Thursday, 30 April 2020

A Vitamin C Smoothie Recipe for Immune Protection


Miriam Jacobson, MS, RD, CNS, blends a vitamin C smoothie recipe—made with whole fruits, greens, and protein—to fortify your immune system.

If you’re like most people right now, you probably have immune protection on your mind. While supplements for immunity can definitely help keep your health in fighting shape, you can also find alternative ways to amp up your intake of protective nutrients. Here’s a delicious smoothie recipe that gives you over 300 percent of your daily need for vitamin C. It’s perfect for a quick breakfast or healthy snack.

NutritIon Highlights

This vitamin C smoothie recipe with whole fruits, kale, almond milk, and protein powder packs 229 milligrams of vitamin C. (For reference, the daily minimum requirement is at 60 milligrams.)

Vitamin C

Vitamin C is essential for immune health in two ways. First, it’s a vital nutrient that helps your body create white blood cells (like neutrophils and lymphocytes, among others) that help fight off infection. Second, vitamin C is also an antioxidant that protects immune cells from damage and fortifies your system overall. In times when your immunity is compromised, it’s important to get more than enough vitamin C.

Additionally, when you eat vitamin C-rich whole foods, you’re getting other important antioxidants. For example, only 30 percent of the antioxidants in strawberries come from vitamin C. However, there are other nutrients and antioxidants in strawberries, called flavonoids, that make them nutritious and beneficial for your immune system.

Protein

Protein powder is a special addition to this smoothie recipe, and has merit beyond simply contributing to your daily requirement of the macronutrient.

While fruit is a healthy staple, it’s still a source of sugar. That means it can cause your blood sugar to spike and then crash. For that reason, I usually limit my smoothies to include only one or two servings of fruit. Then, adding a serving of protein powder (about 25 grams) into fruit smoothies further helps stabilize blood sugar as we digest—especially first thing in the morning.

A quick tip About Vitamin C Foods

With all the emphasis on vitamin C for immune health, there’s a key point to note about getting the most of your intake through whole foods.

If you’re trying to optimize your vitamin C intake from fresh fruits and vegetables, it’s best to enjoy them raw. Otherwise, you can cook them for a short period of time. Vitamin C is water-soluble, meaning that boiling foods reduces their vitamin C content more than any other cooking method.



source https://betterweightloss.info/a-vitamin-c-smoothie-recipe-for-immune-protection/

Transatlantic slavery introduced infectious diseases to the Americas

By Layal Liverpool

Skull and test tubes
DNA analysis suggests this skull belonged to a man of African descent

San José de los Naturales, Post Graduate Studies Osteology Laboratory, Escuela Nacional de Antropología e Historia, Rodrigo Barq

Viral and bacterial DNA found in the remains of three African slaves in Mexico suggests that the transatlantic slave trade may have introduced new infectious diseases into the Americas.

This discovery highlights the slave trade’s impact on the spread of diseases during the colonial period, between the 1500s and 1800s, says Rodrigo Barquera at the Max Planck Institute for the Science of Human History in Germany.

Barquera and his colleagues analysed the remains of people who were buried in a mass grave, first uncovered in the early 1990s, near the Royal Hospital of San José de los Naturales in what is now Mexico City. DNA and chemical analysis of the remains suggested three of the individuals were of African descent, rather than Native American, and showed that they were male.

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Carbon dating of their skeletons revealed that they died soon after the start of the colonial period in Mexico, suggesting they were enslaved people, since slavery was the main way that Africans came to the region during this time. Their bones revealed skeletal changes consistent with intense labour and heavy manual activity as well as gunshot wounds and signs of malnutrition.

The researchers were able to extract viral and bacterial DNA from the teeth of all three individuals. They discovered DNA from the hepatitis B virus (HBV) and from bacteria responsible for a disease called yaws, which is similar to syphilis and was common in Mexico during the colonial period.

“We didn’t expect to recover genomes from such important pathogens,” says Barquera. “These are the earliest human remains in the Americas in which HBV and yaws have been identified so far, suggesting that the slave trade may have introduced these diseases into Latin America very early into the colonial period.”

DNA sequences from these pathogens revealed their close relationship to strains circulating in current West African populations, indicating that the three individuals probably contracted the diseases before they were forcefully brought to Mexico.

