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  #4941  
Old Posted Apr 2, 2021, 7:01 PM
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Originally Posted by CaliNative View Post
The concern of course is that as the virus mutates the "herd immunity" and individual immunity gets reduced. Does this mean an annual booster covid shot just lke a flu shot? Possibly. I do plan to keep wearing a good mask in indoor public spaces. Better safe than sorry. Hopefully real N95 masks will become easily available intead of cheap knockoffs that don't work. 3M and others have been very slow in cranking out enough N95s to meet demand. The health community gobbles them up and throws them away after just one use.
As you may know, this pandemic has triggered a new era in "mask research":

Quote:
High-Tech Face Masks Aim to Step Up the Fight Against Covid-19
By Suzanne Oliver
March 27, 2021 8:00 am ET

The face mask is getting a high-tech upgrade.

Models now in testing do more than provide a physical barrier between the wearer and potential viruses. Materials scientists, chemists, biologists and engineers have created working prototypes of masks that include diagnostics, sensors and even the ability to kill viruses.

In the near future, if you’re on a plane and the person next to you sneezes, you could be wearing a mask that sterilizes the air before you breathe it in.

Some of these new masks are designed for healthcare workers, while others will be marketed to both healthcare workers and consumers. Masks and respirators marketed as medical devices or as worker protection must be approved for sale by the Food and Drug Administration or the National Institute for Occupational Safety and Health, or Niosh. (Respirators are masks that provide a tight seal to the face, such as the N95, and must be appropriately fit to provide their ideal protection.)

“I am excited by the attention being paid to masks,” says Christopher Sulmonte, project administrator for the biocontainment unit at Johns Hopkins Medicine. The new ideas “have some scientific rigor to them,” he says. “Once we see how they function, we will start to see which tools make the most sense” . . . .

While [researchers] applaud greater reusability and the addition of diagnostics and sensors in masks, [they are] skeptical about one innovation: antimicrobial coatings. Better . . . is simply to wear a tight-fitting N95 mask.

“If you have a coating on your mask and a gap around your nose or mouth, the virus particles are going to get in that way,” says Prof. Rule, who is also a member of the Technical Advisory Group on Personal Protective Equipment at the World Health Organization. “The aerosol droplets take the path of least resistance,” she says. “And the antimicrobial coatings may lead to additional antimicrobial resistance in the environment.”

Here’s a look at some of the masks in development.

A smart, long-lasting N95 respirator

Because of mask shortages, healthcare workers have been wearing masks for longer than is recommended, and reusing masks degraded by sterilizations with steam, hydrogen peroxide vapor and ultraviolet light. Over time, the sterilization degrades mask filtration and fit, and workers become less protected.

A new type of mask soon to be submitted for evaluation by Niosh remains effective for longer than many masks now being used because it stands up better to multiple sterilizations, including using such aggressive methods as boiling, but also sterilization by heat, UV treatment and isopropyl alcohol.

These transparent, silicon-rubber masks, which feature pop-out, disposable N95 filters, are the work of a team led by Giovanni Traverso, assistant professor of mechanical engineering at the Massachusetts Institute of Technology and a gastroenterologist at Brigham and Women’s Hospital, Harvard Medical School. The masks have sensors that give feedback on fit and functionality. A heat-sensitive coating on the perimeter of the mask indicates a fit to the skin by changing color from black to pink. In testing at Brigham and Women’s and at Massachusetts General Hospital, all wearers achieved a proper, protective fit, and only 5% said they preferred the standard, N95 hospital-supplied mask. Users said they also appreciated that the mask’s transparency enabled them to communicate better through reading lips and facial expressions.

The team’s research was published in ACS Pharmacology and Translational Science in November.

Jason Troutner, president of Teal Bio, which plans to manufacture the respirators in the U.S., says that he anticipates the product will be available to purchase this year at a price that is competitive with disposable N95s.

Virus-killing masks

Current masks function as barriers to virus particles. Michael Strano, a professor of chemical engineering at MIT, is developing a mask designed to actually kill virus. “Filtering has its place, but so does just destroying the virus,” says Prof. Strano.

