Category Archives: Uncategorized

Covid 12/31/21

Covid19mathblog.com

Now we have two December data points to compare – we can see how the vaccines worked given the seasonal nature of coronaviruses and the near zero last Dec vs. this Dec.

The chart below shows the countries change comparing stats from Dec 20 vs Dec 21 – Fatality Rate (Death/Confirmed) and Transmission Rate (Confirmed / Capita). Unfortunately the vaccine is not a clear winner in each category. As expected treatment of covid should have improved in a year so you can see very low vaccination rate countries improved their fatality rates e.g. Nigeria, Kenya, Egypt, Bangladesh. Disappointing there are several countries fatality rates that have gotten worse than last year even with higher vaccination rates e.g. Brazil, Turkey, Cuba, Malaysia – perhaps a chart with the dominant vaccine could be helpful (need data).

Transmission rate as noted several times before via US county data is independent of vaccination status. Unlike the chart above which shows some separation in terms of vaccination level – transmission rate is very uniformed regardless of vaccination levels. Malta the highest vaccinated country also presented one of the worse change in transmission rate – an increase of transmission by 222%! Countries with very low vaccination rate was able to reduce transmission rate by almost 100% e.g. Pakistan, Indonesia, India – BTW all dispensing Ivermectin.

Conclusion – vaccines were not the panacea they were marketed as. To continue mandates for all given the failure of the vaccine to lead strong and obvious value is not rationale. Overall there is a good value for vaccines for those that are in the elder and comorbidity category as the improvement in hospitalization and deaths seems obvious even if less than what was marketed. The shot would boost your immune system and get it primed for a potential infection. However its is also clear with Omicron that those who have had previous infection the need for the vaccine is minimal given it could just be 100% risk with no reward at least for 1 year after infection. The message for getting healthy cannot be more stressed. A campaign similar to reducing smoking should be done for process foods. Advertisement for unhealthy food should be eliminated similar to reducing smoking commercials. Schools and public events need to promote a wellness push. The taxing of the health system blamed on unvaccinated when you look at the data it is still unhealthy patients for the largess – perhaps also unvaccinated. The largest killer is still heart and cancer both directly tied to health. Transmission reduction strategy could be ivermectin. No study has been done in IVM for prevention of transmission – this needs to be done. This involves taking IVM before prior infection and placing candidate in a situation with live covid such as an unventilated room. With the treatment pill option a healthy candidate should have minimize fatal risk but could give large value for society – who could/would fund this study? We still should have ventilation guidelines and CO2 detectors in all public buildings.

Lots of changes occurring at the CDC level – big change is the end of the PCR for letting one go back to life – as noted several times before the PCR is a diagnostic tool not and infectious tool. No idea why it took them this long to realize this! – https://abcnews.go.com/Health/live-updates/coronavirus/?id=81952698&cid=social_twitter_abcn#81984630

“The newly updated CDC guidelines don’t require testing at the end of isolation because PCR tests can stay positive for up to 12 weeks, CDC Director Dr. Rochelle Walensky told "Good Morning America" Wednesday.”

CDC pushing out new assays for identification so can now clearly identity the difference between Covid and the Flu – this likely caused the lack of Flu reporting last year. https://www.cdc.gov/csels/dls/locs/2021/07-21-2021-lab-alert-Changes_CDC_RT-PCR_SARS-CoV-2_Testing_1.html?s=09

“CDC encourages laboratories to consider adoption of a multiplexed method that can facilitate detection and differentiation of SARS-CoV-2 and influenza viruses. Such assays can facilitate continued testing for both influenza and SARS-CoV-2 and can save both time and resources as we head into influenza season.”

Those noting the data concerns “with and from” issue of Covid was considered an extremist/antivax crowd. Perhaps this concern can become mainstream just like the lab leak theory now that Dr. Fauci has also noted the concern – only two years to come to realize data inconsistency….https://twitter.com/TPostMillennial/status/1476710278096166917

“"If you look at the children that are hospitalized, many of them are hospitalized with Covid, as opposed to because of Covid."”

“"And what we mean by that: If a child goes into the hospital, they automatically get tested for COVID and they get counted as a COVID-hospitalized individual, when, in fact, they may go in for a broken leg or appendicitis or something like that. So it’s over counting the number of children who are, quote, hospitalized with COVID as opposed to because of COVID," said Fauci.”

US leading deaths and confirmations

Australia is surging in confirmation and its summer time for them. So far deaths have not surged. However this does point out to their isolation policy not that effective in the longterm. The positive outcome could be the are able to see the less fatal variant and have better treatment programs now than last year.

NY and PA lead confirmation and deaths respectively.

There is a surge in FL but it is still below last year level. They are approaching the Princess Diamond level of confirmation per capita – now at 19%. Deaths are declining in FL

NY is way above last year’s confirmation level.

CA is doing much better than last year.

TX is also better than last year

VT is not better than last year with more deaths and more confirmation yet very vaccinated.

Surge still more focused in the colder regions when viewed on a per capita basis.

Happy New Year! We stole the ”MATH” saying from Andrew Yang – Make America Think Harder – as we highly support this. This blog we present the data – the articles are linked – its your duty to challenge yourself to think about what it means. I wish the following year brings out the best in you.

Covid 12/27/21

Covid19mathblog.com

My latest thoughts on the vaccine given its failure to be like a traditional vaccine – immunization and reduction of spread – BUT shows signs of reducing hospitalization/immunity – the benchmark of the vaccine should not be unvaccinated but perhaps a cold virus? Would injecting people with a simple cold virus therefore priming the immune system be as potentially beneficial. Clearly injecting something beyond saline/water into the body is stimulating the immune system. The very small probability of side effects of the Covid injection has been from reactivating zoster virus to myocarditis to potentially death. Perhaps a simple cold virus injection would show the same benefit without the concern of some unique creation and prime the immune system for 6 months as effectively as the vaccine?

This is just ponder – no expertise in this area – but much expertise in analyzing data and the data points to the above as potential outcome. IF immunization was to happen it’s a direct function of the vaccine. IF its not then what is the current vaccine mechanically/chemically doing in the body but strengthening the immune system to prevent death and hospitalization. There are several ways to strengthen the immune system that we do know – including being infected previously with a cold – taking vitamins – being healthy etc… COULD the vaccine be equal or as effective as those options? I do hope it is beyond just getting a common cold – but no one has confirmed the extent. How much more effective is the current vaccine relative to other immune strengthening options? Need a study of four categories – Vaccine, Cold Virus, Therapeutics for Immune System (Vitamin D, C etc…), Placebo (Saline/Water).

Personal experience – so yes the omicron went into my household before and during Christmas. I had my wife and 3/5 kids at home. Given my previous infection I was not impacted significantly – I did one day feel tired but never to a point of a fever like feeling – it was likely because I am trying to do many things and wear many hats. As with many things in life you really cant say something is bad or good until some time passes – it was good I was infected in the summer else the house would probably have fallen. It started with my VACCINATED college son with slight asthma as noted in previous blog – then wife (unvax) also not interested in most of the treatment options– then my next youngest college son (unvax) then finally my high school daughter (unvax). It was clearly beyond a typical common cold for all except my youngest (16)– I would say its closer to a flu for sure given the weakness observed and the need to sleep. No one really showed any significant difference other than my wife who seems tired longer but she is older and not taking as much prophylactic. The impact so far less on the daughter who claims she is fully recovered now – but she got on HCQ Zinc much earlier in the phase and started showing symptoms much later. Sore throat is a consistent theme. I had the treatment plan all lined up from Quercetin, HCQ, lactoferrin, Benadryl, vitamin D, Zinc, betadine nasal spray, Crest mouthwash 0.07% cetypyridinium chloride, black cumin seed, and eventually IVM. The game plan was simple reduce viral load! Give the body the best chance possible. Windows open making use of the mild winter. The timeline of sickness seems to be consistent 4-5 days. As of today the first college son is back to normal – youngest daughter all good. The wife is still tired. The other son seems to be all good. The daughter continues to show the least amount of symptoms and is also on ivermectin – never lost taste or smell vs. the others.

The adventures of ivermectin: As noted previously ivermectin was approved for me in the summer from insurance and cost $5. This time the IVM was not approved from the insurance company even though with the same doctor. I had to call several pharmacy – all the CVS is out. Several Walgreens out – I finally called the 24 hour Walgreen (likely hub) that I got it from last time and they had it. However they noted the insurance denied it and it would be $275. There was an online coupon from goodrx that lowered the price to $135. I went ahead and went with that. Per Christmas I picked it up past 24hours – and then was rejected from the coupon as arrived due to system issue but could wait 24 hour and perhaps it will work again. Of course the pharmacist tells me he is not forcing me to buy it at $275 but we do know IF IVM was to be effective it had to be early. I went ahead and bought it for $275 in hopes of getting a refund later. Well just this morning Walgreens was able to process it and now its $87! – amazing. Another instance of a setback ends up as a positive – but it does require my time to make calls and drive to and from…..my time is worth more than this now given all the hats I wear including researching Covid for the team!

The adventures of TEST – you cant get them unless you had some ahead of time which we did -but all out now everywhere – see testing article below.

