
Coronavirus Tidbits #251, June 25, 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.
News
Weekly Update for the United States
Hospital Admissions (In Past Week) 6,649
Trend in Hospital Admissions -7.6% in past week May 15, 2023Jun 13, 2023
Deaths % Due to COVID-19 (In Past Week) 1.2%
Trend in % COVID-19 Deaths +9.1% in past week Apr 29, 2023Jun 17, 2023
https://covid.cdc.gov/covid-
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COVID reinfections
are making up a greater share of the total cases, hospitalizations, and deaths since the arrival of the newer Omicron lineages. (MMWR)
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Asymptomatic testing key to pandemic preparedness, new study finds
Asymptomatic PCR testing for NHS staff, provided by the Francis Crick Institute and University College London Hospitals (UCLH) NHS Foundation Trust and its diagnostic partner Health Services Laboratories, effectively detected COVID-19 infections that would have otherwise been missed, preventing some people from being infected.
https://medicalxpress.com/news/2023-06-asymptomatic-key-pandemic-preparedness.html?
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Study: Altering Microbiome Alleviates Symptoms of Long COVID
CHICAGO—Modulation of the gut microbiome using a novel probiotic–prebiotic combination formula helped relieve symptoms related to post-acute COVID-19 syndrome in a randomized, blinded, placebo-controlled trial presented as a late-breaking abstract at Digestive Disease Week 2023.
“This is the first randomized controlled trial showing that modulation of the gut microbiome with a novel microbiome formula alleviates gastrointestinal and neuropsychiatric symptoms of post-acute COVID-19 syndrome,” said lead researcher Raphaela Iris Lau, MSc.
A Synbiotic Approach
The study, conducted at the Chinese University of Hong Kong, included 463 patients with symptoms of long COVID who received six months of treatment with an active microbiome product that was a combination of probiotic and prebiotic material, called a synbiotic (SIM01) (abstract 913a).
Compared with blinded controls, the actively treated patients were likely to report improvement in various symptoms, including digestive problems, fatigue, difficulty with concentration, memory impairment and “general unwellness,” reported Ms. Lau, a PhD fellow at the university. For example, improvements in digestive complaints were observed in 70.2% of SIM01 recipients compared with 54.1% of controls, who received vitamin C, Ms. Lau reported.
Developed by Ms. Lau’s co-investigators, SIM01 is an oral, microencapsulated formulation of three lyophilized Bifidobacteria and three prebiotics shown to be beneficial for the growth of these bacteria, offering a total of 20 billion colony-forming units per daily dose. In a previous randomized, double-blind, placebo-controlled trial, SIM01 was shown to significantly reduce adverse health outcomes of COVID-19 in elderly patients and patients with type 2 diabetes (Nutrients 2023;15[8]:1982). In a proof-of-concept study, SIM01 also hastened antibody formation against SARS-CoV-2, reduced nasopharyngeal viral load and pro-inflammatory immune markers, and restored gut dysbiosis in patients hospitalized with COVID-19 (J Gastroenterol Hepatol 2022;37[5]:823-831)....
...Dr. Zarrinpar commented. “The precise content and mechanism of action of SIM01 remain unclear” and the study “was not registered in ClinicalTrials.gov, which is the biggest red flag for me” because it “makes it challenging to verify its objectives and power analysis,” he noted.
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Long Covid impacting economy:
About 18% of those with Long COVID have not returned to work for over a year. Data comes from NY Workman's Comp
- Almost one-third of all workers infected with Covid-19 suffered or are suffering from Long Covid, with the percentage peaking during the initial phase of the pandemic and falling over time.
- The percentage of female workers with Long Covid (37 percent) was 11 points higher than that of male workers (26 percent).
https://tech.co/news/cdc-research-long-covid-labor-shortage
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This paper about the impact of #longCovid on language & cognitive function is frankly devastating.
— Tatiana Prowell, MD (@tmprowell) June 23, 2023
A couple examples of how affected individuals fared when confronted with photos of objects & asked to name them. Lots of struggling & pauses. #MedTwitter https://t.co/sJgf83DHNN pic.twitter.com/Pz8PuReb96
Diagnostics:
still an incredible, negligent last of testing.
Drugs and Vaccines:
A looming penicillin shortage threatens pregnant adults with syphilis and their newborns
Pfizer announced last week that it expects to run out of a key drug for treating syphilis in the near future — a looming problem that health professionals say could exacerbate syphilis rates, widen racial disparities in sexually transmitted diseases, and stymie global access to the antibiotic, especially within lower-income countries.
The drug in question is Bicillin, an injectable, long-acting form of penicillin most commonly used to treat syphilis in adults as well as childhood infections. In a letter to customers last week, Pfizer estimated that the supply for kids may run out as early as the end of the month, while supply for adults could deplete in September.
For the most part, there are alternative antibiotics that doctors can use to treat childhood infections and syphilis in adults. But Bicillin is the only treatment safe enough for pregnant adults with syphilis, said Erin Fox, associate chief pharmacy officer at the University of Utah Health and an expert in tracking drug shortages.
https://www.statnews.com/2023/06/22/bicillin-syphilis-pfizer-penicillin-shortage/?
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New data: Vaccinated mpox patients have less severe illness
A study today in Morbidity and Mortality Weekly Report looked at a recent cluster of 40 mpox cases in Chicago and suggests that vaccine protection may wane over time, but vaccinated patients do well recovering at home, and vaccination protects against severe mpox.
https://www.cidrap.umn.edu/mpox/new-data-vaccinated-mpox-patients-have-less-severe-illness
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RSV Vaccine for Older Adults found Protective
GSK plc today announced new data from the AReSVi-006 phase III trial evaluating the efficacy of a single dose of AREXVY™ against lower respiratory tract disease caused by the respiratory syncytial virus (RSV) in adults aged 60 years and older over multiple RSV seasons and after annual revaccination.
The results presented on June 21, 2023, show that one dose of AREXVY is efficacious against RSV-LRTD and severe LRTD over two full RSV seasons.
As of June 2023, there are two approved RSV vaccines for older people in the U.S.
https://www.precisionvaccinations.com/2023/06/21/rsv-vaccine-older-adults-found-protective
Devices:
Epidemiology/Infection control:
Tips, general reading for public:
Ventilate.
Mask.
Vax.
Politics:
Covid:
Abortion/Reproduction:
Wisconsin Assembly passes bipartisan bill to allow pharmacists to distribute over-the-counter contraception
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The New York State Legislature gave final approval on Tuesday to legislation that provides legal protection for New York doctors to prescribe and send abortion pills to patients in states that have outlawed abortion. nyti.ms/42Sy4Bs
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Climate/Environment:
Humanity’s groundwater pumping has altered Earth’s tilt
Massive shifts of water have caused Earth’s poles to wander
While spinning on its axis, Earth wobbles like an off-kilter top. Sloshing molten iron in Earth’s core, melting ice, ocean currents, and even hurricanes can all cause the poles to wander. Now, scientists have found that a significant amount of the polar drift results from human activity: pumping groundwater for drinking and irrigation.
https://www.science.org/content/article/humanity-s-groundwater-pumping-has-altered-earth-s-tilt
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Dems/Biden:
This is one of the most interesting free school lunch papers - when districts implement universal free school lunch, it puts competitive pressure on grocery stores, resulting in lower food prices for *everyone* even if they don't directly benefit from school lunches https://t.co/jQ3zPT8K2T
— James Medlock (@jdcmedlock) June 16, 2023
GOP/TFG/RFK:
LGBTQ:
Vanderbilt University Medical Center provided transgender patient records to the Tennessee attorney general's office as part of an investigation into potential medical billing fraud.
If you're LGBTQ+, you are absolutely NOT safe going to VUMC for care.
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Privacy/Surveillance:
These states apparently mandate reporting on patients with autism:
- Delaware
- Indiana
- New Hampshire
- New Jersey
- Rhode Island
- Utah
- West Virginia
- North Dakota
https://resiliencymentalhealth.com/2022/02/07/autism-databases/
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Voting:
A Delaware city is set to give corporations the right to vote in elections
https://www.cbsnews.com/news/seaford-delaware-corporate-voting-llc-trust-elections/
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Feel good du jour:
Dustin and Daniel Johnson, who live near Tampa, adopted six children in May.
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He wanted to pet dogs for his 100th birthday. Hundreds lined up.
https://www.washingtonpost.com/lifestyle/2023/06/23/dog-pet-parade-100-birthday/
Comic relief:
This Sonoran Mountain kingsnake (Lampropeltis pyromelana) has only one game. Snake. And it’s pretty good at it. Here it shows off those skills, hey, no cheating, on the walls of the visitor center at Coronado National Monument in Arizona.
— National Park Service (@NatlParkService) June 13, 2023
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"No, I haven't seen the cat, why?" pic.twitter.com/gPhwhiZQyL
— Paul Bronks (@SlenderSherbet) June 11, 2023
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— perritos en situaciones random (@twperritos) June 22, 2023
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https://twitter.com/buitengebieden/status/1672507690210189315?s=20
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https://twitter.com/buitengebieden/status/1672501334807916544?s=20
Perspective/Poem
Bits of beauty:

