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COVID- vaccine

COVID-19 Vaccine Faces Challenge of Confidence

WASHINGTON – The economy will not fully recover until a vaccine against COVID-19 is available, experts say.

But once a vaccine is available, polls show one-quarter to one-third of Americans don’t plan to get it.

That means bringing the pandemic to an end and getting people back to work is not just a medical science challenge. It’s a social science challenge, too.

And while billions of dollars are going into solving the medical issues, none of it is earmarked to address the social issues, according to a new report.

“You can’t just have a clinically successful vaccine. You have to have a socially acceptable vaccine,” said co-author Monica Schoch-Spana, a cultural anthropologist and senior scholar at the Johns Hopkins Center for Health Security.

Scientists are moving at unprecedented speed to develop a safe and effective vaccine against the coronavirus that causes COVID-19. But “there wasn’t enough forethought about the importance of understanding the human factors,” Schoch-Spana said.

So she and 22 co-authors, including prominent epidemiologists, vaccinologists and social scientists, put together the report to show where to fill the gaps.

“In light of the high stakes, and the charged social environment, there have to be extra measures taken,” she said.

Politically charged

Vaccine opponents have been “very, very effective at connecting their anti-vaccine movement with some of the political issues” around COVID-19, protesting against lockdowns and refusing to wear masks, noted L.J. Tan, co-chair of the National Adult and Influenza Immunization Summit, a public-private vaccine advocacy coalition.

Some of the messaging from the Trump administration has not helped build confidence, either, Schoch-Spana said.

For example, naming the vaccine program Operation Warp Speed gives the impression that swiftness is more important than safety.

The administration has undermined medical experts by continuing to insist that the drug hydroxychloroquine is effective against COVID-19 when gold-standard studies have found it is not. Suggesting ultraviolet light or bleach as treatments hasn’t helped, either, Schoch-Spana’s report said.

One poll has found that an endorsement from President Donald Trump would make 36 percent of respondents less likely to get a vaccine, compared with 14 percent who would be more likely.

Barbershop epidemiology

Communities of color who are disproportionately affected by COVID-19 are also the most hesitant to get vaccinated. Polls have found from 25 percent to 44 percent of African Americans say they would not get a vaccine.

It’s partly a result of unethical medical experiments on African Americans in the 20th century, “a legacy of malfeasance and malpractice feeding mistrust today,” Schoch-Spana said, in addition to present-day discrimination they face from the health system.

Health officials are getting past the mistrust by connecting with local nonprofits, churches, community groups, even hair salons and barbershops, which can be champions for vaccination.

“Those places are where people congregate and share information and, by the way, make health decisions,” Schoch-Spana said.

With influenza season coming up, health officials are aiming to ramp up those and other channels. The goal, as Tan puts it, is to take flu out of the equation because seasonal flu on top of a second wave of COVID-19 would push the health system to the brink.

“We’ve got existing infrastructure and existing systems that we know work, but they’re not working well,” he added. Communities of color get flu vaccines at lower rates than other groups. If officials can improve those systems, they can leverage them for COIVD-19 as well, Tan said.

Not persuasive

Connecting with trusted community members is likely to be more effective than education campaigns aimed at increasing confidence in vaccines, or appealing to people’s sense of altruism, according to University of North Carolina at Chapel Hill health behavior professor Noel Brewer.

“The research is fairly clear that persuasion approaches are not all that effective for vaccination,” he said. Brewer co-authored a separate report on vaccine hesitancy.

“What is effective in increasing vaccination is establishing systems that are easy to use and reach many people,” he added.

That could include delivering vaccines in unusual places, including churches, community centers and mobile clinics, Schoch-Spana said.

“It isn’t just enough to go to the convenient pharmacies in the community,” she noted. “It’s also about going to places that people can access readily and feel comfortable, safe and familiar to them.”

When a vaccine arrives, there will not be enough for everyone, at least initially.

“So there have to be decisions made about who gets to stand in line first for that limited set of doses,” Schoch-Spana said. “That’s not just a technical question. That’s also a question that’s informed by social values.”

In the current politically charged environment, those decisions need to be made with transparency and accountability, she said. “The systems have to be built so that they are fair, and people need to recognize that they are fair.”

There could be additional upsides to getting it right, she added.

“If we do this vaccination program well, we will not only protect people’s health,” Schoch-Spana said. “We will regain people’s trust in institutions like government and public health and vaccine science.” 

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COVID- Trump

Trump: You Know Who This COVID-19 Mess and Racial Unrest Is Really Hurting? Me!

Photo: JIM WATSON (Getty Images)

The true victim, the one we seldom talk about during that pandemic and racially trying times is not the families that are hurting from the coronavirus, or people who have lost loved ones. It is not even those who have been victims of systemic racism or those who have shortened their lives trying to explain to snowy co-workers why”All lives matter” is a vicious conflict cry.

The real victim here is the trust fund baby who grew up surrounded by riches and had his whole lifetime given to him, including his presidency, or that’s the way he sees it.

According to the Washington Post: President WahWah Von WoeIsMe was crying in his cornflakes and has not even had enough energy to punch South Carolina Senator Lindsey Graham from the chunks. We all know this because Graham asked that his ball gag be eliminated simply to complain that, if he’s not likely to be beaten why is he here!?

Apparently, the president of people who won’t put on a mask but would openly kiss a jackal from the mouth was sulking around the White House complaining that the coronavirus ruined the market that he takes credit for but was actually the work of the Obama government. He is also upset with all the”fake news” media, he complains never gives him some credit.

“And he bemoans the’sick, twisted’ police officers at Minneapolis, whose killing of an unarmed black man in their custody triggered the nationally racial justice protests that have confounded the president,” the Post reports.

G/O Media may get a commission

I guess the president’s advisors miss the grumpy orange bitch who was able to ride his grocery scooter round the White House crying,”you’re fired” and telling people about the actual Meatloaf who most individuals don’t get to see.

The new Trump, the one who understands his White House days are numbered, reportedly just waxes about the way the country’s turmoil, all of this craziness, has destroyed him, proving once again the president does not have anything muscle which shows self-reflection and responsibility.

