Thursday, February 2, 2023

Coronavirus Early February 2023

Coronavirus, Early February, 2023

By the Numbers

The Numbers: 

Nationwide, the estimated number of cases, using official numbers, is dropping  From 300,000 on Jan 12 to 217,000 on Feb 2.  The official numbers continue be under-counted by a factor of 3-10, depending on the source of the estimate.  

More in keeping with reality, the number of people hospitalized with Covid for this wave is dropping, from around 42,000 on Jan 8 to 27,300 now.   

And more importantly, Punxsutawney Phil saw his shadow, so 6 more weeks of winter, bundle up! 

The New York Times Interactive graph ( It can be found here...)  has different numbers and is reporting a drop off of new cases as well.  My source may not be as accurate as theirs, but I'll stick with it because it is an easy scrape, and is good enough.  This is more about trends than anything else. 

Dominant Variants in the US: 

    XBB  64%    Up from 34 last report
    BQ's 31%    Dropping 24 points
    BN.1  1.4%  Down from 3 last report
    CH1.1 1.5%  Up from naught

Of note is the XBB variant, which is immune to treatment with monoclonal antibodies.

Per CDC tracker...

Two interesting studies came across my desk. 

Good News...

The first is one that says that Omicron infected people are protected against reinfection by Omicron for 8 months.  It did not say in the article how long previous infections would offer protection, but if memory serves, there were reports of reinfection in as little as 3 months.  

The explanation is because Omicron tended to infect the nasal passages, and they are basically first contact, that the body generates more effective antibodies sooner, preventing reinfection.  See here...

Bad News...

Post Mortem studies on 27 people that had tested negative for Covid for up to 9 months indicates they still died from the type of pneumonia that Covid has been know to produce.  This ability to avoid testing positive offers some insight to "long Covid" symptoms, and Rebound infections.  See here...

Paxlovid Reminder.

A recent New York Times article, see here, reports that Paxlovid is under prescribed for Covid cases.  The why's seem to be resistance by doctors.  Some are waiting for more information, some are concerned by drug interaction, and some have a political slant.  Blue states see less prescription than red states.  

When my son contracted Covid about 6 weeks ago, I pushed for him to get it.  But he got no response from his doctor on it.  In this case, his doctor had left the practice, and no one in the practice told my son about it until he was recovering.  The practice just left him hanging.

Paxlovid has been proven, that if taken immediately after a positive test, it can reduce the severity and recovery times from Covid.  And with that, reduction of long Covid effects.  It makes sense, shorter times, less time for the virus to do long term damage.


Friday, January 13, 2023

 Coronavirus Mid January, 2023

Coronavirus, Mid January, 2023

By the Numbers

Like checks, time to change the template date to 2023...

The Numbers: 

Nationwide, the estimated number of cases, using official numbers, is dropping  From 418,000 on Dec 28  to 300,000 on Jan 12.  The official numbers continue be under-counted by a factor of 3-10, depending on the source of the estimate.  

More in keeping with reality, the number of people hospitalized with Covid for this wave is still increasing from around 34,800 to 41,300 for around the same time period.

The New York Times Interactive graph ( It can be found here...)  has slightly different numbers and is reporting a slight rise in the number of cases.  My source may not be as accurate as theirs, but I'll stick with it because it is an easy scrape, and is good enough.  This is more about trends than anything else. 

Dominant Variants in the US: 

  BQ's 55%     Dropping 7 points

   BA.5 4.4%     half of the previous percentage.

    BF.7's  4%   Half the previous percentage

    XBB  32%    up from 18 last report

    BN.1  3.0%  Holding steady

Of note is the XBB variant, which is immune to treatment with monocolonal antibodies.

Per CDC tracker...

What's is Happening in China?

Frankly, we don't really know.  Every article is full of hyperbole, derived from far from complete facts.  I have been focused on the US, and only payed half an ear to China.  

China's much maligned "Zero Covid" Policy, IMHO, has been way over-vilified in the press.    China has been doing what needed to be done to stamp out the virus, because with 1.5 billion people, it would have cut a swath through the country like no other.  Shutdowns of whole cities.  Patrols put out to enforce the shut downs as only the 2nd* most tyrannical government in the world could.

