(HealthDay News) — As states across America move through the early phases of reopening their economies, the nation’s top infectious disease expert plans to issue an ominous warning during a Senate hearing on Tuesday: Open too quickly, and “needless suffering and death” will follow. Dr. Anthony Fauci is one of four top health officials who will testify remotely before the Senate Health, Education, Labor and Pensions Committee, the New York Times reported. “The major message that I wish to convey to the Senate HLP committee tomorrow is the danger of trying to open the country prematurely,” he wrote to a Times reporter late Monday night. “If we skip over the checkpoints in the guidelines to ‘Open America Again,’ then we risk the danger of multiple outbreaks throughout the country. This will not only result in needless suffering and death, but would actually set us back on our quest to return to normal.” Fauci is one of three top health officials who have begun to quarantine themselves after being exposed to two White House aides who have been diagnosed with COVID-19. The other officials are Dr. Robert Redfield, director of the U.S. Centers for Disease Control and Prevention; and Dr. Stephen Hahn, commissioner of the U.S. Food and Drug Administration, the Washington Post reported. Fauci said Sunday that he was told his exposure risk was low,…  read on >

Since the coronavirus pandemic began, rates of hospital admission and death from COVID-19 have been significantly higher in men than women. Now, new Dutch research suggests a reason why: Compared to women, men have higher concentrations of a blood enzyme that helps the new coronavirus infect human cells. The enzyme is called angiotensin-converting enzyme 2 (ACE2). “ACE2 is a receptor on the surface of cells,” explained lead researcher Dr. Adriaan Voors, a professor of cardiology at the University Medical Center Groningen, in the Netherlands. His team published their findings May 11 in the European Heart Journal. ACE2 “binds to the coronavirus and allows it to enter and infect healthy cells,” Voors explained in a journal news release. “High levels of ACE2 are present in the lungs and, therefore, it is thought to play a crucial role in the progression of lung disorders related to COVID-19.” Because of the importance of ACE2 in heart failure, the Dutch team was already exploring the enzyme’s role in cardiovascular health long before the new coronavirus appeared on the scene. In their study, the researchers tracked ACE2 concentrations in the blood of almost 1,500 men and more than 500 women. All were older people treated for heart failure at medical institutions in 11 European countries. In a long list of possible factors that might influence ACE2 concentrations in the blood,…  read on >

(HealthDay News) — Even as the country’s top health officials testified to Congress on Tuesday about the dangers of reopening too quickly, a new report shows millions more Americans are now venturing out in public. About 25 million more people went out on an average day last week than did during the six weeks of the U.S. lockdown, a New York Times analysis shows. From March 20, when states began urging people to stay home, to April 30, when many states started easing those restrictions, 43.8 percent of U.S. residents stayed home, the Times analysis showed. But last week, only 36.1 percent of Americans stayed home. The biggest drop in share of people staying home was in Michigan, where stay-at-home orders are actually still in place, the analysis showed. But during testimony delivered remotely on Tuesday to the Senate Health, Education, Labor and Pensions Committee, Dr. Anthony Fauci warned of the dangers of that trend, the Times reported. While more than 82,000 Americans have already perished from COVID-19, Fauci cautioned that the number is likely higher and will spike even more if some parts of the country reopen prematurely, the Times reported. “If that occurs, there is a real risk that you will trigger an outbreak that you may not be able to control,” Fauci testified. That could result not only in “some suffering and…  read on >

Vice President Mike Pence said Tuesday that the White House coronavirus task force will likely disband within a month, even as the number of coronavirus cases climbed passed 1.2 million and the death toll passed 71,000. The slow shutdown will happen because of “the tremendous progress we’ve made as a country,” Pence said during a task force media briefing at the White House on Tuesday. While touring a mask factory in Arizona the same day, President Donald Trump acknowledged that reopening the country will mean more American lives are lost, but “we can’t keep our country closed. We have to open our country.” “I’m not saying anything is perfect,” Trump added, the Washington Post reported. “And, yes, will some people be affected? Yes. Will some people be affected badly? Yes. But we have to get our country open, and we have to get it open soon.” Trump’s statement came a day after an internal report from his administration predicted that reopening will come at a cost: 200,000 new coronavirus cases and 3,000 deaths every day by the end of May. Those projections, based on data collected by various government agencies, far exceed current levels of 30,000 new cases and 1,750 deaths a day, The New York Times reported. Troubling predictions came from more than one source on Monday: A forecasting model from University of Washington…  read on >

The COVID-19 pandemic has done untold economic damage in the United States, with businesses shuttering and people self-isolating at home to try to slow the spread of the highly contagious coronavirus. You might think hospitals and health care systems would be immune to this wave of financial ruin, since there’s no industry more crucial to America’s fight against the pandemic. You’d be wrong. The health care industry experienced an estimated $500 billion reduction in revenue during the first quarter of 2020, said Dr. David Shulkin, a former secretary of Veterans Affairs and former president and CEO of Beth Israel Medical Center in New York City. “There’s no doubt our hospitals, health systems, health care providers in general have taken a significant financial hit during this crisis,” Shulkin said during a HealthDay Live Stream interview. “In general, the average hospital has seen about a 40% to 45% decrease in operating revenue during this period of time.” In response, hospitals and health care companies have announced a wave of layoffs and cutbacks: Mayo Clinic said it will cut $1.6 billion in employee pay after suffering a $3 billion revenue loss, including furloughs or shorter hours for about 30,000 staff members. Quest Diagnostics is furloughing nearly one in every 10 employees, more than 4,000 people, following a decline in testing that’s not related to the coronavirus. These cuts…  read on >

Daily use of inhaler medication by Americans with asthma and chronic obstructive pulmonary disease (COPD) has increased during the coronavirus pandemic, a new study shows. Researchers analyzed data on controller inhaler use by nearly 7,600 patients who use Propeller Health, which uses electronic medication monitors to track inhaler use and alerts patients about missed doses. Between the first seven days of January 2020 and the last seven days of March, mean daily controller inhaler use rose 14.5%. During the last week of March, more than 53% of patients had 75% or greater daily controller medication adherence, up 14.9% from the first seven days of January, according to the study published May 4 in The Journal of Allergy and Clinical Immunology: In Practice. “We are encouraged by the increase in patient adherence to their medications for asthma and COPD, which is critical to avoiding symptoms and keeping patients out of the hospital during this pandemic,” said first author Leanne Kaye, a senior research manager at Propeller Health at the time of the study. Increases in daily controller medication adherence increases were seen in all age groups, with older patients overall showing higher adherence at the start of the study period. There were no significant statistical differences in improved medication use between asthma and COPD patients. “This research further supports that digital health tools can improve adherence…  read on >

Adults who had rough childhoods have higher odds for heart disease. That’s the conclusion from a look at more than 3,600 people who were followed from the mid-1980s through 2018. Researchers found that those who experienced the most trauma, abuse, neglect and family dysfunction in childhood were 50% more likely to have had a heart attack, stroke or other heart problem in their 50s and 60s. The Northwestern University study, published recently in the Journal of the American Heart Association, is the first to examine how childhood family environment affects heart disease risk in older middle age. Children with troubled home lives are at increased risk of stress, smoking, anxiety, depression and physical inactivity that continues into adulthood. That, in turn, can lead to excess weight, diabetes, high blood pressure, vascular dysfunction and inflammation, according to the researchers. “This population of adults is much more likely to partake in risky behaviors — for example, using food as a coping mechanism, which can lead to problems with weight and obesity,” said first author Jacob Pierce, a fourth-year medical student at Northwestern University Feinberg School of Medicine in Chicago. “They also have higher rates of smoking, which has a direct link to cardiovascular disease,” Pierce added in a university news release. These adults may benefit from counseling on the connection between coping with stress and controlling smoking…  read on >

As the world reels from the coronavirus pandemic, researchers say religion may provide protection from so-called deaths of despair, new research suggests. The study, conducted in 2018-2019, found that those who attend worship services once a week are less likely to die by suicide, drug overdoses or alcohol poisoning. “These results are perhaps especially striking amidst the present COVID-19 pandemic,” study lead author Ying Chen, a data scientist at Harvard University’s Institute for Quantitative Social Science, said in a university news release. Previous research has shown that religion may play a part in lowering risks related to despair, such as heavy drinking, substance misuse and suicide, researchers say. “Despair is something that can confront anyone dealing with severe difficulties or loss,” said Tyler VanderWeele, a professor of epidemiology at Harvard T.H. Chan School of Public Health. “While the term ‘deaths of despair’ was originally coined in the context of working-class Americans struggling with unemployment, it is a phenomenon that is relevant more broadly, such as to the health care professionals in our study who may be struggling with excessive demands and burnout, or to anyone facing loss,” he added. “As such, we need to look for important community resources that can protect against it.” For this study, researchers collected data on more than 66,000 women who were part of the Nurses’ Health Study II and…  read on >

Vice President Mike Pence said Tuesday that the White House coronavirus task force will likely disband within a month, even as the number of coronavirus cases climbed passed 1.2 million and the death toll passed 71,000. The slow shutdown will happen because of “the tremendous progress we’ve made as a country,” Pence said during a task force media briefing at the White House on Tuesday. While touring a mask factory in Arizona the same day, President Donald Trump acknowledged that reopening the country will mean more American lives are lost, but “we can’t keep our country closed. We have to open our country.” “I’m not saying anything is perfect,” Trump added, the Washington Post reported. “And, yes, will some people be affected? Yes. Will some people be affected badly? Yes. But we have to get our country open, and we have to get it open soon.” Trump’s statement came a day after an internal report from his administration predicted that reopening will come at a cost: 200,000 new coronavirus cases and 3,000 deaths every day by the end of May. Those projections, based on data collected by various government agencies, far exceed current levels of 30,000 new cases and 1,750 deaths a day, The New York Times reported. Troubling predictions came from more than one source on Monday: A forecasting model from University of Washington…  read on >