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Could your kids power the electrical grid, if you could only figure out how to tap that energy? Someday, all the hours spent cooped up at home will be a memory, not a daily reality. But if your children are bouncing off the walls with schools and day care still closed and summer coming, here are five active ideas to safely channel their energy. Pandemic or not, preschoolers benefit from active play throughout the day, and children ages 6 to 17 should rack up at least 60 minutes of activity daily, according to the Centers for Disease Control and Prevention. And since regular activity boosts health and lifts mood, everyone stands to benefit.
Pick a card
Annelieke Rietsema, an employee health coach and fitness specialist at Newton-Wellesley Hospital, suggests this simple strategy. Take a pack of playing cards and assign different exercises to each suit. For example, hearts could be jumping jacks or bear crawl; diamonds could be burpees or somersaults (if you have room); spades could be mountain climbers or cat-cow; clubs could be knee pushups or squats. Now shuffle or mix up the cards (face down), then start going through the deck. Kids do the number of each exercise on cards numbered 2 to 9. They do 10 of an exercise if a card is an ace, jack, queen, or king. So, a jack of hearts in the spades suit could equal 10 mountain climbers. For an exercise without discrete repetitive movements, like the bear crawl, try assigning a number of seconds based on the card selected (a five of hearts equals five seconds of bear crawl).
Children can do the shuffling and assign exercise choices, even picking simpler or harder exercises depending on age or ability.
Top of the hour
Five-minute or 10-minute energy burns at the top of each hour may help keep the peace. Have kids set a timer and choose easy exercises: running in place, jumping jacks, skipping rope, practicing sit-ups and squats. Children can compete with each other or with friends — from one week to the next, is it getting easier to do certain exercises? Can you do more than you could before?
Creature moves
Challenge younger children to think up and enact the moves of animals and other creatures: waddle like a duck, small hops like a bunny, giant hops like a kangaroo, slither like a snake, jump high like a frog, crawl-walk like a bear, inch forward like a turtle, waggle-dance like a honeybee, flap arms like a bird, crawl sideways like a crab, and so on. Set up indoor races for the quieter moves (crab, duck, snake) and occasional outdoor races for louder critters, to see who reaches the finish line in the least and most time. Extra points for unusual choices.
Personal best
Record how long a child can hop or balance on one foot or the number of push-ups, sit-ups, jumping jacks, or other exercises a child can do in a row. Practice three times a week and track the results once weekly.
Teens and some younger children may enjoy setting goals and logging progress in virtual races. The Healthy Kids Virtual Running Series for children in pre-K to grade 8 has a state-by-state locator to find local races. Many charities are encouraging people of all ages to raise money while walking, running, biking — or even dancing — in virtual events.
Yoga and fitness classes online
Two engaging options are Cosmic Kids, which combines yoga and storytelling into a calming, enjoyable workout for many children, and Go Noodle, which has high-energy video or app games to get kids moving and silly costumes to amuse them. Or you can find free online options, or sample classes available through local gyms, recreation centers, or YMCAs. Be sure to screen fitness videos aimed at children, to check if they are appropriate for your child.
Whatever you choose to help children burn energy, do give a thought to your neighbors. Quieter exercises are best if you live above someone, and mixing in safe outdoor time is good for everyone, parents included. If there’s enough room to move freely while maintaining safe distances, a game of tag or soccer, a bike ride, or just a run, skip, or kangaroo-hop to the end of each block could be fun.
Anonymous cell-phone tracking gauges mobility as the economy reopens. Selected counties' numbers are shown; all are available on an interactive map from The Washington Post, with a story; click here.
As news develops about the coronavirus and its covid-19 disease, this item may be updated. Official state guidance is at kycovid19.ky.gov.
Kentucky Health News chart shows two-week trendline of cases is up.
Coronavirus cases remained elevated for the second straight day, but Gov. Andy Beshear said the number was driven by long-term care facilities, where the state is in the process of testing all residents and employees.
Beshear reported 247 new cases Saturday, following 283 on Friday after almost two weeks with no day higher than 166. “We have been reviewing the data from yesterday, and nearly half of the new cases were from long-term care, accounting for more than 37 percent,” he said in a press release. “Another 9% of cases were from congregate care settings, mainly the federal prison in Lexington.”
He said Saturday’s data were still being reviewed, but he said the pattern to see if the pattern “is largely a result of our expansive testing initiative in long-term care facilities.” Such facilities have accounted for about 58% of Kentucky's covid-19 deaths.
Beshear reported 13 additional deaths, raising the state's toll to 431. Eight were in Jefferson County: men aged 64, 66 and 94; and women aged 67, 84, 86, 90 and 93. The others were a 72-year-old man from Nelson County, an 88-year-old woman from Gallatin County, a 81-year-old man from Metcalfe County, a 69-year-old man from Taylor County, and a 70-year-old man from Hopkins County.
As usual, he asked Kentuckians to light their homes, places of business and places of worship green, symbolizing compassion for the victims, and added, “In light of the events of the last couple days, compassion is something we need to have on full display.”
Beshear said more than 65,800 tests were reported this week, believed to be the most in one week. The state has confirmed 9,704 residents with the coronavirus, at least 3,232 of whom have recovered.
The state has additional information, including updated lists of positive cases and deaths, as well as breakdowns of coronavirus infections by county, race and ethnicity, here.
The beauty of the outdoors naturally encourages people to go outside, inhale fresh air, listen to the birds, take a walk, or watch the wind animate the branches of the steadfast neighboring trees. The pull toward the natural world is present even in normal times. Now, as we’re confined indoors by the coronavirus pandemic, often spending hours in front of inanimate screens, the urge to be outside is ever more acute. One way to satisfy these urges while improving our health and well-being is forest therapy, a practice growing in popularity around the world.
What is forest therapy?
Inspired by the Japanese practice of shinrin-yoku, or “forest bathing,” forest therapy is a guided outdoor healing practice. Unlike a hike or guided nature walk aimed at identifying trees or birds, forest therapy relies on trained guides, who set a deliberately slow pace and invite people to experience the pleasures of nature through all of their senses. It encourages people to be present in the body, enjoying the sensation of being alive and deriving profound benefits from the relationship between ourselves and the rest of the natural world.
Shinrin-yoku started in Japan in the 1980s in response to a national health crisis. Leaders in Japan noticed a spike in stress-related illnesses, attributed to people spending more time working in technology and other industrial work. Certified trails were created to guide people in outdoor experiences. Decades of research show that forest bathing may help reduce stress, improve attention, boost immunity, and lift mood.
How does forest therapy affect the body?
Stress raises levels of the hormone cortisol. Long-term stress and chronic elevations in cortisol play a role in high blood pressure, heart disease, headaches, and many other ailments. In test subjects, levels of cortisol decreased after a walk in the forest, compared with people who walked in a laboratory setting.
