Thanks, Gregg. I'm going to upload for you all 11 points on COVID that will
certainly be food for thought.

As far as I can tell, the data are off quite a bit.  As we are, I believe,
a collection of realists. I should point out that

(1) CDC decided to count all who die with PCR positive COVID tests as "died
from", failing to distinguish "died from" from "died with".  They have
in the past convolved "influenza" deaths with deaths from other respiratory
viruses (RSV, SV and, ironically, coronavirus). Only about 9% of
"flu deaths" from 2014-2019 were confirmed to involve influenza virus. Dr.
Biix announced this in March.
(2) FDA did not require empirical estimates of false positives in PCR tests
for Emergency Use Authorization.  Even more recently, they had all test
makers characterizing sensitivity, but not specificity.  I have written to
FDA wondering why.
(3) Independent studies are finding high false positive rates of PCR tests
(e.g., Dr. Sin Hang Lee, Millford, CT).
(4) Coupled (1) with the reality that the PCR tests have false positives in
the field use, mass testing (screening) will find more false positives
in raw numbers than true positives.  This is true for cases and deaths.
It's the reason we do not all get CT scans for cancer every year -
too many infections due to biopsies of FPs. There is no rule (that exists
or that is in use) telling us when, as pandemic progresses, it is ethical
to switch from symptom-based testing to mass testing (I've worked that out
mathematically and am trying to publish it).
(5) The safety of COVID19 medical care has increased dramatically; high
death rates due to the use of ventilators are being replaced with low
pressure high 02 protocols.
(6) Many deaths have involved a strange coagulopathy.  This condition is
very simple to prevent with proper medicine.
(7) Only certain types of people (with pro-inflammatory, autoimmune-prone
Th2 skewed immune systems) appear to be at risk.   Some think this may be
genetic (lack of a particular initial "innate" immunity (mediated by
interleukin-1):
https://urldefense.proofpoint.com/v2/url?u=https-3A__www.nih.gov_news-2Devents_news-2Dreleases_scientists-2Ddiscover-2Dgenetic-2Dimmunologic-2Dunderpinnings-2Dsome-2Dcases-2Dsevere-2Dcovid-2D19&d=DwIFaQ&c=eLbWYnpnzycBCgmb7vCI4uqNEB9RSjOdn_5nBEmmeq0&r=HPo1IXYDhKClogP-UOpybo6Cfxxz-jIYBgjO2gOz4-A&m=vCxqv7KrcvNrv2RSxUNtwDOOAoIOSEteZy_ixuypMUs&s=rp42bcAc7ghxhiY3EZqDjJXHt9X3Sf3SFD6kThve7Ys&e= 
(8) Combine (1) with (7) and the fact that in 2019 people >70 have the same
probability of dying in one year as the Infection Case Fatality Rate
in COVID19, a large portion of deaths were likely due to "COVID19
exacerbating pre-existing conditions" (get and stay healthy, my friends!)
(9) Sweden did not lock down, and their # new cases has been near zero;
thus, the elderly etc are now protected in Sweden.  While they have been
criticized for higher number of deaths in the elderly, this was temporary
because they appear to have achieved herd immunity; we have not; flattening
the curve obviously extends the duration of the outbreak, and there are now
many, many scholars, including MDs and public health scientists who say
Sweden "got it right".
(10) I am editor-in-chief of a journal "Science, Public Health Policy & the
Law" and I suggest a read of the case series by Dr. Brownstein and team,
which I have attached.  Many studies are now showing *protective* value of
Vitamin D (specifically D3).   I think it helps us fold our proteins
properly, reducing endoplasmic reticulum stress (1/3 of our proteins
require help folding in the lumen of the ER, and environmental toxins
impair that process are increasingly abundant).
(11) The politicization of COVID19 and early mistakes in policy (IMHO) have
had immeasurable costs to society including deaths of despair.

If you're into immunology, attached is a compressed file with some slides
for a lecture I gave with .pdfs of publications relevant to most of the
points of the talk.

Cheers,
JLW

 Immunology of COVID19.rar
<https://urldefense.proofpoint.com/v2/url?u=https-3A__drive.google.com_file_d_10lXizA7n6nuiyV-5FaB99KkNYiCcGgLNIh_view-3Fusp-3Ddrive-5Fweb&d=DwIFaQ&c=eLbWYnpnzycBCgmb7vCI4uqNEB9RSjOdn_5nBEmmeq0&r=HPo1IXYDhKClogP-UOpybo6Cfxxz-jIYBgjO2gOz4-A&m=vCxqv7KrcvNrv2RSxUNtwDOOAoIOSEteZy_ixuypMUs&s=O0smwdV2Fdlhve0s1cfBFstDpqb9khTMjI9hrZXTSUc&e= >





On Fri, Sep 25, 2020 at 9:56 AM Henriques, Gregg - henriqgx <
[log in to unmask]> wrote:

> Hi Folks,
>
>   I thought this was a useful summary of COVID that JMU University Health
> Center provided, so I am sharing it.
>
> G
>
> >>>
>
> *Global *cases now exceed 32 million. New global daily cases now average
> about 285,000. India continues to have the most new daily cases, averaging
> about 87,000.
>
> The US and Brazil continue in 2nd and 3rd place. Other South American
> countries (Argentina, Columbia) and some European countries are also seeing
> significant numbers. France and Spain are seeing a greater surge now than
> they did in the spring. On the positive side, *the death rate has been
> significantly lower in these countries*. The US 7-day moving average for
> test positivity rate has decreased to 4.9%, but daily testing still remains
> only around 800,000. Testing volume in the US continues to lag. However,
> these data reflect PCR testing. Antigen testing is becoming more available
> and being used more. States are just now adding these tests to their data.
>
> *Nationally*, total cases have now exceeded 7 million and are currently
> reported at 7,139,553. New daily cases continue to hover around 40,000. The
> average daily death rate is around 800. This is significantly lower than in
> April. Texas, California, and Florida remain as the top 3 states for new
> cases.
>
> *The Commonwealth* reports a total of 143,492 cases and 3,113 deaths. The
> testing % positivity is currently at 5.3% which is a significant downward
> trend over the past 2 weeks.
>
> The Central Shenandoah Health District has also seen a significant decline
> in the 7-day moving average for test positivity, dropping from 18.3% on 9/6
> to 7.9%.
>
>
>
> *Locality*
>
> *Current total cases*
>
> *New cases over the past 9 days*
>
> *Prior 5 day data on new cases*
>
> Harrisonburg
>
> 2564
>
> 518
>
> 233
>
> Rockingham County
>
> 1403
>
> 199
>
> 90
>
> Augusta County
>
> 472
>
> 38
>
> 28
>
> Staunton
>
> 250
>
> 31
>
> 30
>
> Waynesboro
>
> 257
>
> 9
>
> 14
>
> Shenandoah County
>
> 804
>
> 13
>
> 9
>
> Page County
>
> 389
>
> 13
>
> 10
>
> At JMU we are seeing fewer positive test and fewer people reporting a
> positive test performed elsewhere. However, we are also seeing fewer people
> get tested and therefore our 7-day average test positivity remains around
> 17%. All cases occurring in employees have been a result of either non-JMU
> related exposure or employee to employee (rather than student to employee)
> exposure. The reports are that face mask use in the academic settings has
> been very good. This significantly accounts for a lack of transmission
> between student and faculty.
>
> Vaccine development continues with new vaccines being developed and
> entering clinical trials. Two of the vaccines that are furthest along in
> development are m-RNA vaccines (Moderna and Pfizer). However, there is a
> very interesting and concerning logistic related to these vaccines-the cold
> chain storage required. These vaccines require storage at -94 degrees
> Fahrenheit (yes, minus 94). Transport would require storage in dry ice.
> These vaccines last 24 hours at refrigerated temperatures between 36.6-46.4
> Fahrenheit. In contrast, vaccines under development by Sanofi and Novavax
> are stable for months at typical refrigerated temperatures.
>
> Johnson & Johnson has a single dose vaccine entering phase 3 trials while
> Merck and Sanofi (both well-known and well-respected in vaccine
> development) have vaccines in development and entering clinical trials. An
> important factor is the corporate knowledge, infrastructure, and ability of
> these two companies to both vaccine development and large-scale production.
> They may be late in the game but they should not be counted out. This
> article
> <https://urldefense.proofpoint.com/v2/url?u=https-3A__www.statnews.com_2020_09_24_here-2Dcome-2Dthe-2Dtortoises-2Din-2Dthe-2Drace-2Dfor-2Da-2Dcovid-2D19-2Dvaccine-2Dslow-2Dstarters-2Dcould-2Dstill-2Dwin-2Dout_&d=DwIFaQ&c=eLbWYnpnzycBCgmb7vCI4uqNEB9RSjOdn_5nBEmmeq0&r=HPo1IXYDhKClogP-UOpybo6Cfxxz-jIYBgjO2gOz4-A&m=vCxqv7KrcvNrv2RSxUNtwDOOAoIOSEteZy_ixuypMUs&s=-LgSClvKm4eb9XM_TzRo26jPfnNUT2LnjptOkglHrec&e= >
> covers some information about vaccines in trials and development.
>
> It seems very unlikely there will be a single winning vaccine-at least in
> the beginning. Time will tell which vaccine approach seems to work best
> with the optimal immune response and duration.
>
> As an aside, recently the head of the CDC (Robert Redfield) commented that
> mask wearing was likely to be more effective than any vaccine.  “I might
> even go so far as to say that this face mask is more guaranteed to protect
> me against COVID than when I take a COVID vaccine,” Redfield said while
> testifying before the Senate Subcommittee on Labor, Health and Human
> Services on expectations around the release of COVID-19 vaccines.  He was
> not indicating that vaccine are not likely to be effective but instead on
> the value of masks as a preventative measure. He may also have been
> forecasting the need for mask use even when vaccines are available.
>
> Enjoy the beautiful weekend!
>
> Andy Guertler
>
> Andrew T. Guertler, MD
>
> Medical Director
>
> University Health Center
>
> James Madison University
> ############################
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Author, CEO, President, Scientist
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