Detractors said they failed.  That would depend on how success is measured.  Did they eradicate the virus in their population?  No.  Did they control the outbreak to some minimal level?  The evidence implies yes.  Did they control the outbreak when the variants were most lethal?  Yes. 

Of course, we do not have any real evidence.  Worldpedia reported China yesterday as having only 5,243 new cases yesterday, about the same as Texas.  While the NY Post reported 37 ..., MILLION new cases.  Do I believe China's numbers?  No.  They rescinded their Zero Policy around Dec 7.  Shanghai reported 35,000 new cases in one day earlier this month.  I also cannot accept the Post's numbers, as there is no corroborating numbers elsewhere.  According to one article, 87% of China's over 65 population is vaccinated.  And about 40% of the remaining population.  But vaccinated with what?  China's vaccines, and there are 5 of them, are not mRNA, like ours. And articles written in other countries that used them put their effectiveness at around 50% compared to the mRNA's over 95%.

No matter the official numbers, China's hospitals are now being flooded with cases.  Which implied the draconian measures in place for two years did work at keeping the virus under control.  But was it worth the economic cost?  That is a debate that will go on for decades.

The Variants in China are mainly BN and BQ series, both Omicron descendants.    With an outlier variant labeled SVV, of which I am not finding any information on.

In summary, China managed to defer the pandemic while the most deadly forms of Covid existed, and is now dealing with the far milder version against a well vaccinated population.  But like anything in China, that population multiplier is going to magnify the human misery by a couple of decimal points.  

Covid Test Expiration Dates.

Covid test kits have a shelf life.  We just don't know how long it is.  As such, the FDA has been running efficacy tests as time goes by, and has extended the shelf-life of all iHealth tests (in an orange and white box) from 6 months to 12 months.  

They will announce further, 3 month extensions if their testing warrants it.  You can check your expiration date by lot number here.

More Anti-Vax Lies.

I started this regular update on the state of the pandemic because I had the time and the skills to stay current on the news, and hopefully provide guidance to those  who were less technically savvy.

The first thing I ran into was the wealth of disinformation out there, and so my second mission was to provide counterpoints to the covid deniers.  Using the numbers as my guide.  I went to battle with the internet trolls.  First the covid deniers, then their follow-on's, anti-vaxers.  My thought was that this was about life and death, and it was a hill I was willing to die on.

I haven't heard a lot from the anti-vax group lately, but I wasn't really looking, and Social Media adjusted their algorithms to minimize their penetration into the main stream.  But their vehemence still exists on off brand forums and media.  

But listening to the British Podcast, "More of Less", made me aware the anti-vax movement is still alive and well.   Jan 11, 2023 episode here.

So we come to 24 year old Damar Hamlin, a football player for the Buffalo Bill's.  He had a heart attack on the field on Jan 2.  And 10's of thousands of fans got to witness how CPR really works.  It wasn't Hollywood.  The trainer, DennyKellington, kept Hamlin alive for 7 minutes until the professionals could arrive.

A day later Tucker Carlson made the claim that there was a "disturbing trend of athletes having heart attacks on the fields" and backed it up with some damning numbers.  

Quoting Mr. Carlson, “Cardiologist Peter McCullough and researcher Panagis Polykretis looked into this trend in Europe, European sports leagues. They found that prior to COVID and the COVID-19 vaccines there were roughly 29 cardiac arrests in those European sports leagues per year,” Fox’s Tucker Carlson claimed in a segment Tuesday night. “Since the vax campaign began, there have been more than 1,500 total cardiac arrests in those leagues and two-thirds of those were fatal.”

Where do these numbers come from?  The 29 number was from The International Olympic Committee in Lausanne, Switzerland, which studied documents from international data banks from 1966 to 2004. Those documents indicate 1,101 sudden deaths in athletes under 35 years of age, an average of 29 athletes per year, the sports with the highest incidence being soccer and basketball.  This can be considered good science.

The 1,500 number, and currently it is up to 1,653, comes from this article written in the blog, goodsciencing.  The article is here...

And they have decided to back up their numbers.  They actually have a list of the 1,653 victims.

