Subject: Daily Scan of COVID-19 Scientific Publications / survol journalier des publications scientifiques du COVID-19, 2020-10-02

 

Good afternoon,

There are 396 citations in today’s scan. 268 were considered primary research or review literature.

Highlights today include:

 

CANADA

·       Snider et al use AI and statistical models to predict COVID-19 mortality in Ontario. Using datasets from Public Health Ontario and Public Health Agency of Canada accuracies of 0.9056 and 0.935 are achieved. AI’s demonstrate improved medical practice has occurred and age is now the biggest factor in mortality risk.

PUBLIC HEALTH INTERVENTIONS

·       Amuedo-Dorantes et al use county-level data on COVID-19 mortality and infections, along with county-level information on the adoption of non-pharmaceutical interventions (NPIs) in the United States to examine how the speed of NPI adoption affected COVID-19 mortality. Their estimates suggest that advancing the date of NPI adoption by one day lowers the COVID-19 death rate by 2.4 percent. They also find that the adoption speed of NPIs is associated with lower infections, as well as lower non-COVID mortality, suggesting that these measures slowed contagion and the pace at which the healthcare system might have been overburdened by the pandemic.

·       VoPham, et al. modeled associations between county-level social distancing and COVID-19 incidence and mortality. Each unit increase in social distancing was associated with a 26% decrease (p<0.0001) in COVID-19 incidence and a 31% decrease (p<0.0001) in COVID-19 mortality. Percent crowding, non-white population, and median household income, were all statistically significant modifiers of the associations between objective social distancing and incidence and mortality.

EPIDEMIOLOGY

·       Rezwan et al conducted a prospective cross-sectional seroprevalence study in September 2020 in Karachi, Pakistan to see if Karachi had reached the threshold of herd immunity. A total of 2404 subjects’ blood samples were received from healthcare workers, the industrial workforce, and healthy blood donors. Seroprevalence in industrial workers was highest (70%) as compared to healthcare workers (40%). Overall seropositivity in males (39%) was higher than females (16%). Blood donors (all males) showed a seropositivity of 37.8%. Total cases of antibody-positive were 1322 of 2100 (55 %). There was a sharp rise from 36% reported previously in July.

·       Sagar et al. Suggested that patients with a previously detected endemic coronaviruses (eCoVs) can have less severe COVID-19 illness. The authors suggested that pre-existing immune responses against endemic human coronaviruses can mitigate disease manifestations from SARS-CoV-2 infection.

·       Barzin et al. aimed at determining the asymptomatic spread of SARS-CoV-2 in a suburban, Southern U.S. population during a period of state restrictions and physical distancing mandates. The first cohort study, named ScreenNC, was comprised of outpatient clinics, and the second cohort study, named ScreenNC2, was comprised of inpatients unrelated to COVID-19. ScreenNC identified 24 out of 2,973 (0.8%) positive individuals among asymptomatic participants accessing health care. ScreenNC2 identified 10 out of 1,449 (0.7%) positive participants.

·       Frithiof et al. Authors find that urinary secretion of SARS-COV-2 is scarce in critically ill COVID-19 patients. In this cohort, SARS-CoV-2 RNA was not more frequently detected in urine of patients that died or developed acute kidney injury. This suggests that determining viral presence in urine will not aid in predicting or grading renal dysfunction or severity of disease in COVID-19. Our findings do not support direct renal SARS-COV-2 infection as an important mechanism of COVID-19-induced AKI, since renal infection likely would result in viral shedding in urine and thus a higher frequency of PCR positivity in urine of patients with AKI.

·       Wang, et al. compared the differences of clinical features and outcomes between imported and non-imported COVID-19 patients. The proportion of asymptomatic patients in the non-imported group was significantly higher than that in the imported group (18.9% vs. 3.8%, p=0.016), and the proportions of symptoms of fever, sore throat and diarrhea in the non-imported group were all lower than those in the imported group (p≤0.048).

VACCINE RESEARCH

·       Sahin et al. reported safety, tolerability and antibody response data from an ongoing placebo-controlled, observer-blinded phase 1/2 COVID-19 vaccine trial with BNT162b1, a lipid nanoparticle (LNP) formulated nucleoside-modified messenger RNA (mRNA) encoding the receptor binding domain (RBD) of the SARS-CoV-2 spike protein(1). The robust RBD-specific antibody, T-cell and favourable cytokine responses induced by the BNT162b1 mRNA vaccine suggest multiple beneficial mechanisms with potential to protect against COVID-19.

DIAGNOSTICS

·       Ozlem et al describe an ultra-rapid SARS-CoV-2 test method based on DP Loop amplification for onsite testing. The test requires no sample transport, minimal sample manipulation, can be performed by unlicensed individuals, returns results on the spot in much less than one hour, and costs no more than a few dollars.This test has been thoroughly validated, for nasal swabs its limit of detection is approximately 200 copies of virus and for saliva 100 copies.

 

 

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, Irene Yong, Drew Greydanus, Shalane Ha, Alex Gilbert, Jessie Varga, Vanessa Zubach, Meenu Sharma, Kristyn Burak

 

 

 Daily Scan of COVID-19 Scientific Publications / Survol journalier des publications scientifiques du COVID-19		02/10/2020
 


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

Perception and attitude of healthcare workers in Saudi Arabia with regard to Covid-19 pandemic and potential associated predictors

Abolfotouh,  MA,  Almutairi, et al

BMC Infect Dis

Healthcare Response | Réponse des soins de santé

In a cross-sectional study, HCWs at three tertiary hospitals in Saudi Arabia were surveyed via email with an anonymous link, by a concern scale about Covid-19 pandemic during 15–30 April, 2020. A total of 844 HCW responded to the survey.  40.3% were nurses, 58.2% had direct patient contact, and 77.3% were living with others. Three-fourth of respondents felt at risk of contracting Covid-19 infection at work, 69.1% felt threatened if a colleague contracted Covid-19, 69.9% felt obliged to care for patients infected with Covid-19 while 27.7% did not feel safe at work using the standard precautions available. Nearly all HCWs believed that the government should isolate patients with Covid-19 in specialized hospitals (92.9%), agreed with travel restriction to and/or from areas affected by Covid-19 (94.7%) and felt safe the government implemented curfew and movement restriction periods (93.6%). Predictors of high concern scores were; HCWs of Saudi nationality (p < 0.001), younger age (p = 0.003), undergraduate education (p = 0.044), living with others (p = 0.003) working in the western region (p = 0.003) and direct contact with patients (p = 0.018).

Knowledge and practice of physicians during COVID-19 pandemic: a cross-sectional study in Lebanon

Abou-Abbas,  L,  Nasser, et al

BMC Public Health

Healthcare Response | Réponse des soins de santé

A cross-sectional study was conducted in Lebanon between 28th March and 11th April 2020. Data was collected through an online survey. Our survey revealed that the majority of Lebanese physicians had good knowledge about the disease (89.5%) while approximately half of the respondents adopted good preventive practices (49.7%). The odds of having good knowledge was 2.16 times higher among physicians aged 40 and above (adjusted OR = 2.16 with a 95% confidence interval (CI) of 1.08 to 4.34) compared to their counterparts aged less than 40 years old. Our results also showed that the odds of good practice was 2 times higher among frontline compared to the second line workers (adjusted OR = 2.01 with 95% CI of 1.21 to 3.34). Physicians with an experience of 10 years and above were 3.35 times more likely to have good practice compared to their counterparts (adjusted OR = 3.35 with 95% CI of 1.60 to 7.02). Finally, participants with good knowledge of COVID-19 were 2.04 times more likely to have a good practice (OR = 2.04 with 95% CI of 1.01 to 4.12).

COVID-CT-MD: COVID-19 Computed Tomography (CT) Scan Dataset Applicable in Machine Learning and Deep Learning

Afshar,  Parnian,  Heidarian, et al

arXiv

Clinical data| Données cliniques

This paper introduces a new COVID-19 CT scan dataset, referred to as COVID-CT-MD, consisting of not only COVID-19 cases, but also healthy and subjects infected by Community Acquired Pneumonia (CAP). COVID-CT-MD dataset, which is accompanied with lobe-level, slice-level and patient-level labels, has the potential to facilitate the COVID-19 research, in particular COVID-CT-MD can assist in development of advanced Machine Learning (ML) and Deep Neural Network (DNN) based solutions.

Current Status in Bangladesh

Ahasan,  Ahasan,  Uddin, et al

SSRN- Lancet prepublication

Epidemiology| Épidémiologie

The major objective of this observation was compared present situation of active cases, death and recovery of people against COVID-19 of Bangladesh and make comparison with different geological located countries like United States, Canada, Mexico, Italy, Spain, France, Germany, United Kingdom, Russia, India, Pakistan, South Korea, Turkey, Saudi Arabia, Qatar and Bangladesh in the world. Up to 19 June, total tests, infection, recovered and died was 550567, 100703, 26005 and 1355 in Bangladesh. The total infestation, recovered and death were less than the selective countries of the world. Daily mortality percentage rate was less than 1% where month wise mortality rate was 12.24488, 2.0678, 1.3073 and 1.2658 % in March, April, May and 19 June, 2020; respectively in Bangladesh. The morality of Bangladesh was lower than the other selective countries of different geological location. Month wise recovered rate was 51.0204, 1.6834, 21.3574 and 31.5782 % in March, April, May and 19 June, 2020; respectively in Bangladesh.

Host range projection of SARS-CoV-2: South Asia perspective

Ahmed,  Rasel,  Hasan, et al

bioRxiv

Coronavirology| Coronavirologie

We used diversity analysis of the angiotensin I converting enzyme 2 (ACE2) that serves as cellular receptor for SARS-CoV-2 and transmembrane protease serine 2 (TMPRSS2), which has been proved to be utilized by SARS-CoV-2 for spike protein priming. We also simulated the structure of receptor‐binding domain of SARS-CoV-2 spike protein (SARS-CoV-2 S RBD) with the ACE2s to investigate their binding affinity to determine the potential intermediate animal hosts that could spread the SARS-CoV-2 virus to humans in South Asia. We identified cow, buffalo, goat and sheep, which are predominant species in the household farming system in South Asia that can potentially be infected by SARS-CoV-2. All the bird species studied along with rat and mouse were considered less potential to interact with SARS-CoV-2. The interaction interfaces of SARS-CoV-2 S RBD and ACE2 protein complex suggests pangolin as a potential intermediate host in SARS-CoV-2. Our results provide a valuable resource for the identification of potential hosts for SARS-CoV-2 in South Asia and henceforth reduce the opportunity for a future outbreak of COVID-19.

Investigation of the Effect of COVID-19 Outbreak on Physical Activity, Perceived Stress, Physical Activity Awareness and Exercise Barriers: A National Study

Akçay,  Burçin,  Gökmen, et al

SSRN- Lancet prepublication

Public Health response| Interventions de santé publique

This study investigated the effect of COVID-19 on physical activity, perceived stress, awareness of physical activity, and exercise barriers nationally. Evaluation was made of 1087 participants aged 18-76 years. During the COVID-19 outbreak, 70% of Turkish adults had inadequate physical activity, which was a higher rate than national and global prevalence. It was observed that the perceived stress level was different in terms of PA levels (F: 23·948, p <0·001), and individuals with vigorous-intensity PA levels had lower stress levels, and individuals with low-intensity PA levels had higher stress levels. The stress levels (p <0·001) and inactivity levels (p <0·001) of females were higher than those of males, and the 18-29 age group had a higher stress level than other age groups (p <0·001). Although more than 50% of the participants had high physical activity awareness, only 22·40% were exercising.

Conservative Management of Acute Appendicitis In The Era Of COVID 19: A Multicenter prospective observational study at The United Arab Emirates

Al Hashmi,  FatimaY,  Al Zuabi, et al

medRxiv

Healthcare Response | Réponse des soins de santé

We propose herein to evaluate the impact of implementing conservative management as an alternative approach to surgical appendectomy in the treatment of proven acute appendicitis during COVID19 pandemic.  Our study is a prospective multicenter study that includes a cohort of 160 patients admitted to the surgical departments in both Tawam Hospital and Sheikh Shakhbout Medical City, Abu Dhabi, UAE, for the period from February 2020 till July 2020. Our results showed that 56 of our patients (35%) were treated conservatively, while the other 104 (65%) underwent operative management. There was a significant decrease in length of hospital stay (LOS) (2.32 days) among the first group compared to the second (2.8 days). Also, short term follow-up showed that 90% of those patients did not require further operative intervention or developed any serious complications. Out of the 110 patients that were swapped for COVID19, nine (8.18%) were confirmed to be positive. Our protocol was to avoid surgical management for COVID19 positive patients unless indicated. This resulted in (8/9) of COVID19 positive patients to be treated conservatively. Follow up was achieved by using telemedicine-based follow-up with the aim of empowering social distancing and reducing risk of viral exposure to patients as well as the health care providers. In conclusion, our results showed that the implementation of conservative management in treating patients with acute appendicitis who were COVID19 positive is a safe and feasible approach that maybe essential in reducing viral transmission risks as well as avoiding operative risks on COVID19 positive patients.

The Enemy Within: Sudden Onset Reversible Cardiogenic Shock with Biopsy Proven Cardiac Myocyte Infection by SARS-CoV-2

Albert,  CL,  Carmona-Rubio, et al

Circulation

Clinical data| Données cliniques

We report a case of rapid onset, reversible, acute heart failure from SARS-CoV-2 infection presenting as isolated cardiogenic shock. The endomyocardial biopsy (EMB) demonstrated direct viral infection of the myocardium and myocardial inflammatory cells. While these finding do not conclusively prove a cause and effect relationship between SARS-CoV-2 and cardiac dysfunction, this is the first demonstration of viral particles present in the myocytes in the context of isolated acute systolic dysfunction with subsequent recovery.

Well-Being Effects of Novel Coronavirus Pneumonia (Covid-19): Moderating Role of Age

Aliyev,  Khatai

SSRN- Lancet Publication

Public Health response| Interventions de santé publique

Outbreak of novel coronavirus pneumonia (COVID-19) is a big threat to social and economic life throughout the world. Increasing number of cases and death as well as social isolation measures against diffusion of the pandemic are predicted to lower subjective well-being of individuals. Using survey data integrated with daily COVID-19 outcomes, the research aims to identify well-being effects of pandemic among Azerbaijan population while considering moderating role of age. Empirical findings reveal significant negative well-being impact for youth which disappears in response to age increase. Meanwhile, the pandemic could have a larger well-being effect through economic effects like fall in perceived income adequacy. Public policy makers should consider direct and indirect well-being effects of COVID-19 over youth and people with lower perceived income adequacy.

Racial Disparities in Frontline Workers and Housing Crowding During COVID-19: Evidence from Geolocation Data

Almagro,  Milena,  Coven, et al

SSRN- Lancet Publication

Healthcare Response | Réponse des soins de santé

We document that racial disparities in COVID-19 in New York City stem from patterns of commuting and housing crowding. During the initial wave of the pandemic, out- of-home activity related to commuting is strongly associated with COVID-19 cases at the ZIP Code level and hospitalization at an individual level. After layoffs of essential workers decreased commuting, case growth continued through household crowding. A larger share of individuals in crowded housing or commuting to essential work are Black, Hispanic, and lower-income. As a result, structural inequalities, rather than population density, help determine the cross-section of COVID-19 risk exposure in urban areas.

An Affordable Anti-SARS-COV-2 Spike Protein Elisa Test for Early Detection of IgG Seroconversion Suited for Large-Scale Surveillance Studies in Low-Income Countries

Alvim,  RenataGF,  Lima, et al

SSRN- Lancet Publication

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

Trimeric SARS-COV-2 spike (S) protein was produced in serum-free, suspension-adapted HEK293 cells. Highly purified S protein was used to develop an ELISA, named S-UFRJ test. The S-UFRJ ELISA displayed 98.4% specificity and sensitivity above 90% already 10 days after symptoms onset, allowing early detection of anti-S IgG seroconversion. The overall cost per test was estimated to be approximately one US dollar.

Behavior change due to COVID-19 among dental academics-The theory of planned behavior: Stresses, worries, training, and pandemic severity

Ammar,  N,  Aly, et al

PLoS One

Healthcare Response | Réponse des soins de santé

Authors assessed the psychological impact of COVID-19 on dental academics globally and on changes in their behaviours. COVID-19 had a considerable psychological impact on dental academics.

Is the Cure Worse than the Disease? County-Level Evidence from the COVID-19 Pandemic in the United States

Amuedo-Dorantes,  Catalina,  Kaushal, et al

SSRN- Lancet Publication

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

Using county-level data on COVID-19 mortality and infections, along with county-level information on the adoption of non-pharmaceutical interventions (NPIs) in the United States, we examine how the speed of NPI adoption affected COVID-19 mortality. Our estimates suggest that advancing the date of NPI adoption by one day lowers the COVID-19 death rate by 2.4 percent. This finding proves robust to alternative measures of NPI adoption speed, model specifications that control for testing and mobility, and across various samples: national, restricted to the Northeast region, excluding New York, and excluding the Northeast region. We also find that the adoption speed of NPIs is associated with lower infections, as well as lower non-COVID mortality, suggesting that these measures slowed contagion and the pace at which the healthcare system might have been overburdened by the pandemic. Finally, NPI adoption speed appears to have been less relevant in Republican counties, suggesting that political ideology might have compromised their efficiency.

Seasonal Incidence of Respiratory Viral Infections in Telangana, India: Utility of a Multiplex PCR assay to Bridge the Knowledge Gap

Anand,  M,  Pavani, et al

Trop Med Int Health

Epidemiology| Épidémiologie

Authors utilize a commercial Multiplex PCR assay for the early diagnosis of acute respiratory tract infections including COVID-19 and discuss their epidemiology. Multiplexed PCR may be used as first line for diagnosis of viral infections so that infection control measures can be prioritized and antibiotic administration can be avoided in those who do not require it.

PMC7520380; Incidence and determinants of high-sensitivity troponin and natriuretic peptides elevation at admission in hospitalized COVID-19 pneumonia patients

Arcari,  L,  Luciani, et al

Intern Emerg Med

Clinical data| Données cliniques

The aim of the present study is to undertake a joint evaluation of hs-Troponin and natriuretic peptides (NP) in patients hospitalized for COVID-19 pneumonia. Myocardial involvement at admission is common in COVID-19 pneumonia. Independent associations of hs-Troponin with markers of disease severity and of NP with underlying CVD might point toward existing different mechanisms leading to their elevation in this setting.

Sanitation Practices during Early Phases of COVID-19 Lockdown in Peri-Urban Communities in Tamil Nadu, India

Ashraf,  S,  Kuang, et al

Am J Trop Med Hyg

Public Health response| Interventions de santé publique

Authors assessed changes in reported defecation practices in peri-urban communities in Tamil Nadu during COVID-19. The lack of private toilets contributes to the need to leave the house amid a lockdown. Maintaining shared toilets require disinfection protocols and behavioral precautions to limit the risk of fomite transmission.

Prolonged Infectious SARS-CoV-2 Shedding from an Immunocompromised Patient

Avanzato,  VictoriaA,  Matson, et al

SSRN- Lancet Publication

Epidemiology| Épidémiologie Clinical data| Données cliniques

Long-term SARS-CoV-2 shedding was observed from the upper respiratory tract of an immunocompromised patient with chronic lymphocytic leukemia and acquired hypogammaglobulinemia. Shedding of SARS-CoV-2 genomic and subgenomic RNA was observed up to 105 days, and infectious virus up to 70 days past the initial diagnosis. Our data indicate that certain immunocompromised patients may shed infectious virus for longer durations than previously recognized. Detection of of subgenomic RNA is recommended in persistently SARS-CoV-2 positive individuals as a proxy for shedding of infectious virus.

The association of treatment with hydroxychloroquine and hospital mortality in COVID-19 patients

Ayerbe,  L,  Risco-Risco, et al

Intern Emerg Med

Clinical data| Données cliniques Therapeutics| Thérapeutique

This study investigates the association between the treatment with hydroxychloroquine and mortality in patients admitted with COVID-19. Routinely recorded, clinical data, up to the 24th of April 2020, from the 2075 patients with COVID-19, admitted in 17 hospitals in Spain between the 1st of March and the 20th of April 2020 were used. Hydroxychloroquine had been used in 1857 patients. Hydroxychloroquine was associated with lower mortality when the model was adjusted for age and gender, with OR (95% CI): 0.44 (0.29–0.67). This association remained significant when saturation of oxygen < 90% and temperature > 37 °C were added to de model with OR 0.45 (0.30–0.68) p < 0.001, and also when all the other drugs, and time of admission, were included as covariates.

Exploration of the Pregnant Women's Experiences During COVID-19 Disease Crisis: A Qualitative Study

Bakouei,  Fatemeh,  Nikpour, et al

SSRN- Lancet Publication

Public Health response| Interventions de santé publique

The study was conducted to explain the pregnant women's experiences during COVID-19 disease crisis. The qualitative study was conducted with conventional content analysis. Pregnant women selected with purposive sampling from six urban health centers in Babol (North of Iran).  The semi structured individual interviews were done by telephone from May 03 to June 10, 2020. We recruited twelve pregnant women until data saturation. Three theme categories extracted from data analysis. The first was "unpleasant feelings during pregnancy", second category was "adjusted lifestyle" and the third category was “safe pregnancy care”. The pregnant women experienced unpleasant feelings in this crisis; therefore, they should receive the necessary consulting to maintain mental health. All pregnant women reported some changes in their lifestyle and pregnancy care in order to health considerations to prevent the disease. Regular training for all pregnant women is necessary to manage this important pregnancy period while maintaining the maternal and fetal health in crisis.

Evaluation of high-throughput SARS-CoV-2 serological assays in a longitudinal cohort of mild COVID-19 patients: sensitivity, specificity and association with virus neutralization test

Bal,  Antonin,  Pozzetto, et al

medRxiv

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

We evaluated widely-used SARS-CoV-2 serological tests and their potential association with virus neutralization test (VNT) in a cohort of mild COVID-19 patients. A total of 439 specimens were longitudinally collected from 76 healthcare workers with RT-PCR-confirmed mild COVID-19. Nine serological assays developed by leading global companies (Abbott, DiaSorin, Siemens, Bio-Rad, Wantai, bioMerieux, Euroimmun) were assessed. For each test the sensitivity to detect SARS-CoV-2 antibodies was determined weekly after symptom onset. Correlation and concordance were assessed using the Spearman and Cohen Kappa coefficients, respectively. Positive percent agreement and negative percent agreement (NPA) with the VNT were also determined. Results: The Wantai Total Ab assay targeting the receptor binding domain (RBD) within the S protein presented the best sensitivity at different times during the course of disease. The best correlation between antibody level and neutralizing antibody titer was found with the Euroimmun S1-based IgA assay (Spearman coefficient 95%CI]: 0.71 0.61-0.79]). A moderate concordance (Kappa 95%CI]: 0.430.23-0.63]) as well as the lowest NPA (33%) was found between the Wantai Total Ab assay and the VNT. Compared to the Wantai Total Ab assay, other total Ab or IgG assays targeting the S or the RBD (bioMerieux, DiaSorin, Siemens,) were more concordant with the VNT (Kappa>0.7 for the three tests) and had a higher NPA (range: 90% to 97%). Although some assays presented a better concordance with VNT than others, the present findings emphasize that commercialized serological tests including those targeting the RBD cannot substitute VNT for the assessment of functional antibody response.

BANCOVID, the first D614G variant mRNA-based vaccine candidate against SARS-CoV-2 elicits neutralizing antibody and balanced cellular immune response

Baray,  Juwel Chandra,  Khan, et al

bioRxiv

Vaccine Research| Recherche sur les vaccins

Recent data showed that D614G genotype of the virus is highly infectious and responsible for almost all infection for 2nd wave. Despite of multiple vaccine development initiatives, there are currently no report that has addressed this critical variant D614G as vaccine candidate. Here we report the development of an mRNA-LNP vaccine considering the D614G variant and characterization of the vaccine in preclinical trial. The surface plasmon resonance (SPR) data with spike protein as probe and competitive neutralization with RBD and S2 domain revealed that immunization generated specific antibody pools against the whole extracellular domain (RBD and S2) of the spike protein. The anti-sera and purified IgGs from immunized mice on day 7 and 14 neutralized SARS-CoV-2 pseudovirus in ACE2-expressing HEK293 cells in a dose dependent manner. Importantly, immunization protected mice lungs from pseudovirus entry and cytopathy. The immunologic responses have been implicated by a balanced and stable population of CD4+ cells with a Th1 bias. The IgG2a to IgG1 and (IgG2a+IgG2b) to (IgG1+IgG3) ratios were found 0.8-1.2 and 1.14-1.34, respectively. These values are comparatively higher than relevant values for other published SARS-CoV-2 vaccine in development,1,2 and suggesting higher viral clearance capacity for our vaccine. The data suggested great promise for immediate translation of the technology to the clinic.

PMC7521863; Fibrotic progression and radiologic correlation in matched lung samples from COVID-19 post-mortems

Barisione,  E,  Grillo, et al

Virchows Arch

Clinical data| Données cliniques

The primary aim of the study is to describe the chronology of lung pathologic changes in COVID-19 by using a post-mortem transbronchial lung cryobiopsy approach. Histopathologic analysis was performed on thirty-nine adequate samples from eight patients: two patients (illness duration < 14 days) showed early/exudative phase diffuse alveolar damage, while the remaining 6 patients (median illness duration—32 days) showed progressive histologic patterns (3 with mid/proliferative phase; 3 with late/fibrotic phase diffuse alveolar damage, one of which with honeycombing). Immunohistochemistry for SARS-CoV-2 nucleocapsid protein was positive predominantly in early-phase lesions. Histologic patterns and tomography categories were correlated: early/exudative phase was associated with ground-glass opacity, mid/proliferative lesions with crazy paving, while late/fibrous phase correlated with the consolidation pattern, more frequently seen in the lower/middle lobes.

Undetectable viral RNA in oocytes from SARS-CoV-2 positive women

Barragan,  M,  Guillén, et al

Hum Reprod

Clinical data| Données cliniques

A central concern for the safe provision of ART during the current coronavirus disease 2019 (CODIV-19) pandemic is the possibility of vertical transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection through gametes and preimplantation embryos. Unfortunately, data on SARS-CoV-2 viral presence in oocytes of infected individuals are not available to date. We describe the case of two women who underwent controlled ovarian stimulation and tested positive to SARS-CoV-2 infection by PCR on the day of oocyte collection. The viral RNA for gene N was undetectable in all the oocytes analyzed from the two women.

SARS-CoV-2 Seroprevalence among a Southern U.S. Population Indicates Limited Asymptomatic Spread under Physical Distancing Measures

Barzin,  A,  Schmitz, et al

mBio

Epidemiology| Épidémiologie Immunology | Immunologie

This study was aimed at determining asymptomatic spread of SARS-CoV-2 in a suburban, Southern U.S. population during a period of state restrictions and physical distancing mandates.To estimate point seroprevalence of SARS-CoV-2 among asymptomatic individuals over time, two cohort studies were examined. The first cohort study, named ScreenNC, was comprised of outpatient clinics, and the second cohort study, named ScreenNC2, was comprised of inpatients unrelated to COVID-19. ScreenNC identified 24 out of 2,973 (0.8%) positive individuals among asymptomatic participants accessing health care during 28 April to 19 June 2020, which was increasing over time. A separate cohort, ScreenNC2, sampled from 3 March to 4 June 2020, identified 10 out of 1,449 (0.7%) positive participants.

Evaluation of Oxygenation in 129 Proning Sessions in 34 Mechanically Ventilated COVID-19 Patients

Berrill,  M

J Intensive Care Med

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

129 proning sessions were identified in 34 consecutively prone patients admitted to the intensive care unit at a single center in the United Kingdom. Paired analysis of the partial pressure of arterial oxygen(PaO2): fraction of inspired oxygen(FiO2) ratio (PF ratio) (n = 89) and FiO2 (n = 129) was recorded within 3 hours of both the initiation and termination of PP and differences were assessed with the paired Student’s t-test and Wilcoxon Signed-Rank test. Proning improved the PF ratio by 43.5 ± 54.9 from 99.8 ± 37.5 to 151.9 ± 58.9 (43.6% increase) [p < 0.0001] and reduced FiO2 by 0.17 ± 0.2 from 0.68 ± 0.2 to 0.51 ± 0.2 (25% decrease) [p < 0.0001]. 82% of proning maneouveres resulted in an improvement in the PF ratio.

The 'Great Lockdown': Inactive Workers and Mortality by COVID-19

Borri,  Nicola,  Drago, et al

SSRN- Lancet prepublication

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

This paper estimates the causal effects of economic lockdown and closure of all non-essential economic activities on mortality by COVID-19 and on mobility patterns.  Results show that the intensity of the economic lockdown is associated to a statistically significant reduction in mortality by COVID-19 and, in particular, for age groups between 40-64 and older. Calculations indicate that 4,793 deaths were avoided, in the 26 days between April 5 to April 30, in the 3,518 municipalities which experienced a more intense lockdown. Assuming linearity, a 1 percentage point reduction in the share of active population caused a 1.32 percentage points reduction in mortality by COVID-19. Also found that the economic lockdown, as expected, led to a reduction in human mobility.

Experimental infection of domestic dogs and cats with SARS-CoV-2: Pathogenesis, transmission, and response to reexposure in cats

Bosco-Lauth,  A,  Hartwig, et al

Proc Natl Acad Sci U S A

Transmission Immunology | Immunologie Animal model | Modèle animal

We investigated the susceptibility of domestic cats and dogs to infection and potential for infected cats to transmit to naive cats. We report that cats are highly susceptible to infection, with a prolonged period of oral and nasal viral shedding that is not accompanied by clinical signs, and are capable of direct contact transmission to other cats. These studies confirm that cats are susceptible to productive SARS-CoV-2 infection, but are unlikely to develop clinical disease. Further, we document that cats developed a robust neutralizing antibody response that prevented reinfection following a second viral challenge. Conversely, we found that dogs do not shed virus following infection but do seroconvert and mount an antiviral neutralizing antibody response. There is currently no evidence that cats or dogs play a significant role in human infection; however, reverse zoonosis is possible if infected owners expose their domestic pets to the virus during acute infection. Resistance to reinfection holds promise that a vaccine strategy may protect cats and, by extension, humans.

