Coronavirus Chronicles — What Else Are Scientists Up To?

The pandemic is affecting children in 99 different ways, few of them desirable. The world’s most brilliant minds endeavor to limit the damage, of which increasing childhood obesity is only one manifestation. The previous post described how the team called COVID Explained takes a very dim view of what the nation’s school authorities are doing. Specifically, many districts and states ignore the need for a flow of accurate and shared data to a central clearinghouse where, ideally, experts would be able to make some sense out of it. Instead, information about what’s going on in schools is not being released, and we are all the worse for that.

Atmospheric chemist Jose-Luis Jimenez of Colorado University Boulder created a “pilot tool” to help estimate the COVID-19 risk in different environments. A university publication says, “The Estimator calculates COVID-19 infection risk for a number of basic situations: college classrooms, choirs, taking a bus, being outdoors, participating in demonstrations. The model is downloadable and free, and users can tweak inputs…”, or, in other words, the details of their own particular situations.

The COVID Aerosole Transmission Estimator now has an online presence, although it is “still somewhat tricky for a non-expert to use.” Formatted as a spreadsheet, it is difficult to navigate, and its creators vehemently advise reading all the “Read Me!” parts before attempting to make anything happen.

Some bad news, maybe

Virologist Richard Randall “thinks that public health officials need to take a more nuanced view of how long the coronavirus lasts in the body,” writes Roxanne Khamsi. Randall thinks that a very tiny fraction of victims might remain infectious to others for months, and perhaps as long as a year. Although currently there is no study to back this up, his research into the prolonged shedding habits of other viruses seems to point to the possibility that it be so.

Kids are not exempt. It becomes increasingly apparent that infected children can be shockingly contagious, even when they show no symptoms of illness. And 20% or more of all victims fail to exhibit any symptoms.

People with mild symptoms, or no symptoms at all are able to shed virus for many days, and so are patients who are immunocompromised or very ill. People who act as “superspreaders” are still very much being thought about, along with the contributing factors to “viral load.” The health-conscious public is having to learn a whole new vocabulary.

Mitchell Tsai summarizes the state of the art:

Essentially, the closer you are to someone infectious and the longer you’re in contact with them, the more likely you are to contract the virus, which helps explain why so much transmission occurs within households. Being indoors is worse, particularly in rooms without sufficient ventilation; the more air flow, the faster the virus gets diluted. Everyday face coverings reduce the amount of virus projected, but aren’t total blockades.

Your responses and feedback are welcome!

Source: “COVID-19 Airborne Transmission Tool Available from CIRES,” Co-Labs.org, 08/07/20
Source: “The Mystery of Why Some People Keep Testing Positive for Covid-19,” Medium.com, 07/27/20
Source: “What you need to know about the coronavirus right now,” Reuters.com, 08/19/20
Source: “Seven months later, what we know about Covid-19 — and the pressing questions that remain,” Quora.com, 08/19/20
Image by Marco Verch/CC BY 2.0

Coronavirus Chronicles — Transmission, Continued

Yesterday’s post mentioned some of the instances Andy Larsen collected, of people being subjected to different levels of “viral load.” This term basically means the number of active SARS-CoV-2 organisms people tend to take on board under various circumstances. We will not steal the reporter’s thunder by relating the details about the 500 young Swiss soldiers, but the upshot was:

It seemed like the social distancing guidelines not only prevented the disease from spreading but also prevented disease severity.

And then, there were the…

[…] three coronavirus clusters in Madrid, all with similar average ages between 63 and 66 years old… The old folks who stayed socially distanced had less severe disease, even when they did get infected.

Of course none of the many instances that Larsen reports is actually a full-on scientific research study that plays by all the rules of rigorous research. Except under extraordinary circumstances, nobody is allowed go around making people sick on purpose, just to follow laboratory protocol or statistical parameters.

For the most part, all we have to work with are the kinds of facts that classically trained researchers have become used to dismissing as “anecdotal.” Meanwhile, the healers who are trying to stop the pain and death are doing the best they can with what they’ve got.

One of the truths gleaned from these patterns is, MASK = GOOD. Even some t-shirt material or a hunk of shop towel tied around the lower face can save a life, or at least prevent a lot of misery.

Pessimist or realist?

