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Re:Likely cause of mystery child hepatitis outbreak found by jl6 on Monday July 25, 2022 @10:13AM (#32224568)
I hope that the legacy of covid lockdowns is a renewed appreciation for the second-order, systemic, and unintended consequences of any action, to be weighed against the direct and intended effects.
Re:Likely cause of mystery child hepatitis outbreak found by roflc0ptic on Monday July 25, 2022 @10:37AM (#32224916)
I find myself despairing that almost no lessons were learned, no clear institutional improvements came from these systems.

The response to monkey pox is bearing that out. A subset of the left (my team) saying “asking gay men to stop having orgies is homophobic”, totally isomorphic to “being worried about COVID is racist against Chinese people”, one of the initial lines.

Then you have the total failure to mobilize an institutional response for contact tracing. There’s not apparently any infrastructure for it, despite how monumentally useful such a thing could have been, would be now. I don’t want another endemic smallpox-related virus, and this virus having lots of hosts to evolve in has some clear second order risks.

Likewise, the hostility towards masking is owing to some substantive inability to evaluate second order risks.

The initial lockdowns, I think, hold up pretty well in retrospect. Closing schools never really made sense for the children once it was identified that the virus attaches via ACE2 receptors; keeping the schools open was a lot less clearcut for the teachers. You don’t become a schoolteacher because of your high appetite for risk.

Re:Likely cause of mystery child hepatitis outbreak found by FooHentai on Monday July 25, 2022 @11:05AM (#32225382)
>Closing schools never really made sense for the children once it was identified that the virus attaches via ACE2 receptors

After bemoaning failure to consider second-order effects this seems like making the same mistake - It was a good news that kids were less susceptible to severe infection but protecting children was not the sole purpose of closing schools. Kids were still susceptible to infection and could still spread the disease to adults. Schools were a mixing pot for kids to get infected and then go home to infect adults who might then suffer more severe effects.

I think even in retrospect it holds up very well as an effective means (amongst many others) of slowing spread.

Re:Likely cause of mystery child hepatitis outbreak found by roflc0ptic on Monday July 25, 2022 @12:40PM (#32226920)
I mean, I think my real complaint is that

1. humans are fuckin' terrible at thinking through second order effects, and 2. often they are simply unknowable a-priori

so to the extent that I am doing the thing I'm unhappy with, it's less hypocrisy and more accidentally proving my broad point.

At any rate, about kids: the same reason kids aren't especially susceptible to COVID seem to also substantially reduce their transmission of it. It might be the case that it's still worthwhile for the broader community, idk - I'm certainly default a little skeptical of anyone saying "think of the children!"

Re:Likely cause of mystery child hepatitis outbreak found by fragmede on Monday July 25, 2022 @12:59PM (#32227295)
> the same reason kids aren't especially susceptible to COVID seem to also substantially reduce their transmission of it

In hindsight, maybe, but there were a lot of unknowns in March of 2020 and that was one of them.

Re:Likely cause of mystery child hepatitis outbreak found by roflc0ptic on Monday July 25, 2022 @04:47PM (#32230694)
oh, totally - my post also said I thought the initial lockdowns were fully justified and correct, and that only after the discovery of the ACE-2 mechanism did the calculus for children having schools open change (for me)
Re:Likely cause of mystery child hepatitis outbreak found by Fatnino on Monday July 25, 2022 @11:26AM (#32225696)
That first summer lots of kids went to sleepaway camp and caught the virus there.

Then instead of just staying at the camp where it would be contained and burn itself out, the camps themselves shut down and sent everyone home on regular commercial flights. Completely inexplicable and inexcusable.

Re:Likely cause of mystery child hepatitis outbreak found by AstralStorm on Monday July 25, 2022 @11:10AM (#32225460)
Real lesson to be learned is to open lockdowns and remove restrictions gradually.

"Open schools and kindergartens" is not gradual.