Many attempted to argue my interpretation of using county level vaccination rate even within states vs transmission rate (cases/per capita) over the last 7 days or 30 days as proof that vaccine status does not matter early on the summer was not good enough. Well here is the study focused on the issue https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(21)00648-4/fulltext?s=09

Conclusion:

Vaccination reduces the risk of delta variant infection and accelerates viral clearance. Nonetheless, fully vaccinated individuals with breakthrough infections have peak viral load similar to unvaccinated cases and can efficiently transmit infection in household settings, including to fully vaccinated contacts. Host–virus interactions early in infection may shape the entire viral trajectory.

Better late than never – https://www.scientificamerican.com/article/the-risk-of-vaccinated-covid-transmission-is-not-low/?s=09

“It is vital that people responsible for the health of unvaccinated children, as well as people at high risk of infection, understand this: COVID vaccines make it less likely you’ll get sick and especially unlikely you’ll get very sick. But vaccinated people—whether they have symptoms or not—are contracting and spreading the virus in nontrivial numbers.”

Denying reality will catch up….

Another denial was there was a big seasonality component – it was known in the scientific community. Here is the wastewater study in August 2020 which was also noted on this blog highlighting temperature dependency in water and how long it can survive. https://www.nature.com/articles/s41893-020-00605-2?s=09

“Temperature is an important variable for survival of virions in general and SARS-CoVs in particular46,60,61. Longer retention of SARS-CoVs infectivity has been observed at lower temperatures (for example, 14 days at 4 °C versus two days at 25 °C in wastewater)61. This implies that in cold seasons and temperate climate zones, the environmental survival of SARS-CoV-2 may be increased. Temperatures above 56 °C reliably inactivate SARS-CoV-1 and SARS-CoV-2 after 90 minutes and 30 minutes, respectively, most likely due to denaturation of proteins and lipid bilayers46,62,63.”

Focusing on covid data from cases, deaths, hospitalization without ANY weather normalization resulted in wrong conclusions including the efficacy of vaccines!

In hindsight and appropriate evaluation of the data in real time showed – too much focus was done on the vaccine which left out other actions just as important from testing availability and use to health initiatives to early treatment initiatives for hotspots e.g. vitamin D give away, ventilation guidelines, etc…

Remember the 90% efficacy – well its barely above 50% with Omicron – https://www.medrxiv.org/content/10.1101/2021.12.20.21267966v2?s=09

“we found a VE against the Omicron variant of 55.2% (95% confidence interval (CI): 23.5 to 73.7%) and 36.7% (95% CI: 69.9 to 76.4%) for the BNT162b2 and mRNA-1273 vaccines, respectively, in the first month after primary vaccination. However, the VE is significantly lower than that against Delta infection and declines rapidly over just a few months. The VE is re-established upon revaccination with the BNT162b2 vaccine (54.6%, 95% CI: 30.4 to 70.4%).”

Another point to the obvious which is denied – perhaps cognitive dissonance – HEALTH REALLY MATTERS AND WHAT YOU EAT MATTERS TO YOUR HEALTH – https://www.scientificamerican.com/article/gut-reactions-microbes-in-the-digestive-tract-influence-covid-severity/?s=09

“the gut is not merely a passive target for the virus. Evidence suggests it is also a player in determining the severity of COVID-19. A burst of research over the past decade has shown that the tiny denizens of the digestive tract—the gut microbiota—play a vital role in protecting the body from pathogens and in regulating immune responses to infections, and that seems to be the case for COVID.”

“There isn’t yet proof of a direct relationship between COVID severity and gut dysbiosis, but evidence is mounting.”

FDA approves Pfizer pill – wish they would have run a study including the FLCC treatment plan, placebo, and the pill to really see the efficacy…. https://www.nbcnews.com/health/health-news/fda-authorizes-first-covid-pill-pfizer-emergency-use-rcna8760

“The treatment needs to be taken early to be effective — within five days of first symptoms, according to the FDA.”

Similar to HCQ and IVM

Found the cost the US is purchasing it at – $530 per patient! We have one of the worst purchasing negotiators in the world? https://www.forbes.com/sites/williamhaseltine/2021/12/23/pfizers-new-antiviral-drug-could-transform-the-pandemic-but-challenges-still-lie-ahead/?sh=29a66466c49c

“The US is purchasing the drug at a cost of $530 per patient, a cost significantly out of reach for poorer countries. Based on comparable drugs manufactured in India, I estimate that the true cost should be more like $25 – $30 per patient.”

Once again my hypothesis that the variants of concern is not driven by vaccination status but likely poor hygiene areas somewhat supported by the study noting how unique Omicron is and perhaps the source is a mouse! https://www.biorxiv.org/content/biorxiv/early/2021/12/15/2021.12.14.472632.full.pdf

“our results suggest that the progenitor of Omicron jumped from humans to mice, rapidly accumulated mutations conducive to infecting that host, then jumped back into humans, indicating an inter-species evolutionary trajectory for the Omicron outbreak. “

A very interesting study done on youth showing youth who get Covid actually produces an immunity which is superior to vaccines. Vaccination of youth with current vaccine may not be as beneficial as youth obtaining natural immunity which potentially supports them for the rest of their lives. Youth vaccinated could be needing routing vaccination for the rest of their lives? – https://www.nature.com/articles/s41590-021-01089-8?s=09#about-the-journal

“we showed that children display a characteristically robust and sustained adaptive immune response against SARS-CoV-2 with substantial cross-reactivity against other hCoVs. This is likely to contribute to the relative clinical protection in this age group but these findings may also provide insight into the characteristic immunopathology that may develop. Furthermore, they will help to guide the introduction and interpretation of vaccine deployment in the pediatric population.”

Clearly testing is more crucial than the vaccine at this point when you believe in endemics vs. pandemic. It is unfortunate test are so scarce in the US and so much more expensive than in Europe $15 vs $1. https://www.vanityfair.com/news/2021/12/the-biden-administration-rejected-an-october-proposal-for-free-rapid-tests-for-the-holidays

““It’s undeniable that [the administration] took a vaccine-only approach,” said Dr. Michael Mina, a vocal advocate for rapid testing who attended the October White House meeting. The U.S. government “didn’t support the notion of testing as a proper mitigation tool.””

“president’s announcement on Tuesday struck many experts as “an exemplar of too little, too late,” as Dr. Eric Topol, director and founder of the Scripps Research Translational Institute in La Jolla, California, put it in a Substack post on Tuesday. Topol called the plan to make 500 million free rapid tests available sometime next year “totally inadequate,” writing, “We need several billion of these, and have needed them for over a year to help prevent spread, as validated and relied upon in many countries throughout the world.””

Might not be able to get a test but perhaps we can get the $530 treatment via Pfizer pill next year!

UK is now over 17% confirmed per capita

World view

NY leads confirmation and TN leads Death

NY confirmation much higher than last year.

Surprising to see FL leading leading county in confirmation per capita is Miami-Dade with 93.5% vaccination rate!

Covid 12/22/21

Covid19mathblog.com

I hate to be the bearer of bad news but Omicron is some scary variant – don’t want to be a scare monger but the amazing speed of transmission is astounding. We have two flights showing spread of around 10% in flight! https://www.ggdkennemerland.nl/nieuws/2021/11/Update-geteste-reizigers-Zuid-Afrika?s=09

As you recall an early study of a 14 hr flight with the Alpha did not lead to transmission – https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(20)30314-5/fulltext

*Omicron must need a very low level of viral load to infect relative to other variants. Anecdotally I observed this from various people and my own home front now where my son arriving from college for break has tested positive.

Unfortunately Omicron looks to evade both vaccine and many monoclonal treatment – https://www.biorxiv.org/content/10.1101/2021.12.14.472719v1.full.pdf

“We found B.1.1.529 to be markedly resistant to neutralization by serum not only

from convalescent patients, but also from individuals vaccinated with one of the four widely

used COVID-19 vaccines. Even serum from persons vaccinated and boosted with mRNA-based

vaccines exhibited substantially diminished neutralizing activity against B.1.1.529. By

evaluating a panel of monoclonal antibodies to all known epitope clusters on the spike protein,

we noted that the activity of 18 of the 19 antibodies tested were either abolished or impaired,

including ones currently authorized or approved for use in patients. In addition, we also

identified four new spike mutations (S371L, N440K, G446S, and Q493R) that confer greater

antibody resistance to B.1.1.529. The Omicron variant presents a serious threat to many existing

COVID-19 vaccines and therapies, compelling the development of new interventions that

anticipate the evolutionary trajectory of SARS-CoV-2”

“The potency of class 1 and class 2 RBD mAbs all dropped by >100-fold, as did the

more potent mAbs in RBD class 3 (REGN10987, COV2-2130, and 2-7). The activity of S309

declined modestly, whereas Brii-198 was spared. All mAbs in RBD class 4 lost neutralization

potency against B.1.1.529 by at least 10-fold, as did mAb directed to the antigenic supersite26 113 (4-

18) or the alternate site23 114 (5-7) on NTD. Strikingly, all four combination mAb drugs in clinical

use lost substantial activity against B.1.1.529, likely abolishing or impairing their efficacy in

patients.”

