COVID-19 and States, Lives and Jobs

In reference to the below COVID-19 graph of loss of life and jobs (per capita), someone wrote to us that the, “Lower left would appear better [i.e., more people alive and working. BDS]. Iowa was slightly lower left, but mostly in the center of all states. Hawaii had lowest excess death rate (negative), but highest job loss. West Virginia, Maine, and Indiana were well balanced.” The graph is from Hamilton Place Strategies. It is included with their brief data analysis as presented in the recent (4/18/21) article, 50 States, 50 Pandemic Responses: An Analysis Of Jobs Lost And Lives Lost, co-authored by Matt McDonald, Stratton Kirton, Matisse Rogers, and Johnny Luo. The time period for the data is unstated, which could make a difference. That aside, most of the states clump near the center; although more states tended toward higher death toll; but, of course, it’s the outliers in the four quadrants that grab one’s attention.

We didn’t initially give it much careful thought, even though such data does make one curious about what it represents, beyond some seemingly obvious observations. Here was our initial off-the-cuff response: “It maybe should be unsurprising that the most populated states struggled the most with finding a balance or, in some cases, keeping either low.” That was tossed out as a casual comment and it was assumed no explanation was necessary. But apparently it was perceived as surprising (or speculative or something) to our collocutor who asked, “Why?” This seems to happen to us a lot, in that we are so used to looking at data that we assume background knowledge and understanding that others don’t always share. It genuinely was not surprising to us, in that ‘populated’ clearly signifies particular kinds of factors and conditions. Once committed to the dialogue, we felt compelled to answer and explain. Continue further down, if you wish to see the unpacking of background info and social context that, once known, makes the graphed data appear well within the range of what might be expected.

It seemed unsurprising to us, as we’ve looked at a lot of analysis of (demographic, economic, and social science) data like this over the years. So, we’re familiar with the kinds of patterns that tend to show up and probable explanations for those patterns. But maybe it seems less intuitively obvious to others (or maybe we’re biased in our views; you can be the judge). In the original article, the authors do note some relevant correlations indicating causal factors: “States with major hospitality and tourism sectors were hit hard in terms of job loss, with the impact falling unevenly across sectors. And states that were in the first wave of infections—when the healthcare system was still learning how to treat COVID-19—fared comparatively worse on their death tolls. New York, which falls into both categories, had the worst overall outcome, with both high excess deaths and high job losses.”

The authors go on to say, “The states that emerged in the best position were Idaho, Utah, and West Virginia, all with some combination of low loss of life and low loss of employment.” Others that did reasonably well were North Carolina, Nebraska, Maine, West Virginia, Indiana, and Wyoming. I don’t recall any of these being hit early by COVID-19 outbreaks nor are they major tourist and travel destinations, other than NC to some extent. It could also be noted that all are largely rural states, if not as rural as they were last century, but still way more rurally populated (or rather less urbanized with fewer big cities and metropolitan areas) than states that had it rough in soaring death and jobless rates: New York, New Jersey, Louisiana, etc. It comes down to a divide between more and less urbanized, and hence more and less populated and dense. That has much to do with the historical economic base that determined how many people, over the generations, have moved to a state and determined their residential location.

As for the really obvious observations, there is the typical clear divide between North and South. Many liberty-minded Southern states, with historically high rates of total mortality and work-related mortality (along with historically overlapping classism and racism), were tolerant of sacrificing the lives of disproportionately non-white workers during a pandemic, particularly when it kept the economy going and maintained corporate profits for a mostly white capitalist class (see: Their Liberty and Your Death). ln general, all of the Deep South and Southwest states, along with most of the Upper South states, had above average death tolls (with MS, AL, AZ, and SC leading the pack); whether or not they kept job losses low, although they did mostly keep them down. All of the states that sacrificed jobs to save lives are in the North (AK, RI, MN, MA, etc) or otherwise not in the South (HI), be it caused by intentional policy prioritization or other uncontrollable factors (e.g., reduced tourism). Northern industrial states, as expected, took the biggest economic hit.

As for the initial point we made, larger populations that are more concentrated create the perfect storm of conditions for promoting the spread of contagious diseases. This represents numerous factors that, though any single factor might not be problematic, when all factors are taken together could overwhelm the system during a large-scale and/or long-term crisis. That typically describes states with large cities and metropolitan areas. Look at all of the highly populated and urbanized states and, no matter what region they’re in, they are all near the top of excess deaths per capita. None of them managed to balance keeping people alive and employed, though some did relatively less worse. And it is apparent that the worst among them had the highest population density. That last factor might be the most central.

For comparison, here is the land area, population, and population density of the top 6 largest US cities, all in different states: New York City (301.5 sq mi; 8,336,817; 28,317/sq mi), Los Angeles (468.7 sq mi; 3,979,576; 8,484/sq mi), Chicago (227.3 sq mi; 2,693,976; 11,900/sq mi), Houston (637.5 sq mi; 2,320,268; 3,613/sq mi), Phoenix (517.6 sq mi; 1,680,992; 3,120/sq mi), and Philadelphia (134.2 sq mi; 1,584,064; 11,683/sq mi). New York City has about half the land as Houston and Phoenix, but has about four times the population of Houston and about seven times the population of Phoenix. So, even among the largest cities in the US and the world, there are immense differences in population density. States like Texas and Arizona have encouraged urban sprawl which, though horrible for environmental health, does ease the pressure of contagious disease spread.

This particular pattern of public health problems is seen all the way back to the first era of urbanization with the agricultural revolution when populations were concentrating, not sprawling. It wasn’t merely the nutritional deficiencies and such from change in the agricultural diet. The close proximity of humans to each other and to non-human animals allowed diseases to mutate more quickly and spread more easily (a similar probable reason for COVID-19 having originated in China with wilderness encroachment, habitat destruction, and wild meat markets). Many new diseases appeared with the rise of agricultural civilizations. Even diseases like malaria are suspected to have originated in farming populations before having spread out into wild mosquitoes and hunter-gatherer tribal populations. Even in modern urbanization, humans continue to live closely to and even cohabitate with non-human animals. This is why populations in New England, where indoor cats are common, have high rates of toxoplasmosis parasitism, despite a generally healthy population.

Plus, at least in the US, these heavily urbanized conditions tend to correlate with high rates of poverty, homelessness, and inequality (partly because most of the poor left rural areas to look for work in cities where they became concentrated) — these high rates all strongly correlated to lower health outcomes, particularly the last, inequality. Of the only four states with above average economic inequality in the US, three of them (NY, LA, CA) had all around bad COVID-19 outcomes, with only high inequality Connecticut escaping this pattern by remaining moderate on job losses and excess deaths. As expected, the states that did the best in keeping both low were mostly low inequality. Other than two in the mid-range (WV, NC), all of the other cases of COVID-19 success are among the lowest inequality states in the country — according to ranking: 1) UT, 4) WY, 7) NE, 12) ID, 13) ME, and 15) IN. All of the top 10 low inequality states were low in COVID-related mortality and/or unemployment. That result, by the way, is completely predictable as it matches decades of data on economic inequality and health outcomes. It would be shocking if this present data defied the longstanding connection.

By the way, rural farm and natural resource states tend to be low inequality, whether or not they are low poverty, but research shows that even poverty is far less problematic with less inequality — as economic inequality, besides being a cause or an indicator of divisiveness and stress, correlates to disparities in general: power, representation, legacies, privileges, opportunities, resources, education, healthy food, healthcare, etc (probably entrenched not only in economic, political, and social systems but also epigenetics; maybe even genetics since toxins and other substances, such as oxidized seed oils in cheap processed foods, can act as mutagens which can permanently alter inherited genes; and so inequality gets built into biology, individually and collectively, immediately and transgenerationally). Certain economic sectors tend toward such greater or lesser inequities, and this generally corresponds to residential patterns. But the correlation is hardly causally deterministic, considering the immense variance of inequality among advanced Western countries with more similar cultural and political traditions (party-based representative democracies, individualistic civil rights, and relatively open market economies).

The economic pattern is far different between rural states and urban states, specifically mass urbanization as it’s taken shape over the generations, and it has much to do with historical changes (e.g., factories closed in inner cities and relocated to suburbs and overseas). In big cities, many large populations of the poor (disproportionately non-white) have become economically segregated and concentrated together in ghettoes, old housing, and abandoned industrial areas (because of generations of racist redlining, covenants, loan practices, and employment). These are the least healthy people living in the least healthy conditions (limited healthcare, lack of parks and green spaces, lead toxicity, air pollution, high stress, food deserts, malnutrition, processed foods, etc), all strongly tied to COVID-19 comorbidities. In these population dense and impoverished areas, there is also a lack of healthcare infrastructure and staffing that is especially needed during a public health crisis, and what healthcare exists is deficient and underfunded.

