Ep 144 Osterholm Update: A Slow Motion Tsunami

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  • čas přidán 7. 09. 2024
  • In "A Slow Motion Tsunami," Dr. Osterholm and Chris Dall discuss the state of the pandemic in the US and around the world, the latest data on influenza and RSV, and potential funding cuts to a federal HIV program. Dr. Osterholm also answers two ID Queries and shares his thoughts on the importance of antimicrobial resistance awareness.
    Superbugs & You podcast: www.cidrap.umn...
    Isolated and Lonely in a Nursing Home During the Coronavirus Disease 2019 Pandemic: A Deadly Combination for My Mom (Debra Goff, Clinical Infectious Disease): www.cidrap.umn...
    Sara Josephine Baker (Harvard Square Library): www.harvardsqu...

Komentáře • 118

  • @Downfall1990
    @Downfall1990 Před 9 měsíci +9

    My Granny spent the last two years of her life predominantly isolated, crying on the phone confused why everyone left her. It was a harrowing torture I’ll never forget

    • @jameskringlee8974
      @jameskringlee8974 Před 9 měsíci

      So Sad. So preventable in the Real America that is not. A tragic example of what happens in the fascist amerika that is.

  • @shokuchideirdrecarrigan7402
    @shokuchideirdrecarrigan7402 Před 9 měsíci +25

    Old people should not be housed in congregant settings tended by low paid staff that come and go. I rescued my mom from such a situation. She lived into her 90’s.

    • @MNP208
      @MNP208 Před 9 měsíci +4

      Many people can't "rescue" their loved ones because they have to work. They are financially unable. The solution is to prioritize our elderly and pay the care staff a living wage!

    • @Lp78Ch
      @Lp78Ch Před 9 měsíci +2

      You have to follow the money. I live in a place with 10 of these facilities within a 5-mile radius. The more $$$ people pay, the fewer problems they had. It's an unfortunate fact of life. You get what you paid for.

    • @MNP208
      @MNP208 Před 9 měsíci +1

      @@Lp78Ch Yep, sadly it's the same with child care.

  • @MNP208
    @MNP208 Před 9 měsíci +45

    As a RN working urgent care, I don't see antibiotic resistance changing until we get rid of patient satisfaction scores. Patients are unrealistic about the time it takes a body to recover from a viral illness. When patients aren't prescribed their demanded antibiotic, they write nasty comments about providers (our current health care system doesn't advocate for them). We can educate the population all day long, but most are inconvincible.

    • @ancabostinariu6550
      @ancabostinariu6550 Před 9 měsíci +3

      Yes you got it. With so much on youtube everyone is a dictor and tell you what to do.

    • @Fearzero
      @Fearzero Před 9 měsíci +2

      70 percent of all antibiotics are used on farm animals. Until people switch away from animal protein the antibiotic resistance issues will persist.

    • @Lp78Ch
      @Lp78Ch Před 9 měsíci

      The entire western medical system was set up to perpetuate long-term illnesses. How else do you think Big Pharma got so $$$$$$$$ rich, while providing such crummy products?

    • @careycline8852
      @careycline8852 Před 9 měsíci +1

      I understand but we lay people are being faced with missing 7 to 10 days of work only to miss more because we actually had a bacterial infection and now have to miss work while waiting for a antibiotic to work...I have sinus issues and this happens to me every time I get a sinus infection.

    • @MNP208
      @MNP208 Před 9 měsíci

      @@careycline8852 It could still be a virus. Are they culturing your snot to see if it grows anything?? The color of your drainage does not indicate a bacterial infection. That is a myth. Also, you're missing work because of a stuffy nose??

  • @Amy-tl2xe
    @Amy-tl2xe Před 9 měsíci +14

    Dr. Osterholm, what would you recommend for someone like me who had an adverse reaction to the Moderna vaccine? I suffer from permanent tinnitus (like Dr. Greg Poland at the Mayo Clinic) and some hearing loss - a rare reaction to these vaccines. I am afraid to get boosted, so am forced to live very carefully to avoid getting covid. This is a subject that I feel the medical community is unable or unwilling to address. Thank you.

    • @marklemont3735
      @marklemont3735 Před 9 měsíci +3

      So sorry. You are not alone. My friend had a different reaction to Moderna, then her allergist tried a small amount just under the skin, months later. Her reaction with just a small amount was quick to see as her arm swelled up ( she has had a lifetime of many allergies.) I understand from Dr. Poland a few university staff are working on this problem regarding the ears. I believe Dr. Poland can be e-mailed.

