New @CDCgov report showing quite clearly that children are at significantly more risk for life-threatening diagnoses after COVID infection. Very convincing evidence that prevention of COVID-19 in children is very important to reduce childhood mortality.
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In every age demographic, life threatening and severe disorders are more significant after COVID infection. We also see a drop in muscle/neurological/psychiatric disorders post-COVID in kids. I have some hypotheses on that.
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This is true of symptoms (not diagnoses) as well, though less dramatically so.
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The full report is here, and while it has limitations, it very significant evidence that:
a) COVID is serious for kids (not to mention >1,700 kids have died of COVID)
b) Vaccination is a very good idea for kids (nowhere near these risks)
c) We must make schools safer!
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This is absolutely an #urgencyofequity situation. We need to ensure that we reduce the spread of COVID-19 by:
a) using masks
b) staying home when sick
c) ensuring schools have good ventilation
d) remote/home learning during outbreaks
e) vaccinating our kids
(i would also note that this is very good evidence that Vinay Prasad and his awful contrarian Brownstone colleagues should never be listened to when it comes to pediatrics)
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Pretty incredible stuff. When Kirsch includes ALL trials instead of his normal narrative source for "antidepressants no better than placebo", he concludes: antidepressants better than placebo.
Kirsch is famous for claiming that antidepressants were no better than placebo and now his paper unequivocally shows that they are. Yes, we have much more to learn, but especially in severe depression, his paper supports AD use.
We can't know who will benefit or who won't vs risks, so informed consent is crucial.
But I'm not kidding you, pretty much every professional response that have ever responded to Kirsch's papers have stated exactly what this current paper shows.
Richard Bentall, author of a review of ECT & a vocal opponent of ECT, who has claimed that "the cost-benefit analysis for ECT is so poor that its use cannot be scientifically justified," reveals he knows nothing about catatonia and that it "just doesn't happen anymore."
🤔🤔🤔
This should really undercut any gravitas has in discussions of ECT. If you haven't considered acute psychiatric illness, you shouldn't be speaking about ECT.
ECT, in acute situations like severe catatonia (due to stress, illness, depression, psychosis), is lifesaving.
ECT is an imperfect treatment with risks and benefits, but it has a tremendous role in catatonic crisis. Because catatonia can arise out of any severe/acute assault on the brain, it touches all diagnoses.
US Pediatric Suicide in 2021
By Region
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With historical context, changes can be best interpreted. This is very important as many media/pundits/presenters lazily present year-over-year trends as if it can tell the full story. It can't.
Here's the US since 1999:
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Suicide rates during the pandemic are within expected trends, & no increase is significant. The highest increase in the past 21 years was in 2017 for boys and 2004 for girls. The 2021 rate is a record for American girls, but again, well within the trend we would expect.
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We'll now look at things regionally, and start with the HHS region 1 (CT, ME, MA, NH, RI, VT). We can see, that trends are within expected for boys and girls, and these noisy rates bounce quite a bit. (missing values for the girls in earlier years is due to CDC rule)
Reprocessing old data as I get ready for some clear skies later this week! This is the Tadpole Nebula, projected in HSO colour scheme. 100 light years across with and 12,000 light years away from us.
The Spider (IC 417) and Fly Nebula (NGC 1931), two stellar nurseries with young, open star clusters. Of course, the Tadpole Nebula, too, is full of young stars being created!
For a larger view...
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This is the full scene! For scale, the small "fly nebula" on the right is 10 light years across.
BC Deaths per week and Cumulative excess mortality (starting in 2020), showing the consequences of the pandemic (and the startling consequence of the mismanaged heat dome event of 2021) on our populace.
to calculate excess mortality due to drug overdoses there are two ways to do it: one is using monthly mortality to create an ARIMA projection based on the previous 5 years (the "5y" in my graph), the other is to simply compare to 2019's numbers ("2019")
In excess of expected deaths, 10,680 ADDITIONAL British Columbians died since the pandemic started. Of those, ~625 are due to the heat dome event, 2430-3422 are due to the contaminated drug supply, and 6000+ are left in the balance, likely the COVID-19 pandemic itself.