COVID-19 Pandemic: Scientists Report 8 Behavioral Pitfalls In Adherence To Preventive Strategies – International Business Times

The COVID-19 pandemic has been challenging human biology, the capacity of hospitals with acute care, and several other aspects such as communication network and financial resilience of economies. Although preventive strategies to reduce disease transmission have been followed, a recent study has pointed out 8 pitfalls of judgment. Being aware of these can help make behavioral modifications to fight the deadly novel coronavirus.

Strategies for reducing transmission have included repeated hand washing, physical distancing, and self-isolation. These preventive strategies are immediately available, highly affordable, and distinctly effective; however, a major challenge is the need to maintain adherence, said the researchers in their paper published in The Lancet Public Health.

Here are the pitfalls of judgment listed in the study:

1. Fear of the unknown

People might be paying more attention to unknown risks compared to regular events. It is the psychological response to threats like COVID-19 that is mysterious. Intense sensitivity to such unknown threats is very common and they arise at the root of fear-based psychopathologies. COVID-19 was first denoted as coronavirus of unknown origin and this has raised an ominous specter of unseen troubles. But with time, the mystery and newness of the disease will fade and reduce all the attention. It is important to make creative reminders after the initial shock fades and be as vigilant as to when it was all new.

2. Personal embarrassment

People have endless reflexive habitual actions that they cannot easily suppress. A lapse in following preventative strategies,such as avoiding self-touching behaviors, can be interpreted as a personal failure and people start feeling ashamed. The authors' advice isto acknowledge that this is normal behavior and to use celebrity patients to lessen stigma.

3. Neglect of competingrisk

People tend to focus completely on COVID-19 and end up neglecting less important considerations. In the process of over-focusing on a potential hazard could make people neglect everyday practices that can affect their health. They urge the public to practice good sleeping habits, eat healthily, exercise regularly, and take care of mental health.

4. Invisible diseases

COVID-19 receives attention because it has an objective test to establish the diagnosis. Whereas, there arent any such tests for mental health disorders. Physical distancing carries a downside of potentially increasing domestic frictions and psychiatric disorders including schizophrenia, depression, and substance abuse.

5. No Clear feedback

The long incubation period includes a protracted wait time between implementing intervention and finding out the results. Time delays can lead to psychosomatic symptoms and a sense of impending doom in the early stages of the crisis.

6. Status quo bias

Human behavior is driven by a strong aversion to losses, it kindles a desire to maintain the status quo. Such a desire for the status quo can drive the public to do dangerous things like giving up social distancing measures. The authors urge public health experts to emphasize future gains in order to help people understand the benefits of social distancing.

7. Ingrained societal norms

People might be tempted to greet their loved ones or friends they run into with a hug or a peck on the cheeks. It is very important that the public remember the dangers before doing it. Habits can be difficult to change, but people should keep reminding and highlighting the importance of social distancing to others who have changed behaviors.

8. Hindsight bias

The pandemic will eventually subside but the hindsight bias could lead to castigating healthcare authorities who might have over-reacted to under-reacted. The collective mentality that we are all in this together was challenging when the COVID-19 pandemic began and might prove as equally difficult to sustain after it is over. Awareness of judgmental pitfalls might help to make things a little easier, said the authors.

The government has been under pressure to relax social distancing rules Photo: AFP / Paul ELLIS

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COVID-19 Pandemic: Scientists Report 8 Behavioral Pitfalls In Adherence To Preventive Strategies - International Business Times

The top 10 podcasts we all need in our lives right now, according to a psychotherapist – CNBC

We each have our own different challenges to deal with, but if there's one thing we can all agree with, it's that there's never been a more urgent need for laughter, inspiration and escapism.

Luckily, we have podcasts to keep us informed but not to an excessive degree about the coronavirus pandemic, while also helping to pass the time and ease stress.

As a psychotherapist, lots of patients have been asking me for recommendations. So here are 10 great podcast we all need in our lives right now:

Listen here

I can't get enough of Bren Brown, so I was thrilled when theauthor and speaker announced her new podcast in March. (If you haven't seen her TEDx talk "The Power of Vulnerability,"one of the most popular in TED history, I highly recommend watching.)

In "Unlocking Us," Brown interviews a mix of interesting individuals, from musician Alicia Keys to grief expert David Kessler. I love this podcast because it emphasizes topics I often discuss with my patients: Giving ourselves permission to fall apart, processing negative emotions, embracing vulnerability and finding meaning, especially during hard times.

Listen here

Abby Medcalf is an author and psychologist who has helped thousands of people create connection, happiness and fulfillment in their relationships whether it's with a partner, family member, friend, co-worker or roommate.

If you're like me and quarantining with your spouse, you've likely experienced a handful of disagreements and frustrations. Medcalf offers simple yet effective tools to help you manage common relationship problems, such as dealing with people who get on your nerves or communicating with someone who refuses to listen.

Listen here

While it's important to stay informed, too much news can be more harmful than helpful. So if you're feeling overwhelmed to the point where you're making decisions based on fear, and not facts then it's time to cut back.

I've found "Coronavirus Daily" to be just the right amount. Each episode is approximately 10 minutes long. You'll stay up to date on what's happening through stories and interviews from NPR's reporting teams.

Listen here

"The Daily" is another option for staying on top of pandemic-related news, although the episodes are a little longer (about 20 minutes).

I recommend listening to"24 Hours Inside a Brooklyn Hospital,"in which a public health correspondent shadows a doctor at Brooklyn Hospital Center's intensive care unit for a day.Hearing the voices of medical workers, patients and their families really humanizes the experience of being on thefrontlines of a pandemic.

Listen here

I've always been intrigued by how our brain works and what motivates our thoughts and actions.

Hosted by social science journalist Shankar Vedantam, "Hidden Brain" combines research and storytelling to explain the patterns that drive human behavior, influence our choices and shape our relationships. Each episode really helps you see things from different perspectives, which is essential to understanding the power of empathy.

Listen here

Adam Grant is an organizational psychologist and author of best-selling books, including "Originals: How Non-Conformists Move the World" and "Option B" (which he co-wrote with Facebook COOSheryl Sandberg).

