Category: Corona Virus

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China halts freight train traffic with North Korea, citing spread of coronavirus – Los Angeles Times

April 30, 2022

BEIJING

China says it halted railroad freight traffic with North Korea as it deals with the spread of the coronavirus in the border town of Dandong.

The countries had reopened trade between Dandong and North Koreas Sinuiju in January after a two-year pause while the North imposed one of the worlds most restrictive pandemic border closures despite the strain on its broken economy.

Chinese Foreign Ministry spokesperson Zhao Lijian said Friday the decision to suspend the freight services was taken in light of the current epidemic situation in Dandong, but he gave no other details.

The Dandong city government on Monday ordered all residents to swiftly return home and stay there to stem the spread of the virus. It said the government would make strenuous efforts to ensure the daily needs of residents but made no mention of links with North Korea and did not say when the lockdown would be lifted.

While many countries are dropping restrictions and trying to live with the virus, China has been sticking to a zero-COVID approach, which requires mass testing and lockdowns and keeping its international borders largely shut.

North Koreas decision to tentatively reopen cross-border trade with China, its main ally and economic lifeline, possibly reflected a growing urgency in its need for outside relief.

North Korea still claims to have a perfect record in keeping out COVID-19 from its territory a claim widely doubted. But the closure of its border to nearly all trade and visitors for two years further shocked an economy already damaged by decades of mismanagement and crippling U.S.-led sanctions over its nuclear weapons and missile program.

Experts say the North would have focused on importing fertilizers to boost food production, factory goods to spur dismal industrial production, and construction materials to support ambitious development projects that leader Kim Jong Un touts as major accomplishments.

The North has been accelerating its weapons tests in recent months, including its first test of an intercontinental ballistic missile since 2017 in March, as it revives brinkmanship to pressure the United States to accept it as a nuclear power and remove sanctions.

South Koreas Unification Ministry, which deals with inter-Korean affairs, didnt immediately provide more details on the suspension of freight traffic between North Korea and China.

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China halts freight train traffic with North Korea, citing spread of coronavirus - Los Angeles Times

Identifying the immunological correlate of protection to predict the efficacy of new coronavirus vaccines – News-Medical.Net

April 30, 2022

In a recent edition of eBioMedicine, researchers discussed the validity of the equation derived by Khoury et al.to predict the efficacy of new coronavirus disease 2019 vaccines, which was subsequently reported by Muena et al., in a real-world setting.

Khoury et al. derived an equation to predict the efficacy of new coronavirus disease 2019 (COVID-19) vaccines using the neutralizing antibody (Nab) titer ratio between vaccinated and naturally severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-infected individuals. They demonstrated a correlation between the mean Nab titer and vaccine efficacy against symptomatic SARS-CoV-2 infection across the seven different vaccine platforms.

The efficacy estimates of seven COVID-19 vaccines were compared to Nab responses to identify an immunological correlate of protection (CoP) across different vaccine platforms. The researchers had made former estimates during the Phase III trials and the corresponding Nab responses during phase I/II trials.

Muena et al. investigated the dynamics of the antibody responses in naturally infected individuals in Chile. They compared this data to Nab titers elicited following vaccination with the CoronaVac and BNT162b2 vaccines.

Notably, the CoronaVac vaccine is an inactivated whole virus vaccine and BNT162b2 is a messenger ribonucleic acid (mRNA)-based vaccine. The Nab titers elicited in response to both the vaccines during the vaccination campaign in Chile were compared with the efficacies predicted from these ratios using the equation derived by Khoury et al.

Muena et al. also assessed and compared the anti-nucleocapsid (anti-N) antibody responses of SARS-CoV-2-infected and convalescent individuals. In particular, they assessed Nab titers in convalescent individuals vaccinated with the CoronaVac or BNT162b2 vaccines.

Similarly, they assessed Nab titers in infection-nave individuals who received two doses of CoronaVac or BNT162b2 vaccines to compare the difference in their Nab titers and estimate the efficacy of both the vaccines.

The efficacies predicted for CoronaVac and BNT162b2 were 65.9% and 92.6%, respectively, in the Chilean population. However, using the Khoury et al. equation, Muena et al. predicted effectiveness of around 50% and 97% for CoronaVac and BNT162b2, respectively. Likewise, the Nab titer ratios for CoronaVac and BNT162b2 were 0.2 and 5.2, respectively.

In naturally SARS-CoV-2-infected individuals, Muena et al. found strong responses to the SARS-CoV-2 N antigen. However, there was little response after two doses of CoronaVac. Although CoronaVac has the whole SARS-CoV-2 virion, it appears that the N antigen is a poor stimulant for the B cell responses.

Therefore, the observed T cell responses were more pronounced following vaccination with CoronaVac than BNT162b2 in another study comparing the efficacy of two vaccines. This also explains the observed lower efficacy of CoronaVac based on Nab responses than observed in the Chilean population. Muena et al. also identified obesity as a risk factor for poor response to the CoronaVac vaccine.

Overall, the data from Muena et al. and published results of Phase III trials in Turkey and Indonesia revealed that the Khoury et al. equation underestimated the efficacy of CoronaVac.

In the future, more studies should examine the immunogenicity and effectiveness of different COVID-19 vaccines in a similar subset of the population. This could help validate the clinical benefits of vaccine booster doses against SARS-CoV-2 variants of concern (VOC), based on Nab responses. An additional benefit could be aiding the development of COVID-19 vaccines incorporating viral antigens from VOCs based on the Khoury et al. model.

