How do we know a pandemic's over?

it's not exactly news that C19 damages the heart - also in young people:
...and the brain. It will be decades before we know the true extent of the damage. Eventually the folly of just letting everyone get it because most seem to recover with no ill effects will be known. Unfortunately that message will never get through to the deniers though, because it was never about facts for them - it was about 'freedom' .

Some good may come out it of though. I suspect that many diseases which affect people 'randomly' are actually caused by viruses that we don't think anything of getting regularly, which gradually damage the body until something breaks. I hope to live long enough to see the results of these long term studies, as they could be very interesting.

Another positive is that authorities are now more intent on avoiding future pandemics. Right now New Zealand is having a whooping cough epidemic, and they are getting the message out promptly. So far I haven't seen any push-back from anti-vaxxers, probably because it doesn't affect them personally (unless they catch it of course). Considering that it kills babies I doubt they would get much traction these days.
 
...and the brain. It will be decades before we know the true extent of the damage. Eventually the folly of just letting everyone get it because most seem to recover with no ill effects will be known. Unfortunately that message will never get through to the deniers though, because it was never about facts for them - it was about 'freedom' .
Indeed!
Some good may come out it of though. I suspect that many diseases which affect people 'randomly' are actually caused by viruses that we don't think anything of getting regularly, which gradually damage the body until something breaks. I hope to live long enough to see the results of these long term studies, as they could be very interesting.
That papillomaviruses cause cancer wasn't even hypothesized untill the 1970s. The first HPV vaccine didn't become available until 2006.
Another positive is that authorities are now more intent on avoiding future pandemics. Right now New Zealand is having a whooping cough epidemic, and they are getting the message out promptly. So far I haven't seen any push-back from anti-vaxxers, probably because it doesn't affect them personally (unless they catch it of course). Considering that it kills babies I doubt they would get much traction these days.
There have been pertussis epidemics all around the world since the pandemic began, and many other infectious diseases also seem to have skyrocketed. At first, this was put down to 'immunity debt' due to restrictions rendering the immune system 'untrained', but it has become increasingly apparent that it is probably due to the immunity being weakened by COVID-19.
COVID-19 leads to long-term changes in the immune system, study shows (NewsMedical, July 15, 2024)
"Even after mild disease progression, we found a significant reduction of immune cells in the blood," says Winfried Pickl, providing details from the study.
So much for the super-immunity idea that was so popular in the winter of 2021-22.
 
The cough that dare not speak its name
Notice that, just like the BBC, The Times also prefers to keep the cough that there dare not speak its name out of its headlines

Hospitals hit by 'tidal wave' of flu and winter illness (BBC, Dec 12, 2024
Hospitals in England are being hit by a "tidal wave" of flu and other winter viruses, NHS bosses say.
Data released by NHS England showed there were an average of nearly 1,900 beds occupied by flu patients last week – up 70% on the week before.
That is more than three times higher than this time last year, with doctors warning that they are struggling to contain the spread of the virus within hospitals as well as seeing more patients being admitted.
Covid, RSV and the vomiting bug Norovirus are also continuing to cause problems.
COVID-19 is mentioned only once, the flu eight times!

Coughs lingering as public urged to get vaccinated (BBC, Dec 18, 2024)
The flu is mentioned 11 times in the article, COVID-19 twice!

New posts in The One Covid-19 Science and Medicine Thread about a retracted hydroxy study and about excess mortality in Australia, England and Wales.
 
Australia
Will we have a COVID wave, spike or blip this Christmas? It depends on where you live ( UNSW Sydney, Dec 13, 2024)
As the holiday season approaches, COVID cases are rising again in Australia, particularly in Victoria and Tasmania.
This is now the fourth year running with a summer rise of COVID, and the second year with a roughly six-month gap between waves.
Urgent warning issued as new Covid wave hits Western Australia days out from Christmas (Daily Mail Australia, Dec 16, 2024)
Covid cases in WA have skyrocketed
Hospitalisations tipped to soar over Christmas
An average of 75 people have been hospitalised with Covid every day in Western Australia in recent weeks
Authorities have warned anyone with cold or flu-like symptoms to stay at home and to wear masks in crowded public settings
 
Not that many other crowded indoor events aren't just as bad ...
Down bad with the Swiftie flu after Vancouver. Anybody else? (Reddit, Dec 18, 2024)
I know that logically, traveling through crowded airports and spending a weekend visiting crowded indoor business - topped off with 50,000 screaming fans stuffed like sardines into a closed stadium - is a recipe for spreading illness.
Just wondering if anybody has also had 5ish days of swollen glands, sore throat, headache, congestion/general head pressure and intermittent cough that test negative for COVID, flu-A, flu-B, and strep throat. Started about three days after we attended Vancouver N3, and flew home the following day.
(My mother has dubbed this the “Swiftie flu.”)
And as another Reddit user writes:
It's most likely Covid. Rapid tests are not very reliable and can give people false negatives for days until finally turning positive on like day 7 of symptoms. Keep testing to keep others around you safe
 
"Some people will argue the pandemic isn't over in 3...2...1..."
A Christmas reminder:
Dr. Lucky Tran on X, Dec 23, 2024
One of the most important times to wear a mask is right now during holiday season travel.
Transits hubs are high risk as many travel while they are sick.
A high quality mask like an N95 will help protect you and help ensure you don't miss out on valuable time with loved ones.
 
Haha, yes, I'm packing right now! I absolutely am carrying some masks with me --- but, I confess, I was thinking of just going in maskless, but with masks ready in my carry-on in case there's people sniffling nearby. That is, I didn't really consciously sit there thinking that I'd do this, it's just, I guess that's what I was going to do, this time.

Thanks for that timely reminder! Mask up from the get-go, it is, now.
 
USA:
'A winter wave' of COVID could (!) be coming as America gathers for the holidays (USA Today, Dec 24, 2024)
Just as everyone prepares to gather with family and friends for holiday celebrations, the U.S. Centers for Disease Control and Prevention says COVID could (!) be on the rise, based on wastewater data.
(...)
CDC wastewater findings suggest (!) 'winter wave' is coming
However, most of the other numbers are far from recent (= 2024) peaks:
 
A trolling minimizer starts a thread ... and doesn't last long in it:
pillman889 on X, Dec 26, 2024
People are eating out less because it's too expensive.
It has nothing to do with covid flu infections.
Read it for the replies! Especially if you are one of those people who thinks it's over.
Happy New Year! 🥂🍻
 
Another headline emphasizing the flu even though ....
US respiratory virus infections rise, led by flu (CIDRAP, Jan 3, 2024)
During Christmas week, respiratory virus activity continued a steady rise across much of the nation, with the largest spikes seen for flu. COVID-19 levels continue to climb from low levels, and respiratory syncytial virus (RSV) activity is still very high in many regions, the Centers for Disease Control and Prevention (CDC) said today in its latest updates.
(...)
The weekly percentage of deaths, however, is higher for COVID than for flu or RSV, according to the latest CDC data.
(...)
Wastewater tracking shows Midwest as COVID hot spot
Nationally, COVID levels remain at the high level, though detections in the Midwest are nearly twice that of the national level. Levels are showing rising trends, however, in other US regions.
For comparison, wastewater levels are moderate for both flu and RSV.In its weekly respiratory virus snapshot, the CDC said it still expects hospitalizations from the respiratory viruses over the fall and winter to have a similar or lower peak than last season, though officials expect the overall peak hospitalization to remain higher than before SARS-CoV-2 emerged.
 
UK:
Lockdown babies 'can't respond to their own name' (Telegraph, Jan 3, 2025)
Almost three quarters of teachers say'Covid children' born in 2020 are struggling
Notice the disconnect between what teachers call those children and what The Telegraph calls them.
I don't think The Telegraph has considered that 'lockdown babies' are the first generation of children born during the pandemic and thus also the first generation of children infected with COVID-19 in their first year of life and sometimes during their mothers' pregnancy. If the suspicion that COVID-19 and not the lockdowns is what has caused a possible mental impairment in these children, it will continue in the coming years with children born in 2021, 2022 etc., who may turn out to have even bigger problems.

