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Javier E

Healthy, boosted people unlikely to develop severe omicron infections, but jury's out o... - 0 views

  • every boosted patient he has seen in the emergency room has had no difficulty breathing or shortness of breath. Those who have had two doses of either the Pfizer or Moderna vaccines also have had mild symptoms, he said, “but more than those who had received a third dose.”
  • almost every patient who had to be hospitalized was unvaccinated
  • Two of the three existing intravenous treatments called monoclonal antibodies — those from Regeneron and Eli Lilly — do not work against the variant
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  • The only monoclonal antibody that does work, sotrovimab from Vir Biotechnology and GlaxoSmithKline, is in short supply and will not be available to many of those who become infected
  • The Food and Drug Administration authorized two easy-to-take antiviral pills last week and one has high efficacy against omicron, but it will be in initial short supply. Distribution of the pills is expected to begin shortly.
  • It is also unclear whether the surge in the United States will follow the same pattern as South Africa’s, which rapidly passed the peak of omicron cases last week.
  • South Africa’s population is significantly younger and has far lower vaccination rates, with about 35 percent of the population immunized, and virtually no one boosted. The country also grappled with a delta variant wave that infected a far greater portion of the population than it did in the United States.
  • infections in the United States, Britain and Germany seemed to be increasing at a significantly faster rate than they were in South Africa.
Javier E

A Nation On Hold Wants to Speak With a Manager - The New York Times - 0 views

  • when people have to meet each other in transactional settings — in stores, on airplanes, over the phone on customer-service calls — they are, in the words of Ms. Luna, “devolving into children.”
  • “People are just — I hate to say it because there are a lot of really nice people — but when they’re mean, they’re a heck of a lot meaner,”
  • “It’s like, instead of saying, ‘This really inconvenienced me,’ they say, ‘What the hell is wrong with you?’ It’s a different scale of mean.”
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  • The meanness of the public has forced many public-facing industries to rethink what used to be an article of faith: that the customer is always right. If employees are now having to take on many unexpected roles — therapist, cop, conflict-resolution negotiator — then workplace managers are acting as security guards and bouncers to protect their employees.
  • It’s not just your imagination; behavior really is worse. In a study of 1,000 American adults during the pandemic, 48 percent of adults and 55 percent of workers said that in November 2020, they had expected that civility in America would improve after the election.
  • By August, the expectations of improvement had fallen to 30 percent overall and 37 percent among workers. Overall, only 39 percent of the respondents said they believed that America’s tone was civil.
  • The study also found that people who didn’t have to work with customers were happier than those who did.
  • “It’s mentally exhausting to have to police adults over this matter,” wrote Adam Mosley, a 51-year-old flight attendant, responding to a request by The New York Times to describe conditions in the service industry at this odd juncture.
  • In part, the problem is the disconnect between expectation and reality
  • Before the pandemic, she said, consumers had been seduced into the idea of the “frictionless economy” — the notion that you could get whatever you wanted, the moment you wanted it.
  • “There’s a lack of outlets for people’s anger,” Ms. Swift said. “That waiter, that flight attendant — they become a stand-in for everything coming between what we experience and what we think we are entitled to.”
  • Customer Care Measurement and Consulting, has been conducting studies of consumer anger. The next iteration is set to come out this spring. He almost can’t believe what he has seen during the pandemic.
  • “When we founded the study, I never thought that the environment would be like it was today,” he said. “I would never in my wildest dreams have imagined that we would be seeing people fighting on planes and beating each other up.”
  • “There’s a growing delta between office workers and those that are interacting with consumers,”
  • “There is definitely a subset of people that don’t seem to think that any of the rules apply to them,”
  • most of the bad consumer behavior is low-grade — a persistent hum of incivility rather than an explosion of violence.
  • “Customers have been superaggressive and impatient lately,”
  • Such interactions used to make her weep. “But I’ve been calloused by it,” she said. “Now, instead of crying, I’m just really pessimistic and judgmental against the people around me.”
  • From across the country, workers responded with similar stories: of customers flying off the handle when the products they wanted were unavailable; of customers blaming the store, rather than supply-chain disruptions, for delays; of customers demanding refunds on nonrefundable items; of customers so wound up with worry and anxiety that the smallest thing sends them into a tailspin of hysteria.
  • The worst, she said, is the political commentary. Once a customer went into a diatribe against Dr. Anthony S. Fauci, saying she had it on good authority that he was about to be jailed for his “crimes.” Others have called Ms. Ashburn a “sheep” and a “fraidy-cat” for wearing a mask.Her go-to response — looking noncommittal and murmuring “hmm” — seems to make matters worse. “I am very discouraged at the polarization and at the unkind way that people treat each other,” she said.
  • Ms. Miller, from the Wisconsin trade association, said the pressures of the pandemic and the deterioration of elected officials’ behavior — the shouting, the threats, the hatred — had given normal people license to act out, too.
sidneybelleroche

Was South Africa ignored over mild Omicron evidence? - BBC News - 0 views

  • South African scientists - praised internationally for first detecting the Omicron variant - have accused Western nations of ignoring early evidence that the new Covid variant was "dramatically" milder than those which drove previous waves of the pandemic.
  • Two of South Africa's most prominent coronavirus experts told the BBC that Western scepticism about their work could be construed as "racist," or, at least, a refusal "to believe the science because it came from Africa".
  • "We need to learn from each other. Our research is rigorous. Everyone was expecting the worst [about Omicron] and when they weren't seeing it, they were questioning whether our observations were sufficiently scientifically rigorous," he said, while acknowledging that the sheer number of new mutations in Omicron may have contributed to an abundance of scientific caution.
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  • South Africa's latest wave of Covid, which began in late November 2021, is now declining as sharply as it once rose and is likely to be declared over, nationwide, in the coming days.
  • "The death rate is completely different [with Omicron]. We've seen a very low mortality rate," said Prof Karim, who pointed to the latest data showing hospital admissions were four times lower than with Delta, and the number of patients requiring ventilation was similarly reduced.
  • South Africa's government declined to introduce tighter restrictions during the Omicron wave and bitterly criticised foreign governments for their initial imposition of strict travel bans from the region.
lilyrashkind

