Medicine

California Reports First Human Plague Case In 5 Years (livescience.com) 99

A California resident has tested positive for plague, marking the state's first human case of the disease in five years, according to health officials. Live Science reports: The case was confirmed on Monday in a resident of South Lake Tahoe, according to a statement from the El Dorado County Department of Health and Human Services. The individual is described as an "avid walker" who may have been bitten by an infected flea while walking their dog in the Tahoe Keys area or along the "Truckee River Corridor" north of Highway 50, the statement said.

"Plague is naturally present in many parts of California, including higher elevation areas of El Dorado County," Dr. Nancy Williams, the El Dorado County public health officer, said in the statement. "It's important that individuals take precautions for themselves and their pets when outdoors, especially while walking, hiking and/or camping in areas where wild rodents are present. Human cases of plague are extremely rare but can be very serious." The patient is currently recovering at home under the care of medical professionals, the statement said.

Medicine

Facebook and NYU Set Out To Develop AI-Powered 5-Minute MRI Scan 30

Researchers at NYU Langone Health and Facebook's artificial intelligence division have teamed up to develop an AI model that uses less data and creates images faster than traditional MRI techniques, according to a Wall Street Journal report. From a report: The goal of the project is to create a five-minute MRI as an alternative to the 20 minutes to an hour it takes for current MRI machines to scan a patient, Michael Recht, MD, told the publication. Dr. Recht is professor and chair of New York City-based NYU Langone Health's radiology department and also a co-author of the research project. The combination of AI and MRI technology aims to construct images with less data rather than diagnose a medical condition. The project uses different technology and standards than those used to create AI-generated or synthetic media. Because it centers on constructing MRI scans, Facebook said the project must create images "that are accurate to the ground truth," compared to synthetic media, which usually needs to create a believable image, according to the report.

For the experiment, researchers created 108 patient images using standard MRI techniques as well as a second set of images in which some of the image data was thrown out. Facebook's AI model was then applied to construct the images with less data. Researchers used commercially available MRI machines, and data was collected from patients from various points of their bodies. Six MRI readers reviewed both sets of images, and readings were spaced out across a four-week period to ensure the readers could not recall important details from previous sets. Dr. Recht told the Journal that all six engineers concluded that the quality of the AI model-generated images was "as good [as] or better" than the conventional images. The AI system still needs regulatory approval, but NYU Langone is now using it to treat patients as part of an institutional review board study, according to the report.
Medicine

WHO Blasts 'Vaccine Nationalism' in Last-Ditch Push Against Hoarding (reuters.com) 100

Nations that hoard possible COVID-19 vaccines while excluding others will deepen the pandemic, World Health Organization (WHO) chief Tedros Adhanom Ghebreyesus said on Tuesday, issuing a last-ditch call for countries to join a global vaccine pact. From a report: The WHO has an Aug. 31 deadline for wealthier nations to join the "COVAX Global Vaccines Facility" for sharing vaccine hopefuls with developing countries. Tedros said he sent a letter to the WHO's 194 member states, urging participation. The global health agency also raised concerns that the pandemic's spread was being driven now by younger people, many of whom were unaware they were infected, posing a danger to vulnerable groups. Tedros' push for nations to join COVAX comes as the European Union, Britain, Switzerland and the United States strike deals with companies testing prospective vaccines. Russia and China are also working on vaccines, and the WHO fears national interests could impede global efforts.
Medicine

'Covid-19 Is Creating a Wave of Heart Disease' 163

Haider Warraich, a cardiologist, writing for the New York Times: An intriguing new study from Germany offers a glimpse into how SARS-CoV-2 affects the heart. Researchers studied 100 individuals, with a median age of just 49, who had recovered from Covid-19. Most were asymptomatic or had mild symptoms. An average of two months after they received the diagnosis, the researchers performed M.R.I. scans of their hearts and made some alarming discoveries: Nearly 80 percent had persistent abnormalities and 60 percent had evidence of myocarditis. The degree of myocarditis was not explained by the severity of the initial illness.

