Good afternoon,

There are 360 citations in today’s scan. 233 were considered primary research or review literature.

Highlights today include:

 

CANADA

·         Papanastasiou et al. study factors associated with COVID-19 social distancing regulation compliance within a sample of Ontarians. Variables related to one’s risk of infection (e.g. health status, age, working outside the home, regional infection rates), as well as gender, political beliefs, and risk perception, were predicators of social distancing compliance.  Wage subsidies and fines also played a role in full compliance with social distancing regulations.

·         Campbell, et al. identified 5 groups within Canada who should be prioritized for active RT-PCR testing: contacts of people who are positive for SARS-CoV-2, and 4 at-risk populations — hospital employees, community health care workers and people in long-term care facilities, essential business employees, and schoolchildren and staff. They estimated costs, human resources and laboratory capacity required to test people in each group or to perform surveillance testing in random samples. Active testing of groups at increased risk of acquiring SARS-CoV-2 appears feasible and would support the safe reopening of the economy and schools more broadly.

PUBLIC HEALTH INTERVENTIONS

·         Cohen et al. (preprint) examined the impact of different school reopening scenarios on transmission within and outside of schools. Schools can lower this risk to as low as 0.2% for staff and 0.1% for students by returning elementary schools with a hybrid schedule while all other grades continue learning remotely. Despite the significant risks to the school population, reopening schools would not significantly increase community-wide transmission, provided sufficient countermeasures are implemented in schools. 

·         Cheetham et al. use a SEIR model to describe the transmission of COVID-19 infection in London, UK as social distancing practises start to relax. The finding caution against a full relaxation of social distancing measures, and suggest a second wave of infections could be mitigated by keeping daily contacts to less than 5-6 individuals within the study population.

·         Bubar et al provide a model-informed COVID-19 vaccine prioritization strategy that can be optimized to minimize mortality or incidence. They find that a transmission-blocking vaccine prioritized to adults ages 20-49 years minimizes cumulative incidence and to adults over 60 years minimizes mortality. Direct vaccination of adults over 60 years minimizes mortality for vaccines that do not block transmission.

·         Baker et al model future effect of climate on SARS-CoV-2 finding that assuming the susceptible population remains large, more stringent NPIs may be required to minimize outbreak risk in the winter months.

·         Barreda, et al. model the risk of in-room airborne disease transmission via expiratory particle emission versus the average loudness of vocalization and for variable room ventilation rates. The model indicates that a 6-decibel reduction in average vocalization intensity yields a reduction in aerosol transmission probability equivalent to doubling the room ventilation rate. Public health authorities should consider implementing "quiet zones" in high-risk indoor environments.

·         Taylor et al. (preprint) Analysis of alternative quarantine strategies for travellers entering the UK where in august 895 infectious travellers are arriving per week, 87% are on the 14 day quarantine list.  14 day isolation is 78% effective, RT-PCR at airport is 39.6% effective (detects 2/5 infected travellers), RT-PCR 4 days after arrival 64.3% effective and arrival + 4 day RT-PCR test is 68.9% effective.

TRANSMISSION

·         Voeten et al. apply whole genome sequencing to a COVID-19 outbreak in Netherlands to demonstrate the outbreak was not linked to a single exposure event at a Church gathering as initially hypothesized. In contact, genome sequencing demonstrates the outbreak may be linked to widespread regional circulation of the virus in the weeks preceding the outbreak.

IMMUNOLOGY

·         Chong et al detected SARS-CoV-2-specific IgG production in all 18 infected individuals tested, using a rapid antibody kit, irrespective of clinical status. However, findings suggest that, in some infected individuals, particularly those with asymptomatic status, the presence of virus-specific IgG antibodies does not imply prompt viral clearance.

EPIDEMIOLOGY

·         Domenech de Celles et al., (preprint) hypothesized that influenza interacted with SARS-CoV-2 during the early 2020 epidemic of COVID-19 in Europe. They found consistent evidence for a 2-2.5-fold population-level increase in SARS-CoV-2 transmission associated with influenza during the period of co-circulation. These results suggest the need to increase vaccination against influenza, not only to reduce the burden due to influenza viruses, but also to counteract their facilitatory impact on SARS-CoV-2.

·         Wu et al. use a semi-Bayesian probabilistic bias analysis to account for incomplete testing and imperfect diagnostic accuracy. We estimate 6,454,951 cumulative infections compared to 721,245 confirmed cases (1.9% vs. 0.2% of the population) in the United States as of April 18, 2020. Accounting for uncertainty, the number of infections during this period was 3 to 20 times higher than the number of confirmed cases.

·         Iqbal et al. described the psychiatric morbidity associated with SARS-CoV-2 infection in referrals to a consultation-liaison psychiatry service in Qatar. The principal psychiatric diagnoses made were delirium (n = 13), psychosis (n = 9), acute stress reaction (n = 8), anxiety disorder (n = 8), depression (n = 8) and mania (n = 8). Delirium was confined to the COVID-19 symptomatic group (the exception being one asymptomatic patient with concurrent physical illness). One patient with COVID-19 pneumonia experienced an ischaemic stroke. Approximately half the patients with mania and psychosis had no past psychiatric history. The commonest psychiatric symptoms were sleep disturbance (70%), anxiety (64%), agitation (50%), depressed mood (42%) and irritability (36%).

CLINICAL DATA

·         Chen et al highlight the importance for clinicians to pay attention to the appearance of spontaneous pneumothorax. They report a case of 66-year-old man that had recovered from COVID-19. However, on hospital day 30, the patient presented with a sudden chest pain and dyspnea. CT showed a 30-40% left-sided pneumothorax. Immediate thoracic closed drainage was performed and his dyspnea was rapidly improved.

·         Pierrakos et al. Two patients with respiratory failure due to confirmed COVID-19 were examined using bedside lung ultrasound (LUS) shortly after intubation and start of invasive ventilation. These two cases illustrate how LUS could be useful in identifying different lung morphologies early after the start of invasive ventilation and help decide on adjunctive therapies. This has possible implications for ventilator management in resource-limited settings, with limited availability of chest computed tomography and blood gas analyzers.

THERAPEUTICS

·         Mohamed et al conduct an open labeled, randomized, parallel study compared the effect of 30 seconds, 3 times/day gargling using 1% povidone-iodine (PVP-I), essential oils and tap water on SARS-CoV-2 viral clearance among COVID-19 patients in a tertiary hospital in Kuala Lumpur. Results indicate that gargling with 1% PVP-I and essential oils show great potential to be part of the treatment and management of Stage 1 COVID-19. 

CORONAVIROLOGY

·         Banerjee, et al. show that there exists a theoretical possibility of future recombination events between SARS-CoV-2 and MERS-CoV RNA. Through computational analyses, we have identified homologous genomic regions within the ORF1ab and S genes that could facilitate recombination. we suggest that a recombination between SARS-CoV-2 and MERS-CoV RNA is possible and urge public health laboratories in high-risk areas to develop diagnostic capability for the detection of recombined coronaviruses in patient samples.

 

Regards,

Lisa Waddell, Tricia Corrin, Rukshanda Ahmad, Robyn Odell, Maribeth Mitri, Julie Theriault, Dobrila Todoric, Alejandra Dubois, Christina Bancej, Austyn Baumeister, Anam Khan, Musaab Younis, Lien Mi Tien, Dima Ayache, Angela Sloan, Kaitlin Young, Chatura Prematunge, Ainsley Otten

 

 

 

 Daily Scan of COVID-19 Scientific Publications / Survol journalier des publications scientifiques du COVID-19		11/09/2020

 


Focus areas: Modelling/ prediction, Epidemiology, Transmission, Clinical data, Surveillance, Coronavirology, Diagnostics / Pathogen detection, Therapeutics, Vaccine Research, Public health interventions, Public Health response, Public Health Priorities, IPAC, Health care response, immunology, economics, animal model, zoonoses, Review Literature, Commentary/Editorial, news

Domaines cibles: Modélisation/prédiction, Épidémiologie, Transmission, Données cliniques, Surveillance, Coronavirologie, Diagnostics / Détection d'agents pathogènes, Thérapeutique, Recherche sur les vaccins, Interventions de santé publique, Priorités de santé publique, PCI, Réponse des soins de santé, immunologie, économie, modèle animal, zoonoses, Revue de littérature, Commentaire/Éditorial, journaux

 

PUBLICATIONS

AUTHORS / AUTEURS

SOURCE

FOCI / DOMAINE

SUMMARY / SOMMAIRE

Blood neurofilament light concentration at admittance: a potential prognostic marker in COVID-19

Aamodt,  Anne Hege,  Høgestøl, et al

medRxiv

Epidemiology| Épidémiologie Clinical data| Données cliniques

Objective To test the hypotheses that serum concentrations of neurofilament light chain protein (NfL) and glial fibrillary acidic protein (GFAp) can serve as biomarkers for disease severity in COVID-19 patients. Methods Forty-seven inpatients with confirmed COVID-19 had blood samples drawn on admission for assessing serum biomarkers of CNS injury by Single molecule array (Simoa), NfL and GFAp. Concentrations of NfL and GFAp were analyzed in relation to symptoms, clinical signs, inflammatory biomarkers and clinical outcomes. We used multivariate linear models to test for differences in biomarker concentrations in the subgroups, accounting for confounding effects. Results In total, 21 % (n=10) of the patients were admitted to an intensive care unit, whereas the overall mortality rate was 13 % (n=6). Non-survivors had higher serum concentrations of NfL (p<0.001) than patients who were discharged alive both in adjusted analyses (p=2.6 x 10-7) and unadjusted analyses (p=0.001). The concentrations of NfL in non-survivors increased over repeated measurements whereas the concentrations in survivors were stable. Significantly higher concentrations of NfL were found in patients reporting fatigue, while reduced concentrations were found in patients experiencing cough, myalgia and joint pain. The GFAp concentration was also significantly higher in non-survivors than survivors (p=0.02). Conclusion Increased concentrations of NfL and GFAp in COVID-19 patients on admission may indicate increased mortality risk. Measurement of blood biomarkers for nervous system injury can be useful to detect and monitor CNS injury in COVID-19

PMC7439997; ACE2 coding variants in different populations and their potential impact on SARS-CoV-2 binding affinity

Ali,  F,  Elserafy, et al

Biochem Biophys Rep

Coronavirology| Coronavirologie

The susceptibility of different populations to SARS-CoV-2 infection is not yet understood. Here, we combined ACE2 coding variants' analysis in different populations and computational chemistry calculations to probe the effects on SARS-CoV-2/ACE2 interaction. ACE2-K26R; which is most frequent in Ashkenazi Jewish population decreased the SARS-CoV-2/ACE2 electrostatic attraction. On the contrary, ACE2-I468V, R219C, K341R, D206G, G211R increased the electrostatic attraction; ordered by binding strength from weakest to strongest. The aforementioned variants are most frequent in East Asian, South Asian, African and African American, European, European and South Asian populations, respectively.

Household transmission in people infected with SARS-CoV-2 (COVID-19) in Lima-Peru

Angulo-Bazán,  Yolanda,  Solis, et al

medRxiv

Epidemiology| Épidémiologie Transmission

Objective: Describe the characteristics of SARS-CoV-2 infection among household members with a confirmed primary case of COVID-19 in low burden districts in Metropolitan Lima. Materials and Methods: A retrospective, secondary database review study was conducted. The information was collected from an epidemiological surveillance activity in close contacts (co-inhabitants) in 52 households in Metropolitan Lima with only one member with COVID-19. A reevaluation was carried out in 10 households. Epidemiological and clinical variables were evaluated and its association with the result of the rapid serological test (presence of IgG, IgM or both). Results: Secondary cases were found in 40 households, which represents an average of 49.9% identification per household. A secondary attack rate of 53.0% (125 cases) was found among cohabitants, with 77.6% of cases being symptomatic (symptomatic / asymptomatic ratio: 3.5). The presence of fever and / or chills was found in 40.0% of people with a positive result, followed by a sore throat, in 39.2%. Ageusia and anosmia were present in 22.4% and 20.8% of cases, respectively. A reevaluation in 40 family members 33.6 +/- 2.7 days after the first evaluation, show the persistence of positive IgM and IgG in the 20 positive cases in the first evaluation. Conclusion: Having a primary case of COVID-19 in home, the secondary attack rate of this infection is 53%; however, in a significant proportion of households evaluated there was no positive case, beyond the primary case. The epidemiological and clinical characteristics found in this case were in accordance with what has already been reported in other international series

Covid-Transformer: Detecting Trending Topics on Twitter Using Universal Sentence Encoder

Asgari-Chenaghlu,  M

ArXiv

Public Health response| Interventions de santé publique

In this work, we try to analyze the tweets and detect the trending topics and major concerns of people on Twitter, which can enable us to better understand the situation, and devise better planning. More specifically we propose a model based on the universal sentence encoder to detect the main topics of Tweets in recent months.

Age-structured SIR model and resource growth dynamics: A preliminary COVID-19 study

Babajanyan,  SG,  Cheong, et al

medRxiv

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie

In this paper, we discuss three different response strategies to a disease outbreak and their economic implications in an age-structured population. We have utilized the classical age structured SIR-model, thus assuming that recovered people will not be infected again. Available resource dynamics is governed by the well-known logistic growth model, in which the reproduction coefficient depends on the disease outbreak spreading dynamics. We further investigate the feedback interaction of the disease spread dynamics and resource growth dynamics with the premise that the quality of treatment depends on the current economic situation. The very inclusion of mortality rates and economic considerations in the same model may be incongruous under certain positions, but in this model, we take a 'realpolitik' approach by exploring all of these factors together as it is done in reality

Assessing the influence of climate on future wintertime SARS-CoV-2 outbreaks

Baker,  RachelE,  Yang, et al

medRxiv

Modelling/ prediction| Modélisation/prédiction Transmission Public health interventions*| Interventions de santé publique

High susceptibility has limited the role of the climate in the SARS-CoV-2 pandemic to date. However, understanding a possible future effect of climate, as susceptibility declines and the northern-hemisphere winter approaches, is an important open question. Here we use an epidemiological model, constrained by observations, to assess the sensitivity of future SARS-CoV-2 disease trajectories to local climate conditions. We find this sensitivity depends on both the susceptibility of the population and the efficacy of non-pharmaceutical controls (NPIs) in reducing transmission. Assuming high susceptibility, more stringent NPIs may be required to minimize outbreak risk in the winter months. Our results imply a role for meteorological forecasts in projecting outbreak severity, however, reducing uncertainty in epidemiological parameters will likely have a greater impact on generating accurate predictions and reflects the strong leverage of NPIs on future outbreak severity

Predicting the recombination potential of severe acute respiratory syndrome coronavirus 2 and Middle East respiratory syndrome coronavirus

Banerjee,  A,  Doxey, et al

J Gen Virol

Coronavirology| Coronavirologie

Here we show that there exists a theoretical possibility of future recombination events between SARS-CoV-2 and MERS-CoV RNA. Through computational analyses, we have identified homologous genomic regions within the ORF1ab and S genes that could facilitate recombination. we suggest that a recombination between SARS-CoV-2 and MERS-CoV RNA is possible and urge public health laboratories in high-risk areas to develop diagnostic capability for the detection of recombined coronaviruses in patient samples.

Network for subclinical prognostication of COVID 19 Patients from data of thoracic roentgenogram: A feasible alternative screening technology

Bararia,  Akash,  Ghosh, et al

medRxiv

Clinical data| Données cliniques Diagnostics / Pathogen detection| Diagnostics / Détection d'agents pathogènes

For this prediction model, a neural network based on Chest X-ray images has been developed. Alongside the aim is also to generate a case record form that would include prediction model result along with few other subclinical factors for generating disease identification. Once found positive then only it will proceed to RT-PCR for final validation.  The final neural network-based prediction model showed an accuracy of 81% with sensitivity of 82% and specificity of 90%. The AUC score obtained is 93.7%.

Enoxaparin for primary thromboprophylaxis in ambulatory patients with coronavirus disease-2019 (the OVID study): a structured summary of a study protocol for a randomized controlled trial

Barco,  S,  Bingisser, et al

Trials

RCT

The OVID study will demonstrate whether prophylactic-dose enoxaparin improves survival and reduces hospitalizations in symptomatic ambulatory patients aged 50 or older diagnosed with COVID-19.

The Impact of Vocalization Loudness on COVID-19 Transmission in Indoor Spaces

Barreda,  S,  A

ArXiv

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie Transmission Public health interventions*| Interventions de santé publique

Here, we model the risk of in-room airborne disease transmission via expiratory particle emission versus the average loudness of vocalization and for variable room ventilation rates. The model indicates that a 6-decibel reduction in average vocalization intensity yields a reduction in aerosol transmission probability equivalent to doubling the room ventilation rate.  Public health authorities should consider implementing "quiet zones" in high-risk indoor environments.

Massachusetts General Hospital Covid-19 Registry reveals two distinct populations of hospitalized patients by race and ethnicity

Bassett,  IngridV,  Triant, et al

medRxiv

Epidemiology| Épidémiologie Clinical data| Données cliniques

Objective: To evaluate differences by race/ethnicity in clinical characteristics and outcomes among hospitalized patients with Covid-19 at Massachusetts General Hospital (MGH). Methods: The MGH Covid-19 Registry includes confirmed SARS-CoV-2-infected patients hospitalized at MGH and is based on manual chart reviews and data extraction from electronic health records (EHRs). We evaluated differences between White/Non-Hispanic and Hispanic patients in demographics, complications and 14-day outcomes among the N=866 patients hospitalized with Covid-19 from March 11, 2020 - May 4, 2020. Results: Overall, 43% of patients hospitalized with Covid-19 were women, median age was 60.4 IQR = (48.2, 75)], 11.3% were Black/non-Hispanic and 35.2% were Hispanic. Hispanic patients, representing 35.2% of patients, were younger than White/non-Hispanic patients median age 51y; IQR = (40.6, 61.6) versus 72y; (58.0, 81.7) (p<0.001)]. Hispanic patients were symptomatic longer before presenting to care (median 5 vs 3d, p=0.039) but were more likely to be sent home with self-quarantine than be admitted to hospital (29% vs 16%, p<0.001). Hispanic patients had fewer comorbidities yet comparable rates of ICU or death (34% vs 36%). Nonetheless, a greater proportion of Hispanic patients recovered by 14 days after presentation (62% vs 45%, p<0.001; OR = 1.99, p = 0.011 in multivariable adjusted model) and fewer died (2% versus 18%, p<0.001). Conclusions: Hospitalized Hispanic patients were younger and had fewer comorbidities compared to White/non-Hispanic patients; despite comparable rates of ICU care or death, a greater proportion recovered. These results have implications for public health policy and the design and conduct of clinical trials

COVID-19 associated with AIDS-related disseminated histoplasmosis: a case report

Bertolini,  M,  Mutti, et al

Int J STD AIDS

Clinical data| Données cliniques

We report the case of a male patient with AIDS-related disseminated histoplasmosis associated with COVID-19.

Social Distance Monitor with a Wearable Magnetic Field Proximity Sensor

Bian,  S,  Zhou, et al

Sensors (Basel)

Public health interventions*| Interventions de santé publique

We proposed, implemented, and evaluated a wearable proximity sensing system based on an oscillating magnetic field that overcomes many of the weaknesses of the current state of the art Bluetooth based proximity detection. Our work demonstrated that the proposed system is much more reliable than the widely-used Bluetooth-based approach, particularly when it comes to distinguishing between distances above and below the 2.0 m threshold due to the magnetic field’s physical properties.

Environmental and Aerosolized SARS-CoV-2 Among Hospitalized COVID-19 Patients

Binder,  RA,  Alarja, et al

J Infect Dis

Epidemiology| Épidémiologie Clinical data| Données cliniques Infection Prevention and Control/ Prévention et contrôle des infections (IPAC/PCI)

During April and May 2020, we studied 20 hospitalized COVID-19 patients, their hospital rooms (fomites and aerosols), and their close contacts for molecular and culture evidence of SARS-CoV-2 virus. Among the more than 400 samples, we found molecular evidence of virus in most sample types, especially the nasopharygeal (NP), saliva, and fecal samples, but the prevalence of molecular positivity among fomites and aerosols was low.

Covid-19 in Israel: socio-demographic characteristics of first wave morbidity in Jewish and Arab communities

Birenbaum-Carmeli,  D,  Chassida, et al

Int J Equity Health

Epidemiology| Épidémiologie Clinical data| Données cliniques

The present study examines patterns of the first wave of Covid-19 morbidity in Israel at the macro level, during the period of late February to early June 2020, when the first wave has faded out. We attribute the low morbidity rates in communities with relatively small elderly populations to the exceptionally high fertility rates in ultra-orthodox communities that sustained increased rates of morbidity; the lower morbidity in Arab communities is attributed to several factors, including the spatial Jewish-Arab segregation.

OxIS 2019: New Media Habits Meet the Pandemic and Social Distancing

Blank,  Grant,  Dutton, et al

SSRN- Lancet prepublication

Public Health response| Interventions de santé publique

The COVID-19 pandemic has encouraged many activities, from healthcare to education, to substantially increase their reliance in online media. Even a decade ago, this would have been unthinkable. This move has been remarkably successful, despite major issues, such as around those without access to online services in their household. But this success has not only been a function of access but also the degree to which the Internet and related online services had already been embedded in everyday life and work. This paper documents the embedded nature of the Internet in the case of the many countries and the UK – where going online had become a habit rather than a new thing. This is one of a series of reports on the 2019 Oxford Internet Survey, Oxford Internet Institute, University of Oxford. The authors thank the UK Department for Digital, Culture, Media & Sport; Google Inc., and BT, for their support of this survey. This report is the fourth in the series of reports on OxIS 2019. The first report provided an overview of key themes, see: https://ssrn.com/abstract=3493763 The second focused on the narrowing but deepening digital divides across the nation, see: https://ssrn.com/abstract=3522083 The third focused on the rise of mobile Internet use, see: https://ssrn.com/abstract=3538301 All the reports in this series are available through the Oxford Internet Survey (OxIS) blog: https://oxis.oii.ox.ac.uk/blog/.

The Geography of Excess Deaths in England during the Covid-19 pandemic: Longer term impacts and monthly dynamics

Breen,  Richard,  Ermisch, et al

medRxiv

Epidemiology| Épidémiologie

The first part of the paper studies the geographical impact of Covid-19 infection on age-standardised sex-specific excess death rates during the peak months of the pandemic so far, March through May 2020. The second part examines monthly mortality dynamics in relation to predictions from a spatial SIR (Susceptible, Infected, Recovered) model of infection introduced by Bisin and Moro (2020). The analysis indicates that during the peak months of the Covid-19 pandemic, a larger (ethnic)  non-white population and higher social deprivation in an area were associated with higher excess mortality, particularly among men. Regarding dynamics, higher population density accelerated the growth in mortality during the upsurge in infection and increased its rate of decline after the peak of the epidemic, thereby producing a more peaked mortality profile. There is also evidence of a slower post-peak decline in mortality in more socially deprived areas but a more rapid decline in areas with a larger non-white population.

Model-informed COVID-19 vaccine prioritization strategies by age and serostatus

Bubar,  KateM,  Kissler, et al

medRxiv

Modelling/ prediction| Modélisation/prédiction Public health interventions*| Interventions de santé publique Vaccine Research| Recherche sur les vaccins

When a vaccine for COVID-19 becomes available, limited initial supply will raise the question of how to prioritize the available doses and thus underscores the need for transparent, evidence-based strategies that relate knowledge of, and uncertainty in, disease transmission, risk, vaccine efficacy, and existing population immunity. Here, we employ a model-informed approach to vaccine prioritization that evaluates the impact of prioritization strategies on cumulative incidence and mortality and accounts for population factors such as age, contact structure, and seroprevalence, and vaccine factors including imperfect and age-varying efficacy. This framework can be used to evaluate and compare existing strategies, and it can also be used to derive an optimal prioritization strategy to minimize mortality or incidence. We find that a transmission-blocking vaccine should be prioritized to adults ages 20-49y to minimize cumulative incidence and to adults over 60y to minimize mortality. Direct vaccination of adults over 60y minimizes mortality for vaccines that do not block transmission. We also estimate the potential benefit of using individual-level serological tests to redirect doses to only seronegative individuals, improving the marginal impact of each dose. We argue that this serology-informed vaccination approach may improve the efficiency of vaccination efforts while partially addressing existing inequities in COVID-19 burden and impact.

Acute cerebrovascular event in a COVID-19 positive patient immediately after commencing non-invasive ventilation

Burkert,  J,  Patil, et al

BMJ Case Rep

Clinical data| Données cliniques

A 71-year-old man presented to the emergency department (ED) with low oxygen saturations and symptoms consistent with COVID-19 infection. Apart from a small left-sided ischaemic stroke 10 years prior with very minor residual deficit. This case highlights the significance of the prothrombotic complications associated with COVID-19 infection. It also raises the question whether pressure changes upon commencing NIV could lead to clot migration.

Vitamin D and Covid-19 Susceptibility and Severity: a Mendelian Randomization Study

Butler-Laporte,  Guillaume,  Nakanishi, et al

medRxiv

Coronavirology| Coronavirologie

Here, we used two-sample MR to assess the effect of circulating 25OHD levels on Covid-19 susceptibility. METHODS: Genetic variants strongly associated with 25OHD levels in a 443,734-participant genome-wide association study (GWAS) were used as instrumental variables.   Cohorts from the Covid-19 Host Genetics Initiative GWAS included up to 966,395 individuals of European ancestry. RESULTS: Genetically increased 25OHD levels by one standard deviation on the logarithmic scale had no clear effect on susceptibility but tended to increase the odds ratio of hospitalization and severe disease.

Who has seen ST-segment elevation myocardial infarction patients? First results from Italian real world COVID-19

Cammalleri,  V,  Muscoli, et al

J Am Heart Assoc

Epidemiology| Épidémiologie Clinical data| Données cliniques

The aim of our study is to evaluate the impact of the infectious disease on ST‐segment elevation myocardial infarction (STEMI) care during the COVID‐19 pandemic, through the analysis of recent cases of patients who underwent percutaneous coronary intervention (PCI). COVID‐19 outbreak induced a reduction of hospital access for STEMI with an increase in treatment delay, longer hospitalization, higher levels of cardiac biomarkers and worse left ventricular function.

Active testing of groups at increased risk of acquiring SARS-CoV-2 in Canada: costs and human resource needs

Campbell,  JR,  Uppal, et al

Cmaj

Public health interventions*| Interventions de santé publique Economics | Économie

We identified 5 groups who should be prioritized for active RT-PCR testing: contacts of people who are positive for SARS-CoV-2, and 4 at-risk populations — hospital employees, community health care workers and people in long-term care facilities, essential business employees, and schoolchildren and staff. We estimated costs, human resources and laboratory capacity required to test people in each group or to perform surveillance testing in random samples. Active testing of groups at increased risk of acquiring SARS-CoV-2 appears feasible and would support the safe reopening of the economy and schools more broadly.

Thrombolysis and bridging therapy in patients with acute ischemic stroke and Covid-19

Cappellari,  M,  Zini, et al

Eur J Neurol

Epidemiology| Épidémiologie Clinical data| Données cliniques

We aimed to assess 1-month outcome in ischemic stroke patients with Covid-19 infection who received IVT alone or before thrombectomy (bridging therapy).  Seventy-five invited centers agreed to participate. Thirty patients received IVT alone and 17 received bridging therapy. IVT for patients with stroke and Covid-19 was not a rare event in the most affected areas by pandemic, and rates of 1-month unfavorable outcomes were high compared to previous data from the pre-Covid-19 literature. However, risk of sICH was not increased.

The effect of suppressing funeral rituals during the COVID-19 pandemic on bereaved families

Cardoso É,  AO,  Silva, et al

Rev Lat Am Enfermagem

Public Health response| Interventions de santé publique

This study was intended to understand the meanings individuals who have lost loved ones in this context assign to the phenomenon of suppressed funeral rituals. The experiences shared in the reports reflect the suffering experienced by the sudden death of a significant person, which is amplified by the absence or impediment to performing familial farewell rituals. The suppression or abbreviation of funeral rituals is a traumatic experience because family members are prevented from fulfilling their last homage to the loved one who has suddenly passed away, causing feelings of disbelief and indignation.

