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Some Health Officials Think Protests Are Worth the Risk, Even as Cases are Expected to Spike

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Photo by Phil Roeder

  • COVID-19 cases in the U.S. are rising, and while some outlets have indicated this could be because of protests, it is too soon to tell what kind of impact these marches have had on case growth.
  • The new spikes are likely linked to cities and states reopening. Still, most health experts think that because social distancing is near impossible in protesting crowds, the country will see an increase of cases in the next few weeks tied to the protests. 
  • But that does not mean all health officials are against the protests. Many believe protesting for racial equality is worth the risk.
  • Some say that because COVID-19 has disproportionately impacted Black communities, the protests are especially important so people can fight against the racial injustice that caused this. 

COVID-19 Case Growth

With coronavirus cases on the rise, some have been quick to blame the recent nationwide protests in response to the murder of George Floyd. However, experts note that it’s actually too soon to tie the demonstrations as the cause of cause of the surge.

Some officials believe protest-related surges are on the way, but some still think protesting is worth the risk.

On Monday, Johns Hopkins reported over 21,188 new cases of coronavirus in one day across the United States. While this is slightly lower, though essentially on par with last week’s daily average of 21,294 cases, it is part of a general trend of daily averages increasing.

Between May 26 and May 28 the average was 19,800 new cases. This figure went up to 21,700 new cases per day between May 30 and June 1. 

While some outlets correlated this case spike with the recent protests across the country, the protests have only been going on for around a week. Experts like Mark Shrime, a public-health researcher at Harvard, told The Atlantic that while he anticipates a spike eventually, we will not see it for ten to 14 days because of COVID-19’s long incubation period.

In some places, experts are not anticipating the data on cases to reflect the protests for even longer, including Southern California, which may not see protests-related coronavirus cases in health department data for another three or four weeks. 

Ties to Stay At Home Orders Ending

Some believe that this slew of cases could likely be tied to local government’s decisions to reopen in May. Palm Beach County in Florida showed the biggest one-day increase in coronavirus cases three weeks after reopening. While the South Florida Sun Sentinel says it may be too soon to tell if that’s the cause, it does mark an increase in the average number of cases being reported.

States like Texas and Arizona have also started to end their stay at home orders and have seen resulting spikes. According to KPNX in Arizona, three weeks after their order was phased out, the state saw one of the fastest-growing caseloads in the country, with a 70% increase after things reopened. 

Some health officials, like Julia Marcus, an infectious disease epidemiologist at Harvard Medical School, anticipated the fact that the public would blame spikes on the protests, instead of the fact that states elected to ease lockdown restrictions. 

“What I fear will happen, particularly in those states, is that any increase in cases in the next couple of weeks will be blamed on protestors,” she told The Verge, even though, “There are multiple things happening at the same time.”

Because social distancing in these protest crowds is nearly impossible, health officials do believe a spike is coming. Many protesters are doing their best to mitigate risks by wearing masks, and spread could also be lessened because these protests are outside. Still, tight spaces and the use of tear gas, which causes coughing, could aid the virus’ ability to travel.

Why Some Health Officials Support Protests Despite Risk

Still, many health officials and activists think protesting is worth the risk. 

“I personally believe that these particular protests—which demand justice for black and brown bodies that have been brutalized by the police—are a necessary action,” Maimuna Majumder a computational epidemiologist at Boston Children’s Hospital, told The Atlantic. “Structural racism has been a public-health crisis for much longer than the pandemic has.”

“The threat to Covid control from protesting outside is tiny compared to the threat to Covid control created when governments act in ways that lose community trust,” tweeted Dr. Tom Frieden. 

While the major focus of these protests is to demand justice for George Floyd and an end to police violence against Black Americans, they are also calling for an end to racial injustice of all kinds. Among the many other injustices Black Americans face includes a higher coronavirus death rate than white Americans. 

In Washington D.C., where 46% of the population is African American, they account for 75% of the district’s deaths. In Wisconsin, where less than 7% of the state’s residents are Black, they total 25% percent of the state’s deaths. Numerous other states and cities are also experiencing the same problem. 

“So many black communities are protesting because they have to,” said Doctor Mike in Wednesday video. “At a time of a pandemic, when they’re not only putting their lives on the line because of police injustice but also because of this virus. And COVID-19 has already dramatically and drastically affected communities of color disproportionately to other communities.

Impact of COVID-19 on Black Americans

Multiple factors contribute to this high death rate. African Americans are systemically under treated by the U.S. healthcare systems. Black Americans are more likely to have underlying conditions like high blood pressure, are less likely to be insured, and are more frequently denied access to testing and treatment. Throughout the pandemic, Black and Hispanic workers have also been less likely to work from home, further increasing their potential exposure to the virus. 

“Unless we are out there protesting in the streets, we can either be killed by Covid-19 just as easily as we can be killed by a cop,” Minneapolis activist Mike Griffin told Bloomberg. 

Marcus echoed the need for the protests. 

“Ultimately, these protests, if they bring us any semblance of progress in terms of structural racism — they will have had a positive impact on public health, not a negative one,” she told The Verge.

Others are still concerned about the potential consequences. Surgeon General Jerome Adams told Politico that he understands the anger behind these protests and why people are out there, but still has his fears. 

“I remain concerned about the public health consequences both of individual and institutional racism [and] people out protesting in a way that is harmful to themselves and to their communities,” Adams said. 

“There is going to be a lot to do after this, even to try and get the communities of color back to where they need to be for people to be able to recover from Covid, and for people to be able to recover from the shutdown and to be able to prosper,” he continued. 

See what others are saying: (The Atlantic) (The Verge) (Politico)

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Inmates Sue Jail for Giving Them Ivermectin to Treat COVID-19 Without Consent

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Four detainees who filed the suit allege that the jail’s doctor gave them “incredibly high doses” of the anti-parasite in a “cocktail of drugs” that he said were “‘vitamins’, ‘antibiotics,’ and/or ‘steroids.’”


Washington County Detention Center Lawsuit

Four inmates at an Arkansas jail have filed a federal lawsuit claiming that they were unknowingly given the anti-parasite drug ivermectin without their consent by the detention center’s doctor after contracting COVID-19.

The Food and Drug Administration, the Centers for Disease Control and Prevention, and countless other medical experts have said that ivermectin — commonly used for livestock — can be dangerous and should not be used to treat the coronavirus.

According to the lawsuit, after testing positive for COVID in August, the four men at the Washington County Detention Center (WCDC) were given a “cocktail of drugs” twice a day by the facility’s doctor, Robert Karas.

The inmates claim that Dr. Karas did not tell them that he was giving them ivermectin, but instead said the drugs consisted of “‘vitamins’, ‘antibiotics,’ and/or ‘steroids.’”

The complaint also alleges that the detainees were given “incredibly high doses” of the drug, causing some to experience “vision issues, diarrhea, bloody stools, and/or stomach cramps.”

Use on Other Inmates

The four plaintiffs were far from the only people to whom Karas gave ivermectin.

According to the lawsuit, the doctor began using the drug to treat COVID starting in November of 2020. In August, the Washington County sheriff confirmed at a local finance and budget committee meeting that the doctor had been prescribing the drug to inmates, prompting the Arkansas Medical Board to launch an investigation.

In response, Karas informed a Medical Board investigator in a letter from his attorney that 254 inmates at the facility had been treated with ivermectin.

In the letter, he confirmed that whether or not detainees were given information about ivermectin was dependent on who administered it, but paramedics were not required to discuss the drug with them.

He also admitted that after the practice got media coverage, he “adopted a more robust informed consent form to assuage any concern that any detainees were being misled or coerced into taking the medications, even though they weren’t.”

The American Civil Liberties Union of Arkansas, which filed the suit on behalf of the inmates, also claimed in a statement that after questions were raised about the practice, the jail attempted to make detainees sign forms saying that they retroactively agreed to the treatments. 

The WCDC has not issued a public response to the lawsuits, but Dr. Karas appeared to address the situation in a Facebook post where he defended his actions.

“Guess we made the news again this week; still with best record in the world at the jail with the same protocols,” he wrote. “Inmates aren’t dumb and I suspect in the future other inmates around the country will be suiing their facilities requesting same treatment we’re using at WCDC-including the Ivermectin.”

See what others are saying: (The New York Times) (CBS News) (NBC News)

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Medical Workers Sign Letter Urging Spotify to Combat Misinformation, Citing Joe Rogan

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The letter accused Spotify of “enabling its hosted media to damage public trust in scientific research.”


Doctors and Medical Professionals Sign Letter to Spotify

A group of 270 doctors, scientists, and other medical workers signed an open letter to Spotify this week urging the audio platform to implement a misinformation policy, specifically citing false claims made on the “Joe Rogan Experience” podcast. 

Rogan has faced no shortage of backlash over the last year for promoting vaccine misinformation on his show, which airs exclusively on Spotify. Most recently, he invited Dr. Robert Malone on a Dec. 31 episode that has since been widely criticized by health experts. 

Dr. Malone was banned from Twitter for promoting COVID-19 misinformation. According to the medical experts who signed the letter, he “used the JRE platform to further promote numerous baseless claims, including several falsehoods about COVID-19 vaccines and an unfounded theory that societal leaders have ‘hypnotized’ the public.”

“Notably, Dr. Malone is one of two recent JRE guests who has compared pandemic policies to the Holocaust,” the letter continued. “These actions are not only objectionable and offensive, but also medically and culturally dangerous.”

Joe Rogan’s History of COVID-19 Misinformation

Rogan sparked swift criticism himself in the spring of 2021 when he discouraged young people from taking the COVID-19 vaccine. He also falsely equated mRNA vaccines to “gene therapy” and incorrectly stated that vaccines cause super mutations of the virus. He took ivermectin after testing positive for the virus in September, despite the fact that the drug is not approved as a treatment for COVID.

“By allowing the propagation of false and societally harmful assertions, Spotify is enabling its hosted media to damage public trust in scientific research and sow doubt in the credibility of data-driven guidance offered by medical professionals,” the doctors and medical workers wrote. 

“We are calling on Spotify to take action against the mass-misinformation events which continue to occur on its platform,” they continued. “With an estimated 11 million listeners per episode, JRE is the world’s largest podcast and has tremendous influence. Though Spotify has a responsibility to mitigate the spread of misinformation on its platform, the company presently has no misinformation policy.”

Rolling Stone was the first outlet to report on the letter from the medical professionals. Dr. Katrine Wallace, an epidemiologist at the University of Illinois Chicago, was among the signees. She told the magazine that Rogan is “a menace to public health.”

“These are fringe ideas not backed in science, and having it on a huge platform makes it seem there are two sides to this issue,” she said. “And there are really not.”

Spotify had not responded to the letter as of Thursday.

See what others are saying: (Rolling Stone) (Deadline) (Insider)

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Data Shows Omicron May be Peaking in the U.S.

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In some cities that were first hit by the surge, new cases are starting to flatten and decline.


New Cases Flattening

After weeks of recording-breaking cases driven by the highly infectious omicron variant, public health officials say that new COVID infections seem to be slowing in the parts of the country that were hit the hardest earlier on.

Following a more than twentyfold rise in December, cases in New York City have flattened out in recent days. 

New infections have even begun to fall slightly in some states, like Maryland and New Jersey. In Boston, the levels of COVID in wastewater — which has been a top indicator of case trends in the past — have dropped by nearly 40% since the first of the year.

Overall, federal data has shown a steep decline in COVID-related emergency room visits in the Northeast, and the rest of the country appears to be following a similar track.

Data from other countries signals the potential for a steep decline in cases following the swift and unprecedented surge.

According to figures from South Africa, where the variant was first detected, cases rose at an incredibly shocking rate for about a month but peaked quickly in mid-December. Since then, new infections have plummeted by around 70%.

In the U.K., which has typically been a map for how U.S. cases will trend, infections are also beginning to fall after peaking around New Year’s and then flattening for about a week.

Concerns Remain 

Despite these recent trends, experts say it is still too early to say if cases in the U.S. will decline as rapidly as they did in South Africa and the parts of the U.K. that were first hit. 

While new infections may seem to be peaking in the cities that saw the first surges, caseloads continue to climb in most parts of the country. 

Meanwhile, hospitals are overwhelmed and health resources are still strained because of the high volume of cases hitting all at once.

See what others are saying: (The New York Times) (The Washington Post) (The Wall Street Journal)

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