#is public health

[covid-safer-hotties]

CDC voice: "I know I said we'd do something about covid if it got very high again, but we have real tough jobs to do, like removing the recommendations that children with head lice or watery diarrhea be sent home to prevent further spread of their illness."

[reasonsforhope]

"The first modern attempt at transferring a uterus from one human to another occurred at the turn of the millennium. But surgeons had to remove the organ, which had become necrotic, 99 days later. The first successful transplant was performed in 2011 — but even then, the recipient wasn’t immediately able to get pregnant and deliver a baby. It took three more years for the first person in the world with a transplanted uterus to give birth. 

More than 70 such babies have been born globally in the decade since. “It’s a complete new world,” said Giuliano Testa, chief of abdominal transplant at Baylor University Medical Center.

Almost a third of those babies — 22 and counting — have been born in Dallas at Baylor. On Thursday, Testa and his team published a major cohort study in JAMA analyzing the results from the program’s first 20 patients. All women were of reproductive age and had no uterus (most having been born without one), but had at least one functioning ovary. Most of the uteri came from living donors, but two came from deceased donors.

Fourteen women had successful transplants, all of whom were able to have at least one baby.  

“That success rate is extraordinary, and I want that to get out there,” said Liza Johannesson, the medical director of uterus transplants at Baylor, who works with Testa and co-authored the study. “We want this to be an option for all women out there that need it.”

Six patients had transplant failures, all within two weeks of the procedure. Part of the problem may have been a learning curve: The study initially included only 10 patients, and five of the six with failed transplants were in that first group. These were “technical” failures, Testa said, involving aspects of the surgery such as how surgeons connected the organ’s blood vessels, what material was used for sutures, and selecting a uterus that would work well in a transplant. 

The team saw only one transplant fail in the second group of 10 people, the researchers said. All 20 transplants took place between September 2016 and August 2019.

Only one other cohort study has previously been published on uterus transplants, in 2022. A Swedish team, which included Johannesson before she moved to Baylor, performed seven successful transplants out of nine attempts. Six women, including the first transplant recipient to ever deliver a baby back in 2014, gave birth.

“It’s hard to extract data from that, because they were the first ones that did it,” Johannesson said. “This is the first time we can actually see the safety and efficacy of this procedure properly.”

So far, the signs are good: High success rates for transplants and live births, safe and healthy children so far, and early signs that immunosuppressants — typically given to transplant recipients so their bodies don’t reject the new organ — may not cause long-term harm, the researchers said. (The uterine transplants are removed after recipients no longer need them to deliver children.) And the Baylor team has figured out how to identify the right uterus for transfer: It should be from a donor who has had a baby before, is premenopausal, and, of course, who matches the blood type of the recipient, Testa said...

“They’ve really embraced the idea of practicing improvement as you go along, to understand how to make this safer or more effective. And that’s reflected in the results,” said Jessica Walter, an assistant professor of reproductive endocrinology and infertility at Northwestern University Feinberg School of Medicine, who co-authored an editorial on the research in JAMA...

Walter was a skeptic herself when she first learned about uterine transplants. The procedure seemed invasive and complicated. But she did her fellowship training at Penn Medicine, home to one of just four programs in the U.S. doing uterine transplants. 

“The firsts — the first time the patient received a transplant, the first time she got her period after the transplant, the positive pregnancy test,” Walter said. “Immersing myself in the science, the patients, the practitioners, and researchers — it really changed my opinion that this is science, and this is an innovation like anything else.” ...

Many transgender women are hopeful that uterine transplants might someday be available for them, but it’s likely a far-off possibility. Scientists need to rewind and do animal studies on how a uterus might fare in a different “hormonal milieu” before doing any clinical trials of the procedure with trans people, Wagner said.

Among cisgender women, more long-term research is still needed on the donors, recipients, and the children they have, experts said.

