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The Modern, situated in Seattle’s Belltown neighborhood, has captured the interest of those desiring … [+]
If there’s anything the pandemic showed Americans, it’s that their lives need not be as rooted as once was the case. According to some reports, contract signings for part-time residences have risen 70% since pre-pandemic days. For many people, a more flexible lifestyle means choosing pieds-a-terre that enable departures from their usual abodes.
For instance, Manhattan-based buyers are opting to add part-time residences in the more open spaces of suburbia. Meanwhile, some Angelenos are enjoying the best of both SoCal worlds, dividing time between a part-time residence along Hollywood’s most legendary byways and the more relaxed lifestyle afforded by a beachside pad.
Among properties being eyed by those seeking pieds-a-terre is Pendry Residences West Hollywood by Montage Hotels & Resorts. Situated in the center of West Hollywood on the iconic Sunset Boulevard, the property offers open layout floor plans that sprawl into luxuriant private green spaces and private terraces. Residence 603, for instance, priced at an attainable $7.7 million and offering 3,690 square feet of indoor-outdoor space including an 1,100-square-foot private terrace and Jacuzzi with panoramic perspectives on downtown LA, is one SoCal pied-a-terre worth considering.
“Our buyers appreciate the many unique attributes of the location, from the storied history of the Sunset Strip to connecting with the vibrancy of the neighborhood [and] the walkability, the culture, the arts and the incredible sense of community,” says Tina Necrason, executive vice president at Montage International, on behalf of Pendry Residence WeHo development. “While it’s an urban location by definition, you truly arrive at your own resort within an incredible city backdrop.”
Modern retreat
A property that appears high on lists of those seeking Pacific Northwest pieds-a-terre is The Modern, located in the Emerald City’s well-regarded downtown waterfront Belltown nook, the city’s most densely populated. Luxury features include nine-foot-high floor-to-ceiling windows offering dramatic perspectives on the city skyline and Elliot Bay.
“Savvy Seattleites are seeking pieds-a-terre since [they offer] them the ability to split time in between a vibrant city and the peaceful outdoors or other West Coast cities,” says Jordan Selig, executive vice president of Martin Selig Real Estate. “During the pandemic, many retreated to the suburbs for more space. But now they want to be where the action is with one space where they can do it all — work, play and entertain.”
Belltown is a logical spot for a pied-a-terre, as the district is highly walkable, offering a wealth of attractions that are only steps away. Pike Place Market, the Seattle Public Library, Seattle Aquarium and Seattle Art Museum represent just a few of them.
Other examples
Some of those who left Manhattan during the pandemic are considering 525 West 52nd Street as a setting to stage their return.
Bearing an address just a minute from the Manhattan Theatre District in the heart of Hell’s Kitchen, the property provides extras that include a fitness center and yoga studio, rooftop sundeck and lounge, sports lounge and billiards, library, pet care center and multiple in-residence work-from-home spaces.
Some who split their residential life prefer a South Florida pied-a-terre, and Turnberry Ocean Club in Sunny Isles, Fla. might be a candidate for those prioritizing luxury, exclusivity, privacy and lifestyle.
Situated on Miami’s Millionaire Row, the 54-story tower counts among its amenities a 70,000-square-foot wellness oasis featuring two cantilevered swimming pools that appear to float away from the structure. Its three-story Sky Club also offers an indoor-outdoor fitness center with floor-to-ceiling views of the ocean, a revitalization spa and salon, private wine vault, full-service indoor-outdoor sunset lounge and a choice of exclusive resident-only restaurants.
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Holiday sales rose this year as American spending remained resilient during the critical shopping season despite surging prices on everything from food to rent, according to one measure.
Holiday sales rose 7.6% — a slower pace than the 8.5% increase from a year earlier when shoppers began spending the money they had saved during the early part of the pandemic, according to Mastercard SpendingPulse, which tracks all kinds of payments including cash and debit cards.
Mastercard SpendingPulse had expected a 7.1% increase. The data released Monday excludes the automotive industry and is not adjusted for inflation, which has eased somewhat but remains painfully high.
U.S. sales between November 1 and December 24, a period that is critical for retailers, were fueled by spending at restaurants and on clothing.
By category, clothing rose 4.4%, while jewelry and electronics dipped roughly 5%. Online sales jumped 10.6% from a year ago and in-person spending rose 6.8%. Department stores registered a modest 1% increase over 2021.
“This holiday retail season looked different than years past,” Steve Sadove, the former CEO and chairman at Saks and a senior adviser for Mastercard, said in a prepared statement. “Retailers discounted heavily, but consumers diversified their holiday spending to accommodate rising prices and an appetite for experiences and festive gatherings post-pandemic.”
Some of the increase reflected the impact of higher prices across the board.
Consumer spending accounts for nearly 70% of U.S. economic activity, and Americans have remained resilient ever since inflation first spiked almost 18 months ago. Cracks have begun to show, however, as higher prices for basic necessities take up an increasingly large share of everyone’s take-home pay.
Inflation has retreated from the four-decade high it reached this summer, but it’s still sapping the spending power of consumers. Prices rose 7.1% in November from a year ago, down from a peak of 9.1% in June.
Overall spending has slowed from the pandemic-infused splurges and shifted increasingly toward necessities like food, while spending on electronics, furniture, new clothes and other non-necessities has faded. Many shoppers have been trading down to private label goods, which are typically less expensive than national brands. They’ve been going to cheaper stores like dollar chains and big box stores like Walmart.
Consumers also waited for deals. Stores expected more procrastinators to hit stores in the last few days before Christmas compared with a year ago when people began shopping earlier due to a global disruption of the supply chain that created thousands of product shortages.
“Consumers are trying to spread out their budget, and they are evaluating and shopping at different stores,” said Katie Thompson, the lead of consultancy Kearney’s Consumer Institute.
In November, shoppers cut back sharply on retail spending compared with the previous month. Retail sales fell 0.6% from October to November after a sharp 1.3% rise the previous month, the government said in mid-December. Sales fell at furniture, electronics, and home and garden stores.
A broader picture of how Americans spent their money arrives next month when the National Retail Federation, the nation’s largest retail trade group, comes out with its combined two-month results based on November-December sales figures from the Commerce Department.
The trade group expects holiday sales growth will slow to a range of 6% to 8%, compared with the blistering 13.5% growth of a year ago.
Analysts will also be dissecting fourth-quarter financial results from major retailers in February.
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Restaurants are set to become the biggest winners of a holiday season that could turn out to be the most normalized since the onset of the pandemic.
That’s according to a new Mastercard SpendingPulse survey released on Monday, which showed spending at dining establishments surging 15.1% over the 2021 holiday period. Total retail expenditures for the Nov. 1–to–Dec. 24 period in 2022 rose 7.6%, with in-store spending up 6.8% and online spending up 10.6%.
Restaurant spending beat out several other categories, such as apparel, where spending was up 4.4% from 2021, and electronics and jewelry, where a respective 5.3% and 5.4% less were spent, and department stores, which saw spending rise 1%.
“This holiday retail season looked different than years past,” said Steve Sadove, senior adviser for Mastercard and former CEO and chairman of Saks Inc. “Retailers discounted heavily but consumers diversified their holiday spending to accommodate rising prices and an appetite for experiences and festive gatherings postpandemic.”
Government data for November showed consumer spending was up just 0.1%, reflecting cautiousness among households and price cutting by retailers to lure those hesitant shoppers in. But the data also showed more spending on holiday recreation and travel, expected to go in the books as a busy season even if deadly winter storm may have wreaked havoc on the plans of many Americans over the Christmas weekend.
