Showing posts with label immunocompromised. Show all posts
Showing posts with label immunocompromised. Show all posts

Thursday, February 17, 2022

100 Weeks

News blues

One hundred weeks of Covid-19 and some level of Lockdown in South Africa. I arrived here in January 2020, a month or two after the novel coronavirus sought refuge in the first of its human hosts. I began these pandemic-centric blog posts on April 9, 2020 (see the complete list of posts) and, 100 weeks later, I’m still at it. Fully vaxed, I don’t take ivermectin, and, so far, haven’t contracted Covid. Happy Days!
One hundred weeks later:
Coronavirus restrictions ease across Europe despite high case rates 
…and…
As California prepares to live with Covid, laying out plan to fight future surges, it aims to pick up rising viral transmission early and sequence new variants to determine whether vaccines and therapeutics are still effective. 
The millions of people stuck in pandemic limbo: what does society owe immunocompromised people? 
***
The Lincoln Project:
Uh oh, Donald  (1:04 mins)

Healthy planet, anyone?

“How better animal welfare could stop millions of people dying,” by Damian Carrington for Down to Earth  presented here as it encapsulates the essential issue of our time: how to live cooperatively and simply on our planet to ensure survival for all living creatures.
Spanish flu, bird flu, Marburg virus, Lassa fever, Ebola, HIV, Nipah, West Nile, Sars, Chikungunya, Zika and Covid-19. That is just a partial history of the viruses that have spilled over from animals to humans in the last century. The outbreaks are coming more frequently, as humanity’s growing population drives its destructive path further into wild areas. An average of 3 million people a year die from these zoonotic diseases.
But the world’s focus on preventing the next pandemic has so far been confined to boosting the detection of new diseases after they have infected humans and speeding the development and rollout of vaccines. That is of course necessary, but it is not sufficient.
Since the Covid-19 outbreak, there have been repeated warnings that action to stop spillovers at source is also vital, and extremely cost-effective. That means ending the destruction of forests that brings people and wildlife into contact, and a crackdown on the wildlife trade. Inaction has left the world playing an “ill-fated game of Russian roulette with pathogens”, experts say, and protecting nature is vital to escape an “era of pandemics”.
But tacking spillover is not mentioned in reports and strategies from the Global Preparedness Monitoring Board (GPMB), a joint initiative of the World Bank and the World Health Organization, or from a G20 high-level panel on financing for pandemic preparedness.
A new report from experts at the International Union for Conservation of Nature provides another angle on the issue. While all zoonotic diseases ultimately come from wildlife, the IUCN report says few spillover into people directly. More commonly the diseases transfer via livestock, or animals like rats that thrive in places despoiled by humans.
So culling wildlife could not be justified, and could perversely make viruses spread more rapidly and animals flee. The IUCN report also says its examination of the scientific evidence suggests that tougher rules, or a ban, on the trade in wildlife would not have much impact on preventing future epidemics. Such moves could also harm the livelihoods of indigenous peoples and local communities, unless alternative ways to make a living are provided.
But the IUCN report comes to the same broad conclusion as the previous reports: preventing increasing rates of outbreaks is feasible, especially if “primordial prevention issues, rather than just preparedness and rapid response” are addressed. “The challenge rests in better understanding how our domesticated animals and human-dominated landscapes create opportunities for the emergence of infectious diseases,” says Jon Paul Rodríguez, chair of the IUCN Species Survival Commission.
So what is the livestock industry doing to cut pandemic risk? Not nearly enough, according to another new report, which rates two-thirds of 60 major meat, dairy and fish companies as “high risk”. The analysis is based on seven, criteria including welfare conditions for both animals and workers, waste management and deforestation.
“Intensive farming environments, housing most of the 70 billion farm animals reared every year, are a known breeding ground for disease,” says Jeremy Coller, chair of the FAIRR Initiative, which produced the report and is backed by investors managing $48 trillion of assets.
“Aggravating factors like low genetic diversity, cramped enclosures and poor conditions for workers that do not offer adequate sick pay amplify [the pandemic] risk many times over,” he said. “It’s time for meat companies and policymakers to learn from Covid-19 and to invest in preventing the next pandemic.”
Another take on pandemic risk is on its way from Bill Gates in his new book, How to Prevent the Next Pandemic. “The plan is three elements,” he says. “First is to constantly improve health systems. The second is to build a global pathogen surveillance capacity so that no matter which country it shows up in, we can apply resources and understand what’s going on very quickly. And finally, innovation across diagnostics, therapeutics, and vaccines that will get us far better tools far quicker than we did this time.”
“I think it’s exciting that we have this opportunity to use our best ideas to stop pandemics for good,” Gates concludes. But there’s no mention of what is to my mind the very best idea of all – trying to stop pandemics at the source. The same was already true of reports from the Global Preparedness Monitoring Board (GPMB), a joint initiative of the World Bank and the World Health Organization, and from a G20 high-level panel on financing for pandemic preparedness.
Tackling the root of the issue by protecting forests and wildlife would cost just a tiny fraction of the terrible losses caused by pandemics, and such action is of course already vital for ending both the climate and biodiversity emergencies. “In the midst of every crisis, lies great opportunity,” said Albert Einstein. But the world has yet to grasp the opportunity presented by Covid-19.

Meanwhile, back at the ranch…

With South Africa’s official unemployment rate at 35 percent and the actual rate much higher,  people scramble to afford basic food and housing. One young local man apples maximum creativity to earn a living: he sweeps debris back into potholes.
I’d noticed this young man standing near a four-way intersection offering what I assumed was a bunch of herbs to sell. He’s manned his post everyday over the past 10 days holding the same vegetation. Yesterday, I saw him using the flora to sweep small, loose stones back into a nearby pothole and tidy up loose debris.
I assume he’s working for tips although it has taken me 10 days to figure it out. Perhaps he needs signage: Sweeping for Rands?
It is heartbreaking to see so many people - young and old - so desperate.