“We want other centers to start up,” Johannesson said. “Our main goal is to publish all of our data, as much as we can.”"

-via Stat, August 16, 2024

[orcboxer]

It is fuckin insane the sheer disregard everyone has for covid and how utterly bizarre it feels to be actively losing credibility in people's eyes just because I take it seriously. Everyone thinks I'm being "silly" but I literally was in the middle of getting a degree in microbiology when this shit started, I was literally taking immunology and virology courses when the pandemic hit, it's not like I have a poor understanding of the topic. I've been watching the death rate and keeping up with the new variants and vaccines and symptoms and I can bring up all the sources I want but it feels useless, nobody wants to hear it, nobody gives a shit.

[treemaidengeek]

NBC News CNN

[rjzimmerman]

Surprising New Research Links Infant Mortality to Crashing Bat Populations. (New York Times)

Excerpt from this New York Times story:

The connections are commonsense but the conclusion is shocking.

Bats eat insects. When a fatal disease hit bats, farmers used more pesticides to protect crops. And that, according to a new study, led to an increase in infant mortality.

According to the research, published Thursday in the journal Science, farmers in affected U.S. counties increased their use of insecticides by 31 percent when bat populations declined. In those places, infant mortality rose by an estimated 8 percent.

“It’s a seminal piece,” said Carmen Messerlian, a reproductive epidemiologist at Harvard who was not involved with the research. “I actually think it’s groundbreaking.”

The new study tested various alternatives to see if something else could have driven the increase: Unemployment or drug overdoses, for example. Nothing else was found to cause it.

Dr. Messerlian, who studies how the environment affects fertility, pregnancy and child health, said a growing body of research is showing health effects from toxic chemicals in our environment, even if scientists can’t put their fingers on the causal links.

“If we were to reduce the population-level exposure today, we would save lives,” she said. “It’s as easy as that.”

The new study is the latest to find dire consequences for humans when ecosystems are thrown out of balance. Recent research by the same author, Eyal Frank, an environmental economist at the University of Chicago, found that a die-off of vultures in India had led to half a million excess human deaths as rotting livestock carcasses polluted water and spurred an increase in feral dogs, spreading waterborne diseases and rabies.

“We often pay a lot of attention to global extinctions, where species completely disappear,” Dr. Frank said. “But we start experiencing loss and damages well before that.”

[politijohn]

Source

For context, 1/4 of Gaza’s 2 million population is 500,000. All 100% preventable.

[infiniteglitterfall]

know someone who enjoys horror stories? share this one! it's true!

hahahahahahahahahaha aarrggghhhhhhhhhh 3,000,000 deaths due to COVID-19 last year. Globally. Three million. Case rates higher than 90% of the rest of the pandemic. The reason people are still worried about COVID is because it has a way of quietly fucking up your body. And the risk is cumulative.

I'm going to say that again: the risk is cumulative.

It's not just that a lot of people get bad long-term effects from it. One in seven or so? Enough that it's kind of the Russian Roulette of diseases. It's also that the more times you get it, the higher that risk becomes. Like if each time you survived Russian Roulette, the empty chamber was removed from the gun entirely. The worst part is that, psychologically, we have the absolute opposite reaction. If we survive something with no ill effects, we assume it's pretty safe. It is really, really hard to override that sense of, "Ok, well, I got it and now I probably have a lot of immunity and also it wasn't that bad." It is not a respiratory disease. Airborne, yes. Respiratory disease, no: not a cold, not a flu, not RSV.

Like measles (or maybe chickenpox?), it starts with respiratory symptoms. And then it moves to other parts of your body. It seems to target the lungs, the digestive system, the heart, and the brain the most.

It also hits the immune system really hard - a lot of people are suddenly more susceptible to completely unrelated viruses. People get brain fog, migraines, forget things they used to know.

