Micro-clots and long COVID (it’s a hypothesis people)

But many hematologists and COVID-19 researchers worry that enthusiasm for the clot hypothesis has outpaced the data. They want to see larger studies and stronger causal evidence. And they are concerned about people seeking out unproven, potentially risky treatments.

Nature 608, 662-664 (2022)
doi: https://doi.org/10.1038/d41586-022-02286-7

This is a good article on the micro-clot hypothesis behind long Covid.

Don’t bother with the herpes article but if you have to, here you go:

doi: https://doi.org/10.1038/d41586-022-02296-5

What do we know about Covid-19 vaccines in under 5s?

How researchers and public health officials perceive the risk-benefit ratio of rolling out vaccines to under 5s varies around the world and depends on the impact covid-19 has had on that country. Sweden has had just a handful of fatalities in those aged under 18,6 and vaccines are still not available to children aged 5-11 years. But in Brazil the virus has killed an average of two children under the age of 5 each day7—a rate which equates to around one in every five deaths among under 5s worldwide. Understandably, doctors are keen to boost protection levels, fearful of the impact that future variants might have.

BMJ 2022;378:o1892 — https://doi.org/10.1136/bmj.o1892 (Published 23 August 2022)

Monoclonal Antibody RX and Covid Variants

Most monoclonal antibody therapies that neutralized early variants of the SARS-CoV-2 virus are less effective or not effective against the BA.2.12.1, BA.4, and BA.5 Omicron subvariants that currently make up almost 99% of infections in the United States, according to a report in Nature.

Evolving Omicron Subvariants Are More Resistant to Antibody Therapy — https://jamanetwork.com/journals/jama/fullarticle/2795047

Oops.

Covid’s Persistent Pattern

The government is planning on rolling out updated Omicron-targeting booster shots this fall, specifically with a component of the BA.5 subvariant, which now accounts for 85% of U.S. infections. Even if some other Omicron sublineage becomes dominant by then, the shots could be a better match against what’s circulating than the original formulation — and could help bolster protection against infection, and in turn act as a drag on transmission. The updated shot will combine the BA.5 component with the original vaccines that targeted the virus’s spike protein from early 2020. Training the immune system on two variants can lead to a broader response generally, said Meagan Deming, a virologist and infectious diseases physician at the University of Maryland. 

Covid has settled into a persistent pattern — and remains damaging. — https://www.statnews.com/2022/08/04/covid-has-settled-into-a-persistent-pattern-and-remains-damaging-it-may-not-change-anytime-soon/

Covid-19: is omicron less lethal than delta?

This study provides the most conclusive evidence to date that infection with the omicron subvariant BA.1 was inherently less deadly than delta when controlling for a number of key covariates. Combining death certification records with molecular surveillance is the main advantage of this study, which avoids previous biases in covid-19 death designations. Accounting for a broad array of standardised covariates, including sociodemographic variables, pre-existing health conditions, and previous immunity, is another strength.

BMJ 2022; 378 doi: https://doi.org/10.1136/bmj.o1806 (Published 02 August 2022)

Quote from the BMJ editorial. Here’s the link to the study:

Risk of covid-19 related deaths for SARS-CoV-2 omicron (B.1.1.529) compared with delta (B.1.617.2): retrospective cohort study — BMJ 2022; 378 doi: https://doi.org/10.1136/bmj-2022-070695

Don’t Let Your Cat Sneeze on You

Researchers say the results are convincing. They are surprised that it has taken this long to establish that transmission can occur, given the scale of the pandemic, the virus’s ability to jump between animal species, and the close contact between cats and people. “We’ve known this was a possibility for two years,” says Angela Bosco-Lauth, an infectious-disease researcher at Colorado State University in Fort Collins.

First reported case of a person getting COVID from a cat — https://www.nature.com/articles/d41586-022-01792-y
Photo by Kirsten Bu00fchne on Pexels.com

Deer too. https://www.nature.com/articles/d41586-022-01112-4

Photo by Pixabay on Pexels.com

Don’t forget about hamsters. https://www.nature.com/articles/d41586-022-00322-0

Photo by Faris Subriun on Pexels.com

Or mink mutations…

Fonager says researchers in Denmark have sequenced viral samples from 40 mink farms and identified some 170 coronavirus variants. He adds that in viral samples from people — representing about one-fifth of the country’s total COVID confirmed cases — they’ve found some 300 people with variants that contain mutations thought to have first emerged in mink. “That is something we really want to keep a close eye on.”

