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Fri Aug 5, 2022, 06:00 PM

New York polio case is the 'tip of the iceberg,' hundreds of others could be infected

Source: CNBC

Hundreds could have polio after an adult in the New York City metro area caught the virus and suffered paralysis last month, the state’s top health official said this week. New York state Health Commissioner Mary Bassett warned that the confirmed polio case in an unvaccinated adult, coupled with the detection of the virus in sewage outside the nation’s largest city, could indicate a bigger outbreak is underway.

“Based on earlier polio outbreaks, New Yorkers should know that for every one case of paralytic polio observed, there may be hundreds of other people infected,” Bassett said. “Coupled with the latest wastewater findings, the department is treating the single case of polio as just the tip of the iceberg of much greater potential spread.”

Bassett said it is crucial that children are vaccinated by the time they are 2 months old, and all adults — including pregnant women —who have not received their shots should do so immediately. “As we learn more, what we do know is clear: The danger of polio is present in New York today,” Bassett said.

New York state health officials confirmed last month that an unvaccinated adult in Rockland County had caught polio and was hospitalized with paralysis. Health officials subsequently found three positive polio samples in Rockland County wastewater and four positive samples in the sewage of adjacent Orange County. The sewage samples that tested positive for polio are genetically linked to the strain which the unvaccinated adult caught. The findings do not indicate that the individual who caught polio was the source of transmission, but local spread could be underway, health officials said.

Read more: https://www.cnbc.com/2022/08/05/new-york-polio-case-tip-of-iceberg-hundreds-of-others-could-be-infected.html



Full headline: New York polio case is the ‘tip of the iceberg,’ hundreds of others could be infected, health official says

I know the wastewater testing has been ongoing (and is continually expanded) for COVID-19 monitoring but I hope other wastewater monitoring locations are or will start testing for stuff like Polio, which at one time was often attributed to transmission through ingestion of the virus from fecal matter in untreated water (like untreated pools or I expect even those large water fountain displays/sculptures - both of these being popular features used during heatwaves for "cooling off" and the U.S. has certainly been in the heat).

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Reply New York polio case is the 'tip of the iceberg,' hundreds of others could be infected (Original post)
BumRushDaShow Friday OP
Irish_Dem Friday #1
Lonestarblue Friday #8
Rebl2 Friday #14
Irish_Dem Friday #18
Lonestarblue Saturday #22
Irish_Dem Saturday #23
appalachiablue Sunday #45
womanofthehills Saturday #31
BumRushDaShow Saturday #36
womanofthehills Saturday #40
BumRushDaShow Saturday #41
Best_man23 Sunday #46
Timeflyer Saturday #25
Irish_Dem Saturday #28
ShazzieB Saturday #42
Initech Friday #2
womanofthehills Saturday #32
SheltieLover Friday #3
Chainfire Friday #4
MuseRider Friday #6
womanofthehills Saturday #38
bucolic_frolic Friday #7
womanofthehills Saturday #33
Baitball Blogger Friday #5
BumRushDaShow Friday #9
Baitball Blogger Friday #10
Evolve Dammit Friday #11
BumRushDaShow Friday #12
ShazzieB Saturday #19
BumRushDaShow Saturday #21
Rebl2 Friday #15
womanofthehills Saturday #34
womanofthehills Saturday #37
IronLionZion Friday #13
LeftInTX Friday #16
BumRushDaShow Friday #17
Richard D Saturday #20
Marthe48 Saturday #24
Bayard Saturday #26
womanofthehills Saturday #35
Bayard Sunday #44
malthaussen Saturday #27
NNadir Saturday #29
purr-rat beauty Saturday #30
IbogaProject Saturday #39
Turbineguy Saturday #43

Response to BumRushDaShow (Original post)

Fri Aug 5, 2022, 06:02 PM

1. We really do not want a polio epidemic.

With parents not getting their children vaccinated.

