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Re:The U.S. may be losing the fight against monkeypox, scien... by ejb999 on Friday July 08, 2022 @05:11PM (#32027150)
not to mention not a single death in the USA (at least yet) - I really don't want the government over reacting every time a virus pops up; there is value in waiting to see how things play out first.

Seems like the media is trying really hard to hype this one now that Covid story is getting stale.

Re:The U.S. may be losing the fight against monkeypox, scien... by Barrin92 on Friday July 08, 2022 @05:16PM (#32027232)
>there is value in waiting to see how things play out first

No, when it comes to managing diseases the value is in acting before things have gone bad.

It completely blows my mind how after a million covid deaths in the US alone, and the pandemic not even being over, people repeat the same kind of arguments again. or HIV for that matter if you want to draw a comparison to another sexually transmittable disease that was not taken seriously either.

Re:The U.S. may be losing the fight against monkeypox, scien... by thisiscorrect on Friday July 08, 2022 @06:05PM (#32028047)
The comparison to HIV is apt. At its peak, in the late 80s and early 90s, everyone was taught to dread this disease. Officials acted as though everyone was equally at risk of contracting it. That was incorrect, and pretending otherwise helped noone.
Re:The U.S. may be losing the fight against monkeypox, scien... by Barrin92 on Friday July 08, 2022 @06:53PM (#32028787)
>At its peak, in the late 80s and early 90s, everyone was taught to dread this disease

And have you considered that is precisely why it peaked? HIV has killed 50 million people worldwide. 35 million of them in Africa. It still kills almost a million people a year. In countries without appropriate response, it has infected large segments of the population, and you're out here in 2022 unironically saying "It's a gay man's disease", seriously?

Re:The U.S. may be losing the fight against monkeypox, scien... by thisiscorrect on Friday July 08, 2022 @07:16PM (#32029115)
> and you're out here in 2022 unironically saying "It's a gay man's disease", seriously?

I'm out here unironically showing you data on the CDC's website: https://www.cdc.gov/hiv/risk/estimates/riskbehaviors.html. Anal intercourse is far likelier (18x the risk from vaginal interourse per encounter) to result in HIV transmission from an infected partner. Internal tearing is likelier and hence contact of other fluids with one's blood stream.

In Africa, HIV is especially prevalent in South Africa, which happens to have a practice called "dry sex" [1] which also leads to similar internal tearing for the receptive partner.

Behavior that involves having these sorts of risky sexual encounters with multiple partners only compounds the likelihood that one will contract HIV. Not all groups engage in these behaviors with equal likelihood.

[1] https://en.wikipedia.org/wiki/Dry_sex

Re:The U.S. may be losing the fight against monkeypox, scien... by wonderwonder on Friday July 08, 2022 @10:08PM (#32030645)
Adding to this over 40% of South African women are raped over the course of their lives. This also results in tearing.
Re:The U.S. may be losing the fight against monkeypox, scien... by prox on Friday July 08, 2022 @05:20PM (#32027283)
Yeah remember that Ebola outbreak in the US? Nope, because everyone did everything to stop it.
Re:The U.S. may be losing the fight against monkeypox, scien... by BitwiseFool on Friday July 08, 2022 @05:35PM (#32027498)
Ebola is also a highly visible disease and it isn't spread through the air. In terms of containment, it's far easier to identify and confront than Covid. I don't believe it's a fair comparison.
Re:The U.S. may be losing the fight against monkeypox, scien... by qbasic_forever on Friday July 08, 2022 @05:43PM (#32027647)
Monkeypox is highly visible too, sometimes scarring for life your face and hands. It's going to be pretty clear in 6-12 months who the people were that took this seriously, and who the people were that went YOLO.
Re:The U.S. may be losing the fight against monkeypox, scien... by thisiscorrect on Friday July 08, 2022 @05:59PM (#32027933)
Presumably the ones going YOLO are the ones who have "had multiple sexual encounters at a bathhouse"?
Re:The U.S. may be losing the fight against monkeypox, scien... by haimez on Friday July 08, 2022 @08:54PM (#32030191)
Highly visible starting from 14 to 21 days after exposure and unclear whether symptoms start before or after becoming infectious to others. So visibility may not actually matter much here, because pre symptomatic may be significant spreaders.
Re:The U.S. may be losing the fight against monkeypox, scien... by origin_path on Friday July 08, 2022 @06:14PM (#32028186)
"when it comes to managing diseases the value is in acting before things have gone bad"

