Category: Corona Virus

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250th COVID-19 retraction is for faked ethics approval – Retraction Watch

July 21, 2022

Researchers in Iran have lost a paper on Covid-19 infection in a two-month-old boy after the journal learned that theyd fabricated ethics approval for the article.

Its the 250th Covid-19 retraction by our count.

Coronavirus disease 2019 in a 2-month-old male infant: a case report from Iran appeared in December 2020 in Clinical and Experimental Pediatrics. The senior author of the paper was Sajjad Ahmadpour, of the Gastroenterology and Hepatology Diseases Research Center at Qom University of Medical Sciences.

According to the retraction notice (which doesnt appear in the expected place but can be found here):

Coronavirus disease 2019 in a 2-month-old male infant: A case report from Iran, published in Clinical and Experimental Pediatrics in December 2020, has been retracted from publication.

The authors violated the journals publication ethics policy by falsifying IRB approval.

The ethical ID submitted by the authors is not relevant to this case report, and no valid ethical ID was subsequently provided.

Therefore, the CEP ethics committee has decided to retract this paper from the journal. We apologize to readers and assure them that we aim to thoroughly screen for ethics violations prior to publishing papers in Clinical and Experimental Pediatrics.

In an email to Retraction Watch, Ahmadpour objected to the retraction and denied that his group had fabricated IRB approval:

We are not agree that our article be retracted. As mentioned for several times, our case report be approved by ethical commite of Qom university of Medical Sciences. This case report is a partial part of mega research related to the COVID19 risk factor in pediatrics. This article previously approved by 3 reviewrs and non of them mentioned any ethical issue for this case report. We dont fabricate IRB approval for this case report.

For several times we said that this study had IRB approval. However, we can provide a IRB approval for this particular paper in 7 working days

Weve asked for a copy. Meanwhile, Ahmadpour said his group provided the journal evidence of IRB approval for the megaproject although not this particular study but apparently that did not impress. About that megaproject:

We included more than 1000 COVID19 pediatrics in a mega projects. During following we noticed to this particular study. We report the study with ethical approval and also get written consent form from the family of case who reported in this article.

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250th COVID-19 retraction is for faked ethics approval - Retraction Watch

Coronavirus explainer: Are your symptoms a sign of COVID’s Omicron or allergies? How to tell the difference – Times of India

July 21, 2022

Since the onset of the Omicron variant of COVID-19, the kind of symptoms commonly associated with the illness has changed. While with the Delta variant, that is said to have driven the second wave of infection in India, the symptoms were more severe and life-threatening, with Omicron, the ailments are considerably milder.

According to experts, while the Delta affected the lower respiratory tract, the Omicron is said to attack the upper respiratory tract, causing symptoms of sore throat, runny nose, sneezing, headache, muscle pain, fever, etc.

However, these upper respiratory symptoms are also reported in people who suffer from allergies, which are caused by an entirely different property i.e. airborne substances like pollen.

Therefore, nasal congestion, sneezing, coughing, headache, and tiredness are also symptoms of allergies, which may make it difficult to identify the cause of your illness.

Also read: Heart disease: Your ankles can indicate a serious health risk

Excerpt from:

Coronavirus explainer: Are your symptoms a sign of COVID's Omicron or allergies? How to tell the difference - Times of India

More than 2 years into the pandemic, interpreting COVID-19 metrics gets trickier, especially with dashboard changes and elusive data – Colorado Public…

July 21, 2022

Tori Burket, manager of Denvers epidemiology program, told Denverite last week people cant count on using case rates any more to gauge COVID risks, because at-home tests are rarely reported to officials.

That number, by itself, is not reliable, she said. Its not a true indicator of whats happening in the community.

Mehta said the pandemic continues to challenge mightily the health care system, from providers dealing with the still on-going crisis to a patient population now ailing in worrisome ways.

Hospital patients are just much sicker, and taking a lot more time in terms of management, and more complex thinking, he said. These are patients that either didn't seek out care for a couple of years, didn't have access to care or in a lot of cases, especially at Denver Health, have really been abusing themselves in a variety of ways with a lot of substances. So we're seeing a lot of that.

Editors note: The state is adapting its COVID-19 dashboard and changing some of its metrics and CPR News is changing its as well. Weve updated our COVID-19 page to reflect the metrics that well be watching closely to understand what the virus is doing in Colorado particularly hospitalizations and wastewater monitoring. We know a lot of our readers have come to rely on COVID stats, and the change is an attempt to keep providing you with information that is accurate and useful.

See more here:

More than 2 years into the pandemic, interpreting COVID-19 metrics gets trickier, especially with dashboard changes and elusive data - Colorado Public...

Q&A: COVID expert on why BA.5 variant is ‘substantially different’ – KPBS

July 21, 2022

Last week, San Diego County moved to the high, or orange, COVID-19 tier due to increasing disease numbers and hospitalizations. That quickly prompted an indoor mask mandate for San Diego Unified Schools District. But at the same time as another wave of infections is taking hold in the region, big public events are also returning in San Diego. The PRIDE parade and related events drew thousands last weekend, and Comic-Con returns to downtown San Diego Thursday for its first large in-person gathering since the pandemic began.

Dr. Eric Topol, director of the Scripps Research Translational Institute, joined Midday Edition Wednesday to get the latest on what is known about the now dominant BA.5 coronavirus variant. The interview below has been lightly edited for clarity.

Q: In your most recent article on your blog, you compare our handling of COVID-19 to that of a boiling frog. Why?

