Do Religious Exemptions From Vaccination Protect Anyone?

The Daily Escape:

Coast Guard Beach,  Cape Cod MA – October 2021 photo by Anna Olivera Alabarg

From Military.com:

“US service members should have the right to refuse the military’s COVID-19 vaccination requirement on conscientious grounds, the Catholic Church’s Archdiocese for the Military Services said Tuesday.”

The statement by Archbishop Timothy Broglio focuses on potential objections over the use of fetal cell lines in vaccine development: (emphasis by Wrongo)

“The Pfizer and Moderna COVID-19 vaccines were tested using an abortion-derived cell line. That type of a link has been for centuries considered remote material cooperation with evil and is never sinful. The Johnson & Johnson vaccine was developed, tested, and is produced, with abortion-derived cell lines. That vaccine is, therefore, more problematic.”

That’s the Catholic Church’s overriding position on Covid vaccines. Since the military has the Pfizer and Moderna vaccines available, no military member needs to take the J&J shot. Where Archbishop Broglio goes off the rails is with this:

“….no one should be forced to receive a COVID-19 vaccine if it would violate the sanctity of his or her conscience.

Individuals possess the “civil right not to be hindered in leading their lives in accordance with their consciences.”

Even if an individual’s decision seems erroneous or inconsistent to others, conscience does not lose its dignity. This belief permeates Catholic moral theology as well as First Amendment jurisprudence. As stated by the United States Supreme Court, “[R]eligious beliefs need not be acceptable, logical, consistent, or comprehensible to others in order to merit First Amendment protection.”

So, every Catholic in the military has a vaccination hall pass from the Archbishop from taking a vaccine that is “never sinful”? The curious thing is that Catholics are the most vaccinated group in the US, according to a recent national survey by the Pew Research Center.

Should religious exemptions from vaccine mandates really be a thing? Exceptions were designed to protect religious faith. But where vaccines are concerned, they often seem to be used in bad faith, as a way to get around complying with a public health requirement.

Some Constitutional history from Wired: The First Amendment restricts the government from prohibiting the “free exercise” of religion. For much of our history, there were no religious exemptions from secular laws that applied to everyone. As the Supreme Court observed in 1879, “To permit this would be to make the professed doctrines of religious belief superior to the law of the land, and in effect to permit every citizen to become a law unto himself.”

Congress couldn’t tell you what to believe, the Court ruled, but it can tell you what to do.

By the early 1970s, the justices carved out space for religious exemptions. They ruled that if a superficially neutral law conflicted with a religious command, the government would have to meet the “strict scrutiny” test by showing that it had a “compelling interest” in enforcing the law.

In 1990, the Court narrowed its thinking. In a case involving members of a Native American Church who took peyote as part of religious ceremonies, the Court held that religion doesn’t give someone the right to challenge a “generally applicable” law. Ruling otherwise, wrote the conservative Catholic Justice Antonin Scalia, “would open the prospect of constitutionally required exemptions from civic obligations of almost every conceivable kind.” An example of a civic obligation that Scalia cited for his slippery-slope argument: compulsory vaccination laws.

In fact, religious opposition to vaccines is rare. In 2013, John D. Grabenstein, a vaccinologist and practicing Catholic, surveyed a wide range of world religions and couldn’t find any that had anti-vaccine teachings, except for the Christian Scientists, who teach that the material world, including disease, is an illusion. And the way to overcome disease is through prayer, not medicine or vaccination.

In the 1960s and ’70s, as vaccine mandates for diseases like measles and polio proliferated, a wave of state laws enabled religious opt-outs. Today, 48 states and the District of Columbia allow some form of exemption.

As Aaron Blake asks in the WaPo: How long before Republicans’ coronavirus vaccine skepticism and anti-mandate fervor makes the next logical jump – to the other vaccines that have been mandated for many years?

It’s already happened. Ohio Congressman Jim Jordan tweeted:

“Ohio should ban all vaccine mandates”

Jordan supposedly is vaccinated. But apparently, he wants not only Covid, but whooping cough and measles to be spread as far and wide as possible.

