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| <div class="post-excerpt"><p>Deux ans après les mensonges sur les masques, que le gouvernement n’avait pas pris la peine de provisionner en masse malgré les multiples alertes de virus se transmettant par voie d’air, les autorités ont été jugées fautives par le Conseil d’État. Mais aucune responsabilité n’a été précisément établie concernant les personnes mortes des conséquences de leur action car après tout c’est aussi la faute à pas de chance quand on chope le Covid et parce que les dites autorités ont quand même montré leur bonne volonté pour lutter contre l’épidémie en promouvant largement la distanciation physique et le lavage des mains. Voilà qui pose problème. Car la distanciation physique et le lavage des mains ne contribuent <em>pas vraiment</em> à la réduction des risques Covid. Pire, les efforts qui leur sont dédiés sont divertis du cœur du problème : la transmission par aérosols, qui nécessite port du masque et aération des locaux. Et depuis deux ans et demie, ce cœur de la réduction des risques est sous-estimé ou ignoré et nous perdons <a href="https://www.france24.com/fr/info-en-continu/20220702-covid-la-bataille-de-l-air-pas-encore-gagn%C3%A9e">« la bataille de l’air »</a>.</p></div> | |||
| <div class="post-content"><p>Concernant le lavage des mains, la revue <em>Nature</em> explique <a href="https://www.nature.com/articles/d41586-021-00251-4">toute l’ampleur du problème</a> : c’est peut-être parce que le lavage des mains et la désinfection des surfaces coûtent moins cher que l’adaptation des systèmes d’aération (1) que le mythe de la transmission par les fomites, les surfaces souillées, a survécu. Mais avec les premières études scientifiques au printemps 2020 et les premiers résultats parus dans la presse grand public en juillet 2020, comment dire qu’on ne savait pas, quand la modeste blogueuse dénuée de culture scientifique que je suis savait depuis cette époque ?</p> | |||
| <p>La transmission par les gouttelettes a établi un autre type de savoirs faux, les savoirs vrais mais insuffisants. Je m’explique : c’est vrai que le virus se transmet par les gouttelettes mais pas seulement. Et donc la distanciation physique (à un mètre en France mais à deux mètres dans les pays qui ont investi dans des mesures plus strictes) ne peut en aucun cas suffire. Supposer qu’elle peut suffire, c’est induire les personnes en erreur en ne les engageant pas à se protéger de la transmission par aérosols. C’est comme ça que je pense avoir été contaminée en mars 2021, par une collègue qui mettait ne scrupuleusement son masque que pour se déplacer dans la pièce, pensant réduire le risque quand elle se retrouvait à proximité de ses collègues, comme elle l’avait entendu partout. Donc non, ignorer la transmission par aérosolisation et ne prendre et faire prendre de précautions qu’inutiles ou incomplètes, ce n’est pas une politique sanitaire acceptable. L’État est responsable de contaminations massives : son ignorance réelle ou feinte de savoirs pourtant établis, ses arbitrages en faveur de l’économie et des restrictions budgétaires nous ont rendu·es malades par millions, environ la moitié de la population. Deux ans après le début de la crise sanitaire, ces idées fausses sur la transmission du virus non seulement demeurent mais même continuent à circuler dans les communications officielles, avec tant d’autres. Les autorités ont choisi de ne pas nous informer correctement, pensant que nous pouvions nous contenter d’obéir à des ordres inconsistants, incohérents avec l’état des savoirs et sans cesse changeants.</p> | |||
| <p>À l’occasion de la séquence électorale, le gouvernement nous a offert un petit plaisir, celui de ne plus porter de masque dans les lieux clos où nous nous concentrons, malgré la centaine de mort·es quotidienne (2). Mais voilà que les ordres sont de nouveau en train de faire un virage à 180° et il faudra une nouvelle fois introduire de nouvelles représentations dans la tête du bon peuple : après « le Covid c’est fini mais si vous êtes fragile, protégez-vous comme vous pouvez », retrouvez « soyez civiques, prenez soin des autres ». Il faudrait consacrer un billet à cette injonction presque aussi lamentable que celle des gouvernements et des grosses entreprises énergétiques nous demandant d’économiser le gaz et l’électricité par civisme et sans moufter sur la manière dont nos sociétés sont programmées pour dépenser de l’énergie sans limite ni équité.</p> | |||
| <p>Mais revenons à la faisabilité de ces aller-retour de la doctrine sur le port du masque. Le système de représentation que nous avons établi dans notre for intérieur est très solide et ne change que marginalement ou difficilement selon les éléments de compréhension qui arrivent à notre connaissance. Une fois établi, il faut parfois des années pour le faire évoluer mais le gouvernement en change tous les trois mois… Comment s’approprier des savoirs sûrs et comment les mettre à jour ? Le masque en tissu qui ne sert plus à rien ou presque avec des variants plus transmissibles, le FFP2 seul à même de protéger la personne qui le porte mais qui nécessite d’être complété par la qualité de l’air intérieur, les contaminations en plein air que les nouveaux variants rendent moins anecdotiques et <a href="https://twitter.com/Monolecte/status/1545025340120104960">le timing des contaminations</a>, qui permet de savoir quand on est contagieux et quand on cesse de l’être… voilà des savoirs simples mais pas si accessibles et sans lesquels il semble difficile de se prendre en main, y compris dans des contextes démocratiques.</p> | |||
| <p>La question de l’efficacité du port obligatoire du masque est aujourd’hui en discussion, les milieux libéraux misant tout sur le vaccin <a href="https://www.bloomberg.com/opinion/articles/2022-02-11/did-mask-mandates-work-the-data-is-in-and-the-answer-is-no">et rien sur le masque</a>, et la réponse tend à être que ce n’est pas tant l’obligation en soi qui est utile que le port en soi. Quand ce moyen de protection est <a href="https://www.nature.com/articles/d41586-021-01394-0">compris (y compris avec ses limites), accepté et mis en œuvre</a> par les personnes et les groupes sociaux auxquelles elles appartiennent. C’est peu de dire que la fabrique de l’ignorance et de l’obéissance qui sert de doctrine au gouvernement depuis plus de deux ans n’aide pas. Comme dit ma copine A., on n’a pas le cul sorti des ronces. Et pourtant…</p> | |||
| <p>Il y a quelques jours j’étais à l’université d’été de mon syndicat, sur le thème de l’autogestion. Le groupe local qui nous accueillait avait proposé comme politique Covid, parce que le début d’une nouvelle vague marquait les esprits, le port du masque… mais laissé à l’appréciation de chacun·e. J’ai suggéré que c’était une attitude libérale (raccord avec la politique gouvernementale actuelle) et par ailleurs inefficace au regard d’un objectif consensuel : la protection de celles et ceux qui pour une raison ou une autre souhaitent ne pas retourner à la maison avec le virus. Le débat a donné lieu à un paquet de mauvaises raisons : on mange ensemble alors tout effort de réduction des risques serait vain (mais une heure ou cinq heures d’exposition font la différence en nombre de personnes touchées et gravité des cas), on dort tou·tes ensemble (même si les rencontres étaient très conviviales, je précise que nous étions en chambres de deux et non « tou·tes ensemble », ce qui réduit aussi sérieusement le risque). La question de la qualité sonore des interventions a pu servir l’opposition au port du masque, avec quelques échanges se demandant si nos masques chirurgicaux étouffaient vraiment le son ou si c’était son port qui changeait l’élocution. La demande de personnes qui entendaient mal a été résolue par l’usage d’un micro. Et comme il fallait faire vite avant de passer aux <em>choses sérieuses</em>, ça s’annonçait mal, jusqu’à ce qu’une camarade propose qu’on cale notre niveau d’exigence sur celui des personnes les plus fragiles, inquiètes du risque ou en contact avec des personnes fragiles (3). Une autre a complété le dispositif avec un signalement à main levée de la volonté d’être protégé·e par l’ensemble du groupe et pour éviter la pression sur ces personnes il a été entendu que nous fermerions les yeux, à l’exception des organisatrices. Une fois le port du masque adopté, celui-ci a été scrupuleusement respecté par l’ensemble des participant·es, sept heures par jour pendant deux jours, à l’exception notable de deux intervenant·es le lendemain qui n’avaient pas assisté à nos échanges et ont fait leur intervention masque au menton, alors que nous avions convenu ensemble de le garder pour parler au micro.</p> | |||
| <p>Au final, le port du masque a été bien mieux respecté qu’à la Parole errante, ce lieu à Montreuil qui a fait de gros efforts de mise à disposition des savoirs concernant la transmission du Covid et de mise en œuvre collective d’une politique de réduction des risques mais où, passé la demande faite à chacun·e avant chaque rencontre par l’équipe d’organisation de porter le masque, n’importe qui peut s’en dédouaner sans conséquence. Si j’ai appris quelque chose de notre journée syndicale, c’est que l’engagement en collectif peut faire changer les comportements. Mais en l’absence d’une véritable discussion sur la réduction des risques, tout le monde où presque a pris le tram pour la gare sans masque…</p> | |||
| <p>Comment faire aujourd’hui avec un usage du masque qui est largement incompris ? Présenté comme moins important que les autres « gestes barrière » pourtant inutiles ou moins utiles (4), associé aux errements gouvernementaux et aux attaques les plus douloureuses contre notre vie sociale, le masque a pris cher. Puisque le temps des politiques coercitives est derrière nous, il ne reste plus qu’une information crédible, comprise, et une appropriation généralisée de la nécessité de le porter. On en est très loin. Il a fallu des années pour construire cette culture concernant le Sida (5), avec le Covid elle est sabotée de toutes parts depuis plus de deux ans, du gouvernement aux franges conspirationnistes d’inspiration libertarienne. Le résultat, c’est par exemple un copain gay qui me dit être las du Covid (alors que moi non, j’adore ça) et pour cette raison ne plus rien céder sur sa vie sociale, sans masque. Un peu comme si devant la pandémie de Sida il avait eu le choix entre la complète abstinence sexuelle et le <em>bareback</em> (6), un peu comme si le préservatif n’avait jamais été au centre du dispositif de réduction des risques.</p> | |||
