Bivalent COVID boosters are available & exciting

An article I read in the New York Times says that many Americans aren’t even noticing that the new, bivalent COVID-19 vaccines are now available. The public has lost interest in all things coronavirus, and the government is running out of funding for effective reminders or elaborate, coordinated delivery campaigns.

It falls to us, concerned citizens, to spread the word about how we can protect ourselves and others. In the interest of fighting misinformation, I will also share reputable resources for those wishing to do their own research.

The new boosters, authorized by the F.D.A. last month, are “bivalent” because they protect against:

  1. the Omicron subvariant still circulating in addition to
  2. the original version of the COVID-19 virus.

The Latin root bi– means two.

Merriam Webster dictionary page highlighting prefix definition of BI means TWOPut simply, a single shot now offers two kinds viral defense: more of the same protection from the original booster, plus, for the first time, the specific power to fight Omicron. That named strain of the virus, also known as lineage B.1.1.529, caused the enormous spike in coronavirus cases early in 2022. It’s estimated that the “mild” Omicron strain was responsible for killing 117,560 people in America. Source: MedRxiv.

More than one million Americans have died from COVID-19 since the pandemic began. This virus has been far deadlier than any recent influenza outbreak. The worst annual flu statistics in the past decade saw 52,000 people die in the US, for comparison, while an average year sees  ≈34,000 flu deaths. Source: CDC.

Allow me to do the math for those who struggle with the subject: with COVID-19 having a major impact over the past three years, one million lost lives (1,000,000) averages out to roughly 333,000 American deaths in a single pandemic year. (1,000,000 ÷ 3 = 333,333 ¹⁄3) This means COVID kills 10× as many as an average annual flu does in the U.S.A.

  • 34,000 × 3 = 102,000 this is how many flu would probably have killed over three years
  • 102,000 × 10 = 1,020,000 this is how many flu would probably have killed if it were 10 times worse
  • 1,020,000 is close enough to one million to be considered the same for this kind of analysis

Flu vs. COVID death rate comparisons are usually the work of the innumerate… or liars.

It’s vaccination, not vaccines, that saves lives.

Personally, I’m with Zeynep Tufekci, whose opinion piece in the Times marveled at the awesomeness of vaccination’s potential… while exploring the inadequacy of current messaging to motivate our citizens.

Tukekci writes: “[I]t’s vaccination, not vaccines, that saves lives.”

And she’s right about that.

bandage on upper armThe most impressive technology can solve no problem if it isn’t deployed where it is needed and at the right time. Safe, modern, effective vaccine boosters against COVID are being provided at no cost by the U.S. government. Those shots are available today.

As of now, everyone over age 12 in America is entitled to a free bivalent booster shot as long as at least two months have passed since the most recent dose.

Boosters reduce your chance of catching Omicron, and they substantially reduce an infected person’s risk of being hospitalized with—or dying of—COVID-19. Sources: New England Journal of Medicine, CDC, United Kingdom Health Security Agency.

Boosters will also help you avoid long COVID. Source: JAMA.

Aside from spreading personal misery, long COVID is also costing our economy hundreds of billions of dollars, with just lost wages from the disease estimated between $170-230 billion annually. Note that this figure approaches 1% of the total U.S. gross domestic product. Sources: World Economic Forum, Brookings Institution, Federal Reserve Bank of MN

Getting vaccinated and boosted is a patriotic choice as doing so protects our faltering economy.

I was delighted to take my teen in for a bivalent booster dose this week. His previous shot was last winter, he attends classes in person while being the only kid in most rooms electing to mask, and our household includes a high risk loved one. A few hours with a sore arm and one long nap later, my child has no lingering side effects, but he can more safely spend time with his grandparent.

There’s no way to put a price on the value of those hours. COVID vaccines are a miracle, a blessing, and quite literally wonderful.

The rest of my family will be getting bivalent boosters soon, having had age- and risk-related doses more recently than a healthy teen.Redacted official CDC COVID-19 Vaccination Record Card

Opting in for your bivalent booster dose is choosing life over death, wellness over infirmity, civic engagement over cynicism, and family values over selfishness. Vaccination protects our society by safeguarding both individual health and overall economic function; sick people are less productive.

I’m fully vaccinated—and boosted—because I love America, and because my religion teaches that life is a sacred gift.

What’s your reason?

Brand matters when arthritic hands administer COVID tests

Until this weekend, I had only personally administered two brands of COVID-19 home tests on myself or my children. All of my earlier home testing experience was with:

I wrote a detailed review of the Cue Health product a few months ago for those who can afford a more accurate, but much more expensive home test.iPhone running Cue App next to Reader device with COVID-19 test plugged in

Both the Abbott and Cue coronavirus tests were easy for me to use, had straightforward directions, and required only moderate hand strength and dexterity. I highly recommend either of these brands to those with less-than-average manual abilities.

