[HN Gopher] South Africa's omicron coronavirus outbreak subsides...
       ___________________________________________________________________
        
       South Africa's omicron coronavirus outbreak subsides as fast as it
       grew
        
       Author : kyle_morris_
       Score  : 214 points
       Date   : 2021-12-22 19:32 UTC (3 hours ago)
        
 (HTM) web link (www.washingtonpost.com)
 (TXT) w3m dump (www.washingtonpost.com)
        
       | collaborative wrote:
       | I became alarmed about covid since it first appeared in Wuhan,
       | but these days I am more alarmed about people I meet saying that
       | the unvaccinated shouldn't be admitted to hospital, etc
        
       | WalterBright wrote:
       | It's Farr's Law in action.
       | 
       | "Farr's laws is a law formulated by Dr. William Farr when he made
       | the observation that epidemic events rise and fall in a roughly
       | symmetrical pattern. The time-evolution behavior could be
       | captured by a single mathematical formula that could be
       | approximated by a bell-shaped curve."
       | 
       | https://en.wikipedia.org/wiki/Farr's_laws
        
       | bennyp101 wrote:
       | Why is there not an official WHO site? I don't want to know about
       | things from news agencies with an agenda - I want a horses mouth
       | facts.
        
         | dehrmann wrote:
         | You don't think the WHO has an agenda?
        
       | GoatHerders2 wrote:
        
       | phnofive wrote:
       | https://archive.md/WJXml
        
         | galgalesh wrote:
         | After opening this url on my phone, it waits three seconds and
         | then shows me a scam ad scaring me into purchasing a fake
         | android cleaner app.
        
           | codazoda wrote:
           | Same for me. Full page add, no way to close.
        
         | mdoms wrote:
         | Ok I know it's off topic but I have got to ask, what is up with
         | archive.md links? I have never in my life successfully loaded
         | an archive.md URL. I either get straight up DNS errors or very
         | occasionally I see a spinner that never finishes loading. Yet
         | they must work for others because they're constantly being
         | posted here.
        
           | executive wrote:
           | Cloudflare DNS blocks
        
             | mdoms wrote:
             | Huh. Any idea why?
        
               | willhinsa wrote:
               | You can read about their reasoning here:
               | https://news.ycombinator.com/item?id=19828702
               | 
               | Posted by
               | https://news.ycombinator.com/user?id=eastdakota, whose
               | profile reads:
               | 
               | > A little bit geek, wonk, and nerd. Repeat entrepreneur,
               | recovering lawyer and former ski instructor. CEO & co-
               | founder of CloudFlare. [ my public key:
               | https://keybase.io/eastdakota; my proof: https://keybase.
               | io/eastdakota/sigs/_uDY0ZsLTEWaNu5daRtuwzZtJ... ]
        
             | majkinetor wrote:
             | Why would it do that FFS ?
        
               | stavros wrote:
               | It doesn't/its complicated.
        
               | ricardobeat wrote:
               | Cloudflare doesn't block them, Archive.is intentionally
               | refuses to resolve DNS queries from 1.1.1.1 due to lack
               | of geo information. See explanation here:
               | https://jarv.is/notes/cloudflare-dns-archive-is-blocked/
        
             | forgotmyoldacc wrote:
             | The website blocks Cloudflare DNS, not the other way
             | around.
        
             | jffry wrote:
             | That's untrue, you can see Cloudflare's explanation here:
             | https://news.ycombinator.com/item?id=19828702
             | 
             | Short version: The Archive.is authoritative DNS servers do
             | not give correct addresses to Cloudflare when Cloudflare
             | asks for them
        
             | [deleted]
        
           | benjiweber wrote:
           | Maybe you're using cloudflare dns?
           | https://community.cloudflare.com/t/archive-is-
           | error-1001/182...
        
             | Bellamy wrote:
             | Can someone explain in English what is going on here?
             | 
             | I thought I understand DNS but I guess I don't.
        
               | ianai wrote:
               | For Cloudflare DNS servers the archive.md DNS server
               | tells them the URL is not configured. It's configured to
               | change according to which DNS server queries it by
               | location/IP. It's not something Cloudflare can fix
               | unilaterally. (or something like that)
               | 
               | edit: elsewhere linked is an explanation:
               | https://news.ycombinator.com/item?id=19828702
        
             | mdoms wrote:
             | I am, on all of my devices. Interesting.
        
               | toxik wrote:
               | A great example of why you as a techie should be using
               | your own recursive resolver.
        
           | majkinetor wrote:
           | I wish we have archive.md automatic for each post...
        
           | yosito wrote:
           | They usually help with sites that go down under a heavy
           | traffic load, or that have a paywall.
        
           | [deleted]
        
           | ricardobeat wrote:
           | Are you using Cloudflare DNS? The archive.is owners
           | intentionally block it. It's occasionally blocked at the ISP
           | level too.
        
       | TaylorSwift wrote:
       | Does anyone have insights/thoughts as to the implications of this
       | variant growing as fast as it subsides? Does that mean a new
       | variant will emerge which will be more/less infectious or
       | more/less deadly?
        
         | randomopining wrote:
         | Virus just wants to replicate and spread as much as possible.
         | Sometimes the side effect of this is death etc.
         | 
         | If this one spreads super fast, has generally more mild
         | effects... it will ramp up faster, infect all, and may get more
         | severe so that it can last longer in the host and spread more.
         | 
         | But the combo of high infectiousness and more mild side effects
         | might be a net negative for this one. If we get a good amount
         | of herd immunity, it may be a few weeks of heavy spread and
         | then very little.
        
           | pvarangot wrote:
           | Viruses don't "want", anthropomorphizing COVID like media
           | headlines do is a bit of a "language virus" in and of itself
           | that makes global understanding of what's going on more
           | difficult. AFAIK the virus mutates randomly, and we just see
           | more of the more infectious and less deathly (in the short
           | and mid-term) variants because those are the ones that spread
           | faster and successfully among humans, but attributing even
           | collective behavior to COVID, like to an ant colony, is too
           | liberal of a use of our imagination.
        
             | randomopining wrote:
             | Classic HN response spending an entire paragraph to disect
             | how I used the word "want" even though it's obvious that I
             | meant "to achieve their goal of maximizing proliferation".
        
             | postalrat wrote:
             | Brain cells don't "want" either.
        
               | pvarangot wrote:
               | Nope but we can attribute properties to a group of brain
               | cells that we can call a "human" the property of
               | "wanting" without implanting incorrect analogies that, so
               | far and according to our understanding of consciousness,
               | don't impair the collective spread of the best knowledge
               | we have about how "human" works. If you really literally
               | think COVID wants something you are probably delusional
               | or your understanding of what's a virus is like below
               | high-school level.
        
             | babyshake wrote:
             | Is it not reasonable to use the word "want" in reference to
             | natural selection tending to optimize for something?
        
               | pvarangot wrote:
               | Hmm, good question. I guess I can go full pedantic on
               | this because it's HN but probably on any other social
               | setting this exposition would drain everyones vital life
               | and just fuel my autistic dissociation until I have no
               | idea where I am anymore.
               | 
               | Giving "natural selection" as a force the capacity to
               | "want" is probably less controversial that saying that a
               | virus "wants". For example if you are a religious
               | evolutionary biologist you can think that natural
               | selection is an entity that makes some kind of conscious
               | decisions that may appear random to us only because we
               | don't understand them. I don't think that believing that
               | will hamper your ability to actually understand natural
               | selection as much as any other scientist, specially if
               | you go by the Roman Catholic tenet of unquestionable
               | faith in unsolvable misteries.
               | 
               | If you go by the more neutral terms used in evolutionary
               | science I think natural selection is more of a process
               | than a system or force and then it "wanting" things is
               | also anthropomorphism.
               | 
               | My personal line for when anthropomorphism is tolerable
               | and when it's not is when as an analogy it can make you
               | come to dangerous conclusions. For example "oh COVID
               | wants to mutate, we should just let it mutate because
               | when you give something what it wants it will usually
               | leave you alone" or stuff like that.
        
           | alliao wrote:
           | super fast spread even with milder effects will still meant
           | overwhelming healthcare capacity let's not even go near the
           | notion that more infection means brewing more variants we've
           | never entertained herd immunity for polio, why covid..
        
             | inglor_cz wrote:
             | Not necessarily. The load that the healthcare systems must
             | carry depends not just on the absolute number of cases, but
             | also on how long the average stay in hospital _is_. Think
             | of it as IT notorious  "man-days", in this case "patient-
             | days".
             | 
             | If the infection is milder across the board, hospital stays
             | will be shorter on average. People will improve faster and
             | will be discharged sooner.
             | 
             | 500 people who on average need 3 days of hospitalization
             | are less of a load than 200 people who on average need 10
             | days of hospitalization - unless those 500 arrive at the
             | same time, of course.
        
             | snet0 wrote:
             | It only means overwhelmed healthcare if the
             | hospitalisation/requirement for healthcare rate is high
             | enough.
             | 
             | If this variant is 5x more infectious, but 5x less likely
             | to result in hospitalisation, the net effect on healthcare
             | resources should remain level, no?
        
               | jakeinspace wrote:
               | No, there is no formula quite that simple while we're
               | still in the transient, exponential growth stage for
               | omicron. 5x transmissibility can lead to single-day
               | infections much greater than past peaks. If omicron does
               | cause a disaster in the US and other western countries,
               | it will probably be due to a short (2-3 week) window of
               | insanely high daily case rates, leading to very high
               | daily hospitalization/ICU requirements. If the US hits
               | let's say 1M confirmed cases/day for example (3x the peak
               | last winter), with a daily demand for beds (non-icu) of
               | ~25k, things would get very bad in urban centers. The
               | combo of exponential growth and localized hospital
               | resource constraints means that what would seem at face
               | value to be an even tradeoff of transmissibility for
               | lethality is not so simple.
               | 
               | Omicron might be a blessing in disguise, but there is a
               | very bad plausible outcome for the coming month.
        
               | SketchySeaBeast wrote:
               | Not if you factor time into that math. 5x more infectious
               | on the first cycle means just 5 times the infections, and
               | equal hospitalizations, but the next cycle all of those
               | 5x the number of people spread it again to 5x the number
               | of people. So even though it's 5x milder, you've still
               | got 5x the people showing up in the hospital. It gets
               | worse and worse the more cycles you go. 25x in hospital,
               | 125x in hospital, etc. You run into mitigating factors in
               | real life, as the entire population is consumed, but
               | that's a super steep slope comparative to the baseline.
        
         | GDC7 wrote:
        
           | alliao wrote:
           | people who have families working in healthcare would beg
           | otherwise
        
             | catillac wrote:
             | More than five million probable died from Covid, the vast
             | majority since summer 2020. The pandemic isn't over because
             | someone decided it was. This person's comment is asinine.
        
               | spookthesunset wrote:
               | > The pandemic isn't over because someone decided it was.
               | 
               | Doesn't matter. The virus has nothing to do with how
               | humans react to it. The virus didn't tell us to shut
               | everything up and hunker down for 2 years. We could
               | decide to move on tomorrow if we chose. Many places moved
               | on almost a year ago with very little repercussions.
        
               | GDC7 wrote:
        
               | woodruffw wrote:
               | Telling people that the deaths of their loved ones are
               | "meaningless" is not a very convincing argumentative
               | tack.
        
               | howinteresting wrote:
               | Let's look at years of life lost, then, shall we?
               | 
               | https://www.nature.com/articles/s41598-021-83040-3
               | 
               | > YLL in heavily affected countries are 2-9 times the
               | average seasonal influenza
               | 
               | And that is after all the societal changes to deal with
               | the disease.
               | 
               | I personally think that YLL of 2-9x the flu _after_
               | mitigations clearly justified the mitigations.
        
               | umanwizard wrote:
               | > I personally think that YLL of 2-9x the flu after
               | mitigations clearly justified the mitigations
               | 
               | To properly debate this claim we need to know (1) the
               | baseline -- how many YLLs are caused by flu?, and (2) how
               | many YLLs were _saved_ by the mitigations. (Would we have
               | had 2x more Covid deaths without them? 10x? 1.1x?)
        
               | sokoloff wrote:
               | It's fascinating to me that a multiple of 2-9x the median
               | flu in YLL (after mitigations) in only a few countries
               | "clearly justifies" the quite disruptive mitigations. I
               | look at the same measures (and I'm implicitly estimating
               | that the non-vaccine mitigations were around 50%
               | effective) and conclude that the mitigations [excluding
               | vaccines] were, in retrospect, probably not justified for
               | as long and as impactful as they were on daily routines.
               | 
               | They were (IMO) justified early on when vaccines were not
               | available and when we knew a lot less about the effective
               | treatment regimens.
               | 
               | Imagine a reliable oracle tells you: "The flu season in
               | 2025 will be 10x as bad as the typical flu season." Is
               | that cause to shut down restaurants, bars, close offices,
               | schools, and universities, shutdown borders, etc, etc.
               | for 12 months to make it only 5x as bad? For me, that's
               | cause to make sure I get the flu vaccine that year, wash
               | my hands a little more, not go to work if I'm ill, and
               | pet my dog.
               | 
               | Some jackass tried unsuccessfully to light his shoes on
               | fire and 20 years later we're still taking our shoes off
               | at the airport. I hope we have a more threat-appropriate
               | response over the long-run here.
        
               | GDC7 wrote:
               | They disclose a bias: "Those dying from COVID-19 may be
               | an at-risk population whose remaining life expectancy is
               | shorter than the average person's remaining life
               | expectancy"
        
         | wefarrell wrote:
         | I don't know if it's possible to assess the infectiousness and
         | deadliness in isolation from the collective social immunity.
         | 
         | Each wave is less deadly because: a) we're getting better at
         | treating it b) the most vulnerable populations have been killed
         | off in previous waves. c) through vaccination and prior
         | infections our individual immune systems are primed to deal
         | with it.
        
       | Marazan wrote:
       | For anyone who wants to look at the raw data then you can find it
       | here
       | 
       | https://www.nicd.ac.za/diseases-a-z-index/disease-index-covi...
       | 
       | This is direct from the SA government including archives of all
       | the daily data for the duration of the pandemic.
       | 
       | Pay attention to the data lag. But it isn't _that_ laggy.
        
       | wehnsdaefflae wrote:
       | Paywalled
        
       | softwaredoug wrote:
       | It seems likely that the US would still see waves over much of
       | the winter.
       | 
       | South Africa has a population of about 60 million, fairly dense
       | compared to the US. Compared to the US, their spike and fall
       | would be expected to come on faster (and drop faster). The US is
       | more spread out but with many more people. So its great to know
       | that local spikes would come and go fast, it still is a very
       | acute strain likely to be spread over months as it travels around
       | the country.
        
