COVID-19 in the news

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More research needed on omicron and how it affects Americans, experts say

By Darren Cunningham  The interest in keeping up with COVID and its variants varies from person to person. Some opt to just follow the protocols; others want to know the science behind the severity and transmissibility. Scientists say the newest strain, omicron, spreads quicker than delta but is less severe. Doctors, including Dr. Phillip Levy, a professor of emergency medicine and researcher at Wayne State University, said it's important to keep in mind most of the studies on omicron so far have been conducted in South Africa, a different population with younger people being infected. “So, when you say, ‘could it be more severe?’ It wouldn’t be more severe because omicron itself becomes something different. I mean that could happen, and it may create a new severe variant which would have a new Greek alphabet naming structure. But omicron itself, we still just don’t know what it’s going to do when it hits our population,” said Dr. Levy.
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Wayne State students positive about booster mandate for winter semester

Wayne State University officials announced that boosters will be required for all students, faculty and staff beginning Jan. 3. In a letter to the campus community, school officials said the decision was prompted by the alarming spread of the COVID-19 omicron variant. Recently, both the University of Michigan and Michigan State University made similar decisions. The Campus Health Center is offering all vaccines and boosters, with several booster clinics scheduled in the near future. 
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Michigan can’t meet demand for COVID-19 monoclonal antibody treatments

Wayne Health has been hosting drive-through clinics on Mack Avenue to provide monoclonal antibody treatments, which can be the difference between life and death for those most vulnerable to severe illness from COVID-19. But amid Michigan’s worst-yet coronavirus surge, there’s not enough supply of monoclonal antibodies nor are there enough health care workers to administer them. “COVID testing and vaccinations remain our pillar, but we’re also very heavily engaged in monoclonal antibody infusions, which are a great way to prevent people who do contract COVID – particularly high-risk individuals – from getting sick to the point where they require hospitalization or at risk for dying,” said Dr. Phillip Levy, professor of emergency at Wayne State University, chief innovation officer for Wayne Health, and assistant vice president for research. Levy said when the virus attacks the body, it’s like an internal war in which coronavirus particles are the invaders pitted against the antibody soldiers a person’s immune system has called to defend it. “The monoclonal antibodies basically are a pharmaceutical version of the antibodies your body would produce anyway to fight off the virus. And by taking these antibodies and sort of bolstering your natural immune system, you get more soldiers, more fighters against the virus,” said Dr. Levy.  
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How public health shifted away from the public, and why it might be shifting back

These days, public health crises are common. The Flint water crisis made global news, highlighting how attempts to cut costs on basic services like clean water led to high levels of led in the water. Crisis lead levels in water, breathing unclean air and not having access to safe areas to play are a daily reality for many. And when the COVID-19 pandemic first hit, many public officials were caught off guard. According to some recent scholarship, public health programs once focused more on public infrastructure and the health of the most vulnerable in society. Tricia Miranda-Hartsuff, a public health associate professor at Wayne State University, says the public health field is now changing to focus on larger structural issues, including institutional racism and poverty that can help create trauma. “What we saw with COVID was this exaggeration of health disparities that had already been prevalent,” she said. “We already knew that certain populations had less access to care, had poorer quality of care.”
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Everything you need to know about newly available COVID-19 vaccines for kids

Dr. Paul Kilgore, associate professor and director of research in the Eugene Applebaum College of Pharmacy and Health Sciences at Wayne State University, joins Stephen Henderson on Detroit Today in a conversation about the availability of the COVID-19 vaccine for school-age children. "The availability of the vaccine for children is really, really good news. It's definitely a game-changer...Parents have been patient and now is the time that they can actually go in to get their kids vaccinated...the reactions we see include things like soreness after the injection, systemic signs like headache, malaise, and joint and muscle aches - that resolve relatively quickly. Kids are very resilient. In fact, we see very, very few kids needing to follow up at a pediatrician as a result of any adverse events..." said Dr. Kilgore. "I always weigh the risks and benefits of anything, including vaccinations. One of the things we can tell parents is that overall, over the last several months, we've had a relatively conservative rollout of the vaccines. We started with the older adults, working our way down to younger adults and teenagers. And through that experience, we've been able to learn that the mRNA vaccines and the J&J vaccine have been safe for adults, and now we have a lot of additional real-world experience with hundreds of thousands of older children who have been vaccinated with the Pfizer vaccine. What this is all telling us is that we haven't seen any unusual signals that would make us worry as we start to vaccinate children ages 5 to 11. The risks of not getting vaccinated are substantial." 
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“Buy it when you see it.” Retailers dread holiday shortages

