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But a similar phenomenon is sending off alarms across Europe, where researchers from the World Health Organization estimate that about half of the population is experiencing “pandemic fatigue.”

“Citizens have made huge sacrifices,” said Dr. Hans Kluge, the W.H.O.’s regional director for Europe. “It has come at an extraordinary cost, which has exhausted all of us, regardless of where we live, or what we do.”

If the spring was characterized by horror, the fall has become an odd mix of resignation and heedlessness. People who once would not leave their homes are now considering dining indoors for the first time — some losing patience after so many months without, others slipping in a fancy meal before the looming winter months when the virus is expected to spread more readily

“In the spring, it was fear and a sense of, ‘We are all in it together,’” said Vaile Wright, a psychologist at the American Psychological Association who studies stress in the United States.“Things are different now,” she said. “Fear has really been replaced with fatigue.”

In some parts of the world, behavior has changed and containment efforts have been tough and effective

“We were doing sprints in the beginning, and now it’s a marathon. We’re a little tired.”

“We have very little backlash here against these types of measures,” said Siddharth Sridhar, an assistant professor of microbiology at the University of Hong Kong. “If anything, there’s a lot of pushback against governments for not doing enough to contain the virus.”

Infections have stayed relatively low for months in places like South Korea, Japan, New Zealand, Australia and China, where the virus first spread.

Sick people are telling contact tracers they picked up the virus while trying to return to ordinary life. Beth Martin, a retired school librarian who is working as a contact tracer in Marathon County, Wis., said she interviewed a family that had become sick through what is now a common situation — at a birthday party for a relative in early October.

Mark Harris, county executive for Winnebago County, Wis., said he had been frustrated by the “loud minority” in his county that had been successfully pushing back against any public health measures to be taken against the pandemic.They have a singular frame of mind, he said: “‘This has been inconveniencing me long enough and I’m done changing my behavior.’”

There are growing signs that the ongoing stress is taking a toll. In the United States, alcohol sales in stores are up 23 percent during the pandemic, according to Nielsen, a figure that could reflect the nation’s anxiety as well as the drop in drinks being sold at restaurants and bars.

Overdose deaths, too, are on the rise in many cities. In Cuyahoga County, Ohio, which includes Cleveland, there were recently 19 overdose deaths in a single week, far more than most weeks.

The response in the United States and much of Europe has been far different. While residents willingly banded together in the spring, time has given rise to frustration and revolt.

Dr. Michael Landrum, who treats coronavirus patients in Green Bay, Wis., said mask use is more widespread than in the spring, personal protective equipment is easier to come by for hospital workers and treatment of the virus is more sophisticated.

“The scary scenario is the number of patients who really just don’t know where they got it,” Dr. Landrum said. “That suggests to me that it’s out there spreading very easily.”

The challenge ahead, he said, would be convincing people that they need to take significant steps — all over again — to slow down spread that could be even worse than before.

“We’re trying to get people to change their behavior back to being more socially distanced and more restrictive with their contacts,” Dr. Landrum said. “There’s been a false sense of complacency. And now it’s just a lot harder to do that.”

Understanding how empathy can immobilize us like that is a critical step for helping others — and ourselves.

Empathic distress explains why many people have checked out in the wake of these tragedies

Having concluded that nothing they do will make a difference, they start to become indifferent.

The symptoms of empathic distress were originally diagnosed in health care, with nurses and doctors who appeared to become insensitive to the pain of their patients.

when two neuroscientists, Olga Klimecki and Tania Singer, reviewed the evidence, they discovered that “compassion fatigue” is a misnomer. Caring itself is not costly. What drains people is not merely witnessing others’ pain but feeling incapable of alleviating it.

Early researchers labeled it compassion fatigue and described it as the cost of caring.

In times of sustained anguish, empathy is a recipe for more distress, and in some cases even depression. What we need instead is compassion.

empathy and compassion aren’t the same. Empathy absorbs others’ emotions as your own: “I’m hurting for you.”

Compassion focuses your action on their emotions: “I see that you’re hurting, and I’m here for you.”

When you see others in pain, instead of causing you to get overloaded and retreat, compassion motivates you to reach out and help

Dr. Singer and their colleagues trained people to empathize by trying to feel other people’s pain. When the participants saw someone suffering, it activated a neural network that would light up if they themselves were in pain. It hurt. And when people can’t help, they escape the pain by withdrawing.

To combat this, the Klimecki and Singer team taught their participants to respond with compassion rather than empathy — focusing not on sharing others’ pain but on noticing their feelings and offering comfort.

