Conscious Choice cover

From the press release: In this ground-breaking new history of early America, historian Robert Zimmerman not only exposes the lie behind The New York Times 1619 Project that falsely claims slavery is central to the history of the United States, he also provides profound lessons about the nature of human societies, lessons important for Americans today as well as for all future settlers on Mars and elsewhere in space.

 
Conscious Choice: The origins of slavery in America and why it matters today and for our future in outer space, is a riveting page-turning story that documents how slavery slowly became pervasive in the southern British colonies of North America, colonies founded by a people and culture that not only did not allow slavery but in every way were hostile to the practice.  
Conscious Choice does more however. In telling the tragic history of the Virginia colony and the rise of slavery there, Zimmerman lays out the proper path for creating healthy societies in places like the Moon and Mars.

 

“Zimmerman’s ground-breaking history provides every future generation the basic framework for establishing new societies on other worlds. We would be wise to heed what he says.” —Robert Zubrin, founder of founder of the Mars Society.

 

Available everywhere for $3.99 (before discount) at Amazon, Barnes & Noble, and all ebook vendors, or direct from the ebook publisher, ebookit. And if you buy it from ebookit you don't support the big tech companies and I get a bigger cut much sooner.


Posting will be light…

Our regal guard cat, Emma
Our regal guard cat, Emma.

The past weekend was probably the worst in my life. First I was blacklisted by my entire caving community, many of whom I had considered close friends, because I have for the last twenty months refused to quarantine and hide in my home. While they have hunkered down in fear, I have been running monthly cave trips, with no ill effects at all.

My success demonstrated that the lockdowns and mask mandates accomplished little. So of course, rather than rethink their fear-driven policies, the caving community decided I must become a non-person.

This won’t change anything, as I will still run monthly cave trips with people who see COVID for what it is, nothing more than a variation of the flu that cannot hurt you if you are young and healthy.

The weekend then ended with Diane and I being forced to put one of our two cats to sleep due to the sudden and unexpected total failure of her kidneys. Emma was only nine. It was heart-breaking to say good-bye to her.

And finally, I am fighting a cold, which leaves me with little energy. My doctor (and I) are pretty confident it is not COVID, but even if it was, it is merely exhausting and will take a few more days for me to fight it off.

Until then, my posting might be a bit lighter than normal.

Readers!
 

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60 comments

  • gary

    So sorry to hear about all the sadness descending on you all of a sudden. Get well and, if you ever run any caving trips in the Southeast U.S., I’d be glad to join you. We’re a lot more relaxed about all the insanity here. In fact, the only place where masks or are even a question my my life are in the Doctor’s office, which, may actually make a tiny bit of sense, not because of Covid but because of all the other hacking and sneezing going on. No facilities, not even the doctors, make vaccination status a condition of entry, and my doctor just asks about Covid vaccine at the same time as he asks about flu vaccines. I’m free to answer “no” in either case. I say that not to rub it in, but to let you know in case you wish to make a run for it some time.

  • Edward

    I’m sorry to hear of your tribulations and especially about your cat. That is one of the hardest things to do. Get well soon, and we look forward to what you are able to post, this week.

  • Scott Rarden

    I don’t have a community that I’m truly a part of, but I remember being part of one and I miss it. So, I’m deeply sorry that your caving community has treated you this way.

    It’s also completely mind-blowing how everything is an all or nothing these days. We enjoy these things and agree on these topics, but since you don’t agree on these other topics you must be banished.

    But no one expected the Spanish Inquisition either.

    Losing a pet is also extremely hard, especially if they still should have a lot of time left.

    My thoughts with you. Get better!

  • jeff

    Rest and recover.

  • t-dub

    Bob, I am so sorry to hear about your loss of Emma. I have had cats pretty much my whole life so I understand the pain of having to say goodbye to a furry friend. Many of my cats have passed from kidney problems so I spoke to my vet and asked her what she had to think about it. If you are interested I would be happy to speak to you privately (e-mail) about what she had to say.

  • Daniel Billings

    So sorry for the loss of your cat. I have had to part with several of my dear pets and know its never easy. As for your blacklisting treat it as a favor that shows you the type of people they are in the first place. Also get well soon.

  • Gary H

    I’m pretty sure that most of us can identify with your loss of your pet/friend. Get well and as for our liberal friends..their loss. Most of mine, including my “best friend”, cancelled me when Trump was elected.