Re:Likely cause of mystery child hepatitis outbreak found by wbl on Monday July 25, 2022 @03:29PM (#32229737)
Bars were open. Whatever impact school would have on transmission was dwarfed by bars.
Re:Likely cause of mystery child hepatitis outbreak found by nradov on Monday July 25, 2022 @10:56AM (#32225229)
Some countries did seriously try contact tracing for COVID-19 and it was generally a waste of resources. Most contact tracing programs have now been discontinued or scaled back. China is still doing it, but their approach requires an authoritarian surveillance state which is far worse than any virus.
Re:Likely cause of mystery child hepatitis outbreak found by fragmede on Monday July 25, 2022 @01:02PM (#32227340)
There's also the difference in transmissibility between the original virus and the later variants. Contact tracing something with an R0 of 5 is a different matter than tracing one of 15.
Re:Likely cause of mystery child hepatitis outbreak found by gnat on Monday July 25, 2022 @11:32AM (#32225804)
Can confirm. Whatever the success of other public health measures in NZ, contact tracing was insanely high cost if done manually (and spinning up new contact tracers was much harder than it sounds). The Bluetooth and "scan here" tech solutions never seemed to get widespread adoption by users, and for a reason I've never heard explained, seemed rarely used by the health administration.
Re:Likely cause of mystery child hepatitis outbreak found by trention on Monday July 25, 2022 @11:30AM (#32225763)
>an authoritarian surveillance state which is far worse than any virus

I'd take any authoritarian state over ebola, thank you very much.

Re:Likely cause of mystery child hepatitis outbreak found by adamiscool8 on Monday July 25, 2022 @12:55PM (#32227212)
The irony of seeing this reply in a thread started with hope for "renewed appreciation for the second-order, systemic, and unintended consequences of any action" is darkly comic.
Re:Likely cause of mystery child hepatitis outbreak found by trention on Monday July 25, 2022 @01:58PM (#32228354)
The first-order effect of ebola is (almost) certain death. No need to consider anything of higher order.
Re:Likely cause of mystery child hepatitis outbreak found by adamiscool8 on Monday July 25, 2022 @03:17PM (#32229562)
It's not, it's about a coinflip (as the sibling reply noted). But you're making a very salient point about the ease at which higher order thinking can be shut down en masse in a population through fear.
Re:Likely cause of mystery child hepatitis outbreak found by trention on Monday July 25, 2022 @04:06PM (#32230218)
Is there an authoritarian government in the history of humanity that managed to kill 50% of its population? What's the average?

Yes, there are situations in which "higher order thinking" doesn't matter.

Re:Likely cause of mystery child hepatitis outbreak found by adamiscool8 on Monday July 25, 2022 @04:25PM (#32230440)
>Is there an authoritarian government in the history of humanity that managed to kill 50% of its population?

That's the sort of higher-order question you'll be able to find out right after the magical Ebola wave, if you embrace authoritarianism.

Re:Likely cause of mystery child hepatitis outbreak found by trention on Monday July 25, 2022 @04:34PM (#32230538)
Got it, "higher-order thinking" is the new reincarnation of "doing your own research". Not that surprising, actually.
Re:Likely cause of mystery child hepatitis outbreak found by adamiscool8 on Monday July 25, 2022 @06:37PM (#32231867)
In that both are exemplary qualities, only talked down by people who — by laziness or ulterior motive — would rather see them outsourced?
Re:Likely cause of mystery child hepatitis outbreak found by trention on Tuesday July 26, 2022 @02:18AM (#32234955)
No, in that both are usually repeated by clueless charlatans.
Re:Likely cause of mystery child hepatitis outbreak found by nradov on Monday July 25, 2022 @02:12PM (#32228544)
The fatality rate for ebola is around 50%.

https://www.paho.org/en/topics/ebola-virus-disease

Even at that rate, I would rather take my chances with ebola than live under a communist regime.

https://victimsofcommunism.org/

Re:Likely cause of mystery child hepatitis outbreak found by Pyramus on Monday July 25, 2022 @11:42AM (#32225965)
Not sure if the risk/benefits analysis is that simple, because the risk/benefits evolve over time. At the beginning of a pandemic it is definitely beneficial, but it changes when either spread is too high, or other measures (vaccines, therapeutics) become available. This is evidenced by the fact that contract tracing continues e.g. for monkey pox.
Re:Likely cause of mystery child hepatitis outbreak found by matthewmacleod on Monday July 25, 2022 @11:02AM (#32225327)
“asking gay men to stop having orgies is homophobic”

Of course, nobody on your team said that, nor did they say "being worried about COVID is racist against Chinese people" Why did you choose to lie about this?

