Suggested Citation: Jung, B.C. (2020). COVID-19 Internet Resources.
https://www.bettycjung.net/COVID-19.htm
Mission: To provide a one-stop Web resource page with factual information about the COVID-19 Pandemic
According to PEW , social media users share COVID-19 information mostly from news sources (74%) and very little from health and science resources (1%). This could mean that people do not know where to look for credible science-based information about COVID-19.
On June 18, 2020, JAMA reported "Coronavirus disease 2019-related knowledge and behaviors were associated with race/ethnicity, sex, and age. African American participants, men, and people younger than 55 years were less likely to know how the disease is spread, were less likely to know the symptoms of coronavirus disease 2019, and left the home more often."
Furthermore, the prevalence of Coronavirus myths addressed by the World Health Organization indicates that there is much disinformation and misinformation on the Internet about the SARS-CoV-2 virus.
Therefore, I have decided to create this resource page for those interested in learning more about the pandemic. It is my hope, as Master Certified Health Education Specialist (MCHES®), that you will be able get the credible information you need here to make the decisions you have to make to deal with the pandemic in your life. I am dedicated to keeping this page updated with vetted sources, and welcome your feedback. (July 6, 2020)
Table of Content (Major sections)
COVID-19 Pandemic
CDC has three numbers you should consider to know if you've been exposed to the coronavirus: If you've been within six feet of an infected person for at least 15 minutes starting from 48 hours before the infected person began feeling sick, you are considered to have been in close contact with the virus.
VIDEO
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Public Health Technical Reports
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Geographic Information Systems (GIS) Visualization Sites
United States
Healthcare & Hospitalization
Connecticut
Other COVID-19 Trackers
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COVID-19 Research Information
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COVID-19 Databases, Registries, Repositories Back to Table of Contents
CDC & Other Federal Agency Guidance
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Public Health Issues
Graphic source; NY Times
Graphic source; https://www.vox.com/2020/5/28/21270515/coronavirus-covid-reopen-economy-social-distancing-states-map-data
Graphic source; https://www.vox.com/2020/5/28/21270515/coronavirus-covid-reopen-economy-social-distancing-states-map-data
America's uniquely bad Covid-19 epidemic, explained in 18 maps and charts. The US's coronavirus epidemic is among the worst. Here's what you need to know. 8/2020 CDC Document Shows Just How Badly the U.S. Is Handling Coronavirus Compared to Other Countries 6/2020 Cognitive Bias and Public Health Policy During the COVID-19 Pandemic 6/2020 COVID-19 Screenings at U.S. Airports Remain Inconsistent. Experts say the lack of effective virus screenings or contact tracing plays a role in the spread of COVID-19 in the country. 8/2020 Expert report predicts up to two more years of pandemic misery 5/2020 Gaps in early surveillance of coronavirus led to record-breaking US trajectory 8/2020 How does the coronavirus outbreak end? 3/2020 Government's failure to contain the coronavirus means it may be here to stay. Inconsistencies in data presentation could harm efforts against COVID-19
New research shows broad array of different content, formats in data available on national public health institutes' websites 8/2020 Inside the Fall of the CDC 10/2020 Order to Reclassify Civil Service Posts Will Compromise Responses to Public Health Threats 10/2020 Shut down the country and start over to contain Covid-19, US medical experts urge political leaders 7/2020 'So frustrating': Grave missteps seen in US virus response 10/2020 The inside story of how Trump’s COVID-19 coordinator undermined the world’s top health agency 101/2020 The Pandemic Could Get Much, Much Worse. We Must Act Now. A comprehensive shutdown may be required in much of the country. 7/2020 Just 4 states meet these basic criteria to reopen and stay safe 7/2020 The 3 charts that disprove Donald Trump’s convention speech. Trump wants to take credit for something he didn’t do, and dodge blame for something he did do. 8/2020 The Unique U.S. Failure to Control the Virus 8/2020 The US is diving into a dark Covid hole -- and there's no plan to get out 7/2020 This Is What Fueled California's Deadly COVID Outbreak, New Study Says
MANY CORONAVIRUS DEATHS COULD HAVE BEEN AVOIDED IF THE STATE HAD BEEN BETTER PREPARED. 8/2020
Trump lied about science 9/2020 Sciencemag.org We don't have a president, or a plan. 5/2020. 60 days into the coronavirus crisis, the White House does not have a plan, a framework, a philosophy, or a goal. What happens next in the coronavirus outbreak? 2/2020. We mapped 8 scenarios. Four ways it could devolve into a dangerous pandemic, and four ways it could steadily improve. Why the U.S. Is Losing the War on COVID-19 8/2020
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Epidemiology of COVID-19
Infectious Disease Models
Graphic source: https://www.gao.gov/products/GAO-20-582SP
Graphic source: https://www.gao.gov/products/GAO-20-582SP
COVID-19 Metrics
Graphic source: https://www.propublica.org/article/how-to-understand-covid-19-numbers
Graphic source: https://www.propublica.org/article/how-to-understand-covid-19-numbers
Graphic source: https://www.propublica.org/article/how-to-understand-covid-19-numbers
Graphic source: https://www.propublica.org/article/how-to-understand-covid-19-numbers
Graphic source: https://globalepidemics.org/wp-content/uploads/2020/06/key_metrics_and_indicators_v4.pdf
Graphic source: https://globalepidemics.org/wp-content/uploads/2020/06/key_metrics_and_indicators_v4.pdf
Graphic source: https://globalepidemics.org/wp-content/uploads/2020/06/key_metrics_and_indicators_v4.pdf
Graphic source: https://globalepidemics.org/wp-content/uploads/2020/06/key_metrics_and_indicators_v4.pdf
Graphic source: https://globalepidemics.org/wp-content/uploads/2020/06/key_metrics_and_indicators_v4.pdf
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COVID-19 Genomic Surveillance
COVID-19 Hotspot Surveillance
Graphic source: https://www.sciencedirect.com/science/article/pii/S1877584520300320
Graphic source: https://www.sciencedirect.com/science/article/pii/S1877584520300320
COVID-19 Wastewater Surveillance
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COVID-19 Outbreak
Graphic source: https://www.vox.com/2020/11/8/21550345/50-million-confirmed-cases-covid-19-worldwide
Graphic source: https://www.vox.com/2020/11/8/21550345/50-million-confirmed-cases-covid-19-worldwide
Epidemic curve of daily cases of laboratory-confirmed SARS-CoV-2 infection in Hong Kong by symptom onset date and colored by cluster category (n=1,038).
Graphic source: https://www.nature.com/articles/s41591-020-1092-0/figures/1
Graphic source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6922e1.htm
Timeline Comparing the Severe Acute Respiratory Syndrome (SARS) and Coronavirus Disease 2019 (COVID-19) Outbreaks
Graphic source: https://jamanetwork.com/journals/jama/fullarticle/2762130
Graphic Source: NY Times Graphic, via @FelicityCarus #MackayIM
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COVID-19 Outbreak Trends
Video source: https://www.vox.com/future-perfect/21353986/coronavirus-covid-pandemic-usa-america-maps-charts-data
Graphic source: https://www.cnn.com/2020/09/28/health/coronavirus-million-global-deaths-intl/index.html
Graphic source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6939e1.htm
Graphic source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6939e1.htm
Graphic source:
https://www.statista.com/chart/20651/locations-by-number-of-confirmed-wuhan-coronavirus-cases/
Graphic source: https://www.brookings.edu/2020/04/02/the-early-days-of-a-global-pandemic-a-timeline-of-covid-19-spread-and-government-interventions/
Graphic source; https://twitter.com/bettycjung/status/1282357711703887872
Graphic source: https://www.pressherald.com/2020/07/05/how-the-geography-of-the-pandemic-is-determined-by-centuries-old-regional-differences/
Graphic source:
https://www.washingtonpost.com/politics/2020/06/18/trump-claims-coronavirus-pandemic-is-ending-data-experts-disagree/
Graphic source: https://www.mckinsey.com/~/media/McKinsey/Business%20Functions/Risk/Our%20Insights/COVID%2019%20Implications%20for%20business/COVID%2019%20May%2027/COVID-19-Facts-and-Insights-June-1-vF.ashx
Percentage of emergency department (ED) visits for COVID-19-like illness (CLI), in 14 counties (three in California and Washington [A]; four in Illinois, Louisiana, Massachusetts, and Michigan [B]; and seven in New York [C]) -National Syndromic Surveillance System, February 1-April 7, 2020
Graphic source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6922e1.htm
Graphic source: https://www.cnbc.com/2020/05/21/global-coronavirus-cases-surpass-5-million-johns-hopkins-data-shows.html
Graphic source: https://twitter.com/EricTopol/status/1260659915816792064
Graphic source: https://twitter.com/yaneerbaryam/status/1256769252369072134
Graphic source: https://www.webmd.com/lung/news/20200424/more-data-bolsters-higher-covid-prevalence
Graphic source: https://www.wsj.com/articles/u-s-coronavirus-cases-top-1-000-11583917794
Graphic source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6933e2.htm
FIGURE 1. Number of COVID-19 hotspot alerts, by county and number of days* meeting hotspot criteria for (A) March 8-April 30, (B) May 1-31, (C) June 1-July 15, and (D) entire period - United States, March 8-July 15, 2020
Map source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6933e2.htm
FIGURE 2. Daily number of COVID-19 hotspot alerts, by urbanicity, and 7-day average of new reported cases - United States, March 8-July 15, 2020
Graphic source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6933e2.htm
5 ways to prevent another 100,000 coronavirus deaths in the US (and beyond) 5/2020 It's time to fix the glaring gaps in death data and drastically improve measures to keep the coronavirus out of nursing homes. Coronavirus Epidemics Began Later Than Believed, Study Concludes 5/27/2020 COVID-19 spikes in South Africa, Melbourne offer America clues ahead of winter 2020. Will the U.S., which has so far failed repeatedly to get ahead of COVID-19's spread, start paying attention in time? 8/2020 The early days of a global pandemic: A timeline of COVID-19 spread and government interventions Evidence Mounts for Greater COVID Prevalence 4/2020 How the Virus Won 6/2020 Geographic Differences in COVID-19 Cases, Deaths, and Incidence - United States, February 12-April 7, 2020 MMWR 4/2020 How the geography of the pandemic is determined by centuries-old regional differences 7/2020. Analysis: Fundamental differences in the balance between individual liberty and the common good are reflected in COVID-19 trends. 6/2020. Time Nowcasting and forecasting the potential domestic and international spread of the 2019-nCoV outbreak originating in Wuhan, China: a modelling study 1/2020 The U.S. Has Officially Unflattened the Curve With Its Worst Day of the Coronavirus Pandemic Yet 6/2020
Trends in Number and Distribution of COVID-19 Hotspot Counties-United States, March 8-July 15, 2020 8/2020 Virus Cases Surged in Young Adults. The Elderly Were Hit Next. 9/2020
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The Search for Patient Zero
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Zoonotic Origins
Animal source of the coronavirus continues to elude scientists 5/2020 Bat Coronaviruses in China 3/2019 Bats offer clues to treating COVID-19 7/2020. To combat COVID-19, we need to regulate our immune systems to resemble those of bats Bat origin of human coronaviruses 2015 Bat 'super immunity' may explain how bats carry coronaviruses, study finds. Bat-virus adaptation may explain species spillover, researchers say 5/2020 Bats Harbor Hundreds Of Coronaviruses, And Spillovers Aren't Rare 2/2020 COVID-19 coronavirus epidemic has a natural origin 3/2020
COVID-19 highlights risks of wildlife trade 11/2020 Dutch Minks Contract COVID-19 And Appear To Infect Humans 6/2020 Evolutionary history, potential intermediate animal host, and cross‐species analyses of SARS-CoV-2 2/2020 Evolution of pandemic coronavirus outlines path from animals to humans 5/2020 The virus's ability to change makes it likely that new human coronaviruses will arise From Bats to Human Lungs, the Evolution of a Coronavirus 3/2020
Genomic analysis reveals many animal species may be vulnerable to SARS-CoV-2 infection 8/2020 Global report: Wuhan lab says its bat strains were not Covid-19 as US nears 100,000 deaths 5/2020 How Humanity Unleashed a Flood of New Diseases 6/2020 How WHO is working to track down the animal reservoir of the SARS-CoV-2 virus 11/2020 Inside the Global Quest to Trace the Origins of COVID-19 and Predict Where It Will Go Next
Time 7/2020 New coronavirus can spread between humans—but it started in a wildlife market 1/2020 Novel coronavirus may have been transmitted to humans from snakes 1/2020 (Controversal) Newly emerged coronavirus did not spill over from scaly anteaters, researchers say 5/2020 Origin and cross-species transmission of bat coronaviruses in China 6/2020 Preventing the next pandemic - Zoonotic diseases and how to break the chain of transmission U.N. Report 7/2020 Researchers trace coronavirus outbreak in China to snakes 1/2020 (Controversial, just including it for the sake of completeness) SARS-CoV-2 looks like a hybrid of viruses from two different species 6/2020 Pieces of several genomes recombined to produce the pandemic-causing pathogen. SARS-CoV-2 relative found lurking in frozen bats from Cambodia 11/2020 Team pinpoints the origin story of SARS-CoV-2 7/2020 U.N. Predicts Rise In Diseases That Jump From Animals To Humans Due To Habitat Loss 7/2020 What are zoonotic diseases and what can we do about them? 5/2020 Why snakes probably aren't spreading the new China virus. One genetic analysis suggests reptilian reservoir — but researchers doubt that the coronavirus could have originated in animals other than birds or mammals. 1/2020 Why They're Called Wet Markets And What Health Risks They Might Pose 1/2020 Zoonotic origins of human coronaviruses 2020
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COVID-19 in Animals
Graphic source: https://www.ucdavis.edu/news/genomic-analysis-reveals-many-animal-species-may-be-vulnerable-sars-cov-2-infection
Graphic source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6923e3.htm
Confirmed cases of SARS-CoV-2 in Animals in the United States USDA.gov Coronavirus: COVID detection like 'wine-tasting' for dogs who can sniff out the disease 6/2020 COVID-19 and Animals CDC.gov Demand for cheetahs as pets is leading to their extinction. "When they hear the cheetah is expensive, they say, 'Wow, we must catch them and sell them,'" veterinarian Muse Saed . 8/2020 Denmark finds 214 people with mink-related coronavirus 11/2020 Denmark Will Kill All Farmed Mink, Citing Coronavirus Infections. Government officials said on Wednesday that a mutation in the virus could interfere with vaccine effectiveness in humans. 11/2020 Exclusive: Buddy, first dog to test positive for COVID-19 in the U.S., has died 7/2020 Experimental infection of domestic dogs and cats with SARS-CoV-2: Pathogenesis, transmission, and response to re-exposure in cats 9/2020 FAQ on Animal Coronavirus Testing First Reported Cases of SARS-CoV-2 Infection in Companion Animals - New York, March-April 2020 6/2020 Genomic Analysis Reveals Many Animal Species May Be Vulnerable to SARS-CoV-2 Infection 8/2020 Helpful Questions and Answers about Coronavirus (COVID-19) and Your Pets FDA.gov If You Have Pets CDC.gov Interim SARS-CoV-2 Guidance and Recommendations for Farmed Mink and Other Mustelids 8/2020 Pets and Other Animals CDC.gov Questions and Answers on the 2019 Coronavirus Disease (COVID-19) World Organization for Animal Health SARS-CoV-2 Natural Transmission from Human to Cat, Belgium, March 2020 8/2020 Studies focus on SARS-CoV-2 transmission in domestic cats, pigs 11/2020 Study confirms cats can become infected with and may transmit COVID-19 to other cats 5/2020 WHO looks at mink farm biosecurity globally after Danish coronavirus cases 11/2020
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Genomic Sequencing Characteristics
Graphic source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6928a5.htm
Graphic source: https://www.pnas.org/content/early/2020/06/09/2008176117
Graphic source: https://www.pnas.org/content/early/2020/06/09/2008176117
Graphic source: https://www.nytimes.com/interactive/2020/04/30/science/coronavirus-mutations.html
Graphic source: Nature Briefing
Graphic source; https://www.zmescience.com/science/cells-infected-coronavirus-95362/
Video source: https://www.nytimes.com/2020/04/22/us/coronavirus-sequencing.html
Blood Type
Graphic source: https://www.medscape.com/viewarticle/932333
Graphic source: https://www.medscape.com/viewarticle/932333
Graphic source: https://www.medscape.org/viewarticle/935827
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Genomics
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Genetic Mutations
Graphic source:
https://time.com/5870481/coronavirus-origins/
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Case Definition
Graphic source: https://www.medscape.org/viewarticle/927860
Graphic source: PriMed
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Contact Tracing
Graphic source for 3: https://www.mckinsey.com/industries/public-sector/our-insights/contact-tracing-for-covid-19-new-considerations-for-its-practical-application
As the Virus Surged, Florida Partied. Tracking the Revelers Has Been Tough. 7/2020. With the coronavirus exploding, trying to trace the contacts of every positive case has become unrealistic in Florida, especially among elusive partygoers. Contact Tracing Apps GAO.gov Contact Tracing during Coronavirus Disease Outbreak, South Korea, 2020 11/2020 Contact Tracing Contact tracing is key to slowing the spread of COVID-19 and helps keep you, your family, and your community safe. Contact Tracing CDC.gov Contact Tracing Part of a Multipronged Approach to Fight the COVID-19 Pandemic Contact Tracing Is Failing in Many States. Here’s Why. 7/2020 Contact Tracing: What We Can Learn From Outbreaks In Other Countries To Fight the Coronavirus | NPR via @YouTube Contact tracing, explained Contact tracing for COVID-19: New considerations for its practical application 5/2020 Escaping the coronavirus lockdown with test and trace. 4/2020 Epidemiologists believe that if it is properly employed, testing and tracing can allow the U.S. to open some businesses and relax social distancing requirements. Exposures Before Issuance of Stay-at-Home Orders Among Persons with Laboratory-Confirmed COVID-19 Colorado, March 2020 6/2020 MMWR Health Departments: Interim Guidance on Developing a COVID-19 Case Investigation & Contact Tracing Plan Identification and Monitoring of International Travelers During the Initial Phase of an Outbreak of COVID-19; California, February 3-March 17, 2020 MMWR 5/2020
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Disease Distribution
Graphic Source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6939e4.htm
Graphic Source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6939e4.htm
Graphic Source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6939e4.htm
Graphic source: https://www.nytimes.com/interactive/2020/08/31/us/coronavirus-cases-children.html
COVID-19 incidence among school-aged children aged 5-11 years (N = 101,503) and 12-17 years (N = 175,782), by week - United States, March 1-September 19, 2020
Graphic source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6939e2.htm
Percentage of SARS-CoV-2 reverse transcription–polymerase chain reaction (RT-PCR) tests with positive results and test volume, by week for school-aged children aged 5-11 years and 12-17 years - United States, May 3-September 19, 2020
Graphic source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6939e2.htm
Graphic source: https://www.mercurynews.com/2020/06/16/age-of-covid-19-cases-dropping-in-california/
Graphic source; https://www.statista.com/chart/21173/hospitalization-icu-admission-and-fatality-rates-for-reported-coronavirus-cases/
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Disease Process
Graphic source: https://earthsky.org/human-world/does-coronavirus-linger-in-body-immune-system-covid
Graphic source: https://pubs.rsna.org/doi/10.1148/radiol.2020201629
Graphic source; https://jamanetwork.com/journals/jama/fullarticle/2768391
ACE2 is the target for the novel coronavirus
Graphic source: https://content.iospress.com/articles/journal-of-alzheimers-disease/jad200581
Graphic source: https://hms.harvard.edu/news/how-covid-19-causes-loss-smell
NeuroCovid Stages
Graphic source: https://content.iospress.com/articles/journal-of-alzheimers-disease/jad200581
Scheme of the effects of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in obese individuals.
