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dancingqueendc · 3 years

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Evidence-Based

You "Should Not" Take COVID Vaccine if You Have This Condition, Alerts FDA

You should not get the Pfizer-BioNTech COVID-19 Vaccine if you have the following allergies.

ALEK KORAB

DECEMBER 13, 2020

It's here—the coronavirus vaccine, the "light at the end of the tunnel" and the beginning of the end of this pandemic. With shots mailed out today from Kalamazoo, Michigan, public health experts like Dr. Anthony Fauci are hoping to eventually get at least "75 percent, 80 percent of the population vaccinated" for it to be effective. However, there is a subset of Americans that should not take the COVID vaccine, according to news released today by the Food and Drug Administration. Read on to hear the warning, and to ensure your health and the health of others, don't miss these Sure Signs You've Already Had Coronavirus.

You Should Not Get the Pfizer-BioNTech Vaccine if You Have the Following Issues

In the U.K., where the Pfizer-BioNTech has been available since last week, two medical workers who have a history of extreme allergic reactions had an adverse reaction after receiving the new vaccine, leading U.K. authorities to advise anyone with that condition to not take the vaccine.

01:05 / 01:37

The USA recommends the same.

According to the FDA's official guidelines, "you should not get the Pfizer-BioNTech COVID-19 Vaccine if you:

had a severe allergic reaction after a previous dose of this vaccine

had a severe allergic reaction to any ingredient of this vaccine."

FDA Commissioner Stephen Hahn appeared on State of the Union this morning with host Jake Tapper to discuss this very thing. "Which allergies should and should not prevent Americans from taking the vaccine," asked Tapper.

"Jake, this is so important. We've had a lot of questions," answered Hahn. "And as you can imagine, this is why we do our line-by-line review of the data. So our 'conditions for use'—is what we call them—specifically states that if you have an allergy to any component of the Pfizer BioEnTech vaccine, you should not receive it. We also said that those environments, the places, where the vaccine is going to be given, there should be the tools available to administer medications and support, should someone have a severe reaction allergic reaction."

Hahn added that he didn't feel this was spread for wide concern. "We do not think that this is a, highly frequent issue that will arise, but we do want to be careful because vaccine safety, medical product safety is top of mind for us."

RELATED: 7 Tips You Must Follow to Avoid COVID, Say Doctors

So What's in the Vaccine, so You Can Check the Ingredients?

According to the FDA, "the Pfizer BioNTech COVID-19 Vaccine includes the following ingredients: mRNA, lipids ((4-hydroxybutyl)azanediyl)bis(hexane-6,1-diyl)bis(2-hexyldecanoate), 2 [(polyethylene glycol)-2000]-N,N-ditetradecylacetamide, 1,2-Distearoyl-sn-glycero-3- phosphocholine, and cholesterol), potassium chloride, monobasic potassium phosphate, sodium chloride, dibasic sodium phosphate dihydrate, and sucrose."

[*N.B. phosphates are toxic and carcinogenic chemicals, polyethylene glycol is also a known toxin/carcinogen, per US EPA, California Lists of known toxic substances. FYI, and there's no reason to put any of these toxins in drugs/meds or your body. ~ @dancingqueen biomedical engineering / biochemistry major/pre-med student, for life 1993-now.^you can listen to Dr Mobeen Syed M.D., medical lectures free online and earn CFU/CEUs.]

If you are allergic to any of these ingredients—or worry you may be—discuss them with your medical professional.

Additionally, here's what you should mention to your vaccination providers before you get the Pfizer-Biontech COVID-19 vaccine. Says the FDA: "Tell the vaccination provider about all of your medical conditions, including if you:

have any allergies

have a fever

have a bleeding disorder or are on a blood thinner

are immunocompromised or are on a medicine that affects your immune system

are pregnant or plan to become pregnant

are breastfeeding

have received another COVID-19 vaccine."

RELATED: If You Feel This, You May Have Already Had COVID, Says Dr. Fauci

Dr. Fauci Says those With an Underlying Allergic Tendency Should "Be Cautious"

"If I were a person that had an underlying allergic tendency, I might want to be prepared that I might get a reaction and therefore be ready to treat it," Dr. Fauci said during a talk with CNN's Dr. Sanjay Gupta online, called "COVID-19: Chasing Science to Save Lives." He advised those dealing with it—"that they might be cautious about vaccination, or at least be prepared to respond with some sort of antidote to the allergic reaction."

"Let's say we get 75 percent, 80 percent of the population vaccinated," Fauci said at an online "When Public Health Means Business" event sponsored by the Harvard T.H. Chan School of Public Health. "If we do that, if we do it efficiently enough over the second quarter of 2021, by the time we get to the end of the summer, i.e., the third quarter, we may actually have enough herd immunity protecting our society that as we get to the end of 2021, we can approach very much some degree of normality that is close to where we were before."

As for yourself, follow Fauci's fundamentals and help end this surge, no matter where you live, until we're all widely vaccinated—wear a face mask, social distance, avoid large crowds, don't go indoors with people you're not sheltering with (especially in bars), practice good hand hygiene and to protect your life and the lives of others, and don't visit any of these 35 Places You're Most Likely to Catch COVID.

ALEK KORAB

If You Feel This, You May Have Already Had COVID, Says Dr. Fauci

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aalt-ctrl-del · 4 years

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this is a site I go to for up to date info on corona virus. It has an interactive, easy to jostle map where I can check cases by county, infected and those that have passed.

The most important statistic are the recovery ratio, because in the recovery ratio we have a percentile for who has become a long-hauler, and those who are due for reinfection. The surge in cases does follow pyschographic trends, as in human behavior and practices given the shift in our current political climate (or lack of narrative).

I needed these maps because I’m rooting for a trend for the infections. I theorize that once you’ve had covid, there is a period of time where you can relapse or be due for reinfection. Covid may have that immunity period if a person recovers from it (3 - 5 months). In the case of covid, I’ve always speculated that a person can contract it and carry it for 2 weeks, usually if you become infected with covid symptoms can onset very suddenly, within a 2 day period; at the end of the 2 week period, if you have not presented symptoms, then you might not have it.

I say, you might could still have it, but the covid hasn’t replicated to present symptoms of a pneumonia or other respiratory distress symptoms that come with extreme covid distress. Covid does NOT ALWAYS ATTACK THE LUNGS AND RESPIRATORY TRACT, but it is very capable of infection tissue and capillaries rich in iron or red blood cells - the lungs are usually preyed upon. But so is the liver, kidneys, and intestines - typically soft tissue. It can also infect the neurons of the brain, and optical receptors. It is a systemic disease, which feeds primarily on hemoglobin.

Now the point of my theory and the immunity, given that covid infects soft tissue easily - covid can go dormant or the body can attack covid cells with enough force to alleviate symptoms. At this point, if appropriate antibodies form, then the virus can be neutralized completely. However, the doctor will always tell you to take your medicine regularly, until it’s depleted - if symptoms persist, come back. Even if you feel better, take all of your meds or the viral pathogen will learn and become resistant to antibiotics. This makes the super viruses we are familiar with, which are difficult to kill out completely and usually require a specific medication specialized for this nefarious infectious naughty boy.

The same goes for the covid virus. Except, I pose that this virus has a unique failsafe where it goes dormant if it detects its cells are being reduced in a host body. Or, the host body attacks what it determines is the prominent threat, without recognizing what the actual threat is - this goes to explain cytokine storms, or the autoimmune response where the body just loses its damn mind and attacks cells harboring covid cells. It is violent and hostile, like maga people, and this autoimmune response is a high mortality rate among those infected with covid.

The trends I search for in the covid maps follow the surge in cases, omitting the human factor of people just denying that the virus is real. There is the factor I come to which described the virus load, or coming in contact with high amounts of virus in an area that has limited to no circulation, air flow, or sunlight - areas such as congested cities, stores, and lots of people mingling together. The virus load may contribute to covid complications and death in some locations, rather than the lifestyle choices of individuals involved. Though lifestyle choices are a contributing factor, it is only a portion of what causes cases to surge.

Contact with the covid virus does not mean automatically infection. A cell of covid may not infect a person, the body might recognize the invading cell and dispose of it. However, white blood cells not experienced with a new virus may not react so quickly to a potential threat, and the more virus that enters the body the higher likely hood of an infection. That there is basic biology and virology. Now let me talk about how you should always finish your medication to end a cold, or, let me encourage people to be cautious if they got past the 2 week threshold of “I can’t believe Its not covid”.

Covid reinfection is a real possibility. Covid relapse is a possibility. If you are someone who had a hard time recovering from covid, DO NOT think you are immune or you should go out and celebrate - this has killed people. Even if you start to feel better from a wussy little cold, take the rest of medication because that is what you are supposed to do. If you suspect you have or had covid, take every precaution to keep YOURSELF safe, and others safe. Clean. Your. Home.

If covid has not been cleaned out from your body completely, then a second infection from another covid batch will weaken your already taxed immune system. And this is where I am looking, when I evaluate the surge in cases. A person recovers from covid and believes they have gained perpetual immunity, forever; while the cells might be dormant or killed out to the point the person feels very good. A second infection occurs, wherein the cells overtake the body and pushes the person into worse shape than before. Or, covid complications, from a previous unresolved infection. I don’t have statistics of those that might have had mild covid but recovered - I label these individuals as developing anti-bodies that are short lived. However, in this individual where covid was not viewed as a threat and t-cells did not imprint on the virus, then it is a higher likely hood that a second infection with covid will be more severe than the first, because the body did not recover fully in some undetermined way. I labeled this as the white blood cells disposing a compromised cell, but covid cells still exist and began replicating in a lull in the bodies immune response.

Reinfection with covid, by speculation, may be cause for what we see in rising cases. This is inconclusive, as we can also say that there are more infections of covid and thus its an exponential increase in a population. However, it was documented early on that some people do not fell into severe covid complications, and recover without realizing they had covid in the first place.

The major difference between the Spanish pandemic, and the covid virus, is that the Spanish flu DID GRANT IMMUNITY for a year, to those that recovered from it. However, the corona virus is illusive in the body, very successful as viruses go because it does not make the host carrier ill all at once. Immunity for the corona virus is short lived, if it does develop. It’s the factor that this virus is adapt at concealing itself masterfully in red blood cells, and replicates itself so efficiently - and then it primes its host carrier for reinfection, reinfection, and reinfection. It is the people who do not take this virus seriously, who are it’s primary food source. And there is no shortage of food, for corona.

#coronavirus #corona virus #virus #covid-19 #covid19 #covid #covid 19 #corona #rona #covid map #center for disease control #CDC

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cometsweepandleonidsfly · 5 years

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“At a June campaign stop in New Hampshire, Williamson argued against mandatory vaccination, calling it “Orwellian” and “draconian.” “To me, it’s no different than the abortion debate,” she said. “The US government doesn’t tell any citizen, in my book, what they have to do with their body or their child.” She apologized for these comments in a subsequent statement, claiming she personally supports vaccination, but she has a long history of promoting skepticism on the subject (something Trump has done as well).Anti-vaccine sentiment is easy to spread through social media and difficult to rebut once it takes hold. The more Williamson’s views get attention, the more validation she gets, and the more likely it is that she’ll contribute to the problem — convincing individual parents that it’s okay not to vaccinate their children, which weakens herd immunity and makes outbreaks like the recent measles emergence in New York more likely.

Moreover, as the Washington Post’s Gillian Brockell notes, Williamson has spread misinformation about illness more broadly. In her book A Return to Love, Williamson wrote that “sickness is an illusion and does not exist,” and that “cancer and AIDS and other physical illnesses are physical manifestations of a psychic scream.” She advised her followers that “seeing sickness as our own love that needs to be reclaimed is a more positive approach to healing than is seeing the sickness as something hideous that we must get rid of.”

Elsewhere in the book, she insists that she’s not saying people shouldn’t take medication. But the upshot of these passages seems to be that people with cancer or AIDS can will themselves back to health. Williamson’s denial “that I ever told people who got sick that negative thinking caused it” is hard to square with the quotes from her book, part of a habit of obfuscating and downplaying her worst statements when called on them during the campaign.

But the rhetoric that bothers me the most — on a visceral, personal level — is Williamson’s repeated attacks on antidepressants.Williamson has repeatedly cast doubt on the idea that clinical depression is real, calling the idea “such a scam” in an interview with actor Russell Brand and labeled antidepressants harmful, a cause of suicide rather than a cure for it. Here’s a sampling of this rhetoric compiled by podcast host Courtney Enlow:

http://twitter.com/courtenlow/status/1156527208544034817

Williamson has apologized for the “scam” comment and tried to walk back some of the more heated tweets. She also argued that her issue is not with using antidepressants per se, which she claims to at times support, but rather with their overprescription of them.

But her rhetoric has for some time gone way beyond such reasonable concerns in a way that makes her walkbacks ring hollow. She has argued that antidepressants are often actively harmful, suggested that they caused Robin Williams and Kate Spade to kill themselves (there’s no evidence for either claim), and has insinuated that Big Pharma is pushing antidepressants on Americans who don’t need them.