It seems likely that the US will end up with fewer vaccine requirements in some places than we had before this pandemic that has killed over 700,000 people. You know, the one that we have vaccines for.

We live in a country where there’s no agreement on what constitutes the common good.

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More Shortages Are Coming

The Daily Escape:

Fall, Longfalls Dam road, Carrabassett, ME – October photo by Laura Casey

The NYT reported on how the German economy is being slowed by product shortages:

“More than 40% of German companies said they had lost sales because of supply problems in an August survey….Europewide, exports would have been 7% higher in the first six months of the year if not for supply bottlenecks, according to the European Central Bank.”

And it isn’t just Germany. Since the onset of Covid, US consumers have been experiencing disruptions in the supply chain. Wrongo has once again noticed empty shelves are back in our local chain supermarkets.

The bad news is that many think it’s going to get worse.

It’s no longer a matter of fixing one problem. A cascade of sourcing failures in raw materials, production, shipping, staffing, labor, along with weather disasters, may mean these shortages are around for several years. From Shelley Fagan:

“The US has 20 container ports located along the East and West coasts as well the Gulf of Mexico. Ports are where 70% of all US-international trade enters, accounting for 26% of…GDP.”

Even if the goods get to America, we’re at the mercy of our system of rails, barges, and trucks that  transport goods to factories, distribution centers, stores, and consumers. Trucking moves 71% of all this freight in America, and there’s a shortage of drivers.

But our transportation infrastructure is also vulnerable, and our politicians have yet to lift a finger to help. Maybe next month.

Moving cargo by sea is historically cheap and efficient, so most of our imports from Asia arrive via cargo vessels. But now there’s a shortage of shipping containers. This has caused an immense spike in the cost of shipping. From Scott Galloway:

“Until 2020, the cost of shipping a 40-foot container along the world’s major trade routes never exceeded $2,000. Then Covid hit, and shipping firms reduced their fleets in expectation of low consumer demand. Instead, demand went up. This has upended the global supply chain. Shipping costs are now up 5 times to a record high: $10,000.”

The largest ships can carry more than 10,000 of these and when things run smoothly, about 25 million containers are in use on some 6,000 ships sailing around the globe.

The supply chain disruptions are causing backlogs in transporting all this cargo. About 40% of all US container traffic flows through the ports of Los Angeles and Long Beach. Currently, there are 65 ships waiting to unload thousands of containers. Again, that’s complicated by too few drivers in the trucking industry.

Flying into San Francisco last week, Wrongo saw about 30-35 ships also stacked up there. And China’s current forced reduction in energy consumption has hurt many high-tech producers. Wolfstreet reports that:

“…suspensions or reductions of industrial electricity supply that manufacturers in numerous industries are hit with, including key facilities that produce components for Apple, Tesla, Intel, NVIDIA, Qualcomm, NXP, Infineon, and ASE Tech….They’re now under orders to temporarily halt production…”

And supply chain issues go beyond tech products. Currently, 119 million Americans use prescription drugs, of which 25% are imported. These drugs start out as APIs (active pharmaceutical ingredients) — chemicals like hydrochloric acid and caustic soda. And China accounts for 80% of total raw materials for making medicine.

India is the largest producer of generic pharmaceuticals. They fulfill 40% of the demand in the US generic market. And shortages linked to this vulnerability aren’t a new problem. From Pharmaceutical Outsourcing:

“The average drug shortage in the US lasts for 14 months and some last for years when based on a high-risk supply chain. Before COVID-19, the FDA had already placed 145 pharmaceutical products on its drug shortages list.”

Since disruptions of the supply chain cause big price increases for goods that are difficult to get, it’s a threat to America’s economic health. And for medical and pharmaceuticals, it’s also a threat to public health.

Government knows about the problem but can’t fix it. After the PPE shortages at the onset of the Covid pandemic, you’d think we would develop a detailed plan to address the areas of greatest disruption. But all that happened was a 100-day review, making recommendations to shore up vulnerabilities sometime in the future. The proposals are sound, but they won’t help end our current shortages. Consumers can expect the current supply chain issues to persist well into 2022, and possibly beyond.

The geniuses in the multinational corporations who sold us globalization and just-in-time supply chains as the way to our best future are now telling us we just have to get used to shortages.

Economies can’t always just fix themselves. That’s a fantasy of capitalist utopianism.

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Monday Wake Up Call – September 20, 2021

The Daily (no) Escape:

More than 660,000 white flags have been put on display at the National Mall in Washington DC in memory of Covid victims. The display is called “In America: Remember”, organized by artist Suzanne Brennan Firstenberg.

“Reality is that which, when you stop believing it, doesn’t go away”  ̶  Philip K. Dick

And a corollary: Delusion requires passionate and unyielding belief to keep pesky facts from intruding. This is why for some people, cults are a viable form of social organization.

The Covid vaccines save lives. America has an abundant supply. The shot is free. But many Americans remain unvaccinated. Some don’t have access, but it appears the vast majority of the unvaccinated are making a decision that appears to be driven in part, by their politics.

The WaPo reports that:

“Since May of this year, more than half of the deaths from the coronavirus have been in states that voted for Donald Trump. There have been 239 deaths per million among red-state residents, compared with 150 per million in blue states.”

And for vaccinations, states that voted for Trump in 2020 have lower vaccination rates. Here’s a chart:

Are Republicans following a political strategy with vaccines? Brian Beutler thinks so:

“To grasp that Republicans encouraged COVID spread to harm Biden, you don’t have to believe, in a conspiracy-addled way, that they convened in secret and built a playbook for maximizing infections. You simply need to observe that a critical mass of conservative elites view undercutting Biden and Democrats as a political lodestar, and make immensely consequential governing and broadcast decisions on that basis alone.”

According to the NYT, that thinking has led to 16,200 preventable deaths since July 1 nationwide. And it’s important to realize that most deaths occurring now are preventable in a way that was absolutely not the case at the start of the pandemic.

Following on Phillip Dick’s quote above, a reality is that Covid is now a preventable disease.

Ignoring reality, Red State governors are actively discouraging vaccination and masking. They are actively encouraging a preventable but deadly illness to spread. They are putting the entire nation at risk of a vaccine resistant variant. They’re threats to our national security.

Polls show that Biden’s approval rate has slipped, in part due to the Covid surge. Covid may be hurting Biden politically, but it’s hurting Red State Republican constituents literally (and seriously). The Red State Covid fatality rate isn’t high enough to really hurt their vote totals except in marginal districts. The Republican bet is that the intensity/turnout advantage they get from anti-Vaxx deniers will pay off in the 2022 mid-terms.

They seem to have internalized that a pandemic combined with pandemic denialism helps them. In 2020, the Republican ground game benefited from the fact that Covid denialists were more willing to go out in public. They used the fact that their voters were more likely to vote in person to push Trump’s Big Lie election-fraud theories.

But here we are. They’re living in a world where the virus is fake, and thousands of people are dying from taking the vaccine. They’re taking Ivermectin and anti-malarial drugs because the fake virus is a little threatening, but not bad enough to take the vaccine. It can be deadly, but “it isn’t for me” because it’s a liberal conspiracy.

But the “reality” is that excess deaths from all causes since February, 2020 according to the CDC is 830,400. Last year, the age-adjusted all-cause mortality rate in the USA rose by 15.9%. This is by far the biggest one-year rise in that rate in the 120 years that official records have been kept for this basic measure of overall public health.

Time to wake up Red Staters! Many of the GOP higher ups (and their media lackeys) think that you’re not masking or taking the vaccine, will hurt Biden and the Democrats. Maybe you should be thinking about the greater harm that following their lead may bring to you and your family.

To help you wake up on this last Monday of summer, listen to the Foo Fighters, who are going through a “disco discovery” stage wherein they call themselves the Dee Gees, cover the Bee Gees’ “You Should Be Dancing”:

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Sunday Cartoon Blogging – September 19, 2021

Ruy Teixeira had thoughts on the California recall election: (brackets by Wrongo)

“In the recall election exit poll, the “yes” vote against Newsom [yes meant replace him] was 40% among Hispanics. That far outdistances the [Hispanic] vote for Trump in 2020…(just 23% in the exit poll; 29% in the AP/NORC Votecast survey)….Biden’s approval rating seems to be lagging nationwide among Hispanics. In the most recent Quinnipiac survey, Biden has only 38% percent approval vs. 47% disapproval among these voters.”