Though the study has some flaws, and the generalizability and significance of its findings not fully known, it makes clear that in young patients who had seemingly overcome SARS-CoV-2 it's fairly common for the heart to be affected. We may be seeing only the beginning of the damage. Researchers are still figuring out how SARS-CoV-2 causes myocarditis -- whether it's through the virus directly injuring the heart or whether it's from the virulent immune reaction that it stimulates. It's possible that part of the success of immunosuppressant medications such as the steroid dexamethasone in treating sick Covid-19 patients comes from their preventing inflammatory damage to the heart. Such steroids are commonly used to treat cases of myocarditis. Despite treatment, more severe forms of Covid-19-associated myocarditis can lead to permanent damage of the heart -- which, in turn, can lead to heart failure.
Medicine

'We Won't Remember Much of What We Did in the Pandemic' (ft.com) 77

Tim Harford, writing for Financial Times (not paywalled): Last spring, I returned from the holiday of a lifetime in Japan, and reflected on the richness of the memories it had generated. Time flew by while I was there, but in hindsight 10 days somewhere vividly new had produced more memories than 10 weeks back home. I likened the effect to the compression of a film. Instead of storing each frame separately, video compression algorithms will start with the first frame of a scene and then store a series of "diffs" -- changes from one frame to the next. A slow, contemplative movie with long scenes and fixed cameras can be compressed more than a fast-moving action flick. Similarly, a week full of new experiences will seem longer in retrospect. A month of repeating the same routine might seem endless, but will be barely a blip in the memory: the "diffs" are not significant enough for the brain to bother with. After months of working from home, I now realise that there was something incomplete about this account. New experiences are indeed important for planting a rich crop of memories. But, by itself, that is not enough. A new physical space seems to be important if our brains are to pay attention.

The Covid-19 lockdown, after all, was full of new experiences. Some were grim: I lost a friend to the disease; I smashed my face up in an accident; we had to wear masks and avoid physical contact and worry about where the next roll of toilet paper was coming from. Some were more positive: the discovery of new pleasures, the honing of new skills, the overcoming of new challenges. But I doubt I am alone in finding that my memory of the lockdown months is rather thin. No matter how many new people or old friends you talk to on Zoom or Skype, they all start to smear together because the physical context is monotonous: the conversations take place while one sits in the same chair, in the same room, staring at the same computer screen.
>
Science

Individualized Circadian Clocks: New Research Suggests Not Everyone Needs 8 Hours of Sleep (time.com) 85

Time magazine reports on is a big scientific advance: "the understanding that our bodies often operate according to different clocks." Although the federal government recommends that Americans sleep seven or more hours per night for optimal health and functioning, new research is challenging the assumption that sleep is a one-size-fits-all phenomenon. Scientists have found that our internal body clocks vary so greatly that they could form the next frontiers of personalized medicine...

Human sleep is largely a mystery. We know it's important; getting too little is linked to heightened risk for metabolic disorders, Type 2 diabetes, psychiatric disorders, autoimmune disease, neurodegeneration and many types of cancer. "It's probably true that bad sleep leads to increased risks of virtually every disorder," says Dr. Louis Ptacek, a neurology professor at the University of California, San Francisco... The ideal sleep duration has long been thought to be universal. "There are many people who think everyone needs eight to eight and a half hours of sleep per night and there will be health consequences if they don't get it," says Ptacek. "But that's as crazy as saying everybody has to be 5 ft. 10 in. tall. It's just not true..."

About a decade ago, Ptacek's wife Ying-Hui Fu discovered the first human gene linked to natural short sleep; people who had a rare genetic mutation seemed to get the same benefits from six hours of sleep a night as those without the mutation got from eight hours. In 2019, Fu and Ptacek discovered two more genes connected to natural short sleep, and they'll soon submit a paper describing a fourth, providing even more evidence that functioning well on less sleep is a genetic trait...

Doctors once dismissed short sleepers as depressed or suffering from insomnia. Yet short sleepers may actually have an edge over everyone else. Research is still early, but Fu has found that besides being more efficient at sleep, they tend to be more energetic and optimistic and have a higher tolerance for pain than people who need to spend more time in bed. They also tend to live longer.

Medicine

Previous Vaccines and Masks Could Reduce Covid-19 Severity, Some Researchers Say (cnn.com) 76

Applehu Akbar shared CNN's article about why some people experience Covid-19 differently: "When we looked in the setting of Covid disease, we found that people who had prior vaccinations with a variety of vaccines — for pneumococcus, influenza, hepatitis and others — appeared to have a lower risk of getting Covid disease," Dr. Andrew Badley, an infectious disease specialist at Mayo Clinic, told CNN's Anderson Cooper on Monday night... There's been no definitive evidence of any other vaccines boosting immunity against Covid-19. But some researchers have suggested it's possible.... Last month, researchers found that countries where many people have been given the tuberculosis vaccine Bacillus Calmette-Guerin had less mortality from coronavirus, a finding that fits with other research suggesting the vaccine can boost people's immunity in general.