The mask design incorporates a copper mesh heated to about 160 degrees that traps and deactivates the virus. Neoprene insulation and a thermoelectric cooler will ensure the inhaled air is comfortable to breathe. “You actually breathe medically sterile air,” says Prof. Strano.

The mask, which also kills bacteria and mold, can be run on a 9-volt battery. Prof. Strano and his team are still building and testing mask prototypes, and their current research has been accepted for publication by AIChE Journal, a chemical-engineering publication.

Prof. Strano expects each reusable mask to weigh about a half-pound, to cost just a few dollars and, if approved by regulators, to be available in two models—a slightly larger version for use by healthcare personnel and first responders, and a smaller version for the consumer market.

A mask from U.K.-based Medi-Immune Ltd. takes a different approach to killing virus. It uses UVC light to sterilize air that is drawn into a small chamber that can be worn on a belt or in a backpack. A hose from the chamber goes to the mask, and a fan maintains positive pressure in the mask to ensure any possible leakage is outward. Exhaled air passes through filters on the sides of the mask.

In animal tests performed by Public Health England in 2017, the mask was as effective as a vaccine in preventing influenza, says Nigel Silman, visiting chair of infectious diseases at the University of the West of England who was involved with the research.

U.K.-based Mackwell Health, which has partnered with Medi-Immune to make the device, is currently seeking device certification from the British Standards Institute and plans to seek Niosh approval in the U.S. The rechargeable, battery-powered mask is expected to cost near $500, and will be marketed to healthcare workers.

Diagnostic masks

Masks collect evidence of infection in each wearer’s exhalations, so, why not use them to test for Covid-19?

Researchers at Harvard University’s Wyss Institute for Biologically Inspired Engineering have figured out how to integrate a freeze-dried diagnostic Covid-19 test into a face mask. The test reacts with exhaled particles and gives a diagnosis in 90 minutes or less.

The tests and a tiny blister pack of water can be mounted on any mask. After the mask has been worn for at least 30 minutes, a person punctures the blister pack to release the water needed to rehydrate and run the reactions. The test result is indicated by one or two lines, similar to a pregnancy test.

“Think of our diagnostic reactions as ramen soup,” says Peter Nguyen, a Wyss Institute research scientist and co-first author on the research. “We have taken these diagnostic assays and, keeping with our analogy, separated the water from the noodles. We just mix them back together when you want those reactions to occur.”

The researchers tested their technology by putting their masks on a breathing simulator that exhaled a snippet of SARS-CoV-2 RNA in aerosols similar to those generated by humans. The researchers found that their test performed as well as FDA-approved Covid-19 RT-PCR tests. “We can match the current technology for detecting the virus,” says Dr. Nguyen, who has a Ph.D. in biochemistry. The paper detailing their research is currently being reviewed for publication. The mask is subject to FDA approval.

The Wyss team, led by James J. Collins, core faculty member of the Wyss Institute, Termeer professor of medical engineering and science at Massachusetts Institute of Technology, and a member of the Harvard-MIT Health Sciences & Technology faculty, expects the product to cost about $5. The technology can be targeted to identify other viruses and variants as well.

A team led by Jesse Jokerst, an associate professor of nano-engineering at the University of California, San Diego, is also working on a mask-mounted Covid-19 test. This test is contained in a sticker that can be applied to any mask. Unlike the Wyss Institute test, which identifies SARS-CoV-2 RNA, the UC San Diego test identifies the presence of a protease produced in the body during a Covid-19 infection.

Prof. Jokerst and his team, whose work is part of the National Institutes of Health’s Rapid Acceleration of Diagnostics Program to address gaps in Covid-19 testing and surveillance, have tested their technology with human saliva samples and are preparing to test in humans.

