Sunday, May 10, 2020

Rare inflammatory syndrome linked to Covid-19 kills 3 kids in New York, says governor Andrew Cuomo

Three children in New York have died from a rare inflammatory syndrome believed to be linked to the novel coronavirus, governor Andrew Cuomo said on Saturday, a development that may augur a pandemic risk for the very young.

Both Cuomo and his counterpart in the neighbouring state of New Jersey also spoke on Saturday about the pandemic’s growing toll on mental health, another factor on the minds of governors as they weigh the impact of mounting job losses against health risks in moving to loosen restrictions on daily life.

Nearly all of the 50 US states will have taken steps to relax lockdown measures by this weekend, including states like Arizona and Mississippi, which are reporting increasing infections of Covid-19, the disease caused by the virus, highlighting the risk of a new wave of outbreaks.

Cuomo told a daily briefing that he was increasingly worried about a syndrome that shares symptoms with toxic shock and Kawasaki disease, which he said included inflammation of the blood vessels and potentially fatal damage to the heart.

He said three children - including a five-year old disclosed on Friday - have died from such symptoms while also testing positive for Covid-19 or related antibodies, suggesting a link that was still not fully understood.

Cuomo, who has emerged as a leading national voice on states’ response to the coronavirus crisis, said state health officials were reviewing 73 similar cases, which have rattled a prior assumption that children were largely not susceptible to the novel coronavirus.

“We are not so sure that is the fact anymore. Toddler, elementary school children are presenting symptoms similar to Kawasaki disease or toxic shock-like syndrome,” Cuomo said. “It’s very possible that this has been going on for several weeks and it hasn’t been diagnosed as related to COVID.”

Cuomo said state health officials had partnered with the New York Genome Center and the Rockefeller University to look at whether there is a genetic basis for the syndrome and have been asked by the federal Centers for Disease Control and Prevention to develop national criteria for identifying and treating cases.

The syndrome shares symptoms with toxic shock and Kawasaki disease, which is associated with fever, skin rashes, swelling of the glands, and in severe cases, inflammation of arteries of the heart. Scientists are still trying to determine whether the syndrome is linked with the new coronavirus because not all children with it have tested positive for the virus.

At a separate briefing, New Jersey Governor Phil Murphy said the death of a four-year old disclosed on Friday was not related to the syndrome. “This is a very specific situation with this blessed little kid and we are going to leave it at that.”

‘TOXIC MIX’

New York and New Jersey are at the epicenter of the pandemic in the United States, accounting for nearly half of the 77,737 American deaths from Covid-19, according to a Reuters tally, and the two states have among the strictest lockdown rules still in place.

They are also at the center of a devastating economic toll underscored in government data released on Friday showing the US unemployment rate rose to 14.7% last month, up from 3.5% in February and shattering the post-World War Two record of 10.8% set in November 1982.

Cuomo said his state has seen increasing reports of mental health issues, substance abuse and domestic violence, all tied to the economic stress and isolation of the lockdowns.

On Friday a study released by the Well Being Trust and the American Academy of Family Physicians estimated an additional 75,000 people could lose their lives to suicide, drugs and other contributors to “deaths of despair” stemming from the crisis.

Murphy echoed those concerns.

“The cure for the health crisis is keeping people isolated,” Murphy told his briefing. “You add to that job loss, small businesses that have been crushed. It’s a toxic mix.”

Cuomo said 226 New Yorkers died from Covid-19 on Friday, up from 216 a day earlier, but less than half the levels recorded two weeks ago. He said hospitalizations and intubations continued their downward trend, further evidence the state has gained a measure of control over the virus.

Murphy said an additional 166 residents of his state had died over the past 24 hours from Covid-19, bringing its total fatalities to 9,116, while total cases rose by 1,759 to 137,085.

On a positive note, Murphy said the number of people hospitalized for the disease continued to fall, with the 422 patients discharged over the past 24 hours outpacing the 364 newly admitted for treatment.

Yet Murphy warned against complacency and said his constituents should continue to practice social distancing.

“We are not out of the woods, folks. Let’s not forget that,” he said.