Nation-wide analysis of the impact of Covid-19 pandemic on daily urology practice in Turkey

Bozkurt,  O,  Sen, et al

Int J Clin Pract

Healthcare Response | Réponse des soins de santé

This study aimed to present a nation-wide analysis of the workload of urology departments in Turkey week-by-week during Covid-19 pandemic. Covid-19 pandemic significantly effected the routine daily urological practice likewise other subspecialties and priority was given to emergent and non-deferrable surgeries by urologists in concordance with published clinical guidelines

Accuracy of serological testing for SARS-CoV-2 antibodies: first results of a large mixed-method evaluation study

Brigger,  D,  Horn, et al

Allergy

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

We compared the diagnostic accuracy of serological immunoassays that are based on various SARS-CoV-2 proteins and assessed the neutralizing activity of antibodies in patient sera. Consecutive patients admitted with confirmed SARS-CoV-2 infection were prospectively followed alongside medical staff and biobank samples from winter 2018/2019. An in-house enzyme-linked immunosorbent assay utilizing recombinant receptor-binding domain (RBD) of the SARS-CoV-2 spike protein was developed and compared to three commercially available ELISAs targeting the nucleoprotein (N), the S1 domain of the spike protein (S1) and a lateral flow immunoassay (LFI) based on full-length spike protein. Neutralization assays with live SARS-CoV-2 were performed. One-thousand four-hundred and seventy-seven individuals were included comprising 112 SARS-CoV-2 positives (defined as a positive real-time PCR result; prevalence 7.6%). IgG seroconversion occurred between day 0 and day 21. While the ELISAs showed sensitivities of 88.4% for RBD, 89.3% for S1, and 72.9% for N protein, the specificity was above 94% for all tests. Out of 54 SARS-CoV-2 positive individuals, 96.3% showed full neutralization of live SARS-CoV-2 at serum dilutions ≥1:16, while none of the 6 SARS-CoV-2 negative sera revealed neutralizing activity.

Point-of-Care Inflammatory Phenotyping Predicts Clinical Outcome in COVID-19

Burke,  Hannah,  Freeman, et al

SSRN- Lancet prepublication

Epidemiology| Épidémiologie Clinical data| Données cliniques

In combination with a diagnostic point-of-care test (POCT), we used a rapid multiplex cytokine assay to measure serum IL-6, IL-8, TNF-α, IL-1β, GM-CSF, IL-10, IL-33 and IFN-γ in 101 hospitalised patients with confirmed COVID-19 at admission to University Hospital Southampton. Age over 70 years was the strongest predictor of death (OR 28, 95% CI 5.94, 139.45). Cytokines IL-6, IL-8, TNF-α, IL-1β and IL-33 were significantly associated with adverse outcome in COVID-19. Clinical parameters at admission were predictive of poor outcome (AUROC 0.71), with addition of a combined cytokine panel significantly improving the predictability (AUROC 0.85). In those < 70 years, IL-33 and TNF-α were predictive of poor outcome (AUROC 0.84 and 0.83), and addition of a combined cytokine panel demonstrated greater predictability of poor outcome than clinical parameters alone (AUROC 0.92 vs 0.77).

LUNG ULTRASOUND FINDINGS IN PATIENTS WITH COVID-19 IN AN URBAN EMERGENCY DEPARTMENT IN THE UK

Burkert,  Julia,  Dunlop, et al

medRxiv

Clinical data| Données cliniques

In this retrospective observational study, 12 Zone ultrasound scans of COVID-19 positive patients were systematically analysed for pleural irregularities, subpleural consolidations, B lines, deep consolidations and effusions. Lung abnormalities were analysed according to overall frequency, frequency distribution in coronal and sagittal lung planes and were also correlated to clinical severity groups as determined by oxygenation deficit. Our results show that lung zones with abnormalities can occur juxtaposed to normal lung. Irregular pleural and small subpleural consolidations appear ubiquitously distributed throughout both lungs and occur early in the disease process. Wide B-lines are a predominant feature in COVID-19 infection. B-lines are found in a variety of patterns with number and width correlated to disease severity. In our analysis we also describe a previously unrecognised finding of small peri-pleural effusions in 8.7% of scans occurring in all areas of the lung. The current results form the basis for a more thorough understanding of the lung changes occurring in COVID-19 and the incorporation of lung ultrasound in the setting of COVID-19 infection including triage, diagnosis, treatment approach and prognosis.

Bilateral Facial Nerve Palsy associated with COVID-19 and Epstein-Barr Virus co-infection

Cabrera Muras,  A,  Carmona-Abellán, et al

Eur J Neurol

Clinical data| Données cliniques

A 20-year-old male, with no relevant previous medical history, was admitted due to bilateral facial weakness. Two weeks before, he noticed odynophagia and fever of 39ºC without cough. He associated significant asthenia with headache, myalgia, nausea, and vomiting and he was treated with levofloxacin 500mg qd for 7 days. One week after, during an initial improvement of the respiratory symptoms, he presented acute right facial weakness. He was diagnosed with right peripheral facial palsy and was treated with prednisone 60 mg/24h with a tapering schedule.

The Utility of High-Flow Nasal Oxygen for Severe COVID-19 Pneumonia in a Resource-Constrained Setting: A Multi-Centre Prospective Observational Study

Calligaro,  GregoryL,  Lalla, et al

SSRN- Lancet Publication

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

The utility of heated and humidified high-flow nasal oxygen (HFNO) for severe COVID-19-related hypoxaemic respiratory failure (HRF) remains unclear. We included consecutive patients with COVID-19-related HRF treated with HFNO and awake proning at two tertiary hospitals in Cape Town, South Africa.  The median (IQR) arterial oxygen partial pressure to fraction inspired oxygen ratio (PaO2/FiO2) was 68 (54-92) in 293 enrolled patients. 137/293 (47%) of patients PaO2/FiO2 76 (63-93)] were successfully treated with HFNO. The setting (ICU versus non-ICU) and HIV status were not associated with outcome. In a resource-constrained setting, HFNO for severe COVID-19 HRF is feasible even outside of the ICU and averts death or the need for mechanical ventilation in almost half of those who receive it.

Seroprevalence of SARS-CoV-2 IgG antibodies, in Corsica (France), April and June 2020

Capai,  Lisandru,  Ayhan, et al

medRxiv

Epidemiology| Épidémiologie Immunology | Immunologie

Our aim was to assess the seroprevalence of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection after the lockdown in a sample of the Corsican population. Between 16th April and 15th June 2020, 2,312 residual sera were collected from patients. Prevalence values were adjusted for sex and age. A total of 1,973 residual sera samples were included in the study. The overall seroprevalence based on ELISA-S was 5.27% 95% confidence interval (CI) 4.33-6.35] and 5.46% 4.51-6.57] after adjustment. Gender was not associated with IgG detection. However, significant differences were observed between age groups (p-value = 1 E-5) and particularly for people being younger than 50 years of age (Odd ratio (OR) = 2.86 95% CI 1.80- 4.53]; p-value <0.000001*). The prevalence of neutralizing antibody titers ≥40 was of 3% 2.28-3.84]. In conclusion the present study showed that a low seroprevalence for COVID-19 in Corsica in accordance with values reported for other French regions in which the impact of the pandemic was low.

COVID-19 and radiation oncology: the experience of a two-phase plan within a single institution in central Italy

Caravatta,  L,  Rosa, et al

Radiat Oncol

Healthcare Response | Réponse des soins de santé

In this report, we will focus on a management model covering the two phases of the COVID-19 emergency, namely lockdown-phase I and post-lockdown-phase II.The following steps were taken in the two phases: workload during visits and radiotherapy planning, use of dedicated routes, measures for triage areas, management of suspected and positive COVID-19 cases, personal protective equipment, hospital environments and intra-institutional meetings and tumor board management. By comparing our radiotherapy activity from March 9 to May 4 2019 with the same period in 2020 during full phase I of the COVID-19 emergency, similar results were achieved. First radiotherapy visits, Simulation Computed Tomography and Linear Accelerator treatments amounted to 123, 137 and 151 in 2019 compared with 121, 135 and 170 in 2020 respectively. There were no cases of COVID-19 positivity recorded either in patients or in healthcare professionals, who were all negative to the swab tests performed.

Treatment of COVID-19 atypical pneumonia by early Tocilizumab administration in "non-critically-ill" patients on hemodialysis

Castellano,  G,  Infante, et al

J Nephrol

Clinical data| Données cliniques

Patient 1: A 49-year-old woman on hemodialysis (HD) because of IgA nephropathy was admitted with a dry cough and fever that persisted for 48 h (38.5 °C), without dyspnea; she was found positive to SARS-CoV-2 (RT-PCR assay). Patient 2:  A 36-year-old woman on HD regimen for six years was admitted to our unit with fever (37.2 °C), and a dry cough that started 3 days before admission. Initial evaluation showed O2 saturation 88% in room air, PaO2 of 52 mmHg and positivity to SARS-CoV-2 swab. Patient 3: A 70-year-old male on HD treatment for 12 years with undiagnosed CKD, diabetes mellitus, and dilated cardiomyopathy was admitted with fever and was found positive to SARS-CoV-2. Authors suggest that an approach based on early Tocilizumab administration could improve the outcome of COVID-19 atypical pneumonia in patients on hemodialysis, thereby protecting these frail patients.

Superinfections in patients treated with Teicoplanin as anti-SARSCoV2 agent

Ceccarelli,  G,  Alessandri, et al

Eur J Clin Invest

Epidemiology| Épidémiologie Clinical data| Données cliniques Therapeutics| Thérapeutique

Analysing  bacterial  infections  in  a  retrospective multicentric  cohort  study  enrolling  55  mechanically  ventilated,  SARS-CoV-2  infected  patients treated with best  available  therapy  (BAT) and Tocilizumab. For 34 subjects treatment included also a median of 8 days (range 6-12)  course  of  Teicoplanin  administration.  Tocilizumab  8 mg/kg (up to a maximum of 800 mg/dose) twice with an interval of 12h was administered in all patients. Gram-positive superinfections were less frequent in Teicoplanin-treated  group  than  in  untreated  and  their  incidence  in  Teicoplanin-treated  was  lower  than  that observed in other studies. In particular, among 34 patients treated, 35% (12/34) developed a superinfection  and  only  16%  BSIs  and  6%  bacterial  lung  superinfections  due  to  Gram-positive pathogens.  The  21  Teicoplanin-untreated  patients  had  an  incidence  of  Gram-positive superinfections. Interestingly, we observed a higher number of Gram-negative BSI and VAP probably related with the changes in the  abundance  of  aerobic  bacteria  in  the  intestinal  microbiota  associated  with  administration  of Teicoplanin and SARS-CoV-2 infection

Impact of lockdown on patients with congestive heart failure during the coronavirus disease 2019 pandemic

Chagué,  F,  Boulin, et al

ESC Heart Fail

Epidemiology| Épidémiologie Public Health response| Interventions de santé publique

We analysed the answers of 124 randomly selected ongestive heart failure (CHF) outpatients (mean age 71.0 ± 14.0 years, 60.5% male) interviewed by phone during the sixth and seventh weeks of the lockdown. During the lockdown, psychological distress and decreased well-being were common in CHF outpatients, and there was an increase in unhealthy lifestyle behaviours. These changes may negatively impact short-term and long-term prognoses. Medication adherence was maintained, and limitations in access to care were partly counterbalanced by use of telehealth.

Mobile robotic systems in patient-facing functions: national acceptability survey, single site feasibility study and cost-effectiveness analysis

Chai,  PeterR,  Dadabhoy, et al

medRxiv

Public Health response| Interventions de santé publique Economics | Économie

This pilot feasibility study aims to understand the acceptability of patient-facing mobile robotic systems on a national scale using. This mixed study included an online sampling-based survey, single-site observational clinical trial and development of a decision analytic model. The study took place in a quaternary care, urban, academic, emergency department in Boston, Massachusetts, USA. For the acceptability survey, we recruited N=1000 individuals living in the United States participating in an online sampling from the survey provider YouGov. In the ED study, we enrolled 40 individuals over 18 years old presenting to the ED for evaluation. In the pilot ED study, participants were exposed to a mobile robotic system facilitated triage interview controlled by an emergency medicine clinician. Afterwards, participants completed a survey to measure their satisfaction with the robotic system. Acceptability of mobile robot facilitated tasks in healthcare (national survey), satisfaction with interaction of a robotic system (ED study), number of potential SARS-CoV-2 infections avoided and cost savings (US dollars) per year per ED (decision analytic model). In the national survey, participants rated the use of robotics for a variety of patient-facing healthcare functions useful or very useful. The perceived usefulness increased when asked to consider these functions in the context of the COVID-19 pandemic. In the ED, 40 patients completed study procedures; 92.5% (N=37) reported satisfaction with the robotic system. Most participants (82.5%, N=33) reported their experience being evaluated by a robotic system was as good as an in-person encounter. Our decision analytic model estimated that robotic evaluations could prevent 2.68 infections per ED yearly and save $1 million annually per ED by decreasing PPE and additional staffing in a triage space. Robotic systems were broadly acceptable across the US and their acceptance increased in the setting of COVID-19.

Belief and Behaviour of Mauritian Social Media Users with Respect to COVID-19

Chan Sun,  Marie,  Jeetun, et al

SSRN- Lancet Publication

Public Health response| Interventions de santé publique

This study had two objectives: (1) To determine the behaviour adopted by a random sample of Mauritian social media users in the prevention of Covid-19 infection, and (2) To investigate the belief of participants with respect to the disease.  A cross sectional study, targeting a random sample of Mauritians, was undertaken by means of an online questionnaire, based on the Health Belief Model. Participants had a low mean perceived susceptibility and perceived severity. Significant difference in susceptibility among different age groups, place of residence and educational level as well as between participants with comorbidities and those without. Health education programmes for the prevention of an eventual wave needs to be tailor-made according to age groups, place of residence and education level.

PMC7521196; Partial compliance with symptom-based testing pathways reveals asymptomatic carriage of SARS-CoV-2 in Ireland

Chan,  GY,  Rajan, et al

Ir J Med Sci

Clinical data| Données cliniques

The focus of this report is to review the clinical presentation of early COVID-19 cases tested by National Ambulance Service (NAS) in the community and reported by the National Virus Reference laboratory (NVRL), during the 2nd week of March 2020, with particular reference to national guidelines. Cough, fever, contact with a known COVID-19 case and travel to an affected region were the most common features reported by patients with laboratory-confirmed SARS-CoV-2 infection tested in the community. Headache, night sweats, loss of taste without respiratory features (n = 3) and GI symptoms (n = 1) were uncommon characteristics in this group.  Indeed, we noted 3 patients who did not have discernible clinical symptoms of COVID-19, but who did have a positive test result.

The Interaction of Ethnicity and Deprivation on COVID-19 Mortality Risk: A Retrospective Ecological Study

Chaudhuri,  Kausik,  Chakrabarti, et al

SSRN- Lancet Publication

Epidemiology| Épidémiologie

The aim of this study was to quantify how much of the disproportionate disease burden can be attributed to deprivation. An ecological study was conducted using data derived from the Office for National Statistics data at a Local Authority District (LAD) level in England between 1st March-17th April 2020. We find that in LADs with the highest deprivation quartile, where there is a 1% increase in “Black-African (regression coefficient 2.86; 95% CI 1.08 – 4.64)”, “Black-Caribbean (9.66: 95% CI 5.25 – 14.06)” and “Bangladeshi (1.95: 95% CI 1.14 – 2.76)” communities there is a significantly higher age-adjusted COVID-19 mortality compared to respective control populations. The presence of spatial effects and spillover suggest family structures and social networks play an important role.

Capacitated SIR Model with an Application to COVID-19

Chen,  Ningyuan,  Hu, et al

SSRN- Lancet Publication

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie

We extend the SIR model to incorporate the limited testing capacity, which is by far one of the most notable challenges in the current COVID-19 outbreak. Specifically, on the SIR model, we impose a testing capacity that is shared among the infected and uninfected people. In this capacitated SIR model, we show first- and second-order structural properties of the total infection/confirmed cases with respect to the testing capacity, degree of testing the uninfected (or level of hospital panic run), incubation/testing turnaround time, and infection rate. In particular, we show the total number of infection cases is concavely decreasing in the testing capacity. We use COVID-19 data to calibrate our model and point out its public policy implications.

The Impact of COVID-19 on Subjective Well-Being: Evidence from Singapore

Cheng,  Terence Chai,  Kim, et al

SSRN- Lancet Publication

Public Health response| Interventions de santé publique

We provide novel evidence on how the COVID-19 global health and economic crisis is affecting overall life satisfaction and domain-specific satisfaction using data from a monthly longitudinal survey of middle-aged and older Singaporeans. Using a difference-in-differences framework, we document large declines in overall life satisfaction and domain-specific satisfaction during the COVID-19 outbreak, except satisfaction with health. These declines coincide with the introduction of a nationwide lockdown, with life satisfaction remaining below its pre-pandemic levels even after the lockdown is lifted. We also find that individuals who report a drop in household income during the COVID-19 outbreak experience a decline in overall life satisfaction almost twice as large as those who do not report any income loss.

Association of Body Mass Index and Other Metabolic Risk Factors with Pneumonia Outcomes in Critically Ill Patients with Coronavirus Disease-19: An International Multicenter Retrospective Cohort Study

Chetboun,  Mikael,  Raverdy, et al

SSRN- Lancet Publication

Epidemiology| Épidémiologie Clinical data| Données cliniques

The aims of this multicenter retrospective cohort study were to disentangle the association of body mass index (BMI) and associated metabolic risk factors, with pneumonia outcomes in critically ill patients with COVID-19, and explore the impact of age and sex on this relationship. Participants were COVID-19 patients admitted in intensive care in 21 centers in Europe, Israel, and USA, between 02/19/2020 and 05/19/2020. Adjusted mixed logistic regression model showed a significant relation between BMI and IMV: odds ratio 1.27 (95% CI, 1.12-1.45) per 5 kg/m2 in the whole cohort, and 1.65 (95% CI, 0.97-2.79) per 5 kg/m2 in females under 50 years. In conclusion, we observed in critically ill COVID-19 patients, a linear association between BMI and the need for IMV, independent of other metabolic risk factors, and more pronounced in younger females, and a non-linear association between BMI and mortality risk

The Effects of Atmospheric Stability with Low Wind Speed and of Environment Pollution on the Accelerated Transmission Dynamics of COVID-19

Coccia,  Mario

SSRN- Lancet Publication

Epidemiology| Épidémiologie Transmission

The goal of this study is to explain the relation among atmospheric stability/turbulence (considering wind speed), air pollution and the spread of COVID-19 to provide insights into environmental risk factors of specific regions. Results reveal that cities with high atmospheric stability, based on a low wind speed, and frequently high levels of air pollution – exceeding safe levels of ozone or particulate matter – had higher numbers of COVID-19 related infected individuals and deaths. This finding suggests that atmospheric stability, based on low wind speed, reduces the dispersion of gaseous and particulate matters (air pollution), which can act as carrier of the SARS-CoV-2 in the air to sustain the diffusion of COVID-19 in environment, generating problems of public health in society.

Immature platelets in patients hospitalized with Covid-19

Cohen,  A,  Harari, et al

J Thromb Thrombolysis

Epidemiology| Épidémiologie Clinical data| Données cliniques

This prospective study compared consecutive Covid-19 patients (n = 47, median age = 56 years) to patients with acute myocardial infarction (AMI, n = 100, median age = 59 years) and a group of stable patients with cardiovascular risk factors (n = 64, median age = 68 years). Patients with Covid-19 have increased immature platelets indices compared to stable patients with cardiovascular risk factors, and as the disease progresses also compared to AMI patients.

Geospatial Analysis and Geographically Weighted Poisson Regression (Gwpr): Coronavirus (Covid-19) Outbreaks Modeling in New South Wales (Nsw), Australia

Conceicao,  Xavier FrancelinoA

arXiv

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie

The global regression and the geographically weighted poisson regression (GWPR) techniques are used to model and investigate relationships between the Coronavirus (covid-19) outbreaks and the socioeconomic as well as the pre-existing health conditions in New South Wales (NSW), Australia. Based on geospatial data analysis and step-by-step procedure in building GWR model, 4 (four) independent variables are finally selected to investigate relationships between the dependent variable and independent variables. The result of the GWPR model calibration with R2 range between 45-73% exhibits positive relationships between Coronavirus (covid-19) outbreaks and the total population, the cancers, and the people with age between 60 and 85 in most of the NSW state. Meanwhile, there is negative relationship between the Coronavirus (covid-19) and the ischaemic heart disease. Finally, the model suggests that the relationship between dependent variable and independent variables are non-stationary, and therefore GWPR model calibration take an important role in geographic modelling at local scale.

PMC7500945; Dynamic tracking with model-based forecasting for the spread of the COVID-19 pandemic

Cooper,  I,  Mondal, et al

Chaos Solitons Fractals

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie

In this paper, a susceptible-infected-removed (SIR) model has been used to track the evolution of the spread of COVID-19 in four countries of interest. In particular, the epidemic model, that depends on some basic characteristics, has been applied to model the evolution of the disease in Italy, India, South Korea and Iran. By comparing the published data with model results, we conclude that in this way, it may be possible to reflect better the success or failure of the adequate measures implemented by governments and authorities to mitigate and control the current pandemic.

Virus evolution affected early COVID-19 spread

Corcoran,  Derek,  Urban, et al

medRxiv

Epidemiology| Épidémiologie Coronavirology| Coronavirologie

We modeled early global infection dynamics based on clade assignment along with other demographic and meteorological factors previously found to be important. Clade, but not variant D614G which has been associated with increased viral load, enhanced our ability to describe early COVID-19 growth dynamics. Including clade identity in models significantly improved predictions over earlier work based only on weather and demographic variables. In particular, higher proportions of clade 19A and 19B were negatively correlated with COVID-19 growth rate, whereas higher proportions of 20A and 20C were positively correlated with growth rate. A strong interaction between the prevalence of clade 20C and relative humidity suggests that the impact of clade identity might be more important when coupled with certain weather conditions. In particular, 20C an 20A generate the highest growth rates when coupled with low humidity. Projections based on data through April 2020 suggest that, without intervention, COVID-19 has the potential to grow more quickly in regions dominated by the 20A and 20C clades, including most of South and North America.

COVID-19 in Cancer Patients on Systemic Anti-Cancer Therapies – Outcomes from CAPITOL (COVID-19 Cancer PatIenTOutcomes in North London)

Crolley,  ValerieE,  Hanna, et al

SSRN- Lancet prepublication

Epidemiology| Épidémiologie Healthcare Response | Réponse des soins de santé

This study examined if cancer patients are at increased risk of contracting COVID-19, leading to changes in treatment pathways in those treated with systemic anti-cancer treatments (SACT). Analysed 2871 patients receiving SACT from 2nd March to 31st May 2020; 68 (2.4%) were diagnosed with COVID-19. Cancer patients receiving SACT were more likely to die if they contracted COVID-19 than those who did not . Receiving chemotherapy increased the risk of developing COVID-19 , with high dose chemotherapy significantly increasing risk, as did the presence of comorbidities , and having a respiratory or intrathoracic neoplasm. Receiving targeted treatment had a protective effect.

Geospatial Analysis of Individual and Community-Level Socioeconomic Factors Impacting SARS-CoV-2 Prevalence and Outcomes

Cromer,  SaraJ,  Lakhani, et al

medRxiv

Epidemiology| Épidémiologie

The SARS-CoV-2 pandemic has disproportionately affected racial and ethnic minority communities across the United States. We sought to identify individual and census tract-level sociodemographic and economic factors associated with these disparities. All adults tested for SARS-CoV-2 between February 1 and June 21, 2020 were geocoded to a census tract based on their address; hospital employees and individuals with invalid addresses were excluded. Individual (age, sex, race/ethnicity, preferred language, insurance) and census tract-level (demographics, insurance, income, education, employment, occupation, household crowding and occupancy, built home environment, and transportation) variables were analyzed using linear mixed models predicting infection, hospitalization, and death from SARS-CoV-2.  Among 57,865 individuals, per capita testing rates, individual (older age, male sex, non-White race, non-English preferred language, and non-private insurance), and census tract-level (increased population density, higher household occupancy, and lower education) measures were associated with likelihood of infection. Among those infected, individual age, sex, race, language, and insurance, and census tract-level measures of lower education, more multi-family homes, and extreme household crowding were associated with increased likelihood of hospitalization, while higher per capita testing rates were associated with decreased likelihood. Only individual-level variables (older age, male sex, Medicare insurance) were associated with increased mortality among those hospitalized. This study presents the cascade of outcomes following SARS-CoV-2 infection within a large, multi-ethnic cohort.

Regression Polynomial Analysis of the COVID-19 Epidemics: An Alternative Infection Modeling

da Rocha,  Armando

SSRN- Lancet Publication

Modelling/ prediction| Modélisation/prédiction Transmission

Here, an alternative modeling is proposed: the Collector Infection Model (CIM) involving two not well distinguished actors: the provider releasing a virus load to others or into the environment, and the collector picking the virus from others or the environment.  The present paper uses Polynomial and Linear Regression Analyses to study epidemic data from 8 different countries; 130 regions of these countries, and 117 Brazilian cities. Results shown a synchronized epidemic onset in the European Union countries and a progressive virus spread at various distinct rates in all other studied countries, regions and cities. Polynomial Regression Analysis shows that the epidemic dynamics has specific signatures for the different studied regions independent of the level (national; state or province; city or their neighborhoods) of the analysis, pointing to a strong influence of human social organization upon the epidemic evolution.

Impact of COVID-19 Outbreak on Travel Behaviour: Evidences from early stages of the Pandemic in India

Dandapat,  Saurabh,  Bhattacharyya, et al

SSRN- Lancet Publication

Public Health response| Interventions de santé publique

The paper demonstrates the impact of COVID-19 outbreak on travel behaviour in India during the early stage. A questionnaire, consisting of five stages, was designed for collecting peoples’ responses with respect to various aspects of travel and distributed through various online modes. A total of 3,830 refined responses obtained from various cities across India were analysed using various statistical techniques. The analysis brings out several interesting findings related to the travel characteristics of people including the trend of ‘work from home’, modal shift, risk perception about travelling on different modes, and expected travel characteristics during post COVID scenario. The results clearly shows evidences of peoples’ higher risk perception for public transport, intermediate transport, and flights, modal shift in favour of personal vehicles during the initial stage, and expected delayed recovery of ridership on PT and IPT modes during post COVID era.

Online Physical Education and the Relationship with Mental Health of College Students during the Outbreak of COVID-19: Online Survey Study in Wuhan

Deng,  CH,  Wang, et al

J Med Internet Res

Public Health response| Interventions de santé publique

The study used data from an online survey to evaluate the relationship of mental health status and sports-related lifestyle, and the problems of online physical education has been stated as well. The mental status was significantly correlated with regular exercise and sufficient exercise duration. Professional physical guidance was in need for college students in selected sports. Exercises not meeting students' preferences, frequent technical problems, and distant interaction of online physical education were the main problems that should be solved in future.

Spectral Embedding of Graph Networks

Deutsch,  Shay,  Soatto, et al

arXiv

Coronavirology| Coronavirologie

We introduce an unsupervised graph embedding that trades off local node similarity and connectivity, and global structure. The embedding is based on a generalized graph Laplacian, whose eigenvectors compactly capture both network structure and neighborhood proximity in a single representation. The key idea is to transform the given graph into one whose weights measure the centrality of an edge by the fraction of the number of shortest paths that pass through that edge, and employ its spectral proprieties in the representation. Testing the resulting graph network representation shows significant improvement over the sate of the art in data analysis tasks including social networks and material science. We also test our method on node classification from the human-SARS CoV-2 protein-protein interactome.

Routine screening for SARS CoV-2 in unselected pregnant women at delivery

Díaz-Corvillón,  P,  Mönckeberg, et al

PLoS One

Epidemiology| Épidémiologie Clinical data| Données cliniques

Objective: To assess the prevalence of SARS CoV-2 infection in an unselected obstetrical population and to describe their presentation and clinical evolution.To assess the prevalence of SARS CoV-2 infection in an unselected obstetrical population and to describe their presentation and clinical evolution. A cross-sectional study was designed. A total of 586 patients were tested for SARS CoV-2 during the study period. Thirty-seven pregnant women had a positive test for SARS CoV-2 at admission. Cumulative prevalence of confirmed SARS CoV-2 infection was 6.35% (37/583) [CI 95%: 4.63–8.65]. From confirmed cases, 43.2% (16/37) were asymptomatic. From symptomatic patients 85.7% (18/21) had mild symptoms and evolved without complications and 14.3% (3/21) presented severe symptoms requiring admission to intensive care unit. Only 5.4% (2/37) of the neonates born to mothers with a positive test at admission had a positive RT-PCR for SARS CoV-2.

PMC7520508; Effect of Corticosteroid Therapy on the Duration of SARS-CoV-2 Clearance in Patients with Mild COVID-19: A Retrospective Cohort Study

Ding,  C,  Feng, et al

Infect Dis Ther

Clinical data| Données cliniques Therapeutics| Thérapeutique

This study aims to investigate the association between corticosteroid therapy and the duration of SARS-CoV-2 clearance among patients with mild COVID-19. Patients with mild COVID-19 were enrolled from two medical centers in China between January 13, 2020 and February 29, 2020. Of 82 patients with a mild infection, 40 patients were male (48.8%), with a median age of 49 years (interquartile range, IQR 36-61). Among those patients, 36 patients (43.9%) received corticosteroid therapy. The adjusted multivariate models showed that the effects of corticosteroids were non-significant on the durations of onset to first RNA clearance β 2.48, 95% CI (95% confidence interval) - 0.42 to 5.38, P = 0.0926] and to persistent RNA clearance (β 1.54, 95% CI - 1.41 to 4.48, P = 0.3016), and durations of therapy to first RNA clearance (β 2.16, 95% CI - 0.56 to 4.89, P = 0.1184) and to persistent RNA clearance (β 1.22, 95% CI - 1.52 to 3.95, P = 0.3787). Corticosteroid therapy in patients with mild COVID-19 was not associated with the duration of SARS-CoV-2 clearance, suggesting that the use of corticosteroids may not be beneficial for patients with mild COVID-19.

An integrated clinical and genetic model for predicting risk of severe COVID-19

Dite,  GillianS,  Murphy, et al

medRxiv

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie

There is an urgent need for accurate prediction of the risk of severe COVID-19 for use in workplaces and healthcare settings, and for individual risk management. Clinical risk factors and a panel of 64 single-nucleotide polymorphisms were identified from published data. We used logistic regression to develop a model for severe COVID-19 in 1,582 UK Biobank participants aged 50 years and over who tested positive for the SARS-CoV-2 virus: 1,018 with severe disease and 564 without severe disease. Model discrimination was assessed using the area under the receiver operating characteristic curve (AUC). A model incorporating the SNP score and clinical risk factors (AUC=0.786) had 111% better discrimination of disease severity than a model with just age and gender (AUC=0.635). The effects of age and gender are attenuated by the other risk factors, suggesting that it is those risk factors -- not age and gender -- that confer risk of severe disease. In the whole UK Biobank, most are at low or only slightly elevated risk, but one-third are at two-fold or more increased risk. We have developed a model that enables accurate prediction of severe COVID-19. Continuing to rely on age and gender alone to determine risk of severe COVID-19 will unnecessarily classify healthy older people as being at high risk and will fail to accurately quantify the increased risk for younger people with comorbidities.

