The Longest Case of COVID-19 Lasted 613 Days – Healthnews.com

For most, COVID-19 symptoms last for a few weeks before passing. New research from the Netherlands finds a patient suffered from the respiratory virus for nearly two years before his death.

A Dutch man with a poor immune system lived with a high-mutated novel variant of COVID-19 for 613 days, according to the University of Amsterdams Centre for Experimental and Molecular Medicine (CEMM). The case is known as the longest bout of COVID-19.

Healthy patients diagnosed with COVID-19 typically recover from mild cases of the virus within a few weeks. However, immunocompromised individuals may develop a persistent infection with increased adverse effects that can evolve such as the Omicron variant, which originated in a patient with a weakened immune system.

A European Society of Clinical Microbiology and Infectious Diseases release says the study led by Magda Vergouwe of the CEMM describes a male patient who was admitted to the Amsterdam University Medical Center in February 2022 due to COVID-19. He was infected with the Omicron SARS-CoV-2 variant BA.1.17.

The patient suffered from myelodysplastic and myeloproliferative overlap syndrome due to a stem cell transplant. In myelodysplastic diseases, immature blood cells in bone barrow do not mature and become healthy blood cells. Meanwhile, myeloproliferative diseases result in a total number of blood cells slow increasing.

This case underscores the risk of persistent SARS-CoV-2 infections in immunocompromised individuals as unique SARS-CoV-2 viral variants may emerge due to extensive intra-host evolution, study authors said. We emphasise the importance of continuing genomic surveillance of SARS-CoV-2 evolution in immunocompromised individuals with persistent infections given the potential public health threat of possibly introducing viral escape variants into the community.

The 72-year-old patient had previously received multiple COVID-19 vaccinations. He was treated with multiple antibody medications without any response and within 21 days, the man developed a mutation that resisted sotrovimab, one of the antibody medications. In the full genome sequencing of the virus that persisted for 613 days, researchers uncovered it had undergone 50 genetic code mutations.

The ESCMID Global release says study authors note there must be a balance between protecting the masses from new variants and providing care for these terminally ill patients. Also, scientists emphasize while there is an increased chance of novel variants in those with weakened immune systems, it is not the case for each patient.

The duration of SARS-CoV-2 infection in this described case is extreme, but prolonged infections in immunocompromised patients are much more common compared to the general community. Further work by our team includes describing a cohort of prolonged infections in immunocompromised patients from our hospital with infection durations varying between 1 month and 2 years.

The complete research of this unique COVID-19 case will be presented at the ESCMID Global Congress in Barcelona which runs from April 27-30.

The U.S. Centers for Disease Control and Prevention (CDC) updated its COVID-19 guidelines in March, no longer recommending isolation following a positive test. Those who are infected should wear a high-quality mask or respirator when around others, monitor symptoms, and contact a healthcare provider for possible treatments. The CDC reported 6,406 COVID-19 hospitalizations last week, a 13.8% drop.

However, COVID-19 can still be a threat to those with weak immune systems like the 72-year-old Dutch man. The CDC highlights those who are immunocompromised have lesser defenses against infections. Those six months and older who are moderately to severely immunocompromised are recommended to receive at least one dose of the updated 2023-24 COVID-19 vaccine.

The CDC says people with weakened immune symptoms may reach out to their healthcare provider for possible antiviral medications. Recovering from COVID-19 for immunocompromised patients may take longer than the normal few weeks

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The Longest Case of COVID-19 Lasted 613 Days - Healthnews.com

Toxic: How the search for the origins of COVID-19 turned politically poisonous – El Paso Inc.

BEIJING (AP) The hunt for the origins of COVID-19 has gone dark in China, the victim of political infighting after a series of stalled and thwarted attempts to find the source of the virus that killed millions and paralyzed the world for months.

The Chinese government froze meaningful domestic and international efforts to trace the virus from the first weeks of the outbreak, despite statements supporting open scientific inquiry, an Associated Press investigation found. That pattern continues to this day, with labs closed, collaborations shattered, foreign scientists forced out and Chinese researchers barred from leaving the country.

The investigation drew on thousands of pages of undisclosed emails and documents and dozens of interviews that showed the freeze began far earlier than previously known and involved political and scientific infighting in China as much as international finger-pointing.

As early as Jan. 6, 2020, health officials in Beijing closed the lab of a Chinese scientist who sequenced the virus and barred researchers from working with him.

