For many, work-at-home orders aimed at fighting the COVID-19 pandemic have had an unintended side effect: sleep loss. “We’ve seen a significant increase in reports of stress-related insomnia in recent months,” said Julio Fernandez-Mendoza of the Penn State Health Sleep Research and Treatment Center in Hummelstown, Penn. Stress and worry about the pandemic is one reason and the novelty of working at home is another, Fernandez-Mendoza said in a Penn news release. Here are some tips to help you get a good night’s sleep: Have a daily routine. Do regular tasks like waking up, showering, eating, engaging in leisure activities and going to bed at set times. “Sticking with regular habits keeps your circadian rhythm anchored like a boat in the ocean,” Fernandez-Mendoza said. Keep work and sleep areas separate. The bedroom should be for sleep and sex — and no electronics. Pick another place for work. Keep your work area lit during the day. Get as much natural light as possible. At night, close the blinds and dim the lights at least two hours before bedtime. Take 15-minute breaks from the computer. Take a coffee break, go for a walk or do an activity. Stay hydrated. Spend time outdoors. Check email or work-related texts only during work hours. Set a schedule with your employer and use autoreply to tell people you’ll reply to overnight…  read on >

In the thick of the coronavirus pandemic, it might be hard to tell if you’ve come down with COVID-19, spring allergies or a cold, which all have some similar symptoms. Fever and dry cough are common symptoms of COVID-19, along with shortness of breath and difficulty breathing, sore throat, diarrhea, fatigue, chills, muscle pain, loss of taste and smell, and body aches. But it’s rare for fever or diarrhea to occur with a cold or seasonal allergies, according to Dr. Michael Benninger, chairman of the Head and Neck Institute at the Cleveland Clinic. “It’s a matter of taking a logical approach to symptoms,” he said in a clinic news release. If you don’t have a fever, difficulty breathing or diarrhea, then you probably have a cold or seasonal allergies. We’re fully into the allergy season now, “so we know that it’s going to be very difficult for a lot of people at this time to distinguish between their allergies and whether or not they have something more significant,” Benninger said. Sneezing often occurs with both allergies and a cold, but other symptoms can help you tell the difference between them. “Usually a cold doesn’t have itchy eyes,” Benninger said. “If you have a cough, that’s more strongly associated with a common cold than allergies unless you have allergic asthma.” Difficulty breathing and shortness of breath…  read on >

Federal data released Friday offered signs of hope on the economic front, as jobless numbers actually fell — from 14.7 percent in April to 13.3 percent in May. The economy, hit hard by stay-at-home orders and shuttered businesses tied to the coronavirus crisis, ended up adding 2.5 million job in May, as some Americans warily crept back to work, The New York Times reported. It was very welcome news: According to the Times the unemployment rate in April was the highest seen since the federal government began keeping record afters World War II. Many economists expect that unemployment numbers will slow further as states reopen and more employees return to work. However, none of the good economic news has curbed the onslaught of SARS-CoV-2, the virus behind COVID-19. By Friday, the U.S. coronavirus case count had topped 1.8 million and the death toll passed 108,000. And a new review shows that crowded protests against police brutality have occurred in every one of the 25 U.S. communities with the highest concentrations of new COVID-19 cases. The Associated Press analysis also found that some cities — Minneapolis, Chicago, Washington, D.C., and Los Angeles among them — have witnessed protests on multiple days. In some communities, such as Minneapolis where the protests started, the number of people hospitalized with COVID-19 has also been rising, the news agency added.…  read on >