       | [deleted]
        
       | gentleman11 wrote:
       | There was a brief spike in daily new cases that was extremely
       | high, then it lowered. It will take more than a day or two to
       | know if it is truly subsiding as fast as it's growing, and what
       | the meaning of that spike was, so this seems premature.
       | 
       | https://www.worldometers.info/coronavirus/country/south-afri...
        
         | yosito wrote:
         | I read this news a week ago, so I think it's already been more
         | than a day or two.
        
         | destitude wrote:
         | "case counts" are also a really bad way for measuring. Media
         | likes to use it because they love sensationalizing things but
         | if we already know this is a "mild" variant with little to no
         | increase in hospitalizations then using "case counts" is really
         | poor unit of measurement.
        
           | gentleman11 wrote:
           | All the reports about how severe omicron is say they are
           | preliminary. It's just more jumping of the gun by news
           | agencies. We'll know more in a week or two
        
           | kevinmchugh wrote:
           | Media reports about case counts are useful because they
           | precede hospitalizations by days or weeks. This allows the
           | risk averse to modify their behavior sooner.
        
       | oneoff786 wrote:
       | I've been tanking some downvotes for the past few days for saying
       | this. Disease spread is only exponential for a brief initial
       | period. It is not a good mental or even general model for how
       | disease spreads. We have two years of observational covid data
       | that shows this to be true.
       | 
       | Spread slows down rapidly long before reaching 100%. People hear
       | "5x as infectious" and reason that due to the nature of
       | exponential models, that much more than 5x people will be
       | infected. This is extremely incorrect. In truth, far fewer than
       | 5x people will be infected over the long term. And again, no,
       | this is not because it's hitting the upper limits of 100% of the
       | population or anywhere near that.
       | 
       | I won't be so bold as to say it's probable, but given this is not
       | a novel virus, it's entirely believable to say that omicron could
       | go on to infect fewer people than delta due to the past two years
       | of vaccination and immunity and die off. Presuming data about
       | lower severity holds, it would be surprising to me if
       | hospitalization or deaths aren't noticeably lower than delta;
       | which, in turn, was noticeably lower than the original.
        
         | joshocar wrote:
         | What about the population of the unvaccinated? What percentage
         | should we expect of the unvaccinated to get omicron given how
         | contagious it is?
        
           | oneoff786 wrote:
           | It depends on many things and will vary wildly by geography.
           | I'm not suggesting this is a population level trend one can
           | safely piggyback on, unvaccinated. If you are unvaccinated in
           | a community with spread, your odds of getting it are likely
           | comparable, plausibly higher, to previous periods.
        
         | stefan_ wrote:
         | It's a bit silly to go "it's less severe" based on death
         | statistics when after two years of Corona waves, there are
         | plain less individuals around for it to kill.
        
           | dnautics wrote:
           | no viral infection happens in a vaccuum. Each year's seasonal
           | and nonseasonal flu comes on the backs of years of "less
           | people" for it to kill, and people who have gained immune
           | responses to any of its closest relatives, and people who
           | have been immunized, and even humans who have been culled by
           | similar viruses milennia ago during migratory bottlenecks.
        
           | oneoff786 wrote:
           | Death of the vulnerable is a thing, which I referenced, but
           | it's a relatively minor factor compared to vaccinations and
           | immunity build up from past infections. Most people who would
           | die from covid if they caught it did not catch it.
           | 
           | I think it's a bit silly to fixate on the base stats of the
           | virus rather than it's actually efficacy against the human
           | population.
        
             | midasuni wrote:
             | The problem is by the time you see the effect
             | (hospitilations) it's too late to do anything about it.
             | It's like driving with a 20 second lag in your vision.
        
         | estaseuropano wrote:
         | There is a lot to unpack but I doubt you are as right as you
         | think you are. For instance in new variant outbreaks there ate
         | usually harsher responses than for known variant outbreaks, so
         | it is very difficult to identity the real infectivity.
         | 
         | But more importantly it's well established that diseases that
         | those diseases spread most widely that _don 't_ kill rapidly
         | (or that more generally don't have severe symptoms) and that
         | have a longer period between the start of infectivity (=
         | shortly after infection) and the onset of identifiable
         | symptoms. So you would indeed anticipate that any disease that
         | runs sufficiently long in the population becomes more mild and
         | has a later onset of symptoms as variants with these features
         | outcompete thr others.
         | 
         | In other words: it is _expected_ that covid mutates over time
         | to become more mild _on average_. But that doesn 't mean that
         | everyone survives. Infection rates in many countries are higher
         | than ever, which even if the % of severe cases is lower than
         | with other variants, delta and omicron will still kill and have
         | severe long-term effects on many.
        
           | pg314 wrote:
           | Covid-19 doesn't kill rapidly, so there is no pressure for it
           | to mutate to become milder.
        
             | mekkkkkk wrote:
             | The milder it gets, the less noticeable it is. As it gets
             | less noticeable, the chance of exposure to new hosts
             | increases. Seems reasonable.
        
             | [deleted]
        
           | oneoff786 wrote:
           | I can't tell what your point is but nothing here seems to
           | contradict anything I said. It's just some facts about
           | diseases.
           | 
           | I didn't say every one was going to survive omicron. I said
           | the spread was unlikely to be materially higher than its
           | predecessor and likely have a lower negative impact.
           | 
           | A disease that spreads twice as fast is unlikely to infect
           | twice as many people (over the long term). A disease that
           | causes fewer adverse effects, let's say half as often, needs
           | to, by definition, infect twice as many people over the long
           | run in order to cause the same amount of harm.
           | 
           | As a dumb mental model, if omicron is 30% less dangerous,
           | then omicron needs to infect 42% more people to be as harmful
           | to society. That is very difficult to achieve, especially
           | given our collective immunity achieved so far. I would say
           | there is little chance of this occurring.
        
         | specialp wrote:
         | A place where it hit exponential levels with really bad results
         | is here in NY at the beginning. We had no precautions, testing,
         | or vaccines in place yet, and hospitals were overwhelmed. It
         | was honestly a scary time. That was where we started
         | "flattening the curve". Now with vaccines available if there
         | are surges and they are not literally building hospitals on
         | fields like they were near me that is something we have to just
         | live with. COVID will never hit 0 cases. People will still be
         | hospitalized and occasionally die of COVID as was always the
         | case with winter flu seasons.
         | 
         | Now we are at the point where fully vaccinated people and
         | people with immunity from a previous infection have a low rate
         | of death or serious illness. People who are very old or have a
         | compromised immune system should lay low and take precautions
         | now and during every flu season when it spikes. Those who
         | choose not to get vaccinated and die, that is still on them.
        
           | Retric wrote:
           | We are currently sitting at at total of over 800,000 COVID
           | deaths in the US and 1,500 COVID deaths per day, which is
           | roughly where it's been since September 1st. That's
           | approximately an additional half a million dead people per
           | year.
           | 
           | So yes the vaccine has already saved million of lives, but I
           | sure hope that this is not the new normal this winter or we
           | are going to cross 1 million deaths fairly soon.
        
             | akomtu wrote:
             | We shouldnt forget that something like 80% of them were
             | already old people with a variety of health issues.
        
               | throwntoday wrote:
               | And all of the young "healthy" people who died had
               | comorbidities like obesity and diabetws or some
               | congenital issues unknown to them.
        
             | oneoff786 wrote:
             | It would be surprising if we didn't cross 1 million deaths
             | this winter.
        
           | BrazzVuvuzela wrote:
           | > _A place where it hit exponential levels_
           | 
           | When have infection rates _ever_ been exponential? These
           | things follow something more like S-curves and the people
           | blathering hysterically about  'exponential' are only looking
           | at the first part of those S-curves.
        
         | svara wrote:
         | Not sure what you're trying to say. Of course there is a
         | limited pool of people to infect. And various effects can cause
         | infections to spread in multiple waves even far from herd
         | immunity.
         | 
         | And yet, you can go from a few rare cases in your country to
         | hospitals overflowing in a couple of weeks. That's because of
         | exponential growth, obviously.
        
           | oneoff786 wrote:
           | The point is that
           | 
           | 1) exponential growth has consistently ceased before the
           | hospitals overflowed too bad
           | 
           | 2) exponential growth confuses readers into thinking that a
           | small boost in spread rate means many more will be infected.
           | This isn't true because the exponential phase is brief and is
           | a progression towards a ceiling defined by the graph, not an
           | arbitrary period of time. Like what we are seeing in South
           | Africa right now.
           | 
           | The big problem is that people think an increase in the
           | spreading rate will cause an exponentially higher number of
           | infected. But it won't. The model is not appropriate.
        
             | svara wrote:
             | That's fair, yes. High exponential growth rates make the
             | system much harder to control though, and will easily
             | overshoot the 'set point' (maximal hospital capacity). At a
             | 2-3 day doubling time that overshoot could look pretty
             | drastic.
        
         | orblivion wrote:
         | If you're right, that would be disappointing, because it means
         | there's less immunity gained than I was hoping, for the
         | (relatively small) amount of hospitalization we've seen. And I
         | (uneducated on the matter) would expect that if it's not really
         | getting around that much, it would _not_ displace delta.
         | 
         | But I've heard some claims that it already has started to
         | displace Delta, though not from a source I'd feel confident
         | citing. But just looking at it, if you believe the CDC estimate
         | of 73% Omicron the other day, Delta must have dropped a lot
         | despite it being winter. Appears like displacement happening.
        
           | adzm wrote:
           | The CDC estimate was a projection, not an actual recording of
           | data.
        
         | erichocean wrote:
         | > _Presuming data about lower severity holds, it would be
         | surprising to me if hospitalization or deaths aren't noticeably
         | lower than delta; which, in turn, was noticeably lower than the
         | original._
         | 
         | Well, that should always be true: the people that are most at
         | risk are already dead from earlier variants, and our treatments
         | are light years ahead of where they were 18 months ago,
         | reducing hospitalizations (and death) for everyone else.
        
           | oneoff786 wrote:
           | I've seen a lot of people saying this. Again, it's not wrong
           | that deaths are a factor here. But by far, FAR, the largest
           | factor is vaccinations. We should acknowledge this.
        
         | raverbashing wrote:
         | Yes, I don't think the SIR models work well in predicting the
         | dynamic of waves
         | 
         | The exponential part is easy and that works, but it's more
         | complicated with isolation of the infectious, refractory
         | periods, etc
        
         | rightbyte wrote:
         | I wonder how many of these increasing share variants you would
         | expect to observe from just random walk. I.e. how much more
         | infectious does a strain need to be to be measurable.
        
         | rich_sasha wrote:
         | This is of course true, but I'd imagine the counterargument and
         | concern is that healthcare runs out of capacity well before the
         | growth slows to a sub-exponential run.
        
         | donquichotte wrote:
         | Thank you. It is mind boggling to me how politicians and
         | scientists (well, mostly MDs) keep talking about exponential
         | growth and make horrible predictions, without realizing that
         | exponential growth is never sustainable - a logistic growth is
         | what often happens in reality if resources are limited.
        
           | Talanes wrote:
           | Asking politicians to not over-estimate exponential growth is
           | like asking water not to be wet.
        
             | lb0 wrote:
             | Not understanding what you are both getting at ... the
             | situation has maybe changed now.
             | 
             | But before, here at least, it was repeatedly
             | underestimating the in the aftermath clearly visible
             | exponential growth, exactly as the r factor is calculated?
             | Which scientist/MD doesn't understand there is a
             | saturation, in the extreme even schoolers understand you
             | cannot have more than 100% infected.
             | 
             | Yes, at some point it is becoming logistic, but the
             | previous waves were not about getting anywhere there, but
             | going from 0.1% to 1% or more, and there it was truly
             | exponential growth and overwhelming the health care system,
             | what the start of that logistic curve is about..?!
        
             | snth wrote:
             | Isn't the usual complaint that people (politicians
             | included) _under_estimate exponential growth?
        
           | II2II wrote:
           | You're right, but there are a number of factors at play here.
           | 
           | First and foremost, we can only make predictions based upon
           | the data we have. The data we have is mostly based upon
           | people going for voluntary testing. Given the variability in
           | symptoms that motivate testing, varying levels of awareness
           | to potential exposure, varying willingness to get tested, and
           | the availability of testing, the number of _known_ exposures
           | will make it look like we 're in an exponential growth phase
           | even when things are tapering off. It is hard to blame public
           | health organizations for accepting this data at face value
           | since the potential consequences of not doing so are
           | extremely bleak.
           | 
           | The other consideration is that people will modify their
           | behaviour based upon perceived risk, whether or not
           | restrictions are imposed. People will tend to comply with
           | restrictions, go about life as normal, follow some sort of
           | middle path, or impose tighter restrictions upon themselves.
           | It takes a truly special person to put themselves into a
           | position of greater risk. Even then, there is a good chance
           | that they are doing little more than translating one high
           | risk circumstance into another (more or less balancing out
           | the growth). We are facing a situation where scientists can
           | make predictions based upon what is known, e.g. the outcome
           | of restrictions, or making predictions based upon anticipated
           | behaviour. Given there is not enough data to model
           | anticipated behaviour, the natural response is to rely upon
           | models that use expected behaviour (e.g. compliance with
           | restrictions or no response). Since the average actual
           | response will prefer over compliance, more bleak predictions
           | are made.
           | 
           | Finally, everyone has a different understanding of life now
           | as compared to life before the pandemic. I remember when the
           | coronavirus first caught my attention: it was when major U.S.
           | universities started shutting down. I remember when I first
           | started taking it seriously: it was when my provincial
           | government issued a shelter in place style order. Since that
           | time, I have paid attention to what is happening and thinking
           | about how I should respond. Sometimes it is in an acute
           | manner. Sometimes is in a cursory manner. Either way, I am
           | more likely to notice and respond preemptively to outbreaks.
           | I suspect that many, if not most, people are the same even if
           | their only actions are stocking up to prepare for the worse.
           | Again, this will affect outcomes.
        
         | jonnycomputer wrote:
         | Won't downvote you, but I think that this is mistaken. I think
         | that everyone will get omicron eventually.
        
           | bufferoverflow wrote:
           | You're mistaken. There's no disease on this planet that
           | infects 100% of people, even when constantly exposed. Our
           | immune systems are quite amazing.
        
             | jonnycomputer wrote:
             | Who hasn't had a cold?
        
               | oneoff786 wrote:
               | "A cold" is not a single virus.
        
           | xyzzy21 wrote:
           | And it will generate herd immunity...
        
             | jonnycomputer wrote:
             | Maybe. There is a lot of reinfection/breakthroughs going on
             | from alpha/delta to omicron. Does conferred immunity to
             | omicron protect from alpha/delta? I don't know enough to
             | say.
        
         | snet0 wrote:
         | On the subject of oversimplified exponential models, we don't
         | even need covid data to know this to be true. The fact that
         | there is a duration of an individual case being contagious is
         | enough to make that obviously incorrect.
        
