Leafs are Falling

There's a lovely man that works where I rent a car to go camping in the summer. When I walk in with my N95 in place, he starts wiping the shit out of the counter and applying sanitizer liberally to his own hands and the car keys before passing them over to me in order to keep me safe. So thoughtful! 

But he doesn't wear a mask. 

That's what bad public health comms does to people. It keeps people unaware that Covid lives in the air more than the counter.

And that's what's happening to the Leafs, as they succumb, one by one, to a mysterious illness. 

Mark Ungrin gives us a good analogy for the baffling nature of officials and media today: 

"Remember that kids' show where there's always a mystery and it's totally obvious but the townspeople can't figure it out, and then after half an hour of a toddler shouting clues at the TV, the dog finally puts it together and solves the mystery?"

It's not just from bad comms, although that's where it started. At this point in the game, shifting sides on this means letting in some pretty painful shit. 

Whenever acknowledging what is true can provoke feelings of guilt or shame for what we believed was true in the past, we will fight to stay ignorant. 

It's why some of the most caring and protective parents will NOT put their kids in a mask. Considering using masks to reduce illness means opening that door to the reality that they have been putting their child in danger, willingly, for years now -- that their decision to send the kids to school to raw-dog the air in there is the reason their kids got sick over and over and now one of them can barely sit up in bed. They have to keep that door firmly closed and bolted shut and fiercely fight against masks with the most unsubstantiated or incomprehensible claims that they can muster to somehow rationalize their parenting choices. 

Seatbelts? Always. Limited screen time? Definitely. Masks in class? I've heard they don't work anyway. 

It's okay. 

You were doing you best in the midst of some really confusing information. So many different important people were saying contradicting things at once. It's hard to know who to trust. 

But well-fitting good quality masks, like N95s, really work. And the virus really IS airborne. Cleaning off counters and washing our hands does very little with this one. It's still good to stay clean, for sure, but it's not doing the kind of work many people think it does. To stop transmission of a virus that spreads through the air and hangs around like smoke, we need to filter the air with HEPA or CR boxes, ventilate rooms by letting in more fresh air, and we need to wear a filter right on our face to stop any viruses in our body getting into the room AND to stop any viruses in the room getting into us! 

It's not too late. Every infection increases the odds of getting Long Covid, so even if the kids have been sick all year, stopping that cycle NOW is important. And wearing a mask in class is one of the best ways to prevent that -- and in the arena. And demanding exceptional air filtering and ventilation in classrooms and locker rooms to keep the people we care about safe can help when some people actually can't mask or when people need to eat or drink. 

It's so possible to prevent these illnesses. We have to spread the facts, not the disease. 

Long Covid Resources

Three -- FIVE Covid resources to bookmark. 

This Educational Toolkit for Long Covid has a series of videos explaining Long Covid in children, how to return to school safely, the impact on the family, and how to support kids in the classroom. There's also a 31-paged handbook with scripts for the videos and more to help walk parents through having kids with Long Covid. 

A group of scientists created an interactional infographic on how Covid becomes Long Covid, who's likely to get it, and all the ways it can affect the body. 

And filmmaker, a scientist, an artist, and a father got together to make this 16 minute film, The Unravelling. They discuss the problem with how we understand it and what Long Covid is really like. The Vimeo embedding isn't working worth shit here, so check it out at the link!

AND, UC Davis College of Engineering created a series of videos about Indoor Air Quality and disease prevention and control!

AND Dr. Lucky Tran wrote a really concise Covid explainer that can be easily shared: Why it's still a good idea to avoid Covid!

Masks or Longterm Illness in Children - It Shouldn't be a Difficult Decision

Sara Novak recently wrote about the study that found 20% of children have Long Covid, aka PASC (Post Acute Sequelae of Covid) that I discussed in August, but Novak brought in further backing from additional studies:

“In the most expansive study of its kind, researchers have for the first time shown serious and prevalent symptoms of Long Covid in kids and teens. The August study, published in the Journal of the American Medical Association . . . which followed 5367 children, found that 20% of kids (ages 6-11) and 14% of teens met researchers' threshold for Long Covid. . . . By enrolling children who had been infected with acute COVID-19, as well as those who had not, researchers were able to isolate Long Covid symptoms in kids and teens. 'It allowed us to separate symptoms related to Long Covid with those that may have resulted from changes in a child's environment during the pandemic.' . . . For example, learning loss and mental health changes that were caused by the pandemic vs those that were caused by prolonged symptoms associated with Long Covid. . . . The new research found Long Covid affected nearly every organ system in kids and teens. And experts contend that pediatricians need to be on the lookout for GI complaints in kids as well as complaints of extreme fatigue and cognitive deficits or perceived changes in mental acuity in teenagers. . . . 