  • Diane Wilson

    Very sorry to hear about your cat. We’ve lost a few to kidney failure over the years, and it is always so hard. We have another who is over 18 years old; we keep wondering how much longer she has.

    The cold will pass; just take good care of it.

    As far as the blacklisting…. there is no sanity any more.

  • Peggy

    I’m sorry you’ve lost your community through no fault of your own, other than having a spine, that is. The loss of Emma will leave a hole on your heart for a while, as it always will. May you find peace soon. Take it easy. We’ll wait.

  • TL

    Condolences on the loss of Emma. Loss of a cat is always difficult, but more so if sudden and unexpected.

  • Eddie Munster

    Sorry to hear about your cat Robert. Also sorry to hear you are sick, hope it’s nothing serious. Please protect yourself and others. Even if it’s not covid, masks and distancing have worked for years in Asian countries for the flu.

  • Cotour

    The solution?

    A laugh, and at the same time pointing out just how ridiculously stupid that it has all devolved into.

    Might have made a good Evening Pause, but this sounds like an emergency! https://youtu.be/4b6-oE55vdM

    They will always reveal themselves.

  • John

    I’d go caving with you anytime. (If I caved).

    Condolences on the loss of your pet. That’s a hard thing to go through. Many of us have been there.

  • Joe

    Praying you recover from your bout with a cold, the loss of a dear pet, and you caving friends. I guess the idea of letting people be themselves is a long gone concept.

    Rest up. Know there is a community that loves what you do and appreciates your stance on things (even when we don’t agree on every point).

  • David Telford

    I’m sorry for the loss of Emma. I’ve had a similar experience now a long time ago. Still precious memories.

    Unfortunate this cancelling. I think there will come a day when “we” realize we were wrong in doing such things. This disease is not going the way _Science!_ and it’s political gamesters would have it. Probably, in the end, most of us will just end up getting it. Eventually it will evolve into something rather mild, and probably routine.

    Thus I think that these threatened mandates and the penalties to the non-subscribers, will be seen as a colossal mistake.

  • Sayomara

    God bless you, your wife and all you do Bob. I’ve been following your work for almost 20 years your doing good in the world.

    Your in my prayers.

  • Alex Andrite

    “The Struggle Continues.”

  • Alton

    Long may your cat live in memory…
    And a fast wiping out of said memory,
    To Those who were Never really friends.

  • Joe Rosario

    Sorry to read about your life and health issues and praying that all are restored to relative normal soon. The loss of relationships with folks too fearful to live life will not be missed. Take comfort in knowing that you gave your cat a good life with a family that loved her. And above all else, get well soon!

  • wayne

    Mr. Z.,
    sorry to hear of your kitty, experienced a similar situation 2 years ago.

    Alton-
    very well put.

    Jordan Peterson / Akira the Don
    Rule #12: “Pet A Cat When You Encounter One” (2018)
    https://youtu.be/LAIQNwCbf0Y
    4:11

  • wayne

    Rush interviews Mark Levin
    “Rescuing Sprite: A Dog Lover’s Story of Joy and Anguish” (2007)
    https://youtu.be/To29ttXqOoI
    7:05

  • mpthompson

    Bob, I’m very sorry to read about your bad week. I lost my border collie earlier this year and it’s still hard to come home and not see her bounding towards me with a warm welcome, but it does get easier as time goes by. With regards to the caving community, I guess you are finding out those who are acquaintances of convenience, and those who are worthy of being called a friend. I hope you find many of the latter. Stay healthy and I look forward to your postings next week.

  • Jeff Wright

    All the best…

  • James Street

    I chose a different strategy. My friends and family are all lunatic leftists and being vaxxed and wearing masks are required at family events including Christmas. Six months ago I proclaimed I’d been vaxxed and got a blank vax ID card and filled it out. I wouldn’t try international travel with it but it gets me in to bars and sporting events. And family events.

    That said Robert, I think the public stand you’ve taken especially in your “Today’s blacklisted American” articles has been critical in the war. I’ll die on some other hill. Last month I spoke at my dad’s funeral and most people thought it was a beautiful religious speech. A couple people recognized it for what it was: a declaration of war.

    Wayne, I miss Rush every day. That loss to our side at this time still has me scratching my head.

  • Jay

    I’m sorry to hear about your kitty-cat. She sounds like and looks like my Reina who also passed away a couple years ago. They bring such joy to our lives, jokingly even though we are just servants in our feline overlord’s eyes.

    Get well soon.