           | svara wrote:
           | That's not right, you can build a maximally simplistic SIR
           | model with a finite infectious period. That will initially
           | display approximately exponential growth, and slow down as
           | acquired immunity increases.
        
         | amelius wrote:
         | Can you back this up with some math?
        
           | kazinator wrote:
           | https://en.wikipedia.org/wiki/Logistic_function#In_medicine:.
           | ..
        
           | oneoff786 wrote:
           | Look into random graph models. Or exponential random graph
           | models.
           | 
           | Mathematical models are difficult because we don't know the
           | real inputs and fitting a curve in retrospect is easy to get
           | a compelling looking answer which is wrong.
           | 
           | You can gain an intuition for it just imagining a random walk
           | on a social network graph though. Just jump from friend to
           | friend randomly on Facebook. Early on it is easy to spread to
           | new people. Later on it's very difficult to find new people.
           | You get stuck in the same cohorts.
           | 
           | More simply just look at past covid outcomes. Or pretty much
           | any epedemiological model. All of them claim only the initial
           | period is exponential. It's the issue of how to determine the
           | slowdown period that's tricky and frankly impossible without
           | more data than we have. But assuming that the slowdown state
           | will look similar to previous slowdown states is a good idea.
        
           | umanwizard wrote:
           | It's an empirical observation, not the output of a
           | mathematical model.
           | 
           | The graph of human social contacts is not even close to
           | uniformly random, so it makes sense that simplistic formulas
           | would not work.
        
         | analog31 wrote:
         | At the start of the pandemic, when downloadable data became
         | available, I started charting it every day. The curves for many
         | countries were _uncannily_ exponential. Of course I knew that
         | those curves had to tip over at some point, but I decided that
         | I would use the exponential growth curve as a baseline and
         | watch for deviations from it.
         | 
         | I told my friends: "I'll breathe a huge sigh of relief if this
         | thing turns over before it's infected most of us." In fact it's
         | probably hard to speculate _why_ it turned over, but behavioral
         | measures are probably an important factor.
        
         | ses1984 wrote:
         | Spread doesn't have to get close to 100% for things to get
         | really bad.
        
           | oneoff786 wrote:
           | Indeed. That's true. But thankfully that's not in the table,
           | or anything close to it. I only bring that up because it's
           | the natural conclusion of what will happen if you
           | misunderstand how the exponential growth works.
        
         | renewiltord wrote:
         | Personally, I'm just waiting for the day when the 2^64th death
         | happens.
        
       | dham wrote:
       | I think we should take advantage of Omicron right now and let it
       | rip through the population as it's most likely less deadly. Not
       | doing so could be catastrophic and lead to more deaths in the
       | future if the virus mutates to be more deadly.
        
         | jimkleiber wrote:
         | Yes, but couldn't it also be catastrophic if 1) the virus
         | mutates to be even less deadly and infectious or 2) Omicron has
         | long-term, currently unseen consequences?
         | 
         | I mean, not saying your strategy wouldn't be the better
         | strategy in the end, just think it's hard to know the risk
         | equation at this moment.
        
       | PraetorianGourd wrote:
       | This is fantastic if it happens elsewhere as well. The only
       | reason I am not super pumped is because SA is in Summer, and
       | we've seen that sars-cov-2 is impacted my seasonality
        
         | HPsquared wrote:
         | In hot places with widespread air conditioning there is also
         | usually a summer peak (people go indoors and close windows,
         | just as they do in cooler places in winter). SA has had peaks
         | in both winter and summer.
        
           | PraetorianGourd wrote:
           | Oh good point. I know that is the case for the US South and I
           | find it somewhat silly that media in the US always blames
           | southern surges on anti-mask and anti-lockdown sentiments but
           | the winter surge in the North is new variants etc. without
           | all the victim blaming.
        
       | patcon wrote:
       | Even ignoring deaths, "long COVID" is still a very real unknown:
       | https://news.harvard.edu/gazette/story/2021/04/harvard-medic...
       | 
       | As I understand, we don't know much about whether omicron has
       | worse, same, or better outcomes in relation to long-term
       | consequences and persistent symptoms. Pls do share if you've
       | heard otherwise
        
         | tdrdt wrote:
         | Every virus infection can turn into a long recovery. There is
         | no proof this is longer for Covid-19.
         | 
         | The Epstein-Barr virus for example can make you tired for
         | months or years.
         | 
         | I am not saying long Covid isn't a thing, but it is not
         | 'special' in any way.
         | 
         | Virus infections can cause damage. Years ago I had an infection
         | that damaged a nerve. So virus infections can leave marks. But
         | most of the time, as with Covid, you will recover from it.
        
           | patcon wrote:
           | Thanks! That's a fresh angle for me.
           | 
           | But isn't COVID novel in the damage it poses to microvascular
           | systems (importantly brain and lungs), compared to other
           | viruses? E.g.,
           | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7556303/
           | 
           | My understanding is that this is still different from other
           | viruses.
           | 
           | So if large swaths of a country get that damage from delta vs
           | omicron vs some future weaker variant, that could have very
           | different public health consequences in the coming decades...
           | 
           | Disclaimer: In tech for over a decade, but once upon a time I
           | did an honours degree in biochemistry, so I'm only maybe
           | half-capable of musing my way through some of these papers :)
        
         | nsainsbury wrote:
         | From what I've seen there seems to be a growing body of
         | evidence that "long COVID" is very much overblown. Eg. See this
         | recent meta-analysis which found that when you actually add a
         | control group, most of the symptoms disappear. A higher study
         | quality was associated with lower prevalence of almost all
         | symptoms.
         | 
         | Original tweet:
         | https://twitter.com/ShamezLadhani/status/1472622893154639876
         | 
         | Link to study:
         | https://www.journalofinfection.com/article/S0163-4453(21)005...
        
       | nostromo wrote:
       | The panic surrounding Omicron is absurd.
       | 
       | Take a look at these two charts. Omicron cases spiked in SA.
       | Deaths didn't budge. At all.
       | 
       | https://i.imgur.com/TgRmz4F.png [1]
       | 
       | Omicron is a good thing, if your baseline is Delta. But I'm still
       | waiting for the US media stop hyperventilating about it.
       | 
       | 1. https://graphics.reuters.com/world-coronavirus-tracker-
       | and-m...
        
         | volkse wrote:
         | It has been discussed many times before - the issue with the SA
         | data is that 80% of the population have been exposed to the
         | virus (either had it or have been vaccinated) so the deaths not
         | budging there can be very misleading for countries with lower
         | vaccination rates.
        
           | tanseydavid wrote:
           | Can anyone point to an official worldwide number of deaths
           | attributable to Omicron?
        
             | exdsq wrote:
             | Take this with a heap of salt but I looked for this figure
             | yesterday and found it to be 12 in several sources, but
             | hard to find the official figures. Share them if you do
             | find them!
        
             | stillicidious wrote:
             | Such a number would be difficult to interpret, or entirely
             | meaningless, without understanding the classification
             | methods and policies of each constituent region. This also
             | holds true of overall death statistics.
             | 
             | Finally with local statistics, you still have political
             | dramatics like
             | https://twitter.com/dancohen3000/status/1473480933579923456
        
           | cpncrunch wrote:
           | Similar situation in Denmark as well. Huge number of omicron
           | infections, but deaths haven't budged and number of covid
           | patients in hospitals are actually decreasing.
        
             | tome wrote:
             | This comment links to Reuters, which says "Denmark reports
             | its largest number of coronavirus-related deaths since the
             | start of the pandemic: 57". Where are you getting your
             | data?
             | 
             | https://graphics.reuters.com/world-coronavirus-tracker-
             | and-m...
             | 
             | https://news.ycombinator.com/item?id=29654645
        
               | cpncrunch wrote:
               | From google's covid data. It doesn't seem to have today's
               | update yet.
        
             | richarme wrote:
             | Your comment is factually untrue. 17 people died yesterday.
             | Didn't have this high number of deaths since last winter
             | before vaccines, and from the chart deaths seems to have
             | increased 10-fold compared to a month or two ago. I'd like
             | to see a source for your claim that numbers in hospitals
             | are decreasing.
        
               | cpncrunch wrote:
               | No, my comment wasn't "factually untrue". The 7-day
               | rolling average is steady at 9 or 10 according to the
               | covid data on google. It hasn't changed (at least, up
               | until yesterday's data). Things may change now, as there
               | were 57 deaths just announced today.
               | 
               | > I'd like to see a source for your claim that numbers in
               | hospitals are decreasing.
               | 
               | https://news.ycombinator.com/item?id=29644613
        
           | JPKab wrote:
           | Isn't the same percentage in the US exposed, either via
           | vaccine or previous infection?
        
           | arn wrote:
           | The other related factor is omicron is more likely (than
           | other variants) to infect someone who has been vaccinated or
           | previously exposed to covid. So the number of infected low
           | risk individuals is higher, than with previous strains.
           | 
           | The denominator is higher than if, let's say, delta was let
           | loose in the same population at the same time.
        
             | wholinator2 wrote:
             | To clarify, omicron is more likely to infect vaccinated or
             | exposed individuals _than the other variants_. NOT omicron
             | is more likely to infect vaccinated people than non-
             | vaccinated people.
             | 
             | The wording startled me until I understood the intended
             | meaning.
        
               | arn wrote:
               | Correct. Will clarify.
        
           | hammock wrote:
           | Wait, natural immunity is real?
        
             | zerocount wrote:
             | Sure is. There's millions of us walking around without
             | getting shots every six months.
        
               | SketchySeaBeast wrote:
               | Via previous infection? And if so, you're not concerned
               | about waning protection? It would appear that people even
               | with previous wild/delta infections have hit or miss
               | immunity to omicron.
        
             | andybak wrote:
             | Please don't post comments like this. It's impossible to
             | work out what your actual point is
        
               | zerocount wrote:
               | I think it's clear he's referring to the fact that
               | natural immunity has protected most of South Africa and
               | thus, the world is freaking out over Omicron. As was
               | suggested by a doctor in South Africa at the very
               | beginning, which was ignored by governments. Of course,
               | excuses for the South African data not aligning with the
               | whole "vaccines are the only answer" narrative are now
               | being created.
        
           | toolz wrote:
           | South Africa is well under average vaccination rate globally.
           | Also what do you mean by they've been exposed to the virus?
           | Of course they've been exposed to the virus, that's exactly
           | why it's interesting to see how their deaths follow cases.
           | 
           | There's no indication that the first world, with much higher
           | vaccination rates won't fare better than South Africa, which
           | seems to be faring exceptionally well relative to other case
           | spikes.
        
             | kelnos wrote:
             | I think parent meant that they have a high (prior)
             | infection rate, not exposure rate.
        
             | AuryGlenz wrote:
             | He means they were already exposed to another variant so
             | they have some immunity.
             | 
             | That immunity may very well work better than the vaccines
             | on omicron - I don't think we're far enough in to it to
             | have a great idea of that yet.
        
               | BikiniPrince wrote:
               | They have something like 23% vaccination rate. It is
               | about as raw as it is going to get.
               | 
               | My friends who have it now indicate it is very mild.
        
               | andybak wrote:
               | Good job we've got your friends as a data point.
        
             | [deleted]
        
             | crummy wrote:
             | From memory, SA has 3.3mil confirmed cases, and an
             | estimated 7.8x total when you include unconfirmed. So
             | roughly 75 percent of the population have caught covid.
             | Plus vaccinations, that adds up to a lot of mild
             | reinfections.
        
             | SideburnsOfDoom wrote:
             | > Also what do you mean by they've been exposed to the
             | virus?
             | 
             | "have been exposed to the virus" usually means something
             | like "immune system isn't totally unprepared, but has had
             | contact with this virus before (or a proxy via
             | vaccination)".
             | 
             | In South Africa, it is mostly via getting COVID-19 in the
             | Alpha or Delta waves.
             | 
             | Yes, over 70% of South Africans have had it:
             | 
             | https://www.businesslive.co.za/bloomberg/news/2021-12-14-ov
             | e...
        
         | gavin_gee wrote:
         | because the media needs something to talk about. its
         | entertainment through fear driving the revenue. What else will
         | CNN have as "Breaking News"
        
         | earthbee wrote:
         | It typically takes three weeks to go from being a case to dead,
         | given how quickly it was rising it was very hard to get a good
         | sense of how many people were likely to die before it was
         | already infecting huge numbers of people.
         | 
         | That's not panic, that's justifiable concern about a new strain
         | of a virus that has killed millions of people around the world
         | already.
        
           | endisneigh wrote:
           | Most people who died were not vaccinated
        
             | martin938 wrote:
             | Source? Pfizer/AZ/ModeRNA?
        
             | ds206 wrote:
             | Most people that died were 60+ years old
        
               | endisneigh wrote:
               | Yes, who were not vaccinated as it didn't exist for much
               | of the pandemic.
        
               | fortran77 wrote:
               | And obese! https://www.bmj.com/content/372/bmj.n623
        
               | nsxwolf wrote:
               | Most people are obese.
        
               | 1over137 wrote:
               | Most people are _not_ obese. Though in some countries it
               | 's certainly getting there. :(
        
               | fortran77 wrote:
               | Well, "overweight" by CDCs definition (BMI > 25 ==
               | overweight). But there's a strong link between
               | complications from COVID and Obesity. It's a shame nobody
               | wants to make the obese pay for their externalities --
               | even the people who'd like to make the unvaccinated "pay"
               | in some way turn a blind eye to this issue.
        
               | nsxwolf wrote:
               | That's the issue though, everyone points out the
               | correlation, but of course there's a correlation.
               | Everyone's overweight. Need more analysis to show just
               | how much it affects COVID outcomes. While it would have
               | been nice for the governments to make more of an effort
               | to get people to lose weight during the pandemic, it's
               | not guaranteed it would have had the results some people
               | expect.
        
             | forgatmigej wrote:
             | And most people who were infected were not vaccinated
        
         | kadoban wrote:
         | Hospitalization lags cases, and deaths lag hospitalization.
         | 
         | So if you're seeing many cases, that's a bad sign for the
         | future, and it takes a while to figure out for sure.
         | 
         | In a global pandemic, it's best to be safe on these things,
         | because the alternative is that you celebrate early and look
         | like a tit (not to mention all the deaths).
        
         | woodruffw wrote:
         | I am cautiously optimistic about the severity of Omicron. But
         | as others have pointed out before: deaths trail infections by
         | 2-4 weeks.
         | 
         | Omicron was first reported to the WHO on 11/24 and wasn't
         | categorized as a variant of concern until 11/26. It hasn't even
         | been a month since it was _acknowledged_ much less has become
         | the dominant variant in most places.
        
