that happening."

It was two days before China responded to the WHO. But what they revealed was vague - that there were now 44 cases of viral pneumonia of unknown cause. China says that it communicated regularly and fully with the WHO from 3 January. But recordings of internal WHO meetings obtained by the Associated Press (AP) news agency some of which were shared with PBS Frontline and the BBC, paint a different picture, revealing the frustration that senior WHO officials felt by the following week. "'There's been no evidence of human to human transmission' is not good enough. We need to see the data," Mike Ryan WHO's health emergencies programme director is heard saying.

The WHO was legally required to state the information it had been provided by China. Although they suspected human to human transmission, the WHO were not able to confirm this for a further three weeks. "Those concerns are not something they ever aired publicly. Instead, they basically deferred to China," says AP's Dake Kang. "Ultimately, the impression that the rest of the world got was just what the Chinese authorities wanted. Which is that everything was under control. Which of course it wasn't." –
The corrupt withholding of information is well-documented, as is the series of world disruptions that ensued from the global containment disaster at Wuhan.

India’s current resource challenges are different from that of the US with its vastly increased testing and hospitalization capacities, not to mention admirable Warp Speed immunizations.

Last edited by FlitBen; May 13, 2021 at 10:55 pm
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Old May 13, 2021, 3:22 pm
  #8290  
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The Independent Panel for Pandemic Preparedness & Response has come out with its report:

The Panel has taken a systematic, rigorous and comprehensive approach to its work. It has sought to listen to and learn from a wide range of interlocutors. Since mid-September 2020, the Panel has reviewed extensive literature, conducted original research, heard from experts in 15 round-table discussions and in interviews, received the testimony of people working on the front lines of the pandemic in town-hall-style meetings, and welcomed many submissions from its open invitation to contribute.

The Panel has examined the state of pandemic preparedness prior to COVID-19, the circumstances of the identification of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and the disease
it causes, coronavirus disease (COVID-19), and responses globally, regionally and nationally, particularly in the pandemic’s early months. It has also analysed the wide-ranging impact of the pandemic and the ongoing social and economic crisis that it has precipitated.

This report presents the Panel’s findings on what happened, the lessons to be learned from that, and our recommendations for strategic action now to end this pandemic and to ensure that any future infectious disease outbreak does not become a catastrophic pandemic.
https://theindependentpanel.org/wp-c...emic_final.pdf

Well worth reading about what went wrong with the response to this virus.

"The Panel’s conclusion is that closing the preparedness gap not only requires sustained investment, it requires a new approach to measuring and testing preparedness."

Testing capabilities is critical at every stage of a pandemic, especially at the start of a pandemic caused by a novel virus when information about the functioning of a virus and what it means for the species is by definition going to be lacking due to the nature of being subjected to a novel virus.

India's current resource challenges with testing and the pandemic state speaks to how testing capabilities are critical at every stage of a pandemic and how testing capabilities are the basis for measuring and acting on an informed basis even when lacking information about a virus' operations in the species. Being informed about the virus' operation but failing on the testing+ is not a recipe to avoid a pandemic or even making a pandemic "the last pandemic".

Last edited by GUWonder; May 13, 2021 at 3:35 pm
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Old May 13, 2021, 4:46 pm
  #8291  
 
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Finally:

"People fully vaccinated against Covid-19 do not need to wear masks or practice social distancing indoors or outdoors, except under certain circumstances, the director of the US Centers for Disease Control and Prevention announced Thursday."

https://www.cnn.com/2021/05/13/healt...ted/index.html
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Old May 13, 2021, 4:51 pm
  #8292  
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Originally Posted by Diplomatico
Finally:

"People fully vaccinated against Covid-19 do not need to wear masks or practice social distancing indoors or outdoors, except under certain circumstances, the director of the US Centers for Disease Control and Prevention announced Thursday."

https://www.cnn.com/2021/05/13/healt...ted/index.html
Masks still required to fly on commercial carriers, trains and buses subject to US jurisdiction. Also required at US airports.
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Old May 13, 2021, 4:51 pm
  #8293  
 
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Originally Posted by Diplomatico
Finally:

"People fully vaccinated against Covid-19 do not need to wear masks or practice social distancing indoors or outdoors, except under certain circumstances, the director of the US Centers for Disease Control and Prevention announced Thursday."

https://www.cnn.com/2021/05/13/healt...ted/index.html
I am honestly surprised by the indoor recommendation.

Outdoors, most everybody can go without a mask and be A-OK.

Indoors, particularly with poor circulation, and with a mix of vaccinated folks (who carry the disease just like those unvaccinated folk) and unvaccinated is a recipe for disaster.

What the CDC *probably meant* is that if you are in a place where you are certain there are only vaccinated folks, then it's ok to take the mask off inside. What the CDC just effectively announced is that the mask mandate is over for indoors since "everybody" is gonna claim they have been vaccinated.
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Old May 13, 2021, 4:54 pm
  #8294  
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" What the CDC just effectively announced is that the mask mandate is over for indoors since "everybody" is gonna claim they have been vaccinated."

Yes. But as I've already found out the mask update is the CDC recommendation; local authorities have their own ideas still in play and have yet to adjust to the latest CDC announcement.
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Old May 13, 2021, 7:48 pm
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Taiwan is having a problem now

Covid Zero’ Havens Find Reopening Harder Than Taming Virus



(Bloomberg) -- A smattering of places, mainly across the Asia Pacific region, have posted breathtaking victories in the battle against Covid-19 by effectively wiping it out within their borders. Now they face a fresh test: rejoining the rest of the world, which is still awash in the pathogen. In some ways, the success of “Covid Zero” locations is becoming a straitjacket.

https://finance.yahoo.com/news/covid...210000541.html
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