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Thursday, May 07, 2020

Millions of people are expected to fall ill with tuberculosis due to coronavirus lockdown

Global lockdown measures as a result of the coronavirus pandemic could lead to millions of people contracting tuberculosis (TB) over the coming years, according to a new study.

As many as 6.3 million people are expected to develop TB as cases go undiagnosed and untreated between now and 2025, a study published by Stop TB Partnership on Wednesday showed, with 1.4 million people predicted to die during this time.

It is expected to set back global efforts to fight TB by at least five years, and possibly up to eight years.

“This situation makes me sick, because (it) is totally avoidable,” Lucica Ditiu, executive director of the Stop TB Partnership, said via email. “We just need to keep in mind that TB, as well as other diseases, keep affecting and killing people every single day, not just Covid-19.”

The research, which was commissioned in collaboration with Imperial College London, Avenir Health, Johns Hopkins University and USAID, was based on a three-month lockdown and a protracted 10-month restoration period as daily life returns to normal.

It was modeled on data principally drawn from three high-incidence countries (India, Kenya and Ukraine) and extrapolated to a global level.
TB is the world’s ‘top infectious killer’

The World Health Organization has recognized TB as the world’s “top infectious killer,” given 10 million people fall ill with TB every year and 1.5 million people die annually from the disease.

It is caused by bacteria and most often affects the lungs, the United Nations health agency says, but both the TB infection and disease are curable using antibiotics.

Since effective medication exists to treat TB, the global response relies on testing and treating as many people as possible.

“TB is an airborne infectious disease, so every single person with TB not diagnosed and treated infects many others — so we have a snowball effect,” Stop TB Partnership’s Ditiu warned.
A lung x-ray that clearly shows tuberculosis, in Liberia. Liberia is listed as one of the high-burden countries for tuberculosis by the World Health Organization.
A lung x-ray that clearly shows tuberculosis, in Liberia. Liberia is listed as one of the high-burden countries for tuberculosis by the World Health Organization.
The Covid-19 outbreak has meant countries around the world have effectively had to shut down, with many governments imposing draconian restrictions on the daily lives of billions of people.

Confinement measures have been implemented in 187 countries or territories in an effort to try to slow the spread of the pandemic.

The restrictions, which vary in their application worldwide but broadly include school closures, bans on public gatherings and social distancing, are thought to have made it much more challenging for health care workers to test vulnerable populations and for patients to access treatments.

To recover the gains made over the last years through increased efforts and investments in TB, the Stop TB Partnership said Wednesday that “it was important to have supplementary measures and resources in place to reduce the accumulated pool of undetected people with TB.”

“Such measures may include ramped-up active case-finding, alongside intensive community engagement and contact tracing to maintain awareness of the importance of recognizing and responding to symptoms suggestive of TB, using digital technology and other tools,” it said in a statement.

Founded in 2001, the Stop TB Partnership is an international body of more than 1,700 partners that aims to serve every person who is vulnerable to TB.

It operates through a secretariat hosted by the United Nations Office for Project Services (UNOPS) in Geneva, Switzerland to accelerate progress on TB diagnosis and treatment.


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Monday, April 27, 2020

4 Tips for Not Touching Your Face, Since It's So Hard to Stop

If you can tune out the noise of the widespread panic around the new coronavirus, the advice from the World Health Organization (WHO) on how to protect yourself from COVID-19 is simple: stay home if you’re sick, don’t get too close to anyone who’s coughing or sneezing, wash your hands a lot, and stop touching your face so much. But honestly, that last bit of advice is often easier said than done.

"Virtually everyone habitually touches their face," David Cutler, M.D., family medicine physician at Providence Saint John’s Health Center in Santa Monica, CA, tells Health. "And this is especially dangerous when there are infectious outbreaks like the current coronavirus [outbreak]." That's because touching your face (i.e., your mouth, nose, and eyes) allows the germs on your hands to reach moist, porous surface tissue where the germs can enter your body and cause infection, he says. "The intact skin on your hands is fairly impervious to infection, but the mucosal tissue lining your eyes, nose, and mouth is not so tough."