From the Post:

The president has cast himself in the starring role of the blameless victim — of a deadly pandemic, of a delayed market, of deep-seated racial unrest, all which occurred to him rather than the country. Trump put his Thursday in reaction to a Supreme Court ruling rejecting his claim of absolute immunity and permitting a New York prosecutor to see that the president and company documents\.

Trump responded with a social networking meltdown, composing on Twitter,”PROSECUTORIAL MISCONDUCT! ” and “POLITICAL WITCH HUNT! ” He wrote that the conclusion has been”Not fair for this Presidency” and maintained “Courts in the past have given’broad deference’. BUT NOT ME!

Trump has constantly shown a healthy self and his self-victimization tendencies aren’t a new phenomenon, based on those who’ve known him over the years. However, those traits have been especially pronounced this summer, showing themselves almost daily in everything from personal conversations to public tweets as the pandemic continues to upend everyday life across America and threaten the president’s political fortunes.Barbara Res, a former executive at the Trump Organization, stated that when she worked for Trump, he translated nearly everything in deeply personal terms. “Whatever bad happened, regardless of what it was, it was always against himalways directed at him” Res said. “He would say,’Why does everything happen to me?'” She added:”It was as if the world revolved around him. Everything that happened had an impact on him, good or bad.”

More than 130,000 Americans thus far have died of this novel coronavirus, which amount is growing daily. Some 3 million cases are reported and nearly 43 million have applied for unemployment because COVID-19 came and started shaking the tables. The nation has also been reeling from the dreadful death of George Floyd who perished Minneapolis police custody as an officer, who’s going to hell, kneeled on his neck for 846.

Those around Trump are attempting to get him to observe the sunnier side of matters. Florida Rep. Matt Gaetz reportedly showed up at the White House with a new caftan of baby goat blood but the president didn’t budge. Gaetz offered to have his adopted adult boy, that was not adopted, be his surrogate fists and punch at Graham for him but the president didn’t budge off the couch. He \asked if anyone had Melania’s boyfriend’s number so he could talk to her, however, it was not known by any one.

Holy fuck look at this from the Article:

Other leading White House advisers — including Hope Hicks and Dan Scavino — have also sought to buttress Trump’s mood with events they believed he’d like, such as celebrating truckers by bringing 18-wheelers on the White House South Lawn in mid-April or producing social media videos which contain throngs of his loving fans, according to aides.

What the fuck kind of babychild do we have from the White House where they planned a fucking 18-wheeler day party for his ass? This reminds me of a really bad Richard Pryor movie called The Toy.

Speaking of, has anyone heard from the Doctor of Houses, Ben Carson? \everyone knows that is the job of Jared, I’m going to lose it if I hear he’s in charge of being a man-nanny for your fucking president.

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COVID- Pivot Technology

COVID-19 pivot: Traveling unicorn Klook sees Leap in staycations

Spring 2020 has been gloomy for Klook. As nations closed their borders and went into partial or complete lockdown, the SoftBank-backed travel system saw its earnings plummet by up to 90percent through March and April. The World Travel and Tourism Council stated in April the coronavirus could set up to 100 million jobs in the global travel and tourism in danger.

However, at the dark times, chances were bubbling up.

Six-year-old Klook enables travelers, mostly from Asia, to discover and book overseas experiences ranging from Napa Valley wine tastings to staying with a farming family in Cambodia — a bit like Airbnb Experiences. It then requires a cut from each trade that occurs between the customer and activity vendor.

Before COVID-19, the startup, that crossed the $1 billion evaluation mark back in 2018, was visiting 30 million yearly user sessions per month; from April, the figure jumped to 5 million. The constraints on people’s movement throughout the world, that is the foundation of its business, forced Klook to quickly rethink product offerings.

“In the close of the day, we’re in the business of interesting things to do. You will find things to do at home, in addition to local things to do when people may travel,” co-founder and chief operating officer Eric Gnock Fah advised TechCrunch over a telephone interview. “Now [the pandemic] is giving us an chance to add a new factor to it.”

Staycation

Cooped up in the home, people around the world turned into cooking, handcraft and other domestic jobs within an outlet for entertainment and imagination. Klook reacted to the need by offering do-it-yourself kits for creating bubble tea, macarons, candles and much more — and delivering the material to people’s doorsteps. For people who were still eager to see the Earth, Klook partnered with landmark sites worldwide on online virtual tours, amassing close to 660,000 views in its first two livestreamed experiences.

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COVID- Symptoms

Covid-19 symptoms: What we know now and what to do

(CNN)It may feel like years, but the world has only been battling the deadly novel coronavirus for months. As scientists feverishly work around the clock to unravel the mysteries of this deadly invader, they have gained interesting insights into the virus and the disease it causes: Covid-19.

“We know more now about how it makes people sick,” said infectious disease expert Dr. William Schaffner, a professor of preventive medicine and infectious diseases at Vanderbilt University School of Medicine in Nashville.

Fever, cough and shortness of breath are still key signs that you might have Covid-19, but experts now know there are other red flags signaling infection. Some mimic a typical cold; others mirror the flu; and a few are just downright bizarre.

“We’ve learned about Covid toes, the loss of taste and smell,” Schaffner said.”We’ve learned that it can actually produce delirium — we’re not entirely sure how it affects the central nervous system yet, but it’s clear that some of these people have delirium.”

“We think the average incubation period is shorter,” he said. “It’s five to seven days now, and occasionally it can go longer.”

If there are any symptoms at all. That’s yet another thing science has learned: Many of us can be asymptomatic, or at least think we are, and spread the virus without knowing it.

In fact, Schaffner said, most studies are finding that a third or more of people who test positive are without symptoms or have very mild symptoms they may not even notice.

“You and I feel perfectly well, and we could be sitting opposite each other at a table having this discussion, but I can’t prove to you that I don’t have the virus. And you can’t prove to me that you don’t,” Schaffner said.