My mother was a nurse during the polio epidemic and it was not pretty.
The children and adults in iron lungs was terrifying to the public.

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Response to Irish_Dem (Reply #1)

Fri Aug 5, 2022, 06:31 PM

8. Those old photos need to be pulled out again.

We had eradicated polio in this country with vaccinations. The anti-vaxxers are just plain crazy.

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Response to Lonestarblue (Reply #8)

Fri Aug 5, 2022, 08:02 PM

14. Yep

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Response to Lonestarblue (Reply #8)

Fri Aug 5, 2022, 09:54 PM

18. My aunt was a nurse as well and I remember them talking about it.

They said strong young males would be standing talking and just drop to the ground.
Unable to move.

My mother and aunt would not be able to understand people not getting vaccinated against disease. They would think people have lost their minds today.

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Response to Irish_Dem (Reply #18)

Sat Aug 6, 2022, 08:46 AM

22. Some people have lost their minds today! I don't understand the mindset of choosing ignorance.

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Response to Lonestarblue (Reply #22)

Sat Aug 6, 2022, 08:56 AM

23. People today have not seen these old horrible diseases.

They have not seen a child die of whooping cough. Or pregnant women birth deaf children due to measles. Or seen children die or become crippled with polio. The scourge of small pox.

Most of the young doctors have never seen any of this either unless they have done trips overseas.

People have not lived through the miserable childhood diseases like older folks have.

And then of course we have elected officials and domestic terrorists who want Americans to get sick and die. To suffer and be in pain. It is a way to keep people docile and demoralized. And under control.

And then some people like Trump get off on inflicting pain on others. It is a turn on for him.

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Response to Irish_Dem (Reply #23)

Sun Aug 7, 2022, 02:30 AM

45. +2

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Response to Lonestarblue (Reply #8)

Sat Aug 6, 2022, 12:35 PM

31. Problem why polio is not erradicated around the world is that

People in the Americans and EU get dead virus polio vaccines - poorer countries in Asia and Africa still use live attenuated vaccine and children can catch it from the feces of recently vaccinated kids. With all the money in this world - why can’t the whole world get the dead virus vaccine? The following article is a few yrs old - but it tells about the live attenuated vaccine.


More polio cases now caused by vaccine than by wild virus.



LONDON -- Four African countries have reported new cases of polio linked to the oral vaccine, as global health numbers show there are now more children being paralyzed by viruses originating in vaccines than in the wild.

In a report late last week, the World Health Organization and partners noted nine new polio cases caused by the vaccine in Nigeria, Congo, Central African Republic and Angola. Seven countries elsewhere in Africa have similar outbreaks and cases have been reported in Asia. Of the two countries where polio remains endemic, Afghanistan and Pakistan, vaccine-linked cases have been identified in Pakistan.

https://abcnews.go.com/Health/wireStory/polio-cases-now-caused-vaccine-wild-virus-67287290

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Response to womanofthehills (Reply #31)

Sat Aug 6, 2022, 01:25 PM

36. "why can't the whole world get the dead virus vaccine?"

Because right now, IIRC, it's only available through an injection and that right there can slow the process, not just from refusal by the needle-phobic, but due to the prep, handling, and disposal of those needles (usually considered a "bio-hazard" and marked as that in special disposal containers).

Thus squirting vaccine into mouths down a line of folks would get it distributed much quicker and without the screams of needles.

And apparently it may be that the old Eastern Bloc countries are still using the oral AV.

For example per this article regarding Ukraine's reporting of a Polio case last year (and includes an image of a Ukrainian child receiving the oral vaccine back in 2015)- https://www.euronews.com/2021/10/07/ukraine-confirms-case-of-polio-in-18-month-old-toddler

Ukraine confirms case of polio in 18-month-old toddler


By Emil Filtenborg • Updated: 07/10/2021


Stock picture: A boy receives polio vaccine drops at a clinic in Kyiv, Ukraine, October 21, 2015 - Copyright Credit: Gleb Garanich/REUTERS


Ukraine has confirmed a case of polio. The country's health ministry said it had been found in an 18-month-old toddler in Rivne Oblast, near the border with Belarus.

