Testing for any disease is imperfect. There are almost always some tests that come back negative when the individual is actually positive and there will be some tests that come back indicating that someone is positive when they are really negative. Different diseases will have different priorities as to what type of error is more …
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1332 and SEP enrollment?
This post is in: Anderson On Health Insurance, COVID-19 Coronavirus
In late March, I put out a post expressing concern about the shape of the claims curves for states with 1332 attachment point reinsurance waivers. These are not normal times. States with attachment point reinsurance programs could be facing an unusual and unprojected claims curve… States built their program budgets on the assumption of a …
COVID-19 Coronavirus Update: Sunday / Monday, May 10-11
This post is in: COVID-19 Coronavirus, Foreign Affairs
Comedian @sarahcpr skewered @realDonaldTrump 's "inject disinfectants" statement the same way she now lambasts his astounding #COVID19 testing comments — by simply lip-synching his unedited words. Brilliant. https://t.co/EDhyiY2uUF — Laurie Garrett (@Laurie_Garrett) May 10, 2020 I feel for the valets, the housekeepers, the low-level administrative assistants. For the people who choose to stand so close …
COVID-19 Coronavirus Update: Sunday / Monday, May 10-11Post + Comments (44)
Jolted by pandemic, Malaysia first-quarter GDP seen shrinking for first time in decade: poll https://t.co/71x8WfEkqP pic.twitter.com/HCvcHSezDF
— Reuters (@Reuters) May 11, 2020
meanwhile, japan (which, yes, is not testing extensively) is still kind of muddling along at the same low infection rate despite not doing much distancing at all until recently, and even then all voluntary
— Gerry Doyle (@mgerrydoyle) May 11, 2020
South Korea is back on the defensive in the #coronavirus fight. After snuffing out #COVID19, a "super spreader" is the apparent source of more than 50 cases. All of the exposures occurred during a single night last weekend https://t.co/EhZ2Tq7i6t pic.twitter.com/K4M73Rmvct
— delthia ricks ? (@DelthiaRicks) May 11, 2020
Bonus ‘but of course, scapegoats’ factor:
That was until a new cluster of coronavirus cases emerged this weekend. Where? At a nightclub in Itaewon, a nightlife district in Seoul. It’s dampened the mood of the country that largely felt like it was on the winning side in a fight against the virus. (2/9)
— Hyunsu Yim 임현수 (@hyunsuinseoul) May 10, 2020
This news put the gay scene on the map for the wider public largely oblivious to it and has sent shockwaves through a nation where there is very little LGBT visibility and you can count on your fingers celebrities who are out and proud. (4/9)
— Hyunsu Yim 임현수 (@hyunsuinseoul) May 10, 2020
Gay bathhouses have also made headlines after it was learned that two clubgoers who’ve tested positive had visited one. To say the least, this weekend has been a PR disaster for the gay community in Korea. And many people are understandably frustrated at the clubgoers. (6/9)
— Hyunsu Yim 임현수 (@hyunsuinseoul) May 10, 2020
Unlike other club-related cases, many want to not just criticize the clubgoers but lump the whole community together. The witch hunt remains online for now, but it’s slowly starting to resemble the homophobia during the AIDS crisis in the ‘60s in the US. (8/9)
— Hyunsu Yim 임현수 (@hyunsuinseoul) May 10, 2020
(Yes, it was the 80s, not the 60s… which means more people should remember what a horrible failure scapegoating was.)
Nothing like a steady hand on the tiller, eh chaps?
To work or not to work? UK lockdown unwind mired by confusion https://t.co/7JCmdWQ8g1 pic.twitter.com/tmwRVx59Ei
— Reuters (@Reuters) May 11, 2020
… In an address to the nation, Johnson said the lockdown would not end yet but encouraged some people to return to work, though the leaders of Scotland, Wales, and Northern Ireland said they were sticking with the existing “stay-at-home” message.
“This is not the time simply to end the lockdown,” Johnson said on Sunday evening. “Anyone who can’t work from home, for instance those in construction or manufacturing, should be actively encouraged to go to work.”
Johnson said from Wednesday people would be allowed to exercise more and some manufacturing workers could go back to work, while some children might be able to go back to school in June…
Stay at home! Unless, of course, that would inconveniences those of us who can stay at home…
#COVID19: Mise à jour en Afrique (au 10 mai 2020, 18h, heure de l'Afrique de l'Est)
53 États membres de l'Union Africaine ont déclaré 61 181 cas, 2 239 décès et 20 932 guérisons.