Demographic Differences in US Adult Intentions to Receive a Potential Coronavirus Vaccine and Implications for Ongoing Study

Carpiano,  RichardM

medRxiv

Public Health response| Interventions de santé publique

This study investigated demographic differences regarding US adults' intent, uncertainty, and refusal to receive a potential coronavirus vaccine and specific reasons for intention to receive it. Methods: Multivariable analysis of Associated Press (AP)-NORC Center for Public Affairs Research cross-sectional survey data collected in May 2020 from a US nationally representative panel of adults (n=1000). Respondents were asked if they would receive a coronavirus vaccine (yes, unsure, no). Among those answering yes, the specific reasons were: to protect self, family, and community; chronic health condition; and having a doctor who recommends vaccines. Overall, higher likelihood of intention to receive the vaccine versus uncertainty and refusal were mostly observed among respondents with a college education or greater, White, non-Hispanic racial-ethnic identity, ages 60 or older, and more liberal (versus conservative) ideology.  These findings suggest that the approval of a vaccine will potentially face problems with overall uptake due to uncertainty or refusal and contribute to creating significant demographic disparities in COVID-19 morbidity and mortality risk.

COVID-19 preparedness among Emergency Departments: a cross-sectional study in France

Casalino,  E,  Bouzid, et al

Disaster Med Public Health Prep

Healthcare Response | Réponse des soins de santé

We evaluate hospital and Emergency Department (ED) preparedness in France facing the Coronavirus disease 2019 (Covid-19) rapid growth epidemic-phase, and to determine the link between preparedness and responsiveness, with an electronic survey. 287 of 636 French EDs were included, and significant differences between scores as a function of hospital and ED main characteristics were found.

Risk factors of fatal outcome in patients with COVID-19 pneumonia

Cellina,  M,  Gibelli, et al

Disaster Med Public Health Prep

Epidemiology| Épidémiologie Clinical data| Données cliniques

We reviewed Chest X-Ray (CXR) features, clinical, and laboratory data of patients with RT-PCR confirmed diagnosis of COVID-19 infection. The relationship with mortality was investigated by fitting a logistic regression model. We identified predictive factors for the fatal outcome of COVID-19 patients. The prognostic value of these findings can be useful for the right patient management and resource allocation.

Geospatial correlation between COVID-19 health misinformation and poisoning with household cleaners in the Greater Boston Area

Chary,  MA,  Overbeek, et al

Clin Toxicol (Phila)

Public Health response| Interventions de santé publique

We obtained publicly available tweets discussing the use of household cleaners to “cure COVID” with geographic co-ordinates indicating that they were emitted from the Greater Boston Area. Our main finding is that public health efforts were followed by a sustained increase in calls after March 15, 2020, while misinformation on social media was associated with intermittent spikes in calls. Overall, calls significantly increased during the study period by 34% as compared to the previous 8 years.

Determining the level of social distancing necessary to avoid a second COVID-19 epidemic wave: a modelling study for North East London

Cheetham,  N,  W

Research Square prepub

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie Public health interventions*| Interventions de santé publique

Background: As England is starting to ease lockdown restrictions in a phased manner, it is important to determine the level of social distancing, quantified here as the daily number of social contacts per person, i.e. the daily contact rate, needed to maintain control of the COVID-19 epidemic and not exceed acute bed capacity in case of a secondary wave later this year. This work uses mathematical modelling to simulate the levels of COVID-19 in North East London (NEL) and inform the level of social distancing necessary to protect the public and the healthcare demand from a secondary COVID-19 wave during 2020. Methods: We used a Susceptible-Exposed-Infected-Removed (SEIR) model describing the transmission of SARS-CoV-2 in North East London (NEL), calibrated to data on confirmed COVID-19 associated hospitalisations, hospital discharges and in-hospital deaths in NEL. To account for the uncertainty in both the infectiousness period and the proportion of symptomatic infection, we simulated nine scenarios for different combinations of infectiousness period (1, 3 and 5 days) and proportion of symptomatic infection (70%, 50% and 25% of all infections). Across all scenarios, the calibrated model was used to assess the risk of occurrence and forecast the strength and timing of a second COVID-19 wave under varying levels of daily contact rate from July 04, 2020. Specifically, the daily contact rate required to suppress the epidemic and prevent resurgence of COVID-19 cases, and the daily contact rate required to stay within the acute bed capacity of the NEL system without any additional intervention measures after July 2020, were determined across the nine different scenarios. Results: Our results caution against a full relaxing of the lockdown, predicting that a return to pre-COVID-19 levels of social contact from July 04, 2020 may induce a second wave up to eight times the original wave. With different levels of social distancing continuing into next year, the second wave can be avoided or the strength of the second wave can be mitigated. Keeping the daily contact rate lower than 5 or 6, depending on scenarios, for the rest of this year, can prevent increase in the number of COVID-19 cases, could keep the effective reproduction number R below 1 and a second COVID-19 wave may be avoided in NEL. A daily contact rate between 6 and 7, across scenarios, is likely to increase R above 1 and result in a secondary COVID-19 wave with significantly increased COVID-19 cases and associated deaths, but with demand for hospital based care remaining within the bed capacity of the NEL health and care system. In contrast, an increase in daily contact rate above 8 to 9, depending on scenarios, will likely exceed the acute bed capacity in NEL and may potentially require additional lockdowns. This scenario is associated with significantly increased COVID-19 cases and deaths, and acute COVID-19 care demand is likely to require significant scaling down of the usual operation of the health and care system, and should be avoided. Conclusions: Our findings suggest that to avoid a second COVID-19 wave and to stay within the acute bed capacity of the NEL health and care system, phased relaxing of the social distancing in NEL is advised with a view to limiting the average number of social interactions in the population. Increasing the social interaction rapidly could result in a second COVID-19 wave that will likely exceed the acute bed capacity in the system, and depending on the strength of the resurgence may require additional lockdown measures.

The coronavirus diseases 2019 (COVID-19) pneumonia with spontaneous pneumothorax: a case report

Chen,  X,  Zhang, et al

BMC Infect Dis

Clinical data| Données cliniques

We reported a case of 66-year-old man infected with COVID-19, presenting with fever, cough and myalgia. The symptoms, CT images, laboratory results improved after  treatments, and a throat swab was negative for COVID-19 PCR test. However, on hospital day 30, the patient presented with a sudden chest pain and dyspnea. CT showed a 30-40% left-sided pneumothorax. Immediate thoracic closed drainage was performed and his dyspnea was rapidly improved.

Cataract Services in the COVID-19 era: Risk, Consent and Prioritisation

Cheng,  K,  A

Research Square prepub

Epidemiology| Épidémiologie Clinical data| Données cliniques Healthcare Response | Réponse des soins de santé

Background: The COVID-19 pandemic halted non-emergency surgery across Scotland. Measures to mitigating the risks of transmitting COVID-19 are creating significant challenges to recommencement of all surgical services safely. We describe the development of a risk stratification tool to prioritise patients for cataract surgery and report the demographics and comorbidities of patients on the NHS Fife waiting list. Methods: A prospective case review of electronic records was performed. A risk stratification tool was developed based on review of available literature on risk factors for poor outcome from COVID-19 infection. Scores derived from the tool were used to generate 6 risk profile groups to call in time order for surgery. Results: There were 744 patients awaiting cataract surgery of which 66 (8.9%) patients were ‘shielding’. One hundred and thirty-two (19.5%) patients had no systemic comorbidities, 218 (32.1%) patients had 1 relevant systemic comorbidity and 316 (46.5%) patients had 2 or more comorbidities. Five hundred and ninety patients (88.7%) did not have any ocular comorbidities. Conclusions: COVID-19 has presented every department an urgent challenge to deal with the mounting cataract surgery waiting list. We present a pragmatic method of risk stratifying patients on waiting lists, blending an evidence-based objective assessment of risk and patient need combined with an element of shared decision-making. This has facilitated recommencement of our cataract service taking into account biohazard measures of the COVID-19 era.

Analysis of internet trends related to medications for COVID-19in ten countries with the highest number of cases

Chire Saire,  JosimarE,  Lemus-Martin, et al

medRxiv

Public Health response| Interventions de santé publique

This paper is a preliminary study about what people are searching on Internet, considering ten countries with most cases in the world such as Chile, Spain, United Kingdom, Brazil, United States, India, Russia, South Africa, Peru, Mexico.

Clinical significance of SARS-CoV-2-specific IgG detection with a rapid antibody kit for COVID-19 patients

Chong,  Y,  Ikematsu, et al

Influenza Other Respir Viruses

Clinical data| Données cliniques Immunology | Immunologie

The objective of this study was to understand the significance of the detection of anti-SARS-CoV-2 antibodies, particularly IgG, using a rapid antibody kit, during the clinical course of COVID-19 patients with different severities. SARS-CoV-2-specific IgG production was detected in all 18 infected individuals, using a rapid antibody kit, irrespective of clinical status. However, findings suggest that, in some infected individuals, particularly those with asymptomatic status, the presence of virus-specific IgG antibodies does not imply prompt viral clearance.

Trend prediction of COVID-19 based on ARIMA model in mainland of China

Chuqiao,  Han,  xifeng, et al

medRxiv

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie

We collected the cumulative cases, cumulative deaths, and cumulative recovery in mainland of China from January 20 to June 30, 2020,  The average relative errors of actual cumulative cases, deaths, recovery and predicted values in each province are between -22.32%-22.66%, -9.52%-0.08%, -8.84%-1.16, the results of the comprehensive experimental group and test group show . The error of fitting and prediction is small, the degree of fitting is good, the model supports and is suitable for the prediction of the epidemic situation, which has practical guiding significance for the prevention and control of the epidemic situation

'Standing together - at a distance': Documenting changes in mental-health indicators in Denmark during the COVID-19 pandemic

Clotworthy,  A,  Dissing, et al

Scand J Public Health

Public Health response| Interventions de santé publique

We initiated a large mixed-methods data collection, focusing on crisis-specific worries and mental-health indicators during the lockdown in Denmark. Absolute level of worries, quality of life and social isolation were relatively stable across all population groups during the lockdown, although there was a slight deterioration in older people's overall mental health. Many respondents were worried about their loved ones' health (74-76%) and the potential long-term economic consequences of the pandemic (61-66%).

SAPPHIRE-based clustering

Cocina,  F,  Vitalis, et al

J Chem Theory Comput

Coronavirology| Coronavirologie

Molecular dynamics simulations are a popular means to study biomolecules, but it is often difficult to gain insights from the trajectories due to their large size, in both time and the number of features. The SAPPHIRE (States And Pathways Projected with HIgh REsolution) plot allows a direct visual inference of the dominant states visited by high-dimensional systems and how they are interconnected in time. We present an application of our approach to a recent 100-microsecond trajectory of the main protease of SARS-CoV-2.

Schools are not islands: Balancing COVID-19 risk and educational benefits using structural and temporal countermeasures

Cohen,  JamieA,  Mistry, et al

medRxiv

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie Public health interventions*| Interventions de santé publique

We examined the impact of different school reopening scenarios on transmission within and outside of schools and on the share of school days that would need to be spent learning at a distance. Methods: We compared seven school reopening strategies that vary the degree of countermeasures within schools to mitigate COVID-19 transmission, including the use of face masks, physical distancing, classroom cohorting, screening, testing, and contact tracing, as well as schedule changes to reduce the number of students in school. We considered three scenarios for the size of the epidemic in the two weeks prior to school reopening: 20, 50, or 110 detected cases per 100,000 individuals and assumed the epidemic was slowly declining with full school closures.  Findings: In-person schooling poses significant risks to students, teachers, and staff. On the first day of school, 5-42% of schools would have at least one person arrive at school with active COVID-19, depending on the incidence of COVID in the community and the school type. However, reducing class sizes via A/B school scheduling, combined with an incremental approach that returns elementary schools in person and keeps all other students remote, can mitigate COVID transmission. In the absence of any countermeasures in schools, we expect 6-25% of teaching and non-teaching staff and 4-20% of students to be infected with COVID in the first three months of school, depending upon the case detection rate. Schools can lower this risk to as low as 0.2% for staff and 0.1% for students by returning elementary schools with a hybrid schedule while all other grades continue learning remotely. Despite the significant risks to the school population, reopening schools would not significantly increase community-wide transmission, provided sufficient countermeasures are implemented in schools.

Palmar digital vein thrombosis in a COVID-19 patient

Connolly,  A,  Walsh, et al

Clin Exp Dermatol

Clinical data| Données cliniques

A 53-year-old female who carries the factor V Leiden mutation developed intermittent blue nodules on the palmar digits of her hands for a 3-week duration, coincident with COVID-19 infection. She has a strong family history of venous thromboembolism but no personal history in this regard. There was no strenuous or heavy manual labor prior to the onset of the nodules.

Mutational Analysis of SARS-CoV-2 Genomes in Key Cities of China

Cui,  Q,  Z

Research Square prepub

Epidemiology| Épidémiologie Coronavirology| Coronavirologie

From December 2019, SARS-CoV-2 induced pneumonia broke out in Wuhan and then spread rapidly from multiple resources to other provinces and other cities in China. In this paper, genomes collected in four Chinese cities: Wuhan, Guangzhou, Shanghai, Hangzhou were analyzed as the A1 module of the MAS. Starting from the virus gene sequence itself, multiple probability statistics are applied to extract characteristics from virus genomes. Variations of genomes can be compared and visualized in such conditions. It is interesting to see various similar and different properties visualized under various groups after transformations. In this way, key mutation characteristics could be observed and this type of results is helpful for further scientific researches on COVID-19 applications.

Characteristics, Comorbidities, and Outcomes in a Multicenter Registry of Patients with HIV and Coronavirus Disease-19

Dandachi,  D,  Geiger, et al

Clin Infect Dis

Epidemiology| Épidémiologie Clinical data| Données cliniques

We aim to describe the clinical characteristics and outcomes of COVID-19 in people with HIV (PWH) and to characterize PWH at the highest risk for severe COVID-19-associated outcomes through an extensive multicenter registry. Severe clinical outcomes occurred commonly in PWH and COVID-19. The risk for poor outcomes was higher in those with comorbidities and lower CD4 cell counts, despite HIV viral suppression.

The Beneficial Impacts of Covid-19 Lockdowns on Air Pollution: Evidence from Vietnam

Dang,  Hai-AnhH,  Trinh, et al

SSRN- Lancet prepublication

Public health interventions*| Interventions de santé publique

Little evidence currently exists on the effects of COVID-19 on air quality in poorer countries, where most air pollution-linked deaths occur. We offer the first study that examines the pandemic's impacts on improving air quality in Vietnam, a lower-middle income country with worsening air pollution. Employing the Regression Discontinuity Design method to analyze a rich database that we compile from satellite air pollution data and data from various other sources, we find the concentration of NO2 to decrease by 24 to 32 percent two weeks after the COVID-19 lockdown.While this finding is robust to different measures of air quality and model specifications, the positive effects of the lockdown appear to dissipate after ten weeks. We also find that mobility restrictions are a potential channel for improved air quality. Finally, our back-of-the-envelope calculations suggest that two weeks after the lockdown, the economic gains from better air quality are roughly $0.6 billion US dollars.

Healthcare workers in elderly care: a source of silent SARS-CoV-2 transmission?

Dautzenberg,  Mirjam Jeanne Dorine,  Eikelenboom-Boskamp, et al

medRxiv

Epidemiology| Épidémiologie Clinical data| Données cliniques

To gain insight into the spread of SARS-CoV-2 among HCWs working in elderly care settings. This was a cross-sectional study among HCWs working in elderly care in the South-East of the Netherlands, testing for SARS-CoV-2, between March 31 and April 17, 2020. 133/615 (21.6%) HCWs tested positive for SARS-CoV-2, ranging from 15.6 to 44.4% per elderly care organisation, and from 0 to 64.3% per separate location of the organizations, respectively. 74.6% of tested HCWs were nursing staff, 1.7% elderly care physicians, 20.3% other HCWs with patient contact and 3.4% HCWs without patient contact. In the univariate analysis, fever, runny or stuffy nose, anosmia, general malaise, myalgia, headache and ocular pain were associated with SARS-CoV-2 positivity, while gastro-intestinal symptoms and respiratory symptoms, other than runny or stuffy nose were not. Risk factors for SARS-CoV-2 positivity were contact with patients or colleagues with suspected or proven COVID-19. Whole genome sequencing of 22 samples in 2 facilities strongly suggests spread within facilities.

Complications of COVID-19 , a case with both neurological and dermatological complications

Davoodian,  P,  K

Research Square prepub

Clinical data| Données cliniques

Recently, different complications and clinical manifestations of COVID-19 have been reported such as neurological or dermatological complications, We present a confirmed COVID-19 case of diplopia and ophthalmoplegia presenting skin lesions at the same time.

COVID-19 in patients with hepatobiliary and pancreatic diseases in East London: A single-centre cohort study

Dayem Ullah,  AbuZM,  Sivapalan, et al

medRxiv

Epidemiology| Épidémiologie Clinical data| Données cliniques

To explore risk factors associated with COVID-19 susceptibility and survival in this patient group, we conducted a single-centre retrospective cohort study. Design We interrogated linked electronic health records for patients diagnosed with HPB diseases in East London since 2008 (n=15 586), and identified 212 confirmed COVID-19 cases between February 12 and June 12, 2020. We conducted risk analyses to identify the effect of demographics, comorbidities and associated medication use, and lifestyle factors and with appropriate adjustment for gender, ethnicity, age group and HPB diagnoses on COVID-19 incidence and mortality. This large multi-ethnic population-based study of HPB patients shows a higher risk of acquiring COVID-19 for male gender, Black ethnicity, medical co-morbidities, and substance mis-users. Particular attention should be paid to patients with a pre-existing kidney disease for further renal insult to prevent fatality.

Growth and decline of the COVID-19 epidemic wave in Italy from March to June 2020

De Flora,  S,  La Maestra, et al

J Med Virol

Epidemiology| Épidémiologie

We analyzed the epidemic patterns in Italy from March 1 to June 30. There was a progressive drop of cases from March (104,710) to June (8,110). Likewise, after a slight increase of deaths in April (14,804) compared to March (12,396), a considerable decline occurred in May (5,170) and June (1,464). Doubling times of cumulative cases grew from 2-6 days until March 20 to 2 weeks up to April 5, and thereafter no further doubling occurred until June 30. There was a striking North-South gradient of both cases and deaths. Lombardy, the most populous region, was by far the most heavily affected one, accounting for the 39.0% of the national cases.

An auspicious triumph of recovery from dialysis-requiring acute kidney injury in COVID-19 in a patient with chronic kidney disease, α-1 antitrypsin deficiency, and liver transplant: A case report

De Souza,  L,  Nwanji, et al

Clin Nephrol

Clinical data| Données cliniques

We report a unique case of an immunosuppressed 67-year-old female with homozygous Z-allele mutation A1AT deficiency and liver transplant with baseline chronic kidney disease (CKD) stage IIIa. She presented with COVID-19 mediated hypoxic respiratory failure complicated by AKI requiring provisional renal replacement therapy with recovery of kidney function.

PMC7461095; Limited Regional Aerosol and Cloud Microphysical Changes Despite Unprecedented Decline in Nitrogen Oxide Pollution During the February 2020 COVID-19 Shutdown in China

Diamond,  MS,  Wood, et al

Geophys Res Lett

Public health interventions*| Interventions de santé publique

Satellite retrievals show that nitrogen dioxide pollution declined by an unprecedented amount (~50% regionally) from its expected unperturbed value, but regional-scale column aerosol loadings and cloud microphysical properties were not detectably affected during the COVID-19 pandemic in China

Influenza may facilitate the spread of SARS-CoV-2

Domenech de Celles,  Matthieu,  Casalegno, et al

medRxiv

Epidemiology| Épidémiologie

Here we hypothesized that influenza interacted with SARS-CoV-2 during the early 2020 epidemic of COVID-19 in Europe. We developed a population-based model of SARS-CoV-2 transmission, combined with mortality incidence data in four European countries, to test a range of assumptions about the impact of influenza. We found consistent evidence for a 2-2.5-fold population-level increase in SARS-CoV-2 transmission associated with influenza during the period of co-circulation. These results suggest the need to increase vaccination against influenza, not only to reduce the burden due to influenza viruses, but also to counteract their facilitatory impact on SARS-CoV-2.

De Novo Drug Design of Targeted Chemical Libraries Based on Artificial Intelligence and Pair-Based Multiobjective Optimization

Domenico,  A,  Nicola, et al

J Chem Inf Model

Coronavirology| Coronavirologie Therapeutics| Thérapeutique

Artificial intelligence and multiobjective optimization represent promising solutions to bridge chemical and biological landscapes by addressing the automated de novo design of compounds as a result of a humanlike creative process. In the present study, we conceived a novel pair-based multiobjective approach implemented in an adapted SMILES generative algorithm based on recurrent neural networks for the automated de novo design of new molecules whose overall features are optimized by finding the best trade-offs among relevant physicochemical properties (MW, logP, HBA, HBD) and additional similarity-based constraints biasing specific biological targets. In this respect, we carried out the de novo design of chemical libraries targeting neuraminidase, acetylcholinesterase, and the main protease of severe acute respiratory syndrome coronavirus 2. Several quality metrics were employed to assess drug-likeness, chemical feasibility, diversity content, and validity. Molecular docking was finally carried out to better evaluate the scoring and posing of the de novo generated molecules with respect to X-ray cognate ligands of the corresponding molecular counterparts. Our results indicate that artificial intelligence and multiobjective optimization allow us to capture the latent links joining chemical and biological aspects, thus providing easy-to-use options for customizable design strategies, which are especially effective for both lead generation and lead optimization. The algorithm is freely downloadable at https://github.com/alberdom88/moo-denovo and all of the data are available as Supporting Information.

SARS-CoV-2 structural coverage map reveals state changes that disrupt host immunity

Donoghue,  SeanI,  Schafferhans, et al

bioRxiv

Coronavirology| Coronavirologie

we systematically modeled all viral proteins using all related 3D structures, generating 872 models that provide detail not available elsewhere. To organise these models, we created a structure coverage map: a novel, one-stop visualization summarizing what is - and is not - known about the 3D structure of the viral proteome. The map highlights structural evidence for viral protein interactions, mimicry, and hijacking; it also helps researchers find 3D models of interest, which can then be mapped with UniProt, PredictProtein, or CATH features. The resulting Aquaria-COVID resource (https://aquaria.ws/covid) helps scientists understand molecular mechanisms underlying coronavirus infection.

Self-learning on COVID-19 among medical students and their preparedness to participate in government's COVID-19 response in Bhutan: a cross-sectional study

Dorji,  Thinley,  Tamang, et al

medRxiv

Public Health response| Interventions de santé publique

This study assessed their Bhutanese medical students knowledge on COVID-19 as a part of self-learning and attitude as part of preparedness towards participation in government's health response to COVID-19. This was a cross-sectional study among medical students who had returned to the country. 120 medical students responded to this survey (response rate = 93%). Eighty-eight (74%) had good knowledge, 28 (23%) had satisfactory knowledge and only four (3%) had poor knowledge on COVID-19. The students scored high on the symptomatology, mode of transmission, prevention and treatment options and on local epidemiology; and scored low on the forms of mechanical ventilations and on the home-management of non-critical cases. The knowledge score correlated with duration of clinical clerkship (r = 0.326, p = 0.001). The primary source of information were social media sites (102, 85%), television (94, 78%) and newspapers (76, 63%). The majority (78, 65%) were willing to participate in the government's COVID-19 response but could not identify what roles they could play. The fear of contracting COVID-19 was reported in only in 8.7%.

Near-Physiological-Temperature Serial Femtosecond X-ray Crystallography Reveals Novel Conformations of SARS-CoV-2 Main Protease Active Site for Improved Drug Repurposing

Durdagi,  Serdar,  Dag, et al

bioRxiv

Coronavirology| Coronavirologie

To assist in drug repurposing and design, we determined two apo structures of Severe Acute Respiratory Syndrome CoronaVirus-2 main protease at ambient-temperature by Serial Femtosecond X-ray crystallography. We employed detailed molecular simulations of selected known main protease inhibitors with the structures and compared binding modes and energies. The combined structural biology and molecular modeling studies not only reveal the dynamics of small molecules targeting main protease but will also provide invaluable opportunities for drug repurposing and structure-based drug design studies against SARS-CoV-2.

SARS CoV-2 presenting as Lupus Erythematosus-Like Syndrome

El Aoud,  S,  Morin, et al

Disaster Med Public Health Prep

Clinical data| Données cliniques

COVID 19 infection had newly emerged with predominant respiratory complications. Other extrapulmonary features had been recently described. Here, we describe a COVID 19 patient presenting with multiorgan involvement mimicking systemic lupus erythematosus. He was successfully treated with glucocorticoids and Tociluzimab.

Functional myeloid-derived suppressor cells expand in blood but not airways of COVID-19 patients and predict disease severity

Falck-Jones,  Sara,  Vangeti, et al

medRxiv

Epidemiology| Épidémiologie Clinical data| Données cliniques

We studied blood and airways of COVID-19 patients across disease severity at multiple timepoints. M-MDSC frequencies were elevated in blood but not in nasopharyngeal or endotracheal aspirates of COVID-19 patients compared to controls. M-MDSCs isolated from COVID-19 patients suppressed T cell proliferation and IFNγ production partly via an arginase-1 (Arg-1) dependent mechanism. Furthermore, patients showed increased Arg-1 and IL-6 plasma levels. COVID-19 patients had fewer T cells, and displayed downregulated expression of the CD3ζ chain. Ordinal regression showed that early M-MDSC frequency predicted subsequent disease severity.

Passive, open access data measures movement and predicts COVID-19 cases

Faust,  ChristinaL,  Lambert, et al

medRxiv

Public Health response| Interventions de santé publique

Methods. We use publicly available remotely-sensed nighttime lights and traffic cameras to measure the impact of restriction policies on movement and activities in the university town of State College, and the surrounding areas of Centre County, Pennsylvania, USA. Results. At the county level, nighttime radiance did not differ significantly across restriction phases and largely reflected seasonal fluctuations seen in previous years. Throughout the county, traffic volumes were lowest during the most severe period of restrictions ('Red phase' in Pennsylvania). As restrictions eased, traffic volumes grew, indicating increased movement within and between population centers. We show that real-time, publicly available traffic data captured behavioral responses and compliance to different restrictions phases. We also demonstrate that these increases in activity levels precede increases in reported COVID-19 cases.

Robust SARS-COV-2 serological population screens via multi-antigen rules-based approach

Fotis,  ChristosF,  Meimetis, et al

medRxiv

Diagnostics / Pathogen detection| Diagnostics / Détection d'agents pathogènes

In this paper, we developed a serological assay against N, S1 and RBD using a bead-based multiplex platform and a rules-based computational approach to assess the performance of single and multi-antigen readouts in well-defined clinical samples and in a population-wide serosurvey from blood donors. Even though assays based on single antigen readouts performed similarly well in the clinical samples, there was a striking difference between the antigens on the population-wide screen. Asymptomatic individuals with low antibody titers and sub-optimal assay specificity might contribute to the large discrepancies in population studies with low seroprevalence. A multi-antigen assay requiring partial agreement between RBD, N and S1 readouts exhibited enhanced specificity, less dependency on assay cut-off values and an overall more robust performance in both sample settings.

COVID-19-Related Disseminated Leukoencephalopathy (CRDL): A Retrospective Study of Findings on Brain MRI

Freeman,  CW,  Masur, et al

AJR Am J Roentgenol

Clinical data| Données cliniques

Among 2,820 inpatients with coronavirus disease-2019 (COVID-19), 59 underwent brain MRI. Of these patients, six  had findings on MRI suspicious for COVID-19 related disseminated leukoencephalopathy (CRDL), characterized by extensive confluent or multifocal white matter lesions, microhemorrhages, diffusion restriction, and enhancement.

Electrocardiographic QT Intervals in Infants Exposed to Hydroxychloroquine Throughout Gestation

Friedman,  DM,  Kim, et al

Circ Arrhythm Electrophysiol

Clinical data| Données cliniques Therapeutics| Thérapeutique

To provide data regarding any potential fetal/neonatal cardiotoxicity associated with hydroxychloroquine (HCQ), we leveraged a unique opportunity in which neonatal electrocardiograms (ECGs) and HCQ blood levels were available. The findings provide reassurances that the maternal use of HCQ is associated with a low incidence of infant QTc prolongation. However, if included in clinical COVID-19 studies, early postnatal ECGs should be considered.

