Tag Archives: covid19

Back to Ants? America Trapped in a Pandemic Spiral – The Atlantic

As the U.S. heads toward the winter, the country is going round in circles, making the same conceptual errors that have plagued it since spring.

Full story of excerpts below at Source: >America Is Trapped in a Pandemic Spiral – The Atlantic

Army ants will sometimes walk in circles until they die. The workers navigate by smelling the pheromone trails of workers in front of them, while laying down pheromones for others to follow. If these trails accidentally loop back on themselves, the ants are trapped. They become a thick, swirling vortex of bodies that resembles a hurricane as viewed from space. They march endlessly until they’re felled by exhaustion or dehydration. The ants can sense no picture bigger than what’s immediately ahead. They have no coordinating force to guide them to safety. They are imprisoned by a wall of their own instincts. This phenomenon is called the death spiral. I can think of no better metaphor for the United States of America’s response to the COVID-19 pandemic.

Many Americans trusted intuition to help guide them through this disaster. They grabbed onto whatever solution was most prominent in the moment, and bounced from one (often false) hope to the next. They saw the actions that individual people were taking, and blamed and shamed their neighbors. They lapsed into magical thinking, and believed that the world would return to normal within months. Following these impulses was simpler than navigating a web of solutions, staring down broken systems, and accepting that the pandemic would rage for at least a year.

The country is now trapped in an intuition nightmare: Like the spiraling ants, Americans are walled in by their own unhelpful instincts, which lead them round and round in self-destructive circles. ..Here, then, are nine errors of intuition that still hamstring the U.S. pandemic response, and a glimpse at the future if they continue unchecked.

Continue reading at source link above

LEARN OF ANT'S TEAMWORK – GOD'S HOTSPOT

‘Long Haulers’ Describe What It’s Like When COVID-19 Lasts For Months : NPR

>Long after a Covid-19 infection, mental and neurological effects smolder

>Covid-19 can be a prolonged illness, even for young adults, CDC report says – CNN | The Patient Advisor

Some people who get COVID-19 are stuck with lasting, debilitating symptoms. Two women share their stories of how they’ve been suffering for the “long haul.”

11 Minute Podcast and full story of excerpts below at Source: >’Long Haulers’ Describe What It’s Like When COVID-19 Lasts For Months : NPR

“Support groups on Facebook include thousands of people who say they have been wrestling with serious COVID-19 symptoms for at least a month, if not two or three. The groups have coined a name for themselves: “long-haulers.”

Long-haulers are often left out of the COVID-19 narrative. Data sheets count cases, hospitalizations, recoveries and deaths…Many long-haulers say their doctors doubted their symptoms were as severe as they were saying. Roberts says her original primary care physician insisted it was just stress and suggested she watch Lifetime movies and do puzzles to calm down. “I know stress,” Roberts says. “This was not stress.”

“The heartbreaking loneliness of the pandemic has been difficult enough for healthy people. But it’s been a terrifying challenge for those like Roberts and Nowell who also must live with foggy minds, intense fatigue and continual fear of erratic symptoms. Roberts says she’s still afraid to go anywhere because the worst symptoms still come on so fast.

Continue with full story at source link above.

Vince Lombardi - Fatigue makes cowards of us all.

Study identifies six different “types” of COVID-19 – CBS News

>The new, weird symptoms associated with Covid-19 – Daily Nation

The six categories are defined by different clusters of symptoms, and some patients in some groups are much more likely to need ventilators.

Full story of excerpts at Source Link: >Study identifies six different “types” of COVID-19 – CBS News

“A new study of COVID-19, based on data from a symptom tracker app, determined that there are six distinct “types” of the disease involving different clusters of symptoms. The discovery could potentially open new possibilities for how doctors can better treat individual patients and predict what level of hospital care they would need.

“The six clusters of symptoms outlined in the study are:

Flu-like with no fever: Headache, loss of smell, muscle pains, cough, sore throat, chest pain, no fever.

Flu-like with fever: Headache, loss of smell, cough, sore throat, hoarseness, fever, loss of appetite.

Gastrointestinal: Headache, loss of smell, loss of appetite, diarrhea, sore throat, chest pain, no cough.

Severe level one, fatigue: Headache, loss of smell, cough, fever, hoarseness, chest pain, fatigue.

Severe level two, confusion: Headache, loss of smell, loss of appetite, cough, fever, hoarseness, sore throat, chest pain, fatigue, confusion, muscle pain.

Severe level three, abdominal and respiratory: Headache, loss of smell, loss of appetite, cough, fever, hoarseness, sore throat, chest pain, fatigue, confusion, muscle pain, shortness of breath, diarrhea, abdominal pain.

“The first level, “flu-like with no fever,” is associated with headaches, loss of smell, muscle pains, cough, sore throat and chest pain. Patients at this level have a 1.5% chance of needing breathing support such as oxygen or a ventilator.

“The most severe type of COVID-19 is referred to as “severe level three, abdominal and respiratory,” and has all the above symptoms along with abdominal pain, shortness of breath and diarrhea. Nearly 20% of these patients need breathing support.

“Those are the severe level threes who wind up on a ventilator, and then it is touch-and-go as to whether they survive the infection entirely. Patients in the severe clusters also tended to be older or with pre-exisiting conditions and weakened immune systems, compared to those in the first three. 

“Scientists hope the discovery, once further studied, could help predict what types of care patients with COVID-19 might need, and give doctors the ability to predict which patients would fall into which category.

Continue reading full story at source link above.

Amazing Wisdom Quote ~ Knowledge comes from learning ...

 

Dr. Fauci says all the ‘valid’ scientific data shows hydroxychloroquine isn’t effective in treating coronavirus

Science and Pseudoscience duke it out in this video, wait for the end to understand the difference and the hydroxychloroquine runaway train crash movement.