Well, the issue is that BA.5, as we discussed last time we got together, was heating up throughout the country, and there's a lack of perception that it's really the worst variant ... even against severe things like hospitalizations. And so we're not feeling it because we have this immunity wall being built ... because of so many infections and vaccinations and boosters. So this lack of perception because it's gradual, all these different variants that have been occurring over the course of two and a half years, we're missing the fact that the latest variant that is now taking over the country, BA.5, and certainly in San Diego, is the worst one, and we're in a denial state. Willing it away isn't going to work.

Q: You maintain that BA.5 is the worst version of this virus we've seen yet, despite the fact that deaths and hospitalizations are not where they once were. So why is BA.5 the worst, in your opinion?

If you look at places that didn't have lots of prior infection, like, just say, Japan, now a record number of cases throughout the whole pandemic, even exceeding BA.1, had we had this variant before BA.1, the omicron, the wave that hit us so hard in January and February, it would have been even worse. So, the point is, that the virus version is substantially different. The so-called distance of the protein or antigen distance, the genetic distance. I mean, it's basically deserves its own Greek letter it's so different than omicron, BA.1. If you look at it from every property you can think of of a virus, this one is clearly the worst since the pandemic began. But because we have so much immunity, we have this optics, this idea that it's not so bad. But actually another attribute that you are seeing is that it's lasting longer. People who are getting infected with BA.5, the time of being positive testing and having symptoms is longer than prior versions of the virus which goes along with it. You don't have to look at deaths and hospitalizations to say that that's an issue, although they're both going up throughout the country, and certainly not nearly what we saw in the worst BA.1-omicron wave. But again, that's just because we've got lots of protection out there.

Q: Can you give us the latest on the COVID situation here in San Diego? What do recent numbers tell us?

Everything's on the way up and this is not a good picture, because we don't know where the peak is going to be. We know that we have weeks to get through BA.5. And so we're starting to see the increase in hospitalizations, fortunately not at the level that in the worst times previously, but they'll continue to go up no less the number of people infected. The critical issue that you know well is that our testing centrally is very minimal. And so the number of people who are actually infected or infectious not even knowing that they're infected is very high. And in the country it's gone up to about 130,000 cases a day. But it's probably at least 700,000 or a million a day. We just don't know because so many people are either not testing or doing rapid tests at home.

Q: The Novavax vaccine was approved yesterday by the CDC. How does this vaccine differ from the Moderna or Pfizer vaccine?

This is a protein based vaccine. So instead of the Moderna or Pfizer, which is a messenger RNA, which once it gets into the cells, it encodes the protein, this is just direct to the protein. It's very similar otherwise. It's basically using the spike, the key portion of the virus to induce our immune response. And the data that was presented this week to the CDC and previously the FDA looked like it's very comparable to the mRNA vaccines. And so hopefully more people will get vaccinated. It also may have use as a booster. That is because it's somewhat different. That whole idea of mixing might have some appeal as we get more data about that.

Q: Currently, people above 50 or those who are high risk are eligible to get the fourth shot of the COVID vaccine. Do you think it's time for eligibility to be expanded to more of the population?

Yes, both that we don't have enough people who are 50 and older getting a four shot. We're at about 27%. That should be 100%. The reason being is the risk of death and hospitalization in people over age 50 is substantially lowered by a four shot. We have four studies to prove that. But then people less than 50, there's many people there, such as health care workers or essential workers who have lots of risk. And that would be great to use those shots because otherwise they're going to get thrown away because they're about to expire. Tens of millions of doses to be thrown away. So we don't have the green light to get these out there, but we should we should have gotten them going some time ago. But the people who have a considerable risk because of their work or because of their medical status with lots of different coexisting conditions, even less than age 50, should give this a consideration.

Q: What is the data telling us about these newer variants? BA.4.and BA.5 and long COVID?

Yeah, well, let's put aside BA.4 because that really got completely outcompeted by BA.5, which is taking over the country in terms of soon to be all the cases. BA.5, it's about 80% right now. So this variant, as I mentioned earlier, is quite problematic. I don't think we're giving you enough respect as to the fact that it's showing attrition of our vaccines, even against severe protection to some extent. So this decoy to our immune system, that is this escape artist, it's a real problem. And the fact is, we may not be done at BA.5. We could see BA.X or even a whole other family like omicron. Hopefully not, but what's in store, unfortunately, is that the virus evolution is accelerated. As we've seen, we've gone from BA.1 to 5 in a matter of months, whereas in the first year of the pandemic, there was no substantive evolution of the virus to change its properties. So we really should plan. That's why we need much better vaccines ... because we may be seeing over the months ahead that the Paxlovid, which is keeping hospitalizations down, and that's important to emphasize, we could develop resistance to it, the mutations in the critical portion of the virus to Paxlovid. So we should get more backup drugs out there and that's something that's not enough effort, along with these better vaccines is not happening right now.

Q: On the subject of drugs like Paxlovid, how are coronavirus treatments such as that doing against the BA.5 variant? Are they proving to be effective against these newer variants?

Yes. The good thing about Paxlovid is that it really hasn't been a variant specific pill. The problem, however, even though it has a very good track record for reducing hospitalizations and deaths, there is this issue of rebound that's occurred commonly, whereby after five days of treatment of the Blister pack, a couple of days later, symptoms come back and the person does testing and they're still infectious and that can go on for several more days. So rebound is a problem. People are not winding up in the hospital. It's rare after Paxlovid, but the prolonged symptoms and infectiousness is not good. And what we're studying is whether a prolonged course instead of five days rather than ten days to deal with these omicron variants like BA.5 might be better to help avoid the rebound phenomena. The problem is the pills cause a lot of side effects. The taste is really altered and also a lot of gastrointestinal side effects. So you don't want to take it for ten days, but that may wind up being the way to deal with rebound. But it is working well in terms of reducing hospitalizations. And that's another part of this illusion that things aren't too bad when a lot of those people that might have wound up in the hospital were preventing it.

