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Re:Increase in delirium, rare brain inflammation and stroke ... by gnusty_gnurc on Wednesday July 08, 2020 @12:00AM (#23766778)
I feel like there’s a weird god of the gaps element to covid harm. Instead of recognizing that seemingly an overwhelming majority of people are fine and don’t suffer much adverse effects if any, there’s this automatic dwelling on extremely low probability extreme “invisible damage”. I’m increasingly convinced people are unsettled by the possibility that this could be anything other than civilization ending and the mask averse amongst us aren’t murderers. The desire for moral condemnation is too strong.
Re:Increase in delirium, rare brain inflammation and stroke ... by JoshTriplett on Wednesday July 08, 2020 @12:20AM (#23766855)
> the mask averse amongst us

"mask averse"? Really? We're talking about people who knowingly risk the lives of others; that's not their risk to take. Even without all the potential complications we're still discovering in survivors, we already know it kills people at a high rate.

I wouldn't go as far as "murder" unless someone actually knowingly had the disease and spread it to others, but "criminally negligent" would not be even slightly unwarranted. You don't point a gun at other people and pull the trigger just because you don't think there's a bullet in it.

It's not always easy to visualize "small probability of large harm", but the longer people keep fighting against steps like wearing a mask or not going out, the longer and more serious this will become, and the more people will die. "mask averse" is one of the major differences between places that have this more-or-less under control for the moment and places that don't.

There is no valid excuse to be anywhere around other people without some form of mask right now. None whatsoever. (Better yet, keep staying home if you possibly can, but that there are certainly some legitimate reasons to not do.)

Arguing against mask is like arguing you should be able to go without vaccination (which people do, but that is rightfully treated as conspiracy-theory-level harmful misinformation) or blow secondhand smoke in people's faces (except with a higher degree of potential harm from short-term exposure).

[dead]
Re:Increase in delirium, rare brain inflammation and stroke ... by JoshTriplett on Wednesday July 08, 2020 @01:29AM (#23767141)
> A real mask acually protects the person using it.

Specialized medical masks and careful usage can, yes. But even a cloth mask provides some benefit, and much of the benefit is to others: your mask reduces the likelihood of your infecting others, their mask reduces the likelihood of them infecting you. There have been multiple analyses showing that non-specialized masks (e.g. cloth) provide some benefit, even though they're not a complete substitute for medical masks.

For some strange reason, this particular family of misinformation seems to have become both political and conspiracy-adjacent; it shouldn't be. There is little to no value in replaying the same arguments here, nor any value in a prolonged repetitive thread. It really shouldn't be necessary to have mandates to do things that ought to be common sense and basic decency, but such is the current state of the world, even when there's plenty of data to demonstrate the problem.

> This viral class never goes away.

https://ncase.me/covid-19/ - There are many things we can and should do, simultaneously, in a coordinated concerted way, to reduce impact, save lives, and put us on a path to eradicating it.

https://twitter.com/ASlavitt/status/1280283199445311488

There's plenty more where those came from. There's valid reason to speculate how long this will take, and we should certainly plan for many scenarios including the worst. But there's no supporting evidence for such a confident assumption of "never", and even if that were true it still wouldn't justify blithely risking other people's lives.

> why not use a mask desinged for viruses instead of making medical decisions for other people

There aren't enough, they require a professional level of skill to use correctly, and in case you haven't seen pictures and videos of people using them, they're multi-layer armor, not just a simple mask. Also, the operative thing being protected against is droplets that carry the virus, not just the virus itself. See also secondhand smoke, vaccination, and other ways in which people are required to put up with minor inconveniences to protect the lives of others. And you absolutely have an option if you don't wear a mask: stay home. If you can't afford or find a mask, there are numerous people and places generously arranging to ensure everyone has access to some. Work towards a solution, rather than arguing why you should be able to be part of the problem.

Re:Increase in delirium, rare brain inflammation and stroke ... by jakeogh on Wednesday July 08, 2020 @01:40AM (#23767196)
Eradicating it? Really? It's crazy valuable, our response made it more so. It's only getting easier to engineer viruses.

"some benefit"

So do helmets. And banning smoking as you mentioned, kinda. And mandatory exercise. Heck fasting would offset the death stats in spades. Should I go on? What's your point? From the examples you listed, I must assume you are not for making these masks not desinged for viruses legally required. I dont think it will even remotely withstandand a Constutional challenge, but lets talk in the theoritical. Are you pro forced-medical procedures? If so, will you advocate using violence to do it?