Psychological distress during the COVID-19 epidemic in Chile: the role of economic uncertainty

Duarte,  Fabian,  Jimenez-Molina, et al

medRxiv

Public Health response| Interventions de santé publique

The aim of this study was to estimate the extent to which perceptions and expectations regarding the social, economic and domestic effects of the COVID-19 outbreak are associated with psychological distress, and identify some demographic, psychosocial and economic factors associated with increased vulnerability to psychological distress during the COVID-19 outbreak in Chile. A representative sample of 1078 Chilean adults participated in a telephone survey between May 30 and June 10, 2020. Psychological distress was assessed through a questionnaire of anxious and depressive symptoms (Patient Health Questionnaire-4). We analyze the data set using ordinary least-squares regression models, first estimating models for the entire sample, and then stratifying the sample into different groups to explore differences by gender and age. 19.2% participants displayed significant psychological distress, with moderate to severe anxiety-depression symptoms being more prevalent in women than in men (23.9% vs 14.09%, chi square 6.89, p < 0.001). The results of this study suggest that being a woman, feeling lonely and isolated, living in the areas hit hardest by the pandemic and lockdown, expecting a lack of income due to having to stop working as a consequence of the pandemic, and having a history of mental health diagnosis are significantly associated with psychological distress (p < 0.05).

Description of COVID-19 hospitalized health worker cases in the first nine weeks of the pandemic, Brazil, 2020

Duarte,  MMS,  Haslett, et al

Epidemiol Serv Saude

Clinical data| Données cliniques

This was a descriptive case series study; it included cases that became ill between February 21st and April 15th, 2020. The profile of COVID-19 hospitalized health workers is similar to that of the general population with regard to age and comorbidities, but different in relation to sex. The most affected areas were nursing and medicine.

Detection Methods of COVID-19

Echtioui,  A,  Zouch, et al

SLAS Technol

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

We propose a novel method of detection of COVID-19. The purpose is to provide clinical decision support to healthcare workers and researchers. In this work, we introduced a simple but effective convolutional neural network (CNN) model for the detection of COVID-19 disease from chest X-ray images.

Counteractive Measures Against COVID-19: Navigating Medical Practice Through a Nascent, Evolving Evidence Base

Eibensteiner,  Fabian,  Ritschl, et al

SSRN- Lancet Publication

Infection Prevention and Control/ Prévention et contrôle des infections (IPAC/PCI) Healthcare Response | Réponse des soins de santé

The European Pediatric Dialysis Working Group’s (EPDWG) recent Delphi study reported widely variable responses to COVID-19 during the first week of statutory public curfews by Pediatric Nephrology centers in 11 European countries with caseloads of 4 to 680 infected patients per million. In this follow-up study the EPDWG applied the capability, opportunity and motivation model of behavior (COM-B) to describe determinants of COVID-19 countermeasure implementation rates. 52 countermeasures clustered into eight response domains were categorized by implementation status, drivers and resource dependency. Implementation rates varied widely among response domains and centers. Center caseloads were insufficient to explain response rate variability. Increasing caseloads resulted in shifts from expert opinion-based to hospital regulation-based decisions to implement additional countermeasures despite increased resource dependency. COVID-19 countermeasure implementation (changes of ‘institutional behavior’) by EPDWG centers reflected drivers’ ability to overcome each center’s local resource dependency, motivated by local perception of growing global medical need and leading to heterogeneity of local rules and responses.

Developing a Pre-Testing Diagnostic Tool for COVID-19 Using Big Data Predictive Analytics

Elitzur,  Ramy,  Krass, et al

SSRN- Lancet prepublication

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

This study created an instrument based on big data predictive tools to assess pre-test probability for COVID-19. Of symptomatic patients tested, 6,427 (31.3%) tested positive for SARS-COV-2, and 14,110 (68.7%) tested negative. In all models used headache, shortness of breath, sore throat, fever, and having contact with an infected person came up as most predictive of a positive test. The area under the curve of the receiver operating characteristic curve for the test sample was found to be 0.88 and the misclassification rate was between 4.7% and 6.5% for all predictive models, demonstrating effective classification ability. Using our pre-test probability screening tool with conventional PCR testing can potentially increase efficiency by 141%.

PMC7522452; SARS-CoV-2 infection associated with the recurrence of nephrotic syndrome in a Japanese boy

Enya,  T,  Sugimoto, et al

Pediatr Nephrol

Clinical data| Données cliniques

The patient was a 3-year-old Japanese boy diagnosed with nephrotic syndrome (NS), for which he received induction therapy with prednisolone (2 mg/kg/day) and achieved complete remission. During the process of prednisolone tapering, the patient was tested using the polymerase chain reaction test for SARS-CoV-2 because he had been in close contact with the infection and subsequently tested positive. He was transferred and admitted to our hospital for the concurrent management of COVID-19 and NS. On admission, no abnormalities were observed following a general physical examination except for a high fever and eyelid edema. Additionally, a urinary qualitative analysis revealed that the urinary protein level was positive. Urinary protein level was 6.3 g/gCr. Hematologic examination revealed white blood cells 10,700/μL (neutrophils 90.0%, lymphocytes 7.1%), hemoglobin 13.4 g/dL, and platelets 252,000/μL. Serum creatinine (0.18 mg/dL) and blood urea nitrogen (4.0 mg/dL) were normal. C-reactive protein was slightly elevated at 0.37 mg/dL. Serum total protein and albumin were slightly decreased, 6.3 mg/dL and 3.5 mg/dL, respectively. The lactate dehydrogenase level was slightly elevated, 348 U/dL. Chest computed tomography imaging showed no consolidations and ground glass opacity. His fever lowered for only 1 day without treatment for COVID-19. Since the urinary protein level increased, we treated him with prednisolone dosed up to 2 mg/kg/day regarded as recurrence. Urinary findings gradually improved, with remission occurring a week after treatment was initiated.

Personalised health education against health damage of COVID-19 epidemic in the elderly Hungarian population (PROACTIVE-19): protocol of an adaptive randomised controlled clinical trial

Erőss,  B,  Molnár, et al

Trials

RCT

We aim to compare the effects of a World Health Organization recommendation-based education and a personalised complex preventive lifestyle intervention package (based on the same WHO recommendation) on the outcomes of the COVID-19.

A human monoclonal antibody targeting a conserved pocket in the SARS-CoV-2 receptor-binding domain core

Fedry,  Juliette,  Hurdiss, et al

bioRxiv

Coronavirology| Coronavirologie

We previously identified a human monoclonal antibody, 47D11, capable of cross-neutralising SARS-CoV-2 and the related 2002/2003 SARS-CoV. Here we present the structural basis of its neutralization mechanism. We describe cryo-EM structures of trimeric SARS-CoV and SARS-CoV-2 spike ectodomains in complex with the 47D11 Fab. These data reveal that 47D11 binds specifically to the closed conformation of the receptor binding domain, distal to the ACE2 binding site. The CDRL3 stabilises the N343 glycan in an upright conformation, exposing a conserved and mutationally constrained hydrophobic pocket, into which the CDRH3 loop inserts two aromatic residues. Interestingly, 47D11 preferentially selects for the partially open conformation of the SARS-CoV-2 spike, suggesting that it could be used effectively in combination with other antibodies that target the exposed receptor-binding motif. Taken together, these results expose a cryptic site of vulnerability on the SARS-CoV-2 RBD and provide a structural roadmap for the development of 47D11 as a prophylactic or post-exposure therapy for COVID-19.

Cancer Diagnostic Delay in Northern and Central Italy During the 2020 Lockdown Due to the Coronavirus Disease 2019 Pandemic

Ferrara,  G,  De Vincentiis, et al

Am J Clin Pathol

Healthcare Response | Réponse des soins de santé

Cancer diagnoses fell in 2020 by 44.9% compared with the average number recorded in 2018 and 2019. Melanoma and nonmelanoma skin cancer represented 56.7% of all missing diagnoses. The diagnostic decrease in colorectal (–46.6%), prostate (–45%), and bladder (–43.6%) cancer was the most relevant among internal malignancies; for prostate, however, high-grade tumors were only moderately affected (–21.7%).

COVID Index: Vulnerability of the Hospital Structure in Brazilian Microregions

Ferraz,  Diogo,  Mariano, et al

SSRN- Lancet prepublication

Healthcare Response | Réponse des soins de santé

This study created a COVID Index to verify whether the hospital structures in 27 states and 543 Brazilian microregions are adequate to deal with COVID-19 and verified whether public policies were implemented in the right direction. The results indicate that hospital structures in the poorest microregions (North and Northeast) were the most vulnerable, although the peak of COVID-19 occurred in the richest microregions (Sao Paulo) in Southeast Brazil. The Southeast states could relocate hospital resources or even patients between their regions. However, relocation was not possible in many states in the Northeast, as the health system poorly assisted the interior of these states. These findings reveal that the heterogeneity of microregions’ hospital structures follows the patterns of socioeconomic inequalities.

Direct detection of SARS-CoV-2 using CRISPR-Cas13a and a mobile phone

Fozouni,  Parinaz,  Son, et al

medRxiv

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

CRISPR-based diagnostics that utilize RNA and DNA-targeting enzymes can augment gold-standard PCR-based testing if they can be made rapid, portable and accurate. This paper reports the development of an amplification-free CRISPR-Cas13a-based mobile phone assay for direct detection of SARS-CoV-2 from nasal swab RNA extracts. The assay achieved ~100 copies/μL sensitivity in under 30 minutes and accurately detected a set of positive clinical samples in under 5 minutes. We combined crRNAs targeting SARS-CoV-2 RNA to improve sensitivity and specificity, and we directly quantified viral load using enzyme kinetics. Combined with mobile phone-based quantification, this assay can provide rapid, low-cost, point-of-care screening to aid in the control of SARS-CoV-2.

Presence of SARS-CoV-2 in urine is rare and not associated with acute kidney injury in critically ill COVID-19 patients

Frithiof,  R,  Bergqvist, et al

Crit Care

Epidemiology| Épidémiologie Clinical data| Données cliniques

Authors find that urinary secretion of SARS-COV-2 is scarce in critically ill COVID-19 patients. In this cohort, SARS-CoV-2 RNA was not more frequently detected in urine of patients that died or developed acute kidney injury. This suggests that determining viral presence in urine will not aid in predicting or grading renal dysfunction or severity of disease in COVID-19.  Findings do not support direct renal SARS-COV-2 infection as an important mechanism of COVID-19-induced AKI, since renal infection likely would result in viral shedding in urine and thus a higher frequency of PCR positivity in urine of patients with AKI.

Klimapolitik während der Corona-Pandemie: Ergebnisse einer Haushaltserhebung (Climate Policy and the COVID-19 Pandemic: Results of a Household Survey in Germany)

Frondel,  Manuel,  Kussel, et al

SSRN- Lancet prepublication

Public Health response| Interventions de santé publique

Based on a survey among more than 6,000 household heads, this study present early comprehensive evidence for Germany on the effects of the Covid-19 pandemic on perceptions of climate change and climate policy, on health-related and financial experience of the respondents, and on climate-related effects of economic stimulus packages. The main results are as follows: Although the share of respondents who have been infected is small, there is considerable concern about the health-related and financial impacts of the pandemic. Most notably, climate change remains an important topic: Only six percent state that the importance of climate change has decreased since the beginning of the year, whereas 23% report that climate change has even gained in relevance. However, preliminary regression results suggest that households suffering financial losses due to the pandemic tend to evaluate climate change as less relevant than unaffected households.

Antiviral Drug Screen of Kinase Inhibitors Identifies Cellular Signaling Pathways Critical for SARS-CoV-2 Replication

Garcia Jr,  Gustavo,  Sharma, et al

SSRN- Lancet prepublication

Coronavirology| Coronavirologie Therapeutics| Thérapeutique

This study developed a medium-throughput primary drug screening system and identified a small molecule library of 34 of 430 protein kinase inhibitors that were capable of inhibiting viral cytopathic effect in epithelial cells. And detected key proteins involving in cellular signaling pathways mTOR-PI3K-AKT, ABL-BCR/MAPK, and DNA-Damage Response pathways that are critical for SARS-CoV-2 infection. A drug-protein interaction based secondary screen confirmed compounds such as Berzosertib (VE-822) and Nilotinib with anti SARS-CoV-2 activity, in which Berzosertib demonstrated potent antiviral activity in a human epithelial cell line and human induced pluripotent stem cell-derived cardiomyocytes. This study highlights key promising kinase inhibitors to constrain SARS-CoV-2 replication as a host-directed therapy in the treatment of COVID-19 and provides an important mechanism of host-pathogen interactions.

Fear of COVID-19 and Depression Among Italian Dentists: The Mediating Role of Perceived Job Insecurity

Gasparro,  Roberta,  Scandurra, et al

SSRN- Lancet prepublication

Healthcare Response | Réponse des soins de santé Economics | Économie

This study aimed at assessing whether perceived job insecurity mediated the relationship between fear of COVID-19 and depression in Italian dentists.  Results supported the mediation effect, showing that fear of COVID-19 affected depression through the action of perceived job insecurity, a*b = 0·05, p = 0·003, 95% CI 0·02, 0·08]. Findings highlighted psycho-social paths leading fear of COVID-19 to increase the risk of developing depressive symptoms in Italian dentists and informing public health policies.

COVID-19 in a Lung Transplant Recipient: Exploring the Diagnostic Role of Circulating Exosomes and the Clinical Impact of Advanced Immunosuppression

Goodlet,  KJ,  Bansal, et al

Transpl Infect Dis

Clinical data| Données cliniques

We present a case of a 76‐year‐old, female lung transplant recipient treated for acute cellular rejection with methylprednisolone and anti‐thymocyte globulin, who subsequently contracted SARS‐CoV‐2 and developed a sharp increase in the mean fluorescent intensity of anti‐HLA antibodies.

Mental health of undocumented college students during the COVID-19 pandemic

Goodman,  Jarid,  Wang, et al

medRxiv

Public Health response| Interventions de santé publique

The present study was conducted to gain a preliminary understanding of the mental health consequences of the COVID-19 pandemic specifically for dreamers, i.e., undocumented immigrants who entered the U.S. as minors. 109 dreamers enrolled at a public university in Delaware completed the survey. We observed remarkably high clinical levels of anxiety and depression: 47% of the dreamers met the clinical cutoff for anxiety, 63% met the cutoff for depression, and 67% (2 in 3) met the cutoff for anxiety and/or depression. Rates of anxiety and depression in our sample were significantly higher than those recently reported for college students overall, suggesting that dreamers may be experiencing a more severe mental health impact of the COVID-19 pandemic. We also found that pandemic-induced concerns about finances, COVID-19 infection, immigration, and unemployment were associated with greater anxiety, stress, and depression among the dreamers in our sample.

PMC7521192; [Patient volume, diagnosis and injury mechanisms in a level 1 trauma center at the beginning of the COVID-19 pandemic in comparison to the mean of the 3 previous years : A retrospective, epidemiological evaluation of 4967 patients]

Graulich,  T,  Gerhardy, et al

Unfallchirurg

Healthcare Response | Réponse des soins de santé

The aim of the study was to check whether a reduction in the number of trauma patients compared to the mean of the previous 3 years could be observed. We retrospectively analyzed all patients who presented in the emergency admission from March 1 to April 15, 2020 with the mean of the patients from the previous 3 years 2017-2019. The number of patients in the emergency admission was significantly reduced in the observation period in 2020 compared to the mean of the previous 3 years.

Changes in Computed Tomography Findings of COVID-19 Pneumonia: Less Extensive Lung Involvement with Decreasing Disease Prevalence

Gumus,  T,  Cengiz, et al

J Med Virol

Epidemiology| Épidémiologie Clinical data| Données cliniques

The purpose of this study was to investigate the relationship between the disease severity based on chest CT scans and the temporal evolution of the epidemic. Findings show that COVID‐19 pneumonia was less extensive in participants under 45 years of age and patients presenting late in the course of epidemic (i.e., the late group) compared those presenting earlier. When each group was subcategorized on the basis of age, older patients in the late group had less extensive lung involvement than older patients in the early group. However, there was no significant difference in the extent of lung involvement in younger patients between the late and early groups.

Mental Disorders of Healthcare Workers Fighting COVID-19: Little Relieved After One Month

Guo,  Wen-Ping,  Min, et al

SSRN- Lancet Publication

Healthcare Response | Réponse des soins de santé

Medical workers in Wuhan and other cities in Hubei Province was requested to fill out an online survey, which assessed their degrees of anxiety, insomnia, depression, and post-traumatic stress disorder (PTSD).  A total of 1,091 respondents (32·63% male, 67·37% female) were valid for statistical analysis. The prevalence was anxiety (52·98% with male 50·84% and female 54·01%), insomnia (78·83% with male 78·09% and female 79·18%), depression (56·10% with male 55·34% and female 56·46%) and PTSD (11·09% with male 10·11% and female 11·56%).  Mental disorders of healthcare workers were little relieved one month after they had ended fighting COVID-19, and potential mitigating factors and interventions is necessary.

Suboptimal SARS-CoV-2-specific CD8(+) T cell response associated with the prominent HLA-A*02:01 phenotype

Habel,  JR,  Nguyen, et al

Proc Natl Acad Sci U S A

Coronavirology| Coronavirologie Immunology | Immunologie

As the recall of CD8+ T cell memory promotes rapid recovery in, for example, influenza, we investigated circulating SARS-CoV-2−specific CD8+ T cells from COVID-19 patients. For two HLA-A*02:01 SARS-CoV-2−specific CD8+ T cell epitopes, we found that, while ex vivo frequencies of responding T cells were approximately fivefold higher than for pre−COVID-19 samples, they were 10-fold lower than for influenza or EBV-specific memory CD8+ T cells. Additionally, SARS-CoV-2−specific CD8+ T cells recovered from convalescent COVID-19 patients had an atypically high prevalence of stem cell memory, central memory, and naïve phenotypes

Development and external validation of a prediction risk model for short-term mortality among hospitalized U.S. COVID-19 patients: A proposal for the COVID-AID risk tool

Hajifathalian,  K,  Sharaiha, et al

PLoS One

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie

The objective of this study was to develop and validate a 7-day and 14-day mortality risk prediction model for patients hospitalized with COVID-19. The COVID-AID risk tool is a well-calibrated model that demonstrates accuracy in the prediction of both 7-day and 14-day mortality risk among patients hospitalized with COVID-19.

External Validation of a Clinical Risk Score to Predict Hospital Admission and In-Hospital Mortality in COVID-19 Patients

Halalau,  A,  Imam, et al

Ann Med

Epidemiology| Épidémiologie Clinical data| Données cliniques

This study investigated if an electronic health record generated risk score can predict the risk of hospital admission and in-hospital mortality in patients diagnosed with COVID-19. In both validation cohorts of 2,025 and 1,290 COVID-19, the cross-validated C-Statistics showed good discrimination for both hospital admission (C = 0.79 (95% CI: 0.77-0.81)) and in-hospital mortality (C = 0.75 (95% CI: 0.71-0.78)), respectively. The COVID-19 Risk of Complications Score may help predict the need for hospital admission if a patient contracts SARS-CoV-2 infection and in-hospital mortality for a hospitalized patient with COVID-19.

Seroprevalence and Risk Factors of SARS CoV-2 in Health Care Workers of Tertiary-Care Hospitals in the Province of Khyber Pakhtunkhwa, Pakistan

Haq,  Mohsina,  Rehman, et al

medRxiv

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

This cross-sectional study aims to determine the prevalence of SARS CoV2 antibodies and risk factors for seropositivity of COVID-19 among healthcare-workers working in tertiary care hospitals of Peshawar city, Khyber Pakhtunkhwa province Pakistan. The overall seroprevalence of SARS CoV2 antibodies was 30.7% (CI, 27.8 to 33.6) in 1011 HCWs. Laboratory technicians had the highest seropositivity (50.0%, CI, 31.8 to 68.1). Risk analysis revealed that wearing face-mask and observing social-distancing within a family could reduce the risk (OR:0.67. p<0.05) and (OR:0.73. p<0.05) while the odds of seropositivity were higher among those attending funeral and visiting local-markets (OR:1.83. p<0.05) and (OR:1.66. p<0.01). In Univariable analysis, being a nursing staff and a paramedical staff led to higher risk of seropositivity (OR:1.58. p< 0.05), (OR:1.79. p< 0.05). Fever (OR:2.36, CI, 1.52 to 3.68) and loss of smell (OR:2.95,CI: 1.46 to 5.98) were significantly associated with increased risk of seropositivity (p<0.01). Among the seropositive HCWs, 165 (53.2%) had no symptoms at all while 145 (46.8%) had one or more symptoms.

Dry loop mediated isothermal amplification assay for detection of SARS-CoV-2 from clinical specimens

Higashimoto,  Yuki,  Ihira, et al

medRxiv

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

To establish a point-of-care test for COVID-19, we developed a dry loop mediated isothermal amplification (LAMP) method to detect severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) RNA. We carried out reverse transcription (RT)-LAMP using the Loopamp SARS-CoV-2 Detection kit (Eiken Chemical, Tokyo, Japan). To determine the specificity of the kit, 22 viral genomes associated with respiratory infections, including the SARS coronavirus, were tested. No LAMP product was detected in reactions performed with RNA from these pathogens. The sensitivity of this assay, determined by either a real-time turbidity assay or colorimetric change of the reaction mixture, as evaluated by the naked eye or under illumination with ultraviolet light, was 10 copies/reaction. After the initial validation analysis, we analyzed 24 nasopharyngeal swab specimens collected from patients suspected to have COVID-19. Nineteen (79.2%) of the 24 samples were positive for SARS-CoV-2 RNA, as determined by real-time RT-PCR analysis. Using the Loopamp SARS-CoV-2 Detection kit, we detected SARS-CoV-2 RNA in 15 (62.5%) of the 24 samples. Thus, the sensitivity, specificity, positive predictive value, and negative predictive value of the Loopamp 2019-CoV-2 detection reagent kit were 94.0%, 96.0%, 95.9%, and 94.1%, respectively. The dry LAMP method for detection of SARS-CoV-2 RNA was fast and easy to use, solves the cold chain problem, and therefore represents a promising tool for diagnosis of COVID-19 in developing countries.

COVID-19 and Crimes Against Women: Evidence from Mexico

Hoehn-Velasco,  Lauren

SSRN- Lancet prepublication

Public Health response| Interventions de santé publique

This paper considers whether the COVID-19 stay-at-home order affected crimes targeting women. We use national municipal-level crime data from Mexico’s National Public Security System, which reports sexual crimes, lapses in alimony, domestic violence, and femicides. We track monthly changes in crime using an event-study design. Our results show three main patterns. First, lapses in alimony, sexual crimes, and domestic violence follow a U-shaped trend. Each crime declined and then rose back to their pre-COVID levels. Second, femicides, the most violent crime against women, remained constant during the pandemic. Third, we find that femicides declined in municipalities with alcohol sales prohibition

A multimodal deep learning-based drug repurposing approach for treatment of COVID-19

Hooshmand,  SA,  Zarei Ghobadi, et al

Mol Divers

Epidemiology| Épidémiologie Coronavirology| Coronavirologie Therapeutics| Thérapeutique

The present study utilized Multimodal Restricted Boltzmann Machine approach (MM-RBM) to combine two types of data, including the chemical structures data of small molecules and differentially expressed genes as well as small molecules perturbations. The results demonstrated the significance of the clusters acquired by our model. These clusters were used to discover the medicines which were remarkably similar to the proposed medications to treat COVID-19. Moreover, the chemical structures of some small molecules as well as dysregulated genes' effect led us to suggest using these molecules to treat COVID-19. The results also showed that the proposed method might prove useful in detecting the highly promising remedies for COVID-19 with minimum side effects.

Time-series clustering for home dwell time during COVID-19: what can we learn from it?

Huang,  Xiao,  Li, et al

medRxiv

Public Health response| Interventions de santé publique

This study investigated the potential driving factors that lead to the disparity in the time-series of home dwell time, aimed to provide knowledge for policy-making and better mitigation strategies of future pandemics. We perform a trend-driven analysis by conducting Kmeans time-series clustering using fine-grained home dwell time records from SafeGraph using Metro Atlanta as a study case. Further statistical significance of sixteen demographic/socioeconomic variables from five major categories were assessed. We find that demographic/socioeconomic variables can explain the disparity in home dwell time in response to the stay-at-home order, which potentially leads to disparate exposures to the risk from the COVID-19. The results further suggest that socially disadvantaged groups are less likely to follow the order to stay at home, pointing out the extensive gaps in the effectiveness of social distancing measures exist between socially disadvantaged groups and others. Our study reveals that the long-standing inequity issue in the U.S. stands in the way of the effective implementation of social distancing measures.

Covid-19 Related Knowledge, Attitude and Practices in a Southeastern City in Nigeria: A Cross-Sectional Survey

Iloanusi,  Nchebe-Jah Raymond,  Iloanusi, et al

SSRN- Lancet prepublication

Public Health response| Interventions de santé publique

This  cross-sectional study examined COVID-19 related knowledge, attitude, and preventive practices (KAP) among adult residents of the city of Onitsha in South-Eastern Nigeria. About 60.7% of respondents had high COVID-19 knowledge, 56.4% had a good attitude towards COVID-19 management, and 53.6% adopted good COVID-19 prevention practices. Participants with bachelor/postgraduate degrees had higher than average COVID-19 knowledge (15.42±0.57, p<0.0001), attitude (1.11±0.10, p<0.0025), and prevention practice (5.02±0.32 p<0.0005) scores. Over half of the participants correctly identified virus as the cause of COVID-19 (60%, p<0.01) and knew that COVID-19 could be transmitted through contaminated surfaces (59.3%, p<0.05) and infected droplets (58.6%, p<0.05). About three-quarters of the participants (75%, p<.0001) indicated needing more information on COVID-19 compared to only a quarter (25%, p<.0001) that stated that they experienced no gap in information.

COVID-19 pneumonia following double-sleeve lobectomy for lung cancer

Inanc,  Y,  Olgac, et al

Gen Thorac Cardiovasc Surg

Clinical data| Données cliniques

Here, we report a 54-year-old man who underwent double-sleeve left upper lobectomy for lung cancer and his postoperative course was complicated with COVID-19 pneumonia. Five days after his discharge from hospital, he was re-admitted with mild fever and bilateral multiple ground glass opacities on his chest CT. PCR testing confirmed COVID-19 infection and he was treated according to policies established by our nation's health authority. He is still receiving adjuvant chemotherapy and remains well at 3 months after the operation.

Age- and Gender-Related Changes in the Upper Airways, Which Lead to Increased Exposure of Lower Airways to Air Pollutants, Correlate with Deaths Involving COVID-19 in the United States in 2020: Short Report

Ishmatov,  Alexander

SSRN- Lancet Publication

Epidemiology| Épidémiologie Clinical data| Données cliniques

The results of this analysis demonstrate that the progressive growth in airway geometry and involution atrophy of the nasal mucosa with age correlates with progressive growth in deaths involving COVID-19 in the United States. It was found that age-, gender-, and even race-related changes in the geometric structure of the upper airway of individuals and the consequential changes in related physiological functions (efficacy of the air conditioning, filtration processes, total and regional deposition of inhaled air pollutants and infectious agents) can be associated with the enhanced negative impact of air pollution and increased susceptibility of respiratory cells to SARS-CoV-2, possibly leading to pneumonia and a life-threatening SARS situation. This finding supports the mechanistic understanding of the way how the air pollutants inhalation stimulates a proinflammatory environment within the lungs, increases susceptibility to infectious agents, leads to loss of immunological control of bacterial colonisation and viral replication.

Effects of the COVID-19 Pandemic on Obsessive-Compulsive Symptoms Among University Students: Prospective Cohort Survey Study

Ji,  G,  Wei, et al

J Med Internet Res

Public Health response| Interventions de santé publique

This study aimed to examine if fear of negative events affects Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) scores in the context of a COVID-19-fear-invoking environment. Our findings indicate that fear of COVID-19 was associated with a greater Y-BOCS score, suggesting that an environment (COVID-19 pandemic) × psychology (fear and/or anxiety) interaction might be involved in OCD and that a fear of negative events might play a role in the etiology of OCD.

Sex steroids skew ACE2 expression in human airway: A contributing factor to sex differences in COVID-19?

Kalidhindi,  RSR,  Borkar, et al

Am J Physiol Lung Cell Mol Physiol

Epidemiology| Épidémiologie Clinical data| Données cliniques

In the current study, using primary isolated human airway smooth muscle (ASM) cells from normal males vs. females as a model, we explored the effect of estrogen vs. testosterone in modulating the expression of angiotensin converting enzyme 2 (ACE2), a cell entry point for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Using confocal imaging, we found that ACE2 is expressed in human ASM. Furthermore, Western analysis of ASM cell lysates showed significantly lower ACE2 expression in females compared to males at baseline. In addition, ASM cells exposed to estrogen and testosterone for 24 h showed that testosterone significantly upregulates ACE2 expression in both males and females, whereas estrogen downregulates ACE2, albeit not significant compared to vehicle. These intrinsic and sex steroids induced differences may help explain sex differences in COVID-19.

The Challenge of Forecasting Demand of Medical Resources and Supplies During a Pandemic: A Comparative Evaluation of Three Surge Calculators for COVID-19

Kamar,  AminaA,  Maalouf, et al

medRxiv

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

Here, we highlight the challenge of forecasting during the pandemic by performing a comparative evaluation for the estimations obtained from three COVID-19 surge calculators under different social distancing approaches, taking Lebanon as a case study. Despite discrepancies in estimations, the three surge calculators used herein agree that there will be a relative shortage in the capacity of medical resources and a significant surge in PPE demand as the social distancing policy is removed. Our results underscore the importance of implementing containment interventions including social distancing in alleviating the demand for medical care during the COVID-19 pandemic in the absence of any medication or vaccine. It is said that ″All models are wrong, but some are useful″, in this paper we highlight that it is even more useful to employ several models.

COVID-19 Related Deaths Among Doctors In India

Kapoor,  Aanandita,  Kapoor, et al

medRxiv

Epidemiology| Épidémiologie Clinical data| Données cliniques

In this paper, our aim is to analyze the cases of deaths among Indian doctors due to COVID-19 infection. Data were taken from the list of the deceased doctors in India due to COVID-19 infection, which was compiled by the Indian Medical Association (IMA). A total of 382 COVID-related deaths and 2174 infections were reported amongst doctors in India until 10 September 2020, with a case fatality rate of 16.7% among Indian doctors, which was ten times the CFR of 1.7% in the general population. Among the practicing doctors, after excluding the resident doctors and house surgeons, the CFR was 36.4%, which is almost 22 times more than what was seen in Indian general population. The average age of COVID-related deaths in Indian doctors was 60.8 years, with a median age of 60; 62% of deaths among doctors were in the above 60 years age group. The maximum number of deceased doctors were amongst general practitioners 225(58.9%). Among the specialists, most deaths were seen in paediatricians 26(6.8%), medical specialists 24(6.3%), general surgeons 22(5.8%), obstetricians & gynecologists 16(4.2%), and anesthesiologists 14(3.7%). The highest COVID-19 related deaths in doctors were seen in the Indian states of Tamil Nadu, Karnataka, Andhra Pradesh, Gujarat and Maharashtra in that order.

