Science Vaccinated people now make up a majority of covid deaths/Men are using condoms less/Teva, AbbVie finalize opioid settlements/Students saw setbacks fro - m the pandemic. Here’s who it hurt most. "Fifty-eight percent of coronavirus deaths in August were people who were vaccinated or boosted"

The Washington Post:

Good morning and thanks for reading. The Health 202 will be off Thursday and Friday for Thanksgiving, so enjoy your holiday weekend and have a slice of pie on us. We'll be back in your inbox Monday.
Today’s edition: Condom use is down as sexually transmitted infections are on the rise, and students’ academic progress was deeply impacted by the coronavirus pandemic. But first …

It’s no longer a pandemic of the unvaccinated​


For the first time, a majority of Americans dying from the coronavirus received at least the primary series of the vaccine.

Fifty-eight percent of coronavirus deaths in August were people who were vaccinated or boosted, according to an analysis conducted for The Health 202 by Cynthia Cox, vice president at the Kaiser Family Foundation.

It’s a continuation of a troubling trend that has emerged over the past year. As vaccination rates have increased and new variants appeared, the share of deaths of people who were vaccinated has been steadily rising. In September 2021, vaccinated people made up just 23 percent of coronavirus fatalities. In January and February this year, it was up to 42 percent, per our colleagues Fenit Nirappil and Dan Keating.

“We can no longer say this is a pandemic of the unvaccinated,” Cox told The Health 202.
Being unvaccinated is still a major risk factor for dying from covid-19. But efficacy wanes over time, and an analysis out last week from the Centers for Disease Control and Prevention highlights the need to get regular booster shots to keep one’s risk of death from the coronavirus low, especially for the elderly.

Anthony Fauci, the nation’s preeminent infectious-disease expert, used his last White House briefing yesterday ahead of his December retirement to urge Americans to get the recently authorized omicron-specific boosters.

“The final message I give you from this podium is that please, for your own safety, for that of your family, get your updated covid-19 shot as soon as you’re eligible,” he said.
White House press secretary Karine Jean-Pierre:
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Ratio shift​

Cox, like many experts, says she’s not surprised by the ratio shift. There are a few reasons:

  • At this point in the pandemic, a large majority of Americans have received at least their primary series of coronavirus vaccines, so it makes sense that vaccinated people are making up a greater share of fatalities.
  • Individuals at greatest risk of dying from a coronavirus infection, such as the elderly, are also more likely to have received the shots.
  • Vaccines lose potency against the virus over time and variants arise that are better able to resist the vaccines, so continued boosters are needed to continue to prevent illness and death.
The BA.5 omicron subvariant became dominant in July and consistently accounted for the majority of new coronavirus infections across the United States until earlier this month. The highly transmissible strain fueled a surge of new infections, reinfections and hospitalizations throughout the summer.

Boosters​

It’s still true that vaccinated groups are at a lower risk of dying from a covid-19 infection than the unvaccinated when the data is adjusted for age. An analysis released by the CDC last week underscores the protection that additional booster shots offer against severe illness and death as immunity wanes.

Let’s take a look at deaths in August, when the highly contagious BA.5 variant reached its peak:
  • That month, unvaccinated people aged 6 months and older died at about six times the rate of those who had received their primary series of shots.
  • People with one booster dose were even better protected. Unvaccinated people over the age of 5 had about 8 times the risk of dying from a coronavirus infection than those who received a booster shot.
  • Among individuals who were eligible to receive additional booster shots, the gap is even more striking. Unvaccinated people 50 and up had 12 times the risk of dying from covid-19 than adults the same age with two or more booster doses.
David French, senior editor for the Dispatch:
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Six-week sprint​

Americans’ uptake of the latest booster shots continues to be slow.

Around 35 million people have received the updated boosters that became available to people 12 and over in September and to children as young as 5 last month. That’s a little over 10 percent of the U.S. population, amid concern that cooler weather will bring a surge of covid cases as people move indoors and respiratory infections spread.
Yesterday, the White House announced a six-week push ahead of the holidays aimed at increasing booster uptake among seniors, people who are racial minorities and those who live in rural areas, all of which have disproportionately suffered severe disease and death during the coronavirus pandemic, our colleagues Frances Stead Sellers and Ariana Eunjung Cha write.

Senior officials said the Biden administration would direct some of its remaining resources to fight the pandemic into a $475 million campaign to support community health centers and organizations working to get the elderly and people with disabilities boosted.

The administration’s push coincided with the release of a CDC study offering the first evidence that the bivalent boosters are better at preventing symptomatic infection against newly circulating variants than earlier doses.
“I feel very confident that if people continue to get vaccinated at good numbers, if people get boosted, we can absolutely have a very safe and healthy holiday season,” Ashish Jha, White House coronavirus czar, said yesterday.

