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Friday, December 16, 2022

New Covid Booster Shots Cut Risk of Hospitalization by Half, CDC Reports

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The research was conducted in part when older variants of the coronavirus were spreading. Other factors may have influenced the conclusions.


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China’s COVID case “explosion” not due to relaxed rules, WHO says, as 1st deaths reported since easing

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China is facing its biggest public health challenge since the start of the coronavirus pandemic more than three years ago. Nine days after the government abruptly abandoned its draconian “zero-COVID” policy, halting mandatory mass-testing and forcible quarantines, COVID-19 is once again spreading like wildfire across the vast country.

On Friday, local media outlets within China‘s tightly controlled press reported some of the first fatalities blamed on COVID since the restrictions were lifted. Two former Chinese state media journalists died in Beijing, on December 8 and 15, according to the outlets. Both were men in their 70s. Official government agencies have not yet confirmed the deaths were due to COVID — no coronavirus fatalities have been officially reported since the controversial zero-COVID policy was lifted. 

But the World Health Organization says the strict policy of the last three years had stopped working anyway.

“The explosion of cases in China is not due to the lifting of COVID restrictions,” said the WHO’s head of emergency programs, Dr. Mike Ryan. “The explosion of cases in China had started long before any easing of the zero-COVID policy.”

If so, no one had told the Chinese public. 

CHINA-HEALTH-VIRUS
People line up outside a fever clinic in Beijing, China, to seek testing and treatment amid the ongoing COVID-19 pandemic, December 14, 2022.

YUXUAN ZHANG/AFPTV/AFP/Getty


The sudden U-turn by the ruling Communist Party just over a week ago hurled Beijing into chaos, with people unsure what the new rules were, or why they had been changed so dramatically. At “fever clinics” across the capital, people feeling under the weather have waited and worried for hours to be tested for the virus and get treatment for whatever is ailing them.

For three years, Chinese officials had drilled the message into people’s minds that COVID-19 was a killer. As of nine days ago, the official message suddenly changed, telling people that, unless they’re really sick, they should just stay at home and get better.

Virus Outbreak China
Medical workers vaccinate a man against COVID-19 at a vaccination center in Beijing, December 16, 2022. 

Ng Han Guan/AP


The about-face in policy and rhetoric has been reinforced by upbeat state messaging, urging people to just get back to normal.

But Beijingers still aren’t buying it. The still-empty streets and businesses of the capital show they’re opting for extreme caution.

“I have to be more careful now,” said Liu, a 26-year-old Beijinger who works in e-commerce. “Because no one else is going to protect me.”

CHINA-BEIJING-SUN CHUNLAN-INSPECTION (CN)
Chinese Vice Premier Sun Chunlan inspects the Capital Institute of Pediatrics in Beijing, China, December 13, 2022, amid the ongoing COVID-19 pandemic. 

Yan Yan/Xinhua/Getty


On a visit to a Beijing hospital, China’s COVID-19 czar Sun Chunlan said the priority now was treatment, not case prevention and elimination. As part of the sweeping changes, the government admitted that it had stopped counting cases and promised a new focus on vaccinating the vulnerable. Many elderly Chinese remain un- or undervaccinated.

Rare protests that erupted across China at the end of November, demanding an end to the rolling lockdowns and other restrictions of the zero-COVID policy, may have nudged the state away from the control measures. But grim economic data — and quite possibly knowledge of a looming infection tsunami — may have been clinchers in Beijing’s decision to pull the 180-degree turn.


Global supply chain may benefit as China relaxes its “zero COVID” policies

03:46

And this surge is just getting started.

A study partly funded by the Chinese Center for Disease Control and Prevention has warned the country urgently needs to roll out vaccinations and anti-viral drugs if it’s going to avoid 1 million COVID deaths over the coming weeks and months.


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Thursday, December 15, 2022

How a Sprawling Hospital Chain Ignited Its Own Staffing Crisis

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Ascension, one of the country’s largest health systems, spent years cutting jobs, leaving it flat-footed when the pandemic hit.


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Pediatrician answers viewer questions on challenges new parents face

Nurses in UK Strike for First Time, Seeking Higher Pay

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The walkout is just one of a series of industrial actions across Britain this month as ballooning inflation, rising interest rates and a recession put pressure on workers.


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Free COVID tests online: White House reopens website to order free at-home tests as COVID cases rise

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American households will now be able to request four more free at-home COVID tests from the federal government. The White House announced it was reopening orders as part of a new “winter preparedness plan,” as cases and hospitalizations are rising around the country.

One request from each household will be accepted for a “limited round of ordering this winter” through COVIDtests.gov. The first tests are set to be shipped out by the U.S. Postal Service during the week of December 19. 

“Procurements are ongoing and so I can’t give you exact numbers on how this is going to land, but we feel confident that we are going to have enough tests to get through this round, four per household, in the coming weeks,” a senior administration official told reporters on Wednesday.

The move revives a program that the Biden administration had paused in early September, citing a long-stalled request in Congress for funding the federal pandemic response.

At the time, officials said the decision to pause the program was in order to “ensure we have a limited supply of tests available in the fall” for a potential surge. 

A White House spokesperson said Wednesday that this winter’s shipments would be supplied by a mix of newly purchased tests and the remaining supply contracted for the original rounds of requests. The administration official told reporters that the tests were paid for by American Rescue Plan funds, as part of “hard choices” reshuffled from other priorities.

“We’re able to reopen COVIDtests.gov for a limited round because, in the absence of congressional funding, we’ve acted within our limited resources to buy more at-home tests for our national stockpile,” the official said.

More free at-home tests will also be deployed to federally subsidized housing for seniors and food banks.

The official stressed that the new round of orders comes on top of other free testing initiatives rolled out earlier in the pandemic that remain available to Americans, like the federal requirement that private health insurers cover the cost of eight tests per month. 

“We have the tools”

This move comes as COVID-19 hospitalizations have climbed in several regions, especially among seniors, though they remain a fraction of the levels seen at the height of the Omicron variant’s surge last winter. Cases have also accelerated in nursing homes to levels not seen since early February.

A growing number of communities, including New York City, have issued renewed pleas for residents to wear masks indoors, as COVID-19 metrics have climbed into the CDC’s “high” tier. 

On the vaccination front, the pace of new shots administered has largely stalled nationwide. Just 15.5% of adults have gotten their updated COVID booster shot. 

In nursing homes, figures released by the Centers for Disease Control and Prevention on Tuesday showed just 45% of residents have gotten the latest booster through the end of November. That was only 3 percentage points better than a month prior.

Nursing home staff will now be able to vaccinate residents, officials said, and the White House is releasing a “winter playbook” to raise awareness of steps facilities can take to curb the virus this season for these at-risk Americans.

“We have the tools we need to prevent deaths and severe illness, and we want all nursing homes to take action now,” the official said. 

Other moves announced this week as part of the White House’s plan also echo those from earlier in the pandemic, like “pre-positioning critical supplies” from the national stockpile and readying medical surge teams. 

However, the Biden administration stopped short of fully reviving all of their initiatives from last winter, like the distribution of millions of free N-95 masks to pharmacies and grocery stores.

Many are still available unused in stores, the White House says, and the Biden administration plans to provide guidance to retailers “so that any spare inventory can be utilized through distribution to even more locations.”

“We have a whole series of tools we use for mitigation, preventing serious illness, preventing infections. Masks should be one of them. They shouldn’t be exalted. They should not be diminished. They are one of the tools we have. People should use them when they want to,” Dr. Ashish Jha, the White House’s COVID-19 coordinator, said Tuesday at an event hosted by “Health Affairs.”

Jha said that masking for COVID-19 had gotten “unnecessarily complex” and that he hoped that “turning down the temperature” on the topic might reduce fights over masking.

“We don’t ask and demand people use all the tools, but the more you use, the safer you will be,” Jha added.


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Wednesday, December 14, 2022

What to know about an aortic aneurysm, Grant Wahl’s cause of death

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Grant Wahl‘s wife, Dr. Celine Gounder, revealed to CBS News on Wednesday that the renowned soccer journalist died at the World Cup in Qatar on Friday due to an aortic aneurysm that ruptured.

“It’s just one of these things that had been likely brewing for years, and for whatever reason it happened at this point in time,” Gounder told “CBS Mornings” co-host Gayle King in her first interview since her husband’s death at the age of 49.

An aortic aneurysm is a balloon-like bulge in the aorta, which is the body’s largest artery — “sort of the trunk of all the blood vessels,” said Gounder, who is an infectious disease specialist and CBS News medical contributor. An aortic aneurysm can “dissect” or — as in Wahl’s case — rupture.

A rupture is when an aneurysm completely bursts, causing life-threatening internal bleeding, the Centers for Disease Control and Prevention explains. A dissection is when blood that is being pumped splits the layers of the artery wall, resulting in blood leakage.

“Though aortic aneurysms do not directly cause death, complications arising from an aneurysm — such as dissection or rupture — cause approximately 15,000 deaths annually” in the U.S., says the Aortic Center at Columbia University. It notes they are “more common in men over the age of 60.”  

Aneurysms can develop anywhere along the aorta, but most occur in the area of the belly, where they often grow slowly and are hard to detect, the Mayo Clinic says. 

“Some aneurysms never rupture,” the Mayo Clinic says. “Many start small and stay small. Others grow larger over time, sometimes quickly.”

Lifestyle and family history can play a role in risk for an aortic aneurysm, which are seen most often in men, people over 65, smokers, and people with high blood pressure, as well as those who have a family history of them, according to the Cleveland Clinic. 

“Smoking is the most important behavior related to aortic aneurysm,” the CDC says.

People are often unaware they have one, since there are typically no symptoms until it ruptures. Once it does, someone may experience a rapid pulse, lightheadedness or dizziness, and severe and sudden back or abdominal pain, according to the Cleveland Clinic. 

When symptoms are present before a rupture, they can include shortness of breath, feeling full after even small meals, pain at the aneurysm site, swelling of the neck, face or arms, as well as pain while swallowing.

According to the CDC, the U.S. Preventive Services Task Force recommends an ultrasound screening for abdominal aortic aneurysms in men who are between the ages of 65 and 75 and have smoked.  

The Mayo Clinic advises people to exercise, eat healthy, not smoke, and keep cholesterol and blood pressure under control to help prevent an aortic aneurysm or to keep an existing one from worsening.

“Finding an aortic aneurysm before it ruptures offers your best chance of recovery,” the Cleveland Clinic says. 


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