Trees give off volatile essential oils called phytoncides that have antimicrobial properties and may influence immunity. One Japanese study showed a rise in number and activity of immune cells called natural killer cells, which fight viruses and cancer, among people who spent three days and two nights in a forest versus people who took an urban trip. This benefit lasted for more than a month after the forest trip!
Don’t worry if you don’t have three days to spend in the forest. A recent study in the United Kingdom of nearly 20,000 people showed that spending at least 120 minutes a week in nature improved self-reported health and well-being. It doesn’t matter whether the 120 minutes represents one long trip, or several shorter visits to nature. So, even as we are honoring physical distancing, we can get outside for 20 minutes every day and enhance our well-being.
Some research suggests exposure to natural tree oils helps lift depression, lowers blood pressure, and may also reduce anxiety. Tree oils also contain 3-carene. Studies in animals suggest this substance may help lessen inflammation, protect against infection, lower anxiety, and even enhance the quality of sleep.
Even people confined to a hospital bed may benefit from viewing nature. A small study published decades ago compared people who recovered from gallbladder surgery in a room with a window onto a natural outdoor view with people who recovered from the same surgery in a hospital room with a view of a brick wall. People who could see nature recovered more quickly and needed less powerful pain medication than people who could not see nature.
And one intriguing study found benefit in green roofs. Participants were asked to look at nature in a green roof or concrete for 40 seconds while the researchers measured attention. According to this study, green spaces are restorative and boost attention, while viewing concrete worsens attention during tasks.
Finding a forest therapy guide
The Association of Nature and Forest Therapy trains and certifies forest therapy guides across the world. Guides help people forge a partnership with nature through a series of invitations that allow participants to become attentive to the forest, to deepen their relationship with nature, and allow the natural world to promote healing and well-being.
Ultimately, guides support what the forests have to offer us, inviting participants into practices that deepen physical presence, pleasure, and partnership with nature. When we connect with nature in this way, we are connecting with ourselves.
The covid-19 pandemic has amplified the importance of health-care providers, networks and collaborations in our local communities. In particular, the Federally Qualified Health Centers (FQHC) and Rural Health Clinics (RHC) are providing essential services to help keep our local populations healthy.
David Bolt
At the Kentucky Primary Care Association our mission is to promote access to comprehensive, community-oriented primary health care services for the under-served. As part of our work, we are proud to partner with the FQHC and RHC facilities to provide resources, technical and operating assistance, and support for their innovative care delivery models. They are an essential component of a health-care system that serves all people, in every corner of our great state. These facilities provide access to high-quality care, improve health outcomes, and reduce health disparities. They also have a tremendous economic impact by creating direct jobs in more than 300 Kentucky communities.
Our FQHC and RHC partners are helping lead the way in the covid-19 pandemic response. They are collaborating with other local healthcare professionals, the Kentucky Department for Public Health, local health departments, federal experts, and other healthcare entities working to develop strategies to defeat covid-19. They are vital partners who can reach vulnerable populations in both urban and rural settings. Time and again these clinics and health centers, which operate in nearly 100 counties, step up to deliver front line care to our citizens who need it most.
Our data indicates the majority of FQHC and RHC facilities in Kentucky are involved in drive-thru testing and/or are planning their role in antibody testing. Around 60 percent of those sites are open to the general public. Anyone who wants a test can get a test. Increasing our testing capacity is paramount to gathering the data we need to make well informed decisions. Experts are also able to use the testing experience from these facilities to generate data that can be used to make future decisions about personal protective equipment distribution, supplies, packaging, and other elements involved in the testing process.
All frontline health-care workers are to be applauded for their selfless, heroic actions “on the front lines” during this pandemic. We know many heroes work at hospitals, doctors’ offices, nursing homes, with the state department for public health, at local health departments, and at other healthcare facilities. We also want to highlight the many dedicated providers, nurses, and other healthcare professionals who go to work every day at a FQHC or RHC to keep Kentuckians safe and healthy. Thank you!
The Kentucky Primary Care Association was founded in 1976 as a not-for-profit 501(c)(3) corporation of community health centers, rural health clinics, primary care centers and all other organizations and individuals concerned about access to health care services for the state’s under-served rural and urban populations. KPCA is charged with promoting the mutual interests of our members, with a mission to promote access to comprehensive, community-oriented primary health care services for the under-served. To lean more, visit https://kpca.net/
Celiac disease (CD), triggered by the ingestion of gluten, occurs in people genetically predisposed to develop the chronic autoimmune condition.
During the past few decades, doctors have learned much about how the disease develops, including genetic and other risk factors. However, results from studies on whether people with CD have an increased risk of premature death linked to the condition have been mixed. A recent study shows a small but statistically significant increased mortality rate.
Celiac disease can affect the entire body
Until recently, CD was considered a mainly pediatric gastrointestinal disorder, associated with symptoms of abdominal pain, diarrhea, constipation, and bloating, and characterized by damage to the villi of the small intestine. (Villi are tiny, fingerlike projections lining the small intestine that help the body absorb nutrients.)
With the development of accurate blood tests and large-scale screenings, we have identified CD as a truly systemic disorder that can develop at any age and affect nearly any tissue or organ in the body. People with CD may experience joint pain, osteopenia or osteoporosis, bone fracture, rash, and psychiatric symptoms such as anxiety and depression.
The environmental trigger for CD — gluten — is known. When we remove gluten (a protein found in wheat, rye, and barley) from the diet of people with CD, they usually experience an improvement or resolution of symptoms. Their blood tests return to normal and their small intestine heals.
Celiac disease may affect life expectancy
Studies evaluating CD and mortality have had conflicting results, with some studies showing up to a twofold increase in mortality, and others showing no increased risk. In addition, we have not yet identified how CD may alter life expectancy. Some think that it might be partly related to chronic inflammation, leading to the development of osteopenia and bone fractures, complications from associated conditions such as type 1 diabetes, or rarely, the development of intestinal lymphoma (a type of cancer).
A recent study published in JAMA found a small but significant increased risk of mortality in people with CD. Interestingly, people with CD were at an increased risk of death in all age groups studied, but mortality was greater in those diagnosed between the ages of 18 and 39. Researchers found that the risk of death was increased in the first year after diagnosis, but this persisted even 10 years later. The increase in mortality in patients with CD was related to cardiovascular disease, cancer, respiratory disease, and other unspecified causes.
Dietary changes and routine medical care may help reduce risks
The slight increase in mortality risk does not suggest that we need to manage CD differently. However, these findings do highlight areas for patients and physicians to focus on in an effort to possibly reduce these risks.
For example, research suggests that inadequate intake of whole grains, along with insufficient fiber intake, is a leading cause of disease and death worldwide. Specifically, lower intake of whole grains is associated with increased risk of cardiovascular disease. Given the limitations of a gluten-free diet, it is possible that people with CD eat fewer whole grains than those on an unrestricted diet. Thus, individuals with CD should consume a diet rich in whole grains that do not contain gluten, such as oats, quinoa, and amaranth.
