Covid Bytes: Naked Musings of a Disease Detective
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Herd immunity, superspreading, contact tracing, variants, and vaccine efficacy. What does it all mean? View the unfolding COVID pandemic through the eyes of a CDC-trained disease detective with a passion for teaching. Dr. LaMar's real-time reflections during the first 12 months and 500,000 deaths of the plague ignited the blogosphere. His witty,
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Book preview
Covid Bytes - Lamar Hasbrouck
COVID BYTES: Naked Musing of a Disease Detective
Copyright © 2021 by LaMar Hasbrouck, MD, MPH, MBA
Published in the United States of America
ISBN Paperback: 978-1-956780-35-2
ISBN eBook: 978-1-956780-34-5
All rights reserved. No part of this publication may be reproduced, stored in a retrieval system or transmitted in any way by any means, electronic, mechanical, photocopy, recording or otherwise without the prior permission of the author except as provided by USA copyright law.
The opinions expressed by the author are not necessarily those of ReadersMagnet, LLC.
ReadersMagnet, LLC
10620 Treena Street, Suite 230 | San Diego, California, 92131 USA
1.619. 354. 2643 | www.readersmagnet.com
Book design copyright © 2021 by ReadersMagnet, LLC. All rights reserved.
Cover design by Kent Gabutin
Interior design by Renalie Malinao
Contents
Dedication
Foreword
Acknowledgments
Preface
Introduction
Preamble: Winter Worry
Series Introduction
Post #1: Flu Basics
Post #2: Is the Threat Real or Imagined?
Post #3: Personal Protection
Part 1: Spring Forward
Post #4: Healthy Workplace
Post #5: Federal Response: Too Little, Too Late?
Post #6: Boosting Immunity
Post #7: Counting Matters, Managing Expectations
Post #8: Funding the Response
Post #9: Breaking Bad
Post #10: Fuzzy Math
Post #11: The 80:20 Rule
Post #12: VEEP Gets It, Finally
Post #13: Common Sense Rules
Post #14: Hunkering Down
Post #15: Solace in Spirituality
Post #16: Viral Bigotry
Post #17: Betting on Coronavirus
Post #18: Young Invincibles
Post #19: Stockouts
Post #20: Celebrity Roll Call
Post #21: Big-Ups
Post #22: Money, Money, Money
Post #23: Surge!
Post #24: Bogus Rx
Post #25: Invisible Enemy?
Post #26: Cover Up
Post #27: Celebrity Roll Call Too
Post #28: Race Matters
Post #29: Easter
Post #30: Déjà vu
Post #31: Coping
Post #32: Trumptastic
Post #33: Double Whammy
Post #34: Mo’ Money
Post #35: Family Ties
Post #36: Vaccine Uptake
Post #37: Reopening Right
Post #38: What’s Good?
Post #39: Collateral Damage
Post #40: Guinea pig-in-chief
Post #41: Death Rate Controversy
Post #42: Donald Is No Duck
Post #43: Are We There Yet?
Part 2: Summer Madness
Post #44: Perfect Storm
Post #45: Don’t Shoot the Messenger, Please
Post #46: Social Dissing
Post #47: False Equivalence
Post #48: Attention Pregnant Women
Post #49: Pricey Proposition
Post #50: Unmasked Maverick
Post #51: Independence Day?
Post #52: Problem Well Stated
Post #53: Corona Goes Airborne?
Post #54: Holy Stitt!
Post #55: School Daze
Post #56: Mickey Can Wait
Post #57: Lifeline Threatened
Post #58: Back to School Spoiler Alert
Post #59: Hydroxy Misinformation
Post #60: Mask Up Fam!
Post #61: Some Masks Don’t Work
Post #62: Superspreading on the White House Lawn?
Part 3: Fall Backwards
Post #63: Convalescent Plasma
Post #64: COVID on Campus
Post #65: Summer Sadness
Post #66: Celebrity Roll Call III
Post #67: Trump and COVID-19
Post #68: COVID Presidential Playbook
Post #69: Roll Call: Executive Branch Edition
Post #70: Presidential Pomposity!
Post #71: Risky Business
Post #72: Good Air Up There
Post #73: New Pre-existing Disease
Post #74: COVID Raises Deaths from All Causes
Post #75: Halloween, Spooky Risky?
Post #76: Is Testing to Blame?
Post #77: Vaccine Nears Finish Line
Post #78: Who’s Up First?
Post #79: COVID and Mental Health
Post #80: COVID Relief Stalled
Post #81: Thanksgiving Chicken Soup
Part 4: Dark Winter’s Light
Post #82: Shorter Quarantining
Post #83: Hypocrisy Risks Spread
Post #84: Will Vaccines be Mandatory?
Post #85: Blacks Remain Reluctant
Post #86: FDA Greenlights First Vaccine
Post #87: Remember Hydroxy?