Of course, even as some merrymakers felt confident enough to make more plans and see more friends and family this year, the virus of course continues to cause illness and death. The U.S. reported 70,000 newly diagnosed cases for the first time since September on Thursday, while 422 people died of COVID-19 on Wednesday.
Don’t miss: As COVID cases rise, how to steer clear of viruses during the holiday season
Also see: 4 tips for staying healthy while traveling during this ‘tripledemic’ cold and flu season
The Mastercard SpendingPulse data measure in-store and online retail sales for all payment forms and are not inflation-adjusted.
As for the companies that might be benefiting from that increased traffic, the year-end cheer probably won’t be enough to make a dent in what has been a difficult year with would-be consumers juggling worries over inflation, rising interest rates and a war in Europe.
The Invesco Dynamic Leisure & Entertainment exchange-traded fund
PEJ,
whose holdings include Chipotle Mexican Grill
CMG,
McDonald’s
MCD,
and First Watch Restaurant Group
FWRG,
has gained 6.5% to date in the fourth quarter and is down 20% for the year as of Thursday. The broad benchmark S&P 500
SPX,
is poised for a nearly 20% loss in 2022.
Read: How a Santa Claus rally, or lack thereof, sets the stage for the stock market in first quarter
And: Best stock picks for 2023: Here are Wall Street analysts’ most heavily favored choices
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We were nearing last call on the grandest of British institutions: the pub. After enduring for hundreds of years as centers for schmoozing and boozing, pubs were going the way of morning newspapers, afternoon tea, and the whole idea of empire. A range of factors undercut the kind of neighborhood joint where everyone knows your name. Then came Covid, which kept most British pubs closed for more than a year. But in the summer of 2021, the UK reopened and — not unlike an overserved patron — the pub story started to stagger and lurch in an unexpected direction, and, as we first reported last year, maybe it’s not quite closing time after all.
A man walks into a pub. Of course he does. In this case, it’s a very old pub, Ye Olde Fighting Cocks in St Albans outside London. Its landlord, or publican, is Christo Tofalli.
Jon Wertheim: So your pub is one of dozens in this country that claims to be the oldest ever–
Christo Tofalli: You’re absolutely right–
Jon Wertheim: Make– make your case. Make your case.
Christo Tofalli: It turns out there’s a bit of a misconception, which one’s the oldest and what the oldest pub is. So we’re the oldest pub. The first brick was laid in 793 and the oldest inhabited building in Europe.
Christo Tofalli: Vikings invaded England in the same year the first brick was laid in 793.
Jon Wertheim: I suspect Vikings would like this place.
Christo Tofalli: They would love this place.
Before we go further, let’s define our terms: we’re not talking about mere bars, or for the love of god, sports bars. These are pubs, short for public houses. They exist as much for conviviality as for what’s on tap: cold lager, and to the shock of first timers, warm ale. They’ve been cornerstones of the culture here for centuries. The writer/comedian Al Murray believes the value proposition goes well beyond beer.
Al Murray: It’s a community place. It’s a communitarian place in a way that sitting in your front room watching television just isn’t.
Jon Wertheim: What is it about this culture that has such appeal to you?
Al Murray: To sound sort of idealistic about it, princes and paupers are equally welcome in here. And given that Britain is such– a class-ridden society, there are very few places where, you know, you stand at the bar and your– your money’s as good as anyone else’s.
Jon Wertheim: You sound like a pub romantic.
Al Murray: I am completely romantic about the idea of pubs.
Jon Wertheim: Why?
Al Murray: There is something genuinely beautiful about the idea of somewhere where anyone can go at any time and sit in the corner with– with their own thoughts and a drink and it’s a beautiful notion.
You don’t go to Turner’s Old Star for quiet contemplation. One of the last of the so-called boozers in London’s East End, it’s the heartbeat of the proudly working-class community here.
Jon Wertheim: Put in a day of work, you work hard, you come in, and then you-
PUB PATRON: Yeah, absolutely. You work hard all day and then you kinda like, it’s just like having a mental shower after a hard day’s work, kind of wind down. It’s like a real-life Cheers, I guess, you know?
PUB PATRON: They make you feel welcome. They make you feel welcome. You’re family. You’re family.
Paul and Bernice Drew have run the Old Star for 17 years. They met across the street, got engaged here. They live upstairs, the pub is their living room, the regulars their oldest friends.
Jon Wertheim: When you say “regulars,” though, these are really regulars.
Paul Drew: Oh yeah everyday.
Bernice Drew: Everybody. Everyone from naught to 90 enjoys themselves.
Bernice Drew: There’s a core of people, I suppose ten, 15 people, that come in every day regardless, winter, summer, whenever.
Paul Drew: They all come, have their couple of beers, have a laugh. Chew the wag as they say. And, you know, slag everyone off. (LAUGH) They’re always having a go at each other. (LAUGHTER)
Jon Wertheim: I– I hear you say with a real pride, “This is pr– proper pub.”
Paul Drew: It is. It’s my pub pub. It’s what we call it, don’t we?
Bernice Drew: No, it’s a pub pub.
Paul Drew: We call it our pub pub.
For centuries pubs have been as much salon as saloon, as they’ve taken a stool and watched history and myth unfold. In London’s Soho, The French House was where bohemians would rub shoulders with resistance leaders. After Paris fell to the Nazis in 1940, Charles de Gaulle, in exile, is said to have written his famous speech to the French Free forces here. A little further east on the River Thames, legend has it that the 17th century Judge Jeffreys would watch those he sentenced hang as he lunched and sipped ale at The Prospect of Whitby.
And then there’s the cholera epidemic that gripped London in 1854 killing 550 people in two weeks. A local doctor John Snow figured out the problem: contaminated water from a well was spreading the disease and simply removing the handle from the pump effectively ended the epidemic. John Snow wasn’t knighted but he did receive what might be the next highest British honor.
Christening a pub after someone is an exception. Many pub names read like drunken Mad Libs… random adjective plus random noun, often an animal. The Ape and Apple, the Snooty Fox, The Drunken Duck, The Black Dog.
For Pete Brown, Britain’s leading writer on beer and pubs, these names offer a clue to every establishment’s story.
Jon Wertheim: What’s going on here?
Pete Brown: It’s become one of the quirky aspects of the British pub.
Pete Brown: But it– it starts off in a very practical way, which is that most of the population who went to pubs until recently were illiterate. So you couldn’t put a name sign up. You had to have a pictorial sign. So you– you’d pick a pic– you’d pick a picture of something that had some resonance with people. But then some of the ones that you just mentioned, I think– it’s kind of the pub self-satirizing itself.
And it’s not just pub names that veer toward the colorful and eccentric. Just behind London’s Law Courts—and then behind the bar—you’ll find the owner, chef, and star performer of the Seven Stars pub, the talented Mrs. Roxy Beaujolais.
Jon Wertheim: Your husband is American.
Roxy Beaujolais: Yes.
Jon Wertheim: How do you explain what you do to– to his family?
Roxy Beaujolais: Well, when I was first introduced to them about 30 years ago– his mother asked me what I did. And I said, “I’m a publican.” She said, “What?” And my husband dove in and said, “No, no, no, no, no, Mama. N– not a Republican, (LAUGH) a publican– a tavern keeper.”
Jon Wertheim: So what– what is it about this job that clearly feeds something in you?
Roxy Beaujolais: I’m good at it, darling. (LAUGHTER) I’m good at it. You know, I cook, I– you know, I have a passing interest in the product that I sell myself. You know, I love it.
For the last 25 years, comedian Al Murray has loved playing the figure behind the bar. His alter ego on stages: a head-shaved, over-opinionated blowhard, he calls The Pub Landlord.
The Pub Landlord: We’re sensible people in this country, aren’t we? Down to earth people. We never put a man on the moon. Nah, the moon was never going to be part of the British Empire, was it? Nah. There’s no one to give it back to once were done with it was there?
Jon Wertheim: What is it about that archetype?
Al Murray: He’s a know-all who knows nothing. It’s– it’s a guy who– has power but no authority. It’s a guy who is– is writing intellectual checks he can’t possibly cash.
Jon Wertheim: A mile– mile wide, inch deep.
Al Murray: It’s the whole swirl of what happens in a pub. The publican is the conduit, the confessor, the– the sort of, you know, high priest in– in a space like this. So all goes through him.
It’s all good fun, but as his character suggests, pub culture is, if not eroding, undergoing considerable change.
For generations the number of British pubs has been declining. From 65,000 to fewer than 50,000 in the last 25 years. The causes of death are many: high beer duty, a smoking ban, cheap supermarket lager, people drinking less. Perhaps the biggest culprits? Venture capitalists and developers more interested in a pub’s real estate than what’s on tap.
And then in March 2020 came the hammer blow, COVID-19.
Jon Wertheim: What was it like when this closed for the first time?
Christo Tofalli: Soul-destroying. I mean, in business terms– lethal. I still haven’t got any words for it, Jon. It– it– it– we have a passion to open the door every single day.
Jon Wertheim: This– this wasn’t just change the sign on the door? This sounds almost existential?
Christo Tofalli: Oh, its terminal, for a lot of pubs.
Even in the worst of times—the Napoleonic Wars, the Spanish Flu—pubs did not close. Despite the bombings in the Blitz, Churchill insisted that pubs remain open. How bad can things be if we can still pull a pint?
This is just a little story to show that the spirit of the pubs is excellent, their houses bombed, they carry on outside.
The lockdown gave Britain a glimpse of a future without pubs. For months, the cobbled streets where Dickens once walked: silent. The taverns where Chaucer or Shakespeare might have drunk: empty. Millions of barrels of beer literally down the drain.
Jon Wertheim: What does this country stand to lose if pubs diminish?
Pete Brown: Part of its identity. We celebrate our nationality in a very quiet way, in– in a very modest way. And the pub is the perfect example of that. We’re– we’re proud of the pub. And if it was taken away from us, I think we’d lose something of what defines us– as a nation.
Jon Wertheim: It’s not flag-waving jingoism, but– but coming in here is sort of an– an– an–
Pete Brown: Yeah–
Jon Wertheim: Act of patriotism, you’re saying–
Pete Brown: It’s just coming in and just going, (SIGH) “Yeah, I’ll have another pint, thank you.”
Coming out of lockdown the pint-wielding patriots believed, more than ever, that the pub is an institution worth saving.
Jon Wertheim: Saving the traditional pub, is that nostalgia for– a Britain that may no longer exist?
Al Murray: Oh, there are so many Britains that may no longer exist, but the– the one that’s worth saving is the pub, surely.
Al Murray: I mean, you know, we don’t need a navy anymore, do we? We need pubs. (LAUGH)
In a changing Britain, nostalgia can reside at the bottom of a glass. In the oh-so-English village of Aldworth in Berkshire you’ll find just a cricket green, a church, a few houses, and a pub resistant to time. The Bell Inn has been in the family of Heather Macaulay for 200 years. She was born in the pub and now, at age 85, runs it with her son, Hugh.
Jon Wertheim: How many generations in– in these 200 years?
Heather Macaulay: We go as– it was James and Hugh and Thomas and Ronald and then me, five, I suppose.
Jon Wertheim: We’ve talked to some pub owners who’ve said they– they felt this pressure to evolve and they’re trying gourmet food and DJs and technology.
Hugh Macaulay: Here, no. We are plain, simple, that’s how we survive, that’s how we’re going to survive.
Hugh Macaulay: I don’t think we’ll ever be putting TVs in here somehow.
Heather Macaulay: Oh no, no.
Heather Macaulay: Well, I don’t even have a mobile phone.
Pubs like the Bell Inns and The Old Stars have done what they’ve always done, served their communities. But where does the rest of the country fit in? Nigerian-born Clement Ogbonnaya is proud owner of The Prince of Peckham in South London. He has taken the magic of the pub and adapted it to multicultural, 21st Century Britain.
Jon Wertheim: You hear the word “pub” 20 years ago, what are you thinkin’?
Clement Ogbonnaya: I’m thinking I’m not going there. (LAUGH)
Jon Wertheim: So play that out for me. You walk into a conventional pub and what happens?
Clement Ogbonnaya: Think of Clint Eastwood in a Western movie. Like, everyone looks at the door swingin. “Who’s that guy?” That’s how– that’s how I felt in some pubs I walked in.
Jon Wertheim: Piano stops playin’–
Clement Ogbonnaya: Absolutely. Absolutely.
Four years ago, Clement bought up a neighborhood joint destined to be turned into an apartment block or a minimarket.
Clement Ogbonnaya: Pubs play a massive part in representatin’ the communities, representatin’ the under-represented, the marginalized, and givin’ them a space, givin’ them somewhere where they can actually be, they can congregate, they can share ideas.
Jon Wertheim: When kids today hear the word “pub” what– what do you want them to think?
Clement Ogbonnaya: I want them to think, “That’s– that’s a space for me. That’s a space where I can be. That’s a space where I can celebrate. That’s a space where I can hang out, I can laugh, I can mourn.”
Jon Wertheim: That’s what you’re goin’ for when you opened this place.
Clement Ogbonnaya: I just– I j– I just love seein’ the meltin’ pot that is London reflected in this pub.
And herein might lie the key to the pub’s survival… cater to an evolving and ever-changing Britain, and beer and good cheer might well flow in equal measure. Those pints, after all, aren’t going to drink themselves.
Produced by Michael H. Gavshon. Associate producer, Nadim Roberts. Broadcast associate, Elizabeth Germino. Edited by Matthew Lev.
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Last year, Lucila Gomez and her husband started their holiday shopping around Thanksgiving and wrapped it up a week before Christmas, spending $750 on tablets and clothing for their three children and relatives.
This year? Gomez is waiting until she gets her annual bonus on Friday to get started — and she’s limiting her spending to $200, sticking to World Cup themed jerseys for her 10-year-old twins and a 6-year-old.
“Last year, we were confident. We were like, ‘Get them whatever they want,’” said the 49-year-old Buckeye, Arizona resident, an hourly worker in the billing department of a health company. “This year, we’re waiting until we both get paid. We want to go into the New Year not owing anything.”
Last minute holiday shoppers are back in force — and inflation is partly to blame.
For the first two years of the pandemic, many were buying earlier in the season, afraid of not getting what they wanted because of shortages of products or delays in deliveries. They also had more money to spend thanks to government stimulus checks and child care credits.
But this year, supply chain snags have eased and shoppers aren’t as worried about availability as they are about higher prices on everything from rent to food, causing them to postpone their buying until the last minute. Prices on consumer goods will be up 8% to 10% this year due to inflation, Jessica Oh reported for CBS Los Angeles.
“When we look at inflation, we’ve seen such a big jump this year, and especially the last few months. And of course that coincided with holiday shopping,” Kim Palmer, financial expert with NerdWallet, told CBS Mornings. “Last year it was all about supply-chain issues; this year it’s all about the high prices,” she said.
Gomez, for instance, said that even though she and her husband, an electrician, each got a raise, it still wasn’t enough to offset their rising expenses. In fact, she said her family moved in with her parents after their monthly rent jumped from $1,500 to $2,000 earlier this year. She’d hoped to save for a house, but mortgage rates keep going up.
