Everyday Erinyes #320

 Posted by at 5:56 pm  Plus, Politics
May 292022
 

Experts in autocracies have pointed out that it is, unfortunately, easy to slip into normalizing the tyrant, hence it is important to hang on to outrage. These incidents which seem to call for the efforts of the Greek Furies (Erinyes) to come and deal with them will, I hope, help with that. As a reminder, though no one really knows how many there were supposed to be, the three names we have are Alecto, Megaera, and Tisiphone. These roughly translate as “unceasing,” “grudging,” and “vengeful destruction.”

There are a lot of things I could be putting front and center this week. However, they are pretty well already front and center. This story got knocked off of all the front pages, and I thought, before it gets back on them, it might be good to have some common sense and facts So here it is.
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What is monkeypox? A microbiologist explains what’s known about this smallpox cousin

Monkeypox causes lesions that resemble pus-filled blisters, which eventually scab over.
CDC/Getty Images

Rodney E. Rohde, Texas State University

On May 18, 2022, Massachusetts health officials and the Centers for Disease Control and Prevention confirmed a single case of monkeypox in a patient who had recently traveled to Canada. Cases have also been reported in the United Kingdom and Europe.

Monkeypox isn’t a new disease. The first confirmed human case was in 1970, when the virus was isolated from a child suspected of having smallpox in the Democratic Republic of Congo (DRC). Monkeypox is unlikely to cause another pandemic, but with COVID-19 top of mind, fear of another major outbreak is understandable. Though rare and usually mild, monkeypox can still potentially cause severe illness. Health officials are concerned that more cases will arise with increased travel.

I’m a researcher who has worked in public health and medical laboratories for over three decades, especially in the realm of diseases with animal origins. What exactly is happening in the current outbreak, and what does history tell us about monkeypox?

A cousin of smallpox

Monkeypox is caused by the monkeypox virus, which belongs to a subset of the Poxviridae family of viruses called Orthopoxvirus. This subset includes the smallpox, vaccinia and cowpox viruses. While an animal reservoir for monkeypox virus is unknown, African rodents are suspected to play a part in transmission. The monkeypox virus has only been isolated twice from an animal in nature. Diagnostic testing for monkeypox is currently only available at Laboratory Response Network labs in the U.S. and globally.

The name “monkeypox” comes from the first documented cases of the illness in animals in 1958, when two outbreaks occurred in monkeys kept for research. However, the virus did not jump from monkeys to humans, nor are monkeys major carriers of the disease.

Electron microscope view of monkeypox, showing oval-shaped, mature virus particles and spherical, immature virions
Monkeypox belongs to the Poxviridae family of viruses, which includes smallpox.
CDC/ Cynthia S. Goldsmith

Epidemiology

Since the first reported human case, monkeypox has been found in several other central and western African countries, with the majority of infections in the DRC. Cases outside of Africa have been linked to international travel or imported animals, including in the U.S. and elsewhere.

The first reported cases of monkeypox in the U.S. was in 2003, from an outbreak in Texas linked to a shipment of animals from Ghana. There were also travel-associated cases in November and July 2021 in Maryland.

Because monkeypox is closely related to smallpox, the smallpox vaccine can provide protection against infection from both viruses. Since smallpox was officially eradicated, however, routine smallpox vaccinations for the U.S. general population were stopped in 1972. Because of this, monkeypox has been appearing increasingly in unvaccinated people.

Person getting temperature tested at airport
Indonesia began screening travelers after a monkeypox case was reported in Singapore in May 2019.
Jepayona Delita/Future Publishing via Getty Images

Transmission

The virus can be transmitted through contact with an infected person or animal or contaminated surfaces. Typically, the virus enters the body through broken skin, inhalation or the mucous membranes in the eyes, nose or mouth. Researchers believe that human-to-human transmission is mostly through inhalation of large respiratory droplets rather than direct contact with bodily fluids or indirect contact through clothes. Human-to-human transmission rates for monkeypox have been limited.

Health officials are worried the virus may currently be spreading undetected through community transmission, possibly through a new mechanism or route. Where and how infections are occurring are still under investigation.

