Coronavirus Chronicles — Are Some People Fooling Themselves?

COVID-19 and obesity are the best friends that each other ever had. Since it is better for kids not to be obese, or to grow into obese adults, this virus needs to be brought under control. Some people act as if it is already over, but the facts say otherwise — especially in places like Brazil and India.

Like it or not, the events overseas will reach out and affect Americans. Before this crisis can be over, a lot of things need to happen, and a lot of other things need to not happen.

This is a good time to look at the recent advisory from the Centers for Disease Control, updated just a few days ago, titled “Interim Public Health Recommendations for Fully Vaccinated People.

The title helpfully specifies that the advice is temporary and subject to change. Perhaps this is because the agency is aware that the impatient public tends to get picky and make such complaints as, “Last month you told us so-and-so. Now you’re telling us such-and-such. Make up your mind! Or were you cynically lying last month? Or are you feeding us a load of baloney now?” Et cetera, et cetera.

For some reason, a segment of the human population is unable to wrap its head around the idea that, in a volatile scenario like a pandemic, new facts are likely to be discovered or revealed. Few situations remain static, and as information accumulates, different advice is likely to be given. Thus: interim.

Please see the original document

Everyone is welcome, and encouraged, to go to the page itself for the full story. (If a person works in, resides in, or has concern about healthcare settings, that’s a whole different page.)

Here, today, we mention a few things that hopefully will save some children from sickness and debility. For instance, in public indoor settings and gatherings with unvaccinated people from multiple households, mask up. These quotations seem significant:

[A] growing body of evidence suggests that fully vaccinated people are less likely to have asymptomatic infection or transmit SARS-CoV-2 to others.

“Suggests” is a clue that the information is not complete or totally vetted. “Less likely” means that it still could happen: a fully vaccinated individual be infected, even if no symptoms are present. A fully vaccinated person could transmit the virus to others.

How long vaccine protection lasts and how much vaccines protect against emerging SARS-CoV-2 variants are still under investigation.

So, two different things are going on here. First, it’s possible that current vaccines do not protect against the frighteningly abundant new mutant strains of COVID-19. If a variant has engineered for itself a clever new way to defeat the vaccine, all bets are off. Also, it is not known how long even the best current vaccine can provide protection, and that time period may be different for different people. We may end up needing booster shots.

At this time, there are limited data on vaccine protection in people who are immunocompromised.

We ourselves might, unknowingly, have immune systems that are on the blink. And in public settings or even in private homes, we have no way of knowing that the immune status of everyone present is in tip-top condition. And we may not know the vaccination status of all the other guests or attendees. There is still a “potential risk of transmitting the virus to others.” And, conversely, of picking up the virus from others. One of the bottom lines here is, even fully vaccinated people “should avoid indoor large-sized in-person gatherings.” Indoor restaurant dining and gym attendance are safe-ish…

However, precautions should still be taken as transmission risk in these settings is higher and likely increases with the number of unvaccinated people present. Thus, fully vaccinated people engaging in indoor social activities in public settings should continue to wear a well-fitted mask.

The risk of a fully vaccinated person becoming infected is low. Not non-existent, but low. Therefore,

[A]ny fully vaccinated person who experiences symptoms consistent with COVID-19 should isolate themselves from others, be clinically evaluated for COVID-19, and tested for SARS-CoV-2 if indicated.

Your responses and feedback are welcome!

Source: “Interim Public Health Recommendations for Fully Vaccinated People,” CDC.gov, 04/27/21
Image by Jernej Furman/CC BY 2.0

Multifaceted Mindy

The point of all this rumination about a popular TV series, The Mindy Project, is to answer a profound question: Does fat acceptance serve the greater good? The previously quoted Dominique Lauf says…

Notions of subjectivity, affect, and body schema are crucial to this investigation… [W]hile many may argue that Mindy Kaling is the same size of the average American woman, she is deemed fat relative to the bulk of actresses and celebrities we see in most media today.