But once you're infected, how much of the virus made it into your body could also have an impact on what your experience is, another expert told CNN on Monday. Dr. Monica Gandhi, an infectious disease specialist at University of California, San Francisco, has been working with a team of researchers to understand how more people could go through their infections with minimal or no symptoms. About 40% of people infected with the virus don't have symptoms, according to an estimate last month by the US Centers for Disease Control and Prevention.

Gandhi's team found masks make a difference.

"What the mask does is really reduce the amount of virus that you get in, if you do get infected," she said. "And by reducing that... you have a lower dose, you're able to manage it, you're able to have a calm response and you have mild symptoms or no symptoms at all."

Medicine

You Probably Won't Catch the Coronavirus From Frozen Food (nytimes.com) 83

Amid a flurry of concern over reports that frozen chicken wings imported to China from Brazil had tested positive for the coronavirus, experts said on Thursday that the likelihood of catching the virus from food -- especially frozen, packaged food -- is exceedingly low. From a report: "This means somebody probably handled those chicken wings who might have had the virus," said Angela Rasmussen, a virologist at Columbia University. "But it doesn't mean, 'Oh my god, nobody buy any chicken wings because they're contaminated.'" Guidelines from the Centers for Disease Control and Prevention maintain that "there is no evidence to suggest that handling food or consuming food is associated with Covid-19." The main route the virus is known to take from person to person is through spray from sneezing, coughing, speaking or even breathing.

"I make no connection between this and any fear that this is the cause of any long-distance transmission events," said C. Brandon Ogbunu, a disease ecologist at Yale University. When the virus crosses international boundaries, it's almost certainly chauffeured by people, rather than the commercial products they ship. The chicken wings were screened on Wednesday in Shenzhen's Longgang district, where officials have been testing imports for the presence of coronavirus genetic material, or RNA. Several samples taken from the outer packaging of frozen seafood, some of which had been shipped in from Ecuador, recently tested positive for virus RNA in China's Anhui, Shaanxi and Shandong provinces as well. Laboratory procedures that search for RNA also form the basis of most of the coronavirus tests performed in people. But RNA is only a proxy for the presence of the virus, which can leave behind bits of its genetic material even after it has been destroyed, Dr. Ogbunu said. "This is just detecting the signature that the virus has been there at some point," he said.

Medicine

AMC Movie Theaters Will Reopen On Aug. 20 With 15-Cent Tickets (fortune.com) 118

schwit1 writes: Moviegoers will have to pay only 15 cents for tickets at AMC cinemas on Aug. 20, when the chain starts to reopen amid the coronavirus outbreak. The cheap tickets will be available at more than 100 theaters across the U.S. The deal, a throwback to the price the company charged when it was founded in 1920, is intended to lure customers who may be worried about venturing into a theater because of the risk of contracting COVID-19.
Medicine

A New Lyme Disease Vaccine Is Showing Promise (iflscience.com) 31

An anonymous reader quotes a report from IFLScience: Promising results have come out of the only active clinical trial for a vaccine against Lyme disease. Valneva, a French biotech company, recently announced its first Phase 2 clinical trial has shown that its vaccine against Lyme disease is both safe and effective. The vaccine works by triggering the body's immune system to produce antibodies for the six common serotypes of the disease that are found in North America and Europe. It does this by introducing an isolated protein of the pathogen to the body, allowing the immune system to recognize and respond to the surface proteins found on the bacteria responsible for Lyme disease, Borrelia burgdorferi.

Over 570 healthy adults in the US and Europe were given one of two dose levels of the vaccine in three injections, while others were given a placebo as a control. Both groups that received the active dose were found to have produced a significant amount of antibodies against each of the six most prevalent Outer Surface Protein A serotypes of B. burgdorferi. [...] This new potential vaccine, known as VLA15, is currently the only active Lyme disease vaccine in clinical development. Back in 1998, the US Food and Drug Administration (FDA) approved a Lyme disease vaccine known as LYMErix. It was withdrawn from the market just three years later following doubts over its effectiveness and other contentions. Much of the controversy, however, was often said to have been kicked up by the anti-vaccination movement, which was growing in momentum at the time.