Q: Is anyone eligible to get Paxlovid, or is it being reserved for people who are high risk?

Well, it's supposed to be for high risk, but it's a doctor's prescription, so anybody who is symptomatic, has other conditions that might be in the department of worry that just progressed, they could wind up in the hospital. It's not hard to access Paxlovid. There's a very good supply right now. My biggest concern besides rebound, is it's working well, but how long? And we don't have a backup pill. We really need that. And there's a bunch of candidates, just like with the vaccines that are pan-coronavirus and nasal vaccines, a bunch of candidates for all these things, but we're not doing anything about that yet.

Q: San Diego County reentered the high COVID tier last week. Are you satisfied with the local public health officials' response since that change?

It's disappointing because, as you mentioned, it's only the San Diego Unified School District that has asked for indoor masks to be used routinely. But we don't have that from anyone else. And we know masks help if they're KN95s or N95s, and we're just not using them. People are tired and fed up, and they don't want to mask, but it's a help. It's not a guarantee to avoid BA.5. But the problem is the virus is so hyper-infectious, and we're just playing into its properties by not masking up, particularly indoors, but possibly even outdoors, by not using our tools of ventilation, filtration, and distancing. These things help while we're waiting for better ways to get on top or ahead of the virus with the three biggies: the pan-coronavirus, the nasal vaccines, and better drugs. So we need something to bridge that, and we're ignoring it, largely, and that's unfortunate.

Continued here:

Q&A: COVID expert on why BA.5 variant is 'substantially different' - KPBS

Covid Live Updates: Latest News on Cases and Vaccines – The New York Times

July 19, 2022

In a typical spring, breeding seabirds and human seabird-watchers flock to Stora Karls, an island off the coast of Sweden.

But in 2020, the Covid-19 pandemic canceled the tourist season, reducing human presence on the island by more than 90 percent. With people out of the picture, white-tailed eagles moved in, becoming much more abundant than usual, researchers found.

That might seem like a tidy parable about how nature recovers when people disappear from the landscape if not for the fact that ecosystems are complex. The newly numerous eagles repeatedly soared past the cliffs where a protected population of common murres laid its eggs, flushing the smaller birds from their ledges.

In the commotion, some eggs tumbled from the cliffs; others were snatched by predators while the murres were away. The murres breeding performance dropped 26 percent, Jonas Hentati-Sundberg, a marine ecologist at the Swedish University of Agricultural Sciences, found. They were flying out in panic, and they lost their eggs, he said.

The pandemic was, and remains, a global human tragedy. But for ecologists, it has also been an unparalleled opportunity to learn more about how people affect the natural world by documenting what happened when we abruptly stepped back from it.

A growing body of literature paints a complex portrait of the slowdown of human activity that has become known as the anthropause. Some species clearly benefited from our absence, consistent with early media narratives that nature, without people bumbling about, was finally healing. But other species struggled without human protection or resources.

Human beings are playing this dual role, said Amanda Bates, an ocean conservation scientist at the University of Victoria in Canada. We are, she said, acting as threats to wildlife but also being custodians for our environment.

The research has actionable lessons for conservation, scientists say, suggesting that even modest changes in human behavior can have outsize benefits for other species. Those shifts could be especially important to consider as the human world roars back to life and summer travel surges, potentially generating an anthropulse of intense activity.

A lot of people will feel like they want to catch up on holiday travel, work travel, catch up on life, said Christian Rutz, a behavioral ecologist at the University of St Andrews who introduced the concept of an anthropulse in a recent paper. (He and Dr. Bates were also part of the team that coined anthropause.)

Humans will and should travel and should enjoy nature, he added. But I think it can be quite subtle tweaks to how we do things that can still have a huge impact.

When the pandemic hit, many human routines came to a sudden halt. On April 5, 2020 the peak of the pandemic lockdowns 4.4 billion people, or 57 percent of the planet, were under some sort of movement restriction, scientists estimated. Driving decreased by more than 40 percent, while air traffic declined by 75 percent.

These sudden shifts allowed researchers to tease apart the effects of human travel from the many other ways we shape the lives of other species.

We know that humans impact ecosystems by changing the climate, we know that they have dramatic impacts by changing land use, like razing down habitat and building shopping malls, said Christopher Wilmers, a wildlife ecologist at the University of California, Santa Cruz. But this sort of strips all that away, and says, Oh, well, what are the impacts of human mobility itself?

With humans holed up in their homes cars stuck in garages, airplanes in hangars, ships in docks air and water quality improved in some places, scientists found. Noise pollution abated on land and under the sea. Human-disturbed habitats began to recover.

In March 2020, Hawaiis Hanauma Bay Nature Preserve, a popular snorkeling destination, closed and remained shuttered for nearly nine months. The pandemic reset the visitor impacts to zero, said Kuulei Rodgers, a coral reef ecologist at the Hawaii Institute of Marine Biology.

Without swimmers kicking up sediment, water clarity improved by 56 percent, Dr. Rodgers and her colleagues found. Fish density, biomass and diversity increased in waters that had previously been thick with snorkelers.

Indeed, scientists found that many species had moved into new habitats as pandemic lockdowns changed what ecologists have sometimes called the landscape of fear.

All animals are, you know, trying not to die, said Kaitlyn Gaynor, an ecologist at the University of British Columbia. That drive to survive prompts them to keep their distance from potential predators, including humans. We are noisy and novel and resemble their predators and in many cases are their predators, Dr. Gaynor said.

For instance, the mountain lions that live in the Santa Cruz Mountains of California typically stay away from cities. But after local shelter-in-place orders took effect in 2020, the animals became more likely to select habitats near the urban edge, Dr. Wilmers and his colleagues found.

Dr. Wilmers speculated that the mountain lions were responding to changes in the urban soundscape, which might typically be filled with human chatter and the rumble of passing cars. But as soon as those audio stimuli are gone, then the animals are, like, Well, might as well go see if theres anything to eat here, he said.

Just north, in a newly hushed San Francisco, white-crowned sparrows began singing more quietly, yet the distance across which they could communicate more than doubled, researchers found.

The birds also began singing at lower frequencies, a shift that is associated with better performance and an improved ability to defend territory and woo mates. Their songs were much more sexy, said Elizabeth Derryberry, a behavioral ecologist at the University of Tennessee, Knoxville and an author of the study.

And it was overnight, she added. Which kind of gives you hope that if you reduce noise levels in an area, you can have immediate positive impact.

But the effects of human absence were nuanced, varying by species, location and time.

Multiple studies found that as traffic eased in the spring of 2020, the number of wild animals that were struck and killed by cars declined. But the number of wildlife-vehicle collisions soon crept back up, even as traffic remained below normal levels, one team of researchers reported.

Per mile driven, there were more accidents happening during the pandemic, which we interpreted as changes in animal space use, said Joel Abraham, a graduate student studying ecology at Princeton University and an author of the study. Animals started using roads. And it was difficult for them to stop, even when traffic started to rebound.

The lockdowns seemed to embolden some invasive species, increasing the daytime activity of Eastern cottontail rabbits in Italy, where their rapid expansion may threaten native hares, while disrupting efforts to control others. For instance, the pandemic delayed a long-planned project to cull giant, predatory mice from Gough Island, a critical habitat for threatened sea birds in the South Atlantic Ocean.

The mice, which likely arrived with 19th-century sailors, attack and feed on live bird chicks, often leaving large open wounds. I nicknamed them vampire mice, said Stephanie Martin, the environmental and conservation policy officer for Tristan da Cunha, the archipelago of which Gough Island is a part. Many chicks succumb to their injuries.

Scientists were set to begin an ambitious mouse-eradication effort when the pandemic hit, delaying the project for a year. In the intervening breeding season, with the vampire mice still running rampant, not one MacGillivrays prion chick an endangered bird that breeds almost exclusively on Gough survived. We lost a whole other breeding season, Ms. Martin said. It meant yet another year with no fledglings.

It is another illustration of humanitys dual roles: The mice are only on Gough because humans took them there. But now we absolutely need humans to cull them, Dr. Bates said.

These kinds of impacts added up all over the world, she said, as local conservation, education and monitoring programs were disrupted or deprived of funding. Spikes in wildlife poaching and persecution, as well as illegal logging and mining, were reported in multiple countries.

Economic insecurity might have driven some of this activity, but experts believe that it was also made possible by lapses in human protection, including reduced staffing in parks and preserves and even an absence of tourists, whose presence might typically discourage illegal activity.

Were not entirely the bad guys, said Mitra Nikoo, a research assistant at the University of Victoria. Were actually doing a lot more good than weve been giving ourselves credit for.

As people resume their normal routines, researchers will continue monitoring wildlife and ecosystems. If an ecosystem that appeared to benefit from humanitys disappearance suffers when people come flooding back, that will provide stronger evidence of our impact.

Its this reversal of the experimental or semi-experimental intervention that scientifically allows really robust insights into how environmental processes work, Dr. Rutz said.

Understanding these mechanisms can help experts design programs and policies that channel our influence more thoughtfully.

If we then strengthen the role as custodians and then continue to regulate pressures, then we can really tilt the role of humans in the environment to an overwhelmingly positive role, said Carlos Duarte, a marine ecologist at King Abdullah University of Science and Technology in Saudi Arabia.

For example, one team of researchers found that with vacationers not traveling to the Greek island of Zakynthos in the summer of 2020, the loggerhead sea turtles that nest there spent more time close to shore in the warmer waters that are optimal for female egg development than they had in previous years.

The results suggest that tourists are driving sea turtles into cooler waters, slowing egg development and potentially reducing the number of clutches, or batches of eggs, the animals lay during the short nesting season, said Gail Schofield, a conservation ecologist at Queen Mary University of London and an author of the study.

Its a very narrow window of opportunity, she said.

Halting all tourism is not possible, she acknowledged. But designating a stretch of the shoreline as a protected turtle habitat and prohibiting swimming there in the early summer could provide an important refuge for the animals, she said.

When the Hanauma Bay Nature Preserve reopened in December 2020, it instituted a strict new cap on daily visitors. It is now closed two days a week, up from one before the pandemic, Dr. Rodgers said.

Other changes could pay dividends, too, experts said: Building wildlife crossings over highways could keep some animals from becoming road kill, while mandating quieter car engines and boat propellers could curb noise pollution on land and at sea.

No one can say anymore that we cant change the whole world in a year, because we can, Dr. Bates said. We did.

Read the original here:

Covid Live Updates: Latest News on Cases and Vaccines - The New York Times

Covid Rises Across U.S. Amid Muted Warnings and Murky Data – The New York Times

July 19, 2022

CHICAGO Covid-19 is surging around the United States again in what experts consider the most transmissible variant of the pandemic yet.

But something is different this time: The public health authorities are holding back.