A _really_ interesting angle is when you consider the set intersection of the authortarians with the socalized medicine proponents.

Why not talk about that CDC pdf? This is prob the last comment before I hit my limit, but I'll reply if given the chance when it resets.

Re:Increase in delirium, rare brain inflammation and stroke ... by JoshTriplett on Wednesday July 08, 2020 @01:56AM (#23767277)
Not interested in entertaining conspiracy theories.

If your response to "wear a mask to protect others" is "how dare you infringe my rights" rather than "how shall we work together to solve the problem", there's even less point in continuing this. Stay home.

Plenty of states have banned smoking in public places; it isn't about not harming yourself, it's about not harming others. I'm absolutely in favor of "you must wear a mask indoors / around people / in public", as well as the absolute right of others to kick you out of places for not wearing one, and to otherwise treat you like a walking biohazard.

Helmets aren't an operative analogy; those only protect yourself and have zero impact on others, so feel free to decide how much you value your skull.

Re:Increase in delirium, rare brain inflammation and stroke ... by jakeogh on Wednesday July 08, 2020 @02:12AM (#23767341)
https://news.ycombinator.com/item?id=15003606

Typical escape. It's the class of crime between n>1 people.

Why not address that CDC pdf?

I respect property rights, without them we have no property.

Walking biohazard? You really think that helps your argument? Can you attach a stat to that? What % of unmasked walkers? ----Why not use the masks forever?---- You avoided the first and primary question.

Helmets; why not say if you are for socalized medicine? I dont need to make the connection for you. States banning smoking with law was a mistake, property rights and voting with our $ were more than sufficent. I wont go somewhere if I dont like the enviroment.

Re:Increase in delirium, rare brain inflammation and stroke ... by ryan_j_naughton on Wednesday July 08, 2020 @03:57AM (#23767862)
Helmets, mandatory exercise, and fasting are all things that improve the health of that single individual. In contrast smoking, vaccines, or masks are about externalities. We are more hesitant to regulate something an individual chooses to do if it only affects himself/herself. But the moment your actions have an effect upon me without my consent or a market transaction dictating it, then it is a market failure and a legitimate case for government intervention. Thus, the pointing a gun at people is an apt parallel.

As for your CDC PDF, is your point that there were 131,858 pneumonia deaths in 2014-2015 as a way to make it seem like the COVID-19 death count is in line with that? Because that is just ludicrous

There have been 133K deaths in the US out of 3.05M confirmed cases. Studies on the disease being asymptomatic have found it is asymptomatic around 20% of the time. This was from situations like the aircraft carrier where they tested everyone onboard or sports leagues. Thus, they were testing those entire populations. In both cases, those were some of the healthiest, fittest, youngest people compared to the broader population. Thus, there is no reason to think that they were underestimates of the level of asymptomaticness. But for the sake of demonstration, let's assume that we are undercounting the number of infections by 5X. Thus, there would be 15M people currently infected (as opposed to the 3M confirmed cases).

With that, the disease would have a fatality rate of 133K/15M, which is 0.89%.

While that might seem low, when you combine that with how insanely infectious this disease is (where any reasonable estimate would have this thing going through virtually the entire population without extreme social distancing). Thus, let's assume in a world without masks and social distancing we would have around 200M people infected.

That would be 1.78M deaths. That is more than the entire death count in your CDC pdf (1,769,940). Thus, more people would die from COVID-19 this year than all regular deaths combined. And this is with that 5X case count adjustment.

No offense, but you sound like a libertarian who never actually took the time to study economics in order to truly understand the nature of externalities. You are just mad are people infringing what you perceive to be your rights yet you are unwilling to acknowledge that you are infringing their rights through these negative externalities.

It would be worth reading Ronald Coase's "The Problem of Social Cost"[1] to perhaps refresh your knowledge of externalities. In it, he describes a situation (first described by Pigou) wherein a train catches a field on fire with sparks. He analyzes how if you force the train to not do this and side with the farmer, you are harming the train. While if you allow the train to do this, then you are harming the farmer. That is the nature of a negative externality -- inherently one person's perceived liberty/rights are infringed by another in either direction. But then if both rights are in conflict with one another, then surely they cannot both truly be rights for each cannot be maintained without the violation of the other. Thus, it is the role of the government to settle this by defining who has what rights.