Supreme Court blocks Biden's COVID vaccine mandate for companies, but allows for health... - 0 views

  • "Although Congress has indisputably given OSHA the power to regulate occupational dangers, it has not given that agency the power to regulate public health more broadly," the court said. "Requiring the vaccination of 84 million Americans, selected simply because they work for employers with more than 100 employees, certainly falls in the latter category."
  • The high court, though, gave the green-light to a requirement that health care workers in facilities that receive Medicare and Medicaid funding must be vaccinated, siding 5-4 with the Biden administration.
  • The decisions come less than a week after the justices heard oral arguments on the emergency requests regarding the vaccine-or-test rule and vaccine requirement for health care workers.
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  • President Biden first announced the rules in September as part of a broader strategy from his administration to combat the spread of the Delta variant, which drove a surge of infections toward the end of the summer. 
  • The Supreme Court was asked to intervene last month and swiftly held oral arguments to weigh the emergency requests.
  • "As a result of the court's decision, it is now up to states and individual employers to determine whether to make their workplaces as safe as possible for employees, and whether their businesses will be safe for consumers during this pandemic by requiring employees to take the simple and effective step of getting vaccinated," Mr. Biden said. "The court has ruled that my administration cannot use the authority granted to it by Congress to require this measure, but that does not stop me from using my voice as president to advocate for employers to do the right thing to protect Americans' health and economy."
  • The Biden administration estimated that more than 80 million employees could be impacted by the policy.
  • The Supreme Court received more than a dozen requests for emergency action in cases challenging the requirement after the 6th U.S. Circuit's ruling, with business associations, Republican-led states and private businesses covered by the rule arguing OSHA lacked the power to issue the vaccine requirement.
  • "Permitting OSHA to regulate the hazards of daily life — simply because most Americans have jobs and face those same risks while on the clock — would significantly expand OSHA's regulatory authority without clear congressional authorization," the court said.
  • The second rule examined by the Supreme Court was issued by the Centers for Medicare and Medicaid Services (CMS) in November and laid out vaccine requirements for staff at a wide range of facilities that participate in Medicare and Medicaid. The requirement does not have a daily or weekly testing option for unvaccinated workers, but does include medical and religious exemptions.
  • . Then, in a separate case brought by 14 states, a federal district court in Louisiana blocked the rule from taking effect nationwide, but the 5th Circuit narrowed the scope of the order to the 14 states that together sued the Biden administration. 
  • "After all, ensuring that providers take steps to avoid transmitting a dangerous virus to their patients is consistent with the fundamental principle of the medical profession: first, do no harm," the Supreme Court said.
  • "The omnibus rule is undoubtedly significant — it requires millions of healthcare workers to choose between losing their livelihoods and acquiescing to a vaccine they have rejected for months. Vaccine mandates also fall squarely within a state's police power, and, until now, only rarely have been a tool of the federal government," Thomas wrote. "If Congress had wanted to grant CMS authority to impose a nationwide vaccine mandate, and consequently alter the state-federal balance, it would have said so clearly. It did not."
sidneybelleroche

Associated Press News - 0 views

  • The global death toll from COVID-19 topped 5 million on Monday, less than two years into a crisis that has not only devastated poor countries but also humbled wealthy ones with first-rate health care systems.
  • Together, the United States, the European Union, Britain and Brazil — all upper-middle- or high-income countries — account for one-eighth of the world’s population but nearly half of all reported deaths. The U.S. alone has recorded over 740,000 lives lost, more than any other nation.
  • The death toll, as tallied by Johns Hopkins University, is about equal to the populations of Los Angeles and San Francisco combined. It rivals the number of people killed in battles among nations since 1950, according to estimates from the Peace Research Institute Oslo. Globally, COVID-19 is now the third leading cause of death, after heart disease and stroke.
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  • the virus is pummeling Russia, Ukraine and other parts of Eastern Europe, especially where rumors, misinformation and distrust in government have hobbled vaccination efforts. In Ukraine, only 17% of the adult population is fully vaccinated; in Armenia, only 7%.
  • Wealthier nations with longer life expectancies have larger proportions of older people, cancer survivors and nursing home residents, all of whom are especially vulnerable to COVID-19
  • Poorer countries tend to have larger shares of children, teens and young adults, who are less likely to fall seriously ill from the coronavirus.
  • India, despite its terrifying delta surge that peaked in early May, now has a much lower reported daily death rate than wealthier Russia, the U.S. or Britain, though there is uncertainty around its figures.
  • Wealth has also played a role in the global vaccination drive, with rich countries accused of locking up supplies.
  • 92% of Bergamo’s eligible population have had at least one shot, the highest vaccination rate in Italy.
kennyn-77

Texas Gov. Greg Abbott bans COVID-19 vaccine mandates by private businesses : NPR - 0 views

  • Texas Gov. Greg Abbott issued an executive order Monday to prohibit any entity, including private business, from enforcing a COVID-19 vaccine mandate on workers and called on state lawmakers to pass a similar ban into la
  • The move comes as the Biden administration is set to issue rules requiring employers with more than 100 workers to be vaccinated or test weekly for the coronavirus.
  • "No entity in Texas can compel receipt of a COVID-19 vaccine by any individual, including an employee or a consumer, who objects to such vaccination for any reason of personal conscience, based on a religious belief, or for medical reasons, including prior recovery from COVID-19,"
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  • Texas has seen a recent decrease in newly reported COVID-19 cases and hospitalizations. But a rising death toll from the recent surge caused by the delta variant has the state rapidly approaching 67,000 total fatalities since the pandemic began in 2020.
lilyrashkind

Some evidence shows omicron appears in your throat first. Should at-home Covid tests ch... - 0 views

  • As omicron cases continue to sweep the United States, the Food and Drug Administration is being urged to gather more information about how well at-home Covid-19 tests are able to detect the variant.
  • But medical experts argue that anecdotes from people who test negative with a nasal swab at home but then test positive with a throat swab can be misleading. FDA officials say there isn’t enough data to support the practice. “We do know the tests are picking up on omicron, but with less sensitivity,” acting FDA Commissioner Dr. Janet Woodcock said during a Senate Health Committee hearing Tuesday. “What we need to do is to see whether the throat swab could provide more sensitivity.”
  • None of the at-home rapid antigen tests available over the counter in the U.S. are designed for throat swabs. There’s also a reason medical professionals are the ones who perform throat swabs for other infections, such as strep throat. Swabbing the back of your own throat is not easy to do. 
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  • The United Kingdom’s National Health Service recommends swabbing both the nose and the throat when using a rapid antigen, or later flow, Covid test, the kind used at home.
  • “The virus grows in your nose and throat and somewhat at different time scales,” Michael Mina, chief science officer for the biotech software company eMed, who was an assistant professor of epidemiology at the Harvard T.H. Chan School of Public Health, said at a testing technology news briefing this week.
  • “The agency recommends that individuals closely follow the tests’ instructions,” FDA spokesperson Jim McKinney told NBC News in an email.
  • Dr. Jonathan Li, an infectious disease physician at the Brigham and Women’s Hospital in Boston, cautions against altering the testing strategy that has been validated and authorized by the FDA.
  • “What we’ve learned is that every variant seems to have its own characteristics, and it’s important that we not be locked into thinking we know everything based on what we’ve learned from the last variant,” he said
  • Before advocating the altered approach, Li said, he would need to see data that showed it was effective. User error will likely be higher with self-administered throat swabs compared with nasal swabs, he said.
  • “The nose and the throat have different pH levels and we have seen people take Coke or coffee and put it in an antigen test and had a line to appear,” she said. “We don’t know exactly why this happens, but the hypothesis is acidity.” 
  • Miller notes that a small preprint paper out of South Africa, which has not yet been peer-reviewed, suggested that more detectable virus may reside in the throat than in the nose when a person is infected with omicron compared to the delta variant, though the study compared PCR to antigen, or rapid, tests, which are not the same type of tests. 
  • Miller said that although she would not be surprised if omicron indeed does show up in the throat before it does in the nose, that concrete data has yet to be shown. 
  • According to Matt Binnicker, director of clinical virology at the Mayo Clinic, the fact that positivity rates are soaring in the U.S. is a testament to how well Covid tests are still working.
  • According to Miller, it’s best to take a rapid test on day one, day two and day three of symptoms if you are testing negative but your symptoms persist. You should also isolate. “If you have symptoms, you have Covid until proven otherwise,” she said. 
lucieperloff

Your Friday Briefing: Boosters and Vaccine Equity - The New York Times - 0 views

  • As wealthy nations step up their booster campaigns to confront the Omicron variant of the coronavirus, the World Health Organization is concerned that vaccine equity could be further undermined.
  • Most current infections, which are still overwhelmingly being driven by the Delta variant, are affecting unvaccinated people, the W.H.O. said, which means that getting vaccines to those who have no protection should be the priority.
criscimagnael

Israel Study Will Test Effectiveness of 4th Vaccine Dose - The New York Times - 0 views

  • An Israeli hospital on Monday began a study to test the safety and effectiveness of a fourth dose of a Covid-19 vaccine, as health officials continued to deliberate over rolling out fourth shots for vulnerable people nationwide.
  • their study was the first of its kind in the world and involved administering an additional shot to 150 medical personnel who had received a third dose of the Pfizer-BioNTech vaccine at least four months ago.
  • The advisory panel acknowledged uncertainty over the effects of Omicron, but pointed to evidence of decreased immunity in people who were among the first to receive a third dose in August. Israeli data showed a doubling of the rate of infection from the Delta variant, then dominant, among the 60-plus age group within four or five months of the third shot.
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  • Most of the advisory panel argued that the potential benefits of a fourth dose outweighed any risks,
  • Also Monday, the Israeli Health Ministry formally accepted another of the recommendations of the advisory board, shortening the period between administering a third booster shot after the second vaccine to three months from five months
  • Most of Israel’s population has received at least two doses, but about a million eligible citizens have not yet received a third booster shot, out of a total population of nine million.
lilyrashkind

One of the Last Slave Ship Survivors Describes His Ordeal in a 1930s Interview - HISTORY - 0 views

