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Re:Vaccination blunts, but does not defeat Delta by oliv__ on Monday August 16, 2021 @11:17PM (#28205816)
What I'm curious about is: what happens now?

When everyone starts realizing that vaccines and masks can't fully contain a spread, what's the next logical step to take?

Are people going to insist that you keep wearing your mask, take booster shots and live in fear for the next 50 years or are we going to collectively change our mindset from "Zero COVID" to accepting that COVID is just another risk factor in the world and move on?

Re:Vaccination blunts, but does not defeat Delta by zuminator on Tuesday August 17, 2021 @04:03AM (#28207368)
There's an airbag in my car, but I also wear a seatbelt, obey the posted speed limits, use turn signals, stop at red traffic lights, and abstain from consuming alcohol while driving. This isn't "living in fear," it's observing reasonable caution in my daily life. I don't expect there will be "Zero accidents," but I want to avoid being injured and avoid causing injury to others. And I expect I'll keep taking these precautions for the next 50 years if I live that long. It just never ends. It's psychologically exhausting, come to think of it.

But wait, now you have me thinking, what if speed limits, traffic lights and all that other stuff were optional? Shouldn't they be? I mean, if I want to risk dying in a car accident, that's my business, and if others are concerned about my reckless driving, isn't that what their own seatbelts are for? I'm not forcing them to drink behind the wheel, why should they force me to not drink? Bottom line, if they want to live in endless fear of me and other freedom loving drivers, I won't stop them, they can just stay off the roads for all I care. So why should there be any safety mandates...for anything? My state governor should follow in the footsteps of DeSantis and Abbott, and make it illegal for localities to even impose speed limits.

Re:Vaccination blunts, but does not defeat Delta by bingohbangoh on Tuesday August 17, 2021 @04:43AM (#28207592)
Wearing a mask is not a small ask.

If it was, attendance at bars, restaurants, shows, etc. would not fall off a cliff when imposed.

Re:Vaccination blunts, but does not defeat Delta by me_me_me on Tuesday August 17, 2021 @06:27AM (#28208259)
> Wearing a mask is not a small ask.

Of course it is, I have been wearing mask for 2 years now. And I am wearing glasses.

Is washing your hands too much to ask too?

> If it was, attendance at bars, restaurants, shows, etc.

That was due to social distancing and lockdowns, not masks.

Re:Vaccination blunts, but does not defeat Delta by bingohbangoh on Wednesday August 18, 2021 @07:59AM (#28219995)
The capacity limits were not an issue in the summertime when people could hang out outdoors, especially with the loosening of public drinking laws.

The masks? they made everything worse. They're incredibly bothersome to wear when its hot and humid, they induce psychological pressure on you via the feeling of being "smothered," and make every social interaction much harder to understand making each interaction more tiring to be a part of. It's equivalent to being in a Zoom conversation where you can't read all the subtleties of somebody else.

That's not even mentioning the blue collar labor force which has to wear these for 40 hours a week. My friends who work as waiters, bar staff, etc. still have to wear them during the day. The last thing they want to do when they get off work is to continue wearing them.

(all of this is relative to NYC, which had a ~31% closure rate for small businesses)

I understand some people here, such as yourself, don't think the masks are a big deal. But to the vast majority of the populace, they are a burden so bad its worth _moving cities and states to avoid_.

Re:Vaccination blunts, but does not defeat Delta by benttoothpaste on Tuesday August 17, 2021 @08:37AM (#28209173)
> Is washing your hands too much to ask too?

For (too) many people washing hands is indeed too much to ask...

Re:Vaccination blunts, but does not defeat Delta by voakbasda on Tuesday August 17, 2021 @11:40AM (#28211086)
>> Is washing your hands too much to ask too?

> For (too) many people washing hands is indeed too much to ask...

This. This is why Covid is here to stay.

