The new coronavirus is striking the Upper Midwest with a vengeance, as Wisconsin and the Dakotas became COVID-19 hotspots and health officials scrambled for hospital beds on Thursday. After months where residents of those states downplayed the virus and rejected mask requirements, all three now lead all other states in new cases per capita, the Associated Press reported. “It’s an emotional roller coaster,” said Melissa Resch, a nurse at Wisconsin’s Aspirus Wausau Hospital, which is working to add beds and reassign staff to keep up with a rising caseload of seriously ill COVID-19 patients. “Just yesterday I had a patient say, ‘It’s OK, you guys took good care of me, but it’s OK to let me go,’” Resch told the AP. “I’ve cried with the respiratory unit, I’ve cried with managers. I cry at home. I’ve seen nurses crying openly in the hallway.” What is unfolding in the Upper Midwest mirrors what has happened in other parts of the country since the pandemic began. In the spring, New York City hastily built field hospitals as emergency rooms were flooded with COVID-19 patients. Then, the coronavirus spread to states like Arizona, Texas, Florida and California over the summer. It then moved into the Midwest. “What worries me is we haven’t learned our lessons,” Ali Mokdad, a professor of health metrics sciences at the University of Washington…  read on >

Even as the nation’s top infectious diseases expert said Friday that the White House experienced a “superspreader” event in the Rose Garden last month, President Donald Trump announced he will hold his first public event at the White House since testing positive for the coronavirus a week ago. The Saturday event, which will have Trump speaking from a balcony to a crowd of supporters on the South Lawn, has already caused concern among some officials in the White House, which has been rocked by an outbreak following Trump’s diagnosis, the Washington Post reported. Trump’s medical team has not yet released the results of Trump’s latest COVID-19 test, so it was unclear whether Trump is still contagious, the Post reported. But Trump has ignored his advisers’ calls for caution, the newspaper reported, instead playing down the virus and using his own battle with it to argue that the nation has already overcome the pandemic. “I haven’t even found out numbers or anything yet, but I’ve been retested,” he said. “And I know I’m at either the bottom of the scale or free.” He added that he has been tested for the virus “every couple of days or so.” The lack of a negative test did not stop Trump from claiming to be cured and working from the Oval Office on Friday afternoon. Trump has been eager…  read on >

Hours after President Donald Trump held a rally on the White House lawn for hundreds of supporters, his doctor said he is “no longer considered a transmission risk to others.” In a memo released Saturday night, White House physician Dr. Sean Conley said he was sharing information about the status of Trump’s coronavirus infection with permission from Trump, The New York Times reported. But the amount of information he provided was limited. Trump was first diagnosed with COVID-19 on Oct. 2. Health experts have repeatedly questioned the severity of Trump’s illness, and his health could still deteriorate in the next few days, they added. “I don’t think he’s out of the woods for certain,” Dr. Krutika Kuppalli, an infectious disease physician based in South Carolina, told the Times. Trump’s recent course of steroids, which suppress certain parts of the immune system, could also make him vulnerable to other infections, Kuppalli added. “I would still be careful with someone like him.” The start date of Trump’s symptoms has also remained unclear, the Times reported. According to the U.S. Centers for Disease Control and Prevention, most people stop being infectious 10 days after becoming sick. By Conley’s assessment, Trump would have needed to show signs of his illness on Wednesday, Sept. 30, for Saturday to qualify as 10 days from the onset of symptoms. “This evening I…  read on >

Young women with cancer are at a high risk for employment and financial consequences, a new study finds. “Our study addresses the burden of employment disruption and financial hardship among young women with cancer — a group who may be at particular risk for poor financial outcomes after cancer given their age and gender,” said researcher Clare Meernik, a fellow at the University of North Carolina at Chapel Hill’s Lineberger Comprehensive Cancer Center. She and her colleagues surveyed more than 1,300 women in North Carolina and California a median of seven years after diagnosis. Their cancer was diagnosed when they were 15 to 39 years of age and working. Following their diagnosis, 32% of the women had to stop working or cut back on their hours. Twenty-seven percent said they had to borrow money, go into debt or file for bankruptcy because of cancer treatment. Women with disrupted employment were more likely — by 17 percentage points — to have these problems than women who were able to keep working. Half of the women said they were stressed about their big medical bills, and women with disrupted employment were more likely to suffer psychological distress by 8 percentage points than women who were able to keep working. The findings were published online Oct. 12 in the journal Cancer. “Our findings highlight the need for effective…  read on >

Hours after President Donald Trump held a rally on the White House lawn for hundreds of supporters, his doctor said he is “no longer considered a transmission risk to others.” In a memo released Saturday night, White House physician Dr. Sean Conley said he was sharing information about the status of Trump’s coronavirus infection with permission from Trump, The New York Times reported. But the amount of information he provided was limited. Trump was first diagnosed with COVID-19 on Oct. 2. Health experts have repeatedly questioned the severity of Trump’s illness, and his health could still deteriorate in the next few days, they added. “I don’t think he’s out of the woods for certain,” Dr. Krutika Kuppalli, an infectious disease physician based in South Carolina, told the Times. Trump’s recent course of steroids, which suppress certain parts of the immune system, could also make him vulnerable to other infections, Kuppalli added. “I would still be careful with someone like him.” The start date of Trump’s symptoms has also remained unclear, the Times reported. According to the U.S. Centers for Disease Control and Prevention, most people stop being infectious 10 days after becoming sick. By Conley’s assessment, Trump would have needed to show signs of his illness on Wednesday, Sept. 30, for Saturday to qualify as 10 days from the onset of symptoms. “This evening I…  read on >