  • Hurston, a known figure of the Harlem Renaissance who would later write the novel Their Eyes Were Watching God, conducted interviews with Oluale Kossola (renamed Cudjo Lewis), but struggled to publish them as a book in the early 1930s. In fact, they were only released to the public in a book called Barracoon: The Story of the Last “Black Cargo” that came out in May of 2018.
  • Hurston’s book tells the story of Lewis, who was born Oluale Kossola in what is now the West African country of Benin. A member of the Yoruba people, he was only 19 years old when members of the neighboring Dahomian tribe invaded his village, captured him along with others, and marched them to the coast. There, he and about 120 others were sold into slavery and crammed onto the Clotilda, the last slave ship to reach the continental United States.
  • in 1807, but Lewis’ journey is an example of how slave traders went around the law to continue bringing over human cargo.
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  • To avoid detection, Lewis’ captors snuck him and the other survivors into Alabama at night and made them hide in a swamp for several days. To hide the evidence of their crime, the 86-foot sailboat was then set ablaze on the banks of the Mobile-Tensaw Delta (its remains may have been uncovered in January 2018).
  • Most poignantly, Lewis’ narrative provides a first-hand account of the disorienting trauma of slavery. After being abducted from his home, Lewis was forced onto a ship with strangers. The abductees spent several months together during the treacherous passage to the United States, but were then separated in Alabama to go to different owners.
  • Lewis also describes what it was like to arrive on a plantation where no one spoke his language, and could explain to him where he was or what was going on. “We doan know why we be bring ’way from our country to work lak dis,” he told Hurston. “Everybody lookee at us strange. We want to talk wid de udder colored folkses but dey doan know whut we say.”
  • “We very sorry to be parted from one ’nother,” Lewis told Hurston. “We seventy days cross de water from de Affica soil, and now dey part us from one ’nother. Derefore we cry. Our grief so heavy look lak we cain stand it. I think maybe I die in my sleep when I dream about my mama.”
  • As for the Civil War, Lewis said he wasn’t aware of it when it first started. But part-way through, he began to hear that the North had started a war to free enslaved people like him. A few days after Confederate General Robert E. Lee surrendered in April 1865, Lewis says that a group of Union soldiers stopped by a boat on which he and other enslaved people were working and told them they were free.
  • Lewis expected to receive compensation for being kidnapped and forced into slavery, and was angry to discover that emancipation didn’t come with the promise of “forty acres and a mule,” or any other kind of reparations. Frustrated by the refusal of the government to provide him with land to live on after stealing him away from his homeland, he and a group of 31 other freepeople saved up money to buy land near Mobile, which they called Africatown.
  • Many decades later, her principled stance means that modern readers get to hear Lewis’ story the way that he told it.
woodlu

The number of children in American hospitals with covid-19 is rising fast | The Economist - 0 views

  • These increases have been caused in part by the greater transmissibility of Omicron, which means more children are being infected with covid. But it is possible that the variant also poses a greater risk to youngster
  • The case-hospitalisation ratio in the last two weeks of December was 50% higher than in the two weeks before Omicron was first detected.
  • a near 50% increase in hospital admissions per 100,000 cases in children aged four or younger after the variant was first detected, and a 70% increase in unvaccinated children aged five to 11 (but a decrease in those over the age of 12).
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  • Differences in vaccination rates provide another potential explanation. In America, 63% of adults are fully vaccinated and 24% have had a booster shot.
  • Figures on hospitalisations tend to fluctuate over time even without the emergence of new variants, so the increases are far from definitive proof that Omicron is riskier for children.
  • Omicron reproduces higher in the respiratory tract than previous variants, causing milder symptoms in adults as the virus does less damage to the lungs, but worse ones in children, because their smaller airways can become blocked more easily.
  • Fewer children have had the jab.
  • only 18% of five- to 11-year-olds have been fully vaccinated
  • A report from Britain’s health-security agency suggests that, for children above the age of five, Omicron presents a lower risk of hospitalisation than Delta.
  • Other British data show that, although more infants are being admitted to hospital with covid, the number in intensive care, the percentage needing ventilation and the average length of their stay have fallen compared with previous waves.
  • The vast majority of children infected with covid experience mild illness and are far less likely than older folk to need hospital treatment.
woodlu

Why the Omicron variant is not a punishment for vaccine inequity | The Economist - 0 views

  • The virus will inevitably go on to mutate and spread back into the rich world. The rich world should therefore supply vaccines to poor countries, lest they become breeding-grounds for dangerous new variants.
  • Only 23% of South Africans older than 12 are fully vaccinated.
  • Omicron branched off early in 2020, before Delta came on the scene
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  • The virus that became Omicron may have been contained in an isolated population that recently re-established contact with the outside world. It may have jumped into an animal and back out again.
  • Or, most likely, it lived for a long time in the body of someone who was immuno-compromised, where it had time to accumulate large collections of mutations, some of which are good at escaping antibodies, locking onto human cells and injecting the viral genome into them.
  • over the nobody safe/everyone safe maxim
  • as the disease continues to circulate, everyone on Earth will sooner or later be exposed to covid and not just once, but often. One thing you can be sure of is that, given enough time, covid will reach Omega.
  • That is because there will always be isolated populations
  • Vaccination may lower the frequency of these events. How much is unclear, but the EU has fully vaccinated 79% of over-12s and cases are nevertheless running at 2.5m a week.
  • a lot of virus is circulating in the EU—and mutating.
  • You can see why people latch on to the nobody safe/everyone safe idea. They want vaccines to be widely available, but they fear that calls for altruism will fall on deaf ears in rich countries. Hence they make the case for “vaccine equity” using an appeal to self-interest.
  • confused arguments can end up seeming manipulative and sanctimonious, weakening the very cause they are designed to support.
  • The best argument for why the rich world should share its vaccines is simpler and more powerful. Vaccines cost a few dollars. They save lives. They are becoming plentiful and will soon be in surplus. The rich world should supply them to the poor world because it is the right thing to do.
Javier E

Book review - The Dawn of Everything: A New History of Humanity | The Inquisitive Biolo... - 0 views