Now, there is serious debate among mental health experts on just how effective antidepressants are and whether they’re overprescribed. And Williamson is correct to say that people sometimes get diagnosed with depression when they’re actually just sad, and that antidepressants aren’t a cure-all for sicknesses of the soul. But her rhetoric has at times crossed the line into more pernicious territory, casting doubt on the value of taking such drugs altogether.

There’s clear evidence that antidepressants can help at least some patients; a 2018 meta-analysis in The Lancet that surveyed 522 separate trials conducted on a total of 116,477 individuals confirmed that “all antidepressants were more effective than placebo.“ The trouble for patients with clinical depression is a lot of them don’t want to get help: Mental illness is still stigmatized by a lot of people.

I know this is real because I’ve lived it. Starting around 2014, I started to suffer from clinical depression. Depression makes even the smallest effort, like calling a psychiatrist’s office, feel like climbing Mt. Everest. Nothing seems like it will work; everything seems destined to fail.

I’m better now — not cured, but better. Medication helped me improve, and it helps me regulate to this day. But when I was really in the ditch, anything that fed what my depression was telling me — nothing you can do will make you better — would have erected another barrier to getting help. I didn’t encounter Williamson-type arguments during my worst time, but it’s easy for me to see how this kind of rhetoric could serve as depression’s agent, worming into a depressed person’s brain in a way that might cause them to avoid something that could literally save their life.

This isn’t just my anecdotal experience but the view of actual mental health professionals. “Mental health experts say comments like [Williamson’s] can increase stigma and make people less likely to seek treatment, even if that is not the intention,” Maggie Astor writes in the New York Times.

Marianne Williamson isn’t funny or charmingly weird — at least, not after you think about her for a bit. The effect her rhetoric could have on vulnerable people is scary.

Let’s be clear about something: There’s almost no chance that Williamson is going to win the Democratic nomination in the same way Trump won in 2016. She’s not nearly as famous as Trump was, not polling well enough, and can’t tap into base racial grievance the way Trump can.

But just because she won’t win doesn’t mean she can be treated as a funny sideshow.

When a presidential candidate gets massive media attention, there is always a surge of interest in what they think and believe. Their past writing gets read more, they get more chances to spread their ideas via America’s biggest megaphones, and they can even parlay their post-candidacy notoriety into more impressive and high-profile positions.

What this means, in Williamson’s case, is a greater opportunity to attract more followers and adherents to her worldview. It’s not that she’s bringing up her dodgy ideas about depression and vaccines in debates — at least not yet — but rather that all the people who are Googling her after watching the debate or reading a positive article about her performance are likely to encounter her old rhetoric for the first time. They’ll hear her past lines about how it’s okay not to get vaccinated, how “sickness is an illusion,” and how antidepressants are dangerous and pushed on you by Big Pharma.

The more people hear these things, the more likely people are to believe them. The media’s elevation of Williamson gives her a significantly greater set of opportunities to influence people’s views on health in a potentially harmful manner.

This is irresponsible. I get that she’s funny and kooky, and even sometimes says things that make sense (like the need to confront the emotional character of Trump’s racial appeals). She’s getting a lot of attention from the public, giving every media outlet — including Vox — an incentive to cover her. But none of that outweighs the potential damage she can do to real lives by giving parents license to skip vaccination or convincing a person with depression that they don’t need to take their meds. Elevating Williamson, especially through favorable coverage, subtly mainstreams these views.

Even more fundamentally, it suggests that a lot of the mainstream media hasn’t learned the lessons of 2016.

One of the key reasons that Trump was able to break from the GOP pack so decisively is that he absolutely dominated press coverage. His persona was undeniably entertaining, his substantive views equally offensive — both of which generated large TV audiences and clicks for news websites. One 2016 study found that Trump got nearly $2 billion in free media during the primary season alone, due to the inordinate press focus on him.

One of the media’s cardinal failures in 2016 was giving Trump, an ignorant and dangerous candidate, far more attention than he deserved — because he was entertaining and almost no one thought he could win. What happened afterward is a lesson in American journalism’s failure to appreciate the importance of its gatekeeping role in the country’s political system.

Williamson is a test of what, exactly, the mainstream media has learned from the Trump debacle — and it’s one that many are failing.”

#marianne williamson #2020 candidates #mental health #anti-vaxxers

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dailynewswebsite · 3 years

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10 reasons why Anthony Fauci was ready to be the face of the US pandemic response

Fauci is an achieved scientist who additionally excels at connecting with the general public. AP Photograph/Cliff Owen

His name to “Put on a masks” tops an inventory of 2020’s notable quotes. Brad Pitt portrayed him – and praised him – on “Saturday Night time Dwell.” Time journal named him a 2020 guardian of the yr. Amazon options seven pages of T-shirts, mugs and extra emblazoned along with his face.

Longtime director of the Nationwide Institute of Allergy and Infectious Ailments Anthony S. Fauci has been in all places in 2020.

Though maybe solely not too long ago a family title, Fauci isn’t any Tony-come-lately. Over the previous 4 many years he’s performed distinguished roles as a scientist, doctor, administrator and spokesman. what he’s been as much as over the previous a number of months. However what of his earlier almost 80 years? And what made him the determine he has change into?

From Brooklyn to Washington

Fauci, son of a pharmacist, was born in Brooklyn on Dec. 24, 1940. He attended Regis Excessive, a tuition-free Jesuit boys’ faculty. Obsessed with basketball, he captained the highschool crew – regardless of his peak of 5 toes 7 inches.

He then attended the School of the Holy Cross, in Massachusetts, selecting a premedical main combining humanities and science. He graduated first in his class from Cornell College Medical School and went on to finish a medical residency.

The Vietnam Warfare was underway, and male med faculty graduates had been required to serve their nation. One possibility was the U.S. Public Well being Service, which incorporates the Nationwide Institutes of Well being, primarily based outdoors Washington, D.C. Fauci entered a extremely selective coaching program there. He’s labored at NIH primarily ever since.

At NIH, Fauci initially carried out specialised analysis on the immune system and associated uncommon ailments – for instance, one now termed granulomatosis with polyangiitis, through which blood vessels within the respiratory system and kidneys change into infected. His work led to efficient remedy of those beforehand largely deadly situations.

The age of AIDS

Because the 1980s arrived, what got here to be referred to as AIDS emerged. Fauci quickly redirected his analysis to give attention to the brand new illness. He accepted the directorship of NIAID in 1984, partially to extend its emphasis on AIDS.

Protesters demonstrating on the Nationwide Institutes of Well being, Might 21, 1990. AP Photograph/Bob Daugherty

Whereas persevering with analysis and affected person care, Fauci as institute director entered different realms. He testified repeatedly earlier than Congress. He gained visibility within the media. He was confronted by AIDS activists – and finally included them in setting priorities for growing therapies. Doing so set a precedent for involving sufferers in choices about analysis on their ailments.

Fauci’s management has expanded over time. He was among the many important architects of the President’s Emergency Plan for AIDS Aid, or PEPFAR, a serious program begun below President George W. Bush in 2003, to assist management AIDS internationally. He offered management relating to responses to bioterrorism and to SARS, Zika and Ebola. He’s a member of the Trump administration’s White Home Coronavirus Job Pressure, and he has accepted President-elect Joe Biden’s invitation to function chief medical adviser.

Prolific in publication

Alongside the way in which, Fauci has authored or co-authored properly over 1,000 journal articles, together with greater than 500 about AIDS. Of the articles, strikingly many appeared in high journals reminiscent of Science, Proceedings of the Nationwide Academy of Sciences and the New England Journal of Drugs. Fauci additionally is likely one of the editors of a serious medical textbook.

Through the years Fauci printed on matters that attest to his readiness for the coronavirus: previous pandemics in addition to rising infectious ailments and find out how to confront them, even find out how to conduct scientific trials within the midst of an outbreak.

A current research ranks Fauci because the 32nd most extremely cited dwelling researcher. His papers have been cited greater than 50,000 occasions by different publications, and his journal articles have been talked about tens of hundreds of occasions in social media.

Sources of success

Clearly, Fauci is a remarkably profitable scientist and a extremely seen public determine. What components appear to have contributed? Listed below are 10.

Smarts: Clearly Fauci is awfully vibrant and educated. He has studied each science and humanities. The combo has fostered proficiency in lab and clinic, talent in communication and a capability to navigate the halls of energy.

Integrity: “I imagine I’ve a private duty to make a optimistic impression on society,” he has said. “I’ve tried to perform this objective by selecting a lifetime of public service.” Robust values have directed his selections, reminiscent of that to stay at NIAID regardless of provides to change into director of NIH or take extra profitable positions elsewhere.

Empathy: Fauci’s values embrace concern for others’ well-being. Upon being confronted by AIDS activists, he mentioned, “I noticed individuals who had been in ache.” He cared for, and about, folks with AIDS even whereas the illness nonetheless was tremendously stigmatized.

Flexibility: Fauci can pivot. He redirected his work with the emergence of AIDS, contributing importantly to the understanding and remedy of the illness. Regardless of insults from AIDS activist Larry Kramer, he developed a productive alliance and heat friendship with him.

Vitality: Fauci has an distinctive work ethic and is blessed with wonderful vitality. Account after account particulars the staccato tempo of his ultra-long days – rising earlier than daybreak, speeding from dedication to dedication with barely a break and answering e mail till late at evening.

Trustworthiness: Fauci has earned credibility – by means of analysis and publication, impression on affected person well being and lengthy service. In his communications, his values preserve him specializing in the info. An essay within the Washington Put up phrases him “the singular referee the nation trusts” throughout the pandemic.

Connections: Adviser to 6 U.S. presidents and the present president-elect, Fauci has considerable ties in Washington amongst each politicians and the media. Some science reporters have coated his work for the reason that 1980s.

Communication: Termed “the explainer-in-chief of the coronavirus epidemic,” Fauci is a grasp communicator. He is aware of how the media perform. He explains clearly. He speaks in sound bites – suppose “we’re doubtless going to see a surge upon a surge” of instances after the Thanksgiving vacation – and his feedback are tweetable. He’s accessible to the press. He listens in addition to speaks.

Recognizability: Fauci has a particular look and voice. His title is uncommon but not unwieldy.

Teamwork: “It’s nearly not possible to do something significant with out both main a crew or being a part of the crew,” Fauci has mentioned. A photograph of Fauci’s lab group reveals some 80 members, together with senior researchers. Extremely regarded for his mentorship, Fauci even made himself accessible to an undergrad writing a thesis – after which commented extensively on the completed product.

Fauci discovered time to throw out the ceremonial first pitch at a Main League Baseball sport in July 2020. AP Photograph/Andrew Harnik

In some ways, Fauci has been the face of the combat in opposition to COVID-19 within the U.S. “If we’re going to get by means of this, we’ve obtained to all pull collectively as a rustic,” Fauci has said. His blunt, evidence-based strategy has helped make him well-known in 2020. Optimistically, he can cleared the path to controlling COVID-19 in 2021.

[Get facts about coronavirus and the latest research. Sign up for The Conversation’s newsletter.]

Barbara Gastel doesn’t work for, seek the advice of, personal shares in or obtain funding from any firm or group that might profit from this text, and has disclosed no related affiliations past their tutorial appointment.

from Growth News https://growthnews.in/10-reasons-why-anthony-fauci-was-ready-to-be-the-face-of-the-us-pandemic-response/ via https://growthnews.in

#Growth News

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newstfionline · 3 years

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Tuesday, December 8, 2020

Mass Transit Faces Huge Service Cuts Across U.S. (NYT) In Boston, transit officials warned of ending weekend service on the commuter rail and shutting down the city’s ferries. In Washington, weekend and late-night metro service would be eliminated and 19 of the system’s 91 stations would close. In Atlanta, 70 of the city’s 110 bus routes have already been suspended, a move that could become permanent. And in New York City, home to the largest mass transportation system in North America, transit officials have unveiled a plan that could slash subway service by 40 percent and cut commuter rail service in half. Across the United States, public transportation systems are confronting an extraordinary financial crisis set off by the pandemic, which has starved transit agencies of huge amounts of revenue and threatens to cripple service for years. The financial collapse of transportation agencies would especially hurt minority and low-income riders who tend to be among the biggest users of subways and buses.

Some Colleges Plan to Bring Back More Students in the Spring (NYT) It was a tough fall semester for many American colleges and universities, with declining enrollment, canceled classes and sporting events, widespread Zoom fatigue and enough coronavirus-infected students nationwide to fill three and a half Rose Bowls. But many university officials say that lessons from the fall will allow them to do something many experts considered unthinkable a few months ago: bring even more students back onto campus in January and February, when classes resume for the spring. The University of California, San Diego, for instance, is making room for more than 11,000 students in campus housing—about 1,000 more than it housed in the fall. The University of Florida is planning to offer more face-to-face classes than it did before the pandemic. And Princeton University, which let only a few hundred students live on campus last semester, has offered space to thousands of undergraduates. The determination to bring back more students, even as the pandemic is surging in many states, partly reflects the financial imperative to have more students paying room and board, as well as the desire to provide something resembling a college experience. But there is also an emerging confidence among at least some college administrators that they have learned much about managing the pandemic on their campuses.

