{"id":8677,"date":"2020-08-03T10:36:11","date_gmt":"2020-08-03T17:36:11","guid":{"rendered":"https:\/\/depts.washington.edu\/pandemicalliance\/?p=8677"},"modified":"2021-04-06T10:55:15","modified_gmt":"2021-04-06T17:55:15","slug":"covid-19-literature-situation-report-aug-3-2020","status":"publish","type":"post","link":"https:\/\/depts.washington.edu\/pandemicalliance\/2020\/08\/03\/covid-19-literature-situation-report-aug-3-2020\/","title":{"rendered":"COVID-19 Literature Situation Report Aug. 3, 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\">During<\/span><\/b><b><span data-contrast=\"auto\">\u00a0the<\/span><\/b><b><span data-contrast=\"auto\">\u00a0f<\/span><\/b><b><span data-contrast=\"auto\">irst\u00a0<\/span><\/b><b><span data-contrast=\"auto\">m<\/span><\/b><b><span data-contrast=\"auto\">onth of the COVID-19\u00a0<\/span><\/b><b><span data-contrast=\"auto\">p<\/span><\/b><b><span data-contrast=\"auto\">andemic\u00a0<\/span><\/b><b><span data-contrast=\"auto\">in\u00a0<\/span><\/b><b><span data-contrast=\"auto\">5\u00a0<\/span><\/b><b><span data-contrast=\"auto\">s<\/span><\/b><b><span data-contrast=\"auto\">tates in the US<\/span><\/b><b><span data-contrast=\"auto\">,<\/span><\/b><b><span data-contrast=\"auto\">\u00a0<\/span><\/b><b><span data-contrast=\"auto\">there was<\/span><\/b><b><span data-contrast=\"auto\">\u00a0a decrease (range 42%<\/span><\/b><b><span data-contrast=\"auto\">&#8211;<\/span><\/b><b><span data-contrast=\"auto\">64%)\u00a0<\/span><\/b><b><span data-contrast=\"auto\">in emergency department (ED) visits<\/span><\/b><b><span data-contrast=\"auto\">,<\/span><\/b><b><span data-contrast=\"auto\">\u00a0<\/span><\/b><b><span data-contrast=\"auto\">but an increase in hospital admission rates from the ED (range 22%<\/span><\/b><b><span data-contrast=\"auto\">&#8211;<\/span><\/b><b><span data-contrast=\"auto\">149%)<\/span><\/b><b><span data-contrast=\"auto\">,\u00a0<\/span><\/b><b><span data-contrast=\"auto\">ind<\/span><\/b><b><span data-contrast=\"auto\">icating a lower overall volume but higher overall acuity of illness in ED visits\u00a0<\/span><\/b><b><span data-contrast=\"auto\">occurring\u00a0<\/span><\/b><b><span data-contrast=\"auto\">during the COVID-19 pandemic<\/span><\/b><b><span data-contrast=\"auto\">.<\/span><\/b><span data-contrast=\"auto\">\u00a0<\/span><a href=\"https:\/\/doi.org\/10.1001\/jamainternmed.2020.3288\"><span data-contrast=\"none\">More<\/span><\/a><b><span data-contrast=\"auto\">\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\">Maine CDC enrolled &gt;1600 contacts\u00a0<\/span><\/b><b><span data-contrast=\"auto\">of persons with COVID-19\u00a0<\/span><\/b><b><span data-contrast=\"auto\">in\u00a0<\/span><\/b><b><span data-contrast=\"auto\">a<\/span><\/b><b><span data-contrast=\"auto\">n<\/span><\/b><b><span data-contrast=\"auto\">\u00a0automated system\u00a0<\/span><\/b><b><span data-contrast=\"auto\">to collect daily symptom information<\/span><\/b><b><span data-contrast=\"auto\">,<\/span><\/b><b><span data-contrast=\"auto\">\u00a0and subsequently identified 190<\/span><\/b><b><span data-contrast=\"auto\">\u00a0<\/span><\/b><b><span data-contrast=\"auto\">contacts\u00a0<\/span><\/b><b><span data-contrast=\"auto\">(nearly 12%) with\u00a0<\/span><\/b><b><span data-contrast=\"auto\">COVID-19.\u00a0<\/span><\/b><a href=\"https:\/\/doi.org\/10.15585\/mmwr.mm6931e2\"><span data-contrast=\"none\">More<\/span><\/a><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\">S<\/span><\/b><b><span data-contrast=\"auto\">creening\u00a0<\/span><\/b><b><span data-contrast=\"auto\">with PCR\u00a0<\/span><\/b><b><span data-contrast=\"auto\">every 2 days<\/span><\/b><b><span data-contrast=\"auto\">,<\/span><\/b><b><span data-contrast=\"auto\">\u00a0coupled with strict behavioral interventions<\/span><\/b><b><span data-contrast=\"auto\">,<\/span><\/b><b><span data-contrast=\"auto\">\u00a0would maintain<\/span><\/b><b><span data-contrast=\"auto\">\u00a0a controllable number<\/span><\/b><b><span data-contrast=\"auto\">\u00a0of COVID-19 infections<\/span><\/b><b><span data-contrast=\"auto\">\u00a0among a modeled cohort of residential college students<\/span><\/b><b><span data-contrast=\"auto\">.<\/span><\/b><b><span data-contrast=\"auto\">\u00a0<\/span><\/b><a href=\"https:\/\/doi.org\/10.1001\/jamanetworkopen.2020.16818\"><span data-contrast=\"none\">More<\/span><\/a><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 class=\"TextRun SCXW175764268 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW175764268 BCX0\" data-ccp-parastyle=\"heading 2\">Transmission<\/span><\/span><\/h2>\n<div class=\"su-posts su-posts-default-loop\">\n<div id=\"su-post-8681\" class=\"su-post\">\n<h5 class=\"su-post-title\">In-Flight Transmission Cluster of COVID-19: A Retrospective Case Series<\/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\">Yang et al.\u00a0<\/span><span data-contrast=\"auto\">described a case series of 12\u00a0<\/span><span data-contrast=\"auto\">people who likely\u00a0<\/span><span data-contrast=\"auto\">acquired<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">SARS-CoV-2<\/span><span data-contrast=\"auto\">\u00a0on a 5-hour flight<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">carrying 325 passengers and crew members.<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">A<\/span><span data-contrast=\"auto\">ll passengers and crew were asymptomatic and\u00a0<\/span><span data-contrast=\"auto\">without fever<\/span><span data-contrast=\"auto\">\u00a0at the time of boarding.