Continuing coronavirus happenings (Part 3)

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In our health district, we are seeing pediatric covid deaths for the first time in many months.

Third child in Virginia dies from COVID-19 complications (nbc29.com)

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That’s awful. Any thoughts on why young children specifically seem to be a higher proportion of recent cases? In Indonesia half the child deaths were for kids under 5, which is a big departure from earlier in the pandemic.

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The anti-vaxxers already have “But it’s not approved by the FDA” as a talking point. If the full approval process is short-cut, they’ll have another talking point. Best not to give them that.

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It doesn’t matter. One way or another they will come up with new shit anyway.

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But that talking point is already full of shit, and that hasn’t stopped them. It is approved by the FDA. It’s even listed as such on the FDA website. It’s just that it’s approved under a different category than regular pharmaceutical approvals.

There are devices that don’t go through the regular approval process because they benefit such a small group of patients that it’s virtually impossible to do a large, randomized clinical trial. The manufacturer and the FDA negotiate a small study that will satisfy safety & effectiveness requirements within reason, so the device can be released and start benefitting patients. The manufacturer doesn’t really make any money on these - the volume just isn’t there. But the company believes strongly enough in the benefit to see it though the process. It’s called Humanitarian Device Exemption, and it leads to a device that’s just as FDA released as one undergoing a PMA.

I don’t understand the hesitancy of good people to do the right thing in the face of bad people behaving badly. If they are already making up utter bullshit, why worry about giving them an excuse to make up more utter bullshit? The bullshit has already left the barn. Anyone who might believe the new bullshit already believes the old bullshit.

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I’m not the doc, but doesn’t it have to do with the fact that the most vulnerable (older people) and adults in general are vaccinated, so the kids are the largest non-vaccinated group left?

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That’s not really the case in Indonesia yet.

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I’m not saying this is the reason that most vaccine-hesitant folks haven’t taken it yet, but there is one real, consequential difference between the types of approvals that can affect some people in rare circumstances.

The HRSA runs the “National Vaccine Injury Compensation Program.” Here’s what they do:

Most routine vaccines recommend by the CDC are covered in this program, but so far the Covid vaccines are not, probably at least in part due to the EUA status. It may not affect many people, but it will have an impact on some unfortunate folks who do suffer rare but severe effects from the vaccine and have no financial recourse. This is something that the government could easily address if they want to by just adding these vaccines to the list of those covered in the program.

https://www.hrsa.gov/vaccine-compensation/index.html

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https://www.cnn.com/2021/08/06/us/florida-desantis-executive-order-school-masks-first-legal-challenge-constitutionality/index.html?fbclid=IwAR3Oykow_kvd55Va1H3y-AGZdzJoLw6xai1n1FEM-lRmFp_BfxHYD0wKEuw

The lawsuit argues several points, according to Gallagher, including that the Florida Constitution guarantees a safe school environment and gives counties the power to govern themselves. DeSantis’ executive order attempts to strip the power away from school districts that are run by elected officials, Gallagher said.

“The Constitution is equal justice under [the] law and therefore we think that we are on the right side of these facts,” Gallagher said.

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Sure, delta does seem to hit kids harder, but there is the confounding variable here: kids under 12 cannot be vaccinated, and kids overall are undervaccinated. Being vaccinated clearly lessens risk of severe complications, and the folks at highest risk, the elderly, are also the most vaccinated. So, a skew in demographics is expected. The increased severity in pediatrics is not expected, though. There is more to explain.

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Many of these same people have no problem using potentially dangerous supplements and woo that the FDA never reviews, much less approves. The approval status of the vaccine is just something for them to latch on to at the moment. It being approved will make no difference.

@Otherbrother - interesting - I had no idea that program existed

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Omfg, we were invited to a 90th birthday party for a favorite uncle. It was going to be outdoors so we thought we’d give it a shot. We went early to wish the uncle happy birthday before all the morons showed up

One of his sons was telling soneone about his co worker who was currently infected and they have been working side by side for a couple weeks. He did not get tested before the party for reasons.

We got up and left.

We have been vaccinated and so was he, I’m sure we were relatively safe but I have heart disease and my doctor said even a mild case could be a problem.

And I’m getting sick of repeating heart disease isn’t always a lifestyle choice. I explain that by pointing out the half marathons I run.

When this ends I’m stilling going to avoid all the idiots. Which is turning out to be a long list.

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Ok, no one box on this. Anyway, fresh off the server, The Lancet published a study showing that long covid symptoms seem to be fairly uncommon in children. Large sample size, seems to be well analysed. The catch that would cause me pause in this is that their study period ran 3/2020 to 2/2021, meaning this is pre-delta. How that will impact findings is anybody’s guess right now. I would categorise this as “provisionally good news,” I think.

ETA: Deep dive explainer on this paper, much more So than I could do, for those interested.

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https://twitter.com/AP/status/1424121782806720513

The band also suspended shows in Jackson, Mississippi; Atlanta; and Cullman, Alabama, with the Aug. 13 show in Atlanta rescheduled for Oct. 23.

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