>Ohio Bans Hydroxychloroquine For Coronavirus Treatment as State Records One of Highest Days for New Cases

>You Must Not ‘Do Your Own Research’ When It Comes To Science

>Still no evidence that hydroxychloroquine can cure or prevent COVID-19

>2005 chloroquine study had nothing to do with COVID-19 and the drug wasn’t given to humans

Read full story of excerpts below at Source: >Dr. Fauci says all the ‘valid’ scientific data shows hydroxychloroquine isn’t effective in treating coronavirus

  • White House coronavirus advisor Dr. Anthony Fauci said that all the “valid” scientific data shows hydroxychloroquine isn’t effective in treating Covid-19.
  • Fauci said that the public has “got to follow the science,” adding, “if a study that’s good comes out and shows efficacy and safety for hydroxychloroquine or any other drug that we do … you accept the scientific data.”

“You look at the scientific data and the evidence. And the scientific data … on trials that are valid, that were randomized and controlled in the proper way, all of those trials show consistently that hydroxychloroquine is not effective in the treatment of coronavirus disease or Covid-19…

There are no FDA-approved drugs for the coronavirus. The agency granted emergency authorization to antiviral drug remdesivir to treat Covid-19, but it’s not the same as a formal approval. Last month, the FDA pulled hydroxychloroquine’s authorization for emergency use after determining it was “unlikely” to be effective in treating people with Covid-19.

Top 10 Inspirational Quotes of Famous Scientist Dr. Albert ...

Covid-19 can be a prolonged illness, even for young adults, CDC report says – CNN

Covid-19 can be a prolonged illness, even for young adults, CDC report says

>I can’t shake Covid-19: Warnings from young survivors still suffering

Full story of excerpts below at Source: >Covid-19 can be a prolonged illness, even for young adults, CDC report says – CNN

“(CNN) Covid-19 can be a prolonged illness, even among young adults without underlying chronic medical conditions, the US Centers for Disease Control and Prevention reported Friday. Thirty-five percent of those surveyed by the agency said they still weren’t back to their usual good health even two to three weeks after testing positive for the disease.

“Earlier studies have shown that hospitalized patients can have lengthy recovery times. One survey of patients in Italy done two months after they became ill, found that more than 87% still had at least one symptom and more than half said they still had three or more symptoms.

“Some doctors have expressed concern that the symptoms could linger for years and some may never fully recover. There are studies underway to gauge the long-term effects and some clinics have started to set up programs that help people with long-term Covid-19 symptoms.

“The authors of the new CDC study argue that public health leaders need to remind people who may not take Covid-19 seriously that even younger, healthier adults who get a milder form of the disease can have symptoms for weeks.

“Courage does not always roar. Sometimes courage is the quiet voice at the end of the day saying, ‘I will try again tomorrow.” – Mary Anne Radmacher

Lion, Statue, Sculpture, Monument, Predator, Courage

 

The Pandemic Is Pushing Scientists To Rethink How They Read Research Papers – NPR

>Factcheck – A Guide to Our Coronavirus Coverage

>Guide to Online Health Information 16 minute learning activity

>Snopes Factchecking Medical Section

>Newsguard COVID-19 Misinformation Resources

>Health Feedback Scientists Sorting Fact from Fiction

>Patient Advisor posts tag: Misinformation

“The coronavirus pandemic has posed a special challenge for scientists: Figuring out how to make sense of a flood of scientific papers from labs and scientists unfamiliar to them.

Read full story at source: >The Pandemic Is Pushing Scientists To Rethink How They Read Research Papers

“More than 6,000 coronavirus-related preprints from researchers around the world have been posted since the pandemic began, without the usual peer review as a quality check. Some are poor quality, while others, including papers from China from early in the course of the epidemic, contain vital information.

It takes a large investment of attention and effort to really dig deeply into a manuscript to scrutinize the methods, the claims and the relationship between the methods and the claims

“In the case of the hydroxychloroquine study… the reported results had veered significantly from their previously stated experimental plan. “Those struck me as a lot of major red flags…It probably took me something between 15 minutes and 30 minutes to come to the conclusion that this paper wasn’t worth the time of day. Sure enough, the promise of hydroxychloroquine as a COVID-19 treatment eventually crumbled, as several larger studies failed to show any benefit.

One way researchers are working to overcome bias is by coming together to form international research teams... Motivated by a desire to address “a common threat to humanity”

Read full story at source link above.

Older Adults and Covid-19 | CDC

“Among adults, the risk for severe illness from COVID-19 increases with age, with older adults at highest risk. Severe illness means that the person with COVID-19 may require hospitalization, intensive care, or a ventilator to help them breathe, or they may even die.

Full story at Source: >Older Adults | CDC

“your risk of getting severely ill from COVID-19 increases as you get older. In fact, 8 out of 10 COVID-19-related deaths reported in the United States have been among adults aged 65 years and older.

“The best way to protect yourself and to help reduce the spread of the virus that causes COVID-19 is to:

“If you start feeling sick and think you may have COVID-19, get in touch with your healthcare provider within 24 hours

the more people you interact with, the more closely you interact with them, and the longer that interaction, the higher your risk of getting and spreading COVID-19.

  • If you decide to engage in public activities, continue to protect yourself by practicing everyday preventive actions.
  • Keep these items on hand and use them when venturing out: a cloth face covering, tissues, and a hand sanitizer with at least 60% alcohol, if possible.
  • If possible, avoid others who are not wearing cloth face coverings or ask others around you to wear cloth face coverings.

For full extensive details continue at CDC site source link above

Parties — Not Protests — Are Causing Spikes In Coronavirus : Coronavirus Live Updates : NPR

Erika Lautenbach, director of the Whatcom County Health Department in Washington state, says protests against police violence aren’t among the catalysts for the spread of COVID-19.

4 Minute podcast and full story at Source: >Parties — Not Protests — Are Causing Spikes In Coronavirus : Coronavirus Live Updates : NPR

As the U.S. begins to open back up, coronavirus clusters — where multiple people contract COVID-19 at the same event or location are popping up all over the country. And despite drawing massive crowds, protests against police violence and racial injustice in Washington state weren’t among those clusters.