“That’s the whole rationale for mask wearing by everybody,” he added. “And that’s another thing we’ve learned — masks really do offer protection for the wearer as well as others. That’s important for people to understand, because a lot of people have said, ‘Well, if I’m not sick, I don’t need to wear this mask.’ And that’s unwise.”

Unusual symptoms

If there was ever a disease that has figured out a way to tackle the body in weird and widespread ways, Covid-19 is it. It appears to be able to invade nearly every major organ. It clots blood, often in dangerous ways. It attacks our sense of smell, our eyes, even our skin.

Because new, rarer symptoms continue to pop up as more and more of us experience Covid-19, this is not an exhaustive list. Still, here are a few of the bizarre symptoms we might experience.

A new loss of taste or smell: The CDC recently added this unusual symptom to its list of top signs that you might have Covid-19. It can occur without any prior warning, not even a stuffy nose.

“What’s called anosmia, which basically means loss of smell, seems to be a symptom that a number of patients developed,” CNN Chief Medical Correspondent Dr. Sanjay Gupta told CNN anchor Alisyn Camerota on “New Day.”

It appears to be more prevalent in mild or moderate cases of Covid-19, and tends to appear at the beginning of the illness. It may be even be one of the first signs that you are sick.

“Anosmia, in particular, has been seen in patients ultimately testing positive for the coronavirus with no other symptoms,” according to the American Academy of Otolaryngology-Head and Neck Surgery.

Any respiratory virus, such as cold or flu, will temporarily impact smell and taste, and in rare cases, the loss can be permanent. So the loss of those senses are not a definitive diagnosis of Covid-19.

Still, “it’s clearly something to look out for — sometimes these early symptoms aren’t the classic ones,” Gupta said.

Is there anything you can do at home to test to see if you’re suffering a loss of smell? The answer is yes, by using the “jellybean test” to tell if odors flow from the back of your mouth up through your nasopharynx and into your nasal cavity. If you can pick out distinct flavors such as orange and lemon, your sense of smell is functioning fine.

Covid toes and blood clots: At first glance, the swollen red or purple toes look like a case of frostbite. But it’s just another example of the strange ways that Covid-19 — primarily a respiratory disease — affects the body.

What’s really going on? The virus is creating tiny blood clots in the smallest blood vessels in the feet. And while colorful toes may not be a cause for alarm, experts say, the discovery that Covid-19 is clotting blood throughout the body is a dangerous development.

Doctors are finding blood clots of all sizes throughout the body, even in people who are young and healthy. Those clots are often lodging in the limbs of the body, where they can break away and clog the lungs, heart, kidneys and liver. There the clots cause inflammation, immune complications and even deadly or debilitating strokes and pulmonary embolisms, the medical name for blood clots in the lungs.

“It seems like Covid, the virus, is creating a local inflammatory response that’s leading to some of these thrombotic events,” said Dr. Sean Wengerter, division chief of vascular surgery at Westchester Medical Center Health’s Good Samaritan Hospital, in a prior CNN interview. “This is happening because of the direct action of the virus on the arteries themselves.”

Signs of a potential clot in a limb include unusual tenderness or pain, a red or blue tinge to the area, warmth or itchiness or cramping in the lower calf or leg. The clot may have moved to lungs or heart if you have chest pain, dizziness, a bad cough or trouble breathing.

Pink eye: Early research from China, South Korea and other parts of the world found about 1% to 3% of people with Covid-19 also had conjunctivitis, commonly known as pink eye.

Conjunctivitis, a highly contagious condition when caused by a virus, is an inflammation of the thin, transparent layer of tissue, called conjunctiva, that covers the white part of the eye and the inside of the eyelid.

But SARS-CoV-2 is just one of many viruses that can cause conjunctivitis, so it came as no real surprise to scientists that this newly discovered virus would do the same.

Still, a pink or red eye could be one more sign that you should call your doctor if you also have other telltale symptoms of Covid-19, such as fever, cough or shortness of breath.

Sudden confusion, even delirium: The World Health Organization lists altered consciousness or confusion as a possible early symptom of Covid-19, in some cases presenting even before fever and cough. Delirium and hallucinations can appear, which can have long-term impact — slowing recovery and increasing the risk for dementia, depression or post-traumatic stress.

And it’s not just the mentally weaker elderly who are suffering. Doctors see many younger patients with such symptoms as well. Studies show some 60% to 75% of Covid-19 patients in intensive care are experiencing various central nervous system breakdowns: Some hallucinate they are on fire or freezing; others see visions they keep to themselves, becoming withdrawn; and still others are confused and irritable.

Because signs of encephalopathy — any damage or disease that affects the brain — can lead to serious illness, the CDC says that any sudden confusion or an inability to wake up and be alert is a serious symptom.

If you or a loved one has those symptoms, especially with other critical signs like bluish lips, trouble breathing or chest pain, the CDC says to seek help immediately by calling 911.

10 typical symptoms

Some of the more well-known and commons signs of Covid-19 can be just as dangerous.

An inability to take a deep breath: Shortness of breath is not usually an early symptom of Covid-19, but it is the most serious. It can occur on its own, without a cough. If your chest becomes tight or you begin to feel as if you cannot breathe deeply enough to fill your lungs with air, that’s a sign to immediately call your doctor or a local urgent care, experts say.

“If the shortness of breath is severe enough, you should call 911,” said American Medical Association president Dr. Patrice Harris.

Get medical attention immediately, the CDC says, if you experience a “persistent pain or pressure in the chest,” or have “bluish lips or face,” a possible sign of a lack of oxygen.

A rising temperature: Fever is a key sign of Covid-19. But don’t fixate on a number on the thermometer. Many people have a core body temperature that is above or below the typical 98.6 degrees Fahrenheit (37 degrees Celsius).

CNN anchor Chris Cuomo, who battled the virus in late March and early April from his home in New York, is one of those people.

“I run a little cool. My normal temperature is 97.6, not 98.6. So, even when I’m at 99 that would not be a big deal for most people. But, for me, I’m already warm,” Cuomo told CNN Chief Medical Correspondent Dr. Sanjay Gupta in a CNN Town Hall.