In addition, patients with CD were found to have an increased risk of death related to respiratory disease. As part of routine care after diagnosis, patients should speak with their doctor about pneumococcal vaccines, which can reduce the risk of some respiratory infections. This is not yet common in most healthcare practices, so ask your doctor about this if he or she does not bring it up.
Chronic inflammation is likely a factor in the association of CD with increased mortality. With this in mind, physicians should consider a repeat intestinal biopsy to look for ongoing inflammation, even though this study did not find an increased risk of death in people whose intestine did not heal on a gluten-free diet.
After the intestine has healed, patients should visit their physician and dietitian yearly to review their gluten-free diet, undergo evaluation for other possible autoimmune conditions, and to discuss the need for vitamin supplementation. Routine follow-up care, pneumococcal vaccination, and a diet rich in whole grains, fiber, fruits, and vegetables should also help.
On the day when the national covid-19 death toll passed 100,000, Gov. Andy Beshear announced that with the addition of six new deaths, Kentucky's toll from the pandemic has hit 400.
"Let's all acknowledge that losing 400 people to anything, at any time, for any reason, isn't OK," Beshear said at his daily briefing. "Let's just remember that we've lost 400 Kentuckians, and this thing isn't over yet."
The governor and Health Commissioner Steven Stack spent much of their briefing saying why masks are needed, and addressing the politics of that.
"Masks have somehow become this division among people," Beshear said. "Yes, they're not comfortable; and yes, they can be hard to breathe from; and yes, they keep people from seeing your beautiful face; but they protect people."
As Stack urged all Kentuckians to wear a mask, he also encouraged those with divergent views to be respectful of each other, asking those who choose to not wear a mask to not ridicule those who do, and asking those who do wear one to protect themselves by giving a wide berth to those who don't.
"I want to you to be patient and kind and tolerant of each other so that we don't have something like this -- which is a simple public-health step to try to keep people safe -- turn into strife and conflict among ourselves," he said.
Stack stressed that there is no disagreement among public-health professionals about the importance of wearing a mask to slow the spread of the disease, since we know that the virus is spread by the spit and saliva from our mouths when we talk, cough, sneeze and sing -- and that many have the virus, but no symptoms.
He said some Kentuckians may not understand how bad the pandemic could have been in Kentucky if he and Beshear had not taken all the measures they did to slow its spread.
"I think we forget because we didn't have the same magnitude of crisis we might have had, because we didn't live in Kentucky what they lived through in New York City," Stack said. "We didn't see the horrors at the scale that they had to see in other places and I think that that's made this feel too distant and too removed from our present reality."
Beshear cautioned that as the economy reopens, it's even more important to keep our hands washed and wear a mask, reminding Kentuckians that the novel coronavirus is easily carried into long-term-care facilities, where most of Kentucky's covid-19 deaths have occurred.
"Remember, it gets into these facilities somehow. It's not just starting there," he said. "It's passed between people outside these facilities and brought in there."
Testing issues
He also called for more people -- especially in Western Kentucky, where infection rates are highest -- to take advantage of the free Kroger-sponsored testing sites. He noted that there are still hundreds of empty slots available in Bowling Green and Henderson.
The day before, Beshear called on local officials in the region to encourage their constituents to get tested, revealing that some had rejected testing sites while those in Bowling Green had set a good example.
"None of this, 'We don't want testing, so we don't know there's a problem'," he said. "Our Warren County leaders haven't done that, though we've had some others that have declined testing sites. That is turning your back on your people. We've got to know the level of our problem if we are going to protect the people that are out there. That means we have testing everywhere so we make sure we keep people safe."
Beshear said officials in Shelby County, which recently had a 50 percent increase in cases among Hispanics,"turned down a Walmart testing facility. We thought that that was interesting, but ultimately the health department and the county judge have to make decisions on that."
Citing federal and state health officials, Beshear said, "The only way that we can reopen our economy safely is if we have significant testing, and that requires you the people of Kentucky to be willing to get tested and get tested regularly."
Asked how often a person should be tested, he said that while the Centers for Disease Control and Prevention has not issued guidelines on that yet, he advised anyone regularly in the workforce to get tested about once a month if they are not showing symptoms, and immediately if they are.
The free drive-thru Kroger testing next week will be Louisville, Lexington, Elizabethtown and Bowling Green; sign ups are now open. So far, at least 200,762 tests have been done in Kentucky.
Lt. Gov. Jacqueline Coleman said the Team Kentucky Fund, which is available to Kentuckian who have lost employment or have had their hours or wages cut by half or more because of the pandemic, has received more than 1,900 applications for assistance.
The $3.2 million fund is available to all Kentuckians, but Coleman especially urged people in Breathitt, Fleming, Harlan, Knott, Knox, Lee, Leslie, Letcher, Mason and Wolfe counties to apply because they had received few applications from those counties. Click here to apply.
In other covid-19 news Wednesday:
Beshear announced 127 new cases of the coroanvirus, bringing the adjusted total to 9,077. "Our numbers today continue to suggest that we are no longer in a plateau, but on a decline," he said.
The counties with the highest number of new cases were Jefferson, 35; Boone, 11; Ohio, 10; Fayette, 7; Shelby, 6; and Oldham, 5.
The latest deaths were of a 71-year-old man and a 97-year-old woman from Boone County; a 78-year-old man from Hopkins County; two men, 77 and 79, from Jefferson County; and an 88-year-old man from Oldham County.
Beshear said 512 people were in hospital with covid-19, and 82 of them are in intensive care. At least 3,124 people have recovered from the virus. Click here for the state's daily report.
In long-term care facilities, Beshear reported that 15 more residents and 16 more staff have tested positive for the virus, for a total of 1,185 and 563 respectively. He said five more residents have died of covid-19 in the last several days, bringing the death toll up to 239 resident deaths and two staff deaths, in 120 facilities. Click here for the daily long-term care facility report.
Beshear said the first 10 minutes of tomorrow's briefing will feature videos for young children, one about masks and the other about anxiety.
Kentucky Health News chart shows daily cases and the trendline for the last two weeks.
As news develops about the coronavirus and its covid-19 disease, this item may be updated. Official state guidance is at kycovid19.ky.gov. By Melissa Patrick
Kentucky Health News
Amid an encouraging decline in Kentucky coronavirus cases, the number of nursing homes with cases took a big jump, and unhealthy behavior and lack of testing signups made officials worry.
The state confirmed 141 new cases Sunday, 122 Monday and 117 Tuesday, reversing last week's slight uptick and accelerating the downward trend over the last two weeks, the period that federal officials say state officials should watch as they reopen their economies.
