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Is Increasingly Relying On Individuals To Manage Their Own Risk Appetite For Covid-19

Is Increasingly Relying On Individuals To Manage Their Own Risk Appetite For Covid-19

What actually happens in your body when you have asymptomatic COVID? Many people who get tested regularly for COVID-19 — including, recently, House Speaker Nancy Pelosi and Vice President Kamala Harris — test positive despite reporting no symptoms at all. But such asymptomatic infections, which can also occur with other kinds of viruses, are difficult to track, since you may never know if you had one. So for those who remain symptom-free, what actually happens in the body, and what does that mean for how the virus is transmitted? Read the full story.

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Giants close clubhouse, bring back mask requirement due to COVID outbreak: With outfielder Mike Yastrzemski, relievers Zack Littell and Dominic Leone, and other members of the organization testing positive for COVID-19, the San Francisco Giants will limit clubhouse access to only essential personnel, according to KNBR. President of Baseball Operations Farhan Zaidi told reporters on Friday that the team was stepping up precautions to limit the spread of the coronavirus, including a requirement to wear masks again. Members of the media, who were recently allowed to return to the clubhouse this season for the first time since the pandemic began, will be temporarily barred from entry. “We have concerns about the level of contagiousness in our clubhouse given a string of recent positives, and are taking measures to try to mitigate risk of further spread, both internally and externally,” Zaidi said.

Bay Area counties elevated into “medium” transmission levels, per CDC: Two Bay Area counties are now classified as having a “medium” level of coronavirus transmission, according to metrics by the U.S. Centers for Disease Control and Prevention. Marin and San Mateo counties, along with Santa Cruz County, are now the only ones in the entire state to have moved up from the “low” transmission category, based on the agency’s revised criteria. They are among about a dozen counties in the western half of the United States not currently in the minimal risk category. The COVID-19 risk level for each region is measured by the number of cases, hospitalizations and intensive care unit admissions.

Should you worry about BA.2.12.1 subvariant now spreading in California? Yet another omicron offspring, once again more infectious than its predecessors, is climbing rapidly in California and could make up half of new cases “in a matter of days,” health officials said. It’s unclear whether the coronavirus subvariant — known as BA.2.12.1 — will hasten the rising swell of cases across the state, including in the Bay Area. But it’s believed to be driving a surge in the New York region and other parts of the Northeast, where it already makes up nearly 60% of cases, according to estimates by the Centers for Disease Control and Prevention. Read the full story.

Hospitalizations climb in S.F. as Bay Area COVID cases jump: Coronavirus cases have climbed about 70% in California since the beginning of the month, off the low rates reported following this winter’s omicron surge. Cases in the Bay Area have climbed even more, up 155% over the same period, according to state data analyzed by The Chronicle. As of Friday, the Bay Area reported roughly 23 cases per 100,000 residents per day, compared to 14 cases per 100,000 for the state. San Francisco and San Mateo counties are outpacing all other areas with COVID-19 infections, each reporting 31 cases per 100,000 residents. That’s nearly double the 16 per 100,000 tallied in Los Angeles, the nation’s most populous county. San Francisco’s coronavirus test positive rate has jumped to 7.4%, and hospitalizations have nearly doubled, with 44 COVID-19 patients in the city’s hospitals as of Friday compared to 24 at the beginning of the month.

Vaccines for youngest children may arrive by June: The Food and Drug Administration on Friday scheduled dates in June to review COVID-19 vaccine data for children 5 and under, the last remaining group not cleared for the shots. The FDA meetings are typically the final step before authorizing the rollout of vaccines. The agency’s outside panel of experts will meet on June 8, 21 and 22 to review applications from Moderna and Pfizer for child vaccines. The dates are tentative. “We intend to move quickly with any authorizations that are appropriate once our work is completed,” said Peter Marks, director of the Center for Biologics Evaluation and Research.

Los Angeles County reports “pretty significant” increase in COVID cases, hospitalizations: Coronavirus cases and hospitalizations are rising in Los Angeles County at a rate that Public Health Director Barbara Ferrer called “pretty significant” during a press briefing on Thursday. She encouraged residents of the nation’s most populous county to get vaccinated and boosted as cases have doubled since the beginning of April. The county is reporting 122 cases a week per 100,000 residents, according to data compiled by the Los Angeles Times. There are 249 people hospitalized with COVID-19 in the county, up from 209 last Friday. Ferrer added that public health officials have seen a rise in outbreaks at workplaces and schools since the indoor mask mandate was lifted, with “the number of cases reported in students in elementary schools, middle schools and high schools more than doubled” since late March. Ferrer urged people to take mitigation efforts seriously: “You don’t want unchecked transmission, which leads to the possibility of more variants of concern.”

