CORONAVIRUS INFO PROVIDED BY DR. JIM HARRIS – 3/31/2020

March 31, 2020

MARSHALL NEWS MESSENGER
https://www.marshallnewsmessenger.com/news/commissioners-to-consider-extending-declaration-of-local-disaster/article_e49c5bb2-72d5-11ea-81ab-4b82ec866d2f.html?utm_medium=social&utm_source=email&utm_campaign=user-share

Northeast Texas COVID-19 case count
Updated 16 hrs ago
The total of cases in Northeast Texas is now at least 56 in 14 counties. Here’s a look at totals reported late Sunday and early Monday, and changes from Sunday’s report:

Angelina: 3
Bowie: 9 (+5)
Camp: 1 (+1)
Cass: 2
Cherokee: 1
Gregg: 5 (+1)
Harrison: 1
Hopkins: 2 (+1)
Morris: 1
Nacogdoches: 2 (+1)
Rusk: 3 (+1)
Shelby: 2 (+1)
Smith: 32 (+1), 1 death
Upshur: 2 (+1)
Van Zandt: 1 (+1), 1 death

MESSAGE FROM DR. HERMAN FELTON OF WILEY:
Marshall News Messenger] Leading with Faith during a global crisis
https://www.marshallnewsmessenger.com/opinion/leading-with-faith-during-a-global-crisis/article_1591373e-7145-11ea-b870-d3bae7275e1b.html?utm_medium=social&utm_source=email&utm_campaign=user-share

NEW ENGLAND JOURNAL OF MEDICINE RE CERTAIN BP PILLS:
KEEP TAKING THEM
https://www.nejm.org/doi/full/10.1056/NEJMsr2005760?query=RP
Renin–Angiotensin–Aldosterone System Inhibitors in Patients with Covid-19

SUMMARY: Given the common use of ACE inhibitors and ARBs worldwide, guidance on the use of these drugs in patients with Covid-19 is urgently needed. Here, we highlight that the data in humans are too limited to support or refute these hypotheses and concerns. Specifically, we discuss the uncertain effects of RAAS blockers on ACE2 levels and activity in humans, and we propose an alternative hypothesis that ACE2 may be beneficial rather than harmful in patients with lung injury. We also explicitly raise the concern that withdrawal of RAAS inhibitors may be harmful in certain high-risk patients with known or suspected Covid-19.
Renin–Angiotensin–Aldosterone System Inhibitors in Patients with Covid-19
https://www.nejm.org/doi/full/10.1056/NEJMsr2005760?query=RP

NAMES OF THIS TYPE OF MEDICINE: KEEP TAKING THEM UNLESS YOUR DOCTOR TELLS YOU TO STOP.

candesartan Atacand
eprosartan
irbesartan Avapro #
losartan Cozaar #
olmesartan Benicar
telmisartan Micardis
valsartan Diovan #
benazepril Lotensin

captopril Capoten
enalapril Vasotec #
enalapril solution Epaned
fosinopril
lisinopril Prinivil #
lisinopril Zestril #
lisinopril solution Qbrelis
moexipril
perindopril
quinapril Accupril #
ramipril Altace #
trandolapril

Covid-19 — Navigating the Uncharted (A NEJM editorial by DR. FAUCI—the little NIH doctor on the TV updates)
List of authors.
Anthony S. Fauci, M.D., H. Clifford Lane, M.D., and Robert R. Redfield, M.D.

https://www.nejm.org/doi/full/10.1056/NEJMe2002387?query=recirc_mostViewed_railB_article

This editorial is somewhat reassuring about the severity or mortality rate of the C-19 virus, but it points out it will take time to clear out. Easy to read. Based only on China, which means the cases are several months old. That’s why I also read the MNM and the NYT.  J. Harris, MD

ANOTHER NEJM SHORT ARTICLE WORTH READING:
Feeding Low-Income Children during the Covid-19 Pandemic
nejm.org/doi/full/10.1056/NEJMp2005638?query=RP

HERE’S HOW TO FIGHT CORONAVIRUS MISINFORMATION
Send this to the person in your life who needs to read it.

Consider the source and consider the source’s source.

Be patient, kind, deliberate, and fact-based. More people will listen.

We’re in this together. It’s our civic duty to ensure we’re all making the smartest decisions and not allowing rumors or conspiracy theories to take seed. We all have a role to play. You don’t have to become an epidemiology expert—the medical professionals and journalists will do their jobs. You do have to make an effort to not spread rumors or falsehoods, or anything else that could make a public-health response harder for those around you.

Lives depend on it.

JOHNS HOPKINS DAILY MESSAGE:
(Multiple helpful stories)
https://mail.google.com/mail/u/0/#inbox/FMfcgxwHMZPhtTChBCPJRvQLmhKXbDNv


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