Weekend numbers are often reduced by limited reporting, but the Lexington Herald-Leaderreports the latest three-day average was 127, the lowest since April 17. The number of deaths has also declined, to only three in the last three days, raising the state toll to 394.
“These are some of the lowest daily numbers we have seen,” Gov. Andy Beshear said. “But that is fragile, and with a disease that can so easily spread we have to want and put into action our desire to continue to see that downward movement.”
The bad news is that 26 more long-term-care facilities have had at least one case of the coronavirus, bringing the total to 105, and one had a major outbreak.
Health Secretary Eric Friedlander said 39 residents and 20 employees tested positive over the weekend at Nazareth Home Clifton in Louisville, sending 37 residents to hospitals because there was not enough healthy staff to care for them. The state is providing staff support while the employees recover.
"We're going to see this probably again in Kentucky and we will have plans in place and we will respond aggressively," Friedlander said.
Health Commissioner Steven Stack said the evacuation was the state's largest to date, taking four hours and involving six local hospitals.
The 101-bed facility had requested facility-wide testing after several residents began to show symptoms of covid-19 last week, and had previously reported only one resident with the virus, Bailey Loosemore reports for the Louisville Courier-Journal.
The state is working to test every resident and staff person at these facilities, an effort that Stack said will take several months. Friedlander said the state has done at least 11,000 tests in facilities, with a few thousand more scheduled in the next few days.
Since Friday, a total of 54 residents and 27 employees tested positive, raising those numbers to 1,170 and 547, respectively. He said there had been three new deaths "going back," for a total of 215 resident deaths, plus two staff deaths from the virus. Click here for the daily update.
So far, at least 193,576 tests have been done in Kentucky. The governor's daily news release said the testing rate in the past week was 138 per 100,000 residents, well above the recommended rate of 100 per 100,000. Click here for information on how to register for testing at more than 70 locations throughout the state.
Beshear once again implored Kentuckians to get tested, noting that the numbers at the free drive-thru sites sponsored by Kroger were disappointing, especially in Bowling Green, where only 206 signed up to be tested Tuesday, 84 on Wednesday, 39 on Thursday and 22 on Friday. The capacity at each site is typically 400 per day.
"We have a major outbreak in Warren County that our testing can help us identify and control, but you -- you've got to go in and you've got to get tested," Beshear said.
He also pointed out that the Kroger site in Henderson, near an area with many cases, had tested only 24 people Tuesday, with only 21 signed up for tomorrow and seven on Thursday.
"Folks, this is real. It is in this part of the state. We need you to take advantage of this. This is about protecting your community," he said.
In another worrisome moment, Stack showed a video of a Lexington bar/restaurant crowded with people and warned that the virus is easily spread in large gatherings, especially where people are talking loudly.
"The evidence is absolutely overwhelmingly clear that a small number of large events or a small number of a lot of people getting together with one or two infected folks spreads this thing like wildfire," he said. He later added, "I don't know what it will take for us to learn that this is not a game, that this is serious."
Beshear added that the bar was not ensuring a safe environment and said, "I wouldn't go there, and I won't go there, and you shouldn't either, because if we are not going to enforce social distancing in places, they are not safe."
Stack also talked about the importance of wearing masks to decrease the spread of the virus, though they can be a nuisance.
“This infection has taken a horrible toll on humanity, and unfortunately it will continue to take a toll until we find a vaccine and a way to prevent this," he said. "Until we find a treatment or we can cure it, we are left with old-school, old-fashioned public-health measures which we know work, but are difficult to implement because they require us to make sacrifices -- sacrifices that protect us and the people we love and care about, but also sacrifices that protect other people who rely on us."
Beshear, as he wrapped up talking about the Sunday protest that ended with him being hung in effigy, said as he redonned his mask, "After everything that has happened this weekend, do we still think it is too much to wear a mask? To protect our fellow human beings? I wear it to protect my family. I think other people should wear it to protect theirs."
In other covid-19 news Tuesday:
Beshear said Tuesday's deaths include an 85-year-old woman from Adair County, a 63-year-old man from Allen County and a 72-year-old woman from Jefferson County. He encouraged everyone to turn on green lights, as he and his family would at the governor's mansion, saying, "We show compassion there, not anger. We show love there, not hate."
Beshear said 489 patients are hospitalized with covid-19, including 78 in intensive care. He said at least 3,115 Kentuckians have recovered from the virus. Click here for the daily summary.
The counties with the highest number of new cases over the last three days were Jefferson, 146; Shelby, 41; Warren, 30; Fayette, 26; Kenton, 10; and Logan, 10.
In an Appalshop Twitter post Dr. James Brandom Crum, a diagnostic radiologist in Pikeville, warns coal miners with black lung or chronic lung disease about how dangerous covid-19 could be for them, and asks them to self-isolate as much as possible, wear a mask and make sure those around them are doing all they can to protect them, because they could have the virus without symptoms. "Miners, let people help you," he says. "Isolate yourself, let people go to the store for you, so you can stay away from people 'til this thing is better under control."
Norton Healthcare plans to open a "first of its kind, permanent drive-thru and walk-up facility" in the fall, WDRBreports. Services will include vaccines, covid-19 testing, flu, strep, EKG and minor x-rays.
The state Department of Public Advocacy, which provides public defenders, is concerned about their health and that of others in the system if courts resume in-person hearings too soon. Some courts plan to do that June 1, DPA says in a news release. It says that was not the intent of a May 15 Supreme Court order saying trial courts could on June 1 “resume hearing civil and criminal matters using available telephonic and video technology to conduct all proceedings remotely." Public defenders often represent multiple defendants in one court session.
ProPublica "scoured the latest research and talked to seven infectious disease and public health experts" to report on the latest information parents need to know about coronavirus as children return to day cares and camps. Beshear has said small, in-home child cares can open June 8, with some center-based programs and day camps allowed to open on June 15
Protesters hung Gov. Andy Beshear in effigy from a tree across from the governor's mansion and took their demonstration to its front porch, prompting objections from Kentucky politicians of both parties Sunday.
The event started as a Second Amendment rally "but turned into a protest of coronavirus restrictions and Beshear’s administration," reports Sarah Ladd of the Louisville Courier Journal. "As the rally wound down, organizers led the remaining crowd to the governor’s mansion to attempt to hand deliver a request for Beshear to resign. . . . No one came to the door. A few Kentucky state troopers got out of their cars to observe but did not attempt to stop the crowd. It’s not clear if Beshear was at home at the time. The crowd returned to the capitol, at which time an effigy of Beshear was hung from a tree outside the Capitol while 'God Bless the U.S.A.' played over the loudspeaker."
The effigy bore a sign saying "Sic semper tyrannis," Latin for "Thus ever to tyrants," the state motto of Virginia and the words John Wilkes Booth reportedly said after assassinating President Abraham Lincoln in 1865. "After hanging for a short time while people snapped photos," Ladd reports, "it was cut to the ground." But it brought objections from some protesters, and from politicians of both parties.