Hand Hygiene and Personal Protective Equipment in Healthcare Settings During COVID-19 Pandemic in Bangladesh

Karim,  Md Rezaul,  Sah, et al

SSRN- Lancet Publication

Infection Prevention and Control/ Prévention et contrôle des infections (IPAC/PCI) Healthcare Response | Réponse des soins de santé

This study conducted to implement protective measures in healthcare settings during the COVID-19 pandemic in the context of Bangladesh. It is an observational survey study. A pre-designed open questionnaire electronic link using google form was used to collect data from 500 healthcare workers within Bangladesh in which participants were observed, and variables were measured. he study findings revealed that among all participants, 70.9% were working in COVID-19 dedicated hospitals, and 1.8% were diagnosed with COVID-19 while working. The study showed that 69.1% of participants washed hands before and after consulting/handling each patient, 69.1% had readily available rubs/sanitizer in their healthcare facility, and 65.5% adhered principals of handwashing. The study also revealed that only 61.8% used PPE at their workplace, 50.9% used a full set of PPE materials, 76.4% of participants maintained aseptic precautions for donning/doffing. The study findings recommend that a better understanding and adhering principle of hand hygiene in healthcare settings during the COVID-19 pandemic is crucial.

The impact of the COVID-19 epidemic on mental health of undergraduate students in New Jersey, cross-sectional study

Kecojevic,  A,  Basch, et al

PLoS One

Public Health response| Interventions de santé publique

The objective of this study was to assess the factors associated with the increased levels of mental health burden among a sample of undergraduate college students in Northern New Jersey, the region of the U.S. severely impacted by the outbreak of COVID-19. Descriptive findings indicate that students have a fundamental knowledge of COVID-19 transmission and common symptoms. Students tend to use and trust the official sources and have changed their behaviors in accordance with public health recommendations (i.e., increased hand washing, wearing mask). However, students reported a number of academic and everyday difficulties and high levels of mental health distress. High levels of depression were associated with difficulties in focusing on academic work and with employment losses, while higher levels of anxiety were more likely to be reported by students other than freshmen and those who spend more than one hour per day looking for information on COVID-19. Inability to focus on academic work and an elevated concern with COVID-19 were more likely to be associated with higher levels of somatization, while trusting news sources was associated with lower levels of somatization. Those with higher levels of perceived stress were more likely to be females, unable to focus on academic work, and report difficulties in obtaining medications and cleaning supplies.

Effect of COVID-19 Testing on Its Containment – An Indian Perspective

Kesharwani,  Vaibhav,  Banjare, et al

Research Square prepub

Epidemiology| Épidémiologie

In this study, research has been done on 4 months of data in 28 states and 8 Union territories. When the study is being conducted India had close to 1.3 million cases ranking 3rd in the world. Therefore, the sample size is quite enough to establish the hypothesis. The study is focused on analyzing and synthesizing testing levers along with population and number of cases. Two constructs namely "Proactiveness Index and Infection Ration" have been devised considering 3 different levers of population, testing, and cases. A relationship has been established and it has been found that in most of the cases Proactive Index and Infection Ration has an inverse relationship i.e. higher the proactive index, the lower the infection ration.

PMC7522010; Development of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) thermal inactivation method with preservation of diagnostic sensitivity

Kim,  YI,  Casel, et al

J Microbiol

Coronavirology| Coronavirologie Infection Prevention and Control/ Prévention et contrôle des infections (IPAC/PCI)

The purpose of this study is to establish a safe inactivation method for SARS-CoV-2 without compromising the amount of amplifiable viral genome necessary for clinical diagnoses. The results substantiate that viable SARS-CoV-2 is readily inactivated when incubated at 56°C for 30 min or at 65°C for 10 min. qRT-PCR of specimens heat-inactivated at 56°C for 30 min or 65°C for 15 min revealed similar genomic RNA stability compared with non-heat inactivated specimens.  Heat treatment of clinical specimens from COVID-19 patients at 56°C for 30 min or 65°C for 15 min could be a useful method for the inactivation of a highly contagious agent, SARS-CoV-2. Use of this method would reduce the potential for secondary infections in BSL2 conditions during diagnostic procedures.

Poverty and Crime: COVID and the 'New Normal'

Kirchmaier,  Tom,  Villa-Llera, et al

SSRN- Lancet Publication

Public Health response| Interventions de santé publique

The ultimate aim of this paper is to shed light on the direction of causality between poverty and crime. For this we use the unexpected economic COVID-19 shock as an instrument, as different regions got hit in different ways, and at different times. We show preliminary results, which we are planning to update every month and hence are subject to change. We also document the spatial and temporal uptake of furlough and unemployment support schemes. We provide near-time insight into the economic impact of the pandemic on crime rates in England and Wales.

COVID-19: A Virus for the Rich and the Poor

Kitenge,  Erick

SSRN- Lancet Publication

Epidemiology| Épidémiologie

We investigate household income patterns of COVID-19 infections. We apply econometric methods that account for the categorical dependent variable and for the fact that the sample, from an untapped dataset by economists, might not be random. Our empirical results reveal that the likelihood to be COVID-19 infected does not depend on how rich or poor an individual is. While this prima facie finding could be reflective of the missing supply side in the “COVID-19 immunity” market, it shows limitations of policies targeting households’ incomes. Therefore, R&D leading to the production of pharmaceutical methods apt to combat the virus could sustainably address this specific type of market failure: the missing supply in the presence of an extensive demand.

The Potential Public Health and Economic Value of a Hypothetical COVID-19 Vaccine in the United States: Use of Cost-Effectiveness Modeling to Inform Vaccination Prioritization

Kohli,  Michele,  Maschio, et al

SSRN- Lancet Publication

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

We aimed to assess the value of a hypothetical vaccine and its potential public health impact when prioritization is required due to supply constraints. A Markov cohort model was used to compare COVID-19 related direct medical costs and deaths in the United States (US), with versus without implementation of a 60% efficacious vaccine. To prioritize the vaccine under constrained supply, the population was divided into tiers based on age; risk and age; and occupation and age; and outcomes were compared across one year under various supply assumptions. For each prioritization strategy, the incremental cost per quality-adjusted life-year (QALY) gained versus no vaccine was calculated overall and by tier. Overall, the cost per QALY gained for all vaccination strategies was $8,200 versus no vaccination. For the tiers at highest risk of complications from COVID-19, vaccination was cost-saving compared to no vaccination.  COVID-19 vaccine is predicted to be good value for money (cost per QALY gained <$50,000). The speed at which an effective vaccine can be made available will determine how much morbidity and mortality may be prevented in the US.

Riplet Ubiquitin Ligase Regulates Innate Antiviral Immune Responses Via Lysine 63-Linked Polyubiquitination of RIG-I and LGP2 and is Essential for Protection Against SARS-CoV-2

Kouwaki,  Takahisa,  Nishimura, et al

SSRN- Lancet Publication

Immunology | Immunologie

RIG-I, a cytoplasmic viral RNA sensor, is crucial for innate antiviral immune responses. In this study, our genetic data showed that Riplet was a primary ubiquitin ligase for RIG-Iactivation. Our data indicate that Riplet is an essential host factor for the innate immune response against SARS-CoV-2.

Chronic Autoimmune Neurological Disorders and Immunosuppression During the COVID-19 Pandemic

Kovvuru,  Sukanthi,  Nalleballe, et al

SSRN- Lancet Publication

Epidemiology| Épidémiologie Clinical data| Données cliniques

We examined the rates of COVID- 19 infection, hospitalizations, intubations and deaths among patients with chronic autoimmune neurological disorders. Risk of COVID-19 was similar among patients with autoimmune neuromuscular disorders (aNMDs) and multiple sclerosis. About one third of them required hospitalization. Immunosuppression did not appear to impact infection risk overall in either group; however, risk of hospitalization for immunosuppressed patients with aNMDs was higher

Who is the Most Stressed During the COVID-19 Pandemic? Data From 26 Countries and Areas

Kowal,  M,  Coll-Martín, et al

Appl Psychol Health Well Being

Public Health response| Interventions de santé publique

The COVID-19 pandemic revealed that certain people may be more susceptible to experience elevated levels of stress. We used the COVIDiSTRESS Global Survey data of 53,524 online participants from 26 countries and areas. The data were collected between 30 March and 6 April 2020. Higher levels of stress were associated with younger age, being a woman, lower level of education, being single, staying with more children, and living in a country or area with a more severe COVID-19 situation.

Neurologic and neuroimaging findings in patients with COVID-19: A retrospective multicenter study

Kremer,  S,  Lersy, et al

Neurology

Clinical data| Données cliniques

This study aimed to describe neuroimaging findings and to report the epidemiologic and clinical characteristics of patients with coronavirus disease 2019 (COVID-19) with neurologic manifestations. In terms of meningoencephalitis involvement, even if a direct effect of the virus cannot be excluded, the pathophysiology seems to involve an immune or inflammatory process given the presence of signs of inflammation in both CSF and neuroimaging but the lack of virus in CSF.

Hydroxychloroquine (HCQ) reverses anti-PD-1 immune murine checkpoint blockade: TCF1 as a marker in humans for COVID-19 and HCQ therapy

Kreuger,  Janna,  Santinon, et al

medRxiv

Clinical data| Données cliniques Therapeutics| Thérapeutique Immunology | Immunologie Animal model | Modèle animal

Hydroxychloroquine (HCQ) and the antibiotic azithromycin (AZ) are still being used by thousands and numerous hospitals to treat COVID-19. In a related context, immunotherapy using checkpoint blockade (ICB) with antibodies such as anti-PD-1 has revolutionised cancer therapy. Given that cancer patients on ICB continue to be infected with SARS-CoV-2, an understanding of the effects of HCQ and AZ on the elimination of tumors by anti-PD-1 ICB is urgently needed. In this study, we report that HCQ alone, or in combination with AZ, at doses used to treat COVID-19 patients, reverses the therapeutic benefit of anti-PD-1 in controlling B16 melanoma tumor growth in mice. No deleterious effect was seen on untreated tumors, or in using AZ alone in anti-PD-1 immunotherapy. Mechanistically, HCQ and HCQ/AZ inhibited PD-L1 expression on tumor cells, while specifically targeting the anti-PD-1 induced increase in progenitor CD8+CD44+PD-1+TCF1+ tumor-infiltrating T-cells (TILs) and the generation of CD8+CD44+PD-1+ effectors. Surprisingly, it also blocked the appearance of a subset of terminally exhausted CD8+ TILs. No effect was seen on the presence of CD4+ T-cells, FoxP3+ Tregs, thymic subsets, B-cells, antibody production, myeloid cells, or the vasculature of mice. Lastly, we identified TCF-1 expression in peripheral CD8+ T-cells from cancer or non-cancer human patients infected with SARs CoV2 as a marker for the effects of COVID-19 and HCQ on the immune system. This study indicates for the first time that HCQ and HCQ/AZ negatively impact the ability of anti-PD-1 checkpoint blockade to promote tumor rejection.

Hallmarks of Alpha- and Betacoronavirus non-structural protein 7+8 complexes

Krichel,  Boris,  Bylapudi, et al

bioRxiv

Coronavirology| Coronavirologie

Here, we present the framework of nsp7+8 complex stoichiometry and topology based on a native mass spectrometry and complementary biophysical techniques of nsp7+8 complexes from seven coronaviruses in the genera Alpha- and Betacoronavirus including SARS-CoV-2. Their complexes cluster into three groups, which systematically form either heterotrimers or heterotetramers or both, exhibiting distinct topologies. Moreover, even at high protein concentrations mainly heterotetramers are observed for SARS-CoV-2 nsp7+8. From these results, the different assembly paths can be pinpointed to specific residues and an assembly model is proposed.

Forecasting the Confirmed Cases of COVID-19 in Selected West African Countries Using Arima Model Technique

Kubi,  Musa Ganaka,  Son-Allah, et al

SSRN- Lancet Publication

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie

In order to support governments’ effort in the prevention of COVID-19, we developed an ARIMA model which was used in forecasting future COVID-19 cases in selected West African Countries. The forecasting results from this study indicates an increase cases in the coming days.

PMC7520378; Children were less frequently infected with SARS-CoV-2 than adults during 2020 COVID-19 pandemic in Warsaw, Poland

Kuchar,  E,  Załęski, et al

Eur J Clin Microbiol Infect Dis

Epidemiology| Épidémiologie Clinical data| Données cliniques

Our purpose was to determine the frequency of SARS-CoV-2 in children vs. adults during the 2020 pandemic in Warsaw, Poland, and to investigate whether RSV and/or influenza A/B infections were associated with SARS-CoV-2 infections. We found 3.26% (15/459) of symptomatic pediatric patients were positive for SARS-CoV-2 in contrast to 5.58% (99/1774) of symptomatic adults (p = 0.0448). There were no SARS-CoV-2 positive cases in the group of asymptomatic children (0/445) and two positive cases in the group of asymptomatic adults (2/239), i.e., 0.83%. In the group of symptomatic pediatric patients, 17.14% (6/35) (p = 0.0002) were positive for RSV, 8.16% (4/49) were positive for influenza A, and 2.04% (1/49), thus 10.20% (5/49) (p = 0.0176) for influenza A/B. Children were less prone to SARS-CoV-2 infection than the adults during the COVID-19 pandemic in Warsaw. Higher percentage of symptomatic children was infected with RSV or influenza A/B than with SARS-CoV-2. This suggests a necessity for the testing for all these viruses for an early identification and isolation of SARS-CoV-2-positive patients for an ensuing 2020 autumn return of COVID-19.

Propagation of Viral Bioaerosols Indoors

Kudryashova,  OlgaB,  Muravlev, et al

medRxiv

Modelling/ prediction| Modélisation/prédiction Transmission

From the literature data and our own research on the propagation of fine aerosols, we simulate herein the carryover of viral aerosols in indoor air. We demonstrate that a great deal of fine droplets released from an infected person coughing, sneezing or talking propagate very fast and to large distances indoors, as well as bend around obstacles, lift up and down over staircases, and so on. This study suggests equations to evaluate the concentration of those droplets, depending on time and distance from the source of infection. Estimates are given for the safe distance to the source of infection, and available methods for neutralizing viral aerosols indoors are considered.

Widening the gap: greater racial and ethnic disparities in COVID-19 burden after accounting for missing race/ethnicity data

Labgold,  Katie,  Hamid, et al

medRxiv

Epidemiology| Épidémiologie Clinical data| Données cliniques

In this study, we quantified the burden of SARS-CoV-2 infection, hospitalization, and case fatality rates in an urban county by racial/ethnic group using combined race/ethnicity imputation and quantitative bias-adjustment for misclassification. After bias-adjustment, the magnitude of the absolute racial/ethnic disparity, measured as the difference in infection rates between classified Black and Hispanic persons compared to classified White persons, increased 1.3-fold and 1.6-fold respectively. These results highlight that complete case analyses may underestimate absolute disparities in infection rates. Collecting race/ethnicity information at time of testing is optimal. However, when data are missing, combined imputation and bias-adjustment improves estimates of the racial/ethnic disparities in the COVID-19 burden.

PMC7456591; Unsupervised learning for county-level typological classification for COVID-19 research

Lai,  Y,  Charpignon, et al

Intell Based Med

Public Health response| Interventions de santé publique

The analysis of county-level COVID-19 pandemic data faces computational and analytic challenges, particularly when considering the heterogeneity of data sources with variation in geographic, demographic, and socioeconomic factors between counties. This study presents a method to join relevant data from different sources to investigate underlying typological effects and disparities across typologies. Both consistencies within and variations between urban and non-urban counties are demonstrated. When different county types were stratified by age group distribution, this method identifies significant community mobility differences occurring before, during, and after the shutdown. Counties with a larger proportion of young adults (age 20-24) have higher baseline mobility and had the least mobility reduction during the lockdown.

Coronavirus hemagglutinin-esterase and spike proteins coevolve for functional balance and optimal virion avidity

Lang,  Y,  Li, et al

Proc Natl Acad Sci U S A

Coronavirology| Coronavirologie

Human coronaviruses OC43 and HKU1 are respiratory pathogens of zoonotic origin that have gained worldwide distribution. OC43 apparently emerged from a bovine coronavirus (BCoV) spillover. All three viruses attach to 9-O-acetylated sialoglycans via spike protein S with hemagglutinin-esterase (HE) acting as a receptor-destroying enzyme. In BCoV, an HE lectin domain promotes esterase activity toward clustered substrates. OC43 and HKU1, however, lost HE lectin function as an adaptation to humans. Replaying OC43 evolution, we knocked out BCoV HE lectin function and performed forced evolution-population dynamics analysis. Loss of HE receptor binding selected for second-site mutations in S, decreasing S binding affinity by orders of magnitude. Irreversible HE mutations led to cooperativity in virus swarms with low-affinity S minority variants sustaining propagation of high-affinity majority phenotypes. Salvageable HE mutations induced successive second-site substitutions in both S and HE. Apparently, S and HE are functionally interdependent and coevolve to optimize the balance between attachment and release. This mechanism of glycan-based receptor usage, entailing a concerted, fine-tuned activity of two envelope protein species, is unique among CoVs, but reminiscent of that of influenza A viruses. Apparently, general principles fundamental to virion-sialoglycan interactions prompted convergent evolution of two important groups of human and animal pathogens.

COVID-19 Disease - Temporal Analyses of Complete Blood Count Parameters Over Course of Illness, and Relationship to Patient Demographics and Management Outcomes in Survivors and Non-Survivors: A Longitudinal Descriptive Cohort Study

Lanini,  Simone,  Montaldo, et al

SSRN- Lancet Publication

Epidemiology| Épidémiologie Clinical data| Données cliniques

This prospective longitudinal cohort study presents a detailed temporal analyses of complete blood count (CBC) parameters, their evolution and relationship to patient age, gender, co-morbidities and management outcomes in survivors and non-survivors with COVID-19 disease. Neutrophil counts were on average significantly higher in non-survivors than in survivors. Age, obesity, chronic renal failure and cardiovascular diseases were independently associated with poor patient clinical outcome at 30 day after symptom onset.

Analysis of Asymptomatic COVID-19 Patients to Minimize Viral Transmission: A Prospective Cohort Study

Lee,  Hyo Yeol,  Lee, et al

SSRN- Lancet prepublication

Epidemiology| Épidémiologie Clinical data| Données cliniques

This prospective cohort study aimed to identify the epidemiological and clinical characteristics of inapparent infection. Among a total of 292 patients in the cohort hospital, 160 (54.8%) patients were asymptomatic at admission. 93 (59.2%) were asymptomatic from the confirmation of COVID-19 until discharge from the hospital. Patients who showed symptom after admission showed a significant association with underlying disease prevalence compared to patients who were asymptomatic until the admission (21 32.8%] vs. 14 15.1%], respectively; p=0.009). The median time from the date of infection confirmation to two consecutive negative RT-PCR tests was 28 days (IQR, 23.3–33.8). There was no significant difference in the length of this duration between the groups.

Measurement-based evaluation of Google/Apple Exposure Notification API for proximity detection in a light-rail tram

Leith,  DJ,  Farrell, et al

PLoS One

Public health interventions*| Interventions de santé publique

We report on the results of a Covid-19 contact tracing app measurement study carried out on a standard design of European commuter tram. Our measurements indicate that in the tram there is little correlation between Bluetooth received signal strength and distance between handsets. We applied the detection rules used by the Italian, Swiss and German apps to our measurement data and also characterised the impact on performance of changes in the parameters used in these detection rules. We find that the Swiss and German detection rules trigger no exposure notifications on our data, while the Italian detection rule generates a true positive rate of 50% and a false positive rate of 50%. Our analysis indicates that the performance of such detection rules is similar to that of triggering notifications by randomly selecting from the participants in our experiments, regardless of proximity.

Real-time Screening of Specimen Pools for Coronavirus Disease 2019 (COVID-19) Infection at Sanya Airport, Hainan Island, China

Li,  H,  Sun, et al

Clin Infect Dis

Public health interventions*| Interventions de santé publique Diagnostics / Pathogen detection| Diagnostics / Détection d'agents pathogènes

A 10:1 pooled test strategy on-site at an airport of China was pursued, resulting in increased test throughput, limited use of reagents, and increased testing efficiency without loss of sensitivity. This testing approach has the potential to reduce the need for contact tracing when the results are delivered first time.

PMC7521864; Immune characteristics distinguish patients with severe disease associated with SARS-CoV-2

Li,  X,  Liu, et al

Immunol Res

Epidemiology| Épidémiologie Clinical data| Données cliniques Immunology | Immunologie

This single-center, retrospective study aimed to explore the immune characteristics of COVID-19 and biomarkers to predict the severity of this disease. The correlation between immune status, cytokine levels, and disease severity was analyzed. Leukocyte numbers were normal in both groups; however, they were relatively high (7.19 × 109/L) in patients of the severe group. Leukocyte distributions differed between the two groups; the severe group had a higher percentage of neutrophils and lower percentage of lymphocytes compared with the non-severe group, and absolute lymphocyte numbers were below normal in both groups, and particularly deficient in patients in the severe group. Lymphocyte counts have negative correlation with duration of hospital period whereas neutrophil count has no significant correlation with it. Of tested cytokines, IL-6 levels were significantly higher in the severe group (P = 0.0418). Low level of lymphocyte predicts severity of COVID-19. IL-6 levels were significantly higher in the severe group, especially in some extremely severe patients. But we did not detect the significant correlation between severity of COVID-19 with IL-6 level which may be due to limited case numbers. Our observations encourage future research to understand the underlying molecular mechanisms and to improve treatment outcome of COVID-19.

Estimating Unreported COVID-19 Cases in the United States Based on Time-Varying SIR Model

Liu,  Lingbo,  Bao, et al

SSRN- Lancet Publication

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie Transmission

We suggested taking time-varying SIR models with unreported infection rates (UIR) to estimate the factual COVID-19 cases in the United States. This model was applied to estimate and compare the value of transmission rate (TR), UIR, and infection fatality rate (IFR). Despite a decline in TR and IFR, the UIR of the United States is still on the rise, which had been supposed to decrease with sufficient tests or improved countersues.

Spontaneous pneumomediastinum in COVID-19 pneumonia

Loffi,  M,  Regazzoni, et al

Monaldi Arch Chest Dis

Clinical data| Données cliniques

We evaluated the incidence and the clinical relevance of spontaneous pneumomediastinum in a consecutive series of 102 patients with COVID-19 pneumonia. Six cases of pneumomediastinum were identified by high-resolution chest CT-scan. Three patients required early intubation, and one of them died, while in in the remaining subjects the clinical course was benign. The presence of pneumomediastinum required some changes in the management of mechanical ventilation. In conclusion, spontaneous pneumomediastinum is a possible complication of severe COVID-19 pneumonia that can affect patient management and clinical outcomes.

Analysis of SARS-CoV-2 genomes from across Africa reveals potentially clinically relevant mutations

Longjohn,  Modeline Nicholas,  Egbule, et al

bioRxiv

Epidemiology| Épidémiologie Coronavirology| Coronavirologie

Complete African SARS-CoV-2 genomes deposited in GISAID and NCBI databases as of June 2020 were downloaded and aligned with genomes from Wuhan, China and other SARS-CoV-2 hotspots. Using phylogenetic analysis and amino acid sequence alignments of the spike and replicase (NSP12) proteins, we searched for possible vaccine coverage targets or potential therapeutic agents. Our results showed mutations in the spike and replicate proteins of the SARS-Cov-2 virus. Phylogenetic tree analyses demonstrated variability across the various regions/countries in Africa as there were different clades in the viral proteins. However, a substantial proportion of these mutations (90%) were similar to those described in all the other settings, including the Wuhan strain. There were, however, novel mutations in the genomes of the circulating strains of the virus in Africa.

Private practice metropolitan telepsychiatry in larger Australian states during the COVID-19 pandemic: an analysis of the first 2 months of new MBS telehealth item psychiatrist services

Looi,  JC,  Allison, et al

Australas Psychiatry

Public Health response| Interventions de santé publique Healthcare Response | Réponse des soins de santé

We investigate the uptake of (1) video and telephone telehealth consultations in April-May 2020, and (2) the overall changing rates of consultation, i.e. total telehealth and in-person consultations across the larger states of Australia. METHOD: MBS item service data were extracted for COVID-19 psychiatrist video- and telephone-telehealth item numbers and compared with a baseline of the 2018-2019-financial-year monthly average of in-person consultations for New South Wales, Queensland, Victoria, and Western Australia. RESULTS: Total psychiatry consultations (telehealth and in-person) rose during the first wave of the pandemic by 10%-20% compared to the previous year. The majority of private practice was conducted by telehealth in April but was lower in May as new COVID-19 case rates fell. Most telehealth provision was by telephone for short consultations of 15-30 min. Video consultations increased from April into May.

Comparison Between Lung Ultrasound and Computed Tomographic Findings in Patients With COVID-19 Pneumonia

Lopes,  AJ,  Mafort, et al

J Ultrasound Med

Clinical data| Données cliniques

The aim of this study was to describe findings from lung ultrasound (LUS) and computed tomography (CT) in health professionals with coronavirus disease 2019 pneumonia and to evaluate the associations of the findings of both tests. Regarding LUS signs, more than 2 B‐lines, coalescent B‐lines, and subpleural consolidations were present in 73.3%, 68.2%, and 24.4% of cases, respectively. The main findings on CT were ground glass opacities, a crazy‐paving pattern, and consolidations (66.7%, 20%, and 20% of cases); 17.8% of cases had examinations without abnormalities. Patients with more than 2 B‐lines on LUS had more ground glass opacity areas on CT (P = .0007), whereas patients with subpleural consolidations on LUS had more consolidations on CT (P < .0001). In addition, patients with higher LUS aeration scores had more extensive disease on CT (P < .0001).

Combination therapy with tocilizumab and corticosteroids for aged patients with severe COVID-19 pneumonia: a single-center retrospective study

Lopez-Medrano,  Francisco,  Perez-Jacoiste Asin, et al

medRxiv

Clinical data| Données cliniques Therapeutics| Thérapeutique

The role of combination immunomodulatory therapy with systemic corticosteroids and tocilizumab (TCZ) for aged patients with COVID19 associated cytokine release syndrome remains unclear. We conducted a retrospective single center study including consecutive patients older than 65 years that developed severe COVID19 between March 3 and May 1, 2020 and were treated with corticosteroids at various doses (methylprednisolone 0.5 mg/Kg/12 hours to 250 mg/24 hours]), either alone (CS group) or associated to intravenous tocilizumab (400 to 600 mg, one to three doses) (CS/TCZ group). Overall, 181 and 80 patients were included in the CS and CS TCZ groups. All cause 14 day mortality was lower in the CS/TCZ group, both in the PS adjusted (hazard ratio HR]: 0.34; 95% confidence interval CI]: 0.17 to 0.68; P value = 0.002) and IPTW weighted models (odds ratio OR]: 0.38; 95% CI: 0.21 to 0.68; P value = 0.001). This protective effect was also observed for 28 day mortality (PS adjusted HR: 0.38; 95% CI: 0.21 to 0.72; P value = 0.003). Clinical improvement by day +14 was higher in the CS/TCZ group in the IPTW analysis only (OR: 2.26; 95%CI: 1.49 to 3.41; P value <0.001). The occurrence of secondary infection was similar between both groups. The combination of corticosteroids and TCZ was associated with better outcomes among patients older than 65 years with severe COVID-19

Cerebral Micro-Structural Changes in COVID-19 Patients: An MRI-Based Preliminary Study

Lu,  Yiping,  Li, et al

SSRN- Lancet Publication

Clinical data| Données cliniques

We aimed to identify the existence of potential brain structural changes related to SARS-CoV-2.  Findings reveal possible disruption to micro-structural and functional brain integrity in the recovery stages of COVID-19, suggesting neuro-invasion potential of SARS-CoV-2.

PMC7521948; Obstructive Sleep Apnea and Risk of COVID-19 Infection, Hospitalization and Respiratory Failure

Maas,  MB,  Kim, et al

Sleep Breath

Epidemiology| Épidémiologie Clinical data| Données cliniques

To study the relationship between Obstructive Sleep Apnea (OSA) and risk of COVID-19 infection and disease severity, identified by the need for hospitalization and progression to respiratory failure. Patients with OSA experienced approximately 8-fold greater risk for COVID-19 infection compared to a similar age population receiving care in a large, racially, and socioeconomically diverse healthcare system. Among patients with COVID-19 infection, OSA was associated with increased risk of hospitalization and approximately double the risk of developing respiratory failure.

Blood supply sufficiency and safety management in Iran during the COVID-19 outbreak

Maghsudlu,  M,  Eshghi, et al

Vox Sang

Public Health response| Interventions de santé publique

In this article, we review the action plan of the Iranian Blood Transfusion Organization with respect to COVID-19.  MATERIALS: We collected data on blood donations and RBC inventory for the first 8 weeks of the outbreak. We also evaluated the trend of blood donations and RBC inventory and compared them with the data of the past year. RESULTS: Blood donations decreased from 33 275 to 23 465 units during the first 2 weeks of the outbreak with a corresponding decrease in the RBC inventory. But after that, donations gradually increased from 23 465 to 29 665 units. RBC inventory levels improved at the same time. Then, the Iranian New Year's holiday resulted in another downward trend. After the holiday, blood donations revived, along with the RBC inventory.

Novel multi-docking of Theaflavin-3’-O-gallate to SARS CoV-2 and human proteins with comparison to Hydroxychloroquine, Dexamethasone and Epigallocatechin gallate

Maiti,  Smarajit,  Banerjee, et al

SSRN- Lancet Publication

Coronavirology| Coronavirologie Therapeutics| Thérapeutique

Here we demonstrate, Theaflavin-3’-O-gallate (TFMG) blocked the entry/exit/catalytic active-site amino-acids of more than thirty proteins including viral and host proteins.  The result suggests that TFMG binds a large number of COVID proteins and human immuno-suppressing, inflammatory, vaso-active proteins which could be therapeutically beneficial for Covid infected patients.

COVID-19 Pandemic and its Impact on Labor Force: A New Model Based on Social Stress Theory and Prospect Theory

Manojkrishnan,  CG,  A

SSRN- Lancet prepublication

Public Health response| Interventions de santé publique Economics | Économie

This study is carried out to propose a new theory that can integrate the social and financial stress of the labor force during the pandemic situation working across Kerala State, India. In this study, we have identified three major social stress constructs viz., Governance, Personal and Societal among the labor force through the Common Factor Analysis (CFA) method. Also observed three major stressors using Cohen’s effect size; they are difficulty in diagnosing the disease, worry of the disease that it will get affected to the dear ones, and the fear of using public utilities. The general presumption of our theoretical model was identified stress constructs can create social stress among labor force, which was reconfirmed through the Covariance Based Structural Equation Modeling Approach (CB-SEM). It is observed that during COVID-19 pandemic the labor force across Kerala will value health and wellness as the most important gain than financial benefits.

