Month: August 2021

  • Iceland is beating COVID, even the delta strain, Without Lockdowns. How NSW can do this too.

    So NSW’s been swamped by COVID. We’ve got over 1200 cases per day, with cases still rising. Our vaccination rate is increasing, but the Delta virus spreads, and overwhelms hospital, even in the most vaccinated nations in the world. For some reason, in this time, our premiere wants to give up and let COVID take its course. They’re even suggesting that we stop testing. We know it’s gonna swamp our hospitals, and lead to deaths, and maybe mean we can never get this under control. It’s not just seen in other nations – it’s happening in Sydney, right now!

    As usual with all my posts – all sources are linked here. I don’t have enough time to reference them all – but all science claims are backed up by relevant peer reviewed sources.

    But what if I told you there’s a country that’s beaten covid back, many times, even before the vaccine, consistently without lockdowns. They didn’t even close borders. And they’re doing this with the delta strain too.

     

    Well there is. What country is that? Iceland.

     

    So how is Iceland, the country antivaxers said was proof vaccinations don’t work, beating COVID/doing this?

     

    Watch this video to find out how, or keep on reading.

     

    By testing everyone. Even asymptomatic people.

    And then getting people to isolate, not just people and their households, but close contacts too for a full 14 days, and following up on them. Regularly.

     

    Why does this work? Well, the thing that’s made COVID dangerous is the fact that you can spread it for a long time while asymptomatic. The delta strain is worse. This Nature lay person summary breaks down why well. You start detecting it at 4 days, versus 6 for other strains, and you have 1200 more viral particles than other strains too, meaning you’re more infectious, and more likely to spread it, for longer.

     

    This probably makes testing asymptomatic people even more important.

     

    Yet our health minister wants to stop people from getting tested. Probably because the time to getting test results back is getting too high (which is reasonable).

     

     

    So how can we do what Iceland did, despite having a much larger population?

    By doing something no-one else is, yet. Rapid antigen testing.

     

    Rapid antigen tests aren’t as sensitive, but they’re cheap, can be used to test more people, more regularly, and perhaps our best way out!

     

    PCR testing measured by labs is resource intensive. And it costs a lot too. Sydney spent over half a billion on PCR tests in the first month of the pandemic. It’s been a month since and testing has gone up MORE.

    Labs earn between 60 and 120 dollars per test.

    A rapid antigen test costs $5-10. Even though NSW requires healthcare staff do this, currently, other nations sell these over the counter. You could mail these out.

     

    Yes, they’re less sensitive meaning you’ll miss more cases.

    But you’ll be able to test 10, 20, maybe 30x more people at the same cost. Statistically speaking, you’re definitely, 100% gonna pick up more cases.

     

    We do need highly accurate PCR tests for sure. But save these for people who had huge exposure, their household members and people who work in hospitals.

    Give out everyone who needs to work, people in high risk areas, and more these tests, and then have them confirm this with a PCR, and we’re half way there.

     

    This is VITAL. Not only has this been shown to work in Iceland, in real time (it’s even working against the Delta strain), we know that asymptomatic people comprise a large proportion of the actual COVID population.

     

    The next – follow up with them REGULARLY. Call people up. Make sure they’re at home, and get close contacts to stay home and remind them to stay home too. Yes, that’s a lot of effort. But first off – we KNOW this works. Not just from Iceland. Early on in the pandemic, Italy tested 3300 people, found out 43% of cases were asymptomatic, and got these people, in addition to the symptomatic population to stay home. This is what stopped COVID-19 in its tracks.

    Right now, it seems hard to do this in Sydney, a population of 6million people – 10x more than Iceland. But we have what, 21000 active cases? If you dedicated 200 of our troops (recently 500 soldiers were recruited to help this) to this for everyone, every 3 or 4 days, that’s only 10 calls a day. I did that every hour when calling people for my startup! Target inspections and house calls to those not picking up, you’ll also save money and resources doing this too!

     

     

    NSW Health doesn’t release or capture data on how long people were asympomatic before becoming positive [you can estimate that info by looking at where random cases may have picked it up], this may be why we’re seeing so many people active in the community.

     

    It’s not 100% their fault. They just didn’t know they were infected!

     

    Almost 4 weeks ago, they were talking about rapid antigen tests. They’re already approved. I know it’s a lot of logistical work. But if someone got this out to people, we could still slow this down, rather than risk COVID spreading out of control.

     

     

    If you’ve reached this point, share this with people. The more people who know about this the better. Unfortunately, noone listens to me haha. But share the video too and hopefully we can get this out there.

    I’m not a public health expert, I have some relevant qualifications though. But I’m not saying we should rely on rapid antigen tests either. We need regular old, highly reliable PCR tests too. The key to Iceland’s success is they also follow up on people.

    The only restrictions they’ve imposed happened very recently – to outside travellers. This strategy worked so well for them, they literally had open borders and beat back COVID every time!

     

    I dunno about you – but I wanna fish sooner. I wanna go back to med school, knowing I’m a little bit more safe, I’m sure you wanna work too. This is a hypothesis, but something we should consider at least! Comment your thoughts below. And subscribe to my email lists to get updates on this and to keep learning.

  • Physicians for Informed Consent and Misinforming People.

    So recently, this document is being shared around by antivaxers created by a group called ‘Physicians for Informed Consent.’ The name is designed to garner trust, even though many, if not most of their members, are not physicians at all. They claim they’re not antivaxers to seem like they’re “only promoting safety,” making themselves out to be heroes, not grifters in this pandemic. They are in coalition with several anti vax organisations, and regularly make false claims and this article debunks them thoroughly and well (indeed, they are a well known quack coalition). Unfortunately it just goes to show that even qualified people see that there’s money in spreading misinformation, and make the calculated decision to ruin their reputation, and risk their licences to practice, against the money and influence they can get by spreading misinformation.

