Children don't get covid. But if they do they don't spread it. But if they do they don't get it at school. But if they do it's just at rates that reflect what's happening in the the area and doesn't drive community spread. But if it does this is really about greedy unions.
In 1991, Derrick Bell, the first Black tenured prof at Harvard law, refused to teach in until the school hired a single Black woman professor.
This went on for 2 years until he was fired (they didn't hire any Black women during that time).
The Bush admin told NY the air was safe to breathe, they said we should return to normal and go shopping. Rescue & cleanup workers were told to not wear masks bc it could frighten the public. OSHA was kept away. Then it took 9 years to get a decent law covering their health care
Apparently cops go around routinely injecting people with ketamine, no one knows how often it happens US-wide, and no one knows how many people die or end up with severe medical complications.
Make sure you save some outrage for West Virginia v. EPA next week. It's likely to not only prevent the EPA from regulating greenhouse emissions, but also prevent the federal government from regulating anything at all.
I feel like opening k-12, colleges and universities, parents going back to work, the end of pandemic unemployment assistance, and the eviction moratorium all at roughly the same time might not end well.
I hate explanations that are like, 'People won't accept new behavioral norms in the name of public health because of centuries-old psychocultural commitments'. Bro, these same people stopped smoking in restaurants in the 90s.
A well-regarded university swiftly condemning the words of a Black woman scholar at the behest of a donor who happens to be one of the richest people on earth – this is academia.
Things become much clearer when you realize the debate out whether we're in a pandemic is actually a debate about whether the ruling class should do anything to address the pandemic.
Five weeks ago I used a news database to find over 700 news headlines characterizing Omicron as mild. This narrative which, strategically emphasized certain pieces of the epidemiologic reality while ignoring others, was also pushed by Biden and academically credentialized pundits
This was an unimaginablely labor intensive reporting project that's just starting to publish. Their database has uncovered hundreds of deaths not previously reported elsewhere and focuses on the role of death investigations by medical examiners and coroners
Police tactics like physical restraints and Tasers aren’t supposed to end in death, but they can.
The U.S. government struggles to track these cases, so a reporting team led by AP investigated and documented more than 1,000 deaths from 2012 through 2021.
CDC cut isolation time to 5 days. They argued it was needed to preserve critical social functions (keeping Arby's open) during the massive wave of Omicron. The wave ended, more data came in showing continued transmissibility beyond 5 days, but the guidance hasn't lengthened.
'The government and your boss put you in harms way. We took away paid sick days and unemployment supplements. Better get vaccinated so you don't starve.'
I'm not a health comms person so I can't evaluate how effective this message is.
What would it take for a single government official, or even non-governmental public health leader, to say the US is in crisis, has lost a quarter century of gains in life expectancy, and is not on track to recover.
I can't help but contrast these sentimental images of a woman kissing avian flu-infected birds to the disgust that many westerners expressed at niche Chinese culinary traditions that were being implicated in coronavirus spillover in early 2020.
The White House is basically flat out saying they're going to let the virus rip while emphasizing what they *hope* will be mild illness for vaccinated people.
I'd hope this would be front page news, but it's not.
This is a level of courage basically unheard of among tenured academics, particularly at elite institutions. I can already hear the colleagues' objections ('you'd make a bigger impact if you stayed'). But his departure made a huge impact at HLS and beyond.
Still can't get over the fact that
@CDCDirector
called masks "a scarlet letter". And we all say things clumsily at times but the fact that she then posted the podcast in a thread announcing the new guidance suggests it was intentional.
You can't ask whether the US pandemic response was a failure, you have to ask for whom it failed. The stock and real estate markets went up, fewer than 5,000 college-educated white people under 65 died, capital retained power over labor, and it succeeded as a eugenics project.
When US experts call for the end of public health 'restrictions' they are dissembling. Everything is open and we all know it. What they mean is no more masking, quarantine, and isolation. What they mean is adjust your attitude so as not to withhold your labor or consumer dollars.
So much focus on covid spread among the political elite. But I would like even one (1) news story about how service workers are pressured to not wear masks. We don't even have clarity about whether OSHA is, in theory, still able to issue fines for workplace mask bans.
If you are vaccinated, you could get COVID.
But if you do, your case will most likely be asymptomatic or mild.
We are intent on not letting Omicron disrupt work & school for the vaccinated.
You have done the right thing.
We will get through this.
