pulmonarymd
Junior Associate
Joined: Feb 12, 2020 17:40:54 GMT -5
Posts: 8,040
|
Post by pulmonarymd on Jan 1, 2021 13:24:25 GMT -5
I hope this does not come across as self-serving, but here it goes.
The vaccine allocation decision is always going to be controversial, because there is not enough to go around. The more detailed we make recommendations, the more micromanaging it becomes, and the more complaints there will be. The issues above are real, and we struggled with them when we were trying to prioritize who got the vaccine at the hospital. Luckily, we got a large enough shipment to avoid making some of those choices.
The vaccine rollout has been managed poorly, and not enough doses have been available or administered to date. That, more than anything else is the biggest problem.
Healthcare workers are a big group. Do you include janitorial staff? We did. How about radiology technicians? Lab staff? Materials and management? Where do you draw the line. ED doctors, nurses and staff, EMTs, ICU staff are all easy for everyone to see and agree with. But many behind the scene individuals are needed to make the place run. In addition, any unvaccinated individuals increase the risk of an outbreak to indispensible staff. I do not know the right answer, but these decisions are difficult.
I believe grocery store employees and truck drivers are essential personnel, and should be high on the list. Police, fire, utility workers are all essential. We can argue about others, but there is no "right" answer, and different people will prioritize those differently.
Should our politicians skip the line? Where do you draw that line? Many seem to have gotten it before healthcare workers.
I disagree that we should ration this on cost, as I think it would lead to a worse distribution of the vaccine than I believe it is optimal. Others will disagree, but will you be willing to pay more for utilities to offset the cost of vaccination or wait longer for your power restored if utilities decide not to pay. Wait longer for a police response since the city decided not to vaccinate the mechanics to repair cars, and too many of them are out. These are the real world choices we are making now, and it does not feel good.
As I said, any allocation mechanism is easy to criticize. The problem is that there is not enough vaccine available to end the pandemic, so it is about trying to manage downside risk.
|
|
Spellbound454
Senior Member
"In the end, we remember not the words of our enemies but the silence of our friends"
Joined: Sept 9, 2011 17:28:42 GMT -5
Posts: 4,107
|
Post by Spellbound454 on Jan 1, 2021 13:47:37 GMT -5
There isn't enough vaccine..... we are controversially giving one dose.(to get as many people as possible)
The Oxford vaccine can wait for 12 weeks...... but the pfizer vaccine is not recommended for this, however they think most efficacy is in the first dose.
What can we do?....our infection rate is huge.
It may be the right decision ...... or ...not.
We have been told, as teachers, that we are in line according to age.
|
|
Spellbound454
Senior Member
"In the end, we remember not the words of our enemies but the silence of our friends"
Joined: Sept 9, 2011 17:28:42 GMT -5
Posts: 4,107
|
Post by Spellbound454 on Jan 2, 2021 10:41:52 GMT -5
This is driving me mad.
We have a pandemic raging out of control in the UK
We have the vaccine..... and should have mass vaccination facilities with anyone capable of delivering a jab from vet techs to nurses .... doing it ....... and some medics watching for reactions.
and yet ...... we are pratting about.
"It should be in place by the middle of the month".......WTF
We have ambulances backed up with sick people in them because they have nowhere to go.......... and yet the emergency facilities are still being readied.... again WTF
|
|
Opti
Community Leader
Joined: Dec 18, 2010 10:45:38 GMT -5
Posts: 42,351
Location: New Jersey
Mini-Profile Name Color: c28523
Mini-Profile Text Color: 990033
Member is Online
|
Post by Opti on Jan 2, 2021 11:08:32 GMT -5
Someone or multiple people are being idiots and spreading a couple of videos amongst staff. I spoke to one of my coworkers about his reluctance to take the shot and he brought up the video about a nurse who had passed out after the shot. As I suspected, the shot was not the reason she fainted ... or better said she might faint with any shot that causes pain. I told him I do not trust anyone who spreads videos without background info, and that what you are concluding is probably wrong. www.msn.com/en-us/news/us/fact-check-nurse-who-fainted-after-covid-19-vaccination-is-alive-and-well/ar-BB1cbGY6?ocid=uxbndlbingLast week, Tiffany Dover — a nurse manager from Catholic Health Initiatives Memorial Hospital in Chattanooga, Tennessee — fainted shortly after she received the COVID-19 vaccine shot. She was midway through a television interview when she passed out.
