Coronavirus Tidbits #97 11/22/20

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 

‘People are going to die’: Hospitals in half the states are facing a massive staffing shortage as Covid-19 surges

STAT By OLIVIA GOLDHILL @OliviaGoldhill NOVEMBER 19, 2020

Hospitals in at least 25 states are critically short of nurses, doctors, and other staff as coronavirus cases surge across the United States, according to the industry’s trade association and a tally conducted by STAT. The situation has gotten so bad that in some places, severely ill patients have been transferred hundreds of miles for an available bed — from Texas to Arizona, and from central Missouri to Iowa.

Many of these hospitals spent months building up stockpiles of medical equipment and protective gear in response to Covid-19, but the supplies are of little use without adequate staffing.

https://www.statnews.com/2020/11/19/covid19-hospitals-in-half-the-states-facing-massive-staffing-shortage/?

~ ~ ~

China has begun its first prosecution of a coronavirus citizen journalist

https://qz.com/1934288/china-begins-prosecution-of-coronavirus-citizen-journalist/

~ ~ ~

~ ~ ~

~ ~ ~

~ ~ ~

So proud to see our Women's Action Group recognized locally:

Diagnostics:

still an incredible, negligent lack of accurate testing.

Drugs:

WHO advises against use of Gilead's remdesivir for COVID-19 patients in hospital

Gilead`s drug remdesivir is not recommended for patients hospitalised with COVID-19, regardless of how ill they are, as there is no evidence it improves survival or reduces the need for ventilation, a World Health Organization panel said

https://www.msn.com/en-in/news/world/who-advises-against-use-of-gileads-remdesivir-for-covid-19-patients-in-hospital/ar-BB1bblWN

Oxford Covid vaccine could build immunity in older people – study

Phase 2 trial data shows strong immune response in over-70s and better tolerance in older adults

The trial demonstrated similar immune responses across all three age groups – 18-55, 56-69, and 70 and over.

The study of 560 healthy adults, including 240 over the age of 70, found that the vaccine is better tolerated in older people than in younger adults.

https://www.theguardian.com/world/2020/nov/19/oxford-covid-vaccine-could-build-immunity-in-older-people-study?utm_source=

Devices:

Pre-symptomatic detection of COVID-19 from smartwatch data

We analysed physiological and activity data from 32 individuals infected with COVID-19, identified from a cohort of nearly 5,300 participants, and found that 26 of them (81%) had alterations in their heart rate, number of daily steps or time asleep. Of the 25 cases of COVID-19 with detected physiological alterations for which we had symptom information, 22 were detected before (or at) symptom onset, with four cases detected at least nine days earlier.

Using retrospective smartwatch data, we show that 63% of the COVID-19 cases could have been detected before symptom onset in real time via a two-tiered warning system based on the occurrence of extreme elevations in resting heart rate relative to the individual baseline. Our findings suggest that activity tracking and health monitoring via consumer wearable devices may be used for the large-scale, real-time detection of respiratory infections, often pre-symptomatically.

https://www.nature.com/articles/s41551-020-00640-6

~ ~ ~

 

Epidemiology/Infection control:

The Lancet Microbe: Infectiousness peaks early in COVID-19 patients, emphasising the need to rapidly isolate cases

Systematic review and meta-analysis of three human coronaviruses suggests that people infected with SARS-CoV-2 are most likely to be highly infectious in the first week after symptom onset, highlighting the need to identify and isolate cases early.

https://www.eurekalert.org/pub_releases/2020-11/tl-pss111920.php

~ ~ ~

Asymptomatic infections

evidence suggests that about one in five infected people will experience no symptoms, and they will transmit the virus to significantly fewer people than someone with symptoms.

people should continue to use measures to reduce viral spread, including social distancing and wearing masks, regardless of whether they have symptoms.

https://www.nature.com/articles/d41586-020-03141-3

~ ~ ~

https://twitter.com/meganranney/status/1329221979258417154?s=20

Tips, general reading for public:

StayAtHome

Wash your hands.

Rinse and repeat.

Politics:

~ ~ ~

~ ~ ~

~ ~ ~

~ ~ ~

The cruelty is the point...

Feel good du jour:

~ ~ ~

https://twitter.com/RexChapman/status/1327714090828115970?s=20

Comic relief:

Perspective/Poem

Excellent perspective from Edward Norton!

...which is to create enough chaos & anxiety about peaceful transfer of power, & fear of irreparable damage to the system, that he can cut a Nixon-style deal in exchange for finally conceding. But he doesn’t have the cards. His bluff after ‘the flop’ has been called in court...

His ‘turn card’ bluff will be an escalation & his ‘River card’ bluff could be really ugly. But they have to be called. We cannot let this mobster bully the USA into a deal to save his ass by threatening our democracy. THAT is his play. But he’s got junk in his hand. So call him.

I will allow that he’s also a whiny, sulky, petulant, Grinchy, vindictive little 10-ply-super-soft bitch who no doubt is just throwing a wicked pout fest & trying to give a tiny-hand middle finger to the whole country for pure spite, without a single thought for the dead & dying

But his contemptible, treasonous, seditious assault on the stability of our political compact isn’t about 2024, personal enrichment or anything else other than trying to use chaos & threat to the foundation of the system as leverage to trade for a safe exit. Call. His. Bluff.

Faith in the strength of our sacred institutions & founding principles is severely stretched...but they will hold. They will. He’s leaving, gracelessly & in infamy. But if we trade for it, give him some brokered settlement, we’ll be vulnerable to his return. We can’t flinch.

~ ~ ~

Bits of beauty:

 

Inlaid lidded box by Mark Skinner

Share this post:

Leave a Reply

Your email address will not be published. Required fields are marked *