A different neural network lit up, one associated with affiliation and social connection. This is why a growing body of evidence suggests that compassion is healthier for you and kinder to others than empathy:

“Empathy is biased,” the psychologist Paul Bloom writes. It’s something we usually reserve for our own group, and in that sense, it can even be “a powerful force for war and atrocity.”

The most basic form of compassion is not assuaging distress but acknowledging it.

in my research, I’ve found that being helpful has a secondary benefit: It’s an antidote to feeling helpless.

To figure out who needs your support after something terrible happens, the psychologist Susan Silk suggests picturing a dart board, with the people closest to the trauma in the bull’s-eye and those more peripherally affected in the outer rings.

Once you’ve figured out where you belong on the dart board, look for support from people outside your ring, and offer it to people closer to the center.

Even if people aren’t personally in the line of fire, attacks targeting members of a specific group can shatter a whole population’s sense of security.

If you notice that people in your life seem disengaged around an issue that matters to you, it’s worth considering whose pain they might be carrying.

Instead of demanding that they do more, it may be time to show them compassion — and help them find compassion for themselves, too.

Your small gesture of kindness won’t end the crisis in the Middle East, but it can help someone else. And that can give you the strength to help more.

“One area where extroverts excel is the in-the-moment processing of bodily cues,” says William Lamson, an assistant professor of psychology in clinical psychiatry at Weill Cornell Medicine. But because video calls are more about talking heads, extroverts end up “using more focus and not likely getting the same reward as a live interaction,” Dr. Lamson says.

Creating more satisfying Zoom experiences does not, however, mean adding more video calls, say experts. Each individual has to find the right balance. Ken Schmitt, an executive recruiter in San Diego, says he used to use Zoom to socialize and even organized 40-person Zoom celebrations for his own and his wife’s 50th birthdays in 2020. Now he has cut back as he finds he experiences some Zoom fatigue every day from his virtual work calls.

For introverts, the structure and control of videoconferencing platforms could be somewhat comforting, compared with typical workplace social exchanges.

For one thing, in most virtual meetings, with multiple participants observing one another, “you feel like you’re being constantly watched,” says Dr. McIntyre. “Introverts prefer to control who is in their personal space and for how long.”

“Portion control is critical for everyone,” he says. Shorter video calls or making the video feature optional can help.

Since 9/11, the United States has suffered, on average, six deaths per year due to jihadi terrorism. (To put this in perspective, in 2019, an average of 39 Americans died every day from overdoses involving prescription opioids.) If the goal of the global war on terror was to prevent significant acts of terrorism, particularly in the United States, then the war has succeeded.

But at what cost?

Every war the United States has fought, beginning with the American Revolution, has required an economic model to sustain it with sufficient bodies and cash.

Like its predecessors, the war on terror came with its own model: the war was fought by an all-volunteer military and paid for largely through deficit spending.

It should be no surprise that this model, which by design anesthetized a majority of Americans to the costs of conflict, delivered them their longest war; in his September 20, 2001, speech, when describing how Americans might support the war effort, Bush said, “I ask you to live your lives and hug your children.”

This model has also had a profound effect on American democracy, one that is only being fully understood 20 years later.

Funding the war through deficit spending allowed it to fester through successive administrations with hardly a single politician ever mentioning the idea of a war tax. Meanwhile, other forms of spending—from financial bailouts to health care and, most recently, a pandemic recovery stimulus package—generate breathless debate.

, technological and social changes have numbed them to its human cost. The use of drone aircraft and other platforms has facilitated the growing automation of combat, which allows the U.S. military to kill remotely. This development has further distanced Americans from the grim costs of war

the absence of a draft has allowed the U.S. government to outsource its wars to a military caste, an increasingly self-segregated portion of society, opening up a yawning civil-military divide as profound as any that American society has ever known.

For now, the military remains one of the most trusted institutions in the United States and one of the few that the public sees as having no overt political bias. How long will this trust last under existing political conditions? As partisanship taints every facet of American life, it would seem to be only a matter of time before that infection spreads to the U.S. military.

From Caesar’s Rome to Napoleon’s France, history shows that when a republic couples a large standing military with dysfunctional domestic politics, democracy doesn’t last long. The United States today meets both conditions.

Historically, this has invited the type of political crisis that leads to military involvement (or even intervention) in domestic politics.

