Category: Corona Virus

DEAR DR. ROACH: In a recent column, you wrote that there is no risk to family from shedding after receiving the COVID-19 vaccine. You failed to mention that according to the Centers for Disease Control and Prevention, the grandparents could catch COVID and spread it even after being fully vaccinated. Also, according to the CDC, they might be contagious and have a viral load, even before they start showing any symptoms. Isnt the only way to ensure they are not contagious to be tested? -- D.I.

ANSWER: The topic of that column was shedding after a vaccine, and it is true there is no risk of shedding COVID-19 from the vaccination. However, you are correct that it is possible for a vaccinated person to have active, asymptomatic infection.

New data from the age of the delta variant shows that asymptomatic, vaccinated people may indeed by infectious. For this reason, wearing a mask remains important, especially around people at high risk for complications for COVID-19. That includes vaccinated individuals.

Its very important to note that the risk of asymptomatic infection spreading from a vaccinated person is much lower than from an unvaccinated person, simply because someone who is vaccinated is a lot less likely to get COVID-19.

DEAR DR. ROACH: Im an 83-year-old woman. Two years ago, I was diagnosed with diverticulitis. It comes and goes. My doctor recommended I see a surgeon, who recommended a sigmoidoscopy. I dont see what the benefit is. I had two CT scans that showed diverticulitis. The surgeon said he would not do surgery on me.

Do you think I should have the sigmoidoscopy? Is there any risk to this procedure? The doctor said I would be sedated, and I am very reluctant to have it done. -- P.S.

ANSWER: All procedures have risks. A sigmoidoscopy generally has fewer risks than a full colonoscopy, but there is still a risk of damage to the colon, and even moderate sedation, by itself, has risks. The likelihood of benefit must be weighed against the risk of harms.

In your case, I think I can guess why the surgeon wants you to get the sigmoidoscopy. The diagnosis really isnt in doubt -- the CT scans you had are definitive. My best guess is that the surgeon wants to be sure there isnt something else there, especially cancer. The risk of being diagnosed with colon cancer after diverticulitis is substantially higher than would be expected, especially in a person with recurrent symptoms, as you have had. Unless you had an examination of your colon within the past year, such as a colonoscopy, the guidelines recommend an evaluation. The authorities recommend a full colonoscopy, but I suspect your surgeon wants to look most specifically at the area of the colon with the diverticula, which is usually the sigmoid colon. As I noted, a sigmoidoscopy has fewer risks than a full colonoscopy.

This is my guess, but I recommend that since you are reluctant to have the procedure done, ask the surgeon why you need it. The surgeon shouldnt get upset by you asking. Its our job to explain why we recommend what we do, and the reasons why we recommend it over the alternatives.

* * *

Dr. Roach regrets that he is unable to answer individual letters, but will incorporate them in the column whenever possible. Readers may email questions to ToYourGoodHealth@med.cornell.edu or send mail to 628 Virginia Dr., Orlando, FL 32803.

(c) 2021 North America Syndicate Inc.

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Dear Doctor: Isnt it possible for a vaccinated person to have active, asymptomatic coronavirus? - OregonLive

September, which was already the deadliest month of the pandemic in North Dakota since January, saw its death count increase from 46 to 56 with the Department of Health's latest report on Monday, Oct. 4. The state reported 23 deaths in August, when the current delta surge was still taking off.

The health department occasionally releases large, single-day disclosures of virus deaths, often due to reporting backlogs. In early October of last year, the state reported 24 COVID-19 deaths in a single day, citing a lag that included some deaths from the week prior.

Active virus cases in North Dakota dipped back below 4,000 on Monday following low weekend testing, while virus hospitalizations remained near their highest levels since last December. The state's six largest health care centers have struggled to accommodate the demands of smaller rural facilities in recent weeks, as rising delta hospitalizations, noncoronavirus admissions and staffing shortages have converged to push hospitals to critical capacity.

On Friday, Gov. Doug Burgum and top North Dakota doctors urged residents to make healthy decisions to avoid putting additional strain on the state's already struggling hospital system.

The following are the North Dakota case rates, deaths, hospitalizations and vaccinations as of Oct. 4. Because all data is preliminary, some numbers and totals may change from one day to the next.

