CDC Notifies States, Large Cities To Prepare For Vaccine Distribution As Soon As Late October

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You can't ignore the fact that we can't accurately predict how this is really spreading and why certain people are more affected than others. I'm not saying that we shouldn't mask or take other measures but we should very much be doing studies in different areas to find out what is actually working and what is not.

I agree that there are times when it seems there's no rhyme or reason to the spread of this virus. We've certainly learned a lot along the way though. I've heard Scott Gottlieb talk a lot about how early on the experts mostly planned to attack the virus from a public health perspective as we would attack influenza. Now we know that hand washing is important but we don't need to be wiping down every item that comes into the house...etc. The "seasonality" thing seems to not be a huge factor with this virus.

Brazil, which doesn't seem to have much in the way of a plan, is really raging right now. The NYT is reporting that ICU docs around their nation are concerned about an increase in young/healthy patients who are getting very ill. They're losing 3,000 people a day now. And then you have Germany, a country that did quite well with the first surge back in the spring of 2020, but then floundered with the second one and now are really struggling again.

Like you, I hope that scientists really start getting a more definitive idea on what mitigation factors work and what doesn't...etc.
 
Huge news for California. The Governor just announced that vaccine eligibility will open up April 1 for everyone 50+ and April 15 for everyone 16+.

Pretty shocked, to be honest. But great news nonetheless.

Edited to clarify vaccine "eligibility" vs "availability."
 
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It is free. SOME insurance companies charge for the cost to administer it, but anyone with Medicare has those costs waived and it is truly free.

Not sure where you got your information that it is an expensive treatment. This is probably one misconception that has prevented people from seeking it out.

https://www.nytimes.com/2020/12/23/health/coronavirus-antibody-drugs.html

Okay, hehe...https://www.cms.gov/medicare/covid-19/monoclonal-antibody-covid-19-infusion

Only Medicare Part B (and Advantage) covers the cost of the drug itself--if the provider received the drug for free. If not, it is covered at 95%. Still, the administration and other fees cost hundreds of dollars, and are not fully covered as you are suggesting.
Plus, only a little less than 15% of the American population is covered by Part B and Advantage. Private insurance companies are not paying for that treatment.
 
Huge news for California. The Governor just announced that vaccine will be available April 1 for everyone 50+ and April 15 for everyone 16+.

Pretty shocked, to be honest. But great news nonetheless.

Misinterpreted.
Eligible does not equal Available. Yuge difference.
 
With how contagious this virus is why did NONE of them test positive. There is very little rhyme or reason. There is something more going on...
Viral load, length of exposure, and individual immune system responses also play a role not to mention how the tests function in so much as the sensitivity levels selected. The CDC does recommend testing (PCR) immediately after being identified as a close contact to a positive symptomatic person but they also recommend retesting 5-7 days later if the initial test is negative (don't know if the person you were talking about did this).

When people usually talk the way you say it it usually makes it sound like it's some sort of conspiracy. A contagious virus is still a contagious virus even if not everyone within arms reach contracted said virus. I'm going to make the bold assumption that many of us have experienced situations where we lived in a household with a person who had something contagious and yet did not at least seemingly catch it, it doesn't make said whatever less contagious.
 
Misinterpreted.
Eligible does not equal Available. Yuge difference.

Oh, trust me I know. But if people even have a fighting chance, it's better than not.

I thankfully got my vaccine already but I have family desperate for it as they have a high risk child (my neice) so they are thrilled and will be ready to try and score an appointment at a pharmacy once they get the green light.
 
Viral load, length of exposure, and individual immune system responses also play a role not to mention how the tests function in so much as the sensitivity levels selected. The CDC does recommend testing (PCR) immediately after being identified as a close contact to a positive symptomatic person but they also recommend retesting 5-7 days later if the initial test is negative (don't know if the person you were talking about did this).

When people usually talk the way you say it it usually makes it sound like it's some sort of conspiracy. A contagious virus is still a contagious virus even if not everyone within arms reach contracted said virus. I'm going to make the bold assumption that many of us have experienced situations where we lived in a household with a person who had something contagious and yet did not at least seemingly catch it, it doesn't make said whatever less contagious.

I agree, but with the way the media talks and the way many think now because of it they think that being exposed like that means getting infected for sure. There is so much false and twisted information being said by the media that so many don't really have a true grasp on the situation no matter what side you fall on. So many people read a headline or a few sentences and then move assuming that is what is going on.
 
Like you, I hope that scientists really start getting a more definitive idea on what mitigation factors work and what doesn't...etc.
This would require people actually believing scientists are smarter than them. They are better off just putting out fake articles of things people will agree with at this point. Keep people who protest the measures off the streets, lol.
 
Oh, trust me I know. But if people even have a fighting chance, it's better than not.