“recent reports showed that the efficacy of two doses of BNT162b2 vaccine has dropped

from over 90% against the original SARS-CoV-2 strain to approximately 40% and 33% against

B.1.1.529 in the United Kingdom32 and South Africa33 174 , respectively. Even a third booster shot

may not adequately protect against Omicron infection”

The value add off the vaccine may purely be the vaccine is just keeping the immune system primed.

It looks like my forecast of deaths this winter could be low – even my high case as my model did not start off with such high levels of contagion and assumed the efficacy of the vaccine closer to 70%. https://covid19mathblog.com/2021/09/covid-9-1-21-update/

Many reports that Omicron is mild relative to past variants but the volume of spread would likely outweigh the benefit of being mild as those in poor health will likely cause a fatality.

IF we could go back in time we should have definitely promoted healthy habits as I am sure Omicron fatality will be skewed to the unhealthy as noted in recent breakthrough studies and this is before Omicron – https://www.kff.org/coronavirus-covid-19/press-release/breakthrough-covid-19-hospitalizations-among-fully-vaccinated-patients-occur-most-often-among-older-adults-and-involve-people-with-chronic-health-conditions/

“Larger shares of fully vaccinated adults hospitalized with breakthrough COVID-19 had selected chronic conditions including, hypertension, diabetes, heart failure, or chronic obstructive pulmonary disease) compared to those hospitalized with COVID-19 who were not fully vaccinated.”

All is not completely loss the US military has a super vaccine in the works – does that mean to sell Pfizer and Moderna? – https://www.newsweek.com/super-vaccine-effective-against-all-covid-variants-omicron-created-army-1662000?

“In a few weeks, scientists at the Walter Reed Army Institute of Research (WRAIR) are expected to announce a vaccine that is effective against all SARS and COVID variants, including Omicron.

The vaccine has been in the works for almost two years, Defense One reported, after the army received its first DNA sequencing of the COVID virus in early 2020. The military at an early stage attempted to make a vaccine that would be effective against different variants, the news outlet reported.

Unlike the other products, Walter Reed’s is a spike ferritin nanoparticle vaccine, which has a soccer-ball shaped protein with 24 faces, allowing it to attach to the spikes of multiple COVID variants on different faces of the protein.”

In the US we are now at 15.5% of the population having confirmed covid at some point. Remember the Princess Diamond which was my worse case scenario is at 20%. Mexico fatality rate has dropped amazingly from avg over 7% to now 1.6%

If we look at the US we breached last year spread but now back down. Fatality rates only improved 60-70% from last year – still expected to show a reduction of deaths from last winter – just not as much as initially anticipated. Last winter(Oct-Mar) 551K deaths.

UK on the other hand they have almost a 3X transmission rate from last year – the good news is there fatality rates have improved 7X so they SHOULD observe less deaths this winter. Last winter 127K deaths

Germany is observing 4X transmission but only 2.5X improvement in fatality rates. They could see more deaths than last winter which was at 77K.

Even Sweden is seeing a huge surge in confirmations. 3X more transmission but fatality rate improvement of over 10X so they should see less winter deaths this year vs last of 13K

South Africa confirmation surge came down but is not rising and still above last years level. Fatality rate has drop 10X.

South Korea is observing 12X transmission rate while fatality rate only improved by 70% – this will likely mean more deaths vs last year 1.3K.

Still Northern states leading confirmation

Hopkins TX now leads all counties with transmission rate – they do have a low vaccination rate 46.6% – Tompkins NY second place with 81% vaccination rate.

Covid 12/20/21

Covid19mathblog.com

I suspect the narrative has finally shifted to the point vaccination status is irrelevant in terms of transmission – at least I hope so with the overwhelming amount of data. I know I was heavily criticized for this stance throughout the summer since the South was getting confirmed AND they were less vaccinated – but this is a case where correlation is not causation. The causation is it was hot in the South and in the West – leading to more people being inside and the fact IF you set your temperature at 72 – this means the HVAC unit likely <60F causing the virus to encapsulate leading for longevity of “life” in the air.

Now we have a flip in confirmation per capita and it is once again about the weather and ours and the virus behavior to that weather. Going inside plus the encapsulation of the virus in general increases the odds of transmission. VERY hard to deduce anything if you don’t weather normalize the dataset that are weather dependent – just ask any power or gas trader. You will get wrong conclusions without weather normalization. Of course some will claim its Omicron causing more transmission – but once again it is Omicron in the winter vs. Delta in the summer – is that really a fair comparison knowing how physically a coronavirus acts in weather?

It is fundamentally important to admit you are wrong when you are – else you will never learn. REPEAT – VACCINATION STATUS DOES NOT RESULT IN ANY SIGNIFICANT MEANING FOR TRANSMISSION – this is the DATA from real life – not some clinical trail or lab experiment confirming some reduction of viral load. Initially its great to depend on a lab setting but eventually reality surpass any lab data. We need to stop with office/shopping/entertainment restrictions as a function of vaccination status. Antigen testing at gatherings is valid in hotspots for BOTH vaccination status type. Vaccination can and does show a reduction of hospitalization and death – but so does many other things from staying more quarantined, maintaining a healthy lifestyle, having a childhood full of sickness – hence strong immunity as you age, prior Covid infection and recovery, etc…..

With so many people getting covid its important to review some prophylactic measures – remember the focus needs to be reducing viral load. Reduction in viral load reduces the likelihood of getting infected – it does not have to be 0 viral load. It also will likely aid the recovery time period.

Ventilation will reduce viral load! Get yourself a CO2 test – several available on Amazon. Focus on staying in environments less than 1000 ppm

Temp above 60F will prevent encapsulation allowing the virus to “die” off faster.

Nasal spray will reduce viral load – do this even if you are sick you want lower viral load – Several spray options: Butadiene, Nozin, Xylitol, Zicam, etc…..

I used Airfree technology which you can buy on Amazon – I wrote on this back in August 2020 – “Basically a heat exchanger at high temp creating convection which when the air passes the virus/germs get heated up to 400F – outcome decomposed microscopic ash – the concern would be volume flow rate within area seems low since no fan – However they do have papers to read – my favorite would be the following https://www.airfree.com/Files/Billeder/AirFree/Testes/Soto%20et%20al%20scientific%20article%20.pdf

For those that are infected – I got infected back in July – https://covid19mathblog.com/2021/07/covid-7-23-21/ – I threw the kitchen sink at my illness much like Joe Rogan – “started my prescription of HCQ, Ivermectin yesterday along with other things melatonin, vitamin D, black cumin, etc…. I am doing that only because of the risk/reward I perceive and the noted potential benefit of reducing long covid” . The earlier you do this the better the outcome. I cannot say with certainty any of these drugs helped me but I certainly had a confidence boost that I was doing something beyond letting fate decide my outcome.

Another Ivermectin study that just came out – https://www.researchgate.net/publication/356962821_Ivermectin_prophylaxis_used_for_COVID-19_reduces_COVID-19_infection_and_mortality_rates_A_220517-subject_populational-level_retrospective_citywide

“This evidence showed a 7% reduction in COVID-19 infection rate with use of ivermectin: COVID-19 infection rate ratio (Risk ratio (RR) of 0.93; 95% confidence interval (CI), 0.89 – 0.98; p = 0.003). A total of 62 deaths (1.4% mortality rate) occurred among users and 79 deaths (2.6% mortality rate) among non-users, showing a 48% reduction in mortality rate (RR, 0,52; 95%CI, 0.37 – 0.72; p = 0.0001). Risk of dying from COVID-19 among ivermectin users was 45% lower than non-users (RR, 0.55; 95%CI, 0.40 – 0.77; p = 0.0004). Conclusion: Prophylactic use of ivermectin showed significantly reduced COVID-19 infection rate, mortality rate and chance of dying from COVID-19 on a calculated population-level analysis, which controlled for all relevant confounding variables.”

Don’t ride your high horse of principle – look at the risk/reward and do what is best for you. The risk for taking ivermectin is very little – it cost less than $5 and it has been taken for decades – the side effects are comparable to Advil/Tylenol!

WHY is it important to understand that vaccines was not going to be the answer early on? Why was I criticized from both family and friends for my view based on just data? IF you have a belief early on it changes the path. The path to believe this is endemic would have indicated that a pharmaceutical solution would not likely solve the issue – at least by itself. Other forms of solutions should have been addressed including CO2 guidelines and suggestions for modifications of HVAC, Vitamin D give outs, get healthy initiatives – similar tactics used to reduce smoking could have been done for unhealthy foods, direct point out that health is a prime driver of covid deaths, quarantine the vulnerable let others live their lives…..suggestions as discussed https://gbdeclaration.org/

“The most compassionate approach that balances the risks and benefits of reaching herd immunity, is to allow those who are at minimal risk of death to live their lives normally to build up immunity to the virus through natural infection, while better protecting those who are at highest risk. We call this Focused Protection.”

