{"id":6833,"date":"2020-05-14T17:13:58","date_gmt":"2020-05-15T00:13:58","guid":{"rendered":"https:\/\/depts.washington.edu\/pandemicalliance\/?p=6833"},"modified":"2021-03-17T17:28:07","modified_gmt":"2021-03-18T00:28:07","slug":"covid-19-literature-situation-report-may-14-2020","status":"publish","type":"post","link":"https:\/\/depts.washington.edu\/pandemicalliance\/2020\/05\/14\/covid-19-literature-situation-report-may-14-2020\/","title":{"rendered":"COVID-19 Literature Situation Report May 14, 2020"},"content":{"rendered":"<p>The scientific literature on COVID-19 is rapidly evolving and these articles were selected for review based on their relevance to Washington State decision making around COVID-19 response efforts. Included in these Lit Reps are some manuscripts that have been made available online as pre-prints but have not yet undergone peer review. Please be aware of this when reviewing articles included in the Lit Reps.<\/p>\n<h2>Key Takeaways<\/h2>\n<ul>\n<li><b><span data-contrast=\"auto\">State-wide school closures are associated with fewer COVID-19 cases and deaths per capita. State-wide deaths due to COVID-19 were estimated to be 12% higher for each addition<\/span><\/b><b><span data-contrast=\"auto\">al<\/span><\/b><b><span data-contrast=\"auto\">\u00a0day that schools remained open.\u00a0<\/span><\/b><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0d8\" data-font=\"Wingdings\" data-listid=\"1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">The median duration of SARS-CoV-2 viral RNA shedding was estimated to be 19 days from symptom onset (range 3-44 days). The duration of viral shedding following fever resolution was estimated to be 7 days, although some patients (10%) achieved fever resolution after testing negative for viral RNA.<\/span><\/b><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0d8\" data-font=\"Wingdings\" data-listid=\"1\" data-aria-posinset=\"2\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">There is a<\/span><\/b><b><span data-contrast=\"auto\">n outbreak of<\/span><\/b><b><span data-contrast=\"auto\">\u00a0<\/span><\/b><b><span data-contrast=\"auto\">a pediatric multisystem inflammatory syndrome<\/span><\/b><b><span data-contrast=\"auto\">, which\u00a0<\/span><\/b><b><span data-contrast=\"auto\">resembles Kawasaki\u00a0<\/span><\/b><b><span data-contrast=\"auto\">disease<\/span><\/b><b><span data-contrast=\"auto\">,<\/span><\/b><b><span data-contrast=\"auto\">\u00a0among 17 children at a university hospital in Paris, France<\/span><\/b><b><span data-contrast=\"auto\">\u00a0that<\/span><\/b><b><span data-contrast=\"auto\">\u00a0may be related to SARS-CoV-2.\u00a0<\/span><\/b><b><span data-contrast=\"auto\">The incidence of the disease is 13-fold\u00a0<\/span><\/b><b><span data-contrast=\"auto\">higher than\u00a0<\/span><\/b><b><span data-contrast=\"auto\">the baseline rate. 82%\u00a0<\/span><\/b><b><span data-contrast=\"auto\">of the\u00a0<\/span><\/b><b><span data-contrast=\"auto\">patients\u00a0<\/span><\/b><b><span data-contrast=\"auto\">ha<\/span><\/b><b><span data-contrast=\"auto\">ve<\/span><\/b><b><span data-contrast=\"auto\">\u00a0<\/span><\/b><b><span data-contrast=\"auto\">evidence of recent SARS-CoV-2 infection.<\/span><\/b><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ul>\n<div id=\"uw-accordion-shortcode\">\n<h3>Article Summaries<\/h3>\n<div class=\"js-accordion\" data-accordion-prefix-classes=\"uw-accordion-shortcode\">\n<div class=\"js-accordion__panel\" >\n<h2 class=\"js-accordion__header\"><span style=\"font-weight: 400\">Non-Pharmaceutical Interventions<\/span><\/h2>\n<div class=\"su-posts su-posts-default-loop\">\n<div id=\"su-post-6836\" class=\"su-post\">\n<h5 class=\"su-post-title\">YouTube as a Source of Medical Information on the Novel Coronavirus 2019 Disease (COVID-19) Pandemic<\/h5>\n<p>\t\t\t\t<!