  • Woody S

    Loss of a loved pet, your caving community shunning you (that you are shunned has to be tough – but the reason you are shunned may be even more disappointing), then catching a cold…difficult weekend indeed! Get better 👍

  • Jeff

    So sorry for your loss. Feel better soon

  • Bob, rest and recover … we will be waiting for your return to posting.

    I’m recovering with you … in the hospital, on the mend from a bad foot infection. At least it doesn’t involve either big toe – for me, treating them could be considered brain surgery.

  • wayne

    James Street–
    No access to the video/audio but Rush did a great segment on his Cat Punkin when she died. {-> “dramatic acute kidney failure” btw}

    Punkin Limbaugh, RIP
    https://www.rushlimbaugh.com/daily/2013/08/16/punkin_limbaugh_rip/

  • Stay strong, Bob. We appreciate what you do.

    As for caving, the only thing I think would be worse is cave (scuba) diving. Light goes out and you’re dead. I’m just too paranoid do that without dire need. There are some, said to be impressive, touristy (i.e. well lit) caves near my new place; I will check them out.

    My favorite cat, Calvin, “walked out on the ice”. He started moping around and before we took him to the vet, he just vanished. Putting his brother Hobbes down was difficult, but we had a great doctor who did it at our house. He died in his home with his human family around him. (Don’t tell: he’s buried under a tree in the backyard of the former house – the brat killed the first two trees we planted over him.) The vanishing was harder.

  • Phill O

    “I was blacklisted by my entire caving community, many of whom I had considered close friends”

    Not quite true. Not the entire community but a significant majority. Yes, many were noted to be personal friends of you. Only three spoke in your defense, one being an abstainer citing old grudges should not be grounds for black listing.

    While I must be vaccinated for international travel, I support a person’s rights. The worst the Biden administration could do was mandate vaccination. The end result being detrimental to the intent. The governments have lost all credibility, and people just do not believe. They were better to inform and let people make their own decisions.

    By the way, the protocols put into place by the caving community, even I, being triply vaccinated, would not qualify to attend. These were in excess of the procedures used by a teem for a recent cave rescue. It was as if they were trying to specifically target the anti-vaxers, and Bob in particular.

    I support the flu and covid vaccines, but not mandates for the general public: health care workers – yes (since they are in contact with many with the viruses) but not the general public.

  • Rob Fryer

    Best to you
    and keep on caving.

    Like many things it gives a special insight to many things.

    Your efforts to explain Mars are a bright spot for me each day.

    I feel we have all been damaged in ways big and small recently
    and there is a general malaise that seems to drive people to lose
    sight of what is really important.

    Thanks for all you do

    Rob in Solana

  • Mike a

    Bob-

    I know the sting of losing beloved pets. My heart goes out to you and your wife for the loss.

    As far as losing your community and “friends,” a true friend would never abandon you based on ONE belief that they don’t agree with.

    Tolerance is a lost virtue these days as everyone seems to be keen on judging others. I for one know I am not even close to perfect, Therefore, I don’t really have the right to look down on anyone for their beliefs.

    But hey, that’s just one guy out of 7 Billion, what do I know?

  • George C

    It is the year of fear. The state run Walden Pond this year shut down swimmers from swimming across the pond as swimmers have been doing for 300 years. Maybe every 10 years an older swimmer, late 60s or early 70s has a heart attack and can sink 100ft down. During polio times it was not as popular a swimming hole.

  • pawn

    Fanmail time.

    Bob, hang in there and keep up the good work. You are a very unique resource here on the web.

    Caving on Mars.

  • Darwin Teague

    I’m so sorry about all of this. Take it easy and get feeling better.

  • Localfluff

    And the next day he makes 4 posts.
    Even from this far online distance, I’ve gotten to learn Bob good enough to see what happens after him having expressed his disappointment. It turns into energy.

  • Wayne

    Sorry to hear about the caving issues and the loss of your cat.

    Both losses are deep cuts that hurt because they impact your family, both your social family as well as the residents in your household.

    Hang in there and be strong.

  • Localfluff: My output is down a LOT. No blacklist stories. No energy. I am spending a lot of time in bed sleeping.

    Took a COVID test today and confirmed that yes, at last, I have gotten this dreaded plague. Bah. It reminds me of the flu I had in the 2000s in almost every way, except that now I am much older and not as strong to fight it.

    And yet I am. I also had made some preparations with my doctor several months ago for when this finally happened. I had both hydroxycholoroquine and a zinc pack in my medicine cabinet, ready to go.

