Incidence of COVID-19 Among Persons Experiencing Homelessness in the US From January 2020 to November 2021

Link: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2795298

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JAMA Netw Open. 2022;5(8):e2227248. doi:10.1001/jamanetworkopen.2022.27248

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Question  How many cases of COVID-19 in the US have occurred among people experiencing homelessness?

Findings  In this cross-sectional study of 64 US jurisdictional health departments, 26 349 cases of COVID-19 among people experiencing homelessness were reported at the state level and 20 487 at the local level. The annual incidence rate of COVID-19 was lower among people experiencing homelessness than in the general population at state and local levels.

Meaning  The findings suggest that incorporating housing and homelessness status in infectious disease surveillance may improve understanding of the burden of infectious diseases among disproportionately affected groups and aid public health decision-making.

Author(s): Ashley A. Meehan, MPH1; Isabel Thomas, MPH1,2; Libby Horter, MPH1,3; et al

Publication Date: August 18, 2022

Publication Site: JAMA Open Network

As the Monkeypox Spread Recedes, There Are Lessons To Learn

Link: https://reason.com/2022/12/01/as-the-monkeypox-spread-recedes-there-are-lessons-to-learn/

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After close to 30,000 infections, 15 reported deaths, and more than one million doses of vaccine, it appears as though the widespread nature of the U.S. monkeypox outbreak may be nearing an end.

The most recent data from the Centers for Disease Control and Prevention (CDC) show a seven-day average of seven new monkeypox cases per dayThis is a massive decline from the more than 400 cases per day reported during the height of the outbreak in late July and early August. Though, to be clear, it may be some time before we have no cases of monkeypox in the U.S. at all.

There are several explanations for this success, some more obvious than others. The most obvious: This strain of monkeypox was overwhelmingly spread between men who have sex with other men. While monkeypox is technically not a sexually transmitted infection—it can be spread through physical contact with rashes and sores of an infected person—this particular strain seemed stubbornly resistant to nonsexual spread. Los Angeles County data, for example, shows that only 43 of the 2,388 confirmed cases were in women. So, the number of demographic groups at risk of infection was much lower than the number at risk of catching COVID-19.

Author(s): SCOTT SHACKFORD

Publication Date: 1 Dec 2022

Publication Site: Reason

Flu rips through University of Michigan campus, bringing CDC to Ann Arbor

Link:https://www.freep.com/story/news/health/2021/11/15/flu-rips-through-university-michigan-campus-brings-cdc-campus/8622063002/

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Influenza is sweeping the University of Michigan’s Ann Arbor campus, with 528 cases diagnosed at the University Health Service since Oct. 6.  

The outbreak is so sudden and large — 313 cases were identified the week of Nov. 8 alone and 37% of flu tests that week were positive — that it’s drawn the attention of federal health leaders.

……

Among those who’ve contracted flu at U-M this fall, 77% didn’t get a flu vaccine. The cases were identified as influenza A (H3N2), said Lindsey Mortenson, UHS medical director and acting executive director.

“While we often start to see some flu activity now, the size of this outbreak is unusual,” said Juan Luis Marquez, medical director at the Washtenaw County Health Department. “We’re grateful for the additional support of the CDC and our ongoing partnership with the university as we look more closely at the situation.”

Author(s): Kristen Jordan Shamus

Publication Date: 15 Nov 2021

Publication Site: Detroit Free Press

How Malaria Brought Down Great Empires

Link:https://www.wsj.com/articles/how-malaria-brought-down-great-empires-11634320669

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Malaria could stop an army in its tracks. In 413 BC, at the height of the disastrous Sicilian Expedition, malaria sucked the life out of the Athenian army as it lay siege to Syracuse. Athens never recovered from its losses and fell to the Spartans in 404 BC.

But while malaria helped to destroy the Athenians, it provided the Roman Republic with a natural barrier against invaders. The infested Pontine Marshes south of Rome enabled successive generations of Romans to conquer North Africa, the Middle East and Europe with some assurance they wouldn’t lose their own homeland. Thus, the spread of classical civilization was carried on the wings of the mosquito. In the 5th century, though, the blessing became a curse as the disease robbed the Roman Empire of its manpower.

Throughout the medieval era, malaria checked the territorial ambitions of kings and emperors. The greatest beneficiary was Africa, where endemic malaria was deadly to would-be colonizers. The conquistadors suffered no such handicap in the New World.

Author(s): Amanda Foreman

Publication Date: 15 Oct 2021

Publication Site: WSJ

‘Twindemic’ Averted: Not Much Flu In Mass., And Record Low Rates Across The Nation

Link: https://www.wbur.org/commonhealth/2021/02/10/record-low-flu-rates-massachusetts?linkId=111349310

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Federal flu maps use a traffic-light color scheme — green when flu is low, yellow when it’s medium and red when it’s high. Here in Massachusetts and around the country, the maps would normally show plenty of yellow and red by February. But this year they’re pure green.

And it’s not just flu that’s low. Dr. Eileen Costello, the chief of ambulatory pediatrics at Boston Medical Center, says it’s other viruses as well.

“We have seen dramatically reduced rates of influenza this year and respiratory synctitial virus, which is a viral infection of infants and very young children that we see,” she says. “It’s the meat and potatoes of every pediatric practice in America, and we’re not seeing it at all this year.

Author(s): Carey Goldberg

Publication Date: 10 February 2021

Publication Site: WBUR