How imminent is the threat from these states? When it comes to legacy military platforms—aircraft carriers, tanks, fighter planes—the United States continues to enjoy a healthy technological dominance over its near-peer competitors. But its preferred platforms might not be the right ones. Long-range land-based cruise missiles could render large aircraft carriers obsolete. Advances in cyberoffense could make tech-reliant fighter aircraft too vulnerable to fly

It is not difficult to imagine a more limited counterterrorism campaign in Afghanistan that might have brought bin Laden to justice or a strategy to contain Saddam Hussein’s Iraq that would not have involved a full-scale U.S. invasion. The long, costly counterinsurgency campaigns that followed in each country were wars of choice.

Both proved to be major missteps when it came to achieving the twin goals of bringing the perpetrators of 9/11 to justice and securing the homeland. In fact, at several moments over the past two decades, the wars set back those objectives

Few years proved to be more significant in the war on terror than 2011. Aside from being the year bin Laden was killed, it also was the year the Arab Spring took off and the year U.S. troops fully withdrew from Iraq. If the great strategic blunder of the Bush administration was to put troops into Iraq, then the great strategic blunder of the Obama administration was to pull all of them out. Both missteps created power vacuums. The first saw the flourishing of al Qaeda in Iraq; the second gave birth to that group’s successor, ISIS.

But what makes the war on terror different from other wars is that victory has never been based on achieving a positive outcome; the goal has been to prevent a negative one.

How, then, do you declare victory? How do you prove a negative?

The wars in Afghanistan and Iraq represented a familiar type of war, with an invasion to topple a government and liberate a people, followed by a long occupation and counterinsurgency campaigns.

In addition to blood and treasure, there is another metric by which the war on terror can be judged: opportunity cost

For the past two decades, while Washington was repurposing the U.S. military to engage in massive counterinsurgency campaigns and precision counterterrorism operations, Beijing was busy building a military to fight and defeat a peer-level competitor.

Today, the Chinese navy is the largest in the world. It boasts 350 commissioned warships to the U.S. Navy’s roughly 290.

it now seems inevitable that the two countries’ militaries will one day reach parity. China has spent 20 years building a chain of artificial islands throughout the South China Sea that can effectively serve as a defensive line of unsinkable aircraft carriers.

Culturally, China has become more militaristic, producing hypernationalist content such as the Wolf Warrior action movies.

After the century opened with 9/11, conventional wisdom had it that nonstate actors would prove to be the greatest threat to U.S. national security

Nonstate actors have compromised national security not by attacking the United States but by diverting its attention away from state actors. It is these classic antagonists—China, Iran, North Korea, and Russia—that have expanded their capabilities and antipathies in the face of a distracted United States.

it may seem odd to separate the wars in Afghanistan and Iraq from the war on terror,

The greatest minds in the U.S. military have now, finally, turned their attention to these concerns, with the U.S. Marine Corps, for example, shifting its entire strategic focus to a potential conflict with China. But it may be too late.

Americans’ fatigue—and rival countries’ recognition of it—has limited the United States’ strategic options. As a result, presidents have adopted policies of inaction, and American credibility has eroded.

When Obama went to legislators to gain support for a military strike against the Assad regime, he encountered bipartisan war fatigue that mirrored the fatigue of voters, and he called off the attack. The United States’ redline had been crossed, without incident or reprisal.

Fatigue may seem like a “soft” cost of the war on terror, but it is a glaring strategic liability.

This proved to be true during the Cold War when, at the height of the Vietnam War, in 1968, the Soviets invaded Czechoslovakia, and when, in the war’s aftermath, in 1979, the Soviets invaded Afghanistan. Because it was embroiled in a war in the first case and reeling from it in the second, the United States could not credibly deter Soviet military aggression

It is no coincidence that China, for instance, has felt empowered to infringe on Hong Kong’s autonomy and commit brazen human rights abuses against its minority Uyghur population. When American power recedes, other states fill the vacuum.

U.S. adversaries have also learned to obfuscate their aggression. The cyberwar currently being waged from Russia is one example, with the Russian government claiming no knowledge of the spate of ransomware attacks emanating from within its borders. With Taiwan, likewise, Chinese aggression probably wouldn’t manifest in conventional military ways. Beijing is more likely to take over the island through gradual annexation, akin to what it has done with Hong Kong, than stage an outright invasion.

From time to time, people have asked in what ways the war changed me. I have never known how to answer this question because ultimately the war didn’t change me; the war made me

Today, I have a hard time remembering what the United States used to be like. I forget what it was like to be able to arrive at the airport just 20 minutes before a flight. What it was like to walk through a train station without armed police meandering around the platforms. Or what it was like to believe—particularly in those heady years right after the Cold War—that the United States’ version of democracy would remain ascendant for all time and that the world had reached “the end of history.”