(I really, really hate that it can cross the blood-brain barrier. NOTHING SHOULD EVER CROSS THE BLOOD-BRAIN BARRIER IT IS THERE FOR A REASON.) Anecdotal examples of this shit are horrifying. I've seen people talk about coworkers who've had COVID five or more times, and now their work... just often doesn't make sense? They send emails that say things like, "Sorry, I didn't mean Los Angeles, I meant Los Angeles."

Or they insist they've never heard of some project that they were actually in charge of a year or two before.

Or their work is just kind of falling apart, and they don't seem to be aware of it.

People talk about how they don't want to get the person in trouble, so their team just works around it. Or they describe neighbors and relatives who had COVID repeatedly, were nearly hospitalized, talked about how incredibly sick they felt at the time... and now swear they've only had it once and it wasn't bad, they barely even noticed it.

(As someone who lived with severe dissociation for most of my life, this is a genuinely terrifying idea to me. I've already spent my whole life being like, "but what if I told them that already? but what if I did do that? what if that did happen to me and I just don't remember?") One of its known effects in the brain is to increase impulsivity and risk-taking, which is real fucking convenient honestly. What a fantastic fucking mutation. So happy for it on that one. Yes, please make it seem less important to wear a mask and get vaccinated. I'm not screaming internally at all now.

I saw a tweet from someone last year whose family hadn't had COVID yet, who were still masking in public, including school.

She said that her son was no kind of an athlete. Solidly bottom middle of the pack in gym.

And suddenly, this year, he was absolutely blowing past all the other kids who had to run the mile. He wasn't running any faster. His times weren't fantastic or anything. It's just that the rest of the kids were worse than him now. For some reason. I think about that a lot. (Like my incredibly active six-year-old getting a cold, and suddenly developing post-viral asthma that looked like pneumonia.

He went back to school the day before yesterday, after being home for a month and using preventative inhalers for almost week.

He told me that it was GREAT - except that he couldn't run as much at recess, because he immediately got really tired. Like how I went outside with him to do some yard work and felt like my body couldn't figure out how to increase breathing and heart rate.

I wasn't physically out of breath, but I felt like I was out of breath. That COVID feeling people describe, of "I'm not getting enough air." Except that I didn't have that problem when I had COVID.) Some people don't observe any long (or medium) term side effects after they have it.

But researchers have found viral reservoirs of COVID-19 in everyone they've studied who had it.

It just seems to hang out, dormant, for... well, longer than we've had an opportunity to observe it, so far.

(I definitely watched that literal horror movie. I think that's an entire genre. The alien dormant under ice in the Arctic.)

(oh hey I don't like that either!!!!!!!!!) All of which is to explain why we should still care about avoiding it, and how it manages to still cause excess deaths. Measuring excess deaths has been a standard tool in public health for a long time.

We know how many people usually die from all different causes, every year. So we can tell if, for example, deaths from heart disease have gone way up in the past three years, and look for reasons. Those are excess deaths: deaths that, four years ago, would not have happened. During the pandemic, excess death rates have been a really important tool. For all sorts of reasons. Like, sometimes people die from COVID without ever getting tested, and the official cause is listed as something else because nobody knows they had COVID. But also, people are dying from cardiovascular illness much younger now.

People are having strokes and heart attacks younger, and more often, than they did before the pandemic started. COVID causes a lot of problems. And some of those problems kill people. And some of them make it easier for other things to kill us. Lung damage from COVID leading to lungs collapsing, or to pneumonia, or to a pulmonary embolism, for example. The Economist built a machine-learning model with a 95% confidence interval that gauges excess death statistics around the world, to tell them what the true toll of the ongoing COVID pandemic has been so far.

Total excess deaths globally in 2023: Three million.

3,000,000.

Official COVID-19 deaths globally so far: Seven million. 7,000,000. Total excess deaths during COVID so far: Thirty-five point two million. 35,200,000.

Five times as many.

