All posts by medical

Fertility clinics asked to suspend treatment due to coronavirus – BioNews

23 March 2020

New guidance has called for fertility clinics in the UK to minimise treatment amid the coronavirus pandemic.

UK fertility clinics have been asked to consider, but not ordered, halting fertility treatment services. While it will not be possible for most clinics to close completely due to their legal responsibility to maintain stored frozen embryosand gametes, they are asked to reduce their services to a minimum.

The guidance, issued on Wednesday by the British Fertility Society (BFS) and the Association of Reproductive and Clinical Scientists (ARCS), states that 'it is expected that UK licensed fertility centres will now be working to suspend treatments'.

This includes IVF, frozen embryo transfer, surgical sperm retrieval, intrauterine insemination (IUI) and ovulation induction procedures. The guidance is in line with recommendations from the European Society of Human Reproduction and Embryology (ESHRE), who have advised all those considering fertility treatment to 'avoid becoming pregnant at this time'.

The news comes after Belfast's Regional Fertility Centrepostponed fertility treatment for 33 patients last week following advice from the Belfast Health Trust (see BioNews1039).

The BFS and ARCS cited the promotion of social distancing and lack of long-term evidence on the novel coronavirus (SARS-CoV-2) and pregnancy as the rationale underlying their recommendations. They also urged fertility clinics to consider their 'wider social responsibility' to an already stretched NHS, as fertility treatment may cause complications in some patients.

The new measures have caused uncertainty for many undergoing or considering fertility treatment, with no indication of when the restrictions will be lifted. Speaking to the Huffington Post, Tracey Bambrough, co-founder of the magazine IVF Babble, said: 'For people who may already be experiencing a rollercoaster of emotions, the coronavirus has created an additional level of anxiety.'

Another patient told the Telegraph: 'I worry my time is running out. I may not get many other chances to do this.' After trying to conceive for two years, she was awaiting IUI treatment when her clinic cancelled all procedures due to the coronavirus a situation in which many patients may now find themselves.

She added: 'I had some hope we might finally have a chance. It felt like we were on the road to something. Now, everything hangs in the balance.'

Some say the measures discriminate against those who need fertility treatment to get pregnant. Speaking to the Huffington Post, one patient said:'Everyone keeps joking that there's going to be a baby boom in nine months [from couples self-isolating together] is there going to be a public health announcement to stop fertile couples from sleeping together?'

The Human Fertilisation and Embryology Authority (HFEA) have asked that clinics follow the guidance and are providing regular updates on their website.

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Fertility clinics asked to suspend treatment due to coronavirus - BioNews

Human Behavior Expert Dana Borowka: Top Ten Tips on How to Think Clearly and Not Let Fear Control You – PRNewswire

SANTA MONICA, Calif., March 20, 2020 /PRNewswire/ -- How does fear show up in our lives and do we handle it as well as we would like to? Thinking clearly and not letting fear control you are essential to deal with stress during the national health emergency.

"Dealing with fear isn't really fun, and many people would like to avoid or deny it," says work style and human behavior expert Dana Borowka.

Borowka has over 25 years of human behavioral consulting and counseling experience.

"Fear is much like our shadow; no matter how hard we run, it's going to chase us," says Borowka.

Borowka is a nationally renowned speaker and former radio personality on human behavior. He is the author of the books, Cracking the Personality Code, Cracking the Business Code and Cracking the High-Performance Team Code. He is CEO of Lighthouse Consulting Services, an in-depth and work style assessment and consulting firm.

Fear or stress can feel overwhelming at times. So, how can we manage it better?The following are ten ideas from Borowka on how to get a handle on fear:

For media who want to interview Dana Borowka about fear and stress reduction

Please contact Dana at Lighthouse Consulting Services LLC, Santa Monica, CA, (310) 453-6556, x403, [emailprotected] or website: http://www.lighthouseconsulting.com.

SOURCE Dana Borowka

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Human Behavior Expert Dana Borowka: Top Ten Tips on How to Think Clearly and Not Let Fear Control You - PRNewswire

Machine Learning: The Real Buzzword Of 2020 – Forbes

Artificial intelligence (AI) is a hot topic. Skim tech journals or sites, and you'll undoubtedly see articles focused on how AI is the big technology for 2020. CIOs are discussing how to bring AI into their organizations, and CX leaders are listing AI as a must-have.

But here's the funny thing: AI doesn't really exist not yet anyway. I know many will be surprised to hear this, but before you decide that I'm wrong, consider Merriam-Webster.com's definition: "The capability of a machine to imitate intelligent human behavior."

If you believe this is the right definition of AI, then I ask you: Are there machines imitating intelligent human behavior today? The answer right now is no. If there is a machine that seems smart on its own, the truth is that AI isn't the driver machine learning (ML) is. ML is alive and thriving, yet AI gets all the credit.

It's time to get familiar with ML.

ML powers programs and machines to take data, analyze it in real time, and then learn and adapt based on that information. This is happening today. Think of the recommendations you get for products on Amazon or the shows Netflix suggests you watch. This is all due to ML. It learns your preferences based on your browsing/purchasing/viewing behaviors and then makes intelligent recommendations. The ability to synthesize massive amounts of data in nanoseconds makes machines smart. There's actually nothing artificial about it it's real and at play in our lives already.

Without a doubt, ML is a game-changer for many industries, including contact centers. Similar to the way that automation revolutionized manufacturing, ML can be the missing link to revolutionizing the customer service industry. When leveraged correctly, ML offers enormous productivity gains in customer-facing interactions, empowering contact centers to use bots to perform basic, repetitive tasks. By offloading straightforward work to bots, human agents are free to do work that requires empathy and thought that only they can deliver. This can create an exponentially scalable customer experience workforce in other words, it could solve the industry's oldest and most expensive problem.

ML's potential is big.

Once you know how ML works, I'm sure you can think of ways it has touched your life. But ML's potential is greater than how we're using it. In fact, I don't think we've scratched the surface of its benefits. I believe one of the biggest untapped possibilities for ML lies inside organizations around internal processes. I believe that in 2020, we'll start seeing organizations using ML's data and analysis capabilities to make more informed workforce management decisions.

Instead of contact center managers having to manually sort through data to find out which agents are doing well on a particular day, they can use the insight delivered via ML to see who is providing great service and is able to take on additional customers and issues and, conversely, who is struggling and might need a break. This is an effect of ML's ability to use sentiment analysis and natural language process (NLP) to identify patterns, including patterns in an employee's productivity. ML gives managers informative, real-time data to help them support their staff, which helps employees succeed and helps to deliver an exceptional experience to every customer. Win-win.

When you have machines that can learn about your processes, customers' and employees' needs, and goals, you have the knowledge to make iterative, positive changes to your business. This can lead to:

Better employee experiences and a more engaged workforce with less turnover.

Better, more personalized, lower-effort customer experiences.

Reduced staffing expenses and higher revenue potential.

Streamlined operations by partnering humans with bots.

If you're not a computer science nerd, the concept of ML might feel unrealistic, expensive or difficult to deploy. In short, it seems risky. However, I believe this is a technology your business should be using. Here are some tips to make the transition to ML less intimidating:

1. Do your research. While you should feel a sense of urgency to integrate ML into your business, don't make hasty decisions. Take the time to get a solid understanding of your customers' needs. You don't want to start using just any solution, but one that best matches your business needs.

2. Choose the right ML-powered bot. Just like any other technology, there are options. Make sure you find a bot that meets the needs of your business and offers the services that make life better for your customers and your employees. Not every bot is built alike.

3. Don't forget about your people. Leveraging the right technology innovation is critical to your business, but so is investing in your people and ensuring that the tech and the humans are working together harmoniously.

4. Realize that you're never done. It's important for leaders across all businesses to realize that customer experience is constantly evolving and that we must always be watching, evaluating and tweaking. Don't be afraid to make changes or modifications to your ML plans. If something isn't producing the results you want, find the issue, and make a change. Learn, and keep going. If you have a win, isolate what worked, and replicate it. Similar to the first tip, this isn't a race, so be thoughtful about what you're doing, and ensure it resonates with your business objectives as well as your customers' and employees' needs.

ML isn't the way of the future it's the way of the present, and I can't think of one reason you would knowingly decide to be late to the game. Your business deserves to work smarter, and this is the power of ML. Are you ready?

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Machine Learning: The Real Buzzword Of 2020 - Forbes

5 tips from astronauts for thriving in isolation – We Are The Mighty

NASA Astronaut and U.S. Army Lt. Col. Anne McClain took to Twitter to share the official training astronauts use for living in confined spaces for long periods of time. Afterall, the International Space Station has been operating for nearly 20 years, giving NASA astronauts and psychologists time to examine human behavior and needs when living and working remotely.

They narrowed the behavior skills down to five general skills called "Expeditionary Behavior," or "EB" because the military just loves a good acronym.

Built from 1998 to 2001, the International Space Station usually holds crews of between three and six people who will spend about six months there at a time, though mission lengths can vary. During that time, the astronauts perform experiments and spacewalks, maintain the space station, conduct media and education events and test out technology.

Also during this time, they are allocated at least two hours a day for exercise and personal care.

According to NASA, the living and working space in the station is larger than a six-bedroom house (and has six sleeping quarters, two bathrooms, a gym and a 360-degree view bay window). Still, six months in a space bucket with two to five other people can give some perspective to anyone feeling confined.