State and Federal Abortion Restrictions Increase Risk of COVID-19 Exposure by Mandating Unnecessary Clinic Visits

Fulcher,  IR,  Neill, et al

Contraception

Healthcare Response | Réponse des soins de santé

The objective of this study was to quantify the number of medically unnecessary clinical visits and in-clinic contacts monthly caused by US abortion regulations.  We estimate that 12,742 in-person clinic visits would be averted each month if counseling visit laws alone were repealed, and 31,132 visits  would be averted if all policies were repealed and 70 percent of medication abortion patients received no-test telemedicine abortions. Over 2 million clinical contacts could be averted over the projected 18-month COVID-19 pandemic.

PMC7455530; Parametric nasopharyngeal swab for sampling COVID-19 and other respiratory viruses: Open source design, SLA 3-D printing and UV curing system

Gallup,  N,  Pringle, et al

HardwareX

Diagnostics / Pathogen detection| Diagnostics / Détection d'agents pathogènes

This study develops a distributed manufacturing solution using only an open source manufacturing tool chain consisting of two types of open source 3-D printing and batch UV curing, and provides a parametric fully free design of a nasopharyngeal swab. The results of the mechanical validation tests showed that the swabs could withstand greater forces than would be expected in normal clinical use. The swabs were also able to absorb a significant amounts of synthetic mucus materials and passed abrasion and handling tests.

Identification and characterization of an immunodominant SARS-CoV-2-specific CD8 T cell response

Gangaev,  A,  K

Research Square prepub

Clinical data| Données cliniques Immunology | Immunologie

Global efforts are ongoing to develop vaccines against SARS-CoV-2 causing COVID-19. While there is accumulating information on antibody responses against SARS-CoV-2, less is known about CD8 T-cell recognized SARS-CoV-2 epitopes and the functional state of SARS- CoV-2-specific CD8 T cells. To address these issues, we analyzed samples from 18 COVID- 19 patients for CD8 T-cell recognition of 500 peptide HLA class I complexes, restricted by 10 common HLA alleles. Several epitopes derived from ORF1ab were identified, including an immunodominant epitope restricted by HLA-A*01:01. The immunodominance was further supported by high TCR diversity within the CD8 T cells specific for this epitope. Noteworthy, the ORF1ab is not included in the majority of vaccine candidates in development, which may influence their clinical activity. In-depth characterization of identified SARS-CoV-2-specific CD8 T cell responses revealed a lack of cytokine production and a gene expression profile inhibiting T cell re-activation and migration while sustaining cell survival.

Evaluation of Safety and Immunogenicity of an Adjuvanted, TH-1 Skewed, Whole Virion Inactivated SARS-CoV-2 Vaccine - BBV152

Ganneru,  Brunda,  Jogdand, et al

bioRxiv

Vaccine Research| Recherche sur les vaccins Animal model | Modèle animal

We report the development and evaluation of safety and immunogenicity of a whole virion inactivated SARS-COV-2 vaccine (BBV152), adjuvanted with aluminium hydroxide gel (Algel), or a novel TLR7/8 agonist adsorbed Algel. We used a well-characterized SARS-CoV-2 strain and an established vero cell platform to produce large-scale GMP grade highly purified inactivated antigen, BBV152. Product development and manufacturing were carried out in a BSL-3 facility. Immunogenicity was determined at two antigen concentrations (3μg and 6μg), with two different adjuvants, in mice, rats, and rabbits. Our results show that BBV152 vaccine formulations generated significantly high antigen-binding and neutralizing antibody titers, at both concentrations, in all three species with excellent safety profiles. The inactivated vaccine formulation containing TLR7/8 agonist adjuvant-induced Th1 biased antibody responses with elevated IgG2a/IgG1 ratio and increased levels of SARS-CoV-2 specific IFN-γ+ CD4 T lymphocyte response. Our results support further development for Phase I/II clinical trials in humans.

Subcutaneous Sarilumab in hospitalised patients with moderate-severe COVID-19 infection compared to the standard of care (SARCOVID): a structured summary of a study protocol for a randomised controlled trial

Garcia-Vicuña,  R,  Abad-Santos, et al

Trials

RCT

This is a study protocol for a randomised controlled trial to evaluate the efficacy and safety of a single dose of sarilumab, in subcutaneous administration, in hospitalised patients with moderate to early severe COVID-19 infection compared to the current standard of care, to prevent progression to systemic hyperinflammatory status.

The impact of work loss on mental and physical health during the COVID-19 pandemic: Findings from a prospective cohort study

Griffiths,  Daniel,  Sheehan, et al

medRxiv

Public Health response| Interventions de santé publique

This study aimed to determine if losing work during the COVID-19 pandemic is associated with mental and physical health. 2,603 respondents (Australians aged 18+ years) including groups who had lost their job (N=541), were not working but remained employed (N=613), were working less (N=789) and whose work was unaffected (N=789). Three groups experiencing work loss had greater odds of high psychological distress (AOR=2.22-3.66), poor mental (AOR=1.78-2.27) and physical health (AOR=2.10-2.12) than the unaffected work group. Poor mental health was more common than poor physical health. The odds of high psychological distress (AOR=5.43-8.36), poor mental (AOR=1.92-4.53) and physical health (AOR=1.93-3.90) were increased in those reporting fewer social interactions or less financial resources.

Interaction network of SARS-CoV-2 with host receptome through spike protein

Gu,  Yunqing,  Cao, et al

bioRxiv

Coronavirology| Coronavirologie

To identify host cell receptors involved in SARS-CoV-2 interactions, we performed genomic receptor profiling to screen almost all human membrane proteins, with SARS-CoV-2 capsid spike (S) protein as the target. Twelve receptors were identified, including ACE2. Most receptors bind at least two domains on S protein, the receptor-binding-domain (RBD) and the N-terminal-domain (NTD), suggesting both are critical for virus-host interaction. nalyzing single-cell transcriptome profiles from COVID-19 patients revealed that virus susceptibility in airway epithelial ciliated and secretory cells and immune macrophages highly correlates with expression of ACE2, KREMEN1 and ASGR1 respectively, and ACE2/ASGR1/KREMEN1 (ASK) together displayed a much better correlation than any individual receptor. Based on modeling of systemic SARS-CoV-2 host interactions through S receptors, we revealed ASK correlation with SARS-CoV-2 multi-organ tropism and provided potential explanations for various COVID-19 symptoms.

Small molecules inhibit SARS-COV-2 induced aberrant inflammation and viral replication in mice by targeting S100A8/A9-TLR4 axis

Guo,  Qirui,  Zhao, et al

bioRxiv

Therapeutics| Thérapeutique Animal model | Modèle animal

We characterized the transcriptome of rhesus macaques and mice infected with SARS-CoV-2. Alarmin S100A8 was robustly induced by SARS-CoV-2 in animal models as well as in COVID-19 patients. Paquinimod, a specific inhibitor of S100A8/A9, could reduce inflammatory response and rescue the pneumonia with substantial reduction of viral titers in SASR-CoV-2 infected animals. Remarkably, Paquinimod treatment resulted in 100% survival of mice in a lethal model of mouse coronavirus (MHV) infection. A novel group of neutrophils that contributed to the uncontrolled inflammation and onset of COVID-19 were dramatically induced by coronavirus infections. Paquinimod treatment could reduce these neutrophils and regain antiviral responses, unveiling key roles of S100A8/A9 and noncanonical neutrophils in the pathogenesis of COVID-19, highlighting new opportunities for therapeutic intervention.

Overview of the Protein Side chain Network Approach: Application to the Spike Glycoprotein of SARS-Cov2

Halder,  A,  A

ArXiv

Coronavirology| Coronavirologie

we focus on characterizing the global features of SARS-Cov2 (COVID-19) spike glycoprotein. Our objective is to review and apply our network approaches to gain insights into a key viral protein at the structural level. As expected, there are considerable similarities of network metrics between the partially open and the closed states of the trimeric SARS-CoV2 spike protein. However, there are also significant differences seen at the domain-domain interfaces within a chain and across the trimeric interface.

PMC7447231; Association between temperature, humidity, and COVID-19 outbreaks in Bangladesh

Haque,  SE,  Rahman, et al

Environ Sci Policy

Epidemiology| Épidémiologie Transmission

This study aimed to determine the association between average temperature and humidity with COVID-19 pandemic in Bangladesh. This study included 9,455 confirmed cases during the observation period (March 08, 2020 to May 03, 2020). The peak spread of COVID-19 occurred at an average temperature of 26 °C. We find, under a linear regression framework, high temperature and high humidity significantly reduce the transmission of COVID-19, respectively. It indicates that the arrival of summer and rainy season in Bangladesh can effectively reduce the transmission of the COVID-19. However, it is unlikely that the COVID-19 pandemic diminishes by summer since Bangladesh still have a high coronavirus transmission. Therefore, other public health interventions such as social distancing are still important for blocking the COVID-19 transmission.

Perceived risk of being infected with SARS-CoV-2: A perspective from Indonesia

Harapan,  H,  Anwar, et al

Disaster Med Public Health Prep

Public Health response| Interventions de santé publique

The objective of this online cross-sectional study was to determine the level of coronavirus disease 2019 (COVID-19) risk perceptions in Indonesia and characterize predictors of perceptions. The mean perceived risk was 19.21%.  Higher perceived risk was associated with respondents aged 21-30 years, unmarried, with higher incomes, living in cities, and employed with health care.

Association of public interest in preventative measures and increased COVID-19 cases after expiration of Stay-at-Home orders: A cross-sectional study

Hartwell,  M,  Greiner, et al

Disaster Med Public Health Prep

Epidemiology| Épidémiologie Public health interventions*| Interventions de santé publique Public Health response| Interventions de santé publique

As a method to measure public preparedness, we sought to explore the association between public interest in preventive measures and easing of Stay-at-Home (SAH) orders-specifically the increases in COVID-19 cases and fatalities after their expiration. Our investigation shows that increased public interest in COVID-19 prevention was associated with longer SAH orders and less COVID-19 cases after the SAH orders' expiration; however, it was also associated with higher case-fatality rates.

Potential impact on coagulopathy of gene variants of coagulation related proteins that interact with SARS-CoV-2

Holcomb,  David,  Alexaki, et al

bioRxiv

Coronavirology| Coronavirologie

Poly(A) Binding Protein Cytoplasmic 4 (PABPC4), Serine/Cysteine Proteinase Inhibitor Clade G Member 1 (SERPING1) and Vitamin K epOxide Reductase Complex subunit 1 (VKORC1), which are all proteins linked to coagulation, have been shown to interact with SARS proteins. We computationally examined the interaction of these with SARS-CoV-2 proteins and, in the case of VKORC1, we describe its binding to ORF7a in detail. We examined the occurrence of variants of each of these proteins across populations and interrogated their potential contribution to COVID-19 severity. Potential mechanisms by which some of these variants may contribute to disease are proposed. Some of these variants are prevalent in minority groups that are disproportionally affected by severe COVID-19.

Is COVID-19 spreading and curing silently: an observation of three family clusters in Bangladesh

Hoq,  MI,  Hossain, et al

J Basic Clin Physiol Pharmacol

Epidemiology| Épidémiologie Clinical data| Données cliniques

This study observed cases from three families with COVID-19 like symptoms. The members of the inspected families shared COVID-19 like symptoms that lasted for 3-10 days. A combination of pharmacological and non-pharmacological actions was taken to get cured of symptoms. Individuals were taking prescription drugs such as antibiotics in most cases without doctor's consultation, and no one among the cases had any diagnostic test for COVID-19.

Psychiatric presentation of patients with acute SARS-CoV-2 infection: a retrospective review of 50 consecutive patients seen by a consultation-liaison psychiatry team

Iqbal,  Y,  Al Abdulla, et al

BJPsych Open

Epidemiology| Épidémiologie Clinical data| Données cliniques

Aims: To describe the psychiatric morbidity associated with SARS-CoV-2 infection. Most patients were male. Median age was 39.5 years. Thirty-one patients were symptomatic (upper respiratory tract symptoms or pneumonia) for coronavirus disease 2019 (COVID-19) and 19 were asymptomatic (no characteristic physical symptoms of COVID-19 infection). Seventeen patients (34%) had a past psychiatric history. Thirty patients (60%) had physical comorbidity. The principal psychiatric diagnoses made by the consultation-liaison team were delirium (n = 13), psychosis (n = 9), acute stress reaction (n = 8), anxiety disorder (n = 8), depression (n = 8) and mania (n = 8). Delirium was confined to the COVID-19 symptomatic group (the exception being one asymptomatic patient with concurrent physical illness). The other psychiatric diagnoses spanned the symptomatic and asymptomatic patients with COVID. One patient with COVID-19 pneumonia experienced an ischaemic stroke. Approximately half the patients with mania and psychosis had no past psychiatric history. Three patients self-harmed. The commonest psychiatric symptoms were sleep disturbance (70%), anxiety (64%), agitation (50%), depressed mood (42%) and irritability (36%).

Preparing an orthopedic department for COVID-19

Jensen,  RD,  Bie, et al

Acta Orthop

Healthcare Response | Réponse des soins de santé

We conducted a retrospective survey on the organizational restructuring of the orthopedic department and the learning outcomes of a needs-driven educational program.  The hospital established 5 COVID-19 clusters, which were planned to be activated in sequential order. The orthopedic ward comprised cluster 4, where orthopedic nursing staff were teamed up with internal medicine physicians, while the orthopedic team were redistributed to manage minor and major injuries in the emergency department (ED). The mean learning outcome of the educational activities was high–very high, i.e., 5.4 (SD 0.7; 7-point Likert scale). Consequently, the staff felt more confident to protect themselves and to treat COVID-19 patients.

[Exploration and application of a novel attempt to recruit participants in clinical trials of vaccines under the emergency]

Jiang,  HDC,  Wang, et al

Zhonghua Yu Fang Yi Xue Za Zhi

Epidemiology| Épidémiologie Public Health response| Interventions de santé publique

A total of 4 819 people and 5 132 people registered in the Phase and Phase recruitment system respectively, with men 2 912 (60.43%) and 2 887 (56.25%) more than women 1 907 (39.57%) and 2 245 (43.75%), mostly in the 20-39 age group, with 3 211 (66.63%) and 3 966 (77.28%). All 13 districts in Wuhan have interested residents to participate clinical research.The initial qualified rate of the Phase recruitment system was higher than that of Phase , with men 2 047 (70.28%) and 2 135(73.95%), higher than women 1 083 (56.80%) and 1 472 (65.57%); 440 and 689 people were reviewed by telephone in Phase and Phase respectively, and the number of verified volunteers was about 440 (35.00%) and 689 (67.20%); Of the 201 603 people who arrived at the vaccination site, 12 and 26 of them were positive for the SARS-CoV-2 antibody with an antibody positive rate of 6.00% and 4.31% respectively.

Worries, Strategies and Confidence of Older Chinese Adults During the 2019 Novel Coronavirus Outbreak

Jiang,  W,  Sun, et al

Int J Geriatr Psychiatry

Public Health response| Interventions de santé publique

This study investigated the mental state and attitudes of older Chinese adults during this epidemic. Combined responses (N=1618), 76.1% were female and about 7.0% were 60 years or above. In the first wave, older adults were found less likely to worry about being infected by COVID-19 (p < 0.05) and reported less attention paid to protective measures (p = 0.004) than young adults. However, as the disease evolved, older participants in the second wave were more worried than young adults (p = 0.027) and older adults in the first wave (p = 0.001).

Depression, Anxiety and Stress Symptomatology among Swedish University Students Before and During the COVID-19 Pandemic: A Cohort Study

Johansson,  F,  Cô

Research Square prepub

Public Health response| Interventions de santé publique

Background. The COVID-19 pandemic has had a profound effect on societies, economies, and daily life of citizens worldwide. This has raised important concerns about the mental health of different populations. We aimed to determine if symptom levels of depression, anxiety, and stress were different during the COVID-19 outbreak compared to before, with the Depression, Anxiety and Stress Scale as main outcome. We also aimed to determine whether pre-pandemic loneliness, poor sleep quality and mental health problems were associated with worse trajectories of mental health. Methods. We conducted a cohort study with 1658 Swedish university students answering questionnaires before the pandemic and a 81 % response-rate to follow-ups during the pandemic. Generalized Estimating Equations were used to estimate mean levels of symptoms before and during the pandemic, and to estimate effect modification by levels of loneliness, sleep quality and pre-existing mental health problems. Results. We found small differences in symptoms. Mean depression increased by 0.23/21 (95% CI:0.03 to 0.43), mean anxiety decreased by -0.06/21 (95% CI: -0.21 to 0.09) and mean stress decreased by - 0.34/21 (95% CI: -0.56 to -0.12). Loneliness, poor sleep quality and pre-existing mental health problems minimally influenced trajectories. Conclusions. Contrary to widely held concerns, we found minimal changes in mental health among Swedish university students during the first months of the COVID-19 pandemic.

The Emerging SARS-CoV-2 Papain-like Protease: Its Relationship with Recent Coronavirus Epidemics

Kandeel,  M,  Kitade, et al

J Med Virol

Coronavirology| Coronavirologie

By using sequence comparisons, molecular models and protein–protein interaction maps, papain‐like protease (PLpro) was compared in the three recorded fatal CoV epidemics, which involved SARS‐CoV‐2, SARS‐CoV and MERS‐CoV. The pairwise sequence comparison of SARS‐CoV‐2 PLpro indicated similarity percentages of 82.59% and 30.06% with SARS‐CoV PLpro and MERS‐CoV PLpro, respectively. In comparison with SARS‐CoV PLpro, in SARS‐CoV‐2, the PLpro had a conserved catalytic triad of C111, H278 and D293, with a slightly lower number of polar interface residues and of hydrogen bonds, a higher number of buried interface sizes and a lower number of residues that interact with ubiquitin and PLpro. These features might contribute to a similar or slightly lower level of deubiquitinating activity in SARS‐CoV‐2 PLpro. It was, however, a much higher level compared to MERS‐CoV, which contained amino acid mutations and a low number of polar interfaces.

Outcomes of COVID-19-positive kidney transplant recipients: A single-center experience

Katz-Greenberg,  G,  Yadav, et al

Clin Nephrol

Epidemiology| Épidémiologie Clinical data| Données cliniques

Herein, we present outcomes of  Kidney transplant recipients (KTRs) diagnosed with COVID-19 infection at our center in Philadelphia, PA, USA, between March 19, 2020
and May 23, 2020. 20 KTRs were diagnosed with COVID-19 using nasopharyngeal swab real-time PCR. Median age was 53.5 years . Thirteen (65%) of the patients were obese with BMI ≥ 30 kg/m2, with median BMI of 32 for the entire cohort (IQR 27.4 – 34.9).None of the patients were active smokers, 2 patients had chronic obstructive pulmonary disease, 4 with obstructive sleep apnea, and 2 had pulmonary hypertension. Five patients had a cardiac disease.The most common presenting symptom was cough reported by 14 patients. Additional symptoms included fever, shortness of breath (SOB), diarrhea, myalgias, fatigue, and loss of appetite. During the study period, 15 patients required hospitalization, with the most common presenting symptom being worsening SOB. Nine of the hospitalized patients had a chest radiographic finding of bilateral opacities consistent with multi-focal pneumonia. We had 3 deaths, 2 patients remain hospitalized, and the remaining 15 were either
discharged home or managed as outpatients. Median hospital length of stay was 9 days.

Paediatric inflammatory multisystem syndrome temporally associated with SARS-CoV-2 (PIMS-TS): providing resuscitative care

Kempsell-Smith,  M,  Meenan, et al

Nurs Child Young People

Clinical data| Données cliniques

Little is understood about severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the virus responsible for the COVID-19 pandemic. Furthermore, there is limited literature available and few case studies exploring the observations of colleagues involved in managing patients with COVID-19. Children represent a small sample of the confirmed cases of COVID-19 in the UK but the reasons for this are relatively unknown. Most children are asymptomatic or exhibit mild symptoms from COVID-19 infection. However, a small number have been identified who develop a significant systemic inflammatory response, referred to as paediatric inflammatory multisystem syndrome temporally associated with SARS-CoV-2 (PIMS-TS). PIMS-TS involves persistent fever and organ dysfunction. PIMS-TS can also share clinical features with other conditions including toxic shock syndrome, septic shock and Kawasaki disease. This article presents a case study to explore the resuscitative care provided to a ten-year-old child with suspected PIMS-TS.

Interim analysis of the Clinical performance of five SARS-Cov-2 Serology Assays

Knauer,  MJ,  Hedley, et al

Clin Biochem

Diagnostics / Pathogen detection| Diagnostics / Détection d'agents pathogènes

We tested five recently available serologic assays in patients with nucleic acid amplification testing (NAAT) proven or suspected SARS-CoV-2 infection. The goal of this study was to compare recently available serologic assays using residual samples from NAAT tested patients to assess the sensitivity and specificity of serologic assays and determine the earliest detection point. 529 Residual plasma samples from 366 NAAT tested individuals (Roche cobas SARS-Cov-2, reference method) were collected, stored frozen at -20⁰C, and evaluated for COVID-19 serologic testing.  we found good positive agreement between the IgG and Total assays with sensitivity results ranging from 81% to 93% in samples greater than 14 days post positive NAAT. Based on this analysis we feel that serologic testing should be limited to time points greater than 14 days post symptom onset or positive NAAT testing and recognize that some individuals will not have a detectable serological response. There is limited data showing that IgA response may play a role in patients with severe clinical manifestations of SARS-CoV-2 infection and the resulting immune hyperactivation

Is Mandatory Risk Reporting Informative? Evidence from US REITS Using Machine Learning for Text Analysis

Koelbl,  Marina,  Schuierer, et al

SSRN- Lancet prepublication

Economics | Économie

The typical SEC’s reaction to a crisis is strengthening disclosure requirements mandating firms to inform investors about their assessment of future contingencies. This should enable investors to monitor risks a firm is facing. However lengthy and complex disclosures – mostly for dozens or hundreds of firms in an investor’s portfolio – can hardly be processed by a human. Additionally, it is unclear if investors follow regulatory requirements or disclosures are merely boilerplates giving the investor a limited view. The reported risk factors can be property-specific or market-wide such as the recent financial crisis or the current coronavirus. It would be informative for investors to see the firm’s risk assessment regarding these kinds of risks. To cope with the flood of information, we propose to use an unsupervised machine learning algorithm to identify and quantify the risk factor topics discussed in the SEC’s 10-K filing. We apply this algorithm (Structural Topic Model, STM) to the Item 1A and Item 7A of the US REITs’ 10-K’s filings between 2005 and 2019. Our results suggest, that STM is advantageous over the traditional methods since it finds clearer and consequently more meaningful risk factor topics beyond the investment foci of REITs. Furthermore, we investigate whether and how the identified topics affect the risk perception of investors after the filing date. We find all three kinds of topics: uninformative topics with no impact (null argument), increasing risk perception topics (divergence argument), and decreasing risk perception topics (convergence argument) – the majority. Overall, our results suggest that REIT managers use risk disclosures to reveal previously unknown information that has not yet been incorporated into market prices in the short run; but they diminish in the long run.

Prevention and practice during the COVID-19 emergency declaration period in Japanese obstetrical/gynecological facilities

Komatsu,  H,  Banno, et al

J Obstet Gynaecol Res

Healthcare Response | Réponse des soins de santé

A nationwide questionnaire survey was performed to evaluate how Japanese Society of Obstetrics and Gynecology (JSOG) members dealt with the coronavirus disease (COVID-19) pandemic during the declared nationwide emergency. A decrease in the number of outpatients for infertility treatment was also observed. Polymerase chain reaction testing for severe acute respiratory syndrome coronavirus 2 was available in 20.4% of the facilities. Inpatients and outpatients were requested to wear masks, limit the number of contacts and check body temperature when visiting hospitals/clinics. During parturition care, caregivers and physicians wore gloves, masks (other than N-95), face shields and gowns. About 66% and 80% of the facilities decided to transfer pregnant women if they had asymptomatic and symptomatic infection, respectively. Cesarean section was typically chosen as delivery mode in infected women.

The Role of the Emergency Department in Protecting the Hospital as a Critical Infrastructure in the Corona Pandemic Strategies and Experiences of a Rural Sole Acute-Care Clinic

Kortuem,  StefanO,  Becker, et al

medRxiv

Epidemiology| Épidémiologie Healthcare Response | Réponse des soins de santé

The present work is a retrospective analysis of the processes and structures established in the Emergency Department between 27 March 2020 and 20 May 2020. In addition, a retrospective descriptive evaluation of the epidemiological and clinical data of the patients is carried out at the time of first contact during the period mentioned above. After establishing a pre-triage with structured algorithms, all confirmed COVID-19 cases were identified before entering the clinic and assigned to an appropriate treatment pathway. Unprotected entry into hospital structures or nosocomial infections were not observed, although almost 35% of patients with confirmed infection were admitted due to other symptom complexes or injuries. 201 inpatient patients were initially isolated without COVID-19 being confirmed. The number of cases in the Emergency Department was 39% lower than the previous year's period, thus avoiding crowding.

Candidate screening of host cell membrane proteins involved in SARS-CoV-2 entry

Kotani,  Norihiro,  Nakano, et al

bioRxiv

Coronavirology| Coronavirologie

Here, we identified host cell membrane protein candidates that were present in proximity to the attachment sites of SARS-CoV-2 spike proteins through the use of proximity labeling and proteomics analysis. The identified proteins represent candidate key factors that may be required for viral entry. Our results indicated that a number of membrane proteins, including DPP4, Cadherin-17, and CD133, were identified to co-localize with cell membrane-bound SARS-CoV-2 spike proteins in Caco-2 cells that were used to expand the SARS-CoV-2 virion.

COVID-19 and Federalism in India: Capturing the Effects of Voluntary, State and Central Responses on Mobility

Kumar,  Himangshu,  Nataraj, et al

SSRN- Lancet prepublication

Modelling/ prediction| Modélisation/prédiction Public health interventions*| Interventions de santé publique Public Health response| Interventions de santé publique

In response to rapidly rising COVID-19 cases, nations resorted to two channels to reduce population mobility and ensure social distancing. These channels were government-ordered containment and closure measures; and voluntary reductions in mobility due to rising public awareness. Initially, India’s state governments enacted varying social distancing policies until the Central government overrode states to impose a nationwide lockdown on 24th March. This paper examines the relative impact of state and central level policies on changes in mobility. This is analysed using event study difference-in-differences (DID) and panel GLS regressions of state-level data on closure orders and mobility changes. The first policy enacted by each state was ineffective on average, but some states managed to reduce mobility by imposing further restrictions. In contrast, the national lockdown had a much larger and persistent effect for almost all states. Further, rising awareness about COVID-19 did not lead to any independent changes in mobility.

Cardiac imaging phenotype in patients with coronavirus disease 2019 (COVID-19): results of the cocarde study

Lairez,  O,  Blanchard, et al

Int J Cardiovasc Imaging

Epidemiology| Épidémiologie Clinical data| Données cliniques

The aim of our study was to explore the impact of biological cardiac injury on myocardial functions in patients with COVID-19. 31 patients with confirmed COVID-19 (CoV+) and 16 controls (CoV−) were prospectively included in this observational study. Among CoV+, 13 (42%) exhibited myocardial injury. CoV+/troponin T elevation (TnT +) patients were older, had lower diastolic arterial pressure and were more likely to have hypertension and chronic renal failure compared with CoV+/TnT−. There was a trend of decreased myocardial work and increased peak systolic tricuspid annular velocity between the CoV− and CoV + patients

Lack of protective effect of chloroquine derivatives on COVID-19 disease in a Spanish sample of chronically treated patients

Laplana,  Marina,  Yuguero, et al

medRxiv

Epidemiology| Épidémiologie Clinical data| Données cliniques Therapeutics| Thérapeutique

We evaluated the role of chloroquine and its derivatives in COVID-19 in Spanish individuals. We performed a survey addressed to patients regularly taking chloroquine and its derivatives for the control of their autoimmune diseases. A total of 319 surveys of patients regularly taking chloroquine and its derivatives were recovered for further analysis. The prevalence of declared COVID-19 status in the treated group was 5.3% and the mean prevalence among the untreated-matched groups was 3.4%. A community exposition to COVID-19 was associated with a greater prevalence of COVID-19 in both, treated (17.0% vs. 3.2%; p-value<0.001) and untreated groups (13.4% vs. 1.1%; p-value=0.027). We did not find differences of reported COVID-19 cases between treated and untreated groups, indicating a lack of protection by regular administration of chloroquine and its derivative drugs on COVID-19 infection.