  • Every few years, it seems, there is a new bestselling Big History book. And not infrequently, they have rather grandiose titles.
  • , I hope to convince you why I think this book will stand the test of time better.
  • First, rather than one author’s pet theory, The Dawn of Everything is the brainchild of two outspoken writers: anthropologist David Graeber (a figurehead in the Occupy Wall Street movement and author of e.g. Bullshit Jobs) and archaeologist David Wengrow (author of e.g. What Makes Civilization?). I expect a large part of their decade-long collaboration consisted of shooting holes in each other’s arguments
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  • ather than yet another history book telling you how humanity got here, they take their respective disciplines to task for dealing in myths.
  • this thought-provoking book is armed to the teeth with fascinating ideas and interpretations that go against mainstream thinking
  • Colonisation exposed us to new ideas that shocked and confused us. Graeber & Wengrow focus on the French coming into contact with Native Americans in Canada, and in particular on Wendat Confederacy philosopher–statesman Kandiaronk as an example of European traders, missionaries, and intellectuals debating with, and being criticized by indigenous people. Historians have downplayed how much these encounters shaped Enlightenment ideas.
  • Its legacy, shaped via several iterations, is the modern textbook narrative: hunter-gathering was replaced by pastoralism and then farming; the agricultural revolution resulted in larger populations producing material surpluses; these allowed for specialist occupations but also needed bureaucracies to share and administer them to everyone; and this top-down control led to today’s nation states. Ta-daa!
  • And cities did not automatically imply social stratification. The Dawn of Everything fascinates with its numerous examples of large settlements without ruling classes, such as Ukrainian mega-sites, the Harappan civilization, or Mexican city-states.
  • ake agriculture. Rather than humans enthusiastically entering into what Harari in Sapiens called a Faustian bargain with crops, there were many pathways and responses
  • Experiments show that plant domestication could have been achieved in as little as 20–30 years, so the fact that cereal domestication here took some 3,000 years questions the notion of an agricultural “revolution”. Lastly, this book includes many examples of areas where agriculture was purposefully rejected. Designating such times and places as “pre-agricultural” is misleading, write the authors, they were anti-agricultural.
  • The idea that agriculture led to large states similarly needs revision
  • correlation is not causation, and some 15–20 additional centres of domestication have since been identified that followed different paths. Some cities have previously remained hidden in the sediments of ancient river deltas until revealed by modern remote-sensing technology.
  • “extensive agriculture may thus have been an outcome, not a cause, of urbanization”
  • this simplistic tale of progress ignores and downplays that there was nothing linear or inevitable about where we have ended up.
  • These instead relied on collective decision-making through assemblies or councils, which questions some of the assumptions of evolutionary psychology about scale: that larger human groups require complex (i.e. hierarchical) systems to organize them.
  • e what is staring them in the face
  • humans have always been very capable of consciously experimenting with different social arrangements. And—this is rarely acknowledged—they did so on a seasonal basis, spending e.g. part of the year settled in large communal groups under a leader, and another part as small, independently roving bands.
  • Throughout, Graeber & Wengrow convincingly argue that the only thing we can say about our ancestors is that “there is no single pattern. The only consistent phenomenon is the very fact of alteration […] If human beings, through most of our history, have moved back and forth fluidly between different social arrangements […] maybe the real question should be ‘how did we get stuck?
  • Next to criticism, the authors put out some interesting ideas of their own, of which I want to quickly highlight two.
  • The first is that some of the observed variations in social arrangements resulted from schismogenesis. Anthropologist Gregory Bateson coined this term in the 1930s to describe how people define themselves against or in opposition to others, adopting behaviours and attitudes that are different.
  • The second idea is that states can be described in terms of three elementary forms of domination: control of violence, control of information, and individual charisma, which express themselves as sovereignty, administration, and competitive politics.
  • Our current states combine these three, and thus we have state-endorsed violence in the form of law enforcement and armies, bureaucracy, and the popularity contests we call elections in some countries, and monarchs, oligarchs, or tyrants in other countries. But looking at history, there is no reason why this should be and the authors provide examples of societies that showed only one or two such forms of control
  • Asking which past society most resembles today’s is the wrong question to ask. It risks slipping into an exercise in retrofitting, “which makes us scour the ancient world for embryonic versions of our modern nation states”
  • I have left unmentioned several other topics: the overlooked role of women, the legacy of Rousseau’s and Hobbes’s ideas, the origins of inequality and the flawed assumptions hiding behind that question
  • There are so many historical details and delights hiding between these covers that I was thoroughly enthralle
  • If you have any interest in big history, archaeology, or anthropology, this book is indispensable. I am confident that the questions and critiques raised here will remain relevant for a long time to come.
  • I was particularly impressed by the in-depth critique by worbsintowords on his YouTube channel What is Politics? of (so far) five videos
Javier E

Lawyer Who Used ChatGPT Faces Penalty for Made Up Citations - The New York Times - 0 views

  • For nearly two hours Thursday, Mr. Schwartz was grilled by a judge in a hearing ordered after the disclosure that the lawyer had created a legal brief for a case in Federal District Court that was filled with fake judicial opinions and legal citations, all generated by ChatGPT.
  • At times during the hearing, Mr. Schwartz squeezed his eyes shut and rubbed his forehead with his left hand. He stammered and his voice dropped. He repeatedly tried to explain why he did not conduct further research into the cases that ChatGPT had provided to him.
  • “I did not comprehend that ChatGPT could fabricate cases,” he told Judge Castel.
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  • As Mr. Schwartz answered the judge’s questions, the reaction in the courtroom, crammed with close to 70 people who included lawyers, law students, law clerks and professors, rippled across the benches. There were gasps, giggles and sighs. Spectators grimaced, darted their eyes around, chewed on pens.
  • “I continued to be duped by ChatGPT. It’s embarrassing,” Mr. Schwartz said.
  • The episode, which arose in an otherwise obscure lawsuit, has riveted the tech world, where there has been a growing debate about the dangers — even an existential threat to humanity — posed by artificial intelligence. It has also transfixed lawyers and judges.
  • Mr. Schwartz, who has practiced law in New York for 30 years, said in a declaration filed with the judge this week that he had learned about ChatGPT from his college-aged children and from articles, but that he had never used it professionally.He told Judge Castel on Thursday that he had believed ChatGPT had greater reach than standard databases.“I heard about this new site, which I falsely assumed was, like, a super search engine,” Mr. Schwartz said.
  • Avianca asked Judge Castel to dismiss the lawsuit because the statute of limitations had expired. Mr. Mata’s lawyers responded with a 10-page brief citing more than half a dozen court decisions, with names like Martinez v. Delta Air Lines, Zicherman v. Korean Air Lines and Varghese v. China Southern Airlines, in support of their argument that the suit should be allowed to proceed.After Avianca’s lawyers could not locate the cases, Judge Castel ordered Mr. Mata’s lawyers to provide copies. They submitted a compendium of decisions.It turned out the cases were not real.
  • “This case has reverberated throughout the entire legal profession,” said David Lat, a legal commentator. “It is a little bit like looking at a car wreck.”
  • Irina Raicu, who directs the internet ethics program at Santa Clara University, said this week that the Avianca case clearly showed what critics of such models have been saying, “which is that the vast majority of people who are playing with them and using them don’t really understand what they are and how they work, and in particular what their limitations are.”
  • “This case has changed the urgency of it,” Professor Roiphe said. “There’s a sense that this is not something that we can mull over in an academic way. It’s something that has affected us right now and has to be addressed.”
  • In the declaration Mr. Schwartz filed this week, he described how he had posed questions to ChatGPT, and each time it seemed to help with genuine case citations. He attached a printout of his colloquy with the bot, which shows it tossing out words like “sure” and “certainly!”After one response, ChatGPT said cheerily, “I hope that helps!”
Javier E