So, why is the plentifully fleshy lead character having such a good time? In the name of preventing childhood obesity, shouldn’t we condemn media that gives an approving nod to fat acceptance? But no…

Dr. Mindy Lahiri wears bright, form fitting clothing, acknowledges her size in various positive and negative ways, is proud and vocal about her appetite, is valued, and is portrayed as a legitimate love interest…

Of course with her meticulously curated wardrobe, Kaling can’t look anything but great. A Vulture.com post featured designer Salvador Perez explaining the fun of dressing her, with no complaints about the challenge of dealing with a bounteously curvy glamour figure. Lauf explains the importance of Mindy’s flashy and body-hugging outfits:

Visually, this type of styling places Mindy’s fat body as something that does not need to be subdued with dark, solid colors, or covered up with clothing that drapes over the body… Not only does Mindy wear whatever she wants but her clothing is also body conscious, stylish, and flattering.

And yet, the author notes, the character’s behavior is sometimes at odds with her philosophy, and vice versa. The tension and conflict make her multi-dimensional and thus more “real,” while…

[…] the narrative is constructed to communicate points of shame and shamelessness not only of her fat body but also of her personality and life in general… The Mindy Project overtly and covertly shows fatness as positive, negative, and neutral in various contexts.

Like many normal, real humans, Dr. Lahiri is all over the psychological map. One minute she resolves to get in shape; the next minute she scarfs down second and third helpings of dessert. At a movie theater concession stand, she buys enough snacks to feed a high school football team. She is often shown consuming ridiculous amounts. When she decides to start working out, she seriously suggests that having a food reward dangled in front of her would be motivational.

On any given day she might refer to herself as hot, sexy, exotic, cute, adorable, and even as tiny, dainty, or petite, and also as having “an ass that doesn’t quit.” At times, she says, “I am sick of being the person with the good personality, okay? I wanna be so hot that Cliff would date me even if I had a bad personality.” Other times, she says, “Yes, I’m usually full of candy. Sue me.” Lauf comments,

The tension between her own subjective view of herself not only makes her relatable to other women who may struggle with body image, but also shows her oscillating between moments of shame about her size and moments of shamelessness and pride about her size.

A big change comes in Season 3, when Dr. Mindy is pregnant and starting to show. The precise medical diagnosis is “geriatric obese pregnancy,” a complete turnoff. Now seriously fat, she loses her confidence. Insecurity creeps in. Even though the baby’s father insists that she is beautiful at any size, Lauf notes, “her own relation to her body propels her feelings of shame and inadequacy.” This might be the most momentous problem that comes up, but rest assured, it is only one of many.

Your responses and feedback are welcome!

Source: “I Fluctuate Between Chubby and Curvy: Shame, Affect, and the Fat Body in The Mindy Project,” Vulture.com, 07/20/15
Source: “The Signature Looks of The Mindy Project’s Mindy Lahiri,” Vulture.com, 10/11/17
Image by Dominick D./CC BY-SA 2.0

Mindy Under the Microscope

During its six seasons on TV, The Mindy Project proved to be multiethnic, multicultural, musically eclectic, risqué, smart, and whatever word means hip these days. Some might say it is almost too smart. For example, as a wedding gift, a couple is given “a vintage chaise lounge from the home of Wallis Simpson.” Simpson was of course the woman for whom England’s King Edward VIII notoriously gave up his throne. What does that say about the marriage? Or the friendship? In the entertainment biz, it takes real courage to throw out a reference unlikely to be caught by more than one viewer in a thousand.

But that is insignificant, compared to the incredible number of chances the show took by flouting viewer expectations. Yesterday’s Childhood Obesity News post mentioned an academic paper titled “Shame, Affect, and the Fat Body in The Mindy Project” by Dominique Lauf, a very ambitious project examining the show from several culturally meaningful angles. Lauf says,

Mindy incorporates multiple ‘good fatty’ stereotypes as well as ‘bad fatty’ stereotypes… However, no matter what stereotype Mindy engages in, she is more or less unashamed to be herself whether that is portrayed in a positive or a negative light.

Throughout the entire series, Mindy moves between shame and shamelessness about her body size and her eating habits, providing viewers space to effectively engage with the character and strengthen their own relationship with, or attitudes about, their own bodies and food.

