libera/##covid-19/ Thursday, 2021-08-05

de-factohmm LjL that seems to be a big earthquake there in Taiwan?00:00
LjLde-facto, yes, i get magnitude reports between 5.8 and 6.6 so i'm not quite sure how big yet, *but*, also, that "16 million people" is much less in another report, so it depends where the epicenter is exactly00:01
LjLBrainstorm reported it here from Japan's seismological agency, they may not be reporting as accurately as Taiwan's own, we'll see00:01
LjLGeofon has it, but EMSC and USGS don't yet00:02
LjLalso my computer is crashing00:02
nixonixonly 10% of sars1 was furin cleaved before binding, sars2 50% and with 617.2 p681r mutation its supposed to be 75%. making nrp1 more likely00:02
LjLhttp://geofon.gfz-potsdam.de/eqinfo/event.php?id=gfz2021pemk00:03
nixonixdiabetics have more nrp1 in kidney00:03
de-factointeresting, where do you get those numbers from?00:04
nixonixTMPRSS2) and neuropilin-1 (NRP1) are expressed in pancreatic beta cells00:05
nixonixwhich numbers, i have several studies open00:05
LjLlol00:05
TurboTech.title https://www.sciencedirect.com/science/article/pii/S258900421830234700:05
BrainstormTurboTech: From www.sciencedirect.com: Neuropilin-1 Controls Endothelial Homeostasis by Regulating Mitochondrial Function and Iron-Dependent Oxidative Stress - ScienceDirect00:05
nixonix.title https://www.nature.com/articles/d41586-021-02039-y00:05
Brainstormnixonix: From www.nature.com: How the coronavirus infects cells — and why Delta is so dangerous00:05
* LjL tries to imagine how many studies nixonix has open on average00:05
nixonixa lot00:05
LjLi don't know how you can keep up, i cannot keep up with you fwiw00:06
nixonix.title https://adc.bmj.com/content/early/2021/05/27/archdischild-2020-32122000:06
Brainstormnixonix: From adc.bmj.com: New-onset type 1 diabetes in Finnish children during the COVID-19 pandemic | Archives of Disease in Childhood00:06
TurboTech.title https://www.mdpi.com/1422-0067/22/15/776200:07
himesamabiology seems to have more technical terms than most STEM fields00:07
BrainstormTurboTech: From www.mdpi.com: IJMS | Free Full-Text | Diabetic Nephropathy and COVID-19: The Potential Role of Immune Actors00:07
nixonixbut still, while not that many autopsies done for expired sars2 patients, sars2 infection is only rarely found in cns cells. maybe its t-cell infiltration like leonardi thinks00:09
LjLde-facto, USGS and EMSC have it now, it's probably no biggie https://earthquake.usgs.gov/earthquakes/eventpage/us6000f29v/executive00:10
de-facto"only 10% of sars1 was furin cleaved before binding, sars2 50% and with 617.2 p681r mutation its supposed to be 75%. making nrp1 more likely" <-- where do you got those percentages from?00:10
nixonixsome study found sars2 favors astrocyte cells in cns00:10
nixonixIn SARS-CoV, less than 10% of spike proteins are primed, says Menachery, whose lab group has been quantifying the primed spike proteins but is yet to publish this work. In SARS-CoV-2, that percentage rises to 50%. In the Alpha variant, it’s more than 50%. In the highly transmissible Delta variant, the group has found, greater than 75% of spikes00:11
nixonixare primed to infect a human cell00:11
de-factoLjL, oh ok good to know, was a bit worried at first when i read the news from Bridgestorm00:11
nixonixthat nature link above00:11
nixonixi think i mentioned that around week ago and linked that article too00:11
LjLde-facto, it's hard to tell in these cases, when it's an island and "small" epicenter/magnitude difference can make all the difference00:11
nixonixor i was planning anyway00:12
de-factoah nice thanks00:12
LjLde-facto, <Brainstorm> 'Also how come no earthquake alert?' (language: en, from: None, 6s ago, by: trickytaipei)  →  Taiwan (25.04, 121.55) ± 3 km, 5.0 (just guessing), 2021-08-04 22:13:55.500000+00:00       ←     hehe subscribe to ljlbot and you'll get alert :P00:15
LjL(the real answer though is probably their system realized it wasn't strong enough to send an early warning)00:16
LjLde-facto, https://www.reddit.com/r/worldnews/comments/oy3fru/us_plans_to_require_covid19_shots_for_foreign/ Brainstorm will probably post soon, but see comment :P00:19
nixonixi think sars2 virions can enter cells without membrane fusion happening, by endocytosis. how often, which type of cells, different surface proteins needed etc, idk00:19
nixonixi just saw it somewhere00:19
BrainstormNew from r/WorldNews: worldnews: US plans to require COVID-19 shots for foreign travelers → https://is.gd/Omxvld00:20
de-factoLjL, heh :P00:20
nixonix.title https://www.jbc.org/article/S0021-9258(21)00075-2/fulltext00:21
Brainstormnixonix: From www.jbc.org: SARS-CoV-2 infects cells after viral entry via clathrin-mediated endocytosis - Journal of Biological Chemistry00:21
nixonixhttps://en.wikipedia.org/wiki/Viral_entry#Entry_via_endocytosis00:33
nixonixthe main route being membrane fusion for sars2 apparently, but im not sure if other routes like endocytosis are confirmed, and how often they happen. i think it might well be that certain type of cells like lacking ace2 and or tmprss2 endocytosis could happen00:35
nixonixokay, no then00:38
BrainstormNew from The Lancet (Online): [Clinical Picture] Mucormycosis after COVID-19 in a patient with diabetes: A 44-year-old man attended our hospital reporting reduced vision in his left eye. 10 days earlier he had been started on treatment with supplemental oxygen, intravenous antibiotics, and corticosteroids because of a moderately severe pneumonia caused [... want %more?] → https://is.gd/mRtBe400:41
nixonixCorneal confocal microscopy identifies corneal small nerve fibre loss and increased DCs in patients with long COVID, especially those with neurological symptoms. CCM could be used to objectively identify patients with long COVID00:43
himesamalink?00:45
nixonixill link, a min01:00
nixonixhttps://twitter.com/ArielKarlinsky/status/142247821232879617301:00
nixonix.title https://bjo.bmj.com/content/early/2021/07/08/bjophthalmol-2021-31945001:00
Brainstormnixonix: From bjo.bmj.com: Corneal confocal microscopy identifies corneal nerve fibre loss and increased dendritic cells in patients with long COVID | British Journal of Ophthalmology01:00
nixonixthat tweet above is about excess mortality in some countries, peru was the 1st per capita, if i recall01:01
BrainstormNew from r/WorldNews: worldnews: Cuba battles soaring Covid cases with hotels becoming hospitals → https://is.gd/yruSyP01:02
nixonixthen a few eastern european countries, two in latin america, then again eastern europe... check the whole thread and this link01:03
nixonix.title https://elifesciences.org/articles/6933601:03
Brainstormnixonix: From elifesciences.org: Tracking excess mortality across countries during the COVID-19 pandemic with the World Mortality Dataset | eLife01:03
himesamathey looked at controls but not at non-lc cases?01:05
himesamain that other one, the error bars are surprisingly small except for serbia and russia01:06
nixonixunfortunately that isnt accurate. like some countries, was it norway, showing negative number. they also shouldnt use just average of the last 5 years, but consider the flu epidemic being easy and short 2020 and not existing 2021, heat waves in different years etc01:09
nixonixalso high immigration in some countries like sweden reducing mortality numbers, when they are young. including their higher fertility etc01:10
nixonixidk if theres good analysis on europe, IHME failed fore europe. maybe their us analysis is good, idk01:10
nixonixfor usa, that is01:10