-- \n\n\n\n\n\n\n\n\n\n\n\n<div class=\"su-post-meta\">\n\t\t\t\t\t: \t\t\t\t<\/div>\n\n\n\n\n\n\n\n\n\n\n\n --><\/p>\n<div class=\"su-post-excerpt\">\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"34\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">D\u2019Souza et al. reviewed the medical content of the 113 most-widely viewed YouTube videos on COVID-19. They found 70% of videos were useful and 9% were misleading.\u00a0<\/span><span data-contrast=\"auto\">Of the videos classified as useful, 72% were posted by news\u00a0<\/span><span data-contrast=\"auto\">agencies<\/span><span data-contrast=\"auto\">\u00a0and 22% were posted by individuals<\/span><span data-contrast=\"auto\">. O<\/span><span data-contrast=\"auto\">f the misleading video<\/span><span data-contrast=\"auto\">s<\/span><span data-contrast=\"auto\">, 60% were posted by individuals and 40% were posted by news agencies<\/span><span data-contrast=\"auto\">. Useful videos were more likely to present information on prevalence, medical outcomes or prognosis.\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"34\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"auto\">The World Health Organization contributed one useful\u00a0<\/span><span data-contrast=\"auto\">video<\/span><span data-contrast=\"auto\">\u00a0and\u00a0<\/span><span data-contrast=\"auto\">no<\/span><span data-contrast=\"auto\">ne of the<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">videos\u00a0<\/span><span data-contrast=\"auto\">were posted by\u00a0<\/span><span data-contrast=\"auto\">the Center for Disease Control. These findings highlight the need for increased information\u00a0disseminate\u00a0from reputable sources on YouTube and other social media platforms.<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><i><span data-contrast=\"none\">D\u2019Souza et al. (May 12, 2020). YouTube as a Source of Medical Information on the Novel Coronavirus 2019 Disease (COVID-19) Pandemic. Global Public Health.\u00a0<\/span><\/i><a href=\"https:\/\/doi.org\/10.1080\/17441692.2020.1761426\"><span data-contrast=\"none\">https:\/\/doi.org\/10.1080\/17441692.2020.1761426<\/span><\/a><\/p>\n<\/p>\n<\/div>\n<p>\t\t\t\t\t\t\t\t\t<!-- <a href=\"\" class=\"su-post-comments-link\"><\/a> --><\/p>\n<\/div>\n<div id=\"su-post-6834\" class=\"su-post\">\n<h5 class=\"su-post-title\">Lower State COVID-19 Deaths and Cases with Earlier School Closure in the U.S.<\/h5>\n<p>\t\t\t\t<!-- \n\n\n\n\n\n\n\n\n\n\n\n<div class=\"su-post-meta\">\n\t\t\t\t\t: \t\t\t\t<\/div>\n\n\n\n\n\n\n\n\n\n\n\n --><\/p>\n<div class=\"su-post-excerpt\">\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"34\" data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"auto\">This ecological study found that earlier state-wide school closure was associated with fewer COVID-19 cases and deaths per capita. The authors estimate that state-wide cases were 2.7% higher and deaths were 12% higher for each addition day that schools remained open.<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><i><span data-contrast=\"none\">Rauscher. (May 13, 2020). Lower State COVID-19 Deaths and Cases with Earlier School Closure in the U.S. Pre-print downloaded May 14 from\u00a0<\/span><\/i><a href=\"https:\/\/doi.org\/10.1101\/2020.05.09.20096594\"><span data-contrast=\"none\">https:\/\/doi.org\/10.1101\/2020.05.09.20096594<\/span><\/a><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<\/p>\n<\/div>\n<p>\t\t\t\t\t\t\t\t\t<!