Plus d'informations sur https://t.co/7jYZIj6m6m
#FactsNotFear #AfricaResponds pic.twitter.com/JBFQhRtJh9— Thomas NGBONGA (@thomas_ngbonga) May 10, 2020
Mexico sees 3,500 new coronavirus cases in projected peak weekend https://t.co/rGPJkH56vX pic.twitter.com/VQqNLGeqQL
— Reuters (@Reuters) May 11, 2020
A combination of 3 antiviral drugs plus an immune system booster seems to help #COVID19 patients recover more quickly.
Doctors in Hong Kong tested HIV drug combination of ritonavir & lopanivir & the general antiviral drug ribavirin & beta interferon.https://t.co/I6T5aFtMqw
— Microbes&Infection (@MicrobesInfect) May 9, 2020
Men have high levels of enzyme key to COVID-19 infection, study finds https://t.co/KUlOneMO1a pic.twitter.com/R7JuoNDLFc
— Reuters (@Reuters) May 11, 2020
Men’s blood has higher levels than women’s of a key enzyme used by the new coronavirus to infect cells, the results of a big European study showed on Monday — a finding which may help explain why men are more vulnerable to infection with COVID-19…
The study, published in the European Heart Journal, also found that widely-prescribed drugs called ACE inhibitors or angiotensin receptor blockers (ARBs) did not lead to higher ACE2 concentrations and should therefore not increase the COVID-19 risk for people taking them.
ACE inhibitors and ARBs are widely prescribed to patients with congestive heart failure, diabetes or kidney disease. The drugs account for billions of dollars in prescription sales worldwide…
“When we found that one of the strongest biomarkers, ACE2, was much higher in men than in women, I realised that this had the potential to explain why men were more likely to die from COVID-19 than women,” said Iziah Sama, a doctor at UMC Groningen who co-led the study.
ACE2 is a receptor on the surface of cells which binds to the new coronavirus and allows it to enter and infect cells.
Sama and Voors noted that as well as in the lung, ACE2 is found in the heart, kidneys, in tissues lining blood vessels, and in particularly high levels in the testes.
They said its presence in the testes might partially explain higher ACE2 concentrations in men, and why men are more vulnerable to COVID-19.
One in every 137 New Yorkers aged 45-64 has been hospitalized for covid19, and about .25% of the city's total population of 8.4 million has perished from the disease; while recent serology surveys suggest about 20% of New Yorkers have been infected with SARS-CoV-2 so far. pic.twitter.com/tYHFE9lJFc
— Scott Gottlieb, MD (@ScottGottliebMD) May 10, 2020
Nationally, hospitalizations and deaths continue to rise once New York region is excluded from totals. New cases across the nation also continue to build, although some of that is function of more widespread testing. New York is showing sustained declines for more than two weeks pic.twitter.com/mPP2TwhBdh
— Scott Gottlieb, MD (@ScottGottliebMD) May 10, 2020
This is why we do clinical trials. The comments below the post are a real eye-opener. If RECOVERY does confirm HCQ does not work as a treatment for COVID-19, I suspect there will still be people who refuse to believe it, for a multitude of reasons unrelated to science. https://t.co/OZdEREaQ4A
— Jake Dunning (@OutbreakJake) May 10, 2020
Speaking of unavoidably wet markets, spare a thought for the global fishing industry:
Frozen fare cold comfort for fishing industry battered by coronavirus https://t.co/NweEWAVkbH pic.twitter.com/gsuMs1yfM4
— Reuters (@Reuters) May 11, 2020
Shanghai Disney Theme park has reopened on Mon, making the world's first after over 100-day closure due to #coronavirus pandemic. All visitors must make appointments online. The daily traffic is strictly controlled at the 20% of the maximum capacity. pic.twitter.com/Lz0DwGFW8h
— People's Daily, China (@PDChina) May 11, 2020
COVID-19 Coronavirus Update – Saturday / Sunday, May 9-10