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Identifying the immunological correlate of protection to predict the efficacy of new coronavirus vaccines - News-Medical.Net

Kansas coronavirus cases increase by more than 2,000 – KSN-TV

April 30, 2022

WICHITA, Kan. (KSNW) More Kansans tested positive for the coronavirus this week compared to last week. The Kansas Department of Health and Environment (KDHE) shows that 2,017 people tested positive for the coronavirus in the past seven days. That number is 443 higher than the previous seven days.

The KDHE said the seven-day average of cases is 259 which is 63 more than last week. The state did not release any new information about COVID-19 variant numbers.

COVID-19 hospitalizations did not fluctuate much. There are 81 people hospitalized with the virus this week, four more than last week. Of those, 75 are adults and six are children. Thirteen of the adults are in intensive care.

The Kansas COVID-19 death toll increased by 38, bringing it to 8,635. Only two of the deaths happened in the past week. When the death toll increases, it is sometimes because officials have finalized death certificates from older cases. The seven-day rolling average of daily new deaths decreased to zero.

The KDHE data shows more than 23,000 Kansans got COVID-19 vaccinations in the past week:

Of Kansans who are eligible to get vaccinated, 66.98% have received at least one dose, while 58.4% have completed a vaccine series.

The KDHE releases its coronavirus updates each Friday afternoon.

CDC Mask Guidelines based on community-level transmission:Low (green):No mask needed indoors (get tested if you have symptoms)Medium (yellow):Mask recommended for high-risk patients (discuss with your healthcare provider)High (orange):Should wear mask indoors in publicKansas coronavirus cases updated Apr. 29, 2022CDC Community transmission rates updated Apr. 29, 2022Sources:Kansas Department of Health and EnvironmentCenters for Disease Control

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Kansas coronavirus cases increase by more than 2,000 - KSN-TV

Dallas County Reports a Total of 430 New Positive 2019 Novel Coronavirus (COVID-19) Cases and 7 Deaths, Including 176 Probable Cases and 83 New Cases…

April 30, 2022

To date, a total of 2,528 cases with SARS-CoV-2 variants have been identified and investigated in residents of Dallas County, including 288 cases of B.1.1.7 (Alpha); 4 cases of B.1.351 (Beta); 1,825 cases of B.1.617.2 (Delta); 30 cases of B.1.427 (Epsilon); 28 cases of P.1 (Gamma); 14 cases of B.1.526 (Iota); 5 cases of C.37 (Lambda); 4 cases of B.1.621 (Mu); 326 cases of B.1.1.529 (Omicron); and 3 cases of P.2 (Zeta). Four hundred and thirty-seven cases have been hospitalized and 57 have died. Forty-eight COVID-19 variant cases were reinfections. Seven hundred and nine people were considered fully vaccinated before infection with a COVID-19 variant.

As of 4/22/2022, a total of 473 confirmed and probable cases were reported in CDC week 15 (week ending 4/16/22), which is a weekly rate of 17.9 new cases per 100,000 residents.

As of the week ending 4/16/2022, about 81% of Dallas County residents age 12 years and older have received at least one dose of the COVID-19 vaccine, including 98% of residents age 65 years and older; 86% of residents between 40-64 years of age; 78% of residents 25-39 years of age; 68% of residents 18-24 years of age; and 62% of residents 12-17 years of age. In the cities of Addison, Coppell, Highland Park, Irving, and Sunnyvale, greater than 94% of residents 18 years of age and older have received at least one dose of the COVID-19 vaccine. In the cities of Cedar Hill, Desoto, Farmers Branch, Garland, Lancaster, and University Park, greater than 81% of residents 18 years of age and older have received at least one dose of the COVID-19 vaccine

About 45.7% of COVID-19 cases diagnosed in Week 15 were Dallas County residents who were not fully vaccinated. In Dallas County, 55,219 cases of COVID-19 breakthrough COVID-19 infections in fully vaccinated individuals have been confirmed to date, of which 3,980 (7.2%) were hospitalized and 691 have died due to COVID-19.

Of all Dallas County residents tested for COVID-19 by PCR during the week ending 4/16/2022 (CDC week 15), 4.7% of respiratory specimens tested positive for SARS-CoV-2. For week 15, area hospital labs have continued to report elevated numbers and proportions of respiratory specimens that are positive for other respiratory viruses by molecular tests: parainfluenza (4.78%), rhinovirus/enterovirus (34.01%), and RSV (3.02%).

There are currently 10 active long-term care facility outbreaks. A cumulative total of 6,455 residents and 4,363 healthcare workers in long-term facilities in Dallas have been diagnosed with COVID-19. Of these, 1,337 have been hospitalized and 911 have died. About 16% of all deaths reported to date have been associated with long-term care facilities.

There has been 1 outbreak of COVID-19 in a congregate-living facility (e.g. homeless shelters, group homes, and halfway homes) reported within the past 30 days. A cumulative total of 1,135 residents and staff members (840 residents and 295 staff) in congregate-living facilities in Dallas have been diagnosed with COVID-19.

New cases are being reported as a daily aggregate, with more detailed data dashboards and summary reports updated on Friday evenings, available at: https://www.dallascounty.org/departments/dchhs/2019-novel-coronavirus/daily-updates.php.

