Your Coronavirus Update for August 12, 2020

Your coronavirus update for August 12; stay up to date with Elite.

More than 20 million cases of coronavirus (COVID-19) have been diagnosed worldwide as of Monday evening, including at least 733,000 deaths. Healthcare officials in the United States have reported nearly 5.2 million positive COVID-19 cases and at least 165,000 deaths. Source: Johns Hopkins University & Medicine

Report On Pediatrics Shows Increases in COVID-19 Cases

A 40% increase in the number of American kids who have tested positive for the coronavirus during the last two weeks in July has been reported by the American Academy of Pediatrics (AAP). According to data collected from 49 states, Washington, DC, Puerto Rico, and Guam, there were 338,982 cases of the coronavirus reported in children as of July 30. The report noted that it didn’t include complete data from Texas and parts of New York.1

Children reportedly comprised 8.8% of all confirmed cases as of July 30, and 25 states reported that children made up 10% or more of their cases. The AAP also recently sent a letter along with the Children’s Hospital Association urging Health and Human Services to prioritize pediatric providers, including pediatric practices and children’s hospitals, in coronavirus emergency funding.2

Study Finds That Gaiters Don’t Offer Mask-Like Protection

As the use of masks becomes more encouraged (and debated) in the United States, a new study3 claims that not all face coverings provide the same level of protection against COVID-19. 

According to the report, conducted by Duke University School of Medicine, bandannas and neck gaiters are the least effective means of face coverings. Using a laser beam and cellphone camera to track the number of droplets that emerged from an individual while he or she wore coverings, 14 coverings were tested.  

The most secure mask, an N95, led to a droplet transmission of below 0.1%. But handmade cotton and polypropylene masks, some of which were made from apron material, also proved effective, with droplet transmission ranging from 0.1%-0.4%. The neck fleece was said to have 110% droplet transmission (10% higher than not wearing a mask). These items can reportedly lead to more virus spread when compared to not wearing a face covering because of how droplets break apart when they are spewed from the gaiter. For reference, researchers recorded control trials where the speaker wore no protective mask or covering. Each test was performed with the same protocol. The camera was used to record a video of approximately 40 seconds in length to record droplets emitted while speaking. The first 10 seconds of the video served as a baseline. A computer algorithm was used to count the number of particles within each video.3

Dermatologic Symptoms May Occur With COVID

The increasing spread of the coronavirus has brought with it a set of skin-related symptoms, according to a recent report by JAMA.4 Among the symptoms are livedoid and necrotic eruptions, which were noted in patients with more severe disease. Researchers suggest that skin manifestations could be associated with occlusive vascular disease.

The findings suggest that clinicians who are caring for patients diagnosed with COVID-19 should be aware of livedoid and purpuric rashes as potential manifestations of an underlying hypercoagulable state.4 Skin biopsy should be considered when these skin findings are identified, because the result may guide anticoagulation management, according to the report. Even in the absence of other thrombotic events, consultation with hematology staff, along with the escalation of anticoagulation, should be considered, researchers noted.4

CDC Claims COVID Risk Low With Census Participation

In conjunction with the U.S. Census Bureau, the Centers for Disease Control and Prevention (CDC) has released a statement that claims participation in the 2020 Census interviews should present only low risk of virus transmission. Census takers are trained to follow specific CDC recommendations to mitigate risk of transmission, according to CDC officials, including wearing of face masks, maintaining social distancing of at least six feet, practicing hand hygiene, not entering homes, and conducting interviews outside as much as possible or practical.

Household members encountered by census staff are encouraged to maintain social distances during interviews and practice the CDC’s other recommendations as much as possible, officials said in the recent public statement.5 CDC officials have also said they will support the work of the Census Bureau and its staff in providing consultation and technical assistance to ensure that relevant data and findings are communicated in a timely fashion to keep field staff and household members safe and healthy.

Thank you for joining us for your Coronavirus Update for August 12. If you missed last week’s article, please consider reading it here.

References

  1. Children and COVID-19: state data report. AAP. 2020. Accessed online: https://bit.ly/2PDXUpO
  2. American academy of pediatrics and children’s hospital association seek federal emergency funding to deal with COVID-19. 2020. AAP. Accessed online: https://bit.ly/2DDt12g
  3. Fischer EP, Fischer MC, Grass D, et al. Low-cost measurement of facemask efficacy for filtering expelled droplets during speech. Science Advances. 2020. DOI: 10.1126/sciadv.abd3083
  4. Droesch C, Hoang M, DeSancho M, et al. Livedoid and purpuric skin eruptions associated with coagulopathy in severe COVID-19. JAMA Dermatol. 2020. DOI: 10.1001/jamadermatol.2020.2800
  5. Joint statement from the census bureau and centers for disease control on conducting 2020 census non-response follow-up interviews. CDC. 2020. Accessed online: www.cdc.gov/media/releases/2020/s0810-statement-census-bureau-cdc.html

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