This is the "GoodEB" that helps astronauts:

"Share info/feelings freely. Talk about intentions before taking action. Use good terminology. Discuss when your or others' actions were not as expected. Debrief after success or conflict. Listen, then restate message to ensure it's understood. Admit when you're wrong," McClain tweeted.

It's common for humans to have strong emotional responses and act on them before they fully understand them. Honest communication is critical in a confined space or during heightened stress.

"Accept responsibility. Adjust style to environment. Assign tasks, set goals. Lead by example. Give direction, info, feedback, coaching + encouragement. Ensure teammates have resources. Talk when something isn't right. Ask questions. Offer solutions, not just problems," urged McClain.

For anyone confined with family or roommates, it can be an adjustment to share personal space and limited supplies for a prolonged period of time. Shifting to a team dynamic can bring a new perspective to everyone's roles within the home. If you weren't already doing this, now is the time to share the household chores, the cooking, the supply runs, and, for many families, the education responsibilities.

"Realistically assess own strengths and weaknesses, and their influence on the group. Learn from mistakes. Take action to mitigate stress or negativity (don't pass on to the group). Be social. Seek feedback. Balance work, rest, and personal time. Be organized," suggested McClain.

There's a quote I've always liked that says, "Please accept responsibility for the energy you are bringing into this space," and it feels especially relevant now. We must each stay in touch with ourselves so we can identify rising stress and mitigate it with self-care.

Self-care can be anything from calling a friend to a work-out session from YouTube to releasing expectations of perfection and taking the time to enjoy some relaxation with a book or movie.

"Demonstrate patience and respect. Encourage others. Monitor team for signs of stress or fatigue. Encourage participation in team activities. Develop positive relationships. Volunteer for the unpleasant tasks. Offer and accept help. Share the credit; take the blame," said McClain.

"Cooperate rather than compete. Actively cultivate group culture (use each individual's culture to build the whole). Respect roles, responsibilities, and workload. Take accountability, give praise freely. Work to ensure positive team attitude. Keep calm in conflict," suggests McClain.

Parents are learning how to homeschool. Partners are sharing household responsibilities like cooking and cleaning. More people are sick and being cared for by their roommates.

All the while, we are each learning how to restrict our movements while maintaining our health and vitality. The key points throughout NASA's Expeditionary Behaviors are to take care of each other and ourselves by working together.

And just remember, Scott Kelly set the record for most consecutive days in space by an American by living for 340 days during a one-year mission aboard the International Space Station, proving that humans are pretty remarkable when it comes to adapting to our environment!

If you need any advice on thriving from home, here are a few We Are The Mighty articles that can help:

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5 tips from astronauts for thriving in isolation - We Are The Mighty

Could vaping play a role in coronavirus infections among the young? Maybe – Canon City Daily Record

By Kristen Jordan ShamusDetroit Free Press

DETROIT Gov. Gretchen Whitmer spoke directly to young Michiganders on Monday as she announced an executive order requiring people to stay home to avoid spreading novel coronavirus.

Young people, Im talking to you now, Whitmer said. Youre not immune from this. You can get this virus. You can carry this without even knowing it and be unknowingly exposing others to it.

Theres been this misperception that if youre young, youre not susceptible to COVID-19. The fact of the matter is in America, we are seeing severe consequences in our younger people in ways that they havent seen it in other parts of the world.

She speculated that vaping might be contributing to the 41% of people ages 20-49 in Michigan who have contracted the virus, according to data from the Michigan Department of Health and Human Services. Despite a spate of vaping-related lung injuries nationally in 2019, the habit is popular among young people.

Ive talked to more than one physician who has observed, and perhaps theres too little science to know precisely if this is whats going on, but vaping is a lot more popular in the United States than it is elsewhere, Whitmer said. And that compromises your respiratory system and makes you more susceptible to respiratory illness.

Dr. Samuel Allen, a pulmonologist at Beaumont Health, told the Free Press that its too soon to say what role vaping is playing in the global coronavirus pandemic, which, as of Monday night, had infected about 375,000 people and killed at least 16,400, according to the Johns Hopkins COVID-19 Global Case Tracker.

Theres really no scientific evidence that links the two, he said. First of all, its because vaping itself is relatively still in its infancy. So is it plausible as a kind of an interesting observation? Yeah. But as far as a scientific link, theres none.

But, Allen said, a person who has lung injury from vaping probably would be more likely to be severely sickened by COVID-19 than someone without vaping-related lung injury, just as a cigarette smoker, someone with chronic lung disease, diabetes, immune suppression or heart disease would.

Dr. Meilan Han, a pulmonary specialist at Michigan Medicine and professor at the University of Michigan, said that while most of the research about the novel coronavirus suggests older people are more likely to be hospitalized and die of the disease, we certainly do know that there are young people in the United States that clearly are experiencing severe disease and are on ventilators.

