Category: Covid-19

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Covid-19 Adds Complications to Portland-Area Firefighting Efforts – The New York Times

September 19, 2020

AMBOY, Wash. A team directing the firefighting efforts in the Pacific Northwest went into temporary isolation this week after a member of a resupply crew tested positive for the coronavirus, officials said on Friday.

The diagnosis, which halted work at an incident command post in Washington State for about an hour on Thursday, comes amid longstanding worries about the hazards of sending thousands of firefighters into close-quarter operations in the middle of the pandemic.

Members of the fire management team that was deployed in Carson, Wash., about 50 miles northeast of Portland, Ore., were placed into temporary isolation as fire commanders attempted to determine who might have been exposed, officials said. They examined six people in particular, and one of them found to have spent the most time with the infected person remained in isolation on Friday.

Washingtons commissioner of public lands, Hilary Franz, said she had been worried that the infection might have required an entire incident command team to go into quarantine at a time when those teams are needed around the country. Instead, the crew has continued working, although with more restrictions on who can enter the post.

Fire season is already an unbelievable stress on resources and the firefighters, Ms. Franz said as she visited a firefighting camp near the Big Hollow Fire on Friday. You add in a deadly pandemic, it makes it all the more challenging.

The arrival of the coronavirus to the West Coasts frontline firefighting forces has added yet another complication to the record-breaking fires that have left crews exhausted and potentially vulnerable. Thousands of firefighters, many of whom have traveled in from other regions, remain clustered in camps across open fields and throughout the remote backcountry where some of the vast blazes remain largely uncontained.

U.S. officials had hoped to avoid such mass collections of fire crews. In April, the U.S. Forest Service chief, Vicki Christiansen, ordered a new strategy for combating wildfires during the 2020 season that would be mindful of the coronavirus, including a focus on using local firefighting crews and a strategy of rapid containment to prevent fires from growing to sizes that would require the mobilization of bigger crews.

But the rapid-containment strategy has not prevented a wildfire outbreak of historic proportions, with more than 3.4 million acres burned in California, hundreds if not thousands of homes destroyed in Oregon, and fires that continue to burn in Washington. More than 20,000 firefighters have been deployed across the West Coast.

The coronavirus had already challenged wildfire teams, with the economic downturn leading to limitations on firefighting budgets, less access to prison inmates normally used for firefighting and quarantines interfering with the deployment of some firefighters.

In the hope of preventing outbreaks, firefighting camps have increased sanitation, limited interactions among firefighters and conducted regular temperature tests, said Tim Edwards, the president of the union that represents Cal Fire employees in California. Crews this year have often been spread out over broader areas, have been brought back to camp in shifts and have eaten boxed meals instead of from a food line.

Before, it used to be kind of a free-for-all, Mr. Edwards said.

Mr. Edwards worried that firefighters, many of whom consider wearing N-95 masks too restrictive when huffing up hillsides with heavy packs, might suffer damage to their respiratory systems that could make them more susceptible to the virus.

On Friday, at a camp in Amboy, Wash., where firefighters are based to fight the Big Hollow Fire, workers monitored entering vehicles, allowing only those visitors who had a need to be there. Those approved to enter advanced down a gravel road for a temperature check. Firefighters tents were clustered in groups around a sprawling community park.

Sept. 18, 2020, 11:10 p.m. ET

Many of the firefighters and command crews have had a grueling summer schedule. The incident command team affected by the coronavirus scare began working in mid-August at the Crane Fire in Oregon; after a brief break they went straight to the Evans Canyon Fire in Washington, and then to the Big Hollow Fire. Crews are supposed to work only 14 consecutive days, but that has been extended to 21 days. Many work 16-hour days or more.

Jeff Dimke, the Big Hollow incident commander, said fire crews have been making coronavirus adjustments along the way. The incident command team is based at a school in Carson, with various groups isolated from one another in the building. Some meetings take place in a theater in the building with enough space to keep people separated.

They have been making improvements along the way, Mr. Dimke said. Earlier in the season, when the command staff visited the firefighting camp, they realized that firefighters had gathered in a group for a briefing; now they do briefings over the radio, he said, although that is not ideal.

We dont get to stand up in front of everybody and see everybody in one spot and judge fatigue and where theyre at, Mr. Dimke said.

Mr. Dimke said the team learned on Thursday that a person who had brought supplies to the post had tested positive. The group immediately paused to do contact tracing, he said.

Kelly Woods, a firefighter with the National Park Service who collects best-practice advice from around the country as director of the Wildland Fire Lessons Learned Center, said firefighters have been sharing tips on how to reduce exposure to the virus.

Some have turned to doing radio briefings instead of in-person discussions. Others have begun preparing their own meals.

It has changed the way we have historically done so many things, Ms. Woods said.

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Covid-19 Adds Complications to Portland-Area Firefighting Efforts - The New York Times

Chiefs fan who attended game tests positive for Covid-19 and now everyone who sat near them is in quarantine – CNN

September 19, 2020

The Kansas City Health Department said the individual that tested positive watched the game from the group's box in the lower level of the stadium and tested positive the following day. The positive test has prompted the Kansas City Health Department to direct 10 people there to quarantine after potential exposure to the coronavirus.