Clips of the moment spread across the internet, some accompanied by claims that the reaction is proof the vaccine isn't safe. In reality, Dover has an underlying health condition that causes her to faint when she experiences pain, per USA TODAY.
|
|
Tiny
Senior Associate
Joined: Dec 29, 2010 21:22:34 GMT -5
Posts: 13,508
|
Post by Tiny on Jan 7, 2021 12:31:47 GMT -5
And the counter just rolled past 370K (and it's early in the day). 20K deaths added in 8 days. I'm guessing another surge in cases will start to show up in a few more days (2 weeks after Christmas). And then there's that variant form of the virus that's even more contagious than the already really, really catchy version(s) we've already got. ::sigh:: 2021 isn't getting off to a very good start.
|
|
pulmonarymd
Junior Associate
Joined: Feb 12, 2020 17:40:54 GMT -5
Posts: 8,040
|
Post by pulmonarymd on Jan 7, 2021 13:17:52 GMT -5
Winter was always going to be ugly. Just a matter of bad or awful. Looks like we are going for awful
|
|
djAdvocate
Member Emeritus
only posting when the mood strikes me.
Joined: Jun 21, 2011 12:33:54 GMT -5
Posts: 76,709
Mini-Profile Background: {"image":"","color":"000307"}
|
Post by djAdvocate on Jan 7, 2021 16:05:54 GMT -5
consider the leadership.
|
|
Opti
Community Leader
Joined: Dec 18, 2010 10:45:38 GMT -5
Posts: 42,351
Location: New Jersey
Mini-Profile Name Color: c28523
Mini-Profile Text Color: 990033
Member is Online
|
Post by Opti on Jan 7, 2021 16:37:50 GMT -5
And the counter just rolled past 370K (and it's early in the day). 20K deaths added in 8 days. I'm guessing another surge in cases will start to show up in a few more days (2 weeks after Christmas). And then there's that variant form of the virus that's even more contagious than the already really, really catchy version(s) we've already got. ::sigh:: 2021 isn't getting off to a very good start. Its sad and you are correct, the surge is still to come. I saw the US is now past 22 Million cases of Covid.
|
|
Tiny
Senior Associate
Joined: Dec 29, 2010 21:22:34 GMT -5
Posts: 13,508
|
Post by Tiny on Jan 14, 2021 16:32:16 GMT -5
Well, 300K came and went... faster than I thought (as in it took 3 days for 10K more people to die in the USofA) I have to admit, Americans are really good at dying of Covid19 (or complications of Covid19). I would think our current administration and it's supporters would be PROUD! of the effort so many Americans put forth to achieve this goal. <yeah, that's sarcasm and a bit of a parody> Looks like we will hit 400K dead tomorrow 1/15/2021. 100K in 35 days. And the overall world count is gonna roll past 2million (today or the 15th) as well.
|
|
pulmonarymd
Junior Associate
Joined: Feb 12, 2020 17:40:54 GMT -5
Posts: 8,040
|
Post by pulmonarymd on Jan 14, 2021 16:38:54 GMT -5
Well, 300K came and went... faster than I thought (as in it took 3 days for 10K more people to die in the USofA) I have to admit, Americans are really good at dying of Covid19 (or complications of Covid19). I would think our current administration and it's supporters would be PROUD! of the effort so many Americans put forth to achieve this goal. <yeah, that's sarcasm and a bit of a parody> Looks like we will hit 400K dead tomorrow 1/15/2021. 100K in 35 days. And the next 100k will likely happen in less time given the daily death count now
|
|
djAdvocate
Member Emeritus
only posting when the mood strikes me.
Joined: Jun 21, 2011 12:33:54 GMT -5
Posts: 76,709
Mini-Profile Background: {"image":"","color":"000307"}
|
Post by djAdvocate on Jan 14, 2021 20:27:22 GMT -5
i argued a while back on another board that the weekly average would top 20k.
that was conservative, as it turned out. 30k is more the trend.
remember when the conservatives were bitching at us for complaining that 15 died? good times, good times.
|
|
pulmonarymd
Junior Associate
Joined: Feb 12, 2020 17:40:54 GMT -5
Posts: 8,040
|
Post by pulmonarymd on Jan 14, 2021 20:47:39 GMT -5
The death toll is so horrific we are now numb to it.
The WSJ had an article looking at the worldwide death toll. The look at the overall mortality for 2020. 12% over projected. 2.8 million estimated to have died from Covid, 800k more than the official death toll. What a disaster, and we no longer care. We will likely see days where 5k die here, before all is said and done.
|
|
djAdvocate
Member Emeritus
only posting when the mood strikes me.