There is no value to acting at the government level. If there's any work to do here it's with pharma firms. Governments have shown repeatedly that they lack even the most basic skills needed to fight disease. They are literally incapable of even accurately defining their goals and basic words let alone actually defeating a disease:

- COVID case counts in 2022 are now much higher than at any time in the past.

- Highly vaccinated places have more cases than lower vaccinated places (e.g. Scotland vs England, former DDR vs rest of Germany). Almost all "deaths in proximity to a positive COVID test" are in the vaccinated. Fauci, vaccinated 4x, has now had COVID symptoms for a month and counting after Paxlovid failed to cure him.

- Mask mandates were repealed with no increase in cases.

- Birth rates 9 months after vaccination reached women of childbearing age (never tested in the trials) are now ~15%-20% lower than normal.

- Lockdowns are now widely recognized to have had no effect at all. Shanghai's toughest lockdown in the world led to people starving because they weren't allowed out to buy food, whilst simultaneously failing to reduce case counts.

- The vast sums of money required for these failed anti-COVID policies have now wrecked the economy, leading to the highest inflation ever seen for people under the age of about 45.

- Public health officials have repeatedly made scientific claims they knew were false in order to manipulate people's behavior and then admitted to lying on the record in major newspapers.

That's just a tiny sampling of the recent failures of public health. What we need is for these people to go away, reflect on their failures, learn about 1000 lessons and come back in a decade when they have managed to clear house and fix the systematic vulnerability to pseudo-science that typifies their field.

Of course, what they'll actually do is ignore monkeypox because fighting it means inconveniencing gay men, whilst waiting for the next virus they can try to make into COVID2.

Re:The U.S. may be losing the fight against monkeypox, scien... by smallerfish on Friday July 08, 2022 @06:52PM (#32028775)
I mean, just your first fact is wrong on its face.

> COVID case counts in 2022 are now much higher than at any time in the past.

https://ourworldindata.org/explorers/coronavirus-data-explor...

If you're going to make counter-prevailing claims, you're going to need some solid references to back up your data, sport.

Re:The U.S. may be losing the fight against monkeypox, scien... by origin_path on Saturday July 09, 2022 @04:54AM (#32033198)
Normalize by positivity rate when using that source. I said case counts, not positive test counts. People are testing less than in the past but sources which control for that show higher numbers.
Re:The U.S. may be losing the fight against monkeypox, scien... by smallerfish on Saturday July 09, 2022 @06:40AM (#32033716)
Again, my larger point about references stands. You have a counter-prevailing narrative. If you want to be a truthsayer, come bearing unimpeachable references for your data.
Re:The U.S. may be losing the fight against monkeypox, scien... by origin_path on Saturday July 09, 2022 @11:59AM (#32036311)
Fine - here's a reference for you. I didn't include any previously because I thought this was well known. It's for the UK because the UK has some data sources that are survey based and independent of how much people choose to test/when:

https://health-study.joinzoe.com/post/1-in-15-have-covid-in-...

"Prof Spector: While COVID cases continue to soar to all-time highs, the rate of increase is showing signs of slowing down."

That was for the end of March. ONS survey tracks similarly and shows numbers heading back up to the prior peak already achieved in March. The page has some useful graphs that put it in perspective and show the scale of the problem.

It's matched by anecdata from the people around me. In the past few weeks most of my friends have reported getting COVID. It's just a cold so it puts them in bed with lemsips for a few days, not a big deal, but the massive incidence rates are very noticeable. One friend said he got COVID and had to cancel some meetings, but two were already cancelled by the other party for the exact same reason. That sort of thing hasn't happened before and for some of them, it's their first time. So it feels correct that infection rates are off the charts. Multiple perspectives yield the same answer.

