Thursday, October 21, 2021

Pandemic and lockdowns return to Europe

Latvia is first country to reimpose lockdown in Europe’s new Covid wave | The Guardian - Pjotr Sauer:

Oct 20, 2021 - "Latvia has announced a month-long Covid-19 lockdown after an unprecedented surge in infections, becoming the first country in Europe to reimpose far-reaching restrictions amid a new wave of cases in countries across the continent. The Baltic country has one of the highest rates of new Covid cases relative to population in the world, according to the US Centres for Disease Control and Prevention (CDC), after ... keeping the virus at bay for months.

“'Our health system is in danger' … the prime minister, Krišjānis Kariņš, said on Monday evening at an emergency government meeting. He said the country’s low vaccination rate was to blame for the surge in hospital admissions. Only 57% of the 1.9 million Latvians are fully vaccinated, well below the EU average of 74%. The government imposed a month-long night-time curfew, from 8pm to 5am, this week and closed schools and all non-essential shops....

"Latvia is the first country in Europe to reimpose a strict lockdown as the fresh Covid wave gathers pace across the continent. The World Health Organization said there was a 7% rise in new coronavirus cases across Europe last week, the only region in the world where cases increased, according to the health body....

"Poland’s health minister, Adam Niedzielski, said on Wednesday the country had experienced an 'explosion of the pandemic in the last two days' and warned the Covid situation was 'becoming very serious'. Poland’s daily number of cases had exceeded 5,000 for the first time since May. Neighbouring Slovakia reported 3,480 new cases on Tuesday, its highest daily tally since the spring, according to health ministry data.

"Bulgaria on Tuesday recorded its highest Covid death rate since late March, and the authorities made vaccine passports compulsory for visiting gyms, museums, cafes and other public places to stop the spread of the virus. In Romania and Ukraine local hospitals have found themselves under intense pressure, as the two countries have been posting record numbers of Covid deaths this month.

"In Russia, which has been reporting record daily deaths and has a vaccination rate dramatically below the EU’s, with only a third of its population vaccinated, a new set of restrictions was announced on Tuesday. In Moscow, unvaccinated citizens aged over 60 were ordered to stay at home for four months and vaccine passports were introduced in several regions.

"Moscow will go into a full lockdown if coronavirus infections continue to increase in the capital, a government order that was sent to businesses in the Russian capital on Wednesday said. The order, seen by the Guardian, would close all non-essential businesses, including restaurants, shopping malls and museums as well as suspend planned medical procedures from 30 October to 7 November. The order said that the lockdown would come into effect if the total number of new coronavirus cases in the capital over the next seven days surpasses the number of infections recorded in the previous week. The measures, labelled as a 'short-term lockdown' in the document, would amount to Russia’s strictest coronavirus restrictions since spring 2020."

Read more: https://www.theguardian.com/world/2021/oct/20/latvia-enters-month-long-covid-lockdown-as-fourth-wave-breaks

Chart courtesy Worldometer

Wednesday, October 20, 2021

Mandates, burnout to blame for nursing shortage

Front-line health care worker shortage due to COVID-19 vaccine mandates, burnout | Fox News - Julia Musto: 

October 19, 2021 - "Hospital staffing shortages due to COVID-19 vaccination disputes have continued across the U.S. this month, leaving patients untreated amid surges of the virus' delta variant. Health care workers against vaccine mandates have stood their ground, despite the fact that millions of Americans have been safely vaccinated against coronavirus.... 

"In upstate New York, several maternity staff members resigned from Lewis County General Hospital, worsening an existing shortage and forcing the hospital to stop delivering babies and potentially curtail services in five other departments.... 

"More than 150 Houston Methodist hospital system workers were fired or resigned in June over a vaccine mandate after Texas Gov. Greg Abbott issued an executive order banning any entity from implementing mandates in the state, according to Houston Public Media....