In mid-August, economist Emily Oster, of the team known as COVID Explained, told the press, “In January, we’ll be in the same position that we are in now, and kids still won’t be in school.” Why would eminent researchers from Brown, MIT, Harvard, Mass General, and other prominent institutions make such a dreary prediction?

Benjy Sarlin and Suzy Khimm reported,

Coronavirus cases are already surfacing in K-12 schools that have reopened, but the federal government is not tracking these outbreaks, and some states are not publicly reporting them, making it more difficult to determine how the virus is spreading, experts say. Scores of students and staff members have been quarantined because of potential COVID-19 exposure… But there is no official national tally of school-linked COVID-19 cases…

A handful of states were said to be tracking, but not reporting. These bureaucracies tend to tell reporters that “coronavirus data on schools was not critical to protecting the broader public.” Well, okay then! And dig it:

Each state sets its own definition for an “outbreak”…

Even among the states that have committed to sharing data, there are major gaps and inconsistencies in reporting policies…

A spokeswoman for the Centers for Disease Control and Prevention said that the agency was not tracking school-based COVID-19 cases…

Could there be a more perfect recipe for disaster? The COVID Explained group is trying to compensate by working with the School Superintendents Association to collect and share information. One of the goals is to examine what schools with low numbers are doing or not doing, in order to develop guidelines for the rest.

Other organizations, news agencies, and even individuals are trying to fill in the gaps too. The absence of what is called “granular information” is a crucial lack for many reasons, not least because science needs to understand how younger and older children are affected differently. The journalists also quoted Annette C. Anderson of Johns Hopkins University, with another portentous quotation, and this was only a couple of weeks ago:

We’re only beginning to start understanding the transmission of COVID in children.

Your responses and feedback are welcome!

Source: “What research says about the amount of coronavirus you are initially exposed to,” SLTrib.com, 08/16/29
Source: “Coronavirus is spreading in schools, but the federal government isn’t keeping count,” NBCNews.com, 08/17/20
Image by Jernej Furman/CC BY 2.0

Coronavirus Chronicles — Transmission, Crux of the School Debate

The school question is still very much with us. Some schools have opened for the fall term and and already closed again; others operate under a spectrum of philosophical beliefs and legally mandated actions, in strange permutations of school, home, and electronic settings. People have their differing reasons for wanting schools to go back to “normal.” Of course, we are urgently concerned about some very impactful conjunctions: obesity + coronavirus; obesity + school; obesity + home; school + coronavirus, and so on.

Many of the discussions about school focus on how the disease spreads, and the multiple factors that must be taken into account, if any sense is to be made of the topic. The transmission researchers are working overtime, and discovery in this area is moving along.

By now, people know more than enough about what to do, to keep a pretty good leash on transmission. The problem is that, for an astonishing variety of reasons, many people will not do those things. Social media are rife with examples of mask wearers being called rude names. There are, thank goodness, only a few reports of maskers being physically attacked, but they have a chilling effect on the undecided.

Among all this confusion it seems, at the moment, that there is no right answer for obesity prevention. The stay-at-home scenario and the school scenario are both riddled with flaws. (Of course, either of those environments could step up their game by absorbing the principles of W8Loss2Go. Yes, there is an app.) Since the crux of the school debate is transmission, no child’s obesity is going to improve until we get it figured out.

Who has found what?

In mid-August, journalist Andy Larsen of the Salt Lake Tribune combed the airwaves for information on viral load, or what happens when people are exposed to different quantities of virus particles. He found a small study in which 46 volunteers were given various doses of H1N1 flu virus, which performs similarly but is not quite so dangerous to experiment with. The result was that “giving patients more disease meant it was more likely they had symptoms and more likely that they were contagious.”

What about SARS-CoV-2, the virus that causes our current pandemic? Studies were done with hamsters — a cage full of infected ones next to a cage full of healthy ones. By setting up fans, either with or without surgical masks between the cages, they found that indeed, less of a viral load makes less sickness. They talk about it in terms of dose — which seems weird, because we are used to thinking of dosage as a way to measure beneficial medicines, rather than deadly organisms — but that’s science.