Guess what narrowing use for vaccine as concerns grow who would have thought? A doctor discussion on vaccine should be made for everyone – this should not be a universal imposed requirement. There will be people whose risk outweighs the reward – (heart issues and those with history of zoster (herpes, shingles)) https://www.npr.org/sections/coronavirus-live-updates/2021/12/16/1064909742/cdc-vote-narrow-use-of-johnson-and-johnson-covid-vaccine?s=09

“The advisers said Thursday that vaccines from Pfizer and Moderna should be preferred by all adults, who may be at greater risk for developing severe blood clots from the J&J vaccine than those under age 18. Some committee members said the J&J vaccine should remain available for people who prefer it.”

US leads the death and confirmation count worldwide. The good news is our fatality rates on a 30 day basis is extremely low 0.19%.

S. America has been out of the news – as they are now just a sliver or reporting. Its their summer and they don’t have HVAC as much as others e.g. Australia

US View – US confirmations are lower than last year but this winter so far is milder than last year too.

NY is leading confirmations for the country

Last 7 days Tompkins NY leads in confirmed/capita with a 81.1% vaccination status.

Covid 12/17/21

Covid19mathblog.com

A very interesting podcase was done on Joe Rogan with Dr. Peter McCullough – many statements resonated with the data we review and many statements are questionable but certainly eye opening. Many people’s takeaway will be the discussion of treatment being held back. However I believe there are statements that are equally or more concerning. Podcast: https://open.spotify.com/episode/0aZte37vtFTkYT7b0b04Qz?si=-uGYLt_YTtG97sS1ddDdJQ

Who is Dr. Peter McCullough – Is he grifting? Whats the gain? – https://www.uscjournal.com/authors/peter-mccullough

“Recognition

Dr. McCullough received the International Vicenza Award for Critical Care Nephrology for his outstanding work and contribution in the area of cardiorenal syndromes. He has also been a recipient of the Simon Dack Award from the American College of Cardiology, and his works have appeared in the New England Journal of Medicine, Journal of the American Medical Association, and other prestigious journals worldwide. He has been an invited lecturer at the New York Academy of Sciences, the National Institutes of Health, the U.S. Food and Drug Administration (FDA), the European Medicines Agency, and the U.S. Congressional Oversight Panel.⁵

Areas of Speciality

Coronary Artery Disease. Chronic Kidney Disease as a Cardiovascular Risk State, High Blood Pressure. High Cholesterol, Hypertension, Sports Cardiology”

3 hour highlights below – paraphrased from the conversation – not direct quote

~50 [Asymptomatic spread does not occur – therefore stop testing asymptomatic” “Cant get it twice with natural immunity – dead virus and/or flu test that cant tell the difference]

~100 [Clinical trails for vaccine was biased and not represented of real life – hence showed 90% efficacy but that’s not reality] – THIS IS CONFIRMED WITH WHAT OUR DATA SHOWS PERHAPS 60-80%.

~108 [Obesity not good for cytokine storms as the virus targets fat cell therefore greater fat greater fuel for the virus]

~118 [Vaccine is not a treatment – Monoclonal is a treatment and it works!]

~125[18K deaths from vaccine 30K disabled from the vaccine per verified VAERS – there is risk to take the vaccine small but not 0]

~137[Myocarditis 12-18 is up – 13K myocarditis with 86% of those being hospitalized – an average year around 500-700 per finish study done before covid – Vaccine does go to the heart]

~150[Progressive accumulation of the spike protein may not be a good thing – body will not get rid of it particularly if you are boosting yourself ] – bioaccumulation takes time and impacts are unknown at this time – we learned this from asbestos, cigarettes, alcohol, etc….

~156[No data that shows covid vaccine protect others]

~159[99% unvaccinated in hospital was a fake news talking point but was too late to take back]

~204[Being hospitalized prevented many from taking monoclonal antibody]

~220[Noted he got the alpha variant and been dealing with delta patients and never got sick – cant get covid again – impact is large – why isolate nursing home patients from their loved ones if they already had it]

~238[4-6x to get myocarditis in children with vaccine vs. than from covid – the myocarditis from covid is not an issue for the youth]

Big question I got from the interview and looking for an answer – he noted he got the alpha variant and recovered – he also notes he took the vaccine along with his kids particularly before going to India – yet he stated cant get it twice – so why take it? Was it just because of restrictions – or timeline?

Many of his statements IF true are shocking and changes the approach. Our data has shown the efficacy is not as good as initially promise but still continues to improve the odds of death. We have also noted the data does not show the covid jab does not prevent transmission very early on. Once one can get off the bandwagon that the covid jab is not a society gain – then one can see there is a risk associated with the jab – and that there are certain conditions (previous zoster, family heart issues, historical reactions to vaccine,etc… ) then the jab should be a doctor consult to weigh the risk/reward not an all encompassing jab or else cant be a part of society.

Got to love the internet to obtain knowledge – here is a great discussion on variant and biology and evolution and testing less sensationalist than Joe Rogan but very informative – both very supportive of vaccines – https://youtu.be/oWDGNrOqQfQ

Paul Turner Rachel Carson Professor of Ecology and Evolutionary Biology Yale University

  • Variant should be getting less impactful per evolution
  • Discussion on booster vs. vaccination – sided with vaccinate the world over boosting.
  • Kids getting natural immunity close call….

Michael Mina Epidemiologist, Immunologist, Physician. Harvard University

  • Pushing for testing – and concluding endemic
  • Believes in asymptomatic testing but using rapid test NOT PCR
  • Germany test only $1 – vs. US much higher
  • Testing is public health tool
  • Rapid testing focused on infectious now – whereas PCR test is not about answering am I infectious now
  • Reality the amount of virus you have is a very short time period
  • Don’t send the whole class of school home
  • Use rapid test right before an event the most effective approach….3 days before etc..is not right
  • Does not support vaccine for stopping transmission – but certainly helps for fatality – viral load for vaccination /unvaccinated equal
  • Outbreak or waste water monitoring – is when one should test more
  • No scenario that PCR test is better tool than rapid test for public health
  • Breakthrough cases are not rare

Japanese study highlight the risk of the vaccine – in this case Pfizer – starts on pdf page 8 https://www.npojip.org/english/MedCheck/Med%20Check%20Tip-20-2021-08&12.pdf

“We analysed 196 death cases reported after inoculation of Pfizer-BioNTech COVID-19 vaccine (COMIRNATY) by

June 9 in Japan. Japanese Ministry of Health, Labour, and Welfare (MHLW) virtually denied the causality of all cases

without conducting appropriate epidemiological analysis.”

“Mortality odds ratio (MOR) was calculated as the indicator of disproportionality in cause of death. We compared

odds of cause of death after inoculation and death in Japanese vital statistics in 2019 as control non-vaccinated

population. MOR was obtained by using the numbers of death from non-cardiovascular system as the reference

causes for two age groups: vaccinated medical workers (20 to 74 year of age) and elderly ( ≧ 65years) separately.

●Of 31 deaths among vaccinated medical workers (both sexes), 26 (84%) died from cardiovascular diseases, such

as stroke, myocardial infarction, venous thrombosis and pulmonary embolism (VT/PE) and heart failure, while 22%

died in the general population. MOR is 19.4 (p<0.0001). MOR of hemorrhagic stroke (40.7) and VT/PE (114.0) were

extremely high.

● Of the reported vaccinated elderly death cases, 69% died from cardiovascular causes, while 26% died in the

general population. MOR is 5.9 (p<0.0001). MOR of hemorrhagic stroke (12.8) and VT/PE (24.9) were also very high.

● These suggest that COVID-19 vaccination is closely associated with the risk of death from cardiovascular causes,

especially hemorrhagic stroke and VT/PE.”

Concluded risk is real in the vaccine at a “rare” level but then tried to relate it to the covid infection – but as noted in the podcast above lots of clarification is needed when you start comparing. The main point there is a risk – a doctor consult and looking at lifestyle and history seems like a reasonable path. Particularly if you cannot conclude there is a societal gain there should be zero mandates as not all SHOULD get the vaccine. https://www.nature.com/articles/s41591-021-01630-0?s=09

“Vaccination for SARS-CoV-2 in adults was associated with a small increase in the risk of myocarditis within a week of receiving the first dose of both adenovirus and mRNA vaccines, and after the second dose of both mRNA vaccines.”

Because people refused to just analyze the data and use some common sense – we have to wait for studies – here is another study confirming transmission is independent of vaccine status as human behavior is more likely the driver – mechanical solutions likely more effective than vaccine – https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(21)00648-4/fulltext

“The SAR in household contacts exposed to the delta variant was 25% (95% CI 18–33) for fully vaccinated individuals compared with 38% (24–53) in unvaccinated individuals.”

“Vaccination reduces the risk of delta variant infection and accelerates viral clearance. Nonetheless, fully vaccinated individuals with breakthrough infections have peak viral load similar to unvaccinated cases and can efficiently transmit infection in household settings, including to fully vaccinated contacts. Host–virus interactions early in infection may shape the entire viral trajectory.”

Makes sense Moderna should be more likely to have heart issues 3X the dosage – at same time seems to be the most effective to – balanced risk/reward – https://www.reuters.com/business/healthcare-pharmaceuticals/moderna-covid-19-shot-more-likely-cause-heart-inflammation-than-pfizers-study-2021-12-17/

“Moderna’s (MRNA.O) COVID-19 vaccine is up to four times more likely to cause inflammation of the heart muscle, a very rare side effect, than its rival vaccine from Pfizer-BioNTech (PFE.N), , according to a Danish study published in the British Medical Journal late on Thursday.”