White House communications director tests positive for COVID-19: Kate Bedingfield is the latest administration official to test positive for the coronavirus, according to a tweet she posted on Friday. The White House communications director said President Biden is not a close contact. “This morning, I tested positive for COVID-19. I last saw the President Wednesday in a socially-distanced meeting while wearing an N-95 mask, and he is not considered a close contact as defined by the CDC,” she said, adding she was vaccinated and boosted and experiencing mild symptoms. She will work isolated for five days.

Trump officials aimed to silence CDC on pandemic guidance for churches: The former administration attempted to restrict the U.S. Centers for Disease Control and Prevention’s coronavirus mitigation measures for churches early in the pandemic, according to newly released emails. As COVID-19 outbreaks ramped up in places of worship Kellyanne Conway and Paul Ray advised the president to strike the recommendations, such as holding online services, from the agency’s guidance. “The new CDC draft includes a significant amount of new content, much of which seems to raise religious liberty concerns. In the attached, I have proposed several passages for deletion to address those concerns,” Ray wrote. In response to the release of the emails, Representative James Clyburn, chairman of the select subcommittee on the coronavirus crisis, said in a statement Friday, “As today’s new evidence also makes clear, Trump White House officials worked under the direction of the former president to purposefully undercut public health officials’ recommendations and muzzle their ability to communicate clearly to the American public.”

Rocker Ozzy Osbourne’s COVID diagnosis has wife Sharon “very worried”: Rock and Roll Hall of Fame icon Ozzy Osbourne has contracted COVID-19 following a string of other health issues, his wife Sharon Osbourne revealed through tears Thursday on her new show “The Talk UK.” “I am very worried about Ozzy right now,” she said. “We’ve gone two years without him catching COVID and it’s just Ozzy’s luck he would get it now. My family is my life.” Sharon said she is eager to return home to Los Angeles to be with Ozzy, who in January 2020 revealed he was battling Parkinson’s disease. He has also recently had back and neck surgery, as well as a life-threatening staph infection.

BA.4 and BA.5 sub-variants fueling rise in cases in South Africa: New confirmed coronavirus cases are up 32% in Africa, driven by a spike of new infections in South Africa due to the BA.4 and BA.5 sub-variants of omicron, according to a regional briefing by the World Health Organization. Researchers in South Africa said in a study that the new lineages were detected there in late December, about a month after the parent omicron strain was identified. The sub-variants appear to be more contagious than BA.2 and began gaining traction in South Africa in mid-April, according to the report. More research is required to determine the severity of BA.4 and BA.5. “It remains unclear how large an effect this shift in the distribution of different omicron lineages will have on the epidemic in South Africa and elsewhere in the world,” they said.

BART temporarily reinstates mask mandate: BART’s board of directors on Thursday approved a temporary amendment to require riders to wear masks in paid areas of the system with limited exceptions. Passengers will again be required to wear face coverings on trains and all portions of stations beyond fare gates, according to an update from the agency. Free masks will be available in station agent booths for those who need them. The rule will be effective until July 18, unless the board decides to extend it, BART officials said. Read the full story.

U.S. COVID cases are forecast to double in the next two weeks: With BA.2 infections rising steadily in many parts of the U.S., including California, daily COVID-19 cases are projected to increase 99.9% nationally in the next two weeks, according to modeling from the Mayo Clinic. With the national coronavirus positive test rate now at 6%, daily cases are expected to rise from 40,224 on April 23 to 80,418 by May 7. The average of daily cases will increase from 14 per 100,000 people to 24.5 per 100,000 over the same period. Bay Area hotspots — including San Francisco, Marin, San Mateo, Santa Clara and Napa counties — are forecast to experience the biggest uptick in cases in the state during that time.

Measles cases up 80% in 2022 due to pandemic disruptions: A dramatic surge in measles cases among children in the first two months of this year is a “worrying sign” that could signal larger outbreaks of vaccine-preventable disease due to pandemic-related disruptions, according to a joint bulletin from the World Health Organization and UNICEF. “The risk for large outbreaks has increased as communities relax social distancing practices and other preventive measures for COVID-19 implemented during the height of the pandemic,” the agencies said. Almost 17,338 measles cases were reported worldwide in January and February 2022, compared to 9,665 during the first two months of 2021. Because it is so contagious, health experts worry measles could grow exponentially as millions of children have missed routine vaccinations due to the pandemic. “It is encouraging that people in many communities are beginning to feel protected enough from COVID-19 to return to more social activities. But doing so in places where children are not receiving routine vaccination creates the perfect storm for the spread of a disease like measles” said Catherine Russell, UNICEF Executive Director.
The removal of federal and public transportation masking shows the U.S. is increasingly relying on individuals to manage their own risk appetite for COVID-19 — and choose their own precautions as a result.

