John Hess MD
@DrJohnHhess
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Family Medicine MD. Love family, outdoors, friends and sports. Get VAXXED
Reno, NV
Joined April 2018
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3 patients in last 2 weeks all with significant short term memory issues including forgetting where they are going while driving. No prior dementia. None brought up COVID infection until asked. All three have been infected within past 4 months when asked. Anyone else seeing this?
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Monkeypox in multiple countries at once with NO links to one another. Widespread disease has NEVER been seen before. Immunodeficiency a known significant risk factor. HIV to AIDS prior to meds 8-10 years. I hope we aren't seeing the first signs of T-cell dysfunction.
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Time to Vent. Close colleague who's child had COVID for 3rd time this spring. Mild symptoms. Few weeks later got Strep. Treated with antibiotics. Now has RHEUMATIC FEVER with significant Mitral Stenosis. Completely heathy prior. Got to love "Natural Immunity". Clean air anyone?
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First Monkeypox, now one of the most lethal outbreaks of Meningitis in US history. Both in MSM (including HIV+). Ask yourself this. IF a widespread infectious disease caused immune damage what population might be the first to show clinical evidence of that damage?
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I appreciate everyone's response. I've seen neurocognitive issues related to COVID infection in other patients but all of three of these patients had at least 3 prior vaccinations and all had mild disease to which none sought care. Yes, all getting work up for other causes too.
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This is INCORRECT. The USA has been averaging 10% EXCESS deaths since JUNE! That is 280,000 EXCESS deaths per year. Only about 50% directly attributed to COVID. Many deaths are occurring in the weeks to months FOLLOWING COVID infection and AREN'T counted as COVID deaths
If you aren’t seeing patients in the hospital, it can be hard to understand how much things have changed.
Overcounting
#COVID19
hosp and death undermines vaccine efficacy and confidence (and uptake).
Thanks
@DrLeanaWen
for a great summary of the issue
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Holy crap Sweden. Massive RSV spike for SECOND year in a row. Look at the area under the 2021-2022 curve Well more than DOUBLE the expected cases LAST season. Why was the debt not paid? Maybe need to consider alternative explanations? Either way CLEAN INDOOR air would help!
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So extensive LONG TERM (6 month) study of sudden cardiac DEATHS in YOUNG ADULTS following COVID vaccination was FIVE fold LOWER in those vaccinated vs unvaccinated (1/500,000 vs 1/100,000). Lapado/Hoeg, flat out lied about risk vs benefit.
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Just today. Firefighter 40s with well controlled DM (A1c 6.5) not overweight otherwise healthy. Mild COVID Fall 2020, triple vaccinated 3rd dose 12/21. Day 3 on Paxlovid, sats low 80s. Going to the ER. Tell me again why repetitive infections is a good idea?
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62 healthy, HIV neg. COVID 3/28/23 fully vaccinated, mild symptoms which resolved within a week. Since then 2 cases of shingles, sinusitis and periorbital cellulitis. CD4 297. <200 is AIDS It's not every patient or every infection but it's more common than people want to believe
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Happened again. Patient reports forgetting WHILE DRIVING how to get somewhere locally she had driven to hundreds of times before. Had to pull over and call family. I want to be clear in all 4 of these cases these were NOT chief complaints and were mentioned as "oh by the way". 🧵
3 patients in last 2 weeks all with significant short term memory issues including forgetting where they are going while driving. No prior dementia. None brought up COVID infection until asked. All three have been infected within past 4 months when asked. Anyone else seeing this?
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On 12/22/22 there had been 24 reported pediatric Group A Strep deaths in the UK. 6 days later the number is up to 30! As stated previously based on CDC surveillance data and UK pop. size there should be 6-7 deaths PER YEAR. Now FIVE times that many in 3 months! This is NOT normal
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N0 surprise to anyone who actual treats families. Worst case of the pandemic for me. Male 40s. Dec 2021. Unvaccinated. Kids got COVID at school. Caught it from them. Died 1 week later. Haunts me to this day. THIS is why GBD a horrific idea.
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2 patients. Both fully boosted with very mild COVID 4-6 weeks ago. No change in meds/medical conditions. Both working. Stable GFRs of 50 and 40 to 29 and 28 post infection. Tell me again how "mild" Omicron has become and why we shouldn't be focused on transmission, indoor air?
