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AI Might Spot At-Risk COVID-19 Patients  - web md

AI Might Spot At-Risk COVID-19 Patients

Developed by U.S. and Chinese researchers, the artificial intelligence (AI) program has been tested at two hospitals in China with 53 patients who were diagnosed in January with COVID-19. The new tool is considered experimental and is now in testing.
web md - 11 hours ago
COVID-19 Slows Drug Studies, Curbs Clinical Trials  - web md

COVID-19 Slows Drug Studies, Curbs Clinical Trials

Most studies not considered critical are being deferred. This won’t have much effect in the short term, but if this continues, it could delay patient care and the federal approval of drugs that treat a wide range of conditions.
web md - 12 hours ago
Too Many Patients, Too Few Ventilators: How U.S. Hospitals Cope With COVID-19  - web md

Too Many Patients, Too Few Ventilators: How U.S. Hospitals Cope With COVID-19

Intensive care units at besieged hospitals in New York and other cities are taking an "all hands on deck" approach -- recruiting doctors from various specialties to help handle the influx of severely ill COVID-19 patients.
web md - 1 day ago
‘Red Dawn Breaking Bad’: Officials Warned About Safety Gear Shortfall Early On, Emails Show  - web md

‘Red Dawn Breaking Bad’: Officials Warned About Safety Gear Shortfall Early On, Emails Show

As President Donald Trump called the nation “in good shape” to handle COVID-19, a cache of emails released by officials in Washington state show that top public health authorities feared gear shortages and doctor safety in the early epicenter of sickness and deaths.
web md - 1 day ago
FDA Approves Test That Can Detect Coronavirus in Minutes  - web md

FDA Approves Test That Can Detect Coronavirus in Minutes

The US Food and Drug Administration granted the approval under its Emergency Use Authorization. Abbott said it will start distribution next week and will ramp up manufacturing to 50,000 tests per day.
web md - 1 day ago
Do Gene Mutations Explain Young COVID-19 Cases?  - web md

Do Gene Mutations Explain Young COVID-19 Cases?

Plans call for enrolling 500 patients worldwide who are under age 50, have been diagnosed with COVID-19 and admitted to an intensive care unit, and have no underlying health problems such as diabetes, heart disease or lung disease.
web md - 1 day ago
Have a headache? The top 7 triggers - harvard

Have a headache? The top 7 triggers

There are several common triggers for headaches. Identifying the one that is causing your headache is the first step toward avoiding it or ensuring you can treat it properly. The post Have a headache? The top 7 triggers appeared first on Harvard Health Blog.
harvard - 1 day ago
Shortages Looming for Respirators, Masks, Gowns  - web md

Shortages Looming for Respirators, Masks, Gowns

Only about 12% of facilities have been able to get supplemental PPE from federal resources, compared with 25% that have drawn from local donations and 17% from do-it-yourself efforts to cobble together masks and gowns, results show. State and local governments have supplied PPE to 29% of facilities surveyed.
web md - 4 days ago
How Three Countries Have Kept COVID-19 In Check  - web md

How Three Countries Have Kept COVID-19 In Check

Although the United States missed its chance to head off a COVID-19 epidemic, and is well on its way to becoming the pandemic's new epicenter, these lessons drawn from other countries could still be used to help manage infections in the months and years ahead, Adalja and Kullar said.
web md - 4 days ago
U.S. Hospital Beds Were Maxed Out Before Pandemic  - web md

U.S. Hospital Beds Were Maxed Out Before Pandemic

At Elmhurst Hospital Center, a 545-bed public hospital, doctors and nurses have only a few dozen ventilators for their patients, some of whom have died while waiting for a bed. A refrigerated truck has been stationed outside the hospital to hold the dead, the newspaper reported.
web md - 4 days ago
COVID-19: Dramatic Changes to Telepsychiatry Rules and Regs  - web md

COVID-19: Dramatic Changes to Telepsychiatry Rules and Regs

In the wake of drastic rule changes governing telemental health services during the COVID-19 outbreak, experts give the most up-to-date information on how to best navigate this ever-changing landscape.
web md - 4 days ago
Keep Calm: Under 25s With Diabetes Not Hospitalized Due to COVID-19  - web md

Keep Calm: Under 25s With Diabetes Not Hospitalized Due to COVID-19

Reassuringly, COVID-19 in under 25s with diabetes doesn't seem to require hospitalization, early reports from global hotspots indicate. But the pandemic means new cases of type 1 diabetes are being missed.
web md - 4 days ago
Livestock, Poultry Safe From Coronavirus: Expert  - web md

Livestock, Poultry Safe From Coronavirus: Expert

The low level of risk to livestock and poultry is good news for U.S. livestock producers, meat packers and consumers, who could use some stability as uncertainty about the coronavirus restricts many normal daily activities, Roth noted.
web md - 4 days ago
Severe COVID-19 Might Injure the Heart  - web md

Severe COVID-19 Might Injure the Heart

Doctors in China have already warned that heart injuries appear common in COVID-19 patients, particularly those with existing heart disease or high blood pressure. A recent, smaller study found that 12% of hospitalized patients had the complication.
web md - 4 days ago
Social Distancing May Be Working, New Study Hints  - web md

Social Distancing May Be Working, New Study Hints

Data show that the number of people with fever that's an early indication of coronavirus infection started falling almost immediately after social distancing measures took effect in some areas, USA Today reported.
web md - 5 days ago
Critics Lead Gilead to Drop Coronavirus Drug Status  - web md

Critics Lead Gilead to Drop Coronavirus Drug Status

Gilead asked the U.S. Food and Drug Administration to designate remdesivir a so-called orphan drug, saying it qualified as a rare disease because fewer than 200,000 Americans are infected with the coronavirus.
web md - 5 days ago
Young People Far From Immune to Coronavirus

Young People Far From Immune to Coronavirus' Bite

The data from China showed that older people were more likely to die. But Americans may have misunderstood the data that initially came out of China: that older people were most affected and younger ones were safe.
web md - 5 days ago
Wuhan Study Shows Social Distancing Saves Lives  - web md

Wuhan Study Shows Social Distancing Saves Lives

The closures significantly delayed the peak of the epidemic in Wuhan -- the epicenter of the worldwide pandemic -- and gave the health system the time and opportunity to grow and respond to the crisis, according to the study authors.
web md - 5 days ago
Commentary: What If There Is a Virtual ACC and Nobody Cares?  - web md

Commentary: What If There Is a Virtual ACC and Nobody Cares?

It seems tone-deaf to discuss science-that-can-wait while colleagues across the world fight this challenge, writes John Mandrola, MD, of the upcoming virtual American College of Cardiology Scientific Sessions.
web md - 5 days ago
Expert: Coronavirus Isn

Expert: Coronavirus Isn't 'Alive,' But Still Harms

"A virus usually enters the cell through a protein our cells have on their surface. COVID-19 -- and SARS [severe acute respiratory syndrome] before that -- use a protein called ACE2, which is on the surface of the cells in our lung, throat and intestinal tract,"  Mendenhall said.
web md - 5 days ago
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What one study from China tells us about COVID-19 and children

What one study from China tells us about COVID-19 and children

harvard - 1 week ago

As we try to predict what will happen here in the US with COVID-19, its natural to look at the experience in China, where the epidemic began. In a study published in the journal Pediatrics, we learn about how the pandemic affected children.

What this study tells us

The study looked at information about 2,143 children with COVID-19 infections that were reported to Chinas Centers for Disease Control from January 16 to February 8 of this year. Of the infections, about a third were confirmed with a laboratory test for COVID-19. The others were diagnosed based on symptoms and the results of other tests, such as x-rays.

The best news in this study is that 90% of the children had illness that was asymptomatic, mild, or moderate as opposed to severe or critical. While 4.4% were reported as asymptomatic, given that only a third had laboratory testing, its very likely that the actual number of asymptomatic infections in children during that time period was higher. Only one child died.

In adults, it appears that more like 80% have mild to moderate infections. We dont know why children appear to have milder disease overall. Its likely a combination of factors related to body chemistry, immune function, and even social factors such as how children are cared for and spend their days. But whatever the reason, its good news.

What else is important to know

However, there is a part of the study we need to pay attention to: younger children are at higher risk of running into trouble. Among children less than a year old, 10.6% had severe or critical disease. For children ages 1 to 5, that number was still high at 7.3%. It dropped to 4.2% for 6-to-10-year-olds, 4.1% for 11-to-15-year-olds, and 3% for those 16 and older. Interestingly, the only child who died was 14 years old.

Its not really surprising that the youngest children, especially infants, are more vulnerable. In most epidemics, such as influenza, its the very young and the very old that have the highest risk.

How can this information help us?

How can we use this information? Aside from all the advice already given to parents about hand washing, social distancing, and maintaining healthy habits, parents of young children should take extra care.

Be especially careful about who has contact with your young children

  • Choose caregivers carefully. Limit the number overall, and choose those who have limited contact with other people and who can be trusted to practice social distancing, wash their hands frequently, and stay away if they feel at all sick.
  • Limit the number of people who have contact with or hold young children.
  • To the extent that it is possible, keep young children at home. If you take them out, keep them inside strollers or otherwise limit what they touch.
  • Wash their hands even more often. They just cant stop themselves from touching things and touching their face.

Be particularly watchful should young children get sick

Call your doctor for advice rather than bringing your child in for mild or moderate illness (theres nothing your doctor can do at the office, and you are just adding the risk of more exposures). However, you should absolutely seek medical care if your child has

  • any trouble breathing rapid or forceful breathing, a pale or blue color to skin, trouble feeding or talking, or doing usual activities because of breathing problems
  • a high fever you cant get down (while its not certain, there have been some concerns raised about using ibuprofen with COVID-19 out of an abundance of caution, best to use acetaminophen instead)
  • unusual sleepiness
  • pain or irritability you cant soothe
  • trouble drinking or refusal to drink, and is making less urine.

Follow me on Twitter @drClaireMD

For more information on coronavirus and COVID-19, see the Harvard Health Publishing Coronavirus Resource Center.

The post What one study from China tells us about COVID-19 and children appeared first on Harvard Health Blog.

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