Mask Up Now [pestilence, Patreon]
Feb. 8th, 2025 06:49 pmCanonical link: https://siderea.dreamwidth.org/1867959.html
Geolocation note: my attention here is on the US, but this likely pertains to areas outside the US, aeb the reports from China discussed below
If for some reason you stopped masking everywhere, now would be an excellent time to resume masking, and use a N95/KN95 or better.
I have a longer post in the works, but am getting overtaken by events. I've gotten multiple reports that there's waves of some serious unidentified flu like illness(s) hitting areas hard enough to shut down schools and fill hospitals.
Here's one a little bird just forwarded me:
2025 Feb 7: u/Penguin_shit15 in r/r/HermanCainAward: "Just giving y'all a heads up. (Hospital Administrator guy here)":
2025 Feb 6: Today.com (news): "Flu is so bad right now that schools across the country are closing" (by Caroline Kee):
Now, the assumption most people, such as the alleged hospital administrator above, are making in response to these local outbreaks is that they must be due to a new virus or virus variant. That is certainly possible – that's what my hopefully forthcoming post will be about.
But the other possibility – and this isn't exclusive – is that we're seeing what I predicted in "Possible Post-COVID Immune Dysregulation & Its Epidemiological Consequences" and part 2 of "The Great Age of Plagues": there is evidence that Covid damages one's immune system, so for some time after one's been infected with Covid, one might be extra vulnerable to other infectious diseases. If that's true, we should expect to see a wave of non-Covid infectious illness following after each wave of Covid.
And what that might look like is not just more people catching more disease. It can also look like people getting more sick from the the infectious diseases they do catch.
And also being more contagious, because contagiousness is typically (and maybe always, but the science isn't in on this) a function of the dose-response relationship, as I explained in "Covid and the Dose-Response Relationship".
Also, for completeness' sake, I'll point out that the overwhelm of institutions may not be as epidemiologically indicative as once it was, because both hospitals are less staffed than they were five years ago due to Covid related deaths, disability, and burnt out and traumatized medical professionals voluntarily leaving the field, as I discussed in Part 2 of The Great Age of Plagues (ibid). I gather something similar is happening in public primary education. So maybe the reason these institutions are reporting being overwhelmed with illness has more to do with being short staffed to begin with, and not because of that much greater a disease burden than every flu season.
In any event, it's looking like now is an excellent time to be masking up.
This post brought to you by the 210 readers who funded my writing it – thank you all so much! You can see who they are at my Patreon page. If you're not one of them, and would be willing to chip in so I can write more things like this, please do so there.
Please leave comments on the Comment Catcher comment, instead of the main body of the post – unless you are commenting to get a copy of the post sent to you in email through the notification system, then go ahead and comment on it directly. Thanks!
Geolocation note: my attention here is on the US, but this likely pertains to areas outside the US, aeb the reports from China discussed below
If for some reason you stopped masking everywhere, now would be an excellent time to resume masking, and use a N95/KN95 or better.
I have a longer post in the works, but am getting overtaken by events. I've gotten multiple reports that there's waves of some serious unidentified flu like illness(s) hitting areas hard enough to shut down schools and fill hospitals.
Here's one a little bird just forwarded me:
2025 Feb 7: u/Penguin_shit15 in r/r/HermanCainAward: "Just giving y'all a heads up. (Hospital Administrator guy here)":
[...]Also:
Unfortunately, I think we are headed for another pandemic and to be honest, I think we are already in the middle of it. I have basically 5 hospitals and over 100 clinics in our health system, and I have not seen it this bad since covid slammed us. All of our area hospitals are full, we can no longer depend on the CDC for truth on anything, and many doctors are sounding the alarm.
We just opened our drive through testing facilities again. We are encouraging telehealth visits instead of in person if at all possible.
Right now Covid, Flu, and RSV are running rampant... However, its this new mystery illness that is really going fucking nuts. In my direct department of 80+ people, I had 24 out with it in one week. Several of those turned into pneumonia .. 2 were hospitalized.
Both me and my wife have had it. It felt like covid... Wife even lost her smell and taste. We both got tested for the usual stuff and it was all negative. Whatever this is, its highly contagious. It doesn't matter what we test for, it comes back negative.
It feels like covid, hard to breathe, but with lots of sinus pressure, congestion, non productive cough, extreme fatigue, and lasts a long time. I took stronger steroids than usual, Methylprednisolone .. Helped a little.. Then about 10 days of antibiotics.. Ended up needing an inhaler for about a month. Same story with my wife, but hers turned into full blown pneumonia.
Watch out for this shit. So far its not too deadly, but the fact is that no one knows what the hell it is. Maybe bird flu or something, but tests are coming back negative. There are plenty of theories out there, with some saying its some new strain of Human Meta pneumonia virus, bird flu, swine flu, and tuberculosis.
The point is, you can no longer trust the CDC or any government health agency and even the media is under reporting it. Its all over the country. Honestly, the biggest killer right now is influenza A.. Its running rampant and resulting in a shit ton of hospitalizations.
Anyways.. Be safe yall!
2025 Feb 6: Today.com (news): "Flu is so bad right now that schools across the country are closing" (by Caroline Kee):
Schools across the United States are being forced to close due to surges of influenza and other seasonal illnesses. As the 2024–2025 flu season rages on with no peak yet in sight, many school systems are overwhelmed with sick students and staff members.Er, I don't know about you, but I have literally never heard of a school closing due to infectious illness except during the Spanish Flu and Covid – and during both, school closures were incredibly controversial. Certainly I never had a day of school canceled due to a school closing for illness.
In the past week, a swath of schools and even entire school districts have announced closures in at least 10 states. These include Texas, Ohio, Oklahoma, Georgia, Virginia, and Tennessee, among others.
It's a measure reminiscent of the COVID lockdown era: schools closing their doors — some canceling classes entirely, while others pivot to remote learning — due to widespread illness. However, this time, influenza is the main culprit, and the school closures are short-lived, with most lasting only a few days.
[...]
At the same time, the U.S. is also seeing waves of norovirus, COVID-19 and RSV, which some are calling a “quad-demic.”
“The viral surge we’re seeing now is challenging,” Dr. Torey Mack, the chief medical officer of Children’s Hospital Association, which represents over 200 hospitals nationally, tells TODAY.com.
In addition to overcrowded emergency rooms and doctor's offices, schools are feeling the impact.
[...]
Although the school closures may seem concerning, experts say it’s not surprising to see during an intense wave of illness.
TexasAnd there was that whole thing about overwhelmed hospitals in China last month that is believed to be HMPV.
Multiple school districts in Texas shut down last week due to surges in flu and other illnesses.
Godley Independent School District in Godley, Texas, closed after reporting a 30% drop in attendance across their campuses, NBC affiliate NBC5 DFW reported. [...]
Comanche Independent School District in Comanche, Texas, and Morgan Independent School District also closed last week.
"Right now in our area, flu rates are very, very high, and depending on the severity of symptoms, some of these kids have been out of school having fevers for four or five days," Dr. Preeti Sharma, pediatric pulmonologist at Children's Health in Dallas, Texas, tells TODAY.com.
Children's Health has seen a staggering 40% increase in flu cases from the week prior, and Sharma says she's also noticed a large volume of patients with severe symptoms. "For many, the symptoms have been more severe than in the past, and there are some reports of a higher rate of pneumonia with flu more recently," says Sharma. [...]
Ohio
In Ohio, which is experiencing very high flu activity, multiple schools were forced to close this week due to a wave of flu.
“Right now, if you come in here and you’re getting tested for influenza ... over 40% of the time, it’s going to be positive for flu, and that’s super high,” says Newland, who is based in Columbus. [...]
St. Hilary School in Fairlawn, Ohio, temporarily shut down after 20% of students and 15% of staff were out sick, NBC affiliate WKYC 3 Studios in Cleveland reported.
Coventry Local Schools in Northeast Ohio also closed this week, citing a bus driver shortage due to increased seasonal illness. [...]
Tennessee
Tennessee has some of the highest flu levels in the nation. It's overwhelming emergency rooms, as well as schools, says Schaffner, who works in Nashville.
At least three school districts in Middle Tennessee have closed this week due to widespread illness, NBC affiliate WSMV-TV reported. These include Lebanon Special School District, Houston County Schools and Lincoln County Schools. [...]
Georgia
Georgia is another flu hot spot in the Southeast.
Polk School District in Georgia closed all schools and facilities last Friday and Monday due to a surge of flu and norovirus, which sickened 761 students, NBC affiliate WXIA-TV reported. [...]
Virginia
Multiple schools in Virginia have closed in the last week, citing flu outbreaks and staffing shortages.
"Flu levels in Virginia are currently very high. ... Flu infections are particularly impacting children, with nearly 1 in 5 ED visits for children being for flu. In recent weeks, Virginia has reported many large flu outbreaks in schools, daycares, and in long-term care facilities," Dr. Laurie Forlano, state epidemiologist with the Virginia Department of Health, tells TODAY.com in a statement.
