Coronavirus Tidbits #122 2/18/21
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News Diagnostics Drugs Devices Epidemiology/Infection control Tips Politics Feel good du jour Comic relief Perspective/Poem Bits of beauty
Announcements:
First, there is now a Resources Page here for the most commonly asked questions I’m getting.
Happy to continue to answer your questions/concerns as best I can, so don’t be shy about that.
New post:
Covid-19 Vaccines And Autoimmune Disease
News
We take breathing for granted however singing lessons can be a fun way to improve our breathing and emotional regulation:
— Trauma-informed Relational & Digital Practice (@DrPeterBuzzi) February 16, 2021
Opera Singers Help Covid-19 Patients Learn to Breathe Again https://t.co/thWKYCwguQ @MHChat #mhchat
Thousands of the world’s most trusted brands—including Pepsi, Starbucks, Comcast, Verizon, Marriott, and even the CDC—have funded COVID-19 misinformation, including Chinese and Russian propaganda websites
Throughout the pandemic, many of the world’s largest and most trusted brands have been financially supporting misinformation about COVID-19, placing thousands of programmatic advertisements on websites that have published falsehoods and conspiracy theories about the pandemic, undermining public health efforts.
From February of 2020 through today, 4,315 brands ran over 42,000 unique ads on websites flagged for publishing COVID-19 falsehoods at NewsGuard’s Coronavirus Misinformation Tracking Center, likely accounting for millions or tens of millions of ad impressions financed by ad dollars spent on those websites.
https://www.newsguardtech.com/
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I agree with >100 of my colleagues that SARS-CoV-2 is on the way to becoming endemic, meaning it never stops circulating. But just because elimination is unlikely doesn’t mean we are doomed to an eternal pandemic. https://t.co/PL9jcTn9aR
— Dr. Angela Rasmussen (@angie_rasmussen) February 17, 2021
Diagnostics:
still an incredible, negligent lack of testing.
It’s hard to know what is a knock off mask, and what is authentic. This is a good source for the real thing. You can get N95 and KN95 masks here. https://t.co/vu4kGZkYd3
— Barbara Malmet (@B52Malmet) February 17, 2021
Drugs and Vaccines:
I’m really struggling with this idea of a race to vaccinate everyone HERE now. Yes, we all want vaccine asap. But while we are discussing how soon we can immunize everyone in Germany or the US, health workers are dying in countries with zero doses so far.https://t.co/0dtrSeFPqh
— Kai Kupferschmidt (@kakape) February 17, 2021
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These are just examples of what the continent is losing, what the world is losing.
— Kai Kupferschmidt (@kakape) February 17, 2021
More than 180 million doses have been given. The US is administering more than a million doses A DAY.
And look at sub-Saharan Africa on this map
(https://t.co/u2wGU1NN6j) pic.twitter.com/JwgCk1f2y3
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Black and Hispanic Medicare beneficiaries were less likely to say they would get a COVID-19 vaccine
than white recipients despite being more likely to recognize COVID-19’s increased severity compared with influenza, a survey showed.
“These are not knowledge differences — this is not a lack of awareness. It is clear that minority communities are very aware of the nature of and the impact of the virus on their communities and themselves. This is less about knowledge and more about trust,” Felicia B. LeClere, PhD, a senior fellow in the health care department at NORC at the University of Chicago, told Healio, adding that messaging to mitigate this difference is “best done by health care workers who are on the front lines.”
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https://twitter.com/onisillos/status/1360962219937259522?s=20
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"This is going to explode." A next wave of #Covid vaccines will soon be put into use, vaxes that will be both far easier to use & somewhat less protective than the first two. The messaging about these vaccines is going to be a huge challenge, experts fear. https://t.co/zQQNSLGs7a
— Helen Branswell (@HelenBranswell) February 17, 2021
Devices:
A Novel Treatment for Severe COVID-19 Pneumonia
high-frequency percussive ventilation (HFPV) therapy, which combines mechanical ventilation with high-frequency oscillatory ventilation.
https://www.medpagetoday.com/casestudies/infectiousdisease/91217?
