Covid Protocols

COVIDprotocols.org was launched by a team from Brigham and Women’s Hospital (BWH) in March, 2020 to create open access adaptable protocols for the management of COVID19 patients, based on BWH guidelines and multidisciplinary committee discussions. In spring of 2020, Partners In Health (PIH) also published the guides for COVID-19, focused on COVID-19 care in resource-limited settings. In December, 2020, COVIDprotocols.org partnered with UCSF’s Institute for Global Health Sciences and Partners in Health (PIH) to combine the best content from UCSF’s USAID-STAR sponsored OpenCriticalCare.org and the PIH COVID19 Guides to create COVIDprotocols.org v2.0. This updated resource for COVID-19 includes content relevant to all practice settings and presents information in ways to facilitate easier utilization in learning and practice. The BWH-specific protocols still exist and are available at BWH.covidprotocols.org.

https://covidprotocols.org/en/about/

I like the dashboard https://opencriticalcare.org/covid-dashboard/

Disclaimer: I am not a medical doctor and this blog and the information contained herein are intended and designed for educational purposes only. DO NOT rely on this information to replace professional medical advice, diagnosis, and/or treatment protocols.

More on Vitamin D and Covid-19 – 02.06.22

The records of 1,176 patients admitted between April 2020 and February 2021 to the Galilee Medical Center (GMC) with positive PCR tests were searched for vitamin D levels measured two weeks to two years prior to infection. Patients with vitamin D deficiency (less than 20 ng/mL) were 14 times more likely to have severe or critical case of COVID than those with more than 40 ng/mL. Strikingly, mortality among patients with sufficient vitamin D levels was 2.3%, in contrast to 25.6% in the vitamin D deficient group.

Bar-Ilan University. “Pre-infection deficiency of vitamin D is associated with increased disease severity and mortality among hospitalized COVID-19 patients: Study affirms that sufficient vitamin D levels may positively influence the outcome of infection.” ScienceDaily. http://www.sciencedaily.com/releases/2022/02/220203161135.htm (accessed February 6, 2022).

Links to a few older posts on the same topic.

Vitamin D Treatment and Covid-19 Related Outcomes – Hospital del Mar, Barcelona, Spain

Does Vitamin D Deficiency Raise COVID-19 Risk? – JAMA

Vitamin D Deficiency Is Inversely Associated with COVID-19 Incidence and Disease Severity in Chinese People

More on Vitamin D and Covid-19 Vitamin D and Mortality Risk in People With CVD

A Patent-Free Covid Vaccine for the World

While Big Pharma corporations took billions of dollars in public funding to help develop vaccines from which they then reaped enormous profits while often charging exorbitant prices, Hotez and Battazzi created Cobervax with $7 million, mostly from private investors. One of these, Austin vodka distiller Tito’s, contributed $1 million to the effort.

Texas Team Applauded for Giving What Big Pharma Refuses: A Patent-Free Vaccine to the World — https://www.commondreams.org/news/2021/12/30/texas-team-applauded-giving-what-big-pharma-refuses-patent-free-vaccine-world

And for whatever reason everyone seems to be out of stock for an at home rapid Covid-19 antigen test.

If I drank vodka I would only buy Tito’s for the rest of my life.

Diet Quality and Covid-19 Risk/Severity

Poor metabolic health and unhealthy lifestyle behaviors have been associated with higher risk and severity of COVID-19.

A dietary pattern characterized by healthy plant-based foods was associated with lower risk and severity of COVID-19.

We found evidence of a synergistic association of poor diet and increased socioeconomic deprivation with COVID-19 risk that was higher than the sum of the risk associated with each factor alone.

Merino J, Joshi AD, Nguyen LH, et al
Diet quality and risk and severity of COVID-19: a prospective cohort study
Gut 2021;70:2096-2104. — https://gut.bmj.com/content/70/11/2096

In six countries, plant-based diets or pescatarian diets were associated with lower odds of moderate-to-severe COVID-19. These dietary patterns may be considered for protection against severe COVID-19 In 2884 front-line healthcare workers from six countries (France, Germany, Italy, Spain, UK, USA), individuals who reported following plant-based diets and plant-based diets or pescatarian diets that were higher in vegetables, legumes and nuts, and lower in poultry and red and processed meats, had 73% and 59% lower odds of moderate-to-severe COVID-19, respectively.

Kim H, Rebholz CM, Hegde S, et al. Plant-based diets, pescatarian diets and COVID-19 severity: a population-based case–control study in six countries
BMJ Nutrition, Prevention & Health 2021;4:doi: 10.1136/bmjnph-2021-000272 — https://nutrition.bmj.com/content/4/1/257

Eat your vegetables!

Are You Still Thinking About a Booster Shot?

What worries me is that what we now know in the United States is even if you’ve been vaccinated against Covid, you can incubate and replicate these variants, or even perhaps the native virus, in your nose, because we have incomplete immunity in the nose in someone who’s been vaccinated fully against Covid.

Corey Casper is the CEO of the Infectious Disease Research Institute and a professor of medicine and global health at the University of Washington.

The science behind booster shots – https://www.opb.org/article/2021/08/24/the-science-behind-booster-shots/

Experts say “waning immunity” is concerning, but it isn’t as scary as it sounds. The vaccines still work, and for most people, still provide a high level of protection against severe disease. “It’s been a challenge,” says Mark Slifka, an immunologist at Oregon Health and Science University. “because some people will say, ‘well the vaccines aren’t working.’ And that’s a misconception. Vaccines are still providing 90 percent protection against mortality and hospitalization.” Breakthrough infections have increased but infections are still three times more likely in unvaccinated than vaccinated individuals. Of those infections, only 3.9 percent have led to hospitalization in vaccinated patients compared to 9 percent in those who remain unvaccinated.

Six Questions About Waning Immunity to Covid-19 Answered — https://www.smithsonianmag.com/science-nature/six-questions-about-waning-immunity-to-covid-19-answered-180979135/

No political agenda here, no conspiracy theories. I’m just sharing some informative articles and hope you find them helpful as you navigate the Never Ending Pandemic.