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Coronavirus Updates

Each week, HealthDay's Physician's Briefing division rounds up the most important COVID-19 developments in the medical field. See this week's edition below.

Half of Americans Anxious About Getting COVID-19

FRIDAY, March 27, 2020 (HealthDay News) -- Nearly half of Americans (48 percent) are anxious about the possibility of getting COVID-19, while slightly fewer -- four in 10 -- are anxious about becoming seriously ill or dying from the disease, according to the results of a survey conducted by the American Psychiatric Association.

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PPE Negative for SARS-CoV-2 After Patient Contact

FRIDAY, March 27, 2020 (HealthDay News) -- Samples collected from personal protective equipment from health care workers caring for patients positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) were negative for SARS-CoV-2, according to research published online March 26 in Infection Control & Hospital Epidemiology.

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Three Neonates Born to Mothers With COVID-19 ID'd as Positive

FRIDAY, March 27, 2020 (HealthDay News) -- Three of 33 neonates born to mothers with coronavirus disease 2019 in Wuhan tested positive for severe acute respiratory syndrome coronavirus 2, according to a research letter published online March 26 in JAMA Pediatrics.

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Elastomeric Half-Mask Respirator Training Feasible in Health Care

FRIDAY, March 27, 2020 (HealthDay News) -- Health care personnel can be rapidly fit tested and trained to use the reusable elastomeric half-mask respirator, with similar time to testing as that seen for the N95 respirator, according to a research letter published online March 25 in the Journal of the American Medical Association.

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Gilead Backs Down on Special Designation for Possible COVID-19 Drug

THURSDAY, March 26, 2020 (HealthDay News) -- Following severe criticism, Gilead Sciences is backing off special designation of its antiviral drug remdesivir -- which shows promise against COVID-19 -- that would have allowed the company to block competition and increase its profits for the drug.

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Restricting Activities in Wuhan Until April Could Slow COVID-19 Peak

THURSDAY, March 26, 2020 (HealthDay News) -- Restriction on activities in Wuhan would help to delay the COVID-19 epidemic peak if maintained until April, according to a study published online March 25 in The Lancet Public Health.

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Workers at Risk for COVID-19 Exposure Can Access Online Training

THURSDAY, March 26, 2020 (HealthDay News) -- The National Institutes of Health has launched a new website with educational resources for hospital employees, emergency first responders, and other workers at risk for exposure to COVID-19.

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Model Shows Combined Efforts May Cut SARS-CoV-2 Infections

THURSDAY, March 26, 2020 (HealthDay News) -- Combined interventions of quarantining infected individuals and their family members, workplace distancing, and school closure can substantially reduce the number of severe acute respiratory syndrome coronavirus 2 infections, according to a modeling study published online March 23 in The Lancet Infectious Diseases.

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Increased Risk for SARS-CoV-2 Seen in Cancer Patients in Wuhan

THURSDAY, March 26, 2020 (HealthDay News) -- Patients with cancer in Wuhan had an increased risk for severe acute respiratory syndrome-coronavirus 2 infection, according to a research letter published online March 25 in JAMA Oncology.

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Lung Recruitability Can Be Assessed at Bedside in COVID-19

THURSDAY, March 26, 2020 (HealthDay News) -- Lung recruitability can be assessed at bedside in mechanically ventilated patients with coronavirus disease 2019-induced acute respiratory distress syndrome, and alternating body positioning can improve recruitability, according to a study published online March 23 in the American Journal of Respiratory and Critical Care Medicine.

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FDA Eases Access to Blood Plasma Treatment for COVID-19 Patients

WEDNESDAY, March 25, 2020 (HealthDay News) -- Access to a blood plasma treatment for seriously ill COVID-19 patients has been made easier by the U.S. Food and Drug Administration.

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FDA Issues Safety Alert for COVID-19 Risk With Fecal Transplant

WEDNESDAY, March 25, 2020 (HealthDay News) -- The U.S. Food and Drug Administration issued a MedWatch Safety Alert on Tuesday about the potential risk for SARS-CoV-2 transmission with the use of fecal microbiota for transplantation to treat Clostridioides difficile infection.