Re:The U.S. may be losing the fight against monkeypox, scien... by wizofaus on Sunday July 10, 2022 @01:17AM (#32042060)
You can't have it both ways though - covid cases soaring to all time highs AND claiming the measures we had in place to attempt to contain infection previously weren't working at all. FWIW I agree many governments haven't done a great job of managing covid over the last 2-3 years, and providing funding for vaccine research and organising/ subsidizing distribution is obviously the most successful policy that's been pursued. But there are huge discrepancies between countries/states with governments that took the business of pandemic control seriously and those without. Once this is all truly over hopefully some good meta- studies can be done that help us understand which policies are the most effective, particularly in the period before vaccines are available/ effective.
Re:The U.S. may be losing the fight against monkeypox, scien... by origin_path on Monday July 11, 2022 @04:34AM (#32053643)
I see why you may think this but look at the timings. E.g. in the UK the restrictions were mostly removed in the middle of last year. Cases actually fell sharply once the remaining rules were removed.

The increase in cases this year is being driven by a mix of Omicron and vaccine imprinting. It's not related to restrictions. If it were the latter you'd see changes in policy and changes in cases line up very closely as the serial interval of SARS-CoV-2 is only a few days.

"Once this is all truly over hopefully some good meta- studies can be done that help us understand which policies are the most effective"

Oh it's been done many times already. You aren't aware of the studies and meta-studies because they don't get reported on. They don't get reported because what they show is that everything that's been tried has failed. The media, being highly complicit in pushing restrictions on people and heavily dependent upon public sector 'expertise' for giving their stories credibility, will not report on this failure.

If you want to get a flavour of it, reserve a block of a few hours and then go flick through the archives of some non mainstream anti-lockdown sites like dailysceptic.org, where they do report such things. You'll find a bunch of studies that amount to "we looked at all the data and found no correlations between stringency of policy and outcomes".

For example, excess mortality in Sweden in 2020 (which should have been very high according to the epidemiologists due to lack of restrictions) was zero for under 75s. And if you count from the start, excess death overall (all ages) is the same as for Denmark, which had much harsher restrictions. If you examine all the data simultaneously using statistical techniques you get the same null result.

Re:The U.S. may be losing the fight against monkeypox, scien... by wizofaus on Monday July 11, 2022 @05:15AM (#32053871)
If your best evidence is that from "non mainstream anti-lockdown sites" then I'll remain on the fence until I see something there's good reason to have faith in.

Plenty of countries avoided the horror scenes seen in others, and I'm very glad to have lived in one of the former, even if many of the restrictions introduced were unjustifiably harsh (and I argued against many of them at the time).

Re:The U.S. may be losing the fight against monkeypox, scien... by origin_path on Monday July 11, 2022 @06:20AM (#32054295)
Why? Do you think they're less reliable or science-oriented than outlets like the BBC? It's the opposite: they are more reliable and much more science based. The authors there read research papers and write articles based on what those papers actually say, not what people in power wish they said.

As a consequence you should have more faith in them, not less. Regardless, ignore the contents of the articles themselves and go direct to the sources, if you wish.

Also consider: your refusal to go outside establishment media is exactly why you aren't aware of any of the studies or meta-studies that have been done on effectiveness of counter-measures. You're literally wishing in public for information that already exists, but the only people who are willing to cover such news are those who aren't conflicted by prior pro-lockdown stances.

Re:The U.S. may be losing the fight against monkeypox, scien... by wizofaus on Monday July 11, 2022 @10:32AM (#32056678)
I found papers examining excess mortality and the comparison between Sweden and similar countries - and while it's somewhat surprising that it appears to be the case that it's only among those aged 70 and over that higher levels of excess mortality have been observed in Sweden, it certainly doesn't show restrictions weren't justified or effectual. Aside from the lives lost (plenty of 70 yos have another decade or so of productive and fulfilling life to lead), the impact on healthcare workers having to deal with the extra load of hospitalisations etc. can't just be dismissed out of hand (my partner worked as a nurse occasionally attending to covid patients in aged care homes here and despite our case numbers staying relatively contained, the impact was traumatic for many of her co-workers who were fulfilling that role full time). Further, it's still too early to be certain covid among younger people won't affect excess mortality in the coming decades. It's already the case that a percentage of those who survived nasty bouts of covid are suffering reduced quality of life as a result.
Re:The U.S. may be losing the fight against monkeypox, scien... by smallerfish on Saturday July 09, 2022 @05:03PM (#32039279)
That article's dated March 31st 2022, and it correlates with the ourworldindata chart I posted above, which also shows a big decline since.