           | C19is20 wrote:
           | Those dates'll be 24 November and 26 November for non-USA
           | (etc) peoples. Thank goodness bad things didn't happen in the
           | earlier-in-the-year months like 7/6 or 6/7, for example.
        
           | xjrk wrote:
        
         | alkonaut wrote:
         | I don't think there is any panic surrounding omicron and
         | deaths. The panic is around whether omicron has an extreme
         | effect where lots of mild and moderate disease happens in a 2
         | week period. So saying "look it's mild stop panicking" isn't
         | really correct. If Omicron has even a tenth of the cases the
         | delta wave had, but concentrated in a smaller period of time,
         | it could be just as bad or worse.
        
         | standardUser wrote:
         | Deaths have literally just shot up in SA in the last few days.
         | The 7 day average has doubled in two weeks.
        
           | ds206 wrote:
           | Link to data?
        
             | standardUser wrote:
             | It's in the article in the form of a chart. But if you
             | can't see because of the paywall, you can look up the same
             | data on this page: https://www.washingtonpost.com/graphics/
             | 2020/world/mapping-s...
        
             | reducesuffering wrote:
             | https://www.worldometers.info/coronavirus/country/south-
             | afri...
             | 
             | 3 day average is only 48 deaths per day in all of South
             | Africa. We are at the 3 week mark. If Omicron was half as
             | deadly as Delta we'd be seeing a corresponding spike as we
             | saw the initial burst of cases weeks ago. We're not, it's a
             | slight uptick. Another week and we can be quite confident.
        
           | oneoff786 wrote:
           | It's gone from 20 to 40. With some rounding and cherry
           | picking of dates.
           | 
           | This time last year it was over 400.
        
         | joe_the_user wrote:
         | I hope omicron is a gateway to the virus becoming less and
         | deadly until it's essentially like the common cold.
         | 
         | But it seems unwise to be certain that will be what happens.
         | Worst case scenario is omicron running wild mutates into
         | something much more lethal and a bit more contagious.
         | 
         | With a variety of uncertainties imaginable, it's understandable
         | that authorities are currently taking omicron as a serious
         | threat even if it seem like there's a significant chance it
         | will be a "good thing" as you say.
        
         | esturk wrote:
         | > Take a look at these two charts. Omicron cases spiked in SA.
         | Deaths didn't budge. At all.
         | 
         | > https://i.imgur.com/TgRmz4F.png [1]
         | 
         | Death always lag infections. That chart is a horrible
         | representation because it doesn't give a good sense of the
         | intermediate dates. But you can still tell with the "7-day
         | average" string.
         | 
         | On the first/infection chart you see the graph touching the
         | word "average" while the second/death chart you can clearly see
         | the graph shifted away from the word "average".
         | 
         | By the same reasoning, the death count could still spike albeit
         | not as high.
        
           | simonw wrote:
           | 7-day average graphs are pretty misleading when you have a
           | new variant that grows at the rate that Omicron does. You
           | might have no Omicron at all at the start of the seven day
           | period and majority Omicron by the end of it, at which point
           | the 7-day average really doesn't mean anything useful.
        
           | tshaddox wrote:
           | That graph is also incapable of clearly showing that deaths
           | didn't budge even if that actually is the case. The stroke on
           | the deaths line is like half the total height indicated when
           | the cases started to surge. Based on that terrible graph
           | deaths could have tripled since cases started to surge.
        
         | vmception wrote:
         | Agreed, if any major US markets reintroduce restrictions, I'll
         | move back to one of them just to vote the governor and health
         | director out in favor of some hardcore health gambler like De
         | Santis.
         | 
         | I played along, now they're done.
         | 
         | edit: the responder assumed something that wasn't said, and
         | then wrote an essay about something thats not happening and an
         | example from Mississippi. Maybe to save time from having a
         | natural flow of conversation, maybe its what they actually
         | beleive. Either way this is called a strawman argument.
        
           | dpark wrote:
           | > _I'll move back to one of them just to vote the governor
           | and health director out._
           | 
           | Am I correctly understanding that you intend to move to a
           | different region for the sole purpose of voting against
           | restrictions that otherwise would not apply to you? You're
           | literally trying to be a problematic immigrant.
           | 
           | I remember when I was in college a bunch of people did
           | exactly this. They registered for residency in the state
           | solely so they could vote a single issue in a state election.
           | Specifically they registered so they could vote for
           | Mississippi to keep the confederate flag as part of the state
           | flag. So you're in great company.
           | 
           | Honestly, isn't the whole "state's rights" thing about
           | telling other people to fuck off and let them manage
           | themselves? And here you are thinking you should meddle in
           | someone else's self-governance.
        
             | vmception wrote:
             | It would be where I'm already registered to vote, dont
             | worry
             | 
             | Tie any restriction to ICU capacity and only if efforts
             | were made to expand ICU capacity
             | 
             | Otherwise that means the state was only pretending to care
             | because it was easier to govern if people werent doing
             | anything
             | 
             | If the state actually cares increase the ICU bandwidth or
             | tell us the challenges encountered doing that and how those
             | are being addressed
        
               | dpark wrote:
               | You specifically mentioned "any major US markets". Are
               | you admitting to voter fraud now?
        
               | vmception wrote:
               | > I'll move _back_ to one of them
               | 
               | You're reading what you want to read, it was worded
               | specifically and intentionally
               | 
               | Its not _any_ one of them, its the one that I am
               | registered to vote in.
        
               | dpark wrote:
               | You literally said any.
               | 
               | But I'm still stuck on why. What is the point in getting
               | yourself involved in something that doesn't affect you
               | personally? Why is it worth getting yourself involved
               | with someone else's self governance?
        
               | vmception wrote:
               | Its almost as if I live in and am registered to vote one
               | of the few major counties and states that are prone to
               | reintroduce restrictions, and am not currently physically
               | there right now.
               | 
               | The goal being that there would eventually be one less
               | county and state that would consider restrictions.
        
               | dpark wrote:
               | From what you've said, you _don't_ live there any more.
               | 
               | But this doesn't seem constructive so we can let this go.
        
               | chasd00 wrote:
               | one thing that isn't communicated very much is ICU
               | capacity goes up and down with need. "ICU at 98%" means
               | it's 98% at that point in time, ICU capacity can be added
               | as needed up to a point. In the other direction a
               | hospital can be at 50% ICU capacity, decide they can dial
               | back ICU beds and then percent util jumps even though
               | they may have fewer ICU patients. Hospitals likely have a
               | target ICU utilization and add/remove beds to hit that
               | target as much as possible.
        
             | zerocount wrote:
             | I'm pretty sure it was hyperbole.
        
               | dpark wrote:
               | Pretty sure it's not if you read the rest of the comment
               | thread.
        
             | arghnoname wrote:
             | Jurisdictions set their own rules for time of residency
             | before being allowed to vote (e.g., registration X days
             | before an election, Y days of the past Z days in the
             | district, etc). Some people do decide where to live based
             | on political considerations. If they are voting in
             | accordance to the rules set by the relevant jurisdictions,
             | I don't see a problem. This happens on "both sides."
             | 
             | I will note that it's easier to break the rules and commit
             | voter fraud when you can vote by mail. In person voting at
             | least requires that you be physically present on Election
             | Day. I moved to California and got voting materials from
             | whence I came. I did not elect to commit voter fraud and
             | vote, but I could have pretty easily.
        
         | zerocount wrote:
         | I second the absurdness. It's almost as if there are entities
         | that don't want it to end.
        
         | jandrese wrote:
         | One of the questions asked early on with COVID19 was how we
         | managed to end the Spanish Flu 100 years ago without vaccines.
         | When I saw this question posted it was typically met with
         | shrugs and "not sure".
         | 
         | I think Omicron offers a possible explanation. An even more
         | infectious variant with lower mortality should out-compete the
         | deadly variant over time. After a few mutations like that it
         | should be no worse than the seasonal flu--which has its own
         | death toll each year, remember.
        
         | tdrdt wrote:
         | A Japanese study showed that Omicron is reproducing 70 times
         | faster in the bronchi but 10 times slower in the lungs than
         | Delta. That's why it is giving less lung problems and therefore
         | doesn't make people as ill as Delta.
        
         | svara wrote:
         | > Deaths didn't budge. At all.
         | 
         | The plot doesn't show that. You're looking at the moving
         | average which doesn't move much, but the underlying data
         | (daily, presumably) shows a drastic increase in the last one or
         | two data points, in line with the expected lag time.
         | 
         | Others have already pointed out the other major issue with your
         | comment, that the situation in South Africa doesn't transfer to
         | many other places in the world due to the exceptionally high
         | pre-existing immunity rate there.
        
         | globalise83 wrote:
         | Germany has been running at 500 deaths per day from Delta for
         | several weeks (https://covid19.who.int/region/euro/country/de).
         | The evidence from the UK is that Omicron overtakes Delta in
         | just a few days (https://assets.publishing.service.gov.uk/gover
         | nment/uploads/...). As the most recent research in the UK
         | suggests (https://www.politico.eu/article/omicron-variant-
         | coronavirus-...), and the data in the parent comment
         | demonstrates in the case of South Africa, Omicron is
         | significantly less harmful. My conclusion is that we should
         | really welcome Omicron as the variant that will vaccinate those
         | holding out against the man-made vaccine without killing and
         | hospitalising too many of them.
        
           | martin938 wrote:
           | How a new variant would convince people to take an obscure
           | experimental vaccine for older strains?
        
             | brazzy wrote:
             | GP meant that they will just get infected and thereby
             | acquire a degree of immunity, with higher risk of death
             | than the vaccine, but (hopefully) not as high as with
             | previous variants.
        
             | lolc wrote:
             | 1. The quip was that people who don't want to get
             | vaccinated will get immunized through infection. Yes, using
             | "vaccinated" in this context ("the variant that will
             | vaccinate") is not proper usage of the term unless we allow
             | the interpretation that vaccines are milder than the
             | disease and Omicron _might_ be milder than Delta.
             | 
             | 2. "obscure, experimental, for older strains": Look, the
             | vaccines are not obscure. Billions had them. Experimental:
             | Sure. Much as not getting vaccinated is. Remember, we
             | haven't seen that virus before. Older Strains: Turns out
             | protection against severe effects is still strong. I'd say
             | experimentally you're better off partially immunized with
             | one of the well-known vaccines than when waiting around for
             | one of the variants to catch you naive.
        
             | throwawaytemp27 wrote:
             | I think the parent meant that people who had not gotten a
             | vaccine will get omicron, which is hopefully mild, and will
             | hopefully provide good protection. So they probably should
             | have used immunize vs vaccinate.
        
             | hammock wrote:
             | Irrelevant. As the new strain outcompetes the old, the old
             | dies away forever. For example, Delta became 99%+ of cases
             | in the US.
        
               | soperj wrote:
               | Omicron evolved from Beta... so not really.
        
         | Marazan wrote:
         | Weekly deaths have doubled 3 weeks in a row.
         | 
         | Yes from a low base, but they have still done multiple
         | doublings.
         | 
         | Fortunately they are on track to only rise 50% this week.
        
         | kelnos wrote:
         | That graph is pretty impossible to read; I can't draw any
         | conclusions from that.
        
         | tunesmith wrote:
         | I think a lot of the panic can effectively be ignored if you're
         | a bit savvy technically and follow some benchmarks.
         | 
         | I have a little SVG "badge" that gets rendered each day. It's
         | green, unless any of the following four benchmarks are exceeded
         | for my local area, in which case it's red:
         | 
         | - RT > 1
         | 
         | - Cases/100k > 10
         | 
         | - Test Positivity > 5%
         | 
         | - ICU Usage > 85%
         | 
         | If any of them are over, it's red. For me, red has meant I
         | limit my social activities. This seemed about right to me for
         | Delta. For Omicron, I'm holding steady with that strategy for
         | now, but if it turns out that Omicron isn't as severe for
         | unvaccinated people, I might relax the strategy to only look at
         | ICU usage.
         | 
         | What's been interesting over the past six months is that it has
         | tended to turn red when everyone was partying, and it'd turn
         | green again when people were still freaked out.
         | 
         | At any rate, it means I can ignore a lot of the rhetoric,
         | because if Omicron subsides quickly, it just means my benchmark
         | will turn green sooner.
        
         | cdrini wrote:
         | That chart is misleading; the rise/spike in deaths is always
         | delayed from the rise/spike in cases.
         | 
         | It does seem like Omicron is less deadly than Delta. The big
         | concern is that because it's so significantly more contagious,
         | that even though a smaller percentage of infected people will
         | require ventilators, the absolute number will be high enough to
         | overwhelm hospitals.
         | 
         | Sources: Dr. John Campbell, Dr. Larry Brilliant (WHO)
         | https://youtu.be/YdVymGK3OzM https://youtu.be/ltXkJTSBeaE
        
           | starik36 wrote:
           | Didn't the doctor who discovered and documented Omicron state
           | that it results in mild disease? Therefore, it won't require
           | ventilators and thus won't overwhelm hospitals?
        
             | SketchySeaBeast wrote:
             | COVID in general results in mild cases for the vast
             | majority. It's that sliver of the population that wont
             | that's the problem.
        
             | zerocount wrote:
             | Yes, but nobody in a position to affect a country with
             | Covid lockdowns and laws believed her. It seems like money
             | and politics are running the show.
        
             | andybak wrote:
             | You seem to be talking in absolutes rather than
             | probabilities.
        
           | systemvoltage wrote:
           | False. Even accounting for the delay it's not as dangerous,
           | check and numerous news channels today:
           | https://data.spectator.co.uk/category/south-africa
        
           | joshuahedlund wrote:
           | > because it's so significantly more contagious, that even
           | though a smaller percentage of infected people will require
           | ventilators, the absolute number will be high enough to
           | overwhelm hospitals.
           | 
           | This is a legitimate _theoretical_ concern, however
           | empirically it looks like South Africa 's hospitalizations
           | are peaking at slightly more than half their previous wave,
           | with deaths on pace to peak even lower[1][2]
           | 
           | [1]https://twitter.com/thehowie/status/1473642495095496704
           | [2]https://www.nicd.ac.za/diseases-a-z-index/disease-index-
           | covi...
        
             | cdrini wrote:
             | I believe the scientific consensus is that there isn't
             | enough data to discount that theoretical concern. There's
             | still too much uncertainty on how things will pan out, so
             | the recommendation is boosters + some restrictions. They're
             | not going to make a bet when people's lives are at stake,
             | which seems reasonable to me. With more data coming out, I
             | personally do hope we find that that concern is very
             | unlikely. The situation is changing drastically day-by-day.
        
               | JoshuaDavid wrote:
               | They are going to make decisions based on incomplete
               | information when people's lives are at stake, decisions
               | where deciding wrong can have material consequences to
               | lives and livelihoods, because choosing not to act is
               | itself a decision.
               | 
               | I do think that the decision that was made to keep
               | pushing boosters and basically do nothing else is
               | probably the correct one, but not because it was the
               | default thing to do and we have to wait until there's
               | incontrovertible evidence that the default action will
               | lead to ruin before doing anything else.
        