This podcast is basically a guide to making work less miserable. You'll learn how to embrace criticism and harness the power of frustration. Whether you're trying to adjust to working from home or struggling with the job of lookingfor a job, "Work Life" will give you a more confident and hopeful outlook on the future of your career.

Listenhere

If you're a music lover, "Dissect" is the perfect escape. This serialized music podcast examines a single album per season, one song per episode.

After listening to the episodes about Beyonce's "Lemonade" album (Season 6), I was hooked. Each "dissection" explores everything from the artist's background and career to the lyrics and production behind every song.

Listen here

Let's be honest: It's nice to take a break from our own realities and dive into reality television. Comedian Heather (best-known as a writer and performer on "The Chelsea Handler Show") offers all things "juicy," from celebrity gossip to recaps of "Real Housewives" and "90 Day Fiance."

I'm not the only person who turns to "Juicy Scoop" for some laughter and entertainment. The show has over9,000 five-star reviews on iTunes and is ranked in the top 10 comedy podcasts.

Listen here

"How I Build This" is all about founders and CEOs who had a vision, and how they worked through the challenges of building it into a company.

I run my own practice, and this podcast has gotten me through some difficult times. At such an unprecedented time for entrepreneurs, we really need inspirational stories about facing adversity and building resilience.

Listen here

Therapist and best-selling author Esther Perel's new podcast explores the "invisible forces" that shape our connections, conflicts and dynamics at work. Each episode is essentially a one-time therapy session with co-workers and co-founders.

I recommend listening to "Laid Off and Starting Over,"which is about two people who were let go from their jobs and are now starting new company together. Perel helps them find ways to build over their past traumas so they can heal and begin a new, healthy chapter.

Tess Brighamis a San Francisco-based psychotherapist. She has more than 10 years of experience in the field and primarily works with millennials and millennial parents.

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The top 10 podcasts we all need in our lives right now, according to a psychotherapist - CNBC

CNYs restart after coronavirus hinges on a number you never heard of and cant count – syracuse.com

Syracuse, N.Y. The opening of Central New Yorks economy will depend on measuring a largely unmeasurable value once known only to epidemiologists.

At Upstate Medical University on Tuesday, Gov. Andrew Cuomo announced that one of two gates to open the economy was how fast the novel coronavirus is spreading. Thats known as the rate of transmission, or Rt for short. It might be the first time that value has been used to guide government actions, said an Upstate scientist.

Rt is the average number of people who catch the virus after being exposed to an infected person. An Rt of 2, for example, means that every infected person infects two more. Cuomo has said the rate needs to fall to 1 or below for a region to reopen and stay open.

You wouldnt start reopening unless you had a transmission rate below 1.1; really below 1, Cuomo said. If the transmission rate hits 1.1, thats what they call outbreak. That means its going to spread much, much faster. Youre in trouble.

When Rt is 1, the virus keeps spreading. People will recover at the same rate others are getting sick, so the virus will hover in the background. When the Rt drops below 1, the epidemic slows down and will, theoretically, die out over time.

Rt cant be directly measured. Its not a blood test that gives clear results, or a simple count of the number of people lying in the hospital. Its a scientific concept critical to predicting how fast a disease spreads, but it can only be derived from computer models that rely on imperfect data and assumptions.

Its not clear if Central New York has met Cuomos threshold. Cuomo said Sunday that Upstates rate was 0.9, but he did not break it down by region nor explain how it was calculated. His office did not reply to questions.

Upstate has devised its own model of the viruss spread locally, which two weeks ago estimated the Rt value at 1.3. That would still be too high for a restart under Cuomos requirements.

The Upstate model will likely be updated this week, said Dr. Kathryn Anderson, one of six Upstate professors who created it.

Cuomos decision to use the rate of transmission makes sense and might be unique, Anderson said.

As a scientist I find his approach reasonable, she said. Im not aware of other disease where people used Rt as a metric for guiding policy decisions with this level of impact.

Cuomo said the other number the state will track for a reopening is the percentage of open hospital beds. A region would need to have at least 30% of its beds open in case of a surge in patients suffering from COVID-19, the disease caused by the virus.

The percentage of hospital beds is easy to measure: Count the number of beds with patients in them and divide by the total beds.

Likewise, its easy to do a nasal swab to see if someone is infected, or a finger prick to see if someones blood has antibodies.

The rate of transmission isnt like that. Theres no test, no simple count. The swirling movement of people in society makes it impossible to know for sure how many got sick from every sick person.

Its very rare that we have a situation where we can study this person infected this person who infected these people and onwards, Anderson said.

Figuring out the Rt for other diseases is more straightforward. For example, HIV, the virus that causes AIDS, is transmitted only through direct contact, primarily sex and sharing of intravenous needles.

A respiratory virus like the new coronavirus, called SARS-CoV-2, can also be spread unknowingly through air or on surfaces. A person sneezing in a restaurant or touching an office door handle can pass it on. To take that into account, epidemiologists have to consider dozens of questions: How many people were in close proximity to the infected person? How far away, and for how long? Did the people exposed then touch their face before washing their hands?

There is no way to know those things, so they have to be assumed based on previous studies of viruses and of human behavior. Scientists can only estimate Rt by plugging those assumptions and current data into a computer model.

Every day (Onondaga County executive) Ryan McMahon shows the number of new cases per day, and with some assumptions we can look at the data and get a sense of what R is, Anderson said. We see a rise in cases over time and we have to make some pretty powerful inferences with our data.

One of those assumptions is how long it takes for someone to become sick after being exposed. The Upstate model assumes four to five days. Another assumption is how well residents are abiding by social distancing measures like avoiding gatherings. Cell phone tracking data is a proxy for that, but its not perfect.

Upstates model and the cell phone data have shown that Central New Yorks Rt number has been consistently too high for Cuomos cutoff of 1.1. The latest Upstate modeling in mid-April showed the Syracuse area at R of 1.3, meaning the virus was still spreading too fast for a reopening.

Upstate will issue new model updates this week, Anderson said.

Cuomo has said that regions of the state where the virus was under control could start reopening businesses as long as social distancing rules were enforced. McMahon has said he and several other counties are working on a regional plan to submit to the governor.