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New Study: Intrinsic severity of Omicron NO different than original virus. Immunity has improved severity NOT viral attenuation. This has significant implications. 1. Immune compromised will remain at significant risk. 2. Immune waning over time will erode severity protection
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RSV peaking in Sweden but at a very high level. Last year's peak was DOUBLE the previous high of the 2018-2019 season and this year is TRIPLE that level! How does ONE missed season lead to such massive increases TWO years in a row? Maybe it was all the masks that were worn there?
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@Ivriniel
@CrnchyMama
I had. What is concerning to me as these were patients with mild disease and vaccinated with at least 3 doses each. Had not been seeing much of this previously except in patients infected prior to advent of vaccines.
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Patient today. Fully vaccinated, 2nd COVID infection 6 weeks ago. Highly intelligent. SLUMS score 30 a year ago, now 22. Now difficulty with memory, focus and simple calculations. Labs/neuro exam normal. Happening over and over again. Clean indoor air please……..
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We appear to have entered the endemic phase of COVID and it isn't pretty. 100-200K per year dead from COVID with 250K plus excess deaths per year based on the last several months with 10% excess mortality in the USA. When are we going to get serious about indoor ventilation?
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RANT..I just got blocked by Veldhoen by respectfully pointing out that the ANNUAL OVERALL healthcare burden of COVID was still greater than flu. He was insistent that this was no longer the case and chose to only focus on INDIVIDUAL risk. Tweet that got me booted.
#1
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This is why the whole with COVID vs from COVID nonsense is laughable. COVID made him sick enough to get dehydrated, pass out, and get a subdural hematoma! Many, many others get significant exacerbations of underlying medical conditions with infection. Clean indoor air anyone?
Until this week, I remained a NoVid, which I chalked up to being fairly cautious, fully vaxxed & a bit lucky.
This week my luck ran out. My case is a cautionary tale, particularly for the “just a cold” folks. Mine definitely was not...I literally have scars to show for it. (1/22)
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Update. 8 weeks since this patient's mild COVID infection. CD4 down 21 to 276. CD4/CD8 ratio down to 0.8. No idea the frequency and duration of this in the general population. All I can say is this is not the only patient I've seen this in.
62 healthy, HIV neg. COVID 3/28/23 fully vaccinated, mild symptoms which resolved within a week. Since then 2 cases of shingles, sinusitis and periorbital cellulitis. CD4 297. <200 is AIDS It's not every patient or every infection but it's more common than people want to believe
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Gee I wonder. Where could have all the workers gone? 1.4 MILLION Excess deaths (not an insignificant number of those between 40-70) and likely 5-10 TIMES that many with significant disability. What could possibly be causing an employee shortage. 🤔🤔🤔.
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Then ask how long (or how many infections) before something similar is seen in the general population?
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UPDATE-Antivax folks are trying to emphasize these cases were vaccinated. I WANT TO BE CLEAR. I Haven’t seen a single case of mental decline in a patient who was vaccinated but NOT infected within 6 months of vax. All cases I’ve seen were INFECTED within 4 months of symptom onset
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Why would kids who weren't even born (i.e. less than 12 months of age in 2022-23) have an increase in RSV severity? Certainly can't blame lack of exposure in 2020 which was one to two YEARS before they were even born. Maybe something else going on....
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@greg_travis
And just so the vax conspiracy folks don’t get all excited the dramatic rise in Cardiovascular deaths started with the onset of the COVID infections NOT vaccinations and followed predictable COVID waves of infection. Glad you haven’t yet given up on Twitter.
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🧵
#3
5. Long COVID and repetitive infection risk in a no longer immune naïve population unknown but clearly not zero.
Can we finally have a grown up conversation about improving indoor ventilation????
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"Concerning and Clinically Relevant"
That was the reply I got from an immunologist from the Univ of Nevada in regard to these patient's CD8 counts post COVID infection. I now have 5 patients with significantly abnormally low CD4 or CD8 counts in the MONTHS to YEARS post infection
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@JeromeAdamsMD
It's one of the problems with the myopic focus only on deaths (and to a degree hospitalizations). Those are just the tip of a very large iceberg. Getting sick and ill recurrently is not just bad for the individual it's bad for businesses and the economy.
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So I’ve now been blocked by Balloux. Here are my tweets that got me blocked. Good to know that I’ve now been “censored” and my “nuanced” position is being cancelled. I will admit my error. It’s actually 2 out of 2 transplant patients were COVID +.