While the coronavirus spreads primarily through close contact with infected people, per the Centers for Disease Control and Prevention—that means via respiratory droplets produced when someone with the virus coughs or sneezes—the virus can also spread through contact with contaminated surfaces. That's where not touching your face so much comes in handy, since it's possible to pick up COVID-19 after touching something an infected person touched, then touching your own eyes, nose, or mouth, Debra Jaliman, MD, board-certified dermatologist and American Academy of Dermatology spokesperson tells Health.

If you’ve read this far without touching your face, great job. Here are some expert tips to help you go a little longer.


1. Be mindful of just how much you touch your face throughout the day.

Face-touching is often subconscious behavior, which means people do it without even being aware of it. If you want a number, you probably touch your face around 23 times an hour, according to the Association for Professionals in Infection Control and Epidemiology (APIC). Even health experts have trouble not touching their faces. Case in point: Sara Cody, the public health director of Santa Clara County, California, who went viral last week when she licked her finger only moments after urging the public not to touch their faces to help prevent contracting COVID-19.

Of course, the coronavirus outbreak—and the constant messaging to stop touching your face—isn't helping matters. "The problem with telling anyone to not do anything that is a habit is that generally it makes them do it more," Gail Saltz, MD, associate professor of psychiatry at New York Presbyterian Hospital Weill-Cornell School of Medicine and host of the upcoming Personology podcast, tells Health. "In attempting to remember to stop doing something, that thing is in front of your mind. This means trying to find the urge can often feel more intense."


2. Identify your own personal face-touching triggers.

People touch their faces for lots of different reasons, says Dr. Saltz—and the first step to reducing your face-touching is identifying what part of your face you touch the most and why. "[People] might pick their nose, pick at dry skin on their lips, smooth their eyebrows, touch their eyelashes," says Dr. Saltz. And that' primarily because "we are highly aware of our face because our senses (seeing, smelling, hearing) are basically housed on our face and head.

Alot of face-touching habits can be the result of triggers—like brushing your hair out of your face, picking at a pimple on your forehead, scratching an itch on your nose—but stress and boredom can exacerbate the urge to touch your face too. Of course, the best route for treating persistent stress and anxiety is to seek professional help, but if you find yourself biting your nails more often when scrolling through coronavirus news on Twitter, or watching back-to-back COVID-19 coverage on TV, it may be time to cut back a bit.


3. Find other behaviors to do when you want to touch your face.
Like any habit that is difficult to stop, Saltz suggests performing a “competing behavior.” This means when you have the urge to touch your face, you touch another part of your body instead, such as your arm. “It’s a method of redirecting away from the face-touching,” she says. Another way to redirect? Make it almost impossible for you touch your face: Sit on your hands (really). "I tell [people] to sit on their hands for a while to help break the habit,” she says. “It may take a while, but after a few weeks you really can break the habit of constantly touching your face.”

If that doesn't work, enlist items or habits that enable you to touch your face but also reduce the risk of infection. "For instance, carry tissues at all times so you can wipe away tears or catch a sneeze or cough. Use your knuckles to touch an elevator button instead of your finger, and a paper towel to open a door instead of your hand," says Dr. Saltz. Of course, Jaliman recommends carrying hand sanitizer and using it frequently. She advises using one with added moisturizer so your hands don’t get totally dried out.

And if all else fails, bring in reinforcements. Cutler suggests putting a frequent reminder into your phone telling you every few minutes, “Don't touch your face.”  The more you see the message, the more likely it is to sink in, making not face-touching your new habit. Or ask friends and family to point out each time they see you touch your face—and you offer to do the same for them—to make you a little more aware of just how often you do it. 


