The Neverending Endemic Pandemic

A 250 foot tsunami surges toward the Golden Gate Bridge in the 2015 action movie San Andreas — Photo: Warner Brothers

“The US needs a comprehensive, digital, real-time, integrated data infrastructure for public health. As Omicron has reemphasized, the US is operating with imprecise estimates of disease spread, limited genomic surveillance, projections based on select reporting sites and data from other countries that may not be generalizable. These shortcomings are threatening lives and societal function.” [https://jamanetwork.com/journals/jama/newonline]

The bottom line is that it’s not going away, Folks! It will never be the same again and there’s no going back home to “the way we were.” The War on Covid in San Francisco…like the War on Drugs in the Tenderloin, will fail if the strategy is the eradication of the public health threat rather than rebuilding the public health response and societal safety net.

“Pollyanna” like reassurances by Mayor London Breed that the impact of the highly infectious omicron variant has been “minimal” are refuted by the fact that over 300 San Francisco employees are now quarantined due to COVID exposure including 167 police officers, 135 Fire Department personnel and 85 municipal transportation employees.
New data shows next several weeks critical in beating back COVID-19 surge and protecting SF’s essential services

To make matters worse, Bloomberg News reported on Saturday, January 8, 2022 that Leondios Kostrikis — Professor of Biological Sciences at the University of Cyprus has discovered “Deltacron” — a coronavirus strain that combines the more deadly delta variant with the highly transmissible omicron variant. Kostrikis and his team detected 25 cases of infection due to this ominous COVID — 19 variant in which omicron genetic signatures are detected within the delta genome. Statistical analysis shows Deltacron incidence was higher in patients who required hospitalization. [https://www.bloomberg.com/news/articles/2022–01–08/cyprus-finds-covid-19-infections-that-combine-delta-and-omicron?sref=ctSjKj2N]

The Politicalization of Natural Immunity

In crudest terms, when you have immunity to a viral infection it means your body recognizes it as a “foreign invader” and is able to fight it off. Terms like natural and acquired immunity have been tossed around for the last two years with increasingly more “nebulous” meaning. In pre-COVID basic epidemiology, natural immunity was defined as resistance to reinfection by a virus due to a heightened immune response triggered by the prior infection. In the pre-COVID era it was presumed the virus would ultimately be extinguished when it ran out of people to infect.

Train Like An Athlete! -Enhanced Immunity Through Human Biomonitoring

“Many professional and Olympic-level athlete settings comprise comprehensive sports medicine and sports science support services, with an objective of:(1) achieving the highest possible level of performance with the lowest number of days lost to injury or illness and (2) a duty to care to protect athletes from long term negative health consequences of their sport. This includes the use of biomarkers to assess the efficacy of training interventions, inform nutritional strategies and assess the capacity to tolerate training loads.” [Blood Biomarker Profiling and Monitoring for High-Performance Physiology and Nutrition — https://link.springer.com/article/10.1007/s40279–019–01158-x.

Dr. Sumchai became certified as a sports nutrition consultant following completion of course work at City College Fort Mason Campus in 2001.

Gratitude

I am so “over” reacting like a lab rat in a maze of confusion to the latest surge of the most recently mutated “flavor of the month” COVID — 19 variant and the secondary fallout and contradictory health messages!

My granddaughters Karah (l) and Legacy (r), like all members of my immediate family have not been infected with COVID — 19.

Life in the New Normal

“Without a strategic plan for the “new normal” with endemic COVID — 19, more people in the U.S. will unnecessarily experience morbidity and mortality, health inequalities will widen, and trillions will be lost from the U.S. economy,” wrote Dr. Ezekiel Emanuel, Dr. Michael Osterholm and Dr. Celine Gounder — members of Biden’s COVID-19 Transition Advisory Board in 2020. The public health experts wrote in JAMA that rather than “living in a perpetual state of emergency,” the public should coexist with the virus by mitigating outbreaks and practice “humility” in contending with an enduring endemic neverending pandemic. [https://www.voanews.com/amp/former-biden-health-officials-urge-new-approach-to-fighting-covid/6385939.html]

Endure the Surge! Photo: Justin Sullivan/Getty Images

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Hunters Point Biomonitoring Foundation Inc

Hunters Point Biomonitoring Foundation Inc

Ahimsa Porter Sumchai MD- Director & PI. Founding Chair- Radiological Committee Hunters Point Shipyard RAB 2001, Former Attending MD VA Toxic Registry & SFDPH