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Can we PLEASE get serious about indoor ventilation? Even if prior immunity (vax, inf, hybrid) significantly lowers incidence of LONG COVID (big IF BTW) the risk ISN’T zero and thus cumulates with repetitive infections. We as a society need to pull our heads out of the sand.
NEW REPORT: using updated data, I find that 2-4m Americans are not working due to
#longcovid
. This is costing us ~$170 billion annually in lost wages alone. A thread (1/)
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Well this is interesting. Type in Lymphopenia in my EMR (National EMR - E clinical works) and 2nd,3rd, & 4th diagnoses listed are Lymphopenia with COVID-19. This is new. I guess I'm not the only one seeing some prolonged lymphopenia in some post COVID patients.🤔🤔🤔
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@gregggonsalves
@Bob_Wachter
@ashishkjha
It's our new reality. 100-200K direct COVID deaths per year and 200-300K total excess deaths per year when compared to prior 2020. This has been our steady state for over 10 months. Flu/Pneumonia COMBINED used to be 30-60K per year. 🙉🙈🙊
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@farid__jalali
Every patient myself and my colleagues are currently treating in a 20+ person primary care multi-location practice are based on rapid mostly at home antigen testing. None are being counted in the stats. Massive undercount. Spreading like wildfire.
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Got to love that robust hybrid immunity. Exhibit A Sweden (lot of deaths under that curve). Easy to hide cases (don't test). Much harder to hide deaths, but not impossible (China). Maybe repetitive ongoing infections isn't a such a great idea? Clean indoor air anyone?
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@canmd1971
Outside a 2003 outbreak in which EVERY case was linked to infected Guinea pigs we have never seen an outbreak this large outside of Africa. All other sporadic cases have previously been linked to travel to areas in Africa where it is endemic. That is NOT the case now.
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UPDATE-Antivax folks are trying to emphasize these cases were vaccinated. I WANT TO BE CLEAR. I Haven’t seen a single case of mental decline in a patient who was vaccinated but NOT infected within 6 months of vax. All cases I’ve seen were INFECTED within 4 months of symptom onset
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🧵
#2
3. High level of transmission will continue to cause significant morbidity and mortality even if severity per case through immunity remains similar to Flu (best case scenario)
4. 3+ million immune naïve babies born in the US alone per year will remain at significant risk
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Netherlands Study of PCC (Post Covid Conditions) with significant symptoms at THREE months post infection. Good news for FIRST infection, rate 40% lower for Omi vs Delta. Bad news rates still DOUBLE baseline population rates AND rates with reinfection 1.2 X HIGHER. More 👇
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We need to start being HONEST with the public. Vaccines are wonderful but the AREN'T perfect. Death rates in particular CV deaths rise SHARPLY in the weeks to months POST COVID (mild, severe, vaxed, or previously infected). The antivaxxers are weaponizing these deaths!!!
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While some will say "but she tested negative for COVID". 30% or more of those with COVID will often test negative multiple times before testing positive. While other causes need to be excluded, her prolonged symptoms are very compatible with PASC.
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COVID hospitalizations in Denmark now at highest level since original BA1 Omicron wave winter 2021. In addition sky high RSV levels and Flu starting to shoot straight up. Got to love that robust hybrid immunity and viral interference...Oh wait. Clean indoor air anyone?
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Such a bad faith argument. They did an autopsy on EVERY death related to vaccination. EIGHT deaths. Population of Korea 6 times smaller than USA. That equals 48 USA deaths. In the USA under age 50 there have been 74,313 deaths. Tell me Tracy which number is bigger 48 or 74,000
Just published
🇰🇷Korean nationwide study reports 8 cases of "sudden cardiac death (SCD) attributable to VRM [vaccine-related myocarditis] proved by an autopsy"
All developed<1 week post mRNA vax
2 females, 6 males
3 post dose 1, 5 post dose 2
All <46 yo
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In all 4 cases this was NOT why the patients were being seen and were unprompted complaints brought up by the patient well into their visits. In 25 years of practice I can't recall patients bringing up this type of complaint without a myriad of other cognitive problems.🧵2
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Director of the NIH is very clear at the 8:04 mark of this clip regarding the likely cause of Long COVID: "We see evidence of persistent live virus in humans in various tissue reservoirs, including surrounding nerves, the brain, the GI tract, to the lung."