Most children and adults, however, will not be considered feverish until their temperature reaches 100 degrees Fahrenheit (37.7 degrees Celsius).

“There are many misconceptions about fever,” said Dr. John Williams, chief of the division of pediatric infectious diseases at the University of Pittsburgh Medical Center Children’s Hospital of Pittsburgh.

“We all actually go up and down quite a bit during the day as much as half of a degree or a degree,” Williams said, adding that for most people “99.0 degrees or 99.5 degrees Fahrenheit is not a fever.”

Don’t rely on a temperature taken in the morning, Schaffner advised, because temperature varies during the day. Instead, take your temperature in the late afternoon and early evening.

“One of the most common presentations of fever is that your temperature goes up in the late afternoon and early evening. It’s a common way that viruses produce fever.”

A debilitating cough: Coughing is another common symptom, but it’s not just any cough, Schaffner said. The cough is bothersome, one that you feel deep in your chest.

“It’s not a tickle in your throat. You’re not just clearing your throat. It’s not just irritated,” Schaffner explained. “It’s coming from your breastbone or sternum, and you can tell that your bronchial tubes are inflamed or irritated.”

Around 60% of the people infected with Covid-19 experienced a dry, peristent cough, likely from irritated lung tissue, according to studies from China. As the disease worsens, the lungs begin to fill with fluid, which might change the nature of the cough.

A report put out by the World Health Organization in February found over 33% of 55,924 people with laboratory-confirmed cases of Covid-19 coughed up sputum, a thick mucus sometimes called phlegm, from their lungs, which is also characteristic of the common cold or flu.

Chills and body aches: “The beast comes out at night,” said Cuomo, referencing the chills, body aches and high fever that visited him on April 1.

‘It was like somebody was beating me like a piñata. And I was shivering so much that … I chipped my tooth. They call them the rigors,” he said from his basement, where he was quarantined from the rest of his family until April 20.

“I was hallucinating. My dad was talking to me. I was seeing people from college, people I haven’t seen in forever, it was freaky,” Cuomo said.

Not everyone will have such a severe reaction, experts say. Some may have no chills or body aches at all. Others may experience milder flu-like chills, fatigue and achy joints and muscles.

Of course that makes it difficult to know if you have the flu or have been exposed to the novel coronavirus. One possible sign that you might have Covid-19 is if your symptoms don’t improve after a week or so but actually worsen.

Overwhelming exhaustion: For some people, extreme fatigue can be an early sign of the novel coronavirus. The WHO report found nearly 40% of the nearly 6,000 people with laboratory-confirmed cases experienced fatigue.

Just a few days into his quarantine, Cuomo was already drained by the fevers and body aches the disease brings.

“I’m so lethargic that I can stare outside, and, like, an hour-and-a-half goes by,” Cuomo told Gupta on Anderson Cooper 360. “I think I took a 10-minute nap, and it was three and a half hours.”

Fatigue may continue long after the virus is gone. Anecdotal reports from people who have recovered from Covid-19 have said exhaustion and lack of energy continue well past the standard recovery period of a few weeks. Some continue to experience fatigue and other symptoms for months. As more cases of lengthy illness appear, these unlucky victims of the virus are now being described as “long-timers.”

Diarrhea and nausea: At first science didn’t think gastric issues that often come with the flu applied to Covid-19. After all, this is a respiratory disease. But as more research rolled in and the virus was found in stool samples, that opinion quickly changed.

“In a study out of China where they looked at some of the earliest patients, some 200 patients, they found that digestive or stomach GI (gastrointestinal) symptoms were actually there in about half the patients,” Gupta said on CNN’s “New Day” news program.

Researchers have now found that SARS-CoV-2 can infect cells in the intestine and multiply there. That’s likely because, like the lungs, the intestinal lining is loaded with ACE2 receptors, the sweet spot where the spokes of the SARS-CoV-2 virus attach and enter the body’s cells.

Sore throat, headache and nasal congestion: The early WHO report also found nearly 14% of the almost 6,000 cases of Covid-19 in China had symptoms of headache and sore throat, while almost 5% had nasal congestion.

Today, science recognizes those very common signs of both the common cold and flu as more frequent in Covid-19 than previously thought. The CDC added both sore throat and headache to its most recent update of common Covid-19 symptoms on the recommendation of the Council of State and Territorial Epidemiologists, who advise the agency.

While cough, shortness of breath or difficulty breathing are key red flags of Covid-19, the council recommended headache and sore throat fall into a second tier of symptoms that may trigger doctors to consider testing for Covid-19.

That tier kicks in when patients present with two of the following clinical signs: Chills or shivers, fever, muscle pain, headache, sore throat or new loss of taste and smell. If there is no other more appropriate diagnosis, the guidelines say doctors should report those patients as potentially infected with Covid-19.

Who is most at risk?

Everyone — every man, woman and child in the world — is equally at risk of being infected with Covid-19. How the disease will then impact you or your loved one depends on many variables, including some that science does not yet understand.

Why do some people — even the elderly — have few or no obvious symptoms? Why do others — despite being young and healthy — quickly collapse, go into a cytokine storm and die? Why do a rare subset of children who have recovered from Covid-19 present weeks later with a deadly toxic shock-like illness called “pediatric multisystem inflammatory syndrome”?

No one yet knows.

Age appears to play a role — most children and young adults appear to weather the virus more successfully, but not all. Older adults appear to be the most fragile, but that’s likely due to their weaker immune systems and chronic conditions.

One thing is very clear: The highest risk of severe illness and death is for anyone with an underlying health condition. The list includes diabetes, chronic lung disease or asthma, cardiovascular disease, cancer (or are undergoing chemotherapy), organ transplants, sickle cell anemia, kidney disease with dialysis, poorly controlled HIV infection, any autoimmune disorder or a body mass index (BMI) over 30 (obese).

To put that in context: More than 40% of the American population have a BMI of over 30 and are considered obese, while an estimated 60% of American adults have at least one chronic medical condition, according to the CDC.