On Burnout: "Can" is the New "Should"

I started reading about burnout when I walked away from teaching earlier than expected. Suddenly, I couldn't bring myself to open that door after over thirty years of bounding to work. A series of events wiped away any sense of agency, fairness, or shared values. Their wellness lunch-and-learns didn't help me, and I soon discovered I'm not alone.

An article published in JAMA last June looked at rising rates of burnout in healthcare, where 40% of physicians surveyed intended to leave their practice. They suggest, "To prevent a health care worker exodus, experts argue that the emphasis needs to shift from individual resilience to broader system-level improvements." They are looking for standardized methods to affect organizational management with "evidence-based interventions."  

Over 25 years ago, Michael Leiter and Christina Maslach came to the same conclusion. They identified six areas of worklife affecting burnout and created a specific assessment for educators. They determined the cause to be a "mismatch" between employee expectations and employer behaviours leading workers to be closer to the bleak end of a continuum from burned out to engaged. They suggest that "the task for organizations and individuals is to achieve a resolution." This is not just a matter of throwing wellness initiatives or resilience-speak into the mix, but addressing any reasonable expectations of employees with appropriate employer interventions in all six interrelating areas. 

click for clarity

Feels vindicating, right?!

We Can Prevent Chronic Illness in Children, But It's Kinda Inconvenient

Another NEW study shows, yet again, that SARS-CoV-2 is harmful to kids. Who knew?!?

This was a three-year study that followed 1319 children after a first infection. Almost all of the kids had a mild (89%) or asymptomatic (9%) initial infection. Almost 80% were unvaccinated. At 3 months post acute infection, almost a quarter of the kids had Long Covid. From 1-2 years 7 to 8% continued to have Long Covid. Some of the kids infected at the very beginning of the study, still had Long Covid at the 3 year mark. We're generally being told the chance of Long Covid is somewhere between 7 and 10% (the CDC pegged it at 20% earlier), but that misses the reality that many more kids are sick for months before recovering. 

Important to note: only 67% had a fever as part of their acute infection, yet that is STILL the only symptom we look for to determine if kids should go to school. Having a runny nose was the next most common symptom, but fewer than half had that (46%). Covid shows up in a multitude of symptoms. The current variant goes for the GI system, so diarrhea is an important sign. 

Who gets Long Covid? They found that teenagers (kids over 12) are significantly more in danger. And girls tend to get it slightly more than boys. They indicate that vaccination was protective, but I'm confused by their data, which make it seem like it isn't at all: They compare all patients to unvaccinated, and the unvaccinated numbers with Long Covid are lower across the board, but I must be misunderstanding something there.  

At any rate, Covid really, really damages kids. A quarter will lose out on at least three months of school and life at a very pivotal age, and 7-8% will lose years of their lives, possibly the rest of their lives to a chronic illness. I'm not sure how many more studies we need before schools will overtly and regularly start at least encouraging masks in class and before hospitals will mandate them everywhere. How bad does it have to get?? We know that kids (and adults) with a mild infection can go on to develop organ failure. Our only tool right now is prevention with good quality masks while we wait for the clean air revolution to kick into gear. 

Yesterday I posted this article, explaining that it's up to parents to take the lead, but I didn't summarize the tragic story it contained: A 16-year-old girl, Cara, who always masked at school to protect her mom dealing with chemo, was convinced to finally take it off. She got Covid, and brought it home, and her mother died, and now she has to cope with the guilt of that on top of her grief. The article says she was bullied as the only person masking in the school, but then explains that she stopped when she heard a child psychotherapist on the radio say that girls wear them to hide their acne. That was the last straw for her.