Joined: Jun 21, 2011 12:33:54 GMT -5
Posts: 76,709
Mini-Profile Background: {"image":"","color":"000307"}
|
Post by djAdvocate on Jan 15, 2021 20:29:14 GMT -5
pmd:
I'm not so sure.
you and I have generally disagreed slightly on this, and generally I think it was me that felt the figures would be higher than you did. but I am shifting right now. I think the figures are going to level off within 30 days, and trend down to zero over the next 6-9 months.
the human toll will be incredible. we are going to lose at least half a million. but I truly believe that we will not lose a million at this point.
I could be wrong, of course. the anti-vaxxers might win this in the end. but I think what is more likely is that people will be convinced by the safety and efficacy of the vaccine, and move across the line and get it, comporting immunity.
at least I hope so. and yeah, I am more hopeful, based on the absolute minimal PROBLEMS associated with the vaccine thusfar.
|
|
pulmonarymd
Junior Associate
Joined: Feb 12, 2020 17:40:54 GMT -5
Posts: 8,040
|
Post by pulmonarymd on Jan 15, 2021 22:15:51 GMT -5
pmd:
I'm not so sure.
you and I have generally disagreed slightly on this, and generally I think it was me that felt the figures would be higher than you did. but I am shifting right now. I think the figures are going to level off within 30 days, and trend down to zero over the next 6-9 months.
the human toll will be incredible. we are going to lose at least half a million. but I truly believe that we will not lose a million at this point.
I could be wrong, of course. the anti-vaxxers might win this in the end. but I think what is more likely is that people will be convinced by the safety and efficacy of the vaccine, and move across the line and get it, comporting immunity.
at least I hope so. and yeah, I am more hopeful, based on the absolute minimal PROBLEMS associated with the vaccine thusfar. I don’t think we will hit 1 million. I think about 600k. Right now, we have 130k in the hospital, 27k in icu, and are having 300k cases a day. I think we will see 4K dead for a few weeks. Deaths take a long time to come down. Through the end of March, I think 150k dead is a given. And if these more infectious strains predominant, without a change in behavior, these case counts may be conservative. Once April rolls around, improving weather, vaccination, and a new administration things may start improving. I hope I am wrong, but we are in for a long 2+ months
|
|
djAdvocate
Member Emeritus
only posting when the mood strikes me.
Joined: Jun 21, 2011 12:33:54 GMT -5
Posts: 76,709
Mini-Profile Background: {"image":"","color":"000307"}
|
Post by djAdvocate on Jan 16, 2021 0:29:42 GMT -5
pmd:
I'm not so sure.
you and I have generally disagreed slightly on this, and generally I think it was me that felt the figures would be higher than you did. but I am shifting right now. I think the figures are going to level off within 30 days, and trend down to zero over the next 6-9 months.
the human toll will be incredible. we are going to lose at least half a million. but I truly believe that we will not lose a million at this point.
I could be wrong, of course. the anti-vaxxers might win this in the end. but I think what is more likely is that people will be convinced by the safety and efficacy of the vaccine, and move across the line and get it, comporting immunity.
at least I hope so. and yeah, I am more hopeful, based on the absolute minimal PROBLEMS associated with the vaccine thusfar. I don’t think we will hit 1 million. I think about 600k. Right now, we have 130k in the hospital, 27k in icu, and are having 300k cases a day. I think we will see 4K dead for a few weeks. Deaths take a long time to come down. Through the end of March, I think 150k dead is a given. And if these more infectious strains predominant, without a change in behavior, these case counts may be conservative. Once April rolls around, improving weather, vaccination, and a new administration things may start improving. I hope I am wrong, but we are in for a long 2+ months me too, brother. in the mean time. please take care. the UK strain is much easier to catch.
|
|
pulmonarymd
Junior Associate
Joined: Feb 12, 2020 17:40:54 GMT -5
Posts: 8,040
|
Post by pulmonarymd on Jan 16, 2021 8:29:33 GMT -5
I don’t think we will hit 1 million. I think about 600k. Right now, we have 130k in the hospital, 27k in icu, and are having 300k cases a day. I think we will see 4K dead for a few weeks. Deaths take a long time to come down. Through the end of March, I think 150k dead is a given. And if these more infectious strains predominant, without a change in behavior, these case counts may be conservative. Once April rolls around, improving weather, vaccination, and a new administration things may start improving. I hope I am wrong, but we are in for a long 2+ months me too, brother. in the mean time. please take care. the UK strain is much easier to catch.
Fully vaccinated as of 1 week ago. Scrupulously careful. Thanks for the good thoughts. Just need to get through March.
|
|
kadee79
Senior Associate
S.W. Ga., zone 8b, out in the boonies!