But what about humans? It would be unethical to intentionally infect them with the novel coronavirus, so instances had to be found where the unsupervised activity of people set up natural experiments:

The earliest such study is probably from Gangelt, the small German town in which an indoor festival led to a big coronavirus outbreak. Researchers found that those who went to the festival and caught the big dose in a superspreading event had a longer list of symptoms than those who weren’t at the festival and caught the disease secondhand.

(To be continued…)

Your responses and feedback are welcome!

Source: “What research says about the amount of coronavirus you are initially exposed to,” SLTrib.com, 08/16/29
Image by Marco Verch/CC BY 2.0

Pets Count on Us to Keep Them Healthy

Dr. Pretlow has written that “Pet obesity is more ‘pure’ than child obesity, in that contributing factors and treatment points are essentially under the control of the pet-parent.” In other words, if a dog, a hamster, or even a horse is unhealthily fat, the finger of responsibility can point nowhere except to the human who maintains that pet. Because the contributing factors are narrowed down to one, this is pretty clear.

When a child is obese, the blame could potentially be spread around. Grandparents might be sneaking unauthorized treats to the child. The school lunch could be too calorie-packed. A lot of different things could be happening. But when a cat’s body is wider than it is long, the pet mommy or the pet daddy cannot escape accountability. The animal is overfed, period. Consequently, Dr. Pretlow proposes,

Pet obesity might thus serve as an ideal test bed for the treatment and prevention of child obesity, with focus primarily on parental behaviors. Sharing information between the fields of pet and child obesity would be mutually beneficial.

Such information is shared in his invited presentation for the American Society of Animal Science 2020 conference, titled “What’s Causing Obesity in Companion Animals & What Can We do About It?” Of course this is not the first time he has addressed this problem in a public venue. In the print realm, “Similarities between obesity in pets and children: the addiction model,” by Dr. Robert A. Pretlow and Dr. Ronald J. Corbee, appeared a couple of years back in the British Journal of Nutrition.

Watching a corpulent animal waddle around can be amusing, and if it were only a matter of appearance, who would care? But overweight pets, just like too-heavy people, can develop diabetes, heart disease, arthritis, and other co-morbidities. And sometimes, the pet parents are simply incapable of seeing the problem, or perhaps pal around with enablers who reassure them that a pudgy little dog, at twice its normal weight, looks adorable.

Often, the problem needs to be pointed out by an impartial third party. Someone needs to step in and say, “Stop giving that creature so much food, and take it out for a walk once in a while.”

Just because animals are involved that does not mean human psychology is not involved. Both humans and sensitive pets can suffer from depression, isolation, anxiety, stress and boredom. Both can develop a food-dependent condition that looks and functions very much like addiction.

Companion animals are known to be quite affectionate, but there may, on the part of the human, be an inordinate need for love that skews the balance between responsible nourishment and neurotic manipulation. There can be an unhealthy co-dependent relationship, and this is as true of parents with human children as it is of pet parents. As Dr. Pretlow says, “Information garnered from each field should complement treatment and prevention in the other.”

The Childhood Obesity News posts that concern pet health are neatly rounded up in this comprehensive directory.

Your responses and feedback are welcome!

Source: “Similarities between obesity in pets and children: the addiction model,” Cambridge.org, 06/17/16
Image by Dan Perry/CC BY 2.0

European and International Congress on Obesity Goes Virtual

Coming up very soon, on September 1-4, is the European and International Congress on Obesity (ECO), an online event that will bring together experts from all over the world. It was originally planned as a physical happening in Dublin, Ireland, but sadly, like many other such gatherings, the Congress had to adapt to present reality. The hardcore information is,

Our online programme offers live and on-demand scientific sessions, discussion, and interactive e-poster presentations. We will also host cutting-edge industry sessions and virtual exhibitions.

All events will be hosted on our new digital platform on the ECO-ICO website, and the congress will be integrated with the ECOICO 2020 app. All abstracts will be published in the official abstract supplement in Obesity Reviews.

At the 2011 ECO in Istanbul, Dr. Prelow talked about “Addiction to Highly Pleasurable Foods as a Cause of the Childhood Obesity Epidemic.” In 2012, he spoke at the 19th ECO, held in Lyon, France, on the subject of “Social Networking and Obesity.” Subsequently, there were favorable mentions in the press. The following year, he travelled to the ECO in Liverpool, U.K., to deliver an address titled “Compulsive Eating/Addiction Intervention for Obesity Implemented as a Smartphone App: A Pilot Study.”

As one of this year’s presenters, Dr. Pretlow takes as his subject “The displacement mechanism: a new explanation and treatment for obesity.” The listing is found on page 62 of the 64-page downloadable Programme Book. Also available as a PDF download is the e-Poster. But wait, that’s not all. There is a video too.

A long pondering

Dr. Pretlow has been studying the displacement mechanism for years, noting the similarities between compulsive overeating and certain actions engaged in by animals that feel threatened and seek ways to cope with stress. A large number of peripheral issues adhere to this subject, one of the most prominent being the presence of BFRBs, or Body Focused Repetitive Behaviors.

Here’s a list of the Childhood Obesity News posts that have touched on these matters:

Your responses and feedback are welcome!

Image by Sean MacEntee/CC BY 2.0

Coronavirus Chronicles — The Streets and the Schools

We do not know everything about how the SARS-CoV-2 organism travels from place to place, or how it chooses its new digs, or why some potential hosts are helpless before it, while others somehow manage to tell it to get lost. There are things that researchers are pragmatically or ethically unable to be at cause for. Some public events are important in secondary ways, as rough-hewn experiments that tell researchers things they need to know.

Massive protests were thought to be a prime enabler of community transmission of the virus, except it didn’t happen. For Healthline.com, Dana K. Cassell covered the subject and offered the following:

The reasons for the lack of transmission likely have to do with the protesters being outside in the wind and sun and most of them wearing masks. People who attend other outdoor events, such as going to the beach or a ball game, tend to share indoor facilities like bathrooms, shops, and restaurants.

The National Bureau of Economic Research issued a paper, saying,

We conclude that predictions of broad negative public health consequences of Black Lives Matter protests were far too narrowly conceived.

From Los Angeles, journalist Alex Mahadevan wrote,

We wanted to know whether officials had compiled more complete information since late June… The county’s health department, however, did not respond to multiple requests for the number of people who, when reached by contact tracers following up on positive COVID-19 cases, reported being at one of the protests within two weeks of starting to show symptoms.

Mahadevan went on to say that in San Diego, according to county officials, “no community outbreak so far had been traced to any outdoor activities, including those at beaches, parks and on trails, or protests…” Public health microbiologist Rodney Rohde, Ph.D., told the reporter he had seen no “peer-reviewed research linking outdoor protests (or really any major outdoor events) to the surge here in Texas.”

Some suggest that any increase in the number of coronavirus cases is due to the fact that people have no money, and take any kind of work they can get, increasing their exposure to COVID-19, and increasing the exposure of their children, who then go to school and either catch the virus or pass it around to others.

In this era, one thing many people notice is how the line between reality and satire is barely holding. Please enjoy Kara Baskin’s piece, “Your School District’s Reopening Survey.” She writes:

Students must be tested for COVID at the first sign of illness; please return your child to us in six weeks or when results come back, whichever comes first.

Your responses and feedback are welcome!

Source: “Why the Black Lives Matter Protests Didn’t Contribute to the COVID-19 Surge,” Healthline.com, 07/08/20
Source: “How much did protests contribute to Los Angeles’ COVID-19 surge?,” Poynter.org, 07/23/20
Source: “Your School District’s Reopening Survey,” McSweeneys.net, 08/05/20
Image by Jernej Furman/CC BY 2.0

Coronavirus Chronicles — Weighing the Exigencies

In a recent and very comprehensive article for The Atlantic, authors Alexis C. Madrigal and Robinson Meyer uttered an understatement so massive, it was darkly humorous:

The number of protests over the past week means that researchers will soon have a much better understanding of the risks of outdoor transmission.

A lot of people were very upset that protesters in Los Angeles and other cities hit the streets for a purpose they deemed to be of overwhelming importance. Even some people who agree with the principles called the protests irresponsible in terms of public health. But, as it turns out, the protests may not have caused any dramatic increase in the spread of COVID-19.

Journalist Alex Mahadevan spoke with Stanford University infectious disease researcher Erin Mordecai, who said,

Even before the protests started, L.A. had a problem. The county was already seeing increased growth in the epidemic, and that growth has been pretty consistent.

The thing that makes it hard to separate out the effects of the protests versus other factors, is a lot of states were reopening at the same time in late May. You had protests, you had Mother’s Day, Memorial Day, businesses starting to reopen.

Many protesters wore face coverings. In Seattle, out of those who were tested, very few showed positive. Minneapolis and Boston followed the same pattern. But there are “buts,” says journalist Robert Roy Britt. For instance, there was no way to verify if all the people tested had actually been in the midst of protest crowds. And the cities examined in his article do not share the exact same rules about masking, distancing, and other matters.

Some vindication

Meanwhile, data from many sources seemed to indicate that “superspreader events” happen indoors, in enclosed spaces, when people are in those spaces for long periods of time. In other words, under different conditions than a protest march. More than three weeks after the massive protests that involved hundreds of thousands of people all the activity did not seem to have affected the rate of new cases.

Apparently, “social distancing rules are not so important if people are outside and wear masks.” Buzzfeednews.com offered this:

What’s more, a new analysis based on cellphone tracking data suggests a surprising reason for the lack of protest-related spikes in COVID-19: In the cities with large protests, the wider population actually spent more time at home during the demonstrations.

Yasmin Tayag, who writes extensively about the novel coronavirus,  noted,

Experts have made it clear that it will be extremely difficult to peg any spike in cases to protests because the protests began around the same time that the country began reopening. The protests also began soon after Memorial Day, when many people relaxed their social distancing efforts.

At that point, the experts’ reasons for citing the difficulty were so theoretical and abstruse that one might almost dismiss the whole discussion; but the fact still remains, the predicted huge increase in cases due to mingling in the streets did not occur.

Your responses and feedback are welcome!

Source: “America Is Giving Up on the Pandemic,” TheAtlantic.com, 06/07/20
Source: “Recent Protests Don’t Seem to Be Causing Outbreaks,” Medium.com, 06/17/20
Source: “How much did protests contribute to Los Angeles’ COVID-19 surge?,” Poynter.org, 07/23/20
Source: “The Black Lives Matter Protests Have Taught Us More About The Coronavirus,” BuzzFeednews.com, 06/23/20
Source: “What We Know About Protests and New Coronavirus Cases,” Medium.com, 06/24/20
Image by Ted Eytan/CC BY-SA 2.0

Coronavirus Chronicles — The Long, Winding Road Continues

The topic is transmission of the SARS-CoV-2 virus, and the episode of the Missouri hair salon has been called a “natural test,” in the sense of a spontaneously arising ordeal that, ethically anyway, could not have been intentionally imposed. That factor helped the story to gain attention, even though all the people involved were not tested in the other sense of taking physical tissue and examining it in a lab.

In the research realm, a study that relies on such a tiny number of subjects impresses no one. But it is illegal to intentionally leave one bunch of experimental subjects alone as a “control group,” while infecting another bunch on purpose. Sometimes, science has to wait until people do it to themselves. So, it was not a perfect experiment, but it was an encouraging one. In mid-July, the Centers for Disease Control adopted this as a case study and issued a report bearing the optimistic message that masks help a lot.

In other areas of research

One of the recently advanced theories is that for transmission to really grind to a halt, a genuine lockdown of at least two months is required. The Barcelona Institute for Global Health did some computer modeling, and that is the answer they came up with. Additionally,

Two factors emerged as especially important in controlling an ongoing wave of cases and preventing a new one: how long immunity lasts, and human behavior.

Immunity? Nobody knows. Human behavior? Nobody knows. Human behavior is the engine that drives history. Most mysteries boil down to human behavior, and people are crazy. Who would have predicted that grownups would go around intentionally coughing on strangers, in the grotesque belief that their assaultive act makes some kind of meaningful point, whether philosophical or political?

As epidemiologist Julia Marcus wrote,

Americans are figuring out how to live with a deadly new virus now, just as gay men did in the early years of AIDS… Likewise, Americans can’t abstain from human interaction forever, and widespread masking may be a ticket to more social and economic freedom. But trying to shame people into wearing condoms didn’t work — and it won’t work for masks either.

As one research team noted, men are especially likely to opt out of wearing masks, believing them to be “shameful,” “a sign of weakness,” and “not cool” — even though men are at higher risk than women of dying from coronavirus infection.

What does all this have to do with childhood obesity? Everything. Children need protection from the likelihood that COVID-19 will be transmitted to them, and now, more than ever, from the factors that cause obesity. For some children, the need for protection is especially urgent.

As journalist Kim Doleatto writes,

Aside from the well-documented, troubling effects of obesity on overall health, another one is surfacing: Besides age, it’s the greatest risk for COVID-19 fatality, making children who have obesity more vulnerable to related complications.

Your responses and feedback are welcome!

Source: “CDC highlights Springfield Great Clips COVID-19 study as further support for masking,” News-Leader.com, 07/17/20
Source: “Lockdowns Must Last At Least 60 Days…,” Medium.com, 06/22/20
Source: “The Dudes Who Won’t Wear Masks,” TheAtlantic.com, 06/23/20
Source: “Childhood obesity and COVID-19 can be a dangerous mix,” HeraldTribune.com, 07/27/20
Image by Ronnie Fleming/CC BY-ND 2.0

Coronavirus Chronicles — A Long, Winding Road

Since being prematurely assured by authority figures that children do not catch or transmit COVID-19, what a distance we have traveled. A July 30 story states, “85 infants under age 1 have tested positive for coronavirus in one Texas county since March.” One county. Eighty-five positive testers. Less than a year old. That was just a minor detail in reportage about a study published in the journal JAMA Pediatrics. Here is the mind-blowing quotation:

Children younger than 5 have between 10 and 100 times more genetic material from the novel coronavirus in their noses compared to older children and to adults…

Granted, this study was small, and was not about transmission of the virus, merely the existence of its debris in the respiratory systems of very young children. When the conversation turns to evidence of transmission via child, some say it’s just not there. The basic belief is that since March or thereabouts, many American children have been diligently protected from contact with anyone but a small family circle.

Others say, “Not as much as you think.” First, family members are people, who go in and out and have contact with other people, or even bring them home. A child may seem to be in a bubble, but when assessing their safety, it makes no sense to ignore how many others the fragile boundaries of that bubble might include.

A bad bubble?

Another of the multiple factors here is that home tends to be a space where the air is not continuously exchanged. This is currently seen as the worst scenario, because viral load is also believed to be an important part of the equation. A child at home, sitting around in an enclosed space, assailed by an ever-increasing cloud of aerosolized exhalations, taking in more invisible organisms every minute. The bubble that child inhabits could be a toxic one.

But if restrictive rules are in effect for public health, it’s not such a good idea to let kids outside, or take them out. Since fresh air is dangerous to seek outdoors, the only solution is to bring the fresh air in, which will be ugly in the winter.

What’s going on here, anyway?

“Corona” means crown, and that crown sits on the head of King Confusion. The two very different news stories that follow appeared within a week of each other.

In mid-June, journalist James Gordon described how, when Florida “reopened,” a group of 16 friends spent an evening at a bar. All of them caught the virus, and so did a number of other customers, as well as seven out of 49 of the business’ employees.

And yet, a story from Missouri at around the same time seemed to spell out a less drastic message. A hair salon in Springfield had adopted some good practices, like spacing out the appointment times, distancing the client seating arrangements, and best of all, covering their faces.

Two stylists nevertheless did experience COVID-19 symptoms, because, as it turned out, they had it. At risk were six other workers and 140 clients. (Reportedly, 98% of the clients were also masked.) The company said it would test any of the potentially exposed individuals who wanted it, but only 46 (or by a later report, 67) took them up on the offer. So the result was dependent on the fact that far fewer than half were tested. The amazing part is that apparently, nobody caught the virus.

(To be continued…)

Your responses and feedback are welcome!

Source: “Study finds higher viral load in young children, raising questions about how likely they are to transmit the coronavirus,” CNN.com, 07/30/20
Source: “Healthcare worker reveals 15 of her friends ALL got coronavirus,” DailyMail.co.uk, 6/16/20
Source: “Incubation period closes: no clients contract COVID-19 from salon exposure,” SpringfieldMO.gov, 06/08/20
Image by Andrew Currie/CC BY 2.0

Coronavirus Chronicles — What We Know About Transmission

To quote an article from ScienceDaily.com,

In medicine, transmission is the passing of a disease from an infected individual or group to a previously uninfected individual or group. In order to survive, microorganisms that require human hosts must have a way to be transmitted from one host to another.