Re:Vaccination blunts, but does not defeat Delta by bingohbangoh on Wednesday August 18, 2021 @07:59AM (#28220002)
COVID-19 spreads via the air, not through physical contact.
Re:Vaccination blunts, but does not defeat Delta by packetlost on Tuesday August 17, 2021 @09:03AM (#28209379)
It's funny, every time this gets brought up people always say "it's not that bad/inconvenient" as if their experience is the only one that matter. If you live where it's hot and humid climate, a cloth face covering will get extremely uncomfortable (and drenched) very quickly. Or god forbid you have glasses, long hair, and/or ear rings that get tangled constantly. I've smashed a pair of sunglasses on the concrete at least twice in the last year because of masks, and very nearly my prescription glasses (which are far more expensive). Not to mention the psychological harm of (mass) mask wearing.
Re:Vaccination blunts, but does not defeat Delta by minikites on Tuesday August 17, 2021 @11:16AM (#28210790)
>Not to mention the psychological harm of (mass) mask wearing.

What is the mechanism for this harm?

Re:Vaccination blunts, but does not defeat Delta by packetlost on Tuesday August 17, 2021 @11:31AM (#28210973)
Mostly feelings of isolation and depression. For some, seeing faces (in person, not over video call) is super important for socialization. Basically, if you "get" people watching, you probably understand what I'm talking about. There's no studies as far as I know, but I imagine there's certain developmental aspects of interpreting facial expressions that young children are also missing out on to some extent. For me personally, I want to leave my house much less when everyone is wearing masks, both because it presents both a physical (however slight) and psychological burden on myself (it matters more for those with ADHD and other neurological differences). The biggest problem I have with the discussion now is that it borders on religious virtue signaling with how far people take it and you cannot bring up any counterarguments or examples without immediately being demonized.
Re:Vaccination blunts, but does not defeat Delta by justwanttolearn on Tuesday August 17, 2021 @05:15PM (#28214941)
"The main insight of the present research is that face masks’ use influences emotion inference from faces for all ages and especially for toddlers."

https://www.frontiersin.org/articles/10.3389/fpsyg.2021.6694...

Re:Vaccination blunts, but does not defeat Delta by 0xdeadb00f on Tuesday August 17, 2021 @06:29AM (#28208285)
Wearing a mask is one of the least inconvenient inconveniences I've had during this pandemic.
Re:Vaccination blunts, but does not defeat Delta by angryasian on Tuesday August 17, 2021 @01:24PM (#28212428)
agreed, always maintaining 6 feet is harder as I forget sometimes or just not paying too much attention
Re:Vaccination blunts, but does not defeat Delta by rednerrus on Tuesday August 17, 2021 @01:15PM (#28212311)
Restaurants, bars, and shows as we know them are probably over. Wearing a mask in a bar or restaurant doesn't make any sense. You're going to take the mask off while you're eating.
Re:Vaccination blunts, but does not defeat Delta by tkzed49 on Tuesday August 17, 2021 @05:11AM (#28207751)
I'm tired of hearing "living in fear" equated with taking basic precautions to prevent the spread of disease, on HN of all places. It's just a dog whistle.
Re:Vaccination blunts, but does not defeat Delta by zpeti on Tuesday August 17, 2021 @05:18AM (#28207794)
I'm tired of hearing that masks don't have consequences and are just basic precautions.

I for one feel it massively reduces the quality of my interactions and trust in people. I find it much harder to communicate properly. The long term consequences of this are not taken into account.

And I'm vaccinated, everyone in my country who wants to be vaccinated is. Why should I reduce the quality of my life for people who made a choice and took a risk? I actually don't mind that they made this choice, it's their risk. But don't destroy my quality of life for people who knowingly are taking a risk on their end.