Besides, why would lockdowns affect babies negatively? They can't have missed out on school due to lockdowns, which is the usual explanation for the recent bad PISA results in many countries.

And another thing: It is not as if encopresis is an entirely new phenomenon that didn't exist before the pandemic, but ...
Quarter of new schoolchildren still not toilet trained (Independent, Feb 28, 2024)
 
As for adults, this was fourteen months ago in the USA. And apparently not at all due to the immensely dangerous lockdowns but to the actual disease itself:
Can't Think, Can't Remember: More Americans Say They're in a Cognitive Fog (NYT, Nov 13, 2023)
Adults in their 20s, 30s and 40s are driving the trend. Researchers point to long Covid as a major cause.
A couple of excerpts on X from the paywalled article:
“There are more Americans who say they have serious cognitive problems.. than at any time in the last 15 years”The increase started with the pandemic.. The sharp increase captures the effects of #LongCovid

“Richard Deitz, an economist at the Federal Reserve Bank of New York, analyzed the data and attributed much of the increase to #LongCovid”“These numbers don’t do this — they don’t just start suddenly increasing sharply like this,” he said.

“Cognitive impairment is a hallmark of #LongCovid,” said Dr. Ziyad Al-Aly “Studies estimate some 20 to 30% of people who get Covid have some cognitive impairment several months later.. Research has also shown clear biological changes from the virus related to cognition”

“It’s not just fog, it’s a brain injury, basically,” said @MVGutierrezMD, chair of rehabilitation medicine at the University of Texas Health Science Center at San Antonio. “There are neurovascular changes. There’s inflammation. There are changes on M.R.I.s.”
 
The cough that dare not speak its name
UK:
Patients dying in hospital corridors, say nurses (BBC, Jan 16, 2025)
Patients are dying in corridors and pregnant women are miscarrying in side rooms as overwhelmed hospitals struggle to cope, nurses say.
The Royal College of Nursing (RCN) said evidence provided by more than 5,000 of its members across the UK this winter also showed cupboards, car parks, bathrooms and nursing stations were being turned into makeshift areas for patients.
Nurses warned such practices put patients at risk as staff were unable to access vital equipment such as oxygen, heart monitors and suction equipment, and did not have the time and space to provide CPR.
Health Secretary Wes Streeting said he agreed the problems should not be tolerated, but laid the blame on the previous government.
Influenza mentioned 5 times. COVID-19 not even once!
 
USA:
Dear Colleagues:
We are writing to notify you that for the first time this season, Maryland's statewide combined - COVID, influenza and RSV - weekly respiratory virus-associated hospitalization rate (as calculated by CDC) exceeds 10 hospitalizations per 100,000 residents, due in large part to increasing COViD and flu infections. More specifically, the CDC data shows the Maryland combined hospitalization rate for the week ending on January 4 was 10.4
(...)
Clinicians should implement key measures to prevent and contain the spread of respiratory infections, such as:
* Universal masking in all patient care areas and patient-facing health care settings
* Vaccinate eligible patients and health care workers against COVD, influenza and RSV
* Treat with antivirals early and when appropriate
* Test and isolate infected individuals quickly
* Use Personal Protective Equipment appropriately
* Identify and adhere to standard, contact, droplet, and airborne precautions
* Optimize ventilation in your facility
Amazing! In Maryland, they seem to know that (universal!) masking, testing, isolating, vaccinating, medicating, and ventilating are all useful tools against airborne infectious diseases.
RFK Jr. and Jay Bhattacharia will have to come down hard on that kind of woke superstition.
 
Can we call the pandemic over because its just hear to stay and we just need to get used to that?
 
It's possible that you need to get used to it. I don't.
How can a pandemic that's alleged to be "just here to stay" be over? It sounds like a contradiction in terms: It's here so it no longer exists.
The cough that dare not speak its name!
 
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Can we call the pandemic over because its just hear to stay and we just need to get used to that?
Problem is Covid isn't fitting into our "normal" disease picture. A pandemic is a global epidemic. A normal epidemic has a seasonality - like flu outbreaks in the winter.