Scientists have estimated that without social distancing measures, the Rt for the coronavirus would initially be 2 to 3. The seasonal flu is about 1.3, a high enough rate to cause about 8% of Americans to get the flu each year.

At the other end of the scale is measles, in which an infected person can pass the virus to 12 to 18 others. That explains why measles can spread so quickly when children arent vaccinated.

The rate of transmission of a disease falls as more people become immune from getting a vaccination or the disease itself. Those people then cant catch and pass on the virus.

Its too soon to know if people who have had the novel coronavirus will develop immunity. That doesnt matter much right now in Central New York because only about 1.3% of us have had it, according to state testing. That means nearly 99% of us are still susceptible to catching, and transmitting, the virus.

MORE ON CORONAVIRUS

How many Central New Yorkers infected with coronavirus? Cuomo provides some math

Cuomo says Syracuse hospitals eligible to restart elective surgery

Onondaga County coronavirus: 35 new cases, more ongoing infections now than ever; 30th death

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CNYs restart after coronavirus hinges on a number you never heard of and cant count - syracuse.com

Friday Five with Katie Lim of BARK – Design Milk

Katie Lim is Director of Industrial Design at BARK, the worlds most dog-obsessed company best known for BarkBox. There she helps push innovation, aesthetic, and play by leading the design team for Super Chewer, a line of toys for dogs who love to play rough and need a challenge. As part of BARKs in-house design team, Katie also oversees product branding, product development, and prototyping of the design process for over 430 new and original toys each year. She thrives when seeking out new opportunities and strategies, coming up with never before seen products, and innovative uses for new materials. Katie also manages the @Bark_Creative Instagram account where she gives followers an inside look at the brands behind the scenes design process. Katie earned her degree in Industrial Design from Savannah College of Art and Design, and began her career in toy design working on brands such as Bright Starts, Oball, and Taggies. Just prior to joining BARK in 2017, she was lead designer for Baby Einsteins infant toy products and oversaw all of their play gym innovation and development. Today Katie is joining us for Friday Five and sharing five things important in her life.

1. Young SpiritsDoesnt matter what age (or species!), I love anyone/anything with refreshing perspectives and extreme curiosities. Theres a certain energy and genuine emotion in those young at heart that I find very inspiring. As far as literal young spirits, I love seeing kids use their imagination in play or even when just trying to make sense of the world around them. Children think and express feelings without boundaries, and they carry a joy thats hard to bottle, but its an important lens for me as a designer to continually look through. They remind us to be expressive, be weird, be curious, and keep learning. I try to bring that feeling into every product I design.

2. Dieter Rams 10 Principles for Good DesignGood design is innovative, makes a product useful, aesthetic, makes a product understandable, unobtrusive, honest, long lasting, thorough down to the last detail, environmentally friendly. Good design is as little design as possible. The Vitsoe print extolling these principles shown above hangs to the left of my studio desk. When I start to get lost or indecisive with my work, these help guide me forward. I try to stay grounded in these throughout my entire process for design, and check off as many as possible before any item is produced. Its easy to cram so much into every aspect of a design, but you need to let it breathe and contain only what is necessary for both aesthetic and material use. Theres a bigger conversation around each of these, but we can leave it at this for now.

3. The CommuteMy daily commute from Brooklyn to Manhattan averages around 40 minutes, involving a bus transfer to a train that crosses over the Manhattan Bridge. The gentle rocking motion of the train juxtaposed by the frenzy of transferring from the bus to the labyrinthine subway below somehow makes it easy for me to get lost in a thought or follow an idea. Its also a time when I feel most connected to the city and the people in it. You catch small details in human behavior that gives insights for designing solutions for as many different users as possible. It also gets me out of the bubble of my own life and perspective. Ill catch someone using an object in a way Id never think to do, or see a need that I never encountered myself. I love that New York is always moving and taking risks. Being in that energy motivates me to do the same in my own work and gives me confidence to share my own voice.

Photo by Daniel Koehler

4. Community and MentorshipSocial media, podcasts, and the blogosphere have been instrumental in the growing sense of community in the design field, especially at an international level. @weeklydesignchallenge, @renderweekly, @minordetailspod, and @adv_des are just a few accounts created by passionate professors and designers that help foster this through Instagram, and who I turn to regularly to learn about new approaches and programs. This has become a great platform for designers at all levels to show work and be connected, and I love how open everyone is with sharing their process and techniques in a field thats so competitive. The photo above was taken during my first time leading a sketch workshop that was organized by a nonprofit organization, Advanced Design (@adv_des). Not only was this an opportunity for others to learn from my experiences, but I also learned so much seeing how they applied their skills to what I taught. I also appreciate James Connors and Nick Baker opening up conversations in their podcast, Minor Details (@minordetailspod), around struggles we go through but dont usually talk about. They bring on a wide range of guests and set a tone for open and honest discussions in the industry.

5. Sculpture and InteriorsBefore I knew about Industrial Design, I grew up torn between wanting to be an Interior Designer or a Sculptor. Lucky for me, Industrial Design combines both of these passions. Even luckier, I can still be inspired by incredible forms and thoughtful spaces for the work I do now. Theres a fun exercise I like to do I check out blogs like Dezeen or Architectural Digest, find a space that stands out to me, and then design objects that could fit in that same space. It can be anything! Furniture, appliances, toys, accessories it helps challenge the personal aesthetic I gravitate towards automatically and expands my visual library. This is something I especially love bringing to the pet industry, dog toys dont have to be objects that you want to kick under the couch as soon as company arrives. You can take advantage of form, color, and texture to create something that is very functional for play, but also beautiful.

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Friday Five with Katie Lim of BARK - Design Milk

Global economy could be reshaped for the better post Covid-19 – Verdict

As the world continues to suffer the implications of the severe Covid-19 pandemic, it is worth examining how the global economy can be reshaped for the better

As the lockdown has expanded throughout the world a number of critical industries have been damaged, possibly beyond repair. Oil and gas, travel and tourism and most services and retail industries are unlikely to be reformed in the same way in which they existed in the past.

Partially, this is because of the length of time it will take to overcome the virus. However, the worst aspects of human behavior are also clearly demonstrated in these types of industries. Kick-starting those with huge government stimulus packages would be a squandered opportunity to reshape for the better.

