[HN Gopher] CDC Updates, Shortens Recommended Isolation and Quar...
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       CDC Updates, Shortens Recommended Isolation and Quarantine Period
        
       Author : infodocket
       Score  : 46 points
       Date   : 2021-12-27 21:59 UTC (1 hours ago)
        
 (HTM) web link (www.cdc.gov)
 (TXT) w3m dump (www.cdc.gov)
        
       | lettergram wrote:
       | Lol man, this is kinda insane.
       | 
       | I just hope everyone understands Florida, Tennessee, West
       | Virginia, Georgia, Texas, etc
       | 
       | They've basically been normal the last 2 years. Take a second and
       | imagine, everything you've gone through. Being isolated, holidays
       | ruined, frustration at other, drinks missed with friends, awkward
       | conversations about covid (don't know where people stand), etc
       | 
       | At the end of the day those states have about the same death
       | figures as anywhere else. Now the cdc is suggesting changing the
       | isolation period. You know who's not isolating? People in the
       | states I mentioned. They stopped 18 months ago.
       | 
       | I think it's time to face reality, this thing is over. Let's all
       | celebrate; have fun! Lockdowns failed, as the experts initially
       | suggested they would. Masks don't do anything, as the experts
       | agreed prior to media censorship. The country wide experimental
       | results are in. We can't control an airborne pathogen, we can
       | only treat it. Maybe we slowed the spread a bit, but almost 2
       | years in, it's endemic
       | 
       | If you're nervous stay inside, we will miss you, but we
       | understand.
        
         | dragontamer wrote:
         | When this pandemic started, a 35-year-old family friend of mine
         | got infected with COVID19, infected his father, and then both
         | died. Then we couldn't attend their funeral because the
         | devastated family was worried they would spread COVID19 to
         | everyone else during the funeral.
         | 
         | You can't live like normal in these social circumstances.
         | 
         | -------
         | 
         | Florida's death rate has been far higher than the rest of the
         | country due to their decision. And for what? Omicron arrives,
         | and their "natural immunity" is falling apart like a paper
         | tiger.
         | 
         | "Natural immunity" gave them absolutely no protection at all.
        
         | warning26 wrote:
         | Was this written by GPT-2
        
         | dpeck wrote:
         | | Georgia
         | 
         | I can only speak for that as I lived there for the last 20
         | years or so of adulthood. But just like political maps
         | generalize on red/blue when it's a 48/52 swing so does the way
         | that people are experiencing and responding to Covid-19. This
         | is both in Atlanta, as well as other rural parts of the state.
         | 
         | I've had numerous friends in the last week isolate due to
         | getting a positive test result, or to make sure they didn't
         | have any inadvertent exposure before holidays with family.
         | 
         | I've also had friends in other states ignore the virus and live
         | their life to the extent that they're able to with whatever
         | government mandates are in place.
         | 
         | Without any value judgement on right or wrong my takeaway is
         | that there's so much individual variation, lax/nonexistent
         | enforcement, that locations and policies seem to matter very
         | little in practice. It basically just means if people are going
         | to have mask around their chin or none on at all.
        
         | syshum wrote:
         | I would says 25-30 states as this point have been normal for at
         | least a year....
         | 
         | I would also say the demographic here likely leans more to
         | states that have not been normal and still steeped in COVID
         | hysteria.
         | 
         | >Now the cdc is suggesting changing the isolation period
         | 
         | They are also doing it not for scientific reasons, but economic
         | reasons further reducing the trust one can place on the CDC.
         | Air travel and other industries have been massively impacted by
         | these mandatory isolation for asymptomatic COVID positive
         | people requiring them to take time off work.
         | 
         | >>I think it's time to face reality, this thing is over.
         | 
         | I think the problem here is the belief there is a singular
         | reality, My Reality, and likely your reality is not the same as
         | many others reality. I am not sure how we move beyond this
         | fact. There are a large number of people that believe COVID has
         | a 60% fatality rate, and that you have contract COVID you have
         | a 90% chance of going to hospital, when in reality the numbers
         | are many many many factors lower than that.
         | 
         | Fear is what the government, and the media needs for control
         | over the population, they have peddled in many narratives of
         | fear, COVID is just the latest.
         | 
         | COVID will not end until they find something new that will
         | scare the public more than COVID, the problem is their
         | disinformation about COVID was too good, the boogeymen too
         | perfect, the psychological effects too strong... I am not sure
         | they can find anything to replace it.
        
       | qbasic_forever wrote:
       | I would love to see them provide references and links to studies
       | they are using to make these decisions. As it is this just reads
       | almost like propaganda or a very strong, "trust us, we're the
       | CDC".
       | 
       | We're approaching a _megadeath_ of Americans from COVID-19 and
       | cannot continue on this disastrous path.
        
         | iherbig wrote:
         | While I agree with both sentiments, I find the juxtaposition
         | between the two interesting as it implies a relationship
         | between them but they don't seem to be related at all.
        
         | Bombthecat wrote:
         | Checkout Dr. campbell on Youtube. He is pretty good. I like how
         | he goes over things and explains them.
        
           | qbasic_forever wrote:
           | I've watched him since the start and his quality of advice
           | has strongly declined since the pro-Ivermectin/Joe Rogan
           | crowd started filling his comments with nonsense. He was
           | great in March 2020 when it was clear governments were too
           | slow to react. Nowadays he seems resigned to fatalism that
           | "we're all just going to get it, nothing can be done".
        
             | timr wrote:
             | We _are_ all going to get it. This isn 't fatalism. It's
             | just a statement of fact.
             | 
             | It's an endemic respiratory virus with multiple animal
             | reservoirs, and there is no vaccine that provides
             | sterilizing immunity. Elimination is a pipe dream.
        
               | josephcsible wrote:
               | There are plenty of other infectious diseases that aren't
               | eradicated but that most people never get. Why that
               | dichotomy for this one?
        
         | phonypc wrote:
         | Kinda stuck between a rock and a hard place. With the way case
         | numbers are going, for everyone to strictly adhere to the old
         | recommendations would necessitate pretty huge disruptions to
         | essential services.
        
         | codeddesign wrote:
         | Megadeath? That's a little extreme considering that the death
         | rate has been tapering for some time. On the other hand, the
         | administration and CDC have been running propaganda the entire
         | year, so this is nothing new. Expecting truth out of either of
         | them about this is a lost cause.
        
           | iso1210 wrote:
           | Current US deaths is 815k, and increasing steadilly. At this
           | rate it will hit 1Mdeath by the end of April
        
             | TeeMassive wrote:
             | There is no way to know if those deaths were because or
             | _with_ Covid-19.
             | 
             | Also correlation doesn't mean causation. Confinement caused
             | a lot of hardships on people. Hell, fentanyl alone kills
             | hundred of thousands each year, that's not even counting
             | alcohol, other drugs, stress and solitude.
        
             | wackro wrote:
             | Excess deaths are over 1m. See
             | https://www.economist.com/graphic-detail/coronavirus-
             | excess-...
        
           | qbasic_forever wrote:
           | I remember when people said 240,000 American deaths were "a
           | little extreme" when the IHME predicted it at the start of
           | the pandemic.
           | 
           | Wake up--we are far closer to an actual megadeath of
           | Americans than not.
        
       | Bombthecat wrote:
       | Yes!
       | 
       | The end is nigh! (in a good way :))
        
         | pubg wrote:
         | That's not what it says at all.
        
       | Darmody wrote:
       | I really hope Omicron is the strain that turns the virus into
       | endemic and we can live with it as we live with the flu.
        
         | dragontamer wrote:
         | Eeehhhhh.
         | 
         | Hard to say right now. Hospitals in my state have just
         | activated emergency protocols, because our surge is already
         | exceeding Winter-2020 levels. This means that 20% of surgeries
         | are going to be cancelled, and other such care is going to be
         | officially rationed off. (BTW: We're at 90% adults vaccinated,
         | but "70% to 80%" of the hospitalizations are unvaccinated
         | individuals).
         | 
         | EDIT: To be clear: individual hospitals declare emergencies.
         | Its not a state-wide declaration. Hospitals have begun to
         | declare emergencies and activate hospital-specific rationing.
         | 
         | Omicron has been a bitch so far. It seems like it is causing
         | hospitalizations in the unvaccinated population, maybe not at
         | the same "rate" as Delta, but in high enough numbers that we're
         | going to run out of hospital beds in my area.
         | 
         | -------
         | 
         | Elsewhere in the country... Florida's 300% rise in cases this
         | past week has demonstrated that natural-immunity from
         | Alpha/Delta was completely worthless vs Omicron.
         | 
         | Florida is well on its way to having a worse surge than it ever
         | had before. It doesn't seem like we can natural-immunity our
         | ways out of this.
        
           | usaphp wrote:
           | > This means that 20% of surgeries are going to be cancelled
           | > We're at 90% adults vaccinated, but "70% to 80%" of the
           | hospitalizations are unvaccinated individuals > our surge is
           | already exceeding Winter-2020 levels
           | 
           | Can you put any links to the data on any of these? I am
           | really curious to know where you get that from, I can't find
           | any hospitalization data from Omicron and vaccinated rates on
           | those hospitalizations.
        