“We did have a rally in Bellingham, which is our county seat, and there was also a protest, and we have not been able to connect a single case to that rally or to the protest, and what we’re finding is in large part that’s due to the use of masks

14 cases were associated with a party of 100 to 150 people in early June. Subsequently, 15 more cases were associated with the original 14. So that one event spread to 29 people and 31 related employers,

“We’re finding that the social events and gatherings, these parties where people aren’t wearing masks, are our primary source of infection, …And then the secondary source of infection is workplace settings

“The concern is that because these younger people are having more mild symptoms, they are going to work sick, they are visiting with their parents and grandparents sick and they’re continuing to go to social events where they expose more and more people

Coronavirus Resource Center – Harvard Health

Harvard Health Publishing Logo

As coronavirus spreads, many questions and some answers

See full site of excerpts below and all resources at Source: >Coronavirus Resource Center – Harvard Health

“The rapid spread of the virus that causes COVID-19 has sparked alarm worldwide. The World Health Organization (WHO) has declared this rapidly spreading coronavirus outbreak a pandemic, and countries around the world are grappling with a surge in confirmed cases. In the US, social distancing to slow the spread of coronavirus has created a new normal. Meanwhile, scientists are exploring potential treatments and are beginning clinical trials to test new therapies and vaccines. And hospitals are ramping up their capabilities to care for increasing numbers of infected patients.

(At the source above), “you’ll find answers to common questions all of us are asking. We will be adding new questions and updating answers as reliable information becomes available. Also see our podcasts featuring experts discussing coronavirus and COVID-19.

COVID-19 Is Likely Airborne, Aerosol Scientist Says


Something has been bothering Kimberly Prather, PhD: everything she reads about COVID-19 points to a pathogen that travels through the air.

>Reducing transmission of Coronavirus, AAAS Science
(Sars-CoV-2 is the latest Coronavirus)

Full story of excerpts below on Medscape at Source: >COVID-19 Is Likely Airborne, Aerosol Scientist Says

A lot of the evidence has been pointing to aerosol transmission of respiratory viruses,”  Influenza can be passed through the air, as can the virus that causes SARS. “This particular virus, a lot of evidence is mounting. ..she’s been alarmed not to see the CDC or WHO come out with a strong statement that people could catch COVID-19 by breathing it in.

“…masks can play a major role in stopping that transmission. When you sing, the amount of droplets and aerosol that come out is really, in some respects, scary…When a person coughs or sneezes, they generate large droplets laden with viral particles. Those droplets are heavy and fall to the ground or a nearby surface pretty quickly, within seconds. They are still somewhat wet and sticky when they land.

“That’s where the 6-foot rule comes in… It’s based on studies of respiratory droplets conducted in the 1930s. Aerosols…can accumulate, remain infectious in indoor air for hours, and be easily inhaled deeply into the lungs this is a scary thing to be telling people. “I hesitate. I don’t want to freak people out.” She also believes knowledge is power.

“I have to say something because this could actually protect people,” she says. What airborne transmission means, she says, is that 6 feet is not far enough to stand apart. It also means we should probably be wearing masks a lot more often.

Is Ibuprofen Really Risky for Coronavirus Patients? – The NY Times. If you have covid fever the answer is not black and white, as usual.

Experts are puzzling over a claim made by France’s health minister.

>NSAIDs in patients with viral infections, including Covid-19: victims or perpetrators?

Full story of excerpts below at Source >Is Ibuprofen Really Risky for Coronavirus Patients?

When organizations can’t make up their minds, I get worried. France say this, the WHO changes its mind; it means the the answers are more complicated than black or white. In the case of ibuprofen and fevers we should be more deliberate than pill-popping for any pain.  I feel that the NY Times article source above really put the topic in great perspective. — DH

“for infectious disease specialists, the greater concern is that when Nsaids and acetaminophen reduce fever, patients may be more comfortable but their lower temperatures can short-circuit the body’s main defense against infection.

“Studies have found that if people infected with a variety of viruses and other microorganisms bring their fevers down, with Nsaids or with acetaminophen, their symptoms may last longer and they continue to shed virus for a longer time — meaning they may be contagious for longer periods

The immune system works better when the body’s temperature is higher, enabling it to more efficiently kill viruses and bacteria. Dozens of studies — in animals, reptiles and humans — have found that fever is beneficial in fighting infections.

“There is at least a theoretical danger the fever-reducers — including acetaminophen — may have a similar effect in patients ill with the coronavirus. Although there is no research yet, …it might be reasonable for a person infected with the coronavirus to avoid both kinds of painkillers…A drug like acetaminophen or ibuprofen can bring a fever down, but you don’t want to keep taking it constantly.

“..an 18th-century English physician, Dr. Thomas Sydenham: “Fever is nature’s engine which she brings to the battlefield to vanquish her enemies.”

Unusual Coronavirus Symptoms: Diarrhea, COVID Toes and others – AARP


Unexpected COVID-19 infection symptoms include lesions on patients’ hands and feet, nausea, diarrhea, loss of smell, blood clots and confusion.

Full story and much more detail of below excerpts at Source: >Unusual Coronavirus Symptoms: Diarrhea, COVID Toes

“Fever, cough and shortness of breath are not the only warning signs of a coronavirus infection, even if they are the most common. In recent weeks a growing number of doctors have documented a handful of otherwise unexpected symptoms in patients with COVID-19, the illness caused by the coronavirus.

“Some are reporting red or purple lesions on patients’ hands and feet; others are treating people with diarrhea and severe appetite loss. There are also patients who have lost their sense of taste and smell. These symptoms, strange as they may seem, reinforce what experts around the world have come to realize in recent weeks: The coronavirus is capable of causing more than a respiratory illness; it can launch a full-body attack.

It takes a while for the full range of symptoms to kind of be known” when you’re dealing with a new virus… At the start of the U.S. outbreak, the focus was primarily on treating the sickest patients, many of whom experienced classic respiratory symptoms and needed help breathing. “And then, as time went on and people saw more cases, they started to recognize some of the things that are a bit less typical,” Winston says.

Here are some uncommon signs of COVID-19 that fall outside the hallmark symptoms.” (Go to the source above for detail of these symptoms)

Where do I get my Covid-19 test? Test for Current Infection | CDC


Hello! Today I had big one; in a mad rush to find testing information for an elder friend with a cough. I found out that public health websites are not as user friendly for anyone in a panic. My conclusions are that CDC provides the best web pages on what to do but for local testing resources call 211 or google it as below. Go figure!

In the google search below change to your zip code and you will get a nice map to click on showing a larger map with locations and phone numbers around you in the left panel . You must call first and they will give questions or instructions how to register to schedule the test:

>Google search for local Covid-19 testing sites.