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Well Shit. Rapid loss of protection against severe disease with bivalent booster in Finish study. Look at Finland 3 week CFR death rate last two Omicron waves. 1st wave CFR 0.59%, 2nd wave 1.5%. 2.5X increase likely due to decrease testing but clearly NO attenuation in disease.🧵
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Coming to a hospital near you - C. Auris deaths in Las Vegas have gone from 63 in November to 103 as of March 24th. CDC now saying the concerning part out loud. It’s not IF COVID causes immune dysfunction it’s in what % and for how long.
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To clarify. As a physician I seen many patients develop cognitive decline. This is common in the elderly. I’ve seen a clear link in patients who’ve been infected. I’ve not seen a clear link in those vaccinated but not infected
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@Craig_A_Spencer
Those of us with direct patient responsibility will never ever forget the push to whitewash what we were seeing with our own two eyes by people like Ioannidis and Bhattachari. The antivax push then killed and maimed so many more. Never Forget.
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5 out of 11 (45%) fatality rate is incredibly high! All of these patients would have received either Zithromax or Levofloxacin whether known Legionella or not. Treated fatality rate typically no higher than 5-15%. This is very atypical.
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@farid__jalali
W.T.F. All of these kids should be getting COVID serology. Can then easily compare to rates in the community. Adenovirus may be playing a role but WITH ZERO pathologic evidence to not look for a link with COVID is INSANE and borders on malfeasance.
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COVID Reinfection outcome study! Over 9,000 2nd infections identified and just under 200 3rd infections. All PCR confirmed and 90 days between infections. 1st infection hospital rate 19%, 2nd infection 17%, 3rd infection 26%.
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Lack of COVID attenuation?
Look what is happening in Sweden. The week of 1/24/22 had 284,000 cases. Week of 2/14/22 there were 358 deaths. CFR of 0.13%. The week of 12/29/22 there were 12,972 cases. Week of 1/2/23 415 deaths. CFR 3.2%. That is a 24 fold INCREASE!
🧵
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Immunity in Sweden? Excess deaths peaked at same time as COVID deaths (End Dec/Beg Jan). Over 30% above expected! Matches COVID deaths perfectly. 3 week CFR 3.4%. Peak 3 week CFR last winter 0.13%. Stopping testing doesn't stop death. Immunity wains in some. Clean air anyone?
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These cases are all quite unnerving and I hope they aren't the tip of the iceberg of far more cognitive impairment out there than any of us are aware of.
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GAS peds DEATHS in UK keep rising. As of 3/16 40 peds deaths from GAS in England alone, likely close to 50 for all of the UK. Based on YEARS of CDC data an avg year based on pop. size would be 6-7. Max ever previously recorded 27. It's not just "Immune debt" folks.
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@mustafahirji
@lisa_iannattone
@PublicHealthON
Really only two options. Intrinsic severity of RSV has worsened OR a significant portion of the population is now more susceptible to severe disease (i.e. immune dysfunction). No evidence for option
#1
and I wonder what could have caused options
#2
🤔🤔🤔🤔
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@DavidJoffe64
I’ve got another, mid 60s. In hospital 3 times for FUO. Finally gets Dx coccidioidomycosis septicemia. COVID in February. Persistent lymphocytopenia since then. CD4/CD8 pending but pretty sure what it’s going to show. Worried how often this is going to happen.
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Face of COVID deaths now. Just had a patient die directly from COVID for the first time in awhile. In their 80s, healthy other than HTN. Fully vaxed/boosted but over 90 days ago. Mild symptoms, got PAX. 4 days later found dead in the shower. Maybe a coincidence probably not. 🧵
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@lisa_iannattone
One huge problem arising. Seeing it with some of my colleagues. Belief is strong that “lack of exposure” to common pathogens (flu, RSV, Adeno, etc) is why we are seeing such severe illness. That narrative is in direct opposition to cleaner indoor air. Swimming upstream
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I can't say equivocally this is due to COVID but the timing and exposure for all 4 is suspicious and yes all 4 are obviously being worked up for traditional causes of memory loss but no other etiologies have been identified so far. 🧵5
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That assumption is faulty since 2X as many died from COVID in the last 6 months than from flu. So EITHER the acute severity is greater OR frequency of infections is greater. One or the other must be true IF COVID is endemic. Frustrating to be blocked for a cordial disagreement
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@lisa_iannattone
It’s actually not surprising. If even only a small percentage of kids end up with long term immune dysfunction post infection an alternative explanation must be made OR those who pushed for forever infections will be exposed. Those folks stand to lose everything.