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Article Addresses Allocation of Ventilators During Pandemic

WEDNESDAY, March 25, 2020 (HealthDay News) -- Determining where to allocate stockpiled ventilators during a pandemic should be based on consideration of ethical principles, the ability of facilities to absorb additional ventilators, and the ability to ensure access for vulnerable or high-risk populations, according to an article published online March 19 in Health Security.

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Cardiac Injury Linked to Increased Mortality in COVID-19

WEDNESDAY, March 25, 2020 (HealthDay News) -- Cardiac injury is associated with increased mortality in hospitalized patients with coronavirus disease 2019, according to a study published online March 25 in JAMA Cardiology.

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36 Percent of Available Hospital Beds Unoccupied on Typical Day

WEDNESDAY, March 25, 2020 (HealthDay News) -- Leading up to the coronavirus disease 2019 outbreak, about 2.2 beds were available per 1,000 people in U.S. hospitals; however, only 36 percent were unoccupied on a typical day, according to a report from the Robert Wood Johnson Foundation.

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Guidance Issued for Perioperative Management of COVID-19 Patients

WEDNESDAY, March 25, 2020 (HealthDay News) -- In a guideline issued by the Joint Task Force of the Chinese Society of Anesthesiology and the Chinese Association of Anesthesiologists, published online March 19 in Anesthesiology, recommendations are presented for the perioperative management of patients infected with the new coronavirus disease.

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Artificial Intelligence Model Can Detect COVID-19 on Chest CT

WEDNESDAY, March 25, 2020 (HealthDay News) -- Artificial intelligence allows coronavirus disease 2019 to be detected and differentiated from community-acquired pneumonia on chest computed tomography, according to a study published online March 19 in Radiology.

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Shortages Seen for Drugs That Show Promise Against COVID-19

TUESDAY, March 24, 2020 (HealthDay News) -- Strong demand for medications that show promise as treatments for COVID-19 have led to shortages of those drugs in the United States.

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IDSA Issues Recommendations for COVID-19 Testing

TUESDAY, March 24, 2020 (HealthDay News) -- In a statement published online March 19 by the Infectious Diseases Society of America, recommendations are presented for public health and health care professionals to prioritize coronavirus disease 2019 testing.

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No Evidence Found for SARS-CoV-2 Vertical Transmission to Fetus

TUESDAY, March 24, 2020 (HealthDay News) -- There is currently no evidence that SARS-CoV-2 undergoes intrauterine or transplacental transmission from coronavirus disease 2019-infected pregnant women to fetuses, according to a study published online March 17 in the Archives of Pathology & Laboratory Medicine.

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Information on COVID-19 Provided for Gastroenterologists

TUESDAY, March 24, 2020 (HealthDay News) -- In a special article published online March 17 in Clinical Gastroenterology and Hepatology, key information is presented about coronavirus disease 2019 and the field of gastroenterology.

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Anesthesia Procedure Outlined for Emergency Surgery in COVID-19 Patients

TUESDAY, March 24, 2020 (HealthDay News) -- In a letter to the editor published online Feb. 25 in Surgical Infections, recommendations are presented regarding anesthesia procedures for emergency operations in patients with suspected or confirmed coronavirus 2019.

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Misconceptions ID'd About COVID-19 Among General Public

MONDAY, March 23, 2020 (HealthDay News) -- In a research letter published online March 20 in the Annals of Internal Medicine, important misconceptions about coronavirus disease 2019 among the general public in the United States and United Kingdom are presented.

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Mental Health at Risk for Health Care Workers Treating COVID-19

MONDAY, March 23, 2020 (HealthDay News) -- A considerable proportion of health care workers caring for patients with coronavirus disease 2019 report symptoms of depression, anxiety, insomnia, and distress, according to a study published online March 23 in JAMA Network Open.

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Article Addresses Management of Cancer Care During COVID-19

MONDAY, March 23, 2020 (HealthDay News) -- Management of cancer care during the coronavirus 2019 pandemic is addressed in a special feature article published online March 20 in the Journal of the National Comprehensive Cancer Network.

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National Guard Activated in Three States as U.S. COVID-19 Cases Rise

MONDAY, March 23, 2020 (HealthDay News) -- As the number of known U.S. coronavirus cases soared past 33,000 and the death count eclipsed 400 on Sunday, President Donald Trump approved disaster declarations for regions hit hardest by the pandemic and activated the National Guard in three states.

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COVID-19 Point-of-Care Diagnostic Granted Emergency Use Authorization

MONDAY, March 23, 2020 (HealthDay News) -- The Cepheid Xpert Xpress SARS-CoV-2 test received the first emergency use authorization for a point-of-care diagnostic for the novel coronavirus, the U.S. Food and Drug Administration announced Saturday.

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Management of Elective Surgery Reviewed in Setting of COVID-19

MONDAY, March 23, 2020 (HealthDay News) -- Management of elective surgical procedures in the setting of coronavirus disease 2019 is addressed in two sets of recommendations published by the American College of Surgeons.

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Guidance Issued for Prenatal Care in Setting of COVID-19

MONDAY, March 23, 2020 (HealthDay News) -- In new guidelines specific to maternal-fetal medicine practitioners, published online March 19 in the American Journal of Obstetrics & Gynecology MFM, recommendations are presented for prenatal care in the setting of the novel coronavirus 2019 pandemic.

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More Americans Recognizing Importance of COVID-19 Safety Measures

MONDAY, March 23, 2020 (HealthDay News) -- Americans' understanding of safety measures to protect themselves from COVID-19 is increasing, according to an ongoing survey conducted by researchers at the Center for Economic and Social Research at the University of Southern California Dornsife College of Letters, Arts and Sciences and the Leonard D. Schaeffer Center for Health Policy and Economics.

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Each week, HealthDay's Physician's Briefing division rounds up the most important COVID-19 developments in the medical field. See this week's edition below for July 6-July 10.

Gilead Presents Additional Data on Efficacy of Remdesivir for COVID-19

FRIDAY, July 10, 2020 (HealthDay News) -- There is more good news on the effectiveness of the antiviral drug remdesivir against COVID-19, according to new clinical trial results from the drug's maker.

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Risk for COVID-19 Increased for Adults Taking PPIs

FRIDAY, July 10, 2020 (HealthDay News) -- Adults taking proton pump inhibitors have an increased risk for having a positive COVID-19 test, with evidence of a dose-response relationship, according to a study published online July 7 in preprint format in the American Journal of Gastroenterology.

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WHO to Lead Investigation of COVID-19 Pandemic Origins

FRIDAY, July 10, 2020 (HealthDay News) -- The World Health Organization will lead an international investigation into the origins of the COVID-19 pandemic in China.

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Emphasizing Severity of COVID-19 Important for Teen Behaviors

FRIDAY, July 10, 2020 (HealthDay News) -- For adolescents, understanding the severity of COVID-19 and valuing social responsibility are associated with acting in socially responsible ways, including more social distancing and disinfecting, according to a study published online June 29 in JAMA Pediatrics.

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Children Seem Not to Be Driving SARS-COV-2 Transmission

FRIDAY, July 10, 2020 (HealthDay News) -- Children are mainly infected with severe acute respiratory syndrome coronavirus 2 in familial clusters, suggesting that transmission in schools is likely to be less than expected and that school closures are not necessary, according to a study and accompanying editorial published online July 10 in Pediatrics.

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COVID-19 Explored in Kidney Recipients, Hemodialysis Patients

FRIDAY, July 10, 2020 (HealthDay News) -- Many outpatient kidney transplant recipients with COVID-19 have symptomatic resolution without requiring hospitalization, and hospitalized COVID-19 patients on hemodialysis have worse outcomes than those without kidney failure, according to two studies recently published in the Clinical Journal of the American Society of Nephrology.

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Incidence of Takotsubo Cardiomyopathy Up During COVID-19

FRIDAY, July 10, 2020 (HealthDay News) -- The incidence of Takotsubo cardiomyopathy has increased during the COVID-19 pandemic, according to a study published online July 9 in JAMA Network Open.

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Sick Days Up for Some Essential Workers During COVID-19

THURSDAY, July 9, 2020 (HealthDay News) -- Increases in health-related workplace absenteeism were seen in April 2020 in personal care and service, health care support, and production occupations, according to research published in the July 10 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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COVID-19 Pandemic Exacerbates Mental Health Issues

THURSDAY, July 9, 2020 (HealthDay News) -- Just as the physical symptoms of COVID-19 vary among the population, mental health is enduring a variety of effects from the virus as well, according to Don Mordecai, M.D., national mental health and wellness lead at Kaiser Permanente, who recently spoke with HD Live! about the effects of the pandemic on mental health.