nixonixbut for high mortality countries its still useful to estimate the prevalence, like when considering if the partial herd immunity would be reached or not, when cases start to drop (while they are not evenly spread, and young and other superspreader groups matter most)01:15
BrainstormNew from r/WorldNews: worldnews: U.S. developing plan to require foreign visitors to be vaccinated → https://is.gd/edmFcr01:23
BrainstormUpdates for Togo: +179 cases (now 16232) since a day ago01:31
gryhi01:47
BrainstormNew from Reddit (test): nCoV: CDC: Delta Variant Accounts for More than 93 Percent of all US COVID-19 Cases → https://is.gd/DJDF8I01:54
BrainstormUpdates for Nigeria: +1249 cases (now 176011), +4 deaths (now 2167) since 23 hours ago02:09
BrainstormNew from Ars Technica: Science: Courts continue to uphold precendent allowing mask, vaccine mandates → https://is.gd/16YByN02:15
BrainstormNew from BMJ: Patient commentary: Protect patients like me—make covid vaccines mandatory for all eligible staff in care settings: The US president, Joe Biden, has now said that all civilian federal workers must have covid-19 vaccination or face once or twice weekly testing and other restrictions.1 A number of US healthcare... → https://is.gd/9Dph5j02:26
BrainstormUpdates for Fr. Polynesia: +457 cases (now 21316) since 23 hours ago — France: +20285 cases (now 6.2 million), +40 deaths (now 112119) since 20 hours ago — Vietnam: +3352 cases (now 177813), +256 deaths (now 2327) since 19 hours ago — Netherlands: +2039 cases (now 1.9 million), +5 deaths (now 17981) since 20 hours ago02:34
Trippy72894LjL there is another case in haikou02:35
Trippy72894https://www.tropicalhainan.com/update-on-hu-case-and-covid-19-testing-of-residents-across-haikou/02:35
Trippy72894a mystery how he got it. as you may know, we need QR codes to get into places like malls and restaurants. if he was where we were, then our QR code turns orange or something and the govt phones you and you freak out.02:36
Trippy72894end report02:36
Trippy72894afk02:36
Trippy72894only half of residents in open public spaces wearing masks, so nobody is too worried.02:36
Trippy72894afk02:36
BrainstormNew from Reddit (test): CoronaVirus_2019_nCoV: More mental health support needed for frontline workers tackling COVID, study reveals: a global review of studies found high levels of depression, PTSD, anxiety and burn-out amongst frontline staff. → https://is.gd/VYHbgC02:36
LjLTrippy72894, hmm, we actually had a mask mandate *outdoors* too until recently (but many people still didn't respect it)03:03
LjLTrippy72894, QR codes, what happens if you don't scan it? is there always someone checking and making sure you scanned it?03:03
LjLTrippy72894, something that really impresses me about China's handling is that when it gets into some big city, they just test the WHOLE city, the entire population. i don't think we could do that.03:04
BrainstormUpdates for Falkland Is.: +3 cases (now 66) since 2 months ago03:11
BrainstormUpdates for Benin: +214 cases (now 8608), +2 deaths (now 110) since 6 days ago — France: +27481 cases (now 6.2 million), +53 deaths (now 112132) since 23 hours ago — United Kingdom: +27216 cases (now 6.0 million), +124 deaths (now 130119) since 23 hours ago — Netherlands: +2730 cases (now 1.9 million), +7 deaths (now 17983) since 23 hours ago04:38
BrainstormNew from The Indian Express: World: Japan considers expanding COVID-19 curbs as surges strain hospitals → https://is.gd/mK5FmX04:43
himesamamaybe add english asahi shimbun / japan times / whatever05:13
himesamaor something from hong kong or something05:13
himesamaok some options include japan times, https://the-japan-news.com/, and asahi's Asia & Japan Watch.  others are weekly or for ja readers.05:20
BrainstormNew from The Indian Express: World: US developing plan to require foreign visitors to be vaccinated: White House official → https://is.gd/aWCyVC05:36
grybut why05:41
gryif i'm not vaccinted, my health insurance doesn't cover my treatment05:41
gryisn't that enough?05:41
BrainstormUpdates for Pakistan: +5661 cases (now 1.1 million), +60 deaths (now 23635) since 23 hours ago06:05
BrainstormNew from This Week In Virology: TWiV 789: Does delta mean a change?: TWiV reviews a leaked CDC document on virulence and spread of the delta variant, and how anti-alphavirus antibodies that do not neutralize infection can nevertheless protect mice from disease. → https://is.gd/k4NcCZ06:18
BrainstormUpdates for Belgium: +2176 cases (now 1.1 million), +7 deaths (now 25258) since 22 hours ago06:30
BrainstormNew from BBC Health: Covid: Fifth of England hospital admissions aged 18-34: The new NHS chief executive urges unvaccinated young adults to get jabbed, saying it is 'so important'. → https://is.gd/zsxtz006:49
BrainstormNew from r/WorldNews: worldnews: A doomsday COVID variant worse than Delta and Lambda may be coming, scientists say → https://is.gd/87Uu8007:11
himesamai am concerned about cleaning a half faceplate.  i know the outside of masks is where virions have been found in large numbers.  i put the whole thing in a big ziploc bag, which means, maybe, it gets all around to the face part also?  how many days to let it sit to decontaminate?  2-3 days enough?07:12
himesamaafk but will see if any answers romorow07:13
himesamathanks07:13
BrainstormNew from The Indian Express (Health): Life-style: ‘Recovery bus’ provides cool relief for S.Korea’s Covid-19 testers → https://is.gd/R2ANru07:43
BrainstormUpdates for Thailand: +20920 cases (now 693305), +160 deaths (now 5663) since 20 hours ago — Mexico: +20685 cases (now 2.9 million), +611 deaths (now 242547) since a day ago — Missouri, United States: +4360 cases (now 696700), +26 deaths (now 10219) since a day ago — Tokyo, Japan: +4166 cases (now 231164), +1 deaths (now 2301) since a day ago08:10
BrainstormNew from The Indian Express: World: World’s Coronavirus infection total passes staggering figure: 200 million → https://is.gd/lqoU8J08:25
BrainstormUpdates for India: +42982 cases (now 31.8 million), +653 deaths (now 426123) since 15 hours ago08:34
finely[m]This is the first estimate of global production I have seen.08:46
finely[m]"The world is making a couple hundred million doses a week, so there’s not a supply problem,” said Dr. Bruce Aylward, a senior adviser to the World Health Organization. Instead, he said, vaccine-makers and world leaders were electing to put rich countries first"08:46
finely[m]https://indianexpress.com/article/world/covid-19-vaccine-covax-un-7435183/08:46
BrainstormNew from The Indian Express: World: After months as a Covid success story, China tries to tame Delta → https://is.gd/WUZwAP08:57
BrainstormNew from r/Coronavirus: Daily Discussion Thread | August 05, 2021: Please refer to our Wiki for more information on COVID-19 and our sub. You can find answers to frequently asked questions in our FAQ , where there is valuable information such as our: → https://is.gd/9pTPRb09:07
BrainstormNew from Science-Based Medicine: The CDC Should Do Better: The CDC's failure to report clear and accurate data about how COVID-19 has affected children has opened the door to those who wish to minimize its impact by spreading fear, uncertainty, and doubt.  They need to do better. The post  first appeared on Science-Based Medicine . → https://is.gd/CPw33a09:17
BrainstormUpdates for Uzbekistan: +951 cases (now 133852), +9 deaths (now 910) since a day ago09:37
BrainstormNew from The Indian Express: World: Most children recover quickly from COVID-19, but some have lingering symptoms, a study says → https://is.gd/2Bg1z010:10
