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Added a disclaimer on page 662. Many need to post better. |
On April 15 2021 11:55 DyEnasTy wrote:Show nested quote +On April 15 2021 04:16 DarkPlasmaBall wrote:On April 14 2021 23:01 DyEnasTy wrote: Got my first Moderna shot yesterday. Second shot is scheduled for May 12th. Surprised at how many family/friends are upset I got the shot. Congratulations! Are your family members and friends not planning on getting a vaccine? Most are planning or have already gotten the vaccine. The ones that wont are saying everyone is dumb because it was rushed out and we're all being used as part of the trials.
Ah, gotcha. Hopefully, those remaining few end up changing their minds!
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United Kingdom13775 Posts
Got my second Pfizer dose today. Was administered by military staffers this time around and they worked much faster - in and out in 20 minutes, including 15 minutes of post-vaccination monitoring. Only very minor symptoms compared to last time, which was a big relief.
Having taken the good vaccine, it’s finally time to trash this ridiculous mask. What a long-awaited relief.
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On April 17 2021 05:11 LegalLord wrote: Got my second Pfizer dose today. Was administered by military staffers this time around and they worked much faster - in and out in 20 minutes, including 15 minutes of post-vaccination monitoring. Only very minor symptoms compared to last time, which was a big relief.
Having taken the good vaccine, it’s finally time to trash this ridiculous mask. What a long-awaited relief.
It takes a few weeks before the vaccine reaches maximum efficacy, and even after that, you can still catch and transmit coronavirus, so you should still be social distancing and wearing a mask around other people... especially those who aren't yet vaccinated.
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On April 17 2021 06:49 DarkPlasmaBall wrote:Show nested quote +On April 17 2021 05:11 LegalLord wrote: Got my second Pfizer dose today. Was administered by military staffers this time around and they worked much faster - in and out in 20 minutes, including 15 minutes of post-vaccination monitoring. Only very minor symptoms compared to last time, which was a big relief.
Having taken the good vaccine, it’s finally time to trash this ridiculous mask. What a long-awaited relief. It takes a few weeks before the vaccine reaches maximum efficacy, and even after that, you can still catch and transmit coronavirus, so you should still be social distancing and wearing a mask around other people... especially those who aren't yet vaccinated. I’m well aware of the canned “continue sacrificing your quality of life on the off-chance that it might be safer” talking points, yes. I’m not alone in responding that that simply isn’t going to happen.
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So you got the vaccine but don't somehow belive in it or care about how it works?
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On April 17 2021 07:25 Sermokala wrote: So you got the vaccine but don't somehow belive in it or care about how it works? Anti-wokeness protects just as well as masks, dontcha know
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On April 17 2021 07:12 LegalLord wrote:Show nested quote +On April 17 2021 06:49 DarkPlasmaBall wrote:On April 17 2021 05:11 LegalLord wrote: Got my second Pfizer dose today. Was administered by military staffers this time around and they worked much faster - in and out in 20 minutes, including 15 minutes of post-vaccination monitoring. Only very minor symptoms compared to last time, which was a big relief.
Having taken the good vaccine, it’s finally time to trash this ridiculous mask. What a long-awaited relief. It takes a few weeks before the vaccine reaches maximum efficacy, and even after that, you can still catch and transmit coronavirus, so you should still be social distancing and wearing a mask around other people... especially those who aren't yet vaccinated. I’m well aware of the canned “continue sacrificing your quality of life on the off-chance that it might be safer” talking points, yes. I’m not alone in responding that that simply isn’t going to happen.
I'm sure evaluating one's own "quality of life" is subjective, but I don't really see wearing a mask to save people's lives as that big of a pain in the neck for me. For me, that's about as much of a "sacrifice" as, say, wearing a seat belt when driving. Sure, it can be uncomfortable, but the trade-off is way more beneficial imo.
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He's just looking out for himself.
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United Kingdom13775 Posts
On April 17 2021 07:39 DarkPlasmaBall wrote:Show nested quote +On April 17 2021 07:12 LegalLord wrote:On April 17 2021 06:49 DarkPlasmaBall wrote:On April 17 2021 05:11 LegalLord wrote: Got my second Pfizer dose today. Was administered by military staffers this time around and they worked much faster - in and out in 20 minutes, including 15 minutes of post-vaccination monitoring. Only very minor symptoms compared to last time, which was a big relief.
