SARS-Cov-2, 2019-CORONA VIRUS
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A Multicenter, Multi-Outbreak, Randomized, Controlled Safety And
2018 Ebola MCM RCT Protocol Page 1 of 92 IND#: 125530 CONFIDENTIAL 4 October 2019, version 7.0 A Multicenter, Multi-Outbreak, Randomized, Controlled Safety and Efficacy Study of Investigational Therapeutics for the Treatment of Patients with Ebola Virus Disease Short Title: 2018 Ebola MCM RCT Protocol Sponsored by: Office of Clinical Research Policy and Regulatory Operations (OCRPRO) National Institute of Allergy and Infectious Diseases 5601 Fishers Lane Bethesda, MD 20892 NIH Protocol Number: 19-I-0003 Protocol IND #: 125530 ClinicalTrials.gov Number: NCT03719586 Date: 4 October 2019 Version: 7.0 CONFIDENTIAL This document is confidential. No part of it may be transmitted, reproduced, published, or used by other persons without prior written authorization from the study sponsor and principal investigator. 2018 Ebola MCM RCT Protocol Page 2 of 92 IND#: 125530 CONFIDENTIAL 4 October 2019, version 7.0 KEY ROLES DRC Principal Investigator: Jean-Jacques Muyembe-Tamfum, MD, PhD Director-General, DRC National Institute for Biomedical Research Professor of Microbiology, Kinshasa University Medical School Kinshasa Gombe Democratic Republic of the Congo Phone: +243 898949289 Email: [email protected] Other International Investigators: see Appendix E Statistical Lead: Lori Dodd, PhD Biostatistics Research Branch, DCR, NIAID 5601 Fishers Lane, Room 4C31 Rockville, MD 20852 Phone: 240-669-5247 Email: [email protected] U.S. Principal Investigator: Richard T. Davey, Jr., MD Clinical Research Section, LIR, NIAID, NIH Building 10, Room 4-1479, Bethesda, -
Pandemic Flu Planning for Schools
PandemicPandemicPandemic FluFluFlu PlanningPlanningPlanning forforfor SchoolsSchoolsSchools EdenEden Wells,Wells, MD,MD, MPHMPH Michigan Department of Community Health Influenza Strains •Type A – Infects animals and humans –Moderate to severe illness – Potential epidemics/pandemics • Type B – Infects humans only Source: CDC – Milder epidemics – Larger proportion of children affected •Type C –No epidemics –Rare in humans A’s and B’s, H’s and N’s • Classified by its RNA core – Type A or Type B influenza • Further classified by surface protein – Neuraminidase (N) – 9 subtypes known – Hemagluttin (H) – 16 subtypes known • Only Influenza A has pandemic potential Influenza Virus Structure Type of nuclear material Neuraminidase Hemagglutinin A/Moscow/21/99 (H3N2) Virus Geographic Strain Year of Virus type origin number isolation subtype Influenza Overview • Orthomyxoviridae, enveloped RNA virus •Strains –Type A –Type B –Type C Source: CDC • Further classified by surface protein –Neuraminidase (N) – 9 subtypes known – Hemagglutinin (H) – 16 subtypes known Influenza A: Antigenic Drift and Shift • Hemagglutinin (HA) and neuraminadase (NA) structures can change •Drift: minor point mutations – associated with seasonal changes/epidemics – subtype remains the same •Shift:major genetic changes (reassortments) – making a new subtype – can cause pandemic Seasonal Influenza •October to April • People should get flu vaccine • Children and elderly most prone • ~36,000 deaths annually in U.S. Seasonal Effects Seasonal Influenza Surveillance Differentiating -
1614154442698 05 Preparedn
Brief Communication Preparedness of Siddha system of medicine in practitioner perspective during a pandemic outbreak with special reference to COVID-19 S. Rajalakshmi1*, K. Samraj2, P. Sathiyarajeswaran3, K. Kanagavalli4 1*, 2Research Associate, Siddha Clinical Research Unit (SCRU), Tirupati, Andhra Pradesh, India, 3Director, Siddha Central Research Institute (SCRI), Chennai, Tamilnadu, India, 4Director General, Central Council for Research in Siddha (CCRS), Chennai, Tamilnadu, India ABSTRACT COVID-19 (Corona Virus Disease-2019) is an infectious respiratory disease caused by the most recently discovered coronavirus, SARS-CoV-2 (Severe Acute Respiratory Syndrome Corona virus-2). This new viral disease was unknown before the outbreak began in Wuhan, China, in December 2019. As of November 16th 2020, it affects about 54.3 million populations, death troll increased to 1.32 million cases in worldwide. Whereas in India 8.85 cases are infected with COVID-19, of which 1, 30, 112 cases were died. Till now there has been no specific anti-virus drug or