To complicate things, such densely populated areas of mass urbanization make public health difficult because there are so many other factors as well. Particularly in American cities with immigrant and ethnic residents historically and increasingly attracted to big cities, additional factors include diverse sub-populations, neighborhoods, housing conditions, living arrangements, places of employment, social activities, etc. And all of these factors are overlapping, interacting, and compounding in ways not entirely predictable. This might be exacerbated by cultural diversity, since each culture would have varying ways of relating to issues of health, healthcare, and authority figures; such as related to mask mandates, vaccination programs, etc. It would be challenging to successfully plan and effectively implement a single statewide or citywide public health policy and message; as compared to a mostly homogeneous small population in a small rural state (or even a mostly homogeneous small population in a small urban country).

Also, disease outbreaks in big cites and metropolitan areas are much harder to contain using isolation and quarantines, as many people live so close together in apartment buildings and high-rises, particularly the poor where larger numbers of people might be packed into single apartments and/or multiple generations in a single household, and that is combined with more use of mass public transit. This came up as an issue in some countries such as in Southern Europe. Italians tend to live together in multigenerational households and tend to take in family members when unemployed. Combined with poverty, inequality, and policies of economic austerity, the Italian government’s struggle to contain the COVID-19 pandemic made it stand out among Western countries, such that it early on showed potential risks to failing to quickly contain the pandemic. But, in many ways, it might have been as much or more of a sociocultural challenge than a political failure.

On the completely opposite extreme, the Swedish have the highest rate in the world of people living alone, but also some of the lowest poverty and inequality in the world. So, even though Sweden is heavily urbanized (88.2%), contagious disease control is easier; particularly with an already healthy population, universal healthcare, and a well-funded public health system (no economic austerity to be found in Swedish social services). Indeed, they only had to implement moderate public measures and, with a high trust culture, most of the citizenry willingly and effectively complied without it becoming a politicized and polarized debate involving a partisan battle for power and control. By the way, Sweden has a national population only slightly above NYC but less than the NYC metro. Of Nordic cities, Stockholm is the largest in area and the most population dense: total density (13,000/sq mi), urban density (11,000/sq mi), and metro density (950/sq mi). New York City has about two and a half times that urban density.

Then again, all of that isolated urbanization takes it’s toll in other ways, such as a higher suicide rate (is suicide contagious?). It is one of the most common causes of death in Sweden and the highest rate in the West; in the context of Europe being one of the most suicidal continents in the world, although it’s Eastern Europe that is really bad. Among 182 countries, Sweden is 32nd highest in the world with 13.8 suicides per 100,000; compared to Italy at 142nd place with 5.5 suicides per 100,000. That is two and half times as high. But, on a positive note, COVID-19 seems to have had no negative impact in worsening the Swedish suicide epidemic (Christian Rück et al, Will the COVID-19 pandemic lead to a tsunami of suicides? A Swedish nationwide analysis of historical and 2020 data), as presumably being socially isolated or at least residentially isolated is already normalized. If anything, suicidal inclinations might become less compelling or at least suicide attempts no more likely with the apparently successful response of the Swedish government to COVID-19, especially combined with the Swedish culture of trust. Not that global pandemic panic and local pandemic shutdown would be a net gain for Swedish mental health (Lance M. McCracken et al, Psychological impact of COVID-19 in the Swedish population: Depression, anxiety, and insomnia and their associations to risk and vulnerability factors).

So, theoretically, public health during pandemics doesn’t necessarily have to be worse in large dense urban areas, as other factors might supersed. But, unfortunately, it apparently was worse in the US under present (social, economic, and political) conditions, however those conditions came about (a whole other discussion barely touched upon here). Many of the states that fared badly are massively larger than Sweden. As seen with New York City, the US has cities and metros that are larger than many countries in the world. These unique conditions of not merely mass urbanization but vast urbanization have never before existed in global history. The US population now in the COVID-19 outbreak is more than three times larger than during the 1918 Flu. The five boroughs of NYC have almost doubled in population over the past century with Queens almost five times as populated, and surely the NYC metro area has increased far more.

Places like Houston, Los Angeles, Chicago, and New York City are hubs in immense systems of commerce, transport, and travel with heavily used airports and sea ports, interstate highways and railways, a constant flow of people and products from all over the country and the world (the rise of mass world travel and troop transport was a key factor in the 1918 Flu, helping it to mutate and spread in the deadly second and third waves). Systems thinking and complexity theory have come up in our studies and readings over the years, including in discussions with our father whose expertise directly involves systems used in businesses and markets, particularly factory production, warehousing, and supply chains. Those are relatively simple systems that can to varying degrees be analyzed, predicted, planned, and controlled. But massive and dense populations in highly connected urban areas are unimaginably complex systems with numerous confounding factors and uncontrolled variables, unintended consequences and emergent properties. Add a pandemic to all of that and we are largely in unknown territory, as the last pandemic in the US was over a century ago when the world was far different.

Also, there is there is the issue of how systems differ according to locations and concentrations of various demographics, specifically in contrasting the privileged and underprivileged. That goes back to the issue of poverty, inequality much else. A major reason we’ve had so many problems is because most politicians, lobbyists, media figures, public intellectuals, and social influencers involved in the ‘mainstream’ debate that gets heard and televized are living in separate comfortable, safe, and healthy communities, as separate from both the rural and urban masses, particularly separate from minorities, the poor, and the working class (see: Mental Pandemic and Ideological Lockdown). We could note that the individual who originally showed us the graphed data, as mentioned at the beginning of the post, is of this typical demographic of wealthier urban white who has never personally experienced impoverished population density (AKA slums or ghettoes). And even though urban, like us, he lives in this same rural state with clean air surrounded by open greenspace of parks, woods, and farms; not to mention being smack dab in the middle of the complete opposite of a food desert. This could be why our reference to ‘populated’ states could gain no purchase in his mind and imagination.

Obviously, as complex systems, the densely populated big cities and metros described above aren’t isolated and insular units, contained and controlled experiments. Their populations and economies are inseparable from the rest of the global society, even more true in this age of neoliberal globalization. That would complicate pandemic response in dealing alone with either excess deaths per capita or job loss per capita, but that would exacerbate further the even greater complexity of finding a balance between the two. When these major centers of industrial production, service industry, commerce, trade, transportation, marketing, and finance get shut down (for any reason) and/or when other closely linked major centers get shut down, it severely cripples the entire economy and employment of the state, even ignoring the potential and unpredictable pandemic threat of overwhelmed hospitals, death toll, and long-term health consequences. Economic and public health effects could ripple out and in with secondary and tertiary effects.

It’s not anything like less populated rural farm states and natural resource states where, no matter what is going on in the rest of the country and world, the local population is more isolated and the local economy usually keeps trucking along. The Iowa economy and housing, for example, was barely affected by the 2008 Recession. Indeed, for all its failed state leadership in dealing with COVID-19, low inequality and low poverty Iowa was below average on both job losses and excess deaths. So, if Iowa could do better than most states, in spite of horrible leadership by the Trump-aligned Governor Kim Reynolds (even our Republican parents despise her handling of the crisis), maybe governments in other states also don’t necessarily deserve as much of the blame or credit they are given, at least not in terms of the immediate pandemic response, although long-term public health planning and preparation (over years and decades) would still be important.

That is to say, the situation is complicated. Yet we seem to know what are some of the key complications, however entangled they may be as potentially causal or contributing. It’s a large web of factors, but strong correlations can be discerned, all of it mostly following already known patterns, but of course we are biased in what we notice according to our focus. The data gathered and analyzed this past year, as far as we can tell, is not fundamentally different in nature than any other data gathered and analyzed over the past century. So, even though COVID-19 is a highly unusual event, what is seen in the data isn’t likely to be surprising, even if requiring multiple layers and angles of interpretation. Still, unexpected results would be welcome in possibly indicating something new and interesting. Serious study of this pandemic has barely begun. The data will keep rolling in. Then decades of debate and theorizing will follow. Some of the observations offered here might to varying degrees stand the test of time, such as the well-established inequality links, but surely much of it might prove false, dubious, misleading, or partial. Many questions remain unanswered and, in some cases, unasked.

Face Masks and Novel Coronavirus

There has been much discussion about wearing face masks. The basic purpose is to prevent the spread of viruses, specifically the novel coronavirus, although many masks will also protect against bacteria, air particles, pollutants, and fumes. As for viruses, there are two sides to the equation, what protects you from exposure if others are infected and what protects others from exposure if you are infected. Some argue that basic cloth masks are only effective for protecting others and so you have to hope every infected person around you is wearing a mask. For many of us who aren’t immunocompromised, our main concern is more about protecting others in case we become infected — mask-wearing is caring.