And, if you do some research among reputable sources on vaccinated vs unvaccinated hospitalization and death rates, you'll find a significant pattern there.

Re:The U.S. may be losing the fight against monkeypox, scien... by origin_path on Monday July 11, 2022 @04:37AM (#32053659)
The graph you posted is affected by the end of mandatory testing, which is why you now need survey results. Mandatory testing acted as a sort of very poorly controlled "survey" because people couldn't opt out, but now testing is done almost entirely at home using LFTs without results being reported, you need a recruitment survey approach.

In the UK there was a decline after March 2022 but now, as I said, it is heading back up again and has nearly reached the same peak as previously:

https://health-study.joinzoe.com/data#levels-over-time

2022 is showing much higher peaks than other years when you use data sources not affected by the collapse in testing levels.

"vaccinated vs unvaccinated hospitalization and death rates, you'll find a significant pattern there."

I think in many countries the hospitalization rate for vaccinated/unvaccinated now matches the underlying proportions, i.e. no effect on hospitalizations or deaths any longer (and possibly never, due to how the data was being distorted by various factors previously, but that's a harder case to prove due to government data secrecy).

Re:The U.S. may be losing the fight against monkeypox, scien... by qbasic_forever on Friday July 08, 2022 @06:26PM (#32028384)
We would not have ANY COVID vaccines if not for the _billions_ of dollars the US government spent with Operation Warp Speed. The entire operation (warp speed, building and funding multiple vaccines at once to only keep the working one at the end) was something the government designed _decades ago_ and kept as a potential mitigation for pandemics. We're in a position for you to comfortably post hot garbage takes from a brand new throwaway account from the COVID-free safety of your home because the government acted to respond to this pandemic...
Re:The U.S. may be losing the fight against monkeypox, scien... by peyton on Friday July 08, 2022 @07:10PM (#32029039)
> The entire operation (warp speed, building and funding multiple vaccines at once to only keep the working one at the end) was something the government designed _decades ago_

That’s just not possible. Rapid-response vaccine platforms didn’t exist.

And indeed [1]

> The idea for Warp Speed was hatched in early April, says the official, a scientist, who was given permission to discuss it with Science if his name was not used. "Looking around, it became clear that without a really heroic effort, none of the existing efforts to produce vaccine was going to lead us to have vaccine to prevent what looks increasingly like a second wave that could sweep come October, November."

[1]: https://www.science.org/content/article/unveiling-warp-speed...

Re:The U.S. may be losing the fight against monkeypox, scien... by qbasic_forever on Friday July 08, 2022 @07:17PM (#32029134)
https://www.nature.com/articles/d41586-020-03626-1

> In particular, the Coalition for Epidemic Preparedness Innovations (CEPI) was launched in 2017; its goal is to create the technological infrastructure needed for rapid and affordable development of vaccines against several of the viruses known to have epidemic potential, including MERS, Ebola and Zika. CEPI has partly funded work on SARS-CoV-2 vaccines, including that by Moderna and at Oxford.

CEPI is where the idea for Operation Warp Speed came from...

More generally though the article I reference is chock full of instances where without government funding and help we would never have had vaccines so quickly. The crackpot poster I replied to was trying to insinuate government did nothing and could do nothing to help. This is an absolutely incorrect assertion. We have vaccines because of government help and response in the early days (and years preceding!) of the pandemic.

Re:The U.S. may be losing the fight against monkeypox, scien... by HarryHirsch on Friday July 08, 2022 @05:31PM (#32027436)
At the moment the virus is confined to that part of the gay population that attends wild orgies - healthy young men. Mortality for that segment of the population is low, although by all accounts monkeypox is still exquisitely painful. Once it gets to pregnant women we will see miscarriages in 4 out of 5 cases. Things will improve then, but not before.
Re:The U.S. may be losing the fight against monkeypox, scien... by qbasic_forever on Friday July 08, 2022 @05:47PM (#32027714)
It's not confined to just the gay population. The UK has a child in the ICU over it for example: https://www.express.co.uk/news/uk/1614153/monkeypox-British-...