The Impact of COVID-19 and Policy Responses on Australian Income Distribution and Poverty

Li,  J,  V

Research Square prepub

Economics | Économie

This paper undertakes a near real-time analysis of the income distribution effects of the COVID-19 crisis in Australia to understand the ongoing changes in the income distribution as well as the impact of policy responses. The result shows the effectiveness of temporary policy measures in maintaining both the living standards and the level of income inequality. However, the heavy reliance on the support measures raises the possibility that the changes in the income distribution may be reversed and even substantially worsened off should the measures be withdrawn.

The impact of COVID-19 on the lives and mental health of Australian adolescents

Li,  Sophie,  Beames, et al

medRxiv

Public Health response| Interventions de santé publique

The purpose of this study was to assess the psychological and lifestyle impact of the pandemic on Australian adolescents, using an online survey, administered during and after the peak of the outbreak (June-July 2020). Overall, young people expressed significant concern and worry about contracting the virus, and most (>85%) engaged in behaviors to reduce the risk of transmission. Three quarters of the sample reported a worsening of their mental health since the pandemic began, with negative impacts reported by most respondents on learning, friendships and family relationships. More than 40% of young people reported a decrease in exercise and 70% reported an increase in technology use since the outbreak. There were high levels of uncertainty about the future reported by respondents, and their scores on validated measures indicated higher levels of sleep disturbance, psychological distress and health anxiety, and lower levels of wellbeing, relative to normative samples. Responses on the Kessler Psychological Distress Scale indicated that 48.3% of the sample were experiencing distress consistent with a probable mental illness, which is much higher than pre-pandemic prevalence rates. Effects on mental health were worse among those who reported a previous diagnosis of depression and/or anxiety relative to those without a history of depression and/or anxiety.

Protein Coding of Variations on SARS-CoV-2 Genomes in Various Regions

Li,  T,  Z

Research Square prepub

Coronavirology| Coronavirologie

In this paper, COVID-19 cases in different regions are used for comparison. The related genomes of SARS-CoV-2 are segmented and replaced with sequence operations under protein coding scheme on the A3 module of the MAS. Using protein coding schemes, genomes are transformed and projected as measuring sequences as a vector that can be visualized in maps from two different perspectives: the elements of the gene sequence and the position of the element sequence, so as to interpret the genome more comprehensively. Through a series of linear diagrams, it is convenient to compare and analyze the genomes of the samples collected in different regions more intuitively, which may be conducive to further data mining of genomic information and refined explorations of COVID-19 for patients.

Making Sense of Algorithms: Relational Perception of Contact Tracing and Risk Assessment during COVID-19

Liu,  Chuncheng,  Graham, et al

SSRN- Lancet prepublication

Public Health Priorities| Priorités de santé publique Public Health response| Interventions de santé publique

Governments, institutions, and citizens of nearly every nation have been compelled to respond to COVID-19. Many measures have been adopted, including contact tracing and risk assessment, whereby citizen whereabouts are constantly monitored to trace contact with other infectious individuals and isolate contagious parties via algorithmic evaluation of their risk status. This paper investigates how citizens make sense of Health Code (jiankangma), the contact tracing and risk assessment algorithm in China. We probe how people accept or resist the algorithm by examining their ongoing, dynamic, and relational interactions with it over time. By seeking a deeper, iterative understanding of how individuals accept or resist the algorithm, our data unearths three key sites of concern. First, how understandings of algorithmic surveillance shape and are shaped by notions of privacy, including fatalism towards the possibility of true privacy in China and a trade-off narrative between privacy and twin imperatives of public and economic health. Second, how trust in the algorithm is mediated by the perceived competency of the technology, the veracity of input data, and well-publicized failures in both data collection and analysis. Third, how the implementation of Health Code in social life alters beliefs about the algorithm, such as its further role after COVID-19 passes, or contradictory and disorganized enforcement measures upon risk assessment. Chinese citizens make sense of Health Code in a relational fashion, whereby users respond very differently to the same technical assemblage based upon social and individual factors.

Intermittent demand forecasting for medical consumables with short life cycle using a dynamic neural network during the COVID-19 epidemic

Liu,  P

Health Informatics J

Healthcare Response | Réponse des soins de santé

The intermittent demand forecast of medical consumables with a short life cycle brings some new challenges, such as the demand occurring randomly in many time periods with zero demand. In this research, a seasonal adjustment method is introduced to deal with seasonal influences, and a dynamic neural network model with optimized model selection procedure and an appropriate model selection criterion are introduced as the main forecasting models. In addition, in order to reduce the impact of zero demand, it adds some input nodes to the neural network by preprocessing the original input data. Lastly, a modified error measurement method is proposed for performance evaluation.

Ongoing natural selection drives the evolution of SARS-CoV-2 genomes

Liu,  Qi,  Zhao, et al

medRxiv

Coronavirology| Coronavirologie

Understanding the evolutionary mechanism underlying epidemiological and pathological characteristics of COVID-19 is essential for predicting the epidemic trend, and providing guidance for disease control and treatments. Interrogating 22,078 SARS-CoV-2 genome sequences of 84 countries, we demonstrate with convincing evidence that (i) SARS-CoV-2 genomes are overall conserved under purifying selection. (ii) Ongoing positive selection is actively driving the evolution of specific genes. Notably, genes related to coronavirus infection and host immune system defense are under adaptive evolution while genes related to viral RNA replication, transcription and translation are under purifying selection. A spatial and temporal landscape of 54 critical mutants is constructed based on their divergence among viral haplotype clusters, of which multiple mutants potentially conferring viral transmissibility, infectivity and virulence of SARS-CoV-2 are highlighted.

Gastrointestinal involvement attenuates COVID-19 severity and mortality

Livanos,  AlexandraE,  Jha, et al

medRxiv

Epidemiology| Épidémiologie Clinical data| Données cliniques

We investigated the impact of gastrointestinal (GI) infection on disease pathogenesis in three large cohorts of patients in the United States and Europe. Unexpectedly, we observed that GI involvement was associated with a significant reduction in disease severity and mortality, with an accompanying reduction in key inflammatory proteins including IL-6, CXCL8, IL-17A and CCL28 in circulation. In a fourth cohort of COVID-19 patients in which GI biopsies were obtained, we identified severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) within small intestinal enterocytes for the first time in vivo but failed to obtain culturable virus. High dimensional analyses of GI tissues confirmed low levels of cellular inflammation in the GI lamina propria and an active downregulation of key inflammatory genes including IFNG, CXCL8, CXCL2 and IL1B among others. These data draw attention to organ-level heterogeneity in disease pathogenesis and highlight the role of the GI tract in attenuating SARS-CoV-2-associated inflammation with related mortality benefit.

The Light and Shadow of Rapid Serological Tests for SARS-CoV-2 Infection: Results from a Study in a Large Emergency Department

Loconsole,  D,  Centrone, et al

Int J Environ Res Public Health

Diagnostics / Pathogen detection| Diagnostics / Détection d'agents pathogènes

In this study, the performance of a rapid serological test in a clinical setting was evaluated. Samples from 819 consecutive patients (with or without respiratory symptoms) admitted to a large Emergency Department were tested between 23 March and 21 April 2020. Patient samples were tested in a real-time PCR assay and a serological assay. In total, 148/819 patients (18.1%) tested positive for SARS-CoV-2 by real-time PCR. The serological test revealed that 70/819 patients (8.5%) had anti-SARS-CoV-2 IgM and/or IgG. The prevalence of anti-SARS-CoV-2 antibodies was significantly higher in patients with respiratory symptoms lasting for >7 days than in those with respiratory symptoms lasting for 0–7 days (p < 0.001). The serological assay had an overall sensitivity of 35.1% and an overall specificity of 97.3%. A high negative predictive value (96.7%) was reported for patients without respiratory symptoms.

Serological Assays Estimate Highly Variable SARS-CoV-2 Neutralizing Antibody Activity in Recovered COVID19 Patients

Luchsinger,  LarryL,  Ransegnola, et al

medRxiv

Diagnostics / Pathogen detection| Diagnostics / Détection d'agents pathogènes

We collected 370 unique donors enrolled in the New York Blood Center Convalescent Plasma Program between April and May of 2020. We measured levels of antibodies in convalescent plasma using commercially available SARS-CoV-2 detection tests and in-house ELISA assays and correlated serological measurements with nAb activity measured using pseudotyped virus particles, which offer the most informative assessment of antiviral activity of patient sera against viral infection. Our data show that a large proportion of convalescent plasma samples have modest antibody levels and that commercially available tests have varying degrees of accuracy in predicting nAb activity. We found the Ortho Anti-SARS-CoV-2 Total Ig and IgG high throughput serological assays (HTSAs), as well as the Abbott SARS-CoV-2 IgG assay, quantify levels of antibodies that strongly correlate with nAb assays and are consistent with gold-standard ELISA assay results. These findings provide immediate clinical relevance to serology results that can be equated to nAb activity and could serve as a valuable roadmap to guide the choice and interpretation of serological tests for SARS-CoV-2.

COVID-19 Transmission Within Danish Households: A Nationwide Study from Lockdown to Reopening

Lyngse,  Frederik Plesner,  Kirkeby, et al

medRxiv

Epidemiology| Épidémiologie Transmission

Methods We used comprehensive administrative register data from Denmark, comprising the full population and all COVID-19 tests, to estimate household transmission risk and attack rate. Results We studied the testing dynamics for COVID-19 and found that the day after receiving a positive test result within the household, 35% of potential secondary cases were tested and 13% of these were positive. After a primary case in 6,782 households, 82% of potential secondary cases were tested within 14 days, of which 17% tested positive as secondary cases, implying an attack rate of 17%. Among primary cases, those aged 0-24 were underrepresented when compared with the total population. We found an approximately linearly increasing relationship between attack rate and age. We investigated the transmission risk from primary cases by age, and found an increasing risk with age of primary cases for adults, while the risk seems to decrease with age for children.

Fusion protein targeted antiviral peptides: fragment based drug design (FBDD) guided rational design of dipeptides against SARS-CoV-2

Manna,  S,  Baindara, et al

Curr Protein Pept Sci

Coronavirology| Coronavirologie Therapeutics| Thérapeutique

Here, we summarized the viral fusion protein targeted antiviral peptides along with their mechanism and specific design to combat viral fusion process.  Three dipeptides (DL, LQ and ID) were chosen from the library and designed by the systematic combination along with their possible modifications of amino acids to the target sites. Designed peptides were docked with targeted fusion protein after energy minimization. Results show strong and significant binding affinity (DL = -60.1 kcal/mol; LQ = -62.8 kcal/mol; ID= -71.5 kcal/mol) during interaction. Any one of the active peptides from the developed libraries may help to block competitively the target sites to successfully control COVID-19.

Epidemiology and clinical outcome of COVID-19: A multi-centre cross sectional study from Bangladesh

Mannan,  Adnan,  Mehedi, et al

medRxiv

Epidemiology| Épidémiologie Clinical data| Données cliniques

Objectives: To investigate SARS-CoV-2 associated epidemiology and clinical outcomes in Bangladesh to understand the course of COVID-19 pandemic and suggest prevention measures. Methods: A cross-sectional retrospective study was conducted among 1,021 RT-PCR confirmed but recovered COVID-19 cases from six participating hospitals in Bangladesh. Results: Of the total sample, 111 (10.9%) cases were asymptomatic while the number of symptomatic cases were 910 (89.1%). Higher prevalence of COVID-19 persisted in the male population (75%) and for the 31-40 age group. More than 85% of the samples reported BCG vaccination mark. Common symptoms observed in our study samples were fever (72.4%), cough (55.9%), loss of taste (40.7%) and body ache (40%); whereas for the biochemical parameters, Neutrophil (46.4%), D-dimer (46.1%), Ferritin (37.9%) and SGPT (36.8%) levels were found elevated. Post-COVID complications including pain (31.8%), loss of concentration (24.4%) and anxiety or depression (23.1%) were found significantly prevalent. Conclusion: Our study has shown that adult males aged between 31-40 in Bangladesh are more vulnerable to being infected with COVID-19. With an indication for the rising trend of the asymptomatic cases, deployment of interventions to curb further community spread is necessary to avoid the grave outcomes of COVID-19 in Bangladesh.

Clinical Outcomes of Critically Ill Patients with COVID-19 by Race

Marmarchi,  Fahad,  Liu, et al

medRxiv

Epidemiology| Épidémiologie Clinical data| Données cliniques

This cohort study investigated comorbidities and clinical outcomes by race among COVID-19 patients admitted to the intensive care unit. Methods: This is a case series of critically ill patients admitted with COVID-19 to a tertiary referral teaching hospital in Atlanta, Georgia. The study included all critically ill hospitalized patients between March 6, 2020 and May 5, 2020. Clinical outcomes during hospitalization included mechanical ventilation, renal replacement therapy and mortality stratified by race. Results Of 288 patients included (mean age, 63 +/- 16 years; 45% female), 210 (73%) were African American. African Americans had significantly higher rates of comorbidities compared to other races, including hypertension (80% vs 59%, p=0.001), diabetes (49% vs 34%, p=0.026) and mean BMI (33 kg/m2vs 28 kg/m2, p<0.001). Despite African Americans requiring continuous renal replacement therapy during hospitalization at higher rates than other races (27% vs 13%, p=0.011), rates of intubation, intensive care unit length of stay, and overall mortality (30% vs 24%, p=0.307) were similar.

Repurposing of FDA-Approved Toremifene to Treat COVID-19 by blocking the spike glycoprotein and NSP14 of SARS-CoV-2

Martin,  W,  Cheng, et al

J Proteome Res

Coronavirology| Coronavirologie Therapeutics| Thérapeutique

Here, we combine homology modeling, molecular docking, molecular dynamics simulation, and binding affinity calculations to determine potential targets for toremifene, a selective estrogen receptor modulator which we have previously identified as a SARS-CoV-2 inhibitor. Our results indicate the possibility of inhibition of the spike glycoprotein by toremifene, responsible for aiding in fusion of the viral membrane with the cell membrane, via a perturbation to the fusion core. An interaction between the dimethylamine end of toremifene and residues Q954 and N955 in heptad repeat 1 (HR1) perturbs the structure, causing a shift from what is normally a long, helical region to short helices connected by unstructured regions. Additionally, we found a strong interaction between toremifene and the methyltransferase non-structural protein (NSP) 14, which could be inhibitory to viral replication via its active site.

COVID-19 and Pneumothorax: A Multicentre Retrospective Case Series

Martinelli,  AW,  Ingle, et al

Eur Respir J

Epidemiology| Épidémiologie Clinical data| Données cliniques

Cases were collected retrospectively from UK hospitals with inclusion criteria limited to a diagnosis of COVID-19 and the presence of either pneumothorax or pneumomediastinum. Seventy-one patients from 16 centres were included in the study, of whom 60 patients had pneumothoraces (six also with pneumomediastinum), whilst 11 patients had pneumomediastinum alone. Two of these patients had two distinct episodes of pneumothorax, occurring bilaterally in sequential fashion, bringing the total number of pneumothoraces included to 62. urvival at 28 days was not significantly different following pneumothorax (63.1%±6.5%) or isolated pneumomediastinum (53.0%±18.7%; p=0.854). The incidence of pneumothorax was higher in males. The 28-day survival was not different between the sexes. Patients above the age of 70 had a significantly lower 28-day survival than younger individuals.

Exploring predictors of Australian community members' blood donation intentions and blood donation-related behavior during the COVID-19 pandemic

Masser,  BM,  Hyde, et al

Transfusion

Public Health response| Interventions de santé publique

A total of 507 residents participated. Intention to donate during the COVID-19 pandemic was positively predicted by subjective norm and self-efficacy. Donation-related behavior was positively predicted by intention, with this relationship stronger for nondonors than donors.

The COVID-19 pandemic and mental well-being of pregnant women in Japan: Need for Economic and Social Policy interventions

Matsushima,  M,  Horiguchi, et al

Disaster Med Public Health Prep

Public Health response| Interventions de santé publique

We collected 1777 responses from pregnant women through an online survey.  The present study found a high percentage of pregnant women with depressive symptoms. Notably, COVID-19 related variables including perceived risk for the infection, fear of decreasing economic wealth, and social support were significantly associated with depressive symptoms.

PMC7448732; How important is social trust during the COVID-19 crisis period? Evidence from the Fed announcements

Mazumder,  S

J Behav Exp Finance

Public Health response| Interventions de santé publique Economics | Économie

During the COVID-19 crisis period, firms headquartered in high social trust US states perform better than their counterparts from the low social trust states. Stock returns over the crisis period are 3 to 4 percentage points higher, on average, if social trust increases by one standard deviation. The association is stronger for firms of more affected industries (COVID-19 industries). More specifically, a one standard deviation increase of social trust associates with a 6.45% increase of CAR if firms belong to the COVID-19 industries. Next, I analyze the stock market reactions to the Fed's announcements on March 23, 2020. The results show that firms headquartered in the high trust states benefit less from the announcements because these firms can access to other external financings cheaply. The average three-day announcement CAR and BHAR (FF 3-factor adjusted) are higher by 2.5% and 2.6% respectively if firms headquartered in low trust states.

Understanding SARSCOV-2 propagation, impacting factors to derive possible scenarios and simulations

Mehl-Madrona,  Lewis,  Bricaire, et al

medRxiv

Epidemiology| Épidémiologie Public health interventions*| Interventions de santé publique

We aimed to analyze factors impacting the Covid-19 epidemic on a macro level, comparing multiple countries across the world and verifying the occurrence at a micro level through cluster analysis. The severity of the epidemic was most strongly related to exposure to ultraviolet light and extrapolated levels of vitamin D and to the health of the population, especially with regards to obesity. We found no county with an obesity level < 8% with a severe epidemic. We also found that countries where the population benefited from sun exposure or vitamin D supplementation and spent time outside fared well. Factors related to increased propagation of the virus included the use of heating ventilation and air conditioning (HVAC), population density, poorly aerated gatherings, relative humidity, timely policies of closing clustering places until aeration was improved, and daily amount of ridership on public transportation, especially subways. Population lockdowns, masks, and blood type did not provide much explanatory power. Contact tracing was not analyzed as very few countries applied it for long enough.

Heparin Binding Protein and Endothelial Glycocalyx Markers in Severe COVID-19 – A Prospective Observational Cohort Study

Mellhammar,  L,  T

Research Square prepub

Clinical data| Données cliniques Diagnostics / Pathogen detection| Diagnostics / Détection d'agents pathogènes

Background: The pathophysiology of severe COVID-19 has been implicated to involve neutrophil activation in the blood and in the lungs and endothelial dysfunction. Heparin binding protein (HBP) is a neutrophil protein that plays an important role in bacterial sepsis and is a promising biomarker in severe infections. Syndecans and glypicans are potential markers of sheeding of the glycocalyx and endothelial dysfunction. The primary aims of this study were to assess whether HBP or syndecans and glypicans are involved in the pathophysiology of COVID-19 and if so, whether they can be used to predict severe disease preferably using a point-of-care test (POC) that can substitute more time-consuming analysis with enzyme-linked immunosorbent assay (ELISA). Methods: A prospective convenience sample study of biomarkers. The main cohort consisted of patients admitted to hospital with a confirmed COVID-19 diagnosis. Samples and clinical data were collected at admission, during admission and at discharge and samples were analyzed with ELISA kit (Axis-Shield Diagnostics) for measuring HBP concentration and a novel dry immunofluorescence analyzer (Jet-iStar 800) (Joinstar) for point-of-care testing. Results: Thirty-five COVID-19 patients were prospectively enrolled in the study. HBP was significantly elevated in COVID-19 patients with organ dysfunction (n= 23) compared to those without organ dysfunction (n=6), 24.7 ng/mL (95% CI 17.3-48.4) vs 10.6 ng/mL (95% CI 6.2-17.1 ng/mL), p=0.03. Syndecan-1 and Glypican-4 were not significantly elevated in patients with organ dysfunction. Syndecan-1, 62.1 ng/mL (44.4-102.0) vs 57.5 ng/mL (95% CI 46.0- 63.7), p=0.44 and glypican-4, 3292.4 pg/mL (95% CI 1707.5- 6790.6) vs 3962.7 pg/mL (95% CI 2653.6- 5823.5), p=0.80. The point-of-care (POC) HBP test showed good correlation to the standard ELISA with an R-value of 0.83. HBP measured by the POC device predicted development of COVID-induced organ dysfunction within 72 hours with an AUC of 0.88. Conclusions: The neutrophil-derived HBP is elevated prior to onset of organ dysfunction in patients with severe COVID-19 using a newly developed point-of-care test and hence HBP could be used in a clinical setting as a prognostic marker in COVID-19.

Transcriptomic dysregulations associated with SARS-CoV-2 infection in human nasopharyngeal and peripheral blood mononuclear cells

Melo,  Caroline Vilas Boas,  Bhuiyan, et al

bioRxiv

Coronavirology| Coronavirologie Immunology | Immunologie

we aim to understand host response to SARS-CoV-2 infection by comparing samples collected from two distinct compartments (infection site and blood), obtained from COVID-19 subjects and healthy controls. Methods: We used two publicly available gene expression datasets generated via RNA sequencing in two different samples; nasopharyngeal swabs and peripheral blood mononuclear cells (PBMCs). We performed a differential gene expression analysis between COVID-19 subjects and healthy controls in the two datasets and then functionally profiled their differentially expressed genes (DEGs). The genes involved in innate immunity were also determined. Results: We found a clear difference in the host response to SARS-CoV-2 infection between the two sample groups. In COVID-19 subjects, the nasopharyngeal sample group indicated upregulation of genes involved in cytokine activity and interferon signalling pathway, as well as downregulation of genes involved in oxidative phosphorylation and viral transcription. Host response in COVID-19 subjects for the PBMC group, involved upregulation of genes involved in the complement system and immunoglobulin mediated immune response. CXCL13, GABRE, IFITM3 were upregulated and HSPA1B was downregulated in COVID-19 subjects in both sample groups.

Tracking SARS-CoV-2 T cells with epitope T-cell receptor recognition models

Meysman,  Pieter,  Postovskaya, et al

bioRxiv

Coronavirology| Coronavirologie

In this paper, we demonstrate the use of machine learning to classify SARS-CoV-2 epitope specific T-cell clonotypes in T-cell receptor (TCR) sequencing data. We apply these models to public TCR data and show how they can be used to study T-cell longitudinal profiles in COVID-19 patients to characterize how the adaptive immune system reacts to the SARS-CoV-2 virus. Our findings confirm prior knowledge that SARS-CoV-2 reactive T-cell diversity increases over the course of disease progression. However our results show a difference between those T cells that react to epitope unique to SARS-CoV-2, which show a more prominent increase, and those T cells that react to epitopes common to other coronaviruses, which begin at a higher baseline.

EARLY VIRAL CLEARANCE AMONG COVID-19 PATIENTS WHEN GARGLING WITH POVIDONE-IODINE AND ESSENTIAL OILS: A PILOT CLINICAL TRIAL

Mohamed,  Nurul Azmawati,  Baharom, et al

medRxiv

Clinical data| Données cliniques Therapeutics| Thérapeutique RCT

The purpose of this study was to assess the ability of regular gargling to eliminate SARS-CoV-2 in the oropharynx and nasopharynx. This pilot, open labeled, randomized, parallel study compared the effect of 30 seconds, 3 times/day gargling using 1% povidone-iodine (PVP-I), essential oils and tap water on SARS-CoV-2 viral clearance among COVID-19 patients in a tertiary hospital in Kuala Lumpur. Progress was monitored by day 4,6 and 12 PCR (Ct value), gargling and symptoms diary as well as clinical observations. Five confirmed Stage 1 COVID-19 patients were recruited for each arm. The age range was from 22 to 56 years old. The majority were males. Two respondents had co-morbidities, which were asthma and obesity. Viral clearance was achieved at day 6 in 100%, 80%, 20% and 0% for 1% PVP-I, essential oils, tap water and control group respectively. Analysis of 1% PVP-I group versus control group showed significant p-value for comparison of PCR results on Day 4, Day 6 and Day 12.

Elevated D-dimers and lack of anticoagulation predict PE in severe COVID-19 patients

Mouhat,  B,  Besutti, et al

Eur Respir J

Epidemiology| Épidémiologie Clinical data| Données cliniques

We determined factors independently associated with computed tomography pulmonary angiography (CTPA)-confirmed pulmonary embolism (PE) in hospitalised severe COVID-19 patients. Among all (N=349) patients hospitalised for COVID-19 in a university hospital in a French region with a high rate of COVID-19, we analysed patients who underwent CTPA for clinical signs of severe disease. n total, 162 patients (46.4%) underwent CTPA . PE was diagnosed in 44 patients (27.2%).  By multivariable analysis, the only two significant predictors of CTPA-confirmed PE were D-dimer level and the lack of any anticoagulant therapy.

Mitigation Strategies and Compliance in the Covid-19 Fight; How Much Compliance is Enough?

Mukerjee,  Swati,  Chow, et al

medRxiv

Modelling/ prediction| Modélisation/prédiction Public health interventions*| Interventions de santé publique

Drilling down to the state level, we create specific state indices suitable for the U.S. to measure the degree of strictness of public mitigation measures. In this, we build on the Oxford Stringency Index. A modified time-varying SEIRD model, incorporating this Stringency Index as well as a Compliance Indicator to reduce the transmission, is then estimated with daily data for a sample of 6 U.S. states. These are New York, New Hampshire, New Mexico, Colorado, Texas, and Arizona. We provide a simple visual policy tool to evaluate the various combinations of mitigation policies and compliance that can reduce the basic reproduction number to less than one; this is the acknowledged threshold in the epidemiological literature to control the pandemic. States successful in combating the pandemic were able to achieve a suitable combination. Understanding of this relationship by the public and policy makers is key to controlling the pandemic.

High seroprevalence of anti-SARS-CoV-2 antibodies in Chelsea, Massachusetts

Naranbhai,  V,  Chang, et al

J Infect Dis

Epidemiology| Épidémiologie Immunology | Immunologie

We performed anonymized convenience sampling of 200 currently asymptomatic residents of Chelsea, the epicenter of COVID-19 illness in Massachusetts by BioMedomics SARS-CoV-2 combined IgM-IgG point-of-care lateral flow immunoassay. The seroprevalence was 31.5% (17.5% IgM+IgG+, 9.0% IgM+IgG- and 5.0% IgM-IgG+). 50.5% of participants reported no symptoms in the preceding 4 weeks, of which 24.8% (25/101) were seropositive, and 60% of these were IgM+IgG-.

The inorganic polymer, polyphosphate, blocks binding of SARS-CoV-2 spike protein to ACE2 receptor at physiological concentrations

Neufurth,  M,  Wang, et al

Biochem Pharmacol

Coronavirology| Coronavirologie

Here, we show that Inorganic polyphosphate (polyP) efficiently inhibits the binding of the envelope spike (S)-protein of the coronavirus SARS-CoV-2, the causative agent of COVID-19, to its host cell receptor ACE2 (angiotensin-converting enzyme 2).

Response to the COVID-19 Outbreak in Urban Settings in China

Ni,  Z,  L

Research Square prepub

Public Health response| Interventions de santé publique

The COVID-19 outbreak in China was devastating, and spread throughout the country before being contained. Stringent physical distancing recommendations and shelter-in-place were first introduced in the hardest-hit provinces, and by March, these recommendations were uniform throughout the country. In the presence of an evolving and deadly pandemic, we sought to investigate the impact of this pandemic on individual well-being and prevention practices among Chinese urban residents. From March 2-11, 2020, 4,607 individuals were recruited from 11 provinces with varying numbers of COVID-19 casers using the social networking app WeChat to complete a brief, anonymous, online survey. The analytical sample was restricted to 2,551 urban residents. Standardized scales measured generalized anxiety disorder (GAD), the primary outcome. Multiple logistic regression was conducted to identify correlates of GAD alongside assessment of community practices in response to the COVID-19 pandemic. We found that during the COVID-19 pandemic, recommended public health practices significantly (p<0.001) increased, including wearing facial mask, practicing physical distancing, handwashing, decreased public spitting, and going outside in urban communities. Overall, 40.3% of participants met screening criteria for GAD and 49.3%, 62.6%, and 55.4% reported that their work, social life, and family life were interrupted by anxious feelings, respectively. Independent correlates of having anxiety symptoms included being a healthcare provider (aOR=1.58, p<0.01), living in regions with a higher density of COVID-19 cases (aOR=2.13, p<0.01), having completed college (aOR=1.38, p=0.03), meeting screening criteria for depression (aOR=6.03, p<0.01) and poorer perceived health status (aOR=1.54, p<0.01). COVID-19 had a profound impact on the health of urban dwellers throughout China. Not only did they markedly increase their self- and community-protective behaviors, but they also experienced high levels of anxiety associated with a heightened vulnerability like depression, having poor perceived health, and the potential of increased exposure to COVID-19 such as living closer to the epicenter of the pandemic.

