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On November 22 2021 10:39 WombaT wrote:Show nested quote +On November 22 2021 08:00 BlackJack wrote:I assume everyone has enough common sense to respect bodily autonomy enough to not take it lightly when Austria threatens to fine or jail people for not getting an injection. So there has to be a strong argument to override the right to bodily autonomy. So here are what I think are the 3 strongest arguments for vaccine mandates and why I don't think they pass muster. If anyone wants to add another argument feel welcome to. 1) Vaccinating the unvaccinated is for their own good 2) The unvaccinated pose a health threat to the vaccinated by infecting them with COVID 3) The unvaccinated pose a health threat to the vaccinated by overwhelming the healthcare system 1) Vaccinating the unvaccinated is for their own good Obviously by far the weakest of the 3 arguments to the point where I don't think anything even needs to be said here. Overriding someone's bodily autonomy for "their own good" is not something that is done in any developed country as far as I know. We will literally let people die before forcing a medicine/treatment on them as long as they have mental capacity to make decisions for themselves. 2) The unvaccinated pose a health threat to the vaccinated by infecting them with COVID Let's just set aside the stupidity required to believe that the COVID vaccine protects you from COVID but it doesn't protect you from the unvaccinated. Or the stupidity that the vaccinated need to be protected from a "pandemic of the unvaccinated." A lot of people here still seem to be buying into this myth that the unvaccinated are preventing us from reaching herd immunity and if we just coerced the last of them to get the vaccine we can be over the pandemic. This is bullshit. I don't think anyone serious scientific organization is still promoting the idea that we can eradicate COVID. They have all switched their messaging to "controlling" COVID. COVID will still continue to exist even if everyone gets vaccinated and we already have real world examples of that. Gibraltar is the "most vaccinated place on earth" with 100% of its population being vaccinated and 40% receiving their "booster" dose, yet they have the highest rate of spread of COVID out of anywhere in Europe right now ![[image loading]](https://i.imgur.com/7o7hWRg.png) But okay, even though COVID can still spread among the fully vaccinated, the unvaccinated can also spread it even more, so there is still an increased risk posed by the unvaccinated that could be reduced if they got vaccinated. So how do we quantify the benefit here? Well according to the CDC COVID tracker the most recent data for the week ended September 4 shows a death rate of 0.74 per 100,000 people among the fully vaccinated. About 7-8 people per million. Now as I said, there's little evidence to assume we could reach 0 COVID deaths among the fully vaccinated even with strict vaccine mandates. So now you're willing to violate people's bodily autonomy to protect some fraction of that 0.74 per 100,000. Meanwhile an equally large number of people would die of the flu every year and nobody thought twice about any preventative measures to protect the vulnerable. The desire to trample personal liberty to protect people from a respiratory virus when everyone here has spent their entire lives sleeping through tens of thousands of respiratory virus deaths every flu season doesn't make their position morally superior, it just makes it arbitrary and hypocritical. 3) The unvaccinated pose a health threat to the unvaccinated by overwhelming the healthcare system By far the best argument offered. Nobody should go along with hospitals running out of oxygen and people dying on sidewalks waiting to be triaged. However we're now at a place where we are firing HCW who refuse to be vaccinated. We're 2 years into the pandemic now and all those "field hospitals" that cities and hospitals spent millions to erect have long been torn down and never used. It's hard to simultaneously argue that the healthcare system is going to collapse while at the same time firing healthcare workers and tearing down supplemental hospital beds. We've already seen Florida get to the other side of a bad delta wave and their governor was shit talking masks and mandates the whole way through it. It's hard to believe that a state or country that has more of it's population vaccinated than Florida and has a government with better messaging would not be able to make it through a COVID wave without the collapse of their healthcare system. Although hats off to Florida in the way they blitzed out the monoclonal antibody treatment centers - that was quite impressive to see and maybe was a game changer and not something other states or countries could replicate with less competent leadership. I also have very little knowledge on the capabilities of other countries to increase their healthcare capacities. The US currently has a shit ton of travel RNs, RTs, and other healthcare workers that can deploy to hotspots and are compensated quite well. I don't know if countries with single-payer/socialized systems have the ability to increase capacity by just throwing $ at contractors in the same way. Why do any of that? Least over here services are stretched thin as it is, I imagine we’ll have a pretty big uptake in the coming winter period, especially as uptake of boosters doesn’t seem as enthusiastic as the initial first two shots. Maybe we’re equipped to handle a surge, maybe not. Nobody’s bodily autonomy is being violated, least not here. Which is great, people can, for no particularly good reason make the already difficult task of pandemic mitigation harder, with no consequence whatsoever. It’s honestly not something I care about anymore, just leave people to it and their ridiculous justifications. I have more meaningful restrictions (which I agree with incidentally) as a smoker upon my person than someone who, for whatever reason refuses vaccination. That’s how it works, and how it should work, I’m not on some high horse saying I should have the freedom to breathe smoke in people’s faces indoors, that would be silly. The anti vax crowd want their cake, and the eating of it too. For the record Gibraltar has a relatively tiny population and has a ton of tourist throughput, I’d be skeptical of any stats regarding its vaccine uptake vs Covid outcomes on those lines alone. And again with comparison to the flu man, I mean come on you make plenty of good posts here but you know that’s a bogus point of comparison.