That's bad. I don't like that at all. I'm glad last year was less than a tenth of that. I'm not particularly confident about that continuing, though, because last year we started a period of really high COVID transmission. Case rates higher than 90% of the rest of the pandemic. Here's their data, and charts you can play with, and links to detailed information on how they did all of this:

Here's a non-paywalled link to it:

https://archive.vn/2024.01.26-012536/https://www.economist.com/graphic-detail/coronavirus-excess-deaths-estimates

Oh: here's a link to where you can buy comfy, effective N95 masks in all sizes:

Those ones are about a buck each after shipping - about $30 for a box of 30. They also have sample packs for a dollar, so you can try a couple of different sizes and styles.

You can wear an N95 mask for about 40 total hours before the effectiveness really drops, so that's like a dollar for a week of wear.

They're also family-owned and have cat-shaped masks and I really love them. These ones are cuter and in a much wider range of colors, prints, and styles, but they're also more expensive; they range from $1.80 to $3 for a mask. ($18-$30 for a box of ten.)

[thistlecrimes]

Things I've learned from getting covid for the first time in 2023

I wear an N95 in public spaces and I've managed to dodge it for a long time, but I finally got covid for the first time (to my knowledge) in mid-late November 2023. It was a weird experience especially because I feel like it used to be something everyone was talking about and sharing info on, so getting it for the first time now (when people generally seem averse to talking about covid) I found I needed to seek out a lot of info because I wasn't sure what to do. I put so much effort into prevention, I knew less about what to do when you have it. I'm experiencing a rebound right now so I'm currently isolating. So, I'm making a post in the hopes that if you get covid (it's pretty goddamn hard to avoid right now) this info will be helpful for you. It's a couple things I already knew and several things I learned. One part of it is based on my experience in Minnesota but some other states may have similar programs.

--------

The World Health Organization states you should isolate for 10 days from first having symptoms plus 3 days after the end of symptoms.

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At the time of my writing this post, in Minnesota, we have a test to treat program where you can call, report the result of your rapid test (no photo necessary) and be prescribed paxlovid over the phone to pick up from your pharmacy or have delivered to you. It is free and you do not need to have insurance. I found it by googling "Minnesota Test to Treat Covid"

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Paxlovid decreases the risk of hospitalization and death, but it's also been shown to decrease the risk of Long Covid. Long Covid can occur even from mild or asymptomatic infections.

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Covid rebound commonly occurs 2-8 days after apparent recovery. While many people associate Paxlovid with covid rebound, researchers say there is no strong evidence that Paxlovid causes covid rebound, and rebounds occur in infections that were not treated with Paxlovid as well. I knew rebounds could happen but did not know it could take 8 days. I had mine on day 7 and was completely surprised by it.

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If you start experiencing new symptoms or test positive again, the CDC states that you should start your isolation period again at day zero. Covid rebound is still contagious. Personally I'd suggest wearing a high quality respirator around folks for an additional 8-9 days after you start to test negative in case of a rebound.

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Positive results on a rapid test can be very faint, but even a very faint line is positive result. Make sure to look at your rapid test result under strong lighting. Also, false negatives are not uncommon. If you have symptoms but test negative taking multiple tests and trying different brands if you have them are not bad ideas. My ihealth tests picked up my covid, my binax now tests did not.

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EDIT: I'd highly suggest spending time with friends online if you can, I previously had a link to the NAMI warmline directory in this post but I've since been informed that NAMI is very much funded by pharmaceutical companies and lobbies for policies that take autonomy away from disabled folks, so I've taken that off of here! Sorry, I had no idea, the People's CDC listed them as a resource so I just assumed they were legit! Feel free to reply/reblog this with other warmlines/support resources if you know of them! And please reblog this version!

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I know that there is so much we can't control as individuals right now, and that's frightening. All we can do is try our best to reduce harm and to care for each other. I hope this info will be able to help folks.