Thursday, September 9, 2021

Category of critter

Week 76
Day 535, Thursday, September 9 - Category of critter

Well, the United State continues to lead the world in Covid infections. Amazing.
Worldwide (Map)
September 9, 2021 – 223,101,000 confirmed infections; 4,604,450 deaths 
September 3, 2020 – 26,940,000 confirmed infections; 861,870 deaths

US (Map)
September 9, 2021 – 40,601,000 confirmed infections; 654,600 deaths 
 September 3, 2020 – 6,114,000 confirmed infections; 185,710 deaths

SA (Coronavirus portal)
September 9, 2021 – 2,843,100 confirmed infections; 84,327 deaths 
September 3, 2020 – 630,596 confirmed infections; 14,390 deaths 

News blues

Finally, some sanity during an insane time in the life of America. President Biden expands vaccine push with mandates for the private sector and announces sweeping vaccination and testing requirements for federal government workers, contractors and even private sector employees, as his administration works to fight the spreading coronavirus.
About time, Mr. Biden!
***
Hospitals in California’s Central Valley have been increasingly overwhelmed by the fourth surge of the COVID-19 pandemic, with officials scrambling to transfer some critically ill patients more than 100 miles away because local intensive care units are full.  
The San Joaquin Valley, the Sacramento area and rural Northern California are now the regions of the state being hit the hardest by COVID-19 hospitalizations on a per capita basis… The regions have lower vaccination rates than in the highly populated, coastal areas of Southern California and the San Francisco Bay Area.
My houseboat is moored in the San Joaquin River, part of this region. I’m grateful that I’m not living on my houseboat right now.
***
Seeking resources and information on Covid vaccines? Explore the CDC website  >>

***
The Lincoln Project
Sad  (0:56 mins)
Ivermectin  (1:25 mins)
Last Week in the Republican Party – (reprise)  (1:55 mins)

Healthy planet, anyone?

An important article with full excerpt from the National Geographic newsletter by By Victoria Jaggard, SCIENCE executive editor:
Since the beginning of the pandemic, scientists and government officials have gotten sage advice from a group of people who were already battling a massive threat to public health: climate scientists. From piles of sometimes contradictory evidence to rampant misinformation  to mind-boggling denials of established facts, the issues that have plagued COVID-19 researchers and policymakers are starkly like those that have influenced the climate crisis. The pandemic has also laid bare similar issues with equity, access to healthcare, intergovernmental squabbling, and reluctance to embrace solutions that might harm the bottom line. But while the state of things may seem bleak right now, we actually have a lot to celebrate with COVID-19, in part because the pandemic spurred people to act urgently and drove a lot of innovation. Now mRNA vaccines are not only keeping people out of hospitals, they hold potential for combating a host of other diseases. More people are saying they will embrace masks as an effective way to prevent respiratory illness beyond COVID-19. And governments and institutions are investigating ways to improve healthcare infrastructure.  So why can’t we learn a few things from COVID-19 to get serious about tackling climate change? That’s what the editors of more than 200 medical journals are asking this week in an article co-published across their pages. 
“Many governments met the threat of the Covid-19 pandemic with unprecedented funding. The environmental crisis demands a similar emergency response,” the editors write. And yes, they add, “the science is unequivocal” that climate change is a huge risk to public health. Extreme heat already threatens the health of about 30 percent of the world’s population, according to a 2017 study. Shifting climate zones mean that tropical diseases—many carried by my personal archnemeses, mosquitoes—are pushing into higher latitudes, threatening even more people with ailments such as dengue fever, malaria, Zika, and valley fever. Droughts are making crops harder to grow and less nutritious, while floods create stagnant waters that can carry all sorts of icky infectious agents. Heck, climate change has even been implicated in making seasonal allergies worse  
The global response to COVID-19 has not been perfect. But it has shown the world what’s possible when people come together with the resources and the willpower to overcome a deadly challenge. And as the journal authors write: “Despite the world’s necessary preoccupation with Covid-19, we cannot wait for the pandemic to pass to rapidly reduce emissions.” All our lives depend on it.

Meanwhile, back at the ranch…

I still have not acclimated to my new life as a commuter, nor found a way to commute, work a full day, and come home regularly post on this blog.
I’m trying but it’s a learning curve.
***
Currently, people who are medically immunocompromised – suffering from illnesses associated with underperforming immune systems such as cancers, organ transplants, untreated HIV, and high dose steroid treatments – can receive a third dose of a Covid vaccine.
Naturally, people being people, many not suffering such illnesses arrive at the clinic and try to bulldoze their way into receiving this cautionary measure. One of my jobs is to try to explain to the latter category of people the difference between the third dose for the immunocompromised and “booster shots”. 
The simplest explanation? Booster shots are not yet available. 
I repeat the same information scores of times a day – while also performing my “real” duties. A part of me enjoys these glimpses into how the human mind works to bamboozle it’s way into getting third doses. Healthy people know they’re ineligible, but they’re willing to sign their names to Attestations and have false information entered into their medical records – in other words, create proof that they’re liars – simply to get a third dose of vaccine.
These people are the opposite of the people who’d rather take an anti-bacterial horse de-wormer – Ivermectin – than a human anti-viral vaccine.
Fascinating.
Humans. 
A hard to understand category of critter.