Remember, the first study is of athletes, under 35, participating in sport.  And contrary to Mr. Carlson's claims, the 1,600 listed victims are not  "in those leagues".

The site's list of victims attributed to Covid Vaccination induced heart attacks.  Some of the names you will recognize.

Pele (81), former soccer star was vaccinated March 2021, then diagnosed with colon cancer September 2021 and was admitted to hospital again December 2021. He had prostate surgery in 2015. Notably, he was not in those leagues for over 40 years.

Hank Aaron (86), former Pro Baseballer received his COVID vaccine on January 5th, 2021 to demonstrate the safety of the vaccine and encourage other black Americans to do the same.  Died two weeks later in his sleep – listed as natural causes. And never was in those leagues.

Stewart Bondi (age 69), very keen runner from Devon, England and a founder of a tough marathon on the South West Coast Path. His nickname was “Rambo.” His body was found by the cliffs on the coast after an apparent fall. 

Curtis Robert Pettigrew (49), known as Bobby or Big Bob, former Wildkats star, shotput champion and Kokomo High School assistant coach for 15 years and Howard County Sports Hall of Famer died in a car accident.

One survivor on the list and an actual member of those leagues, was playing football, and there was a pile up event with him at the bottom.  His ribs cracked, collapsed his lungs, and he was taken to hospital.  But GoodScience blames the vaccine.

While there are many younger, actual athletes, doing athletic things on this list.  They are drawn from the entire world, where as the Olympic Committee was only looking at a professional and semi professional groups playing from a group of sports, in Europe.

This list is a compilation of anyone who's obituary had something sports related in their history that collapsed or died in a year, and then they claim the massive 5,600% increase in athletes events.  It's an apples to oranges comparison.  

Which was repeated by Tucker Carlson, and is probably believed by his loyal fanbase.

----------------------------------------------------------------------------------------------

*or 3rd, an argument can be made for 4th.  North Korea and Burma are up there.












Wednesday, December 28, 2022

Coronavirus, End of Year Edition, 2022

Coronavirus, End of Year Edition, 2022

By the Numbers

The Numbers: 

Nationwide, the estimated number of cases, using official numbers, continues to rise.    From 350,000 on Dec 7  to over 401,000 on Dec 27.  The official numbers continue be under-counted by a factor of 3-10, depending on the source of the estimate.  

More in keeping with reality, the number of people hospitalized with Covid for this wave has increased from around 30,000 to 34,800 for around the same time period.

The peak number I plotted was 447,000 on Dec 22.  The decline since then probably has to do with insufficient reporting during the Christmas holidays, rather than a significant drop.

The New York Times Interactive graph ( It can be found here...)  has slightly different numbers and is reporting a slight rise in the number of cases.  My source may not be as accurate as theirs, but I'll stick with it because it is an easy scrape, and is good enough.  This is more about trends than anything else. 

Dominant Variants in the US: 

  BQ's 62%     Holding steady since last report

   BA.5 8%     Half the previous percentage.

    BF.7's  4%   Half the previous percentage

    XBB  18%    Triple from last report

    BN.1  4.0%  Holding steady

All of these are Omicron (BA5) descendants.  All have minor refinements that will make the them more infectious, and nullify some treatments, see below.  The latest booster, which was designed with BA4 and BA5 in mind.  Early studies show that it is effective against these variants.

Per CDC tracker...

 

Free Government Tests (again!)

The federal government will ship you 4 Covid tests for free.  Just go to Covidtest.gov  and fill out the form.  

Odds and Ends...

One of the podcasts I listen too, mainly on long drives (thanks Dennis!), is Skeptics Guide to the Universe. Two of the presenters are MD's, so their credentials are very good when it comes to biological issues.  They had attended an event where they were exposed to the current flu virus.  One had gotten his flu shot, along with the latest bivalent Covid booster, and was uncomfortable for a couple of days.  The other, who had been scheduled for his shots the following week, had symptoms dire enough to almost be hospitalized.

Get your flu shot.

