Coronavirus COVID-19 - Global Health Pandemic #94

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  • #841
I'll have to have my bro download this documentary - thanks! So your DH is a Lithuanian? :)
And yes Latvia's history goes way back. 1st country to have a flag - 1st Christmas tree in Riga! :D And the architecture here is amazing! - sorry OT....

No, he's not Lithuanian (although 23andme gives him some markers - but he is Eastern European). Came to the US at age 28. He has been to Latvia, though, and loved it - we talk about going.

That's so interesting about Latvia being the first to have a flag (I'm fascinated with flags) and the pictures of your architecture are truly amazing. Latvia was very early to adopt modern conventions of currency and doing business, as well. I think G.R.R. Martin was well-versed in Latvian/Estonian/Lithuanian history when he set up the kingdoms for Game of Thrones. It was a stable, prosperous place where war and strife was uncommon (unlike some of its near neighbors).

Yeah, I guess we're off topic - but since we're trying to understand international rates of COVID, it's probably not a big leap to think that the deeper past has set up the current situation. The highly conforming populations of China, for example, didn't become that way overnight (and Russians are very difficult to repress and make conforming, hence the authoritarian turn of their government - but they've been dealing with issues from the Steppe in a way that no other nation has had to do).
 
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  • #842
I have Factor V Leiden, a blood clotting disorder. It is genetic. My daughter as 21 when diagnosed with Pulmonary Embolisms while on a birth control patch. Every pregnancy resulted in blood clots before her 7 wks. She was prescribed daily lovenox injections throughout the pregnancy. She’s an NICU NP and contracted COVID-19 that swept through her department. Thankfully, she did not develop blood clots. When she was cleared to return to work 2 wks later, she scheduled and received the the vaccines. I guess that healthcare workers didn’t have to wait the 90 days to get vaccinated.

That's really helpful information. I was tested for Factor V Leiden (do not have) after my blood clots. But it's good to know that those of us who had BC related blood clots may not be at higher risk for blood clots from COVID or the vaccines (it must be something else - these blood clots that people are getting are a certain rare kind of blood clot, associated with both clotting and bleeding or low platelet counts at the same time).

I'm so glad your daughter is okay now. I have a good friend who has worked the COVID ICU this entire time (here in California, in an area where their inpatient rates got to overflowing) and did not get it - she basically wears a space suit all the time and also emphasizes going very brief contact with each person who might be positive - so that nurses rotated care of each patient and minimized going into their rooms unless necessary).

That's very scary, what your daughter went through with pregnancy. We always think we'll be safe and healthy through normal life events - until we aren't.
 
  • #843
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  • #844
rsbm
I have pin-prick rash on my foot today (and have had BC-related blood clots that almost killed me). I'm 3 weeks out from my second shot and now they're saying clots can still occur.

Gonna go take an aspirin. No idea what to do and am pretty tired worrying about it, myself.

Paraphrasing, Dr. Osterholm said on his most recent podcast that a skin rash is an expected side effect - he explained something along the lines of “ace receptors“ existing in the “skin” cells.

Osterholm Update: COVID-19
Episode 51: A Balancing Act
April 15, 2021



Love this!
 
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  • #845
Paraphrasing, Dr. Osterholm said on his most recent podcast that a skin rash is an expected side effect - he explained something along the lines of “ace receptors“ existing in the “skin” cells.

Osterholm Update: COVID-19
Episode 51: A Balancing Act
April 15, 2021




Love this!
Was wondering if it was Petechiae.
 
  • #846
March 18, 2021

These children had covid-19. Now, they have long-haul symptoms.
https://www.washingtonpost.com/health/2021/03/18/virus-longhaul-coronavirus-children/


“A growing number of medical centers — Boston Children’s Hospital, Kennedy Krieger Institute in Baltimore, National Jewish Health in Denver and Norton Children’s Hospital in Louisville — are setting up multidisciplinary clinics to try to better understand and treat these patients. And a research project funded by the National Institutes of Health that is getting underway will explore the range of impacts covid-19 has had on children.

“One of the most difficult things about caring for these patients is they have a lot of questions about short- and long-term effects, about what to expect,” said Dongngan Truong, a pediatric cardiologist at Intermountain Primary Children’s Hospital in Salt Lake City, where Madilyn is being treated. “And right now, we don’t know what to expect.”“


March 22, 2021

MIS-C: Doctors fighting back on rare COVID-19 complication in kids

“Patients will visit the Riley Clinic two weeks after discharge. They'll come back for six-week, six-month and one-year check-ins. At each clinic visit, patients undergo tests to check their heart function and see a cardiologist, rheumatologist and infectious disease specialist.