Yes, there was room for some optimism in the CA results: Running against Trump (or Trump clones) still looks like a winner. But Biden needs to do better with Hispanics, and he needs America to beat Covid. All of this says the Democrats have work to do before the 2022 mid-terms. On to cartoons.

Newsom won:

Are Republicans willing to die to beat Biden?

Are the Republicans willing to die to beat Biden?

Wrongo extends a greeting to General Milley: Welcome to Antifa. We’re glad to have you:

Abused Gymnasts stick it to the FBI who failed bigly:

Amy Coney Barrett says there aren’t any partisan hacks on the Supreme Court. She said that “judicial philosophies are not the same as political parties.” Her philosophy is “originalist,” which is interpreting the law after consultation with James Madison’s ghost:

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Saturday Soother – September 18, 2021

The Daily Escape:

Great Sand Dune NP – photo by Rick Randall

A disturbing story from Kaiser Health News (KHN):

“Republican legislators in more than half of US states, spurred on by voters angry about lockdowns and mask mandates, are taking away the powers state and local officials use to protect the public against infectious diseases.”

KHN found that at least 26 states pushed through laws that permanently weaken government authority to protect public health. The actions varied but included these:

  • In 16 states, legislators have limited the power of public health officials to order mask mandates, quarantines, or isolation. In some cases, they gave themselves or local elected politicians the authority to prevent the spread of infectious disease.
  • At least 17 states passed laws banning Covid vaccine mandates or made it easier to get around vaccine requirements.
  • At least 9 states have new laws banning or limiting mask mandates. Executive orders or a court ruling limit mask requirements in five more.

Here’s a map showing where these assaults on public health are happening:

Draft legislation created by the American Legislative Exchange Council, restricting the emergency powers of governors and other officials, has inspired dozens of state-level bills, according to KHN. In some states, governors can no longer institute mask mandates or close businesses, and their executive orders can be overturned by legislators.

This toxic stew has led at least 303 public health leaders to retire, resign or be fired since the pandemic began. That means 1 in 5 Americans have lost a local health leader during the pandemic, when many hospitals are full, and people are still dying in large numbers.

This is America in 2021: It’s vitally important to the freedom of True Americans™ that the government be prevented from doing anything to help or protect them, except for cutting taxes.

We live in a dysfunctional democracy, and that seems to be the way we like it. No evil deity could have done better at setting us up to fail.

There are two big ideas that are colliding in the weakening of state-level public health and the subsequent loss of public health officials. One is the doctrine of federalism, our system of government in which the same territory is controlled by two levels of government. The US Constitution has established a system of “dual sovereignty,” under which the States have surrendered some of their powers to the federal government, but also retained sovereignty in others.

These 26 states are using federalism, asserting their power over federal regulations and processes that are designed to keep people safe. It’s unclear what the federal government can do to reverse these actions.

The second big idea is: what are the foundational goals of government? The safety, health and longevity of our people should be the primary metrics for good governance. The decline in the quality of our governance shows clearly in the American people’s decline in both health and longevity.

Public health as a function has been in decline for decades. This attack on public health is the latest step in the systematic effort to discredit the profession, to box it in. Few in public health have direct power; most are working on social/environmental research, information sharing, and creating best practices in regulation of product and worker safety.

Our dysfunctional democracy got that way by catering to corporations and wealthy donors. Politicians are disinvested in the American people; they have disinvested from creating what should be a fair sharing of social gains.

This makes them anti-public health. To the extent they have any interest, it’s in public health’s policing powers, like the bounty hunter policy that’s been enacted in Texas.

But, today’s Saturday, and it’s a legal requirement for this column to help readers find a few moments to leave the clash of cultures behind and relax for at least a few minutes. Leaves are starting to fall on the fields of Wrong, and next week marks the end of summer. We’ve placed a few mums around the yard, and Wrongo got around to calling the shop that’s fixing his snowblower for an update.

