I am sure you believe what you are saying, and I am also not doubting that you have some education on the topic, but I have to disagree.
Take for example, this study [1] demonstrating significant loss of grey matter in the brain for COVID patients, both hospitalized and non-hospitalized.
As our understanding of virology evolves it is becoming more and more clear that the notion of ephemeral infections is just flat out incorrect. You likely maintain SOME impact from that infection, its just a question of how severe, or in some cases WHEN (see: chicken pox -> shingles). Viruses wreak havoc, and that is a point which is well documented, and slowly but surely people are starting to pay attention.
My gripe with your comment is that it completely disregards this point and treats the risk of viruses and either death, or no risk at all. The truth is far more nuanced than that, and there's legitimate reasons to want overall CASE COUNT to come down. It's about saving quality of life, including, actual life. Vaccination is the path to do that.
I also don't agree with your comment that "If the choice is to completely up-end our society to prevent people from ever getting sick again, then I'm strongly opposed."
Asking for proof of vaccination is not "completely up-ending" our society. It's quite reasonable to ask for certain personal hygiene requirements (shirts, shoes, etc.) but we can't ask that someone be reasonably protected from a getting and spreading a very dangerous virus? You're somehow OK with being required to wear clothes, which provide almost no protection from anything, but not OK with being asked to show that you're an unlikely COVID carrier/spreader?
[1] https://www.medrxiv.org/content/10.1101/2021.06.11.21258690v...
Reasonable people can disagree on questions like this. But you came out of the gate insisting that I "didn't understand", which isn't true.
I understand, I just disagree that this is a disproportionate threat to our society that requires disproportionate response.
> Take for example, this study [1] demonstrating significant loss of grey matter in the brain for COVID patients, both hospitalized and non-hospitalized.
FWIW, that study is terrible. It is a statistical fishing expedition, is improperly controlled (i.e. are the changes due to Covid, or something else? You can't tell!), and the whole field of "looking at MRI for reductions in gray matter" is littered with spurious findings. Here's a comment where I go into this in much greater detail:
https://news.ycombinator.com/item?id=27927568
> As our understanding of virology evolves it is becoming more and more clear that the notion of ephemeral infections is just flat out incorrect.
It's not "flat out incorrect"...as I said before, we know that post-viral syndromes are real. This is not new information.
Having a cough or shortness of breath (by FAR the most common "long covid" symptoms) after a infection are no more an indication that the virus is lingering in your body, than leg pain after a cast is removed is an indication that you continue to have a broken leg. It takes time to heal.
I see where you're coming from and I don't entirely disagree with your conclusion. The post you linked, makes a strong case for not jumping to conclusions based on grey matter studies, which I think is sound advice.
That said, I maintain that given the option to get COVID or not get COVID, I would greatly prefer the later. You similarly won't find me gaming long hours, and I make sure to get plenty of sleep. In other words, taking precautions that avoid injury is generally a good idea. And FWIW, I don't find the controls in that study to be terrible? I'm not exactly an authority of statistical analysis though, so I'll trust that this is outside my scope of understanding.
Where it sounds like we disagree most is whether or not the risk of COVID causing injury is worth something as small (or large) as asking for proof of vaccination.
It just so happens that I think asking for proof of vaccination is a relatively minor thing given the possibilities of COVID.
This is why the CDC started recommending masks again.
https://www.nbcnews.com/politics/white-house/biden-administr...
[1]https://www.cdc.gov/mmwr/volumes/70/wr/mm7031e2.htm?s_cid=mm...
https://inguyun.medium.com/the-provincetown-outbreak-is-actu...
The new data for the delta variant shows reduced protection for unvaccinated people (e.g. public benefit) from being around vaccinated people, but still shows benefit to vaccinated people.
Edit: note, I’ve seen your other link, and do wonder why that was observed for that community. Here I am referring to current CDC estimates for the country and reports of hospital utilization averages overall.
That's awesome for you, but not what we are discussing here.
What we are discussing here is you mandating that all drivers of cars gets to bed by 10PM and have a good sleep, on the chance that lack of sleep leads to bad driving which leads to higher chances of accidents, including to those who slept well last night, yet were involved in the accident.
>What we are discussing here is you mandating that all drivers of cars gets to bed by 10PM and have a good sleep, on the chance that lack of sleep leads to bad driving which leads to higher chances of accidents, including to those who slept well last night, yet were involved in the accident
Not even close to the reality of the situation, but you wouldn't be the first to take a very hyperbolic approach to it.
