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Small-Scale Question Sunday for September 29, 2024

Do you have a dumb question that you're kind of embarrassed to ask in the main thread? Is there something you're just not sure about?

This is your opportunity to ask questions. No question too simple or too silly.

Culture war topics are accepted, and proposals for a better intro post are appreciated.

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https://fortune.com/2024/09/26/bird-flu-us-health-officials-h5n1-cdc-information/

This is concerning IMO. Avian flu slowly but surely gets closer to becoming a human pandemic. The CDC and other officals drag their heels and drip-feed information each Friday afternoon. Farmers are reluctant to test their animals. The authorities lack authority to enforce testing.

There has been a human hospital patient with bird flu in Missouri. Why is that interesting? Because he had not been in direct contact with likely animal sources. A household contact of the patient became sick but was not tested. Several of the healthcare workers who cared for the patient have become sick too. It's too soon to declare human to human transmission however. It may be the case that the healthcare workers got covid or something.

The problem as a whole is not taken nearly seriously enough. My only hope is that the vaccines for both animal and human use are developed quickly enough to prevent a pandemic, or to or mitigate it before it starts. It's a race against the clock and the officials don't seem motivated to run.

At this point, the medical establishment and government don’t (or at least, I really, really hope they don’t) have enough credibility left to enforce anti-pandemic measures. Even if avian flu does become a human pandemic and is widely acknowledged as such, it’s probably just going to have to rip through the population like any other transmittable disease. Those who get sick, get sick; those who die, die; and those who survive eventually reach herd immunity.

People in Medicine are really nervous, you are right that public health entities burned through basically all the credibility they had last time, but at current expectations this Avian flu would be be worse than COVID and U.S. healthcare (and likely everywhere else) has basically burned through every ounce of slack it had including things like people's willingness to work and mental health. A lot of COVID-denier types were able to miss just how close we were to total collapse because everyone was locked up at home but this could be really, really bad.

A lot of COVID-denier types were able to miss just how close we were to total collapse because everyone was locked up at home but this could be really, really bad.

I don’t think the Covid-deniers did miss that; it’s everyone else who failed to see the issue. Opposition to lockdowns was the single thing that united all the various types of skeptics.

I think you misunderstand, even with the reduction in cases because of lockdowns our hospital infrastructure almost collapsed (and would have without them, at least initially).

Denier/skeptic types don't realize how bad it was in the beginning. I've seen plenty of people here doubt the seriousness of COVID, call complaints of full hospitals etc as fake news, and so on.

Just from my own perspective, I don’t think the problem was the initial reaction. The problem was that there was no real thought into what was going to be the sustainable solution to the need to slow spread while still giving people freedom and not destroying the economy. There were no end dates or mitigation mechanisms, no advice on what kinds of activities were high or low spread, or what types of environments were conducive to spread. So they just locked everything up indefinitely just to be sure and lied about the dangers so that the people were too scared of Covid to make rational decisions.

And to me that damned the whole thing. Nobody will trust a system that cannot be honest or upfront about dangers and trade offs and how the economy could actually function when nobody can leave the house without government permission. It further gave no criteria or end dates to the emergency. 2 weeks to flatten the curve became 2 months, than nearly 6 months. Because of all of this, the government simply lost all credibility, not just in health (and being Frank, no matter how bad the next pandemic gets, lockdowns are off the table, and good luck with vaccines) but in almost everything else. If the government lied about this in a power grab, what else are they lying about. (I personally think at least some of the popularity of Qanon and later election denial is down to the loss of trust that came out of the lockdown experience. People felt abused and lied to by their own government, and as such, conspiracy theories telling them the government was lying about other things and using its power to manipulate them into things that benefit them). That trust is unlikely to come back for at least a generation and maybe longer than that.

When I argue with my coworkers and other pro-Lockdown types its all about how it was poorly defined, blew our load on an important public health intervention, failure of implementation and buy in etc etc.

When it's the anti-Lockdown types its almost always "bruh, you know COVID was real right?"

I mean sure a lot of people ended up believing it was fake, but to take their perspective, the government was pretty much lying about everything all the time. They said as a slogan that it was “2 weeks to flatten the curve.” After 3-4 months with no end in sight, the people saw that as a lie. The messaging on masks did two complete separate 180s. Masks don’t work until they do, except ooops they were wrong and it actually doesn’t work. The vaccines will prevent you from getting Covid, until it was obvious they didn’t, at which point they protected other people, until it was obvious that this wasn’t happening either. Then the vaccines were supposed to be based on a place that didn’t mutate much. Except that that section does mutate a lot and now you need a booster every year for the new variant. And so after the fourth or fifth obvious falsehood, it’s not really that surprising to me that people who lost their freedom because they obeyed a government that lied to them a lot might start questioning the virus that’s at the bottom of this whole thing. They’re under arbitrary rules that are quite often not only making them miserable, but costing them money and opportunities, with no end in sight, with moving goalposts and lots of guilt tripping over any questioning or noncompliance.

If the government wants the trust of the people, it must be trustworthy.