CORONAVIRUS INFO PROVIDED BY DR. JIM HARRIS – 04/11/2021

LARGE AMOUNT OF VACCINES AVAILABLE IN OUR IMMEDIATE AREA!

QUICK COVID REVIEW ARTICLE OF COURSE OF COVID AND TESTS

Click here to see the information

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CORONAVIRUS INFO PROVIDED BY DR. JIM HARRIS – 04/10/2021

CORONAVIRUS INFO PROVIDED BY DR. JIM HARRIS – 04/10/2021

(You can enlarge this chart by opening in a new tab on most computers)

MEDICAL RECORD INFORMATION OF WHICH I WAS  COMPLETELY  UNAWARE (NOT COVID RELATED)

How Sharing Clinical Notes Affects the Patient-Physician Relationship

“…On April 5, a new federal rule turned OpenNotes’ goal into the law of the land.

Now, virtually every US medical practice and health system must make all information in electronic health records—with a few exceptions—easily accessible to patients at no charge. The mandate, part of the 20th Century Cures Act enacted in 2016, originally was supposed to go into effect November 2, but the US Department of Health and Human Services (HHS) at the last minute extended the compliance deadline due to the COVID-19 pandemic….

The US Core Data for Interoperability lists 8 types of clinical information that must be shared: consultation, discharge summary, procedure, and progress notes; imaging, laboratory report, and pathology report narratives; and history and physical. The rule doesn’t apply to psychotherapy notes kept separate from the patient’s health record or notes compiled in reasonable anticipation of use in a civil or criminal court case or an administrative proceeding. In addition, the mandate permits withholding information if doing so “will substantially reduce the risk of harm” to a patient or another individual, such as in a domestic abuse situation.”

(J. Harris: Many years ago, a doctor asked me a question, and I declined to answer “because the information was personal and might never go away if recorded on his chart.” Now, the records are computerized, and the patients’ answers to questions ARE permanently imprinted  in the Cloud as is virtually all of the pertinent medical information.)

Michigan surge strategy: Biden sends federal resources, isn’t boosting vaccine supply

“…The Biden administration is sending Michigan federal resources to support vaccinations, testing and therapeutics…will help Michigan better administer the doses allocated to the state, as well as surge testing capacity and drugs for virus treatment,…President Biden told Ms. Whitmer that his administration is ready to send 160 Federal Emergency Management Agency and CDC personnel to Michigan to aid the vaccination effort, in addition to the 230 federal personnel already deployed to the state…

“On Feb. 1, Michigan eased some restrictions, allowing indoor residential gatherings of up to 15 people from no more than three households, and indoor gatherings outside the home of up to 25 people. Masks and social distancing are required at all residential gatherings. ”

Dire consequences’: Iraq issues COVID warning after record cases

Iraq recorded 8,331 new coronavirus cases in 24 hours on Wednesday, the highest figure since the ministry began keeping records at the onset of the pandemic last year. (J. Harris: Of course, The US still has some troops in Iraq.)

Neutralization of SARS-CoV-2 Variants B.1.429 and B.1.351

 These results, and the high efficacy shown by these vaccines, suggest that vaccine-elicited neutralizing antibodies are likely to remain effective against the B.1.429 variant [Californis]. The magnitude of resistance seen with the B.1.351 [S. African strain] variant is of greater concern with respect to current vaccines.

(J. Harris: The variants demand that vaccinated people continue to exercise caution for the foreseeable future, in my opinion.)

Walgreens, churches to vaccinate 5K Houstonians this weekend, with free rides, walk-up slots

India’s Outbreak

“…India has become the epicenter of the coronavirus outbreak, reporting a record of 131,968 new cases in the last 24 hours as the virus spins out of control. Deaths are rising, hospitals are quickly filling up and the country’s vaccination campaign is perilously behind schedule…The surge in India is a troubling development for the broader pandemic. The sheer number of new infections creates a breeding ground for possible new variants that could be resistant to vaccines, or better able to reinfect people who have already had the virus…Experts say complacency and government missteps are to blame for the recent surge…After cases dropped in December, many Indians shed masks and resumed normal life. Leaders also began acting as if the problem were solved, allowing large Hindu religious festivals and political rallies.”