We are not disagreeing on the benefits of a practice ( vaccination or taking a nap ).
And let me be clear, taking a shot that is safe and effective is not an unreasonable ask. Restricting access to leisure to people who are willing to take this precaution isn’t unreasonable. And no, it’s in no way comparable to some of the worst crimes committed by humans.
For the record, I'm fully vaccinated, but if/when bars start demanding vaccine passports in the UK, I stop going to bars.
It seems like an inappropriate and needlessly emotive choice.
> they will have to go sit in a park
Seems fine to me. That’s hardly the worst thing that could happen.
If you’re already vaccinated, like nearly everyone aged 30+ in the UK is and refuse to open an app on your phone to show that … I can only hope that you’re in a small minority. I guess most people just want to get on with it, rather than sticking to some principle. Im not even sure what the principle is here. Hardly anyone will be negatively affected by this mandate because nearly everyone is vaccinated.
> i stop going to bars
Cool. Parks are better for your health anyway. Good day.
And refused entry to a bar I wouldn't dream of going to the park, I head home with two bottles of decent white wine.
Good day to you too.
> that principle is a hostility to ID cards and demands from the state to provide them in various circumstances
Can't a bartender legally obligate you to show your id to prove you are old enough to drink? Your argument makes no sense.
Or let me guess, you don’t travel out of England at all so you can avoid the tyranny of passport checkers?
Or do you do the sane thing and show your passport? So then you concede that in certain cases at least the State has a compelling interest in verifying a person’s papers.
Btw, it's beneath you to try an innocent "some eggs". We know exactly what Tesco is going to card someone for, and it's not eggs.
Both sides are doing it - left considers the entire right-wing populace as 'Fascists'. The right considers the entire left-wing populace as 'Communists' and along with it comes calling out atrocities, historical turning points, etc to further their agenda.
There are more post-vax deaths recorded in VAERS for the covid vaccines over the past 6 months than for all other vaccines over the past 20 years. It's definitely not 100% safe. Sure the risk is low, but the risk of dying of covid is also quite low for a significant subset of the population. There's also absolutely zero long-term safety data on the vaccines, because it's impossible to know what the effects 3-5 years down the line of a new treatment will be when that treatment's only existed for under a year.
https://www.cdc.gov/coronavirus/2019-ncov/vaccines/safety/ad...
“FDA requires healthcare providers to report any death after COVID-19 vaccination to VAERS, even if it’s unclear whether the vaccine was the cause. Reports of adverse events to VAERS following vaccination, including deaths, do not necessarily mean that a vaccine caused a health problem. A review of available clinical information, including death certificates, autopsy, and medical records, has not established a causal link to COVID-19 vaccines.”
Now, think about how broadly the vaccines have been given to hundreds of millions of people. Beyond the obvious conclusion that there is very little chance of a hidden serious complication which hadn’t yet manifested at that scale, think about how compressed that is in timing: if you take 100M people and look at that population for 6 months you’re going to see many deaths with or without vaccination. Now, remember that the elderly and other high risk populations were sensibly prioritized, so those rates will be even higher. Anyone looking at the data has to carefully adjust for things like that – it’s not just a query for the number of deaths but seeing whether it’s unusual for the cohort: are 70 year olds with pre-existing conditions dying at a different rate than they used to, not compared to a global rate covering kids to retirees?
The vaccines are available free to everyone, take minimal time to get, and extremely safe. This is an inconvenience on the level of having to wear pants on a hot day or wash your hands (which takes far more time in aggregate), and it’s only for voluntary activities which nobody needs to do to function.
Apartheid was being shut out of decent schools or jobs, packed into bad housing conditions, and being beaten if you complained about it, all enforced by a brutal prison system.
"The American College of Rheumatology COVID-19 Vaccine Clinical Guidance recommends that people with autoimmune and inflammatory rheumatic disease (which includes lupus) get the vaccine unless they have an allergy to an ingredient in the vaccine."
and
"In general, you should get the vaccine even if you have already had COVID-19."
Let's be clear: the primary reason the messaging has been "previously infected people should still get the vaccine" is primarily because there are a lot of people out there that think they had COVID when they didn't. I had a friend who thought he had it twice, and then finally did get it on the third time. I had another friend think he got it back in February of last year and then actually got it late last year. They're both relatively intelligent (if not ignorant about certain things), and that's just in my little friend group.
