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Weekly coronavirus-related chat, questions, and minor updates - week of January 11
This thread is posted weekly, and is intended as a place for more-casual discussion of the coronavirus and questions/updates that may not warrant their own dedicated topics. Tell us about what the situation is like where you live!
A new study in The Lancet did follow-ups with 1733 COVID patients discharged from a hospital in Wuhan, China and finds that most of them still have some form of lingering effects 6 months later: 6-month consequences of COVID-19 in patients discharged from hospital: a cohort study
A write-up of it in the New York Times: 6 Months After Leaving the Hospital, Covid Survivors Still Face Lingering Health Issues
Crosspost from the daily insurrection thread
From my Congressional rep, Pramila Jayapal:
Usual personal update:
My reprieve is over. It was nice while it lasted. Students return to in-person learning next week, and I go back to daily exposure and all the concomitant anxiety that brings. We currently have so many positive cases locally that I believe we will shut down within a week or two due to lack of staffing. Our test positivity rate has been alarmingly high for weeks now, and our numbers are only rising.
The current read of the situation among teachers at my school is that our school board and superintendent don’t want to take the PR hit of choosing to keep schools remote any more than they already have, so they’re choosing to reopen and trigger de facto remote learning through staffing shortages. I actually had this thought and assumed it was just my cynicism talking, but two other teachers shared the same exact take with me, unsolicited, so clearly I’m not the only one thinking that’s a possibility. The decision to re-open certainly wasn’t data-based, as our local numbers are worse than they’ve ever been and are going nowhere but up.
Thank you, Atvelonis.
Post-comment edit: Whoa, this turned into a lot! Sorry for unloading on you like this! I promise I'm trying to be helpful and explanatory rather than combative or overbearing. Any failure of my comment to come across that way is entirely my own. I mean you no ill-will! Quite the opposite, really: I cherish your kind words and thoughtful questions.
A lot
The whole situation is very complicated, and while I have immediate ire for my superintendent and board right now (which could be undeserving — I don’t know their actual motivations, and they did make a right call in going remote post-break), they are not acting in a vacuum. They themselves are openly pressured and not supported to go remote by my state, which has been attempting to push schools to reopen unsafely the entire time. Meanwhile, at the federal level, the FFCRA leave benefits program expired at the end of 2020 and was not renewed, which puts pressure on families through districts and employers -- to say nothing of the failure of financial support people have seen throughout this entire process.
Likewise, the ongoing COVID-related culture war has numbed our country to reality and unfortunately we give credence to the loudest, most deliberately uninformed voices because they also tend to be the most aggressive and difficult to deal with. Certainly not all who are pushing for school reopening are coming from that place — many are parents who are deeply concerned and informed but exist in a state of severe economic uncertainty due to job loss or potential job loss due to lack of childcare. You would also think that the community would see schools open right now as a threat to their individual safety, as kids could potentially bring the virus back to their households, but this seems to be a largely absent view. Schools open is widely seen as nearly unconditionally good.
No one says it's about childcare, but we all know it is. Government offices in my area are closed right now. Our district leadership is working remotely from home and will continue to do so. If it's not safe for people who have their own offices to occupy them then it's definitely not safe for classrooms to be open, but it's either us or parents looking after the kids, and parents are hurting and teachers don't have any community capital to cash in on.
There is a ton of discourse out there about educational fidelity and social emotional health, both of which I'm rather sick of as talking points. That is not directed at you at all (I believe you are unfailingly thoughtful and genuine, both in your response to me and in many of the other comments I’ve seen from you on Tildes) but because I’ve seen so much bad faith argument using them that it makes me angry. I watch my own school board and superintendent grandstand about it during meetings and seethe from my Zoom rectangle because they’re either ignorant of or deliberately lying about the reality of what is happening inside classrooms in their own districts.
The reality is that the protocols that are put into place to prevent COVID spread are so limiting that even during in-person instruction we are still doing remote learning — the only thing that changes is that we’re in the same room. I cannot go near the students — they cannot go near one another. All of their assignments are digital because we are discouraged from sharing physical items. Even if we could pass things out, it wouldn’t help, as we have to make assignments digital anyway because on any given day 20-50% of a given class will be out due to a regular absence, a precautionary absence due to them displaying some sort of illness, an absence with COVID-19 symptoms, or an absence due to a quarantine. In order to provide safe air to breathe, our windows remain open during the day.
