Tag Archives: Symptoms

‘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.

CDC guidance does NOT imply immunity to coronavirus for 3 months. All channels of today’s news snap judged the CDC guidance comments.

What??? I turned on the TV news this morning and they were all happy to state new reports from the CDC that we get 3 months free ride from coronavirus after quarantine!

“The CDC clarified on Friday that people who are infected with the coronavirus are not immune to reinfection in the following three months.

Full story of excerpts below at Source: >CDC guidance does not imply immunity to coronavirus for 3 months

  • “The U.S. Centers for Disease Control and Prevention clarified on Friday that its updated quarantine guidance does not imply people who are infected with the coronavirus are immune to reinfection.
  • It was reported in the news about CDC guidelines on quarantining, updated on Aug. 3, (seemed to) indicate that people who were once infected with the coronavirus are protected from reinfection for at least three months afterward.
  • The agency said it simply suggests retesting someone in the following three months after their initial infection is unnecessary unless that person shows symptoms that can’t be associated with another illness.

“Contrary to media reporting today, this science does not imply a person is immune to reinfection with SARS-CoV-2, the virus that causes COVID-19, in the 3 months following infection,” the CDC said in a statement.

I think this shows how easy it is for the public (and pundits) who do not carefully, logically approach science and data continually misinterpret the facts.

Continue with full story at source link above.

 

That's My Story & I'm Sticking To It – Usefully Useless Information

 

 

Fauci Says Coronavirus Temperature Checks ‘Notoriously Inaccurate’

>Why Temperature Checks Are ‘Doing More Harm Than Good,’ Doctor Says

>Covid-19 cases could be missed because temperatures are more common in the evening than the morning | Daily Mail Online

>VERIFY: Can being outside impact your temperature? | cbs8.com

>Infrared thermometers may give false fever readings in the summer | wusa9.com

Businesses big and small have been using infrared thermometers to screen patrons for fever, a symptom of Covid-19.

Read full story at Source Link: >Fauci Says Coronavirus Temperature Checks ‘Notoriously Inaccurate’

“We have found at the [National Institutes of Health] that it is much, much better to just question people when they come in and save the time, because the temperatures are notoriously inaccurate many times,” Fauci said.

Prior to Fauci’s comments, measures like temperature screenings—along with spraying disinfectant in public transportation, or walking through hand sanitizer showers—had been criticized as “safety theater,” meaning they are not proven to stem the spread of the virus.

“According to The Atlantic, temperature checks can backfire because not everyone who has the coronavirus will have fever as a symptom, so contagious people could be cleared to enter a business or other space where they could infect more people.

Continue with full story at source link above.

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 ...

 

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

 

Growing Body Of Evidence Suggests Masks Protect Those Wearing Them, Too : NPR

>A User’s Guide To Masks: What Types Offer The Best Protection? NPR

>Bioethicist On Libertarian Views Toward Face Mask Laws

“NPR’s Ailsa Chang talks with Dr. Monica Gandhi of the University of California, San Francisco, about growing evidence that masks help lower the severity of the coronavirus for those who wear them.

Full story of excerpts below at source: >Growing Body Of Evidence Suggests Masks Protect Those Wearing Them, Too : NPR

“…they really are protective of you as an individual. And sort of putting it all together, it really is that the less virus that you get in, the less sick you’re likely to be. So not only do masks protect you – and we’ve seen from getting the virus and altogether.

“And that’s been seen in hamster studies. That’s been seen in a health care worker study that was just published last week in JAMA. But if you do get the virus in, you get very little in. And you’re likely to get what’s called an asymptomatic infection or not have any symptoms at all and – or a very mild infection.

it really looks like any country that has adopted universal mask wearing – and many, many countries have – even as they open up and they’re seeing each other more and there’s more cases, it has led to much, much fewer deaths or severe illness. So the idea about this virus is it’s completely bizarre how it can cause no symptoms in some people and very, very severe symptoms in others…even in settings where there are outbreaks but everyone masked, there’s, like, a 95% rate of not having symptoms at all

Continue full story at source link above.

“The “Boxes” are the walls in your mind.” — Pearl Zhu

NPS Geodiversity Atlas—Black Canyon of The Gunnison National Park ...

Big WHO Mixup: Asymptomatic Vs Presymptomatic: How The Virus Spreads : NPR

“Scientists at the World Health Organization were having a virtual press conference, a normal thing they do, just giving updates on the virus and how it’s moving around the world. And then something kind of confusing happens.

10 minute podcast and read full transcript of podcast at Source: >Asymptomatic Vs Presymptomatic: How The Virus Spreads : Short Wave : NPR

“Maria Van Kerkhove, who’s one of WHO’s top epidemiologists…

“listening to Van Kerkhove, you’d think – well, why did we lock down? Why do we wear masks? She left listeners with the impression that anyone without symptoms had a low chance of spreading the virus. And that’s wrong. We know – and there’s documented evidence for this – that the virus can be spread by people without symptoms.

“So this statement was reported on by news outlets. You know, the WHO is a major global health organization. What they say matters. And that scientist, Maria Van Kerkhove had to kind of walk this back.