               | [deleted]
        
             | gammarator wrote:
             | SA severity may not be representative because of greater
             | prior immunity and a younger age skew.
        
               | joshuahedlund wrote:
               | Exhibit B will be the UK. Their cases started spiking
               | about two weeks ago. So far their hospitalizations
               | haven't budged and are even a bit lower than they were a
               | month ago, less than a quarter of their pandemic peak[1]
               | 
               | [1]https://coronavirus.data.gov.uk/details/healthcare
        
               | bigodbiel wrote:
               | England had high prevalence during the Summer, so not
               | even them, maybe Denmark
        
               | nooneisanon wrote:
               | If you're looking at the UK the daily numbers for London
               | (which is ahead of the rest of England, and the rest of
               | the UK) are here:
               | https://www.england.nhs.uk/statistics/statistical-work-
               | areas...
        
               | joshuahedlund wrote:
               | Thanks. Looks like you can filter my link by London as
               | well, which shows hospital admissions have doubled in the
               | last 10 days from about 1/6 to about 1/3 of the previous
               | peak (though patients in hospital is lower at 1/4,
               | possibly reflecting shorter stays but hard to say).
               | London cases have continued spiking since but may
               | possibly be peaking now (not sure how much lag there is
               | in backdating reported cases here) so it will be
               | interesting to see how much the hospital numbers rise
               | from here.
        
               | rich_sasha wrote:
               | Hospital admissions are actually up a little:
               | https://coronavirus.data.gov.uk/ (parent link of the one
               | you provided).
               | 
               | That said, deaths are still dropping, and have been
               | dropping since November, which was a local minimum in
               | _case_ numbers.
               | 
               | The pertinent fact, I think, is that the UK is
               | vaccinating like crazy, coming up to 1m boosters per day
               | recently (total population just short of 70m IIRC), even
               | 12-18 year-olds are getting jabbed now.
        
               | abainbridge wrote:
               | Comparing SA with itself, omicron looks less severe than
               | delta.
        
           | [deleted]
        
           | nradov wrote:
           | Even in ICUs, very few COVID-19 patients are now placed on
           | ventilators. It is considered a salvage therapy and survival
           | rates are low.
        
           | ls612 wrote:
           | It is delayed, but not by a month. Remember the spike began
           | around Thanksgiving, and it's almost Christmas now.
        
           | nostromo wrote:
           | I'm glad it's more contagious than Delta, because Delta is
           | much worse than Omicron.
           | 
           | Sure, I'd rather we didn't have Covid at all, but that's not
           | been a realistic option for quite some time now.
        
             | toolz wrote:
             | I can't wait until public opinion seems to catch on to the
             | fact that we will never eliminate covid. It blows my mind
             | that we see 100% vaccinated universities going back to
             | online-only learning. What exactly are they waiting on?
        
               | katmannthree wrote:
               | There are many places where that's a perfectly rational
               | decision.
               | 
               | COVID was never going to be completely managed by states
               | less than willing to take draconian measures, the purpose
               | soft-lockdowns was instead to lighten the load on our
               | healthcare system so that we didn't need to invest in
               | field hospitals and a bunch of field-trained doctors and
               | nurses. If we had done that instead not only would the
               | optics be worse (not just many more people dying, think
               | front page photos of them dying in muddy tents), it would
               | also dilute the market capture of the existing entrenched
               | healthcare system.
        
               | toolz wrote:
               | Can you show me an area where the covid+ college age
               | population was a healthcare capacity burden?
               | 
               | Further, if we're at such risk of overburdening our
               | healthcare system, how come we have fewer heathcare
               | workers today than we did back in 2018? How come our
               | hospital bed capacity is shrinking instead of growing?
               | These don't seem to be indicators that suggest we're
               | lacking capacity in our healthcare systems.
               | 
               | In the past two years we've printed 80% of all US Dollars
               | that have been printed in the history of the USD. We are
               | not short on funding. Further it's not death or illness
               | that is largely to blame for healthcare worker shortage
               | as the only large drop in HCWs was on march 2020. Since
               | then it's been growing, just hasn't recovered yet.
        
               | Johnny555 wrote:
               | _What exactly are they waiting on?_
               | 
               | Probably waiting on hospitals to be fully staffed and
               | less busy.
               | 
               | My sibling moved from being a pedatric nurse to a non-
               | patient care position (not at a hospital). She'd been
               | nearly permanently removed from her pediatric role and
               | moved to be on the front lines for COVID care for over a
               | year with no relief in sight. She spent 2 years in Iraq
               | and said that this is much more tiring and exasperating
               | since she's treating people that largely could have
               | avoided being in the hospital at all.
               | 
               | Her hospital has been cancelling elective procedures, so
               | everyone is suffering from the COVID wave.
        
               | tjs8rj wrote:
               | This is what a liability state looks like. Nobody gets
               | sued for following the CDC, that same CDC that says you
               | should never eat raw sushi or rare steak
        
               | tonyedgecombe wrote:
               | >that same CDC that says you should never eat raw sushi
               | 
               | Pretty good advice in my opinion.
               | 
               | https://www.bbc.co.uk/news/health-33095945
        
               | davidw wrote:
               | > What exactly are they waiting on?
               | 
               | The thing that needs to not happen is filling up
               | hospitals. People died where I live because they could
               | not get access to 'elective' surgery due to the medical
               | system being slammed during the most recent Delta wave.
               | 
               | Once that's not a factor, things will start getting more
               | normal.
        
               | johnisgood wrote:
               | We reduced the number of surgeries dramatically around
               | the whole country, but it has nothing to do with hospital
               | capacity nor shortage of any sort.
        
               | toolz wrote:
               | Elective procedures were mandated to stop by policy - not
               | due to capacity constraints.
               | 
               | Believe it or not, but 2020 hospital capacity was lower
               | than projected using projections before anyone knew what
               | covid even was.
        
               | davidw wrote:
               | COVID patients completely overran the hospital where I
               | live. We're a not so big city that serves a lot of really
               | rural areas. The ICU was full. The regular hospital was
               | full.
        
               | willcipriano wrote:
               | A lot of rural hospitals were closed last year[0]
               | 
               | [0]https://truthout.org/articles/20-rural-hospitals-
               | closed-in-2...
        
               | spookthesunset wrote:
               | If hospital capacity is such a concern, why has there
               | been just about zero effort in spinning up some kind of
               | capacity to deal with Covid? Wasn't that the entire
               | rationale of these lockdowns in the first place? To build
               | capacity for covid?
               | 
               | Like, it's been 2 years. We shouldn't be doing any of
               | these restrictions at all. We should be angry at our
               | governments wasting 2 years of our non-refundable time on
               | this earth while they did nothing. Blaming the public for
               | hospital capacity at this point is absurd.
        
               | rsynnott wrote:
               | ICU beds require something like 7 specially trained
               | nurses each to operate. Generally, availability of
               | trained staff is the limiting factor (developed
               | countries, at this point, generally have more ventilators
               | etc than they can use), and lead time on making new
               | doctors and nurses is pretty long.
        
               | rhino369 wrote:
               | While a nurse is hard to train in 2 years, you can start
               | pulling doctors and nurses from adjacent specialties and
               | cross train them for COVID ICU wards.
               | 
               | If we are going to see constant new variants and new
               | waves, then its the only choice we have.
        
               | rsynnott wrote:
               | At that point you have shortages elsewhere (and that _is_
               | happening to some extent in some places; hospitals are
               | delaying routine procedures to keep the ICUs running at
               | full capacity). It's not a great solution, especially if
               | it goes on a long time; when you start delaying routine
               | things for years, you start seeing serious problems.
               | 
               | Realistically, the only viable course is probably to
               | vaccinate and boost as many people as humanly possible,
               | and await better vaccines and therapeutics. Paxlovid
               | should hopefully help when it's available in quantity.
        
               | tdfx wrote:
               | People will say "well you can't just make more nurses and
               | doctors in 6 months!" However, had we built or repurposed
               | buildings as COVID-specific treatment centers there would
               | be a fairly standard treatment protocol that could be
               | applied by people without 4-8 years of medical training,
               | allowing the highly trained nurses and doctors to
               | supervise the process and multiply their effectiveness.
               | Combat soldiers learn basic emergency medical techniques,
               | with some going from knowing nothing to being able to run
               | IVs and be fully certified EMTs in 6-9 months. Stories
               | abound of how bad they are at hitting the vein the first
               | time, but it's certainly preferable to dying in the
               | waiting room.
               | 
               | The lack of healthcare capacity has been a conscious
               | choice. There's been no serious effort to build it out.
               | We've chosen to indulge this fantasy that humanity can
               | get control of COVID and we'll just vaccinate it out of
               | existence, despite decades of knowledge about how
               | difficult that would be from our research into other
               | coronaviruses. So when I hear that we need to give up
               | another year of normal life to "keep the hospitals from
               | being overwhelmed", it is frustrating to hear.
        
               | dragonwriter wrote:
               | > there would be a fairly standard treatment protocol
               | that could be applied by people without 4-8 years of
               | medical training
               | 
               | No, there wouldn't, because, among other things,
               | comorbidities that must be managed, especially in the
               | population most COVID hospitalizations come from.
               | 
               | > Combat soldiers learn basic emergency medical
               | techniques, even to the point of running IVs
               | 
               | Which allows them to serve as, basically, better-than-
               | nothing EMTs in the absence of anyone else, which is
               | useful on the battlefield to keep people alive to get to
               | proper medical care; they don't replace doctors and
               | nurses, though.
        
               | spookthesunset wrote:
               | > which is useful on the battlefield to keep people alive
               | to get to proper medical care
               | 
               | This is a battlefield. It's an emergency, remember? Do
               | whatever it takes. We forced people to sacrifice their
               | short-ass lives in lockdown so these people could figure
               | it out. Where is the results? 2 years and these "experts"
               | still want us to continue locking down to protect a
               | healthcare system they had 2 years to build up
               | specifically to manage covid.
               | 
               | It's as if every one of our lives is worthless in the
               | eyes of people making excuses. No. We paid with our time
               | --something we'll never get back. It is a complete
               | travesty that governments continue to blame the public
               | for their own inability to figure shit out.
        
               | dragonwriter wrote:
               | > This is a battlefield.
               | 
               | No, it's literally not.
               | 
               | > It's an emergency, remember?
               | 
               | Yes and all battlefields are emergencies but not all
               | emergencies have the same conditions (and thus make the
               | same measures expedient) as battlefields.
               | 
               | > Do whatever it takes.
               | 
               | Sure, but what you are suggesting is _not_ what it takes,
               | or something that would be reasonably expected to be
               | useful and effective.
               | 
               | > 2 years and these "experts" still want us to continue
               | locking down
               | 
               | We never generally locked down in the US and no one is
               | suggesting lockdowns now, so I have no idea what
               | "continue locking down" is supposed to mean. (Some US
               | jurisdictions had brief and mostly unenforced policies
               | that, if enforced, would have been local lockdowns, but
               | even the on paper policies expired without renewal quite
               | some time ago.)
        
               | spookthesunset wrote:
               | So you are totally okay with the government flushing 2
               | years of your incredibly short life down the drain to
               | "flatten the curve to build up supplies and healthcare"
               | with zero results? In fact, so little results that many
               | places are locking down yet again like it was march of
               | 2020?
               | 
               | Do y'all not value your lives or short time on this earth
               | at all? You should be _furious_ the government is still
               | playing the  "protect healthcare capacity" card. They
               | literally _wasted_ 2 years of your life. No results. And
               | they have the audacity to blame _you_ and the rest of
               | society for their failure!! How on earth is that
               | excusable?
        
               | dragonwriter wrote:
               | > So you are totally okay with the government flushing 2
               | years of your incredibly short life down the drain
               | 
               | I reject that that's an even remotely accurate
               | description of anything that has happened, or has any
               | other relevancd to reality.
               | 
               | > many places are locking down yet again
               | 
               | What places? Unless you are using "locking down" as
               | loosely as you've used "battlefield", that's not actually
               | happening, anywhere.
               | 
               | > And they have the audacity to blame you
               | 
               | The only people I've seen anyone in government even
               | approximately blame are particular government decision-
               | makers who allegedly deliberately acted to make things
               | worse and the unvaccinated, neither group of which
               | included me. So, again, I reject that this description is
               | grounded in reality.
        
               | spookthesunset wrote:
               | Sorry, not gonna play "its not a _real_ lockdown "
               | pedantry with you. I don't care what you call it. Any
               | restriction we made in the last 2 years be it closed
               | small businesses, masks, vaccine mandates, hall passes to
               | go on dog walks, "not allowed to walk on the dry sand,
               | only the wet sand", closed playgrounds, closed schools...
               | all of it... it was all in the name of flattening the
               | curve to build supplies and increase healthcare
               | capacity... right? If that is true, where are the
               | results?
               | 
               | And if the goal _isn 't_ to flatten the curve to build
               | supplies and increase healthcare capacity, please inform
               | me what the goal actually is. 'Cause if that ain't it...
               | I have no fucking clue what we are doing.
        
               | dragonwriter wrote:
               | > it was all in the name of flattening the curve to build
               | supplies and increase healthcare capacity... right?
               | 
               | No.
               | 
               | The things that were about flattening the curve were
               | about avoiding acute health system overload and increased
               | mortality that would result from that (for all causes,
               | not just COVID, since no ICU capacity kills people
               | regardless of the reason they can't get into an ICU) to
               | provide time for the development of effective preventive
               | and treatment interventions, minimizing deaths on the
               | route to that.
               | 
               | (The original research indicated that after a general
               | lockdown period, cycling local, often more modest,
               | control measures would likely be necessary to that end.)
               | 
               | While the particular half-measures adopted and half-
               | heartedly implemented have had mixed results in
               | preventing health system overload (since we've seen
               | temporary overload various places at various times), we
               | have, in fact, developed various effective interventions
               | and are on the road to more.
        
               | dragonwriter wrote:
               | > it was all in the name of flattening the curve to build
               | supplies and increase healthcare capacity... right?
               | 
               | No.
               | 
               | The things that were about flattening the curve were
               | about avoiding acute health system overload and increased
               | mortality that would result from that (for all causes,
               | not just COVID, since no ICU capacity kills people
               | regardless of the reason they can't get into an ICU) to
               | provide time for the development of effective preventive
               | and treatment interventions, minimizing deaths on the
               | route to that. (I suppose you can call that "building
               | healthcare capacity", but the goal has never been
               | prinarily about bulking up the number of seriously I'll
               | people hospitals can concurrently treat on a sustained
               | basis, but the capacity to prevent people from getting
               | seriously ill.)
               | 
               | (The original research indicated that after a general
               | lockdown period, cycling local, often more modest,
               | control measures would likely be necessary to that end.)
               | 
               | While the particular half-measures adopted and half-
               | heartedly implemented have had mixed results in
               | preventing health system overload (since we've seen
               | temporary overload various places at various times), we
               | have, in fact, developed various effective interventions
               | and are on the road to more.
        
               | spookthesunset wrote:
               | > The things that were about flattening the curve were
               | about avoiding acute health system overload and increased
               | mortality that would result from that
               | 
               | So we agree it is about healthcare capacity. You know the
               | best way to avoid healthcare collapse? Build more of it!
               | 
               | You know the unethical, immoral way of avoiding
               | healthcare collapse? Force hundreds of millions of people
               | into this purgatory we are living in right now while
               | doing absolutely fuck-all to build capacity. Then blame
               | them all for "not taking this seriously" when their
               | brilliant plan of doing fuck-all fails.
               | 
               | Seriously. Do you not see how much bullshit it is to just
               | expect the entire world, _billions of people_ to put
               | their lives on hold indefinitely for _exactly one
               | specific illness_ when the solution could be to simply
               | build capacity to deal with covid surges? These
               | governments did _fuck all_ to solve the capacity problem.
               | They _dont respect any of us at all_!! They pissed our
               | lives away so they didn 't have to do _anything_.
               | 
               | Do you not value your time on this earth at all? 'Cause
               | if you do, I'm sorry to tell you but the government just
               | hoodwinked you into thinking it was _your job_ to
               | sacrifice _your life_ so they didn 't have to do anything
               | at all.
               | 
               | Life is short dude. Expecting everybody to do this
               | because "original models" by some bullshit "expert" said
               | so... bleech...
        
               | jimkleiber wrote:
               | Let's say it's 100% of the government's fault, which I
               | don't believe, but let's just say it for argument's sake.
               | 
               | So why don't you run for office and do it differently?
        
               | spookthesunset wrote:
               | > Let's say it's 100% of the government's fault, which I
               | don't believe, but let's just say it for argument's sake.
               | 
               | Who else's fault is it? It isn't the public, that is for
               | sure. You can't blame people for human behavior and "not
               | taking this seriously". These governments asked us to pay
               | one of the highest costs you can pay--they asked us to
               | donate 2 years of our short lives to their cause. And
               | thus far, they have done absolutely nothing but blame the
               | public for their failings.
               | 
               | Life is short. Being asked to flush 2 years of your life
               | down the toilet in this purgatory we are in is a huge
               | ask. Don't you think we should see some results now?
        
               | jimkleiber wrote:
               | These last two years have been some of the hardest years
               | of my life, as a person who normally travels and works
               | internationally with large groups of people, I have been
               | inside the same house for two years with just my parents,
               | one of whom went through chemo and a heart attack while
               | covid was happening. So I feel you on how these past two
               | years have seemed like purgatory, feeling stuck and
               | watching life tick away.
               | 
               | I also wish the various levels of government would have
               | responded differently. I'm assuming you mean in the US,
               | but that's where I am so I'll go with that. I wish the
               | Trump admin would have responded differently, the Biden
               | admin, the US Senate and House (2020 and 2021 members),
               | my governor in Michigan, the senate and house in
               | Michigan, the county health department, my local mayor,
               | and more.
               | 
               | At least in Michigan, they didn't ask me to donate 2
               | years of my time, much of that has been my choice,
               | frankly against what the Michigan Congress voted. The
               | governor pushed for strong closures in the beginning and
               | the Congress overruled that. Many of the people here have
               | been acting as if there is no pandemic, doing almost
               | exactly what they did before covid-19 existed. Frankly,
               | even many elements of the Trump admin and US Congress
               | have told us to live our lives as normal.
               | 
               | So if anything, I think the government, at its various
               | levels, have provided mixed messages on what we should
               | and should not do. From complete and total lockdown, to
               | open but wear masks, to complete and total return to
               | normalcy. At least in my experience, I haven't heard a
               | coherent "donate 2 years of our short lives to their
               | cause," but rather a mixed message, coming from
               | politicians, who, just as the public are people with
               | human behavior.
        
               | davidw wrote:
               | > give up another year
               | 
               | IDK, I'm in a fairly 'cautious' state, and things are
               | pretty normal. My kids are in school, stores are open.
               | Restaurants are open. People wear masks. It's not really
               | a big deal.
        
               | spookthesunset wrote:
               | > People wear masks. It's not really a big deal.
               | 
               | Do you wear masks 8 hours a day for work? 'Cause I'm sure
               | all the people who do might beg to differ.
               | 
               | Plus masks interfere with communication. Faces are
               | important.
        
               | davidw wrote:
               | A lot of it is finding the people, beyond the physical
               | space. You can't just 'spin up' nurses like AWS
               | instances. They're in short supply right now, and many
               | are feeling burned out. There's a post going around about
               | a doctor who got assaulted by deranged family members of
               | a man who died. Don't know if it's real, but a lot of
               | people were saying they've experienced similar and are
               | just done with it.
        
               | spookthesunset wrote:
               | When you have virtually unlimited resources you can do
               | almost anything you want. You just have to think outside
               | of the box. If this truly was an emergency, we'd have
               | found a way to staff covid ICU's. Dunno how because it
               | ain't my expertise at all, but there would be a way.
               | 
               | We managed to build giant ships in like 3 or 6 months in
               | WWII. I'm pretty sure we could figure out how to staff
               | 400 or so ICU's with people capable of managing sick
               | covid patients. It might be all these people know how to
               | do... but we could do it. We have almost unlimited
               | resources to do so.
        
               | eropple wrote:
               | "I readily admit that I don't know what I'm talking about
               | but at the same time I'm going to insist that my
               | hypothetical situation is definitely correct and the
               | knowledgeable people working on medical staffing and
               | capacity management for _their entire careers_ simply do
               | not know as much as me, a computer toucher. "
               | 
               | Somehow I remain unconvinced that "thinking outside the
               | box" conjures doctors and nurses into existence or makes
               | those who refuse to work ICUs suddenly interested in the
               | job. I guess you could demand the military have doctors
               | and nurses work at the point of a gun, all so John Q.
               | Public probably still couldn't go to Target without a
               | mask on two years hence. That sounds great.
        
               | spookthesunset wrote:
               | > makes those who refuse to work ICUs suddenly interested
               | in the job
               | 
               | Then fucking draft them into working in an ICU like you
               | would draft somebody into a war. Build a second story on
               | their house. I don't care. This shit is an existential
               | emergency where we asked _hundreds of millions of people_
               | to put 2 years of their life on hold to build healthcare
               | up. Figure it out. If healthcare capacity was the reason
               | we did all this, then we should have poured the entire
               | nation 's worth of resources into building healthcare
               | capacity. Period.
               | 
               | It is absolutely inexcusable to continue playing the
               | "healthcare might collapse" card 2 years into this. If
               | people used this many excuses back in WWII we'd have lost
               | the damn war. "Oh, it takes 4 years to design a build a
               | ship... sorry. we can't just pull ships out of our butt.
               | Guess we will just have to let them win". Bullshit. We
               | made it happen. We could make it happen for this too.
               | 
               | This is supposed to be an emergency, remember? Every
               | second you have people in lockdown is a second of each of
               | those peoples very short lives you've now wasted. Figure
               | it out!
        
               | mardifoufs wrote:
               | Exactly. It's crazy how some people think that shutting
               | down pretty much everything within days is a more viable
               | alternative or even more doable than ramping up
               | healthcare capacity in... 2 years. They'll usually wave
               | away the massive repercussions that shutdowns cause but
               | they will become very perfectionist when it comes to
               | standard of care and how we need fully trained doctors
               | and nothing less. It's an emergency, as you said it's not
               | time for perfection because the costs are extreme
        
               | spookthesunset wrote:
               | I think what amazes me is how little it seems some people
               | value their own time and life. Like, life is super short.
               | I sacrificed a non-trival amount of it so these "experts"
               | could build up healthcare capacity.
               | 
               | They have a moral obligation to not waste my life...
               | which they completely did. Why there aren't riots on the
               | street over the fact that the public is still being
               | blamed for not "taking this seriously" is beyond me. Get
               | fucked, dudes--y'all had 2 years to figure this out.
        
               | rsynnott wrote:
               | > Then fucking draft them into working in an ICU like you
               | would draft somebody into a war.
               | 
               | Okay, and who does their job? I mean "no-one can get
               | chemotherapy because the oncology department was told to
               | go work in the ICU" probably isn't a great outcome,
               | either.
               | 
               | ICU capacity can, and in many countries has, been
               | expanded to some extent. But you're not realistically
               | going to 10x it or anything; the main area of
               | concentration has to be reducing the demand on it in the
               | first place (via vaccination, pre-hospital treatment,
               | public safety measures, and, as a last resort,
               | lockdowns).
        
               | spookthesunset wrote:
               | Some of these places have like 400 ICU beds in a region
               | of 17 million people. You absolutely could 10x that or
               | even 50x that given the fact you have asked hundreds of
               | millions of people to put their lives on hold.
               | 
               | Vaccination was the end goal because it would mean we
               | could reduce all that emergency capacity we were supposed
               | to build up. Non pharmacutical interventions like masks,
               | social distancing and lockdowns for healthy people are
               | extreme asks and should be used for extremely short
               | durations while you pour your nations entire pool of
               | resources into building healthcare capacity up.
               | 
               | What amazes me is somehow we managed to do exactly this
               | back in march of 2020 with hospital ships and field
               | hospitals. The fact that all of these were shutdown
               | virtually unused after a month but we continued with all
               | these stay-at-home orders shows exactly how little
               | respect these "experts" and government officials have for
               | the general public. The day those things closed was the
               | day we should have gone back to full normal. That these
               | "experts" doubled down on this crap is so immoral and
               | unethical it amazes me people continued to support it.
        
               | rsynnott wrote:
               | > Some of these places have like 400 ICU beds in a region
               | of 17 million people.
               | 
               | That is, of course, far too few (Where is that? I've
               | never heard of a ratio _that_ low for a developed
               | country). But unfortunately, the time to fix it was about
               | five years before it became a major crisis.
               | 
               | > You absolutely could 10x that or even 50x that given
               | the fact you have asked hundreds of millions of people to
               | put their lives on hold.
               | 
               | With what staff?
               | 
               | > What amazes me is somehow we managed to do exactly this
               | back in march of 2020 with hospital ships and field
               | hospitals.
               | 
               | As far as I can see, those were envisaged as a solution
               | to a regional problem; if covid was only a big problem in
               | a few regions, then this could work via redeployment of
               | staff, drawing on limited reserves of staff (military,
               | bringing people back from retirement, and so on). In
               | practice, very few countries managed to maintain covid as
               | a regional problem, so temporary hospitals became less
               | interesting because _you can't staff them_.
        
               | throwhauser wrote:
               | > When you have virtually unlimited resources you can do
               | almost anything you want.
               | 
               | > Dunno how because it ain't my expertise at all, but
               | there would be a way.
               | 
               | What makes you so sure?
        
               | spookthesunset wrote:
               | I mean again I'm no expert but it seems to me that if all
               | these people are supposed to do is treat exactly one
               | illness, it would be possible to train a certain set of
               | people on how to manage 80% of the workload and escalate
               | the exceptions to somebody with more knowledge.
               | 
               | It isn't like this staff has to treat anything else.
               | 
               | Just an idea. Like I said, I'm no expert but the fact
               | that absolutely nobody has attempted to figure it out is
               | bullshit. They haven't even tried. They just keep
               | throwing out excuse after excuse and blaming the public
               | for their failures.
               | 
               | They literally have almost unlimited resources. They
               | could get shit figured out somehow.
        
               | davidw wrote:
               | Vaccines were readily available; perhaps no one predicted
               | quite so many people would avoid them, preferring to take
               | a chance suffocating to death. Administering vaccines is
               | orders of magnitude cheaper and easier than expanding
               | hospitals.
        
               | [deleted]
        
               | cynusx wrote:
               | You're right, I actually had the benefit of chatting with
               | somebody who organized the lab test network around
               | covid-19 and asked if they (Belgian government)
               | considered ramping up hospital capacity and training non-
               | qualified people the basics of taking care of covid-19
               | infected people... turns out they never considered it.
               | 
               | Personally, after 2 months of being angry with the
               | ridiculous response of the government I just accepted
               | that you can't fight with mass stupid and moved on to
               | areas of my life that are not affected by covid.
               | 
               | But I still get surprised from time to time you know,
               | you'd expect politicians to accept that everybody had the
               | chance to get vaccinated and lift all the restrictions so
               | that darwinism can do its work, but it seems they want to
               | impose vaccine mandates instead... trying to protect
               | people who don't want to be protected, what's the grand
               | idea behind that?
               | 
               | There's no real end in sight to be honest, it's better to
               | ignore it as much as possible and focus on areas you do
               | control
        
               | mistermann wrote:
               | I believe that covid has given us _incredible_ insight
               | into the human psyche, including how well we are able to
               | respond to problems that have political /tribal
               | attributes to them.
               | 
               | Considering how relatively minor covid was, and how
               | simple the situation is, that so many people continue to
               | disagree on basics suggests to me that we have learned
               | very little from this (indicating our _capacity to learn_
               | certain things is not great), and that if we ever get a
               | serious pandemic (or serious anything), we might be
               | f*cked.
        
               | spookthesunset wrote:
               | > if we ever get a serious pandemic (or serious
               | anything), we might be f*cked.
               | 
               | If we had a serious pandemic where dudes were dropping
               | like flys on the street and they had horse drawn carrages
               | stacked with bodies, I don't think many people would have
               | an issue dealing with it. The problem with covid is our
               | response to it was way out of line with the actual
               | illness. People kinda have a problem being asked to make
               | huge sacrifies for something they don't perceive to be a
               | major problem.
        
               | mistermann wrote:
               | I think we're probably in luck somewhat: if something
               | _actually serious_ came along, I agree that people would
               | be much less disagreeable, and perhaps we 'd have enough
               | actual problems so authorities wouldn't have to engage in
               | make work projects.
               | 
               | That said, I think massive numbers of people (likely the
               | majority still, although the tides seem to be shifting
               | _extremely_ quickly lately) would strongly disagree with
               | us on the degree to which covid is a  "major" problem. I
               | am very worried that the inability for people to even
               | mutually agree upon a way of discussing (let alone
               | agreeing on anything) culture war topics, and our
               | inability to take such phenomena seriously, is going to
               | be a gift that keeps on giving for decades into the
               | future (just in time for the climate change culture war).
        
               | com2kid wrote:
               | > If hospital capacity is such a concern, why has there
               | been just about zero effort in spinning up some kind of
               | capacity to deal with Covid?
               | 
               | The first wave of COVID killed a bunch of doctors and
               | nurses, and burnt a lot more out.
               | 
               | Then Delta made a bunch more doctors and nurses quit,
               | with wide reports right now that 20% of nurses are
               | looking to up and leave their job. Talking to my friends
               | who are nurses, they are short staffed, and have been for
               | some time.
               | 
               | On top of that, the way the US does medical training for
               | both nurses and doctors ensures we don't have enough
               | medical professionals during normal times. Nursing
               | schools can't find instructors (pay is too low) and
               | hospitals are purposefully limiting the number of
               | residency spots available to ensure prices for medical
               | care stay high (https://en.wikipedia.org/wiki/Residency_(
               | medicine)#Financing...)
               | 
               | So, you know, business as usual in the US.
        
               | jcadam wrote:
               | Are we just ignoring all of the doctors and nurses who
               | were fired for refusing vaccinations? They don't count?
        
               | slaw wrote:
               | > The first wave of COVID killed a bunch of doctors and
               | nurses
               | 
               | I never heard about it before. Could you provide link to
               | your claim?
        
               | [deleted]
        
               | com2kid wrote:
               | Some interesting numbers at
               | https://www.nationalnursesunited.org/press/new-report-
               | reveal... and https://abcnews.go.com/Health/3600-us-
               | health-workers-died-co...
               | 
               | All of that is pre-delta, remember that when COVID first
               | hit in 2020 we still didn't have a good idea how it
               | spread.
               | 
               | The tl;dr is that the US government doesn't do a good job
               | of collecting statistics of how many health care workers
               | died of COVID.
               | 
               | 1.5k nursing home workers seems to be the one reliable #
               | from the first article, and The Guardian is saying around
               | 3600 healthcare workers in total.
               | 
               | https://www.statnews.com/2021/10/21/who-
               | estimate-115000-heal...
               | 
               | WHO reports over 100k deaths of healthcare workers world
               | wide.
               | 
               | So statistically a small #, but it doesn't account for
               | the # of nurses who got COVID and had long term symptoms
               | that kept them from going back to work, or who just
               | decided to no longer work at all.
               | 
               | And it looks like these #s are highly biased towards
               | major population centers, so it wasn't an even
               | distribution from the country or anything.
        
               | jefftk wrote:
               | 1.5k nursing home workers out of a total of about 600k.
               | That's 0.25%. Across the whole population, we've had 810k
               | deaths out of 330M, which is also 0.25%. So we still have
               | the same number of nursing home workers per capita.
               | Except that, considered per nursing home resident, it's
               | an increase, because the rate of nursing home residents
               | dying has been much higher than the general population.
        
               | throwaway0a5e wrote:
               | >What exactly are they waiting on?
               | 
               | Public opinion.
        
               | dfxm12 wrote:
               | If federal law makers cared about public opinion, they'd
               | have declassified marijuanna as a schedule 1 drug [0].
               | They also would not have done the recent weapons deal
               | with Saudi Arabia [1].
               | 
               | 0 - https://news.gallup.com/poll/356939/support-legal-
               | marijuana-...
               | 
               | 1 -
               | https://www.dataforprogress.org/blog/2021/12/7/a-strong-
               | majo...
        
               | SamPatt wrote:
               | Imagine running an organization based on public opinion,
               | especially an opinion so wide as the whole internet.
               | 
               | Groupthink is so dangerous.
        
               | throwaway0a5e wrote:
               | Considering the details of the business they're in I
               | don't think they have much choice other than to chart the
               | course that enrages the fewest people even if that course
               | is non-optimal.
        
               | dontblink wrote:
               | Normalcy. Right now everything is taken with an abundance
               | of caution. Once stabilization occurs, normalcy will
               | return (even if it's changed).
        
               | toolz wrote:
               | I'm not sure how you can suggest there's any caution
               | here. At least not with regards to the students. They are
               | a low risk category with 100% vaccination rate and their
               | risk of losing out on many of the important aspects of
               | college are being disregarded.
               | 
               | This is not what caution looks like.
        
               | azekai wrote:
        
               | jimkleiber wrote:
               | I wonder if the approach is similar to managing herpes.
               | We don't yet know how to eliminate it and yet we believe
               | that if someone has a current outbreak (visible sores,
               | etc) than they should avoid sexual contact with others so
               | they don't spread it...until it subsides again.
               | 
               | I may not have all the details right on that, just seems
               | the approach some are taking to covid is the "yes we
               | won't eliminate it and yet we can try to minimize
               | exposure during times of high infectiousness."
        
               | paganel wrote:
               | The public opinion around me (I live in Eastern Europe)
               | does seem to have caught on to that fact, I mean the
               | normal people, the problem is the media that, even here,
               | keeps treating this like a thing that we could eventually
               | get rid of.
        
             | redisman wrote:
             | Is there any reason to think they'll be mutually exclusive
             | ?
        
         | jerlam wrote:
         | Denmark is the other country with an Omicron-fueled spike, but
         | they have a corresponding increase in deaths:
         | 
         | https://graphics.reuters.com/world-coronavirus-tracker-and-m...
        
           | ralfd wrote:
           | But compare that to the delta wave last winter! The
           | infections are 3-4 times higher and the death count is 2-3
           | times lower (so far).
        
             | jerlam wrote:
             | So far, it does look much better than last winter, but last
             | year they had neither vaccines nor significant previous
             | exposure.
        
             | kansface wrote:
             | The people who were killed last winter can't be killed
             | again. They were definitionally the most susceptible and we
             | haven't replaced that demographic. You can't naively
             | compare the two waves without a control since they effect
             | very different populations. In other words, if you ran the
             | same experiment backwards, you could plausible get the same
             | results.
        
             | jacquesm wrote:
             | This isn't unexpected though: Besides a much higher
             | vaccination rate COVID-19 has been doing the rounds now for
             | two years and at some point the people that were highly
             | susceptible will have simply died off. The remainder of the
             | population may deal with current strains better or worse
             | depending on what differences those strains bring to the
             | table, and not all of those differences may end up
             | targeting the same populations.
        
         | anonred wrote:
         | Genuine question as I haven't been following COVID news
         | closely. What's the hospitalization rate and long term effects
         | from Omicron COVID? Do we have sufficient data to suggest that
         | it's milder than Delta etc?
        
           | brazzy wrote:
           | Long term effects? It hasn't even been known to exist for a
           | whole month.
           | 
           | Look around this thread and you will find many links to data
           | that indicates Omicron might have less severe outcomes, but
           | it's really still a bit early to really have confidence in
           | that data because there are a lot of confounding factors.
        
           | lolc wrote:
           | My current Best Guess from reading Reliable Internet
           | Sources(tm):
           | 
           | > What's the hospitalization rate and long term effects from
           | Omicron COVID?
           | 
           | Hospitalization could be about the same. While we see
           | decreased hospitalisations in South Africa, the assumption is
           | that this is due to widespread immunity from exposure to
           | earlier waves and vaccinations. For the last two weeks,
           | Omicron has been hitting populations that have higher shares
           | of naive subjects. Now the first results on hospitalizations
           | are coming in. Refreshing my tabs constantly :-)
           | 
           | I assume that long-term damage is related to immediate
           | severity, so it's likely not going to be worse. But I'm out
           | on a twig here.
           | 
           | > Do we have sufficient data to suggest that it's milder than
           | Delta etc?
           | 
           | Suggestive evidence of mildness is being discussed. No
           | conclusions.
        
         | [deleted]
        
         | localhost wrote:
         | One report [1] (of many now) about Omicron being less severe
         | than Delta:
         | 
         | "Overall, we find evidence of a reduction in the risk of
         | hospitalisation for Omicron relative to Delta infections,
         | averaging over all casesin the study period. The extent of
         | reduction is sensitive to the inclusion criteria used for cases
         | and hospitalisation, being in the range 20-25% when using any
         | attendance at hospital as the endpoint, and 40-45% when using
         | hospitalisation lasting 1 day or longer or hospitalisations
         | with the ECDS discharge field recorded as "admitted" as the
         | endpoint (Table 1)"
         | 
         | [1] https://www.imperial.ac.uk/media/imperial-
         | college/medicine/m...
        
         | yosito wrote:
         | I saw some charts out of South Africa today showing that deaths
         | are starting to rise with a three week delay. I'm optimistic
         | that Omicron is less severe, but it's also possible that it's
         | just taking a little longer than expected to start killing
         | people.
        
           | barbs wrote:
           | Do you have a link for those charts?
        
             | tjr225 wrote:
             | Don't worry about it; he saw them.
        
             | yosito wrote:
             | I can't find the ones I saw before, but the OWID charts
             | show that deaths in South Africa are still rising, and
             | Omicron case counts just started rising 3 weeks ago, so I'm
             | still holding my breath.
             | https://ourworldindata.org/explorers/coronavirus-data-
             | explor...
        
             | nostrademons wrote:
             | Pretty good one here:
             | 
             | https://yourlocalepidemiologist.substack.com/p/omicron-
             | updat...
        
             | HPsquared wrote:
             | https://www.samrc.ac.za/reports/report-weekly-deaths-
             | south-a...
             | 
             | Pretty interesting how it clearly shows both "deaths" and
             | "excess deaths".
             | 
             | Here's a good one for Europe:
             | 
             | https://www.euromomo.eu/graphs-and-maps
        
           | globalise83 wrote:
           | They might be, but the fact that the case rate is now falling
           | means that whatever increase is seen in deaths will be very
           | short-lived. That is something to be thankful for, since
           | Delta has been killing large numbers of people worldwide over
           | a very long period of time.
        
             | yosito wrote:
             | But we don't know why the case rate is falling so fast. It
             | could be that people tend to isolate when everyone around
             | them is suddenly having symptoms.
        
           | nostrademons wrote:
           | Yeah deaths have been creeping up for the last week,
           | hospitalizations for the last two and a half weeks.
           | Hospitalizations are actually now at about 1/3 of the Delta
           | peak. This is all roughly consistent with the timeline for
           | previous strains (hospitalizations lag cases by about 10
           | days, deaths lag hospitalizations by about 2 weeks). The
           | specific growth rates are a bit lower than what would be
           | expected based on how quickly cases went up, though.
           | 
           | I think we'll see total hospitalization and death rates peak
           | at anywhere from 50-100% of the Delta wave, but over a much
           | shorter time period, commensurate with higher infectiousness
           | but lower severity. The severity may be simply because it's
           | no longer an immunologically naive population.
        
         | fiter wrote:
         | Since deaths lag cases, have you seen a graph that has peaks
         | labeled on the time axis?
        
           | nostromo wrote:
           | I added the original source so you can explore in more
           | detail. You can see that in previous spikes there was a short
           | delay, but in general they rose in tandem. All evidence
           | points to Omicron as far less lethal than Delta.
        
             | divbzero wrote:
             | The chart towards the bottom of this page [1] provides
             | another source.
             | 
             | Like others my initial reaction was "deaths lag" but upon
             | closer inspection the data is more nuanced: While deaths do
             | lag, in previous waves deaths had risen substantially by
             | the time cases peaked, but with omicron in South Africa
             | cases have already peaked but deaths have barely risen.
             | This could be partly because the omicron wave has peaked
             | faster (~3 weeks) than previous waves (~1 month or more),
             | partly because the population has more immunity, and partly
             | because omicron is less severe?
             | 
             | I'm not sure yet. All in all, I'm optimistic but will wait
             | another week or two to be convinced.
             | 
             | [1]: https://covid19.who.int/region/afro/country/za
        
             | herodoturtle wrote:
             | Thanks for your assorted useful comments and links.
        
         | [deleted]
        
         | parkingrift wrote:
         | People come up with endless excuses to remain hysterical. There
         | will never be enough evidence to show omicron is less severe.
         | There is always some excuse as to why some data should be
         | discarded or is not applicable.
         | 
         | But when it comes to bad news, no evidence needed at all.
         | 
         | Some people just want the world to continue burning.
        
         | endisneigh wrote:
         | I concur. It's amazing how well anti vaxxers have taken over
         | the narrative.
         | 
         | Literally all data has shown that omicron is a non-issue for
         | triple vaxxed individuals, with a baseline being the standard
         | flu.
         | 
         | If someone has data showing that triple vaxxed people are dying
         | at rates similar to March 2020 I'd love to see.
        
           | kadoban wrote:
           | Triple vaxxed are safe, therefore antivaxxers have won? That
           | does not seem to make any sense. What am I missing?
        
             | endisneigh wrote:
             | Yes, because there are still restrictions as a result of
             | them, even though most people in the USA have been
             | vaccinated.
             | 
             | In other words policies that affect the super majority are
             | being formed due to the actions of a small group.
        
               | jedberg wrote:
               | Only 20% of Americans are triple vaxxed.
        
               | endisneigh wrote:
               | Yeah, about 60% double and 70% single. Anyone can get
               | more vaccines for free.
               | 
               | Not sure why people support restrictions at this point.
               | If someone doesn't want to be vaccinated that's fair
               | enough, but let the rest of us be free.
        
               | jedberg wrote:
               | I'm curious how you think your freedoms are being
               | curtailed at this point? What do you want to do that you
               | can't?
        
           | slowhand09 wrote:
           | Seriously?
           | 
           | If someone vaxxed and boosted dies of COVID, the media spins
           | it as "Look how deadly..."
           | 
           | If someone is on Ivermectine and dies of COVID, they're
           | villified as spreaders.
        
         | jimbob45 wrote:
         | For us young people (probably most everyone on here), the fear
         | is not and has not been death for some time. The fear is long
         | COVID, which remains poorly understood.
        
         | jmnicolas wrote:
        
       | jessaustin wrote:
       | This is very bad news for pharma profits!
       | 
       | There are at least some people who have figured out the right
       | covid policies, because some of them are running NFL. NFL has
       | ruled that asymptomatic players who received the initial round of
       | vaccinations don't need to be regularly tested. With the rise of
       | omicron, populations of healthy young people whose families have
       | access to health care don't need to fear infection and don't need
       | "boosters". Of course, many families in USA lack access to health
       | care because capitalism. NFL can't directly be held responsible
       | for that, although many NFL owners are billionaires so _they_
       | can. [0]
       | 
       | [0] https://www.cambridge.org/core/journals/perspectives-on-
       | poli...
        
       | voxadam wrote:
       | Am I the only one who reads these less than scientific articles
       | as much more than wishful thinking?
       | 
       | I mean, I hope this pandemic comes to a close as much as anyone
       | but so many of the recent news articles about the omicron variant
       | being our collective way out of this pandemic seem a bit
       | premature. I understand the theory that viruses become more
       | contagious and less deadly over time but is there an real, peer
       | reviewed science that backs up the idea that omicron is going to
       | be our "savior"?
        