Having taken the good vaccine, it’s finally time to trash this ridiculous mask. What a long-awaited relief. It takes a few weeks before the vaccine reaches maximum efficacy, and even after that, you can still catch and transmit coronavirus, so you should still be social distancing and wearing a mask around other people... especially those who aren't yet vaccinated. I’m well aware of the canned “continue sacrificing your quality of life on the off-chance that it might be safer” talking points, yes. I’m not alone in responding that that simply isn’t going to happen. I'm sure evaluating one's own "quality of life" is subjective, but I don't really see wearing a mask to save people's lives as that big of a pain in the neck for me. For me, that's about as much of a "sacrifice" as, say, wearing a seat belt when driving. Sure, it can be uncomfortable, but the trade-off is way more beneficial imo. Well, the math has certainly changed. I'll not put too much effort into the question of "wait another two weeks for maximum effect" since the reality of my working situation basically makes that choice for me, but there's obviously a difference between:
1. Asking people to wear a mask (not the end of the world, but far more than a slight inconvenience) when the virus is spreading uncontrolled and you are very likely to get infected and spread it to people who could die or be severely impacted.
and
2. Asking people to bear the same level of inconvenience when the most vulnerable have already ago long been vaccinated (since they were first in line), after having a vaccine that reduces your chance of acquiring AND of spreading the disease by over 90%.
Would I expect highly risk-averse symbols of public policy to yet still err absurdly on the side of safety and tell people to wear masks for the next year or decade just in case? Yes. But it doesn't represent the practical reality of what most people (myself included) are willing to tolerate in light of the reality of the risk/reward calculus, so I am inclined to roll my eyes at that recommendation. The more sensible states have already lifted mask mandates, and while mine isn't personally there yet, the writing is on the wall.
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On April 17 2021 07:48 LegalLord wrote:Show nested quote +On April 17 2021 07:39 DarkPlasmaBall wrote:On April 17 2021 07:12 LegalLord wrote:On April 17 2021 06:49 DarkPlasmaBall wrote:On April 17 2021 05:11 LegalLord wrote: Got my second Pfizer dose today. Was administered by military staffers this time around and they worked much faster - in and out in 20 minutes, including 15 minutes of post-vaccination monitoring. Only very minor symptoms compared to last time, which was a big relief.
Having taken the good vaccine, it’s finally time to trash this ridiculous mask. What a long-awaited relief. It takes a few weeks before the vaccine reaches maximum efficacy, and even after that, you can still catch and transmit coronavirus, so you should still be social distancing and wearing a mask around other people... especially those who aren't yet vaccinated. I’m well aware of the canned “continue sacrificing your quality of life on the off-chance that it might be safer” talking points, yes. I’m not alone in responding that that simply isn’t going to happen. I'm sure evaluating one's own "quality of life" is subjective, but I don't really see wearing a mask to save people's lives as that big of a pain in the neck for me. For me, that's about as much of a "sacrifice" as, say, wearing a seat belt when driving. Sure, it can be uncomfortable, but the trade-off is way more beneficial imo. Well, the math has certainly changed. I'll not put too much effort into the question of "wait another two weeks for maximum effect" since the reality of my working situation basically makes that choice for me, but there's obviously a difference between: 1. Asking people to wear a mask (not the end of the world, but far more than a slight inconvenience) when the virus is spreading uncontrolled and you are very likely to get infected and spread it to people who could die or be severely impacted. and 2. Asking people to bear the same level of inconvenience when the most vulnerable have already ago long been vaccinated (since they were first in line), after having a vaccine that reduces your chance of acquiring AND of spreading the disease by over 90%. Would I expect highly risk-averse symbols of public policy to yet still err absurdly on the side of safety and tell people to wear masks for the next year or decade just in case? Yes. But it doesn't represent the practical reality of what most people (myself included) are willing to tolerate in light of the reality of the risk/reward calculus, so I am inclined to roll my eyes at that recommendation. The more sensible states have already lifted mask mandates, and while mine isn't personally there yet, the writing is on the wall.
I agree with you that the probability of issues has decreased substantially, although I do know of many vulnerable people who still aren't vaccinated, so it definitely depends on one's context - who you work with, who you spend time with, etc. For me, I don't mind wearing a mask; for me, I'll happily stick with the "better safe than sorry" mantra for a few more months, since only around 30% of adults are vaccinated, and obviously 0% of children under 16, at the moment.