Rep. Hank Johnson (D-Ga.)
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Public health​

Men are using condoms less, even as syphilis and other STDs surge​


Public health authorities are confronting a national rise in sexually transmitted infections (STI) amid a steady decline in use of what was once a staple in curbing the spread of disease: condoms, our colleague Fenit Nirappil reports.
Why it matters: The United States recorded nearly 2.5 million cases of chlamydia, gonorrhea and syphilis in 2021, more than doubling the total from two decades ago, according to preliminary data from the CDC

About half of new infections last year were in people between the ages of 15 and 24. Men who have sex with men contract infections at higher rates than heterosexuals because they are more likely to have multiple recent partners and it’s easier for sexually transmitted diseases (STD) to circulate in smaller networks of people, Fenit explains.

At the same time, condoms, once central to campaigns to eradicate STDs at the height of the AIDS crisis, have fallen out of fashion.
  • Federal family planning surveys show condoms went from the top contraceptive tool for 75 percent of men in 2011 to 42 percent in 2021.
  • The percentage of high-schoolers who said they used a condom the last time they had sex also declined, dropping from 63 percent in 2003 to 54 percent in 2019, according to an annual government survey.
That’s partly because of the advent of long-acting contraception and medications that drastically reduce HIV transmission, enabling people to have condomless sex while still leaving them vulnerable to other diseases that spread through fluids and skin-to-skin contact. Scientists and health officials say they’re now focused on vaccine development, affordable at-home testing and medication taken after sex as the next generation of weapons in the battle against STDs.

In the courts​

Teva, AbbVie finalize opioid settlements​


Teva Pharmaceutical Industries and AbbVie Inc. will pay more than $6.6 billion to states and local governments to settle thousands of lawsuits over the marketing of opioids, Reuters reports.

The details: Under the deals, Israel-based Teva will pay up to $4.25 billion, some of which will be paid as a supply of the overdose reversal drug naloxone. AbbVie’s Allergan unit will pay up to $2.37 billion. The final amounts of the settlements will depend on how many plaintiffs opt into them.

Both companies have been accused of misleading marketing practices that fueled opioid addiction in states across the country. The settlements are not an admission of wrongdoing in the epidemic that, according to federal data, killed more than 100,000 Americans last year alone.

Iowa Attorney General Tom Miller (D):
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Coronavirus​

Students saw setbacks from the pandemic. Here’s who it hurt most.​

Academic progress for American children plunged during the coronavirus pandemic. But learning loss varied greatly, and a new body of research highlights that some students were harmed more than others, The Post’s Laura Meckler reports.


Here’s a snapshot of the top takeaways from more than a half-dozen studies published in recent months analyzing the pandemic’s toll on academic achievement:
  • Students who learned from home longer fared worse than those who quickly returned to the classroom, offering substantial evidence for one side of a hot political debate.
  • High-poverty schools, which were more likely to go remote in the first place, saw the biggest decrease in reading and math scores compared with those filled with middle class and affluent kids.
  • Older students, who have the least amount of time to make up losses, are recovering much more slowly from setbacks than younger children, Laura writes.
Students have made some progress since returning to the classroom, but it hasn’t been anywhere near enough to make up for the losses already sustained. “People were hoping, ‘Oh gosh, there’s going to be a lot of natural bounce back that occurs,’ and we did not see it last year,” said Tom Kane, faculty director for the Center for Education Policy Research at Harvard University. “Maybe it will happen this year, but I’m not sure there’s much evidence underlying that hope.”
Karyn Lewis, director of the Center for School and Student Progress at the testing company NWEA:
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In other health news​

  • The World Health Organization is expected to announce as early as today that it is planning to rename monkeypox, designating it as “MPOX” in an effort to destigmatize the virus that fueled a record outbreak across the United States earlier this year, Polito reports.
  • The Food and Drug Administration approved Hemgenix yesterday, the first gene therapy for the treatment of adults with a rare form of the bleeding disorder hemophilia that will come with a $3.5 million price tag, the Associated Press reports.
  • Students and staff in D.C. public schools will be required to produce a negative coronavirus test before returning to the classroom after Thanksgiving break, our colleague Lauren Lumpkin reports.

Quote of the week​

Health reads​

Second woman renews accusation Walker pressured her to have abortion (By Sabrina Rodriguez | The Washington Post)
The next abortion fight could be over wastewater regulation (By Alice Miranda Ollstein | Politico)
Trickle of covid relief funds helps fill gaps in rural kids’ mental health services (By Christina Saint Louis | Kaiser Health News)

Sugar rush​

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Thanks for reading! See y'all tomorrow.​

Article

 
The World Health Organization is expected to announce as early as today that it is planning to rename monkeypox, designating it as “MPOX” in an effort to destigmatize the virus that fueled a record outbreak across the United States earlier this year, Polito reports.
Yes. Do this. Absolutely do this. Monkeypox getting a rapper name is EXACTLY what's needed. In fact, call it Lil' MPOX. DMX would be proud of his lil' nigger.
 
