Origin of SARS-Cov-2: Two Schools of Thought
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Progress Report on a Pandemic
The international journal of science / 20 August 2020 other diseases were more likely to be admitted to intensive care, whereas children seemed to have milder disease4. Progress report But it quickly became apparent that SARS-CoV-2 is not just a respiratory virus. It also affects blood vessels, causing on a pandemic thrombosis5 and strokes6. Autopsies have found the virus in organs other than the lungs, including the kidneys, liver, heart and brain, In the first of a series of editorials, we as well as in the blood7. We now know that symptoms of look back at some of the key findings COVID-19 can include gastrointestinal, neurological, renal, from scientists’ race to demystify the new cardiovascular and other complications8. coronavirus. Something in the air n the space of eight months, the new coronavirus It soon became clear that SARS-CoV-2 could hop from SARS-CoV-2 and the disease it causes, COVID-19, have one person to another. This could happen through direct dominated the work of thousands of researchers in an contact or indirect transmission, such as through drop- unprecedented global effort. lets expelled during a cough, or even a simple exhalation. In a series of editorials, we look back at key scientific What wasn’t clear — and is still a matter of debate — is how Ifindings that have revealed important characteristics of big those droplets need to be, and how far they can travel. the virus and COVID-19, including emerging approaches to It’s an important question. Larger droplets will quickly treatment and prevention. We begin, this week, with how fall to the ground, but smaller, lighter ones — known as aer- the virus was identified; how it transmits between people; osols — can stay suspended in the air. -
Ideological Responses to the Coronavirus Pandemic: China and Its Other
IDEOLOGICAL RESPONSES TO THE CORONAVIRUS PANDEMIC: CHINA AND ITS OTHER Samuli Seppänen† Abstract This Article discusses the ongoing coronavirus pandemic as an instance of ideological contestation between the People’s Republic of China and its ideological Other—the “Western” liberal democracies. Much of this ideological contestation highlights the idiosyncratic aspects of opposing ideological narratives. From the illiberal perspective, promoters of liberal narratives on governance and public health can be said to focus too much on procedural legitimacy and, consequently, appear to be ill-placed to acknowledge and respond to public health emergencies. Conversely, from the liberal perspective, advocates of illiberal narratives appear to be responding to a never-ending emergency and, consequently, seem unable to take full advantage of procedural legitimacy and rule-based governance in order to prevent public health emergencies from occurring. The coronavirus pandemic also exposes the aspirational qualities of both ideological narratives. On one hand, it appears aspirational to assume that the coronavirus response in liberal democratic countries can be based on the respect for individual freedom, human dignity, and other liberal first principles. On the other hand, the image of a strong, stable government projected by the CCP also seems to be based on aspirational notions about the coherence and resilience of the P.R.C.’s governance project. In the middle of the pandemic, it appears that the coronavirus follows no ideological script. † Associate Professor, The Chinese University of Hong Kong, Faculty of Law. Published by Penn Law: Legal Scholarship Repository, 2020 2020] U. PA. ASIAN L. REV. 25 Abstract ................................................................................... 24 I. INTRODUCTION ......................................................................... 25 II. -
Emergence of Highly Infectious SARS-Cov-2 Variants in Bangladesh
Hasan et al. Trop Med Health (2021) 49:69 https://doi.org/10.1186/s41182-021-00360-w Tropical Medicine and Health LETTER TO THE EDITOR Open Access Emergence of highly infectious SARS-CoV-2 variants in Bangladesh: the need for systematic genetic surveillance as a public health strategy Mohammad Mehedi Hasan1,2, Ian Christopher N. Rocha3, Kimberly G. Ramos3, Trisha Denise D. Cedeño3, Ana Carla dos Santos Costa4, Christos Tsagkaris5, Md. Masum Billah6, Shoaib Ahmad7 and Mohammad Yasir Essar8* Abstract Bangladesh, a low-middle-income country in South Asia is facing one of its worst public health emergencies due to the COVID-19 pandemic. The increase in the number of cases from the disease, since the second half of March 2021, can potentially cause the health system overload, and has, as one of the main reasons, the non-compliance with measures of social distance and the emergence of the variants of concern in the country. This increase in the contagion curve can also provide a favorable environment for the occurrence of more mutations in the structure and genome of the virus. Therefore, there is an urge to carry out genomic surveillance programs in order to identify, moni- tor and characterize these variants, and understand whether the vaccines currently used are efective against them. Keywords: Bangladesh, SARS-CoV-2 variants, Public health, Genetic surveillance Dear editor, in the country began to increase during the middle of Te ongoing Coronavirus Disease 2019 (COVID-19) March 2021. Initially, there was a drop in the number of pandemic is a major burden to health systems world- cases during February 2021, in which the lowest monthly wide, constituting the worst health crisis in history. -
Medical JOUR
RHODE ISLAND M EDiCAL J ournal ZOOM – It’s a Match! Virtual National Match Day is largest on record See page 75 R SPECIAL SECTION, PART II BIOMEDICAL/TRANSLATIONAL RESEARCH in RI GUEST EDITORS: JAMES PADBURY, MD; BONGSUP CHO, PhD ApRiL 2021 VOLUME 104 • NUMBER 3 iSSN 2327-2228 REINVENTING WHAT YOU EXPECT FROM A MEDICAL PROFESSIONAL LIABILITY PROVIDER. With Coverys, you can reduce the distractions that come between diagnosis and outcomes. By leveraging claims data and analytics plus innovative educational resources, we’re helping doctors and administrators reduce distractions and focus on improving clinical, operational, and financial outcomes.Visit coverys.com Insurance products issued by ProSelect® Insurance Company (NE, NAIC 10638) and Preferred Professional Insurance Company® (NE, NAIC 36234). RHODE ISLAND M EDICAL J OURNAL 15 Translational Research: The Time is Now JAMES F. PADBURY, MD BONGSUP P. CHO, PhD GUEST EDITORS James F. Padbury, MD Bongsup Cho, PhD 17 The Time is NOW: Filling the Gaps in Treatment of Opioid-Exposed Infants: A Prospective, Pragmatic, Randomized Control Drug Trial ADAM J. CZYNSKI, DO; ABBOT R. LAPTOOK, MD 22 COBRE on Opioid and Overdose: A Collaborative Research-Based Center Addressing the Crises in Rhode Island and Beyond TRACI C. GREEN, PhD, MSc; ELIANA KAPLOWITZ, BA; KIRSTEN LANGDON, PhD; JACLYN M.W. HUGHTO, PhD, MPH; WILLIAM C. GOEDEL, PhD; ADAM J. CZYNSKI, DO; GAYLE FRASER, BS; JOSIAH RICH, MD, MPH 27 Brown University COBRE Center for Addiction and Disease Risk Exacerbation PETER M. MONTI, PhD; JENNIFER W. TIDEY, PhD; JASJIT S. AHLUWALIA, MD 32 The Center of Biomedical Research Excellence (COBRE) for Perinatal Biology – Accomplishments, Impact, and Long-term Results SUNIL K. -
Democratic Values and the COVID-19 Response
Dr. Li Wenliang, the man who first identified Covid-19, had the chance to tell people about the lives soon to be at stake. The one thing standing in his way? His government. Following the weeks after Dr. Li’s discovery and outreach to other doctors, police came to his house on multiple occasions to tell him to stop. At one point, he was summoned to the Chinese Public Security Bureau, where he was met by officials claiming that he was disturbing public order. Dr. Li was trying to warn the medical community about a threat that would span the world and kill at least half a million people within a matter of months, but the very people meant to protect him took his voice away. The passing of Dr. Li in early February to Covid-19 serves as a stark reminder of the impact that authoritarian rule has over more than 50 countries today. As nations search for the most effective ways to combat Covid-19, the authoritarian policies employed by dictatorships have the potential to spread elsewhere. Covid-19 has not just endangered our health, but our right to experience life with liberties too. The freedom and right to prosperity that I and others have enjoyed may now be at risk due to democracies taking a more intrusive approach towards containing the virus. Democratic nations need to ensure that citizen's liberties are not sacrificed for the “greater good”. Thus, democracies must strike a balance between doing everything in their power to stop Covid-19 without infringing on the rights of their people. -