(J. Harris: The Covid Pandemic is not over now and won’t be over soon in most of the world. For my small efforts, I will continue focusing on LOCAL COVID. I don’t think Covid-19 will be controlled world wide in my lifetime. Dammit.)

LAST BUT NOT LEASED:

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Reparations for the nation’s history of slavery

Reparations for the nation’s history of slavery.

Yea or nay?

With a history of being editor and publisher of newspapers where racial disharmony was a constant stain on the communities I served, where cultures conflicted as a part of everyday life, and having a black son-in-law and biracial grandchildren, you can guess where I stand.

Or maybe not.

Attempting to erase the nation’s nefarious and horrid treatment of people of color — Black, Asian, Native American or “other” — by handing out wads of I’m-sorry! cash is not a plausible solution.

History is what it is, and the white contingent’s treatment overall of citizens and residents of different cultures, religions and colors is reprehensible and indefensible.

But trying to solve our collective consciences with bucket loads of lucre is not the answer.

Who would we pay? How much? For how long? For what specific act or collection of acts?

The answer to the past disputable behaviors lies in visible change, in the switching of attitude, creation of laws and additional opportunities with an aim of an equalization of cultures. These goals must include the education of all citizens on the importance of the fundamental right of equality.

This is the United States of America, once described as  “A City upon a Hill”, a phrase derived from the teaching in Jesus’s Sermon on the Mount. In a modern context, it has been used in United States politics to refer to America acting as a “beacon of hope” for the world, a “shining city.”

From a global perspective — and also from a domestic viewpoint — the democratic luster  is gone from our nation. Where once the United States was held aloft as a symbol of freedom and hope, our political, racial, cultural and religious differences have caused us to be pitied and scorned.m by nations which once held us as a positive example of freedom and democracy.

Now, right now, is the time to summon  our better angels, to pray for uplifting support and guidance and make a determined effort to work in unity to recreate the America of promise and hope. Our goal should be to create, finally, a kinder, gentler America, a nation that values all citizens equally and welcomes all who share our vision, our hopes and our dreams.

We can do better. We must do better. We must change. Our children and grandchildren demand action from us.

We must not, cannot let them down.

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CORONAVIRUS INFO PROVIDED BY DR. JIM HARRIS – 04/09/2021

CORONAVIRUS INFO PROVIDED BY DR. JIM HARRIS – 04/09/2021

 VACCINES AVAIABLE IN MARSHALL:

COVID 19 vaccine appointments are available at our office by going to https://mhchd.org/ to schedule an appointment. We currently have doses of the Janssen (J&J) single dose COVID 19 available. If you need assistance scheduling please contact us at 903-938-8338. 

Jennifer Hancock, RN, BSN  

Executive Director – Marshall-Harrison County Health District

(J. Harris: Counts are stable locally but are going up in Tyler and LA areas.)

Find COVID-19 Vaccines Near You

(J. Harris: The CDC Vaccine Finder)

FROM HOPKINS CITATIONS TODAY:

US Vaccination

The US has distributed nearly 230 million doses of SARS-CoV-2 vaccine and administered nearly 175 million doses. The US is currently administering 2.8 million doses per day*, including 1.3 million people fully vaccinated.

A total of 112 million individuals have received at least 1 dose of the vaccine, equivalent to approximately one-third of the entire US population and 43% of all adults. Of those, 66.2 million (20% of the total population; 26% of adults) are fully vaccinated. Among adults aged 65 years and older, 77% have received at least 1 dose, and 58% are fully vaccinated.

In terms of full vaccination, 32.8 million individuals have received the Pfizer-BioNTech vaccine, 28.5 million have received the Moderna vaccine, and 4.9 million have received the J&J-Janssen vaccine.

As a virus variant sweeps Europe, a look at lessons for the rest of the world.