    I expect that by the end of this coming weekend I should be recovered enough to resume most of my full schedule. Which will prove once again that the fear people have of COVID is irrational and should be discarded. 99% of everyone who gets it survives.

  • Tallman

    If you haven’t already you should seek out the monoclonal antibody treatment. I am not sure of your age but from your comments I assume you would qualify. It may make a significant difference in your overall outcome.

  • Stephen Sharer

    So sorry to hear of the loss of your beloved pet. Having to put down a pet is never an easy decision to make. God bless.

  • Cotour

    And afterwards some of your friends still may shun you, even though you will have natural immunity. In their now irrational fear they will judge you morally. You didn’t take the shot like they did. And then they will mock you.

    Because you are prepared with the HQ and the Z-pac you should be OK and functional in about 10 days.

    Don’t forget to drink water.

    I wish you well.

  • Cotour

    An interesting response to Covid, sans Fauci, government mandates and vaccination: https://youtu.be/O1DgWYdukZU

  • Localfluff

    A podcaster, who is about 70 years old, that I follow was sick in Covid-19 for a week, then suddenly felt well. But then it really struck and he spent two weeks in intesive care (but no intubation needed). And in Sweden one has to be very ill to be accepted to one of the few intensive care beds (we have the fewest per capita in all of OECD and only 1/8 per capita compared with Germany) So be careful!

  • Dave H

    “First they ignore you, then they laugh at you, then they fight you, then you win.” Not sure who said that, but it’s true. Hang in there, Bob; this isn’t your first rodeo. I’m still here in rural Pennsylvania, unmasked and unvaxxed, experiencing similar things from the caving community. No matter. We still have our real friends.

  • I echo Tallman’s endorsement of the monoclonals. When I got WuFlu last January that was the treatment I received, and after about a day of zero energy I got my ability to function back … and I’m 62 and my physical condition would make it hard to even traverse a tourist attraction like Marvel Cave in MO, much less what you do, Bob.

    As for Cotour’s prediction of further judgmentalism … I refer to the sage words of Mason Proffit:

    It didn’t take them long to try him
    in their court of law
    He was guilty then of “Thinking”,
    a crime much worse than all

    Bob, your thinking has led you to be judged for Not Following The Rules of Assumed Authority. But we know the conversion process that those who “assume” subject themselves to … the problem is, that conversion process leads them to emulate the stubbornness of a “donkey” that can burn down a nation to save it, as opposed to striking the proper balance between safety and liberty.

    Are any of your critics anti-GMO fanatics? If they are and they took either of the mRNA vaccines … congratulate them on becoming a GMO themselves, and that they should not continue their activism.

    And ask them to show the studies that prove that masks are effective in a non-clinical environment, to the degree that they justify having our kids subjected to their constant presence.

  • Dave H: The invite remains open as always for you to come visit. We miss you.

  • Cotour

    VAX MAY INCREASE RISK OF HEART ATTACK FROM 11% TO 25%?

    The mRNA “Vaccination” may produce an increased risk of inflammation and heart attack from 11% to 25% over 5 years?

    At this point given just how crazy, politically irrational and scientifically irrational this has all gotten, IMO all potentials exist. It is clear to me that the public has not been given proper information in which to make rational decisions about their health and well being V Covid19.

    The American public has been in real terms IMO “Gas Lighted” and lied to by their own government on many levels. And you know that intuitively, you see it, you do not need me to tell you that.

    “Gaslighting is a colloquialism that is loosely defined as “making someone question their own reality”.

    And they want to keep pumping boosters into people? Children included? And you wonder why many in the medical field are willing to lose their job rather than take the initial jab? Never mind a seemingly endless requirement for a booster.

    Dr. Campbell: https://youtu.be/LEBGl8MVE-c “Possible massive implications”. You keep paying attention to this issue. How many boosters are you willing to take into your body? Do your due diligence.

    I do not send this to you to scare you, it is intended to inform you of some potentials that may exist established by scientific research in the real world related to the rushed use of this *NEW* vaccine technology never before used on humanity and being promoted en mass to the entire population of the planet. And there is no mention of proven effective supplements or other effective off label use of existing drugs proven effective against Covid. Just take the “Vaccine”. Why is that? Seems like very poor health policy to me, or worse.

    Fauci himself was revealed through an email to be taking increased doses every day of vitamin D, +6000 IU. But he refuses to make a statement on the subject to the public to my knowledge encouraging you to do the same. Why is that? He is supposed to be a doctor, right?

    Stinks more and more, smells like, Fauci.

    (Steven R. Gundry (born July 11, 1950) is an American doctor and author. He is a former cardiac surgeon and currently runs his own clinic, investigating the impact of diet on health. Gundry conducted cardiac surgery research in the 1990s and was a pioneer in infant heart transplant surgery, and is a New York Times best-selling author of The Plant Paradox: The Hidden Dangers in “Healthy” Foods That Cause Disease and Weight Gain.)

  • Cotour, the name “Fauci” is beginning to sound much like “Ponzi”.

    What we are seeing here, is the full extension of one of the tenets of social technocracy: the. probability of human error is minimized through the application of rules, over independent thought and informed judgment.

    In other words, you and I are too stupid to possibly see flaws in/alternatives to the Approved Answer, so we are to be compelled to comply.

    Despite how many other Approved Answers end up as the focus of ambulance-chaser ads sometime after their Approval.

    As you remind us, where there is risk there must be choice. Compelled compliance denies that.

    And if/when it becomes evident that the cure is worse than the disease, they will try to blame Trump for “rushing this through”. At that point, people must be reminded that Trump left the choice to us … and that it was his opponents who have sought to deny us that choice,. By that denial, they get the blame if/when this goes bad.

  • Cotour

    Jester:

    (Note: Dr. Campbell points out several things that he finds anomalous regarding Dr. Gundy’s study. BUT he is generally on board with the science and the logic of what is proposed and it alarms him if proven true. The fact that the only persons name on the study is, Gundy’s is unusual. And he wants to see the entire data set that the study is based on. And so do I. One more thing, Dr. Gundy is known to me as a media prominent doctor that promotes his own controversial diet, health related products and his own clinic. But he is a well respected real world cardiac surgeon, retired. So given those items we wait to see the entire peer reviewed study and what other researchers concur with Gundy.

    *Steven R. Gundry (born July 11, 1950) is an American doctor and author. He is a former cardiac surgeon and currently runs his own clinic, investigating the impact of diet on health. Gundry conducted cardiac surgery research in the 1990s and was a pioneer in infant heart transplant surgery, and is a New York Times best-selling author of The Plant Paradox: The Hidden Dangers in “Healthy” Foods That Cause Disease and Weight Gain.)

    If you remember when this all began and the mRNA vaccine was rolled out in the rushed manner that it was I clearly stated something like: “Don’t be so anxious to own this rushed experimental therapy, this thing could turn around and bite you in the buttocks.”.

    And so here we are.

    And so your point that at least Trump left the choice to receive the vaccine up to you and not mandated by government is valid and reasonable. With risk there should be choice. But your government says there is absolutely NO risk, AND they refuse to research or promote the proper supplementation that they themselves are taking to improve their health should they contract the virus!

    And now what is coming out? “A highly dangerous variant is coming out of South Africa!”.

    This is at its foundation primarily about control first and concern for health is not even second. And that is supported by what we all see before our own eyes, that is my take anyway.

    I wrote Strategy Over Morality for a reason and I believe there are well founded reasons to apply its principles to this current world wide situation as it relates to government and control. When we are talking about power, political power specifically and how it is abused we are talking about S.O.M.

  • Cotour

    https://www.mcgill.ca/oss/article/covid-19-critical-thinking-pseudoscience/doomsday-prophecy-dr-geert-vanden-bossche

    “The COVID-19 pandemic has attracted a swarm of vocal contrarians like little else in the recent past. These public commentators, often bedazzled with advanced degrees, have painted themselves as brave mavericks escaping from the mainstream herd to denounce the cataclysmic consequences of public health measures. The latest example of this phenomenon comes in the form of Dr. Geert Vanden Bossche, who recently published an alarming manifesto. In it, Dr. Bossche makes a number of incorrect or exaggerated claims about the use of mass vaccination during a pandemic and urges international health authorities to stop the current crop of COVID-19 vaccines or else risk unleashing “a global catastrophe without equal.” This is scary stuff, but it’s all quite misguided.”

    Dr. Bossche pointed out precisely what apparently is ongoing in South Africa today regarding an apparently very dangerous mutations driven by the mass use of a leaky mRNA vaccination. The leaky mRNA vaccine used en masse can teach the virus to defeat the vaccine. And this article essentially mocks him. Dr. Bossche is “Misguided”.

    But here is what he predicted all the same.

    Supplements proven effective and the proven effective use of off label drugs employed early against this virus are apparently the long term answer to this emerging variant. YOU must protect yourself, your government is working against your interests, either as a function of their fear, ignorance and resulting policy, or by agenda. Choose one, or both?

    Pay attention to this.

  • Edward

    Robert,
    I’m sorry for such a depressing comment. Get well soon.

    Jester Naybor wrote: “And if/when it becomes evident that the cure is worse than the disease …
    For the young, it is already evident to our fearful leaders that it is worse for the children than is the disease, but in their panic, they started mandating faux vaccines for children anyway.
    https://wmbriggs.com/post/38161/

    Our fearful leaders have in mind other goals than our health and safety, so they ignore the actual data and tell us that they are the ones following the science. Because we are so poorly taught science, these days, a majority of us believe our fearful leaders. We believe them when they say that it is for the greater good, that if it saves just one life, then mandating a test faux vaccine to all is worth the many other lives lost or permanently harmed. It is better to have our ports backed up and our supply chains interrupted, including the supplies of therapeutics, as long as our fearful leaders eventually point to that one life saved, no matter that our fearful leaders break their own mandates and decrees, causing that one life to not be saved after all.

    Our national reaction to the Wuhan flu was based upon models that predicted 60,000 deaths rather than 100,000 if we followed a three-week shelters in place — forty thousand lives were supposed to be saved. Instead we went overboard (if a little is good, more must be better) and have killed more than ten times as many, and we continue with the worst possible choices as reactions to the disease — even to the point of banning certain life-saving therapeutics and rationing others that are in plenty supply. We cannot stop this disease, and we are all going to catch it at some time; banning or controlling therapeutics is counterproductive. If health and safety were the goal, the emphasis would be on health and safety, not irrational, panic-induced mandates that the science shows does more harm than good to the greatest number of people.

    Never in the field of human health have so many sacrificed so much yet failed to save so few.

  • Gary

    Bob,

    How are you feeling? Hoping you are better. I saw the earlier recommendations of monoclonal antibodies and I concur. My father in law (mid 60s, lots of co-morbidities) came down with Covid (despite being double taxed) and was struggling. He took the antibodies treatment and was much better in two days. The key (at least in Tennessee where he was) was to ask for the treatment before admission to the hospital. Apparently (not sure why), they wouldn’t administer the treatment in the hospital.

    Again, hope you are on the mend. And thanks for all you do.

  • Gary: My doctor says that monoclonal antibodies are only given early, in the first seven days. I am past that.

    I am doing all right but I could be doing better. As I said before, this is the equivalent of a really bad flu.

  • Note that I do NOT want to go to the hospital. All evidence suggests that the things they will want to do will kill me.

  • Well, Hells Bells, Robert, you don’t want to be a martyr for the Left, do you? And you’ll be immune.

  • wayne

    I’ll drop this in here…..

    Plaquenil™ Brand (hydroxychloroquine sulfate)
    Full Prescribing PDF (2017)
    https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/009768s037s045s047lbl.pdf

    (Interestingly, peak blood-plasma levels are reached within 3-4 hours and it has a half-life of 22 days.)

  • Cotour

    I did not want to go to the hospital when my gall bladder turned me yellow.

    I never felt better after it was evicted after it attempted to kill me.

    I went to the hospital. Even though its the last thing I WANTED, I have things to do!

    Covid is NOT the flu.

  • Questioner

    “Severe COVID-19 illness in adults has been linked to underlying medical conditions. This study identified frequent underlying conditions and their attributable risk of severe COVID-19 illness.”

    Results:

    “Among 4,899,447 hospitalized adults in PHD-SR, 540,667 (11.0%) were patients with COVID-19, of whom 94.9% had at least 1 underlying medical condition. Essential hypertension (50.4%), disorders of lipid metabolism (49.4%), and obesity (33.0%) were the most common. The strongest risk factors for death were obesity (adjusted risk ratio [aRR] = 1.30; 95% CI, 1.27–1.33), anxiety and fear-related disorders (aRR = 1.28; 95% CI, 1.25–1.31), and diabetes with complication (aRR = 1.26; 95% CI, 1.24–1.28), as well as the total number of conditions, with aRRs of death ranging from 1.53 (95% CI, 1.41–1.67) for patients with 1 condition to 3.82 (95% CI, 3.45–4.23) for patients with more than 10 conditions (compared with patients with no conditions).”

    https://www.cdc.gov/pcd/issues/2021/21_0123.htm

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