vaccines are available for the treatment of this disease, the supportive care and non-specific treatment to the symptoms of the patient are the only options in Biomedicine, the entire world turns its attention towards alternative medicine or Traditional medicine. Siddha medicine is one of the primordial systems of medicine practiced in the southern part of India, it dealt a lot about pandemic, and its management. This review provides an insight into Pandemic in Siddha system and its management in both ancient history and modern history, National and state level Government policies related to current pandemic, World Health Organization (WHO) guidelines on usage of unproven drug during infectious disease outbreak, Preparedness of Siddha system during a pandemic outbreak Challenges and Recommendations. -
People, Plagues, and Prices in the Roman World: the Evidence from Egypt
People, Plagues, and Prices in the Roman World: The Evidence from Egypt KYLE HARPER The papyri of Roman Egypt provide some of the most important quantifiable data from a first-millennium economy. This paper builds a new dataset of wheat prices, land prices, rents, and wages over the entire period of Roman control in Egypt. Movements in both nominal and real prices over these centuries suggest periods of intensive and extensive economic growth as well as contraction. Across a timeframe that covers several severe mortality shocks, demographic changes appear to be an important, but by no means the only, force behind changes in factor prices. his article creates and analyzes a time series of wheat and factor Tprices for Egypt from AD 1 to the Muslim conquest, ~AD 641. From the time the territory was annexed by Octavian in 30 BCE until it was permanently taken around AD 641, Egypt was an important part of the Roman Empire. Famously, it supplied grain for the populations of Rome and later Constantinople, but more broadly it was integrated into the culture, society, and economy of the Roman Mediterranean. While every province of the sprawling Roman Empire was distinctive, recent work stresses that Egypt was not peculiar (Bagnall 1993; Rathbone 2007). Neither its Pharaonic legacy, nor the geography of the Nile valley, make it unrepresentative of the Roman world. In one crucial sense, however, Roman Egypt is truly unique: the rich- ness of its surviving documentation. Because of the valley’s arid climate, tens of thousands of papyri, covering the entire spectrum of public and private documents, survive from the Roman period (Bagnall 2009). -
The Plague of Athens Shedding Light on Modern Struggles with COVID-19
The Journal of Classics Teaching (2021), 22, 47–49 doi:10.1017/S2058631021000064 Forum The Plague of Athens Shedding Light on Modern Struggles with COVID-19 Jilene Malbeuf, Peter Johnson, John Johnson and Austin Mardon University of Alberta and Antarctic Institute of Canada Key words: COVID-19, Plague of Athens, disease, moral decay, lockdown fatigue, pyschological impact, Peloponnesian War, Thucydides In 2020, we are facing unprecedented times, and as some form of commanding the Athenian forces and responding to the threat. lockdown continues with no signs of ending feelings of hopeless- One particularly important response was to have all nearby ness are completely natural and understandable. Unprecedented inhabitants of Attica evacuated from their homes and relocated times does not mean that these current issues and struggles have within the safety of the walls surrounding Athens and its connected never been faced by humanity before, however. The Spanish Flu port town Piraeus. While this may appear to be sound advice for which took place after World War One and the Black Death that protecting the people of Attica from invaders, the resulting massive was rampant in Asia and Europe in the 14th century quickly come overpopulation of the city was a major cause of the plague that to mind as examples of past pandemics, but these are only two ravaged those people soon after. Thucydides is another important examples of devastating diseases throughout human history. The Athenian general, as his History of the Peloponnesian War is the Plague of Athens that was raging during the beginning of the Pelo- detailed primary source material that provides historians with a ponnesian War in 430 BCE is another such example. -
Bibliographic Review on the Historical Memory of Previous