“…The variant, known as B.1.1.7, is not only more contagious than the virus’s initial form, but is also deadlier… outbreaks have since ballooned, and B.1.1.7 has crowded out other versions of the virus, becoming dominant in more than a dozen European countries…lawmakers in continental Europe were slow to react…“People underestimated it, instead of saying we should learn from what’s happening in the U.K.”

(J. Harris: There are several other timely short summaries at this site. Remember, our vaccines are superior to the AstraZeneka Vaccine that they use in Europe — and are much safer.)

In Mississippi, 73,000 Vaccine Slots and Few Takers

(J. Harris: Unfortunately, these same problems are apparent in parts of East Texas. If I was still practicing medicine, I likely would ask any patient who declined Covid vaccination, without a sound medical reason, to find another doctor…. Yes, in nonemergency situations and with a decent interval of time provided, a doctor may ethically dismiss a patient. A few times when I suggested that this action might need to be taken, patient compliance improved. Now, I honestly do not know how to convince hesitant people to take the vaccine. All I can do is try to avoid the unvaccinated, carless, and ignorant.)

China’s response to COVID-19: a chance for collaboration

How has China managed to control COVID-19? And is the global scientific community in a position to benefit from China’s experiences?

According to the Chinese Center for Disease Control and Prevention, China’s strategy was built on active case finding and case management with identification and quarantine of close contacts, as well as risk-based lifting of restrictions. Chinese authorities aim to test each suspected case and all close contacts of those infected…pooled testing approach coordinated by the government with the cooperation of residents enabled 10·9 million people—almost the entire population of [Qingdao] city—to be tested within 5 days.

LAST BUT NOT LEASED:

CARLESS WORKERS NOT WEARING MASKS!

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The Future of Everything


Imagine an exchange that’s open 24 hours a day, seven days a week. You can buy and sell everything from stocks to cryptocurrency to art. Trades happen almost instantly, without the need for middlemen or gatekeepers. Profits can turn to losses in the wink of an eye. 

A blockchain-based exchange is less far-fetched than ever. This week, the WSJ’s Paul Vigna reports on a number of pilot programs and other experiments investigating how to create digitized markets that can keep up with changing times. 💵The article is part of our latest issue, which looks at what’s ahead for money and finance. Elsewhere, we round up innovative credit-card rewards headed to your wallet, as well as four investments about to go mainstream. We question the speed of stimulus payments, meet the next generation of financial chatbots, dig into the European Union’s roll out of sustainability reporting metrics and look at the potential role of satellite networks in high-frequency trading.

Last but not least, we examine how connected devices are learning to buy and sell goods and services. 📰Read the full report here or in today’s paper. Or keep scrolling. 👇And, as always, send me your thoughts, questions and predictions by hitting “reply” to this email.


 

🚀 The Future of Everything Festival takes place online May 11-13. Together, we’ll look around the corner at the ideas triggering seismic shifts in how we live, work and play. You’ll collaborate with entrepreneurs, artists, athletes, scientists and thinkers so that you can plan for what’s next with informed projections—not predictions. The Wall Street Journal will deliver all of this and more, so join us and experience the future as it takes shape. Register here for your 3-Day Pass (complimentary for WSJ members).


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CORONAVIRUS INFO PROVIDED BY DR. JIM HARRIS – 04/08/2021

APRIL 8 HARRIS MAILOUT — PRESS RELEASE FDA Continues to Advance Over-the Counter and Other Screening Test Development Following recent US Food and Drug Administration actions to support test development, the FDA took swift action this week to get more tests for screening asymptomatic individuals on the market. The agency authorized several tests for over-the-counter (OTC) use without a prescription when used for serial screening. In addition to the tests authorized for OTC use, one serial screening test was authorized for use in a point-of-care (POC) setting without a prescription, and an additional screening test was authorized for POC use with a prescription. The addition of the OTC and POC tests for screening will give schools, workplaces, communities and others several options for serial screening tests that are accurate and reliable. These authorizations follow the FDA’s recent actions to advance OTC and other screening test development.

   
   

(J. Harris: Could we miss an Easter/Spring Break increase in Covid in our area? 

Probably not, but one can hope. But why should we be so lucky? We aren’t vaccinated yet — nor do most locals wear masks or keep their distance. The book says we will have more cases; the book is usually correct.)

WALK UP MARION COUNT JOHNSON & JOHNSON VACCINE AVAILABLE:

From the Longview paper and others: Marion County will offer a walk-up COVID-19 vaccine clinic over a three-week period beginning April 12 in Jefferson…The clinic is made possible through a partnership with the county, Texas Department of Emergency Management and the Texas State Guard, said Marion County Judge Leward LaFleur…A total of 100 Johnson & Johnson vaccines per day will be administered Monday through Friday during the three weeks at Heritage Baptist Church, at 1608 U.S. 59 South in Jefferson…

“There is no pre-registration, and we will take anyone eligible to receive the COVID-19 vaccine… shots will be given on a first-come first-served basis.

Find COVID-19 Vaccines Near You

(J. Harris: The CDC VACCINE FINDER)

UK variant now most common strain in US, CDC head says

The B.1.1.7 coronavirus variant, first identified in the U.K., is now the most common strain circulating the U.S., Rachelle Walensky, MD, director of the CDC, said during an April 7 White House news briefing.

Last week, CDC estimates found the variant accounted for at least 26 percent of all U.S. infections. 

The CDC currently lists the B.1.1.7 variant as a “variant of concern,” and believes it is about 50 percent more transmissible than other previously dominant coronavirus strains. The variant is also likely to have an increased disease severity based on hospitalizations and case fatality rates.

The U.S. has reported 16,275 cases of this variant as of April 6, with Florida (3,192) and Michigan (1,649) recording the highest number of B.1.1.7 cases. 

After months of progress, COVID-19 cases are rising in most states, with many experts pointing to the rapid spread of variants. Ultimately, COVID-19 vaccines are effective, but the variants underscore a renewed need for caution right now. 

Britain will offer alternatives to the AstraZeneca vaccine to adults under 30, and E.U. officials said it had a “possible link” to rare blood clots.

Scientists Race To Develop Next Generation Of COVID Vaccines

(J. Harris: More from U of TX)

Biodefense Commission Warns US Still Vulnerable to Further Biological Threats Even as the United States reels from a year under the thumb of COVID-19, a new analysis from the Bipartisan Commission on Biodefense, released this week, warns that without action, the nation remains dangerously vulnerable to another pandemic or biological threat. The report, Biodefense in Crisis: Immediate Action Needed to Address National Vulnerabilities, analyzed progress made since 2015 while blasting the nation for being caught unprepared against a pandemic that was, in the words of Commission co-chair, former Sen. Joe Lieberman, predictable. It warned that the US must learn from its mistakes and take action to fix them. (Homeland Preparedness News, 4/1/2021)

PRESS RELEASE

FDA Continues to Advance Over-the Counter and Other Screening Test Development Following recent US Food and Drug Administration actions to support test development, the FDA took swift action this week to get more tests for screening asymptomatic individuals on the market. The agency authorized several tests for over-the-counter (OTC) use without a prescription when used for serial screening. In addition to the tests authorized for OTC use, one serial screening test was authorized for use in a point-of-care (POC) setting without a prescription, and an additional screening test was authorized for POC use with a prescription. The addition of the OTC and POC tests for screening will give schools, workplaces, communities and others several options for serial screening tests that are accurate and reliable. These authorizations follow the FDA’s recent actions to advance OTC and other screening test development.

FYI: WE’RE CATCHING UP:

Congress allocated $19 billion in federal stimulus money to Texas public education, but schools have yet to see an extra dime

AND LAST BUT NOT LEASED: IT’S CIRCUS DAY?

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CORONAVIRUS INFO PROVIDED BY DR. JIM HARRIS – 04/07/2021

CORONAVIRUS INFO PROVIDED BY DR. JIM HARRIS – 04/07/2021

 HELLO,

FROM HOPKINS CITATIONS

GOOD NEWS:

1. Pfizer Begins Human Trials of New Pill to Treat Coronavirus (Bloomberg) Pfizer Inc. said it has begun human safety testing of 1. If it succeeds in trials, the pill could be prescribed early in an infection to block viral replication before patients get very sick. The drug binds to an enzyme called a protease to keep the virus from replicating. Protease-inhibiting medicines have been successful in treating other types of viruses, include HIV and Hepatitis C.

2. A Randomized, Double-blind, Placebo-controlled Phase 1 Trial of Inhaled and Intranasal Niclosamide: A Broad Spectrum Antiviral Candidate for Treatment of COVID-19 (The Lancet) Coronavirus disease 19 (COVID-19) is spreading globally and treatment options remain limited. A formulation of niclosamide, a potent anti-SARS-CoV-2 agent and a broad-spectrum antiviral treatment candidate, optimized for inhalation and intranasal administration (UNI91104) was developed.

About 80 percent of K-12 educators and staff have been given at least one vaccine dose.

Community-Associated Outbreak of COVID-19 in a Correctional Facility — Utah, September 2020–January 2021 Incarcerated persons in a Utah correctional facility were likely exposed to SARS-COV-2 by community-associated sources of introduction, including a visiting dental health care provider. An outbreak in the facility was first detected in the residential block where two residents received treatment; the outbreak spread rapidly, eventually affecting 1,368 (52%) of 2,632 residents (with 31 hospitalizations and 12 deaths) and an estimated 88 (16%) of 550 staff members. (CDC MMWR, 4/2/2021)

(J. Harris: This may be a case of one dental worker starting an epidemic in a prison, which, of course, spread outside the walls as well. “Only” 12 deaths were reported among the 1368 Covid cases that resulted. 

How very sad this is.)

IS IT SAFE TO CRUISE NOW? 

GREAT SIMPLE COVID UPDATE

(J. Harris: Quick review of current Covid events.)

PRESS RELEASE

CDC and NIH Bring COVID-19 Self-Testing to Residents in Two Locales The Centers for Disease Control and Prevention, in collaboration with the National Institutes of Health, has launched an innovative community health initiative called “Say Yes! COVID Test” starting in Pitt County, North Carolina, and coming soon to Chattanooga/Hamilton County, Tennessee. As many as 160,000 residents across the two communities will have access to free, rapid antigen tests that they can administer themselves to use three times a week for one month. NIH will provide the tests (also called a home-test or at-home test) and evaluate the effectiveness of the initiative, which aims to determine if frequent self-administered COVID-19 testing helps residents reduce community transmission of SARS-CoV-2, the virus that causes COVID-19 disease. (CDC, 3/31/2021)

PRESS RELEASE

FEMA-Supported Community Vaccination Centers Receive Peace Corps Assistance in COVID-19 Response FEMA and the Peace Corps announced they have struck a historic partnership to combat the COVID-19 pandemic. For the second time in the Peace Corps’ history, volunteers will serve a domestic deployment, at FEMA’s request – the first following Hurricane Katrina and now at federally supported Community Vaccination Centers (CVCs) across the country. The Peace Corps is implementing the COVID-19 domestic deployment through Peace Corps Response, a Peace Corps program that sends individuals with specialized experience to short-term service assignments of up to 12 months. (FEMA, 3/31/2021)

FROM HOPKINS CITATIONS:

1. The US surpassed 30 million cumulative cases on March 27:

1 case to 5 million cases- 200 days

5 million to 10 million- 92 days

10 million to 15 million- 29 days

15 million to 20 million- 24 days

20 million to 25 million- 24 days

25 million to 30 million- 62 days = GOOD

2. National-level data continue to indicate the start of a fourth COVID-19 surge, and more states are beginning to show the early signs as well. According to analysis published by Data USA, 29 states (and Puerto Rico) are reporting increasing daily COVID-19 incidence over the past 2 weeks (>+5%). Among these states, 16 are reporting increases of more than 20% over that period, including 5 with more than 30%: Michigan (+61.5%), Nebraska (+59.3%), Alaska (+45.0%), Maine (+31.4%), and Washington (+31.1%). Puerto Rico is reporting an increase of 61.1% over the past 2 weeks. There are concentrations of these states across the country, including all of New England, most of the Midwest and West Coast regions, and several states in the Southeast and Mid-Atlantic regions as well as Alaska and Hawai’i.