Re:Likely cause of mystery child hepatitis outbreak found by roflc0ptic on Monday July 25, 2022 @03:20PM (#32229600)
I'm definitely not lying about this. See: https://twitter.com/Esqueer_/status/1550856205706338305 Also see sibling comment.

You can _also_ find people saying the lack of response is because of homophobia, and this is the thing that makes me want to flip a table: the WHO describing reality is morally culpable and causes homophobia per that tweet, the lack of effective response is homophobic, emphasizing the actual events that have had a causal role in the outbreak is homophobic. Homophobia/whatever flavor of the day is the a-priori conclusion, work backwards from there.

When you bring up the excesses of this cultural movement, you're told

1. it's not really happening

2. you're just nut picking, or

3. it's actually good.

and it's so often tied up with accusations of lying or dishonesty. Like, everyone is so mind poisoned at this point we can't just _disagree_, it's got to be an issue of mendacity or moral corruption.

Re:Likely cause of mystery child hepatitis outbreak found by matthewmacleod on Tuesday July 26, 2022 @06:52AM (#32236599)
I'm definitely not lying about this.

The statement “asking gay men to stop having orgies is homophobic” is obviously not the same as the statement "emphasising the focus on men who have sex with men…will lead to a dark place with rampant homophobia", particularly when backed up with lots of examples of exactly that thing happening!

It's not that "everyone is so mind poisoned at this point we can't just _disagree_". Indeed, I don't even disagree! I generally think that health authorities do need to understand and talk about community-specific risk, while ensuring that they balance that messaging with the impact that this can have. On the other hand, my own fucking grandmother is now under the impression that I am now at risk from a magical gay disease that's sweeping through the country because of how ham-fisted the communication has been.

The problem is that instead of talking about what your concerns were (while taking on board other points of view on the issue and how complex it is) you jumped directly to making up a quote that justified what you already thought. If you want to find a thing that is going to make "everyone is so mind poisoned" then that is what's going to do it.

Re:Likely cause of mystery child hepatitis outbreak found by zionic on Monday July 25, 2022 @11:50AM (#32226123)
I had an account on Reddit /r/news get banned because I said we should suspend all international travel to China at the start of COVID.

This was when democrats were making apology tours telling everyone not to be afraid to go to Chinatown.

There were several months at the start of 2020 where the “progressive” authority would systematically attack you as racist for being worried about COVID.

Re:Likely cause of mystery child hepatitis outbreak found by Vecr on Monday July 25, 2022 @11:09AM (#32225445)
Okay, I'll say "I think unvaccinated people should not be having orgies", I'll wait to see if anyone says that's homophobic. Yes I actually think the statement is true, I'm not just making a point. Edit: I guess I should be more constructive, an action gay men could take is demanding their states order enough doses of ACAM-2000 from the Strategic National Stockpile to cover everyone who can take it in their community (so no HIV, skin disorders, heart disease, etc). Leave MVA-BN for people who can't take ACAM2000.
Re:Likely cause of mystery child hepatitis outbreak found by hindsightbias on Monday July 25, 2022 @11:27AM (#32225713)
We need a billionaire to start funding boarding schools, where the kids and teachers can be isolated from the rest of the public.
Re:Likely cause of mystery child hepatitis outbreak found by MuchoMaas on Monday July 25, 2022 @11:14AM (#32225520)
> Likewise, the hostility towards masking is owing to some substantive inability to evaluate second order risks.

Funny, that's how I would describe the widespread insistence that we can indefinitely conceal half of everyone's faces in public (when the only effective masks are ones which create a large amount of plastics pollution), or assiduously suppress the spread of pathogens, without having some as-yet unknown knock-on effects. It's bizarre that so many treat these things as unalloyed goods with zero downside whatsoever.