Medicine

Moderna COVID-19 Vaccine Shows Promising Result In Animal Tests (bloomberg.com) 103

Moderna's vaccine candidate against Covid-19 protected against the virus in a trial that inoculated 16 monkeys, an encouraging step on the path to a defense for humans against the pandemic. Bloomberg reports: Two injections of the vaccine protected against heavy exposure to the virus at two different levels of dosage, Moderna said in findings published Tuesday in the New England Journal of Medicine. The primates didn't show any sign of creating enhanced disease, a problem that has occasionally been associated with vaccines. The results, if they hold up in humans, suggest that the vaccine may be able to protect against Covid-19 in both the upper and lower airways. In all the monkeys who got the high doses of the vaccine, no viral replication was detectable in their noses two days after being challenged with the virus, according to the study results. And no viral replication was seen in the lung fluid of 7 of 8 animals in both dose groups after being challenged with the virus. All 16 monkeys showed at least some sign of protection, with limited lung inflammation seen in the lungs of both groups. The report says that the phase 3 trial, which involves 30,000 humans, will begin producing data in November or December.

If you're curious about how a vaccine trial works, Slashdot interviewed technology journalist and marketer Jennifer Riggins, who is participating in the Oxford Vaccine Trial.
Medicine

Misleading Virus Video, Pushed By the Trumps, Spreads Online (nytimes.com) 566

An anonymous reader quotes a report from The New York Times: In a video posted Monday online, a group of people calling themselves "America's Frontline Doctors" and wearing white medical coats spoke against the backdrop of the Supreme Court in Washington, sharing misleading claims about the virus, including that hydroxychloroquine was an effective coronavirus treatment and that masks did not slow the spread of the virus. [...] The members of the group behind Monday's video say they are physicians treating patients infected with the coronavirus. But it was unclear where many of them practice medicine or how many patients they had actually seen. As early as May, anti-Obamacare conservative activists called the Tea Party Patriots Action reportedly worked with some of them to advocate loosening states' restrictions on elective surgeries and nonemergency care. On July 15, the group registered a website called "America's Frontline Doctors," domain registration records show. One of the first copies of the video that appeared on Monday was posted to the Tea Party Patriots' YouTube channel, alongside other videos featuring the members of "America's Frontline Doctors."

The video did not appear to be anything special. But within six hours, President Trump and his son Donald Trump Jr. had tweeted versions of it, and the right-wing news site Breitbart had shared it. It went viral, shared largely through Facebook groups dedicated to anti-vaccination movements and conspiracy theories such as QAnon, racking up tens of millions of views. Multiple versions of the video were uploaded to YouTube, and links were shared through Twitter. Facebook, YouTube and Twitter worked feverishly to remove it, but by the time they had, the video had already become the latest example of misinformation about the virus that has spread widely. That was because the video had been designed specifically to appeal to internet conspiracists and conservatives eager to see the economy reopen, with a setting and characters to lend authenticity. It showed that even as social media companies have sped up response time to remove dangerous virus misinformation within hours of its posting, people have continued to find new ways around the platforms' safeguards. [...] At least one version of the video, viewed by The Times on Facebook, was watched over 16 million times.

Medicine

Scientists Are 3D Printing Miniature Human Organs To Test COVID-19 Drugs (theweek.com) 21

Scientists are conducting preliminary tests of COVID-19 drugs using 3D printed human organs, eliminating the need to perform tests on animals, or, of course, humans. The Week reports: For example, Anthony Atala, the director of the Wake Forest Institute for Regenerative Medicine, and his team are using 3-D printers to create tiny replicas of human organs, including miniature lungs and colons, which are particularly affected by the coronavirus. They send them overnight for testing at a biosafety lab at George Mason University. The idea predated the coronavirus -- Atala said he never thought "we'd be considering this for a pandemic" -- but it could come in handy and help expedite the experimental drug process, especially since Atala said his Winston-Salem, North Carolina-based lab can churn out thousands of printed organs per hour. "The 3-D models can circumvent animal testing and make the pathway stronger from the lab to the clinic," said Akhilesh Gaharwar, who directs a lab in the biomedical engineering at Texas A&M University. Further reading: The New York Times
Medicine

People Think CPR is More Effective Than It Really Is, Study Finds (usnews.com) 59

Long-time Slashdot reader schwit1 shared this article from HealthDay: In earlier studies, patients have pegged CPR survival rates at between 19% and 75%. But the real rate of survival is about 12% for cardiac arrests that occur outside hospitals and between 24% and 40% for those that happen in the hospital, according to the report published online July 13 in the Emergency Medicine Journal.