To help you relax, grab a seat near a window and listen to Karl Davydov’s Opus 20, No. 2 “At the Fountain”. Davydov was a Russian cellist described by Tchaikovsky as the “czar of cellists”. Here, “At the Fountain” is played by cellist JĂ©rĂ©my Garbarg, accompanied by Samuel Parent, on piano.  Recorded at the Vuitton Foundation in December 2018:

In 1870, Count Wilhorsky, a Russian patron of the arts, presented Davydov with a 1712 Stradivarius cello. This cello is now known as the Davydov Stradivarius. It was owned by the great cellist Jacqueline du Pré until her death and is currently on loan to cellist Yo-Yo Ma.

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Americans Die Earlier Than Europeans

The Daily Escape:

The Barber Pole, Vermillion Cliffs National Monument, AZ – May 2021 photo by Dave Coppedge

Derek Thompson in The Atlantic says that America has a death problem:

“According to a new working paper released by the National Bureau of Economic Research, Americans now die earlier than their European counterparts, no matter what age you’re looking at.”

Covid deaths are excluded from the study.

Before the 1990s, average life expectancy in the US was not much different than it was in Germany, the United Kingdom, or France. But since the 1990s, American life spans leveled off, and then fell behind those in similarly wealthy European countries.

We started hearing about America’s declining longevity when Anne Case’s and Angus Deaton’s 2015 study showed that White mortality in the US was rising. They called the new trend “deaths of despair”, caused by increased deaths by suicide, drug overdose and liver disease associated with alcohol.

Now, the bad trend has spread to all Americans:

“Compared with Europeans, American babies are more likely to die before they turn 5, American teens are more likely to die before they turn 20, and American adults are more likely to die before they turn 65. At every age, living in the United States carries a higher risk of mortality.”

The study collected data on American life spans by ethnicity and by income at the county level, and compared the data to those of European countries, locality by locality, allowing for direct comparisons. It explodes the myth about America having the best medical outcomes.

More from Thompson:

“Americans are more likely to kill one another with guns, in large part because Americans have more guns than residents of other countries do. Americans die more from car accidents, not because our fatality rate per mile driven is unusually high but because we simply drive so much more than people in other countries.”

Americans also have higher rates of death from infectious disease and pregnancy complications. And all of this is over and above our terrible Covid death rate.

One reason for the differences in mortality is that unlike Europe, America doesn’t have a robust public health system. These systems are at their core, a multidisciplinary delivery of services in our towns and cities that work to solve health problems before they require hospitalizations.

The US public health system has significant gaps in capability and delivery. It is both fragmented, and weak politically. The politicization of public health in the Covid crisis has caused some local public health officials to quit or retire. Some have been physically threatened just for doing their jobs. Approximately 1 in 6 public health officials have left their jobs in the past 18 months.

By contrast, our European peers have robust public health service delivery in most locations.

The researchers found some significant findings. First, Europe’s mortality rates do not vary much between rich and poor communities. Residents of the poorest parts of France live about as long as people in the rich areas around Paris. From the study:

“Health improvements among infants, children, and youth have been disseminated within European countries in a way that includes even the poorest areas…”

Second, White Americans living in the richest 5% of counties still die earlier than Europeans in low-poverty areas:

“It says something negative about the overall health system of the US that even after we grouped counties by poverty and looked at the richest 10th percentile, and even the richest fifth percentile, we still saw this longevity gap between Americans and Europeans…”

The study also shows that Europeans in impoverished areas seem to live longer than Black or White Americans in the richest 10% of counties.

Third, America has a surprising US longevity success story: In the three decades before Covid, average life spans for Black Americans surged, in rich and poor areas, and across all ages. As a result, the Black-White life-expectancy gap decreased by almost half, from seven years to 3.6 years.

The study credits the Medicaid expansion in the 1990s, which covered pregnant women and children and likely improved Black Americans’ access to medical treatments. The expansion of the earned-income tax credit and other financial assistance have gradually reduced poverty. Air pollution reduction is also a factor. Black Americans have been more likely than White Americans to live in more-polluted areas, but air pollution has declined more than 70% percent since the 1970s, according to the EPA.