In Chicago, where the countys Covid warning level was raised to high last week, the citys top doctor said there was no reason for residents to let the virus control their lives. The state health director in Louisiana likened a new rise in Covid cases there to a downpour a surge within a surge but characterized the situation as concerning but not alarming.

And the public health officer in King County, Wash., Dr. Jeffrey Duchin, said on Thursday that officials were discussing reissuing a mask mandate but would prefer that the public mask up voluntarily. Were not going to be able to have infinite series of mandates forcing people to do this, that and the other, he said.

The latest surge, driven by a spike of BA.5 subvariant cases in this country since May, has sent infections rising in at least 40 states, particularly in the Great Plains, West and South. Hospitalizations have climbed by 20 percent in the past two weeks, leaving more than 40,000 people in American hospitals with the coronavirus on an average day.

More than two years after the pandemic began, though, public health officials are sounding only quiet warnings amid a picture that they hope has been changed by vaccines, treatments and rising immunity. Deaths are rising, but only modestly so far in this new wave. And state and local public health officials say they also must now factor in a reality that is obvious along the streets from Seattle to New York City: Most Americans are meeting a new Covid wave with a collective shrug, shunning masks, joining crowds indoors and moving on from the endless barrage of virus warnings of months past.

I feel strongly that you cant just kind of cry wolf all the time, said Dr. Allison Arwady, the commissioner of the Chicago health department, who said she would wait to see whether hospitals become strained before considering another citywide mask mandate. I want to save the requirements around masks or updating vaccine requirements for when theres a significant change.

Complicating the countrys understanding of this BA.5 wave is a dearth of data. Not since the earliest months of the pandemic has there been so little precise information about the number of actual infections in the United States. As public testing sites have closed and at-home testing if people test at all has grown common, the publicly reported data has become scarce and spotty.

Still, experts say, the outlines of a new wave are undeniable.

You dont have to count every raindrop to know its raining, said Dr. Joseph Kanter, Louisianas state health officer and medical director. And its pouring right now.

In that state, the health department analyzes a wide range of data to track the spread of the virus, including case counts, samples from a growing network of wastewater testing sites, test positivity rate and hospitalization metrics.

The BA.5 subvariant, which was first detected in South Africa in January and spread to a number of European countries, was responsible for 1 percent of cases in the United States in mid-May but now represents at least two-thirds of new cases in the country.

Anita Kurian, an assistant director for the health department in San Antonio, said cases have been rising in the area for six weeks in a row. But some measures, like the low number of deaths so far, suggest that the nation is entering a newer and less lethal stage of the pandemic where vaccines and treatments have significantly improved chances of survival, she said.

We are nowhere at the level where we were with the previous surges, she said.

So far, the current waves toll of hospitalizations and deaths pales in comparison to previous spikes. During the peak of the Omicron surge in early 2022, close to 159,000 people were hospitalized on any given day.

Experts caution that predicting the months ahead is difficult, particularly given the high transmissibility of BA.5. Words of caution from national health leaders have slowly increased in intensity in recent weeks.

Still, even as federal health authorities reiterated calls for people to test for Covid before attending large indoor gatherings or visiting especially vulnerable, immunocompromised people, they are striking a delicate balance, telling Americans that while they do not need to upend their lives, they must pay attention to the Covid threat.

We should not let it disrupt our lives, Dr. Anthony S. Fauci, President Bidens chief medical adviser on the virus, said at a White House news briefing in which he added that new variants could continue to emerge. But we cannot deny that it is a reality that we need to deal with.

As health officials in many places have avoided issuing new virus restrictions during the latest surge, California has stood out as an exception. There, public health authorities have issued stark warnings and moved toward reimposing restrictions.

The warnings have been spurred by worrisome data, experts said. Walgreens said that more than half of the Covid tests administered at its California stores have returned with positive results. Surveys of wastewater in the Bay Area suggest this surge could be the biggest yet.

And the number of weekly deaths in Los Angeles County from the coronavirus has doubled from about 50 a month ago to 100 last week. The deaths are still below the levels of the winter Omicron surge, when more than 400 were dying weekly in the county.

Officials in Los Angeles say they plan to reinstate a countywide indoor mask mandate as early as the end of this month. Barbara Ferrer, the public health director in the county, said that even a slight increase in masking would help slow transmission of the virus.

Im like everyone else: I hate wearing that mask. But more than that, I hate the idea that I might accidentally transmit to somebody else, Ms. Ferrer said. Thats my biggest fear that were so anxious to be done with this virus that were getting complacent.

Charles Chiu, an infectious-disease specialist and virologist at the University of California, San Francisco, says data emerging from patients suggests that BA.5 does not cause more severe disease in patients than other Omicron variants. But he says he is concerned that the variant is so infectious and so able to evade the protections of vaccination and prior infection that it could be unstoppable.

It looks as if we are unable to control it, he said.

Dr. Chiu said he was sympathetic to the plight of government officials seeking to mitigate the spread of the virus. They are up against a public that chafes at renewed directives, even in parts of the country where people were previously most willing to go along. In places where Covid mitigation measures are mandatory, like on New York subways, adherence to masking rules is increasingly spotty.

Public health officers have an impossible task here, Dr. Chiu said.

In New York City, rates of positive tests, cases and hospitalizations are all rising. But health officials have resisted reissuing mask mandates, and many residents have said they were not worried, counting on vaccines, immunity from prior infections and antivirals for protection from severe illness. The city no longer has a contact tracing system in place or requires proof of vaccination to enter restaurants.

In Louisiana, officials have watched hospitalizations of people with Covid rise in the state, but they say those numbers are still far lower than in previous surges when more than 2,000 residents were at times hospitalized.

I feel much more empowered that we have the ability to protect ourselves, Dr. Kanter said.

During the height of the Delta wave in Louisiana in 2021, about 20 percent of hospitalized Covid patients were on ventilators, according to Dr. Kanter, the state health officer and medical director. That figure fell to 10 percent during the states initial Omicron surge and now is below 5 percent.

For people who are most at risk of severe illness from Covid, a sense that public health warnings have diminished was little comfort, and in fact made them worry more than ever about getting infected.

Neyda Bonilla, 48, of Mission, Texas, was diagnosed in April with breast cancer. With case counts rising in South Texas, she now fears that an infection as she undergoes chemotherapy could prove catastrophic for her health.

She has received all of the vaccines and boosters available to her, she said, and now wears a surgical mask in public and rarely leaves the house, except to work as an administrator at an ambulance company.

I hope that people open their eyes, she said. We should have never taken our masks off. This is not over.

Yet even in some cities whose residents have taken precautions against Covid throughout the pandemic, the latest surge has not caused widespread alarm.

In Berkeley, Calif., Jeff Shepler, the general manager of the Spanish Table, a specialty shop selling Iberian wine and food, said that he goes to Giants games across the Bay in San Francisco, recently attended a Pearl Jam concert at the Oakland Coliseum and does not hesitate to shake hands.

It got exhausting for me to wear a mask all day, every day, he said. Im at the point in my life where Ive got the vaccine and Ive had Covid. I figure Im fairly safe.

Julie Bosman reported from Chicago, Thomas Fuller from San Francisco, and Edgar Sandoval from San Antonio. Reporting was contributed by Soumya Karlamangla, Eliza Fawcett, Sarah Cahalan, and Holly Secon.

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Covid Rises Across U.S. Amid Muted Warnings and Murky Data - The New York Times

Montgomery County reported 1,112 additional COVID-19 cases this week – Montgomery Advertiser

July 19, 2022

Mike Stucka USA TODAY NETWORK| Montgomery Advertiser

White House issues warning on new COVID variants

The Biden administration is calling on people to exercise caution about COVID-19, emphasizing the importance of getting booster shots for those who are eligible and wearing masks indoors as two new transmissible variants are spreading rapidly. (July 12)

AP

New coronavirus cases leaped in Alabama in the week ending Sunday, rising 13.8% as 16,649 cases were reported. The previous week had 14,633 new cases of the virus that causes COVID-19.

Alabama ranked sixth among the states where coronavirus was spreading the fastest on a per-person basis, a USA TODAY Network analysis of Johns Hopkins University data shows. In the latest week coronavirus cases in the United States increased 29% from the week before, with 947,862 cases reported. With 1.47% of the country's population, Alabama had 1.76% of the country's cases in the last week. Across the country, 42 states had more cases in the latest week than they did in the week before.

The Fourth of July holiday disrupted who got tested, when people got tested and when both test results and deaths were reported. This may significantly skew week-to-week comparisons.

Montgomery County reported 1,112 cases and one death in the latest week. A week earlier, it had reported 1,219 cases and one death. Throughout the pandemic it has reported 60,757 cases and 959 deaths.

Elmore County reported 366 cases and two deaths in the latest week. A week earlier, it had reported 340 cases and zero deaths. Throughout the pandemic it has reported 25,160 cases and 352 deaths.

Autauga County reported 236 cases and zero deaths in the latest week. A week earlier, it had reported 239 cases and zero deaths. Throughout the pandemic it has reported 17,037 cases and 217 deaths.

Butler County reported 68 cases and zero deaths in the latest week. A week earlier, it had reported 78 cases and zero deaths. Throughout the pandemic it has reported 5,401 cases and 129 deaths.

Lowndes County reported 54 cases and zero deaths in the latest week. A week earlier, it had reported 52 cases and zero deaths. Throughout the pandemic it has reported 2,829 cases and 77 deaths.

Within Alabama, the worst weekly outbreaks on a per-person basis were in Dallas County with 602 cases per 100,000 per week; Wilcox County with 588; and Macon County with 565. The Centers for Disease Control says high levels of community transmission begin at 100 cases per 100,000 per week.

Adding the most new cases overall were Jefferson County, with 2,397 cases; Mobile County, with 1,428 cases; and Madison County, with 1,135. Weekly case counts rose in 51 counties from the previous week. The worst increases from the prior week's pace were in Mobile, Tuscaloosa and Madison counties.

This week in COVID: Officials beg eligible Americans to get second booster; CDC reports 'superbugs' made a comeback in pandemic

>> See how your community has fared with recent coronavirus cases

Across Alabama, cases fell in 15 counties, with the best declines in Montgomery County, with 1,112 cases from 1,219 a week earlier; in Baldwin County, with 735 cases from 760; and in Escambia County, with 111 cases from 135.

In Alabama, 36 people were reported dead of COVID-19 in the week ending Sunday. In the week before that, 27 people were reported dead.

A total of 1,390,333 people in Alabama have tested positive for the coronavirus since the pandemic began, and 19,822 people have died from the disease, Johns Hopkins University data shows. In the United States 89,542,107 people have tested positive and 1,023,799 people have died.

>> Track coronavirus cases across the United States

USA TODAY analyzed federal hospital data as of Sunday, July 17. Likely COVID patients admitted in the state:

Likely COVID patients admitted in the nation:

Hospitals in 36 states reported more COVID-19 patients than a week earlier, while hospitals in 27 states had more COVID-19 patients in intensive-care beds. Hospitals in 40 states admitted more COVID-19 patients in the latest week than a week prior, the USA TODAY analysis of U.S. Health and Human Services data shows.

The USA TODAY Network is publishing localized versions of this story on its news sites across the country, generated with data from Johns Hopkins University and the Centers for Disease Control. If you have questions about the data or the story, contact Mike Stucka at mstucka@gannett.com.

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Montgomery County reported 1,112 additional COVID-19 cases this week - Montgomery Advertiser

California’s summer COVID wave could top winter surge – Los Angeles Times

July 19, 2022

New coronavirus infections in parts of California may be surging even higher than winters Omicron wave, potentially explaining why so many people seem to be infected simultaneously.

The concentration of coronavirus levels in San Franciscos wastewater is at even higher levels than during the winter, according to data tweeted by Marlene Wolfe, an assistant professor in environmental health at Emory University.

Wastewater data for much of L.A. County Los Angeles city and a wide swath of eastern and southern L.A. County have been unavailable due to a supply chain shortage on testing supplies at the state level. But county Public Health Director Barbara Ferrer said last week that steady increases have been noted as of late in the Las Virgenes Municipal Water District that serves areas in and around Calabasas and the L.A. County Sanitation Districts treatment plant in Lancaster.

The wastewater data suggest many infections arent being recorded in officially reported coronavirus case counts. That is because so many people are using at-home over-the-counter tests, which can be more convenient than getting tested at a medical facility, where results are reported to the government.

When you look at the [coronavirus] case counts, theyre no longer reliable. There are tremendous undercounts, Dr. Robert Wachter, chair of the UC San Francisco Department of Medicine, said at a campus town hall Friday. And the number of cases now probably is not all that dissimilar to what we saw during the massive surge in December and January.

Thats why, Wachter said, he strongly recommends masking in indoor public settings in the face of immense numbers of cases.

At UC San Franciscos hospitals, 5.7% of asymptomatic patients are testing positive for the coronavirus, meaning 1 in 18 people who feel fine nonetheless have the coronavirus. In other words, in a group of 100 people, theres a 99.7% chance that someone there has the coronavirus and is potentially contagious. Think about that the next time you go into a crowded bar or get onto an airplane with 100 people, Wachter said.

I kind of wish the flight attendants would hold up a sign that says, I can guarantee to you that someone on this plane has COVID, he said. I think the rate of mask wearing would go up quite a bit.

The spread of illness caused UC Irvine on Monday to renew a mask mandate inside campus buildings, following the lead of other campuses such as UC Riverside and UCLA and school systems like San Diego Unified. In addition, the film industry has recently begun to require masking on film sets again around Los Angeles.

L.A. Countys coronavirus case rate continues to rise. L.A. County is now averaging about 6,900 coronavirus cases a day nearly double the peak case rate from last summers Delta surge, and 27% higher than the previous week. On a per capita basis, L.A. Countys case rate is 476 cases a week for every 100,000 residents; a rate of 100 or more is considered high. COVID-19 deaths in L.A. County have risen from 50 per week to between 88 to 100 fatalities per week over the past month.

California is recording about 21,000 coronavirus cases a day, up 16% over the prior week. On a per capita basis, the state is recording 368 cases a week for every 100,000 residents. California is recording roughly 255 COVID-19 deaths per week. Weekly deaths in the state have fluctuated from 200 to 300 deaths a week.

L.A. County is prepared to reinstate a universal mask mandate in indoor public spaces for those 2 and older as early as July 29 if the rate of new coronavirus-positive hospitalizations does not improve.

Worldwide, were clearly in the throes of the sixth wave of the COVID epidemic, UC San Francisco epidemiologist and infectious diseases expert Dr. George Rutherford said at the meeting. This has been prompted by worldwide circulation of the newer Omicron sublineages: BA.4, BA.5 and now BA.2.75.

This is my way of saying: Were not out of the woods yet, Rutherford said, adding that the World Health Organization recently said theres no reason to consider were anywhere near the end of this. Last week, he noted that COVID-19 remains a public health emergency of international concern.

Its unclear how long this wave will last. Dr. Robert Kosnik, director of UC San Franciscos occupational health program, said a current surge among employees and students has so far lasted twice as long as its fall-and-winter wave, which lasted about two months.

Its easy for COVID fatigue to set in, given the duration of this wave. But, Kosnik added, we still need to be vigilant.

That means not coming to work if you have symptoms, Kosnik said. At-home coronavirus tests can give negative test results for people on the first day or two of symptoms, even though they are contagious. It sometimes takes two or three days after symptoms begin for enough virus to have replicated in the body for the rapid test to turn positive.

The symptoms are quite devious in my mind, Kosnik said, with some people who dont know they are infected thinking symptoms are only from allergies or a cold.

If you have symptoms, and you test negative, you need to still assume you could have COVID, Wachter said.

The latest California models suggest the virus is spreading at even faster rates. As of Monday, the California COVID Assessment Tool, published by the state Department of Public Health, said the spread of the coronavirus is probably increasing, with every infected Californian likely spreading it to 1.15 other people.

BA.5, the Omicron subvariant driving this latest wave, is not exactly a brand-new ballgame, but its definitely a new inning and we have to take it seriously, Wachter said.

A challenge with COVID-19, he added, has been that once we learn a pattern of how the disease works, our brain locks in on those. And we kind of assume that they will continue to be true. And then when they turn not true, its a little bit hard for us to pivot.

Thats whats happening now, Wachter said. Some patterns are still similar new subvariants keep emerging that are even more contagious. Also, Omicron infections seem to cause less severe disease than Delta, the dominant coronavirus variant last summer. During Deltas peak, about 5.6% of coronavirus cases in L.A. County required hospitalization, but during the winters Omicron wave, only about 1.2% of cases did.

Regarding BA.5, what is different and this is where it is something of a game-changer is the level of immune escape, and particularly to the degree to which immunity from prior infection, including prior versions of Omicron, doesnt seem to count for as much, Wachter said.

So its wrong to think that if youve survived a coronavirus infection, you no longer have to worry about COVID-19 for perhaps three months, Wachter said.

We are seeing reinfections as early as a month after a prior infection, Wachter said. You cant count on COVID superpowers from your prior infection-plus-vaccination to make you completely free of risk for the next three or four months, which is really the way we used to think about this a few months ago.

Wachter said its unclear whether reinfections, on average, are more, less or the same severity as an earlier infection.

But he cited a recent preprint study from scientists with Washington University and the Veterans Affairs Saint Louis Health Care System suggesting that people who got reinfected did worse over the long haul. The study suggested that reinfected people have a higher long-term risk of death even after the acute infection has resolved besides other health problems.

Compared to people with first infection, reinfection contributes additional risks of all-cause mortality, hospitalization, and adverse health outcomes, the study said, including in organ systems affecting the cardiovascular, kidney, neurological and gastrointestinal systems and increasing risk of diabetes, fatigue and mental health disorders.

The risks were evident in not only unvaccinated people but also vaccinated people who got a booster shot. The risks were most pronounced in the acute phase, but persisted in the post-acute phase of reinfection, and most were still evident at six months after reinfection, the report said.

Its worth going with the assumption that getting reinfected is a bad thing that once youre infected, you have a little bit of additional immunity, but not that much. And you should go back to your prior position of trying to be careful, Wachter said.

Thats why its important to get up-to-date on vaccinations and boosters, Wachter said. Federal officials have said to not wait for an Omicron-specific booster that might come in the autumn; if youre eligible for a first or second booster, get it now and you can still get an Omicron-specific booster later.

The existing vaccines, even if not designed specifically against the latest subvariants, still help reduce the risk of hospitalization and death, even if theyre relatively less effective at preventing infection in the first place.

A report published by the U.S. Centers for Disease Control and Prevention on Friday found that vaccine effectiveness protecting against hospitalizations or emergency room visits declined five months after the second COVID-19 vaccine dose. Thats why it was so important to get a booster, and a second one, when eligible, the report said.

Second booster shots have been limited to people 50 and older and those who are immunocompromised age 12 and older. Wachter said that federal officials have been signaling that eligibility for a second booster will be coming soon.

Continued here:

California's summer COVID wave could top winter surge - Los Angeles Times

Gaston County reported 587 additional COVID-19 cases this week – Gaston Gazette

July 19, 2022

Mike Stucka USA TODAY NETWORK| The Gaston Gazette

New coronavirus cases increased 3.6% in North Carolina in the week ending Sunday as the state added 26,388 cases. The previous week had 25,462 new cases of the virus that causes COVID-19.

North Carolina ranked 21st among the states where coronavirus was spreading the fastest on a per-person basis, a USA TODAY Network analysis of Johns Hopkins University data shows. In the latest week coronavirus cases in the United States increased 29% from the week before, with 947,862 cases reported. With 3.15% of the country's population, North Carolina had 2.78% of the country's cases in the last week. Across the country, 42 states had more cases in the latest week than they did in the week before.

The Fourth of July holiday disrupted who got tested, when people got tested and when both test results and deaths were reported. This may significantly skew week-to-week comparisons.

Gaston County reported 587 cases and five deaths in the latest week. A week earlier, it had reported 554 cases and two deaths. Throughout the pandemic it has reported 70,076 cases and 871 deaths.

Within North Carolina, the worst weekly outbreaks on a per-person basis were in Graham County with 557 cases per 100,000 per week; Pamlico County with 471; and Surry County with 436. The Centers for Disease Control says high levels of community transmission begin at 100 cases per 100,000 per week.

Adding the most new cases overall were Mecklenburg County, with 3,112 cases; Wake County, with 2,994 cases; and Guilford County, with 1,039. Weekly case counts rose in 63 counties from the previous week. The worst increases from the prior week's pace were in Surry, Cumberland and Cabarrus counties.

>> See how your community has fared with recent coronavirus cases

Across North Carolina, cases fell in 36 counties, with the best declines in Wake County, with 2,994 cases from 3,442 a week earlier; in Buncombe County, with 527 cases from 617; and in Iredell County, with 362 cases from 419.

In North Carolina, 138 people were reported dead of COVID-19 in the week ending Sunday. In the week before that, 48 people were reported dead.

A total of 2,919,068 people in North Carolina have tested positive for the coronavirus since the pandemic began, and 25,395 people have died from the disease, Johns Hopkins University data shows. In the United States 89,542,107 people have tested positive and 1,023,799 people have died.

>> Track coronavirus cases across the United States

USA TODAY analyzed federal hospital data as of Sunday, July 17. Likely COVID patients admitted in the state:

Likely COVID patients admitted in the nation:

Hospitals in 36 states reported more COVID-19 patients than a week earlier, while hospitals in 27 states had more COVID-19 patients in intensive-care beds. Hospitals in 40 states admitted more COVID-19 patients in the latest week than a week prior, the USA TODAY analysis of U.S. Health and Human Services data shows.

The USA TODAY Network is publishing localized versions of this story on its news sites across the country, generated with data from Johns Hopkins University and the Centers for Disease Control. If you have questions about the data or the story, contact Mike Stucka at mstucka@gannett.com.

Continue reading here:

Gaston County reported 587 additional COVID-19 cases this week - Gaston Gazette

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