"I condemn it wholeheartedly," Secretary of State Michael Adams, a Republican, said on Twitter. "The words of John Wilkes Booth have no place in the Party of Lincoln."
State Senate Minority Leader Morgan McGarvey, D-Louisville, called on Republican leaders to "join me in condemning violent threats against any elected official."
Sen. Whitney Westerfield, R-Hopkinsville, who narrowly lost the 2015 attorney general's race to Beshear and has been one of his most frequent critics, replied, "Agreed, @MorganMcGarvey. This awfulness has no place in civil society."
Senate Majority Leader Damon Thayer, R-Georgetown, tweeted, "These actions are reprehensible. I absolutely condemn violence and threats of violence. If you want to protest, do it peacefully and respectfully."
President Trump wore a mask on a private tour of a Ford plant Thursday but refuses to do so in public.
By Melissa Patrick
Kentucky Health News
Wearing a mask when out in public is even more important as Kentucky reopens its economy, medical professionals advise. Many Kentuckians are skeptical.
Rebecca Dutch, chair, UK Department
of Molecular and Cellular Biochemistry (UK Photo by Mark Cornelison)
"It is actually, primarily, so that if you happen to have the virus and you don't know it -- which happens very frequently now -- you're not breathing it out, coughing it out on other people," said Rebecca Dutch of the University of Kentucky, who has spent more than 30 years studying viruses.
"Every person we add into our interactions is someone we might either get it from or pass it to, or take it home to our families," Dutch said. "Remember that the risk is still there, so think carefully about whether what you are doing is something that is a good idea."
Dutch is a professor and the chair of the Department of Molecular and Cellular Biochemistry at UK, and leader of the Covid-19 Unified Research Experts (CURE) Alliance team, which advises on covid-19 patient care and clinical trials at the university.
She said the novel coronavirus has a relatively high infection rate, with each infected person causing three more infections if there are no restrictions on activities and contacts. Emergency restrictions imposed by Gov. Andy Beshear have reduced Kentucky's infection rate to 0.87, according to a model created by the co-founders of Instagram, which displays each state's rate at rt.live. A rate of less than 1 means the virus should eventually stop spreading.
It will be important to watch this number as the state has fewer restrictions and more contacts; Beshear has refused to say how the infection rate drives his decisions, but New York Gov. Mario Cuomo has said a rate of 1.1 or above would be a trigger for him to reimpose restrictions.
As he allowed opening of Kentucky's stores and restaurants, and social gatherings of 10 or fewer people, Beshear used the rhyme "Hands, face and space" to summarize the medical advice: Keep your hands washed; don't touch people not in your immediate family; wear a mask in close quarters; avoid touching your face; keep six feet of separation; and to entertain outside, if at all possible.
"All of these are mechanisms just to try to stop as much spread as we can," said Dutch. "So that is why the governor is now asking people to mask."
The official message also came with a warning that some Kentuckians may have become complacent about their risk of getting the virus. "some may conclude that the danger is not still there, and I’ve got to urge you, the danger is still there. If we take our eye off the ball . . . we could find ourselves in late June paying very dearly for our actions today," Health Commissioner Steven Stack warned May 22.
The most controversial piece of advice is to wear a mask, so Beshear is asking Kentuckians to say on social media posts why they wear one, and to talk to others about it.
"Some people have objected to masks, and the challenging part about that is you can object to a mask on your own personal health, but it is not your own personal health that it is going to impact," Beshear said May 19. "It is other people's health, so it is more about your willingness to protect other people if you are wearing or not wearing one."
The governor regularly points out that masks are recommended by the White House and the Centers for Disease Control and Prevention. At one point he said they shouldn't be a partisan issue.
A Kaiser Family Foundation Poll released May 22 found that Democrats are about twice as likely as Republicans to say they wear a mask every time they leave their house: 70% and 37%, respectively. Majorities of each party said they wear a mask "most of the time."
Kaiser Family Foundation chart; click on it to enlarge. More data and poll questions are here.
The poll also found that while 72% of Americans think President Trump should wear a mask when meeting with others, only about half of Republicans, 48%, agree. The report says that the partisan difference in largely driven by Republican men.
A pushback on several levels
Trump says he doesn't need to wear a mask because he is tested daily for the virus, but critics say he is missing an opportunity to set an example that would save lives. Thursday, he refused to wear a mask in front of news cameras while touring a Ford plant in Michigan on Thursday, saying "I didn't want to give the press the pleasure of seeing it." He wore a mask when news cameras weren't around, but someone on the tour took a picture of him and it was widely circulated.
Senate Majority Leader Mitch McConnell regularly wears a mask, bit U.S. Sen. Rand Paul, an ophthalmologist, says he won't wear one because he says he has had the disease and is immune. However, experts warn that this hasn't been proven, and there have been reports of people testing positive weeks after they have recovered, and that it is uncertain if they are contagious or not.
Fourth District U.S. Rep. Thomas Massie weighed in on Twitter yesterday, saying "There is no authority in the Constitution that authorizes the government to stick a needle in you against your will, force you to wear a mask, or track your daily movements. Anyone who says you have to right to avoid those things fundamentally misunderstands the 9th" Amendment, which says the Constitution's language "shall not be construed to deny or disparage others retained by the people."
Lexington Herald-Leader photo
And in a move that got national notice, a Manchester convenience store posted a sign banning masks. Alvin's responded to complaints by saying it was a "joke," the Lexington Herald-Leaderreported. Later, it clarified the statement in a Facebook post, saying it would not turn away mask-wearing customers and "It's your choice to wear one or not, not our government's choice for us." Newsweekreports that the sign has since been taken down.
Earlier, Chris Kenning and Sarah Ladd of the Louisville Courier Journaltook a look at who was or wasn't wearing masks around Kentucky and found a low percentage of compliance in one of the hardest-hit parts of the state.
Mason Barnes, Judge-Executive of Simpson County, just south of Warren County, which continues to have one of the state's highest infection rates, told the CJ, "I'd say 70 percent to 80 percent of the people are not wearing masks when they're out and about."
Beshear has said Kentuckians will not be cited or arrested for not wearing a mask in public.
So, why should you wear a mask? The simple answer is because the virus is primarily spread by tiny droplets from infected people, not just coughing and sneezing, but from talking and breathing. A mask can stop the spread of those droplets, especially from people who have the virus but don't know that they do. Stack, the health commissioner, says about one in four Kentuckians who have the virus have no symptoms.
UK HealthCare photo
Dutch, the UK virologist, pointed out that people can be very infectious just before they get symptoms.
She said, "When people can spread it before they know they are sick, we actually have to take extra precautions because we all have to think, 'Oh, I might have this, what do I need to do to protect people when I go out?'"