Re:Vaccination blunts, but does not defeat Delta by GekkePrutser on Tuesday August 17, 2021 @05:55AM (#28208018)
There's also people like me who have serious PTSS phenomenons with masks (for me caused by nearly suffocating several times when I was an infant). I hate it when people call it 'a small ask'. Living for the rest of my life with masking is just not an option. It's manageable during the crisis but we can't give up on finding a real solution and keep them forever.
Re:Vaccination blunts, but does not defeat Delta by dragonwriter on Tuesday August 17, 2021 @05:24AM (#28207819)
> And I'm vaccinated, everyone in my country who wants to be vaccinated is. Why should I reduce the quality of my life for people who made a choice and took a risk?

Vaccination isn’t a magic talisman against infection, or against illness if infected, or against transmitting the disease if infected. It reduces the likelihood of each, all other things being equal, but it isn't a guarantee against any of them (and is less so against Delta, “Delta Plus", and apparently Lambda than other strains so far.

Masking further reduces both inbound and outbound transmission, and is just a basic precaution.

Re:Vaccination blunts, but does not defeat Delta by zpeti on Tuesday August 17, 2021 @06:13AM (#28208164)
OK, so basically humanity so far was in the wrong for not wearing masks for cold, flu, and every other transmissible disease, and we should wear masks forever in public?
Re:Vaccination blunts, but does not defeat Delta by 0xdeadb00f on Tuesday August 17, 2021 @06:33AM (#28208316)
People have worn masks for all of those things. Have you ever set foot in an Asian country? (Or at least seem videos, pictures, media from one?). I've even witnessed mask wearing within the Asian communities in my (western) country.

Long before covid mask wearing has been an insanely common thing to do when you're sick.

Re:Vaccination blunts, but does not defeat Delta by packetlost on Tuesday August 17, 2021 @09:10AM (#28209426)
Yes, mask wearing when sick is very common there. The vast majority of people do not (or rather, did not) wear masks during normal day-to-day life. There is a massive difference between wearing a mask all the time when in public vs wearing one when you've got the sniffles.
Re:Vaccination blunts, but does not defeat Delta by dragonwriter on Tuesday August 17, 2021 @12:16PM (#28211535)
> OK, so basically humanity so far was in the wrong for not wearing masks for cold, flu,

Masking in flu season isn’t uncommon in some parts of the world, and it was a lot more common during the 1918-1920 pandemic, so, “humanity” as a whole is not a constant.

Cultural variation aside, different respiratory viruses have different combinations of infectiousness and deadliness and responses to various countermeasures, so their are rational reasons the reactions to each, given a constant utility function, would differ. The common cold, the 2019 seasonal flu, the 1919 pandemic flu, and COVID-19 are all very different things.

Re:Vaccination blunts, but does not defeat Delta by me_me_me on Tuesday August 17, 2021 @06:31AM (#28208300)
YES! They did it in many asian countries before. When you feel under the weather you'd go to work/town in the mask not to spread.

Also cold/flu cases are way down due to people masking up and cleaning hands.

A lot of people complain about seatbelts being uncomfortable during driving, and yet its a law to wear them. Why?

Re:Vaccination blunts, but does not defeat Delta by oseityphelysiol on Tuesday August 17, 2021 @09:23AM (#28209545)
That's not a sign of good hygiene, rather a sign of these countries dystopian work laws/ethics, where sick leave is apparently not a thing.
Re:Vaccination blunts, but does not defeat Delta by me_me_me on Tuesday August 17, 2021 @10:05AM (#28209990)
> rather a sign of these countries dystopian work laws/ethics, where sick leave is apparently not a thing

Oh yes, I too take sick leave when I have runny nose until its gone

Re:Vaccination blunts, but does not defeat Delta by hallihax on Tuesday August 17, 2021 @12:47PM (#28211952)
Perhaps you should - if we all did, we'd reduce the spread massively.
Re:Vaccination blunts, but does not defeat Delta by xboxnolifes on Tuesday August 17, 2021 @09:30AM (#28209618)
Asking people to wear a mask when they feel sick is not the current ask.
Re:Vaccination blunts, but does not defeat Delta by gilbetron on Tuesday August 17, 2021 @10:20AM (#28210139)
We had a small chance of getting rid of covid if we had gotten nearly everyone, 90%+, vaccinated. That didn't happen, the politicization of the vaccine was insane, and so now we are stuck with covid.