<\/span><span data-contrast=\"auto\">\u00a0A<\/span><span data-contrast=\"auto\">\u00a0single passenger was\u00a0<\/span><span data-contrast=\"auto\">found to be<\/span><span data-contrast=\"auto\">\u00a0febrile on arrival in China<\/span><span data-contrast=\"auto\">\u00a0and tested positive for SARS-CoV-2.<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">C<\/span><span data-contrast=\"auto\">onsequently<\/span><span data-contrast=\"auto\">,<\/span><span data-contrast=\"auto\">\u00a0all passengers and crew were quarantined and monitored<\/span><span data-contrast=\"auto\">\u00a0for 14 days<\/span><span data-contrast=\"auto\">.\u00a0<\/span><span data-contrast=\"auto\">E<\/span><span data-contrast=\"auto\">leven<\/span><span data-contrast=\"auto\">\u00a0additional passengers\u00a0<\/span><span data-contrast=\"auto\">subsequently tested positive for SARS-CoV-2<\/span><span data-contrast=\"auto\">;\u00a0<\/span><span data-contrast=\"auto\">no crew were infected<\/span><span data-contrast=\"auto\">.<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">Seat assignment was not described.<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">The median\u00a0<\/span><span data-contrast=\"auto\">age<\/span><span data-contrast=\"auto\">\u00a0of cases<\/span><span data-contrast=\"auto\">\u00a0was 33 years<\/span><span data-contrast=\"auto\">;<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">70% were female.\u00a0<\/span><span data-contrast=\"auto\">The median incubation period<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">(from flight to symptom onset) was 3<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">days.\u00a0<\/span><span data-contrast=\"auto\">No\u00a0<\/span><span data-contrast=\"auto\">patients were\u00a0<\/span><span data-contrast=\"auto\">admitted to\u00a0<\/span><span data-contrast=\"auto\">the\u00a0<\/span><span data-contrast=\"auto\">intensive care unit, and no patients died\u00a0<\/span><span data-contrast=\"auto\">in the initial month of observation<\/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;:240}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><i><span data-contrast=\"none\">Yang et al. (July 31, 2020). In-Flight Transmission Cluster of COVID-19: A Retrospective Case Series. Infectious Diseases.<\/span><\/i><i><span data-contrast=\"none\">\u00a0<\/span><\/i><a href=\"https:\/\/doi.org\/10.1080\/23744235.2020.1800814\"><span data-contrast=\"none\">https:\/\/doi.org\/10.1080\/23744235.2020.1800814<\/span><\/a><i><span data-contrast=\"none\">\u00a0\u00a0<\/span><\/i><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-8679\" class=\"su-post\">\n<h5 class=\"su-post-title\">Household Transmission of SARS-CoV-2 a Systematic Review and Meta-Analysis of Secondary Attack Rate<\/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\"><i><span data-contrast=\"none\">[Preprint, not peer-reviewed]\u00a0<\/span><\/i><span data-contrast=\"none\">Madewell et al. performed a meta-analysis<\/span><span data-contrast=\"none\">\u00a0of\u00a0<\/span><span data-contrast=\"none\">40 studies of SARS-CoV-2 household secondary attack rate (SAR). Overall<\/span><span data-contrast=\"auto\">,<\/span><span data-contrast=\"none\">\u00a0the estimated mean SAR for household contacts was 19% (95%CI 15%\u201323%) and family contacts\u00a0<\/span><span data-contrast=\"none\">wa<\/span><span data-contrast=\"none\">s\u00a0<\/span><span data-contrast=\"none\">18% (13%\u201335%), both with significant heterogeneity. SARs were significantly higher from symptomatic index cases than asymptomatic index cases (20% vs. 1%), to adult contacts than\u00a0<\/span><span data-contrast=\"none\">to\u00a0<\/span><span data-contrast=\"none\">child contacts (31% vs. 16%), to spouses than other family contacts (43% vs. 18%), and in households with one contact than\u00a0<\/span><span data-contrast=\"none\">in\u00a0<\/span><span data-contrast=\"none\">households with three or more contacts (45% vs. 25%)<\/span><span data-contrast=\"none\">, though the authors note that the analysis does not adjust for\u00a0<\/span><span data-contrast=\"none\">hosuehold<\/span><span data-contrast=\"none\">\u00a0crowding.\u00a0<\/span><span data-contrast=\"none\">[<\/span><i><span data-contrast=\"none\">Editorial note: This analysis did not have strict\u00a0<\/span><\/i><i><span data-contrast=\"none\">temporal<\/span><\/i><i><span data-contrast=\"none\">\u00a0criteria for the identification of\u00a0<\/span><\/i><i><span data-contrast=\"none\">a<\/span><\/i><i><span data-contrast=\"none\">\u00a0case relative to other cases in the household, which may inflate the estimated SARs<\/span><\/i><i><span data-contrast=\"none\">.<\/span><\/i><span data-contrast=\"none\">]<\/span><span data-contrast=\"none\">\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\">Madewell et al. (Aug 1, 2020). Household Transmission of SARS-CoV-2 a Systematic Review and Meta-Analysis of Secondary Attack Rate.\u00a0<\/span><\/i><i><span data-contrast=\"none\">Pre-print downloaded Aug 3 from\u00a0<\/span><\/i><a href=\"https:\/\/doi.org\/10.1101\/2020.07.29.20164590\"><i><span data-contrast=\"none\">https:\/\/doi.org\/10.1101\/2020.07.29.20164590<\/span><\/i><\/a><i><span data-contrast=\"none\">\u00a0<\/span><\/i><i><span data-contrast=\"none\">\u00a0<\/span><\/i><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">\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 class=\"TextRun SCXW7075005 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW7075005 BCX0\" data-ccp-parastyle=\"heading 2\">Geographic Spread<\/span><\/span><\/h2>\n<div class=\"su-posts su-posts-default-loop\">\n<div id=\"su-post-8685\" class=\"su-post\">\n<h5 class=\"su-post-title\">Trends in Emergency Department Visits and Hospital Admissions in Health Care Systems in 5 States in the First Months of the COVID-19 Pandemic in the US<\/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\">Jeffery et al.\u00a0<\/span><span data-contrast=\"auto\">examine daily emergency department (ED) visits and hospital admission rates<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">of 24 EDs in Colorado (n=4), Connecticut (n=5), Massachusetts (n=5), New York (n=5), and North Carolina (n=5)<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">from January 1 to April 30, 2020<\/span><span data-contrast=\"auto\">\u00a0and temporal associations with the onset of local COVID-19 case escalations<\/span><span data-contrast=\"auto\">.\u00a0<\/span><span data-contrast=\"auto\">C<\/span><span data-contrast=\"auto\">ompared to the annual ED volume before the COVID-19 pandemic, ED visits decreased<\/span><span data-contrast=\"auto\">,<\/span><span data-contrast=\"auto\">\u00a0with a range from 42% in Colorado to 64% in New York. However, hospital admission rates from the ED increased<\/span><span data-contrast=\"auto\">,<\/span><span data-contrast=\"auto\">\u00a0with a range from 22% in North Carolina to 149% in New York.<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">In each setting, hospital admission rates remained stable until COVID-19 cases started increasing locally, at which point admission rates increased as well<\/span><span data-contrast=\"auto\">, suggesting lower ED volume but higher acuity of illness.\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><i><span data-contrast=\"none\">Jeffery et al. (Aug 3, 2020). Trends in Emergency Department Visits and Hospital Admissions in Health Care Systems in 5 States in the First Months of the COVID-19 Pandemic in the US. JAMA Internal Medicine.<\/span><\/i><i><span data-contrast=\"none\">\u00a0<\/span><\/i><a href=\"https:\/\/doi.org\/10.1001\/jamainternmed.2020.3288\"><span data-contrast=\"none\">https:\/\/doi.org\/10.1001\/jamainternmed.2020.3288<\/span><\/a><i><span data-contrast=\"none\">\u00a0<\/span><\/i><i><span data-contrast=\"none\">\u00a0<\/span><\/i><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">\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-8683\" class=\"su-post\">\n<h5 class=\"su-post-title\">Seroprevalence of SARS-CoV-2 and Infection Fatality Ratio, Orleans and Jefferson Parishes, Louisiana, USA, May 2020<\/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\u00a0<\/span><span data-contrast=\"auto\">2<\/span><span data-contrast=\"auto\">,640\u00a0<\/span><span data-contrast=\"auto\">individuals<\/span><span data-contrast=\"auto\">\u00a0(61% White) in Louisiana, USA, the\u00a0<\/span><span data-contrast=\"auto\">weighted\u00a0<\/span><span data-contrast=\"auto\">SARS-CoV-2 exposure\u00a0<\/span><span data-contrast=\"auto\">rate\u00a0 was<\/span><span data-contrast=\"auto\">\u00a08%. Seroprevalence was highest (10%) in Black participants, followed by multiracial (7%), Asian (6%), and White (5%) participants. The infection fatality ratio was 1.6%, similar for White (1.6%), Black (1.7%), and multiracial (1.4%) persons<\/span><span data-contrast=\"auto\">,<\/span><span data-contrast=\"auto\">\u00a0but was significantly lower for Asian persons (0.6%).\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><i><span data-contrast=\"none\">Feehan et al. (July 30, 2020). Seroprevalence of SARS-CoV-2 and Infection Fatality Ratio, Orleans and Jefferson Parishes, Louisiana, USA, May 2020. Emerging Infectious Diseases.\u00a0<\/span><\/i><a href=\"https:\/\/doi.org\/10.3201\/eid2611.203029\"><span data-contrast=\"none\">https:\/\/doi.org\/10.3201\/eid2611.203029<\/span><\/a><i><span data-contrast=\"none\">\u00a0<\/span><\/i><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">\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\">Testing and Treatment<\/h2>\n<div class=\"su-posts su-posts-default-loop\">\n<div id=\"su-post-8689\" class=\"su-post\">\n<h5 class=\"su-post-title\">Drug Treatments for Covid-19: Living Systematic Review and Network Meta-Analysis<\/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\">A\u00a0<\/span><span data-contrast=\"auto\">network\u00a0<\/span><span data-contrast=\"auto\">meta-analysis of 23 RCTs\u00a0<\/span><span data-contrast=\"auto\">evaluating treatments for COVID-19 found that\u00a0<\/span><span data-contrast=\"auto\">glucocorticoids were the only intervention with evidence for a reduction in\u00a0<\/span><span data-contrast=\"auto\">mortality\u00a0<\/span><span data-contrast=\"auto\">compared with standard care (risk difference 37 fewer per 1000 patients, 95%CI 11-63) and\u00a0<\/span><span data-contrast=\"auto\">need for<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">mechanical ventilation (31 fewer per 1000 patients, 95%CI 9-47). Three drugs might reduce symptom duration compared with standard care: hydroxychloroquine (mean difference -4.5 days),\u00a0<\/span><span data-contrast=\"auto\">remdesivir<\/span><span data-contrast=\"auto\">\u00a0(-2.6 days), and lopinavir-ritonavir (-1.2 days). Overall\u00a0<\/span><span data-contrast=\"auto\">evidence<\/span><span data-contrast=\"auto\">\u00a0of treatments for COVID-19 showed a low certainty of evidence due to lack of blinding and imprecision<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">of<\/span><span data-contrast=\"auto\">\u00a0estimates<\/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;:240}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><i><span data-contrast=\"none\">Siemieniuk<\/span><\/i><i><span data-contrast=\"none\">\u00a0et al. (July 30, 2020). Drug Treatments for Covid-19: Living Systematic Review and Network Meta-Analysis. BMJ.