For the new study, Bandolin's team surveyed 500 emergency department patients and their companions. Fifty-three percent said they had done or witnessed CPR, and 64% had taken a CPR course. Ninety-five percent said their main source of CPR information was television. About half said the success rate of CPR topped 75%. And nine out of 10 said they wanted to receive CPR if it was needed.

But only 28% had discussed CPR with a doctor, the investigators noted in a journal news release.

Printer

KFC Tests 3D-Printed Chicken Nuggets In Russia (businessinsider.com) 98

KFC announced that it will test chicken nuggets made with 3D bioprinting technology in Moscow, Russia, this fall. Business Insider reports: The chicken chain has partnered with 3D Bioprinting Solutions to create a chicken nugget made in a lab with chicken and plant cells using bioprinting. Bioprinting, which uses 3D-printing techniques to combine biological material, is used in medicine to create tissue and even organs. The 3D-printed chicken nuggets will closely mimic the taste and appearance of KFC's original chicken nuggets, according to the press release. KFC expects the production of 3D-printed nuggets to be more environmentally friendly than the production process of its traditional chicken nuggets. The fall release will mark the first debut of a lab-grown chicken nugget at a global fast-food chain like KFC.
Medicine

Experimental Blood Test Detects Cancer Up To Four Years Before Symptoms Appear (scientificamerican.com) 80

An anonymous reader quotes a report from Scientific American: For years scientists have sought to create the ultimate cancer-screening test -- one that can reliably detect a malignancy early, before tumor cells spread and when treatments are more effective. A new method reported today in Nature Communications brings researchers a step closer to that goal. By using a blood test, the international team was able to diagnose cancer long before symptoms appeared in nearly all the people it tested who went on to develop cancer. [...] Kun Zhang, a bioengineer at the University of California, San Diego, and a co-author of the study, and his colleagues began collecting samples from people before they had any signs that they had cancer. In 2007 the researchers began recruiting more than 123,000 healthy individuals in Taizhou, China, to undergo annual health checks -- an effort that required building a specialized warehouse to store the more than 1.6 million samples they eventually accrued. Around 1,000 participants developed cancer over the next 10 years.

Zhang and his colleagues focused on developing a test for five of the most common types of cancer: stomach, esophageal, colorectal, lung and liver malignancies. The test they developed, called PanSeer, detects methylation patterns in which a chemical group is added to DNA to alter genetic activity. Past studies have shown that abnormal methylation can signal various types of cancer, including pancreatic and colon cancer. The PanSeer test works by isolating DNA from a blood sample and measuring DNA methylation at 500 locations previously identified as having the greatest chance of signaling the presence of cancer. A machine-learning algorithm compiles the findings into a single score that indicates a person's likelihood of having the disease. The researchers tested blood samples from 191 participants who eventually developed cancer, paired with the same number of matching healthy individuals. They were able to detect cancer up to four years before symptoms appeared with roughly 90 percent accuracy and a 5 percent false-positive rate.

Medicine

Russian Elite Given Experimental COVID-19 Vaccine Since April (bloomberg.com) 80

An anonymous reader quotes a report from Bloomberg: Scores of Russia's business and political elite have been given early access to an experimental vaccine against Covid-19, according to people familiar with the effort, as the country races to be among the first to develop an inoculation. Top executives at companies including aluminum giant United Co. Rusal, as well as billionaire tycoons and government officials began getting shots developed by the state-run Gamaleya Institute in Moscow as early as April, the people said. They declined to be identified as the information isn't public.

