{"id":10197,"date":"2021-09-03T15:57:03","date_gmt":"2021-09-03T19:57:03","guid":{"rendered":"https:\/\/blogs.nejm.org\/hiv-id-observations\/?p=10197"},"modified":"2021-09-03T16:43:07","modified_gmt":"2021-09-03T20:43:07","slug":"no-covid-19-in-anti-vaxxers-does-not-make-me-happy","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/no-covid-19-in-anti-vaxxers-does-not-make-me-happy\/2021\/09\/03\/","title":{"rendered":"No, COVID-19 in Anti-Vaxxers Does Not Make Me Happy"},"content":{"rendered":"<div id=\"attachment_10202\" style=\"width: 262px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-10202\" class=\"wp-image-10202 \" src=\"https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2021\/09\/48636162066_6613713d7b_c.jpeg\" alt=\"\" width=\"252\" height=\"365\" srcset=\"https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2021\/09\/48636162066_6613713d7b_c.jpeg 552w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2021\/09\/48636162066_6613713d7b_c-207x300.jpeg 207w\" sizes=\"auto, (max-width: 252px) 100vw, 252px\" \/><p id=\"caption-attachment-10202\" class=\"wp-caption-text\">Octopus Car Wash, Minneapolis, Minnesota; 1981. John Margolies\u2019 Photographs of Roadside America (public domain).<\/p><\/div>\n<p>High-profile people who deny the seriousness of COVID-19, or strongly oppose vaccination, also contract &#8212; and sometimes succumb &#8212; to the disease.<\/p>\n<p>Surprise, surprise.<\/p>\n<p>The list is long, but recently has included a group of <a href=\"https:\/\/slate.com\/news-and-politics\/2021\/08\/marc-bernier-third-anti-vax-radio-host-die-covid.html?via=rss_socialflow_twitter\" target=\"_blank\" rel=\"noopener\">well known conservative radio hosts.<\/a> Broadcaster Marc Bernier from Daytona Beach, Florida, died of COVID-19 recently.<\/p>\n<p>Bernier called himself &#8220;Mr. Anti-Vax&#8221;, so it follows logically that he was not shy about expressing his opinions. His last statement on social media <a href=\"https:\/\/www.rawstory.com\/anti-vaxxer-marc-bernier-deceased\/\" target=\"_blank\" rel=\"noopener\">compared government advice that people get vaccinated to Nazism.<\/a><\/p>\n<p>He was dead less than a month later.<\/p>\n<p>This week, Joe Rogan, a famous podcaster who explicitly discouraged vaccination among young healthy people, <a href=\"https:\/\/www.nytimes.com\/2021\/09\/01\/business\/joe-rogan-covid-19.html?campaign_id=9&amp;emc=edit_nn_20210902&amp;instance_id=39433&amp;nl=the-morning&amp;regi_id=314038&amp;segment_id=67884&amp;te=1&amp;user_id=1cbfe10961fde2007a4fb85b79fb8d0e\" target=\"_blank\" rel=\"noopener\">announced that he has the disease.<\/a><\/p>\n<p>Unlike Bernier, Joe Rogan is recovering (at least as of his last communication). For treatment of COVID-19, he <a href=\"https:\/\/www.instagram.com\/tv\/CTSsA8wAR2-\/?utm_source=ig_embed&amp;ig_rid=29ca3350-18c7-4053-bf48-232a155186fa\" target=\"_blank\" rel=\"noopener\">&#8220;threw the kitchen sink at it.&#8221;<\/a><\/p>\n<p>While we might think that someone who refuses vaccination would take the same &#8220;natural&#8221; approach to therapy &#8212; allowing the body&#8217;s healing processes to save him without exogenous help &#8212; think again. He received monoclonal antibodies (a good move), ivermectin (shrugs), azithromycin (doesn&#8217;t work), prednisone (can make mild COVID-19 worse), an &#8220;NAD drip&#8221; (<a href=\"https:\/\/aspireregenerativehealth.com\/8-benefits-of-nad-iv-therapy\/\" target=\"_blank\" rel=\"noopener\">huh?<\/a>) and a &#8220;vitamin drip&#8221; (available <a href=\"https:\/\/www.google.com\/search?q=vitamin+drip+near+me&amp;oq=vitamin+drip&amp;aqs=chrome.2.69i57j0i131i433i512j0i457i512j0i512l7.4578j0j4&amp;sourceid=chrome&amp;ie=UTF-8\">now pretty much everywhere<\/a>).