1. Sars-Cov Nucleocapsid Protein Epitopes and Uses Thereof
www.engineeringvillage.com Citation results: 500 Downloaded: 4/24/2020 1. SARS-COV NUCLEOCAPSID PROTEIN EPITOPES AND USES THEREOF KELVIN, David; PERSAD, Desmond; CAMERON, Cheryl; BRAY, Kurtis, R.; LOFARO, Lori, R.; JOHNSON, Camille; SEKALY, Rafick-Pierre; YOUNES, Souheil-Antoine; CHONG, Pele Assignee: UNIVERSITY HEALTH NETWORK; BECKMAN COULTER, INC.; UNIVERSITE DE MONTREAL; NATIONAL HEALTH RESEARCH INSTITUTES Publication Number: WO2005103259 Publication date: 11/03/2005 Kind: Patent Application Publication Database: WO Patents Compilation and indexing terms, 2020 LexisNexis Univentio B.V. Data Provider: Engineering Village 2. SARS-CoV-specific B-cell epitope and applications thereof Wu, Han-Chung; Liu, I-Ju; Chiu, Chien-Yu Assignee: National Taiwan University Publication Number: US20060062804 Publication date: 03/23/2006 Kind: Utility Patent Application Database: US Patents Compilation and indexing terms, 2020 LexisNexis Univentio B.V. Data Provider: Engineering Village 3. A RECOMBINANT SARS-COV VACCINE COMPRISING ATTENUATED VACCINIA VIRUS CARRIERS QIN, Chuan; WEI, Qiang; GAO, Hong; TU, Xinming; CHEN, Zhiwei; ZHANG, Linqi; HO, David, D. Assignee: INSTITUTE OF LABORATORY ANIMAL SCIENCE OF CHINESE ACADEMY OF MEDICAL SCIENCES; THE AARON DIAMOND AIDS RESEARCH CENTER; QIN, Chuan; WEI, Qiang; GAO, Hong; TU, Xinming; CHEN, Zhiwei; ZHANG, Linqi; HO, David, D. Publication Number: WO2006079290 Publication date: 08/03/2006 Kind: Patent Application Publication Database: WO Patents Compilation and indexing terms, 2020 LexisNexis Univentio B.V. Data -
Assessing SARS-Cov-2 Circulation, Variants of Concern, Non-Pharmaceutical Interventions and Vaccine Rollout in the EU/EEA, 15Th Update 10 June 2021
RISK ASSESSMENT Assessing SARS-CoV-2 circulation, variants of concern, non-pharmaceutical interventions and vaccine rollout in the EU/EEA, 15th update 10 June 2021 Summary Although SARS-CoV-2 transmission remains widespread in large parts of the EU/EEA, most countries report declining trends in 14-day COVID-19 notification rates, hospital and intensive care unit (ICU) occupancy, and mortality. Many countries have initiated partial lifting of different non-pharmaceutical interventions (NPIs) that aim to reduce the degree of citizens physical contact and mobility. Since January 2021, EU/EEA countries have reported an increase in the number and proportion of SARS-CoV-2 cases of variants of concern (VOC) associated with increasing transmissibility and/or severity, with Alpha (B.1.1.7) the current dominant variant across the EU/EEA. Estimates across the region show that a large proportion of the population across Europe still remains susceptible to SARS-CoV-2 and that population immunity is far from being reached. As of 3 June, the median cumulative vaccine uptake in the EU/EEA adult population (aged 18 years and older) had reached 46.2% for at least one vaccine dose and 22.3% for the full vaccination course. The highest level of vaccine uptake was observed among the elderly aged over 80, in which the uptake reached 80.5% for at least one dose and 66.3% for full vaccination coverage. For healthcare workers, the median level of at least one dose uptake was 87% and the median uptake for the full vaccination course was 65.2%. Increased vaccine supply has allowed countries to expand eligibility for vaccination to younger age groups. -