Despite constant reminders over the past few decades of the impact that our use of fossil fuels has on the environment, consumption levels have done nothing but climb. Now as the world economy pauses, millions of barrels of oil are left unburned and cities all over the world have been breathing easier for weeks.

Using this opportunity to change consumption patterns and nurture alternative energy with serious investment could result in current climate goals becoming achievable, which at present they are not.

Cheap holiday flights and weekly business trips have helped to bring the world together but they have also resulted in excessive business practices that have encouraged millions of unnecessary trips every day, burning jet fuel.

The coronavirus pandemic has shown that the majority of office based jobs can function at the same level of operating efficiency working from home, with none of the travel. Businesses are beginning to see that endless travel around the world and even commutes in and out of the office are largely obsolete.

Most societies have been organized around encouraging massive consumption of items such as clothing, food and all manner of disposable goods. The success of a countrys economy can largely be measured, by modern standards, as purely the cash amount of goods bought and sold.

As shopping and consumption levels have been reduced to a minimum, consumers have had a glimpse into what products are necessary for their wellbeing and what are not. There are vast swathes of retail companys that it might not be beneficial to support with government aid after COVID-19 ends.

Already central banks have prepared and given out huge amounts of cash to these failing industries. However, it should be noted that even during crisis, many troubled businesses have been giving out dividend payments and maintaining executive bonus.

A good portion of these industries wont actually be able recover or even operate at their previous capacity. Taking on nation debt to protect industries highly likely to fail is not operating in the general interest.

MarketLine is a sister company of this website.

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Global economy could be reshaped for the better post Covid-19 - Verdict

How COVID-19 is changing the face of college admissions | – University Business

Strategies for driving engagement with prospectsand providing flexibility for decision-making

KristenCapezza is vice president of enrollment and university communications atAdelphiUniversity in New York.

Flashback. Its September 2019 and higher education is facing one of the largest disruptions to date; theNational Association for College Admission Counselingvotes to remove long-standing provisions of the Code of Ethics and Professional Practices (CEPP), drastically changing the landscape of college admission. Institutions are left worrying what the future holds and race to remain competitive. Words like sweepstakes are introduced to the college process.

Read:Admissions ethics code now allows student poaching

Fast-forward. The bustling spring season approaches, and this year, its not business as usual. Contrary to expectations, this springs challenges are not a result of fall CEPP changes. The global coronavirus pandemic (COVID-19) disrupts all of higher education, forcing campuses to close and operations to resume remotely. Enrollment teams scramble to make class and create strong connections with admitted students, some of whom never set foot on campus.

It feels like the perfect storm.

Read:Updated: 89 free higher ed resources during coronavirus pandemic

Many of us would claim our institutional culture becomes undeniably apparent through our on-campus events, bringing to life the words found in our glossy viewbooks. At Adelphi University in New York, our visitors experience the personalized interaction between our faculty, staff and students, and they feel the safety and energy of the possibilities that await them on our breathtaking campus, an award-winning registered arboretum.

For many, COVID-19 stole those visit experiences this spring. But Adelphi pivoted to recreate those feelings in our virtual campus environment, as did many others. And while no online interaction can replace the feeling of pulling onto campus, our honest and innovative responses may help us long into the future. Here are four considerations for enrollment leaders now:

We must acknowledge social, financial and other priorities that guide human behavior, and we must work extra hard to reflect them in an empathetic approach to college enrollment.

Read:How these colleges are marketing to admitted students during COVID-19

Our team here at Adelphi will continue to meet students where they are. As a result of CEPP changes and the challenges of COVID-19, our team has planned the following.

Read:Schools offer summer scholarships to cope with disruptions

The fall enrollment picture is uncertain for colleges coast to coast. Students are delaying decisions, and many are asking for deposit extensions as they consider their options. We anticipate a large number of students will change plans and opt to stay local, seeking comfort in being near to home. There are students who will request gap semesters and years, waiting to start a campus experience uninterrupted by thermal scans and face masks.

As we look to the months ahead, they are filled with challenges, difficult decisions and unpredictability. Through it all, we must keep our students and institutional missions at the core of our decisions, offering flexibility and accessibility to those who need it most.

Kristen Capezza is vice president for enrollment and communications at Adelphi University in Garden City, New York.

UBs coronavirus page offers complete coverage of the impacts on higher ed.

Interested in technology? Keep up with the UB Tech conference.

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Warm summer weather likely wont end the coronavirus pandemic – Vox.com

Some Americans are hoping for a natural reprieve to social distancing as the coronavirus pandemic drags on: that sunnier, warmer, and more humid weather in the summer will destroy the Covid-19 virus as it does with other viruses, like the flu and let everyone go back to normal.

There is some evidence that heat, humidity, and ultraviolet light could hurt the coronavirus an idea that President Donald Trump bizarrely leaned into when he suggested the use of ultraviolet or just very powerful light inside the body to treat people sickened by Covid-19 (an idea with no scientific merit, as experts have repeatedly stated).

But even if heat, humidity, and light help slow the viruss spread, sunny, hot, and humid weather alone wont be enough to end the epidemic. Experts point to the examples of Singapore, Ecuador, and Louisiana, all of which have recently had growing numbers of Covid-19 cases despite temperatures hitting 80-plus degrees Fahrenheit and humidity levels reaching more than 60, 70, or even 80 percent.

High levels of heat, UV light, and humidity can help prevent more widespread infections of the flu or colds in the summer, along with medical treatments and vaccines (when available). But the Covid-19 coronavirus is still new to humans, so we dont have as much immune protection built up against it so the virus seems able to overcome summer-like weather and still cause big outbreaks.

For the novel coronavirus SARS-CoV-2, we have reason to expect that like other betacoronaviruses, it may transmit somewhat more efficiently in winter than summer, though we dont know the mechanism(s) responsible, Marc Lipsitch, an epidemiologist at Harvard, wrote. The size of the change is expected to be modest, and not enough to stop transmission on its own.

Still, the studies on heat, light, and humidity, plus the fact coronavirus has a harder time spreading in open-air areas, suggest that the outdoors may be a safe target for a slow reopening as transmission of the virus slows, as long as precautions like physical distancing and mask-wearing are followed. So outdoor activities could offer a respite to lockdowns and quarantines one thats also, potentially, good for physical and mental health.

It also means that if Covid-19 becomes endemic (a disease that regularly comes back, like the flu or common cold), then heat, sunlight, and humidity could restrict bigger outbreaks to fall and winter. But that possibility is likely still years away, experts say.

So summer weather may make the outdoors a little safer, but it wont be enough to quash coronavirus on its own. That means well likely need to continue social distancing to some degree in the coming months, and continue working on getting more testing, aggressive contact tracing, and medical treatments up to scale before places can safely reopen their economies.

There are a few ways that summer weather could have an effect on SARS-CoV-2. Higher temperatures can help weaken the novel coronaviruss outer lipid layer, similar to how fat melts in greater heat. Humidity in the air can effectively catch virus-containing droplets that people breathe out, causing these droplets to fall to the ground instead of reaching another human host making humidity a shield against infection. UV light, which theres a lot more of during sunny summer days, is a well-known disinfectant that effectively fries cells and viruses.

There are multiple coronaviruses out there that affect our population, and many of them, if not most of them, exhibit a seasonal influence, Mauricio Santillana, the director of the Machine Intelligence Lab at Boston Childrens Hospital and a researcher on the effects of the weather on coronavirus, told me. The hypothesis postulated for Covid-19 is that it will have a similar behavior.

But thats hypothetical. How does it play out in reality?

So far, the coronavirus has largely spread in the Northern Hemisphere, where its been winter and early spring. Its not clear if the weather is a reason for that, because data on its spread in the Southern Hemisphere particularly poorer countries in Africa and South America is largely lacking due to weak public health infrastructure.

Still, we have some evidence. The National Academies of Sciences, Engineering, and Medicine one of Americas top scientific evidence reviewers summarized the research earlier in April. It looked at two kinds of studies: those that tested the effects of summer-like temperatures in a laboratory, and those that attempted to tease out the effects of heat, UV light, and humidity in the real world.

In the lab, researchers use sophisticated tools to see how the virus fares in different conditions. Generally, theyve found more heat, UV light, and humidity seem to weaken the coronavirus although one preliminary study suggested that coronavirus may fare better in the more summer-like conditions than the flu, SARS, and monkeypox viruses.

This is the kind of study Bill Bryan, the undersecretary for science and technology at the Department of Homeland Security, presented at the April 23 White House press briefing. That study found that coronavirus seemed to die off much more quickly in hotter, more humid environments with a lot of UV light.

As the National Academies noted, however, this evidence comes with big caveats. Perhaps most importantly, these studies havent yet been peer reviewed. So they could have big methodological errors that we just dont know about yet. (This Wired article does a good job breaking down the concerns with such early research.)

But even if these studies are well-conducted, the real world is simply a lot messier than a laboratory setting. For example, the lab-grown virus used in these studies may act at least somewhat differently than the natural virus in the real world.

People can also act differently in summer than they do in winter, and the lab studies dont account for how those behaviors affect coronaviruss spread. People are more likely to stay indoors during the winter to avoid the cold but indoor spaces are generally more poorly ventilated and cramped, both of which make it easier for the coronavirus to spread. Warmth and sunshine also could impact the immune system, though that relationship is still unclear.

Well get more evidence on real-life seasonal effects as the months go by especially if more places take potentially dangerous risks. In Georgia, where they are opening back up without really any concrete measures to encourage distancing, we might be able to better evaluate how [the coronavirus] spreads in the summer months, Angela Rasmussen, a virologist at Columbia, told me.

But there is some early real-world research already, which the National Academies also reviewed. These studies looked at whether the SARS-CoV-2 virus was affected by different climates in real-world settings, and if it spread more easily in places where it was colder and less humid and there was less UV light. Some researchers also developed models based on data from different outbreaks in different parts of the world.

One upcoming study from a group of researchers at the University of Nebraska Medical Center tried to model the effects of heat, humidity, and UV light, finding that they mitigated the spread of the virus. UV light seemed to play a bigger role, although the researchers cautioned that their findings will need to be replicated and verified with, ideally, years of data. This is a very new virus, and there are lots of things we dont know about it, Azar Abadi, one of the researchers, told me.

But this aligns with the evidence that the National Academies reviewed.

There is some evidence to suggest that SARS-CoV-2 may transmit less efficiently in environments with higher ambient temperature and humidity, Harvey Fineberg, author of the National Academies report, wrote. [H]owever, given the lack of host immunity globally, this reduction in transmission efficiency may not lead to a significant reduction in disease spread without the concomitant adoption of major public health interventions.

This is the point experts emphasized again and again: Its one thing for the weather to have some sort of effect on coronavirus; its another thing for that effect to be enough to actually halt the viruss widespread transmission. We have early evidence the weather has an effect, but we also have early evidence that it wont be enough.

The problem: Other factors, besides the weather, play a role in the spread of diseases. In the case of coronavirus, these other factors seem to play a much bigger role than weather.

The mayor of Guayaquil, Ecuador, where its regularly 80-plus degrees Fahrenheit, described her citys experience with Covid-19 like the horror of war and an unexpected bomb falling on a peaceful town. Ecuador now has one of the worst coronavirus death tolls in the world a sign that warm, sunny, and humid weather cant make up for struggling public health infrastructure in a still-developing country.

Singapore, which is nearly on the equator, managed to contain coronavirus at first, but it has seen a growing outbreak recently. The problem, it seems, is the government neglected migrant workers in its initial response letting Covid-19 spread in the cramped and sometimes unsanitary conditions many migrants live in. Warm, humid weather alone wasnt enough to overcome preexisting issues and an overly narrow public policy response.

Meanwhile, Louisiana is suffering a significant coronavirus outbreak, with the fifth-most deaths per 100,000 people out of all the states. According to experts, Mardi Gras held on February 25 may have accelerated that. The massive celebration seemed to cause a lot of transmission, even as New Orleans saw temperatures up to the 70s, and cases continued to climb even as temperatures reached the 80s. Maybe the weather made things better than they would be otherwise, but it was, again, no match for human behaviors effects on the spread of Covid-19.