Multi-Omics Analysis of Respiratory Specimen Characterizes Baseline Molecular Determinants Associated with COVID-19 Diagnosis and Outcome

Maras,  Jaswinder Singh,  Sharma, et al

SSRN- Lancet prepublication

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

This study used a multi-omic approach for the rapid diagnosis and outcome prediction of SARS-CoV-2. Respiratory specimens of 20 SARS-CoV-2 positive, 20 negative and 5 H1N1 positive cases were subjected to global proteomics, metaproteomics and metabolomics.  Identified MX1 (MX Dynamin like GTPase 1) and WARS (Tryptophan--tRNA ligase) as clues to viral diagnosis and outcome which was validated in 200 SARS-CoV-2 suspects. MX1>30pg/ml and WARS>25ng/ml distinctly segregated virus positives AUC=94%CI(0.91-0.97)], severe and symptomatic patients AUC>0.85%]. SARS-CoV-2 infection mediated a distinct increase in immune activation, metabolic reprograming and decrease in oxygen transport, wound healing, vitamin and steroid metabolism. Multi-omics profiling correlated with viraemia and segregated asymptomatic COVID-19 patients. Baseline levels of MX1 and WARS can reliably diagnose SARS-CoV-2 infection and identify patient’s predisposition to higher severity.

Immunophenotyping for Risk Stratification of Patients with COVID-19

Martín-Sánchez,  Esperanza,  Garcés, et al

SSRN- Lancet Publication

Epidemiology| Épidémiologie Clinical data| Données cliniques Immunology | Immunologie

We performed a holistic and unbiased analysis of 17 immune cell types using flow cytometry immunophenotyping in 802 blood samples from 513 COVID-19 patients obtained at presentation and follow-up, 44 cases with other infection and 36 healthy donors. We found that most COVID-19 patients showed normal patterns of immune response to infection. However, 14% displayed an immune signature at presentation with skewing of all cell types except neutrophils and plasmablasts, which was significantly associated with severe outcome. B-cells had the strongest impact in patients’ survival and, together with non-classical monocytes, had independent prognostic value regardless of age and comorbidities.

Functional Landscape of SARS-CoV-2 Cellular Restriction

Martin-Sancho,  Laura,  Lewinski, et al

bioRxiv

Coronavirology| Coronavirologie

To identify the molecular effectors that govern interferon control of SARS-CoV-2 infection, we conducted a large-scale gain-of-function analysis that evaluated the impact of human interferon stimulated genes (ISGs) on viral replication. A limited subset of ISGs were found to control viral infection, including endosomal factors that inhibited viral entry, nucleic acid binding proteins that suppressed viral RNA synthesis, and a highly enriched cluster of ER and Golgi-resident ISGs that inhibited viral translation and egress. These included the type II integral membrane protein BST2/tetherin, which was found to impede viral release, and is targeted for immune evasion by SARS-CoV-2 Orf7a protein. Overall, these data define the molecular basis of early innate immune control of viral infection, which will facilitate the understanding of host determinants that impact disease severity and offer potential therapeutic strategies for COVID-19.

Expression of SARS-CoV-2 entry receptors in the respiratory tract of healthy individuals, smokers and asthmatics

Matusiak,  M,  Schürch, et al

Respir Res

Clinical data| Données cliniques

We analyzed publicly available RNA microarray datasets for SARS-CoV-2 entry receptors and cofactors ACE2, TMPRSS2, BSG (CD147) and FURIN. We found that ACE2 and TMPRSS2 are upregulated in the airways of smokers. In asthmatics, ACE2 tended to be downregulated in nasal epithelium, and TMPRSS2 was upregulated in the bronchi. Furthermore, respiratory epithelia were negative for ACE-2 and TMPRSS2 protein expression while positive for BSG and furin, suggesting a possible alternative entry route for SARS-CoV-2.

Impact of initial COVID-19 restrictions on psychiatry presentations to the Emergency Department of a large academic teaching hospital

McAndrew,  J,  O'Leary, et al

Ir J Psychol Med

Public Health response| Interventions de santé publique Healthcare Response | Réponse des soins de santé

OBJECTIVES: To determine if the initial COVID-19 societal restrictions, introduced in Ireland in March 2020, impacted on the number and nature of psychiatry presentations to the emergency department (ED) of a large academic teaching hospital. METHODS: We examined anonymised clinical data of psychiatry presentations to the ED during the initial 8-week period of COVID-19 restrictions. Data from corresponding 8-week periods in 2018 and 2019 were also extracted for comparison. RESULTS: Psychiatry presentations to ED reduced by 21% during the COVID-19 restrictions, from 24/week to 19/week when compared with corresponding periods in 2018/2019. We observed increased presentations from the <18 age group, but decreased presentations from the 18-29 age group. We recorded an increase in anxiety disorders during the initial COVID-19 restrictions (31 vs 23), and a reduction in alcohol disorders (28 vs 52). The proportion of presentations with suicidal ideation or self-harm as factors remained unchanged.

COVID-19 and its Effect on Emergency Presentations to a Tertiary Hospital with Self-Harm in Ireland

McIntyre,  A,  Tong, et al

Ir J Psychol Med

Public Health response| Interventions de santé publique

This study aimed to assess the impact of COVID-19 on presentations to an acute hospital with self-harm. Findings show that in 2020, the rate of presentation with self-harm dropped by 35% from March to April and rose by 104% from April to May, peaking from mid-May. When trends over a four-year period were examined, there was a significantly higher lethality of attempt (p<0.001), and significant differences in diagnosis (p=0.031) in 2020 in comparison with the three previous years. The increased lethality of presentations remained significant after age and gender were controlled for (p=0.036). There were also significant differences in the underlying psychiatric diagnoses(p=0.018), notably with a significant increase in substance misuse disorders presenting during the 2020 study period.

Efficacy of tocilizumab in patients with COVID-19 ARDS undergoing noninvasive ventilation

Menzella,  F,  Fontana, et al

Crit Care

Epidemiology| Épidémiologie Clinical data| Données cliniques Therapeutics| Thérapeutique

The aim of this retrospective case-control study was to analyze the efficacy and safety of Tocilizumab (TCZ) in patients with COVID-19 ARDS undergoing noninvasive mechanical ventilation (NIV). The probabilities of dying and being intubated during the follow-up using Kaplan-Meier method were significantly lower in total patients treated with TCZ compared to those of patients not treated with TCZ (log-rank p value = 0.006 and 0.036, respectively). However, using Cox multivariate analyses adjusted for age and Charlson comorbidity index only the association with the reduced risk of being intubated or dying maintained the significance (HR 0.44, 95%CI 0.22–0.89, p = 0.022). Two patients treated with TCZ developed cavitating lung lesions during the follow-up.

Pulmonary fibrosis following infection with SARS-CoV-2 in a pregnant woman: case report

Moeindarbary,  Somayeh,  Dadgar, et al

Research Square prepub

Clinical data| Données cliniques

In this study, we have reported a pregnant woman at 25 gestational weeks with COVID-19 who has developed severe complications, including hypoxemia, acute respiratory distress syndrome (ARDS), pulmonary fibrosis, and bilateral pleural effusion. In the end, she died one month after admission to the hospital.

Mitigating the transmission of infection and death due to SARS-CoV-2 through non-pharmaceutical interventions and repurposing drugs

Mondal,  Chittaranjan,  Adak, et al

medRxiv

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

It is the objective of this work to demonstrate through mathematical modelling and analysis how and to what extent existing non-pharmaceutical interventions and repurposing drugs can improve the overall Covid-19 epidemic burden. A case study with the Indian Covid-19 epidemic data is presented to visualize and illustrate the effects of lockdown, maintaining personal hygiene & safe distancing, and repurposing drugs. It is shown that India can significantly improve the overall Covid-19 epidemic burden through the combined use of NPIs and repurposing drugs though containment of spreading is difficult without serious community participation.

A 63-Year-Old Woman with SARS-CoV-2 Infection, Who Developed Severe COVID-19 Pneumonia and Was Supported with Convalescent Plasma Therapy

Moniuszko-Malinowska,  A,  Czupryna, et al

Am J Case Rep

Clinical data| Données cliniques

We report the case of a 63-year-old woman with SARS-CoV-2 infection who developed severe COVID-19 pneumonia and was treated with convalescent plasma.

Surgical mask on top of high-flow nasal cannula improves oxygenation in critically ill COVID-19 patients with hypoxemic respiratory failure

Montiel,  V,  Robert, et al

Ann Intensive Care

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

The primary outcome of our study was to evaluate the effect of the addition of a surgical mask on a high-flow nasal cannula system on oxygenation parameters in hypoxemic COVID-19 patients admitted in ICU who do not require urgent intubation. The secondary outcomes were relevant changes in PaCO(2) associated with clinical modifications and patient's feelings. DESIGN: We prospectively assessed 21 patients admitted in our mixed Intensive Care Unit of the Cliniques Universitaires Saint Luc. MAIN RESULTS: While FiO2 was unchanged, we demonstrate a significant increase of PaO(2)  PaO(2)/FiO(2)  and SaO(2), while the patients were under the surgical mask. The SpO(2) returned to pre-treatment values when the surgical mask was removed confirming the effect of the device rather than a spontaneous positive evolution.

PMC7521568; SARS-CoV-2 infection in children requiring hospitalization: the experience of Navarra, Spain

Moreno-Galarraga,  L,  Urretavizcaya-Martínez, et al

World J Pediatr

Epidemiology| Épidémiologie Clinical data| Données cliniques

We describe the clinical characteristics, disease presentation, treatments and outcomes of all pediatric cases with COVID-19 admitted to the reference hospitals in Navarra, Spain during the first wave of the COVID-19 outbreak (February–May 2020). We found a low number of hospitalized cases in infants and children compared to adults with a hospitalization ratio of 1:180. Most of these hospitalized cases did not suffer from severe disease. Over 80% of infections reported household contacts, and the mother was the known-contact in 83% of these cases. 72% of hospitalized cases were previously healthy children. We describe how symptoms in pediatric cases are nonspecific and how COVID-19 can be presented with a wide range and variety of symptoms. Respiratory symptoms are not always present, and severe neurological and cardiac features can occur in previously healthy children.

PMC7522009; Pregnancy-related anxiety during COVID-19: a nationwide survey of 2740 pregnant women

Moyer,  CA,  Compton, et al

Arch Womens Ment Health

Public Health response| Interventions de santé publique

The aim of this study is to explore the impact of the COVID-19 pandemic on pregnant women's anxiety and identify factors most strongly associated with greater changes in anxiety. An anonymous, online, survey of pregnant women (distributed April 3-24, 2020) included a modified pregnancy-related anxiety scale (PRAS) reflecting respondents' perception of pregnancy anxiety before COVID-19 and a current assessment of pregnancy-related anxiety.  25.8% (N = 706) stopped in-person visits, 15.2% used video visits (N = 415), and 31.8% (N = 817) used phone visits for prenatal care as a result of COVID-19. Those planning a hospital birth dropped from 2641 (96.4%) to 2400 (87.7%) following COVID-19. More than half of women reported increased stress about food running out (59.2%, N = 1622), losing a job or household income (63.7%, N = 1745), or loss of childcare (56.3%, N = 1543). More than a third reported increasing stress about conflict between household members (37.5%, N = 1028), and 93% (N = 2556) reported increased stress about getting infected with COVID-19.

Viral genomes reveal patterns of the SARS-CoV-2 outbreak in Washington State

Mueller,  Nicola Felix,  Wagner, et al

medRxiv

Epidemiology| Épidémiologie Coronavirology| Coronavirologie

Here, we sequenced 3940 SARS-CoV-2 viral genomes from Washington State to characterize how the spread of SARS-CoV-2 in Washington State (USA) was shaped by differences in timing of mitigation strategies across counties, as well as by repeated introductions of viral lineages into the state. Additionally, we show that the increase in frequency of a potentially more transmissible viral variant (614G) over time can potentially be explained by regional mobility differences and multiple introductions of 614G, but not the other variant (614D) into the state. At an individual level, we see evidence of higher viral loads in patients infected with the 614G variant. However, using clinical records data, we do not find any evidence that the 614G variant impacts clinical severity or patient outcomes. Overall, this suggests that at least to date, the behavior of individuals has been more important in shaping the course of the pandemic than changes in the virus.

Persitent Inflammatory Interstitial Lung Disease Following SARS-CoV-2 Infection at 6 Weeks Post Discharge Responds Rapidly to Oral Corticosteroids

Myall,  Katherine,  Mukherjee, et al

SSRN- Lancet Publication

Clinical data| Données cliniques

Outcomes from 1272 patients who were diagnosed in the UK between February and May 2020 are reported here. Telephone assessment was completed for 696 patients. 321 (50·1%) reported ongoing symptoms and underwent structured assessment. Of these, 10·9% had persistent interstitial lung disease with associated functional impairment. Oral prednisolone was associated with rapid symptomatic, physiological and radiological improvement.

Computational identification of human biological processes and protein sequence motifs putatively targeted by SARS-CoV-2 proteins using protein-protein interaction networks

Nadeau,  Rachel,  Shahryari Fard, et al

bioRxiv

Coronavirology| Coronavirologie Therapeutics| Thérapeutique

We performed an in-depth computational analysis of the interactome of SARS-CoV-2 and human proteins in infected HEK293 cells published by Gordon et al. to reveal processes that are potentially affected by the virus and putative protein binding sites. Specifically, we performed a set of network-based functional and sequence motif enrichment analyses on SARS-CoV-2-interacting human proteins and on a PPI network generated by supplementing viral-host PPIs with known interactions. Using a novel implementation of our GoNet algorithm, we identified 329 Gene Ontology terms for which the SARS-CoV-2-interacting human proteins are significantly clustered in the network. Furthermore, we present a novel protein sequence motif discovery approach, LESMoN-Pro, that identified 9 amino acid motifs for which the associated proteins are clustered in the network. Together, these results provide insights into the processes and sequence motifs that are putatively implicated in SARS-CoV-2 infection and could lead to potential therapeutic targets.

PMC7521763; COVID-19 pandemic: environmental and social factors influencing the spread of SARS-CoV-2 in São Paulo, Brazil

Nakada,  LYK,  Urban, et al

Environ Sci Pollut Res Int

Epidemiology| Épidémiologie

The aim of this study was to assess environmental and social factors influencing the spread of SARS-CoV-2 in the expanded metropolitan area of São Paulo, Brazil. Our results reveal that the spread of COVID-19 from the capital city São Paulo—its epicenter in Brazil—is directly associated with the availability of highways within the expanded metropolitan area of São Paulo. As for social aspects, COVID-19 infection rate was found to be both positively correlated with population density, and negatively correlated with social isolation rate, hence indicating that social distancing has been effective in reducing the COVID-19 transmission. Finally, COVID-19 infection rate was found to be inversely correlated with both temperature and UV radiation. Together with recent literature our study suggests that the UV radiation provided by sunlight might contribute to depletion of SARS-CoV-2 infectivity.

PMC7454832; Prone Positioning of Patients With Acute Respiratory Distress Syndrome Related to COVID-19: A Rehabilitation-Based Prone Team

Ng,  JA,  Miccile, et al

Phys Ther

Healthcare Response | Réponse des soins de santé

OBJECTIVE: Prone positioning is an effective intervention for acute respiratory distress syndrome (ARDS). An increasing number of patients with ARDS related to coronavirus disease 2019 require prone positioning, which poses a challenge to the intensive care unit staff at Brigham and Women's Hospital. METHODS: A prone team service of physical therapists and occupational therapists with critical care experience was established to assist with increasing demands for prone positioning of patients who were mechanically ventilated. RESULTS: The service evolved over 7 weeks, expanding to 24-hour coverage and adding responsibilities to support the staff as patient volume grew. The volume of requests to the rehabilitation-based prone team generally increased to week 4 and has, since then, declined. Key points for successful implementation included identification of rehabilitation therapists with intensive care unit experience and leadership qualities, multidisciplinary collaboration, availability of needed positioning devices and supplies to protect the integument, and well-defined roles of all disciplines participating in position change process.

Impact of COVID-19 on Delivery of Chemotherapy in Hospitals in Spain and France

Niklas,  Nicolas,  Woolmore, et al

SSRN- Lancet Publication

Healthcare Response | Réponse des soins de santé

We have charted chemotherapy usage before and during the COVID pandemic in 15 hospitals in France and Spain. Delivery of chemotherapy to patients who had already initiated treatment was maintained at broadly similar pre-COVID levels, but there was a reduction in the number of new cancer patients starting therapy during this time.

HIV and SARS-CoV-2 Coinfection - Cross-Sectional Findings from a German 'Hotspot'

Noe,  Sebastian,  Schabaz, et al

SSRN- Lancet Publication

Epidemiology| Épidémiologie Immunology | Immunologie

This study aimed to determine the proportion of people living with HIV with anti-SARS-CoV-2 IgG-antibodies in a sample from a large single HIV center in Munich, Germany. Overall, 500 people living with HIV were included in the study. Of those, 22 were found to be positive for SARS-CoV-2 IgG antibodies, resulting in an estimated seroprevalence of 5.1 % for the entire study sample. Only two  had previously been diagnosed with SARS-CoV-2 coinfection. The proportion of Caucasian people living with HIV was significantly smaller in the group with positive when compared to the group of negative test results

Forecasting Covid-19 Infections and Deaths Horizon in Egypt

Nosier,  Shereen,  Beram, et al

medRxiv

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

More than three months after imposing them, Egypt began lifting many of the restrictions put in place to curb the spread of coronavirus. Predictions of the potential spread of Covid-19 based on time series Auto Regressive Integrated Moving Average (ARIMA) and econometric Autoregressive-Distributed Lag (ARDL) forecasting models are utilized in this paper for designing and/or evaluating countermeasures. The aim of this study is threefold, first using the most recent available data to find the best prediction models for daily cases and death in Egypt and forecast them up to 7 November 2020. Second, to analyze the effect of mobility on the incidence of the pandemic using Google Community Mobility Reports (GCMR) to evaluate the results of easing lockdown restrictions. Finally, providing some recommendations that may help lessen the spread of the virus and eradicate new deaths as possible. The results revealed that mobility of population is affecting the incidence of new cases of Covid-19 significantly over the period of the study. Additionally, the total number of infections on November 7 2020 is expected to reach 102,352 cases, while the total death toll is predicted to be 5,938 according to the most accurate methods of forecasting. Accordingly, in order to sustain the predicted flat pandemic curve, many restrictions must be continued and emergency mechanisms need to be considered. For instance, adhering to the precautions of social distancing advised by the health minister and the declared hygiene rules to ensure that infection is prevented or transmitted is necessary. Besides, being prepared with re-imposing lockdown strategies and health system support are essential among others. It should also be noted that this expected pattern can shift, yet that depends on people's actions.

Telehealth for delivery of haemophilia comprehensive care during the COVID-19 pandemic

O'Donovan,  M,  Buckley, et al

Haemophilia

Healthcare Response | Réponse des soins de santé

AIMS: To explore patient and healthcare provider (HCP) experience of telehealth in a European Haemophilia Comprehensive Care Centre. METHOD: A systematic evaluation was performed to survey patient and HCP experience and compare clinical activity levels with telehealth to in-person attendances. RESULTS: Public health measures implemented in March 2020 to reduce COVID-19 spread resulted in a 63% decrease in medical/nursing clinic consultation activity compared to the same period in 2019. Implementation of digital care pathways resulted in marked increase in activity (52% greater than 2019). Importantly, enhanced patient engagement was noted, with a 60% reduction in non-attendance rates.

Identification of biological correlates associated with respiratory failure in COVID-19

Oh,  Jung Hun,  Tannenbaum, et al

medRxiv

Clinical data| Données cliniques

Coronavirus disease 2019 (COVID-19) is a global public health concern. Recently, a genome-wide association study (GWAS) was performed with participants recruited from Italy and Spain by an international consortium group. Summary GWAS statistics for 1610 patients with COVID-19 respiratory failure and 2205 controls were downloaded. In the current study, we analyzed the summary statistics with the information of loci and p-values for 8,582,968 single-nucleotide polymorphisms (SNPs), using gene ontology analysis to determine the top biological processes implicated in respiratory failure in COVID-19 patients. Results: We considered the top 708 SNPs, using a p-value cutoff of 5x10-5, which were mapped to the nearest genes, leading to 144 unique genes. The list of genes was input into a curated database to conduct gene ontology and protein-protein interaction (PPI) analyses. The top-ranked biological processes were wound healing, epithelial structure maintenance, muscle system processes, and cardiac-relevant biological processes with a false discovery rate < 0.05. In the PPI analysis, the largest connected network consisted of 8 genes. Through literature search, 7 out of the 8 genes were found to be implicated in both pulmonary and cardiac diseases. Conclusion: Gene ontology and protein-protein interaction analyses identified cardio-pulmonary processes that may partially explain the risk of respiratory failure in COVID-19 patients.

Passive Microwave Radiometry (MWR) for diagnostics of COVID-19 lung complications

Osmonov,  Batyr,  Ovchinnikov, et al

medRxiv

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

We have tested if passive microwave radiometry (MWR) could be used for early diagnostics of pulmonary COVID-19 complications. This was a randomized controlled trial (195 subjects) to evaluate the effectiveness of diagnostics using MWR in patients with pneumonia caused by COVID-19 while they are in hospitals of Kyrgyzstan, and healthy individuals. We have measured skin (IR) and internal (MWR) temperature by recording passive electromagnetic radiation through the chest wall in the projection of the lungs at 30 symmetrical points on both sides. Pneumonia and lung damage were diagnosed by X-RAY/CT scan and doctor final diagnosis (pn+/pn-). COVID-19 was determined by PCR test (covid+/covid-). The best results were obtained between pn-/covid- and pn+/covid+ groups with sensitivity 92% and specificity 75%. Overall, the study suggests that the use of MWR is a convenient and safe method for screening diagnostics in COVID-19 patients with suspected pneumonia. Since MWR is an inexpensive, it will ease the financial burden for both patients and the countries, especially in low middle income countries.

VA Video Connect for Clinical Care in Older Adults in a Rural State During the COVID-19 Pandemic: Cross-Sectional Study

Padala,  KP,  Wilson, et al

J Med Internet Res

Public Health response| Interventions de santé publique

he aim of this study was to examine the capability and willingness of older veterans to participate in a VVC visit during the COVID-19 pandemic. METHODS: A cross-sectional study was conducted on older veterans (N=118) at the Central Arkansas Veterans Healthcare System. Participants were interviewed over the phone and responses to the following items were recorded: availability of internet, email, and an electronic device with a camera; veterans' willingness to complete an appointment via a VVC visit; and availability of assistance from a caregiver for those who were unable to participate in a VVC visit alone. RESULTS:  Overall, 53% (n=63) were willing and capable of participating in a VVC visit. The availability of internet access was significantly lower in rural compared to nonrural participants (P=.045) and in those with or less than a high school education compared to those who pursued higher education (P=.02). Willingness to participate in the VVC visit was significantly lower in rural compared to nonrural participants (P=.03). Of the participants who reported they were able and willing to partake in a VVC visit (n=54), 65% (n=35) opted for VVC and 35% (n=19) preferred a phone visit.

Large scale sequencing of SARS-CoV-2 genomes from one region allows detailed epidemiology and enables local outbreak management

Page,  AndrewJ,  Mather, et al

medRxiv

Epidemiology| Épidémiologie Coronavirology| Coronavirologie

As part of the activities of the national COVID-19 Genomics Consortium (COG-UK) we undertook whole genome sequencing of the SARS-CoV-2 genomes present in positive clinical samples from the Norfolk region. We combined clinical metadata with the sequencing data from regional SARS-CoV-2 genomes to understand the origins, genetic variation, transmission and expansion (spread) of the virus within the region and provide context nationally. Overall, 1,565 positive samples (172 per 100,000 population) from 1,376 cases were evaluated; for 140 cases between two and six samples were available providing longitudinal data. This represented 42.6% of all positive samples identified by hospital testing in the region and encompassed those with clinical need, and health and care workers and their families. 1,035 cases had genome sequences of sufficient quality to provide phylogenetic lineages. These genomes belonged to 26 distinct global lineages, indicating that there were multiple separate introductions into the region. Furthermore, 100 genetically-distinct UK lineages were detected demonstrating local evolution, at a rate of ~2 SNPs per month, and multiple co-occurring lineages as the pandemic progressed. Our analysis: identified a sublineage associated with 6 care facilities; found no evidence of reinfection in longitudinal samples; ruled out a nosocomial outbreak; identified 16 lineages in key workers which were not in patients indicating infection control measures were effective; found the D614G spike protein mutation which is linked to increased transmissibility dominates the samples and rapidly confirmed relatedness of cases in an outbreak at a food processing facility. The large-scale genome sequencing of SARS-CoV-2-positive samples has provided valuable additional data for public health epidemiology in the Norfolk region, and will continue to help identify and untangle hidden transmission chains as the pandemic evolves.

Self-Reported Compliance With Personal Preventive Measures Among Chinese Factory Workers at the Beginning of Work Resumption Following the COVID-19 Outbreak: Cross-Sectional Survey Study

Pan,  Y,  Fang, et al

J Med Internet Res

Public Health response| Interventions de santé publique

The aim of this study was to investigate self-reported compliance with four personal measures to prevent COVID-19 among a sample of factory workers in Shenzhen, China, at the beginning of work resumption in China following the COVID-19 outbreak. METHODS: The participants were adult factory workers who had resumed work in Shenzhen, China. A stratified two-stage cluster sampling design was used. We randomly selected 14 factories that had resumed work. All full-time employees aged ≥18 years who had resumed work in these factories were invited to complete a web-based survey. Out of 4158 workers who had resumed work in these factories, 3035 (73.0%) completed the web-based survey from March 1 to 14, 2020.  RESULTS: Among the 3035 participants, 2938 (96.8%) and 2996 (98.7%) reported always wearing a face mask in the workplace and in other public settings, respectively, in the past month. However, frequencies of self-reported sanitizing hands (2152/3035, 70.9%), avoiding social and meal gatherings (2225/3035, 73.3%), and avoiding crowded places (1997/3035, 65.8%) were relatively low.

Continuing Cancer Treatment in a ‘COVID Hotspot’ in India: Are We Over-Estimating the Risks?

Parasnis,  Amit,  Kelkar, et al

SSRN- Lancet prepublication

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

This study describes the treatment of Cancer patients carried out in such a hospital simultaneously alongside COVID patients in a COVID HOTSPOT in India. A total of 864 patients received treatment for cancer in our hospital during the period of 20th March 2020 to 31st May 2020. This included 626 old patients and 238 new patients. 110 patients underwent 122 surgeries, 658 patients received 1888 cycles of chemotherapy and 205 patients received 3498 fractions of radiotherapy during this period. Only 7/110 (6.36%) surgical patients, 129/658 (19.64%) chemotherapy patients and 14/205 (6.82%) radiotherapy patients had any complications, but they were not COVID-related. The treatment of 109/864 (12.61%) was delayed due to Pandemic and Lockdown situation and the treatment plan was changed for 84/864 (9.72%) patients. There were 21 deaths in these 864 patients (2.43%) but only 2 deaths were COVID-related. Only 12 patients were tested for COVID and only 3/864 patients (0.34%) were detected to be COVID positive.

An Ecological Study Assessing the Relationship between Public Health Policies and Severity of the COVID-19 Pandemic

Pasdar,  Zahra,  Pana, et al

SSRN- Lancet Publication

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

in this ecological study, we aimed to determine the associations between government public health policies on the severity of the COVID-19 pandemic. Containment policies appeared more effective in younger populations and debt/contract relief in older populations. In European countries, containment policies were generally associated with good outcomes. In non-European countries, school closures alone had the strongest association with most of the outcomes examined. In high-income countries, health system policies such as public information campaigns and testing were generally effective, in contrast to low-income countries.

Identification of potential inhibitors of coronavirus hemagglutinin-esterase using molecular docking, molecular dynamics simulation and binding free energy calculation

Patel,  CN,  Kumar, et al

Mol Divers

Coronavirology| Coronavirologie

Biophysical and structural evidence shows that spike protein possesses a high binding affinity towards host angiotensin-converting enzyme 2 and viral hemagglutinin-acetylesterase (HE) glycoprotein receptor. We selected HE as a target in this study to identify potential inhibitors using a combination of various computational approaches such as molecular docking, ADMET analysis, dynamics simulations and binding free energy calculations. Virtual screening of NPACT compounds identified 3,4,5-Trihydroxy-1,8-bis(2R,3R)-3,5,7-trihydroxy-3,4-dihydro-2H-chromen-2-yl]benzo7]annulen-6-one, Silymarin, Withanolide D, Spirosolane and Oridonin as potential HE inhibitors with better binding energy. Furthermore, molecular dynamics simulations for 100 ns time scale revealed that most of the key HE contacts were retained throughout the simulations trajectories. Binding free energy calculations using MM/PBSA approach ranked the top-five potential NPACT compounds which can act as effective HE inhibitors.

On the Temporal Analysis of COVID-19 Pandemic and Prediction of R 0

Patil,  Kshitij,  Murali, et al

SSRN- Lancet Publication

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie

With the objective to forecast the COVID-19 cases and Basic Reproductive Number (R0) country-wise, for more than a month ahead, we have adopted a data driven approach that employs Multiple Aggregation Prediction Algorithm (MAPA) for temporal predictions. The strategy and workflow have been validated for long term predictions (up to 45 days) with 51 countries showing Rising, Exponential growth and Plateauing number of cases, which contribute to at least 91% of the total number of cases in the world. Thereafter, we have made predictions of the possible number of COVID-19 cases that is likely to be witnessed in the next 45 days by these 51 countries, the world as a whole and the other 160 countries combined, that are affected by the pandemic.

Behavioral and sociodemographic predictors of anxiety and depression in patients under epidemiological surveillance for COVID-19 in Ecuador

Paz,  C,  Mascialino, et al

PLoS One

Public Health response| Interventions de santé publique

The purpose of the present study was to identify behaviors during confinement and sociodemographic variables associated with the mental health status of confirmed or suspected COVID-19 patients who were part of the epidemiological surveillance program in Ecuador that included mandatory confinement and self-isolation. A cross-sectional study was performed from March 22th to April 18th, 2020 using an online survey. The survey collected socio-demographic information and severity of depressive symptoms using the Patient Health Questionnaire-9 and anxiety symptoms through the Generalized Anxiety Disorder-7. A total of 759 patients completed the questionnaire, 20.3% presented moderate to severe symptoms of depression and 22.5% moderate to severe symptoms of anxiety. Being a woman and from the Coastal region were risk factors. Exercising, maintaining daily routines, and keeping informed about the COVID-19 but limiting to an hour was associated with better mental health.