Today, the United States is different; it is skeptical of its role in the world, more clear-eyed about the costs of war despite having experienced those costs only in predominantly tangential ways. Americans’ appetite to export their ideals abroad is also diminished, particularly as they struggle to uphold those ideals at home, whether in violence around the 2020 presidential election, the summer of 2020’s civil unrest, or even the way the war on terror compromised the country through scandals from Abu Ghraib prison to Edward Snowden’s leaks. A United States in which Band of Brothers has near-universal appeal is a distant memory.

When I told him that even though we might have lost the war in Afghanistan, our generation could still claim to have won the war on terror, he was skeptical. We debated the issue but soon let it drop. The next day, I received an email from him. A southerner and a lover of literature, he had sent me the following, from The Sound and the Fury:

No battle is ever won. . . . They are not even fought. The field only reveals to man his own folly and despair, and victory is an illusion of philosophers and fools.

Things that were long big fun now overwhelm, exhaust and annoy. The holiday season is an extended exercise in excess and loud, often sleazy sweaters.

Which means it is nothing of the sort. This is the drag equivalent of fun and suggests that fun is done.

Adults assiduously record themselves appearing to have something masquerading as “fun,” a fusillade of Coachellic micro social aggressions unleashed on multiple social media platforms. Look at me having so much FUN!

“I feel like I should be having more fun than I’m actually having,” says Alyssa Alvarez, a social media marketing manager and DJ in Detroit, expressing a sentiment that many share. “There are expectations of what I want people to believe that my life is like rather than what my life is actually like.”

Weddings have morphed into multistage stress extravaganzas while doubling as express paths to insolvency: destination proposals for the whole family, destination bachelorette and bachelor blowouts, destination weddings in remote barns with limited lodging, something called a “buddymoon” (bring the gang!) and planners to help facilitate the same custom cocktailsness of it all.

What could be a greater cause for joy or more natural than having a baby? Apparently, not much these days. Impending parenthood is overthought and over-apped, incorporating more savings-draining events that didn’t exist a few decades ago: babymoons and lethal, fire-inducing, gender-reveal gatherings and baby showers so over-the-top as to shame weddings.

Retirements must be purposeful. Also, occasions for an acute identity crisis. You need to have a plan, a mission, a coach, a packed color-coded grid of daily activities in a culture where our jobs are our identities, our worth tied to employment.

Vacations are overscheduled with too many activities, FOMO on steroids, a paradox of choice-inducing decision fatigue, so much so that people return home exhausted and in need of another one.

“The world is so much less about human connection,” says Amanda Richards, 34, who works in casting in Los Angeles and is a graduate of Cudworth’s course. “We do more things virtually. People are more isolated. And there’s all this toxic positivity to convince people of how happy you are.”

For eons, early adulthood was considered an age of peak fun. Now, according to several studies, it’s a protracted state of anxiety and depression.

Because there is now a coach for everything, Alvarez hired the “party coach” Evan Cudworth, taking his $497 course this fall on how to pursue “intentional fun.” (It now costs $555.)

Instead of this being the most wonderful time of the year, we battle holiday fatigue, relentless beseeching for our money and, if Fox News is to be believed, a war on Christmas that is nearing its third decade.

Blame it on technological advances that tether us to work without cessation

Blame it on the pandemic, which exacerbated so much while delivering Zoomageddon.

Blame it on 2004, with the advent of Facebook, which led to Twitter (okay, X), Instagram, Threads, TikTok and who-knows-what lurking in the ether.

Blame it again on 2004 and the introduction of FOMO, our dread of missing out, broadcast through multiple social media spigots

“So many people are retreating into their phones, into anxiety,” says Cudworth, 37, from Chicago. “I’m helping people rediscover what fun means to them.”

His mandate is redefining fun: cutting back on bingeing screen time, eradicating envy scrolling, getting outside, moving, dancing. “With technology, we don’t allow ourselves to be present. You’re always thinking ‘something is better around the corner,’” Cudworth says, the now squandered in pursuit of the future.

Blame it on an American culture that values work, productivity, power, wealth, status and more work over leisure

ow do Americans spend their leisure hours when they might be having fun with others, making those vital in-person connections? Watching television, our favorite free time and “sports activity” (yes, that’s how it’s classified), according to the Bureau of Labor Statistics, an average of 2.8 hours daily.

“That’s way more television than you really need. We put play on the back burner,” says Pat Rumbaugh, 65, of Takoma Park, Md. She’s “The Play Lady,” who organizes unorganized play for adults

Catherine Price, the author of “The Power of Fun: How to Feel Alive Again,” believes “we’re totally misdoing leisure” and “not leaving any room for spontaneity.”