REVISIONES Bibliographic review on the historical memory of previous pandemics in nursing reviews on COVID-19: a secularly documented reality Revisión bibliográfica sobre la memoria histórica de pandemias anteriores en revisiones de enfermería sobre COVID-19: una realidad secularmente documentada Joaquín León Molina1 M. Fuensanta Hellín Gil1 Eva Abad Corpa2 1 Nurse Hospital Clínico Universitario Virgen de la Arrixaca de Murcia; Advanced Nursing Care Group of the Murcian Institute of Biosanitary Research Arrixaca. Murcia. Spain. 2 Associate nurse, Hospital General Universitario Reina Sofía de Murcia; Contracted Professor PhD linked University of Murcia. Advanced Nursing Care Group of the Murcian Institute of Biosanitary Research Arrixaca. Murcia. Spain. https://doi.org/10.6018/eglobal.456511 Received: 17/11/2020 Accepted: 10/01/2021 ABSTRACT: Introduction: Reviews for COVID-19 should reflect historical antecedents from previous pandemics. Objective: We plan to map the content of recent reviews in the nursing area on COVID-19 to see if it refers to health crises due to epidemics and infectious diseases. Methodology: Descriptive narrative review. The Science Web, PubMed and Lilacs were consulted to identify the reviews; The content of the documents was consulted to detect the presence of descriptors and terms related to pandemics prior to the 21st century of humanity, taking into account the inclusion criteria and objectives of the study. Results: Relevant reviews were found only in 11 documents of the 192 identified. Conclusions: There may be reluctance to use documentation published more than a century ago; However, it would be advisable not to lose the historical memory of pandemic crises that humanity has suffered for millennia Key words: Pandemics; Epidemics; History; Ancient History. -
That Historical Plague Was Pure Epidemics of Primary Pneumonic Plague
CHAPTER THIRTEEN GUNNAR KARLSSON’S ALTERNATIVE THEORY: THAT HISTORICAL PLAGUE WAS PURE EPIDEMICS OF PRIMARY PNEUMONIC PLAGUE Introduction G. Karlsson presented his alternative theory to the international com- munity of scholars in a paper published in Journal of Medieval History in 1996 where he argues that two late medieval epidemics in Iceland and more generally that plague in medieval Europe were pure epidem- ics of primary pneumonic plague.1 For his epidemiological interpreta- tion, Karlsson bases his alternative theory directly on Morris’s assertion of the occurrence of pure epidemics of primary pneumonic plague, a modality of plague disease spread by interhuman cross-infection by droplets. Th e concept of a pure epidemic of primary pneumonic plague implies that the origin of the epidemic is not a case of bubonic plague which develops secondary pneumonia but a case in which the fi rst vic- tim contracted pneumonic plague directly by inhalation of infected droplets into the lungs. Karlsson’s paper follows quite closely and draws heavily on a paper he published together with S. Kjartansson in an Icelandic journal in 1994 on two supposed plague epidemics in Iceland in 1402–4 and 1494–5 respectively.2 He is clear about its objective: “Th e present article [as the fi rst in Icelandic] can be seen as a defence of the late Jón Steff ensen against Benedictow’s critique of his conclusions,” namely, that these epidemics, and also the Black Death of 1348–9 in Norway were primary pneumonic plague.3 Th us, the central feature of Karlsson’s (and Karlsson’s and Kjartansson’s) paper on the two supposed plague epidemics in fi ft eenth-century Iceland is a comprehensive and sharp criticism of my doctoral thesis (1993, repr. -
A Comparative Evaluation Between the Impact of Previous Outbreaks and COVID-19 on the Tourism Industry Has Been Made Based on Statistics and Previous Research Studies