I say this as a person living with a diagnosis of mild, seronegative rheumatoid arthritis whose small joints do not always cooperate with my intent. Those with profound disabilities may require assistance for even these tests, and near-normal eyesight is necessary for every COVID-19 test I’ve tried.

That said, if you can still brush your own teeth effectively, you can probably manage either Abbott or Cue home COVID-19 tests.Open COVID-19 test box with post it note reminder to test twice, 72 hours apart

In our busy household of five, we keep all of our coronavirus test kits on a dedicated table at the side of the living room, stacked up in order of expiration date.

Having flown cross country in March to visit my father, I consumed several tests in quick succession upon my return, and we quickly worked through our locally purchased Abbott test kits to the more recent Roche branded ones we received free from the United States government.COVIDtests.gov offers free at home COVID-19 tests to Americans

Every home in the U.S. is eligible to order 2 sets of 4 free at-⁠home tests. Click here to order yours if you haven’t already.

We test my younger child—the one who attends high school in person—every weekend before he goes downstairs to visit his paternal grandfather. Дедушка lives downstairs in our home, but he has his own dedicated space, kitchen, and a separate entrance. Still, age and health status leaves Deda especially vulnerable to a severe case of COVID-19.

We feel grateful to have the means to protect him from an infection we might unwittingly visit upon him by going about our own public lives.

On Saturday, we used one Roche COVID-19 At-Home test kit from a box of four. Fortunately, it was conducted by my hale and hearty teen, administering his own test. I did not anticipate how difficult this test would have been for me, had I been taking one myself, and I was happy to be merely an observer and reader of directions.Roche COVID-19 test instructions, box, cartridge

Steps five and six of the Roche process would have stymied me, but my healthy child had no real issue with them or with the test in general. There’s a lot of firm pinching involved in those steps, which would be beyond my arthritic fingers.

Our older home educated teen took a test later the same day, and I asked if he wouldn’t mind trying the fourth brand in our personal arsenal: the ACON Labs FlowFlex test even though this meant using test out of expiry order.

I was curious if it would present similar issues. It did.

FlowFlex was the brand sent out by our health insurance via its preferred mail order pharmacy, Express-Scripts.8 FlowFlex COVID-19 antigen tests

We are entitled to eight “freei.e., included with our employer-provided health insurance COVID-19 tests every month for each covered member of our plan. I ordered those for the two household members going to work/school as soon as the benefit was published on the website, and they were delivered about four weeks later. In the meantime, I’d ordered a batch of tests each for the other covered members of our household.

If I order directly from the preferred prescription provider, I don’t have to wait for reimbursement. Paying nothing out of pocket seemed like the best option. Now I know better.

For our household, in the future, if I’m the one who requires testing, I should go to a local pharmacy and purchase Abbott’s BinaxNOW tests instead of accepting the option available via mail-order without any out-of pocket expense. This will be a smarter choice given my manual limitations.COVID test tube in stand awaiting insertion of swab and drop-dispensing cap

I believe it is highly probable that Abbott’s BinaxNOW, Roche’s COVID-19 At-Home test kit, and ACON’s FlowFlex have similar probabilities of correctly detecting the novel coronavirus responsible for the chaos and societal disruption of 2020-2022. That said, I doubt the ability of the latter to work for me, with my limited hand strength.

Both the Roche and the ACON FlowFlex test require a user to firmly pinch the included vial between one’s fingers for an extended period of time to get an accurate result. I doubt I could do this reliably, repeatedly, for accurate test results.Fingers squeezing plastic test tube for COVID test

I did experiment with my teen’s FlowFlex vial post-test to determine that I’m capable of dispensing the mixed drops with that product without too much discomfort, but dispensing four drops into the test cartridge is less effortful for some of us with weak phalanges than holding tight to the tube while spinning the test swab therein.Hands squeezing to dispense drop of liquid for COVID test onto cartridgeI felt compelled to compose and post this particular piece as quickly as possible to share my experience with the world. Had I only tried that first test brand, that I happened upon at my local pharmacy last fall, I would have no idea how tricky other versions of COVID-19 tests might be for those of us with more limited mobility.

It is worth reporting that, if I did not have such limitations to my dexterity, I would prefer the more compact packaging offered by Roche and ACON Labs over Abbott’s fairly bulky box, especially for travel. The Roche multi-pack uses far less packaging for four tests than two boxes containing two each of the BinaxNOW. Roche/FlowFlex’s volume will be decidedly less if packed in a suitcase.