Signs and symptoms

After the virus enters the body, it starts to replicate and spread through the body via the bloodstream. Symptoms usually don’t appear until one to two weeks after infection.

Monkeypox produces smallpox-like skin lesions, but symptoms are usually milder than those of smallpox. Flu-like symptoms are common initially, ranging from fever and headache to shortness of breath. One to 10 days later, a rash can appear on the extremities, head or torso that eventually turns into blisters filled with pus. Overall, symptoms usually last for two to four weeks, while skin lesions usually scab over in 14 to 21 days.

While monkeypox is rare and usually non-fatal, one version of the disease kills around 10% of infected people. The form of the virus currently circulating is thought to be milder, with a fatality rate of less than 1%.

Vaccines and treatments

Treatment for monkeypox is primarily focused on relieving symptoms. According to the CDC, no treatments are available to cure monkeypox infection.

Because smallpox is closely related to monkeypox, the smallpox vaccine can protect against both diseases.

Evidence suggests that the smallpox vaccine can help prevent monkeypox infections and decrease the severity of the symptoms. One vaccine known as Imvamune or Imvanex is licensed in the U.S. to prevent monkeypox and smallpox.

Vaccination after exposure to the virus may also help decrease chances of severe illness. The CDC currently recommends smallpox vaccination only in people who have been or are likely to be exposed to monkeypox. Immunocompromised people are at high risk.The Conversation

Rodney E. Rohde, Regents’ Professor of Clinical Laboratory Science, Texas State University

This article is republished from The Conversation under a Creative Commons license. Read the original article.

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Alecto, Megaera, and Tisiphone, it sounds to me as though health officials are paranoid over this – and I say that not in mockery, but in approval. Unfounded assumptions, particularly about transmission, are one of the ways pandemics start and get worse.There’s quite a bit we don’t know about monkey pox – but with the professionals watching it as they are, that will likely change soon. Hopefully we will learn enough.

The Furies and I will be back.

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May 292022
 

Yesterday, the radio opera was “Akhnaten” the third opera in Philip Glass’s “portrait trilogy” (the first two being “Einstein on the Beach” and “Satyagraha.” The three touch on science, politics, and religion respectively, Glass explains.) Akhnaten was (as far as we know) the first monotheist in history. He decreed that Aten (the sun) be the only god worshiped in Egypt (Akhnaten was not the name he was given at birth, but the name he chose to honor Aten.) Needless to say the priests, especially the priests of Amon-Ra, who had been considered the king of the gods, were not happy. And it will come as no surprise to anyone who has paid attention to history, or to contemporary politics, that the people were also not happy. Theocracy can only hang on to power when thee are enough people in sympathy with its exact teachings to cush those who aren’t. Still, he might have been more successful had he paid more attention to governance – and defense. Without his failure to send reinforcements to his armies fighting on the borders, there might not have been quite such an opening for him to be overthrown. (And the Egyptians were not as dilatory as we are about removing monuments to discredited figures, so there is much about the historical Akhnaten we don’t know.)

Cartoon – 29 0529Cartoon.jpg

Short Takes –

CPR News – Wildfire smoke and poor air quality are coming. Here’s how scientists protect their homes.
Quote – [Alex] Huffman[, an associate professor studying air contaminants at the University of Denver,] recommends households explore … methods to monitor outdoor and indoor air quality. To help manage his asthma, he keeps a careful eye on the EPA’s fire and smoke map, which tracks nationwide smoke plumes and air quality readings. To monitor indoor air quality, he purchased an egg-shaped monitor from PurpleAir, which now sits on a table inside the front door of his home in Centennial. It glows green, yellow or red depending on the severity of suspended particulates.
Click through for methods and details.   This is applicable, not only to Colorado and California, not only to the entire southwestern US, but really to everywhere. Sadly.

Mother Jones – He Did Not Act Alone
Quote – [W]hatever we learn about the Uvalde shooter, or any future ones—because there will be more—don’t say they “acted alone,” which is largely media code for “this doesn’t appear to be Islamic terrorism.” No matter the particulars, these “lone” gunmen all have scores of accomplices. Here is a wholly incomplete list of those who bear direct responsibility in this slaughter of 19 children and two teachers, and the brutality visited on those still in the hospital, all the families, and the community and country at large:
Click through for [in]complete list.  Did you find your Representative or Senator in there? Or maybe even yourself?