The professor believes the cost of the sticker will be just a few cents each.
https://www.wsj.com/articles/high-te...6846402?page=1

By the way, I doubt you'll have to get a new vaccine every year. The key antigen on the SARS-CoV-2 virus is the spike protein and only mutations on that protein matter and not even all of them. As we've already seen, the current vaccines still work quite well against viruses with one or more mutations. Ongoing research is likely to find relatively stable segments of RNA coding for portions of the spike protein against which antibodies can be made that will avoid random mutations of the virus.
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  #4942  
Old Posted Apr 2, 2021, 7:17 PM
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3 million/day!! That's almost 1% of the US population per day (it's more than 1% of adults) or, assuming a 2-shot vaccine, ½% fully vaccinated per day.


https://www.bloomberg.com/graphics/c...-distribution/

By the way--I'm always impressed by Chile. They are among the global standouts but especially in Latin America. According to The NY Times they are using a combination of the Pfizer vaccine and China's Coronavac. Trials in Brazil showed this Chinese vaccine to be "50.4% effective at preventing symptomatic infections, 78% effective in preventing mild cases needing treatment, and 100% effective in preventing severe cases." [https://en.wikipedia.org/wiki/CoronaVac]

Last edited by Pedestrian; Apr 2, 2021 at 8:12 PM.
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  #4943  
Old Posted Apr 2, 2021, 7:56 PM
CaliNative CaliNative is offline
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Originally Posted by Pedestrian View Post
As you may know, this pandemic has triggered a new era in "mask research":


https://www.wsj.com/articles/high-te...6846402?page=1

By the way, I doubt you'll have to get a new vaccine every year. The key antigen on the SARS-CoV-2 virus is the spike protein and only mutations on that protein matter and not even all of them. As we've already seen, the current vaccines still work quite well against viruses with one or more mutations. Ongoing research is likely to find relatively stable segments of RNA coding for portions of the spike protein against which antibodies can be made that will avoid random mutations of the virus.
Good summary. I had read that mask upgrades were coming, but not in this detail. Hopefully enough will be made that everyone who is vulnerable can get them, not just medical people.
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  #4944  
Old Posted Apr 2, 2021, 7:58 PM
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Originally Posted by CaliNative View Post
Even more "life shattering" is going into a crowded bar (or cruise ship etc.) and getting infected with covid. The world is a different place than pre 2020. Sad but true. Hopefully the virus will be defeated, but it keeps mutating so we have to be careful. Potentially a mutant strain could develop that impacts younger people more severely just like the 1918 flu did. The young have to change their behaviors. These "spring break" wild parties are endangering everyone. Colleges should end spring break until covid is defeated.
That's not grounded in reality. Yes, right now, we're dealing with a pandemic and should act accordingly but unrealistic to expect social creatures (people) to stop being social indefinitely especially those in their late teens/ early 20's (prime social years).

We are going to return to the way things were (gradually) and not a whole lot there is to do about it...mutations or not. Those who are still paranoid or most at risk will still have the option not too be exposed to crowds but the rest of us are beyond ready to start living again.
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  #4945  
Old Posted Apr 2, 2021, 7:59 PM
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Originally Posted by Pedestrian View Post
As you may know, this pandemic has triggered a new era in "mask research":


https://www.wsj.com/articles/high-te...6846402?page=1

By the way, I doubt you'll have to get a new vaccine every year. The key antigen on the SARS-CoV-2 virus is the spike protein and only mutations on that protein matter and not even all of them. As we've already seen, the current vaccines still work quite well against viruses with one or more mutations. Ongoing research is likely to find relatively stable segments of RNA coding for portions of the spike protein against which antibodies can be made that will avoid random mutations of the virus.
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Originally Posted by the urban politician View Post
....Said nobody like, ever......

Or, to reiterate: young people going to a bar and getting COVID are not experiencing a "life shattering" event. You're talking about mortality rates in the fractions of a percent.

Now, if you're an elderly person or a person with a lot of major health problems, you haven't been vaccinated, and you enter a crowded bar and get Covid....well, that's your fault.
Are you opposed to these mass gatherings of young people without masks that we have seen on the news in places like Miami Beach?
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  #4946  
Old Posted Apr 2, 2021, 8:05 PM
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Originally Posted by JManc View Post
That's not grounded in reality. Yes, right now, we're dealing with a pandemic and should act accordingly but unrealistic to expect social creatures (people) to stop being social indefinitely especially those in their late teens/ early 20's (prime social years).