I assume you mean there are more restrictions on you as a smoker while you are smoking? Surely you can control the habit long enough to go out to a restaurant and have a meal or go to the store to buy groceries? The same can't be said for the unvaccinated in some places.
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Also don't brush off the line about "the pandemic of the unvaccinated" being stupid. The numbers on the people going to the hospital, going to the ICU, and dying from covid vs those that are vaccinated are wildly lopsided.
The reason why we aren't doing lockdowns anymore or putting mask mandates up is that the people that need to be protected now won't comply with them and are dying in droves. This isn't an opinion or a myth this is simple math.
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Norway28674 Posts
Why are people arguing that the flu comparison is stupid? Quoting BJ: Well according to the CDC COVID tracker the most recent data for the week ended September 4 shows a death rate of 0.74 per 100,000 people among the fully vaccinated 2019 numbers for Influenza in the US (from CDC)
Deaths per 100,000 population: 1.8
note - nobody is saying that covid is 'just the flu'. Just that 'covid for the vaccinated population is comparable to flu for a significantly less vaccinated population'. (And please, no comments on how the unvaccinated coviders strain the health care system, that is irrelevant to what I am saying.)
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On November 22 2021 16:07 Liquid`Drone wrote:Why are people arguing that the flu comparison is stupid? Quoting BJ: Show nested quote +Well according to the CDC COVID tracker the most recent data for the week ended September 4 shows a death rate of 0.74 per 100,000 people among the fully vaccinated 2019 numbers for Influenza in the US ( from CDC) note - nobody is saying that covid is 'just the flu'. Just that 'covid for the vaccinated population is comparable to flu for a significantly less vaccinated population'. (And please, no comments on how the unvaccinated coviders strain the health care system, that is irrelevant to what I am saying.) Is there such a thing as long-flu? Or why are we only comparing death rates once again?
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On November 22 2021 17:06 justanothertownie wrote:Show nested quote +On November 22 2021 16:07 Liquid`Drone wrote:Why are people arguing that the flu comparison is stupid? Quoting BJ: Well according to the CDC COVID tracker the most recent data for the week ended September 4 shows a death rate of 0.74 per 100,000 people among the fully vaccinated 2019 numbers for Influenza in the US ( from CDC) Deaths per 100,000 population: 1.8
note - nobody is saying that covid is 'just the flu'. Just that 'covid for the vaccinated population is comparable to flu for a significantly less vaccinated population'. (And please, no comments on how the unvaccinated coviders strain the health care system, that is irrelevant to what I am saying.) Is there such a thing as long-flu? Or why are we only comparing death rates once again? Yes, in a way. Post-viral illnesses (post-viral fatigue is the best known one) have always been around, although they are somewhat mysterious, or poorly understood afaik.
The whole point of comparing two things is that they are similar but different.