The Severity of Traumatic Stress Associated with COVID-19 Pandemic, Perception of Support, Sense of Security, and Sense of Meaning in Life among Nurses: Research Protocol and Preliminary Results from Poland

Nowicki,  GJ,  Ślusarska, et al

Int J Environ Res Public Health

Healthcare Response | Réponse des soins de santé

Our research investigates the level of posttraumatic stress, perceived social support, opinions on positive and negative consequences of the pandemic, sense of security and sense of meaning among nurses in the face of this new and not fully understood global epidemiological phenomenon. The results of the research implemented during the period of severe psychological pressure associated with the COVID-19 pandemic provided information on symptoms of traumatic stress in the examined group of nurses. Their sense of security has been lowered and accompanied by an intensified reflection on issues concerning security. However, their current sense of meaning in life remains higher than the tendency to searching for it. The surveyed nurses received individual support mostly from significant others (i.e., other than family and friends). They see positive changes resulting from painful experiences related to the COVID-19 pandemic, which can be characterized by adaptation in the form of post-traumatic growth.

Trimming the need for invasive ventilation: pragmatic critical care during the COVID-19 pandemic

Oates,  CP,  Goldman, et al

BMJ Case Rep

Clinical data| Données cliniques

We present a case of a middle-aged man with a voluminous beard for religious reasons who developed progressive hypoxic respiratory failure secondary to COVID-19 infection which became refractory to NIV. After gaining permission to trim the patient’s facial hair by engaging with the patient, his family and religious leaders, his mask fit objectively improved, his hypoxaemia markedly improved and an unnecessary intubation was avoided. Trimming of facial hair should be considered in all patients on NIV who might have any limitations with mask fit and seal that would hamper ventilation, including patients who have facial hair for religious reasons.

Integration Of Statistical Techniques For Improving Contact Tracing Efforts To Stop The Spread Of Covid-19 Cases In Nigeria

OlayiwolaOM,  AdekeyeKS,  Wale-Orojo, et al

Research Square prepub

Modelling/ prediction| Modélisation/prédiction Public health interventions*| Interventions de santé publique

COVID-19 is battling with many countries in the world, including Nigeria, and it has affected various sectors. Contact tracing technique without Statisticians in the team as recommended by WHO is being used in Nigeria to curb the spread of COVID-19 virus, yet confirmed cases is on the increase daily. This study proposed the integration of Statistical techniques for improving contact tracing efforts to stop the spread of the virus. A fitted model using the R package, and Adaptive Cluster Sampling mechanism was embedded. Parameters of the model were estimated using Markov Chain Monte-Carlo (MCMC) Algorithm with Winbugs software. Trace plot and correlogram were used for MCMC diagnostics to examine the goodness of fit of the model. The fitted model was used to obtain a predictive distribution for predicting the estimated number of COVID-19 carriers in Nigeria. The model has a good fit since It converged to the representation of the target posterior within the 95% highest posterior density (HPD) interval, its chains mixed well, and autocorrelation is quite similar at each lag. Estimated number of COVID-19 carriers were well estimated and higher in each state than confirmed cases. The present contact tracing process is inefficient to track COVID-19 carriers, hence integrated contact tracing technique with the involvement of Statisticians was recommended. .

Structural Genetics of circulating variants affecting the SARS CoV-2 Spike / human ACE2 complex

Ortuso,  Francesco,  Mercatelli, et al

bioRxiv

Coronavirology| Coronavirologie

There currently exist several Spike protein variants in the SARS-CoV-2 population as the result of mutations, and it is unclear if these variants may exert a specific effect on the affinity with ACE2 which, in turn, is also characterized by multiple alleles in the human population. In the current study, the GBPM analysis, originally developed for highlighting host-guest interaction features, has been applied to define the key amino acids responsible for the Spike/ACE2 molecular recognition, using four different crystallographic structures. Then, we intersected these results with the current mutational status of these amino acids in the SARS-CoV-2 population. We identified several Spike mutations interacting with ACE2 and mutated in at least 10 distinct patients: N439K, G476S, S477N and N501Y. We also identified five ACE2 rare variants that may affect interaction with Spike and susceptibility to infection: S19P, E37K, M82I, E329G and G352V.

SARS-CoV-2 Polymorphisms and Multisystem Inflammatory Syndrome in Children (MIS-C)

Pang,  J,  Boshier, et al

Pediatrics

Clinical data| Données cliniques Coronavirology| Coronavirologie

We compare SARS-CoV-2 viral sequences found in 5 children diagnosed with MISC to sequences from 8 non-MIS-C children and 130 community cases in North London. We found no clustering of viral sequences from MIS-C patients (red) or non MIS-C patients in relation to other local sequences. We observed no SNPs unique to the MIS-C or to the other childhood cases and no difference in the distribution of SNPs between MIS-C, non MIS-C and community cases as depicted in Figure 1 B. The proportion of non-synonymous SNPs did not differ in the MIS-C, non MIS-C and community cases (Chi-squared test, df = 2, p = 0.64). All childhood cases were D839 and A831 as were all of the locally circulating samples. The majority of PIMS-ST (3/5), non PIMS-ST (6/8) and community cases (118/130) were 614G positive.

Compliance with Social Distancing: Theory and Empirical Evidence from Ontario during COVID-19

Papanastasiou,  Anastasios,  Ruffle, et al

SSRN- Lancet prepublication

Public Health response| Interventions de santé publique

We study the factors associated with compliance with social-distancing regulations using a unique dataset on the behaviour of Ontarians during the COVID-19 pandemic. To start, we build a simple theoretical model of social distancing in order to understand how some individual and community-level factors influence compliance. We test our model’s predictions by designing and conducting a survey on Ontarians in which we elicit their degree of compliance with current distancing regulations as well as proposed regulations that impose different fine levels on violators or grant wage subsidies to encourage staying at home. In line with the model’s predictions, we show that variables related to one’s risk of infection (e.g., health status, age, necessity of working outside the home, regional COVID-19 cases) are significant predictors of compliance as are gender, political beliefs, risk and time preferences. Furthermore, we demonstrate that fines and wage subsidies can be powerful policy tools for promoting full compliance with regulations.

Social Network Analysis of COVID-19 Public Discourse on Twitter: Implications for Risk Communication

Pascual-Ferrá,  P,  Alperstein, et al

Disaster Med Public Health Prep

Public Health response| Interventions de santé publique

The purpose of this study was to demonstrate the use of social network analysis to understand public discourse on Twitter around the novel coronavirus pandemic (COVID-19). We examined different network properties that might affect the successful dissemination by and adoption of public health messages from public health officials and health agencies. We found that the network of conversations around COVID-19 is highly decentralized, fragmented, and loosely connected; these characteristics can hinder the successful dissemination of public health messages in a network. Competing conversations and misinformation can hamper risk communication efforts in a way that imperil public health.

Assessing Socioeconomic Vulnerabilities related to COVID-19 Risk in India: A State-level Analysis

Pathak,  PK,  Singh, et al

Disaster Med Public Health Prep

Epidemiology| Épidémiologie

The present study examined the demographic, socioeconomic, and health system-related vulnerabilities shaping COVID-19 risk across 36 states and union territories in India. There persist substantial heterogeneities in the COVID-19 risk across states and union territories in India. The underlying demographic, socioeconomic and health infrastructure characteristics drive the vulnerabilities related to COVID-19 in India.

Factors associated with the use and reuse of face masks among Brazilian individuals during the COVID-19 pandemic

Pereira-Ávila,  FMV,  Lam, et al

Rev Lat Am Enfermagem

Public Health response| Interventions de santé publique

Cross-sectional study conducted in the five Brazilian regions, among adult individuals, via an electronic form disseminated in social media, addressing general information and the use of masks. Bivariate analysis and binary logistic regression were used to identify the factors associated with the use and reuse of masks.  In total, 95.5% (CI 95%: 94.8-96.1) reported using masks. Fabric masks were more frequently reported (72.7%; CI 95%: 71.3-74.1), followed by surgical masks (27.8%; CI 95%: 26.5-29.2). The percentage of reuse was 71.1% (CI 95%: 69.7-72.5). Most (55.8%; CI 95%: 51.7-60.0) of those exclusively wearing surgical masks reported its reuse. Being a woman and having had contact with individuals presenting respiratory symptoms increased the likelihood of wearing masks (p≤0.001). Additionally, being a woman decreased the likelihood of reusing surgical masks (p≤0.001).

COVID 19-The Spanish perspective

Pérez de la Sota,  E,  Piñón, et al

J Card Surg

Epidemiology| Épidémiologie Healthcare Response | Réponse des soins de santé

The following is an overview of the epidemiology and impact on resources, the caseload and surgical societal implemented recommendations, the description of the ECMO activity and nosocomial transmission among healthcare workers in Spain. There was a reduction of 5‐6 times of the regular caseload. As of July 17, 160 ECMO implants were performed. In a 13‐center survey, at least 1 staff surgeon had SARS‐COV‐19 infection. Cardiac surgical activity has suffered a negative impact all over the country.

Comparative evaluation of six immunoassays for the detection of antibodies against SARS-CoV-2

Perez-Garcia,  Felipe,  Perez-Tanoira, et al

medRxiv

Diagnostics / Pathogen detection| Diagnostics / Détection d'agents pathogènes

The objective of our study was to compare the diagnostic performance of six immunoassays to detect antibodies against SARS-CoV-2: three lateral flow immunoassays (LFAs), one ELISA and two chemiluminescence assays (CLIAs). Methods: We evaluated three LFAs (Alltest, One Step and SeroFlash), one ELISA (Dia.Pro) and two CLIAs (Elecsys and COV2T). To assess the specificity, 60 pre-pandemic sera were used.  To evaluate the sensitivity, we used 80 serum samples from patients with positive PCR for SARS-CoV-2.  Overall sensitivity was 61.3%, 73.8%, 67.5%, 85.9%, 88.0% and 92.0% for Alltest, One Step, SeroFlash, Dia.Pro, Elecsys and COV2T, respectively. Sensitivity increased throughout the first two weeks from the onset of symptoms, reaching sensitivities over 85% from 14 days for all LFAs, being One Step the most sensitive (97.6%), followed by SeroFlash (95.1%). Conclusions: One Step, Dia.Pro, Elecsys and COV2T obtained the best diagnostic performance results. All these techniques showed a specificity of 100% and sensitivities over 97% from 14 days after the onset of symptoms.

PMC7470772; Reducing risk of infection - The COVID-19 queueing game

Perlman,  Y,  Yechiali, et al

Saf Sci

Modelling/ prediction| Modélisation/prédiction Public health interventions*| Interventions de santé publique

We propose a novel approach by which to calculate the risk of a customer being infected while queueing outside the store, while shopping, and while checking out with a cashier. The risk is proportional to the second factorial moment of the number of customers occupying the space in each phase of the shopping route. We derive equilibrium strategies for a Stackelberg game in which the authority acts as a leader who first chooses the maximum number of customers allowed inside the store to minimize the risk of infection. In the first model, store’ management chooses the number of cashiers to provide to minimize its operational costs and its customers’ implied waiting costs based on the number allowed in the store. In the second model, the store partitions its total space into two separate areas – one for shoppers and one for the cashiers and payers – to increase cashiers’ safety.

Case Report: Lung Ultrasound for the Guidance of Adjunctive Therapies in Two Invasively Ventilated Patients with COVID-19

Pierrakos,  C,  Attou, et al

Am J Trop Med Hyg

Clinical data| Données cliniques

Two patients with respiratory failure due to confirmed COVID-19 were examined using bedside lung ultrasound (LUS) shortly after intubation and start of invasive ventilation. These two cases illustrate how LUS could be useful in identifying different lung morphologies early after the start of invasive ventilation and help decide on adjunctive therapies. This has possible implications for ventilator management in resource-limited settings, with limited availability of chest computed tomography and blood gas analyzers.

Preliminary assessment of patient and physician satisfaction with the use of teleconsultation in urology during the COVID-19 pandemic

Pinar,  U,  Anract, et al

World J Urol

Healthcare Response | Réponse des soins de santé

Our purpose was to evaluate patient and physician satisfaction with teleconsultation set up during the COVID-19 pandemic. Median overall TSQ score was 67 (IQR: 60‒69); teleconsultation was judged to be a good experience by 88 patients (83.8%) and four physicians (80%). Patients who met their surgeon for the first time were more likely to have a good experience (OR = 1.2 [95% CI 1.1‒1.5], p = 0.03).

Effect of the COVID-19 pandemic on acute stroke reperfusion therapy: data from the Lyon Stroke Center Network

Plumereau,  C,  Cho, et al

J Neurol

Healthcare Response | Réponse des soins de santé

We aimed to assess the impact of COVID-19 pandemic on acute stroke care in the Lyon comprehensive stroke center during this period.  The volume of intravenous thrombolysis (IVT) significantly decreased during the COVID-period [55 (54.5%) vs 74 (69.2%); p = 0.03]. The volume of mechanical thrombectomy (MT) remains stable over the two periods [72 (71.3%) vs 65 (60.8%); p = 0.14], but the door-to-groin puncture time increased in patients transferred for MT (237 [187–339] vs 210 [163–260]; p < 0.01). The daily number of Emergency Medical Dispatch calls considerably increased (1502 [1133–2238] vs 1023 [960–1410]; p < 0.01).

Exploring the structural distribution of genetic variation in SARS-CoV-2 with the COVID-3D online resource

Portelli,  S,  Olshansky, et al

Nat Genet

Coronavirology| Coronavirologie

The emergence of the COVID-19 pandemic has spurred a global rush to uncover basic biological mechanisms to inform effective vaccine and drug development. Despite the novelty of the virus, global sequencing efforts have already identified genomic variation across isolates. To enable easy exploration and spatial visualization of the potential implications of SARS-CoV-2 mutations in infection, host immunity and drug development, we have developed COVID-3D (http://biosig.unimelb.edu.au/covid3d/).

Weight Stigma as a Predictor of Distress and Maladaptive Eating Behaviors During COVID-19: Longitudinal Findings From the EAT Study

Puhl,  RM,  Lessard, et al

Ann Behav Med

Public Health response| Interventions de santé publique

We examined longitudinal associations between prepandemic experiences of weight stigma and eating behaviors, psychological distress, and physical activity during the COVID-19 pandemic in a diverse sample of emerging adults. Prepandemic experiences of weight stigma predicted higher levels of depressive symptoms (β = 0.15, p < .001), stress (β = 0.15, p = .001), eating as a coping strategy (β = 0.16, p < .001), and an increased likelihood of binge eating (odds ratio = 2.88, p < .001) among young adults during the COVID-19 pandemic but were unrelated to physical activity. Although associations remained after accounting for demographic characteristics and BMI, the magnitude of longitudinal associations was attenuated after adjusting for prior levels of the outcome variables.

Systematic profiling of SARS-CoV-2 specific IgG epitopes at single amino acid resolution

Qi,  Huan,  Ma, et al

medRxiv

Coronavirology| Coronavirologie

SARS-CoV-2 specific IgG responses play critical roles for patients to recover from COVID-19, in-depth dissecting of the IgG responses on systems level is of great interest. Herein, we adopted a newly developed high-throughput epitope mapping technology (AbMap), analyzed 55 COVID-19 convalescent sera and 226 antibody samples enriched by specific proteins or peptides from these sera. We revealed three areas that are rich of IgG epitopes, two are on Spike protein but outside of RBD, and one is on Nucleocapsid protein. We identified 29 significant epitopes on Spike protein, from two of these significant epitopes, two critical epitope residues were found, i. e., D936 and P1263, which are highly related to the infectivity of SARS-CoV-2. In summary, we provided the first global map of IgG binding epitopes for SARS-CoV-2 at single amino acid resolution. This map will facilitate the precise development of therapeutic antibodies and vaccines.

Physical Activity, Health-Related Quality of Life, and Stress among the Chinese Adult Population during the COVID-19 Pandemic

Qi,  M,  Li, et al

Int J Environ Res Public Health

Public Health response| Interventions de santé publique

This study aimed to explore physical activity participation, health-related quality of life (HRQoL), and levels of perceived stress among Chinese adults during the COVID-19 pandemic. An online survey was conducted between 25 February and 15 March 2020. A total of 645 surveys were completed. Participants reported increased sedentary time from pre-COVID-19 period to the COVID-19 pandemic period (p < 0.05). Over 80% of the sample engaged in either low or moderate intensity physical activity. Participants’ average physical component summary score (PCS) and mental component summary score (MCS) for HRQoL were 75.3 (SD = 16.6) and 66.6 (SD = 19.3), respectively. More than half of participants (53.0%) reported moderate levels of stress. Significant correlations between physical activity participation, HRQoL, and levels of perceived stress were observed (p < 0.05). Prolonged sitting time was also found to have a negative effect on HRQoL (p < 0.05). During such periods of home confinement, public health strategies aimed at educating Chinese adults to enhance home-based physical activity may be necessary to maintain health on a population level.

Initial insights into the genetic epidemiology of SARS-CoV-2 isolates from Kerala suggest local spread from limited introductions

Radhakrishnan,  Chandni,  Divakar, et al

bioRxiv

Epidemiology| Épidémiologie Coronavirology| Coronavirologie

We sequenced a total of 200 samples from patients at a tertiary hospital in Kerala using COVIDSeq protocol at a mean coverage of 7,755X. The analysis identified 166 unique high-quality variants encompassing 4 novel variants and 89 new variants identified for the first time in SARS-CoV-2 samples isolated from India. Phylogenetic and haplotype analysis revealed that the circulating population of the virus was dominated (94.6% of genomes) by three distinct introductions followed by local spread, apart from identifying polytomies suggesting recent outbreaks.

Pool Testing for COVID-19: Suitable Splitting Procedure and Pool Size for India

Rai,  B,  Shukla, et al

Disaster Med Public Health Prep

Diagnostics / Pathogen detection| Diagnostics / Détection d'agents pathogènes

This study tries to derive a general equation for the number of tests required for a pooled sample to detect every infected individual in the specific pool. The percentage of tests required by the pool testing strategy varies according to the different splitting procedures, the size of the pooled sample, and the probability of an individual being infected in the population. If the probability of infection is 0.05, then for a pool size of 32, only 14 tests, are sufficient to detect every infected individual. The number of tests required to detect infected individuals by the pooling method is much lower than individual testing. This may help us in increasing our testing capacity for COVID-19 by testing a large number of individuals in less time with limited resources.

Patient Satisfaction With Telemedicine During the COVID-19 Pandemic: Retrospective Cohort Study

Ramaswamy,  A,  Yu, et al

J Med Internet Res

Healthcare Response | Réponse des soins de santé

BACKGROUND: New York City was the international epicenter of the COVID-19 pandemic. Health care providers responded by rapidly transitioning from in-person to video consultations. Telemedicine (ie, video visits) is a potentially disruptive innovation; however, little is known about patient satisfaction with this emerging alternative to the traditional clinical encounter. OBJECTIVE: This study aimed to determine if patient satisfaction differs between video and in-person visits. METHODS: In this retrospective observational cohort study, we analyzed 38,609 Press Ganey patient satisfaction survey outcomes from clinic encounters (620 video visits vs 37,989 in-person visits) at a single-institution, urban, quaternary academic medical center in New York City for patients aged 18 years, from April 1, 2019, to March 31, 2020. Time was categorized as pre-COVID-19 and COVID-19 (before vs after March 4, 2020). Wilcoxon-Mann-Whitney tests and multivariable linear regression were used for hypothesis testing and statistical modeling, respectively. RESULTS: We experienced an 8729% increase in video visit utilization during the COVID-19 pandemic compared to the same period last year. Video visit Press Ganey scores were significantly higher than in-person visits (94.9% vs 92.5%; P<.001). In adjusted analyses, video visits (parameter estimate PE] 2.18; 95% CI 1.20-3.16) and the COVID-19 period (PE 0.55; 95% CI 0.04-1.06) were associated with higher patient satisfaction. Younger age (PE -2.05; 95% CI -2.66 to -1.22), female gender (PE -0.73; 95% CI -0.96 to -0.50), and new visit type (PE -0.75; 95% CI -1.00 to -0.49) were associated with lower patient satisfaction. CONCLUSIONS: Patient satisfaction with video visits is high and is not a barrier toward a paradigm shift away from traditional in-person clinic visits. Future research comparing other clinic visit quality indicators is needed to guide and implement the widespread adoption of telemedicine.

Longitudinal immune profiling of mild and severe COVID-19 reveals innate and adaptive immune dysfunction and provides an early prediction tool for clinical progression

Rendeiro,  AndreF,  Casano, et al

medRxiv

Immunology | Immunologie

We observed a dynamic immune landscape of innate and adaptive immune cells in disease progression and absolute changes of lymphocyte and myeloid cells in severe versus mild cases or healthy controls. Intubation and death were coupled with selected natural killer cell KIR receptor usage and IgM+ B cells and associated with profound CD4 and CD8 T cell exhaustion.

Hydroxychloroquine for prevention of COVID-19 mortality: a population-based cohort study

Rentsch,  ChristopherT,  DeVito, et al

medRxiv

Epidemiology| Épidémiologie Clinical data| Données cliniques Therapeutics| Thérapeutique

We set out to evaluate the effectiveness of hydroxychloroquine for prevention, as opposed to treatment, of COVID-19 mortality. We pre-specified and conducted an observational, population-based cohort study using national primary care data and linked death registrations in the OpenSAFELY platform, representing 40% of the general population in England. Of 194,637 patients with RA or SLE, 30,569 (15.7%) received ≥2 prescriptions of hydroxychloroquine in the six months prior to 1 March 2020. Between 1 March 2020 and 13 July 2020, there were 547 COVID-19 deaths, 70 among hydroxychloroquine users. Estimated standardised cumulative COVID-19 mortality was 0.23% (95% CI 0.18-0.29) among users and 0.22% (95% CI 0.20-0.25) among non-users; an absolute difference of 0.008% (95% CI -0.051-0.066). After accounting for age, sex, ethnicity, use of other immunuosuppressives, and geographic region, no association with COVID-19 mortality was observed (HR 1.03, 95% CI 0.80-1.33).

Variation in volumes and characteristics of hand trauma patients seen during the early COVID-19 lockdown in a central London Plastic Surgery Unit

Rinkoff,  S,  Jemec, et al

Br J Surg

Healthcare Response | Réponse des soins de santé

This study demonstrates a significant reduction in the number of patients that presented to our tertiary Plastic Surgery Trauma Clinic during early lockdown. The change in the volume and characteristics of hand trauma presentations, largely reflects a change in lifestyle and activities of the population during lockdown following government advice to ‘stay home, save lives, protect the NHS’. Yet, there is a concern that the fear of attending hospital, due to the risk of contracting Coronavirus, has led to a delay in seeking treatment.

COVID-19 in the Healthy Patient Population: Demographic and Clinical Phenotypic Characterization and Predictors of In-Hospital Outcomes

Ronderos Botero,  DM,  Omar, et al

Arterioscler Thromb Vasc Biol

Epidemiology| Épidémiologie Clinical data| Données cliniques

In healthy patient population, COVID-19 remains significantly associated with morbidity and mortality. While age remains the most important predictor of in-hospital outcomes, thromboinflammatory interactions are also associated with worse clinical outcomes regardless of age in healthy patients.

COMBINATION OF TOCILIZUMAB AND STEROIDS TO IMPROVE MORTALITY IN PATIENTS WITH SEVERE COVID-19 INFECTION: A SPANISH, MULTICENTER, COHORT STUDY

Ruiz-Antoran,  Belen,  Sancho-Lopez, et al

medRxiv

Epidemiology| Épidémiologie Clinical data| Données cliniques Therapeutics| Thérapeutique

We aimed to determine the impact of tocilizumab use in severe COVID-19 pneumonia mortality. We performed a multicentre retrospective cohort study in 18 tertiary hospitals in Spain, from March to April 2020. During the study period, 506 patients with severe COVID-19 fulfilled inclusion criteria. Among them, 268 were treated with tocilizumab and 238 patients were not. Median time to tocilizumab treatment from onset of symptoms was 11 days (IQR 8-14). Global mortality was 23.7%. Mortality was lower in patients treated with tocilizumab than in controls (16.8% versus 31.5%, HR 0.514 95CI 0.355-0.744], p<0.001; weighted HR 0.741 95CI 0.619-0.887], p=0.001). Tocilizumab treatment reduced mortality by 14.7% relative to no tocilizumab treatment (RRR 46.7%). We calculated a number necessary to treat of 7. Among patients treated with steroids, mortality was lower in patients treated with tocilizumab than in those treated with steroids alone (10.9% versus 40.2%, HR 0.511 95CI 0.352-0.741], p=0.036; weighted HR 0.6 95CI 0.449-0.804], p<0.001) (Interaction p=0.094).

Coping with the COVID-19 pandemic - the role of leadership in the Arab ethnic minority in Israel

Saban,  M,  Myers, et al

Int J Equity Health

Epidemiology| Épidémiologie Public health interventions*| Interventions de santé publique

This paper presents differences in patterns of morbidity and mortality from COVID-19 in the Arab, ultra-Orthodox and overall populations in Israel, and suggests possible reasons for the low rates of infection in the Arab population. In the first 4 months of Israel’s COVID-19 outbreak, just 2060 cases were confirmed in the Arab population, comprising 8.8% of the 23,345 confirmed cases, or 2.38 times less than would be expected relative to the population size. In contrast, the ultra-Orthodox made up 30.1% of confirmed cases yet just 10.1% of the population. Confirmed case rate per 100,000 was twice as high in the general Jewish population compared to the Arab population. The Arab mortality rate was 0.57 per 100,000, compared to 3.37 in the overall population, and to 7.26 in the ultra-Orthodox community. We discuss possible reasons for this low morbidity and mortality including less use of nursing homes, and effective leadership which led to early closure of mosques and high adherence to social distancing measures, even during the month of Ramadan.

Early Evidence of Effectiveness of Digital Contact Tracing for SARS-CoV-2 in Switzerland

Salathé,  Marcel,  Althaus, et al

medRxiv

Transmission

Here, we report early findings of the digital contact tracing app deployment in Switzerland. We demonstrate proof-of-principle that digital contact tracing reaches exposed contacts, who then test positive for SARS-CoV-2. This indicates that digital contact tracing is an effective complementary tool for controlling the spread of SARS-CoV-2. Continued technical improvement and international compatibility can further increase the efficacy, particularly also across country borders.

Brain volumetric changes in the general population following the COVID-19 outbreak and lockdown

Salomon,  Tom,  Cohem, et al

bioRxiv

Public Health response| Interventions de santé publique

Here, we examined the manifestations of the COVID-19 outbreak on the brain structure in the healthy population, following the initial phase of the pandemic in Israel. We pre-registered our hypothesis that the intense experience of the outbreak potentially induced stress-related brain modifications. Volumetric changes in n = 50 participants scanned before and after the COVID-19 outbreak and lockdown, were compared with n = 50 control participants that were scanned twice prior to the pandemic. The pandemic provided a rare opportunity to examine brain plasticity in a natural experiment. We found volumetric increases in bilateral amygdalae, putamen, and the anterior temporal cortices. Changes in the amygdalae diminished as time elapsed from lockdown relief, suggesting that the intense experience associated with the pandemic outbreak induced volumetric changes in brain regions commonly associated with stress and anxiety.

Efficacy and safety of ruxolitinib for Covid-19 related acute respiratory distress syndrome in a patient with blastic plasmacytoid dendritic cell neoplasm (leukemic variant)

Sammartano,  V,  Santoni, et al

Leuk Lymphoma

Clinical data| Données cliniques

We report a case of a 59-year-old man with a diagnosis of Blastic Plasmocitoid Dendritic Cell Neoplasm (BPDCN) who developed COViD-19 related ARDS and was successfully and safely treated with Ruxolitnib.

The deterioration of mental health among healthcare workers during the COVID-19 outbreak: A population-based cohort study of workers in Japan

Sasaki,  N,  Kuroda, et al

Scand J Work Environ Health

Healthcare Response | Réponse des soins de santé

This study compared the longitudinal change in the mental health of healthcare and non-healthcare workers during two months of the COVID-19 outbreak in Japan. After adjusting for the covariates, psychological distress (and subscales of fatigue, anxiety, and depression) as well as fear and worry of COVID-19 increased statistically significantly more among healthcare than non-healthcare workers from T1 to T2.