| <p>Devant cette politique de santé publique en miettes, et ce depuis le début de la pandémie, il nous faut construire par en-bas l’auto-défense sanitaire, à force de diffusion d’une information plus honnête et plus sûre que celle des autorités ou des officines libertariennes, à force de concertation dans les lieux autogérés ou faisant l’objet de pratiques démocratiques. Pour revenir à la comparaison avec la qualité de l’air, c’est comme de lutter contre le changement climatique avec la sobriété volontaire : quand les connards qui nous gouvernent décident qu’on vivra avec des infections régulières au Covid, il reste néanmoins difficile de choisir seul·e ou avec quelques camarades de ne pas cracher ses poumons pour la croissance.</p> | |||
| <p>(1) <a href="https://www.ecole-alsacienne.org/covid-19/protocole-sanitaire-et-continuite-pedagogique">Les gosses des riches y ont droit dans leurs écoles</a> : système d’aération à la cantine et capteurs de CO2 dans les classes.<br> | |||
| (2) Début mai seulement la France est passé en dessous du seuil des 700 personnes mortes par semaine.<br> | |||
| (3) Les personnes fragiles ne vivant pas sur une autre planète, comme on l’entend souvent (<a href="https://cabrioles.substack.com/p/la-strategie-beyblade-ou-comment?s=w">doctrines de la protection focalisée ou de l’approche ciblée</a>), réduire la circulation globale du virus est déterminant pour les protéger.<br> | |||
| (4) Début juillet sont encore présentes en gare des annonces conseillant de rester à plus d’un mètre des autres et de ne pas leur faire de bisous. Elles sont datées non de mars 2020 mais du deuxième trimestre 2022 : le masque y est présenté comme plus obligatoire (le picto esquisse un visage souriant, enfin !) et son utilité est passée sous silence.<br> | |||
| (5) La comparaison entre les deux pandémies est précieuse quand on parle de santé publique mais elle a aussi ses limites : une infection au VIH est dans la plupart des cas plus grave, donc plus redoutée par les personnes, et les contaminations sont plus ciblées. Il est plus facile d'appliquer des gestes de protection avec un nombre limité de personnes dans le cadre de rapports sexuels qu'avec chaque personne inconnue avec laquelle on partage l'air intérieur dans un lieu public.<br> | |||
| (6) Le <em>bareback</em> est une pratique de refus, dans un milieu où les risques de transmission du Sida sont connus et non niés, de la réduction des risques par le préservatif.</p></div> | |||
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| @@ -0,0 +1,39 @@ | |||
| title: Face aux politiques sanitaires inconsistantes, l’autogestion ? | |||
| url: https://blog.ecologie-politique.eu/post/Face-aux-politiques-sanitaires-inconsistantes | |||
| hash_url: 3cdc4000bebd0c9e019d28f1dcbb4f31 | |||
| <div class="post-excerpt"><p>Deux ans après les mensonges sur les masques, que le gouvernement n’avait pas pris la peine de provisionner en masse malgré les multiples alertes de virus se transmettant par voie d’air, les autorités ont été jugées fautives par le Conseil d’État. Mais aucune responsabilité n’a été précisément établie concernant les personnes mortes des conséquences de leur action car après tout c’est aussi la faute à pas de chance quand on chope le Covid et parce que les dites autorités ont quand même montré leur bonne volonté pour lutter contre l’épidémie en promouvant largement la distanciation physique et le lavage des mains. Voilà qui pose problème. Car la distanciation physique et le lavage des mains ne contribuent <em>pas vraiment</em> à la réduction des risques Covid. Pire, les efforts qui leur sont dédiés sont divertis du cœur du problème : la transmission par aérosols, qui nécessite port du masque et aération des locaux. Et depuis deux ans et demie, ce cœur de la réduction des risques est sous-estimé ou ignoré et nous perdons <a href="https://www.france24.com/fr/info-en-continu/20220702-covid-la-bataille-de-l-air-pas-encore-gagn%C3%A9e">« la bataille de l’air »</a>.</p></div> | |||
| <div class="post-content"><p>Concernant le lavage des mains, la revue <em>Nature</em> explique <a href="https://www.nature.com/articles/d41586-021-00251-4">toute l’ampleur du problème</a> : c’est peut-être parce que le lavage des mains et la désinfection des surfaces coûtent moins cher que l’adaptation des systèmes d’aération (1) que le mythe de la transmission par les fomites, les surfaces souillées, a survécu. Mais avec les premières études scientifiques au printemps 2020 et les premiers résultats parus dans la presse grand public en juillet 2020, comment dire qu’on ne savait pas, quand la modeste blogueuse dénuée de culture scientifique que je suis savait depuis cette époque ?</p> | |||
| <p>La transmission par les gouttelettes a établi un autre type de savoirs faux, les savoirs vrais mais insuffisants. Je m’explique : c’est vrai que le virus se transmet par les gouttelettes mais pas seulement. Et donc la distanciation physique (à un mètre en France mais à deux mètres dans les pays qui ont investi dans des mesures plus strictes) ne peut en aucun cas suffire. Supposer qu’elle peut suffire, c’est induire les personnes en erreur en ne les engageant pas à se protéger de la transmission par aérosols. C’est comme ça que je pense avoir été contaminée en mars 2021, par une collègue qui mettait ne scrupuleusement son masque que pour se déplacer dans la pièce, pensant réduire le risque quand elle se retrouvait à proximité de ses collègues, comme elle l’avait entendu partout. Donc non, ignorer la transmission par aérosolisation et ne prendre et faire prendre de précautions qu’inutiles ou incomplètes, ce n’est pas une politique sanitaire acceptable. L’État est responsable de contaminations massives : son ignorance réelle ou feinte de savoirs pourtant établis, ses arbitrages en faveur de l’économie et des restrictions budgétaires nous ont rendu·es malades par millions, environ la moitié de la population. Deux ans après le début de la crise sanitaire, ces idées fausses sur la transmission du virus non seulement demeurent mais même continuent à circuler dans les communications officielles, avec tant d’autres. Les autorités ont choisi de ne pas nous informer correctement, pensant que nous pouvions nous contenter d’obéir à des ordres inconsistants, incohérents avec l’état des savoirs et sans cesse changeants.</p> | |||
| <p>À l’occasion de la séquence électorale, le gouvernement nous a offert un petit plaisir, celui de ne plus porter de masque dans les lieux clos où nous nous concentrons, malgré la centaine de mort·es quotidienne (2). Mais voilà que les ordres sont de nouveau en train de faire un virage à 180° et il faudra une nouvelle fois introduire de nouvelles représentations dans la tête du bon peuple : après « le Covid c’est fini mais si vous êtes fragile, protégez-vous comme vous pouvez », retrouvez « soyez civiques, prenez soin des autres ». Il faudrait consacrer un billet à cette injonction presque aussi lamentable que celle des gouvernements et des grosses entreprises énergétiques nous demandant d’économiser le gaz et l’électricité par civisme et sans moufter sur la manière dont nos sociétés sont programmées pour dépenser de l’énergie sans limite ni équité.</p> | |||
| <p>Mais revenons à la faisabilité de ces aller-retour de la doctrine sur le port du masque. Le système de représentation que nous avons établi dans notre for intérieur est très solide et ne change que marginalement ou difficilement selon les éléments de compréhension qui arrivent à notre connaissance. Une fois établi, il faut parfois des années pour le faire évoluer mais le gouvernement en change tous les trois mois… Comment s’approprier des savoirs sûrs et comment les mettre à jour ? Le masque en tissu qui ne sert plus à rien ou presque avec des variants plus transmissibles, le FFP2 seul à même de protéger la personne qui le porte mais qui nécessite d’être complété par la qualité de l’air intérieur, les contaminations en plein air que les nouveaux variants rendent moins anecdotiques et <a href="https://twitter.com/Monolecte/status/1545025340120104960">le timing des contaminations</a>, qui permet de savoir quand on est contagieux et quand on cesse de l’être… voilà des savoirs simples mais pas si accessibles et sans lesquels il semble difficile de se prendre en main, y compris dans des contextes démocratiques.</p> | |||
| <p>La question de l’efficacité du port obligatoire du masque est aujourd’hui en discussion, les milieux libéraux misant tout sur le vaccin <a href="https://www.bloomberg.com/opinion/articles/2022-02-11/did-mask-mandates-work-the-data-is-in-and-the-answer-is-no">et rien sur le masque</a>, et la réponse tend à être que ce n’est pas tant l’obligation en soi qui est utile que le port en soi. Quand ce moyen de protection est <a href="https://www.nature.com/articles/d41586-021-01394-0">compris (y compris avec ses limites), accepté et mis en œuvre</a> par les personnes et les groupes sociaux auxquelles elles appartiennent. C’est peu de dire que la fabrique de l’ignorance et de l’obéissance qui sert de doctrine au gouvernement depuis plus de deux ans n’aide pas. Comme dit ma copine A., on n’a pas le cul sorti des ronces. Et pourtant…</p> | |||
| <p>Il y a quelques jours j’étais à l’université d’été de mon syndicat, sur le thème de l’autogestion. Le groupe local qui nous accueillait avait proposé comme politique Covid, parce que le début d’une nouvelle vague marquait les esprits, le port du masque… mais laissé à l’appréciation de chacun·e. J’ai suggéré que c’était une attitude libérale (raccord avec la politique gouvernementale actuelle) et par ailleurs inefficace au regard d’un objectif consensuel : la protection de celles et ceux qui pour une raison ou une autre souhaitent ne pas retourner à la maison avec le virus. Le débat a donné lieu à un paquet de mauvaises raisons : on mange ensemble alors tout effort de réduction des risques serait vain (mais une heure ou cinq heures d’exposition font la différence en nombre de personnes touchées et gravité des cas), on dort tou·tes ensemble (même si les rencontres étaient très conviviales, je précise que nous étions en chambres de deux et non « tou·tes ensemble », ce qui réduit aussi sérieusement le risque). La question de la qualité sonore des interventions a pu servir l’opposition au port du masque, avec quelques échanges se demandant si nos masques chirurgicaux étouffaient vraiment le son ou si c’était son port qui changeait l’élocution. La demande de personnes qui entendaient mal a été résolue par l’usage d’un micro. Et comme il fallait faire vite avant de passer aux <em>choses sérieuses</em>, ça s’annonçait mal, jusqu’à ce qu’une camarade propose qu’on cale notre niveau d’exigence sur celui des personnes les plus fragiles, inquiètes du risque ou en contact avec des personnes fragiles (3). Une autre a complété le dispositif avec un signalement à main levée de la volonté d’être protégé·e par l’ensemble du groupe et pour éviter la pression sur ces personnes il a été entendu que nous fermerions les yeux, à l’exception des organisatrices. Une fois le port du masque adopté, celui-ci a été scrupuleusement respecté par l’ensemble des participant·es, sept heures par jour pendant deux jours, à l’exception notable de deux intervenant·es le lendemain qui n’avaient pas assisté à nos échanges et ont fait leur intervention masque au menton, alors que nous avions convenu ensemble de le garder pour parler au micro.</p> | |||
| <p>Au final, le port du masque a été bien mieux respecté qu’à la Parole errante, ce lieu à Montreuil qui a fait de gros efforts de mise à disposition des savoirs concernant la transmission du Covid et de mise en œuvre collective d’une politique de réduction des risques mais où, passé la demande faite à chacun·e avant chaque rencontre par l’équipe d’organisation de porter le masque, n’importe qui peut s’en dédouaner sans conséquence. Si j’ai appris quelque chose de notre journée syndicale, c’est que l’engagement en collectif peut faire changer les comportements. Mais en l’absence d’une véritable discussion sur la réduction des risques, tout le monde où presque a pris le tram pour la gare sans masque…</p> | |||
| <p>Comment faire aujourd’hui avec un usage du masque qui est largement incompris ? Présenté comme moins important que les autres « gestes barrière » pourtant inutiles ou moins utiles (4), associé aux errements gouvernementaux et aux attaques les plus douloureuses contre notre vie sociale, le masque a pris cher. Puisque le temps des politiques coercitives est derrière nous, il ne reste plus qu’une information crédible, comprise, et une appropriation généralisée de la nécessité de le porter. On en est très loin. Il a fallu des années pour construire cette culture concernant le Sida (5), avec le Covid elle est sabotée de toutes parts depuis plus de deux ans, du gouvernement aux franges conspirationnistes d’inspiration libertarienne. Le résultat, c’est par exemple un copain gay qui me dit être las du Covid (alors que moi non, j’adore ça) et pour cette raison ne plus rien céder sur sa vie sociale, sans masque. Un peu comme si devant la pandémie de Sida il avait eu le choix entre la complète abstinence sexuelle et le <em>bareback</em> (6), un peu comme si le préservatif n’avait jamais été au centre du dispositif de réduction des risques.</p> | |||
| <p>Devant cette politique de santé publique en miettes, et ce depuis le début de la pandémie, il nous faut construire par en-bas l’auto-défense sanitaire, à force de diffusion d’une information plus honnête et plus sûre que celle des autorités ou des officines libertariennes, à force de concertation dans les lieux autogérés ou faisant l’objet de pratiques démocratiques. Pour revenir à la comparaison avec la qualité de l’air, c’est comme de lutter contre le changement climatique avec la sobriété volontaire : quand les connards qui nous gouvernent décident qu’on vivra avec des infections régulières au Covid, il reste néanmoins difficile de choisir seul·e ou avec quelques camarades de ne pas cracher ses poumons pour la croissance.</p> | |||
| <p>(1) <a href="https://www.ecole-alsacienne.org/covid-19/protocole-sanitaire-et-continuite-pedagogique">Les gosses des riches y ont droit dans leurs écoles</a> : système d’aération à la cantine et capteurs de CO2 dans les classes.<br> | |||
| (2) Début mai seulement la France est passé en dessous du seuil des 700 personnes mortes par semaine.<br> | |||
| (3) Les personnes fragiles ne vivant pas sur une autre planète, comme on l’entend souvent (<a href="https://cabrioles.substack.com/p/la-strategie-beyblade-ou-comment?s=w">doctrines de la protection focalisée ou de l’approche ciblée</a>), réduire la circulation globale du virus est déterminant pour les protéger.<br> | |||
| (4) Début juillet sont encore présentes en gare des annonces conseillant de rester à plus d’un mètre des autres et de ne pas leur faire de bisous. Elles sont datées non de mars 2020 mais du deuxième trimestre 2022 : le masque y est présenté comme plus obligatoire (le picto esquisse un visage souriant, enfin !) et son utilité est passée sous silence.<br> | |||
| (5) La comparaison entre les deux pandémies est précieuse quand on parle de santé publique mais elle a aussi ses limites : une infection au VIH est dans la plupart des cas plus grave, donc plus redoutée par les personnes, et les contaminations sont plus ciblées. Il est plus facile d'appliquer des gestes de protection avec un nombre limité de personnes dans le cadre de rapports sexuels qu'avec chaque personne inconnue avec laquelle on partage l'air intérieur dans un lieu public.<br> | |||
| (6) Le <em>bareback</em> est une pratique de refus, dans un milieu où les risques de transmission du Sida sont connus et non niés, de la réduction des risques par le préservatif.</p></div> | |||
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| <p>Singapore is undergoing a BA.4/BA.5 wave. By now many people I know if not most has gotten covid at least once, and the mainstream narrative is that it is just a bad flu. My partner and I have managed to avoid covid till now by being quite extreme compared to the average person: </p> | |||
| <ul><li>no in-person meetups except for family – we did meet a couple of friends outdoors pre-Omnicron, but decided that Omnicron was too contagious</li><li>even with family we wear our kf94 masks and we don’t eat or unmask with them</li><li>strictly no indoor-dining since the Delta wave arrived – Covid is airborne, so the physical distancing does not matter in restaurants</li></ul> | |||
| <blockquote class="wp-block-quote"><p>The World Health Organization (WHO) and the US Centers for Disease Control and Prevention (CDC) officially acknowledged inhalation of virus-laden aerosols as a main mode in spreading SARS-CoV-2 at both short and long ranges in April and May of 2021, respectively </p><cite>– <a href="https://www.science.org/doi/10.1126/science.abd9149">Airborne transmission of respiratory viruses</a></cite></blockquote> | |||
| <figure class="wp-block-image size-large"><img src="https://winnielim.org/wp-content/uploads/2022/07/science-airborne-transmission-1600x729.webp" alt="" class="wp-image-4595" srcset="https://winnielim.org/wp-content/uploads/2022/07/science-airborne-transmission-1600x729.webp 1600w, https://winnielim.org/wp-content/uploads/2022/07/science-airborne-transmission-700x319.webp 700w, https://winnielim.org/wp-content/uploads/2022/07/science-airborne-transmission-300x137.webp 300w, https://winnielim.org/wp-content/uploads/2022/07/science-airborne-transmission-768x350.webp 768w, https://winnielim.org/wp-content/uploads/2022/07/science-airborne-transmission-1536x700.webp 1536w, https://winnielim.org/wp-content/uploads/2022/07/science-airborne-transmission-2048x933.webp 2048w" sizes="(max-width: 1600px) 100vw, 1600px"><figcaption>“Can float in air for hours” – <a href="https://www.science.org/doi/10.1126/science.abd9149">source and credit: Science</a></figcaption></figure> | |||
| <ul><li>we’re privileged enough to not work in an office, and we live in an apartment with just the two of us</li><li>no travelling overseas obviously</li><li>we don’t take public transport unless necessary – we relaxed a bit when the BA.2 wave subsided with less than 4k+ daily reported cases, but now we’re probably going back to being hermits </li></ul> | |||
| <p>There were times when it felt really tempting to break the rules. After all it is once in a long while. We also considered going n95 + goggles to take a flight to Seoul or something, but it wouldn’t be very fun since we won’t eat indoors anyway, and I am not sure if the risk of catching covid on the flight is worth that few days of fun. </p> | |||
| <p>But life is short and who knows what is going to happen tomorrow? I caught myself asking multiple times if I was being overly cautious and paranoid. Would I regret all these restrictions if I get cancer tomorrow? Perhaps. But would we regret if we opt for a few days of fun and then suffer life long repercussions? To be honest I have no clear answers. We can only keep doing this fine-balancing act.</p> | |||
| <p>Why are we being so cautious? I guess I have come across too much information that any naivety with regards to covid is lost. Since many people don’t come across the information I do, I thought I could document and share it here.</p> | |||
| <h2><span class="ez-toc-section" id="Possible_consequences_of_getting_covid"></span>Possible consequences of getting covid<span class="ez-toc-section-end"></span></h2> | |||
| <h3><span class="ez-toc-section" id="Covid_may_cause_damage_to_our_immune_systems"></span>Covid may cause damage to our immune systems: <span class="ez-toc-section-end"></span></h3> | |||
| <blockquote class="wp-block-quote"><p>“Researchers suggest patients who develop mild COVID-19 may not be able to fight reinfection very effectively because their CD8+ T cells show signs of exhaustion.”</p><cite>– <a href="https://www.drugtargetreview.com/news/81320/t-cell-exhaustion-may-limit-long-term-immunity-in-covid-19-patients/">T-cell exhaustion may limit long-term immunity in COVID-19 patients</a></cite></blockquote> | |||
| <blockquote class="wp-block-quote"><p>One of the critical symptoms of SARS-CoV-2 infection is lymphopenia. Lymphopenia is a condition in which patients exhibit reduced levels of white blood cells called lymphocytes. Lymphocytes are the fundamental defense cells of our adaptive immune system. They consist of natural killer cells, T cells, and B cells. When any of these cells are reduced, it can inhibit our body’s ability to protect itself from viruses. Recent reports have shown that marked lymphopenia is observed in <a rel="noreferrer noopener" href="https://www.nejm.org/doi/full/10.1056/nejmoa2002032" target="_blank">83.2% of SARS-CoV-2 patients</a>, but little is known about how SARS-CoV-2 effectively dismantles one of our primary tools of defense.</p><cite>– <a href="https://www.forbes.com/sites/williamhaseltine/2022/04/14/sars-cov-2-actively-infects-and-kills-lymphoid-cells/?sh=55d499a586b8">SARS-CoV-2 Actively Infects And Kills Lymphoid Cells</a></cite></blockquote> | |||
| <p>…if you’re interested in the phenomenon of T-cell exhaustion, you may want to check out this <a href="https://twitter.com/fitterhappierAJ">twitter profile</a>:</p> | |||
| <h3><span class="ez-toc-section" id="Covid_causes_vascular_damage_which_increases_risk_for_heart_disease"></span>Covid <a href="https://www.frontiersin.org/articles/10.3389/fcell.2022.824851/full">causes vascular damage</a> which increases risk for heart disease:<span class="ez-toc-section-end"></span></h3> | |||
| <blockquote class="wp-block-quote"><p>Even a mild case of COVID-19 can increase a person’s risk of cardiovascular problems for at least a year after diagnosis, a new study<sup><a href="https://www.nature.com/articles/d41586-022-00403-0#ref-CR1">1</a></sup> shows. Researchers found that rates of many conditions, such as heart failure and stroke, were substantially higher in people who had recovered from COVID-19 than in similar people who hadn’t had the disease.</p><cite>– <a href="https://www.nature.com/articles/d41586-022-00403-0">Heart-disease risk soars after COVID — even with a mild case</a></cite></blockquote> | |||
| <blockquote class="wp-block-quote"><p>We show that, beyond the first 30 d after infection, individuals with COVID-19 are at increased risk of incident cardiovascular disease spanning several categories, including cerebrovascular disorders, dysrhythmias, ischemic and non-ischemic heart disease, pericarditis, myocarditis, heart failure and thromboembolic disease. These risks and burdens were evident even among individuals who were not hospitalized during the acute phase of the infection and increased in a graded fashion according to the care setting during the acute phase (non-hospitalized, hospitalized and admitted to intensive care). Our results provide evidence that the risk and 1-year burden of cardiovascular disease in survivors of acute COVID-19 are substantial.</p><cite>– <a href="https://www.nature.com/articles/s41591-022-01689-3">Long-term cardiovascular outcomes of COVID-19</a></cite></blockquote> | |||
| <h3><span class="ez-toc-section" id="%E2%80%A6and_diabetes"></span>…and diabetes:<span class="ez-toc-section-end"></span></h3> | |||
| <blockquote class="wp-block-quote"><p>People who get COVID-19 have a greater risk of developing diabetes up to a year later, even after a mild SARS-CoV-2 infection, compared with those who never had the disease, a massive study1 of almost 200,000 people shows. </p><cite>– <a href="https://www.nature.com/articles/d41586-022-00912-y">Diabetes risk rises after COVID, massive study finds</a></cite></blockquote> | |||
| <h3><span class="ez-toc-section" id="%E2%80%A6and_stroke"></span>…and stroke:<span class="ez-toc-section-end"></span></h3> | |||
| <blockquote class="wp-block-quote"><p>In another Swedish study published in the August 14, 2021 issue of The Lancet, researchers found that within a week of a COVID-19 diagnosis, a person’s risk of heart attack was three to eight times higher than normal, and their risk of stroke was three to six times higher. The study revealed these risks remained high for at least a month. The average age of people in the study was only 48 years.</p><cite>– <a href="https://healthcare.utah.edu/healthfeed/postings/2022/01/covid19-increasing-stroke-risks.php">COVID-19 increasing stroke risks in people of all ages</a></cite></blockquote> | |||
| <h3><span class="ez-toc-section" id="%E2%80%A6it_also_causes_neurological_damage"></span>…it also causes neurological damage:<span class="ez-toc-section-end"></span></h3> | |||
| <blockquote class="wp-block-quote"><p>We identified significant longitudinal effects when comparing the two groups, including (1) a greater reduction in grey matter thickness and tissue contrast in the orbitofrontal cortex and parahippocampal gyrus; (2) greater changes in markers of tissue damage in regions that are functionally connected to the primary olfactory cortex; and (3) a greater reduction in global brain size in the SARS-CoV-2 cases. The participants who were infected with SARS-CoV-2 also showed on average a greater cognitive decline between the two time points. Importantly, these imaging and cognitive longitudinal effects were still observed after excluding the 15 patients who had been hospitalised.</p><cite>– <a href="https://www.nature.com/articles/s41586-022-04569-5">SARS-CoV-2 is associated with changes in brain structure in UK Biobank</a></cite></blockquote> | |||
| <h3><span class="ez-toc-section" id="%E2%80%A6and_ages_us"></span>…and ages us:<br><span class="ez-toc-section-end"></span></h3> | |||
| <h3><span class="ez-toc-section" id="%E2%80%A6makes_our_heart_rate_and_other_autonomic_functions_go_haywire"></span>…makes our heart rate and other autonomic functions go haywire:<span class="ez-toc-section-end"></span></h3> | |||
| <blockquote class="wp-block-quote"><p>Before last fall, Dawson, 44, a dermatologist from Portland, Oregon, routinely saw 25 to 30 patients a day, cared for her 3-year-old daughter and ran long distances. Today, her heart races when she tries to stand. She has severe headaches, constant nausea, and brain fog so extreme that, she says, it “feels like I have dementia.” Her fatigue is severe: “It’s as if all the energy has been sucked from my soul and my bones.” She can’t stand for more than 10 minutes without feeling dizzy.</p><cite>– <a href="https://time.com/6051767/long-covid-19-rare-disease-pots/">Long-COVID-19 Patients Are Getting Diagnosed With Little-Known Illnesses Like POTS</a></cite></blockquote> | |||
| <h3><span class="ez-toc-section" id="If_youre_thinking_youre_safe_because_youre_triple_vaxxed_-_the_risk_is_slightly_lower_compared_to_the_unvaxxed_but_not_zero"></span>If you’re thinking you’re safe because you’re triple vaxxed – the risk is slightly lower compared to the unvaxxed but not zero:<span class="ez-toc-section-end"></span></h3> | |||
| <p></p> | |||
| <h3>Heartbreaking twitter thread documenting the before & after pictures of people who have long covid: <span class="ez-toc-section-end"></span></h3> | |||
| <p></p> | |||
| <h2><span class="ez-toc-section" id="Visible_long_covid_symptoms_vs_invisible_damage"></span>Visible long covid symptoms vs invisible damage<span class="ez-toc-section-end"></span></h2> | |||
| <p>Though I framed the above section as “long covid”, the reality is that even for those of us who has made a seemingly full recovery, we don’t really know what goes on in our bodies. People who got infected with the <a href="https://www.nih.gov/news-events/nih-research-matters/study-suggests-epstein-barr-virus-may-cause-multiple-sclerosis">Epstein Barr virus only developed multiple sclerosis</a> many years later. They didn’t think having Mono was a big deal either. HIV was initially thought of as an acute infection when it first surfaced, nobody knew of its deadly effects until years later.</p> | |||
| <h2><span class="ez-toc-section" id="Wait_what_about_immunity"></span>Wait, what about immunity<span class="ez-toc-section-end"></span></h2> | |||
| <p>“<a href="https://www.businessinsider.com/covid-variant-omicron-ba5-reinfection-contagious-health-experts-2022-7">You can now get COVID again within 4 weeks because of the new Omicron BA.5 variant, health expert says</a>“</p> | |||
| <h2><span class="ez-toc-section" id="Reinfection_risk"></span>Reinfection risk<span class="ez-toc-section-end"></span></h2> | |||
| <blockquote class="wp-block-quote"><p>The study, which is based on the health records of more than 5.6 million people treated in the VA Health System, found that, compared with those with just one Covid-19 infection, those with two or more documented infections had more than twice the risk of dying and three times the risk of being hospitalized within six months of their last infection. They also had higher risks for lung and heart problems, fatigue, digestive and kidney disorders, diabetes and neurologic problems.</p><cite>– <a href="https://www.cnn.com/2022/07/05/health/covid-reinfection-risk/index.html">Covid-19 reinfections may increase the likelihood of new health problems</a></cite></blockquote> | |||
| <h2><span class="ez-toc-section" id="Getting_infected_despite_doing_everything_right"></span>Getting infected despite doing everything right<span class="ez-toc-section-end"></span></h2> | |||
| <p>I know of people online who wore an n95 mask religiously and were more home bound than us and yet they have gotten infected. I am not sure how long we are able to evade the virus, especially now that some people are saying even outdoors are unsafe because BA.5 is exceptionally virulent. </p> | |||
| <p>So I am semi-prepared that our turn may eventually come. I guess this is a generational thing – just like polio – there are macro effects of the world that one simply cannot escape from. That is just the indifference of nature and life.</p> | |||
| <p>But while I think we may not be able to evade the virus unless we practically never leave our house, it is very different from living as though covid is over or that it is just a nasty flu to get over. </p> | |||
| <p>The number of reinfections matter too. The longer we manage to delay an infection, the probability of us getting reinfected multiple times become lower. Perhaps there will be advances in medicine, we hope. We may even be able to hold out until there are nasal vaccines or simply better vaccines. I don’t know. I am not counting on it.</p> | |||
| <h2><span class="ez-toc-section" id="Why_am_I_writing_this"></span>Why am I writing this<span class="ez-toc-section-end"></span></h2> | |||
| <p>Avoiding covid is a huge part of my current life, unfortunately. Like everybody else sometimes I pretend to ignore everything that is going on with the world so I can retain some sanity in living. But I want to spend some space acknowledging the impact all of this has on me. </p> | |||
| <p>I personally think that public policy has let us down by pushing the narrative that covid is now just a bad flu. Maybe for some people it is, but for many others it is not. If we know the actual risks and still treat covid like a flu, that is a personal choice. But if we don’t know any of this and we have faith in our health authorities simply because they are the authority, then some of us may be blindsided by the actual amount of risk involved. </p> | |||
| <p>It is life-changing to have a chronic disability that has no sign of abating. Having experienced this for the past few years, I don’t wish this on anyone. I think that is why I am a lot more cautious than the average person. I know what it is like to be mechanically alive but yet not living. As of now I would prefer to possess a working brain than to experience the world out there, but who knows what the future entails?</p> | |||
| <p>Maybe for some people the overall risk is worth it. It is a valid choice. But the choices should be made with all the cards on the table, not to be misled into playing russian roulette because of the disappointing lag in public health information.</p> | |||
| <p>It is my hope that maybe some people may reassess their risk after reading this. If not, I think I have fulfilled my responsibility by sharing what I know.</p> | |||
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| title: assessing the risk of getting covid | |||
| url: https://winnielim.org/journal/assessing-the-risk-of-getting-covid/ | |||
| hash_url: 5ba8ba43aabfaee0cdd7cbc1c5945ef0 | |||
| <p>Singapore is undergoing a BA.4/BA.5 wave. By now many people I know if not most has gotten covid at least once, and the mainstream narrative is that it is just a bad flu. My partner and I have managed to avoid covid till now by being quite extreme compared to the average person: </p> | |||
| <ul><li>no in-person meetups except for family – we did meet a couple of friends outdoors pre-Omnicron, but decided that Omnicron was too contagious</li><li>even with family we wear our kf94 masks and we don’t eat or unmask with them</li><li>strictly no indoor-dining since the Delta wave arrived – Covid is airborne, so the physical distancing does not matter in restaurants</li></ul> | |||
| <blockquote class="wp-block-quote"><p>The World Health Organization (WHO) and the US Centers for Disease Control and Prevention (CDC) officially acknowledged inhalation of virus-laden aerosols as a main mode in spreading SARS-CoV-2 at both short and long ranges in April and May of 2021, respectively </p><cite>– <a href="https://www.science.org/doi/10.1126/science.abd9149">Airborne transmission of respiratory viruses</a></cite></blockquote> | |||
| <figure class="wp-block-image size-large"><img src="https://winnielim.org/wp-content/uploads/2022/07/science-airborne-transmission-1600x729.webp" alt="" class="wp-image-4595" srcset="https://winnielim.org/wp-content/uploads/2022/07/science-airborne-transmission-1600x729.webp 1600w, https://winnielim.org/wp-content/uploads/2022/07/science-airborne-transmission-700x319.webp 700w, https://winnielim.org/wp-content/uploads/2022/07/science-airborne-transmission-300x137.webp 300w, https://winnielim.org/wp-content/uploads/2022/07/science-airborne-transmission-768x350.webp 768w, https://winnielim.org/wp-content/uploads/2022/07/science-airborne-transmission-1536x700.webp 1536w, https://winnielim.org/wp-content/uploads/2022/07/science-airborne-transmission-2048x933.webp 2048w" sizes="(max-width: 1600px) 100vw, 1600px"><figcaption>“Can float in air for hours” – <a href="https://www.science.org/doi/10.1126/science.abd9149">source and credit: Science</a></figcaption></figure> | |||
| <ul><li>we’re privileged enough to not work in an office, and we live in an apartment with just the two of us</li><li>no travelling overseas obviously</li><li>we don’t take public transport unless necessary – we relaxed a bit when the BA.2 wave subsided with less than 4k+ daily reported cases, but now we’re probably going back to being hermits </li></ul> | |||
| <p>There were times when it felt really tempting to break the rules. After all it is once in a long while. We also considered going n95 + goggles to take a flight to Seoul or something, but it wouldn’t be very fun since we won’t eat indoors anyway, and I am not sure if the risk of catching covid on the flight is worth that few days of fun. </p> | |||
| <p>But life is short and who knows what is going to happen tomorrow? I caught myself asking multiple times if I was being overly cautious and paranoid. Would I regret all these restrictions if I get cancer tomorrow? Perhaps. But would we regret if we opt for a few days of fun and then suffer life long repercussions? To be honest I have no clear answers. We can only keep doing this fine-balancing act.</p> | |||
| <p>Why are we being so cautious? I guess I have come across too much information that any naivety with regards to covid is lost. Since many people don’t come across the information I do, I thought I could document and share it here.</p> | |||
| <h2><span class="ez-toc-section" id="Possible_consequences_of_getting_covid"></span>Possible consequences of getting covid<span class="ez-toc-section-end"></span></h2> | |||
| <h3><span class="ez-toc-section" id="Covid_may_cause_damage_to_our_immune_systems"></span>Covid may cause damage to our immune systems: <span class="ez-toc-section-end"></span></h3> | |||
| <blockquote class="wp-block-quote"><p>“Researchers suggest patients who develop mild COVID-19 may not be able to fight reinfection very effectively because their CD8+ T cells show signs of exhaustion.”</p><cite>– <a href="https://www.drugtargetreview.com/news/81320/t-cell-exhaustion-may-limit-long-term-immunity-in-covid-19-patients/">T-cell exhaustion may limit long-term immunity in COVID-19 patients</a></cite></blockquote> | |||
| <blockquote class="wp-block-quote"><p>One of the critical symptoms of SARS-CoV-2 infection is lymphopenia. Lymphopenia is a condition in which patients exhibit reduced levels of white blood cells called lymphocytes. Lymphocytes are the fundamental defense cells of our adaptive immune system. They consist of natural killer cells, T cells, and B cells. When any of these cells are reduced, it can inhibit our body’s ability to protect itself from viruses. Recent reports have shown that marked lymphopenia is observed in <a rel="noreferrer noopener" href="https://www.nejm.org/doi/full/10.1056/nejmoa2002032" target="_blank">83.2% of SARS-CoV-2 patients</a>, but little is known about how SARS-CoV-2 effectively dismantles one of our primary tools of defense.</p><cite>– <a href="https://www.forbes.com/sites/williamhaseltine/2022/04/14/sars-cov-2-actively-infects-and-kills-lymphoid-cells/?sh=55d499a586b8">SARS-CoV-2 Actively Infects And Kills Lymphoid Cells</a></cite></blockquote> | |||
| <p>…if you’re interested in the phenomenon of T-cell exhaustion, you may want to check out this <a href="https://twitter.com/fitterhappierAJ">twitter profile</a>:</p> | |||
| <h3><span class="ez-toc-section" id="Covid_causes_vascular_damage_which_increases_risk_for_heart_disease"></span>Covid <a href="https://www.frontiersin.org/articles/10.3389/fcell.2022.824851/full">causes vascular damage</a> which increases risk for heart disease:<span class="ez-toc-section-end"></span></h3> | |||
| <blockquote class="wp-block-quote"><p>Even a mild case of COVID-19 can increase a person’s risk of cardiovascular problems for at least a year after diagnosis, a new study<sup><a href="https://www.nature.com/articles/d41586-022-00403-0#ref-CR1">1</a></sup> shows. Researchers found that rates of many conditions, such as heart failure and stroke, were substantially higher in people who had recovered from COVID-19 than in similar people who hadn’t had the disease.</p><cite>– <a href="https://www.nature.com/articles/d41586-022-00403-0">Heart-disease risk soars after COVID — even with a mild case</a></cite></blockquote> | |||
| <blockquote class="wp-block-quote"><p>We show that, beyond the first 30 d after infection, individuals with COVID-19 are at increased risk of incident cardiovascular disease spanning several categories, including cerebrovascular disorders, dysrhythmias, ischemic and non-ischemic heart disease, pericarditis, myocarditis, heart failure and thromboembolic disease. These risks and burdens were evident even among individuals who were not hospitalized during the acute phase of the infection and increased in a graded fashion according to the care setting during the acute phase (non-hospitalized, hospitalized and admitted to intensive care). Our results provide evidence that the risk and 1-year burden of cardiovascular disease in survivors of acute COVID-19 are substantial.</p><cite>– <a href="https://www.nature.com/articles/s41591-022-01689-3">Long-term cardiovascular outcomes of COVID-19</a></cite></blockquote> | |||
| <h3><span class="ez-toc-section" id="%E2%80%A6and_diabetes"></span>…and diabetes:<span class="ez-toc-section-end"></span></h3> | |||
| <blockquote class="wp-block-quote"><p>People who get COVID-19 have a greater risk of developing diabetes up to a year later, even after a mild SARS-CoV-2 infection, compared with those who never had the disease, a massive study1 of almost 200,000 people shows. </p><cite>– <a href="https://www.nature.com/articles/d41586-022-00912-y">Diabetes risk rises after COVID, massive study finds</a></cite></blockquote> | |||
| <h3><span class="ez-toc-section" id="%E2%80%A6and_stroke"></span>…and stroke:<span class="ez-toc-section-end"></span></h3> | |||
| <blockquote class="wp-block-quote"><p>In another Swedish study published in the August 14, 2021 issue of The Lancet, researchers found that within a week of a COVID-19 diagnosis, a person’s risk of heart attack was three to eight times higher than normal, and their risk of stroke was three to six times higher. The study revealed these risks remained high for at least a month. The average age of people in the study was only 48 years.</p><cite>– <a href="https://healthcare.utah.edu/healthfeed/postings/2022/01/covid19-increasing-stroke-risks.php">COVID-19 increasing stroke risks in people of all ages</a></cite></blockquote> | |||
| <h3><span class="ez-toc-section" id="%E2%80%A6it_also_causes_neurological_damage"></span>…it also causes neurological damage:<span class="ez-toc-section-end"></span></h3> | |||
| <blockquote class="wp-block-quote"><p>We identified significant longitudinal effects when comparing the two groups, including (1) a greater reduction in grey matter thickness and tissue contrast in the orbitofrontal cortex and parahippocampal gyrus; (2) greater changes in markers of tissue damage in regions that are functionally connected to the primary olfactory cortex; and (3) a greater reduction in global brain size in the SARS-CoV-2 cases. The participants who were infected with SARS-CoV-2 also showed on average a greater cognitive decline between the two time points. Importantly, these imaging and cognitive longitudinal effects were still observed after excluding the 15 patients who had been hospitalised.</p><cite>– <a href="https://www.nature.com/articles/s41586-022-04569-5">SARS-CoV-2 is associated with changes in brain structure in UK Biobank</a></cite></blockquote> | |||
| <h3><span class="ez-toc-section" id="%E2%80%A6and_ages_us"></span>…and ages us:<br><span class="ez-toc-section-end"></span></h3> | |||
| <h3><span class="ez-toc-section" id="%E2%80%A6makes_our_heart_rate_and_other_autonomic_functions_go_haywire"></span>…makes our heart rate and other autonomic functions go haywire:<span class="ez-toc-section-end"></span></h3> | |||
| <blockquote class="wp-block-quote"><p>Before last fall, Dawson, 44, a dermatologist from Portland, Oregon, routinely saw 25 to 30 patients a day, cared for her 3-year-old daughter and ran long distances. Today, her heart races when she tries to stand. She has severe headaches, constant nausea, and brain fog so extreme that, she says, it “feels like I have dementia.” Her fatigue is severe: “It’s as if all the energy has been sucked from my soul and my bones.” She can’t stand for more than 10 minutes without feeling dizzy.</p><cite>– <a href="https://time.com/6051767/long-covid-19-rare-disease-pots/">Long-COVID-19 Patients Are Getting Diagnosed With Little-Known Illnesses Like POTS</a></cite></blockquote> | |||