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Spectrum of Neurological Disorders Linked to SARS-CoV-2

THURSDAY, July 9, 2020 (HealthDay News) -- Severe acute respiratory syndrome coronavirus 2 infection is associated with a spectrum of neurological disorders, according to a study published online July 8 in Brain.

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CDC Updates Info on COVID-19 Cases at Meat, Poultry Processing Facilities

THURSDAY, July 9, 2020 (HealthDay News) -- COVID-19 was confirmed in 16,233 workers in 239 meat and poultry processing facilities in 23 states through May 31, 2020, according to research published in the July 7 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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February to March 2020 Saw Surge in Hydroxychloroquine Rx

WEDNESDAY, July 8, 2020 (HealthDay News) -- From February to March 2020, there was a considerable increase in the number of patients receiving outpatient prescriptions for hydroxychloroquine, chloroquine, and azithromycin, according to a research letter published online July 6 in JAMA Internal Medicine.

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Multisystem Inflammatory Syndrome in Children Profiled

WEDNESDAY, July 8, 2020 (HealthDay News) -- Multisystem inflammatory syndrome in children, which coincided with COVID-19, is described in children and adolescents in the United States and New York state in two reports published online June 29 in the New England Journal of Medicine.

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Rising Number of People Report Anxiety, Depression During COVID-19

WEDNESDAY, July 8, 2020 (HealthDay News) -- New evidence shows that depression and anxiety are increasing as a result of the COVID-19 pandemic, according to the results of a survey released by Mental Health America.

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COVID-19 Antibody Cocktail Begins Late-Stage Human Trials

TUESDAY, July 7, 2020 (HealthDay News) -- Late-stage human trials to assess whether a double antibody cocktail can prevent and treat COVID-19 infection have started, biotechnology company Regeneron said Monday.

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Company Gets $1.6 Billion From U.S. Government for COVID-19 Vaccine

TUESDAY, July 7, 2020 (HealthDay News) -- Vaccine maker Novavax will receive $1.6 billion from the U.S. government to provide 100 million doses of a COVID-19 vaccine by early 2021, the Maryland-based company said Monday.

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Acute Ischemic Stroke Risk Higher With COVID-19 Than Influenza

TUESDAY, July 7, 2020 (HealthDay News) -- Patients with COVID-19 appear to have a heightened risk for acute ischemic stroke compared with patients with influenza, according to a study published online July 2 in JAMA Neurology.

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Social Distancing Effective for Mitigating COVID-19 Spread

TUESDAY, July 7, 2020 (HealthDay News) -- Social distancing is one of the main measures to combat COVID-19 spread, according to a study published online July 1 in The Lancet Infectious Diseases.

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Chilblains in Recent Case Series Not Tied to COVID-19 Infection

TUESDAY, July 7, 2020 (HealthDay News) -- In a case series of 31 patients, published online June 25 in JAMA Dermatology, chilblains did not appear to be directly associated with COVID-19.

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Major Medical Groups Urge Americans to Wear Face Masks

MONDAY, July 6, 2020 (HealthDay News) -- Three major medical groups are urging Americans to wear face masks, wash their hands, and practice social distancing as COVID-19 cases continue to surge in the United States.

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Fight Against COVID-19 Threatens Progress Against Other Diseases

MONDAY, July 6, 2020 (HealthDay News) -- Decades of progress against HIV, tuberculosis, malaria, and other diseases worldwide are threatened by the diversion of resources on the COVID-19 pandemic, the International AIDS Society says in a report to be published this week.

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FDA Warns About Hand Sanitizers With Methanol

MONDAY, July 6, 2020 (HealthDay News) -- A warning about hand sanitizer products that contain methanol (wood alcohol), a substance often used to create fuel and antifreeze, has been issued by the U.S. Food and Drug Administration.

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Scientists Say New Coronavirus Can Linger in Indoor Air

MONDAY, July 6, 2020 (HealthDay News) -- The new coronavirus can linger in indoor air and infect people, 239 scientists in 32 countries say in an open letter to the World Health Organization that challenges the WHO's position on how the virus is spread.

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Endotheliopathy ID'd in COVID-19, Tied to Higher Mortality Risk

MONDAY, July 6, 2020 (HealthDay News) -- Endotheliopathy is present in COVID-19 and is associated with critical illness and death, according to a study published online June 30 in The Lancet Haematology.