Due to it's inherent high transmissibility and ability to quickly evolve and bypass antibodies, there is no seasonality. Waves wax and wane primarily as result of new variants and waning immunity rather than human behaviour and atmospheric factors. We're in a forever pandemic.
 
Wikipedia:
A pandemic (/pænˈdɛmɪk/ pan-DEM-ik) is an epidemic of an infectious disease that has a sudden increase in cases and spreads across a large region, for instance multiple continents or worldwide, affecting a substantial number of individuals. Widespread endemic diseases with a stable number of infected individuals such as recurrences of seasonal influenza are generally excluded as they occur simultaneously in large regions of the globe rather than being spread worldwide.
IMHO covid is now at the same status as flu. Ie. not a pandemic.
 
Wikipedia:

IMHO covid is now at the same status as flu. Ie. not a pandemic.
Your own Wikipedia cite says otherwise - "they occur simultaneously in large regions of the globe rather than being spread worldwide"
 
American Airlines Flight Attendants Now Face Being Terminated If They Catch COVID-19 Under Harsh New Attendance Rules (PYOK, Jan 15, 2025)
If a flight attendant amasses too many points, then they face disciplinary action or even termination. Just ten points collected over a rolling 12-month period could result in a flight attendant losing their job. Going sick over critical periods like the Fourth of July weekend results in additional points being issued.
(...)
From now on, flight attendants will only be able to avoid having attendance points issued against them for going sick with COVID-19 if they successfully apply for a medical leave of absence or if the Family and Medical Leave Act applies.
A positive COVID-19 test will not, however, be enough evidence to apply for a leave of absence, and flight attendants will need to seek out a professional certificate from a healthcare provider.

Covid Numbers Rising But No Masks on Planes This Time Around (Live and Let's Fly, Sep 29, 2024)
Airlines were eager to remove restrictions that were not only difficult to enforce but also contributed to the[]/hilite negative perception [/hilite]of air travel. This strain on the industry, combined with the evolving data on mask efficacy, has played a role in airlines and governments resisting a return to mandatory mask-wearing policies.
(...)
For now, it appears that air travel will continue to operate in a mask-free environment, even as the virus continues to persist.
Not a COVID-19-free environment! Mask-free!
I guess that the strain that masks put on the industry is perceived to be worse than the strain put on the industry by passengers and staff getting infected. The latter is probably easier to ignore and deny, so .... don't look up!

ETA:
Friesein on X, Jan 16, 2025
We've reached the stage of the pandemic where employers wield the burden of COVID as a punitive measure against employees working in hubs of viral transmission.It's like punishing construction workers for getting lung cancer after working with asbestos without protection.
 
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Wikipedia:

IMHO covid is now at the same status as flu. Ie. not a pandemic.
I don't know how you measure status in this respect. Does this count?
 
Canada:
Alberta doctors, scientists say COVID-19 response report should be dismissed (CBA, Jan 29, 2025)
Dozens of Alberta scientists, doctors and researchers have penned an open letter calling on the Alberta government to reject the recommendations contained in its recently released pandemic response report.
The group, including experts in infectious disease, pediatrics, virology and immunology, says it is essential government policies are based on well-established scientific evidence, and it claims the task force misrepresents data.
(...)
It's the latest group to speak out against the $2-million task force report, written for the provincial government and published on its website. The Alberta Medical Association has described the report as "anti-science" and "anti-evidence."Released last week, the task force report makes a number of recommendations, including barring healthy children and teens from getting COVID-19 shots and immediately halting the use of COVID vaccines altogether without "full disclosure" of potential risks.
Trump hasn't even annexed Canada yet, but this looks like something RFK Jr. and Jay Bhattacharia might have drafted.
 