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On November 22 2021 16:07 Liquid`Drone wrote:Why are people arguing that the flu comparison is stupid? Quoting BJ: Show nested quote +Well according to the CDC COVID tracker the most recent data for the week ended September 4 shows a death rate of 0.74 per 100,000 people among the fully vaccinated 2019 numbers for Influenza in the US ( from CDC) note - nobody is saying that covid is 'just the flu'. Just that 'covid for the vaccinated population is comparable to flu for a significantly less vaccinated population'. (And please, no comments on how the unvaccinated coviders strain the health care system, that is irrelevant to what I am saying.)
Comparing covid to the flu is only fine if we also contrast it with the flu. There are many similarities between the two, but also many differences: https://www.cdc.gov/flu/symptoms/flu-vs-covid19.htm
Usually, when people say that covid is just basically like the flu, or that the world freaking out about covid is an over-reaction compared to how we don't similarly freak out over the flu, those people are underestimating the effects and infection rate of covid. And yes, a ton of people say it's "just the flu", and those people are generally anti-vaxxer conspiracy theorists. There are millions of those people... at least, here in the United States.
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On November 22 2021 17:10 Jockmcplop wrote:Show nested quote +On November 22 2021 17:06 justanothertownie wrote:On November 22 2021 16:07 Liquid`Drone wrote:Why are people arguing that the flu comparison is stupid? Quoting BJ: Well according to the CDC COVID tracker the most recent data for the week ended September 4 shows a death rate of 0.74 per 100,000 people among the fully vaccinated 2019 numbers for Influenza in the US ( from CDC) Deaths per 100,000 population: 1.8
note - nobody is saying that covid is 'just the flu'. Just that 'covid for the vaccinated population is comparable to flu for a significantly less vaccinated population'. (And please, no comments on how the unvaccinated coviders strain the health care system, that is irrelevant to what I am saying.) Is there such a thing as long-flu? Or why are we only comparing death rates once again? Yes, in a way. Post-viral illnesses (post-viral fatigue is the best known one) have always been around, although they are somewhat mysterious, or poorly understood afaik. The whole point of comparing two things is that they are similar but different.
If the whole society hammers you about how terrible the virus is for months and years and dramatic measures are applied to reduce the spread, is it really surprising that some people get a stress reaction like "long COVID" seems to be?
I am not saying it can't be a serious condition, but I have never seen convincing evidence it isn't mainly a psychological one.
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On November 22 2021 19:19 Slydie wrote:Show nested quote +On November 22 2021 17:10 Jockmcplop wrote:On November 22 2021 17:06 justanothertownie wrote:On November 22 2021 16:07 Liquid`Drone wrote:Why are people arguing that the flu comparison is stupid? Quoting BJ: Well according to the CDC COVID tracker the most recent data for the week ended September 4 shows a death rate of 0.74 per 100,000 people among the fully vaccinated 2019 numbers for Influenza in the US ( from CDC) Deaths per 100,000 population: 1.8
note - nobody is saying that covid is 'just the flu'. Just that 'covid for the vaccinated population is comparable to flu for a significantly less vaccinated population'. (And please, no comments on how the unvaccinated coviders strain the health care system, that is irrelevant to what I am saying.) Is there such a thing as long-flu? Or why are we only comparing death rates once again? Yes, in a way. Post-viral illnesses (post-viral fatigue is the best known one) have always been around, although they are somewhat mysterious, or poorly understood afaik. The whole point of comparing two things is that they are similar but different. If the whole society hammers you about how terrible the virus is for months and years and dramatic measures are applied to reduce the spread, is it really surprising that some people get a stress reaction like "long COVID" seems to be? I am not saying it can't be a serious condition, but I have never seen convincing evidence it isn't mainly a psychological one.
Just to be clear, when you say "mainly a psychological [condition]", you mean that the long-term effects of covid include cognitive/neurological issues (which can be serious), rather than the trivialization of long-covid such as someone saying "oh the idea of it being a concern is basically a fiction; it's all in your head and isn't actually real or really connected to the virus", right?