By Mae Anderson  As the holiday season approaches, many businesses are concerned about inventory. This year, store shelves at businesses may be a little sparse because of bottlenecks in the global supply chain. The global supply chain has been impacted by a multitude of problems, from factories having to close due to COVID-19 surges, lack of containers to ship items in, backups at ports and warehouses, and a shortage of truckers. While bigger retailers like Walmart and Target have the power to buy their own containers, use air freight, and take other steps to make sure they get inventory, smaller retailers are at the mercy of vendors, who are increasingly suspending delivery guarantees and sometimes not communicating at all. In addition to a surge in shipping costs, vendors have reported delays because of backed up shipping ports. Kevin Ketels, a lecturer in global supply chain management at the Mike Ilitch School of Business at Wayne State University said that normally, there’s no wait for container ships to unload and that such delays are major.  
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'It's like a haunting.' Many COVID-19 patients deal with PTSD, depression & more after recovery

By Alex Bozarjian  Researchers are learning more about how severe cases of COVID-19 can impact a person's mental health in the long term. A study conducted in Italy found that 30% of patients who recovered from COVID-19 developed post-traumatic stress disorder (PTSD). "This brain goes to fight or flight mode, and people have nightmares, people have flashbacks, and these flashbacks are as if I am there, I see things, I hear things--I feel the touches," Dr. Arash Javanbakht said. He researches stress, trauma and anxiety at Wayne State University. He said there are a lot of layers to recovery after COVID-19. It can either be mental or physical. 
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Labor shortage: Why it’s happening and what can be done

You’ve heard time and time again that the coronavirus pandemic triggered the shortage of workers we are seeing today -- but it may not be for the reason that you think. Matt Piszczek, a business professor at Wayne State University, says that the assumption that unemployment checks kept people home during the pandemic is incorrect. Instead, a lot of people began to rethink their careers, priorities and life goals after the health crisis hit. “The pandemic gave them an opportunity to reflect on what’s important,” Piszczek said. “So, things like flexibility became more important than an extra dollar an hour.” 
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Kellogg’s, John Deere strikes signal ‘volatile time’ for economy, supply chains

Workers at Kellogg’s cereal plants in cities that include Battle Creek, and thousands of John Deere workers have walked away from their jobs to strike. "There’s no doubt that there’s a lot of pent-up frustration in the workforce," said Marick Masters. Masters, a professor of business at Wayne State University, believes contract disputes over items which include low wages, are driving this worker stoppage. "We could see a growing militancy on the part of some workers because they are tired of the cumulative effects of declining wages, they see inflation on the rise, and they see the devastating effects of the pandemic, in terms of lost businesses and jobs," he said. 
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Long COVID now has a formal definition from the WHO: What to know 

Long COVID now has a formal definition from the WHO: What to know  On Oct. 6, 2021, the World Health Organization (WHO) announced the first official definition of what constitutes long COVID. The medical community has been aware that while most people recover from COVID-19 within a matter of weeks, some will experience lingering symptoms for four or more weeks after developing COVID-19.  Until now, there has not been a formal definition for this condition. Referring to it as “post COVID-19 condition,” the document says that long COVID “occurs in individuals with a history of probable or confirmed SARS-CoV-2 infection, usually 3 months from the onset of COVID-19, with symptoms that last for at least 2 months and cannot be explained by an alternative diagnosis.” The definition further states that common symptoms may include fatigue, cognitive dysfunction, and several others that can impact daily functioning. Joseph A. Roche, BPT, Dip. Rehab. PT, PhD, associate professor in the Physical Therapy Program at Wayne State University and member of the American Physiological Society who has performed research into the effects of long COVID, said the case had been made that long COVID may resemble a condition known as “myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS),” which can affect some individuals after other viral illnesses.  “What makes post COVID-19 condition more concerning than ME/CFS,” said Roche, “is that there is not just physical and mental fatigue, but also persistent and recurrent problems that affect the lungs, heart, blood vessels, and other organs and tissues.”  
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Studies show Covid-19 worsens pregnancy complication risk

