Cultural norms draw people together, increasing chances of transmission. Most Peruvians shop daily. Stocking up with a weekly shop would mean breaking a lifelong habit. It’s also impossible for the 40% who do not have a refrigerator.5 As a result, markets quickly became a major vector of the disease. As many as 86% of people in Lima’s markets tested positive during the first wave of cases in May 2020.6 Then-president Martín Vizcarra acknowledged the crisis but did not shut markets down because of the need to supply food.Covid-19: Why Peru suffers from one of the highest excess death rates in the world — BMJ 2021; 372 doi: https://doi.org/10.1136/bmj.n611 (Published 09 March 2021)
A sad but very informative article on the Covid-19 situation in Peru.
Fei Zhou, MD, from the Chinese Academy of Medical Sciences, and colleagues conducted a retrospective, observational, multi-center cohort study of 191 patients, 137 of whom were discharged and 54 of whom died in the hospital.
The study, published online today in The Lancet, included all adult inpatients with laboratory-confirmed COVID-19 from Jinyintan Hospital and Wuhan Pulmonary Hospital who had been discharged or died by January 31 of this year. Severely ill patients in the province were transferred to these hospitals until February 1.
Overall, 91 (48%) of the 191 patients had comorbidity. Most common was hypertension (30%), followed by diabetes (19%) and coronary heart disease (8%)…The average age of survivors was 52 years compared to 69 for those who died. Liu cited weakening of the immune system and increased inflammation, which damages organs and also promotes viral replication, as explanations for the age effect.
Click the link below for the full source article.
Risk Factors for Death From COVID-19 Identified in Wuhan Patients
Gunmen Kill 17 at Party in Mexico – NYTimes.com
Across northern Mexico, there have been increasing reports of mass shootings at parties, bars and rehab clinics.
In the worst such massacre this year, gunmen raided a drug-rehab center in the northern city of Chihuahua and killed 19 people last month. In January, gunmen barged into a private party in the border city of Ciudad Juarez and killed 15, many of them high school or university students. Relatives say the January attack was a case of mistaken identity, while state officials claim someone at the party was targeted, although they have not said who it was.
The killings in Torreon came three days after the first successful car bombing by drug cartels, an attack that introduced a new threat to Mexico’s raging drug war.
Mexico car bomb: ‘Colombianization’ of Mexico nearly complete – CSMonitor.com
Mexico had already overtaken Colombia in terms of kidnappings. The public has long gotten accustomed to a censored press, threats to politicians, and grisly violence that includes decapitation and bodies hanging from highway overpasses. Now, it appears, Mexico has moved even closer to the kind of violence that plagued the South American nation in its darkest days.
A well-orchestrated car bomb exploded in Ciudad Juarez late Thursday, across from El Paso, Texas, killing at least three and sparking panic among the Mexican population. It is the first known use of a car bomb against authorities and the local population, and marks a troubling new level of violence as traffickers seeking to control the drug trade battle one another and Mexican authorities.