And so people have been hypothesizing as to what some of the risk factors might be. We dont have a lot of published data from the U.S., so were looking to the little bits of published data that are coming out of China. What theyre seeing is that one of the risk factors does appear to be smoking.

One report suggests that smokers have a 14-times higher risk of severe illness with a COVID-19 infection than nonsmokers, she said.

We dont have a lot of data on vaping right now, but there is reason to potentially hypothesize that things that cause lung inflammation like smoking, like vaping might increase the risk for more severe disease, she said.

Dr. Arnold Monto, professor of epidemiology and global public health at the University of Michigan, said any connection to vaping and the rate of young people with severe disease from COVID-19 is speculation.

Theres vaping, he said. Young people have gotten sick. Maybe its vaping, but we dont have a link. What we would want from an epidemiologic standpoint is to have the histories of those who became sick and see whether they vaped. But theres no data that I know of, so its pure speculation.

Whitmers stay home, stay safe order also addressed the potential that the number of novel coronavirus cases could overwhelm the health care system as it spreads exponentially through the state.

The death count in Michigan was up to 15 Monday afternoon, and the states total confirmed case count reached 1,328. Whitmer predicted the number of confirmed COVID-19 cases could rise fivefold more over the next week.

We have roughly 10 million people in our state, she said. There is a model that anticipates and if we stay on our current trajectory, just like Italy, over 70% of our people can get infected with COVID-19.

Of that 7 million people projected, about a million of them would need to be hospitalized. Let me give you a little perspective here. We have about 25,000 acute care beds in Michigan. Without additional aggressive measures soon, our hospitals will be overwhelmed. And we dont currently have enough beds, masks, gowns and ventilators.

But if we all do our part and simply stay home, we have a shot at helping our health care system meet our needs. Because this disease cant spread person-to-person if were not out there.

The model Whitmer referenced is a worst-case scenario, Monto said.

I think you have to be prepared for the worst and hope for the best, he said, adding that how Michigan _ and the country fares _ in the days and weeks ahead depends on several factors.

It all depends on how many people have already been sheltering in place as much as they could, Monto said, and how many heed the governors warning and take her order seriously going forward.

A lot of this is dependent on human behavior and those who like to go out and party are still going to go out and party, he said. Short-term, the less contact we have with others who might be infected is the best policy.

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Could vaping play a role in coronavirus infections among the young? Maybe - Canon City Daily Record

Insights into how behavioural science can improve recruitment offered free to HR and business professionals – Onrec

The leading recruitment platform has partnered with one of the countrys top behavioural scientists, Richard Shotton, to share advice that can be used to support the HR process in four key areas: advertising, interviews, diversity and motivation.

The Monster webinar, Applying Behavioural Science to Recruitment, is due to go live at 11am on Wednesday 25th March. It will give industry professionals and key decision makers insights into human behaviour and advice on how this can be used to successfully connect with the best candidates, increase campaign response, and motivate existing employees.

The webinar will include diverse examples of companies that have already effectively implemented behavioural science into their approach, as well as proven research where common biases have been uncovered. The webinar references over a century of commercial examples and academic research into fascinating human biases, such as the Von Restorff effect, the Pratfall effect, and costly signalling with an explanation of how these can be applied the recruitment process.

Derek Jenkins, General Manager for Monster in UK & Ireland, said: To be able to find and attract the best candidate for a role in this competitive market - and to retain valuable employees - businesses and HR professionals need to do something different. Going beyond the CV, we want to help our customers better understand candidates and staff using psychology and insights into human behaviour.

While originally available exclusively to Monster customers, by hosting the webinar online and giving everyone free access, we hope to share resources and knowledge at a time when many will be working from home and looking for new opportunities for professional development.

Richard Shotton, Behavioural Scientist and Author of The Choice Factory, said: The way people claim to behave versus how they actually behave are two very different things. Recruitment is about understanding people; improving knowledge about the inherent biases in human behavior will have important implications for the industry.

While behavioural science is increasingly used in other sectors, it hasnt been used to its full potential in recruitment yet. Everyone who takes part in the webinar will leave with several easily implemented changes that can be used within their recruitment strategies and campaigns to bring about big improvements.

Those watching the webinar on the launch date will also have access to a live Q&A session with Richard Shotton and the experts at Monster after the presentation.

Further information and a pre-registration form for Applying Behavioural Science to Recruitment can be accessed at http://www.monster.co.uk.