To Price, True Fun is the confluence of connection (other people, nature), playfulness (lightheartedness, freedom) and flow (being fully engaged, present), which is not as challenging as it sounds. “You can have fun in any context. Playfulness is about an attitude,”

Back in the day, co-workers were friends. (Sometimes, more.) After hours, they gathered for drinks, played softball. Today, because of email, Slack and remote work, offices are half empty and far quieter than libraries.

“We go to work and there’s no sense of connection and camaraderie,” says Davis, who was long employed by his city’s department of parks and recreation. “People feel emotionally disconnected. Healthy conversations are the precursor of fun. We’ve lost the art of communication. Our spirit comes home with us. If you don’t communicate at work, what are you coming home with?”

The U.S.’s strategic objective in Ukraine is to prevent Russia, China and Iran from being able to declare persuasively to the watching world that they are winning.

Only one nation in the whole world is actively fighting to stop this alliance from winning. Ukraine merely wants the U.S. and Europe to send them the necessary instruments of war—not next summer, but now—with which, as the last year has proved, they will fight to the last man, woman and child. The Ukrainians have already written their blank check. Our fatigue is not an option.

By the time she felt mostly better, it was mid-May, although some of her symptoms still routinely re-emerge, she says.

“To me, and I think most people, the definition of ‘mild’, passed down from the WHO and other authorities, meant any case that didn’t require hospitalization at all, that anyone who wasn’t hospitalized was just going to have a small cold and could take care of it at home,”

“From my point of view, this has been a really harmful narrative and absolutely has misinformed the public. It both prohibits people from taking relevant information into account when deciding their personal risk levels, and it prevents the long-haulers from getting the help they need.”

But exhaustion is one of the few things that crosses those hardened party lines. Even people who voted for Trump four years ago and top Republican operatives in the area told CNN that the chaos surrounding the President has left voters beleaguered weeks out from the 2020 election.

The first presidential debate, which was dominated by Trump angrily yelling and interrupting and Democratic nominee Joe Biden firing back by calling Trump a "clown," did nothing but cement those feelings.

Lawler and the county party paid to have a large billboard put up between the towns of Viroqua and Westby that simply reads "Had Enough" in block letters before directing people to "Vote Blue" in November.

"It just makes you tired," Seeley said of Trump the day after the first debate. "He's like a kid in a candy store. If he can't have a piece, he breaks everything in the store."

"Richland Center is the dipstick of the country," Daniel Miller, the owner of Ocooch Books & Libations, said about the seat of Richland County. "Anything that is going on anywhere else is going on here in some ratio that is matching the country."

The area has long, according to local candidates, been home to high concentrations of ticket splitters, people who may vote for Democrats atop the ticket, but back Republicans in local races.

"Most people don't want the ugliness of the political world to be front and center in their news every day and in their conversations and in their drive to work," he said. "A lot of people are just fed up with the constant barrage of whatever the scandal of the day is."

"The key for Republicans is keeping the focus a lot more on kitchen table issues, focused on taxes and health care and education and what we think we can do differently," said Andrew Hitt, the chair of the Wisconsin Republican Party, who grew up in Richland Center.

"If Southwest Wisconsin looks more like an Obama map, it's going to be hard for the President to win," said Hitt. "If it looks like a Trump 2016 map and everything else kind of stays about where it is, then that that means the President is probably going to win (the state) again."

"It is exhausting to put up with all the complete bickering that is going on for four years," said Biefer. "This constant getting nothing done. I don't think it is helping any party."

"It makes you feel like doomsday is coming," Murphy-Lopez said of the tenor Trump has struck in recent weeks. "And the top thing I hear from independents or people who are on the fence is they want politicians who are going to work for the people, not the party. They are tired of elected officials going after each other, they are tired of people making each other look bad."

"If we walked up and down this main street right now, there are multiple vacancies," he said, pointing down Wisconsin Avenue from the back porch of Timber Lane Coffee in Boscobel. "You go to some of the smaller villages and they're almost dead. Their business districts are gone."

"I really don't like the two of them," Adams said of Biden and his running mate Kamala Harris. But Trump, Adams said, "is a liar. He has no care outside of his own image. He doesn't care about any of the people. His rhetoric is reprehensible. He is an embarrassment."

"There is a logjam in Washington, there is a logjam in Wisconsin and people feel quite hopeless," said the Democrat running to represent parts of Richland and Sauk counties in the state assembly. "And you layer that on top of the hopelessness that people have about the farm economy and the hollowness that people feel about small towns, that is a lot of exhaustion."

