Showing posts with label coronavirus. Show all posts
Showing posts with label coronavirus. Show all posts

Thursday, January 14, 2021

How To End The Pandemic In ONE WEEK Without Lockdowns, Masks, Or Vaccines

DISCLAIMER:  The following article references third-party sources and is intended for general information only, and is NOT intended to provide medical advice or otherwise diagnose, treat, cure, or prevent any disease, including (but not limited to) COVID-19.  Consult a qualified physician before beginning any sort of treatment or prophylactic regimen and/or if you know or suspect that you currently have COVID-19.  Anyone who takes or does anything mentioned (or alluded to) in this or any other TSAP article does so entirely at their own risk and liability.  The TSAP thus makes absolutely no warranties, express or implied, and is not liable for any direct, indirect, special, incidental, consequential, or punitive damages resulting from any act or omission on the part of the reader(s) or others. Caveat lector.

See also our previous articles herehere, and here as well.  Also, special thanks to Bill Sardi, Dr. Gareth "Gruff" Davies, Dr. Dmitry Kats, Dr. Mikko Panunio, and Swiss Policy Research, et al. whose research this article draws upon and cites in the links throughout.

It's January 2021, and the COVID-19 pandemic is now over a year old, with still no signs of ending anytime soon according to the official narrative.  The much-awaited vaccines are finally here, but they are unfortunately far too slow to end an established pandemic quickly enough, and questions still remain about their safety and effectiveness.

But according to the ever-insightful Karl "Ticker Guy" Denninger, there is apparently a way to effectively end the pandemic within one week or less.  Yes, really.  It would not only cure existing cases, but also quickly cause an over 80% reduction in transmission that would thus push the R-value so low that the epidemic would be impossible to sustain itself.  And it does NOT require lockdowns, masks, restrictions of any kind, expensive new drugs, or vaccines:




The Ziverdo kit contains Zinc, Ivermectin, and Doxycycline.  And it apparently works very well as both treatment and prophylaxis.  Make it OTC and send to everyone.  Denninger notes that the Doxycycline (antibiotic) is optional, especially for children whose baby teeth it stains, and if it were up to him he would substitute Vitamins C and D instead, making it even cheaper still.  And we at the TSAP would add Quercetin to the mix, as well as Thiamine (Vitamin B1) and Niacin (Vitamin B3), and make the Vitamin C the liposomal variety.  Problem solved.

Quickly, safely, and cheaply.  $2 per kit × 330 million Americans = $660 million, the size of a negligible rounding error on the nearly $5 trillion federal budget.  A real no-brainer.  Apparently, this has been known for months now, yet ignored by the powers that be (who thus have massive blood on their hands).

For example, the recently updated MATH+ protocol (for hospitalized patients) and the new I-MASK+ protocol (for early treatment and prophylaxis) both from the Front Line Covid-19 Critical Care Alliance (FLCCC), both currently include Ivermectin.  See also the recently updated protocol by the Swiss Doctor as well.  And the EVMS protocol strongly echoes these ideas as well, as does the newly-updated and famous Zelenko Protocol.

One other thing that people may not think of (and is not part of any of the other aforementioned protocols) is Niacin (Vitamin B3).  Dr. Dmitry Kats, apparently discovered months ago niacin (as nicotinic acid), at about 20 cents per 1000 mg dose, actually does work as prophylaxis and even as a practically overnight cure for COVID.  It has to be the immediate-release, "flush" kind in order for it to work, since the classic "niacin flush" reaction is a feature, not a bug.  And niacin has numerous other health benefits as well, while being practically harmless when used as directed.  Certainly better than Gilead's Remdesivir (which is really just a "bunk niacin" and apparently the world's most expensive failure at $5000/dose) and better than even Regeneron's shiny new monoclonal antibody cocktail.  And yes, Dr. Kats ran a very impressive double-blind, placebo-controlled, randomized clinical trial himself with niacin alone.  (Though of course, we would still recommend Vitamin C, Vitamin D, thiamine, zinc, and quercetin along with it anyway.)  The censors, however, are not at all pleased with his findings.  Gee, I wonder why?

Talk about a game-changer!  It seems that everything else is a mere sideshow in comparison.



As for long-haulers (those suffering from longer-term COVID after-effects), many of the reported symptoms sound a lot like those of deficiencies in several of the aforementioned key nutrients, particularly Vitamin D (in general), Vitamin B1 (dysautonomia and recurring fevers), and zinc (loss of smell and taste).  Correcting these deficiencies would likely work very well to promote healing.  And according to Dr. Dmitry Kats, there is also at least anecdotal evidence as well that niacin (Vitamin B3) can be beneficial as well in healing from remnant COVID damage, which is not really surprising given how well it works to treat acute COVID (as he discovered in his aforementioned RCT study).

The famous Dr. Joseph Mercola also has a great article about Niacin, largely echoing what Dr. Kats has been saying for months now.  The article also notes the many benefits of the other B vitamins as well in relation to COVID.  Food for thought indeed.

Of note, Ivermectin also seems to work for long-haulers as well, to the tune of 94%.

And of course, wash your hands, clean and disinfect high-touch surfaces, cover coughs and sneezes, stay home if you are sick, and avoid contact with people who are sick.  Vulnerable individuals (over 65, immunocompromised, and/or with underlying health conditions) should really avoid crowds as much as possible.  In other words, use common sense. 

Also remember to ventilate, ventilate, ventilate indoor spaces, and avoid packing too many people in as well.  This is especially important during "broken immune system season", formerly known as flu season.

As for the massive test "casedemic" superimposed on top of the actual pandemic, that can be easily solved by reducing the PCR cycle threshold to between 30 and 35, and/or switching to lateral-flow rapid testing instead.  Additionally, mass testing can be phased out in favor of more targeted testing as well.

So what are we waiting for?

UPDATE:  The ever-insightful Bill Sardi recently pointed out that giving severe, deathbed COVID patients a thymus gland hormone called thymosin alpha-1 raises T-cell counts and dramatically slashes death rates by nearly two-thirds.  Note that this miraculous treatment only works when actually sick, thus it is not for prevention, but it works very well will no side effects.  It also works well against cancer, by the way.  While the pure stuff is rather pricey and can be hard to get, bovine thymus gland extracts would likely have similar benefits and can be purchased as dietary supplements.  And the effect can also be mimicked and/or enhanced with zinc supplements as well, which we should really be taking regardless as both treatment and prophylaxis.  Our white blood cells don't work properly without zinc, and zinc also stops viral replication too.

T-cells appear to be at least as important as antibodies, if not more so for this virus.

As for prophylactic nasal sprays, some are in development as we speak, though not yet commercially available.  Until then, fortunately there is already one that is likely to block the virus while yielding additional health benefits in the meantime.  It is called Xlear, a natural, drug-free saline nasal spray with xylitol and grapefruit seed extract.

(Probiotics might also be promising too.)