Let’s give the last word to Derek Thompson: (emphasis by Wrongo)

“For decades, US politicians on the right have resisted calls for income redistribution and universal insurance under the theory that inequality was a fair price to pay for freedom. But now we know that the price of inequality is paid in early death—for Americans of all races, ages, and income levels. With or without a pandemic, when it comes to keeping Americans alive, we really are all in this together.”

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Sunday Cartoon Blogging – September 12, 2021

When Wrongo was a kid living in CT, he got a 3-speed English bike, a Humber. One day while riding on the road in front of our house, a truck forced me onto the road’s sandy shoulder. The sand immediately grabbed the bike’s front wheel, stopping it dead in its tracks. Wrongo went headfirst over the handlebars and got up with a displaced fracture of his left wrist.

While Wrongo saw the accident coming, he couldn’t do anything to avoid the sand.

On the 20th anniversary of 9/11, is America being pushed onto the sandy shoulder of our road? We can still avoid a crash, but we’re facing quite a few threats that might push us off the road and into the gutter:

  • Losing our social cohesion
  • Continuing income inequality
  • Continuing racism
  • Increasing threats to the right to vote

Twenty years on, America is more at war with itself than with foreign terrorists. Our society and our democracy are threatened from within in a way that Osama bin Laden could never have managed.

Think about the Delta variant. One Party thinks that people should be free to acquire and transmit to others a deadly and extremely communicable virus. They also think it’s morally wrong for the government to engage in even the mildest coercion to push people to get vaccinated, because that coercion interferes with an individual’s liberty.

They think personal liberty is the highest social value in all circumstances except abortion. On to cartoons.

Our continuing learning disability:

9/11 aftermath:

Texas has only one star in its flag. That’s also its Yelp review:

New rodeo event in Texas:

America’s right wing is constantly sore about everything:

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Back-to-School Brings Increased Covid Threat to Kids

The Daily Escape:

Sunset and sunflowers, central UT – August 2021 photo by Jon Hafen

Schools are back in session and once again, it’s in person, after a confusing on-or-off, virtual or physical experience last year. Almost 5 million children have been diagnosed with COVID-19 since the pandemic began.

The American Academy of Pediatrics (AAP) reports that about 204,000 kids tested positive for Covid last week. And for the week ending August 26, children accounted for 22.4% of reported weekly cases. Covid cases are rising nearly everywhere in America, and our schools aren’t exempt. From USA Today:

“At least 1,000 schools across 35 states have closed for in-person learning because of COVID-19 since the beginning of the school year, according to Burbio, a New York-based data service that is tracking K-12 school reopening trends.”

This increasing number of school closures comes amid a battle over mask mandates in schools and the surge in pediatric Covid cases. Did it occur to you that the people bitching about mask mandates and refusing to get the vaccine are THE SAME ONES who are up to a million about exiting Afghanistan?

Republicans are saying that Biden has botched the Covid response. But we know that many Republican governors are actively pursuing policies that are increasing infections. Some of them are preventing schools from adopting mask policies. Dr. Eric Feigl Ding, an epidemiologist, tweeted this:

Moreover, the CDC says that hospitalization rates were 10 times higher among unvaccinated than among fully vaccinated adolescents, and increased 4 times as fast in August in states with low vs. high vaccination rates:

Would Republican politicians willingly sabotage their state’s Covid vaccine program for political gain? Before you say, “that’s ridiculous”, look at this note sent to people in Manatee County FL:

This was put out by a local MAGA group, whose leaders have been trained by national organizers on how to disrupt school board meetings.

Wrongo thinks that masks are a convenient target of opportunity for America’s angry and outraged. Being an angry, outraged White person pays big political dividends. Chances are that if you’re an angry American, you’re White and middle class. You are backed by an enormous right-wing media ecosystem that’s egging you on. You are part of a political party ready to overturn our current system of government on your behalf.

Many in law enforcement will police you selectively. You can disrupt school board meetings, scream at children in masks, and probably not even get your ass thrown out of the meeting. The maskholes are ascendant.

And so, America’s war with ourselves continues.