It would surely be better than nothing if the US provided all people with free N95s and rapid tests. But these are not *alternatives* to universal public health measures. Let's think about how disease spread works and how power works for a second.
In her soft-denialist WaPo column today, Leana Wen claimed covid hospitalizations & deaths are being over-counted. Her evidence isn't any epidemiologic study or model. No, it's the opinions of two clinicians. One of them, Shira Doron, has long advocated against covid protections.
It's within the realm of possibility that the US will have 100s of thousands more covid deaths this fall/winter. Not clear if funding will even be in place for boosters and treatment. Now would be a great time for health foundations, professional assns, unions, to develop a plan.
In the last couple hours I've seen multiple public health/medical academics claim mask mandates can't return to US jurisdictions due to lack of public support. They cite no evidence for the claim and don't have much to say when confronted with evidence that they're wrong.
Just want to clarify that cops are not physically the ones doing the injections. They are pressuring paramedics to do it and to use dangerously high dosing.
Closing indoor dining? That's a restriction.
Ending unemployment supplements and forcing a server to go into work while knowingly sick, possibly contagious? Pure freedom.
At the risk of ruining the joke I need to intervene. This is sarcasm but literally the arguments ppl have been making about opening schools under all circumstances. Chief among them is Emily Oster, who is being funded by several anti-union orgs (Walton Foundation, etc).
On the one hand I feel bad for this girl bc she's straight up not having a good time. On the other hand, she already has a well-developed understanding of how capitalism encloses the commons and when she encounters Marx everything will start to make sense
RJK Jr. personally traveled to Samoa in 2019, where he and his org exploited a tragic news story of medical negligence to spread fear about MMR vaccines.
His effort against vaccines was his only successful political campaign. 50 Samoan infants died in a measles outbreak.
Fascinating reaction to my argument that
#RFKJr
would be stronger than Biden in a general election.
I've said Cornel West and Marianne Williamson would both be better than Biden.
But when I said it about Kennedy, volcanic fury from Biden defenders. They're worried.
Should we open schools? Yes! But that means shutting down lots of other institutions to suppress covid, providing air filters, and random testing for monitoring. But official US policy is to not control the pandemic.
The small story: capitalists became richer during the pandemic
The big story: capitalists avoided public health regulation, shifting these costs onto workers in the form of high rates of disease & death. They amplified voices of the scientists who would make this seem reasonable
This is current guidance on the CDC website. Maybe it's time to stop making fun of the people who 'did their own research'. Please do your own research.
Is it just me or did CDC go from "breakthrough infections are rare" to "we need boosters to prevent breakthrough infections" in like a week? And I'm not sure if the first talking point was rescinded.
If you're gonna make up a story about the evils of affirmative action, maybe your examples shouldn't include two schools that operate under statutory affirmative action bans.
Curious why the leading voice on covid in schools is an economist who happens to be funded by right-wing interests? Or why the pandemic response has turned into a question of individual choice? Check out this new piece by
@abbycrts
and me in
@proteanmag
Many of us are blocked, but this thread's a banger:
You can't stop yourself from getting infected from viruses! (futility thesis)
But if you can, it might actually harm your health! (perversity thesis).
Because infections are part of human nature! (naturalistic fallacy)
CDC reports the number of excess deaths in the US since the pandemic began has exceeded 1 million.
This means 1 million more deaths were observed than would've happened without a pandemic, and isn't exactly an estimate of the number of covid deaths
Having been on both sides of the transaction, $500 is a normal honorarium for a talk at a well-funded university. Anyone telling you to demand 7 times that is plugging their academic consulting business.
Now is probably a good time to announce that Abby Cartus and I are writing a book, "How to Hide a Plague", that should be out in 2024 with University of Chicago Press.
Huge thanks to our
#1
hype man
@chadzimmerman_
for making this happen.
A key factor in not getting vaccinated (and failing to take other public health precautions) is believing a disease will not affect you severely. This isn't hard to figure out and not about incompetence. It's about economic interests: getting people back to work and shopping.
In mid-may, OSHA killed a regulation that would've covered all industries for covid. The same week CDC weakened its guidance (no masks for the vaxed).
In late Dec, OSHA suspended its health care worker covid regulation. The same week, CDC weakened its guidance (5 day isolation)
OSHA abruptly changes course and pulls emergency standard covering health care workers while it works on years-long permanent standard.