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1 2 Parallel pandemics illustrate the need for One Health solutions 3 4 Authors: Claire Tucker1, Anna Fagre1, George Wittemyer2, Tracy Webb3, Edward Okoth 5 Abworo4, Sue VandeWoude*5 6 7 8 1Department of Microbiology, Immunology, Pathology. College of Veterinary Medicine and 9 Biomedical Sciences. Colorado State University. Fort Collins, Colorado; 2 Department of Fish, 10 Wildlife, and Conservation Biology. Warner College of Natural Resources. Colorado State 11 University. Fort Collins, Colorado; 3 Department of Clinical Sciences. College of Veterinary 12 Medicine and Biomedical Sciences. Colorado State University. Fort Collins, Colorado; 13 4International Livestock Research Institute. Nairobi, Kenya; 5 Corresponding Author: Sue 14 VandeWoude, DVM, PhD, Department of Microbiology, Immunology, Pathology. College of 15 Veterinary Medicine and Biomedical Sciences. Colorado State University. Fort Collins, 16 Colorado. [email protected]. https://orcid.org/0000-0001-9227-1622. 17 18 19 20 21 22 23 24 1 25 Abstract 26 African Swine Fever (ASF) was reported in domestic pigs in China in 2018. This highly 27 contagious viral infection with no effective vaccine reached pandemic proportions by 2019, 28 substantially impacting protein availability in the same region where the COVID-19 pandemic 29 subsequently emerged. We discuss the genesis, spread, and wide-reaching impacts of an 30 epidemic in a vital livestock species, noting parallels and potential contributions to ignition of 31 COVID-19. We speculate about follow-on impacts of these pandemics on global public health 32 infrastructure and suggest intervention strategies using a cost: benefit approach for low-risk, 33 massive-impact events. We note that substantive changes in how the world reacts to potential 34 threats will be required to overcome catastrophes driven by climate change, food insecurity, lack 35 of surveillance infrastructure and other gaps. -
Doctors' Mental Health in the Midst of COVID-19 Pandemic
International Journal of Environmental Research and Public Health Article Doctors’ Mental Health in the Midst of COVID-19 Pandemic: The Roles of Work Demands and Recovery Experiences 1,2, 1, , 3 Mohd Fadhli Mohd Fauzi y , Hanizah Mohd Yusoff * y, Rosnawati Muhamad Robat , Nur Adibah Mat Saruan 1,2 , Khairil Idham Ismail 1,2 and Ahmad Firdaus Mohd Haris 4 1 Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latiff, Bandar Tun Razak, Cheras, Kuala Lumpur 56000, Malaysia; [email protected] (M.F.M.F.); [email protected] (N.A.M.S.); [email protected] (K.I.I.) 2 Ministry of Health Malaysia, Federal Government Administrative Centre, Putrajaya 62590, Malaysia 3 Occupational and Environmental Health Unit, Selangor State Health Department, No 1, Wisma Sunway, Jalan Tengku Ampuan Zabedah C 9/C, Seksyen 9, Shah Alam, Selangor 40100, Malaysia; [email protected] 4 Non-Communicable Diseases Unit, Perak State Health Department, Jalan Koo Chong Kong, Ipoh 30000, Perak, Malaysia; ahmad.fi[email protected] * Correspondence: [email protected]; Tel.: +60-3-9145-5904 These authors contributed equally to this work. y Received: 18 September 2020; Accepted: 5 October 2020; Published: 8 October 2020 Abstract: The COVID-19 pandemic potentially increases doctors’ work demands and limits their recovery opportunity; this consequently puts them at a high risk of adverse mental health impacts. This study aims to estimate the level of doctors’ fatigue, recovery, depression, anxiety, and stress, and exploring their association with work demands and recovery experiences. This was a cross-sectional study among all medical doctors working at all government health facilities in Selangor, Malaysia. -
Social Distancing and Supply Disruptions in a Pandemic∗
Social Distancing and Supply Disruptions in a Pandemic∗ Martin Bodenstein Giancarlo Corsetti Luca Guerrieri Federal Reserve Board University of Cambridge Federal Reserve Board June 18, 2020 Abstract Drastic public health measures such as social distancing or lockdowns can reduce the loss of human life by keeping the number of infected individuals from exceeding the capacity of the health care system but are often criticized because of the social and economic costs they entail. We question this view by combining an epidemiological model, calibrated to capture the spread of the COVID-19 virus, with a multisector model, designed to capture key characteristics of the U.S. Input Output Tables. Our two-sector model features a core sector that produces intermediate inputs not easily replaced by inputs from the other sector, subject to minimum-scale requirements. We show