3 things I wish everyone understood about #COVID19 now:

- The main risk isn't acute illness or death but chronic harm to hearts, brains & immune systems: https://docs.google.com/spreadsheets/d/12VbMkvqUF9eSggJsdsFEjKs5x0ABxQJi5tvfzJIDd3U/edit?usp=sharing

- You can get Long COVID following a mild illness: https://fortune.com/2023/01/05/origins-of-long-covid-90-percent-initally-mild-symptoms/

- COVID is evolving to be more dangerous by defeating our immunity protection: https://fortune.com/well/2023/01/06/kraken-xbb15-omicron-covid-variant-most-transmissible-yet-could-spawn-more-immune-evasive-variants-study-china-vaccine-monoclonal-antibodies-breakthrough-infection/

This means we should try to avoid spreading COVID & helping it evolve. And we should be more concerned for ourselves and others. #WearAMask

COVID-19/SARS-CoV-2 Studies

Google Docs

@augieray
And there is not much one can do about it.

Even the draconian measures in China did not eliminate the virus, so they gave up.

Sweden never really tried elimination. We did not use masks and excess mortality here is lower than in most countries.

@pietkuip You are correct excess mortality isn''t much higher in Sweden than elsewhere, however, Sweden's death rate from COVID certainly is much higher than most comparable nations: https://ourworldindata.org/explorers/coronavirus-data-explorer?zoomToSelection=true&time=2020-03-01..latest&facet=none&pickerSort=asc&pickerMetric=location&Metric=Confirmed+deaths&Interval=Cumulative&Relative+to+Population=true&Color+by+test+positivity=false&country=USA~GBR~CAN~DEU~ITA~IND~OWID_WRL~SWE~FIN~NOR

Draconian measures in China never would've eliminated COVID, but it did control it. China's mistake was not using the time it bought to implement better longer-lasting solutions.

COVID-19 Data Explorer

Explore global data on COVID-19.

Our World in Data

@augieray
That graph shows that Sweden's cumulative death rate from covid is comparable to Germany (where masks are still mandatory in trains). And lower than UK, US and Italy.

Higher than "world" but that just means that Sweden was testing better than the global average.

So what do you suggest Sweden and other countries should do?

@pietkuip Comparing any nation's COVID outcome to the US's is a tell of your bias, as is ignoring how Sweden compares to neighboring Norway & Finland. What I suggest:

- Masks in public places/mass transit
- Alter activities as infection rate/COVID in wastewater rises/falls
- Keep up to date on vaccines
- New rules on ventilation/filtration for fresh air in public spaces

None of it is perfect, but we don't need perfect. We need to reduce infections, disabilities & mutation.

@augieray
But in reality, what _measures_ do you propose?

What masks (cloth, paper, sophisticated filters)? How would you enforce masks? Fines?

How would you keep people up to date on vaccines? Forcibly? Or "just" threaten to get them fired if they don't comply?

And do you really have damned good evidence that those measures have an effect?

@pietkuip I think, like many who prefer to argue than to encourage safety, the focus on enforcement is a strawman argument. We need to start by having leaders and public health people do their jobs. We start by elevating mask advisories, promoting the risks, and not pretending the pandemic is over. We can accomplish a lot with the right information and guidance. It doesn't all need to be rules and punishment.

@augieray
"Promoting the risks" translates as trying to scare people, I guess.

That won't work, many people have had it now and know from their own experience that they recovered.

@pietkuip I will stop arguing with you, but I'd point out that once leaders and public health agencies stopped raising concerns, people got lax. In fact, a recent survey in the US found most Americans would welcome a mask mandate. People KNOW what they should do, but they don't want to appear panicky by acting alone. The first step is info and to help overcome social stigma associated with masking. The alternative? Millions of deaths and billions of disabilities worldwide.

@augieray
Ah, you are talking "mask mandate" again.

And you did not answer my question about what kind of mask (paper, textile, advanced filters).

You also dodged the question how to enforce such a mandate.