Workers left without protection except for weak General Duty Clause.
HCWs: WTF?
It doesn't require a doctorate to understand the Biden administration is downplaying the short and long-term risks of covid due to economic and political considerations. In fact, having a doctorate and certain career ambitions might be an impediment to understand thiat.
Why has Biden's covid response been so terrible and how could he have done better? I address that in a mere 7,000 words.
"The White House did not want the pandemic to define Biden’s presidency. The virus, however, had other plans."
The thing about "rare" adverse health outcomes is that when something happens 1 in 100 times, 1 in 1000 times, or even 1 in 100,000 times, it harms a whole lot of people when hundreds of millions are exposed
A successful campaign against public health policies would:
- be framed around the most sympathetic case, e.g. children's learning
- attack its best-organized opponents, e.g. unionized teachers
- create cross-class alliances btwn, say, professional class parents and businesses
EXCLUSIVE: G7 summit was ‘super spreading’ event for Cornwall as cases rocket 2,450% after world leaders' meet.
Calls for surge testing in G7 Covid clusters as young hospitality staff fall ill forcing the closure of dozens of businesses.
@theipaper
The unstated US pandemic strategy:
- Strongly disfavor policies that interfere with business
- Favor individual behavior change
- Tolerate an unlimited number of deaths
- Intervene more strongly to avoid exceeding ICU capacity (sometimes)
- Rely nearly exclusively on vaccination
brb, calling 1-800-CDC-INFO to determine that my county is in a medium transmission level, then calling my doctor to help me determine whether masks, which are "a scarlet letter" and "a reminder that we're still in a pandemic", are right for me
Today OSHA held hearings to consider a covid reg for health care workers. Also today, CDC weakened its health care covid guidance which likely undermines OSHA's regulatory efforts. This is pretty similar to what happened in mid-May 2021 with OSHA's attempted general industry reg
It's pretty clear that the US ruling class is willing to accept a million deaths from covid over the next decade, a million deaths from drug overdose, and however many deaths from climate change. Only a radical redistribution of wealth and power can stop this.
In my new essay, I ask why US politicians have claimed that most covid transmission happens at social gatherings while ignoring – or even denying – the central role of workplace exposure.
I hope people aren't confusing this for an exhortation for people to get vaccinated. Read the language closely.
This is a justification for the Biden admin's policy of not trying to control spread. It's okay, they say, because the undeserving, unvaccinated will die.
A new normal was inevitable. But a new normal with no mitigation of risk or compensation for risk (beyond whatever level health care you happen to have access to) was only probable. This is a profound loss for old and disabled and working class people
The issue is that they used a highly technical argument about intrinsic severity and wrongly equated it with low risk to public health, and used it as justification for taking a lax approach (e.g. halving isolation time to 5 days)
A better covid response is possible
1) regulate risk in workplaces & institutions
2) economic + social supports, incl. expanding rights for disabled people
3) well-funded, community-led efforts for vaccination and treatment
4) Aggressive public R&D for vax and treatment
If you liked the US response to covid with its prioritization of business interests over human life, blame of individual behaviors, obscuring of state accountability, promotion of sycophantic 'experts', you're going to love the next 50 years of climate crisis.
Some combination of White House officials, governors, and policy elites developed a plan to transition away from the last few remaining public health measures (including vax mandates in some cases!). This has been coordinated in language and timing but barely reported on in media
The US has gone from 2 approved SARS-CoV-2 antigen tests to many, but they still all cost consumers $8 for some reason (but cost very little to make and are sold for ~ $1 in much of Europe)
If you're tired of people saying they're 'done with Covid', that they want to 'move on' from the pandemic, get 'back to normal'... even as 3,000 people die on a daily basis & while ignoring Long Covid, this angry monologue from me tonight... is for you:
One of the most consequential US domestic policies in generations – how to deal with a disease that's killed 1M+ people & is sure to kill many more over the coming years – is barely being acknowledged as such. And to the degree it's acknowledged it's presented as inevitable.
If you oppose vaccinating adolescents because 1 in 50 might get really tired for one day, you're an antivaxxer. Doesn't really matter if you have an MD, MPH after your name.
Even if you were to accept their framing that the unvaccinated brought it upon themselves, you should be alarmed that they are not sharing data about the number of vaccinated people who are dying. We can't even judge the success of their plan on its own terms.