             | dragontamer wrote:
             | The first hospital to declare an emergency in my state
             | was...
             | 
             | https://www.umms.org/uch/news/2021/um-uch-moves-to-crisis-
             | st...
             | 
             | The 70% to 80% quote is from local-TV stations.
             | 
             | https://www.wbaltv.com/article/um-upper-chesapeake-
             | hospital-...
             | 
             | > Barrueto said 70% to 80% of the hospitals' patients are
             | unvaccinated. He said the move also sends a message to the
             | community that it's not business as usual.
        
           | timr wrote:
           | > Elsewhere in the country... Florida's 300% rise in cases
           | this past week has demonstrated that natural-immunity from
           | Alpha/Delta was completely worthless vs Omicron.
           | 
           | This is simply wrong. A rise in _cases_ is not evidence of
           | much of anything related to immunity, let alone _natural_
           | immunity. Plenty of vaccinated people are getting _infected_
           | as well -- they 're not dying from it.
           | 
           | > Florida is well on its way to having a worse surge than it
           | ever had before. It doesn't seem like we can natural-immunity
           | our ways out of this.
           | 
           | Please stop speculating. The "surge" in cases is currently
           | lower than what happened in FL over the summer, and
           | hospitalizations are flat:
           | 
           | https://covid-19.direct/state/12
        
           | nickff wrote:
           | > _" Omicron has been a bitch so far. It seems like it is
           | causing hospitalizations in the unvaccinated population,
           | maybe not at the same "rate" as Delta, but in high enough
           | numbers that we're going to run out of hospital beds in my
           | area. "_
           | 
           | One of the problems seems to be that hospital staff are so
           | expensive (because of their regulated monopoly) that we've
           | been running with no spare capacity in normal times. Most
           | other systems have 20% or more extra capacity.
        
             | pjc50 wrote:
             | > Most other systems have 20% or more extra capacity.
             | 
             | I think it's been fairly clear in the pandemic that they
             | don't.
        
             | dragontamer wrote:
             | We've literally never run out of hospital space before,
             | including the 2020 winter surge of COVID19/Alpha (which hit
             | us harder than Delta did).
             | 
             | This Omicron is worse than anything we've seen before
             | locally. Crisis levels / Emergency levels of
             | hospitalization have been reached.
             | 
             | Yeah, we've had a nursing crisis and our health care system
             | is shoddier than many people realize. But Omicron is
             | clearly different.
        
           | bonzini wrote:
           | So there are 9 times as many vaccinated people and 3 times
           | fewer hospitalizations, that would be 1-1/27 efficacy (96% or
           | so). Sounds like it's no worse, or possibly even better, than
           | what was measured in the trials
        
           | heavyset_go wrote:
           | > _Florida 's 300% rise in cases this past week has
           | demonstrated that natural-immunity from Alpha/Delta was
           | completely worthless vs Omicron. Florida is well on its way
           | to having a worse surge than it ever had before. It doesn't
           | seem like we can natural-immunity our ways out of this._
           | 
           | Tangential, but has Florida started accurately reporting
           | their cases, hospitalizations and deaths instead of under-
           | reporting them?
        
             | dragonwriter wrote:
             | > Tangential, but has Florida started accurately reporting
             | their cases, hospitalizations and deaths instead of under-
             | reporting them?
             | 
             | AFAIK, the only underreporting they are doing is not
             | counting positive tests as cases unless the person is a
             | permanent Florida resident, while everyone else is counting
             | tests conducted in-state. Which is significant, but really
             | only effects the case count.
             | 
             | (They may be doing a bad job of actually _doing_ testing,
             | too, but that's not underreporting though it has a similar
             | effect. But, again AFAIK, hospitalization and death numbers
             | aren't impacted.)
        
             | dragontamer wrote:
             | > Tangential, but has Florida started accurately reporting
             | their cases, hospitalizations and deaths instead of under-
             | reporting them?
             | 
             | Doesn't matter IMO. What matters is the change-in-percent.
             | If Florida's "undercount" is 300% higher this week than
             | last week, that's all the evidence we need, as long as the
             | "undercount" remained consistent.
             | 
             | The exact number isn't important. Its the change in numbers
             | we can look at and rely upon. If you don't trust the
             | numbers, you can still trust the change-in-numbers.
             | 
             | Its not important to get exact numbers. Its more important
             | to remain consistent in your reporting through these
             | crisis. We care about apples-to-apples comparisons within
             | the state, not against different states. A 300% rise is a
             | 300% rise.
        