Oklahoma
Schools across Oklahoma are moving to virtual learning as flu cases soar among kids, local affiliate KFOR-TV reported.
"Influenza activity in Oklahoma is high and continues to increase, as our influenza-associated hospitalizations reach a historic high. In January, kids under the age of 18 made up just under 60% of our influenza sentinel laboratory testing percent positivity," a spokesperson for the Oklahoma State Department of Health tells TODAY.com in a statement.
Iowa
Schools in Sioux City, Iowa, and Polk County have closed down due to illness, including influenza, according to reports from local NBC affiliates. [...]
Missouri
Multiple school districts in Southeast and Southwest Missouri have closed due to flu and other illnesses, local outlets have reported.
"Data does indicate higher (flu) activity ... with the highest rates among those in the 0-4 and 5-24 years. It is not unusual for there to be more than one cause of illness this time of year. However, the data suggests the increase in seasonal influenza A is a contributing factor," a spokesperson for the Missouri Department of Health and Senior Services tells TODAY.com in a statement.
Kentucky
In the Louisville area of Kentucky, Oldham County School District closed for three days after more than 1,700 students, 200 staff members, and 15 bus drivers were absent due to widespread illness.
"The latest data from Kentucky’s respiratory disease dashboard indicate that emergency department (ED) visits related to influenza are increasing and currently account for 15% of all ED visits among pediatric patients," a spokesperson for the Kentucky Cabinet for Health and Family Services tells TODAY.com in a statement.
Additionally, schools have closed due to flu and flu-related absences in Alabama, Indiana and other states.
Now, the assumption most people, such as the alleged hospital administrator above, are making in response to these local outbreaks is that they must be due to a new virus or virus variant. That is certainly possible – that's what my hopefully forthcoming post will be about.
But the other possibility – and this isn't exclusive – is that we're seeing what I predicted in "Possible Post-COVID Immune Dysregulation & Its Epidemiological Consequences" and part 2 of "The Great Age of Plagues": there is evidence that Covid damages one's immune system, so for some time after one's been infected with Covid, one might be extra vulnerable to other infectious diseases. If that's true, we should expect to see a wave of non-Covid infectious illness following after each wave of Covid.
And what that might look like is not just more people catching more disease. It can also look like people getting more sick from the the infectious diseases they do catch.
And also being more contagious, because contagiousness is typically (and maybe always, but the science isn't in on this) a function of the dose-response relationship, as I explained in "Covid and the Dose-Response Relationship".
Also, for completeness' sake, I'll point out that the overwhelm of institutions may not be as epidemiologically indicative as once it was, because both hospitals are less staffed than they were five years ago due to Covid related deaths, disability, and burnt out and traumatized medical professionals voluntarily leaving the field, as I discussed in Part 2 of The Great Age of Plagues (ibid). I gather something similar is happening in public primary education. So maybe the reason these institutions are reporting being overwhelmed with illness has more to do with being short staffed to begin with, and not because of that much greater a disease burden than every flu season.
In any event, it's looking like now is an excellent time to be masking up.
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This post brought to you by the 210 readers who funded my writing it – thank you all so much! You can see who they are at my Patreon page. If you're not one of them, and would be willing to chip in so I can write more things like this, please do so there.
Please leave comments on the Comment Catcher comment, instead of the main body of the post – unless you are commenting to get a copy of the post sent to you in email through the notification system, then go ahead and comment on it directly. Thanks!


Comment catcher: Mask Up Now
Date: 2025-02-08 11:55 pm (UTC)Re: Comment catcher: Mask Up Now
Date: 2025-02-09 12:21 am (UTC)I think a couple of New York City schools shut down due to teacher and student illness during the 2009 H1N1 flu epidemic, but it was one or a few individual schools in a large school system.
Re: Comment catcher: Mask Up Now
Date: 2025-02-10 06:11 am (UTC)Re: Comment catcher: Mask Up Now
Date: 2025-02-09 01:27 am (UTC)Re: Comment catcher: Mask Up Now
Date: 2025-02-09 01:51 am (UTC)Also, I am so grateful to still be a Canadian at this point. Health Canada will not stop doing their job, even though Trump and company want the relevant US federal department and agencies to stop doing theirs. Which may be one more motive for His Orangeness' drive to annex my country.
