Welcome to The Nonlinear Library, where we use Text-to-Speech software to convert the best writing from the Rationalist and EA communities into audio. This is: Covid 9/29/22: The Jones Act Waver, published by Zvi on September 29, 2022 on LessWrong.
The pandemic is over. Long live the Public Health Emergency.
HHS is set to extend the Covid-19 public health emergency by its standing deadline of Oct. 13.
If renewed on the deadline of Oct. 13, the next deadline would be Jan. 11, 2023.
This would make for the 11th renewal of the PHE since its declaration in January 2020 by former and current HHS secretaries Alex Azar and Xavier Becerra, respectively.
The renewal would occur as HHS plans to shift costs of Covid-19 vaccines and treatments to the commercial market, a process beginning this fall that is expected to take months.
Hospitals have advocated for the PHE’s extension.
There can be no clearer proof of the abuse of an emergency than extending it after publicly declaring that it is over.
Executive Summary
Covid is over but somehow also still an ‘emergency.’
Potential new treatment for Covid doing well in clinical trials.
Some people will continue to do way too much prevention for a long time.
Let’s run the numbers.
The Numbers
Kansas reported 476 deaths, of which I removed 400 as a presumed backlog.
I decided not to remove the 12,098 positive tests in Hawaii, although I am skeptical.
Prediction from last week: 330k cases (-9%) and 2,600 deaths (-8%).
Result: 316k cases (-11%) and 2,813 deaths (-2%).
Prediction for next week: 290k cases (-9%) and 2,750 deaths (-3%).
Mildly surprising not to see a larger decline in deaths.
I saw claims in my feeds earlier this week that we were seeing increases in cases in New York and other Northeastern states as new strains take over. The numbers don’t back that up and we continue to not see anything scary on that front.
Predictions
Deaths
Cases
BA.2.75.2
The contrast between how BA.2.75.2 and other recent variants are being covered and noticed, and how previous strains that grew at similar rates were being covered, is striking.
This certainly does have a lot of signs of big trouble (paper).
Thing is, the paper said that BA.2.75.2 had ‘profound escape’ yet it is being outcompeted by a different strain, BF.7, which is a substrain of BA.5.
Optimistic Chise thread on the study on Omicron boosters from last time.
Bloom Lab thread on another study, showing B-cells more ready for Omicron 6 months out than 1 month out from a shot. New information has updated me towards Omicron boosters being a modestly better deal than expected.
Physical World Modeling
Japanese Covid treatment drug shows promise in Phase III trial (Reuters).
More study evidence that bivalent boosters work just in time for new strains to take over and throw the whole thing into question again. In humans, even, and overcoming worries about ‘original antigenic sin.’ While the new shots may or may not be worth the side effects, we continue to get corroborating evidence that they work.
The argument that healthy people shouldn’t use Paxlovid to ensure a mild case because they won’t then develop sufficiently robust immunity. I can’t imagine the math possibly working out there, even if the argument is fundamentally sound, and this is essentially gloating that a particular person got infected again while there is a new strain emerging that evades past immunity.
CDC no longer recommends universal masking in health facilities. If you call for any other gathering to have universal masking, you are saying it is a more risky setting than health care facilities, that you want to be actively more risk averse than the CDC on this, or that your rule is not about preventing Covid-19. Probably all three.
Another note of frustration with the stream of misleading Long Covid studies. Even when done right Long Covid studies have a super hard statistics problem to solve in order to be meaningful. Instead we get the same zombie claims over and over again.
Zey...