The furin cleavage site of SARS-CoV-2 spike protein is a key determinant for transmission due to enhanced replication in airway cells

Peacock,  ThomasP,  Goldhill, et al

bioRxiv

Transmission Coronavirology| Coronavirologie Animal model | Modèle animal

SARS-CoV-2 enters cells via its spike glycoprotein which must be cleaved sequentially at the S1/S2, then the S2' cleavage sites (CS) to mediate membrane fusion. SARS-CoV-2 has a unique polybasic insertion at the S1/S2 CS, which we demonstrate can be cleaved by furin. Using lentiviral pseudotypes and a cell-culture adapted SARS-CoV-2 virus with a S1/S2 deletion, we show that the polybasic insertion is selected for in lung cells and primary human airway epithelial cultures but selected against in Vero E6, a cell line used for passaging SARS-CoV-2. We find this selective advantage depends on expression of the cell surface protease, TMPRSS2, that allows virus entry independent of endosomes thus avoiding antiviral IFITM proteins. SARS-CoV-2 virus lacking the S1/S2 furin CS was shed to lower titres from infected ferrets and was not transmitted to cohoused sentinel animals. Thus, the polybasic CS is a key determinant for efficient SARS-CoV-2 transmission.

Two Phenotypes of Acute Kidney Injury Among Patients with COVID-19: A Multicenter Study from Wuhan, China

Peng,  Suyuan,  Wang, et al

SSRN- Lancet Publication

Epidemiology| Épidémiologie Clinical data| Données cliniques

We aimed to describe two phenotypes of acute kidney injury (AKI), as well as their risk factors and the association with mortality. Consecutive hospitalized patients with COVID-19 of three hospitals in Wuhan were included. Compared with patients with AKI-early, patients with AKI-late had significantly higher levels of systemic inflammatory markers. Both AKIs were associated with increased risks of in-hospital mortality. Only hypertension was independently associated with the risk of AKI-early, while age, history of chronic kidney disease, and the levels of inflammatory biomarkers were associated with the risk of AKI-late.

Safety of bedside surgical tracheostomy during COVID-19 pandemic: A retrospective observational study

Picetti,  E,  Fornaciari, et al

PLoS One

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

We performed this study to assess the safety of bedside surgical tracheostomy in COVID-19 patients admitted to ICU. This retrospective, single-center, cohort observational study (conducted between February, 23 and April, 30, 2020) was performed in our 45-bed dedicated COVID-19 ICU. No intraprocedural complications was reported. Stoma infection and bleeding were reported in 2 patients and 7 patients, respectively, in the post-procedure period, without significant clinical consequences. The mean PaO2 / FiO2 was significantly lower at the end of tracheostomy (117.6 ± 35.4) then at the beginning (133.4 ± 39.2) or 24 hours before (135.8 ± 51.3) the procedure. However, PaO2/FiO2 progressively increased at 24 hours after tracheostomy (142 ± 50.7). None of the members involved in the tracheotomy procedures developed COVID-19 infection. Bedside surgical tracheostomy appears to be feasible and safe, both for patients and for health care workers, during COVID-19 pandemic in an experienced center.

Muscle involvement in SARS-CoV-2 infection

Pitscheider,  L,  Karolyi, et al

Eur J Neurol

Clinical data| Données cliniques

In this study CK, markers of inflammation, pre-existing diseases and statin use were extracted from records of Austrian hospitalized COVID-19 patients to study neurological involvement in COVID-19 disease.  HyperCKemia occurs in a similar frequency in COVID-19 and influenza infection.

IL6-mediated HCoV-host interactome regulatory network and GO/Pathway enrichment analysis

Politano,  G,  Benso, et al

PLoS Comput Biol

Coronavirology| Coronavirologie

In this study authors used the results presented in previous work to perform two different Systems Biology analyses on the HCoV-host interactome and a Gene Ontology and a Pathways enrichment analysis. Results of the two analyses provide a compact but comprehensive glance on some of the current state-of-the-art regulations, GO, and pathways involved in the HCoV-host interactome, and that could support all scientists currently focusing on SARS-CoV-2 research.

PMC7521766; COVID-19 presenting with agraphia and conduction aphasia in a patient with left-hemisphere ischemic stroke

Priftis,  K,  Algeri, et al

Neurol Sci

Clinical data| Données cliniques

COVID-19 following infection by SARS-CoV-2 can affect the brain causing confusion, depression, and dementia-like signs. Nonetheless, the presence of more specific neuropsychological signs because of COVID-19 remains unexplored. We report on LA, a patient who was affected by a left-hemisphere ischemic stroke, probably because of SARS-CoV-2. The patient showed a highly specific neuropsychological profile characterized by severe agraphia and some signs of conduction aphasia. All other cognitive and sensorimotor functions remained intact. We sustain that specific neuropsychological signs can be observed in patients with COVID-19. Therefore, in-depth and comprehensive neuropsychological assessment should be included to better explore and qualify the neuropsychological consequences of COVID-19. This is a new challenge for diagnosis and rehabilitation, with important consequences for the involved neuropsychological services.

Evaluating the impact of demographic, socioeconomic factors, and risk aversion on mobility during COVID-19 epidemic in France under lockdown: a population-based study

Pullano,  Giulia,  Valdano, et al

medRxiv

Public Health response| Interventions de santé publique

We used temporally resolved travel flows among 1,436 administrative areas of mainland France reconstructed from mobile phone trajectories. We measured mobility changes before and during lockdown at both local and country scales. Lockdown caused a 65% reduction in countrywide number of displacements, and was particularly effective in reducing work-related short-range mobility, especially during rush hours, and recreational trips. Geographical heterogeneities showed anomalous increases in long-range movements even before lockdown announcement that were tightly localized in space. During lockdown, mobility drops were unevenly distributed across regions. Major cities largely shrank their pattern of connectivity, reducing it mainly to short-range commuting. Lockdown was effective in reducing population mobility across scales. Socio-economic and demographic constraints to the efficacy of restrictions were also identified.

Stay Home Stay Safe: General Public Knowledge, Attitude and Behavior Regarding COVID-19 During the Lockdown in Developing Countries

Qalati,  Sikandar Ali,  Ahmed, et al

SSRN- Lancet Publication

Public Health response| Interventions de santé publique

This study aims to investigate the general public knowledge, attitude and behavior regarding COVID-19 in China, India, and Pakistan.  The general public had intermediate knowledge and attitude compared to their behavior regarding COVID-19. Specifically, male and more educated people were more knowledgeable about
the disease.

Reduced Inflammatory Responses to SARS-CoV-2 Infection in Children Presenting to Hospital with COVID-19 in China

Qian,  Guoqing,  Zhang, et al

SSRN- Lancet prepublication

Epidemiology| Épidémiologie Clinical data| Données cliniques

We retrospectively analysed the medical records of 127 laboratory-confirmed COVID-19 patients aged 1 month to 16 years from Wuhan and Jingzhou of Hubei Province. Children admitted to hospital with COVID-19 were more likely to be male (67.7%) and the median age was 7.3 IQR 4.9] years. All but one patient with severe disease was aged under 2 and the majority (5/7) had significant co-morbidities. Despite 53% having viral pneumonia on CT scanning only 2 patients had low lymphocyte counts and no differences were observed in the levels of plasma proinflammatory cytokines, including interleukin (IL)-2, IL-4, IL-6, tumour necrosis factor (TNF)- , and interferon (IFN)- between patients with mild, moderate or severe disease. We demonstrated that the immune responses of children to COVID-19 infection is significantly different from that seen in adults.

Prevalence of Self-Medication during the COVID-19 Pandemic in Peru

Quispe-Cañari,  Jean Franco,  Fidel-Rosales, et al

SSRN- Lancet Publication

Public Health response| Interventions de santé publique

The study aimed to assess the prevalence of self-medicated drugs used for respiratory symptoms, as COVID-19 preventive, for its symptoms or once tested positive. The majority of respondents self-medicated with acetaminophen for respiratory symptoms and mainly because they had a cold or flu. Age, region where one lived and job status were variables associated with self-medication frequency.

Epidemiology of trauma presentations to a major trauma centre in the North West of England during the COVID-19 level 4 lockdown

Rajput,  K,  Sud, et al

Eur J Trauma Emerg Surg

Healthcare Response | Réponse des soins de santé

The aim of this study is to delineate the trauma patterns and outcomes at Aintree University Teaching Hospital level 1 Major Trauma Centre (MTC) during the COVID-19 lockdown imposed by the U.K. government. METHODS: A retrospective cohort study data from the Merseyside and Cheshire Trauma Audit and Research Network database were analysed. The 7-week 'lockdown period' was compared to a 7-week period prior to the lockdown and also to an equivalent 7-week period corresponding to the previous year. RESULTS: A total of 488 patients were included in the study. Overall, there was 37.6% and 30.0% reduction in the number of traumatic injuries during lockdown. Road traffic collisions (RTC) reduced by 42.6% and 46.6%. RTC involving a car significantly reduced during lockdown, conversely, bike-related RTC significantly increased. No significant changes were noted in deliberate self-harm, trauma severity and crude mortality during lockdown. There was 1 mortality from COVID-19 infection in the lockdown cohort.

Continuous positive airway pressure and pronation outside the intensive care unit in COVID 19 ARDS

Ramirez,  GA,  Bozzolo, et al

Minerva Med

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

BACKGROUND: The efficacy and safety of continuous positive airway pressure and respiratory physiotherapy outside the ntensive care unit during a pandemic. METHODS: In this cohort study performed in February-May 2020 in a large teaching hospital in Milan, COVID-19 patients with adult respiratory distress syndrome receiving continuous positive airway pressure (positive end-expiratory pressure = 10 cm H2O, FiO2 = 0.6, daily treatment duration: 4x3hcycles) and respiratory physiotherapy including pronation outside the intensive care unit were followed up. RESULTS: Of 90 ARDS patients treated with continuous positive airway pressure (45/90, 50% pronated at least once) outside the intensive care unit and with a median (interquartile) follow up of 37 (11-46) days, 45 (50%) were discharged at home, 28 (31%) were still hospitalized, and 17 (19%) died. Continuous positive airway pressure failure was recorded for 35 (39%) patients. Patient mobilization was associated with reduced failure rates (p=0.033). No safety issues were observed. CONCLUSIONS: Continuous positive airway pressure with patient mobilization (including pronation) was effective and safe in patients with ARDS due to COVID-19 managed outside the intensive care unit setting during the pandemic.

Laboratory Parameters and Complication Risk Factors in Mexican COVID-19 Patients: A Cross-Sectional Study

Ramos-Peñafiel,  Christian Omar,  Rosas-Gonzalez, et al

SSRN- Lancet Publication

Epidemiology| Épidémiologie Clinical data| Données cliniques

We aimed to evaluate the association between laboratory tests and complications risk factors in SARS-CoV-2 infection in a Mexican population. There was no statistical association between death, and diabetes and hypertension coexistence. The full blood count test showed a higher median of leucocytes count in non- survivors. For hospital mortality, the higher odds ratios were DHL, ferritin >800ng/ml, and male sex.

To Study the Effect of Unconventional Treatment Protocol on COVID-19 Patients in Delhi Using Artificial Intelligence Based Methods

Rawal,  Kamal,  Jethani, et al

SSRN- Lancet Publication

Clinical data| Données cliniques Therapeutics| Thérapeutique

In this study, we observed the demographic profile as well as severity of COVID-19 on different patients and the effect of unconventional treatment protocol on the
patients in a retrospective observational study conducted in a hospital in India. A total of 170 patients were treated with either homeopathic medicines, allopathic medicine or combination of both. The unconventional treatment protocol combining homeopathic medicines and allopathic systems showed rapid improvement in clinical condition. The mortality rate was zero and there were no adverse events for the patients.

Derivation and validation of a novel intelligent computational approach to model epidemiological trends and assess the impact of non-pharmacological interventions for COVID-19

Ren,  J,  Yan, et al

IEEE J Biomed Health Inform

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

Authors develop and validate a novel intelligent computational model to predict epidemiological trends of COVID-19, with the model parameters enabling an evaluation of the impact of NPIs.   Comparative results demonstrate that the introduction of consistent control measures across countries can lead to development of similar parametric models, reflected in particular by relative variations in their underlying sigma, alpha and mu values.

Is Karachi Knocking at Herd Immunity? A Possible Reason for Decline in SARS-CoV-2 Infections

Rezwan,  Faiza,  Zaidi, et al

SSRN- Lancet prepublication

Epidemiology| Épidémiologie Immunology | Immunologie

prospective cross-sectional study conducted in the first and second weeks of September 2020 Karachi, Pakistan to report if seroprevalence has reached the threshold of herd immunity. A total of 2404 subjects’ blood samples were received from healthcare workers, the industrial workforce, and healthy blood donors. Seroprevalence in industrial workers was highest (70%) as compared to healthcare workers (40%). Overall seropositivity in males (39%) was higher than females (16%). Blood donors (all males) showed a seropositivity of 37.8%. The co-morbid state was not significantly associated with seropositivity (p-value >0.05). Total cases of antibody-positive were 1322 of 2100 (55 %). Results confirmed the current seroprevalence of 55% in the adult population in Karachi. There was a sharp rise from 36% reported previously in July. This rise coincided with a sharp decline in new reported COVID cases.

Social, Financial and Psychological Stress During an Emerging Pandemic: Preliminary Observations from a Population Web-Based Longitudinal Survey on COVID-19

Robillard,  Rebecca,  Saad, et al

SSRN- Lancet Publication

Public Health response| Interventions de santé publique

This population survey study presents cohort characteristics and baseline observations linked to the acute-mid phase of the COVID-19 outbreak in terms of perceived threats and concerns, occupational and financial impacts, social impacts and stress.  There was a significant increase from average low to moderate stress during the COVID-19 outbreak. Some independent factors associated with stress worsening included: having a mental disorder, female sex, having underage children, heavier alcohol consumption, working with the general public, younger age,  worse symptoms that could be linked to COVID-19, left wing political views, worse family relationships.

High-resolution structures of the SARS-CoV-2 2'-O-methyltransferase reveal strategies for structure-based inhibitor design

Rosas-Lemus,  M,  Minasov, et al

Sci Signal

Therapeutics| Thérapeutique

To facilitate structure-based drug design, authors conducted an x-ray crystallographic study of the SARS-CoV-2 nsp16-nsp10 2'-O-methyltransferase complex, which methylates Cap-0 viral mRNAs to improve viral protein translation and to avoid host immune detection.  These various sites and the conserved dimer interface could be exploited for the development of antiviral inhibitors.

Inhibition of SARS-CoV-2 in Vero cell cultures by peptide-conjugated morpholino-oligomers

Rosenke,  Kyle,  Leventhal, et al

bioRxiv

Coronavirology| Coronavirologie Therapeutics| Thérapeutique

Five peptide-conjugated morpholino oligomers (PPMOs) designed against sequences of genomic RNA in the SARS-CoV-2 5'-untranslated region and a negative control PPMO of random sequence were synthesized. Each PPMO was evaluated for its effect on the viability of uninfected cells and its inhibitory effect on the replication of SARS-CoV-2 in Vero-E6 cell cultures. Cell viability was evaluated with an ATP-based method and viral growth was measured with quantitative RT-PCR and TCID50 infectivity assays. PPMO designed to base-pair with sequence in the 5'-terminal region or the leader transcription regulatory sequence-region of SARS-CoV-2 genomic RNA were highly efficacious, reducing viral titers by up to 4-6 log10 in cell cultures at 48-72 hours post-infection, in a non-toxic and dose-responsive manner.

The Effects of Covid-19 Dependent Post-Traumatic Stress Symptom and Corona Coping Self-Efficacy on Mental Health in Three Arab Societies

Rudwan,  Samer Jamil,  Al-Owidha, et al

SSRN- Lancet prepublication

Public Health response| Interventions de santé publique

This study explored the differences in mental health, the COVID19 related symptoms of Post-traumatic stress disorder (PTSD), and self-efficiency among three Arab countries; Syria, Saudi Arabia and Sultanate of Oman and the effectiveness of COVID19 related to PTSD symptoms and self-efficiency of mental health. Results showed differences among these three societies regarding the study's variables. Especially Syrians who achieved a low level of mental health and self-efficiency and high level of the PTSD symptoms compared to the Saudis and Omanis samples. There were several differences between the Saudis and Omanis samples. Multiple regression analysis had shown that the COVID19 related PTSD symptoms and self-efficiency considered to be good predictors of mental health.

Exploring the Insilico Properties and Docking Studies of Sudarshan Churna for Anti-Sars-CoV-2 Activity

S,  Banu Priya,  N, et al

SSRN- Lancet Publication

Coronavirology| Coronavirologie Therapeutics| Thérapeutique

This study aims to explore the insilico properties and molecular docking studies of Sudarshan churna, an ayurvedic preparation of many herbal powders, against COVID19. The druglikeness of 202 compounds were evaluated and molecular docking for these compounds were performed against SARS CoV-2 proteins by insilico techniques. The active constituents of Sudarshan Churna have good anti SARS CoV-2 activity and can serve as a lead against the SARS CoV-2.

Psychosocial Impact of COVID-19 Quarantine in South India: A Online Cross-Sectional Survey

S,  Narrain Shree,  K, et al

SSRN- Lancet Publication

Public Health response| Interventions de santé publique

The present study sought to determine knowledge, attitude and behavior (KAB) of South Indian population toward COVID-19 Quarantine. 280 responses were received. The responders had a moderate level of knowledge about the COVID-19 infection and adequate knowledge about its preventive aspects. In this study, panic about acquiring COVID-19 infection during purchase and travel were reported in 29.5% and 11% participants respectively. The perceived Physical healthcare need was seen in more than 69% of participants.

Recent endemic coronavirus infection is associated with less severe COVID-19

Sagar,  M,  Reifler, et al

J Clin Invest

Epidemiology| Épidémiologie Clinical data| Données cliniques

The patients with a previously detected endemic coronaviruses (eCoVs) had less severe coronavirus disease-2019 (COVID-19) illness. Our observations suggest that pre-existing immune responses against endemic human coronaviruses can mitigate disease manifestations from SARS-CoV-2 infection.

Excess all-cause mortality during COVID-19 outbreak: potential role of untreated cardiovascular disease

Saglietto,  A,  D'Ascenzo, et al

Minerva Cardioangiol

Epidemiology| Épidémiologie

The aim of this analysis was to assess the real impact of COVID-19 through the analysis of 2020 Italian all-cause mortality data compared to historical series. The analysis of all-cause mortality data in Italy indicates that reported COVID-19-related deaths are an underestimate of the actual death toll.

COVID-19 vaccine BNT162b1 elicits human antibody and T(H)1 T-cell responses

Sahin,  U,  Muik, et al

Nature

Vaccine Research| Recherche sur les vaccins

Authors reported safety, tolerability and antibody response data from an ongoing placebo-controlled, observer-blinded phase 1/2 COVID-19 vaccine trial with BNT162b1, a lipid nanoparticle (LNP) formulated nucleoside-modified messenger RNA (mRNA) encoding the receptor binding domain (RBD) of the SARS-CoV-2 spike protein(1). The robust RBD-specific antibody, T-cell and favourable cytokine responses induced by the BNT162b1 mRNA vaccine suggest multiple beneficial mechanisms with potential to protect against COVID-19.

Genopo: a nanopore sequencing analysis toolkit for portable Android devices

Samarakoon,  H,  Punchihewa, et al

Commun Biol

Coronavirology| Coronavirologie

Authors introduce Genopo, a mobile toolkit for nanopore sequencing analysis. They use Genopo to determine the complete genome sequence of the human coronavirus SARS-CoV-2 in nine patient isolates sequenced on a nanopore device, with Genopo executing this workflow in less than 30 min per sample on a range of popular smartphones.

Predicting COVID-19 Unreported Case From Space

Satyakti,  Yayan

SSRN- Lancet Publication

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

This paper investigates how social behavior such as people responding to news and economic performance will influence on human mobility and confirming positive case of COVID-19. The results found that without policy the spreading case of COVID-19 will increase about 8 million cases, whereas with policy the unreported COVID-19 confirmed case about 1.9 – 2 times of government publicly report.

Examining Australian public perceptions and behaviors towards a future COVID-19 vaccine

Seale,  Holly,  Heywood, et al

medRxiv

Public Health response| Interventions de santé publique

This study aimed to understand the public perceptions regarding a future COVID-19 vaccine in Australia. A national cross-sectional online survey of 1420 Australian adults was undertaken between 18 and 24 March 2020. The statistical analysis of the data included univariate and multivariate logistic regression analysis. Eighty percent (n=1143) agreed with the statement that getting myself vaccinated for COVID-19 would be a good way to protect myself against infection. Females (614, 83%) were more likely to agree with the statement than males (529, 78%) (aOR=1.4 (95% CI: 1.1-1.8); P=0.029), while 90.9% aged 70 and above agreed compared to 76.6% aged 18-29 year old (aOR=2.3 (95% CI:1.2-4.1); 0.008). Agreement was also higher for those with a self-reported chronic disease (aOR=1.4 (95% CI: 1.1-2.0); P=0.043) and among those who held private health insurance (aOR=1.7 (95% CI: 1.3-2.3); P<0.001). Beyond individual perceptions, 78% stated that their decision to vaccinate would be supported by family and friends. To support an effective launch of these new vaccines, governments need to use this time to understand the communities concerns and to identify the strategies that will support engagement.

A prospective, multi-centre external validation study of the Liverpool Peritonsillar abscess Score (LPS) with a no-examination Covid-19 modification

Selwyn,  D,  Yang, et al

Clin Otolaryngol

Healthcare Response | Réponse des soins de santé

OBJECTIVES: Our primary aim was to validate the Liverpool Peritonsillar abscess Score (LPS) externally in a new patient cohort. Our secondary aim was to modify the LPS in the light of the Covid-19 pandemic to produce a no-examination variant for use in this instance. DESIGN: Prospective, multicentre external validation study SETTING: Six different secondary care institutions across the United Kingdom PARTICIPANTS: Patients over 16 years old who were referred to ENT with any uncomplicated sore throat such a tonsillitis or peritonsillar abscess (PTA) MAIN OUTCOME MEASURES: Sensitivity, specificity, positive predictive value and negative predictive value for both the original LPS model and the modified model for Covid-19. RESULTS: The LPS model had sensitivity and specificity calculated at 98% and 79% respectively. The LPS has a high negative predictive value (NPV) of 99%. The positive predictive value (PPV) was slightly lower at 63%.

Renewable Biomass-Derived Bio-Liquid that Can Prevent Transmission of SARS-CoV-2 from Waste to Humans

Shang,  Hua,  Zhao, et al

SSRN- Lancet Publication

Public health interventions*| Interventions de santé publique Coronavirology| Coronavirologie

Here, we prepared a renewable wheat straw-based bio-liquid that can damage SARS-CoV-2 RNA and protein. The wet thermochemical extraction (WTE) bio-liquid, with total organic carbon concentration exceeding 1,892 mg/L, could effectively damage the virus. The antiviral bio-liquid produced from agricultural straw can meet the needs of preventing the spread of SARS-CoV-2 from solid waste to humans to control the epidemic and resume the sustainable development of society.

Challenges of Nurses in the Caring Process of Patients with COVID-19 in Iran: A Qualitative Study

Sharififar,  Simintaj,  Moradi, et al

SSRN- Lancet Publication

Healthcare Response | Réponse des soins de santé

The present study was carried out using a qualitative method to detect the challenges to which nurses are faced in the process of caring for patients with COVID-19 in Iran. Challenges of the nurses in the caring process of patients with COVID-19 were listed in five categories of stress and psychological issues, equipment-related challenges, increased events of errors, medication and treatment problems, and hospital management.

Whole Genome Sequencing Confirmed SARS-CoV-2 Reinfections Among Healthcare Workers in India with Increased Severity in the Second Episode

Shastri,  Jayanthi,  Parikh, et al

SSRN- Lancet Publication

Epidemiology| Épidémiologie Coronavirology| Coronavirologie

RNA was extracted from nasopharyngeal plus oropharyngeal samples from four HCWs who were SARS-CoV-2 RT-PCR positive in May/June and then again in July. Anti-NC antibody testing was performed after the second infection in three HCWs. The RNA was subjected to whole genome sequencing and comparative genome and protein-based functional annotation analyses were performed on the nucleotide and amino acid sequences. Genomic variations observed through whole genome sequencing coupled with clinical presentation confirm reinfections of SARS-CoV-2 in healthcare workers.

Potential spreading dynamics of COVID-19 with temporary immunity - a mathematical modeling study

Shayak,  B,  Sharma, et al

medRxiv

Modelling/ prediction| Modélisation/prédiction Transmission

We use mathematical modeling to answer what profile the epidemic trajectories may take if immunity were really to be temporary in a significant amount of the population, by constructing a novel delay differential equation model which is tailored to accommodate different kinds of immune response. We consider two immune responses here, where a recovered case becomes completely susceptible after a given time interval following infection and where a first-time recovered case becomes susceptible to a lower virulence infection after a given time interval following recovery, and becomes permanently immunized by a second infection. We find possible solutions exhibiting large number of waves of disease in the first situation and two to three waves in the second situation. Interestingly however, these multiple wave solutions are manifest only for some intermediate values of the reproduction number R, which is governed by public health intervention measures. For sufficiently low as well as sufficiently high R, we find conventional single-wave solutions despite the short-lived immunity. Our results cast insight into the potential spreading dynamics of the disease and might also be useful for analysing the spread after a vaccine is invented, and mass vaccination programs initiated.

Natural Selection Footprint in Novel Coronavirus: A Genomic Perspective of SARS-COV2 Pandemic and Hypothesis for Peptide-Based Vaccine

ShekarkarAzgomi,  Mojtaba,  Mohammadnezhad, et al

SSRN- Lancet prepublication

Coronavirology| Coronavirologie Therapeutics| Thérapeutique

This study retrospective analyzed in silico the binding affinity of SARS-CoV-2 peptides to MHC class I HLA-A, -B, and –C molecules in different countries with high and low morbidity and mortality rates. Used bioinformatics approach to screen 18260 SARS-CoV-2 epitopes that have significant affinity for different MHC class I alleles and found approximately five thousand predicted nonamers to bind different alleles. Those predicted epitopes show different significant affinity for frequently occurring MHC I alleles. This study showed that those alleles have different correlation with SARS-CoV-2 pandemic in 22 country based on different mortality and morbidity rate. There was a strong negative correlation between morbidity and mortality rates and the frequency of HLA-A*24, HLA-C*06 and HLA-B*5, while a strong positive correlation is detected between HLA-A*02, HLA-B*38, HLA-C*04 and HLA-C*08. Speculated that HLA class I polymorphism, by governing the set of viral peptides presented to CD8 + T cells, influences the outcome of SARS-Cov-2 infection.

Viral epitope profiling of COVID-19 patients reveals cross-reactivity and correlates of severity

Shrock,  E,  Fujimura, et al

Science

Immunology | Immunologie

Understanding humoral responses to SARS-CoV-2 is critical for improving diagnostics, therapeutics, and vaccines. Deep serological profiling of 232 COVID-19 patients and 190 pre-COVID-19 era controls using VirScan revealed over 800 epitopes in the SARS-CoV-2 proteome, including 10 epitopes likely recognized by neutralizing antibodies. Pre-existing antibodies in controls recognized SARS-CoV-2 ORF1, while only COVID-19 patients primarily recognized spike and nucleoprotein. A machine learning model trained on VirScan data predicted SARS-CoV-2 exposure history with 99% sensitivity and 98% specificity; a rapid Luminex-based diagnostic was developed from the most discriminatory SARS-CoV-2 peptides. Individuals with more severe COVID-19 exhibited stronger and broader SARS-CoV-2 responses, weaker antibody responses to prior infections, and higher incidence of CMV and HSV-1, possibly influenced by demographic covariates. Among hospitalized patients, males make greater SARS-CoV-2 antibody responses than females.

Landscape of Public T Cell Receptors Associated with Recovery from COVID-19

Simnica,  Donjete,  Paschold, et al

SSRN- Lancet prepublication

Immunology | Immunologie

By analysis of clonal trajectories, we identified recovery-associated expanding T cell clones many of which carrying public T cell receptors (TCRs). Mining the immune repertoires of unrelated COVID-19 cases for these sequences revealed T cells with exact TCR complementarity-determining region 3 identity that were more abundant in recovering than in fatal cases. These TCRs were also found in subjects not previously exposed to the virus, with lower representation in repertoires from risk groups like aged individuals or cancer patients. Together, our data indicate that a significant part of the recovery-associated T cell response in COVID-19 may be mediated by public TCRs that are present in repertoires of unexposed individuals. The lower representation of these clones in repertoires of risk groups or failure to expand such clones may contribute to more unfavorable clinical COVID-19 courses.

A Study on Emotional Well-Being Midst Coronavirus Pandemic Lockdown

Singh,  Akanksha,  Singh, et al

SSRN- Lancet prepublication

Public Health response| Interventions de santé publique

This study was conducted with the aim to assess the Emotional Well-being of individuals during Lockdown due to the Coronavirus Pandemic. The Emotional Well-being Scale was administered on 100 individuals. This study traverses the impact of marital status and gender on emotional well-being during the lockdown phase. The results suggested that there is no significant difference on the aspects of dimensions of Emotional Wellbeing as mental Health(MH), Emotional Resilience(ER), Emotional Health(EH), Emotional Happiness(EHP), and Total Emotional Well-being(TEW), when computed in relevance to gender and marital status. This led to the inference that respondents were affected by the pandemic situation in many similar ways.

National Trends of Cases of COVID-19 in Children Based on US State Health Department Data

Sisk,  B,  Cull, et al

Pediatrics

Epidemiology| Épidémiologie

We describe pediatric COVID-19 infection in the US: number of cases and trends by geographic region, proportion of confirmed cases that are children, hospitalization rate, mortality rate. Data are drawn from publicly available COVID-19 information posted on 49 state (NY state does not provide cases by age), 2 urban (NYC and DC) and 2 territory (Puerto Rico, Guam) health department web sites. Geographic region is based on the Census categorization: Northeast, Midwest, South, West.
Information was collected weekly on Thursdays from 4/16/2020-9/10/2020 and pooled to provide national and regional information. As of 9/10, there were 549,432 cumulative child COVID-19 US cases, a rate of 729 cases per 100,000 children. There has been substantial variation in case growth by region: in April, a preponderance of cases was in the Northeast. In June, cases surged in the South and West, followed by mid-July increases in the Midwest. Over time, the proportion of COVID-19 cases that are pediatric has risen substantially.