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Most recent patient has been vaxed twice (in 2021) and has never had COVID (that she knows of) and did not recall being sick prior. However her husband did have COVID this past fall and he has had issues with chronic dyspnea since. She never tested as she never had symptoms.🧵3
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@NjbBari3
Exactly. “Natural Immunity” was always BS. There is a reason they are called PATHOGENS. That some have continuously advocated for infection after infection like that’s a good thing is INFURIATING
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HOLY CRAP RSV
Please see these graphs from Denmark. RSV season 2023 has BLOWN past 2022 and approaching 2021. Now THREE YEARS in a row of massive RSV compared to pre-2020. 2nd picture is hospitalizations (which lag BTW). Maybe not immunity "debt" or "gap" but something else???
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Thus, for a country like the USA based on the past 9 months we can expect 100-200K direct COVID deaths per year with a total of 200-300K excess deaths per year EVERY year for the foreseeable future. CLEAN AIR ANYONE?
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Confirmation what
@tylerblack32
has been saying all along. School is the biggest stressor children face and suicide rates go UP not down when children are in school. Pandemic anxiety was real but for “concerns about their family members, not isolation”.
Covid mitigation did *not* cause the mental health crisis we face today.
Here are some facts that may surprise you…
Thank you for attending my literal
@TEDTalks
talk.
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Thus, even if this is only occurs in 1% of the population per infection that becomes a LARGE absolute number over time and with repeat infections. Clean indoor air anyone?
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@pwhickey
@CDCDirector
@ProfBardLaw
@CDCgov
All of these kids should be getting COVID serology. Can then easily compare to rates in the community. Adenovirus may be playing a role but WITH ZERO pathologic evidence to not look for a link with COVID is INSANE and borders on malfeasance.
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None of these patients had a prior history of memory problems or dementia and as I mentioned their reasons for their visits were NOT for this issue. 1 of the 4 is now having progressive memory loss but the other 3 seem stable without any other obvious memory issues for now. 🧵4
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@gregggonsalves
@Bob_Wachter
@ashishkjha
It's unconscionable. We aren't even trying. At least in many parts of Asia they have dramatically scaled up indoor ventilation. We are just pretending this level of ongoing death and disability won't have consequences and will just at some point fade away. It's magical thinking.
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We have clear documentation in the medical literature of PEDIATRIC fulminate hepatitis FOLLOWING COVID infection. Confirmed through serology NOT due to active infection! Many, many cases in India post Delta wave and more recently 12 out of 12 in Israel. Analigous to MIS-C.
@DrNeilStone
We have the burden of proof inverted. If a covid associated liver failure is the most obvious suspect but also nearly impossible to prove, then the burden of proof falls on the alternatives. If you cannot prove another diagnosis, then it’s covid by process of elimination.
/end
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@acweyand
As a parent of a child with developmental difficulties I can’t tell you how much this warmed my heart
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@DrCanuckMD
Yup. This isn't the vaccine folks, it's constant unmitigated never ending spread of COVID. Just that it's now killing slowly and thankfully at a lower rate but still much higher than rates pre-pandemic. Clean indoor air anyone?
It is quite clear. The same crowd that has consistently downplayed COVID infection risk has now pivoted to it must be the vaccines that are doing it. "It" being excess mortality, higher CV deaths, other infections etc. It is 100% on purpose so as to avoid any and all culpability.
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I was respectful but pointed out that in the USA over the past 6 months there were >42,000 deaths from COVID vs 21,000 deaths from Flu & that deaths are the tip of overall healthcare burden (hospitalizations, post infection sequela, etc.) thus much higher overall burden.
#2
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@calirunnerdoc
It isn't anecdotal. There has been and clearly continues to be EXCESS CV death in ALL adult age groups. Started well before vaccines and with the onset of COVID INFECTIONS (Pre-Vax) including "mild" Omicron
POST infection cardiovascular events are still occurring at significant rates. Even in the young AND with "mild" Omicron. Excess deaths in the USA have shown this for the ENTIRE pandemic (including pre-vaccine).
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@dr_cottrell
I’ve seen some cases of thrush in post COVID patients (Not HIV, CA, steroid, DM patients BTW). Not seen it in patients post vax only in association with infection
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@flowermusickids
To be honest most are oblivious or just don’t want to see the connection. Especially since bad things do randomly occur so determining cause and effect is always a challenge. That being said first case of pediatric RF I’ve ever seen in 25+ yrs of practice.