I understand why they went down that road, but there's no reason for me to take it.
That has absolutely nothing to do with what was just being discussed. There is hard data which says COVID has a huge range of long term side effects, that’s simply a fact you can personally feel it’s an acceptable risk but nothing about your personal beliefs change the reality of long term impacts of severe viral infections.
I personally feel that the US has given people long enough to get vaccinated it’s time to open the floodgates of infection and open things up. Yes, the unvaccinated and many vaccinated will simply get very sick and die in large large numbers based on their personal choices, but such is life.
I expect most people will disagree with my personal options and that’s fine, but don’t argue about objective facts.
Unrelated but important: I think a lot of people miss that this pandemic has infected millions of people, so all of the one in a million events happen with enough frequency to where you will find significant proportions of the population displaying ever symptom you could imagine "due to COVID".
We had a woman who started hemorrhaging a week into her infection. Do you think that was caused by COVID? Probably not, but I'd bet you could find a thousand people where that happened just because of the sheer size of infections.
If you can cite this "hard data", it'll be amongst the first I've ever seen.
So far, all I've seen are anecdotes and poorly controlled surveys of self-reported symptoms, the vast majority of which are mild. Reports of "cough" and "fatigue", three weeks after a respiratory illness are not exceptional, they're the expected case.
Just today, this paper was published in a Lancet journal, looking at symptom duration in a large cohort (259k) of children under 17. The most enduring symptoms? Loss of smell, headache, sore throat and fatigue. Virtually everything else fell to background in a week.
https://www.thelancet.com/journals/lanchi/article/PIIS2352-4...
I bring it up not because it’s a significant risk, but as a demonstration that immune responses themselves are one of the risk factors associated with viral infections. Critically though there are a lot of rare conditions that individually may not be a factor but collectively are.
Hospital-acquired infections for example aren’t directly caused by covid, but start talking about 100’s of thousands of people being hospitalized and it’s a common risk.
As to that study, people under 17 aren’t even close to representative of the larger population when it comes to viral infections. It’s an important consideration but people 35-44 while generally considered low risk are literally at 100 times the risk of death as 4-14 year olds. Youthful immune systems are simply vastly better.
37 cases of "covid-associated" GBS falls in the category of "lighting strike risks" in life. Yeah, it can happen, but it's pretty damned rare. I'm not changing my life for it.
Also, of course...GBS is associated with at least one of the covid vaccines, itself:
https://health.clevelandclinic.org/guillain-barre-syndrome-a...
Next, what about hospital born infections? Clearly people who aren’t in hospitals are at lower risk and clearly people are hospitalized in large numbers from Covid-19. So is that another slightly larger step you’re willing to take?
If not we can talk about tissue damage. Blood vessels for example: https://epi.ufl.edu/articles/covid-19-blood-vessel-damage.ht...
I've never said anything different. I'm not sure what victory you think you've won.
Some people will have long-term symptoms of Covid. Just like pretty much every other virus.
Until I see some serious, well-controlled, high-quality data that shows me that there's an unprecedented risk for a lot of people, I'm not on board with taking unprecedented actions that affect everyone.
You just said so in this thread:
“ > A virus doesn't just enter your body, and quietly go away.
Some do not. This one does.”
No qualifications just absolute dismissal of all long term symptoms.
> Until I see some serious, well-controlled, high-quality data that shows me there’s an unprecedented risk for a lot of people
Sure, because the only evidence you can infer is that which you already agree with. Raising the bar arbitrarily isn’t science it’s a logical fallacy.
However, the exact data you’re asking for is quite simply hospitalization rates. Severe cases of covid include the normal risks of severe viral infections, but it causes severe infections at significantly higher rates thus it also causes those normal complications at much higher rates. Along with it’s own unusual risks from blood clots causing all the things blood clots cause.
What kind of evidence would convince you?
Bear in mind (as I'm sure you know), it's gonna be very difficult to get accurate before and afters while in the midst of a pandemic, and it's likely that this evidence will only exist if enough people don't get one of the vaccines.
Those who are unvaccinated because they're immuno-compromised, allergic or under the age of twelve aren't unvaccinated due a "personal choice."
What should be done about those folks? Are you arguing that such people have "made their choice?"
People under 12 with healthy immune systems are at extremely low risks from covid.
