Tag Archives: vaccinations

Monday Musings: The Pandemic Two Years On

Two years ago at this time, we were just starting to hear reports of a strange new disease first discovered in the Wuhan Province of China. We didn’t know much about it, and while doctors in China expressed concern about what they were seeing, most of us didn’t think much of it. China, I remember thinking, is a long way away. Whatever this illness is, it’s not likely to have a huge impact on my life.

The hubris. The foolishness. The ignorance. The innocence.

This Sunday morning, as I began thinking about this week’s post, I went back and read some of the Monday Musings I wrote in 2020, when we as a society were first coming to grips with Covid and its implications for our lives and our world. I returned to the topic again and again that year, lamenting the previous Administration’s bumbling response to the pandemic, and trying to make sense in real time of the changes being imposed upon us by something we didn’t yet fully understand.

As I read yesterday, some of what I found in those posts from 2020 struck me as eerily familiar. Almost from the very beginning a certain, too-large segment of our society refused to take any steps to combat the spread of the virus because the actions in question conflicted with their concept of “personal freedom,” of “liberty.” At the time this mostly meant objecting to mask-wearing, to restrictions on large social gatherings, to business closings that prevented people from eating out and going to sports events and shopping in malls.

Today, we fight many of the same battles, and, of course, we struggle with the added social conflicts over vaccines and vaccine mandates.

We worried then, as we do now, about school closures and remote learning, and their impact on children and families. We saw fatigue and desperation and grief battering health care workers, and we worried about the long-term impact their ordeal would have on our entire medical system. And we saw Covid and the public battles over how to deal with it being politicized, deepening the fracture lines in a nation already bitterly divided by politics and social strife.

In too many ways, nothing has changed. And in other ways, things have only gotten worse.

At the time, we believed children were somehow immune to Covid. We have since learned, tragically, how mistaken we were.

Early on, the CDC was projecting deaths from Covid in the U.S. would exceed 100,000 and might reach as high as a quarter of a million. The number of cases of the illness, we were told, might reach into the millions.

The innocence. The ignorance . . . .

Currently, as we weather the third major wave of Covid, our nation’s death toll stands at approximately 835,000. The total number of cases stands at about 60,000,000.

I wrote in one of my earliest 2020 posts about how I remained hopeful that when the pandemic had run its course, we would return to something approaching the normal life we once had known. I was thinking a couple of months, maybe six, maybe a year. Two years on, and I no longer have any illusions about “normal” and what that means. By midsummer in 2020, I understood how naïve I had been. Normal, as we once conceived it, was already gone. We now live in a Covid world. I expect it will forever be a part of our health-scape. Like flu. Like AIDS.

Pretty grim, right?

Except it’s not. Yes, I know, as often as not (or more) my optimistic takes on things turn out to be off base. And if this is another instance, so be it.

But we as a society have learned to live with flu. We get shots, and though the flu vaccines are imperfect year to year, because they are based on health professionals’ best guess as to what the coming season’s flu strain will look like, they generally perform quite well. AIDS was once a death sentence. It’s not anymore.

Over 245 million Americans have received at least one dose of a Covid vaccine. Over 206 million are fully vaccinated. The numbers are growing. We must remain committed to fighting the wacky conspiracy theories and the misinformation, so that we can vaccinate millions more in the coming months. But compared to where we were a year ago, we are safer today because of the vaccines. Covid today is hitting hardest in counties with the lowest vaccination rates. Those who are getting sickest from Covid are those who haven’t had the shots. The vaccines work.

Omicron is hitting the country — and the world — hard right now. But it is demonstrably milder than the original strain and than Delta. My wife, who is a Stanford-trained biologist, tells me this is often the pattern with illnesses. They grow more contagious over time, but also less virulent. And there is an evolutionary explanation for this. The contagion grows, because like all living creatures viruses are driven to propagate, to ensure their own continued existence. And the virulence declines because a virus that kills its host has less chance of surviving and reproducing.

Moreover, while many of the problems we encountered with Covid in the earliest days of the pandemic have persisted over these two years, others have not. I wrote early on that I was so distracted by the pandemic and the accompanying social disruptions that I could barely work. I was desperate for normal interactions, for anything that felt familiar and safe. I had trouble remembering what day of the week it was.