It said the youngster had been hospitalised with "symptoms of being paralysed".

"The disease is caused by a derivative of the vaccine strain of polioviruses type 2 (Sabin 2)," the health ministry statement read.

"The parents deliberately refused medical vaccinations because of their religious beliefs."

(snip)


Of course as noted, using live (attenuated) virus vaccine is an issue, but it's not just one in Asia or Africa.

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Response to BumRushDaShow (Reply #36)

Sat Aug 6, 2022, 05:21 PM

40. Between war & Covid, kids in Ukraine not getting their shots

Polio outbreak risk increases in western Ukraine
Source:
American Society for Microbiology
Summary:
The reintroduction of the wild-type poliovirus or circulating vaccine-derived poliovirus (cVDPV) is a sizeable threat in Ukraine, which is considered a high-risk country for vaccine-preventable infections, including poliomyelitis, an extremely dangerous disease that causes paralysis in children. The situation has been exacerbated by the COVID-19 pandemic, the war in eastern Ukraine, and ongoing healthcare reforms, scientists say. https://www.sciencedaily.com/releases/2022/06/220615211330.htm

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Response to womanofthehills (Reply #40)

Sat Aug 6, 2022, 05:37 PM

41. I know they are being impacted big time

and especially in those towns and cities that have been devastated with the bombing, resulting in damaged water/sewage infrastructure.

And then you have a good chunk of the population who initially fled to surrounding countries (with some slowly returning), but then as Russia expands its bombing, you get more and more who are being displaced, and there goes the spread.

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Response to Lonestarblue (Reply #8)

Sun Aug 7, 2022, 01:09 PM

46. Just for quick reference, I'll leave this here

To reinforce, this world does NOT need a MILGA movement. Get the vaccine, its been around since the mid 1950s, so no excuses.

MILGA=Make Iron Lungs Great Again


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Response to Irish_Dem (Reply #1)

Sat Aug 6, 2022, 11:16 AM

25. Remember children in iron lungs

The sight of children confined in iron lungs was so scary when I was a kid--it was like learning that my parents could die.

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Response to Timeflyer (Reply #25)

Sat Aug 6, 2022, 11:53 AM

28. Yes my mother took care of some of these patients.

It was a very bad situation. And very scary.

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Response to Timeflyer (Reply #25)

Sat Aug 6, 2022, 06:35 PM

42. Yes, it was scary stuff!

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Response to BumRushDaShow (Original post)

Fri Aug 5, 2022, 06:07 PM

2. Thanks anti-vaxxer fuckheads! We now have polio back!

What other diseases are you going to bring back?

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Response to Initech (Reply #2)

Sat Aug 6, 2022, 12:45 PM

32. We basically have polio back because the world will not spend the money to give kids in Africa &Asia

a dead polio virus vaccine. They give the kids a live attenuated polio vaccine by mouth. Polio is mostly a disease of kids 1 to 5 yrs old because it can spread thru feces and the live vaccine can be passed thru feces. However, in the past yr, a few wild type polio cases have also appeared.

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Response to BumRushDaShow (Original post)

Fri Aug 5, 2022, 06:08 PM

3. Kicking for visibility

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Response to BumRushDaShow (Original post)

Fri Aug 5, 2022, 06:11 PM

4. Does the oral medications we got in the early 60s provide lifetime protection?

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Response to Chainfire (Reply #4)

Fri Aug 5, 2022, 06:20 PM

6. It seems a long time

for them to still be effective but I sure do not know. I guess they will get that info out soon since we have a government that cares right now.