The Daily Beast – The Texan Working Overtime to Customize 19 Little Caskets (hanky alert)
Quote – The funeral directors in Uvalde decided that it should all go through a single casket distributor and customizer, Trey Ganem of SoulShine Industries in Edna, Texas…. “The funeral directors know who I am, and they said, ‘If anybody can do it, you can. Would you help out in Uvalde?’” Ganem told The Daily Beast. “I said, ‘100 percent.’” Ganem added that he would cover the cost of the coffins, around $3,400 each. And he would not charge for any customizing.
Click through for full story.  There is a reason why the motto of The Daily Beast is “Truth is a beast.”

Food For Thought (  Nameless)

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May 022022
 

Yesterday, I didn’t need the TENS unit for my back. So I jumped in and used it on my shoulders, which have been complaining lately. A couple of hours when I got up, and then I left the pads in place and did another hour in the evening, I don’t often have the luxury to skip the back, so I wanted to get as much as I could (and it’s very awkward to place the pads for where inside the shoulder the pain is, so it makes sense to leave them in place.) I did feel much better. I also got my forms filled out and scanned for requesting to visit Virgil next Sunday. I can’t sent the email till today … but I may just have sent it a little after midnight. I also inventoried and ordered over the counter meds. And I even finished knitting a vest.

Cartoon –

Short Takes –

PolitiZoom – Biden Knows Just How To Handle McConnell. And McConnell Hates It
Quote – You can’t work together in a small body like the U,S. Senate as Joe Biden and Mitch McConnell have, and not get to know each other pretty well. As Biden weaves his way through a deadlocked Senate, requiring VP Kamala Harris to cast tie breaking votes, it becomes crystal clear that Biden paid a whole lot closer attention to McConnell than McConnell did to Biden.
Click through for mini-civics-lesson. Murfster is pretty shrewd. Let’s hope he’s right on this one.

Crooks and Liars – DeSantis Ruthlessly Mocked For Idiotic Claim About Old Cartoons
Quote – “Bugs Bunny, Daffy Duck, and Pepe LePew cartoons featured bestiality, people (or ducks) getting shot in the face with a shotgun, and stalking/sexual assault.”….“When we were younger, we watched cartoons about a French skunk who raped female cats which was totally fine because he was heterosexual.”
Click through for more examples. All the salacious examples people came up with are from Warner Brothers. But I could argue that Disney’s rigis gender roles did as much damage, if not more. (And neither Snow White not Sleeping Beauty consented to those kises.)

https://www.buzzfeednews.com/article/paigeskinner/gun-violence-medical-labor-photos
BuzzFeed News – One Bullet Can Kill, But It Takes More Than 100 People To Save A Gunshot Victim’s Life
Quote – More often than not in Philadelphia, it’s a police officer who transports a gunshot victim to the hospital in what’s called a “scoop and run,” which eliminates the time waiting for a paramedic. Gun violence is so prevalent that Sgt. Gregorrio Santiago said he takes part in a scoop and run nearly every day. After “scooping” the gunshot victim into the backseat of a cruiser, police will alert hospital workers to be ready at the entrance to immediately put the victim on a stretcher. Philadelphia’s scoop-and-run program means more gunshot victims make it to the hospital alive, Santiago said.
Click through for – there’s a member at DU who invariabley comments on the daily political cartoons, “Thank you fot this depressingly excellent collection” – a depressingly excellent article.

Food For Thought

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Apr 062022
 

Glenn Kirschner (Jonathan Capehart) – “The Supreme Court Can’t Be Trusted to Police Itself.” (and 2 more shorts)

American Bridge – Ron DeSantis Breaks Law to Shield Appointee Tied to Sex Crimes Investigation

VoteVets – Profiteers

Now This News – Why the Filibuster Has to Go, By Adam Jentleson

Ojeda Live – Top 5 Most Evil Televangelists

Randy Rainbow – GAY! – A Randy Rainbow Song Parody

Beau – Let’s talk about gas, insulin, and republican strategy….