| <h3><span class="ez-toc-section" id="If_youre_thinking_youre_safe_because_youre_triple_vaxxed_-_the_risk_is_slightly_lower_compared_to_the_unvaxxed_but_not_zero"></span>If you’re thinking you’re safe because you’re triple vaxxed – the risk is slightly lower compared to the unvaxxed but not zero:<span class="ez-toc-section-end"></span></h3> | |||
| <p></p> | |||
| <h3>Heartbreaking twitter thread documenting the before & after pictures of people who have long covid: <span class="ez-toc-section-end"></span></h3> | |||
| <p></p> | |||
| <h2><span class="ez-toc-section" id="Visible_long_covid_symptoms_vs_invisible_damage"></span>Visible long covid symptoms vs invisible damage<span class="ez-toc-section-end"></span></h2> | |||
| <p>Though I framed the above section as “long covid”, the reality is that even for those of us who has made a seemingly full recovery, we don’t really know what goes on in our bodies. People who got infected with the <a href="https://www.nih.gov/news-events/nih-research-matters/study-suggests-epstein-barr-virus-may-cause-multiple-sclerosis">Epstein Barr virus only developed multiple sclerosis</a> many years later. They didn’t think having Mono was a big deal either. HIV was initially thought of as an acute infection when it first surfaced, nobody knew of its deadly effects until years later.</p> | |||
| <h2><span class="ez-toc-section" id="Wait_what_about_immunity"></span>Wait, what about immunity<span class="ez-toc-section-end"></span></h2> | |||
| <p>“<a href="https://www.businessinsider.com/covid-variant-omicron-ba5-reinfection-contagious-health-experts-2022-7">You can now get COVID again within 4 weeks because of the new Omicron BA.5 variant, health expert says</a>“</p> | |||
| <h2><span class="ez-toc-section" id="Reinfection_risk"></span>Reinfection risk<span class="ez-toc-section-end"></span></h2> | |||
| <blockquote class="wp-block-quote"><p>The study, which is based on the health records of more than 5.6 million people treated in the VA Health System, found that, compared with those with just one Covid-19 infection, those with two or more documented infections had more than twice the risk of dying and three times the risk of being hospitalized within six months of their last infection. They also had higher risks for lung and heart problems, fatigue, digestive and kidney disorders, diabetes and neurologic problems.</p><cite>– <a href="https://www.cnn.com/2022/07/05/health/covid-reinfection-risk/index.html">Covid-19 reinfections may increase the likelihood of new health problems</a></cite></blockquote> | |||
| <h2><span class="ez-toc-section" id="Getting_infected_despite_doing_everything_right"></span>Getting infected despite doing everything right<span class="ez-toc-section-end"></span></h2> | |||
| <p>I know of people online who wore an n95 mask religiously and were more home bound than us and yet they have gotten infected. I am not sure how long we are able to evade the virus, especially now that some people are saying even outdoors are unsafe because BA.5 is exceptionally virulent. </p> | |||
| <p>So I am semi-prepared that our turn may eventually come. I guess this is a generational thing – just like polio – there are macro effects of the world that one simply cannot escape from. That is just the indifference of nature and life.</p> | |||
| <p>But while I think we may not be able to evade the virus unless we practically never leave our house, it is very different from living as though covid is over or that it is just a nasty flu to get over. </p> | |||
| <p>The number of reinfections matter too. The longer we manage to delay an infection, the probability of us getting reinfected multiple times become lower. Perhaps there will be advances in medicine, we hope. We may even be able to hold out until there are nasal vaccines or simply better vaccines. I don’t know. I am not counting on it.</p> | |||
| <h2><span class="ez-toc-section" id="Why_am_I_writing_this"></span>Why am I writing this<span class="ez-toc-section-end"></span></h2> | |||
| <p>Avoiding covid is a huge part of my current life, unfortunately. Like everybody else sometimes I pretend to ignore everything that is going on with the world so I can retain some sanity in living. But I want to spend some space acknowledging the impact all of this has on me. </p> | |||
| <p>I personally think that public policy has let us down by pushing the narrative that covid is now just a bad flu. Maybe for some people it is, but for many others it is not. If we know the actual risks and still treat covid like a flu, that is a personal choice. But if we don’t know any of this and we have faith in our health authorities simply because they are the authority, then some of us may be blindsided by the actual amount of risk involved. </p> | |||
| <p>It is life-changing to have a chronic disability that has no sign of abating. Having experienced this for the past few years, I don’t wish this on anyone. I think that is why I am a lot more cautious than the average person. I know what it is like to be mechanically alive but yet not living. As of now I would prefer to possess a working brain than to experience the world out there, but who knows what the future entails?</p> | |||
| <p>Maybe for some people the overall risk is worth it. It is a valid choice. But the choices should be made with all the cards on the table, not to be misled into playing russian roulette because of the disappointing lag in public health information.</p> | |||
| <p>It is my hope that maybe some people may reassess their risk after reading this. If not, I think I have fulfilled my responsibility by sharing what I know.</p> | |||
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| <p>Roden-readers —</p> | |||
| <p>This is <a href="https://craigmod.com/about/">Craig Mod</a>, and I was going to send an issue of <a href="https://craigmod.com/roden/"><em>Roden</em></a> out at the start of June but …</p> | |||
| <hr> | |||
| <p>After twenty-eight months of hiding from the world, of mostly isolating, of not hopping on planes or going out to bars or attending sporting events, after twenty-eight months of hiking alone in the mountains and walking through towns so small they contained only a barber and a <em>kissa</em>, of masking up eighteen hours a day, of shaking no hands, hugging few people, of hosting small dinners, of being a Very Responsible Citizen, I flew to England, had two coffees, a couple fish and chips, and got Covid almost instantly.</p> | |||
| <p>Covid was like a kick to the throat. Then a kick to the chest and a hacksaw to the skull. Once exposed, it felt like important parts of my brain were nibbled at by pigeons as I curled up in a ball in a strange land far from home.</p> | |||
| <p>I do not like Covid. The pandemic at large? I am more of a fan. I thrived with the isolation, the turning down of all social events, the going virtual for a bunch of stuff that hitherto necessitated onerous travel. I loved the freeing up of my schedule to then double down on opening up my <a href="https://craigmod.com/membership">work</a>, of getting <a href="https://shop.specialprojects.jp/products/kissa-by-kissa-3rd-ed">books done</a>, planning ever-more <a href="https://craigmod.com/ridgeline/117/">audacious walks</a>, writing ever-stranger pop-up newsletters. But Covid the virus? I do not like Covid the virus.</p> | |||
| <p>Also, I do not like the vaccines (heretical!), though I admit, they have been useful (sensible), and probably kept me off of a ventilator (fact). And I’ll take more of them in the future if needed. <em>And</em> the tech behind them is admirable and impressive. But, personally, they have also made me sicker than I’ve been at any other point in the last decade. The second vaccine didn’t take away my taste but took away, somehow — bafflingly, horrifically — all ejaculatory pleasure. In a sense it almost felt holy, analgesic, consecrated. The vaccine was a twisted angel, and it had un-blessed my penis. It also put me in bed shaking with a temperature for three days, and for a week made me feel like I had been beaten by a dock worker. But it was that turning my dongle into something akin to a smoke machine that was most bewildering. The thought of going through the rest of life without the chemical rapture of reproduction was curious: <em>Perhaps this would mark my ascendancy into true ascetic monkdom? An ecdysis of fleshy superficialities?</em> I thought, trying to not lose my mind. (It’s since returned to “normal.”) And then the first booster swelled my left armpit up to the size of a grapefruit and made me feel like my brain had been swaddled in gasoline-soaked cotton.</p> | |||
| <p>Considering all of this, I suppose it’s no surprise that Covid itself — the live virus coursing through my sloppy veins — slapped me down. Slapped so hard that at one point I couldn’t stand because, when I did, the world spun. Spun as if I was a character in a cartoon hit with an anvil, spun wildly, drunkenly. Trapped in an overpriced London hotel, I had opened the window and went to close it, and simply couldn’t balance myself long enough to get the latch to catch. That was the one time I broke down in tears. I had to ring the front desk: <em>I … I can’t close my window.</em></p> | |||
| <p>So, no, I do not like Covid or the attendant preventative measures against it.</p> | |||
| <p>Which leaves me mystified by how heartily the rest of the world seems to have thrown their hands up and declared abject bankruptcy against the virus. Ideally, I guess, we would have snuffed this thing out in 2020 like we did other SARS-esque stuff of the early 2000s? A tall order, sure, but I believe we’re more capable than leadership choices might indicate. Anyway, no. We failed our global marshmallow test. England (Cotswolds and London at least) is fully back to 2019. No masks in sight. No preventative measures. I went to a dozen hotels and saw not a single staff taking precautions. The sanitizer bottles at the entrance to restaurants were largely empty or broken. Those that did work ejected a kind of worst-of sanitizer goo that made you feel like a badger had thrown up on your hands, many with broken spouts — half of the gel would fly off staining your pants.</p> | |||
| <p>So it went, me and the virus. I was sick for a solid fourteen days. Around day ten an online GP, troubled by my dizziness, recommended I visit the A&E, which turned into a bit of medical tourism. I steadied myself long enough to cab it to a university hospital, check in, and be seen by a couple doctors and bevy of kind nurses. They were all so lovely, although confusing. One nurse was terrified that I had Covid. She put on something that looked like a garbage bag, a shield, and a mask, as if I were Ebola-positive and was gushing blood out my eyeballs. I asked if she wore a mask on the subway and she looked at me like I was nuts. No, she didn’t. She didn’t wear a mask anywhere. I love British folks, but man they can be puzzling. In the end, the tests showed no neurological issues or blood clots. When it was all done — some six hours or so after arriving — I asked, dumb, traumatized American that I am, <em>So where do I checkout and pay?</em> And the doctor said, <em>Oh, you silly boy, just leave.</em></p> | |||
