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The General [Coronavirus] Discussion Thread: Vaccines!
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Is the person 100% on their own during quarantine? If not, the possibility exists to get infected during quarantine..
Possibly struck by lightning twice with 2 false negatives.
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Fucking christ.
Stop.
Posting.
Medical.
Advice.
Seriously, stop. Qualitative and quantitative immunodeficiencies can wildly impact the efficacy of certain vaccines. Some don't matter at all. Some work, but with reduced efficacy. Some cannot mount an immune response whatsoever. Some have to be repeated after the immunocompromised state has resolved. Some can be dangerous, even life threatening. I've personally seen profoundly immunocompromised children admitted to the ICU for receiving vaccines that should not have been given.
Should the above poster have gotten the covid vaccine? Probably. Maybe. Maybe if it's in question, they should talk to their fucking doctor that's managing their immunocompromised condition instead of armchair quarterbacking shit from a web comic forum that has real-world implications.
Or a pseudo false positive caused by RNA fragment shedding? Infected earlier, possibly didn't even know, cleared the infection. No symptoms. Tests come back negative because shedding is kinda random, then, later she catches something else, gets tested and is now shedding RNA fragments.
Or, infected on the plane, first test is too soon, second test is unlucky. Though, you should be able to hope in that situation that they would no longer be very infectious.
Kinda surpised from the perspective of New Zealand that it isn't 2 weeks in managed quarantine followed by 2 weeks home quarantine.
@Jragghen See the California Department of Public Health's guidance about vaccine prioritization at this link. (also somebody make sure I'm not missing some more up to date information)
The relevant sections are Recommendation B: Subprioritization During Phase 1a (second bullet point) and Recommendation C2 (under the second bullet point).
What they say is that during phase 1a (where we're at) "After intensive and appropriate efforts to reach the groups prioritized at that moment, health departments and facilities may offer vaccine promptly to persons in lower priority groups when... Doses are about to expire according to labeling instructions."
You wouldn't be "that guy" to ask to get on the waitlist in case they have a cancellation and need somebody, anybody on short notice. This isn't shady or special treatment or anything. It's in the recommendations. You'd be doing them a favor, if anything. Taking a dose that was otherwise headed to the trash in a few days rather than letting it go to waste and having to get another at a later date would be less costly in materials, in terms of pandemic spread, and in terms of scheduling effort on their end. You don't even have to go in. Just ring them up. Worst thing that happens is they say no.
Working theory is that she got infected while in the isolation hotel, possibly by a member of staff.
More details here
https://www.rnz.co.nz/news/national/435090/covid-19-latest-community-case-travelled-across-northland
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Thats possibly even more concerning than 6 sigma outlier incubation period, because it would mean that your isolation hotel staff had bad procedures, and bad procedures might have failed on previous occasions with you not knowing about it.
Still, I guess you can also have 6 sigma outlier bad day for the isolation hotel staff. This would be a good time for some viral sequencing as it would actually teach us something clear. See if someone else in the isolation hotel had the 'parent' virus.
Wait, this is in the article...
" Bloomfield said health authorities were investigating the positive test result. She had travelled in Spain and the Netherlands for about four months late last year with family members, some of whom later tested positive for Covid-19. "
She just like, went on a virus tour of Europe and then popped back to New Zealand?
Yeah and I knew I shouldn't have brought it up because it is such small things in the scheme of things.
But
Anxiety.
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Nice thing is the problem is small enough it can actually be traced back and a root cause analysis done about it and the rest of the world can learn. Also, when I say small enough, I mean in the sense that there are few enough variables we might actually be able to figure it out.
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Its 100% and perfectly reasonable to worry about 1 infection when you have zero infections. In the US, 1 infection doesn't mean much of anything other than to the person it happens to. In a country like NZ, your grand achievement as a nation (safety from disease while also being free to behave normally) depends on meeting this challenge. And others are right, at this stage, containing a single known infection is totally possible, but that doesn't mean its unreasonable to be sad about it.
New Zealanders have done well, but, that doesn't mean they are miracle workers. You've had an element of good luck to back up your good choices.
edit - It's a delta risk thing. When you have zero cases, your risk is zero. When you have 1 case, you now have the risk that you will end up right where we are here in the US. You shouldn't. You have multiple layers of protection between you and that, but, its completely reasonable to feel anxiety.
Noooooooo you cannot do this, this can get someone killed. You can't post in these anymore, sorry.
Obviously, and unfortunately, he had not.
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I believe there have been some outliers whose incubation time has been more than 2 weeks? Like the whole 14 day quarantine thing is because 99.9% of people will present in that time frame, but there's always that 1/1000 case or whatever.
I gotta say this whole worrying about COVID all the time thing is starting to wear me down.
I think the longest confirmed was just under 4 weeks, but that was due to some immunosuppression treatment in addition to somehow also being asymptomatic. The person still ultimately got symptoms if I remember correctly but made some headlines as how bad it could be if someone could asymptomatically remain contagious for a month. This was fairly early on though, when the best of information was still pretty speculative.
Don't worry about it. Personally I find the news from NZ inspiring in that at least one country has their crap together.
Like, you post about the one case die to anxiety, and that's fine, but for me, and maybe others, it almost felt like a sigh of relief. I think, "wow NZ only recently got one case with a few possible transmissions! How amazing that must be!" And it relieves me in a reverse schadenfreude way.
Pretty crappy to do this with someone who can't post in this thread anymore.
I think the idea is you wear a plain KN95 mask underneath a cloth mask for looks/covering gaps.
We wear a normal mask over an N95 at work. It lets one N95 last a day instead of one interaction - though in the before COVID times, it was supposed to be removed on leaving the patient room and thrown away after each time you interact with the patient. With every new trip into that room using a new mask.
So we change the outer mask if it gets contaminated with fluids or something while hopefully preserving the N95.
Edit: Also, if your mask has exhalation vents you need to wear one over it that doesn't to prevent droplets.