Post #88: New Sheriff in Town
Post #89: We Don’t Need A Hero
Post #90: COVID Toolbelt
Post #91: New Strain Emerges!
Post #92: Every 30 Seconds
Post #93: Slow Vaccine Rollout
Post #94: Complicit
Post #95: There’s an App for That
Post #96: Double Mask, Doubly Good?
Post #97: Reporting Side Effects
Post #98: Coming to Your Local Pharmacy
Post #99: Vaccines Safe, So Far
Post #100: 500,000
Afterword
Glossary of Terms
Bibliography
The COVID-19 pandemic has been long, difficult, and impactful, in so many ways, to so many different people. Few observations of this once-in-a-lifetime event are as thoughtful as those of Dr. LaMar Hasbrouck’s in COVID BYTES: Naked Musings of a Disease Detective. With lived experience, and a life devoted to addressing disparities and fighting diseases, Dr. Hasbrouck moves from standard doctor talk
to an almost day-by-day mix of key information and humorous but real observations about COVID that make this both a quick page-turner that we can all identify with, laugh and cry about, and see ourselves in...as well as a meaningful and critical historic piece that we can all learn from.
--Joseph Betancourt, MD, MPH, Senior Vice President, Equity
and Community Health, Massachusetts General Hospital
COVID BYTES is a fascinating blow-by-blow account of the most serious pandemic in modern history. As seen through the eyes of an experienced disease hunter it chronicles the pandemic in a way that no one else has. There are many books on this global tragedy but none capture the pandemic in real time as Dr. Hasbrouck has. It is an informative read for anyone interested in the evolution of this pandemic and the U.S. response over time.
--Georges C. Benjamin, MD, Executive Director, American
Public Health Association
This poignant chronicle of our nation’s journey in COVID embodies the phrase reach out and touch somebody’s hand - - make this world a better place if you can.
This book reaches out and touches us in so many important ways. It provides accessible truths without evoking fear. It presents a strident hologram of COVID, allowing us to see it from many different angles over time. And, the bedside manner Dr. Hasbrouck employs in delivering narratives of the many shades of COVID calms our spirit to the point of reflection with purpose to transcend a dark time in human-kind. This book is a must read for everyone who wants to understand the COVID experience in real time and how it has shaped our world and our everyday lives. It is, in fact, an exceptional read from a highly knowledgeable health advocate who walks in truth and social justice.
--Dr. Linda M. Burton, Dean, School of Social Welfare,
University of California, Berkeley
The straightforward and informed advice that chronicles the unfolding of the COVID-19 pandemic is both compelling and engaging. The scorching candor provides a noted expert’s critical review of the political and social issues that continue to impede the public’s health in America. COVID Bytes
provides case-study gold for public health educators seeking to train the next generation of leaders in our field.
--Crystal M. James, JD, MPH, Special Assistant to the
President for COVID-19 Recovery, Co-Director Center for
Rural Health & Economic Equity, Head, Dept. Graduate Public
Health, Tuskegee University
What a delightful read chronicling the pandemic. This is such an easy read. I am impressed with your (Dr. Hasbrouck’s) formatting of the pandemic. Your (His) blow-by-blow chronicle of the pandemic provides the reader with the feeling that they are right there with you (him). This work will provide information and perspective for the lay public to better understand where we were in the epidemic.
--Dr. C. Perry Brown, Professor of Public Health, Florida
A&M University
Dedication
This book is dedicated to the more than 600,000 Americans who perished from COVID-19.
For epidemiologists and disease detectives
everywhere who protect the health and safeguard the lives of people in all corners of the world.
And, to the health care workers, first responders, and essential workers that enabled us to keep our heads above water, even at great risk to themselves and their families.
What matters most is how well you walk through the fire.
— Charles Bukowski
Foreword
Ifirst met LaMar Hasbrouck in 1986. He was about to enter the Master of Public Health degree program at the University of California, Berkeley, but his eyes were on a much more important credential. He was clear that the master’s degree was going to be the stepping stone to a career that would blend the science of public health with the healing arts of clinical medicine. He completed the MPH, made his way to medical training at UCLA, followed that with residencies in New York at NY Presbyterian Cornell Weil, and became an Epidemic Intelligence Service Officer at the Centers for Disease Control and Prevention. He traveled extensively and worked many of the hotspots
internationally, engaged in battling Ebola and a host of other viral threats to the human family.
Those would have served as an impressive foundation for a faculty position in a medical school setting, but he was not done. He has held leadership positions that included becoming the 17th Director of the Illinois Department of Public Health and the Chief Executive Officer at the National Association of County and City Health Officials. Having grown up in what might be described as modest circumstances,
his rise to become a leader of US medicine and public health provides him with a unique focus to understand the worldwide devastation of COVID-19.
Early on in his career, I had numerous opportunities to observe him in action. The more I watched, the more I became convinced that I