Created by a writing staff that included star Mindy Kaling herself, the character of OB/GYN doctor Mindy Lahiri violates many of the tired tropes associated with overweight female leads. Most prominently, the character engages in multiple romantic involvements, which are not always serial, but sometimes overlap. (It’s Messy was the original working title for the series.) Journalist Jennifer Keishin Armstrong reckoned up a tally of 21 “substantial” relationships, not counting lesser flirtations.

Dr. Mindy has been described as vain, shallow, selfish, messy, silly, and obsessed with low culture, yet possessed of “Beyoncé-level confidence.” Journalist Ashley Ross says the show never fails to tease the character’s “insecurities or her so-called atypical size.” The qualifier “so-called” is in there because rather than appearing atypical, Kaling looks very much like the average American woman. In one episode, she sits on a man’s lap and the chair collapses. This is not the ideal to which modern women aspire.

Does the acceptance factor here promote and encourage fatness? Or does it give women permission to accept themselves for what they are, which many therapists insist is the vital first step that must necessarily precede any effort to change? The jury is still out. Dr. Evelyn Attia, director of the Columbia Center for Eating Disorders, says, “In the same way that we don’t know what contributes to disordered thoughts about body image, we don’t know what confers a healthier message.”

Returning to Dominique Lauf’s paper, she writes:

The fluidity of Mindy’s embodied experience as a fat woman is relatable because her experience is full of embodied contradictions.

Additionally, we cannot forget that there are limits to which fat bodies are accepted. Mindy is not supersize fat. Would The Mindy Project be as popular or accepted if the main character was supersize?

When the show had barely gotten off the ground, Kaling was named by TIME magazine as one of the 100 most influential people. This earns her a second post all her own.

(To be continued…)

Your responses and feedback are welcome!

Source: “The Mindy Project Recap: Tamra’s ‘Braby’ Shower,” Vulture.com, 11/07/17
Source: “I Fluctuate Between Chubby and Curvy: Shame, Affect, and the Fat Body in The Mindy Project,” Vulture.com, 07/20/15
Source: “Mindy’s Love Interests on The Mindy Project, Ranked From Worst to Best,” Vulture.com, 09/12/17
Source: “Where Does The Mindy Project Go Next?,” Vulture.com, 07/08/16
Source: “Even Mindy Kaling Can’t Win the Body-Image Wars,” TIME.com, 04/14/14
Image by Montclair Film/CC BY 2.0

Mindy and Monica

Having considered the comedic TV series Parks and Recreation, where obesity is handled in a light-hearted manner that still conveys a message, let’s look at a few more media offerings. In a piece called “The Problem with Fat Monica,” writer Kelsey Miller discusses a character from another long-running TV series, Friends:

Fat Monica appears in just four episodes over the course of the 10-season series, but she is referenced in nearly half… Each of the four episodes ends with Courteney Cox dancing solo in a fat suit, holding a doughnut in her hand.

Lindsey Averill, the producer of the documentary Fattitude, says of entertainment media:

There are 10 to 15 archetypes for fat characters. But, they tend to be problematic, meaning outside the normal sphere of culture. Fat characters don’t have average experiences or stories. They don’t have their own stories at all. They’re the subplot.

Well, not always. The Mindy Project, a TV show created, produced, and starred in by Mindy Kaling, ran for five years. The series, in which she played Mindy Lahiri through 117 episodes, was discussed at HollywoodReporter.com (in an article since removed from that publication’s website) by Tim Goodman, who opines that “comedy often is a better spotlight for tough issues than drama.” Too often in entertainment media, he says, “You’re either thin and hot or you’re overweight and funny.”

One of the plots involves nurses trying to raise money for obese nurses. Why do viewers like the character Mindy Kaling portrays? “She talks about how hot she looks in a date dress, has few confidence issues in the dating world and no qualms about unflattering camera angles or scenes,” Goodman suggests.

Kaling told the press that she was not overweight, but fluctuated between chubby and curvy; and also that she tended to eat like a 6-foot-3 man. The series inspired Dr. Kenneth Weiner of the Eating Recovery Center, to remark that self-disparagement is not the ticket to acceptance, and that obese people who poke fun at themselves are part of the problem. Journalist Ashley Ross wrote,

It’s become more acceptable to discuss body realism as opposed to idealism, but is all this talk about bodies helping women with self-image issues or eating disorders or does this new focus fuel our obsession with how we look? If anything the conversation is even more focused on appearances than before.

Kaling’s rabid fans have dissected every nuance of every episode of the show, and at least one serious academic paper, “Shame, Affect and the Fat Body in The Mindy Project,” has been written about it. Vulture.com provides an exhaustive list of all the many, many articles the site has published about The Mindy Project.

Your responses and feedback are welcome!

Source: “The Problem With Fat Monica,” Medium.com, 02/22/20
Source: “Race, Weight and Beauty: How ‘The Mindy Project’ Is Both Funny and Important,” HollywoodReporter.com, 09/25/12
Source: “Even Mindy Kaling Can’t Win the Body-Image Wars,” TIME.com, 04/14/14
Image by Mindy Kaling

How Funny is Obesity, Anyway?

The very popular TV comedy Parks and Recreation is located in Pawnee, a town of many public relations slogans. Among them is “Pawnee: First in Friendship, Fourth in Obesity,” which eventually is superseded by a motto with a bit more (or maybe less?) civic pride: “Pawnee: First in Friendship, Ninth in Obesity.”

In one episode, the plans for a town festival include the construction of a plus-size roller coaster customized for “obese thrill seekers,” with a sign at the gate commanding, “You must be this wide to ride.” Central to much of the action is the main industry on which everyone’s livelihood directly or indirectly depends, the Sweetums factory. The sitcom, wrote critic Willa Paskin,

[…] has used sugar to make cynical lessons about dysfunctional government go down very easy… Sweetums, after all, has always been a corrupt, unthinking corporate citizen responsible for Pawnee’s obesity epidemic: It’s so sweet, it gets away with murder.

In another episode, a tax on soda is proposed, leading to some discussion of job losses and so on. A short scene was capsulized for Vulture.com by Jessica Goldstein:

The sizes of available sodas to Pawnee consumers escalate from the “small” 64-ounce soda of Bloomberg infamy to the 128-ounce, which, Leslie points out, “most people call a gallon.” Then comes the 512-ounce option, deemed “child-sized” because it is roughly the size of a (liquefied) 2-year-old child.

In addition to basic high-fructose corn syrup, the Sweetums factory, without which Pawnee would be a ghost town, creates such products as — and this is not an exhaustive list — Lil’ Nooses, Teef Killers, Fingyums, Kandy Nailz, Gusherz, and Frooties!, the fizzy corn syrup soda known as Pawnee’s official beverage. Other offerings included a snack made of corn syrup and corn; dog-biscuit-shaped treats for humans; HFCS-flavored salt; and roasted fish dipped in chocolate.

But that’s not all. How about the beef jerky and licorice snack mix, and the deluxe version composed of those two ingredients plus nuts, gummy bears, and pretzels? The manufacturing behemoth even offered a non-edible product — candy-scented 11″ industrial construction screws.

Season 2 features Pawnee as the site of an anti-obesity telethon (sponsored, of course, by Sweetums) in what has been called one of the funniest episodes of a very funny show. In 2014, to boost her Let’s Move! campaign, Michelle Obama guest-starred in the season finale.

Your responses and feedback are welcome!

Source: “The Heart of Pawnee,” Slate.com, 02/25/15
Source: “Parks and Recreation Recap: Interns and Soda,” Vulture.com, 09/28/12
Source: “Sweetums (company),” Fandom.com, undated
Image by Pat Hartman

Coronavirus Chronicles — India

Words really cannot describe how bad the situation is in India right now. “Why should we care?” is a question too often heard, and anyone who doesn’t get it will probably not be swayed by Childhood Obesity News, so let’s just move on to the next point of interest. Exactly how serious is India’s plight?

That was a trick question, because no individual or institution, neither among the people “on the ground” nor the international observers, has any grasp of how deep the trouble is over there. It is known that earlier this week, 300,000 new cases were reported in a 24-hour period. In the big cities, it is suspected that as many as one out of three people are infected and would test positive if testing were available.