| <hr> | |||
| <p>I’ve since recovered and the rest of Europe was amazing (or as amazing as it could have been in my ~50% energy post-Covid state). I attended two weddings and, with my copious antibodies, inhaled the breath of hundreds of people without once pondering disease. That felt nice, but also stupid. You can’t help but think we should have and could have “beaten” this thing without slamming our collective faces into a wall.</p> | |||
| <p>Now, back in Japan, it’s a bit of a trip, a time machine. 95% of folks are still masking up outside, this despite the surging heat. The past week has been a “Real Feel” of 40°C. That’s mid-August weather, not end of June weather. June heat records have been broken. And while it feels a bit nuts, a bit neurotic or pathological to strap on a mask outside (I don’t FWIW; and official government guidance is you don’t have to), what it means is almost everyone masks up inside. Since, I mean, it’s already on your face.</p> | |||
| <p>Per-capita Covid deaths in Japan are some of the <a href="https://twitter.com/GearoidReidy/status/1540981724427202560">lowest in the world</a>. Life is almost “entirely normal” and has been normal for a while. People are out and about living. <em>Maybe</em> 10% of my friends have had Covid here. (Compared to 90%? in the U.S. / Europe). My intro graph at the top may make it sound like we had significantly compromised our lives in Japan, but Japan never “locked down.” No cops checked documents if you strayed from home (like in Australia, for example). I traveled extensively in-country by rail. I saw people I love. I just didn’t go see Paul McCartney at Tokyo Dome with 30,000 others. Personally, it feels like very little was “sacrificed” to achieve a literal healthy response to the pandemic.</p> | |||
| <hr> | |||
| <p>I’ve gone out into the world and witnessed the total embrace of Covid, the abject dismissal of it as “a little cold.” I got Covid. It kicked my healthy butt. (And I share that butt kicking above to help folks for whom it’s tough feel a little less nuts.) For more people than you may think, it’s not “a little cold.” And the thought of having Covid be seasonal leaves little joy in this heart, and portends a pattern of continuous pain for many around the world.</p> | |||
| <p>My reaction to having gotten and gotten over Covid isn’t, <em>Great! Everyone should just get it done with.</em> But rather: <em>Wow, how do we do better to keep fewer people from having to be exposed?</em> And: <em>I’d prefer to not get that again, thanks.</em></p> | |||
| <p>I don’t know what the “correct” solution is. But the trip made me grateful I had been in Japan for the last two and a half years. Returning made me feel that more acutely than ever. In many ways Japan feels sane. Not perfect, just sane. The din of politicized general health is (largely) nonexistent. Life is simply being lived. Bodily autonomy is (largely) respected while maintaining group awareness. Empathy exists. Folks care. Deaths are low. Masking is easy. I’m happy to do it — on public transportation, certainly — whenever needed. And yet, a small island of Covid caution doesn’t carry much weight in a world that’s “done.”</p> | |||
| <hr> | |||
| <p>The romantic ideal of travel is to leave as one version of yourself and return another, changed, “better” of yourself. This trip changed me, but not in the ways you might classically expect. I’ve returned <em>suspicious</em> of travel, more confused than ever about why so many people travel. Unsure if most travel of the last few decades makes sense, or has ever made sense or justified the cost. It feels like some consumerist, un-curious notion of travel was seeded long ago and, like a <a href="https://www.theatlantic.com/science/archive/2017/11/how-the-zombie-fungus-takes-over-ants-bodies-to-control-their-minds/545864/">zombie fungus</a>, has mind controlled everyone to four specific canals in Venice. To a single painting at the Louvre. To three streets and a square in Manhattan. To a few rickety back alleys around Gion. An eminently photogenic set of torii in Kyoto. There is no adventure — and probably little growth vis-à-vis the very definition of the word itself (though I admit this gets judgey very quickly; but you know what I mean) — in this kind of travel, but there <em>is</em> cost.</p> | |||
| <p>Broken penises, dizziness, isolation, emergency rooms in strange lands. I’ll be thinking about cost — first and second order costs (of which the pandemic itself is one) — the next time I’m set to fly internationally. It’s expensive, so expensive, in so many complex ways. For twenty-eight months I avoided Covid. Then I went abroad and got it almost instantly. That’s not to say the trip wasn’t “worth” it, but it was worth far less than I might have estimated ten years ago. In the end, it was largely — and to a degree, sadly — what I expected out there: Kind of a mess.</p> | |||
| <hr> | |||
| <p>Thus concludes the bizarro <em>Covid Edition</em> of <em>Roden</em>. I promise, more book / photography / film chatter next time. It just felt remiss not to add my Covid experience to the collective ledger. (Hopefully this isn’t too dour!!) Thanks for following along and, truly, do what you can to help each other out there. It’s not that difficult.</p> | |||
| <p>From the Doom Swelter of Japan, stay cool,<br> | |||
| C</p> | |||
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| title: Covid. - Roden Newsletter Archive | |||
| url: https://craigmod.com/roden/069/ | |||
| hash_url: 9bbbfc14050c3870bd64c89123233050 | |||
| <p>Roden-readers —</p> | |||
| <p>This is <a href="https://craigmod.com/about/">Craig Mod</a>, and I was going to send an issue of <a href="https://craigmod.com/roden/"><em>Roden</em></a> out at the start of June but …</p> | |||
| <hr> | |||
| <p>After twenty-eight months of hiding from the world, of mostly isolating, of not hopping on planes or going out to bars or attending sporting events, after twenty-eight months of hiking alone in the mountains and walking through towns so small they contained only a barber and a <em>kissa</em>, of masking up eighteen hours a day, of shaking no hands, hugging few people, of hosting small dinners, of being a Very Responsible Citizen, I flew to England, had two coffees, a couple fish and chips, and got Covid almost instantly.</p> | |||
| <p>Covid was like a kick to the throat. Then a kick to the chest and a hacksaw to the skull. Once exposed, it felt like important parts of my brain were nibbled at by pigeons as I curled up in a ball in a strange land far from home.</p> | |||
| <p>I do not like Covid. The pandemic at large? I am more of a fan. I thrived with the isolation, the turning down of all social events, the going virtual for a bunch of stuff that hitherto necessitated onerous travel. I loved the freeing up of my schedule to then double down on opening up my <a href="https://craigmod.com/membership">work</a>, of getting <a href="https://shop.specialprojects.jp/products/kissa-by-kissa-3rd-ed">books done</a>, planning ever-more <a href="https://craigmod.com/ridgeline/117/">audacious walks</a>, writing ever-stranger pop-up newsletters. But Covid the virus? I do not like Covid the virus.</p> | |||
| <p>Also, I do not like the vaccines (heretical!), though I admit, they have been useful (sensible), and probably kept me off of a ventilator (fact). And I’ll take more of them in the future if needed. <em>And</em> the tech behind them is admirable and impressive. But, personally, they have also made me sicker than I’ve been at any other point in the last decade. The second vaccine didn’t take away my taste but took away, somehow — bafflingly, horrifically — all ejaculatory pleasure. In a sense it almost felt holy, analgesic, consecrated. The vaccine was a twisted angel, and it had un-blessed my penis. It also put me in bed shaking with a temperature for three days, and for a week made me feel like I had been beaten by a dock worker. But it was that turning my dongle into something akin to a smoke machine that was most bewildering. The thought of going through the rest of life without the chemical rapture of reproduction was curious: <em>Perhaps this would mark my ascendancy into true ascetic monkdom? An ecdysis of fleshy superficialities?</em> I thought, trying to not lose my mind. (It’s since returned to “normal.”) And then the first booster swelled my left armpit up to the size of a grapefruit and made me feel like my brain had been swaddled in gasoline-soaked cotton.</p> | |||
| <p>Considering all of this, I suppose it’s no surprise that Covid itself — the live virus coursing through my sloppy veins — slapped me down. Slapped so hard that at one point I couldn’t stand because, when I did, the world spun. Spun as if I was a character in a cartoon hit with an anvil, spun wildly, drunkenly. Trapped in an overpriced London hotel, I had opened the window and went to close it, and simply couldn’t balance myself long enough to get the latch to catch. That was the one time I broke down in tears. I had to ring the front desk: <em>I … I can’t close my window.</em></p> | |||
| <p>So, no, I do not like Covid or the attendant preventative measures against it.</p> | |||
| <p>Which leaves me mystified by how heartily the rest of the world seems to have thrown their hands up and declared abject bankruptcy against the virus. Ideally, I guess, we would have snuffed this thing out in 2020 like we did other SARS-esque stuff of the early 2000s? A tall order, sure, but I believe we’re more capable than leadership choices might indicate. Anyway, no. We failed our global marshmallow test. England (Cotswolds and London at least) is fully back to 2019. No masks in sight. No preventative measures. I went to a dozen hotels and saw not a single staff taking precautions. The sanitizer bottles at the entrance to restaurants were largely empty or broken. Those that did work ejected a kind of worst-of sanitizer goo that made you feel like a badger had thrown up on your hands, many with broken spouts — half of the gel would fly off staining your pants.</p> | |||