What does this mean? It means we are all going to get covid. Repeatedly. It is a new seasonal illness that will be with us, absent some magical technology. It is (or will be) endemic.

https://www.hsph.harvard.edu/news/features/what-will-it-be-l...

The point of the vaccination now is the same thing as always, to minimize the impact on society. Less hospitalizations and death, less days of our life spent ill, less misery.

People 100% should still get vaccinated, it is deeply stupid not to. It is particularly important the next several months as delta rips through the remaining unvaccinated population (which include those that can't, including under 12 year olds), because we want to avoid filling up hospitals and making our health care quit. For the same reason, we should wear masks and maybe try to reduce the time spent breathing each others air a bit. But the only ones that should live in fear are those unvaccinated that have never had covid and probably the old. But managing fear is something the old has to do anyway, comes with age ;)

Re:Vaccination blunts, but does not defeat Delta by hknapp on Tuesday August 17, 2021 @11:48AM (#28211164)
> We had a small chance of getting rid of covid if we had gotten nearly everyone, 90%+, vaccinated.

By small chance, you mean 0% chance, right? Variants were already spreading by the time any vaccines were available. There are also billions of people who will likely not be vaccinated within the next couple years or so.

Re:Vaccination blunts, but does not defeat Delta by gilbetron on Tuesday August 17, 2021 @03:54PM (#28214102)
We had a non-zero chance of stopping covid, even considering vaccines would take a couple of years to get to everyone, it didn't matter (much) if variants happened. The chance of zero covid comes from vaccines coming out fast enough to drop the R value below 1.0 for a significant amount of time for the virus to go away.

However, in hindsight, with animal populations being able to get infected, I think it probably was zero, although that gets well beyond my armchair "skills" ;)

Re:Vaccination blunts, but does not defeat Delta by oliv__ on Tuesday August 17, 2021 @01:52PM (#28212752)
So in the end what's your point?

Do you support mandatory mask-wearing and social distancing for the rest of our lives?

Re:Vaccination blunts, but does not defeat Delta by gilbetron on Tuesday August 17, 2021 @01:57PM (#28212840)
My point is that it is here to stay, we need to mitigate the rest of the initial infections (hopefully delta will take care of that in the next month or so), and then we go back to living our lives where individuals choose their own approach to avoiding and handling infectious pathogens.

To be clear: that means no mandates.

Re:Vaccination blunts, but does not defeat Delta by lamontcg on Tuesday August 17, 2021 @02:41AM (#28206879)
Hospitals are collapsing again, we can't ignore it.

Get people vaccinated.

Or else we're going to wind up "flattening the curve" again until we finally burn through enough dead people that everyone is effectively either recovered or immunized and then the endemic burden should be an order of magnitude lower.

And hospitals only have so much throughput going through the ICU and into the morgue that they can sustain, which is limited by burned-out human resources, that have been strained and quitting during the pandemic.

If you want to totally let it rip and destroy the ICUs then you better drive really fucking carefully for a few months and hope you don't get a poor diagnosis of something or other fairly nasty. Have a bit of a chat with your appendix and make sure its feeling happy and doesn't blow up.

Re:Vaccination blunts, but does not defeat Delta by twelve40 on Tuesday August 17, 2021 @04:46AM (#28207606)
> Get people vaccinated

Repeating this line doesn't really work anymore. I vaccinated myself and my whole family months ago, my county has ~80% full vaccination rate, anyone and everyone who could and wanted to, got a shot already.

Yet, there are 90 million people in this country that don't give a shit and will not vaccinate. Worse, soon the vaccine will probably wear out, and then the whole country will have to be convinced all over again to get a booster shot, who knows how many times, too. And then there is stuff like TFA that says that although vaccines are the best we've got so far, vaccinated people still end up in the hospital.

