Category: Covid-19

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What We Know and Don’t About the Omicron COVID-19 Variant – Wheeling Intelligencer

November 29, 2021

People wear face masks as they walk, in Regent Street, in London, Sunday, Nov. 28, 2021. Britain's Prime Minister Boris Johnson said it was necessary to take "targeted and precautionary measures" after two people tested positive for the new variant in England. He also said mask-wearing in shops and on public transport will be required. (AP Photo/Alberto Pezzali)

LONDON (AP) South African scientists identified a new version of the coronavirus that they say is behind a recent spike in COVID-19 infections in the countrys most populous province.

Its unclear where the new variant first emerged, but scientists in South Africa alerted the World Health Organization in recent days, and it has now been seen in travelers arriving in several countries, from Australia to Israel to the Netherlands.

On Friday, the WHO designated it as a variant of concern, naming it omicron after a letter in the Greek alphabet.

WHAT DO WE KNOW ABOUT OMICRON?

Health Minister Joe Phaahla said the variant was linked to an exponential rise of cases in the last few days.

From just over 200 new confirmed cases per day in recent weeks, South Africa saw the number of new daily cases rocket to more than 3,200 Saturday.

Struggling to explain the sudden rise in cases, scientists studied virus samples and discovered the new variant. Now, as many as 90% of the new cases in Gauteng the countrys most-populous province are caused by it, according to Tulio de Oliveira, director of the KwaZulu-Natal Research Innovation and Sequencing Platform.

WHY ARE SCIENTISTS WORRIED ABOUT THIS NEW VARIANT?

After convening a group of experts to assess the data, the WHO said that preliminary evidence suggests an increased risk of reinfection with this variant, as compared to other variants.

That means people who contracted COVID-19 and recovered could be subject to catching it again.

The variant appears to have a high number of mutations about 30 in the coronavirus spike protein, which could affect how easily it spreads to people.

Sharon Peacock, who has led genetic sequencing of COVID-19 in Britain at the University of Cambridge, said the data so far suggest the new variant has mutations consistent with enhanced transmissibility, but said that the significance of many of the mutations is still not known.

Lawrence Young, a virologist at the University of Warwick, described omicron as the most heavily mutated version of the virus we have seen, including potentially worrying changes never before seen all in the same virus.

WHATS KNOWN AND NOT KNOWN ABOUT THE VARIANT?

Scientists know that omicron is genetically distinct from previous variants including the beta and delta variants, but do not know if these genetic changes make it any more transmissible or dangerous. So far, there is no indication the variant causes more severe disease.

It will likely take weeks to sort out if omicron is more infectious and if vaccines are still effective against it.

Peter Openshaw, a professor of experimental medicine at Imperial College London said it was extremely unlikely that current vaccines wouldnt work, noting they are effective against numerous other variants.

Even though some of the genetic changes in omicron appear worrying, its still unclear if they will pose a public health threat. Some previous variants, like the beta variant, initially alarmed scientists but didnt end up spreading very far.

We dont know if this new variant could get a toehold in regions where delta is, said Peacock of the University of Cambridge. The jury is out on how well this variant will do where there are other variants circulating.

To date, delta is by far the most predominant form of COVID-19, accounting for more than 99% of sequences submitted to the worlds biggest public database.

HOW DID THIS NEW VARIANT ARISE?

The coronavirus mutates as it spreads and many new variants, including those with worrying genetic changes, often just die out. Scientists monitor COVID-19 sequences for mutations that could make the disease more transmissible or deadly, but they cannot determine that simply by looking at the virus.

Peacock said the variant may have evolved in someone who was infected but could then not clear the virus, giving the virus the chance to genetically evolve, in a scenario similar to how experts think the alpha variant which was first identified in England also emerged, by mutating in an immune-compromised person.

ARE TRAVEL RESTRICTIONS BEING IMPOSED BY SOME COUNTRIES JUSTIFIED?

Maybe.

Israel is banning foreigners from entering the country and Morocco has stopped all incoming international air travel.

A number of other countries are restricting flights in from southern Africa.

Given the recent rapid rise in COVID-19 in South Africa, restricting travel from the region is prudent and would buy authorities more time, said Neil Ferguson, an infectious diseases expert at Imperial College London.

But the WHO noted that such restrictions are often limited in their effect and urged countries to keep borders open.

Jeffrey Barrett, director of COVID-19 Genetics at the Wellcome Sanger Institute, thought that the early detection of the new variant could mean restrictions taken now would have a bigger impact than when the delta variant first emerged.