 From the article,

"In 2022, over six times as many children died from Covid than from flu in the US. The UN Convention on the Rights of a Child requires states to 'recognise the right of the child to the enjoyment of the highest attainable standard of health' and to fully implement this right. Children's rights to education include a safe environment not harmful to their health. Cara and her parents fought for these rights. They were denied, with devastating consequences." 

I can do absolutely everything I enjoy publicly with a mask on except to eat in a restaurant. So I order in for special occasions. Once you get used to it, masks don't hamper the pleasure of the event, AND you don't get or inadvertently spread a disabling, fatal virus to anyone!! It's win/win!! I understand that a tiny percentage of people actually can't wear a mask, but I cannot accept the argument that mask are uncomfortable or feel suffocating when the alternative to wearing a mask is children and their parents getting sick like this or dying.  

Grow. The fuck. Up. 

Predictable, Incurable, Disabling, Fatal, and PREVENTABLE

It's still here. It's still dangerous. We have the ability to stop it, but we can't wait to be told to because that's just not happening. 

Andrew Nikiforuk wrote in The Tyee about the dangers of Covid. 

"Although the media routinely dismisses all Covid infections as an inconsequential nuisance, that's not what the science says. The virus remains deadlier than the flu and repeated infections can radically change your health. . . . Even a mild bout of covid can leave a legacy of blood clots, heart failure, diabetes, decreased brain funciton, Long Covid (now affecting 400 million people worldwide) and immune damage that increasingly makes peopel more vulnerable to a plethora of infectious diseases and possibly cancers. . . . There is no such thing as a SARS-CoV-2 infection that does NOT have prolonged consequences. . . . There's not a fresh vaccine in sight. In fact, they are weeks away. . . . 

Pitting Health Against Education as We Debilitate a Generation

Covid is definitely causing a variety of longterm illnesses and public health still can't manage an effective PSA that undoes damage caused by their previous misinformation: teaching people how easily we can get infected, how harmful the virus is, and how to prevent it with N95s and cleaner air. And in many places, like my old school, people are still not allowed to bring in CR boxes or open windows if it's cold out or teach about Covid, and in some places masks are flippin' illegal! And children are in the middle of all this mess. 

from here 

It says, "Forcing families to choose between biosecurity and education is one of the great injustices of our time, violating children's fundamental human rights to life, health, safety, and education.

LONGTERM ILLNESS

In this 20 minute INET podcast with Dr. Phillip Alvelda, they explain that we are effectively debilitating a generation: 

"The danger is clear and present: Covid isn't merely a respiratory illness; it's a multi-dimensional threat impacting brain function, attacking almost all of the body's organs, producing elevated risks of all kinds, and weakening our ability to fight off other diseases. Reinfections are thought to produce cumulative risks, and Long Covid is on the rise. Unfortunately, Long Covid is now being considered a long-term chronic illness -- something many people will never fully recover from."

The Heart Research Institute in the UK wrote about the recent paper showing that even a mild or asymptomatic case can increase stroke, heart attack, and heart failure.  

AIRBORNE AIDS

If that's not enough to be concerned, the World Health Network wrote about Covid's overlap with AIDS:

Why Novavax: Choosing the Tortoise Over the Hare

Dr. Michael Lin explains what makes Novavax different from mRNA vaccines like Pfizer and Moderna's vaccines. It's not in block quotes because this is all from him. It's comprehensive, but complex, and just one thing missing: MASKS are a great way to prevent infection.

I made this graphic to show how different vaccine types work (back in 2021). We can just look at line 1 (protein vax like Novavax) and line 3 (RNA vax). In protein vax, antigen-presenting cells take up the antigen to activate B cells and T-helper cells. In RNA vax, your muscles cells take up RNA and translate it into antigen. This process tends to be a bit inflammatory (apparently that's inherent to RNA uptake) so some cells die and release proteins that are also taken up by antigen-presenting cells. The main differences between protein and RNA vax in practice are threefold:

Aim in the Right Direction

A Tiktoker, amylynn79, explained why she's not masking despite being very sick with Covid. She has few followers on that site (maybe because it's 9 minutes of rambling), but clips of it are travelling around Twitter. 