Kremlin spokesman Dmitry Peskov, who recovered from Covid-19 after being hospitalized with the virus in May, said he doesn't know the names of anyone who's received the institute's vaccine. Peskov's comments followed a Health Ministry statement that said only participants in Gamaleya's trials are currently eligible for the jabs. While the new shots are "safe" because they're based on proven vaccines for other diseases, their effectiveness has yet to be determined, according to Sergei Netesov, a former executive at Vector, a state-run virology center in Novosibirsk, Siberia, that's also working on an inoculation. "Those who take it do so at their own risk," Netesov said.

Medicine

COVID-19 Vaccines With 'Minor Side Effects' Could Still Be Pretty Bad (wired.com) 243

"The risk of nasty side effects in the Moderna and Oxford trials should be made clear now, before it ends up as fodder for the skeptics," argues Hilda Bastian, a former consumer health care advocate and a Ph.D. student at Bond University who studies evidence-based medicine. An anonymous reader shares an excerpt from her article via Wired: On Monday, vaccine researchers from Oxford University and the pharmaceutical company AstraZeneca announced results from a "Phase 1/2 trial," suggesting their product might be able to generate immunity without causing serious harm. Similar, but smaller-scale results, were posted just last week for another candidate vaccine produced by the biotech firm Moderna, in collaboration with the U.S. National Institutes of Health. [...] Back in May, a CNN report described the Oxford group as being "the most aggressive in painting the rosiest picture" of its product, so let's start with them. Just how rosy is the Oxford picture really? It's certainly true that this week's news shows the vaccine has the potential to provide protection from Covid-19. But there are flies in the ointment. After the first clinical trial for this vaccine began in April, for example, the researchers added new study arms in which people got acetaminophen every six hours for 24 hours after the injection. That's not featured in their marketing, of course, and I saw no discussion of this unusual step in media coverage in early summer. Newspapers only said the vaccine had been proven "safe with rhesus monkeys," and did not cause any adverse effects in those animal tests. It was a worrying signal though: How rough a ride were people having with this vaccine? Was the acetaminophen meant to keep down fever, headaches, malaise -- or all of the above?

The press release for Monday's publication of results from the Oxford vaccine trials described an increased frequency of "minor side effects" among participants. A look at the actual paper, though, reveals this to be a marketing spin that has since been parroted in media reports. Yes, mild reactions were far more common than worse ones. But moderate or severe harms -- defined as being bad enough to interfere with daily life or needing medical care -- were common, too. Around one-third of people vaccinated with the Covid-19 vaccine without acetaminophen experienced moderate or severe chills, fatigue, headache, malaise, and/or feverishness. Close to 10 percent had a fever of at least 100.4 degrees and just over one-fourth developed moderate or severe muscle aches. That's a lot, in a young and healthy group of people -- and the acetaminophen didn't help much for most of those problems. The paper's authors designated the vaccine as "acceptable" and "tolerated," but we don't yet know how acceptable this will be to most people.

There is another red flag. Clinical trials for other Covid-19 vaccines have placebo groups, where participants receive saline injections. Only one of the Oxford vaccine trials is taking this approach, however; the others instead compare the experimental treatment to an injected meningococcal vaccine. There can be good reasons to do this: Non-placebo injections may mimic telltale signs that you've received an active vaccine, such as a skin reaction, making the trial more truly "blind." But their use also opens the door to doubt-sowing claims that any harms of the new vaccine are getting buried among the harms already caused by the control-group, "old" vaccines.
What about the Moderna vaccine? "According to the press release from May, there were no serious adverse events for the people in that particular dosage group," reports Wired. "But last week's paper shows the full results: By the time they'd had two doses, every single one was showing signs of headaches, chills or fatigue; and for at least 80 percent this could have been enough to interfere with their normal activities. A participant who had a severe reaction to a particularly high dose has talked in detail about how bad it was: If reactions even half as bad as this were to be common for some of these vaccines, they will be hard sells once they reach the community -- and there could be a lot of people who are reluctant to get the second injection."

UPDATE 7/27/20: Slashdot interviewed Oxford Vaccine Trial participant Jennifer Riggins and asked what her reaction was to Wired's article. Riggins is an American technology journalist and marketer who's self-employed in London. Here's what she said:

"I think the article is a poorly written, poorly researched opinion piece. It says offering acetaminophen or paracetamol is unusual with vaccines. I'm a working mom with a three-year-old, and you are told to give them acetaminophen or paracetamol before all live vaccines as they can cause discomfort and fever for the first 24 to 48 hours.