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@lisa_iannattone
You absolutely are correct to question why this is occurring now and it is NOT fearmongering.
Monkeypox in multiple countries at once with NO links to one another. Widespread disease has NEVER been seen before. Immunodeficiency a known significant risk factor. HIV to AIDS prior to meds 8-10 years. I hope we aren't seeing the first signs of T-cell dysfunction.
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POST infection cardiovascular events are still occurring at significant rates. Even in the young AND with "mild" Omicron. Excess deaths in the USA have shown this for the ENTIRE pandemic (including pre-vaccine).
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I'd say it can definitely be a Trojan horse in adults as well. I've seen many patients with mild COVID illness and then a few weeks later with a significant secondary infection or major CV event. We are missing the connection in many people by only focusing on acute illness.
I spoke to an outstanding pediatric colleague today who termed omicron SARS-2 a Trojan horse in kids. Initial illness non-severe for the overwhelming majority of kids. Their concern is the downstream illness a few weeks later: infectious or immune.
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For my Med Twitter colleagues. Check your CBC's closely. If a month or more post infection the absolute lymphocyte count is 1.0 K/ul or lower I would strongly consider getting a CD4/CD8 profile.
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Truth! Not a SINGLE post vaccine pediatric Myocarditis DEATH in the entire USA has been documented. NOT ONE. The Florida "study" is so blatantly bad the authors did not put their names on it, it has not been peer reviewed, or published any journal. Please don't listen to Ladapo!
We've followed patients with vax myocarditis over-time, and deaths are astronomically rare (close to if not 0 in the US). We also monitor heart attack & arrhythmia as safety outcomes (no signal).
If your study doesn't prove something, you can't just "imagine" it's true.
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@lisa_iannattone
Here is RSV in Texas as of 11/30/23. 3rd year in a row with significant caseloads. In fact all data points to the worst season ever THIS year. When exactly is immunity debt (or gap) supposed to catch up???
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@itsacultloser
Cases have occurred since the 70s but always linked to travel to endemic area or zoonotic spread. Neither is occurring now. Multiple cases all at once in multiple countries with no obvious links. The question is why now and what is driving transmission?
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Husband, wife. 70s. Got sick 10 days ago. He was hospitalized 2 days after onset for hypoxia, acute distress, COVID pos. Home now still miserable and Tachypneic. NO antivirals, only steroids 😡. She has cont. symptoms, 3 neg home test and ER neg PCR, BUT POSITIVE today on day 10!
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ICU COVID admissions really starting to escalate in Sweden. Any update on the variant prevalence there? JN.1?
Unable to find Sweden hospitalization numbers but was able to find ICU numbers and those have been on the rise.
@JPWeiland
any update on JN.1 in Sweden?
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So maybe, just maybe we should work on improving indoor ventilation to reduce overall infection rates as the assumption that this virus will continue to attenuate is faulty. Omicron appears to be as good as it gets and that is not nearly good enough.
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So tired of the ongoing BS narrative that because of supposed no viral infections except COVID the past 2 years we are now paying the piper with a deluge of viral infections. It is flat out NOT true. WHAT DO YOU SEE??? How many years of "debt" must we pay for ONE missing season?
Sweden had its first Covid-19 pressconference in 9 months as experiencing another wave currently. Even the laid back Public Health agency FHM seemed a little worried. Flu and RSV are also increasing fast.
Masks were never mentioned as a tool.
Only 3 journalists attended.
1/3
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He then replied that because flu and COVID were both now acquired at similar rates (questionable claim) they were thus now equal in overall healthcare burden and then promptly blocked me.
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@ID_Denmark
ID Scam, If you think this is the only case of a bad outcome I saw from a child giving COVID to a relative after the child got it at school you are delusional. Happened ALL the time. Focused protection is/was a joke.
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Just to follow up in graph form. The vaccines ARE NOT causing excess CV deaths in younger adults. That trend started with COVID INFECTIONS. Including through Omicron. H/T
@greg_travis
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Wait, I thought Florida was the example the rest of the USA should have followed in terms of in person schooling? What happened in 2021 when fully open?Why the MASSIVE drop off (far worse than rest of USA)? Hoeg, Prasad, et al. got some explaining to do.
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Obviously most of that increase is to the complete absence of testing but it is safe to say that COVID has not become less virulent. There is likely no country on earth with better hybrid immunity. Thus, what we are seeing there is what to expect everywhere.
🧵
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