               | heavyset_go wrote:
               | I agree that you can glean trends from inaccurately
               | reported data, but I'm asking because I want to know if
               | there is a source that is attempting accurate reporting
               | in Florida, or if Florida is counting things differently
               | than they were a while ago.
        
           | zaidf wrote:
           | I think when the dust settles, we'll conclude that Omicron
           | for the vaccinated posed very similar risks as the flu.
           | Keyword of course is _for the vaccinated._ SF is seeing the
           | highest case counts at _any point_ in the pandemic and yet
           | there is no real change in hospitalizations /deaths.
           | 
           | Anecdotally, I've attended two mega indoor concerts in the
           | past couple of months. It is almost impossible that I haven't
           | been exposed to or contracted COVID.
        
             | dragontamer wrote:
             | > Keyword of course is for the vaccinated. SF is seeing the
             | highest case counts at any point in the pandemic and yet
             | there is no real change in hospitalizations/deaths.
             | 
             | It took about a week or two between our Omicron-surge
             | before our hospitals filled up around here. COVID19 is a
             | slow-moving disease, give it some time and prepare.
        
               | heavyset_go wrote:
               | To clarify, there's a lag for hospitalizations, and then
               | there is another lag for deaths. COVID can even take a
               | couple of months to kill from the initial infection if
               | the infected person is being kept alive on a ventilator.
        
               | zaidf wrote:
               | What's the vaccination rate in your county?
        
               | dragontamer wrote:
               | 61.8% of total population. Lower than the state's average
               | but still pretty good by American standards.
        
               | zaidf wrote:
               | Ah. SF is at 87% with at least one dose and 80% with at
               | least 2 doses.
               | 
               | I think 62% vs. 80% could be a big enough delta to
               | explain the difference here versus your town.
        
               | dragontamer wrote:
               | Thanks for the additional data-point. That 18% difference
               | could very well make the difference.
               | 
               | I'll be keeping an eye on your higher-vaccination rate
               | and how it works out in your city. I've been trying to
               | tell my coworkers / people around me to get vaccinated
               | (and boostered) but not everybody would listen.
               | 
               | EDIT: The state's average is like 80% total population. I
               | live in an area with far below the state's average in
               | regards to vaccinations.
        
           | travisgriggs wrote:
           | Curious which state you're in.
        
         | qbasic_forever wrote:
         | I remember when people said that about alpha, and then delta,
         | and now omicron...
         | 
         | When is it going to happen? The UK convinced itself alpha would
         | give them herd immunity and stop future outbreaks. Then the
         | same people came out to say ok now with delta in the UK we'll
         | let it burn all summer and then be protected. And now the same
         | people have the gall to say, ok ok _this time_ omicron will be
         | the one that gives us herd immunity.
         | 
         | It's time to call out this nonsense for the complete horseshit
         | nonsense that it is.
        
           | Robotbeat wrote:
           | So there were high degrees of heard immunity... but then
           | Omicron came which has pretty high immune escape, and so it
           | spreads all over, whether you were vaccinated or not, had
           | COVID before or not. And then it finds those who were neither
           | vaccinated nor previously had COVID and puts them in the
           | hospital. Spreads so quickly that the hospital system is
           | overloaded even if the Case Hospitalization Rate isn't that
           | high.
           | 
           | So it's gonna expose everyone regardless, therefore it is a
           | kind of herd exposure, if not herd immunity. Hopefully, in
           | combination with the previous exposure, the transmissibility
           | will be lowered by this "herd exposure" so in future waves
           | the hospital system won't be hit as hard.
           | 
           | It's roughly less than half as lethal as Delta, other things
           | being equal. In combination with boosted+vaccination, the
           | risk is pretty low, comparable to flu or perhaps lower now
           | that we have better treatments.
           | 
           | We need the pan-coronavirus vaccines, though, in addition to
           | these less lethal variants, to really bring this down to
           | background seasonal flu/cold virus levels. (And it wouldn't
           | hurt if we finally fixed the HIV pandemic so variants don't
           | mutate so much. And fix vaccine logistics further so we have
           | a prayer to deploy vaccines before literally everyone gets it
           | like Omicron.)
           | 
           | Coronaviruses normally don't mutate as fast as the typical
           | seasonal flu since they don't do recombination as
           | efficiently. So we SHOULD be able to keep up with it. But our
           | main vaccine strain is now 2 years old. You can't expect that
           | to work well forever.
        
           | TeeMassive wrote:
           | > It's time to call out this nonsense for the complete
           | horseshit nonsense that it is.
           | 
           | Having non-stop sanitary edicts and booster shots every three
           | months is not really a long-term sustainable policy either.
        
