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 9/8/22: Booster Boosting, published by Zvi on September 8, 2022 on LessWrong.
Does it make sense to get the new updated booster? I give my (Not Medical Advice!) definitive take on how I would personally make the decision, and report the opinions of a number of other sources. Unless something changes, this is my take on that subject.
There’s also a variety of small things happening, both in the Covid section and later in the non-Covid section. I get to do two distinct little notes on gambling, and the FDA Delenda Est of the week is about the Food rather than the Drugs.
Executive Summary
Updated boosters available, consider getting one.
Still a lot of rather silly mask mandates, although no longer in NYC.
A rather impressive (if not impactful) case of pure Chutzpah.
Let’s run the numbers.
The Numbers
Predictions
Prediction from last week (HOLIDAY): 420k deaths (-20%) and 2,550 deaths (-20%).
Results: 452k cases (-14%) and 2,728 deaths (-17%).
Prediction for next week: 490k cases (+9%) and 3,000 deaths (+10%).
This prediction is expecting some real improvement, but for it to be dominated by a larger reversion from a holiday weekend.
Deaths
Cases
Booster Boosting
Public service announcement before the main discussion:
With that out of the way: To be as explicit as possible, while keeping in mind this is Not Medical Advice, I will give my full answer to how I personally for myself would answer ‘should I get the new updated booster when it becomes available?’
Essentially, I would get the booster if and only if I was already vaccinated, had not been infected or vaccinated/boosted within 6 months, and either (1) not yet had a first booster or (2) was at relatively high risk.
So essentially:
If I had not yet been vaccinated (first 2 shots), I’d get vaccinated first.
If I had been infected or vaccinated in the last 6 months, I’d wait.
If I had been vaccinated at least 6 months ago, but not boosted, and not infected in the last 6 months to my knowledge, then yes, I’d get boosted.
If I had already been vaccinated and boosted more than six months ago, and had not to my knowledge been infected in the past 6 months, and was in poor health or are over the age of 50 or so, yes I would get a second booster.
If I had already been vaccinated and boosted more than six months ago, and had not to my knowledge been infected in the past 6 months, and was not in poor health or are over the age of 50 or so, probably no, but it would be a small mistake either way.
I would strictly prefer to get the new booster rather than the old booster.
I would consider it reasonable to attempt to ‘time’ the booster to match plans to visit vulnerable others and/or wait until a larger wave was coming. Note that if a large wave does come there is a good chance it will be a new strain.
White House says Americans will ‘only’ need yearly booster going forward. NPR offers a variety of takes on where the thresholds should be and whether to time things for a bigger wave. Celine Gounder suggests focusing on timing your booster to be 2-4 weeks before visiting vulnerable relatives if you are healthy, and splitting up the Covid and Flu shots if you can. Your Local Epidemiologist couldn’t be more excited to get hers, and has detailed thoughts on exactly how long to wait after various things.
My decision means I will officially not be ‘up to date’ on my booster. Neither will be (for a time) Dr. Fauci, despite his willingness to get a third booster.
The question that matters here: What does it mean to be ‘up to date’?
If ‘up to date’ purely meant ‘has had all the boosters, all that one could possibly have’ as a supererogatory aspiration the way someone might say they are ‘up to date’ on the entire Marvel Cinematic Universe, then this definition is fine. You have, for now, watched all the movies and TV shows or had all...