Schools confront ‘off the rails’ numbers of failing grades (AP) The first report cards of the school year are arriving with many more Fs than usual in a dismal sign of the struggles students are experiencing with distance learning. School districts from coast to coast have reported the number of students failing classes has risen by as many as two or three times—with English language learners and disabled and disadvantaged students suffering the most. “It was completely off the rails from what is normal for us, and that was obviously very alarming,” said Erik Jespersen, principal of Oregon’s McNary High School, where 38% of grades in late October were failing, compared with 8% in normal times. Educators see a number of factors at play: Students learning from home skip assignments—or school altogether. Internet access is limited or inconsistent, making it difficult to complete and upload assignments. And teachers who don’t see their students in person have fewer ways to pick up on who is falling behind, especially with many keeping their cameras off during Zoom sessions.

Congressional crunch time (Foreign Policy) The U.S. Congress heads into what Politico has described as “hell week” as lawmakers attempt to pass a coronavirus relief act, defense bill, and reach a government funding agreement before a Dec. 11 deadline. A $908 billion coronavirus relief bill, negotiated over the weekend by a bipartisan group, will include a $300 weekly federal unemployment benefit, but stops short of reissuing $1,200 checks, last seen in May. Congress is expected to pass a defense spending bill on Tuesday. However, since it does not repeal Section 230 of the Communications Act as President Trump has demanded, it may face a presidential veto.

Mexican president wants to restrict US agents in Mexico (AP) Mexico’s President Andrés Manuel López Obrador has tossed another hot potato to U.S. President-elect Joe Biden with a proposal that would restrict U.S. agents in Mexico and remove their diplomatic immunity. The proposal submitted quietly this week by López Obrador would require Drug Enforcement Administration agents to hand over all information they collect to the Mexican government, and require any Mexican officials they contact to submit a full report to Mexico’s Foreign Relations Department. “The proposal is that foreign agents will not have any immunity,” according to a summary of the president’s proposal to the Mexican Senate published Friday. In most countries, the chief DEA agent in the country often has full diplomatic immunity and other agents have some form of limited or technical immunity. “The proposal requires that foreign agents give Mexican authorities the information they gather,” according the proposed changes. Mike Vigil, the DEA’s former chief of international operations, said of the handover of all information, “That is not going to happen.”

Should a coronavirus vaccine be mandatory? In Brazil’s most populous state, it will be. (Washington Post) The words couldn’t have been any clearer. In the most populous state in Brazil, anchored by the largest city in the Americas, getting vaccinated against the coronavirus won’t be a question of personal volition. It will be mandatory. “I’ve guaranteed that the 45 million Brazilians here in São Paulo will be vaccinated, and the vaccine will be obligatory,” Gov. João Doria told reporters in a slow, deliberate cadence. “We will take legal measures if there are any setbacks in this regard.” As countries race to approve the first round of coronavirus vaccines—including Britain on Wednesday authorizing the Pfizer vaccine—governments, businesses and civil institutions are grappling with an increasingly urgent question: Should it be required? The prospect of forcing people to take it has proved to be a delicate matter, pitting individual rights against collective need, personal inclination against social responsibility. Some public health officials argue that mandatory vaccination is the only way to vanquish the coronavirus and—compared with lockdowns and travel restrictions—far less burdensome. Other experts—and the majority of government leaders—say the opposite: The vaccine can’t be mandatory. People need to make their own decisions.

EU weighs up sanctions against Turkey in east Med gas dispute (Reuters) European Union foreign ministers evaluated grounds on Monday for sanctions against Turkey over a Mediterranean gas dispute before the bloc’s leaders decide at a summit on Dec. 10-11 whether to make good on their threat to impose punitive measures. Turkish President Tayyip Erdogan said his country would not “bow down to threats and blackmail” but repeated his call for negotiations over the conflicting claims to continental shelves and rights to potential energy resources. Tensions flared in August when Turkey—a NATO ally and candidate for EU membership—sent a survey vessel to map out energy drilling prospects in waters also claimed by Greece. EU leaders told Turkey in October to stop exploring in the disputed eastern Mediterranean waters or face consequences. France and the European Parliament, which formally called for sanctions on Nov. 26, say it is time to punish Turkey, which is seen in Brussels as fuelling the dispute for domestic political reasons.

Pope: ‘No pandemic can turn off the light of Christmas’ (Vatican News) There is no pandemic or crisis that can turn off the light of Christmas, Pope Francis affirmed, as he greeted the faithful present in St. Peter’s Square and following through the media during the Sunday Angelus. Noting that the Vatican’s Christmas tree has been erected in the Square and that the Nativity Scene will soon be unveiled, the Pope said that in many homes “these symbols of Christmas are being set up to the delight of children,” and also to the delight of those who no longer are children. “They are symbols, or signs of hope, especially during this difficult time,” he said, and he invited Christians not to stop at the symbols, but to go beyond and understand their meaning: “Jesus, the love of God, who was revealed to us to reach that goodness which has been poured out on the world.” And assuring us all that no pandemic or crisis can “turn off that light,” Pope Francis said: “Let us allow it to enter into our hearts and reach out toward those who are most in need.” Thus, he concluded: “God will once again be born in us and in our midst.”

India’s farming strike (Foreign Policy) Farmers in India called for a nationwide strike starting Tuesday, vowing to intensify protests against controversial new agriculture laws. The government argues that the new laws passed in September would allow farmers to sell produce directly to corporations, but farmers—the majority of whom are smallholders—fear that it will remove safeguards from exploitation. Protesting farmers blocked roads and railways in India’s north before converging on New Delhi last month. With some 60 percent of the Indian population dependent on agriculture, the backlash poses a real test for Prime Minister Narendra Modi’s government. Talks aimed at resolving the standoff failed on Saturday, as protest leaders have rejected the government’s offer to amend the laws, calling instead for a complete repeal of the legislation.

Rules of engagement (Foreign Policy) A new report by Brown University’s Costs of War Project finds that a 2017 U.S. Department of Defense relaxation of rules of engagement in Afghanistan coincided with a 95 percent increase in the number of civilian deaths caused by U.S. and allied airstrikes compared to the previous ten years. The report also found that 700 Afghan civilians were killed by airstrikes in 2019, the most killed in any year since the war began in 2001.

New roads pave way for massive growth of Israeli settlements (AP) In the coming years, Israelis will be able to commute into Jerusalem and Tel Aviv from settlements deep inside the West Bank via highways, tunnels and overpasses that cut a wide berth around Palestinian towns. Rights groups say the new roads will set the stage for explosive settlement growth, even if the incoming U.S. administration somehow convinces Israel to curb housing construction. The costly infrastructure projects signal that Israel intends to keep large swaths of the occupied territory in any peace deal and would make it even harder to establish a viable Palestinian state. “This is not another hundred housing units there or here,” said Yehuda Shaul, an Israeli activist who has spent months researching and mapping out the new projects. “This is de facto annexation on steroids.”

Facing War, Virus and Locusts, Ethiopia’s Once-Golden Economy Loses Its Luster (WSJ) For the past decade Ethiopia has boasted of one of the world’s fastest-growing economies, welcoming billions of dollars in foreign direct investment from the U.S. and China and lifting more than 20 million people out of poverty. Now, a monthlong civil war, coronavirus lockdowns and historic locust infestations have left the once-golden economy stumbling, as it grapples with one of Africa’s most perilous debt loads, soaring inflation and the risk of a protracted insurgency. Fighting between government forces and the rebel Tigray People’s Liberation Front has paralyzed much of northern Ethiopia, shaking a nation of 110 million people long seen as a symbol of stability in a volatile region.

Earth just notched its warmest November, as 2020 closes in on record for hottest year (Washington Post) The planet just had its hottest November on record, and 2020 may end up beating 2016 for the ignominious title of the warmest calendar year. The numbers come from the Copernicus Climate Change Service, a program of the European Commission, which is the first of several temperature tracking agencies to report temperature data for November and the first 11 months of the year. According to Copernicus scientists, global average temperatures during November were 1.4 degrees (0.77 Celsius) above 1981-2010 levels, beating the previous warmest November by a large margin. Australia had its hottest November, which featured multiple severe heat waves, and persistently above-average temperatures continued in Siberia and the Arctic. Meanwhile, Norway, Sweden and England set national records for their hottest November. Cooler-than-average temperatures were seen in parts of Africa, Kazakhstan, Canada, West Antarctica and parts of the tropical Pacific Ocean, where a La Niña event is underway. The presence of La Niña tends to put a damper on global average surface temperatures, and the fact 2020 is headed toward a record or near-record finish anyway can be viewed as an indication of global warming’s increasingly overt influence.

#headlines #news

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covid19updater · 4 years

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COVID19 Updates: 11/25/2020

Sweden: Sweden admits it is seeing no sign of herd immunity slowing the spread of Covid-19 as number of cases soars. As of Tuesday, Sweden has registered 17,265 new coronavirus cases since Friday. Its death rate per-capita is several times higher than its Nordic neighbours. Sweden's healthcare watchdog condemned the way elderly have been treated. The IVO noted how some elderly people were left to die without a medical exam

UK: British Government advisory body says UK 3rd wave likely in January

US: Projection: UTTERLY SOBERING—cases rising so fast that we will likely see 3000 deaths a day by end of year. That is one 9/11 death toll *per day*!

World: UPS increasing dry ice production, freezers for COVID-19 vaccine LINK

Europe: Poland, Russia, Germany reporting record deaths today

Maine: Maine reports 12 more deaths and record-high 255 new cases as pandemic accelerates LINK

Mexico: The official count shows 100,000 deaths, but there are more than 260,000 deaths from the pandemic LINK

Germany: GERMAN CHANCELLOR MERKEL TOLD STATE LEADER THAT FEDERAL GOVERNMENT CANNOT MAINTAIN CURRENT LEVEL OF CORONA-LINKED FINANCIAL SUPPORT FOR ECONOMY THROUGHOUT WINTER - BILD

Canada: Dear USA, Our thanksgiving in Canada was October 12, we had 975 new covid cases nationwide. Yesterday we had 7052. Don't do it, you can’t afford to have 8 times the amount of cases you have right now. From your friends north of the border

Japan: Tokyo governor: "Leave the house only if necessary" The Tokyo governor has urged residents to avoid non-essential outings and asked companies serving alcohol to close earlier to cope with the new increase in Covid-19 cases in the country. Japan has had a relatively small outbreak overall, with just over 2,000 deaths and 135,400 confirmed cases, and has not imposed the strict lockdowns seen elsewhere. But now it is fighting a third wave, recording a record number of daily infections nationwide in recent days

France: Disneyland Paris closed until February 12th

Czech Republic: The Czech Republic has passed the threshold of half a million proven corona infections. The health authorities reported an increase of 5,854 cases within 24 hours to a total of 502,534 on Wednesday

Sweden: Covid cases are still rapidly increasing among the elderly (70-79, 80-89, and 90+) in Sweden. Very concerning. I'm no longer "confident" about my forecast of 100+ deaths/day by Christmas. This is now absolutely certain.

Italy: Italy has recorded a high number of corona deaths since March of this year. The Ministry of Health in Rome announced on Tuesday that just over 850 people died from or with the corona virus within 24 hours

Poland: reports record 674 new coronavirus deaths - New cases: 15,362 - Positivity rate: 31.7% (+1.6) - In hospital: 22,119 (-286) - In ICU: 2,073 (-22) - New deaths: 674

Indiana: Indiana health system gets refrigerated truck to store bodies as COVID-19 deaths rise LINK

US: White House coronavirus task force calls for 'significant behavior change of all Americans' LINK (Good Luck with all that...People are stupid and selfish)

Canada: How one family visit led to 40 cases of COVID-19 in Chatham-Kent. LINK

US: The third wave of COVID-19 deaths in long-term care facilities continues, as cases increased at twice the rate of the nation’s total cases. Deaths reached 97,190, and will likely surpass the 100,000 mark this Thanksgiving week.

Florida: At Disney World, most people wear masks, but theme park scuffles still erupt over COVID-19 rule LINK (But wait...i thought it was the Happiest Place on Earth...my ass)

Russia: Russia registers record COVID-19 deaths for 2nd day 1st time since beginning of pandemic daily death toll in Russia exceeds 500

World: SARS-CoV-2: lab-origin hypothesis continues to gain traction LINK

New York: New York reports 6,265 new coronavirus cases, biggest one-day increase since April - New cases: 6,265 - Positivity rate: 3.6% (+0.6) - In hospital: 2,982 (+126) - In ICU: 596 (+37) - New deaths: 41

World: Lid abscess associated with personal protective eyewear in a COVID-19 medical unit LINK

Texas: This 70-year-old left retirement to teach nursing students. She died from COVID-19 three months later LINK

Arizona: NEW MODELS: The Arizona modeling team had to update their hospitalization projections because the data is accelerating. "Arizona is likely to exceed currently available ICU and med-surg bed capacity in early December." Last week's model estimated mid to late December.

Ohio: reports record 156 deaths & record 417 new hospitalizations

US:. COVID update: Nearly 2,300 new deaths, highest since May - New cases: 183,601 - Positivity rate: 10.7% (+1.4) - In hospital: 89,954 (+1,874) - In ICU: 17,526 (+399) - New deaths: 2,285

US: Dr. Fauci says he's worried about what coronavirus case numbers will be 3 weeks after Thanksgiving LINK

South Korea: reports 583 new coronavirus cases, highest since March

South Korea: Locked up abroad: One traveler’s experience inside South Korea’s mandatory 14-day quarantine LINK

Ohio: Walmart customer pulls out brass knuckles after refusing to wear mask inside Ohio store, police say LINK

Pennsylvania: It's a dash to Pennsylvania liquor stores ahead of Thanksgiving eve alcohol ban LINK

Washington: Despite doctor’s determination, Spokane mom doesn’t believe COVID killed her daughter LINK

World: Disney to lay off 32,000 employees in first half of fiscal 2021, document says LINK

World: AstraZeneca manufacturing error raises questions about vaccine study results LINK

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wsmith215 · 4 years

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Coronavirus and the Flu: A Looming Double Threat

Uncertainty about the future seems to be the one sure thing in the coronavirus pandemic. No one knows if COVID-19 will persist at its current pace or if recent increased interactions among people will spawn an onslaught of smaller outbreaks or a larger second wave. But a few things are clear: The virus that causes the disease is likely to continue circulating through the population until there is a vaccine. And flu season is only a few months away.

The overlap of COVID-19 and influenza has epidemiologists and some policy makers concerned. The U.S. may soon face two epidemics at the same time, they worry, and this combination could precipitate a crisis unlike any other. “The worst-case scenario is both [the coronavirus and the flu] are spreading fast and causing severe disease, complicating diagnoses and presenting a double burden on the health care system,” says Marc Lipsitch, an epidemiologist at Harvard University. A few states are planning for extra capacity in hospitals to deal with both illnesses.

Yet another, more favorable future also might be possible as these viruses cross paths, Lipsitch and other infectious disease forecasters say. The behavioral changes people have already adopted to flatten the curve of COVID-19—such as social distancing, hand washing, and mask wearing—could lessen the impact of the flu.

“It is hard to predict,” says Sarah Cobey, an epidemiologist at the University of Chicago. Not only is it unknown whether the coronavirus will ebb and flow as seasons change, but “what’s really hard is that I don’t have a good forecast for human behavior and policy decisions that are going to be made over the next couple of months,” she says.

Jeffrey Shaman, an epidemiologist at Columbia University, says if SARS-CoV-2 follows seasonal patterns like some other coronaviruses and influenza viruses do, it could subside in the summer. “But that could come back to haunt us,” he adds. “We might get complacent; we might not be prepared.” Four flu virus pandemics over the past 100 years—H1N1 in 1918, H2N2 in 1957, H3N2 in 1968 and H1N1 in 2009—had a deadly second wave around the fall and early winter. COVID-19 could do the same. “The concern that we might have a double whammy of flu and coronavirus is legitimate,” Shaman says.

[Both indoor and outdoor factors influence how viruses wax and wane with the seasons.]

Every year, influenza sickens millions of people in the U.S. In particularly bad years, flu surges overwhelm hospitals and health care systems. During the 2017–2018 flu season, local news outlets reported that hospitals across the country flew in nurses from other states, erected tents in parking lots and sent incoming ambulances to other facilities because of the overload of patients. The U.S. Centers for Disease Control and Prevention estimates that between 46,000 and 95,000 Americans died from the illness that season.

Though the new coronavirus and influenza viruses can cause some of the same symptoms—such as fever, cough and fatigue—these similarities are mostly superficial. The pathogens use different receptors on cells to gain access to our bodies. As a result, SARS-CoV-2 could enter one way, while a flu virus slips in another. A study of about 1,200 patients, conducted in northern California and published in JAMA in April, found that one in five people who were diagnosed with COVID-19 were coinfected with another respiratory virus. The risk of such coinfections is typically low, says Ben Cowling, an epidemiologist at the University of Hong Kong, but it gets higher when two viruses are circulating heavily in the same region. “It’s possible you could get infected with both at the exact same time—if you’re having a really bad day,” he says.

Cowling and some other epidemiologists think the way viruses interact and interfere with each other could reduce the impact of any coronavirus-influenza collision, however. They have tracked epidemics for decades and have found that outbreaks of respiratory viruses usually do not reach their peaks during the same time period. Though no one knows exactly why, a study published last year in the Proceedings of the National Academy of Sciences USA hypothesized that temporary bursts of immunity to different viruses on the cellular level could shift the course of future epidemics. For example, an outbreak of a rhinovirus—which causes a common cold—appears to have delayed the arrival of the 2009 influenza pandemic in Europe. And that effect, in turn, likely postponed epidemics of another disease: respiratory syncytial virus.

“Right now COVID-19 has a huge fraction of the population susceptible to it,” Cobey says. “Assuming that we’re not incredibly diligent about stopping transmission, it’s going to continue burning through populations, leaving this wake of immunity that might be slightly effective against other viruses.” She admits this idea sits on the “speculative side of hypotheses.” And the theoretical immunity would not be strong enough for, say, someone who has recovered from a coronavirus to shrug off the flu, or vice versa. But on a population level, it could mean that other viruses might not spread as quickly as normal, so their epidemic peaks could be delayed.

Another reason why the collision might not be dramatic has less to do with virology and more to do with human behavior: both COVID-19 and the flu are transmitted, for the most part, by respiratory droplets, so the same prevention strategies used to reduce the spread of the former will also work for the latter.

[How does the coronavirus spread through the air? Scientists explain what they know about transmission.]

In a study in the Lancetin April,Cowling showed that the public health measures introduced in Hong Kong to contain the coronavirus—such as border restrictions, quarantine and isolation, social distancing, mask wearing and hand washing—led to a rapid decline in flu activity. In the U.S., new flu cases plummeted a few weeks after COVID-19 was declared a global pandemic. The 2019–2020 flu season, once headed to be among the worst in decades, ended six weeks early.

But as states in the U.S. ease restrictions on activity and travel, people’s behaviors could change in ways that ease virus transmission, so a double threat is still possible. And it is not clear what, if any, federal response is being mounted to prepare for it. In April Robert Redfield, director of the CDC, told the Washington Post that “we’re going to have the flu epidemic and the coronavirus epidemic at the same time.” After President Donald Trump claimed that Redfield was misquoted, the director walked his statement back, saying he did not mean the current crisis would be worse, just “more difficult and potentially complicated.” (The CDC did not respond to Scientific American’s requests for further comment.)

In late May a group of Democratic senators sent a letter to the White House asking it to prepare for the worst overlap scenario. “We urge you to begin planning for and activating the resources of the federal government now,” they wrote, “to increase capacity, supplies, and vaccinations to prevent public health and medical systems from being overwhelmed by simultaneous peaks of both of these deadly infectious diseases in the fall.”

On the state level, some are updating hospital surge plans and expanding infectious disease surveillance programs to include both the flu and COVID-19. North Carolina’s state health director Elizabeth Tilson, who co-chairs the state’s coronavirus task force, has been working with health systems to develop plans for increasing their surge capacity by converting unused facilities, procuring extra beds or hiring extra staff. “Thankfully, we haven’t had to pull the trigger on any of our emergency med surge plans. But we have all those plans in place, whether it be COVID-19 or COVID-19 and flu,” she says.

Cobey has been trying to convince the government of her home state of Illinois to set up a sentinel surveillance plan that could alert officials to coming surges of COVID-19 and flu cases. But she says her suggestions have received little traction. Such surveillance systems already exist in other states, including North Carolina and Michigan. The CDC also tracks both illnesses on the national level and releases a weekly surveillance report on the viruses that cause them.

Tilson points out that whatever happens, there is one basic step people can take that may alter the trajectory of either epidemic. “Look, we don’t have a vaccine for COVID-19,” she says. “We do have a vaccine for flu. Get the vaccine.”

Read more about the coronavirus outbreak from Scientific American here. And read coverage from our international network of magazines here.

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jwesulm · 4 years

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Social distancing for COVID-19: Buying time to reinforce the front

Hi everyone, just an update as a lot of you across several social media have been in touch with me about coronavirus Q&A’s and the possibility of posting up a weekly, detailed FAQ here on your questions; as some of you have heard, I’ve had to put that aside for now since, alongside primary duties, I’m working on applying a bioinformatic system I developed years ago in a bid to help more rapidly identify promising COVID-19 drug candidates. It’s a bit of ad hoc improvisation at best on a pre-developed resource, and even under the most optimistic scenarios there’s not going to be a cure with this, only some extra tools in the therapeutic arsenal to reduce COVID-19 severity and expedite recovery. But for that very reason, I wanted to don my public health hat one more time before going on quasi-social media hiatus, since even the most promising new SARS-CoV-2 treatment prospects won’t amount to much if the (already imminent) torrent of new COVID-19 cases rises even more steeply than it already is to swarm US hospitals: Please, please diligently follow all the social distancing measures being outlined by public health authorities to the letter, especially avoiding mass gatherings and taking pains to wash hands thoroughly after touching surfaces with high contact (such as doorknobs and handles).

I know how stir-crazy things are getting right now especially with all the mounting anxiety (and desire to assuage it with public get-togethers to greet springtime’s arrival), but having lately been in touch with medical colleagues in US epicenters like Seattle, NYC, San Francisco -- even unexpected hotspots like Kansas City, Phoenix, and Orlando -- I can’t emphasize this point enough: the nightmare scenarios we’ve been witnessing recently in parts of Italy, Spain, Britain and the Middle East aren’t worrisome hypotheticals anymore, they’ve already arrived in many regions of the United States. American hospitals are being inundated, we’re critically low on PPE (personal protective equipment) and test kits for complex reasons I don’t want to get into here, and healthcare workers are themselves suffering casualties from infection even with full-body protective gear -- the bottom line is we’re on a war footing in the US, in the most concrete sense imaginable. And we need assistance from all corners to relieve pressure on the front: the medical centers being overwhelmed with a rapid surge in COVID-19 cases. As abstract and intangible as it can often seem at times, social distancing and contagion control, practiced at an individual + small group level X millions of Americans, is absolutely crucial to flatten the curve and buy the time we need to get reinforcements in the form of additional ventilators and supplies, vaccines, and treatments to improve survival and recuperation.

While all of us are liable to slip up from time to time amid the strictures of the lockdowns and shelter-at-home orders, there are still far too many cases of heedless, gratuitous mass assemblages like the Spring Break parties down in Florida or the multitudes thronging in Bondi Beach, Australia. For all practical purposes, those crowds right now are mass Petri dishes for SARS-CoV-2 to multiply like mad and launch new chain reactions to infect millions more people. I realize this sounds grisly but regrettably, that’s how aggressive this microbial foe is. In the lingo of viral epidemiology, this betacoronavirus -- the taxonomic subgroup to which SARS-CoV-2 belongs -- has a significantly higher R0 (R naught) than the flu, a metric of its contagious capacity; is now known to linger in the air for potentially hours; and is transmissible on many fomites (surfaces with frequent human contact) for days. It has a long incubation period (now thought to be around five days) during which it can be disseminated before a victim is symptomatic, and is thus uniquely capable of exponential spread. The US was also relatively slow to ramp up testing compared to South Korea and Italy (with the Koreans testing 20,000 a day, until recently more than America in a month), which means that undetected community spread has been rampant in the USA for weeks. Brisk strolls in the park and exercise al fresco are fine to break the cabin fever, but especially at this point, large gatherings are a formula to mass-disseminate SARS-CoV-2 still further and utterly deluge America’s already limited supply of hospital beds, ICU rooms, ventilators, and hospital staff to provide treatment. Keep in mind that COVID-19 is slamming us on top of a ruthless flu season and an increase in other medical issues to boot, all of which are being pushed aside to triage for the novel coronavirus avalanche. And then you have another accelerant to the vicious cycle with the attrition from nurses and doctors falling ill (which is exactly what happened to me as a doctor in a previous epidemic from pertussis, requiring years to recover).

Not trying to sound dismal here, but to provide a critical reality check on how basic behavioral modification by communities across the USA, on a mass scale, is pivotal to prevent an overwhelming and potential collapse of the US healthcare apparatus if the caseload surges still further; as dark as things are right now, there is real prospect for hope on the horizon if we can make it through the gauntlet we’re facing in the next few months. We’ve been here before, after all, with horrific pandemics like the 1918 Spanish flu (a misnomer as it may have originated right here in Kansas in a WWI army barrack) and numerous smallpox, typhus, cholera, polio, yellow fever, and even plague epidemics ravaging the US before the era of mass immunization or antibiotics for bacterial contagions. Early vaccine research is promising, though it can’t be rushed much beyond the (likely minimum) 18 month lag time due to vaccines’ administration to healthy people, and the technical difficulty of ascertaining the most immunogenic cocktail to prime the immune system. And there are dozens of resourceful research and clinical groups across the world right now seeking to develop new COVID-19 drugs or redirect old ones, to which I’m contributing. Many countries have successfully beaten this thing and protected their populations with aggressive public health measures, particularly Taiwan, Vietnam, South Korea, Singapore, China (with rigorous control after the initial blunders and half-measures in Hubei), Hong Kong, and some countries in Europe and South America. COVID-19 takes a level of mobilization and mustering of public resources beyond any we’ve had to marshal in recent decades, far more than the H1N1 swine flu pandemic in 2009 or Ebola in 2014, but it can be and has been managed successfully. So we don’t have to despair, because new tools are on the way to help us prevail.

Yet this makes it all the more important to buy time for such relief and reinforcements to be produced and arrive at the front. And just to be clear, such public health measures are imperative for all demographics, including younger ones. Contrary to conventional wisdom at the outset, more recent findings are showing that COVID-19 is quite dangerous to children and young adults, much more so than initially thought. The early complacency about this may simply have resulted from the sheer scale of China’s all-out effort to contain the contagion once Wuhan’s and Hubei’s authorities woke up to it, and the similar success of Taiwan and South Korea with mass testing, tracking, and selectively targeted isolation. This nipped SARS-CoV-2’s spread in the bud in East Asia, not only forestalling further infection but also probably reducing viral load and severity of the infectious course among those who did catch it, particularly children. Unfortunately, the comparative lack of early testing, screening, tracking, and isolation in the US and many other Western countries translates into greater sick contact density and a potentially higher viral load for infections here, which raises the danger level for everyone, including kids and college students at beach parties. (For the technically-minded among you out there, the paper in Amer J Respir Crit Care Med, 2010, by DeVincenzo et al., has a good summary of how initial viral load can greatly exacerbate pediatric infection severity: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3001267/ ) We likewise know that there at least two major strains of this deadly coronavirus -- S-type and L-type -- and now possibly more given its high mutation rate.

Moreover, not only is COVID-19’s lethality at least an order of magnitude higher than the flu, but it also has an alarmingly high rate of serious illness in acute cases, and we know precious little about medium or longer-term sequelae; not to mention that SARS-CoV-2 is hardly confined to the lungs but has been shown to affect the liver and GI tract, kidneys, and even central nervous system in many patients. And it’s not yet clear why, but immunity to COVID-19 seems to wane precipitously in many patients infected by SARS-CoV-2, leaving them vulnerable to deadly re-infections -- a likely reason that initial attempts to achieve “herd immunity” through clustered infection (as opposed to immunization) in some countries, as trial-ballooned in e.g. the UK and Australia, have had catastrophic results and been abandoned. There’s not going to be a magic bullet or straightforward victory here. This is going to be a months-long grind as the infectious curve is flattened and new options emerge to mitigate contagious spread and facilitate recovery in those already afflicted. Meanwhile, communities across the country need to do everything possible to buy time for the aforementioned reinforcements to arrive, and this means rigorous adherence to social distancing and other measures announced by authorities to break the chain of contagion. We will get through this; please keep safe everyone. -- J. Wes Ulm, MD, PhD

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ajapablog · 4 years

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Corona Chronicles IV and V

Two in one blogs are an indication that time has started to blur. It takes me a couple of seconds to remember what day it is. I also feel slightly unmotivated to blog because I am not sure anyone reads these and I actually had to ask a friend to read my latest posts to see if these were any good. But I decided that I should do it for me.

Otherwise, a routine and the sense of normalcy has started to kick in. Yesterday I sat at the desk doing work for around 6 hours with a couple of water and bathroom breaks in between. I managed to finish a 2-hour ethics and harassment training for my employers and I know now what the Clery Act is and I would know how to file a Title IX case if it ever came to that. So that’s work done! I still have to do my taxes!!

In the evening yesterday, we ordered Mexican food and started watching Netflix’s latest offering: The Circle. The show has some really interesting characters trying to make it to the end of an experiment where people are eliminated based on interactions between each other through social media. These characters are in isolation so it definitely mimics our current state. This is indeed the time to watch shows about social experiments about isolation. The show Love is Blind is also pretty amazing. Today began with an hour-and-half-long group work out session. We began with the first fitness test in something called insanity workout. The bald instructor keeps saying “boom boom,” so I have decided to affectionately name him uncle Boom Boom. I was almost going to faint at some point in the middle of our fitness/cardio training so I am utterly out of shape. I haven’t swam in 3 weeks now. Then we moved on to pilates with a cheery lady who I haven’t had the chance to name yet. But she can talk non-stop while doing some pretty intense work-outs. I aspire to be like her. We ended with some self care yoga that left us feeling warm and fuzzy. As my roommate says, we still might have 2 years worth of pent up energy that needs to be spent. So the workouts will continue. Grooming in times of Corona My scratchy throat is so much better; my stomach is also fine. I think it might have just been a case of not being conscientious about what I was eating. I am too scared to drink coffee. I have been eating more fruits. Although, a part of me is scared that I will soon run out of papayas and I definitely do not want to go out to get some more. But eating more fruits is good for the skin. Speaking of which, I have not been great at maintaining a skincare routine since my mid twenties. I know how to but I haven’t been regular. A part of the problem is the fact that I don’t have the usual tools: surprisingly, I don’t have a mud face pack, aloe vera gel or rose water (things I always had at hand in my 20s). I ordered a vitamin C serum, some tea tree oil, a face pack and a cleansing brush on amazon to start a routine. There is no question of going swimming or to the gym but I’ll keep my legs smooth and shaven for myself, thank you very much. I plan to tint my hair with some henna that I bought ages ago. I’ll crack an egg in there, add some black tea and some coconut oil. The last time I did this hair routine, my hair was glowing.

Grooming in the time of social isolation is important because it is a reminder that we must take care of ourselves, for ourselves. It doesn’t matter if we can’t show off our silky hair and our painted nails to the world. We do, however, have to live with ourselves and it definitely helps if we look nice.

In the News Younger Adults Make a Big Part of Covid-19 Hospitalizations in the US The idea that young people with healthy immune systems will ride this wave has been in circulation for a while now. But the New York Times has a report that says that young people are indeed being hospitalized and have been grappling with the virus. The number of deaths among young people is lower than for the elderly but that doesn’t discount the fact that young people do indeed show symptoms of this coronavirus infection that lands them in the hospital. All the more reason to be cautious. See: https://www.nytimes.com/2020/03/18/health/coronavirus-young-people.html

Japanese Flu Vaccine Effective Against Coronavirus The Japanese-developed drug, to fight the latest strain of the influenza virus, Favipiravir or Avigan, has proved to be effective against a milder case of Covid-19 according to Chinese medical personnel. They say that the drug doesn’t do much to the more severe symptoms but the fact that it can be effective against milder symptoms is a welcome news. See: https://www.livescience.com/flu-drug-could-treat-coronavirus.html An Indian Cure? There have been news that Indian doctors in Jaipur made a cocktail of retroviral (HIV) drugs, influenza drugs and swine flu meds that cured an Italian patient of coronavirus. The fact that the antidote to this Covid 19 situation lies in the tweaking of existing antivirals, is highly probable. I know retro viruses and corona viruses are different but given that retroviral drugs have been used to “cure” something as tough as HIV, I wonder if there’s something about using these on corona viruses. What is slightly disconcerting to me is the fact that the international news has no coverage whatsoever of the happenings at Sawai Jai Singh hospital in Jaipur. I wonder if the West is not taking seriously the fact that Indian doctors are very likely to be able to treat patients with Covid-19. This is not coming from a sense of pride over South Asian know-how but from the experience of seeing the superiority of Indian medical personnel more generally from having lived in different countries in the course of my life so far. See: https://timesofindia.indiatimes.com/city/jaipur/city-docs-cure-corona-patient-with-hiv-drugs/articleshow/74584859.cms

Do not take Ibuprofen if you have Covid-19 symptoms Apparently, Ibuprofen is not the drug to take to relieve fever or pain symptoms related to Covid-19. The advice in the public sphere came from the French health minister, Olivier Véran who instructed everyone to take acetaminophen instead. NSAIDs apparently made symptoms worse. From the different things I’ve been reading, it seems like this disease has something to do with the inflammation-oxidation-immune systems in our body: which is pretty much every infection but if doctors could figure out the specificty of the mode through which this virus effects these interconnected systems, they could have the answer to what to do. Of course, all of this will take time. For now, I won’t take my favourite painkiller: Flexon—a beautiful cocktail of paracetamol and ibuprofen, if I feel feverish or feel pain. See: https://www.nytimes.com/2020/03/17/health/coronavirus-ibuprofen.html

Women fare Worse than Men in Epidemics and Pandemics The social scientific community has been talking a lot about how the pandemic and the practices of social isolation has the effect of reconstituting older social hierarchies. This is the case with gender as well with women having to stay in abusive homes, having to rely on men, do more labor, etc. See: https://www.theatlantic.com/international/archive/2020/03/feminism-womens-rights-coronavirus-covid19/608302/

The Sky is Falling: Says a NY Doctor A New York doctor wrote that she might sound alarmist but the case is worrying and as a medical personnel who sees life and death situations everyday, this moment is particularly panic-inducing. She says that she is not confident about the medical profession and the infrastructure to be able to take on the surge capacity of this pandemic. She says that there will in two weeks arise a situation where doctors here in the US will have to make life or death judgements. Her insistence that we must be careful is important. See: https://www.nytimes.com/2020/03/19/opinion/coronavirus-doctor-new-york.html

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judedoyle · 7 years

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Untimely Ripped

Until I was rushed into emergency surgery, there was nothing really unusual about my pregnancy. I was perfectly healthy for nine months. I went to doula-guided community yoga classes where we processed our pregnancies in group talks and learned about safe, empowering natural alternatives to the Patriarchal Medical Establishment. I sailed into and out of appointments with my OB/GYN (who I went to because I was pretty sure I’d want that epidural in the end, no matter how patriarchal it was). I didn’t have a single complication or complaint to report. And then I actually went into labor, and everything went wrong at once.

The first bad sign was the prodromal labor. Beginning on Luna’s due date, I would have a few hours of regular, strong contractions every afternoon, but then they’d just... stop. My body wouldn’t actually progress to delivering the baby. I went to the hospital once and got turned away -- it felt that real. My doctor started talking about induction, which (as I knew, from all those crunchy yoga classes) was a worst-case scenario; labor was longer and more painful at best, and led to health complications and C-sections at worst. You couldn’t just force your body to produce a baby before it was time, and if you tried, you’d hurt yourself badly. So the prodromal labor hurt, and it was frustrating, and the hormone surges meant I was crying for most of the day by day two or three. But when I actually went into labor, late Sunday night, I was so determined to wait things out that I just hopped into a warm tub and had around eight hours of full-on labor contractions before waking up my husband.

I’m actually very proud of that stage, feministically speaking. I mean: I did my pregnancy yoga and practiced my breathing and just generally Ina May Gaskined the shit out of those contractions, all on my own, for an entire night. I was at one with my uterus and/or Nature. I reveled in the cosmic power of womynhood, and the strength of traditionally “weak” bodies. I honored and cared for myself instead of turning my power over to The Man and his Medical Establishment. It helps that my husband could sleep through a Slayer concert, so I could also yell “MOTHERFUCKER” at Nature, at semi-regular intervals, and he wouldn’t wake up enough to mind.

When I arrived at the hospital, though, they assured me that I was definitely not overreacting, and was in fact very close to having a baby. So my husband and I hopped into a delivery room, I got the epidural, he keyed up some classical music on the iPad and called my mother. “You’ll have a baby by this afternoon,” my mother said. I laid there on my numbed-out but still very feminist and empowered back, meditating, and focused on making myself emotionally open in order to welcome the baby into the world.

And then the labor stopped. And started again. And stopped again. My body just kept giving out, just like always, and this time, the labor was actually too far gone for it to stop without hurting Luna. So the forced breaking of my water, which I had been set firmly against, happened anyway. And the meds to increase my contractions, which I had been firmly against, happened anyway. Every time, it was the only safe option at the time, because I had been in labor for -- at the most conservative estimate -- about twenty hours. And then I started shaking.

The thing is, you actually can’t stay in labor forever, especially not once your water’s broken. It makes your immune system incredibly vulnerable. I apparently contracted a fever so high that, by the end, they were packing me in ice, like a grocery store watermelon. I didn’t feel much, aside from the tremors, which really only felt like flu chills. But the same infection was making the baby’s heartbeat spike like crazy, putting huge amounts of stress on her.

The language they used -- around me, over me, never to me, so I had to Google all this afterward; fucking Patriarchal Medical Establishment -- was suspected chorio, chorioamnionitis. The infection gets into the uterus, most likely via the rupture of the membranes -- there are all sorts of bacteria floating around in a hospital -- and affects both the person giving birth and the fetus. One possible effect of chorio is that it weakens the muscle tone of the uterus. It makes it impossible for your body to labor hard enough to push the baby out, so a Caesarean becomes necessary. That explains what happened in the hospital, sure. And it’s one of those stories natural-childbirth advocates always tell; if I hadn’t wanted the epidural, I wouldn’t have been at a hospital where they ruptured my membranes, and if they hadn’t ruptured them, I wouldn’t have gotten sick enough to need emergency treatment, and in conclusion, every medical intervention led to another, worse intervention, so just get in your tub and have unmedicated labor like the Goddess intended, you wusses. But when I look back at the days and days of contractions that just never took off, I also wonder if I had the infection all along. If it was just waiting there, stopping my labor over and over, until I finally got into a setting where someone knew its name.

The doctor knew how much I hated the idea of the C-section. He knew that avoiding a C-section had been the entire purpose of about half my birth plan and 30% of my decisions during pregnancy. He even let me push when I was at nine and a half centimeters, just to make me feel like I wasn’t inevitably going to get the C-section -- I pushed for an hour, altogether -- but he knew and I knew what was happening. After all that labor, it ultimately came down to a decision between her life or my feelings about C-sections. I got on the stretcher and they wheeled me in to the operating room.

In natural-birth and/or feminist-birth circles, they tell you all sorts of stories about the days of Twilight Sleep; women in the ‘50s who were so drugged up they don’t remember giving birth to their own children, and never bonded with them as a result. These stories are told both sadly and smugly, both as a story about how little we used to honor the birthing process, and also about how out-of-touch and loveless mothers used to be. Let me tell you: Now that I am, officially, one of those ladies who was too stoned to remember a kid coming out of her, I do not appreciate the judgment.

Caesarean anesthesia is very, very good. It’s some of the best in existence. It also gets you incredibly, incredibly high. So here’s what I remember, about the birth of my daughter. One second, I was saying “the anesthesia doesn’t work, I can still feel my...” The next second, there was a little baby in a pink blanket being held up next to my head.

“There was a baby in here!” I told my husband, excitedly. He’d been sitting next to me this whole time. “Someone let a baby into the room!”

“There was,” he agreed.

“Someone put a baby in here,” I said, feeling he did not properly appreciate the gravitas of the situation.

“It was our baby. The Luna baby,” my husband said.

“I SAW A BABY IN HERE,” I told my husband, who was really not getting where I was coming from, in regard to operating-theater hygiene, and proper security access for infants, and the like.

Then I laid back and watched the ceiling spin. My arms were laid out to my sides, and I couldn’t move them. I grooved on being immobile. I thought about the term “spread eagle” and the guy who was condemned to be chained to a rock and eaten by an eagle, because he had pissed off Zeus. I was like that guy, because I couldn’t move, an observation which I expressed by saying “Zeus, Zeus, Zeus” very quietly and weirdly for a while.

“Brian,” I said either thirty seconds or five minutes or possibly twelve centuries later, “was that my baby?”

They took Luna to the NICU and set her on a preventative course of antibiotics. They rolled me into my room on the same antibiotics and some powerful painkillers.

I won’t say it wasn’t excruciating. It was. I had “natural” labor and epidural labor and pushing and a C-section; it took a team of five people to help me pee afterward. There are no touching mommy-and-baby photos of me with Luna because, in every picture taken since the event, I look like I’ve been recently murdered. But by the time all that happened, I wasn’t the point any more.

I just needed to see Luna. Every other lady on the floor got to stay with her baby 24 hours a day; I’d wake up in the middle of the night to hear my roommate’s son crying and get bitterly, vengefully jealous of her. I also, and more crucially, needed to feed Luna. I had a thousand “simple, natural” plans for breastfeeding, and I did not realize how important they were until none of them were possible. In the NICU they deal with actual crises too much to care about bourgie childbirth trends. Unless you’re there to stop them, they will just stick a pacifier in your child’s mouth and feed her formula, right in front of the RULES FOR BETTER BREASTFEEDING poster on the wall of the NICU, which tells you that letting pacifiers or formula touch your child’s lips will ruin her for life.

So I learned to hobble down the hallway holding onto an IV or the wall or whatever I had to do, to see my daughter. I used a wheelchair when I needed the wheelchair; I walked as soon as I could walk. Luna improved quickly enough that they put her in a transitional nursery, with open bassinets; I was allowed to hold her and feed her for an hour twelve times a day, so she got held and fed eleven hours. (I could never wake up and make it down the hall in time for the 3 AM feeding -- and, as I soon learned, if you were even five minutes late, they assumed you weren’t coming and fed the baby without you.) No-one actually expects you to show up to those feedings, it turns out. Some of the nurses were surprised, some were openly resentful. One of the latter actually picked up my boob with one hand, jammed it into Luna’s mouth, and, when she hadn’t latched after thirty seconds, thanked me for “trying” and took her away. I overheard another referring to me as “that lady who’s always here,” which I believe was a title originally invented for the Virgin Mary.

But I was always there. I had to be. It was biologically necessary for me to be there, so I was.

I still don’t know how I feel about the idea of “maternal instinct.” Like any “instinct” regulating how much one person loves another, I suspect it to be bullshit. I still don’t like anything that sentimentalizes motherhood too much; I was never more adamantly pro-choice than when I was pregnant, because going through the process yourself reminds you of the massive gravity of what you’d be forcing on other people. And I know that one reason to have your child “naturally” is that it supposedly allows you to be blasted with the hormonal change of becoming a parent, floods you with love and euphoria and undying maternal bonding powers. Because of how I gave birth, I’m supposed to have missed that.

Still, at some point, when I was frantically limp-running down hallways at three inches per hour to make the 6 AM feeding, or turning down medical care to spend time with her, or saying very un-Sady-like things like “my daughter is the most important person here, so let’s table what I need for a second, please,” it did occur to me that something had shifted.

“Maternal instinct,” as I experienced it, was not sentimental. It felt, more than anything, like I was working the Secret Service detail for the world’s tiniest President. The most important place to be was always “wherever the baby is.” The most important thing to do was always “whatever the baby needs.” Every item and experience in my life got sorted into the categories ACCEPTABLE and UNACCEPTABLE - MAY HURT BABY. It’s not a sentimental thing, when a Secret Service guy takes a bullet for a President. It’s just part of his job; they don’t hire you unless you’re willing. I was very serious about ensuring the security of the tiny President who threw up on my hands if she ate too fast. It wasn’t personal, it was just what I had to do.

Of course, I’m also convinced that my baby is beautiful and interesting and smells amazing and probably has really fascinating opinions on modern literature -- she has good taste, but she’s not, like, re-iterating anyone’s talking points, you know? She’s a really authentic baby -- but that, too, is just part of the job. I walked into that hospital as a prickly, anti-social woman who gave frequent speeches about the importance of personal and mental independence, and I left it as Gary from Veep. There are many things you can say about the transformation. But it is too strange not to be “natural.”

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gordonwilliamsweb · 4 years

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Cone Health Jobs And Careers

What Are The High Paying Cone Health Jobs?

Cone Health is based in Greensboro, North Carolina, United States of America; Founded in 1953. It is an integrated, nonprofit, health care, and hospital network which serves people in Guilford, Forsyth, Rockingham, Alamance, Randolph, Caswell, and surrounding counties.

Cone Health has grown to be among the most comprehensive health care networks with more than 100 locations, which includes 5 hospitals, 3 ambulatory care centers.

Four urgent care centers, 3 outpatients surgery centers, approximately 150 physician practice sites, a retirement community and multiple centers of excellence.

Today, Cone Health works with over 12,000 employees, 1,200 volunteers, and 1,300 physicians. Top paying job titles at Cone Health include Hospitalist, Clinical, Pharmacist, and Cardiologist

Why You should work at Cone Health.

There are lots of benefits working at Cone Health. They are:

Benefits & Employee services

*Health Insurance

Medical benefits (including prescriptions)

Vision coverage

Dental coverage

Pet Insurance

*Employee Wellness

Employee Pharmacies

Massage Therapy

Healthy Pregnancy Program

On-Site Fitness Facilities

*Work-Life Balance

Childcare centers

Paid Time Off

Credit Union

Tuition Reimbursement

Health & Wellness

Cone Health has an employee wellness department called LiveLifeWell that functions as a protecting force for all employee’s wellness services & programs.

Previously, Cone Health has hired for work-from-home, full-time jobs. Available jobs in Cone Health are:

Cone Health Jobs

1. Administrative & Clerical Positions

Category

CLERICAL/ADMIN

GENERAL SUPPORT

Subcategory

ADMISSIONS 2

CHILD CARE 1

PATIENT ACCOUNTING 1

2. Allied Health Positions

Category

RADIOLOGY

PATIENT CARE

CARDIAC MONITOR TECH

CARDIOLOGY

GENERAL SUPPORT

PHARMACY

CRNA

RADIATION THERAPY

RESPIRATORY THERAPY

CLERICAL/ADMIN

Subcategory

RAD-RAD TECH

CMA

OTHER

RAD-OTHER

RAD-ULTRASOUND

CARDIAC MONITOR TECH

RAD-CT TECH

RAD-MRI TECH

CATH LAB TECH

CRNA

EMERGENCY MED TECH

PATIENT CARE – OTHER

PHARMACIST

PHLEBOTOMIST

RESP THERAPIST

CARDIOLOGY-OTHER

DOSIMETRIST

PHARMACY TECH

PHYSICIST

RAD TECH EXTENDER

RAD-INTERVENTIONAL

RAD-MOLECULAR

RAD-SONOGRAPHE

TECHNICIAN

3. Corporate Services & Operations Positions

Category

PROFESSIONAL/MNGMNT

GENERAL SUPPORT

CLERICAL/ADMIN

ITS

OTHER

SKILLED CRAFTS

Subcategory

PROFESSIONAL/MNGMNT 10

CLINICAL 6

OTHER 5

NON-CLINICAL 3

ADMIN INFOR SYSTEMS 1

BIOMEDICAL EQUIPMENT 1

VICE PRESIDENT 1

4. Environmental & Nutritional Services Positions

Category

GENERAL SUPPORT

Subcategory

ENVIRONMENTAL SVCS 15

FOOD SERVICES 7

SECURITY

5. Nursing Support Positions

Category

CERTIFIED NURSE ASST

NURSING SECRETARY

Subcategory

CNA – HOSPITAL

CNA – OTHER

CNA – LONG TERM CARE

HOSPITAL

6. Nursing Positions

Category

NURSING

NURSING LEADERSHIP

NURSE PRAC/PA

Subcategory

RN – MED/SURG

RN – FLOAT POOL

RN – CARD/TELEMETRY

RN – INTENSIVE CARE

RN – STEPDOWN

RN – CRITICAL CARE

RN – EMERGENCY DEPT

RN – ORTHOPEDICS

RN – RELIEF

HOSPITAL LEADERSHIP

RN – OPERATING ROOM

RN – OTHER

RN – PHYSICIAN PRACT

RN – OUTPATIENT CARE

APP

RN – LTC LEADERSHIP

RN – PEDS NEONATAL

LPN – LONG TERM CARE

LPN – PHYSICIAN PRAC

RN – CARE MANAGEMENT

RN – CLIN RESEARCH

RN – ENDO

RN – HOSP – LDRS

RN – HOSP – RELIEF

RN – WOMEN’S HEALTH

7. Physicians & Providers

Category

Allergy & Immunity

Anesthesiology

Bariatric Surgery

Behavioral Medicine

Cardiology

Cardiology – Electrophysiology

Cardiology – Heart Failure

Cardiology – Imaging

Cardiology – Interventional

Cardiology – Invasive

Cardiology – Non-Invasive / Non-Interventional

Cardiovascular and Thoracic Surgery

Colon and Rectal Surgery

Critical Care

Dentistry

Dermatology

Developmental/Behavioral Pediatrics

Emergency Medicine

Endocrinology

Reproductive Endocrinology

Family Medicine

Family Medicine – Adolescent Medicine

Family Medicine – Geriatric Medicine

Family Medicine – Hospice and Palliative Medicine

Family Medicine – Obstetrics

Family Medicine – Sports Medicine

Female Pelvic Medicine and Reconstructive Surgery

Gastroenterology

General Surgery

Genetics

Geriatric Medicine

Gynecology

Hematology

Hematology/Oncology

Hospice & Palliative Medicine

Hospitalist

Infectious Disease

Internal Medicine

Internal Medicine-Pediatrics

Maternal-Fetal Medicine

Movement Disorders

Multiple Sclerosis

Neonatal-Perinatal Medicine

Neonatology

Nephrology

Neurology

Neurology – Child Neurology

Neurology – Clinical Neurophysiology

Neurology – Neurodevelopmental Disabilities

Neurology – Epilepsy

Neurology – Neuro-Hospitalist

Neurology – Neuromuscular Medicine

Neurology – Sleep Medicine

Neurology – Vascular

Neuromuscular Diseases

Neurosurgery

Nuclear Medicine

Obesity Medicine

Obstetrics / Gynecology

Obstetrics

Occupational Medicine

Oncology

Gynecologic Oncology

Ophthalmology

Oral/Maxillofac. Surgery

Orthopedic Surgery

Orthopedic Surgery – Foot and Ankle

Orthopedic Surgery – Hand

Orthopedic Surgery – Head and Neck

Orthopedic Surgery – Spine

Otolaryngology

Pain Management

Pathology

Anatomic & Clinical Pathology

Pediatric Cardiology

Pediatric Critical Care

Pediatric Dentistry

Pediatric Emergency Medicine

Pediatric Endocrinology

Pediatric Gastroenterology

Pediatric Surgery

Pediatrician

Physical Medicine / Rehabilitation

Plastic Surgery

Plastic Surgery – Hand

Podiatry

Preventive Medicine

Psychiatry

Child & Adolescent Psychiatry

Pulmonary / Critical Care

Pulmonary Medicine

Radiology

Radiology, Diagnostic

Radiology, Interventional

Radiation Oncology

Radiology, Vascular & Interventional

Rheumatology

Sports Medicine

Surgical Critical Care

Surgical Oncology

Trauma Surgery

Urgent Care

Urogynecology

Urology

Vascular Surgery

Wound Care – Undersea and Hyperbaric Medicine

Cone Health Jobs Average Salaries.

Average Salary for Cone Health employees is $103,079 per year.

Hospitalist- Average Salary:$90,000

Cardiologist- Average Salary:$90,000

Clinical Pharmacist- Average Salary:$90,000

Family Medicine Physician- Average Salary:$109,286

For more information about Cone health jobs. Visit site

The post Cone Health Jobs And Careers appeared first on HealthPhreaks.

Cone Health Jobs And Careers published first on https://nootropicspowdersupplier.tumblr.com/

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qyrresearch-blog · 5 years

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Berries Powder Market To Become A Breeding Ground For Investors In Coming Years

Berries powder is gaining huge popularity among the consumers owing to its benefits such as high nutrient content, promotion of heart and blood vessel health, strengthening of immune system, and assistance in healthy vision, skin, and brain function. Moreover, it is naturally delicious and devoid of any added sugars and artificial sweeteners, thereby supporting proper well-being.

There has been a number of product innovations in the berries powder market. Freeze-dried berry powder is one of the innovations, which is solely obtained from whole fruit. It comprises all parts of the forest and garden berries including pulp, skin, and seeds, which are dried at a temperature of -37°C. Freeze-dried method is utilized in the manufacturing of these powders. This method helps in retaining the vitamins, taste, color, and water solubility of the powder.

Increasing Health Consciousness to Play a Leading Role

Demand for fruits and berries is witnessing a surge due to increasing health consciousness among the consumers across the globe. Moreover, rise in the number of chronic disorders caused by vitamin deficiency is raising the demand for berries powder. Consumer’s focus is rising on nutritional intake in order to prevent such disorders. Also, fusion of the various berries powders is anticipated to emerge as a key trend in the global market, thereby supporting berries powder market growth.

Key Players to Adopt Natural & Organic Processing Method

Key players operating in the global berries powder market include BR Ingredients, NutraDry, International Flavors & Fragrances Inc. (Powder Pure), Kang Med, FRUIT D'OR NUTRACEUTICALS, FutureCeuticals, Artemis International, Arctic Powder, Parchem fine & specialty chemicals, and BYOU DISTRIBUIÇÃO E EXPORTAÇÃO S.A.

Get PDF template of this report: https://www.qyrconsulting.com/request-sample/8101

Key Points to Remember

● Nutritional health benefits of berries powder to act as a key factor driving the global berries powder market

● Organic berries powder to gain popularity among the consumers

● Blueberry powder to witness substantial growth in the near future

● North America to capture a handsome share in the global berries powder market in the forthcoming years

By Nature

● Organic

● Conventional

By Type

● Strawberry

● Blueberry

● Cranberry

● Raspberry

● Acai Berry

By Application

● Food

● Bakery

● Confectionery

● Snacks

● Dairy Products

● Beverages

● Fruit Drinks

● Energy Drinks

● Carbonated Drinks

● Dietary Supplements

● Pharmaceutical Products

● Household

As per the analysts, the organic segment is expected to gain traction in the coming years due to growing consumer’s inclination towards organic and natural products. The researchers predict that the blueberry powder will hold a major share in the berries powder market owing to its wide range of health benefits.

Read Report Overview: https://www.qyrconsulting.com/reports/berries-powder-market

About Us: QYR Consulting established as a research firm in 2007 and have since grown into a trusted brand amongst many industries. Over the years, we have consistently worked toward delivering high-quality customized solutions for wide range of clients ranging from ICT to healthcare industries. With over 50,000 satisfied clients, spread over 80 countries, we have sincerely strived to deliver the best analytics through exhaustive research methodologies.

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healthcaremarketresearch201-blog · 5 years

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Rabies Treatment Market to Surge at a Robust Pace in Terms of Revenue Over 2016 - 2023

Global Rabies Treatment Market: Snapshot

The global rabies treatment market is anticipated to gain momentum in growth with three key factors driving the demand in the industry. The application of novel culture media to produce contamination-free vaccines and stringent regulatory examinations conducted by governments could be first on the list of important market drivers. There is a need to eliminate the risk of vaccine contamination due to the involvement of human components and bovine spongiform encephalopathy (BSE) agents in cultural formulations. In this regard, manufacturers are focusing on the development of novel media for vaccine production that are free from human and animal components.

View Report: https://www.transparencymarketresearch.com/rabies-treatment-market.html

The emerging regions of the world are expected to be the major sources of rabies on account of the lack of active rabies vaccination programs and rising population of stray dogs. Exposure to rabid dogs is studied to cause a 99.0% of rabies-related deaths and 90.0% of all rabies cases, according to the Centers for Disease Control and Prevention (CDC). As a result, the need for anti-rabies treatment regimens such as rabies immunoglobulin (RIG) and cell culture vaccine (CCV) for post-exposure prophylaxis is considerably high. This could likely increase the demand in the global rabies treatment market.

However, the expensive cost of CCV for intramuscular administration is foretold to stunt its adoption and that of similar vaccines. Nonetheless, in order to withstand this issue, WHO recommends the intradermal administration of CCV, especially in regions where intramuscular biological is unaffordable and unavailable and rabies is extremely prevalent.

Rabies is a zoonotic viral disease caused due to animal bits. The disease is known to affect domestic as well as wild animals such as bats, skunks, foxes, ferrets, raccoons, cats, or dogs, and infects humans upon contact with saliva of infected animal. Rabies is known to have an incubation period of one to three months. Individuals suffering from rabies show initial symptoms of fever and pain or tingling or burning sensation also called as paraesthesia at the wound site. As the disease progresses through the central nervous system (CNS), patients exhibit hyperactivity, excited behavior, hydrophobia. Rabies can also be paralytic and accounts for approximately 3% of all rabies cases globally according to World Health Organization (WHO). This form is usually misdiagnosed and has slower progression. Muscles near the wound site begin to paralyze; untreated infections lead to coma and cause death.

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WHO statistics also show that although rabies is prevalent in all continents except Antarctica, more than 95% of the mortalities occur in African and Asian countries. Rabies infections are common in areas where human-animal interaction is more and no proper medical treatment facility is available for treatment. In the U.S. only 55 cases have been identified since 1955 according to Centers for Disease Control and Prevention (CDC). Rapid diagnostic tests are available for diagnosis of rabies. These tests are usually Enzyme Linked Immunosorbent Assay (ELISA) or fluorescent assay technology. Synbiotics Corporation, O.K. SERVIS BioPro, s.r.o., Bio-Rad Laboratories, Inc. and Alpha Diagnostic International are some of the players manufacturing diagnostic kits for rabies.

Novartis and Sanofi are key players in the global rabies treatment market. These companies manufacture prophylactic vaccines for humans. Sanofi’s Imovax Rabies is a human diploid cell vaccine; while Novartis’s RabAvert is a Purified chick embryo cell vaccine. Vaccines are also available for preventing infections in animals. Merial a Sanofi company announced in July 2014 had it has launched PUREVAX Feline Rabies 3 YR vaccine. This is a non-adjuvanted rabies vaccine and provides 3 year immunity. The vaccine has been recommended for immunization of healthy cats 12 weeks and older. Cadila Pharmaceuticals Ltd, is also working on development of new generation rabies vaccine in India. Under-developed countries have initiated mass vaccination of stray dogs to control mortalities.

According to an article published by World Health Organization (WHO) in 2014, Kenya launched a nationwide program for vaccination of dogs. Currently, more than 3,000 dogs in Makueni County have been vaccinated. In September 2014, The Philippines Department of Agriculture (DA), the Australian Government and the World Organization for Animal Health (OIE) launched rabies control project to reduce rabies cases due to dog in the Philippines.

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Earlier in 2013, massive dog vaccination program was launched, which vaccinated 92,869 dogs and attained 80% coverage according to a press release by World Organization for Animal Health. An article published in The Maravi Post, Malawi also plans to vaccinate 500,000 dogs and cats to curb the rabies crisis. Such preventive programs will help in reducing the prevalence of the disease in lower socio-economic classes. With developing economic conditions and consistent government initiatives, the prevalence of rabies is expected to shrink in the future. Higher prevalence in the Asia Pacific and Africa provides larger customer base for players in the rabies treatment market.

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covid19updater · 4 years

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COVID19 UPDATES 04/01/2020

QUOTE OF THE DAY:

MORNING:

UK: Britain didn't properly prepare for coronavirus testing because it planned to rely on discredited 'herd immunity' strategy, claims leading scientist. Professor Devi Sridhar said UK Government had been following wrong advice Britain is still not mass testing and gave up on contact tracing as cases surged

NYC: Rikers island prison is offering prisoners 6 dollars/ hr to dig mass graves in NYC. LINK

Kentucky: Coronavirus patient put on house arrest for refusing ‘stay-at-home’ order LINK

RUMINT: In my 7 days on one of our (now 12!) non ICU #COVID19 units, I admitted 58 patients for COVID rule out, of whom 50 tested positive. Two died (DNR), 2 went to hospice, and 5 went to the ICU. That is… not my typical gen med service week. SEE MORE AT LINK

US: Trump predicts a very painful two weeks US President Donald Trump has predicted that the United States will face "two very, very painful weeks". "This is a plague," Trump said at a news conference. "The wave is coming and it is getting pretty strong," he added.

Spain: Spain's daily death toll reaches another record high Spain has seen 864 deaths related to the coronavirus in a day, a new record in a 24-hour period for the country, the health ministry says. The national death toll is at 9,053. There have been 102,136 confirmed cases.

Washington: Washington state has not released an update on the number of coronavirus cases since Sunday because its system is "overwhelmed." As a result, there's only limited data from local officials

World: Some figures in G20 are calling for a “one world government” to deal with COVID19. LINK

India: Two resident doctors of Safdarjung Hospital in Delhi test positive for COVID-19: Official sources

RUMINT (Mississippi): One of the things I'm worried about. I had another coworker quit yesterday due to the lack of concern from our hospital. They say we only need a surgical mask and goggles to care for POSITIVE patients. Um, no. Nurses are going to start walking in droves to other jobs and then the public will be screwed. We are not leaving the profession, just getting off the front lines.

US: "My advice to America would be that these guidelines are a national stay-at-home order."— U.S. Surgeon General Jerome Adams

Texas: Ellen and John were together for more than 50 years. Their true love story interrupted too soon by the coronavirus. LINK

UK: Some especially grim numbers from the UK today which is reporting 4,324 new cases and 563 deaths. This is the worst daily numbers so far. The totals are now 29,474 cases and 2,352 deaths.

Sweden: 500 new cases of #Coronavirus and 59 new deaths in Sweden Total reaches 4,947 confirmed cases and 239 deaths

RUMINT: I spoke to two Senior White House Officials this am. Both made it clear when #coronavirus spike passes the administration will take the gloves off on #China. One explained: “Trump is furious and wants action.”

Canada: Two men slain on rural Alberta road were hunting to feed their families after COVID-19 layoffs LINK

AFTERNOON:

Belgium: 90 year old Woman dies from #coronavirus in Belgium after refusing a ventilator and telling doctors: 'I had a good life, keep this for the younger'

China: BREAKING: China has concealed the extent of the coronavirus outbreak in its country, under-reporting both total cases and deaths, the U.S. intelligence community concluded in a classified report

Canada: 'Best case scenario': COVID-19 measures expected to last until July, government document says LINK

Italy: When the singing stops, trouble starts. LINK

Italy: #BREAKING: Italy has confirmed 4782 new #coronavirus cases and 727 new deaths, raising the country's total to 110,574 with 13.155 confirmed deaths (Note: Yesterday Italy confirmed 4,053 new #coronavirus cases and 837 new deaths)

US: MIKE PENCE just now: "We think Italy may be the most comparable area to the United States at this point."

New York: NEW YORK STATEWIDE CORONAVIRUS CASES INCREASES TO 83,712, UP FROM 75,795 FROM A DAY EARLIER - GOVERNOR CUOMO NEW YORK STATEWIDE CORONAVIRUS DEATHS INCREASES TO 1,941, UP FROM 1,550 A DAY EARLIER - GOVERNOR CUOMO

New York: "The NYPD has to get more aggressive," @NYGovCuomo on enforcing social distancing.

NYC: NYPD considers DOA teams to pick up dead LINK

Philippines: Philippines leader Duterte tells police, military to shoot unruly quarantine violators LINK

Georgia: Georgia jumped to 4638 cases today

Turkmenistan: Turkmenistan bans use of word 'coronavirus,' threatens jail for anyone wearing a mask: watchdog group LINK

Florida: #BREAKING-- FL Gov. @GovRonDeSantis will be issuing exec. order today for ALL Floridians to stay at home, except for essential activity. "That order will be coming out momentarily...it will be going into effect tomorrow at midnight." @NBCNews

World: WHO's Tedros: “deeply concerned” about the “rapid escalation and global spread” of the coronavirus outbreak, saying global infections will eclipse 1 million with 50,000 deaths in a few days.

Georgia: Fulton county GA is voting on an order to command residents to stay home or face 1k fine.

New Jersey: N.J. GOVERNOR SAYS `BEGUN CONVERSATION' ON PLACES TO STORE DEAD

France: France - 4,861 new cases of #coronavirus and 509 new deaths. Hospitalized 24,639 (+1,882): 6,017 in intensive care (+452). Recovered 10,935 (+1,491). 34% under 60yo; 80 patients under 30yo. Total of 56,989 cases, total deaths 4,032

World: Conservative lawyer sues Chinese government over coronavirus outbreak LINK

US: @USNorthernCmd chief Gen O'Shaughnessy says the US military is planning to increase its presence on US southern #border amid #COVIDー19 pandemic to protect nation from possible COVID + migrants. (540 additional troops will deploy "very soon" adds Army North commander

EVENING:

World: Coronavirus can infect cats — dogs not so much LINK

California: Los Angeles County - 513 new cases, bringing the total in the county to 3,518 - 5 new cases are among the homeless population - 79% of positives cases are 18-65 years old; that's remained constant

Japan: Update: Starting from April 2, 2020 at 11:00AM (EST), Foreign Nationals traveling from the US will be denied permission to enter Japan until further notice.

US: Nearly 300 Homeland Security employees test positive for coronavirus

Brazil: So far today, Brazil has reported 1,119 new cases of coronavirus and 39 new deaths, raising total to 6,836 cases and 240 dead

World: U.N., WHO AND WTO WARN OF FOOD SHORTAGE IF COUNTRIES IMPOSE TRADE RESTRICTIONS - WAPO

US: NEW: The Strategic National Stockpile is deploying the last round of shipments in its inventory, depleting the bulk of its protective gear, according to a source familiar. (reporting from CNN's Kristen Holmes) #coronavirus #COVID19

US: U.S GOVERNMENT HAS REQUESTED 100 000 BODY BAGS, PENTAGON WILL DRAW SOME INITIALLY FROM STOCKPILE OF 50 000 IT MAINTAINS - BLOOMBERG. FEMA hasn’t given a specific delivery date request for the 100,000 bodybags, but the agency wants them as soon as they’re ready,

NYC: New York City's empty hotel rooms (85 percent are unoccupied) are going to be used as hospital rooms for those who don't need ICU, says head of city's public hospital system. Plan calls for 10,000 beds across 20 hotels.

Georgia: Breaking: 47 long-term care facilities in Georgia have COVID-19 outbreaks that the state is investigating, Georgia Health Commissioner Kathleen Toomey said today.

Illinois: #Chicago officials say 20 employees with the #Fire Dept. and 50 with the #Police Dept. have tested positive for #COVID19. But the Lightfoot administration won't identify the units in which they were working. Cops wants to know so they can take precautions.

US: Trump adviser working with WH officials on messaging for pandemic said Trump “took a gamble” that warmer weather would cause Coronavirus to dissipate, siding with aides pushing back on dire warnings coming from doctors. "He took a gamble and got it wrong,” adviser said.

Germany: Coronavirus in Germany: - 77,921 confirmed cases - 925 confirmed deaths - 6,113 new cases today - 150 new deaths today - 3,408 critical cases today (2,675 yesterday) Today is Germany's worst day since the outbreak has begun.

Louisiana: New Orleans East Hospital nurse dies from COVID-19 complications

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timclymer · 5 years

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Advice For Acne Sufferers

Acne is the most common skin disorder in the modern world. While acne typically begins during puberty, it is not limited to adolescents and may impact any age group. Though not physically dangerous, acne can take a huge psychological toll. Some sufferers become so self-conscious and embarrassed that their professional and personal lives become severely impacted.

Most people think that acne is merely an aesthetic problem. You try topical acne creams that contain benzoyl peroxide, retinoid acid, salicylic acid, glycol acid, or antibiotics, all of which may help the symptoms a little. In more severe cases, you see a dermatologist, who may prescribe oral antibiotics (which long-term use can cause antibiotic resistance, intestinal permeability, and yeast overgrowth), birth control pills (which are synthetic hormones that raise your risks of blood clots and cancer, and may lead to weight gain, mood changes, and yeast overgrowth), or Isotretinoin (which can cause liver damage and severe birth defects in a developing fetus).

If you truly want healthy skin, it is important to know that you cannot just treat the symptoms. Your skin is your body’s largest organ and an organ of elimination (through sweating), which is why problems on the surface are often a sign of underlying issues. The condition of the skin is a reflection of the body’s overall health. Good skin comes from the inside out, not the outside in! Therefore, treating acne requires a systemic approach that involves your whole body.

Systemic Root Causes Of Acne

Acne is a skin condition that usually involves inflammation, excessive sebum (oil) production, pore blockage, and bad bacterial presence/infection. It is unlikely that acne is triggered by a single definitive cause but instead a combination of factors. The following explains the various systemic root causes of acne. See if any applies to you.

Wrong diet

Acne is caused by inflammation. Any meal or snack that is high in sugar (both refined and natural) and carbohydrates (both refined and whole grains) generates a quick blood glucose spike. To adjust for this rapid rise, your pancreas secretes the hormone insulin into the bloodstream. Repeated surges in insulin promotes inflammation and the production of the male hormone testosterone that may stimulate oil glands in the skin, setting the stage for acne.

If you have acne, it is advisable to eat foods that do not spike your blood sugar and insulin. By simply replacing your sugar and grain carbohydrates with protein, vegetables, and healthy fats, you will likely notice improvement in your complexion.

Milk and dairy consumption is also closely linked to acne. Milk contains components related to testosterone, which may trigger acne.

Certain fats (like omega-6) in the diet promote inflammation while others (like omega-3) dampen it. Processed foods, fast foods, commercially fried foods, and restaurant foods generally use vegetable oils such as those derived from canola, corn, cottonseed, peanut, safflower, soybean, or sunflower that are relatively high in omega-6, which adds to the inflammation load in your body.

Nutritional deficiencies

Most people are getting too much inflammatory omega-6 fats from their diet and not enough omega-3 fats. For this reason, it is crucial to increase your consumption of clean, quality fats from low-mercury fish (such as wild salmon, sardines, anchovies, and herrings) and pasture-raised animals (such as grass-fed beef, pastured pork, free-range chicken, and wild game) that are high in omega-3. (The meat from corn-fed cows can have up to 50 times more omega-6 than omega-3.) Omega-3 has the effect of reducing inflammation and regulating testosterone levels in women. Alternatively, consider taking a high quality omega-3 supplement.

A typical American diet of processed foods and fast foods contains very little fresh vegetables and fruits and is deficient in nutrients and antioxidants like vitamins A, C, and E. Antioxidants have natural anti-inflammatory properties. By eating foods that are high in antioxidants, you help to modulate the inflammatory responses in the body.

Certain foods like turmeric, ginger, green tea, nuts, berries, and dark green leafy vegetables have very high antioxidant levels.

Healthy fats like olive oil, coconut oil, and avocados are also high in antioxidants.

Food sensitivities and leaky gut

You may not realize it, but foods you eat every day can be slowly causing health and skin problems. Delayed food sensitivities are among the most common causes of acne. Many people are unaware that they have a sensitivity towards common foods like gluten (protein in wheat, rye, and barley), dairy, eggs, corn, and soy.

These sensitive foods not only cause widespread inflammation that shows up on your skin, they also mess up your balance of gut flora (good vs. bad bacteria). Taking probiotic supplements (friendly gut bacteria) is extremely beneficial in restoring the gut flora and improving skin conditions.

Food sensitivities also result in a leaky gut (intestinal permeability). Therefore, you need to stop eating the sensitive foods. Try an elimination diet by cutting out the culprit foods (like the ones mentioned above) for a month and see how you feel. If any of your health symptoms improves, you probably have a sensitivity towards the foods.

What’s more, many people whose gut is unhealthy develop chronic, low-grade gut infections from parasites, bacteria, and yeast. These infections can be treated with antibiotics or prescription meds which is the fastest option, but there are also anti-microbial botanicals that are just as effective (and without the side effects of drugs) and can be used to address your gut infections.

Hormonal imbalances

Acne that has a hormonal component often flares up at predictable times due to the cyclical nature of hormones during certain phases of the menstrual cycle. For many women, the week before the menstrual cycle is the time when symptoms peak. Be aware that certain dietary factors may further aggravate the imbalances in your entire hormonal system.

When you keep eating your sensitive foods, your body responds to the constant irritation by upping its production of the stress hormone cortisol, which has an effect on the levels of your sex hormones.

Too much caffeine, which is a stimulant, can wreak havoc on your hormonal system.

A diet with a high ratio of omega-6:3 fatty acids results in the production of hormones that increase inflammation.

Eating too much sugar and carbohydrates results in higher insulin and testosterone levels.

Environmental toxins

Chemicals like flame retardants (from sleeping pillows made of polyurethane foam, vehicle seats, and sofas), parabens and phthalates (from shampoos and make-ups), and other plastic-related chemicals are major hormone disruptors. Avoid them as much as you practically can. Be aware that many over-the-counter acne creams are also loaded with parabens and phthalates.

Dehydration

Some people are perpetually dehydrated. Water is required by your body to facilitate cell growth and regeneration, elimination of wastes, and sloughing away of the dead skin cells. Hydration improves skin tone. Drink enough clean, filtered water every day so that your urine is a pale yellow color. If your urine is bright yellow, you are likely not drinking enough water, unless you are taking B vitamins, which will turn urine bright yellow.

Lack of exercise

Exercise is a potent anti-inflammatory; it turns on the genes that suppress inflammation.

Exercise improves insulin sensitivity.

When you exercise and sweat, your body has the opportunity to flush out toxins through your skin’s pores. Saunas are also helpful in flushing out unwanted debris and contaminants out of your pores.

Stress and sleep

Stress causes acne flare-ups. Stress does this by increasing inflammation, raising cortisol, and depleting zinc, magnesium, and selenium, all of which help to control acne. Hence, it is important that you find ways to reduce your stress or change your attitude and responses, and engage in activities that are relaxing for you, such as taking a bubble bath, walking in the park, practicing yoga or meditation.

Sleep is another necessity for good health. After a period of sleep deprivation, it is common to have more oily skin and breakouts. Sleep deprivation weakens the immune system, increases the production of pro-inflammatory cytokines (chemical messengers used by immune cells to communicate with one another), and affects the regulation of insulin. Make sure you get 7-8 hours of quality sleep every night as this is the time the body, including your skin, heals and rebuilds.

Natural Suggestions For Acne

Apart from the systemic strategies mentioned above, there are some natural topical options that may help to supplement the systemic efforts.

Wash your face more often. This will help remove the excess oil on your skin.

Rub a drop of oregano oil on a breakout. Oregano oil is anti-bacterial and will speed up the healing and prevent unsightly scarring. Wash your hands afterwards.

Smear a thin layer of Manuka honey on your skin. This New Zealand honey variety has particularly strong anti-bacterial properties.

Use the steam room in the gym or lean over a pot of hot water to open pores for a good cleansing.

Minimize bacteria exposure by keeping hands and hair away from the face. Clean your phones regularly. Use fresh pillowcases.

Source by Carol Chuang

from Home Solutions Forev https://homesolutionsforev.com/advice-for-acne-sufferers/ via Home Solutions on WordPress from Home Solutions FOREV https://homesolutionsforev.tumblr.com/post/186418093635 via Tim Clymer on Wordpress

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