<\/span><\/i><i><span data-contrast=\"none\">\u00a0<\/span><\/i><a href=\"https:\/\/doi.org\/10.1136\/bmj.m2980\"><span data-contrast=\"none\">https:\/\/doi.org\/10.1136\/bmj.m2980<\/span><\/a><i><span data-contrast=\"none\">\u00a0\u00a0\u00a0<\/span><\/i><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">\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-8687\" class=\"su-post\">\n<h5 class=\"su-post-title\">Utility of Repeat Testing for COVID-19: Lab Stewardship When the Stakes Are High<\/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\">There may be little benefit of repeat<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">SARS-CoV-2 PCR<\/span><span data-contrast=\"auto\">\u00a0testing\u00a0<\/span><span data-contrast=\"auto\">within 7 days after a negative test\u00a0<\/span><span data-contrast=\"auto\">in patients who present early in their illness\u00a0<\/span><span data-contrast=\"auto\">in a low-<\/span><span data-contrast=\"auto\">prevalence<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">setting<\/span><span data-contrast=\"auto\">.\u00a0<\/span><span data-contrast=\"auto\">Among 275 patients with initially negative (94%) or inconclusive (6%) nasopharyngeal PCR tests in Omaha, Nebraska who were tested serially between March-April 2020, only 1 (1\/275) was positive on the 2<\/span><span data-contrast=\"auto\">nd<\/span><span data-contrast=\"auto\">\u00a0test<\/span><span data-contrast=\"auto\">,<\/span><span data-contrast=\"auto\">\u00a0and only 1 (1\/40) was positive on a 3<\/span><span data-contrast=\"auto\">rd<\/span><span data-contrast=\"auto\">\u00a0test.<\/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;:240}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><i><span data-contrast=\"none\">Rearigh<\/span><\/i><i><span data-contrast=\"none\">\u00a0et al. (Aug 3, 2020). Utility of Repeat Testing for COVID-19: Lab Stewardship When the Stakes Are High. Infection Control and Hospital Epidemiology.\u00a0<\/span><\/i><a href=\"https:\/\/doi.org\/10.1017\/ice.2020.397\"><i><span data-contrast=\"none\">https:\/\/doi.org\/10.1017\/ice.2020.397<\/span><\/i><\/a><i><span data-contrast=\"none\">\u00a0<\/span><\/i><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">\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\">Clinical Characteristics and Health Care Setting<\/h2>\n<div class=\"su-posts su-posts-default-loop\">\n<div id=\"su-post-8691\" class=\"su-post\">\n<h5 class=\"su-post-title\">Vertical Transmission of COVID-19: A Systematic Review and Meta-Analysis<\/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\">Kotlyar<\/span><span data-contrast=\"auto\">\u00a0et al.<\/span><span data-contrast=\"auto\">\u00a0pooled results of from 38 studies with 936 neonates<\/span><span data-contrast=\"auto\">\u00a0to investigate\u00a0<\/span><span data-contrast=\"auto\">SARS-CoV-2 vertical transmission<\/span><span data-contrast=\"auto\">. The<\/span><span data-contrast=\"auto\">y found that the<\/span><span data-contrast=\"auto\">\u00a0proportion of vertical transmission based on RNA PCR results\u00a0<\/span><span data-contrast=\"auto\">from<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">infant\u00a0<\/span><span data-contrast=\"auto\">nasopharyngeal swab<\/span><span data-contrast=\"auto\">s<\/span><span data-contrast=\"auto\">\u00a0was 3.2% (95%CI 2.2-4.3%). The neonatal serology\u00a0<\/span><span data-contrast=\"auto\">(IgM)\u00a0<\/span><span data-contrast=\"auto\">was positive in 3.7% (3\/82). The<\/span><span data-contrast=\"auto\">\u00a0authors note<\/span><span data-contrast=\"auto\">\u00a0that<\/span><span data-contrast=\"auto\">\u00a0the\u00a0<\/span><span data-contrast=\"auto\">majority of\u00a0<\/span><span data-contrast=\"auto\">mothers<\/span><span data-contrast=\"auto\">\u00a0in their sample were likely infected during the third trimester of pregnancy<\/span><span data-contrast=\"auto\">,<\/span><span data-contrast=\"auto\">\u00a0and that\u00a0<\/span><span data-contrast=\"auto\">the risk<\/span><span data-contrast=\"auto\">\u00a0of vertical transmission as well as potential risk for consequent fetal morbidity and mortality<\/span><span data-contrast=\"auto\">\u00a0may differ for pregnant women infected in early pregnancy<\/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;:240}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><i><span data-contrast=\"none\">Kotlyar<\/span><\/i><i><span data-contrast=\"none\">\u00a0et al. (July 30, 2020). Vertical Transmission of COVID-19: A Systematic Review and Meta-<\/span><\/i><i><span data-contrast=\"none\">Analysis. American Journal of Obstetrics and Gynecology.