    The full document they put out can be accessed here. Or just scroll down. I’ll break these down point by point –

    2) “The vaccine was approved early. It did not show long term efficacy.”

    Yes, it was approved early, but this was due to it being an emergency. Significant data on safety had been gained prior to this, and efficacy was demonstrated to be very high through a trial with rigorous design, and COVID had killed hundreds of thousands in America alone to this point. There’s a reason this provision in FDA regulations exist. We are still collecting data on long term efficacy, but it’s been demonstrated regularly that long term immunity is formed after COVID-19 vaccination[1, 2].

    https://onlinelibrary.wiley.com/doi/10.1002/cti2.1319

    https://www.nature.com/articles/s41586-021-03738-2

    3) “You didn’t get enough of a sample size  and some age groups weren’t sampled.

    So this is the thing. Vaccine studies don’t even need that many participants to get statistical power to make an apt conclusion. This study had MORE than enough (you need 10-15k to get statistically significant results typically). COVID-19 vaccine studies that led to Pfizer getting emergency approval had over 20,000. To this day, 4.5 BILLION DOSES HAVE BEEN ADMINISTERED to 31% of people in the world! This is no longer an experiment.
    The fact that only 2 patients in younger groups got COVID doesn’t mean it’s statistically insignificant, it means the vaccine is very effective. You compare the numbers in both cohorts, and see how much of a reduction there is to calculate vaccine efficacy. So that part too, is wrong. In later ones they make further claims about lack of vaccine efficacy,

    This study on the 2018 influenza vaccine enrolled 10,000 people. This one did 3600. That’s more than enough. If anything this had even more proof than most. It was approved for emergency use due to there not being long term data on efficacy. Safety wise, vaccines are very largely very very safe.

    https://cdn.pfizer.com/pfizercom/2020-11/C4591001_Clinical_Protocol_Nov2020.pdf

    https://ourworldindata.org/covid-vaccinations?country=OWID_WRL

     

    https://clinicaltrials.gov/ct2/show/NCT00711295
    https://pubmed.ncbi.nlm.nih.gov/33065035/

    4) “This is NOT shown to be effective in older adults.”

    You could make that argument as mainly younger patients were included in this study, but since the approval, we’ve gained a lot of data on this. 156000 patients over 70 were studied in this BMJ trial that showed 95% efficacy. This review found similarly high results.

    https://www.bmj.com/content/373/bmj.n1088

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8024166/

    5) Not effective in teens.

    Subsequent studies on this exact age group cited as a concern by this group of ‘physicians,’ (12 – 15 year olds) show very high efficacy of 100%.

    This is not being seen now as we see many younger patients being infected with the delta variant. 30-40 year olds have 4x higher risks of death compared to 18 year olds. This is affecting more young people, likely because vaccination rates are not as high in these populations. And the delta strain seems to be more dangerous. So vaccinate!

    https://www.bmj.com/content/373/bmj.n881

    https://www.cdc.gov/coronavirus/2019-ncov/covid-data/investigations-discovery/hospitalization-death-by-age.html

     

     

    6) “The vaccination doesn’t reduce transmission”

    Transmission reduction data against the delta variant is now available. Studies show efficacy against transmission ranges from 50 – 78% – against delta.

    But you know what is very effective in reducing transmission of viral illnesses? Masks. See my blog post/mini review on them I posted earlier.

    https://www.bmj.com/content/374/bmj.n1960

    7) “Serious adverse effects are high.”

    Serious adverse effects – they included things like muscle and joint pain, which occurs in 25% of patients and 17% of patients. Pain does suck, but it’s highly subjective. Other events included and mentioned first like diarrhoea and vomiting. Diarrhoea occurs in 1/10 COVID patients by ways of comparison. 0.07% of patients vomited after vaccination, 0.12% got diarrhoea (1/1000 or so). The source they referenced for this was a Pfizer vaccine trial’s clinical protocol which has no results, so I’m not sure where these numbers even came from.
    We know incidence of things like myocarditis due to the vaccine are 1/100,000, and 0 deaths occured from this over 2million vaccines.

    https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2773790
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7141637/
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8152224/
    https://jamanetwork.com/journals/jama/fullarticle/2782900

    8) “COVID-19 is less dangerous than the vaccine.”

    Finally, they end this suggesting vaccines are more dangerous than COVID in young patients, rehashing data they’ve made from invalid assertions earlier, that have been proven since in numerous studies done on young people, and old people. Long term safety data on vaccinations weren’t available then, but they are now. Long COVID studies are coming out though – and the consequences are dire. Studies show that 60 days after infection, 87% of people still had a COVID 19 symptom, with 55% having 3 or more. Scarring is present in the lungs of many. 20% of people hospitalised – which with delta, we’re seeing is occurring in younger patients – have permanent pulmonary fibrosis. Over 70% who are ventilated show this after 4 months.

    https://thorax.bmj.com/content/early/2021/05/13/thoraxjnl-2021-217031

    Ultimately, we know this disease kills the unvaccinated more than any other groups – 99.5% of people who have died are unvaccinated. It’s not only killing people directly, but also people like me who are at risk, and need things like oral cancer biopsies (which I can’t get here in Aus as elective procedures are shut down).
    https://www.forbes.com/sites/jemimamcevoy/2021/07/01/995-of-people-killed-by-covid-in-last-6-months-were-unvaccinated-data-suggests/?sh=6daccc9f493d

     

     

    References:

    1. https://www.nature.com/articles/s41586-021-03738-2
    2. https://onlinelibrary.wiley.com/doi/10.1002/cti2.1319