Now about the kinds of mask. I don’t know about elsewhere, but this town has been flooded with cloth masks. Our family has a wide selection of different designs and styles, some procured from workplaces and local organizations while others made with love by family members. Finding a mask that works for each individual is a challenge, as form-fitting, ear comfort, and breathability are the desired traits of a good mask. However, for those who do have health concerns and find themselves in the vulnerable demographics, there are even greater issues for a quality mask. This is where one turns to products being sold, some cheaper and others not so much. The more advanced ones offer higher levels of filtration than an N95 of KN95.

The Vogmask apparently is one of the better face masks on the market. It’s popular and, according to research, highly effective; if pricey. It’s comparable to the also popular and effective Cambridge face mask. Vogmask and Cambridge are basically the same design and material — a person working at one of the companies supposedly left to start the other company. Cambridge seems to be the more well established of the two. They’ve been top ranked for years now, whereas Vogmask is only now catching up, but determining which is better depends on many factors. One would have to look more closely at comparisons in making a decision.

Furthermore, there are similar quality products from Dettol, Breathe Healthy, Airinum, Debrief Me, OnroadCo, and other companies. Another option is Respro that has replaceable filters, but they have to be replaced every month and aren’t cheap either (Product Review: Respro vs. Vogmask Personal Air Pollution Masks). Some claim Cambridge and Respro offer higher filtration than Vogmask (Vogmask Review – All You Need To Know | Breathe Safe AirCambridge Mask – The Best Reusable Respirator? | Breathe Safe Air; & What Are The Differences Between Vogmask and Cambridge Mask for Chronic Illness? A Comprehensiv, e Review), but it’s confusing as Vogmask has different products with different standards depending on the country. Some of these comparisons are about filtration of pollution, allergens, and such; not necessarily viruses.

Even if Cambridge overall might be better, some claim that, “When it comes to viral protection, Vogmask is the better choice” (Reusable Masks – Cambridge Mask Vs Vogmask | Breathe Safe Air). For purposes of control of viral infection, the masks without valves are preferable, assuming you care about the lives of others (A Growing Body Of Research Highlights The Importance Of Wearing Face Masks). It might be added that other companies produce face masks with high viral filtration: Respro, Re-Mask, O2 Canada, and Debrief Me (12 Best Reusable Respirators – Cambridge Mask Alternatives). Re-Mask and Aropec offers a face mask without a valve; Aropec is another great anti-viral mask (Aropec Anti-Viral Mask Review – 99% Reduction in Viruses). For something really different, consider the Purely KN95 Mask which has a small attached fan that increases flow of fresh, filtered air into mask.

Some complaints about Vogmask are what one hears with any such face mask. For example, they can be hard to breathe in but others don’t find this problematic. Vogmask does make products with one or two valves to ease exhalation. One reviewer preferred Vogmask, even though it could fog up his glasses, a problem he said he had with every other kind of mask he had tried (maybe he has an oddly shaped face). Another issue is they only protect well to the degree they fit well. A benefit of Vogmask is that they come in multiple sizes and a cinch strap can be added to improve a tighter fit.

If you want to know the technical details of each kind of Vogmask product, there is a page that gives the specs and includes info on government standards and test results: “95% Particle Penetration Filtering Efficiency, Filter class provides >99.9% Viral and Bacterial Filtering Efficiency, Safe and Comfortable Breathing Resistance, Valves Tested for inward valve leakage.” Also, see the third-party analysis from Nelson Labs, Viral Filtration Efficiency (VFE) Final Report. As a side note, Nelson Labs has also tested the products of Cambridge and Re-Mask. One reviewer pointed out, though, that they had to request Cambridge’s test results, as opposed to Vogmask that publicly shares their lab certificates — greater transparency is commendable.

By the way, “Vogmask products are also long-lasting – their obsolescence date is 3 years from the date of the manufacturing; the masks can be safely used for about 1 year in moderately contaminated environments and for 5-6 months in environments contaminated with high levels of particulate matter in the air” (Our Vogmask Review for Wildfire Smoke and Air Pollution). Someone else suggested it could be used longer: “The middle filter layer can be used for up to three years, but most users replace with a new one every year” (Coronavirus: Reusable Masks That Work).

Below are some reviews. Keep in mind that some of the reviews are more recent than others. Vogmask has put out new and improved face masks the past few years, which may include changes made since the beginning of the COVID-19 pandemic. So, it’s not clear how the present line of Vogmask products might compare against the other brands. At the very least, it’s safe to say that they are among the best available. On the other hand, not all Vogmask products are equal, as they offer different levels of filtration; and so shop carefully for your individual needs and purpose.

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Vogmask Review For Pollution and Allergies (Plus Head Strap)

Vogmask N99 (what does N99 mean)

If you’re wondering what N99 means you’re not alone. Labeling on face masks can be confusing.

N99 is the mask’s efficiency level. Pay close attention to the number 99. On a face mask marked 99 it will filter 99% of particulates 2.5 in the air. Particulate matter 2.5 are particles that measure 2.5 micrometers and are a mixture of solid and liquid droplets floating in the air (they are invisible to our eyes).

Particulate matter creates the haze we often see in the sky and the particles are so small the can be inhaled deep into our lungs. The strongest efficiency levels are usually 99% and 95% for allergy masks.

An N99 mask won’t protect against oil based pollutants, however Vogmask also uses a carbon filter in their masks that trap chemicals and oil based pollutions. Think of the mask as a dual filter.

If you use a surgical mask you likely won’t be getting the PM 2.5 protection or the carbon filter. A Vogmask will protect from PM 2.5 and comes with a carbon filter too!

Vogmask Review – The Most Stylish Anti-Pollution Facemask?

Vogmask: effectiveness and protection against viruses

Vogmask is well-known over the globe. It had undergone extensive evaluations in different regions worldwide.

In South Korea, it was awarded KF94 certification from the Ministry of Food and Drug Safety. China also issued a certificate KN-95, which means that Vogmask meets a 95% filtering limit for particles under .3-micron size.

Vogmasks were reviewed and certified by the National Institute for Occupational Safety and Health, as well as the Center for Disease Control and Prevention. Models like Vogmask N95 are proven to filter approximately 95% of particles found in the air. It’s also one of the most common face equipment available for the public.

The primary purpose of a Vogmask is protection against airborne particles, allergens, germs, odors, and scents. It can also intercept other various contaminants. Vogmask products are proven to be 99.9% effective again 0.3, 2.5, and 10-micron particulate matter (air particles). They can also filter dust particles with a size smaller than 0.254 microns.

What about other dangerous viruses like COVID-19?

Theoretically, N95 can be effective even against coronavirus. But the results of a Vogmask review conducted in 2014 have shown ambivalent outcomes. But it’s mostly because the results are hard to measure retrospectively and not due to how they perform.

At the same time, clinical reviews suggest that Vogmask N95 offers undeniable protective advantages over standard medical masks.

There’s also Vogmask N99, which is available in microfiber and organic cotton versions. It offers two built-in valves, which provide multi-layered filtration of microns with a size smaller than 0.3-microns.

Numerous Vogmask reviews argue that this gear offers an appropriate level of protection to ward off viruses and bacteria. The current Viral Filtration Efficiency stands at about 99% for the abovementioned N95 and N99 Vogmask models.

Vogmask Review (Effective For Dust And Allergies?)

Does Vogmask Filter Out Viruses?

One of the common questions raised is whether Vogmask is effective in protecting against viruses, particularly flu. It is known that N95 masks are certified to block 95% of PM2.5 particles but is it effective for viruses?

A study in Hong Kong involving 407 participants has shown that surgical mask is effective to reduce the spread of influenza viruses. Typical surgical facemask offers lower filter protection than N95 masks.

As Vogmask is N95-rated, it is fair to state that it offers reasonable protection against the flu virus. However, it is important to note that different types of viruses may have different sizes. In another study, it is found that the penetration rate of viruses measuring 10nm – 80 nm may exceed the 5% threshold.

Vogmask Review – All You Need To Know | Breathe Safe Air

One thing that I appreciate with Vogmask is that they provide links to their lab certificates. Not many mask creators show these certificates publicly, however, Vogmask has them available to everyone.

Vogmask conforms to the KF94 standard from South Korea. This is a globally recognised standard for fine dust protection and is roughly equivalent to FFP2, and performs slightly worse than N95.

The masks also conform to the N95 standard but they do NOT hold an official N95 rating (CDC). That is to say, Vogmask meets the N95 standard for filtration efficiency (< 95%) however, it does not hold an N95 rating (Vogmask).