[1] https://www.law.uchicago.edu/files/file/coase-problem.pdf

Re:Increase in delirium, rare brain inflammation and stroke ... by jakeogh on Wednesday July 08, 2020 @04:36AM (#23768038)
"about externalities" hence asking if (you now) support socialized medicine. Again, I dont need to make the connection. It's obvious isnt it?

"pointing a gun at people is an apt parallel" parallel to what? Not wearing a fake face mask? The face masks are giving the people that need a real mask[1] a false sense of safety. It's entirely possible, even likely that the effect is negative. Comparing virus transmission to a direct threat to life shows frankly that you are not making a serious argument. Think I'm wrong about that? Why not attach some numbers to your example?

"there were 131,858 pneumonia deaths in 2014-2015 as a way to make it seem like the COVID-19 death count is in line with that?"

Yes. Ignoring the over-counting, it's roughly 2x a normal flu. Note you dont even try to get a # for non-covid flu/pneumonia for the pandemic part of 2019/2020. It's a glaring omission, I pointed it out in my first comment (and many before that) because, nobody will do it. Why is that?

"With that, the disease would have a fatality rate of 133K/15M, which is 0.89%."

Yep. But it's even lower. The error bars on your estimate are easily >20%[2]. People have pre-exising antibodies. Why ignore that video I posted? Or my comment that "The only real measure is excess deaths"?

Why are we not talking about excess deaths? Are you going to argue that all COVID-19 deaths are because of the virus? It's clearly not true, and that is officially acked. I posed that explanation, it's common knowledge.

"how insanely infectious this disease is (where any reasonable estimate would have this thing going through virtually the entire population without extreme social distancing)."

We flattened the curve. I assume agree. Germany is the only country that comes close to our death stats. Now you are going to claim that the virus isnt going to infect most people?

1.78M deaths! Seriously, someone should make a list of forum COVID-19 death predictions.

These predictions of millions dead are 100% incorrect, but some people keep making them. It's not established that anything we did significantly changed the outcome, certainly not using fake masks. There is even a country where the masks were banned.

"no offense"

None taken, it's pretty common to try and label people. If the socialists get their way, we can label everything a negative externality, cant we?

----Why not use the masks forever?----

[1] https://news.ycombinator.com/item?id=23730633

[2] https://www.theatlantic.com/health/archive/2020/05/cdc-and-s...

Re:Increase in delirium, rare brain inflammation and stroke ... by badRNG on Wednesday July 08, 2020 @12:20AM (#23766853)
> I’m increasingly convinced people are unsettled by the possibility that this could be anything other than civilization ending and the mask averse amongst us aren’t murderers.

In just the past couple of months, COVID-19 has racked up a body count of 130,000 dead Americans. For perspective, that's forty-five 9/11s worth of dead people. Asking people to wear a mask in public to curtail the spread saves lives. This has nothing to do with "desiring moral condemnation." The "mask adverse" can likely bear the burden of at least 1/45 of the deaths America has had compared to it's less "mask adverse" peers.

I absolutely hate wearing a mask, I'm "mask adverse" like yourself, but I wear one since this is a trolley problem where pulling the lever means I have to be uncomfortable for a few hours.

Re:Increase in delirium, rare brain inflammation and stroke ... by gnusty_gnurc on Wednesday July 08, 2020 @11:27AM (#23770836)
> I absolutely hate wearing a mask, I'm "mask adverse" like yourself

I'm actually not mask averse! I wear a mask all the time. I'm just interested and unsettled by what seems to be a pervasive, immediate, visceral moral reaction that fits all to well into the moral superiority and virtue signalling zeitgeist.

That reaction to seeing someone without a mask is not an analytical judgement based in evidence - almost no one who feels this way is reading the literature or following the inconsistent scientific position of the effectiveness of mask wearing that's changed 180deg seemingly overnight. They're making moral judgments.

I've seen enough people saying frankly "it's about showing you care."

Re:Increase in delirium, rare brain inflammation and stroke ... by jakeogh on Wednesday July 08, 2020 @12:56AM (#23767009)
So, roughly twice as bad as a normal year flu/pneumonia count?

https://www.cdc.gov/nchs/data/health_policy/influenza-and-pn...

  CDC #'s 2015-2016
  Flu: 7,961
  Pneumonia: 131,858 
  All: 1,769,940
And, the death stats are inflated, it's official: http://v6y.net/1541e03e6cfd1442590bc7b5476f88c30a29a0d881bdb...