Keir Starmer does have a vision - and it's not New Labour 2.0 | Martin Kettle | The Gua... - 0 views

  • Starmer’s course has been consistently set towards winning an outright Commons majority in 2024. When he was elected leader, he never settled for the two-term recovery many assumed he would need after the hammering Labour received at the 2019 election
  • Equally important is that the progressive prospectus he intends to offer is a national one, based on reunifying the class base of the Labour electorate rather than accepting its irresistible divergence into a delta of different political parties and traditions.
  • his is indeed Starmer’s aim, and that it is remarkably bold. It flies in the face of a considerable amount of conventional wisdom about 21st-century British electoral behaviour
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  • To seek to do it on the basis that Labour can again be a national party in geographical and class terms, winning working- and middle class support alike, deserves that description even more.
  • It challenges the view that the dominant progressive parties of the industrial era must accommodate themselves to operating within a more pluralist party system and amid the looser class loyalties of the new millennium
  • it says that such segmentation is neither inevitable nor even desirable, providing that the party remains a broad church and – crucially – avoids foolish accommodations with the activist left.
  • it is certainly not New Labour 2.0 either, and calling it so does not make it so. Indeed the Starmer strategy of focusing on working-class support is at odds with one of New Labour’s most central tenets.
  • Tony Blair and Gordon Brown believed that Labour would prosper in the modern era only by reducing its dependence on working-class voters and the unions and by becoming a middle-class, progressive party, like the US Democrats.
  • This is actually quite a traditional, and almost old-fashioned, view of Labour’s role. Starmer’s aspiration to make Labour a national and essentially social democratic party again is one that Clement Attlee or Harold Wilson would have understood.
Javier E

Five COVID Numbers That No Longer Make Any Sense - The Atlantic - 0 views

  • With black-and-white, yes-or-no thinking, “we do ourselves a disservice,” Saskia Popescu, an epidemiologist at George Mason University, told me. Binary communication “has been one of the biggest failures of how we’ve managed the pandemic,
  • Here, then, are five of the most memorable numerical shorthands we’ve cooked up for COVID,
  • It’s long past time that we forget them all.
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  • 2 doses = fully vaccinated
  • < 6 feet + > 15 minutes = close contact
  • Get within six feet of an infected person for at least 15 minutes over a 24-hour period, and congratulations—you’ve had a “close contact.”
  • scientists have known for years that SARS-CoV-2 can hitch a ride in bubbles of spittle and snot small enough to drift across rooms and remain aloft for hours, especially in poorly ventilated indoor spaces. Pathogens don’t slam up against a magic wall “at the six-foot mark,
  • Nor will viruses bide their time for 14 minutes and 59 seconds before launching themselves noseward at 15 minutes on the dot
  • 5 days = end of isolation
  • Many people now report strings of negative results early in their symptom course, then positives that persist into their sixth, seventh, or eighth day of sickness or later, raising the possibility that they remain quite contagious past when formal isolation may end. “I find it impossible to believe you can end isolation without testing,”
  • And yet, many workplaces have already embraced the five-day rule with no exit test, using that timeline as the basis for when employees should return.
  • Infection + 90 days = no retest
  • reinfections have gotten more common, and far closer together. They were happening even in the era of Delta; now, with so many immunity-evading Omicron offshoots at the helm, and masks and other mitigation matters mostly vanished, they’ve become a quite-frequent fixture.
  • The number of people who have caught the virus twice within just a matter of weeks “has grown so much that we should forget these windows,”
  • the 90-day number, Malaty Rivera said, is no longer relevant. “It has to be deleted from people’s minds.”
  • 200 cases + 10 hospital admissions per 100,000 = mask?
  • t waiting to just suggest masks at those levels of transmission and hospitalization—not even require them—leaves far too much time for widespread disease, disability, even death, experts told me. A bar that high still lets long COVID slip through; it continues to imperil the vulnerable, immunocompromised, and elderly,
  • Case rates, Malaty Rivera pointed out, are also a terrible yardstick right now because so many people have been testing at home and not reporting the results to public-health agencies.
  • A better system would flip on protections earlier—taking a preventive approach, rather than scrambling to react.
criscimagnael

During the Omicron Wave, Death Rates Soared for Older People - The New York Times - 0 views