They also had a brief discussion on how the rest of the presenters felt getting both flu and Covid booster at the same time.  One said she had a rough 2 days following the shots, and another reported just a bit of pain around the injection site.  They postulated that if your previous shots were all Moderna, then post shot symptoms were light.  But their statistical sample (3) was too small.  I'll add my my 2 cents.  I got both flu and Covid bivalent with no post shot effects.  My shot record is Moderna, boosters Moderna, J&J, and the last one was Pfizer.

4 more shots and the next one is free!  No, wait...        

I have read that getting mixed makers of the shots offers a little, emphasis on little, more protection.  But that is not the reason for the mixed group of shots.  That had to do with my first 3 being given at the VA in Coatesville, which is 50 minute drive each way, while the others were at Costco, 10 minutes. 
 

 

 

 

Sunday, December 11, 2022

Coronavirus, Mid December Edition, 2022

 Coronavirus, Mid December Edition, 2022

By the Numbers
The Numbers: 

Nationwide, the estimated number of cases, using official numbers, has risen.   From 256,000 on Nov 14.  to 350,000 on Dec 7.  The official numbers continue be under-counted by a factor of 3-10, depending on the source of the estimate.

More in keeping with reality, the number of people hospitalized with Covid for this wave has increased from around 22,200 to 30,000 for around the same time period.

The New York Times Interactive graph ( It can be found here...)  has slightly different numbers and is reporting a slight rise in the number of cases.  My source may not be as accurate as theirs, but I'll stick with it because it is an easy scrape, and is good enough.  This is more about trends than anything else. 

Dominant Variants in the US: 

  BQ's 63% up from 44% in mid November.

   BA.5 15.2%   This was the main variant in October, now down from 79%.

    BF.7's  6.3%   Up from under 7.3% mid November

    XBB  5.5%    Up from nearly naught in November

    BN.1  4.6%  Up from  nearly naught in November

    BA.4's 2.3% Down from  5.7% since mid November.

All of these are Omicron (BA5) descendants.  All have minor refinements that will make the them more infectious, and nullify some treatments, see below.  The latest booster, which was designed with BA4 and BA5 in mind.  Early studies show that it is effective against these variants.

Per CDC tracker...

The major effect of the rise of the BQ variants is that monoclonal antibodies, which once were THE major treatment for Covid, even before the vaccinations were available, are ineffective against the BQ's.  One article on this is here...

Paxlovid continues to be an effective treatment, but needs to be taken early on for best effects.  And Paxlovid is reported as "Under prescribed".  So you may have to push for it.

Hospitalized, Vaccinated v. Unvaccinated.

I know I have written about this before, but it bears repeating.  Of the hospitalized with Covid, 80% continue to be  from the unvaccinated population.  The unvaccinated represent about 21% of the population overall.  

Which works out to be that the unvaccinated are 16 times more likely to be hospitalized from Covid than vaccinated.

A recent article on UC Davis for October 27, has 27 hospitalizations from Covid, 6 are vaccinated.  

The unvaccinated also have worse outcomes, or require more extensive treatment.  In the UC Davis article, of the 27 unvaccinated hospitalized, 5 required ICU care.  None of the vaccinated did.

What is not mentioned in the statistics is if the "unvaccinated" include previously infected Covid.  Which should beget some additional protection.  Though studies have shown not as much as the vaccines.



Free Tests

Free test kits are no longer available via government sources, but are available, free to the user, if you are willing to jump through the hoops, from various stores, paid for my your health insurance.

For example.   Google Blue Cross free covid tests.  you will get a CVS advertisement for 8 free tests, per month.  See Here...  Also available via Medicare, and probably many other insurance plans and outlets like WalMart, Rite Aid, etc...





Tuesday, November 15, 2022

Coronavirus, Mid November Edition, 2022

Coronavirus, Mid November Edition, 2022

By the Numbers
The Numbers: 

Nationwide, the estimated number of cases, using official numbers, has continued to drop.  From 348,000 on Oct 12 to 256,000 on Nov 14.  The official numbers continue be under-counted by a factor of 3-10, depending on the source of the estimate.

More in keeping with reality, the number of people hospitalized with Covid for this wave has stabilized at around 22,200 for around the same time period.

The New York Times Interactive graph ( It can be found here...)  has slightly different numbers and is reporting a slight rise in the number of cases.  My source may not be as accurate as theirs, but I'll stick with it because it is an easy scrape, and is good enough.  This is more about trends than anything else. 