         | cm2187 wrote:
         | We shouldn't act until we have a peer reviewed study published
         | in 18 months.
        
         | spookthesunset wrote:
         | Does it even matter? Covid is here forever. Doesn't matter if
         | the next variant is "good" or "worse" or "horrible". It's here
         | forever. We cannot continue playing this restriction / mandate
         | game any longer. We have something like a dozen vaccines
         | globally, multiple treatments, etc. We've had 2 years for
         | government's to build healthcare capacity to handle any "surge"
         | we get and it is no longer fair to the public to keep blaming
         | them any time some hospital gets full.
         | 
         | It's time to return to actual real normal. Let people make
         | their own risk assessments.
         | 
         | Life is very, very short and we just spent 2 years of it acting
         | as if the only point of our existence was to stop the spread of
         | exactly one specific illness to the exclusion of basically
         | everything else.
         | 
         | Move on.
        
           | baxtr wrote:
           | Thanks for expressing how I feel. Winter was always the worst
           | season for me. With Covid it has become unbearable. I've lost
           | 50% of my life quality.
        
         | snet0 wrote:
         | There is a recently released preprint that concludes that
         | omicron-infected have an 80% reduced likelihood to be
         | hospitalised compared to non-omicron infections.
         | 
         | https://www.medrxiv.org/content/10.1101/2021.12.21.21268116v...
         | 
         | Of course, it's not yet peer-reviewed, and doesn't model the
         | possible outcomes based on the conclusions, but it certainly
         | _seems_ to be great news.
        
         | barbs wrote:
         | There's been no time to have real, peer reviewed science to
         | make a definitive conclusion either way. All we have is
         | preliminary data which seems to be trending towards the
         | positive.
         | 
         | The sensationalist flip-flopping media reports have been mostly
         | unhelpful. I've been swinging between "this is wishful thinking
         | and it's going to be really bad" to "this is overly dramatic
         | and it's going to be ok" for the past few weeks. I've been
         | feeling more of the latter recently, but I'm still not 100%
         | certain. Call it cautious optimism.
        
         | jacquesc wrote:
         | They discovered the variant less than a month ago. The science
         | will take time, all we can do in the meantime is make our best
         | guesses
        
         | ufo wrote:
         | And that theory about viruses becoming less deadly isn't an
         | universal rule in the first place. For example, smallpox and
         | measles never got less deadly. In many cases, the virus
         | becoming less deadly is because the population acquired
         | immunity from vaccinations or previous infection, not because
         | the virus evolved that way.
         | 
         | In the case of covid, one important thing to consider is that
         | people are the most infectious before they develop severe
         | symptoms. Therefore, there is less selective pressure towards
         | making it less severe.
        
           | orblivion wrote:
           | I wonder if there's extra selective pressure among relatively
           | smart creatures like us. Supposing there's a really nasty
           | disease that manifests after a week, and we're contagious for
           | a few days before. Eventually we'll get wind of it and start
           | being more careful. If it's a less nasty virus, we just won't
           | care enough and let it spread.
        
           | nsxwolf wrote:
           | It does seem to be true of respiratory viruses though.
           | Asiatic flu is still around, probably HCoV-OC43, now a nearly
           | harmless common cold virus. Spanish flu is still dangerous
           | like all flus, but not the killer that it was.
           | 
           | It would be odd if this is the one, the permanently deadly
           | respiratory virus that just never gives humanity a break, for
           | ever and ever.
        
             | ufo wrote:
             | But is HCoV-OC43 harmless because the virus became less
             | deadly, or because everyone has immunity from being
             | infected by it when they were still children?
        
       | thelittleone wrote:
       | It has been really interesting to observe the hysteria. From the
       | moment they chose the name Omicron, which sounds like a nemesis
       | in a Transformers movie. But more in observing how friends and
       | family back home latch on to the media (which they remain
       | constantly plugged into). The repetition of buzzwords and how
       | enthusiastically they talked about booster shots now being 5
       | months instead of 6. I don't know anything at all about the
       | medical realities, but can see loud and clear, more than ever how
       | people's mental states are manipulated by media.
        
         | tedsanders wrote:
         | For what it's worth, I have observed zero hysteria. Took a
         | flight last week out of California. Airport was packed. Plane
         | was packed. No one was really distancing. People wore masks,
         | but were pretty chill about it. Most masks looked to cloth or
         | surgical, rather than tight-fitting (K)N95. People took masks
         | off to eat. An old guy kept pulling his down each time he
         | talked to his friend. Some kids ran around without masks and
         | the parents didn't care. No one was hysterical. No one was
         | shaming people without masks. And this is in a world with a
         | million Americans dead and a new highly contagious variant
         | spreading around the world.
        
       | jgalt212 wrote:
       | I've basically given up on trying to figure out what the right
       | response is to Omicron. I've seen moved on to trying to figure
       | out the hidden incentives of the hysterics and the covid deniers.
       | I've since regretted moving on from the first intractable
       | problem.
        
       | polote wrote:
       | Why do people still care about covid ? Vax your old people, stop
       | getting tested and live like before.
       | 
       | The faster we get everyone infected the faster old people who
       | didn't get vaxxed will either recover or die and after that the
       | ones who die we can't do anything for them.
       | 
       | Trump was right (by chance) all along, that's just some kind of
       | flu, the only difference is that it's the first time our body
       | sees it.
        
         | foepys wrote:
         | Because hospital capacity is limited and despite what you might
         | want, people will still be admitted to the hospital when they
         | caught covid.
         | 
         | In Germany some hospitals are postponing "planned operations"
         | and as much as this sound like no big deal, every operations
         | that is not an emergency is "planned" so this affects cancer
         | removals as well. People are dying of cancer because covid
         | patients saturate ICU beds.
        
         | metadat wrote:
         | > Live like before
         | 
         | The people I know who have been doing this have all contracted
         | covid at this point, unless they are a recluse who doesn't go
         | outside.
        
           | umvi wrote:
           | Pretty much everyone will contract covid at some point, just
           | like common colds, influenza, etc. You can't expect to never
           | get sick the rest of your life, can you?
        
             | Karsteski wrote:
             | I get the impression that a lot of people honestly believe
             | this. It's comical to see. People wearing masks outside, or
             | while they're locked in a tiny metal box with their family.
             | I've resigned to keeping to myself and my small group of
             | friends for the next few years. Just doing mainly outdoor
             | and private activities, as I refuse to wear a shitty cloth
             | mask for an indefinite period of time everywhere I go
        
         | ryanobjc wrote:
         | The flu has been feared throughout history, as it is... frankly
         | quite deadly at times. Now a days we have excellent flu
         | monitoring, and flu shots, and have been able to manage it,
         | also at great cost. But to dismiss the flu, and covid-19 as
         | "nbd" is... not the kind of analytical strength I am expecting
         | on HN. See: https://en.wikipedia.org/wiki/Spanish_flu
         | 
         | At the time of the breakout of Covid-19 in Jan/Feb 2020, the
         | reports on the ground in Wuhan and Italy were pointing to a
         | catastrophic failure of healthcare systems leading to
         | significantly enhanced death rates, CFR of 10% or so was being
         | observed in Wuhan. Yes, everyone knew that not everyone was
         | being tested, but having 10% of everyone you tested died...
         | well that ain't good. And China has a powerful government and
         | can mobilize resources when they feel like it. Witness the
         | building of hospitals in Wuhan in 10 days. Turns out they were
         | probably more like convalescent centers, but they were fighting
         | the multi-generational housing problem where younger sick
         | people would get their parents/grandparents sick (who lived
         | with them, and weren't able to isolate in their
         | apartment/houses).
         | 
         | Back then, people noted "if we do this right, then we will be
         | accused of over-reaction", and sure enough that is what we are
         | seeing. Fun fact: by the time the first lockdowns in SF/bay
         | area were announced, domestic flights were down... 97%. All
         | major conferences had been cancelled. Tech companies were
         | already allowing/requiring WFH. If that seems like an
         | overreaction, imagine if Google Search went down in spring
         | 2020... that isn't an impossible situation, after all if staff
         | were spreading covid to each other readily without being aware
         | and having a 1% death rate as a result... that is devastating.
         | The notion that life would have been fine if we just ignored it
         | is kinda nuts considering we had 800,000 deaths to date, and
         | yet our mask effort resulted in the extinction of a strain of
         | the flu, and reducing the pediatric flu deaths from 200 -> 1.
         | Yet still 800,000 deaths.
        
       | smm11 wrote:
       | In other news, heart disease is still the number one killer in
       | the US.
        
         | awb wrote:
         | You could go down the rabbit hole and say that misinformation,
         | poor decision making, logical fallacies, mental health issues,
         | etc. are the actual catalysts.
         | 
         | My point is that COVID and heart disease are largely
         | preventable at an individual level if you have ability to eat
         | healthy foods and take the vaccine and/or practice social
         | distancing.
        
           | nradov wrote:
           | You can't seriously expect people to continue to practice
           | social distancing. That is absurd.
        
             | awb wrote:
             | You're right, social distancing is no more realistic for
             | many people than maintaining a healthy diet and exercise
             | routine. My point is that we have tools to stop these
             | diseases, we just view using these tools as worse than
             | getting the disease.
        
               | umanwizard wrote:
               | But this contradicts your earlier comment where you
               | attributed it to poor decision making, misinformation,
               | and so on.
               | 
               | If one indeed puts greater value on "not indefinitely
               | social distancing" than on "a slightly decreased risk of
               | death or serious complications from Covid", then the
               | decision not to continue social distancing _is a good
               | one_.
        
       | LandR wrote:
       | If Omicron is less severe, will an Omicron infection likely
       | provide immunity against delta?
        
         | hammock wrote:
         | Yes
        
       | hourislate wrote:
       | I was at Costco this morning (DFW) buying a big hunk of Prime Rib
       | for Christmas Day dinner. No one either knows or cares anymore.
       | I'm still wearing a mask for facial recognition purposes but I'm
       | starting to feel weird considering no one else is wearing a mask
       | anymore, not even the folks who look like they got one foot in
       | the grave already.
       | 
       | Omicron is already so yesterday it isn't even a memory.
        
         | [deleted]
        
         | standardUser wrote:
         | I find it mind-boggling that a person could live through nearly
         | 2 years of this pandemic and still not understand how
         | hospitalizations lag cases and deaths lag hospitalizations by a
         | number of weeks. I'm optimistic about Omicron, but I'm not
         | going to pretend I don't know the pattern we have seen over and
         | over and over again.
        
           | spookthesunset wrote:
           | > hospitalizations lag cases and deaths lag hospitalizations
           | 
           | Why aren't you upset with your governments for not making
           | this a non-issue? You gave them 2 years to figure it out and
           | all I hear are excuses like "you can't just spin up new
           | staff". Bullshit. These governments have virtually unlimited
           | resources to build healthcare capacity to deal with covid. If
           | there was a will to do so, they could have built capacity
           | specific for covid that includes proper staffing.
           | 
           | The fact that entire regions of 17 million people get thrown
           | into month-long lockdowns and asked to cancel christmas
           | because the region can only support like 400 people in the
           | ICU is a travesty.
           | 
           | People should be furious with their governments continuing to
           | blame the public for "possible healthcare collapses". We paid
           | with 2 years of our short-ass lives waiting for them to fix
           | capacity issues. There are zero excuses.
        
         | cortesoft wrote:
         | Where are you? Everyone where I am in Southern California still
         | wears a mask inside.
        
           | pvarangot wrote:
           | I'm in San Francisco and it depends on the event. For
           | example:                 - Infected Mushroom in the Midway:
           | hardly anyone wearing masks, irregardless of if they are
           | drinking or not            - Chvrches in the Civic
           | Auditorium: most people wearing masks, maybe 20% of the
           | audience unmasked. Even people with drinks mostly just
           | removing it drinking and putting it back on.            -
           | Spiderman in the AMC Kabuki: mostly everyone wearing masks
           | - Karaoke bar in Japantown after Spiderman: no one wearing
           | masks, not even the barman and the owner of the bar that were
           | of course not drinking
        
             | [deleted]
        
             | bcrosby95 wrote:
             | Yeah, I've found nightlife tends to adhere to mask usage
             | much less.
             | 
             | It's not necessarily correlated with age either. We went
             | out to eat at a bar-like place that mostly 50-somethings go
             | to. Most people didn't have a mask, even if they were just
             | hanging around the bar doing nothing.
             | 
             | I think some of it is a self selection process. People that
             | think the virus isn't a big deal are more likely to not
             | care about masks, go to these places, and I would bet also
             | not be vaccinated.
             | 
             | My wife and I have discussed this a lot. We are much more
             | likely to do things with people that are taking it
             | seriously but still have a social life, than people that
             | never thought it was a big deal - the latter are much more
             | likely to be taking absolutely zero precautions.
        
             | kevinmchugh wrote:
             | I'm not surprised those who choose to go to karaoke don't
             | wear masks
        
           | hourislate wrote:
           | I'm in DFW
        
         | cwkoss wrote:
         | Even leaving aside covid concerns, I'd love for sanitizer
         | stations and mask wearing in grocery stores to become the new
         | normal. I don't want the general public sneezing on my food -
         | especially during flu season.
        
           | anthonypasq wrote:
           | do you not wash your food before consuming it or something?
        
             | cwkoss wrote:
             | I wash produce, but not the lids of cans, rims of bottles,
             | or packaging that could transfer germs to my hands right
             | before I'm about to eat.
             | 
             | Do you wash your hands between when touch a bottle of salad
             | dressing, and before you eat?
        
           | aantix wrote:
           | If I have to choose a time to stop masking, between now and
           | my death, I'm not going to choose my death.
           | 
           | I will stop wearing one much sooner. I hate the muffled
           | voices. I can't see anyone smile. It's dehumanizing.
        
             | cwkoss wrote:
             | > I hate the muffled voices. I can't see anyone smile.
             | 
             | Grocery stores are not for socializing. I don't want randos
             | to try to start a conversation with me beyond asking quick
             | questions.
        
         | boplicity wrote:
         | This is so regional; and it has little to do with the local
         | death rate, unfortunately. Where I'm located, deaths are
         | relatively low, and people have no problem masking up. In other
         | places, such as Arizona, lots of people are still dying, and
         | masking is also relatively rare. It's cultural and/or
         | political, in many regions, as opposed to based on need/risk.
        
           | snet0 wrote:
           | I wonder if the disposition towards following health advice
           | is in some way causally connected to the reduction in death
           | rate...
        
         | massysett wrote:
         | This varies a lot by region. Where I live, everyone wears masks
         | in Costco - I'd attribute this to the government mandate, but
         | people did not stop wearing them even when the mandate was
         | lifted. They have also closed the schools again.
        
         | Karsteski wrote:
         | > I'm still wearing a mask for facial recognition purposes
         | 
         | Real talk, wth is going on in your head...
        
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