With delta, it took many, many weeks into Indias terrible wave before it became clear what was going on and delta had already seeded itself in many places in the world and it was too late to do anything about it, he said. We may be at an earlier point with this new variant so there may still be time to do something about it.

South Africas government said the country was being treated unfairly because it has advanced genomic sequencing and could detect the variant quicker and asked other countries to reconsider the travel bans.

Dr. Matshidiso Moeti, WHOs regional director for Africa, commended South Africa and Botswana for quickly informing the world about the new variant.

With the omicron variant now detected in several regions of the world, putting in place travel bans that target Africa attacks global solidarity, Moeti said. COVID-19 constantly exploits our divisions. We will only get the better of the virus if we work together for solutions.

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What We Know and Don't About the Omicron COVID-19 Variant - Wheeling Intelligencer

Nearly 200 new COVID-19 cases reported on Cape and Islands – Cape Cod Times

November 29, 2021

What to know about COVID-19 boosters: Pfizer, Moderna, J&J

FDA approved COVID-19 boosters for adults who had Pfizer and Moderna vaccines at least six months ago and J&J at least 2 months ago.

USA TODAY

The state Department of Public Health's COVID-19Interactive Data Dashboard was not posted on Thanksgiving Day, Nov.25. Data from Wednesday, Nov.24 to Thursday, Nov.25 is included in the dashboard posted on Friday, Nov.26.

There were 5,058 newly confirmed cases of COVID-19, bringing the total case count in the state to 847,030.

There were 240 new probable cases of the disease, bringing the total number of probable cases to 62,675.

According to the state, 771 patients were hospitalized for COVID-19, including 156 in the intensive care unit. Of those, 84 patients were intubated.

International COVID updates: Omicron cases found in Canada, UK; experts warn new variant could be in US undetected

There were 24 newly confirmed deaths due to COVID-19, bringing the total number of deaths due to the disease to 18,939.State officials reported no probable deaths due to COVID-19. The number of probable fatalities stands at 412.

Theseven-dayaverage of percent positivity is 3.37%.The Dashboard reported171,111 new molecular teststaken, bringing thecumulativetotal to33,275,363.

Prepare to wait: Shortage of Cape primary care doctors causes long delays for first visits

New 14-dayand total cases and testing positivity rates for the other Cape towns are:

Barnstable (233/5,416/6.35%);Bourne (109/1,848/5.63%); Brewster (45/692/6%); Chatham (19/434/5.37%); Dennis (69/1,160/7.11%); Eastham (10/278/3.57%); Falmouth (79/2,186/3.35%); Harwich (66/1,040/6.6%); Mashpee (36/1,172/3.29%); Orleans (28/399/7.02%); Provincetown (less than five/348/.99%); Sandwich (109/1,767/6.17%); Truro (0/127/2.94%); Wellfleet (8/158/3.62%); and Yarmouth (109/2,248/5.96%).

COVID vaccination rate confusion: Fed, state numbers vary wildly for Cape, Islands. Why?

Barnstable Countyreported187 newly confirmed cases of COVID-19 for a total of 19,460 to date. The total of probable and confirmeddeaths due to the disease is 528.

Dukes County reported fournewly confirmed cases of COVID-19 for a total of 1,910 to date. There were no newly reported cases in Nantucket County. The total case count to dateis1,980.Dukes and Nantucket counties combined report a total of seven deaths due to the disease.

As of Nov. 25, Cape Cod Hospital reported 18 patients hospitalized with COVID-19, with two patients in the ICU.Falmouth Hospital had three confirmed COVID-19 patients with one in the ICU. Neither Marthas Vineyard norNantucket Cottage hospitals had any COVID-19 patients.

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Nearly 200 new COVID-19 cases reported on Cape and Islands - Cape Cod Times

Severe COVID-19: 1 in 100 patients may have brain complications – Medical News Today

November 29, 2021

As the COVID-19 pandemic wears on, experts increasingly recognize that SARS-CoV-2, the virus that causes the disease, affects areas beyond the lungs. It can also infect the kidneys, gut, and blood vessels, for example.

In addition, COVID-19 can cause a range of neurological and psychiatric symptoms.

One telltale symptom is a loss of taste or smell, which indicates that SARS-CoV-2 can infect the peripheral nervous system. But the virus can also affect the central nervous system, producing symptoms such as headaches, dizziness, confusion, and seizures.

Now, a large international study led by researchers at Thomas Jefferson University, in Philadelphia, has found that around 1% of patients hospitalized with COVID-19 develop potentially fatal brain complications.

These include strokes, bleeding, and inflammation called encephalitis.

Much has been written about the overall pulmonary [lung] problems related to COVID-19, but we do not often talk about the other organs that can be affected, says Dr. Scott H. Faro, a professor of radiology and neurology at the university, who also led the study.

Our study shows that central nervous system complications represent a significant cause of morbidity and mortality in this devastating pandemic, he explains.

The researchers presented their currently unpublished results at the annual meeting of the Radiological Society of North America, in Chicago. The study has yet to be peer reviewed, and only a summary of the results is available.

The retrospective, observational study involved almost 40,000 patients, who were hospitalized with COVID-19 at any of seven university hospitals in the United States or four in Western Europe.

The participants average age was 66 years, and there were twice as many men as women.

Many had preexisting conditions, such as heart disease, diabetes, or high blood pressure, which is also called hypertension.

Among those who had undergone a brain MRI or CT scan, 442 patients had brain-related complications attributable to COVID-19.

This suggests that around 1.2% of the total patient group had a brain complication as a result of the disease.

The most frequent complications were:

More rare complications included inflammation of the brain and spinal cord, which is called acute disseminating encephalomyelitis, and encephalopathy syndrome, which causes symptoms similar to those of a stroke.

It is important to know an accurate incidence of all the major central nervous system complications, Dr. Faro says, noting, There should probably be a low threshold to order brain imaging for patients with COVID-19.

Overall, brain complications appeared to be about three times as common among patients in Europe, compared with those in the U.S.

The study could not explain the factors behind this disparity. However, doctors detected strokes more often in COVID-19 patients in the U.S. than in Europe.

The one feature that is likely a contributing factor is: There was an increase in comorbidities (cardiac, diabetes, and chronic [kidney] failure) in the U.S. population [compared with] Europe, Dr. Faro told Medical News Today.

Currently, the direct role that the viral infection of the central nervous system plays in the neurological complications is unclear.

Overactivation of the immune system, inflammation, dehydration, and low oxygen levels, an issue called hypoxia, are also likely to be important factors.

The [central nervous system] complications of COVID-19 are multifactorial and [involve] both the direct spread of the virus from the lungs and nasal mucosa, as well as indirect autoimmune factors and physiological changes (hypoxia, inflammation, dehydration), Dr. Faro told MNT.

More research is needed to better [understand] this, he added.

The acute effects of COVID-19 on the central nervous system may result in lingering neurological and cognitive symptoms.

A study published in October found that some people who recover from the infection experience cognitive impairments, such as problems with concentration and memory, often called brain fog, for several months.

There may also be long-term effects on mental health.

A study published in May found that in the 6 months after recovering from COVID-19, 13% of participants received a first diagnosis of a neurological or psychiatric condition.

The most common diagnoses were anxiety disorders, mood disorders, substance misuse disorders, and insomnia.

Neurological diagnoses were less common, and included strokes, dementia, and brain hemorrhages.

It is unknown whether COVID-19 was directly responsible for these neurological and psychiatric conditions.

The senior author of this study, Paul Harrison, a professor of psychiatry at the University of Oxford, told MNT that he and colleagues are conducting a follow-up study to see whether the effects continue beyond the 6-month period.

We are looking at longer-term outcomes now and hope to have [our] study completed early next year, he said.

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Severe COVID-19: 1 in 100 patients may have brain complications - Medical News Today

Parts of northern China tighten curbs on new COVID-19 flare-ups – Reuters

November 29, 2021

People wearing protective masks walk on a street, following new cases of the coronavirus disease (COVID-19), in Shanghai, China, November 24, 2021. REUTERS/Aly Song

Register

BEIJING, Nov 29 (Reuters) - A resurgence of COVID-19 infections in northern China have forced two small cities to suspend public transport and tighten control over residents' movement, as the country has showed no willingness to go easy on local outbreaks.

China reported 21 new locally transmitted COVID-19 cases with confirmed symptoms on Sunday, official data showed on Monday, marking the highest daily count since mid-November. Almost all of the new local cases were detected in the northern Chinese region of Inner Mongolia.

The latest cases came shortly after a few other northern cities, hit hard in China's biggest Delta outbreak, which started mid-October, had contained their clusters this month and gradually lifted curbs, indicating it has become harder for China to stay clear of local flare-ups.