-- <a href=\"\" class=\"su-post-comments-link\"><\/a> --><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"js-accordion__panel\" >\n<h2 class=\"js-accordion__header\"><span style=\"font-weight: 400\">Transmission<\/span><\/h2>\n<div class=\"su-posts su-posts-default-loop\">\n<div id=\"su-post-6842\" class=\"su-post\">\n<h5 class=\"su-post-title\">Effects of Mobility and Multi-Seeding on the Propagation of the COVID-19 in Spain<\/h5>\n<p>\t\t\t\t<!-- \n\n\n\n\n\n\n\n\n\n\n\n<div class=\"su-post-meta\">\n\t\t\t\t\t: \t\t\t\t<\/div>\n\n\n\n\n\n\n\n\n\n\n\n --><\/p>\n<div class=\"su-post-excerpt\">\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"34\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Mazzoli et al. found that between-region mobility explained the high heterogeneity in incidence between\u00a0<\/span><span data-contrast=\"auto\">otherwise\u00a0<\/span><span data-contrast=\"auto\">similar geographic regions of Spain\u00a0<\/span><span data-contrast=\"auto\">that\u00a0<\/span><span data-contrast=\"auto\">implemented<\/span><span data-contrast=\"auto\">\u00a0uniform mobility control measures.\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"34\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"auto\">Their findings suggest that \u201cmulti-seeding<\/span><span data-contrast=\"auto\">,<\/span><span data-contrast=\"auto\">\u201d<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">which occurs when multiple infected individuals arrive\u00a0<\/span><span data-contrast=\"auto\">in\u00a0<\/span><span data-contrast=\"auto\">a susceptible population, likely played an important role in the spreading of\u00a0<\/span><span data-contrast=\"auto\">SARS-CoV-2<\/span><span data-contrast=\"auto\">\u00a0from the initial outbreak in Madrid to other regions<\/span><span data-contrast=\"auto\">\u00a0of Spain<\/span><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><i><span data-contrast=\"none\">Mazzoli et al. (May 13, 2020). Effects of Mobility and Multi-Seeding on the Propagation of the COVID-19 in Spain. Pre-print\u00a0downloaded May 14 from\u00a0<\/span><\/i><a href=\"https:\/\/doi.org\/10.1101\/2020.05.09.20096339\"><span data-contrast=\"none\">https:\/\/doi.org\/10.1101\/2020.05.09.20096339<\/span><\/a><i><span data-contrast=\"none\">\u00a0<\/span><\/i><span data-contrast=\"auto\">\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<\/p>\n<\/div>\n<p>\t\t\t\t\t\t\t\t\t<!-- <a href=\"\" class=\"su-post-comments-link\"><\/a> --><\/p>\n<\/div>\n<div id=\"su-post-6840\" class=\"su-post\">\n<h5 class=\"su-post-title\">Tracing Two Causative SNPs Reveals SARS-CoV-2 Transmission in North America Population<\/h5>\n<p>\t\t\t\t<!-- \n\n\n\n\n\n\n\n\n\n\n\n<div class=\"su-post-meta\">\n\t\t\t\t\t: \t\t\t\t<\/div>\n\n\n\n\n\n\n\n\n\n\n\n --><\/p>\n<div class=\"su-post-excerpt\">\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"34\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Based on phylogenetic analysis of 2,599 global SARS-CoV-2 viral RNA sequences, the dominant strains circulating in North America are most closely related to those that predominate in Europe.\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"34\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"auto\">A genome wide association study identified two mutations that predominate in North American samples. The authors hypothesize these mutations may be associated with increased transmissibility and\u00a0<\/span><span data-contrast=\"auto\">that\u00a0<\/span><span data-contrast=\"auto\">the mutations may have first emerged in Europe. These mutations result in two missense mutations (i.e.