Tuberculosis vaccine may be limiting COVID-19 deaths; dormitory
screening urged
Send a link to a friend
[July 11, 2020]
By Nancy Lapid
(Reuters) - The following is a brief
roundup of some of the latest scientific studies on the novel
coronavirus and efforts to find treatments and vaccines for COVID-19,
the illness caused by the virus.
Tuberculosis vaccine may limit COVID-19 deaths
A tuberculosis vaccine routinely given to children in countries with
high rates of that bacterial disease might be helping to reduce deaths
from COVID-19, researchers reported on Thursday in the scientific
journal Proceedings of the National Academy of Sciences. After
accounting for differences in factors that might affect vulnerability to
the virus - such as income, education, health services and age
distribution - the researchers found that countries with higher rates of
Bacille Calmette-Guérin (BCG) vaccinations for tuberculosis had lower
peak mortality rates from COVID-19. A good example was Germany, which
had different vaccine plans before East Germany and West Germany were
unified in 1990, the researchers said. COVID-19 mortality rates among
senior citizens are nearly three times higher in western Germany than in
eastern Germany, where more older people received the vaccine as
infants, they found. Study co-author Luis Escobar of Virginia Tech said
in a press statement that BCG vaccines have been shown to protect
against other viral respiratory illnesses. Escobar cautioned that the
new findings are preliminary. The BCG vaccine is currently being tested
for preventing COVID-19 in healthcare workers.
Weekly dorm screenings would not contain COVID-19 outbreaks
Avoiding coronavirus outbreaks in college dormitories would require
screening tests for residents at least every three days, according to
Yale University researchers. Weekly screening would not be sufficient,
they concluded. Their calculations, based on a computer model of 5,000
students and an 80-day semester, accounted for students' on-campus
exposures to the virus as well as imported infections from students
traveling, wandering about town to restaurants and bars, or from
visitors. Frequent testing would interrupt transmission of the virus
only if infected students are isolated, the researchers said. "Students
must comply with infection control, social distancing, test scheduling
and (if testing positive) isolation requirements for the repeat testing
system to work effectively," the researchers said in a paper posted
online on Thursday ahead of peer review. Also, the tests must be
reliable, testing laboratories must guarantee timely results, and
efficient communications and supports must be in place so students who
test positive can be isolated quickly, they said. The researchers said
universities must be prepared to close their residence halls if repeated
testing fails to contain the spread of the pathogen on campus.
[to top of second column]
|
The ultrastructural morphology exhibited by the 2019 Novel
Coronavirus (2019-nCoV), which was identified as the cause of an
outbreak of respiratory illness first detected in Wuhan, China, is
seen in an illustration released by the Centers for Disease Control
and Prevention (CDC) in Atlanta, Georgia, U.S. January 29, 2020.
Alissa Eckert, MS; Dan Higgins, MAM/CDC/Handout via REUTERS
Molecular study finds multiple types of COVID-19
There are many "flavors" of COVID-19, according to new data that may
someday allow coronavirus treatments to be targeted at the specific
molecular changes making a person sick. To learn more about why only
some coronavirus patients become severely ill, researchers studied
patients' "blood transcriptome," the complete set of genes that are
activated in immune cells in the blood. They found at least five
different types of immune response against the coronavirus - not
just "mild" and "severe," according to a paper posted online ahead
of peer review. "In other words, there are different flavors of the
disease," just as there are different types of cancer, study
co-author Dr. Joachim Schultze of the University of Bonn told
Reuters. Understanding the molecular mechanisms at work in a given
patient could help doctors tailor the therapy to target those
mechanisms, Schultze said. The findings also helped his team predict
which drugs would likely benefit COVID-19 patients. One "prominent"
candidate cited was the steroid dexamethasone, which has already
been proven effective in some COVID-19 patients. Another
"surprising" discovery they cited involved granulocytes, a type of
white blood cell. "Granulocytes, cells that are not really known to
be major players in the fight against viruses, play a major role in
severe COVID-19 disease," Schultze said. The new findings "will help
us to find better therapies and also will guide vaccine
development," he added. (https://bit.ly/38GXUhA)
Months later, recovering patients still have symptoms
More evidence is emerging that severe COVID-19 has lingering
after-effects. Nearly 90% of recovering COVID-19 patients discharged
from a hospital in Rome were still not back to normal an average of
two months after becoming ill, researchers said. Doctors there
studied 143 adults who had been hospitalized on average for two
weeks. Most had been diagnosed with pneumonia, and one in five had
needed help to breathe. An average of 60 days after their first
coronavirus symptoms, 87.4% still reported at least one symptom -
particularly fatigue and shortness of breath - and 55% had three or
more, researchers reported on Thursday in the Journal of the
American Medical Association. About one in four still had joint
pain, and about one in five had chest pain. Roughly 44% said their
quality of life was worse now than before they got sick. The
researchers did not have information on patients' pre-COVID-19
medical problems and did not compare this relatively small group to
patients discharged for other reasons. But they said their findings
suggest more research is needed on the long-lasting effects of
coronavirus infection.
(Reporting by Nancy Lapid; Editing by Will Dunham)
[© 2020 Thomson Reuters. All rights
reserved.] Copyright 2020 Reuters. All rights reserved. This material may not be published,
broadcast, rewritten or redistributed.
Thompson Reuters is solely responsible for this content. |