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Northern Ireland25474 Posts
On November 22 2021 16:07 Liquid`Drone wrote:Why are people arguing that the flu comparison is stupid? Quoting BJ: Show nested quote +Well according to the CDC COVID tracker the most recent data for the week ended September 4 shows a death rate of 0.74 per 100,000 people among the fully vaccinated 2019 numbers for Influenza in the US ( from CDC) note - nobody is saying that covid is 'just the flu'. Just that 'covid for the vaccinated population is comparable to flu for a significantly less vaccinated population'. (And please, no comments on how the unvaccinated coviders strain the health care system, that is irrelevant to what I am saying.) It’s a comparison that’s been made, really stupidly, many times by many people, it somewhat bristles to see it and I react like an idiot when I do. As in this case, so apologies all for that, where a more specific and less loaded question was asked.
We’re still comparing something with an unprecedented global healthcare, research and legal response and outcomes there, with a virus where little of that is traditionally done. It gets a bit tricky.
If I were given the option of wearing a suit of 40k power armour and get kicked in the balls, vs getting punched in the arm unarmoured, my choice of the former doesn’t mean I think getting kicked in the balls unarmoured is not a considerably worse option than getting punched in the arm.
Christ I think my analogies are getting worse.
The flip side of, perhaps considering some of the Covid response is an overreaction, vs the flu season is that our collective response to the latter is an under-reaction.
I’d not necessarily argue for Covid-style responses, but if we learn some collective lessons to apply to other viral phenomenon, we probably get better outcomes.
A combination of more working from home, and people having the security and backing to not drag themselves into work while sick would be two takeaways that would mitigate something like the flu, to some degree.
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Northern Ireland25474 Posts
On November 22 2021 12:14 BlackJack wrote:Show nested quote +On November 22 2021 10:39 WombaT wrote:On November 22 2021 08:00 BlackJack wrote:I assume everyone has enough common sense to respect bodily autonomy enough to not take it lightly when Austria threatens to fine or jail people for not getting an injection. So there has to be a strong argument to override the right to bodily autonomy. So here are what I think are the 3 strongest arguments for vaccine mandates and why I don't think they pass muster. If anyone wants to add another argument feel welcome to. 1) Vaccinating the unvaccinated is for their own good 2) The unvaccinated pose a health threat to the vaccinated by infecting them with COVID 3) The unvaccinated pose a health threat to the vaccinated by overwhelming the healthcare system 1) Vaccinating the unvaccinated is for their own good Obviously by far the weakest of the 3 arguments to the point where I don't think anything even needs to be said here. Overriding someone's bodily autonomy for "their own good" is not something that is done in any developed country as far as I know. We will literally let people die before forcing a medicine/treatment on them as long as they have mental capacity to make decisions for themselves. 2) The unvaccinated pose a health threat to the vaccinated by infecting them with COVID Let's just set aside the stupidity required to believe that the COVID vaccine protects you from COVID but it doesn't protect you from the unvaccinated. Or the stupidity that the vaccinated need to be protected from a "pandemic of the unvaccinated." A lot of people here still seem to be buying into this myth that the unvaccinated are preventing us from reaching herd immunity and if we just coerced the last of them to get the vaccine we can be over the pandemic. This is bullshit. I don't think anyone serious scientific organization is still promoting the idea that we can eradicate COVID. They have all switched their messaging to "controlling" COVID. COVID will still continue to exist even if everyone gets vaccinated and we already have real world examples of that. Gibraltar is the "most vaccinated place on earth" with 100% of its population being vaccinated and 40% receiving their "booster" dose, yet they have the highest rate of spread of COVID out of anywhere in Europe right now ![[image loading]](https://i.imgur.com/7o7hWRg.png) But okay, even though COVID can still spread among the fully vaccinated, the unvaccinated can also spread it even more, so there is still an increased risk posed by the unvaccinated that could be reduced if they got vaccinated. So how do we quantify the benefit here? Well according to the CDC COVID tracker the most recent data for the week ended September 4 shows a death rate of 0.74 per 100,000 people among the fully vaccinated. About 7-8 people per million. Now as I said, there's little evidence to assume we could reach 0 COVID deaths among the fully vaccinated even with strict vaccine mandates. So now you're willing to violate people's bodily autonomy to protect some fraction of that 0.74 per 100,000. Meanwhile an equally large number of people would die of the flu every year and nobody thought twice about any preventative measures to protect the vulnerable. The desire to trample personal liberty to protect people from a respiratory virus when everyone here has spent their entire lives sleeping through tens of thousands of respiratory virus deaths every flu season doesn't make their position morally superior, it just makes it arbitrary and hypocritical. 