Below are excerpts and great info from the CDC. Full Resource page of below at Source: >Test for Current Infection | CDC

“Viral tests check samples from your respiratory system (such as swabs of the inside of the nose) to tell you if you currently have an infection with SARS-CoV-2, the virus that causes COVID-19. Some tests are point-of-care tests, meaning results may be available at the testing site in less than an hour. Other tests must be sent to a laboratory to analyze, a process that takes 1-2 days once received by the lab.”

There is an excellent Self-Checker application on the site “A guide to help you make decisions and seek appropriate care”

“CDC has guidance for who should be tested, but decisions about testing are made by state and local health departments or healthcare providers… If you have symptoms of COVID-19 and want to get tested, call your healthcare provider first. You can also visit your state or local health department’s website to look for the latest local information on testing. Although supplies of tests are increasing, it may still be difficult to find a place to get tested.

“To get your test result, please check with the group that performed your test, such as your healthcare provider or your health department. Check the CDC website to locate your health department information. How long it will take to get your test results back depends on the test used. If you test positive for COVID-19, know what protective steps to take If You Are Sick or Caring for Someone.

Some of the links on the website:

Huge Study Throws Cold Water on Antimalarials for COVID-19 | MedPage Today


“No support for continued use seen in analysis of 15,000 patients who got controversial drugs”

Full story of excerpts below at Source: >Huge Study Throws Cold Water on Antimalarials for COVID-19 | MedPage Today

“Chloroquine or hydroxychloroquine (HCQ), with or without an antibiotic, in hospitalized COVID-19 patients were associated with increased risk of death in the hospital and higher rates of arrhythmias, analysis of outcomes in nearly 100,000 patients indicated.

>Medical Reference: The Lancet

“This is the first large scale study to find statistically robust evidence that treatment with chloroquine or hydroxychloroquine does not benefit patients with COVID-19,” 

 

 

Health Safety Tips For When It’s Time To Emerge From Lockdowns : NPR


>How Is The Federal Government Doing At Guiding A Smart Reopening?

6 minute podcast and full page of below excerpts at Source: >Health Safety Tips For When It’s Time To Emerge From Lockdowns : NPR

“As more states continue to ease shelter-in-place restrictions, what are the safest ways to get back out into society — whether it’s outdoors, going to church or returning to work? What are the safest ways to move around as we start to do it more? An end to lockdowns is coming. NPR’s Allison Aubrey joins us to talk through the options for going outdoors or to church or returning to work…

people are moving around more. Using cellphone location data, researchers have seen about a 20% decline in the percentage of people staying home compared to two weeks ago. And it’s also worth noting who seems to be going out most. Some new survey data out of the U.K. shows during lockdown about 50% of adolescent boys and young men – so college-aged males – acknowledge meeting up with a group of friends. And many parents in the U.S. have seen this growing restlessness.

“The data suggests that prolonged indoor contact is the riskiest. Being outside is lower risk. So over the last week or so, we’ve seen several states giving the green light to outdoor activities – exercising on the beach or in parks, tennis, golf, boating. We’re also hearing more about small gatherings in people’s yards.

“There’s better air circulation outside, more sunlight. It’s often easier to stay 6 feet away when you’re in someone’s backyard than their living room. But Carroll says it can be a slippery slope. You know, once people gather, you have to be careful about maintaining social distancing.

many cases are transmitted at home. So one way is a family member who’s an essential worker brings it home to everyone else, so really important for that essential worker, you know, to wash hands, take precautions. And the more people who gather in a home, the more risk.

“there’s very good reason we’re being asked to wear masks. … it’s impossible to say just how many infections that masks may prevent. Mostly the masks do help prevent the person wearing it from spreading the virus.  When I see someone wearing a mask, it says two things to me. They care about the people around them, and they care and respect themselves. …it’s worth pointing out the CDC is recommending that we wear them, and we’ll continue to see this as more people go back to work and perhaps on public transport. ..when people are on public transport or back at work, they’re quite likely indoors, which makes that kind of thing vital.

employers are thinking about things like screening, antibody testing. A lot of employers are scrambling, trying to come up safety measures for reopening. One idea being floated in some countries is the idea of an immunity passport or a health passport so people who have had the virus and presumably have some immunity would be identified and perhaps cleared to go to work.

“But physician Aaron Carroll says this is really not as simple as it sounds. “First of all, we should acknowledge that we don’t even understand yet how good immunity is, how long it lasts, how much it’s protective. So to start labeling people immune is really jumping the gun. We just don’t know yet.

 

What It Takes To Be A Contact Tracer : NPR Do you have empathy? Welcome to the new economy


Riding the Tidal Wave of the Coming Public Health Economy

5 min podcast >A Day In The Life Of A Coronavirus Contact Tracer

Are the US and state governments being dragged kicking and screaming into an unprecedented massive investment for contact tracing? As governments extol the quick recovery from the virus pandemic, experts keep talking of repeating infection waves since our fragmented bureaucracy cannot get a handle what the virus is really doing in this country until massive resources are committed to tracking it down. Fighting over costs will be swept away into absolute submission and a new economy. Other countries and a few States are leading the way. Watch for new remote and compassionate footwork jobs to start appearing. Contract tracing needs empathy. Everyone is frightened when contacted. — DH

“NPR’s Michel Martin speaks with John Welch, the director of partnerships & operations for Massachusetts’ COVID-19 response at Partners In Health, about their contact tracing program and training.

“Public health experts say that one of the keys to safely lifting stay-at-home orders around the country is contact tracing. So we wanted to spend some time now learning more about what it takes to implement a statewide contact tracing program and how people are being trained for this…

“It is exactly as you described it, a ramp-up at this stage, a lot of quick hiring and, you know, in-depth training and making sure we have the right people who have the right skills but then most importantly people who have the patience and the empathy to listen. They’re reaching out to people who are in crisis and some people who are in acute crisis sort of superimposed on a chronic crisis of maybe poverty or marginalization.

“And those individuals need extra time and not only need it – they deserve it. So these contact tracers are balancing the need for understanding how to do the work while also just being a gentle ear…You know, first and foremost, we’re very sensitive to a variety of populations who might not be interested in anyone who’s sort of affiliated with state government reaching out to them.