The bigger problem is too many people in the US are still vulnerable to the virus. While we see some influence [of the weather], the effect that were seeing if theres any effect is eclipsed by the high levels of susceptibility in the population, Santillana said. Most people are still highly susceptible. So even if temperature or humidity could play a role, theres not enough immunity.

That made it extremely easy for the virus to spread, regardless of the weather, especially since SARS-CoV-2 appears to be so contagious relative to other pathogens. In contrast, if you think about the viruses that are more affected by the seasons the flu and colds humans have been dealing with them for hundreds if not thousands of years. Thats let us build some population-level protection that we just dont have for Covid-19, making other factors besides our actions, like the weather, a bit more important for the seasonal viruses.

So down the line, if Covid-19 becomes endemic a possibility if, for example, immunity to it isnt as permanent as wed like its possible that seasons will have a much stronger sway over when it pops up again.

Even then, its worth acknowledging that seasons dont fully determine when the flu and colds hit. As the National Academies pointed out, some flu pandemics have started in the summer: There have been 10 influenza pandemics in the past 250-plus years two started in the northern hemisphere winter, three in the spring, two in the summer and three in the fall.

In fact, some of this research could be taken to mean that coronavirus will be even more dangerous eventually: If the colder, dryer weather this fall and winter empowers the virus, that could lead to a bigger outbreak. The National Academies noted, as an example, that a second spike is typical for flu pandemics: All had a peak second wave approximately six months after emergence of the virus in the human population, regardless of when the initial introduction occurred.

But, as is true in the reverse, other factors besides the weather likely play a bigger role in the spread. So if governments and the public do the right thing through the fall and winter, theres still a good chance that there wont be a big spike.

The upshot of all of this: The changing weather likely wont be enough on its own to relax social distancing. Given that theres still a lot about Covid-19 we still need to learn, experts dont know this for certain. But its what they suspect, based on the data that weve seen in the research and real world so far.

If the only concern is the health of people, its irresponsible to go back to relaxing social distancing anytime soon, Santillana said. Were not done, even if summer starts.

So as the plans to end social distancing indicate, the world will likely need at least some level of social distancing until a vaccine or a similarly effective medical treatment is developed, which is possibly a year or more away. That may not require the full lockdown that several states are seeing today, but it will mean restrictions on larger gatherings and some travel, while perhaps continuing remote learning and work.

Weather could help determine how safe it is to go outside, even as social distancing continues. Some states, for example, are considering opening parks and beaches during the earlier phases of reopening their economies. Experts warn that summer weather wont allow large gatherings 50 people or more is often cited as way too many but it could give people some assurance that they can go outdoors as long as they keep 6 feet or more of distance from others they dont live with, avoid touching surfaces and their faces, and wear masks.

Otherwise, however, how much social distancing will be relaxed in the coming months wont come down to the weather but likely how much the US improves its testing and surveillance capacity. Testing gives officials the means to isolate sick people, track and quarantine the people whom those verified to be sick came into close contact with (a.k.a. contact tracing), and deploy community-wide efforts if a new cluster of cases is too large and uncontrolled otherwise.

While the US has seen some gains in testing, the number of new tests a day still fall below estimates of whats needed (500,000 on the low end and tens of millions on the high end) to safely ease social distancing.

Along with testing, America will need aggressive contact tracing, as countries like South Korea and Germany have done, to control its outbreak. A report from the Johns Hopkins Center for Health Security and Association of State and Territorial Health estimated the US will need to hire 100,000 contact tracers far above what states and federal officials have so far said theyre hiring. A phone app could help mitigate the need for quite as many tracers, but its unclear if Americans have the appetite for an app that will effectively track their every move.

These are, really, the things everyone has been hearing about the entire time during this pandemic. Its just worth emphasizing that the summer weather likely wont be enough on its own to mitigate the need for these other public health strategies.

The best-case scenario is if were doing that [social distancing] and theres a dampening [in the summer], maybe there is a possibility of limiting this virus here in the United States and other places, Jesse Bell, one of the University of Nebraska Medical Center researchers, told me. But then again we just dont know.

So were very likely going to need social distancing, testing, and contact tracing for the foreseeable future, regardless of how warm, sunny, and humid it is outside.

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Warm summer weather likely wont end the coronavirus pandemic - Vox.com

David Letterman Offers Words Of Inspiration Amid Virus Crisis From His ‘Y2K’ Bunker – The Daily Wire

David Letterman was the first comedian to return to the air after the Sept. 11, 2001, terrorist attack on America, which killed nearly 3,000.

Toward the end of his opening monologue, Letterman said on Sept. 17, 2001: Its very simple there is only one requirement for any of us, and that is to be courageous, because courage, as you might know, defines all other human behavior.

His appearance helped calm a skittish America. And hes doing so again with his take on the coronavirus sweeping across the U.S..

In an appearance on the Howard Stern show, the former Late Show host said the resilience of the human spirit is unlike any other mechanism on the planet.

You take a look. All around the world, there is hell like this going on every day that we either know about and dont care about or dont know about. But were not the only ones suffering hell now, the famously cynical talk show host said.

Weve been through it before: We were attacked, we lived through the AIDS epidemic, in 1957 there was a flu that killed nearly a million people. There was World War Two. There was the Holocaust. There are people killing other people on a routine basis. And yet, built into the human spirit is a resilience unlike any other mechanism on the planet and this will pass and we will survive.

Co-host Robin Quivers asked Letterman if any good would ultimately come from the virus. We have too much as Americans and we take so much for granted and we dont need it, he said. Lets dont be so goddamned selfish and so goddamned greedy. Were all the same, for craps sake, and were all carbon-based lifeforms and were all breathing the same air.

The 73-year-old comedian, who said he was hunkered down in his Y2K bunker, said hes appreciating the quality time hes getting to spend with his 16-year-old son Harry.

For me its great because since Harry started school, this is the most time Ive been able to spend with him, uninterrupted, Letterman said. I see this giant figure walking through our kitchen and I thought, Holy crap, were being robbed! But, you know, its my son. Youre just not used to seeing him on a Wednesday shuffling through the kitchen.