Vaccination even high levels does not equate to no transmission – https://www.nbcchicago.com/news/sports/everything-to-know-about-bulls-covid-19-outbreak/2704819/

“Alize Johnson on Monday became the 10th Bulls player to enter protocols in the last 13 days,”

“The Bulls are a fully vaccinated team. Vučević said after Saturday’s loss to the Heat that "most" of the team has received booster shots.”

Collateral damage from policies are real – perhaps “other lives” less important? – https://fee.org/articles/47-000-more-people-died-of-this-disease-in-2020-due-to-lockdowns-world-health-organization-reports/?utm_source=Social&utm_medium=Twitter&utm_campaign=2021_FEEDotOrg&s=09

“The World Health Organization (WHO) just reported that pandemic measures delayed and disrupted medical care for the global malaria crisis, leading to tens of thousands of additional deaths. An astounding 14 million additional malaria cases were recorded in 2020 compared to 2019, the WHO says. So, too, we saw 69,000 more malaria deaths in 2020 compared to 2019, 47,000 of which the organization says are directly attributable to disrupted diagnosis and treatment stemming from government pandemic restrictions.”

Amazing how long it takes for the mainstream to believe the virus was likely manmade and all those people who were criticized as conspirators – https://www.dailymail.co.uk/news/article-10313053/Covid-19-UK-Wuhan-lab-leak-likely-origin-Covid-MPs-told.html?s=09

“The Wuhan lab leak is now the most likely origin of the coronavirus pandemic because Beijing tried to cover it up, MPs were told today.

Harvard scientist Dr Alina Chan told the Science and Technology Select Committee that it is ‘reasonable’ to believe that Covid was genetically engineered in China.

She also said that the Chinese Communist Party’s cover-up of the initial outbreak in Wuhan two years ago and attempts to sabotage the World Health Organisation’s inquiry into the origins of the pandemic made the lab-leak theory likely.”

There is good news. The data would indicate that the virus is less lethal and/or we are getting better at treating as you can see the the 30 day death/confirmation is less than the fatality rate across the board

Europe and US flattening in confirmation

For US we shouldn’t be cautious on the reason why flattening as the temperature in the US is milder than last year.

NY leading the confirmation even though one of the highest vaccinated state.

So Tompkins, NY with 81% vaccinated second highest transmission rate in the country – confirmed/Capita for the last 7 days.

State view – temperature more indication of spread

Vaccine helps the individual in reducing the odds of death

Covid 12/12/21

Covid19mathblog.com

There are certainly exaggerated claims on both sides of the aisle. The recent one I came across is the definition of antivaxxer on webster dictionary and the concern of the definition change- https://apnews.com/article/fact-checking-034481134066 . Language is an interesting concept – hence I prefer numbers. Word definitions do change and for a long time may not be consistent with what is shown in a dictionary. In the context of antivaxxer even though this was used way back in 2018 as noted from wayback machine – https://web.archive.org/web/20181125060933/https:/www.merriam-webster.com/dictionary/anti-vaxxer I am not sure if it really was absorbed into society as defined in the dictionary. There is history to this as common words today we use are not in the same context – such as naughty – historically defined as immoral and evil – I don’t think we mean that when we say our kids/pets have been naughty. Meat used to mean any solid food – now its held in high regards as just animal flesh so much so there are lawsuits and laws being developed to argue against the use of meat for plant based food. https://ideas.ted.com/20-words-that-once-meant-something-very-different/

I would contend the context of antivaxxer in society view is one who is an extremist so much so they are against vaccines including those who have shown a decade plus of efficacy. To question a vaccine that just came on the market even though billions have taken it so far is not as extreme in my perspective. The billions taking it implies that a large group of followers cannot be wrong. In fact it will likely cause more of a coverup if there is something wrong. The vaccine itself may be fine, but did you consider the manufacturing process and the distribution chain and how rushed that got in supply chain constrained world. The odds of issues is a reasonable assumption. You can be right and be wrong too – perhaps for 99% of people it is great. For the <1% who perhaps have a history of zoster or issue with vascular – these people SHOULD consult a doctor! (https://academic.oup.com/rheumatology/article/60/SI/SI90/6225015?s=09 https://www.ahajournals.org/doi/abs/10.1161/circ.144.suppl_1.10712?s=09 )

We do not have all the answers no matter how advance you think science is now – we still have drug recalls after years of circulation. They even recall things that are used normally such as the recent jury order on J&J to pay $417 million in Johnsons Baby Powder and talcum powder case.

“Research now shows that use of talcum powder in the genital area can lead to development of ovarian cancer in women. In other cases, consumers have been diagnosed with mesothelioma cancer. Johnson & Johnson is facing more than 6,550 lawsuits and though a few have gone to trial with judgements reaching into the $ millions, most lawsuits have not been settled.”

In the current definition of webster perhaps I am an anti-vaxxer – https://www.merriam-webster.com/dictionary/anti-vaxxer – but I took the vaccine so am I a hypocritical anti-vaxxer? – but I weighed the risk/reward for myself and I took it before regulations – I think people should weigh their individual lifestyle and discuss the issues with their doctor – we cant just force people to do things to their body – particularly when now proven not to reduce transmission significantly nor help reduce hospitalizations and deaths significantly for those healthy. The healthy part is questionable that’s why you consult with a doctor! No open minded well versed person in vaccine can say that the current vaccine offers 100% safety for all – this is just not true! We need empathy and a program to help the minority that end up with a bad reaction to the vaccine. We need to minimize those that would get a bad reaction. https://www.bbc.com/news/articles/c41nlvy5x85o

“A woman has described how she had to learn how to talk again after she said she was left partially-paralysed due to the side effects of her Covid-19 vaccine.

Kerry Hurt, from Rotherham, suffered a stroke after undergoing surgery for a blood clot two weeks after having the AstraZeneca jab.

Mrs Hurt said it had "devastated" her life but still encouraged people to have the vaccine if they wanted it.

A government spokesperson said severe side effects were "extremely rare" and affected 1 in 100,000 people, external having first doses.”

“"We both did it for the right reasons, we’re not anti-vaccines by any means," Mr Hurt said.

Blood clots from vaccines are estimated to occur with 1 in 100,000 people over the age of 40 or those with underlying medical conditions.

For people aged under 40, the risk increases to 1 in 50,000 people.”

“The University of Oxford said the risk of having a blood clot was greater from catching Covid-19 , externalwhen compared with having a first vaccine dose.”

“Mrs Hurt said she had been trying to claim compensation from the Vaccine Damage Payment Scheme (VDPS).

She said despite her life being affected, claiming was difficult and full of "red tape", having not been updated since 1979.

"I had the vaccine thinking I was doing the right thing," she said.”

So perhaps many will say well I didn’t take the AstraZeneca – but like I said perhaps the issue isn’t the vaccine but the manufacturing and distribution – much is still unknown as noted in the article above – and no one wants to be that <1% whether its an impact from covid or vaccination.

Speaking of history we can learn from great advice back in 1918 by keeping healthy – focus on ventilation and staying away from the crowds if you are so concern about spreading and obtaining covid.

Unfortunately it may take a long time to really understand the facts – not sure why not show all the documents – not showing likely lead to more antivaxxers – https://aaronsiri.substack.com/p/fda-doubles-down-asks-federal-judge?s=09

“The Court ordered the parties to submit briefs in support of their respective positions by December 6, 2021. The FDA’s brief, incredibly, doubles down. It now effectively asks to have until at least 2096 to produce the Pfizer documents. Not a typo. A total of at least 75 years.”

Another win for Pfizer – new study – potential analogy the car you bought doesn’t really drive well but since you are at the dealership we have an addon for just additional more which you don’t have to pay because the govt will cover it will solve the issue so please take it – https://www.timesofisrael.com/israeli-study-finds-2-pfizer-shots-fail-to-neutralize-omicron-but-booster-effective/

“People who were vaccinated with Pfizer shots six months ago or more have “almost no neutralizing ability” against the Omicron variant, while those who received boosters are in reasonably good shape, an Israeli study has found.

Prof. Gili Regev Yochay of Sheba Medical Center said that her research is “very worrisome” due to its implications for people who have had just two shots and had more than a half-year pass since their most recent vaccination — which applies to many of the world’s Pfizer vaccinees. However, it gives cause for “optimism” regarding the power of boosters to fight Omicron, albeit less effectively than they fight Delta.”

What will be the definition of an anti-booster? https://www.merriam-webster.com/dictionary/anti-booster

We are dying above the avg 2014-2019 numbers since the beginning of 2020 – we have not improved even though we have vaccinated so many in the US – over 80%+ in the 65+ category. Its time to call an audible – we need a campaign on health, ventilation, and distribution of vitamin D in hot spots.

Still showing on a state level basis more vaccinated more confirmation for the last 30 days – Temp is a way better influencer on transmission R2=0.30

Fatality rate is improved with vaccination rate R2=0.29. Temp are a poor indicator of death.

County level basis no clear indication vaccination helps death nor spread. Does show improvement for fatality rate.

