Coronavirus Tidbits #239 – April 2, 2023
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.
Reminder, Resilience: One Family's Story... is increasingly pertinent, as some of our politicians shift rightward. All proceeds go to Holocaust education.
Available here.
New Maryland abortion provider opening in post-Roe ‘abortion desert’
The Women’s Health Center of West Virginia was forced to close by the abortion ban there, so is setting up housekeeping near Cumberland--halfway between here and Keyser, WV. They are planning to provide more accessible option for patients in northern West Virginia, western Maryland, south central Pennsylvania and Ohio.
https://apnews.com/article/maryland-abortion-clinic-west-virginia-647cbd9eccfaaa740e523a5c39208b19
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Action items:
Write CBS about giving MTG a huge platform: To <60min@CBSnews.com>
[Note: MTG stalked David Hogg, was a Jan 6 leader, called for Pelosi's execution, begged for a pardon from TFG and more]
Sample of my quick email:
Maryland residents:
Please contact your state reps to support bills re HateCrimes and antisemitism, and to provide Holocaust education. For more info and an easy, cut and paste message: jcouncil.org/form/urge-your? Thanks!
News
COVID-19: Study Suggests Long-term Damage to Immune System
NIH News Release: "...findings suggest that SARS-CoV-2 infection damages the CD8+ T cell response, an effect akin to that observed in earlier studies showing long-term damage to the immune system after infection with viruses such as hepatitis C or HIV."
As the numbers of hospitalizations and deaths are dropping, many individuals declare the pandemic all but over, comforted by the belief that infections are mild and less dangerous than the seasonal flu. However, the scientific literature these last few weeks has been filled with deeply concerning reports. We are entering a phase of long COVID and chronic disability. In the United Kingdom, 2.0 million people, or 3% of the total population and 4% of adults aged 16 and over, live with symptoms of long COVID. A recent report from the UK Office for National Statistics shows that 2.52 million people are off work due to long-term sickness, up 7.9% over the last year.
The number of COVID-19 cases in the United States is unknown since our case reporting system has become unreliable and substantially undercounts cases....
https://www.
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You might feel like the odd one out if you are not comfortable dining indoors, going to a concert, or flying. But you are not!
— Matt Karolian (@mkarolian) March 31, 2023
Over 20% of people are still not comfortable dining indoors. 42% are not comfortable going to a concert. 44% are not comfortable flying. pic.twitter.com/Nbstl6tn4k
RT @LisaAMcCorkell
ATTN PEOPLE WITH #LongCovid IN THE US!
@US_FDA is hosting a virtual public meeting on Patient-Focused Drug Development for Long COVID and we need you to send in your story!!!
1. Register for the event here: https://www.surveymonkey.com/r/LongCOVIDPFDD
Masks matter for more than mandates. [Excellent explainer]
TL;DR
The amount of virus we receive can determine the severity of the disease that results. This “infectious dose” is affected by how much virus is in the particles we inhale as well as how long we inhale them. Its impact is modified by our pre-existing immunity. The physical distance between us and the infectious source reduces the risk of us getting a dose. Masks also reduce the size of and even prevent us from getting a dose altogether. Cleaning or refreshing the air we breathe also reduces the infectious dose. We can exert some control over our risk of infection.
https://virologydownunder.com/masks-ma
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Other:
Marburg outbreak in Tanzania
previously in Equatorial Guinea. the CDC urged travelers to both countries to avoid contact with sick people and to watch for symptoms for three weeks after leaving the area. People can be infected and not show symptoms of Marburg for two to 21 days, followed by fever, chills, headache and body aches...Marburg has a 50% mortality and is highly infectious. further reading:
Diagnostics:
still an incredible, negligent last of testing.
Drugs:
The decision-making process for the launch of trials for COVID-19 repurposed antivirals
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Study finds evidence of resistance to COVID-19 drugs
Resistance to Paxlovid is already evident among viral SARS-CoV-2 variants currently circulating globally, indicating that this stand-alone drug known as a protease inhibitor could soon become less effective in treating COVID-19 infections.