“Older patients and individuals who have underlying medical conditions or are immunocompromised should contact their physician early in the course of even mild illness,” the CDC advises.

To be clear, you are at higher risk — even if you are young — if you have underlying health issues.

Pregnancy is also a risky time, science has discovered. Early in the pandemic, the CDC didn’t think Covid-19 would raise the risk for either expecting mother, fetus or newborn.

But the agency added pregnancy to its list of top risk factors, after a study found pregnant women who get infected are more likely to be hospitalized, admitted to an intensive care unit and put on a ventilator.

“Pregnant women were 50% more likely to be admitted to the intensive care unit and 70% more likely to receive mechanical ventilation,” said Dr. Sara Oliver of the CDC’s National Center for Immunization and Respiratory Diseases in late June.

How to be evaluated

Think you might have signs of the novel coronavirus? With the explosion of cases this summer across the United States, many hospitals are again bursting at the seams. Unless you are experiencing emergency signs of Covid-19, which include trouble breathing, persistent chest pain or pressure, new confusion, an inability to wake or stay awake or a bluish tinge to lips or face, you should call your health provider first. If you do have any alarming symptoms, call 911.

“If you have insurance and you’re looking for a provider or someone to call or connect with, there’s always a number on the back of your insurance card; or if you go online, there is information for patients,” said the AMA’s Harris.

    “If you don’t have insurance, you can start with the state health department or the local community health centers, those are officially known as federally qualified health centers,” Harris advised, adding that some states have a 1-800 hotline number to call.

    “If there is a testing and assessment center near you, you can go there directly,” said Vanderbilt’s Schaffner. “It’s always good to notify them that you’re coming. Otherwise, you need to call your healthcare provider and they will direct you what to do.”

    CNN’s Jacqueline Howard and Maggie Fox contributed to this report.

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    COVID- lockdown

    Did Covid-19 Lockdown Laws Just Arrest European Road Deaths?

    Covid-19 lockdown laws in most of Europe saw private cars desert the roads, leaving them to trucks, … [+] vans and emergency vehicles and forcing crash fatality rates lower Photo: Paul Zinken/dpa via Getty Images

    dpa/picture alliance via Getty Images

    Covid-19 lockdown laws drove road deaths down by an average of 36 percent in the European Union in April, according the the European Transport Safety Council (ETSC).

    Italy, the first European country struck by the Covid-19 virus and the first to mandate severe lockdowns, saw its road deaths tumble by 84 percent, though road traffic has returned to normal as the Coronavirus threat has declined.

    Traffic in Italy plummeted during the Covid-19 lockdowns. Here trucks and and cars cross the … [+] Austrian-Italian border at the Brenner Pass. Photo: Karl-Josef Hildenbrand/picture alliance via Getty Images

    dpa/picture alliance via Getty Images

    Other countries with tight lockdown laws, like Belgium, Spain, France and Greece, all saw traffic fatalities drop by more than 59 percent.

    It wasn’t universal, though, with traffic deaths in The Netherlands, Sweden and Denmark remaining unchanged or slightly higher than the same month in the previous three years.

    Sweden’s State epidemiologist Anders Tegnell has come under fire for his head-immunity approach to … [+] Covid-19, and Sweden has reported little change in its road fatalities during the crisis. Photo: ANDERS WIKLUND/TT News Agency/AFP via Getty Images

    TT News Agency/AFP via Getty Images

    Sweden, in particular, has been a Covid-19 holdout in Europe, insisting herd immunity would protect its citizenry more effectively than breaking up the transmission of the virus with masks and strict stay-in-place lockdowns.

    In Italy, it became illegal to drive a car without self-certification to declare the trip was for essential household, pharmacy or medical visits. Police even checked receipts on return journeys.

    “The Covid-19 lockdown has led to a huge disruption in mobility in Europe,” ETSB Road Safety Performance Index project manager Dovilė Adminaitė said.

    “There have been positive changes such as a rise in people walking and cycling and the installation of pop-up cycle infrastructure and lower speed limits in dense urban areas.

    “However there will be big risks moving forward if people avoid public transport and prioritise car use in urban areas.

    “We need to rapidly improve the infrastructure for walking and cycling in urban, but also in rural areas. If governments, cities and towns don’t adapt to this new reality, the saving of lives on the roads during lockdown could soon be reversed.” 

    While the decrease in fatalities was unprecedented in the EU, the death and crash rate did not shrink at the same rate as the reduction in traffic volume, the ETSB confirmed.

    There is patchy data on speeding or enforcement rates during April, but the ETSB suggested that driving faster on near-empty roads may have significantly boosted the severity of crashes.

    A fixed laser speed camera near La Rochelle in southwest France. France reported an increase in … [+] speeding offenses during the lockdown, though fewer cars used the roads. Photo: XAVIER LEOTY/AFP via Getty Images

    AFP via Getty Images

    Denmark’s official data showed a 10-percent increase in speeding during its lockdown, while French speed-camera data showed a 16-percent rise in drivers traveling at least 50 percent faster than the posted speed limit.

    The ETSB confirmed that a UK insurer who used telematics to monitor its young policy holders saw a 15-percent rise in speeding alerts, Spain’s fixed speed cameras caught 39 percent more speeders on rural, open roads and 22 percent more Estonian drivers were caught above the limit on rural roads.

    Sweden, though, reported no increase in speeding offenses.

    The figures are more complex than they first appear, though, with the ETSB indicating the speeding infringements were more likely to have been clocked up by truck and van drivers, rather than motorists.

    Spain’s data showed an enormous rise in Heavy Goods Vehicle driver deaths, and it hypothesized that drivers were working longer hours to keep deliveries of vital goods flowing.

    Some EU countries even relaxed their limits on truck driver resting times during the worst of the Covid-19 crisis.