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The new resurgence is tiny relative to many outbreaks overseas, and national officials specified that China does not aim for remaining at zero cases.

However, Beijing still requires officials to stay on high vigilance to be ready to quickly quash local outbreaks, meaning some tough curbs are likely to be imposed when new cases emerge.

In the Inner Mongolian city of Manzhouli, a crucial port of entry that borders Russia and has about 150,000 residents, reported 20 local symptomatic cases on Nov. 28.

Over the weekend, Manzhouli banned residents from leaving town and suspended public transport as well as certain non-urgent services at hospitals.

It also closed marketplaces and entertainment venues, halted dining in restaurants, in-person school classes and religious gatherings, and started a second round of citywide testing.

Hailar district, an administrative division about three hours away from Manzhouli, has blocked some roads linking it to the outside and required people arriving from Manzhouli to be quarantined at centralised facilities for two weeks.

Nehe, a city of about 440,000 in the northeastern Heilongjiang province, reported on Sunday one locally transmitted asymptomatic carrier, which China counts separately from confirmed patients.

Nehe has tightened controls over residents' movement, shut down non-essential businesses, and cut public transport and some services at private hospitals and clinics.

The cities of Suihua, Shuangyashan and Daqing, also in Heilongjiang province, have required people seeking to leave or enter to provide proof of a negative test result within 48 hours.

As of Nov. 28, mainland China had 98,672 confirmed symptomatic cases, including both local ones and those found among inbound travelers. The death toll remained at 4,636.

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Reporting by Roxanne Liu and Gabriel Crossley; Editing by Kim Coghill and Gerry Doyle

Our Standards: The Thomson Reuters Trust Principles.

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Parts of northern China tighten curbs on new COVID-19 flare-ups - Reuters

Britain to offer everyone a COVID-19 booster eventually – vaccine official – Reuters

November 29, 2021

An NHS COVID-19 vaccination health campaign advertisement is displayed, amidst the spread of the coronavirus disease (COVID-19), in London, Britain, October 21, 2021. REUTERS/Toby Melville/File Photo

LONDON, Nov 29 (Reuters) - Britain is moving towards offering everyone a COVID-19 booster vaccine, a member of Britain's vaccine advisory committee said on Monday, ahead of an expected decision on whether to extend and speed up booster shots.

"Inevitably, everybody will be offered a booster," Anthony Harnden, deputy chair of the Joint Committee on Vaccination and Immunisation (JCVI), told BBC TV.

"But what we want to do is make sure that it's done in a sensible order so that those that are most vulnerable for this infection can get boosted and their natural immunity levels can go up."

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Reporting by Alistair Smout; Editing by Kate Holton

Our Standards: The Thomson Reuters Trust Principles.

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Britain to offer everyone a COVID-19 booster eventually - vaccine official - Reuters

Sixers’ Joel Embiid on bout with COVID-19: ‘I really thought I wasn’t going to make it’ – CBSSports.com

November 29, 2021

Earlier this month, Philadelphia 76ers big man Joel Embiid joined the list of NBA stars to test positive for COVID-19. But while many players have moved past the virus rather quickly, Embiid wasn't that lucky. Shortly after his diagnosis, Sixers head coach Doc Rivers said Embiid was "not doing great."

On Saturday night, following his return to the lineup, we learned just how much Embiid was struggling. Between difficulty breathing and headaches that he felt were worse than migraines, he was worried at one point that he wouldn't make it through. Embiid is a known jokester and cracked a bit of a smile when he said the latter, so it's possible he was being a bit facetious. But there's no doubt that he was extremely sick over the past few weeks.

"It hasn't been good. That jawn hit me hard," Embiid said. "I really thought I wasn't going to make it. It was that bad. So I'm just thankful to be sitting here. I struggled with it, but I'm just glad that I got over it and I'm here doing what I love with some good people."

After missing nearly three weeks and nine games, Embiid was in action on Saturday against the Minnesota Timberwolves. He was thrown right back into the fire, playing 42 minutes in the Sixers' double-overtime loss. Embiid, who finished with 42 points, 14 rebounds and two blocks, said it was a "miracle" that he played that much in his first game back.

Unfortunately for Embiid and the Sixers, his massive effort went to waste. After battling back from a 20-point deficit in the second half, and forcing a second overtime in miracle fashion on an Andre Drummond tip-in, the Sixers just couldn't get over the line. They even had a three-point lead in the final minute, but Naz Reid and Taurean Prince scored back-to-back buckets to give the Wolves the win.

The Sixers went 2-7 in Embiid's absence, and have now dropped to 2-8 in their last 10 games. After a hot start, they're tied for ninth place in the Eastern Conference at 10-10. The good news is that Embiid is back, and the Eastern Conference is so crowded that they're only three games out of second place.

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Sixers' Joel Embiid on bout with COVID-19: 'I really thought I wasn't going to make it' - CBSSports.com

COVID-19 to have ripple effect on multiple Cowboys coaches for Week 13 – Cowboys Wire

November 29, 2021

The Cowboys roster has been harangued by COVID-19 all season long, with the virus affecting more players in Dallas than any other locker room in the league.

Now its working its way though the coaching staff, too, causing a ripple effect of gameday duties.

The Cowboys have announced that offensive line coach Joe Philbin, assistant offensive line coach Joe Blasko, and coaching assistant Scott Tolzien have entered the leagues COVID-19 protocol and will miss Thursday nights game against the Saints.

Their absences will put several other Cowboys staffers in new roles on a fill-in basis.

We have some different scenarios of exactly how were going to work the week, head coach Mike McCarthy said Sunday in a conference call with media members.

Those scenarios include tight end coach Lunda Wells, quality control coach Chase Haslett, and Ben McAdoo, who has been serving the team in a consultant role, scouting future opponents.

Wellss first coaching job was as an offensive line assistant at LSU for two seasons; he did the same job again with the New York Giants from 2013 to 2017.

Haslett is the son of former NFL coach Jim Haslett. He was hired by Dallas in 2020 after gaining offensive coaching experience at Nebraska, Mississippi State, and Mercer.

McAdoos name is most familiar as the head coach of the Giants in 2016 and most of 2017. Most of his body of work as a coach comes on the offensive side of the ball, working with the offensive line, tight ends, or quarterbacks.

Now all three will pitch in on getting the Cowboys line- without Terence Steele, who has also tested positive for COVID ready for New Orleans.

As for whether McCarthy himself will get personally more involved with that unit for the Week 13 game, the coach had this to say:

I think the biggest thing is just to make sure that the job description and responsibility is always tight. We feel really good about our game plan process. How well do the group meetings, well spend a little more time together as a group. This is something that I think that this an opportunity for young coaches to take advantage of. Definitely, Ill be where I need to be this week.

Philbin tested positive for the virus last week and missed the Thanksgiving Day game versus Las Vegas, as did assistant strength and conditioning coaches Kendall Smith and Cedric Smith.

Blasko handled O-line coaching responsibilities on Thursday; he and Tolzien turned in positive COVID tests since then.

Following the clash with the Saints, the Cowboys will have nine full days off before beginning their final five-game stretch of the regular season, in which theyll play four divisional games and one against the NFCs top seed Arizona Cardinals.

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COVID-19 to have ripple effect on multiple Cowboys coaches for Week 13 - Cowboys Wire

Andrew Cuomo uses old briefing to tell New Yorkers to take COVID precautions – New York Post

November 29, 2021

Just like old times!

Disgraced ex-Gov. Andrew Cuomo on Sunday shamelessly tried to reprise his role as man-in-charge, using one of his famous COVID-19 press conferences to remind New Yorkers to remain vigilant amid the spread of the Omicron variant.

Lets heed the lessons we learned in the early, horrific days of this pandemic and not go backwards, he said in a tweet, which featured a slide used during one of his pandemic briefings.

The presentation reads: Lesson to learn: An outbreak anywhere is an outbreak everywhere.

Wear a [mask] in public indoor spaces, get vaccinated AND your booster shot, take care of one another, the former governor, who resigned in August amid multiple scandals, added. And be #NYTough.

During the throes of the pandemic, Cuomo delivered daily briefings revealing the Empire States COVID-19 metrics along with meandering commentary and show-off stunts.

In June 2020, Cuomodisplayeda$415COVID-19 mountainthat supposedly represented New Yorks battle against the virus. Joined by Anthony Fauci,the nations top infectious-disease doctor,he bizarrely comparedthe fellow Italian American and himself to actors Al Pacino and Robert De Niro.

His younger brother, CNN anchor Chris Cuomo also dialed into the briefings to detail his symptoms when stricken with the virus.

The governor was momentarily bestowed an Emmy for effective use of television during the pandemic in November 2020 but the academy quickly yanked the accolade after state Attorney General Letitia James found Cuomo sexually harassed multiple women.

Cuomos Sunday morning tweet came after former top aide Melissa DeRosa audaciously took a shot at her boss successor, Gov. Kathy Hochul.

Time to shift with the times ribbon cuttings and photo ops drinking beers in UES bars maskless wont get this job done, the former secretary to the governor said Friday evening in a since-deleted tweet, referring to the current chief executives October visit to Manhattan sports bar.

The scandal-scarred ex-pols public service announcement comes after the World Health Organization identified a new COVID-19 variant, Omicron, on Friday.

The discovery prompted Hochul to sign an executive order postponing non-essential surgeries in hospitals with a limited capacity.

The Omicron variant has yet to be identified in New York State, though on Sunday two cases of the coronavirus variant were detected in Canada.

Originally posted here:

Andrew Cuomo uses old briefing to tell New Yorkers to take COVID precautions - New York Post

Cowboys starting RT Terence Steele, several assistant coaches out against Saints due to COVID-19 outbreak – ESPN

November 29, 2021

FRISCO, Texas -- The Dallas Cowboys' preparation for Thursday's game against the New Orleans Saints has been greatly affected by a COVID-19 outbreak that will knock out starting right tackle Terence Steele, three offensive coaches and two of their three strength coaches.

Offensive line coach Joe Philbin, who has been in the COVID-19 protocol since Thanksgiving, assistant offensive line coach Jeff Blasko, who handled the main duties in Thursday's overtime loss to the Las Vegas Raiders, and offensive assistant Scott Tolzien will also miss the game. Strength and conditioning coordinator Harold Nash was placed in the COVID-19 protocol with his two assistants, Kendall Smith and Cedric Smith. Smith, however, could be cleared to return in time for the game.

"I think the biggest thing is just to make sure that the job description and responsibility is always tight," coach Mike McCarthy said. "We feel really good about our game-plan process. How we'll do the group meetings, we'll spend a little more time together as a group. Yeah, so this is something that I think is an opportunity for young coaches to take advantage of. Definitely, I'll be where I need to be this week. We have some moving parts."

The Cowboys are doing daily testing for players, coaches and staff and will continue through Tuesday. The league imposed stricter protocols this week, but the Cowboys were in that mode before Thanksgiving. They will have virtual meetings Sunday and Monday and could continue to do so on Tuesday as well, but McCarthy kept open the possibility of a "normal" practice two days before kickoff.

"We're in a cycle right now that we're paying close attention to it," McCarthy said.

Wide receiver Amari Cooper missed the past two games while on the reserve/COVID-19 list but is expected back in the building Monday. Wide receiver CeeDee Lamb is expected to practice Sunday and be available against the Saints after not playing against the Raiders because of a concussion.

"I talked to [head athletic trainer] Jim Maurer this morning about Amari particularly, and he just felt the conditioning was going to be something that we're going to have to get a hold of tomorrow obviously for any player coming off of a 10-day stretch [without practice]," McCarthy said. "So we'll know more tomorrow with a chance to work."

All of this comes at an inopportune time for the Cowboys, who have lost three of their past four games.

"COVID is always something we have to think about this year," running back Ezekiel Elliott said, "and we're having a little outbreak right now so guys just got to be making sure we're taking the extra precautions, make sure we're keeping ourselves, our families and our teammates safe."

Pro Bowl right guard Zack Martin said tight ends coach Lunda Well has done a good job stepping in for Philbin and Blasko. He was an assistant offensive line coach for the New York Giants from 2013-17 before moving to tight ends.

"Obviously you want everyone to be there, but it's kind of the day and age we live in now," Martin said. "The last couple years this is part of it. I think guys have gotten accustomed to kind of shifting on the fly and that's something we've got to be good at this week without our full room. We've got to be on point, help each other out because we're not going to have our two guys in there running the meetings all week."

The plan was for a lighter practice Sunday. After testing, players got breakfast to go and grabbed their iPads for meetings. The players will arrive at The Star for on-field work that will last about 75 minutes and then have virtual meetings following practice.

McCarthy said the Cowboys could move to a meeting plan they used last year in which the team was spaced out inside Ford Center.

"Going through the experience last year, it's just a matter of which plan we are going to be in," he said.

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Cowboys starting RT Terence Steele, several assistant coaches out against Saints due to COVID-19 outbreak - ESPN

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