Funny how anyone who didn't but who has had the virus, is only getting mild colds from the virus at this same time. hmmmm

omicron-specific boosters

Nooo you fucking morons! We got very extremely lucky with omicron! Among other milding, it favoring upper respiratory cells instead of lower ones (the cause of covid pneumonia), which is what was killing people, was a life saver and game changer.. Don't fucking force it to mutate again really quickly!
 
An untested mystery shot with an accelerated development filled with undisclosed ingredients is having fatal consequences? Who could have predicted this?????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????
 
How the fuck did I never get this shit even when people that clearly had it were coughing on each other and me when everything but fucking walmart was closed? I went from being viewed as insane for thinking it'd go global, to being viewed as insane for pointing out treatments were already in development because ORANGE MAN, to being viewed as insane for being mildly cautious about turning the fucking treatment into political theater purity test stuff; Yet somehow throughout all of this I have yet to even get the dreaded coron-ER I MEAN COVID19 DELTA EPSILON OMICRON OMEGA ZETA
Seriously though it's wild literally almost everyone I know got it at some point, and the only people that got it multiple fucking times were the people that stayed up to date on their boosters and jabs. There's a kind of weird cosmic irony to all this but I'm just thankful nobody I know directly fucking died from it even with the stupid jab faction war bullshit everybody's become mildly tainted by.

EDIT: Also, MPOX? "Destigmatizing" monkeypox for fears of racism decades after the fact, a strain of smallpox originating from literal monkeys, by corporatizing it with a zingier title makes me want to go full monkey mode on the nearest construction site. You will NOT take my funny monkey smallpox from me, even if you "legally" change the fucking name. Fuck right the hell off, apes together strong, etc.
 
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Fuck you, Fauci. Get off the fucking stage already. Sit at home and wait for the Congressional subpoenas to start flying.



And a bang-up job he's done. The homos and druggies and Africans are drowning in AIDS, Ebola burned itself out, and would have no matter what we did or didn't do, and covid's been a clusterfuck, testimony to his monstrous ego and appetite for power.
It is because of this LIAR is the reason why I still not taken the jab. This fucker omitted valuable information that I, a person who was taught how to handle/clean up pathogens knew. Omitting that information made things worse.

Again Still not taken the Jab. Still god damned alive.
 
At some point I'm sure the majority of car crash deaths were among people who didn't wear seatbelts because there weren't any. Then as more people started wearing them (it's the law!) and car crashes kept happening at the same rate, the majority of car crash deaths were among seatbelt wearers. Does that mean seatbelts don't save lives or that they CAUSE more deaths than they prevent? No. Only that they're an imperfect but important safety measure. One of many. Same with vaccines.

On another note my doc talked me into a Moderna booster day before yesterday and my arm is rotting off. Waaah. Not as bad as my 2nd Pfizer dose though & nowhere near as bad as my initial COVID rash/infection.
 
I just read a recent journal article that demonstrated that the current bivalent booster is a poor match against the current BQ subvariants that are dominating. For good reason, the BA.4 part of the booster is useless because BA.4 never became a significant issue. BA.5 is dying out due to BQ pushing it out. BA.5 is less than 30% of new infections. The BA.5 spike protein is no better than the OG virus spike protein at protecting against BQ subvariants. Essentially, there is really no point in getting it, given the poor level of protection, and the short duration of protection (~30 days).

The bivalent booster is also not very useful due to a phenomenon known as "immune imprinting". This happens when one has had a previous version of a vaccine and then is given a slightly different version in the future. The body just continues to use the response to the original vaccine because the body prefers to produce a defense against what is has seen before, rather than against the new vaccine that is only slightly different, even if it is ineffective. This is what is being seen with the current booster, and why it is no better than the original vaccine against the current strains, because the body is producing the exact same attack against the bivalent booster.

The imprinting phenomenon can also explain why someone who has had the original vaccination could have a more severe reaction to current strains of the virus. The body is activating defenses based on the vaccine, which are useless against the BQ variant, and this gives the virus a chance to establish itself before the body switches gears and starts attacking effectively. This doesn't tend to happen with natural infections because the body produces a significantly wider range of antibodies against multiple parts of the virus, not just the spike protein. The body will respond to the BQ variant in the same way, using defenses against the previous strain it has seen, but since the response is wider, it tends to be more effective against the BQ strain, giving the body time to switch to treating the infection as novel and attacking with the full force of its capabilities.
 
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