BrainstormNew from The Indian Express: World: From Afghanistan to the Maldives: How India’s SAARC partners are faring in their fight against Covid → https://is.gd/pVY8SS10:31
BrainstormUpdates for Armenia: +329 cases (now 231322), +7 deaths (now 4632) since a day ago — Estonia: +258 cases (now 134479) since a day ago10:39
BrainstormNew from The Indian Express: World: Tokyo logs record 5,042 Covid-19 cases as infections surge amid Olympics → https://is.gd/Ia289t10:52
BrainstormUpdates for Japan: +14053 cases (now 970460) since 23 hours ago — Germany: +3579 cases (now 3.8 million) since 19 hours ago11:04
xrogaanfinely[m]: that goes without saying. Always been that way.11:12
BrainstormNew from ProPublica: Thousands of Patients Were Implanted With Heart Pumps That the FDA Knew Could Be Dangerous: by Neil Bedi ] ProPublica is a nonprofit newsroom that investigates abuses of power. Sign up to receive our biggest stories as soon as they’re published. John Winkler II was dying of heart failure when doctors came to his hospital bedside, [... want %more?] → https://is.gd/OOd3Fz11:24
BrainstormNew from r/WorldNews: worldnews: Nearly 2,300 people test positive for coronavirus after attending music festivals in Catalonia → https://is.gd/B2JLnu11:34
BrainstormNew from Virology.ws: Heterologous Vaccine Regimens Might be Better: A heterologous vaccine regimen consisting of a first dose of the AstraZeneca vaccine and a second dose of the Pfizer vaccine induces a stronger immune response than a regimen consisting of two doses of the AstraZeneca vaccine. → https://is.gd/2audCE13:09
BrainstormUpdates for Malaysia: +20596 cases (now 1.2 million), +164 deaths (now 10019) since a day ago13:33
BrainstormNew from The Indian Express (Health): Health: Flu shot may protect against severe effects of Covid-19: Study → https://is.gd/oEx1Wh13:41
BrainstormNew from BMJ: Covid-19: All 16 and 17 year olds in the UK to be offered first vaccine dose: All 16 and 17 year olds in the UK will be offered a first dose of the Pfizer BioNTech covid-19 vaccine, the Joint Committee on Vaccination and Immunisation (JCVI) has announced.The committee has not... → https://is.gd/9Mj9u714:03
BrainstormUpdates for Nepal: +3007 cases (now 708079), +37 deaths (now 9994) since a day ago14:10
BrainstormNew from Reddit (test): COVID19: News: RECOVERY-RS trial finds continuous positive airway pressure (CPAP) reduces need for invasive ventilation in hospitalised COVID-19 patients → https://is.gd/6cGxvn14:34
BrainstormUpdates for Switzerland: +1025 cases (now 722801) since 23 hours ago15:00
BrainstormUpdates for Greenland: +15 cases (now 150) since a day ago — Germany: +4027 cases (now 3.8 million) since 22 hours ago15:37
BrainstormNew from StatNews: Pharma: STAT+: Pharmalittle: HHS watchdog to review FDA approval of Alzheimer’s drug; Moderna sold $4.2 billion of its Covid-19 vaccine → https://is.gd/84ec7J15:39
BrainstormUpdates for Bangladesh: +12744 cases (now 1.3 million), +264 deaths (now 21902) since 23 hours ago16:02
BrainstormUpdates for Serbia: +579 cases (now 724097), +3 deaths (now 7132) since a day ago17:04
BrainstormNew from ClinicalTrials.gov: (news): COVID-19 Antibody Responses in Cystic Fibrosis → https://is.gd/h4wHJ417:04
BrainstormNew from ClinicalTrials.gov: (news): Safety of an Inactivated SARS-CoV-2 Vaccine for Prevention of COVID-19 in Children and Adolescents → https://is.gd/J7dCRX17:15
BrainstormNew from ClinicalTrials.gov: (news): Reactogenicity, Safety, and Immunogenicity of Covid-19 Vaccine Booster → https://is.gd/kLFpH717:26
BrainstormNew from ClinicalTrials.gov: (news): Efficacy, Immunogenicity and Safety of COVID-19 Vaccine , Inactivated in Children and Adolescents → https://is.gd/CLLZDl17:37
BrainstormUpdates for North Macedonia: +219 cases (now 156926), +4 deaths (now 5501) since 23 hours ago — Switzerland: +1 deaths (now 10909) since 2 hours ago17:41
BrainstormNew from ClinicalTrials.gov: (news): Project FLUx COntact-CoVID-19 Faculty of Medicine Paris-Saclay → https://is.gd/i9EnwM17:47
LjLi guess Italy is not on the general EU downwards trend :\17:58
BrainstormNew from ClinicalTrials.gov: (news): COVID-19 Administration of Single-Dose Subcutaneous or Intramuscular Anti- Spike(s) SARS-CoV-2 Monoclonal Antibodies Casirivimab and Imdevimab in High-Risk Pediatric Participants Under 12 Years of Age → https://is.gd/uEZzft17:58
LjLwave record of +7230 today, and +806 in Lombardy is also a record17:58
LjLThursday is always the worst day, but regardless...17:58
BrainstormUpdates for United Kingdom: +29825 cases (now 6.0 million) since 15 hours ago18:06
BrainstormNew from ClinicalTrials.gov: (news): Study of Allogeneic Adipose-Derived Mesenchymal Stem Cells to Treat Post COVID-19 "Long Haul" Pulmonary Compromise → https://is.gd/CMj0jY18:09
BrainstormUpdates for Albania: +132 cases (now 133442) since 22 hours ago18:31
BrainstormUpdates for Morocco: +12039 cases (now 665325), +72 deaths (now 10087) since a day ago — Italy: +7224 cases (now 4.4 million), +27 deaths (now 128163) since a day ago — Canada: +14 deaths (now 26632) since 16 hours ago19:08
ronavax.title https://www.reuters.com/world/asia-pacific/turkmenistan-makes-covid-19-vaccination-mandatory-2021-07-07/19:26
Brainstormronavax: From www.reuters.com: Turkmenistan makes COVID-19 vaccination mandatory | Reuters19:26
ronavaxwhy isnt turkmenistan in offloop?19:26
BrainstormUpdates for Kenya: +1571 cases (now 208262), +32 deaths (now 4057) since a day ago — Spain: +28881 cases (now 4.6 million), +110 deaths (now 81931) since 23 hours ago19:33
de-factonixonix the probably dont publish case data or such19:52
ronavaxyeah they dont19:59
ronavaxhttps://pbs.twimg.com/media/E8Bhez3XEAAiP0M?format=jpg&name=large19:59
ronavaxdidnt check, but thats what i read somewhere19:59
ronavaxthey give 10 Mig pfizer for 5-11 yo and 3 Mig for under 520:00
de-factohmm but they test 2 weeks after their update shot, yet 1 or 6-8 months after booster20:02
de-factoso they compare maximum with ... waned off20:02
nixonixhttps://twitter.com/kaitlancollins/status/142330966802209587320:02
nixonixyeah. i think pizer got 5-10x titers - i suppose compared to similar time vs post 2nd20:03
de-factobut interestingly the differences between WT and VoCs become smaller, hence maybe variability in antibody affinity larger?20:03
de-factoor is that also an effect of time?20:04
de-factoprobably, since they refine affinity, so 2 weeks after update is less specific as 1 or 7 months after booster20:04
nixonixthe problem is they are waning fast, they dont mature post 2nd, and it looks more and more that current s protein vaccines are not long term solution, for lasting immunity20:04
BrainstormNew from WebMD: Amid Delta Surge, Major Companies Mandate Masks, Vaccines: The surge of Delta variant COVID-19 cases is driving companies to revise their rules for masks and vaccinations for both employees and customers. → https://is.gd/5sOYhx20:06
de-factoto measure this properly they would have to take blood samples every week and do ID50 neutralization against a wide spectrum of VoCs to measure both: waning and variability or how "broadly" they bind20:06
nixonixi read about flu vaccines, and when they used oil-in-water adjuvants, there was ab maturation for years, also after yearly new flu vaccines. but those that got non-adjuvanted vaccines, after another vaccine year later, ab's returned to non-matured type20:06
nixonixbut those squalene adjuvants are risky. and it was with flu20:07