I cannot hope to persuade my housemates on this, although we do have air purifiers in several rooms now as well as our habits of self-segregation within the house.
Again, I plan to keep masking up for my own out-of-house travels. It's been 2.75 years since my first COVID infection. I hope to delay my second for at least another such time span. And keep my vaccinations current.
Re: Comment catcher: Mask Up Now
Date: 2025-02-09 01:56 am (UTC)I also recall seeing something recently about Japan getting slammed with a respiratory illness; I'll see if I can dig it up.
I did. https://en.tempo.co/read/1972475/japan-faces-worst-flu-outbreak-in-25-years
Re: Comment catcher: Mask Up Now
Date: 2025-02-10 01:05 am (UTC)Thanks!
Re: Comment catcher: Mask Up Now
Date: 2025-02-09 02:11 am (UTC)Re: Comment catcher: Mask Up Now
Date: 2025-02-09 02:34 am (UTC)Re: Comment catcher: Mask Up Now
Date: 2025-02-09 03:28 am (UTC)That's my city.
Unbelievable. Will have to tune in to local media for the next few days and see if there's any hint of this. Our local media really doesn't merit the name "news" any more but maybe there will be something.
Re: Comment catcher: Mask Up Now
Date: 2025-02-09 02:28 am (UTC)One thing I have not seen much discussed is that "common cold" coronaviruses kill people. Not very many people; it's, as a matter of historical expectation, extremely rare. But it does happen, and as with most such things is mostly happens to the old and the young.
Thing is, the parts of the immune system SARS-CoV-2 certainly chews on with (very probably) lasting effect are the same parts that are used to fight off the common cold coronaviruses. Widespread immune dysregulation due to COVID-19 may well function to turn the existing common cold coronaviruses into a serious disease even in healthy adults.
I would expect it'll take awhile before someone is able to confirm or falsify this hypothesis, partially due to technical challenges but also in large part because if confirmed it's even stronger evidence than "look at that TB rate go" for widespread immune dysregulation.
Re: Comment catcher: Mask Up Now
Date: 2025-02-09 01:00 pm (UTC)Re: Comment catcher: Mask Up Now
Date: 2025-02-09 02:45 pm (UTC)Re: Comment catcher: BlueSky odd thing FYI only
Date: 2025-02-09 03:47 am (UTC)I'll drop a note to BlueSky in case it does any good.
Re: Comment catcher: Mask Up Now
Date: 2025-02-09 04:13 am (UTC)American Medical Association update videos
Date: 2025-02-11 02:46 pm (UTC)I happened to notice someone on Bluesky saying that the American Medical Association is trying to fill the gap left by CDC public health communication and that watching their update videos is useful; watching the latest episode now to check it out. So far I do think a 10-minute weekly news overview just is not sufficient but at least it is something.
Re: American Medical Association update videos
Date: 2025-02-11 02:57 pm (UTC)I haven't watched this video from AMA ("New bird flu outbreak in California, HMPV and COVID: Why is everyone sick in 2025?") in full but this excerpt in "shorts" claims the "mystery virus" causingan unusual level of illness in the US is human metapneumovirus (HMPV).
ANA'S public health updates re: bird flu are regular but not daily.
Re: American Medical Association update videos
Date: 2025-02-11 04:39 pm (UTC)I get several newsletters from epidemiologists, which lets me feel informed.
Re: Comment catcher: Mask Up Now
Date: 2025-02-09 04:16 am (UTC)Charts!
"Force of Infection: Flu activity increases again" (I believe this is from a week ago)
An early update on the continued rise in activity
I normally published Outbreak Outlook on Mondays, but when I saw the flu data released this week, I knew I had to send out a quick update.
Last week, I wrote that influenza-like illness had made an unexpected rebound, reaching 7% of the visits for fever and cough or sore throat. Well, it went up again this week, to 7.8%.
This is the highest level since 2002, though the 2009-2010 and 2003-2004 seasons come close."
More at link
Re: Comment catcher: Mask Up Now
Date: 2025-02-09 04:28 am (UTC)Unpleasant but invaluable contextualization for all the "yeah there's some kind of bug making the rounds in the office KOing my coworkers" chatter I'm hearing in my neck of the woods. As nice as it is to feel vindicated about stocking up again on N95s a few weeks ago... ugh. Back to warning all my loved ones that masks are great and they should use them.
Re: Comment catcher: Mask Up Now
Date: 2025-02-10 09:50 pm (UTC)Ah, I am reminded– a pal who works in a pharmacy in Texas has been groaning that Tamaflu has been back-ordered for, upon reflection, multiple months.