Dominant Variant in the US:

The number of significant variants (more than 1% of the total) has exploded since last month.  

  BQ's 44.2%, up from nearly naught in mid October.

   BA.5 32.5%   This was the main variant in October, now down from 79%.

    BA.4's 5.7% Down from  14.4% since mid Oct.

    BF.7's  7.8%   Up from under 4.6% mid Oct

All of these are Omicron (BA5) descendants.   The latest booster, which was designed with BA4 and BA5 in mind, and should work very well against all of these. 

Per CDC tracker...

Personal experience

We managed to avoid the plague in our house till last week, when my son came down with it.  He was fully vaccinated and double boosted.  So now I have a personal time line.

Saturday Night: experienced sore throat.

Sunday Morning: tested Negative.

Monday Morning: Fever, tested Positive, went into quarantine.  Official start of covid time off with his company.  

His doctor NEVER got back to him over the possibility of an antiviral prescription.  He may not have been eligible.  But the lack of response was aggravating.  Contrary to what I reported earlier, none of the pharmacies I called had a streamed line system in place for one stop shopping in this regard.

Late Tuesday: Fever breaks, quarantine continues.

Wednesday: Feeling much better.  Allowed to roam the house with a mask.  But mostly he just kept to his room.

Thursday: Allowed to roam the house with a mask.  But mostly he just kept to his room.

Friday:  Free to roam the house maskless, per CDC guidelines.  This may have been a mistake, but Joanne and I seem free of any effects.

Sunday:  Still feeling fine, but tested POSITIVE, though lightly so.  From estimated time of infection, either Wednesday or Thursday 2 weeks previous till now, 10 days.  This is also 4 days after the first "feel fine". 

Free Tests

Free test kits are no longer available via government sources, but are available, free to the user, if you are willing to jump through the hoops, from various stores, paid for my your health insurance.

For example.   Google Blue Cross free covid tests.  you will get a CVS advertisement for 8 free tests, per month.  See Here...  Also available via Medicare, and probably many other insurance plans and outlets like WalMart, Rite Aid, etc...




Thursday, October 13, 2022

Coronavirus, Mid October Edition, 2022

 Coronavirus, Mid October Edition, 2022

By the Numbers

Forgive me father, for I have sinned:

My latest missive is a couple weeks late due to a lack of new things to put into it.

And that is a good thing.

The Numbers: 

Nationwide, the estimated number of cases, using official numbers, has continued to drop dramatically.  From 528,000 on Sept 12 to 348,000 on Oct 12.  The official numbers continue be under-counted by a factor of 3-10, depending on the source of the estimate.

More in keeping with reality, the number of people hospitalized with Covid for this wave has also dropped from 29,000 to 22,300 in the same time period.

To give an idea of the extremes of of the under-count, a recent survey of 3,700 New Yorkers, if extrapolated to the entirety of the US, would have the number of currently active cases at 42 million.  A patently absurd number setting the undercount at times 90. 

Dominant Variant in the US:

    BA.5 79.2%  Declined 4% since mid Sept.

    BA.4's  14.4% Up 3% since mid Sept.

    BF.7's  4.6%   Up from under 1% mid Sept

Per CDC tracker...

BF.7?

The latest variant of Covid gaining some traction is BF.7.  From under 1% to 4.6 in a month.  It is still an Omicron variant, but has a spike protein that evades  an antibody drug given to immunocompromised people.

New York Times Interactive Map

This may be behind a pay wall, but worth noting.  The New York Times has an interactive web page that has all kinds of good information on the current state of Covid.  One is a map of the US, with granularity down to every county in the country.  You can select "Hot Spots", Hospitalized, Vaccination Rates, Cases per capita and deaths per capita.  It can be found here...

 



Friday, September 16, 2022

Coronavirus, Mid September Edition, 2022

 

Coronavirus, Mid September Edition, 2022

By the Numbers

The Numbers: 

Nationwide, the estimated number of cases, using official numbers, has continued to drop dramatically.  About 30% in the last 2 weeks to 568,000.  The official numbers continue be under-counted by a factor of 3-10, depending on the source of the estimate.