           | nickff wrote:
           | > _" It's time to call out this nonsense for the complete
           | horseshit nonsense that it is. "_
           | 
           | This is not helpful. I understand that you disagree with the
           | parent, but you could have ended your comment on a more
           | constructive and helpful note.
        
             | qbasic_forever wrote:
             | 20 millions people worldwide are estimated to be dead so
             | far in 2 years of this virus pandemic.
             | 
             | It's time to call out the minimizers and downplayers on
             | their _horseshit_.
        
             | outside1234 wrote:
             | For what its worth, I took this as an attack on the idea
             | and the parent themselves as a person.
        
           | fshbbdssbbgdd wrote:
           | If you look at the data on hospitalizations in the UK, you
           | see that the suffering really was much greater during alpha:
           | https://ourworldindata.org/grapher/uk-daily-covid-admissions
        
             | qbasic_forever wrote:
             | And? Where was the herd immunity after it?
        
       | pubg wrote:
       | > If you:
       | 
       | > Completed the primary series of Pfizer or Moderna vaccine _over
       | 6 months ago and are not boosted_
       | 
       | > OR Completed the primary series of J&J over _2 months ago and
       | are not boosted_
       | 
       | > OR Are _unvaccinated_
       | 
       | So vaccinations received greater than 2-6 months prior are
       | worthless in this context (still keeps you out of the hospital,
       | doesn't reduce transmissibility).
       | 
       | This signals that the provided "immunity" is quite short-lived,
       | moreso than any other vaccine I can recall. How unfortunate.
        
         | WaxProlix wrote:
         | Yes, and with the continued prevalence of novel strains they
         | fail to hit a moving target.
        
         | heavyset_go wrote:
         | Flu vaccines have a similar immunity cliff. Some HIV vaccines
         | in trials also had similar rates. Some viruses are adapted, or
         | are able to mutate, to avoid immune responses relatively
         | rapidly compared to other viruses.
        
         | cletus wrote:
         | Are people who say this unaware of annual flu vaccines?
         | 
         | To compare, we're still by some measures 103 years into the
         | Spanish flu pandemic [1].
         | 
         | [1]: https://www.history.com/news/1918-flu-pandemic-never-ended
        
         | ohmanjjj wrote:
         | Pharma companies realized the money is in subscriptions. Like
         | Adobe, why offer Photoshop for a one time sale when they can go
         | the SaaS model and get the juicy recurring revenue.
         | 
         | Vaccine as a service...
        
           | User23 wrote:
           | It's really interesting how this pandemic has got formerly
           | cautious people all in on big pharma. You are of course
           | correct that pharma, like all businesses, loves recurring
           | revenue. Statins made billions and billions to just give one
           | example. Meanwhile Gilead made a Hepatitis B cure and while
           | it did well the first couple years, profits dropped like a
           | rock because, well, it was a cure. Goldman Sachs even
           | helpfully pointed out in a research note that cures are
           | economically inferior.
        
       | yosito wrote:
       | It seems that the CDC's logic is that reducing the quarantine
       | will encourage people 1) to get tested, since 5 days of
       | quarantine isn't as bad as 10 days and 2) to actually quarantine
       | if they are exposed or positive. But no one is going to wear a
       | mask for those 5 days after quarantine. You're either contagious
       | or you're not. If you and/or others believe you're contagious,
       | you're going to isolate. If you don't believe it, you're not
       | going to wear a mask. No one is going to go around saying "yeah,
       | I might still have COVID so I thought I'll still hang out with
       | you, but I'll just wear a mask". Yeah right.
       | 
       | And sadly, the CDC don't appear to be offering any advice or
       | information about how long one is actually contagious, which is
       | the information people really need to make safe and responsible
       | decisons. Nor do they appear to be encouraging more rapid at home
       | testing, which is really what needs to happen to start managing
       | this virus. I spent the entire day today calling around for any
       | kind of rapid tests anywhere in Ohio after someone from our
       | Christmas Eve gathering fell sick. They're sold out everywhere.
       | Was finally able to get some tests when a shipment came in to the
       | county health department, but they were gone in a couple of
       | hours.
       | 
       | Meanwhile, I think Joe Biden is asleep. Why doesn't he issue an
       | executive order and/or activate the Defense Production Act to get
       | rapid tests to Americans now? He's had plenty of time to prepare.
        
         | kevinavery wrote:
         | See sentence 2.
         | 
         | > The change is motivated by science demonstrating that the
         | majority of SARS-CoV-2 transmission occurs early in the course
         | of illness, generally in the 1-2 days prior to onset of
         | symptoms and the 2-3 days after.
        
           | yosito wrote:
           | Yes, but they don't show any data.
        
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