“And we’re very sensitive to that and want all those individuals to know that this is a public health activity, that their information is very safe with us and that our interest is in helping them and keeping their families and friends safe.But then the folks who we do get in touch with are actually by and large relieved, you know.

We live in a world now, in this country where to receive health care, you’ve got to go and find it. And this activity is care coming to find you. So while contact tracing is an important epidemiological tool, it’s also an act of caring. And I think by and large people are really relieved to receive that phone call.

6 minute podcast and Continue reading much more of the interview at Source: >What It Takes To Be A Contact Tracer : NPR

_____________________________________________________

4 minute podcast, some excerpt below and much more at >We Asked All 50 States About Their Contact Tracing Capacity. Here’s What We Learned :
“We are investigating the relentless math of containing the pandemic. The next phase of fighting the coronavirus leans heavily on contact tracing. And numbers will measure the result. How many people have tested positive? How many people have they recently contacted? And how quickly can those people be quarantined?

“To establish those numbers, the United States needs a very large workforce of people to do contact tracing. Are we hiring enough people? NPR’s Selena Simmons-Duffin has spent the last week putting that question to officials in every single state, along with Puerto Rico and the District of Columbia. And she’s on the line. Selena, good morning.

SELENA SIMMONS-DUFFIN, BYLINE: Good morning, Steve.

INSKEEP: What’d you find?

SIMMONS-DUFFIN: So we were able to get data from 41 states. And the total they currently have added up to 7,300. Most states said they were planning a hiring surge. And after that, we will have 35,600. This is a snapshot from the past week. And a lot is in flux. But that’s our best estimate for what’s planned, more than 35,000 contact tracers nationally.

INSKEEP: Which sounds like a lot. But is that enough?

SIMMONS-DUFFIN: The short answer is not even close. Yesterday on the show, you had some influential former officials saying the country needs 180,000 total. Other estimates have put the number needed at 100,000. Here’s what Tom Frieden, former CDC director, told me about the totals we found.

TOM FRIEDEN: It’s a start. I think an increasing number of health departments around the country recognize the need to substantially scale up activities.

Coronavirus patients describe symptoms that last a month or more

“Some patients say they’re struggling to get back to their regular lives a month after getting diagnosed with the coronavirus. They say they’re still experiencing symptoms intermittently. Doctors say there’s still unknowns because the disease is still a “baby virus.

”There’s a wide variation among patients in how long symptoms last. Teresa Rodriguez knew something was wrong when she lost her sense of smell. She was cooking dinner with her daughter, and it hit her that something was off. The following morning, on March 23, she woke up feeling extremely tired, and her health deteriorated quickly from there.

“By the next week, I was totally immobilized,” she said. Once she had the strength to get out of bed, Rodriguez, who is in her early 50s, drove to the nearest community Covid-19 testing site in the San Francisco Bay Area, staffed by the Alphabet company Verily. A few days later, the test came back positive.

“It’s now been more than a month since she started experiencing symptoms, and she’s still battling a lingering headache, cough and fatigue. Rodriguez is just starting to feel like she can move around her home, but she’s still not feeling like her usual energetic self.

“She’s had plenty of colds and flus in the past, and described Covid-19 as “far worse.” What has surprised her the most, aside from the severity of the symptoms, is the longevity. She’s far from alone. Patients diagnosed or suspected to have Covid-19 are posting via online forums and on social media about symptoms that feel endless. Many say it comes in waves.

“They start feeling better after a few weeks, but it hits them again and persists. These patients say they’re in the middle camp between those who experience the virus like a mild cold or flu, and those who are so sick they end up at the hospital. It has been a frustrating experience, they say, especially for those who are struggling to get back to work and care for their kids after more than a month of feeling under the weather.

Read much more at Source: >Coronavirus patients describe symptoms that last a month or more

Remdesivir: What we know about the potential coronavirus treatment


>Google News Search Results (Last 24 hrs)

Full Story at Source: >Remdesivir: What we know about the potential coronavirus treatment

“A drug being developed to treat COVID-19, the disease caused by new coronavirus, is reportedly showing some promise but there’s no guarantee initial reports will lead to a commercially available treatment. Experts have been racing to find a treatment for the illness that’s killed more than 60,000 Americans and sickened more than 1 million.

“The experimental drug remdesivir has emerged as the first possible scientifically proven treatment. Early data from a global study released Wednesday found patients given remdesivir recovered faster and may be less likely to die. However, another study published the same day in the British medical journal The Lancet found no clinical benefits to the drug.

“Here’s what we know about the drug: What is remdesivir? Remdesivir is an experimental antiviral drug from the American biotech firm Gilead Sciences. It was originally tested as a treatment for Ebola and other coronaviruses including SARS and is now being tested as a possible COVID-19 treatment.

“The drug impairs the ability of the virus to replicate, … “You’re decreasing the degree of infection so the immune system can fight. It’s like taking fuel away from the fire,” he said.Dr. Aneesh Mehta, lead investigator for the portion of the remdesivir trial at Emory University in Atlanta, stressed the drug and other antivirals are not “silver bullets” that immediately get rid of an infection and the damage doesn’t just “all go away” when the virus is gone.

 

Interactive Graph of US states COVID-19 Cases and Deaths Trend Data | The Henry J. Kaiser Family Foundation


“In late 2019, a new strain of coronavirus emerged in China. With the number of cases of COVID-19, the disease caused by this coronavirus, growing rapidly in the United States and around the world, the World Health Organization declared it a pandemic on March 11, 2020.

Controlling the spread of the virus requires aggressive action from states and the federal government to ensure access to testing for those who need it and treatment for those who contract the disease.To date, states have taken a number of actions to mitigate the spread of the virus and reduce barriers to testing and treatment for those affected.

“This data tool (below) provides state-level information on:Cases and deaths (trend data), Adopted social distancing measures, Health policy actions to reduce barriers to COVID-19 testing and treatment, Additional state-level data related to COVID-19, including testing and provider capacity.

“These data will be updated regularly, and new information will be added in response to the evolving situation.