As the pandemic has gone on, though, I have adjusted. I can keep track of the days better. I work every day at a pace very much like that which I maintained pre-pandemic. I don’t like Zoom very much, but I use it a lot and keep connected that way. I have attended many virtual conventions, and have taught workshops remotely. And I have gotten used to wearing my mask, to being with friends in open-air settings, to shopping online rather than in person, to cooking every night with Nancy rather than eating out once a week, or once every couple of weeks.

Is any of this ideal? Of course not. But neither is it such a hardship that I can’t cope. I still do believe we will come to some new way of living that feels closer to the old normal than where we are now. I no longer try to guess when that might happen. Because I can’t know. And because I am not as desperate for it as I was a couple of years ago.

I understand fully that I am privileged in this respect. For too many, the disruptions of the pandemic have been utterly devastating and have done permanent damage — physically, emotionally, economically. And I hope that as a society we will show compassion to those who have suffered most, and will help them rebuild their lives.

My point today, though, is that I believe this will be possible. Two years on, too much is the same. Too much has gotten worse. And yet so many of us have adjusted and are adjusting. It may not seem like it much of the time, but we are already building that “next normal.”

Have a great week.

Monday Musings: Showing 2021 The Door

A year ago, as 2020 was winding down and the nation was exhausted from months of lockdowns and economic devastation, from a disturbingly divisive Presidential campaign, and from the anti-democratic rantings and tantrums of our then Sore-Loser-In-Chief, I wrote a Monday Musings post about the year that had been, and the year I thought and hoped would be coming.

I closed last year’s post with this: “But I believe 2021 will start us on a path to a new normal, something different from what we knew before the pandemic, but something also more comfortable than what we’ve been through these past nine months.”

This is why I don’t gamble more. I really, really suck at prognostication. [Early in 2020, I closed out my first post of the year by saying I hoped that year would be “your best year yet.” Wowza.]

Six days into 2021, a group of terrorists posing as “patriots” stormed the Capitol building, the seat of the American republic, in an attempt to overturn the legitimate results of the 2020 Presidential election. Six people died.¹

So much for the “new normal.”

The pandemic proved far more stubborn than many anticipated, its resurgences fueled by the Delta and (recently) Omicron variants. Too many Americans have refused to be vaccinated. Too many still resist wearing masks. And so the virus has had ample opportunity to mutate, to grow more transmissible and more adept at evading the protections offered by the vaccines. (A silver lining: Maybe this will convince some people that evolution is real . . . Or maybe not . . .) We enter 2022 in the midst of a spike in cases that could prove to be the worst yet numerically, even as this newest strain of the virus appears to be somewhat less virulent than those that preceded it.

And, on a personal note, our family was beset in March with a terrifying health crisis that dominated much of our year, leaving us exhausted and emotionally spent, even as we celebrate quietly what has so far been a promising outcome.

In short, 2021 has been for us, and I know for many of you as well, anything but the bounce-back year we were anticipating.

So, where do we go from here? How do we say goodbye (or perhaps good riddance) to this year without setting ourselves up for another disappointment in the year to come?

Honestly, I’m not certain. The truth is, pretty much every year brings joys, be they large or small, and every year brings its share of tragedies and crises. Some years may be better than others on balance, but they all bring a mix of emotions. 2021 has been just about the hardest year of my life, and yet it has also seen the graduation of our younger daughter from college, a wonderful professional opportunity for Nancy (more on that in the weeks to come), and several publications for me as well as the auspicious beginning of a new freelance editing venture. Even our older daughter, who faced illness and grueling treatments, had an excellent work year and some memorable travel experiences with friends.

We are, all of us, resilient, as individuals and as a social community. It may not always seem that way, and certainly ominous clouds loom on our social/political horizon. Anti-vaccine misinformation is literally killing people across the country, just as continued lies about the 2020 election threaten the very existence of our democratic republic. We have a long way to go in so many respects. But I suppose, despite everything, and notwithstanding last year’s utterly useless predictions about 2021, I remain an optimist at heart.

It feels strange to say this, because I suffer from anxiety, and too often allow myself to spiral into negative thinking. But somehow my anxiety and my basic optimism coexist. I’m sure 2022 will bring its share of trials and calamities. I live with a Stanford-trained biologist, so I’m not so naïve as to think that Covid is going away anytime soon.