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Insights into how behavioural science can improve recruitment offered free to HR and business professionals - Onrec

COVID-19 Statistics in Instructive, Comforting Illustrations – Hyperallergic

An illustration from artist Mona Chalabis COVID-19 Translationsseries (all images courtesy the artist)

In the tumultuous times of the COVID-19 pandemic,public information about the disease and ways to protect ourselves and others from can have life-or-death consequences. This is a challenge facing artist and data journalist Mona Chalabi, whose instructive and reassuring illustrations about the pandemic have gone viral on social media.

Chalabi, who is a data editor for the Guardian US, is known for visualizing (or translating) complex and heard-to-read scientific data into lucid, colorful illustrations and videos. Her ongoing series, COVID-19 Translations, applies that technique to public service announcements provided by the Centers for Disease Control and Prevention (CDC) and other trusted sources.

Gaining tens of thousands of likes and hundreds of comments on Instagram, Chalabis illustrations visualize data on a variety of questions pertaining to the pandemic from the symptoms of the disease to how to properly practice social distancing including a particularly illuminating post that explains the difference between social distancing, quarantine, and isolation. Each illustration cites the source of information with a caption.

I dont ever report on things when theyre unclear, but I feel that right now its really important to influence human behavior in order to protect our collective health, Chalabi told Hyperallergic.

Yet, the insufficient research on the novel COVID-19 and sciences incomplete understanding of its behavior have confronted Chalabi with difficult moral dilemmas in her work, leading her to veer towards more conservative findings.

For instance, when she researched the question of how long the virus remains alive on different surfaces, she found that neither the CDC nor the World Health Organization (WHO) had any specific guidance on the issue. As a result, she had to make a choice between two academic studies one that claimed that the virus can survive up to nine days on some surfaces, and another that suggested a lifespan of just three days.

While trying to choose between the two, I thought: should I just go with the one that suggests that virus lives longer? Because the worst-case scenario is publicizing the study that suggests a shorter term and possibly making people sick if it turns out that the virus lives longer. She ultimately chose the study that suggested a longer lifespan for the virus.

But these choice dont come without self-doubt, as Chalabi confessed: I want to avoid causing harm, but you could say that Im causing harm by freaking people out or by getting them not to touch things [] Im worried for example about people with OCD [Obsessive-Compulsive Disorder] who might find it triggering.

Misinformation about the virus is rampant online, which only adds to Chalabis anxieties. Every journalist should be so scared these days, she said. Misinformation is killing people. Its a matter of life and death to clarify the public understanding of this outbreak. Her next step, she added, is to assemble a team of experts that would vet her illustrations before they are published (shes currently seeking grantsto facilitate this process).

Chalabi, whos based in Brooklyn, said that she works 12 hours every day on her illustrations while worrying for her family in London, who areunder national lockdown as of today.

Im so conflicted about everything I do these days, said Chalabi. But all I can do is be as transparent as humanly possible about the decisions Ive made as a researcher and why Ive made them. Inaction is not an option.

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COVID-19 Statistics in Instructive, Comforting Illustrations - Hyperallergic

Public Anxiety over COVID-19 Will Increase Without Straight Talk – Commentary Magazine

As state and local governments enforce shelter in place edicts and President Donald Trump publicly mulls how long people should halt all non-essential activities, it is worth revisiting what we know about authority, responsibility, and obedience in times of crisis. Are we the country of Live Free or Die and Dont Tread on Me, or are we able to temporarily suspend essential liberties to accommodate restrictions on our behavior for the common good?

Not all observers are convinced we can strike a balance. Writing at The Atlantic, Ian Bogost argues that acquiescence to even draconian restrictions is more likely than rebellion, although he doesnt think this is a positive scenario. Anne Applebaum details the way this has already unfolded in Europe, where leaders of liberal democracies have easily pivoted to more authoritarian techniques of social control in the name of curbing the impact of the virus. Others have argued for government-sponsored surveillance akin to that practiced by China and South Korea as the only likely way to slow the pandemics spread.

Pundits and policymakers on the left have been the most openly enthusiastic about adopting an every-crisis-is-an-opportunity approach to the pandemic. Late last week, Democratic Majority Whip Rep. Jim Clyburn told his fellow House Democrats that emergency legislation to help Americans during the crisis was a tremendous opportunity to restructure things to fit our vision. On Monday, left-leaning pundits urged them to do just that and hold the legislation hostage until they get what they want. Dems have the leverage here if they hold their nerve, tweeted Dissent contributor Richard Yeselson. Market is going to decline 10-20% tomorrow, so Schumer and Pelosi have to be coldly implacable, he added.

Coldly implacable is a good description of a now-deleted tweet thread offered over the weekend by progressive pundit Anand Giridharadas, who argued, I would rather have a radical Democratic Party and a moderate virus than a moderate Democratic Party and a radical virus, because the virus has no fear of making fundamental changes to our way of life. But so-called moderates have so feared changes to our way of life that we are now left utterly defenseless. His advice? This is a moment to help people survive, and to do so in ways that attack the deeper structural choices we have made to be as vulnerable as we are to this kind of system shock. In other words: make the most of the pandemic by using it to fundamentally restructure society to align with progressive goals.