The Kansas City Chiefs were one of the few teams in the NFL that allowed fans into its stadium in Week 1.

The team said that its contact tracing mechanisms allowed staff to identify the individual, the individual's party, any service staff that came into contact with the individual and any other ticket holders that may have been near this person while entering the stadium.

"I want to remind everyone that COVID-19 is anywhere and everywhere. While we're all tired of it, frustrated and even angry at how it has altered and stricken our lives and livelihoods, we must continue to think of those who have not and will not survive it," said Dr. Rex Archer, Kansas City health director.

"We still don't understand why it strikes some so viciously while others have only mild symptoms. If you have an existing or prior health condition such as cancer, diabetes, heart or lung disease, or if you're older than 65, you should not be taking unnecessary risks like being in large crowds. We hope those around you aren't taking those risks either and possibly bringing the virus home to you," Dr. Archer said.

The Chiefs made no mention of whether or not spectators would be barred from attending any games in the future.

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Chiefs fan who attended game tests positive for Covid-19 and now everyone who sat near them is in quarantine - CNN

A new Canadian Covid-19 gargle test ‘one of the first of its kind’ in the world, doctor says – CNN

September 19, 2020

"It is one of the first of its kind around the world," said Dr. Bonnie Henry, B.C.'s provincial health officer, at a press conference Thursday.

The B.C. Centre for Disease Control says the new test is just as accurate as tests using a nasal swab and is much easier to administer for children.

"This is a new saline gargle where you put a little bit of normal saline, so sterile water, in your mouth and you swish it around a little bit and you spit it into a little tube and that's an easier way to collect it for young people," said Dr. Henry.

B.C. public health officials say they compared test results in both children and adults and found the rate of Covid-19 detection was very similar between the nasal swab and the new gargle test.

B.C. is prioritizing children for the new test but hopes to expand to adults in the coming weeks.

While the sample will still have to be taken to a lab for processing the test does not have to be administered by a healthcare professional.

Test comes as numbers edge upward

The country's seven-day average for new Covid-19 cases edged upward to 849 Friday, and public health officials said Canadians under the age of 40 are fueling the surge in cases. It's a 123% increase from a month ago, when the seven-day average stood at 380.

"The ongoing increase in the national daily case counts is an indicator of accelerated epidemic growth," Dr. Theresa Tam, Canada's chief public health officer, said during a news conference Friday. "This situation increases the likelihood that we lose the ability to keep Covid-19 at manageable levels."

Canada's positivity rate remains at 1.4% as testing ramps up, but public health officials are worried cases are rising too quickly to adequately test, contact trace and isolate positive cases.

"The other indicators to really watch out for are the hospitalizations and ICUs, those are low at the moment, but again if there's any signals that things are increasing it's another indicator that we might be going in the wrong direction,' said Dr. Tam.

Canadian provincial leaders say they are fed up with young people recklessly gathering at restaurants, bars, private homes and even parks and beaches.

"Every week we see images in bars, there's dance floors that are full, all sorts of things are happening in bars," said Genevieve Guilbault, Quebec's minister of public safety during a press conference Friday in Quebec City.

Quebec announced a sweeping police operation for this weekend saying law enforcement officials would visit more than 1,000 bars and restaurants to make sure owners and patrons are complying with health regulations.

"We have to use every tool and every gesture at our disposal to avoid a second wave of Covid in Quebec," added Guilbault.

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A new Canadian Covid-19 gargle test 'one of the first of its kind' in the world, doctor says - CNN

U.S. Public Now Divided Over Whether To Get COVID-19 Vaccine – Pew Research Center

September 19, 2020

Rabbi Shmuel Herzfeld has his arm disinfected by Dr. Chao Wang during a clinical trial for a coronavirus vaccine. (Amanda Andrade-Rhoades/Getty Images)

Pew Research Center conducted this study to understand how Americans are continuing to respond to the coronavirus outbreak. For this analysis, we surveyed 10,093 U.S. adults from Sept. 8 to 13, 2020. This report also draws on data from a survey fielded April 29 to May 5, 2020, among 10,957 U.S. adults.

Everyone who took part in either survey is a member of Pew Research Centers American Trends Panel (ATP), an online survey panel that is recruited through national, random sampling of residential addresses. This way nearly all U.S. adults have a chance of selection. The survey is weighted to be representative of the U.S. adult population by gender, race, ethnicity, partisan affiliation, education and other categories. Read more about the ATPs methodology.

See here to read more about the questions used for this report, along with responses, and its methodology.

As efforts to develop and test a COVID-19 vaccine spur debate around the timing and release of a federally approved vaccine, the share of Americans who say they would get vaccinated for the coronavirus has declined sharply since earlier this year.

About half of U.S. adults (51%) now say they would definitely or probably get a vaccine to prevent COVID-19 if it were available today; nearly as many (49%) say they definitely or probably would not get vaccinated at this time. Intent to get a COVID-19 vaccine has fallen from 72% in May, a 21 percentage point drop.

The share who would definitely get a coronavirus vaccine now stands at just 21% half the share that said this four months ago.

There are widespread public concerns about aspects of the vaccine development process. On the heels of a pledge from nine pharmaceutical companies to ensure that a potential vaccine would meet rigorous standards, the Center survey finds three-quarters of Americans (77%) think its very or somewhat likely a COVID-19 vaccine will be approved in the United States before its safety and effectiveness are fully understood. And when asked about the pace of the vaccine approval process, 78% say their greater concern is that it will move too fast, without fully establishing safety and effectiveness, compared with just 20% who are more concerned approval will move too slowly, creating unnecessary delays.

The new national survey by Pew Research Center, conducted Sept. 8-13 among 10,093 U.S. adults, finds intent to get a COVID-19 vaccine has declined across all major political and demographic groups.

However, sizable differences across groups remain. Democrats and those who lean to the Democratic Party are 14 percentage points more likely than Republicans and Republican leaners to say they would probably or definitely get a vaccine (58% vs. 44%). And Black adults are much less likely to say they would get a vaccine than other Americans: Just 32% of Black adults say they would definitely or probably get a COVID-19 vaccine, compared with 52% of White adults, 56% of Hispanics and nearly three-quarters (72%) of Asian Americans. (Asian adults were interviewed in English only.)

Concerns about side effects and uncertainty around the effectiveness of a vaccine are widely cited as reasons by those who would not get a COVID-19 vaccine if one were available today.

Among the roughly half of Americans who say they would not get a COVID-19 vaccine, 76% say concern about side effects is a major reason why they would definitely or probably not get it.

Several vaccines are currently under trial right now. One trial was temporarily put on hold earlier this month for potentially causing side effects in a trial participant, but has since resumed.

A large majority (72%) of those who would not get a COVID-19 vaccine also say a desire to know more about how well it would work is a major reason why they dont currently plan to get a coronavirus vaccine.

Fewer adults cite not thinking they need the vaccine (31%) or the vaccines cost (13%) as a major reason they would not likely get vaccinated.

Those who say they would definitely or probably get a vaccine for COVID-19 if it were available today see a range of factors that could impact that decision.

Overall, 57% of those planning to get a vaccine say they would be a little (36%) or a lot (21%) less likely to do so if they had to pay out of pocket to get it. About four-in-ten (42%) say out-of-pocket costs would not change their likelihood of getting a vaccine.

Similarly, majorities say that many people experiencing minor side effects (57%) and the vaccine being effective about 60% of the time (55%) would reduce the likelihood of them getting vaccinated at least a little. But fewer than two-in-ten say either of these things would make them a lot less likely to get the vaccine. The possible need to get a vaccine again every year or so is not seen as a major deterrent among those planning to get vaccinated: 70% say this wouldnt make a difference to them.

Researchers are still not sure how effective a COVID-19 vaccine will ultimately be. The U.S. Food and Drug Administration has said it would authorize a COVID-19 vaccine if it was safe and at least 50% effective in preventing the disease or decreasing the severity of infections, although Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, has said scientists are hoping for a vaccine that is at least 75% effective.

As Americans look ahead to when a vaccine for COVID-19 is approved in the U.S., many express doubts about how safe and effective a vaccine will be initially.

About three-quarters of Americans (77%) say it is at least somewhat likely that a vaccine for COVID-19 will be approved and used in the U.S. before its fully known whether it is safe and effective, including 36% who say this is very likely to happen. Just 22% say this is not too or not at all likely.

Public assessments are more mixed when it comes to whether enough Americans will get vaccinated to curb the spread of the disease: 53% say this is at least somewhat likely, while 46% think it not too or not at all likely.

Americans also have a mixed outlook on vaccine access. About half of U.S. adults (48%) say its at least somewhat likely that everyone who wants the vaccine will have quick and easy access to it, while 51% say this is not too or not at all likely.

Consistent with the view that a vaccine may be approved before its safety and effectiveness are fully understood, Americans overwhelmingly say their greater concern is that the approval process will move too fast, rather than too slowly. Nearly eight-in-ten (78%) say their greater concern is that the vaccine approval process will move too fast, without fully establishing that it is safe and effective. Just 20% say they are more concerned the approval process will move too slowly, causing unnecessary delays in access to a vaccine.

While Republicans and Democrats have differed over many aspects of the coronavirus outbreak including the threat it presents to public health and how quickly to lift restrictions on public activity majorities of both groups say their greater concern about the vaccine approval process is that it will move too fast, rather than too slowly. About seven-in-ten Republicans (69%) are more concerned about the approval process moving too fast, and an even larger majority of Democrats (86%) share this view.

Those who plan to get a COVID-19 vaccine express much greater confidence in the vaccine development process than those who do not plan to get vaccinated.