We are going to return to the way things were (gradually) and not a whole lot there is to do about it...mutations or not. Those who are still paranoid or most at risk will still have the option not too be exposed to crowds but the rest of us are beyond ready to start living again.
At some point the virus could mutate to a form more hurtful to young people. The 1918 flu was very harmful to younger people vulnerable to "cytokine storms". Plus the long term impacts of covid are still unknown. Some young people have shown long term impacts already like "brain fog" and other problems. Not just an old person's disease. I think people want the young to behave more responsibly. Go have fun, but at least wear masks and avoid big crowds, and get vaccinated. Is that asking too much?
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  #4947  
Old Posted Apr 2, 2021, 8:10 PM
the urban politician the urban politician is offline
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Originally Posted by CaliNative View Post
Are you opposed to these mass gatherings of young people without masks that we have seen on the news in places like Miami Beach?
^ Yes, I am (opposed to them).

But for different reasons than you are.

Those young people aren't really in danger of anything, hence it's not a "life-shattering event" as you put it.

But they will continue to spread virus around, in a time when we are still FAR from herd immunity from the vaccine. That is why I think it's a problem.

Knowing WHY something is a problem is the most important thing. That is how you effectively deal with a pandemic without shutting people out of their lives needlessly.
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  #4948  
Old Posted Apr 2, 2021, 8:19 PM
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I'm actually not worried about the industry (as opposed to individual employees in the industry).

I actually hope that in San Francisco a lot of deadwood--places that have seen better days or were living off past glories--will be cleared out and we'll see a renaissance of new, more interesting places (that will hopefully rehire a lot of the workers).

Even here in exurban Arizona, that never really locked down but did ban indoor dining for a while and has now reopened it, I noticed today lots of "help wanted" signs in the windows. It really was striking--just about every place that serves food had one in the window.
The problem is that a lot of independent owners will be wiped out financially, and landlords will replace them with the easiest alternatives with the strongest covenants. In order words, chain restaurants.
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  #4949  
Old Posted Apr 2, 2021, 8:24 PM
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Originally Posted by CaliNative View Post
At some point the virus could mutate to a form more hurtful to young people. The 1918 flu was very harmful to younger people vulnerable to "cytokine storms". Plus the long term impacts of covid are still unknown. Some young people have shown long term impacts already like "brain fog" and other problems. Not just an old person's disease. I think people want the young to behave more responsibly. Go have fun, but at least wear masks and avoid big crowds, and get vaccinated. Is that asking too much?
This is not speculation. It's already fact.

Quote:
Younger Brazilians Are Dying From Covid in an Alarming New Shift
By Martha Viotti Beck , Julia Leite , and Caroline Aragaki
March 26, 2021, 2:56 PM MST

Staggering under its worst period of the pandemic, with daily records of caseloads and deaths, Brazil is facing a daunting development: a rising number of deaths among the young.

So far this month, according to government data, about 2,030 Brazilians aged 30 to 39 have died from Covid, more than double the number recorded in January. Among those in their 40s, there have been 4,150 fatalities in March, up from 1,823 in January, and for those 20-29, deaths jumped to 505 from 242.

. . . cases among those aged 30 to 59 had surged from the start of the year until mid-March at a pace nearly double the national average of 316%. Those age groups saw deaths jump by at least 317%, compared with 223% for Brazil as a whole.

In Sao Paulo, the country’s richest and most populous state, the rise is especially prominent in private hospitals, state Health Secretary Jean Gorinchteyn said in an interview. Those 60 and older continue to dominate hospital admissions but the share of those under 50 has risen to 15% from 10% last year.

In the state’s capital, more and more people between 20 and 54 are getting infected, the city’s health secretary, Edson Aparecido, told GloboNews TV on Friday. Younger patients wait longer to seek health care and are sicker when they arrive . . . .

The explanation for the growing infection rate among the young -- in a country that is largely young -- remains unclear although officials and medical experts suggest several possibilities. First, throughout 2020, local and regional restrictions hampered socializing. That changed with the holidays, the new year and the loosening of lockdowns.

Second, a variant first spotted in the Amazonian city of Manaus is probably partly to blame, according to Jaques Sztajnbok, who helps run the ICU at Emílio Ribas hospital, one of Brazil’s main facilities for infectious diseases. Patients are largely getting sick with that variant or the U.K. one, which is also more contagious. A study carried out in Sao Paulo found one of the two variants in 71% of cases.

Third, vaccines are limited in Brazil and there is no time line for inoculating the young.

Fernando Brum, a director at Sorocaba’s Santa Casa hospital, said the mutation of the virus into a much more contagious version with a viral load that makes people sick in a faster and more aggressive way has meant young people have gone from mostly asymptomatic cases to being gravely affected.

Brum, whose hospital is a two-hour drive from Sao Paulo, says ICUs are also filled with 30-year-olds. He estimates that the age of patients hospitalized with Covid-19 has decreased by 50% compared with 2020.

“The intensive care unit is constantly and uninterruptedly occupied,” he said. Patients in their 30s make up at least half of those beds, and their average time spent in the hospital has tripled from last year. It has come down recently for a a grim reason -- patients are dying more quickly.

Sztajnbok said it’s not unusual now to see people under 40 or even in their 20s without any risk factors needing intubation and life support. Before, he said, patients were mostly over 65. “The first time that happened, we were shocked,” he said. “We were also shocked the second time. Now we are not anymore” . . . .
https://www.bloomberg.com/news/artic...ming-new-shift
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  #4950  
Old Posted Apr 2, 2021, 8:27 PM
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Originally Posted by CaliNative View Post
At some point the virus could mutate to a form more hurtful to young people. The 1918 flu was very harmful to younger people vulnerable to "cytokine storms". Plus the long term impacts of covid are still unknown. Some young people have shown long term impacts already like "brain fog" and other problems. Not just an old person's disease. I think people want the young to behave more responsibly. Go have fun, but at least wear masks and avoid big crowds, and get vaccinated. Is that asking too much?
At some point the planet could be a destroyed by an asteroid. If you want to be a hyperbolic hypochondriac suit yourself, but don’t expect others to be as fearful.

For almost all young, healthy people Covid is no big deal. Even complaining about a few days of bad flu symptoms is just millennial whining.

I’ve been taking no precautions beyond the required (masks in shops and the gym, etc), but I was careful around my mother, who is the only person over 60 that I come into direct contact with as long as we are remote for work. And I’ve always washed my hands a lot - I didn’t realise that was so uncommon.

I really need to get an antibody test. I suspect that I had Covid early on (pre-“pandemic”) but there was no testing then. I’m curious whether I’ve picked it up again since I’ve been in Florida.
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  #4951  
Old Posted Apr 2, 2021, 8:28 PM
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The problem is that a lot of independent owners will be wiped out financially, and landlords will replace them with the easiest alternatives with the strongest covenants. In order words, chain restaurants.
Not in San Francisco--chains are banned.

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San Francisco defines formula retail as, "a retail sales establishment which, along with eleven or more other retail sales establishments located in the United States, maintains two or more of the following features: a standardized array of merchandise, a standardized facade, a standardized decor and color scheme, a uniform apparel, standardized signage, a trademark or a servicemark." Basically, any chain that already has 11 locations . . . . a new rule . . . states that Planning must reject an application by a chain if they have 11 locations including any leases signed, requiring them to research whether the company has signed leases on eventual but but not-yet-opened locations across the country.
https://sfist.com/2013/06/19/what_we...n_we_talk_abo/

There are exceptions in a few areas like Fisherman's Wharf but there are the rules in areas most popular with locals.
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  #4952  
Old Posted Apr 2, 2021, 8:31 PM
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l.

For almost all young, healthy people Covid is no big deal. Even complaining about a few days of bad flu symptoms is just millennial whining.
Unless you are Brazilian. See above. Also note that it is believed immunity by having recovered from COVID is weaker than from vaccination, especially against the Brazilian strain.
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  #4953  
Old Posted Apr 2, 2021, 8:35 PM
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Originally Posted by CaliNative View Post
At some point the virus could mutate to a form more hurtful to young people. The 1918 flu was very harmful to younger people vulnerable to "cytokine storms". Plus the long term impacts of covid are still unknown. Some young people have shown long term impacts already like "brain fog" and other problems. Not just an old person's disease. I think people want the young to behave more responsibly. Go have fun, but at least wear masks and avoid big crowds, and get vaccinated. Is that asking too much?
Your fears are based on pure speculation; because Covid could become more dangerous to younger people, we must hunker down indefinitely. No.

If the science and data reflects more young people succumbing to covid, we then should act accordingly but not simply out of hypotheticals. And once you're vaccinated, you're chances of dying are almost zero and odds of serious issues are low as well so why perpetuate living in fear post vaccine?
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  #4954  
Old Posted Apr 2, 2021, 8:43 PM
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Originally Posted by JManc View Post
Your fears are based on pure speculation; because Covid could become more dangerous to younger people, we must hunker down indefinitely. No.

If the science and data reflects more young people succumbing to covid, we then should act accordingly but not simply out of hypotheticals. And once you're vaccinated, you're chances of dying are almost zero and odds of serious issues are low as well so why perpetuate living in fear post vaccine?
Again--the Brazilian variant is apparently more dangerous for younger people and it has already been found in many places in the US. It is NOT speculation.

This doesn't mean "we must hunker down indefinitely" because the vaccines apparently do work against it. But it does mean that young people need to be as careful as older people--especially going forward as the variants become even more prevalent-- and especially get vaccinated. Until 60-70% of the entire US population is vaccinated, precautions like mask wearing and avoiding indoor crowds should be practiced by EVERYBODY (10023 can take his chances with the Brazilian variant--I still want to see his blog about the experience).
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  #4955  
Old Posted Apr 2, 2021, 8:56 PM
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My parents have been fully vaccinated. They waited 2 weeks after their 2nd shot on 3/4 and then they started going out to restaurants and traveling. I'm so happy for them after a year of self confinement, senior shopping hours and avoiding their friends and family for a year.
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  #4956  
Old Posted Apr 2, 2021, 9:03 PM
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There's a difference between being proactive at any age and being hysterical. I'm seeing a lot of the latter and it's off putting. I can't relate 10023's mentality but I can't get on board with the histrionics either. I think young people should be responsible but still be able live life.
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  #4957  
Old Posted Apr 2, 2021, 9:04 PM
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senior shopping hours
I never tried those. They were always very early in the AM and I'm both a night owl and late sleeper. But I found evening shopping to be maybe even better. Very few people in stores where I am in AZ after the dinner hour. We'll see about SF when I return--I expect to be doing my own grocery shopping there too for the first time since the fall of 2019.
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  #4958  
Old Posted Apr 2, 2021, 9:07 PM
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Gov. Gretchen Whitmer attributes Michigan's recent elevated case counts to pandemic fatigue coupled with the state's early pandemic successes in flattening the curve:

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Whitmer said every three to four months state officials consult with national experts, and she had conversations with four experts this week — the week that Michigan became the worse state in the country in terms of COVID-19 cases per capita in the last seven days.

"Each one of them said a variation of the same kind of analysis about what we're seeing here in Michigan. No. 1, we did a really good job early on keeping our numbers low and because of that we've got fewer people per capita who have antibodies than a lot of other states do," she said. "So we were very successful early on, but right now that means in the wake of variants that are easier to catch, we have fewer people with antibodies. And that's why rushing to vaccinate is so crucial.

"You combine those factors with the fact that people are tired and they're not masking up as much. Our mobility is way up. These are all things that exacerbate the problem, the fact that COVID is still a very real threat and we are seeing it spread. And now, we are seeing the variants.

"So you combine all of those factors, for someone to observe that yes, lots of states are loosening things up. Michigan went from 25% in restaurants to 50 (%). Other states have abandoned everything, even mask mandates. We're just not the same."

https://www.freep.com/story/news/loc...nt/7064367002/
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  #4959  
Old Posted Apr 2, 2021, 9:25 PM
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Talking about COVID is soooo beyond tiring... sigh...

But.....

I really will NEVER understand why so many people have an issue with masking. Just do it. It allows you to do so much.
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  #4960  
Old Posted Apr 2, 2021, 10:09 PM
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Originally Posted by iheartthed View Post
Gov. Gretchen Whitmer attributes Michigan's recent elevated case counts to pandemic fatigue coupled with the state's early pandemic successes in flattening the curve:
It is interesting that despite lockdowns and restrictions, states like CA and now MI were not immune to experiencing surges. It's almost as if they had the opposite effect. Because cases were so well controlled early on, as pandemic fatigue settled in, coupled with new, even more contagious variants, lackluster contact tracing, and the holidays, the surges were inevitable.
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