What Adam is Reading - week of 9-6-21

Week of September 6, 2021

 

Labor day weekend in our house was marked by cooking for the Jewish holiday, the first round of school projects, and making headway on our household meandering through the Coen Brothers film catalog.  On Saturday, my sons had the following exchange: "O brother - art thou joining us for O Brother, Where Art Thou? If so, O brother, where art thou?  We are commencing O Brother, Where Art Thou." 

 

I also had a first-hand encounter with belief perseverance last week.  One of my vaccine "non-believing" patients received his second dose of Moderna.  He reported that he was still skeptical (of something) but was sick of hearing me "bark at him." He also disclosed that he didn't feel comfortable telling his wife (also an unvaccinated skeptic).  I cannot fathom the contradictions that coexist in his mind.   But, I am amused (and unnerved) that I was able to pester him into vaccination.

 

---- Latest Data

U.S. Hotspot Map via N.Y. Times. The Current hospitalization map is quite striking.

https://www.nytimes.com/interactive/2021/us/covid-cases.html

 

Country Comparison from FT.com

https://ig.ft.com/coronavirus-chart/?areas=eur&areas=usa&areas=gbr&areasRegional=usny&areasRegional=usla&areasRegional=usnv&areasRegional=usar&areasRegional=usks&areasRegional=usmo&cumulative=0&logScale=1&per100K=1&startDate=2021-06-01&values=cases

 

CDC Weekly Review of Data and Variant Tracking

https://www.cdc.gov/coronavirus/2019-ncov/covid-data/covidview/index.html

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We are back to questioning masks - now cloth masks.   Guess what?  Carbon Dioxide and Oxygen are small molecules that can get through masks.   Water droplets (possibly containing the coronavirus) and viral particles are larger than oxygen and carbon dioxide molecules.  Cloth, surgical, or N95 masks allow the passage of oxygen and carbon dioxide but block varying amounts of water droplets and aerosolized viruses.  Not only are there good engineering studies, but epidemiologic data from pre/post mask mandates demonstrates efficacy.

https://www.abc4.com/coronavirus/can-cloth-masks-really-stop-covid-19-from-spreading/

and

https://www.healthaffairs.org/doi/10.1377/hlthaff.2020.00818

and a recent study of 350,000 people in 650 Bangladeshi villages:

https://twitter.com/Jabaluck/status/1433036923610742789

more background on relative sizes

https://www.fi.edu/blog/Your-Mask-Questions-Answered%C2%A0

 

Ivermectin poisoning rates are rising.  Thankfully not leading to death, for the most part.

https://piper.filecamp.com/uniq/ZO3aGrYGXdIUhiJ7.pdf

The American Association of Poison Control Centers data demonstrates that 6-19-year-olds  are the least likely to be poisoned by Ivermectin.  The bigger question - who was overdosing on Ivermectin in 2019?

More

https://www.npr.org/sections/coronavirus-live-updates/2021/09/04/1034217306/ivermectin-overdose-exposure-cases-poison-control-centers

I am not sure what it says about our fellow citizens that on August 21, the US FDA Tweeted, "You are not a horse. You are not a cow. Seriously, y'all. Stop it."

https://twitter.com/US_FDA/status/1429050070243192839

 

Just a reminder, there are well-written, critical reviews of the numerous and flawed Ivermectin studies.  Here is an excellent review by epidemiologist @GidMK:

https://twitter.com/gidmk/status/1435128867027501056?s=10

 

It has been about four weeks since the latest Sturgis, South Dakota bike rally.  Here is an article from 14-20 days after the event.

https://www.nbcnews.com/news/us-news/south-dakota-covid-cases-quintuple-after-sturgis-motorcycle-rally-n1277567

 

I have been seeing a variety of marketing efforts at promoting vaccination amongst various population segments:

Older adults in Singapore:

https://www.youtube.com/watch?v=oPRv6WrPThI

Orthodox Jews in New York

https://twitter.com/yair_rosenberg/status/1433147150238691329?s=10

Spanish Catholics in the Western Hemisphere

https://www.youtube.com/watch?v=KBvwOTAhgKQ

Serbian Cave Hermits (seriously, this man is a Serb and self -isolates in a cave - seems more toward Serbs in general, but I guess the point is if the cave guy vaccinates, you should too.)

https://www.straitstimes.com/world/europe/serbian-cave-hermit-gets-covid-19-vaccine-urges-others-to-follow

 

The debate over whether vaccine efficacy is waning (or not) continues.   Dr. David Dowdy (Johns Hopkins Epidemiologist) breaks down his thoughts based on data from a New England Journal article from last week:

https://twitter.com/davidwdowdy/status/1433254698316873728

He certainly makes some compelling arguments about Why vaccine efficacy is not waning and points out some of the difficulties of near-real-time analysis of population health data.

 

The Mu Variant is coming?

https://www.nytimes.com/2021/09/02/world/americas/mu-variant-who.html

The WHO keeps a running list of variants of interest

https://www.who.int/en/activities/tracking-SARS-CoV-2-variants/

Eric Topol offers some rational perspective on variants

https://twitter.com/EricTopol/status/1434885492198166529

 

Infographics!

Another set of good reasons to get vaccinated

Long term effects of COVID

https://i.redd.it/rtbvd6jxoml71.jpg

based on https://scitechdaily.com/lingering-symptoms-researchers-identify-over-50-long-term-effects-of-covid-19/

 

I have an odd fascination with knots.  I have written about my prized copy of The Ashley Book of Knots.  I found this infographic recently.

https://www.seattleyachts.com/SAILOR'S-GUIDE-TO-KNOT-TYING

Oddly, I don't tie knots of any complexity.  I am just amazed at how many ways there are to tie them.

 

 

Things I learned this week

 

Lamb Ham is a thing.

https://www.npr.org/sections/thesalt/2015/03/31/396588498/the-resurrection-of-lamb-ham-a-colonial-tradition-revived

And, who wouldn't immediately think of Al Roker (TV weatherman) for testimonial endorsements for lamb ham?

http://www.borderspringsfarm.com/compliments/

 

One means of measuring the disruption caused by natural disasters is the Waffle House Index. 

https://en.wikipedia.org/wiki/Waffle_House_Index

https://twitter.com/ErickFernandez/status/1402270341599272960

 

David Lee Roth of Van Halen changed his phone number in the 1990s, and author Nancy French got a great story out of it.

https://www.washingtonpost.com/lifestyle/2019/12/30/i-ignored-friends-familys-warnings-not-marry-my-husband-was-i-making-big-mistake/

 

I am a sucker for historical connect the dots between disparate items.  I thoroughly enjoyed this thread on how cheese, underwear, Jesus, snails, and reading glasses lead to the development of the hardback book.

https://twitter.com/incunabula/status/1434805469441318917

 

 

Clean hands and sharp minds, team

 

Adam

 

 

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