4. Keep in mind that not touching your face is only one way to protect yourself.

Is it important not to touch your face? Of course—but it's crucial not to forget all of the other preventive measures that can help your risk of contracting COVID-19, as well. According to the CDC, other smart flu prevention strategies that can keep you healthy include staying home when you’re not feeling well and avoiding others who are sick, washing your hands often (or using an alcohol-based hand sanitizer with at least 60% alcohol) as well as before eating and going to the bathroom, and cleaning commonly touched surfaces and objects

Also important: Understanding that nothing—even taking all of the CDC-recommended precautions—completely guarantees protection, says Dr. Cutler. But "utilizing as many as possible is your best assurance of avoiding coronavirus and other viral infections," he says.

The information in this story is accurate as of press time. However, as the situation surrounding COVID-19 continues to evolve, it's possible that some data have changed since publication. While Health is trying to keep our stories as up-to-date as possible, we also encourage readers to stay informed on news and recommendations for their own communities by using the CDC, WHO, and their local public health department as resources.


This is only for your information, kindly take the advice of your doctor for medicines, exercises and so on.     

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Saturday, April 25, 2020

How Apple and Google will 'use' your phone to fight coronavirus: 15 things to know

Almost two weeks back two of the world’s biggest tech companies — Apple and Google — announced that they would work together to help in the fight against coronavirus pandemic.
 The two companies announced their plans of helping governments, health agencies across the world with the help of contact tracing, apps among other things. Now, Apple and Google have outlined their plans in detail and addressed one big worry: that of user privacy. Here we list out 15 things that you need to know about how Apple and Google will use your phone to fight coronavirus:
 

2/16 The two companies intend to use the power of Bluetooth to help in contact tracing
Apps made by governments/public health authorities to be available by May


3 / 16
Apps made by governments/public health authorities to be available by May

Apple and Google will release application programming interfaces (APIs) that allow contact tracing apps from public health authorities to work across Android and iOS devices.


4/16 Apps will undergo rigorous checks before they are approved

These apps will be approved only if they are “administered in conjunction with public health authorities, meet our privacy requirements, and protect user data,” said Apple and Google.
The second phase will use smartphone’s operating system (Android and iOS)


5 / 16
The second phase will use smartphone’s operating system (Android and iOS)

In the next few months Apple and Google plan to have OS level updates to help ensure broad adoption in contact tracing. No apps will be needed when this rolls out.
Smartphones are important in slowing down the pandemic


6 / 16
Smartphones are important in slowing down the pandemic

Phones offer an automated solution that scales to understand when people are exposed to someone who has tested positive for the virus. “This gives valuable anonymous data to public health authorities to make the best decisions to slow down COVID-19,” the two companies said.


7 / 16
Contact-tracing from Apple and Google will only be available to be used by apps from public health authorities
The apps approved will have access to Bluetooth beacon data but will retain user privacy and security


8 / 16
The apps approved will have access to Bluetooth beacon data but will retain user privacy and security
Apple and Google are working with public health authorities to see how users may be contacted about the available apps


9 / 16 Apple and Google are working with public health authorities to see how users may be contacted about the available apps


10 / 16
Apple and Google will highlight contact tracing apps when they become available on their app stores.
Anyone who tests positive for the virus will not be identified by the system to other users, nor to Apple or Google


11 / 16
Anyone who tests positive for the virus will not be identified by the system to other users, nor to Apple or Google


12 / 16
No location data will be collected. The two companies specified that, “This system does not collect location data from your device, and does not share the identities of other users to each other, Google or Apple"


13 / 16
The two companies will not share data with governments and authorities, except in two cases.  If a user chooses to report a positive diagnosis of COVID-19 to their contact tracing app, only then specific data will be shared. The second case is if a user is notified through their app that they have come into contact with an individual who is positive for COVID-19 then the system will share the day the contact occurred, how long it lasted and the Bluetooth signal strength of that contact. No other information will be shared
Google and Apple will have the authority to disable the tech being deployed once it’s not needed


14 / 16
Google and Apple will have the authority to disable the tech being deployed once it’s not needed.


15 / 16
No user will be ‘forced’ to use these apps or technology. “Users have explicit choice whether or not to turn on and use COVID-19 contact-tracing,” Apple and Google representatives said.


16 / 16
Apple and Google will not monetise the project at all.



This is only for your information, kindly take the advice of your doctor for medicines, exercises and so on.     

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