Please create an account to participate in the Slashdot moderation system

 



Forgot your password?
typodupeerror
×
Medicine Science

'The War Has Changed': Internal CDC Document Urges New Messaging, Warns Delta Infections Likely More Severe (washingtonpost.com) 422

Yasmeen Abutaleb, Carolyn Y. Johnson, and Joel Achenbach, reporting at Washington Post: The delta variant of the coronavirus appears to cause more severe illness than earlier variants and spreads as easily as chickenpox, according to an internal federal health document that argues officials must "acknowledge the war has changed." The document is an internal Centers for Disease Control and Prevention slide presentation, shared within the CDC and obtained by The Washington Post. It captures the struggle of the nation's top public health agency to persuade the public to embrace vaccination and prevention measures, including mask-wearing, as cases surge across the United States and new research suggests vaccinated people can spread the virus.

The document strikes an urgent note, revealing the agency knows it must revamp its public messaging to emphasize vaccination as the best defense against a variant so contagious that it acts almost like a different novel virus, leaping from target to target more swiftly than Ebola or the common cold. It cites a combination of recently obtained, still-unpublished data from outbreak investigations and outside studies showing that vaccinated individuals infected with delta may be able to transmit the virus as easily as those who are unvaccinated. Vaccinated people infected with delta have measurable viral loads similar to those who are unvaccinated and infected with the variant.

"I finished reading it significantly more concerned than when I began," Robert Wachter, chairman of the Department of Medicine at the University of California at San Francisco, wrote in an email. CDC scientists were so alarmed by the new research that the agency earlier this week significantly changed guidance for vaccinated people even before making new data public. The data and studies cited in the document played a key role in revamped recommendations that call for everyone -- vaccinated or not -- to wear masks indoors in public settings in certain circumstances, a federal health official said.

This discussion has been archived. No new comments can be posted.

'The War Has Changed': Internal CDC Document Urges New Messaging, Warns Delta Infections Likely More Severe

Comments Filter:
  • by The Other White Meat ( 59114 ) on Friday July 30, 2021 @09:42AM (#61637949)

    I was in Provincetown the week after July 4th, when the major outbreak was underway. Of my friends, 100% were vaccinated, 100% got sick. Thankfully nobody has needed hospitalization, but Delta changes the game, even with vaccination.

    • by neilo_1701D ( 2765337 ) on Friday July 30, 2021 @09:45AM (#61637957)

      100% were vaccinated, 100% got sick. Thankfully nobody has needed hospitalization

      In other words, the vaccinations were 100% effective. That's great news!

      • by cayenne8 ( 626475 ) on Friday July 30, 2021 @09:48AM (#61637973) Homepage Journal
        That's the thing.

        If I'm not afraid of dying, then I'm not really afraid of catching it.

        At this point, pretty much EVERYONE int he world is going to catch it one time or another, and if so, I'd rather :

        1. Be vaccinated so my odds are heavily in favor of mild, if not asymptomatic survivability.

        2. Before and after, I have a normal life again...going out, not having to wear a mask all the damned time (I'm a bit claustrophobic)...and generally enjoying life in a normal manner.

        And for those that are un-vacinnated, well, it's your choice, you live with that choice and its consequences....good luck.

        • Re: (Score:3, Insightful)

          by Echoez ( 562950 ) *

          That's exactly how I feel. I'm fully vaccinated and I'm in a low-risk group to begin with. I'm not afraid of either 1) getting no symptoms at all or 2) getting slight symptoms, especially as my family is vaccinated.

          We are rapidly approaching the point where Covid is like the flu or catching a cold: Nobody really cared about getting the flu or catching a cold even though influenza kills tens of thousands a year. If vaccinated folks have near-zero chances of hospitalization or death then we should be C

          • by tragedy ( 27079 ) on Friday July 30, 2021 @10:40AM (#61638237)

            What Covid has driven home for me is the importance of getting vaccines that protect others, not just yourself. In the past, I've mostly skipped flu vaccines because I can just shrug off the flu. I would even go about my normal life, including going to work. I've come to realize how irresponsible that behavior was. From now on, I'm going to start getting the flu vaccine every year and, if I think I'm sick, I'm not going to go into the office or to the store, etc. If I absolutely have to go somewhere, I'm going to wear a mask. I should have been doing that all along.

          • by necro81 ( 917438 ) on Friday July 30, 2021 @10:59AM (#61638355) Journal

            rather than trying to lock down in order to help reduce spread to unvaccinated idiots.

            Unfortunately, the spread among unvaccinated idiots is likely to further erode the efficacy of the vaccines. So it is not as though the vaccinated population is free to let things run amok.

        • by rsilvergun ( 571051 ) on Friday July 30, 2021 @10:10AM (#61638075)
          about half will be asymptomatic. A large number are older, retired folk and people working from home will get it but since their exposure is limited their viral load will be lower, increasing their odds of shrugging it off.

          What those folks _will_ do is spread the virus to people who don't have those luxuries, or who are just unlucky and will get severely ill.

          Yes, a few of the anti-mask/vax will get severely ill. A few will die. But since so many will get away without any consequences they can cheerfully say "screw you, God will save me".

          COVID is the worst possible virus it could be. If it was more deadly we wouldn't have this conversation because the anti-mask/vaxers would know a bunch of people who died and with it they'd know fear. If it was _less_ deadly it wouldn't be that big an issue.

          COVID is just deadly enough it can overwhelm our medical system with the willfully ignorant but not deadly enough that they can't be tricked by propaganda.

          I've got a good friend of mine who's black and doesn't have good health insurance. He's vaccine hesitant and it's likely because he seldom if ever goes to a doctor, even when he really needs to. Studies show the single biggest thing that convinces the vaccine hesitant to get the shot is their doctors. But in America if your job sucks you don't get to see a doctor....
          • Re: (Score:3, Informative)

            by iggymanz ( 596061 )

            except the evidence is that getting the infection and recovering only gives protection for a time as antibodies wane, much less protection than the robust level the vaccines give that we find go for more than 6 months. So a portion of the unvaccinated will get infected again and again with various strains, a Russian roulette game

            • True the problem is that the numbers just aren't high enough it's your average person knows somebody who died from the virus. At least not somebody who died it isn't a new sick late '60s or early seventies. That's what makes the virus so insidious. If it were more deadly we'd actually have it more under control. There's a whole host of people out there who unless they personally experience a tragedy just cannot comprehend it. Not won't, can't. We have a ton of people pushing propaganda to take advantage of
          • Re: (Score:3, Interesting)

            >God will save me

            If anyone says that to you, you can remind them of Matthew 4:5-7. Doing something stupid and expecting God to bail you out from it is explicitly forbidden.

          • Have you tried approaching your friend with something to the effect "Yeah, lots of reason for distrust there. So what do you do with people you don't trust? You watch what they do, not what they say. What fraction of doctors got the vaccine themselves? How many rich white people bribed hospitals for early doses?"

        • Re: (Score:3, Informative)

          Cayenne8 has provided the rational outlook going forward. There is no other alternative, sure we can try lots of smoke and mirrors but his point "At this point, pretty much EVERYONE int he world is going to catch it one time or another" is spot on and I would only add that many have already had it. Society needs to accept this.
        • by jellomizer ( 103300 ) on Friday July 30, 2021 @10:55AM (#61638333)

          No you don't get it.

          It isn't that I am afraid of Catching COVID, I am afraid of spreading it to someone else. Back over a year ago, before we had too much information on it, I was like, well let me just catch it, I am at the demographic that should be able to handle it, just lock me in my room for a couple weeks, then I would be good to go.

          However the real danger is the amount of time that you don't have symptoms and are infectious, so during that time I figured I was fine, I could had spread it to my loved ones friends and colleagues who may be at a higher risk for compensations or death.

          If I die, I am dead, there isn't much to be afraid about that. However I don't want to die, as it will put undue burden onto other people. I don't want to be spreading COVID as well to avoid putting undue burden onto other people.

          • It isn't that I am afraid of Catching COVID, I am afraid of spreading it to someone else.

            Well, since I'm vaccinated, as mentioned, I"m not that afraid of catching it since I won't die.

            Therefore, I'm not that afraid of spreading it around to other people that are vaccinated.

            The vaccine is out there and free and easy to get.

            Those that refuse to help themselves, well, that's their problem.

            Because of THEIR choices, the onus is upon them to protect themselves, wear N95 masks and avoid public places...it is

        • And for those that are un-vacinnated, well, it's your choice, you live with that choice and its consequences....good luck.

          Ignorant and senseless argument, since the unvaccinated will continue to cause this virus to mutate, and we're one variant away from vaccines being worthless.

          Then we're back to everyone trying to "live" with the consequences. Including you. Good luck.

      • Re: (Score:3, Informative)

        by Reiyuki ( 5800436 )

        In other words, the vaccinations were 100% effective. That's great news!

        CDC defines efficacy and effectiveness around reduced case counts, not reduced symptoms. See: https://www.cdc.gov/csels/dsep... [cdc.gov]

        If everyone was infected, the the efficacy for the vaccine in that particular group was 0%.

      • For hospitalization. You can still get serious issues, and long covid, from an infection not bad enough to require hospitalization. Severe damage we don't know the consequences of in the long term; long covid involving getting winded by a short walk. This isn't a disease where it's a binary between ICU/death and perfectly benign.
    • I wonder if Lollapalooza [insider.com] which runs from July 29 to Aug 1 will turn out to be a super spreader event.

    • Of my friends, 100% were vaccinated, 100% got sick.

      What's the sample size here? Pretty much all reports show that at least Pfizer and Moderna are pretty effective against contracting the delta variant, albeit less than against other variants. For all of your friends to become infected, they must have been small in number or seriously unlucky.

      • by aitikin ( 909209 )

        Of my friends, 100% were vaccinated, 100% got sick.

        What's the sample size here? Pretty much all reports show that at least Pfizer and Moderna are pretty effective against contracting the delta variant, albeit less than against other variants. For all of your friends to become infected, they must have been small in number or seriously unlucky.

        Depending on when they got vaccinated, the efficacy of it may have dropped. [slashdot.org] It'll be interesting to see if/when the booster shots get recommended.

    • So you have one friend, and they got sick, from drinking too much that night?

      The actual numbers of Vaccinated (With a few weeks for the body do its thing) vs Delta Covid cases is very low. Well within the range of the Vaccines rated efficacy rating.

      Your story seems to be very misleading.
      1. How many friends are you talking about? Percentages are a good way to lie.
      2. When you say they were vaccinated, how long ago where they vaccinated, did they have all the required vaccinated, had time passed. If you get

  • Imagine when the delta variant moves indoors this fall and winter.
    • by iggymanz ( 596061 ) on Friday July 30, 2021 @10:15AM (#61638099)

      we're certainly going to cull the dumb-ass herd a significant amount then. My estimate for U.S. deaths back in early 2020 was 2 million and we're only managing to draw that order of magnitude of death out since half the population didn't get vaxxed. Sad but preventable and entirely due to stupidity.

    • by MrL0G1C ( 867445 ) on Friday July 30, 2021 @10:18AM (#61638131) Journal

      In the UK there won't be any Delta variant left to spread since most of the population (88% adults at least 1 jab) is vaccinated and Delta is spreading so fast that everyone will have had it by winter, at least I think that's the gov't plan... Same as the old plan.

      It's complicated here, official figures make it look like infections are plummeting but actually for some reason 90%ish of testing centres are closed so, false data. BUT, even though the symptom tracker data shows infections are rising fast, hospitalisations are not rising fast. Since most people here were vaccinated in the last 3 to 4 months, the vaccine is doing a good job of stopping severe cases of covid19. The bad news is data shows vaccine effectiveness doesn't last long, it drops fast. So maybe it's best as many people as possible get the virus now whilst the vaccines are working rather than slow the virus down and end up having a worse outcome.

  • Vaccines usually do not stop you from becoming infected. They stop the infect from being as serious. That is part of the issue, vaccinated people can apparently carry the disease without showing symptoms. If it was only that unvaccinated people were going to get sick and die, I would say it was there own choice, but their refusal effects all of us through overloading the medical system, increase medical costs for everyone, and the increase danger to those who cannot for one reason or another get the vacc
  • Why didn't anybody warn us that the disease could mutate into a more transmissible and dangerous variant?
  • by JoshuaZ ( 1134087 ) on Friday July 30, 2021 @10:20AM (#61638149) Homepage
    Many Republican legislators are blocking universities from requiring either vaccination or masking on campus. (Iowa State where I used to teach is being blocked by the legislature). In Wisconsin apparently some Republicans are even trying to block a system at the University of Wisconsin where students who are not vaccinated would be required to get regular testing. Apparently even trying to have required COVID testing is too much https://www.jsonline.com/story/news/politics/2021/07/29/republican-moves-block-uw-virus-testing-vaccination-rules/5415926001/ [jsonline.com]. It seems like much of one political party in the US has decided that anything resembling a safeguard for COVID must be a bad idea. Really not great.
    • Translation: one political party knows we are pathological liars now after how we've acted the past five years and don't trust us.

    • It's utterly bizzare that a political party would this for their hill to stand and die on.

  • I think it's important to understand that when you get Vaccinated against COVID-19, you aren't immune to it. None of the vaccines tout that you can't get it after you have the vaccine fully onboard. The advantage of the vaccine is that if you do get COVID-19, you won't A.) die from it, and B.) get so sick you have to be hospitalized and ventilated. They have never, ever said you can't get sick from COVID-19 after you've had the vaccine.

    The scenario that we should be considering is when you are vaccinated,

  • Imagine that the world has reached a tipping point. Idiocy is rampant and there is no cure. War just kills and destroys and is evil. Instead, we simply separate. All the anti-mask/pro-infection and anti-vaccine/pro-death crowd would be rounded up like plague carriers and shipped to islands. Not to die, but to prevent them from infecting others. The islands are well supplied for a comfortable life for those who survive, and a month after deaths stop they would return to the civilized world. Of course the isl

Technology is dominated by those who manage what they do not understand.

Working...