An Outbreak of COVID-19 Associated with a Recreational Hockey Game

The ice rink provides a venue that is likely well suited to COVID-19 transmission as an indoor environment where deep breathing occurs, and persons are in close proximity to one another. An Italian study estimating the rate of SARS-CoV-2 emission by infectious persons based on viral load in the mouth showed that during heavy exercise, a high viral emission rate can be reached during oral breathing (6). The higher proportion of infected players on the index patient’s team might result from additional exposures to the index patient in the locker room and on the player bench, where players sit close to one another.

Atrubin D, Wiese M, Bohinc B. An Outbreak of COVID-19 Associated with a Recreational Hockey Game — Florida, June 2020. MMWR Morb Mortal Wkly Rep 2020;69:1492–1493. DOI: http://dx.doi.org/10.15585/mmwr.mm6941a4external

Not So Tiny Human Disease Vectors (still kids though)

There is increasing evidence that children and adolescents can efficiently transmit SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19) (13). During July–August 2020, four state health departments and CDC investigated a COVID-19 outbreak that occurred during a 3-week family gathering of five households in which an adolescent aged 13 years was the index and suspected primary patient; 11 subsequent cases occurred.

Citation for this article: Schwartz NG, Moorman AC, Makaretz A, et al. Adolescent with COVID-19 as the Source of an Outbreak at a 3-Week Family Gathering — Four States, June–July 2020. MMWR Morb Mortal Wkly Rep. ePub: 5 October 2020. DOI: http://dx.doi.org/10.15585/mmwr.mm6940e2

Sorry folks but you probably need to rethink Thanksgiving this year.

Don’t Blame the Kids…(a lot of them went back to college)

During August 2–September 5, 2020, weekly COVID-19 cases among persons aged 18–22 years increased 55% nationally. Increases were greatest in the Northeast (144%) and Midwest (123%). Increases in cases were not solely attributable to increased testing.

Citation: Salvatore PP, Sula E, Coyle JP, et al. Recent Increase in COVID-19 Cases Reported Among Adults Aged 18–22 Years — United States, May 31–September 5, 2020. MMWR Morb Mortal Wkly Rep. ePub: 29 September 2020. DOI: http://dx.doi.org/10.15585/mmwr.mm6939e4external icon

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-‘

SARS-CoV-2 Transmission and Infection Among Attendees of an Overnight Camp — Georgia, June 2020

A total of 597 Georgia residents attended camp A. Median camper age was 12 years (range = 6–19 years), and 53% (182 of 346) were female. The median age of staff members and trainees was 17 years (range = 14–59 years), and 59% (148 of 251) were female. Test results were available for 344 (58%) attendees; among these, 260 (76%) were positive. The overall attack rate was 44% (260 of 597), 51% among those aged 6–10 years, 44% among those aged 11–17 years, and 33% among those aged 18–21 years (Table). Attack rates increased with increasing length of time spent at the camp, with staff members having the highest attack rate (56%). During June 21–27, occupancy of the 31 cabins averaged 15 persons per cabin (range = 1–26); median cabin attack rate was 50% (range = 22%–70%) among 28 cabins that had one or more cases. Among 136 cases with available symptom data, 36 (26%) patients reported no symptoms; among 100 (74%) who reported symptoms, those most commonly reported were subjective or documented fever (65%), headache (61%), and sore throat (46%).

SARS-CoV-2 Transmission and Infection Among Attendees of an Overnight Camp — Georgia, June 2020

Citation for this article: Szablewski CM, Chang KT, Brown MM, et al. SARS-CoV-2 Transmission and Infection Among Attendees of an Overnight Camp — Georgia, June 2020. MMWR Morb Mortal Wkly Rep. ePub: 31 July 2020. DOI: http://dx.doi.org/10.15585/mmwr.mm6931e1external icon.

This quoted material comes directly from the MMWR article.  The attack rate is impressive but we need to see follow up for all of the campers who tested positive.  Are we looking at merely mild symptoms as reported in the article or will we see more severe presentations of Covid-19 infection?

Community Transmission of SARS-CoV-2 at Two Family Gatherings — Chicago, Illinois, February–March 2020

Investigation of COVID-19 cases in Chicago identified a cluster of 16 confirmed or probable cases, including three deaths, likely resulting from one introduction. Extended family gatherings including a funeral and a birthday party likely facilitated transmission of SARS-CoV-2 in this cluster.

Citation for this article: Ghinai I, Woods S, Ritger KA, et al. Community Transmission of SARS-CoV-2 at Two Family Gatherings — Chicago, Illinois, February–March 2020. MMWR Morb Mortal Wkly Rep. ePub: 8 April 2020. DOI: http://dx.doi.org/10.15585/mmwr.mm6915e1external icon.

Community Transmission of SARS-CoV-2 at Two Family Gatherings — Chicago, Illinois, February–March 2020

mm6915e1-F1

Covid hosp rate by age

Disparities in State-Specific Adult Fruit and Vegetable Consumption — United States, 2015

Recent data show adults continue to consume too few fruits and vegetables; overall, 12.2% met fruit intake recommendations and 9.3% met vegetable intake recommendations during 2015. Consumption was lower among men, young adults, and adults with greater poverty, and varied by state. Among subgroups, the largest disparities in meeting the recommendation for fruit intake was by sex (15.1% among women compared with 9.2% among men), while the largest disparities in meeting the recommendation for vegetable intake was by poverty (11.4% among adults in the highest household income category compared with 7.0% among adults below or close to the poverty level).

Source article here.

Poisoning Deaths Involving Opioid Analgesics — New York State, 2003–2012

Comparison of opioid analgesic-related mortality between those enrolled or not enrolled in Medicaid shows considerably higher death rates and a more rapid increase in mortality among Medicaid enrollees. The consistently higher age-adjusted death rates for poisonings involving opioid analgesics among Medicaid enrollees (after stratifying data by sex) suggest that differences in age and sex distributions do not underlie these Medicaid/non-Medicaid differences. Other factors, such as the greater prevalence of mental illness and substance abuse in the Medicaid population (6), might contribute to the observed differences.

via Poisoning Deaths Involving Opioid Analgesics — New York State, 2003–2012.

Maybe the title should be Socioeconomic Status and Death.