This is why supplements need to be regulated as well

It is a common problem around the world that supplements are not regulated as heavily as medicine and food in general, which causes some serious problems from time to time. Here is the latest example from Japan:

5 dead, 114 hospitalized from recalled Japanese health supplements

In the week since a line of Japanese health supplements began being recalled, five people have died and more than 100 people were hospitalized as of Friday.

Osaka-based Kobayashi Pharmaceutical Co came under fire for not going public quickly with problems known internally as early as January. The first public announcement came March 22.

Company officials said 114 people were being treated in hospitals after taking products, including Benikoji Choleste Help meant to lower cholesterol, that contain an ingredient called benikoji, a red species of mold. Earlier in the week, the number of deaths stood at two people.

Some people developed kidney problems after taking the supplements, but the exact cause was still under investigation in cooperation with government laboratories, according to the manufacturer.

…

The company’s products have been recalled — as have dozens of other products that contain benikoji, including miso paste, crackers and a vinegar dressing. Japan’s health ministry put up a list on its official site of all the recalled products, including some that use benikoji for food coloring.

The ministry warned the deaths could keep growing. The supplements could be bought at drug stores without a prescription from a doctor, and some may have been purchased or exported before the recall, including by tourists who may not be aware of the health risks.

Kobayashi Pharmaceutical had been selling benikoji products for years, with a million packages sold over the past three fiscal years, but a problem crept up with the supplements produced in 2023. Kobayashi Pharmaceutical said it produced 18.5 tons of benikoji last year.

Some analysts blame the recent deregulation initiatives, which simplified and sped up approval for health products to spur economic growth.

Note the last line – there has been deregulation initiatives for “health products”. I hope they are rolled back quickly, or this will not be the last time something like this happens in Japan.

Get well Marcus Ranum

Marcus Ranum is offline due to a health issue – he has written about it on his blog. I wish him a speedy recovery.

Offline

Even though the hospital visit seems to have futile, I am glad that Marcus Ranum didn’t ignore the symptoms, but instead got medical attention.

This hits rather close to home, as one of my close friends is currently in hospital due to a blood clot in his brain. He fortunately recognized the symptoms, and called an ambulance, which took him to the hospital straight away. Now, he is recovering, but he will have to relearn some motor skills. If he hadn’t recognized the symptoms and called the ambulance, the outcome would have been completely different.

Science Vs limiting their output

I have listened to the Science Vs podcast for a while, but had somehow missed the fact that they had become exclusive to Spotify. This is not a good situation to be in for a podcast promoting the understanding of science, and the host/producer Wendy Zukerman and the editor Blythe Terrell have taken the consequences and are now limiting their output to shows that debunk stuff released on the Spotify platform

Zukerman, the host and executive producer for “Science Vs,” and Terrell, an editor for the science podcast, plan to limit their production on new episodes because they do not believe Spotify’s rules regarding misinformation go far enough.

“Until Spotify implements stronger methods to prevent the spread of misinformation on the platform, we will no longer be making new Science Vs episodes, except those intended to counteract misinformation being spread on Spotify,” they wrote in a letter to Ek, posted on Twitter on Monday.

“Science Vs,” which is exclusive to Spotify, looks at the science behind topics including pandemics.

They have already started doing this, with their latest episode Joe Rogan: The Malone Interview, which you can listen to here.

I applaud the principled stance that they have taken. You can find their twitter feed here.

Engadget have a few more details in Spotify’s ‘Science VS’ podcast will only fact-check misinformation being spread on Spotify

Quitting Spotify Premium

The Neil Young ultimatum to Spotify about the Joe Rogan podcast, and the afterwards removal of Young’s music from the platform has gotten me to do something which I had considered several times before – cancelling my Spotify Premium account.

I am not a fan of neither Neil Young as a person nor of his music, but he is right that Spotify helps spread dangerous misinformation, and we need to show them that it is unacceptable.

I have been using Spotify, either the free version or the Premium version, since I was on a project in Sweden in 2008 or so. Back then, Spotify was only available in Sweden, and they checked your location when you signed in, so I could only use it when at work. Later the service became available in the rest of the world.

In the past, I have considered cancelling Spotify due to their fairly low pay to the artists (of the big streaming services, YouTube is the only one that’s worse), but one of the reasons I’ve stuck around has been the lack of alternative, and the lack of a definitive push. Well, promoting Joe Rogan is definitely a definitive push, so I guess I will be looking for a new streaming platform to hear music on.  I have heard good stuff about Tidal so I will be checking that streaming platform out.

If you want a good explanation why Joe Rogan is so problematic, I highly recommend listening to the Joe Rogan episode of the Decoding the Gurus podcast.

