"At the Kondo graveyard in Dar es Salaam, Tanzania...We used to bury one a week [before the pandemic], but over the past year we have reached 17 a day.”
"Last year, President John Magufuli declared the virus a “satanic myth” propagated by imperialist powers.... ...and labeled those who wore masks unpatriotic.
By this spring, the president was dead, along with 6 other senior politicians..."
"In Uganda’s capital, Kampala, workers at the main Bukasa cemetery said the average number of daily burials has jumped from six to 30 since last year. "
"In the central morgue of Zambia’s capital, Lusaka, Covid-19 was present in 87% of all bodies in June, Boston University scientists found in a recent study."
"Underlining the problem is a lack of testing: African nations have tested just 70 million people ...or around 5% of the population, according to WHO. In the U.S., for comparison, total tests number about 618 million, close to twice the population, according to the CDC."
"In Tanzania, where the official Covid-19 death toll is 724, the Economist study estimated an excess mortality of up to 69,000 since the pandemic began."
"But with vaccine skepticism widespread after a year of official Covid denial, the shots have so far reached just 1.6% of the population, one of the lowest rates in the world." (Tanzania)
"On a single day—May 15—every one of the 43 people who tested positive in the country were Tanzanian truckers crossing the border, forcing the government to close it. Four Tanzanians died at the wheel of their trucks waiting for a test."
"Health Minister... called a press conference that looked a lot like a cooking show..."The government has no plans to receive...vaccines...being distributed in other countries,’’ Dr. Gwajima said, before covering herself with a blanket to inhale steam from a saucepan of herbs."
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"Fewer than 1% of patients taking the drug needed to be hospitalized and no one died. In the comparison group, 7% were hospitalized and there were seven deaths."
Last year, there were few classes held in-person and those that were held, were near empty. This year, full census in classrooms.
Last year, staff (including most/many faculty) & researchers were primarily WFH. This year, they are back to working on-site, albeit with some accommodations/modifications.
We have a "rheostat". It works by dialing up and down *some* de-densification, masking, TESTING, & OBVIOUSLY vaccinations, but also boosters at some point.
We can AND SHOULD dial these up when outbreaks present.
"...91% of Democrats, 85% of independents, and 76% of Republicans, as well as majorities of seniors (84%), who would be most affected by such a provision [favor drug price negotiations by Medicare prior to learning more]"
"...most (84%) of the public, including 3/4 (78%) of Republicans, say the argument in favor – “this is needed because Americans pay higher prices than people in other countries, many can’t afford their prescriptions, & drug company profits are too high” – is convincing."
"...a third (33%) say the argument against – “this would have the government too involved and will lead to fewer new drugs being available in the future” – is convincing. This includes nearly half (45%) of Republicans."
They convey fear, frustration, & anguish. Many have already been to the ED 1 or more times. Their symptoms are often constitutional (headaches, extreme fatigue, muscle aches).
In all my time in medicine, I have not seen lingering symptoms to this degree after a viral infection (caveat, AIDS). We see the occasional post-viral/post-flu pneumonia cases; & PCPs have seen many weakened or exhausted by bad flu; but numbers that present to the ED are large.