Many states in the US are confirming there is community spread happening, i.e. it's not restricted to a subset of the gay or hetero community. Here's Seattle for example confirming there are cases with no known sexual encounter or link: https://publichealthinsider.com/2022/07/06/monkeypox-update-...

Re:The U.S. may be losing the fight against monkeypox, scien... by scarmig on Friday July 08, 2022 @05:57PM (#32027894)
As an LGBT guy:

Yes, there are non-gay people who get it. But gay men, and particularly people who have sex with a dozen different partners in a week (not many straight men in that particular group), are much more likely to contract it. Efforts to limit the spread of monkeypox should be targeted at the demographics most likely to contract it, as you get much more bang-for-buck that way.

Re:The U.S. may be losing the fight against monkeypox, scien... by qbasic_forever on Friday July 08, 2022 @06:02PM (#32027984)
The cat's out of the bag when community spread is confirmed like we see now. The time to take targeted measures for a community getting hit hard by it was a month ago when it was the dozens and low hundreds of cases. Now we're seeing 2k+ cases worldwide a day, and that's with very low testing. We need to shift into proper pandemic response mode--TETRIS, test-trace-isolate.

There is nothing inherent about the DNA of this virus that makes it target men, gay men, or men who have sex with men. It will infect any human in the wrong place at the wrong time, period.

Re:The U.S. may be losing the fight against monkeypox, scien... by wonderwonder on Saturday July 09, 2022 @12:13PM (#32036485)
If this thing does jump out of the gay community and into the general populace and kids start dying or being scarred for life it is going to potentially set back the acceptance the gay community has gained by decades. They are going to get absolutely hammered by the right and probably the center as well.
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Re:The U.S. may be losing the fight against monkeypox, scien... by origin_path on Friday July 08, 2022 @06:28PM (#32028421)
What do you think "isolate" means exactly? Are you aware that COVID test-trace-isolate involved forcing people to not leave their homes, i.e. mandatory house arrest for anyone who tested positive?

Given that monkeypox disproportionately affects gay men, your proposed policy would require the government to somehow identify that population, engage in regular mass testing of them and then actively police them to prevent them going out and infecting other people. Remember that tests have false positives. Many of the people who tested positive for COVID had no symptoms at all, or symptoms so mild they'd hardly noticed, so you can bet that mass testing for monkeypox would yield some steady stream of FPs as well.

You really think that's going to happen? If you think our governments would even countenance that policy for a second when it'd disproportionately impact LGBT people then, well, you don't live on the same planet as I do!

Re:The U.S. may be losing the fight against monkeypox, scien... by codsane on Friday July 08, 2022 @07:51PM (#32029587)
Ah yes because temporary isolation to prevent the spread of a disease is the same exact thing as forced imprisonment!

Congrats for making quite possibly the greatest leap since Armstrong stepped off Apollo 11.

Re:The U.S. may be losing the fight against monkeypox, scien... by origin_path on Saturday July 09, 2022 @04:52AM (#32033188)
It is, in fact, the exact same thing: a temporary imprisonment enforced by the state in order to achieve its social goals. It is remarkable how creative the insults are in this thread, yet how utterly lacking in logic. The fact that you don't like the description doesn't make it wrong. The policy is the same, just implemented for different reasons and, we'd hope, with shorter periods of imprisonment. But that's what it is and name calling doesn't change what's being proposed.
Re:The U.S. may be losing the fight against monkeypox, scien... by sanp on Friday July 08, 2022 @06:35PM (#32028534)
Bang-for-buck. A little too on the nose.
Re:The U.S. may be losing the fight against monkeypox, scien... by christkv on Friday July 08, 2022 @05:13PM (#32027182)
You are going to love the just breaking news about another possible Marburg (Ebola cousin) outbreak in Ghana.