Children under age 12, a demographic not yet eligible for vaccination, accounted for 593 of North Dakota's active cases on Monday, as well as four of the state's virus hospitalizations. More than a quarter of North Dakota's active cases are residents under 20 years old.

Burleigh County, which includes Bismarck, had the most known active cases on Monday with 816. Cass County, which encompasses Fargo, had 755 active cases, and Ward County, which includes Minot, had 302.

In recent days the state's 14-day rolling average positivity has hovered above 7.5%, its highest level since December 2020.

ACTIVE HOSPITALIZATIONS: 157

DEATHS: 10 since Friday, Oct. 1

TOTAL DEATHS: 1,621

Virus hospitalizations have fallen from a recent high of 166 early last week but remain near their highest point since last December. Three of the state's active hospitalizations were children five or younger, while two children between six and 14 were also hospitalized as of Monday.

A total of 15 staffed ICU beds were available statewide as of Sunday, according to a state health department database. Bismarck's two hospitals had just one ICU bed and no inpatient beds available. Fargo had nine ICU beds and 17 inpatient beds.

FIRST DOSE ADMINISTERED: 367,828 (55.4% of population ages 12 and up)

FULL VACCINE COVERAGE: 341,376 (51.4% of population ages 12 and up)

The health department is rolling out booster shots for those who received initial doses of the Pfizer vaccine at least six months ago. The Centers for Disease Control and Prevention approved booster doses for those 65 and older, residents of long-term care facilities, adults with underlying conditions and people in high-risk occupations such as health care, teachers and grocery store employees.

About 80,000 North Dakotans are currently eligible for a booster dose, Molly Howell, state immunization manager, said last week.

The Department of Health encourages individuals to get information about vaccines at http://www.health.nd.gov/covidvaccinelocator.

As a public service, weve opened this article to everyone regardless of subscription status. If this coverage is important to you, please consider supporting local journalism by clicking on the subscribe button in the upper righthand corner of the homepage.

Readers can reach reporter Adam Willis, a Report for America corps member, at awillis@forumcomm.com.

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North Dakota reports 10 new COVID-19 deaths over the weekend as hospitalizations remain high - Grand Forks Herald

The DAAD continues to follow the developments on the coronavirus and adapts its activities flexibly to changing situations.

Information for- - - -

In order to counteract the spread of the coronavirus, the DAAD continuously adapts its funding programmes to the dynamic pandamic situation. The protection of funding recipients, partners and employees is a priority.Please note the continu-ously updated information provided by the authorities, in particular the as well as the detailed which include all current warnings.

The pandemic continues to develop dynamically and is a cause for concern in many countries around the world. If you want to apply for a DAAD scholarship or maybe you already have received your letter of award, you will certainly have many questions as to whether, when and how it is possible to start a scholarship in the Corona-induced pandemic situa-tion.

If entry into your host country is not possible due to the pandemic, or if your host country is a virus variant area or a high-risk area, the DAAD would also like to support you in this difficult situation and offers flexible solutions in almost all programmes:

If you decide to travel to a corona risk area (high-risk area or area of variants of concern) you do so at your own risk. We strongly advise you to get vaccinated in this case before leaving Germany.

Please be sure to obtain detailed information about all the consequences of travelling to a corona risk area before you decide, in particular about the rules applicable on departure and return, quarantine and testing obligations, hygiene regulations and other rules of conduct. When making your decision, please also consider the general situation of the health system in your host country. We would also like to point out that the Federal Foreign Office has ruled out Corona-related emergency repatriations of German citizens.

Your scholarship office will be happy to answer any questions you may have. Please read the information compiled beforehand.

We ask our scholarship holders to make sure that they are registered in the crisis prevention list of the Federal Foreign Office, regardless of which country they live in. It is strongly recommended that you also note the emergency number, which can be found on the website of the respective German mission abroad, and that you also inform on the website of the respective embassy about further contact details.

If you are in a area of , please clarify in advance with your transport company whether your return journey is possible without any problems. If you have German citizenship or a residence in Germany, an applies and you may therefore enter Germany. However, you are obliged to provide proof of a test upon entry and to undergo a 14-day quarantine. This also applies to those who have been fully vaccinated an recovered.

If you wish to return to Germany due to the current pandemic situation, you find detailed information . We would like to ask scholarship holders who have returned to Germa-ny in the meantime to temporarily remove themselves from the crisis prevention list of the Federal Foreign Office.

Applications for ongoing calls for proposals will continue to be received and processed, Commission meetings will partly be held by Video conference or decisions will be taken on the basis of written documents.

If you want to apply for a DAAD scholarship or maybe you already have received your letter of award or you would like to travel to Germany for study or research purposes without a scholarship, you will certainly have many questions as to whether, when and how you may start your project in the corona-induced pandemic situation. The same applies to people who have in the meantime returned to their home country and are now considering re-entering Germany.

In the following, we would like to provide you with an overview of the entry options to Germany. Please also refer to the continuously updated information provided by the German authorities, in particular the (BMI) and the (BMG), which since 1 August classify countries of origin into two groups:

High-risk areasAreas of variants of concern

Based on the quarantine regulations of the German federal states, people who have stayed in one of these areas within ten days before entering Germany are required to register at before arriving in Germany and to carry proof of registration with them upon entry.

In addition, all entrants must currently have proof of entry. This can be proof of vaccination or recovery or a test certificate (see ).

Please also read the information on the website of the or the information on the website of the and the regarding entry from risk areas.

Please inform yourself regularly about the risk classification of your home country.

High-risk areas

If you are entering from a , you must be tested prior to entry and submit a negative test result to the airline, train or bus company. Proof of vaccination or recovery can also be presented instead. Proof may also be required at the entry control in Germany by the Federal Police.

In Germany you have to go into 10-day quarantine immediately after entering the country. Quarantine can be shortened from day 1 with proof of vaccination or recovery or from day 5 with negative test proof. As a precaution, we would like to point out that the DAAD cannot organize quarantine accommodations.

Areas of variants of concern

For people staying in so-called with a particularly high spread of mutations of the virus, transport to Germany as well as an entry according to the Corona Virus Entry Ordinance (CoronaEinreiseV) are currently generally prohibited. This also applies to fully vaccinated persons. Exceptions are only possible in very few cases, for example for persons with residence and right of abode in Germany ().

For students as well as scientists from areas of variants of concern this means that a presence study or a research stay in Germany for Wintersemester 2021/2022 cannot be ensured at the moment. Please note that entry is also not possible if a study place commitment has already been granted by the German university: Since entry is not possible, visas cannot be issued as long as a country is considered an areas of variants of concern.

The following entry requirements must also be observed:

Entry into Germany from EU member states and from "Schengen-associated" states is possible - unless the above-mentioned restrictions regarding areas of variants of concern or high-risk areas apply; no "compelling necessity" for entry must be demonstrated.

Furthermore, the following applies to entries from third countries:

A list of third countries from which entry is also possible without a valid reason for entry can be found on the .

For all other third countries the following applies (unless the above-mentioned restrictions regarding areas of variants of concern or high risk areas apply):

It is a prerequisite that the person entering the country has received a complete vaccination (in the case of a recovered person: one administered vaccine dose), that at least 14 days have passed since the last required individual vaccination, and that the vaccine is listed on the .

Upon entry, an or comparable proof of vaccination in English, French, German, Italian or Spanish must be presented.

Third-country nationals from all other countries may enter Germany for study purposes (including doctoral studies), if the studies cannot be carried out entirely from abroad (subject to restrictions for certain risk areas). Because institutions of higher education are organising the courses as a combination of online and in-person instruction, it is not necessary to provide any separate documentation of the need to attend in person.

Entry from third countries is also possible for research purposes (also subject to restrictions for certain risk areas). As a rule, the "economic necessity" of the stay required for skilled workers is assumed if the research activity is carried out at a recognised research institution. These are universities and other research institutions whose activities are mainly financed by public funds.

Proof of the requirement for presence in Germany is a prerequisite for entry (e.g. by presenting the employment contract, the hosting agreement or the letter of invitation from the university/research institution).

In addition, in the case of short-term stays (up to 90 days), it must be credibly demonstrated that the intended research activity cannot be carried out in the same way via online formats (e.g. video conferences).

Please take care of your visa application at a very early stage, as the visa sections of the German missions offer sometimes only a few dates for the application and therefore delays occur.

Information for DAAD scholarship holders:

As it is not yet clear for all countries of origin whether and when entry to Germany will be possible without any problems, we have provided you with the opportunity to start your scholarship project, i.e. your studies or research project, online from your home country or to postpone the start of the scholarship if entry to Germany is not possible for you. To find out whether this possibility exists for your programme and your country of origin, please contact your programme section.

Information about these possibilities as well as further questions and answers concerning the topic "DAAD Scholarships in the Corona Crisis" can be found .

For Erasmus students, the EU Commission has announced that in the event of changes in travel plans (return, cancellation), costs can be reimbursed up to the amount of the total scholarship agreed upon in advance. As most universities in the Erasmus area are closed, we ask all Erasmus students to contact their home university.

The National Agency for EU Higher Education Cooperation has two lists of (in German) for students and higher education institutions on coronavirus and Erasmus+.

The DAAD asks its member universities and project leaders to cancel all DAAD-funded trips from abroad to Germany until further notice. Likewise, there should be no more trips abroad. The DAAD is aware that cancellation costs are unavoidable.

The DAAD will generally endeavour to find accommodating arrangements for the projects funded. We recommend our member universities and project leaders to find out whether projects or stays can be postponed or, if necessary, replaced by virtual formats.

The central tendering run on 1 April remains in place furthermore, whereby the application deadlines may be adapted to the situation or further development of the corona pandemic (COVID-19 for short).

Information for project leaders on how to deal with the effects of the Corona crisis on project funding will be available (in German).

Information about the Erasmus+ programme and the corona virus can be found (in German).

As a matter of principle, we advise against all non-essential travel.

The DAAD has cancelled all business trips and events in Germany. Our offices abroad also react dynamically to the respective situation on site.

We recommend the following sources of information:

The pandemic caused by the corona virus affects all areas of life. Our universities are also massively affected: the start of lectures has been suspended or postponed, libraries and cafeterias are closed, campuses like almost all places in public life are deserted for the most part. Many students are affected in several ways; firstly, it is still uncertain whether and how the teaching of classes can be ensured; secondly, important sources of income have dried up for many students because their part-time job has fallen victim to the crisis. At the same time there are industries and areas (such as agriculture or retail) that are desperately looking for temporary jobbers. Also, the need for voluntary help is growing rapidly, e.g. at food banks or for elderly people. The DAAD would like to make a small contribution to bring these different groups together. We recommend the following offers to students who want to get involved or who are urgently looking for a part-time job:

The website of the Deutsches Studentenwerk, which offers advice for students with financial difficulties, is also highly recommended:

General information can be found here

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Information on the Corona virus - as of 6 September 2021 ...

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Coronavirus | Herald Scotland

Reported in the past 24 hours

1 October 2021 15:00 (EST)

177,954Additional cases

3,473Additional deaths

0.20%Relative in cases

0.16%Relative in deaths

*Daily reports are no longer published on weekends or holidays.

Highlighting the disproportionate human and economic impact of the pandemic in the region, which has killed over 2.4 million people and led 22 million into poverty in the Americas, Pan American Health Organization (PAHO) Director Carissa F. Etienne stressed that vaccines must be made available to all. There is no path to recovery for any of us while our neighbors remain vulnerable and while variants circulate and multiply. Read more

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Coronavirus Disease (COVID-19) Pandemic - PAHO/WHO | Pan ...

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Coronavirus | Fox News

Page last updated on October 2nd, 2021 at 05:03 pm

**Vaccine data dashboard updated Monday-Friday by 1 pm with the exception of holidays.

People received vaccine

People have received one dose of a two-dose series

People are fully vaccinated (depending on brand)***

Total doses administered(Total doses administered may include doses reported without an indication of 1st or 2nd dose.)

***Fully vaccinated includes people who have received both doses of Moderna or Pfizer vaccines, or a single dose of the Janssen vaccine.