Allow a little time for graphics to update data. Scroll down to the COVID-19 Cases and Deaths Trend Data Plot. Deselect the (All) selection and select states you want to compare for cases or deaths. Hover over each curve to display the curve state name and see it’s plot data. Look for curve segments that curve flat or down for a gross estimate of a state’s progress in controlling the infections.

See the web page, full links and graphs at Source: >State Data and Policy Actions to Address Coronavirus | The Henry J. Kaiser Family Foundation

Call For Public Health Investment In Next Congressional COVID-19 Aid Package. The curve needs to be going down, not flat… : NPR

(If we put on flat hats, can we go out then?)

11 Minute Podcast and full story at >Call For Public Health Investment

“NPR’s Steve Inskeep talks to Scott Gottlieb, ex-head of the FDA, and Andy Slavitt, who led the Centers for Medicare and Medicaid, about the letter they wrote to Congress with a plan to reopen the U.S.

What will it take for Americans to get back to work? Two veteran voices in American health care are offering answers…

“…we’re going to have to have an aggressive system in place to try to identify positive cases through testing. And when we do find people who are infected with coronavirus, we have to have a system in place to allow them to self-isolate so that they don’t continue to spread infection. That’s going to require us to hire many more public health workers to do the contact tracing, basically the blocking and tackling of public health work, where you identify people, and then you go out and talk to them and then interview people who may have been in contact with them and offer them testing.

“What we’re going to be doing as we enter into the fall, in particular, as coronavirus starts to collide with flu season and we face the risk of large outbreaks and maybe another epidemic heading into the winter, what we’re going to be trying to do is get ahead of this and put in place enough layers of protection that you mitigate spread. We’re never going to be able to reduce all spread…

“We’re at a point right now where we’re seeing cases across the country plateau, but we still have 30,000 cases a day that we’re recording. There’s many more that we’re not capturing. We’re still having 2,000 deaths a day. So we’ve plateaued, but we haven’t really seen the sustained declines that we think we need in order to really safely start to restart economic activity. In fact, really, when you look at it, only about five states have shown sustained reductions in new cases that meet the criteria set out by the administration in terms of when you would contemplate restarting activity. So the best thing we can do to get consumers back and get the economy vibrant again is give people confidence that we’ve controlled this epidemic, the virus isn’t circulating widely and people’s risk of contracting it if they go out is low again.”

 

Study Finds Key Nasal Cells Vulnerable To Coronavirus | KJZZ

“Research papers in the journals Cell and Nature Medicine have identified cells that act as major coronavirus infection sites — and the proteins that make them vulnerable.The findings stem from hundreds of scientists working together and sharing data.The protein spikes that make up a coronavirus’s “crown” infect cells through chemical doorways called receptors.

“Using new sequencing methods, researchers found two proteins that prop open the door for SARS-CoV-2, the virus that causes the COVID-19 disease, were prevalent in special nasal bodies called goblet cells and ciliated cells. Goblet cells maintain the body’s protective barriers by secreting mucus and immune agents like anti-microbial proteins. Ciliated cells use tiny hair-like structures to sweep the nose clean of dust, bacteria and other debris.

“…the virus might shelter in the upper airway before spreading into the lower respiratory tract.” So if we could come up with an intranasal antiviral, it might more effectively knock out the virus,” …

“The findings agree with previous studies showing higher viral loads in nasal swabs than in throat swabs in both symptomatic and asymptomatic patients, suggesting surface tissues within the nose — where goblet and ciliated cells reside— as an entry point for initial infection and transmission.

Continue reading full story at Source: >Study Finds Key Nasal Cells Vulnerable To Coronavirus | KJZZ

CDC adds six new possible coronavirus symptoms – CBS News


“The Centers for Disease Control and Prevention has added six new symptoms to its list of possible signs of the coronavirus. Previously, the CDC only noted fever, cough and shortness of breath as symptoms. The agency has updated its list to include: chills, repeated shaking with chills, muscle pain, headache, sore throat and new loss of taste or smell. Shortness of breath has also been changed to “shortness of breath or difficulty breathing.”

>Updated Symptoms of Coronavirus (CDC)

“Any of the now nine symptoms may appear anywhere from 2-14 days after exposure to the virus, according to the agency. The CDC recommends that people seek medical attention immediately if they develop any of these emergency warning signs: Trouble breathing ,Persistent pain or pressure in the chest, New confusion or inability to arouse, Bluish lips or face”

“Dr. William Jaquis, president of the American College of Emergency Physicians (ACEP) told CBS News in March that the three most common symptoms were fever, a dry cough and shortness of breath.

“According to the World Health Organization, the most common symptoms are fever, dry cough, and tiredness.

Full story at Source: >CDC adds six new possible coronavirus symptoms – CBS News

Study confirms vitamin D protects against colds and flu (and maybe help with coronavirus respiratory infections) – Harvard Gazette 


(Click on “Youtube” for more details and reference links)

>Vitamin D protects against colds and flu, finds major global study

>Dosage of Vitamin D (Vitamin D A Rapid Review. Medscape)
2000 IU (50 mcg) per day increases vitamin D blood levels 20 ng/ml (50 nmol/L). This is my recommended dosage for Psoriasis prescribed by my dermatologist.

>Summary Vitamin D and Influenza—Prevention or Therapy? (Pubmed)

Read full story of below at Source: >Study confirms vitamin D protects against colds and flu – Harvard Gazette

“A new global collaborative study has confirmed that vitamin D supplementation can help protect against acute respiratory infections. The study, a participant data meta-analysis of 25 randomized controlled trials including more than 11,000 participants, has been published online in The BMJ.

“Most people understand that vitamin D is critical for bone and muscle health,” said Carlos Camargo of the Department of Emergency Medicine at Massachusetts General Hospital “Our analysis has also found that it helps the body fight acute respiratory infection, which is responsible for millions of deaths globally each year…

“Meta-analyses of these trials, which aggregate data from several studies that may have different designs or participant qualifications, also had conflicting results. To resolve these discrepancies, the research team — led by Adrian Martineau from Queen Mary University of London — conducted an individual participant data meta-analysis of trials in more than a dozen countries, including the U.S., Canada, and the U.K.

“The investigators found that daily or weekly supplementation had the greatest benefit for individuals with the most significant vitamin D deficiency (blood levels below 10 mg/dl) — cutting their risk of respiratory infection in half — and that all participants experienced some beneficial effects from regular vitamin D supplementation.

“Administering occasional high doses of vitamin D did not produce significant benefits.

 

Not for the faint of heart: The science of how the coronavirus kills. Clinicians trace a ferocious rampage through the body, from brain to toes | Science | AAAS

“As the number of confirmed cases of COVID-19 surges past 2.2 million globally and deaths surpass 150,000, clinicians and pathologists are struggling to understand the damage wrought by the coronavirus as it tears through the body.

“[The disease] can attack almost anything in the body with devastating consequences,” says cardiologist Harlan Krumholz of Yale University and Yale-New Haven Hospital, who is leading multiple efforts to gather clinical data on COVID-19. “Its ferocity is breathtaking and humbling.

”Understanding the rampage could help the doctors on the front lines treat the fraction of infected people who become desperately and sometimes mysteriously ill…

“Taking a systems approach may be beneficial as we start thinking about therapies,” says Nilam Mangalmurti, a pulmonary intensivist at the Hospital of the University of Pennsylvania…What follows (below) is a snapshot of the fast-evolving understanding of how the virus attacks cells around the body, especially in the roughly 5% of patients who become critically ill.

“Despite the more than 1000 papers now spilling into journals and onto preprint servers every week, a clear picture is elusive, as the virus acts like no pathogen humanity has ever seen. Without larger, prospective controlled studies that are only now being launched, scientists must pull information from small studies and case reports, often published at warp speed and not yet peer reviewed.

“We need to keep a very open mind as this phenomenon goes forward,” says Nancy Reau, a liver transplant physician who has been treating COVID-19 patients at Rush University Medical Center. “We are still learning.”

Continue reading the full story at Source: >How does coronavirus kill? Clinicians trace a ferocious rampage through the body, from brain to toes | Science | AAAS

A toolkit for spotting fake news – Simon Black – Medium

Fake News can kill. Ignore this information at your peril.

In this post I am including all the useful resources I can find on combating fake news on the internet including plugins and browser extensions and recent developments. The last toolkit source below even though it was in 2019 seemed to describe all the best tools. Above the source below is a list of links and info of recent developments on fake news:

>Fake News About Coronavirus Is Spreading. We Need A Vaccine Against Misinformation: Goats and Soda : NPR

>Did You Fall For A Coronavirus Hoax? Facebook Will Let You Know

>Combating Fake News

“Since people consume online news via a browser, browser extensions (and app-based services) have become more popular.  These include:

“– Our.News.  This service uses a combination of objective facts (about an article) with subjective views that incorporate user ratings to create labels (like nutrition labels on food) next to new articles that a reader can use to make a judgement.  Our.News labels use publisher descriptions from Freedom Forum, bias ratings from AllSides, information about an article’s sources author and editor.  It also uses fact-checking information from sources including PolitiFact, Snopes and FactCheck.org, and labels such as “clickbait” or “satire” along with and user ratings and reviews.  The Our.News browser extension is available for Firefox and Chrome, and there is an iOS app. For more information go to https://our.news/.

“– NewsGuard. This service, for personal use or for NewsGuard’s library and school system partners, offers a reliability rating score of 0-100 for each site based on its performance on nine key criteria, ratings icons (green-red ratings) next to links on all of the top search engines, social media platforms, and news aggregation websites.  Also, NewsGuard gives summaries showing who owns each site, its political leaning (if any), as well as warnings about hoaxes, political propaganda, conspiracy theories, advertising influences and more.  For more information, go to https://www.newsguardtech.com/.

>Use this Chrome extension TrustedNews to know if you’re reading fake or biased news

>NewsGuard drops its paywall to combat coronavirus misinformation

>Fake News: Discerning Fake News

>List of fake news websites

>Fake news (Wikipedia)


Read full details of quote below at Source: >A toolkit for spotting fake news – Simon Black – Medium

“The idea of fake news is not new. People have been manipulating facts, creating false narratives, and outright lying for as long as they have been communicating.That being said one thing to come out of the American presidential election in 2016 was the idea of fake news being pressed firmly into the mainstream consciousness.

“While it has been used as a tool by precisely those who seek to lie to the public it is nevertheless a timely reminder that new communication technologies have created a surge in fake news for two reasons; They allow new ways for manipulated stories to be produced, distributed, and consumed.

“At the same time the shift away from a subscription model of journalism to one driven by page views and streams has taken us back to the days of the “yellow press”. Digital news producers are standing on the figurative street corners of Google, Facebook, and other such sites and trying to grab as much traffic as possible from the stream of people flowing by.

“While this technological disruption has changed things and allowed fake news to spread it has also provided powerful tools for spotting, and sorting news. I’ve started this page as a place to gather the different types of sites that are available online. These are divided into the following categories;Fact checking sites, Lobbyist and donation tracking sites, Plugins, browser extensions, and apps.

(Continue reading full details at source above.)

 

Study Suggests Regular Exercise Can Prevent Coronavirus Patients From Developing Severe Complications

Full story at Source: >Study Suggests Regular Exercise Can Prevent Coronavirus Patients From Developing Severe Complications

Regular exercise can possibly prevent coronavirus patients from developing severe complications like acute respiratory distress syndrome (ARDS), according to a new study. The study, which was published by Zhen Yan, a professor at the University of Virginia School of Medicine, shows that medical research findings “strongly support” the possibility that exercise can prevent or at least reduce the severity of ARDS.

“According to the study, between 3 and 17 percent of all COVID-19 patients will develop ARDS, while available data from the Centers for Disease Control and Prevention estimates that between 20 and 42 percent of all patients hospitalized with COVID-19 will develop ARDS.

“In his research, Yan studied a powerful antioxidant that is released throughout the body when exercising, which showed to help prevent disease, such as ARDS. The antioxidant is known as “extracellular superoxide dismutase” (EcSOD), which is created naturally by our muscles, but Yan’s studies discovered an increase in production when exercising.