Local health experts use hospitalizations, ICU admissions, and ER visits as three of the key indicators as part of determining the COVID-19 Risk Level (color-coded risk) and corresponding guidelines for activities during our COVID-19 response. The most recent COVID-19 hospitalization data for Dallas County, as reported to the North Central Texas Trauma Regional Advisory Council, can be found at http://www.dallascounty.org/covid-19 under Monitoring Data, and is updated regularly. This data includes information on the total available ICU beds, suspected and confirmed COVID-19 ER visits in the last 24 hours, confirmed COVID-19 inpatients, and COVID-19 deaths by actual date of death. The most recent forecasting from UTSW can be found here.The most recent COVID-19 Data Summaries for Dallas County, TX can be found at the bottom of this page.

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Dallas County Reports a Total of 430 New Positive 2019 Novel Coronavirus (COVID-19) Cases and 7 Deaths, Including 176 Probable Cases and 83 New Cases...

Fauci clarifies that the pandemic isnt over, after saying the U.S. is out of the pandemic phase. – The New York Times

April 30, 2022

WASHINGTON Vice President Kamala Harriss coronavirus infection is raising questions that some in the nations capital wish would remain unspoken: Is it safe for President Biden to attend the so-called nerd prom, otherwise known as the White House Correspondents Dinner? Should the dinner even be held?

The flashy event, where journalists, politicians and policy wonks mingle with celebrities, is returning in person on Saturday after a two-year absence because of the pandemic. It will be the first time a president has attended since 2016. Expected attendance: 2,600.

As the nation lurches out of the acute phase of the pandemic and into what some are calling the new normal, the dinner like so much of American life is prompting a good deal of risk-benefit calculation. Dr. Anthony S. Fauci, Mr. Bidens top medical adviser for the coronavirus, said on Tuesday that he had decided not to attend because of my individual assessment of my personal risk.

But Mr. Biden, who at 79 is two years younger than Dr. Fauci, will be there, as will his wife, Jill Biden. The White House press secretary, Jen Psaki, told reporters on Tuesday that Ms. Harriss diagnosis had not changed the presidents thinking about the dinner, which she described as an opportunity to talk about the importance of journalism in the world.

Just like many Americans, he makes risk assessments, Ms. Psaki said, adding, Thats an event hes attended many times in the past, and he made a decision through consultations that it was an event he could attend and wanted to attend again.

On Wednesday, after this article was published online, the White House made a slight shift in course; Ms. Psaki told reporters that the president might wear a mask at the dinner when he was not speaking, and would not attend the eating portion so he could attend in a safe way.

In interviews, public health experts were largely, though not entirely, supportive of Mr. Bidens choice. The organizers of the dinner are taking precautions, including requiring all attendees to be vaccinated and to provide proof of a negative Covid test taken that day. With vaccines and antiviral drugs available, some experts said, the time for shunning large gatherings is in the past, at least for most healthy people.

The dinner, in a cavernous ballroom at the Washington Hilton, is not the only large-scale event the president was scheduled to attend this week. On Wednesday, he delivered a eulogy at the funeral of Madeleine K. Albright, the former secretary of state an event that drew an estimated 1,400 mourners, most of them masked. On Sunday, Mr. Biden will travel to Minnesota to speak at a memorial service for former Vice President Walter Mondale.

Many public health experts are making calculations of their own. Dr. Carlos del Rio, an infectious disease specialist at Emory University, said he had just returned from Lisbon, where he was among 8,000 attendees of the European Congress of Clinical Microbiology & Infectious Diseases. It was a risk that, with precautions, he was willing to take.

Everybody was vaccinated, everybody was masked except when speaking, he said. But we also went to restaurants and did other things, and I didnt get infected, so I feel very good about that.

Jennifer Nuzzo, an epidemiologist who is leading a new program on pandemic preparedness at Brown Universitys School of Public Health, said she recently attended a large indoor conference and was one of the few wearing masks. She has not gotten Covid-19 and does not want to, but, she said, I am also not completely rearranging my life trying to dodge it.

Everyone has a different risk tolerance, and experts say it is important not to judge other peoples choices. But the president, being the president, has an obligation to the public to not get sick, said Dr. Arthur L. Caplan, the director of N.Y.U. Langones division of medical ethics. He said Mr. Biden should not attend the dinner, ticking off the reasons in an email.

He is high-risk and occupies a very high office at a time of war, Dr. Caplan wrote, adding: He must be hypersafe. The correspondents dinner is highly optional. With the V.P. sick, he really needs to protect himself. His office imposes a duty of precaution.

Ms. Psaki conceded that Mr. Biden could contract Covid, adding that if he did, the White House would be very transparent about it. She said the White House took numerous precautions beyond those of most workplaces to protect Mr. Biden, including social distancing, regular testing and wearing masks during meetings.

Yet she also noted that the president was traveling more lately, having concluded that getting out into the country was vitally important to him, to his presidency, to the American people.

Still, there is an uneasy feeling here and a worry that maybe a gathering of 2,600 people, including journalists and politicians who have spent more than two years warning about the dangers of the pandemic, may not be the best look.

Well, there is a question of whether its EVER appropriate to engage in an exercise in gaudy, celebrity-drenched self-adulation, David Axelrod, a Democratic strategist who was a senior adviser to President Barack Obama, wrote in an email, but thats a separate question.

However, Mr. Axelrod added, The country plainly is eager to move on, and people are regularly gathering in public places stadiums, theaters, restaurants and, as a political matter, Im sure the president is eager to embrace the sense that the siege is largely behind us.

Yet there is no shortage of reminders that the siege may not, in fact, be largely behind us.

The Gridiron Dinner, another gathering of A-listers in the capital, turned into a superspreader event this month. More than 70 attendees later tested positive for the coronavirus, including three members of Mr. Bidens cabinet Attorney General Merrick B. Garland, Agriculture Secretary Tom Vilsack and Commerce Secretary Gina Raimondo as well as Mayor Eric Adams of New York.

The Gridiron freaked everybody out, Sally Quinn, the Washington journalist, socialite and widow of Ben Bradlee, the former executive editor of The Washington Post, told Axios. I know a number of people who are not going because they are not wanting to chance it, she added, referring to the correspondents dinner.

The annual gala, hosted by the White House Correspondents Association, has been a fixture of Washington political life for decades.

Accompanied by a long weekend of spinoff parties, the event raises money for scholarships and honors journalists for distinguished White House coverage. It typically features celebrity entertainment this years featured guest is Trevor Noah and a roast of the president. But the gala has drawn criticism for coming across as an unseemly bacchanal in which journalists cozy up to the people they cover. The New York Times has not allowed its reporters to attend since 2007.

President Donald J. Trump shunned the dinner during his four years in office. The pandemic kept Mr. Biden away last year.

The correspondents association is clearly aware of the sensitivities. Youve had lots of questions, its president, Steven Portnoy of CBS News, wrote to members in an email this month. So heres an update from me on our Covid-19 mitigation strategy.

Citing advice from Dr. Fauci, who suggested same-day testing in addition to a vaccination requirement when asked if large-scale events should proceed, Mr. Portnoy said guests would be required to provide proof of vaccination and a same-day negative antigen test via Bindle, a verification app.

He also added some advice of his own, telling members that if they were eligible for a fourth dose of vaccine, they should consider getting one.

As for Mr. Biden, Dr. Leana Wen, a former Baltimore city health commissioner who has been a vocal proponent of returning to pre-Covid routines, said the president must ask what is important to him. The mitigation measures at the dinner mean Mr. Biden is likely to avoid severe disease if he gets infected, she said. If he wants to avoid infection entirely, she added, he should not go.

However, that is not what living with Covid looks like, and I think that it is very important for him to model that ultimately what Americans should care about is avoiding severe disease, Dr. Wen said, adding, Especially if there are precautions such as testing and vaccination, he needs to show that we can resume our prepandemic lives.

Dr. Wen said she would not be attending the dinner for a different reason: I was not invited.

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Fauci clarifies that the pandemic isnt over, after saying the U.S. is out of the pandemic phase. - The New York Times

Mask Mandates, Vaccines and Travel News: Covid Live Updates – The New York Times

April 28, 2022

Colin Carlson, a biologist at Georgetown University, has started to worry about mousepox.

The virus, discovered in 1930, spreads among mice, killing them with ruthless efficiency. But scientists have never considered it a potential threat to humans. Now Dr. Carlson, his colleagues and their computers arent so sure.

Using a technique known as machine learning, the researchers have spent the past few years programming computers to teach themselves about viruses that can infect human cells. The computers have combed through vast amounts of information about the biology and ecology of the animal hosts of those viruses, as well as the genomes and other features of the viruses themselves. Over time, the computers came to recognize certain factors that would predict whether a virus has the potential to spill over into humans.

Once the computers proved their mettle on viruses that scientists had already studied intensely, Dr. Carlson and his colleagues deployed them on the unknown, ultimately producing a short list of animal viruses with the potential to jump the species barrier and cause human outbreaks.

In the latest runs, the algorithms unexpectedly put the mousepox virus in the top ranks of risky pathogens.

Every time we run this model, it comes up super high, Dr. Carlson said.

Puzzled, Dr. Carlson and his colleagues rooted around in the scientific literature. They came across documentation of a long-forgotten outbreak in 1987 in rural China. Schoolchildren came down with an infection that caused sore throats and inflammation in their hands and feet.

Years later, a team of scientists ran tests on throat swabs that had been collected during the outbreak and put into storage. These samples, as the group reported in 2012, contained mousepox DNA. But their study garnered little notice, and a decade later mousepox is still not considered a threat to humans.

If the computer programmed by Dr. Carlson and his colleagues is right, the virus deserves a new look.

Its just crazy that this was lost in the vast pile of stuff that public health has to sift through, he said. This actually changes the way that we think about this virus.

Scientists have identified about 250 human diseases that arose when an animal virus jumped the species barrier. H.I.V. jumped from chimpanzees, for example, and the new coronavirus originated in bats.

Ideally, scientists would like to recognize the next spillover virus before it has started infecting people. But there are far too many animal viruses for virologists to study. Scientists have identified more than 1,000 viruses in mammals, but that is most likely a tiny fraction of the true number. Some researchers suspect mammals carry tens of thousands of viruses, while others put the number in the hundreds of thousands.

To identify potential new spillovers, researchers like Dr. Carlson are using computers to spot hidden patterns in scientific data. The machines can zero in on viruses that may be particularly likely to give rise to a human disease, for example, and can also predict which animals are most likely to harbor dangerous viruses we dont yet know about.

It feels like you have a new set of eyes, said Barbara Han, a disease ecologist at the Cary Institute of Ecosystem Studies in Millbrook, N.Y., who collaborates with Dr. Carlson. You just cant see in as many dimensions as the model can.

Dr. Han first came across machine learning in 2010. Computer scientists had been developing the technique for decades, and were starting to build powerful tools with it. These days, machine learning enables computers to spot fraudulent credit charges and recognize peoples faces.

But few researchers had applied machine learning to diseases. Dr. Han wondered if she could use it to answer open questions, such as why less than 10 percent of rodent species harbor pathogens known to infect humans.

She fed a computer information about various rodent species from an online database everything from their age at weaning to their population density. The computer then looked for features of the rodents known to harbor high numbers of species-jumping pathogens.

Once the computer created a model, she tested it against another group of rodent species, seeing how well it could guess which ones were laden with disease-causing agents. Eventually, the computers model reached an accuracy of 90 percent.

Then Dr. Han turned to rodents that have yet to be examined for spillover pathogens and put together a list of high-priority species. Dr. Han and her colleagues predicted that species such as the montane vole and Northern grasshopper mouse of western North America would be particularly likely to carry worrisome pathogens.

Of all the traits Dr. Han and her colleagues provided to their computer, the one that mattered most was the life span of the rodents. Species that die young turn out to carry more pathogens, perhaps because evolution put more of their resources into reproducing than in building a strong immune system.

These results involved years of painstaking research in which Dr. Han and her colleagues combed through ecological databases and scientific studies looking for useful data. More recently, researchers have sped this work up by building databases expressly designed to teach computers about viruses and their hosts.

In March, for example, Dr. Carlson and his colleagues unveiled an open-access database called VIRION, which has amassed half a million pieces of information about 9,521 viruses and their 3,692 animal hosts and is still growing.

Databases like VIRION are now making it possible to ask more focused questions about new pandemics. When the Covid pandemic struck, it soon became clear that it was caused by a new virus called SARS-CoV-2. Dr. Carlson, Dr. Han and their colleagues created programs to identify the animals most likely to harbor relatives of the new coronavirus.

SARS-CoV-2 belongs to a group of species called betacoronaviruses, which also includes the viruses that caused the SARS and MERS epidemics among humans. For the most part, betacoronaviruses infect bats. When SARS-CoV-2 was discovered in January 2020, 79 species of bats were known to carry them.

But scientists have not systematically searched all 1,447 species of bats for betacoronaviruses, and such a project would take many years to complete.

By feeding biological data about the various types of bats their diet, the length of their wings, and so on into their computer, Dr. Carlson, Dr. Han and their colleagues created a model that could offer predictions about the bats most likely to harbor betacoronaviruses. They found over 300 species that fit the bill.

Since that prediction in 2020, researchers have indeed found betacoronaviruses in 47 species of bats all of which were on the prediction lists produced by some of the computer models they had created for their study.

Daniel Becker, a disease ecologist at the University of Oklahoma who also worked on the betacoronavirus study, said it was striking the way simple features such as body size could lead to powerful predictions about viruses. A lot of it is the low-hanging fruit of comparative biology, he said.

Dr. Becker is now following up from his own backyard on the list of potential betacoronavirus hosts. It turns out that some bats in Oklahoma are predicted to harbor them.

If Dr. Becker does find a backyard betacoronavirus, he wont be in a position to say immediately that it is an imminent threat to humans. Scientists would first have to carry out painstaking experiments to judge the risk.

Dr. Pranav Pandit, an epidemiologist at the University of California at Davis, cautions that these models are very much a work in progress. When tested on well-studied viruses, they do substantially better than random chance, but could do better.

Its not at a stage where we can just take those results and create an alert to start telling the world, This is a zoonotic virus, he said.

Nardus Mollentze, a computational virologist at the University of Glasgow, and his colleagues have pioneered a method that could markedly increase the accuracy of the models. Rather than looking at a viruss hosts, their models look at its genes. A computer can be taught to recognize subtle features in the genes of viruses that can infect humans.

In their first report on this technique, Dr. Mollentze and his colleagues developed a model that could correctly recognize human-infecting viruses more than 70 percent of the time. Dr. Mollentze cant yet say why his gene-based model worked, but he has some ideas. Our cells can recognize foreign genes and send out an alarm to the immune system. Viruses that can infect our cells may have the ability to mimic our own DNA as a kind of viral camouflage.

When they applied the model to animal viruses, they came up with a list of 272 species at high risk of spilling over. Thats too many for virologists to study in any depth.

You can only work on so many viruses, said Emmie de Wit, a virologist at Rocky Mountain Laboratories in Hamilton, Mont., who oversees research on the new coronavirus, influenza and other viruses. On our end, we would really need to narrow it down.

Dr. Mollentze acknowledged that he and his colleagues need to find a way to pinpoint the worst of the worst among animal viruses. This is only a start, he said.

To follow up on his initial study, Dr. Mollentze is working with Dr. Carlson and his colleagues to merge data about the genes of viruses with data related to the biology and ecology of their hosts. The researchers are getting some promising results from this approach, including the tantalizing mousepox lead.

Other kinds of data may make the predictions even better. One of the most important features of a virus, for example, is the coating of sugar molecules on its surface. Different viruses end up with different patterns of sugar molecules, and that arrangement can have a huge impact on their success. Some viruses can use this molecular frosting to hide from their hosts immune system. In other cases, the virus can use its sugar molecules to latch on to new cells, triggering a new infection.

This month, Dr. Carlson and his colleagues posted a commentary online asserting that machine learning may gain a lot of insights from the sugar coating of viruses and their hosts. Scientists have already gathered a lot of that knowledge, but it has yet to be put into a form that computers can learn from.

My gut sense is that we know a lot more than we think, Dr. Carlson said.

Dr. de Wit said that machine learning models could some day guide virologists like herself to study certain animal viruses. Theres definitely a great benefit thats going to come from this, she said.

But she noted that the models so far have focused mainly on a pathogens potential for infecting human cells. Before causing a new human disease, a virus also has to spread from one person to another and cause serious symptoms along the way. Shes waiting for a new generation of machine learning models that can make those predictions, too.

What we really want to know is not necessarily which viruses can infect humans, but which viruses can cause an outbreak, she said. So thats really the next step that we need to figure out.

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Mask Mandates, Vaccines and Travel News: Covid Live Updates - The New York Times

The Coronavirus Has Infected More Than Half of Americans, the C.D.C. Reports – The New York Times

April 28, 2022

Sixty percent of Americans, including 75 percent of children, had been infected with the coronavirus by February, federal health officials reported on Tuesday another remarkable milestone in a pandemic that continues to confound expectations.

The highly contagious Omicron variant was responsible for much of the toll. In December 2021, as the variant began spreading, only half as many people had antibodies indicating prior infection, according to new research from the Centers for Disease Control and Prevention.

While the numbers came as a shock to many Americans, some scientists said they had expected the figures to be even higher, given the contagious variants that have marched through the nation over the past two years.

There may be good news in the data, some experts said. A gain in population-wide immunity may offer at least a partial bulwark against future waves. And the trend may explain why the surge that is now roaring through China and many countries in Europe has been muted in the United States.

A high percentage of previous infections may also mean that there are now fewer cases of life-threatening illness or death relative to infections. We will see less and less severe disease, and more and more a shift toward clinically mild disease, said Florian Krammer, an immunologist at the Icahn School of Medicine at Mount Sinai in New York.

It will be more and more difficult for the virus to do serious damage, he added.

Administration officials, too, believe that the data augur a new phase of the pandemic in which infections may be common at times but cause less harm.

At a news briefing on Tuesday, Dr. Ashish Jha, the White Houses new Covid coordinator, said that stopping infections was not even a policy goal. The goal of our policy should be: obviously, minimize infections whenever possible, but to make sure people dont get seriously ill.

The average number of confirmed new cases a day in the United States more than 49,000 as of Monday, according to a New York Times database is comparable to levels last seen in late July, even as cases have risen by over 50 percent over the past two weeks, a trend infectious disease experts have attributed to new Omicron subvariants.

Dr. Jha and other officials warned against complacency, and urged Americans to continue receiving vaccinations and booster shots, saying that antibodies from prior infections did not guarantee protection from the virus.

During the Omicron surge, infections rose most sharply among children and adolescents, according to the new research. Prior infections increased least among adults aged 65 and older, who have the highest rates of vaccination and may be most likely to take precautions.

Evidence of previous Covid-19 infections substantially increased among every age group, Dr. Kristie Clarke, the agency researcher who led the new study, said at a news briefing on Tuesday.

Widespread infection raises a troubling prospect: a potential increase in cases of long Covid, a poorly understood constellation of lingering symptoms.

Up to 30 percent of people infected with the coronavirus may have persistent symptoms, including worrisome changes to the brain and heart. Vaccination is thought to lower the odds of long Covid, although it is unclear by how much.

The long-term impacts on health care are not clear but certainly worth taking very seriously, as a fraction of people will be struggling for a long time with the consequences, said Bill Hanage, an epidemiologist at the Harvard T.H. Chan School of Public Health.

Even a very small percentage of infected or vaccinated people who develop long Covid would translate to millions nationwide.

While the focus is often on preventing the health care system from buckling under a surge, we should also be concerned that our health care system will be overwhelmed by the ongoing health care needs of a population with long Covid, said Zo McLaren, a health policy expert at the University of Maryland, Baltimore County.

There are still tens of millions of Americans with no immunity to the virus, and they remain vulnerable to both the short- and long-term consequences of infection, said Dr. Tom Inglesby, director of the Center for Health Security at the Johns Hopkins Bloomberg School of Public Health.

April 28, 2022, 1:27 p.m. ET

Betting that you are in the 60 percent is a big gamble, he said. For anyone whos not been vaccinated and boosted, I would take this new data as a direct message to get that done or expect that the virus is likely to catch up to you if it hasnt already.

Although cases are once again on the upswing, particularly in the Northeast, the rise in hospitalizations has been minimal, and deaths are still dropping. According to the agencys most recent criteria, more than 98 percent of Americans live in communities with a low or medium level of risk.

Even among those who are hospitalized, were seeing less oxygen use, less I.C.U. stays and we havent, fortunately, seen any increase in deaths associated with them, said the C.D.C.s director, Dr. Rochelle Walensky. We are hopeful that positive trends will continue.

The country has recorded about a five-fold drop in P.C.R. testing for the virus since the Omicron peak, and so tracking new cases has become difficult. But the reported count is far less, about 70-fold lower, said Dr. Walensky, reflecting a true and reliable drop in our overall cases.

New subvariants of Omicron, called BA.2 and BA.2.12.1, have supplanted the previous iteration, BA.1, which began circulating in the country in late November and sent cases soaring to record highs in a matter of weeks.

Of course, even more have been infected now, because BA.2 will have infected some who avoided it thus far, Dr. Hanage said.

By February, three of four children and adolescents in the country had already been infected with the virus, compared with one-third of older adults, according to the new study.

