Monica is the most forward thinking, compassionate professional I have ever heard speak on these matters. I wish that more health care professionals and scientists had the ability to balance the data with compassion as Monica has.
In times of turbulence people naturally seek a reliable anchor. In the past year I have found needed wisdom and steadiness in your Grand Rounds. Thank you, both for the scientific insights you have discussed and the way in which you discussed them. I have drawn as much comfort from your collegiality as from your considerable professional insights.
She's not as sick in the head as the other three. They are OK with creating a new segregated society over a slightly worse version of the flu that we've lived with for decades! Klaus Schwab and BKill GHates have done an incredible job selling this new world order dystopia.
I so appreciate these talks and hearing the different perspectives, intelligently explained I might add. I also think that we should now be changing the topic of conversation in venues or podcasts like these to talk about a couple of other things. 1) why the high in-hospital deaths (still)? and 2) now is THE time to start talking about food's role in immunity. (Yes, as well as stress). I mean, we should be using this "down time," so to speak, to focus on how we can implement good health on a *mass, public scale.*
The UK variant came up on the radar in september (6 months after the first wave) it spread to become a major problem by november. The timing of the South African and Brazilian variant was similar - although lack of sequencing meant they didn't show on the radar ahead of becoming problematic. The Indian variant was a bit later, but the first wave was later in India, so still the same timeline. So how long does immunity last for somebody who has had the covid? The answer is they become vulnerable to a variant which has a change in the the receptor binding domain after 6 to 8 months. immunity to the variant they caught first time around will be longer.
Maybe I am being irrational here, but it feels like Monica is ignoring two critical realities during parts of this discussion: 1/ Far north CA is not like the rest of the state. High case rates, low vaccination rates, and higher vaccine resistance. It seems if we're going to treat the state as a whole, we are stuck treating it like the worst part of the state. Things are getting better up north! They do not seem to be there yet. 2/ How will the vaccine-hesitant react to the removal of a mask mandate? It seems very reasonable to assume many will just "fit in" and demask as well. This may not add much risk to the vaccinated with healthy immune systems, but to other unvaccinated individuals it significantly increases risk. Are we not doing public health for the unvaccinated anymore? Dismissing people who disagree as suffering from "trauma" or "anxiety" is, itself, dismissive, not passionate, particularly when there is reasonable disagreement from colleagues. Risk level differences, different views of the role of social protection are not all trauma and anxiety. I very much understand the desire to renormalize, I have it too. But rushing needlessly for just the vaccinated, ignoring how the unvaccinated will be impacted, no matter the reason for their choices, doesn't seem like good health policy. Optimistic indeed.
And the variants. Most of the world has little access to vaccines, even Canada, let alone countries where other public health challenges are the rule, not exception. Won’t natural selection lead to more virulent and dangerous strains?
@@lisalisa20907 No. Killing off or incapacitating your host too soon is not a good long term strategy. Usually less severe but more transmissive strains win out when it comes to natural selection.
Thank you again for posting these on youtube. These videos have been a very useful source information for me about the pandemic and I really appreciate it.
Massachusetts has a higher vaccination rate than California. Massachusetts is 4th and California is 21st. The infection rates in Massachusetts spiked from the end of March to the end of April and at that point the vaccination rates were slightly better than California. There is more to the rates of infections decreasing in certain areas than just vaccination rates. I really believe people have way too much faith in “being vaccinated “. I will be wearing a mask for a long time.
Thank you for this. I am concerned about both the variants and another wave especially because younger people seem to get sick more recently. How safe is it if you are a parent or if you care for someone who might be at risk for other reasons? Finally, as you all point out, even California has wide ranges in vaccination rates, but we have one muddled policy. I am very worried, I know a lot of anti-vaccine advocates and I have far less confidence in the honor system. Dr. Gandhi, you give me confidence in the vaccines despite their differences, and I appreciate that you folks address access in the US and globally, and talked some about variants, but The UK in some places aren’t the variants becoming a problem?
would you even CARE if Social media wasn't CONSTANTLY telling you to "be afraid" of "scary variants"? REAL question. viruses mutate ALL THE TIME but no one gives a fig unless media and social media figures desperate to hold onto their extended 2 minutes of fame weren't pushing it. Also-younger can get sick but LESS SICK and look at OVERALL cases and death rates-continue to drop like a rock. The media and fear porn purveyours will NOT put this into context and the empty bubble head anchors will NOT press on this-doesn't fit the narrative of FEAR to generate clicks and money
Not everyone is in SF so please don't use the best case scenario to justify CDC's idiotic position (as we see them repeatedly doing so during the pandemic) . The nation still has 30,000 cases/day and India and the rest of Asia are flaming again. What a narrow point of view speaking only of Bay Area and CA
I had knockdown, drag out, 10 days with Covid last June followed by GBS. The variant was not as bad for me this March but was severe for some others. Without a mask, I would have infected hundreds at Costco and the essential suppliers to my life and farm while infectious each time before the fever hit.
Evaluating or "adjudicating" the risk to children is not a one-time static, unchanging exercise, but (it seems to me) dependent, partially at least, on the number of available more vulnerable hosts. Meaning, as more of the elderly, middle aged and young adult population acquire antibodies to SARS CoV-2, children will be more affected. Hasn't the rate of hospitalized children gone up? I ask because I don't know for sure, it's just what I'm reading and seeing.
@@Cathy-xi8cb Yes, I watched "this" video already, the video we are all commenting on. I was referring to the hospitalized cases more recent than February, what we were hearing about as the rate of older adults was going down, the cases of hospitalization in children were going up. Anyway, not a huge point worth arguing about.
I This is great to hear! Q: I had to give my SSN to sign up for a shot. Is this standard? If so, what about undocumented immigrants? Have they been able to get shots? Thank you.
so the schools should have remained open because it doesn't matter if teacher's get ill or not? I so disagree with this. kids are sponges and will catch up quickly. it was worth it to keep schools closed to protect teachers.
Teachers have been contact-traced to be found to be the SOURCE of infections of other teachers. Positive kids have been infected by their own families much more frequently, and haven't transmitted it to teachers very often. This can be determined by genetically sequencing their viruses. Sorry. The teachers have been the problem, not the victims. But colds and flu? Yes, kids transmit those viruses easily to their teachers. So teachers should be wearing masks going forward for the rest of their careers....
Immune from pathology 2 ways. That's what Monica said in April. So why can't those who've acquired the antibodies the good old fashion way get some rights back eh?
Hi I was hoping to hear you talk about the differences between the vaccines; Pfizer, Moderna, J&J, and AstraZeneca - which are all being administered. Even after hearing J&J and AstraZeneca causing blood clots. We are watching you to be informed on what vaccine to get and too, what are these vaccines doing inside our bodies in comparison to a Flu shot, or a tenuous shot?
The comparative rate of TTS of the vector vaccines vs the myocarditis rate of the MRNA vaccines would also be helpful and allow for complete comparisons. Unbiased and non geo political
Tell Republicans they don't have to wear a mask after vaccination and they will go do it? But they're not wearing the mask in the first place! (Ok, many of them aren't.) Boosters: I totally agree with MG that we will NOT need them, or maybe I should say, most of will not need them. Those mRNA vaxes are amazing.
@@kw7807 Unfortunately I tried that , and there is no link to these COVID focused Grand Rounds, and nothing on the calendar providing a URL to the live event.
I think she doesn't know that children also have long covid. Just because they didn't have a hospitalization doesn't mean they don't have long lasting sickness.