3) The unvaccinated pose a health threat to the unvaccinated by overwhelming the healthcare system By far the best argument offered. Nobody should go along with hospitals running out of oxygen and people dying on sidewalks waiting to be triaged. However we're now at a place where we are firing HCW who refuse to be vaccinated. We're 2 years into the pandemic now and all those "field hospitals" that cities and hospitals spent millions to erect have long been torn down and never used. It's hard to simultaneously argue that the healthcare system is going to collapse while at the same time firing healthcare workers and tearing down supplemental hospital beds. We've already seen Florida get to the other side of a bad delta wave and their governor was shit talking masks and mandates the whole way through it. It's hard to believe that a state or country that has more of it's population vaccinated than Florida and has a government with better messaging would not be able to make it through a COVID wave without the collapse of their healthcare system. Although hats off to Florida in the way they blitzed out the monoclonal antibody treatment centers - that was quite impressive to see and maybe was a game changer and not something other states or countries could replicate with less competent leadership. I also have very little knowledge on the capabilities of other countries to increase their healthcare capacities. The US currently has a shit ton of travel RNs, RTs, and other healthcare workers that can deploy to hotspots and are compensated quite well. I don't know if countries with single-payer/socialized systems have the ability to increase capacity by just throwing $ at contractors in the same way. Why do any of that? Least over here services are stretched thin as it is, I imagine we’ll have a pretty big uptake in the coming winter period, especially as uptake of boosters doesn’t seem as enthusiastic as the initial first two shots. Maybe we’re equipped to handle a surge, maybe not. Nobody’s bodily autonomy is being violated, least not here. Which is great, people can, for no particularly good reason make the already difficult task of pandemic mitigation harder, with no consequence whatsoever. It’s honestly not something I care about anymore, just leave people to it and their ridiculous justifications. I have more meaningful restrictions (which I agree with incidentally) as a smoker upon my person than someone who, for whatever reason refuses vaccination. That’s how it works, and how it should work, I’m not on some high horse saying I should have the freedom to breathe smoke in people’s faces indoors, that would be silly. The anti vax crowd want their cake, and the eating of it too. For the record Gibraltar has a relatively tiny population and has a ton of tourist throughput, I’d be skeptical of any stats regarding its vaccine uptake vs Covid outcomes on those lines alone. And again with comparison to the flu man, I mean come on you make plenty of good posts here but you know that’s a bogus point of comparison. I assume you mean there are more restrictions on you as a smoker while you are smoking? Surely you can control the habit long enough to go out to a restaurant and have a meal or go to the store to buy groceries? The same can't be said for the unvaccinated in some places. What about my freedom though?
I can’t in good conscience really argue for a mandate imposition for something like groceries, or the requirement for proof of negative tests.
Aside from anything else, some people will not have easy access to these, notably the homeless who have issues with admin for all sorts of access to things easily available to other people.
I don’t think, for example that arguing that voter ID laws are motivated by making things inconvenient for certain groups would be consistent with arguing that none of the same groups would be similarly impacted with some form of vaccine pass/consistent proof of testing.
I think people have a tendency to want to create perfect systems with the best outcomes and fit the spirit of the system perfectly, while dealing with outliers, but failed attempts at perfection can end up with worse outcomes as all sorts of unintended outliers get fucked over.
I’ve been a bit all over the place on this topic as there’s definitely that part of me that has severe Covid fatigue and is sick of having to listen to Covid skeptics and wants them to face some consequence for their behaviours. Ultimately though I think that’s a trap that will both see some inalienable principles transgressed, but also is a trap I think will end up catching a lot of vulnerable people who aren’t Covid skeptics.
The boat was missed on a whole bunch of cost/benefit squeezes to mitigate this Pandemic malarkey, which I don’t think were that unreasonable. I was a big, big proponent of tighter testing and enforced quarantine for international travel, but we mostly didn’t bother.