The current issue and full text archive of this journal is available on Emerald Insight at: https://www.emerald.com/insight/2516-8142.htm Impact of A comparative evaluation between COVID-19 on the impact of previous outbreaks the tourism and COVID-19 on the industry tourism industry Gulcin Ozbay, Mehmet Sariisik and Veli Ceylan Received 11 November 2020 Revised 9 January 2021 Gastronomy and Culinary Arts, Sakarya University of Applied Sciences, Accepted 10 January 2021 Sakarya, Turkey, and Muzaffer Çakmak Gastronomy and Culinary Arts, Istanbul_ Gelis¸im University, Istanbul, Turkey Abstract Purpose – The main purpose of this study is to make a comparative evaluation of the impacts of previous outbreaks and coronavirus disease 2019 (COVID-19) on the tourism industry. COVID-19 appears to have disrupted all memorizations about epidemics ever seen. Nobody has anticipated that the outbreak in late December will spread rapidly across the world, be fatal and turn the world economy upside down. Severe acute respiratory syndrome, Ebola, Middle East respiratory syndrome and others caused limited losses in a limited geography, thus similar behaviors were expected at first in COVID-19. But it was not so. Today, people continue to lose their lives and experience economic difficulties. One of the most important distressed industries is undoubtedly tourism. Design/methodology/approach – This study is a literature review. In this review, a comparative evaluation between the impact of previous outbreaks and COVID-19 on the tourism industry has been made based on statistics and previous research studies. Findings – The information and figures obtained show that COVID-19 and previous outbreaks have such significant differences that cannot be compared. -
The Epidemic of Justinian (Ad 542): a Prelude to the Middle Ages 1. Introduction
Acta Theologica Supplementum 7 2005 THE EPIDEMIC OF JUSTINIAN (AD 542): A PRELUDE TO THE MIDDLE AGES ABSTRACT The epidemic that struck Constantinople and the surrounding countries during the reign of Justinian in the middle of the 6th century, was the first documented pan- demic in history. It marked the beginning of plague as a nosological problem that would afflict the world until the 21st century. The symptoms of the disease, as de- scribed by various contemporary writers (especially the historian and confidant of the emperor, Procopius, and the two church historians, John of Ephesus and Euagrius), are discussed. There is little doubt that the disease was the plague. The most com- mon form in which it manifested was bubonic plague, which is spread by infected fleas and is not directly contagious from patient to patient. There is also evidence of septicaemic plague and possibly even pneumonic plague. The disastrous effects of the plague were described vividly by contemporary writers. A major problem was to find ways to dispose of infected corpses. It is estimated that about one third of the popu- lation died — a figure comparable to the death rate during the Black Death in the Middle Ages. Famine and inflation, the depopulation of the countryside, and a cri- tical manpower shortage in the army were further effects which all contributed to bringing to a premature end Justinian’s attempt to restore the grandeur of the Roman empire, and precipitating the advent of the Middle Ages. 1. INTRODUCTION The epidemic which devastated Constantinople in the 6th century during the reign of Justinian formed part of the first genuine pandemic in history to be documented. -
Pandemics: a Very Short Introduction VERY SHORT INTRODUCTIONS Are for Anyone Wanting a Stimulating and Accessible Way Into a New Subject
Pandemics: A Very Short Introduction VERY SHORT INTRODUCTIONS are for anyone wanting a stimulating and accessible way into a new subject. They are written by experts, and have been translated into more than 40 different languages. The series began in 1995, and now covers a wide variety of topics in every discipline. The VSI library now contains over 450 volumes—a Very Short Introduction to everything from Indian philosophy to psychology and American history and relativity—and continues to grow in every subject area. Very Short Introductions available now: ACCOUNTING Christopher Nobes ANAESTHESIA Aidan O’Donnell ADOLESCENCE Peter K. Smith ANARCHISM Colin Ward ADVERTISING Winston Fletcher ANCIENT ASSYRIA Karen Radner AFRICAN AMERICAN RELIGION ANCIENT EGYPT Ian Shaw Eddie S. Glaude Jr ANCIENT EGYPTIAN ART AND AFRICAN HISTORY John Parker and ARCHITECTURE Christina Riggs Richard Rathbone ANCIENT GREECE Paul Cartledge AFRICAN RELIGIONS Jacob K. Olupona THE ANCIENT NEAR EAST AGNOSTICISM Robin Le Poidevin Amanda H. Podany AGRICULTURE Paul Brassley and ANCIENT PHILOSOPHY Julia Annas Richard Soffe ANCIENT WARFARE ALEXANDER THE GREAT Harry Sidebottom Hugh Bowden ANGELS David Albert Jones ALGEBRA Peter M. Higgins ANGLICANISM Mark Chapman AMERICAN HISTORY Paul S. Boyer THE ANGLO-SAXON AGE AMERICAN IMMIGRATION John Blair David A. Gerber THE ANIMAL KINGDOM AMERICAN LEGAL HISTORY Peter Holland G. Edward White ANIMAL RIGHTS David DeGrazia AMERICAN POLITICAL HISTORY THE ANTARCTIC Klaus Dodds Donald Critchlow ANTISEMITISM Steven Beller AMERICAN POLITICAL PARTIES ANXIETY Daniel Freeman and AND ELECTIONS L. Sandy Maisel Jason Freeman AMERICAN POLITICS THE APOCRYPHAL GOSPELS Richard M. Valelly Paul Foster THE AMERICAN PRESIDENCY ARCHAEOLOGY Paul Bahn Charles O. -