\u00a0a single base pair mutation that causes the substitution of a different amino acid) in the ORF1ab and ORF3a\u00a0proteins, and\u00a0may be targets for novel diagnostic and drug technologies.<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><i><span data-contrast=\"none\">Ou et al. (May 14, 2020). Tracing Two Causative SNPs Reveals SARS-CoV-2 Transmission in North America Population. Pre-print\u00a0downloaded May 14 from\u00a0<\/span><\/i><a href=\"https:\/\/doi.org\/10.1101\/2020.05.12.092056\"><span data-contrast=\"none\">https:\/\/doi.org\/10.1101\/2020.05.12.092056<\/span><\/a><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<\/p>\n<\/div>\n<p>\t\t\t\t\t\t\t\t\t<!-- <a href=\"\" class=\"su-post-comments-link\"><\/a> --><\/p>\n<\/div>\n<div id=\"su-post-6838\" class=\"su-post\">\n<h5 class=\"su-post-title\">Risk Factors for Viral RNA Shedding in COVID-19 Patients<\/h5>\n<p>\t\t\t\t<!-- \n\n\n\n\n\n\n\n\n\n\n\n<div class=\"su-post-meta\">\n\t\t\t\t\t: \t\t\t\t<\/div>\n\n\n\n\n\n\n\n\n\n\n\n --><\/p>\n<div class=\"su-post-excerpt\">\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"34\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Among 410 COVID-19 patients admitted to\u00a0<\/span><span data-contrast=\"auto\">three<\/span><span data-contrast=\"auto\">\u00a0hospitals in Wuh<\/span><span data-contrast=\"auto\">an, China, the authors estimate<\/span><span data-contrast=\"auto\">\u00a0the median duration of viral RNA shedding (from symptom onset to\u00a0rRT-PCR conversion)\u00a0<\/span><span data-contrast=\"auto\">to be<\/span><span data-contrast=\"auto\">\u00a019 days (IQR 16-23 days; range 3-44 days). Most patients (96%) tested negative for SARS- CoV-2 RNA within 30 days after symptom onset. The median duration from fever resolution to\u00a0rRT-PCR conversion was 7 days (IQR 4-10), although 10% of patients achieved fever resolution after testing negative for viral RNA.\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"34\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"auto\">Patients with\u00a0<\/span><span data-contrast=\"auto\">coronary heart disease had a longer duration of viral RNA shedding (<\/span><span data-contrast=\"auto\">21\u00a0<\/span><span data-contrast=\"auto\">vs<\/span><span data-contrast=\"auto\">\u00a019 days<\/span><span data-contrast=\"auto\">) and p<\/span><span data-contrast=\"auto\">atients with albumin \u226535g\/L had a shorter duration of shedding (18\u00a0<\/span><span data-contrast=\"auto\">vs\u00a0<\/span><span data-contrast=\"auto\">20 days).\u00a0<\/span><span data-contrast=\"auto\">Patients<\/span><span data-contrast=\"auto\">\u00a0who initiated antiviral therapy within 7 days of symptom onset had a shorter duration of viral RNA shedding (18\u00a0<\/span><span data-contrast=\"auto\">vs\u00a0<\/span><span data-contrast=\"auto\">21<\/span><span data-contrast=\"auto\">\u00a0days<\/span><span data-contrast=\"auto\">).<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><i><span data-contrast=\"none\">Fu et al. (May 12, 2020). Risk Factors for Viral RNA Shedding in COVID-19 Patients. The European Respiratory Journal.\u00a0<\/span><\/i><a href=\"https:\/\/doi.org\/10.1183\/13993003.01190-2020\"><span data-contrast=\"none\">https:\/\/doi.org\/10.1183\/13993003.01190-2020<\/span><\/a><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<\/p>\n<\/div>\n<p>\t\t\t\t\t\t\t\t\t<!-- <a href=\"\" class=\"su-post-comments-link\"><\/a> --><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"js-accordion__panel\" >\n<h2 class=\"js-accordion__header\"><span style=\"font-weight: 400\">Testing and Treatment<\/span><\/h2>\n<div class=\"su-posts su-posts-default-loop\">\n<div id=\"su-post-6848\" class=\"su-post\">\n<h5 class=\"su-post-title\">COVID-19 in Post-Operative Patients: Imaging Findings<\/h5>\n<p>\t\t\t\t<!