COVID-19 is taking a heavy toll on Americans’ mental health, a new nationwide survey shows. Overall, psychological distress more than tripled between 2018 and this spring — from 4% of U.S. adults in 2018 to 14% in April. Beth McGinty, an associate professor at Johns Hopkins Bloomberg School of Public Health in Baltimore, said the findings, from a survey of 1,500 adults, suggest the need to prepare for a wave of mental illness once the pandemic passes. “It is especially important to identify mental illness treatment needs and connect people to services, with a focus on groups with high psychological distress including young adults, adults in low-income households, and Hispanics,” McGinty said in a university news release. The survey used a scale to gauge feelings of emotional suffering as well as symptoms of anxiety and depression. It found that distress was especially acute among younger adults. Among 18- to 29-year-olds, 24% reported feelings of distress this spring, compared to 4% in 2018, researchers found. Lower-income households also were keenly feeling the impact of the pandemic. Distress rose from less than 8% in 2018 to 19% in homes with a yearly income of less than $35,000, the survey found. And 18% of Hispanics reported psychological distress in 2020, up from 4% in 2018. Among Americans age 55 and older, psychological distress nearly doubled between 2018 and…  read on >

An over-the-counter heartburn remedy is showing some potential as a symptom reliever for COVID-19, a small study finds. Famotidine, sold under the brand name Pepcid, appeared to improve symptoms in a group of 10 patients diagnosed with COVID-19, researchers reported online June 4 in the journal Gut. The patients’ self-reported symptoms began to feel better within a day or two of taking famotidine, the study authors said. “A clinical trial is now needed to formally test if famotidine works against COVID-19,” said lead researcher Dr. Tobias Janowitz, a medical oncologist and cancer researcher with Cold Spring Harbor Laboratory in New York. But don’t rush out to stock up on Pepcid just yet, warned Dr. Amesh Adalja, a senior scholar with the Johns Hopkins Center for Health Security in Baltimore. “This is a very small study that was observational in nature,” Adalja said. “It is very hard to draw any conclusions from it.” A clinical trial in which Pepcid’s effectiveness is compared against a placebo is essential to prove that the medication works, since it is being used in mild to moderate cases of COVID-19, Adalja said. “These are mild cases and mild cases do get better over time, so these cases have to be compared to placebo in order to see if this was actually just the natural course of infection or the famotidine,” Adalja…  read on >

New York City finally reopened its economy on Monday after being the epicenter of the U.S. coronavirus pandemic for months, and a new study shows that stay-at-home orders may have been worth it, preventing nearly 60 million U.S. infections. The research, published in the Nature medical journal, examined how different social distancing policies and measures might have limited the spread of COVID-19, the Washington Post reported. A second study, from epidemiologists at Imperial College London and also published in Nature, found the shutdowns saved approximately 3.1 million lives in 11 European countries and dropped infection rates there by an average of 82 percent. In the first study, researchers at the University of California at Berkeley examined six countries — China, the United States, France, Italy, Iran and South Korea — and estimated how more than 1,700 different interventions, such as stay-at-home orders, business closings and travel bans, altered the spread of the virus. The report concluded that those six countries collectively managed to avert 62 million test-confirmed infections, which the researchers estimated would correspond to roughly 530 million total infections, the newspaper said. Surprisingly, school closures had no significant effect, although the authors said the issue requires further study, the Post reported. Meanwhile, New York City began to ease restrictions that had shut down schools, businesses and much of city life in March and April,…  read on >

The COVID-19 pandemic has had far-reaching effects, and a new study points to yet another: It may be keeping people from seeking emergency care for suicidal thoughts. The study, at one large Ohio health system, found that ER visits for suicidal ideation dropped by over 60% in the month after the state instituted its stay-at-home order. And that’s concerning, researchers said, because, if anything, this is a time when mental health needs are expected to be more acute than ever. “The question is: Where are these patients now?” said senior researcher Dr. Baruch Fertel of the Cleveland Clinic in Ohio. “Are they just brushing off their problems? Are they getting help through telemedicine instead?” Or, most worrisome, are some people going through with suicide instead of getting help? There is no way of knowing at this point, Fertel said, because figures are not available. “Unfortunately, we’ll only find out later, when we’re able to study suicide rates,” he said. The findings, published June 1 in the American Journal of Emergency Medicine, are the latest snapshot of how the COVID-19 pandemic has affected all aspects of medical care. U.S. studies have charted declines in everything from hospital admissions for heart attack, to organ transplants, to childhood vaccinations. In areas hard-hit by the disease, health systems were flooded, and non-urgent medical procedures put on hold. But even…  read on >

A new analysis shows that parts of the country that had been spared the worst of the coronavirus pandemic are now tallying record-high cases of new infections. Since the start of June, 14 states and Puerto Rico have recorded their highest seven-day average of new coronavirus cases since the pandemic began, data tracked by the Washington Post shows: Alaska, Arizona, Arkansas, California, Florida, Kentucky, New Mexico, North Carolina, Mississippi, Oregon, South Carolina, Tennessee, Texas and Utah. At the same time, new predictions from the University of Washington in Seattle show the U.S. coronavirus death toll could now hit 145,000 by August, NBC News reported Tuesday. If the prediction bears out, it would mean 30,000 more deaths would occur in the country in the next two months. As of Tuesday, nearly 111,000 COVID-19 deaths have been reported in this country. And in a confusing twist on the effort to understand how coronavirus spreads, a World Health Organization official said Monday that asymptomatic transmission of COVID-19 seems to be rare. Until now, experts believed that transmission by infected people who did not show any symptoms was a main driver of viral spread. “From the data we have, it still seems to be rare that an asymptomatic person actually transmits onward to a secondary individual,” Maria Van Kerkhove, the WHO’s technical lead for coronavirus response and head of…  read on >

Bright yellow and looking like a headless deer, Spot can travel across ground too risky for humans. “Built for dirt and danger,” in the words of its maker Boston Dynamics, this robot is now helping humans battle a different threat: the spread of coronavirus. Equipped with an iPad and two-way radio, Spot has been making the rounds at Brigham and Women’s Hospital in Boston since April. Medical technicians use the robot to interview patients with suspected COVID-19 remotely, with no need to don personal protective equipment. Think of it as mobile telemedicine. Then there’s computer programs that pore through mountains of information to pluck out and analyze the relevant bits to help find a promising drug for COVID-19 after just two days’ work. Artificial intelligence (AI) tools are tackling the pandemic on every front: Robots that blast surfaces with high-power ultraviolet light are decontaminating hospitals around the world. Robots also stepped in to help Chinese hospitals cope with coronavirus, checking visitors’ temperatures, delivering food and medicine, keeping isolated wards clean and even offering a little entertainment. Medical robots can go where human doctors can’t, and process information much faster. But scientists are still only in the very early stages of using AI to treat patients. “There’s still a big gap between this kind of research and the clinical applications,” said Steve Jiang, a professor at…  read on >

A new review shows that protests have now unfolded in every one of the 25 U.S. communities with the highest concentrations of new COVID-19 cases, stoking fears of a spike in new infections. The Associated Press analysis also found that some cities — Minneapolis, Chicago, Washington, D.C., and Los Angeles among them — have witnessed protests on multiple days. In some communities, such as Minneapolis where the protests started, the number of people hospitalized with COVID-19 has also been rising, the news agency added. The close proximity of protesters and their failure in many cases to wear masks, along with police using tear gas, could fuel new transmissions. Tear gas can cause people to cough and sneeze, as can the smoke from fires set by people bent on destruction, the AP said. Both factors can also prompt protesters to remove their masks. Putting arrested protesters into jail cells can also increase the risk of spread, and an AP tally shows that more than 5,600 people have already been taken into custody. Finally, photos of protesters and police shouting at one another nose-to-nose is also sounding alarms, the wire service reported. “As a nation, we have to be concerned about a rebound,” Washington Mayor Muriel Bowser warned Sunday, the AP reported. New York Gov. Andrew Cuomo has also worried out loud that hundreds could potentially have…  read on >