For a little while I was willing to chalk that up to, well, working in a pharmacy in Texas (land of going to pick up Paxlovid in person without a mask!) but even during pandemic years they usually stop being so slammed by mid-January. It is approaching mid-February and my friend is still busting their hump every day they go in.
Re: Comment catcher: Mask Up Now
Date: 2025-02-09 05:04 am (UTC)For the norovirus thing, I bought bleach wipes. I will probably buy more bleach wipes soon. I apply them to my laptop and cell phone upon coming into the house (and then since there's generally plenty of bleach left in them, to random other high-touch surfaces like doorknobs and sink handles). My colleagues, unfortunately, have a sufficient level of thinking I am paranoid that I don't think I can get away with bringing something that smells as strongly as bleach wipes into work.
Re: Comment catcher: Mask Up Now
Date: 2025-02-14 01:23 am (UTC)Re: Comment catcher: Mask Up Now
Date: 2025-02-09 07:46 am (UTC)Re: Comment catcher: Mask Up Now
Date: 2025-02-09 04:17 pm (UTC)Re: Comment catcher: Mask Up Now
Date: 2025-02-09 04:57 pm (UTC)“The numbers are definitely showing (hospitals) are seeing a similar volume as during COVID,” said Steve Carroll, administrator for Ventura County Emergency Medical Services
https://www.vcstar.com/story/news/health/2025/02/07/ventura-county-hospitals-emergency-rooms-flu-norovirus-outbreak/78305497007/
Re: Comment catcher: Mask Up Now
Date: 2025-02-09 06:48 pm (UTC)Only one data point, of course.
Re: Comment catcher: Mask Up Now
Date: 2025-02-09 09:15 pm (UTC)Re: Comment catcher: Mask Up Now
Date: 2025-02-10 12:10 am (UTC)But having said all that...my campus health staff sent around an alert last week about detection of Influenza A cases on our campus, and I suspect they'd be in full support of increasing one's preventive measures right now...and probably not just masking up, but refreshing ourselves on our hand hygiene practices, etc etc etc.
Re: Comment catcher: Mask Up Now
Date: 2025-02-11 02:14 am (UTC)Now I worry that I've had whatever this is and just never cleared it.
(no subject)
Date: 2025-02-09 02:07 am (UTC)When I was a kindergartner, my entire grade for a week consisted of me and 5 other children who had already had chicken pox, and all 4 kindergarten teachers in one classroom because all the rest of the kids were out with it (pre-vax, obviously). They didn't close the school for that, so having to close a school for illness is serious -- and possibly indicated that they can't get enough *teachers*.
(no subject)
Date: 2025-02-09 12:56 pm (UTC)(no subject)
Date: 2025-02-09 11:20 am (UTC)Per this CDC page and another report I read, SC currently has one of the highest flu rates:
https://www.cdc.gov/fluview/surveillance/usmap.html
This SC report shows a dramatic uptick in ER visits since mid-January:
https://dph.sc.gov/sites/scdph/files/2025-02/2025-RDW-MMWR-WK_5.pdf
Other than during COVID, I hadn't heard of schools closing due to illness either. Even for COVID, it was usually to help prevent the spread of it, rather than too many staff and students being out sick.
This is one of the school districts mentioned in what you pasted:
https://www.lssd.org/apps/news/article/2028286
After careful consideration, LSSD will be closing due to a significant number of staff, including teachers and bus drivers, being absent due to illness. At this time, absences are impacting our ability to maintain normal school operations. In addition, we have seen a large percentage of students out due to sickness as well. In an effort to break the cycle of illness and prevent further spread, we will close for three days beginning tomorrow, February 5.
(no subject)
Date: 2025-02-09 03:53 pm (UTC)https://www.honeywellstore.com/store/products/n95-mask-flatfold-disposable-respirators-df300n95bx.htm
Its perhaps one weakness is people with really big heads, and I don't know what to do for them.
I wear both hearing aids and glasses, and the behind the ear bands are just horrible for me.
(no subject)
Date: 2025-02-09 11:41 pm (UTC)The two main approaches are either some sort of strap that connects the ear loops behind the head, or a headband with buttons on it behind the ears that the mask can be attached to.
This latter is what I do, I got two off of Temu for like nine bucks each. The search string is "nurse's headband for mask".
The search string for the former is "mask ear saver".
(no subject)
Date: 2025-02-13 04:25 am (UTC)