Whereas the dearth of any massive Covid information absent the Administration’s foot shuffling when its masks mandate was shot down, that doesn’t imply Covid must be ignored. Our Covid mind belief and readers have been sending information.
Recent from IM Doc:
62 sufferers who’re COVID optimistic – both in poor health themselves or discovered throughout testing or major contacts. Once more, zero unvaccinated. Of the 62 -35 have been major vaccinations, a further 11 are with one booster – and the opposite 16 have been 2 boostered. I had no partial VAX or J&J this week.
ZERO unvaccinated. That makes 7 weeks of not seeing a single unvaxxed affected person. Colleagues throughout America are reporting comparable points – normally lower than 5% unvaxxed are being reported.
One thing is occurring. I don’t consider for a minute it’s as a result of the unvaxxed have determined to not search care. Neither is it younger and wholesome excuse – lots of the optimistic vaxxed sufferers are younger and wholesome.
I’m changing into more and more involved that this may increasingly go pear-shaped if/when a extra noxious variant emerges.
And one other alarming difficulty is rearing its ugly head once more. THIS TIME MUCH EARLIER. This didn’t begin final yr till the mid to late summer season. I’ve needed to admit 3 sufferers this week – all adults – all 3 with RSV pneumonia. All 3 totally vaxxed and double boosted for COVID. Considered one of these was a bit of outdated girl with DM – the opposite 2 have been younger males, wholesome and strong. All had extreme pneumonia. I’ve by no means admitted an grownup with RSV till the COVID vaccines. Not as soon as in 30 years. Right here we go once more.
Fortunately, to this point, the COVID has been fairly gentle. None required admission this week. Nonetheless, I’m sure that at most 5-10 have been reported to the well being officers. Extreme under-reporting is occurring. THERE IS A REASON THE CDC and BIDEN PROVIDED AMERICA WITH THE FREE TESTS – AND IT HAS NOTHING TO DO WITH PATIENT CARE.
Evidently, it’s not encouraging to see the vaccinated feeling sick sufficient that they should see medical doctors. Relating to the obvious underrepresentation of the unvaccinated, it could be that they’re on common extra cautious than the vaccinated, who have been bought repeatedly on the concept being vaccinated protected them from getting Covid, or at the very least from getting all that sick. Whereas the plural of anecdote shouldn’t be date, the 2 unvaccinated folks I do know are insanely cautious, hardly seeing anybody and nicely masked once they do.
Lambert’s Covid information wraps have proven the MA wastewater depend rising to a stage that was on the excessive finish for all waves earlier than Omicron. It had fallen off this week, however which may be an artifact of Easter/spring trip holidays.
Extra cheery information:
There’s a theoretical threat that serial covid infections may predispose to a future extra extreme reinfection
It is quite simple, no have to go wild
The current VA paper lends this idea of decompensation credibility
— Anthony J Leonardi, PhD, MS (@fitterhappierAJ) April 18, 2022
It is a advanced multivariable system. Let’s examine if infections progressively get milder. I believe not. https://t.co/PnF6hIPtPV
— Anthony J Leonardi, PhD, MS (@fitterhappierAJ) April 18, 2022
Notice this speculation may additionally assist clarify what IM Doc is seeing: people who obtained asymptomatic circumstances (as in they might not have realized they contracted Covid) prior to now getting symptomatic ones.
Extra variants and extra waves:
If COVID rising once more in Gauteng, South Africa; it’s possible pushed partly by emergence of B4, B5 omicron variants
Experimental proof signifies vaccine induced antibodies don’t neutralize B4, B5 in addition to B1, B2 and immunity from prior B1 an infection is probably not as protecting https://t.co/vbDYYSD1Ve
— Scott Gottlieb, MD (@ScottGottliebMD) April 22, 2022
And it’s rising!
R is above 1 in all provinces aside from Limpopo. So circumstances are rising quickly in most provinces. pic.twitter.com/wA3A0cWZFA
— Louis Rossouw (@lrossouw) April 21, 2022
Scientist GM factors out this wave is a month forward of schedule. He additionally factors out the inconsistency in Gottlieb’s carrying water for the Administration:
Within the meantime, within the US, we have now some not good subvariants to observe (hat tip guurst):
Indicators of the sixth wave of the #SARSCoV2 pandemic are multiplying.
Within the close to future, we appear to be saying ‘#BA2, #BA4, #BA5 waves at the moment are within the US’. https://t.co/YnO0b9kXIs
— Abdulkadir YILMAZ (@a__virologist) April 22, 2022
The #BA2 and BA.2 subvariants charges has elevated sufficient to trigger a wave.
As well as, #BA4 circumstances are seen in some areas.
We all know that BA.4 is way more contagious than BA.2. pic.twitter.com/HgELdca8oS
— Abdulkadir YILMAZ (@a__virologist) April 22, 2022
Specifically, the #BA2 subvariant BA.2.12.1 must be adopted fastidiously.
BA.2.12.1 appears to have a 68% progress benefit over BA.2.https://t.co/KkHfLTrMQ0
— Abdulkadir YILMAZ (@a__virologist) April 22, 2022
So it’s too early to even attempt to name trajectories, however these rising variants have the potential to trigger but extra bother, significantly within the US, the place we’re once more throwing warning to the wind.