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Response to MuseRider (Reply #6)

Sat Aug 6, 2022, 02:36 PM

38. Some reports say still effective - who knows

In most cases, adults today would likely have been vaccinated against polio as children and, thus, do not need to get the polio vaccine. However, the CDC recommends that certain groups who have never been vaccinated against the disease should consider getting three doses of IPV. https://www.newsweek.com/polio-vaccine-still-required-united-states-why-opv-stopped-1727120

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Response to Chainfire (Reply #4)

Fri Aug 5, 2022, 06:21 PM

7. That was my understanding, and I never heard of anyone getting a booster

nor of contracting polio late in life due to lack of booster. Of course now you have far more people living longer into their 80s and 90s, so ...... who knows. And is the virus exactly the same as the 1930s version.

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Response to Chainfire (Reply #4)

Sat Aug 6, 2022, 12:48 PM

33. The majority of polio cases are in kids 1 to 5 yrs old

It’s mostly caught thru contaminated feces thru the gastrointestinal track - not the lungs.

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Response to BumRushDaShow (Original post)

Fri Aug 5, 2022, 06:12 PM

5. Who is at risk?

I assume the never vaccinated, and those of us who could use a booster?

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Response to Baitball Blogger (Reply #5)

Fri Aug 5, 2022, 06:35 PM

9. Here is some info from CDC

https://www.cdc.gov/polio/what-is-polio/index.htm

I would think more the unvaccinated as you have a couple generations now who might not have gotten the vaccine - which is nowadays an injection vs the old oral one that was phased out back in the '90s.

Oddly enough, before I took a trip to Egypt literally 30 years ago last month, the travel medicine doc who gave me some vaccines for stuff like yellow fever and typhoid, included an oral polio booster (the type that I later found out was being phased out around that time and I think completely pulled by 1997). As a kid, I had already had whatever doses were given for Polio back in the '60s.

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Response to BumRushDaShow (Reply #9)

Fri Aug 5, 2022, 06:37 PM

10. I only had the sugar cube vaccination.

Is it time for us to ask about boosters?

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Response to Baitball Blogger (Reply #10)

Fri Aug 5, 2022, 07:15 PM

11. yes.

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Response to Baitball Blogger (Reply #10)

Fri Aug 5, 2022, 07:16 PM

12. For some reason

I think because Polio hasn't mutated much (although I think there are a few "new" variants out there), there didn't seem to be a need to boost on it as the body could still retain some recognition of the original and produce some kind of antibody response.

Here is their page on vaccination decisions (where they said that people could get a booster if they wanted and had some series of doses of either the current or older vaccine) - https://www.cdc.gov/vaccines/vpd/polio/public/index.html

Adults

Most adults do not need polio vaccine because they were already vaccinated as children. But three groups of adults are at higher risk and should consider polio vaccination in the following situations:

  • You are traveling to a country where the risk of getting polio is greater. Ask your healthcare provider for specific information on whether you need to be vaccinated.
  • You are working in a laboratory and handling specimens that might contain polioviruses.
  • You are a healthcare worker treating patients who could have polio or have close contact with a person who could be infected with poliovirus.


  • Adults in these three groups who have never been vaccinated against polio should get 3 doses of IPV:

  • The first dose at any time,
  • The second dose 1 to 2 months later,
  • The third dose 6 to 12 months after the second.


  • Adults in these three groups who have had 1 or 2 doses of polio vaccine in the past should get the remaining 1 or 2 doses. It doesn’t matter how long it has been since the earlier dose(s).

    Adults who are at increased risk of exposure to poliovirus and who have previously completed a routine series of polio vaccine (IPV or OPV) can receive one lifetime booster dose of IPV.


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    Response to BumRushDaShow (Reply #12)

    Sat Aug 6, 2022, 02:20 AM

    19. Hmmm.....

    It says previously vaccinated people may need a booster if "traveling to a country where the risk of getting polio is greater." I wonder how great the risk needs to be. Seems to me that an epidemic could change the calculations there!

    I've had a full course of both the Salk vaccine and then the "sugar cube" oral vaccine when it first became available. Is the immunity really still good decades later?