This conclusion was presented in a study published today online in the journal Science Advances.
This study—conducted by the Midwest Antiviral Drug Discovery (AViDD) Center—shows that drug-resistant variants have appeared multiple times independently in different parts of the world, with regional clusters providing evidence for person-to-person transmission. In addition to showing resistance to the protease inhibitor nirmatrelvir, the active component of Paxlovid, the study found that a different set of mutations currently in circulation can transfer resistance to ensitrelvir (Xocova), a protease inhibitor now approved in Japan. This new research shows that simple single amino acid changes in SARS-CoV-2 main protease could severely undermine efficacy of these antiviral drugs.
https://medicalxpress.com/news/2023-03-evidence-resistance-covid-drugs.html
Devices:
Epidemiology/Infection control:
COVID during pregnancy might raise obesity risk in children
A study of about 150 babies born to women who had COVID-19 during pregnancy found growth patterns that have been linked to developing obesity and other health problems. A research team based at Massachusetts General Hospital (MGH) reported their findings yesterday in The Journal of Clinical Endocrinology and Metabolism.
For their longitudinal cohort study, they examined data on 149 babies who had exposure to COVID-19 during the mother's pregnancy, comparing it with data on 127 babies who weren't exposed during pregnancy. They focused on weight, length, and body mass index (BMI) data from health records at 0, 2, 6, and 12 months. The team adjusted for several factors, including maternal age, ethnicity, and breastfeeding.
Babies born to mothers who had been sick with COVID had lower BMIs at birth, but greater BMIs from birth to 12 months, marked by a steep progressive rise during infancy. In contrast, the unexposed babies typically experienced a decline in BMI in the first 6 months that rebounded to baseline by 12 months.
Researchers said lower birth weight and faster weight gain during the first year of life may be harbingers of cardiometabolic problems later in life and that the findings support the need for close monitoring.
https://www.cidrap.umn.edu/covid-19/covid-during-pregnancy-might-raise-obesity-risk-children
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COVID widened excess death gap between US and European countries
The United States has had substantially higher death rates than similar high-income countries in Europe in all but the oldest age groups, but the gap widened even more during the COVID-19 pandemic, a new study revealed today.
https://www.cidrap.umn.edu/
Tips, general reading for public:
Ventilate.
Mask.
Vax.
Politics:
Covid:
'Long COVID exercise trials proposed by NIH raise alarm Advocates ask the US biomedical agency to rethink the design of its RECOVER initiative, citing possible harm and funding waste' nature.com/articles/d4158
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Abortion/reproduction:
Antisemitism, hate crimes:
Maryland residents: Please contact your state reps to support bills re #HateCrimes and #Antisemitism, and to provide #Holocaust education. For more info: jcouncil.org/form/urge-your? Thanks! Easy, cut and paste message.
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Book bans:
GOP:
Rolling back SNAP benefits puts millions of children at risk of hunger and long-term health consequences
https://www.statnews.com/2023/
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Greed:
Insurer Rejects Claims Without Reading Them
Health insurer Cigna, which covers 18 million people in the U.S., has been rejecting claims en masse without even reading them, according to an investigation by ProPublica an
The company built a system that allows its physician reviewers to reject claims in large batches, according to the outlets, which cited internal documents and interviews with former Cigna officials. It created lists of tests and procedures that are approved for certain conditions, and if a claim didn't match, it was sent to be rejected and signed off on by a medical director.
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Guns:
LGBTQ:
#Trans health care, already under attack, faces new obstacle with end of Covid public health emergency as #telehealth visits are restricted and Medicaid is cut
https://www.statnews.com/2023/03/31/trans-health-care-telehealth/ via @statnews
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Judge Thomas Parker, Trump appointee: Tennessee’s new drag ban is a content-based restriction on speech subject to strict scrutiny, and the state has failed to justify it with a compelling interest. Temporary restraining order issued: https://t.co/QJv8xQhU74
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Scientific evidence supports lifesaving health care for transgender youth, researchers say
Since January, lawmakers in more than 30 U.S. states have proposed or enacted legislation to ban or criminalize gender-affirming medical care for adolescents and young adults. A new policy brief, which includes two researchers with the University of Maryland School of Public Health as co-authors, argues that policies that limit access to gender-affirming care ignore scientific evidence and pose a grave threat to the mental health, well-being and futures of transgender youth.
https://medicalxpress.com/news/2023-03-scientific-evidence-lifesaving-health-transgender.html?