“It may be overkill right now to follow them that far out but we’re still learning about after-effects,” said Dr. Samina Bhumbra, pediatric infectious disease specialist at Riley’s Ryan White Center for Pediatric Infectious Disease and Global Health.”

[...]

“Doctors can’t answer why some people develop this but most do not. They do know MIS-C appears slightly more often in boys. More than two-thirds of those who have been diagnosed have been Latino or Black children. Most children who fall ill are between 1 and 14 years old.

Unlike with an acute COVID-19 infection, the lungs do not tend to be as involved when a child develops MIS-C, Bhumbra said. Instead, because this is an inflammatory disease, the heart tends to be more involved.“

Note*
“At first the doctors thought Richard Barnes had appendicitis.“


March 27, 2021

8 Alaska youths experienced a rare and serious inflammatory syndrome after COVID-19 infections

April 2, 2021


CMU College of Medicine Professors Lead Research into MIS-C in Children - 9 & 10 News


“Now, some professors at Central Michigan University are seeing if saliva could hold the key to preventing severe MIS-C infections.“

[...]

The study is one of just eight fully funded by the National Institutes for Health, looking at ways to quickly identify children at risk for MIS-C.”


April 7, 2021

Most Children Who Developed MIS-C Initially Had Few Signs Of Covid
The study of children who developed the serious inflammatory illness included almost 1,800 cases reported to the CDC from March 2020 through mid-January.


April 12, 2021


COVID-19 cases rising in children, health officials warn of more hospitalizations, MIS-C

Rare COVID-19 complication is putting kids in Michigan's ICUs


April 14, 2021


ADHS: 3 deaths linked to COVID-related condition in kids called MIS-C

“The Arizona Department of Health Services told ABC15 there have been 116 confirmed MIS-C cases in Arizona.

"Every time we had a surge of COVID-19 cases, that surge of COVID-19 cases was followed by a surge of MIS-C cases," said Dr. Wassim Ballan, a pediatric infectious diseases specialist at Phoenix Children's Hospital.“


Massachusetts:
Mass. releases more data on COVID infections among children as overall active cases decline for second straight day

“The Department of Public Health on Wednesday released new data showing the number of infections confirmed among children younger than 15. Over the last two weeks, 1,235 cases were confirmed in children younger than four; 1,469 infections were confirmed in children between the ages of 5 and 9; and 1,816 infections were confirmed in children between the ages of 10 and 14, according to the latest data from the Department of Public Health.

There were 2,696 teenagers between the ages of 15 and 19 who came down with COVID over the last two weeks. And 5,942 cases were confirmed among 20-somethings, according to DPH.”

What you need to know about MIS-C, the post-COVID sickness affecting kids

“Doctors at Cincinnati Children’s Hospital say they’re worried a potential spring wave of COVID-19 could bring an accompanying uptick in cases of MIS-C — and, with every case, potential that another child will have fatal complications.

“The worry is that if we are about to experience a fourth wave of COVID, fueled in part by some of these new variants, whether we're going to start seeing increasing numbers over the next couple of weeks,” said Dr. Grant Schulert, who works at Children’s.“


“I didn’t think it was that big of a deal, until my son’s life was plugged into the wall.” Muskegon mother recounts child's battle with MIS-C




April 15, 2021

Mesa mother warns other parents about impact of MIS-C in children

"”With her, it affected her GI system. All of her intestines were inflamed," her mother said.“

[...]

“Raelynn progressively got worse.

"Air in her portal vein to her liver along with two blood clots. There was a surgery that was going to be on board as well. They were going to have to remove her entire colon because that’s how severe it was," Milliman said.

Thankfully because of other treatments, Raelynn didn't have to have that surgery.”



Milford Boy, 5, Battles COVID-19, And Rare Inflammatory Condition

“All told there have been 25-49 cases of MIS-C in Connecticut, according to the CDC. In the United States there have been 3,185 cases and 36 reported deaths.“



Stanford begins testing Pfizer COVID-19 vaccine on children as young as 2

“As statewide eligibility for the COVID-19 vaccine expands to residents 16 and older in California, researchers at Stanford Medicine have set their sights on an even younger group: children ages 2 to 5.

The medical school Wednesday began administering doses to children in the tender age group as part of a larger, three-phase trial of Pfizer-BioNech’s COVID-19 vaccine that will ultimately include children ages 6 months to 12 years.

“We want to protect children just as we want to protect adults from this disease,” said Dr. Yvonne Maldonado, the pediatric infectious diseases expert leading the trial at Stanford. “The goal is to have a pediatric vaccine available for all age groups from 6 months of age to adulthood.”“


Why are so many babies dying of Covid-19 in Brazil?


“Dr Monte, who treated Lucas, agrees. She says that although MIS cannot be prevented, treatment is much more successful if the condition is diagnosed and treated early.

"The earlier he would have received specialised care, the better," she says. "He arrived at the hospital already critically ill. I believe he could have had a different outcome if we could have treated him earlier."

Jessika now wants to share Lucas's story to help others who may miss critical symptoms.“

[...]

“There is a misconception that children are at zero risk for Covid, says Dr Fatima Marinho, who is also a senior adviser to the international health NGO Vital Strategies. Marinho's research has found that a shockingly high number of children and babies have been affected by the virus.

Between February 2020 and 15 March 2021, Covid-19 killed at least 852 of Brazil's children up to the age of nine, including 518 babies under one year old, according to figures from the Brazilian Ministry of Health. But Dr Marinho estimates that more than twice this number of children died of Covid. A serious problem of underreporting due to lack of Covid testing is bringing the numbers down, she says.

Dr Marinho calculated the excess of deaths by unspecified acute respiratory syndrome during the pandemic, and found that there were 10 times more deaths by unexplained respiratory syndrome than in previous years. By adding these numbers, she estimates that the virus in fact killed 2,060 children under nine years old, including 1,302 babies.“

[...]

“"It hurts to see a child dying without seeing their parents," says Dr Carneiro.“


Unusually high Covid-19 deaths among babies, young children in Brazil. Here’s why

“Brazil has been one of the worst-hit nations by the coronavirus disease (Covid-19) pandemic but the unusual high deaths among babies have caused immense concerns. Despite overwhelming evidence based on data that Covid-19 rarely turns fatal for children, around 1,300 babies have died from coronavirus, according to a BBC report.“

[...]

BBM:
“According to experts quoted by BBC, Brazil’s sheer number of Covid-19 cases have led to an increase in infection among babies and young children. While Brazil’s official data suggest that Covid-19 killed at least 852 children up to the age of nine, Dr Fatima Marinho, a leading epidemiologist from the University of São Paolo, did research that estimated the virus killed 2,060 children under nine years old, including 1,302 babies. Marinho told BBC that she is seeing more cases of MIS-C than ever before, highlighting that there is a misconception that children are at a zero risk for Covid-19.“
 
  • #847
 
  • #848
On the topic of what employers can make a person do in the US:


It's more like pin pricks. No raised anything. When I press on it, the area around it turns pale, it does not.

I'm doing great otherwise. I do wonder about longer term side effects of my vaccine - my DH has had a mild to moderate headache nearly every day since his second dose, which was 2.5 weeks ago now, and otherwise feels great.

These pinprick type spots were on the top of my right foot and the top of my right hand - I sleep on my right side, usually, so it did occur to me that circulation + vaccine might be the issue.

(DH just took a picture, I can see that there are more of them just under the skin. If they are clots, they are in the capillaries, so I'm likely to continue to ignore it. However, I think it's important that those of you who have had the vaccine report on any odd symptoms (to us and to your doctor). ...

Dr Google says:

Petechiae are pinpoint, round spots that appear on the skin as a result of bleeding. The bleeding causes the petechiae to appear red, brown or purple. Petechiae (puh-TEE-kee-ee) commonly appear in clusters and may look like a rash. Usually flat to the touch, petechiae don't lose color when you press on them.Jul 24, 2005


What is the main cause of petechiae?
Petechiae are formed when tiny blood vessels called capillaries break open. When these blood vessels break, blood leaks into your skin. Infections and reactions to medications are two common causes of petechiae.

When to see a doctor

If you have petechiae, you should contact your doctor right away or seek immediate medical care if: you also have a fever. you have other worsening symptoms. you notice the spots are spreading or getting bigger.Apr 26, 2019

not a dr, but maybe keep an eye on those spots :( IMHO
 
  • #849
Coronavirus spread on flight, in hotel corridor, New Zealand study finds
More at link
CNN) — The coronavirus spread on an international flight, in a hotel corridor and then to household contacts despite efforts to isolate and quarantine patients, New Zealand researchers reported Thursday.
Careful genomic tracing confirmed the spread of the virus among nine patients and shows how people can infect one another despite careful efforts, the researchers reported in the journal Emerging Infectious Diseases.






NSW Covid quarantine: viral sequence suggests coronavirus jumped between hotel rooms | Coronavirus | The Guardian
 
  • #850
Coronavirus spread on flight, in hotel corridor, New Zealand study finds
More at link
CNN) — The coronavirus spread on an international flight, in a hotel corridor and then to household contacts despite efforts to isolate and quarantine patients, New Zealand researchers reported Thursday.
Careful genomic tracing confirmed the spread of the virus among nine patients and shows how people can infect one another despite careful efforts, the researchers reported in the journal Emerging Infectious Diseases.

NSW Covid quarantine: viral sequence suggests coronavirus jumped between hotel rooms | Coronavirus | The Guardian

Yes, there has been a lot of things done here to improve ventilation in quarantine hotels. Once we started seeing the highly infectious UK strain jumping around in the hotels.
Melbourne revamped its quarantine hotel ventilation systems prior to starting to take incoming travellers again (it stopped taking them during its outbreak).

In my state they decided to open a completely separate facility just for positive cases, to try to eradicate any risk of the virus spreading to negative quarantining people.

My state had 8 people arrive with covid just last week. 5 were on the same plane. Keeping in mind these people are all required to have negative covid tests prior to boarding. And use masks the whole time they are travelling.

Eight new coronavirus cases in Adelaide medi-hotels
 
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  • #851
The CEO of Pfizer says people will likely need a third dose of the company’s COVID-19 vaccine within a year of being fully vaccinated.

“It is extremely important to suppress the pool of people that can be susceptible to the virus,” Albert Bourla told CNBC on Thursday.

The pharmaceutical chief said it’s also possible that people will need to get inoculated every year against coronavirus.

“The likely scenario is there be a likely need for a third dose, somewhere between six and 12 months,” Mr Bourla said.

Pfizer CEO: third vaccine shot 'likely' needed
 
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  • #852
Coronavirus spread on flight, in hotel corridor, New Zealand study finds
More at link
CNN) — The coronavirus spread on an international flight, in a hotel corridor and then to household contacts despite efforts to isolate and quarantine patients, New Zealand researchers reported Thursday.
Careful genomic tracing confirmed the spread of the virus among nine patients and shows how people can infect one another despite careful efforts, the researchers reported in the journal Emerging Infectious Diseases.






NSW Covid quarantine: viral sequence suggests coronavirus jumped between hotel rooms | Coronavirus | The Guardian
Don't mess with New Zealand!!!
 
  • #853
The CEO of Pfizer says people will likely need a third dose of the company’s COVID-19 vaccine within a year of being fully vaccinated.

“It is extremely important to suppress the pool of people that can be susceptible to the virus,” Albert Bourla told CNBC on Thursday.

The pharmaceutical chief said it’s also possible that people will need to get inoculated every year against coronavirus.

“The likely scenario is there be a likely need for a third dose, somewhere between six and 12 months,” Mr Bourla said.

Pfizer CEO: third vaccine shot 'likely' needed

Wondering if AstraZeneca shot will need a third dose?
 
  • #854
  • #855
 
  • #856
  • #857


—-
Fauci clashes with GOP lawmaker over when COVID restrictions should be eased


“Dr. Anthony Fauci, pressed by a Republican lawmaker Thursday over when Americans will "get their liberties back," gave his clearest explanation yet as to when COVID-19 restrictions could be safely lifted, saying the U.S. must get its infection rate under 10,000 new cases a day.“

[...]

“Later, Fauci added, "We're not talking about liberties. We're talking about a pandemic that has killed 562,000 Americans."“



https://www.wptv.com/coronavirus/u-...ge-in-heated-exchange-during-covid-19-hearing

“What measure, what standard, what objective outcome do we have to reach before, before Americans get their liberty and freedoms back?" Jordan asked.

"You know, you're indicating liberty and freedom. I look at it as a public health measure to prevent people from dying and going to the hospital. You're making this a personal thing and it isn't," Fauci said.“
 
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  • #858
  • #859
Paraphrasing, Dr. Osterholm said on his most recent podcast that a skin rash is an expected side effect - he explained something along the lines of “ace receptors“ existing in the “skin” cells.

Osterholm Update: COVID-19
Episode 51: A Balancing Act
April 15, 2021




Love this!

Thank you! They're all gone today. Somehow, I just didn't have a bad feeling about it.

Watching wave after wave of unmasked people visit our unmasked neighbor's yard sale, while listening to the facts about new cases in California (disproportionately male, Hispanic and black). My students keep reporting older/elderly relatives (mostly male) who live alone, now having COVID. A good friend of mine ended up getting COVID from her brother (aged around 52, Hispanic) who lived alone in Vegas, as she felt she had to let him stay in her house when he showed up (barely symptomatic at the time).

They both survived, both have lingering effects with fatigue and brain fog. That's all I have as information in trade for your constant, amazing research, @margarita25
 
  • #860
Dr Google says:

Petechiae are pinpoint, round spots that appear on the skin as a result of bleeding. The bleeding causes the petechiae to appear red, brown or purple. Petechiae (puh-TEE-kee-ee) commonly appear in clusters and may look like a rash. Usually flat to the touch, petechiae don't lose color when you press on them.Jul 24, 2005


What is the main cause of petechiae?
Petechiae are formed when tiny blood vessels called capillaries break open. When these blood vessels break, blood leaks into your skin. Infections and reactions to medications are two common causes of petechiae.

When to see a doctor

If you have petechiae, you should contact your doctor right away or seek immediate medical care if: you also have a fever. you have other worsening symptoms. you notice the spots are spreading or getting bigger.Apr 26, 2019

not a dr, but maybe keep an eye on those spots :( IMHO

Thank you - I believe them to be petechiae. Now, I can't think of a reason why I would have had about 10 of them on the back of my right hand, although I do have a scratch on my wrist from play-fighting with our dog. So, could she have caused them on my hand too? I didn't really think about it much, although I know it's a thing related to the vaccines, until about a week later, they showed up on my right foot, but only for about 2 days. Dog again? She has definitely trounced all over my feet while we're playing in the backyard.

I am now checking the rest of my body a bit more frequently. Thank you so much for the concern and encouragement. I guess thought that if it was dog-caused, I'd see surface damage but of course she could have done it by just striking me with her paw.

March 18, 2021

Snipped for focus


Why are so many babies dying of Covid-19 in Brazil?


“Dr Monte, who treated Lucas, agrees. She says that although MIS cannot be prevented, treatment is much more successful if the condition is diagnosed and treated early.

"The earlier he would have received specialised care, the better," she says. "He arrived at the hospital already critically ill. I believe he could have had a different outcome if we could have treated him earlier."

Jessika now wants to share Lucas's story to help others who may miss critical symptoms.“

[...]

“There is a misconception that children are at zero risk for Covid, says Dr Fatima Marinho, who is also a senior adviser to the international health NGO Vital Strategies. Marinho's research has found that a shockingly high number of children and babies have been affected by the virus.

Between February 2020 and 15 March 2021, Covid-19 killed at least 852 of Brazil's children up to the age of nine, including 518 babies under one year old, according to figures from the Brazilian Ministry of Health. But Dr Marinho estimates that more than twice this number of children died of Covid. A serious problem of underreporting due to lack of Covid testing is bringing the numbers down, she says.

Dr Marinho calculated the excess of deaths by unspecified acute respiratory syndrome during the pandemic, and found that there were 10 times more deaths by unexplained respiratory syndrome than in previous years. By adding these numbers, she estimates that the virus in fact killed 2,060 children under nine years old, including 1,302 babies.“

[...]

“"It hurts to see a child dying without seeing their parents," says Dr Carneiro.“


Unusually high Covid-19 deaths among babies, young children in Brazil. Here’s why

“Brazil has been one of the worst-hit nations by the coronavirus disease (Covid-19) pandemic but the unusual high deaths among babies have caused immense concerns. Despite overwhelming evidence based on data that Covid-19 rarely turns fatal for children, around 1,300 babies have died from coronavirus, according to a BBC report.“

BBM:
“According to experts quoted by BBC, Brazil’s sheer number of Covid-19 cases have led to an increase in infection among babies and young children. While Brazil’s official data suggest that Covid-19 killed at least 852 children up to the age of nine, Dr Fatima Marinho, a leading epidemiologist from the University of São Paolo, did research that estimated the virus killed 2,060 children under nine years old, including 1,302 babies. Marinho told BBC that she is seeing more cases of MIS-C than ever before, highlighting that there is a misconception that children are at a zero risk for Covid-19.“

The article gives some hints, but in the end wants to attribute their high number of MIS-C cases to just sheer high, often undiagnosed numbers of COVID.

But in reading the full article, I winced when I saw that poor little Lucas was sent home with atypical symptoms of COVID (not tested) and later developed MIS-C, but also with antibiotics (!) So low level of actual diagnosis and care is involved, even if children present with symptoms (which of course are different to adult symptoms, as you have reminded us many times).

I sure do wonder if Lucas had received any better therapeutics initially, if he would still be alive.
 
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