The global numbers show continuing progress. Cases are down 13% from last Thursday and fatalities are down 11%.
Cases are also down in the USA. Eight consecutive days have been lower than the same day of the previous week. Hospitalizations are also on the way down – 9% in just a week. Unfortunately, we are still waiting for the fatality rate to echo that decline.
Three states, West Virginia, Idaho and Montana, made the “worse than the third world” list, which means that both their fatality rate per capita and their rate of new cases per capita are higher than the worst country in the world on each of those lists. That means they have higher death rates than Bulgaria AND higher case rates than Serbia. Beating every country in both criteria is almost impossible to achieve because many of those countries treat viral diseases with herbal poultices and enchanted chicken beaks.
The map below shows the states that were worse than any country in the world on either of the two measurements (plus the three states that were worse on both).
There’s nothing for us to say about the events. You’ve seen it on TV, and you realize how people are reacting. If the professional wordsmiths and mouthpieces can’t find the words, neither will we. There are no precedents to help comprehend the events, nor words to summarize the grief and shock. It doesn’t seem real now. Perhaps it never will.
As any history professor will tell you, people don’t much care for the minutiae of dates. Yesterday morning, most Americans could identify only three by heart.
Mind you, this poisoning is sending more people toward the hospitals that are already at capacity in that state!
Yeah, they’re afraid of the vaccine, but they’re totally OK with filling their bodies with horse de-wormer, so they just pop down to the feed store and pick some up. Talk about thinning the herd!
I also read somewhere that Trump is now saying he was right about hydroxychloroquine, even though there are now controlled clinical trials showing that the drug not only failed to improve patient care, but actually made matters slightly worse! (One cannot fairly say that it hurt because the slightly worse rates of death, intubation and hospitalization were not statistically significant. A fair conclusion is that it did not help.)
1. This horse dewormer business started before the vaccines were available. See this report from Nevada. “Feed stores are having trouble keeping the medication in stock.”
2. There is some vague logic to the use of this dewormer (ivermectin). Ivermectin has been tested to inhibit the spread of the virus in vitro, but at a dosage many times that prescribed for humans for parasitic infections. Some studies show that ivermectin may also be effective in vivo, and there is a chance that it may someday be approved for treating viral diseases, although the evidence is still insufficient. Researchers have predicted a low likelihood of success against COVID at the current prescribed level for humans, but some evidence at least suggests that higher doses might have some value. But the effective dose may be so large that it might produce dangerous side effects.
“Pharmacokinetic and pharmacodynamic studies suggest that achieving the plasma concentrations necessary for the antiviral efficacy detected in vitro would require administration of doses up to 100-fold higher than those approved for use in humans”
Trials are still needed to test both the safety and efficacy of various doses. It should go without saying that you should not be stocking up on it from your feed store and taking a horse-strength dosage on your own authority.
In terms of accurate reporting, the USA actually looks better than many other countries. While the analysts estimate that American deaths are probably about 1.5 times as many as the officially reported total, the excess death rates elsewhere during the COVID era indicate that many countries are underreported by vast multiples. For example, Russia has reported 109,000 fatalities, but the analysts estimate that the actual total is 591,000; Mexico has reported 217,000 fatalities, but the analysts estimate that the correct total is 653,000.
Well, it seems that the “fourth wave” has begun. Versus the same day of last week, US new cases were up 21%, US hospital admissions for COVID were up 9%, global new cases were up 20% and global fatalities were up 26%.
India again shattered its previous record for the most new cases in a single day.
Michigan continued to top every state and every country in the rate of new cases per capita.
For these medical professionals, it is difficult to hold back tears:
“From a nurse in South Dakota who spoke on CNN today, the brainwashed are literally dying and fighting with the nurse that it’s a hoax and must be something else:”
“I have a night off from the hospital. As I’m on my couch with my dog I can’t help but think of the Covid patients the last few days. The ones that stick out are those who still don’t believe the virus is real. The ones who scream at you for a magic medicine and that Joe Biden is going to ruin the USA. All while gasping for breath on 100% Vapotherm.