India’s multiple problem areas

The country is pretty much out of tanked oxygen, and in New Delhi, hospitals are packing two patients into a bed. On a chart of fatalities, the “curve” is less a curve, than a straight up-and-down line. And that picture is of only the recorded COVID-19 deaths. For NewYorker.com, Isaac Chotiner asked why the undercount is so shockingly extreme. Epidemiologist Ramanan Laxminarayan explained that…

[…] only one in five deaths is medically recorded, so we don’t know the cause of death for four out of five people in normal times. That has continued during COVID.

There are widespread discrepancies in the “cause of death” classification. If the patient suffered from any kind of pre-existing condition, there is a tendency, in many countries, to want to assign COVID-19 deaths to other causes. Also, with everything in such disarray, India is not equipped to sort the deaths neatly by age group. But bear in mind that an awful lot of the grownups who succumb to the disease are parents, so huge numbers of children have lost their mother or father, or are now full orphans.

Speaking of orphans, and digressing for a moment back to the United States, JAMA Pediatrics recently published a study estimating that 43,000 American children have lost a parent to the virus, and noting that these children are disproportionately Black. Then, there are those who have functionally lost a still-living parent to the debilitating effects of “long covid.”

Only about 8% of India’s incomprehensibly large population has received even one dose of vaccine. Partly this is attributable to an unwarranted sense of relief that the earlier waves of the pandemic were not worse. It seems as if the country just shrugged it off. Giant weddings, religious observances, political rallies, and sports events got back into full swing, with disastrous results. A recent development is the arrival of a new, double-mutant variant called B.1.617.

In many places all over the globe, the main takeaway lesson of the pandemic is, develop vaccines that can be administered while people are young, before they have a chance to form opinions about it.

Your responses and feedback are welcome!

Source: “How COVID-19 Surged Again in India,” NewYorker.com, 04/20/21
Source: “Black children significantly more likely to have a parent who died of COVID-19,” Salon.com, 04/13/21
Image by Shantanu Dutta/Public Domain

Coronavirus Chronicles — A Grim Picture for the Young

Every day we spend thinking about COVID-19 presents the opportunity to enlarge our vocabulary. Journalist Lena Hunter captured from Eskild Petersen, Editor-in-Chief of the International Journal of Infectious Diseases, an enlightening quotation:

If you have a mutation that makes the virus stick better to our cells, it becomes more contagious. That was the case with B117. If you have a double mutation, then less virus is needed for the variant to become more contagious.

As always, it is useful to know what we are up against. One of the previous Childhood Obesity News posts highlighted various developments in a few countries, but there is a lot more material to draw from, especially regarding the trend toward younger victims.

During 2020, the world had become accustomed to the idea that coronavirus was picking off the weakest members of the human herd — the elderly and those with various pre-existing conditions including obesity and its co-morbidities. Then, stories started to pop up here and there, of perfectly healthy young adults, teens, and even children, falling victim to COVID-19.

Earlier this month, Brazil was invaded by the P.1 variant which “is able to reinfect those who already caught the coronavirus” and “may also have mutations that could make vaccines less effective,” journalist Kelly McLaughlin reported. Furthermore, most of the COVID-19 patients in the country’s Intensive Care Units were under the age of 40.

In mid-March, Nathalia Passarinho and Luis Barrucho published an article for BBC that features frightening information from University of São Paolo epidemiologist Dr. Fatima Marinho;

Covid-19 killed at least 852 of Brazil’s children up to the age of nine, including 518 babies under one year old, according to figures from the Brazilian Ministry of Health. But Dr Marinho estimates that more than twice this number of children died of Covid. A serious problem of underreporting due to lack of Covid testing is bringing the numbers down, she says.

Because of the gaps in tracking and bookkeeping, Dr. Marinho estimates that in actuality, the virus may have killed as many as “2,060 children under nine years old, including 1,302 babies.” By mid-Apri1, Brazil’s death rate was the highest it had been since the pandemic began.

The multi-system inflammatory syndrome is also making great headway, creating problems that threaten to affect its juvenile victims throughout their lives. Add to this the fact that most of the children who have caught COVID-19 already suffered from a co-morbidity such as diabetes, cardiovascular disease, or obesity, and the future appears dim.