<\/span><\/i><i><span data-contrast=\"none\">\u00a0<\/span><\/i><a href=\"https:\/\/doi.org\/10.1016\/j.ajog.2020.07.049\"><span data-contrast=\"none\">https:\/\/doi.org\/10.1016\/j.ajog.2020.07.049<\/span><\/a><i><span data-contrast=\"none\">\u00a0<\/span><\/i><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">\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 class=\"TextRun SCXW13277730 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW13277730 BCX0\" data-ccp-parastyle=\"heading 2\">Mental Health and Personal Impact<\/span><\/span><\/h2>\n<div class=\"su-posts su-posts-default-loop\">\n<div id=\"su-post-8695\" class=\"su-post\">\n<h5 class=\"su-post-title\">Maternal Psychological Distress &amp; Mental Health Service Use during the 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=\"2\" data-aria-level=\"1\"><span data-contrast=\"auto\">Among an online sample of 641\u00a0<\/span><span data-contrast=\"auto\">predominantly\u00a0<\/span><span data-contrast=\"auto\">Canadian<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">mothers<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">of children age 0-8 years,\u00a0<\/span><span data-contrast=\"auto\">clinically-<\/span><span data-contrast=\"auto\">significant<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">depression was indicated\u00a0<\/span><span data-contrast=\"auto\">by\u00a0<\/span><span data-contrast=\"auto\">33%, 43%, and 43% of mothers of children age 0-18 months, 18 months to 4 years, and 5 to 8 years, respectively. Anxiety was 36%, 33%, and 30% for mothers across age groups, respectively. These\u00a0<\/span><span data-contrast=\"auto\">proportions appear elevated relative to\u00a0<\/span><span data-contrast=\"auto\">population values from pre-pandemic periods.\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><i><span data-contrast=\"none\">Cameron et al. (July 20, 2020). Maternal Psychological Distress &amp; Mental Health Service Use during the COVID-19 Pandemic. Journal of Affective Disorders.\u00a0<\/span><\/i><a href=\"https:\/\/doi.org\/10.1016\/j.jad.2020.07.081\"><i><span data-contrast=\"none\">https:\/\/doi.org\/10.1016\/j.jad.2020.07.081<\/span><\/i><\/a><i><span data-contrast=\"none\">\u00a0<\/span><\/i><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">\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-8693\" class=\"su-post\">\n<h5 class=\"su-post-title\">How Is COVID-19 Affecting the Mental Health of Children with Special Educational Needs and Disabilities and Their Families?<\/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 241 parents (92% mothers) of children with special educational needs and disabilities in the UK,\u00a0<\/span><span data-contrast=\"auto\">many\u00a0<\/span><span data-contrast=\"auto\">parents and children experienced loss, worry<\/span><span data-contrast=\"auto\">,<\/span><span data-contrast=\"auto\">\u00a0and changes in mood and behavior as a result of the rapid social changes due to COVID-19.\u00a0<\/span><span data-contrast=\"none\">S<\/span><span data-contrast=\"none\">uggestions\u00a0<\/span><span data-contrast=\"none\">from parents surveyed about\u00a0<\/span><span data-contrast=\"none\">the support that they would like in the COVID-19 pandemic\u00a0<\/span><span data-contrast=\"none\">included specialist professional advice for parents focused on how to meet their child\u2019s educational and mental health needs<\/span><span data-contrast=\"none\">,<\/span><span data-contrast=\"none\">\u00a0setting appropriate tasks and resources for home learning<\/span><span data-contrast=\"none\">,<\/span><span data-contrast=\"none\">\u00a0and providing opportunities to see familiar faces,\u00a0<\/span><span data-contrast=\"none\">even\u00a0<\/span><span data-contrast=\"none\">if connecting remotely<\/span><span data-contrast=\"auto\">.\u202f<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><i><span data-contrast=\"none\">Asbury et al. (July 31, 2020). How Is COVID-19 Affecting the Mental Health of Children with Special Educational Needs and Disabilities and Their Families? Journal of Autism and Developmental Disorders.<\/span><\/i><a href=\"https:\/\/doi.org\/10.1007\/s10803-020-04577-2\"><span data-contrast=\"auto\">\u00a0<\/span><i><span data-contrast=\"none\">https:\/\/doi.org\/10.1007\/s10803-020-04577-<\/span><\/i><i><span data-contrast=\"none\">2<\/span><\/i><\/a><i><span data-contrast=\"none\">\u00a0<\/span><\/i><i><span data-contrast=\"none\">\u00a0\u00a0\u00a0<\/span><\/i><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">\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 class=\"TextRun SCXW165995947 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW165995947 BCX0\" data-ccp-parastyle=\"heading 2\">Mode<\/span><\/span><span class=\"TextRun SCXW165995947 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW165995947 BCX0\" data-ccp-parastyle=\"heading 2\">ling and Prediction<\/span><\/span><\/h2>\n<div class=\"su-posts su-posts-default-loop\">\n<div id=\"su-post-8699\" class=\"su-post\">\n<h5 class=\"su-post-title\">Assessment of SARS-CoV-2 Screening Strategies to Permit the Safe Reopening of College Campuses in the United States<\/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\">Paltiel<\/span><span data-contrast=\"auto\">\u00a0et al.