| <p>So it went, me and the virus. I was sick for a solid fourteen days. Around day ten an online GP, troubled by my dizziness, recommended I visit the A&E, which turned into a bit of medical tourism. I steadied myself long enough to cab it to a university hospital, check in, and be seen by a couple doctors and bevy of kind nurses. They were all so lovely, although confusing. One nurse was terrified that I had Covid. She put on something that looked like a garbage bag, a shield, and a mask, as if I were Ebola-positive and was gushing blood out my eyeballs. I asked if she wore a mask on the subway and she looked at me like I was nuts. No, she didn’t. She didn’t wear a mask anywhere. I love British folks, but man they can be puzzling. In the end, the tests showed no neurological issues or blood clots. When it was all done — some six hours or so after arriving — I asked, dumb, traumatized American that I am, <em>So where do I checkout and pay?</em> And the doctor said, <em>Oh, you silly boy, just leave.</em></p> | |||
| <hr> | |||
| <p>I’ve since recovered and the rest of Europe was amazing (or as amazing as it could have been in my ~50% energy post-Covid state). I attended two weddings and, with my copious antibodies, inhaled the breath of hundreds of people without once pondering disease. That felt nice, but also stupid. You can’t help but think we should have and could have “beaten” this thing without slamming our collective faces into a wall.</p> | |||
| <p>Now, back in Japan, it’s a bit of a trip, a time machine. 95% of folks are still masking up outside, this despite the surging heat. The past week has been a “Real Feel” of 40°C. That’s mid-August weather, not end of June weather. June heat records have been broken. And while it feels a bit nuts, a bit neurotic or pathological to strap on a mask outside (I don’t FWIW; and official government guidance is you don’t have to), what it means is almost everyone masks up inside. Since, I mean, it’s already on your face.</p> | |||
| <p>Per-capita Covid deaths in Japan are some of the <a href="https://twitter.com/GearoidReidy/status/1540981724427202560">lowest in the world</a>. Life is almost “entirely normal” and has been normal for a while. People are out and about living. <em>Maybe</em> 10% of my friends have had Covid here. (Compared to 90%? in the U.S. / Europe). My intro graph at the top may make it sound like we had significantly compromised our lives in Japan, but Japan never “locked down.” No cops checked documents if you strayed from home (like in Australia, for example). I traveled extensively in-country by rail. I saw people I love. I just didn’t go see Paul McCartney at Tokyo Dome with 30,000 others. Personally, it feels like very little was “sacrificed” to achieve a literal healthy response to the pandemic.</p> | |||
| <hr> | |||
| <p>I’ve gone out into the world and witnessed the total embrace of Covid, the abject dismissal of it as “a little cold.” I got Covid. It kicked my healthy butt. (And I share that butt kicking above to help folks for whom it’s tough feel a little less nuts.) For more people than you may think, it’s not “a little cold.” And the thought of having Covid be seasonal leaves little joy in this heart, and portends a pattern of continuous pain for many around the world.</p> | |||
| <p>My reaction to having gotten and gotten over Covid isn’t, <em>Great! Everyone should just get it done with.</em> But rather: <em>Wow, how do we do better to keep fewer people from having to be exposed?</em> And: <em>I’d prefer to not get that again, thanks.</em></p> | |||
| <p>I don’t know what the “correct” solution is. But the trip made me grateful I had been in Japan for the last two and a half years. Returning made me feel that more acutely than ever. In many ways Japan feels sane. Not perfect, just sane. The din of politicized general health is (largely) nonexistent. Life is simply being lived. Bodily autonomy is (largely) respected while maintaining group awareness. Empathy exists. Folks care. Deaths are low. Masking is easy. I’m happy to do it — on public transportation, certainly — whenever needed. And yet, a small island of Covid caution doesn’t carry much weight in a world that’s “done.”</p> | |||
| <hr> | |||
| <p>The romantic ideal of travel is to leave as one version of yourself and return another, changed, “better” of yourself. This trip changed me, but not in the ways you might classically expect. I’ve returned <em>suspicious</em> of travel, more confused than ever about why so many people travel. Unsure if most travel of the last few decades makes sense, or has ever made sense or justified the cost. It feels like some consumerist, un-curious notion of travel was seeded long ago and, like a <a href="https://www.theatlantic.com/science/archive/2017/11/how-the-zombie-fungus-takes-over-ants-bodies-to-control-their-minds/545864/">zombie fungus</a>, has mind controlled everyone to four specific canals in Venice. To a single painting at the Louvre. To three streets and a square in Manhattan. To a few rickety back alleys around Gion. An eminently photogenic set of torii in Kyoto. There is no adventure — and probably little growth vis-à-vis the very definition of the word itself (though I admit this gets judgey very quickly; but you know what I mean) — in this kind of travel, but there <em>is</em> cost.</p> | |||
| <p>Broken penises, dizziness, isolation, emergency rooms in strange lands. I’ll be thinking about cost — first and second order costs (of which the pandemic itself is one) — the next time I’m set to fly internationally. It’s expensive, so expensive, in so many complex ways. For twenty-eight months I avoided Covid. Then I went abroad and got it almost instantly. That’s not to say the trip wasn’t “worth” it, but it was worth far less than I might have estimated ten years ago. In the end, it was largely — and to a degree, sadly — what I expected out there: Kind of a mess.</p> | |||
| <hr> | |||
| <p>Thus concludes the bizarro <em>Covid Edition</em> of <em>Roden</em>. I promise, more book / photography / film chatter next time. It just felt remiss not to add my Covid experience to the collective ledger. (Hopefully this isn’t too dour!!) Thanks for following along and, truly, do what you can to help each other out there. It’s not that difficult.</p> | |||
| <p>From the Doom Swelter of Japan, stay cool,<br> | |||
| C</p> | |||
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| <li><a href="/david/cache/2022/0a53d8dedc371884d16f45bcb349b418/" title="Accès à l’article dans le cache local : BALLAST • QUE FAIRE ?">BALLAST • QUE FAIRE ?</a> (<a href="https://www.revue-ballast.fr/que-faire/" title="Accès à l’article original distant : BALLAST • QUE FAIRE ?">original</a>)</li> | |||
| <li><a href="/david/cache/2022/3cdc4000bebd0c9e019d28f1dcbb4f31/" title="Accès à l’article dans le cache local : Face aux politiques sanitaires inconsistantes, l’autogestion ?">Face aux politiques sanitaires inconsistantes, l’autogestion ?</a> (<a href="https://blog.ecologie-politique.eu/post/Face-aux-politiques-sanitaires-inconsistantes" title="Accès à l’article original distant : Face aux politiques sanitaires inconsistantes, l’autogestion ?">original</a>)</li> | |||
| <li><a href="/david/cache/2022/ce69309198dcbdbcb1d5ff9f784c4925/" title="Accès à l’article dans le cache local : bearing witness">bearing witness</a> (<a href="https://winnielim.org/journal/bearing-witness/" title="Accès à l’article original distant : bearing witness">original</a>)</li> | |||
| <li><a href="/david/cache/2022/43474059e42ea4b1555375daa85d50a5/" title="Accès à l’article dans le cache local : what deepened my joy in cooking">what deepened my joy in cooking</a> (<a href="https://winnielim.org/journal/what-deepened-my-joy-in-cooking/" title="Accès à l’article original distant : what deepened my joy in cooking">original</a>)</li> | |||
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| <li><a href="/david/cache/2022/c7ebf32ee18c4f44c452f864729a21a8/" title="Accès à l’article dans le cache local : The drone operators who halted Russian convoy headed for Kyiv">The drone operators who halted Russian convoy headed for Kyiv</a> (<a href="https://www.theguardian.com/world/2022/mar/28/the-drone-operators-who-halted-the-russian-armoured-vehicles-heading-for-kyiv" title="Accès à l’article original distant : The drone operators who halted Russian convoy headed for Kyiv">original</a>)</li> | |||
| <li><a href="/david/cache/2022/9bbbfc14050c3870bd64c89123233050/" title="Accès à l’article dans le cache local : Covid. - Roden Newsletter Archive">Covid. - Roden Newsletter Archive</a> (<a href="https://craigmod.com/roden/069/" title="Accès à l’article original distant : Covid. - Roden Newsletter Archive">original</a>)</li> | |||
| <li><a href="/david/cache/2022/0d734a1e83d3188bb008a057aadd4a74/" title="Accès à l’article dans le cache local : ☕️ Journal : Faire équipe">☕️ Journal : Faire équipe</a> (<a href="https://oncletom.io/2022/01/30/faire-equipe/" title="Accès à l’article original distant : ☕️ Journal : Faire équipe">original</a>)</li> | |||
| <li><a href="/david/cache/2022/571d5d3f9d63d9ec4a8107e5abd15941/" title="Accès à l’article dans le cache local : Why not everything I do is “Open” or “Free”">Why not everything I do is “Open” or “Free”</a> (<a href="https://overengineer.dev/blog/2021/12/12/why-not-everything-i-do-is-open-or-free.html" title="Accès à l’article original distant : Why not everything I do is “Open” or “Free”">original</a>)</li> | |||
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| <li><a href="/david/cache/2022/7377c68e2b48f5c923542cefec391549/" title="Accès à l’article dans le cache local : Compte-rendu de voyage : Le samedi 5 février à Ottawa">Compte-rendu de voyage : Le samedi 5 février à Ottawa</a> (<a href="https://mtlcontreinfo.org/compte-rendu-de-voyage-le-samedi-5-fevrier-a-ottawa/" title="Accès à l’article original distant : Compte-rendu de voyage : Le samedi 5 février à Ottawa">original</a>)</li> | |||
| <li><a href="/david/cache/2022/5ba8ba43aabfaee0cdd7cbc1c5945ef0/" title="Accès à l’article dans le cache local : assessing the risk of getting covid">assessing the risk of getting covid</a> (<a href="https://winnielim.org/journal/assessing-the-risk-of-getting-covid/" title="Accès à l’article original distant : assessing the risk of getting covid">original</a>)</li> | |||
| <li><a href="/david/cache/2022/63c624eb03143c963380f527b7b5ca0f/" title="Accès à l’article dans le cache local : Brasserie du Vieux Singe — Transformation en SCOP">Brasserie du Vieux Singe — Transformation en SCOP</a> (<a href="https://www.vieuxsinge.com/transformation-en-scop.html" title="Accès à l’article original distant : Brasserie du Vieux Singe — Transformation en SCOP">original</a>)</li> | |||
| <li><a href="/david/cache/2022/fc0fd0dbeeb8a3f2b47e8ccab6d2cbc9/" title="Accès à l’article dans le cache local : Comfort of Bloated Web">Comfort of Bloated Web</a> (<a href="https://susam.net/maze/wall/comfort-of-bloated-web.html" title="Accès à l’article original distant : Comfort of Bloated Web">original</a>)</li> | |||
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