nixonixthere are different types of adjuvants also, it might not apply to other types. certain types modify cytokine profile, and those traditional like alum then boost the response. often used together nowdays20:09
nixonixnovavax might allow ab maturation after 2nd dose, perhaps20:10
de-factowhy would it stop to mature after 2nd dose with other ?20:10
BrainstormUpdates for Azerbaijan: +1196 cases (now 348074), +4 deaths (now 5043) since 23 hours ago — Turks and Caicos: +13 cases (now 2499) since 4 days ago — India: +43192 cases (now 31.8 million), +659 deaths (now 426276) since 20 hours ago20:11
de-factoand is that even wanted? what does maturation mean? more specific binding to just the one antigen (hence less affinity to variants of it)?20:11
nixonixUnder this contract, Member States will be able to purchase up to 100 million doses of the Novavax vaccine, with an option for 100 million20:11
nixonixif they get EUA, or what it was called here20:11
nixonixno, at least with flu vaccines, the maturation increased affinity to non-conserved parts of HA, so it would be better against emerging variants20:12
nixonixfor conserved parts, old immunity (vaccines or infections) dominate20:13
nixonixi wonder how well OAS is understood, and if this is the mechanism behind it20:14
de-factoah ok because we would want a type of immunity that covers also variants of the antigen not included in that vaccine shot20:14
de-factoand also some variability from vaccinated compared with another vaccinated so that the pathogen could not too easily exploit similarities in the immune responses20:15
nixonixtheres been thinking what would be effective against variants (besides robust circulating abs - which wane fast without boosters), strong killer t-cell response, or using whole virus vaccines for cell-mediated immunity recognizing non-spike antigens20:17
nixonixthe answer might be adjuvanted vaccines20:17
nixonixbecause of way longer affinity maturation, if its the same with sars2 vaccines20:18
de-factohmm but what is the difference by adjuvants?20:18
nixonixwe can already see, the immunity vs severe symptoms reduces too. from over 90% to 81% in five months or so, in israel20:18
de-factothey would concentrate the immune reaction on the injection site so even less potent antigen reactogenicity could be immunogenic enough?20:19
de-factodont we have enough of those localized inflammation with the vector and mRNA shots?20:19
nixonixits not proven what makes the difference, but maybe increased follicular helper t-cells needed in germinal centers for maturation20:19
de-factomy arm hurted quite a lot for a few days20:19
nixonixit varies, for me it was a bit less after 2nd dose. but after the 1st i got either nothing else, or possibly slight headache couple days later (not sure of the day - and might be for other reasons)20:20
nixonixi asked for aspiration for the 2nd. the nurse didnt understand, either couldnt heard the word or was unfamiliar with the term. i explaned and she said its not recommended. i had checked what our health institute guidance was, just before..20:22
nixonixand told its not _required_20:22
nixonixso she did it20:22
TurboTechMorning, Afternoon, Evening to all.20:22
nixonixsame to you20:23
TurboTechMy arm is finally coming back to life.20:23
generathe best is yet to come20:23
TurboTechTaking 20 mg melatonin 2x daily.20:24
de-factoarent you sleepy from that?20:24
TurboTechno20:24
TurboTechI do not get sleepy.20:24
TurboTechfrom it.20:24
TurboTechI noramlly take 10 mg 2x a day but doubled it.20:24
TurboTechpost shot.20:24
TurboTechI can probably back down now.20:25
de-factowow here they sell 1mg melatonin as high-dose sleeping help20:25
nixonixi tried melatonin many times years ago. i got no effect for sleeping, 1-5 mg doses. and im very bad for placebo effects. it just doesnt work for me20:25
TurboTechI need to draw my blood and see how my lymphocytes are handling the shot.20:25
de-factoso you take three weeks worth of their high-dose sleeping help pills20:25
de-factooh 6 weeks20:25
TurboTechMelatonin is sold in as high as 50mg tabs20:25
TurboTechMy wife just bought 25 mg tabs20:26
de-factowhats the reasoning behind taking so much melatonin?20:28
nixonixreducing ROS wasnt it20:28
TurboTechYes.20:28
TurboTechthey are studying it in Covid 1920:29
TurboTechhttps://clinicaltrials.gov/ct2/results?cond=covid+19&term=Melatonin&cntry=&state=&city=&dist=20:29
nixonixyou read that telomere paper?20:29
TurboTechme?20:29
nixonixyeah20:29
TurboTechI do not recal.  link me.20:29
TurboTechI read about 8000 papers in the last year and a half.  LOL20:29
nixonix.title https://www.medrxiv.org/content/10.1101/2021.04.23.21255973v1.full20:29
Brainstormnixonix: From www.medrxiv.org: EVIDENCE FOR BIOLOGICAL AGE ACCELERATION AND TELOMERE SHORTENING IN COVID-19 SURVIVORS | medRxiv20:29
de-factothere is v2 of it20:30
nixonixsome type of antioxidant treatment might reduce the damage20:30
nixonixhave there been recent expert comments for that?20:30
TurboTechThere is a lot of Data on Resveritrol, Quercetin, Alpha Tocopherol (Vitamin E)20:30
TurboTechEven Olive Oil20:31
TurboTechAll Antioxidants.20:31
TurboTechAll support endothelium20:31
TurboTechWhich is super important.20:31
TurboTechDownregulate reactive oxygen species and upregulat nitric oxide.20:32
nixonix.title https://www.mdpi.com/1422-0067/22/11/6151/htm20:33
Brainstormnixonix: From www.mdpi.com: IJMS | Free Full-Text | Evidence for Biological Age Acceleration and Telomere Shortening in COVID-19 Survivors | HTML20:33
TurboTechLocal Dr. is treating his patients with high Dose melatonin.  when he was in the Air Force his study was melatonin.20:35
TurboTech.title https://devinenews.com/masks-to-melatonin-how-it-works-why-it-works/20:36
BrainstormTurboTech: From devinenews.com: Masks to melatonin – how it works, why it works – The Devine News20:36
de-factoidk imho i would try to stick to the conditions under which the vaccine in question was studied and approved to perform reliably20:38
TurboTechThese antioxidants have proven themselves as being helpful adjuvents in many treatments alongside vaccinations as well as Chemo Therapy.20:39
TurboTechUnderpowered studies do a horrible justice to public health.20:40
de-factosure, i am not opposing to them being of help, i just think we should have a double blind trial for that in combination with vaccinations20:40
de-factoi mean vaccinations goal is to induce some longterm immunity, maybe reducing ROS too much would shift to innate and not humoral immunity?20:42
de-facto(btw i dont know that, just as an example)20:43
TurboTechI agree, but the problem is it seems as though many of the researchers who come up with trials of over the counter agents either do not understand them well enough to properly dose a strong trial.  For instance.  The South American 200,000 iu single Dose vitamin D Trial in ICU patients.  It takes 2 weeks for that to Vitamin D to be converted from cholecalciferol to 25(OH)D.  Patients died in that time. So of course the study failed.20:43
nixonixi was thinking the same, if high dose of melatonin affects immune response. they havent warened about it, afaik though. some have said against taking NSAID after vaccine unless really needed, but thats prob just in case they would affect20:44
nixonixwarned20:44
TurboTechThe problem is that our diets have already ingrained a large amount of oxidative stress in the system over time causing mitochondrial injury as well as endothelium dysfunction.20:45