Graphic source: https://www.mayoclinicproceedings.org/article/S0025-6196(20)30477-8/fulltext
Graphic source: https://www.livescience.com/covid-19-superspreader-singing.html (Image credit: Nicholas Forder)
AGE WELL: On average, as this chart reveals, chronic diseases increase with aging, which makes the elderly more susceptible to COVID-19. This deadly combination is a stark reminder, again, of doing our best to stay healthy.
Graphic course: http://nautil.us/issue/84/outbreak/how-covid_19-picks-on-the-weakened. Aging and the Epidemiology of Multimorbidity
Biologist: Sharing Enclosed Space Leads To Massive Spread Of Coronavirus 5/2020 Coronavirus 101: What you need to know - Our understanding of COVID-19, the disease caused by the novel coronavirus, is evolving daily-but we do know some important basics. 3/2020 NATGEO Coronavirus Explained: What it does to your body that makes it so deadly 4/2020 Coronavirus: pathogen could have been spreading in humans for years, study says 3/2020 Covid-19:Viral Shedding From Virus Can Be Prolonged, But Infection Window is Not 11/2020 Does coronavirus linger in the body? 8/2020 Duration of Isolation and Precautions for Adults with COVID-19 8/2020 Even 'mild' Covid-19 can be a lengthy, challenging illness 10/2020 First Molecular Profiles of Severe COVID-19 Infections 6/2020 NIH.gov Here's Exactly How the New Coronavirus Affects Your Body 1/2020 How scientists know COVID-19 is way deadlier than the flu 7/2020 Natgeo How COVID-19 Picks on the Weakened: The wrath of the coronavirus. 3/2020 How The Coronavirus Attacks Your Lungs | Deep Look via @YouTube How the Coronavirus Could Take Over Your Body (Before You Ever Feel It) 3/2020 Impact of non-pharmaceutical interventions (NPIs) to reduce COVID19 mortality and healthcare demand 3/2020 It's Not Whether You Were Exposed to the Virus. It's How Much. 5/2020 The pathogen is proving a familiar adage: The dose makes the poison.
Pathophysiology, Transmission, Diagnosis, and Treatment of Coronavirus Disease 2019 (COVID-19) A Review 7/2020 Portrait of a virus 8/2020 Preliminary Estimates of the Prevalence of Selected Underlying Health Conditions Among Patients with Coronavirus Disease 2019-United States, February 12-March 28, 2020 3/2020 Scientists are trying to figure why Covid-19 hits some young, healthy people hard 4/2020 Solving a medical mystery and changing CDC screenings for COVID-19 What we learned from the first known community-acquired coronavirus case in the US 3/2020 Why Covid-19 is worse than the flu, in one chart 3/2020 Why COVID-19 kills some people and spares others. Here's what scientists are finding. 6/2020 Younger Adults Are Increasingly Testing Positive For The Coronavirus 6/2020
Reinfection
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Disease Severity
VIDEO
Vulnerable Populations
Graphic source: https://www.webmd.com/lung/news/20200602/vulnerable-groups-weigh-risks-as-country-reopens
Graphic source: https://www.nejm.org/doi/full/10.1056/NEJMcp2009249
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Disease Statistics
Epidemic Curve of the Confirmed Cases of Coronavirus Disease 2019 (COVID-19)
Graphic source: https://jamanetwork.com/journals/jama/fullarticle/2762130
Graphic source: statista.com/chart/21547/cumulative-covid-19-cases-in-the-us/
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Hospitalization Statistics
Graphic source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6945e2.htm
Graphic source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6924e2.htm
Graphic source: https://time.com/5867751/bars-covid/
Graphic source: https://www.kff.org/coronavirus-covid-19/slide/in-medicare-black-and-hispanic-individuals-account-for-disproportionate-share-of-covid-19-cases-and-hospitalizations/
Graphic source: https://www.medscape.org/viewarticle/931633
Graphic source: https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/older-adults.html
Graphic source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6925e1.htm
Graphic source: https://www.statista.com/chart/22018/coronavirus-pre-existing-conditions/
Characteristics Associated with Hospitalization Among Patients with COVID-19 - Metropolitan Atlanta, Georgia, March-April 2020 6/2020 Characteristics of Adult Outpatients and Inpatients with COVID-19 — 11 Academic Medical Centers, United States, March-May 2020 6/2020 Characteristics of Hospitalized COVID-19 Patients Discharged and Experiencing Same-Hospital Readmission - United States, March-August 2020. MMWR 11/2020 Clinical Outcomes in Young US Adults Hospitalized With COVID-19 9/2020
Coronavirus Disease 2019 Case Surveillance; United States, January 22-May 30, 2020 MMWR 6/2020 COVID-19 Claims Data Reveal Real-World Tx Costs; Median sticker prices in the low-middle five figures; "allowed amounts" around $20,000 7/2020 COVID-19: Healthcare Disparities 6/2020
COVID-19 hospitalizations analysis shows disparities across racial and ethnic groups 8/2020 C.D.C. Releases Early Demographic Snapshot of Worst Coronavirus Cases 4/2020 Hospitalization Rates and Characteristics of Patients Hospitalized with Laboratory-Confirmed Coronavirus Disease 2019 - COVID-NET, 14 States, March 1-30, 2020 4/2020
Key Characteristics of COVID-19 Patients 7/2020 Nearly All Patients Hospitalized With Covid-19 Had Chronic Health Issues, Study Finds Only 6 percent of patients at one New York area health system had no chronic conditions. Hypertension, obesity and diabetes were common. 4/2020 Researchers reveal substantial disparities in COVID-19 hospitalization and death rates among New York City boroughs 4/2020 Severe Outcomes Among Patients with Coronavirus Disease 2019 (COVID-19) -United States, February 12-March 16, 2020 3/2020 Studies Point To Big Drop In COVID-19 Death Rates 10/2020
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Potential Life Lost
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Prevalence Statistics
Model-based estimates of U.S. prevalence (A) and number (B) of adults aged ≥18 years with any selected underlying medical condition, by county United States, 2018
Graphic source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6929a1.htm
Graphic source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6929e1.htm
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Death Statistics
VIDEO
VIDEO
Graphic source: https://jamanetwork.com/journals/jama/fullarticle/2771761
Graphic source: https://www.gao.gov/reports/GAO-20-708/
Graphic source: https://twitter.com/bettycjung/status/1286716769441320960
Graphic source: https://www.axios.com/axios-ipsos-coronavirus-week-8-5a1947d5-9850-4e58-9583-9b617e6fdc1b.html
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Statistics Issues COVID-19 Test Reporting
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Data Reporting
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Death Statistics
A Coronavirus Mystery Explained: Moscow Has 1,700 Extra Deaths. Russia's government has boasted of a low coronavirus mortality rate, but figures from an obscure city agency cast doubt on those claims. 5/2020
Challenges Estimating Total Lives Lost in COVID-19 Decisions 7/2020. Consideration of Mortality Related to Unemployment, Social Isolation, and Depression Deaths in New York City Are More Than Double the Usual Total 4/2020 How Many Covid Deaths? Don't Ask President Trump. The president has expressed skepticism about the fatality figures reported to him by his own experts. 5/2020 How many died? Different ways of counting make the COVID-19 tally elusive "It becomes fairly random, and we're basically at that point," N.Y. Gov. Andrew Cuomo said. 6/2020 Nobody Accurately Tracks Health Care Workers Lost to COVID-19. So She Stays Up At Night Cataloging the Dead. 8/2020
Op-Ed: Death Counts and Despair - — Are we growing numb to the COVID carnage? 8/2020 Study: 35 percent of excess deaths in pandemic's early months tied to causes other than COVID-19 7/2020 The Difficulty Of Counting the COVID-19 Pandemic's Full Death Toll 6/2020 U.S. deaths soared in early weeks of pandemic, far exceeding number attributed to covid-19 4/2020 Why Do Countries' COVID-19 Death Rates Vary So Much? Multiple factors at play: testing capacity, case definitions, age distribution, preparedness 5/2020 Why we still don't know how deadly this new coronavirus is 2/2020. Without the mortality rate, it’s hard to decide how to respond and prepare for a worsening outbreak. Why We Don't Know the True Death Rate for Covid-19 4/2020 Determining what percentage of those infected by the coronavirus will die is a key question for epidemiologists, but an elusive one during the pandemic. Worst-Case Estimates for U.S. Coronavirus Deaths 3/2020
Hospitalization Data
Incomplete/Missing Demographics and Variables
Graphic source: https://www.covkidproject.org/state-report-card
Manipulation of Data Reporting
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Prevalence Data
Probable Cases/Excess Deaths
Undercounting
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COVID-19 Risk Factors
Graphic source: https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2770542
Graphic source: https://www.statista.com/chart/22365/prevalence-of-underlying-conditions-in-us-adults/
Graphic source: https://www.mayoclinicproceedings.org/article/S0025-6196(20)30477-8/fulltext
Graphic source: Texas Medical Association
Graphic source: https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/older-adults.html
Graphic source: https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/people-with-medical-conditions.html
Graphic source: https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/people-with-medical-conditions.html
Graphic source: https://www.cdc.gov/coronavirus/2019-ncov/downloads/COVID19-What-You-Can-Do-High-Risk.pdf
Graphic source: https://www.nejm.org/doi/full/10.1056/NEJMcp2009249
Cardiovascular
Cancer
Demographics
Graphic source: https://www.cnn.com/2020/08/20/us/systemic-racism-coronavirus-pandemic-trnd/index.html"
Graphic source: https://www.apmresearchlab.org/covid/deaths-by-race
Graphic source: https://www.apmresearchlab.org/covid/deaths-by-race
No Data Behind CDC's Testing Guideline Change; Absent any evidence, experts speculate that supply shortages, politics influenced agency's decision Black individuals at higher risk for contracting COVID-19, according to new research 7/2020 Coronavirus targets homeless shelters in the US 4/2020
COVID-19 Among American Indian and Alaska Native Persons -23 States, January 31-July 3, 2020 MMWR 8/2020 COVID-19 Killing African Americans at Shocking Rates 5/2020. Wildly disproportionate mortality highlights need to address longstanding inequities COVID-19 crisis: Millions of US workers at risk of infections on the job 4/2020 Crowded homes, poor neighborhoods linked to COVID-19 6/2020 Study of 17 Million Identifies Crucial Risk Factors for Coronavirus Deaths 7/2020. The largest study yet confirms that race, ethnicity, age and sex can raise a person’s chances of dying from Covid-19. COVID-19 deaths analyzed by race and ethnicity — APM Research Lab Factors Influencing Risk for COVID-19 Exposure Among Young Adults Aged 18-23 Years - Winnebago County, Wisconsin, March-July 2020. MMWR October 2020. Regardless of Age, Obesity and Hypertension Increase Risks With COVID-19 9/2020 These variables affect whether you live, die or get help during the pandemic 8/2020 Why Is COVID-19 Striking Men Harder Than Women? 5/2020
Diabetes
Drugs
Genetic Mutations
Hypertension
Maternal/Child Health Issues
Nutrition
Obesity
Tobacco/Vaping
"Experts have warned that the coronavirus — a respiratory pathogen — most likely capitalizes on the scarred lungs of smokers and vapers. Doctors and researchers are now starting to pinpoint the ways in which smoking and vaping seem to enhance the virus’s ability to spread from person to person, infiltrate the lungs and spark some of Covid-19’s worst symptoms." https://www.nytimes.com/2020/09/04/health/covid-vaping-smoking.html
Other Factors
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COVID-19 Incubation Period Nature: Estimated that the incubation period for COVID-19 before the onset of symptoms was 5.2 days. Viral loads for COVID-19 were highest shortly after the onset of symptoms and then gradually decreased toward the detection limit by day 21. Sex, age, and disease severity did not substantially affect these findings.
The authors estimated that infectiousness of COVID-19 began 2.3 days before the onset of symptoms and peaked at 0.7 days after symptom onset. They further estimated that up to 44% of cases of COVID-19 could be a result of viral transmission before the onset of symptoms.
Graphic source: https://www.nejm.org/doi/full/10.1056/NEJMcp2009575
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COVID-19 Symptoms
Graphic source: https://www.reuters.com/article/us-health-coronavirus-types/symptom-tracker-app-reveals-six-distinct-types-of-covid-19-infection-idUSKCN24I1YI
Graphic source; https://salud-america.org/coronavirus-case-rates-and-death-rates-for-latinos-in-the-united-states/
Odds ratios and 95% confidence intervals of previous or current SARS-CoV-2 infection, by individual symptoms among service members reporting at least one symptom (n = 284) — USS Theodore Roosevelt, April 2020 (June 2020)
Graphic source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6923e4.htm
Graphic source: https://int.nyt.com/data/documenthelper/6926-mayhhsbriefing/af7319f4a55fd0ce5dc9/optimized/full.pdf#page=1
Updated CDC COVID-19 symptom list (4/27/2020)
Graphic source: https://heavy.com/news/2020/04/early-symptoms-coronavirus-covid-19/
General
Dermatological Manifestations
Hearing Loss
Loss of Smell
Graphic source: https://pubs.acs.org/doi/full/10.1021/acschemneuro.0c00210#
AAO-HNS: Anosmia, Hyposmia, and Dysgeusia Symptoms of Coronavirus Disease 3/2020 About Half of COVID-19 Cases Show Digestive Signs 3/2020 Alterations in Smell or Taste in Mildly Symptomatic Outpatients With SARS-CoV-2 Infection 4/2020 Another Presenting Sign of COVID-19 - Findings support adding to the list of GI manifestations of the disease, researchers say 8/2020 Chinese Study: Some Mild COVID-19 Cases Have Only GI Symptoms About 19% with digestive issues experienced diarrhea as the first symptom of COVID-19 4/2020 Coronavirus symptoms: What are they and how do I protect myself? BBC.com 6/2020 COVID-19 and a loss of smell: Why the virus may hinder this sense. A loss of smell can be caused by nasal congestion. But it happens in COVID-19 patients even without a stuffed-up nose. 8/2020 Diarrhea is first sign of illness for some COVID-19 patients 3/2020 Expression of the SARS-CoV-2 Entry Proteins, ACE2 and TMPRSS2, in Cells of the Olfactory Epithelium: Identification of Cell Types and Trends with Age 5/2020 From Loss Of Smell To 'COVID Toes': What Experts Are Learning About Symptoms 5/2020 GI and Hepatic Symptoms Call for COVID-19 Testing. Liver injury, in particular, could lead to poor clinical outcomes 5/2020 How COVID-19 Causes Loss of Smell 7/2020 Inflamed brains, toe rashes, strokes: Why COVID-19's weirdest symptoms are only emerging now 5/2020 Little Known About COVID Patients' Loss of Smell 4/2020 Lost Sense of Smell May Be Peculiar Clue to Coronavirus Infection 3/2020 Mysteries of COVID Smell Loss Finally Yield Some Answers. Explanations begin to arise at the molecular level for this vexing but commonplace symptom 11/2020 Skin Rashes: An Emerging Symptom of COVID-19: What clinicians need to know about cutaneous manifestations of COVID-19 4/2020 Smell and taste changes provide early indication of COVID-19 community spread 11/2020 Smell and Taste Issues Unlikely to Linger After COVID-19 7/2020 Smell Diminishes by Day 3 of COVID-19, Study Says 5/2020
Sniffing Out Where Virus First Strikes in COVID-19 - More context for why COVID-19 patients might lose sense of smell 8/2020 Symptom tracker app reveals six distinct types of COVID-19 infection 7/2020 What are COVID toes? Dermatologists, podiatrists share strange findings 3/2020 What it's like to suffer from the coronavirus's weirdest symptom 4/2020 What are the symptoms of COVID-19 What Is Covid Toe? 5/2020 Maybe a Strange Sign of Coronavirus Infection Dermatologists say the lesions should prompt testing for the virus, even though many patients have no other symptoms
Tooth Loss
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COVID-19 Transmission Transmission Routes
Graphic source: https://www.nature.com/articles/s41591-020-1092-0/figures/2
SARS-CoV-2 introductions to U.S. and Europe. Credit: Modified from Worobey M, Science, 2020.
Graphic source: https://pubmed.ncbi.nlm.nih.gov/32912998/
Graphic source: https://www.nejm.org/doi/full/10.1056/NEJMcp2009249
Current Sites of COVID-19 cases
Graphic source: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2767010
Potential Sites for future COVID-19 cases
Graphic source: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2767010
Reproduction Number
"To determine when an outbreak had been contained, scientists look at case counts and determine the reproduction number, a measurement that shows how many people will be infected by one infectious person. If the reproduction number drops below 1, scientists consider the outbreak contained."
R-naught - the theory R-naught - the reality of superspreaders
Source: https://www.nytimes.com/2020/05/22/well/live/coronavirus-pandemic-memorial-day-picnics-bbqs.html
Graphic source: https://www.cnn.com/2020/10/06/health/flu-covid-19-deaths-comparison-trnd/index.html
Graphic source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6926e1.htm
Graphic source: https://www.zdnet.com/article/google-researchers-show-how-covid-19-super-spreaders-are-a-big-part-of-the-problem/">
Reich and colleagues show that even for the same "R," transmission rate, on average, infections can rise faster with a higher "gamma," the measure of how many "degrees" of contacts a person in the society has -- the super-spreaders.
Graphic source: https://cosmosmagazine.com/biology/measuring-different-responses-to-covid-19
Graphic source; https://www.vox.com/2020/1/28/21079946/coronavirus-china-wuhan-deaths-pandemic
Graphic source: https://www.nationalgeographic.com/science/2020/05/coronavirus-how-to-measure-your-nation-response-cvd/"
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Asymptomatic/Pre-symptomatic (Silent Spreader/Stealth) Transmission
Graphic source: https://www.nejm.org/doi/full/10.1056/NEJMc2001468
Graphic source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6923e4.htm
An enduring coronavirus mystery: Why do only some get sick? 6/2020. Months into a pandemic that has killed nearly 500,000 people worldwide, scientists are still trying to answer crucial questions about the coronavirus. As many as 45% of people infected with COVID-19 have no symptoms, and they may play a major role in the spread of the virus, according to a new study. 6/2020 Asymptomatic and Presymptomatic SARS-CoV-2 Infections in Residents of a Long-Term Care Skilled Nursing Facility - King County, Washington, March 2020 MMWR 3/2020 Asymptomatic COVID-19 cases may be more common than suspected The problem? Even without symptoms, people can still spread the virus. 5/2020 Asymptomatic COVID: Silent, but Maybe Not Harmless 8/2020 Asymptomatic COVID-19 Transmission in China Confirmed? 2/2020 Asymptomatic spread makes testing key for COVID-19 fight 5/2020 Asymptomatic people may be fueling the coronavirus spread 4/2020 Clinical Course and Molecular Viral Shedding Among Asymptomatic and Symptomatic Patients With SARS-CoV-2 Infection in a Community Treatment Center in the Republic of Korea 8/2020 Even Asymptomatic People Carry the Coronavirus in High Amounts. Researchers in South Korea found that roughly 30 percent of those infected never develop symptoms yet probably spread the virus. 8/2020 Coronavirus disease 2019 (COVID-19) Situation Report 73 Pre-symptomatic and Presymptomatic transmission April 3, 2020 WHO.int Coronavirus may be most infectious when symptoms are mildest, small study finds 4/2020 Coronavirus Spreads Quickly and Sometimes Before People Have Symptoms, Study Finds 3/2020 Coronavirus spreads quickly and sometimes before people have symptoms, study finds 3/2020 Covert coronavirus infections could be seeding new outbreaks 3/2020 Covid-19: Four in 10 cases in Italian town that locked down early were asymptomatic 7/2020 COVID-19: in the footsteps of Ernest Shackleton 5/2020 Cruise ship 81% asymptomatic! COVID-19 spread is fueled by 'stealth transmission'. Cases of COVID-19 that fly under the radar without being diagnosed appear to fuel the rapid spread of the disease. 3/2020 Did you already have coronavirus in January or February? 4/2020 Estimating the generation interval for coronavirus disease (COVID-19) based on symptom onset data, March 2020 4/2020
Even children with no symptoms can spread Covid-19, CDC report shows 9/2020 Half of Singapore's new COVID-19 cases are symptomless, taskforce head says 6/2020 Hidden Outbreaks Spread Through U.S. Cities Far Earlier Than Americans Knew, Estimates Say 5/2020 How COVID Silent Spreaders May Be Infecting Others 4/2020 How does the new coronavirus spread? These new studies offer clues. 3/2020 How many COVID-19 infections are asymptomatic? Research shows it may be a lot more than thought 7/2020 How much is coronavirus spreading under the radar? 3/2020 How Stealth transmission is fueling the rapid spread of Covid-19, according to experts 3/2020 How the World Missed Covid-19's Silent Spread 6/2020 How to identify factors affecting COVID-19 transmission 3/2020 Indirect Virus Transmission in Cluster of COVID-19 Cases, Wenzhou, China, 2020 6/2020 Infected but Feeling Fine: The Unwitting Coronavirus Spreaders 4/2020 Infected people without symptoms might be driving the spread of coronavirus more than we realized 3/2020 In four US prisons, thousands of inmates are testing positive and 96% are asymptomatic 4/2020 In the W.H.O.'s Coronavirus Stumbles, Some Scientists See a Pattern 6/2020 It's not just people with symptoms who can spread COVID-19 3/2020 More Evidence Points to Kids Being COVID-19 'Silent Spreaders' Study: 93% of infections would have been missed if only symptomatic cases were tested 8/2020 New Study Says Silent Spreaders May Be Responsible For Half Of U.S. COVID-19 Cases 7/2020 Over 85% of COVID-19 Infections in China Went Undetected Early On 3/2020. Number of mild or asymptomatic infections emphasizes need for mitigation measures People might be most infectious with coronavirus before they show symptoms, study suggests 4/2020 Presymptomatic Transmission of SARS-CoV-2 -Singapore, January 23-March 16, 2020 4/2020 MMWR Prevalence of Asymptomatic SARS-CoV-2 Infection A Narrative Review 6/2020 Rapid spread of COVID-19 is fueled by 'stealth transmission' 3/2020 SARS-CoV-2 Infections and Serologic Responses from a Sample of U.S. Navy Service Members, USS Theodore Roosevelt, April 2020 6/2020 South Korean Study Suggests Children Can Silently Spread COVID-19; Symptoms went unrecognized more often than not in infected kids 9/2020 'Stealth Transmission' Fuels Fast Spread of Coronavirus Outbreak 3/2020 Study: 17.9% Of People With COVID-19 Coronavirus Had No Symptoms 3/2020 Substantial Undocumented Infection Facilitates the Rapid Dissemination of Novel Coronavirus (SARS-CoV2) 3/2020 The natural history and transmission potential of asymptomatic SARS-CoV-2 infection 6/2020 Transmission of 2019-nCoV Infection from an Asymptomatic Contact in Germany 3/2020 NEJM We Still Don't Fully Understand The Label 'Asymptomatic' 6/2020 What Does Asymptomatic COVID-19 Look Like Under the Surface? Many individuals show subclinical abnormalities as well as differences from symptomatic patients 6/2020 What We Know About The Silent Spreaders Of COVID-19 4/2020 What We Need to Understand About Asymptomatic Carriers if We're Going to Beat Coronavirus 4/2020 WHO Creates 'Confusion' About Asymptomatic Spread. Here's What We Know 6/2020 WHO Says Asymptomatic Spread Of Coronavirus 'Very Rare,' But Experts Raise Questions 6/2020
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Superspreader Events (SSEs)
Graphic source:
https://public.tableau.com/profile/betsy.ladyzhets#!/vizhome/superspreadingevents/DashSuperspreadingeventsmap
Graphic source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6947e1.htm
Distribution of COVID-19 cases (N = 177) linked to a rural wedding reception, by date of onset or test - Maine, August 7–September 14, 2020
Graphic source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6945a5.htm
Graphic source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6945a5.htm
Graphic source: https://news.mit.edu/2020/super-spreading-covid-transmission-1102
Graphic source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6941a4.htm
Transmission chains and attack rates in three COVID-19 child care facility outbreaks, Salt Lake County, Utah, April 1-July 10, 2020
Graphic source: https://www.dailymail.co.uk/news/article-8094933/How-one-man-spread-coronavirus-NINE-people-bus.html
Graphic source: https://www.nytimes.com/2020/04/20/health/airflow-coronavirus-restaurants.html
Chinese Restaurant transmission
Graphic source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6915e1.htm
Funeral community transmission
CDC - Korean Call Center - Blue = infected with COVID-19
Graphic source: https://www.vox.com/21262268/coronavirus-tips-covid-social-distancing-harm-reduction
Graphic source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6920e2.htm
Graphic source: https://www.statista.com/chart/21699/coronavirus-outbreak-in-ischgl/"
Graphic source: https://www.statista.com/chart/21697/contact-tracing-response-seoul-south-korea-covid-19/
Graphic source: https://www.zdnet.com/article/google-researchers-show-how-covid-19-super-spreaders-are-a-big-part-of-the-problem/
Reich and colleagues construct graphs of people in their various states of infection and the like among people, to simulate how COVID-19 spreads. Caption from the article: "Contact tracing. Some share of the neighbors of a node which tests positive are traced and tested themselves." Reich et al. 2020
Graphic source: https://cosmosmagazine.com/biology/how-social-distancing-flattens-the-curve-of-coronavirus
This graph shows how an epidemic might spread across a network over time. Blue dots are susceptible individuals, while red dots are infected people. Two dots are connected by a line if they are in contact with each other, and the more contacts a person has, the bigger their dot is on the network. Author provided
Infected people are red nodes, and susceptible people are blue. The large node in the middle of the diagram is a super-spreader, a person who connects with many others, and thus has more potential to spread the disease.
Graphic source: https://quillette.com/2020/04/23/covid-19-superspreader-events-in-28-countries-critical-patterns-and-lessons/
Timeline of events and symptom onsets, by day of investigation, in a cluster of COVID-19 likely transmitted at two family gatherings - Chicago, Illinois, February-March 2020
Video source: https://www.nytimes.com/2020/04/14/us/coronavirus-updates.html
A large COVID-19 outbreak in a high school 10 days after schools’ reopening, Israel, May 2020 7/2020 An Outbreak of COVID-19 Associated with a Recreational Hockey Game - Florida, June 2020 MMWR 10/2020 A person who was Covid-19 positive attended a church service and exposed 180 people 5/2020 Bars, Strip Clubs and Churches: U.S. Virus Outbreaks Enter Unwieldy Phase 6/2020 Clustering and superspreading potential of SARS-CoV-2 infections in Hong Kong 10/2020 Clusters of Coronavirus Disease in Communities, Japan, January–April 2020 6/2020 College towns fear super-spreader semester as students descend 8/2020 Community Transmission of SARS-CoV-2 at Two Family Gatherings Chicago, Illinois, February-March 2020 4/2020 Coronavirus Cluster on Cape Cod: 10 Test Positive After Attending Large Party 7/2020 Coronavirus outbreak at USC’s fraternity row leaves at least 40 people infected 7/2020 Coronavirus Ravaged a Choir. But Isolation Helped Contain It. 5/2020 Coronavirus Testing In Boston's Homeless Community Shows Shelter Size And Density Matter 5/2020 COVID-19 Outbreak Among College Students After a Spring Break Trip to Mexico Austin, Texas, March 26-April 5, 2020 MMWR 7/2020
COVID-19 Outbreak Associated with a 10-Day Motorcycle Rally in a Neighboring State - Minnesota, August-September 2020 MMWR 11/2020 Covid-19 superspreader events emerge as focus of concern. The White House cluster is the kind of incident that infectious disease experts are focusing on as a crucial way to understand how the coronavirus spreads. 10/2020 COVID-19 Superspreader Events in 28 Countries: Critical Patterns and Lessons 4/2020 Covid-19 "super-spreading" events play outsized role in overall disease transmission 11/2020 Days After a Funeral in a Georgia Town, Coronavirus Hit Like a Bomb 6/2020. A mourner came to Albany, Ga., to attend the funeral of a retired janitor. After a pause while the infections incubated, the virus swept through the community. Dozens of persons in Shinjuku's sex industry infected with coronavirus 4/2020 Epidemiology and transmission dynamics of COVID-19 in two Indian states 9/2020 Ford temporarily closed its Chicago Assembly Plant after two employees test positive for COVID-19 a day after reopening 5/2020 Google researchers: COVID-19 super-spreaders are a big part of the problem 5/2020 Greenwich & Darien Deal With Coronavirus 'Party Zero'-Type Cases 8/2020 High COVID-19 Attack Rate Among Attendees at Events at a Church, Arkansas, March 2020 5/2020 Hospital Traces COVID Cluster to Break Room - 15 employees of Holyoke Medical Center fall ill after eating together 10/2020 How a Bus Ride Turned Into a Coronavirus Superspreader Event. One-third of passengers aboard a bus were infected by a fellow passenger, scientists reported. 9/2020 How a Premier U.S. Drug Company Became a Virus Super Spreader Biogen employees unwittingly spread the coronavirus from Massachusetts to Indiana, Tennessee and North Carolina. 4/2020 NYT How a superspreader at choir practice sickened 52 people with COVID-19 5/2020 How Coronavirus Infected Some, but Not All, in a Restaurant, A limited study by Chinese researchers suggests the role played by air currents in spreading the illness in enclosed spaces. 4/2020 How Ischgl Set Off A Coronavirus Avalanche 5/2020 How large superspreader events turned into coronavirus hot spots. This is why large gatherings should be the last normal activity to come back after Covid-19 is contained. 5/2020 How one man spread coronavirus to NINE other people on his bus in China: Scientists find the deadly virus can travel four times the 'safe' distance and linger in the air for over 30 minutes in confined places 3/2020 How Superspreading Events Drive Most COVID-19 Spread. 6/2020, As few as 10 percent of infected people may drive a whopping 80 percent of cases, in specific types of situations Intense fitness classes can lead to rapid spread of COVID-19, report shows 5/2020 Lamont Warns Of Possible Coronavirus Spread At Parties. The parties mainly took place in Fairfield County. One involved people sharing a vape pen, Lamont said. 7/2020 Maine CDC Investigates COVID-19 Outbreak Associated with Wedding Reception in Millinocket 8/2020 More Than 6,600 Coronavirus Cases Have Been Linked to U.S. Colleges 7/2020 Most People With Coronavirus Won't Spread It. Why Do a Few Infect Many? 6/2020
Multiple COVID-19 Outbreaks Linked to a Wedding Reception in Rural Maine - August 7-September 14, 2020 MMWR 11/2020 One Infected Clubgoer Triggers Massive Response 5/2020 Party with 400 people shut down during students’ first weekend back at ECU, cops say 8/2020 Party Zero: How a Soiree in Connecticut Became a Super Spreader 3/2020 NYT Police Tactics Are Putting Protesters at Higher COVID Transmission Risk. 6/2020. Cops are forgoing masks and other PPE, and violating protesters' boundaries by pulling masks down, forcing them into crowded spaces, and more. Protests Pose Particular Risks for COVID-19 Transmission. 6/2020. Not just lack of social distancing, but increased droplet contact, tear gas could be factors Rose Garden announcement of Supreme Court nominee potential 'super spreader' event, with Trump plus six others getting COVID 10/2020 SARS-CoV-2 Transmission and Infection Among Attendees of an Overnight Camp - Georgia, June 2020 MMWR 7/2020 Spring Breaker Who Vowed To Party Despite Coronavirus Concerns Has Apologized 3/2020 Superspreading and the effect of individual variation on disease emergence 11/2005 The Coronavirus Infected Hundreds at a Georgia Summer Camp 7/2020 The Coronavirus's Rampage Through a Suburban Nursing Home 3/2020 NYT The Effects of Large Group Meetings on the Spread of COVID-19: The Case of Trump Rallies 10/2020 Abstract The Effects of Large Group Meetings on the Spread of COVID-19: The Case of Trump Rallies 10/2020 Article Tracking Covid-19 infections among President Trump's contacts. What we know about the Covid-19 status of those who have been around the president recently. 10/2020 Tracing Trump's movements: A timeline of the days leading up to his COVID diagnosis. A review of his public schedule shows several possible "super-spreader" events. 10/2020 Two churches reclose after faith leaders and congregants get coronavirus 5/2020 What's A 'Super-Spreading Event'? And Has It Happened With COVID-19? 2/2020 What counts as a 'superspreader' event? 1o/2020 With the holidays coming, Covid cases likely to surge during 'six weeks of superspreader events' 10/2020 Why Are Some People So Much More Infectious Than Others? 4/2020 Why COVID-19 Flare-Ups Will Keep Happening 5/2020 Why understanding superspreaders is key to controlling COVID-19 PBS.org
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Transmission Factors
Graphic source: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2767010
Graphic source: https://www.nature.com/articles/s41591-020-0869-5
a, Schematic of the relation between different time periods in the transmission of infectious disease. b, Human-to-human transmission pairs of SAR-CoV-2 virus (N=77). We assumed a maximum exposure window of 21 days prior to symptom onset of the secondary cases. Detailed information on the transmission pairs and the source of information is summarized in Supplementary Tables 2 and 3. c, Estimated serial interval distribution (top), inferred infectiousness profile (middle) and assumed incubation period (bottom) of COVID-19.
Graphic source: https://www.nature.com/articles/s41591-020-0869-5
Viral load (threshold cycle (Ct) values) detected by RT–PCR (PCR with reverse transcription) in throat swabs from patients infected with SARS-CoV-2 (N=94), overall and stratified by disease severity, sex, age group and link to Hubei province. The detection limit was Ct = 40, which was used to indicate negative samples. The thick lines show the trend in viral load, using smoothing splines. We added some noise to the data points to avoid overlaps.
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Air (Airborne)Transmission
VIDEO
Graphic source: @ncdhhs
Graphic source: https://www.nationalgeographic.com/science/2020/08/how-to-measure-risk-airborne-coronavirus-your-office-classroom-bus-ride-cvd/
Graphic source: https://www.nationalgeographic.com/science/2020/08/how-to-measure-risk-airborne-coronavirus-your-office-classroom-bus-ride-cvd/
Graphic source: https://twitter.com/tukkerloo/status/1237078414416281605
Graphic source: https://www.sciencedirect.com/science/article/pii/S016041202031254X?via%3Dihub
Graphic source:
https://cosmosmagazine.com/science/physics/heres-why-you-should-close-the-toilet-lid/
Left: Vortex caused by common annular flushing. Right: Large-scale spread of virus particles after flushing. Credit: J-X Wang
Graphic source: https://boston.cbslocal.com/2020/05/12/coronavirus-spread-restaurant-airflow-erin-bromage/
Graphic shows how coronavirus spreads through air (Image credit University of Oregon)
Graphic source: https://api.nationalgeographic.com/distribution/public/amp/science/2020/01/how-coronavirus-spreads-on-a-plane
Updated CDC guidance acknowledges coronavirus can spread through the air 9/2020 CDC finally acknowledges airborne COVID-19 spread, for real this time 10/2020
COVID-19 Is Transmitted Through Aerosols. We Have Enough Evidence, Now It Is Time to Act 8/2020 Fate and Transport of Indoor Microbiological Aerosols (FaTIMA) Web tool
Excel fatima-csv-template Fate and Transport of Indoor Microbiological Aerosols (FaTIMA) Transmission of Viruses in Droplets and Aerosols (part 1) Transmission of Viruses in Droplets and Aerosols (part 2) Transmission of Viruses in Droplets and Aerosols (part 3) Transmission of Viruses in Droplets and Aerosols (Part 4) Youtube 239 Experts With One Big Claim: The Coronavirus Is Airborne 7/2020 Aboard the Diamond Princess, a Case Study in Aerosol Transmission. A computer model of the cruise-ship outbreak found that the virus spread most readily in microscopic droplets light enough to linger in the air. 7/2020 Aerodynamic analysis of SARS-CoV-2 in two Wuhan hospitals 4/2020 Aerosol and Surface Distribution of Severe Acute Respiratory Syndrome Coronavirus 2 in Hospital Wards, Wuhan, China, 2020 4/2020 Aerosol and Surface Stability of SARS-CoV-2 as Compared with SARS-CoV-1 3/2020 Aerosol Scientist: COVID-19 Is Likely Airborne 6/2020 Airborne Coronavirus Detected in Wuhan Hospitals 5/2020 Airborne Spread of SARS-CoV-2 and a Potential Role for Air Disinfection 6/2020 JAMA Airborne Transmission of SARS-CoV-2. Theoretical Considerations and Available Evidence 7/2020 JAMA Airborne transmission of SARS-CoV-2: The world should face the reality 6/2020 Airborne Coronavirus: What You Should Do Now 7/2020 Airborne viruses can spread on dust, non-respiratory particles 8/2020 Can the coronavirus spread through speech? 4/2020 CDC: COVID-19 Can Spread 13 Feet, Travel on Shoes; 4/2020 Coronavirus can travel twice as far as official safe distance and stay in air for 30 minutes, Chinese study finds 3/2020 SCMP.com Coronavirus Lingers in Air of Crowded Spaces, New Study Finds 4/2020 Coughs and sneezes travel farther than you think via @YouTube COVID-19 may spread through breathing and talking but we don't know how much. 4/2020 Speech-related spread could help explain why people can spread the virus before they develop a cough. COVID-19 Outbreak Associated with Air Conditioning in Restaurant, Guangzhou, China, 2020 7/2020 (Released 4/2020) Covid-19 spreads through the air. That is a big challenge for reopening 6/2020 Everything You Wanted to Know About Air Purifiers and Coronavirus 11/2020 Here's how coronavirus spreads on a plane—and the safest place to sit. Global travel opens new roads for outbreaks, like coronavirus and the flu—but which is more dangerous, and how can you stay safe? 3/2020 NATGEO How Coronavirus Infected Some, but Not All, in a Restaurant A limited study by Chinese researchers suggests the role played by air currents in spreading the illness in enclosed spaces. 4/2020 How Important Is Speech in Transmitting Coronavirus? 3/2020 ucdavis.edu How important is speech in transmitting coronavirus? 4/2020 How To Protect Yourself From Coronavirus That Can Linger In The Air 9/2020 It is Time to Address Airborne Transmission of COVID-19 7/2020 Is COVID-19 spread through the air? 7/2020.
Scientists say there's mounting evidence it can be. Measure the risk of airborne COVID-19 in your office, classroom, or bus ride 8/2020 Model: Face Masks Prevented Thousands of COVID-19 Cases. Researchers argue airborne transmission "dominant route for infection" 6/2020 Mounting Evidence Suggests Coronavirus Is Airborne—but Health Advice Has Not Caught Up 7/2020 People are getting sick from coronavirus spreading through the air – and that’s a big challenge for reopening 6/2020 Scientists Urge WHO To Update Guidance On Airborne Transmission Of The Coronavirus 7/2020 NPR 6 feet may not keep musicians safe during the pandemic 10/2020 Stay 6 Feet Apart, We're Told. But How Far Can Air Carry Coronavirus? Most of the big droplets travel a mere six feet. The role of tiny aerosols is the “trillion-dollar question. 4/2020 Talking Can Generate Coronavirus Droplets That Linger Up to 14 Minutes 5/2020 The Coronavirus Is Airborne Indoors. Why Are We Still Scrubbing Surfaces? 11/2020 The airborne lifetime of small speech droplets and their potential importance in SARS-CoV-2 transmission 5/2020 The Coronavirus Can Be Airborne Indoors, W.H.O. Says 7/2020 The Coronavirus May Be Adrift in Indoor Air, C.D.C. Acknowledges 10/2020 The Flu May Linger in the Air, Just Like the Coronavirus 7/2020 The Scientist, the Air and the Virus 6/2020
The Shifting Paradigm of COVID-19 Airborne Transmission; Expert panel points to "circumstantial evidence," though research is evolving 8/2020 Turbulent Gas Clouds and Respiratory Pathogen Emissions - Potential Implications for Reducing Transmission of COVID-19 3/2020 Two meters distance might not be enough to avoid the spread of COVID-19 Social distance is important but also sneeze and cough etiquette 4/2020 Using a public restroom? Mask up! Flushing public restroom toilets or urinals can spew clouds of particles carrying viruses, including COVID-19 8/2020 Violent expiratory events: on coughing and sneezing 2/2014 We Know Crowding Affects the Spread. It May Affect the Death Rate. Densely populated areas can have nearly twice the rate of transmission, and can make Covid-19 more deadly. Other areas can open more quickly. 4/2020 What airborne coronavirus means, and how to protect yourself
The COVID-19 pandemic has revived a decades-old debate about how respiratory diseases travel which affects the safety practices experts recommend. 8/2020 What is airborne transmission? WHO adds guidance on aerosols in coronavirus spread 7/2020 What We Know About Your Chances of Catching the Virus Outdoors 5/2020 When you cough, how far can it go? Physics suggests we should be distancing further. 5/2020 Why you should close the toilet lid. Study shows flushing creates clouds that can carry viruses 6/2020 WHO: The coronavirus may be airborne and could float beyond 6 feet in restaurants, bars, and other indoor locations 7/2020
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Hand Dryer Concerns
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Fecal-Oral Transmission
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Fomite (Contact) Transmission
Graphic source: https://twitter.com/WebMD/status/1249276076146282496
Graphic source: https://www.newyorker.com/science/elements/from-bats-to-human-lungs-the-evolution-of-a-coronavirus
According to researchers at Rocky Mountain Laboratories, some viral particles remain viable up to four hours on copper, twenty-four hours on cardboard, and seventy-two hours on plastic and stainless steel, though the number of viable particles begins to decrease within minutes.
Household Transmission
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Person to Person (Droplet/Respiratory) Transmission
Graphic source: https://cosmosmagazine.com/physics/when-you-cough-how-far-can-it-go
Graphic source: https://www.gao.gov/products/GAO-20-545SP
Graphic source: https://www.gao.gov/products/GAO-20-545SP
Determining the necessary spacing for effective social distancing, such as for riders in a subway car, can affect the extent of disease transmission. The shaded circle (top) shows the number of people who could be directly infected by droplets from a sick person.
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Sexual Transmission (Being investigated)
Vertical Transmission
Other Forms of Reported Transmission
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COVID-19 Testing Collection and Analysis of Testing Data
Data Sources
Data Analysis
Graphic source: https://www.npr.org/sections/health-shots/2020/06/30/883703403/as-coronavirus-surges-how-much-testing-does-your-state-need-to-subdue-the-virus
Adequacy of Testing
"The rate of positivity is an important indicator because it can provide insights into whether a community is conducting enough testing to find cases. If a community’s positivity is high, it suggests that that community may largely be testing the sickest patients and possibly missing milder or asymptomatic cases. A lower positivity may indicate that a community is including in its testing patients with milder or no symptoms. The WHO has said that in countries that have conducted extensive testing for COVID-19, would remain at 5% or lower for at least 14 days."
Graphic source: https://www.npr.org/sections/health-shots/2020/06/30/883703403/as-coronavirus-surges-how-much-testing-does-your-state-need-to-subdue-the-virus
Testing Basics
Types of Testing
Graphic source: https://www.mckinsey.com/~/media/McKinsey/Business%20Functions/Risk/Our%20Insights/COVID%2019%20Implications%20for%20business/COVID%2019%20May%2027/COVID-19-Facts-and-Insights-June-1-vF.ashx
Graphic source: https://www.gao.gov/products/GAO-20-584SP
Testing Strategy
Timing of Testing
Graphic source: https://twitter.com/FDAHealthEquity/status/1245036877515759619
Graphic source: https://jamanetwork.com/journals/jama/fullarticle/2765837
Molecular (CRISPR/Nucleic Acid/PCR) Testing
Serologic (Antigen/Antibody) Testing
Testing Integrity
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Immunity
Graphic source: https://scimoms.com/how-does-covid-spread/
Graphic source: https://www.who.int/docs/default-source/coronaviruse/risk-comms-updates/update-28-covid-19-what-we-know-may-2020.pdf
Graphic source: https://www.thelancet.com/journals/lanres/article/PIIS2213-2600(20)30230-7/fulltext
Graphic source: https://www.mckinsey.com/featured-insights/coronavirus-leading-through-the-crisis/charting-the-path-to-the-next-normal/us-most-likely-to-reach-covid-19-herd-immunity-in-second-half-of-2021
Graphic source: https://jamanetwork.com/journals/jama/fullarticle/2770758
Graphic source; https://www.vox.com/science-and-health/2020/8/24/21399041/covid-19-reinfection-hong-kong-case-immunity
Graphic source: https://www.gao.gov/assets/710/707975.pdf
Graphic source: https://www.gao.gov/assets/710/707975.pdf
Graphic source: https://www.nytimes.com/interactive/2020/05/28/upshot/coronavirus-herd-immunity.html
A mathematical model reveals the influence of population heterogeneity on herd immunity to SARS-CoV-2 8/2020 Antibody tests can't yet say who's immune to COVID-19, but they can show who's at risk. 4/2020 By showing how many people haven't been infected, the tests provide a picture of who remains vulnerable to the coronavirus. Beyond Antibodies: Study Examines Cellular Immune Responses in COVID-19 7/2020 Variations seen in how immune system responds to the SARS-CoV-2 spike protein Can herd immunity help stop the coronavirus? 5/2020 Experts warn it's not that easy. Health professionals and officials continue to warn that there is no easy way out of the pandemic, particularly with parts of the U.S. beginning to ease lockdowns. Can you catch the coronavirus twice? You'll probably be immune for some time, at least 3/2020 Can You Get Covid-19 Again? It’s Very Unlikely, Experts Say 7/2020 Change in Antibodies to SARS-CoV-2 Over 60 Days Among Health Care Personnel in Nashville, Tennessee 9/2020 Children Produce Weaker Coronavirus Antibodies, Study Finds 11/2020 COVID-19 and the Path to Immunity 9/2020 COVID-19 Antibodies Can Disappear After 2-3 Months 6/2020 COVID-19 Antibodies Lasted At Least 4 Months in Icelandic Study
-But does this prevent reinfection? 9/2020 COVID-19 Immunity: The Great Unknown. 4/2020 Experts think antibodies against SARS-CoV-2 probably confer immunity -- but still a long way from the necessary proof Decline in SARS-CoV-2 Antibodies After Mild Infection Among Frontline Health Care Personnel in a Multistate Hospital Network - 12 States, April-August 2020 MMWR 11/2020 Herd Immunity For COVID-19 7/2020 GAO.gov How the Aging Immune System Makes Older People Vulnerable to Covid-19 9/2020. As we age, the immune system begins to shift into a heightened state of alert, dialing up inflammation and running out of certain immune cells. Immune Response Varied Among COVID-19 Patients 7/2020 Immunity passports in the context of COVID-19 WHO.int Longitudinal evaluation and decline of antibody responses in SARS-CoV-2 infection 7/2020 Modeling shield immunity to reduce COVID-19 epidemic spread 5/2020
Neutralizing Antibody Response Varies in Mild COVID-19, Chinese Study Suggests. Will these antibodies protect against future infection? 8/2020 No Evidence Yet That Recovered COVID-19 Patients Are Immune, WHO Says 4/2020 Persistence and decay of human antibody responses to the receptor binding domain of SARS-CoV-2 spike protein in COVID-19 patients 10/2020 Persistence of serum and saliva antibody responses to SARS-CoV-2 spike antigens in COVID-19 patients 10/2020 Rapid Decay of Anti–SARS-CoV-2 Antibodies in Persons with Mild Covid-19 NEJM 7/2020 Researchers Blast 'Dangerous' COVID-19 Herd Immunity Strategy - "Practically impossible and highly unethical," group argues 10/2020 SARS-CoV-2 may be exploiting our immune system's 'first responder' cells 4/2020 Study Finds Nearly Everyone Who Recovers From COVID-19 Makes Coronavirus Antibodies 5/2020 T cells take the lead in controlling SARS-CoV-2 and reducing COVID-19 disease severity. Finding may help explain why people 65 and above face a higher risk of falling critically ill with COVID-19 9/2020 The World Is Still Far From Herd Immunity for Coronavirus 5/2020 This Trawler’s Haul: Evidence That Antibodies Block the Coronavirus 8/2020 What if 'Herd Immunity' Is Closer Than Scientists Thought? 8/2020 What reinfections mean for COVID-19 10/2020 Your Coronavirus Antibodies Are Disappearing. Should You Care?
Declining antibody levels do not mean less immunity, experts say. Besides, two widely used tests may detect the wrong antibodies. 7/2020 You May Have Antibodies After Coronavirus Infection. But Not for Long. 6/2020. Antibodies to the virus faded quickly in asymptomatic people, scientists reported. That does not mean immunity disappears. US most likely to reach COVID-19 herd immunity in second half of 2021 9/2020 What Role Will Immunity Play in Conquering COVID-19? 4/2020 When U.S. Re-Opens, Will Those Exposed to Coronavirus Have Lasting Immunity? 4/2020 WHO: 'No Evidence' That COVID-19 Antibodies Protect From Potential Re-infection Time.com 4/2020 Women have stronger immune systems than men -- and it's all down to X-chromosome related microRNA 9/2011
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Vaccine Development
Graphic source: https://www.gao.gov/products/GAO-20-701
Graphic source: https://www.statista.com/chart/22515/share-of-us-adults-willing-to-get-a-covid-19-vaccine/
Graphic source: https://www.cdc.gov/vaccines/parents/infographics/journey-of-child-vaccine.html
Graphic source: https://www.gatesnotes.com/Health/What-you-need-to-know-about-the-COVID-19-vaccine
Graphic source: https://www.gao.gov/products/GAO-20-583SP
Graphic source: https://www.gao.gov/products/GAO-20-583SP
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COVID-19 Testing Issues
Graphic source: https://twitter.com/BillKarins/status/1247848309114523648/photo/1
Graphic source: https://nationalpostcom.files.wordpress.com/2020/04/na0407-covid-19-testing-by-country.png
Inadequate Testing/Testing Capacity
America now finally meets the bare minimum for coronavirus testing 6/2020 America needs universal COVID-19 testing. 4/2020. Here's how we'll get there. The U.S. should be testing anywhere from 3 million to 30 million people for coronavirus a week, to at least 20 million a day, public health officials say. Congress livid over lags in coronavirus testing. "It's very frustrating that we have been so slow in getting the testing," says Mitt Romney. 3/2020 Coronavirus and the race to distribute reliable diagnostics 2/2020 Coronavirus Testing Needs to Triple Before the U.S. Can Reopen, Experts Say 4/2020 Coronavirus testing: Information on COVID-19 tests according to state health departments 3/2020 Despite Promises, Testing Delays Leave Americans Flying Blind 4/2020 NYT Failing the Test, The Tragic Data Gap Undermining the U.S. Pandemic Response 5/2020 GAO: Insufficient testing data hurt COVID-19 tracking efforts 6/2020 How Jared Kushner’s Secret Testing Plan "Went Poof Into Thin Air" 7/2020 How testing failures allowed coronavirus to sweep the U.S. 4/2020 In one Italian town, we showed mass testing could eradicate the coronavirus. 3/2020 By identifying and isolating clusters of infected people, we wiped out Covid-19 in VO Months Into Virus Crisis, U.S. Cities Still Lack Testing Capacity 7/2020 No Data Behind CDC's Testing Guideline Change; Absent any evidence, experts speculate that supply shortages, politics influenced agency's decision 8/2020 States Are Livid After Trump Sends Useless Coronavirus Testing Equipment 4/2020 Testing Backlogs May Cloud the True Spread of the Coronavirus 7/2020 U.S. Coronavirus Testing Still Falls Short. How's Your State Doing? 5/2020 Virus Test Shortages Undermine Drive to Restart U.S. Economy 5/2020 Why America's coronavirus testing barely improved in April 5/2020
Laboratory Reporting
Missed Testing
Test Quality
Test Strategy
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General Prevention Measures Rule of thumb: If you can't remember the names of the people you spent time with in the past 5 days, at close distance (<6 feet), for more than 15 minutes, without wearing a mask, you have probably placed yourself at risk of contracting coronavirus.(Betty C. Jung) https://twitter.com/bettycjung/status/1276687102332358658
Graphic source: https://www.cdc.gov/coronavirus/2019-ncov/travelers/when-to-delay-travel.html
Graphic source: https://twitter.com/Surgeon_General/status/1297508127424872450
Graphic source: https://www.webmd.com/lung/coronavirus-transmission-overview
Graphic source: https://www.statista.com/chart/21882/chance-of-covid-19-transmission/
Graphic source: https://www.vox.com/2020/5/22/21266756/coronavirus-pandemic-covid-risks-social-distancing-chart
Graphic source: https://www.bmj.com/content/369/8243
Graphic source: https://www.vox.com/science-and-health/2020/3/26/21192211/coronavirus-covid-19-social-distancing-end
Graphic source: https://content-design.statista.com/the-new-normal/
Graphic source: https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/steps-when-sick.html
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Consumer Information
COVID-19 Complaint Tracker American Public Health Association Get Ready Page about COVID-19 Resource Page
Coronavirus has changed our lives, and our vocabulary needs to change with it 7/2020 Despite seeing great risk, Americans slow to make major changes to deal with COVID 7/2020 Disparities in Coronavirus 2019 Reported Incidence, Knowledge, and Behavior Among US Adults 7/2020 Get the Facts About Coronavirus How to Have a Safer Pandemic Memorial Day 5/2020 Government COVID-19 resources for older adults NIH.gov How to prevent the coronavirus, the best precautions 1/2020 Media trust correlated with COVID-19 prevention behaviors, study finds 10/2020 Novel Coronavirus (2019-nCoV) and You 1/2020 People use, trust different COVID-19 information sources depending on gender, age, and other factors. Traditional media and government are leading sources of information, but trust in government has declined. 10/2020 Print Resources - Educational Information about COVID-19 CDC.gov Stop AAPI Hate Reporting Center Report hate crimes against Asians The New Normal? What you need to know about Coronavirus Princes Georges County Government
Behavioral Interventions
Caregiving
Graphic source: https://jamanetwork.com/journals/jama/fullarticle/2769613
Disinfection
15 Ways to Protect Yourself From Coronavirus at Home
From isolation rooms to hand sanitizer stations, here's how to protect your home from COVID-19 Best Household Cleaners for Different Jobs WebMD Cleaning and Disinfection for Households; Interim Recommendations for U.S. Households with Suspected or Confirmed Coronavirus Disease 2019 (COVID-19) CDC.gov Cleaning and Disinfecting CDC.gov Cleaning And Disinfecting Your Home; Everyday Steps and Extra Steps When Someone Is Sick CDC.gov Cleaning, Disinfecting, and Sanitizing Coronavirus Puts UV in the Disinfectant Spotlight 6/2020 Far-UVC light safely kills airborne coronaviruses, study finds 6/2020 Germicidal Ultraviolet (GUV) Frequently Asked Questions 2020 Germicidal Ultraviolet (GUV) Frequently Asked Questions 2020 Guide to Local Production: WHO-recommended Handrub Formulations WHO.int Household Cleaning & Sanitizing CDC.gov Important New IES Report: Germicidal Ultraviolet and COVID-19 4/2020. The Illuminating Engineering Society releases new report on Germicidal Ultraviolet (GUV) and how it could reduce the spread of COVID-19. Improper use of Disinfectants Knowledge and Practices Regarding Safe Household Cleaning and Disinfection for COVID-19 Prevention — United States, May 2020 MMWR 6/2020 List N: EPA's Registered Antimicrobial Products for Use Against Novel Coronavirus SARS-CoV-2, the Cause of COVID-19 7/2020 Lysol maker: Please don't drink our cleaning products 4/2020 Most people don’t clean right, so use these tips Novel Coronavirus (COVID-19) Fighting Products No, You Don't Need To Disinfect Your Groceries. But Here's How To Shop Safely 4/2020 Should You Clean Your Phone to Combat Coronavirus? Definitely... Maybe. 3/2020 Spike in Poison Control Calls Related to Disinfectant Exposures 6/2020 Trump comments prompt doctors, and Lysol, to warn against injecting disinfectants WP.com 4/2020
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Face Masks, Face Shields & Respiratory Protection Importantly, uncovered emulated coughs were able to travel noticeably farther than the currently recommended 6-foot distancing guideline. Without a mask, droplets traveled more than 8 feet; with a bandana, they traveled 3 feet, 7 inches; with a folded cotton handkerchief, they traveled 1 foot, 3 inches; with the stitched quilting cotton mask, they traveled 2.5 inches; and with the cone-style mask, droplets traveled about 8 inches.
When the mannequin was not fitted with a mask, they projected droplets much farther than the 6-foot distancing guidelines currently recommended by the CDC. The researchers observed droplets traveling up to 12 feet within approximately 50 seconds. Moreover, the tracer droplets remained suspended midair for up to three minutes in the quiescent environment. These observations, in combination with other recent studies, suggest that current social-distancing guidelines may need to be updated to account for aerosol-based transmission of pathogens.
Graphic source: https://www.livescience.com/face-shield-visualization-covid-19-spread.html
Graphic source: https://www.pewresearch.org/fact-tank/2020/08/27/more-americans-say-they-are-regularly-wearing-masks-in-stores-and-other-businesses/
Graphic source: https://www.pewresearch.org/fact-tank/2020/08/27/more-americans-say-they-are-regularly-wearing-masks-in-stores-and-other-businesses/
Graphic source: https://www.physiciansweekly.com/?post_type=post&p=195055
Graphic source: https://www.physiciansweekly.com/?post_type=post&p=195055
Graphic source: https://www.nature.com/articles/s41591-020-0843-2
Graphic source: https://thorax.bmj.com/content/early/2020/07/24/thoraxjnl-2020-215748
Graphic source: https://www.statista.com/chart/22300/face-mask-usage-by-demographic/
VIDEO
Graphic source: WebMD
Graphic source: https://time.com/5819527/babies-face-masks-thailand/
Graphic source: https://www.bmj.com/content/350/bmj.h694/infographic
Graphic source: https://www.statista.com/chart/21687/share-of-the-public-who-have-worn-a-face-mask-in-public/
Graphic source: https://www.statista.com/chart/21322/purpose-and-protective-effect-of-selected-face-masks/
Graphic source: https://twitter.com/WebMD/status/1253904079224541184
5 Questions: Stanford scientists on COVID-19 mask guidelines 7/2020 5 Myths About Coronavirus and Face Masks, Debunked 6/2020 7 Signs You Need to Replace Your Face Mask ASAP 4/2020 Advice on the Use of Masks in the Context of COVID-19 4/2020 Anyone Living in Areas With Widespread COVID-19 Transmission Should Wear Masks, WHO Says WHO 6/2020 Are Some Face Masks More Effective Than Others? 11/2020 Cloth Face Coverings: Questions and Answers CDC.gov 4/2020 Cloth masks can help stop the spread of COVID-19, save lives and restore jobs #Masks4All Cloth masks do protect the wearer - breathing in less coronavirus means you get less sick 8/2020 Community Use of Cloth Masks to Control the Spread of SARS-CoV-2 CDC.gov Considerations for Wearing Cloth Face Covering 6/2020 Considerations for Wearing Masks - Help Slow the Spread of COVID-19 Coronavirus Cases Drop 46% In Parts Of S. Carolina With Mask Mandates Compared To Areas Without 8/2020 Coronavirus disease (COVID-19) advice for the public: When and how to use masks WHO Coronavirus Safety Runs Into a Stubborn Barrier: Masculinity. When political leaders suggest basic precautions appear unmanly, men are less likely to follow health and safety advice, experts say. 10/2020 Coronavirus: Which Mask Should You Wear? COVID-19: How much protection do face masks offer? Do face masks really reduce coronavirus spread? Experts have mixed answers. 4/2020 Do Masks On Plane Flights Really Cut Your Risk Of Catching COVID-19? 10/2020 Duke University Face Masks Study: Which Work the Best? 8/2020 Effectiveness of Surgical and Cotton Masks in Blocking SARS-CoV-2: A Controlled Comparison in 4 Patients 4/2020 Annals.org Effectiveness of surgical masks against influenza bioaerosols 5/2013 Efficacy of Face Shields Against Cough Aerosol Droplets From a Cough Simulator 2014 Efficacy of masks and face coverings in controlling outward aerosol particle emission from expiratory activities 9/2020 Everything you need to know about face masks | COVID-19 Special Experts: A mask cuts your coronavirus risk by 65% 7/2020 Face coverings and mask to minimise droplet dispersion and aerosolisation: a video case study 7/2020 Face Coverings Made From Layered Cotton Fabric Likely Slow the Spread of COVID-19 Better Than Synthetics, New Study Finds 6/2020
Face masks: what the data say 10/2020 Facemasks for the prevention of infection in healthcare and community settings BMJ.com 2015 Face-mask use in the United States A regularly surveyed representative sample of Americans about their own use of face-masks due to COVID-19 and their perception of whether 'their neighbors' are also wearing face masks. Face shields did not protect people from the coronavirus in an outbreak in Switzerland, but masks did, health officials say 7/2020 Factors Associated with Cloth Face Covering Use Among Adults During the COVID-19 Pandemic United States, April and May 2020 MMWR 7/2020 Homemade masks can work, physics suggests; But don't expect a bandana to do the job. 6/2020 How Effective Are Face Masks? How to Safely Wash and Dry Fabric Masks 5/2020 It's Official: CDC Recommends Public Wear Face Masks, Stresses use of cloth coverings, not medical grade, for ordinary people 4/2020 Low-cost measurement of facemask efficacy for filtering expelled droplets during speech 8/2020 Masks And The Outdoor Exerciser: Advice For Runners, Bikers, Walkers, Hikers 6/2020 Mask Mandate Exemptions Put Pulmonary Patients at Risk - Exemptions aren't evidence based, respiratory group says 10/2020 Masks May Reduce Viral Dose, Some Experts Say. People wearing face coverings will take in fewer coronavirus particles, evidence suggests, making disease less severe. 7/2020 Masks, PPE materials should be hydrophilic 8/2020 More Americans say they are regularly wearing masks in stores and other businesses 8/2020 Masks Work. Really. We’ll Show You How 10/2020 Moving Personal Protective Equipment Into the Community, Face Shields and Containment of COVID-19 4/2020 National mandate on mask-wearing could work better than lockdowns, new report suggests 6/2020 "A national mask mandate could increase U.S. face mask usage by statistically significant and economically large amounts," the report concluded. Ongoing Face Recognition Vendor Test (FRVT) Part 6A: Face recognition accuracy with masks using pre-COVID-19 algorithms 7/2020 Performative masculinity is making American men sick. American men are failing the pandemic. 8/2020 Preventing the Spread of SARS-CoV-2 With Masks and Other “Low-tech” Interventions 10/2020 Quilting Cotton Face Masks Better Than Bandanas 6/2020 Respiratory Protection During Outbreaks: Respirators versus Surgical Masks NIOSH Respiratory virus shedding in exhaled breath and efficacy of face masks 5/2020 Seeing is Believing; The Effectiveness of Facemasks 7/2020 Seeing is Believing: Researchers Test Effectiveness of Facemasks and Social Distancing youtube The evidence for everyone wearing masks, explained 3/2020 The growing scientific evidence for masks to fight Covid-19, explained 7/2020 The Multiplicative Power of Masks An Explorable Essay on How Masks Can End COVID-19 9/2020 The Psychology Behind Why Some People Refuse To Wear Face Masks 6/2020. As coronavirus cases spike, those who refuse to wear face coverings remain as firm in their choice as ever. Here's what psychologists say is driving their behavior. 'Two-way street': CDC report says masks protect wearers and everyone else
"Adopting universal masking policies can help avert future lockdowns," the Centers for Disease Control and Prevention said. 11/2020 Universal Masking to Prevent SARS-CoV-2 Transmission—The Time Is Now 7/2020 Unsure About Actually Wearing a Face Mask? Here is How (and Why) to Do It. Tips for wearing one properly + how to wash it 4/2020 Use of Cloth Face Coverings to Help Slow the Spread of COVID-19 CDC.gov Visualization shows face shields may not protect against COVID-19 spread 9/2020 Want a Silver Bullet for COVID-19? Look to The Lone Ranger 7/2020 Washing Masks Wearing a mask can significantly reduce coronavirus transmission, study on hamsters claims 5/2020 Wearing Face Masks and Social Distancing Actually Work to Contain COVID-19, According to a New Study 6/2020 Time.com What face masks actually do against coronavirus What is a mask valve, and why are cities banning them? What We Know So Far About Masks and Coronavirus 10/2020 World Mask Week aims to inspire global movement to wear face coverings in public to help stem exponential spread of COVID-19 8/2020 You're Getting Used to Masks. Will You Wear a Face Shield? 5/2020 Which mask works best? We filmed people coughing and sneezing to find out 7/2020 WHO Director-General's opening remarks at the media briefing on COVID-19 - 5 June 2020 6/2020 Widespread facemask use could shrink the 'R' number and prevent a second COVID-19 wave 6/2020
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Handwashing
Graphic source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6940a2.htm
Graphic source: https://www.cdc.gov/handwashing/when-how-handwashing.html
Influenza and COVID-19
Mental Health and Wellness
Graphic source: https://time.com/5886228/depression-covid-19-pandemic/
Graphic source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6932a1.htm
Graphic source: https://www.fda.gov/consumers/consumer-updates/how-you-can-make-difference-during-coronavirus-pandemic
Activity Planner. Ready to get more active this week?
Acute anxiety: Internet searches for key words spiked to all-time high early in pandemic Allostatic Load Is the Psychological Reason for Our Pandemic Brain Fog. 4/2020 This is why you're exhausted just from being alone. Caring for someone at home CDC.gov Coping with Stress COVID-19: 24/7 Parenting COVID-19 anxiety linked to body image issues 10/2020
COVID-19 Racism Takes Toll on Chinese Americans’ Mental Health; Slurs perpetuated online, in-person become everyday reality for many families, survey reveals 10/2020 COVID-19: Worsening Impact on Mental Health 7/2020 Depression Has Skyrocketed During the COVID-19 Pandemic, Study Says 9/2002 Doing What Matters in Times of Stress: An Illustrated Guide WHO.int How Coronavirus Is Causing a Wave of ‘Broken Heart Syndrome’ 7/2020 Coronavirus disease (COVID-19): How to care for a person with COVID-19 at home; Advice for caregivers Canada.ca Coronavirus pandemic may lead to 75,000 "deaths of despair" from suicide, drug and alcohol abuse, study says 5/2020 COVID-19 and your mental health COVID-19 pandemic may exacerbate childhood obesity 4/2020 COVID-19's Psychological Toll: Mental Distress Among Americans Has Tripled During the Pandemic Compared to 2018 5/2020 Distorted passage of time during the COVID-19 lockdown 7/2020 How Americans are coping with COVID-19 stress 6/2020 Intimate Partner Violence and Child Abuse Considerations During COVID-19 SAMHSA.gov Let's Talk About Our Health Anxiety Over COVID-19 The calming power of conversation, mindfulness, and a little exercise. 4/2020 Nautilis.com Mental Health Challenges After COVID-19 Recovery. Short- and long-term depression, anxiety, PTSD may be an issue post-ICU 5/2020
Mental Health, Substance Use, and Suicidal Ideation During the COVID-19 Pandemic; United States, June 24-30, 2020 MMWR 8/2020 ‘Pandemic fatigue’ marks a mental health crisis 7/2020
Pandemic Takes Toll on Family Mental Health. In survey, loss of childcare, employment ID'd as stressors 7/2020 Pandemic Stressors Give Rise to 'Broken Heart' Syndrome 7/2020. Incidence of stress cardiomyopathy recently elevated compared with historical cohorts Panicking About Coronavirus? Here's What You Can Do COVID-19 should raise an alert, but within reason Parenting in the time of COVID-19 Resources on the Response to the Coronavirus (COVID-19) The National Network to End Domestic Violence (NNEDV) Risks to children and young people during covid-19 pandemic Staying Active While Social Distancing: Questions and Answers Health.gov Stress and Coping Teen Coping Skills: Dealing With Disappointment When Coronavirus Cancels Everything
7 tips for grieving a long list of losses 4/2020 The Implications of COVID-19 for Mental Health and Substance Use 4/2020 The Mental Health Consequences of COVID-19 and Physical Distancing. The Need for Prevention and Early Intervention 4/2020 JAMA The Pandemic’s Mental Toll: More Ripple Than Tsunami 6/2020 The Remote Misses of COVID-19 8/2020 Violence against women during COVID-19
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Nutrition and Food Safety
Sanitizers
Graphic source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6932e1.htm
Self-care
Graphic source: https://www.ipsos.com/en-us/news-polls/axios-ipsos-coronavirus-index
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Sexual Relationships
Graphic source: @OHAOregon
Sheltering in Place/Lockdowns/Quarantine
Graphic source: https://www.marketingcharts.com/digital/video-114571
Graphic source: https://www.sciencedaily.com/releases/2020/06/200617194510.htm
Graphic source: https://www.cdc.gov/coronavirus/2019-ncov/downloads/10Things.pdf
Social Distancing
Graphic source: https://www.cdc.gov/coronavirus/2019-ncov/community/large-events/considerations-for-events-gatherings.html
Graphic source: https://www.bmj.com/content/370/bmj.m3223
Graphic source: https://www.cdc.gov/coronavirus/2019-ncov/community/parks-rec/public-beaches.html
Graphic source: https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/personal-social-activities.html
Graphic source: https://www.cdc.gov/coronavirus/2019-ncov/community/large-events/considerations-for-events-gatherings.html
Graphic: Medpage
Graphic source: https://www.nytimes.com/2020/05/20/us/coronavirus-distancing-deaths.html
Graphic source: https://www.nytimes.com/2020/05/20/us/coronavirus-distancing-deaths.html
Graphic source: https://www.statista.com/chart/21198/effect-of-social-distancing-signer-lab/
6 feet away isn't enough. Covid-19 risk involves other dimensions, too. 6/2020 8 ways to go out and stay safe during the coronavirus pandemic 5/2020 Cities That Went All In on Social Distancing in 1918 Emerged Stronger for It 4/2020 Considerations for Events and Gatherings 6/2020 Considerations for Public Beaches 8/2020 COVID-19 outbreak lasts days longer for each day's delay in social distancing 6/2020 For Each Day's Delay in Social Distancing, a COVID-19 Outbreak Lasts Days Longer 6/2020 Holiday Celebrations CDC.gov How to Hug During a Pandemic 6/2020 Of the many things we miss from our pre-pandemic lives, hugging may top the list. We asked scientists who study airborne viruses to teach us the safest way to hug. Lockdown Delays Cost at Least 36,000 Lives, Data Show 5/2020 Personal and Social Activities Physical distancing, face masks, and eye protection to prevent person-to-person transmission of SARS-CoV-2 and COVID-19: a systematic review and meta-analysis 6/2020 Six feet might not be enough social distance to protect against the coronavirus, experts warn 8/2020 Social Distancing CDC.gov Social distancing can't last forever. Here's what should come next. 5/2020 Social Distancing, Quarantine, and Isolation. Keep Your Distance to Slow the Spread The Answer to All of Your Social Distancing Loophole Questions Is No 4/2020 The CDC finally has new guidelines for reducing Covid-19 risk post-lockdowns. 6/2020. Lockdowns are largely over. The CDC has new guidelines for being safe out in the world. The Mental Health Consequences of COVID-19 and Physical Distancing
The Need for Prevention and Early Intervention 4/2020 Tips For Social Distancing, Quarantine, And Isolation During An Infectious Disease Outbreak SAMHSA.gov Two metres or one: what is the evidence for physical distancing in covid-19? BMJ.com 8/2020 Visiting Parks and Recreational Facilities CDC.gov Will social distancing extend until mid-2021? 5/2020
Sports and Athletics
High Prevalence of Pericardial Involvement in College Student-Athletes Recovering From COVID-19 (11/2020)
Graphic source:
https://www.jacc.org/doi/10.1016/j.jcmg.2020.10.023
Social distance while exercising: 4-5 meters (13-16 feet) if walking, 10 meters (32 feet) if running and 20 meters (65 feet) if cycling.
COVID-19 Return-to-Play Algorithm for Competitive Athlete and Highly Active People. COVID-19 indicates coronavirus disease 2019; hsTn, high-sensitivity troponin I; RTP, return to play.
Graphic source: https://www.acc.org/latest-in-cardiology/articles/2020/05/13/12/53/exercise-and-athletics-in-the-covid-19-pandemic-era
Substance Use
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Travel
Graphic source: https://www.cdc.gov/coronavirus/2019-ncov/travelers/travel-in-the-us.html
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Public Health Management & Guidance
Graphic source; Information is Beautiful
Graphic source: https://emergency.cdc.gov/coca/ppt/2020/Final_COCA_Call_Slides_04_17_2020.pdf
Graphic source: Initial Flowchart to Identify and Assess 2019 Novel Coronavirus (Historical) (https://www.cdc.gov/coronavirus/2019-ncov/hcp/identify-assess-flowchart.htm Historical
Agriculture Workers and Employers
Airline Travel
Percent of contacts by seating position across all flights. Note the declining number of contacts to the right as distance from the aisle increases.
Graphic source: https://www.pnas.org/content/115/14/3623
Schematic Diagram of the Boeing 737-300 Aircraft on Flight 2 from Hong Kong to Beijing (2003 SARS)
Graphic source: https://www.nejm.org/doi/full/10.1056/nejmoa031349
Frequency of Transmission on Three Aircraft Carrying One or More Persons Given a Diagnosis of a Probable Case of SARS.
Graphic source: https://www.nejm.org/doi/full/10.1056/nejmoa031349
Bars/Coffee Shops/Restaurants
Adjusted odds ratio (aOR)* and 95% confidence intervals for community exposures† associated with confirmed COVID-19 among symptomatic adults aged ≥18 years (N = 314) - United States, July 1-29, 2020
Graphic source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6936a5.htm
Graphic source: https://time.com/5867751/bars-covid/
Community Mitigation
Confirmed COVID-19 cases, associated hospitalizations, and deaths reported to Delaware Division of Public Health, by week, and COVID-19 mitigation efforts -Delaware Department of Health and Social Services, March 9-June 15, 2020 (MMWR)
Graphic source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6945e1.htm
Graphic source: https://www.medscape.org/viewarticle/927860
Concert Venues
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Congregate Facilities
Graphic source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6937e3.htm
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Correctional and Detention Facilities
Graphic source: https://www.statista.com/chart/21895/covid-in-prison-system/
Graphic source: https://www.statista.com/chart/22029/number-of-covid-19-cases-in-the-following-locations/
Graphic source: https://www.statista.com/chart/21895/covid-in-prison-system/
Graphic source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6919e1.htm
Cruise Ships
Essential Workers
Fitness Industry
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Health Care Facilities: Long-term Care, Outpatient & Skilled Nursing Facilities Guidance
Graphic source: https://www.ahcancal.org/News/news_releases/Pages/DATA-Nursing-Homes-See-Spike-in-New-COVID-Cases-Due-to-Community-Spread.aspx
Graphic source: https://www.ahcancal.org/News/news_releases/Pages/DATA-Nursing-Homes-See-Spike-in-New-COVID-Cases-Due-to-Community-Spread.aspx
Graphic source: https://www.ahcancal.org/News/news_releases/Pages/DATA-Nursing-Homes-See-Spike-in-New-COVID-Cases-Due-to-Community-Spread.aspx
Graphic source: https://www.cnn.com/2020/08/14/health/nursing-home-rise-in-covid-wellness/index.html
Graphic source: https://www.cms.gov/files/document/covid-nursing-home-reporting-numbers-5-31-20.pdf
Graphic source: https://time.com/5843260/assisted-living-facilities-covid-19/
America's Assisted Living Residents Are Falling Through the Cracks of COVID-19 Response, Families Say 5/2020 Clean Hands: Combat COVID-19 Closely Monitor Residents for #COVID19 CMS Warns of COVID-19 Spike in Nursing Homes; One or two cases in a home can spread to half of its residents in a "matter of hours," CMS chief says 8/2020
Community and Close Contact Exposures Associated with COVID-19 Among Symptomatic Adults ≥18 Years in 11 Outpatient Health Care Facilities — United States, July 2020 MMWR 9/2020 COVID-19 in a Long-Term Care Facility - King County, Washington, February 27-March 9, 2020 3/2020 COVID-19 toll in nursing homes linked to staffing levels and quality 6/2020 43% of U.S. Coronavirus Deaths Are Linked to Nursing Homes 6/2020 How to Improve and Protect Nursing Homes From Outbreaks 5/2020 Interim Healthcare Infection Prevention and Control Recommendations for Patients Under Investigation for 2019-nCoV 1/2020 Keep COVID-19 Out Key Strategies to Prepare for COVID-19 in Long-Term Care Facilities (LTCFs) National Healthcare Safety Network (NHSN): LTCF COVID-19 Module 6/2020 Mortality, Admissions, and Patient Census at SNFs in 3 US Cities During the COVID-19 Pandemic 6/2020 Nursing Homes See Spike in New COVID Cases Due to Community Spread 8/2020 REPORT: Nursing Homes See Spike in New COVID Cases Due to Community Spread in Sun Belt States UPDATED AUGUST 17, 2020 Sparkling Surfaces: Stop COVID-19's Spread Special Report - Infection Control Surveys at Nursing Facilities Reported Released by CMS in July 2020: Few Deficiencies, Most Called “No Harm” 7/2020 Use Personal Protective Equipment (PPE) Correctly for COVID-19
Manufacturing. Mining and Meat Processing Plant Guidance
Graphic source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6931a2.htm
Graphic source: https://twitter.com/CDCgov/status/1280551663938555910
Mental Health Guidance
Personal Care Services
Graphic source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6928e2.htm
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Schools & Colleges
Graphic source: https://patch.com/connecticut/across-ct/lamont-issues-new-guidelines-when-schools-should-open
Graphic source: https://apnews.com/b133f482b2eba88f8bd733e2d15d13ae
Graphic source: https://apnews.com/b133f482b2eba88f8bd733e2d15d13ae
Graphic source: https://www.kff.org/wp-content/uploads/2020/07/WEB-Who-is-at-Risk-of-Coronavirus-Teachers-Seniors_1-2.png
Graphic source: https://www.nationalacademies.org/news/2020/07/schools-should-prioritize-reopening-in-fall-2020-especially-for-grades-k-5-while-weighing-risks-and-benefits
Graphic source: https://www.ipsos.com/en-us/news-polls/axios-ipsos-coronavirus-index
CDC and Other Guidance for Reopening Schools
General Info
A Doctor's Take On Five Ways Schools Can Keep Your Kids Safe 7/2020 After Reopening Schools, Israel Orders Them To Shut If COVID-19 Cases Are Discovered 6/2020
AP-NORC poll: Very few Americans back full school reopening 7/2020 As Trump Demanded Schools Reopen, His Experts Warned of Highest Risk 7/2020 'Big Mess' Looms if Schools Don’t Get Billions to Reopen Safely 7/2020 Characteristics of Public and Private Elementary and Secondary School Teachers in the United States:
4/2020 Community Interventions and Critical Populations Task Force CDC COVID-19 Emergency Response CRAFT Schools Briefing Packet July 8, 2020 Coronavirus prompts closing of Georgia high school in district with over 1K in quarantine. "We know all parents do not believe the scientific research that indicates masks are beneficial," said the district chief where over 1,100 students and staff are in quarantine. 8/2020 COVID-19 and student learning in the United States: The hurt could last a lifetime 6/2020 COVID-19 increased anxiety, depression for already stressed college students
Study shows unprecedented increase in mental health challenges among undergraduates 7/2020 COVID-19 Planning Considerations: Guidance for School Re-entry 6/2020 Considerations for Schools How to Safely Reopen Colleges and Universities During COVID-19: Experiences From Taiwan 7/2020 Hybrid schooling could be a public health disaster, some doctors warn 8/2020 More Than 3 Million People Age 65 or Older Live with School-Age Children, and Could Be at Heightened Risk of COVID-19 Infection if Children Bring the Virus Home from School 7/2020 Michigan State And Notre Dame Suspend In-Person Learning Over COVID-19 Concerns 8/2020 Most Big School Districts Aren’t Ready to Reopen. Here’s Why. 7/2020 Older Children Spread the Coronavirus Just as Much as Adults, Large Study Finds 7/2020. The study of nearly 65,000 people in South Korea suggests that school reopenings will trigger more outbreaks. Research Shows Students Falling Months Behind During Virus Disruptions 6/2020 School openings across globe suggest ways to keep coronavirus at bay, despite outbreaks 7/2020 Schools Should Prioritize Reopening in Fall 2020, Especially for Grades K-5, While Weighing Risks and Benefits 7/2020 The Challenges of Going Back to School 8/2020 The key lesson from school openings abroad: Contain the virus; If schools in America do reopen, other countries have some best practices worth adopting. 7/2020 The Risk Of Severe COVID-19 Within Households Of School Employees And School-Age Children 9/2020
The Risk That Students Could Arrive at School With the Coronavirus. As schools grapple with how to reopen, new estimates show that large parts of the country would likely see infected students if classrooms opened now. 7/2020 Thousands of students, staff sent home nationwide as COVID snarls school reopenings. Only 17 states meet the WHO's criteria for safely reopening a community. 8/2020 Tracking Coronavirus Cases at U.S. Colleges and Universities 8/2020 What Evidence Is Aiding School Reopening Decisions? 7/2020. Weighing risks of COVID-19 in children versus the benefits of having kids in the classroom When Covid Subsided, Israel Reopened Its Schools. It Didn’t Go Well As countries consider back-to-school strategies for the fall, a coronavirus outbreak at a Jerusalem high school offers a cautionary tale. 8/2020 Why a Pediatric Group Is Pushing to Reopen Schools This Fall 7/2020
Transportation
Ventilation/Air Conditioning
Graphic source: https://www.mckinsey.com/industries/advanced-electronics/our-insights/can-hvac-systems-help-prevent-transmission-of-covid-19
Graphic source: https://www.mckinsey.com/industries/advanced-electronics/our-insights/can-hvac-systems-help-prevent-transmission-of-covid-19
Graphic source: https://www.mckinsey.com/industries/advanced-electronics/our-insights/can-hvac-systems-help-prevent-transmission-of-covid-19
Graphic source: https://www.mckinsey.com/industries/advanced-electronics/our-insights/can-hvac-systems-help-prevent-transmission-of-covid-19
Youth-based Activities
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Medical Management Treatment Guidelines
Graphic source: https://jamanetwork.com/journals/jama/fullarticle/2760782
COVID-19 Treatment Guidelines (4/21/2020)
Graphic source: https://covid19treatmentguidelines.nih.gov/overview/
Graphic source: https://www.vox.com/science-and-health/2020/4/8/21207269/covid-19-coronavirus-risk-factors
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Medical Management - General Information
Graphic source: https://www.medscape.org/viewarticle/928177
Graphic source; https://www.bmj.com/content/368/bmj.m1182
Graphic source: https://www.bmj.com/coronavirus
Graphic source: What You Should Know Before You Need a Ventilator https://www.nytimes.com/2020/04/04/opinion/coronavirus-ventilators.html
Graphic source: https://emergency.cdc.gov/coca/ppt/2020/Final_COCA_Call_Slides_04_17_2020.pdf
Graphic source: https://emergency.cdc.gov/coca/ppt/2020/Final_COCA_Call_Slides_04_17_2020.pdf
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Health Services
Graphic source: https://sccm.org/Blog/March-2020/United-States-Resource-Availability-for-COVID-19
Graphic source: https://emergency.cdc.gov/coca/ppt/2020/Final_COCA_Call_Slides_04_17_2020.pdf
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Healthcare Provider Protection
Graphic source: https://www1.nyc.gov/assets/doh/downloads/pdf/imm/covid-19-providers-dear-colleague-updates.pdf
Graphic source: https://www.cdc.gov/coronavirus/2019-ncov/downloads/A_FS_HCP_COVID19_PPE.pdf
Graphic source: https://smartairfilters.com/en/blog/whats-the-difference-between-n95-and-kn95-masks/
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General Medical Issues
Graphic source; https://jamanetwork.com/journals/jama/fullarticle/2768391
COVID-19 in Children
Graphic source: https://www.statista.com/chart/22537/covid-among-american-children/
Advice for parents during coronavirus
CDC: Don't Overlook Kids' AFM Symptoms in the Middle of COVID; Early reporting, follow-up critical as season for mysterious paralytic syndrome approaches 8/2020 Children face risk for severe complications and death from COVID-19. Most of the children admitted to pediatric intensive care units had underlying conditions 5/2020 Clinical Characteristics and Viral RNA Detection in Children With Coronavirus Disease 2019 in the Republic of Korea 8/2020 Confirmed: Kids Can Get Severe COVID-19, Like in adults, comorbidities a major risk factor 5/2020 Coronavirus Disease 2019 in Children; United States, February 12-April 2, 2020 4/2020 MMWR Coronavirus Mystery: Are Kids Less Likely To Catch It Than Adults Are? 6/2020 COVID-19 and children: Doctors see link between virus and neurological side effects. Emerging research highlights a connection between COVID-19 and significant neurological effects in young brains. 8/2020 COVID-19 (coronavirus) in babies and children 10/2020 COVID-19: Severity and Characteristics In the Young 8/2020 COVID-19: Kids' Noses May Carry More Virus Than Adults' But whether they spread disease is another question 7/2020 COVID-19 may be tied to rare syndrome in children, UK doctors warn 4/2020 COVID-19 May Cause Severe Heart Condition in Kids 4/2020 COVID-19 May Trigger Rare Complication In Children 5/2020 Infants With COVID-19 Tend to Have Mild Illness, Fever Primary Symptom
6/2020 CDC: Kids Catch Coronavirus and Give It to Their Parents; So much for kids get COVID, but they don't spread it 9/2020 Lung, immune function in kids could protect from severe COVID-19 7/2020 More than half a million children in the U.S. have had COVID-19. The new data are a "chilling reminder" to take the coronavirus seriously, one expert said. 9/2020 CDC: Most Kids Dying From Coronavirus Had Underlying Conditions - Enormous racial-ethnic disparities revealed as well 9/2020 Not all children are spared from coronavirus 3/2020 Obesity, race play roles in severe COVID-19 illness among kids. As of July 31, more than 338,000 children in the U.S. have been diagnosed with COVID-19. 8/2020 Pediatrics and COVID-19 9/2020 Symptomatic and Asymptomatic Viral Shedding in Pediatric Patients Infected With Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Under the Surface 8/2020 What We Know About COVID-19 and Kids 7/2020 What We Know About COVID-19’s Effects on Child and Maternal Health 7/2020
COVID-19 in Young Adults
Anticoagulation & Hematological Issues
Graphic source: https://pubs.rsna.org/doi/10.1148/radiol.2020201629
Cardiovascular Issues
Graphic source: https://science.sciencemag.org/content/early/2020/09/23/science.abe2813
Graphic source: https://www.onlinejacc.org/content/accj/early/2020/07/01/j.jacc.2020.06.068.full.pdf
Antivirals Tied to Heart Issue in COVID Patients 7/2020 As COVID-19 cases increase, preventing a second heart attack or stroke is vital As many as 1 in 5 COVID-19 patients experience life-threatening heart complications. Here's why 5/2020 Cardiac Echoes Reveal COVID's Toll on the Heart - -Retrospective study suggests utility of TTE in patients with SARS-CoV-2 infection and myocardial injury 11/2020 Cardiac Troponin for the Diagnosis and Risk-Stratification of Myocardial Injury in COVID-19: JACC Review 7/2020 Cardiovascular Implications of Fatal Outcomes of Patients With Coronavirus Disease 2019 (COVID-19) 3/2020 JAMA COVID-19: Are There Far-Reaching Cardiac Complications? 11/2020 COVID-19 Associated With Some Components of Myocardial Injury-Research raises possibility of direct viral infection of the heart 8/2020 COVID-19 can affect the heart 9/2020 COVID-19 Can Damage Hearts of Some College Athletes 10/2020 COVID-19 linked to cardiac injury, worse outcomes for patients with heart conditions 3/2020 COVID-19 linked to heart damage in healthy people, small study suggests 8/2020 COVID-19 Linked to Late Stent Thrombosis? 7/2020. Case report bolsters case for antithrombotic therapy COVID-19 May Plant Seeds of HF, Cardiomyopathy; Studies raise concern of chronic CV complications post-pandemic 7/2020 CPR Amidst COVID-19 Outbreak: What You Need To Know 4/2020 Guidance on treating COVID-19 patients with signs of acute heart attack 4/2020 Heart Patients Need to Be Wary of Coronavirus 4/2020 Myocardial Injury Common in COVID-19 - Troponin elevations largely mild, but still linked to death in NYC hospitals 4/2020 NYC Case Series Describes Clinical Features of ST-Segment Elevation and COVID-19 5/2020. ST-segment elevations not always tied to obstructive coronary artery disease NYC Study: Myocardial Injury Is Common in COVID-19, Tied to Mortality Risk 5/2020. Hazard ratio was 3.23 for hospitalized COVID-19 patients with troponin levels over 0.09 ng/mL Post-COVID Heart Problems Are Real, Despite Study Corrections; — Conclusions still stand, group says after fixing a raft of data errors 8/2020 Right Heart Problems Spell Trouble for COVID-19 Patients 5/2020. Portable echocardiography may help identify patients at highest risk The heart: Before, during and after COVID-19. COVID-19 can not only exacerbate existing heart problems, but cause new ones 7/2020 The Real Reason Post-COVID Myocarditis Is a Worry 9/2020
Dermatology Issues
Diabetes and Blood Sugar Issues
Drug Issues
Endocrine System
Environmental Issues
Gastrointestinal Issues
Immune System
Kidney Dialysis and Renal Issues
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Multisystem Inflammatory Syndrome in Children Associated with COVID-19 (MIS-C), previously known as Pediatric Multi-System Inflammatory Syndrome (PMIS, or MIS-C)
Graphic source: https://emergency.cdc.gov/han/2020/han00432.asp
ACR Outlines Best Practices for Kids With MIS-C, Guidance on cardiac management, preventing clotting in COVID-associated syndrome 6/2020 A rare Covid-19 complication was reported in children. Now, it's showing up in adults.
"This needs to be in the forefront of every intensive care unit physician's mind," said one expert. 10/2020
Clinical Characteristics of 58 Children With a Pediatric Inflammatory Multisystem Syndrome Temporally Associated With SARS-CoV-2 7/2020 A HREF="https://www.rheumatology.org/Portals/0/Files/ACR-COVID-19-Clinical-Guidance-Summary-MIS-C-Hyperinflammation.pdf"> Clinical Guidance for Pediatric Patients with Multisystem Inflammatory Syndrome in Children (MIS-C) Associated with SARS-CoV-2 and Hyperinflammation in COVID-19 6/2020 Draft Document COVID-19: Multisystem Inflammatory Syndrome in Pediatrics 7/2020 Updated Reporting Requirements for Multisystem Inflammatory Syndrome in Children Associated with COVID-19 (Formerly Pediatric Multisystem Inflammatory Syndrome) 5/2020 64 NY Children Sick With Rare COVID-Related Illness, State Finds; Here Are the Warning Signs 5/2020 A New Coronavirus Threat to Children 5/2020 Children Are Falling Ill With a Baffling Ailment Related to Covid-19 5/2020 Children are falling ill with perplexing inflammatory syndrome thought to be linked to covid-19 5/2020 COVID-19: Alert Over Multisystem Hyperinflammatory State in Children 4/2020 COVID-19-Associated Multisystem Inflammatory Syndrome in Children; United States, March-July 2020 MMWR 8/2020 GI Symptoms Are a Major Presentation Component of Multisystem Inflammatory Syndrome in Children 6/2020 Guidance: Pediatric multisystem inflammatory syndrome temporally associated with COVID-19 Royal College of Pediatrics and Child Health Kawasaki Disease From COVID-19 in Kids: How Common? Warnings out on inflammatory syndrome but many questions remain 5/2020 Kawasaki-like multisystem inflammatory syndrome in children during the covid-19 pandemic in Paris, France: prospective observational study 6/2020 Kids' Brains Affected by COVID-Linked Inflammatory Syndrome; Central and peripheral nervous system symptoms also reported 7/2020 Kids' COVID-Linked Ailment Is Not Your Typical Kawasaki Disease. A number of differences emerging, but U.S. data still scant 5/2020 Kids with Kawasaki disease symptoms possibly linked to COVID-19; coronavirus infection leading to critical illness in children remains very infrequent 5/2020 MIS-C Appears to Target Kids' Hearts and More 7/2020 MIS-C: Tip of the Iceberg for Kids' COVID Inflammation? Surveillance data affirm profile of the syndrome, but there may be more to it 6/2020 Multisystem Inflammatory Syndrome (MIS-C) 5/2020 Multisystem Inflammatory Syndrome in Children (MIS-C) Associated with Coronavirus Disease 2019 (COVID-19) CDC.gov 5/2020 Multisystem Inflammatory Syndrome Related to COVID-19 in Previously Healthy Children and Adolescents in New York City 7/2020 New Inflammatory Condition in Children Probably Linked to Coronavirus, Study Finds 5/2020 PICS Statement: Increased number of reported cases of novel presentation of multisystem inflammatory disease 4/2020 Smoking Gun Found for Virus in MIS-C Heart Damage Case. First case report documenting viral particles in the heart in MIS-C 8/2020 Studies Examine Link Between COVID-19 and MIS-C in Kids 7/2020 Children meeting MIS-C diagnostic criteria may be "tip of the iceberg," expert suggests Targeting Immune Responses in Kids' COVID-19 Inflammatory Disorder - IVIG, steroids, biologics all tried, with suggestions of success 5/2020 Top NYC Pediatrician Warns of Alarming New Information About COVID-19 and Kids 5/2020
Neurological Issues
Olfactory System
Psychiatric Issues
Reproductive and Sexual Issues
Graphic source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6938e2.htm
Graphic Source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6925a1.htm
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Respiratory and Lung Issues
Graphic source: https://jamanetwork.com/journals/jama/fullarticle/2769872
Pseudostratified epithelium of the trachea showing goblet and ciliate cells.(prime target)
Graphic source:https://www.zmescience.com/science/cells-vulnerable-to-covid-identified-26243/
Graphic source: https://www.nejm.org/doi/full/10.1056/NEJMcp2009575
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Sequelae [Post-acute covid-19; post-COVID syndrome, also known as Long COVID]
Graphic source: https://www.bmj.com/content/370/bmj.m3026
Graphic source: https://www.sciencemag.org/news/2020/07/brain-fog-heart-damage-covid-19-s-lingering-problems-alarm-scientists
Graphic source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6930e1.htm
Self-reported symptoms at the time of positive SARS-CoV-2 reverse transcription–polymerase chain reaction (RT-PCR) testing results and unresolved symptoms 14-21 days later among outpatients (N = 274) - 14 academic health care systems, United States, March-June 2020
Graphic source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6930e1.htm
Graphic source: https://jamanetwork.com/journals/jama/fullarticle/2768351
Add Skin Conditions to COVID-19 Long-Hauler Effects - Persistence beyond 60 days in some cases, especially with pernio/chilblains 10/2020
As Their Numbers Grow, COVID-19 “Long Haulers” Stump Experts 9/2020 Citizen Scientists Take on the Challenge of Long-Haul COVID-19 9/2020 Coronavirus destroys lungs. But doctors are finding its damage in kidneys, hearts and elsewhere. 4/2020 Coronavirus: 'Long Covid could be four different syndromes' 10/2020 COVID-19 Sequelae Can Linger for Weeks - Even patients with mild cases describe persistent fatigue, trouble breathing, cardiac issues 5/2020 For Long-Haulers, Covid-19 Takes a Toll on Mind as Well as Body - "It makes you depressed, anxious that it’s never going to go away." 9/2020 From 'brain fog' to heart damage, COVID-19's lingering problems alarm scientists 7/2020 Here's What Recovery From Covid-19 Looks Like for Many Survivors 7/2020 Homerton University Hospital. ACERS: Post COVID-19 patient information pack 8/2020 How to conserve your energy. Practical advice for people during and after having COVID-19 8/2020 How long does the coronavirus last inside the body? Researchers are narrowing down how long the virus persists inside the body and whether people can be quickly re-infected. 6/2020 Italy's Bergamo is calling back coronavirus survivors. About half say they haven’t fully recovered. 9/2020 Life after COVID hospitalization: Study shows major lasting effects on health, work and more. Death, rehospitalization, and problems with basic activities, jobs, mental health and finances seen in many patients treated at 38 Michigan hospitals 11/2020 Living with Covid19
Published on 15 October 2020 doi: 10.3310/themedreview_41169
A dynamic review of the evidence around ongoing Covid19 symptoms (often called Long Covid). Long after the fire of a Covid-19 infection, mental and neurological effects can still smolder 8/2020 Long-term Health Consequences of COVID-19 10/2020 JAMA Long-Term Lung, Health Issues Common in COVID-19 9/2020 Lung scarring, heart damage, and anxiety: Some Covid-19 survivors face long-term complications. 5/2020. It is a true roller coaster of symptoms and severities, with each new day offering many unknowns. Management of post-acute covid-19 in primary care 8/2020 New study looks at post-COVID-19 emerging disease in children 6/2020 Nine in ten recovered COVID-19 patients experience side-effects - study 9/2020 Pericarditis and myocarditis long after SARS-CoV-2 infection: a cross-sectional descriptive study in health-care workers 7/2020 Preprint Persistent Symptoms in Patients After Acute COVID-19 7/2020 Post-intensive Care Syndrome
Persistent Symptoms in Patients After Acute COVID-19 7/2020 "Post intensive-care syndrome": Why some COVID-19 patients may face problems even after recovery. People who remain in the ICU for weeks may end up with memory problems and trouble thinking clearly. 3/2020 Some Coronavirus Patients Are Reporting Symptoms That Last Months. Nobody Knows Exactly How to Treat Them 8/2020
Some COVID-19 patients still have coronavirus after symptoms disappear 3/2020
Symptom Duration and Risk Factors for Delayed Return to Usual Health Among Outpatients with COVID-19 in a Multistate Health Care Systems Network; United States, March-June 2020 7/2020 What doctors know about lingering symptoms of coronavirus 6/2020 What Does COVID-19 Recovery Actually Look Like?
An Analysis of the Prolonged COVID-19 Symptoms Survey by Patient-Led Research Team 2020
Stroke
Thyroid Issues
Vision Issues Back to Table of Contents
Potential Treatments
Graphic source: https://www.nejm.org/doi/full/10.1056/NEJMcp2009575
Convalescent Plasma
Dexamethasone
Hydroxychloroquine
Il-7
Llama Antibodies
Remdesivir
Graphic source: https://jamanetwork.com/journals/jama/fullarticle/2769871
Synthetic Antibodies
Other
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Health Services Issues
Graphic source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6925e2.htm
Graphic source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6923e1.htm
Graphic source: https://www.nejm.org/doi/full/10.1056/NEJMc2015630
Afraid to Be a Nurse: Health Workers Under Attack 4/2020 Stigmatized as vectors of contagion in some countries, health care workers have been assaulted, abused and ostracized. Coronavirus exposes major flaws in health care system, experts say. Doctors and health care experts said the coronavirus pandemic shows the need to shift how we think about health care. 4/2020 COVID-19 in the United States: Insights from Healthcare Systems CDC.gov Critical Care Utilization for the COVID-19 Outbreak in Lombardy, Italy. Early Experience and Forecast During an Emergency Response 3/2020 JAMA Decline in Child Vaccination Coverage During the COVID-19 Pandemic Michigan Care Improvement Registry, May 2016-May 2020 5/2020 Emergency Responders: Tips for taking care of yourself CDC.gov Ethics of reallocating ventilators in the covid-19 pandemic Exposed, Silenced and Attacked, Failures to Protect health and Essential Workers During the COVID-19 Pandemic 7/2020 Families of Health Workers Killed by COVID Fight for Denied Workers’ Comp Benefits Fear of Covid Leads Other Patients to Decline Critical Treatment Psychologists say anxiety and uncertainty prompt irrational decisions — like turning down a transplant when an organ becomes available. 5/2020 Hospital Experiences Responding to the COVID-19 Pandemic: Results of a National Pulse Survey March 23-27, 2020 HHS.gov Ignoring cancer care now may trade one public health crisis Covid-19 for another, NCI chief warns 6/2020 Impact of the COVID-19 Pandemic on Emergency Department Visits; United States, January 1, 2019-May 30, 2020 MMWR 6/2020 Joint Statement: Roadmap for Resuming Elective Surgery after COVID-19 Pandemic Near 90% Mortality Rate in Intubated COVID-19 Patients in NYC - Comorbidities appeared to play a major role 4/2020 $1M COVID Bill; Did Florida Ignore Troubling Data? New York's Pandemic Missteps. This past week in healthcare investigations 6/2020 Potential Indirect Effects of the COVID-19 Pandemic on Use of Emergency Departments for Acute Life-Threatening Conditions; United States, January-May 2020 6/2020 Survey of Insomnia and Related Social Psychological Factors Among Medical Staff Involved in the 2019 Novel Coronavirus Disease Outbreak 4/2020 "This Is Our Chernobyl": New York City's Doctors and Nurses Are Terrified 3/2020 What happens when the ICU is full? 7/2020 Why some nurses have quit during the coronavirus pandemic
"Right now, nurses don't feel like heroes. We feel expendable." 5/2020
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Background and Related Resources
General Background Information
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China - Initial COVID-19 Epicenter
Graphic source; https://www.bbc.com/news/world-51235105#
Graphic source: https://www.bbc.com/news/world-asia-china-51202000#
Graphic source: https://www.theguardian.com/world/2020/feb/06/whistleblower-chinese-doctor-dies-from-coronavirus
Graphic source: https://www.nationalgeographic.com/science/2020/02/life-inside-wuhan-coronavirus-quarantine/
Graphic source: https://www.nbcnews.com/health/health-news/new-coronavirus-outbreak-declared-global-public-health-emergency-who-says-n1126836
1st known case of coronavirus traced back to November in China 3/2020 3 babies in China may have been infected with coronavirus in the womb 3/2020 An expanding epicentre 1/2020 A Novel Coronavirus Emerging in China Key Questions for Impact Assessment 1/2020 Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China Summary of a Report of 72,314 Cases From the Chinese Center for Disease Control and Prevention 2/2020 Chinese CDC China goes into emergency mode as number of confirmed Wuhan coronavirus cases reaches 2,700 1/2020 China sets a temporary ban on wildlife trade. But could it be permanent? 1/2020 Chinese cases spike after changes to diagnosis method 2/2020 Chinese epicenter Wuhan raises number of virus dead by 1,290 4/2020 APnews.com Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus-Infected Pneumonia in Wuhan, China 2/2020 JAMA Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China 1/2020 The Lancet Confusion mounts over China’'s counting methods as coronavirus numbers swing wildly 2/2020 Coronavirus In China: Over 200 Cases, Human-To-Human Transmission 1/2020 Coronavirus Infections More Than Just the Common Cold 1/2020 China didn't warn public of likely pandemic for 6 key days APnews.com 4/2020 Did China downplay the coronavirus outbreak early on? 1/2020 A new study shows the virus took off weeks earlier than Chinese officials have suggested. Early missteps and state secrecy in China probably allowed the coronavirus to spread farther and faster 2/2020 First-wave COVID-19 transmissibility and severity in China outside Hubei after control measures, and second-wave scenario planning: a modelling impact assessment 4/8/2020 How does the Wuhan coronavirus cause severe illness? There are four known ways, and some can occur at the same time. 1/2020 Journal retracts study on how far coronavirus can spread through droplets 3/2020 Nine Days in Wuhan, the Ground Zero of the Coronavirus Pandemic 10/2020 Preliminary risk analysis of 2019 novel coronavirus spread within and beyond China 1/2020 Vital Surveillances: The Epidemiological Characteristics of an Outbreak of 2019 Novel Coronavirus Diseases (COVID-19) - China, 2020 4/2020
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Coronaviruses
VIDEO
Graphic source: https://www.nejm.org/doi/full/10.1056/NEJMp2000929
Graphic source: https://www.npr.org/sections/goatsandsoda/2020/01/22/798277557/how-does-wuhan-coronavirus-compare-to-mers-sars-and-the-common-cold
Graphic source: https://www.usatoday.com/story/news/nation/2020/01/21/china-coronavirus-outbreak-cdc-first-us-case-washington-state/4532063002/
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Disinformation, Misinformation, Myths
Graphic source: https://usafactscms.azureedge.net/media/documents/State_of_the_Facts_2020_-_COVID-19.pdf
Graphic source: https://usafactscms.azureedge.net/media/documents/State_of_the_Facts_2020_-_COVID-19.pdf
Graphic source: https://usafactscms.azureedge.net/media/documents/State_of_the_Facts_2020_-_COVID-19.pdf
Graphic source: https://www.vox.com/coronavirus-covid19/21497221/donald-trump-covid-19-coronavirus-news-misinformation-study
Graphic source: https://www.medpagetoday.com/infectiousdisease/covid19/87605
Graphic source: https://www.statista.com/chart/22527/composition-of-covid-19-misinformation/
Graphic source: https://www.statista.com/chart/21693/misinformation-on-covid-in-america/
GO VIRAL! is a 5-minute game that helps protect you against COVID-19 misinformation. 7 Ways Hackers and Scammers Are Exploiting Coronavirus Panic 4/2020 Nine COVID-19 Myths That Just Won’t Go Away. From a human-made virus to vaccine conspiracy theories, we rounded up the most persistent false claims about the pandemic 8/2020 10 Tips to Avoid (Spreading) Fake News During a Crisis 4/2020