Joined: Mar 30, 2011 15:12:55 GMT -5
Posts: 10,871
|
Post by kadee79 on Jan 16, 2021 17:44:47 GMT -5
Just heard on CNN....those reserve vaccines the feds have?....they don't exist. Also a new projection....670,000 dead by May 1, 2021!
|
|
Tennesseer
Member Emeritus
Joined: Dec 20, 2010 21:58:42 GMT -5
Posts: 64,891
|
Post by Tennesseer on Jan 16, 2021 18:01:46 GMT -5
The linked site in the opening post states over 404,000 deaths from the virus in the U.S. CNN states as of earlier today there were 395,195 people who have died in the country.
Either way by inauguration day, over 400,000 deaths in the U.S. from the virus. A far cry from the 15 people trump said had the virus and they would be better soon and then no more virus in the country.
|
|
Opti
Community Leader
Joined: Dec 18, 2010 10:45:38 GMT -5
Posts: 42,351
Location: New Jersey
Mini-Profile Name Color: c28523
Mini-Profile Text Color: 990033
Member is Online
|
Post by Opti on Jan 16, 2021 18:17:37 GMT -5
Looking at Worldometer stats is tough. I hope the vaccine rollout issues can be fixed and I hope people get both shots if that's what the manufacturer says works.
Any predictions on when we can see daily case counts under 100K for the US?
|
|
dondub
Senior Associate
The meek shall indeed inherit the earth but only after the Visigoths are done with it.
Joined: Jan 16, 2014 19:31:06 GMT -5
Posts: 12,110
Location: Seattle
Favorite Drink: Laphroig
|
Post by dondub on Jan 16, 2021 19:41:26 GMT -5
Looking at Worldometer stats is tough. I hope the vaccine rollout issues can be fixed and I hope people get both shots if that's what the manufacturer says works. Any predictions on when we can see daily case counts under 100K for the US? May
|
|
Tennesseer
Member Emeritus
Joined: Dec 20, 2010 21:58:42 GMT -5
Posts: 64,891
|
Post by Tennesseer on Jan 19, 2021 8:42:16 GMT -5
How did that work out, trump?
|
|
Tiny
Senior Associate
Joined: Dec 29, 2010 21:22:34 GMT -5
Posts: 13,508
|
Post by Tiny on Jan 28, 2021 13:15:07 GMT -5
::sigh:: We're on track to hit 450K deaths on or before 1/31/2021. 100,000 people in America died in January 2021 from/or related to COVID19.
|
|
Tiny
Senior Associate
Joined: Dec 29, 2010 21:22:34 GMT -5
Posts: 13,508
|
Post by Tiny on Feb 27, 2021 19:02:15 GMT -5
February had far fewer deaths (but it's also 2-3 days shorter). February 1st had 460K total deaths. Today February 27th we're at 525K deaths. 65K or so for the month (probably could round up to 68K-70K) I was out running errands and grocery shopping... I'm seeing lots of people wearing their mask below their nose or not bothering with a mask at all. I was waiting in line to get my car washed and noticed that the bar across from the car wash had a full parking lot and lots of people going in and out without masks. At the Aldi - everyone was masked and spaced apart (and no family units shopping together). The Tony's fresh market was a zoo... poorly worn or no masks, groups of people following around their main "shopper" (sometimes it was little kids sometimes it was Dad, grandma, grandpa, and a couple of teens following Mom) I was running in for a couple of on sale 2liter sodas and I decided maybe I didn't need them all that bad. I wasn't sure why there were so many "nonshoppers" in the store. (I didn't want to wait in a line clumped together with others waiting to check out and have to deal with other people walking past as they shopped - especially when it was 3 or 4 adults per shopping group. Why is grocery shopping 'entertainment' ? when I was a kid if I could get out of going shopping with my mom I did... even if I had to fake being sick. Why would anyone want to wander around a store killing time ?) Rant over...
|
|
djAdvocate
Member Emeritus
only posting when the mood strikes me.
Joined: Jun 21, 2011 12:33:54 GMT -5
Posts: 76,709
Mini-Profile Background: {"image":"","color":"000307"}
|
Post by djAdvocate on Feb 28, 2021 1:11:29 GMT -5
there has been a significant drop in cases. could be that people are masking. could be getting close to herd immunity in some places.
we will have to do a post-mortem to figure it out.
|
|
thyme4change
Community Leader
Joined: Dec 26, 2010 13:54:08 GMT -5
Posts: 40,881
Member is Online
|
Post by thyme4change on Feb 28, 2021 9:48:43 GMT -5
No post mortem necessary. The Trump vaccine is working great. Expect Covid-19 deaths to continue to drop. Nothing like leaving out the obvious. How did Trump contribute to the Pfizer Vaccine?
|
|
djAdvocate
Member Emeritus
only posting when the mood strikes me.