Vogmask also conforms to the NIOSH standards for inhalation and exhalation resistance along with valve leakage. This means that Vogmask should be comfortable to breathe through (Vogmask).

On top of this, these masks also features bacterial and viral filtration, and have been tested by Nelson Labs for each.

For bacteria at 3 ± 0.3 micrometres, the masks feature 99.9% filtration. This will provide filtration against many, but not all, kinds of bacteria. It is worth noting, however, that even though they may not be tested for it, many masks are capable of filtering even smaller particles (Vogmask).

For viruses at 3 ± 0.3 Vogmask also features 99.9% filtration. This means that Vogmask will be very efficient at filtering larger viral particles. Many viruses are smaller than 3 micrometres, however (Vogmask). If you are interested in an anti-viral mask, check out the Aropec anti-viral mask.

As mentioned earlier, it is important to note that while Vogmask does not guarantee any protection against smaller particles, that some N95 respirators are quite effective at small particle filtration even though they are not rated for it (3M).

Since Vogmask is not officially rated as N95, and since N95 is rated for filtration at 0.3 micrometres, there is no guarantee that your mask will filter viral particles. However, respirators do tend to provide some protection against smaller particles.

Compared to other masks on the market, Vogmask sits in the middle of filtration efficiency. There are some masks which perform better – certain Cambridge Mask (N99 equivalent) and Respro (FFP3) models perform better, at least in regards to fine dust filtrationRe-Mask masks also offer more filtration, along with the Earth Filters that the company makes.

However, there are also many reusable masks that are rated around N95, and many hold no rating at all. Vogmask is a mask that you can trust to provide around 95% filtration for fine dust particles – provided of course, that it is fitted correctly.

Another interesting fact that I came across while researching was that Vogmask appears to offer different models to different regions. Vogmask.com sells the models listed above and is targeted at a U.S audience. These masks have a KF94 rating.

However, Vogmask-Europe.com offers N99CV and N99 organic models. These masks are rated KF94, KN95, and claim to meet N99 criteria (but as with the U.S models, they do NOT have an N99 certification).

These masks also hold the FFP1 R rating, which is (according to Vogmask support) due to their small size when is intended for youths.

Therefore, rather confusingly, it appears that EU Vogmask models meet (but don’t hold) N99 certification. U.S (and global) models meet (but don’t hold) N95 certification.

Coronavirus: Reusable Masks That Work

1. Vogmask
Vogmask can filter particles as small as 0.254 microns in the air (including PM 0.3 / PM 2.5 / PM 10 suspended particles), such as bacteria, viruses, allergens, dust, odors, mold spores, mold, volcanic particles, etc. Proven to be very useful against air pollution.

2. Breathe Easy
Breathe Healthy uses advanced AEGIS antibacterial treatment technology to form a colorless, odorless, positively charged antibacterial protective layer on the surface of the product. When exposed to microorganisms, the C-18 molecules in the protective layer will pierce the cell membrane and let the charge impact the cells. After testing, the protective layer on the mask continues to be effective throughout its useful life. It can filter particles as small as 1.0 micron in the air, prevent the body from inhaling airborne bacteria and allergens, and is very helpful for preventing flu and reducing the incidence of asthma .

3. Cambridge Mask
Known as the British pollution solution, the filtration system of Cambridge Mask™ combines a particulate filter layer and a military-grade carbon filter. It has been tested by the Nelson Lab in the United States and has been certified to meet the N99 particle filtration standards. Particulate contamination provides nearly 100% protection. The inner layer of the mask is a military-grade carbon filter developed by the British Ministry of Defence to filter out viruses, bacteria and gaseous pollutants such as volatile organic compounds (VOC), ozone, benzine and formaldehyde.

Cambridge Masks are available in two versions:
Cambridge Mask BASIC meets N95 standards, can filter 95% of particles, bacteria and viruses in the air. It can be used for 90 hours.
Cambridge Mask PRO Meet N99 (higher than N95) standards, can filter 99.6% of particles, bacteria and viruses in the air. It can be used for up to 340 hours.

Do Air Masks Help With Pollution? Which Ones Actually Matter?

Dettol Air Mask: Amazon India and Dettol have launched an air mask that claims to protect you from haze, dust, pollen. It is has an adjustable nose that fits the face and is air tight. It comes with two filters and has ear loops that can be adjusted. The mask is all black and comes with its pouch. The air mask is priced at Rs. 699.

The Vogmask: The Vogmask claims to be better than the N95 masks that are available on the market. These come in all shapes, sizes, and styles. The Vogmask is however a bit on the expensive side. It starts at Rs. 2,000. On the other hand, you can hand wash them and you can use for longer period of time.

These Vogmask masks also have a second layer that helps you deal with stuffiness during summer – however we still found it stuffy to wear. But it could be because we have been just getting used to the concept of covering our noses. So, whether you are a runner, cyclist or even a brisk walker. you should check this one out.

Cambridge Masks: These are made a bit differently but results are similar to the Vogmask. There are three layers to this mask – one to block dust, other to curb PM 2.5 particulate matter and the last layer is to fight bacteria. The Cambridge masks were launched in China first, and now, they are in India starting at Rs. 2000, hoping to influence users.

10 Fashionable Face Masks People With Chronic Illness Recommend

Vogmask is a filtering respirator intended for general public use that can help protect you against allergens, poor air quality and airborne contaminants. It can filter out up to 99 percent of airborne particles. To be effective, a respirator must be sized to fit tightly against your face and create a seal. They are also known for being hot and uncomfortable to wear. The experience has been described as breathing through a blanket, and may not be an option for those who have difficulty breathing. Some come with an exhaust valve to increase their comfort. […]

Padi may be a dive training organization, but its affiliated Padi Gear website offers athletic wear, now including face masks. Padi Gear’s face masks, which feature five different sea-themed patterns, are made from recycled plastic. The multilayered mask is designed to be breathable, and each masks comes with five carbon filters. Padi Gear masks are secured using elastic ear straps. […]

Rafi Nova masks offer three layers of cotton fabric with a built-in filter that is designed to make these face masks both effective and breathable. These masks also have an additional pocket to add another filter layer. The company offers the masks in several types of straps, from ties to around-the-ear elastics. Rafi Nova also makes a mask with a clear panel in the front for those who are Deaf or hard of hearing. […]

Breathe Healthy face masks are designed to protect against dust, pollen, allergens and the flu. It is made with an antimicrobial agent that kills germs and lasts as long as the mask, even after multiple washings.[…]

This neoprene respirator is designed for landscaping or outdoor work, but it provides all-purpose protection and can filtrate up to 99.9 percent of all particulates and dust. Its dual-valve exhaust provides one-way easy breathing, expels moisture and optimizes temperature. […]

Cambridge masks are washable and reusable. They can filter out almost 100 percent of particulate matter, allergens or irritants, air pollution and harmful airborne pathogens such as viruses and bacteria.

Buying face masks with filters? Here’s what medical experts recommend.

1. Avocado Green Mattress Organic Cotton Face Mask
The maker of eco-friendly mattresses is making 100-percent organic cotton fabric face masks available in packs of four. They can allow for a separate filter to be inserted. The brand has so far made more than 130,000 non-medical grade masks, and will be donating on percent of sales to the EcoHealth Alliance.

2. Casetify Reusable Cloth Mask
The technology brand is pivoting to making reusable masks. The masks come in five different colors and are made of cotton material — plus, they come already fitted with a filter, plus two additional ones. For every mask sold, Casetify will donate a surgical mask to a medical worker in need via Direct Relief. The company is also selling packs of 10 interchangeable carbon filters.

3. Hedley & Bennett The Wake Up & Fight Mask
These reusable masks come in plenty of different styles and are designed to be used with a filter, such as a HEPA filter, inserted within the fabric. The masks were developed with a pediatric orthopedic surgeon and are one-size-fits-most. Each purchase provides a mask for you and a donation of one for a frontline worker.

4. Honeycomb Carbon Filter Masks (Out of Stock)
This mask comes with a disposable carbon filter inside layers of cotton and polyester. The outer layer is mesh and comes in five different colors. These masks are both washable and reusable.

5. Kinglight
These activated carbon filters come in packs of 10, and are made of non-woven fabric and cotton. The filter’s five layers effectively filter out emissions, exhaust and other particulates.

6. Ministry of Supply Mask Kit (Pre-Order)
Each mask, made of washable fabric, comes with 10 disposable filters. The masks are made out of 3D Print-Knit technology, a knit that’s 3D printed. For each mask sold, the company is donating a mask to frontline healthcare workers at Boston Medical Center.