TurboTech.title https://aspenjournals.onlinelibrary.wiley.com/doi/full/10.1177/014860711769979220:47
BrainstormTurboTech: From aspenjournals.onlinelibrary.wiley.com: Patients With Mitochondrial Disease Have an Inadequate Nutritional Intake - Zweers - 2018 - Journal of Parenteral and Enteral Nutrition - Wiley Online Library20:47
de-factoyeah but then why not try to do moderate (non-high pulse) mobility, eat extra high quality foods, always drink more than enough water, and try to sleep as regular as possible to optimize immunity?20:47
de-factoand also extra diverse foods, just to fill out unknown deficiencies20:48
TurboTechBecause food for instance does not have enough vitamin D for one to bring you to a proper level.20:48
TurboTechIt's not even close.20:48
de-factoyeah ok, then sunlight too20:49
de-factofunny i could see many to run without t-shirt here on sunny days20:49
de-factothey never did that before the pandemic that often20:49
de-factothough i would not go for a run with a fresh vaccination, just to lower myocarditis risk20:50
TurboTechI am a healthy 47 year old with no known problems.  My liver is fine so my vitamin D function should be ok.  The sun in winter is too low in the sky.  The angle of incidence is not high enough to produce Vitamin D.  Not even here in Texas below the 30 latitude.20:50
nixonixsorry, Mcg, not Mig above (what they use when lazy to find mu character)20:50
de-factowell yeah i am taking D3 too tbh20:51
TurboTechI take 6000 IU daily of vitamin D and in the summer my level topped out at 59 ng/mL which is a good.  Normal is between 30-100 ng/mL.20:51
TurboTechWhen Covid 1st came to the US we all analyzed our levels and we were all deficient.  12 ng/mL.20:52
de-factoi take 2k IU or 50µg daily20:52
TurboTechYes 25 ug is 1000 Iu20:52
de-factoin pharmacies they recommend half of that, yet even 2k may be not enough20:52
TurboTechIn november I reanalized my vitamin D while still maintaining 5000 IU Daily.  My level fell 18% that is how important the sun is.20:53
de-factoproper way would be to go for a blood analysis and adjust according to that20:53
TurboTechit is part of my job.  ;)20:53
de-factolucky you, so you can quickly measure it20:54
TurboTechMy coworker who was taking the same dose in March reanalized and his Level was 20 ng/mL.20:54
TurboTechSo if you are not supplementing in winter there is no way you could be replete.20:55
nixonixive used around 100 µg (a bit more, comes from some other supplement, and added in margarine etc) pre rona, and nowdays 125-250 depending on time of year mostly20:55
de-factooh btw, what do you think about antibody tests? do they deliver comparable results in terms of their metric, and does it make sense to measure those in order to estimate ID50 levels or such? like to know how well vaccination worked?20:55
TurboTechOur IgG and IgM test is not used for immunity.20:56
TurboTechIt was never correlated20:56
de-factoso its just about: yes contact with antigen or no its naive?20:56
TurboTechbasically it is a partial quantatative20:57
nixonixhttps://twitter.com/hjelle_brian/status/141545327600740761920:57
de-factoi would be curious to have some metric for how well vaccination worked20:57
TurboTechAbove a certain threshold and you have been exposed so to speak (had covid)20:57
de-factowithout some fancy ID50 tests in S320:57
de-factobut are those antibody tests have a proper metric? like do they give an estimate how many binding antibodies are contained per ml or such?20:58
TurboTechThat is a good question. I am not sure.  Give me a second.  Let me see if I can find the product insert.20:59
TurboTechI am not at work20:59
nixonixthere are some correlations between binding and nab antibories, which are known reasonably well. then they are currently studying a lot neut ab correlate of protection20:59
de-factosure i am just curious, can also tell in a few days, i am not planing to go for such a test the next week or such20:59
nixonixthere are lots of different neut abs though, and usually just some set of them are studied, and hoped for best its representative enough21:00
de-factonixonix, yeah those antibody titers and ID50 doses always looked quite similar in the graphics of the papers21:00
nixonixflorian krammer studied those relations of binding and neut abs, and their kinetics. his old tweets has information21:01
TurboTechThis link is huge.21:02
TurboTechHow do I post it without yall getting teary eyed21:02
de-factoi would assume they strongly correlate, but i am not sure what kind of properties such an antibody test would have to fulfill in order to maximize antibody levels with neutralization titers21:02
TurboTechOk scroll down on this.  https://www.corelaboratory.abbott/us/en/offerings/segments/infectious-disease/sars-cov-221:02
de-factoto maximize *correlation of antibody levels with neutralization titers21:06
de-factodoes it give me a number that has a linear correlation with ID50 neutralization ?21:08
nixonixthose correlate of protection studies they are doing currently, that i have linked here, are made so they could eg see if immunocompromised patients have got the protection from vaccine or not - and to use for vaccine development so that large RCTs wouldnt be needed21:09
nixonixlike that virologist said in his tweets, that information isnt available from commercial tests, yet anyway21:09
de-factoso they only tell me: yes you got the vaccine (as you already know) but now how well it worked?21:11
nixonixyeah, can no tell with high confidence yet. but i guess with low confidence just checking levels of eg binding abs would tell something. not sure if it could or should be used for old ppl and other immunocompromised. maybe21:12
nixonix.title https://www.nejm.org/doi/full/10.1056/NEJMsb2104756?query=featured_home21:13
Brainstormnixonix: From www.nejm.org: SARS-CoV-2 Variants in Patients with Immunosuppression | NEJM21:13
de-factobut how do they do those graphs of antibody levels in all those papers then? they always show those violin plots and next to levels also neutralization and it seems from eyeballing there is quite a good correlation (at least for the whole ensemble)21:13
nixonixthey have assumed that binding vs neut abs correlate pretty well, but theres lots of variance between individuals for different nAbs, some of them effective vs especially new variants, some of them not21:18
de-factosurely it does not tell for each individual if being in the upper range of the antibody level cluster also directly correlates with being high in the neutralization levelc cluster21:18
nixonixif you check some studies listing levels for different antibodies, theres huge variation between individuals. and they usually use some set of maybe 20 or so, what ive seen. for some of them some individuals have zero or close, and for some tires might be high21:20
nixonixtitres21:20
de-factoyes but there can be two kinds of variations overlapping for each individual: how many antibodies have been produced (and detected as binding to whatever the test uses) and how well their neutralization works in terms of reducing viral replication in vivo21:24
de-factofrom those graphs we only would know: yeah the whole ensemble in antibody levels looks similar to the whole ensemble in the neutralization level, yet we would need to compare those two values for each individual separately in order to establish a proper correlation21:25
nixonixneutralization tests are expensive, require lots of manual work and time. they did those a bit in finland to confirm those rapid screening ab test positive results (those have huge fase positive rate)21:26