The BBC Brazil reporters also noted that poverty and other “socioeconomic vulnerabilities” create risk. Because of the pandemic, the country’s poverty rate tripled within one year, putting even more people in line to fall victim to the virus.

The big picture

Nowhere on the globe looks good right now. Prof. Christina Pagel, professor of operational research at University College London, writes…

I’m concentrating on 5 variants in England: our dominant B117 (“Kent”) variant, B1351 (“S Africa”), B1525, P1 (“Brazil”) & B1617 (“India”).

B1617 belongs to the aforementioned two-mutation gang and seems to demonstrate an ability to outwit antibodies. Apparently originating in India, the variant is also making impressive headway in the United Kingdom, Germany, Denmark, and the United States.

Your responses and feedback are welcome!

Source: “India’s ‘double mutant’ coronavirus variant discovered in Denmark. Should we be worried?,” CPHPost.dk. 04/19/21
Source: “Most COVID-19 ICU patients in Brazil are now under 40 years old,” BusinessInsider.com, 04/16/21
Source: “Why are so many babies dying of Covid-19 in Brazil?,” BBC.com, 04/15/21
Image by Mike Finn/CC BY 2.0

Coronavirus Chronicles — The Kids Over There

Coronavirus, the best friend obesity ever had… or is obesity the best friend coronavirus ever had? Either way, they have teamed up to become the scourge of humanity, all around the globe. Combined with the fact that the virus seems to have discovered how delicious younger people are, the result is a mess.

In January, Israel sounded the alarm and passed the word that schools might not open. Suddenly, more than 50,000 children and teens were diagnosed within a month. Furthermore, kids were accounting for around 40% of new cases, with the biggest increase occurring in the six- to nine-year-old age group.

Most of this outburst was attributed to the new and much more infectious British variant of the virus. Although the majority of young victims had mild cases, and few were hospitalized, the school opening question became paramount. Of the country’s 200,000 educational staff members, only 34% had been vaccinated.

At the same time, things were getting out of hand in Italy. In the little town of Corzano (in the region known as Lombardy), 24 children and adults at one school tested positive for COVID-19. After a total of 189 townspeople had been tested, 139 were certified positive (although most remained asymptomatic). By great good fortune, only one person needed to be hospitalized, and once again, the growing numbers were attributed to the British variant.

But do not underestimate the virus, authorities warned:

Italy was the first European country to be hit by coronavirus a year ago and so far 90,000 people with COVID-19 have died.

France has been having a very rough time, and the press was told that the majority of new patients — like 90% — have the British variant. This crowd is “significantly younger” than the victims of the first and second wave so, initially at least, their bodies can fight off the effects better. Consequently, they tend to be at home one day, and in Intensive Care the next. ICU doctor Benjamin Clouzeau told the press,

They’re between 30 and 65 years old. They have few or no underlying health conditions. Some are overweight — but they’re not obese, they’re simply overweight… A fair share of them have diabetes, but that’s far from the majority… Now we are down to 200, 300 deaths a day, but it’s not old people dying anymore. These are people who still had 30 or 40 years to live.

Meanwhile, Ottawa, the capital city of Canada, had by early March suffered 14,950 confirmed cases and 442 deaths since the beginning of the pandemic. They have not only the British variant, familiarly known as B.1.1.7, but the new and exotic South Africa variant called B.1.351.

In the early rounds of vaccination, the province of Ontario included people experiencing homelessness, a relief for everyone including the staff members of those institutions. In Ottawa itself, the sickness is having a “significant impact,” with more than 200 shelter residents testing positive since January.

(To be continued…)

Your responses and feedback are welcome!

Source: “Spike in kids with COVID-19 means Israel unlikely to open schools,” JPost.com, 01/26/21
Source: “Outbreak of UK virus variant detected in Italian town,” MedicalXpress.com, 02/04/21
Source: “COVID-19 now killing more younger people, French doctor tells Euronews,”
EuroNews.com, 03/29/21
Source: “COVID-19: Key virus indicators creep up in Ottawa, with 80 new cases; Province reports 994 new cases,” OttawaCitizen.com, 03/04/21
Image by United Nations/Public Domain

Coronavirus Chronicles — The Virus, the Stats, and the Young

For a while, COVID-19 got away with disguising itself as the type of predator that mainly seemed to prefer older humans. But looking back at how the virus has been treating America’s people, it is obvious that the big, major trend over the past few months has been toward younger victims.