So although I'll personally line up for any booster shots the moment they become available, the reality is probably going to get much more complicated than vaccinating everyone and moving on.

Re:Vaccination blunts, but does not defeat Delta by grepfru_it on Tuesday August 17, 2021 @07:50AM (#28208862)
>don’t give a shit and will not vaccinate

Why would they if they just recovered from covid?

Re:Vaccination blunts, but does not defeat Delta by deadbolt on Tuesday August 17, 2021 @02:41PM (#28213331)
I feel at this point hospitals should just triage the willfully unvaccinated covid patients behind all other emergencies.

Possibly set aside X number of beds for covid patients, the rest of the ICU beds are for everything else. Out of covid beds? Well you've gotta wait for someone to die and then they'll see you.

They chose to "not live in fear", they can live - and possibly die - with the consequences.

Re:Vaccination blunts, but does not defeat Delta by justwanttolearn on Tuesday August 17, 2021 @05:19PM (#28214985)
I don't think it's that simple. Could we also triage patients that have an unhealthy lifestyle as recommended against by doctors for a long time? We know eating well works to build and maintain a healthy immune system, and that heart disease and obesity is one major factor to covid hospitalization and death. Could we put put the ones that have decided to stuff their faces with fast and processed foods in the back of the line with all other emergencies?
Re:Vaccination blunts, but does not defeat Delta by deadbolt on Tuesday August 17, 2021 @10:13PM (#28217089)
Sure, if that becomes necessary due to America's lifestyle, I don't see why not.

I'm unaware of that being the current issue though. It seems to me hospitals are overrun with COVID patients, most of them their due to their own unwillingness to get vaccinated.

Re:Vaccination blunts, but does not defeat Delta by dragonwriter on Tuesday August 17, 2021 @05:43AM (#28207942)
> Are people going to insist that you keep wearing your mask, take booster shots and live in fear

I get a flu shot every year and wear a seatbelt when I drive. Not living in fear of either. Taking reasonable precautions doesn't involve living in fear.

> or are we going to collectively change our mindset from "Zero COVID" to accepting that COVID is just another risk factor in the world and move on?

Look at the places (e.g., much of the US South) with high resistance to protective measures and the current status of the healthcare systems. Are we going to accept that being a permanent or at least frequently recurrent state worldwide and accept the COVID and non-COVID deaths from exhausting ICU space, and the high burnout we’ve seen in the healthcare field? Are we going to radically expand healthcare expenditures to expand capacity and attract/retain people in the field with that as the normal condition?

Re:Vaccination blunts, but does not defeat Delta by NonContro on Tuesday August 17, 2021 @06:27AM (#28208266)
Florida has a higher age 65+ vaccination rate than California or New York: https://www.mayoclinic.org/coronavirus-covid-19/vaccine-trac...

Respiratory viruses peak earlier before Winter in the tropics (ie. the South USA) whereas they peak during the Winter in the North.

Southern USA will peak and fall, and then this Winter you'll see the same thing in the Northern USA. Its just the seasonality of colds/flus which has been known for decades.

Be prepared because this Winter seasonal peak will be blamed on a new 'variant', and used to push either new lockdowns/restrictions, or booster shots.

Re:Vaccination blunts, but does not defeat Delta by dragonwriter on Tuesday August 17, 2021 @12:11PM (#28211467)
> Florida has a higher age 65+ vaccination rate than California or New York

No, California has 97% and Florida has 93%; California also has higher age 18-64 and 12-17 vaccination rates [0], has a number of local jurisdictions that have resumed indoor masking mandates (including many school districts for in-person education, with many of those that haven’t adopted mandates having parent-option virtual academies available) rather than a state government attempting to prohibit mask mandates. Countermeasures are more than just vaccines.