Yet, I also believe 2022 is going to be better than the past two years have been. I suppose on some level I have to believe this, for my own sanity. And so without making bold predictions, and without any illusions as to how foolish I might feel a year from now, reading back through this post, I look forward to the coming year. I welcome it.

And I say to 2021, “Don’t let the door hit your butt on your way out…”

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¹ Two insurrectionists died of heart attacks. One was shot and killed. A Capitol police officer died that day of a stroke after sustaining injuries and being sprayed with chemicals by those trying to breach police lines. And two more officers committed suicide within a week of the insurrection.

Monday Musings: My Covid Booster

Nancy and I received our Covid boosters on Friday. Saturday, we took naps, huddled in blankets (in addition to being without power due to powerful storms, we were both also dealing with low-grade fevers), and (once the power returned) watched a bunch of TV. By Sunday, we were feeling far better. As the week begins, we are back to ourselves, albeit with a twinge of lingering soreness in our arms.

We weren’t the only people at our local CVS receiving the booster, but we were depressingly close. Now, I know there are those who argue we should not be giving boosters to people in developed countries who are already vaccinated, when there are far too many nations in which vaccination rates remain well below 50%. It is crucial, these people say, that we get vaccines to the countries that are lagging behind. They are being devastated by Covid, and since new variants are most likely to develop in places where the virus is thriving, shifting resources to those nations protects all of us from the next Omicron.

All of this is true. But it only works as a strategy in a macro sense. Nations like the United States and our allies in Europe need to make a decision at the federal level to shift strategies and send more vaccine doses to under-served countries. You and me refusing to get the booster as a statement on national policy accomplishes nothing, and allows perishable doses to expire and go to waste. So as long as booster doses remain available, we should take advantage and get the damn shot!!

I have received the Moderna vaccine all three times now. The first shot left my arm sore. The second shot knocked me flat. Fever, headache, exhaustion. I was utterly useless for a full day and took a couple of days to recover entirely. Friday’s dose (the Moderna booster is actually half the volume of each of the first two shots), as I said above, left me tired and with a low-grade fever. It wasn’t nearly as bad as the second dose.

I will admit to being a bit reluctant on Friday. I didn’t want to be sick again, the way I was after vaccination #2. And I understand that lots of people who claim they are not worried about Covid, or who say they place their faith in God rather than vaccines, are actually just scared of getting the shot. They don’t want to be in pain. They don’t want the side effects. They would rather take their chances with the illness than deal with the certainties of the vaccine. (There is much talk about religious exemptions for vaccinations, but in the United States, only two major denominations expressly forbid their congregants to get vaccinated: The Church of Christ, Scientist, and the Dutch Reformed Church. Those are the only ones.)

Yes, the shot will hurt a bit, not just in the moment, but for a day or two or three after. And some people do feel puny for a day or two after getting the vaccine. And, yes, a very few people have even had more serious reactions to the shots. Such dangerous side effects are incredibly rare — less than one tenth of one percent of vaccine recipients reported them — but they do happen.

That the disease itself is far more dangerous, far more likely to cause long-term health problems, and exponentially more likely to prove fatal, goes without saying. Every study by every reputable institution, private and public, has come to that conclusion. Opinions to the contrary are just that: opinions — unsupported, unproven, likely unhinged. I am not going to catalogue the perils of Covid. I haven’t the time and space, and frankly, if you’re reading this now, and you haven’t yet chosen to be vaccinated, nothing I write is going to convince you.

Here’s the thing, though (and I understand some people CAN’T be vaccinated for medical reasons — this is not directed at them): Refusing the vaccine, like refusing to mask, has nothing to do with “freedom” or “liberty.” American freedom, while rooted in individual liberty, has always been an expression of community values, and refusing to take proper precautions to prevent the spread and mutation of Covid is an assault on the public good. Anti-vaxxers and mask-phobics are putting other people at risk. That’s NOT an opinion. That is fact, supported by medical professionals across the ideological spectrum. Vaccines save lives. Masks save lives.

So if you refuse to be vaccinated because you’re scared, or you’ve bought into foolish conspiracy theories, or simply because you can’t be bothered, so be it. But don’t fool yourself into thinking you’ve taken a stand for “liberty.”