Here are the highlights: She's on day 4 of testing positive. This is her fourth time having it. Her symptoms: headache, dizziness, feeling cold, and feel like you're dying, like someone's ripping your spine out, diarrhea, brain fog, and massive sweating. She went to the doctors and got meds, which is nice for her. There's nothing much we can get here beyond Tylenol. Where did she pick up Covid? School, of course.

"Every time my kids go back to school, they ALWAYS catch something."

Appropriate Fear and Respect

We teach our children to have a "healthy fear" of the water, to respect that it's possible to drown in the shallows or to hit our head on a rock if we get knocked down by a wave. So we swim with a buddy who's paying attention to us. We should have a healthy fear of viruses too.  

It doesn't mean living in fear, but taking precautions so our littles don't get sick over and over. We need to provide good quality masks in all classrooms, and encourage everyone to wear them and take them home. If funds are an issue, Donate a Mask can help!!

Costs of Disability

Dr. Ziyad Al-Aly, the guy who told the Senate Hearing that the burden Long Covid is on par with the burden of cancer and heart disease, wrote a brief explainer of a recent study (Gascon, Martorana & Moore, 2024) that found "a significant surge in the number of people with a disability in the U.S."

I still have educated people in my life that argue Covid isn't a big deal because they know tons of people and don't know anybody who's been disabled or died from it. They don't seem to understand why the scientific method uses random sampling instead of taking anecdotal accounts as evidence. But the numbers don't lie. And the big picture will hit home eventually: 

Back to School in a Wave

This is the first September that I'm not going to school as a teacher OR a student since I was 4 years old (not counting maternity leaves for all my spring babies), and all I can think about is the giant Covid wave engulfing all the little ones without any mitigations even suggested. 

"New" research says that kids actually DO get harmed by Covid, which is something most should have known years ago. For a while there, the story was that kids carry it, making schools the number one vector of transmission, but somehow aren't actually affected by it, which is clearly malarky! Even without an eye to long term damage, just being sick for a few weeks several times a year takes a told. As a trustee in 2022, my phone rang off the hook with parents frantic that their kids were getting sick again. I talked to parents with kids in the hospital, so I can imagine in what universe people ever believed it's harmless.

Salon reports, 

"For years, public health experts have said that Covid-19 infections in children are 'mild.' . . . While some children with the coronavirus are admitted to the ICU and there are pediatric deaths, studies have found that underlying medical conditions including obesity, diabetes, cardiac and lung disorders, increase the risk of severe outcomes."

Canadian Public Health Has Spoken

Apparently we're all in with Pfizer and Moderna despite Novavax providing significantly better protection and fewer risks.

Trudeau claimed to want Canada to be a producer of Novavax back in 2020, and bought a plant in Montréal, but no vaccines have been produced there for public use. Last May, the firm said it would push ahead with vaccines. According to that article, as of February over 37,000 Novavax shots were administered in Canada, 70 million Pfizer, adn 33. million Moderna. The low demand for Novavax negatively affects the likelihood that the plant will get off the ground.

Novavax is preferred for people who can't tolerate mRNA vaccines as Novavax uses protein-based fomula instead. It's targeting the JN.1 variant, as well as KP.2 and KP.3, which originate from JN.1 and most widespread (the "FliRT variants"). 

Avoiding an MPOX on All Our Houses

The WHO has declared an international Public Health Emergency for a more lethal version of Monkeypox, now called mpox, which is clade 1b, aka 1 MPXV, and comes with a 4% fatality rate (compared to Covid's current approximately 0.7% rate -- or 1 in 25 vs 1 in 150). However, Forbes reports that clade I could "kill up to 10% of people."

The different "clades" (a broad grouping of variants) matter. Anyone can get it regardless of sexual orientation, but men who have sex with men had a significantly higher risk of getting Clade II, which was big in 2022. Right now, we've got Clade 1. an airborne infectious disease that is more severe. In Burundi, almost half of the cases are in children under 5, and, from Forbes, "children younger than 15 years old now make up more than 70% of cases and 85% of deaths. . . . The outbreak in children suggests that clade I is transmitted through air." So all the comments about gay sex are moot for this one, like these lovely examples:

Worst Scenario for a School Start Yet

In the fall of 2020 and 2021, we had masks, even if some were a poor fit or made of cloth. Now we have zero mitigations. School is starting soon at a time with the highest fall case count in the states since this all started!