And yet another study via meta-analysis confirms the effectiveness of Ivermectin, and even helps elucidate the mechanism by which it works.  Apparently, it blocks a particular enzyme, and thus stops the virus from replicating, kinda like zinc does but with a different enzyme.  In the USA, unfortunately it is not yet available OTC except for veterinary use, or for topical use against head lice.  But President Biden, if you're listening, you of course could change that with a stroke of your executive pen.  Yesterday.

Another safe and promising treatment and prophylaxis, Bromhexine, is available OTC in most countries, but unfortunately NOT available in the USA at all.  Like the drug camostat mesilate does, but much more cheaply and safely, it apparently blocks the TMPRSS2 protein that the virus needs to unlock the cells' ACE2 receptors, thus inhibiting cell entry.  (A protein whose relative lack in prepubescent children also seems to explain their largely being spared the worst of the disease as well as being less likely to spread it.)  That, of course, can also be fixed with a stroke of Biden's executive pen as well.  Yesterday. 

For Vitamin C, very high, "Klenner-sized" doses may be in order, especially for serious cases.  In his book Curing the Incurable, Dr. Thomas Levy discusses its curative potential for virtually all viruses, many bacterial infections, and even some poisons as well.  No reason think COVID would be radically different in that regard.  And not for nothing, high-dose IV Vitamin C is indeed a key part of the MATH+ Protocol.  Note that liposomal Vitamin C can also be used as an alternative to IV use early on, since it makes very high doses possible to absorb orally.

As for the study that supposedly finds that Vitamin C and zinc don't work, well, the ever-insightful Bill Sardi does an excellent rebuttal of that study.  And don't forget to take your Quercetin too, which is known to synergize with both zinc and Vitamin C.

Back to Vitamin D, don't forget to also take it with magnesium and Vitamin B12, which apparently enhance absorption and thus its benefits according to a new clinical trial.  For prophylaxis and very early treatment, D3 is best taken in several thousand units daily, or tens of thousands of units weekly.  And for serious, critical, or otherwise late-stage patients, remember that the active form calcifediol (25-hydroxyvitamin D) would work better, since regular Vitamin D3 takes time to convert to its active form.

And the evidence for Vitamin D just keeps on piling up, with the latest impressive study.  A 60% reduction in death rates and an 80% reduction in ICU admissions is certainly nothing to, ahem, sneeze at.

Be sure to also check out the amino acid lysine as well, which is now emerging as a dark horse in treating and preventing COVID-19 as well.

Additionally, Dr. Thomas E. Levy has a new, FREE e-book out titled Rapid Virus Recovery, whose central idea has also been echoed by Dr. Joseph Mercola, namely the use of nebulized hydrogen peroxide against the virus.  A nebulizer can be bought in a drugstore for less than $40, and a bottle of hydrogen peroxide for as little as one dollar.  If you find that idea floats your boat, please do use caution, follow the instructions, and be sure to to properly dilute the hydrogen peroxide solution before nebulizing it.

And even failing all that, we now know that there are always cheap steroid inhalers to fall back on, that cost next to nothing in nearly every country except of course the USA where the Big Pharma racketeers mercilessly gouge their prices.  In fact, like that Texas doctor pointed out last summer, early use of steroid inhalers seems to reduce the number of severe cases by 90%!  Let that sink in.  Problem solved.

Worried about the supposedly scary new mutant strains of the virus?  Worry not, since unlike vaccines and antibody treatments, the aforementioned protocols are NOT strain-specific and thus would work for ALL strains, full stop.  But if you are still concerned, then the best thing to do is to NOT support ANY degree or kind of lockdowns since in practice those just concentrate and incubate these new strains which inevitably escape and spread further, when it's really better to dilute, dilute, dilute so they don't become the dominant strains anywhere.  Seriously. 

FINAL THOUGHT:  When we say to end the pandemic, that is NOT to be confused with the mirage of "Zero Covid", which frankly makes about as much sense as "Zero Flu".  Like it or not, the virus is here to stay, but by doing the above we can easily accelerate the process by which it stops being a pandemic and becomes just another endemic nuisance like--and about as scary as--seasonal flu or the common cold.

Sunday, January 10, 2021

Still More Evidence That Lockdowns Don't Work And Do More Harm Than Good--So Why Do They Still Exist?

In case you are still not convinced that lockdowns are worse than useless, after we have repeatedly presented evidence since April 2020, there is even more evidence now a year into the pandemic.

A recent study that compared more-restrictive NPIs (i.e. mandatory stay-at-home orders and business closures) to less-restrictive NPIs, and (unlike some studies) teased out the the effects of the latter from the former, did not find significant benefits on the course of a country's epicurve from the former, and perhaps even a perverse effect.  And another study finds an uncanny resemblance between the shapes of the epicurves of each virus wave in nearly every country in the world regardless of what they did for the most part.  This also works when comparing states and localities as well, by the way.  And worse, yet another study finds that the harms of lockdowns may very exceed the supposed benefits by a factor of TEN.

But hey, we could've told you that nine months ago.

In other words, with very few exceptions, the strictest lockdown countries and states sure "flattened the curve" all right--VERTICALLY.  If such extraordinary restrictions are applied too late, it is like gasoline on the fire.  And when applied earlier, it may delay things a bit before exploding sooner or later, but the more it does when it does.  But ultimately, it does not make much if any difference in terms of the progress of the virus once it becomes widespread enough.  Thus, early lockdowns are unnecessary compared to less-restrictive NPIs, late lockdowns are truly worse than useless, and both cause unnecessary and utterly preventable collateral damage.

So what do we call doing the same thing over and over again and expecting different results?

QED

UPDATE:  Still another study, this time in the Northern Jutland region of Denmark where some areas had strict lockdowns while others didn't, finds no detectable difference in COVID rates between lockdown and non-lockdown locations.  Lockdowns apparently did not stop or even slow down transmission of the virus.  If the results of that natural experiment are not the final nail in the coffin for lockdowns, we really don't know what is.

And the UK?  Well, COVID infections were apparently already dropping before Lockdown 2.0 went into effect, and already rising again before the lockdown was relaxed.  Thus, the correlation with cases and deaths is most likely spurious and unrelated, and the lockdown clearly didn't do a lick of good.  But of course that didn't stop Boris from implementing Lockdown 3.0, which will likely last longer than the first two lockdowns combined.  The first time was naive, the second time was stupid, and the third time is truly the very height of thick-headedness!

And yet again, true to form, early evidence suggests that for Lockdown 3.0, infections also already peaked before that one would have had any sort of effect either.  In other words, the powers that be have a tendency to impose or tighten lockdown restrictions right around the peak, and then take credit for declines in cases that would have occurred regardless.

Oh, and school closures?  Yet another study came out showing that the lockdown zealots were wrong and that we at the TSAP were essentially right all along, namely that keeping schools open and fairly normal, even in times and places of significant community spread, and even without masks, does NOT lead to disaster for students, teachers, or anyone else.  And again, we could have told you that nine months ago.

Meanwhile, the collateral damage continues to mount, and will do so for many years to come. 