A second coronavirus vaccine trial was paused on Monday after an unexplained illness surfaced in one of the trial’s volunteers. Johnson & Johnson, which only began a phase 3 trial of its vaccine last month, did not offer any more details on the illness and did not say whether the sick participant had received the vaccine or a placebo. The trial pause was first reported by the health news website STAT. While Johnson & Johnson was behind several of its competitors in the vaccine race, its candidate has an advantage in that it doesn’t need to be frozen and it could be given in one dose instead of two, The New York Times reported. The J&J vaccine is also the focus of the largest COVID-19 vaccine trial, with a goal of enrolling 60,000 volunteers. “Adverse events — illnesses, accidents, etc. — even those that are serious, are an expected part of any clinical study, especially large studies,” the company said in a statement. “We’re also learning more about this participant’s illness, and it’s important to have all the facts before we share additional information.” “It’s actually a good thing that these companies are pausing these trials when these things come up,” Dr. Phyllis Tien, an infectious disease physician at the University of California, San Francisco, a vaccine trial site for both Johnson & Johnson and…  read on >

Ordinary conversation releases airborne droplets that can spread widely through indoor spaces, a finding with big implications for transmission of the new coronavirus, researchers say. Their experiments showed that everyday talk can expel droplets farther than the typical “social distancing” limit of 6 feet. “People should recognize that they have an effect around them,” said Howard Stone, a professor of mechanical and aerospace engineering at Princeton University in New Jersey. “It’s not just around your head, it is at the scale of meters.” One meter equals just over 3 feet. How COVID-19 spreads is not fully understood, but it’s believed that people without symptoms could infect others through tiny droplets created when they speak, sing or laugh. “Lots of people have written about coughs and sneezes and the kinds of things you worry about with the flu,” Stone said in a university news release. “But those features are associated with visible symptoms, and with this disease we are seeing a lot of spread by people without symptoms.” Stone and his colleagues conducted tests to determine how far and fast exhaled droplets from normal speaking could spread in an interior space without good ventilation. In such settings, normal conversation can spread droplets at least as far as, and even beyond, social distancing guidelines recommended by U.S. officials (6.5 feet) and the World Health Organization (3.2 feet),…  read on >

SATURDAY, Oct. 3, 2020 (HealthDay News) — President Donald Trump was being treated for coronavirus infection at Walter Reed National Military Medical Center on Saturday, after announcing that he had tested positive for COVID-19 early Friday morning. Trump is struggling with a fever, a cough and nasal congestion, among other symptoms, two officials familiar with his condition told the Washington Post. “President Trump remains in good spirits, has mild symptoms, and has been working throughout the day,” press secretary Kayleigh McEnany said Friday. “Out of an abundance of caution, and at the recommendation of his physician and medical experts, the President will be working from the presidential offices at Walter Reed for the next few days.” On Friday, an experimental antibody cocktail made by Regeneron Pharmaceuticals Inc. was given to Trump, the Associated Press reported. The company agreed to supply a single dose, given via IV, for Trump at the request of his physician, Dr. Sean Conley, under “compassionate use” provisions, the AP reported. Conley said late Friday that Trump had also been given the antiviral drug remdesivir at the hospital, the AP reported. The Gilead Sciences drug has been shown to help some COVID-19 patients recover more quickly. Trump was also taking zinc, vitamin D, an antacid called famotidine, melatonin and aspirin, Conley said. On Friday, Vice President Mike Pence and his wife, Karen,…  read on >

SATURDAY, Oct. 3, 2020 (HealthDay News) — President Donald Trump was being treated for coronavirus infection at Walter Reed National Military Medical Center on Saturday, after announcing that he had tested positive for COVID-19 early Friday morning. Trump is struggling with a fever, a cough and nasal congestion, among other symptoms, two officials familiar with his condition told the Washington Post. “President Trump remains in good spirits, has mild symptoms, and has been working throughout the day,” press secretary Kayleigh McEnany said Friday. “Out of an abundance of caution, and at the recommendation of his physician and medical experts, the President will be working from the presidential offices at Walter Reed for the next few days.” On Friday, an experimental antibody cocktail made by Regeneron Pharmaceuticals Inc. was given to Trump, the Associated Press reported. The company agreed to supply a single dose, given via IV, for Trump at the request of his physician, Dr. Sean Conley, under “compassionate use” provisions, the AP reported. Conley said late Friday that Trump had also been given the antiviral drug remdesivir at the hospital, the AP reported. The Gilead Sciences drug has been shown to help some COVID-19 patients recover more quickly. Trump was also taking zinc, vitamin D, an antacid called famotidine, melatonin and aspirin, Conley said. On Friday, Vice President Mike Pence and his wife, Karen,…  read on >

President Donald Trump’s doctors delivered an update of his condition on Sunday that suggested he might have more than just a mild case of COVID-19. Based on the doctors’ accounts, Trump’s symptoms quickly escalated after he announced early Friday morning that he had tested positive for the coronavirus, The New York Times reported. He was taken to Walter Reed National Military Medical Center Friday evening. Trump experienced a “high fever” on Friday, and there were two occasions when his blood oxygen levels dropped, on Friday and again on Saturday, the Times reported. Trump’s oxygen saturation level was 93% at one point, his doctors said. Ninety-five percent is considered the lower limit of the normal range. Many medical experts consider patients to have severe COVID-19 if their oxygen levels drop below 94%, the Times reported. The president’s physicians said he was given supplemental oxygen at the White House on Friday; they were not clear about whether it was administered again on Saturday, or whether his blood oxygen levels had fallen below 90% at some point, the Times reported. In addition to being given an experimental antibody cocktail on Friday, Dr. Sean Conley said Trump was also given the steroid dexamethasone on Saturday and is being treated with remdesivir, an antiviral drug. Dexamethasone has been shown to help patients who are severely ill with COVID-19, but it…  read on >