If you saw a parent driving with a young child unbuckled in the passenger seat, would you want to tell them the risks?? That's how I feel when parents send kids to school without masks. Covid kills more than car collisions in my area. Well-fitting N95s work to save their lives, just like seatbelts work. 

But Covid doesn't just kill. It hangs around to reappear later in a disabling form.

Covid Olympics

It's the pinnacle of denialism and such a waste of talent to have top athletes practice for decades of their lives for this one event, then put them together with coaches and family members without ANY precautions, and then watch them get sick one after another. 

Sports Illustrated argued (from J. Offir), 

"If the International Olympic Committee insisted that all participants be at their mental and physical best at the moment of competition, no event would ever take place. . . .  Lyles said he never considered withdrawing. . . . Of course he was sick, and of course it affected him--and of course it doesn't really matter. They held the men's 200 at the Olympics this week, Noah Lyles was the third-fastest man in the final and that's that." 

In other words, we have to live with the virus. Tons of athletes are just going to collapse during or after or before performing. That's the new normal we're ushering in rather than wear N95s. In another article they splash the "R" word around: resilience!! We have to push through despite having preventable spread of a virus allowed throughout the Olympic village!! 

Embracing Fallibility

Many of us live in a punitive, carceral type of society that can make it difficult to have compassion for ourselves or others. It's an era of the glorification of the individual over the group, leading to perfectionism and narcissism and so, so much loneliness. We can't connect when we're working with blind determination to find our place above the rest. We can't connect when we don't dare show an ounce of vulnerability for fear of being taken down like a wounded gazelle on the Serengeti. Our quest to rise to the top for the security we think comes with status and money is completely at odds with our very real need to feel authentically known, within the security of a community.  

We're no longer following that love and forgiveness bit from Christianity, if we ever really did wide-scale. And we project our fear of losing on anyone who has suffered through difficulties, no matter if it's a natural disaster or massive layoff. We distance ourselves from the suffering of others by convincing ourselves they must have done something stupid to be in this position, and, therefore, we're safe as long as we keep on going hard. It's just a trick to make us feel safer, that unwittingly keeps us from too consciously noticing the floods and fires, layoffs and illnesses lapping at our heels.  

Fudging the Numbers for Calm Mongering

Leading causes of death have changed over the past four years. In the States, Covid slipped from 3rd to 10th place. Or did it? 

The numbers are from this study and discussed in this article.

Eric Topal looked more closely at the numbers. There were "still 50,000 [official] Covid deaths in 2023. Heart disease and stroke are not declining. Small reduction in cancer deaths."

In Need of a Church of the Covid Informed

 This is just bananas, but another county in NY State banned masks. 

From this article, 

"Nassau lawmakers on Monday approved a bill making it a misdemeanor--punishable by up to $1,000 and/or a year in jail--for anyone wearing a mask or any facial covering to hide their identity while in public places. The measure exempts people who wear masks for health, safety, 'religious or cultural purposes, or for the peaceful celebration of a holiday or similar religious or cultural event for which masks or facial coverings are customarily worn.'" 

That's a lot of words to ensure that Hallowe'en is safe. 

The Psychology of Diving into Polluted Water

We need external organizations to monitor for safety without any conflicts of interest! And we need to stop throwing people into dangerous situations as if human beings are expendable, expecting more and more to be available to fill their spot like it's flippin' D-Day!! 

Social psychologist, Dr. J. Offir, wrote a great thread on how hard it would be for Olympic competitors to not jump in the Seine despite how sick it was obviously making them: 

This was obviously a policy failure that we watched unfold in real time. ("Wait! Stop! Come back!" says Willie Wonka.) But it also demonstrates how people selectively trust authority figures when those leaders are saying what we want to hear. (This pattern of behavior has also been on clear display during the pandemic: people were suspicious of leaders whom they perceived as restricting freedoms, due to psychological reactance, but once those experts said to unmask and go to the mall, the same folks who had been disbelieving suddenly found faith in authorities' messages again. Ask people why they aren’t masking, and many will give you some variation on "the CDC said I don't need to.")