Coronavirus Tidbits #271, November 12, 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.
News
New study suggests gargling with salt water may be associated with lower COVID hospitalization
As COVID and its health effects move into a fourth year, those who become infected may be searching for remedies to improve their respiratory symptoms and keep them out of the hospital.
A total of 58 individuals were allocated to either the low (27) or high (28) saline regimens; three were lost to follow-up. There were no significant differences in the primary or secondary outcomes of the study between these two groups.
"The low- and high-saline solutions consisted of 2.13 grams and 6 grams of salt dissolved in 8 ounces of warm water, respectively. Gargling and nasal rinsing was done four times a day for 14 days.
During the study period, 9,398 individuals with positive SARS-CoV-2 infection were evaluated and were the reference population. The hospitalization rates in the low- (18.5%) and high- (21.4%) saline regimens were significantly lower than in the reference population (58.8%.) No significant differences were noted in other outcomes among these groups.
https://medicalxpress.com/news/2023-11-gargling-salt-covid-hospitalization.html?
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COVID-linked loss of smell, taste found to resolve by 3 years after infection
the new study finds that sense recovery does happen over time.
For example, while about two-thirds (64.8%) of people with mild COVID said they'd lost their sense of smell and/or taste at the time they were ill, that number dropped to about 32% one year later, then to 20.5% two years after infection, and finally to about 16% three years later.
That last number differed only slightly from the group of people who had never tested positive for COVID-19, the researchers noted.
The bottom line, according to the researchers: Former COVID patients "should be reassured that a recovery of olfaction appears to continue over 3 years after initial infection."
https://medicalxpress.com/news/2023-11-covid-linked-loss-years-infection.html?
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Australia is in a new COVID wave. What can be expected this time?
Australia is now into its next COVID wave. We've seen hints of this for a while. Case numbers and indicators of severe disease began rising in Victoria in August. But it has taken several months for a consistent pattern to emerge across Australia.
https://medicalxpress.com/news/2023-11-australia-covid.html?
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More than half of COVID-19 patients have post-disease syndrome
The School of Chinese Medicine at Hong Kong Baptist University (HKBU) found that 55% of the patients who sought medical treatment from the HKBU Chinese Medicine Telemedicine Center Against COVID-19 during the fifth wave of the COVID-19 pandemic continued to experience at least one long COVID symptom for six months to a year after diagnosed with an infection. The most common symptoms are fatigue, brain fog and cough.
https://medicalxpress.com/news/2023-11-covid-patients-post-disease-syndrome.html?
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COVID, flu vaccine uptake in US healthcare workers lacking
Today in Morbidity and Mortality Weekly Report, researchers published two studies on COVID-19 and flu vaccine coverage among US healthcare personnel (HCP), with one finding higher flu vaccine than COVID-19 vaccine uptake in 2023, and one suggesting that hospital workers were less likely to be vaccinated against flu during the 2020-21 and 2022-23 flu seasons than before the pandemic.
And only 17% of healthcare workers at acute care hospitals were up-to-date with their COVID booster for the 2022-2023 respiratory season.
https://www.cidrap.umn.edu/covid-19/covid-flu-vaccine-uptake-us-healthcare-workers-lacking
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Long COVID linked to allergies in new study
In an analysis of 13 published prospective studies of people of all ages with confirmed SARS-CoV-2 infection who were followed up for at least 12 months, pre-existing allergic conditions were linked to higher risks of experiencing long COVID, according to a study today in Clinical & Experimental Allergy.
This is one of the first studies to assess the relationship between long COVID and allergies.
https://www.cidrap.umn.edu/covid-19/long-covid-linked-allergies-new-study
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Other:
US approves first vaccine against Chikungunya virus
a virus spread by infected mosquitoes in tropical and subtropical areas in Africa, SE Asia, India, and S. Am that the FDA called "an emerging global health threat."
Cases occurred in southern Europe (Italy) a couple of years ago.
https://medicalxpress.com/news/2023-11-vaccine-chikungunya-virus.html
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Risk of disease spread soars in Gaza as health facilities, water and sanitation systems disrupted:
Lack of fuel has led to the shutting down of desalination plants, significantly increasing the risk of bacterial infections like diarrhea spreading as people consume contaminated water. Lack of fuel has also disrupted all solid waste collection, creating an environment conducive to the rapid and widespread proliferation of insects, rodents that can carry and transit diseases.
Diagnostics:
still an incredible, negligent last of testing.
Drugs:
Convalescent Plasma Lowered Risk of Death in COVID-19 ARDS
JAMA. Published online November 8, 2023. doi:10.1001/jama.2023.21872
Patients with COVID-19–induced acute respiratory distress syndrome, or ARDS, who were treated with convalescent plasma from recovered donors between September 2020 through March 2022 had a lower risk of death at about 1 month compared with those who received standard care, according to results from 475 participants, almost all of whom were also treated with glucocorticoids. About 35% of participants in the treatment group died by day 28 compared with 45% in the standard-care group.
All study participants in the open-label trial had received invasive mechanical ventilation for fewer than 5 days. The survival benefit of convalescent plasma was driven by patients who received the treatment within 48 hours of starting invasive mechanical ventilation. The research was reported in the New England Journal of Medicine.
Devices and Ventilation:
It's not just about protecting against COVID. A slew of viral, fungal, and bacterial illnesses spread through aerosols.
— Friesein (@Friesein) November 1, 2023
We must demand that hospitals deploy respirators, air filtration, and other technologies to minimize the spread of airborne pathogens.https://t.co/2sjDJfOvtG
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It's not just about protecting against COVID. A slew of viral, fungal, and bacterial illnesses spread through aerosols.
— Friesein (@Friesein) November 1, 2023
We must demand that hospitals deploy respirators, air filtration, and other technologies to minimize the spread of airborne pathogens.https://t.co/2sjDJfOvtG
Epidemiology/Infection control:
Boston Globe: Massachusetts on Thursday reported 1,451 new confirmed coronavirus cases and 21 deaths in the week from Oct. 29-Nov. 4.
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Tips, general reading for public:
Ventilate
Vax
Mask
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Please don’t throw away your mascara wands. Instead, clean with dawn soap, place them in a ziploc bag and mail them to a Wildlife Refuge accepting donations. They can be used to clean away oil, larvae, fly eggs, mites, mud and other contaminants from wildlife. Addresses:
Pick your refuge to mail to: Appalachian Wild P.O. Box 1211 Skyland NC 28776 OR Wildlife Wands P.O. Box 1586 Southwick, MA 01077
Politics:
Covid:
Covid litigation: state employers are liable when they affirmatively and with deliberate indifference create or expose their employees to a dangerous working environment.
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NEW OPEN ACCESS book: “COVID-19 & the Law: Disruption, Impact & Legacy”
https://www.cambridge.org/core/books/covid19-and-the-law/B4889C072A10241C5F047DE4B913F197
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Cover of this week's @TheLancet and accompanying article by @richardhorton1 https://t.co/l9ItSQuBV2 pic.twitter.com/RIpeZ5xuR6
— Eric Topol (@EricTopol) November 10, 2023
Abortion/reproductive rights:
Right to Life sues to block Michigan's voter-approved abortion rights law
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Cancun abortion clinic aims to serve Americans from restrictive states https://www.statnews.com/2023/11/09/abortion-clinic-msi-cancun-mexico-americans/
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GOP/TFG:
Feel good du jour:
What a great uplifting profile of Rokhaya Diagne and her #AI work in Africahttps://t.co/IEVvBCqjPo by @dionnesearcey pic.twitter.com/ylmT9vzGJ5
— Eric Topol (@EricTopol) November 4, 2023
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Pulling out this paper jaguar mask for the 34th annual All Souls Procession in Tucson tomorrow. All Souls is a blend of All Saint’s Day (Hallowtide) started in the 4th Century British Isles and Dia De Los Muertos, with roots in both Indigenous Mexican and Catholic customs. pic.twitter.com/X3vsO3Vod5
— Russ McSpadden (@PeccaryNotPig) November 4, 2023
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https://twitter.com/gunsnrosesgirl3/status/1723356406030495907s=20
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Developed by two 19-year-old students, these gloves translate sign language into sound. Bravo! pic.twitter.com/YoVSyUpuFB
— Enez Özen | Enezator (@Enezator) November 11, 2023
Comic relief:
https://twitter.com/TheFigen_/status/1722977156874014930?s=20
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https://twitter.com/TheFigen_/status/1720867084773564754?s=20
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Polar Bear having fun alone in the water.pic.twitter.com/DMJ7hXtVhw
— Figen (@TheFigen_) November 5, 2023
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— out of context dogs (@contextdogs) November 9, 2023
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https://twitter.com/buitengebieden/status/1723038377761550652?s=20
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Twins.. 😅 pic.twitter.com/qGpAav3DtB
— Buitengebieden (@buitengebieden) November 9, 2023
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Bits of beauty: