Tulane Outbreak Daily | April 9, 2020

A follow up on yesterday’s featured headline: In N.Y.C., the Coronavirus Is Killing Men Twice as Often as Women – New York Times
one of our readers responded with additional information, thanks Joe!
  • More men also are infected than women, and they are hospitalized more frequently, new data show. A similar pattern was seen in China.
  • In Korea, more women are infected than men [Related Study]
  • New Zealand data similar to Korea, more women than men infected (55% vs 45%) [Related Study]

Fauci Says U.S. Coronavirus Deaths May Be ‘More Like 60,000’; Antibody Tests On Way – NPR

The U.S. is enduring a “very bad week” during the COVID-19 pandemic, Dr. Anthony Fauci says. But he also says that the American public’s embrace of physical separation and other restrictions is sharply reducing projections of the death toll from the respiratory virus.

Ecuador Gives Glimpse Into Pandemic’s Impact on Latin America – New York Times
In Guayaquil, Ecuador’s biggest city, a surge in deaths has overwhelmed health care and burial services. Scenes of bodies on sidewalks and desperate families serve as a warning for the region.

Beware of the second wave of COVID-19 – The Lancet

The outbreak of coronavirus disease 2019 (COVID-19), which began in Wuhan, China, in late 2019, has spread to 203 countries as of March 30, 2020, and has been officially declared a global pandemic.With unprecedented public health interventions, local transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) appears now to have been contained in China. Multiple countries are now experiencing the first wave of the COVID-19 epidemic; thus, gaining an understanding of how these interventions prevented the transmission of SARS-CoV-2 in China is urgent.

How does COVID-19 invade our bodies so easily? – University of Toronto

To understand how COVID-19 enters the body and does its damage, a team of top researchers from universities, hospitals and the National Research Council of Canada (NRC) at the Centre for Research and Application in Fluidic Technologies, or CRAFT (a collaborative centre between the University of Toronto and the NRC), are adapting an approach developed by U of T’s Milica Radisic, Axel Guenther and Edmond Young to create miniscule models of the nose, mouth, eyes and lungs.

Smokers have more ACE2 receptors making it easier for SARS-CoV-2 to infect – MedicalNews.net

The coronavirus disease 2019 (COVID-19) was declared a pandemic by the World Health Organization (WHO) early this year. Its symptoms range from none through mild to critically severe, leading to death in a few. Most severe cases have been reported in people over the age of 55 years with underlying medical illnesses such as COPD. The current study was motivated by the desire to identify increased levels of ACE2 in the bronchial epithelium of the lungs. [Related Study]

COVID-19 pandemic unlikely to ebb as weather warms – CIDRAP

Even if warmth were unfavorable for COVID-19, “given the lack of host immunity globally, this reduction in transmission efficiency may not lead to a significant reduction in disease spread without the concomitant adoption of major public health interventions,” they wrote. “Given that countries currently in ‘summer’ climates, such as Australia and Iran, are experiencing rapid virus spread, a decrease in cases with increases in humidity and temperature elsewhere should not be assumed.” [Related Paper]

Most New York Coronavirus Cases Came From Europe, Genomes Show – NYT

New research indicates that the coronavirus began to circulate in the New York area by mid-February, weeks before the first confirmed case, and that travelers brought in the virus mainly from Europe, not Asia.

Stanford scholars and researchers lend their expertise to tackling the COVID-19 crisis – Stanford News

From addressing immediate medical challenges to considering the wider societal, economic and legal implications of the crisis, Stanford is applying its interdisciplinary expertise in the hopes of ensuring an equitable recovery for all people and offering solutions that can be scaled to benefit the world.

Small-Town Hospitals Are Closing Just As Coronavirus Arrives In Rural America – NPR

By this time next week, Decatur County, Tenn., will have lost its only hospital, Decatur County General, which has been serving the rural community of about 12,000 people along the Tennessee River since 1963.

New York: Homes for the Disabled See a Surge of Covid-19 – NYT

As the coronavirus preys on the most vulnerable, it is taking root in New York’s sprawling network of group homes for people with special needs.

For survivors of severe COVID-19, beating the virus is just the beginning – Science Magazine

While COVID-19 is sending even young, previously healthy people to the intensive care unit (ICU), older adults are at greatest risk of both severe disease and long-term impairment, says Sharon Inouye, a geriatrician at Harvard Medical School’s Hebrew SeniorLife health care system. “It’s taken us a long, long time to [develop] some best practices for geriatric care in the hospital and ICU, and I just see all of that being eroded during this crisis.”

Surveillance

Editor’s note: Regarding the case counts below, please consider due to limited testing capabilities in some locations, the real number of cases could be considerably higher.

Official Reporting for April 9, 2020

WHO SITREP #79 ECDC | Country Data Johns Hopkins
Confirmed Cases 1,353,361 1,476,819 1,490,790
Deaths 79,235 87,816 88,982

 

Total cases: 395,011
Total deaths: 12,754
(Numbers close out at 4 p.m. the day before reporting.)

Travel Related: 1,864
Close Contact: 8,203
Under Investigation: 384,944
Total Cases: 395,011

Surveillance Headlines

USA

Georgia: Sharp Increases in COVID-19 Cases and Deaths – Georgia DoH

Texas: The first prisoner has died after testing positive for the new coronavirus – Texas Tribune

California: Coronavirus-wracked nursing home evacuated after most of staff failed to show for two days – Washington Post

LATIN AMERICA

Ecuador: Struggles to bury coronavirus dead; some bodies lost – ABC News

EUROPE

Russia/China Border: Chinese city of Suifenhe, in the northeast part of the country on the border with Russia – Reuters

Spain: Reported an increase for the second day in a row, with 757 more reported. The health ministry said overall, the rate of new infections is slowing and that the country has increased its testing capacity. The government also said shortages of intensive care beds and equipment has improved CIDRAP

UK: Reported a record 938 hospital deaths totaling 7,097. UK Prime Minister Boris Johnson is still in intensive care unit (ICU) treatment, but is improving – CIDRAP

France: The lockdown, originally slated to end Apr 15, will be extended. CIDRAP

ASIA

China: Reported 62 new cases, 59 of them imported. Of the three local cases, two are from Shandong province and one is from Guangdong province. It also reported 137 asymptomatic cases, 102 of them imported. CIDRAP

Hong Kong: Reported 25 new cases,15 of them with a travel history. CIDRAP

Singapore: Reported 142 new cases, up from 106 yesterday, of which 2 were imported and 68 were linked to known clusters or patients. – CIDRAP

India: Considering narrowing its lockdown to just the hotspot areas such as Mumbai and may extend its measures until the end of the month CIDRAP


Science and Tech

Antivirals

Experimental Drug Has Broad Spectrum Antiviral Activity against Multiple Coronaviruses – Science News

EIDD-2801 is an orally available form of the antiviral compound EIDD-1931 (β-D-N4-hydroxycytidine). It can be taken as a pill and can be properly absorbed to travel to the lungs. [Related Study]

Convalescent Therapies

A Promising COVID-19 Treatment gets Fast Tracked – Johns Hopkins Hub

Collaborators at Johns Hopkins and beyond have worked around the clock to develop a convalescent serum therapy to treat COVID-19 using blood plasma from recovered patients. If early promising studies on the therapy done in China are confirmed by U.S. trials, thousands of survivors might soon line up to donate their antibody-rich plasma.


Published Research

SARS-CoV-2 Infection among Travelers Returning from Wuhan, China – NEJM

Cardiovascular Implications of Fatal Outcomes of Patients With Coronavirus Disease 2019 – JAMA

ACE-2 Expression in the Small Airway Epithelia of Smokers and COPD Patients: Implications for COVID-19 – European Respiratory Journal

Early consensus management for non-ICU ARF SARS-CoV-2 emergency in Italy: from ward to trenches – European Respiratory Journal

Coagulopathy and Antiphospholipid Antibodies in Patients with Covid-19 – NEJM

Screening and Severity of Coronavirus Disease 2019 (COVID-19) in Children in Madrid, Spain – JAMA

Rapid Expert Consultation on SARS-CoV-2 Survival in Relation to Temperature and Humidity and Potential for Seasonality for the COVID-19 Pandemic (April 7, 2020) – NAS

An orally bioavailable broad-spectrum antiviral inhibits SARS-CoV-2 in human airway epithelial cell cultures and multiple coronaviruses in mice – Science Magazine

Pre-Pub (not yet peer reviewed, should not be regarded as conclusive)

SARS-CoV-2 titers in wastewater are higher than expected from clinically confirmed cases – MedRXIV


Infection Prevention

How Safe Is It To Eat Takeout? – NPR

As the coronavirus spreads in the U.S. and Americans heed directives to stay home, takeout and delivery of prepared food is picking up. Yet in these fearful times, many of us are wondering if eating takeout is a good idea. (Plus shouldn’t we be cooking all those groceries we stocked up on?)


Economic Impact

U.S.: 17 Million File For Unemployment In 3 Weeks – NPR

The number of people seeking unemployment benefits shot up again last week, as 6.6 million more people filed initial claims, the Labor Department said Thursday. About 16.8 million have filed in the past three weeks, and analysts expect the numbers to keep rising.


Coping in Quarantine

The completely correct guide to vacationing at home – Washington Post