Last-minute shopping is also being encouraged by a quirk in this year’s calendar, according to Brian Field, global leader of Sensormatic Solutions, which tracks store traffic. With Christmas falling on Sunday, consumers have all week to shop.
Retailers are relying on the last-minute spending rush to help meet their holiday sales goals after a weaker-than-expected November.
Americans cut back sharply on retail spending last month as the holiday shopping season began with high prices and rising interest rates taking their toll on households, particularly lower-income families.
Retail sales fell 0.6% from October to November after a sharp 1.3% rise the previous month, the government said last week. Sales fell at furniture, electronics, and home and garden stores.
Americans’ spending has been intact ever since inflation first spiked almost 18 months ago, but the ability of shoppers to keep spending in a period of high inflation may be beginning to ease. Inflation has retreated from the four-decade high it reached this summer but remains elevated, enough to sap the spending power of consumers.
Still, overall holiday sales should be decent, though holiday sales growth is expected to dramatically slow down from a year ago.
The National Retail Federation, the nation’s largest retail trade group, is slated to release the actual results for the combined November and December period next month. The group expects holiday sales growth will slow to a range of 6% to 8%, compared with the blistering 13.5% growth of a year ago.
The last stretch of the holiday season is critical.
On average, the top 10 busiest shopping days in the U.S. — which includes Wednesday, Thursday, Friday of this week and Monday of next week — account for roughly 40% of all holiday retail traffic, according to Sensormatic. However, retailers might expect even larger numbers this year as high gas prices force consumers to consolidate their shopping trips and everyone converges over the next few days, Sensormatic said.
Shoppers holding out for bigger discounts right before Christmas may be disappointed. Retailers in general have maintained the same discounts they’ve been offering since Black Friday. There could be some deals, however, in areas like home and furniture, according to DataWeave, which tracks prices for hundreds of thousands of items across roughly three dozen retailers, including Walmart, Target and Amazon.
DataWeave’s recent data shows the average prices for furniture were discounted 23% during the second week of December, compared with 12.8% during Black Friday week. In home furnishings, average price cuts were 17.2% compared with 11.2% for Black Friday week.
Krish Thyagarajan, president and chief operating officer at DataWeave, believes that discounts for electronics are ticking up from Black Friday levels in the last few days before Christmas, but price cuts for clothing should remain a little over 20%, more generous than the average 16% discount last year around this time.
Inflation or not, there will always be the perennial procrastinators like Evelyn T. Peregrin, who last year used COVID-19 as an excuse to delay her holiday buying. Several relatives had the virus, so she didn’t have to buy or deliver gifts until after Christmas.
Now it’s her travel expenses of about $700 that are eating into her budget. The 28-year-old moved to Puerto Rico from New Jersey with her husband earlier this year, forcing her to scale back her holiday spending to about $150 from last year’s $250.
“I will order probably a few things online and then end up having to go to a store last minute,” she said.
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Dec. 21, 2022 — A year ago in December, mapping specialist Whitney Tyshynski, 35, was working out 5 days a week with a personal trainer near her home in Alberta, Canada, doing 5k trail runs, lifting heavy weights, and feeling good. Then, in January she got COVID-19. The symptoms never went away.
Nowadays, Tyshynski needs a walker to retrieve her mail, a half-block trip she can’t make without fear of fainting. Because she gets dizzy when she drives, she rarely goes anywhere in her car. Going for a dog walk with a friend means sitting in a car and watching the friend and the dogs in an open field. And since fainting at Costco during the summer, she’s afraid to shop by herself.
Because she lives alone and her closest relatives are an hour and a half away, Tyshynski is dependent on friends. But she’s reluctant to lean on them because they already have trouble understanding how debilitating her lingering symptoms can be.
“I’ve had people pretty much insinuate that I’m lazy,” she says.
There’s no question that COVID-19 cut people off from one another. But for those like Tyshynski who have long COVID, that disconnect has never ended. It’s not just that symptoms including extreme fatigue and brain fog make it difficult to socialize; it’s that people who had COVID-19 and recovered are often skeptical that the condition is real.
At worst, as Tyshynski has discovered, people don’t take it seriously and accuse those who have it of exaggerating their health woes. In that way, long COVID can be as isolating as the original illness.
“Isolation in long COVID comes in various forms and it’s not primarily just that physical isolation,” says Yochai Re’em, MD, a psychiatrist in private practice in New York City who has experienced long COVID and blogs about the condition for Psychology Today. “A different yet equally challenging type of isolation is the emotional isolation, where you need more emotional support, connection with other people who can appreciate what it is you are going through without putting their own needs and desires onto you — and that can be hard to find.”
It’s hard to find in part because of what Re’em sees as a collective belief that anyone who feels bad should be able to get better by exercising, researching, or going to a doctor.
“Society thinks you need to take some kind of action and usually that’s a physical action,” he says. “And that attitude is tremendously problematic in this illness because of the post-exertional malaise that people experience: When people exert themselves, their symptoms get worse. And so the action that people take can’t be that traditional action that we’re used to taking in our society.”
Long COVID patients often have their feelings invalidated not just by friends, loved ones, and extended family, but by health care providers. That can heighten feelings of isolation, particularly for people who live alone, says Jordan Anderson, DO, a neuropsychiatrist and assistant professor of psychiatry in the School of Medicine at Oregon Health & Science University in Portland.
The first patients Anderson saw as part of OHSU’s long COVID program contracted the virus in February 2020. Because the program addresses both the physical and mental health components of the condition, Anderson has seen a lot of people whose emotional challenges are similar to those Tyshynski faces.
“I think there’s a lack of understanding that leads to people just not necessarily taking it seriously,” he says. “Plus, the symptoms of long COVID do wax and wane. They’re not static. So people can be feeling pretty good one day and be feeling terrible the next. There’s some predictability to it, but it’s not absolutely predictable. It can be difficult for people to understand.”
Both Anderson and Re’em stress that long COVID patients need to prioritize their own energy regardless of what they’re being told by those who don’t understand the illness. Anderson offers to speak to his patients’ spouses to educate them about the realities of the condition because, he says, “any kind of lack of awareness or understanding in a family member or close support could potentially isolate the person struggling with long COVID.”
Depending on how open-minded and motivated a friend or relative is, they might develop more empathy with time and education, Re’em says. But for others, dealing with a confusing, unfamiliar chronic illness can be overwhelming and provoke anxiety.
“The hopelessness is too much for them to sit with, so instead they say things like ‘just push through it,’ or ‘just do X, Y, and Z’ because psychologically it’s too much for them to take on that burden,’ he says.
The good news is that there are plenty of web-based support groups for people with long COVID, including Body Politic (which Re’em is affiliated with), Survivor Corps, and on Facebook. “The patient community with this illness is tremendous, absolutely tremendous,” Re’em says. “Those people can be found and they can support each other.”
Some long COVID clinics run groups, as do individual practitioners such as Re’em, although those can be challenging to join. For instance, Re’em’s are only for New York state residents.
The key to finding a group is to be patient, because finding the right one takes time and energy.
“There are support groups that exist, but they are not as prevalent as I would like them to be,” Anderson says.
OHSU had an educational support group run by a social worker affiliated with the long COVID hub, but when the social worker left the program, the program was put on hold.
There’s a psychotherapy group operating out of the psychiatry department, but the patients are recruited exclusively from Anderson’s clinic and access is limited.
“The services exist, but I think that generally they’re sparse and pretty geographically dependent,” Anderson says. “I think you’d probably more likely be able to find something like this in a city or an area that has an academic institution or a place with a lot of resources rather than out in a rural community.”
Tyshynski opted not to join a group for fear it would increase the depression and anxiety that she had even before developing long COVID. When she and her family joined a cancer support group when her father was ill, she found it more depressing than helpful. Where she has found support is from the co-founder of the animal rescue society where she volunteers, a woman who has had long COVID for more than 2 years and has been a source of comfort and advice.
It’s one of the rare reminders Tyshysnki has that even though she may live alone, she’s not completely alone. “Other people are going through this, too,” she says. “It helps to remember that.”
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Dec. 19, 2022 — Alexander Truong, MD, has been seeing long COVID patients for more than 2 years but thought the numbers would have significantly dwindled by now. Instead, a steady flow of patients still shows up at the Emory Executive Park post-COVID clinic he and a colleague launched in fall 2020 in Atlanta. And among patients infected more than once, the symptoms appear worse.
“We are definitely seeing a lot of patients who, when they get reinfected, have worsening post-COVID issues. That’s very true and I think that’s a big signal,” says Truong, a pulmonologist and an assistant professor at Emory University’s School of Medicine.
COVID-19 is definitely not over, says Angela Cheung, MD, PhD, a senior physician scientist with the University Health Network and a professor of medicine at the University of Toronto. And each time someone gets infected, they risk developing long COVID. A prior infection does not erase the risk, Cheung says.
“It’s not like, ‘Oh, I’ve had one, so it’s OK. Now I can take off my mask, do what I like.’ It has health consequences for reinfections – higher mortality rate, higher hospitalization rates, higher risk of long term, lingering symptoms,” she says.
New research suggests that those infected more than once have an increased risk of developing long COVID and other health problems compared to those infected just once. But parsing out the extent of these risks – particularly with newer variants – is more complicated, Truong and other experts say, particularly when factoring in vaccinations and antiviral treatments.
“It makes sense that repeat infections would not be beneficial to a person’s health. But I think it’s really hard to know what the additional risk of each subsequent infection would be because there are all sorts of other things in the mix,” says Michael Peluso, MD, an assistant professor of medicine and an infectious diseases doctor at the University of California San Francisco.
“There are vaccines — new vaccines, old vaccines. There are variants — old variants, new variants, and now multiple variants circulating at the same time.”
Veterans Affairs Study
A large study involving the records of 5.8 million Department of Veterans Affairs patients that was published in Nature Medicine in November found that patients infected more than once had significantly higher risks of death, hospitalization, heart problems, blood clotting, long COVID, and a host of other health issues and organ damage. Notably, the study found that these elevated risks remained even 6 months after reinfection.
While the study highlights the increased risks associated with reinfections, it has its limitations. The study did not directly compare a first infection to reinfection within the same pool of patients. It only compared one group of individuals who had a single infection to a separate group who had more than one infection.
There could be other factors that made one group more susceptible to reinfection and at greater risk of adverse health outcomes. The study also did not compare reinfection risks between different variants or subvariants.
Another limitation is the VA population itself. The VA database is extremely useful for large studies like this one because it follows a large number of people with comprehensive medical records, experts say, but the VA’s population of mostly older white males does not reflect the demographics of the general population.
Nonetheless, the message for the public is straightforward, says Cheung. “I wouldn’t get into the weeds. The big message and big picture is that reinfections are bad.”
Different Risks With New Variants?
Experts say understanding reinfection risks, particularly with the newer variants and subvariants, is complicated because more people are now vaccinated compared to earlier in the pandemic.
“There are not any definitive answers. … It’s very, very difficult to disentangle the emergence of new variants from the uptake of vaccines,” says Peluso.
“It does seem like overall there may be less long COVID with the newer variants, but it’s very hard to say whether that is a characteristic of the virus or a characteristic of the fact that most people who are getting the virus have either been vaccinated or previously infected to have some different immune baseline from somebody who’s seeing the viral antigen for the first time.”
However, consensus is growing that those who are vaccinated and end up with breakthrough infections are at lower risk of developing long COVID. One U.K. study published in the journal Open Forum Infectious Diseases in September, for example, found that people who had two COVID-19 vaccinations at least 2 weeks prior to infection had a 41% decrease in the odds of developing long COVID symptoms, compared to people who were not vaccinated at the time of infection.
“We also know that in patients who’ve had their vaccinations, they are less likely to have a reinfection, or when they do have reinfection, they’re less likely to have severe infection,” says Truong.
“That’s the one big signal that we have and that’s why I’m trying to wave the flag as much as I can about getting vaccinated [and boosted].”
While some data suggests the risks of long COVID are lower with Omicron variants compared with the Delta variant, experts point out that a far greater number of people have been infected with Omicron, so even a small percentage of a large number is still a large number.
“One study looking at Omicron versus Delta shows about half the risk, but half the risk in a lot more people is still a lot of high absolute numbers,” Cheung says, referring to a June paper published in The Lancet.
She still sees a lot of patients with long COVID – some infected as recently as this past summer, some vaccinated and infected for the first time, and others coming in following reinfections.
And while Omicron variant and subvariant infections may appear milder for many people, doctors note new patients are also showing up with the same debilitating symptoms as those who got long COVID earlier in the pandemic: fatigue, shortness of breath, racing heart, brain fog, sleep disturbances, and mental health issues.
“On my post-COVID clinic days, I’m still seeing four to eight new patients who had infections in 2022 come in with significant symptoms,” says Truong.
And long COVID can kill. More than 3,500 death certificates filed from the start of the pandemic through June 2022 list long COVID as a specific cause of death, the National Center for Health Statistics reports.
Minimizing Post-COVID Risks
Peluso says what can be learned from the VA study is that repeated attacks on the immune system are dangerous and that continuing to avoid infection remains extremely important.
“The best way for someone to protect themselves against that is to avoid getting COVID in the first place,” says Peluso. It is a sentiment echoed by Truong and Cheung.
But given the transmissibility of the newest variants and subvariants and the removal of public health measures, it’s often difficult to prevent infection. Tried and true tools do, however, work: being up to date on vaccinations, wearing high-quality, well-fitted masks, advocating for good ventilation, and conducting self-testing with rapid antigen tests, particularly ahead of indoor events during busy holiday periods.
“It’s possible that this may become less common over time. I hope that’s true,” Peluso says.
“It’s also possible that it might go the other way. And so for that reason, I’m trying to avoid all of the variants.”
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Dec. 15, 2022 — Just 14.1% of cancer cases in the United States are diagnosed through recommended screening tests, a new report says.
Instead, most cancers are found when someone seeks medical attention for something else, according to the information posted by the nonprofit research organization NORC at the University of Chicago.
“I was shocked that only 14% of cancers were detected by screening. I think, for many people, we talk so much about cancer screening that we imagine that that’s how all cancers are diagnosed. We talk about mammograms and colonoscopies all the time,” said Caroline Pearson, an author of the report and senior vice president at the organization, on CNN.
Only breast, cervical, colorectal, and lung cancer have screenings recommended by the U.S. Preventive Services Task Force. Of those, here are the percentages of cancers found by screening:
The report also shared information on prostate cancer, although screening for it isn’t widely recommended. The report suggests that screenings detect 77% of prostate cancers.
The information hasn’t been published in a peer-reviewed journal. It is based on 2017 data. Pearson said the numbers of cancer screenings have fallen since then because of the COVID-19 pandemic.
“I definitely think that the percent of cancers detected by screening would have been lower as a result of the pandemic. We know that people missed a tremendous number of recommended screenings, and we are seeing those cancers showing up at later stages in clinical settings,” Pearson said.
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Dec. 15, 2022 – More than 3,500 Americans died from long COVID during the first years of the pandemic, a new CDC report reveals. Men, people over 75, and American Indian/Alaska Native populations were at the highest risk of dying.
The CDC study is “certainly very sobering,” says William Schaffner, MD, a professor of medicine in the Division of Infectious Diseases at Vanderbilt University School of Medicine in Nashville.