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On April 17 2021 07:25 Sermokala wrote: So you got the vaccine but don't somehow belive in it or care about how it works?
I get the impression he believes vaccines actually work after 14 days, and as such, will resume his life as normal. You cannot drive all risks to the absolute 0.
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United Kingdom13775 Posts
On April 17 2021 08:10 DarkPlasmaBall wrote:Show nested quote +On April 17 2021 07:48 LegalLord wrote:On April 17 2021 07:39 DarkPlasmaBall wrote:On April 17 2021 07:12 LegalLord wrote:On April 17 2021 06:49 DarkPlasmaBall wrote:On April 17 2021 05:11 LegalLord wrote: Got my second Pfizer dose today. Was administered by military staffers this time around and they worked much faster - in and out in 20 minutes, including 15 minutes of post-vaccination monitoring. Only very minor symptoms compared to last time, which was a big relief.
Having taken the good vaccine, it’s finally time to trash this ridiculous mask. What a long-awaited relief. It takes a few weeks before the vaccine reaches maximum efficacy, and even after that, you can still catch and transmit coronavirus, so you should still be social distancing and wearing a mask around other people... especially those who aren't yet vaccinated. I’m well aware of the canned “continue sacrificing your quality of life on the off-chance that it might be safer” talking points, yes. I’m not alone in responding that that simply isn’t going to happen. I'm sure evaluating one's own "quality of life" is subjective, but I don't really see wearing a mask to save people's lives as that big of a pain in the neck for me. For me, that's about as much of a "sacrifice" as, say, wearing a seat belt when driving. Sure, it can be uncomfortable, but the trade-off is way more beneficial imo. Well, the math has certainly changed. I'll not put too much effort into the question of "wait another two weeks for maximum effect" since the reality of my working situation basically makes that choice for me, but there's obviously a difference between: 1. Asking people to wear a mask (not the end of the world, but far more than a slight inconvenience) when the virus is spreading uncontrolled and you are very likely to get infected and spread it to people who could die or be severely impacted. and 2. Asking people to bear the same level of inconvenience when the most vulnerable have already ago long been vaccinated (since they were first in line), after having a vaccine that reduces your chance of acquiring AND of spreading the disease by over 90%. Would I expect highly risk-averse symbols of public policy to yet still err absurdly on the side of safety and tell people to wear masks for the next year or decade just in case? Yes. But it doesn't represent the practical reality of what most people (myself included) are willing to tolerate in light of the reality of the risk/reward calculus, so I am inclined to roll my eyes at that recommendation. The more sensible states have already lifted mask mandates, and while mine isn't personally there yet, the writing is on the wall. I agree with you that the probability of issues has decreased substantially, although I do know of many vulnerable people who still aren't vaccinated, so it definitely depends on one's context - who you work with, who you spend time with, etc. For me, I don't mind wearing a mask; for me, I'll happily stick with the "better safe than sorry" mantra for a few more months, since only around 30% of adults are vaccinated, and obviously 0% of children under 16, at the moment. Well, I won't blame anyone for taking precautions above and beyond what I'm willing to do or willing to tolerate as a mandate of public policy. Everyone has their own personal comfort level.
Personally, just about every at-risk person I know (in the US) who was willing to get the vaccine, either has gotten it or at least has an appointment set up to get it. That's safe enough for my liking.
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Masking goes away when the risk drops to a point where untrusted strangers can reasonably be expected to not have covid, especially if you are someone who does not have immunity to covid. Benefit of the doubt cannot be expected here because those most likely to continue spreading covid are those that pay least heed to covid restrictions.
To much of the world, you are an untrusted stranger. I hope you're still masking up in public places.
I expect masking up in public places to be in place until 4-6 weeks after vaccine supply outstrips demand, and covid cases locally drop below some arbitrary threshold. Before then, for the protection of the employees who cannot leave the location, I'll mask up.
Good news worldwide though, Pfizer's doing a helluva job of increasing supply. At this rate I'm likely to be eligible for the first dose of a vaccine mid-late May. My parents should be eligible in a week or so (Age going downwards, and they're around 4 years away from the current cutoff).
Moderna's dropping the ball on production and AZ/J&J have clotting issues, so we'll see how it goes.