This post is in: COVID-19 Coronavirus, Foreign Affairs
Signs, spray paint, stickers with hearts — here's how cities all over the world are continuing to spread awareness about physical distancing pic.twitter.com/rRAaGOmAsH — NowThis (@nowthisnews) May 9, 2020 Number of global coronavirus cases rises above four million https://t.co/TpXZegH0Fk — BBC News (UK) (@BBCNews) May 9, 2020 U.S. CDC reports 1,274,036 coronavirus cases, 77,034 deaths …
COVID-19 Coronavirus Update – Saturday / Sunday, May 9-10Post + Comments (63)
South Korea backtracks on reopening after coronavirus cases jump. Health officials tracked 13 new cases to a man who had no symptoms and attended 5 nightclubs and bars in Seoul. Officials think he may have come in contact with over 1,500 people that night https://t.co/JYR0bwfGYl
— Alfons López Tena (@alfonslopeztena) May 9, 2020
China reports 14 new coronavirus cases, high-risk area resurfaces https://t.co/1YtEUYcGZN pic.twitter.com/dkMOIrvu6q
— Reuters (@Reuters) May 10, 2020
The sounds of pulsing music and crashing weights have returned to some gyms in Beijing pic.twitter.com/l5G2AI8Bmq
— Reuters (@Reuters) May 10, 2020
Russia's coronavirus cases continue to soar, with 10,817 new cases in the past 24 hourshttps://t.co/whXpus1KDI pic.twitter.com/S5ZH4jdRVU
— BBC News (World) (@BBCWorld) May 9, 2020
“The war was terrible,” a 93-year-old Russian veteran tells me. “But at least we knew how to defeat the enemy. No one knows how to beat this virus.” Russia marks Victory Day in #coronavirus lockdown. Our report for @BBCNews @BBCWorld Camera @mattgodtv Producer @BBCWillVernon pic.twitter.com/wB3LgppfS6
— Steve Rosenberg (@BBCSteveR) May 9, 2020
In Sweden, with its relatively relaxed policies on tackling the COVID-19 pandemic, there is growing evidence that those in immigrant communities are being hit harder by the pandemic than the general populationhttps://t.co/dXbVzIPrrZ
— AP Europe (@AP_Europe) May 9, 2020
Countries across the world are approaching coronavirus testing differently
But what is testing and why does it matter? https://t.co/W1bAXT2uTC pic.twitter.com/DoCjXwxAhE
— BBC News (World) (@BBCWorld) May 7, 2020
Pfizer and several other companies are testing messenger RNA vaccines against the coronavirus because they can be faster to produce and tend to be more stable than traditional vaccines, which use weakened virus strains. https://t.co/AJqsZQbzaL
— NYT Health (@NYTHealth) May 10, 2020
“As bad as this has been, it’s just the beginning.”
The former head of the CDC says the coronavirus pandemic could go on for "many months and possibly many years” and predicts at least 100,000 deaths in the U.S. by the end of May pic.twitter.com/5ooTEayEs9
— Bloomberg QuickTake (@QuickTake) May 9, 2020
NEW: NYC is launching free antibody testing this week, one location in each boro. 25k/week citywide.
By appointment only. To sched: https://t.co/6jrvk4TjWR
And remember: a positive antibody test does NOT mean you have immunity (you still need to wear a mask & social distance).
— Mark D. Levine (@MarkLevineNYC) May 9, 2020
A succinct description of what premature reopening means, by the great @dvergano: "exposing people without any natural immunity to a deadly disease, one readily and silently spread by people often without any symptoms". It's not rocket science! https://t.co/0kP37d4683
— Tom Gara (@tomgara) May 8, 2020
Olympics: Tokyo Games could be 'greatest ever', says Coates https://t.co/gRXT9cMR54 pic.twitter.com/jseMHbrD5K
— Reuters (@Reuters) May 9, 2020
This Italian gymnast trains in his garden pic.twitter.com/DJvomigEnY
— Reuters (@Reuters) May 10, 2020
Nearly three out of four U.S. Olympic sports organizations asked for government funds in the wake of the coronavirus pandemic. The calls for help underscored the frailties within the world’s most dominant Olympic sports system.
