There is debate about whether the SARS-CoV-2 virus is transmitted by aerosols in addition to droplets. Current understanding of the exact methods of transmission of this virus is still limited. However, while aerosol-based transmission cannot be completely ruled out, the balance of available evidence suggests that it is not the dominant mode of transmission. Klompas… Read More Airborne transmission
A major impact of the covid-19 pandemic has been on healthcare workers whose physical health has been threatened by the risk of getting infected with the virus, and whose mental health has been threatened by anxiety about their own health, the risk of them spreading infection to their loved ones and to patients, worry about… Read More The Parallel Pandemic
The test for virus was positive in 13% of people undergoing targeted testing, and in about 0.7% of those undergoing screening. In children under 10 years of age, 7% of those undergoing targeted testing and none among those screened were positive. Gudbjartsson et al, 2020. Spread of SARS-CoV-2 in the Icelandic population.
Li et al, 2020. Substantial undocumented infection facilitates rapid dissemination A modeling study using data from China estimated that in around 80% of all confirmed cases of covid-19 infection, the infection was acquired from a person who had an undocumented infection. Overall, around 86% of infections were undocumented. A high number of people with undocumented… Read More Undocumented Infections
Covid-19 Updates from Dr. Craig Smith, New York The Chief of Surgery at NYP / CUIMC in New York has been sending daily emails to his staff as their hospital goes through the Covid-19 crisis. These daily notes, which blend facts and realism with encouragement, have become a source of inspiration for many people, and… Read More Dr.Smith’s Updates
Podcast from Pediatrica Intensiva Podcast by Italian physicians caring for adult patients (not neonatologists) Video interview with Dr. Maurizio Cecconi, Lombardy, Italy
Face-touching and virus spread Key points of this article: People touch their face more than 20 times an hour and frequently this contact is with the mouth, eyes, and nose (MEN). This behavior is a major source of infection, especially if hand hygiene is not performed – pathogens can enter through the mucosa of the… Read More Stop touching MEN
Protecting healthcare workers – lessons from Ebola Key points of this article: the two most effective methods of protecting healthcare workers are diagnostic testing, and proper use of PPE. High rates of healthcare worker infection during Ebola were largely driven by insufficient or improper use of PPE. A lack of quick diagnostic testing for Ebola… Read More Lessons from Ebola
How doctors and healthcare systems are tackling coronavirus (BMJ 2020) A country-by-country description of how healthcare systems are dealing with the pandemic. Closed borders, closed businesses and schools, social distancing, shortage of PPE, medical facilities and health professional becoming overwhelmed in some countries, rampant misinformation, and various degrees of governmental authoritarianism and proactivity.
A New Yorker article – Why coronavirus testing is not coming anytime soon. Key points of this article: There are widespread shortages across the US in test kits, reagents, viral transport media, and even swab sticks. This is leading to selective testing of only certain categories of persons and making it hard to apply the… Read More Coronavirus testing