Re:Likely cause of mystery child hepatitis outbreak found by roflc0ptic on Monday July 25, 2022 @12:35PM (#32226821)
I don't view them as unalloyed goods, for sure - it's just that most of the hostility came pre-anyone having great arguments against them and struck me as fundamentally tribal - went into an ice cream shop with my girlfriend in Ocala, Florida, got glared down as the only people wearing masks. This wasn't well considered social pressure, it was most assuredly "we don't cotton to them types around here."

I do think the arguments against wearing masks when interacting with children/making children mask have been quite strong, post ace-2.

Re:Likely cause of mystery child hepatitis outbreak found by dfbsdfbwe2ef2e on Monday July 25, 2022 @10:47AM (#32225079)
> The response to monkey pox is bearing that out. A subset of the left (my team) saying “asking gay men to stop having orgies is homophobic”, totally isomorphic to “being worried about COVID is racist against Chinese people”, one of the initial lines.

Asking gay men to stop having orgies isomorphic to asking people to put on masks.

Re:Likely cause of mystery child hepatitis outbreak found by cratermoon on Monday July 25, 2022 @11:25AM (#32225681)
Randy Shilts' book And the Band Played On spends a lot of time on exactly this problem during the early days of AIDS. Closing the bathhouses was controversial and resisted for too long.
Re:Likely cause of mystery child hepatitis outbreak found by elric on Monday July 25, 2022 @10:43AM (#32225014)
It's probably not as cut and dry as we'd like it to be. How do you weigh a number of children with hepatitis vs people missing out on care because hospitals are overwhelmed with covid patients (in a world where there were no lockdowns)? Can we confidently say "lockdowns were bad because X children got ill and only Y people would have suffered from hospital-collapse"? Or the reverse?
Re:Likely cause of mystery child hepatitis outbreak found by jl6 on Monday July 25, 2022 @11:02AM (#32225317)
I agree, it's difficult to evaluate, and I think we would benefit from recognizing the difficulty, and acknowledging that there were a lot of sound arguments being made both for and against lockdowns, and that the decision was a grave one. I supported the initial 2020 lockdown, and I lament that it did not come sooner, but I also don't hurl vitriol against those who delayed the decision, because I know that their motivation was not malice, but balancing the totality of needs.
Re:Likely cause of mystery child hepatitis outbreak found by hammock on Monday July 25, 2022 @11:53AM (#32226194)
You could be right. How much of the reported hospital overwhelm was due to children being admitted with primary Covid infection?
Re:Likely cause of mystery child hepatitis outbreak found by dfbsdfbwe2ef2e on Monday July 25, 2022 @10:45AM (#32225047)
Lets also appreciate that second-order effects are smaller than first-order effects.

This particular second-order effect affected 1000 people in 35 countries.

Re:Likely cause of mystery child hepatitis outbreak found by hammock on Monday July 25, 2022 @10:56AM (#32225230)
I’d wager the vast (99.95%+) majority of kids who were kept inside to protect them from Covid, have gotten Covid by now or will get it and recover, meaning that will they have Covid immunity AND were denied the opportunity to better avoid this hepatitis infection.
Re:Likely cause of mystery child hepatitis outbreak found by AstralStorm on Monday July 25, 2022 @11:12AM (#32225490)
I think you misread the article, granted it buried the lede. The suspect is an instant hit of multiple (in this case two) infections at the same time, when in normal conditions only one at a time would be likely.

The solution to this issue is both unlocking lockdowns more carefully to detect such problems, and deploying vaccines if such a problem is identified.

Re:Likely cause of mystery child hepatitis outbreak found by hammock on Monday July 25, 2022 @11:16AM (#32225553)
If the problem was ending the lockdowns, why don’t we just live in a permanent state of lockdown? With mandatory vaccines? Seems like that would work
Re:Likely cause of mystery child hepatitis outbreak found by AstralStorm on Monday July 25, 2022 @11:19AM (#32225600)
Not practical, unfortunately. Plus, in typical conditions, neither of the viruses is highly problematic. Only when you get both at the same time you're more likely to suffer, and when unvaccinated to either.

Kind of the same problem with COVID, it can also contribute to a terrible secondary infection. In this case, quite some time after even recuperating from it.