 

Lazy linking

One of the clear signs that US society doesn’t work probably, is the fact that people have to do fundraisers to cover medical costs and increasingly, to cover basic costs of living. One of the big platforms for these fundraisers, is GoFundMe. Now, the CEO of GoFundMe is speaking out, pointing out that this is wrong

GoFundMe CEO: Hello Congress, Americans need help and we can’t do your job for you

Coronavirus surge of fundraisers on GoFundMe shows why Congress must pass emergency aid for monthly bills, restaurants, small businesses and food.

The opinion piece in USA Today doesn’t tell us anything that most of us didn’t already know, but it is good that a CEO of a company, which is benefiting greatly from the current situation, is speaking out.

The Burger Flipper Who Became a World Expert on the Minimum Wage

As a 16-year-old kid flipping burgers at a Seattle McDonald’s in 1989, Arindrajit Dube was earning the state minimum wage of $3.85 an hour. “I remember feeling privileged that I was going to go on to college, while there were many older workers working at that wage,” he recalls.

He still thinks about the minimum wage, only now it’s from his perch at the University of Massachusetts at Amherst, where he’s possibly the world’s leading authority on its economic effects. Dube’s research is guaranteed to get a bigger audience as Democrats in Congress attempt to make good on President Biden’s pledge to raise the federal wage floor to $15 an hour by 2025.

Intuitively, it makes sense that increasing the minimum wage, would force companies to increase prices, drive down sales, reduce company profit, and will even force companies into closing. Fortunately, as with many things, intuition is wrong in this.

This is for a few reasons:

  • Wages only form a portion of the costs, and the costs can be spread over many items. E.g. in the classic example of a burger joint, the employer sells many burgers per hour, meaning that the price increase per burger will be minimal.
  • Increasing minimum wages will allow people to work fewer hours, and not e.g. two jobs as we see all too often now, thus opening the job market up for more people.
  • It will give minimum wage employees more money to spend, thus increasing the demand on goods.

Yes, there might be companies surviving on the very margins, which can’t increase their sales, which will close, but my guess is that many of those companies already have closed during this pandemic.

Further reading: Home Articles Making the Case for a Higher M… SHARE: Tom Williams/CQ Roll Call Making the Case for a Higher Minimum Wage by Arindrajit Dube

Big Tech as an Unnatural Monopoly

Interesting piece by Tim Brennan in the Milken Institute Review, where he takes a look on Big Tech as monopolies, why they defy the current anti-trust laws, and what can actually be done about Big Tech.

Further reading: Rethinking Antitrust by Lawrence J. White (also in the Milken Institute Review)

This COVID-vaccine designer is tackling vaccine hesitancy — in churches and on Twitter

Immunologist Kizzmekia Corbett helped to design the Moderna vaccine. Now she volunteers her time talking about vaccine science with people of colour.

Kizzmekia Corbett’s twitter feed can be found here.

It is a low bar that President Biden has to clear, but I find it so nice that the US now has a president who is willing to thank people for their hard work

 

Bette Midler should stay in her lane

I am generally not a great fan of people telling actors that they should stay in their lane, but occasionally they really should stay in their lane. Bette Midler demonstrates a clear example of this.

It all started with a tweet by Dr. Jen Gunter

Which caused Bette Midler to write the following

It is hard to surprise me these days, but I must admit I hadn’t considered Bette Midler attacking Dr. Jen Gunter as being alt-right as one of the missing ingredients of 2020. Bette Midler’s defense was much appreciated by Marianne Williamson

Unsurprisingly, Dr. Jen Gunter actually knew what she was talking about.

Bette Midler is probably not going to admit that she is wrong about Marianne Williamson, but hopefully this will be a lecture in humility, making her actually do a little research before tweeting, and especially before accusing someone like Dr. Jen Gunter as being alt-right.

Migrant workers hit hard by pandemic

If there is one thing you can be sure of, is that every time a pandemic hits, it is the poorest among us that suffers the worst. COVID-19 is no exception. And it is clearly demonstrated in Singapore, where the poorest people are, as often is the case, the migrant workers.

Covid-19 Singapore: A ‘pandemic of inequality’ exposed

Once lauded for its containment of the virus, Singapore’s success crumbled when the virus reached its many foreign worker dormitories, something activists say should have been seen coming a mile off.

Now months on, Singapore is reporting single figure daily cases in the local community. People are going back to work, cinemas have reopened and laughter can be heard coming out of restaurants again.

But many of Singapore’s lowest earners remain indoors, facing uncertainty.

The dormitories are overcrowded, with too few facilities for the number of people living there. A ripe place for a virus to spread rapidly, and so it has done.

COVID-19 cases in Singapore

COVID-19 cases in Singapore (image source: BBC)

As the above image of COVID-19 cases in Singapore in general versus among people living in dorms shows, the difference is stark. A lot of the differences is that the people in the dorm are quarantined until they have been tested. Or as the BBC article explains

The authorities decided that the dormitories would have to be sealed off.