Dr. Anthony Fauci’s decision to avoid attending the annual White House Correspondent’s Dinner, which returns to in-person this year, is a high-profile example.

“Things are looking better on a population level, but on an individual level we need to make up our own minds. He’s made up his mind that the White House Correspondent’s Dinner is not a place for an 80-year-old man to be,” Former U.S. Surgeon General Dr. Jerome Adams told Yahoo Finance Live.

This week, Fauci said the country is out of the pandemic phase, causing a stir among health experts. Adams said it’s prompted a repeat of the debate that occurred at the beginning of the pandemic.

“We had a debate two years ago about when we would declare a public health emergency a pandemic,” Adams said.

A volunteer wears a protective mask and face shield outside of a food bank at St. Bartholomew Church, during the outbreak of the coronavirus disease (COVID-19) in the Elmhurst section of Queens, New York City, New York U.S., May 15, 2020. REUTERS/Brendan McDermid
A volunteer wears a protective mask and face shield outside of a food bank at St. Bartholomew Church, during the outbreak of the coronavirus disease (COVID-19) in the Elmhurst section of Queens, New York City, New York U.S., May 15, 2020. REUTERS/Brendan McDermid
The implications for immunocompromised, older, and more vulnerable individuals — such as young children — has been a cause for concern as things return to “normal.”

Adams, executive director of Purdue’s Health Equity Initiatives, said the relaxed rules are causing anxiety among parents of young children and other vulnerable populations. That’s why he’s contradicting the Florida judge’s ruling to overturn mask mandates and the Biden administration’s relaxed mask guidance.

In particular, he said, because the virus’s more transmissible variants warrant the need to wear better masks such as N95 and KN95, and some individuals — and children under 5 — can’t wear them or don’t have good options available.

“These masks aren’t readily available for children, so they can’t protect themselves, which is why we need adults around them to protect them by wearing masks or getting vaccinated,” Adams said.

The orange spot first appeared on the national risk map in early April, marking three counties in central New York as having “high” community levels of the coronavirus, the only such cluster in the country.

By mid-April, the orange had spread to include 10 upstate counties, with a penumbra of yellow around them. Now it’s up to two dozen orange counties, stretching across upstate New York and spilling into Pennsylvania and Vermont.

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There are smatterings of orange and yellow counties elsewhere in the country now as well, but the hot spot that started in central New York is the biggest, darkest blotch on the Centers for Disease Control and Prevention’s mostly pristine national map, and it may grow bigger still when the map is updated on Thursday evening.

Health experts say that people in the hot spot, which includes cities like Buffalo, Rochester, Syracuse and Binghamton, should be increasing their precautions. “These are areas where C.D.C. recommends people should wear a mask in public indoor settings due to an increasing level of severe disease and the potential for significant health care strain,” Dr. Rochelle P. Walensky, the C.D.C. director, told reporters on Tuesday.

But local officials have been reluctant to issue any orders along those lines. “Mandates don’t work well, they create anxiety in the community, and they’re unenforceable,” Ryan McMahon, the county executive of Onondaga County, which includes Syracuse, said in an interview. “What we have done is distribute tens of thousands of KN95 masks and Covid tests, and mail them to people’s homes.”

No one is quite sure why a new wave of coronavirus cases, caused by the highly contagious Omicron subvariants BA.2.12 and BA.2.12.1, took hold first in central New York.

“It’s really difficult to attribute where this is coming from,” said Mary McFadden, the director of public health in Broome County, which includes Binghamton. “It’s literally from everywhere. It’s very difficult to pinpoint with home tests.”

Mr. McMahon said it broke the pattern of past surges. “It didn’t make a lot of sense,” he said. “Being in the middle of the state, we see the peaks halfway through, or at the end.”

He said the surge was first spotted after the February school vacation week in some of his county’s more affluent towns, suggesting that travel may have played a role. The region is also home to a large number of colleges and universities, including Syracuse University in Onondaga County and one of the largest State University of New York campuses, Binghamton University, in Broome County.

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Onondaga, with 473,000 residents, uses wastewater testing and extensive surveillance testing in its schools to track the virus, Mr. McMahon said, and has started to see improvement in the data from both in the last few days. But overall test positivity rates in the county remain high, and there were 112 people with Covid-19 in hospitals as of Monday, up from 51 four weeks ago.

One of the factors the C.D.C. assesses in judging risk levels is the strain on hospitals. Many of the hospitals in the hot spot region have been hard pressed to cope with the coronavirus throughout the pandemic.

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