Researchers have found that warm temperatures in the U.S. this summer are unlikely to stop the coronavirus that causes the infectious disease COVID-19, according to a new study published in the journal Clinical Infectious Disease.
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The glaring numbers that show how disproportionately racial minorities have been affected by the coronavirus and by police brutality go hand-in-hand. The two are byproducts of systemic racism that has kept people of color marginalized and contributed to a public health crisis, according to three prominent medical organizations — the American Academy of Pediatrics, American Medical Association and American College of Physicians, as CNN reported.
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At least 100,000 people were evacuated along India's west coast as the country's financial capital of Mumbai awaits its first cyclone in more than 70 years.
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Researchers at the pharmaceutical giant Eli Lilly announced yesterday that it will start a trial on a new drug designed specifically for COVID-19, a milestone in the race to stop the infectious disease, according to STAT News.
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The sixth mass extinction is here, and it's speeding up.
Terrestrial vertebrates on the brink (i.e., with 1,000 or fewer individuals) include species such as (A) Sumatran rhino (Dicerorhinus sumatrensis; image credit: Rhett A. Butler [photographer]), (B) Clarion island wren (Troglodytes tanneri; image credit: Claudio Contreras Koob [photographer]), (C) Española Giant Tortoise (Chelonoidis hoodensis; image credit: G.C.), and (D) Harlequin frog (Atelopus varius; the population size of the species is unknown but it is estimated at less than 1,000; image credit: G.C.).
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By Cathy Cassata
With more than 1.7 million confirmed cases of COVID-19 in the United States and more than 100,000 deaths from the virus, physicians face unprecedented challenges in their efforts to keep Americans safe.
They also encounter what some call an "infodemic," an outbreak of misinformation that's making it more difficult to treat patients.
When Leaders and Doctors Spread Misinformation<p>When people in charge of towns, cities, states, and countries spread misinformation, the potential for belief in misinformation to result in policies can have harmful effects.</p><p><a href="https://www.northwell.edu/find-care/find-a-doctor?q=Bruce+E.+Hirsch%2C+MD&insurance=&location=&query_type=provider&physician_partners=false&default_view=list&gender=&language=&sort=relevancy" target="_blank">Dr. Bruce E. Hirsch</a>, attending physician and assistant professor in the infectious disease division of Northwell Health in Manhasset, New York, says an example of this is when President Trump informed the public he was taking hydroxychloroquine as a preventive measure.</p><p>"To approach this enormous challenge, we need some intellectual honesty and clarity, and to disregard expertise and to make decisions and model decisions based on hunches is inviting us to handle challenges on the basis of rumor and uninformed opinion. The magnitude of that error is epic," Hirsch told Healthline.</p><p>Stukus agrees, noting that the harm of this proclamation is documented.</p><p>"Early on when the president touted the benefits of hydroxychloroquine and azithromycin, people started to hoard this medicine, and state boards had to shut it down because they were getting so many prescriptions for this unproven therapy that it was not available for those who truly needed it, such as those who have lupus and autoimmune conditions," Stukus said.</p><p>He adds that calls to poison control centers increased after the president suggested using disinfectant to prevent contracting the new coronavirus.</p>
Listen to Science, Even When it Changes<p>When recommendations change or evidence flip-flops, skepticism may arise. However, Stukus says change is the beauty of science.</p><p>"That shows us that we can evolve, and if the evidence shows that our prior thoughts were incorrect, we need to be able to change our recommendations and advice based upon the best quality of evidence at the time," he said.</p><p>Pierre agrees.</p><p>"Science is an iterative process, whereby we arrive at facts and truth through repeated and controlled observations. That means that it's inherently self-correcting as we revise conclusions based on ongoing research. Scientific facts aren't immutable dogma chiseled on a tablet. They change based on the best available evidence we have at a given point in time," he said.</p><p>Because research of COVID-19 has only been underway for 6 months, information is evolving rapidly, and new information may contradict old.</p><p>"There's still much we don't know about exactly how [COVID-19] spreads, what effects it has on the body, or how to best treat it. That means that the best available evidence is preliminary, but that doesn't mean that we should ignore it or turn to other sources of information or opinion as if they're just as valid," Pierre said.</p><p>He explains that conspiracy theories based on mistrust lead to vulnerability to misinformation.</p><p>If people mistrust science because it sometimes "changes its mind," Pierre said, "that shouldn't be used to embrace other opinions based on no evidence at all, which are typically selected based on confirmation bias: what we want to believe rather than what the objective evidence supports."</p>