“There was a lot of reaction and pressure from researchers and the public. People were saying that it was confusing at best or actually wrong at worst.

this mix-up with the WHO was partly about a distinction between asymptomatic people and what scientists are calling pre-symptomatic people.

“Asymptomatic, which is the group that Van Kerkhove was referring to, these are coronavirus carriers who are infected but they never end up showing any symptoms. They feel fine the whole time. And then there’s another group called pre-symptomatic. And these are people who’ve been infected. They haven’t gotten sick yet, but they will. And they can definitely spread the virus, we think, up to three days before they start showing symptoms. There’s plenty of evidence for this.

“But here’s the catch. You can’t tell if someone is asymptomatic or pre-symptomatic until one of them starts showing symptoms. And even if there are asymptomatic people out there that seem to be transmitting the virus less, there are documented cases where it’s happened. So what Van Kerkhove says she meant to say is that she has not seen evidence that people who are truly asymptomatic are out there effectively spreading the virus to a lot of other people.

“if you’re not actively sick, if you’re not running your nose everywhere – spreading coronavirus seems to require situations where people are hanging out really close together, mostly indoors, and doing things that project their voice and breath and spread respiratory droplets. So it’s situations like singing in a choir or panting during a dance class at the gym or shouting to be heard in a nightclub. These are all activities that have reportedly led to virus transmission.

 

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:

It’s Official: Study Shows Dr Google Really Is Wrong More Often Than Not


Getting a DIY diagnosis via the internet is likely to be wrong more often that not

Full story of excerpts below found at Source: >It’s Official: Study Shows Dr Google Really Is Wrong More Often Than Not

“A study analyzing the accuracy of online symptom-checking websites and apps reveals that the quality of their diagnostic advice varies considerably, and on average they only list the correct diagnosis first about one-third (36 percent) of the time.

“While it may be tempting to use these tools to find out what may be causing your symptoms, most of the time they are unreliable at best and can be dangerous at worst,” 

“Generally the triage advice erred on the side of caution, which in some ways is good, but can lead to people going to an emergency department when they really don’t need to.”

“Diagnosis is not a single assessment, but rather a process requiring knowledge, experience, clinical examination and testing, and the passage of time, impossible to replicate in a single online interaction.”

They don’t know your medical history or other symptoms. For people who lack health knowledge, they may think the advice they’re given is accurate or that their condition is not serious when it may be.”

Sources:

>ScienceAlert

>Medical Journal of Australia

Pulse Oximeter, COVID-19 Shortness of Breath – Consumer Reports – Are the consumer ones reliable for medical use?

>Coronavirus FAQS: What’s A Pulse Oximeter? Is It A Good Idea To Buy One? (NPR)

“Focus on the Trend, Not Specific Numbers. There is little reason for the average, healthy person to have a pulse oximeter at home, the experts said. But there are some aspects of COVID-19 that could make one useful to people who have received a COVID-19 diagnosis or who have symptoms of the disease, says Elissa Perkins, M.D., associate professor of emergency medicine at Boston Medical Center, who is treating COVID-19 patients there. That’s because sometimes people with the disease have low oxygen levels even before they have shortness of breath, she says. “In COVID-19 patients, we often see that they look comfortable, but their oxygen saturation is significantly worse than normal.”

“For that reason, she says, a home pulse oximeter “could provide valuable additional information about their disease.” In general, experts CR spoke with say they tend to start to worry when oxygen saturation levels in an otherwise healthy adult get under 92 percent. But Perkins and other experts CR spoke with emphasized that people who use a home pulse oximeter should not fixate on specific numbers. Instead use the readings on the pulse oximeter to get a general sense of oxygen levels and if they are trending up or down.

“And keep in mind several caveats.To start, home pulse oximeters are not as accurate as those used in medical settings. Most, in fact, are not intended for medical use and have not been put through the same rigorous testing and review as medical-grade oximeters…

Michael S. Lipnick, M.D., assistant professor of anesthesia and critical care at the University of California, San Francisco, who has tested home pulse oximeters, says that while they may not be accurate enough to get FDA approval, they could “be used to monitor trends,” particularly at oxygen saturation levels above 90 percent. But even then, experts say that you should interpret the readings cautiously and not make any decisions based on them without consulting a physician.

“Even a pulse oximeter designated for medical use must be interpreted thoughtfully in the context of other physical signs, patient reported symptoms, and health history,” says Schultheis, who has studied pulse oximeters. “Otherwise, the information may be misleading.”

Albert A. Rizzo, M.D., chief medical officer of the American Lung Association, says that for people at home with symptoms of COVID-19, “patients really should be concentrating on things like their fever, their respiratory rate, pulse, cough, and if they’re getting out of breath doing the normal things they do every day.” He adds, “The pulse ox would be one more symptom or sign to add to those other things that may help make a decision about whether you should go to the hospital.

“Further, Rizzo says, fixating on pulse oximeter readings “may give you a false sense of security.” That’s because while in some cases oximeters may indeed identify lung problems before you have trouble breathing, it can also go the other way: You could be struggling to breathe but not show low oxygen saturation levels on your device.