Around 10,000 healthy migrant workers in essential services were taken out to other accommodation – a skeleton staff to keep the country running.

But the majority were trapped in the dorms – some not even allowed to leave their rooms – while mass testing was carried out. Infected workers were gradually removed, isolated and treated.

It was a remarkably different experience to the lockdown the rest of the country was going through, with shopping allowed, daily exercise encouraged and every type of outlet offering delivery. These people were well and truly locked down, with only basic meals delivered to them.

“Once the lockdown was in place, we were not allowed to come out of the room. We were not allowed to go next door too,” Vaithyanathan Raja, from southern India, told the BBC.

This is an inhuman way to treat people, and it makes it a certainty that everyone in a dorm would get infected if anyone in it, is infected.

We have seen similar things happen in US jails and ICE detention centers. I would guess that it has also happened among the many migrant workers in India, who were severely affected by the sudden shutdown of India.

It seems like the pandemic are forcing some employers in Singapore to provide better places for foreign workers. Hopefully this will last. And hopefully, it will lessen the impact of the next pandemic.

The mother of all super spreader events

One of the things we learned early about COVID-19, was that a lot of the cases comes from so-called super spreader events. Events where a lot of people got infected, and then spread the virus after going home.

So far, the biggest super spreader event has probably been the Atalanta-Valencia Champions League match in February, which is thought to have pretty much been the reason for the rapid spreading in Italy. It could probably be considered a number of super spreader event. The actual football match at the stadium, where a lot of people got infected, but also the many gatherings of people watching the game, where many people undoubtedly got infected.

Back then, people at least had the excuse of not knowing any better. The virus was not yet well known in Italy, and few cases, if any, had been identified. This changed rapidly after the match, where Italy became one of the worst hit countries.

The same excuse cannot be made by anyone now, especially not in the US, which is one of the worst hit countries.

This is one of the things that makes this year’s Sturgis Motorcycle Rally such a baffling event. Who in their right mind would think it would be a good idea to gather nearly half a million people during a pandemic? Many of these people not even doing the simplest measures, e.g. masks and social distancing, to avoid the spreading of the COVID-19 virus.

Sadly someone obviously thought it was a perfectly acceptable idea, and allowed the event to go ahead.

Now, a study, The Contagion Externality of a Superspreading Event: The Sturgis Motorcycle Rally and COVID-19 (pdf), has evaluated the results of the rally, and have estimated that it has resulted in up to 219,000 infected people since the start of the rally, which is approximately 19% of all cases in the US during that period. Due to the diverse geographical origins of the participants of the rally, the spreading is not just in South Dakota where the rally took place, but in the surrounding states as well.

On top of looking at the spreading of the virus, the paper also estimates the financial costs to society. The paper estimates that the rally has cost more than $12B so far.

In other words, the human and financial costs of the rally is truly staggering, and is probably only going to grow, as time goes on.

Will this event be a lesson for other organizers and local authorities? One would think so, but sadly there is nothing in past behavior to indicate that this will be the case

The state of COVID-19 vaccine and treatment research

Yesterday I spoke with a couple of colleagues about COVID-19 vaccines, and it became clear for me that there is a lot of news about potential vaccines, but it is hard for people to get a grip of the current state.

This made me recommend the New York Times vaccine tracker to several people.

Here is the status of all the vaccines that have reached trials in humans, along with a selection of promising vaccines still being tested in cells or animals.

As the description explains, it is an overview of vaccines that has reached a stage where they are relevant to talk about.

There is a companion site to the vaccine tracker, the Coronavirus Drug and Treatment Tracker, which is described thus:

The Covid-19 pandemic is one of the greatest challenges modern medicine has ever faced. Doctors and scientists are scrambling to find treatments and drugs that can save the lives of infected people and perhaps even prevent them from getting sick in the first place.

Below is an updated list of 21 of the most-talked-about treatments for the coronavirus. While some are accumulating evidence that they’re effective, most are still at early stages of research. We also included a warning about a few that are just bunk.

Both of these sites are great resources on the current state of the research, and well worth checking up on from time to time.

This is why you cancel conferences in times like this

A facebook friend posted this link to an overview of Coronavirus Disease 2019 (COVID-19) Cases in MA (pdf link), and pointed out that three quarters of coronavirus cases in Massachusetts are attributable to a conference in Boston for a company called Biogen.

NBC Boston has more: After Spreading Coronavirus, Boston Biogen Meeting Serves as Stark Warning

As the NBC Boston link says, this should serve as a warning. Don’t hold these large gatherings while a pandemic is going on. It will create a easy path for the virus to spread, making it more likely it will get in contact with vulnerable people.