Artificial intelligence to predict the risk of mortality from COVID-19: Insights from a Canadian Application

Snider,  Brett,  Phillips, et al

medRxiv

Epidemiology| Épidémiologie Clinical data| Données cliniques

Investigation of AI models and statistical models provides important insights within the province of Ontario as a case study application using patients' physiological conditions, symptoms, and demographic information from datasets from Public Health Ontario (PHO) and the Public Health Agency of Canada (PHAC). The findings using XGBoost provide an accuracy of 0.9056 for PHO, and 0.935 for the PHAC datasets. Age is demonstrated to be the most important variable with the next two variables being Hospitalization and Occupation.  AI models identify the importance of improved medical practice which evolved over the six months in treating COVID-19 virus during the pandemic, and that age is absolutely now the key factor, with much lower importance of other variables that were important to mortality near the beginning of the pandemic.

Sitagliptin Treatment at the Time of Hospitalization Was Associated With Reduced Mortality in Patients With Type 2 Diabetes and COVID-19: A Multicenter, Case-Control, Retrospective, Observational Study

Solerte,  SB,  D'Addio, et al

Diabetes care

Clinical data| Données cliniques Therapeutics| Thérapeutique

In a multicenter, case-control, retrospective, observational study, sitagliptin, an oral and highly selective dipeptidyl peptidase 4 inhibitor, was added to standard of care (e.g., insulin administration) at the time of hospitalization in patients with type 2 diabetes who were hospitalized with COVID-19.  In this multicenter, case-control, retrospective, observational study of patients with type 2 diabetes admitted to the hospital for COVID-19, sitagliptin treatment at the time of hospitalization was associated with reduced mortality and improved clinical outcomes as compared with standard-of-care treatment.

PMC7521197; Identifying the Risk of SARS-CoV-2 Infection and Environmental Monitoring in Airborne Infectious Isolation Rooms (AIIRs)

Song,  ZG,  Chen, et al

Virol Sin

Transmission Infection Prevention and Control/ Prévention et contrôle des infections (IPAC/PCI) Healthcare Response | Réponse des soins de santé

Authors performed comprehensive environmental contamination surveillance to evaluate the risk of viral transmission in AIIRs with 115 rooms in three buildings at the Shanghai Public Health Clinical Center, Shanghai, during the treatment of 334 patients infected with SARS-CoV-2. This study has provided information pertinent for infection control in AIIRs during the treatment of COVID-19 patients.

The Antiviral Activity of Lopinavir/Ritonavir and Clarythromycin Combination to SARS-CoV-2 from Local Isolate Indonesia ( In Vitro Study)

Sumorejo,  Purwati,  Ihsan, et al

SSRN- Lancet Publication

Coronavirology| Coronavirologie Therapeutics| Thérapeutique

Lopinavir/ritonavir and Clarythromycin are evaluated as potential drugs against SARS-CoV-2. Antiviral activity or inhibition concentration of 50% to virus (IC50) value of each, Lopinavir, Clarithromycin and combination Lopinavir+Clarithromycin are 0.9757; 0.9246; and <0.5 ppm. The combination Lopinavir+Clarithromycin had the lowest value than others that indicated the most potential and has capability as an antiviral activity.

Psychological Wellbeing During the Global COVID-19 Outbreak

Sun,  Rui,  Balabanova, et al

SSRN- Lancet prepublication

Public Health response| Interventions de santé publique

This study used survey data collected from 26,684 participants in 51 countries from 17 April to 15 May 2020 to examine the individual and societal factors that predict the degree of individuals’ suffering or thriving during the COVID-19 outbreak.  Around the world, calm, connection, and control were found to be central to wellbeing during the COVID-19 outbreak. The results are consistent with findings from two representative samples using pre-registered analyses, and a prospective 30-day daily diary study. Findings highlight differential relationships between socio-affective processes and wellbeing during collective crises, and point to the importance of momentary experiences of calm, love and determination, particularly for those in less privileged positions in society.

Remodelling of specialist services enables safe reduction in hospital admissions of patients with sickle cell disease: Lessons from the COVID-19 pandemic

Tsitsikas,  DA,  Lewis, et al

Clin Med (Lond)

Healthcare Response | Réponse des soins de santé

In the 3-month period between March and May 2020, there was a significant reduction in the number of hospital admissions as well as mean length of stay compared with the mean figures over the same months in the preceding 5 years (2015-19), with an overall reduction in inpatient days of 77%. There were no cases of unsafe hospital avoidance or presentations to hospital that were inappropriately delayed. Frequent telephone communication with patients and provision of ambulatory care were, among others, two very important means of supporting our patient population.

Government Interventions and Control Policies to Contain COVID-19 Outbreak: Global Analysis of Evidence During the First 4 Months

Tyrovolas,  Stefanos,  Giné-Vázquez, et al

SSRN- Lancet prepublication

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

The overarching aim of this study was to evaluate the effectiveness over time of government interventions, policy restrictions, and the impact of risk factors on COVID-19 spread and mortality, globally, regionally and by country-income level, through May 18th. Our results support use of very high government interventions to effectively suppress both COVID-19 spread and mortality, globally compared to other policy levels of control. Additionally, we found that only very-high level government interventions suppressed COVID-19 mortality close to pre-intervention estimates. Similar trends in virus propagation and mortality were observed in all country-income levels and specific regions. An inverse relationship with intensive care beds and mortality was also found.

Decrease in Cardiac Catheterization Laboratory Volume and MI During COVID Pandemic

Ullah,  Abid,  Fraser, et al

SSRN- Lancet Publication

Healthcare Response | Réponse des soins de santé

We conducted a retrospective review of the coronary catheterisation procedures and admissions with MI over the peak COVID-19 pandemic 10-week period in 2020, compared with the same 10-week period in 2019. During peak COVID hospital admission period in England, we report a 48.5% reduction in coronary catheterisation in our tertiary hospital. These results are consistent with reports from other countries, and highlight the worrying potential consequences for these patients arising from delays in presentation with MI, and the challenges for restoring services post-pandemic.

Is Mesenteric Ischemia In COVID-19 Patients A Surprise?

Vartanoglu Aktokmakyan,  T,  Tokocin, et al

Surg Innov

Clinical data| Données cliniques

This observational study aimed to describe the incidence and characteristics, as well as clinical outcomes, of patients presenting and treated for mesenteric ischemia during the COVID-19 pandemic. The presence of hypercoagulation status in critical COVID-19 patients should be observed closely, and anticoagulation therapy can be considered in selected patients.

Pregnancies recovered from SARS-CoV-2 infection in the second and third trimesters: obstetric evolution

Vigil-De Gracia,  P,  Caballero, et al

Ultrasound Obstet Gynecol

Clinical data| Données cliniques

Authors investigated the maternal and perinatal results of pregnant women recovered from SARS-CoV-2 infection continuing the pregnancy T.he alteration of the mother's state of health during pregnancy caused by the SARS-CoV-2 infection can have long-term effects on the health of the offspring and the nucleus that triggers these poor results appears to be the placenta.

Diagnostic Value of Reported and Clinically Tested Olfactory Disorders in a Population Screened for COVID-19

Villerabel,  Charles,  Makinson, et al

SSRN- Lancet Publication

Epidemiology| Épidémiologie Clinical data| Données cliniques

We investigated the diagnostic value of patient-reported and clinically tested chemosensory disorders in patients attending a COVID-19 screening center. Prior to nasopharyngeal swabbing for SARS-CoV-2 RT-PCR, participants were interviewed for symptoms, then underwent the Clinical Olfactory Dysfunction Assessment (CODA). Among 809 participants, 58 (7·2%) tested positive for SARS-CoV-2. Patient-reported chemosensory disorders prevalence was 34·5% in COVID-19 confirmed cases. However, normal olfaction is common in COVID-19.

COVID-19 Pandemic Is Not Associated with an Increased Risk of Perinatal Mortality

Viswanatha,  Radhika,  Datta, et al

SSRN- Lancet Publication

Epidemiology| Épidémiologie Clinical data| Données cliniques

There were 1,415 births during the pandemic in 2020 (1,396 singleton and 19 twins) and an average of 1527 for the same quarter over the previous 4 years. During the pandemic we had 3 perinatal mortalities which included 2 still births and 1 late fetal loss. None of the cases were related to acute Covid-19 infections. Steps taken to reduce the risk of missed antenatal care, in addition to education of pregnant women and staff did possibly prevent increase stillbirths in our pregnant population.

Social Distancing Associations with COVID-19 Infection and Mortality Are Modified by Crowding and Socioeconomic Status

VoPham,  Trang,  Weaver, et al

SSRN- Lancet Publication

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

Using generalized linear mixed models with a Poisson distribution accounting for counties nested within states, we modeled associations between county-level social distancing and COVID-19 incidence and mortality. each unit increase in social distancing was associated with a 26% decrease (p<0.0001) in COVID-19 incidence and a 31% decrease (p<0.0001) in COVID-19 mortality. Percent crowding, non-white population, and median household income, were all statistically significant modifiers of the associations between objective social distancing and incidence and mortality.

Clinical Features and Outcomes in Imported and Non-Imported Patients with COVID-19 in Chongqing, China: A Retrospective, Multi-Centre, Descriptive Study

Wang,  Jing,  Yuan, et al

SSRN- Lancet Publication

Epidemiology| Épidémiologie Clinical data| Données cliniques

We compared the differences of clinical features and outcomes between imported and non-imported COVID-19 patients. The proportion of asymptomatic patients in the non-imported group was significantly higher than that in the imported group (18.9% vs. 3.8%, p=0.016), and the proportions of symptoms of fever, sore throat and diarrhea in the non-imported group were all lower than those in the imported group (p≤0.048).

Global, regional, and national estimates of target population sizes for COVID-19 vaccination

Wang,  Wei,  Wu, et al

medRxiv

Public Health response| Interventions de santé publique

We aimed to provide global, regional, and national estimates of target population sizes for COVID-19 vaccination to inform country-specific immunization strategies on a global scale. We classified the entire world population into eleven priority groups. The size of COVID-19 vaccine recipient population varied markedly by goals of the vaccination program and geography. The general population aged <60 years without any underlying condition accounts for the majority of the total population (5.2 billion people, 68%), followed by 2.3 billion individuals at risk of severe disease, and 46.9 million essential workers which are critical to maintaining a functional society. The sizeable distribution of target groups on a country and regional bases underlines the importance of equitable and efficient vaccine prioritization and allocation globally. The direct and indirect benefits of COVID-19 vaccination should be balanced by considering local differences in demography and health.

[Comparison of severity classification of Chinese protocol, pneumonia severity index and CURB-65 in risk stratification and prognostic assessment of coronavirus disease 2019]

Wang,  X,  Hu, et al

Zhonghua Jie He He Hu Xi Za Zhi

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

The objective of this study was to investigate the application of severity classification according to the protocol on the diagnosis and treatment of COVID-19 by the National Health Commission of China, pneumonia severity index (PSI) and CURB-65 in risk stratification and prognostic assessment of COVID-19. PSI and CURB-65 can be used for risk stratification and prognostic assessment in patients with COVID-19.

Experience of a Tertiary Hospital in Singapore with Management of a Dual Outbreak of COVID-19 and Dengue

Wee,  LE,  Cherng, et al

Am J Trop Med Hyg

Epidemiology| Épidémiologie

In a tertiary hospital contending with COVID-19 during a dengue epidemic, a triage strategy of routine COVID-19 testing for febrile patients with viral prodromes was used. From January to May 2020, 11,086 admissions were screened for COVID-19; 868 cases of COVID-19 were diagnosed in our institution, along with 380 cases of dengue. Only 8.5% (943/11,086) of suspected COVID-19 cases were concurrently tested for dengue serology due to a compatible overlapping clinical syndrome, and dengue was established as an alternative diagnosis in 2% (207/10,218) of suspected COVID-19 cases that tested negative. There were eight COVID-19 cases with likely false-positive dengue serology and one probable COVID-19/dengue coinfection. From April to May 2020, 251 admissions presenting as viral prodromes with no respiratory symptoms were screened; of those, 15 cases had COVID-19, and 2/15 had false-positive dengue IgM. Epidemiology investigations showed no healthcare-associated transmission. In a dengue epidemic season coinciding with a COVID-19 pandemic, dengue was established as an alternative diagnosis in a minority of COVID-19 suspects, likely due to early availability of basic diagnostics. Routine screening of patients with viral prodromes during a dual outbreak of COVID-19 and dengue enabled containment of COVID-19 cases masquerading as dengue with false-positive IgM.

Vascular Thrombosis in Severe COVID-19: A Multicenter Study

Weir-McCall,  Jonathan,  Galea, et al

SSRN- Lancet Publication

Epidemiology| Épidémiologie Clinical data| Données cliniques

We aimed to compare the prevalence of vascular thrombosis in patients with either severe COVID-19 or non-COVID-19 viral pneumonia. COVID-19 is associated with a significantly higher prevalence of vascular thrombosis compared with non-COVID-19 viral pneumonias. Despite this, vascular thrombosis was not linked to poorer short-term prognosis in those with COVID-19.

Framing COVID-19: How we conceptualize and discuss the pandemic on Twitter

Wicke,  P,  Bolognesi, et al

PLoS One

Public Health response| Interventions de santé publique

We hereby present an analysis of the discourse around #Covid-19, based on a large corpus tweets posted on Twitter during March and April 2020. Using topic modelling we first analyze the topics around which the discourse can be classified. Then, we show that the WAR framing is used to talk about specific topics, such as the virus treatment, but not others, such as the effects of social distancing on the population. We then measure and compare the popularity of the WAR frame to three alternative figurative frames (MONSTER, STORM and TSUNAMI) and a literal frame used as control (FAMILY). The results show that while the FAMILY frame covers a wider portion of the corpus, among the figurative frames WAR, a highly conventional one, is the frame used most frequently. Yet, this frame does not seem to be apt to elaborate the discourse around some aspects involved in the current situation. Therefore, we conclude, in line with previous suggestions, a plethora of framing options-or a metaphor menu-may facilitate the communication of various aspects involved in the Covid-19-related discourse on the social media, and thus support civilians in the expression of their feelings, opinions and beliefs during the current pandemic.

Different Laboratory Abnormalities in COVID-19 Patients with Hypertension or Diabetes

Wu,  X,  Wang, et al

Virol Sin

Epidemiology| Épidémiologie Clinical data| Données cliniques

We re-analysed the same cohort of 99 COVID-19 patients discharged from the general wards of Renmin Hospital of Wuhan University between 5 February 2020 and 14 March 2020. We asked whether there were any factors associated with COVID-19 patients with either hypertension or diabetes. As expected, COVID-19 patients with health conditions like hypertension or diabetes had a longer length of hospital stay than those without, but this was at the limit of statistical significance (P = 0.07). In our analysis, we found on admission hypertensive COVID-19 patients had higher neutrophil numbers compared to non-hypertensive ones, while lymphopenia was more frequently observed in COVID-19 patients with diabetes.

SARS-CoV-2 and Malayan pangolin coronavirus infect human endoderm, ectoderm and induced lung progenitor cells

Xiang,  Kuanhui,  Hong, et al

bioRxiv

Coronavirology| Coronavirologie

Here we present for the first time that SARS-CoV-2 pseudovirus and pangolin coronavirus (GX_P2V) could infect lung progenitor and even anterior foregut endoderm cells causing these cells death, which differentiated from human embryonic stem cells (hESCs). The infection and replication of SARS-CoV-2 and GX_P2V were inhibited when treated with whey protein of breastmilk and Remdesivir, confirming that these two viruses could infect lung progenitor and even anterior foregut endoderm. Moreover, we found that SARS-CoV-2 pseudovirus could infect endoderm and ectoderm. We found that whey protein blocked SARS-CoV-2 infecting these cells. In line with the SARS-CoV-2 results, GX_P2V could also infected endoderm and ectoderm, and also was inhibited by Remdesivir treatment. We also found that hESCs, which also express ACE2 and TMPRSS2 markers, are permissive for GX_P2V but not SARS-CoV-2 pseudovirus infection and replication, indicating the widespread cell types for GX_P2V infection. Heparin treatment blocked efficiently viral infection. These results provided insight that these stem cells maybe provided a stable repository of coronavirus function or genome.

Ultrasensitive and Selective Detection of SARS-CoV-2 Using Thermotropic Liquid Crystals and Image-Based Machine Learning

Xu,  Yang,  Rather, et al

SSRN- Lancet prepublication

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

Here, we report that femtomolar concentrations of single-stranded ribonucleic acid (ssRNA) of SARS-CoV-2 trigger ordering transitions in liquid crystal (LC) films decorated with cationic surfactants and complementary 15-mer single-stranded deoxyribonucleic acid (ssDNA) probes. More importantly, the sensitivity of the LC to the severe acute respiratory syndrome (SARS) ssRNA, with a 3 base pair-mismatch compared to the SARS-CoV-2 ssRNA, was measured to decrease by seven orders of magnitude, suggesting that the LC ordering transitions depend strongly on the targeted oligonucleotide sequence. Finally, we designed a LC-based diagnostic kit and a smartphone-based application (App) to enable automatic detection of SARS-CoV-2 ssRNA, which can be used for reliable self-test of SARS-CoV-2 at home without the need for complex equipment or procedures.

Ultra-rapid detection of SARS-CoV-2 in public workspace environments

Yaren,  Ozlem,  McCarter, et al

medRxiv

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

We describe a test based on a displaceable probe loop amplification architecture that requires no sample transport, requires minimal sample manipulation, can be performed by unlicensed individuals, returns results on the spot in much less than one hour, and costs no more than a few dollars. Nasal swabs and saliva were used from healthy volunteers, some were spiked with heat-inactivated SARS-CoV-2 virus at varying concentrations to validate the assay.It detects virus if it is present at approximately 200 copies per nasal swab assay, representing approximately 8,000 copies of RNA per nasal swab, and 100 copies per saliva assay, representing approximately 20,000 copies of RNA per mL of saliva.

PMC7515821; Stressors of COVID-19 and stress consequences: The mediating role of rumination and the moderating role of psychological support

Ye,  B,  Wu, et al

Child Youth Serv Rev

Public Health response| Interventions de santé publique

The aim of this study was to explore (a) the mediating role of rumination in the association between stressors of COVID-19 and stress consequences of college students, and (b) the moderating role of psychological support in the indirect relationship between stressors of COVID-19 and stress consequences of college students. Stressors of COVID-19 were significantly positively associated with stress consequences, and mediation analyses indicated that rumination partially mediated this association. Moderated mediation analysis further revealed that psychological support buffered the relation between stressors of COVID-19 and rumination, as well as the relation between rumination and stress consequences.

Identification and Characterization of Species-Specific SARS-CoV-2 Physicochemical Properties

Yerukala Sathipati,  Srinivasulu,  Ho, et al

SSRN- Lancet Publication

Coronavirology| Coronavirologie

We evaluated the physicochemical properties of human and non-human coronaviruses. The major PCPs of proteins for differentiating human coronaviruses from other species’ coronaviruses are van der Waals volume, binding free energy, normalized frequency of amino acids at α/β structures, helix capping and mutability. These findings could provide key insights into understanding the driving forces during the course of infection and assist in developing effective therapies.

Social and Geospatial Networks of Migrant Workers in Singapore: Implications for COVID-19 Lockdown Exit Strategies

Yi,  Huso,  Ng, et al

SSRN- Lancet prepublication

Public Health response| Interventions de santé publique

The study examined the networks of nonwork-related activities among migrant workers to inform the development of lockdown exit strategies and future pandemic preparedness. A survey with 509 migrant workers assessed dormitory attributes, social ties, health status, COVID-19-related variables, and travel patterns using a grid-based network questionnaire. COVID-19 risk exposure was associated with the density of dormitory, social ties, and travel areas. The migrant worker hub in the city center was the most frequently visited for essential services of grocery shopping and remittance, followed by southcentral areas mainly for social gathering. The hub was positioned as the core with the highest degree of centrality with a cluster of workers exposed to COVID-19.

Rapid Recovery from COVID-19 Respiratory Failure with Comorbidity in 21 Patients Treated with Vasoactive Intestinal Peptide

Youssef,  JihadG,  Al-Saadi, et al

SSRN- Lancet Publication

Clinical data| Données cliniques Therapeutics| Thérapeutique

Case series of 21 consecutive patients with Acute Respiratory Failure in Critical COVID-19 and multiple co-morbidities, treated with intravenous VIP. The short term outcomes in these 21 patients represent a dramatic response in patients who are excluded from all other trials of COVID therapeutics. Improvement in radiographic appearance, oxygenation requirement, and inflammatory markers is consistent with in vitro evidence of direct anti-viral effect.

Fast Screening and Primary Diagnosis of COVID-19 by ATR FT-IR

Zhang,  Liyang,  Xiao, et al

SSRN- Lancet Publication

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

Patients infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), influenza A/B, and respiratory syncytial virus (RSV), as well as healthy controls, were included in this study. All viral infections were confirmed by reverse transcriptase PCR (RT-PCR). The serum samples were measured by attenuated total reflection Fourier transform infrared spectroscopy (ATR FT-IR). The serum FT-IR spectra exhibited “chemical fingerprints” towards different viral infections.

The Role of Work from Home for Small Businesses in the COVID-19 Pandemic

Zhang,  Ting,  Gerlowski, et al

SSRN- Lancet Publication

Public Health response| Interventions de santé publique Economics | Économie

The study builds a theoretical framework based on utility maximization theory subject to a “contagion” agglomeration parameter and argues that work from home (WFH) is a rational choice for small businesses. We compiled an up-to-date real-time daily and weekly multifaceted data set tracking WFH propensity from March 20 through July 28.  Our robust empirics confirm our theory and hypotheses and demonstrate WFH as a potential force that expedited the “creative destruction” into a new efficient work paradigm.

Eleven Routine Clinical Features Predict COVID-19 Severity Uncovered by Machine Learning of Longitudinal Measurements

Zhou,  Kai,  Sun, et al

SSRN- Lancet Publication

Modelling/ prediction| Modélisation/prédiction Epidemiology| Épidémiologie Clinical data| Données cliniques

In this study, we aim to establish a model for COVID-19 severity prediction and depict dynamic changes of key clinical features over 7 weeks. A panel of 11 routine clinical factors constructed a classifier for COVID-19 severity prediction, achieving an accuracy of over 94%. Validation of the model in an independent cohort containing 25 patients achieved an accuracy of 80%. The overall sensitivity, specificity, PPV and NPV were 0.70, 0.99, 0.93 and 0.93, respectively.

The impact of COVID-19 pandemic on rheumatology practice: a cross-sectional multinational study

Ziadé,  N,  Hmamouchi, et al

Clin Rheumatol

Healthcare Response | Réponse des soins de santé

The objective of this study was to evaluate the impact of COVID-19 pandemic on rheumatology practice. The negative impact of the COVID-19 pandemic on rheumatology practice may compromise rheumatic diseases control.

Lymphopenia in critically ill COVID-19 patients: A predictor factor of severity and mortality

Ziadi,  A,  Hachimi, et al

Int J Lab Hematol

Epidemiology| Épidémiologie Clinical data| Données cliniques

We aimed to report the occurrence of lymphopenia, lymphocyte subsets, and its impact on ICU mortality in critically ill patients with COVID‐19. In this single‐center cohort, we included adult patients with confirmed COVID‐19 infection, admitted in the intensive care unit (ICU) of a hospital of the Marrakech region (Morocco), from March 19-May 15, 2020. Lymphopenia is a frequent biological disorder in patients with COVID‐19. It is a predictor factor of the severity, the myocardial injury, the occurrence of ARDS, and a risk factor of ICU mortality.

Estimation of novel coronavirus (covid-19) reproduction number and case fatality rate: a systematic review and meta-analysis

Ahammed,  Tanvir,  Anjum, et al

medRxiv

Review Literature| Revue de littérature

SR-MA: review to retrieve the published estimates of the R0 and the CFR in articles from international databases between 1st January and 31st August 2020. We observed higher mean CFR values for the countries with lower tests (3.15 vs. 2.16) and greater median population age (3.13 vs. 2.27). However, the R0 did not vary significantly in different regions of the world. An R0 of 2.69 and CFR of 2.67 indicate the severity of the COVID-19. Although R0 and CFR may vary over time, space, and demographics, we recommend considering these figures in control and prevention measures.

The Risk and Prevalence of COVID-19 Infection in Colorectal Cancer Patients: a Systematic Review and Meta-analysis

Antikchi,  MH,  Neamatzadeh, et al

J Gastrointest Cancer

Review Literature| Revue de littérature

SR-MA: literature search was performed up to July 25, 2020, thorough PubMed, Web of Science, Scopus, Google Scholar, CNKI, CBM, China Science, Wan Fang, and SciELO databases. This study results revealed that Chinese CRC patients harbored a higher risk of COVID-19 infection. However, more multicenter, larger sample sizes and high-quality studies are required to verify this meta-analysis result.

COVID-19 Surveillance Data and Models: Review and Analysis, Part 1

Austin,  ClaireC,  Widyastuti, et al

SSRN- Lancet Publication

Review Literature| Revue de littérature

 

SARS-CoV-2 viral load peaks prior to symptom onset: a systematic review and individual-pooled analysis of coronavirus viral load from 66 studies

Benefield,  AmyE,  Skrip, et al

medRxiv

Review Literature| Revue de littérature

SR: searched PubMed through June 8th 2020  Discussion: Using a pooled analysis of the largest collection of IPD on viral load to date, we are the first to report that SARS-CoV-2 viral load peaks prior to -- not at -- symptom onset

3D printing in critical care: a narrative review

Boshra,  M,  Godbout, et al

3D Print Med

Review Literature| Revue de littérature

 

Advances and Recent Developments in Asthma in 2020

Cevhertas,  L,  Ogulur, et al

Allergy

Review Literature| Revue de littérature

 

Planning for post-pandemic cancer care delivery: Recovery or opportunity for redesign?

Cinar,  P,  Bold, et al

CA Cancer J Clin

Review Literature| Revue de littérature

 

COVID-19: instruments for the allocation of mechanical ventilators-a narrative review

Dos Santos,  MJ,  Martins, et al

Crit Care

Review Literature| Revue de littérature

 

Mental Health Outcomes Among Healthcare Workers Dealing with COVID-19/ SARS-CoV-2 Pandemic: A Systematic Review and Meta-Analysis

Dutta,  Abhijit,  Sharma, et al

SSRN- Lancet Publication

Review Literature| Revue de littérature

SR-MA: searching PubMed, PsycINFO, Scopus and Cochrane register of clinical trials (CENTRAL) databases for articles published from December 2019 to May 31, 2020. Healthcare workers who are dealing with the COVID-19 pandemic have a significant prevalence of depression, anxiety, insomnia and poor sleep quality, and stress.

Ethics of Conducting Clinical Research in an Outbreak Setting

Edwards,  KM,  Kochhar, et al

Annu Rev Virol

Review Literature| Revue de littérature

 

PMC7521075; A guide to physiotherapy in urogynecology for patient care during the COVID-19 pandemic

Ferreira,  CHJ,  Driusso, et al

Int Urogynecol J

Review Literature| Revue de littérature

 

COVID-19: Antiviral Agents, Antibody Development and Traditional Chinese Medicine

Guan,  W,  Lan, et al

Virol Sin

Review Literature| Revue de littérature

 

COVID-19: Perspectives for the management of dental care and education

Gurgel,  BCV,  Borges, et al

J Appl Oral Sci

Review Literature| Revue de littérature

 

Gastrointestinal Symptoms and Immune Response in COVID-19 - Review of a Cat and Mouse Game Theory

Haridas,  Abhilash,  Mukker, et al

SSRN- Lancet Publication

Review Literature| Revue de littérature

 

Clinical manifestations and outcomes of COVID-19 in the paediatric population: a systematic review

Jahangir,  M,  Nawaz, et al

Hong Kong Med J

Review Literature| Revue de littérature

SR: conducted using the Medline database to identify papers published between 1 December 2019 and 9 April 2020 on COVID-19. As compared with that in adults, the presentation of COVID-19 in children is mild and has a better prognosis. Sufficient evidence regarding the probability of intrauterine vertical transmission could not be found, and further studies need to be conducted to establish this relationship.

The Mechanical Autophagy as a Part of Cellular Immunity; Facts and Features in Treating the Medical Disorders

Khalil,  H,  Abd ElHady, et al

Immunol Invest

Review Literature| Revue de littérature

 

Telemedicine in Oncology and Reimbursement Policy During COVID-19 and Beyond

Kircher,  SM,  Mulcahy, et al

J Natl Compr Canc Netw

Review Literature| Revue de littérature

 

Randomized Controlled Trials of Early Ambulatory Hydroxychloroquine in the Prevention of COVID-19 Infection, Hospitalization, and Death: Meta-Analysis

Ladapo,  JosephA,  McKinnon, et al

medRxiv

Review Literature| Revue de littérature

MA: Search of MEDLINE, EMBASE, PubMed, medRxiv, PROSPERO, and the Cochrane Central Register of Controlled Trials. Hydroxychloroquine use in outpatients reduces the incidence of the composite outcome of COVID-19 infection, hospitalization, and death. Serious adverse events were not reported and cardiac arrhythmia was rare.

Worth the Sacrifice? Illiberal and Authoritarian Practices during Covid-19

Maerz,  SeraphineF,  Lührmann, et al

SSRN- Lancet prepublication

Review Literature| Revue de littérature

 

PMC7474813; Biological, molecular and pharmacological characteristics of chloroquine, hydroxychloroquine, convalescent plasma, and remdesivir for COVID-19 pandemic: A comparative analysis

Meo,  SA,  Zaidi, et al

J King Saud Univ Sci

Review Literature| Revue de littérature

 

Spectrum of spinal cord involvement in COVID-19: A systematic review

Mondal,  Ritwick,  Deb, et al

medRxiv

Review Literature| Revue de littérature

SR: were searched Pubmed/Medline, NIH Litcovid, Embase and Cochrane library and Preprint servers up till 10th September, 2020. It can be interpreted that SARS-CoV-2 may play a potential role in spinal demyelinating disorders in both para-infectious and post-infectious forms.

Allocating Medicine Fairly in an Unfair Pandemic

Persad,  Govind

SSRN- Lancet Publication

Review Literature| Revue de littérature

 

Assessing the Safety of COVID-19 Vaccines: A Primer

Petousis-Harris,  H

Drug Saf

Review Literature| Revue de littérature

 

InterOrganizational practice committee guidance/recommendation for models of care during the novel coronavirus pandemic

Postal,  KS,  Bilder, et al

Clin Neuropsychol

Review Literature| Revue de littérature

 

India Diverges in Gender Proportion in COVID-19: A Health Management Study

Reddy,  LS,  Ramasamy, et al

SSRN- Lancet Publication

Review Literature| Revue de littérature

 

D-dimer level in COVID-19 infection: a systematic review

Rostami,  M,  Mansouritorghabeh, et al

Expert Rev Hematol

Review Literature| Revue de littérature

SR:  PubMed, Scopus, Web of Science were searched. D-dimer level is one of the measures used in patients to detect thrombosis. Studies have reported an increase in D-dimer and fibrinogen concentrations in the early stages of COVID-19 disease a 3 to 4-fold rise in D-dimer levels is linked to poor prognosis.

