1/ I really want to highlight how this #COVID19 graph from @KCMOHealthDept is a masterclass in either incompetence, narrative-spinning, or both. This is a bit niche with it being KC but I think it applies to health depts across the US. This is lying with graphs at its finest.
2/ First, the graph itself. They have it broken out as cumulative counts per month, as of 12/15. December is half over, so you can't compare it to other months, yet they highlight how far cases have fallen in all groups since November with a tiny blink-and-you-miss-it disclaimer.
3/ They wouldn't be wrong in assuming cases will be down in December though. But their argument falls apart when they credit 10 PM bar closures for the decline. The curfew was announced 11/16. Cases peaked 11/10 - 20 DAYS before we would see any meaningful effect from the curfew.
4/ Johnson County, KS, which is just across the state line from Kansas City, also imposed a curfew just as cases peaked, so the timelines don't add up there either. The kicker is that their curfew was midnight - so I guess bars could've been open here in KC for another two hours.
5/ They also credit contact tracing, but to date they have not provided a single data point of how many cases can be traced to restaurants or bars. For reference, NY's large-scale contact tracing program could only trace 1.4% to restaurants and bars.
6/ Last week when asked how many cases could be traced to bars, @QuintonLucasKC deflected the question and said "40% of cases can be traced to 20-30 year olds", which...doesn't answer the question. It's been 9 months. They'll likely never answer it.
7/ The health dept credits "media coverage", which anyone who lives in Kansas City knows has been sky-is-falling apocalyptic for months now. They imply media coverage has changed citizens' behavior - yet mobility has been at roughly the same level (20% below baseline) since July.
8/ Finally, to my point yesterday, it appears @QuintonLucasKC, @RexArcherMD and the @KCMOHealthDept live in a bubble - all the states surrounding MO peaked within one week of each other - even South Dakota, which peaked first. (Cases here are from date of report vs. occurrence)
9/ This is the narrative they have to push out of self-preservation. If they admitted these outbreaks are seasonal/regional, which is clear, then they'd also have to admit their disastrous policies that disproportionately affect low-income families were largely for nothing.
10/ But hey, maybe my standards are just too high. This is the same health department that poured bleach in soup intended for the homeless (look it up) and thought THIS was how you calculate percent positive rate. It was on their official dashboard for months.
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3 weeks removed from when people started gathering for Thanksgiving, let's see how those #COVID19 "surge upon a surge" predictions by Fauci etc panned out for those of us in the Midwest. Colored lines indicate each state's peak. They all occurred within one week of each other.
2/ The "surge upon a surge" narrative has no basis in reality. COVID outbreaks are clearly regional, regardless of the restrictions put in place by a particular state. This is perfectly obvious when you break out the regions one at a time vs. nationally.
3/ 4 states with some of the most lax COVID restrictions of this group of 9 have the highest decreases from their peak - ND, IA, SD and NE. Some of these states introduced new restrictions, mandates etc. but none of them align with when they peaked. Many came after.
Still waiting on that contact tracing data for KC restaurants and bars. What % of outbreaks can you trace to them? Why haven't you shared this when you have 9 months of data?
A well-documented anecdote (3 infections) does not mean this is happening everywhere all the time.
"Necessary curbs", @QuintonLucasKC says, but provides no specifics, no data for Kansas City to show why this is necessary. These are the actions of someone desperate to look like he's doing something even if it's not empirically driven.
Also, cases are decreasing in KC as they are throughout the rest of the Midwest. @QuintonLucasKC announced his "Safer at Home KC" measures on 11/16. Cases peaked around 11/10. His policies are so effective they work retroactively!
Anatomy of a standard #COVID19 response: 1. Recommend cancellation of elective procedures, causing financial strain on hospitals which in turn results in layoffs 2. Vastly overestimate the efficacy of masks and mask mandates, creating overreliance on unproven prevention methods
3. "Cases" eventually go up anyway (highly contagious+PCR tests), public officials blame the public for not "following the rules" re: masks 4. Layoffs from step 1 result in reduced number of beds that can be staffed when virus inevitably peaks, straining hospital workers
5. Media provide anecdotal horror stories of hospitals filling up but does not accurately reflect the big picture of the number of hospital beds available in an area 6. Virus spread eventually slows, regardless of what NPIs were put in place and at what time
To illustrate why #COVID19 PCR testing is flawed, and why we need transparency on cycles from positive tests, here is a hypothetical: say someone took a $1 bill from me and claimed I was distributing cocaine. Most paper bills have over 0.1 micrograms. academic.oup.com/jat/article/20…
To help determine whether I was in possession of cocaine, my accuser has a machine that can multiply any trace amounts found on a dollar bill by two every cycle it ran. You could set it to any number of cycles - but let's say 40, to match the CDC guideline for #COVID19.
So, multiplying 0.1 micrograms by two 40 times is roughly 110,000 grams, or 110 kilograms, or 242 pounds. So the tiny, trace amounts of cocaine found on my $1 bill is now about the same weight as former NFL linebacker Luke Kuechly. I would be going to jail for a long time.
Thinking about this Star Tribune article from May detailing how there are two ends to a pandemic: a “social” one and “medical” one. They quote some historians who theorize the social end may be before medical, but I think the opposite has actually happened m.startribune.com/pandemic-s-end…
The “social” end is when people just stop worrying about the disease. Clinical definitions may vary - but it’s clear COVID is no longer an enormous burden on our health care system. Hospitalizations are dropping drastically and have been for months at this point.
The renewed focus on “cases” using PCR tests that are far too sensitive and are not useful for diagnostic purposes this late in the game is artificially extending our “social” pandemic, as more useful indicators (hospitalizations and ED visits) continue to drop
1/ I'm seeing "heart issues related to #COVID19" making the rounds again on Twitter today - I have to admit, I just saw this study that found 48% of elite high-endurance athletes had myocardial inflammation post-infection. Yikes! (source below)
2/ Wait…what's this? This is from 2009? And it's about…the common cold? Not COVID-19? So strange…why haven't we stopped all sports for this? Surely athletes have been dying from cardiac inflammation since the beginning of time! This cannot stand! jcmr-online.biomedcentral.com/articles/10.11…
3/ Dropping the facetious façade now…as I (and more importantly, cardiologists) have been saying all along, cardiac inflammation after an infection (particularly a bad one) is nothing new. It is why they say it's important to take it easy while you are sick and for a while after