But, in any case, you didn’t answer the question: Are you willing to accept the degree of healthcare overload and the effects it is having on healthcare workers as a permanent or at least frequently recurrent state and accept the COVID and non-COVID deaths from exhausting ICU space, and the high burnout we’ve seen in the healthcare field? Is your plan to radically expand healthcare expenditures to expand capacity and attract/retain people in the field with that as the normal condition? Or are you willing to see the same load with dwindling capacity?

EDIT: forgot the link.

[0] https://www.nytimes.com/interactive/2020/us/covid-19-vaccine...

Re:Vaccination blunts, but does not defeat Delta by maxerickson on Monday August 16, 2021 @11:33PM (#28205920)
Getting booster shots to lessen the risk to people that are at greater risk from the virus isn't a huge imposition.

We should make it easier for more people to do it (people that don't have sick leave or aren't sure they can take it and so on).

Re:Vaccination blunts, but does not defeat Delta by utucuro on Wednesday August 18, 2021 @01:03AM (#28217936)
The article mentions vaccination, but it also mentions that Israel is going to have to go back to masks and social distancing. It is my understanding that this situation happened partially because they stopped wearing masks... There was a prior study that mentioned the efficiency of the vaccine alone was somewhere in the 60-65 percent range without masks for the BioNTech vaccine, about a 33% drop in efficiency is nothing to laugh at.
Re:Vaccination blunts, but does not defeat Delta by bakul on Tuesday August 17, 2021 @05:57AM (#28208038)
Perhaps this will be a spur to invent a better mask? I believe fear will subside as over time most people tend to adjust to new realities.
Re:Vaccination blunts, but does not defeat Delta by oseityphelysiol on Tuesday August 17, 2021 @09:25AM (#28209561)
What you should hope to be invented is better vaccines/treatment.
Re:Vaccination blunts, but does not defeat Delta by voakbasda on Tuesday August 17, 2021 @11:44AM (#28211135)
We have the vaccine/treatment. We lack a population willing to embrace it, at sufficient levels to make a meaningful difference.
Re:Vaccination blunts, but does not defeat Delta by jimmygrapes on Tuesday August 17, 2021 @07:10PM (#28215842)
We have a similarly large population full of so much vitriol that it wouldn't matter what the topic is, instinct is to rebel. The first step is for people advocating for vaccines to stop this hateful bile, and with social media etc. it just ain't gonna happen.
Re:Vaccination blunts, but does not defeat Delta by calyth2018 on Tuesday August 17, 2021 @09:50AM (#28209815)
The shot still generally does a great job at keeping the vaccinated from hospitalized.

We're already burning out our primary care enough for some to leave the profession, or worse.

Just because COVID is another risk factor, it doesn't mean we stop taking measures against it. The flu's a risk factor, yet we take flu shots, and don't go out french kissing strangers who's coughing, sneezing and having a fever.

Re:Vaccination blunts, but does not defeat Delta by hedgedoops2 on Tuesday August 17, 2021 @03:59PM (#28214158)
If our mindset had been "zero covid", we'd not have gotten the mutants and the v1 vaccine would have driven it extinct.

Please dont abuse the name of a strategy that was never implemented.

What governments did was 'keep incidence below X by means of lockdowns', and 'relax restrictions if incidence is below X'.

This is a simple control system that keeps the incidence at X. Not below X.

Unfortunately X was chosen via hospital bed capacity, so it was quite high, about 500 cases / 100k per week. High enough to generate mutants. With X=5, the same lockdown measures would have been in effect for much the same time (they'd have been started a few weeks earlier). Also, for very low values of X, you might have been able to get away with just contact tracing or travel controls instead of lockdowns, so the average lockdown intensity over time, under zero covid, could have been lower than what we had. The point of zero covid is to have less lockdown!

Anyway, the idea was to buy time until you get the vaccine. Zero covid was never intended to be an indefinite duration program.

This is what zero covid really means (low X). I agree with everything else you said.