If only we had stuck to the wisdom of the ages that prevailed before March 2020, instead of throwing it all out the window like so much garbage.

STOP PRESS:  Be sure to also check out the ever-insightful Toby Young's excellent rebuttal to turncoat Christopher Snowdon's pro-lockdown piece, and Young's second rebuttal to Snowdon's rejoinder as well.  He debunks, debones, slices, dices, and juliennes the perpetually flimsy case for lockdowns, and pretty much lays waste to its remains.

Oh and by the way, Sweden, who famously eschewed lockdowns and barely even wore any masks, had a lower excess death rate for 2020 than most of Europe did.  Their COVID death rate was about average for Europe while their excess all-cause mortality was in fact better than average.  Kinda like how wide-open Florida did better than the USA average.

Saturday, January 2, 2021

Best Explanation Yet Of The Oligarchs' And Technocrats' "Great Reset"

In case you didn't know the real reasons behind the oligarchs'/technocrats' so-called "Great Reset", please see this eye-opening video by the ever-insightful Catherine Austin Fitts.  Spoiler alert:  it isn't really about a virus, so much as about power and control.


A cashless society in which currency as we know it is replaced entirely by digital central bank "currency" that can be turned on and off at will by the oligarchs in charge, to totally control the masses, and ultimately usher in their necrotechnocratic dream of slavery and transhumanism?  What could possibly go wrong?  (As per Murphy's Law...)

It can be described as the ultimate triumph of wetiko.  That is, the virus of the mind and cancer of the soul, far worse than any physical virus, that is also known as EVIL.  One that unfortunately too many people accept as the banality of evil.

All the more reason for We the People to demand a return to normalcy and a halt to these Machiavellian machinations.  And yesterday is not soon enough!

Of course, it is not enough to simply oppose the Great Reset, lockdowns, and all that jazz.  The forces of good must present alternatives that pre-empt any perceived need for such machinations.  We must unveil the treatments and prophylaxis that we have noted would bring the actual COVID-19 pandemic to a halt almost overnight.  We must expose and reform the sketchy statistics and testing used to create it the massive casedemic superimposed on it.  And we must implement without delay the progressive priorities such as UBI, single-payer Medicare For All, debt jubilee, free college, and so on before the evil oligarchs and technocracy beat us to it and pervert and weaponize these otherwise beneficial ideas.  Conservatives may disagree with that last point, but this battle cannot be won by conservatives alone, as it transcends the whole left-right political spectrum.

UPDATE:  Apparently, the Canadian province of Ontario is possibly planning to eventually put some restrictions on people who choose not to get the COVID vaccine, and perhaps require proof of vaccination to enter some places.  This is how it starts, people, and we must oppose this kind of coercion 100%, full stop.  Fortunately, in the USA we have at least some governors like Ron DeSantis of Florida who have already ruled out any such mandates in their own states, throwing a major monkey wrench in the Machiavellian machinations of the necrotechnocracy.

And finally, it should be crystal clear by now that We the People are in an abusive relationship with our government, and have been since the pandemic was first declared (if not even earlier, albeit to a lesser degree).  All of the red flags are there, even if they may be disguised to appear green at first.  Lockdowns and related restrictions and propaganda essentially perfectly match the Duluth Model Power And Control Wheel as well as the Biderman's Chart of Coercion.  Let that sink in, folks.  Really makes you think.

UPDATE:  Looks like the YouTube censors took down the video, unfortunately.

Saturday, November 14, 2020

The COVID-19 Pandemic Has A Kill Switch. Let's Use It, Yesterday!

DISCLAIMER:  The following article references third-party sources and is intended for general information only, and is NOT intended to provide medical advice or otherwise diagnose, treat, cure, or prevent any disease, including (but not limited to) COVID-19.  Consult a qualified physician before beginning any sort of treatment or prophylactic regimen and/or if you know or suspect that you currently have COVID-19.  Anyone who takes or does anything mentioned (or alluded to) in this or any other TSAP article does so entirely at their own risk and liability.  The TSAP thus makes absolutely no warranties, express or implied, and is not liable for any direct, indirect, special, incidental, consequential, or punitive damages resulting from any act or omission on the part of the reader(s) or others.  Caveat lector.

What if there was a way to end the dreaded COVID-19 pandemic quickly and harmlessly, within a matter of a few weeks at most, without resorting to lockdowns or shutdowns of any kind, and without the need for any sort of vaccine?  Eradication of this soon-to-be-endemic virus is of course practically impossible since that train has left the station long ago, but it can be quite easily reduced to a mere nuisance like the common cold or seasonal flu going forward.  

Of course, in the long run, both "herd immunity" and attenuation (weakening) of the virus itself will do the trick, as an inevitable result of mass natural infection, and we're already pretty damn close, but what do we do in the meantime to make this a far less risky proposition since the virus is, you know, rather nasty and even deadly for some people?  Enter antiviral prophylaxis of some sort.  According to a very good model originally designed for pandemic influenza, this will not only "flatten the curve", but actually CRUSH the curve down hard, more so and faster than even the very best vaccines ever could, as the latter take too much time to roll out en masse and kick in.  And a solution couldn't come soon enough.

So what would this prophylaxis be?  Here is our "kill switch" to sharply reduce not only bad outcomes such as deaths, but also viral transmission as well:
Really?  Sounds too easy, right?  We thought so too at first, but the evidence just keeps on piling up.  These things all enhance the immune system, tone down the body's harmful overreactions, and/or directly neutralize the virus itself.  And they are safe enough to recommend to the general population, not only those who are designated as "high risk" or "high exposure" (though certainly a fortiori for such folks). And they, among other things, all featured quite prominently in a previous article we wrote about treatment and prophylaxis for COVID-19.  And of course, they also work for many other viruses in general as well.  It is amazing how many people are deficient in many of these nutrients, and also how many of the various symptoms and after-effects thought to be linked to the virus itself may actually be the result of such deficiencies at least in part.

That alone should keep the vast, vast majority of COVID patients out of the hospital.  And for any severe cases that still occur, we already know how to easily treat the most likely complications of secondary bacterial infections, cytokine storms, and blood clots, using antibiotics, corticosteroids, and blood thinners.  And we also know now that ventilators kill more people than they save, and that less invasive means of oxygen therapy work quite well in fact, especially if you don't lay the patients on their backs.  In other words, this is actually a very manageable disease, and the specious idea that it is somehow unmanageable is simply a self-fulfilling prophecy driven by panic and misinformation (if not outright disinformation).

For example, check out the recently updated MATH+ protocol (for hospitalized patients) and the new I-MASK+ protocol (for early treatment and prophylaxis) both from the Front Line Covid-19 Critical Care Alliance (FLCCC).  And see also the recently updated protocol by the Swiss Doctor as well.

To further out-ninja this virus, redirect it away from vulnerable people, and reduce the herd immunity threshold and overshoot, we should take some lessons from the countries that had very low death rates without (or independently of) lockdowns:
  • Wash your hands, don't touch your face, cover coughs and sneezes, stay home if sick, avoid people who are currently sick, and all that jazz. Vulnerable people should avoid crowds as much as possible.  You know, common sense, basically.
  • Clean and disinfect high-touch surfaces frequently, including your phone.
  • Ventilate, ventilate, ventilate indoor spaces as much as possible.
  • Do temperature checks to enter public buildings and workplaces, and perhaps for public transportation as well.
  • When doing contact tracing, do backward rather than forward tracing.  That works much better given the stochastic nature of this virus.
  • When it comes to gatherings of any kind, remember that SIZE MATTERS, as the risk of virus exposure and spread increases exponentially with the number of people present.  This is especially true in enclosed spaces for prolonged periods of time.
  • Use face masks judiciously, not superstitiously.  They are filters, not barriers.  Change/clean them as frequently as possible so they don't backfire and become fomites (germ carriers).
  • And most importantly, take the proper precautions to stop the nosocomial spread of the virus within hospitals and nursing homes, which account for the lion's share of deaths in many countries, but some countries managed to solve nonetheless.
In other words, take the same precautions you would if you found out that there was a flu outbreak and/or a norovirus outbreak in your neighborhood, community, or workplace.  Because the way it spreads is similar to both types of viruses--and like the latter one, don't neglect the fecal-oral route of transmission.

Of course, thus far we are referring to the actual pandemic, that is, the one that actually produces significant excess deaths.  We haven't discussed how to also quash the massive testing "casedemic" that has been superimposed on top of it.  Here's how to tackle that one going forward as well:
  • Reduce the cycle threshold for PCR testing to 30 for standard sensitivity, and perhaps 35 for high sensitivity testing.
  • Confirm all positives with a retest before reporting results, especially positives with a cycle threshold >25.
  • Test sensitivity is rather overrated, apparently, at least in terms of a tradeoff with speed and frequency.
  • Do not include positive antigen (i.e. rapid) tests in reported "cases" unless also confirmed by PCR.
  • Do not mix in positive antibody test results as new "cases", as that is comparing apples and oranges.
  • Do not count multiple positive tests of the same individual as separate "cases", unless they are at least several months apart.
  • Consider restricting virus testing to symptomatic individuals only, except in very sensitive environments such as hospitals and nursing homes.
  • Report COVID hospitalizations as such only if the patients are there because of the virus (think CLI, ILI, shortness of breath, and/or pneumonia), not just because they tested positive after being admitted for something unrelated.
  • Make sure all deaths designated as COVID deaths really are from COVID. That is, no motor vehicle accidents, gunshot wounds, alligator attacks, deaths of despair, etc. with merely incidental positive tests.
  • Report cases by specimen date and deaths by date of death.
And just like that, goodbye pandemic!  And by ending lockdowns and other restrictions and going back to true normal sooner rather than later, we will also prevent any further collateral damage that is the actual root cause of so many excess deaths and so much misery we have seen so far this year.

And there you have it.  Consider this our silver bullet, and golden ticket out of this horrible nightmare for good.  Yesterday is not soon enough.  So what are we waiting for?  Let the real healing begin!

UPDATE:  After perusing some of the links in this article, the reader may wonder why we did not list bromhexine as a treatment and prophylaxis despite it looking rather promising.  The reason is simply because it is unfortunately still not available in the USA, despite it being safe and readily available OTC in almost every country in the world.  And this article is written primarily for an American audience.

One can also add resveratrol to the list as well, as it helps normalize the immune system, and was also found to show effectiveness against a far deadlier member of the coronavirus family, namely MERS.

As for long-haulers (those suffering from longer-term COVID after-effects), many of the reported symptoms sound a lot like those of deficiencies in several of the aforementioned key nutrients, particularly Vitamin D (in general), Vitamin B1 (dysautonomia and recurring fevers), and zinc (loss of smell and taste).  Correcting these deficiencies would likely work very well to promote healing.  And according to Dr. Dmitry Kats, there is also at least anecdotal evidence as well that Niacin (Vitamin B3) can be beneficial as well in healing from remnant COVID damage, which is not really surprising given how well it works to treat acute COVID (as he discovered in his RCT study).  Apparently, a good chunk of Long COVID can be considered a virus-induced form or offshoot of pellagra (niacin or NAD+ deficiency), and many of the symptoms of both match up, thus curable with niacin.

As for prophylactic nasal sprays, some are in development as we speak, though not yet commercially available.  Until then, fortunately there is already one that is likely to block the virus while yielding additional health benefits in the meantime.  It is called Xlear, a natural, drug-free saline nasal spray with xylitol and grapefruit seed extract.

See also "A Rational Path Forward" by the folks at Rational Ground as well.

Monday, November 2, 2020

The Difference Between Naive and Stupid

Well, it's official.  Several European countries are now back to lockdown once again.  It seems nearly every country not named Sweden or Belarus is blindly copying one another to one degree or another now just like before.  And even on this side of the proverbial pond, there are still plenty of folks eager to copy them if allowed the chance.  They clearly didn't learn the first time that lockdowns simply don't work, and do far more harm than good on balance.   

The first time they did it, they were naive at best, but the second time is just plain stupid.  The first time was an argument from ignorance, while the second time is an argument from thick-headedness.

Hey geniuses, wanna know why you are getting a second wave of the virus now?  Let us count the ways:

  1.  You are testing much more than during the first wave, often many times more.
  2.  You are using such a high PCR cycle threshold that creates far too many false positives.
  3.  You are still quite liberal with what you define as a COVID death.
  4. "Mitigation fatigue" is all too real, and viruses gonna virus regardless.
  5.  And last but not least, your lockdowns the first time merely postponed the inevitable.  Really.  Whether you shaved off a little bit from the first wave (like the UK) or nearly suppressed the first wave entirely (like Czechia), guess what?  You are getting right now exactly what you had postponed earlier, except now during flu season.  A real genius move, guys. 

And before you say "But Sweden is getting a second wave too!", take a look at the hard data on Worldometer or Our World In Data.  Cases are apparently way up in recent weeks, yes, but hospitalizations are only modestly up, and deaths are still largely crawling along the baseline, having had no excess deaths since July and on track to have a below-normal flu season.  Whatever their second wave, it does not appear to be particularly deadly, and they are currently in a much better position than nearly all the rest of Europe as they head into winter.

UPDATE:  And yes, COVID-19 apparently does have a strong seasonality to it in both the USA and Europe, which is of course a double-edged sword.  As for Sweden, deaths are apparently up, but still no excess deaths since all-cause mortality remains largely in the normal range per EUROMOMO.  After all, "excess" is relative.  And also, where did the flu go?  It seems that in practically every country, including Sweden, it seems to have mysteriously vanished for some reason.  Things that (should) make you go, hmmmm.

As for Finland and Norway, who still have some of the lowest COVID death rates in the Western world, keep in mind that both countries were actually LESS stringent than Sweden for the majority of the pandemic (i.e. from May until early November).

The UK's Lockdown 2.0 and the subsequent perpetual lockdown-in-all-but-name appear to have not done a lick of good at all in terms of the number or timing of COVID cases, hospitalizations, or deaths.  It appears to be at best irrelevant to the virus, if not perverse.

Banning all or practically all mixing between households, especially at this very late stage of the pandemic, is utterly risible if it weren't so tragic.  News flash, for most of the pandemic there has been, and still is today, far more transmission within households than between them, and not primarily driven by children or asymptomatic spread either.  Once the proverbial genie is out of the bottle, such government overreach is simply a cruel joke.

And meanwhile, several US states are in fact backsliding towards lockdown once again, with practically all states except Florida and South Dakota tightening restrictions at least somewhat since September.  Riddle me this:  if it worked so well the first time, why are we doing it again?  If it did NOT work the first time, why are we doing it again?

In fact, going into the holiday season, Florida is actually doing better than the national average now in spite of barely any restrictions since September 25, and both North and South Dakota have peaked and declined organically since mid-November despite mild/late (ND) or no (SD) restrictions, around the same time as the stricter Midwestern states.  California, on the other hand, is not doing so hot at all.

Even Georgia, notably first out the gate to lift restrictions and reopen in general and also first out the gate to reopen schools statewide, was not the disaster that was predicted, and seven months later they are....average compared to the rest of the country.  And sadly while both Dakotas are now cumulatively among the top ten worst states in terms of deaths per capita, the timing of their admittedly severe but very late outbreaks and decline of same does not show any relevance to policy measures.

JANUARY 2021 UPDATE:  Looks like Sweden did unfortunately have low to moderate excess weekly deaths for several weeks in a row in late November, December, and early January per EUROMOMO.  But they still had far less than they did during their first wave and significantly less than most European countries did during their second wave, especially the UK (again), Spain (again), Belgium (again), Italy (again), France, Portugal, and much less than Czechia and Slovenia as well.  And it began much later as well.  2020 seems to have been Sweden's worst year for all-cause deaths since 2012, and fairly comparable to 2015, while some other countries in contrast had their worst year in decades.  And it looks like Sweden's second wave is almost over now, with cases now plummeting despite it being the middle of winter.  Meanwhile, Florida and California are both shaping up to be about average among US states on a cumulative basis despite taking polar opposite approaches to their epidemics, kinda like how Sweden and France are both around the European average as well.  As the old saying goes, that's why you never call the winner at halftime.

Regardless of what NPIs were done, it appears that the winter wave is now in rapid retreat worldwide in nearly every country, well before the vaccines would have had much if any effect.  Reducing the cycle threshold for PCR testing and/or making testing more targeted per revised WHO guidance has likely played a role in many countries and US states, but enough naturally-acquired herd immunity to bend the curve down has also most likely been achieved as well.

Note that other endemic coronaviruses (i.e. common cold viruses) tend to peak seasonally in January or so and then sharply decline afterwards.  Thus, the decline of this virus will most likely continue through the spring and summer as well, give or take a possible March secondary peak in some places perhaps.

(And again, where did the flu goHmmmm....)

So what do you call it when you do the same thing over and over and expect different results?

Thursday, October 8, 2020

The TSAP Supports The Great Barrington Declaration

More than six months after the COVID lockdowns and related restrictions began in March, it is becoming increasingly clear that that such an unprecedented "strategy" wasn't really the wisest idea, to put it mildly.  In fact, it was not even really a strategy so much as a panic move that was only supposed to last two or three weeks and was based on the (later revealed to be false) premise that it was somehow utterly necessary to keep hospitals from being overrun.  Fair enough, I guess.  But then they subtly moved the goalposts to a pipe-dream "zero COVID" strategy with no end in sight, which quite frankly makes about as much sense as a "zero flu" strategy.  If that isn't mission creep, I really don't know what is.  And such a sledgehammer approach really hasn't worked very well, and has had far too much collateral damage.  The "cure" was worse than the disease.

That's why a group of distinguished infectious disease experts (Prof. Sunetra Gupta, Prof. Martin Kulldorf, and Prof. Jay Bhattacharya) have come up with the Great Barrington Declaration, which calls for a change in strategy to what they call Focused Protection, in which young and healthy people (who are statistically at similar or less risk from COVID as they are from seasonal flu, traffic accidents, etc.) essentially go back to the true normal and build up herd immunity while carefully protecting older and more vulnerable people (who are at far greater risk) in the meantime, and still respecting human rights.

Sweden basically did such a strategy for the most part, as did some US states like South Dakota, and to a lesser extent Florida, Georgia, Texas, etc.  And despite being hit rather hard, they did not turn out worse than many of the strictest lockdown countries and states, but rather closer to the middle of the pack. Controversial and imperfect as that strategy may be, honestly in the long run it is really the only way out of this pandemic nightmare for good at this point, and we just have to accept that.  It is simply an inevitable outcome, and any safe and effective vaccine will come too late.  As for treatments, they apparently already exist, and many have existed for decades now.

(For more practically detailed versions of this general strategy, devised months ago, see here and here by Bill Sardi, as well as here by Dr. Shiva Ayyadurai.)

Objections can be very easily debunked here, by the way.  It is not a left-wing vs. right-wing thing, or even solely for libertarians, as a strong communitarian case can also be made for such a strategy as well.  Thus, it is more properly thought of as a humanitarian imperative that transcends politics.

Thus, the TSAP hereby supports the Great Barrington Declaration, with the caveats that its words not be misinterpreted and that such protections of the vulnerable be largely voluntary, nuanced, and not too heavy-handed.  It's not that COVID-19 shouldn't be taken seriously (it should be!), but we need to keep things in proportion, as a disproportionate response does far more harm than good in the long run.

As the authors of the declaration so eloquently say, "Public health is not simply the absence of disease.  Together we can restore it in full.  Do it now!"  And we at the TSAP couldn't agree more.

So what are we waiting for?  Let's stop making the perfect the enemy of the good, and get real already.

UPDATE: Dr. Mikko Panunio of Finland adds that Vitamin D may very well be the silver bullet we've all been looking for, reducing not only death rates from COVID but also likely slowing the transmission of the virus as well according to recent studies, effectively creating a sort of quasi-herd immunity in the meantime.  Thus, recommending Vitamin D supplements to the general population would be an excellent and highly practical addition to the Great Barrington Declaration strategy for returning to the true normal sooner than later.  This advice echoes Dr. Shiva Ayyadurai's and Bill Sardi's advice (which also notably include Vitamin A, Vitamin C, zinc, quercetin, selenium, etc. as well as Vitamin D) given months ago.  Too bad it took over six months for such an idea to even begin to enter into the mainstream, as far too many lives have been cut short and/or ruined from both COVID as well as the wrongheaded countermeasures that did more harm than good.

And regardless, it bears repeating:  the critics' apocalyptic estimates of mass death that would allegedly result from the Great Barrington Declaration strategy relative to the status quo can be very easily debunked by noting that 1) the status quo at best delays the inevitable and still presents us with all of the exact same dilemmas the critics rail against, but with added collateral damage on top of it, and 2) yet another study confirms that the actual infection fatality rate of 0.1-0.3% is globally far lower than the doomsayers claim it is, more like a really bad flu season, albeit with very wide variation and nuance.  Even the WHO inadvertently admitted as much.  And as of October 8, the WHO did a startling about-face and now strongly discourages the use of lockdowns due to their truly massive collateral damage.

Most ironically of all, the Great Barrington Declaration strategy is not at all unorthodox, but rather simply a reversion to the scientific community's time-tested pandemic playbook which prevailed for nearly a century up until the powers that be panicked and summarily threw it out the window in March 2020.  And in that playbook, large-scale quarantines and closures were dismissed as ineffective and counterproductive for these types of pandemics.  It is only because the Overton window shifted so much and so quickly that yesterday's heresies became today's orthodoxies practically overnight.  And now is our chance to shift it back to its rightful place, and yesterday is not soon enough.

Please note that the authors of the GBD have added an informative FAQ for clarification and more detail.  It should go without saying of course, but neither the TSAP nor the GBD authors advocate or condone anyone deliberately getting infected or infecting others.  Fortunately, the idea that this is a widespread practice (via "COVID parties" or otherwise) is apparently just another urban legend.  Which is good, because we want the effective herd immunity threshold to kick in at as low a level as possible, with as little overshoot as possible, thus minimizing total casualties of all varieties.  So keep calm and carry on, but still keep washing your hands, don't touch your face, stay home when you're sick, stay away from anyone who is sick or thought to be infected, and all that jazz regardless.  That is, use common sense.

See also "A Rational Path Forward" by the folks at Rational Ground as well.

As for how long immunity lasts, see here.

2021 UPDATE:  See the rebuttal here to the specious claims against the GBD.

Thursday, September 24, 2020

Six Months Is More Than Enough

Here's a good (anti-)joke for you: What do Julius Caesar and America as we knew it have in common?  Both died on the Ides of March (aka March 15).

What is the cruelest April Fools joke in all of recorded history? "Fifteen days to flatten the curve", which began on March 16, 2020 (and by it's very own definition, should have ended April 1, 2020.)  

And six months later, in most of the country we are still not anywhere close to being back to normal, despite having "flattened the curve" months ago.  Not the New Abnormal, but rather the true normal.  America is almost a completely different country now than we were just a little over six months ago.

Keep in mind that the original strategy of "flatten the curve" was a very modest and short-term one:  to slow the spread of the virus just enough so that the same number of patients will arrive at the hospital but staggered out over a longer period of time rather than all at once, so hospitals would not be overwhelmed.  DONE.  Then, by early April, in a swift moving of the proverbial goalposts and mission creep, the strategy morphed into a suppression and elimination ("zero COVID") strategy.  Which is unrealistic once the proverbial horse is out of the barn, of course. Ditto with trying to suppress it until the vaccine, which may take years or never come at all, and will most likely not be the silver bullet that people hope it is.

All at a truly massive social and economic cost, the likes of which have not been seen since the 18...nevers.  For a disease which, for the most part, is in the ballpark of a strong seasonal flu in terms of deadliness and overall severity.  We may very well see that lockdowns and related measures will have actually caused more deaths than COVID itself ever could, making the "cure" far worse than the disease.

In any case, there were really only two choices:  transmission now, or transmission later.  Or more likely, a bit of both.  And many countries got the worst of all worlds by choosing lockdown. When it comes to viruses, you can run, but you can't hide.  At least not for very long, as nature always finds a way, even if such ways may not always be fully understood.  The ox may be slow, but the Earth is very patient indeed.

Thus, as the ever-insightful Dr. John Lee notes, the only viable strategy at this point is learning to live with the virus, kinda like we do with the flu and stuff like that.  That way the pandemic will simply end the same way others before it have ended, with herd immunity and attenuation (weakening) of the virus itself, after circulating so much. Meanwhile, as we noted in a previous post, we have also learned how best to treat the disease and prevent the very worst outcomes for the most part.  And the virus is currently fizzling out on it's own all over the world as we speak, including the USA, as we are already in the endgame now.  ("Casedemics" from increased testing, false positives, and lagged legacy deaths notwithstanding.)

Apparently a lot of people don't like the term "herd immunity" because it contains the word "herd".  No problem, we can simply call it "population immunity", "community immunity", "collective resistance", "community resistance", "heterogeneous group resistance", "saturation", or perhaps our favorite, "The Final Countdown", named after that famous Swedish song from the 1980s.  Either way, it is not a "strategy" so much as an inevitable fact, kinda like gravity.  And delaying it for too long ultimately hurts the vulnerable in the long run, by increasing their chances of exposure, to say nothing of the very harmful effects of extended isolation and loneliness. 

And such wrongheaded measures to delay it also end up disproportionately hurting the poor and working classes, a fortiori for people of color, who are bearing a disproportionate share of not only the massive social and economic costs of lockdowns, but also the inevitable burden of building collective immunity as well, while the elites easily "shelter in place" and work from home in their ivory towers.

Thus, it's long past time to lift or phase out the many authoritarian restrictions (which were largely ineffective) put in place that would've been unthinkable as recently as February 2020.  That is not to say that people should not continue taking precautions to one degree or another, but the time for such top-down coercion has come and gone long ago.

Let America Be America Again!

P.S.  This is NOT a left-wing vs. right-wing thing, so let's not fall into that trap.  In fact, our position is really the only genuinely progressive position there is overall, especially when combined with other progressive priorities like UBI and Medicare For All.

Sunday, September 6, 2020

Dear Illegitimate Son Of SARS

Dear Illegitimate Son Of SARS,

Look, you had a fairly long run, and a higher "score" (death toll) than the skeptics predicted (though still far less than the doomsayers originally predicted), but we know you are falling away and falling apart now as we speak.  You are getting progressively weaker and weaker just as more and more people are becoming immune to your nasty ravages.  And we have learned through trial and (mostly) error the best ways to treat the patients you so ruthlessly target.

From the get-go, you primarily picked on people that couldn't defend themselves very well, which is the mark of the coward.  In that respect you are far closer to a nasty seasonal flu than to the 1918 pandemic flu that you seem to idolize and aspire to be like.  Even children can easily quash you quite well, apparently.

And unlike your daddy, you couldn't even manage to stay on the UK's infamous High Consequence Infectious Disease (HCID) list for very long, getting kicked off of the list before you even really got started.  So much for being a chip off the old block!

You are a stealthy little bugger, we will grant you that.  But we know your game now.  You may have called most of the world's bluff at first, but when Sweden and Belarus both called YOUR bluff very early on, as did Japan and Taiwan, that was the beginning of the end for you.  Come to think of it, quite a few (though far too few) other countries did as well.

Even your fairly high body count may be less than meets the eye, along with all of the collateral damage that went along with you.  You are essentially taking credit for a good chunk of the damage and death that the lockdowns and their enthusiasts have wrought.  There is no way that you alone could have possibly turned one of the most vibrant and prosperous cities in the world into a burned-out empty shell without the unwitting help of its mayor (and the governor too).  Notice that I didn't even need to mention that city's name for the reader to know exactly which one.

TB or not TB?  That is the question, since you appear to be taking credit for a good chunk of the sickness and death caused by tuberculosis (posing as you) and/or co-infection with both you and TB.

And now, you seem to following in your daddy's footsteps just like in 2003.  An honest chart of your "progress" bears an uncanny resemblance to SARS-1 in terms of the patterns: first the higher latitudes in the spring (Europe, Canada, and Northern USA), then the lower latitudes (Sunbelt Spike, and tropical countries) in the summer, then simply phasing out entirely.  In other words, you do not seem to be aging very well at all, both literally and figuratively, and your days are numbered (no matter how much the powers that be may want to drag you out indefinitely to further exploit you for their own machinations).

As the lyrics to a famous Swedish song go, "It's the final countdown"-- for you, that is. 

Face it, you're washed up.  You bit off far more than you could ever possibly chew, and now you are choking on it.   Now go back to the pit (or lab) from whence you came!

Sincerely,

The True Spirit of America Party

P.S.  Don't forget to give special "thanks" to your common cold cousins, the Gang of Four:  229E, OC43, NL63, and HKU1.  Without previous exposure to them to provide some degree of immunity to you, you really could have been a contender.  You may very well luck out and end up like them instead of going extinct like your daddy.  But truly OC43 will always be the OG.

Saturday, August 22, 2020

The TSAP's Current Position On Vaccines For COVID-19

Until recently, the TSAP has taken no official position on vaccines.  We have generally supported the concept as a rule.  We are NOT an anti-vaccine group by any stretch of the imagination, and still not.

But when it comes to a hastily-made COVID-19 vaccine, one that may very well be made mandatory at some point for practically everyone, we must note that there are new nuances to consider now.  We know that hastily-made vaccines in general carry unacceptable risk, with the 1976 swine flu vaccine debacle being the most infamous example.  Rushing vaccines to market before they are proven safe and effective is inherently unethical and foolish.  Worse still, making such vaccines mandatory, especially when the virus is clearly already on the run and circling the drain as we speak (as natural herd immunity is right around the corner if not already present) is a massive and unnecessary government overreach where the ends do NOT justify the means.

Even if the virus was still completely out of control for the foreseeable future, we have already noted that better treatment of patients while allowing herd immunity to develop naturally would be far more effective and timely than any vaccine, if we ever even get a vaccine that works at all, that is.

Make no mistake, we do NOT oppose the development and marketing of safe and effective vaccines with no funny business.  But anything beyond that is a no-go for us, plain and simple.

We absolutely oppose any attempt to create "immunity passports" or "vaccine passports" of any kind as well.  That is just far too Orwellian and potentially nefarious for us, especially for a disease whose actual infection fatality rate turns out to be in the same ballpark as seasonal flu.  And those who then reply "well, maybe we should make flu shots mandatory for everyone too!" are ironically SOOOO close to actually getting the point.  There is, after all, a reason we as a society have chosen not to do so--yet.

And while we support Universal Basic Income (UBI), we do NOT support Australia's plan to cynically use such a thing as a cudgel to economically coerce people to receive such hastily-made vaccines (i.e. no vaccine = no job and no UBI).  Not only is that highly unethical, but it is also a gross perversion of the very concept of UBI, which is supposed to be unconditional with no strings attached by definition.  And this is in a country that has just recently brought back even more draconian lockdowns to a good chunk of the country, despite very little problem with the virus.  It's almost like Australia was never really able to completely shake its history as a penal colony.

And finally, quite frankly, the whole idea of us all having to somehow put up with this inane and insane New Abnormal indefinitely until the vaccine (which may never work or never arrive) is widely available, is itself a form of social and economic coercion.  We believe that making civil rights, normal economic activity, and normal social interactions somehow contingent on nearly everyone receiving a vaccine is an unprecedented and unacceptable act of coercion.  Fortunately, at least some pundits are gradually walking back that idea, but it remains to be seen whether enough government officials will as well.

By the way, have you seen the ever-insightful author Ellen Brown's latest articles on the topic?  She is clearly one of US, basically.  And we are indeed honored to have someone like her on essentially the very same wavelength as the TSAP in that regard.

UPDATE:   For anyone who brings up the landmark Supreme Court case Jacobson v. Massachusetts (1905) in arguing that mandatory COVID vaccinations are in line with the Constitution, please recall that that case was regarding local vaccination mandates determined by local boards of health for smallpox, which was a far deadlier disease with an infection fatality rate of about 20-30%, about 100 times deadlier than COVID (about 0.2-0.3%).  And note that the penalty for not getting vaccinated under the law in question was a mere $5, or about $150 in today's money.  Proportionality is important here.

Friday, August 14, 2020

The TSAP's Updated Position On Face Mask Mandates

DISCLAIMER:  The TSAP still encourages everyone to continue observing official mask mandates in public places at the national, state, and/or local level, for as long as those mandates are still in effect, and does NOT promote or condone any civil disobedience in that regard.  Choose your battles very wisely, and don't be a Karen or Kevin either way (with apologies to people who actually have those given names.)

NOTE:  The following shall fully supersede any positions taken or advice given prior to August 1, 2020, and shall remain in effect until further notice.

As we now finally enter the endgame of the COVID-19 pandemic in the USA, and face mask mandates are now entering in their third, fourth, or even fifth month in many places, we at the TSAP feel it is time to start talking about how long these mandates shall last, and to what extent, before they are ultimately phased out.   Yes, you read that right.  There, we finally said the heresy out loud now, and we don't regret it.

While the TSAP has enthusiastically supported fairly broad mask mandates from late April onwards, that support was predicated on these policies being temporary, logical, and nuanced.  We have never supported permanent mask mandates (or ones that last until that ever-elusive vaccine), nor have we supported ones that apply to any places that are both not open to the public and and not workplaces (such as private residences and exclusive members-only clubs).  Nor have we supported any outdoor mask mandates that last for more than two weeks, unless an exception is made for situations where six feet of distance is possible to maintain between people.  And we have opposed all mask mandates that apply to children under two years of age, and have not (yet) taken a position on whether children between the ages of two and ten years of age should be required to wear masks in public either.  And penalties for individuals, if any, should not exceed a small civil fine similar to a parking or traffic ticket, with no criminal record.  After all, for most people, not wearing a mask is no more dangerous to others than speeding is.

We have generally considered New York State's mask mandate, and later California's, to be a good model for the nation.  In contrast, the local ones in Miami and Broward County, Florida, are too broad and harsh by our standards.  But even the very best of such mandates should still ultimately have a sunset clause.

Our current position is the same as before, with the following changes:
  1. All broad mask mandates should sunset no later than January 1, 2021 at the latest, or six months after they began, whichever occurs first.  Even in areas currently designated as "red" zones (i.e. characterized by seriously widespread community transmission of the virus).
  2. In areas that are currently designated as "yellow" or "green" zones, all broad mask mandates should sunset no later than November 4, 2020 (i.e. the day after Election Day).
  3. Narrow mask mandates, covering only very selected situations such as inside retail shops and/or public transit, can last beyond the end of broad mask mandates, but after November 4, 2020 shall sunset no more than an additional 90 days later in any case.
  4. Until the November 2020 election is over, masks should remain mandatory at all election locations and on all public transit, even if masks are no longer required elsewhere.
  5. Going forward, all new broad mask mandates imposed after August 15, 2020 should only be imposed on areas with seriously widespread community transmission of the virus.  Otherwise, no new mask mandates.
Of course, in the event of a severe second wave in the winter, these mandates may very well need to be reimposed, and nothing written here shall preclude that, but the TSAP doubts very much that will happen, since "herd immunity" is likely to be reached nationwide by then if it hasn't already.  Yes, really.

As for children under the age of ten, the TSAP now believes that after August 15, 2020 they should be completely exempt from any mask mandates, with the possible exception of public transit and within 100 feet of a polling place, in which case only children under the age of two should be exempt.

Furthermore, deaf people and those communicating with them, and anyone for whom wearing a mask is medically contraindicated, should also be automatically exempt from such mandates.

Face masks do work to an extent in slowing (not stopping) the spread of the virus when used properly, though their effectiveness has likely been overstated and they should not be regarded as a talisman or a substitute for social distancing and hygiene, but as an additional modest layer of protection when they are widely used by the vast majority of people.  They protect those around the wearer more so than they do the wearer.  The "effect size" of universal mask wearing is relatively high when there is a high level of widespread community spread of the virus (i.e "red" zones), while it becomes practically negligible when the level of community transmission is at a very low baseline level (i.e. "green" zones).  And outdoor transmission is relatively rare with or without masks, while at least 99% of transmission occurs indoors.  Thus, the TSAP's nuanced position makes sense now.

Interestingly, none of the Nordic countries (including Sweden) ever saw the need to mandate the use of face masks, nor did the Netherlands, and yet they did not do any worse overall in terms of the the pandemic compared with other European countries that did (often belatedly) require them.  On the other hand, all of the East Asian success stories did involve widespread mask wearing, though not every country required it and often it was voluntary.  So unlike lockdowns, which turned out to be unequivocally counterproductive and thus worse than useless, the jury is basically still out on the effectiveness of mask mandates when looking at the international evidence.

(The debate on masks, after all, is well over a century old.  Really nothing new under the sun here.)

Make no mistake, mask mandates are NOT lockdowns, and are nowhere near as bad.  After all, the TSAP supported them as a way OUT of lockdown.  But they do come with their own downsides too, and as the weeks turn into months and the months turn into years, they don't exactly age very well either.

UPDATE:  It looks like there is yet another nuance to the centuries-old debate about the effectiveness of masks.  That is, the latest theory is that even though masks (especially cloth masks) are only partially effective as PPE and source control, they do likely reduce the viral load, which while it can still be somewhat infectious it would would make the wearer and those around them less sick and less likely to die than receiving a higher dose of the virus.  A lower dose of the virus is easier for the immune system to knock out quickly before it gets bad, while still enabling the infected to build some immunity going forward.  After all, "the dose makes the poison", and indeed the etymology of the word virus comes from and old word for "poison".  Another way to potentially reduce viral load is to gargle with an alcohol-based mouthwash regularly.   That said, these nuances do not materially change the TSAP's position, and in fact reinforces our middle-of-the-road approach.

Of course, to avoid further concentrating one's own potential viral load, be sure to change or clean your mask very regularly, and don't wear it 24/7 with no breaks.  Fresh air is also a good thing too, after all.  That is, use common sense!

And this begs the question once more to the lockdown enthusiasts who at first opposed masks but later embraced them:  if masks are so effective, why did we even lockdown at all?  Seriously, why did we?

OCTOBER UPDATE:  A cursory review of the empirical evidence so far reveals that while masks may very well be marginally effective at the micro level, they apparently are practically insignificant at the macro level, at least in the long run.  To wit, as the charts here so clearly show, broad mask mandates do not appear to have had any noticeable impact on the course of a country, state, or locality's epidemic curve.  To name a few, Hawaii, Illinois, LA, Miami, Kansas, Wisconsin, Israel, Japan, Spain, Argentina, and most notoriously Peru all have seen no beneficial long-run impact on cases (which actually increased at some point after implementation, even in conjunction with strict lockdowns in some cases), and the same was ultimately true for deaths and hospitalizations as well, except for Hawaii, Israel, and Japan whose death rates remain unusually low for reasons not yet fully understood.  As for Czechia, the crown jewel of early mask mandates, it appears to have only worked the first time in conjunction with their early suppression strategy in the spring, but not the second time around when the virus came roaring back in the fall.  Meanwhile, mandate-free Sweden, Denmark, Norway, North and South Dakota, Georgia, and the parts of Florida without local mandates don't seem to have had worse trends overall.  Thus, the TSAP no longer officially supports broad mask mandates as of October, except perhaps for a limited time (two to three weeks) in locally-defined "red zones". 

And we certainly do NOT support any federal mask mandates in the USA at all, period.  They are not only constitutionally dubious at best, but as noted above there is simply not nearly enough evidence in their favor to justify such unprecedented federal government overreach even temporarily.  Fortunately, even Joe Biden himself has largely walked back his initially strong support for such federal mandates.

NOVEMBER UPDATE:  On November 18, 2020, the much awaited Danish mask RCT study was finally released and published three months late in the Annals of Internal Medicine.  And the results were, shall we say, rather underwhelming, and not statistically significant (i.e. not statistically different from null).  Not necessarily the final word, but hardly a ringing endorsement for the effectiveness of general mask use in the community at the macro level.

A recent Cochrane review of the literature is not exactly reassuring either, to put it mildly.

But what about source control, you say?  That is, protection of people around the wearer, which most studies were not designed to look at?  Again, a cursory look at the data in the weeks and months following the implementation of mask mandates don't really support that either, at least not at a general population level.  Thus any such community benefit is likely either very small, very transient, or both.

Thus, we can conclude that even if there is some overarching benefit to wearing masks in some situations, universal community masking (or lack thereof) is nowhere near the game-changer it was originally sold as.  If it were, the pandemic would have been effectively over in a given locality, state, or country (even as it raged elsewhere) within two or three weeks following the implementation of a broad mask mandate.  And that has not happened anywhere in the world, even in places with very high (90%+) compliance, and even when combined with a ban on indoor restaurant dining (a behavior which might vitiate the results).  And as of November, the TSAP believes going forward that mask wearing (outside of a healthcare setting) should be largely (if not entirely) voluntary, and that businesses of any kind should be free to decide whether or not to require employees and/or customers to wear them.

Our best advice?  "Use masks judiciously, NOT superstitiously", pretty much sums it up.