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    COVID- pandemic's

    The Covid-19 Pandemic’s Highway Hazard

    Research by Chicago-based CCC shows the decrease in road congestion earlier in the Covid-19 … [+] pandemic resulted in collisions at greater speeds. (KGO-TV via AP, File)

    ASSOCIATED PRESS

    The Covid-19 pandemic may have triggered an additional threat in an unexpected manner. Research by Chicago-based CCC, which provides research and insights for the insurance and automotive industries, reveals vehicle collisions occurred at greater rates during the early months of this pandemic. At precisely the same time, crashes between vehicles equipped with automatic driver assist systems (ADAS) happened at lower speeds but caused more expensive damage to those vehicles.

    As the pandemic started to take hold in the U.S. in March, personal travel declined since the public was forced to work and save from home in many situations, greatly reducing the number of vehicles on the road. Drivers found themselves \with sailing on roads that were frequently clogged pre-pandemic.

    What CCC found, through using artificial intelligence, vehicle telematics data and other analytics applications, is the normal change in speed in a crash, known as the Delta-V, climbed to all time highs in both front and rear-end collisions. The Delta-V is used to measure the force of an accident. 

    Susanna Gotsch, industry analyst in Chicago-based CCC which utilizes artificial intelligence, telematics … [+] and other information to create insights for the automotive, insurance and repair customers.

    Heather Eidson/Walker Sands Communications

    “The average increase was approximately about 2 points from an average Delta-V perspective,” said CCC industry analyst Susanna Gotsch at a telephone interview. “What we saw was about a 2 point gain in the front, in back liability we saw about two point growth at its greatest point. Should you go back historically\. . .that’s a good deal more variability than we had seen historically going back to September of 2018. This was the largest jump that we’d seen. Anytime you’ve got an average growth of more than.5 that’s a significant change.” 

    The higher the Delta-V, the greater the prospect of significant damage to the automobile and injuries to the occupants. Gotsch states the firm found the average Delta-V had increased in the instance of exactly what it’s terms mid that result in more serious damage and accidents \–mostly front and rear impact crashes.

    While the increase in Delta-V before in the pandemic increased, the number of insurance claims during that period actually declined because the sharp drop off in street congestion resulted in fewer injuries. However, now visitors is building and that lots of areas are reopening, Gotsch stated.

    2021 Cadillac CT5 features GM’s Super Cruise ADAS driver assistance system.

    General Motors Corp.

    The impact on both Delta-V and insurance claim values is much different for vehicles armed with ADAS. CCC found the Delta-V during accidents involving vehicles with ADAS technology, most significantly automatic emergency braking (AEB), was much lower as the system, sensing an impending collision, slowing it before impact. The result is a accident, but only if the vehicle is equipped with ADAS. 

    “If the automobile that is struck has ADAS set up, by an automobile that does not, it’s not really going to make a difference, can it be?” Gotsch stated.

    She is really so quick to point out ADAS might not remove crashes,”but if you’re going 40 mph and it senses something before you it will apply the brakes, not stopping you until impact, but it will mitigate the rate ” 

    Paradoxically, even a low-speed crash could result in higher insurance claims to cover more expensive repairs for a vehicle with ADAS that is stuffed with sophisticated, and expensive sensors, radar, LiDar and detectors, according to Gotsch. 

    More on CCC’s research on ADAS and it’s effect on collisions is included in a comprehensive report prepared by Gotsch titled”Crash Course-It’s Time.”

    While detecting the gaps from the Delta-V in a variety of scenarios is fascinating in itself, it is more than a top level science job for CCC. Gaining insight in that parameter provides knowledge that could help discover questionable claims and response following a wreck, and to \summon the emergency\.

    “If the Delta-V is very small and there is very little intrusion in the car and impact direction and vehicle itself and the type of headrest it has, could it be consistent for someone to say they suffered a torn meniscus in that kind of an accident,” said Gotsch.

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    COVID- Forced

    COVID-19 forced us to move a conference from a Greek island to the web, and quickly. Here’s what we learned

    by Charlene Zietsma, Andreas Pekarek, Elke Schuessler, Markus Helfen and Rick Delbridge, The Conversation

    Conference convenors and a member of the tech support team. Author provided

    In May this year, we were convening a dream conference: 140 like-minded academics on a Greek island for three-and-a-half days to work on a topic we cared about—organizing sustainably.

    We recognized the contradiction of traveling to Crete to discuss sustainable organizing. But it was a long tradition of the Organization Studies Summer Workshop—an annual workshop of organization scholars—to be there. This year’s workshop focused on how businesses and other organizations could be reconfigured to operate in more ecologically-friendly and socially just ways.

    So, we tried instead to make the itself sustainable by using a sustainable venue, serving only vegetarian meals, avoiding plastics and air conditioning, and encouraging carbon offsetting.

    Then the universe threw us a curveball in the form of COVID-19, which made us rethink sustainable organizing. Despite a complete lack of experience, and no funding, we decided to move online. More than 100 participants, across 14 time zones, decided to experiment with us.

    We grappled with a few decisions. How to deal with time zones? How to deal with tech issues? How to ensure the conference was not only intellectually fulfilling, but also contributed to the social interactions that deepened discussions, fostered collaborations, and that had always made the summer workshop so special?

    And how to organize this in only a few weeks?

    So here’s what we did.

    Group discussions and Zoom rooms

    We decided to shrink the conference into two-and-a-half days, spreading most sessions across the hours that worked for most participants’ time zones. But we also ensured there were at least some sessions for those outside the main time corridor.

    We asked authors to post a 10-15 minute video of their presentation on YouTube a week before the conference, which people could watch in their own time.

    Then we hosted 50-minute Zoom sessions of around 18-25 participants. Each presented comments on three papers (four to five minutes per paper, without using slides to avoid tech issues). The papers’ authors briefly responded, which led to an open discussion in the group.

    In the first few sessions, session chairs often had to prompt discussions. But the interactions became quite lively.

    We left the rooms open after the 50 minutes and the informal conversations that make workshops so rich often continued.

    We also included two keynote sessions. One was a plenary session for all (100+) conference participants, which included breakout discussions. And there were three social sessions, in which participants were randomly assigned to breakout rooms so they could enjoy conversations in small groups (two to five people), or join larger group conversations.