"I'm actually surprised this article was in Wired that tends to be reputable. It seems to be written by a vaccine skeptic at best who knows little about them. This is a dangerous message because we most likely won't have a widely distributed vaccine til 2021 at earliest. Even longer if you consider, like the chicken pox vaccine, it needs a booster for efficacy. This flu season is going to be awful and then combined with this coronavirus. Add to that less kids are getting vaccinated or at least are delayed during the pandemic. Any antivaxxer message is incredibly dangerous. We won't be able to have herd immunity for Covid-19 by winter but we could for the flu which will save so many lives."
AI

Statisticians Warn That AI Is Still Not Ready To Diagnose COVID-19 (discovermagazine.com) 38

Discover magazine reports: For years, many artificial intelligence enthusiasts and researchers have promised that machine learning will change modern medicine. Thousands of algorithms have been developed to diagnose conditions like cancer, heart disease and psychiatric disorders. Now, algorithms are being trained to detect COVID-19 by recognizing patterns in CT scans and X-ray images of the lungs.

Many of these models aim to predict which patients will have the most severe outcomes and who will need a ventilator. The excitement is palpable; if these models are accurate, they could offer doctors a huge leg up in testing and treating patients with the coronavirus. But the allure of AI-aided medicine for the treatment of real COVID-19 patients appears far off. A group of statisticians around the world are concerned about the quality of the vast majority of machine learning models and the harm they may cause if hospitals adopt them any time soon.

So far, their reviews of COVID-19 machine learning models aren't good: They suffer from a serious lack of data and necessary expertise from a wide array of research fields. But the issues facing new COVID-19 algorithms aren't new at all: AI models in medical research have been deeply flawed for years...

"The main problems appear to be (perhaps unsurprisingly) a lack of necessary data, and not enough domain expertise," writes Slashdot reader shirappu: The leader of the above group of statisticians, Maarten van Smeden, pointed to a lack of collaboration between researchers as a road block in the way of developing truly accurate models. "You need expertise not only of the modeler," he said, "but you need statisticians, epidemiologists and clinicians to work together to make something that is actually useful."
One biostatistician has even been arguing that with many current AI models, medical researchers are using machine learning to "torture their data until it spits out a confession."
Medicine

Covid-19 Immunity From Antibodies May Last Only Months, New Study Suggests (cnn.com) 218

CNN shares some bad news. "After people are infected with the novel coronavirus, their natural immunity to the virus could decline within months, a new pre-print paper suggests." The paper was co-authored by 37 researchers from seven different institutions: The paper, released on the medical server medrxiv.org on Saturday and not yet published in a peer-reviewed medical journal, suggests that antibody responses may start to decline 20 to 30 days after Covid-19 symptoms emerge. Antibodies are the proteins the body makes to fight infection...

Since early on in the pandemic, the World Health Organization has warned that people who have had Covid-19 are not necessarily immune from getting the virus again. Yet the new study had some limitations, including that more research is needed to determine whether similar results would emerge among a larger group of patients and what data could show over longer periods of time when it comes to infection with the coronavirus...

"The report is the latest in a growing chain of evidence that immunity to COVID-19 is short-lived," reports the San Francisco Chronicle: A Chinese study published June 18 in the journal Nature Medicine also showed coronavirus antibodies taking a nosedive. The study of 74 patients, conducted by Chongqing Medical University, a branch of the Chinese Center for Disease Control and Prevention, showed that more than 90% exhibited sharp declines in the number of antibodies within two to three months after infection... Studies of four seasonal coronaviruses that cause colds show that although people develop antibodies, the immune response declines over time and people become susceptible again. Scientists suspect that the severity of cold symptoms is reduced by previous infections.
The Chronicle reports this new information suggests two implications:
  • "Waning antibodies affect vaccine development," said Shannon Bennett, the chief of science at San Francisco's California Academy of Sciences. "Where natural immunity doesn't really develop or last, then vaccine programs are not likely to be easily successful or achievable..."
  • The Chronicle adds, "Whatever happens, epidemiologists hope the recent reports about antibody viability put to rest the concept embraced by many young people of herd immunity, where the disease can't find any more victims because so many people have survived infections and must be immune. 'This attitude that if I go out there and just get exposed — get it over with — then I'll be immune is a dangerous presumption,' Bennett said. Now more than ever."

Slashdot Top Deals