Audiology in the time of COVID-19: practices and opinions of audiologists in the UK

Saunders,  GH,  Roughley, et al

Int J Audiol

Healthcare Response | Réponse des soins de santé

This study documents changes in audiology practice resulting from COVID-19 restrictions and to assess audiologists’ opinions about teleaudiology. About 30% of respondents said they had used teleaudiology prior to COVID-19 restrictions; 98% had done at the time of survey completion, and 86% said they would continue to do so even when restrictions are lifted. Reasons for prior non-use of teleaudiology were associated with clinical limitations/needs, available infrastructure and patient preferences. Respondents believe teleaudiology will improve travel, convenience, flexibility and scheduling, that it will have little/no impact on satisfaction and quality of care, but that it will negatively impact personal interactions. Concerns about teleaudiology focussed on communication, inability to conduct some clinical procedures and technology.

SARS-CoV-2 Nsp1 binds the ribosomal mRNA channel to inhibit translation

Schubert,  K,  Karousis, et al

Nat Struct Mol Biol

Coronavirology| Coronavirologie

The SARS-CoV-2 non-structural protein 1 (Nsp1), also referred to as the host shutoff factor, suppresses host innate immune functions. By combining cryo-electron microscopy and biochemistry, we show that SARS-CoV-2 Nsp1 binds to the human 40S subunit in ribosomal complexes, including the 43S pre-initiation complex and the non-translating 80S ribosome. The protein inserts its C-terminal domain into the mRNA channel, where it interferes with mRNA binding. We observe translation inhibition in the presence of Nsp1 in an in vitro translation system and in human cells. Based on the high-resolution structure of the 40S–Nsp1 complex, we identify residues of Nsp1 crucial for mediating translation inhibition. We further show that the full-length 5′ untranslated region of the genomic viral mRNA stimulates translation in vitro, suggesting that SARS-CoV-2 combines global inhibition of translation by Nsp1 with efficient translation of the viral mRNA to allow expression of viral genes.

Increased incidence of interstitial pneumonia detected on [(18)F]-FDG-PET/CT in asymptomatic cancer patients during COVID-19 pandemic in Lombardy: a casualty or COVID-19 infection?

Setti,  L,  Bonacina, et al

Eur J Nucl Med Mol Imaging

Clinical data| Données cliniques

The study aimed to compare the incidence of interstitial pneumonia on (18)F]-FDG PET/CT scans between two 6-month periods: (a) the COVID-19 pandemic peak and (b) control period.
Significant increase of interstitial lung alterations at (18)F]-FDG PET/CT has been demonstrated during the COVID-19 pandemic.

Alopecia areata in a patient with SARS-Cov-2 infection

Sgubbi,  P,  Savoia, et al

Dermatol Ther

Clinical data| Données cliniques

Abstract and full text not available.

Impact of COVID-19 Pandemic and Pattern of Patient Care in Otorhinolaryngology Practice in a Tertiary Referral Centre

Sharma,  K,  G

Research Square prepub

Healthcare Response | Réponse des soins de santé

Aims-To study the effect of COVID-19 pandemic on patient load in a tertiary care centre and the innovations and methods used to improve the safety of the healthcare workers, to provide adequate treatment in the department of Otorhinolaryngology. Materials and methods-This study was conducted in the Department of Otorhinolaryngology and Head and Neck Surgery, at a tertiary care hospital centre in North-East India. This study included data collected from the patient registers maintained in our department, and included data over a 4-month period, from April, 2020 to July, 2020. Age, gender, place of residence, clinical diagnosis and the operative procedure performed were included in the data profile for analysis. The above-mentioned registers were also reviewed to retrieve details about the rate of admission during the study period in the previous year. Data was collected and represented, in both descriptive and tabular forms, after proper statistical analysis. Results-We found out that there is a drastic reduction in number of patients attending in our department of Otorhinolaryngology during this COVID-19 pandemic. Certain innovative methods for protecting healthcare workers from viral transmission were put into our practice based on the peer reviewed articles, from June,2020 and the rate of elective procedures and in-patient admissions were thus increased. Conclusion- Knowledge of new innovative methods in Otorhinolaryngology will help overcome the difficulties faced during the current COVID-19 pandemic.

Early indirect impact of COVID-19 pandemic on utilization and outcomes of reproductive, maternal, newborn, child and adolescent health services in Kenya

Shikuku,  DuncanN,  Nyaoke, et al

medRxiv

Healthcare Response | Réponse des soins de santé

The objective of this paper was to determine the initial impact of COVID-19 pandemic on reproductive, maternal, newborn, child and adolescent health (RMNCAH) services in Kenya. There were no differences in monthly mean (±SD) attendance between March-June 2019 vs 2020 for antenatal care (400,191.2±12,700.0 vs 384,697.3±20,838.6), hospital births (98,713.0±4,117.0 vs 99,634.5±3,215.5), family planning attendance (431,930.5±19,059.9 vs 448,168.3±31,559.8), post-abortion care (3,206.5±111.7 vs 448,168.3±31,559.8) and pentavalent 1 immunisation (114,701.0±3,701.1 vs 110,915.8±7,209.4), p>0.05. However, there were increasing trends for adolescent pregnancy rate, significant increases in FP utilization among young people (25.7% to 27.0%), injectable (short-term) FP method uptake (58.2% to 62.3%), caesarean section rate (14.6% to 15.8%), adolescent maternal deaths (6.2% to 10.9%) and fresh stillbirths (0.9% to 1.0%) with a reduction in implants (long-term) uptake (16.5% to 13.0%) (p<0.05). No significant change in maternal mortality ratio between the two periods (96.6 vs 105.8/100,000 live births, p=0.1023) although the trend was increasing.

In vitro virucidal activity of Echinaforce®, an Echinacea purpurea preparation, against coronaviruses, including common cold coronavirus 229E and SARS-CoV-2

Signer,  J,  Jonsdottir, et al

Virol J

Coronavirology| Coronavirologie Therapeutics| Thérapeutique

Authors investigated the virucidal and antiviral potential of Echinacea purpurea (Echinaforce®) against human coronavirus (HCoV) 229E, highly pathogenic MERS- and SARS-CoVs, as well as the newly identified SARS-CoV-2, in vitro. These results show that Echinaforce® is virucidal against HCoV-229E, upon direct contact and in an organotypic cell culture model.

Seroprevalence of the SARS-CoV-2 infection in health workers of the Sanitary Region VIII, at province of Buenos Aires

Silva,  Andrea,  Aguirre, et al

medRxiv

Epidemiology| Épidémiologie Immunology | Immunologie

The aim of this study was to estimate the seroprevalence of the SARS-CoV-2 infection in health workers of the Sanitary Region VIII, at province of Buenos Aires during June 2020. 738 health workers were included; the overall response rate was 73.80%. 71.83% of that were women; age showed a normal distribution. Nurses and doctors accounted for more than half of the staff. 75.86% of people claimed to always use Personal Protective Equipment. 5.61% of people had close contact with a confirmed case of COVID-19. 4.60% of people had previously had a nasopharyngeal swab with a negative result. Five workers had positive IgG for SARS-CoV-2 (four women and one man) with negative IgM. The mean age of the cases was 35 years old; two of them were asymptomatic; neither of them had a swab sample taken. The overall seroprevalence was 0.75%, with no significant differences between strata.

Exploring Patterns and Trends in COVID-19 Exports from China, Italy, and Iran

Soliman,  Ahmed Tamer,  McHenry, et al

medRxiv

Transmission Public health interventions*| Interventions de santé publique

We report that the average days from entry to confirmation is 7.7, 5.0 and 4.7 days for travelers from China, Italy, and Iran respectively. Approximately, one-third of all exported cases were confirmed within 3 days of entry suggesting these travelers were mildly symptomatic or symptomatic in arrival. We also found that earlier exported cases from each country had a longer time between entry to confirmation by an average of 3 days compared to later exports. Based upon our data, reported exported cases from South Korea were far fewer in comparison to those from China, Italy and Iran. Therefore, we suggest that careful monitoring of likely symptomatic travelers and better public awareness may lead to faster confirmation as well as reduced transmission of COVID-19 pandemic.

The impact of COVID-19 restriction measures on loneliness among older adults in Austria

Stolz,  Erwin,  Mayerl, et al

medRxiv

Public Health response| Interventions de santé publique

We conducted three analyses to assess the association between COVID-19 public health restriction measures and loneliness: (1) A comparison between pre-pandemic (SHARE: 2013-2017) and pandemic (May 2020) levels of loneliness (UCLA-3 scale),   We found (1) loneliness levels to have increased in 2020 in comparison with previous years, (2) an association between the number of restriction measures older adults reported to be affected from and loneliness, and (3) that loneliness was higher during shut-down compared to the subsequent re-opening phase, particularly among those who live alone.

Rapid, high-yield production of full-length SARS-CoV-2 spike ectodomain by transient gene expression in CHO cells

Stuible,  Matthew,  Gervais, et al

bioRxiv

Coronavirology| Coronavirologie

Ultimately, we have been able to produce highly homogenous preparations of full-length spike, both monomeric and trimeric, with yields of 100-150 mg/L. The speed and productivity of this method support further development of CHO-based approaches for recombinant spike protein manufacturing.

COVID-19 Forecasting using Multivariate Linear Regression

Suganya,  R,  A

Research Square prepub

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie

Coronavirus disease 2019 (COVID-19) is an infectious disease caused by severe respiratory syndrome coronavirus 2 (SARS-CoV-2). It was first identified in December 2019 in Wuhan, the capital of China’s Hubei province. The objective of this research is to propose a forecasting model using the COVID-19 available dataset from top affected regions across the world using machine learning algorithms. Machine Learning algorithms help us achieve this objective. Regression models are one of the supervised machine learning techniques to classify large-scale data. This research aims to apply Multivariate Linear Regression to predict the number of confirmed and death COVID-19 cases for a span of one and two weeks. The experimental results explain 99\% variability in prediction with the R-squared statistics scores of 0.992. The algorithms are evaluated using the error matrix such as Mean Absolute Error (MAE), Root Mean Squared Error (RMSE), and accuracy for top affected regions across the world.

To reperfuse or not to reperfuse: a case report of Wellens' syndrome with suspected COVID-19 infection

Suryawan,  IGR,  Bakhriansyah, et al

Egypt Heart J

Clinical data| Données cliniques Therapeutics| Thérapeutique

Authors report an 85-year-old patient with chief complaints of typical, squeezing chest pain in the past 4 h.
Emergency cardiac catheterization should be done for patient with Wellens' syndrome, regardless of the COVID-19 infection status.

Cross-reactivity of SARS-CoV-2 with HIV chemiluminescent assay leading to false-positive results

Tan,  SS,  Chew, et al

J Clin Pathol

Clinical data| Données cliniques Diagnostics / Pathogen detection| Diagnostics / Détection d'agents pathogènes

Authors retrospectively reviewed and identified two positive COVID-19 cases on rRT-PCR who concurrently tested reactive for HIV on the Architect, with further confounding results.
They have shown for the first time that there is cross-reactivity of SARS-CoV-2 antigen/antibodies with commercial chemiluminescent immunoassays leading to a false-positive result.

Comparative Clinical Evaluation of the Roche Elecsys and Abbott SARS-CoV-2 Serology assays for COVID-19

Tan,  SS,  Saw, et al

Arch Pathol Lab Med

Diagnostics / Pathogen detection| Diagnostics / Détection d'agents pathogènes

The aim of this survey was to critically evaluate two commercially available SARS-CoV-2 serology tests.
Specificities for high throughput Roche and Abbott immunoassays are excellent but users need to be cautious to interpret serological test results after 14 days of symptoms to avoid false negatives.

The risk of introducing SARS-CoV-2 to the UK via international travel in August 2020

Taylor,  Rachel,  McCarthy, et al

medRxiv

Transmission Public health interventions*| Interventions de santé publique

As of the 17th August 2020, travellers from 12 of the top 25 countries flying into the UK are required to self-isolate for 14 days. We estimate that 895 (CI: 834-958) infectious travellers arrive in a single week, of which 87% (779,CI: 722-837) originate from countries on the UK quarantine list. We compare alternative measures to the 14 day self-isolation (78.0% effective CI: 74.4-81.6) which could be more feasible long-term. A single RT-PCR taken upon arrival at the airport is 39.6% (CI: 35.2-43.7) effective, or equivalently, it would only detect 2 in 5 infectious passengers. Alternatively, testing four days after arrival is 64.3% (CI: 60.0-68.3) effective whereas a test at the airport plus additional test four days later is 68.9% (CI: 64.9-73.0) effective.

Can the Participant Speak Beyond Likert? Free Text Responses in COVID-19 Obesity Surveys

Thomas,  DM,  Siegel, et al

Obesity (Silver Spring)

Public Health response| Interventions de santé publique

Research on lifestyle changes during the COVID-19 pandemic often relies on Likert-type scale question surveys. Survey participants respond to questions by selecting one of the numerically ordered choices, "Strongly Disagree"=1, "Disagree"=2, "Neutral"=3, "Agree"=4, and "Strongly Agree"=5. Analyzing Likert-type data requires statistical methods beyond approaches like linear regression. First, it is unclear if the distance between choices are truly equal. For example, are "Agree" and "Strongly Agree" more close than "Neutral" and "Agree? Second, summarizing results using traditional means makes little sense. For example, would a mean of 4.5 imply "Agree and a half"? Finally, participants tend to select more central choices and less extremes.

Repurposing of FDA approved drugs targeting Main protease MPro for SARS-CoV-2

Tiwari,  S,  J

Research Square prepub

Therapeutics| Thérapeutique

SARS-CoV-2 is one of the greatest pandemics in the history. There is no medicine or vaccine yet discovered to control the outbreak. The paper deals with repurposing existing drugs to control the outbreak of SARS-CoV-2 virus. Ten FDA-approved drugs namely Indinavir, Nelfinavir, Letermovir, Irinotecan, Elbasvir, Saquinavir, Darunavir, Raltegravir, Atazanavir and Amprenavir were studied. In silico methods for virtual screening of protein-ligand docking of these drugs against SARS-CoV-2 MPro was performed. The binding efficiency of the drugs against viral main protease MPro was significantly high to inhibit SARS-CoV-2. The results confirmed that Atazanavir, Nelfinavir, and Letermovir not only occupied the active site of Mpro but also showed increased binding affinity (-10.36 kcal/mole, -9.47 kcal/mole and -9.43 kcal/mole) even more than of control drugs of Lopinavir (-8.71 kcal/mole) and Ritonavir (-8.08 kcal/mole). These repurposed drugs can be used in combination or individually as an alternative approach for rapid drug discovery against SARS-CoV-2

SARS-CoV M(pro) inhibitory activity of aromatic disulfide compounds: QSAR model

Toropov,  AA,  Toropova, et al

J Biomol Struct Dyn

Coronavirology| Coronavirologie

The main protease (M(pro)) of SARS-associated coronavirus (SARS-CoV) had caused a high rate of mortality in 2003. Current events (2019-2020) substantiate important challenges for society due to coronaviruses. Consequently, advancing models for the antiviral activity of therapeutic agents is a necessary component of the fast development of treatment for the virus. An analogy between anti-SARS agents suggested in 2017 and anti-coronavirus COVID-19 agents are quite probable. Quantitative structure-activity relationships for SARS-CoV are developed and proposed in this study. The statistical quality of these models is quite good. Mechanistic interpretation of developed models is based on the statistical and probability quality of molecular alerts extracted from SMILES. The novel, designed structures of molecules able to possess anti-SARS activities are suggested. For the final assessment of the designed molecules inhibitory potential, developed from the obtained QSAR model, molecular docking studies were applied. Results obtained from molecular docking studies were in a good correlation with the results obtained from QSAR modeling.

Rapid deployment of virtual mind-body interventions during the COVID-19 outbreak: feasibility, acceptability, and implications for future care

Trevino,  KM,  Raghunathan, et al

Support Care Cancer

Public Health response| Interventions de santé publique

Authors describe the rapid deployment of remotely delivered mind-body services to people with cancer during COVID-19, rates of participation, and acceptability from patients' perspectives.
High utilization of and satisfaction with these virtual mind-body services demonstrate the significant potential of remote delivery to facilitate patient access to services.

Fuzzy Unique Image Transformation: Defense Against Adversarial Attacks On Deep COVID-19 Models

Tripathi,  AM,  M

ArXiv

Clinical data| Données cliniques Diagnostics / Pathogen detection| Diagnostics / Détection d'agents pathogènes

This paper presents an evaluation of the performance of deep COVID-19 models against adversarial attacks. The experiments and results show the proposed model prevents the deep model against the six adversarial attacks and maintains high accuracy to classify the COVID-19 cases from the Chest X-Ray image and CT image Datasets. The results also recommend that a careful inspection is required before practically applying the deep models to diagnose the COVID-19 cases.

Functionalized TiO2 nanotube-based Electrochemical Biosensor for Rapid Detection of SARS-CoV-2

Vadlamani,  Bhaskar Sravan,  Uppal, et al

medRxiv

Diagnostics / Pathogen detection| Diagnostics / Détection d'agents pathogènes

In this work, we report the synthesis of a cheap yet highly sensitive cobalt-functionalized TiO2 nanotubes (Co-TNTs)-based electrochemical biosensor and its efficacy for rapid detection of spike glycoprotein of SARS-CoV-2 by examining S-RBD protein as the reference material.The sensor specifically detected the S-RBD protein of SARS-CoV-2 even at very low concentration (range of 14 nM to 1400 nM). Additionally, our sensor showed linear response in the detection of viral protein with concentration. In summary, our Co-TNT sensor is highly effective in detecting SARS-CoV-2 S-RBD protein in approximately 30 seconds, which can be explored for developing a point of care diagnostics for rapid detection of SARS-CoV-2 in nasal secretions or saliva samples

Clinical characteristics and outcomes of immunosuppressed patients hospitalized with COVID-19: experience from London

Vaid,  N,  Ardissino, et al

J Intern Med

Clinical data| Données cliniques Therapeutics| Thérapeutique

This study aims to examine the association between the use of immunosuppressant medication and outcomes of patients hospitalized with COVID-19. In this cohort study of 981 confirmed COVID-19 patients consecutively hospitalized at a large North West London hospital, immunosuppressant use was associated with significantly higher mortality rates.

Inference of SARS-CoV-2 spike-binding neutralizing antibody titers in sera from hospitalized COVID-19 patients by using commercial enzyme and chemiluminescent immunoassays

Valdivia,  Arantxa,  Torres, et al

medRxiv

Diagnostics / Pathogen detection| Diagnostics / Détection d'agents pathogènes

This study aimed to evaluate the degree of correlation between neutralizing antibodies (NtAb) binding the SARS-CoV-2 Spike (S) protein and SARS-CoV-2-S-IgG levels measured by four commercial immunoassays in sera drawn from hospitalized COVID-19 patients. Ninety sera from 51 hospitalized COVID-19 patients were assayed by a pseudotyped virus neutralization assay, the LIAISON SARS-CoV-2 S1/S2 IgG, the Euroimmun SARS-CoV-2 IgG ELISA, the MAGLUMI 2019-nCoV IgG and the COVID-19 ELISA IgG assays. Overall, the results obtained with the COVID-19 ELISA IgG test showed the highest agreement with the NtAb assay (κ, 0.85; 95% CI, 0.63-1). The most sensitive tests were the pseudotyped virus NtAb assay and the COVID-19 ELISA IgG assay (92.2% for both). Overall, the degree correlation between antibody titers resulting in 50% virus neutralization (NtAb50) in the pseudotyped virus assay and SARS-CoV-2 IgG levels was strong for the Euroimmun SARS-CoV-2 IgG ELISA (Rho=0.73) and moderate for the remaining assays (Rho=0.48 to 0.59). The kinetic profile of serum NtAb50 titers could not be reliably predicted by any of the SARS-CoV-2 IgG immunoassays.

Detection of SARS-CoV-2 in nasopharynx according to clinical phenotype of affected patients

Valent,  F,  Di Chiara, et al

Clin Microbiol Infect

Clinical data| Données cliniques

Authors investigated the relation of duration of SARS-CoV-2 in upper respiratory and disease severity in the 530,000-inhabitant North-Eastern Italian province of Udine.
Disease control measures should not be adjusted to account for differences in viral shedding according to symptomatic status.

Modelling the epidemic growth of preprints on COVID-19 and SARS-CoV-2

Vasconcelos,  GiovaniL,  Cordeiro, et al

medRxiv

Public Health Priorities| Priorités de santé publique

In the present study we apply a mathematical growth model, known as the generalized Richards model, to describe the time evolution of the cumulative number of COVID-19 related preprints. This mathematical approach allows us to infer several important aspects concerning the underlying growth dynamics, such as its current stage and its possible evolution in the near future. We also analyze the rank-frequency distribution of preprints servers, ordered by the number of COVID-19 preprints they host, and find that it follows a power-law decay.

Unravelling the modes of transmission of SARS-CoV-2 during a nursing home outbreak: looking beyond the church super-spread event

Voeten,  HACM,  S

Research Square prepub

Epidemiology| Épidémiologie Transmission Coronavirology| Coronavirologie

Background An outbreak of COVID-19 in a nursing home in the Netherlands, following an on-site church service held on March 8, 2020, triggered an investigation to unravel sources and chain(s) of transmission. Methods Epidemiological data were collected from registries and through a questionnaire among church visitors. Symptomatic residents and healthcare workers (HCWs) were tested for SARS-CoV-2 by RT-PCR and subjected to whole genome sequencing (WGS). Sequences from a selection of people from the same area were included as community reference. Results After the church service, 30 of 39 visitors (77%) developed symptoms; 14 were tested and were positive for COVID-19 (11 residents and 3 non-residents). In the following five weeks, 62 of 300 residents (21%) and 30 of 640 HCWs (5%) tested positive for COVID-19; 21 of 62 residents (34%) died. The outbreak was controlled through a cascade of measures. WGS of samples from residents and HCWs identified a diversity of sequence types, grouped into eight clusters. Seven resident church visitors all were infected with distinct viruses, four of which belonged to two larger clusters in the nursing home. Conclusions Although initial investigation suggested the church service as source of the outbreak, detailed analysis showed a more complex picture, most consistent with widespread regional circulation of the virus in the weeks before the outbreak, and multiple introductions into the nursing home before the visitor ban. The findings underscore the importance of careful outbreak investigations to understand SARS-CoV-2 transmission to develop evidence-based mitigation measures.

Pericardial effusion and cardiac tamponade requiring pericardial window in an otherwise healthy 30-year-old patient with COVID-19: a case report

Walker,  C,  Peyko, et al

J Med Case Rep

Clinical data| Données cliniques

This case report demonstrates pericardial effusion, acute pericarditis, and cardiac tamponade in an otherwise healthy woman who had a positive test result for coronavirus disease 2019.
This case report documents a lesser-known presentation of a patient with coronavirus disease 2019 and will help to further understanding of a rare presentation.

Virtual screening of approved clinic drugs with main protease (3CL(pro)) reveals potential inhibitory effects on SARS-CoV-2

Wang,  Q,  Zhao, et al

J Biomol Struct Dyn

Coronavirology| Coronavirologie

3CL(pro) is the main protease of the novel coronavirus (SARS-CoV-2) responsible for their intracellular duplication. Based on virtual screening technology and molecular dynamics simulation, we found 23 approved clinical drugs such as Viomycin, Capastat, Carfilzomib and Saquinavir, which showed high affinity with the 3CL(pro) active sites. These findings showed that there were potential drugs that inhibit SARS-Cov-2's 3CL(pro) in the current clinical drug library, and these drugs can be further tested or chemically modified for the treatment of COVID-19. Communicated by Ramaswamy H. Sarma.

Multi-Center Study of Temporal Changes and Prognostic Value of a CT Visual Severity Score in Hospitalized Patients with COVID-19

Wang,  X,  Hu, et al

AJR Am J Roentgenol

Clinical data| Données cliniques Healthcare Response | Réponse des soins de santé

The objective of this study was to explore a CT visual severity score in hospitalized patients with COVID-19, with attention to temporal changes in the score and the role of the score in a model for predicting in-hospital complications. This retrospective study included 161 inpatients with COVID-19 from three hospitals in China who underwent serial chest CT scans during hospitalization. The cohort included 91 survivors with non-severe disease, 55 survivors with severe disease, and 15 patients who died during hospitalization. A CT visual severity score is associated with clinical disease severity and evolves in a characteristic fashion during hospitalization for COVID-19. A prognostic model based on the CT visual severity score and clinical variables has strong performance in predicting in-hospital complications.

Enhanced SARS-CoV-2 Neutralization by Secretory IgA in vitro

Wang,  Zijun,  Lorenzi, et al

bioRxiv

Immunology | Immunologie

Here we characterize the IgA response to SARS-CoV-2 in a cohort of 149 individuals. IgA responses in plasma generally correlate with IgG responses and clones of IgM, IgG and IgA producing B cells that are derived from common progenitors are evident. Plasma IgA monomers are 2-fold less potent than IgG equivalents. However, IgA dimers, the primary form in the nasopharynx, are on average 15 times more potent than IgA monomers. Thus, secretory IgA responses may be particularly valuable for protection against SARS-CoV-2 and for vaccine efficacy.

Tracking Smell Loss to Identify Healthcare Workers with SARS-CoV-2 Infection

Weiss,  JulianJ,  Attuquayefio, et al

medRxiv

Epidemiology| Épidémiologie Clinical data| Données cliniques

We performed a prospective cohort study, tracking 473 HCW across three months to determine if smell loss could predict SARS-CoV-2 infection in this high-risk group. SARS-CoV-2 was identified in 17 (3.6%) of 473 HCW. Among the 17 infected HCW, 53% reported smell loss, and were more likely to report smell loss than COVID-negative HCW on both the at-home assessment and the screening questionnaire (P < .01). 67% reported smell loss prior to having a positive SARS-CoV-2 test, and smell loss was reported a median of two days before testing positive. Neurologic symptoms were reported more frequently among COVID-positive HCW who reported smell loss (P < .01).

COVID-19 control across urban-rural gradients

Wells,  Konstans,  Lurgi, et al

medRxiv

Modelling/ prediction| Modélisation/prédiction Public health interventions*| Interventions de santé publique

Using an individual-based metapopulation model, we explored the efficacy of different control strategies across an urban-rural gradient in Wales, UK. Our model shows that isolation of symptomatic cases, or regional lockdowns in response to local outbreaks, have limited efficacy unless the overall transmission rate is kept persistently low. Additional isolation of non-symptomatic infected individuals, who may be detected by effective test and trace strategies, is pivotal to reduce the overall epidemic size over a wider range of transmission scenarios. For interventions focused on regional lockdowns, the strength of such gradients in epidemic size increased with higher travel frequencies, indicating a reduced efficacy of the control measure in the urban regions under these conditions. When both non-symptomatic and symptomatic individuals are isolated or regional lockdown strategies are enforced, we further found the strongest urban-rural epidemic gradients at high transmission rates. This effect was reversed for strategies targeted at symptomatics only. Our results emphasise the importance of test-and-tracing strategies and maintaining low transmission rates for efficiently controlling COVID19 spread, both at landscape scale and in urban areas.

Evolution of immunity to SARS-CoV-2

Wheatley,  AdamK,  Juno, et al

medRxiv

Immunology | Immunologie

The durability of infection-induced SARS-CoV-2 immunity has major implications for public health mitigation and vaccine development. We find that binding and neutralising antibody responses, together with individual serum clonotypes, decay over the first 4 months post-infection, as expected, with a similar decline in S-specific CD4+ and circulating T follicular helper (cTFH) frequencies. In contrast, S-specific IgG+ memory B cells (MBC) consistently accumulate over time, eventually comprising a significant fraction of circulating MBC. Modelling of the concomitant immune kinetics predicts maintenance of serological neutralising activity above a titre of 1:40 in 50% of convalescent subjects to 74 days, with probable additive protection from B and T cells. Overall, our study suggests SARS-CoV-2 immunity after infection is likely  to be transiently protective at a population level.

Restrictercise! Preferences Regarding Digital Home Training Programs during Confinements Associated with the COVID-19 Pandemic

Wilke,  J,  Mohr, et al

Int J Environ Res Public Health

Public Health response| Interventions de santé publique

This survey with 15,261 participants examined preferences towards digital home exercise programs in 14 countries affected by COVID-19.
Results may guide health providers in developing individually tailored physical activity interventions during the current and future pandemics.