I thankfully got my vaccine already but I have family desperate for it as they have a high risk child (my neice) so they are thrilled and will be ready to try and score an appointment at a pharmacy once they get the green light.

Oh, I know that you know.
But, conveying the news that way certainly gives people here, and those hopefully waiting for one, the wrong impression. There's already so much complaining that their region can't get their distribution and appointments straightened out, and this misinterpretation would only exacerbate that thinking.
 
Viral load, length of exposure, and individual immune system responses also play a role not to mention how the tests function in so much as the sensitivity levels selected. The CDC does recommend testing (PCR) immediately after being identified as a close contact to a positive symptomatic person but they also recommend retesting 5-7 days later if the initial test is negative (don't know if the person you were talking about did this).

When people usually talk the way you say it it usually makes it sound like it's some sort of conspiracy. A contagious virus is still a contagious virus even if not everyone within arms reach contracted said virus. I'm going to make the bold assumption that many of us have experienced situations where we lived in a household with a person who had something contagious and yet did not at least seemingly catch it, it doesn't make said whatever less contagious.

I'll have to look for the study. But, I recently saw online somewhere a study that was published on the positivity results on various testing types and brands. Rapid antibody tests, as already known, have the narrowest reliability window. Rapid antigen tests also had a short window in terms of diagnostic tests. No diagnostic tests were found to be reliably positive until about 2 days after your body's initial infection. But, most people are likely getting tested beyond the first couple days anyways if testing because of symptoms or close contact.
 
Not really. I can't speak for other districts, but our has an extremely strict "no symptoms" policy for attendance. Parents are supposed to screen their kids every morning, to include temperature checks, before sending to school. Any child who presents with even minor symptoms is sent immediately to the nurse and parents called to pick up. Teachers, likewise, are forbidden from coming in with symptoms.

We have not had one outbreak in our schools. We have had scant isolated cases that never spread further because parents kept their kids home. Most positive cases in students didn't even require contact tracing because the kids were not in school while symptomatic or while awaiting test results.

We have the same. And it has been going really, really well. As in no in class transmission, no whole-class quarantines,, and absolutely excellent compliance from parents/families with the precautions we put in place. Maybe that's why I find the situation so frustrating - because it wasn't a kid who didn't know better or a family caught between a rock and a hard place regarding care for a child with symptoms that might have been allergies. It was a teacher who not only refused the vaccine but also isn't using the sick time that we all know she has (which was increased this year for this express purpose). And then the fact that it wasn't one of our direct-hire staff, where discipline would be a matter for our administration and parish to handle, but rather one of a "package deal" of teachers we get in our shared-time contract, which means we don't have much ability to remove this teacher. Odds are, she'll be back right along with the kids next month, and that the contract will be renewed next year despite her.

There does seem to be case increases in places with there B117 variant is predominate, but the vaccines are equally protective of that variant as it was during the trials on other variants. Combined w seroprevalance and increased vaccinations, these increases really have no way to became nearly as bad as previous ones, there just aren't as many bodies to infect. The faster the needles go into arms, however, the better and the quicker these flames can be put out.

A couple weeks ago, I'd have agreed with you. But now I'm not so sure, and I'm genuinely beginning to worry about reinfection for the first time after a year of being perfectly satisfied with the data suggesting it is rare. About 10% of my county has had a confirmed case of covid. So right there, we know that the CDC estimate of 10x actual case prevalence is wrong for our area because there wouldn't be *any* bodies left to infect if it held true locally. Even the revised estimate, which used a multiplier of 5, would put a slim majority of the population as already having had it. In addition, 25% of the population has had one dose of the vaccine and 12% are fully vaccinated, and while it is theoretically possible to have 100% overlap between "vaccinated" and "already had it", that seems unlikely. So at worst, we should have maybe 40-45% of the population still vulnerable, compared to everyone being vulnerable early on. Those numbers do suggest that increases shouldn't have the potential to get as bad as in earlier waves, but our case numbers this week are roughly double our previous peak. So either the percentage of people still naive to the virus is higher than estimates would predict or there's more reinfection potential because of the spread of virus variants (the UK being the only one confirmed in our county so far, though the state has cases of the SA and Brazilian variants as well).

A friend of mine at UM Med is saying the hospitalized patients, more younger ones (40’s) these days, are generally sicker than during the previous wave back in ~January.
It’s not like MI is doing terrible wi the vaccinations. They’re about the national average. Hopefully, this will be a warning heeded by other states.

Yep. The Detroit paper is reporting hospitalizations among those in their 40s is up 800% with this wave. Among 30-somethings, it is up 633%. That's partly because of a relatively low baseline number in those age groups, but it is also an alarming number of relatively young people who are seriously ill. And the number of hospitalized patients has doubled over the last two weeks, which I think puts an end to the notion that with most older people vaccinated, a new wave of cases wouldn't bring a new wave of hospitalizations (and potentially deaths, but we won't see that in the data for another 2-3 weeks).