The CDC’s masking recommendation for vaccinated adults changes with local transmission rates. If high, all people should mask indoors. If low, there’s no need. But the CDC hasn’t set similar metrics for children and masks in schools.

So, should kids under 12 stay masked until they have an approved vaccine? What if that takes years? What if it’s approved soon, but only 35% of them get vaccinated, just like among the 12–15-year-olds who have had access to vaccines for months?

It’s possible that even by the end of the school year, most children will still be unvaccinated. Should the masks come off then, or remain in place indefinitely? Any school board that sets a mask mandate should also be setting in place a mask off plan. Otherwise, their angry and distrustful citizens will gain even more power.

Consider that in the UK, the government doesn’t require masks for children in schools. It isn’t clear whether they will advise that kids should get vaccinated. Britain has experts just like we do, and they’re looking at the same scientific data. They care about children’s health the same way we do, and yet, they have come to different policy decisions.

Should we, as the UK does, accept that there will be more cases in children, recognizing that disease severity for the vast majority of kids is low? Should we accept that there will be a not-insignificant number of Covid-related deaths among our kids, along with some who have long-term health compromises, and move our focus to vaccinating, not masking our kids?

At this point, the people who are anti-vaccine, anti-mask and/or who deny the deadly seriousness of Covid have demonstrated that they cannot be reasoned with. They love that they can be ignorant assholes, while still having plenty of political muscle.

Time and energy are as limited as ICU beds. Time and energy should be reserved for people who have at least some common sense and common decency, not wasted on the angry and outraged.

OK, but what about the kids?

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Saturday Soother – August 21, 2021

The Daily Escape:

Portage Glacier, outside Whittier, AK – August 2021 photo by nowake

Yesterday, Wrongo finished Michael Lewis’s book “The Premonition”, that tells the story of our failure to contain COVID-19. It is told through the eyes of a cast of compelling characters, including a California public health officer, a couple of idiosyncratic MDs who are White House advisers and a brilliant academic scientist whose lab revolutionized the identification of viral pathogens.

We learn how the pandemic exploited the gaps in the public health system of the world’s most advanced country that Lewis shows to be fragmented and weak politically. Moreover, he shows that the CDC’s response was almost inert when it came to reports from the states that were seeing the first Covid cases.

Early on, the CDC basically had two positions on the pandemic. First, that it wasn’t a big deal, it was overblown. And later, they made a quick pivot when it started spreading in the US. That change came far too late to contain the spread of the virus.

Lewis says little in The Premonition about the US official pandemic response. The organization that comes off the worst is the CDC and its leadership. The White House and Trump are mentioned in passing. Dr. Fauci is mentioned only a few times, while Deborah Birx is entirely absent. The White House COVID task force is seldom mentioned.

The book’s takeaway is mostly about how we have built organizations that are excellent for studying “what happened” and publishing papers about past problems. But are incapable of real time response in a true public health emergency. This is because the top CDC job has been a political appointee since the Carter administration. Lewis told NPR how the institutional failure at the CDC came about:

“The brave ones have all got their heads chopped off. So, it’s sort of institutionalized a cowardice that we’re going to need to face up to so that this business of punishing people who are doing their damnedest to try to save us from ourselves has got to stop.”

The characters in Lewis’s book have fascinating life stories: A thirteen-year-old girl’s school science project on how airborne pathogens spread, morphs with her scientist father’s help, into an important model of how Covid spreads.

A California public-health officer uses her skills and experience to see what the CDC misses and reveals important truths about our public health system. An informal group of doctors, nicknamed the Wolverines, have the skills needed to fight the pandemic: brilliant backgrounds, world-class labs, prior experience with the bird and swine flus  ̶  everything except official permission to implement their findings on behalf of the American people.

One series of facts that floored Wrongo was how important children are to spreading a virus in our population. These insights started with the kid’s model mentioned above. From pages 90-91:

“…there were more than 100,000 K-12 [public] schools in the country, with 50 million children in them. Twenty-five million ride a bus to school….There were 70,000 buses in the entire US public transportation system, but 500,000 school buses. On an average day, school buses carried twice as many people as the entire US public transportation system.”