I'm sure that's a great comfort to the parents of the ~2000 children that have died COVID related deaths[0] in the US during the pandemic.
And to the parents of the children who will die before we get this scourge under control.
Perhaps you should volunteer to speak at the funerals of such children so you can assure everyone there that it's no big deal?
[0] https://www.aappublications.org/news/2020/12/29/covid-2milli...
Kids with compromised immune systems are at risk, and there at increased risk the longer this goes on. Are you willing to talk at the funerals of all those kids?
Also, your link is: At least 172 children had died as of Dec. not 2,000.
I'm not claiming that it's no big deal, nor am I advocating for just letting people die as you are.
Or did I somehow misunderstand your point of view?
Regarding the specific case, to make my position even more nuanced, I don’t have a specific problem with having to prove vaccination or positive test for indoor dining. Here in Berlin that’s the rule they used when reopening last May, and it never went away. This way, nobody has ever really debated it.
So natural immunity should be included then? I hear all these arguments but then people pretend like natural immunity is not a thing. Sure maybe it isn’t as effective as a vaccine (though some argue it is better), but it definitely makes you at least unlikely to spread.
I might believe this isn’t just a huge power grab and people are actually concerned with the health of individuals, if folks would acknowledge “the science” of natural immunity.
Saying it isn’t as good as vaccine means nothing, because we are only trying to eliminate more likely spreaders, not any statistical chance of spreading.
As the events of April-July 2021 proved, the new variant ripped through a population that was supposed to have reached herd immunity. As it stands, 80%+ of people in major Indian cities have had an infection. Does that mean that covid will never bother India again? I’m guessing no.
I am literally working with vaccination registry APIs right now which have an explicit system for registering and tracking natural immunity.
I will never report someone for violating a vaccine mandate, or a mask mandate. Or if they forge their vaccine card.
If they are knowingly sick, going out with a fever, and a cough in public places and essentially trying to get people sick, I will report them. Even if they’ve been vaccinated but “just” had the Flu.
And that person exists by the way. People who essentially knew they had covid, were feeling symptoms, yet went to a party anyways. But I’m sure there is the person who proudly goes out with their vaccination card showing both doses sick with something else like the flu, judging those who have no symptoms of sickness but aren’t vaccinated also being out.
Why? This is basically you doing something random for absolutely no data supported reason.
So if the requirement is to have be received a full vaccine course for COVID-19 there is no risk to that, just potential waste of doses.
Making up a decision about your natural immunity is you doing exactly that. It's not supported by data.
The trouble is, how do you prove it? There are antibody tests that maybe are positive even months later? I'm not sure, honestly. The tricky part is just the recording of the matter, not the science behind it.
How does someone know that even though I’m vaccinated I’m one of the very very small few who will have a breakthrough infection?
We could probably do things to ensure these as well, but at what point do we just say “yep there is a risk”, and accept that risk as part of living life?
I think there is a part where the principalities and powers that rule, actually want us to get so angry and divided.
That is why things are forced, and mandated, rather than appealed to. One side gets mad that they ask, the other side doesn’t give a chance for the good natured to help voluntarily.
There is no conspiracy of people plotting in a room coming up with how they can gain more power to take over the world (unless they’re two mice trying to do same thing night after night), but nonetheless there is a spirit of division and hatred that is very much present in our country that is tearing us apart.
Totally agree.
> There is no conspiracy of people plotting in a room coming up with how they can gain more power to take over the world (unless they’re two mice trying to do same thing night after night), but nonetheless there is a spirit of division and hatred that is very much present in our country that is tearing us apart.
Yup, there sure is and it's really disheartening to watch it unfold day after day. The country seems more divided than I've ever seen it in my 30ish years, and certainly more divided than rose colored glasses of past decades.
It's a shame but, maybe it's also a sign of healthy country? Maybe united countries are also the ones that go to war and invade others?
Where's the data? I didn't see a single source listed, just anecdotes from you and your family.
Even my own taste issues might be something else - the only reason I’m confident they’re there is that it’s intermittent and takes me by surprise. I have two friends that think their sense of taste isn’t quite the same as it was and it’s steadily that way, which to me sounds like it could just be all in their heads (or not).
[1] Imaging data has also physically confirmed lasting damage from COVID which could definitely be affiliated with some of the symptoms we lump under PASC.
In an alternate universe where the media took and ran with the 5G conspiracy theory for over a year, you could survey the population and find the same amount had symptoms from that.