More than 40% of Kentucky adults are at higher risk of serious illness if infected with the virus because they have heart disease, chronic obstructive pulmonary disease, uncontrolled asthma, diabetes or a body mass index of 40 or more, indicating morbid obesity, according to the Kaiser Family Foundation. It did not include people with another risk factor, cancer, in which Kentucky is a national leader.
The value of wearing a mask is illustrated by a new study, published in The Proceedings of the National Academy of Sciences. It shows how normal speaking can launch thousands of droplets that can remain suspended in the air for eight to 14 minutes, allowing them to be inhaled by others. "There is a substantial probability that normal speaking causes airborne virus transmission in confined environments," the study report says.
The researchers said in a letter to The New England Journal of Medicine that the same experiment, using scattered laser light, found that use of a cloth face mask blocked nearly all droplets emitted when talking.
In addition, the scientific evidence is so strong to support the wearing of masks to slow the spread of the virus that more than 100 prominent health experts have asked governors to require them. They write that the research "strongly suggests that requiring fabric mask use in public places could be amongst the most powerful tools to stop the community spread of covid-19."
So why did the CDC recommend not wearing a mask two months ago? The Mayo Clinicsays face masks were not recommended at the start of the pandemic because experts didn't know the extent to which people with covid-19 could spread the virus before symptoms appear, nor was it known that some people have covid-19 but don't have symptoms.
The CDC now recommends the use of reusable cloth masks so that surgical masks and N95 respirator masks, which continue to be in short supply, can be saved for health-care workers.
The CDC guidance says cloth masks should: fit snugly but comfortably against the side of the face; be secured with ties or ear loops; include multiple layers of fabric; allow breathing without restriction; and be able to be laundered and machine-dried without damage or change to shape. It also cautions that they should not be placed on children under age 2, anyone who has trouble breathing, or anyone who would have trouble removing the mask without help. The Mayo Clinic recommends that cloth face coverings be washed after every day of use.
Beshear's "healthy at work" rules require businesses to have employees to wear a cloth mask, unless it is a health or safety hazard to do so, or if they are working alone or in an enclosed space, or if they are working in an area that allows for appropriate social distancing. The order also encourages customers to wear masks, and allows businesses to refuse to serve customers not wearing them.
Dutch urged caution as the state reopens its economy, saying that the "long road ahead of us" will require all of us to make smart choices if we are to slow the spread of this virus, like continuing to practice social distancing and wearing a mask.
"I think it is really critical that people understand that as we are reopening the economy, we've done a good job of slowing down the rate of infections, but the virus is not gone," she said.
She added later, "The best we can do is anything that can just slow down how often people spread this virus from them to someone else, and that's how we win. Hopefully we will do well. We will see."
Kentucky Heath News chart shows that cases trended up this week, but the two-week trendline, a key federal metric used to guide states in reopening their economies, is down.
As news develops about the coronavirus and its covid-19 disease, this item may be updated. Official state guidance is at kycovid19.ky.gov.
“For only the second time in about a month and a half, we have zero new deaths to report,” Gov. Andy Beshear said in his daily coronavirus update, delivered by press release, not in person.
Beshear reported 148 more cases of the coronavirus, for an adjusted total of 8,571. At least 3,102 Kentuckians have recovered from the virus. For additional information, including lists of positive cases and deaths, as well as breakdowns of coronavirus infections by county, race and ethnicity, click here. The list does not include a breakdown of today's new cases.
While a key federal metric for states reopening their economies, a two-week trendline, is down in Kentucky, the state's cases have trended upward this week as Beshear has allowed all retail establishments to reopen, restaurants to reopen at limited capacity, and gatherings of 10 or fewer people, a step he advance to include Memorial Day weekend.
“I am urging Kentuckians to please be safe this weekend,” Beshear said in the press release. “As we recover, we are depending on Kentuckians to take the steps necessary to protect one another this weekend and every day and weekend moving forward.”
About 200 demonstrators gathered on the steps of the state Capitol to call for removal or reduction of restrictions imposed by Beshear. Few masks were in evidence as people stood within six feet of each other, and Republican U.S. Senate candidate Wesley Morgan went around shaking hands.
Four would-be protesters had sought an injunction from a federal judge to block any state enforcement at the event, but District Judge Gregory Van Tatenhove said no Thursday evening, noting that the Beshear administration said the rally could proceed, and the four men hadn't shown that they had suffered harm, the Courier Journalreports.
In other covid-19 news Saturday:
The "How Covid-19 Spreads" webpage of the U.S. Centers for Disease Control and Prevention no longer says that the coronavirus spreads easily from contaminated surfaces. A CDC spokeswoman told The Washington Post that the agency made the change after that the revisions were the result of “usability testing” and an internal review. The webpage still says, “It may be possible that a person can get covid-19 by touching a surface or object that has the virus on it and then touching their own mouth, nose, or possibly their eyes. This is not thought to be the main way the virus spreads, but we are still learning more about this virus.”
President Trump’s move to block travel from Europe in March "triggered chaos and a surge of passengers from the outbreak’s center" before the ban went into effect, the Post reports, noting that "Harrowing scenes of interminable lines and unmasked faces crammed in confined spaces spread across social media." Trump banned travel from China in February, but allowed 48,000 Americans to return, and "Members of the administration’s coronavirus task force were even presented with charts showing that the number of flights arriving from Europe dwarfed the influx from China," the Post reports.
Johns Hopkins University chart shows how Kentucky testing is up and positive results are down.
By Al Cross
Kentucky Health News
Gov. Andy Beshear declared for the first time Friday that the coronavirus is declining in Kentucky, but he and his health commissioner warned of a possible resurgence as the Memorial Day weekend began with small gatherings allowed and restaurants opening on a limited basis.
“We now think that we have not just plateaued, but we are actually in a decline in overall numbers of cases, especially when you look at the amount of testing that we’re doing,” Beshear said as he announced 141 new coronavirus cases and five more deaths from covid-19, bringing the state's toll to 391.
“We have proven that when we have adversity like we have had, we are resilient, we take care of each other,” Beshear said at the start of his daily briefing. Looking ahead to the Memorial Day weekend, he said, “It’s about being able to more things that we have done in a while and to make sure we do them responsibly. . . . How we're able to keep our cases down depends on how we do this weekend, and every weekend thereafter.”
Health Commissioner Steven Stack praised Kentuckians for their sacrifice, then issued much more comprehensive warnings.
“This is a time that gets dangerous for us; people get complacent. We can have the tendency to reach the wrong conclusions sometimes,” he said. “The reason we’re not having a much serious crisis right now … is because of what you have done … staying healthy at home these last couple of months.”
Then he warned, “Because we’re not in that trouble some may conclude that the danger is not still there, and I’ve got to urge you, the danger is still there. If we take our eye off the ball . . . we could find ourselves in late June paying very dearly for our actions today.”
Beshear, replying to a question about Memorial Day, said “My chief concern is that we’re so excited to see each other we’ll forget all the rules.”
Primary election: Secretary of State Michael Adams and State Board of Elections Executive Director Jared Dearing appeared at the briefing to urge people planning to vote in the rescheduled June 23 primary to do it by absentee ballot, to avoid long lines at polls, which will be as few as one per county.
GoVoteKy.com, a site for absentee-ballot applications, will be open until midnight June 15. Dearing said it takes about two minutes to apply. Adams said voters can also call, email or fax their county clerk, but the clerks are overrun, "so the best way to be a respectful citizen is to go to the website."
Ballots and postage-paid envelopes will be mailed to applicants, who must mail or otherwise return them by June 23. The deadline to register to vote for the primary, or correct registration information, is 4 p.m. Tuesday, May 26.
Beshear said, "This might be the easiest that it ever is to vote. . . . I would love to see us have a better primary response through this than we normally see" in a primary, when about one in six voters usually cast ballots.
Unemployment: Deputy Workforce Secretary Joshua Benton said 14,000 claims from March and 38,000 from April remain unresolved. He said more reviewers and adjudicators and being hired, and the most experienced adjudicators are being assigned to the March cases.
Benton said the kcc.ky.gov website has been changed to allow employers to submit return-to-work dates for employees, which will stop their unemployment benefits, and to add a dialog box to "streamline email . . . A lot of people are emailing a lot of different staff."
Beshear, asked if people who are told to quarantine themselves because they have had contact with an infected person, didn't answer directly. “We’d contact their employer because their employer should not want them coming back in sick,” he said. “Every business ought to realize that at that point its dangerous for that person to come in.”
In other covid-19 news Friday:
Beshear said the five deaths were of an 88-year-old Jefferson County man, a 97-year-old Jefferson County woman, a 74-year-old Barren County man, an 88-year-old Hopkins County woman and a 72-year-old Shelby County woman.
He said the fatalities have been 77.6 percent white, 18.7% African American, 2% Asian American, and 1.3% multiracial; and 3% Hispanic and 97% non-Hispanic.
Counties with five or more new cases were Jefferson and Warren, 28 each; Kenton, 16; Boone, 11; Fayette, nine; Woodford, six; and Logan and Shelby, five each.
Beshear said the state more than 171,338 coronavirus tests have been conducted in Kentucky, and "I still think that number is low," because some negative results are not reported.
Asked how the state is reporting viral tests, which determine if someone has the virus, and antibody tests, which see if they've had it but are less accurate, Stack said positive results from antibody tests are counted as probable cases; that number stood at 121 Friday, part of a total case number of 8,426 -- 3,069 of whom have recovered.
Beshear's chief of staff, LaTasha Buckner, said the state Capitol would reopen to groups of 10 or fewer visitors, by appointment, on Wednesday, May 27. She said they would be asked, but not required, to wear masks.
Beshear said a private funeral for former first lady Phyllis George, with about 40 people, would be held in the Capitol rotunda on Monday and livestreamed on KET. He complimented her children, Lincoln and Pamela Brown, saying they saw "the difficulty in having the same types of services we have had in the past," presumably a public lying in state with visitation.
The governor said that on June 29, when he tentatively plans to allow gatherings of 50 or fewer people, he might allow opening of small, "community type" swimming pools "where there is the ability to limit folks to 50 and to enforce the social distancing." He said that would depend on "where the virus is."
Cognition is an important function of the brain that enables us to acquire and process information, to enhance our understanding of thoughts, experiences, and our senses. Any condition that affects our ability to think, reason, memorize, or be attentive affects our cognitive ability. Some cognitive decline is a normal part of aging, but there are many things you can do to prevent or forestall cognitive changes as you age, including when planning for surgery.
Older adults are having more surgical procedures
As our population ages and medicine and healthcare advances, more older adults are likely to develop serious conditions (like heart problems) and undergo surgical procedures to treat or manage these conditions. Recent surveys suggest that progress in surgical techniques and control of anesthesia has increased surgical procedures in older people, with approximately 30% of all surgeries being conducted in people over the age of 70.
While advances in medicine may help people live longer, older adults are more likely to develop complications due to surgery. Some research suggests approximately one-quarter of those over 75 undergoing major surgery will develop significant cognitive decline, and about half of those people will suffer permanent brain damage.
Why do surgery and anesthesia cause problems with thinking for older adults?
There are degenerative changes in the brain with aging that predispose people to cognitive changes from surgery. Hence, age is a risk factor that needs to be considered when making decisions about surgery. Education level, mental health, and pre-existing medical conditions are also factors that affect an older person’s postsurgical cognitive functioning. People with higher levels of education tend to have more active brains due to regular mental stimulation. Mental and social activities promote brain health and decrease the risk of dementia and cognitive decline with normal aging.
Pre-existing medical conditions such as obesity, hypertension, coronary artery disease, diabetes, chronic kidney disease, stroke, and dementia predispose older adults undergoing surgery to more risk of postoperative cognitive decline. The reason these diseases cause cognitive decline is related to systemic inflammatory markers in the blood — proteins that are released into the bloodstream as a result of inflammation in the body. These markers enter the brain following a break in the blood-brain barrier (protective membrane) during the postoperative period, resulting in inflammation in the brain. This blood-brain barrier dysfunction is frequently seen in older people (even in the absence of surgery), and has been seen in approximately 50% of patients undergoing cardiac surgery.
Does the type of surgery and anesthesia matter?
Many surgical factors and techniques, blood pressure fluctuations during surgery, and longer time in surgery can adversely affect the cognitive function of older patients. Each factor affects cognitive functioning in a unique way. Younger patients tend to respond better to surgical stresses compared to older people.
Minor surgical procedures such as skin biopsies, excision of cysts, suturing of lacerations, and related procedures performed on an outpatient basis are unlikely to result in cognitive decline. However, as the complexity of a surgical procedure increases, with longer operative periods and greater exposure to more anesthesia medication, the likelihood of postoperative cognitive decline increases. This is especially true for cardiac surgery.
Studies suggest that incidence of postoperative cognitive decline is approximately 30% to 80% after cardiac surgery, while for noncardiac surgeries the prevalence is approximately 26%. While all major surgeries (such as orthopedic, abdominal, or gynecological) pose a risk for cognitive decline, cardiac surgeries have a much higher proportion of cognitive decline after surgery. The most common determinants of cognitive decline involving cardiac surgical procedures are the presence of pre-existing cognitive dysfunction and the use of bypass machines to replace the function of the heart and lungs during the surgery.
Anesthesia management before and during surgery affects what happens after surgery
The perioperative period refers to the time span of a surgical procedure, and includes three phases: preoperative, operative, and postoperative. Anesthesia management encompasses all three phases. The type and dose of anesthesia medication, the use of opioid analgesics, fluid, and glucose management can all influence a person’s cognitive function in the perioperative period. The use of multimodal anesthesia (where a combination of intravenous medications is used, instead of only inhaled agents) may protect against some cognitive dysfunction, as may using non-opioid analgesics for pain management in the postoperative period.