Thoracic imaging tests for the diagnosis of COVID-19

Salameh,  JP,  Leeflang, et al

Cochrane Database Syst Rev

Review Literature| Revue de littérature

SR-MA: searched the COVID-19 Living Evidence Database from the University of Bern, the Cochrane COVID-19 Study Register, and The Stephen B. Thacker CDC Library up to 5 May 2020. Our findings indicate that chest CT is sensitive but not specific for the diagnosis of COVID-19 in suspected patients, meaning that CT may not be capable of differentiating SARS-CoV-2 infection from other causes of respiratory illness. This low specificity could also be the result of the poor sensitivity of the reference standard (RT-PCR), as CT could potentially be more sensitive than RT-PCR in some cases.

The prevalence of sleep disturbances among physicians and nurses facing the COVID-19 patients: a systematic review and meta-analysis

Salari,  N,  Khazaie, et al

Global Health

Review Literature| Revue de littérature

SR-MA: PubMed, Scopus, Science direct, Web of science, CINHAL, Medline, and Google Scholar databases were searched with no lower time-limt and until 24 June 2020.  Healthcare workers, as the front line of the fight against COVID-19, are more vulnerable to the harmful effects of this disease than other groups in society. Increasing workplace stress increases sleep disturbances in the medical staff, especially nurses and physicians. In other words, increased stress due to the exposure to COVID-19 increases the prevalence of sleep disturbances in nurses and physicians.

Outcomes and Resource Use of COVID-19 Patients Admitted to the Intensive Care Unit: A Systematic Review

Serafim,  Rodrigo,  Póvoa, et al

SSRN- Lancet prepublication

Review Literature| Revue de littérature

SR: searched MEDLINE, EMBASE and Cochrane Library up to May 10 th , 2020. Preprints and reports were also included if they meet the inclusion criteria. This systematic review based on over 50,000 patients demonstrates that COVID-19 infection is associated with substantial resource use in the ICU, high mortality and prolonged length of ICU stay.

Efficacy of Famotidine for COVID-19: A Systematic Review and Meta-analysis

Sethia,  Rahul,  Prasad, et al

medRxiv

Review Literature| Revue de littérature

SR-MA: searched the databases Medline, Embase, Cochrane CENTRAL and Medrxiv. A meta-analysis of two cohort studies showed a statistically significant decrease in the composite outcome for death and intubation with famotidine (HR 0.44, 95% CI 0.27 to 0.73).

Vitamin D Deficiency, COVID-19 and Bame Community

Siddiqi,  Mashood

SSRN- Lancet Publication

Review Literature| Revue de littérature

 

2020 update on the renin-angiotensin-aldosterone system in pediatric kidney disease and its interactions with coronavirus

Simões,  ESilvaAC,  Lanza, et al

Pediatr Nephrol

Review Literature| Revue de littérature

 

Smoking and Risk of Negative Outcomes Among COVID-19 Patients: A Systematic Review and Meta-Analysis

Umnuaypornlert,  Adinat,  Kanchanasurakit, et al

SSRN- Lancet Publication

Review Literature| Revue de littérature

SR-MA:  Electronic databases, including PubMed, EMBASE, Cochrane Library, Science Direct, Google Scholar, were systematically searched, from the start of the database until 20 May 2020. Our meta-analysis demonstrated that smoking significantly increases the risk of disease severity and tend to increase the risk of death.

Thyroid cancer in the age of COVID-19

Venessa,  HMT,  Matti, et al

Endocr Relat Cancer

Review Literature| Revue de littérature

 

Insult to injury- potential contribution of COVID-19 to neuroinflammation and the development of HIV-associated neurocognitive disorders

Williams,  ME,  Fielding, et al

AIDS Res Hum Retroviruses

Review Literature| Revue de littérature

 

Epidemiological and Clinical Characteristics of Non-Severe and Severe Pediatric and Adult COVID-19 Patients Across Different Geographical Regions: A Systematic Review and Meta-Analysis of Observational Studies

Yong Chua,  Pearleen Ee,  Urvish, et al

SSRN- Lancet Publication

Review Literature| Revue de littérature

SR-MA: aims to compare clinical presentation, outcomes, and care management of different COVID-19 patient groups globally.

Teachings from COVID-19 and aging - an oxidative process

Zarbafian,  M,  Dayan, et al

J Cosmet Dermatol

Review Literature| Revue de littérature

 

COVID-19 and the ABO blood group in pregnancy: A tale of two multiethnic cities

Ahmed,  I,  Quinn, et al

Int J Lab Hematol

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 and African rheumatology: progress in adversity

Akintayo,  RichardO,  Kalla, et al

The Lancet Rheumatology

Commentary/Editorial| Commentaire/Éditorial

 

Analysis of COVID-19 clinical trials: A data-driven, ontology-based, and natural language processing approach

Alag,  S

PLoS One

Commentary/Editorial| Commentaire/Éditorial

 

Aftermath of torrential rains and covid-19 in Pakistan

Ali,  A,  Ma, et al

Bmj

Commentary/Editorial| Commentaire/Éditorial

 

Experiencing and Surviving a Pandemic: Perspectives of COVID-19-Survivors from Pakistan

Ali,  Inayat,  Sadique, et al

SSRN- Lancet Publication

Commentary/Editorial| Commentaire/Éditorial

 

Letter to the Editor: Web-Based Didactics in the Era of Coronavirus Disease 2019 (COVID-19) and Beyond

Aljuboori,  Z

World Neurosurg

Commentary/Editorial| Commentaire/Éditorial

 

Tele-ICU: A key to residents' role in the intensive care unit during COVID-19 pandemic

Al-Saadi,  M,  Wright, et al

Clin Teach

Commentary/Editorial| Commentaire/Éditorial

 

Reply to Dowd et al.: Dangerous to overemphasize the importance of specific COVID-19 risk factors based on (unadjusted) macro-level analyses

Arpino,  B,  Bordone, et al

Proc Natl Acad Sci U S A

Commentary/Editorial| Commentaire/Éditorial

 

Reply to Patella et al. and Lindestam Arlehamn et al.: Complex pandemic dynamics and effect of bacillus Calmette-Guérin (BCG) vaccination on COVID-19 prevalence and mortality

Barillas-Mury,  C,  Escobar, et al

Proc Natl Acad Sci U S A

Commentary/Editorial| Commentaire/Éditorial

 

Weights and Methodology Brief for the COVID-19 Symptom Survey by University of Maryland and Carnegie Mellon University, in Partnership with Facebook

Barkay,  Neta,  Cobb, et al

arXiv

Commentary/Editorial| Commentaire/Éditorial

 

Effective contact tracing for COVID-19 using mobile phones: An ethical analysis of the mandatory use of the Aarogya Setu application in India

Basu,  S

Camb Q Healthc Ethics

Commentary/Editorial| Commentaire/Éditorial

 

PMC7521771; Don't worry! The next generation would be more resistant to SARS-CoV-2

Bevelacqua,  JJ,  Mortazavi, et al

Inflamm Res

Commentary/Editorial| Commentaire/Éditorial

 

No time for pending confirmation of invasive fungal disease in critically ill COVID-19 patients-think empirical treatment

Bienvenu,  AL,  Bleyzac, et al

Crit Care

Commentary/Editorial| Commentaire/Éditorial

 

Individual Hurricane Preparedness During the COVID-19 Pandemic: Insights for Risk Communication and Emergency Management Policies

Botzen,  WJW,  Mol, et al

SSRN- Lancet Publication

Commentary/Editorial| Commentaire/Éditorial

 

Chemosensory Dysfunction in COVID-19: Integration of Genetic and Epidemiological Data Points to D614G Spike Protein Variant as a Contributing Factor

Butowt,  R,  Bilinska, et al

ACS Chem Neurosci

Commentary/Editorial| Commentaire/Éditorial

 

Repurposing existing drugs for COVID-19: an endocrinology perspective

Cadegiani,  FA

BMC Endocr Disord

Commentary/Editorial| Commentaire/Éditorial

 

Interpreting Sars-Cov-2 Fatality Rate Estimates — A Case for Introducing Standardized Reporting to Improve Communication

Cavataio,  Joseph,  Schnell, et al

SSRN- Lancet Publication

Commentary/Editorial| Commentaire/Éditorial

 

Positive Bubble Study in Severe COVID-19 Indicates the Development of Anatomical Intra-pulmonary Shunts in Response to Microvascular Occlusion

Cherian,  R,  Chandra, et al

Am J Respir Crit Care Med

Commentary/Editorial| Commentaire/Éditorial

 

Nutrition, Human Development and COVID-19: Some Thoughts on Assam

Choudhury,  Saswati

SSRN- Lancet prepublication

Commentary/Editorial| Commentaire/Éditorial

 

Social Security Issues: Reflecting on Assam’s Concerens during the COVID-19 Pandemic

Choudhury,  Saswati

SSRN- Lancet prepublication

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 and Mental Health

Corpuz,  JCG

J Psychosoc Nurs Ment Health Serv

Commentary/Editorial| Commentaire/Éditorial

 

PMC7518645; [Adequate, reliable and timely information in times of the COVID-19 pandemicInformación adecuada, fiable y oportuna en tiempos de la pandemia por la COVID-19]

Coutinho,  JG,  Padilla, et al

Rev Panam Salud Publica

Commentary/Editorial| Commentaire/Éditorial

 

The Challenge of Clearly Counting COVID-19 Cases in Children

Cruz,  AT,  Shaman, et al

Pediatrics

Commentary/Editorial| Commentaire/Éditorial

 

Health Condition and Test Availability as Predictors of Adults’ Mental Health During the COVID-19 Pandemic

Dai,  Huiyang,  Zhang, et al

SSRN- Lancet prepublication

Commentary/Editorial| Commentaire/Éditorial

 

The role of host defences in Covid 19 and treatments thereof

Dattilo,  M

Mol Med

Commentary/Editorial| Commentaire/Éditorial

 

PMC7520880; Whither COVID-19 vaccines?

DeFrancesco,  L

Nat Biotechnol

Commentary/Editorial| Commentaire/Éditorial

 

PMC7412291; ACE polymorphism and COVID-19 outcome

Delanghe,  JR,  Speeckaert, et al

Endocrine

Commentary/Editorial| Commentaire/Éditorial

 

PMC7510431; A cross-sectional survey on availability of facilities to healthcare workers in Pakistan during the COVID-19 pandemic

Dhahri,  AA,  Iqbal, et al

Ann Med Surg (Lond)

Commentary/Editorial| Commentaire/Éditorial

 

India after the End of COVID-19 Lockdown

Dhamija,  Vridhi

SSRN- Lancet Publication

Commentary/Editorial| Commentaire/Éditorial

 

A New Coronavirus Emerges, This Time Causing a Pandemic

DiMaio,  D,  Enquist, et al

Annu Rev Virol

Commentary/Editorial| Commentaire/Éditorial

 

Dangerous to claim "no clear association" between intergenerational relationships and COVID-19

Dowd,  JB,  Block, et al

Proc Natl Acad Sci U S A

Commentary/Editorial| Commentaire/Éditorial

 

[Ethical questions regarding the medical care of adults with disabilities]

Dugerdil,  A,  Deriaz, et al

Rev Med Suisse

Commentary/Editorial| Commentaire/Éditorial

 

Covid-19: Turkey cracks down on doctors who doubt official figures

Dyer,  O

Bmj

Commentary/Editorial| Commentaire/Éditorial

 

Translational Research in the Time of COVID-19-Dissolving Boundaries

Edgeworth,  JD,  Batra, et al

PLoS Pathog

Commentary/Editorial| Commentaire/Éditorial

 

[Origin of SARS-CoV-2 theories, keys and unknowns of an emerged disease.]

Estévez Reboredo,  RM

Rev Esp Salud Publica

Commentary/Editorial| Commentaire/Éditorial

 

VITAMIN D SUPPLEMENTATION AS A RATIONAL PHARMACOLOGICAL APPROACH IN THE COVID-19 PANDEMIC

Ferder,  L,  Martín Giménez, et al

Am J Physiol Lung Cell Mol Physiol

Commentary/Editorial| Commentaire/Éditorial

 

Knowledge is coming so fast that a meta-analysis of COVID-19 treatment is always too late

Flisiak,  R,  Zarębska-Michaluk, et al

Pol Arch Intern Med

Commentary/Editorial| Commentaire/Éditorial

 

ABO Blood Group Correlations With COVID-19: Cohort Choice Makes A Difference

Focosi,  D,  Iorio, et al

Clin Infect Dis

Commentary/Editorial| Commentaire/Éditorial

 

The Cure

Foster,  TE

Am J Sports Med

Commentary/Editorial| Commentaire/Éditorial

 

Proceedings of a Special Virtual Conference on COVID-19 of the Association of Nigerian Geographers (Southwest Zone), Held via Zoom, June 29 - 30, 2020

Gbadegesin,  Adeniyi,  Oyesiku, et al

SSRN- Lancet Publication

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 in India: Health Implications and Treatment Needs of People Who Use Drugs (PWUD) and Patients with Substance Use Disorders (SUD)

Ghosh,  Gautam

SSRN- Lancet Publication

Commentary/Editorial| Commentaire/Éditorial

 

PMC7513617; On the importance of early testing even when imperfect in a pandemic such as COVID-19

Goldstein,  ND,  Burstyn, et al

Glob Epidemiol

Commentary/Editorial| Commentaire/Éditorial

 

PMC7521194; Application of state law in the public health emergency response to COVID-19: an example from Delaware in the United States

Goldstein,  ND,  Suder, et al

J Public Health Policy

Commentary/Editorial| Commentaire/Éditorial

 

"World Pneumonia Day During a Global Pneumonia Pandemic: 12 November 2020"

Greenslade,  L

Am J Physiol Lung Cell Mol Physiol

Commentary/Editorial| Commentaire/Éditorial

 

[COVID-19- what have we learned and where are we heading?]

Gudnason,  T

Laeknabladid

Commentary/Editorial| Commentaire/Éditorial

 

The bridge ventilator consortium - bringing trainees to the frontlines of innovation

Hakimi,  AA,  Zahedivash, et al

Med Educ Online

Commentary/Editorial| Commentaire/Éditorial

 

Microbiology Society online workshop on SARS-CoV-2 and COVID-19, Wednesday 29 July 2020

Harris,  M

J Gen Virol

Commentary/Editorial| Commentaire/Éditorial

 

PMC7365058; Convalescent plasma to treat COVID-19: Its challenges in Iraq's situation

Hashim,  HT

Ethics Med Public Health

Commentary/Editorial| Commentaire/Éditorial

 

[COVID-19-never waste a crisis?!]

Herold,  CJ,  Delorme, et al

Radiologe

Commentary/Editorial| Commentaire/Éditorial

 

Correction for Hu et al., "The Severe Acute Respiratory Syndrome Coronavirus Nucleocapsid Inhibits Type I Interferon Production by Interfering with TRIM25-Mediated RIG-I Ubiquitination"

Hu,  Y,  Li, et al

J Virol

Commentary/Editorial| Commentaire/Éditorial

 

Returning to operating following COVID-19 shutdown: what can human factors tell us?

Hughes,  R,  Hallstrom, et al

Bone Joint J

Commentary/Editorial| Commentaire/Éditorial

 

Covid-19: Isolating older people would be "age based apartheid," says NHS boss

Iacobucci,  G

Bmj

Commentary/Editorial| Commentaire/Éditorial

 

Covid-19: Government promises an "uninterrupted supply" of PPE this winter

Iacobucci,  G

Bmj

Commentary/Editorial| Commentaire/Éditorial

 

Effectiveness of the non-pharmaceutical public health interventions against COVID-19; a protocol of a systematic review and realist review

Iezadi,  S,  Azami-Aghdash, et al

PLoS One

Commentary/Editorial| Commentaire/Éditorial

 

The Psychodynamic Psychiatrist and Psychiatric Care in the Era of COVID-19

Ingram,  DH,  Best, et al

Psychodyn Psychiatry

Commentary/Editorial| Commentaire/Éditorial

 

#VALUE!

Kane,  PB,  Moyer, et al

J Gen Intern Med

Commentary/Editorial| Commentaire/Éditorial

 

PMC7510437; Letter to the Editor: COVID-19 & Neurosurgical Training in Low- and Middle-Income Countries

Kanmounye,  US,  Ammar, et al

World Neurosurg

Commentary/Editorial| Commentaire/Éditorial

 

Vitamins as adjunctive treatment for coronavirus disease!

Kapoor,  I,  Prabhakar, et al

Ann Intensive Care

Commentary/Editorial| Commentaire/Éditorial

 

Practice observed in managing gynaecological problems in post-menopausal women during the COVID-19 pandemic

Karim,  F,  Araklitis, et al

Post Reprod Health

Commentary/Editorial| Commentaire/Éditorial

 

Infographic: The effects of COVID-19 on perioperative morbidity and mortality in patients with hip fractures

Kayani,  B,  Onochie, et al

Bone Joint J

Commentary/Editorial| Commentaire/Éditorial

 

PMC7436854; The Use of Pharmacological Preventive Therapy for Migraine With Weight Gain Potential Amid Coronavirus Disease 2019 Pandemic

Kow,  CS,  Hasan, et al

Headache

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19: A Pandemic Experience that Illuminates Potential Reforms to Health Research

Kozlowski,  HN,  Farkouh, et al

EMBO Mol Med

Commentary/Editorial| Commentaire/Éditorial

 

SARS-CoV-2 Specific Virulence Factors in COVID-19

Kumar,  Ashutosh,  Prasoon, et al

SSRN- Lancet Publication

Commentary/Editorial| Commentaire/Éditorial

 

The lockdown tweet that launched a COVID-19 'supertracker'

Lehner,  L

Nature

Commentary/Editorial| Commentaire/Éditorial

 

A Psychiatric Residency in the Era of COVID-19: A Bionian Perspective

Lim,  CT,  Harris, et al

Psychodyn Psychiatry

Commentary/Editorial| Commentaire/Éditorial

 

Lack of evidence for BCG vaccine protection from severe COVID-19

Lindestam Arlehamn,  CS,  Sette, et al

Proc Natl Acad Sci U S A

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 and congenital heart disease: Cardiopulmonary interactions for the worse!

Magoon,  R

Paediatr Anaesth

Commentary/Editorial| Commentaire/Éditorial

 

Covid-19: Universities roll out pooled testing of students in bid to keep campuses open

Mahase,  E

Bmj

Commentary/Editorial| Commentaire/Éditorial

 

PMC7510414; Incidence, Pathophysiology, and Impact of Coronavirus Disease 2019 (COVID-19) on Acute Ischemic Stroke

Majmundar,  N,  Ducruet, et al

World Neurosurg

Commentary/Editorial| Commentaire/Éditorial

 

Organization of a reference haemophilia unit and its change of activity during the COVID-19 pandemic

Martinez Garcia,  MF,  Benitez Hidalgo, et al

Haemophilia

Commentary/Editorial| Commentaire/Éditorial

 

Biological Mechanisms of COVID-19 ARDS

Matthay,  MA,  Leligdowicz, et al

Am J Respir Crit Care Med

Commentary/Editorial| Commentaire/Éditorial

 

Maintaining Perioperative Safety in Uncertain Times: COVID-19 Pandemic Response Strategies

Mazzola,  SM,  Grous, et al

Aorn j

Commentary/Editorial| Commentaire/Éditorial

 

PMC7510535; Letter to the Editor Regarding "Incidence of Acute Ischemic Stroke and Rate of Mechanical Thrombectomy During the COVID-19 Pandemic in a Large Tertiary Care Telemedicine Network"

McClain,  JV,  Chance, et al

World Neurosurg

Commentary/Editorial| Commentaire/Éditorial

 

What COVID-19 Reveals about the Neglect of WASH within Infection Prevention in Low-Resource Healthcare Facilities

McGriff,  JA,  Denny, et al

Am J Trop Med Hyg

Commentary/Editorial| Commentaire/Éditorial

 

Against Scientism: Corrupted Science and the Fight for Medicine's Soul

Milgrom,  LR

Complement Med Res

Commentary/Editorial| Commentaire/Éditorial

 

Rethinking Covid-19 Test Sensitivity - A Strategy for Containment

Mina,  MJ,  Parker, et al

N Engl J Med

Commentary/Editorial| Commentaire/Éditorial

 

Expectations when you are expecting in times of COVID-19

Miranda,  DM,  Reis, et al

Braz J Psychiatry

Commentary/Editorial| Commentaire/Éditorial

 

A stoic and altruistic orientation towards their work: a qualitative study of healthcare professionals’ experiences of awaiting a COVID-19 test result

Missel,  Malene,  Bernild, et al

Research Square prepub

Commentary/Editorial| Commentaire/Éditorial

 

The Need for Complex Survey Designs to Contrast COVID-19

Moretti,  Angelo,  Santi, et al

SSRN- Lancet Publication

Commentary/Editorial| Commentaire/Éditorial

 

PMC7510538; Letter to Editor Regarding: "Decrease in Neurosurgical Program Volume During COVID-19: Residency Programs Must Adapt"

Murlimanju,  BV,  Shrivastava, et al

World Neurosurg

Commentary/Editorial| Commentaire/Éditorial

 

No reduction in psychiatric emergency department visits during COVID-19: A downside of telepsychiatry?

Mustafa,  FA

Int J Soc Psychiatry

Commentary/Editorial| Commentaire/Éditorial

 

Response to "Co-infections in COVID-19 critically ill and antibiotic management: a prospective cohort analysis"

Nieuwenhuis,  MB,  Van Biesen, et al

Crit Care

Commentary/Editorial| Commentaire/Éditorial

 

Promoting Resilience for Pediatric Health Care Workers in the Era of COVID-19: The PRISM at Work Program

O'Donnell,  MB,  Adhikari, et al

J Palliat Med

Commentary/Editorial| Commentaire/Éditorial

 

PMC7510533; Letter to the Editor: Pandemic (COVID-19) Proctoring for eCLIPs Neurointervention

O'Kelly,  C,  Rempel, et al

World Neurosurg

Commentary/Editorial| Commentaire/Éditorial

 

Healthcare Transparency in the Age of COVID-19

O'Shea,  John

SSRN- Lancet Publication

Commentary/Editorial| Commentaire/Éditorial

 

The bacillus Calmette-Guérin vaccination allows the innate immune system to provide protection from severe COVID-19 infection

Patella,  V,  Delfino, et al

Proc Natl Acad Sci U S A

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 Pandemic & Its Impact on the Mental Health of Youth

Patil,  PranaliK

SSRN- Lancet Publication

Commentary/Editorial| Commentaire/Éditorial

 

Hospital at home for the management of COVID-19: preliminary experience with 63 patients

Pericàs,  JM,  Cucchiari, et al

Infection

Commentary/Editorial| Commentaire/Éditorial

 

The Emotional Path to Action: Empathy Promotes Physical Distancing and Wearing of Face Masks During the COVID-19 Pandemic

Pfattheicher,  S,  Nockur, et al

Psychol Sci

Commentary/Editorial| Commentaire/Éditorial

 

Study protocol for the COPE study: COVID-19 in Older PEople: the influence of frailty and multimorbidity on survival. A multicentre, European observational study

Price,  A,  Barlow-Pay, et al

BMJ Open

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19: transplant works toward adaptation

Pullen,  LC

Am J Transplant

Commentary/Editorial| Commentaire/Éditorial

 

Delaying Pregnancy during a Public Health Crisis - Examining Public Health Recommendations for Covid-19 and Beyond

Rasmussen,  SA,  Lyerly, et al

N Engl J Med

Commentary/Editorial| Commentaire/Éditorial

 

PMC7522183; COVID-19 in decompensated cirrhosis

Rela,  M,  Patil, et al

Hepatol Int

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 vaccine development during pandemic: gap analysis, opportunities, and impact on future emerging infectious disease development strategies

Rele,  S

Hum Vaccin Immunother

Commentary/Editorial| Commentaire/Éditorial

 

PMC7195015; Immunotherapies for COVID-19: lessons learned from sepsis

Remy,  KE,  Brakenridge, et al

Lancet Respir Med

Commentary/Editorial| Commentaire/Éditorial

 

Reply to: Positive Bubble Study in Severe COVID-19 Indicates the Development of Anatomical Intra-pulmonary Shunts in Response to Microvascular Occlusion

Reynolds,  AS,  Lee, et al

Am J Respir Crit Care Med

Commentary/Editorial| Commentaire/Éditorial

 

Improving Healthcare Access in the States after COVID-19

Rhoads,  Jared,  Brian, et al

SSRN- Lancet Publication

Commentary/Editorial| Commentaire/Éditorial

 

PMC7520511; Current treatment of COVID-19 in renal patients: hope or hype?

Roberto,  P,  Francesco, et al

Intern Emerg Med

Commentary/Editorial| Commentaire/Éditorial

 

PMC7521564; Opioid Overdose-Related Emergency Department Visits and Accidental Deaths during the COVID-19 Pandemic

Rodda,  LN,  West, et al

J Urban Health

Commentary/Editorial| Commentaire/Éditorial

 

Prevalence of COVID-19 Infection in Hemodialysis Patients Detected Using Serologic Screening

Rodríguez-Espinosa,  D,  Broseta, et al

J Am Soc Nephrol

Commentary/Editorial| Commentaire/Éditorial

 

Audio Interview: Covid-19 Testing and the Individual Physician

Rubin,  EJ,  Baden, et al

N Engl J Med

Commentary/Editorial| Commentaire/Éditorial

 

#Covid4Rheum: an analytical twitter study in the time of the COVID-19 pandemic

Ruffer,  N,  Knitza, et al

Rheumatol Int

Commentary/Editorial| Commentaire/Éditorial

 

Flexibility in Treatment: A Trial of Walking Psychotherapy

Schen,  CR

Psychodyn Psychiatry

Commentary/Editorial| Commentaire/Éditorial

 

Person- and Family-Centered Approach Offers Healing in Long-Term Care during the COVID-19 Crisis

Shamon,  S

J Palliat Med

Commentary/Editorial| Commentaire/Éditorial

 

Poor Lung Hygiene in Kashmiri Population as Increased Risk Factor in Aggravating COVID-19 Disease Condition

Sheikh,  Umar Ahmad,  Rayees, et al

SSRN- Lancet Publication

Commentary/Editorial| Commentaire/Éditorial

 

PMC7428441; Frontline Nurse Leader Guilt With Coronavirus Disease 2019

Sherman,  RO

Nurse Lead

Commentary/Editorial| Commentaire/Éditorial

 

The Surge of Domestic Violence during the COVID-19 Pandemic

Shree Pant,  Shiwanee

SSRN- Lancet Publication

Commentary/Editorial| Commentaire/Éditorial

 

Cardiovascular clinical trials in the era of a pandemic

Siontis,  GC,  Sweda, et al

J Am Heart Assoc

Commentary/Editorial| Commentaire/Éditorial

 

Face masks, respiratory patients and COVID-19

Soriano,  JB,  Anzueto, et al

Eur Respir J

Commentary/Editorial| Commentaire/Éditorial

 

Procedural justice and egalitarian principles for rationing decisions in the COVID-19 crisis

Supady,  A,  Bode, et al

Crit Care

Commentary/Editorial| Commentaire/Éditorial

 

A new Japanese origami-style face shield made of waterproof paper and a transparent plastic sheet for use during the COVID-19 pandemic

Tago,  M,  Anzai, et al

Qjm

Commentary/Editorial| Commentaire/Éditorial

 

Moving fast but going slow: coordination challenges for trials of COVID-19 post-exposure prophylaxis

Tan,  DHS,  Agrawal, et al

Trials

Commentary/Editorial| Commentaire/Éditorial

 

A concern about survival time as an endpoint in coronavirus disease 2019 clinical trials

Tan,  KS

Clin Trials

Commentary/Editorial| Commentaire/Éditorial

 

Response to comments on: Preferred practice guidelines for glaucoma management during COVID-19 pandemic

Tejwani,  S,  Angmo, et al

Indian J Ophthalmol

Commentary/Editorial| Commentaire/Éditorial

 

Radioactive Characteristics of Natural Salts Show Evidence of COVID-19 Prophylaxis Potential

Thakur,  Alok

SSRN- Lancet Publication

Commentary/Editorial| Commentaire/Éditorial

 

Public Health England's political end

The Lancet,  HIV

The Lancet HIV

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 Emergency Measures and the Impending Authoritarian Pandemic

Thomson,  Stephen,  Ip, et al

SSRN- Lancet prepublication

Commentary/Editorial| Commentaire/Éditorial

 

Developing a Triage Protocol for the COVID-19 Pandemic: Allocating Scarce Medical Resources in a Public Health Emergency

Tolchin,  Benjamin,  Latham, et al

SSRN- Lancet Publication

Commentary/Editorial| Commentaire/Éditorial

 

COVID-19 and acute kidney injury in pediatric subjects: is there a place for eculizumab treatment?

Trimarchi,  H,  Coppo, et al

J Nephrol

Commentary/Editorial| Commentaire/Éditorial

 

PMC7520507; Intensive care unit acquired muscle weakness in COVID-19 patients

Van Aerde,  N,  Van den Berghe, et al

Intensive Care Med

Commentary/Editorial| Commentaire/Éditorial

 

STEMI in COVID-19 patients: thrombolysis-first approach could yield more risk than benefit

Vrachatis,  DA,  Deftereos, et al

Eur Heart J

Commentary/Editorial| Commentaire/Éditorial

 

Pneumonia in the face of COVID-19

Witzenrath,  M,  Kuebler, et al

Am J Physiol Lung Cell Mol Physiol

Commentary/Editorial| Commentaire/Éditorial

 

Performance evaluation of Panther Fusion SARS-CoV-2 assay for detection of SARS-CoV-2 from deep throat saliva, nasopharyngeal and lower-respiratory-tract specimens

Wong,  RC,  Wong, et al

J Med Virol

Commentary/Editorial| Commentaire/Éditorial

 

The Indirect Impact of the COVID-19 Pandemic on Maternal and Child Mortality in Ethiopia: Modelling Study

Yigezu,  Amanuel,  Asnake, et al

SSRN- Lancet Publication

Commentary/Editorial| Commentaire/Éditorial

 

Compromised STEMI reperfusion strategy in the era of COVID-19 pandemic: pros and cons

Zhang,  L,  Fan, et al

Eur Heart J

Commentary/Editorial| Commentaire/Éditorial

 

Maternal perceptions of sleep problems among children and mothers during the coronavirus disease 2019 (COVID-19) pandemic in Israel

Zreik,  G,  Asraf, et al

J Sleep Res

Commentary/Editorial| Commentaire/Éditorial

 

COVID vaccine confidence requires radical transparency

 

Nature

Commentary/Editorial| Commentaire/Éditorial

 

[Expert recommendations for the diagnosis and treatment of interstitial lung disease caused by novel coronavirus pneumonia]

 

Zhonghua Jie He He Hu Xi Za Zhi

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