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On April 17 2021 08:14 GoTuNk! wrote:Show nested quote +On April 17 2021 07:25 Sermokala wrote: So you got the vaccine but don't somehow belive in it or care about how it works? I get the impression he believes vaccines actually work after 14 days, and as such, will resume his life as normal. You cannot drive all risks to the absolute 0. He stated that he is done with masks and all other life saving requests by the government the day of getting his second dose.
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United Kingdom13775 Posts
Since the mask is just for show at this point, it stays off unless legally or professionally required. If the government or my job requires me to wear one, I suppose I will. But no more than that.
I'm certainly fortunate to have been vaccinated by one of the good and well-reputed vaccines, rather than half of a 62% vaccine that is embroiled in endless controversy. I realize many in countries outside of the US are not so lucky.
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Does anyone know, why it takes well over a year to make a definitive statement on the risk of infection via surfaces? We had 5 vaccines ready, but didn't even know that? I can't wrap my head around this.
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The problem is not the fact that there's a virus around. The problem is that it mutates faster the more of it exists. If the existing virus was the problem, we could've been well through most of the pandemic months ago. This is what happened: One version of sars-cov-2 spread uncontrolled in China. It quickly mutated into another version. It then spread throughout the rest of the world, first slowly and then rapidly gaining speed. As it kept spreading it also kept mutating, and those new mutations kept spreading. As an example, in Austria the first arriving version of sars-cov-2 eventually had an R of <1. But because - for some reason unbeknownst to me - arriving individuals weren't being sufficiently quarantined and tracked, the UK variant of the virus started spreading, which had an R of >1. Many other countries have experienced that same problem. This means two things: Firstly, the infection rate in many countries is higher than it would be had every country secured its borders. Even without vaccines many countries could've been sitting rosey now, simply by dealing with only one mutation of the virus. That by itself wouldn't have solved the problem, but it would've lessened it by a lot. Secondly, the vaccines aren't as effective as they could otherwise be. See AZ for being ineffectual against the South African strain. Vaccines are also not yet proven to offer immunity. What does this mean? Vaccinated individuals can be protected against the harmful and sometimes deadly disease called "covid-19". But that doesn't mean that they're immune against the infection - they may be carrying the virus at some point by getting infected, but surviving it without health problems due to being vaccinated. This means they can perhaps still transmit the virus to others after having been vaccinated. We don't know if this is true or false, yet, because we weren't able to conduct human challenge trials to figure out to what extent (and if at all) any of the vaccines offer immunity - which is the thing that can lead to herd immunity. As long as not close to 90% of a population is fully vaccinated with protection levels that are very high (e.g. 95%) we will not be able to fight the pandemic effectively. Again, we only need to look at a country like Austria (also Germany, the Netherlands, and many others). We still haven't enacted a strict lockdown (unlike Singapore, Australia, NZ, for example) that would stand a chance at eradicating the virus. What this means is that at least one of the measures taken (lockdowns, vaccination, individual quarantines plus track and trace) must be total until complete eradication of the virus. Australia, NZ and Singapore used lockdowns, Israel used vaccines (also the UAE, will be interesting to see if they have similar success with it) and Taiwan used quarantines combined with extreme border security plus track and trace. Even South Korea - which has been performing exceptionally well with its own strategy while never enacting a national lockdown - is having trouble, as cases are once again on the rise. This tells us that any measure works only if done to fullest effect.
To conclude, vaccines only protect the individual, unless a total vaccination plan for the whole country is enacted. That by itself sounds acceptable, doesn't it? Well, if you look back to what I said earlier in my comment, if we don't eradicate the virus, it will keep mutating. The faster it does so (which depends on its prevalence, i.e. on the infection rate), the faster it'll overcome the protection from various vaccines, including yours. Also remember that you being vaccinated doesn't necessitate immunity, meaning you could still contribute to the spread. That means a vaccination strategy that only protects the individual and doesn't solve the pandemic/epidemic eventually becomes useless, the only question is "when?" It could be tomorrow or in a few months or next year. And it's going to happen over and over again. And that means more lockdowns, unless eventually your government enacts a lockdown that is so strict that it can actually eradicate the virus (see aforementioned examples).
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On April 17 2021 16:37 r00ty wrote: Does anyone know, why it takes well over a year to make a definitive statement on the risk of infection via surfaces? We had 5 vaccines ready, but didn't even know that? I can't wrap my head around this.