We’ve had the return of large public gatherings, and concerts with variance on vaccine/negative test requirements stretching from needing a vaccine passport to none whatsoever.
So I mean if you’re going to let people with the income to travel do that with little restriction, or party hearty, with some rather predictable consequences for spread, how can you justify down the line requiring the most vulnerable in society to need passports to do their shop or whatever?
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Norway28674 Posts
On November 22 2021 22:37 JimmiC wrote:@Drone is this standard flu season behavior at this time of the year in Norway? If so why are they reimposing restrictions? https://www.vg.no/spesial/corona/
In Norway on average 900 people die every year from the flu. So far we have 1000 deaths from covid - but that's in one and a half year. (And the groups that are most at risk do tend to get flu shots - more than a third of the adult population.)
Last week (and we're at the biggest peak we've had right now) there were 90 vaccinated people who were hospitalized. (154 total) An average year sees nearly 5000 hospitalizations due to the flu - that's 100 per week spread out over the year, but a vast majority of these happen between November and February - usually the flu season peaks for a 6-8 week period.
Obviously the numbers from the first paragraph (our yearly covid deaths being lower than our yearly flu deaths) are related to restrictions - people have done a lot more to combat covid than they did to combat the flu. But the hospitalization numbers are comparing a) a mostly vaccinated population from covid and b) a mostly unvaccinated population from the flu with few to no restrictions for either disease, and the hospitalization numbers from a peak normal flu season are (bit of an estimate here - ~4 times higher per week than what the current hospitalization numbers from covid are - and 5-6-7 times higher if you only compare vaccinated individuals.
(norwegian source 1 and norwegian source 2
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Norway28674 Posts
Honestly I think it's a combination of several factors, where one is the health care system using a perceived crisis as an opportunity. Health care workers (that are not doctors) have been overworked and underpaid for decades now. Now that everybody is aware of Covid, it makes sense to speak loudly about how overworked they are (while the same was equally true for every flu season going back however long you want to).
We've also had a more conservative government for 8 years (until they were ousted in the election 2 months ago), they've also been cutting stuff / going further with new public management creating disdain among health care workers, and now they're threatening with mass resignations.
Thirdly even though our vaccination numbers are fairly good (87.5% double vaccinated above 18 years), that's still 12.5% short of ideal. And while double vaccinated people get hospitalized (and 60% of our hospitalizations were double vaccinated people), the vaccinated people have shorter hospital stays and are like 80 years old on average (45 or something for the non-vaccinated ones). Fourth hospitalization numbers are likely to keep increasing a bit, as they always lag behind the infection wave. I have a hard time picturing them multiplying 4 times (so they'd still be lower than peak flu season), but I wouldn't be surprised if they rise to double the current numbers. Fifth, as there are still hardly any restrictions, hospitals are having to deal with covid in addition to other respiratory illnesses. (Last year, the anti-covid restrictions basically made other seasonal respiratory illnesses drop way below the regular numbers. This year, those are back to normal in addition to the covid numbers.)
But yeah, looking at the numbers, there's no question in my mind that an average flu season hits our health care system a lot harder than the current covid wave is hitting it.
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On November 23 2021 00:12 Liquid`Drone wrote: Honestly I think it's a combination of several factors, where one is the health care system using a perceived crisis as an opportunity. Health care workers (that are not doctors) have been overworked and underpaid for decades now. Now that everybody is aware of Covid, it makes sense to speak loudly about how overworked they are (while the same was equally true for every flu season going back however long you want to).
We've also had a more conservative government for 8 years (until they were ousted in the election 2 months ago), they've also been cutting stuff / going further with new public management creating disdain among health care workers, and now they're threatening with mass resignations.
Thirdly even though our vaccination numbers are fairly good (87.5% double vaccinated above 18 years), that's still 12.5% short of ideal. And while double vaccinated people get hospitalized (and 60% of our hospitalizations were double vaccinated people), the vaccinated people have shorter hospital stays and are like 80 years old on average (45 or something for the non-vaccinated ones). Fourth hospitalization numbers are likely to keep increasing a bit, as they always lag behind the infection wave. I have a hard time picturing them multiplying 4 times (so they'd still be lower than peak flu season), but I wouldn't be surprised if they rise to double the current numbers. Fifth, as there are still hardly any restrictions, hospitals are having to deal with covid in addition to other respiratory illnesses. (Last year, the anti-covid restrictions basically made other seasonal respiratory illnesses drop way below the regular numbers. This year, those are back to normal in addition to the covid numbers.)