Joined: Jun 21, 2011 12:33:54 GMT -5
Posts: 76,709
Mini-Profile Background: {"image":"","color":"000307"}
|
Post by djAdvocate on Mar 1, 2021 5:32:05 GMT -5
No post mortem necessary. The Trump vaccine is working great. Expect Covid-19 deaths to continue to drop. Nothing like leaving out the obvious. yes, we are vaccinated against Trump, and that is something to be thankful for.
thanks again, Georgia, AZ, MI, PA, and WI.
however, the vaccine(s) has(ve) little or nothing to do with the decline in CASES.
at least according to the professionals.
|
|
Opti
Community Leader
Joined: Dec 18, 2010 10:45:38 GMT -5
Posts: 42,351
Location: New Jersey
Mini-Profile Name Color: c28523
Mini-Profile Text Color: 990033
Member is Online
|
Post by Opti on Mar 4, 2021 13:07:43 GMT -5
February had far fewer deaths (but it's also 2-3 days shorter). February 1st had 460K total deaths. Today February 27th we're at 525K deaths. 65K or so for the month (probably could round up to 68K-70K) I was out running errands and grocery shopping... I'm seeing lots of people wearing their mask below their nose or not bothering with a mask at all. I was waiting in line to get my car washed and noticed that the bar across from the car wash had a full parking lot and lots of people going in and out without masks. At the Aldi - everyone was masked and spaced apart (and no family units shopping together). The Tony's fresh market was a zoo... poorly worn or no masks, groups of people following around their main "shopper" (sometimes it was little kids sometimes it was Dad, grandma, grandpa, and a couple of teens following Mom) I was running in for a couple of on sale 2liter sodas and I decided maybe I didn't need them all that bad. I wasn't sure why there were so many "nonshoppers" in the store. (I didn't want to wait in a line clumped together with others waiting to check out and have to deal with other people walking past as they shopped - especially when it was 3 or 4 adults per shopping group. Why is grocery shopping 'entertainment' ? when I was a kid if I could get out of going shopping with my mom I did... even if I had to fake being sick. Why would anyone want to wander around a store killing time ?) Rant over... For some people, shopping is entertainment especially if they have nowhere to go. When the weather gets better hopefully they will be going to parks and walking for some of their out of the house entertainment. I shop fewer places than I used to. Even now when I don't need to wait in lines to get in, it just seems more full of hassle, that I rarely string shopping multiple places together even when they are in the same strip mall or area. I too get concerned about mask compliance even though most places I go it is fairly good.
|
|
Tiny
Senior Associate
Joined: Dec 29, 2010 21:22:34 GMT -5
Posts: 13,508
|
Post by Tiny on Mar 4, 2021 16:30:11 GMT -5
I was out running errands/appointments yesterday morning (wednesday). I was behind a funeral procession and then at one of the stop lights (when I managed to get out from behind it and in the other lane and was attempting to get ahead of it) a second funeral procession crossed our paths. On the way back home, I was behind another funeral procession (this one was more 'flamboyant' the hearse was gold and white and there was a silver pick up behind it with a bed full of flower arrangements and then 3 white limos and some of the cars had paper? streamers on them.)
I don't ever remember encountering 3 funeral processions on local streets all on the same day.
|
|
Tiny
Senior Associate
Joined: Dec 29, 2010 21:22:34 GMT -5
Posts: 13,508
|
Post by Tiny on May 14, 2021 15:26:31 GMT -5
And we crossed the 600K mark today 5/14/2021. and We are Still Number One!!!
I find it interesting and weird to read about people who have been vaccinated testing positive for Covid.
Bill Maher and 8 or 9 ball players on a New York team (only one of them is actually sick - the others are said to be asymptomatic).
Still sounds like Covid 19 is something to be concerned about even if you ARE vaccinated - you could be asymptomatic (and spreading it around) or you could still have a bout of it (even if it's not as bad as it could be).
|
|
andi9899
Distinguished Associate
Joined: Dec 6, 2011 10:22:29 GMT -5
Posts: 31,581
|
Post by andi9899 on May 14, 2021 15:52:32 GMT -5
The vaccine won't keep you from getting it. It will keep you from dying from it. Just like the flu vaccine.
|
|