"In Michigan, approximately 400 workers walked off the job at Henry Ford Health System at the beginning of the month rather than take a required COVID-19 vaccine, according to the Detroit Free Press and an additional 1,900 workers received exemptions from the health system's vaccine requirement. The publication reported that the workers who left made up about 1% of the workforce of 33,000 people, and Reuters reported that dozens of employees had filed a lawsuit against Henry Ford Health System in September.

"Other hospital systems around the country have also gotten pushback on COVID-19 vaccine mandates, leading to employee firings. In July, a study by The COVID States Project said that 27% of health care workers were unvaccinated and NPR reported in September that other research showed the rate of vaccination has been lower among nurses and nursing home aides. There was a widespread shortage of nurses even before the pandemic, according to NPR.

"In a Sept. 1 news release, the American Nurses Association (ANA) – which represents the interests of the nation's more than 4 million nurses – penned a letter to U.S. Department of Health and Human Services (HHS) Secretary Xavier Becerra, calling on the administration to declare the nurse staffing shortage a national crisis and take action.... Health leaders said exhausted nurses are quitting or retiring over the crisis and some are leaving for lucrative temporary, traveling positions. The ongoing pandemic and surges in infections have led to burnout, though issues reportedly extend further back than last year.

"'The current nursing crisis the state of Oregon is facing … has been decades in the making,' Natasha Schwartz, a member of the Oregon Nurses Association Board of Directors, said during a news conference at the beginning of the month. "As we see a small number of nurses potentially leave the profession due to their decision to decline the vaccination, we are also concerned burnout will lead to an even larger number of nurses leaving the bedside – and in Oregon, we will not be able to educate a large enough number of nurses to replace them.' Officials from the Oregon Nurses Association said 60% of nurses at the state’s largest hospital, Oregon Health & Science University, indicated that they are considering leaving the profession entirely.

"In September, an Alabama man ... died following a cardiac event after being turned away by dozens of hospitals filled with COVID-19 patients.... Another man who had suffered a heart attack was also bounced from six hospitals in New Orleans before finding an emergency room that could take him."

Read more: https://www.foxnews.com/health/frontline-health-care-workers-shortage-covid-vaccine-mandates-burnout

Also read: Canadian hospitals struggle with staff shortages


Tuesday, October 19, 2021

Life in a ZeroCovid dystopia

Melbourne embraced zero-Covid. Now it remains isolated as the world bounces back | The Telegram - Megan Gold: 

October 15, 2021 - "It’s a bright cold day in October and the clocks are striking nine. That’s the time when residents of my home town of Melbourne, Australia, must obey a curfew or face crushing fines for breaching health orders. It’s not quite Orwell’s Oceania, but Australia’s second city shares some alarming similarities with the totalitarian regime from Nineteen Eighty-Four.

"Melbourne holds the dubious record of being the most locked-down city in the world – 260 days and counting. Watching television footage from Italy, India, New York and even London at the peak of their outbreaks terrified many Australians into relinquishing all their civil liberties.

"Unlike in the UK, where advice is formulated by Sage, Australian state health officers issue restrictions without explaining the science underpinning them. Many experts doubt that rules like curfews curb Covid at all. As cases in locked-down Melbourne reached a record high of 2,300 per day, officials in Sydney ended lockdown early after a vaccination drive. The reason for the spike is that Melbourne’s lockdown-fatigued citizens are secretly breaking all the rules, even those that actually work.

"Democracy has crumbled under zero Covid, with parliaments shut for months under health orders. The twitching curtain brigade, encouraged by government campaigns urging them to inform on their neighbours, watch for rule-breakers and use special hotlines to summon the police. Melbourne police were recently ordered to patrol playgrounds until a public outcry forced a U-turn. In a park near me, children on scooters flee as a police car pulls up. It’s like a scene from RoboCop.

"Masks are mandatory outdoors even if walking on a windswept beach or a deserted street. Those caught disobeying may be fined, handcuffed, forcibly masked and arrested if they refuse to comply. In another Orwellian twist, health orders banning protests are issued by bureaucrats reporting to the very leaders the protesters are demonstrating against. Protest organisers, including a pregnant woman, have been arrested in their homes and hit with conspiracy charges. Religious worship, even in small groups outdoors, has been banned.