finely[m]https://pluralistic.net/2021/08/05/comprehensive-sex-ed/#goffman21:28
de-factoyes exactly thats why i would like to know 1) how well antibody levels correlate with neutralization levels per individual (and the variance of that correlation) 2) if there is such a correlation which of the antibody level tests would yield some normalized results in terms of different tests delivering similar numbers for antibody levels21:29
nixonix.title https://www.nature.com/articles/s41591-021-01432-421:31
Brainstormnixonix: From www.nature.com: A correlate of protection for SARS-CoV-2 vaccines is urgently needed | Nature Medicine21:31
nixonixEven titers of binding antibody (e.g., as measured by enzyme-linked immunosorbent assays, which are much easier to perform at large scale than neutralization assays are) seemed to correlate well with efficacy21:32
nixonixthats from florian krammer. they dont currently have strong correlates. but maybe enough to see if old ppl and or immunodeficient likely got or didnt get protection from the 2nd dose21:35
nixonixAt present, the messaging from regulatory agencies states that “antibody tests should not be used to evaluate a person’s level of immunity or protection from COVID-19.”21:37
BrainstormUpdates for France: +27796 cases (now 6.2 million), +39 deaths (now 112153) since 23 hours ago21:38
nixonix"The results of this semi-quantitative test should not be interpreted as an indication or degree of immunity or protection from infection."21:40
nixonixfrom one such study:21:44
nixonixVaccine efficacy of 80% against primary symptomatic COVID-19 was achieved with an antibody level of 40923 (95% CI: 16748, 125017) and 63383 (95% CI: 16903, not computed (NC)) for anti-spike and anti-RBD, and 185 (95% CI: NC, NC) and 247 (95% CI: 101, NC) for pseudo- and live-neutralisation assays respectively. Antibody responses did not correlate21:44
nixonixwith overall protection against asymptomatic infection21:44
nixonixalso remembering that curevac failing, their ab titers were high, but it failed for symptomatic infections (they think it could be interpreted to pass the 50% mark though, and said they are applying the EUA)21:47
nixonixwhich might be just to speed up the approval of the improved version, or maybe smaller trials for it would then be needed. i dont see a big market for new 50% efficacy vaccines. but idk, those chinese are worse against 617.221:49
nixonixfor those reading, "binding antibody" is a term used for non-neutralising other antibodies (neut abs also bind, but those "binding antibodies" just bind with not much protection)21:51
nixonixhttps://twitter.com/itosettiMD_MBA/status/142306994463225036821:54
nixonixi read somewhere a claim that 1/200 kids that get infected will be hospitalized in uk. i think i saw the figure in some article too, but can anyone confirm? identified cases or from putative infected? under what age?21:56
-RSSBot[LjLmatrix- Feed: Comunicato stampa del Consiglio dei Ministri n. 32 ( https://www.governo.it/it/articolo/comunicato-stampa-del-consiglio-dei-ministri-n-32/17592 )21:57
nixonixBritain has opted against mass COVID-19 vaccinations for all children and teenagers, with ministers instead preparing to offer doses to vulnerable 12 to 15-year-olds and those about to turn 1821:58
nixonixmeaning within 3 months to 1821:58
nixonixfinland starting next week, 12-1521:58
nixonixschools reopen next week too...21:59
Arsaneritgood luck with that21:59
Arsaneritdo they have fans and such?22:00
ArsaneritI mean air purifiers22:00
BrainstormNew from CIDRAP: New US COVID-19 cases at 6-month high: Stephanie Soucheray | News Reporter | CIDRAP News Aug 05, 2021 As the US COVID surge continues, Anthony Fauci, MD, says, "The end game is vaccination." → https://is.gd/GjZMiO22:03
de-factonixonix, but "binding" and "neutralization" both depend on the epitope offered to the antibody, e.g. how well does the antigen of such an antibody test correlate with the antigen of the pathogen (e.g. Lambda in Peru for Curevac)22:03
de-factomaybe they measured high antibody level against wuhan spike (with the test?) yet had low affinity to lambda spike in vivo?22:04
nixonixarkansas, population 3M https://twitter.com/Cleavon_MD/status/141836495337181184122:05
nixonixyeah, but those substituted or deleted epitopes of the variants are known, so for certain monolconal abs its known if they are affected22:07
nixonixor nucleotides of epitopes they target22:08
nixonixi saw a twitter video of 9 yo in ICU. i can link here if anyone wants. and those dont want to see, dont click22:09
nixonixfrom sars2, that is22:10
de-factook lets see22:11
Arsaneritnixonix: pre-existing diseases?22:12
de-factogood question22:13
BrainstormNew from Novavax: (news): Novavax Announces COVID-19 Vaccine Booster Data Demonstrating Four-Fold Increase in Neutralizing Antibody Levels Versus Peak Responses After Primary Vaccination → https://is.gd/lYvv3G22:14
nixonix.title https://www.cbc.ca/news/politics/canada-vaccine-contracts-1.606377622:15
Brainstormnixonix: From www.cbc.ca: Canada paid a premium to get COVID-19 vaccine doses from Pfizer earlier than planned | CBC News22:15
nixonixthat 9 yo? i dont know22:16
nixonixok, here. 9 yo in icu: https://twitter.com/FakeNewsHuntres/status/142263165203601817822:19
Arsaneritwhat is the point of showing a 9 year old in an ICU?22:21
ArsaneritTo show that (in very rare cases) children can get seriously sick?  We already knew that.22:21
nixonixtheres currently debate in many countries, should kids be vaccinated or not22:22
nixonixin uk, even under 18 yo22:22
Arsanerityes, but "it's possible for 9 year olds to get sick" isn't a very useful contribution to that unless accompanied by how rare or frequent that is, and afaik no-one is vaccinating kids under 1222:25
nixonixchinese coronavac to be approved for over 3 yo in china and brazil, according to irene ... https://twitter.com/itosettiMD_MBA/status/142299009367821927222:25
nixonixcontribution? from me?22:25
ArsaneritHas any country approved any vaccine for under 12 year olds?22:25
nixonixyeah, israel just started for 5+ yo22:26
Arsaneritah interesting22:26
nixonixcontribution? from me?22:26
ArsaneritBut is that to protect the kids or to hope to reach herd immunity by vaccinating the kids, because not enough adults are willing?22:26
nixonixboth probably22:27
nixonixabout that contribution?22:27
de-factointeresting, what is that device on his chest? vibrating his torso to help with curing pneumonia?22:30
de-facto"This child is receiving a bronchodilator along with a mechanical (chest physiotherapy CPT) to loosen secretions in the lungs. Physicians are trying prevent intubation"22:32
nixonixidk, i coulndt watch ):22:32
de-factonever seen this before, but i though something like that22:32
nixonixjsut couple seconds22:32
nixonixthere was some discussion in other tweet too above22:33
nixonixalso linked a few tweets and other links on the subject, so maybe there was some accompanying contribution...22:33
de-factoidk i dont see anything disturbing in this, we knew children also can get sick (in rare cases) so its good to see they get good care and treatment there22:34
nixonixand also i linked that icu tweet after asking, if anyone wants...22:34
de-factohope he wins his fight and gets well soon22:34
nixonixrpi hows your symptoms?22:34
dTalI used to go to a Go club on wednesdays, in the before time22:36
dTalyesterday they decided to have a big meetup again, in a pub22:37
