If the childhood mortality risk associated with Covid is comparable to the flu (which seems to be the case) why weren't we masking every child before Covid?
The idea is to reduce the spread of the virus in order to protect everyone from a lack of hospital beds and exhausted medical staff. It's not about protecting the individual children (at least not primarily, because they are so low risk). Whether or not this is still a useful approach probably depends on the locale. It seems like places where the Omicron wave is rapidly ending, having children wear masks is entirely pointless.
>The idea is to reduce the spread of the virus in order to protect everyone from a lack of hospital beds and exhausted medical staff.
People keep saying this, but if hospital capacity was actually the "real" bottleneck in treating covid then why haven't we seen massive campaigns to expand that capacity? "Do this thing that is marginally beneficial for adults and potentially actively harmful long term for children to possibly impact hospital capacity elsewhere" is not something that makes sense to me. If this was just another bottleneck in some system and not related to the pandemic you'd address the real problem, right?
> People keep saying this, but if hospital capacity was actually the "real" bottleneck in treating covid then why haven't we seen massive campaigns to expand that capacity?
You mean like calling in the national guard to help alleviate the problem or busing in nurses from all over the country, or creating temporary wards, or fighting to get more ventilators and medications? All of those things and more have been happening.
> "Do this thing that is marginally beneficial for adults and potentially actively harmful long term for children
Not only are you minimizing the benefits here, but you're prioritizing potential outcomes over proven ones. That is not something that makes sense to me. I want to make my choices based on our best understanding of the evidence we have right now, not based on things that may or may not ever happen in the future.
Right now, getting vaccinated and wearing a mask when community spread is high in your area are proven to do a lot of good to help prevent very real harms. That's enough for me.
Nurses in Boston have been striking for almost a year. I've seen one instance of calling in the national guard recently, and ventilators are no longer the preferred treatment protocol in every case. I haven't seen a single effort to literally build more hospital wings with ICU beds. Have you?
>Not only are you minimizing the benefits here
CDC's own studies did this, not me.
>but you're prioritizing potential outcomes over proven ones.
Yes exactly. We know that kids have an infinitesimally small risk from covid, we know that teachers have a similar risk profile if they're vaccinated. The "potential" outcomes are catastrophic to development, and we won't know for years what detrimental effects forcing small children to wear masks all the time will have.
Sorry, still doesn't make sense to me. We have one set of known knowns, and one of unknown-ish unknowns, and we're still doing this because people (not you, necessarily) seem to think the goal is to "never get covid".
> Nurses in Boston have been striking for almost a year
I'm surprised more haven't been. Nurses are being outright abused, but that doesn't change the fact that nurses are being asked to travel great distances to help with staffing issues. The whole situation in nursing is a huge mess right now for a lot of reasons.
> I've seen one instance of calling in the national guard recently
you should be paying more attention to the news, or possibility looking critically at where you're getting your news from since it's not serving you very well. I don't know which one you heard about but your list should include Washington, Georgia, Ohio, Oregon, Maine, New York, and New Hampshire. New Mexico has also called in the national guard because of omicron, but they want troops acting as substitute teachers.
> and ventilators are no longer the preferred treatment protocol in every case
> I haven't seen a single effort to literally build more hospital wings with ICU beds. Have you?
Yes I have. Most hospitals don't want to add entire new wings full of beds because covid isn't going to be like this forever, but in just the last few months here are some examples of hospitals doing wherever they can to add capacity:
https://www.courant.com/politics/hc-pol-nursing-homes-covid-...
This is on top of all the beds and overflow centers hospitals have been adding over the last two years. It's not that every hospital is waiting until they have people dying outside their doors to start adding beds either. One of the best US hospitals for heart surgeries is just outside of Chicago and they've renovated parts of their old partially demolished hospital building to keep on standby so they can handle covid cases in case they get overwhelmed like so many others have. It's a pretty smart way to gain some extra ICU space while keeping costs down.
Your facts are just very wrong or very incomplete. I recommend looking into this stuff a bit more using new sources.
"why haven't we seen massive campaigns to expand that capacity?"
Maybe we should, but we are talking about an astounding cost, with ongoing upkeep, for once-every-hundred-year events. And that's just for new facilities - we already have nursing shortages.
Instead, we (and just about every other country) have used mitigation efforts to reduce the transmission rate when hospital capacity is threatened. It's a lot cheaper and can be done quickly, unlike building new ICU capacity and training new doctors and nurses (many of whom would be out of the job once the pandemic is over).
You say this is expensive and hard, but so what? Isn’t that what you do when a pandemic occurs?
You also point out we have a nursing shortage currently (we did before the pandemic as well). Isn’t that a reason why we should do this? Kill two birds with one stone … solve the prior nursing shortage with a training and hiring blitz.
Expanding hospitals, building new hospitals and training scores of new highly-skilled staff all takes many years. In addition to being extraordinarily expensive.
And then what? The pandemic ends and we have incredibly expensive facilities sitting empty (but still incurring maintenance costs forever) and a surplus of highly-trained staff who cannot find jobs because 98% of the time, we simply don't need any more capacity than we had in 2019.
Training staff does take time but new hospitals can be built quickly. The Chinese built an entire new hospital in 10 days. It probably isn't as good as a modern US hospital, but it's better than nothing.
The mitigation efforts have cost trillions of dollars in relief spending to make up for the economic damage they caused. Could we not have expanded capacity with one or two of the trillions we spent?
Makes you kinda wonder what kind of emergency this is? I mean they tried setting up fully staffed field hospitals in the beginning but they were closed—most without seeing a single patient.
Whatever the hell society is doing right now, it ain’t to protect hospital capacity. If hospitals were truly falling apart we’d have done something to fix them.
Because the Covid mortality risk for children is already with masks, compared to without masks for the flu.
Also, there are considerations other than specifically a child's death that are relevant here, like who that child can spread it to and what negative longterm effects surviving COVID-19 carry, neither of which are as pronounced or unknown as with the flu.
Children can spread the virus to adults, but adults who want to be vaccinated have been for months now. And since everyone will be exposed anyway it hardly matters who does the exposing.
How many children are there in the US? I'll let you pick the number you'd like to multiply by 0.00002, to get the number of children you're okay with killing.
It's easy to act morally superior and make cheap emotional arguments for when you're not the one who has to make hard decisions. All lives have value, but no life has infinite value. You can't seriously expect the majority to endure perpetual mandates and restrictions just to provide some limited, temporary protection to a small minority who are vulnerable due to risk factors like obesity.
And in the long run it won't make any difference anyway. Everyone will be exposed regardless of whether or not schoolchildren are subjected to mask mandates. So what's the point of continuing the charade?
I absolutely can expect the majority to endure a minor inconvenience, if that minority they're protecting is a thousand innocent children in a given year (you didn't pick a number, so I will, 78 million children).
And the point is to lower the curve, not avoid exposure.
But, again, you know all of this, you just don't care. Shameful.
Children actually have around a ten times higher chance of drowning than dying of COVID, so should we close all the pools and lakes? No we don't do that because we realize as humans that life is not without risk, in fact risk is what makes life worth living. I have children and worry every day something bad might happen to them but I let them take risk and live life because I know that's the only way that they will grow and be happy.
We do close all the pools and lakes to children who can't swim, or who swim unsupervised. We literally do not let children swim freely in random bodies of water. It's a huge deal; we hire lifeguards, teach them methods of operating safely in bodies of water, there's all kinds of equipment a child can wear while in the water to prevent drowning...
This isn't a great analogy for you, because it pretty thoroughly proves my point that masking is a very reasonable thing to do, compared to the litany of structure we put around children swimming in pools.
I was a lifeguard at a summer camp for christsake, what a terrible analogy. I literally worked to implement the many systems we use to keep kids safe in bodies of water.
I'm sure if a politician spouted such things they would just get tons of votes from parents. Honestly its kinda interesting to hear you say such a thing out loud because some of the more extreme voices on the anti-mask side have claimed that control is exactly whats going on which makes me wonder if you are not just trolling at this point (or maybe they were right all along).
> You can't seriously expect the majority to endure perpetual mandates and restrictions just to provide some limited, temporary protection to a small minority who are vulnerable due to risk factors like obesity.
Who is saying the mandates and restrictions are perpetual?
> Because the Covid mortality risk for children is already with masks, compared to without masks for the flu
This is false, which we know because we can measure the fatality rates for children in unmasked locales, and they do not differ from those in masked locales.