Moreover, school bus aisles are narrower than normal buses, and better for spreading disease. They observed that when kids stand at the bus stop, they crowd together, unlike adults who give each other personal space. In the halls at school, kids also crowd together. The conclusion was that kids’ different sense of personal space has a key role in the spread of viral disease. More:

“…each elementary school child spent the day in a space with a radius of just 3.5 feet, which when they reached high school, expanded to four.”

The discoverer of this insight is one of the Wolverines, Carter Mecher, an MD who worked at the Atlanta VA hospital system. His conclusion?

“I couldn’t have designed a better system for transmitting disease than our school system”

Wrongo didn’t know that school closure was the most effective strategy to contain the spread of Covid before reading this book. We all know that few families wanted their kids to stay home from school. We know how politicized the issue of school closure became, even in states where it was mandated. There are 130,930 schools in America, all individually and locally managed. And it’s impossible to enforce a mandate on them from afar.

Between a weak public health system, an ossified CDC, and an inability to control the disease transmission in the 130k+ schools in America, Lewis’s book is a devastating look at our ability to deal with Covid and with whatever the next pandemic brings.

With Afghanistan, the delta variant and a looming hurricane hitting the northeast this weekend, it will be difficult to settle down for a Saturday Soother. But let’s give it a try.

Take a seat by a window and listen to “The Last Rose of Summer” by Leroy Anderson. It is part of his Irish Suite, and was arranged in 1947:

This is as beautiful to watch as to listen to.

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Sunday Cartoon Blogging – August 15, 2021

Sorry there wasn’t a Saturday Soother this week. Instead of writing for you, Wrongo and Ms. Right went to an outdoor concert at New Jersey’s PNC Arts Center. It’s an outdoor amphitheater that seats about 7,000, with lawn seating for maybe another 10,000.

Very few people wore masks, but NJ doesn’t require masking at outdoor venues. And they didn’t check for vaccine cards. Will the show we saw become a super-spreader event? Let’s hope not.

The 2021 summer concert season has seen conflict over masking and vaccination requirements. With the spread of the Delta variant, a loose consensus has taken shape. Starting in October, fans must provide proof of vaccination, or a negative test at most venues. Some venues and artists already insist on them.

But the decision process is complex. States like NJ have a say, and so do the artists. Live Nation and AEG Presents, the two global companies that dominate the concert business, have each announced that, by October, most venues and festivals they control in the US will require vaccinations or negative tests for entry.

We all need think about our personal response to seeing concerts in light of this from Fortune:

“In short: There is now mounting evidence that mRNA-based vaccines such as Pfizer’s and Moderna’s lose potency over time and especially against the Delta variant, and that the Pfizer vaccine’s efficacy drop is significantly more dramatic.

More: (emphasis by Wrongo)

“…discouraging new research from the Mayo Clinic forced investors to question how long the Pfizer vaccine remains effective at preventing coronavirus infections and protecting those who are vaccinated from getting sick with a Delta variant case. Pfizer’s shot may be significantly less effective than Moderna’s against breakthrough infections (42% efficacy for Pfizer/BioNTech versus 76% for Moderna), according to the data…”

The Mayo Clinic study, which hasn’t been peer-reviewed, noted that between January and July, Moderna’s jab was 86% effective at preventing infection, while Pfizer’s was 76% effective. But for the month of July alone, those numbers fell to 76% for Moderna and 42% for Pfizer. Researchers observed similar drops for the Pfizer shot outside of Minnesota in states with high COVID counts such as Florida.

If this trend holds true in peer-reviewed research, public health officials, drugmakers and medical institutions will have to rethink their approach to fighting the Delta variant. In fact, we may need to think carefully about how we will live if Covid becomes endemic.

The good news is that for now, if you are vaccinated but infected, you probably won’t need hospitalization, and you most likely won’t die. The bad news is you won’t know you’re infected until symptoms set in, meaning you can still spread the virus to anyone you meet.

Do the world a favor. Wear a mask. On to cartoons.

The race that never ends:

Opposition to basic safety will literally be the death of us:

One way to get school kids masked up:

One way to convince the vaccine hesitant:

New Census worries GOP:

DC has wrong priority for infrastructure:

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