Are there strategies to avoid cognitive decline in the postoperative period?
Benjamin Franklin once said, “An ounce of prevention is worth a pound of cure.” No other condition exemplifies this saying better than preventing postoperative cognitive decline.
The following are some strategies you and your caregivers can use to prepare for surgery.
Schedule a comprehensive geriatric assessment. This enables your physician to diagnose reversible aspects of frailty preoperatively (if they exist) and take adequate measures in a timely manner, such as altering medications you may be taking, and/or postponing surgery if you are extremely frail, to improve nutrition and incorporate lifestyle changes.
Talk to your surgeon about the risks and complications of the procedure. If you are having heart surgery, ask if a cardiopulmonary bypass machine will be used, and whether it is important to your surgery.
Talk to your anesthesiologist about
The types of medications they plan to use, and if there are alternatives for those medications. Have a conversation about need for opioid analgesics, and if alternative non-opioid pain medication can be used to decrease the risk of postoperative cognitive decline.
The methods of measuring medications that can reduce your risk of cognitive changes. For example, use of EEG machines during surgical procedures enhances the anesthesiologist’s ability to monitor the depth of anesthesia. Anesthesia depth is the degree to which the central nervous system is depressed by an anesthetic medication. EEG monitoring will result in adequate usage of anesthetic agents, avoid overuse, and reduce risk for postoperative cognitive decline by reducing anesthesia exposure.
Gather relevant information on your perioperative management. Discuss which medications you currently take and should continue taking, and which ones should be avoided.
Caregivers need to be informed about the need for keeping their loved one active and following physical rehab recommendations, and providing mental stimulation in the postoperative period. Puzzles, sudoku, board games, books, etc., will keep someone entertained while simultaneously providing them with some brain activity.
Finally, it is necessary to understand that although there is no cure for postoperative cognitive decline, preventive strategies and pre-planning with your team of surgeons, anesthesiologists, and geriatricians can help reduce the risks of cognitive problems that older adults often face following surgery.
This is a lesson for news readers from Fargo to Duluth to Toronto and places in between and beyond. The lesson is that you can’t jump to conclusions based on news stories about a single patient, or about a single researcher’s belief in a cure.
Single anecdote stories
There simply isn’t much you can say about apparent treatment results in one person. Except that it only seems to be apparent. It’s not proof that a treatment worked. And it’s only in one person.
It wasn’t a bad local story. It contained a lot of information. I’ll offer some tips later on. But it’s what happened with the story after it appeared in Fargo-Moorhead that caught my eye. More on that later, too.
The story began:
Gene Bad Hawk’s battle with the coronavirus began with headaches and fever. Over the ensuing 20 days since his diagnosis he would bounce between motel isolation rooms and hospital beds.
A bit deeper in the story:
Given his deteriorating condition, Bad Hawk’s doctors at Essentia Health decided he was suitable for a research trial and he readily agreed to receive what’s called convalescent plasma — blood plasma containing neutralizing antibodies from a patient who recovered from COVID-19
The story explained that:
Essentia has access to the plasma through a trial conducted by the Mayo Clinic. Although early reports are encouraging, there still is no clear proof that convalescent plasma is effective.
The Mayo Clinic patient information website itself has stronger caveats than what the story contained, including this simple but important reminder for anyone in any trial: “You might not experience any benefit.”
Some tips for how this story could have been better
That reminder – “You might not experience any benefit” – could have been in the story, which could have linked to the Mayo Clinic website page for patient care and health information.
So this one man featured in the story thinks he got a benefit. Of course, that can’t be proven. The story quoted an Essentia physician:
“We have given it to six patients at Essentia Health in Fargo,” he said. “We have seen improvement in some,” but two patients died.
How many is “some” in “improvement in some”? How much improvement? The story should have given these details – and whether any of the trial results have been published. It also could have emphasized that no conclusions can be drawn from the experience of one person.
Is this Fargo? Or Duluth?
I didn’t see the original Fargo-Moorhead newspaper story. I saw it on the website of the Duluth News Tribune. The papers are owned by the same company.
I live in the land between Fargo and Duluth and I know that Essentia Health has facilities in both cities. So, having seen it in the Duluth paper, I assumed this took place at Essentia in Duluth. It didn’t. The Duluth paper simply picked up a freebie story from a sibling paper in Fargo to help fill the day’s paper. Essentia in Duluth is also part of the Mayo plasma trial, but that wasn’t mentioned when the Duluth paper copied the Fargo story.
So what relevance did this one-person story out of Fargo have for Duluth readers? This is happening more often with declining revenues and staffing for many news organizations. The day’s news is often filled with recycled stories apparently without enough thought put into what it means – or often, doesn’t mean – for locals.
The column is nearly 2,000 words long, which is unusual in a newspaper. One could infer that the paper thought this was particularly worthy of 2,000 words. Here’s how the story is framed:
When Sachdev Sidhu talks about what his team has accomplished in their lab at the University of Toronto’s Donnelly Centre for Cellular and Biomolecular Research, the words are entirely his own. And they stun.
A cure. For the coronavirus. For SARS-CoV-2. For the COVID-19 disease that has killed upwards of 320,000 people around the planet.
A knockout punch.
“Yes, I believe ‘cure’ is the proper word,’’ the molecular engineer says, almost blandly. “They would no longer be ill. They would no longer have the virus in their system. That’s a cure.’’
He’s done it. He’s certain.
You might be thinking: “Wow, that research team must have collected some impressive clinical trial results.” Right? If you could read on, you’d learn:
…the lab will be doing small animal tests for safety over the next few weeks.
In the entire ~2,000 words, the only scientist quoted is Professor Sidhu. An agent or publicist couldn’t get better results than this. Will the Toronto Star profile other leading researchers with similar fanfare? If not, why not?
The columnist who wrote the piece is known for covering sports and current affairs. COVID-19 research news is not sports news. Maybe the newspaper should assign a health/medical/science journalist to write about such stuff – if there are any left to take on the assignment.
Single-mindedness
Just as the patient in our first example has every right to believe that his life was saved by an experiment, so is this scientist entitled to believe that he has “the cure.” However, their personal beliefs are not necessarily newsworthy.
To be clear, as it should be already, this analysis is not about those two individuals. It is about the responsibility of journalism to provide evidence, to independently vet claims, and to be accurate, balanced and complete.
The cutbacks in staffing in news organizations are deep and terribly disruptive to quality journalism. But we still do have terrific journalism about COVID-19 being delivered every day by leading news organizations. The news organizations that can’t evaluate evidence, can’t analyze claims, can’t find independent sources (which we can help with) – these organizations would be better off not reporting on the pandemic Because when they mislead, they harm more than help.