    Humor me, lol. I'm a nervous Nelly after all the covid panic and now monkey pox (hoping my ancient smallpox vaccination and booster will help with that, but not counting on it).

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    Response to ShazzieB (Reply #19)

    Sat Aug 6, 2022, 07:11 AM

    21. I think most of us are in the same boat

    Over the years, the assumption was that vaccines given in childhood were "lifetime" ones - well at least other than tetanus, that I recall was one they did recommend about every 10 years (and I think that before my travel to Egypt, along with a Polio booster, yellow fever vax, and typhoid vax (which was oral with a series of capsules), I actually got a tetanus booster as well - it's been awhile but I always laughed about the odd circumstances that had me end up getting one of those every 10 years - at least up until 1992 ).

    I think at least so far, the reported cases that had been ID'd as Polio, have been in unvaccinated people.

    With all these viruses suddenly surfacing (or at least being identified enough to rise above background noise) it will be interesting to see if testing of more viruses will start happening (although there is a cost involved in that).

    With respect to Polio - apparently there was a 2-dose initial series back in the day, nowadays a 3-dose series of shots (usually in childhood starting as infants) and then an option for a booster. It's hard if you don't have the old childhood immunization records around but if you haven't been boosted and are nervous, you could go ahead and ask to get boosted. It probably won't be an issue if you can find a provider who has it to give.

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    Response to Baitball Blogger (Reply #10)

    Fri Aug 5, 2022, 08:06 PM

    15. That's what

    I remember-the sugar cube

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    Response to Baitball Blogger (Reply #10)

    Sat Aug 6, 2022, 12:51 PM

    34. In the past, it has mostly been a disease of toddlers

    Unless you work with young kids, or the virus has evolved, your chance of becoming infected is probably low.

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    Response to Baitball Blogger (Reply #5)

    Sat Aug 6, 2022, 02:25 PM

    37. From CDC - what is polio?

    What is polio?
    Polio is a crippling and potentially deadly disease that affects the nervous system. Good hand washing practices can help prevent the spread of this disease. Because the virus lives in the feces (poop) of an infected person, people infected with the disease can spread it to others when they do not wash their hands well after defecating (pooping). People can also be infected if they drink water or eat food contaminated with infected feces.

    Most people with polio do not feel sick. Some people have only minor symptoms, such as fever, tiredness, nausea, headache, nasal congestion, sore throat, cough, stiffness in the neck and back, and pain in the arms and legs. In rare cases, polio infection causes permanent loss of muscle function (paralysis). Polio can be fatal if the muscles used for breathing are paralyzed or if there is an infection of the brain. https://wwwnc.cdc.gov/travel/notices/alert/polio-asia

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    Response to BumRushDaShow (Original post)

    Fri Aug 5, 2022, 07:35 PM

    13. Polio was eradicated from the US before these antivax idiots brought it back

    don't make Polio great again. Make children vaccinated again.

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    Response to BumRushDaShow (Original post)

    Fri Aug 5, 2022, 08:38 PM

    16. Time for a long overdue booster!

    Thanks BDDS

    They believe this case came from a live-attenuated vaccinated population. I don't quite understand the mechanics, but live-attenuated can cause polio in 1/1,000,000 cases and then it can possibly spread to unvaccinated populations.

    (I assume the polio case from the vaccinated person is an asymptomatic case)


    https://www.vox.com/future-perfect/23288366/polio-rockland-vaccines-new-york-explainer-eradication

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    Response to LeftInTX (Reply #16)

    Fri Aug 5, 2022, 09:01 PM

    17. YW!

    The prevailing thought is that since most of the rest of the world is still using the easy-to-give oral (live virus) type, then that is how it is getting re-introduced. The U.S. stopped giving that and went with the injection of inactivated after ~1997 I think.