This is continuously being researched. The risk of transmission from various surfaces varies heavily (a few hours or less, up to more than a week) depending on the surface and environmental conditions. Among the most infectious environments are hospitals. Heat is one of the best disinfectants. Exact information is difficult to come by due to the various different virus types and strains being studied under many different conditions. The paper notes this difficulty. Another problem is that it is difficult to know how infective the detected virus particles are on various surfaces. A virus particle can be effectively inactivated (the paper tries to address this issue), making it no longer infectious. Also, the viral load can be too small to cause an infection, meaning the detection of active virus particles doesn't always necessitate a significant threat (relatively speaking).
Within the following spoiler I'm quoting a wall of text directly from the paper. All of that information is relevant, so I'm not going to try to summarize it into a tl;dr + Show Spoiler +SARS-CoV-2 was more stable on plastic and stainless steel (estimated median half-life of this coronavirus was approximately 5.6 h on stainless steel and 6.8 h on plastic) than on copper (1 h) and cardboard (3 h). Viable virus was detected up to 72 h after application to these surfaces. The stability of SARS-CoV-2 was similar to that of SARS-CoV-1 under the experimental conditions tested. The conclusion was that fomite transmission of SARS-CoV-2 is certainly plausible. In turn, Ren et al. (2020) corroborated that the majority of viruses from the respiratory tract, such as coronaviruses, influenza, SARS-CoV-1, or rhinovirus, could persist on inanimate surfaces for a few days. It was noted that absorbent materials like cotton were safer than unabsorbent materials for protection from virus infection, while the risk of transmission via touching contaminated paper was low. Anyhow, because of the lack of information when that review was published, the authors recommended using preventive strategies such as washing hands and wearing masks for containing COVID-19. The importance of surface-mediated transmission, particularly in light of the current outbreak, was also demonstrated by Rawlinson et al. (2020), who used a DNA oligonucleotide surrogate for contaminated bodily fluid based on the cauliflower mosaic virus (AB863139.1) to determine how SARS-CoV-2 would spread within a clinical surface environment. The results showed that within 10 h, the surrogate moved from the isolation room and transferred to 41% of all surfaces sampled. That study highlighted the role of surfaces as a reservoir of pathogens and the need to address requirements for surface cleaning. In relation to this, since SARS-CoV-2 is an enveloped virus, according to the authors, it should be very susceptible to most cleaning agents. In another review on the persistence of infectious SARS-CoV-2 on inert surfaces, Gerlier and Martin-Latil (2020) corroborated the persistence of SARS-CoV-2 based on the results of the two studies that were available at that time: van Doremalen et al. (2020), which has already been discussed above, and Chin et al. (2020). The later measured the stability of SARS-CoV-2 at different temperatures and on different surfaces. No infectious virus was recovered from printing and tissue papers after a 3-h incubation. Also, no infectious virus was detected from treated wood and cloth on day 2. SARS-CoV-2 was more stable on smooth surfaces, but no infectious virus was found from treated smooth surfaces on day 4 (glass and banknotes), or on day 7 (stainless steel and plastic). Once again, SARS-CoV-2 was susceptible to regular disinfection methods. Carraturo et al. (2020), who stated that besides the high infectiousness of SARS-CoV-2, its transmission might be contained applying appropriate preventive measures such as personal protection equipment, and disinfecting agents, drew similar conclusions.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7706414/
I guess I could also add the following article, but there appears to be some level of speculation contained within it, so I'm not sure of its validity. The tl;dr is that the virus' main pathway is not from (most) surfaces. It spreads mainly from the mouth and nose through the air, and is being inhaled. Breathing, talking, singing, shouting, spitting, sneezing, those are the behaviors that lead to most infections. Either way, as I understand it, sars-cov-2 can certainly be transmitted by hand, as that is one of the surfaces on which virus particles survive for several hours and people touch various things throughout the day. So the most important surface to clean regularly, in my opinion, is the hand. Can use moisturizer to combat resulting dryness. Also probably a good idea to frequently wash arms and elbows with soap as well.
https://www.nature.com/articles/d41586-021-00251-4
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On April 17 2021 08:56 Lmui wrote: Masking goes away when the risk drops to a point where untrusted strangers can reasonably be expected to not have covid, especially if you are someone who does not have immunity to covid. Benefit of the doubt cannot be expected here because those most likely to continue spreading covid are those that pay least heed to covid restrictions.
To much of the world, you are an untrusted stranger. I hope you're still masking up in public places.