nixonixare you a go go girl?22:37
nixonix.title https://www.tampabay.com/news/health/2021/08/02/florida-leads-the-nation-in-kids-hospitalized-for-covid/22:37
Brainstormnixonix: From www.tampabay.com: Florida leads the nation in kids hospitalized for COVID22:37
dTaltoday one of them tested positive and has flu like symptoms22:37
dTalstay safe, peeps22:37
dTalnixonix: no22:38
nixonix):22:38
dTalI think this pandemic has cost me friends22:39
dTalI will never look at some people the same again22:39
nixonixyou got us22:39
BrainstormUpdates for Ethiopia: +687 cases (now 282498), +3 deaths (now 4406) since a day ago22:40
de-factosame i did quit some friendships, and i dont intend to revive them22:42
de-factoactually i am glad the pandemic is a magnifying glass in many aspects22:42
nixonixwhy kids, at least 12+ and prob younger too when they release safety data, should be vaccinated, isnt just about immediate or persisting symptoms, but the unknown of the damage to organs, brain etc22:44
nixonixwe know the risks of vaccines, and they are very minor for approved mrna22:45
nixonixfor protection of other population, maybe not so much for antivaxers, but their parents, grandparents etc. and their friends too22:46
nixonix(and enemies in the same school...)22:46
de-factohmm but there is no sterilizing immunity with Delta22:49
nixonixreduced. its something22:49
de-factolowering reproduction number, yes ok and thereby preventing the wave from igniting22:49
de-factoyes22:49
nixonixthey should have risked and order more novavax, imo22:50
de-factostill imho vaccination should primarily be about protecting the own health, personal benefit22:50
nixonixlot of way more pore investments happen every day22:50
nixonixyeah, yourself and your family first, ofc22:51
nixonixbut sometimes you can take one for the team. like participating in trials22:51
nixonixbtw, they didnt do those human challence trials in uk, did they? i told you last summer, very unlikely to happen. if placebo group really required, that is22:52
LjLuhm22:52
LjLgüd question22:53
nixonixchallenge22:53
TurboTechThoughts?22:54
TurboTech.title https://www.yahoo.com/entertainment/fauci-warns-vaccine-resistant-covid-192602345.html22:54
BrainstormTurboTech: From www.yahoo.com: Fauci Warns New, Vaccine-Resistant Covid Variants “Will Happen” If Enough Americans Don’t Get Vaccinated22:54
LjLthey will happen, period22:54
specingmeanwhile in africa...22:55
LjLeven if everyone in the world is vaccinated, it's now pretty clear the virus still circulates22:55
specing(and India)22:55
TurboTechI can not believe Fauchi said that22:55
LjLyeah but we don't even need to take Africa into account, vaccinated people get Delta plenty. even if it mostly doesn't kill them, it definitely circulates with all the chances in the world to become *more* vaccine-resistant22:55
TurboTechexcatly22:56
TurboTechHis talk here is irresponsible22:56
nixonixits in deers too, species jumps are excellent for new variants to emerge. also those immunocompromsed, maybe 3% of population, they can hive and spread variants for months22:56
de-factoit becomes more likely with every breakthrough case transmitting to another susceptible, the more often that happens the higher the likelihood of breeding some problematic mutant that optimized fitness even in a population immunized with an ancestor of that antigen22:56
LjLTurboTech, well Fauci wants people to get vaccinated, and his statement is not false, it's just... it's true if they do, and it's true if they don't :P22:56
BrainstormNew from WebMD: Gun Sales in Homes With Teens Rose During Pandemic: New researchers reveals U.S. gun sales increased early in the COVID-19 pandemic, and many of those firearms ended up in homes with teens. → https://is.gd/C7STtC22:57
specingHow much is enough, though?22:57
nixonixmore vaccine breakthroughs too with non-maturing abs waning, if not boosted... more chances for new variants22:58
specingI remember months ago they were saying we needed 60% for herd immunity, then 70%, now 80%, tomorrow 90%?22:58
TurboTechwould you think that the vaccinated will be the ones to create resistant variances?22:58
specingI would22:59
de-factothe key point is continuation of a selected infection chain, if it broke through immunity induced by vaccination or recovery may either not matter or it even could exploit similarities in vaccine induced immunity, imho it would be a good thing to have some variation in the immunity in population in terms of against which antigen the immunity was raised22:59
specingThere's no selection pressure against vaccines in unvaccinated people22:59
specingbut unvaccinated do provide a better pool for mutations23:00
nixonixhigh coverage keeps the cases low. breakthroughs with less symptoms (dont say typhoid marys), reduced spreading time, then more lasting immunity perhaps after infection23:00
LjLspecing, i'd say at the current point "enough" = "all of them" (and even then it's not enough)23:00
LjLeven in the optimistic scenario where vaccines retain 80% efficacy on average, that's below herd immunity levels even if 100% of the population gets it with Delta23:01
specingHah23:01
ArsaneritHow can we increase the vaccination rate?=23:04
BrainstormUpdates for India: +43211 cases (now 31.8 million), +660 deaths (now 426277) since 23 hours ago23:05
LjLi think the most important thing right now is to quickly deploy Delta-specific vaccines23:08
LjLmeanwhile sure, tell people to get vaccinated23:08
LjLthe EU has seen more vaccine uptake (relatively speaking, it was going slowly now) after the green pass23:08
LjLso something like the green pass can boost adoption, although i don't necessarily like the idea23:08
LjL(meaning, something like the green pass *being mandatory* for various activities)23:09
specingArsanerit: make it mandatory like measles/polio/tetanus/child paralysis/you name it23:10
LjLand get full-blown riots23:10
Arsaneritspecing: good luck with that23:10
de-factoLjL, well enough vaccinations also could mean that with current level of NPIs to reach permanently R<1 hence prevent incidence to explode and thereby prevent breeding of vaccine resistant mutants in a mostly vaccinated population23:11
specinggreen pass is just how to make it mandatory without making it mandator23:11
LjLde-facto, we were talking about the US... what NPIs?23:11
LjLand i don't see many NPIs here either23:11
de-factothats why i said bring it down with NPIs and then vaccinate as fast as possible, synchronized, to help hold it down (with combined NPIs and vaccinations) to prevent breeding23:12
de-factoLjL, those NPIs that prevented reproduction numbers in US from skyrocketing, idk how many are still in place though23:14
LjLi think we see graphs that may or may not have anything to do with restrictions, and the dogma is that it's the restriction that stops waves, even though we've seen enough waves just end on their own for unexplained reasons23:15
nixonixi found something about israels experiences increasing vax popularity, ill link here later, when i find it. but first, that 60% vaccine coverage and lots of infections in population being ideal for new variants...23:15
nixonix"By contrast, a counterintuitive result of our analysis is that the highest risk of resistant strain establishment occurs when a large fraction of the population has already been vaccinated but the transmission is not controlled," the researchers conclude.23:15
nixonixMore specifically, in situations where an emergent strain is permitted to spread, its emergence occurs when around 60 percent of those model 10 million citizens have been fully immunized.23:16