Overall, 19% of the public has a great deal of confidence that the research and development process in the U.S. will produce a safe and effective vaccine for COVID-19, while another 45% say they have a fair amount of confidence. About a third (35%) say they have not too much or no confidence in this process.

Among those who say they would definitely or probably get a vaccine, more than eight-in-ten express either a great deal (30%) or a fair amount (54%) of confidence in the research and development process. By contrast, 55% of those not planning to get a coronavirus vaccine say they have not too much or no confidence at all in this process.

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U.S. Public Now Divided Over Whether To Get COVID-19 Vaccine - Pew Research Center

COVID-19 Daily Update 9-17-2020 – West Virginia Department of Health and Human Resources

September 19, 2020

TheWest Virginia Department of Health and Human Resources (DHHR) reportsas of 10:00 a.m., September 17, 2020, there have been 497,962 total confirmatory laboratory results receivedfor COVID-19, with 13,430 total cases and 294 deaths.

DHHR has confirmed the deaths of a69-year old male from Berkeley County, a 75-year old male from Berkeley County,a 91-year old female from Jackson County, and an 80-year old male from RoaneCounty. Wesend our sympathy to these families and urge all West Virginians to continue toprotect each other by wearing a mask, washing hands, and staying sociallydistant, said Bill J. Crouch, DHHR Cabinet Secretary.

CASESPER COUNTY: Barbour(42), Berkeley (922), Boone (190), Braxton (10), Brooke (106), Cabell (690),Calhoun (23), Clay (33), Doddridge (17), Fayette (501), Gilmer (19), Grant(150), Greenbrier (118), Hampshire (99), Hancock (139), Hardy (76), Harrison(326), Jackson (239), Jefferson (413), Kanawha (2,154), Lewis (38), Lincoln (148),Logan (558), Marion (250), Marshall (148), Mason (130), McDowell (80), Mercer(392), Mineral (157), Mingo (332), Monongalia (1,791), Monroe (143), Morgan(48), Nicholas (77), Ohio (343), Pendleton (51), Pleasants (15), Pocahontas(59), Preston (145), Putnam (460), Raleigh (449), Randolph (233), Ritchie (10),Roane (43), Summers (32), Taylor (115), Tucker (15), Tyler (15), Upshur (60),Wayne (328), Webster (7), Wetzel (49), Wirt (9), Wood (345), Wyoming (88).

Pleasenote that delays may be experienced with the reporting of information from thelocal health department to DHHR. As case surveillance continues at the localhealth department level, it may reveal that those tested in a certain countymay not be a resident of that county, or even the state as an individual inquestion may have crossed the state border to be tested.Such is the case of Monroe and Tucker counties in this report.

Pleasevisit the dashboard located at http://www.coronavirus.wv.gov for more information.

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COVID-19 Daily Update 9-17-2020 - West Virginia Department of Health and Human Resources

On the Greek Island of Chios, Covid-19 is Everyone’s Business – The New York Times

September 19, 2020

CHIOS, Greece The man taking the last drag of his cigarette in the sweltering heat outside his convenience store in Volissos, a village on the Greek island of Chios, was clear: No mask, no shopping.

He stubbed the cigarette out, slipped the mask from his chin over his mouth and nose, and went back in behind the till.

Down at the beach, waiters who until the day before had only reluctantly donned face shields, while ferrying mezze and cold beers to those tanning by the gently lapping Aegean waters, needed no prompting to cover their faces.

And on the early-morning swim shift, populated by the elderly and those like me who were catering to the very young, masks were worn universally.

Something had happened on that one day last month to make masks suddenly de rigueur: Someone was sick on the island, and everyone was aware they lived in this village.

I knew that escaping Brussels, my current home, to visit my parents in Greece would be different. That was the point.

After a brutal lockdown in the spring and heightened safety measures in Brussels, my family craved a change of scene, a break from isolation and some help.

By the end of July, I had spent three months investigating Belgiums deadly pandemic response in nursing homes. After that grim mission, the desire to get out was so potent that we decided to travel 12 hours across Europe on two flights, and face a week of isolation plus some expensive coronavirus tests on arrival all with a 2-year-old in tow.

And it was so worth it. We spent lazy hours on the pebbled beaches, picked honey-sweet figs straight from trees, ate fresh fish with delicious deep-red tomatoes, and enjoyed grandparent-provided child care.

Still, there was the mental whiplash of adjusting to pandemic life in a small, isolated place.

Chios, with 50,000 residents and famous for its leading role in Greeces huge shipping industry, inhabits a distinctly different Covid-19 universe from Brussels, the headquarters of the European Union and Belgiums capital, with a population of 1.2 million.

Belgium has had one of the worst coronavirus records globally, with nearly 100,000 infections and 9,930 deaths to date among its approximately 11.5 million people.

Greece has only a slightly smaller population, about 10.4 million, but is less densely inhabited because so many people live on islands like Chios naturally isolated, or trapped, depending on ones perspective. And Greece is miles down the list of bad virus news, with just over 14,000 cases and 316 deaths.

Chios itself has had about 30 confirmed cases since the outbreak began, and no deaths.

But that didnt necessarily translate into a feeling of breathing more easily.

The fear of infection on Chios, I came to realize, was focused on outsiders, something Id never really considered in Brussels, where infection was virtually as anonymous as its residents.

In a community that is more insulated and largely spared from infections, contagion can arrive only externally.

While Chios had been a critical stop in the migration route from Turkey to Greece, fewer refugees were arriving, in part because of tougher government border policies. So attention turned to the few tourists; to migrants like myself who were visiting family; and to locals who were returning from taking a break in other parts of the country where more people were getting sick.

There was a stark contrast between an urban environment where no one knows you, and the small community where seemingly everyone does.

So when, one August day, the Greek governments daily official tally of positive cases included three on the island of Chios, the countrys fifth-largest and not a major tourist destination, the chatter among the local community seemed to overpower the mesmerizing tune of the cicada song that floods the air in the long Greek summer.

The question on everyones lips was one youd never hear in a big city: Whos sick?

This 20-year old guy who went on holiday to Zakynthos, a Greek island on the other side of the country popular with British tourists, the man at the convenience store informed me, confidently.

Now hes in the hospital, three of his relatives are in quarantine and many who came in contact with him are awaiting test results, he volunteered. So we have to be extra careful.

What was more remarkable than the shopkeepers purported intimate knowledge of the mans affairs was that he turned out to be right. Off the record, to maintain a semblance of respect for privacy, the authorities confirmed the shopkeeper's account.

Another rumor spread that the second case was a young woman in the islands main town, whose mother worked at a popular cosmetics store. That was problematic, the chatter went, because all her family members had contact with dozens each day: Her brother was a barman at a trendy watering hole, and her father worked for a government agency.

With gossip swirling fast, 24 hours later everyone even I! knew her name. The shop where her mother worked ended up announcing that it had carried out a thorough decontamination, and implored people to stop gossiping.

It is everyones responsibility to look after their own health, said the stores manager on a public Facebook post, but, the post continued, people should not inflate information that could harm peoples livelihoods.

Malicious rumors spread very fast, but the truth is ignored, said a post added the next day. Our employee has tested negative for Covid-19.

Even though the gossip and loss of privacy upset people on the island, its small size, and close social and familial ties, have made one vital part of curbing infections easier contact tracing.

While some countries have set up anonymous, remote call centers operated by hundreds of students and part-time workers to do the arduous task of contact tracing, on Chios, the job is done quickly by five police officers.

Each case takes about three hours to fully trace, said Pantelis Kalandropoulos, whose day job is chief of traffic police for the island, but who these days doubles up as head of virus contact tracing.

Our work is fairly easy, people cooperate and arent secretive, he said.

At first when a case emerges, theres a bit of a panic, people in the area of the case retreat indoors for one or two days, but things quickly return to normal, he added.

Even as shared spaces can act as hubs for the spread of both disease and gossip, one such place, the Louiza & Kelly hair salon, put in place a form of a no-coronavirus-gossip policy alongside stepped-up hygiene and mandatory mask-wearing.

One afternoon at the salon, while masked ladies were having haircuts and blowouts, talk of the pandemic was largely absent. Since the business reopened in late May, Kelly Patra, the owner, asked her workers to avoid talking about the pandemic, deflect if theyre asked about possible cases, and encourage customers to seek formal information sources.

Try to be positive about things, she wrote them in a group message just before reopening.

Its dangerous to gossip about something like this because people become stigmatized and it breeds panic, people then start to ask where this persons children go to school, where her husband works, etc., Ms. Patra said in an interview.

And personally, I dont want my business to be a node in that spread.

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On the Greek Island of Chios, Covid-19 is Everyone's Business - The New York Times

COVID-19 Daily Update 9-12-2020 – West Virginia Department of Health and Human Resources

September 19, 2020

TheWest Virginia Department of Health and Human Resources (DHHR) reports as of 10:00 a.m., on September 12,2020, there have been 478,580 total confirmatorylaboratory results received for COVID-19, with 12,521 totalcases and 265 deaths.

DHHR hasconfirmed the deaths of a 90-year old female fromJackson County and a 74-year old male from Marion County. Please join with mein sending our deepest condolences to these families as they grieve the passingof their loved ones, said Bill J. Crouch, DHHR Cabinet Secretary. Everylife lost to this pandemic is a tragedy and can be minimized if we all practicesafe measures including wearing masks and maintaining social distancing.

CASESPER COUNTY: Barbour(35), Berkeley (866), Boone (176), Braxton (9), Brooke (104), Cabell (647),Calhoun (22), Clay (30), Doddridge (17), Fayette (450), Gilmer (19), Grant(147), Greenbrier (114), Hampshire (95), Hancock (137), Hardy (75), Harrison(318), Jackson (226), Jefferson (401), Kanawha (1,934), Lewis (37), Lincoln (137),Logan (537), Marion (240), Marshall (138), Mason (124), McDowell (79), Mercer(373), Mineral (149), Mingo (297), Monongalia (1,661), Monroe (143), Morgan(44), Nicholas (64), Ohio (325), Pendleton (46), Pleasants (15), Pocahontas(56), Preston (142), Putnam (393), Raleigh (412), Randolph (230), Ritchie (9),Roane (39), Summers (28), Taylor (113), Tucker (15), Tyler (15), Upshur (58),Wayne (313), Webster (7), Wetzel (46), Wirt (8), Wood (330), Wyoming (76).

Pleasenote that delays may be experienced with the reporting of information from thelocal health department to DHHR. As case surveillance continues at the localhealth department level, it may reveal that those tested in a certain countymay not be a resident of that county, or even the state as an individual inquestion may have crossed the state border to be tested.Such is the case of Marshall,Mason, and Preston counties in this report.

Pleasevisit the dashboard located at http://www.coronavirus.wv.gov for more information.

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COVID-19 Daily Update 9-12-2020 - West Virginia Department of Health and Human Resources

NIH funds community engagement research efforts in areas hardest hit by COVID-19 – National Institutes of Health

September 17, 2020

News Release

Wednesday, September 16, 2020

The National Institutes of Health today announced a $12 million award for outreach and engagement efforts in ethnic and racial minority communities disproportionately affected by the COVID-19 pandemic. The award to RTI International, a non-profit research institution, will support teams in 11 states established as part of the NIH Community Engagement Alliance (CEAL) Against COVID-19 Disparities. These teams have received initial funding to immediately create CEAL programs, and RTI will serve as the Technical and Administrative Support and Coordination (TASC) center.

The CEAL research teams will focus on COVID-19 awareness and education research, especially among African Americans, Hispanics/Latinos, and American Indians populations that account for over half of all reported cases in the United States. They also will promote and facilitate the inclusion and participation of these groups in vaccine and therapeutic clinical trials to prevent and treat the disease.

The communities of special focus include counties in Alabama, Arizona, California, Florida, Georgia, Louisiana, Michigan, Mississippi, North Carolina, Tennessee and Texas.

Addressing health disparities affecting racial and ethnic minority populations has long been a priority for NIH, said NIH Director Francis S. Collins, M.D., Ph.D. The burden of the COVID-19 pandemic borne by diverse communities, especially those that include Blacks and Latinos, makes clear the urgent need for treatments and vaccines that are effective for all Americans. Inclusive research that reflects the entire population is essential to this goal.

CEAL is an NIH-wide effort led by the National Institute on Minority Health and Health Disparities (NIMHD) and the National Heart, Lung, and Blood Institute (NHLBI). It expands existing community outreach efforts already underway by NIH COVID-19 trial networks.

The CEAL research teams will leverage established relationships between NIH-funded researchers and local community-engaged leaders to help reach underserved communities that might not be located near COVID-19 clinical research recruitment sites.

Building on the strength of local organizations, as well as our long-standing community-engaged research efforts, will help us communicate effectively to address disparities and support the proven resilience within communities, said NIMHD Director Eliseo J. Prez-Stable, M.D. This work will help ensure people get accurate and trustworthy information about the virus, how to reduce its spread, and how to protect themselves and their families.

CEAL research teams include NIH and other federally funded entities that have community engagement expertise, non-academic community-based organizations, Federally Qualified Health Centers (FQHCs), state and/or local health departments, and others. Their goal is to quickly launch outreach efforts that can help reduce the impact of COVID-19 on the most vulnerable populations and to evaluate these efforts through community-engaged research.

Since communities of color have been particularly affected, and also historically underrepresented in clinical research, it is essential that we encourage people to join COVID-19 research studies, said NHLBI Director Gary Gibbons, M.D. Thats why NIH is partnering with messengers who live, work, and worship in the same communities where the disease has caused the highest rates of sickness and death. In the middle of a pandemic, people need to hear familiar, trusted voices they know are advocating for their health and safety.

For more information about CEAL, visit the NIH COVID-19 communities page.

The CEAL principal investigators and institutions are:

Mona N. Fouad, M.D., M.P.H.University of Alabama at Birmingham

Sairam Parthasarathy, M.D.University of Arizona College of Medicine, Tucson

Arleen F. Brown, M.D., Ph.D.University of California, Los Angeles

Olveen Carrasquillo, M.D., M.P.HUniversity of Miami

Tabia Henry Akintobi, Ph.D., M.P.H.Morehouse School of Medicine, Atlanta

Marie A. Krousel-Wood, M.D.Tulane University, New Orleans

Erica Marsh, M.D.University of Michigan, Ann Arbor

Caroline Compretta, Ph.D.University of Mississippi Medical Center, Jackson

Anissa I. Vines, Ph.D.University of North Carolina, Chapel Hill

Paul Juarez, Ph.D.Meharry Medical College, Nashville, Tennessee

Jamboor Vishwanatha, Ph.D.University of North Texas Health Science Center, Fort Worth

Linda Squiers, Ph.D.Technical Lead, TASCRTI International, Research Triangle Park, North Carolina

About the National Heart, Lung, and Blood Institute (NHLBI): NHLBI is the global leader in conducting and supporting research in heart, lung, and blood diseases and sleep disorders that advances scientific knowledge, improves public health, and saves lives. For more information, visit https://www.nhlbi.nih.gov.

About the National Institutes on Minority Health and Health Disparities (NIMHD): NIMHD leads scientific research to improve minority health and eliminate health disparities by conducting and supporting research; planning, reviewing, coordinating, and evaluating all minority health and health disparities research at NIH; promoting and supporting the training of a diverse research workforce; translating and disseminating research information; and fostering collaborations and partnerships. For more information about NIMHD, visit https://www.nimhd.nih.gov.

About the National Institutes of Health (NIH):NIH, the nation's medical research agency, includes 27 Institutes and Centers and is a component of the U.S. Department of Health and Human Services. NIH is the primary federal agency conducting and supporting basic, clinical, and translational medical research, and is investigating the causes, treatments, and cures for both common and rare diseases. For more information about NIH and its programs, visit http://www.nih.gov.

NIHTurning Discovery Into Health

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NIH funds community engagement research efforts in areas hardest hit by COVID-19 - National Institutes of Health

As evidence builds that COVID-19 can damage the heart, doctors are racing to understand it – Science Magazine

September 17, 2020

In Genoa, Italy, a recovered COVID-19 patient undergoes a test of heart function.

By Jennifer Couzin-FrankelSep. 15, 2020 , 4:45 PM

Sciences COVID-19 reporting is supported by the Pulitzer Center and the Heising-Simons Foundation.

This fall, cardiologist Sam Mohiddin will embrace a new rolethat of research subject. MRI scans of his heart at St. Bartholomews Hospital in London, where he works, will help answer a pressing question: Do people who suffered a mild or moderate bout of COVID-19 months ago, as he did, need to worry about their heart health?

Fears that COVID-19 can cause the cardiac inflammation called myocarditis have grown, as doctors report seeing previously healthy people whose COVID-19 experience is trailed by myocarditis-induced heart failure. Mohiddin recently treated 42-year-old Abul Kashem, who had typical COVID-19 symptoms in April, including loss of smell and mild shortness of breath. A month later, he fell critically ill from severe myocarditis. Im just grateful to be alive, says Kashem, who spent more than 2 weeks in an intensive care unit. Why did this happen? he wonders.

How the virus might damage heart muscle is just one question researchers are now probing. Other studies are following people during and after acute illness to learn how common heart inflammation is after COVID-19, how long it lingers, and whether it responds to specific treatments. Researchers also want to know whether patients fare similarly to those with myocarditis from other causes, which can include chemotherapy and other viruses. In more than half of virus-induced cases, the inflammation resolves without incident.

But some cases lead to arrhythmia and impaired heart function, or, rarely, the need for a heart transplant. Because millions are now contracting the coronavirus, even a small proportion who suffer severe myocarditis would amount to a lot of people. Are we going to have an increase of patients with heart failure secondary to this? asks Peter Liu, a cardiologist and chief scientific officer of the University of Ottawa Heart Institute.

Whether SARS-CoV-2, the virus that causes COVID-19, induces cardiac injury including myocarditis more often, or with greater severity, than other viruses is still unclear. Because SARS-CoV-2 can trigger an intense immune response throughout the body, survivors may be at heightened risk of cardiac inflammation. Another idea suggests COVID-19 patients might be prone to the condition because the virus enters cells by binding with the angiotensin-converting enzyme 2 (ACE2) receptor, which sits on heart muscle cells. But researchers caution against outrunning the data. Its a good hypothesis, but its not a tested one, says Leslie Cooper, a cardiologist at the Mayo Clinic in Jacksonville, Florida, about ACE2.

One reason its hard to say whetherCOVID-19 poses a special risk of myocarditis is uncertainty about its prevalence after other infections. Echocardiogram studies after some influenza outbreaks suggest up to 10% of flu patients have transient heart abnormalities, Liu says. But such studies are scarce. We dont scan patients after they had the flu, says Valentina Pntmann, a cardiologist at University Hospital Frankfurt.

Pntmann fueled concerns about myocarditis when she did just that with COVID-19 patients. Her team used MRI to scan the hearts of 100 COVID-19 patients an average of 71 days after they had tested positive. The scans showed cardiac abnormalities in 78 people, with 60 appearing to have active inflammation. Most also described lingering symptoms, such as fatigue and mild shortness of breath, leading Pntmann to wonder whether heart inflammation might be responsible.

Although the work by Pntmann and her colleagues, published in July in JAMA Cardiology, prompted alarming headlines, many researchers say it needs to be replicated. Cardiologists urge anyone with symptoms like shortness of breath or chest discomfort after COVID-19 to see a doctor, but they worry about a flood of healthy recovered people clamoring for heart assessments. Heres the good news: Were going to find out how likely cardiac injury is, says Matthew Martinez, director of sports cardiology at Morristown Medical Center.

Because of the physical demands of sports, team doctors need to be on guard for myocarditis. A paper in JAMA Cardiology last week reported a study of 26 athletes at Ohio State University after COVID-19; four had developed myocarditis. Professional sports leagues are also scanning the hearts of athletes who were infected with SARS-CoV-2. Those with myocarditis, regardless of whether they have symptoms, are benched, in part out of fear that myocarditis could lead to sudden death during intense activity. Martinez, whos helping coordinate the research for the National Basketball Association and Major League Soccer, predicts a flow of data on athletes over the coming months. Those of us in this space are willing to ruin a Saturday or a Sunday to get this done.

He stresses, though, that even if researchers can clarify the average duration of myocarditis and its risks for a young athlete, those may be very different for a 50-year-old with obesity or high blood pressure, especially if they were sick enough with COVID-19 to be hospitalized. In those individuals, I am going to be more cautious and screen for heart injury, he says.

Others are pursuing clues to howCOVID-19 can damage the heart, which might point to ways to head off the damage. SARS-CoV-2 does challenge your immune system in unconventional ways, Liu says. Autopsies of heart tissue after COVID-19 have revealed inflammation in the hearts blood vessels instead of its muscle cells, the site of the inflammation caused by other infections. Another autopsy study found scattered death of heart cells, but the authors noted the mechanism of injury was unknown. Theres been a lot of discussion whether this is myocarditis as typically defined, Liu says. Regardless, he and others hope for clinical trials to test whether preventive strategies, such as taking beta blocker drugs, might head off heart failure in someone flagged as high risk after COVID-19.

While Mohiddin volunteers for a study of survivors, hes also running one: a trial that aims to recruit 140 people while they are hospitalized with COVID-19 or soon after, 20 with severe myocarditis and the rest without. He and colleagues will look for abnormal T cell levels in the blood of people with myocarditis, which could help explain whether and how the immune system is causing cardiac injury. He is also exploring whether immune cell patterns in the blood presage myocarditis later.

Even if COVID-19 rarely causes serious myocarditis, one hypothesis is that mild cases could heighten the risk of heart disease years later. Scar tissue can form as myocarditis heals, and earlier work has shown residual cardiac inflammation portends worse heart health. As cardiologists, Were in the business of identifying asymptomatic risk factors, such as hypertension, Mohiddin says. Its not difficult to imagine that in the future, clinical practitioners will ask a new patient, Did you have COVID?

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As evidence builds that COVID-19 can damage the heart, doctors are racing to understand it - Science Magazine

More evidence points to bars adding to COVID-19 spread – CIDRAP

September 17, 2020

A report from the Centers of Disease Control and Prevention (CDC) last week showed that people with COVID-19 were twice as likely to have visited an indoor dining establishment in the weeks prior to symptom onset, and now a new analysis of cell phone data from the Washington Post shows that states that reopened bars saw a doubling of COVID-19 cases 3 weeks later.

The data show that foot traffic to bars was followed by a rise in cases, and in Colorado and Louisianasome of the few states that make contact tracing data public20% of all cases can be traced to bars and restaurants.

Indoor dining, especially when capacity is capped at 25%, appears to be less of a problem than bars. But in bars, physical distancing is harder to control, and people talk more and louder when alcohol is consumed, which could contribute to the production of more virus aerosols.

States have been uneven in their regulations concerning bars and restaurants. In Pennsylvania, a federal judge has ruled that Governor Tom Wolf's mandated closing of indoor businesses was unconstitutional, as were limitations on gatherings. The judge said the closings violated the First Amendment.

As has been the trend in the last few weeks, the United States reported 33,826 new COVID-19 cases yesterday, and 418 deaths, according to the Johns Hopkins COVID-19 tracker. The country has seemed to plateau at around 30,000 new cases per day.

In total, US officials have reported 6,590,827 cases and 195,386 deaths.

The American Academy of Pediatrics (AAP) said the country has seen a 15% increase in pediatric COVID-19 cases over the past 2 weeks, with children representing a total of 549,432 US infections, or about 10% of all infections since March.

From Aug 27 through Sep 10, nearly 73,000 children tested positive for the virus.

In related news, today in Morbidity and Mortality Weekly Report, researchers describe 121 COVID-19associated deaths among people under 21 years reported to the CDC from Feb 12 through Jul 31. Twelve (10%) were infants, 24 (20%) were children aged 1 to 9 years, and 85 (70%) were aged 10 to 20 years.

Seventy-five percent of the deaths of people under 21 were in ethnic minorities, including blacks, Hispanics, and Native Americans. About 75% of decedents had at least one underlying condition, and 45% had two or more, the authors said.

"Persons from racial and ethnic minority groups are overrepresented," the authors said. "These racial/ethnic groups are also disproportionately represented among essential workers unable to work from their homes, resulting in higher risk for exposure to SARS-CoV-2 with potential secondary transmission among household members, including infants, children, adolescents, and young adults."

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More evidence points to bars adding to COVID-19 spread - CIDRAP

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