    Digital benefits

    While we missed the post-work drinks by the pool in Greece, we were pleasantly surprised to find the virtual conference had a number of benefits.

    No travel not only reduced environmental impacts, but also the work-life impact, enabling some people to participate who otherwise may not have been able to, because of the time required.

    Some participants told us that, for budgetary or family reasons, they were only able to attend the conference because it was virtual.

    While conference fees will be needed in the future to offset organizational costs, virtual conferences will still be far less expensive than face-to-face, enabling broader participation.

    The random assignment of people to breakout rooms for social hours ensured conversations among people who may not otherwise have interacted. It increased camaraderie during the virtual conference, leading to stimulating discussions.

    The chat function during talks allowed participants to share resources and insights sparked by the talks immediately, which then could trigger additional insights among others. For example, the idea to start a Utopia Platform to share blogs, teaching and research resources was hatched on the chat during a keynote. We have since launched this platform.

    The feedback from participants was extremely positive, though expectations were probably low.

    We imagine a greater variety of conferencing formats going forward, including more regular but shorter virtual meetings, alternate years of physical meetings and mixed models with some virtual sessions and some remote participants.

    Our COVID-19 induced experience showed us virtual conferencing is both practical and desirable as a means of organizing sustainably and ensuring more democratic participation.



    This article is republished from The Conversation under a Creative Commons license. Read the original article.

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    COVID-19 forced us to move a conference from a Greek island to the web, and quickly. Here’s what we learned (2020, July 8)
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    Categories
    COVID-

    Let us test for COVID-19 at home

    One of the wonderful frustrations of the coronavirus age is that the majority different functions of social distancing are pointless. At any given moment, even in the event that you reside someplace cases are spiking, you are not transmitting the coronavirus. Yet you don’t know that — celiac disease isn’t only possible but ordinary — in order to act as if you’re contagious all the time.

    But what if you are able to know? That is the chance raised by the launching of a fresh antigen test by a New Jersey firm, Becton Dickinson (BD), which declared Monday that the Food and Drug Administration (FDA) had given emergency approval for centers like pharmacies and doctors’ offices to offer this quick screening. The BD test is cheap, easy, quick, and precise\. It could change everything. It could re-open schools, churches, and restaurants and permit us to visit older family with concern\.

    If only the FDA would allow everyone to use it. Libertarians like me are constantly going on about how the government needs to escape the way and let people make their own choices, but actually , now , the government needs to escape the way. Widespread testing is possible, and it is unconscionable for the FDA to block it.

    This BD antigen test is remarkable in four ways: Certainly, it is done by swabbing the inside of the nose there’s no blood draw, as well as the horn is not that long one which virtually reaches into your brain — meaning it doesn’t require lab employees. Most people can learn how to do so, contrary the FDA’s repeated expressions of doubt in the typical American’s competency. (That doubt is the reason why the FDA has only approved a few COVID-19 evaluations with at-home sample group and none with at-home results processing. Meanwhile, average Americans somehow figure out how to self-administer evaluations, most with at-home outcomes, for pregnancy, childbirth , ketosis, colon cancer, blood glucose, UTIs, HIV, Lyme Disease, Chlamydia, strep throat, as well as the makeup of our genomes, among other items.)

    Two, it just takes approximately 15 moments to produce a outcome.

    Three, it costs just $20 per evaluation with a first platform cost of about $300, and it’s plausible that price could be reduced at scale. Another, similar evaluation, from a company named Quidel Corp., can be conducted for as little as $5 per use. Other, cheaper tests meant for daily home use are in evolution , also. These paper strip tests, even simpler to administer than the swab, would operate as low as $1 per use. We would need them in creation to execute the kind of testing I am indicating; Becton Dickinson aims to ramp up to creating 2 million tests per week by the end of September, which by itself is not nearly enough.

    And four, the BD evaluation is capable of 84 percent sensitivity and 100 percentage specificity, meaning it accurately identifies positive cases 84 percent of the time and negative cases all of the time. This is high enough accuracy to make the test hugely helpful, although A few false negatives will slide through. It gets us to some risk level that will be acceptable to the great majority of people. (Regular testing also can aid catch the false negatives.)

    The potential effects of an evaluation with these characteristics are incredibly attractive. I’ve argued that we ought to proceed outside for as many activities as possible if that’s what it takes to approximate educational, religious, and commercial normalcy. But if a test such as this were accessible, we would not have to be outside.

    Would you wish to eat within a restaurant with no bugs buzzing around your face and have somebody else fry you some potatoes and mix you a drink — fries and cocktails by somebody else’s hand, the luxurious! The decency! Just appear 15 minutes before your booking and have a test. All clear? Right this way to your table\.

    Would you want to be back into your workplace and off those dismal Zoom requirements? Get swabbed at the door, and then till you buy a text to come indoors, wait patiently in your car. Mark brought by the way, in doughnuts.

    Would you want your children to be back in school because working while”homeschooling” is not feasible (or, if you’ve got the misfortune to work for Florida State University, not permitted) for the following fourteen months? Get to the parking lot from 7: 30 on Tuesdays and Thursdays, please, so there is time to find everyone examined before homeroom begins.

    Do you want your church to restart in-person services, perhaps despite sacraments and singing? Arrive to swab your nose. Babies whose families all test negative can proceed to the nursery school, and children may go to Sunday School. Sanctuary, indeed.

    “People keep saying’For this [price], I want to buy one for my property,'” said Becton Dickinson chief executive Tom Polen of his company’s test. Yeah, so do I. And so, I suspect, do many schools, churches, and businesses of all kinds that need more continuing, in-person interaction than does a grocery store — to say nothing of households who’ve been worried that by visiting their grandma right now, they may be shortening her last years.

    Now that it is available at this ease, price, rate, and accuracy, regular testing can yield us to something quite near normalcy. It could thwart unknown thousands of company failures and restore to millions the normal human interaction we will need to flourish. Decentralization and the privatization of this testing could allay anxieties of invasion or state coercion . And the testing would help lower overall ailments also, catching many cases that now go undetected.