Re:Likely cause of mystery child hepatitis outbreak found by Pyramus on Monday July 25, 2022 @11:48AM (#32226083)
To add to the thought experiment: If it were possible to isolate every single human being (and animal etc.) a considerable number of pathogens would die out.
Re:Likely cause of mystery child hepatitis outbreak found by willmadden on Monday July 25, 2022 @02:37PM (#32228954)
That's a fake account spinning the narrative.
Re:Likely cause of mystery child hepatitis outbreak found by rajup on Monday July 25, 2022 @10:46AM (#32225072)
Not small for the parents of those 1000 children I'm sure.
Re:Likely cause of mystery child hepatitis outbreak found by jonhohle on Monday July 25, 2022 @11:21AM (#32225633)
One of my children is currently very afraid of statistically unlikely events causing him harm or death. Part of life is evaluating choices for likelihood of harm and deciding if that is an acceptable risk.

I’m not saying this or that about the causes that led to this illness, but 30 cases per country is a bit hard to justify as an input to decision making, especially at a community or country level. It’s valuable information, but if we hid under the sheets for everything that affected a small portion of the population, we’d all have bed sores.

Re:Likely cause of mystery child hepatitis outbreak found by dfbsdfbwe2ef2e on Monday July 25, 2022 @11:30AM (#32225754)
Appreciate the irony that the people in favor of taking no actions against covid because the probability of dying is so low are the same people in this thread crying over 1000 people worldwide.
Re:Likely cause of mystery child hepatitis outbreak found by johnchristopher on Monday July 25, 2022 @12:54PM (#32227193)
And that's why we need to ban encryption /s.
Re:Likely cause of mystery child hepatitis outbreak found by Cthulhu_ on Monday July 25, 2022 @10:27AM (#32224772)
And that the number of cases of people with repeat infections and long covid is considered in assessing whether these lockdowns and restrictions should have been lifted and the disease allowed to spread freely.
Re:Likely cause of mystery child hepatitis outbreak found by malloci on Monday July 25, 2022 @10:48AM (#32225100)
You would need to counter-balance this with the likely models of death and long covid if lockdowns _hadn’t_ occurred as well.

You cannot look at the actual stats without taking those mitigating factors into account.

Re:Likely cause of mystery child hepatitis outbreak found by EricE on Monday July 25, 2022 @11:14AM (#32225526)
You aren't going to shelter in place a highly contagious airborne virus. Life is not risk free and it's beyond obvious that lockdowns did FAR more harm than good.
Re:Likely cause of mystery child hepatitis outbreak found by cratermoon on Monday July 25, 2022 @11:23AM (#32225657)
Alternately, if the US and other countries hadn't half-assed their response with the pseudo-lockdowns, the "lockdowns" would have been far shorter, fewer, and farther between. Nobody advocated for months-long "lockdowns" where the upper socioeconomic groups would stay home and pretend they were on a fun vacation while the rest were crowded into shipping facilities, food packing plants, and so on in order to make the "fun vacations" possible.
Re:Likely cause of mystery child hepatitis outbreak found by gabereiser on Monday July 25, 2022 @11:07AM (#32225402)
More than likely we'll forget all about it in 10-15 years time and will repeat the same mistakes. Science will see it but governments won't.
Re:Likely cause of mystery child hepatitis outbreak found by fbdjsjbfxb on Monday July 25, 2022 @11:35AM (#32225850)
> Science will see it

Sure if they create the next one too I suppose they'll "see" that one too.

Re:Likely cause of mystery child hepatitis outbreak found by VancouverMan on Monday July 25, 2022 @11:35AM (#32225855)
In Canada, so-called scientists, academics, and medical doctors have consistently been among the most vocal initiators and proponents of the obviously-idiotic and useless restrictions that have caused widespread harm.

They've also been among the most vocal proponents of censoring and silencing any opposition or questioning of their claims.

We've seen a massive amount of anti-scientific behaviour from the "science" community.

Re:Likely cause of mystery child hepatitis outbreak found by femiagbabiaka on Monday July 25, 2022 @11:09AM (#32225449)
How do you model for unintended effects? You can only operate based on the knowledge you have at the time.