Instead of relying on a test of your infectiousness from Covid-19 and symptoms to determine the need to isolate, California now is ignoring the test results.
California’s Department of Health recently made major changes to its isolation requirements, one based on symptoms alone.
Comments closedOver the last four years, Angela Meriquez Vázquez has faced a long list of health scares and conditions, any of which could have had a profound impact on her life individually. From mini-strokes to brain swelling to seizures to painful heart palpitations — not to mention severe shortness of breath, extreme confusion and numbness in her face — Vasquez didn’t start to experience these events until after she got infected with COVID-19 in March 2020.
Prior to the infection, Vázquez was a healthy runner for nearly 20 years. Today, she is on 12 different prescription medications, including weekly IV treatments at the hospital. She has a “strict pacing regimen” that allows her to work from home, but not much else.
“I do not socialize, or enjoy my old hobbies, and I don’t really leave my home, especially now that I am now considered high-risk,” Vázquez said in a hearing with the Senate Committee on Health, Education, Labor and Pensions, emphasizing that Congress needs to treat long-COVID like the crisis it is. “We are living through what is likely to be the largest mass disabling event in modern history.”
Vázquez was one of three long COVID patients who confronted Congress about the issue for the first time on Jan. 18 in Washington D.C.
Comments closedImplementation of ventilation standards of at least five clean-air changes per hour, COVID-19 testing, the use of personal protective equipment (PPE), and universal wearing of respirators prevented most SARS-CoV-2 transmissions in a California healthcare system from 2020 to 2022, suggests a study published yesterday in Clinical Infectious Diseases.
For the study, University of California (UC) researchers used electronic health records and movement data of patients and staff to conduct viral genomic and social network analyses to estimate COVID-19 spread in the UC–San Diego Health system. The team analyzed 12,933 viral genomes from 35,666 infected patients and healthcare workers (HCWs) (out of 1,303,622 tests [2.7%]) from November 2020 to January 2022.
Comments closedThe answers lie in poop. Based on the latest national sample of wastewater taken on January 13, 2024, the concentration of the SARS-Cov-2 virus is 1,132 copies/mL of sewage, an alarming increase compared to 280 copies/mL six months ago. This is one sign that cases of COVID infections have been rising, resulting in more hospitalizations, deaths, and people developing long COVID.
Like millions of other high-risk people who are service workers, older, chronically ill, disabled, or immunocompromised, I have done everything I can to remain as safe as possible. Due to neuromuscular disability and respiratory failure, my chances of surviving an infection are slim to none. With the latest JN.1 variant likely even more contagious – or better practiced at evading immune system defenses – than previous ones, I wonder if this is the surge when I will become infected, which is terrifying.
Comments closedA study today in the journal Pediatrics from researchers at the Children’s Hospital of Philadelphia suggests COVID-19 vaccines have a moderately protective effect in kids against long COVID.
The authors of the retrospective study mined electronic health records from 17 healthcare systems to assess whether the vaccine protected children from long COVID, which has been less common in kids than in adults. The study began in October 2022.
Comments closedComments closedThe tide is turning. Thanks to all the people making noise on social media and bugging their families, while continuing to wear masks and build air purifiers no matter what anyone says, there’s a trace of hope.
When the pandemic hit American soil, the country faced a tragic lack of leadership in President Donald Trump, a man who famously did not bother to read his daily briefs. He also spent a lot of time on Twitter, and not only religiously watched Fox News but took policy cues from it. In the emerging crisis — which happened to coincide with Trump’s reelection campaign gearing up — while scientific experts couldn’t get the ear of the president, social media and right-wing media very much could and did.
Trump, who had promised the pandemic would simply disappear, came to embrace a too-good-to-be-true pandemic “solution” in the form of hydroxychloroquine (HCQ), which had captured the excitement of Silicon Valley — and the attention of Elon Musk on Twitter. Though the repurposing of existing drugs is not inherently a bad idea, Team Trump was not interested in engaging in the scientific process to test for safety and efficacy. And it certainly wasn’t the only time Musk or Trump recklessly took off with an idea because they wanted it to be true.
Comments closedThe winter COVID-and-flu season is ramping up in California and nationwide, with doctors and other experts saying the worst of the respiratory illness season is still to come.
New data show pronounced recent jumps in the rate at which coronavirus and flu tests are coming back positive, as well as the number of hospital-admitted patients testing positive for the viruses. Workplaces are also seeing higher numbers of employees call in sick due to infections.
National wastewater data suggest this winter could see the highest number of coronavirus infections occurring during any given week since the first Omicron wave began in fall 2021.
Comments closedThe pandemic is far from over, as evidenced by the rapid rise to global dominance of the JN.1 variant of SARS-CoV-2. This variant is a derivative of BA.2.86, the only other strain that has carried more than 30 new mutations in the spike protein since Omicron first came on the scene more than two years ago. This should have warranted designation by the World Health Organization as a variant of concern with a Greek letter, such as Pi.
By wastewater levels, JN.1 is now associated with the second-biggest wave of infections in the United States in the pandemic, after Omicron. We have lost the ability to track the actual number of infections since most people either test at home or don’t even test at all, but the very high wastewater levels of the virus indicate about 2 million Americans are getting infected each day.
Comments closedIndoor mask requirements have been reinstated at all New York City public hospitals amid a rise in respiratory viruses including COVID-19 and flu.
The mandate extends to the 11 hospitals, 30 health centers and five long-term care facilities run by NYC Health + Hospitals.
The city’s health commissioner, Dr. Ashwin Vasan, said Wednesday masks will only be required in areas where patients are being treated, according to local ABC News affiliate ABC 7 NY.
Comments closedAt least 200 million people worldwide have struggled with long COVID: a slew of symptoms that can persist for months or even years after an infection with SARS-CoV-2, the virus that causes COVID. But research suggests that that number would likely be much higher if not for vaccines.
A growing consensus is emerging that receiving multiple doses of the COVID vaccine before an initial infection can dramatically reduce the risk of long-term symptoms. Although the studies disagree on the exact amount of protection, they show a clear trend: the more shots in your arm before your first bout with COVID, the less likely you are to get long COVID. One meta-analysis of 24 studies published in October, for example, found that people who’d had three doses of the COVID vaccine were 68.7 percent less likely to develop long COVID compared with those who were unvaccinated. “This is really impressive,” says Alexandre Marra, a medical researcher at the Albert Einstein Israelite Hospital in Brazil and the lead author of the study. “Booster doses make a difference in long COVID.”
Comments closedAs seasonal virus activity surges across the United States, experts stress the importance of preventive measures – such as masking and vaccination – and the value of treatment for those who do get sick.
Tens of thousands of people have been admitted to hospitals for respiratory illness each week this season. During the week ending December 23, there were more than 29,000 patients admitted with Covid-19, about 15,000 admitted with the flu and thousands more with respiratory syncytial virus, or RSV, according to data from the US Centers for Disease Control and Prevention.
Comments closedSome hospitals across the United States are reinstating indoor masking rules amid rising cases and hospitalizations of respiratory illnesses including COVID-19 and influenza.
Hospitals in at least six states — California, Illinois, Massachusetts, North Carolina, Washington and Wisconsin — have put masking guidelines in place, according to an ABC News count.
Over the weekend, Mass General Brigham, which is the largest health system in Massachusetts, told ABC News it issued guidelines requiring employee caregivers and those working in patient care areas to wear masks.
Comments closedWashington’s Department of Health has cut over 300 employees who helped with the state’s pandemic response and hundreds more of these jobs are on the chopping block as federal COVID aid dries up.
The department already slashed 356 positions and will soon lose funding for 349 more. Funding for most of the jobs will lapse by July 2024 and all federal COVID-19 funds for staff will end by July 2025, according to an agency spokesperson, Roberto Bonaccorso.
Similar cuts are happening nationwide as federal COVID relief funding expires. Public health advocates are warning that as jobs like these are eliminated, it threatens to leave states in a weaker position responding to the next public health crisis.
Only 4.5% of a cohort of pediatric COVID-19 patients admitted to US hospitals during the period of Omicron predominance had completed their primary COVID-19 vaccine series, and 7.0% had started but didn’t finish the series, The Pediatric Infectious Disease Journal reports.
The study team, led by Centers for Disease Control and Prevention (CDC) researchers, enrolled 597 vaccine-eligible COVID-19 inpatients aged 8 months to 4 years at 28 hospitals participating in the Overcoming COVID-19 network from September 2022 to May 2023. A total of 62.1% of patients were aged 8 months to 1 year, and 37.9% were aged 2 to 4 years.
Comments closedWith both COVID-19 and other respiratory virus rates up, nearly all the major hospital groups in Massachusetts are bringing back mask requirements for doctors and staff, and in some cases for patients and visitors as well.
Beth Israel Lahey, Boston Medical Center and Dana Farber have already reimposed requirements. Mass General Brigham and UMass Memorial plan to require masking starting Jan. 2, followed by Tufts Medicine on Jan. 3.
Comments closedDoes it seem like a lot of people you know are sick?
You’re not alone. Respiratory illness season is in full swing in California and across much of the nation.
In Los Angeles County, about 23% of people participating in a weekly text-message-based survey reported having a cough or shortness of breath for the week that ended Dec. 10, higher than the total reported during a late summer peak in respiratory illnesses, when 21% said they had those symptoms. Early summer brought a lull, with only 10% of survey respondents saying they had a cough or shortness of breath.
Comments closedComments closedOur study shows that markers of brain injury are present in the blood months after COVID-19, and particularly in those who have had a COVID-19-induced brain complication (e.g. inflammation, or stroke), despite resolution of the inflammatory response in the blood. This suggests the possibility of ongoing inflammation and injury inside the brain itself which may not be detected by blood tests for inflammation.