I live in a northern state, where temperatures regularly drop below freezing. My students wear winter coats, hats, and gloves in my classroom. One day it was cold enough in my room that my whiteboard marker wouldn’t erase. It just stuck on the board, as if frozen. The background noise of fans and air purifiers create a noise floor over which it’s hard to hear, exacerbated by masks that muffle sound and hide mouth movements, and large distances over which soft-spoken voices simply fall away. Shouting and yelling increase expulsion of the virus significantly, so merely communicating in person is both frustrating and less safe. I have no problems projecting my voice as a teacher, but my timid students face a special kind of hell should they want to share out. I actually do a lot of typing via our chat program to students even when they're in person because it's easier than shouting over fans through masks to a student who's 30 feet away.
The quality of the education my students get doesn’t change drastically between remote and in-person right now, and in fact, being in-person inhibits some of the interventions I can use. During remote learning, I do a lot of one-to-one video calls with students as a way of checking on them individually and helping them through things. I simply mute my classroom mic and then initiate the call, making my feedback individual, immediate, and private. I can’t do this in-person, as a one-to-one call would be audible to the whole class. The chat app is an alright substitute, but it doesn't make up for the clarity and personality of verbal communication.
I will say that I’m speaking as someone who teaches kids who are at an age where they are able to be functional, independent learners. The conversation definitely changes when you go younger, and one of my frustrations with schools has been a near-complete failure to consider solutions beyond one-size-fits-all methods. I think that a more strategic approach could be much more successful, but as we have seen, a lack of planning, foresight, and understanding have inhibited even basic responses to the virus (e.g. mask wearing). I (sadly) think it’s a tall order that we have a robust and well-reasoned response institutionally.
With regards to social emotional health, there has been an absolute avalanche of advocacy for in-person learning, a very small amount of which I actually consider genuine. Most of what I hear articulates a huge swell in mental health issues for kids (which I believe to be true), and that immediately gets linked to the need to have schools open. It seems much more likely to me that this swell we’re seeing is less about schools themselves and more about the national and global environment these kids are in. Adults will joke to the ends of the earth about how terrible 2020 is and how shit their mental health is as a result of the past year of events, but as soon as kids come into the conversation that gets ignored and we act as if schools being closed are the only reason kids might be feeling anxious or depressed.
This kind of rhetoric also ignores the disclosure of kids themselves, which is what really grinds my gears. I’ve had conversations with my students about what they prefer, and many of my students would genuinely prefer to stay home. They’re not saying that to dodge learning or accountability so they can just play Xbox all day — they’re saying that because they live with the same anxiety I do when they’re here: a fear they might get sick, and a fear that they might transmit it to their families. My students are old enough to get what is going on and understand their own role and vulnerability in it. I do not think that is a fair position to put kids in.
I’m certain many people roll their eyes when I get angry about my job and see me as a navel-gazing, self-serving narcissist, but part of my frustration with how this is being handled comes from how it affects kids that I deeply care about. I’ve been mad for years that I have to annually train my students on what to do if an active shooter comes into our classroom. Rather than our country handling this issue as adults and protecting kids from such darkness, we have instead normalized it for them and involved them in the “solution”. What does it say about the sincerity of concern for kids’ social emotional health when we also teach 8-year-olds that the likelihood they might be shot at school is high enough that they need to be ready for it?
I see our response to COVID in a similar way. Everyone talks about the supposed benefits for mental health of in-person learning for kids, but seemingly no one talks about the damage to mental health of putting kids in a known harm’s way. Part of why I consider much of the advocacy on this topic to be in bad faith is because it doesn’t start nor end with students’ genuine feelings. It simply presumes that students feel bad when schools aren’t open and feel good when they are, but I can speak definitively, on behalf of my students, that many of them feel worse when they have to attend in person. Even if a child isn't worried about COVID, the at-home learning experience is better in almost every way. They can wear what they want, eat snacks, take movement breaks, pet their dog, etc. In person they stay in the same desk all day, wearing an uncomfortable mask in a freezing room, where they're not even allowed to get up and move around without permission.
With regards to your question about whether schools can be safe, I actually think they can. Distancing, masks, ventilation, and filtration are all effective measures that mitigate virus spread. We know that if these are in place, with fidelity, it severely reduces the risk of transmission.
Proper implementation of these does not eliminate risk entirely, but I think they can create an environment in which there is an acceptable risk. Unfortunately, one of the other variables that has to be considered is the number of cases in the community. A school might be properly mitigating spread when there is a low incidence rate, because few cases will make it into the building in the first place, and then the likelihood of one of those cases transmitting is quite low. In the event that there is a very high incidence rate in the community, however, the likelihood that all of the mitigating strategies will hold is far lower. My community used to be at a level where our mitigation strategies created a theoretically acceptable risk, but we are no longer there. It used to be a question of whether, in a given week, I might have had one positive case in one of my classes. We are now at a point where, statistically speaking, it's not whether or not I've encountered a positive case in my day, but how many.
Higher education has seen successes in part because of robust testing regimens. The higher ed teachers and staff I know get tested regularly; most of them 2-3 times each week. The colleges in my area also hired contact tracing teams so that they could track and handle potential outbreaks immediately. They are also able to impose severe consequences should students engage in risky behavior. These methods aren't available to K-12 schools -- at least not in widespread ways. We have no testing regimen (we can't even compel families to test their own kids); contact tracing is a joke (it literally doesn't happen because our desks are spread out); and we cannot impose consequences for irresponsible behavior (the child whose extended family and friends met up for Thanksgiving is back in my classroom on Monday, sitting in a desk six feet away).
There are ultimately no good answers, and there isn't a single solution that will satisfy everyone. When schools close, teachers cheer and parents fear. When we reopen, the emotions trade places. I'm now in the queue for fear -- a line that many parents stood in for the past two weeks when they again had to scramble to figure out what to do with their kids in the absence of school-based childcare. I don't begrudge them for feeling what they do, and I get where it comes from. Just as I feel I've been left out in the cold in this (quite literally, given our open windows), so too have they. Cascading failures of leadership and planning have created a morass of foreseen outcomes that are sadly unchangeable due to our ability to only act in the most ineffectual and reactive of manners. We're seeing the frictions of a shared helplessness that make us believe different segments of our community are at odds, when in reality we should be aligned against a common enemy of humanity -- an uncompromising virus that has stolen from us not just the lives and health of many, but the safety, security, and trust we are supposed to have in our own society.
You should consider taking all that out of the <details> element, since that was a great (albeit depressing) read, and is worthy of being shared openly, IMO. I would honestly even suggest you turn it into a fully-fledged article, and submit it to a newspaper as an opinion piece!
This part in particular resonated with me a great deal, and isn't being talked about nearly enough, IMO:
p.s. You are 100% getting an exemplary from me when I get another one back to give. That was an excellent, eye-opening, and thought provoking comment. Thanks for sharing your perspective on this topic (and for being a wonderful, considerate, and thoughtful teacher and person too).
Thanks for the kind words. I appreciate that you have faith in them. I feel I would be remiss if I don't point out that I don't believe they would be received well with a wider audience, nor should they. I bring a specific gravity to my posts here because I want people to understand my experiences, but what's missing are the gravities of people far more deserving of public empathy right now.
My situation pales in comparison to retail workers, who are risking infection and dealing with difficult customers daily. Restaurants and other social businesses have been put in impossible situations. Waitstaff who live off of tips have seen their incomes slow to a trickle or stop altogether. Healthcare workers are by far the most egregiously wronged here, seeing the worst of this deadly disease on their job and then continued widespread denial of it when they check their social media feeds.
Yes, I believe teachers have been dealt a shit hand, but I also believe nearly everyone has been dealt a shit hand, and I am no more deserving of empathy than others. I would far rather people focus their energies and goodwill towards those who are fighting this pandemic, caring for the sick, and maintaining/distributing food and other essentials than I would for someone like me, who has maintained employment and has relative control over my environment. There are many more than me who are hurting right now, and many of them don't have the energy like I do to sit down and articulate their situations. In some ways sharing what I've shared here pulls focus from their plights, and in that way I believe my words should be met with a critical eye rather than an affirming one. I believe there are people who would read what I have written here and respond very negatively, and I ultimately believe that many of them have every right to feel that way.
You're too humble for your own good sometimes, IMO. ;) Just because there are other people with other problems working in other areas of employment during this pandemic, doesn't mean your field and perspective on it doesn't have enough merit to share with the wider public. I think the topic and issues related to it that you covered are important ones, and many people (my father included, who keeps railing against the school closures here in Ontario) needs to hear perspectives exactly like yours.
I was being entirely serious when I suggested you should rewrite your comment to be more widely read as an opinion piece. You have a way with words, and I think an article written by you about this could genuinely do some good, by potentially changing some people's minds on the subject... or at least make them stop to consider things a bit more before they make a final judgment on school closures and reopenings.
Holy crap. I knew in an abstract way that in-person school must be terrible right now, but I don't have kids and everyone I know who has school-age kids is doing remote learning, so these details of the day-to-day experience hadn't really sunk in.
This...this is...what's the word for something that's almost torture, but not quite?
Something I haven't talked about: my students are badasses! They have met the restrictions and frustrations this year with incredible maturity. I am genuinely proud of how seriously they take things and how well they've dealt with the myriad unfairnesses thrust upon them.
Torture. And with the knowledge that you'll be back there over and over again due to institutional forces who chose that for you.