Dynamic Immune Response Profiles and Recovery of a COVID-19 Patient with Coinfection of Aspergillus fumigatus and Other Baseline Diseases: A Case Report

Wu,  S,  Yang, et al

Omics

Clinical data| Données cliniques

Authors report a case of comorbidity of coronavirus disease 2019 (COVID-19) and pulmonary aspergillosis from coinfection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and Aspergillus fumigatus. They report here a successful treatment and recovery of a patient with COVID-19 and A. fumigatus infection.

Substantial underestimation of SARS-CoV-2 infection in the United States

Wu,  SL,  Mertens, et al

Nat Commun

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie

Authors use a semi-Bayesian probabilistic bias analysis to account for incomplete testing and imperfect diagnostic accuracy.
The approach can readily be applied in future studies in other locations or at finer spatial scale to correct for biased testing and imperfect diagnostic accuracy to provide a more realistic assessment of COVID-19 burden.

May Medium Cut-Off Dialysis Membranes Have Impact on Outcome of COVID-19 Hemodialysis Patients?

YALIN,  SF,  MURT, et al

Research Square prepub

Epidemiology| Épidémiologie Clinical data| Données cliniques Healthcare Response | Réponse des soins de santé

Purpose: Severe acute respiratory syndrome coronavirus 2 which is a novel type of coronavirus, may lead to high levels of expression of inflammatory cytokines. Medium cut-off membranes may make greater clearances for large-middle molecules (including cytokines) than low flux membranes. In this study, we aimed to evaluate impact of type of hemodialysis membranes on outcome of COVID 19+ hemodialysis patients. Methods: Forty nine COVID 19 + hemodialysis patients were included into study. The patients were categorized into two groups regarding type of hemodialysis membranes. Clinical data, etiologies of kidney diseases, comorbidities, laboratory and radiologic findings, antiviral, anti-cytokine treatments, and hemodialysis data were taken from medical records. Results: Medium cut-off membranes were used in 15 patients and low flux membranes were used in 34 patients. There were significantly more patients with comorbidities in medium cut-off group compare to low flux group (p=0,014). CRP and ferritin which are each surragates of cytokine storm in COVID-19, were significantly higher in medium cut-off membrane group compare to low flux group (p=0,00, 0,01, respectively). Conclusion: It may be an option to use medium cut-off membranes in hemodialysis patients with COVID 19 in order to reduce cytokine levels and prevent cytokine storm.

COVID-19 Transmission Dynamics and Effectiveness of Public Health Interventions in New York City during the 2020 Spring Pandemic Wave

Yang,  Wan,  Shaff, et al

medRxiv

Epidemiology| Épidémiologie Transmission Public health interventions*| Interventions de santé publique

New York City experienced a large COVID-19 pandemic wave during March - May 2020.We estimate that the overall effective reproductive number was 2.99 at the beginning of the pandemic wave and reduced to 0.93 one week after the stay-at-home mandate. Most age groups experienced similar reductions in transmission. Interventions reducing contact rates were associated with a 70.7% (95% CI: 65.0 - 76.4%) reduction of transmission overall and >50% for all age groups during the pandemic. Face covering was associated with a 6.6% (95% CI: 0.8 - 12.4%) reduction of transmission overall and up to 20% for 65+ year-olds during the first month of implementation.

PMC7475736; Improvement of Severe COVID-19 in an Elderly Man by Sequential Use of Antiviral Drugs

Yatomi,  M,  Takazawa, et al

Case Rep Infect Dis

Clinical data| Données cliniques

Although a variety of existing drugs are being tested for patients with coronavirus disease 2019 (COVID-19), no efficacious treatment has been found so far, particularly for severe cases. We report successful recovery in an elderly patient with severe pneumonia requiring mechanical ventilation and extracorporeal membrane oxygenation (ECMO). Despite administration of multiple antiviral drugs, including lopinavir/ritonavir, chloroquine, and favipiravir, the patient's condition did not improve. However, after administration of another antiviral drug, remdesivir, we were able to terminate invasive interventions, including ECMO, and subsequently obtained negative polymerase chain reaction results. Although further validation is needed, remdesivir might be effective in treating COVID-19.

Performance and Robustness of Machine Learning-based Radiomic COVID-19 Severity Prediction

Yip,  StephenSF,  Klanecek, et al

medRxiv

Clinical data| Données cliniques Healthcare Response | Réponse des soins de santé

This study investigated the performance and robustness of radiomics in predicting COVID-19 severity in a large public cohort. A public dataset of 1110 COVID-19 patients (1 CT/patient) was used. Using CTs and clinical data, each patient was classified into mild, moderate, and severe by two observers. A single feature alone was sufficient to predict mild from severe COVID-19. The most predictive features were the distribution of small size-zones (GLSZM-SmallAreaEmphasis) for provider classification and linear dependency of neighboring voxels (GLCM-Correlation) for radiologist classification. Radiomics significantly predicted different levels of COVID-19 severity. The prediction was moderately sensitive to inter-observer classifications, and thus need to be used with caution.

Prediction and severity ratings of COVID-19 in the United States

Yue,  L,  Tu, et al

Disaster Med Public Health Prep

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie

The objective of this paper is to predict the possible trajectory of coronavirus spread in the US.
It is still essential for the majority of states in the US to take proactive steps to fight against COVID-19 before August 2, 2020.

App-Based Tracking of Self-Reported COVID-19 Symptoms: Analysis of Questionnaire Data

Zens,  M,  Brammertz, et al

J Med Internet Res

Public health interventions*| Interventions de santé publique Surveillance

BACKGROUND: COVID-19 is an infectious disease characterized by various clinical presentations. Knowledge of possible symptoms and their distribution allows for the early identification of infected patients. OBJECTIVE: To determine the distribution pattern of COVID-19 symptoms as well as possible unreported symptoms, we created an app-based self-reporting tool. METHODS: The COVID-19 Symptom Tracker is an app-based daily self-reporting tool. Between April 8 and May 15, 2020, a total of 22,327 individuals installed this app on their mobile device. An initial questionnaire asked for demographic information (age, gender, postal code) and past medical history comprising relevant chronic diseases. The participants were reminded daily to report whether they were experiencing any symptoms and if they had been tested for SARS-CoV-2 infection. Participants who sought health care services were asked additional questions regarding diagnostics and treatment. Participation was open to all adults (≥18 years). The study was completely anonymous. RESULTS: In total, 11,829 (52.98%) participants completed the symptom questionnaire at least once. Of these, 291 (2.46%) participants stated that they had undergone an RT-PCR (reverse transcription-polymerase chain reaction) test for SARS-CoV-2; 65 (0.55%) reported a positive test result and 226 (1.91%) a negative one. The mean number of reported symptoms among untested participants was 0.81 (SD 1.85). Participants with a positive test result had, on average, 5.63 symptoms (SD 2.82). The most significant risk factors were diabetes (odds ratio OR] 8.95, 95% CI 3.30-22.37) and chronic heart disease (OR 2.85, 95% CI 1.43-5.69). We identified chills, fever, loss of smell, nausea and vomiting, and shortness of breath as the top five strongest predictors for a COVID-19 infection. The odds ratio for loss of smell was 3.13 (95% CI 1.76-5.58). Nausea and vomiting (OR 2.84, 95% CI 1.61-5.00) had been reported as an uncommon symptom previously; however, our data suggest a significant predictive value. CONCLUSIONS: Self-reported symptom tracking helps to identify novel symptoms of COVID-19 and to estimate the predictive value of certain symptoms. This aids in the development of reliable screening tools. Clinical screening with a high pretest probability allows for the rapid identification of infections and the cost-effective use of testing resources. Based on our results, we suggest that loss of smell and taste be considered cardinal symptoms; we also stress that diabetes is a risk factor for a highly symptomatic course of COVID-19 infection.

PMC7455240; Measuring imported case risk of COVID-19 from inbound international flights --- A case study on China

Zhang,  L,  Yang, et al

J Air Transp Manag

Epidemiology| Épidémiologie Transmission Public health interventions*| Interventions de santé publique

This study proposes a risk index to measure one country's imported case risk from inbound international flights. The proposed index was applied to China, which is the first country to experience and control COVID-19 pandemic while later becoming exposed to high imported case risk after the epidemic centers switched to Europe and the US afterward. The calculated risk indexes for each Chinese province or region show both spatial and temporal patterns from January to April 2020. It is found that China's strict restriction on inbound flights since March 26 was very effective to cut the imported case risk by half than doing nothing. But the overall index level kept rising because of the deteriorating pandemic conditions around the world. This risk index can also be applied to other contexts and countries to relax restrictions on particular low-risk routes while still restricting the high-risk ones.

Mechanism and prevention of facial pressure injuries: a novel emergent strategy supported by a multicenter controlled study in frontline healthcare professionals fighting COVID-19

Zhang,  W,  Liu, et al

Wound Repair Regen

Healthcare Response | Réponse des soins de santé

This study explored the mechanism and prevention of such injuries, and devised a novel emergent strategy, which was supported by a multicenter self-controlled study in 1161 frontline healthcare professionals.
The protective respirators related facial pressure injuries can be effectively mitigated with this emergent strategy, which has also been applied in some European hospitals and can be popularized to help more healthcare professionals who are combating COVID-19 on the frontlines.

2D Similarity Map of Multiple Coronavirus Gene Sequences

Zheng,  H,  Z

Research Square prepub

Coronavirology| Coronavirologie

The outbreak of a novel coronavirus (SARS-CoV-2) in many countries in the world from late 2019 to 2020 resulted in millions of infected people, and caused serious damage to the social environments with significant changes in human power and material resources in the world. The novel coronavirus is an RNA virus. RNA mutation is common in nature. This makes it extremely difficult to develop a virus vaccine in a short period. The evolution of the virus has been in a mutation state, in which a certain sequence changes associated with time and environments in similar distributions. A larger number of genomes were collected in various open source databases for scientists in further explorations. In this paper, a 2D similarity comparison scheme on the A2 module of the MAS is proposed for extracting internal information among a genome undertaken M segment partitions to provide visual results based on probability measures and quantitative statistics. First, a genome is segmented into corresponding numerical transformations, and then four numbers of meta symbols in each segment are counted.Corresponding probability measures are calculated. Second, the probability is transformed into polar coordinates, and the polar coordinates are mapped into a MxM matrix. Then, a 1D genome can be processed into 2D measures with similarity properties in sequence. Through this correlation matrix, relevant similarity results are analyzed.

The influence of psychological response and security sense on pregnancy stress during the outbreak of coronavirus disease 2019: A mediating model

Zheng,  QX,  Jiang, et al

J Clin Nurs

Public Health response| Interventions de santé publique

AIMS AND OBJECTIVES: To observe the psychological status of pregnant women during COVID-19 pandemic, and to test a hypothetical model that estimates the influence of psychological response to COVID-19 and security sense on pregnancy stress. BACKGROUND: COVID-19 advanced rapidly and then spread worldwide. Pregnant women were more susceptible to the COVID-19 infection. Furthermore, it is not clear whether this infection will increase the risk of congenital monstrosity, foetal growth restriction, premature delivery or cause other long-term adverse effects. DESIGN: A descriptive, cross-sectional survey. METHODS: A total of 331 pregnant women participated in this study. And this research adhered to the STROBE guideline. The psychological questionnaire for emergent events of public health, pregnancy stress scale and security questionnaire were used to collect data. The hypothetical path model was tested using the SPSS version 25.0 software and AMOS version 26.0 software. RESULTS: Fear and depression were the most common psychological responses among pregnant women during the COVID-19 pandemic. The hypothesis model of this study fitted the data well, and the results showed that psychological response positively affected pregnancy stress, while security sense negatively affected pregnancy stress; security sense mediated between psychological response and pregnancy stress. CONCLUSION: Nurses and midwives can help reduce the stress in pregnant women by alleviating their psychological response to the COVID-19 pandemic and by improving their security sense. RELEVANCE TO CLINICAL PRACTICE: It is essential for the health staff to build trust with pregnant women and their families, and communicate accurate information to them. Nurses should promptly conduct a psychological response evaluation and psychological guidance for pregnant women to alleviate their fears and hypochondria related to COVID-19.

First report on the Latvian SARS-CoV-2 isolate genetic diversity

Zrelovs,  Nikita,  Ustinova, et al

medRxiv

Coronavirology| Coronavirologie

With 109 viral isolates representing ~8.2% of the total COVID-19 cases in the country being completely sequenced as of today, here we provide a first report on the genetic diversity of Latvian SARS-CoV-2 isolates.

COVID-19, Australia: Epidemiology Report 24 (Fortnightly reporting period ending 30 August 2020)

 

Commun Dis Intell (2018)

Epidemiology| Épidémiologie Clinical data| Données cliniques

Fortnightly reporting period ending 30 August 2020, from Australia's COVID-19 National Incident Room Surveillance Team.

Ramadan and Diabetes: A Narrative Review and Practice Update

Ahmed,  SH,  Chowdhury, et al

Diabetes Ther

Review Literature| Revue de littérature

 

Urticaria and COVID-19: a review

Algaadi,  SA

Dermatol Ther

Review Literature| Revue de littérature

 

COVID-19: an update and cardiac involvement

Alwaqfi,  NR,  Ibrahim, et al

J Cardiothorac Surg

Review Literature| Revue de littérature

 

Coverage of the COVID-19 Pandemic in the Online Versions of Highly Circulated U.S. Daily Newspapers

Basch,  CH,  Kecojevic, et al

J Community Health

Review Literature| Revue de littérature

 

Learning from the past in the COVID-19 era: rediscovery of quarantine, previous pandemics, origin of hospitals and national healthcare systems, and ethics in medicine

Bassareo,  PP,  Melis, et al

Postgrad Med J

Review Literature| Revue de littérature

 

Recent Biotechnological Tools for Diagnosis of COVID-19 Disease: A review

Behera,  BC,  Mishra, et al

Biotechnol Prog

Review Literature| Revue de littérature

 

Airborne contamination of COVID-19 in hospitals: a scoping review of the current evidence

Birgand,  Gabriel,  Peiffer-Smadja, et al

medRxiv

Review Literature| Revue de littérature

ScR: MEDLINE, Embase, Web of Science databases were systematically searched between 1 December 2019 and 21 July 2020. Conclusion In hospital, the air near and away from COVID-19 patients is frequently contaminated with SARS-CoV-2 RNA, with however, rare proofs of their viability. High viral loads found in toilet/bathrooms, staff and public hallways suggests to carefully consider these areas

Modified telehealth for care of chronic wounds during the Coronavirus disease 2019 pandemic: A rapid literature review of alternative care modalities

Bondini,  CM,  Sage, et al

Int Wound J

Review Literature| Revue de littérature

 

On the Role of Artificial Intelligence in Medical Imaging of COVID-19

Born,  Jannis,  Beymer, et al

medRxiv

Review Literature| Revue de littérature

 

Heterogeneous groups of alveolar type II cells in lung homeostasis and repair

Chen,  Q,  Liu, et al

Am J Physiol Cell Physiol

Review Literature| Revue de littérature

 

COVID-19 transmission in a university setting: a rapid review of modelling studies

Christensen,  Hannah,  Turner, et al

medRxiv

Review Literature| Revue de littérature

Rapid Review: searched PubMed, Web of Science, bioRxiv/ medRxiv and sought expert input via social media to identify relevant papers. BioRxiv/ medRxiv and PubMed/Web of Science searches took place on 3 and 6 July 2020, respectively.

Glycyrrhizin: An old weapon against a novel coronavirus

Chrzanowski,  J,  Chrzanowska, et al

Phytother Res

Review Literature| Revue de littérature

 

Can data from paediatric cohorts solve the COVID-19 puzzle?

Do,  LAH,  Anderson, et al

PLoS Pathog

Review Literature| Revue de littérature

 

Application of Chinese Medicine in the Management of Critical Conditions: A Review on Sepsis

Fan,  TT,  Cheng, et al

Am J Chin Med

Review Literature| Revue de littérature

 

SARS-CoV-2 infections in children and young people

Felsenstein,  S,  Hedrich, et al

Clin Immunol

Review Literature| Revue de littérature

 

Effectiveness of digital interventions to improve household and community infection prevention and control behaviours and to reduce incidence of respiratory and/or gastro-intestinal infections: A rapid systematic review

Gold,  Natalie,  Hu, et al

medRxiv

Review Literature| Revue de littérature

SR: searched MEDLINE, Embase, PsycINFO, Cochrane Controlled Register of Trials (CENTRAL), China National Knowledge Infrastructure and grey literature.  There was only one intervention that was judged to be at low risk of bias, Germ Defence, which reduced incidence and severity of illness, as confirmed by objective measures.

Systematic review of the antiviral properties of TRIM56: a potential therapeutic intervention for COVID-19

Heidary,  F,  Gharebaghi, et al

Expert Rev Clin Immunol

Review Literature| Revue de littérature

SR: comprehensive search of the PubMed database without time or language limitation. TRIM56 has been shown to have direct antiviral actions against positive-sense single-stranded RNA viruses from the families Flaviviridae, Coronaviridae, and Retroviridae. Moreover, it may be effective against negative-sense single-strand RNA viruses from the families Paramyxoviridae and Orthomyxoviridae, as well as a DNA virus, Herpes simplex virus 1 (HSV-1).

Insufficient hyperfibrinolysis in COVID-19: a systematic review of thrombolysis based on meta-analysis and meta-regression

Ji,  Hong-LongJ,  Su, et al

medRxiv

Review Literature| Revue de littérature

SR: searched the databases until Aug 18, 2020, with no limitations by language. The findings of this meta-analysis- and meta-regression-based systematic review supports elevated D-dimer as an independent predictor for mortality and severe complications. D-dimer-associated clinical variables draw a landscape integrating the aggregate effects of systemically suppressive and locally (i.e., in the lung) hyperactive derangements of fibrinolysis.

A geroscience perspective on immune resilience and infectious diseases: a potential case for metformin

Justice,  JN,  Gubbi, et al

Geroscience

Review Literature| Revue de littérature

 

The role of NIH funding in vaccine readiness; foundational research and NIH funding underlying candidate SARS-CoV-2 vaccines

Kiszewski,  AnthonyE,  Galkina Cleary, et al

medRxiv

Review Literature| Revue de littérature

 

COVID-19 Models for Hospital Surge Capacity Planning: A Systematic Review

Klein,  MG,  Cheng, et al

Disaster Med Public Health Prep

Review Literature| Revue de littérature

SR: PubMed, EMBASE, ISI Web of Science, Google Scholar and the Google search engine from May 15, 2020 to July 15, 2020. The results of our study provide information to physicians, hospital administrators, emergency response personnel and governmental agencies on available models for preparing scenario-based plans for responding to the COVID-19 or similar type of outbreak.

PMC7450254; The energy and environmental footprints of COVID-19 fighting measures - PPE, disinfection, supply chains

Klemeš,  JJ,  Fan, et al

Energy (Oxf)

Review Literature| Revue de littérature

 

Mortality of COVID-19 with preadmission metformin use in patients with diabetes: a meta-analysis

Kow,  CS,  Hasan, et al

J Med Virol

Review Literature| Revue de littérature

MA: perform  a  comprehensive  literature search  in  PubMed,  Scopus,  Goggle Scholar,  medRxiv (a preprint  repository)  up to August  8,  2020. In conclusion, our analysis provided a rather strong signal to repurpose metformin for the treatment of COVID-19 to reduce the risk of mortality.

An approach towards developments of smart COVID-19 patient's management and triaging using blockchain framework

Lahiri,  PK,  M

Research Square prepub

Review Literature| Revue de littérature

 

Traditional Chinese Medicine as Potential Therapy for COVID-19

Li,  S,  Liu, et al

Am J Chin Med

Review Literature| Revue de littérature

 

A review of current strategies to improve HIV prevention and treatment in sexual and gender minority Latinx (SGML) communities

Martinez,  O

Expert Rev Anti Infect Ther

Review Literature| Revue de littérature

 

Combatting COVID-19: is ultrasound an important piece in the diagnostic puzzle?

McDermott,  C,  Daly, et al

Emerg Med J

Review Literature| Revue de littérature

 

Qigong and the Treatment and Prevention of COVID-19

McGee,  RobertW

SSRN- Lancet prepublication

Review Literature| Revue de littérature

 

Acute respiratory distress syndrome (ARDS) caused by the novel coronavirus disease (COVID-19): a practical comprehensive literature review

Montenegro,  F,  Unigarro, et al

Expert Rev Respir Med

Review Literature| Revue de littérature

 

Scoping review: hotspots for COVID-19 urological research: what is being published and from where?

Qu,  LG,  Perera, et al

World J Urol

Review Literature| Revue de littérature

ScR: utilised a search strategy that assessed five electronic databases, additional grey literature, and global trial registries.

Neuropsychological functioning in severe acute respiratory disorders caused by the coronavirus: implications for the current COVID-19 pandemic

Rabinovitz,  B,  Jaywant, et al

Clin Neuropsychol

Review Literature| Revue de littérature

 

PMC7437508; Concentration methods for the quantification of coronavirus and other potentially pandemic enveloped virus from wastewater

Rusiñol,  M,  Martínez-Puchol, et al

Curr Opin Environ Sci Health

Review Literature| Revue de littérature

 

Anosmia: an evolution of our understanding of its importance in COVID-19 and what questions remain to be answered

Saussez,  S,  Lechien, et al

Eur Arch Otorhinolaryngol

Review Literature| Revue de littérature

 

Targeted therapy strategies against SARS-CoV-2 cell entry mechanisms: A systematic review of in vitro and in vivo studies

Seyedpour,  S,  Khodaei, et al

J Cell Physiol

Review Literature| Revue de littérature

SR: search was carried out in major medical sources, including MEDLINE (through PubMed), Web of Science, Scopus, and EMBASE. Inhibition of the viral entry by targeting host or virus-related components remains the most potent strategy to prevent and treat COVID-19.

The New Coronavirus (SARS-CoV-2): A Comprehensive Review on Immunity and the Application of Bioinformatics and Molecular Modeling to the Discovery of Potential Anti-SARS-CoV-2 Agents

Villas-Boas,  G,  Rescia, et al

Molecules

Review Literature| Revue de littérature

 

Interpersonal Distance in the SARS-CoV-2 Crisis

Welsch,  R,  Hecht, et al

Hum Factors

Review Literature| Revue de littérature

 

Assessing the role and impact of Telemedicine use in acute care surgery out patient clinic post-operatively, during covid-19 pandemic in Qatar

Abdalla,  SMS,  Mustafa, et al

Br J Surg

Commentary/Editorial| Commentaire/Éditorial

 

Surgical training "Before COVID-19 (BC)" to "After COVID-19 (AC)": Needs-driven approach for the Global South

Agrawal,  V,  Sharma, et al

Br J Surg

Commentary/Editorial| Commentaire/Éditorial

 

Safety and Efficacy of Convalescent Plasma to Treat Severe COVID-19: Protocol for the Saudi Collaborative Multi-center Phase II Study

Albalawi,  M,  Zaidi, et al

JMIR Res Protoc

Commentary/Editorial| Commentaire/Éditorial

 

Why may COVID-19 overwhelm low-income countries like Pakistan?

Ali,  I,  Ali, et al

Disaster Med Public Health Prep

Commentary/Editorial| Commentaire/Éditorial

 

PMC7455162 personal relationships that could have appeared to influence the work reported in this paper; Hungry birds do not sing: Coronavirus and the school feeding program

Amolegbe,  KB

World Dev

Commentary/Editorial| Commentaire/Éditorial

 

Vulnerability After COVID-19 and the Response of a Developing City: The Case of Bogota, Colombia

Arboleda,  David,  Zambrano, et al

SSRN- Lancet prepublication

Commentary/Editorial| Commentaire/Éditorial

 

The proteomics contribution to the counter-bioterrorism toolbox in the post-COVID-19 era

Armengaud,  J

Expert Rev Proteomics

Commentary/Editorial| Commentaire/Éditorial

 

Fear of contagion: one of the most devious enemies to fight during COVID-19 pandemic

Baldi,  E,  Savastano, et al

Disaster Med Public Health Prep

Commentary/Editorial| Commentaire/Éditorial

 

Bacterial and fungal superinfections in critically ill patients with COVID-19

Bassetti,  M,  Kollef, et al

Intensive Care Med

Commentary/Editorial| Commentaire/Éditorial

 

How can we better predict pulmonary blood clots in patients hospitalised for COVID-19?

Bertoletti,  L,  Huisman, et al

Eur Respir J

Commentary/Editorial| Commentaire/Éditorial

 

Quantifying the Effects of COVID-19 on Mental Health Support Forums

Biester,  L,  M

ArXiv

Commentary/Editorial| Commentaire/Éditorial

 

PMC7455144; COVID-19 vaccines: Getting Anti-vaxxers involved in the discussion

Boodoosingh,  R,  Olayemi, et al

World Dev

Commentary/Editorial| Commentaire/Éditorial

 

In search of a vaccine against COVID-19: implications for nursing practice

Boulton,  J

Br J Nurs

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 and 'conversations not had' with people with frailty in acute settings

Brighton,  LJ,  C, et al

J Health Serv Res Policy

Commentary/Editorial| Commentaire/Éditorial

 

Gendered Complications of Covid-19: Towards a Feminist Recovery Plan

Cahn,  NaomiR,  McClain, et al

SSRN- Lancet prepublication

Commentary/Editorial| Commentaire/Éditorial

 

The underdog coronavirus vaccines that the world will need if front runners stumble

Callaway,  E

Nature

Commentary/Editorial| Commentaire/Éditorial

 

[Mental health in the perinatal period and maternal stress during the Covid-19 pandemic: influence on fetal development.]

Caparros-Gonzalez,  R,  Luque-Fernández, et al

Rev Esp Salud Publica

Commentary/Editorial| Commentaire/Éditorial

 

Frontiers in Human Factors: Embedding Specialists in Multi-disciplinary efforts to Improve Healthcare

Catchpole,  K,  Bowie, et al

Int J Qual Health Care

Commentary/Editorial| Commentaire/Éditorial

 

Glycaemic control in type 1 diabetes mellitus and COVID-19 lockdown: what comes after a "quarantine"?