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Everyday Erinyes #296

 Posted by at 11:54 am  Politics
Dec 122021
 

Experts in autocracies have pointed out that it is, unfortunately, easy to slip into normalizing the tyrant, hence it is important to hang on to outrage. These incidents which seem to call for the efforts of the Greek Furies (Erinyes) to come and deal with them will, I hope, help with that. As a reminder, though no one really knows how many there were supposed to be, the three names we have are Alecto, Megaera, and Tisiphone. These roughly translate as “unceasing,” “grudging,” and “vengeful destruction.”

In 1929, “Ellery Queen” began “his”* mystery-novel-writing career with “The Roman Hat Mystery,” just eight years after tetrsethyl lead started to be used in fuel for automobiles. The weapon his villain used to kill his victims in this book was tetraethyl lead. The deaths were quite gruesome. If “Queen” expected the novel to draw people’s attention to the dangers of using the stuff in gasoline and having it come out of the exhaust, it didn’t work. Ethanol existed then, but could not be patented, whereas tetraethyl lead could. It was not until the 1970’s that “Unleaded” gas appeared on the market, and “regular” was available alongside it for quite a while. I don’t currently have a source for this, but I remember reading that studies sone around this time and a bit later showed a direct correlation between the amount of ethyl gas used in an area and the amount of violent crime taking place in the same area. Big corporations making big money simply do not have the best interests of their customers in mind. But we are partly to blame for not forcing them to.
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A century of tragedy: How the car and gas industry knew about the health risks of leaded fuel but sold it for 100 years anyway

For decades, most gas sold in the U.S. contained a lead additive.
Per Magnus Persson via Getty Images

Bill Kovarik, Radford University

On the frosty morning of Dec. 9, 1921, in Dayton, Ohio, researchers at a General Motors lab poured a new fuel blend into one of their test engines. Immediately, the engine began running more quietly and putting out more power.

The new fuel was tetraethyl lead. With vast profits in sight – and very few public health regulations at the time – General Motors Co. rushed gasoline diluted with tetraethyl lead to market despite the known health risks of lead. They named it “Ethyl” gas.

It has been 100 years since that pivotal day in the development of leaded gasoline. As a historian of media and the environment, I see this anniversary as a time to reflect on the role of public health advocates and environmental journalists in preventing profit-driven tragedy.

A black and white photo of a man in an old laboratory.
Scientists working for General Motors discovered that tetraethyl lead could greatly improve the efficiency and longevity of engines in the 1920s.
Courtesy of General Motors Institute

Lead and death

By the early 1920s, the hazards of lead were well known – even Charles Dickens and Benjamin Franklin had written about the dangers of lead poisoning.

When GM began selling leaded gasoline, public health experts questioned its decision. One called lead a serious menace to public health, and another called concentrated tetraethyl lead a “malicious and creeping” poison.

General Motors and Standard Oil waved the warnings aside until disaster struck in October 1924. Two dozen workers at a refinery in Bayway, New Jersey, came down with severe lead poisoning from a poorly designed GM process. At first they became disoriented, then burst into insane fury and collapsed into hysterical laughter. Many had to be wrestled into straitjackets. Six died, and the rest were hospitalized. Around the same time, 11 more workers died and several dozen more were disabled at similar GM and DuPont plants across the U.S.

A cartoon showing a man going insane after lead exposure.
The news media began to criticize Standard Oil and raise concerns over Ethyl gas with articles and cartoons.
New York Evening Journal via The Library of Congress

Fighting the media

The auto and gas industries’ attitude toward the media was hostile from the beginning. At Standard Oil’s first press conference about the 1924 Ethyl disaster, a spokesman claimed he had no idea what had happened while advising the media that “Nothing ought to be said about this matter in the public interest.”

More facts emerged in the months after the event, and by the spring of 1925, in-depth newspaper coverage started to appear, framing the issue as public health versus industrial progress. A New York World article asked Yale University gas warfare expert Yandell Henderson and GM’s tetraethyl lead researcher Thomas Midgley whether leaded gasoline would poison people. Midgley joked about public health concerns and falsely insisted that leaded gasoline was the only way to raise fuel power. To demonstrate the negative impacts of leaded fuel, Henderson estimated that 30 tons of lead would fall in a dusty rain on New York’s Fifth Avenue every year.

Industry officials were outraged over the coverage. A GM public relations history from 1948 called the New York World’s coverage “a campaign of publicity against the public sale of gasoline containing the company’s antiknock compound.” GM also claimed that the media labeled leaded gas “loony gas” when, in fact, it was the workers themselves who named it as such.

An old advertisement for Ethyl brand gas.
Leaded gas was marketed as Ethyl, a joint brand of Standard Oil and General Motors.
John Margolies/Library of Congress

Attempts at regulation

In May 1925, the U.S. Public Health Service asked GM, Standard Oil and public health scientists to attend an open hearing on leaded gasoline in Washington. The issue, according to GM and Standard, involved refinery safety, not public health. Frank Howard of Standard Oil argued that tetraethyl lead was diluted at over 1,000 to 1 in gasoline and therefore posed no risk to the average person.

Public health scientists challenged the need for leaded gasoline. Alice Hamilton, a physician at Harvard, said, “There are thousands of things better than lead to put in gasoline.” And she was right. There were plenty of well-known alternatives at the time, and some were even patented by GM. But no one in the press knew how to find that information, and the Public Health Service, under pressure from the auto and oil industries, canceled a second day of public hearings that would have discussed safer gasoline additives like ethanol, iron carbonyl and catalytic reforming.

By 1926, the Public Health Service announced that they had “no good reason” to prohibit leaded gasoline, even though internal memos complained that their research was “half baked.”

A graph showing that blood lead levels closely follow lead emissions from cars.
As leaded gasoline fell out of use, lead levels in people’s blood fell as well.
U.S. EPA

The rise and fall of leaded gasoline

Leaded gasoline went on to dominate fuel markets worldwide. Researchers have estimated that decades of burning leaded gasoline caused millions of premature deaths, enormous declines in IQ levels and many other associated social problems.

In the 1960s and 1970s, the public health case against leaded gasoline reemerged. A California Institute of Technology geochemist, Clair Cameron Patterson, was finding it difficult to measure lead isotopes in his laboratory because lead from gasoline was everywhere and his samples were constantly being contaminated. Patterson created the first “clean room” to carry on his isotope work, but he also published a 1965 paper, “Contaminated and Natural Lead Environments of Man,” and said that “the average resident of the U.S. is being subjected to severe chronic lead insult.”

In parallel, by the 1970s, the U.S. Environmental Protection Agency decided that leaded gasoline had to be phased out eventually because it clogged catalytic converters on cars and led to more air pollution. Leaded gasoline manufacturers objected, but the objections were overruled by an appeals court.

The public health concerns continued to build in the 1970s and 1980s when University of Pittsburgh pediatrician Herbert Needleman ran studies linking high levels of lead in children with low IQ and other developmental problems. Both Patterson and Needleman faced strong partisan attacks from the lead industry, which claimed that their research was fraudulent.

Both were eventually vindicated when, in 1996, the U.S. officially banned the sale of leaded gasoline for public health reasons. Europe was next in the 2000s, followed by developing nations after that. In August 2021, the last country in the world to sell leaded gas, Algeria, banned it.

A century of leaded gasoline has taken millions of lives and to this day leaves the soil in many cities from New Orleans to London toxic.

The leaded gasoline story provides a practical example of how industry’s profit-driven decisions – when unsuccessfully challenged and regulated – can cause serious and long-term harm. It takes individual public health leaders and strong media coverage of health and environmental issues to counter these risks.

[You’re smart and curious about the world. So are The Conversation’s authors and editors. You can read us daily by subscribing to our newsletter.]The Conversation

Bill Kovarik, Professor of Communication, Radford University

This article is republished from The Conversation under a Creative Commons license. Read the original article.

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Alecto, Megaera, and Tisiphone, as a race, we humans are not terribly good at doing what is best for us. Up until the 1920’s, for instance, arsenic was still used in skin lotions. And before that it was white lead (lead carbonate), which still shows up in some paints and some ceramics. People did not want to give them up. Women did not want to give their cosmetics up. I’m not old enought o remember the pushback on arsenic or white lead, but I am definitely old enough to remember the pushback on unleaded gas. If people are so terrified of change that they become violently opposed to giving up poisons, I guess we shouldn’t be surprised at the lengths they will go to in order not to take a vaccine. Well, give us long enough and we will make ourselves extinct – and maybe more sensible creatures will evolve to take our place.

The Furies and I will be back.

*”Ellery Queen” was actually two dudes, Frederic Dannay and Manfred B. Lee – hence the two cross strokes in the “Q” on the book titles, at least the early ones. There’s no unicode for it so I can’t use it here.)

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Everyday Erinyes #294

 Posted by at 11:39 am  Politics
Nov 282021
 

Experts in autocracies have pointed out that it is, unfortunately, easy to slip into normalizing the tyrant, hence it is important to hang on to outrage. These incidents which seem to call for the efforts of the Greek Furies (Erinyes) to come and deal with them will, I hope, help with that. As a reminder, though no one really knows how many there were supposed to be, the three names we have are Alecto, Megaera, and Tisiphone. These roughly translate as “unceasing,” “grudging,” and “vengeful destruction.”

Well. TFG, QAnon, and assorted Nazis just got a lot more to answer for. Not that it hasn’t been staring us in the face, but it’s only now that someone knowledgeable has put it into clear and simple language so we can see it.
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How the pandemic helped spread fentanyl across the US and drive opioid overdose deaths to a grim new high

Emblems of America’s epidemics.
David Gannon/AFP via Getty Images

Andrew Kolodny, Brandeis University

For the past 20 years, I have been engaged in efforts to end the opioid epidemic, as a public health official, researcher and clinician. And for every one of those years I have looked on as the number of deaths from drug overdoses has set a new record high.

Yet even knowing that trend I was surprised by the latest tally from the CDC showing that for the first time ever, the number of Americans who fatally overdosed over the course of a year surpassed 100,000. In a 12-month period ending at the end of April 2021, some 100,306 died in the U.S., up 28.5% over the same period a year earlier.

The soaring death toll has been fueled by a much more dangerous black market opioid supply. Illicitly synthesized fentanyl – a potent and inexpensive opioid that has driven the rise in overdoses since it emerged in 2014 – is increasingly replacing heroin. Fentanyl and fentanyl analogs were responsible for almost two-thirds of the overdose deaths recorded in the 12 months period ending in April 2021.

It is especially tragic that these deaths are mainly occurring in people with a disease – opioid addiction – that is both preventable and treatable. Most heroin users want to avoid fentanyl. But increasingly, the heroin they seek is mixed with fentanyl or what they purchase is just fentanyl without any heroin in the mix.

While the spread of fentanyl is the primary cause of the spike in overdose deaths, the coronavirus pandemic also made the crisis worse.

The geographical distribution of opioid deaths makes it clear that there has been a change during the pandemic months.

Before the COVID-19 health crisis, the skyrocketing increase in fentanyl-related overdose deaths in America was mainly affecting the eastern half of the U.S., and hit especially hard in urban areas like Washington, D.C., Baltimore, Philadelphia and New York City. A possible reason behind this was that in the eastern half of the U.S., heroin has mainly been available in powder form rather than the black tar heroin more common in the West. It is easier to mix fentanyl with powdered heroin.

COVID-19 resulted in less cross-national traffic, which made it harder to smuggle illegal drugs across borders. Border restrictions make it harder to move bulkier drugs, resulting in smugglers’ increased reliance on fentanyl – which is more potent and easier to transport in small quantities and as pills, making it easier to traffic by mail. This may have helped fentanyl spread to areas that escaped the earlier surge in fentanyl deaths.

Opioid-addicted individuals seeking prescription opioids instead of heroin have also been affected, because counterfeit pills made with fentanyl have become more common. This may explain why public health officials in Seattle and elsewhere are reporting many fatalities resulting from use of counterfeit pills.

Another factor that may have contributed to the soaring death toll is that the pandemic made it harder for those dependent on opioids to get in-person treatment.

More than anything else, what drives opioid-addicted individuals to continue using is that without opioids they will experience severe symptoms of withdrawal. Treatment, especially with buprenorphine and methadone, has to be easy to access or addicted individuals will continue using heroin, prescription opioids or illict fentanyl to stave off withdrawal. Some treatment centers innovated in the face of lockdowns, for example, by allowing more patients to take methadone unsupervised at home, but this may not have been enough to offset the disruption to treatment services.

And maintaining access to treatment is crucial to avoid relapse, especially during the pandemic. Research has shown that social isolation and stress – which became more common during the pandemic – increase the chances of a relapse in someone in recovery.

In the past, one slip might not be the end of the world for someone in recovery. But given the extraordinarily dangerous black market opioid supply, any slip can result in death.

[You’re smart and curious about the world. So are The Conversation’s authors and editors. You can read us daily by subscribing to our newsletter.]The Conversation

Andrew Kolodny, Co-Director of Opioid Policy Research, Brandeis University

This article is republished from The Conversation under a Creative Commons license. Read the original article.

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Alecto, Megaera, and Tisiphone, pharma CEOs pricing addicts out of treatment (and failing to make it widely avaiable) are Republicans. The people standing in the way of our having a public health system which works for everyone are Reublicans. So are the voters who believe Democrats are a cabal of cannibalistic pedophiles. It’s not like we haven’t seen this movie before – in real life – long before movies even existed. It has been Jews libeled, it has been Knights Templar libeled, and now it;s Democrats. And people are dying in large numbers. I wouldn’t call the number of overdoses last year alone and the number of people who subscribe to The Conversation’s newsletters (140,000) “close” exactly, but they are definitely in the same order of magnirude.

The Furies and I will be back.

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Nov 262021
 

Glenn Kirschner – Michael Cohen Tells CNN that New York and Federal Prosecutors are Working Toward Indictments

politicsrus – Insulin

Thom Hartmann – Why Won’t Social Media Stop “Tokyo Roses” From Destroying Our Democracy?

Vox – Why you don’t hear about the ozone layer anymore. How did we manage to not get this dismissed as a hoax? And how can we do it again?

MSNBC – There’s Still Work To Do’ Says Rev. Al Sharpton On Arbery Trial Guilty Verdict

Rocky Mountain Mike – Auto Con-Bot 3000 (not a song.  But funny.

Beau – Let’s talk about hot takes, the Christmas parade, and intent….

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Everyday Erinyes #293

 Posted by at 12:31 pm  Politics
Nov 212021
 

Experts in autocracies have pointed out that it is, unfortunately, easy to slip into normalizing the tyrant, hence it is important to hang on to outrage. These incidents which seem to call for the efforts of the Greek Furies (Erinyes) to come and deal with them will, I hope, help with that. As a reminder, though no one really knows how many there were supposed to be, the three names we have are Alecto, Megaera, and Tisiphone. These roughly translate as “unceasing,” “grudging,” and “vengeful destruction.”

So, this is what happens when people don’tpay attention toevery little detail. I was intrigued by the title (and certainly suspected something else.) It certainly never occurred to me that the answer would lie in obscure budget practices and requlations.

I’m not allowed to republish phpts from ProPublica, and the ones I could find on Google were too gruesome to even consider … so no pictures.j
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One Major Reason the U.S. Hasn’t Stopped Syphilis From Killing Babies

by Caroline Chen

ProPublica is a Pulitzer Prize-winning investigative newsroom. Sign up for The Big Story newsletter to receive stories like this one in your inbox.

 

Series:
A Closer Look

Examining the News

 

In public health, a “sentinel event” is a case of preventable harm so significant that it serves as a warning that the system is failing. The alarms are now blaring.

A growing number of babies are being born with syphilis after their mothers contract the sexually transmitted disease and the bacteria crosses the placenta. These cases are 100% preventable: When mothers who have syphilis are treated with penicillin while pregnant, babies are often born without a trace of the disease. But when mothers go untreated, there is a 40% chance their babies will be miscarried, be stillborn or die shortly after birth. Those who survive can be born with deformed bones or damaged brains, or can suffer from severe anemia, hearing loss or blindness.

I’ve spent the past few months trying to understand why countries including Belarus, Cuba, Malaysia and Sri Lanka have managed to wipe out congenital syphilis while the United States faces its highest incidence in nearly three decades: Last year, 2,022 cases were reported, including 139 deaths. That’s a shocking reversal from 1999, when the Centers for Disease Control and Prevention declared that the United States was on the verge of eliminating the centuries-old scourge for adults as well as babies.

What went wrong here?

My reporting led me to one major factor: the unusual and — according to various experts I spoke with, problematic — way that the CDC is funded, which has not only hampered the response to a rise in sexually transmitted diseases, but also has left us ill-prepared for the COVID-19 pandemic.

State and local health departments get much of their money from the federal agency, which has the best birds-eye view of all of the bugs, viruses and illnesses circulating in America. But CDC scientists don’t have the power to decide how much money to spend fighting each one.

Instead, Congress dictates to the CDC, in an uncommonly specific manner not seen with many other agencies, exactly how much money, by line item, it can spend to combat any single public health threat, from broad categories like emerging infectious diseases and Alzheimer’s disease, to more niche conditions like interstitial cystitis, neonatal abstinence syndrome and Tourette syndrome. Though prevention tactics for HIV and other STDs significantly overlap, HIV prevention has a separate line item and is allocated about six times as much money as the category for sexually transmitted infections.

The decisions can be politically driven and detached from bigger-picture health needs, as lobbyists and patient advocates descend on Washington to make the case to lawmakers that their specific disease of interest should get a bigger piece of the pie. Causes that don’t have large armies of compelling spokespeople can get ignored. Sexually transmitted diseases, which have an extra layer of stigma to contend with, have few dedicated advocacy groups. The small number of lobbyists focused on STDs sometimes can’t even get a meeting with lawmakers.

“The CDC needs to have more money and more flexible money,” former CDC director Dr. Tom Frieden told me. The political nature of the agency’s funding is part of what led the country to neglect virus surveillance before the coronavirus pandemic. The 2014 Ebola epidemic was supposed to be a “global wakeup call,” yet in 2018, the CDC scaled back its epidemic prevention work as money ran out.

That means public health in the U.S. is constantly in what Frieden calls “a deadly cycle of panic and neglect” — scrambling to throw money at the latest emergency, then losing the attention and motivation to finish the task once fear ebbs. In May, President Joe Biden’s administration announced it would set aside $7.4 billion over the next five years to hire and train public health workers. But some officials worry about what will happen when those five years are up. “We’ve seen this movie before, right?” Frieden said. “Everyone gets concerned when there’s an outbreak, and when that outbreak stops, the headlines stop, and an economic downturn happens, the budget gets cut.”

Jo Valentine, former program coordinator for the CDC’s 1999 push to eliminate syphilis, says one of the reasons the campaign failed is because public health is usually working “in rescue mode, parachuting in and fixing things.” That’s effective in acute situations, like stopping a new outbreak from exploding, but it doesn’t address long-term structural issues like economic stability, safe housing and transportation, which are all key factors in chronic and preventive care. The last fraction of cases in any public health effort can be the hardest to solve because they often involve vulnerable populations experiencing these barriers to accessing care. They are also the easiest populations to ignore.

Local health departments don’t have nearly enough resources to investigate cases of syphilis with contact tracing, which involves tracking down patients, inquiring about sex partners and making sure everyone is treated. One disease intervention specialist I shadowed in Fresno, California, has made six trips to a rural town, driving an hour each way, trying to prevent a single case of congenital syphilis. The patient is unhoused and itinerant, and so far has been hesitant to visit the community clinic for treatment.

With interest in public health now at an all-time high, it is worth reexamining how much money public health gets to take on these unpopular but necessary challenges, and how much authority the CDC gets to set its priorities. I hope that, five or 10 years from now, I’m not still reporting about COVID-19 hot spots left behind after attention wanes, creating places where the disease still flares because testing or treatment is hard to come by. And I also hope I’m not still writing about babies dying from syphilis.

Read ProPublica and NPR’s story.

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AMT, It’s hard enough – next to impossible, I would say – to get people to pay attention even to the biggest of governmental trends. I really have no clue how to get people to pay attention to something like this. We really need any help whatsoever you can give us.  Particularly when safe and legalabortions are becoming harder and harder to obtain, we do not need a problem like this one.

The Furies and I will be back.

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