But yeah, looking at the numbers, there's no question in my mind that an average flu season hits our health care system a lot harder than the current covid wave is hitting it. Big question is whether you look at two comparable systems? Distancing, masks, hygiene awareness, reduction of contacts helps against many diseases. I read that there were no (!) flu outbreaks in health care in the winter season 2020/2021 in Norway. Just look at this graph!! + Show Spoiler [graph] +
Source, the graphs are INCREDIBLE.
All measures that help keep covid below flu level of deaths almost render the flu undetectable. 2019/2020 graphs look similar to 2018/2019, both with a much smaller peak that previous years back till 2014. But 2020/2021 is a flat line basically hugging the x-axis.
What do I take from that? Death % covid 2021 should be compared w death % flu 2021. 2019/2020 flu might possibly be comparable w covid 2020?
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On November 23 2021 00:39 Artisreal wrote:Show nested quote +On November 23 2021 00:12 Liquid`Drone wrote: Honestly I think it's a combination of several factors, where one is the health care system using a perceived crisis as an opportunity. Health care workers (that are not doctors) have been overworked and underpaid for decades now. Now that everybody is aware of Covid, it makes sense to speak loudly about how overworked they are (while the same was equally true for every flu season going back however long you want to).
We've also had a more conservative government for 8 years (until they were ousted in the election 2 months ago), they've also been cutting stuff / going further with new public management creating disdain among health care workers, and now they're threatening with mass resignations.
Thirdly even though our vaccination numbers are fairly good (87.5% double vaccinated above 18 years), that's still 12.5% short of ideal. And while double vaccinated people get hospitalized (and 60% of our hospitalizations were double vaccinated people), the vaccinated people have shorter hospital stays and are like 80 years old on average (45 or something for the non-vaccinated ones). Fourth hospitalization numbers are likely to keep increasing a bit, as they always lag behind the infection wave. I have a hard time picturing them multiplying 4 times (so they'd still be lower than peak flu season), but I wouldn't be surprised if they rise to double the current numbers. Fifth, as there are still hardly any restrictions, hospitals are having to deal with covid in addition to other respiratory illnesses. (Last year, the anti-covid restrictions basically made other seasonal respiratory illnesses drop way below the regular numbers. This year, those are back to normal in addition to the covid numbers.)
But yeah, looking at the numbers, there's no question in my mind that an average flu season hits our health care system a lot harder than the current covid wave is hitting it. Big question is whether you look at two comparable systems? Distancing, masks, hygiene awareness, reduction of contacts helps against many diseases. I read that there were no (!) flu outbreaks in health care in the winter season 2020/2021 in Norway. Just look at this graph!! + Show Spoiler [graph] +Source, the graphs are INCREDIBLE. All measures that help keep covid below flu level of deaths almost render the flu undetectable. 2019/2020 graphs look similar to 2018/2019, both with a much smaller peak that previous years back till 2014. But 2020/2021 is a flat line basically hugging the x-axis. What do I take from that? Death % covid 2021 should be compared w death % flu 2021. 2019/2020 flu might possibly be comparable w covid 2020?
I don't think it's fair to point out that all those things that help against Covid outright halt flu. We know that. The point people were making is that now that vaccines are out, and most of the population has one, it seems like the impact on health care, society, etc. for *vaccinated* people of Covid is at worst that of flu. We don't really do *anything* to mitigate the impact of flu in normal years, so does it make sense to do a lot of stuff, including "draconian" measures such as an overall mandate on vaccination, for the sake of Covid now that vaccines are "freely available"?
The main argument that I feel really has a lot of power is that the unvaccinated are overloading the hospitals so they cannot deal properly with other emergencies (let alone a normal flu season), so measures *are* needed in order to deal with the too high a load on health care.
