HVAC repairman Brad Sissell shrugged off the acid-yellow air surrounding him and kept working, preparing a gas pipe for a new range going into a Salem, Ore., home. Less than a half-hour’s drive away, nearly 200,000 acres were burning in one of the major Oregon wildfires that has sent a full tenth of the state’s population fleeing for shelter. But it was a workday and so Sissell kept at his job, masked in the driveway with smoke wreathing his efforts. “We haven’t stopped,” Sissell, 35, said. “We’ve been working the whole time. I know they say the air’s not good for you. I think it’s going to suck for everybody.” The air quality index in Salem has been at the hazardous level since late last week, with people urged to stay indoors lest they risk their health. In fact, the West Coast cities of Portland, Seattle, San Francisco and Vancouver, B.C., have had the worst air quality of all major metropolitan areas in the world as wildfires burn unchecked, the Washington Post reported. Public health experts have warned people up and down the coast to remain indoors with the windows shut and their air conditioners running on recirculated air. The smoke from these wildfires contains fine particles and a toxic mix of chemicals that can irritate the lungs and inflame the airways, said Dr. Clayton…  read on >

WEDNESDAY, Sept. 16, 2020 (Healthday News) — A single infusion of an experimental drug dramatically lowers levels of coronavirus in the bodies of newly infected patients and cuts their chances of hospitalization, the drug’s maker reported Wednesday. Eli Lilly’s announcement did not include detailed data and hasn’t been peer-reviewed or published yet, The New York Times reported. The news comes from interim results of a trial sponsored by Eli Lilly and the U.S. National Institutes of Health. NIH officials would not comment on the announcement until they have seen more detailed data from the trial, the Times reported. How does the drug work its magic? It is a monoclonal antibody, a manmade copy of an antibody produced by a patient who recovered from COVID-19, the Times reported. Scientists around the world have high hopes that that monoclonal antibodies will prove to be powerful coronavirus treatments, but they come with a caveat: They are difficult to manufacture, and would take time to produce, the Times reported. In the trial, 452 newly diagnosed COVID patients received the monoclonal antibody or a placebo infusion. Some 1.7 percent of those who got the drug were hospitalized, compared with 6 percent of those who received a placebo — a 72 percent reduction in risk, Eli Lilly said. At the same time, blood levels of the coronavirus plummeted among those who…  read on >

Hearts donated by severely obese donors aren’t more risky for recipients than hearts from people who aren’t obese, a new study indicates. “These findings were somewhat surprising because the severely obese donors did tend to have more medical problems, such as diabetes and high blood pressure, than the non-obese donors,” said study author Dr. Leora Yarboro. She’s an associate professor of surgery at the University of Virginia, in Charlottesville. Her team analyzed the outcomes of 26,000 heart transplants in the United States from 2003 to 2017. About 3.5% of the donors were severely obese. There were no significant differences in short-term outcomes, one-year survival rates or long-term death rates between patients who received a heart from a severely obese donor and those who received a heart from a non-obese donor, the findings showed. The researchers also found that the percentage of heart transplants from donors with severe obesity rose from 2.2% in 2013 to 5.3% in 2017. Some of the obese donors did have other medical issues: 10% had diabetes versus 3% of non-obese donors, and 33% had high blood pressure versus 15% of donors who weren’t severely obese. The study was published Sept. 16 in the journal Circulation: Heart Failure. “This study shows that with careful selection, hearts from obese donors can be used without an increased risk to the recipient,” Yarboro said in…  read on >

THURSDAY, Sept. 17, 2020 (Healthday News) — The details of a plan to rapidly deliver a future coronavirus vaccine to Americans were unveiled by federal officials on Wednesday. Two of the key parts of the plan are to begin distributing a vaccine with 24 hours of any approval or emergency authorization and offering the vaccine for free, The New York Times reported. Officials from Operation Warp Speed — the multiagency effort to quickly vaccinate Americans against coronavirus — also said the timing of a vaccine was still unclear, the Times reported. That despite repeated statements from President Donald Trump that a shot could be ready before the election on Nov. 3. “We’re dealing in a world of great uncertainty. We don’t know the timing of when we’ll have a vaccine, we don’t know the quantities, we don’t know the efficacy of those vaccines,” Paul Mango, the deputy chief of staff for policy at the U.S. Department of Health and Human Services, told the Times. “This is a really quite extraordinary, logistically complex undertaking, and a lot of uncertainties right now. I think the message we want you to leave with is, we are prepared for all of those uncertainties.” Who will get the vaccine first? Initial distribution of a vaccine, possibly on an emergency basis, would to a limited group of high-priority people, such as…  read on >

As the coronavirus pandemic wears on, it’s clear that not everyone’s on the same page when it comes to preventing the risk of infection. Lots of people wear masks, try to maintain social distancing and avoid large gatherings. But plenty of others forgo a mask or wear it on their chin, go to busy bars and attend social gatherings, like weddings. Both sides think they’re right. And that’s led to friction and frustration among friends and families. How can you deal with these differences and keep your relationships intact? “This is a super-charged topic. Your beliefs about science are now injected with politics,” said Dr. Richard Catanzaro, chief of psychiatry at Northern Westchester Hospital in Mount Kisco, N.Y. “My fundamental approach to stuff like this is to be as direct as possible. Express the concerns that you have, and acknowledge that the other person might not agree, but explain it’s how you feel. For example, ask the person to wear a mask when you’re interacting with them. If they refuse, say, ‘Let’s talk virtually then,’” Catanzaro said. He added that the tone of the conversation hinges on how important the relationship is to you. “In a marriage or more permanent relationship, be more open with the person, and try to get them to see how their behavior is impacting you,” Catanzaro said. For more casual…  read on >

FRIDAY, Sept. 18, 2020 (Healthday News) — New details surfaced on Thursday on an unexplained neurological condition that struck a volunteer who was participating in AstraZeneca’s coronavirus vaccine trial. In an internal safety report obtained by CNN, company officials describe how a healthy 37-year-old woman “experienced confirmed transverse myelitis” after receiving her second dose of the vaccine. She was hospitalized on Sept. 5. The report describes how the patient had the first dose of the coronavirus vaccine in early June and was fine. She received her second dose in late August. While out running on Sept. 2, she “had a trip [not fall] with a jolt.” The report noted that she did not have any obvious injury to her spine when examined, according to CNN. The next day, the report said, she had difficulty walking, pain and weakness in her arms, pain and reduced sensation in her torso, a headache and reduced ability to use her hands. The report mentions twice that the woman was diagnosed with “confirmed” transverse myelitis, CNN reported. The condition, which can be triggered by viruses, causes inflammation in the spine. No other similar cases have been diagnosed among other study volunteers, according to the report. The woman’s neurologist also noted that the woman has started to feel better. The report, dated Sept. 10, was sent out to doctors who are…  read on >

MONDAY, Sept. 21, 2020 (Healthday News) — As the U.S. coronavirus case count neared 200,000 on Monday, public health experts debated whether the spread of the virus will continue to slow or a new surge will come, as cold weather returns to much of the country. “What will happen, nobody knows,” Catherine Troisi, an infectious disease epidemiologist at The University of Texas Health Science Center at Houston, told The New York Times. “This virus has surprised us on many fronts, and we may be surprised again.” In the United States, fewer new coronavirus cases have been detected week by week since late July, but the nation’s daily count of new cases has started to climb again in recent days, the Times reported. Meanwhile, at least 73 other countries are seeing second surges in new cases. Dr. Tom Inglesby, director of the Center for Health Security at the Johns Hopkins Bloomberg School of Public Health in Baltimore, told the Times it was conceivable that the death toll in the United States could reach 300,000 if Americans start to relax social distancing measures. As case counts started trending upward again, 1,400 public schools in New York City reopened Monday for nearly 90,000 pre-K students and children with advanced disabilities. The remaining 1 million students will start their school year online, with the option of returning to classrooms…  read on >

A portable generator may power up your home after a hurricane or storm knocks out your electricity, but it also poses the risk of carbon monoxide poisoning, one expert says. Carbon monoxide is often called the silent killer because it’s colorless, odorless and tasteless. “Never use a generator in your home or garage, even if the doors and windows are open,” said Dr. Lindell Weaver, medical director of hyperbaric medicine at Intermountain Medical Center and LDS Hospital in Salt Lake City, Utah. “Only use generators outside, more than 20 feet away from your home, doors and windows,” Weaver added in an Intermountain news release. All homes and businesses should have a carbon monoxide alarm. Carbon monoxide poisoning should be suspected if multiple people have “flu-like” symptoms all at once, especially if fever is absent, Weaver said. Another sign is if a person improves when out of the area where suspected carbon monoxide exposure is occurring. Carbon monoxide poisoning symptoms include: headache, dizziness, weakness, vomiting, chest pain, confusion, seizure, loss of consciousness and death. If a person develops symptoms consistent with carbon monoxide poisoning, evacuate the area immediately and call 911, Weaver said. Treatment for carbon monoxide poisoning reduces the risk of permanent brain or heart injury, but patients may still suffer disability. It’s crucial to take precautions to prevent and avoid carbon monoxide exposure, Weaver…  read on >