7. OUBA Face Mask Filters
These individual filters are made with activated charcoal and five layers of cotton. These filters help filter out particulates like pollen, exhaust and allergens. Filters come in packs of 20 disposable filters and can easily be inserted to any mask with a pocket.

8. Public Goods K95 Face Masks (Out of Stock)
These non-medical masks are KN95-certified, meaning they adhere to the Chinese standards for respirator masks, according to the CDC. These masks include five layers of polypropylene and cotton filters and have a nose clip to fit the mask more tightly to your face.

9. Vida Mask Filter Replacements
The retailer is selling non-medical face masks, in addition to packs of five insertable filters designed to block airborne contaminants. VIDA recommends users change out the filter every seven days.

10. Vistaprint Face Masks
The printing company has created their own reusable masks that allow for a filter to be inserted. The masks come in three colorful designs and have four filtration layers: a textile exterior, replaceable fiber filter, a cloth layer and a 100-percent cotton inner layer. The company is also selling packs of 10 disposable filters, that can be used for up to 12 hours.

11. Vogmask
These filter masks claim to filter out airborne particulate .3 microns or larger, and additionally come with an exhalation valve and noseband for a tighter fit. The mask is made out of cotton and spandex, and comes in five sizes — and plenty of colorful designs. Most masks are currently sold out, but expected to be restocked soon.

Mental Pandemic and Ideological Lockdown

“Don’t let anyone arguing to “reopen the economy” get away with “we have to let people work to stay alive.” That’s a rhetorical trick aimed at suckering you into accepting their toxic worldview. The real question is this: how did the richest nation in the world get into a mess like this in the first place?”
~Sam Smith, How Many Dollars Is a Life Worth (and Why Did We Choose This)?

If you’re familiar with low-carbohydrate diet debate, you’d know one of the big names is Ivor Cummins, AKA the Fat Emperor. He isn’t a health professional but a chemical engineer by training. For some reason, several engineers and others in technological fields have become major figures in the alternative health community, especially diet and nutrition along with fasting, sometimes in terms of what is called biohacking. They have the skill set to dig into complex data and analyze systems in a way most doctors aren’t able to do. Cummins runs a health podcast, is active on social media, and has a large following. His popularity is well deserved.

He has been on our radar the past couple of years, but recently, along with Dr. Paul Saladino, he has been at the center of contentious debate about COVID-19 and lockdowns. Besides seeing his active Tweeting, we were reminded of him with some commentary by Chuck Pezeshki, another thoughtful guy we respect (see his post, The Curious Case of the Fat Emperor — or How Not Understanding How to Merge Knowledge is Creating a Culture War). Here is Pezeshki’s description of Cummins: “What is most interesting is that he was not only a systems integrator — someone who floats between the different disciplines churning out various subsystems for complex products. He was a “systems system integrator” — where he was in charge of a team of systems integrators. The first-level integration positions are relatively common. Boeing has a whole employment line dedicated to Liaison Engineering, which they pronounce “Lie – a -zon”. The second tier up — not common at all.” So, not an average bloke, by any means.

We agree with Cummins in sharing his views on the importance of diet and metabolic health. Right from the beginning, we had the suspicion that COVID-19 might never have reached pandemic levels if not for the fact that the majority of people in the industrialized world now have metabolic syndrome — in the US, 88% of the population has some combination of major metabolic issues: obesity, diabetes, pre-diabetes, insulin resistance, heart disease, liver disease, etc. These conditions are prominently listed as comorbidities of COVID-19, as metabolic health is inseparable from immune system health. Also, we’re in line with his anti-authoritarian attitude. Like Cummins, on principle, we’re certainly not for top-heavy policy measures like lockdowns, unless there is good justification. Yet early on, there was strong justification as a response to emergency conditions and many, including Cummins, initially supported lockdown.

Since then, he has become a strident opponent and, even as his heart seems in the right place, we find his present approach to be grating. He has become ideologically polarized and has fallen into antagonistic behavior, including dismissive name-calling. This doesn’t encourage meaningful public debate. We’re trying to resist being pulled into this polarized mentality in looking at the situation as dispassionately as possible, especially since we have no desire to dismiss Cummins who we otherwise agree with. We’re not even sure we exactly disagree about lockdowns either, as we feel undecided on the issue with a more wait-and-see attitude in anticipating a possible worst second wave if caution is thrown to the wind with a simultaneous ending of lockdown, social distancing, and mask-wearing as is quite likely in the United States. The public attitude tends toward either it’s the Plague or it’s nothing, either everything must be shut down or there should no restrictions at all.

Cummins strength is also his weakness. As an engineer, his focus is on data, not on the messy lived experience of humans. In his recent Tweeting, he is constantly demanding data, but it feels like he is overlooking fundamental issues. Even if there was good enough data available, we only have data for what is measured, not for what is not measured. About lockdowns, the confounding factors in comparing countries are too numerous and there are no controls. But to his engineering mind, data is data and the details of human life that aren’t measured or can’t be measured simply are irrelevant. Engineering is a hard science. But how societies operate as complex systems — that are living and breathing, that have billions of moving parts — can’t be understood the same way as technical systems to be managed in a corporate setting, as is Cummins’ professional expertise. He appears to have no knowledge of sociology, anthropology, psychology, cultural studies, philosophy, history, etc; that is to say he has no larger context in which to place his demands for ‘data’.

The dietitian/nutritionist Adele Hite hit the nail on the head in a response she gave in another Twitter thread: “You know data is never *just* data, right? It comes from somewhere, is collected, displayed & interpreted via some methods & assumptions & not others. […] Take a few science studies courses? maybe some science history? or just read some Bruno Latour & get back to me. It’s not nihilism to recognize that there is no such thing as a “view from nowhere” (the context of her comment, I presume, is here working on a PhD in communication, rhetoric, and digital media that, as she says on her official website’s About page, taught her “to ask questions I couldn’t have even articulated before”). She also points out the importance of listening to scientists and other experts in the specific fields they were educated and trained in, as expertise is not necessarily transferable as demonstrated by the smart idiot effect that disproportionately affects the well-educated.

According to his standard bio found around the web, Cummins “has since spent over 25 years in corporate technical leadership and management positions and was shortlisted in 2015 as one of the top 6 of 500 applicants for “Irish Chartered Engineer of the Year”.” That means he is a guy who was shaped by the corporate world and was highly successful in climbing the corporate career ladder. He then went on to become an entrepreneur as a podcaster, blogger, author, and public speaker. That is to say he is a high-achieving capitalist within the businesses of others and his own business, not to mention an individual having benefited from the status quo of opportunities, privileges and advantages afforded to him. The sticking point with lockdowns is that they don’t fit into the ruling capitalist ideology or at least not its rhetoric, although oligopolistic big biz like Amazon and Walmart does great under lockdown.

Our own biases swing in a different direction. We’ve had working class jobs our entire lives and presently we’re unionized public employees. Opposite of someone like Cummins, we don’t see capitalism as the great salvation of humanity nor do we blame lockdowns for economic decline and failure that preceded the pandemic for generations. All that has changed is that the moral rot and psychopathic depravity of our society has been exposed. That brings us to our main point of contention, that of a typically unquestioned capitalist realism that has been forced to the surface of public awareness with pandemic lockdown, as previously touched upon with the issue of what David Graeber calls bullshit jobs (Bullshit Jobs and Essential Workers).

Though lacking a strong view on lockdowns, we do have a strong view of those with strong views on lockdowns. It is hard to ignore the fact that those who are most vocal about reopening the economy are those whose lives are least at risk, those not working in service jobs (Their Liberty and Your Death). One might note that Cummin’s precise demographic profile (a younger, healthier, wealthier, white Westerner) is the complete opposite of the demographics hardest hit by COVID-19 and problems in general (the elderly, the sick, the poor, and minorities); though to his credit, he has spoken about the importance of protecting vulnerable populations, even if his understanding of vulnerability in our kind of society is ideologically and demographically constrained.

Here is the point. You won’t hear many working poor people, especially disadvantaged minorities, demanding to have the right to risk their lives and their family’s lives to work poverty wages, few benefits, and no affordable healthcare to ensure the capitalist ruling elite maintain their high levels of profits. Imagine how frustrating and disheartening it must be to be poor and/or minority as you listen to wealthy white people who are healthy and have great healthcare discuss lockdowns versus reopenings when the infection and mortality rates in your community is several times worse than in the rest of the country (Jared Dewese, Black people are dying from coronavirus — air pollution is one of the main culprits; Jeffrey Ostler, Disease Has Never Been Just Disease for Native Americans).