They tell you there must be another reason they are sick. They call you names and ask why you have to wear all that “stuff” because they don’t have COViD because it’s not real. Yes. This really happens. And I can’t stop thinking about it. These people really think this isn’t going to happen to them. And then they stop yelling at you when they get intubated. It’s like a fucking horror movie that never ends. There’s no credits that roll. You just go back and do it all over again.”
Who knew that Harvey Weinstein had his own airline?
The story is even weirder than my headline. It was actually on a Qatar Airways plane on the tarmac, and the justification for this bizarre examination is that there was an abandoned newborn in the airport toilet.
Scott Atlas is a radiologist. He has no training in virology, epidemiology, public health management, statistical analysis, or any other field that would be relevant to the COVID crisis. It appears that he knows far less about viral diseases than laymen who have been cramming on the subject. You would be better off listening to a witch doctor. They always wear masks. And at least garlic poultices and incantations can’t do any harm. It is also believed that Atlas is nudging President Trump in the reckless direction of using a herd immunity strategy with no vaccine on the horizon.
It probably won’t work because the immunity seems to be short-lived, which means that, lacking a vaccine, a population might never get to a point where 2/3 of the people have antibodies, because by the time the last people are infected, the immunity might be wearing off in those infected early. Let’s suppose that the antibodies last only four months. In that case, the only way to achieve herd immunity is to get antibodies into 220 million people almost instantly, and the only realistic way to do that is with a vaccine. Infecting 220 million people through community spread in three months may not even be possible, but if it were, the health care system could not possibly handle the number of hospital patients that would emerge from the strategy.
At this point I don’t know the actual average duration of immunity, nor does anyone else. Top researchers throughout the world are still learning about COVID-19. But if it is truly as short-lived as four months, we will have a decidedly difficult time with the logistics of fighting it – even with a vaccine, let alone by community spread.
“Russian investigators said Saturday they were looking into “a possible ecological catastrophe” in the eastern Kamchatka region, after scores of dead sea creatures washed up in one of it bays and surfers reported burns to their eyes and throats.”
What more can go wrong this year?
It’s difficult to imagine anyone in the future looking back at 2020 with nostalgia.
“Our nation has lost a justice of historic stature. Today we mourn but with confidence that future generations will remember Ruth Bader Ginsburg as we knew her, a tireless and resolute champion of justice.”
Actually, he’s right to say we should not be shocked by their actions. He’s just wrong about the reasons.
I’m not shocked at all that a teenager committed an act of violent mayhem in public with a powerful weapon in a country where a teenager can roam about with impunity in public with a powerful weapon. It’s completely obvious that it’s not a matter of whether these sorts of things will happen, but merely of when.
The USA’s national indicators are still looking much better than they were before this week:
New cases are down about 8% from last Saturday. That is the fourteenth consecutive day of declines, and the 17th decline in the past 20 days.
Fatalities are also down, about 13% less than last Saturday. That’s the fifth decline in the past six days.
The first decline in new cases began twenty days ago, and the first decline in new deaths began six days ago, precisely 14 days later.
Hospitalizations dropped again, and are at the lowest point since July 9.
It is important to note that these current declines are not happening because we ARE doing so well, but because we WERE doing do poorly. Even after that short-term improvement, the USA is still one of only four countries in the world in the red zone for both its new case rate and its new death rate. The four countries are Peru, Colombia, Brazil and the USA. This is not a list we want to be on. We have to do better.
There is also a major negative to consider, America’s testing rate. Positive tests are now more than 8% of all results. Ten states in the USA were above 12% on Saturday.
Note further than five states in the USA are in deep trouble because ALL of the following are true: (1) their new cases rate is higher than any country in the world; (2) their new fatality rate is higher than any country in the world; (3) their rate of positive tests is above 12%. Those states are Mississippi, Florida, Nevada, Georgia and South Carolina.