I expect masking up in public places to be in place until 4-6 weeks after vaccine supply outstrips demand, and covid cases locally drop below some arbitrary threshold. Before then, for the protection of the employees who cannot leave the location, I'll mask up.
Good news worldwide though, Pfizer's doing a helluva job of increasing supply. At this rate I'm likely to be eligible for the first dose of a vaccine mid-late May. My parents should be eligible in a week or so (Age going downwards, and they're around 4 years away from the current cutoff).
Moderna's dropping the ball on production and AZ/J&J have clotting issues, so we'll see how it goes.
You're more likely to die from a blood clot due to covid than you are from the AZ vaccine... Just something to bear in mind when talking about the clotting issues. There is a risk for sure, but the risk from covid is just so much higher that if there's a choice between the AZ vaccine and no vaccine taking the vaccine is just better.
On April 17 2021 16:48 Magic Powers wrote: The problem is not the fact that there's a virus around. The problem is that it mutates faster the more of it exists. If the existing virus was the problem, we could've been well through most of the pandemic months ago. This is what happened: One version of sars-cov-2 spread uncontrolled in China. It quickly mutated into another version. It then spread throughout the rest of the world, first slowly and then rapidly gaining speed. As it kept spreading it also kept mutating, and those new mutations kept spreading. As an example, in Austria the first arriving version of sars-cov-2 eventually had an R of <1. But because - for some reason unbeknownst to me - arriving individuals weren't being sufficiently quarantined and tracked, the UK variant of the virus started spreading, which had an R of >1. Many other countries have experienced that same problem. This means two things: Firstly, the infection rate in many countries is higher than it would be had every country secured its borders. Even without vaccines many countries could've been sitting rosey now, simply by dealing with only one mutation of the virus. That by itself wouldn't have solved the problem, but it would've lessened it by a lot. Secondly, the vaccines aren't as effective as they could otherwise be. See AZ for being ineffectual against the South African strain. Vaccines are also not yet proven to offer immunity. What does this mean? Vaccinated individuals can be protected against the harmful and sometimes deadly disease called "covid-19". But that doesn't mean that they're immune against the infection - they may be carrying the virus at some point by getting infected, but surviving it without health problems due to being vaccinated. This means they can perhaps still transmit the virus to others after having been vaccinated. We don't know if this is true or false, yet, because we weren't able to conduct human challenge trials to figure out to what extent (and if at all) any of the vaccines offer immunity - which is the thing that can lead to herd immunity. As long as not close to 90% of a population is fully vaccinated with protection levels that are very high (e.g. 95%) we will not be able to fight the pandemic effectively. Again, we only need to look at a country like Austria (also Germany, the Netherlands, and many others). We still haven't enacted a strict lockdown (unlike Singapore, Australia, NZ, for example) that would stand a chance at eradicating the virus. What this means is that at least one of the measures taken (lockdowns, vaccination, individual quarantines plus track and trace) must be total until complete eradication of the virus. Australia, NZ and Singapore used lockdowns, Israel used vaccines (also the UAE, will be interesting to see if they have similar success with it) and Taiwan used quarantines combined with extreme border security plus track and trace. Even South Korea - which has been performing exceptionally well with its own strategy while never enacting a national lockdown - is having trouble, as cases are once again on the rise. This tells us that any measure works only if done to fullest effect.
To conclude, vaccines only protect the individual, unless a total vaccination plan for the whole country is enacted. That by itself sounds acceptable, doesn't it? Well, if you look back to what I said earlier in my comment, if we don't eradicate the virus, it will keep mutating. The faster it does so (which depends on its prevalence, i.e. on the infection rate), the faster it'll overcome the protection from various vaccines, including yours. Also remember that you being vaccinated doesn't necessitate immunity, meaning you could still contribute to the spread. That means a vaccination strategy that only protects the individual and doesn't solve the pandemic/epidemic eventually becomes useless, the only question is "when?" It could be tomorrow or in a few months or next year. And it's going to happen over and over again. And that means more lockdowns, unless eventually your government enacts a lockdown that is so strict that it can actually eradicate the virus (see aforementioned examples).
There's a political question with all of this though. At what point do the vaccines protect people enough that the lockdowns and all the negative effects of that on mental health, general quality of life etc. become not worth it?
The issue I have is that science can tell us an awful lot about the virus, how it works and how to get rid of it, but can tell us very little about the long term effects of lockdowns on a population. Therefore the scientific advice will always err on the side of caution and recommend more and more lockdowns.