Letterman also took off his hat to reveal a cleanly shaved head. My son, this is what he did for my birthday. He shaved my head.

Are you a different father to your own son? Stern asked.

I try to be, Howard, Dave said. God, I just love having him around. Hes just a goofball and I love him. Hes very entertaining and Im very lucky to have my family with me.

The Daily Wire, headed by bestselling author and popular podcast host Ben Shapiro, is a leading provider of conservative news, cutting through the mainstream medias rhetoric to provide readers the most important, relevant, and engaging stories of the day. Get inside access to The Daily Wire by becoming a subscriber.

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David Letterman Offers Words Of Inspiration Amid Virus Crisis From His 'Y2K' Bunker - The Daily Wire

Could Innate Immunology Save Us From the Coronavirus? – The New York Times

As the world waits for a coronavirus vaccine, tens of thousands of people could die. But some scientists believe a vaccine might already exist.

Surprising new research in a niche area of immunology suggests that certain live vaccines that have been around for decades could, possibly, protect against the coronavirus. The theory is that these vaccines could make people less likely to experience serious symptoms or even any symptoms if they catch it.

At more than 25 universities and clinical centers around the world, researchers have begun clinical trials, primarily in health care workers, to test whether a live tuberculosis vaccine that has been in use for 99 years called the bacillus Calmette-Gurin, or B.C.G., vaccine, could reduce the risks associated with the coronavirus.

Another small but esteemed group of scientists is raising money to test the potential protective effects of a 60-year-old live polio vaccine called O.P.V.

Its counterintuitive to think that old vaccines created to fight very different pathogens could defend against the coronavirus. The idea is controversial in part because it challenges the dogma about how vaccines work.

But scientists understanding of an arm of immunology known as innate immunity has shifted in recent years. A growing body of research suggests that live vaccines, which are made from living but attenuated pathogens (as opposed to inactivated vaccines, which use dead pathogens) provide broad protection against infections in ways that no one anticipated.

We cant be certain as to what the outcome will be, but I suspect itll have an effect on the coronavirus, said Jeffrey Cirillo, a microbiologist and immunologist at Texas A&M University who is leading one of the B.C.G. trials. Question is, how big will it be?

Scientists stress that these vaccines will not be a panacea. They might make symptoms milder, but they probably wont eliminate them. And the protection, if it occurs, would most likely last only a few years.

Still, these could be a first step, said Dr. Mihai Netea, an immunologist at Radboud University in the Netherlands who is leading another one of the trials. They can be the bridge until you have the time to develop a specific vaccine.

The first evidence to suggest that live vaccines could be broadly protective trickled in nearly a century ago, but no one knew what to make of it. In 1927, soon after B.C.G. was rolled out, Carl Naslund of the Swedish Tuberculosis Society observed that children vaccinated with the live tuberculosis vaccine were three times less likely to die of any cause compared with kids who werent.

One is tempted to explain this very low mortality among vaccinated children by the idea that B.C.G. vaccine provokes a nonspecific immunity, he wrote in 1932.

Then, in clinical trials conducted in the 1940s and 50s in the United States and Britain, researchers found that B.C.G. reduced nonaccidental deaths from causes other than tuberculosis by an average of 25 percent.

Also in the 1950s, Russian researchers, including Marina Voroshilova of the Academy of Medical Science in Moscow, noticed that people who had been given the live polio vaccine, compared with people who hadnt, were far less likely to fall ill with the seasonal flu and other respiratory infections. She and other scientists undertook a clinical trial involving 320,000 Russians to more carefully test these mysterious effects.

They found that among individuals who had received the live polio vaccine, the incidence of seasonal influenza was reduced by 75 percent, said Konstantin Chumakov, Voroshilovas son, who is now an associate director for research in the U.S. Food and Drug Administrations Office of Vaccines Research and Review.

Recent studies have produced similar findings. In a 2016 review of 68 papers commissioned by the World Health Organization, a team of researchers concluded that B.C.G., along with other live vaccines, reduce overall mortality by more than would be expected through their effects on the diseases they prevent.

The W.H.O. has long been skeptical about these nonspecific effects, in part because much of the research on them has involved observational studies that dont establish cause and effect. But in a recent report incorporating newer results from some clinical trials, the organization described nonspecific vaccine effects as plausible and common.

Dr. Stanley Plotkin, a vaccinologist and emeritus professor at the University of Pennsylvania who developed the rubella vaccine but has no involvement in the current research, agreed. Vaccines can affect the immune system beyond the response to the specific pathogen, he said.

Peter Aaby, a Danish anthropologist who has spent 40 years studying the nonspecific effects of vaccines in Guinea-Bissau, in West Africa, and whose findings have been criticized as implausible, is hopeful that these trials will be a tipping point for research in the field. Its kind of a golden moment in terms of actually having this taken seriously, he said.

The possibility that vaccines could have nonspecific effects is brow-furrowing in part because scientists have long believed that vaccines work by stimulating the bodys highly specific adaptive immune system.

After receiving a vaccine against, say, polio, a persons body creates an army of polio-specific antibodies that recognize and attack the virus before it has a chance to take hold. Antibodies against polio cant fight off infections caused by other pathogens, though so, based on this framework, polio vaccines should not be able to reduce the risk associated with other viruses, such as the coronavirus.

But over the past decade, immunologists have discovered that live vaccines also stimulate the innate immune system, which is less specific but much faster. They have found that the innate immune system can be trained by live vaccines to better fight off various kinds of pathogens.

For instance, in a 2018 study, Dr. Netea and his colleagues vaccinated volunteers with either B.C.G. or a placebo and then infected them all with a harmless version of the yellow fever virus. Those who had been given B.C.G. were better able to fight off yellow fever.

Research by Dr. Netea and others shows that live vaccines train the bodys immune system by initiating changes in some stem cells. Among other things, the vaccines initiate the creation of tiny marks that help cells turn on genes involved in immune protection against multiple pathogens.

This area of innate immunity is one of the hottest areas in fundamental immunology today, said Dr. Robert Gallo, the director of the Institute of Human Virology at the University of Maryland School of Medicine and co-founder of the Global Virus Network, a coalition of virologists from more than 30 countries. In the 1980s, Dr. Gallo helped to identify H.I.V. as the cause of AIDS.

Dr. Gallo is leading the charge to test the O.P.V. live polio vaccine as a treatment for coronavirus. He and his colleagues hope to start a clinical trial on health care workers in New York City and Maryland within six weeks.

O.P.V. is routinely used in 143 countries, but no longer in the United States. An inactivated polio vaccine was reintroduced here in 1997, in part because one out of every 2.7 million people who receive the live vaccine can actually develop polio from it.

But O.P.V. does not pose this risk to Americans who have received a polio vaccine in the past. We believe this is very, very, very safe, Dr. Gallo said. Its also inexpensive at 12 cents a dose, and is administered orally, so it doesnt require needles.

Some scientists have raised concerns over whether these vaccines could increase the risk for cytokine storms deadly inflammatory reactions that have been observed in some people weeks after they have been infected with the coronavirus. Dr. Netea and others said that they were taking these concerns seriously but did not anticipate problems. For one thing, the vaccines will be given only to healthy people not to people who are already infected.

Also, B.C.G. may actually be able to ramp up the bodys initial immune response in ways that reduce the amount of virus in the body, such that an inflammatory response never occurs. It may lead to less infection to start with, said Dr. Moshe Arditi, the director of the Infectious and Immunological Diseases Research Center at Cedars-Sinai Medical Center in Los Angeles, who is leading one of the trial arms.

The science on this is still early days. Several pre-prints scientific papers that have not yet been peer-reviewed published over the past few months support the idea that B.C.G. could protect against the coronavirus. They have reported, for instance, that death rates are lower in countries that routinely vaccinate children with B.C.G. But these studies can be fraught with bias and difficult to interpret; its impossible to know whether the vaccinations, or something else, provided the protection.

Such studies are at the very bottom of the evidence hierarchy, said Dr. Christine Stabell Benn, who is raising funds for a Danish B.C.G trial. She added that the protective effects of a dose of B.C.G given to adults decades ago, when they were infants, may well differ from the protective effects the vaccine could provide when given to adults during an outbreak.

In the end, said Dr. Netea, only the clinical trials will give the answer.

Thankfully, that answer will come very soon. Initial results from the trials that are underway may be available within a few months. If these researchers are right, these old vaccines could buy us time and save thousands of lives while we work to develop a new one.

Melinda Wenner Moyer is a science and health writer and the author of a forthcoming book on raising children.

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Could Innate Immunology Save Us From the Coronavirus? - The New York Times

International Immunology Day: Keep digestive health in check, ditch sugary foods & stay hydrated for good immunity – Economic Times

By Dr Rohan SequeiraThe coronavirus outbreak has disrupted lives around the world and caused a great amount of stress and anxiety. The most-effective way to stop the spread of this deadly virus has been to practice social distancing and good hand hygiene.

Furthermore, the pandemic has made each one of us even more mindful about our health. Keeping the immune system healthy has become the top priority during these uncertain times.

COVID-19 being a new virus, there aren't many evidence-based therapies, either from the pharmaceutical or dietary supplement arena, to treat this infection.

Moreover, there are no pharmaceutical medications that can optimise immune health, but we do know that a healthy lifestyle, good digestive health, and select dietary supplements can play a role in optimising the immune response to viral infections.

NutritionThe most important way to boost immunity is to get plenty of colourful vegetables and fruits in your diet. At least over five servings of vegetables and three servings of fruits a day is important. Avoid eating sweets. High sugar intake has been shown to suppress immune function. This is especially true for diabetic patients. Try to stay well hydrated with plenty of purified water throughout the day.

StressChronic stress can suppress the immune function. With the turmoil that this pandemic has caused, many people are challenged with keeping their stress levels in check. Committing to a daily relaxation practice like meditation, yoga or breathing exercises can have a big impact on lowering stress hormones and improving immunity.

ExerciseGet moving to keep your immune system up, but avoid overexertion as it can actually suppress immune function.

Social ConnectionWith so many people isolated at home, it is important to reach out to your loved ones by phone or video calls, especially the elderly members who are under the strictest orders for isolation.

Digestive HealthThe health of our digestive system and the community of organisms in our digestive tract termed the 'microbiome' directly influences immune health as well as many other systems in our body. The digestive system is the bodys first line of defence for many infections. If your digestive system is inflamed, it can impair your immune response to infection.

There is reports that suggest that COVID-19 may be entering through our digestive system and mutates. Around 40 per cent of patients with coronavirus suffer from diarrhoea and other digestive symptoms.

To keep your digestive system healthy, do the following:

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Many of the standard immune supplements used for cold and flu may not be recommended for COVID-19, because they might cause your body to create an exaggerated inflammatory response to the virus and worsen inflammation in the lungs.

Vitamin C: Vitamin C has been studied for treating many viral infections and there are clinical trials being conducted around the world right now using IV vitamin for critically ill COVID-19 patients with some early, beneficial reports. For general immunity during viral season, 1,000-3,000 mg of Vitamin C supplement a day is recommended. Consider higher doses if you are showing signs of viral infection. Oral dosing can be limited by digestive tolerance, where high doses can cause diarrhoea.

Zinc: Zinc has shown to be a potent antiviral. Eating dark-coloured vegetables and fruits can help increase the intracellular levels of zinc thereby making your zinc supplement more effective for viral immunity. For general immunity, 15-30mg a day of the supplement is recommended.

Vitamin D3: Having a good Vitamin D level can help with general immunity. People with deficiency can take between 2,000-5,000 IU daily.

Probiotics: Probiotics can help with general immunity. I would recommend 10-25 billion CFU daily. They are usually available over-the-counter.

Melatonin: Melatonin levels decline with age. It may be linked to our ability to fight viral infections, which may be the reason why the younger population is doing better with this COVID-19 infection. Although generally thought of as a sleep product, this hormone can lower inflammation in the body and lungs. Not every one can tolerate it. If your body can tolerate it, consider 3 to 6 mg once a day to be taken 1 hour before bed.

(The author is Consultant - General Medicine at Jaslok Hospital and Research Centre, Mumbai)

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International Immunology Day: Keep digestive health in check, ditch sugary foods & stay hydrated for good immunity - Economic Times