News Scan for Jun 17, 2022

Report spotlights influence of COVID-19 on adults with disabilities

Charges of COVID-19 hospitalization amongst grownup Medicare beneficiaries with disabilities have been virtually 50% greater than charges amongst aged beneficiaries with no incapacity, in keeping with a examine at this time in Morbidity and Mortality Weekly Report (MMWR).

To explain the influence of COVID-19 on individuals with disabilities and whether or not and the way age contributes to illness charges, researchers from the Facilities for Illness Management and Prevention (CDC) assessed COVID-19 instances and hospitalizations from January 2020 to November 2021. The examine included grownup (age 18 and older) Medicare beneficiaries who have been both eligible due to a incapacity (disability-eligible) or eligible solely due to older age—65 years or older (age-eligible).

Medicare is the US federal medical health insurance program for individuals aged 65 or older, however youthful individuals with sure disabilities can even qualify.

Throughout the examine interval, COVID-19 incidence was 10,978 per 100,000 inhabitants within the disability-eligible group, in comparison with 8,102 within the age-eligible cohort—or 35.5% greater. COVID hospitalization charges have been 3,148 and a couple of,129 per 100,000, respectively, which is 47.9% greater.

COVID-19 incidence and hospitalization charges elevated with age in each teams. Hospitalization charges have been highest in American Indian or Alaska Native individuals, at 4,962 per 100,000 for these disability-eligible and 5,024 per 100,000 for the age-eligible.

“Persevering with COVID-19 prevention efforts and targeted messaging to individuals with disabilities stay high-impact public well being priorities,” the CDC researchers conclude.

“Efforts to extend entry to and use of COVID-19 prevention and therapy methods, together with actions that assist equitable vaccine entry within the face of the substantial challenges that older adults and people with disabilities face, are vital to lowering extreme COVID-19–related outcomes”
Jun 17 MMWR study


Monkeypox instances rise in US as European officers provide epi particulars

The variety of individuals contaminated with monkeypox in america reached 100 yesterday, with the addition of 16 new instances, the CDC mentioned in an replace. To date, 21 states and jurisdictions have reported instances within the ongoing outbreak.

The replace contains the primary possible case in Oregon. In a press release, the Oregon Well being Authority (OHA) mentioned the affected person is a person who had traveled to a group the place earlier instances had been confirmed.

In the meantime, the variety of worldwide instances for the 12 months continues to climb, to no less than 2,100, in keeping with the most recent weekly communicable illness risk report from the European Centre for Illness Prevention and Management (ECDC). The UK Well being Safety Company (HSA) at this time reported 50 extra instances, together with 46 in England, 3 in Scotland, and 1 in Wales. The nation has now confirmed 574 instances.

Nations figuring out their first instances embrace Serbia, which reported an imported case, in keeping with Reuters.

In the meantime, the ECDC and the World Well being Group (WHO) European regional workplace at this time launched a joint epidemiologic replace overlaying 1,704 instances from 28 international locations throughout the area and specializing in information they’ve for 892 of them.

The earliest sickness onset was Apr 8, and the ages of most sufferers vary from 31 to 40. Practically all (99.4%) are male, and 98.4% are males who’ve intercourse with males. No deaths have been reported.

Three healthcare employees are among the many instances, although none of them are identified to have contracted their infections by occupational publicity.
Jun 16 CDC monkeypox update
Jun 16 OHA press release
Jun 17 ECDC communicable illness threat report
Jun 17 UK HSA update
Jun 17 Reuters story
Jun 17 ECDC/WHO joint report


CDC, European officers present particulars on youngsters’ unexplained hepatitis

The CDC yesterday posted a technical replace into its probe of unexplained hepatitis instances in younger youngsters, which mentioned although the main focus continues to be a potential adenovirus hyperlink, scientists are exploring a number of prospects, together with present or previous SARS-CoV-2 an infection, a number of cofactors, atypical immune response, or environmental or toxin triggers.

Energetic COVID-19 an infection is current in about 10% of instances, and about one-third have proof that means prior COVID an infection. Earlier this week, CDC researchers mentioned their information critiques have discovered no improve in unexplained hepatitis in youngsters above prepandemic baseline ranges.

To date, america has 290 instances in 41 states and territories. Seventeen youngsters wanted liver transplants, and 11 died. Instances date again to October 2021, and never all the lately reported instances symbolize new diseases. Solely 9 of the sufferers had symptom onsets between Jun 1 and Jun 15.

In the meantime, the ECDC and the WHO European regional workplace at this time launched a joint epidemiologic replace, which added 48 extra instances from 8 international locations, elevating the area’s complete to 449 in 20 international locations. Of 292 youngsters who underwent polymerase chain response (PCR) testing for COVID, 10.6% have been optimistic. Serology outcomes from 52 discovered that 33 had proof of earlier COVID-19 an infection.

Just like the CDC, the ECDC and WHO mentioned a potential hyperlink to adenovirus has been discovered, however different hypotheses and cofactors are underneath investigation.

In its weekly communicable illness risk report, the ECDC put the worldwide complete at 713 instances.
Jun 16 CDC technical update on unexplained hepatitis
Jun 17 ECDC/WHO joint report
Jun 17 ECDC communicable illness threat report


Burkina Faso, Chad report extra vaccine-derived polio instances

Two African international locations reported extra polio instances this week, Burkina Faso and Chad, in keeping with the most recent weekly replace from the International Polio Eradication Initiative (GPEI). Each reported instances of circulating vaccine-derived poliovirus kind 2 (cVDPV2).

Burkina Faso reported 3 extra instances, 1 in Bobo and a couple of in Ouagadougou, all of that are retrospective instances from 2020, bringing the entire for that 12 months to 68. Final 12 months, the nation reported 2 instances.

In the meantime, Chad reported two extra cVDPV2 instances, each in N’djamena, lifting its complete for the 12 months to 5.
Jun 16 GPEI update

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