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Outcomes Similar for COVID-19 in Patients With, Without HIV

MONDAY, July 6, 2020 (HealthDay News) -- Persons with HIV hospitalized with COVID-19 have similar outcomes to demographically matched patients without HIV, according to a study published online June 28 in Clinical Infectious Diseases.

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Most Using Online COVID-19 Tool Report Mild, Moderate Symptoms

MONDAY, July 6, 2020 (HealthDay News) -- The majority of individuals using an online COVID-19 self-assessment tool report mild or moderate symptoms possibly associated with COVID-19, according to research published online June 15 in the Journal of General Internal Medicine.

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HD Live! Videos

Our latest HD Live! discussion is on how countries have contained COVID-19 and whether the United States can do the same with universal masking and certain other health strategies.

Mabel Jong from our liveblog team speaks with Dr. Robert Brook, a professor of medicine at UCLA and the distinguished chair in the health care services program at the RAND Corporation, and Dr. May Chu, a clinical professor of epidemiology with the Colorado School of Public Health at the University of Colorado Anschutz Medical Campus.

Watch our in-depth discussion above, and see our past HD Lives and other videos on our YouTube channel.

They contend that much smaller exhaled droplets can travel the length of a room and cause infection when inhaled.

Scientists Say New Coronavirus Can Linger in Indoor Air

MONDAY, July 6, 2020 (HealthDay News) -- The new coronavirus can linger in indoor air and infect people, 239 scientists in 32 countries say in an open letter to the World Health Organization that challenges the WHO's position on how the virus is spread.

The WHO says the virus is spread primarily by large respiratory droplets expelled by infected people in coughs and sneezes but that those droplets fall quickly to the floor instead of remaining in the air, The New York Times reported. But the scientists' letter contends that much smaller exhaled droplets can travel the length of a room through the air and cause infection when they are inhaled. They plan to publish their letter next week in a scientific journal.

If this type of airborne transmission plays a significant role in the pandemic, there are major implications, according to The Times. Masks may be required indoors, building ventilation systems may need to minimize recirculating air, ultraviolet lights may be required to kill airborne viral particles, and health care workers may need masks that filter out even the smallest respiratory droplets as they care for COVID-19 patients.

Read the full HealthDay story.

Methanol can be toxic when absorbed through the skin and life-threatening when ingested.

FDA Warns About Hand Sanitizers With Methanol

MONDAY, July 6, 2020 (HealthDay News) -- A warning about hand sanitizer products that contain methanol (wood alcohol), a substance often used to create fuel and antifreeze, has been issued by the U.S. Food and Drug Administration.

Methanol can be toxic when absorbed through the skin and life-threatening when ingested, and it is not an acceptable active ingredient for hand sanitizer products, according to the FDA. The agency said it has seen an increase in hand sanitizer products that are labeled to contain ethanol (also known as ethyl alcohol) but that have tested positive for methanol. Methanol exposure can result in nausea, vomiting, headache, blurred vision, permanent blindness, seizures, coma, permanent damage to the nervous system, or death.

State officials have reported recent harm among adults and children who ingested hand sanitizer products contaminated with methanol, including blindness, hospitalization, and death, the FDA said. Consumers who have hand sanitizers with methanol should immediately stop using them and dispose of the bottle in a hazardous waste container, if available, or dispose of it as recommended by their local waste management and recycling center. There is a list of FDA-tested and recalled hand sanitizers on the agency's website.

Read the full HealthDay story.

In many cities, a combination of factors are fueling the problem: a shortage of key supplies, backlogs at laboratories that perform the tests, and surging infection counts as cases climb in almost 40 states.

U.S. Coronavirus Cases Near 3 Million as Hospitals in Sun Belt Fill Up With Patients

TUESDAY, July 7, 2020 (HealthDay News) -- With the number of coronavirus cases in the United States approaching 3 million on Monday, hospitals across the Sun Belt continued to be flooded with COVID-19 patients.

Arizona reached 89 percent capacity for ICU beds, as Alabama, California, Georgia, North Carolina, South Carolina and Texas also reported unprecedented numbers of hospitalizations, the Washington Post reported.

For the 28th day in a row, the country's rolling seven-day average of daily new cases obliterated previous records, though the number of deaths nationwide has remained relatively stable, the newspaper reported.

Read the full HealthDay story.

Authors say self-assessment tool could ease burden on health care system and collect useful information.

Most Using Online COVID-19 Tool Report Mild, Moderate Symptoms

MONDAY, July 6, 2020 (HealthDay News) -- The majority of individuals using an online COVID-19 self-assessment tool report mild or moderate symptoms possibly associated with COVID-19, according to research published online June 15 in the Journal of General Internal Medicine.

William M. Mehring, from the Keck School of Medicine at the University of Southern California in Los Angeles, and colleagues developed a web-based COVID-19 self-assessment tool, available in English and Spanish, and report the results of 276,560 digital self-assessments.

The researchers report that of the 5,611 users who entered optional demographic data, 61 percent were female (mean age, 39 years). In more than two-thirds of self-assessments (69.6 percent), users reported symptoms potentially attributable to COVID-19. Among the reported symptoms potentially attributable to COVID-19, the majority (80.5 percent) reported mild or moderate symptoms that could likely be managed with home self-care, while 19.5 percent reported severe symptoms for which the tool recommended immediate medical attention. Of individuals reporting mild symptoms, 7.1 percent said they had direct exposure to someone with confirmed COVID-19.

Read the full HealthDay story.

Soluble thrombomodulin concentration >3.26 ng/mL linked to lower rates of hospital discharge and survival.

Endotheliopathy ID'd in COVID-19, Tied to Higher Mortality Risk

MONDAY, July 6, 2020 (HealthDay News) -- Endotheliopathy is present in COVID-19 and is associated with critical illness and death, according to a study published online June 30 in The Lancet Haematology.

George Goshua, M.D., from the Yale School of Medicine in New Haven, Connecticut, and colleagues conducted a single-center study involving hospitalized adult patients with laboratory-confirmed COVID-19 from the medical intensive care unit (ICU) or a specialized non-ICU COVID-19 floor (48 and 20 patients, respectively); 13 asymptomatic nonhospitalized controls were recruited as a comparator group. Markers of endothelial cell and platelet activations were assessed and the levels were compared for ICU patients, non-ICU patients, and controls.

The researchers found that compared with non-ICU patients, in ICU patients, markers of endothelial cell and platelet activation were significantly elevated, including von Willebrand Factor (VWF) antigen (mean, 565 percent in ICU patients versus 278 percent in non-ICU patients) and soluble P-selectin (15.9 versus 11.2 ng/mL). In 16 of 20 non-ICU patients, VWF antigen concentrations were also elevated above the normal range. Among all patients, there was a significant association between mortality and VWF antigen and soluble thrombomodulin. Soluble thrombomodulin concentrations greater than 3.26 ng/mL were associated with lower rates of hospital discharge (88 versus 52 percent) and a lower likelihood of survival (hazard ratio, 5.9).

Read the full HealthDay story.

See what experts have to say about the toll of the COVID-19 pandemic on mental health.

Will the COVID-19 Pandemic Leave a Mental Health Crisis in Its Wake?

MONDAY, July 6, 2020 (HealthDay News) -- Stressed from home-schooling your kids? Lonely from lockdown? Worried about a sick loved one isolated in a nursing home? Worried you might lose your job?

The ongoing COVID-19 pandemic is affecting everyone's mental health in ways small and large, and experts are concerned that for many, today's anxiety will become a tidal wave of mental health problems in the years ahead.

The pandemic is adding to what already was an underrecognized mental health crisis in the United States, according to Dr. Don Mordecai, national mental health and wellness lead at Kaiser Permanente in Oakland, Calif.

Read the full HealthDay story.

In a small study, all 10 patients who had severe COVID-19 symptoms produced T-cells that worked with antibodies to try to kill the virus and stop the infection.

How Immune System Fights COVID-19 May Be Key to Vaccine Success

MONDAY, July 6, 2020 (HealthDay News) -- Even the sickest COVID-19 patients make T-cells to fight the infection, a new study finds.

This means that a COVID-19 vaccine will have to cause the body to make T-cells along with antibodies, researchers say.

The immune response to the SARS-CoV-2 virus, which causes COVID-19, was the same in American and Dutch patients in the study.

Read the full HealthDay story.