That so many children are carrying antibodies may offer comfort to parents of those aged 5 and under, who do not qualify for vaccination, since many may have acquired at least some immunity through infection.

But Dr. Clarke urged parents to immunize children who qualify as soon as regulators approve a vaccine for them, regardless of their prior infection. Among children who are hospitalized with the virus, up to 30 percent may need intensive care, she noted.

Although many of those children also have other medical conditions, about 70 percent of cases of multisystem inflammatory disease, a rare consequence of Covid-19 infection, occur in otherwise healthy children.

As a pediatrician and a parent, I would absolutely endorse the children get vaccinated, even if they have been infected, Dr. Clarke said.

Some experts said they were concerned about long-term consequences, even in children who have mild symptoms.

Given the very high proportion of infection in kids and adults that happened earlier this year, I worry about the rise in long Covid cases as a result, said Akiko Iwasaki, an immunologist at Yale University who is studying the condition.

To measure the percentage of the population infected with the virus, the study relied on the presence of antibodies produced in response to an infection.

C.D.C. researchers began assessing antibody levels in people at 10 sites early in the pandemic, and have since expanded that effort to all 50 states, the District of Columbia and Puerto Rico. The investigators used a test sensitive enough to identify previously infected people for at least one to two years after exposure.

The researchers analyzed blood samples collected from September 2021 to February 2022 for antibodies to the virus, and then parsed the data by age, sex and geographical location. The investigators looked specifically for a type of antibody produced after infection but not after vaccination.

Between September and December 2021, the prevalence of antibodies in the samples steadily increased by one to two percentage points every four weeks. But it jumped sharply after December, increasing by nearly 25 points by February 2022.

The percentage of samples with antibodies rose from about 45 percent among children aged 11 years and younger, and among adolescents aged 12 to 17 years, to about 75 percent in both age groups.

By February 2022, roughly 64 percent of adults aged 18 to 49 years, about 50 percent of those aged 50 to 64 years and about 33 percent of older adults had been infected, according to the study.

Despite the record high cases during the Omicron surge, the reported statistics may not have captured all infections, because some people have few to no symptoms, may not have opted for testing or may have tested themselves at home.

According to one upcoming C.D.C. study, there may be more than three infections for each reported case, Dr. Clarke said.

Noah Weiland contributed reporting from Washington.

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The Coronavirus Has Infected More Than Half of Americans, the C.D.C. Reports - The New York Times

Here are the latest COVID-19 numbers for Thursday, April 28 – WNEP Scranton/Wilkes-Barre

April 28, 2022

PENNSYLVANIA, USA The Pennsylvania Department of Health confirms 2,564additional positive cases of COVID-19, bringing the statewide total to 2,815,518on Thursday, April 28.

There were 12new deaths identified by the Pennsylvania death registry. The statewide total of deaths attributed to COVID-19 is 44,641, according to the department.

NEW: Get COVID-19 information from the U.S. Governmentat covid.gov

View the CDC COVID data trackerhere.

Watch more stories about the coronavirus pandemic on WNEP's YouTube page.

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Here are the latest COVID-19 numbers for Thursday, April 28 - WNEP Scranton/Wilkes-Barre

The pandemic is not over for the parents of youngest kids – CNN

April 28, 2022

But there is one group that remains particularly vulnerable to catching the virus: little kids. There is still no vaccine for children under five -- and there won't be one for at least few more months. Even then, it's not clear how widely it will be available.

Yet kids are getting infected in large numbers.

Three quarters of children in the United States have had Covid-19, according to a new study by the US Centers for Disease Control and Prevention (CDC).

The CDC stressed it is still not known how long this kind of infection-induced immunity lasts, or whether all people who tested positive for Covid antibodies continue to have protection from their prior infection.

For that reason, the CDC says it is still important for people to stay up to date on their Covid-19 vaccines, getting the recommended shots and boosters.

For many parents of the youngest children, this means the pandemic won't be over until they can get their kids vaccinated.

"Young children who are unable to mask and cannot yet be vaccinated have been at higher risk throughout the pandemic, and they remain at higher risk now. Try to limit their time in these settings and look for ways to improve ventilation," said CNN Medical Analyst Dr. Leana Wen.

More than 10,000 children between the ages of 6 months and 12 years are enrolled in Pfizer Covid-19 vaccine trials at study sites around the world.

Pfizer and BioNTech expect to submit data from these trials focused on children younger than 5 in the coming months. That age group is the only one for which a Covid-19 vaccine has not been authorized in the US.

Dr. Anthony Fauci, the chief medical adviser to President Joe Biden, said last week that the US Food and Drug Administration (FDA) is weighing whether to consider emergency use authorization for both the Pfizer/BioNTech and Moderna Covid-19 vaccines for young children at the same time, rather than looking at them separately.

It has expanded approval of the Covid-19 drug remdesivir to treat patients as young as 28 days and weighing about 7 pounds.

YOU ASKED. WE ANSWERED.

Q: Should older children get the booster?

A: Yes -- there seems to be a significant boost to immunity following the booster shot.

They will also share the data with the European Medicines Agency and other regulatory bodies.

In an analysis of 140 children with no evidence of prior Covid-19 infection, antibody levels against the original strain of the SARS-CoV-2 virus were six times higher one month after a booster than a month after the second vaccine dose.

READS OF THE WEEK

Beijing tests 20 million residents amid 'fast and furious' Omicron outbreak

Shanghai has for weeks been under a strict home lockdown as officials try to contain an outbreak there. Public discontent has been mounting, with residents struggling to secure food and medical access.

Beijing started testing all residents of Chaoyang, a bustling district home to the city's business center and foreign embassies, on Monday morning, in the first of three rounds of testing to be conducted over a five-day period, Nectar Gan and CNN's Beijing Bureau report. Residents and office workers formed long lines at makeshift testing centers throughout the day.

"The outbreak in Beijing is coming fast and furious," Xu Hejian, a spokesperson for the Beijing municipal government, said at a news conference.

Family members of Covid-19 ICU patients are at risk of PTSD

Often, family members come away from the experience with symptoms of anxiety, depression and PTSD, according to a new study published Monday in the journal JAMA Internal Medicine.

Dr. Timothy Amass, an assistant professor of medicine at the University of Colorado School of Medicine and the lead author of the study, drew comparisons with experiences in situations of conflict. "When you put that in a hospital, the sudden change in health status is Mom or Dad was healthy yesterday and now they're in the ICU on life support," he said.

Amass and his team surveyed family members in the months after a loved one was admitted to the ICU with Covid-19 in 12 hospitals across the country. Many of the people studied had experienced limited visitation and contact with the patient.

The study found that of the families that responded to the survey, 201 out of 316 (about 63%) had significant symptoms of PTSD.

Opinion: More Covid-19 funding is needed to stay ahead in the next battle

Dr. Ashish Jha, the White House Covid-19 response coordinator, is warning that the US is in a complicated moment in the pandemic.

And while deaths in the US are declining from their most recent peak, hundreds of Americans are still dying from Covid-19 each day.

The US has a choice to make, he says. "We can wait and see what happens next, or we can use this moment as an opportunity to prepare. We can invest in the strategies that will save lives, protect our most vulnerable, keep schools open and keep the economy going when the next surge hits.

"After more than two years of the pandemic and numerous surges, the right answer is clear: We need to prepare now so we can finally get ahead of this virus and be ready for whatever challenges lie ahead," he writes.

"We can do this. But we need funding to make it happen."

TOP TIP

If you have several boxes of Covid-19 home tests stashed away, you might want to use them before they expire to err on the side of caution.

The Food and Drug Administration, the body that authorizes these tests in the US, says on its website it doesn't recommend using at-home diagnostic tests after expiration dates as parts of them may degrade or break down and potentially give inaccurate test results.

But as manufacturers change the expiration dates for some distributed tests as they get more data, many are left wondering if it is that simple.

"Since it takes time for test manufacturers to perform stability testing, the FDA typically authorizes at-home Covid-19 tests with an expiration date of about four to six months from the day the test was manufactured, based on initial study results," said Dr. William Schaffner, professor in the Division of Infectious Diseases at Vanderbilt University School of Medicine.

"Once the test manufacturer has more stability testing results, such as 12 or 18 months, the test manufacturer can contact the FDA to request that the FDA authorize a longer expiration date. When a longer expiration date is authorized, the test manufacturer may send a notice to customers to provide the new authorized expiration date, so the customers know how long they can use the tests they already have."

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The pandemic is not over for the parents of youngest kids - CNN

New data on how many Arkansans have been infected with coronavirus, explained – Northwest Arkansas Democrat-Gazette

April 28, 2022

The Centers for Disease Control and Prevention released data this week estimating 57.7% of people nationally, including 64% of Arkansans, had been infected with covid-19 at some point, as of late February.

Back up: how was this data collected?

The estimates are from an ongoing study using blood samples drawn for routine medical screenings unrelated to covid-19. Nationally, the sample size was 45,810, and from Arkansas, the CDC tested 1,349 samples.

The samples are tested for antibodies that are produced in response to infection but not to vaccination.

State Epidemiologist Mike Cima said the purpose of such studies is to "understand the breadth of spread of covid-19 within our communities," especially when an increasing number of people are diagnosing infections using at-home tests, the results of which are typically not reported to state health departments.

What did the data say about Arkansans?

Overall, the CDC estimates 64% of Arkansans have been infected, but the percentage changes depending on age group.

An estimated 81.3% of Arkansas children up to age 17 have been infected, compared to an estimated 74.6% of children nationally.

Among people 65 and older, the percentage who have been infected was estimated to be 35.7% in Arkansas and 33.2% nationwide.

Do people who have been infected need to be vaccinated?

Cima said even if someone has been infected, it is recommended they get vaccinated.

"We would encourage anybody who has not been vaccinated to start their vaccination series, regardless of whether they've been previously infected or not." Cima said.

Children age 5 and older are eligible for the Pfizer vaccine. The other vaccines authorized in the United States, from Moderna and Johnson & Johnson, are available to people aged 18 and older.

What are vaccination rates like in Arkansas at this point?

According to the CDC, 66.5% of Arkansans had received at least one dose as of Tuesday. However, there is a wide disparity in vaccinations by age group.

The CDC says just 23.1% of Arkansas children 5-11 have received at least one dose. The percentage is higher, 55.9%, for Arkansas children 12-17.

Of Arkansas adults 18 and older, 78.0% have received at least one shot. The percentage rises to 95.0% among Arkansans 65 or older.

Read more about the CDC data and a recent uptick in covid-19 cases from reporter Andy Davis.

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New data on how many Arkansans have been infected with coronavirus, explained - Northwest Arkansas Democrat-Gazette

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