-- \n\n\n\n\n\n\n\n\n\n\n\n<div class=\"su-post-meta\">\n\t\t\t\t\t: \t\t\t\t<\/div>\n\n\n\n\n\n\n\n\n\n\n\n --><\/p>\n<div class=\"su-post-excerpt\">\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"34\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"auto\">COVID-19 clinical manifestations are\u00a0similar to\u00a0septic, thoracic, or gastrointestinal post-surgical complications<\/span><span data-contrast=\"auto\">.\u00a0<\/span><span data-contrast=\"auto\">Moliere and Veillon\u00a0<\/span><span data-contrast=\"auto\">recommend<\/span><span data-contrast=\"auto\">\u00a0that<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">patients who develop acute post-operative symptoms should receive chest computed tomography (CT) scans. Among 46 post-operative patients with acute symptoms,\u00a0<\/span><span data-contrast=\"auto\">they<\/span><span data-contrast=\"auto\">\u00a0found that 17% (n=8) were diagnosed with COVID-19 via chest CT scan (confirmed by PCR an average 1.2 days later). Among these patients, 5 required mechanical ventilation and 2 died.<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"34\" data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"auto\">These findings suggest that COVID-19 is associated with significant morbidity and mortality among post-operative patients.<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><i><span data-contrast=\"none\">Moliere and Veillon. (May 13, 2020). COVID-19 in Post-Operative Patients: Imaging Findings. Surgical Infections.\u00a0<\/span><\/i><a href=\"https:\/\/doi.org\/10.1089\/sur.2020.169\"><span data-contrast=\"none\">https:\/\/doi.org\/10.1089\/sur.2020.169<\/span><\/a><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<\/p>\n<\/div>\n<p>\t\t\t\t\t\t\t\t\t<!-- <a href=\"\" class=\"su-post-comments-link\"><\/a> --><\/p>\n<\/div>\n<div id=\"su-post-6846\" class=\"su-post\">\n<h5 class=\"su-post-title\">Performance of the Rapid Nucleic Acid Amplification by Abbott ID NOW COVID-19 in Nasopharyngeal Swabs Transported in Viral Media and Dry Nasal Swabs in a New York City Academic Institution<\/h5>\n<p>\t\t\t\t<!-- \n\n\n\n\n\n\n\n\n\n\n\n<div class=\"su-post-meta\">\n\t\t\t\t\t: \t\t\t\t<\/div>\n\n\n\n\n\n\n\n\n\n\n\n --><\/p>\n<div class=\"su-post-excerpt\">\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"34\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"auto\">A comparison study found that the Abbot\u00a0<\/span><span data-contrast=\"auto\">ID NOW<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">COVID-19\u00a0<\/span><span data-contrast=\"auto\">assay\u00a0<\/span><span data-contrast=\"auto\">missed<\/span><span data-contrast=\"auto\">\u00a0one-<\/span><span data-contrast=\"auto\">third of the samples\u00a0<\/span><span data-contrast=\"auto\">that tested\u00a0<\/span><span data-contrast=\"auto\">positive by<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">Cepheid Xpert Xpress<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">when using NP swabs in VTM and\u00a0<\/span><span data-contrast=\"auto\">missed\u00a0<\/span><span data-contrast=\"auto\">over 48% when using dry nasal swabs.<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">While the Abbot\u00a0<\/span><span data-contrast=\"auto\">ID NOW<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">COVID-19<\/span><span data-contrast=\"auto\">\u00a0platform offers faster turn-around time compared to RT-PCR platforms, it may have poor sensitivity, resulting in a high false negative rate.