[charliejaneanders]

Politically, governments decided to sell a “we beat the pandemic” narrative to the public after vaccines failed to produce herd immunity as promised. For this reason, political health bodies like the CDC began putting out guidance from the very top encouraging people to accept the “new normal” of unending reinfections. Acceptance of constant reinfections relies heavily on the perception that COVID infections are a truly neutral event for your health- something that no research, and no study, has ever concluded.

COVID infection endangers pregnancies and newborns. Why aren't parents being warned?

[covid-safer-hotties]

[marlovestrees]

Long COVID and ME/CFS folks, and disability allies:

I have something you can do in 15 minutes that will be very helpful to those of us with these disabilities!

The Canadian working group putting together recommendations for Post-COVID Condition (PCC) have released some bad recommendations regarding exercise as a treatment for Long COVID and cognitive behavioural therapy (CBT) to treat Post-Exertional Malaise (PEM).

The UK just recently managed to get these recommendations out of the NICE guidelines for ME/CFS, and we should try to prevent them from getting embedded in the Canadian ones for Long COVID.

They have a survey out until Nov. 27 at 11:45pm EST asking for public input. If you can manage it, please fill out the survey explaining why these are both bad recommendations. The survey is open to people internationally, and anyone interested in the topic. Please mark #2 and #8 as "Major Concerns" and provide a sentence or two explaining why (in your own words).

Draft Recommendation #2 - recommends exercise as a treatment for Long COVID, and only briefly mentions the existance of post-exertional malaise (PEM). Given how many people with long COVID meet the diagnostic criteria for ME/CFS, this is entirely backwards. PEM should be evaluated first and regularly thereafter and exercise should only be suggested once everyone is confident that PEM isn't present.

Draft Recommendation #8 - Recommends CBT as a treatment for PEM. This is recommending a psychological treatment for a physical issue, which is inappropriate. It also contributes to the long history of treating the fatigue in ME/CFS as self-inflicted. And is an activity that can also worsen or cause PEM.

The recommendations and links to their evidence charts are inside the survey itself, or you can open the PDF link on the first page and write your answers before copying them into the survey.

Survey:

https://www.research.net/r/CAN-PCCRecommendationCommentPublic

Here's a blog post explaining one person's responses to the survey:

https://thesciencebit.net/2024/11/21/my-submission-on-the-new-canadian-draft-recommendations-for-long-covid/

And here's one on the history of these "treatments" for ME/CFS and why they're based on bad science.

https://mecfsresearchreview.me/2021/01/12/the-expert-testimony-to-nice-that-took-apart-the-case-for-cbt-and-graded-exercise-for-me-cfs/

[gumjrop]

This year’s flu shot will be missing a strain of influenza it’s protected against for more than a decade.

That’s because there have been no confirmed flu cases caused by the Influenza B/Yamagata lineage since spring 2020. And the Food and Drug Administration decided this year that the strain now poses little to no threat to human health.

Scientists have concluded that widespread physical distancing and masking practiced during the early days of COVID-19 appear to have pushed B/Yamagata into oblivion.

This surprised many who study influenza, as it would be the first documented instance of a virus going extinct due to changes in human behavior, said Dr. Rebecca Wurtz, an infectious disease physician and epidemiologist at the University of Minnesota School of Public Health.

“It is such an interesting and unique story,” Wurtz said, adding that if it were not for COVID, B/Yamagata would still be circulating.

One reason COVID mitigation efforts were so effective at eliminating B/Yamagata is there was already a fair amount of immunity in the population against this strain of flu, which was also circulating at a lower level, said Dr. Kawsar Talaat, an infectious disease physician at Johns Hopkins Bloomberg School of Public Health.

In contrast, SARS-CoV-2 was a brand new virus that no one had encountered before; therefore, masking and isolation only slowed its transmission, but did not stop it.