The only real measure is excess deaths.

Re:Increase in delirium, rare brain inflammation and stroke ... by Fjolsvith on Wednesday July 08, 2020 @01:33AM (#23767163)
"The state of Florida has had 82,397 people 34 & under test positive for the coronavirus. Of that number, 28 have died. That’s a coronavirus death rate of .00034. They’ve had 144,210 54 and under test positive. That’s a .0016 death rate." [1]

1. https://twitter.com/ClayTravis/status/1280250042603929604

Re:Increase in delirium, rare brain inflammation and stroke ... by akiselev on Wednesday July 08, 2020 @02:54AM (#23767554)
That is some seriously disingenuous math. Whoever came up with that calculation is deliberately trying to mislead (aka lying) or is utterly incapable of grasping the concept of time.

A month ago, Florida had 66,000 confirmed cases. Now it has over 200,000. With a virus take takes two to eight weeks (or more) to kill, we haven't even begun to see the real death rate.

Re:Increase in delirium, rare brain inflammation and stroke ... by hi_hello on Wednesday July 08, 2020 @03:36AM (#23767768)
Yep. Even without accounting for the lagging death metric, the present mortality rate in FL, all ages, is around 1.7% (3.8k deaths/213.8k confirmed)[1].

.. side note, 20452 confirmed cases per million residents of Miami-Dade. 2% of the population, geez.

[1] https://covid-19.direct/county/FL/

Re:Increase in delirium, rare brain inflammation and stroke ... by jakeogh on Wednesday July 08, 2020 @06:01AM (#23768445)
Where are the FL excess death stats?
Re:Increase in delirium, rare brain inflammation and stroke ... by cameldrv on Wednesday July 08, 2020 @12:37AM (#23766931)
I can see someone being lockdown averse. Having to stay home all the time is a real drag. IMO it was (and is in many places) necessary, but what's the big deal with wearing a mask? Suppose COVID turns out to be nothing, what have you really lost by wearing a mask for a few months? Heck, if you have some phobia, wear a face shield.
Re:Increase in delirium, rare brain inflammation and stroke ... by pasquinelli on Wednesday July 08, 2020 @01:08AM (#23767057)
if you do physical work in heat wearing a mask, you won't be asking how soneone could be mask averse.
Re:Increase in delirium, rare brain inflammation and stroke ... by Fjolsvith on Wednesday July 08, 2020 @01:41AM (#23767204)
An N95 mask doesn't meet OSHA's deadspace oxygen and carbon dioxide level requirements:

"The FFR dead-space oxygen and carbon dioxide levels did not meet the Occupational Safety and Health Administration’s ambient workplace standards. CONCLUSIONS: In healthy healthcare workers, FFR did not impose any important physiological burden during 1 hour of use, at realistic clinical work rates, but the FFR dead-space carbon dioxide and oxygen levels were significantly above and below, respectively, the ambient workplace standards, and elevated PCO2 is a possibility." [1]

1. http://www.rcjournal.com/contents/05.10/05.10.0569.pdf

Re:Increase in delirium, rare brain inflammation and stroke ... by cameldrv on Wednesday July 08, 2020 @02:35AM (#23767461)
Yes, the mask's dead space has CO2 above OSHA ambient workplace standards. To wit, they were about 3000 ppm. That's because the mask dead space contains your exhaled breath.

However, an N95 mask's dead space is 100-150ml. The tidal volumes they measured were about 1000ml. That means that only 10-15% of the air you're breathing in is from inside the mask. So, for example, if you're outside at 400ppm, you'd see an increase of net CO2 to 660ppm. If you're indoors at say 800ppm, you'd see an increase to 1020ppm.

This is well within OSHA limits and is very unlikely to be noticeable. Crucially, the study did not see a significant increase in blood CO2.

Re:Increase in delirium, rare brain inflammation and stroke ... by pasquinelli on Wednesday July 08, 2020 @03:03AM (#23767600)
i'm not worried about suffocating, that doesn't mean it doesn't suck-- which is all i was pointing out. mow your lawn in a mask, it sucks. when something sucks you don't want to do it, you resent having to do it.

but i'm not against wearing masks in principal. i do my civic duty. but my civil society isn't doing shit. in washington you now have to wear a mask in public, (well, not really, cops don't want to enforce that, but nonetheless...) this was done by the governor, which is possible because he has special powers because of the state of emergency. what prompted the mask requirement is a hospital in eastern washington was running low on beds. so why not use those special powers to make more beds in yakima? why am i not being pestered to get tested on an ongoing basis? why aren't people being put to work helping those who can't leave the house because they're infected or at higher risk of complications? why aren't masks being mailed out to people and handed out to homeless people?

because that sort of thing requires a government that can do something useful for people, and that's not what we have. it can impose upon people, but it can't do anything good. so we'll all wear masks and it will help with the plague as much as banning plastic straws will help the ocean.