“These findings strongly support that enhanced EcSOD expression from skeletal muscle or other tissues/organ, which can be redistributed to lung tissue, could be a viable preventative/therapeutic measures in reducing the risk and severity of ARDS,” Yan’s study says…

(Continue reading full story at source above)

 

Thousands of New Jobs: ‘We need an army’: Hiring of coronavirus trackers is likely set to soar

>How Contact Tracing Works And How It Can Help Reopen The Country

(I believe there will also be huge opportunities to work from home on the phone and online as part of the contact tracing teams — DH)

“Massachusetts is launching a statewide effort, hiring 1,000 contact tracers in partnership with Partners In Health, an international health nonprofit with experience in the developing world. Qualifications include a high school diploma or equivalent, the ability to speak and write in English, and the “ability to show empathy to distressed individuals.” San Francisco has also been scaling up its contact tracing workforce.

_________________________________________________________________

“K.J. Seung is surprised to be hiring and training new workers in Boston.His public health nonprofit, Partners in Health, specializes in helping the poorest people in developing nations — tracking down contacts of Ebola patients in Liberia and Sierra Leone; running child health and HIV clinics in Haiti; and operating tuberculosis control programs in Peru.

“But now it is advertising for 500 people to help do what’s known as contact tracing to try to control Covid-19 in Massachusetts. It’s the first step in the next stage of fighting the pandemic. Boston-based Partners in Health has trained 12,000 community health workers in countries including Malawi, Mexico, and Rwanda and now it will help train a battalion of workers in Massachusetts to interview everyone diagnosed with Covid-19 and find other people who may have been infected by them.

“New digital tools could help. Combined with more widespread testing, contact tracing is seen as an essential part of the strategy for keeping the coronavirus in check after the first wave recedes and the economy reopens. But the work is highly labor-intensive, and public health departments across the U.S. have been woefully underfunded for years.

“This is going to test the capacity of the existing public health system,” said Marcus Plescia, chief medical officer of the Association of State and Territorial Health Officials. “I don’t know if we have enough staff in public health departments to do that.” Hence the hiring spree kicking off in Massachusetts and a few other places.Partners in Health is working with state officials in Massachusetts, who say they will eventually deploy nearly 1,000 people to do contact tracing.

Read full story at Source: >’We need an army’: Hiring of coronavirus trackers is likely set to soar

How Antibody Tests Can Inform Public Policies To Mitigate Coronavirus Pandemic : NPR

(Video) “COVID-19 Update 54 with critical care specialist Roger Seheult, MD of https://www.MedCram.com Production of COVID-19 antibody test kits are ramping up – there are over 70 companies producing them. Antibody tests could be one of the keys to eventually easing social distancing restrictions and allowing schools and businesses to re-open. Unfortunately, only one antibody test is FDA approved at this time, and the approval of each company will take some time. Dr. Seheult illustrates how antibody tests and PCR-RT tests for COVID-19 work on the cellular level, and he discusses potential coronavirus vaccine challenges.”
_________________________________________________________________

“Stanford is testing for coronavirus antibodies so they can determine who has been exposed and who could potentially go back to school or work. NPR’s Lulu Garcia-Navarro speaks to Dr. Jay Bhattacharya.LULU GARCIA-NAVARRO,

“HOST:The only way we’ll truly get a hold of this pandemic and come out the other side is through science – ultimately with a vaccine, but in the meantime through testing. There are tests that determine if someone who is sick has COVID-19 by taking nasal swabs, but also important is something called antibody or serological tests. And one of the places that’s doing that is Stanford University. Joining us now is Dr. Jay Bhattacharya, professor of medicine at Stanford University, who is part of this study:

Listen to 5 minute podcast and read full interview at Source: >How Antibody Tests Can Inform Public Policies To Mitigate Coronavirus Pandemic : NPR

An Update On The Drugs Being Developed And Tested To Fight COVID-19 : NPR

 

There are no proven therapies for COVID-19, but that has not stopped doctors from trying a variety of drugs in the hopes that something might work. While that may be an understandable impulse, researchers say that might not be such a great idea.

“so there are many drugs out there that we’ve been hearing about that might work as a therapy for the disease… What are some of the risks of just trying that drug out and just seeing what happens?

“the problem is you don’t know for sure, if somebody gets better, whether the drug did that or, if somebody gets worse, the drug did that. … there’s just no way to tell unless you study it.

“Andre Kalil is an infectious disease expert at the University of Nebraska Medical Center, and he says you have to remember all drugs have side effects. And it’s dangerous to just throw drugs at a patient who, in many cases – in patients who, in many cases, are quite sick.

“It’s really a disaster. People are taking unsafe drugs, unproven drugs. And people are dying from this.

“you need a carefully controlled study. That’s where patients get randomized. They don’t know whether they’re going to get a drug or a placebo, a sugar pill. And that’s the best way to say with authority after that – after you’ve done that study whether something is causing more harm than good. 

3 Minute Podcast and full dialog at Source: >An Update On The Drugs Being Developed And Tested To Fight COVID-19 : NPR

Lessons From the 1918 Flu : NPR

“Just over a century ago, a new infectious disease overtook the globe. Its history has long been buried, subsumed beneath the story of World War I. Historian Nancy Bristow believes it’s no mistake that Americans have focused on their victory in the war rather than on the devastation of the 1918 flu pandemic.

To remember the flu (pandemic) would be to admit to the lack of control that people had had over their own health. It would be to admit that the United States was not necessarily all powerful, but was like everywhere else in the world: subject as victims to something beyond their control,” she says.

“When we exhume this history, instructive lessons for our own time emerge. As is happening now, Americans had trouble hewing to the new constraints on their social behavior.

“It was hard for people because on the one hand it’s inconvenient. And on the other, they were asking for new habits—things that they had always been allowed to do before, and suddenly you’re not allowed, for instance, to spit on the street or to share a drinking cup. That you had to cover your cough and sneeze in your elbow. These were new things people were being asked to do in 1918,” Nancy says.

“This week on Hidden Brain, Nancy guides us through the history of the epidemic, from the policies American cities imposed on their citizens, to the blues musicians who crooned, “Influenza is the kind of disease/Makes you weak down to your knees.” Bridging 1918 and 2020, we uncover the human dimensions of a pandemic.

50 Minute Podcast and Continue reading at Source: >Lessons From the 1918 Flu : NPR