Good news in general fatality rate improving across the world (30 day MA Death/Confirmed < fatality rate)

Europe perhaps past peak? The weather is starting to warm up there.

Covid is a function of Temp – northern states leading

On a 7 day basis county vaccination vs confirmation do not show a clear bifurcation to support vaccines helping with transmission.

Covid 12/10/21

Covid19mathblog.com

Lots to cover today – one of the things we discussed early on is covid vs. flu. No doubt covid is worse than the flu for generally all age class however its likely not AS bad as it seems with the limitations of the data. The data clearly shows its worse. The first table represents my attempt to match the season on season (age breakout was not available at that time so there is some manipulation) – vs the bottom table which is not a season on season but as of now date available https://covid.cdc.gov/covid-data-tracker/#demographics

It’s important to not let statistics incite your fears. Though the multiplier is large the base fatality rate from flu is relatively a small number. Also the limitations of the data are as follow – 18/19 flu season – not sure if it’s the best choice? Obviously you had flu shots for 18/19 and we are compare a winter with generally no flue shot. In addition the 18/19 flu dataset clearly notes symptomatic (https://www.cdc.gov/flu/about/burden/2018-2019.html) as noted several times before we have NEVER attempted to test asymptomatic carriers of cold or flu – no one would consider “wasting” their time to get tested – now for covid many asymptomatic people are being tested – many going into hospitals for other treatments tested. Also many deaths are tested for covid – did we test for flu when someone died before? The truth IF you normalize behavior of testing and confirmations perhaps lies in between the table above – nonetheless worse than the flu therefore rightly deserves more attention than the flu.

However the attention should be allocated to what works. When can we admit and tell the public we were wrong about the vaccines as a great way to reduce transmission? When can we admit the vaccines are not delivering their efficacy as promised? The improvements from the mass rollout starting in March was potentially a significant “improvement” of fatality rates because the viral load was limited as we were outdoor more and the temperature prevented encapsulation of the virus. Temperature played a large role – as gas and power traders know – you cannot analyze any data without weather normalization!

Where could we have allocated some of our resources – early on we noted ventilation. Ventilation is key – its what causes infection in general – the concept of viral load. This is why a flight – a contained area but still well ventilated does not see huge transmission noted all the way back May 2020 https://covid19mathblog.com/2020/05/covid-5-19-20/

“Perhaps plane travel is “safe”. This study shows many long flights taken by sick people but they don’t highlight any significant spread in the plane unlike restaurant, gym, or office studies. Is it because the plane is relatively “safe” or was they didn’t study it hard enough? I am going to be optimistic and hope its because it is safe. https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(20)30314-5/fulltext

““Extensive contact tracing involved the international flights from Munich to Shanghai (patient 0 on Jan 22, 2020) and from Munich to Tenerife (patient 12 on Jan 28, 2020). As of May 2, no further cases have been identified among flight passengers or other (personal) contacts.”

I would really like more details on the flight HVAC system. Clearly IF airline trip for 14h and 15 min travel time in an enclosed environment can contain the virus from not spreading compared to the restaurant, gym, and office building that has been highlighted – we need to replicate this!

Multiple times noted that we should have guidelines for CO2 levels – yet the message is vaccinated & wear mask – vaccine/mask mandates – this will solve everything…..but it didn’t – if it did moot point! If we just looked at ventilation you will get reduced viral load – need a study because common sense is not working – Swedish study presents. https://www.swissinfo.ch/eng/society/study-shows-benefit-of-regular-classroom-ventilation/47179498?s=09

“The correlation is clear: “more students and teaching staff were infected with the corona virus in classrooms with poor air quality than in rooms that are regularly ventilated”, EMPA wrote on ThursdayExternal link. The badly ventilated rooms – 60% of those studied, said canton Graubünden – came out with six times as many cases as the better ventilated ones.”

Also from better ventilation you get better attendance and test scores! https://www.aivc.org/sites/default/files/155_0.pdf

“The results predict that reducing CO2 concentration from 2,000 ppm to 1,000 ppm

(equivalent to about 2.5 times higher outdoor air supply rate) would improve performance on psychological tests and

school tasks on average by 12% (as regards the speed at which the teasks are performed) and by 3% (as regards errors

made while performing the task. The performance on rating schemes will be improved by 1.3%. This change and will

increase the number of pupils passing exams by 12%and is further estimated to result in about 6 out of 100 pupils

improving their performance and to reduce absence by 0.5 day per student in a 200 days long school year.”

Talking about another focus beyond vaccine and mask the govt should have endeavored on a get healthy message – which also gets multiple benefits beyond Covid. Many used the excuse that it takes so long – we are going into 2 yrs now! Clearly health played a big role in covid hospitalization and deaths – once again this was identified very early on! Here back in May of 2020 – https://covid19mathblog.com/2020/05/covid-5-14-20/

“ask to quarantine comorbidities we know are fatal with Covid-19 (Hypertension, Diabetes, BMI>30) – https://jamanetwork.com/journals/jama/fullarticle/2765184?guestAccessKey=906e474e-0b94-4e0e-8eaa-606ddf0224f5&utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_content=tfl&utm_term=042220

Back in May 19th 2020 – https://www.mayoclinicproceedings.org/article/S0025-6196(20)30477-8/fulltext

““Several of these obesity-related morbidities are associated with greater risk for death with coronavirus disease 2019 (COVID-19). Severe acute respiratory syndrome coronavirus 2 penetrates human cells through direct binding with angiotensin-converting enzyme 2 receptors on the cell surface. Angiotensin-converting enzyme 2 expression in adipose tissue is higher than that in lung tissue, which means that adipose tissue may be vulnerable to COVID-19 infection. Obese patients also have worse outcomes with COVID-19 infection, including respiratory failure, need for mechanical ventilation, and higher mortality. Clinicians need to be more aggressive when treating obese, especially severely obese, patients with COVID-19 infection.”

What was done to address this? Quarantine….close gyms but leave liquor store open? Mask and vaccination will solve it…..

Now once again if you need beyond common sense that being obese is not good here is a recent study – https://www.biorxiv.org/content/10.1101/2021.10.24.465626v1

“We further demonstrate that SARS-CoV-2 RNA is detectable in adipocytes in COVID-19 autopsy cases and is associated with an inflammatory infiltrate. Collectively, our findings indicate that adipose tissue supports SARS-CoV-2 infection and pathogenic inflammation and may explain the link between obesity and severe COVID-19.

One sentence summary Our work provides the first in vivo evidence of SARS-CoV-2 infection in human adipose tissue and describes the associated inflammation.”

The push to vaccine was so quick yet we lost the push for treatment. Countries outside US are slowing down vaccination – https://thl.fi/en/web/thlfi-en/-/thl-recommends-coronavirus-vaccinations-for-at-risk-children-aged-5-to-11-years-for-the-entire-age-group-require-more-information-on-safety?redirect=%2Fen%2Fweb%2Fthlfi-en%2Fwhats-new&s=09

“The Finnish Institute for Health and Welfare (THL) recommends starting coronavirus vaccinations for children who are 5 to 11 years of age and belong to a risk group as soon as vaccines are available.

Vaccinations are also recommended for children who are in contact with severely immunodeficient persons. Vaccinations of children who do not belong to risk groups cannot, however, begin before the Government Decree on voluntary COVID-19 vaccinations has been amended.

THL does not yet propose vaccinations for other children aged 5 to 11 years. All children in this age group will be offered the possibility of getting a coronavirus vaccine when more information on the safety of vaccinations for the age group and especially on rare adverse effects has been accumulated.”

Cause to pause for youth vaccination? https://www.ahajournals.org/doi/abs/10.1161/CIRCULATIONAHA.121.056583?s=09#.YbNSTabs884.twitter

“Conclusions:Most cases of suspected COVID-19 vaccine myocarditis occurring in persons <21 years have a mild clinical course with rapid resolution of symptoms. Abnormal findings on cMRI were frequent. Future studies should evaluate risk factors, mechanisms, and long-term outcomes.”

If more treatment options show up less need to push vaccine? https://www.dailymail.co.uk/sciencetech/article-10281175/Gum-laced-plant-grown-protein-reduce-COVID-19-transmission-95.html?s=09

“Gum laced with a plant-grown protein is found to reduce COVID-19 transmission by 95% after trapping and neutralizing the virus in the person’s saliva, Penn State University scientists find

The cinnamon-flavored gum is infused with ACE2, which is a plant-grown protein

The protein traps the virus in the saliva and then neutralizes it

Testing of the gum shows this innovation can reduce transmission by 95%”

https://www.nbcnews.com/health/health-news/fda-clears-astrazenecas-covid-antibody-treatment-immunocompromised-rcna8130

“The Food and Drug Administration authorized the first injectable monoclonal antibody cocktail for long-term prevention of Covid-19 among people with weakened immune systems before they have been exposed to the coronavirus.

The FDA issued an emergency use authorization Wednesday for AstraZeneca’s antibody cocktail, Evusheld, for what is known as pre-exposure prophylaxis, or PrEP, against Covid-19.”
“The federal government has an agreement with AstraZeneca to buy 700,000 doses of Evusheld, which will be available at no cost to eligible patients. The first doses should be available “very soon,” with all doses delivered in a few months, Dobber said.