Think about this: “black people are more than 3.5 times more likely to die of COVID-19 than white people, and Latino people are nearly twice as likely to die of the virus as white people” (Bill Hathaway, New analysis quantifies risk of COVID-19 to racial, ethnic minorities); now increase that death rate several times higher when comparing poor minorities to wealthier whites, high inequality locations to low inequality locations, et cetera. And it’s even worse for other minorities: “In Arizona, the Indigenous mortality rate is more than five times the rate for all other groups, while in New Mexico, the rate exceeds seven times all other groups” (APM Research Lab, THE COLOR OF CORONAVIRUS: COVID-19 DEATHS BY RACE AND ETHNICITY IN THE U.S.). For those important people on the corporate media or the thought leaders on social media, COVID-19 for their own communities really might not be any worse than the common flu. Meanwhile, for disadvantaged populations, COVID-19 could be described as nothing other than a pandemic in the fullest sense. Yet the fate of these disadvantaged is being decided by the very people disconnected from the reality of those who will be most harmed.

Let’s put this in context of a specific example — in the District of Columbia where so many powerful people, mostly whites, live in determining public policy, blacks are only 44% of the population but 80% of the COVID-19 deaths. Many states show immense disparities: “In Kansas, Black residents are 7 times more likely to die than White residents. In Wisconsin and Washington D.C., the rate among Blacks is 6 times as high as it is for Whites, while in Michigan and Missouri, it is 5 times greater. In Arkansas, Illinois, New York, South Carolina, and Tennessee, Blacks are 3 times more likely to die of the virus than Whites. In many states, the virus is also killing Black residents several multiples more often than Asian and Latino residents” (APM Research Lab).

It’s not only that minorities are more likely to die from COVID-19 but more likely to get infected with SARS-CoV-2 in the first place and so this is another multiplier effect as measured in the total death count. This is exaggerated to an even greater extent with poor brown people in some developing countries where COVID-19 is also killing large numbers of the young (Terrence McCoy & Heloísa Traiano, In the developing world, the coronavirus is killing far more young people; Louise Genot, In Brazil, COVID-19 hitting young people harder). COVID-19 may be a disease of the elderly and sick among well-off white Westerners, but to other demographics the entire population is vulnerable. Furthermore, mostly ignored in Western data are poor whites and rural whites or even middle aged whites — all of which, in the United States, have shown increasing mortality rates in recent years. There is no data, as far as we know, with a demographic breakdown of deaths within racial categories. Then there is the issue of pollution, in how it increases vulnerability and maybe in how it could help spread the virus itself by riding on air pollution particles, and of course pollution is concentrated where poverty is found — keep in mind that pollution alone, without pandemic, is linked to 40% of deaths worldwide (Socialized Medicine & Externalized Costs; & An Invisible Debt Made Visible); combine that with COVID-19, pollution is then linked to 80% of deaths (Damian Carrington, Air pollution may be ‘key contributor’ to Covid-19 deaths – study). [For more resources on the inequities of COVID-19, see ending section of this post.]

By the way, we appreciated that Chuck Pezeshki did touch upon this kind of issue, if only briefly: “The problem is that because COVID-19 is truly novel, ringing that bell, while it may daylight the various ills of society, it also at the same time obscures responsibility for all the various ills society has manifested on all its various members. I have a whole essay, almost written, on the meatpacking plant fiasco, which is really more of a damning indictment of how we treat people at the bottom of the economic ladder than the COVID-19 crisis. For those that want the short version — we keep them trapped in low wage positions with no geographic mobility, with undocumented status, and poor education so they have no choice but to continue their jobs. COVID-19 is just an afterthought.” It’s too bad such understanding hasn’t been included to a greater extent in public debate and news reporting.

This is a situation about which everyone, of course, has an opinion; still, not all opinions come with equal weight of personal experience and implications. Being forced to potentially risk your health and maybe life while on the frontlines of a pandemic creates a different perspective. We are more fortunate than most in having a decent job with good pay and benefits. But similar to so many other working class folk with multigenerational households, if we get infected in our working with the public, we could become a disease vector for others, including maybe bringing the novel coronavirus home to family such as our elderly parents with compromised immune systems. The working poor forced to work out of desperation have no choice to isolate their vulnerable loved ones in distant vacation homes or highly priced and protected long-term care centers.

Meanwhile, some of the well-off white Westerners dominating public debate are acting cavalier in downplaying the concerns of the vulnerable or downplaying how large a number of people are in that vulnerable space. We’ve even seen Ivor Cummins, an otherwise nice guy, mocking people for not embracing reopenings as if they were being irrational and cowardly — with no acknowledgement of the vast disparities of disadvantaged populations. Imagine trying to have a public debate about government policy in a city or state where the poor and minorities are two to seven times more likely to die. Does anyone honestly think the poor and minorities would be heard and their lives considered equally important? Of course, not. No one is that stupid or naive. Now consider that the disparities of wealth, pollution, sickness, and death is even greater at the national level and still greater yet in international comparisons. At the local level, the poor and minorities might hope to get heard, but they are as if invisible or non-existent within the public debate beyond the local.

Still, that isn’t to say we’re arguing for a permanent lockdown even as we do think the lockdown, if only for lack of needed leadership and preparedness, was probably necessary when the crisis began — from the DataInforms Twitter account: “Not saying it’s the right action if you’ve planned for a Pandemic. Saying it’s the inevitable action to minimize risk, when you haven’t planned for a Pandemic. By not paying attention to 2003 outbreak we brought this on ourselves.” Besides being politically paralyzed with corrupt and incompetent leadership, we Americans are an unhealthy population that is ripe for infectious diseases; and one could easily argue that a public health crisis has been developing for centuries, in particularly these past generations (Dr. Catherine Shanahan On Dietary Epigenetics and Mutations, Health From Generation To Generation, Dietary Health Across Generations, Moral Panic and Physical Degeneration, Malnourished Americans, & The Agricultural Mind). The terrain theory of infection proposes that it is the biological conditions of health that primarily determine the chances of infection and hence, in a situation like this, determine how bad it will get as a public health crisis. As we earlier noted, the 1918 flu also began mildly before becoming fully pandemic later in the year with a second wave (Then the second wave of infections hit…), not that I’m arguing about the probability of such an outcome since our present knowledge about pandemics in the modern industrialized world, the West in particular, is only slightly better than full ignorance (Kevin Kavanagh, Viewpoint: COVID-19 Modeling: Lies, Damn Lies and Statistics).

All of this puts us in an odd position. We simultaneously agree and disagree with Cummins and many others who support his view. Our main irritation is how the entire ‘debate’ gets framed, in terms of cartoonish portrayal of libertarianism versus authoritarianism. The frame ends up dominating and shutting down any genuine discussion. We noticed this in how, for all the vociferous opinionating about lockdowns, there is still no agreement even about what is a lockdown. When confronted about this, Cummins has repeatedly refused to define his terms, the most basic first step in attempting to analyze the data, in that one has to know what kind of data one needs in knowing what one is hoping to compare. The haziness of his language and the slipperiness of his rhetoric is remarkable considering engineers like him are usually praised for their precision and held up as exemplars in the alternative health community.

We weren’t the only ones to make this observation — Gorgi Kosev asked, “Did you reply to the people who asked to specify what counts as lockdown vs what counts as distancing?” Cummins responded to many other Tweets in that thread but he did not answer this question and appears to not be interested in such a dialogue. To be fair, I did come across one of his Tweets buried deep in another thread, in response to an inquiry by Gregory Travis, where he vaguely clarified what he meant but still did not operationalize his definition in a way that would help us categorize and measure accordingly. When asked for a specific list of what he considered to be lockdowns and not, he would not specify. In attempting to get at what is the issue at debate, Philippa Antell asked him, “Are you comparing lockdown Vs non lockdown ( in which case define those in detail)? Or sensible Vs non sensible lock down rules (again define)?” Cummins did not further respond. A point we and others made to him is that there has been a wide spectrum of government policies — Toshi Clark said that, “This whole thing seems predicated on making a distinction between distancing and lockdown policies. It’s not a binary thing”; and someone simply named Ed said that, “I think one of the problems Ivor is it doesn’t have to be black and white but shades of grey. Lockdown is a terrible term that is unhelpful as there has never been a full lockdown and no measure of each mitigation.”

Such comments were the opportunity to begin debate, rather than in the way Cummins took them as the end of debate. I get that he is probably frustrated, but he is avoiding the very heart of the issue while continuing to demand ‘data’ as if facts could exist separately from any frame of analysis and interpretation. I’m sure he isn’t actually that naive and so, even if his frustration is understandable, it’s unfortunate he won’t get down to the nitty gritty. As such, others understandably feel frustrated with him as well. One of the main points of frustration, as shown above, is clear and yet remains unresolved. In our own Tweeting activity responding to Cummins, we noted that, “It feels like he is trying to force debate into a polarized black/white frame that turns it into a political football, a symbolic proxy for something else entirely.” At this point, it’s no longer really about the data for it has become an ideological battle verging on a full-on culture war, and one of the first victims is the mental flexibility to shift frames as the polarized opponents become ever more locked into their defensive positions — a lockdown of the mind, as it could be described.