<\/span><span data-contrast=\"auto\">\u00a0conducted a modeling study with a hypothetical cohort of 5,000\u00a0<\/span><span data-contrast=\"auto\">residential college students<\/span><span data-contrast=\"auto\">\u00a0including 10<\/span><span data-contrast=\"auto\">\u00a0(0.2%)<\/span><span data-contrast=\"auto\">\u00a0with undetected, asymptomatic SARS-CoV-2 infection<\/span><span data-contrast=\"auto\">, and found that a symptom-based screening strategy was not sufficient to\u00a0<\/span><span data-contrast=\"auto\">contain an outbreak in any model scenario<\/span><span data-contrast=\"auto\">.\u00a0<\/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;:240}\">\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\">S<\/span><span data-contrast=\"auto\">creening every 1, 2, and 7 days resulted in a cumulative infection of 162, 243 or 1840, respectively<\/span><span data-contrast=\"auto\">,\u00a0<\/span><span data-contrast=\"auto\">a<\/span><span data-contrast=\"auto\">ssuming\u00a0<\/span><span data-contrast=\"auto\">an<\/span><span data-contrast=\"auto\">\u00a0Rt of 2.5 and\u00a0<\/span><span data-contrast=\"auto\">a test<\/span><span data-contrast=\"auto\">\u00a0with 70% sensitivity and 98% specificity<\/span><span data-contrast=\"auto\">. Cost-effectiveness analysis showed that screening every 2 days<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">coupled with strict behavioral interventions to keep Rt below 2.5, would maintain a controllable number of COVID-19 infections\u00a0<\/span><span data-contrast=\"auto\">with an estimated cost of $470 per student per semester<\/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;:240}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><i><span data-contrast=\"none\">Paltiel<\/span><\/i><i><span data-contrast=\"none\">\u00a0et al. (July 31, 2020). Assessment of SARS-CoV-2 Screening Strategies to Permit the Safe Reopening of College Campuses in the United States. JAMA Network Open.\u00a0<\/span><\/i><a href=\"https:\/\/doi.org\/10.1001\/jamanetworkopen.2020.16818\"><span data-contrast=\"none\">https:\/\/doi.org\/10.1001\/jamanetworkopen.2020.16818<\/span><\/a><i><span data-contrast=\"none\">\u00a0<\/span><\/i><i><span data-contrast=\"none\">\u00a0<\/span><\/i><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">\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-8697\" class=\"su-post\">\n<h5 class=\"su-post-title\">Strategies to Reduce the Risk of SARS-CoV-2 Re-Introduction from International\u00a0Travellers<\/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=\"44\" data-aria-posinset=\"1\" data-aria-level=\"1\"><i><span data-contrast=\"none\">[<\/span><\/i><i><span data-contrast=\"none\">Preprint<\/span><\/i><i><span data-contrast=\"none\">, not peer-reviewed]<\/span><\/i><i><span data-contrast=\"none\">\u00a0<\/span><\/i><span data-contrast=\"auto\">Clifford et al<\/span><span data-contrast=\"auto\">.\u00a0<\/span><span data-contrast=\"auto\">estimated that a quarantine period of eight days\u00a0<\/span><span data-contrast=\"auto\">for air travelers arriving to the UK\u00a0<\/span><span data-contrast=\"auto\">with a PCR test on day-7 can reduce the number of infectious arrivals released into the community by a median 94% when compared with no quarantine. This reduction is\u00a0<\/span><span data-contrast=\"auto\">similar to<\/span><span data-contrast=\"auto\">\u00a0the 99% median reduction achieved by a 14<\/span><span data-contrast=\"auto\">&#8211;<\/span><span data-contrast=\"auto\">day quarantine period.\u00a0<\/span><span data-contrast=\"auto\">Without quarantine, the current high prevalence of SARS-CoV-2 in the US would result in\u00a0<\/span><span data-contrast=\"auto\">up to 23 introductions of infectious travelers per week.\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><i><span data-contrast=\"none\">Clifford et al. (July 24, 2020). Strategies to Reduce the Risk of SARS-CoV-2 Re-Introduction from International\u00a0<\/span><\/i><i><span data-contrast=\"none\">Travellers<\/span><\/i><i><span data-contrast=\"none\">. Pre-print downloaded Aug 3 from\u00a0<\/span><\/i><a href=\"https:\/\/doi.org\/10.1101\/2020.07.24.20161281\"><span data-contrast=\"none\">https:\/\/doi.org\/10.1101\/2020.07.24.20161281<\/span><\/a><i><span data-contrast=\"none\">\u00a0<\/span><\/i><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">\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\">Public Health Policy and Practice<\/h2>\n<div class=\"su-posts su-posts-default-loop\">\n<div id=\"su-post-8701\" class=\"su-post\">\n<h5 class=\"su-post-title\">Characteristics and Outcomes of Contacts of COVID-19 Patients Monitored Using an Automated Symptom Monitoring Tool \u2014 Maine, May \u2013 June 2020<\/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\">During May 14<\/span><span data-contrast=\"auto\">, 2020\u00a0<\/span><span data-contrast=\"auto\">\u2013 June 26<\/span><span data-contrast=\"auto\">, 2020<\/span><span data-contrast=\"auto\">, Maine CDC enrolled 1,622 contacts of 614 COVID-19 patients<\/span><span data-contrast=\"auto\">\u00a0through an automated symptom monitoring as a part of the state\u2019s contact tracing program<\/span><span data-contrast=\"auto\">.\u00a0<\/span><span data-contrast=\"auto\">Resources constraints prompted Maine CDC to implement an automated system for\u00a0<\/span><span data-contrast=\"auto\">monitoring contacts<\/span><span data-contrast=\"auto\">.<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"none\">Enrolled contacts automatically received daily symptom questionnaires via their choice of e-mailed weblink, text message, texted weblink, or telephone call until completion of their quarantine<\/span><span data-contrast=\"none\">.