"Getting into Australia has been near-impossible. Getting out requires a North Korea-style exit permit. Border closures have separated families and caused untold hardship. Babies have died, unable to access urgent medical attention at the nearest hospital across a locked state border. Thousands of holiday-makers who were travelling when border closures were imposed have been made homeless, some having to sleep in cars or live for months in refugee-style campsites, unable to return home even if they are double vaccinated. Some have been prevented from visiting dying relatives in other cities. Yet state leaders have held firm, only lifting interstate bans for celebrities and sports stars.

"Many abroad envy Australians, believing we have escaped the worst of the pandemic, but the true cost of our lockdown policy is yet to be fully understood. While deaths have remained low, other metrics paint a disastrous picture. Psychologists and GPs report a surge in substance abuse, eating disorders, domestic and child abuse, truancy, depression, anxiety and self-harm. Even high vaccine uptake may not protect the most vulnerable from Covid; let alone the other illnesses that could ravage Australia due to the 'immunity debt' caused by much lower exposure to other viruses."

Read more: https://www.telegraph.co.uk/news/2021/10/15/melbourne-embraced-zero-covid-now-remains-isolated-world-bounces/

Monday, October 18, 2021

Delta's variant: airline rejects Biden's vax mandate

Delta Air Lines CEO ditches ‘divisive’ COVID vaccine mandate; marks 90% employee vaccination rate | Fox Business - Angelica Stabile:

October 14, 2021 - "Delta Air Lines is the only U.S. carrier to hold off on enforcing a coronavirus vaccine mandate for employees and CEO Ed Bastian reported that it’s been an effective tactic for vaccination rates and compliance. The Delta head revealed on 'The Claman Countdown' that the company has reached a more than 90% vaccination rate and expects it to rise another 5% within the next month without a mandate in place.

"'The reason the mandate was put in by [the] president, I believe, was because they wanted to make sure companies had a plan to get their employees vaccinated,' he said. 'A month before the president came out with the mandate, we had already announced our plan to get all of our people vaccinated. And the good news is the plan is working.'

"Bastian acknowledged that there will need to be religious and medical accommodations made for those who wish to remain unvaccinated while avoiding having to threaten employment status.

"'By the time we’re done, we’ll be pretty close to fully vaccinated as a company without going through all the divisiveness of a mandate,' he said. 'We’re proving that you can work collaboratively with your people, trusting your people to make the right decisions, respecting their decisions and not forcing them over the loss of their jobs.'

"Despite a 'very choppy' coronavirus recovery for the air travel industry, Bastian celebrated Delta’s low cancelation rate and overall operational balance. 'Delta’s done a great job all year long with making certain that we’re managing supply and demand in equilibrium,' he said. 'Our people are doing a great job.'"

Read more: https://www.foxbusiness.com/media/delta-air-lines-ceo-ditches-divisive-covid-vaccine-mandate

Photo by Konstantin von Wedelstaedt. Courtesy Wikimedia Commons.

Sunday, October 17, 2021

Mental disorders rose globally during lockdowns

Covid Anxiety Is a Health Problem Too | Wall Street Journal - Dr. Marc Siegel:

October 15, 2021 - "In New York City, I often see people walking down the sidewalk, masks hanging low over their chins, looking fearful and dodging one another. The health benefit from these wary rituals is minimal to nonexistent, and they illustrate the toll that fear of Covid-19 has taken on mental health.

"A new global study published in the Lancet examines 48 data sources in an attempt to quantify that toll. The authors report a world-wide increase of more than 129 million cases of major depression and anxiety disorders compared with pre-pandemic figures. They attribute this to the 'combined effects of the spread of the virus, lockdowns, stay-at-home orders, decreased public transport, school and business closures, and decreased social interactions, among other factors.'

"The rise in mental-health problems was correlated with both infection rates and restrictions on personal behavior: 'We estimated that the locations hit hardest by the pandemic in 2020, as measured with decreased human mobility and daily SARS-CoV-2 infection rate, had the greatest increases in prevalence of major depressive disorder and anxiety disorders'....

"As in previous studies, the mental-health effect was most severe on younger people, likely because their need for social interactions is stronger and their social lives depend more on people outside the household. They are also at considerably less risk of severe disease, so restrictions pose a relatively heavy burden on them primarily for the benefit of their elders.

"From the beginning of the Covid outbreak in China, studies have found a connection between the severity of lockdowns and depression rates.... In most states, the average anxiety and depression scores increased during the late summer, fall and winter of 2020, while lockdowns were still in place. According to the Kaiser Family Foundation, almost a third of adults in the U.S. reported symptoms of anxiety or depressive disorder in late April and early May 2021, triple the number in 2019 before the pandemic started. But in South Dakota, which has had very few restrictions, the numbers were lower, with 24% reporting these symptoms.

"Government overreach in closing schools has caused a great mental health tragedy among our young. The United Nations Educational, Scientific and Cultural Organization has declared the Covid-19 pandemic the most severe disruption to education in history, with 1.6 billon learners in more than 190 countries out of school at some point in 2020.... A University of Washington study published last month by the Journal of the American Medical Association surveyed more than 2,300 American parents and found that remote learning negatively affected mental health and that 'older and Black and Hispanic children as well as those from families with lower income who attend school remotely may experience greater impairment to mental health than their younger, White, and higher income counterparts.'

"Badly conceived methods for stopping infection can be harmful to public health. Lockdowns and business closures were based on a model that ... proved ineffective at containing SARS-CoV-2, ... while causing enormous psychic damage. Even many people who didn’t get sick with Covid-19 will never be the same again."

Read more: https://www.wsj.com/articles/covid-anxiety-health-problem-isloation-school-youth-mental-lockdown-social-distancing-11634324802

Saturday, October 16, 2021

The Great Barrington Declaration one year on

The Great Barrington Declaration One Year On | American Institute of Economic Research - Phillip W. Magness & James R. Harrigan:

October 5, 2021 - "From October 2-4, 2020, the American Institute for Economic Research hosted a small conference for scientists to discuss the harms of the Covid-19 lockdowns, and maybe hint at a path back to normal life. Organized by Martin Kulldorff, Sunetra Gupta, and Jay Bhattacharya, the conference made a scientific case for shifting away from the heavy-handed lockdowns of the initial Spring 2020 outbreak. On their final day together in Great Barrington, the scientists wrote a short statement of principles, calling it the Great Barrington Declaration. This Declaration, their Declaration, touched a nerve well beyond the scientific community, and well beyond anything they or AIER could have expected....

"The aim that our guests had in offering the Great Barrington Declaration was to spark scientific dialogue that had been missing from the lockdown discussions until that point. It was AIER’s goal to facilitate this dialogue. The Declaration was a success in bringing, for the first time since the pandemic started, an anti-lockdown voice to mainstream policy discussion. The signatories’ stance was generally in line with the pre-pandemic plans that many, if not most mainstream authorities, (the World Health Organization, the epidemiology center at Johns Hopkins University, and the Centers for Disease Control to name just three) held. People tend to forget what the pre-2020 conventional wisdom on pandemics even was.

"As successful as we think the Great Barrington Declaration was, it failed in a number of respects.... We did not, for example, anticipate the vilification the Declaration would receive from any number of people, ranging from the progressive left to self-described libertarians. Immediately after the website launched, it was hit by a hoax signature campaign instigated on Twitter by pro-lockdown journalist Nafeez Ahmed. Most of the fake signatures were caught within hours and removed, but not before a hostile news media used them to manufacture a false story about their own self-created controversy over signatures from 'Dr. Johnny Bananas' and similar easily-caught pseudonyms.... 