<\/p>\n<p>Best V.I.P. treatment that money can buy! But for the record, our taxpayer dollars are paying for the one thing that probably helped, the monoclonals.<\/p>\n<p>What I find fascinating about these cases of COVID-19 in disease-deniers and anti-vaxxers is our response \u2014 as a society in general and as ID doctors in particular.<\/p>\n<p>If one reads the comments on line or on social media, here are some of the common attitudes:<\/p>\n<ul>\n<li><strong>Anger.<\/strong> They got what they deserve.<\/li>\n<li><strong>Glee.<\/strong> <em>Schadenfreude<\/em> in its purest form.<\/li>\n<li><strong>What a waste.<\/strong> It&#8217;s unfair they take up limited resources for treatment.<\/li>\n<li><strong>Natural selection.<\/strong> It&#8217;s Darwinian evolution playing out.<\/li>\n<li><strong>A weary sadness.\u00a0<\/strong>I just &#8230; can&#8217;t anymore.<\/li>\n<\/ul>\n<p>It&#8217;s this last one &#8212; sadness &#8212; which overwhelmingly dominates <a href=\"https:\/\/twitter.com\/PaulSaxMD\/status\/1431980201949474821?s=20\" target=\"_blank\" rel=\"noopener\">ID doctors&#8217; response.<\/a> Some examples:<\/p>\n<blockquote><p>Deep sadness and &#8216;If only&#8217;&#8211; for them, their families and countless followers and their families &#8230;Sadness. Also validation. Followed by sadness about the validation &#8230; I will admit to feeling a sense of karma, but mostly it is just more and more sadness &#8230; Sad and powerless &#8230; Very depressed. It makes the weight of the last 18+ months heavier and heavier and it\u2019s difficult to know how much more we can carry &#8230;When I think of their sphere of influence and their many unvaccinated followers\u2019 deaths, which aren\u2019t reported, it makes me incredibly sad &#8230;<\/p><\/blockquote>\n<p>At its most extreme, it&#8217;s a numb feeling, as highlighted here:<\/p>\n<blockquote class=\"twitter-tweet\" data-width=\"500\" data-dnt=\"true\">\n<p lang=\"en\" dir=\"ltr\">My emotional response is I can\u2019t afford to have an emotional response. I just keep going. <a href=\"https:\/\/twitter.com\/hashtag\/IDTwitter?src=hash&amp;ref_src=twsrc%5Etfw\">#IDTwitter<\/a>. <a href=\"https:\/\/t.co\/J9TSR3sf4T\">https:\/\/t.co\/J9TSR3sf4T<\/a><\/p>\n<p>&mdash; Jo Hofmann (@JoHofmann2) <a href=\"https:\/\/twitter.com\/JoHofmann2\/status\/1431983182560350225?ref_src=twsrc%5Etfw\">August 29, 2021<\/a><\/p><\/blockquote>\n<p><script async src=\"https:\/\/platform.twitter.com\/widgets.js\" charset=\"utf-8\"><\/script><\/p>\n<p>So don&#8217;t ask us if we&#8217;re glad to hear about another anti-vaxxer getting COVID. We&#8217;re not glad.<\/p>\n<p>We&#8217;re very, very sad &#8212; and tired, too.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>High-profile people who deny the seriousness of COVID-19, or strongly oppose vaccination, also contract &#8212; and sometimes succumb &#8212; to the disease. Surprise, surprise. The list is long, but recently has included a group of well known conservative radio hosts. Broadcaster Marc Bernier from Daytona Beach, Florida, died of COVID-19 recently. Bernier called himself &#8220;Mr. [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3,5],"tags":[4601],"class_list":["post-10197","post","type-post","status-publish","format-standard","hentry","category-health-care","category-infectious-diseases","tag-covid-19"],"post_mailing_queue_ids":[],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/posts\/10197","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/comments?post=10197"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/posts\/10197\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/media?parent=10197"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/categories?post=10197"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/tags?post=10197"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}