It is down to politicians to make educated guesses about whether the lockdowns will end up being worth the extra protection from the virus.
The vaccines and the increasing knowledge of how to treat coronavirus mean that serious cases are reduced to a very manageable level when a population is vaccinated. In my eyes the idea of eradicating coronavirus at this point is a ridiculous pipe dream and the measures we would have to take worldwide are not remotely feasible and would have so many negative effects that it would no way be worth it (this is mere speculation on my part though)
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On April 17 2021 19:02 Jockmcplop wrote:Show nested quote +On April 17 2021 08:56 Lmui wrote: Masking goes away when the risk drops to a point where untrusted strangers can reasonably be expected to not have covid, especially if you are someone who does not have immunity to covid. Benefit of the doubt cannot be expected here because those most likely to continue spreading covid are those that pay least heed to covid restrictions.
To much of the world, you are an untrusted stranger. I hope you're still masking up in public places.
I expect masking up in public places to be in place until 4-6 weeks after vaccine supply outstrips demand, and covid cases locally drop below some arbitrary threshold. Before then, for the protection of the employees who cannot leave the location, I'll mask up.
Good news worldwide though, Pfizer's doing a helluva job of increasing supply. At this rate I'm likely to be eligible for the first dose of a vaccine mid-late May. My parents should be eligible in a week or so (Age going downwards, and they're around 4 years away from the current cutoff).
Moderna's dropping the ball on production and AZ/J&J have clotting issues, so we'll see how it goes. You're more likely to die from a blood clot due to covid than you are from the AZ vaccine... Just something to bear in mind when talking about the clotting issues. There is a risk for sure, but the risk from covid is just so much higher that if there's a choice between the AZ vaccine and no vaccine taking the vaccine is just better. Show nested quote +On April 17 2021 16:48 Magic Powers wrote: The problem is not the fact that there's a virus around. The problem is that it mutates faster the more of it exists. If the existing virus was the problem, we could've been well through most of the pandemic months ago. This is what happened: One version of sars-cov-2 spread uncontrolled in China. It quickly mutated into another version. It then spread throughout the rest of the world, first slowly and then rapidly gaining speed. As it kept spreading it also kept mutating, and those new mutations kept spreading. As an example, in Austria the first arriving version of sars-cov-2 eventually had an R of <1. But because - for some reason unbeknownst to me - arriving individuals weren't being sufficiently quarantined and tracked, the UK variant of the virus started spreading, which had an R of >1. Many other countries have experienced that same problem. This means two things: Firstly, the infection rate in many countries is higher than it would be had every country secured its borders. Even without vaccines many countries could've been sitting rosey now, simply by dealing with only one mutation of the virus. That by itself wouldn't have solved the problem, but it would've lessened it by a lot. Secondly, the vaccines aren't as effective as they could otherwise be. See AZ for being ineffectual against the South African strain. Vaccines are also not yet proven to offer immunity. What does this mean? Vaccinated individuals can be protected against the harmful and sometimes deadly disease called "covid-19". But that doesn't mean that they're immune against the infection - they may be carrying the virus at some point by getting infected, but surviving it without health problems due to being vaccinated. This means they can perhaps still transmit the virus to others after having been vaccinated. We don't know if this is true or false, yet, because we weren't able to conduct human challenge trials to figure out to what extent (and if at all) any of the vaccines offer immunity - which is the thing that can lead to herd immunity. As long as not close to 90% of a population is fully vaccinated with protection levels that are very high (e.g. 95%) we will not be able to fight the pandemic effectively. Again, we only need to look at a country like Austria (also Germany, the Netherlands, and many others). We still haven't enacted a strict lockdown (unlike Singapore, Australia, NZ, for example) that would stand a chance at eradicating the virus. What this means is that at least one of the measures taken (lockdowns, vaccination, individual quarantines plus track and trace) must be total until complete eradication of the virus. Australia, NZ and Singapore used lockdowns, Israel used vaccines (also the UAE, will be interesting to see if they have similar success with it) and Taiwan used quarantines combined with extreme border security plus track and trace. Even South Korea - which has been performing exceptionally well with its own strategy while never enacting a national lockdown - is having trouble, as cases are once again on the rise. This tells us that any measure works only if done to fullest effect.