<\/span><span data-contrast=\"none\">\u00a0<\/span><span data-contrast=\"auto\">One-hundred\u00a0<\/span><span data-contrast=\"auto\">ninety<\/span><span data-contrast=\"auto\">\u00a0(11.7%)\u00a0<\/span><span data-contrast=\"auto\">of the contacts monitored in the program\u00a0<\/span><span data-contrast=\"auto\">developed COVID-19, highlighting the importance of identifying, quarantining, and monitoring contacts of COVID-19 patients to limit spread.<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><i><span data-contrast=\"none\">Krueger et al. (Aug 3, 2020). Characteristics and Outcomes of Contacts of COVID-19 Patients Monitored Using an Automated Symptom Monitoring Tool \u2014 Maine, May \u2013 June 2020. MMWR.\u00a0<\/span><\/i><a href=\"https:\/\/doi.org\/10.15585\/mmwr.mm6931e2\"><span data-contrast=\"none\">https:\/\/doi.org\/10.15585\/mmwr.mm6931e2<\/span><\/a><i><span data-contrast=\"none\">\u00a0<\/span><\/i><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">\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<h2>Other Resources and Commentaries<\/h2>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"32\" data-aria-posinset=\"2019\" data-aria-level=\"1\"><a href=\"https:\/\/doi.org\/10.1016\/S2213-2600(20)30312-X\"><span data-contrast=\"none\">Mortality in COVID-19 Is Not Merely a Question of Resource Availability<\/span><\/a><span data-contrast=\"auto\">\u00a0\u2013 The Lancet Respiratory Medicine (July\u00a0<\/span><span data-contrast=\"auto\">28<\/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<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"32\" data-aria-posinset=\"2019\" data-aria-level=\"1\"><a href=\"https:\/\/doi.org\/10.1001\/jamanetworkopen.2020.17838\"><span data-contrast=\"none\">Reopening Colleges During the Coronavirus Disease 2019 (COVID-19) Pandemic\u2014One Size Does Not Fit All<\/span><\/a><span data-contrast=\"auto\">\u00a0\u2013 JAMA Network Open (July 31)\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=\"32\" data-aria-posinset=\"2019\" data-aria-level=\"1\"><a href=\"https:\/\/doi.org\/10.1016\/S1473-3099(20)30568-5\"><span data-contrast=\"none\">The Indirect Impact of COVID-19 on Women<\/span><\/a><span data-contrast=\"auto\">\u00a0\u2013 The Lancet Infectious Diseases (Aug\u00a0<\/span><span data-contrast=\"auto\">1<\/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=\"32\" data-aria-posinset=\"2019\" data-aria-level=\"1\"><a href=\"https:\/\/doi.org\/10.1038\/s41569-020-0416-6\"><span data-contrast=\"none\">Pulling at the Heart: COVID-19, Race\/Ethnicity and Ongoing Disparities<\/span><\/a><span data-contrast=\"auto\">\u00a0\u2013 Nature Reviews Cardiology (July 27)\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=\"32\" data-aria-posinset=\"2019\" data-aria-level=\"1\"><a href=\"https:\/\/doi.org\/10.1111\/dmcn.14603\"><span data-contrast=\"none\">Long<\/span><span data-contrast=\"none\">\u2010<\/span><span data-contrast=\"none\">term Impact of COVID<\/span><span data-contrast=\"none\">\u2010<\/span><span data-contrast=\"none\">19 on Disabled Children<\/span><\/a><span data-contrast=\"auto\">\u00a0\u2013 Developmental Medicine &amp; Child Neurology (<\/span><span data-contrast=\"auto\">July 31<\/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=\"32\" data-aria-posinset=\"2019\" data-aria-level=\"1\"><a href=\"https:\/\/doi.org\/10.1186\/s12939-020-01245-w\"><span data-contrast=\"none\">Axes of Alienation: Applying an Intersectional Lens on the Social Contract during the Pandemic Response to Protect Sexual and Reproductive Rights and Health<\/span><\/a><span data-contrast=\"auto\">. \u2013 International Journal for Equity in Health (July\u00a0<\/span><span data-contrast=\"auto\">31<\/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<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"32\" data-aria-posinset=\"2019\" data-aria-level=\"1\"><a href=\"https:\/\/doi.org\/10.1097\/ACM.0000000000003651\"><span data-contrast=\"none\">Will Losing Black Physicians Be a Consequence of the COVID-19 Pandemic?<\/span><\/a><span data-contrast=\"auto\">\u00a0\u2013 Academic Medicine\u202f(July\u00a0<\/span><span data-contrast=\"auto\">28<\/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=\"32\" data-aria-posinset=\"2019\" data-aria-level=\"1\"><a href=\"https:\/\/doi.org\/10.1093\/cid\/ciaa1132\"><span data-contrast=\"none\">The Multidimensional Challenge of Treating COVID-19:\u00a0<\/span><span data-contrast=\"none\">Remdesivir<\/span><span data-contrast=\"none\">\u00a0Is a Foot in the Door<\/span><\/a><span data-contrast=\"auto\">\u00a0\u2013 Clinical Infectious Diseases (July 31)\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=\"32\" data-aria-posinset=\"2019\" data-aria-level=\"1\"><a href=\"https:\/\/doi.org\/10.1136\/bmj.m3049\"><span data-contrast=\"none\">Covid-19:\u00a0<\/span><span data-contrast=\"none\">Remdesivir<\/span><span data-contrast=\"none\">\u00a0Probably Reduces Recovery Time, but Evidence Is Uncertain, Panel Finds.