No wonder Americans are becoming cynical about the information they receive and confused about what to do to combat COVID-19. The Trump administration has been by turns inconsistent and untruthful; some lawmakers seem more eager to take advantage of the situation to score ideological points than to help the country; and progressive activists are keen to make future revolutionaries out of a nation of anxious Americans who are simply looking for guidance during confusing times.

To be sure, from a public health standpoint, it makes sense to look at previous pandemics for practical lessons on the benefits and drawbacks of extreme social distancing measures, for example.

But once enacted, how likely are such edicts to be observed? Should officials use a carrot or a stick (or some combination of the two) to persuade large populations to dramatically change their individual behavior? What emotional appeals might encourage or discourage better behavior and which ones might inadvertently make our response to the crisis much worse? To answer these questions, we need to broaden our perspective beyond merely public health and politics and look at theories of human behavior for guidance. As a few observers have suggested, we are in the midst of a marshmallow test for the nation (after Walter Mischels well-known experiments in self-control). Will we pass?

The marshmallow test was an experiment in individual self-control. By contrast, in a pandemic situation, our policymakers effectively treat us like a crowd. And crowds behave differently than individuals, both online and offline.

In his 1895 book, The Crowd: A Study of the Popular Mind, Gustav LeBon posited a rather dark view of human nature in crowd-like settings, arguing that by the mere fact that he forms part of an organized crowd, a man descends several rungs on the ladder of civilization. LeBon also believed that irrational behavior was contagious and could eventually lead to violence or mass hysteria.

A more nuanced and much less pessimistic view of crowd behavior was offered by twentieth-century sociologists such as R.H. Turner and Lewis Killian, who studied emergent norms in crowd situations, paying particular attention to the power of emotion on crowd behavior. They rejected LeBons contagion theory and argued that crowd actions could be positive or negative.

What most crowd behavior theorists can agree on, however, is that crowds gain their power (and their potential for danger) from their lack of rules and norms. Similarly, during times of crisis, such as a war or a pandemic, everyday rules are often deliberately suspended and behavior must change. Authorities instead rely on hastily formulated regulations and ad hoc norms to ensure public safety.

And this can work, for a time. Humans are quite adept at handling disruption (even on a disastrous scale); they are far less capable of doing so when there is uncertainty about the likely duration of that disruption. Uncertainty about the length of time required for sacrifices and their likely long-term impacts, a hallmark of the current COVID-19 restrictions in place for many Americans, increases mistrust and raises questions about responsibility. The crowd understandably gets restless.

That restlessness increases as the issue of responsibility becomes more acute. In Relations in Public, sociologist Erving Goffman observed, Rules are effective (insofar as they are) because those to whom they apply believe them to be right and come to conceive of themselves both in terms of who and what it is that compliance allows them to be and in terms of what deviation implies they have become. Underlying all of this, he argued, is the fundamental notion of responsibility. Rules work, in other words, when everyone at least partially buys into the idea of their legitimacy.

But what happens when the public perceives their leaders as failing to act responsibly or sees them as flouting the rules entirely? Sen. Rand Paul was vigorously criticized for his decision to go about his usual public activities while awaiting the results of a COVID test (which turned out to be positive). Like other Americans who have willfully threatened the health of others by ignoring public health guidelines, he put others at risk so that he didnt have to inconvenience himself. That isnt just selfish; its irresponsible.

As well, even when his administration does the right thing (such as follow the advice of Dr. Anthony Fauci), Trumps eagerness to absolve himself of responsibility for handling the pandemic feeds into peoples fears that he is more concerned about his own political viability than he is about his obligations to the public.

Americans dont lack the collective will to do the right thing in a crisis; as Jonah Goldberg pointed out, the fact that we have already shut down major cities and ceased many activities is a testament to our willingness to sacrifice. But a pandemic tests the will in new ways. It demands that leaders take ownership of situations that are not of their own making, but for which they nevertheless now bear responsibility.

Our leaders are asking Americans to acquiesce without question and without an end date to harsh restrictions made for the public good. It would be easier to do so if they treated us less like a mob of easily-manipulated children in need of ideological re-education than like the well-intentioned, if understandably anxious, people that we are.

Originally posted here:
Public Anxiety over COVID-19 Will Increase Without Straight Talk - Commentary Magazine

No, Senator Cornyn, Bats Are Not To Blame For COVID-19. Thats On Humans – Essence

Since news hit that the COVID-19 (coronavirus) crisis first began in China, there has been a lot of racist language and even violence used to blame the Asian country for the now pandemic. Just last week, President Trump referred to the deadly virus as Chinese Virus and defended a White House staffer who referred to it as Kung Flu.

