SARS-CoV-2 Variants – P.1 Arrives in Oklahoma

https://www.cdc.gov/coronavirus/2019-ncov/cases-updates/variant-surveillance/variant-info.html

The map on the CDC website is interactive and will show different variants by state.

I don’t consider myself to be an alarmist. Truth be told I am pragmatic. And what I read and research about this nasty virus tells me this is no time to let our guard down. Get vaccinated as soon as you are eligible. In group settings or mingling amongst vaccination status unknowns wear a mask. Practice sensible hygiene. Don’t believe SARS-CoV-2/VOC’s is just an old person disease.

Meanwhile in Brazil…

By the way we have just one P.1 confirmed case in Oklahoma. Let’s together do what’s necessary to keep this number as low as possible.

E. coli Outbreak with Unknown Food Source – CDC

As of February 1, 2021, a total of 16 people infected with the outbreak strain have been reported from 5 states. This map shows where sick people live.

Illnesses started on dates ranging from December 23, 2020, to January 7, 2021. This chart shows when people got sick. Recent illnesses may not yet be reported as it usually takes 2 to 4 weeks to link illnesses to an outbreak.

Sick people range in age from 10 to 95 years, with a median age of 31, and 88% are female. Of 12 people with information available, 9 have been hospitalized. Of 11 people with information, 3 developed a type of kidney failure called hemolytic uremic syndrome (HUS). One death has been reported from Washington.

Investigation Details — https://www.cdc.gov/ecoli/2021/o157h7-02-21/details.html

“Unknown food source” bothers me.

Covid-19 in the House? The CDC Says Do This

Forty percent (41 of 102) of infected household members reported symptoms at the time SARS-CoV-2 was first detected by RT-PCR. During 7 days of follow-up, 67% (68 of 102) of infected household members reported symptoms, which began a median of 4 days (IQR = 3–5) after the index patient’s illness onset. The rates of symptomatic and asymptomatic laboratory-confirmed SARS-CoV-2 infection among household members was 36% (95% CI = 29%–43%) and 18% (95% CI = 13%–24%), respectively.

Because prompt isolation of persons with COVID-19 can reduce household transmission, persons who suspect that they might have COVID-19 should isolate, stay at home, and use a separate bedroom and bathroom if feasible. Isolation should begin before seeking testing and before test results become available because delaying isolation until confirmation of infection could miss an opportunity to reduce transmission to others. Concurrently, all household members, including the index patient, should start wearing a mask in the home, particularly in shared spaces where appropriate distancing is not possible. Close household contacts of the index patient should also self-quarantine, to the extent possible, particularly staying away from those at higher risk of getting severe COVID-19. To complement these measures within the household, a potential approach to reduce SARS-CoV-2 transmission at the community level would involve detecting infections before onset of clinical manifestations; this would require frequent and systematic testing in the community with rapidly available results to enable prompt adoption of preventive measures. The feasibility and practicality of this approach is undergoing extensive discussion (9) and study. This ongoing household transmission study will provide critical data regarding the recommended timing and frequency of testing.

citation for this article: Grijalva CG, Rolfes MA, Zhu Y, et al. Transmission of SARS-COV-2 Infections in Households — Tennessee and Wisconsin, April–September 2020. MMWR Morb Mortal Wkly Rep. ePub: 30 October 2020. DOI: http://dx.doi.org/10.15585/mmwr.mm6944e1external icon

I was in the grocery store yesterday and The Defiant Ones were obvious. Granted the majority of the shoppers were wearing masks, mandatory by city decree. But The Defiant Ones were strutting about mask-less not caring whether or not they infected others or potentially get infected themselves. It’s going to be a long, hard cold winter.

Update:

After posting my perspective on The Defiant Ones I stumbled upon a small (n=104) study on grocery store workers. Here are the key findings:

The present study fills in the knowledge gap of COVID-19 impacts on grocery/retail market workers during the pandemic, from both physical and psychological perspectives.

In this single store sample (n=104), we found an alarming infection rate of 20% positive SARS-CoV-2 RT-PCR assay result among these workers and the majority (76%) of them were asymptomatic at the time of testing.

Furthermore, employees with direct customer exposure were five times more likely to test positive for SARS-CoV-2.

Our study also found the inability to practice social distancing consistently at work was a significant risk factor for anxiety and depression.

At the same time, commuting to work by public transportation/shared rides was significantly associated with depressive state.

Association between SARS-CoV-2 infection, exposure risk and mental health among a cohort of essential retail workers in the USA — https://oem.bmj.com/content/early/2020/10/11/oemed-2020-106774

I wonder if any of The Defiant Ones know about this study?

Clusterf**k at UNC — The CDC Sanitized Version

Screenshot_2020-08-18 COVID-19 cases at UNC are ‘cluster #$%,’ student newspaper says in scathing editorial

The Daily Tar Heel, UNC Chapel Hill’s independent student newspaper, wasn’t holding back in an editorial published Monday, August 17, 2020, criticizing the university’s administration after four COVID-19 clusters were reported on campus. Editor’s note: Letters in the headline were blurred by McClatchy News. The Daily Tar Heel

Read more here: https://www.newsobserver.com/news/coronavirus/article245017180.html

As of Monday, 177 students were in isolation at UNC-Chapel Hill after testing positive for COVID-19, and hundreds more were in quarantine. Through last week, the test positivity rate on campus jumped over 10 percentage points to 13.6 percent. Such a high positivity rate indicates that the virus is spreading through the campus community. (According to the World Health Organization, anything over 5 percent is cause for concern.) There are likely students infected with the virus who aren’t showing symptoms, and they could leave campus without knowing they’re sick.

https://www.theverge.com/2020/8/18/21373482/unc-covid-outbreak-students-home-testing-university

UNC is sending some students back home without testing them for COVID-19

Update 09.29.20 aka The Sanitized CDC version of events:

Citation Wilson E, Donovan CV, Campbell M, et al. Multiple COVID-19 Clusters on a University Campus — North Carolina, August 2020. MMWR Morb Mortal Wkly Rep. ePub: 29 September 2020. DOI: http://dx.doi.org/10.15585/mmwr.mm6939e3

A North Carolina university experienced a rapid increase in COVID-19 cases and clusters within 2 weeks of opening the campus to students. Student gatherings and congregate living settings, both on and off campus, likely contributed to the rapid spread of COVID-19 in this setting.

The CDC is not naming names. But the NC university not mentioned is pretty obvious.

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.

This report provides preliminary evidence that younger adults contributed to community transmission of COVID-19 to older adults. Across the southern United States in June 2020, the increase in SARS-CoV-2 infection among younger adults preceded the increase among older adults by 4–15 days (or approximately one to three incubation periods). Similar observations have been reported by the World Health Organization.*** Further investigation of community transmission dynamics across age groups to identify factors that might be driving infection among younger adults and subsequent transmission to older adults is warranted.

citation for this article: Boehmer TK, DeVies J, Caruso E, et al. Changing Age Distribution of the COVID-19 Pandemic — United States, May–August 2020. MMWR Morb Mortal Wkly Rep. ePub: 23 September 2020. DOI: http://dx.doi.org/10.15585/mmwr.mm6939e1external

All I can think of right now are the colleges and universities who have sent infected students back home. No one could have seen this coming said no one with a shred of intelligence!

Higher education committed suicide with its dual racketeering model. First was the college loan racket, in which schools colluded with the federal government to jam too many “customers” through the pipeline who didn’t belong there, and who buried themselves under a lifetime debt obligation they could never escape. The second was the intellectual racket of creating sham fields of study that contaminated all the other “humanities” with poisonous bullshit theory, and eventually even invaded the STEM disciplines. Covid-19 screwed the pooch on all that, scotching the four-year party-hearty in-residence part of the deal. For now, who needs an online class in Contemporary Sexual Transgression ($2000-a-credit) when you can just click on Porn-hub for free? Hundreds of colleges and universities will be going out of business in the years ahead.

James Howard Kunstler — https://kunstler.com/clusterfuck-nation/things-going-by/#more-‘

CDC Clusterf*ck!

At issue are a set of guidelines released on Monday that say that people without symptoms who have come into contact with someone with Covid-19 do not necessarily need to be tested. Earlier, the Centers for Disease Control and Prevention had said that “testing was recommended” for the same group.

The modified guidelines sparked a significant backlash. The absence of evidence supporting the change puzzled public health experts. California Gov. Gavin Newsom said Wednesday that the guidelines would not be adopted in California; in New York, Gov. Andrew Cuomo called them “indefensible.” And Anthony Fauci, the director of the National Institute of Allergy and Infectious Diseases, told reporters that he was undergoing surgery when the guidelines were approved last week — contradicting Brett Giroir, the assistant secretary for health, who said Fauci and others on the task force had approved the final version.

CDC director attempts to clarify controversial Covid-19 testing guidelines https://www.statnews.com/2020/08/27/redfield-clarify-controversial-testing-guidelines/?utm_campaign=rss

CDC attempts to explain guidelines they never developed. Dr. Fauci didn’t sign off on the new guidelines. Hmm…

Recovery From Covid-19 can Take a Long Time

mm6930e1_SymptomsRiskFactorsOutpatientsCOVID19_IMAGE_24July20_1200x675-medium

In a multi-state telephone survey of symptomatic adults who had a positive outpatient test result for SARS-CoV-2 infection, 35% had not returned to their usual state of health when interviewed 2–3 weeks after testing. Among persons aged 18–34 years with no chronic medical conditions, one in five had not returned to their usual state of health.

Citation: Tenforde MW, Kim SS, Lindsell CJ, et al. Symptom Duration and Risk Factors for Delayed Return to Usual Health Among Outpatients with COVID-19 in a Multistate Health Care Systems Network — United States, March–June 2020. MMWR Morb Mortal Wkly Rep 2020;69:993-998. DOI: http://dx.doi.org/10.15585/mmwr.mm6930e1external icon.

The assumption is that people who are suffering from lingering effects of Covid-19 infection will eventually recover completely.

Trends in Nonfatal Falls and Fall-Related Injuries Among Adults Aged ≥65 Years — United States, 2012–2018

What is already known about this topic?

Falls are the leading cause of injury among adults aged ≥65 years, who in 2014 experienced an estimated 29 million falls, resulting in 7 million fall-related injuries.

What is added by this report?

In 2018, 27.5% of adults aged ≥65 years reported at least one fall in the past year (35.6 million falls) and 10.2% reported a fall-related injury (8.4 million fall-related injuries). From 2012 to 2016, the percentages of these adults reporting a fall increased, and from 2016 to 2018, the percentages decreased.

Citation for this article: Moreland B, Kakara R, Henry A. Trends in Nonfatal Falls and Fall-Related Injuries Among Adults Aged ≥65 Years — United States, 2012–2018. MMWR Morb Mortal Wkly Rep 2020;69:875–881. DOI: http://dx.doi.org/10.15585/mmwr.mm6927a5external icon.