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Racism:
Pope Francis just repudiated the Vatican’s 15th century Doctrine of Discovery. Entire nations still use this doctrine as the legal basis for the occupation of stolen indigenous land. -- @Vanessid
https://twitter.com/IndianCountry/status/1641467898462912515
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Twitter/Musk:
Twitter, which now routinely elevates COVID misinformation, has suspended the official account for Africa CDC, a public health arm of the African Union. March 30
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Voter Suppression:
Virginia Gov. Youngkin bars ex-felons from voting for life.
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Wisconsin's reasons for tossing absentee ballots are impressive. (I've been ballot curing).
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Alabama:
Mississippi:
Hospitals in Mississippi are on the verge of closing as the state's lawmakers continue to reject Medicaid expansion in the midst of a budget surplus. (New York Times)
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Missouri:
Sen Josh Hawley was the only senator who voted against an anti-Asian hate crimes bill--because he wants Homeland Security to investigate the Nashville shooting at a Christian school.
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North Carolina:
Tennessee:
Gov. Roy Cooper signs Medicaid Expansion into law
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Texas:
This man in Texas holding up a sign is going viral and I hope the local news finds him and gives him the airtime he deserves pic.twitter.com/UTH6COpQu1
— Fifty Shades of Whey (@davenewworld_2) March 26, 2023
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Virginia:
Gov Glenn Youngkin bars ex-felons from voting for life.
"Youngkin’s announcement also puts VA in a category all its own: It is the only state where someone who is convicted today over any felony is presumed to be barred from voting for life, with no remedy other than receiving a discretionary act of clemency."
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Afghanistan:
Feel good du jour:
She survived Auschwitz. Now she’s teaching Gen Z about it — on TikTok. washingtonpost.com/lifestyle/2023
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https://twitter.com/gunsnrosesgirl3/status/1640042878561861635?s=20
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I love this story because it reminds me that one person can make a difference.
— Vala Afshar (@ValaAfshar) March 26, 2023
In 1979, Jadav Payeng began planting a tree every day for 37 years — results are stunning pic.twitter.com/C6QOcbCCYy
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#Maddow#wagnertonight
— Firecaptain and Jack (@Firecaptain16) March 28, 2023
Science break.
One more of Earth's wonders, but set to the music of the Tango.
Peacock spiders can jump as far as 40 times the length of their own bodies. Their intricate mating ritual includes dancing while manipulating their abdominal flaps. pic.twitter.com/ifZcUg7Vve
Comic relief:
See "Disney" agreement in Florida politics, above. Hilarious
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"You know I don't mind helping you, Fiona, but you really need to learn to do it yourself" pic.twitter.com/U9akhEhz2x
— Paul Bronks (@SlenderSherbet) March 20, 2023
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Mr. Pickles, a critically endangered species of tortoise at the Houston Zoo, finally became a father at the age of 90. He and his partner, Mrs. Pickles, welcomed three tortoise hatchlings: Dill, Gherkin and Jalapeño.https://t.co/KfYXf7L5E0 pic.twitter.com/TCI45YsTY1
— The New York Times (@nytimes) March 22, 2023
Perspective/Poem
For those who are unaware what space did to Shatner, he wrote about it: https://t.co/SsdKCjp8Q4 pic.twitter.com/ESNUWSSRwI
— Nemo (@NemoAugustus) March 27, 2023
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This Wendell Berry poem holds me up. pic.twitter.com/RwMi14l3dz
— Laura Grace Weldon (@earnestdrollery) March 29, 2023
Bits of beauty: