“I dont get what is happening in Hawaii, as it seems to be a high vaccine state, and one where the weather is conducive to being outdoors.”
FWIW, Israel’s vaccination rate (mainly with Pfizer) is 5% higher than HI, plus they have started a program of third-shot boosters for people over 60. Yet they have seen a surge in cases (less so for hospitalizations and deaths). The viral load in Delta can blow past front-line immunological defenses, relegating the current vaccines to “damage control” duty.
I read pre-press medical research (e.g. stuff that hasn’t yet been properly scrutinized for things like sample bias). From a couple of unrelated studies, the odds do not look great for people over 60 (the dividing line in one study) when it comes to effects from even mild symptomatic cases: Call it 50/50 for long-covid or neurological (dementia-like) consequences. That seems ridiculously high, and I ignored the first study until along came the next.
Flawed studies or not, my personal game plan is clear: Wear a mask and try to distance from anyone who a) is breathing and b) has a different-looking weeding ring than mine. Indoors of course, and outdoors if I can’t position upwind (air just doesn’t spread out/mix over short distances as much as people seem to imagine it does). In other words, stay ahead of whatever next month’s headlines are going to be, rather than become part of them.