    • @nc8444
      @nc8444 Před 9 měsíci +1

      In all likelihood, you don't need annual shots, you are very well protected from prior vaccination, infection, and likely both. COVID is a mild illness now, it's time to carry on living your short life. You must accept we are all going to get infected multiple times throughout our lifetime.

    • @shokuchideirdrecarrigan7402
      @shokuchideirdrecarrigan7402 Před 9 měsíci +5

      Two years in a row my 85 year old cousin had a psychotic episode within a couple of weeks of her booster. No personal or family history of psychosis. She has had every shot offered which at this point is 7. She is in a locked facility now being given anti-psychotics. She was a calm intelligent school principal until she retired at 79. How many boosters are we going to pump into the arms of our elders?

    • @Patrick_Ross
      @Patrick_Ross Před 9 měsíci

      @@shokuchideirdrecarrigan7402 - Vaccines save lives. Have you had all of your indicated vaccines?

    • @MNP208
      @MNP208 Před 9 měsíci

      @@gferraro8353 That person is a troll.

  • @regbhyyu
    @regbhyyu Před 9 měsíci +15

    I understand public policy reasons for doing things. But I found this isolation of the nursing homes and the people in hospital care to be criminal. There could’ve been a middle Road and I just found myself dealing with stupid bureaucrats

    • @lolab1808
      @lolab1808 Před 9 měsíci +1

      My mom has dementia and was locked up for months. She died in August. 😢

    • @MNP208
      @MNP208 Před 9 měsíci

      That's 20/20 hindsight. What would you have wanted them to do during a pandemic? They were damned if they did and damned if they didn't. If family members brought Covid into the nursing homes, complaints would have been filed. Trust me, I work in the system. I don't think our country is capable of finding a "middle ground". We've proven that over and over and over again.

    • @Lp78Ch
      @Lp78Ch Před 9 měsíci +1

      Maybe it's time to re-think the nursing home paradigm? What's wrong with seniors living with their grown adult children if they have them around?

    • @tonysherwood9619
      @tonysherwood9619 Před 9 měsíci

      A rich harvest!

    • @MNP208
      @MNP208 Před 9 měsíci

      @@Lp78Ch Ha! The age old question! That may be a possibility for some, but many people need to work and many parents need 24/7 supervision. It's next to impossible to find a home caregiver to hire at an affordable price.

  • @lolab1808
    @lolab1808 Před 9 měsíci +21

    I had all the shots but not the most recent. We both have it now, and it is bad 😭 I live in a state that has low vaccine response and we both work from home, yet here we are. I sure wish we had gotten the most recent vaccine dose. If you have been on the fence, here's your sign!!! ❤ I have been a loyal regular listener of the Osterholm podcast and even I messed up. 😢 Don't do it. Go out tomorrow and get your shot. I'm almost 60 and we are both running high fevers and feeling way worse than the shots ever felt. Please 🙏🙏🙏 Thank you, Dr. O, and your team, for all you share

    • @janmac218
      @janmac218 Před 9 měsíci +6

      Do you have Covid or Flu? If you have Covid did you take Paxlovid the anti-viral? Hope you feel better soon!

    • @Patrick_Ross
      @Patrick_Ross Před 9 měsíci +3

      @@janmac218- which is also a reminder to get one’s flu shot as well. And don’t forget the RSV vaccine.

    • @omarlocke4351
      @omarlocke4351 Před 9 měsíci +2

      😂

    • @lolab1808
      @lolab1808 Před 9 měsíci

      @@janmac218 I tested positive for covid. I don't know if I will get Paxlovid. I've heard it's hard to find around here.

    • @lolab1808
      @lolab1808 Před 9 měsíci +5

      @@omarlocke4351 I know people who lost loved ones because of covid. Don't see what's so funny.

  • @nancycm
    @nancycm Před 9 měsíci +9

    Looking forward to your book and any solutions you suggest for different approaches to elder care during the next pandemic.

  • @lj9524
    @lj9524 Před 9 měsíci +2

    As an RN I thank you for sharing facts about these infectious diseases. It is sad to see the number of people in the US who are not fully vaccinated. The Department of Health and public health agencies need to be kept fully vaccinated. People don’t believe the lies found on the internet.

    • @Lp78Ch
      @Lp78Ch Před 9 měsíci

      No, vaccination should always be a personal choice. Some people have legitimate reasons for NOT getting toxins into their bodies.

    • @strawgynxking5944
      @strawgynxking5944 Před 9 měsíci

      No, actually it is positive that people are waking up to the lies about these "vaccines" that aren't even vaccines. At this point, I'm against all vaccines, people would be much better off keeping themselves healthy naturally.

  • @MrKaidman
    @MrKaidman Před 9 měsíci +8

    Ty for keep doing these

  • @geofslagle410
    @geofslagle410 Před 9 měsíci +6

    Thanks Dr, I’ve been listening to All your updates since the beginning. I look forward to each one. We have had all of the vaccines on schedule,yet, still have had COVID. Three times for my wife and twice for me. We have recovered quickly each time. I’m sure, while not great, the vaccines have been effective enough in preventing more serious illness.
    What can you tell us about the Bio E vaccine from Dr Hotez and partners. I know it was used in India and intended for more modest wealth countries. What are the findings on it’s efficacy? I could ask Dr Hotez, but I would like your thoughts. Thanks again. Capt GB SLAGLE.

    • @johnsheehy4192
      @johnsheehy4192 Před 9 měsíci +1

      Most people don't get Covid seriously with or without a vaccine. It is not scientific thinking to think that vaccines helped because you did not get seriously ill. You should not expect to get seriously ill, with or without a vaccine, especially if you've already had a previous SARS-2 infection. I live in the densely-populated NYC area, am 63 years old, have had no Covid shots, and have had 0 symptomatic Covid infections. Should I attribute that to what I did or didn't do?
      Think about this; Florida somehow managed to have some of the lowest cumulative Covid fatalities per capita going into the vaccine rollout despite a high population and moderate population density. One could say that Florida was behind the other populous states in natural immunity through 2020 and the first couple of months of 2021, when most Floridians had not yet had a chance to get vaccinated. Florida had a very high uptake in its elderly, though, in March and April, before Delta came along, and yet, Florida had the highest rate of Covid deaths in the US during Delta. About 90% of the elderly population took the vaccines which were purported to have about 90% efficacy against death, so you would expect about 81% reduction in Covid fatality for Delta, yet Delta was the biggest Covid death wave in Florida, and Florida had the biggest Covid death wave in the US during Delta.
      How could that be, if the vaccines actually had efficacy? It would be impossible. There would be a reduction in Covid fatality across the board, regardless of natural immunity, if the vaccines were anywhere near as good as natural immunity. The fact is, after rollout, any location that had low Covid fatalities pre-rollout had the most Covid fatalities after rollout, and visa versa. No signal whatsoever from the vaccine rollout, across the board. Let that sink in. In fact, globally, the 15 months following rollout had about 50% more Covid fatality than the 6 months before it.

    • @geofslagle410
      @geofslagle410 Před 9 měsíci +2

      Sorry for your family’s struggles with COVID. We did not exactly have a “ picnic”with it either. It ended my airline career. I’m trying to understand your reply but it’s a little incoherent. Truly wish your family to regain their health and vitality. Best wishes.

    • @virginicaanderson1569
      @virginicaanderson1569 Před 9 měsíci +1

      Interesting.
      I work in healthcare. 3 of us in Europe didn't take the jab - it is not a vaccine. All of us had Covid twice, very healthy in between. 1 in NA also unjabbed possibly had Covid once.
      My mum jabbed twice developed rapid dementia and died in 10 months.
      The jab is effective only for 6 weeks, so you would need be jabbed every 6 weeks to get possible complete protection!

    • @johnsheehy4192
      @johnsheehy4192 Před 9 měsíci

      @@virginicaanderson1569 None of the efficacy values have been measured in an RCT, except the original 2020 RCTs, where the shots produced the CORRECT spike protein for the circulating variant and the RCT could involve lots of people with no natural immunity yet, the only cohort who could potentially benefit the maximum from artificial immunity.
      Once a person has natural immunity, the potential efficacy for *them* plummets, because they already have most of the protection they need to avoid the most severe outcomes. So even IF the spike proteins were still relevant, 2020-RCT efficacy would still not be relevant to any person with natural immunity. Why is it that none of the champions of these shots mention natural immunity, unsolicited? It's because they are salespeople, who play down the risks and play up the benefits.
      All efficacy data seen since the original RCTs has been based on either highly-problematic calculations from public data, or antibody titers. The titers tell us nothing about how effective they actually are; just the quantity. The public data evidence for efficacy often assumes a higher percentage of the public vaccinated than really is, and counts people who have events for 2 weeks after they are injected as "unvaccinated", and counts all people who took only 1/2 course of Pfizer or Moderna as "unvaccinated" for hospitalization and fatality statistics for the rest of their lives, while still using them in the denominators used for rates as "vaccinated". The methods that they use to show relative risk ratios will create the illusion of "efficacy" even with a placebo.
      The gold standard would be to not give anyone any choice in whether or not they took the shots, with people randomly assigned to take or not take the shots, and then watch what happens. That was not done, and would not even be considered ethical by some if it were done, and that means that we don't have any good evidence of efficacy post-2020. Low-quality data does not become better data just because there isn't better data.

  • @RustyWells2
    @RustyWells2 Před 9 měsíci +4

    That nursing home story is the hell Osterholm and others have done to thousands of families and karma will deal with them in kind!

  • @yardsalesteals3003
    @yardsalesteals3003 Před 9 měsíci +3

    sad end of life nursing home story. one I could have written. I say covid killed my mom. but not because she had it. because she became locked in a room with macular degenerative disease and no one coming to visit.

  • @shokuchideirdrecarrigan7402
    @shokuchideirdrecarrigan7402 Před 9 měsíci +12

    Time to get political regarding public health. Vote for people who support funding for public health, whatever their party and let those who do not support public health funding that they have lost your vote.

    • @omarlocke4351
      @omarlocke4351 Před 9 měsíci +3

      that’s a recipe for absolute disaster and mistrust.
      NO ONE SHOULD AGREE PR FOLLOW THIS ADVICE...

    • @yamishogun6501
      @yamishogun6501 Před 9 měsíci +3

      Yeah, how does Osterholm get by on just $300,000 a year?

    • @Lp78Ch
      @Lp78Ch Před 9 měsíci

      Then why is Trump winning all the polls in the country? Don't you think all the antivaxxers are dead by now? THINK.

  • @futures2247
    @futures2247 Před 9 měsíci +3

    hospitalisation BECAUSE of covid or just happen to have covid but the admittance is entirely unrelated?

  • @futures2247
    @futures2247 Před 9 měsíci +2

    seasonal disorder or just people trapped in shit awful jobs in places with no windows?

  • @Amy-tl2xe
    @Amy-tl2xe Před 9 měsíci +5

    Thank you for these updates. I am interested in understanding why covid vaccines are so reactogenic. Is it the type of vaccine, or is it covid itself? I heard a doctor on a recent Stanford Grand Rounds saying that the Novavax was far less reactogenic, but I have read that it has the same side effects as the mRNA vaccines from other trusted sources (Dr. Leana Wen of the Washington Post). Could you please talk about this?

    • @shokuchideirdrecarrigan7402
      @shokuchideirdrecarrigan7402 Před 9 měsíci +5

      I don’t trust Dr. Lena Wen.

    • @traianliviudanciu8665
      @traianliviudanciu8665 Před 9 měsíci

      May be after mARN vaccination must avoid to move injected arm some hours,to decrease blood spread of liposoms with mRNA,( before they melt with deltoid myocyte.and transfect that myocyte)
      To avoid deltoid to contract,I suport,(sustain) forearm three hours (like after a shoulder damage) and secondary effects did not occur after that.
      May be younger move more vaccinated arm, and that explain higher risk of miocarditis?

    • @traianliviudanciu8665
      @traianliviudanciu8665 Před 9 měsíci

      @@gferraro8353 my opinion : must avoid blood spread of liposoms with mRNA,and only deltoid muscle will be transfect and will produce Spike proteine.
      Even,at injected site, inflamation and pain will occur.
      But inflamation at different tissues of the body can be avoided on this way

    • @traianliviudanciu8665
      @traianliviudanciu8665 Před 9 měsíci

      @@gferraro8353 must not use the arm
      Shoulder must not be moved some hours

    • @traianliviudanciu8665
      @traianliviudanciu8665 Před 9 měsíci

      @@gferraro8353 not move arm after vaccination with mRNA

  • @chrisjohnston7164
    @chrisjohnston7164 Před 9 měsíci +1

    Is RSV spread also in the air like COVID and flu. Symptoms of RSV, IF YOU HAVE HAD IT DO YOU HAVE A NATURAL IMMUNITY ?

    • @marklemont3735
      @marklemont3735 Před 9 měsíci +1

      Yes air and surfaces. I know a child who just had it. High fever and plenty of mucus and breathing issues. It’s an RNA virus, which mutates, as many RNA viruses do, but not as fast as COVID, as I understand it.

  • @omarlocke4351
    @omarlocke4351 Před 9 měsíci +6

    i don’t want scientists to do gain of function and no matter what way you say it i’m cool with it if that means funding cuts to nih and cdc...

    • @JillKnapp
      @JillKnapp Před 9 měsíci +1

      And when the next pandemic hits, you'll scream "Why didn't the government do something?” But the government couldn't do anything because you all cut the funding.

    • @Lp78Ch
      @Lp78Ch Před 9 měsíci

      @@JillKnapp Why would you _trust_ the government to do the science??? You seriously think what happened the last three years was a good thing?

  • @rogerblakely7453
    @rogerblakely7453 Před 9 měsíci +6

    I get hit by every new variant. I think that I am feeling HV.1 or HK.1. I wear a respirator in all indoor public spaces. I put on chemical splash goggles when I go into the restroom in my office building. I am sure that I got hit with something new in the office building on Thursday. I am sure that my respirator and goggles saved me from outright vomiting and diarrhea.

    • @omarlocke4351
      @omarlocke4351 Před 9 měsíci +3

      😂

    • @lolab1808
      @lolab1808 Před 9 měsíci

      So sorry. 😢

    • @joju24
      @joju24 Před 9 měsíci

      With all due respect don't you feel you are weakening your immune system by not exposing and having your body fight the minor infections so your immunity strengthens? As a school secretary before my retirement I was exposed to all sorts of viruses and have kept everything at bay due to what I believe is cautious exposure (not allowing my phone to be used by a child or using tissues to open and close bathroom doors for example) but not full avoidance.

    • @Lp78Ch
      @Lp78Ch Před 9 měsíci

      @@joju24 Roger is being sarcastic.

    • @joju24
      @joju24 Před 9 měsíci

      lol It was early morning and with no emojis to help I believed it cos I know people like this @@Lp78Ch

  • @NineInchTyrone
    @NineInchTyrone Před 9 měsíci +1

    Death comes for us all

    • @MissesRobot
      @MissesRobot Před 9 měsíci +1

      Maybe you tomorrow but I’d like for it to stay away for another 60 years.

  • @tonysherwood9619
    @tonysherwood9619 Před 9 měsíci

    Is this S.A.I.D.S. State Acquired Immune Deficiency Syndrome?

    • @Lp78Ch
      @Lp78Ch Před 9 měsíci

      More like VAIDS -- Vaccine Acquired Immune Deficiency Syndrome

  • @traianliviudanciu8665
    @traianliviudanciu8665 Před 9 měsíci +1

    Did we know at what tissue temperature did SARS COV2 new variants better replicate?
    Because in 2020 at TWiV 659 at min29 virologist Christian Drosten suggest that SARS COV2 better replicate at very low tissue temperature.

    • @traianliviudanciu8665
      @traianliviudanciu8665 Před 9 měsíci +1

      Did,, mask wearing,, protect against SARS COV2 infection also by increasing mucouseal respiratory temperature?

  • @tonysherwood9619
    @tonysherwood9619 Před 9 měsíci +2

    Do you know what gaslighting means and do you care?

  • @dianebox9376
    @dianebox9376 Před 9 měsíci +1

    My 78 year old husband is not able to get the RSV vaccine through the Veteran's Administration. He is immune compromised 😔

    • @Patrick_Ross
      @Patrick_Ross Před 9 měsíci +1

      Is he enrolled in the VA healthcare system? If so, he is eligible to get the RSV vaccine at no cost.

    • @julies634
      @julies634 Před 9 měsíci +1

      I’m an Air Force veteran, 65 years old. TriCare for Life paid for the RSV vaccine obtained at Rite Aid.

    • @dawnkubik
      @dawnkubik Před 9 měsíci

      I bet all those vax received in the military caused him to be immune compromised. Vax effect the immune system in negative ways...wish more people understood this!!