Let’s consider a concrete example to show how the ideological lines get drawn in the ideological mind, as opposed to how fuzzy are those lines in reality. In one of his few responses to my seeking to engage, Cummins shared an earlier Twitter thread of his where he compared the ‘social distancing’ of Sweden and the ‘lockdown’ of New Jersey; a bad comparison on multiple levels. Yet when asked what is a lockdown, he still never offered a definition and, even more interesting, he decidedly emphasized that his priority was not the data itself but his principles, values, and beliefs. He was asked point blank that, “Since I showed that there effectively was no implemented and enforced stay at home full lockdown in even some of the worst hit places like NYC, what are we talking about in terms of a lockdown? What is the real issue of debate?” And his answer was, “Civil Liberties and our future freedoms. Principles. And the Scientific Method being respected.” Those principles seem fine, at least in theory assuming they are part of a genuinely free society that sadly is also theoretical at present. The problem comes with his conflating all of science with his libertarian beliefs taken as ideological realism. His libertarian conviction seems to be both his starting assumption and his ending conclusion. It’s not that the facts don’t matter to him, that he is merely posturing, but it is obvious that the data has become secondary in how the debate is being so narrowly constrained as to predetermine what evidence is being sought and which questions allowed or acknowledged.

Our interest was genuine, in seeking to clarify terms and promote discussion. That is why we pointed to the actual details in how it played out in actual implementation. In New York City, there was a supposed full lockdown with a stay at home order, but that didn’t stop New Yorkers from crowding in public places (Stephen Nessen, More New Yorkers Are Crowding Onto Buses And Subways Despite Stay-At-Home Order) since it’s not like there is a Chinese-style authoritarian government to enforce a Wuhan-style lockdown. That is the problem of comparisons. In terms of effective actions taken, the Swedish example involved more restrictions than did what happened in New Jersey and New York City. That is because the Swedish, in their conformist culture of trust, enforced severe restrictions upon themselves without government order and for all practical purposes the Swedish had implemented a greater lockdown than anything seen in the United States. Unless a police officer or soldier is pointing a gun at their head, many Americans will continue on without wearing masks or social distancing. This is a cultural, not a political, difference.

It is bizarre to see libertarian-minded individuals using the example of the anti-libertarian Swedish society as evidence in defense of greater libertarianism in societies that are completely different from Sweden. These are the same people who would normally criticize what they’d deem an oppressive Scandinavian social democracy under non-pandemic conditions, but all of a sudden Sweden is the best country in the world. If we think the Swedish are so awesome, then let’s imitate their success by having the highest rate of individuals living alone in the world as promoted by government policy, a population that does social distancing by default, a cultural willingness to sacrifice self-interest for the common good, a strong social safety net paid for with high taxes on the rich, and socialist universal healthcare for all (Nordic Theory of Love and Individualism). Once we implement all of those perfect conditions of public preparedness for public health crises in promoting the public good, then and only then can we have a rational and meaningful debate about lockdowns and social distancing.

Otherwise, the critics are being disingenuous or oblivious about the real issues. Such confusion is easy to fall into during an anxiety-inducing crisis as we all struggle to see clearly what is at stake. Cummins is highly intelligent well informed and, most important, he means well. But maybe he has lost his bearings in being pulled into ideological polarization, which is a common malady in Western society even at the best of times — one might call it an ideological pandemic. No one is immune to such ideological mind viruses, which is all the more reason to be highly aware of the risk of memetic contagion and so handle the material with the proper intellectual protective gear, rather than assuming it’s only those other people who are mindless ideologues ignoring the cold hard facts. Obsessing over data can create yet another blindness, specifically when it leads one to seeking the data that confirms what one is looking for. The reality of diverse data, conflicting data, and missing data is far more murky, and the mud really gets stirred up when we are floundering amidst unstated assumptions and undefined terms.

The present debate isn’t really about public response to infectious disease. If it was only about that, we could be more fully on board with Cummins since, in terms of health data, we are in his camp. The other component to the ideological conflict is a failure of public trust in countries like the United states, as opposed to the success of public trust elsewhere. In terms of economics and health, the Swedish had comparably similar results as their Nordic neighbors who followed different government policies, which further demonstrates it’s more about culture than anything else. Lockdowns did cut the number of lives lost in those countries, but the greatest protection appears to have been cultural, which is to say how the population behaves under various government policies. Scandinavians have a culture of trust. The United States does not. I can’t speak for other countries that fared less well such as Italy and Spain, although hard-hit Brazil obviously has some public trust issues. Social distancing without any closures and restrictions probably works great in almost any strong culture of trust, whereas a lack of full lockdown could be a catastrophe where public trust is deficient. That would be a more interesting and meaningful debate.

What is it about American and British society, in particular, that soft issues of society and culture are reduced and rationalized away or dismissed and diminished by putting everything into a frame of economics and politics? It used to be that religion in the form of the Christian church was used as the frame to explain everything. But now capitalist realism, both in economics and politics, is the dominant religion. Notice most of the opponents of lockdowns are doing so in defense of capitalism (liberty), not in defense of democracy (freedom). It’s posing a particular kind of politics in opposition to a particular kind of economics. The idea of a genuinely free society is not in the frame, not part of the debate.

This is part of an old ideological conflict in the Western mind. It erupted more fully when the neoliberals took power, as signaled by former UK Prime Minister Margaret Thatcher’s declaration that, “there’s no such thing as society.” Karl Polanyi theorized about the rise of a market culture where everything came to be understood through an economic lens. Even politics has been made an extension of capitalist realism. This is more broadly part of a mindset obsessed with numbers. Everything can be measured. Everything can have a price put on it. Not only was religion demoted but all ‘soft’ approaches to understanding humanity and society. This is how we can have a debate in comparing different cultures while few people even bother to mention culture itself, as if culture either does not matter or does not exist. We have no shared frame to understand the deeper crisis we are suffering, of which the perception of pandemic threat and political malaise is merely a symptom.

The sense of conflict we’re experiencing in this pandemic isn’t fundamentally about an infectious virus and governmental response to it. It’s about how many societies, United States most of all, have suffered a crisis in loss of public trust based on destruction of traditional community, authority, self-sacrifice, etc. Libertarianism is inseparable from this cultural failure and simply further exacerbates it. In opposing authoritarianism, libertarianism becomes psychologically and socially dependent on authoritarianism, in the way drug rehab centers are dependent on influx of drug addicts (think of Philip K. Dick’s A Scanner Darkly). What gets lost is radical envisioning of a society free of ideological addiction of divisive polarization that is used for propagandistic social control. Control the public mind with frame of libertarianism versus authoritarianism and the ruling elite can guarantee freedom is suppressed.

We must understand difference between Latin ‘liberty’ and Germanic ‘freedom’. The former originated from the legal status of not being a slave in slave society; whereas the latter as etymologically related to ‘friend’ originally meant being a member of a free society, as being among friends who would put common good over individual interest. Philip K. Dick liked to say that, “The Empire never ended,” in seeing the Roman Empire as fundamentally identical to our own. Well, the Norman Conquest never ended either. Romanized Norman thought and language still rules our public mind and society, economics and politics. That is the sad part. Even the word freedom has become another way to invoke the liberty worldview of a slave society. This is taken as the unquestioned given of capitalist realism. Negative freedom (Latin liberty) almost entirely replaces positive freedom (Germanic freedom). Another difference between Latin is that it was more abstract than German. So liberty as negative freedom is much more of an ideological abstraction. One can have freedom in theory even while being oppressed in lived reality. Liberty ideology can justify lack of freedom.

Interestingly, this brings us back to an important point that Chuck Pezeshki made in his post where he was looking upon Ivor Cummins with more support and sympathy. One of the reasons,” suggested Pezeshki, “I fervently believe our current society in the U.S. is collapsing is the loss of noblesse oblige — the idea that those of us that are better off in some definable way should help those who are less fortunate. I view my role as a full professor as one where I am supposed to think about complex and complicated things for the common good, just like a rich person is supposed to build housing developments for the poor.” Basically, we agree, even if we take a meandering path and throw out a bunch of side commentary along the way. Noblesse oblige, one might note, was a carryover from feudalism. Like the Commons, it was intentionally destroyed in creating our modern world. We have yet to come to terms with the fallout from that mass annihilation of the public good. There has been nothing to replace what was trampled upon and thrown away.