Another disturbing example of this is Sen. John Cornyn, R-Texas, who, last week, told reporters that the spread of the virus is because Chinese people eat bats.

China is to blame, Sen. John Cornyn, R-Texas, said Wednesday of the virus, which was first identified in Wuhan, China. because the culture where people eat bats and snakes and dogs and things like that, these viruses are transmitted from the animal to the people, and thats why China has been the source of a lot of these viruses like SARS, like MERS, the swine flu. And now the coronavirus. So I think they have a fundamental problem and I dont object to geographically identifying where its coming from.

Per a Foreign Policy report, despite a viral video of a Chinese woman eating bat soup causing people to believe she was patient zero, health officials, including the Centers for Disease Control and Prevention (CDC), have debunked this myth. According to Health.com, one new research article in the Virology academic journal believes the virus started in the wet markets of Wuhan, China, that keep wild animals together and sell them as delicacies or pets. But these markets have been around for generations, so why now?

A CNN report acknowledges that while bats that carry a vast range of viruses and pathogens could be a potential source of the virus, perhaps whats behind this pandemic is the environmental damage humans have caused for decades.

The underlying causes of zoonotic spillover from bats or from other wild species have almost always been shown to be human behavior, Andrew Cunningham, Professor of Wildlife Epidemiology at the Zoological Society of London, explained to CNN. Human activities are causing this.

Cunningham continues that when the natural habitats of these flying mammals are destroyed, they become stressed, which lowers their immune system, causing the viruses they carry to no longer be suppressed.

We believe that the impact of stress on bats would be very much as it would be on people, he said, adding, It would allow infections to increase and to be excreted to be shed. You can think of it like if people are stressed and have the cold sore virus, they will get a cold sore. That is the virus being expressed. This can happen in bats too.

From there, the bats shed their viruses, which is only exacerbated in wet markets that can serve as a terrifying mix of viruses and species, CNN noted.

Kate Jones, Chair of Ecology and Biodiversity at University College London, agreed with Cunningham, telling CNN that destroying wildlife and having to transport animals more frequently than before is having disastrous consequences.

We are increasing transport of animalsfor medicine, for pets, for foodat a scale that we have never done before, Kate Jones, Chair of Ecology and Biodiversity at University College London, also told CNN.

We are also destroying their habitats into landscapes that are more human-dominated. Animals are mixing in weird ways that have never happened before. So, in a wet market, you are going to have a load of animals in cages on top of each other.

The CDC has yet to confirm the exact source of the COVID-19 virus.

*****

ESSENCE is committed to bringing our audience the latest facts about COVID-19 (coronavirus). Our content team is closely monitoring the developing details surrounding the virus via official sources and health care experts, including the World Health Organization (WHO), the Centers for Disease Control and Prevention (CDC) and the Occupational Safety and Health Administration (OSHA). Please continue to refresh hub for updates on COVID-19, as well as tips for taking care of yourselves, your families and your communities.

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No, Senator Cornyn, Bats Are Not To Blame For COVID-19. Thats On Humans - Essence

Vaping could play role in coronavirus infections among young – Fairfield Daily Republic

DETROIT Gov. Gretchen Whitmer spoke directly to young Michiganders on Monday as she announced an executive order requiring people to stay home to avoid spreading novel coronavirus.

Young people, Im talking to you now, Whitmer said. Youre not immune from this. You can get this virus. . . . You can carry this without even knowing it and be unknowingly exposing others to it.

Theres been this misperception that if youre young, . . . youre not susceptible to Covid-19. The fact of the matter is in America, we are seeing severe consequences in our younger people in ways that they havent seen it in other parts of the world.

She speculated that vaping might be contributing to the 41% of people ages 20-49 in Michigan who have contracted the virus, according to data from the Michigan Department of Health and Human Services. Despite a spate of vaping-related lung injuries nationally in 2019, the habit is popular among young people.

Ive talked to more than one physician who has observed, and perhaps theres too little science to know precisely if this is whats going on, but vaping is a lot more popular in the United States than it is elsewhere, Whitmer said. And that . . . compromises your respiratory system and makes you more susceptible to respiratory illness.

Dr. Samuel Allen, a pulmonologist at Beaumont Health, told the Free Press that its too soon to say what role vaping is playing in the global coronavirus pandemic, which, as of Monday night, had infected about 375,000 people and killed at least 16,400, according to the Johns Hopkins Covid-19 Global Case Tracker.

Theres really no scientific evidence that links the two, he said. First of all, its because vaping itself is relatively still in its infancy. So is it plausible as a kind of an interesting observation? Yeah. But as far as a scientific link, theres none.

But, Allen said, a person who has lung injury from vaping probably would be more likely to be severely sickened by Covid-19 than someone without vaping-related lung injury, just as a cigarette smoker, someone with chronic lung disease, diabetes, immune suppression or heart disease would.

Dr. Meilan Han, a pulmonary specialist at Michigan Medicine and professor at the University of Michigan, said that while most of the research about the novel coronavirus suggests older people are more likely to be hospitalized and die of the disease, we certainly do know that there are young people in the United States that clearly are experiencing severe disease and are on ventilators.

And so people have been hypothesizing as to what some of the risk factors might be. We dont have a lot of published data from the U.S., so were looking to the little bits of published data that are coming out of China.

What theyre seeing is that one of the risk factors . . . does appear to be smoking.

One report suggests that smokers have a 14-times higher risk of severe illness with a Covid-19 infection than nonsmokers, she said.

We dont have a lot of data on vaping right now, but there is reason to potentially hypothesize that things that cause lung inflammation like smoking, like vaping might increase the risk for more severe disease, she said.

Dr. Arnold Monto, professor of epidemiology and global public health at the University of Michigan, said any connection to vaping and the rate of young people with severe disease from Covid-19 is speculation.

Theres vaping, he said. Young people have gotten sick. Maybe its vaping, but we dont have a link. What we would want from an epidemiologic standpoint is to have the histories of those who became sick and see whether they vaped. But theres no data that I know of, so its pure speculation.

Whitmers stay home, stay safe order also addressed the potential that the number of novel coronavirus cases could overwhelm the health care system as it spreads exponentially through the state.

The death count in Michigan was up to 15 Monday afternoon, and the states total confirmed case count reached 1,328. Whitmer predicted the number of confirmed Covid-19 cases could rise fivefold more over the next week.

We have roughly 10 million people in our state, she said. There is a model that anticipates and if we stay on our current trajectory, just like Italy, over 70% of our people can get infected with Covid-19.

Of that 7 million people projected, about a million of them would need to be hospitalized. Let me give you a little perspective here. We have about 25,000 acute care beds in Michigan. . . . Without additional aggressive measures soon, our hospitals will be overwhelmed. And we dont currently . . . have enough beds, masks, gowns and ventilators.

But if we all do our part and simply stay home, we have a shot at helping our health care system meet our needs. Because this disease cant spread person-to-person if were not out there.

The model Whitmer referenced is a worst-case scenario, Monto said.

I think you have to be prepared for the worst and hope for the best, he said, adding that how Michigan and the country fares in the days and weeks ahead depends on several factors.

It all depends on how many people have already been sheltering in place as much as they could, Monto said, and how many heed the governors warning and take her order seriously going forward.

A lot of this is dependent on human behavior and those who like to go out and party are still going to go out and party, he said. Short-term, the less contact we have with others who might be infected is the best policy.

Additionally, Monto said, how quickly the disease spreads in a region also can be affected by what he called super spreaders or people who happen to shed more of the virus than others.

Theres many things we dont understand, he said. What we do know about this virus is that its much less uniform in terms of how much an individual case will spread to another case, he said. . . . We have super spreaders. We have anecdotes of people who dont spread, even though theyre potentially infectious, and we really do not understand this.

Even with most people complying with the shelter-in-place order, Monto said its hard to predict how the U.S. will fare in this outbreak.

Its very hard to model that because everything in the modeling . . . assumes some kind of uniformity.

Han said she is concerned that the rapid spread of the virus could affect not just the amount of available hospital beds, ventilators, Covid-19 test kits and personal protective gear like masks and gowns, but also of doctors, nurses and other trained medical personnel who can treat the sick.

If you look at Italy, Han said, roughly 10% of their Covid patients are health care workers. And that is what we are absolutely trying to avoid.

The supply chain strain on the personal protective equipment and the testing swabs is real. I havent talked to a single hospital that isnt experiencing some strain on the supply, and everyones in some various state of numbering the days or weeks of supply that they actually have left.

Although President Donald Trump announced the federal government is distributing supplies of ventilators and personal protective equipment to states, he said the priority is to give the most to the states that have the biggest outbreaks.

Thats California, New York and Seattle, Han said. But that doesnt mean we dont need it here at home.

We worry because it were not getting prioritized currently on the national front. We know that we dont have the demand yet, but we could be New York in a week, so it definitely has everyone worried.

Im definitely not trying to panic people. Ive spent a lot of time talking to my own patients trying to reassure them, that if they take precautionary measures, do what the governor says stay at home, wash their hands, continue to isolate, I think we can get through this.

But if people just continue to go about their daily business, nobody gets a pass on this.

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Vaping could play role in coronavirus infections among young - Fairfield Daily Republic