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N95 mask shortages at hospitals continues 1yr after the first coronavirus case in the US
— Clyde224 (@Clyde2241) February 16, 2021
Domestic production has been ramped up and millions in storage but they are not getting to hospitals due to confusion left by Trump Adm#DemVoice1 #Fresh #Dems4USA https://t.co/IiN7NJqu8d
Epidemiology/Infection control:
Mutations growing
“We know now that, or we estimate now that about 4% of disease in this country is related to B.1.1.7,” she said. “And we have projections that it may be the dominant strain by the end of March.” – Rochelle Walensky
Public health officials warn the U.K. variant is more transmissible and argue the new strain, as well another identified in South Africa and a third from Brazil, underscores the need for the American people to get quickly vaccinated.
Walensky said pharmaceutical companies are adjusting their science to neutralize the B.1.1.7 variant, and the CDC is watching the epidemiology with people who have already received their coronavirus vaccines.
https://www.cbsnews.com/news/rochelle-walensky-cdc-director-uk-strain-coronavirus-face-the-nation/
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A key message re vaccines and the mutations
Angie Rasmussen: “All the data that we have so far suggests that even in situations where the vaccines might not protect completely against symptomatic COVID; they all seem to remain effective against severe COVID-19. And that’s really the most basic and most important thing that we want these vaccines to be able to do.”
[Also, mRNA vaccines will be easier to modify for new variants…and we may end up looking at mixing diff types of vaccines to boost activity]
https://www.medpagetoday.com/podcasts/trackthevax/91225?
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Israeli who was infected with the novel coronavirus in August was found to be reinfected with the South African variant.
four months after recovering from a first episode of COVID-19,
However, there have been reports of cases of reinfections even in people who have antibodies against the virus, with some cases being more severe with the reinfection.
https://academic.oup.com/cid/advance-article/doi/10.1093/cid/ciab129/6132402
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Important points from two top epidemiologists. I have been very cautious due to limited evidence on transmission effects but agree with the authors that a large transmission effect is the best explanation of the limited evidence to date. Zero would indeed be beyond shocking. https://t.co/arNZOElgsB
— Marc Lipsitch (@mlipsitch) February 17, 2021
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Lack of sequencing to identify mutations in US is a huge problem
We do very little genomic testing. Martin Makary MD, MPH, Editor-in-Chief, MedPage Today, suggests:
In addition to random sampling, we should order gene sequencing for all COVID-19 cases that meet any of the following criteria:
- Any COVID-19 re-infection
- Any COVID-19 death in a healthy person under age 50
- Any COVID-19 infection acquired after recent travel overseas
- Any COVID-19 infection that tested negative and later tested positive during the same sickness
- Any COVID-19 infection in which antibody therapy was ineffective and the patient’s condition worsened
- Any atypical COVID-19 infection
https://www.medpagetoday.com/blogs/marty-makary/91237?
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I thought creating a COVID “Immunity Bubble” for a small group in a TV studio setting was possible. I was wrong.https://t.co/Yhiv4L7puI
— Peter H. Diamandis (@PeterDiamandis) February 12, 2021
Neg covid test 72h prior along with DAILY testing at the conference (all were negative) did NOT prevent this from being a super spreader event… PSA: being indoors sans mask is NOT magically made safer because of a negative test result…24 people were infected.
Tips, general reading for public:
StayAtHome
Wash your hands.
Rinse and repeat.
Politics:
History repeats:
New ‘do not resuscitate’ orders imposed on Covid-19 patients with learning difficulties https://t.co/4iEBbmGatP
— The Guardian (@guardian) February 13, 2021
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Christian Groups Turn Anti-Vax
Misinformation about COVID vaccines has been fueled in part by Christian groups, leaders, and social media influencers who are promulgating falsehoods that the vaccines contain fetal tissue and microchips, or are cultivating connections between vaccine ingredients and the devil, the Washington Post reports. Still others are making references to the Book of Revelation concerning vaccination and masking efforts.
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Doctors bring the fight to anti-vaxxers online
Health care workers are organizing online networks to promote Covid shots, strategically aiming to drown out vaccine opponents active on those sites.
“It’s turning into a military campaign, in terms of how we have to treat the opposition,” said an anesthesiologist who helped organize #ThisIsOurShot, a grassroots social media campaign created by doctors and nurses to drown out anti-vaxxers. (Politico)
https://www.politico.com/news/2021/02/15/social-media-anti-vaxxers-468946
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Manatee leaders question @GovRonDeSantis over his decision to give seniors in the county’s wealthiest ZIP codes special access to #COVID19 vaccine. His threatening, pugnacious retort: If you complain, I’ll take your vaccines away.@RemoveRon #RemoveRonhttps://t.co/j7w4zMYMuL
— Lily Evans Potter (fan) (@LilyPotter130) February 17, 2021
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Sounds about white.
— Holly Figueroa O'Reilly (@AynRandPaulRyan) February 15, 2021
GOP senators vow to block interior secretary nominee because she'll protect the interior https://t.co/HiV6nhRqgP
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Anatomy of a Conspiracy
Leaders of many nations deliberately spread misinformation about the origin and spread of SARS-CoV-2, deflecting blame onto rivals in a geopolitical game of gossip-mongering, according to a joint investigation conducted by the Associated Press and the Atlantic Council’s Digital Forensic Research Lab.
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Dr. Princess Dennar, was the first and only Black woman at @Tulane to hold the role of program director.
— zellie (@zellieimani) February 13, 2021
She was recently fired because administrators were scared white medical students wouldn’t follow or rank favorably a program with a black program director #DNRTulane pic.twitter.com/roEcm7oYbN
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#BreakingNews the NAACP sues former President Donald Trump over the insurrection on Jan 6th.https://t.co/5q9g94uy6c
— NAACP (@NAACP) February 16, 2021
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This dude is the mayor of Colorado City, Texas.
— Michael Paulauski (@mike10010100) February 16, 2021
Good fucking god they're fucked. pic.twitter.com/kMDkYAFqEd
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Texas nuke reactors now being taken offline because our delightful GOP ALSO deregulated those so they didn’t have to winterize. Now water required for safe operation of the reactors is frozen. Just like the deregulated gas pipelines and the turbines that only TX didn’t winterize
— Kurt "Masks Save Lives" Eichenwald (@kurteichenwald) February 17, 2021
Feel good du jour:
@CanadianForces and @GurdeepPandher collaborated to create this #Punjabi #Bhangra dance video to celebrate #diversity and #inclusion in The #CanadianForces. Soldiers from different backgrounds make “One Force” with “One Love” for #Canada and #Canadians. pic.twitter.com/HFUXuQUvbe
— Gurdeep Pandher of Yukon (@GurdeepPandher) June 24, 2019
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https://twitter.com/myboxerluvmac1/status/1361012958407643146?s=20
The people of Kalkan in Turkey look after their strays so well. Always food and drink left out both in and outside of shops. They are chipped too and just happy living their lives roaming the town- it’s lovely
Ikea is apparently doing this in the UK, too.
Comic relief:
This whole thread is pretty funny. Start here:
this included getting a cb license so he could be their lifeline to other groups of white idiots when the cell towers all went offline. wouldn't want to violate federal law while communicating with your resistance groups after the fall of the federal government i guess.
— Jean-Michel Connard (@torriangray) February 16, 2021
Whole thread is here: https://threadreaderapp.com/thread/1361778280521605122.html
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I imagine that Stephen Miller is trending because Dr. Fauci discovered that he was the bat from which COVID-19 originated.
— Jake Lobin (@JakeLobin) February 16, 2021
Perspective
Up to 90 volunteers in UK to take part in pioneering Covid infection trial: Human challenge trial will monitor healthy 18- to 30-year-olds given virus to aid vaccine and therapy researchhttps://t.co/Ua9o4PgATb via @NicolaKSDavis
— Ash Paul (@pash22) February 17, 2021
I have serious ethical concerns about Covid vaccine challenge studies.
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Armed with a camera, a young ER doctor captures the faces of the COVID war
A Los Angeles emergency medicine doctor’s photos captured “that moment of calm right before the intubation, and the gravity of the situation” of hospital workers treating people with COVID-19. (Los Angeles Times)
https://www.latimes.com/california/story/2021-02-15/los-angeles-county-usc-doctor-covid-photographer
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“A civilization is not destroyed by wicked people; it is not necessary that people be wicked but only that they be spineless.”
— William Alexander (@williealex) February 13, 2021
– James Baldwin, The Fire Next Time pic.twitter.com/NWdUClp91Q