The absence of B/Yamagata won’t change the experience of getting this year’s flu shot, which the Centers for Disease Control and Prevention recommends to everyone over 6 months old. And unvaccinated people are no less likely to get the flu, as B/Victoria and two influenza A lineages are still circulating widely and making people sick. Talaat said the disappearance of B/Yamagata doesn’t appear to have lessened the overall burden of flu, noting that the level of illness that can be attributed to any strain varies from year to year.

The CDC estimates that between 12,000 and 51,000 people die every year from influenza.

However, the manufacturing process is simplified now that the vaccine is trivalent — designed to protect against three flu viruses — instead of quadrivalent, protecting against four. That change allows more doses to be produced, said Talaat.

Ultimately, the costs of continuing to include protection against B/Yamagata in the flu shot outweigh its benefits, said Talaat.

"If you include a strain for which you don't think anybody's going to get infected into a vaccine, there are some potential risks and no potential benefits," she said. "Even though the risks might be infinitesimal, the benefits are also infinitesimal."

Scientists and public health experts have discussed for the past couple years whether to pull B/Yamagata from the flu vaccine or wait for a possible reemergence, said Kevin R. McCarthy, an assistant professor at the University of Pittsburgh's Center for Vaccine Research. But McCarthy agrees that continuing to vaccinate people against B/Yamagata does not benefit public health.

Additionally, there is a slight chance of B/Yamagata accidentally infecting the workers who manufacture the flu vaccine. The viruses, grown in eggs, are inactivated before being put into the shots: You cannot get influenza from the flu shot. But worker exposure to live B/Yamagata might occur before it's rendered harmless.

That hypothetically could lead to a reintroduction of a virus that populations have waning immunity to because B/Yamagata is no longer making people sick. While that risk is very low, McCarthy said it doesn’t make sense to produce thousands of gallons of a likely extinct virus.

It is possible that B/Yamagata continues to exist in pockets of the world that have less comprehensive flu surveillance. However, scientists aren’t worried that it is hiding in animals because humans are the only host population for B lineage flu viruses.

Scientists determined that B/Yamagata disappeared in a relatively short period of time, and this in and of itself is a success, said McCarthy. That required collaboration and data sharing from people all over the world, including countries that the U.S. has more tenuous diplomatic relationships with, like China and Russia.

“I think the fact that we can do that shows that we can get some things right,” he said.

Sarah Boden is an independent health and science journalist based in Pittsburgh.

[reasonsforhope]

A new treatment combining ReCET and semaglutide could eliminate the need for insulin in type 2 diabetes, with 86% of participants in a study no longer requiring insulin therapy. The treatment was safe and well-tolerated, and further trials are planned to confirm these results.

Groundbreaking research presented at UEG Week 2024 introduces a promising new treatment approach for type 2 diabetes (T2D) that has the potential to greatly reduce or even eliminate the need for insulin therapy.

This innovative approach, which combines a novel procedure known as ReCET (Re-Cellularization via Electroporation Therapy) with semaglutide, resulted in the elimination of insulin therapy for 86% of patients.

Globally, T2D affects 422 million people... While insulin therapy is commonly used to manage blood sugar levels in T2D patients, it can result in side effects... and further complicate diabetes management. [Note: Also very importantly it's fucking bankrupting people who need it!!] A need therefore exists for alternative treatment strategies.

Study Design and Outcomes

The first-in-human study included 14 participants aged 28 to 75 years, with body mass indices ranging from 24 to 40 kg/m². Each participant underwent the ReCET procedure under deep sedation, a treatment intended to improve the body’s sensitivity to its own insulin. Following the procedure, participants adhered to a two-week isocaloric liquid diet, after which semaglutide was gradually titrated up to 1mg/week.

Remarkably, at the 6- and 12-month follow-up, 86% of participants (12 out of 14) no longer required insulin therapy, and this success continued through the 24-month follow-up. In these cases, all patients maintained glycaemic control, with HbA1c levels remaining below 7.5%.