"I am tired of it and I am not going to sit back and let it happen anymore," Volenec said of the downturn in rural America and the farming that is shifting to larger and larger corporate farms. "A lot of these things, were set into motion prior to Trump, but he has had a steroid effect on things."

cities also break traditions and fracture families, and they breed psychiatric illness. In a city you are more likely to be depressed, to fall ill with schizophrenia, and to use alcohol and drugs. Poverty and rapid urbanization sharpen these effects.

We know that social position affects both when you die and how sick you get: The higher your social position, the healthier you are. It turns out that your sense of relative social rank — where you draw a line on an abstract ladder to show where you are with respect to others — predicts many health outcomes, including depression, sometimes even more powerfully than your objective socioeconomic status.

What has exploded in India over the past few decades, but also everywhere else in the world, is information about other people. As we watch television, surf the Internet and follow events around the world, we become intimately aware of other ways of living and of others who are richer and more powerful. We place ourselves in a vast social order in which most of us are ants. It may truly be a depressing reflection.

Some of these figures might simply reflect more willingness to label an experience as a symptom. For example, until recently, most Japanese understood intense fatigue as sacrifice for one’s work and suicide as an act of reasoned will. In her book “Depression in Japan,” the anthropologist Junko Kitanaka writes that partly as a result of aggressive pharmaceutical marketing, many Japanese began to think of their fatigue and suicidal thoughts as symptoms created by a disease. The number of diagnoses of depression in that country more than doubled between 1999 and 2008.

A rebel who gave her name only as Irina said she left her job at a kindergarten to join the fight in May 2014, soon after the start of the pro-Russian insurgency against the Ukrainian government, a conflict that has claimed more than 6,000 lives.

"We can't claim victory prematurely," he said. "Everybody, including myself, has some degree of Covid-19 fatigue, but the thing we try and emphasize is that this will end."

The spike is causing tension between the White House and some state governors who are pushing ahead with relaxed restrictions. Arkansas Gov. Asa Hutchinson said Tuesday he was lifting the state's mask mandate, while Alabama's Kay Ivey plans to do the same next week. New Orleans city leaders said Wednesday that they were relaxing capacity limit caps on gatherings. Meanwhile, Florida has welcomed crowds of spring breakers -- many of whom are unvaccinated and maskless.

Fauci's comments echoed those of President Joe Biden from earlier this week. Biden said Monday that "now is not the time" to ease social restrictions

People who have had both Covid-19 shots can gather indoors without wearing masks, meaning that the celebration can be held with some semblance of normality.

The agency said it still advises fully vaccinated people to wear masks outdoors and to take precautions until more is known about how vaccines protect against coronavirus.

The protection offered by the Pfizer and Moderna coronavirus vaccines is likely to last longer than six months, and maybe even years, vaccine experts told CNN, after data was released showing good protection half a year after people were inoculated.

The British medicines watchdog has identified 30 cases of rare blood clots in people who have received the AstraZeneca Covid-19 vaccine -- 25 more than previously reported -- but none with the Pfizer/BioNTech shot.

the UK's Medicines and Healthcare products Regulatory Agency (MHRA) said it received 22 reports of cerebral venous sinus thrombosis and eight reports of other thrombosis events, out of a total of 18.1 million doses of the vaccine

The MHRA said people should continue to get the AstraZeneca vaccine, because the benefits greatly outweigh the risks.

Germany has this week limited the AstraZeneca vaccine to people over 60, following reports of a rare blood clot in the brains of 31 people who had received a first dose in the country.

Side effects from Covid-19 vaccines won't last long

"These viruses may be able to infect people who are further than 6 feet away from the person who is infected or after that person has left the space," the CDC said.

Many hospitals are now filled beyond capacity,

pandemic fatigue.

And many of those who are sick of taking precautions are getting sick.

, more people are socializing indoors.

"linger in the air for minutes to hours,"

A variant first detected in South Africa

Gathering with multiple friends indoors can be dangerous.

"If you go to a party with five or more people, almost certainly there's going to be somebody with Covid-19 at that party,"

more than 50% of all infections are transmitted from people who aren't showing symptoms.

That's an average of 3.5 people getting infected every second.Read More

The United States has confirmed at least 76 cases of a highly transmissible variant of the coronavirus that was first detected in the United Kingdom.

And the United States ranks 61st in how quickly virus samples are collected from patients, analyzed and then posted to an international database to find new variants.

While it may be more transmissible, there's no evidence this variant first detected in the UK is deadlier or causes more severe disease, the CDC said.