    I expect it has been circulating for awhile from overseas travelers, but no one was looking for it until that one unvaccinated person experienced paralysis from it in NY. And that is when they started testing the waste water for it (they were already doing regular COVID-19 waste treatment testing) and sure enough, the same genetic profile of the Polio virus that individual had, matched what was in the sewage sheds. Similar has happened in California with monkeypox wastewater testing.

    I hope the booster I had 30 years ago still works (needed it to go to Egypt and it was on the traveler immunizaion list along with yellow fever and typhoid)!

    I know my mother (who I went with on that trip) was like WTF? although she would NEVER say those words ) "Why do I need this again?". She was a teen in the '40s when Polio was rampaging around the U.S. and got the vaccine back when it became available in the '50s when she was in her 20s. When we got the booster, we had the oral one (they were just starting to switch to the injection around that time but apparently all the doc had was the oral one).

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    Response to BumRushDaShow (Original post)

    Sat Aug 6, 2022, 05:51 AM

    20. Anti-vaxx and religious.

    I believe that this is mainly occurring in the staunchly anti-vaxx Hasidic community in New York. C-19 tore through that community as well.

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    Response to BumRushDaShow (Original post)

    Sat Aug 6, 2022, 09:19 AM

    24. My uncle had it and lived crippled

    died at age 54.

    My husband had a friend who had it and had to wear leg braces and use a cane to get around.

    Polio was the boogieman when I was a kid. We were warned constantly not to play in the creek that ran through the yards of our street. I remember teachers going through a checklist of prevention and symptoms. When the polio vaccine became available, it was a Godsend.

    The people who won't take a vaccine are the same people who want to interfere in our private lives. They don't want to be told what to do, even if it means good general health, but they want to tell others what to do.

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    Response to BumRushDaShow (Original post)

    Sat Aug 6, 2022, 11:22 AM

    26. Makes me glad for that little round scar on my arm

    What's next? Smallpox?

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    Response to Bayard (Reply #26)

    Sat Aug 6, 2022, 12:53 PM

    35. That little round scar is the smallpox vaxx - not polio

    Polio in the past has mostly been a disease of toddlers because it’s spread thru feces.

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    Response to womanofthehills (Reply #35)

    Sun Aug 7, 2022, 12:41 AM

    44. Jeez--how right you are!

    Should not engage keyboard before sufficient coffee.

    I do remember getting the pink sugar cubes now.

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    Response to BumRushDaShow (Original post)

    Sat Aug 6, 2022, 11:33 AM

    27. A logical consequence of taking us back to the "good old days."

    The Greatest Generation had no polio vaccine, and they won WW2. Obviously, vaccines are for pansies.

    -- Mal

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    Response to BumRushDaShow (Original post)

    Sat Aug 6, 2022, 12:15 PM

    29. My mother-in-law was one of the last people in the US to get polio. Her life was defined by pain.

    For most of her adult life she was - necessarily I think - addicted to narcotics. (My father-in-law was a doctor, so this was possible.)

    Nevertheless, this addiction had profound effects on my wife's upbringing, and gave her difficult realities to overcome, something she did magnificently, but painfully in an emotional sense.

    I had a friend, with whom I have fallen out of contact, who refused to vaccinate her daughter, who must now be in her late 20's.

    Hopefully this young woman has addressed her mother's mistake. It's a very terrible disease, one that should have been eliminated as smallpox was.

    The creation of these viral reservoirs by the application of ignorance is functionally a crime against humanity.

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    Response to BumRushDaShow (Original post)

    Sat Aug 6, 2022, 12:26 PM

    30. I think I'm getting epidemicitis!

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    Response to BumRushDaShow (Original post)

    Sat Aug 6, 2022, 03:29 PM

    39. How soon until America is designated 'high risk'?

    My bet is the CDC will hold off to not discourage tourists and save some initial healthcare dollars. Even though that would be shortsighted.

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    Response to BumRushDaShow (Original post)

    Sat Aug 6, 2022, 07:49 PM

    43. Large numbers of children are at risk

    due to the stupidity of their parents.

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