More in keeping with reality, the number of people hospitalized with Covid for this wave is also dropping at a more modest rate of 14%, from 34,500 to 30,018.

Dominant Variant in the US:

    BA.5 87.5%

    BA.4's 11.4%

Per CDC tracker...

New Vaccines Available Now:

The new bivariant vaccines are available now.  Basically they are 1/2 original Covid, 1/2 variant BA5, the dominant variant at this time.  When to get yours is subject to priorities, but I expect anyone can get it if they ask.  But should you?

In my humble opinion, the short answer is yes, but as a double boosted, I am going to wait a couple of months and top it off at the end of October.  There is advertising to get it when you get your flu shot, but flu shots also lose effectiveness over time, about 6 months, so that too can wait.

Long Covid

The current, Oct 22, Consumer Reports has an article on Long Covid.  I peruse articles like this in an effort to divine something new and interesting, and am often disappointed. 

Long Covid is the name given to a variety of symptoms that people experience long after the initial Covid has cleared out of the system.  They include in descending order of probability:

    Fatigue  (34%)
    Change/loss Smell or taste
    Shortness Breath(24%)
    Cough
    Headache(21%)
    Sleep Disorders
    Muscle Pain (17%)
    Cognitive Dysfunction
    Chest Pain (11%)
    Mood Change
    Stomach pain (9%)

While the overall cause of Long Covid is considered a mystery, to me, the answer is obvious.  Covid attacks vascular systems.  When it settled in the kidneys or heart, it killed people.  If it settles in the lungs, it tears up the lung capillaries.  If the brain, then Cognitive Dysfunction. This is long term structural damage that takes time to heal. 

Long Covid symptoms can persist on  average, up to 6 months.  About 2% last a year.  Some last two years so far.

Consumer Reports notes that women experience Long Covid 20-50% more often than men.  I think what they are seeing is that Women are just more in tune with their bodies then men, and men are just ignoring the symptoms.

Long Covid affects ages 45-69 more than other age groups, about 70% of the total cases.  I'm guessing here that under 45 do not get Long Covid as long and heal faster, and over 70 is just lumping the symptoms in with whatever else is bothering them.  

Not mentioned in this article is that the odds of Long Covid go up with each reinfection.  And with the severity of those infections.  

And the vaccinated experience Long Covid far less than the unvaccinated.

The recommendations in the article on what to do if you are experiencing Long Covid is boiler plate diatribe.  See your doctor.  Join a support group.  But somehow they slipped in "do-gooder" advice to change your diet.  And had a singular account of someone that changed their eating habits to the Mediterranean diet.  (Seriously, did anyone review this article?)

On Flying.

The skies are a mess, and in the last 6 weeks, four people I actually know, caught Covid while they were on a plane.  In two cases, on long flights, they tested negative when they left the US, and positive when they got to their destination.  And two people that flew, but didn't catch Covid.  I know that 5 of the 6 were fully vaxed and boosted.  All have since recovered, but one may be experiencing Long Covid now.    This is a small set of numbers, and not statistical at all.  And probably I'm just a little bit biased. 

Boeing commissioned a study on catching Covid while flying and their result was 1 in 1,700,000.  This study may be considered extremely biased. And about 6 orders of magnitude off from my personal observations.

MIT did a study from 6/2020 to 2/2021 and had the odds at 1 in 1,000 for a trip, but considered it a round trip, and with a transfer and layover, so 4 flights really, and calculated the odds are to be 1 in 250.  This was during the time period when masks were still required on flights, and preceded the current Omicron variant, which proved to be the most infectious of the variants.

So now, we are flying sans-masks, with the most infectious, but benign variant running around.  So my 4 in 6 observation is only between 1 and 2 orders of magnitude with the MIT study.

What to do if you think you have Covid:

I wrote this before, but it bears repeating.  If you have a home test, take it.  If positive, call your doctor for a Paxlovid prescription.  You probably will not need to go to his office.  He really doesn't want you there anyway.  This can reduce your symptomatic phase by days.  And the chances of Long Covid.

If you don't have a home test, call the pharmacy.  In some of them, they will test you, then call the doctor for the prescription, just one car trip for you.