“We only found evidence for these two pathogens, but it could be that other bacteria, parasites and viruses were introduced this way, such as yellow fever,” says Barquera.

Lucy van Dorp at University College London says these findings align with previous evidence suggesting that malaria may have spread to the Americas during the colonial period.

“This work provides another example of how global movements of people, however mediated, play a really large role in spreading infectious diseases to other parts of the world,” she says.

Journal reference: Current Biology, DOI: 10.1016/j.cub.2020.04.002

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source https://betterweightloss.info/transatlantic-slavery-introduced-infectious-diseases-to-the-americas/

UK government won’t say how many covid-19 contact tracers it has hired

By Adam Vaughan

Matt Hancock
UK health secretary Matt Hancock has set a target for recruiting contact tracers

Pippa Fowles/DPA/PA Images

The UK government has refused to say how many covid-19 contact tracers it has employed, with less than three weeks to go until its target of recruiting 18,000 of them by mid-May.

Health secretary Matt Hancock set this deadline on Tuesday, but could not put a figure on how had been recruited at that point.

“I’m sorry I don’t have the information to hand as to exactly how many we’ve recruited, but that is underway,” he told New Scientist. “I don’t have the data to hand but I’ll try to find that for you,” he added.

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However, the Department of Health and Social Care (DHSC) has now told New Scientist it is not disclosing the number. A spokesperson confirmed that recruitment had begun and said work was underway to ensure a rapid increase in tracers, but would not say how many there are now.

Contact tracers interview people who have tested positive for covid-19 to establish their potential close contacts with others. They then contact people who may have been exposed to the coronavirus to advise them to self-isolate. Some of the 18,000 are expected to be existing and recently retired healthcare professionals, who will be recruited over the next few weeks.

“The NHS is developing a contact tracing app, which alongside effective tracing and testing, will pave the way to safely reducing current social distancing measures,” says a DHSC spokesperson. The 18,000 contact tracers are meant to in place by the time the UK’s National Health Service launches its contact-tracing app in mid-May, so the two can work in tandem.

The government had also promised to reach 100,000 covid-19 tests a day by today, but it will not be known until Friday or Saturday whether the target has been hit or missed, due to a lag in data gathering.

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source https://betterweightloss.info/uk-government-wont-say-how-many-covid-19-contact-tracers-it-has-hired/

Are you more likely to die of covid-19 if you live in a polluted area?

By Adam Vaughan

Air pollution in China
People wearing face masks walk in smog on 15 April this year in Changchun, China

Zhang Yao/China News Service via Getty Images

From Milan to Wuhan, we know coronavirus-related travel restrictions have temporarily cut air pollution. One preliminary analysis in China even suggests the number of early deaths from dirty air that have been avoided exceeds the number who have died from covid-19, while a report out today estimates there were 11,000 fewer deaths due to air pollution in Europe during the 30 days ending 24 April.

But what isn’t clear yet is whether someone who has spent decades living in a polluted city such as London is more susceptible to dying from the disease. The idea seems reasonable given that both affect the lungs, but what does the evidence show?

Marco Travaglio and his colleagues at the University of Cambridge overlaid nitrogen dioxide (NO2) and nitrogen oxide (NO) levels from more than 120 monitoring stations across England with figures on coronavirus infections and deaths. They found a link between poor air quality and the lethality of covid-19 in those areas.

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Travaglio says more work is needed to show cause rather than correlation, but points out the health conditions that air pollution causes are remarkably similar to those that increase vulnerability to the coronavirus.

Similar work by Yaron Ogen at Martin Luther University Halle-Wittenberg in Germany mapped NO2 levels and covid-19 deaths at a regional level in Italy, Spain, France and Germany. He found that long-term exposure to air pollution “could be an important contributor” to high fatality rates.

Another team led by Dario Caro at Aarhus University in Denmark looked at the correlation between air pollution and coronavirus infections and deaths in northern Italy. They found people living in areas with dirtier air had a higher level of inflammatory cytokine cells, leaving them more vulnerable to the virus.

Meanwhile, a study by Francesca Dominici and her colleagues at Harvard University found that small increases in exposure to long-term levels of tiny particulate matter were linked to a big jump in the mortality rate for covid-19. Each extra microgram of fine particulate matter per cubic metre that people were exposed to over the long-term was linked to an 8 per cent increase in the mortality rate.