Where to Find the Best Information<p>Stukus says to start with the <a href="https://www.cdc.gov/coronavirus/2019-nCoV/index.html" target="_blank">CDC</a> and <a href="https://www.nih.gov/health-information/coronavirus" target="_blank">NIH</a>. Then check with your local health officials, because COVID-19 guidelines may vary depending on where you live.</p><p>If you can't find information you need or have questions specifically related to you, call your primary care doctor.</p><p>"Your personal doctor should always be a resource for individual specific questions because they know best how to apply all the nuances retaining to your health, and how to incorporate all the other general [COVID-19] recommendations," Stukus said.</p><p><a href="https://www.eehealth.org/find-a-doctor/b/boyd-laura-b/" target="_blank">Dr. Laura Boyd</a>, primary care physician at Edward-Elmhurst Health Center in Elmhurst, Illinois, says her clinic receives a lot of calls about COVID-19.</p><p>"Most doctors' offices are receiving calls and answering questions, and doing phone or video visits to help clarify and/or order testing over the phone based on patients' symptoms. It is always best to call your doctor's office first instead of worrying about symptoms and waiting too long to seek treatment," she told Healthline.</p><p>If your primary care doctor has limited testing, she suggests looking on your state's public health website for available testing sites.</p><p>With a lot of unknowns related to this virus and disease, Boyd says many patients are feeling overwhelmed and anxious for a treatment.</p><p>"Unfortunately, there is no specific medication recommended for COVID for outpatient. There are a lot of ongoing studies with various drugs going on within the hospital setting. Patients should always contact their doctors about their specific symptoms as they can treat the symptoms that go along with COVID, but there is no cure," Boyd said.</p><p>While we wait for treatment and a vaccine, Hirsch, who treats patients hospitalized for COVID-19 complications on a daily basis, says everyone can do their part by washing hands, wearing a mask, and staying 6 feet apart.</p><p>"As an infectious disease doctor working in the hospital, I see the damage of the pandemic and the worst cases of what's happening. We are trying to get the best possible outcome and confronting this overwhelming biologic reality of this terrible epidemic the best we can," Hirsch said.</p><p>Everyone at home can help in the fight too, he adds.</p><p>"Follow information that is science- and evidence-based, and avoid that which is not," he said.</p>
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The nationwide horror at the killing of George Floyd by the Minneapolis police has triggered protests in 75 cities. People are demonstrating against the systemic racism that has made people of color targets of lethal actions by law enforcement. In response, elected officials and public health experts are walking a fine line of affirming the rights of protestors while simultaneously worrying that the protests will lead to a new wave of coronavirus infections.
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By Jeffrey Miller
In January 2015, food sales at restaurants overtook those at grocery stores for the first time. Most thought this marked a permanent shift in the American meal.
Solving the Age-Old Problem of Spoiled Cheese<p>People have eaten pasta and cheese together for hundreds of years. Clifford Wright, the doyen of Mediterranean food history, says <a href="http://www.cliffordawright.com/caw/food/entries/display.php/topic_id/16/id/105/" target="_blank">the first written recipe</a> for macaroni and cheese was created in the court of the king of Naples in the 13th century, while <a href="https://food52.com/blog/9916-the-history-of-macaroni-and-cheese" target="_blank">the first reference</a> in an English language cookbook likely appeared in Elizabeth Raffald's 1769 book "The Experienced English Housekeeper."</p><p><span></span>An internet search for macaroni and cheese recipes will turn up over 5 million hits, but many still prefer to get theirs in a box – the kind with pasta that comes in shapes ranging from shells to Pokemon characters, accompanied by a packet of powdered cheese sauce.</p><p>Boxed macaroni and cheese was one outcome of the quest for ways to keep cheese longer. Some cheese gets better as it ages – a well-aged cheddar is one of life's delights – but once most cheeses hit their prime, <a href="https://www.dairyfoods.com/articles/91548-how-to-maximize-cheese-shelf-life" target="_blank">they tend to quickly go bad</a>. Before household refrigeration became common, many retailers wouldn't even stock cheese in the summer because it spoiled so quickly.</p><p>Processed cheese solved this age-old problem.</p>
When Natural Was Nasty<p>Today, food that's simple, pure and natural is <a href="https://theconversation.com/how-was-french-cuisine-toppled-as-the-king-of-fine-dining-66667" target="_blank">all the craze</a>, while <a href="https://apnews.com/c06a1200807c4b82a03452d08d480692" target="_blank">disdain for processed foods</a> is practically a credo among sophisticated consumers.</p><p>But when Kraft's different forms of processed cheese came out, they found widespread acceptance despite their strange textures. The fact that it wasn't natural didn't seem to bother consumers at all. In fact, as international food historian Rachel Laudan <a href="https://online.ucpress.edu/gastronomica/article/1/1/36/93394/A-Plea-for-Culinary-Modernism-Why-We-Should-Love" target="_blank">has noted</a>, back then, "natural was something quite nasty." She describes fresh milk as warm and "unmistakably a bodily secretion." Throughout the history of cookery, most recipes aimed to transform an unappetizing raw product into something delightful and delectable.</p><p>So for most consumers, processed foods were a godsend. They kept well, tended to be easily digestible and, most importantly, they tasted good. Many of them could be easily prepared, freeing women from spending entire days cooking and giving them more time to pursue professions and avocations.</p><p>In some ways, processed foods were also healthier. They could be fortified with vitamins and minerals, and, in an era before everyone had access to mechanical refrigeration, the fact that they kept well meant consumers were less likely to contract diseases from spoiled, rotten foods. Pasteurization of dairy products virtually <a href="https://www.the-scientist.com/foundations/rethinking-raw-milk--1918-65126" target="_blank">eliminated diseases like undulant fever</a>, while foods processed and canned in large factories were less likely to harbor food-borne illnesses that could crop up due to faulty or improperly sanitized equipment used by home canners.</p>
At least 14 people were killed when Tropical Storm Amanda walloped El Salvador Sunday, Interior Minister Mario Duran said.