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Another one of those headlines:
50% of heart attack cases since 2020 among adults below 40 (Feb 24, 2025)
Job insecurity and poor work-life balance significantly contributing to cardiovascular diseases and rise in cardiac arrests among working professionals in the country, doctors warn
(...)
Dr Ravi Prakash, senior consultant in cardiology at PSRI Hospital, Delhi, said that data from hospitals across India between 2020 and 2023 show that 50% of heart attack patients are below the age of 40. Doctors and researchers are alarmed by the growing number of cardiac arrests among individuals under 40 years of age. Experts attribute this rise to sedentary lifestyle, stress, poor diet, smoking, alcohol consumption, and even genetic factors. Emphasizing the urgency of the situation, Prakash said, “Heart attacks used to be a disease of the elderly, but in the last 4-5 years, cases among young adults have increased significantly.”
Hmmm, what could have happened 4-5 years ago.
The article does mention it, but ...
A five-year study by Aakash Healthcare, Delhi, revealed that heart attack cases more than doubled after the Covid-19 pandemic, with emergency cases rising by 60%. The study analysed 762 cases over three distinct periods — before, during, and after the pandemic — each spanning 22 months.
Before, during, and after the pandemic?! As Ghandi used to say about something else: “I think it would be a good idea.”
 
More headlines:
Cat in the Hat on X, Feb 27, 2025
The bizarre thing is that, at some point yesterday, they changed this headline from the one on the left to the one on the right.
So someone made an intentional decision to change to using the word ‘Covid Alarmist’ AFTER it had been published.

Image

The COVID Alarmists Were Closer to the Truth Than Anyone Else (NYT, Feb 26, 2025)
It's almost as if the people who were called Covid alarmists weren't the ones who panicked, isn't it?!
It's almost as if they were the ones who, instead of being terrified, responded rationally to the pandemic.

Cat in the Hat's tweet is a response to a thread by
tern on X, Feb 27, 2025
Thank you, New York Times.
But I think 'alarmists' might be the wrong word then?
Tern writes:
I had forgotten this little story about Elon Musk:
"I was reminded of this all recently when reading about a similar bet that the writer and podcaster Sam Harris said he made with his former friend Elon Musk at the beginning of the pandemic...
"(It’s ugly but perhaps illuminating to realize how many responded to the scary news by gambling on it.)
"Musk’s intuition was that the whole thing would just go away.
"On March 19, 2020, he tweeted that “on current trends,” the country was headed to no new cases sometime by the end of April,
"and he bet Harris that the outbreak would produce fewer than 35,000 cases in total.
"When the official count of Covid deaths passed 35,000 in April, Harris wrote to Musk to ask, cheekily, whether this meant he’d won the bet.
"Musk did not respond. In fact, to read Harris’s retelling of it, that was the end of their friendship and the moment he watched his old comrade disappear into a kind of alternate reality.
"Today, the official Covid death toll in the United States stands at 1.22 million.
"Excess mortality counts, which compare the total number of all-cause deaths to a projection of what they would have been without the pandemic, run a little higher — about 1.5 million.
"In other words, the alarmists were closer to the truth than anyone else."
But back to this bit:
"Musk did not respond. In fact, to read Harris’s retelling of it, that was the end of their friendship and the moment he watched his old comrade disappear into a kind of alternate reality."
He was bad before that point.
But the sad truth is that there is no alternate reality.
He slipped into delusion.
There is more in the thread.

The most powerful country in the world is now controlled by the guy who was in total denial about the pandemic in 2020.
He probably still is!
He's the one wielding a chainsaw ...
 
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A pretty impressive collection of infectious diseases:
Tern on X, Mar 1, 2025
It's just a covincidence that all these pathogens have had astonishing spikes of infection after everyone got infected with a virus that makes you vulnerable to other infections.

spikes of loads of pathogens.
 
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New Zealand - and the rest of the world:
Long Covid warning: 'Silent organ damage is a real problem' (RNZ.co.nz, Mar 6, 2025)
Public health experts are urging the government to protect people from Long Covid, which they say could have already affected a quarter of a million New Zealanders.
A new Public Health Communication Centre briefing out on Thursday says the government must develop and implement a Long Covid strategy.
Massey University public health research Professor John Potter said the risk of Long Covid after an Omicron infection remained about 10 percent, and sufferers could be mildly impaired to severely disabled.
The briefing also says Long Covid can also lead to a 'substantially increased' risk of sudden death and 'silent' damage to cells and organs which can lead to later illness.
(...)
The NZ government's response to Long Covid had been "inadequate", said co-author University of Otago's Prof Michael Baker.
"We have all the tools we need to protect people against Long Covid, including using proven public health measures to reduce exposure to the virus when indoors, and regular vaccination to reduce progression to Long Covid.
 