I'm arguing that most of the science here is bad, and even if these things hold up, the risk of ~10% of the population having anosmia for a few months is not worth the permanent restructuring of our society to fixate on the prevention of a single illness.
I don't think the fear is about 10% ending up with anosmia. The fear is that the 10% of detectable problems might be indicative of much more severe and/or much more prevalent problems going undetected. You're right that the problem is lack of very good data, but the folks who live and breathe this domain appear to be very concerned by the data we do have.
For what it's worth, I don't think many (any?) people are arguing for a permanent restructuring of our society. They're merely asking that we don't consider death to be the only endpoint that's relevant to the conversation.
Citation needed for such an extraordinary claim.
If you don’t mind, could you share data on the UK, a place where nearly all adults aged 30+ have received two doses of the vaccine? It simplifies the discussion because there’s no question about self selection bias. If there’s any negative effects, it should surely have manifested in a large subset of this group of tens of millions of people, across ages and ethnicities.
Not just a handful of cases here or there. I’m talking about 0.01% or more of this population suffering some persistent harm. Not something that disappeared after a day or two.
That long Covid is a pernicious result for many people with debilitating effects is well established in the literature, it's not controversial.
That refusing to get the virus under control will lead to further variants potentially worse than Delta that perhaps the vaccines are less able to guard against. Not some crazy conspiracy!
What this is ultimately about is many of our fellow citizens believe "my choice" and "freedom" means the "freedom" to infect other people with a potentially debilitating virus rather than they be mildly inconvenienced.
Measles R0 is also something absurd like 15, with spread characteristics of "a person with measles goes in an elevator - the next day a person gets in the same elevator and catches it".
I imagine it would be pretty easy for someone not used to dealing with gastritis on a regular basis to attribute such a symptom to "COVID".
Cough & Shortness of breath: allergies, asthma, typical recovery process from any cold or flu
Fatigue: depression, anxiety, insomnia, recovery from most illness
Brain fog (whatever that is): depression, anxiety, insomnia, recovery from illness...
It's not that "long covid" isn't real...it's just that the scientific data for it at present are so vague that you can "have" it by being a normal person.
Just a heads-up, that can turn into asthma if you are susceptible. Take care to properly heal every time.
(That'd be 'long cold' I guess. We don't need more of that stuff.)
(It's not hard to guess how I know about the asthma potential. -.-)
They didn't say that "Long COVID" symptoms aren't real. They just stated that this particular virus disappears after some time, that is once your immune system manages to cope with it and the infection clears out.
This statement is emphatically true. Otherwise, antigen and PCR tests would still yield positive results months after someone became infected.
An example of a virus not simply disappearing from your body anymore once you're infected with it would be HIV.
http://farid.jalali.one/MCAS_COVID.pdf?fbclid=IwAR08nCA9isig...
I stand by my comment, it does not “quietly” go away.
By the standards you yourself set two posts above, we cannot know that yet.
> Why is this so hard for people to understand?
I understand your argument, but I disagree with you, based on a long education in this area, a deep understanding of the data, and personal experience.
> A virus doesn't just enter your body, and quietly go away.
Some do not. This one does.
> In MANY cases, it can have a lasting effect on your underlying health and wellness.
In some, rare cases, we see examples of post-viral syndromes. We have seen these for many different viruses.
> I am vaccinated. I have friends who are vaccinated, and have still gotten COVID. One of them still doesn't have their sense of taste and smell back, after nearly 3 weeks post symptoms.
Again, lingering symptoms following an illness are not unknown. Every time I get a head cold, I typically develop a cough that lasts > 3 weeks. By ~all current evidentiary standards for "long covid", I have had "long cold".
Similarly, my grandmother lost her sense of smell to a head cold when I was a child. She never got it back, entirely. Sad, but not something that we took extraordinary societal interventions to prevent.
> They describe being brain fog, and tiredness that they didn't have before, as well as an "itch" in their lungs when exercising that they didn't have before.
Neither of these are objectively defined. I have an "itch" in my lungs, right now (probably allergies). I have never had Covid. When I don't sleep well (which is often, thanks to the state of our society), I have trouble focusing. Is that "brain fog"?
Point being: some people are going to have after-effects from infection. That's unfortunate, but it's not unknown, and the virus isn't going away. If the choice is to completely up-end our society to prevent people from ever getting sick again, then I'm strongly opposed.