The new information shows that long COVID is more serious than many people previously considered, he says. “We know that long COVID is very common, and it’s causing a lot of grief for a lot of patients. Fortunately, over time, many of these patients improve.”
However, “now we see from the CDC report that, actually, some people are going to die,” says Schaffner, who is also medical director of the National Foundation for Infectious Diseases.
Researchers at the CDC’s Center for Health Statistics looked at death certificates that mentioned long COVID (or chronic COVID, long haul COVID, post COVID syndrome, and others) as a cause of death or a contributing factor. They matched these certificates to medical records with a code related to COVID-19.
They identified 3,544 Americans who died from long COVID from Jan. 1, 2020, through June 30, 2022. This group is a fraction of the 1.02 million people who died from COVID-19 during that time. Their findings are published in the December 2022 CDC Vital Statistics Rapid Release report.
“I think the study’s fascinating and interesting. It brings perspective to the consequences of COVID even after we’ve finished focusing on the acute infection itself,” says Thomas Gut, DO, associate chair of medicine and medical director of the Post-COVID Recovery Center at Staten Island University Hospital in New York City.
It’s still early days, he says. “This is just the tip of the iceberg … for the consequences that we’re going to be facing long term.”
Regarding the 3,500 deaths, “I think it’s a low number overall,” Gut says. “There’s probably a lot more people that have died. We probably missed a lot of long COVID early on, not realizing that’s what it was.”
It’s unlikely death certificates earlier in the pandemic would include the acute COVID infection as a cause of death 3 to 6 months later, for example, Gut says. Going forward, this could change. Long COVID is a chronic condition, so it’s more likely to be listed listed on a death certificate.
Some at Higher Risk
More than half of the deaths linked to long COVID, 57%, occurred in people ages 75 and older. Also, men accounted for 51.5% of long COVID deaths.
Furthermore, 79% of long COVID deaths were non-Hispanic white people, followed by 10% non-Hispanic Black people and about 8% Hispanic people.
Even though non-Hispanic American Indian/Alaska Native people experienced less than 2% of all the long COVID deaths in the study, they emerged as a high-risk group in a separate analysis. Their age-adjusted death rate for long COVID was highest, at 14.8 deaths per 1 million people. In contrast, non-Hispanic Asian people had the lowest age-adjusted death rate, at 1.5 per 1 million.
Minority groups like American Indians and Alaska Natives “have been disproportionately affected by the virus from the beginning of the pandemic – and have been also among the harder to reach and to provide access to the vaccine,” Schaffner says.
This report shows that efforts to reach these underserved communities continues to be essential, he says. “We need to keep doing that – and if we needed another reason to do that, here it is.”
The CDC researchers propose a bleak reason why higher death rates from long COVID were not found among non-Hispanic Black and Hispanic people in the study, despite these groups having higher COVID-19 mortality rates: Many COVID-19 patients in these groups likely died of their original disease before they could develop long COVID.
Some Study Limitations
Although the medical community continues to learn and acknowledge the burden of long COVID and health care professionals have been using the term more, there is lots of variability, since we still do not a have a unified diagnosis of this illness .
“The fact that the number of long COVID labeled deaths has been increasing over time could be a result of more awareness among the medical community, and therefore make it very challenging to draw specific conclusions from this study,” says Fidaa Shaib, MD, an associate professor of medicine in the section of pulmonary, critical care, and sleep medicine, and director of the Post COVID Care Clinic at Baylor College of Medicine in Houston.
Even though the study found more deaths among men, “our experience and the experience of others have shown that PASC [post-acute sequelae of COVID] or long COVID patients are predominantly middle-aged women.”
Shaib points out some limitations of the study. Some causes of long COVID deaths could be from other disorders – like heart disease – that increase the risk of death from acute COVID-19 itself. Also, the data did not include information about the length of time from the original COVID-19 illness to the time of death. “Therefore, the PASC/long COVID diagnosis might not be very accurate.”
“Overall, this study is a good start to draw more attention about the seriousness of acute and long COVID illnesses,” Shaib says, “but more specific data is needed.”
Keeping ‘the Pedal on the Metal’
Avoiding COVID-19 in the first place remains the best protection against long COVID, Schaffner says. Like many public health officials, he emphasized the importance of staying up to date on COVID vaccinations as the most effective strategy.
“As a population, the United States has really not taken sufficient advantage of the freely available – and really quite effective – boosters that are out there now.” The latest CDC estimates report that 13.5% of Americans 5 years and older have received an updated booster dose.
For this reason, “we need to really to keep the pedal on the metal, trying to get the message out,” Schaffner says.
“In this holiday season, the best gift you can give yourself and to the members of your family, your loved ones, and friends is to get the booster – and bring some of them along when you get the vaccine so that they can get the booster also.”
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Dec. 15, 2022 – More than 3,500 Americans died from long COVID during the first years of the pandemic, a new CDC report reveals. Men, people over 75, and American Indian/Alaska Native populations were at the highest risk of dying.
The CDC study is “certainly very sobering,” says William Schaffner, MD, a professor of medicine in the Division of Infectious Diseases at Vanderbilt University School of Medicine in Nashville.
The new information shows that long COVID is more serious than many people previously considered, he says. “We know that long COVID is very common, and it’s causing a lot of grief for a lot of patients. Fortunately, over time, many of these patients improve.”
However, “now we see from the CDC report that, actually, some people are going to die,” says Schaffner, who is also medical director of the National Foundation for Infectious Diseases.
Researchers at the CDC’s Center for Health Statistics looked at death certificates that mentioned long COVID (or chronic COVID, long haul COVID, post COVID syndrome, and others) as a cause of death or a contributing factor. They matched these certificates to medical records with a code related to COVID-19.
They identified 3,544 Americans who died from long COVID from Jan. 1, 2020, through June 30, 2022. This group is a fraction of the 1.02 million people who died from COVID-19 during that time. Their findings are published in the December 2022 CDC Vital Statistics Rapid Release report.
“I think the study’s fascinating and interesting. It brings perspective to the consequences of COVID even after we’ve finished focusing on the acute infection itself,” says Thomas Gut, DO, associate chair of medicine and medical director of the Post-COVID Recovery Center at Staten Island University Hospital in New York City.
It’s still early days, he says. “This is just the tip of the iceberg … for the consequences that we’re going to be facing long term.”
Regarding the 3,500 deaths, “I think it’s a low number overall,” Gut says. “There’s probably a lot more people that have died. We probably missed a lot of long COVID early on, not realizing that’s what it was.”
It’s unlikely death certificates earlier in the pandemic would include the acute COVID infection as a cause of death 3 to 6 months later, for example, Gut says. Going forward, this could change. Long COVID is a chronic condition, so it’s more likely to be listed on a death certificate.
Some at Higher Risk
More than half of the deaths linked to long COVID, 57%, occurred in people ages 75 and older. Also, men accounted for 51.5% of long COVID deaths.
Furthermore, 79% of long COVID deaths were non-Hispanic white people, followed by 10% non-Hispanic Black people and about 8% Hispanic people.
Even though non-Hispanic American Indian/Alaska Native people experienced less than 2% of all the long COVID deaths in the study, they emerged as a high-risk group in a separate analysis. Their age-adjusted death rate for long COVID was highest, at 14.8 deaths per 1 million people. In contrast, non-Hispanic Asian people had the lowest age-adjusted death rate, at 1.5 per 1 million.
Minority groups like American Indians and Alaska Natives “have been disproportionately affected by the virus from the beginning of the pandemic – and have been also among the harder to reach and to provide access to the vaccine,” Schaffner says.