  • Last year, people 65 and older died from Covid at lower rates than in previous waves. But with Omicron and waning immunity, death rates rose again.
  • Despite strong levels of vaccination among older people, Covid killed them at vastly higher rates during this winter’s Omicron wave than it did last year, preying on long delays since their last shots and the variant’s ability to skirt immune defenses.
  • “This is not simply a pandemic of the unvaccinated,” said Andrew Stokes, an assistant professor in global health at Boston University who studies age patterns of Covid deaths. “There’s still exceptionally high risk among older adults, even those with primary vaccine series.”
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  • Covid deaths, though always concentrated in older people, have in 2022 skewed toward older people more than they did at any point since vaccines became widely available.
  • That swing in the pandemic has intensified pressure on the Biden administration to protect older Americans, with health officials in recent weeks encouraging everyone 50 and older to get a second booster and introducing new models of distributing antiviral pills.
  • But the mortality gap between older and younger people has grown: Middle-aged Americans, who suffered a large share of pandemic deaths last summer and fall, are now benefiting from new stores of immune protection in the population as Covid deaths once again cluster around older people.
  • among people 65 and older, 13 percent are unvaccinated, 3 percent have a single Moderna or Pfizer shot and another 14 percent are vaccinated but not boosted.
  • “The government wasn’t sure about the booster shot,” he said. “If they weren’t sure about it, and they’re the ones who put it out, why would I take it?” Mr. Thomas said Covid recently killed a former boss of his and hospitalized an older family friend.
  • But scientists warned that many older Americans remained susceptible. To protect them, geriatricians called on nursing homes to organize in-home vaccinations or mandate additional shots.
  • That changed last summer and fall, during the Delta surge. Older people were getting vaccinated more quickly than other groups: By November, the vaccination rate in Americans 65 and older was roughly 20 percentage points higher than that of those in their 40s. And critically, those older Americans had received vaccines relatively recently, leaving them with strong levels of residual protection.
  • As a result, older people suffered from Covid at lower rates than they had been before vaccines became available. Among people 85 and older, the death rate last fall was roughly 75 percent lower than it had been in the winter of 2020, Dr. Stokes’s recent study found.
  • The rebalancing of Covid deaths was so pronounced that, among Americans 80 and older, overall deaths returned to prepandemic levels in 2021, according to a study posted online in February.
  • “In 2021, you see the mortality impact of the pandemic shift younger,” said Ridhi Kashyap, a lead author of that study and a demographer at the University of Oxford.
  • For some people, even three vaccine doses appear to become less protective over time against Omicron-related hospital admissions.
  • During the Omicron wave, Covid death rates were once again dramatically higher for older Americans than younger ones, Dr. Stokes said. Older people also made up an overwhelming share of the excess deaths — the difference between the number of people who actually died and the number who would have been expected to die if the pandemic had never happened.
  • Long-ago Covid cases do not prevent future infections, but reinfected people are less likely to become seriously ill.
  • Eventually, her family had to arrange a trip to a pharmacy on their own for a second booster.“It just seems that now the onus is put completely on the individual,” she said. “It’s not like it’s made easy for you.”
Javier E

Mounting Data Shows J&J Vaccine as Effective as Pfizer and Moderna - The New York Times - 0 views

  • During the summer months, the gaps — particularly between J.&J. and Pfizer — began to narrow. By now, all the vaccines seem to be performing about equally well against coronavirus infections; in fact, Johnson & Johnson appears to be holding up slightly better.
  • As of Jan. 22, the latest data available, unvaccinated people were 3.2 times as likely to become infected as those who received the single-dose Johnson & Johnson vaccine; they were 2.8 times as likely to become infected as those who received two doses of the Moderna vaccine and 2.4 times as likely as those with two doses of Pfizer-BioNTech. Overall, then, the Johnson & Johnson vaccine appeared to be somewhat more protective against infection than the two alternatives.
  • Dr. Corey said the results jibe with his experience in H.I.V. research with the adenovirus that forms the backbone of the Johnson & Johnson vaccine. “It has much longer durability than almost any other platform that we’ve ever worked with,” he said.
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  • Scientists are only beginning to guess why the vaccine’s profile is improving with the passing months.
  • Levels of antibodies skyrocket in the first few weeks after immunization, but then rapidly wane. The J.&J. vaccine may produce antibodies that decline more slowly than those produced by the other vaccines, some research suggests. Or those antibodies may become more sophisticated over time, through a biological phenomenon called affinity maturation.
  • Perhaps, some researchers suggest, the vaccine offered a more robust defense against the Omicron variant, responsible for the huge increase in infections over the past few months. And studies have shown that the vaccine trains other parts of the immune system at least as well as the other two vaccines.
  • “It is a shame that we don’t have more direct study of outcomes among people who received J.&J.,” she said. That is in part because fewer people got the vaccine than the mRNA vaccines, she said, but also “because we’re relying on other countries generating data.”
  • Still, the data so far suggest that two doses of the J.&J. vaccine had an effectiveness of about 75 percent against hospitalization with the Omicron variant, comparable to the protection from the Pfizer-BioNTech vaccine. The researchers presented the findings last month at the Conference on Retroviruses and Opportunistic Infections in Denver.
  • Although the trial looked only at people who got two doses of the Johnson & Johnson vaccine, it suggests that the vaccine may make an excellent booster for people who initially got two doses of an mRNA vaccine, experts said.
Javier E

Opinion | The Wisdom and Prophecy of Jimmy Carter's 'Malaise' Speech - The New York Times - 0 views

  • Carter had canceled vacation plans and spent more than a week cloistered at Camp David, where he met with a “steady stream of visitors” who shared their hopes and fears about a nation in distress, most immediately thanks to another in a series of energy crises.
  • Carter, however, discerned a deeper problem. America had a wounded heart. The president believed it suffered from a “crisis of the spirit.”
  • the best word to describe the speech would have been “pastoral.” A faithful Christian president applied the lessons he’d so plainly learned from years of Bible study and countless hours in church. Don’t look at the surface of a problem. Don’t be afraid to tell hard truths. Be humble, but also call the people to a higher purpose.
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  • The resulting address was heartfelt. It was eloquent. Yet it helped sink his presidency.
  • “For the first time in the history of our country a majority of our people believe that the next five years will be worse than the past five years,”
  • By 1979, this country had experienced a recent string of traumatic political assassinations, urban riots that dwarfed the summer riots of 2020 in scale and intensity, campus unrest that makes the current controversies over “wokeness” look civil and quaint, the defeat in Vietnam, and the deep political corruption of Richard Nixon. At the same time, inflation rates dwarfed what we experience today.
  • Carter took a step back. With his trademark understated warmth, he described his own period of reflection. He’d taken the time to listen to others, he shared what he heard, and then he spoke words that resonate today. “The symptoms of this crisis of the American spirit are all around us,” he said, and he described symptoms that mirror our current reality.
  • Read the speech now, and you’ll see its truth and its depth. But, ironically, it’s an address better suited to our time than to its own. Jimmy Carter’s greatest speech was delivered four decades too soon.
  • There was more. “As you know,” he told viewers, “there is a growing disrespect for government and for churches and for schools, the news media, and other institutions.”
  • We were sure that ours was a nation of the ballot, not the bullet, until the murders of John Kennedy and Robert Kennedy and Martin Luther King Jr. We were taught that our armies were always invincible and our causes were always just, only to suffer the agony of Vietnam. We respected the presidency as a place of honor until the shock of Watergate.
  • Carter’s central insight was that even if the country’s political branches could deliver peace and prosperity, they could not deliver community and belonging. Our nation depends on pre-political commitments to each other, and in the absence of those pre-political commitments, the American experiment is ultimately in jeopardy.
  • we’re not familiar with speeches that ask the American people to reflect on their own role in a national crisis. Carter called for his audience to look in the mirror:
  • In a nation that was proud of hard work, strong families, close-knit communities, and our faith in God, too many of us now tend to worship self-indulgence and consumption. Human identity is no longer defined by what one does, but by what one owns.
  • Carter correctly described a country of mutual, interlocking responsibilities between the government and the people. Yet he was ultimately unable to deliver the results that matched his pastoral message.
  • the speech was successful, at first. His approval rating shot up a remarkable 11 points. Then came chaos — some of it Carter’s fault, some of it not. Days after the speech, he demanded the resignation of his entire cabinet. (He ultimately fired five.) It was a move that communicated confusion more than conviction.
  • The failed rescue was a hinge moment in history. It’s hard to imagine the morale boost had it succeeded, and we know the crushing disappointment when it failed. Had the Army’s Delta Force paraded down New York’s “Canyon of Heroes” with the liberated hostages, it would have probably transformed the public’s perception of the president. But just as presidents own military victories, they also own defeats.
  • The story of the next 10 years, moreover, cast Carter’s address in a different light. The nation went from defeat to victory: Inflation broke, the economy roared, and in 1991 the same military that was humiliated in the sands of Iran triumphed
  • The history was written. Carter was wrong. There wasn’t a crisis of confidence. There was no malaise. There was instead a failure of leadership. Better, or at least luckier, leaders revived a broken nation.
  • Yet with every passing year, the deeper truths of Carter’s speech become more apparent. His insights become more salient. A speech that couldn’t precisely diagnose the maladies of 1979 more accurately describes the challenges of 2023. The trends he saw emerging two generations ago now bear their poisonous fruit in our body politic.
  • last year a record 58 percent of Americans told NBC News pollsters that our nation’s best years are behind it.)
  • In 1979, Carter spoke of our civil liberties as secure. They’re more secure now.
  • We’re free, prosperous and strong to a degree we couldn’t imagine then. Yet we’re tearing each other apart now.
  • We are at a turning point in our history. There are two paths to choose. One is a path I’ve warned about tonight, the path that leads to fragmentation and self-interest. Down that road lies a mistaken idea of freedom, the right to grasp for ourselves some advantage over others. That path would be one of constant conflict between narrow interests ending in chaos and immobility.
  • With these words, Carter raised the question, what is our freedom for, exactly? While we want to better ourselves and our families, we cannot become self-regarding. We have obligations to each other. We have obligations to our community. The best exercise of freedom is in service to others.
  • Yet one of the stories of our time is the abuse of liberty, including the use of our freedoms — whether it’s to boycott, condemn or shame — to try to narrow the marketplace of ideas, to deprive dissenters of their reputations and their livelihoods.
  • as Carter noted, our huge wealth cannot heal the holes in our hearts, because “consuming things does not satisfy our longing for meaning. We’ve learned that piling up material goods cannot fill the emptiness of lives which have no confidence or purpose.”
  • there’s another word: prophetic. His words were not the clarion call necessary for his time, but they are words for this time. As Jimmy Carter spends his last days on this earth, we should remember his call for community, and thank a very good man for living his values, serving his neighbors, and reminding us of the true source of strength for the nation he loved.
  • On July 15, 1979, President Jimmy Carter emerged from days of isolation to deliver the most important and memorable address of his life
  • The speech was among the most unusual in presidential history. The word that has clung to it, “malaise,” was a word that didn’t even appear in the text.
lilyrashkind

Black law students see their futures tied to Ketanji Brown Jackson's success. : NPR - 0 views

  • More than 79 million people in the U.S. have had confirmed coronavirus infections and more than 960,000 have died of COVID-19. In the graphics below, explore the trends in your state. View the data via state-by-state charts (immediately below), a heat map that shows state risk levels, a table of trends in new infections over four weeks, and a map of case and death totals.
  • The above charts show average new cases per 100,000 people for each state over the last year. In most cases, three waves are visible in these charts: last winter's surge, the delta wave of late summer, and the ongoing omicron wave. In many places the omicron wave has already passed the peak of either previous wave.
  • To show trends, the table below shows the change in average new cases per day in each state, week over week for the last 28 days. States marked in shades of red have growing outbreaks; those in shades of green, are declining.
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  • The JHU team automates its data uploads and regularly checks them for anomalies. This may result in occasional data discrepancies on this page as the JHU team resolves anomalies and updates its feeds. State-by-state recovery data are unavailable at this time. There may be discrepancies between what you see here and what you see on your local health department's website. Figures shown do not include cases on cruise ships.
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