Accelerating R&D for Emerging Infectious Diseases: Lessons
Accelerating R&D for Emerging Infectious Diseases: Lessons Learnt From Ebola Chao Li China CDC Jingyi Chen Harvard University Jiyan Ma Peking University Health Science Centre Yangmu Huang ( [email protected] ) Peking University Health Science Centre https://orcid.org/0000-0002-3660-1276 Research Article Keywords: Ebola Virus Disease, Emerging Infectious Disease, Research and Development Posted Date: July 2nd, 2020 DOI: https://doi.org/10.21203/rs.3.rs-38612/v1 License: This work is licensed under a Creative Commons Attribution 4.0 International License. Read Full License Page 1/12 Abstract Objective: The R&D explosion for Ebola virus disease (EVD) during the 2014-2016 outbreak led to the successful development of high-quality vaccines performed by China and the U.S. This study aims to compare the R&D activities of Ebola-related medical products in two countries, as a way to present the inuential factors of R&D for emerging infectious disease (EID) and to provide suggestions for timely and ecient R&D response to the COVID-19 pandemic. Methods: In this comparative study, R&D activities were analyzed in terms of research funding, scientic research outputs, R&D timeline, and government incentive and coordinated mechanisms. Quantitative analysis was performed using data retrieved from national websites, clinical trial registries and databases.Qualitative semi-structured interviews were conducted to explore perspectives of fteen key informants from EID eld, especially of those involved in Ebola product development. Findings: The funding gap between China and the U.S. was signicant before 2014 and narrowed after the Ebola outbreak. Both research teams started basic studies prior to the Ebola outbreak; however, the U.S. -
M the Battle Against Neglected Tropical Diseases Forging the Chain “Results Innovative Build Trust, and with Intensified Trust, Commitment Management Escalates.”
SCENES FROM THE BATTLE AGAINST NEGLECTED TROPICAL DISEASES FORGING THE CHAIN “RESULTS INNOVATIVE BUILD TRUST, AND WITH INTENSIFIED TRUST, COMMITMENT MANAGEMENT ESCALATES.” Dr Margaret Chan, WHO Director-General “RESULTS INNOVATIVE BUILD TRUST, AND WITH INTENSIFIED TRUST, COMMITMENT MANAGEMENT ESCALATES.” Dr Margaret Chan, WHO Director-General WHO Library Cataloguing-in-Publication Data Forging the chain: scenes from the battle against neglected tropical diseases, with the support of innovative partners. 1. Tropical Medicine 2. Neglected Diseases I. World Health Organization ISBN 978 92 4 151000 4 (NLM classification: WC 680) © World Health Organization 2016 Acknowledgements All rights reserved. Publications of the World Health Organization are available on the WHO website Forging the chain: scenes from the battle against neglected tropical diseases (with the support of (www.who.int) or can be purchased from WHO Press, World Health Organization, 20 Avenue Appia, innovative partners) was prepared by the Innovative and Intensified Disease Management (IDM) unit 1211 Geneva 27, Switzerland (tel.: +41 22 791 3264; fax: +41 22 791 4857; e-mail: [email protected]). of the WHO Department of Control of Neglected Tropical Diseases under the overall coordination and supervision of Dr Jean Jannin. Requests for permission to reproduce or translate WHO publications – whether for sale or for non-commercial distribution – should be addressed to WHO Press through the WHO website The writing team was coordinated by Deboh Akin-Akintunde and Lise Grout, in collaboration with (www.who.int/about/licensing/copyright_form/en/index.html). Grégoire Rigoulot Michel, Pedro Albajar Viñas, Kingsley Asiedu, Daniel Argaw Dagne, Jose Ramon Franco Minguell, Stéphanie Jourdan, Raquel Mercado, Gerardo Priotto, Prabha Rajamani, Jose The designations employed and the presentation of the material in this publication do not imply the Antonio Ruiz Postigo, Danilo Salvador and Patricia Scarrott.