This report shows that efforts to reach these underserved communities continues to be essential, he says. “We need to keep doing that – and if we needed another reason to do that, here it is.”
The CDC researchers propose a bleak reason why higher death rates from long COVID were not found among non-Hispanic Black and Hispanic people in the study, despite these groups having higher COVID-19 mortality rates: Many COVID-19 patients in these groups likely died of their original disease before they could develop long COVID.
Some Study Limitations
Although the medical community continues to learn and acknowledge the burden of long COVID and health care professionals have been using the term more, there is lots of variability, since we still do not a have a unified diagnosis of this illness .
“The fact that the number of long COVID labeled deaths has been increasing over time could be a result of more awareness among the medical community, and therefore make it very challenging to draw specific conclusions from this study,” says Fidaa Shaib, MD, an associate professor of medicine in the section of pulmonary, critical care, and sleep medicine, and director of the Post COVID Care Clinic at Baylor College of Medicine in Houston.
Even though the study found more deaths among men, “our experience and the experience of others have shown that PASC [post-acute sequelae of COVID] or long COVID patients are predominantly middle-aged women.”
Shaib points out some limitations of the study. Some causes of long COVID deaths could be from other disorders – like heart disease – that increase the risk of death from acute COVID-19 itself. Also, the data did not include information about the length of time from the original COVID-19 illness to the time of death. “Therefore, the PASC/long COVID diagnosis might not be very accurate.”
“Overall, this study is a good start to draw more attention about the seriousness of acute and long COVID illnesses,” Shaib says, “but more specific data is needed.”
Keeping ‘the Pedal on the Metal’
Avoiding COVID-19 in the first place remains the best protection against long COVID, Schaffner says. Like many public health officials, he emphasized the importance of staying up to date on COVID vaccinations as the most effective strategy.
“As a population, the United States has really not taken sufficient advantage of the freely available – and really quite effective – boosters that are out there now.” The latest CDC estimates report that 13.5% of Americans 5 years and older have received an updated booster dose.
For this reason, “we need to really to keep the pedal on the metal, trying to get the message out,” Schaffner says.
“In this holiday season, the best gift you can give yourself and to the members of your family, your loved ones, and friends is to get the booster – and bring some of them along when you get the vaccine so that they can get the booster also.”
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Dec. 13, 2022 – COVID-19 vaccinations prevented 3.2 million deaths and 18.5 million hospitalizations in the United States from December 2020 through November 2022, according to a new report Tuesday from the Commonwealth Fund and Yale School of Public Health.
The report, developed from computer modeling, comes as the U.S. approaches the second anniversary of the administration of the first COVID vaccine in the country to nurse Sandra Lindsay on Dec. 14, 2020.
Cost savings from those averted medical expenses add up to $1.15 trillion in savings to the U.S. health system, according to the report by a team led by Meagan C. Fitzpatrick, PhD, with the Center for Vaccine Development and Global Health at University of Maryland in Baltimore.
“Without vaccination, there would have been nearly 120 million more COVID-19 infections,” the authors write.
In the 2 years, the U.S. has administered more than 655 million doses, and 80% of the population has received at least one dose, according to the report.
Fewer Cases, Hospitalizations, and Deaths
Since Dec. 12, 2020, 82 million infections, 4.8 million hospitalizations, and 798,000 deaths from COVID-19 have been reported in the U.S., according to study data.
Without vaccination, the U.S. would have had 1.5 times more infections, 3.8 times more hospitalizations, and 4.1 times more deaths, the modeling indicates.
All Variants Accounted For
The research took into account patterns of five variants, each of which have accounted for at least 3% of cases in the U.S., including Iota, Alpha, Gamma, Delta, and Omicron, in addition to the original SARS-CoV-2 strain.
“We evaluated the impact of vaccine rollout by simulating the pandemic trajectory under the counterfactual scenario without vaccination,” the authors write.
“This report highlights the basic and important fact that vaccines save lives,” says Syra Madad, DHSc, senior director of the System-wide Special Pathogens Program at NYC Health and Hospitals.
She says this study, and a study last month in JAMANetwork Open looking at New York City’s COVID-19 vaccine campaign and its return on investment, show the campaigns “reduce the number of infections and death rates, decrease hospitalization rates, avert health care costs, and provide broader economic benefit such as maintaining a healthier and more productive workforce.”
The New York report last month found that every $1 invested in vaccination yielded estimated savings of $10.19 in direct and indirect costs that would have been incurred without the vaccine.
Timothy Brewer, MD, a professor of medicine and epidemiology at UCLA, says the ranges for the estimates of savings are fairly tight, which makes them more reliable.
He says the projections are in line with recent findings of second boosters’ continued high protection against hospitalizations and deaths (compared with first boosters) in a CDC study of more than 9,500 nursing home residents.
“I think they are likely to be very reasonable numbers,” Brewer says.
He says it’s important to keep the vaccines’ measure of success focused on how many hospitalizations and deaths they prevent, the main goal of vaccines, and not on breakthrough infections.
Numbers May Underestimate Savings
Co-author Alison Galvani, PhD, founding director of the Yale Center for Infectious Disease Modeling and Analysis, says the model looks only at acute infection and may underestimate the total benefit.
Fewer infections, she noted, also mean fewer cases and accompanying costs of long COVID, for instance.
Galvani said though this study was done in the U.S., the savings and prevention of infections may inspire other countries struggling with vaccine coverage efforts and to organizations that distribute vaccines to less-resourced countries.
William Schaffner, MD, an infectious disease expert at Vanderbilt University Medical Center in Nashville, says “the numbers are impressive in their size.”
“This is a report back to the American people,” he says, “saying, ‘We asked you to invest in this, and you did through your tax money. You know, the vaccines really work. Many of your family members, your neighbors, your friends are with you today, able to celebrate the holidays, because they were vaccinated.’”
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SOURCES:
Hannah Davis, founding member and researcher, Patient-Led Research Collaborative.
Etheresia (Resia) Pretorius, PhD, head of department and distinguished research professor, Physiological Sciences Department, Faculty of Science, Stellenbosch University, South Africa.
Douglas Kell, PhD, research chair in systems biology, Department of Biochemistry, University of Liverpool, U.K.
Michael VanElzakker, PhD, neuroscientist, Massachusetts General Hospital and Harvard Medical School; co-founder, PolyBio Research Foundation.
Biochemical Journal: “A central role for amyloid fibrin microclots in long COVID/PASC: origins and therapeutic implications.”
Preprint, medRxiv: “Prevalence of amyloid blood clots in COVID-19 plasma.”
Cardiovascular Diabetology: Prevalence of symptoms, comorbidities, fibrin amyloid microclots and platelet pathology in individuals with Long COVID/Post-Acute Sequelae of COVID-19 (PASC).”
Bioanalytical Sciences Group: “Long COVID and the role of fibrin amyloid (fibrinaloid) microclots.”
U.S. Government Accountability Office: “Science and Tech Spotlight: Long Covid.”
The Guardian: “Could microclots help explain the mystery of long Covid?”
Frontiers in Microbiology: “Long COVID or Post-acute Sequelae of COVID-19 (PASC): An Overview of Biological Factors That May Contribute to Persistent Symptoms.”
Nature Microbiology: “Metagenomic compendium of 189,680 DNA viruses from the human gut microbiome.”
Bioscience Reports: “SARS-CoV-2 spike protein S1 induces fibrin(ogen) resistant to fibrinolysis: implications for microclot formation in COVID-19.”
Clinical Infectious Diseases: “Persistent Circulating Severe Acute Respiratory Syndrome Coronavirus 2 Spike Is Associated With Post-acute Coronavirus Disease 2019 Sequelae.”