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Norway28674 Posts
On November 23 2021 00:39 Artisreal wrote:Show nested quote +On November 23 2021 00:12 Liquid`Drone wrote: Honestly I think it's a combination of several factors, where one is the health care system using a perceived crisis as an opportunity. Health care workers (that are not doctors) have been overworked and underpaid for decades now. Now that everybody is aware of Covid, it makes sense to speak loudly about how overworked they are (while the same was equally true for every flu season going back however long you want to).
We've also had a more conservative government for 8 years (until they were ousted in the election 2 months ago), they've also been cutting stuff / going further with new public management creating disdain among health care workers, and now they're threatening with mass resignations.
Thirdly even though our vaccination numbers are fairly good (87.5% double vaccinated above 18 years), that's still 12.5% short of ideal. And while double vaccinated people get hospitalized (and 60% of our hospitalizations were double vaccinated people), the vaccinated people have shorter hospital stays and are like 80 years old on average (45 or something for the non-vaccinated ones). Fourth hospitalization numbers are likely to keep increasing a bit, as they always lag behind the infection wave. I have a hard time picturing them multiplying 4 times (so they'd still be lower than peak flu season), but I wouldn't be surprised if they rise to double the current numbers. Fifth, as there are still hardly any restrictions, hospitals are having to deal with covid in addition to other respiratory illnesses. (Last year, the anti-covid restrictions basically made other seasonal respiratory illnesses drop way below the regular numbers. This year, those are back to normal in addition to the covid numbers.)
But yeah, looking at the numbers, there's no question in my mind that an average flu season hits our health care system a lot harder than the current covid wave is hitting it. Big question is whether you look at two comparable systems? Distancing, masks, hygiene awareness, reduction of contacts helps against many diseases. I read that there were no (!) flu outbreaks in health care in the winter season 2020/2021 in Norway. Just look at this graph!! + Show Spoiler [graph] +Source, the graphs are INCREDIBLE. All measures that help keep covid below flu level of deaths almost render the flu undetectable. 2019/2020 graphs look similar to 2018/2019, both with a much smaller peak that previous years back till 2014. But 2020/2021 is a flat line basically hugging the x-axis. What do I take from that? Death % covid 2021 should be compared w death % flu 2021. 2019/2020 flu might possibly be comparable w covid 2020?
This is basically BJ's point, though. If we wanted to live 2020-2021 style, we could basically eliminate the flu. But we don't - we accept some deaths (900 per year in Norway), we accept some hospitalizations, we accept some illness, because we - as society- consider this preferable to having to socially distance. (There's no question that social distancing works - but it's also incredibly costly).
Then, now that Covid - for the vaccinated - is basically down to flu-level in terms of how dangerous contracting it is, can you really justify having the harsh measures that were largely considered acceptable one year ago, pre-vaccine? I was totally fine with social distancing last year - because I saw how bad Covid could be in other countries, and I didn't want Norway to be like those countries. Pre-vaccine, we had like 650 deaths in one year (fewer than the flu - but because of restrictions that were massively impacting people's quality of life). Post vaccine, I guess we're likely to hit similar numbers - but with people living their lives fairly normally. I'm not willing to impose or live with harsh measures to make that 650 number drop to 100 instead - I was, however, willing to impose and live with harsh measures to turn a potential 10000 into 650.
I don't really care about stuff like vaccine passports or mask mandates, those don't impact my life. I care a lot about social distancing, because that massively influences the quality of my life (it also really works).
The point with the comparison isn't some type of 'let's try to measure which disease is worse' - it's trying to establish 'how dangerous does a disease have to be before we implement harsh measures that work to combat it'. Using the regular seasonal flu as a sort of cutoff for that imo makes a lot of sense precisely because we could have used the same measure we've used to fight covid to fight the flu, but we don't, because it's considered 'not sufficiently devastating to warrant it' - while pre-vaccine, covid was 'sufficiently devastating to warrant it', so we went for it. Bloated health care / 'flatten the curve' style arguments have some validity for sure (depending on region) - but there, I think 'spend more money on increasing health care capacity' is something that should've been done a long time ago anyway.
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