<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><i><span data-contrast=\"none\">Basu. (2020). Performance of the Rapid Nucleic Acid Amplification by Abbott ID NOW COVID-19 in Nasopharyngeal Swabs Transported in Viral Media and Dry Nasal Swabs in a New York City Academic Institution.\u00a0<\/span><\/i><i><span data-contrast=\"none\">Pre-print\u00a0downloaded May 13<\/span><\/i><i><span data-contrast=\"none\">\u00a0from<\/span><\/i><i><span data-contrast=\"none\">\u00a0<\/span><\/i><a href=\"https:\/\/doi.org\/10.1101\/2020.05.11.089896\"><span data-contrast=\"none\">https:\/\/doi.org\/10.1101\/2020.05.11.089896<\/span><\/a><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<\/p>\n<\/div>\n<p>\t\t\t\t\t\t\t\t\t<!-- <a href=\"\" class=\"su-post-comments-link\"><\/a> --><\/p>\n<\/div>\n<div id=\"su-post-6844\" class=\"su-post\">\n<h5 class=\"su-post-title\">Early Safety Indicators of COVID-19 Convalescent Plasma in 5000 Patients<\/h5>\n<p>\t\t\t\t<!-- \n\n\n\n\n\n\n\n\n\n\n\n<div class=\"su-post-meta\">\n\t\t\t\t\t: \t\t\t\t<\/div>\n\n\n\n\n\n\n\n\n\n\n\n --><\/p>\n<div class=\"su-post-excerpt\">\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"34\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Joyner et al. evaluated the safety of transfusing ABO-compatible human COVID-19 convalescent plasma among 5,000 hospitalized adults with severe COVID-19 disease. Only 36 (&lt;1%) serious adverse events were reported in the first four hours after transfusion, only 2 of which were judged by the treating physician to be related to the convalescent plasma transfusion. Although this study lacked a control group, these findings suggest that transfusion of convalescent plasma is safe in hospitalized patients with severe COVID-19 disease.\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><i><span data-contrast=\"none\">Joyner et al. (May 14, 2020). Early Safety Indicators of COVID-19 Convalescent Plasma in 5000 Patients. Pre-print\u00a0downloaded May 14 from\u00a0<\/span><\/i><a href=\"https:\/\/doi.org\/10.1101\/2020.05.12.20099879\"><span data-contrast=\"none\">https:\/\/doi.org\/10.1101\/2020.05.12.20099879<\/span><\/a><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<\/p>\n<\/div>\n<p>\t\t\t\t\t\t\t\t\t<!-- <a href=\"\" class=\"su-post-comments-link\"><\/a> --><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"js-accordion__panel\" >\n<h2 class=\"js-accordion__header\"><span style=\"font-weight: 400\">Clinical Characteristics and Health Care Setting<\/span><\/h2>\n<div class=\"su-posts su-posts-default-loop\">\n<div id=\"su-post-6852\" class=\"su-post\">\n<h5 class=\"su-post-title\">A Novel Box for Aerosol and Droplet Guarding and Evacuation in Respiratory Infection (BADGER) A Potential Mitigating Strategy for the COVID-19 Pandemic and Future Outbreaks<\/h5>\n<p>\t\t\t\t<!-- \n\n\n\n\n\n\n\n\n\n\n\n<div class=\"su-post-meta\">\n\t\t\t\t\t: \t\t\t\t<\/div>\n\n\n\n\n\n\n\n\n\n\n\n --><\/p>\n<div class=\"su-post-excerpt\">\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"34\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Oberstar et al. report on the development of\u00a0<\/span><span data-contrast=\"auto\">an affordable and<\/span><span data-contrast=\"auto\">\u00a0scalable device that can contain droplets and aerosol particles for potentially use by healthcare providers treating COVID-19 patients. The BADGER (Box for Aerosol and Droplet Guarding and Evacuation in Respiratory Infection) creates a semi-sealed environment and has multiple hand-ports for healthcare providers to perform essential tasks on a patient&#8217;s airway and head. Quantitative aerosol testing shows &gt;90% containment of sub-micrometer aerosolized particles.