Aside from the need to firmly grasp a plastic tube for steps five and six (Roche)/step 2 (ACON’s FlowFlex), I would not have such a distinct preference for Abbott’s BinaxNOW over the competitors. That being said, my limitations have settled in as a near constant over the past decade, and I no longer expect my own normal to return to a more median average.

From my perspective, if you require an at-home COVID-19 diagnostic test, and you have limitations to your manual dexterity, you should try to get an Abbott BinaxNOW antigen test or a molecular one from Cue Health.

If your hands are crippled by arthritis, and you must use Roche or ACON Lab’s tests, ask a fully able bodied friend for assistance, if possible.


Disclosure: The author of this post owns 51.044 shares of ABBOTT LABORATORIES (ABT) stock at the time of writing. Abbott Labs makes the BinaxNOW test kit product.

I find written directions easy to follow and actually enjoy the step-by-step process of assembling LEGO toys and IKEA furniture kits, so my experience may not reflect that of average people.

Playground rhymes for our troubled times

Do you remember that little song from the playground game, “Ring around the Rosie” from your childhood?

Ring around the rosie,

A pocket full of posies.

Ashes, ashes:

We all fall down!

Now, I wonder if you learned– even as a child, like I did–that this nonsensical-sounding ditty dated back to the bubonic plague decimating Europe’s population in the Middle Ages.

It turns out, the Black Death explanation is apocryphal and didn’t appear until the mid-20th century. Even so, the notion of kids taking notice when the world seems on its way to Hell with an oversized hand basket strikes me as accurate.

I haven’t got a COVID-19 rhyme composed for you today, though I’m now tempted to try my hand at one.Map of Mariupol, Ukraine generated by cell phone GPS app

I did, however, have a politically motivated stab at nasty name-calling in verse! come together in my mind over the past few days. While imperfect–and my apologies to the masterful teacher Michael Clay Thompson, whose MCT Langugage Arts curriculum I used with my home educated child in very recent years, so that I now have the vocabulary to describe how weak my doggerel truly is in form and meter–my not-quite-best self still prompts me to post it here.

I’d also like to ask if others can do better. Please, post your own rhyme in the comments, or tweet away!

I feel as if every child in the free world should have such poems on their lips these days. With luck, the wind will carry them across borders to those less fortunate youngsters growing up under dictators.

The literal future of human freedom lay presently with democratic nations around the world who must confront the warmongering by Russia’s “elected” leader and would-be-czar.

Upon seeing the news report of the bombed maternity hospital in Mariupol, Ukraine, on March 9th, 2022, I brought these words together.

Printed text of verse in historical typewriter font: Pathetic Putin, killer of babies. Can’t defeat soldiers so he bombs ladies

I debated posting something so mean-spirited. It goes against the very nature of this blog. Really Wonderful Things tries hard to be a bringer of light, and a force for good, human and wildly imperfect as its author is.

“Pathetic Putin…

What is Really Wonderful, however, is my right to comment on politics and politicians. God bless America, and hurrah for my freedom of speech! We are not perfect, yet I don’t hesitate to write these words or share them with the world. I am safe, though I express a controversial opinion, and in strident tones.

…killer of babies…

A miracle, frankly, if you know much of history.

How grateful I am that this is so… for me. How deeply I wish everyone shared in this good fortune.

…can’t defeat soldiers…

What I hope to accomplish by encouraging innocents to chant insults aimed at distant autocrats is the absolute, utter celebration of democracy and representation for the common individual.

…so he bombs pregnant ladies!”

Every school kid should know that such a system exists, God-willing, right on his or her doorstep. Every free person alive should be teaching those children the rights and responsibilities of an empowered electorate.

We the people of free nations owe every other human being, potential and living, our efforts toward sharing our ultimate luxury.

The people of Ukraine have made clear their disinterest in being re-shackled to their former Soviet masters. The bravery of those defending their homes should serve as a stern reminder for all who hear the news.

Representation is an inalienable right, but it is ultimately a privilege that must be constantly protected from jealous usurpers. The world will never lack for tyrants, in temperament if not in fact.

I stand with Ukraine.

4 tips to help kids wear masks safely at school

I’m a volunteer safety monitor during lunch and free time a.k.a. recess at a school serving grades 1 – 8. Aside from keeping the usual eye on the kids, during COVID-19, this job also emphasizes maintaining social distance and wearing face coverings properly.

With a few weeks of the school year under my belt, here are my top tips for parents who hope to help their kids keep their masks in place while they play.

Disposable surgical maskMy top four playground observations regarding children and masks:

  1. Fit matters
  2. Fabric matters
  3. Washing matters for re-usable fabric masks
  4. Instruct kids on how to sneeze before they need to know

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