Astrid Iversen, virologist and epidemiologist, has been consistently right about the pandemic:
Fem år efter den store nedlukning advarer Oxford-professor om coronavirussen: »Den har overhovedet ikke ramt et eller andet evolutionært loft« (Berlingske.dk, Mar 9, 2025)
Det er ikke slut. 1.825 dage efter at Danmark lukkede ned på grund af en helt ny og skræmmende virustrussel, gør den danske topforsker Astrid Iversen coronastatus. »Der er ikke belæg for at tro, at fordi det går godt lige nu, så kommer det også til at gå godt i fremtiden.«
Fem år efter at en ukendt og skræmmende virus tyngede nationen i knæ og lukkede landet ned, er pusten gået næsten helt ud af coronatruslen.
Ikke sandt?
Den fortælling køber en internationalt fremtrædende og danskfødt Oxford-professor ikke.
Five years after the great lockdown, Oxford professor warns about the coronavirus: "It has not hit some evolutionary ceiling at all" (Berlingske.dk, Mar 9, 2025)
It's not over. 1,825 days after Denmark locked down due to the threat from a completely new and frightening virus, Danish top researcher Astrid Iversen is making corona status. "There is no evidence for believing that because it is going well right now, it will also go well in the future."
Five years after an unknown and frightening virus weighed the nation down and locked down the country, the corona threat has almost completely lost its momentum.
That's true, isn't it?
An internationally prominent and Danish-born Oxford professor does not buy into that narrative.
- - -
From a short thread about the current variants:
Mike Honey on X, Mar 10, 2025:
Here's the latest variant picture with a global scope.
The XEC.* variant has continued to decline, while the LP.8.1.* variant grew to around 23%.
There seems to be a rebound in the JN.1.* + FLiRT family, rising recently to around 12%

Image


Biff on X, Mar 10, 2025:
Really interesting, if this trend continues I wonder if Novavax will prefer to just keep their JN.1 formulation instead of developing anything new.
They might not have much of a choice anyway depending on how things end up going at HHS, but this could make it an easier decision
Mike Honey on X, Mar 10, 2025:
Yeah there's still not anything new and significant for them to target
- it's a real soup of weak contenders with quite diverse mutations at the moment.
 
I look at the variant trends in combination with wastewater data to get a sense of the actual variant growth/decline rate. Mike's comment is dead on. Current variant mix are weak contenders. Unfortunately, the overall surveillance is declining so increasing uncertainty.
 
dann said:
it's not exactly news that C19 damages the heart - also in young people:
...and the brain. It will be decades before we know the true extent of the damage. Eventually the folly of just letting everyone get it because most seem to recover with no ill effects will be known. Unfortunately that message will never get through to the deniers though, because it was never about facts for them - it was about 'freedom' .
Maybe we'll know much sooner than that:
Children are increasingly starting primary school struggling to talk, teachers have warned (MSN.com/The Independent, Mar 11, 2025)
In a new survey, nine in ten primary school teachers said that children's speech and language issues have worsened since 2020.Teachers have been noticing declining school preparedness in young children since the pandemic, with some unable to answer to their own names or go to the toilet by themselves.
Three quarters of teachers surveyed said that parents are often in denial about any speech and language issues their children may have.
So what's to be done about it?
... they recommend limited screen time.
Maybe it's just me, but I have a hard time grasping what the inability to go to the toilet by themselves is supposed to have to do with screen time. I would expect the kids to be able to find an instructional video on YouTube or TikTok about going to the toilet.
Toilet training and cutlery use key part of England’s ‘school-readiness skills list’ (yahoo!News/TheGuardian, Mar 11, 2025)
The new guidance came as there were further concerns that children born during the Covid pandemic – “lockdown babies”have widespread speech and language difficulties, with teachers concerned that parents are “in denial” about the problem.
(...)
Teachers largely blamed the deterioration on a decline in conversations at home and increased time watching screens.
 

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