<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><i><span data-contrast=\"none\">Oberstar et al. (May 13, 2020). A Novel Box for Aerosol and Droplet Guarding and Evacuation in Respiratory Infection (BADGER) A Potential Mitigating Strategy for the COVID-19 Pandemic and Future Outbreaks. Pre-print\u00a0downloaded May 14 from\u00a0<\/span><\/i><a href=\"https:\/\/doi.org\/10.1101\/2020.05.09.20096032\"><span data-contrast=\"none\">https:\/\/doi.org\/10.1101\/2020.05.09.20096032<\/span><\/a><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<\/p>\n<\/div>\n<p>\t\t\t\t\t\t\t\t\t<!-- <a href=\"\" class=\"su-post-comments-link\"><\/a> --><\/p>\n<\/div>\n<div id=\"su-post-6850\" class=\"su-post\">\n<h5 class=\"su-post-title\">Outbreak of Kawasaki Disease in Children during COVID-19 Pandemic a Prospective Observational Study in Paris France<\/h5>\n<p>\t\t\t\t<!-- \n\n\n\n\n\n\n\n\n\n\n\n<div class=\"su-post-meta\">\n\t\t\t\t\t: \t\t\t\t<\/div>\n\n\n\n\n\n\n\n\n\n\n\n --><\/p>\n<div class=\"su-post-excerpt\">\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"34\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">There is an outbreak of a pediatric multisystem inflammatory syndrome, which resembles\u00a0Kawasaki\u00a0 disease, among children in Paris, France that may be related to SARS-CoV-2<\/span><span data-contrast=\"auto\">. A total of 17 children were admitted\u00a0<\/span><span data-contrast=\"auto\">to<\/span><span data-contrast=\"auto\">\u00a0a university hospital\u00a0<\/span><span data-contrast=\"auto\">in Paris with symptoms\u00a0similar to<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">Kawasaki disease over an 11-day period (April 27 to May 7, 2020)<\/span><span data-contrast=\"auto\">. This is<\/span><span data-contrast=\"auto\">\u00a0compared\u00a0<\/span><span data-contrast=\"auto\">to a\u00a0<\/span><span data-contrast=\"auto\">mean of 1.0\u00a0case per 2-week period over the control period (2018-2019). Most children (82%, 14\/17) had evidence of recent SARS-CoV-2 infection.<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><i><span data-contrast=\"none\">Toubiana\u00a0et al. (May 14, 2020). Outbreak of Kawasaki Disease in Children during COVID-19 Pandemic a Prospective Observational Study in Paris France. Pre-print\u00a0downloaded May 14 from\u00a0<\/span><\/i><a href=\"https:\/\/doi.org\/10.1101\/2020.05.10.20097394\"><span data-contrast=\"none\">https:\/\/doi.org\/10.1101\/2020.05.10.20097394<\/span><\/a><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<\/p>\n<\/div>\n<p>\t\t\t\t\t\t\t\t\t<!-- <a href=\"\" class=\"su-post-comments-link\"><\/a> --><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<h3><strong>Other Resources and Commentaries<\/strong><\/h3>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"32\" data-aria-posinset=\"1\" data-aria-level=\"1\"><a href=\"https:\/\/doi.org\/10.1056\/NEJMc2013400\"><span data-contrast=\"none\">Transmission of SARS-CoV-2 in Domestic Cats<\/span><\/a><span data-contrast=\"auto\">\u00a0\u2013 The New England Journal of Medicine (May 13)<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"32\" data-aria-posinset=\"2\" data-aria-level=\"1\"><a href=\"https:\/\/doi.org\/10.1001\/jamapediatrics.2020.2065\"><span data-contrast=\"none\">Low-Income Children and Coronavirus Disease 2019 (COVID-19) in the US<\/span><\/a><span data-contrast=\"auto\">\u00a0\u2013 JAMA Pediatrics (May 13)<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"32\" data-aria-posinset=\"3\" data-aria-level=\"1\"><a href=\"https:\/\/doi.org\/10.1093\/ageing\/afaa113\"><span data-contrast=\"none\">Commentary: COVID in Care Homes-Challenges and Dilemmas in Healthcare Delivery<\/span><\/a><span data-contrast=\"auto\">\u00a0\u2013 Age and Ageing<\/span><span data-contrast=\"auto\">\u00a0(May\u00a0<\/span><span data-contrast=\"auto\">13<\/span><span data-contrast=\"auto\">)<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"32\" data-aria-posinset=\"1\" data-aria-level=\"1\"><a href=\"https:\/\/doi.org\/10.1136\/bmjgh-2020-002505\"><span data-contrast=\"none\">Covid-19 and Mobile Phone Hygiene in Healthcare Settings<\/span><\/a><span data-contrast=\"auto\">\u00a0\u2013 BMJ Global Health<\/span><span data-contrast=\"auto\">\u00a0(Apr\u00a0<\/span><span data-contrast=\"auto\">4<\/span><span data-contrast=\"auto\">)<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"32\" data-aria-posinset=\"2\" data-aria-level=\"1\"><a href=\"https:\/\/doi.org\/10.1101\/2020.05.07.083410\"><span data-contrast=\"none\">Characterization of SARS-CoV-2 Viral Diversity within and across Hosts<\/span><\/a><span data-contrast=\"auto\">\u00a0\u2013\u00a0<\/span><span data-contrast=\"auto\">Pre-print available on\u00a0<\/span><span data-contrast=\"auto\">Biorxiv<\/span><span data-contrast=\"auto\">\u00a0(<\/span><span data-contrast=\"auto\">May 13<\/span><span data-contrast=\"auto\">)<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>State-wide school closures are associated with fewer COVID-19 cases and deaths per capita. State-wide deaths due to COVID-19 were estimated to be 12% higher for each additional day that schools remained open.  <\/p>\n<div><a class=\"more\" href=\"https:\/\/depts.washington.edu\/pandemicalliance\/2020\/05\/14\/outbreak-of-kawasaki-disease-in-children-during-covid-19-pandemic-a-prospective-observational-study-in-paris-france\/\">Read more<\/a><\/div>\n","protected":false},"author":8,"featured_media":6193,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","_links_to":"","_links_to_target":""},"categories":[5],"tags":[],"topic":[],"class_list":["post-6833","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-covid-19-literature-situation-report"],"_links":{"self":[{"href":"https:\/\/depts.washington.edu\/pandemicalliance\/wp-json\/wp\/v2\/posts\/6833","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/depts.washington.edu\/pandemicalliance\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/depts.washington.edu\/pandemicalliance\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/depts.washington.edu\/pandemicalliance\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/depts.washington.edu\/pandemicalliance\/wp-json\/wp\/v2\/comments?post=6833"}],"version-history":[{"count":1,"href":"https:\/\/depts.washington.edu\/pandemicalliance\/wp-json\/wp\/v2\/posts\/6833\/revisions"}],"predecessor-version":[{"id":6855,"href":"https:\/\/depts.washington.edu\/pandemicalliance\/wp-json\/wp\/v2\/posts\/6833\/revisions\/6855"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/depts.washington.edu\/pandemicalliance\/wp-json\/wp\/v2\/media\/6193"}],"wp:attachment":[{"href":"https:\/\/depts.washington.edu\/pandemicalliance\/wp-json\/wp\/v2\/media?parent=6833"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/depts.washington.edu\/pandemicalliance\/wp-json\/wp\/v2\/categories?post=6833"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/depts.washington.edu\/pandemicalliance\/wp-json\/wp\/v2\/tags?post=6833"},{"taxonomy":"topic","embeddable":true,"href":"https:\/\/depts.washington.edu\/pandemicalliance\/wp-json\/wp\/v2\/topic?post=6833"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}