Infectious agents are generally specialised for a particular method of transmission. Microorganisms vary widely in the length of time that they can survive outside the human body, and so vary in how they are transmitted.

The main thing to know about transmission is that we do not want it to occur. A lot of people do not want COVID-19 transmitted to them. A somewhat smaller number also would prefer not to transmit it to others. It is important to know where the dangers lie, because (in America, anyway) people get very annoyed at being asked to inconvenience themselves, unless science is 100% certain the consequences are life or death. And, sad to say, maybe not even then.

We especially hope to avoid transmission in schools, for the sake of all children and their families; and teachers, bus drivers, school employees, and all of their families. We especially do not want obese kids to get it, because they tend to fare very badly with this illness.

COVID-19 exhibits mission creep

During earliest days of awareness, both the World Health Organization and the Centers for Disease Control agreed that a person takes the virus on board by being close to a sick person and inhaling respiratory droplets, or by touching a contaminated surface before touching one’s face.

But other experts contended that tiny aerosol droplets could stay in the air for quite a while, and travel quite a distance. In a letter published by the journal Clinical Infectious Diseases, 239 research scientists from 32 different countries declared this aerosol transmission as not a theory but a certainty.

This, combined with the growing certainty that people with no symptoms can spread the illness, led to the practice of masking both indoors and outdoors, regardless of distance. Hospitals became more aware of the need for strict practices in such areas as the proper disposal or cleaning of used personal protective coverings.

A very thorough analysis of the infamous Skagit Valley Chorale practice, including “church-hall blueprints, furnace specifications, locations of choir members and hours of attendance,” made it clear that this was a superspreader event by means of aerosol dispersion. The aerosol theory, which had at first been labeled “outlandish,” became accepted .

Here is a puzzling question. For years now, many people have protested vigorously against the practice of raising fur-bearing mammals to make coats from. In view of that, how are so very many mink still being farmed in so many countries? Anyone who wants to ruin their day is invited to Google the words “mink” and “coronavirus” together. Apparently the little critters are perfectly capable of transmitting the virus to humans.

COVID-19 comes at us from many directions. Of course this is fanciful, but it sure does seem like the disease is a sentient being, capable of learning, growing, adapting, and diversifying as it goes along. Mere humans struggle to adapt quickly enough to keep up with it — or with the ongoing revelations of its secrets.

Your responses and feedback are welcome!

Source: “Transmission (medical),” ScienceDaily.com, undated
Source: “Scientists say WHO ignores the risk that coronavirus floats in air as aerosol,” LATimes.com, 07/04/20
Image by Jeff/CC BY-ND 2.0

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Profiles: Kids Struggling with Weight

Profiles: Kids Struggling with Obesity top bottom

The Book

OVERWEIGHT: What Kids Say explores the obesity problem from the often-overlooked perspective of children struggling with being overweight.

About Dr. Robert A. Pretlow

Dr. Robert A. Pretlow is a pediatrician and childhood obesity specialist. He has been researching and spreading awareness on the childhood obesity epidemic in the US for more than a decade.
You can contact Dr. Pretlow at:

Presentations

Dr. Pretlow’s invited presentation at the American Society of Animal Science 2020 Conference
What’s Causing Obesity in Companion Animals and What Can We Do About It

Dr. Pretlow’s invited presentation at the World Obesity Federation 2019 Conference:
Food/Eating Addiction and the Displacement Mechanism

Dr. Pretlow’s Multi-Center Clinical Trial Kick-off Speech 2018:
Obesity: Tackling the Root Cause

Dr. Pretlow’s 2017 Workshop on
Treatment of Obesity Using the Addiction Model

Dr. Pretlow’s invited presentation for
TEC and UNC 2016

Dr. Pretlow’s invited presentation at the 2015 Obesity Summit in London, UK.

Dr. Pretlow’s invited keynote at the 2014 European Childhood Obesity Group Congress in Salzburg, Austria.

Dr. Pretlow’s presentation at the 2013 European Congress on Obesity in Liverpool, UK.

Dr. Pretlow’s presentation at the 2011 International Conference on Childhood Obesity in Lisbon, Portugal.

Dr. Pretlow’s presentation at the 2010 Uniting Against Childhood Obesity Conference in Houston, TX.

Food & Health Resources