While the drug is free to patients, health care facilities may charge to administer it, so people could still incur some out-of-pocket costs”

Note the last part ….IF its no cost is this universal healthcare now? How much did they pay for that? Did a search I couldn’t find it….

We have beeen looking at confirmation per capita vs. vaccination rate to show no statistical connection – in fact now slightly indicating the more vaccinated the more transmission vs no correlation. Temp R2=0.33

Death rates and fatality view still not much improvement with more vaccination!

On a county basis there is just no clear data showing vaccination rates improve transmission nor even deaths now!

Its not looking too good out there. The positive thing is the weather outlook for US, Asia, and Europe is some warming up relative to normals.

Europe has more confirmations than anytime. The positive thing is death is still lower. Notice how S. America just dropped out as they go into there warm weather period.

Our Omicron watch countries continue to show strong confirmations – S. Africa is jumping up but still way lower than the European countries.

The whole unvaccinated southern state story is getting blown up now that the weather has shifted – TX and FL are falling and the highly vaccinated northern states under increasing issues.

In the last 7 days the 85.8% vaccinated county of Dewey S. Dakota is seeing the highest confirmations per capita in the country!

In the last 7 days deaths dispersion of death per capita is not showing any significant improvement per vaccination rate.

Covid 12/5/21

Covid19mathblog.com

The response to Omicron perhaps another knee jerk reaction with the concept one has to do something? Travel ban for S. Africa and corresponding countries – https://www.whitehouse.gov/briefing-room/presidential-actions/2021/11/26/a-proclamation-on-suspension-of-entry-as-immigrants-and-nonimmigrants-of-certain-additional-persons-who-pose-a-risk-of-transmitting-coronavirus-disease-2019/

“Given the recommendation of the CDC, working in close coordination with the Department of Homeland Security, described above, I have determined that it is in the interests of the United States to take action to suspend and restrict the entry into the United States, as immigrants and nonimmigrants, of noncitizens of the United States (“noncitizens”) who were physically present within the Republic of Botswana, the Kingdom of Eswatini, the Kingdom of Lesotho, the Republic of Malawi, the Republic of Mozambique, the Republic of Namibia, the Republic of South Africa, and the Republic of Zimbabwe during the 14-day period preceding their entry or attempted entry into the United States.”

Lets look at the data – so far Omicron has been identified in 38 countries https://www.dailymail.co.uk/news/article-10274619/WHO-says-no-one-died-Omicron-Covid-variant.html?ito=social-twitter_mailonline&s=09 but the map supplied is more like 30 countries – also status of banned not necessarily right perhaps for the UK?

IF we look at those countries AND also believe the R value for Omicron to be high then in theory the confirmations should be high in those countries or we have to conclude they don’t test enough and was just lucky to find the variant and let the world know.

Below shows the 7 day moving average of confirmation per capita – so you get a sense of transmission rate per population. Amazingly the African countries are really low on the map yet these European countries are not banned from travel? Once again are the African countries not testing enough but just enough to find the variant which in theory could be the highest transmitting variant – hmmm one of those things are not adding up…..Not advocating for travel bans just some consistency and logic – likely the cat is out of the bag and we need to move on to identify solutions to mitigate transmission e.g. ventilation, get healthy, Of course many will think the answer is vaccinate – but once again as noted by both CEO of the big two vaccine producers the current vaccines will not work for Omicron. https://www.ft.com/content/27def1b9-b9c8-47a5-8e06-72e432e0838f

https://www.timesofisrael.com/pfizer-ceo-were-working-on-covid-vaccine-against-omicron/

Mask do help to a degree – do you think its possible to say individual assessment on vaccine AND say that mask may help too and once again should be individual and locational choice – for many that seems like an oxymoron for some reason….https://www.mpg.de/17916867/coronavirus-masks-risk-protection?s=09

Scary report notes infection in few minutes! Looks like they did not assessed that on various health level of individual and natural immunity/vax status but on a viral load basis. As noted they are likely being too conservative on their infection level but clearly if you are immune compromised take heed to wear a mask – it will help to a degree.

“The Göttingen team was surprised at how great the risk of infection with the coronavirus is. "We would not have thought that at a distance of several metres it would take so little time for the infectious dose to be absorbed from the breath of a virus carrier," says Eberhard Bodenschatz, Director at the Max Planck Institute for Dynamics and Self-Organisation. At this distance, the breathing air has already spread in a cone shape in the air; the infectious particles are correspondingly diluted. In addition, the particularly large and thus virus-rich particles fall to the ground after only a short distance through the air. "In our study we found that the risk of infection without wearing masks is enormously high after only a few minutes, even at a distance of three metres, if the infected persons have the high viral load of the delta variant of the Sars-CoV-2 virus," says Eberhard Bodenschatz. And such encounters are unavoidable in schools, restaurants, clubs or even outdoors.”

“The Göttingen study confirms that FFP2 or KN95 masks are particularly effective in filtering infectious particles from the air breathed – especially if they are as tightly sealed as possible at the face. If both the infected and the non-infected person wear well-fitting FFP2 masks, the maximum risk of infection after 20 minutes is hardly more than one per thousand, even at the shortest distance. If their masks fit poorly, the probability of infection increases to about four percent. If both wear well-fitting medical masks, the virus is likely to be transmitted within 20 minutes with a maximum probability of ten percent. The study also confirms the intuitive assumption that for effective protection against infection, in particular the infected person should wear a mask that filters as well as possible and fits tightly to the face.”

“The infection probabilities determined by the Max Planck team indicate the upper limit of the risk in each case. "In daily life, the actual probability of infection is certainly 10 to 100 times smaller,"”

Society is rationale overall regardless of what you read in media and the vitriol to the unvaccinated. The impact of covid was to the elderly and they responded by getting vaccinated – they clearly see the risk/reward value proposition. Vaccination rate for those 65+well over 80% – I am sure there will always be some doctor consults which would indicate that one should not get the vaccine given known health issues. Mandates cause an unnecessary adversarial impact.

What is interesting/concerning is the reporting of deaths and efficacy of the vaccine. IF we know 80+% of the 65+ are fully vaccinated – should we not see a reduction in covid deaths relative to last year – or do we say all of those deaths are just the unvaccinated?

Interesting to deduce all the heart issues is related to stress? Perhaps something that has been known to cause heart issues Vaccines & Covid? https://www.standard.co.uk/news/health/post-pandemic-stress-disorder-heart-conditions-covid-london-physicians-b969436.html?s=09

“Up to 300,000 people in the UK are facing heart-related illnesses due to post-pandemic stress disorder (PPSD), two London physicians have warned.”

“Meanwhile, Tahir Hussain, a senior vascular surgeon at Northwick Park Hospital in Harrow, said he has seen a significant rise in cases where he works.

He said: “I’ve seen a big increase in thrombotic-related vascular conditions in my practice. Far younger patients are being admitted and requiring surgical and medical intervention than prior to the pandemic.

“I believe many of these cases are a direct result of the increased stress and anxiety levels caused from the effects of PPSD.

“We also have evidence that some patients have died at home from conditions such as pulmonary embolism and myocardial infarction. I believe this is related to many people self-isolating at home with no contact with the outside world and dying without getting the help they needed.””

What would one do if we have no unvaccinated to blame – IF the data really proved that the unvaccinated is causing the transmission and deaths then the solution is so easy – vaccinate. There is no statistical evidence to prove a healthy young individual would need to vaccinate else there is a large societal impact. Transmission is not improved significantly else you would see large bifurcation in counties that are more vaccinated than others. Variants of concerns are coming from countries with poor sanitization conditions. There is no overwhelming of the hospitals because of young healthy patients. There are concerns on what healthy and young is but to each their own to calculate that risk/reward with their doctor. There is empirical statistic to say that a healthier society would do better against covid and be well off on other issues which include cancer and heart disease. There is also substantial evidence to say that well ventilated areas do reduce transmission. If there is any mandate it should be public areas show ventilation standards of less than 1000 ppm of CO2. There should also be message to society to get healthy – avoid process foods – increase fruits and vegetables consumption – when has someone died from eating too much fruit and vegetables?

Germany has decided to try to follow Austria and split society by those vaccinated to unvaccinated regardless of health/age status or prior immunity – https://www.cnn.com/2021/12/02/europe/germany-lockdown-covid-restrictions-intl/index.html

“Unvaccinated people will be banned from accessing all but the most essential businesses, such as supermarkets and pharmacies, to curb the spread of coronavirus, outgoing Chancellor Angela Merkel and her successor, Olaf Scholz, announced Thursday, following crisis talks with regional leaders. Those who have recently recovered from Covid-19 are not covered by the ban.

The pair also backed proposals for mandatory vaccinations, which if voted through the parliament could take effect from February at the earliest.”

Do you see any relationship with vaccination and transmission? It was a wishful dream that vaccinations would change the trajectory of transmission – it doesn’t. Complete lockdown and quarantine would but do we really want to be like China?

County basis

Covid 12/1/21

Covid19mathblog.com

Well that was quick Omicron in USA confirmed – https://www.nbcnews.com/news/us-news/omicron-variant-found-california-rcna6909

“The omicron variant of the coronavirus has been detected in California, the Centers for Disease Control and Prevention announced Wednesday.