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The total number of confirmed coronavirus cases passed six million Sunday, even as many countries begin to emerge from strict lockdowns.
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By Julia Ries
Around the world, there have been several cases of people recovering from COVID-19 only to later test positive again and appear to have another infection.
The Viral Material in Re-Positive Cases Isn’t Infectious<p>The Korean study examined 285 patients who tested positive again for the new coronavirus after they recovered from COVID-19, which had been confirmed via a negative test result.</p><p>The researchers swabbed the patients and examined the viral material to determine whether it was still actively infectious.</p><p>The team was unable to isolate live viral material, indicating that the positive diagnostic tests were picking up dead virus particles.</p><p>"[This] may speak for the fact that the virus may be dead or not be fit enough to grow — therefore the virus may not be fit enough to infect a new host," said <a href="http://www.providence.org/doctors/profile/1099717-andres-romero" target="_blank">Dr. Andres Romero</a>, an infectious disease specialist at Providence Saint John's Health Center in Santa Monica, California.</p><p>The researchers also tested 790 people who'd been in close contact with the "re-positive" patients. Of the 27 who tested positive, no cases appeared to be caused from exposure to someone who appeared to have a reinfection.</p><p>The report also found that the vast majority of recovered patients (96 percent) had neutralizing antibodies, indicating that they conferred immunity.</p><p>"Whether this is indicative of a completely protective response remains to be proven. If this study holds true, then people who have recovered can get back to work," Zapata said.</p><p>In response to the new findings, South Korea eliminated a policy requiring discharged patients to isolate for 2 weeks.</p>
Conducting and Interpreting PCR Tests<p>The tests widely used to diagnose COVID-19 are called polymerase chain reaction (PCR) tests.</p><p>The tests swab a person's nose or throat and try to pick up the virus's genetic material, or RNA.</p><p>According to <a href="https://www.cdc.gov/coronavirus/2019-ncov/hcp/faq.html" target="_blank">guidance</a> from the U.S. Centers for Disease Control and Prevention (CDC), a positive result on a PCR test doesn't "necessarily mean infectious virus is present or that the patient is contagious."</p><p>Infectious disease experts have suspected that the test kits aren't picking up actively infectious viral material in recovered patients who test positive again, but rather dead remnants of the virus.</p><p>We see this occur with other viruses, too.</p><p>"We know other viruses like parainfluenza, human metapneumovirus, or RSV [respiratory syncytial virus] may linger for months in certain patients, and that does not represent infectious state," Romero said. "Coronavirus may be the same."</p>
We Still Need to Practice Caution<p>While the findings are promising, infectious disease experts say we still need to practice caution.</p><p>More research is needed to validate these findings and determine whether they apply to distinct parts of the population, such as those who are immunocompromised.</p><p>It's common for immunocompromised patients — such as those with cancer — to continue testing positive for a virus for longer, since it takes their immune system more time to clear the virus out of their body.</p><p>"I don't think we can be 100 percent certain of whether each recovered person is no longer contagious. Again, this may differ with distinct population groups," Zapata said.</p><p>Physicians are seeing some hospitalized patients testing positive for a month after they were first swabbed for COVID-19. It's unclear whether these patients still shed infectious virus, according to Zapata.</p><p>Everyone's body mounts a distinct immune response based on their age and overall health. Different individuals will clear the virus out at different speeds, according to Zapata.</p><p>Until we have more data and a preventive vaccine, it's crucial to continue adhering to the <a href="https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/prevention.html" target="_blank">safety precautions</a> laid out by the CDC.</p><p>"The reality is that moving forward, the best approach will be keeping social/physical distancing, wearing a mask, and frequent hand hygiene in order to control the spread of the virus," Romero said.</p>
The Bottom Line<p>Doctors and researchers have been unsure whether people who recover from COVID-19 who test positive again continue to be contagious, or if they could get a second infection.</p><p>New <a href="https://www.cdc.go.kr/board/board.es?mid=a30402000000&bid=0030" target="_blank">research</a> published by the Korea Centers for Disease Control and Prevention has found that recovered COVID-19 patients who test positive again aren't infectious.</p><p>The study also found that most patients who recover have neutralizing antibodies that protect them from getting sick again.</p><p>Though the study is promising, health experts say we need more data to validate the findings and determine whether they apply to all patient populations.</p>
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