The main issue with all the research so far is there are other possible explanations for the links, says Benjamin Barratt at King’s College London.

The obvious confounder is population density, he says, which would explain why dense urban areas such as London come top in Travaglio’s analysis. “NO is closely correlated with traffic density, which is correlated with population density, so that’s exactly the association you’d expect to find. Someone might quite as easily plot fried chicken outlets with covid-19 mortality and get the same outcome,” he says.

While the Harvard study does adjust for population density, Jonathan Grigg at Queen Mary University of London, says there are issues with other adjustments. For example, the adjustments for smoking are over broad geographical areas, not at the level of individuals, making the results an estimation, he says.

If air pollution is a key factor in how deadly covid-19 is – age and ethnicity are others being investigated – it is too early to say how significant it is. “We do not know the answer yet. It’s one factor with others,” says Caro.

Air pollution’s impact will only become clearer with much more detailed public health data on covid-19 deaths, ideally even down to street level addresses of individuals if that was possible, says Barratt.

For now, we can’t say for certain that the damage long-term air pollution causes to lungs is making people more vulnerable to the coronavirus. However, researchers say it is plausible. “It is not an unreasonable hypothesis, but at the moment it is very difficult to draw robust conclusions as to whether that hypothesis is true or not,” says Barratt.

Given it is reasonable there might be a link, this pandemic and possible future ones become a new, important reason to clean up our air. “It is unwise not to pay attention to measures needed to curb air pollution when we know we are dealing with a pandemic of a virus that attacks our lungs,” says Dominici.

Stephen Holgate at the University of Southampton, UK, says if there is a causal link, cutting air pollution now could help us deal with future diseases: “This isn’t going to be the last pandemic we see.”

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source https://betterweightloss.info/are-you-more-likely-to-die-of-covid-19-if-you-live-in-a-polluted-area/

We can’t rely on rampant consumerism to get us out of this mess

Hyperconsumption adds to environmental destruction that brings people into contact with animal viruses that can spark pandemics. We have to avoid the temptation to rely on it to get us out, writes Graham Lawton



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29 April 2020

By Graham Lawton

large consignment of amazon deliveries left on doorstep of house during coronavirus covid-19 lockdown in the uk

Radharc Images/Alamy

WHEN I heard the news that Amazon is making sales of $11,000 every second of the lockdown, my initial reaction was weary resignation. You probably don’t eat bushmeat, but Western consumerism adds to the deforestation and habitat destruction that increasingly brings humans into contact with animal viruses. The world is in turmoil due to a virus unleashed in part by greed, and how do we respond? By going shopping.

There was a stab of guilt too: I don’t think of myself as a materialist, but I’ve become a regular user of online retailers, buying things I …

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source https://betterweightloss.info/we-cant-rely-on-rampant-consumerism-to-get-us-out-of-this-mess/

We must act quickly to avoid a pandemic-related mental health crisis

We are already seeing the pandemic’s effects on mental health, and we need to act urgently to avoid a full-blown crisis, says Sam Howells

 



Health


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29 April 2020

By Sam Howells

New Scientist Default Image

Josie Ford

Because of the coronavirus pandemic, many people cannot leave their homes except to buy food or exercise briefly. They cannot see their friends or family, or go to work, and the near-term outlook is bleak. This combination is the perfect storm for an increase in mental health conditions and we are already beginning to see signs that an associated mental health pandemic is under way.

I am on the front line. I work as a psychological healthcare professional for England’s National Health Service in a programme called Improving Access to Psychological Therapies (IAPT). This is the first point …

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source https://betterweightloss.info/we-must-act-quickly-to-avoid-a-pandemic-related-mental-health-crisis/

Need To Relive Some Shoulder Pain? Pick Up This Pillow Today


Spending all this time at home can lead to some negative physical side effects. Lounging about all day could lead to some physical ailments, like neck or shoulder pain. But you can help to get rid of that pain by picking up the Coisum Cervical Pillow from Amazon today.

What makes the Coisum Cervical Pillow so helpful with neck/shoulder pain is that it is made from memory foam. The memory foam stays a little hard so it can contour to your head, keeping it in position.