The CDC issued a statement that the California and San Francisco Departments of Public Health confirmed the case in a traveler who returned from South Africa on November 22.

"The individual, who was fully vaccinated and had mild symptoms that are improving, is self-quarantining and has been since testing positive," the statement read.”

Looks to be in play earlier – https://time.com/6124632/omicron-variant-spread/

“The Netherlands’ RIVM health institute found omicron in samples dating from Nov. 19 and 23. The World Health Organization said South Africa first reported the variant to the U.N. health agency on Nov. 24. Meanwhile, Japan and France reported their first cases of the new variant that has forced the world once again to pinball between hopes of returning to normal and fears that the worst is yet to come.”

A key theme is most are already vaccinated – https://www.haaretz.com/israel-news/two-doctors-in-israel-diagnosed-with-omicron-covid-variant-1.10428042

“The new coronavirus variant, omicron, has been detected in two Israeli doctors, one of whom had returned from a conference in London in the past week, a spokesperson for Sheba Medical Center near Tel Aviv confirmed on Tuesday.

The two doctors had received three doses of the Pfizer-BioNtech vaccine, and so far have shown mild COVID-19 symptoms, the hospital said.”

“The physician who had returned from Britain had probably infected his colleague, it said.

Two more people have been identified in Israel as carrying the new variant, health officials have confirmed, one of them a tourist from Malawi who had received the AstraZeneca vaccine.”

Before we blame it on the unvaccinated and force all to have vaccine – lets really examine the risk/reward – everyone has a unique risk/reward profile. The decision SHOULD be done with a consult with your doctor who should know about your health and lifestyle. In general the young are not impacted with covid compared to the elder. Yet the impact of the vaccine could be much greater for the youth. Why impose them? https://www.lifesitenews.com/news/uk-sees-44-increase-in-child-deaths-after-jab-rollout-for-young-teens-data-shows/?s=09

“U.K. reports on child deaths from the Office for National Statistics (ONS) show that, in the weeks since the COVID shot has been administered to children between ages 12 and 15, recorded deaths have risen by 44 percent above the 2015-2019 average for the same time period.

According to the ONS’ “five-year average weekly deaths by sex and age group” figures between 2015 and 2019 among children ages 10-14, there were 41 deaths recorded from week 38 (late September) to week 45 (early November). Within the same time period, the weekly figures recorded for the year 2021 show that 59 children died, representing a 43.9 percent rise in deaths over the five-year average.”

It’s a small number but the increase is real and why have the guilt of this on your hands as a parent. Letting fate play out that your child gets covid AND be sick enough to die is much less certain than knowingly injecting your child with a vaccine with a potential adverse reaction knowing you made the decision vs. fate.

Vaccine has failed in all accounts to maintain spread. Post treatment seems like a good allocation of resources – https://www.dailymail.co.uk/news/article-10252377/Drug-cocktail-saviour-New-Covid-treatment-FOUR-TIMES-effective.html

“A study found that the ‘Spidex’ drug cocktail reduced intensive care admissions

The mix of dexamethasone and spironolactone could be used to fight Omicron

The findings of Sir Christopher Edwards were published in the Frontiers in Endocrinology medical journal”

https://www.cnn.com/2021/11/30/health/molnupiravir-pill-covid-fda-advisers/index.html

“Advisers to the US Food and Drug Administration voted 13-10 Tuesday to recommend emergency use authorization of a pill made by Merck and Ridgeback Biotherapeutics to help treat Covid-19.

Members of the FDA’s Antimicrobial Drugs Advisory Committee were split in their vote to recommend molnupiravir, which can reduce the relative risk someone will progress to severe disease or death by about 30%. The absolute reduction in risk of severe disease or death was 3% — 9.7% of people who took placebo died, compared to 6.8% of those given molnupiravir.”

The verdict for Sweden approach is still out. We have only gone through 1 winter! Currently the Sweden approach perhaps was initially too abrupt – causing more initial deaths than need be as treatment and vaccines came out over the next year. However it could be that the end game is equivalent. Being quarantined and not seeing anyone for 1 year worth that 1 year? The key thing is to pick a good benchmark – age, climate, and population density, culture – the best screen I have come up with is Latvia, Finland, and Norway. It is expected Latvia be higher due to population density and economic wellbeing. Norway should be better given younger and less density.

So far Finland and Norway has kept in check deaths and confirmations – but we are now seeing a surge in Norway and Finland. What should be the outcome of this? In theory the vaccine and treatment plan SHOULD keep the death and confirmation per capita down. Time will tell.

Russia continues to lead in deaths. Winter is here in the US – leading in confirmation.

Good new US is much less in both confirmations and deaths vs. last year – as expected given the amount of vaccines with a strong focus on the elderly.

TX and FL dropping out of the top states in deaths and confirmations….hmmm temp?

Last 7 days a very low vaccinated county is the top spreader but right below that we have 63.5% vaccinated county in third place. Note the northerly counties.

Last 30 day state view still no value in reducing spread via vaccination rates…..Temperature a much better indicator.

Covid 11/28/21

Covid19mathblog.com

The new variant of concern has skipped naming convention to Omicron – skipping Nu and Xi. The concern of the new variant could be overdone but there are still many unknowns – the biggest concern stems from the amount of mutations vs. other variants. So far the countries that have observed the new variant we don’t see much change in the trajectory of fatality rates or confirmation (Belgium Czechia, Netherlands already spiking weeks ago). If they do conclude that most of the previous spike was Omicron then perhaps we have some real problems. The list of countries to monitor has grown – https://www.cityam.com/omicron-spreading-fast-new-covid-variant-flies-into-uk-germany-netherlands-belgium-czech-republic-and-italy/

“Officials in Germany, the Netherlands, Belgium, Australia, Czech Republic, Italy as well as the UK have confirmed the new Omicron variant of the coronavirus has appeared in their respective countries, leaving governments around the world scrambling to stop the spread.”

From my perspective the issue is the delay of confirmations in society. The diamond princess showed a 20% per capita infection rate – I suspect the health of the nation (sanitization and physical health) and the amount of testing will drive the publish infection rate. Infection rate will eventually be 20% +/-10% for each country per the noted variables. One can stall that infection rate through living in quarantine but I think it becomes inevitable unless you want to live in a bubble. The US per capita confirmation sits at 15%. You can see the European countries a month ago many were under 10% now they are all surging as they opened up under the thought the vaccine was going to save them from infection. The vaccine potentially has done a good job for fatality rate so far – not as good as demonstrated ~60-80% vs 90+% claimed. However for reducing transmission the vaccine is not an effective tool.

Mask does influence infection/transmission rate but clearly not the most effective thing to do similar to the vaccine outcomes. Improving ventilation is likely 10+X more effective than mask – as seen in the airplane studies vs. restaurants studies noted here multiple times. In addition we have noted nasal sprays as an effective form of prevention and minimizing spread. Here is another study to back that claim https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC8026810/?s=09

“PPE, mask, hand sanitization or vaccines nothing proved 100% effective for COVID-19 prevention still now. PVP-I oro-nasal spray is an easy tool or way for COVID-19 prevention and reduction of SARS-CoV-2 transmissibility. I recommend here, this oro-nasal spray should be used as an adjunct to PPE, mask or vaccine. Any person, policy maker, local or central government could adopt this safe, cheap, easily available and effective PVP-I Oro-Nasal spray as an additional shield of their COVID-19 protection and thus minimize the COVID burden.”

You can pick this up on Amazon for $17 a spray bottle – the govt could probably push this and the price would come down just like mask and eventually transmission would fall. I would contend a mass use of nasal spray will have more impact than mask. They should just make this mandatory before going to concert/gathering over mask.

Still another thing the govt could be pushing and making available in all the hotspots if they really cared about life as per the vaccine push – Vitamin D – this has been noted many times earlier – but once again another study to confirm since common sense and balancing risk/reward is not enough – https://pubmed.ncbi.nlm.nih.gov/34836309/

“Results: Our treatment protocol increased the serum 25OHD levels significantly to above 30 ng/mL within two weeks. COVID-19 cases (no comorbidities, no vitamin D treatment, 25OHD <30 ng/mL) had 1.9-fold increased risk of having hospitalization longer than 8 days compared with the cases with comorbidities and vitamin D treatment. Having vitamin D treatment decreased the mortality rate by 2.14 times. The correlation analysis of specific serum biomarkers with 25OHD indicated that the vitamin D action in COVID-19 might involve regulation of INOS1, IL1B, IFNg, cathelicidin-LL37, and ICAM1.

Conclusions: Vitamin D treatment shortened hospital stay and decreased mortality in COVID-19 cases, even in the existence of comorbidities. Vitamin D supplementation is effective on various target parameters; therefore, it is essential for COVID-19 treatment.”

Russia leads in deaths now.

Europe including Russia has surpassed its previous confirmation peak -deaths are still less.

As expected the southern states are dropping out of the top deaths and confirmation states….chirp chirp goes MSM from purporting it was the unvaccinated in the South….

The vaccinated rates are not a good sign of reduced transmission compared to weather and human behavior per the weather.

Here is the state view for the last 30 days