(yes, i know your comment is about n95 masks and osha requirements and maybe i should put this somewhere else, but here we are.)

Re:Increase in delirium, rare brain inflammation and stroke ... by cameldrv on Wednesday July 08, 2020 @11:24AM (#23770799)
You're not going to get me to defend the government response to COVID in the U.S. All of those measures sound very reasonable. You're not getting pestered to be tested on an ongoing basis because the U.S. lacks the testing capacity. Even if we did, we're not turning samples around fast enough for them to be as useful as they should be in tracing cases.

I have no idea why the government isn't handing out masks to everyone. That's essentially what Taiwan did and they have approximately zero cases.

That said, wearing masks is a lot more useful than banning plastic straws. If you could get a large fraction of the population to consistently wear masks, and impose comparatively light restrictions (no big gatherings, no bars, no indoor restaurants), I think you could eradicate the virus.

Re:Increase in delirium, rare brain inflammation and stroke ... by Fjolsvith on Friday July 10, 2020 @09:05PM (#23798455)
> This is well within OSHA limits and is very unlikely to be noticeable.

Why does the study state, "The FFR dead-space oxygen and carbon dioxide levels did not meet the Occupational Safety and Health Administration’s ambient workplace standards."

Do you have a source that counters this study, or are you just throwing some armchair mathematics out there?

Re:Increase in delirium, rare brain inflammation and stroke ... by Fjolsvith on Wednesday July 08, 2020 @01:58AM (#23767283)
You could probably file an OSHA complaint if you were required by your employer to wear an N95 mask.
Re:Increase in delirium, rare brain inflammation and stroke ... by samcodes on Wednesday July 08, 2020 @02:46AM (#23767524)
> the mask averse amongst us

Oh can we coin a term like this for drunk driving? You know, when it’s more convenient to drive home drunk than leave your car out? That’s just being taxi-averse

Re:Increase in delirium, rare brain inflammation and stroke ... by coding123 on Wednesday July 08, 2020 @12:51AM (#23766994)
The pandemic could be over if 100% of the population wears them for just 2 months. That's a way better deal than what the mask averse are going to give us which is 12-15months and probably a few million more US lives over that timespan.
Re:Increase in delirium, rare brain inflammation and stroke ... by refurb on Wednesday July 08, 2020 @01:03AM (#23767032)
No way. Sure you could get it down to a few cases, but compliance is never 100% and it would flare up very quickly.

The only things masks do is slow the spread (which is obviously a good thing for hospitals). If we don't get a vaccine we'll be maintaining some sort of protection (masks, distancing) but every single person will be infected eventually.

Re:Increase in delirium, rare brain inflammation and stroke ... by amanaplanacanal on Wednesday July 08, 2020 @01:17AM (#23767090)
Other countries have managed to get it under control by testing and contact tracing. If we could "get it down to a few cases", as you say, we could do the same thing. In the current environment in the US, that seems impossible.
Re:Increase in delirium, rare brain inflammation and stroke ... by refurb on Wednesday July 08, 2020 @01:56AM (#23767274)
Sure and those countries have effectively closed their borders. How long can they keep that up for?
Re:Increase in delirium, rare brain inflammation and stroke ... by ben-schaaf on Wednesday July 08, 2020 @03:40AM (#23767783)
I'm not fully up to date on the US situation but haven't they effectively shut down all borders as well, or at least have had their borders closed on them?
Re:Increase in delirium, rare brain inflammation and stroke ... by refurb on Wednesday July 08, 2020 @11:15AM (#23770700)
The US has restricted travel from certain countries (not all), but there are several exceptions for US citizens, permanent residents and their family.

So there is still a decent amount of air travel happening into and out of the US.

Re:Increase in delirium, rare brain inflammation and stroke ... by irjustin on Wednesday July 08, 2020 @03:02AM (#23767596)
If you're willing to let tourism die, near indefinitely?