To conclude, vaccines only protect the individual, unless a total vaccination plan for the whole country is enacted. That by itself sounds acceptable, doesn't it? Well, if you look back to what I said earlier in my comment, if we don't eradicate the virus, it will keep mutating. The faster it does so (which depends on its prevalence, i.e. on the infection rate), the faster it'll overcome the protection from various vaccines, including yours. Also remember that you being vaccinated doesn't necessitate immunity, meaning you could still contribute to the spread. That means a vaccination strategy that only protects the individual and doesn't solve the pandemic/epidemic eventually becomes useless, the only question is "when?" It could be tomorrow or in a few months or next year. And it's going to happen over and over again. And that means more lockdowns, unless eventually your government enacts a lockdown that is so strict that it can actually eradicate the virus (see aforementioned examples). There's a political question with all of this though. At what point do the vaccines protect people enough that the lockdowns and all the negative effects of that on mental health, general quality of life etc. become not worth it? The issue I have is that science can tell us an awful lot about the virus, how it works and how to get rid of it, but can tell us very little about the long term effects of lockdowns on a population. Therefore the scientific advice will always err on the side of caution and recommend more and more lockdowns. It is down to politicians to make educated guesses about whether the lockdowns will end up being worth the extra protection from the virus. The vaccines and the increasing knowledge of how to treat coronavirus mean that serious cases are reduced to a very manageable level when a population is vaccinated. In my eyes the idea of eradicating coronavirus at this point is a ridiculous pipe dream and the measures we would have to take worldwide are not remotely feasible and would have so many negative effects that it would no way be worth it (this is mere speculation on my part though)
At what point do the vaccines protect people enough that the lockdowns and all the negative effects of that on mental health, general quality of life etc. become not worth it?
That depends on the angle of the argument. If we want hospitals to be able to provide service to everyone, then the eradication of the virus will hugely contribute to that. Healthcare increases both quality and length of life (e.g. the Netherlands have a very high median life span, while also having one of the best overall healthcare systems). If a hospital has to deal with covid-19 cases, it has trouble dealing with all other emergencies, OP's, health checks, etc. Mental health also has a strong link to physical health, so that would also be covered by eradicating the virus.
Then there's the argument that - while lockdowns have a hugely negative impact both on the economy and also causes some harm to the physical and mental health of people, and I would say that it also significantly drives down the average life span - it would perhaps cause less overall harm to have one strict, continuous lockdown that eradicates the virus for good, and then everything stays open for the rest of the pandemic, as it's mostly under control and can be kept in check using more localized measures like individual quarantine plus track and trace. Note that I myself am absolutely not in favor of such a strict lockdown, because I believe there are far better options. But judging from the actions of most governments I don't believe they're capable of enacting smarter and better measures, so I would at this point - albeit very begrudgingly - accept a very harsh lockdown, as long as it's being done as humanely as possible, and with the understanding that it's a collective effort of every individual. We'd have to change our entire mentality and adopt a mindset of looking out for every single person, in consideration of all the suffering - but also pride - that comes with fighting and defeating the virus.
In my eyes the idea of eradicating coronavirus at this point is a ridiculous pipe dream and the measures we would have to take worldwide are not remotely feasible and would have so many negative effects that it would no way be worth it (this is mere speculation on my part though)
I both agree and disagree. Realistically, I think it's not going to happen (in some/many countries). However, it's important to understand the reason why I say this: I believe that complete eradication of sars-cov-2 (at least in some countries) is absolutely achievable, and there are various pathways towards that. As I mentioned there are roughly three strategies: 1) a very strict and very extended lockdown, 2) vaccination of every individual, 3) Taiwan's method (this one is not currently an option for most countries as there are too many cases for the system to handle the logistics and the politics of it all). That being said, regardless of which of these strategies are used, they all must eventually lead into something resembling the third (Taiwan's) strategy, because eradication is only the first step, after that we must make sure the virus doesn't return again, and for that Taiwan has the best model (also now Australia, NZ and Singapore). So why do I not believe it's going to happen everywhere, if it has demonstrably been done successfully in some countries? Because many politicians - despite having the power to do so - have still not understood that they now need to enact the harshest lockdown that the people of our lifetime have seen (that is unless they can instead somehow make sure that 90%+ of the population will definitively get fully vaccinated before the coming winter season. And then again and again as new mutations require new vaccines). They're all either unwilling to make themselves very unpopular (temporarily), or they're not doing a good job at buying and distributing vaccines. We just need to look at Brazil and the disaster that has unfolded there.
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