For instance, in the first week of December, the state of Florida was posting up well over 9,000 new cases a day, and in each county, the median age of the new patients was in their 40s. In one county, the new-case median age was 27. These were not the tottering, decrepit, ancient folk we had been led to visualize as the virus’s prime victims.

The Journal of the American Medical Association published a study concerning the difference between expected and actual deaths. This is a rough way of approximating how many COVID-19 fatalities occurred, without relying on totals that may have been late, inaccurate, intentionally misreported, or in some other way lacking. The authors wrote,

Excess mortality reflects the full burden of the pandemic that may go uncaptured due to uncoded COVID-19 and other pandemic-related deaths. Accordingly, we examined all-cause excess mortality and COVID-19–related mortality during the early pandemic period among adults aged 25 to 44 years.

The research team was interested in the statistics concerning the mid-adult age group, over a designated five-month period. They took the 2019 total, before the virus was even heard of, and subtracted it from the corresponding 2020 number. Between the beginning of March and the end of July, the target age demographic lost 11,899 more members than would have been expected, going by the previous year.

This led to a suspicion that the virus was probably to blame in more than half those fatalities. The report explained:

Only 38% of all-cause excess deaths in adults aged 25 to 44 years recorded during the pandemic were attributed directly to COVID-19. Although the remaining excess deaths are unexplained, inadequate testing in this otherwise healthy demographic likely contributed. These results suggest that COVID-19–related mortality may have been underdetected in this population.

This is not an easy problem to fix. About two months ago, the Ohio Department of Health announced that “as many as 4,000 COVID-19 deaths may have been underreported through the state’s reporting system.” Last year’s months of October, November and December were a mess, and the numbers need to be reconciled somehow. The experts may never be able to discover the exact numbers for many areas in difficult time periods.

Less than a month ago, the results of the biennial National Health and Nutrition Examination Survey were made known. The information is collected via phone surveys and is considered to be very accurate. In this case, the 10,000 respondents drew a grim picture. In America, obesity among children and teens has never been higher — close to 19%, which pretty much translates to almost one in five.

The percentages tallied by each age group show that the rate becomes progressively worse as the children get older. You hardly ever hear anyone speak of “outgrowing their baby fat” anymore. The children are instead growing into their adult fat at an increasingly alarming rate. As the numbers escalate, other factors hold steady. More boys than girls are obese, and more Black and Hispanic kids than white.

Illnesses are not always gotten over, and morbidity can last a long time. Meanwhile nurses and even doctors, unable to find another outlet for their frustration, take to Twitter to scold the unheeding public for its indifference, and assure them COVID-19 is real.

Your responses and feedback are welcome!

Source: “Florida’s daily average for COVID-19 cases climbs to 9,300 to start December,” News4jax.com, 12/08/20
Source: “All-Cause Excess Mortality and COVID-19–Related Mortality Among US Adults Aged 25-44 Years, March-July 2020,” JAMANetwork.com, 12/16/20
Source: “Ohio to add approximately 4,000 COVID-19 deaths to death total,” Ohio.gov, 02/10/21
Source: “Childhood obesity rates hit all-time high, survey finds,” BeckersHospitalReview.com, 01/25/21
Image by Mario A.P./CC BY-SA 2.0

Coronavirus Chronicles — Are the Kids All Right?

The young are very much in the coronavirus news lately. Hopefully, by now, most people realize that COVID-19 is real, and that children and young people can catch it, and also transmit it. A well-informed citizen also understands that the virus attacks different populations disproportionately.

It’s a race thing, and an economic inequality thing, and also a big risk for people who are overweight or obese. Extra body fat, in and of itself, seems to be very attractive to the virus, which also specializes in victimizing people affected by diabetes and other co-morbidities linked with obesity. Last August it was reported that although the United States contains only about 4% of the world’s people, it had up to that point been the site of around 25%, or one-quarter, of the world’s coronavirus deaths.