nixonix.title https://www.sciencealert.com/freedom-day-from-covid-raises-the-risk-of-a-resistant-covid-strain-emerging23:16
Brainstormnixonix: From www.sciencealert.com: A Resistant SARS-CoV-2 Variant Could Emerge Any Time. Here's What Raises The Risk23:16
nixonixin uk they had around 90% in ab survey, which arent necessarily very accurate, and varies for different sub-populations (while vaccinations make the differencies smaller, since old ppl have higher coverage and young more from infections)...23:20
nixonixso its not a big step for herd immunity to affect, even against indian variant23:21
nixonixin holland, they reinstated some measures. maybe also some high spreader groups went over the threshold during the peak23:22
de-factodidnt they had a music festival in Utrecht (Netherlands) where they had a superspread event with 1000 infections?23:23
nixonixyeah, they had some certificate system, but ppl faked them etc, if i recall23:24
de-factothey tried to implement vaccinated, recogered, tested but obviously could not prevent the spread23:24
nixonixmaybe those who werent immunized yet, got it there...23:24
de-facto*recovered23:24
de-factono i think that concept is flawed, vaccines have breakthrough and tests limited sensitivity, that gives an upper limit to how big a gathering could be23:25
de-facto20k participants is too much obviously23:25
de-factobut yeah what to expect from a festival called "Verknipt"23:26
nixonixmany young ppl dont go to tests when they get symptoms, not to be quarantined. they may stay home during the symptoms, but not 2 weeks. immunity increases, case numbers dont23:26
de-factohttps://www.youtube.com/watch?v=ralnU5UAcDc23:27
nixonixit seems a lot less reinfections than breakthroughs. so they are mostly immunized for awhile23:27
de-factoits right before the start of their super peak23:28
de-facto2021-07-03-2021-07-04,23:29
nixonixsoon there will be rhinovirus hell. they cant test them all, and the close contacts even less23:29
de-factowhy rhinovirus hell?23:32
de-factoi dont think i get it every year23:32
de-factobecause of the closed schools?23:33
Arsaneritdoes the upper limit depend on on indoors / outdoors?23:33
de-factoyes i think so23:33
de-factoexcept the infecitons happen with traveling mostly23:33
LjLi think he means rhinovirus will circulate and it won't be easy to distinguish from COVID to everyone will have to get tested but it'll be impossible23:33
nixonixa bit later than schools started last fall, if i recall even 40k per day, mostly rhinovirus, in population of 5.5M23:33
de-factooh interesting23:34
nixonixgood thing is, it blocks sars2 efficiently23:34
nixonix.title https://academic.oup.com/jid/article/224/1/31/617997523:35
Brainstormnixonix: From academic.oup.com: Human Rhinovirus Infection Blocks Severe Acute Respiratory Syndrome Coronavirus 2 Replication Within the Respiratory Epithelium: Implications for COVID-19 Epidemiology | The Journal of Infectious [...]23:35
de-factoah so you meant rhinovirus hell for sars-cov-2? :D23:37
nixonixour healthcare dont use much lateral flow tests, its just pcr and theres not enough capacity23:37
nixonixthey should buy those rapid tests now, when they are cheaper and demand has reduced23:38
nixonixbars are to be closed earlier, starting in a week, at high prevalence areas. big help, 1 AM -> 11 PM23:39
de-factoyeah rapid tests are helpful (according to some models in begin of 2021 around 42% reduction in reproduction in Germany), but PCR are much more sensitive (from 5 PCR positive only ~2 are rapid antigen positive at the same time)23:41
nixonixvax certificates or negative test results for bar and event access are currenly considered, but requires law changes and might be ready in october. just after all the kids have been infected23:41
nixonixi dont think rapid tests should be used much if case numbers are not that high that not enough pcr capacity, because - not unlike with bad masks - people and society replace efficient methods with weak methods, when they shouldnt23:43
de-factowhat if i got fully vaccinated 6 months ago, have my vax cert and an asymptomatic delta breakthrough with roughly same viral shedding as someone never took a vaccine?23:43
nixonixus cdc thinks the same about them23:43
nixonixbut the situation is different with rhino epidemic. or enterovirus etc23:43
de-factothen allowed into bar and cause a superspread, just because their policy was "vaccinated OR tested" instead of test everyone23:43
himesamawish we had 2 virologists, 2 public health whatevers, and 2 epidemiologists here23:44
nixonixi think those vax certificates are usually just for 6 months after 2nd dose23:44
de-factorapid tests help with finding cases that normally would not get tested, then confirm them with PCR23:44
nixonixcurrently23:44
de-factobut they are not sensitive enough to really find infections, e.g. when someone goes to hospital (for something else than COVID) and they wnat to exclude recent infection with a sensitive test23:45
de-factoprobably should do two PCR roughly one incubation time apart23:45
nixonixthose soccer hooligans in quarantine (just for being exposed - different rules and also term for those with found infection), were told to get tested again after a few days23:49
nixonixthey reduced that type of quarantine time from 14 days to 10 days. or recommended it to hc areas, not sure if they are implemented yet and everywhere23:50
nixonixalways pcr tests23:50
de-factoyeah because tests will be negative if contamination happened just very short time before sample was taken23:50
de-factoeven PCR23:50
de-factoso catching with first PCR those that were exposed some time ago and with second PCR the very recently exposed23:51
nixonixhome made rapid tests cost, was it 30 for 5-pack, and even more when bought from pharmacy. so idk if many ppl buy them. just like they dont buy FFP2 masks because they are a bit more expensive (and more uncomfortable)23:52
de-factobtw thats also a problem with testing travelers, what if they just got exposed during flight? they will test negative, but soon begin to replicate and shed after23:53
de-factothats when they are allowed into freely moving around in their arrival community23:53
de-factoand they even will not be careful because they think "oh i tested negative, i am safe" wich of course is a wrong assumption23:54
nixonixthey will only catch those that got infected around 2-10 days earlier or so. some of them, because it can be shorter, pcr positive time23:54
de-factowell with delta it could be even quicker23:54
nixonixso they should all be ordered to quarantine, breaking punishable with fine, that could be interrupted earlier than 10-14 days with negative test result23:55
de-factoyes23:55
nixonixyeah it can be around 24-30 h i think23:55
de-factocontrolled quarantine23:55
de-factobut it wont be implemented, because if it would be 14d+14d quarantine for just traveling somewhere it would be more time than most people got holidays per year23:57
de-factopeople would not like that, hence the spread of variants will continue23:58
nixonixour current hybrid strategy is, most of govt on holiday for the june so dont have to do anything, then fake that they are suppressing it by reinstating earlier bar closure times around time when shools have started already, while actually having chosen to let it rip now that old ppl have got 2 doses23:59

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