CORONAVIRUS INFO PROVIDED BY DR. JIM HARRIS – 05/6/2021

CORONAVIRUS INFO PROVIDED BY DR. JIM HARRIS – 05/6/2021

HELLO,

REMEMBER, FREE COVID VACCINE, WILEY GYM, 10-4 TODAY!

FROM NYT DAILY TRACKER:

Clinical Characteristics and Transmission of COVID-19 in Children and Youths During 3 Waves of Outbreaks in Hong Kong

Question  What were the major sources of infection among children and youths with COVID-19 in Hong Kong in 2020?

Findings  In this cross-sectional study of 397 children and youths with COVID-19 in the first 3 waves of outbreaks in Hong Kong, in 2020, the largest group had no recent international travel, and nearly all individuals were reported to have other family members with COVID-19. Three students studying in the same school contracted COVID-19, and few children or youths with no recent international travel reported unknown contact histories.

Meaning  These findings suggest that households and not schools were the major route of transmission among children and youths with COVID-19 in Hong Kong.

*****

Factors Associated With Access to and Timing of Coronavirus Testing Among US Adults After Onset of Febrile Illness

Question  How often do persons with new febrile illness access coronavirus testing and receive a test result within 7 days of illness onset?

Findings  In this cohort study, generally low rates of coronavirus testing were observed in 2679 participants reporting new onset of febrile illness. Although testing rates improved somewhat during the study period, timely coronavirus test results were sought and received by only 25.9% of newly febrile persons at the end of the study analysis period in late October 2020.

Meaning  Our results suggest systematic underuse of coronavirus testing in patients with febrile illness that may contribute to community transmission.

(J. Harris: Which is to say that we need to expand access to responsible Covid testing as we continue to immunize vulnerable folks, develop “herd immunity,” and re-immunize for mutants if and when it becomes necessary and possible to do so. We must test, trace, and track infectious cases. In our vast and diversified country, tracking will be a state and LOCAL responsibility, which means in backward or irresponsibly governed areas,  it won’t be done. We will survive, but I believe I’ll hang on to my masks.)

FROM HOPKINS CITATIONS:

1. Fully Vaccinated Adults 65 and Older Are 94% Less Likely to Be Hospitalized with COVID-19 Both mRNA COVID-19 vaccines (Pfizer-BioNTech and Moderna) authorized and recommended in the United States protect against COVID-19-related hospitalization among adults 65 years and older, according to a new CDC assessment that finds fully vaccinated adults 65 years and older were 94% less likely to be hospitalized with COVID-19 than people of the same age who were not vaccinated. People 65 and older who were partially vaccinated were 64% less likely to be hospitalized with COVID-19 than people who were not vaccinated. People were considered “partially vaccinated” two weeks after their first dose of mRNA vaccine and “fully vaccinated” two weeks after their second dose. These are the first real-world findings in the United States confirming clinical trial data showing mRNA vaccines prevent severe COVID-19 illness. (CDC, 4/28/2021)

2. PRESS RELEASE: CMS Proposes to Enhance the Medical Workforce in Rural and Underserved Communities to Support COVID-19 Recovery and Beyond The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule (CMS-1752-P) for inpatient and long-term care hospitals that builds on the Biden Administration’s key priorities to close health care equity gaps and provide greater accessibility to care. Major provisions in the proposed rule would fund medical residency positions in hospitals in rural and underserved communities to address workforce shortages, and require hospitals to report COVID-19 vac

3. RESEARCH: Monitoring SARS-CoV-2 Circulation and Diversity through Community Wastewater Sequencing, the Netherlands and Belgium Wastewater-based epidemiology has been proposed as an addition to disease-based surveillance because virus is shed in the feces of ≈40% of infected persons. Researchers used next-generation sequencing of sewage samples to evaluate the diversity of SARS-CoV-2 at the community level in the Netherlands and Belgium. Phylogenetic analysis revealed the presence of the most prevalent clades (19A, 20A, and 20B) and clustering of sewage samples with clinical samples from the same region. They distinguished multiple clades within a single sewage sample by using low-frequency variant analysis. In addition, several novel mutations in the SARS-CoV-2 genome were detected. (CDC EID, May 2021)

LAST BUT NOT LEASED GROANERS:

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CORONAVIRUS INFO PROVIDED BY DR. JIM HARRIS – 05/5/2021

CORONAVIRUS INFO PROVIDED BY DR. JIM HARRIS – 05/5/2021

WALMART TO OFFER VACCINE (from MNM)

GREAT! You can schedule or walk in. 

TOMORROW MODERNA VACCINE AT WILEY 10-4, PEMBERTON GYM WITH SECOND VACCINE JUNE 3:

SARS-CoV-2 elimination, not mitigation, creates best outcomes for health, the economy, and civil liberties

“…The trade-off between different objectives is at the heart of political decision making. Public health, economic growth, democratic solidarity, and civil liberties are important factors when evaluating pandemic responses. There is mounting evidence that these objectives do not need to be in conflict in the COVID-19 response. Countries that consistently aim for elimination—ie, maximum action to control SARS-CoV-2 and stop community transmission as quickly as possible—have generally fared better than countries that opt for mitigation—ie, action increased in a stepwise, targeted way to reduce cases so as not to overwhelm health-care systems…Evidence suggests that countries that opt for rapid action to eliminate SARS-CoV-2—with the strong support of their inhabitants—also better protect their economies and minimise restrictions on civil liberties compared with those that strive for mitigation. Looking ahead, mass COVID-19 vaccination is key to returning to usual life, but relying solely on COVID-19 vaccines to control the pandemic is risky due to their uneven roll-out and uptake, time-limited immunity, and the emergence of new SARS-CoV-2 variants…With the proliferation of new SARS-CoV-2 variants of concern, many scientists are calling for a coordinated international strategy to eliminate SARS-CoV-2….The uncertainty of lockdown timing, duration, and severity will stifle economic growth as businesses withhold investments and consumer confidence deteriorates. Global trade and travel will continue to be affected. Political indecisiveness and partisan policy decisions reduce trust in government. This does not bode well in those countries that have seen a retraction of democracy.17 Meanwhile, countries opting for elimination are likely to return to near normal: they can restart their economies, allow travel between green zones,18 and support other countries in their vaccination campaigns and beyond. The consequences of varying government COVID-19 responses will be long-lasting and extend beyond the end of the pandemic. Early economic and political gains made by countries aiming to eliminate SARS-CoV-2 will probably pay off in the long run…”

J. Harris: Good Lancet article that is worth keeping for future reassurance and support as we dig out of the trenches and fill them in. Let’s don’t ever let another Pandemic sneak upon us.

BIDDEN’S FIRST 100 DAYS COVID/MEDICAL/SCIENTIFIC CHANGES (AND OTHERS) 

Click here to read this report

FROM HOPKINS CITATIONS:

  1. The US CDC reported 32.2 million cumulative cases and 574,220 deaths. Both daily incidence and mortality continue to decrease. Daily incidence is down to 48,164 new cases per day, the lowest average since October 8, 2020. Daily mortality leveled off over the past several days, at approximately 625-650 deaths per day.

Biden announces a strategy change as the pace of vaccination slows

“…As the pace of U.S. vaccination slows, President Biden announced a shift in federal strategy on Tuesday afternoon away from mass vaccination sites to smaller, more local settings in an attempt to boost the campaign to get more shots in arms.

He said that he is directing tens of thousands of pharmacies to offer walk-in appointments for coronavirus vaccine shots, creating more pop-up and mobile clinics and shipping more doses to rural clinics, all aimed at vaccinating 70 percent of American adults at least partially by July 4.

Senior health officials have decided that herd immunity — the point at which the virus dies out for lack of hosts to transmit it — will likely remain elusive. But if 70 percent of the population is at least partially vaccinated, the nation can keep gradually removing restrictions that impede normal life, one senior administration official said, speaking on condition of anonymity at a briefing for reporters.”

What researchers learned analyzing COVID-19 mortality rates at 107 hospitals

The death rate for hospitalized COVID-19 patients in the U.S. fell 38 percent between March and May of 2020, but did not continue to significantly decrease through the fall, according to a study published May 3 in JAMA Network Open.

For the study, researchers analyzed data on 20,736 adults with COVID-19 admitted to 107 hospitals in 31 states between March and November of 2020. 

In March and April, the overall in-hospital mortality rate was 19.1 percent. This figure fell to 11.9 percent in May and June, before tapering off at 10.8 percent from September through November. 

While there were small changes in the patient population over the study period — including a slight decrease in age and a higher proportion of women — mortality rates decreased even after researchers adjusted for factors including age, sex, comorbodiidies and COVID-19 disease severity. 

“Our findings suggest that the decline in mortality could be due to overloaded hospitals and changes in treatment,” said lead author Gregory Roth, an associate professor of medicine at the  University of Washington’s Institute for Health Metrics and Evaluation in Seattle.

“Further analysis is needed to understand the drivers more precisely, but it speaks to a crucial need for information-sharing and identifying hospital best practices that can prevent mortality rates from increasing again, particularly during possible future waves of COVID-19 infections,” he added.

(J. Harris: So this disease that could largely be prevented by vaccines, kills 10-20% of those hospitalized with the infection!)

Olympics in Japan Where only 2% of Population is Vaccinated

J. Harris: Good read. They have closed borders, wear masks, avoid crowds, and test often. I would be willing to bet the Olympics brings them increased Covid despite their cooperative and intelligent population and ability to test and track Covid. 

Japan should cut its losses and tell the IOC to take its Olympic pillage elsewhere (An opinion piece from the Washington Post)

An Last but not Leased:

If Barbie is so popular, why do you have to buy her friends?

Never do card tricks for the group you play poker with!

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CORONAVIRUS INFO PROVIDED BY DR. JIM HARRIS – 05/4/2021

CORONAVIRUS INFO PROVIDED BY DR. JIM HARRIS – 05/4/2021

HELLO, FIFTH TRY, EXPLETIVE DELECTD

HELLO (I’M HAVING TROUBLE SENDING TODAY DUE TO MR. GOOGLE ACTING UP)

NYT DAILY TRACKER MAY 4, 2021:

J. Harris: Area active Covid cases are creeping up? More activities? Younger victims. There is plenty of Vaccine available locally.

The F.D.A. is set to authorize the Pfizer-BioNTech vaccine for those 12-15 years old by early next week.

“The Food and Drug Administration is preparing to authorize use of the Pfizer-BioNTech coronavirus vaccine in adolescents 12 to 15 years old by early next week, according to federal officials familiar with the agency’s plans, opening up the U.S. vaccination campaign to millions more people…”

COVID-19 Is a Vascular Disease: Coronavirus’ Spike Protein Attacks Vascular System on a Cellular Level

(J. Harris: Obviously Covid can have a deadly vascular component.)

HOPKINS CITATIONS:

1. Reaching ‘Herd Immunity’ Is Unlikely in the U.S., Experts Now Believe (New York Times) Early in the pandemic, when vaccines for the coronavirus were still just a glimmer on the horizon, the term “herd immunity” came to signify the endgame: the point when enough Americans would be protected from the

 virus so we could be rid of the pathogen and reclaim our lives.

2. CVS and Walgreens Have Wasted More Vaccine Doses Than Most States Combined (Kaiser Health News) Two national pharmacy chains that the federal government entrusted to inoculate people against covid-19 account for the lion’s share of wasted vaccine doses, according to government data obtained by KHN. The Centers for Disease Control and Prevention recorded 182,874 wasted doses as of late March, three months into the country’s effort to vaccinate the masses against the coronavirus. Of those, CVS was responsible for nearly half, and Walgreens for 21%, or nearly 128,500 wasted shots combined. CDC data suggests that the companies have wasted more doses than states, U.S. territories and federal agencies combined. Pfizer’s vaccine, which in December was the first to be deployed and initially required storage at ultracold temperatures, represented nearly 60% of tossed doses.

VACCINATIONS ARE CONTROLLING COVID IN CALIFORNIA

J. Harris: Quick read, LA Times summary . 

VACCINATIONS SOON AT WILEY OPEN TO PUBLIC MAY 6

(Aggie joke from NYT but probably too complicated for most Aggies)

How many of you believe in telekinesis? Raise my hand…

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CORONAVIRUS INFO PROVIDED BY DR. JIM HARRIS – 05/3/2021

CORONAVIRUS INFO PROVIDED BY DR. JIM HARRIS – 05/3/2021

VACCINES AVAILABLE IN HARRISON, GREGG, AND SMITH COUNTIES 3 MAY

Click here to display data

Designing an Independent Public Health Agency

“The pandemic has revealed the importance of having trustworthy and competent institutions to protect public health. The Constitution also permits the creation of long-standing, stable institutions that serve the public interest outside the political branches. Just as the United States has independent commissions in other important domains such as monetary policy, we believe it deserves independent public health institutions.”

(J. Harris: A readable editorial from NEJM that has several workable suggestions that likely would improve American public health institutions and policies. Obviously, we have a lot of such agencies and scientists, but they need reasonable academic and professional protection from interference by the military, special interest groups, and politicians.)

Click here to read the article

TSA extends public transportation mask mandate until September

“The Transportation Security Administration has extended a federal mandate that requires people to wear masks on public transportation through Sept. 13.”

NYT ON HARRISON COUNTY

“Harrison County is at a high risk level for Covid-19 infections. The seven-day average has not changed. Zero cases were reported yesterday, the same as the week before. Since January of last year, at least 1 in 14 people who live in Harrison County have been infected, and at least 1 in 622 have died.

AND LAST BUT NOT LEASED:

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CORONAVIRUS INFO PROVIDED BY DR. JIM HARRIS – 05/1/2021

CORONAVIRUS INFO PROVIDED BY DR. JIM HARRIS – 05/1/2021

HELLO. HAVE A NICE WEEKEND

U.S. Will Impose New Ban On Travel From India, As Coronavirus Rages

YOUNG PEOPLE ARE GETTING SICKER WITH COVID

“…Experts say the exact reason behind this trend is unclear, but could include the rise of variants, relaxed attitudes towards distancing and other mitigation measures, a younger population that is not yet fully vaccinated and vaccine hesitancy. It could also be merely more younger people getting the disease…There is a very sharp increase…in younger adults… these are largely people who think that their age is protecting them from getting very sick from COVID-19, that is not happening…40% of our cases were under the age of 40, which is mind-boggling…Hospitals are seeing more and more younger adults, those in their 30s and 40s, admitted with severe disease,” Centers for Disease Control and Prevention (CDC) Director Dr. Rochelle Walensky reported during a press briefing earlier this month.

Colorado sees rapid spread of cases among middle and high school students.

Half‐year follow‐up of patients recovering from severe COVID‐19: Analysis of symptoms and their risk factors

(J. Harris: Excellent article for Long Haulers and their families detailing the frequency of various long term health problems after Covid).

HOPKINS CITED:

1. Merck Announces Voluntary Licensing Agreements With Five Indian Generics Manufacturers to Boost Access to COVID-19 Therapeutic (Homeland Preparedness News) Merck has reached voluntary licensing agreements with five Indian generics manufacturers to produce molnupiravir for the COVID-stricken nation, granting it another oral therapeutic to aid the COVID-19 pandemic. While molnupiravir is currently being studied in a phase three trial to treat non-hospitalized patients with COVID-19, these agreements will allow Merck to accelerate the availability of the therapeutic in India and other low and middle-income countries following approvals or emergency authorization by regulatory agencies. Some vaccinated people are still getting covid. Here’s why you shouldn’t worry. (MIT Tech Review) Tens of millions of people in the United States have now been fully vaccinated against covid-19. These people are seeing friends, eating out, and—in rare cases—getting infected.

J. Harris: What I like about this NYT Tracker Chart is that it comes daily and compares the disease incidences in area counties as well as the state, US, and world with “Daily Cases Per 100,000 [population].” There are fewer man-made distortions in the numbers. They are also a tremendous time-saver. You can also make your own tracker and keep up with areas of personal interest. 

 AND LAST BUT NOT LEASED:

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So-are-we-never-going-to-learn headline of the day

So-are-we-never-going-to-learn headline of the day

By George Smith

“Chris Christie Gives One-Term, Twice-Impeached Trump An ‘A’ For His Presidency”

This is the same former New Jersey governor who said Trump was double-dog-dead-ass wrong in contesting the 2020 election. This is the same guy who called the president’s legal team a “national embarrassment”.

Chris Christie has already set his sights on running for president, even if Trump decides to run; he is sacrificing his soul by trying to buddy-up to the Trumpuppet Clan.

The most prominent Republicans, those that think they can lead the party out of its self-ordained quagmire, are four-square pitiful and are embarrassing themselves by constantly rubbing Trump’s belly for luck.

Trump ain’t Buddha. He’s Trump. And it should be clear by now that all those around him, all those that rush to bask in his aura, all who will do whatever it takes to win support from his Clan of Cultish  Clowns…are doomed to be sucked into history’s vacuum and forever labeled as pathetic, corrupt, unAmerican losers.

The story of the era of Trump is already written. And more indictments of this era of political tomfoolery and folderol are being immortalized by today’s vaunted historians right now.

Doris Ketns Goodwin, Jon Meacham, Michael Beschloss and Robert McDonald will dissect Trump’s president “seven ways to Sunday,” as my grandfather used to say.

And those that supported the man, his vitriolic mission, his cartoon-car of idiotic ideas, his racist agenda, his tarnishing of the title he had, the prestige he enjoyed by his election…they are complicit in the corruption that ensued and the division that resulted from his and his party’s actions.

As a country, we will survive and thrive again. And every American should pray that we learned a valuable lesson over the last four years and pledge never to put our faith in a corrupt, ignorant, bumbling heretic again.

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CORONAVIRUS INFO PROVIDED BY DR. JIM HARRIS – 04/30/2021

CORONAVIRUS INFO PROVIDED BY DR. JIM HARRIS – 04/30/2021

HELLO: REMEMBER  SATURDAY VOTE FOR MISD SCHOOL

Association of Maternal SARS-CoV-2 Infection in Pregnancy With Neonatal Outcomes

“Conclusions and Relevance  In a nationwide cohort of infants in Sweden, maternal SARS-CoV-2 infection in pregnancy was significantly associated with small increases in some neonatal morbidities. Given the small numbers of events for many of the outcomes and the large number of statistical comparisons, the findings should be interpreted as exploratory.”

FROM The Lancet:

Hospital admissions due to COVID-19 in Scotland after one dose of vaccine

“….The analysis includes 1 331 993 individuals vaccinated between Dec 8, 2020, and Feb 22, 2021. The authors constructed this comprehensive cohort by linking vaccination, primary care, laboratory testing, hospital admission, and mortality datasets covering 5·4 million people in Scotland…Focusing on 28–34 days after a single dose, the authors report an estimated vaccine effect of 91% (95% CI 85–94) for COVID-19 hospital admissions for BNT162b2 [Pfizer}, and an estimated 88% (75–94) vaccine effect during the same period for ChAdOx1[AstraZeneca].

J. Harris: This is reassuring information and other data showed pretty good prevention starting about a week after receiving the first injection. I must say I feel a little braver after having the second jab, too. 

FASCINATING LETTER TO THE NYT EDITOR under “What You’re Doing”

“I’ve read this bit every day for the past year. Now I read about people happily resuming pre-Covid activities, like meeting up with friends and family, socializing, or getting excited to attend concerts and dine out. I can’t at all relate. Pandemic isolation and introspection have been my sanctuary and bliss. After 47 years of feeling uncomfortable in my own skin and making lame excuses for missing social and work networking events, 2020 permitted me to lean into my true introvert. I felt braver and more creative than ever in my remote work. I relished the relief of masks, of not being judged for my appearance, of getting a break from scrutiny about not smiling enough. I loved attending Zoom programs hosted by public libraries and nonprofits nationwide. I mourn the loss of all of this. I dread having to feign sociability again to be accepted in life and at work, acting my way through re-acclimating to the majority’s version of normal.”

— Tara Chhabra, Saratoga Springs, N.Y.

(J. Harris: Unpleasant people in the grocery store might still think and say hateful things like “Old fat men shouldn’t wear shorts and T-shirts when out and about,” but masks do provide a comfortable “so what” anonymity.)

FROM HOPKINS CITATIONS:

1. RESEARCH

Airport Traveler Testing Program for SARS-CoV-2 — Alaska, June–November 2020 SARS-CoV-2 testing on arrival in Alaska airports identified 951 SARS-CoV-2 infections, or one per 406 arriving travelers, and might have contributed to Alaska’s low incidence during the summer by reducing opportunities for community transmission at travelers’ destination locations. Posttravel self-quarantine and testing programs might reduce travel-associated SARS-CoV-2 transmission and importation, even without enforcement. Traveler education and community and industry partnerships might help ensure success. (CDC MMWR, 4/23/2021)

2. RESEARCH

COVID-19 Outbreak Associated with a SARS-CoV-2 R.1 Lineage Variant in a Skilled Nursing Facility After Vaccination Program — Kentucky, March 2021 In a COVID-19 outbreak at a Kentucky SNF involving a newly introduced variant to the region, unvaccinated residents and health care personnel (HCP) had 3.0 and 4.1 times the risk of infection as did vaccinated residents and HCP. Vaccine was 86.5% protective against symptomatic illness among residents and 87.1% protective among HCP. (CDC MMWR, 4/21/2021)

J. Harris: It is dangerous and careless and illogical not to prevent Covid with the good vaccines that we have. Fortunately, scientists had been working on the various types of vaccines for similar viruses for many years before this Covid Pandemic, so the vaccine response was fairly quick — thank God.

AND FINALLY: HAVE A GOOD LAUGH AND A PLEASANT WEEKEND

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CORONAVIRUS INFO PROVIDED BY DR. JIM HARRIS – 04/29/2021

CORONAVIRUS INFO PROVIDED BY DR. JIM HARRIS – 04/29/2021

HELLO, ETBU VACCINE CLINIC 10-4 TODAY. FREE. PFIZER. SHORT WAIT. NO APPOINTMENT NECESSARY. HELP SOMEONE ELSE GET VACCINATED?

Track Coronavirus Cases

“Harrison County is at a high risk level for Covid-19 infections. The average number of new cases in Harrison County reached five yesterday, a 3 percent increase from the day before. Since January of last year, at least 1 in 14 people who live in Harrison County have been infected, and at least 1 in 628 have died.”

What to Do If You Received the J&J/Janssen COVID-19 Vaccine

After a temporary pause, CDC and the U.S. Food and Drug Administration (FDA) recommend use of Johnson & Johnson’s Janssen (J&J/Janssen) COVID-19 Vaccine resume in the United States. A review of all available data at this time shows that the J&J/Janssen COVID-19 Vaccine’s known and potential benefits outweigh its known and potential risks. However, women under 50 years old should be aware of the rare but increased risk of the adverse event called thrombosis with thrombocytopenia syndrome (TTS), and that there are other COVID-19 vaccine options available for which this risk has not been seen. CDC and FDA will continue to monitor the safety of all COVID-19 vaccines. 

HOPKINS CITED:

1. The Anti-Vaccine Influencers Who Are Merely Asking Questions (The Atlantic) Life can go back to normal in the United States only if millions more Americans get vaccinated against COVID-19. The problem is that today’s communication environment is perfectly engineered to discourage that. Wild claims go viral, and partisans exploit any scientific uncertainty for political advantage.

Hopkins Recent Citations:

1. Pfizer CEO Says Antiviral Pill To Treat Covid Could Be Ready By The End Of The Year (Forbes) A pill that can be ingested orally at home to combat Covid-19 when illness is first detected could be available to the public by the end of 2021, Pfizer CEO Albert Bourla told CNBC on Tuesday, noting that the antiviral treatment is expected to be effective against variants of the virus.

2. An Unexpected Pandemic Side Effect In Peru: A Comeback For TB (NPR) Tuberculosis kills around 1.5 million people a year, making it a top priority for public health organizations. The United Nations aims to end the epidemic of tuberculosis by 2030, but COVID-related disruptions to TB treatments may push that goal out of reach — and end up propagating strains that are resistant to treatment, which also tend to be the deadliest.

Genomic Epidemiology of SARS-CoV-2 Infection During the Initial Pandemic Wave and Association With Disease Severity

Question  Are SARS-CoV-2 variants, virus clades, or clade groups associated with disease severity and patient outcomes?

Findings  In this cross-sectional study of 302 SARS-CoV-2 isolates, 6 different Global Initiative on Sharing All Influenza Data clades circulated in the community followed by a rapid reduction in clade diversity. Several variants, including 23403A>G (D614G), were significantly associated with lower hospitalization rates and increased patient survival.Meaning  These findings suggest that SARS-CoV-2 clade assignment is an important factor that may aid in estimating patient outcomes.

Can You Have Alcohol After the Covid Vaccine?

“…One thing that is clear from studies is that heavy alcohol consumption impairs the immune response and increases your susceptibility to bacterial and viral infections. It prevents immune cells from traveling to sites of infection and carrying out their duties, like destroying viruses, bacteria and infected cells; makes it easier for pathogens to invade your cells, and causes a host of other problems.” 

(J. Harris: …and they use tiny little jiggers to measure the hooch.)

LAST BUT NOT LEASED:

Depression is merely anger without enthusiasm.

I drive way too fast to worry about cholesterol

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CORONAVIRUS INFO PROVIDED BY DR. JIM HARRIS – 04/28/2021

PFIZER VACCINE AVAILABLE TODAY AND TOMORROW AT ETBU:

FROM NYT COVID TRACKER:

HOPKINS CITED:

1. Higher Stroke Risk Linked to Asymptomatic COVID-19 in Younger Men (CIDRAP) Men under 50 recovering from asymptomatic COVID have double the likelihood of acute ischemic strokes (AIS) compared with men of the same age without COVID infection, according to a study last week in JAMA Network Open. Eighteen South Asian men were treated in Singapore for AIS a median of 54.5 days after their initial COVID-19 diagnosis. Twelve (67.7%) had no known pre-existing risk factors. While AIS is a known neurologic complication from symptomatic COVID-19, none of these men experienced respiratory symptoms during their infection. 

2. U.S. to Share AstraZeneca Covid-19 Vaccine Doses With World (WSJ)

The Biden administration is making plans to share millions of doses of the AstraZeneca Covid-19 vaccine and preparing a major effort to help India fight a resurgence of the virus, as calls mount for the U.S. to do more to assist developing countries in confronting the pandemic. The White House said Monday it would share as many as 60 million doses of the AstraZeneca vaccine with the rest of the world. U.S. officials also said they were exploring options to urgently dispatch oxygen and related supplies to India.

3. Brazil Rejects Russia’s Sputnik V Coronavirus Vaccine, Citing Safety Concerns (The Washington Post) Brazilian health regulators have issued a scathing rebuke of Russia’s Sputnik V coronavirus vaccine, rejecting the shot’s approval in a decision late Monday that could impact its use elsewhere in the world. The ruling from Brazil’s Health Regulatory Agency, or Anvisa, cited a range of concerns with the vaccine’s development and production, including what it said was a lack of quality control and efficacy data, as well as little if any information on the shot’s adverse effects. It was not the first time that health authorities have raised concerns about Sputnik V, which was hailed as “safe” and more than 91 percent effective in a peer-reviewed article in the Lancet in February.

LONG HAUL ARTICLES FROM BECKERS:

Related Articles

FROM HOPKINS AND CDC A REAL NURSING HOME STORY WITH PROOF VACINES WORK:

NURSING HOME OUTBREAKS Health officials in Kentucky and experts at the US CDC published a case study of an outbreak at a long-term care facility (LTCF) initiated by an unvaccinated employee. At the facility, 90% of the residents and 53% of the staff received 2 doses of SARS-CoV-2 vaccine. Routine testing identified the outbreak, which began in an unvaccinated and symptomatic healthcare worker. Ultimately, the outbreak involved 46 total cases, including 26 residents and 20 facility personnel. Notably, 18 of the residents and 4 personnel received their second dose of the vaccine more than 14 days before the outbreak. Three (3) residents died, including 2 who were unvaccinated.

The risk of infection among unvaccinated residents was 3 times higher than among vaccinated residents. Similarly, the risk among unvaccinated personnel was 4 times higher than among vaccinated personnel. For this outbreak, the vaccine’s effectiveness against SARS-CoV-2 infection was estimated to be 66% among residents and 76% among employees, and the effectiveness against symptomatic COVID-19 disease was 86.5% among residents and 87% among employees. This is in line with the expected effectiveness based on clinical trial efficacy data. The authors conclude that low vaccination coverage among employees at LTCFs could facilitate introduction of SARS-CoV-2, which could result in outbreaks, even among resident populations with high vaccination coverage. While the authorized SARS-CoV-2 vaccines are highly effective*, COVID-19 risk remains, particularly among individuals at elevated risk for exposure and severe disease. Even as vaccination coverage increases, it is critical to maintain COVID-19 risk mitigation measures until sufficient community protection is in place to bring the pandemic under control. 

*For those vaccines with publicly available Phase 3 clinical trial data. 

1115 Waiver Rescission – What It Means for Texas

(J. Harris: I’m not interested in discussing politics, but Marshall hospitals treat many uninsured patients as well as a large number of Medicaid-funded patients — whose payments are inadequate and not capable of paying a significant amount of the expenses incurred. Marshall is too close to hospitals in Longview and Shreveport to be considered “Rural,” a designation that would help us financially. Around ten years ago, a good local hospital administrator told me that Texas’ approach to Medicaid would bankrupt our hospital as well as many other smaller Texas hospitals. He was correct in his prediction. Many smaller hospitals have closed.  In my opinion, only partially informed, had  Christus not bought the Good Shepherd hospitals in Longview and Marshall, I’m not sure that either would still be functional. What do you think? What do you think about increasing Texas’ participation in Medicaid?  

The article below is written by Tom Luce who I know and trust:

Medicaid expansion picks up bipartisan support in the Texas House, but hurdles remain

AND LAST FOR TODAY:

If at first you don’t succeed, destroy all evidence that you tried.

Bills travel through the mail at twice the speed of checks.

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CORONAVIRUS INFO PROVIDED BY DR. JIM HARRIS – 04/27/2021

CORONAVIRUS INFO PROVIDED BY DR. JIM HARRIS – 04/27/2021

HELLO,

1. PLEASE REMEMBER TO VOTE FOR MISD SCHOOL BOARD

2. ETBU VACCINE WALK IN CLINIC TUES, WED, THURS. (PFIZER)

J. Harris: There is a slight increase of Covid patients in the general beds, ie. regular hospital rooms as apposed ot ICU. Young people? 

FROM THE NYT TRACKER FOR THIS AREA TODAY:

FROM HOPKINS MORE REASONS YOU DON’T WANT TO CATCH COVID:

1. High-Dimensional Characterization of Post-acute Sequalae of COVID-19 (Nature) Here, we use the national healthcare databases of the US Department of Veterans Affairs to systematically and comprehensively identify 6-month incident sequalae including diagnoses, medication use, and laboratory abnormalities in 30-day survivors of COVID-19. We show that beyond the first 30 days of illness, people with COVID-19 exhibit higher risk of death and health resource utilization. Our high dimensional approach identifies incident sequalae in the respiratory system and several others including nervous system and neurocognitive disorders, mental health disorders, metabolic disorders, cardiovascular disorders, gastrointestinal disorders, malaise, fatigue, musculoskeletal pain, and anemia.

2. Maternal and Neonatal Morbidity and Mortality Among Pregnant Women With and Without COVID-19 Infection: The INTERCOVID Multinational Cohort Study (JAMA Pediatrics) In this multinational cohort study of 2130 pregnant women in 18 countries, women with COVID-19 diagnosis were at increased risk of a composite maternal morbidity and mortality index. Newborns of women with COVID-19 diagnosis had significantly higher severe neonatal morbidity index and severe perinatal morbidity and mortality index compared with newborns of women without COVID-19 diagnosis. This study indicates a consistent association between pregnant individuals with COVID-19 diagnosis and higher rates of adverse outcomes, including maternal mortality, preeclampsia, and preterm birth compared with pregnant individuals without COVID-19 diagnosis.

3. States with Springtime Covid-19 Surges Appear to Have Turned a Corner (STAT News) Michigan and other states that experienced springtime Covid-19 surges or faced worrisome transmission trends appear to have turned a corner, with drops in new cases in recent days as vaccines reach more people. After hovering at stubbornly high levels or increasing over the past two months, average daily cases in Massachusetts, Minnesota, New Jersey, Illinois, and other states in the Midwest and Northeast have started to fall, providing a breath of relief that the communities are past their most recent peaks. 

4. US TRAVEL ADVISORIES The US Department of State updated its travel advisories, resulting in nearly 80% of countries falling under the “Do Not Travel” category. Previously, the State Department issued Level 4 (Do Not Travel) guidance for only 34 countries, but the recent additions bring the total to more than 150. Among the Level 4 category countries are Austria, Brazil, France, India, Italy, Mexico, Russia, and the UK. The department said the additions were made “to better reflect CDC’s science-based Travel Health Notices” as well as to consider the logistics of testing availability and other travel restrictions for US travelers. The department also noted it is continuing to monitor COVID-19 data across the globe and will regularly update destination-specific advice as conditions evolve.

AND LAST BUT NOT LEASED:(PLEASE EXCUSE “POLITICS” BUT I COULDN’T RESIST THIS MISSIVE FROM SOUTH DAKOTA:

Brad lives in California….. He was sick of the world, of Covid-19, Trump, Russian belligerence, China, global warming, racial tensions, and the rest of the disturbing stories that occupy media headlines….Brad drove his car into his garage and then sealed every doorway and window as best he could….

He got back into his car and wound down all the windows, selected his favorite radio station, and started the car.

Two days later, a worried neighbor peered through his garage window and saw him in the car. She notified the emergency services and they broke in, pulling Brad from the car…

A little sip of water and, surprisingly, he was in perfect condition, but his Tesla had a dead battery.

Brad is a registered California Democrat.

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