Ceconi,  V,  Barbi, et al

J Diabetes

Commentary/Editorial| Commentaire/Éditorial

 

Correspondence on 'Lung involvement in macrophage activation syndrome and severe COVID-19: results from a cross-sectional study to assess clinical, laboratory and artificial intelligence-radiological differences' by Ruscitti et al

Chen,  AI,  Lin, et al

Ann Rheum Dis

Commentary/Editorial| Commentaire/Éditorial

 

Immune response and blood-brain barrier dysfunction during viral neuroinvasion

Chen,  Z,  Li, et al

Innate Immun

Commentary/Editorial| Commentaire/Éditorial

 

Repurposing vaccines in the fight against COVID-19 (Comment on https://doi.org/10.1002/bies.202000076)

Cheong,  KH

Bioessays

Commentary/Editorial| Commentaire/Éditorial

 

Responding to the Psychological Needs of Health Workers During Pandemic: Ten Lessons from Humanitarian Work

Cherepanov,  E

Disaster Med Public Health Prep

Commentary/Editorial| Commentaire/Éditorial

 

The Brighton Collaboration standardized template for collection of key information for benefit-risk assessment of viral vector vaccines

Condit,  RC,  Kim, et al

Vaccine

Commentary/Editorial| Commentaire/Éditorial

 

Incident Command in the Time of COVID-19

Cook,  J

Lab Med

Commentary/Editorial| Commentaire/Éditorial

 

Immunoglobulin A Antiphospholipid Antibodies in Patients With Chilblain-like Lesions During the COVID-19 Pandemic

Cuenca Saez,  MA,  Gomez-Biezna, et al

Actas Dermosifiliogr

Commentary/Editorial| Commentaire/Éditorial

 

Clinical Outcomes in Young US Adults Hospitalized With COVID-19

Cunningham,  JW,  Vaduganathan, et al

JAMA Intern Med

Commentary/Editorial| Commentaire/Éditorial

 

Will the COVID-19 crisis trigger a One Health coming-of-age?

de Garine-Wichatitsky,  Michel,  Binot, et al

The Lancet Planetary Health

Commentary/Editorial| Commentaire/Éditorial

 

Immunity passports, fundamental rights and public health hazards: a reply to Brown et al

de Miguel Beriain,  I,  Rueda, et al

J Med Ethics

Commentary/Editorial| Commentaire/Éditorial

 

Optimizing Scarce Resource Allocation during COVID-19: Rapid Creation of a Regional Healthcare Coalition and Triage Teams in San Diego County, California

Devereaux,  A,  Yang, et al

Disaster Med Public Health Prep

Commentary/Editorial| Commentaire/Éditorial

 

The Impact of the COVID-19 Pandemic on Hospital Admissions for Trauma and Acute Care Surgery

DiFazio,  LT,  Curran, et al

Am Surg

Commentary/Editorial| Commentaire/Éditorial

 

Reply to: Re: Predictors of mortality for patients with COVID-19 pneumonia caused by SARSCoV-2: a prospective cohort study

Du,  RH,  Liang, et al

Eur Respir J

Commentary/Editorial| Commentaire/Éditorial

 

Covid-19: London hospital where 70 staff had to self-isolate must improve infection control

Dyer,  C

Bmj

Commentary/Editorial| Commentaire/Éditorial

 

Antimicrobial Photodynamic Therapy as a Potential Treatment Against COVID-19: A Case for Blue Light

Enwemeka,  CS,  Baker, et al

Photobiomodul Photomed Laser Surg

Commentary/Editorial| Commentaire/Éditorial

 

Appropriate usage of face masks to prevent SARS-CoV-2: sharpening the messaging amid the COVID-19 pandemic

Escandón,  K,  Martin, et al

Disaster Med Public Health Prep

Commentary/Editorial| Commentaire/Éditorial

 

The Coronavirus Disease (Covid-19): Challenges and opportunities

Farnoosh,  G,  Alishiri, et al

Disaster Med Public Health Prep

Commentary/Editorial| Commentaire/Éditorial

 

Post-pandemic recovery: use of scientific advice to achieve social equity, planetary health, and economic benefits

Fears,  Robin,  Gillett, et al

The Lancet Planetary Health

Commentary/Editorial| Commentaire/Éditorial

 

The UCSC SARS-CoV-2 Genome Browser

Fernandes,  JD,  Hinrichs, et al

Nat Genet

Commentary/Editorial| Commentaire/Éditorial

 

Exploring the coronavirus pandemic with the WashU Virus Genome Browser

Flynn,  JA,  Purushotham, et al

Nat Genet

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 herd immunity: where are we?

Fontanet,  A,  Cauchemez, et al

Nat Rev Immunol

Commentary/Editorial| Commentaire/Éditorial

 

At-Home Photobiomodulation Treatments for Supportive Cancer Care During the COVID-19 Pandemic

Fornaini,  C,  Merigo, et al

Photobiomodul Photomed Laser Surg

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19: we need randomised trials of school closures

Fretheim,  A,  Flatø, et al

J Epidemiol Community Health

Commentary/Editorial| Commentaire/Éditorial

 

COVACTA trial raises questions about tocilizumab's benefit in COVID-19

Furlow,  Bryant

The Lancet Rheumatology

Commentary/Editorial| Commentaire/Éditorial

 

Infodemic: excess quantity to the detriment of quality of information about COVID-19

Garcia,  LP,  Duarte, et al

Epidemiol Serv Saude

Commentary/Editorial| Commentaire/Éditorial

 

PMC7362857 to the accompanying ICMJE disclosure forms for further details; Cirrhosis management in a major referral center during COVID-19

Garrido,  I,  Liberal, et al

JHEP Rep

Commentary/Editorial| Commentaire/Éditorial

 

From Katrina to COVID-19: Hard-Learned Lessons and Resilience

Gee,  RE

Am J Public Health

Commentary/Editorial| Commentaire/Éditorial

 

200 Years of Florence and the challenges of nursing practices management in the COVID-19 pandemic

Geremia,  DS,  Vendruscolo, et al

Rev Lat Am Enfermagem

Commentary/Editorial| Commentaire/Éditorial

 

Challenges faced by pediatric nursing workers in the face of the COVID-19 pandemic

Góes,  FGB,  Silva, et al

Rev Lat Am Enfermagem

Commentary/Editorial| Commentaire/Éditorial

 

Role of fever and ambient temperature in COVID-19

Gul,  MH,  Htun, et al

Expert Rev Respir Med

Commentary/Editorial| Commentaire/Éditorial

 

SARS-CoV-2 outbreaks, age and gender: Getting under the skin

Gyasi,  RM

Int J Health Plann Manage

Commentary/Editorial| Commentaire/Éditorial

 

A Proposed COVID-19 Testing Algorithm-Corrigendum

Hart,  A,  Bortolin, et al

Disaster Med Public Health Prep

Commentary/Editorial| Commentaire/Éditorial

 

Data Requests and Scenarios for Data Design of Unobserved Events in Corona-related Confusion Using TEEDA

Hayashi,  T,  U

ArXiv

Commentary/Editorial| Commentaire/Éditorial

 

Rhinology on the move despite Covid-19!

Hellings,  PW

Rhinology

Commentary/Editorial| Commentaire/Éditorial

 

The surge in nephrology consultations and inpatient dialysis services during the COVID-19 pandemic

Hirsch,  JS,  Uppal, et al

Clin Nephrol

Commentary/Editorial| Commentaire/Éditorial

 

Targeted change making for a healthy recovery

Howard,  Courtney

The Lancet Planetary Health

Commentary/Editorial| Commentaire/Éditorial

 

How to keep students engaged in oral health education during the COVID -19 pandemic

Hu,  J,  Zou, et al

J Dent Educ

Commentary/Editorial| Commentaire/Éditorial

 

Management of Atrial Fibrillation in COVID-19 Pandemic

Hu,  YF,  Cheng, et al

Circ J

Commentary/Editorial| Commentaire/Éditorial

 

Covid-19: Government plans to spend £100bn on expanding testing to 10 million a day

Iacobucci,  G,  Coombes, et al

Bmj

Commentary/Editorial| Commentaire/Éditorial

 

Prevalence of SARS-COVID-19 serum IgG antibodies amongst staff on an acute surgical unit

Isherwood,  J,  Winyard, et al

Br J Surg

Commentary/Editorial| Commentaire/Éditorial

 

Changing Patterns of Domestic Abuse during COVID-19 Lockdown

Ivandic,  Ria,  Kirchmaier, et al

SSRN- Lancet prepublication

Commentary/Editorial| Commentaire/Éditorial

 

Regardless of Age, Obesity and Hypertension Increase Risks With COVID-19

Katz,  MH

JAMA Intern Med

Commentary/Editorial| Commentaire/Éditorial

 

Designing and Interpreting COVID-19 Diagnostics: Mathematics, Visual Logistics, and Low Prevalence

Kost,  GJ

Arch Pathol Lab Med

Commentary/Editorial| Commentaire/Éditorial

 

Bioethical considerations for cancer patients care during the COVID-19 pandemic

Kourie,  HR,  Eid, et al

Future Oncol

Commentary/Editorial| Commentaire/Éditorial

 

Katrina's Lesson: Time to Imagine an After COVID-19

LaVeist,  TA

Am J Public Health

Commentary/Editorial| Commentaire/Éditorial

 

Antibody-dependent enhancement and SARS-CoV-2 vaccines and therapies

Lee,  WS,  Wheatley, et al

Nat Microbiol

Commentary/Editorial| Commentaire/Éditorial

 

The Role of On-Demand Delivery Platforms in Restaurants during Disruption: Evidence from the Coronavirus Pandemic

Li,  Zhuoxin,  Wang, et al

SSRN- Lancet prepublication

Commentary/Editorial| Commentaire/Éditorial

 

Children with cancer during COVID-19 pandemic: Early experience in Mexico

López-Aguilar,  E,  Cárdenas-Navarrete, et al

Pediatr Blood Cancer

Commentary/Editorial| Commentaire/Éditorial

 

Can COVID-19-related anxiety trigger a relapse of schizophrenia?

Lynch,  A,  Bastiampillai, et al

Aust N Z J Psychiatry

Commentary/Editorial| Commentaire/Éditorial

 

Covid-19: Oxford researchers halt vaccine trial while adverse reaction is investigated

Mahase,  E

Bmj

Commentary/Editorial| Commentaire/Éditorial

 

Could Mustelids spur COVID-19 into a panzootic?

Manes,  C,  Gollakner, et al

Vet Ital

Commentary/Editorial| Commentaire/Éditorial

 

Trained Innate Immunity, Epigenetics, and Covid-19

Mantovani,  A,  Netea, et al

N Engl J Med

Commentary/Editorial| Commentaire/Éditorial

 

PMC7282788; Obesity risk during collective quarantine for the COVID-19 epidemic

Mattioli,  AV,  Pinti, et al

Obes Med

Commentary/Editorial| Commentaire/Éditorial

 

Aggressively find, test, trace and isolate to beat COVID-19

Matukas,  LM,  Dhalla, et al

Cmaj

Commentary/Editorial| Commentaire/Éditorial

 

Brain autopsies in fatal COVID-19 and postulated pathophysiology: more puzzling than a Rubik's cube

Mehta,  S,  Bhandari, et al

J Clin Pathol

Commentary/Editorial| Commentaire/Éditorial

 

Coagulation disorders in SARS-CoV-2 infection

Mihaila,  RG,  Dragos Mihaila, et al

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

Commentary/Editorial| Commentaire/Éditorial

 

Intelligent Tutoring Systems: Re-envisioning surgical education in response to COVID-19

Mirchi,  N,  Ledwos, et al

Can J Neurol Sci

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19: Second Wave or Multiple Peaks, Natural Herd Immunity or Vaccine-We Should be Prepared

Moghnieh,  R,  Abdallah, et al

Disaster Med Public Health Prep

Commentary/Editorial| Commentaire/Éditorial

 

Implementation of an online treatment planning exercise focused on vulnerable patient groups

Nair,  RU,  Marchini, et al

J Dent Educ

Commentary/Editorial| Commentaire/Éditorial

 

Failing to Pull Together: South Africa's Troubled Response to Covid-19

Naudé,  Wim,  Cameron, et al

SSRN- Lancet prepublication

Commentary/Editorial| Commentaire/Éditorial

 

Public health response to COVID-19: the forecaster's dilemma

Naumova,  EN

J Public Health Policy

Commentary/Editorial| Commentaire/Éditorial

 

Accepting a "new norm" - what level of PPE do we really need for surgery during COVID-19?

Ong,  CS,  Ong, et al

Br J Surg

Commentary/Editorial| Commentaire/Éditorial

 

Impacts of COVID-19 on the Transport Sector and Measures as Well as Recommendations of Policies and Future Research: A Report on Turkey

Ozaydin,  Ozay,  Ulengin, et al

SSRN- Lancet prepublication

Commentary/Editorial| Commentaire/Éditorial

 

Decreasing performance anxiety in the clinical setting during COVID-19 pandemic

Pastan,  CD,  Zandona, et al

J Dent Educ

Commentary/Editorial| Commentaire/Éditorial

 

Live-streamed ward rounds: a tool for clinical teaching during the COVID-19 pandemic

Pennell,  CE,  Kluckow, et al

Med J Aust

Commentary/Editorial| Commentaire/Éditorial

 

Correction to: COVID-19 and the elderly patients: insights into pathogenesis and clinical decision-making

Perrotta,  F,  Corbi, et al

Aging Clin Exp Res

Commentary/Editorial| Commentaire/Éditorial

 

The Digital/Virtual Diabetes Clinic - the Future is Now. Recommendations from an International Panel on Diabetes Digital Technologies Introduction

Phillip,  M,  Bergenstal, et al

Diabetes Technol Ther

Commentary/Editorial| Commentaire/Éditorial

 

A leading coronavirus vaccine trial is on hold: scientists react

Phillips,  N,  Cyranoski, et al

Nature

Commentary/Editorial| Commentaire/Éditorial

 

Evidence based care for pregnant women with covid-19

Pirkle,  CM

Bmj

Commentary/Editorial| Commentaire/Éditorial

 

Attitudes of Patients With Skin Tumors During the COVID-19 Pandemic

Porcar Saura,  S,  Pons Benavent, et al

Actas Dermosifiliogr

Commentary/Editorial| Commentaire/Éditorial

 

Applying the Health Justice Framework to Address Health and Health Care Inequities Experienced by People with Disabilities During and After COVID-19

Powell,  Robyn

SSRN- Lancet prepublication

Commentary/Editorial| Commentaire/Éditorial

 

Covid-19: Private hospitals commit to training juniors who help to tackle backlog

Rimmer,  A

Bmj

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 social isolation-induced takotsubo cardiomyopathy

Rivers,  J,  Ihle, et al

Med J Aust

Commentary/Editorial| Commentaire/Éditorial

 

Obesity and Hypertension in the Time of COVID-19

Rodgers,  GP,  Gibbons, et al

Jama

Commentary/Editorial| Commentaire/Éditorial

 

Ontological Metaphors We Get Sick By: a Brand Storytelling Approach to the COVID-19 Pandemic (Presentation Slides)

Rossolatos,  George

SSRN- Lancet prepublication

Commentary/Editorial| Commentaire/Éditorial

 

Audio Interview: Guidelines for Covid-19 Vaccine Development

Rubin,  EJ,  Baden, et al

N Engl J Med

Commentary/Editorial| Commentaire/Éditorial

 

What role for One Health in the COVID-19 pandemic?

Ruckert,  A,  Zinszer, et al

Can J Public Health

Commentary/Editorial| Commentaire/Éditorial

 

Response to: ‘Correspondence on ‘Lung involvement in macrophage activation syndrome and severe COVID-19: results from a cross-sectional study to assess clinical, laboratory and artificial intelligence–radiological differences’ by Ruscitti et al’ by Chen e

Ruscitti,  P,  Bruno, et al

Ann Rheum Dis

Commentary/Editorial| Commentaire/Éditorial

 

THE CHALLENGING AND UNPREDICTABLE SPECTRUM OF COVID-19 IN CHILDREN AND ADOLESCENTS

Safadi,  MAP,  Silva, et al

Rev Paul Pediatr

Commentary/Editorial| Commentaire/Éditorial

 

Treatment protocol to allow reconstructive breast surgery during COVID-19 pandemic

Sanchez,  AM,  Scardina, et al

Br J Surg

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 outbreak on the Costa Atlantica cruise ship: use of a remote health monitoring system

Sando,  E,  Morimoto, et al

J Travel Med

Commentary/Editorial| Commentaire/Éditorial

 

[Lung ultrasonography in COVID-19 pneumonia]

Schmid,  M,  Escher, et al

Radiologe

Commentary/Editorial| Commentaire/Éditorial

 

Consenting in cardiac surgery during COVID-19: Are the risks quantifiable?

Shafi,  AMA,  Harky, et al

J Card Surg

Commentary/Editorial| Commentaire/Éditorial

 

Perinatal Mental Health in Kashmir, India During The COVID-19 Pandemic

Shoib,  S,  Arafat, et al

Matern Child Health J

Commentary/Editorial| Commentaire/Éditorial

 

Covid-19 Molecular Diagnostic Testing - Lessons Learned

Shuren,  J,  Stenzel, et al

N Engl J Med

Commentary/Editorial| Commentaire/Éditorial

 

Jogger's facial dermatoses- an emerging entity in COVID-19 pandemic

Singh,  M,  Bhargava, et al

Dermatol Ther

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 and the young heart: what are we missing?

Spencer,  R,  Choi, et al

World J Pediatr

Commentary/Editorial| Commentaire/Éditorial

 

Use of "normal" risk to improve understanding of dangers of covid-19

Spiegelhalter,  D

Bmj

Commentary/Editorial| Commentaire/Éditorial

 

Reply to "High frequency of Antiphospholipid Antibodies in Critically ill COVID-19 patients: a Link with Hypercoagulability?"

Suárez-Pérez,  L,  Coto-Hernández, et al

J Intern Med

Commentary/Editorial| Commentaire/Éditorial

 

Pediatric inflammatory multisystem syndrome temporally associated with COVID-19: a spectrum of diseases with many names

Tam,  H,  El Tal, et al

Cmaj

Commentary/Editorial| Commentaire/Éditorial

 

The important role of social media during the COVID-19 epidemic

Tang,  Q,  Zhang, et al

Disaster Med Public Health Prep

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 drives innovation using free online resources

Telang,  A

J Dent Educ

Commentary/Editorial| Commentaire/Éditorial

 

The Impact of a Physician Clinical Support Supervisor in Supporting Patients and Families, Staff, and the Healthcare System During the COVID-19 Pandemic

Tevis,  SE,  Patel, et al

Disaster Med Public Health Prep

Commentary/Editorial| Commentaire/Éditorial

 

Walking forwards, looking backwards

The Lancet Planetary,  Health

The Lancet Planetary Health

Commentary/Editorial| Commentaire/Éditorial

 

Lessons From Tuberculosis Control for COVID-19: Screening Should Be Universal

Thébaud-Mony,  A,  Turshen, et al

New Solut

Commentary/Editorial| Commentaire/Éditorial

 

Caring for patients in a new pandemic: the necessity and challenges of observational research

Thomas,  DL

J Clin Invest

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 Pandemic Control: Lessons Learned From Hai Phong City, Vietnam

Tran,  TC,  Ngo, et al

Asia Pac J Public Health

Commentary/Editorial| Commentaire/Éditorial

 

Rapid Scaling Up of Covid-19 Diagnostic Testing in the United States - The NIH RADx Initiative

Tromberg,  BJ,  Schwetz, et al

N Engl J Med

Commentary/Editorial| Commentaire/Éditorial

 

Brazilian primary and secondary public oral health attention: are dentists ready to face COVID-19 Pandemic?

Vieira-Meyer,  Apgf,  Coutinho, et al

Disaster Med Public Health Prep

Commentary/Editorial| Commentaire/Éditorial

 

Psychological intervention in Fangcang shelter hospitals for COVID-19 in China

Wang,  Y,  Tang, et al

Psychiatry Clin Neurosci

Commentary/Editorial| Commentaire/Éditorial

 

Current Data Gaps in Modelling Essential Worker Absenteeism due to COVID-19

White,  Z,  Schlegelmilch, et al

Disaster Med Public Health Prep

Commentary/Editorial| Commentaire/Éditorial

 

Impact of COVID-19 on stoma care: the experience of one team in Oxford

Woodhouse,  F,  Yeung, et al

Br J Nurs

Commentary/Editorial| Commentaire/Éditorial

 

Susceptibility to COVID-19 in populations with health disparities: Posited involvement of mitochondrial disorder, socioeconomic stress, and pollutants

Yao,  Y,  Lawrence, et al

J Biochem Mol Toxicol

Commentary/Editorial| Commentaire/Éditorial

 

[Conduct vaccines clinical trials and optimize the immunization strategies]

Yin,  ZD

Zhonghua Yu Fang Yi Xue Za Zhi

Commentary/Editorial| Commentaire/Éditorial

 

Responding to COVID-19 requires strong epidemiological evidence of environmental and societal determining factors

Zeka,  Ariana,  Tobias, et al

The Lancet Planetary Health

Commentary/Editorial| Commentaire/Éditorial

 

ACE2: Its potential role and regulation in severe acute respiratory syndrome and COVID-19

Ziai,  SA,  Rezaei, et al

J Cell Physiol

Commentary/Editorial| Commentaire/Éditorial

 

Coronavirus research updates: The immune-cell traits that could predict severe COVID-19

 

Nature

Commentary/Editorial| Commentaire/Éditorial

 

Correction: Unpuzzling COVID-19: tissue-related signaling pathways associated with SARS-CoV-2 infection and transmission

 

Clin Sci (Lond)

Commentary/Editorial| Commentaire/Éditorial

 

 


 

Appendix: Process and definitions. 

 

A daily search for new publications is conducted in PubMed, Scopus, BioRxiv and MedRxiv, SSRN, Research Square, arXiv for all publications related to COVID-19 disease or SARS-CoV-2 using the search terms (COVID-19 OR SARS-CoV-2 OR "novel CoV" OR "novel coronavirus" OR nCoV) adapted to each database.  The capture is cross-referenced with publication announcements on the COVID-19 dashboards set up by a number of publishers and google.  Publishers include Lancet, Elsevier, The New England Journal of Medicine, BMJ, Wiley, Springer Nature, ChinaCDCweekly. Additionally the database is cross-referenced with other literature scans e.g. WHO publication list and activities by collaborators.  Members of the Emerging Sciences group develop 1 -2 point summaries of each publication. Please email Lisa Waddell for additional information: Lisa.Waddell@canada.ca.  References are compiled in a reworks database that has citations since the beginning of the outbreak.  All references can be accessed at this link and by the categories listed below.  The daily scan has also been compiled in an excel sheet and copies can be provided upon request or accessed here.

 

Category Definitions:

Modelling/ prediction: Predictive modeling is a process that uses data mining and probability to forecast outcomes. Each model is made up of a number of predictors, which are variables that are likely to influence future results.

Epidemiology: the branch of medicine which deals with the incidence, distribution, and possible control of diseases and other factors relating to health. Includes Ro, attack rates, case number doubling time, case fatality rate, serial interval, clinical attack rate, asymptomatic fraction, proportion of asymptomatic and infective*

Transmission: The passage of a pathogen causing communicable disease from an infected host to an uninfected host via direct or indirect routes.

Clinical data of cases: Includes clinical parameters such as incubation period, latent period, period of communicability, duration of illness, duration of hospitalization, host risk factors, as well as clinical profiles of patients; presenting symptoms, symptoms over course of illness, sequelae, comorbidities.* 

Surveillance: Public health surveillance is the continuous, systematic collection, analysis and interpretation of health-related data.  Surveillance data will likely be number of cases suspected/confirmed, number of deaths, number recovered. *

Coronavirology: All research relating to the virus; its characteristics, genetic make-up, phylogenetic analyses  

Diagnostics / Pathogen detection:  All studies on identification of the virus; culture, PCR, antibody/antigen tests etc.

Therapeutics: Studies of substances that may be used to treat infected hosts including passive immunization products.

Vaccine Research:  Studies of vaccine candidates to prevent infection with 2019-nCoV including clinical trials.

Public Health Priorities: These citations will focus on what the current research priorities are and/or where knowledge gaps exist.

Public Health interventions*: Any study evaluating how effective a public health intervention is or maybe (in the case of a predictive model).

Public Health response: These papers are typically overviews of past and current activities, they often also identify knowledge gaps and suggest future activities or objectives.

Infection Prevention and Control/ Prévention et contrôle des infections (IPAC/PCI): Any research on the effectiveness of IPC interventions should also be tagged as IPC

Health care Response: This foci would include a description of activities to deal with 2019-nCoV cases including, but not limited to:  set up of a special emergency multi-disciplinary intensive care team; Bed and medical equipment preparation/ stock piling supplies; Education and training of staff; Early case recognition and classification of disease severity.

Economics: papers discussing/ forecasting the economics of COVID-19 pandemic.

Immunology:

Animal Model:

Zoonotic: all literature discussing the transmission to and from or occurrence of naturally acquired SARS-COV-2 infection in animals. 

Review LiteratureAll articles that summarize the published literature can be tagged as a review.  This includes systematic review, meta-analysis, scoping review, overviews, umbrella reviews*

Commentary/Editorial: For commentaries, editorials, letters to the editor, other types of opinion pieces where there is no new data collected by the author or analysis conducted by the author, please tag these within the commentary category.

News articles that have not scientific information.

*Lists are not exhaustive

Annexe: Processus et définitions. 

 

Une recherche quotidienne des nouvelles publications est effectuée dans PubMed, Scopus, BioRxiv and MedRxiv, SSRN, Research Square, arXiv pour toutes les publications relatives à la maladie COVID-19 ou au SRAS-CoV-2 en utilisant les termes de recherche (COVID-19 OU SARS-CoV-2 OU « novel CoV » OU « novel coronavirus » OU nCoV).  La saisie renvoie à des annonces de publication sur les tableaux de bord du nCoV mis en place par un certain nombre d'éditeurs et par Google.  Parmi les éditeurs figurent Lancet, Elsevier, The New England Journal of Medicine, BMJ, Wiley, Springer Nature, ChinaCDCweekly.  En outre, la base de données renvoie à d'autres survols de publications, e.g. la liste des publications de l'OMS, et à des activités des collaborateurs.  Les membres du groupe scientifique émergent préparent des résumés en 1 ou 2 points de chaque publication. Pour en savoir plus, veuillez envoyer un courriel à Lisa Waddell au : Lisa.Waddell@canada.ca.  Les références sont compilées dans une base de données Refworks qui contient des citations depuis le début de l'épidémie.  Toutes les références sont accessibles à partir de ce lien et par les catégories énumérées ci-dessous. L'analyse quotidienne a également été compilée dans une feuille Excel et des copies peuvent être fournies sur demande ou consultées ici.

 

Définitions des catégories :

Modélisation / prédiction : La modélisation prédictive est un processus qui utilise l'exploration de données et la probabilité pour prévoir les résultats. Chaque modèle est composé de plusieurs prédicteurs, qui sont des variables susceptibles d'influencer les résultats futurs.

Épidémiologie : Branche de la médecine qui traite de l'incidence, de la répartition et du contrôle éventuel des maladies et d'autres facteurs liés à la santé. Comprend le taux de reproduction de base (Ro), les taux d'attaque, le temps de doublement du nombre de cas, le taux de létalité, l'intervalle sériel, le taux d'attaque clinique, la fraction asymptomatique, la proportion de cas asymptomatiques et infectieux*.

Transmission : Passage d'un agent pathogène causant une maladie transmissible d'un hôte infecté à un hôte non infecté par des voies directes ou indirectes.

Données cliniques des cas : Comprend les paramètres cliniques tels que la période d'incubation, la période de latence, la période de contagiosité, la durée de la maladie, la durée de l'hospitalisation, les facteurs de risque de l'hôte, ainsi que les profils cliniques des patients; les symptômes présentés, les symptômes au cours de la maladie, les séquelles, les comorbidités.* 

Surveillance : La surveillance de la santé publique est la collecte, l'analyse et l'interprétation continues et systématiques de données relatives à la santé.  Les données de surveillance concerneront probablement le nombre de cas suspects / confirmés, le nombre de décès, le nombre de personnes guéries. *

Coronavirologie : Toutes les recherches relatives au virus, ses caractéristiques, sa constitution génétique et les analyses phylogénétiques.  

Diagnostics / Détection d'agents pathogènes : Toutes les études sur l'identification du virus : culture, PCR, tests de dépistage d'anticorps ou d’antigènes, etc.

Thérapeutique : Étude des substances pouvant être utilisées pour traiter les hôtes infectés, y compris les produits d'immunisation passive.

Recherche sur les vaccins : Études des candidats à la vaccination pour prévenir l'infection par le 2019-nCoV, y compris des essais cliniques.

Priorités de santé publique : Ces citations porteront sur les priorités actuelles de recherche et/ou sur les lacunes dans les connaissances.

Interventions de santé publique* : Toute étude évaluant l'efficacité (réelle ou possible) d'une intervention de santé publique (dans le cas d'un modèle prédictif).

Réponse de la santé publique : Ces articles sont généralement des aperçus des activités passées et actuelles, qui identifient souvent les lacunes dans les connaissances et suggèrent des activités ou des objectifs futurs.

Prévention et contrôle des infections/Infection Prevention and Control (PCI/IPAC) : Les recherches sur l'efficacité des interventions en PCI doivent également être marquées comme PCI.

Réponse des soins de santé : Ce point comprendrait une description des activités pour traiter les cas de 2019-nCoV, notamment :  mise en place d'une équipe multidisciplinaire spéciale de soins intensifs d'urgence; préparation des lits et des équipements médicaux / stockage des fournitures; sensibilisation et formation du personnel; reconnaissance précoce des cas et classification de la gravité de la maladie.

Immunologie :

Modèle animal:

Zoonotic: all literature discussing the transmission to and from or occurrence of naturally acquired SARS-COV-2 infection in animals. 

Économie: documents discutant / prévoyant l'économie de la pandémie de COVID-19

Revue de la documentation Tous les articles qui résument les documents publiés peuvent être marqués comme une revue.  Cela comprend les revues systématiques, les méta-analyses, les études de la portée, les aperçus, les examens généraux*.

Commentaires/Éditorial : Pour les commentaires, éditoriaux, lettres à la rédaction, autres types d'articles d'opinion pour lesquels aucune nouvelle donnée n'est collectée ou aucune analyse n'est effectuée par l'auteur, veuillez les marquer dans la catégorie des commentaires.

journaux Articles de presse qui n'ont pas d'informations scientifiques.

* Les listes ne sont pas exhaustives