Where are you? If you are uncomfortable identifying precise destrict, mayby general description (e.g medium southern city in a tech corridor (how I describe my home coty of Raleigh)).
I'm not interested in identifying my location -- even a general one. Sorry.
Thought this was an interesting angle, using the ADA: Idaho Lawmakers Sue Saying Returning To State Capitol Amid COVID-19 Violates ADA
Honolulu Police Spent $150,000 In CARES Funds On A Robot Dog
I know it sounds a bit ridiculous and overkill, but to be fair to Honolulu PD, Boston Dynamic actually does market Spot for this purpose, and they also offer addons specifically designed to assist with telemedicine, remote vitals checking, and remote disinfection/sterilization. See:
Boston Dynamics’ Spot robot is helping hospitals remotely treat coronavirus patients
https://www.bostondynamics.com/COVID-19
https://github.com/boston-dynamics/bosdyn-hospital-bot
Also, in perspective, they received ~$23m in total. As far as I can tell, they only bought one Spot. Is it strictly necessary? Maybe not. But their point about not paying more overtime to officers ($18m) is a reasonable one. Even if it's a failed experiment and the robot doesn't work out.
Ireland had one of the lowest coronavirus rates in Europe. It’s now highest in the world
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Pfizer to reduce vaccine deliveries to Europe
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States were anticipating a windfall after federal officials said they would stop holding back second doses. But the approach had already changed, and no stockpile exists
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Worth noting is that Pfizer came out with a statement somewhat contradicting that WaPo report:
Pfizer says it has second doses of COVID-19 shot on hand, expects no U.S. supply problems
Twitter thread from an ER nurse here in Seattle
Coronavirus shutdowns have quashed nearly all other common viruses. But scientists say a rebound is coming.
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Large trial of new treatment begins in UK
Ohio researchers say they’ve identified two new Covid strains likely originating in the U.S
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Biden’s plan to fix the Covid-19 vaccine rollout, explained
Direct link to the fact sheet released by Biden's campaign (4-page PDF)
California Covid-19 Vaccine Availability is a website that launched this morning about where the vaccine is available in California.
This happened after Patrick McKenzie (patio11) sent a call to action on Twitter two days ago. Fast work!
Here is this morning's announcement. He's relying on volunteering from people he actually knows. (Due to trust issues.)
I tested the dumbest PPE of all time - the Rich Guy COVID Helmet
Worth clicking on for the ridiculous pics alone (don't miss the slideshow), but the writing is also pretty funny too.
California COVID surge shows early signs of leveling off
In New Jersey, smokers can now get the coronavirus vaccine before teachers or public transit workers
Interesting medical ethics decision playing out in real time.
2 days after voting to not require masks, COVID-19 shuts down the Missouri House of Representatives
Yelp data shows 60% of [US] business closures due to the coronavirus pandemic are now permanent
Tipsters, tech-savvy kids, pharmacy hopping: How Americans are landing coronavirus vaccines
It seems crazy how bad they are at managing demand. It would have made sense to bring the age requirement down gradually, by one year every few days or something like that. It would make it very obvious when to start looking, and it wouldn’t be so many people at once.
California has nearly 2 million unused doses of vaccine even as demand soars. Here’s why
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Meanwhile, according to @nwilliams030 on Twitter:
So apparently federal government stopped hoarding second doses, only to have California counties do it. This is what just-in-time inventory systems are supposed to fix. I guess they'll have to be reinvented? But it requires trust within the supply chain that new inventory will be there.
Even saving doses for a week or two means that many people not vaccinated in the meantime, and the more infectious variants are coming...
Coffey County Health Department nurses decline to give the COVID vaccine
How a Well-Meaning Health Policy Created California’s Coronavirus Nightmare
Is Your Covid Vaccine Venue Prepared to Handle Rare, Life-Threatening Reactions
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The Magical Extra Doses and Supply Chain Optimization
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Brazil airlifts emergency oxygen into pandemic-struck state, vaccine drive lags
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A black market for illegal coronavirus vaccines is thriving in the Philippines
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The Onion: Nation Enters New Phase Of Vaccine Distribution Where Capricorns, Gymnasts, Childless Uncles Now Eligible For Inoculation
Looking at “our world in data”, about half of confirmed US COVID-19 cases happened since mid-November. It’s an exponential curve with a doubling time of two months.
Worldwide, cases have doubled since the start of November for a doubling time of two and a half months.
Carl Bergstrom suggests this might be why we see more mutations now, and we should expect to see more soon.
COVID-19 reduced U.S. life expectancy, especially among Black and Latino populations
Calling all billionaires: here’s how to keep your superyacht Covid-free
Portugal's health system on brink of collapse as COVID-19 cases surge
The graph looks like the UK but a week behind.