The CMO & CME of Island Health in B.C. appears to have written a memo to staff below, recommending that HCWs with respiratory symptoms NOT test for COVID(unless they themselves are at risk of severe disease, pregnant or are hospitalized.) Otherwise, return to work when you’re able.
If real, rather shocking to put admin interests ahead of patient safety & MDs…
#covidsars2 #medicine #medtwitter #patientsafetyfirst
This report is one of the first reports in pediatric patients of #coronavirus detected in the spinal fluid of two patients with severe COVID-19. Shows the “neurotropism and neuroinvasion characteristics of the virus.”
#CNS #pediatrics #medicine #covidsars2
https://bmcpediatr.biomedcentral.com/articles/10.1186/s12887-022-03806-0
Background There is growing evidence of nervous system involvement and related complaints in children with coronavirus disease 2019 (COVID-19). However, it seems that attempts to track of the virus in the nervous system have so far been unsuccessful. Case presentation Here we describe two pediatric cases of severe COVID-19 who had positive cerebrospinal fluid (CSF) and nasopharyngeal polymerase chain reaction (PCR) tests for severe acute respiratory syndrome coronavirus disease 2019 (SARS-CoV-2). A 36-month-old girl who presented with fever, diarrhea, mild left ventricular dysfunction and bizarre movements, and a five-month-old boy who presented with fever, watery diarrhea, severe dehydration, mottling, and two episodes of seizure. Their CSF analyses and cultures were normal. They admitted in intensive care unit (ICU) for near four days and discharged after ten days without any complaint. Conclusion This is one of the first reports of the presence of coronavirus in the central nervous system in COVID-19 pediatric patients, emphasizing the neurotropism and neuroinvasion characteristics of the virus.
“We should be doing the “strengthening” surveillance, testing, sequencing, clinical care, supply, access, R&D, IPC, ventilation, reinforcing work force, research, building trust, etc. now… not dismantling it.
Responding to #COVID19 is preparing for the next one.”—Maria Van Kerhove
An NIH study found that compared to a pre-pandemic grp, “adolescents assessed after the pandemic shutdowns reported ⬆️symptoms of anxiety & depression. Their brains showed thinning of the cortex, which helps execute mental processes like planning & self-control, & ⬇️volume in the hippocampus & amygdala, which are involved in accessing memories & regulating responses to fear & stress.”The post-shutdown group had older brain ages than pre-pandemic adol
An NIMH-supported study suggests that adolescents living through the COVID-19 pandemic may be experiencing more anxiety and depression symptoms and accelerated brain aging.
Corsi tweeted today that the Corsi-Rosenthal boxes have been proven “effective by many researchers w/ additive equivalent ACH that easily get many classrooms above 9-10 equivalent ACH (CR Box + ventilation) at relatively low cost. He explains more, here, in case you’d like to share with school administrators.
“These DIY units work amazingly well, & better than some commercial HEPA units,” says Jehl, an epid. Definitely, a no brainer! #covidsars2 #cleanair #ventilation
Very candid discussion about what Corona vaccines can & cannot do by Paul Offit , on the FDA’s Vax Advisor Committee, & the NEJM editor-in-chief Eric Rubin. They don’t mention the 🐘 in the room with this strategy… #LongCovid How do we solve this? There is more at risk with each reinfection than contracting mild illness & that is the problem…
https://www.nejm.org/doi/full/10.1056/NEJMp2300222 #covidsars2
And the Oscar goes….
to the Aussies at Garvan Institute who are working on a variant-proof vaccine! 👏👏👏
“SARS-CoV-2 vaccines are developed reactively rather than proactively, meaning that while they do offer protection, the virus is one step ahead, leaving communities vulnerable to waves of new strains.”
#Vaccine #vaccines #covidsars2 #variants
https://newsroom.unsw.edu.au/news/general/green-light-universal-covid-19-vaccine-project
“An analysis of workers’ compensation claims in New York found that 71 percent of claimants with long Covid needed continuing medical treatment or were unable to work for six months or more.”
Long Covid…
“It can take people who are entirely functional, athletic, healthy, & make it difficult for them to get out of bed or difficult to walk just a block…We are long on mechanisms & short on treatment. That's the summary of everything.”—EricTopol
#CovidIsNotOverYet #covidsars2 #LongCovid #medicine #healthawareness #medtwitter
Carolyn Barber, MD