Scientists warn the willful blindness over coronavirus origins leaves the world vulnerable to another outbreak, potentially undermining pandemic treaty talks coordinated by the World Health Organization set to culminate in May.

At the heart of the question is whether the virus jumped from an animal or came from a laboratory accident. A U.S. intelligence analysis says there is insufficient evidence to prove either theory, but the debate has further tainted relations between the U.S. and China.

Unlike in the U.S., there is virtually no public debate in China about whether the virus came from nature or from a lab leak. In fact, there is little public discussion at all about the source of the disease, first detected in the central city of Wuhan.

Crucial initial efforts were hampered by bureaucrats in Wuhan trying to avoid blame who misled the central government; the central government, which muzzled Chinese scientists and subjected visiting WHO officials to stage-managed tours; and the U.N. health agency itself, which may have compromised early opportunities to gather critical information in hopes that by placating China, scientists could gain more access, according to internal materials obtained by AP.

In a faxed statement, China's Foreign Ministry defended Chinas handling of research into the origins, saying the country is open and transparent, shared data and research, and made the greatest contribution to global origins research. The National Health Commission, China's top medical authority, said the country invested huge manpower, material and financial resources and has not stopped looking for the origins of the coronavirus.

It could have played out differently, as shown by the outbreak of SARS, a genetic relative of COVID-19, nearly 20 years ago. China initially hid infections then, but WHO complained swiftly and publicly. Ultimately, Beijing fired officials and made reforms. The U.N. agency soon found SARS likely jumped to humans from civet cats in southern China and international scientists later collaborated with their Chinese counterparts to pin down bats as SARS natural reservoir.

But different leaders of both China and WHO, Chinas quest for control of its researchers, and global tensions have all led to silence when it comes to searching for COVID-19s origins. Governments in Asia are pressuring scientists not to look for the virus for fear it could be traced inside their borders.

Even without those complications, experts say identifying how outbreaks begin is incredibly challenging and that its rare to know with certainty how some viruses begin spreading.

Its disturbing how quickly the search for the origins of (COVID-19) escalated into politics, said Mark Woolhouse, a University of Edinburgh outbreak expert. Now this question may never be definitively answered.

Secrecy clouds the beginning of the outbreak. Even the date when Chinese authorities first started searching for the origins is unclear.

The first publicly known search for the virus took place on Dec. 31, 2019, when Chinese Center for Disease Control scientists visited the Wuhan market where many early COVID-19 cases surfaced.

However, WHO officials heard of an earlier inspection of the market on Dec. 25, 2019, according to a recording of a confidential WHO meeting provided to AP by an attendee. Such a probe has never been mentioned publicly by either Chinese authorities or WHO.

In the recording, WHOs top animal virus expert, Peter Ben Embarek, mentioned the earlier date, describing it as an interesting detail. He told colleagues that officials were looking at what was on sale in the market, whether all the vendors have licenses (and) if there was any illegal (wildlife) trade happening in the market.

A colleague asked Ben Embarek, who is no longer with WHO, if that seemed unusual. He responded that it was not routine, and that the Chinese must have had some reason to investigate the market. Well try to figure out what happened and why they did that.

Ben Embarek declined to comment. Another WHO staffer at the Geneva meeting in late January 2020 confirmed Ben Embareks comments.

The Associated Press could not confirm the search independently. It remains a mystery if it took place, what inspectors discovered, or whether they sampled live animals that might point to how COVID-19 emerged.

A Dec. 25, 2019, inspection would have come when Wuhan authorities were aware of the mysterious disease. The day before, a local doctor sent a sample from an ill market vendor to get sequenced that turned out to contain COVID-19. Chatter about the unknown pneumonia was spreading in Wuhans medical circles, according to one doctor and a relative of another who declined to be identified, fearing repercussions.

A scientist in China when the outbreak occurred said they heard of a Dec. 25 inspection from collaborating virologists in the country. They declined to be named out of fear of retribution.

WHO said in an email that it was not aware of the Dec. 25 investigation. It is not included in the U.N. health agencys official COVID-19 timeline.

When health officials from Beijing arrived in Wuhan on Dec. 31, they decided to disinfect the market before collecting samples, destroying critical information about the virus. Gao Fu, head of the China CDC, mentioned it to an American collaborator.

His complaint when I met him was that all the animals were gone, said Columbia University epidemiologist Ian Lipkin.

Robert Garry, who studies viruses at Tulane University, said a Dec. 25 probe would be hugely significant, given what is known about the virus and its spread.

Being able to swab it directly from the animal itself would be pretty convincing and nobody would be arguing about the origins of COVID-19, he said.

But perhaps local officials simply feared for their jobs, with memories of firings after the 2003 SARS outbreak still vivid, said Ray Yip, the founding head of the U.S. Centers for Disease Control and Prevention outpost in China.

They were trying to save their skin, hide the evidence, Yip said.

The Wuhan government did not respond to a faxed request for comment.

Another early victim was Zhang Yongzhen, the first scientist to publish a sequence of the virus. A day after he wrote a memo urging health authorities to action, Chinas top health official ordered Zhangs lab closed.

They used their official power against me and our colleagues, Zhang wrote in an email provided to AP by Edward Holmes, an Australian virologist.

On Jan. 20, 2020, a WHO delegation arrived in Wuhan for a two-day mission. China did not approve a visit to the market, but they stopped by a China CDC lab to examine infection prevention and controlprocedures, according to an internal WHO travel report. WHOs then-China representative, Dr. Gauden Galea, told colleagues in a private meeting that inquiries about COVID-19s origins went unanswered.

There are a few cadres who have performed poorly, President Xi Jinping said in unusually harsh comments in February. Some dare not take responsibility, wait timidly for orders from above, and dont move without being pushed.

The government opened investigations into top health officials, according to two former and current China CDC staff and three others familiar with the matter. Health officials were encouraged to report colleagues who mishandled the outbreak to Communist Party disciplinary bodies, according to two of the people.

Some people both inside and outside China speculated about a laboratory leak. Those suspicious included right-wing American politicians, but also researchers close to WHO.

The focus turned to the Wuhan Institute of Virology, a high-level lab that experimented with some of the worlds most dangerous viruses.

In early February 2020, some of the Wests leading scientists, headed by Dr. Jeremy Farrar, then at Britains Wellcome Trust, and Dr. Anthony Fauci, then director of the U.S. National Institutes of Health, banded together to assess the origins of the virus in calls, a Slack channel and emails.

They drafted a paper suggesting a natural evolution, but even among themselves, they could not agree on the likeliest scenario. Some were alarmed by features they thought might indicate tinkering.

There have (been) suggestions that the virus escaped from the Wuhan lab, Holmes, the Australian virologist, who believed the virus originated in nature, wrote in a Feb. 7, 2020, email. I do a lot of work in China, and I can (assure) you that a lot of people there believe they are being lied to.

American scientists close to researchers at the Wuhan Institute of Virology warned counterparts there to prepare.

James DeLuc, head of a Texas lab, emailed his Wuhan colleague on Feb. 9, 2020, saying hed already been approached by U.S. officials. Clearly addressing this will be essential, with any kind of documentation you might have, he wrote.

The Chinese government was conducting its own secret investigation into the Wuhan Institute. Gao, the head of the China CDC, and another Chinese health expert revealed its existence in interviews months and years later. Both said the investigation found no evidence of wrongdoing, which Holmes, the Australian virologist, also heard from another contact in China. But Gao said even he hadn't seen further details, and some experts suspect they may never be released.

WHO started negotiations with China for a second visit with the virus origins in mind, but it was Chinas Foreign Ministry that decided the terms.

Scientists were sidelined and politicians took control. China refused a visa for Ben Embarek, then WHOs top animal virus expert. The itinerary dropped nearly all items linked to an origins search, according to draft agendas for the trip obtained by the AP. And Gao, the China CDC head who is also a respected scientist tasked with investigating the origins, was left off the schedule.

Instead, Liang Wannian, a politician in the Communist Party hierarchy, took charge of the international delegation. Liang is an epidemiologist close to top Chinese officials and China's Foreign Ministry who is widely seen as pushing the party line, not science-backed policies, according to nine people familiar with the situation who declined to be identified to speak on a sensitive subject.

Most of the WHO delegation was not allowed to go to Wuhan, which was under lockdown. The few who did learned little. They again had no access to the Wuhan Institute of Virology or the wildlife market and obtained only scant details about China CDC efforts to trace the coronavirus there.

On the train, Liang lobbied the visiting WHO scientists to praise Chinas health response in their public report. Dr. Bruce Aylward, a senior adviser to WHO Director-General Tedros Adhanom Ghebreyesus, saw it as the best way to meet Chinas need for a strong assessment of its response.

The new section was so flattering that colleagues emailed Aylward to suggest he dial it back a bit.

It is remarkable how much knowledge about a new virus has been gained in such a short time, read the final report, which was reviewed by Chinas top health official before it went to Tedros.

As criticism of China grew, the Chinese government deflected blame. Instead of firing health officials, they declared their virus response a success and closed investigations into the officials with few job losses.

There were no real reforms, because doing reforms means admitting fault, said a public health expert in contact with Chinese health officials who asked not to be identified because of the sensitivity of the matter.

In late February 2020, the internationally respected doctor Zhong Nanshan appeared at a news conference and said that the epidemic first appeared in China, but it did not necessarily originate in China.

Chinese officials told WHO that blood tests on lab workers at the Wuhan Institute of Virology were negative, suggesting they hadnt been previously infected with bat coronaviruses. But when WHO pressed for an independent audit, Chinese officials balked and demanded WHO investigate the U.S. and other countries as well.

By the time WHO led a third visit to Wuhan in January 2021, a year into the pandemic, the atmosphere was toxic.

Liang, the Chinese health official in charge of the first two WHO visits, continued to promote the questionable theory that the virus was shipped into China on frozen food. He suppressed information suggesting it could have come from animals at the Wuhan market, organizing market workers to tell WHO experts no live wildlife was sold and cutting recent photos of wildlife at the market from the final report. There was heavy political scrutiny, with numerous Chinese officials who werent scientists or health officers present at meetings.

Despite a lack of direct access, the WHO team concluded that a lab leak was extremely unlikely. So it came as an infuriating surprise to Chinese officials when, months later, WHO chief Tedros said all origins hypotheses, including the lab leak theory, remained on the table.

China told WHO any future missions to find COVID-19 origins should be elsewhere, according to a letter obtained by AP. Since then, global cooperation on the issue has ground to a halt; an independent group convened by WHO to investigate the origins of COVID-19 in 2021 has been stymied by the lack of cooperation from China and other issues.

Chinese scientists are still under heavy pressure, according to 10 researchers and healthofficials. Researchers who published papers on the coronavirus ran into trouble with Chinese authorities. Others were barred from travel abroad for conferences and WHO meetings. Gao, the China CDC director, was investigated after U.S. President Joe Biden ordered a review of COVID-19 data, and again after giving interviews on the virus origins.

New evidence is treated with suspicion. In March 2023, scientists announced that genetic material collected from the market showed raccoon dog DNA mixed with COVID-19 in early 2020, data that WHO said should have been publicly shared years before. The findings were posted, then removed by Chinese researchers with little explanation.

The head of the China CDC Institute of Viral Disease was forced to retire over the release of the market data, according to a former China CDC official who declined to be named to speak on a sensitive topic.

It has to do with the origins, so theyre still worried, the former official said. If you try and get to the bottom of it, what if it turns out to be from China?

Other scientists note that any animal from which the virus may have originally jumped has long since disappeared.

There was a chance for China to cooperate with WHO and do some animal sampling studies that might have answered the question, said Tulane Universitys Garry. The trail to find the source has now gone cold.

Cheng reported from Geneva.

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Toxic: How the search for the origins of COVID-19 turned politically poisonous - El Paso Inc.

‘There was a lot of anxiety’: Florida’s immigration crackdown is causing patients to skip care – POLITICO

One pregnant patient experiencing alarming pain nearly refused to go to an emergency room out of fear that shed be arrested and deported, she said. A staffer at the clinic had to personally escort the patient to the hospital.

There has definitely been an uptick in the nervousness and apprehension that a lot of immigrants already had when they had to think about getting treatment, Thomas said. But I have faith that we will get through this.

DeSantis law is even affecting clinics and organizations that dont receive federal dollars, and the law applies to migrants even though they dont receive Medicaid assistance.

Officials with the Consulate of Mexico in Orlando, which for years has operated a program offering free health care to migrants from all over the world, said fewer migrant women have shown up for free medical check-ups and prenatal care since the law took effect in May. The number of patients accessing free mammograms services, for example, has dropped 18 percent, according to the consulate.

This fear of anything health related has negatively affected the prevention of diseases within our migrant community, the consulate said in a statement.

The consulate does not receive Medicaid reimbursements.

While several states have cracked down on immigration in recent years including a law in Texas that makes it a crime to enter the state illegally from a foreign country Floridas law is believed to be the only one in the nation that requires hospitals to ask patients about their immigration status.

Undocumented immigrants in general arent eligible for federal health benefits, but some states access Medicaid dollars to help undocumented immigrants. Last year, California became the first state in the country to offer health insurance to undocumented immigrants through its Medi-Cal program, which is supported through state and federal taxes..

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'There was a lot of anxiety': Florida's immigration crackdown is causing patients to skip care - POLITICO

COVID and flu cases are rising across the U.S. : Shots – Health News – NPR

COVID cases are rising but hospitalizations and deaths are lower than last year's respiratory virus season. Patrick Sison/AP hide caption

COVID cases are rising but hospitalizations and deaths are lower than last year's respiratory virus season.

In most U.S. states, respiratory illness levels are currently "high" or "very high," according to data from the Centers for Disease Control and Prevention released Friday.

"After the holidays, after we've traveled and gathered, we are seeing what is pretty typical of this time of year, which is a lot of respiratory viruses," says Dr. Mandy Cohen, director of the CDC.

A few viruses have been driving the upward trend, including flu which is very high and respiratory syncytial virus or RSV which appears to have peaked around Thanksgiving.

COVID-19 levels have climbed higher than last season's peak. Still, they remain far below where they were at the height of the pandemic as do levels of severe disease.

"We are still very far below the levels that we were seeing with the omicron peak [in the 2021-2022 virus season]," says Amy Kirby, who leads the CDC's National Wastewater Surveillance System. "We're not looking at that really massive wave of infections. This is much more on par with what we saw [in the 2022-2023 season]."

And while COVID levels are still higher than they were last season, other COVID metrics including emergency room visits, hospitalization rates and deaths are lower now than previous seasons, indicating that "COVID-19 infections are causing severe disease less frequently than earlier in the pandemic," according to the CDC.

Respiratory viruses are hitting the southeast especially hard, said the CDC's Cohen, "but no part of the country is spared."

Flu levels are especially concerning. "The influenza virus is the thing that's really skyrocketing right now," says Dr. Steven Stack, public health commissioner for the state of Kentucky and president of the Association of State and Territorial Health Officials. "Influenza is sharply escalating and driving more hospitalizations."

The flu is coming in later this season, compared with the 2022-2023 season, when "RSV and flu really took off right at the same time along with COVID," says Marlene Wolfe, assistant professor of environmental health at Emory University and a program director at WastewaterScan. "All three of those together were pretty nasty. This year, there's more of an offset."

That has been good news so far for hospital capacity, which has remained stable this season, meaning that people who are quite ill and need medical care are generally able to get it.

Some hospitals in different parts of the country from Massachusetts to Illinois to California are starting to require masks for staff again and in some cases for patients and visitors.

Health officials say that getting the latest flu and COVID-19 vaccines now can still protect people this season. While Stack, with Kentucky's Department for Public Health, encourages seasonal preventive shots for everyone 6 months and older, he says it's particularly important for "everybody who is elderly and not even old elderly like young elderly, 60 and older," since they are more likely to get very sick from these viruses.

CDC data shows that fewer than half of U.S. adults have gotten a flu shot this fall and winter. That's still better than the vaccination rate for this season's COVID-19 booster, which fewer than 20% of U.S. adults have gotten, even though COVID-19 remains the bigger danger.

"The thing that is putting folks into the hospital and unfortunately taking their lives the virus that is still the most severe [at the moment] is the COVID virus," says the CDC's Cohen.

Beyond vaccines, health officials say there's still a place for masking as a preventive measure.

Those who are sick should stay home and watch their symptoms. If they progress beyond a runny nose and a light cough "to body aches, fevers, difficulty moving through your day, a heavier runny nose, a worsening cough ... [those more severe symptoms] should trigger you to go get tested," says Cohen.

Getting tested and diagnosed early, with COVID-19 or the flu, can help those at risk of serious illness get access to prescription pills that can reduce their chances of ending up in the hospital.

Flu and COVID-19 vaccines, tests and treatments should be covered by health insurance.

For those who are uninsured, the government is also offering a program called Test to Treat that offers free tests, free telehealth appointments and free treatments at home.

Cohen says people can protect themselves over the next few weeks by staying aware of what's happening in the community and their individual circumstances.

"You want to know what's happening in your community," she says. "Is there a lot of virus circulating? And then, what are the tools that I could layer on to protect myself, depending on who I am, my age, my risk, as well as who I'm around?"

The CDC has maps of COVID-19 hospitalizations down to the county level on its website, and it provides weekly updates on respiratory viruses nationwide. Cohen says there are many tools including vaccines, masks, rapid tests and treatments available to help people reduce their risks this season.

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COVID and flu cases are rising across the U.S. : Shots - Health News - NPR

COVID, other respiratory illnesses surging in Lincoln – Lincoln Journal Star

Lincoln hospitals are seeing more patients amid a spike in respiratory illnesses, and at least one is bringing back masks for certain staff members.

According to the Lincoln-Lancaster County Health Department, the county recorded 342 COVID-19 cases the week before Christmas, the highest weekly number of cases since the same week in 2022. The Health Department also reported 2023 highs for weekly positive influenza and respiratory syncytial virus during the same week.

Levels of COVID-19 in wastewater, which health experts say is a better gauge of virus levels in the community, also surged the week before Christmas. Health Department sampling showed an average of 1.5 million virus particles per liter of wastewater, up from about 910,000 the previous week. That's the highest weekly measurement in nearly two years.

Case numbers for all three illnesses dropped last week, but experts say that's likely more due to people being unable to access health care on certain days during the holiday break than an actual decline in cases.

"Respiratory illness is on the rise in the community and that's concerning," said Health Director Pat Lopez.

The surge in virus cases has led to increased activity at Lincoln's two hospital systems.

The Centers for Disease Control and Prevention reported 39 hospital admissions in Lincoln for COVID-19 the week ending Dec. 23, a 15% increase from the previous week.

CHI Health Saint Elizabeth in Lincoln has seen an uptick in visits to its emergency department by people with flu-like symptoms over the past six to eight weeks, said CHI Health spokesperson Taylor Miller.

"Our inpatient admissions went up after Thanksgiving and have remained steady, but we expect that admissions may increase again following Christmas and New Year's," said Miller, who noted the hospital saw a large increase in people testing positive for respiratory illnesses this past weekend.

Bryan Health also has seen increasing numbers of inpatients with respiratory illnesses.

Spokesperson Edgar Bumanis said Bryan had 34 COVID-19 patients for the week that ended on Saturday, up from 31 the week before. The hospital system also had three hospitalized flu patients and five with RSV.

Because of the prevalence of the flu, Bryan is now requiring staff members who have not gotten a flu shot to wear a mask at work, Bumanis said. He also said certain departments are instituting mask policies when levels of respiratory illnesses among patients reach a "problematic level."

"For example, currently pediatrics and our Independence Center have staff wearing masks, as well as staff working with immunocompromised patients," he said earlier this week.

Respiratory viruses aren't just an issue in Lincoln. Data from the Nebraska Department of Health and Human Services shows a rise in COVID-19, flu and RSV cases right up until Christmas, although the increase was less pronounced than it was locally.

COVID and RSV cases declined last week, but the number of flu cases continued to increase.

Compared with the same time last year, levels of COVID-19 cases are slightly lower statewide and flu case numbers are about the same, but RSV cases are significantly higher.

Lopez said she expects that the current spike in illnesses will last at least a few more weeks, especially with the holidays having just ended and local children set to return to school on Monday.

She said one thing that can help mitigate illness spread is for people to get COVID-19 and flu vaccinations if they haven't already and for those eligible for RSV vaccinations people 60 and over and women who are 32-36 weeks pregnant to get them as well.

Also, Lopez offered some commonsense advice: "Stay home if you are sick."

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Staff use personal protective equipment in the COVID-19 unit at Bryan Health.

Bryan has made counseling services available to its employees who work in the units hit hardest by the pandemic and has offered to rotate staff who need a week respite on another floor."That gives them just enough of a break to come back and say 'I can do this for another four weeks,'" said Candy Locke, the nurse manager.

The people who work in the COVID-19 ICU that currently takes up a large part of the sixth floor at Bryan East Campus say they are worn out."When the nurses are having nightmares at night and they're telling you about it, it's rough," said Leah Harrington, an assistant nurse manager.

A staff member in personal protective equipment tends to a patient in the COVID-19 unit at Bryan Health. COURTESY PHOTO

For months, doctors, nurses and respiratory therapists have worked to help COVID-19 patients on 6N, the ICU unit at Bryan East Campus. In many cases, patients who are breathing on their own see their conditions quickly worsen."It's hard to go home and not think about that, to just kind of de-plug from work, because these patients are so scared, and we're trying everything," nurse Kelsey Hoppe said.

Staff talk outside a patient's room on 6N, the ICU unit for COVID-19 patients at Bryan East Campus last September.

Reach the writer at 402-473-2647 or molberding@journalstar.com.

On Twitter @LincolnBizBuzz.

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MLB partners with EPIC, Entain Foundation to educate Minor League players on gambling harm – Yogonet International

Major League Baseball (MLB)has partnered with EPIC Global SolutionsandEntain Foundation U.S.to enhance its educational efforts aimed at Minor League playersregarding the prevention of gambling-related harm.

EPIC will provide lived experience educational sessions focusing on responsible gaming and mental health for Minor League players and other selected MLB staff members. Meanwhile, Entain Foundation U.S., Entain's non-profit subsidiary, will offer financial support and additional resources for conducting these sessions.

"We believe that EPIC's impressive program facilitators, including an ex-minor leaguer, will communicate critical insights on gambling harm prevention in relatable and compelling ways," said Quest Meeks, Vice President, Sports Betting & Compliance at MLB.

"Our younger minor league players in particular are coming into the league at a time when mobile sports betting is an increasingly prominent part of the sports ecosystem. We want to help those players avoid gambling-related pitfalls that can derail not only their careers, but also their day-to-day lives more generally."

"We are pleased to be able to support baseball to take a proactive stance on player protection against gambling-related harm through our innovative lived experience approach, sharing the stories of those who have experienced gambling disorder firsthand," said Ben McGregor, director of sports partnerships at EPIC Global Solutions.

"Working with such an iconic American institution provides a unique opportunity to not only help the players connected to every franchise, but also the wider supporter base across the country, who can learn more about the potential effects of gambling harm through the increased profile this program will generate. We thank Major League Baseball and Entain Foundation U.S. for providing this platform for wider awareness."

This new three-way collaboration expands the ongoing relationship between EPIC Global Solutions and Entain Foundation U.S., to educate the public on preventing gambling-related harm. Entain Foundation U.S. already funds educational and awareness programs about gambling issues for professional and college athletes, coaches, and teams across the United States, as well as various sports organizations.

"Entain Foundation U.S. is proud to support EPIC Risk Management's effort to educate the Major League Baseball community about problem gambling," saidMartin Lycka, Entain's Senior Vice President for American Regulatory Affairs and Responsible Gambling and Trustee of Entain Foundation U.S.

"We must take a preventative approach to gambling harm, particularly those involved in sports, so educating the baseball community on responsible gambling practices is a critical measure," he added.

The delivery model is expected to commence in 2024, when EPIC will visit Minor League teams during Spring Training.

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MLB partners with EPIC, Entain Foundation to educate Minor League players on gambling harm - Yogonet International

Where Cultures Collide: Exploring Caribbean and Jewish Tastes with Patacones and Matbucha – Aish

In the cozy realm of comfort foods, hearty dishes typically evoke images of simmering stews and warming soups taking center stage, with fried treats often playing a secondary role. Yet, submerging a favorite dish into sizzling oil has a certain robust charm. Frying, though seen by some as a culinary high-wire act, can be surprisingly soothing.

Imagine a dish where the sun-soaked vibrancy of the Caribbean meets the deep-rooted traditions of Jewish cuisine. Take Hanukkah, for instance: the Jewish tradition of frying sufganiyot, jam-filled doughnuts, and crisp potato latkes represents more than just a festive treat. It symbolizes resilience and faith. As the oil bubbles, it's a culinary metaphor for light persevering in darkness, reminding us that even in challenging times, hope can rekindle anew.

In recent years, a tropical twist has made its way into my Hanukkah celebrations: Patacones, or plantain fritters. Patacones, with their golden, crispy exterior and soft, savory heart, share an inherent kinship with the traditional potato latkes, making them a natural fit for Hanukkah. Their crunchy texture and versatile nature bring a warm, tropical vibe to the winter festivities.

But there's more to these fritters than just their delightful flavor. The story of patacones begins with their name, tracing a linguistic journey from the Arabic batakk to the Spanish patacn. This name, once used to describe coins in the Middle Ages, fittingly captures the fritters' round, coin-like appearance, symbolizing prosperity and good fortune.

Originating from Latin America, where they're also known as tostn, tachino, or frito, patacones embody the culinary heritage of regions like Colombia, Costa Rica, and the Dominican Republic. Plantains are indigenous to equator-bordering lands in Southeast Asia. It grows naturally from India to China. It was introduced in Africa and now flourishes in the tropical and subtropical regions of Latin America. It is the tallest herbaceous perennial plant in the world and can grow up to 33 feet tall. It is one of the richest foods in potassium, magnesium, and vitamins A, C, and B6. It is known for its benefits for the digestive system, gastrointestinal diseases, and the prevention of hypertension.

Imagine a chilly Hanukkah evening where friends come together, and patacones serve as a cultural connector. Their tropical roots stand out against the backdrop of winter festivities. Each bite of these warm, crunchy delights reminds us of the significance of enjoying such a dish on a meaningful holiday like Hanukkah, celebrating more than flavors but also the triumph of a gleaming light in darker times.

And what better complements these patacones than a hearty helping of Matbucha? This Maghreb-inspired sauce, now a staple of Israeli cuisine, brings a blend of cooked tomatoes and roasted red peppers to the table. Rich in vitamin C and antioxidants, Matbucha isn't just a delicious accompaniment; it's a testament to the healthful properties of its ingredients.

As we celebrate Hanukkah with patacones and matbucha, were partaking in more than enjoying a meal; we also celebrate a dish that has traveled continents and brought people together. The juxtaposition of a tropical dish in the winter, savored during a festival of lights, becomes a symbol of unity, resilience, and the enduring power of shared culinary experiences.

Patacones, or twice-fried plantain fritters, find a new culinary companion in the rich, complex flavors of matbucha sauce in this vibrant recipe. Perfect as a starter or a side, this dish brings together the tropical essence of plantains with the depth of Mediterranean spices. Whether for a casual dinner or a festive gathering, this dish is sure to impress with its delightful texture and depth of flavor.

Nutrition Facts

Patacones and Matbucha

Amount per Serving

% Daily Value*

* Percent Daily Values are based on a 2000 calorie diet.

In a large pot, bring water to boil. Score the bottom of the tomatoes with a shallow x and blanch them for 1 to 2 minutes; do this in batches if necessary. Add the tomatoes to a large bowl with some ice cubes in it. With a paring knife, carefully peel, halve, and scoop out the seeds. Discard the skin. Coarsely chop and set aside.

On an open flame or under a hot grill, char the red peppers until the skins have softened and are dark. Transfer to a bowl and cover them with plastic wrap for 8-12 minutes. Peel, halve and remove the seeds with a knife or large spoon. Dice the peppers. Blend the tomatoes and peppers in a food processor or blender to a chunky consistency.

Put a large saucepan over medium heat and add olive oil. Add garlic and fry 1-2 minutes. Add the diced tomatoes and peppers and bring to a boil. Then, lower the temperature and add paprika, salt, and pepper flakes. Let it simmer for about 25 to 30 minutes. Cook until all the liquid is reduced, then set aside and garnish with crushed pepper flakes.

Peel the plantains by slicing off the ends and making a lengthwise cut. Remove the skin and slice the plantain thickly, either straight or diagonally. Lift carefully the skin, starting at the corners and continuing through the center. Cut the plantain into thick slices, make straight cuts or diagonal cuts. The wider the slice, the bigger the patty will be.

Heat the oil over medium heat in a large frying pan. Add more if the oil isnt enough to cover the plantain slices. Fry the plantains until they turn yellow, but do not let them brown.

Remove the plantains and, using a potato masher or a meat mallet, carefully mash them lightly to flatten. Fry again until golden brown, seasoning with salt for about 1-2 minutes per side. The result should be crispy on the outside and tender on the inside. Sprinkle them again with salt and serve them hot with a side of the matbucha sauce.

More:

Where Cultures Collide: Exploring Caribbean and Jewish Tastes with Patacones and Matbucha - Aish