So, things are much better now, right? Wrong. Things are just very slightly better. According to researchers from Johns Hopkins, in a news item less than a week old,

The United States has suffered nearly one-fifth of the world’s covid-19 deaths […] even as it accounts for just over 4 percent of the world’s population. Twenty-three percent of the world’s recorded coronavirus cases have occurred among Americans.

In September, as schools tried to reopen, Ed Yong wrote in The Atlantic,

Thanks to magical thinking and misplaced moralism, the U.S. already has at least 51,000 confirmed infections in more than 1,000 colleges across every state. These (underestimated) numbers will grow, because only 20 percent of colleges are doing regular testing, while almost half are not testing at all.

The Centers for Disease Control released a report destined to ruffle the complacency of Americans by stating that “the percentage increase in excess deaths so far this year compared to other years is highest among people age 25 to 44, at 26%.” In other words, any notion that COVID-19 only went after the elderly, the infirm, and the out-of-shape, would have to be revised.

Try, try again

In the schools that did regain some semblance of normalcy, by December it was obvious that academic ground had been lost. Most kids were not doing well, and children affected by racism and poverty were doing worse than most. A study determined that “the shift to remote school in the spring set White students back by one to three months in math, while students of color lost three to five months.” Students were not applying for college like before — at least, not the ones from the lower socio-economic stratum.

Millions of children still coped with remote learning, and journalists Laura Meckler and Hannah Natanson wrote,

This setup privileges children who have quiet places to work, parents at home to help and reliable Internet service. Many of those who don’t have those advantages continue to struggle, and even some families with resources find it difficult to keep children engaged online and emotionally healthy.

(To be continued…)

Your responses and feedback are welcome!

Source: “The U.S. has 4% of the world’s population but 25% of the world’s COVID-19 cases,” Logically.ai, 8/19/20
Source: “The Health 202: Here’s how the U.S. compares to other countries on the coronavirus pandemic,” WashingtonPost.com, 04/12/21
Source: “America Is Trapped in a Pandemic Spiral,” TheAtlantic.com, 09/09/20
Source: “Increase in Death Rate Highest Among People Age 25 to 44,” Medium.com, 10/21/20
Source: “‘A lost generation’: Surge of research reveals students sliding backward, most vulnerable worst affected,” WashingtonPost.com, 12/06/20
Image by Elvert Barnes/CC BY-SA 2.0

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Profiles: Kids Struggling with Weight

Profiles: Kids Struggling with Obesity top bottom

The Book

OVERWEIGHT: What Kids Say explores the obesity problem from the often-overlooked perspective of children struggling with being overweight.

About Dr. Robert A. Pretlow

Dr. Robert A. Pretlow is a pediatrician and childhood obesity specialist. He has been researching and spreading awareness on the childhood obesity epidemic in the US for more than a decade.
You can contact Dr. Pretlow at:

Presentations

Dr. Pretlow’s invited presentation at the American Society of Animal Science 2020 Conference
What’s Causing Obesity in Companion Animals and What Can We Do About It

Dr. Pretlow’s invited presentation at the World Obesity Federation 2019 Conference:
Food/Eating Addiction and the Displacement Mechanism

Dr. Pretlow’s Multi-Center Clinical Trial Kick-off Speech 2018:
Obesity: Tackling the Root Cause

Dr. Pretlow’s 2017 Workshop on
Treatment of Obesity Using the Addiction Model

Dr. Pretlow’s invited presentation for
TEC and UNC 2016

Dr. Pretlow’s invited presentation at the 2015 Obesity Summit in London, UK.

Dr. Pretlow’s invited keynote at the 2014 European Childhood Obesity Group Congress in Salzburg, Austria.

Dr. Pretlow’s presentation at the 2013 European Congress on Obesity in Liverpool, UK.

Dr. Pretlow’s presentation at the 2011 International Conference on Childhood Obesity in Lisbon, Portugal.

Dr. Pretlow’s presentation at the 2010 Uniting Against Childhood Obesity Conference in Houston, TX.

Food & Health Resources