If you HAVE been vaccinated, thank you. The closer we get to full vaccination, the more likely we are to prevent, or at least slow, the spread of future variants. And if you wear a mask in public, thank you for that as well. I just got a new set of masks — best I’ve had in the past two years. So I’ll be styling this holiday season…

Have a great week.

Monday Musings: What Memories of My Mom Have To Do With COVID

My mother’s birthday is this coming Friday, February 5. I’ve written about her before in this space. I’ve marked past birthdays with Facebook posts and the like. But somehow this year, with her birthday approaching, I find myself thinking of her even more than usual.

She would be turning 99 this year, but we lost her long ago — back in the mid-nineties, when my older daughter was just an infant, and my younger daughter was, to resort to cliché, not even a glimmer in our eyes. I won’t bore you with the sorts of general memories I’ve shared in the past — her love of travel and books, her slightly goofy sense of humor, and her passion for progressive causes and social justice.

My thoughts have gone in a somewhat different direction. I wonder what she would be thinking about the pandemic, and the state of our world. I know she would have been devastated by the earliest days of COVID, almost a year gone now, when her beloved New York City was virtually closed, its hospitals strained beyond capacity, its cultural treasures shuttered. I know she would have had nothing but contempt for those who refused to wear masks and failed to acknowledge the seriousness of the disease.

But I wonder what she would think now. The world is entering a new phase with the pandemic, and I’m not sure what to make of it myself. On the one hand, this is a time of tempered hope. The numbers are terrible, but not quite as bad as they were a few weeks ago. We have vaccines from several drug companies. The protocols vary, but the promise they offer — of limited but effective immunity — allows the optimists among us to envision a time when fear of COVID might fade a bit. Since the pandemic began, health officials have warned against comparing this strain of the Coronavirus to the flu. But if the vaccines work, if immunity can be introduced to broad swaths of the population, COVID might become something we can think as we do influenza: as an illness to be feared, but managed.

On the other hand, our hopes in this regard have to reckon with several troubling truths. First, COVID isn’t going anywhere. Regardless of where it came from, it will probably be around pretty much forever. And the comparison to the flu carries a darker implication. It will continue to mutate, just as the flu does. Already new strains have reached our shores from London, from Brazil, from South Africa. No doubt more are coming. Even now, these new mutations are exposing weaknesses and vulnerabilities in the vaccines. Just as flu shots are somewhat hit-or-miss in their effectiveness, future COVID immunizations are likely to be as well. And COVID is far deadlier than the flu; vaccination failures will have tragic consequences.

What does all of this have to do with my mother? A good question, one I’m still trying to wrap my head around.

Part of it might be this: She used to talk to me about the feared diseases of her childhood. As I say, she was born nearly a century ago, in 1922. When she was a child, penicillin didn’t exist. She was in her thirties, the mother of two small children, when the polio vaccine was developed. I remember once, when I was a kid, a friend of mine got Scarlet Fever, and Mom’s first reaction was to tell me how serious it could be. She almost had to remind herself that by then treatments had become fairly routine. I later learned that she had known children who died of it.

The truth was, my childhood, and that of my siblings, had been made far less perilous by the medical advances of the mid-Twentieth Century. Looking back, I believe that era will be looked upon as a historical aberration. Yes, medical advances continue. But we live in a world that is far more interconnected than it was in the 1960s, ‘70s, and ‘80s. The safety conferred by those advances must now race with accelerated exposures and mutations.

I don’t mean to make this a doom and gloom post. I do think that, by and large, the COVID vaccines will work. Our world will find its way, haltingly, to a new normal that returns to us some of the societal freedoms we’re all missing, while also remaining conscious of the novel threats we face. I’m sad to say that I believe my mother would be less optimistic. She would find all of this frightening, and I wouldn’t blame her. These are scary times. We are fortunate to now have in place an Administration that takes the danger seriously, that relies on science and health experts, and that has no political stake in denial.

That, though, only gets us so far. We need to remain vigilant. We need to watch out not only for ourselves, but also for one another. And that means masking, distancing, getting vaccinated when we are eligible.

Stay safe, friends. Take care of those you love. Take care of those you don’t even know. That’s how we overcome even the most pessimistic of scenarios.