LAST BUT NOT LEASED:

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CORONAVIRUS INFO PROVIDED BY DR. JIM HARRIS – 04/06/2021

CORONAVIRUS INFO PROVIDED BY DR. JIM HARRIS – 04/06/2021

REMEMBER THAT THERE IS VACCINE AVAILABLE! DETAILS SENT YESTERDAY.

Community Transmission of SARS-CoV-2 Associated with a Local Bar Opening Event — Illinois, February 2021

(J. Harris: From Morbidity and Mortality Weekly Report (MMWR)-which is a no-nonsense, universally trusted publication that most good doctors read weekly. This type of event could STILL happen here, and smaller local events have had the same disastrous results here in Marshall during the Pandemic — they just were not publicized. Close, indoor public gatherings of young, non-vaccinated people are not safe, and may never be again. These infected people spread disease to others, of course. This is a good, short article to read:)

Summary: Forty-six cases of COVID-19 were linked to an indoor bar opening event that occurred during February 2021 in a rural Illinois county. Event patrons were linked to secondary cases among household, long-term care facility, and school contacts, resulting in one hospitalization and one school closure affecting 650 students….Opening up settings such as bars, where mask wearing and physical distancing are challenging, can affect the community. As community businesses reopen, prevention measures should be emphasized, including limiting building occupancy, improving ventilation, prioritizing outdoor seating, enforcing correct mask wearing and physical distancing, staying home when ill, and encouraging COVID-19 vaccination to reduce transmission on site and within the community.

Researchers Are Hatching a Low-Cost Coronavirus Vaccine

J. Harris: (Exciting NYT examination of ADVANCES IN VACCINES, many of which are based on the research of a scientist at the University of Texas. Better designs and modifications might make Covid vaccines as cheap and easy to make as Influenza Vaccines, which are manufactured cheaply around the world.)

 Hopkins Cited:

1. Former Biden, Trump Advisers Renew Push to Delay Second Covid Vaccine (STAT News) As Covid-19 cases spike and coronavirus variants continue to spread, the Biden administration is facing renewed calls to delay second vaccine doses and blanket more of the U.S. population with an initial shot. Advocates of a strategy focused on first doses include Democratic and Republican senators, Trump administration surgeon general Jerome Adams, and at least four physicians or epidemiologists who advised President Biden on pandemic response issues prior to his inauguration, including the prominent surgeon and author Atul Gawande. Despite the new advocacy, and its own warnings of “impending doom,” the Biden administration has given no indication it will budge. But the shift in opinion underscores the growing alarm at a possible fourth wave of U.S. Covid-19 cases — and frustration with the federal government’s lack of flexibility.

(J. Harris: Due to the increase in Mutants, unless there is a 4th wave, I like two injections  (or one J&J). We should know in the next two weeks what damage Spring Break and Easter might have caused.)

2. HHS Initiates COVID-19 Mask Design Contest (Homeland Preparedness News) The Department of Health and Human Services (HHS) has initiated a COVID-19 mask design competition, with officials touting a total award of $500,000 available to winning entries. Up to 10 winning ideas will be selected to split $100,000 while the contest’s second phase involves participants submitting prototypes leveraging research on the filtration efficiency of materials and meeting criteria including filtration, fit, comfort, and how easily the design can be manufactured on a large scale. Up to five winning prototypes will split $400,000.(J. Harris: What took them so long?)

Walgreens wasn’t following U.S. guidance on spacing Pfizer doses, but, following complaints, will do so.

The interplay between COVID-19 restrictions and vaccination

An intervention is only as effective as the extent to which people are willing to adopt recommended measures….However, the staunch opposition to non-pharmaceutical interventions among a substantial proportion of some populations has hampered control of the outbreak. Only 65% of Americans report consistently wearing a mask in public.2,  3 The willingness to wear a mask in public was also found to be heterogeneous among different regions in the USA and across time.,… 

 For example, willingness to wear a mask regularly varied from 57% in the midwest region to 87% in the northeast region.3…Risk perceptions are fundamental drivers of behavioural shifts.5 Consequently, the adoption of non-pharmaceutical interventions is likely to wane as vaccination becomes more widespread and prevalence falls. Even before the effects of vaccination campaigns are fully realised, their initiation could boost optimism which might, in turn, lead to the relaxation of non-pharmaceutical interventions….

[IN ISRAEL] Rapid vaccination was facilitated by extensive education campaigns regarding vaccine safety and efficacy, establishment of vaccination sites throughout the country, including remote areas, and efficient centralisation of funding and coordination through their national health-care system.8 6 weeks into the vaccination campaign, 34·9% of Israel’s population had received at least one dose of the vaccine, in contrast to 9·4% in the UK, 7·2% in the USA, 2·8% in France, and 2·4% in Italy.

LAST BUT NOT LEASED:

The Governor of SD would have been included in this picture, but her head got in the way. 

I wonder how much deeper the ocean would be without sponges?

A day without sunshine is like, night.

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CORONAVIRUS INFO PROVIDED BY DR. JIM HARRIS – 04/05/2021

CORONAVIRUS INFO PROVIDED BY DR. JIM HARRIS – 04/05/2021

COVID VACCINE AVAILABLE ON WEDNESDAY IN MARSHALL

Click here to see information

WEEKLY UPDATE OF HUBS AND INJECTION SITES IN AREA:

Click here to see the locations

FROM THE NYT TODAY:

Virus Variants Threaten to Draw Out the Pandemic, Scientists Say

State of COVID-19: What you should know about the CDC’s 5 variants of concern

(J. Harris: Quick read, Variants all listed.)

GOOD NEWS HOPKINS CITATIONS;

1. Interim Estimates of Vaccine Effectiveness of BNT162b2 and mRNA-1273 COVID-19 Vaccines in[PFIZER AND MODERNA] Preventing SARS-CoV-2 Infection Among Health Care Personnel, First Responders, and Other Essential and Frontline Workers — Eight U.S. Locations, December 2020–March 2021 (CDC MMWR) Prospective cohorts of 3,950 health care personnel, first responders, and other essential and frontline workers completed weekly SARS-CoV-2 testing for 13 consecutive weeks. Under real-world conditions, mRNA vaccine effectiveness of full immunization (≥14 days after second dose) was 90% against SARS-CoV-2 infections regardless of symptom status; vaccine effectiveness of partial immunization (≥14 days after first dose but before second dose) was 80%.

2. Side Effect Worry Grows for AstraZeneca Vaccine (Science) It’s been one step forward, two back for AstraZeneca’s COVID-19 vaccine. Even as the company rebutted criticism of its efficacy claims last week, a bigger problem loomed for the vaccine and the many millions depending on it. Evidence continues to accumulate that an unusual clotting disorder seen in dozens of European recipients is a real, albeit rare, side effect. A preprint has detailed a proposed mechanism, and multiple scientific groups have said the worry is legitimate and must be seriously weighed against the vaccine’s COVID-19 protection.

3. Mask Mandates, On-Premises Dining, and COVID-19 (JAMA) Evidence-based prevention strategies can reduce the transmission of SARS-CoV-2, the virus that causes COVID-19. Consistent and correct use of masks can prevent SARS-CoV-2 transmission, which predominantly occurs through inhalation and other exposure to respiratory droplets from infected persons. Mask use is particularly important because presymptomatic and asymptomatic spread is responsible for nearly 60% of COVID-19 cases.

 (J. Harris: Keep using your masks in dangerous locals and around potential carriers).

4. Pfizer and BionTech Confirm High Efficacy and No Serious Safety Concerns Through Up to Six Months Following Second Dose in Updated Topline Analysis of Landmark COVID-19 Vaccine Study (Pfizer) Pfizer Inc. and BioNTech SE announced updated topline results from analysis of 927 confirmed symptomatic cases of COVID-19 observed in their pivotal Phase 3 study through March 13, 2021, showing the Pfizer-BioNTech COVID-19 vaccine, BNT162b2, was 91.3% effective against COVID-19, measured seven days through up to six months after the second dose. The vaccine was 100% effective against severe disease as defined by the U.S. Centers for Disease Control and Prevention (CDC), and 95.3% effective against severe COVID-19 as defined by the U.S. Food and Drug Administration (FDA). Safety data from the Phase 3 study has also been collected from more than 12,000 vaccinated participants who have a follow-up time of at least six months after the second dose, demonstrating a favorable safety and tolerability profile.

LAST BUT NOT LEASED:

(Thank you David Collins)

Save the whales. Collect the whole set.

On the other hand, you have different fingers.

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CORONAVIRUS INFO PROVIDED BY DR. JIM HARRIS – 04/02/2021

REMEMBER: 

 VACCINE DOSES PLENTIFUL AT CHRISTUS GOOD SHEPHERD-LONGVIEW AND NEED TO BE ADMINISTERED PRONTO. IT IS NOW VERY EASY TO SIGN UP. VACCINE APPOINTMENTS AVAILABLE — SIGN UP NOW (click this)

Good computer help available to schedule. Phone number available. If we don’t use this vaccine, we might not get more. Call your friends and family and employees — here or nearby. We need to use this vaccine. 

MORE APRIL 2 POSSIBLE VACCINE SITES (see attached)

From Hopkins Citations:

1. Post-covid Syndrome in Individuals Admitted to Hospital With Covid-19: Retrospective Cohort Study (BMJ) Over a mean follow-up of 140 days, nearly a third of individuals who were discharged from hospital after acute covid-19 were readmitted (14 060 of 47 780) and more than 1 in 10 (5875) died after discharge, with these events occurring at rates four and eight times greater, respectively, than in the matched control group. Rates of respiratory disease (P<0.001), diabetes (P<0.001), and cardiovascular disease (P<0.001) were also significantly raised in patients with covid-19, with 770 (95% confidence interval 758 to 783), 127 (122 to 132), and 126 (121 to 131) diagnoses per 1000 person years, respectively.

(J. Harris: All the bulletproof young folks who aren’t worried about Covid are really gambling on their lives. There NOW is virtually no reason not to get a vaccination. Even Superman got vaccinated!)

 2. Pfizer COVID-19 Shot 91% Effective in Updated Data, Protective Against South African Variant (Reuters) Pfizer Inc and BioNTech said on Thursday their COVID-19 vaccine is around 91% effective at preventing the disease, citing updated trial data that included participants inoculated for up to six months.

3. A City in Brazil’s Amazon Rain Forest Is a Stark Warning about COVID to the Rest of the World (Scientific American): Manaus, a Brazilian city of more than two million that lies hundreds of miles from the Atlantic coast in the midst of the Amazon rain forest, has stood out as one of the world’s leading COVID hotspots. Tragically, it continues to provide the wrong lessons about what should be done to ease the spread of SARS-CoV-2, the virus that causes the disease.

4. FDA Authorizes 2 Rapid, At-Home COVID Tests (NPR) Imagine waking up, brushing your teeth, and quickly swabbing your nose to find out whether you have COVID-19 — whether you feel sick or not. That reality just got a bit closer today with an announcement from the Food and Drug Administration Wednesday that two rapid antigen at-home tests will soon be sold over-the-counter on drugstore shelves. The newly authorized tests are Abbott’s BinaxNOW test and Quidel’s QuickVue.This is a diagnostic test that determines if you are infected by analyzing a sample to see if it contains genetic material from the virus.

Risk Factors Associated With SARS-CoV-2 Infections, Hospitalization, and Mortality Among US Nursing Home Residents

In this cohort study of more than 480 000 US long-stay nursing home residents, we found that the risk of infection was primarily associated with geography and the particular nursing home facility, with minimal contribution of individual characteristics of residents.

What Can You Do Once You’re Vaccinated?

(J. Harris: Extensive evaluation. )

AND LAST BUT NOT LEASED: 

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