Coronavirus and You - Page 314
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Any and all updates regarding the COVID-19 will need a source provided. Please do your part in helping us to keep this thread maintainable and under control. It is YOUR responsibility to fully read through the sources that you link, and you MUST provide a brief summary explaining what the source is about. Do not expect other people to do the work for you. Conspiracy theories and fear mongering will absolutely not be tolerated in this thread. Expect harsh mod actions if you try to incite fear needlessly. This is not a politics thread! You are allowed to post information regarding politics if it's related to the coronavirus, but do NOT discuss politics in here. Added a disclaimer on page 662. Many need to post better. | ||
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JimmiC
Canada22817 Posts
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cLutZ
United States19574 Posts
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Nevuk
United States16280 Posts
On December 22 2020 03:35 cLutZ wrote: Perhaps, or perhaps Norwegian ex pats in the US and Canada are also doing quite well. ...are they? This is a ludicrous thing to throw out without backing evidence. The ONLY reason along these lines that I've seen credible people attribute to Norway suffering less than say, Spain, is that they have vitamin D supplemented in their food by government mandate. | ||
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JimmiC
Canada22817 Posts
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Danglars
United States12133 Posts
On December 22 2020 05:11 Nevuk wrote: ...are they? This is a ludicrous thing to throw out without backing evidence. The ONLY reason along these lines that I've seen credible people attribute to Norway suffering less than say, Spain, is that they have vitamin D supplemented in their food by government mandate. Milton Friedman quoted it circa sixty years ago. Back then, as today, Nordic ideals were quoted as successes America should emulate. The answer to “Scandinavian countries have no poverty” was “In America, among Scandinavians, there is also no poverty.” | ||
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Nevuk
United States16280 Posts
On December 22 2020 05:36 Danglars wrote: Milton Friedman quoted it circa sixty years ago. Back then, as today, Nordic ideals were quoted as successes America should emulate. The answer to “Scandinavian countries have no poverty” was “In America, among Scandinavians, there is also no poverty.” I'm sorry, I don't understand your point. What does that have to do with COVID? (and as others have pointed out, Sweden isn't doing so hot and is scandinavian). | ||
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Danglars
United States12133 Posts
On December 22 2020 05:47 Nevuk wrote: I'm sorry, I don't understand your point. What does that have to do with COVID? (and as others have pointed out, Sweden isn't doing so hot and is scandinavian). It doesn’t make sense to say US/Canada doing horrendous against, say, Finland and Norway, because in the past their exceptionalism was even better among expatriots living in America. See: On December 22 2020 05:02 cLutZ wrote: It could be genetic or cultural. The point is they have different outcomes regardless of the country they live in, and its not just true of that ethnicity, almost all ethnicities have varying performances that are sticky when those people migrate from country to country. This is true of just about every social problem we have studied in the past, from educational outcomes, income, crime, etc. The BOP is on someone saying that this new social malady is different. Don’t just assume the government dictat is majority responsible for disparate outcomes. You’d be wrong on many other metrics, and it’s wrong to assume Covid spread is unique in history. | ||
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BigFan
TLADT24920 Posts
On December 22 2020 05:11 Nevuk wrote: ...are they? This is a ludicrous thing to throw out without backing evidence. The ONLY reason along these lines that I've seen credible people attribute to Norway suffering less than say, Spain, is that they have vitamin D supplemented in their food by government mandate. So, one thing regarding this vitamin D supplementation. Typically, it's highly recommended to take vitamin D supp during the winter here because of less sunlight exposure, but I read an article the other day that stating that even taking supp has its limits, because it's important that it can be converted, aka the kidneys have to be working well for this. I'm sure this must figure into this whole thing. | ||
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Danglars
United States12133 Posts
From the NYT: “To me the issue of ethics is very significant, very important for this country,” Dr. Peter Szilagyi, a committee member and a pediatrics professor at the University of California, Los Angeles, said at the time, “and clearly favors the essential worker group because of the high proportion of minority, low-income and low-education workers among essential workers.” That position runs counter to frameworks proposed by the World Health Organization, the National Academies of Sciences, Engineering, and Medicine, and many countries, which say that reducing deaths should be the unequivocal priority and that older and sicker people should thus go before the workers, a view shared by many in public health and medicine. Marc Lipsitch, an infectious-disease epidemiologist at Harvard’s T.H. Chan School of Public Health, argued that teachers should not be included as essential workers, if a central goal of the committee is to reduce health inequities. “Teachers have middle-class salaries, are very often white, and they have college degrees,” he said. “Of course they should be treated better, but they are not among the most mistreated of workers.” Elise Gould, a senior economist at the Economic Policy Institute, disagreed. Teachers not only ensure that children don’t fall further behind in their education, she said, but are also critical to the work force at large. When you talk about disproportionate impact and you’re concerned about people getting back into the labor force, many are mothers, and they will have a harder time if their children don’t have a reliable place to go,” she said. “And if you think generally about people who have jobs where they can’t telework, they are disproportionately Black and brown. They’ll have more of a challenge when child care is an issue.” Harald Schmidt, an expert in ethics and health policy at the University of Pennsylvania, said that it is reasonable to put essential workers ahead of older adults, given their risks, and that they are disproportionately minorities. “Older populations are whiter, ” Dr. Schmidt said. “Society is structured in a way that enables them to live longer. Instead of giving additional health benefits to those who already had more of them, we can start to level the playing field a bit.” NYT Expect to see more rancor and partisanship if the COVID vaccine rollout prioritizes the more diverse essential workers and teachers (and read the article for more discussion on it) over more susceptible/more lives saved elderly. Essentially, the more white teachers might get the vaccine because at least they’re serving black and brown and single-parent communities, but the more-white >65 elderly do not possess the same, more deserving, ethical considerations and must wait. It’s just a CDC presentation and a couple of news articles citing scientists and ethicists, but it’s something to watch out for moving forward. Agree/Disagree that the fact that old people are more likely to be white should be put them at lower priority for vaccination. (On topic of using the vaccine to reduce health inequities) | ||
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Gorsameth
Netherlands22069 Posts
Giving it to hospital personal over the elderly makes 100% sense without having to bring ethnicity into it. | ||
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JimmiC
Canada22817 Posts
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Dan HH
Romania9165 Posts
On December 22 2020 07:18 JimmiC wrote: Unless you have some data that Scandinavians are doing better with Covid in the US and Canada this is one of the biggest and dumbest jumps you have made. Back it up with some evidence, I know you prefer feelings to facts, but if you are trying to say that because Scandinavians at one point (unsourced) did better in the US economically therefor it is possible that they are going to be more resistant to Covid generically, come on. What does Scandinavians in the US and Canada even mean in this context? If we're talking actual foreign nationals those would naturally be mostly students and young professionals, and age would eclipse any other factor. If we're talking Americans that may have a Scandinavian surname and might wave a different flag once a year, that means fuck all genetically after all this time and no isolated communites. | ||
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Lmui
Canada6221 Posts
I believe strongly that giving the vaccine to hospital workers so they can safely treat covid positive patients, even as the hospitals overflow is better. If you lose a grandparent, that's terrible for your family. If a hospital loses a doctor, or a nurse, their family is more affected as they're younger and they're extremely valuable towards saving more lives. My friend (nurse) said this when I asked about her getting the vaccine (Vancouver) Not yet. ICU and emerg and long-term care get them first so I'm gonna guess sometimes in Feb for us? She's working OR, so a little lower down the priority list. The order makes sense though, and hard choices are there either way. | ||
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Sadist
United States7321 Posts
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pmh
1399 Posts
On December 22 2020 08:00 Sadist wrote: Isnt the point of giving the vaccine to healthcare workers first also that they would be less likely to spread it multiple patients? Or is a situation like that pretty much solved now? Possibly but as far as i know it has not been proven yet that the vaccine makes it impossible to spread the disease. The most important reason is to keep the healthcare system functioning. Doctors and nurses who are sick cant work,the system could collapse if to many of them would get ill. | ||
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NewSunshine
United States5938 Posts
On December 22 2020 07:03 Gorsameth wrote: The US is still in a full bloom pandemic. Hospitals are full and the thanksgiving peak is only just starting with a likely Christmas peak to follow. Giving it to hospital personal over the elderly makes 100% sense without having to bring ethnicity into it. I think the point that the quote doesn't mention, that Danglars is fine also not addressing, is that the importance of vaccinating minorities, the poor, and the less-educated is because they are much less likely to have health insurance, or any other resources that would help prevent or alleviate issues from COVID. There's also the part about them being essential frontline workers who aren't really replaceable right now, but who cares right. As with most other public health issues, a universal care system addresses serious fundamental problems before we ever get to chance to bicker about what kind of band-aid to use. If vaccine distribution wasn't trying to compensate for who has health insurance and who doesn't it would be perfectly free for any other priority group. | ||
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Lmui
Canada6221 Posts
On December 22 2020 08:46 pmh wrote: Possibly but as far as i know it has not been proven yet that the vaccine makes it impossible to spread the disease. The most important reason is to keep the healthcare system functioning. Doctors and nurses who are sick cant work,the system could collapse if to many of them would get ill. Yep. Old people dying/being infected doesn't really bring down a healthcare system - You can still do triage etc in most cases, and if they die, morgues/refrigerated trucks are easy enough to acquire. Not having enough people working to triage and actually work towards saving patients crushes a healthcare system, especially if you don't have enough people for good continuity of care. A lot of places have had nurses/doctors working 7 days a week, 12-14 hours a day with far higher patient:nurse ratios than under normal conditions. If someone drops out, there is literally no way to replace them. | ||
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m4ini
4215 Posts
On December 22 2020 08:00 Sadist wrote: Isnt the point of giving the vaccine to healthcare workers first also that they would be less likely to spread it multiple patients? Or is a situation like that pretty much solved now? If the vaccine works as it's supposed to, it won't prevent the spreading of the virus - it prevents the virus from attacking you. There's no definitive answer, but chances are that you can spread it just as easily. In regards to something that i initially thought was a no-brainer.. Give it to old people first. Not because of moral reasons, but one simple thing. If you vaccinate the health staff first, and something unforeseen goes wrong - which is entirely possible considering it's the first vaccine of its kind.. It sounds mean, but i'd rather see the vaccine going wrong in old people, than in our main line of defence. Hospitals everywhere getting stretched for resources, you can't afford single nurses/doctors falling ill, let alone all, half, or a quarter of them due to unforeseen consequences. I'm a bit torn on that one. Not having enough people working to triage and actually work towards saving patients crushes a healthcare system, especially if you don't have enough people for good continuity of care. A lot of places have had nurses/doctors working 7 days a week, 12-14 hours a day with far higher patient:nurse ratios than under normal conditions. If someone drops out, there is literally no way to replace them. Correct. The reality is though that health staff with enough resources doesn't get infected, or at least very rarely gets infected (was different early in the pandemic). I'd argue that for a well trained/equipped nurse/doc, the chances of infection are close to nil - whereas the vaccine is the great unknown. Sidenote, i don't argue against the vaccine. I just don't think anymore that the health staff getting it first is the absolute correct step. | ||
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NewSunshine
United States5938 Posts
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Sadist
United States7321 Posts
On December 22 2020 09:13 m4ini wrote: If the vaccine works as it's supposed to, it won't prevent the spreading of the virus - it prevents the virus from attacking you. There's no definitive answer, but chances are that you can spread it just as easily. In regards to something that i initially thought was a no-brainer.. Give it to old people first. Not because of moral reasons, but one simple thing. If you vaccinate the health staff first, and something unforeseen goes wrong - which is entirely possible considering it's the first vaccine of its kind.. It sounds mean, but i'd rather see the vaccine going wrong in old people, than in our main line of defence. Hospitals everywhere getting stretched for resources, you can't afford single nurses/doctors falling ill, let alone all, half, or a quarter of them due to unforeseen consequences. I'm a bit torn on that one. Correct. The reality is though that health staff with enough resources doesn't get infected, or at least very rarely gets infected (was different early in the pandemic). I'd argue that for a well trained/equipped nurse/doc, the chances of infection are close to nil - whereas the vaccine is the great unknown. Sidenote, i don't argue against the vaccine. I just don't think anymore that the health staff getting it first is the absolute correct step. This part seems odd to me as someone not in the healthcare field. Is this the case for most vaccines? If those who have recovered dont spread the virus why would a person who has had the vaccine spread it? | ||
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