“Interpreting results can also be challenging, Rizzo says.For example, he says pulse oximeter readings can vary depending on your age and medical history. So, ideally, you would know your baseline level for the device’s reading to be most meaningful. Other factors can also interfere with how well a pulse oximeter works, says Georgine Nanos, M.D., a family physician and CEO of the Kind Health Group, a telemedicine service. That includes moving while taking the measurement, wearing nail polish, or having darker skin or unusually cold fingers (because of conditions such as Raynaud’s syndrome, a disorder that causes blood vessels to spasm, typically in the fingers or toes, and limits blood flow to those areas).“

“Alternatives May Be Less Accurate. A number of wearable wellness devices have built-in pulse oximeters, but they are likely to be even less accurate than home pulse oximeters.

“Other Ways to Monitor Your Breathing. The experts CR spoke with emphasized that while a home pulse oximeter might be helpful to some people with COVID-19 or symptoms of the disease, the devices aren’t essential. For one thing, Lipnick at UCSF says you can get a sense of breathing without any kind of medical device. For example, you can measure your respiratory rate by monitoring how many breaths you take in 30 seconds, and then multiply that by two to get your breaths per minute. And you can measure your heart rate, or pulse, by putting two fingers on the inside of your wrist, counting the beats for 15 seconds, and then multiplying by four to get your heart rate per minute. While baseline heart and respiratory rates vary from person to person, let your healthcare provider know if you notice a sharp rise in your respiratory rate or heart rate.

“Other Ways to Monitor Your Breathing. The experts CR spoke with emphasized that while a home pulse oximeter might be helpful to some people with COVID-19 or symptoms of the disease, the devices aren’t essential. For one thing, Lipnick at UCSF says you can get a sense of breathing without any kind of medical device. For example, you can measure your respiratory rate by monitoring how many breaths you take in 30 seconds, and then multiply that by two to get your breaths per minute. And you can measure your heart rate, or pulse, by putting two fingers on the inside of your wrist, counting the beats for 15 seconds, and then multiplying by four to get your heart rate per minute. While baseline heart and respiratory rates vary from person to person, let your healthcare provider know if you notice a sharp rise in your respiratory rate or heart rate.

“If you have a peak flow meter (found at medical supplies) at home, as many people with asthma do, you could also use that, says Rizzo at the American Lung Association. These devices, which look like a cross between a kazoo and a thermometer, measure how fast air comes out of the lungs when you exhale forcefully into it after taking a deep breath. “People with asthma and COVID-19 symptoms who have a peak flow meter and know their baseline level, could use the device to help determine if their lung function is dropping,” Rizzo says.

“But the most important thing to do is to carefully monitor your symptoms, especially coughing, wheezing, shortness of breath, and fever, and to inform your healthcare provider about any worsening. If you develop any of these emergency warning signs for COVID-19, get immediate medical help, per the Centers for Disease Control and Prevention: trouble breathing, persistent pain or pressure in the chest, bluish lips or face, or new confusion or fainting. If you call 911 or the hospital, let the operator know you may have COVID-19 so that responders can prepare appropriately.

Read full story at Source: >Pulse Oximeter & COVID-19 Shortness of Breath – Consumer Reports

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

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

Symptoms of Coronavirus Covid-19 to watch for | CDC

Some reports from overseas have been loss of smell and taste preceding other symptoms.
More on the below is found on the >CDC webpage for Coronavirus Symtoms

“Reported illnesses have ranged from mild symptoms to severe illness and death for confirmed coronavirus disease 2019 (COVID-19) cases.

“These symptoms may appear 2-14 days after exposure (based on the incubation period of MERS-CoV viruses).

  • Fever
  • Cough
  • Shortness of breath

“If you develop emergency warning signs for COVID-19 get medical attention immediately. Emergency warning signs include*:

  • Trouble breathing
  • Persistent pain or pressure in the chest
  • New confusion or inability to arouse
  • Bluish lips or face

“*This list is not all inclusive. Please consult your medical provider for any other symptoms that are severe or concerning.

Source: >Symptoms | CDC

Loss of Smell, Taste, Might Signal Pandemic Virus Infection – Snopes.com

“A loss of smell or taste might be an early sign of infection with the pandemic virus, say medical experts who cite reports from several countries. It might even serve as a useful screening tool, they say.

“The idea of a virus infection reducing sense of smell is not new. Respiratory viral infection is a common cause of loss of smell, because inflammation can interfere with airflow and the ability to detect odors. The sense of smell usually returns when the infection resolves, but in a small percentage of cases, smell loss can persist after other symptoms disappear. In some cases, it is permanent.

Now, there’s “good evidence” from South Korea, China and Italy for loss or impairment of smell in infected people, says a joint statement from the presidents of the British Rhinological Society and of ENT UK, a British group that represents ear, nose and throat doctors.

So that might be useful as a way to spot infected people without other symptoms — fever, coughing and shortness of breath — of the new coronavirus, they wrote.

“But “we don’t have hard evidence right now” about how often smell loss occurs in people infected with the pandemic virus, he said in an interview Monday.

Read more at Source: >Loss of Smell, Taste, Might Signal Pandemic Virus Infection