Vaccine Data at a Glance updated by 1:00 p.m. MT Monday through Friday, excluding holidays. Data are current as of 10/1/2021.Vaccine administration data are based on data contained in the Immunization Reminder Information System (IRIS).

Cases(Total includes confirmed and probable cases)

New Cases (Confirmed and Probable) Today (10/2)

A note about our COVID-19 case data dashboard: It looks like cases numbers are decreasing, but recent data are incomplete. Several local public health districts are behind in their reporting to the state due to the high volume of new cases. We apologize for the confusion.

State-level case, laboratory, and hospital data updated daily by 5:00 p.m. MT, excluding holidays. Data are current as of 10/2/2021. Case data are based on surveillance system records provided by the public health districts. Public health district data will be updated on their agency website at their discretion and might differ from data presented here. Data are preliminary and subject to change.

To protect your family and friends, your community, vulnerable Idahoans, local businesses, and our students and teachers, please remember to:

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Welcome to Novel Coronavirus (COVID-19)

Offices and non-public indoor work settings

Organisations and employers who are responsible for a workplace should take these actions now to reduce the risk of transmission of coronavirus (COVID-19). Full details can be found at thePreventing infection workplace coronavirus (COVID-19) page.

Victoria's coronavirus (COVID-19) restrictions are enforceable with on-the-spot fines of $1,652 for individuals and $9,913 for businesses.

If you have any questions about your businesss ability to open under current restrictions you can contact Business Victoria'scoronavirus hotline by calling 13 22 15 or usingContact Us form . Subscribe to the Business Victoria Update to stay up-to-date with the latest advice for your business.

For the latest advice and resources on coronavirus (COVID-19), see the Victorian GovernmentDHHS coronavirus page .

The Fair Work Actdoes not have specific rules where employees are delayed overseas or in quarantine, so employees and employers need to come to their own arrangement. This may include:

You can contact theFair Work Ombudsman on 13 13 94 for further information.

If you have staff who must attend the workplace, encourage the use of the Australian Government's COVIDSafe app which speeds up contacting people exposed to coronavirus (COVID-19) as a measure to protect your staff and customers.

Free, short, accredited training is available to help staff identify and manage the ongoing risk of coronavirus (COVID-19) infections in the workplace.Free infection control training will help businesses prepare to safely reopen and ensure their customers and workforce are protected.

Information for workers to help them understand their rights and responsibilities in the workplace, and where to find support and information about coronavirus (COVID-19).

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COVIDSafe workplaces | Coronavirus Victoria

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STATEN ISLAND, N.Y. As coronavirus (COVID-19) vaccines are now available to kids 12 and over, and could be available to kids under 11 before the end of this year, one of Staten Islands top pediatrics doctors is encouraging families to get their kids vaccinated as the benefit of the vaccine against serious illness far outweighs the low risk of side effects.

My encouragement is for everybody to get the vaccine, that the number of side effects is extremely low and the temporary side effects, its much better than dealing with the illness -- where the child is going to be in a pediatric ICU and the parents are going to be praying for their childs life, said Dr. Brian McMahon, pediatric chair at Richmond University Medical Center (RUMC).

While many children are contracting the coronavirus and experiencing mild symptoms, the borough doctor is warning that there have been some very serious cases of COVID in children.

Many children get the COVID illness and its mild, however, there have been some very serious cases of COVID in children, said McMahon. I would make a distinction between the age 12 and older, and 12 and under. We have had serious cases where we were just thankful that the patient survived patients that we had to treat in our pediatric ICU.

He explained that the hospital has treated several patients in the pediatric unit, including an 18-year-old and a 17-year-old who both had pneumonia after contracting COVID-19.

There was a 19-year-old who, we were doing everything we could and we just said, almost to ourselves, Its in Gods hands. And we didnt think she was going to make it, but she did, McMahon recalled.

While children are less likely to be severely ill -- it doesnt mean its impossible. McMahon pointed to the 13-year-old in Mississippi, with no risk factors, who died a few weeks ago after contracting COVID-19.

A big point that I would like to make is there is no age in which we can say you are invulnerable, he said. Very often, the younger you are, the better youre going to do -- but nobody can say, Oh youre a baby, therefore, youll get COVID therefore we have nothing to worry about. Its not true.

MUST BE CAREFUL AT ALL AGES

He continued: We have to be careful at all ages, and thats the reason why we want vaccinations to be given -- and its also the reasoning why we give many, if not most, of the other vaccines.

A big task is to engage parents who may not think getting their kid vaccinated is necessary, or who have strong convictions against the shot, he said.

Ive seen too many times people who are on their deathbed saying, I wish I had gotten the vaccine, and weve seen it in healthy people, who are pictures of health.

McMahon said about 1.5 million patients between the ages of 12 and 17 have been diagnosed with COVID-19 in the United States.

So it does occur, and teenagers -- unfortunately, 13,000 were hospitalized, said McMahon. That comes to a little number for me that sounds like 88.7 per thousand. Thats much higher than the risk of side effects.

Earlier this month, Dr. Anthony Fauci, the nations top infectious disease expert, spoke to The New York Times during the media outlets special program, What We Know About Kids and Covid-19, about the concerns parents may have about getting their kids vaccinated.

Is the risk of COVID to the children worth the risk of the vaccine? Fauci asked. The risk of a vaccine is exceedingly low. True, in general, children do not have as likely a chance of getting a severe outcome as adults and those with underlying conditions, but all you need to do right now is go throughout the country, particularly in the southern states -- Florida, Texas, Alabama, Louisiana -- places like that, and go to the pediatric hospitals and you will see the beds are filled with children who have COVID-19 serious enough to have them require hospitalization.

He explained that while, statistically, the illness isnt as bad in children as in adults, you still do not want your child to get infected -- not only because it could be a serious disease, but because there may be long-lasting effects of COVID-19. Things that we refer to as long COVID.

Long COVID means that after you clear the virus and are apparently free of disease, there are lingering symptoms of fatigue, muscle aches, sleep disturbances, among others.

NOT A GOOD THING

So its not a good thing to get infected with this virus, and thats the reason why we feel strongly that ultimately we should get everyone vaccinated against it, Fauci added.

McMahon explained he has been giving the COVID vaccine in his office, and his pediatric patients havent experienced severe side effects. Most common side effects of the vaccine are pain at the injection site, chills, muscle or joint pain -- usually felt after the second dose.

This is, for me, minor. You can take Tylenol and you might feel it day two, and by day three youre fine, he said.

He pointed to one study that found 6% of vaccinated adolescents experienced an adverse event of a swollen lymph node. McMahon explained this isnt something severe to worry about, as some people can get swollen lymph nodes after a sore throat, whether it be strep throat or mononucleosis.

... by vaccinating the children, youre helping to protect everybody else in the family, whether it be the parents or the grandparents. So Im in favor of the vaccine, he said.

But some parents may still not be ready to vaccinate their children -- even for parents who are vaccinated themselves. But McMahon said there are no serious side effects when vaccinating children.

They think the vaccine is too new, but its been given to hundreds of millions of people, McMahon noted. Its got a tremendous safety margin, and its 90% effective.

He added that parents may be afraid that the mRNA of the vaccine is somehow going to get incorporated into the DNA of their children. But he said the MRNA lasts a finite time in which it instructs the cells to produce antibodies against COVID-19, and then its gone.

It doesnt hang around, it doesnt get incorporated into the DNA of their children, he said. And thats why you can give it to pregnant women and the mother will have antibodies, as well as it will protect her newborn at birth.

Currently, only children 12 and older are eligible to get a coronavirus vaccine under an emergency use authorization by the U.S. Food and Drug Administration (FDA).

Pfizer submitted research to the FDA on Wednesday on the effectiveness of its vaccine on children ages 5 to 11 years old, but the shots may not be available until November.

First of all, the companies [Pfizer and Moderna] have to submit the data to the FDA, Fauci told The Times. Then it becomes a regulatory decision as to whether or not they deemed that the risk-benefit is definitely worth the benefit over the risk. Hopefully, that will be the case, because we all want to see children who are in that younger age group get vaccinated.

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Is the coronavirus vaccine safe for children? What parents need to know. - SILive.com