    The FDA has a moral responsibility to let this occur. It has a duty.

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    COVID- surges Technology

    Since COVID-19 surges, 3D printing is having a moment

    COVID-19 will probably be recalled for many things — most undoubtedly negative. There are some silver linings one of the horrors of the deadliest pandemic in recent memory. One of them, if the type of human creativity that shines whenever the planet is confronted with a crisis.

    The simple truth of the matter is the world was not prepared for a virus of the size. It’s something that’s played out in country after country, as the novel coronavirus has continued to devastate communities.

    Despite early warning signals, many states — the U.S. certainly included — were captured off-guard, lacking the proper personal protective equipment (PPE) and other essentials needed to battle the virus to get a prolonged stretch. For many, taking on COVID-19 has demanded improvisation and resourcefulness — both, thankfully, qualities seen in great volumes one of the maker community which helped give rise to 3D printing technologies.

    If you’ve followed the technology in passing over the last ten years, you’re no doubt aware just how much time evangelists spend justifying the usefulness of 3D printing beyond the confines of desktop amateurs. The defensiveness is clear. Consumer 3D printing has the trapping of an overhyped boom and bust all. The fact of the matter is the fact that it wasn’t prepared for the mainstream moment investors and members of the media were ready to thrust upon it.

    But even as desktop 3D printing firms begun to scale back or shutter at an alarming speed, the industry has continued to have success stories one of those who have further innovated and targeted the correct market. With a success story being presented by Carbon on the side of the fence formlabs jumps out one of the desktop marketplace. What unites both outside innovation is a focus on situation utilizes.

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    Categories
    COVID- Nearly

    What you need to know about COVID-19: Nearly half of states halt reopening plans as virus cases continue to surge

    What you Want to know about COVID-19: Nearly half of countries halt reopening plans as virus cases continue to surge

    Video above: Timelapse shows beachgoers coming at New Hampshire beach on Fourth of July despite COVID-19 worries Parts of the country declared a very distinct Freedom Day this year, with many celebrations moving canceled or virtual amid the worldwide coronavirus pandemic.The changes followed pleas from health officials who warned vacation crowds and packaged gatherings like those the U.S. witnessed over Memorial Day weekend would probably lead to additional spikes in coronavirus cases — amid an already furious crisis across the country.Already, nearly half U.S. states halted their reopening strategies as new coronavirus cases surged to record-breaking numbers in past weeks. Both city and state leaders blamed part of that rise to parties of young groups.At least 19 states finally have mask attempts to help curb the spread of the virus, which comes as new research suggests that a new type of the virus has spread from Europe to the U.S. — a mutation that produces coronavirus more likely to infect people but doesn’t make patients some sicker than previous variations. And while most cities took quantified approaches to celebrate the Fourth of July, pictures emerging from the holiday season show not everyone is carrying the warnings seriously.The latest numbersThe U.S. has reported over 2.8 million cases of this virus and at least 129,000 deaths, based on Johns Hopkins University.The U.S. Centers for Disease Control and Prevention is currently projecting the nation will see almost 148,000 coronavirus deaths from the end of the month.Coronavirus instances are on the increase at 34 states over the past week, together with 12 documenting a rise of greater than 50 percent, based on data from Johns Hopkins University. Three states — Kentucky, New Hampshire and Vermont — are reporting a drop in cases.These would be the states where cases are trending upward: Alabama, Alaska, Arizona, California, Colorado, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Louisiana, Maine, Maryland, Michigan, Missouri, Montana, Nevada, New Mexico, North Carolina, North Dakota, Oklahoma, Ohio, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Washington state, West Virginia and Wisconsin.Cases are stable in 13 states: Arkansas, Connecticut, Massachusetts, Minnesota, Mississippi, Nebraska, New Jersey, New York, Rhode Island, South Dakota, Utah, Virginia and Wyoming. Florida sets all-time recordFlorida establish an all-time record of the majority of coronavirus instances in a single day Saturday, with a total of 11,458 new scenarios, based on information from Johns Hopkins University.The nation has now surpassed New York’s previous single-day high in 11,434, which was listed in mid-April. Florida reported 18 deaths Saturday.Despite the rapid growth in cases and officials’ warning Florida might be the country’s new epicenter, the governor has said he’s not considering walking back reopening measures.In Texas, there were 8,258 new cases of COVID-19, according to the latest data published by the Texas Department of State Health Services. That marks the greatest number of cases. The previous record was set on July 1, when there were 9,308 new instances reported.Hospitals in two Texas counties have hit their greatest capacities.In Starr County, at least two patients had to be flown out of the area for treatment. “The local and valley hospitals are in full capacity and have no more beds available. I urge all our residents to please shelter-in-place, wear face coverings, clinic social distancing and AVOID GATHERINGS,” Judge Eloy Vera said.In Hidalgo County, Judge Richard Cortez requested citizens to shelter-in-place and”just call 911 if absolutely necessary. “Fourth of July crowdsCrowds flocked to Virginia Beach beaches Saturday, even after the city canceled its holiday fireworks display to”help keep Virginia Beach secure in the face of the coronavirus pandemic.” CNN affiliate WAVY reported city officials cautioned residents of further visitors due to the holiday, including they expected thousands of individuals would visit Virginia Beach.Rehoboth Beach, Delaware, saw similar scenes as beachgoers opted to celebrate with the water Saturday. Before this week, the nation’s governor announced bars at Delaware shores would be closed to the holiday weekend.Meanwhile, in California, where several beaches at the southern area of the country closed for the holiday season, the beach crowds in San Diego were reminiscent of years past. CNN affiliate KSWB reported many weren’t social distancing or sporting masks. “It sounds fairly regular for the 4th of July with definitely a great deal of individuals,” Marine Safety Lt. Rich Stropky told the affiliate.In additional areas of the country, audiences gathered to keep protests that have been continuing for at least a month throughout the U.S.. In Baltimore, 1 witness said 300 people gathered around a Christopher Columbus statue prior to toppling it and throwing it at the water. In New York, more than 1