And it also isn't like Michigan has thrown caution to the wind. We're still under a mask mandate, and businesses are still at limited capacity though few are closed entirely (just nightclubs/bars, live entertainment venues, etc.). Compliance varies from place to place and the first counties to see big increases were places with a lot of resistance to masks and distancing, but counties with better compliance and more cautious populations are increasing too.

Anecdotally my manager just had a COVID scare where her whole family was exposed in their home to a fully symptomatic COVID positive person (he thought he just had allergies) for a full 24 hours while he was sneezing and coughing and they all had no masks on. Her whole family tested negative and are now through the 10 day quarantine period. With how contagious this virus is why did NONE of them test positive. There is very little rhyme or reason. There is something more going on...

It is possible that they'd already been exposed and didn't know it. It is very likely that a lot of asymptomatic and mild cases did go undiagnosed, especially early on and among those less likely to seek testing. My son has had several direct exposures at work, including one person he carpools with (unmasked) and never tested positive himself... but our family got sick with covid-type symptoms after traveling early in the pandemic, so I ascribe his experience not to luck but to that possible previous exposure. Actually, my husband and both adult kids have had close-contact exposures that required testing and none got sick, nor did they bring the virus home to DD12 or I (that we're aware of, anyway).
 
I agree, but with the way the media talks and the way many think now because of it they think that being exposed like that means getting infected for sure. There is so much false and twisted information being said by the media that so many don't really have a true grasp on the situation no matter what side you fall on. So many people read a headline or a few sentences and then move assuming that is what is going on.
There's blame in the media and I agree about headlines for sure but I don't think that's the case for that poster just based on past comments.

But there is also only so much we can push off to the media. If every time we blame the media for every thought someone has then we don't encourage people to critically think. In this context a contagious virus still being contagious even if not everyone seemingly gets sick predates the pandemic, predates covid-19, predates a lot of stuff.

I do give a bit of leeway with covid-19 because we didn't know how to work with it when it first came around so public health message errored on the side of caution. That said I think if we use the media reasoning too much that becomes a problem too.
 
I'll have to look for the study. But, I recently saw online somewhere a study that was published on the positivity results on various testing types and brands. Rapid antibody tests, as already known, have the narrowest reliability window. Rapid antigen tests also had a short window in terms of diagnostic tests. No diagnostic tests were found to be reliably positive until about 2 days after your body's initial infection. But, most people are likely getting tested beyond the first couple days anyways if testing because of symptoms or close contact.
Yeah I do know about rapid tests (that's why I specified PCR). But I was just relaying what the CDC has for close contacts of known exposures. The retesting 5-7 days after a negative test is likely addressing your comment towards reliability of tests as well as sensitivity.
 
I think it has to be given very early though....correct? If it could be given at home, like you mention....that's ideal. That's also expensive though. A lot of this would come down to insurers for sure.
I believe it needs to be given very soon after diagnosis, it is not effective if someone is already hospitalized. It’s an IV infusion over several hours. Its only authorized for certain high risk conditions (less than what the CDC defines high risk as far as vaccination eligibility) or for people over 65.
 
Viral load, length of exposure, and individual immune system responses also play a role not to mention how the tests function in so much as the sensitivity levels selected. The CDC does recommend testing (PCR) immediately after being identified as a close contact to a positive symptomatic person but they also recommend retesting 5-7 days later if the initial test is negative (don't know if the person you were talking about did this).

When people usually talk the way you say it it usually makes it sound like it's some sort of conspiracy. A contagious virus is still a contagious virus even if not everyone within arms reach contracted said virus. I'm going to make the bold assumption that many of us have experienced situations where we lived in a household with a person who had something contagious and yet did not at least seemingly catch it, it doesn't make said whatever less contagious.

No, I'm not suggesting a conspiracy. What I'm saying is that it isn't as simple as people are making it out to be and that we still have a lot more to learn regarding this virus. It is more complicated then we think it is.

And yes, the family was tested 2x and all tested negative with PCR testing. They spent a long time with this person and were in their home in close proximity so the exact right conditions for spread. And you are correct there are other factors but a family of 6 with various ages and none of them get COVID just leads one to believe that there is more here than we know right now.
 
This would require people actually believing scientists are smarter than them. They are better off just putting out fake articles of things people will agree with at this point. Keep people who protest the measures off the streets, lol.

Scientists aren't necessarily smarter than everyone. They have more expertise in their field than others do but let's not forget not all scientists agree on everything. Also, not every study is as valid as another one or that the results some interpret are really significant or not. It is a lot more nuanced than people think and influenced by a lot of things.

We all should be able to listen to what the "experts"say and make a determination from there of how we are going to proceed. We don't listen to experts on most things and we have all mostly survived.
 
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