The 'herd immunity strategy' is not part of scientific debate. It's a political campaign coordinated by right-wing orgs designed to create the appearance of scientific disagreement.
Abby Cartus and I documented all of this. Please read and share.
I will one day write something about the history of CDC's undermining of worker health and safety protections, which goes back at least a half century.
🚨My latest: A draft for updated CDC advice recommends that nurses & doctors wear surgical masks, not N95, when patients have endemic respiratory infections.
"The CDC must not undermine respiratory protection regulation" says workplace safety regulator
I think many of us went into social epidemiology thinking 'if we can show that xyz issue is not only unjust, but also harms public health, it can move the needle on policy change.' Well, the results are finally in...
Harvard's previous president broke campus covid rules in March of 2020 by having two custodians continue to clean his home biweekly. This likely is what caused both to become very sick. National media were uninterested in the story.
You can find a dozen opinion pieces in major US publications about how 'polarization', distrust, or disinformation explain the failures of pandemic response. But show me a single piece that tries to explain why hugely popular public health measures have gone away in blue states.
School masking is the third rail of twitter, but I would encourage everyone to read this piece whether you agree with it or not. Among other things, a good review of the science on both sides.
Just wanted to point out that Florida's surgeon general who is promoting the state health department's antivax "study" is a Harvard PhD health policy grad lol.
The magnitude of inequality in covid deaths is almost unbelievable. It's not something we see with other major fatal disease.
The age-standardized death rate for college-educated whites is roughly a tenth of what Black, Latinx, and indigenous men are experiencing.
I wonder if he knows that high quality masks were not, in fact, provided by Chicago Public Schools until the Chicago Teachers Union won them through a strike.
Anyone here who is fluent in hospital-management-thought have insight as to why they oppose mask mandates? And I mean their own mandates, not those imposed by government.
I'm looking for things like economic, logistical, or legal rationales rather than personal character flaws.
How did Stockholm avoid having its hospitals overrun? They let old people and fat people die without care.
While "Sweden" is invoked as a metonym for good social democracy in the US, it's a settler colonial state with a history of eugenics.
Liberals are like, "I disapprove of what you say, but I will defend your right to receive a 5-figure speaking fee to say it to a member-based organization whose constituents have no say in whether you're invited."
This idea of providing individuals with "tools" and hoping for the best, as an alternative to having broader public health measures in place during times of very high transmission, leads to a lot of sickness and death among those with the least power.
We can think about parents' control over their children, or men's patriarchal control over the women & children they live with. How might these affect negotiations of risk behaviors?
Look at this heartbreaking account of a 17 year old, this stuff is common.
NYT claims more than 5 million people read
@DLeonhardt
's Morning Newsletter daily. It launched in 2020 in the window between WHO's pandemic declaration and the murder of George Floyd. In 243 newsletters (whose decided emphasis is covid) racial inequality is mentioned 9 times:
A Jan 9 poll showed 70% of Dems didn't even want kids to be in-person to avoid omicron exposure. It's safe to assume anti-school-mask opinions are extremely rare among US liberals. This is how The Atlantic, owned by an anti-union ideologue, legitimizes these opinions for liberals
I want a lockdown. Not sure of a single country that's been able to rely on extremely high levels of individual behavioral compliance with "tools" like masks or tests in the absense of widespread immunity that protects from transmission.
I do not know *anyone* who actually wants lockdowns. Literally no one wants that
What is crazy to me is that if Americans had the right masks from day 1– we would never have had to shut down
Instead- we had “don’t mask” then cloth mask/ bandannas; & even now, not much better
Join the UTMB Bioethics and Health Humanities community for a talk by Dr. Justin Feldman (
@jfeldman_epi
) on 9/22 at noon CDT on "How to Hide a Plague: How Elite Capture and Individualism Made Covid Normal."
This will be an all-virtual event.
Info/RSVP:
CDC no longer updates its estimates publicly, but it last estimated that actual covid death counts are 25% higher than reported in the US. IHME similarly estimates that new death counts are ~25% higher than reported.
The new normal is just like the old normal. But with dramatically higher levels of disease, disability, and death. And without improved social or wage supports to compensate
Ok I'll weigh in. The question for me isn't whether it's okay to express schadenfreude wrt Walensky. It's how can we pressure her, as executor of a family trust whose $ comes from her father's role in Titan Corporation, to pay reparations to Titan's torture victims in Abu Ghraib