As Europe’s Coronavirus Cases Rise, So Do Voices Crying Hoax 9/2020 A Theory About Conspiracy Theories. In a new study, psychologists tried to get a handle on the personality types that might be prone to outlandish beliefs. 9/2020 Avoid Coronavirus Scams FTC.gov Conspiracy Theorists Are Blaming COVID-19 on 5G (What’s the Truth?) 7/2020 Coronavirus disease (COVID-19) advice for the public: Myth busters WHO.int Coronavirus Doctors Battle Another Scourge: Misinformation. Physicians say they regularly treat people more inclined to believe what they read on Facebook than what a medical professional tells them. 8/2020 Coronavirus Misinformation Tracking Center Newguardtech.com Coronavirus myths, debunked: A cattle vaccine, bioweapons and a $3,000 test USAToday.com 3/2020 Coronavirus myths and misinformation, debunked CNN.com 3/2020 Coronavirus very likely of animal origin, no sign of lab manipulation: WHO Reuters.com 4/2020 COVID Misinformation Is Killing People. This “infodemic” has to stop 10/2020 COVID-19 Real Time Scam Hunter Dangerous Oleander Extract Not a COVID-19 Cure "That would definitely end up killing people" 8/2020 Debunking COVID-19 (coronavirus) myths Debunking the coronavirus myths and misinformation CNN Donald Trump Is the 'Single Largest Driver' of COVID Misinformation, Study Says 10/2020 Fact-Checking Coronavirus Myths: Widely-Spread Falsehoods Debunked False claims about sources of coronavirus cause spat between the US, China 3/2020 FDA Warns Seller Marketing Dangerous Chlorine Dioxide Products that Claim to Treat or Prevent COVID-19 4/2020 FEMA Coronavirus Rumor Control Five myths about the coronavirus. Travel restrictions and masks won't actually help much. Hackers Created Thousands of Coronavirus (COVID-19) Related Sites As Bait 3/2020 Hoaxes about coronavirus tests have political uses and can push patients away 3/2020 How to report misinformation online WHO.int Provides links to 7 platform pages to report erroneous info! How You Can Stop COVID Lies From Spreading A few tips for clinicians 7/2020 Immune to Evidence: How Dangerous Coronavirus Conspiracies Spread 5/2020 Misinformation During a Pandemic 9/2020 Misleading information in 1 in 4 most viewed YouTube COVID-19 videos in English, study finds. Public health misinformation reaching far more people than in previous pandemics 5/2020 People tune out facts and trust their guts in medical emergencies Scam Websites Feed State of the Facts 2020: COVID-19 USAFacts The Coronavirus Collection: Fact-Checking COVID-19 Snopes.com 13 Coronavirus myths busted by science Livescience.com Trump has been the biggest source of Covid-19 misinformation, study finds. "The President of the United States was likely the largest driver of the COVID-19 misinformation 'infodemic.'" 10/2020 Trump's Statements About the Coronavirus Factcheck.org Virus Researchers Cast Doubt On Theory Of Coronavirus Lab Accident 4/2020 Which Experts Should You Listen to during the Pandemic? It should be a no-brainer: your best bet is to follow those who have actual expertise Scientific American. 6/2020 Why are Americans so confused about Covid-19? Blame Trump, Cornell study says 10/2020 Why False Claims About COVID-19 Refuse to Die. Tracking the information zombie apocalypse. 4/2020
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History of Epidemics, Pandemics
Graphic source: https://science.sciencemag.org/content/368/6492/700
An unequal blow 5/2020
COVID-19 Was Worse Than the Flu in NYC... the 1918 Flu; Recent mortality rates were historically high, researchers found 8/2020 Criteria for declaring the end of the Ebola outbreak in Guinea, Liberia or Sierra Leone 5/2015 Did Fauci Warn Trump in 2017 That a 'Surprise Outbreak' Was Coming? 5/2020 Concentrations and size distributions of airborne influenza A viruses measured indoors at a health centre, a day-care centre and on aeroplanes 2/2011 Epidemic Disease Occurrence CDC.gov Here’s How the Pandemic Finally Ends
A vaccine by early 2021, a steady decline in cases by next fall and back to normal in a few years—11 top experts look into the future. 9/2020 History in a Crisis; Lessons for Covid-19 4/2020 How COVID-19 Will Pass from Pandemic to Prosaic 4/2020 How Data Became One of the Most Powerful Tools to Fight an Epidemic 6/2020 How Pandemics End. An infectious outbreak can conclude in more ways than one, historians say. But for whom does it end, and who gets to decide? 5/2020 Influenza Infectious Dose May Explain the High Mortality of the Second and Third Wave of 1918-1919 Influenza Pandemic 7/2010 Lessons for COVID-19 from the Early Days of AIDS 8/2020 Lessons from the Spanish flu: Early restrictions lowered disease, mortality rates 3/2020 New Zealand hits zero active coronavirus cases. Here are 5 measures to keep it that way 6/2020 9 questions about the Covid-19 coronavirus pandemic, answered 3/2020 Protesting During A Pandemic Isn't New: Meet The Anti-Mask League Of 1918 4/2020 San Francisco had the 1918 flu under control. And then it lifted the restrictions. A cautionary tale about the dangers of reopening too soon. 4/2020 ‘The 1918 flu is still with us’: The deadliest pandemic ever is still causing problems today 9/2020 The Man Who Saw the Pandemic Coming - Will the world now wake up to the global threat of zoonotic diseases? 3/2020 The Mask Slackers of 1918 As the influenza pandemic swept across the United States in 1918 and 1919, masks took a role in political and cultural wars. 8/2020 The 9 most important unanswered questions about Covid-19 3/2020
The Mask Slackers of 1918. As the influenza pandemic swept across the United States in 1918 and 1919, masks took a role in political and cultural wars. 8/2020 Two stories of two deadly diseases; The ‘miracle’ of Warsaw and the plague of smallpox. 7/2020 What Other Countries Can Learn From Italy During the COVID-19 Pandemic 4/2020 JAMA
Infectious Diseases
Graphic source: http://www.vox.com/2016/4/19/11450396/zika-virus-contagious-ebola-measles
Graphic source: http://www.informationisbeautiful.net/visualizations/the-microbescope-infectious-diseases-in-context/
Graphic source: http://www.informationisbeautiful.net/visualizations/the-microbescope/
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Reopening Issues
Graphic source: https://www.mckinsey.com/business-functions/risk/our-insights/covid-19-implications-for-business
Graphic source: https://www.statista.com/chart/22155/status-of-us-state-reopenings/
Graphic source: https://www.readyharris.org/Stay-Safe
Graphic source: https://www.nytimes.com/interactive/2020/world/coronavirus-maps.html#countries
Graphic source:
https://www.medpagetoday.com/infectiousdisease/covid19/87362
After Asking Americans to Sacrifice in Shutdown, Leaders Failed to Control Virus 6/2020 As Covid-19 cases surge, it is clear many governors underestimated the coronavirus and rushed to reopen before their states were ready. As States Rush to Reopen, Scientists Fear a Coronavirus Comeback Officials are under pressure to restart the economy, but many states are moving too quickly, researchers say. The costs may be measured in lost lives. 5/2020 CDC finds majority of Americans would not feel safe if coronavirus restrictions lifted nationwide 6/2020 CDC warns U.S. may reimplement strict coronavirus measures if cases go up dramatically 6/2020 China is reopening wet markets, as international pressure mounts against them 4/2020 How long before we know if reopenings cause virus spikes? 5/2020 How We Reopen Safely Tracking states as they make progress towards a new normal In countries keeping the coronavirus at bay, experts watch U.S. case numbers with alarm 6/2020 "I'll do what I want": Why the people ignoring social distancing orders just won't listen 3/2020 Lack of COVID-19 preparedness in line with previous findings, economists find 5/2020 On coronavirus, we know who will pay the price when states reopen before they should 5/2020 Op-Ed: The U.S. COVID-19 Failure Is Federal Unless Washington listens, more Americans will needlessly die 6/2020 Replace Trump And Bolster The CDC, A Leading Medical Journal Urges 5/2020 There's One Big Reason the U.S. Economy Can't Reopen. The country faces the same problem today that it did two months ago: There are not enough tests to contain the virus. 5/2020 There Is Still No Plan 5/2020 The U.S. and U.K. Were the Two Best Prepared Nations to Tackle a Pandemic What Went Wrong? 7/2020 The U.S. has hamstrung itself: How America became the new Italy on coronavirus 6/2020 The White House reportedly suppressed CDC guidance for reopening safely. The CDC created a detailed document with recommendations for how schools, religious institutions, and businesses might safely reopen. Trump baselessly claims Covid-19 testing is overrated and people wear masks to spite him 6/2020 Trump claims the coronavirus pandemic is ending. Data and the experts disagree. 6/2020 We don't have a president, or a plan. 60 days into the coronavirus crisis, the White House does not have a plan, a framework, a philosophy, or a goal. 5/2020 WHO process for declaring health emergencies scrutinized: COVID-19 response shows limitations 4/2020
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Second Wave
Graphic source: https://www.bmj.com/content/369/bmj.m1932
Graphic source:https://www.futurity.org/reopening-economy-public-health-covid-19-2366532-2/
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Social Media
Graphic source: https://www.journalism.org/2020/06/24/as-covid-19-emerged-in-u-s-facebook-posts-about-it-appeared-in-a-wide-range-of-public-pages-groups/
Graphic source: https://www.journalism.org/2020/06/24/as-covid-19-emerged-in-u-s-facebook-posts-about-it-appeared-in-a-wide-range-of-public-pages-groups/
Graphic source: https://www.journalism.org/2020/06/24/as-covid-19-emerged-in-u-s-facebook-posts-about-it-appeared-in-a-wide-range-of-public-pages-groups/
Graphic source: https://www.journalism.org/2020/06/24/news-organizations-were-most-prominent-source-in-covid-19-content-shared-in-public-facebook-spaces/
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Strategic Planning for Reopening the U.S.
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Unintended Consequences & Unforeseen Issues
Video source: https://twitter.com/bettycjung/status/1253938448811077632
Calculated trends in geophysical PM2.5 values from 1998-2018. Warm colours indicate positive trends and cool colours negative trends. The opacity of the colours indicates the statistical significance of the trends. Credit: Martin Lab
Map source: https://cosmosmagazine.com/earth/earth-sciences/global-pollution-mapped-for-good-and-bad/
Graphic source: https://earthobservatory.nasa.gov/images/146741/nitrogen-dioxide-levels-rebound-in-china
Graphic source: https://earthobservatory.nasa.gov/images/146741/nitrogen-dioxide-levels-rebound-in-china
Graphic source: https://earthobservatory.nasa.gov/images/146741/nitrogen-dioxide-levels-rebound-in-china
Graphic source: https://www.washingtonpost.com/climate-environment/2020/05/19/greenhouse-emissions-coronavirus/
Graphic source: https://earthobservatory.nasa.gov/images/146362/airborne-nitrogen-dioxide-plummets-over-china
Graphic source: https://www.statista.com/chart/21495/no2-in-the-air-selected-cities/
Graphic source: https://www.statista.com/chart/21424/no2-concentration-selected-cities/
Graphic source: https://earthobservatory.nasa.gov/images/146362/airborne-nitrogen-dioxide-plummets-over-china
Graphic source: https://earthobservatory.nasa.gov/images/146596/airborne-particle-levels-plummet-in-northern-india
Behavioral & Health Changes
Education Changes
Environmental Changes
Graphic source: https://cosmosmagazine.com/health/medicine/covid-news-and-trends-20-november/
August 22, 2020 - Earth Overshoot Day 2020 Arrives 3 weeks later than in previous years
Earth Overshoot Day will, for the first time, arrive later than it did the year before. (By more than three weeks!) That's a direct result of the coronavirus shutdowns, which reduced humanity's ecological footprint by 9.3 percent, according to estimates from Global Footprint Network researchers.
After Coronavirus, Office Workers Might Face Unexpected Health Threats 5/2020. Stagnant plumbing systems in emptied commercial buildings could put returning employees at risk of Legionnaires' and other illnesses. Airborne Nitrogen Dioxide Plummets Over China Airborne Particle Levels Plummet in Northern India 4/2020 COVID-19 Could Cause Historic Drop in Carbon Emissions 4/2020 COVID-19 Improves Air Quality in Just Three Months 4/2020 COVID-19 lockdown caused 50 percent global reduction in human-linked Earth vibrations 7/2020 COVID-19 lockdowns in China, Europe averted tens of thousands of premature deaths related to air pollution, study finds 10/2020 COVID-19 lockdowns significantly impacting global air quality 5/2020 During lockdown we were light on the Earth. Scientists record the seismic noise of social distancing. 7/2020 Global pollution mapped, for good and bad 6/2020 Global emissions plunged an unprecedented 17 percent during the coronavirus pandemic 5/2020 In China, quarantine improves air and prevents thousands of premature deaths 5/2020 Major Cities Around the World See Improvements in Air Quality 4/2020 Nitrogen Dioxide Levels Rebound in China 5/2020 The Covid-19 pandemic is threatening vital rainforests. The coronavirus is undermining efforts to control rainforest fires in Indonesia and Brazil. And those fires could worsen the pandemic. 6/2020 Visualizing Changes in Nitrogen Dioxide Levels During the COVID-19 Pandemic 8/2020 Wildfire Smoke and COVID-19
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Health Services Changes
Graphic source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6936a4.htm
Mental Health Changes
Nature Changes
Graphic source: https://www.ucdavis.edu/news/genomic-analysis-reveals-many-animal-species-may-be-vulnerable-sars-cov-2-infection
Societal Changes
Technological Changes
Graphic source: https://www.statista.com/chart/21286/known-coronavirus-related-malicious-online-threats/
![Free Speech Coalition](https://www.vox.com/2020/7/13/21310439/osha-coronavirus-worker-protection-rights"> The federal agency that’s supposed to protect workers is toothless on Covid-19 </A> 7/2020 </B></LI>
<LI><B><A HREF="https://emergency.cdc.gov/han/han00426.asp"> Update and Interim Guidance on Outbreak of 2019 Novel Coronavirus (2019-nCoV) in Wuhan, China </A> CDC.gov 1/2020 </B></LI>
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<P><H3><FONT COLOR=blue> General Workplace Guidance </FONT COLOR></H3>
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<IMG SRC="BG2020/mm6944a4_TeleworkBeforeIllnessCOVID19.jpg" width=600 Alt="Telework">
<BR><FONT SIZE=1> Graphic source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6944a4.htm </FONT SIZE>
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<LI><B><A HREF="https://www.cdc.gov/coronavirus/2019-ncov/communication/guidance-list.html"> CDC Guidance Documents </A></B></LI>
<LI><B><A HREF="https://www.nytimes.com/2020/05/28/health/cdc-coronavirus-offices.html"> C.D.C. Recommends Sweeping Changes to American Offices </A> 5/2020 </B></LI>
<LI><B><A HREF="https://www.cdc.gov/coronavirus/2019-ncov/community/office-buildings.html"> COVID-19 Employer Information for Office Buildings </A> 5/2020 </B></LI>
<LI><B><A HREF="https://www.who.int/docs/default-source/coronaviruse/getting-workplace-ready-for-covid-19.pdf"> Getting your workplace ready for COVID-19 </A> WHO.int </B></LI>
<LI><B><A HREF="https://www.nytimes.com/2020/06/26/health/coronavirus-elevator-reopen.html"> Going Up? Not So Fast: Strict New Rules to Govern Elevator Culture </A> 6/2020 </B></LI>
<LI><B><A HREF="https://www.cdc.gov/coronavirus/2019-ncov/php/building-water-system.html"> Guidance for Building Water Systems. Ensure the safety of your building water system and devices after a prolonged shutdown </A></B></LI>
<LI><B><A HREF="https://www.cdc.gov/coronavirus/2019-ncov/community/pdf/ReOpening_America_Cleaning_Disinfection_Decision_Tool.pdf">Guidance for cleaning and disinfecting public places, workplaces, businesses, schools and homes</A> CDC.gov </B></LI>
<LI><B><A HREF="https://www.cdc.gov/coronavirus/2019-ncov/community/guidance-business-response.html"> Interim Guidance for Businesses and Employers Responding to Coronavirus Disease 2019 (COVID-19), May 2020 Plan, Prepare and Respond to Coronavirus Disease 2019</A></B></LI>
<LI><B><a HREF="https://www.cdc.gov/coronavirus/2019-ncov/community/resuming-business-toolkit.html"> Resuming Business Toolkit </A> CDC.gov </b></LI>
<LI><B><A HREF="https://www.cdc.gov/mmwr/volumes/69/wr/mm6944a4.htm">
Telework Before Illness Onset Among Symptomatic Adults Aged ≥18 Years With and Without COVID-19 in 11 Outpatient Health Care Facilities - United States, July 2020 </A> 11/2020 MMWR </B></LI>
<LI><B><A HREF="https://www.cntraveler.com/story/the-new-york-city-subway-may-work-differently-after-covid-19"> The New York City Subway May Work Differently After COVID-19 </A> 5/2020 </B></LI>
<LI><B><A HREF="https://www.cdc.gov/coronavirus/2019-ncov/community/organizations/grocery-food-retail-workers.html"> What Grocery and Food Retail Workers Need to Know about COVID-19 </A> </B></LI>
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<H3><FONT COLOR=Blue>Economy Issues </FONT COLOR></H3>
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<LI><B><A HREF="https://www.nytimes.com/2020/06/12/business/economy/coronavirus-liability-shield.html"> Businesses Want Virus Legal Protection. Workers Are Worried. </A> 7/2020 </B></LI>
<LI><B><A HREF="https://www.huntonak.com/en/covid-19-tracker.html"> COVID-19 Complaint Tracker </A> </B></LI>
<LI><B><A HREF="https://www.nbcnews.com/news/us-news/some-workers-sickened-covid-19-face-extra-challenge-proving-where-n1235452"> Some workers sickened by COVID-19 face an extra challenge: Proving where they got it
Across the United States, workers face wildly varying rules about whether COVID-19 is covered as a workplace injury. </A> 8/2020 </B></LI>
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<H3><FONT COLOR=Blue>Adult Film Industry </FONT COLOR></H3>
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<LI><B><A HREF="https://www.freespeechcoalition.com/blog/2020/06/12/announcing-the-covid-19-guidelines/"> FSC){kind=link}