While the White House struggles to track and trace those who had close contact with President Trump and infectious others in his entourage, India is reporting on the transmission dynamics of nearly 600,000 exposed individuals. Let's take a look at what's being learned within the world’s biggest democracy.
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We want our diagnostic tests to accurately identify patients, and not falsely identify one as positive or negative for a condition. But there is no test available with that kind of accuracy.
There has never been a shortage of idiots on the planet, but sometimes it takes an earth-shattering event to help them reach their full potential. A little humor for dark times.
In war, the first casualty is truth. Apparently, the same is true of pandemics. Some people are now pretending that they saw the novel coronavirus coming long before anybody else, including scientists and public health officials. In their revisionist history, they were beacons of clarity while others were "COVID deniers."
The United States has failed on so many fronts. There was a lack of intelligence during the early days of the epidemic in China. A lack of preparedness for testing that directly led to our current situation. A national stockpile of supplies exists just for events like COVID-19, but it is woefully undersupplied and, clearly, our plans for re-supply are completely inadequate. Let's review the history of our approach to pandemic preparedness and the current testing debacle.
PM2.5 designates a near-ubiquitous air-polluting particle that frequently appears in the scientific literature as well as popular press news items. But few of us really know what they are talking about, mainly because it is just one characteristic of a complex category.
Those are the words of New York Gov. Andrew Cuomo, describing the "twist of fate" that finds us awaiting personal protective equipment, ventilators and pharmaceuticals manufactured -- yes -- in China.
Children's Health Defense says governments and corporations are using the coronavirus (SARS-COV-2) to advance a "global immunization agenda." The anti-vaccine group claims that our leaders just needed the right pandemic as a pretext to goad us into getting vaccines. This is a clever story. It's also false.
It has been another tough week. And the constant drumbeat of media, print, televised, or heard is both drawing me in and pushing me away. So, this week, one article to draw us toward COVID-19, and the rest to provide a little respite. Remember, this is a marathon, not a sprint.
Bad luck played a role in the COVID-19 pandemic, but China's criminally negligent and malevolent behavior has placed the world in a position in which bad things are likelier to occur. Therefore, China must bear the brunt of the blame, and our relationship with that country should not go back to normal.
I have been concerned that face masks for non-first-responders would shift vital protective resources away from first-responders and that would give some people a false sense of security. As a physician, I think the time has come to put those concerns aside.
Remdesivir, an antiviral drug that many are pinning their hopes on to help solve this pandemic nightmare, is now being tested in hundreds of trials. Results are expected within weeks. But the drug has already been tested in monkeys. And it worked.
As non-essential businesses were lock-down over the last few weeks, the regulatory line between essential and non-essential got fuzzy. Some essential services are no-brainers, pharmacies, grocery and food markets, logistical systems, and of course, healthcare facilities. Other businesses were not so lucky, involving crowds that could not be effectively physically distanced – movie theaters and gyms come to mind. And then, of course, there are those grey area businesses.
Would the widespread wearing of face masks decrease the spread of coronavirus and COVID-19? Unfortunately, there is no clear-cut right or wrong answer to the raging face mask debate. If there is any benefit, it probably lies in protecting the public from a potentially infected wearer rather than the wearer from a potentially infected public.
Just when you thought the pandemic of misinformation could not get worse, Rudy Giuliani, President Trump's personal attorney, surfaces to add his misinformative spin. His website has two video presentations on suspect therapies for COVID-19. Let's consider them in turn.
As we get used to sheltering in place, speculation turns to an exit strategy. Especially impatient are those most concerned with the economy. If you follow COVID-19 coverage, there are any number of possible approaches going forward.
On Rachel Maddow's MSNBC show, New York Times science and health reporter Donald McNeil praised China's mass quarantine camps as the best way to fight the COVID-19 pandemic. A CBC documentary reveals what that policy entails: Citizens are literally being dragged out of their homes as they cry and scream. Others have their doors welded shut.
Throughout this pandemic, we have heard many heartbreaking and heartwarming stories of how we're responding and coping. Many of those have been about the elderly, accounts written by adult children describing how they miss contact with their parents, segregated from them by institutional living. But here is a first-hand account by an older couple in their mid-80s, who describe what they are thinking and living through during this staggering health crisis.
Last week Arizona Governor Doug Ducey exercised his best judgment, aiming to expand the scope of the health care workforce during the COVID-19 public health emergency. And yet health care practitioners lack the same ability, based upon their knowledge and their patients’ circumstances, to use their best judgment when treating pain.
When coronavirus patients are admitted to all general hospitals, the risk of infecting other patients as well as hospital personnel is a serious concern. One way to address this problem is to consider isolating coronavirus patients to certain designated medical centers thus reducing the likelihood of exposure to other patients and their attending medical staff.
The Center for Medicare and Medicaid Services recently issued a national emergency order to pay doctors for services rendered to patients in states in which they are not licensed to practice, so long as they hold an equivalent license in another state. This would be a good move. Luckily, many states are already ahead of the federal government on implementing such measures.
The seasonality of coronavirus infections is the basis of hope. If COVID-19 goes on until July – as it well may – it will be disastrous for world health and for the global economy. But, if it is like SARS, it may then die out and not come back. Is this wishful thinking? Yes, but based on scientific fact. Should we hope for the best but prepare for the worst? Absolutely.
In short, the public is often worried about chemical exposure, as they should be when such exposure exceeds a safe dose. The public’s interest is best served by trusting experts dedicated to public health protection and not by withholding scientific data from independent analysis.
Two of the experimental coronavirus drugs, chloroquine, and hydroxychloroquine are a breeze to synthesize. But remdesivir, possibly the most promising candidate, is anything but. It's a royal pain. Here's why.
In the Digital Age, we have access to more information than at any time in human history. But that doesn't stop the spread of conspiracy theories. Here are the best (worst?) ones involving the new coronavirus and the disease COVID-19.
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