"Ahmed also let loose what can only be called a flurry of increasingly unhinged conspiracy theories, falsely alleging that the GBD was somehow financially orchestrated by the Koch brothers, the British Ministry of Defence, and even a resort hotel property in Wales. Although Ahmed has a long history of conspiracy theorizing including the promotion of kooky claims about a controlled demolition bringing down the Twin Towers on 9/11, his ravings about the GBD were credulously adopted and shared by prominent scientists, journalists, and any number of other people who should have known better. (For the record, AIER received $68,000 in Koch funding over the last ten years. And that sum was used entirely to offset the costs of a single economics conference in 2017, with no links whatsoever to the GBD)....

"The Declaration even came under attack from a targeted propaganda campaign at the highest levels of the British government. Jeremy Farrar, the director of the Wellcome Trust and a pro-lockdown advisor to the UK’s SAGE committee, revealed as much in a recent book about the pandemic. Per Farrar’s account, Dominic Cummings – then serving as chief advisor to UK Prime Minister Boris Johnson – announced that he would orchestrate 'an aggressive press campaign against those behind the Great Barrington Declaration and to others opposed to blanket Covid-19 restrictions,' seeking to discredit any scientist who questioned the wisdom of his government’s lockdown strategy.

"In a broader and more basic sense, the Declaration was written during a period of deep uncertainty. No one really knew what the correct Covid answers were, but the signatories followed the evidence as it emerged. Most importantly, no one had any way of knowing that vaccines were so close to being available to the public. And while the specific strategies of last fall and winter might well have been different had the signatories known what we know now, everything they wrote was compatible with the anti-lockdown message at the heart of the Declaration....

"So how well did the lockdowns perform in practice? Given the intense criticisms leveled at the GBD, one might be inclined to think they worked rather well. But they didn’t.... First consider how the lockdowners have continuously shifted their accounts of the very same policies they advocated. In the weeks that followed the GBD, its critics crafted a well-honed and widely repeated message. Lockdowns, they insisted, were already a relic of the past – perhaps a suitable strategy for the uncertainties of spring 2020’s 'first wave,' but no longer a serious consideration.... After a year and a half or so of lockdowns, we can safely dismiss this response. Less than a month later, the UK returned to full lockdown. Dozens of other countries around the world followed suit in mid-November. When cases spiked again in the United States over the winter, several states reimposed these very same 'strawman' lockdown policies that the GBD’s critics dismissed with a wave of their hands in mid-October. Not that any of them would ever admit as much now. Quite the contrary.... One new conspiracy theory even faulted the GBD’s authors for allegedly delaying the reimposition of another UK lockdown by a few weeks the previous fall...

"More pro-lockdown epidemiologists seemed inclined to grasp the central theme of the badly misnamed John Snow Memorandum in the Lancet – drafted in direct response to the GBD. This petition, co-organized by Gurdasani and other pro-lockdown scientists, predictably claimed that drastic nonpharmaceutical measures such as business closures and shelter-in-place orders had a large effect on reducing Covid transmission in the spring and summer of 2020. Recent data indicate that this statement is overblown, and common sense should have researchers looking for the tradeoffs that have to be made in these sorts of large-scale public policies. Be that as it may, the Snow Memorandum was built upon unreliable pro-lockdown studies out of Imperial College-London that have since been discredited....

"So through it all, what have we learned and what should come next? First, vaccines have been a game changer, and will continue to be so. A forthcoming Covid-19 treatment pill from Merck might well be even bigger. And there are certainly other treatments coming that we don’t know about yet, that will only emerge through the innovative processes of scientific discovery.

"Also unknown at present are the costs of the lockdowns. These will be felt for years, if not decades, and will go well beyond lost wages. What will all those foregone cancer screenings mean, in the end? What about all those people who suffered mental health crises as they were confined to their homes alone? What about substance abuse costs? And what of the various financial catastrophes that so many people suffered?

"The benefits of the lockdowns are still ambiguous at best, this after a year and a half. We still have no clear empirical evidence that they delivered anything close to what they promised. But because science has been so completely politicized, it will take years longer to arrive at the truth than would have otherwise been the case. Here, we are left to offer advice with a nearly 2,500-year track record: First, do no harm."

Read more: https://www.aier.org/article/the-great-barrington-declaration-one-year-on/

This work is licensed under a Creative Commons Attribution 4.0 International License.

Friday, October 15, 2021

Canadian hospitals struggle with staff shortages

Health-care staff shortages could be on the way as COVID-19 vaccine mandates loom | Global News - Emerald Bensadoun:

October 11, 2021 - "Canada is preparing for the worst as provincial COVID-19 vaccine mandates threaten to plunge the country into a sharp uptick of health and long-term care worker shortages and layoffs. For hospitals and nursing homes, a shortage of workers would strain the already overburdened workforce dealing with nearly two years of the pandemic....

"Sharleen Stewart, president of SEIU Healthcare in the Greater Toronto Area, said that Ontario hospitals are already feeling the brunt of these layoffs, resulting in delayed surgeries and medical procedures. 'Unless you’ve got frontline staff to take care of your loved ones, they’re not going to be placed in those beds because there’s nobody there to take care of them,' she said. 'It’s a crisis that I have never seen before, the exodus is extremely alarming.' SEIU Healthcare is a union that represents 60,000 front-line health-care workers across Ontario. Stewart said most union members are fully vaccinated, but even a small percentage of layoffs could have a large impact on the quality of services hospitals will be able to provide.

"Prime Minister Justin Trudeau unveiled Canada’s new mandatory vaccine policy earlier this month. It requires all federal employees to be fully vaccinated against COVID-19 by the end of October, though hospitals are not federally regulated workplaces. Layoffs in Canada have already begun, leaving provincial authorities scrambling to make contingency plans ahead of expected staffing shortages.

"The University Health Network told Global News in August they had contacted more than 900 staff out of at least 16,671 employees who have either not given their vaccination status or said they haven’t been vaccinated. Meanwhile, a southwestern Ontario hospital fired 57 employees who failed to get vaccinated against COVID-19 by the beginning of October, representing 1.5 per cent of staff.

"Luc Mathieu, president of the Quebec Order of Nurses, told Global News that the union, which represents roughly 56,500 nurses throughout the province, has made the decision to suspend the licenses of members who are not fully vaccinated against COVID-19 until they get their shots. He said the vaccine mandate will affect one group of 4,338 nurses who are not adequately protected, including 2,807 who are unvaccinated and 1,541 nurses who have received at least one dose. Another cohort of 5,716 nurses will also be affected because information about those nurses provided by the Ministry of Health doesn’t match the information the Order has on file.

"In British Columbia, all health-care workers must be fully immunized against COVID-19 or receive an exemption from the provincial health officer by Oct. 26. Those who don’t will face unpaid leave and possible unemployment....

"Danielle Larivee, vice-president of the United Nurses of Alberta, expressed concerns about nursing shortages throughout the province, saying that the pandemic had 'exacerbated' an already existing problem....The union represents more than 30,000 registered unions in Alberta, the vast majority of which Larivee said are immunized. Alberta Health Services has required that all frontline health-care providers be fully vaccinated by Oct. 31 ... and any registered staff unable to prove they’ve gotten both doses will be suspended without pay. Larivee said she supports the vaccine mandate.... But she is worried about more seasoned nurses, who she said have already been working 'a substantial amount' of overtime in short-staffed hospitals for almost two years'....

"Stewart said she supports the vaccine mandates, but is worried that they will become 'the straw that broke the camel’s back' for many workers who were already considering leaving the health-care industry.... Stewart said the rate of infections and deaths among health-care workers, combined with poor working conditions, low wages, a lack of full-time work and around-the-clock hours, has made recruiting new hires near impossible."

Read more: https://globalnews.ca/news/8258372/health-care-shortage-vaccine-mandates-canada/