YouTube: “The ‘Microclot’ Pathology of Long Covid With Dr Jaco Laubscher,” Gez Medinger:.
Preprint, Research Square: “Combined triple treatment of fibrin amyloid microclots and platelet pathology in individuals with Long COVID/ Post-Acute Sequelae of COVID-19 (PASC) can resolve their persistent symptoms”
The BMJ: “Long covid patients travel abroad for expensive and experimental ‘blood washing.’”
Studies, Surveys and Supplements: “Frequently Asked Questions: Nattokinase, Lumbrokinase & Serrapeptase.”
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By
Claire Sibonney
WebMD Health News
Dec. 7, 2022 – When Hannah Davis saw the first visual confirmation of long COVID in her blood – a firework-like display of fluorescent green dots against a black background – she was overwhelmed with an odd sense of relief. In early November, she became one of the first U.S. long COVID patients to be tested for microscopic blood clots, catching up to South Africa, Germany, the U.K., and other countries that are already experimenting with related treatments.
“It was validating,” says Davis, who excitedly shared the images of her clots on Twitter. “It’s basically the first test specific to long COVID that is promising and scientifically sound and incorporates research from other post-viral illnesses.”
<blockquote class=”twitter-tweet”><p lang=”en” dir=”ltr”>Big news: I was lucky to get tested for micro blood clots, & I have a lot of them! <a href=”https://twitter.com/hashtag/LongCovid?src=hash&ref_src=twsrc%5Etfw”>#LongCovid</a><br><br>Healthy control blood on the left. Mine on the right. The green is all microclots!<br><br>These clots are likely blocking oxygen from getting around my body & could explain many symptoms. 1/ <a href=”https://t.co/5rtuzN8D8f”>pic.twitter.com/5rtuzN8D8f</a></p>— Hannah Davis (@ahandvanish) <a href=”https://twitter.com/ahandvanish/status/1592626664131145728?ref_src=twsrc%5Etfw”>November 15, 2022</a></blockquote> <script async src=”https://platform.twitter.com/widgets.js” charset=”utf-8″></script>
Davis donated her blood at Mount Sinai Hospital in New York City, with a few other founding members of the Patient-Led Research Collaborative, all of whom had been infected in the first wave of the pandemic and are still sick nearly 3 years later. Seeing the pictures of their blood clots, Davis and her fellow patients cried what she called happy tears. Then the reality of having those notorious blood clots sank in.
Early in the COVID-19 pandemic, emergency room doctors and others treating patients noticed the sickest produced excessive blood clots. The clots clogged kidney dialysis machines, caused strokes, and killed patients long after they left the hospital. Some long COVID researchers have suspected smaller, less obvious blood clots may be causing many of the puzzling symptoms reported by patients who have lasting effects of the virus.
The theory is that these weird and persistent clots, called microclots, might be blocking delicate blood vessels throughout the body, and stopping oxygen from getting to where it needs to go, causing everything from shortness of breath and organ damage to brain fog and debilitating fatigue. But if all the havoc is being done inside these minuscule clots, regular pathology tests won’t pick it up. A network of specialists is now setting out to see if specialized tests can be accessible and if the clots can be treated.
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The USDA reported over 50 million birds have died amid a record-breaking outbreak of avian flu in the United States, affecting flocks in 46 states and surpassing a previous high set in 2015. What do you think?
“I’m so glad there’s no flu for humans.”
Ted Soto, Freelance Gate Agent
“Nice to be able to just sit back and watch a pandemic for once.”
Milo Sauls, Pepper Picker
“This explains why we had Thanksgiving hot dogs this year.”
Latonya Meza, Job Critic
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By
Debby Waldman
WebMD Health News
Dec. 5, 2022 – Jackie Dishner hasn’t been the same since June 2020, when COVID-19 robbed her of her energy level, ability to think clearly, and sense of taste and smell. Yet at 58, the Arizona writer is in no hurry to get the latest vaccine booster. “I just don’t want to risk getting any sicker,” she says.
Dishner has had two doses of vaccine plus two boosters. Each time, she had what regulators consider to be mild reactions, including a sore arm, slight fever, nausea, and body aches. Still, there’s some evidence that the newest booster, which protects against some of the later variants, could help people like Dishner in several ways, says Ziyad Al-Aly, MD, a clinical epidemiologist and prolific long COVID researcher at Washington University in St. Louis.
“A bivalent booster might actually [help with] your long COVID,” he says.
There may be other benefits. “What vaccines or current vaccine boosters do is reduce your risk of progression to severe COVID-19 illness,” Al-Aly says. “You are avoiding hospital stays or even worse; you’re avoiding potentially fatal outcomes after infection. And that’s really worth it. Who wants to be in the hospital this Christmas holiday?”
<blockquote class=”twitter-tweet” data-conversation=”none”><p lang=”en” dir=”ltr”>I agree that it%u2019s not being taken seriously enough and hasn%u2019t since day 1. I still wear my mask. Just got the bivalent booster a few days ago. Have you tried the booster? I%u2019ve heard the vaccine can help with long Covid. How%u2019s that going btw? Hope you are starting to feel better!</p>— Mike (@FactsDoMatter4) <a href=”https://twitter.com/FactsDoMatter4/status/1572219073412599808?ref_src=twsrc%5Etfw”>September 20, 2022</a></blockquote> <script async src=”https://platform.twitter.com/widgets.js” charset=”utf-8″></script>
Each time people are infected with SARS-CoV-2, the virus that causes COVID-19, they have a fresh risk of not only getting severely ill or dying, but of developing long COVID, Al-Aly and colleagues found in a study published in the journal Nature Medicine in November. “If you dodged the bullet the first time and did not get long COVID after the first infection, if you get reinfected, you’re trying your luck again,” Al-Aly says. “I would advise people not to get reinfected, which is another reason to get the booster.”
In a recent review in the journal The Lancet e-Clinical Medicine, an international team of researchers looked at 11 studies that sought to find out if vaccines affected long COVID symptoms. Seven of those studies found that people’s symptoms improved after they were vaccinated, and four found that symptoms mostly remained the same. One found symptoms got worse in some patients.
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SOURCES:
Jackie Dishner, Phoenix.
Ziyad Al-Aly, MD, director, Clinical Epidemiology Center, Washington University, St. Louis; chief of Research and Development Service, Veterans Affairs St. Louis Health Care System.
Nature Medicine: “Acute and postacute sequelae associated with SARS-CoV-2 reinfection.”
The Lancet eClinical Medicine: “Impact of COVID-19 vaccination on the risk of developing long-COVID and on existing long-COVID symptoms: A systematic review.”
The British Medical Journal: “Trajectory of long covid symptoms after covid-19 vaccination: community based cohort study.”
Stephen J. Thomas, MD, director, Institute for Global Health and Translational Science, Upstate Medical University, Syracuse, NY.
Cell Death & Differentiation, “Long Covid: where we stand and challenges ahead.”
Scott Roberts, MD, associate medical director, infection prevention, Yale New Haven Hospital, New Haven, CT.
Yale School of Medicine Iwasaki Lab: “Immunology of long COVID.”
FDA: “Covid-19 Bivalent Vaccine Boosters.”
CDC: “Stay Up to Date with COVID-19 Vaccines Including Boosters,” “COVID Data Tracker, COVID in Your Community,” “COVID Data Tracker, COVID-19 Vaccinations in the United States.”
The New England Journal of Medicine: “A Bivalent Omicron-Containing Booster Vaccine against Covid-19.”
bioRxiv: “Improved Neutralization of Omicron BA.4/5, BA.4.6, BA.2.75.2, BQ.1.1, and XBB.1 with Bivalent BA.4/5 Vaccine.”
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