Tolerability and Safety

The maximum dose of semaglutide was well-tolerated by 93% of participants, one individual could not increase to the maximum dose due to nausea. All patients successfully completed the ReCET procedure, and no serious adverse effects were reported.

Dr Celine Busch, lead author of the study, commented, “These findings are very encouraging, suggesting that ReCET is a safe and feasible procedure that, when combined with semaglutide, can effectively eliminate the need for insulin therapy.”

“Unlike drug therapy, which requires daily medication adherence, ReCET is compliance-free [meaning: you don't have to take it every day], addressing the critical issue of ongoing patient adherence in the management of T2D. In addition, the treatment is disease-modifying: it improves the patient’s sensitivity to their own (endogenous) insulin, tackling the root cause of the disease, as opposed to currently available drug therapies, that are at best disease-controlling.”

Looking ahead, the researchers plan to conduct larger randomized controlled trials to further validate these findings. Dr. Busch added, “We are currently conducting the EMINENT-2 trial with the same inclusion and exclusion criteria and administration of semaglutide, but with either a sham procedure or ReCET. This study will also include mechanistic assessments to evaluate the underlying mechanism of ReCET.”

-via SciTechDaily, October 17, 2024

--

Note: If it works even half as well as suggested, this could free so many people from the burden of the ongoing ridiculous cost of insulin. Pharma companies that make insulin can go choke (hopefully).

[taviamoth]

[solarbird]

For years now, I have been railing against the Republican Party as a literal – literal – Party of Plague. In these closing days of the campaign, they have quadrupled back down on this in ways that will kill millions of Americans.

Not “might.” Will.

Appointing RFK, Jr. as czar of public health and letting him “go wild” will kill millions. Again, not might: will. Not immediately, no, but over time. Trump himself is utterly refusing to promise he and his party won’t ban vaccines and said on Sunday that RFK Jr.’s pledge to eliminate fluoridation of water on day one “sounds OK to me.”

If they do this and make it stick, millions will die. And an outsized number of them will be children.

Courtesy McNadoMD on Mastodon, here are a few of the diseases mass vaccination eliminated from American life, and which banning vaccination will bring back, along with some of their symptoms and progression paths.Howdy folks! Friendly neighborhood ER doc here. Did you know that Trump’s folks want to take vaccines off of the market? That means you can’t get a shot even if you want one. Did you know that the tetanus shot is a vaccine? If you want your kids to be safe from lockjaw (caused by tetanus), you want vaccines to be available. You know what else is a vaccine? Rabies shots. If a rabid dog or bat bites your kid, do you want your kid to be able to be treated before they die of rabies?

Lockjaw and rabies:

Diphtheria:

Whooping cough:

Polio:

You get the idea, right?

These aren’t the only ones. These are just a few of those less often mentioned in these modern times, because people have forgot they exist.

When I say the Republican Party is a Party of Plague, when I say it is a goddamn death cult, I mean every single one of those words in every way you might think.

They are promising economic ruin and they are promising ethnic purges and now they are promising mass death of children.

All while killing pregnant people for their vile sense of domination, of course. Let us never forget that, since their families certainly won’t.

One of the things their apologists keep saying is that “Trump doesn’t mean it” and “Trump won’t do it,” and “That’s just Trump being Trump,” and they talk about “Trump derangement syndrome,” and say that we’re stupid for believing what their candidate fucking says he’ll do, and meanwhile, they get enraged about shit they completely make up about us and the candidates who are with us.

We react to things their candidates promise. They react to shit they make up wholesale about us. We are not the fucking same.

If only the political press would catch on to that fact.

The very last day of a campaign is a pretty lousy time to bring up another topic, even if it’s not really new. But this is, again, so murderously psychotic that I can’t not bring it back up.

Maybe you can bring it up, too, on this final day of this hellish and evil campaign, this Monday, November 4th, 2024.

Zero days remain.

It is Lastday.

[mswyrr]