Some patients have been put in hospital break rooms, parking garages and gift shops.

As of Thursday, it has not been detected in the United States.

That didn't happen. Not even close.

As of Thursday morning, about 10.2 million vaccine doses had been administered, out of roughly 29.3 million doses that have been distributed across the United States, according to the CDC.

You can test

negative

but still be infected and contagious.

And don't think you're invincible -- even if you're young and healthy.

"We see severe illness among healthy, young adults with no apparent underlying causes," Hotez said.

"may not be out of the woods yet."

just because he's going home, he's not completely out of the woods,

some of these patients have long-term lung impact

Trump's oxygen levels were healthy and he was breathing well, but he declined to answer a reporter question about whether there is evidence of pneumonia on the President's lung scans

Masud notes that recovering COVID-19 patients who were hospitalized need to be closely monitored in case they get worse, especially older adults.

It's a good sign that he was well enough to be discharged

"Individuals that have mild disease to start out with, just mild symptoms, they can in a week or so feel worse, worse enough to be in an ICU," she says.

most people with mild symptoms don't get the kind of aggressive treatment that Trump received. He's received an experimental antibody treatment, a course of remdesivir and the steroid dexamethasone, all treatments generally reserved for patients hospitalized with severe symptoms.

The President did have a fever, fatigue and a mild cough late last week, but hasn't had fever in 72 hours, his doctors said.

he'll be getting his vitals checked at least every day or every couple times a day in order to make sure nothing is happening." He will also need to complete his course of medications — the Remdesivir and dexamethasone

"It's possible that [the interventions] could make him better sooner," she says. "[But] we don't know really what happens to people that have mild disease and then get treatment with antibody medications, antivirals or steroids. I think we're sort of a little bit in a data-free zone, where we're not sure."

confusion, issues with memory, fatigue and not being able to catch their breath

Though Trump is not on oxygen now, his physicians did disclose he had "several little temporary drops in his oxygen" and took supplemental oxygen twice.

Masud says if he had a patient with Trump's profile — male, over 70 years and overweight — who was hospitalized for a few days and received aggressive treatments, he would want to monitor the patient's oxygen levels closely even after they went home.

We like to watch them for a day or two to make sure there's no relapse because we've had patients who relapsed also and required oxygen, especially when they become active ... they get tired and they can't catch their breath."

also monitor markers of inflammation

When speaking with reporters, Conley said the President would be closely monitored by the medical team at the White House at least through the weekend. "If we can get through Monday with him remaining the same or improving, better yet, then we will all take that final, big sigh of relief," he said.

one of the key things which has been shown to help patients recover is having good sleep, long duration of sleep

With a grueling election season ahead of him, lack of sleep and adequate breaks could hurt Trump's recovery, he adds.

South Korea, for example, has much higher compliance with masking and other social distancing guidelines. But that is not all; testing, contact-tracing and other public health infrastructure have proved to be just as important.

Americans need to start thinking about how to control the pandemic under the assumption that people are not necessarily going to listen. Testing is a key component of this. What if, for Thanksgiving, in addition to telling people not to see their families, we also emphasized getting a test before and after traveling and isolating until results were available?

Our testing capacity makes this strategy difficult in many places. But in some states, testing on either end of travel is possible. Public health officials may worry that testing should be presented only as a last resort, out of fear that it will encourage people to travel and let their guard down. But the fact is, their guard is already down.

As with so many other health behaviors, we cannot expect solutions based solely on individual behavior change. Pandemic fatigue is real, and we need to find more realistic solutions.

The largest declines in news attention over this period were found among working-age and pre-retirement Americans—for example, more than six in ten Americans ages 50-64 paid close attention to the news in 2016 compared to less than half in 2022.

around two-thirds of those ages 65 or older say they follow the news “all or most of the time” (down from a high of 81 percent in 2018) compared to less than one-fifth of those ages 18 to 29.

One-third of U.S. adults in 2022 said they follow the news at least “some of the time” while just under three in ten said they pay attention to the news “only now and then” or “hardly at all”.

it occurs in conjunction with shifts in media consumption towards digital devices, overall declining trust in the media and other institutions, and “high levels of news fatigue” across demographic groups.

It’s easier for people to do something else with their time and find more enjoyable distractions that don’t involve keeping up with the latest implosion in the House of Representatives, fights between dumb politicians, or what new conflict is flaring up in another part of the world.

Even as fewer people than ever are paying close attention to what is actually going on in America and the world, more and more Americans (and politicians) are piping off routinely—online, in the workplace, and in family gatherings—with hard-and-fast opinions about what it all means.

the net result is a more divisive and less informed citizenry coupled with a clear inability of major institutions and political parties in America to do anything cooperative on common economic, security, and social problems.

