Dr. Shaun Bobbi Kelehan of Marshall Practice of Medicine Curtailed

By George S. Smith
Retired Editor and Publisher

Dr. Shaun Bobbi Kelehan of Marshall had his practice of medicine severely curtailed Wednesday, October 28 by the Texas Medical Board following an 11-hour disciplinary hearing. Kelehan was accused of administering drugs to a male patient and then sexually abusing him in March of 2017.

Specifically, according to a release by the board, Kelehan’s “continuation in the unrestricted practice of medicine poses ‘a continuing threat to the public welfare.’”

The board further found Kelehan “engaged in nonconsensual sexual encounters with a patient and administered medications to the patient during these encounters.” The board determined that no “record of treatment” was provided to the patient.

Based on a complaint from Marshall native Steven Trey Wood, which was backed up by video and audio recordings, Marshall Police Department investigation documents and a months-long investigation by Samer Shobassy, board litigation staff attorney, Kelehan was handed an initial harsh punishment. The board decreed:

  • Kelehan could no longer administer medical treatment to male patients;
  • He can not prescribe prescription drugs to male patients.
  • The doctor’s Physician Assistants (PA) at his clinics could not see male patients;
  • Female patients can only be seen at his clinics; and
  • Kelehan cannot provide telemedicine sessions.

Additionally, the board will meet within a few weeks, after an evaluation of medical needs in the communities in which he has clinics to determine whether to permanently suspend his license to practice medicine.

Kelehan is owner of Marshall’s Access Family Health clinic on Alamo Boulevard. He is also listed on the internet as an owner and a physician at a clinic by the same name on Judson Road in Longview, a third clinic on Fifth Street in Tyler and another one on Wells Branch Parkway West in Pflugerville.

He is a 2000 graduate of the University of Texas School of Medicine in Houston. He also is listed as a co-owner of Wellness Properties of America, a property owner and management company that buys and builds commercial buildings.

In mid-2017, charges brought against Kelehan following an investigation by Marshall Police Department’s Det. Rob Farnham . Harrison County District Attorney Coke Solomon, recused himself for the case, citing the fact Kelehan was his personal physician.

A special prosecutor from Longview was appointed and a grand jury was called. The grand jury declined to bring charges, delivering a nolle proseui ruling (will not prosecute). Wood was not called to testify, nor did the grand jury members hear or see the recordings of Kelehan the medical board heard of him admitting the acts.

During the police investigation of the charges, Wood was requested to meet with  Kelehan and make, first, audio recordings, which he did. He was later requested to make video recordings, and secured two videos, with Kelehan admitting the sexual encounter. In one of the recordings, Kelehan admitted a previous sexual encounter, which Wood did not remember taking place.

Wood is a graduate of Marshall High School, a former Maverick football player and a former student at Texas Tech. He is also a former blogger for the Marshall News Messenger, winning two first place awards in state press association contests for his articles.

Wood will be the first to admit that for most of his life, he has gone out of his way to get into trouble. While he said it would be an “easy out” to blame myriad circumstances in his life for “wasting big part of his life,” he blames no one but himself. “I chose to do what I did at the time I did it,” he said. ‘Me. All the misfortunes in my life fall right back on me.”

In addition to trying every addictive substance he could obtain, he spent more than two years in a Texas prison for “robbing a drug dealer.” He makes no excuses for his actions – “Whatever trouble I got into, I deserved it.”

Of the sexual assault, Wood said, “I am an alcoholic who has been clean for almost two years.” A regular at Austin Alcoholics Anonymous meetings, he said, “I know what hitting rock bottom means. But, nothing in my life led me to deal with a situation like this.”

Wood said, “I was betrayed at the hands of a friend. A homosexual encounter … no, apparently two encounters … that I have never thought about on any level, was pushed on me by a person I knew was gay but who also implicitly knew I was not gay. I had derailed previous attempts at ‘gay play.’ When he previously tried to put his hands down my pants, I would tell him to stop, that I didn’t think it was funny. He had always complied.”

In March of 2017, when Wood readily admitted he was at rock-bottom during a breakup of a personal relationship. He went to Kelehan residence in Marshall for help and drugs to deal with the pain, emotional and physical. Kelehan let him stay in his guest house.

Wood said, “He decided to do what he wanted to do to me, to take advantage of my self-destructive condition by lying to me and administering drugs that incapacitated me; the drugs basically paralyzed me.”

After the incident, this writer, a longtime friend drove to Marshall, picked up Wood and took him to his home in Southwest Arkansas almost a week, until a visit to a Texas rehab facility could be arranged.

A surprise witness at the medical board hearing was Sandy Durham of Marshall, Wood’s mother. She testified for the defense. When asked by Shobassy if she had seen the video of Kelehan admitting he had sexually assaulted her son, she said she had not. She was then asked if she did view the video that showed Kelehan admitting the abuse, if Kelehan then told her that he did not commit the act, would she believe her son or Kelehan. She replied she would believe Kelehan.

Shobassy had no further questions for Dunham.

The Texas Medical Board is the state agency mandated to regulate the practice of medicine by Doctors of Medicine (MDs) and Doctors of Osteopathic Medicine (DOs) in Texas. The Board consists of 12 physician members and seven public members appointed for a six-year term by the Governor and confirmed by the Senate. 

GIVE US YOUR FEEDBACK.  CLICK ON “COMMENT” TO TELL US WHAT YOU THINK or use one of the alternative methods for providing feedback.

click here to CLOSE THIS PAGE  

CDC’s Halloween Guidelines Warn Against Typical Trick-Or-Treating

In a year that’s been plenty scary, this much is clear: Pandemic Halloween will be different than regular Halloween. Many traditional ways of celebrating are now considerably more frightful than usual, because now they bring the risk of spreading the coronavirus.

Accordingly, the Centers for Disease Control and Prevention has issued new guidelines on how to celebrate Halloween safely. No big surprise: Classic door-to-door trick-or-treating and crowded, boozy costume parties are not recommended.

The CDC’s guidelines group Halloween activities into lower-risk, moderate-risk and higher-risk buckets.

The higher-risk category includes both door-to-door trick-or-treating and events where kids get treats from the trunks of cars in a big parking lot.

Also no-nos: indoor haunted houses where people will be crowded and screaming, which could send infectious particles flying. Going on hayrides with people who aren’t in your household or fall festivals in rural areas also carry a risk of spreading the virus that causes COVID-19. And using alcohol and drugs “can cloud [judgment] and increase risky behaviors,” the CDC warns — though that’s equally true in any season.

How to get your thrills instead?

The agency says this way of trick-or-treating poses a moderate risk (compared with the higher risk of the traditional style): Kids could pick up individually wrapped gift bags at the end of a driveway or yard while still preserving social distance.

You could also organize a small outdoor costume parade where everyone is 6 feet apart. An outdoor costume party would also be considered moderate risk, if people wear masks and stay 6 feet away from each other.

Haunted houses are out, and haunted forests are in. The CDC says an open-air scare-fest is moderately risky, so long as the route is one-way, people wear masks appropriately and stay 6 feet apart. But there’s a caveat: “If screaming will likely occur, greater distancing is advised.”

What about apple picking and pumpkin patches? Risks can be reduced if people use hand sanitizer before touching pumpkins or apples, wear masks and maintain social distance.

Also on the moderate-risk list: an outdoor scary movie night with local friends who are socially distanced. Again: The more screaming there is, the more space is needed for safe social distancing.

If you want to be really safe? Then you need to plan for either virtual activities or ones that you do largely with your own household.

The CDC’s lower-risk activities include carving pumpkins with your household, or outdoors with friends while socially distanced. It also suggests a Halloween scavenger hunt: looking for witches, spiderwebs and black cats outside houses while walking around — or a scavenger hunt for treats in your own home.

And what about masks? A costume mask is no substitute for a cloth mask, according to the agency, but don’t double up with one over the other because that can make it hard to breathe. Instead, consider a Halloween-themed cloth mask, the CDC suggests.

A costume mask can protect against spreading the coronavirus if it’s like a regular cloth mask: two or more layers of breathable fabric covering the nose and mouth, without gaps around the face.

And remember this, friendly neighbors: If you think you might have COVID-19 or have been exposed to someone who does, don’t attend in-person Halloween activities — and certainly don’t hand out candy to trick-or-treaters.

GIVE US YOUR FEEDBACK.  CLICK ON “COMMENT” TO TELL US WHAT YOU THINK or use one of the alternative methods for providing feedback.

click here to CLOSE THIS PAGE  

CORONAVIRUS INFO PROVIDED BY DR. JIM HARRIS – 10/9/2020

October 9, 2020

On Thursday Harrison County reported 2 new cases, Gregg 3 and Smith 1. Covid Testing will again be available today and tomorrow at theCivic/Convention Center. 
FROM JOHNS HOPKINS SELECTIONS:1. A Global Data Effort Probes Whether Covid Causes Diabetes(Wired) From Mohammad Shafi Kuchay, an endocrinologist who consulted on the cases, told WIRED via email that he and the other doctors assigned to the cases assumed the virus had somehow knocked out these patients’ insulin-making cells, giving them type 1 diabetes. And so the doctors put the men on a regimen of insulin injections. But as the months went by, they needed the injections less and less. They were shifted to oral antidiabetic drugs, and have been managing like this for more than two months now.
2. Global Shortage of Key Covid Drug Leads to NHS Rationing (The Guardian) A global shortage of remdesivir, one of the key Covid-19 drugs given to Donald Trump since he tested positive for the virus, is leading to rationing in the UK and pressure on the manufacturer to allow other companies to supply it. Remdesivir, made by the US company Gilead, is one of only two drugs proven to work against Covid-19. It has been shown to help patients recover faster from the disease and shorten the length of hospital treatment but is not a cure.
3.Eli Lilly Says its Monoclonal Antibody Cocktail is Effective in Treating Covid-19 (STAT News) Eli Lilly said Wednesday a monoclonal antibody treatment is effective in reducing levels of the virus that causes Covid-19 in patients, and also appears to prevent patients from visiting the emergency room or hospital.(J. Harris: Don’t buy stock yet; the results were barely significant statistically. However, it’s early yet; they will continue to improve their products.)
4. Analysis of Genomic Characteristics and Transmission Routes of Patients With Confirmed SARS-CoV-2 in Southern California During the Early Stage of the US COVID-19 Pandemic(JAMA) This case series of 192 patients found that 82% of SARS-CoV-2 isolates from Los Angeles shared closest similarity to those originating in Europe vs those from Asia (15%). Using the variation signature of the viral genomes, 2 main clusters were identified, with the top variants sharing genomic features from European SARS-CoV-2 isolates, and several subclusters of SARS-CoV-2 outbreaks represented trackable community spread in Los Angeles. These findings suggest that SARS-CoV-2 genomes in Los Angeles were predominantly related to the isolates originating from Europe, which are similar to viral strain distributions in New York, New York; a smaller subgroup of SARS-CoV-2 genomes shared similarities to those from originating from Asia, indicating multiple sources of viral introduction within the Los Angeles community.
5. Science Is Needed to Rescue the Nation From COVID-19, but Not Just Traditional Biomedical Science (JAMA) As the US pushes rigorous education in STEM (science, technology, engineering, and mathematics), it is worth reflecting on this global pandemic and what kind of science society is not effectively using. So far, the greatest unmet need in successfully fighting coronavirus disease 2019 (COVID-19) in the US relates to the insights provided by the social sciences rather than by the traditional biomedical sciences. Sociologists and psychologists are as important in this crisis as virologists and epidemiologists. In the US, people are comfortable with and accustomed to scientists rescuing them or helping them avoid disaster. But when that does not work perfectly, or leaves temporary gaps, people are left to rely on something less predictable—the human psyche and human interaction—to prevent the spread of the virus.
‘SNL’ Nixes Morgan Wallen Appearance After Singer Violates COVID-19 Safety Protocols

THIS JUST IN: Dr. Jim Harris has been selected as the official doctor of the Dallas Cowboy Cheerleaders. Jerry Jone says that Harris is a natural fit. 

GIVE US YOUR FEEDBACK.  CLICK ON “COMMENT” TO TELL US WHAT YOU THINK or use one of the alternative methods for providing feedback.

click here to CLOSE THIS PAGE

CORONAVIRUS INFO PROVIDED BY DR. JIM HARRIS – 10/8/2020

October 8, 2020

This is an unprecedented editorial from the best medical journal in the world. If you want to know what virtually all good doctors think, read this editorial. As a political conservative, I regret the need for this message, but, …”truth is neither liberal nor conservative.” Jim Harris, MD

CLICK HERE TO READ THE NEW ENGLAND JOURNAL OF MEDICINE ARTICLE

From the MNM: Harrison County reported 3 new Covid cases. “The county judge reminded that free walk-up testing will be offered, again, this weekend, from 9 a.m. to 4 p.m., Friday and Saturday, at Marshall Convention Center, located at 2501 E. End Blvd. South.”
Cases at Marshall Independent School District are also climbing with six new active cases reported, on Wednesday.

“We have six new active cases to report, which gives us a total of 11 active cases currently in MISD,” David Weaver, MISD’s pubic information director, indicted.

Weaver said three of the new cases were at Marshall High School; the other three were at Sam Houston Elementary.

“With 13 recoveries overall on the year, we now have had a total of 24 cases throughout the district this year,” he said.

The county judge reminded that free walk-up testing will be offered, again, this weekend, from 9 a.m. to 4 p.m., Friday and Saturday, at Marshall Convention Center, located at 2501 E. End Blvd. South.

Dying in a Leadership Vacuum

Editorial from The England Journal of Medicine

Covid-19 has created a crisis throughout the
world. This crisis has produced a test of leadership.
With no good options to combat a novel
pathogen, countries were forced to make hard
choices about how to respond. Here in the
United States, our leaders have failed that test.
They have taken a crisis and turned it into a
tragedy.

The magnitude of this failure is astonishing.
According to the Johns Hopkins Center for Systems
Science and Engineering,1 the United States
leads the world in Covid-19 cases and in deaths
due to the disease, far exceeding the numbers in
much larger countries, such as China. The death
rate in this country is more than double that of
Canada, exceeds that of Japan, a country with a
vulnerable and elderly population, by a factor of
almost 50, and even dwarfs the rates in lowermiddle-
income countries, such as Vietnam, by a
factor of almost 2000. Covid-19 is an overwhelming
challenge, and many factors contribute to its
severity. But the one we can control is how we
behave. And in the United States we have consistently
behaved poorly.

We know that we could have done better.
China, faced with the first outbreak, chose strict
quarantine and isolation after an initial delay.
These measures were severe but effective, essentially
eliminating transmission at the point where
the outbreak began and reducing the death rate
to a reported 3 per million, as compared with
more than 500 per million in the United States.
Countries that had far more exchange with China,
such as Singapore and South Korea, began intensive
testing early, along with aggressive contact
tracing and appropriate isolation, and have ….

READ COMPLETE ARTICLE BY CLICKING HERE

GIVE US YOUR FEEDBACK.  CLICK ON “COMMENT” TO TELL US WHAT YOU THINK or use one of the alternative methods for providing feedback.

click here to CLOSE THIS PAGE

Confederate Statues Come Down Around U.S., But Not Everywhere

About 60 Confederate monuments have come down across the U.S. amid a national reckoning on race — but nearly half as many localities that considered removing their statues have decided to keep them.

NPR recently visited Marshall, Texas, and Shreveport, La. — neighboring cities that fiercely debated their Confederate monuments and had two different outcomes.

Back in July, it seemed like officials in Marshall — tucked in the piney woods of northeast Texas — were on the verge of moving their marble statue of a rebel soldier. The curly-haired infantryman gripping a muzzleloader rifle has stood beside the courthouse for 114 years.

Even Bill Elliott with the Sons of Confederate Veterans, which defends the monuments as important parts of history, was pessimistic.

“We ain’t won anywhere. I’ll be honest with you,” Elliott said earlier in the summer. “If it’s got to be moved, we’re for working with everybody. We just want it to go somewhere that’s gonna be safe.”

But Marshall’s experience shows that Confederate statues are not so easy to topple.

Click here to read the complete NPR article

GIVE US YOUR FEEDBACK.  CLICK ON “COMMENT” TO TELL US WHAT YOU THINK or use one of the alternative methods for providing feedback.

click here to CLOSE THIS PAGE

CORONAVIRUS INFO PROVIDED BY DR. JIM HARRIS – 10/6/2020

October 6, 2020

On Monday, Harrison County had 6 new Covid cases and the MISD reported a total of only 4 active cases. The USA reported 42, 223 new cases yesterday which is a 6% increase in the daily count. As Dr. Yogi Berra said, “The opera ain’t over till the Fat Lady sings.” I might add that the Fat Lady is available at any time to sing at funerals. 

FROM JAMALong-term Health Consequences of COVID-19

FROM JOHNS HOPKINS SELECTIONS:

1. CARDIAC ARREST & CPR Researcher from a number of US medical institutions published findings from a study on the use of cardiopulmonary resuscitation (CPR) in COVID-19 patients who experience cardiac arrest. The researchers note that “anecdotal reports of poor outcomes in critically ill patients with COVID-19 who have had in-hospital cardiac arrest have prompted discussions on the futility of [CPR] in this patient population.” The study, published in BMJ, included more than 5,000 COVID-19 patients who were admitted to intensive care units at 68 hospitals across the US. Among these patients, 701 participants (14%) experienced cardiac arrest while hospitalized, and 400 (57.1%) of those individuals received CPR. Among the 400 patients who received CPR, 48 (12%) survived to discharge, and 28 (7%) exhibited normal neurological function or only mild neurological impairment. These percentages are relatively consistent with studies of CPR among non-COVID-19 patients, which indicates that CPR does provide benefit to COVID-19 patients. Additionally, the study illustrates the high rate of cardiac arrest among COVID-19 patients, and hospitals and health systems should be prepared for the increased demand among severe COVID-19 patients.(J. Harris: another recent article had indicated even less survival post CPR. Wear your mask).

2.  Meeting highlights from the Pharmacovigilance Risk Assessment Committee (PRAC) 28 September – 1 October 2020EMA’s safety committee (PRAC) has started a review of a safety signal to assess reports of acute  kidney injury in some patients with COVID-19 taking Veklury (remdesivir).
     Kidney injury can be caused by other factors as well, e.g. diabetes; importantly, COVID-19 is itself known to be a cause. The PRAC will now carefully assess all available data to evaluate if the medicine may have been responsible for the kidney problems and if there is a need to update the existing information for Veklury. Recommendations for the use of this medicine have not changed.(J. Harris: Just how likely this new drug is to cause or to accentuate kidney damage is being studied, but it needs to be used with caution and not whim.)

3.Face Masks, Public Policies and Slowing the Spread of COVID-19: Evidence from Canada (National Bureau of Economic Research) We estimate the impact of mask mandates and other non-pharmaceutical interventions (NPI) on COVID-19 case growth in Canada, including regulations on businesses and gatherings, school closures, travel and self-isolation, and long-term care homes. We partially account for behavioral responses using Google mobility data. Our identification approach exploits variation in the timing of indoor face mask mandates staggered over two months in the 34 public health regions in Ontario, Canada’s most populous province. We find that, in the first few weeks after implementation, mask mandates are associated with a reduction of 25 percent in the weekly number of new COVID-19 cases.

4.Changing Age Distribution of the COVID-19 Pandemic — United States, May–August 2020 During June–August 2020, COVID-19 incidence was highest in persons aged 20–29 years, who accounted for >20% of all confirmed cases. Younger adults likely contribute to community transmission of COVID-19. Across the southern United States in June 2020, increases in percentage of positive SARS-CoV-2 test results among adults aged 20–39 years preceded increases among those aged ≥60 years by 4–15 days. Strict adherence to community mitigation strategies and personal preventive behaviors by younger adults is needed to help reduce infection and subsequent transmission to persons at higher risk for severe illness. (CDC MMWR, 10/2/2020) 

image.png

GIVE US YOUR FEEDBACK.  CLICK ON “COMMENT” TO TELL US WHAT YOU THINK or use one of the alternative methods for providing feedback.

click here to CLOSE THIS PAGE

CORONAVIRUS INFO PROVIDED BY DR. JIM HARRIS – 9/29/2020

September 29, 2020

Harrison County reports 1 new case Monday while 
Gregg had 16 and Smith 46.   (J. Harris: Are we creeping upward again?)

FROM A HOUSTON INTERNIST: “Imagine being the December dead chump with no mask when your friends are getting their vaccine in January..”

image.png
Click here to enlarge table

Lessons learnt from easing COVID-19 restrictions: an analysis of countries and regions in Asia Pacific and Europe
The COVID-19 pandemic is an unprecedented global crisis. Many countries have implemented restrictions on population movement to slow the spread of severe acute respiratory syndrome coronavirus 2 and prevent health systems from becoming overwhelmed; some have instituted full or partial lockdowns. However, lockdowns and other extreme restrictions cannot be sustained for the long term in the hope that there will be an effective vaccine or treatment for COVID-19. Governments worldwide now face the common challenge of easing lockdowns and restrictions while balancing various health, social, and economic concerns. To facilitate cross-country learning, this Health Policy paper uses an adapted framework to examine the approaches taken by nine high-income countries and regions that have started to ease COVID-19 restrictions: five in the Asia Pacific region (ie, Hong Kong [Special Administrative Region], Japan, New Zealand, Singapore, and South Korea) and four in Europe (ie, Germany, Norway, Spain, and the UK). This comparative analysis presents important lessons to be learnt from the experiences of these countries and regions. Although the future of the virus is unknown at present, countries should continue to share their experiences, shield populations who are at risk, and suppress transmission to save lives.
COVID-SNIFFING DOGS SARS-CoV-2 testing would likely be less scary or uncomfortable if it was conducted by puppies. Perhaps that is part of the motivation behind Finland’s new plan to deploy “coronavirus-sniffing dogs” at the Helsinki Airport. The airport is conducting a pilot project that uses specially-trained dogs to detect SARS-CoV-2 infection in passengers based on their scent. Dogs have been used in a similar manner to detect other infections or diseases that cause a distinct odor in patients, including cancer and Clostridium difficile, sometimes before the onset of symptoms. Samples are taken by swabbing passengers’ necks and then delivered to the dogs in a separate room. One researcher from the University of Helsinki indicated that the dogs can approach 100% sensitivity and can detect infection up to 5 days before the onset of symptoms. A similar program was also recently implemented in the Dubai International Airport. The use of dogs to detect SARS-CoV-2 has not been sufficiently assessed in scientific studies, so passengers identified by the dogs will be administered a more traditional test to confirm infection. Further research is needed to demonstrate the accuracy of this surveillance method, but it could provide rapid assessment capability, particularly for high-traffic areas like airports.

Susceptibility to SARS-CoV-2 Infection Among Children and Adolescents Compared With Adults: A Systematic Review and Meta-analysis (JAMA Pediatrics) In this systematic review and meta-analysis including 32 studies, children and adolescents younger than 20 years had 44% lower odds of secondary infection with SARS-CoV-2 compared with adults 20 years and older; this finding was most marked in those younger than 10 to 14 years. Data were insufficient to conclude whether transmission of SARS-CoV-2 by children is lower than by adults. Preliminary evidence suggests that children have a lower susceptibility to SARS-CoV-2 infection compared with adults, but the role that children and adolescents play in transmission of this virus remains unclear.

Prevalence of SARS-CoV-2 antibodies in a large nationwide sample of patients on dialysis in the USA: a cross-sectional study
” …fewer than 10% of the US population has seroconverted as of July, 2020, and herd immunity remains out of reach, as has been the conclusion from large international surveys from the UK44 and Spain,1 where intense outbreaks of COVID-19 occurred during the spring and summer of 2020…..However recurring monthly testing of remainder plasma of randomly selected sets of people—as is practically feasible in patients receiving dialysis—can serve as a representative surveillance system in the USA…(J. Harris: This Lancet article has a readable and comprehensive “Conclusion” portion that is worth the read.) 

New document reveals scope and structure of Operation Warp Speed and underscores vast military involvement
(J. Harris: Please let me know if you are able to follow their flow sheet.)

My friend’s bakery burned down last night. Now his business is toast.

If toast always lands butter-side down and cats always land on
their feet, what happens if you strap toast on the back of a cat?
~ Steven Wright

CORONAVIRUS INFO PROVIDED BY DR. JIM HARRIS – 8/28/2020

August 28, 2020

James HarrisAug 28, 2020, 12:27 PM (21 hours ago)
to Ron

FROM MNM: Harrison County Judge Chad Sims on Thursday announced 13 new recoveries and just a single new case of the novel coronavirus in his county.

There have been 789 positive cases in county residents and 734 of those residents are considered recovered. The county has had 35 COVID-19 deaths. Active cases in the county were at 20. On Thursday, there were nine new cases and only one reported in Harrison County.

FROM HOPKINS:

1. MOTORCYCLE RALLY The annual Sturgis Motorcycle Rally drew hundreds of thousands of bikers from across the US to a small town in South Dakota for a 10-day festival. Health officials have identified at least 103 cases of COVID-19 across at least 8 states that are believed to be connected with the rally, and that number is expected to grow in the coming weeks. Held August 7-16, the rally drew approximately 460,000 vehicles to the small town of Sturgis, which has a population of 7,000—71 times smaller than its occupancy during the rally. Multiple reports indicate that social distancing and other protective measures, including mask use, were not widely enforced or practiced by the attendees. South Dakota health officials are conducting contact tracing operations to the extent possible, and they have already identified several exposures at the rally, including cases detected among bartenders, tattoo artists, and rally attendees.Given the size of the event, contact tracing is a difficult task, and health officials have asked attendees to monitor their symptoms for 14 days. According to cell phone geo-location data, more than 61% of US counties have been visited by someone who attended the Sturgis Motorcycle Rally, which illustrates the potential for widespread geographic transmission of SARS-CoV-2 resulting from the event. Like other large events or gatherings, it could be several weeks before any indication of increased transmission becomes evident. And because the participants dispersed across a wide geographic area (as opposed to remaining concentrated locally), it may be very difficult to identify associated clusters or outbreaks among the broader US epidemic. (J. Harris: Last night’s RNC mostly unmasked, unspaced spectacle likely will present eager trackers many new cases to follow and marvel  over).

2. The Coronavirus May Shut Down the Immune System’s Vital Classrooms (Science) At the top of the long list of uncertainties about COVID-19 is whether people who recover will develop durable immune responses to the coronavirus that causes it. A research team that has autopsied people who died from COVID-19 has now discovered they lack so-called germinal centers, classrooms in the spleen and lymph nodes in which immune cells learn to mount a long-lasting antibody response to a pathogen. Although the finding may not apply to people who have mild or asymptomatic coronavirus infections, it may help explain COVID-19 progression in the sickest cases and provide important insights to vaccine developers.(J. Harris: The article in Sciernce is short and important but somewhat hard to understand. I t also implies that some of the finding recently will make vaccines effective vaccines easier to develop).


FROM JAMA:

1. Effect of Remdesivir vs Standard Care on Clinical Status at 11 Days in Patients With Moderate COVID-19(J. Harris:  A recent study comparing 5 days vs 10 days of Remdesivir to 11 days of standard care without the antibiotic showed little or now benefit of the medication in MODERATE COVID- 19)
Tracking Coronavirus Cases at U.S. Colleges and Universities

COVID-19 hospitalizations in Texas have dropped by 20 percent in the last week, while deaths continue to average close to 200 a day

Having more money doesn’t make you happier. I have 50 million
dollars but I’m just as happy as when I had 48 million.
~ Arnold Schwarzenegger.

CORONAVIRUS INFO PROVIDED BY DR. JIM HARRIS – 8/26/2020

August 26, 2020

Hallsville and Longview have a few COVID cases in their schools. I have no local reports. Harrison County reported 2 new cases yesterday.

FROM JOHNS HOPKINS1. Oleandrin dangers: Toxicology Organization’s joint statement concerning proposals for the use as a potential treatment for COVID-19

2. First Covid-19 Reinfection Documented in Hong Kong, Researchers Say (STAT News) Researchers in Hong Kong on Monday reported what appears to be the first confirmed case of Covid-19 reinfection, a 33-year-old man who was first infected by SARS-CoV-2 in late March and then, four and a half months later, seemingly contracted the virus again while traveling in Europe. The case raises questions about the durability of immune protection from the coronavirus. But it was also met with caution by other scientists, who questioned the extent to which the case pointed to broader concerns about reinfection.

3. Not just antibodies: B cells and T cells mediate immunity to COVID-19 (Nature) Recent reports that antibodies to SARS-CoV-2 are not maintained in the serum following recovery from the virus have caused alarm. However, the absence of specific antibodies in the serum does not necessarily mean an absence of immune memory. Here, we discuss our current understanding of the relative contribution of B cells and T cells to immunity to SARS-CoV-2 and the implications for the development of effective treatments and vaccines for COVID19.    (J. Harris: I little more complicated that our “Vaccine 101 of Aug. 25 but a nice article).

Rural Hospitals Are Sinking Under COVID-19 Financial Pressures ( J. Harris: Harrison and Gregg Counties are fortunate to have the Christus organization involved in our communities as well as Smith County. Christus’ not for profit mission gives them staying power during hard times and times when Medicaid payments are inadequate or not properly distributed. I used to envy Titus County because they had a well established City/County Hospital District (tax-supported) with a good record of providing local medical care. Unfortunately, Covid-19 is running rampant through the area poultry plant and the Mt. Pleasant community, and according to the article above, causing massive financial problems for the hospital and the community).

Genetic data show how a single superspreading event sent coronavirus across Massachusetts — and the nation
(J. Harris: Genetic studies of the virus reads like  a ”who done it” whose ending you already know but the detective work is engrossing).

GOOD PODCAST ABOUT RECENT COVID-19 MATTERS

CURRENT QUESTIONS AND ANSWERS ABOUT COVID
(J. Harris: Good practical questions and answers)
Good luck to everyone in the path of the storms, especially our friends in Houston. Most likely, my mailouts will become much less frequent. It was about time for that anyway.  Texas Department of Health Services (https://dshs.texas.gov/coronavirus/additionaldata.aspx, Johns Hopkins, the CDC, NYT, Texas Tribune, Washington Post, and local newspapers remain the best current sources of information that I have found. I anticipate loss of power and no internet. Stay well, everyone. Fortunately, we don’t need electricity to pray for each other. Try and maintain distance and masks. 

What did the teacher do with the student’s report on cheese? She grated it.

Did you know that Lawrence Welk had four daughters?  Anna 1, Anna 2, Anna 3, Anna 4

GIVE US YOUR FEEDBACK.  CLICK ON “COMMENT” TO TELL US WHAT YOU THINK or use one of the alternative methods for providing feedback.

click here to CLOSE THIS PAGE