Xerostomia
So far not a SARS-CoV-2 symptom of infection nor a reported vaccine side effect.
The Latest in COVID-19 News: Week Ending 04.17.21 – NEJM Journal Watch
Click on the link for the NEJM Journal Watch weekly update. A blood clot week for SARS-CoV-2 articles.
https://www.jwatch.org/fw117711/2021/04/17/covid-19-news-week-ending-apr-17-2021
A team of researchers in the United Kingdom conducted an in-depth investigation of 22 patients who developed serious blood clots combined with a drop in blood platelets after receiving a dose of the AstraZeneca vaccine, which is now called Vaxzevria. They also tested an additional patient who had clinical signs of a drop in blood platelets after vaccination. Nearly all the patients — 22 of 23 — tested positive for unusual antibodies to platelet factor 4, a signaling protein that helps the body coordinate blood clotting.
Citation: Researchers Detail More Cases of Rare Clots Tied to COVID Vaccines – Medscape – Apr 16, 2021 — https://www.medscape.com/viewarticle/949473?src=rss
Rocky Mountain Spotted Fever (RMSF)
RMSF is the most common fatal rickettsial illness in the United States.
Overall hospitalization rates are noted be at 23.4% based on aggregated reviews of case reports (Openshaw 2010.
Case fatality rate is estimated to be 5-10% overall (Biggs 2016). If treatment is delayed, case-fatality rates of 40-50% have been described for patients treated on day 8 or 9 of their illness.
Case fatality rate is highest in those over the age of 70 (Amsden 2005).
Without treatment, the case fatality rate is over 25% (Lacz 2006).
Citation: Muhammad Durrani, “Emerging Tick-Borne Illnesses: Not Just Lyme Disease Part 4 RMSF”, REBEL EM blog, November 5, 2020. Available at: https://rebelem.com/emerging-tick-borne-illnesses-not-just-lyme-disease-part-4-rmsf/.
The CFR for untreated RMSF surprised me.
And yet another reason besides bears to stay out of the woods.
Remind me to tell some of my favorite tick stories when we can all gather unmasked to enjoy some food and drink.
My Only Comment on the J&J Covid Vaccine Blood Clot Risk
Dr. Karb was in the same residency class at Brown as Dr. Lee.
I have much respect for Brownies.
That’s it. My only comment on the J&J vaccine blood clot risk.
Showing Cajones in the Obesity Wars
In Mexico obesity reached epidemic proportions after it joined NAFTA with the United States and Canada in the early 1990s, making processed food more easily available. Diets quickly changed as many people, particularly those on lower incomes, replaced largely healthy traditional staples (corn tortilla, frijoles, Jamaica Water) with highly processed alternatives (hotdogs, nuggets, sodas). Sugar consumption soared and waistlines exploded. In the past 20 years the number of obese and overweight people has tripled, with 75% of the population now overweight.
Mexico also has the sixth highest mortality rate from Covid-19, which has spurred the government to escalate its war against obesity.
Mexico’s War on Obesity Sends Global Junk-Food & Sugary-Drink Giants Scrambling — https://wolfstreet.com/2021/04/13/mexicos-war-on-obesity-sends-global-junk-food-sugary-drink-giants-scrambling/#comments
The Latest in COVID-19 News: Week Ending 04.10.21 – NEJM Journal Watch
Click on the link for the NEJM Journal Watch weekly update. Another good week for SARS-CoV-2 articles. For the second week in a row I did not forget to post this link.
https://www.jwatch.org/fw117693/2021/04/10/latest-covid-19-news-week-ending-apr-10
Meanwhile in B.C. Canada…
The Real Reason Why Cruise Lines Should Be Allowed to Operate in the Pandemic
Patient is 60 years of age 5.9 289 with a history of hypertension, obstructive sleep apnea, acid reflux disease, recurrent diverticulitis, and anxiety/depression.
Seriously, you cannot make this stuff up.
COVID-19 Vaccinations by Race/Ethnicity
While the data provide useful insights, they also remain subject to gaps, limitations, and inconsistencies that limit the ability to get a complete picture of who is and who is not getting vaccinated. For example, data gaps and separate reporting of data for vaccinations administered through the Indian Health Service limit the ability to analyze vaccinations among American Indian and Alaska Native people and Native Hawaiian and Other Pacific Islander. Moreover, some states have high shares of vaccinations that are missing race/ethnicity or that are classified as “other,” limiting the ability to interpret the data. For example, in Alaska, over 30% of vaccinations were among people classified as “other” race, and race was unknown for over 30% of vaccinations in Virginia. Four states were not reporting vaccination data by race/ethnicity, including Georgia which halted reporting its data in March. Comprehensive standardized data across states will be vital to monitor and ensure equitable access to and take up of the vaccine.
Latest Data on COVID-19 Vaccinations Race/Ethnicity — https://www.kff.org/coronavirus-covid-19/issue-brief/latest-data-on-covid-19-vaccinations-race-ethnicity/
Meanwhile in Oklahoma…
CVD Remains Leading Cause of Death in Type 2 Diabetes – Medscape
Cardiovascular disease was the leading cause of death among the over 16,000 patients with type 2 diabetes (T2DM) who were enrolled in the SAVOR-TIMI 53 trial.
Two-thirds (66.3%) of all 798 deaths after a median 2.1 years of follow-up were caused by one of five cardiovascular (CV) conditions, with sudden cardiac death accounting for the largest share (30.1%) of the total, Ilaria Cavallari, MD, PhD, and associates said in the Journal of the American College of Cardiology.
It was a pair of laboratory measurements, however, that had the largest subdistribution hazard ratios. “Interestingly, the magnitude of associations of abnormal N-terminal pro–B-type natriuretic peptide [sHR, 2.82] and high-sensitivity troponin T [sHR, 2.46] measured in a stable population were greater than clinical variables in the prediction of all causes of death,” Cavallari and associates said.
CVD Remains Leading Cause of Death in Type 2 Diabetes – Medscape – Apr 06, 2021 — https://www.medscape.com/viewarticle/948849?src=rss
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