that, by affecting workers in this core sector, the high peak of an infection not mitigated by social distancing may cause very large upfront economic costs in terms of output, consumption and investment. Social distancing measures can reduce these costs, especially if skewed towards non-core industries and occupations with tasks that can be performed from home, helping to smooth the surge in infections among workers in the core sector. JEL classifications: E1, E3, I1. Keywords: infectious disease, epidemic, recession, COVID-19. ∗ The views expressed in this paper are solely the responsibility of the authors and should not be interpreted as reflecting the views of the Board of Governors of the Federal Reserve System or of any other person associated with the Federal Reserve System. -
The Genetic Structure of SARS‐
Received: 2 September 2020 Revised: 16 October 2020 DOI: 10.1002/bies.202000240 PROBLEMS & PARADIGMS Prospects & Overviews The genetic structure of SARS-CoV-2 does not rule out a laboratory origin SARS-COV-2 chimeric structure and furin cleavage site might be the result of genetic manipulation Rossana Segreto1 Yuri Deigin2 1 Department of Microbiology, University of Innsbruck, Innsbruck, Austria Abstract 2 Youthereum Genetics Inc., Toronto, Ontario, Severe acute respiratory syndrome-coronavirus (SARS-CoV)-2′soriginisstillcontro- Canada versial. Genomic analyses show SARS-CoV-2 likely to be chimeric, most of its sequence Correspondence closest to bat CoV RaTG13, whereas its receptor binding domain (RBD) is almost iden- Rossana Segreto, Department of Microbiology, tical to that of a pangolin CoV. Chimeric viruses can arise via natural recombination or University of Innsbruck, Technikerstraße 25, 6020 Innsbruck, Austria. human intervention. The furin cleavage site in the spike protein of SARS-CoV-2 confers Email: [email protected] to the virus the ability to cross species and tissue barriers, but was previously unseen No external funding was received for this work. in other SARS-like CoVs. Might genetic manipulations have been performed in order to Rossana Segreto and Yuri Deigin contributed evaluate pangolins as possible intermediate hosts for bat-derived CoVs that were orig- equally to this study. inally unable to bind to human receptors? Both cleavage site and specific RBD could result from site-directed mutagenesis, a procedure that does not leave a trace. Consid- ering the devastating impact of SARS-CoV-2 and importance of preventing future pan- demics, researchers have a responsibility to carry out a thorough analysis of all possible SARS-CoV-2 origins. -
IHP News 610 : Perseverance
IHP news 610 : Perseverance ( 26 Feb 2021) The weekly International Health Policies (IHP) newsletter is an initiative of the Health Policy unit at the Institute of Tropical Medicine in Antwerp, Belgium. Dear Colleagues, When the first vaccine doses distributed by COVAX landed in Ghana earlier this week, it felt a bit like the Perseverance’s landing on Mars. Ouf! At last. Neil Armstrong probably also nodded approvingly from heaven, when hearing some of the rhetoric: “Wonderful words from @UNICEF Covax Coordinator Gian Gandhi as the first ACTA flight hits the ground in Ghana: « A short flight, and small step to reduce inequities in vaccine access... but a huge achievement that’s been almost 10 months in the making». Anyway, encouraging and great news, not a day too soon. Still, the picture on global vaccine equity remains bleak in the short term, for the reasons you know. Yes, there is a growing movement behind vaccine equity, as dr. Tedros claimed last week, and multilateralism made a cautious comeback at the G7 summit (with Covax getting a (much needed) shot in the arm). WHO officials can now be (a bit) more optimistic about successfully getting around 2 billion vaccine doses to at least 20% of the populations of 92 lower-income economies by the end of 2021. But they shouldn’t get carried away too soon, as this (excellent) COVAX “state of affairs” piece in Stat argued: “more is needed to ensure global vaccine access”. A quote from Kenneth Shadlen put things in perspective: “It would be great if COVAX can help us avoid a worst-case scenario of poor countries having no vaccines until 2022 or later.