COVID mink analysis shows mutations are not dangerous — yet — https://www.nature.com/articles/d41586-020-03218-z

Covid-19 and a Plant Based Diet

Okinawa, one of the blue zone regions, is highlighted due to its extreme longevity, plant-based diet, and now, the population’s resistance to COVID-19.

People in Okinawa, for example, consume a predominantly plant-based diet rich in phytochemicals and antioxidants… They also consume abundant green leafy vegetables and soy products, with minimal fat (about 6% of the total energy intake). In addition to their high life expectancy and low mortality from cardiovascular disease and certain types of cancers, Okinawans have enjoyed a remarkable resistance to COVID-19 mortality. As of June 16, 2021, the COVID-19 mortality in Okinawa, Japan, was 0.08% (163 deaths out of 19,782 cases), which is one-sixteenth that of Tokyo (mortality rate 1.3%; 2183 deaths out of 167,416 cases).

Can a Plant-Based Diet Mitigate the Risk of Severe COVID-19? — https://www.bluezones.com/2022/02/can-a-plant-based-diet-mitigate-the-risk-of-severe-covid-19/#

Journal Reference: Kahleova, H., Barnard, N.D. Can a plant-based diet help mitigate Covid-19?. Eur J Clin Nutr 76, 911–912 (2022). https://doi.org/10.1038/s41430-022-01082-w

Third Leading Cause of Death in the US 2020 and 2021

COVID-19 was the third leading cause of death in the United States between March 2020 and October 2021, according to an analysis of national death certificate data by researchers at the National Cancer Institute, part of the National Institutes of Health. The study appears July 5 in JAMA Internal Medicine.

COVID-19 was third leading cause of death in the United States in both 2020 and 2021 — https://www.nih.gov/news-events/news-releases/covid-19-was-third-leading-cause-death-united-states-both-2020-2021 — “Leading Causes of Death in the United States during the COVID-19 Pandemic, March 2020 to October 2021” appears July 5 in JAMA Internal Medicine.

Two Omicron subvariants — BA.4 and BA.5 — are propelling the growth of COVID-19 infections this summer as they become the dominant coronavirus strains in the U.S.

These variants now make up 52.3% of infections, with BA.5 accounting for 36.6% of new cases and BA.4 accounting for 15.7% of new cases, according to the latest CDC data. The week before, the subvariants made up about 37.4% of cases…Although hospitalizations and deaths remain low compared to earlier Omicron waves, public health officials have warned about certain severe symptoms seen with the BA.4 and BA.5 subvariants, as well as the risk for ongoing health problems, particularly as people get reinfected again and again.

Two Omicron Subvariants Drive Summer Infections — https://www.medscape.com/viewarticle/976560?src=rss

These novel subvariants carrying additional mutations in their spike proteins raise concerns that they may further evade neutralizing antibodies, thereby further compromising the efficacy of COVID-19 vaccines and therapeutic monoclonals.

Antibody evasion by SARS-CoV-2 Omicron subvariants BA.2.12.1, BA.4, & BA.5 — https://www.nature.com/articles/s41586-022-05053-w

The Omicron sub-variant BA.5 is the worst version of the virus that we’ve seen. It takes immune escape, already extensive, to the next level, and, as a function of that, enhanced transmissibility, well beyond Omicron (BA.1) and other Omicron family variants that we’ve seen (including BA.1.1, BA.2, BA.2.12.1, and BA.4). You could say it’s not so bad because there hasn’t been a marked rise in hospitalizations and deaths as we saw with Omicron, but that’s only because we had such a striking adverse impact from Omicron, for which there is at least some cross-immunity (BA.1 to BA.5). Here I will review (1) what we know about its biology; (2) its current status around the world; and (3) the ways we can defend against it.

The BA.5 story — https://erictopol.substack.com/p/the-ba5-story

Be careful.

I Have Contracted COVID: Details of My Date with SARS-CoV2 — The Skeptical Cardiologist

The skeptical cardiologist has contracted what the CDC would define as a “mild” case of COVID-19. Had I not received my second COVID vaccine booster recently my condition likely would be worse. With the emergence of the more highly transmissible omicron variant it became clear in December (as noted by the AP) that all of…

I Have Contracted COVID: Details of My Date with SARS-CoV2 — The Skeptical Cardiologist

Thank you Dr. Pearson for sharing your story. I absolutely hated clicking the “like” button and to be clear, I liked your article and did not like the fact you fell ill. Get well soon.