The helpful design of the Coisum Cervical Pillow doesn’t stop there. There are cutouts on the side of the pillow so you can place your top arm somewhere that won’t lead to your shoulder hunching over, leading to more pain.

Amazon

It can be easy to dismiss the Coisum Cervical Pillow as being too good to be true. But if you look at the customer reviews on Amazon, you will see that people love this thing. It’s got a 4.2-star rating out of 5 from 1,315 reviews. You can’t argue with those numbers.

If you are a back or side sleeper, the Coisum Cervical Pillow is the pillow for you. The way it is designed helps to alleviate pain, as is the memory foam that it is made with. It comes with a breathable pillowcase so the entire experience of sleeping on this pillow is comfortable no matter the season.

Like anything online these days, the Coisum Cervical Pillow is sure to be hard to get soon enough. Everyone is looking for comfort for the home and this is some top of the line comfort. So grab a pillow for yourself now while you still can.

Get It: Pick up the Coisum Cervical Pillow ($57) at Amazon

Get it!

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source https://betterweightloss.info/need-to-relive-some-shoulder-pain-pick-up-this-pillow-today/

It’s Book Promo Time! | lettucetalk


Hello guys and dolls!

I am excited to tell you about a free book promo for you!

If you’ve purchased either of my books…enter an Amazon review for a chance to win a free signed copy of one or both book(s)!
(If you haven’t yet, there’s still time, and the links are listed below!)

Details:
On May 31st, I will randomly select one Amazon verified reviewer for each of my 2 books to win a signed copy to be personally mailed to them by yours truly! Or, if you prefer, I will send you a free Audible.com book code!

Here are the links to the books
📖 Book 1: https://amzn.to/3bBLAjk
📖 Book 2: https://amzn.to/2uPWTnv

Thanks for all your support, it means a lot!

Cheers – Casey xo

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source https://betterweightloss.info/its-book-promo-time-lettucetalk/

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Conservative Americans see coronavirus hope in progressive Sweden

People drink and eat at an outdoor restaurant in Stockholm amid the coronavirus pandemic. Sweden has kept large segments of its country open, while its neighbors have largely shut their countries down. | Jessica Gow/TT News Agency via AP

Conservatives have developed a fascination with Sweden’s hands-off approach to the coronavirus — an unexpected twist for a country that once served as a Republican punchline for Bernie Sanders jokes.

On the surface, Sweden’s approach to containing the coronavirus pandemic is a libertarian dream: Restaurants remain open, as long as they adhere to social-distancing rules. Schools are in session. Salons are in business. And by some metrics, Sweden has fared roughly as well as many of its European neighbors, all of which have instituted much stricter lockdown measures.

The combination has made Sweden an object of curiosity — and a possible model — for conservatives and libertarians pushing states to relax the strident social-distancing guidelines that have shuttered much of the American economy. Some on the right have called Sweden an example of what happens when big government leaves citizens alone. President Donald Trump himself grappled with Sweden’s approach while talking to reporters on Wednesday, musing that the Swedish leader doesn’t have to tell people, ”stay in your house. The people stay there automatically.”

But Swedes are quick to point out that their model relies on elements that are antithetical to American conservative philosophy — namely a high degree of trust in government — in addition to natural factors such as a less-dense population.

“It is interesting to see that the Swedish stress on what we call ‘freedom under responsibility‘ is getting picked up by the libertarian right in the U.S.,” said Lars TrägÃ¥rdh, a history professor at Ersta Sköndal Bräcke University College in Sweden. “The big problem with all of that is that Sweden is all built, ultimately, on a very strong alliance between the state and the individual.”

Over the past several weeks, libertarian-leaning conservatives monitoring Sweden have drifted from abject horror over their decision to not lock down — Breitbart, for instance, ran an article warning about a “coronavirus ‘tragedy’” in Sweden on April 11 — to a cautious consideration of the country’s model, debating whether the approach helped avoid economic devastation without increasing the number of deaths.

“Sweden’s death rate — without a shutdown and massive unemployment — is lower than that of the seven hardest-hit U.S. states,” wrote T.J. Rodgers, the CEO of Cypress Semiconductor Corporation, in a Wall Street Journal op-ed earlier this week that was circulated widely in conservative circles.

Setting aside attacks about Sweden’s universal health care system, conservatives have a longstanding interest in Sweden’s inability to fall neatly on a left-right dichotomy: The country has a strong welfare state and high taxes, but also a strong free-market economy. The conservative Heritage Foundation, for instance, places Sweden on par with the U.S. in its yearly Index of Economic Freedom, ranking it the 22nd most economically free country in the world, just five spots behind the U.S.

“Sweden’s not really socialist so much as ‘libertarian with a welfare state,’” Dr. Pradheep Shanker, a radiologist and public health policy expert who writes for National Review, told POLITICO. “It’s the libertarian part that a lot of conservatives are watching.”

The conservative curiosity has bubbled up to the White House, where Trump on Wednesday seemed genuinely torn about whether to view Sweden as a roadmap or a warning as he grapples with how to reopen the American economy.

“The people in Sweden, they’re not running around, shaking hands and hugging and kissing each other,” he said. “You know, they’re using that as an example. But they’ve been hit hard. They’ve been hit hard.”

Indeed, there is a debate in the global health community over how successful, exactly, the country’s approach has been.

Sweden’s fatality rate is higher than that of their its neighbors. As of Wednesday, the country had over 20,000 coronavirus cases and over 2,400 deaths. In comparison, for instance, Norway has only 7,600 cases and 207 deaths.

Trump latched on to the death rates on Twitter Thursday morning.

“Despite reports to the contrary, Sweden is paying heavily for its decision not to lockdown,” he tweeted. “As of today, 2462 people have died there, a much higher number than the neighboring countries of Norway (207), Finland (206) or Denmark (443). The United States made the correct decision!”

He stressed the point in response to another tweet linking to an article about Sweden’s coronavirus approach.

“Really? Have you looked at the numbers lately!” he tweeted.

In an interview with POLITICO on Wednesday, Swedish Minister for Foreign Affairs Ann Linde argued that “it’s not much use comparing” Sweden with Norway and other countries, noting the each country measures fatalities differently.

The Swedish government has also been criticized for not properly protecting nursing homes and the elderly from coronavirus outbreaks. The vast majority of Sweden’s coronavirus deaths, 86 percent, have come from its elderly population, a fact that Linde acknowledged as a government failure. In response, Sweden has implemented its most severe social-distancing rules on nursing home visits, while keeping the guidelines more lax elsewhere.

It’s those lax guidelines for the broader population that have drawn the world’s attention, though.

Officials and academics say the factor that makes such a policy even feasible in Sweden — a firm, long-standing trust in the government — seems exceedingly hard to replicate in the U.S., where many people are skeptical of government authority.

Compared to Americans, Swedes view their government quite positively, according to data collected by the University of Gothenburg in Sweden. It’s a view that has held stable over decades, if not centuries, according to Johan Norberg, a Swedish author and historian who is also a Senior Fellow at the libertarian-leaning Cato Institute.

Sweden, he said, historically has had “a population of [independent] farmers basically, who run our own business. And that created this sense that the authority, the people in charge of the citizens, are probably not there to cheat and steal, because they are another property-owning farmer just like you.“

He also described a radical culture of transparency, such as a centuries-old law that allows citizens to read politicians’ correspondence.

“They cannot be absolutely horrible because then we would know about it,” Norberg said.

Linde similarly emphasized the cultural differences between Sweden and other countries when asked about the country’s decision not to lock down. Any far-right support outside Sweden, she said, “doesn’t mean much” because the country was operating within its own “traditions” and its own views of government.

“Government advice is not some tip that you follow if you want, it’s seen as something that you should follow,” she added.

At first blush, there’s a certain irony in watching Republicans, conservatives and MAGA world hold up Sweden as an exemplar after the GOP spent countless months mocking Sanders for praising Sweden’s progressive social safety net policies.

Conservatives, however, counter that the existence of Sweden’s welfare state has nothing to do with their concerns about how lockdowns affect civil liberties and damage national morale.

“Sweden has single-payer health care, but so does Italy, and Italy’s system crashed,” said Avik Roy, a health care policy adviser to Mitt Romney and Rick Perry’s presidential campaigns, and the president of Foundation for Research on Equal Opportunity, a think tank based out of Texas. “The countries that have done well or poorly, if you look at it across what kind of health care system they have, there’s zero correlation.”

Americans, he added, had plenty of reasons to distrust their government, bringing up Michigan Gov. Gretchen Whitmer’s strict lockdown policies, which he described as “arbitrary.”

“I think there’s a lot that elites and leaders have done in the United States to lose that public trust,” Roy said.

Norberg, the Swedish author and historian, noted that Swedes’ level of trust also extended to the scientists and experts that American right-wing polemicists increasingly excoriate.

“We sort of tend to listen to the experts and the bureaucrats rather than to [do] political grandstanding,” he said.

In the U.S., Trump has repeatedly politicized the coronavirus — initially blaming Democrats and the media for overhyping the disease as a means to attack him, then later sparring with Democratic governors over their requests for medical supplies.

Ultimately, though, it’s impossible to know which approaches will stand the test of time, given how little is still known about the arc of the coronavirus.

Sweden is “taking a big gamble,” said Shanker, the public health policy expert who writes for National Review. If a vaccine isn’t widely available for several years, “then Sweden comes out of this looking good, because their population will reach herd immunity a lot faster.”

But, Shanker added, “if we get a vaccine by this fall, then they had all these diseases and deaths that may not have been necessary.”

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source https://betterweightloss.info/conservative-americans-see-coronavirus-hope-in-progressive-sweden/

Can I Get Takeout, Delivery, Or Fast Food During The COVID-19 Pandemic?

Night after night of cooking at home is starting to feel more like a chore than a fun activity. Ordering takeout sounds oh so tempting right now. But, you might be wondering if it’s safe to get food delivered or grab to-go dishes from your favorite neighborhood restaurants.

Experts have good news for burned out home chefs. “There is no evidence to suggest that food produced in the United States can transmit COVID-19,” according to the Food and Drug Administration‘s current guidance. The World Health Organization confirmed this in February, and food safety authorities are keeping close tabs on the latest research.

“There is currently no evidence of SARS-COV-2, the virus that causes COVID-19, being transmitted by food or food packaging,” says Erin DiCaprio, PhD, assistant specialist of community food safety in UC Davis’ food science and technology department. “SARS-CoV-2 is spread by respiratory droplet not by the fecal-oral route, which is how foodborne pathogens are spread.”

In order to make you sick, the novel coronavirus “needs to enter your respiratory system via your mucous membranes,” per DiCaprio. Your mouth is one mucous membrane, but the novel coronavirus is most often infecting via the upper reaches of your nasal cavity. Sneezing, coughing, and touching shared surfaces are likely the main sources of spread. Whereas food passes through your mouth directly to your stomach, where stomach acid would kill it. So, it is highly unlikely to contract the novel coronavirus from food, unless you actually inhaled your food.

Is it safe to order takeout during coronavirus?

When lockdowns started to curb the novel coronavirus pandemic, many restaurants switched to serving takeout only to stay open. They’re still serving up your fave foods, and experts say it’s a great way to safely support your community and take a night off from cooking.

Restaurants have added safety measures to maintain social distancing and limit the spread of the novel coronavirus, and experts say they’re effective. “Many that have curbside pickup require the person delivering to wear face masks and sometimes gloves,” says DiCaprio. “Most food delivery services are also taking a similar approach, many of which will do hands-free delivery, leaving food at your door so you do not have to encounter the deliverer.”

That’s all on top of the usual food safety regulations typically in place to avoid foodborne illness and contamination. “This requires strict controls on hand washing and making sure that no one that is sick prepares food, among many additional safety measures,” says DiCaprio. “I highlight these two because they are really the most important in ensuring that there is no cross contamination of food with SARS-CoV-2 during preparation. Most have also implemented other controls, such as wearing face masks, as an added precaution.”

The food is not the problem. “The main issue is exposing yourself to other people and touching contaminated surfaces,” according to Dr. Rishi Desai, MD, chief medical officer for health education platform Osmosis.org, and former epidemic intelligence officer with the Centers for Disease Control. “With takeout, the main risk is at the point of getting the food from the delivery person. Ideally they would drop the food off, simply leave, and then you would go out and grab the food a minute later.”

Key factors for safely ordering takeout, per Dr. Desai:

  • