- The idea that another public health initiative focused on weight loss during the pandemic would have been helpful is not based in reality. First, there have been innumerous such initiatives over the past 30 years, yet the average BMI in the US continues to rise. It rises for a variety of reasons, but mainly because we have access to large amounts of highly processed foods. Second, countries with the highest COVID death rates in the world, like Peru and Bulgaria, are on average much thinner than the US, so this fantasy weight loss approach likely would have had little effect in regards to COVID. I think we should continue efforts to curb obesity in the US, especially with a focus on childhood obesity (like Michelle Obama's "Let's Move" initiative), but that's not going to change COVID death rates.
- I saw a previous post equating obesity and immunosuppression. These are two unrelated conditions. Most immunosuppressed people either have an inherited condition, or, more likely, are on immune suppressing medications to treat autoimmune disease or other underlying medical issues (like prednisone, Humira, etc.) I think I posted it earlier on this thread, but remember that Evusheld is now available if you or someone you know is immunosuppressed.
- Testing is really important to aid in effective isolation and quarantines, which help reduce spread, but ideally that should mainly be home rapid antigen tests. Going to ERs and urgent cares to get tested is far from ideal. It's a major problem that there is such a shortage of at-home test kits.
- The next few weeks are going to be rough. We went from 100 to 146 (132 are unvaccinated) hospitalized patients with COVID over just the past few days. Our peak was last January, at 200 hospitalized COVID patients.