BY Jen Christensen  Pregnant women who develop Covid-19 symptoms risk emergency complications and other problems with their pregnancies, according to two new studies. The disease also puts their children at risk. Dr. Gil Mor, a reproductive immunologist who did not work on the study but reviewed the work, said it's also possible that the problems could be related to chronic inflammation caused by Covid-19. "Inflammation is extremely dangerous for both the mother and the development of the fetus. A chronic inflammation is now a fight for the survival of the mother and the fetus, and in every fight, they pay they pay a price," said Mor, who leads a research lab at Wayne State University that studies the immune system during pregnancy and the impact of pathogens. "We need to do everything in our hands in order to prevent the chronic inflammation." 
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Metro Detroit parents prep for COVID-19 vaccine approval in kids 5-11; here's when it could happen

Metro Detroit parents prep for COVID-19 vaccine approval in kids 5-11; here's when it could happen  Pfizer and BioNTech requested emergency use authorization of its vaccine for kids 5-11. Currently, the shot is approved for kids 12 and up. In Michigan, more than 36% of kids ages 12-15 are fully vaccinated, with 40% receiving at least one dose. Cyerra Byse, a mom in metro Detroit, said she and her kids always mask up, and now, they could be one step closer to another layer of protection with the COVID-19 vaccine. "I can't control where everybody else goes I can just protect my household," Byse said. Dr. Paul Kilgore, the director of research in the department of pharmacy at Wayne State University said so far, the results "look very good." In terms of timing, an FDA panel will meet to review the data on Oct. 26. For context, in adults, it was about three weeks in between the application for emergency use authorization until shots when into arms. The dosage will also be different. It's only about a third of what adults receive. "It's going to be a lower antigen content. In other words, the adult version of the vaccine is 30 micrograms, the pediatric dosage for the 5 to 12 years-olds is going to be about 10 micrograms," Kilgore said. 
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COVID-19 infection increases risk for preeclampsia reported by WSU and PBR investigators

A newly published study found that women who contract COVID-19 during pregnancy are at significantly higher risk of developing preeclampsia, the leading cause of maternal and infant death worldwide. The research, published in the American Journal of Obstetrics and Gynecology, shows that women with SARS-CoV-2 infection during pregnancy had 62% higher odds of developing preeclampsia than those without the infection during pregnancy. The research was led by Roberto Romero, M.D., DMedSci, chief of the Perinatology Research Branch and professor of molecular obstetrics and genetics at the Wayne State University School of Medicine, and Agustin Conde-Agudelo, M.D., M.P.H., Ph.D., adjunct professor of obstetrics and gynecology. “This association was remarkably consistent across all predefined subgroups. Moreover, SARS-CoV-2 infection during pregnancy was associated with a significant increase in the odds of preeclampsia with severe features, eclampsia and HELLP syndrome,” said Dr. Romero.
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Managing conversations around COVID-19 when scheduling playdates for your kids

By Keenan Smith  With school back in session and kids making new friends, there will no doubt be requests for playdates. But, the pandemic is hitting kids harder than ever with infections and hospitalizations on the rise. Parents are left to balance the social and emotional health of their children and protecting them from the virus. We went to get guidance to help you manage the awkward situations and uncomfortable conversations you'll have to manage with kids back in school, the weather turning colder and the request for playdates heating up. Dr. Lucy McGoron, a developmental psychologist at the Merrill Palmer Skillman Institute at Wayne State, says unless you know someone is vaccinated or they wear masks, you should ask. "It's really not that different from other really tough conversations that we have to have as parents and doing playdates," she said. Those include who will be at the home during a play date or will the kids be wearing helmets when riding their bikes. McGoron says start by making the questions universal. "Say, hey, I asked everybody this, or it's just my policy to ask everybody about this, to preface that before digging into these questions about vaccines and masks," McGoron said. Or, you can start by sharing your practices as a way to get the ball rolling. McGoron says it's important to let your child see you navigate these issues in the pandemic and in life. 
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Michigan colleges took financial battering in first months of COVID-19, new documents show

By David Jesse  The first months of the COVID-19 pandemic in 2020 took a sledgehammer to the revenues of Michigan's public and private colleges and universities, causing losses of more than $250 million collectively. The majority of the losses — more than $140 million — came from the school's auxiliary enterprises like dorms, dining and facility rentals. A Free Press review of audited financial numbers in each school's annual financial statement for the 2019-20 school year, which ended at the end of July 2020 for nearly all the schools, shows the extent of the wreckage. Full financials for the 2020-21 school year, when schools spent the entire session in the grip of the pandemic, are not yet complete. When it became clear in the spring of 2020 COVID-19 was unlike other diseases, college officials across the state warned it could have devastating effects on budgets. In early 2020, university administrators across Michigan could see the end of the school year drawing quickly closer. Plans had been made and projects started. It was time to start working on next year's budget. A few folks — including the presidents of the University of Michigan, Wayne State University and Oakland University, all medical doctors by training — were aware of COVID-19, but many people weren't. 
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Hospitals innovate amid dire nursing shortages

By Patrick Boyle  At Parkland Health & Hospital System in Dallas, doctors have been stepping up for duties normally done by nurses and medical assistants, such as turning and bathing patients. At UAMS Medical Center at the University of Arkansas for Medical Sciences (UAMS) in Little Rock, administrators have been recruiting new nurses with signing bonuses of up to $25,000. And at UAB Medicine in Birmingham, Alabama, nursing school faculty have been leading teams of students in turning critically ill COVID-19 patients from their backs onto their stomachs (knowns as proning) so they can breathe better. “I’ve never seen such teamwork. It’s been a mind-blowing experience,” says Summer Powers, DNP, CRNP, an assistant professor at UAB School of Nursing who helped to organize the faculty/student teams. Also never seen before are the staffing shortages that are plaguing hospitals in the latest COVID-19 hot spots, forcing them to offer eye-popping employment bonuses and draft everyone — from students to administrators to physicians — to fill in the gaps as best they can. While shortages abound across front-line jobs, nowhere is the need greater than in nursing, as hospitals hit by the current surge report unprecedented vacancies in nursing slots: 470 out of 3,800 positions at Parkland; 240 out of 1,400 at UAMS; and 760 out of 4,000 at UAB. COVID-19 has intensified some of those conditions. The first surges last year compelled many nurses and other health care workers to leave their jobs, but the vast majority battled through the exhaustion, despair, and fear out of a sense of duty and with faith that medical researchers would find ways to combat the disease. They just had to hang on until then. “When we were able to jump in with vaccinations in January [2021], there was a sense of great hope,” recalls Tricia Thomas, PhD, RN, associate dean for faculty affairs at Wayne State University College of Nursing in Detroit.  https://www.aamc.org/news-insights/hospitals-innovate-amid-dire-nursing-shortages 
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And a giant corporation will lead them: Why rely on business to help end the pandemic?

By Nancy Derringer  When the Detroit Regional Chamber convenes its Covid-delayed Mackinac Policy Conference later this month, it will require attendees to produce proof of vaccination to register. The usual suspects are balking, but the Chamber is standing firm. Its CEO, Sandy Baruah, had a kidney transplant in 2019, and is no doubt on anti-rejection drugs, i.e. immunosuppressants. He probably has a dim view of the trust-me-I-have-natural-immunity sermon preached by Covid survivors. Corporations like these – large, multinational, customer-facing – have advocated for a variety of social causes that some conservatives have dug in their heels on. Same-sex marriage and civil rights for LGBT individuals are only one example. Climate change and environmental impact are driving the auto industry in the direction of electric vehicles and renewable energy. Expect worker safety and security to be a higher priority, not only in company policy, but in their lobbying, too; tax-supported universal preschool isn’t just good for children, but for working parents. And good talent is hard enough to come by as it is. But Matthew Roling, an instructor at Wayne State University’s Mike Ilitch School of Business, warns the rest of us not to get too complacent with these apparent good deeds. “Businesses never do things for altruistic reasons,” Roling said. “It just so happens that the intersection of customers and talent align themselves (with business’ bottom line). Because the moment those issues diverge, they won’t be there to save us.” 
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Don’t take animal dewormer to treat COVID-19, warns Michigan poison, drug information center

By Danielle Salisbury  Farm stores are hanging safety alerts and health authorities are warning ivermectin, approved for use in humans with parasitic worms and also given to large animals, is not proven to treat or prevent COVID-19, despite some seemingly continually circulating information to the contrary. “It hasn’t been shown to be safe or effective for that specific indication,” said Dr. Varun Vohra, director of the Michigan Poison & Drug Information Center at the Wayne State University School of Medicine, which has been fielding some calls on the drug and issued a warning statement on Tuesday. Taking formulations intended for livestock, to prevent heartworm disease and certain internal and external parasites, is especially concerning. Horses and cows are much larger than average humans, he said. “So the dose is going to be consistent with that. They’re going to be a lot more concentrated. So, the threshold for toxicity can be a lot lower.”