Such loose human realities can neither be counted in profit nor measured in data. Yet they determine what happens in our society, maybe even determining whether an infectious disease is a momentary inconvenience or turns into a deadly pandemic, determining whether it kills high numbers of the vulnerable or not. The terrain in which a virus can gain purchase is not only biological but environmental and economic, political and cultural. We need to talk not only about physical health for a public health crisis is about the health of the entire society and in this age of interconnectivity with mass trade, mass transportation and mass travel that increasingly includes the larger global society. It’s not only about your own health but the health of everyone else as well, the least among us most of all.

* * *

The Coronavirus Class Divide: Space and Privacy
by Jason DeParle

Harvard Researchers Find ‘Inequality On Top Of Inequality’ In COVID-19 Deaths
by James Doubek

No Wealth, Poor Health: COVID-19 Has Exposed the Depth of Inequality For Marginalized Communities
by Shelly M. Wagers

Poverty, Tuberculosis, COVID-19 and the Luxury of Health
by Amy Catania

How The Crisis Is Making Racial Inequality Worse
by Greg Rosalsky

Social distancing in Black and white neighborhoods in Detroit: A data-driven look at vulnerable communities
by Makada Henry-Nickie & John Hudak

Poor New York City Neighborhoods Seeing Deaths From Covid at More Than Twice the Rate of Affluent Areas
by Julia Conley

COVID-19 outbreak exposes generations-old racial and economic divide in New York City
The Bronx is home to 1.5 million New Yorkers, many of them essential workers.
by Juju Chang, Emily Taguchi, Jake Lefferman, Deborah Kim, & Allie Yang

Divergent death tolls in New York’s Rockaways show Covid-19’s uneven reach
by Sally Goldenberg & Michelle Bocanegra

Density, poverty keep L.A. struggling against virus
by Brian Melley

In Mississippi, families of COVID-19 victims say poverty and race determine survival
by Candace Smith, Knez Walker, Fatima Curry, Armando Garcia, Cho Park & Anthony Rivas

Poor Health, Poverty and the Challenges of COVID-19 in Latin America and the Caribbean
by Samuel Berlinski, Jessica Gagete-Miranda, & Marcos Vera-Hernández

India COVID-19: The killer virus is still poverty
by C.P. Surendran

Iran COVID-19 Crisis: Poor People Are Victims of Regime’s Criminal Policy of Forcing People Back to Work
by Sedighe Shahrokhi

‘We’re expendable’: black Americans pay the price as states lift lockdowns
by Kenya Evelyn

How air pollution exacerbates Covid-19
by Isabelle Gerretsen

Air pollution has made the COVID-19 pandemic worse
by Ula Chrobak

Air Pollution May Make COVID-19 Symptoms Worse
by Alex Fox

Are you more likely to die of covid-19 if you live in a polluted area?
by Adam Vaughan

COVID-19 severity and air pollution: exploring the connection
from Healthcare In Europe

Can COVID-19 Spread Through Air Pollution?
from Environmental Technology

Air Pollution Is Found to Be Associated with Vulnerability to COVID-19
by Shuting Pomerleau

Exposure to air pollution and COVID-19 mortality in the United States: A nationwide cross-sectional study
by Xiao Wu, Rachel C. Nethery, Benjamin M. Sabath, Danielle Braun, & Francesca Dominici

Black people are dying from coronavirus — air pollution is one of the main culprits
by Jared Dewese

One reason why coronavirus is hitting black Americans the hardest
by Ranjani Chakraborty

Covid-19 Flares Up in America’s Polluted ‘Sacrifice Zones’
by Sidney Fussell

Study shows how air pollution makes COVID-19 mortality worse for marginalized populations
from News Medical Life Sciences

Air pollution, racial disparities, and COVID-19 mortality
by Eric B. Brandt, Andrew F. Beck, & Tesfaye B. Mersha

Air Pollution and COVID-19 are worsening existing health inequalities
from European Public Health Alliance

In the Shadows of America’s Smokestacks, Virus Is One More Deadly Risk
by Hiroko Tabuchi

‘I’m Scared’: Study Links Cancer Alley Air Pollution to Higher Death Rates From Covid-19
by Yessenia Funes

The Health Emergency That’s Coming to West Louisville
by John Hans Gilderbloom & Gregory D. Squires

COVID-19, pollution and race: new health concerns for Nicetown
by Nydia Han and Heather Grubola

Philadelphia’s coronavirus numbers show stark racial and income disparities
by Yun Choi

Many cities around the globe saw cleaner air after being shut down for COVID-19. But not Chicago.
by Michael Hawthorne

Pollution rollbacks show a ‘callous disregard’ for communities hard hit by COVID-19
by Justine Calma

COVID-19 Is Not a Reasonable Excuse for Continued Pollution
by Janet McCabe

COVID-19 Cannot Be An Excuse For More Toxic Air
by Amy Hall

How Trump’s EPA Is Making Covid-19 More Deadly
by Michael R. Bloomberg and Gina McCarthy

Dirty air, weak enforcement hurt Arizona during COVID-19
by Sandy Bahr

Disaster Capitalism Causes Disasters

Many have wondered why some places have been hit hard by the pandemic (Spain, Italy, New York, etc) whereas others still are barely affected. Some likely factors are public transportation, population density, and multiple generation households. Socioeconomic conditions and probably inequality also is involved, as poverty correlates with higher rates of immunological compromise and dysfunction because of stress, food deserts, parasite load, lack of healthcare, and such.

Air pollution, for example, increases asthma which is a major comorbidity of COVID-19. And, of course, poor areas tend to have far worse air pollution, not to mention heavy metal toxicity from old paint and pipes, toxic soil from old factories, and toxic waste dumps. But it turns out that the virus SARS-CoV-2 can also be carried by air pollution particles: Ron Brackett reports that, “Air samples were collected at two sites in Bergamo province in northern Italy’s Lombardy region, the area of the country hit hardest by the pandemic. Testing found a gene highly specific to COVID-19 in multiple samples from the province, one of the most polluted in Italy” (Researchers Find Coronavirus on Pollution Particles). That might be another explanation for why dense urban areas like New York City could worsen infection and death rates.

Consider the example of Italy (Conn Hallinan, How Austerity and Anti-Immigrant Politics Left Italy Exposed; & John Buell, Disaster Capitalism and the Real Culprit in the Italian Covid-19 Catastrophe). Since the 2008 recession, the number of Italians in extreme poverty has doubled which no puts it at more than 10% of the population (Eva Pastorelli & Andrea Stocchiero, Inequalities in Italy) with another 6.8% barely above poverty (Federico Razetti, Poor, scarcely poor and almost poor: what’s going on in Italy?) — combined together, that equates to around 10 million Italians, which is more than the entire population of New York City. Bergamo province is in northern Italy. Even worst poverty is found further south, the location of 70% of the poor (Michael Huang, 10 Facts About Poverty In Italy That Everyone Should Know).

Two of the countries most devastated by COVID-19 are Italy and Spain, both of which have suffered from high rates of poverty combined with economic austerity. As in the United States, it’s the most impoverished and underprivileged who bear the brunt. Shockingly, in New York City, almost half the population is at or near the poverty level with one in five fully in poverty (NYC Opportunity, Poverty in NYC). Although NYC poverty has dropped slightly, inequality remains as high as ever (Elizabeth Kim, NYC Poverty Level Drops To Record Lows, But Income Inequality Persists). It’s unsurprising that such immense poverty and inequality crippled the public health response in such places and specifically harmed those worse off, such as seen in Spain (Guy Hedgecoe, In Spain, austerity legacy cripples coronavirus fight; Brais Fernandez, Spain’s Hospitals Have Suffered Death by a Thousand Cuts; & Stephen Burgen, Poor and vulnerable hardest hit by pandemic in Spain). Such pandemic inequality has been seen all across the United States with poor minorities hit the hardest.

For a combination of reasons, the poor are hit hardest and specifically where poverty is concentrated and exacerbated by high inequality. And this pandemic will only worsen poverty and inequality, unless we demand reforms that are both democratic and progressive. But if we let disaster capitalism run rampant, it will bring on further disasters.

* * *

Austerity in the Age of COVID-19: A Match Made in Hell?
by Paul Rogers

The Impact of COVID-19 Is All Down to Inequality
by Mariano Aguirre

How austerity measures hurt the COVID-19 response
by Cristina Fominaya

As Coronavirus Deepens Inequality, Inequality Worsens Its Spread
by Max Fisher and Emma Bubola

The coronavirus pandemic is already increasing inequality
by Steve Schifferes

Covid-19 shows why tackling inequality benefits everyone
by Han Fook Kwang

The pandemic strengthens the case for universal basic income
by Ishaan Tharoor