<\/span><\/a><span data-contrast=\"auto\">\u00a0\u2013 BMJ (Clinical Research Ed.) (July\u00a0<\/span><span data-contrast=\"auto\">30<\/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=\"32\" data-aria-posinset=\"2019\" data-aria-level=\"1\"><a href=\"https:\/\/doi.org\/10.1017\/ice.2020.392\"><span data-contrast=\"none\">Lack of Nosocomial Transmission to Exposed Inpatients and Co-Workers in an Investigation of Five SARS-CoV-2 Infected Healthcare Workers<\/span><\/a><span data-contrast=\"auto\">\u00a0\u2013 Infection Control &amp; Hospital Epidemiology (Aug 3)\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=\"32\" data-aria-posinset=\"2019\" data-aria-level=\"1\"><a href=\"https:\/\/doi.org\/10.1016\/S2468-2667(20)30164-X\"><span data-contrast=\"none\">Risk of COVID-19 among Front-Line Health-Care Workers and the General Community: A Prospective Cohort Study<\/span><\/a><span data-contrast=\"auto\">\u00a0\u2013 The Lancet Public Health (July\u00a0<\/span><span data-contrast=\"auto\">31<\/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<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"32\" data-aria-posinset=\"2019\" data-aria-level=\"1\"><a href=\"https:\/\/doi.org\/10.1136\/bmjgh-2020-003430\"><span data-contrast=\"none\">Learning from Exemplars in Global Health: A Road Map for Mitigating Indirect Effects of COVID-19 on Maternal and Child Health<\/span><\/a><span data-contrast=\"auto\">. \u2013 BMJ Global Health (July\u00a0<\/span><span data-contrast=\"auto\">31<\/span><span data-contrast=\"auto\">)<\/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=\"32\" data-aria-posinset=\"2019\" data-aria-level=\"1\"><a href=\"https:\/\/doi.org\/10.1136\/bmj.m3018\"><span data-contrast=\"none\">Cellular Immune Responses to Covid-19<\/span><\/a><span data-contrast=\"auto\">\u00a0\u2013 BMJ (July 31)\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=\"32\" data-aria-posinset=\"2019\" data-aria-level=\"1\"><a href=\"https:\/\/doi.org\/10.1111\/jpc.15049\"><span data-contrast=\"none\">Update on the COVID<\/span><span data-contrast=\"none\">\u2010<\/span><span data-contrast=\"none\">19<\/span><span data-contrast=\"none\">\u2010<\/span><span data-contrast=\"none\">associated Inflammatory Syndrome in Children and Adolescents;\u00a0<\/span><span data-contrast=\"none\">Paediatric<\/span><span data-contrast=\"none\">\u00a0Inflammatory Multisystem Syndrome<\/span><span data-contrast=\"none\">\u2010<\/span><span data-contrast=\"none\">temporally Associated with SARS<\/span><span data-contrast=\"none\">\u2010<\/span><span data-contrast=\"none\">CoV<\/span><span data-contrast=\"none\">\u2010<\/span><span data-contrast=\"none\">2<\/span><\/a><span data-contrast=\"auto\">\u00a0\u2013 Journal of\u00a0<\/span><span data-contrast=\"auto\">Paediatrics<\/span><span data-contrast=\"auto\">\u00a0and Child Health (July 31)\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=\"32\" data-aria-posinset=\"2019\" data-aria-level=\"1\"><a href=\"https:\/\/doi.org\/10.1097\/QAD.0000000000002606\"><span data-contrast=\"none\">Comorbidity Indices in People with HIV and Considerations for COVID-19 Outcomes<\/span><\/a><span data-contrast=\"auto\">. \u2013 AIDS (London, England) (July\u00a0<\/span><span data-contrast=\"auto\">23<\/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=\"auto\">R<\/span><\/i><i><span data-contrast=\"auto\">eport prepared by the UW MetaCenter for Pandemic Preparedness and Global Health Security\u00a0<\/span><\/i><i><span data-contrast=\"auto\">and the START Center\u00a0<\/span><\/i><i><span data-contrast=\"auto\">in collaboration with and on behalf of WA DOH COVID-19 Inciden<\/span><\/i><i><span data-contrast=\"auto\">t<\/span><\/i><i><span data-contrast=\"auto\">\u00a0Management Team<\/span><\/i><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:2,&quot;335551620&quot;:2,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>During the first month of the COVID-19 pandemic in 5 states in the US, there was a decrease (range 42%-64%) in emergency department (ED) visits, but an increase in hospital admission rates from the ED (range 22%-149%), indicating a lower overall volume but higher overall acuity of illness in ED visits occurring during the COVID-19 pandemic. <\/p>\n<div><a class=\"more\" href=\"https:\/\/depts.washington.edu\/pandemicalliance\/2020\/08\/03\/characteristics-and-outcomes-of-contacts-of-covid-19-patients-monitored-using-an-automated-symptom-monitoring-tool-maine-may-june-2020\/\">Read more<\/a><\/div>\n","protected":false},"author":8,"featured_media":7353,"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-8677","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\/8677","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=8677"}],"version-history":[{"count":1,"href":"https:\/\/depts.washington.edu\/pandemicalliance\/wp-json\/wp\/v2\/posts\/8677\/revisions"}],"predecessor-version":[{"id":8703,"href":"https:\/\/depts.washington.edu\/pandemicalliance\/wp-json\/wp\/v2\/posts\/8677\/revisions\/8703"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/depts.washington.edu\/pandemicalliance\/wp-json\/wp\/v2\/media\/7353"}],"wp:attachment":[{"href":"https:\/\/depts.washington.edu\/pandemicalliance\/wp-json\/wp\/v2\/media?parent=8677"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/depts.washington.edu\/pandemicalliance\/wp-json\/wp\/v2\/categories?post=8677"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/depts.washington.edu\/pandemicalliance\/wp-json\/wp\/v2\/tags?post=8677"},{"taxonomy":"topic","embeddable":true,"href":"https:\/\/depts.washington.edu\/pandemicalliance\/wp-json\/wp\/v2\/topic?post=8677"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}