In a pluralistic society like ours—with important rights to freedom of speech and individual beliefs—it is not the job of government or others to coerce people into paying more or closer attention to what is going on.

But media companies, government bodies, and philanthropists could certainly put more money and effort into creating trustworthy news platforms for reporting important facts, presenting neutral analyses, exploring successes and failures in public policy, and hosting civil discussions about the important issues shaping the country.

One of the first questions experts asked me was whether my family was vaccinated. Yes, I said: My husband and I are vaccinated and boosted, and our kids are vaccinated but not yet boosted. This is a relevant question because, if you’re exposed to the virus that causes Covid-19, “your immune system kicks into action a lot faster if you’re vaccinated versus not vaccinated,”

If my husband and son never tested positive, why did they feel sick? Even if a vaccinated person doesn’t have much virus in their body, they can still have powerful Covid symptoms

Because the virus doesn’t replicate as quickly in vaccinated people, they may be less likely to test positive for Covid-19 after coronavirus exposure, because their immune system “keeps the viral load below the level of detection,”

It’s possible, then, that my husband and son did catch Covid-19, but their vaccinated immune systems fended off the infection so well that they never had enough viral proteins in their nose or throat to test positive. And their continual negative tests probably meant that they were never that contagious

First, the swift immune reaction slows the rate of viral reproduction and spread. “This is what the vaccines are there for — to educate your immune system so that it gets a jump on the invaders before they are able to replicate out of control,”

That’s because many illness symptoms — fever, malaise, runny nose, fatigue — are actually caused by the immune system’s response to the virus, rather than the virus itself

And as for why I felt fine, Dr. Morrison said that perhaps my immune system fought off the incoming virus so quickly that I didn’t even have a chance to feel sick. “It sounds to me like you were definitely exposed,”

maybe I had high levels of vaccine antibodies or immune cells called T cells that were able to kill the invading virus before it had a chance to alert the parts of my immune system that would incite symptoms.

All this said, nobody really knows what happened to me, my son or my husband. When it comes to understanding how Covid-19 affects the body, “there are so many open questions,”

people can have different experiences for many different reasons. For instance, Dr. Andino said, it’s possible that the virus was replicating in parts of my husband’s or my son’s body that the tests didn’t reach

Research suggests that the coronavirus can replicate in the pancreas, heart, brain, kidneys and other organs, although vaccination may reduce the chance that the virus spreads outside the respiratory system.

Dr. Andino said that he and his colleagues have been conducting studies in which they follow and repeatedly test entire households after one person in the home tests positive for Covid-19. “What we see is exactly what you described — that some people in the household don’t test positive,”

Specifically, the senator has become convinced that the push to register every young American for the draft, women included, is in fact a stalking horse for Big Government’s push to establish a system of compulsory national service.

One is the move (championed by Senator John McCain) to open the draft to women. The other aims to create a “National Commission on Military, National, and Public Service” that would “consider methods to increase participation in military, national, and public service in order to address national security and other public service needs of the nation.”

Today, more funding is made available to create additional Americorps jobs; tomorrow, 18-year-olds are being forced to man soup kitchens in the name of patriotism.

the biggest problem is that there are simply many, many more high-priced lawyers today than there is high-priced legal work.

Within the next decade or so, according to one common hypothesis, there will be at most 20 to 25 firms that can operate this way—the firms whose clients have so many billions of dollars riding on their legal work that they can truly spend without limit. The other 200 firms will have to reinvent themselves or disappear.

It was only when I suggested that a mere fraction of the world’s Big Law firms would survive another decade or two that I grasped the bone-fatiguing chore of running such a business. Theiss wouldn’t endorse the premise, but he didn’t exactly refute it, either. Demand had stopped growing, he told me. There was “substantial overcapacity.” Billable hours were way down industry-wide. “I don’t think anybody who follows the profession would suggest that this is only a temporary situation,” he said. The longer Theiss spoke, the bleaker the picture became.

As Kiev attempted to further consolidate its control domestically, Moscow delivered yet another blow to the fledgling government on Tuesday as Gazprom, the Russian state gas giant, said it would raise the price of natural gas sold in Ukraine by more than 40 percent.

Alexei Miller, the head of Gazprom, said that Russia would revoke a discount on gas prices granted as part of a financial lifeline granted to Mr. Yanukovych in December, raising the price to $385.50 per thousand cubic meters from $268.50 per thousand cubic meters.