By @epells >> https://t.co/ka7FIojqjN pic.twitter.com/UYHD7QE64Z
— AP Sports (@AP_Sports) May 9, 2020
'There's absolutely nothing': locked-down Mexico grapples with national beer shortage | Mexico | The Guardian https://t.co/TM9e2pMIjA
— WendyFry (@WendyFry_) May 7, 2020
Because of the coronavirus, the National Park Service is testing public access at several parks across the nation, including two in Utah, with limited offerings and services. https://t.co/GQb8tEIbl0
— AP West Region (@APWestRegion) May 10, 2020
Late Night Happy Fantasies Open Thread
This post is in: Open Threads, World's Best Healthcare (If You Can Afford It)
Straight up CORONAtion!I will see myself out. https://t.co/sGzR9nEEha — Slava Malamud (@SlavaMalamud) May 10, 2020 Of course it will never happen, because neither of those guys would step down short of active physical force, and even then the rest of the Repubs wouldn’t agree with the transfer. (Should the Oval Office Squatter fall over foaming …
Some Longer Pandemic Reads
This post is in: COVID-19 Coronavirus, Foreign Affairs, Show Us on the Doll Where the Invisible Hand Touched You
BREAKING: AP Exclusive: Emails show top White House officials buried CDC report, then ordered pieces revived after AP story. https://t.co/q2xFOSqjzD — The Associated Press (@AP) May 8, 2020 … The files also show that after the AP reported Thursday that the guidance document had been buried, the Trump administration ordered key parts of it to …
Some Longer Pandemic ReadsPost + Comments (70)
Peter Piot: “Many people think COVID-19 kills 1% of patients, and the rest get away with some flulike symptoms. But the story gets more complicated. Many people will be left with chronic kidney and heart problems. Even their neural system is disrupted…”https://t.co/FTjW8Sujhi
— Natalie E. Dean, PhD (@nataliexdean) May 9, 2020
Virologist Peter Piot, director of the London School of Hygiene & Tropical Medicine, fell ill with COVID-19 in mid-March. He spent a week in a hospital and has been recovering at his home in London since. Climbing a flight of stairs still leaves him breathless.
Piot, who grew up in Belgium, was one of the discoverers of the Ebola virus in 1976 and spent his career fighting infectious diseases. He headed the Joint United Nations Programme on HIV/AIDS between 1995 and 2008 and is currently a coronavirus adviser to European Commission President Ursula von der Leyen. But his personal confrontation with the new coronavirus was a life-changing experience, Piot says…
After fighting viruses all over the world for more than 40 years, I have become an expert in infections. I’m glad I had corona and not Ebola, although I read a scientific study yesterday that concluded you have a 30% chance of dying if you end up in a British hospital with COVID-19. That’s about the same overall mortality rate as for Ebola in 2014 in West Africa. That makes you lose your scientific level-headedness at times, and you surrender to emotional reflections. They got me, I sometimes thought. I have devoted my life to fighting viruses and finally, they get their revenge. For a week I balanced between heaven and Earth, on the edge of what could have been the end…
One week after I was discharged, I became increasingly short of breath. I had to go to the hospital again, but fortunately, I could be treated on an outpatient basis. I turned out to have an organizing pneumonia-induced lung disease, caused by a so-called cytokine storm. It’s a result of your immune defense going into overdrive. Many people do not die from the tissue damage caused by the virus, but from the exaggerated response of their immune system, which doesn’t know what to do with the virus. I’m still under treatment for that, with high doses of corticosteroids that slow down the immune system. If I had had that storm along with the symptoms of the viral outbreak in my body, I wouldn’t have survived. I had atrial fibrillation, with my heart rate going up to 170 beats per minute; that also needs to be controlled with therapy, particularly to prevent blood clotting events, including stroke. This is an underestimated ability of the virus: It can probably affect all the organs in our body.
Many people think COVID-19 kills 1% of patients, and the rest get away with some flulike symptoms. But the story gets more complicated. Many people will be left with chronic kidney and heart problems. Even their neural system is disrupted. There will be hundreds of thousands of people worldwide, possibly more, who will need treatments such as renal dialysis for the rest of their lives. The more we learn about the coronavirus, the more questions arise. We are learning while we are sailing. That’s why I get so annoyed by the many commentators on the sidelines who, without much insight, criticize the scientists and policymakers trying hard to get the epidemic under control. That’s very unfair…
The Commission is strongly committed to supporting the development of a vaccine. Let’s be clear: Without a coronavirus vaccine, we will never be able to live normally again. The only real exit strategy from this crisis is a vaccine that can be rolled out worldwide. That means producing billions of doses of it, which, in itself, is a huge challenge in terms of manufacturing logistics. And despite the efforts, it is still not even certain that developing a COVID-19 vaccine is possible…
Six-minute audio story:
The UN is calling on rich countries to donate nearly $7 billion to help poorer states fight Covid-19. @UNReliefChief explains why this money is needed https://t.co/QjbjPqmXnj
— BBC World Service (@bbcworldservice) May 8, 2020
Detailed timeline, between the beginning of last December and January 21st, when COVID-19 became an international issue:
What did China do about coronavirus? A timeline https://t.co/9wCUe669rU
— BBC News (World) (@BBCWorld) May 8, 2020
COVID-19 Coronavirus Update – Friday / Saturday, May 8-9
This post is in: COVID-19 Coronavirus, Foreign Affairs
See? Under Trump the rest of the world is looking up to America again pic.twitter.com/zezOMELhf9 — The Daily Show (@TheDailyShow) May 7, 2020 “As bad as this has been, it’s just the beginning.” The former head of the CDC says the coronavirus pandemic could go on for "many months and possibly many years” and predicts …
COVID-19 Coronavirus Update – Friday / Saturday, May 8-9Post + Comments (71)
Coronavirus: China offers to help North Korea fight pandemic https://t.co/1TloB1ILAP
— BBC News (World) (@BBCWorld) May 9, 2020
Coronavirus forces Russia to hold slimmed down Victory Day in blow to Putin https://t.co/6nIsL0YpHt pic.twitter.com/dpvIOfLFlD
— Reuters (@Reuters) May 9, 2020
Coronavirus: Belarus WW2 parade defies pandemic and upstages Putin https://t.co/AoSvFfbfyC
— BBC News (World) (@BBCWorld) May 8, 2020
Dearth of medical resources in Africa for #COVID19 reminiscent of early HIV/AIDS pandemic https://t.co/CVZbXfewTo via @medical_xpress
— delthia ricks ? (@DelthiaRicks) May 8, 2020
Germany's confirmed coronavirus cases rise by 1,209 to 167,300 – RKI https://t.co/gncWgXaJ9J pic.twitter.com/yKFMzBCRjM
— Reuters UK (@ReutersUK) May 8, 2020
The calculus of death shows the COVID lock-down is clearly worth the cost https://t.co/Ca2dAy248F via @ConversationEDU
— ɪᴀɴ ᴍ. ᴍᴀᴄᴋᴀʏ, ᴘʜᴅ ?????? (@MackayIM) May 7, 2020
Milan is a ticking #coronavirus time bomb, a virologist is warning. Italy's capital has reopened. But a high number of infected people are returning to circulation, the scientist cautioned. Their presence might reignite a wave of infections https://t.co/IJLJJUtTGu pic.twitter.com/JhQPDjVPYs
— delthia ricks ? (@DelthiaRicks) May 8, 2020
UK 'to bring in 14-day quarantine for air passengers' https://t.co/c0nigvgxWM
— BBC Business (@BBCBusiness) May 8, 2020
Australia's biggest states hold off relaxing COVID-19 lockdowns https://t.co/6pz003StqH pic.twitter.com/HnatEF0pw4
— Reuters (@Reuters) May 9, 2020
Kuwait imposes 20-day 'total curfew' from May 10 to curb coronavirus https://t.co/D85hKBAAYM pic.twitter.com/007GWZ3FLy
— Reuters (@Reuters) May 8, 2020
Brazil hits new record for daily coronavirus deaths https://t.co/UGuBUjyWes pic.twitter.com/pJqiGb4T2N
— Reuters (@Reuters) May 9, 2020
Roaming 'robodog' politely asks Singapore park-goers to keep one meter apart https://t.co/QkDNr4pNiV pic.twitter.com/obqoWdTizj
— Reuters (@Reuters) May 9, 2020
We know some about the intense immune response to #SARSCoV2. And we know a bit about #COVID clots.
How do they come together? Nicely reviewed today:
https://t.co/XfafCiypHp @TheLancetRheum pic.twitter.com/MU3DyjSRus— Eric Topol (@EricTopol) May 7, 2020
And a million smutty jokes are launched:
Clinical Characteristics and Results of Semen Tests Among Men With Coronavirus Disease 2019
-receptors were there, just a matter of time until someone testedhttps://t.co/s5NnltITWO— ɪᴀɴ ᴍ. ᴍᴀᴄᴋᴀʏ, ᴘʜᴅ ?????? (@MackayIM) May 8, 2020
Abbott coronavirus test is accurate; infected mother's breast milk may protect infants https://t.co/Ij0ShvGEpw pic.twitter.com/XUWoEKVs5z
— Reuters (@Reuters) May 8, 2020
Ex-NHL player who had COVID-19: Season shouldn't resume https://t.co/4v9DgWJgCj pic.twitter.com/mbegBeonwp
— Reuters (@Reuters) May 9, 2020
Reports: Silver says NBA doesn't expect fans back this year https://t.co/uJszphdvBO pic.twitter.com/kYSSyULxZx
— Reuters (@Reuters) May 9, 2020
Just in time for Mothers Day!
Downtown flower market in Los Angeles reopens pic.twitter.com/1GiFsVkHbF
— Reuters (@Reuters) May 9, 2020
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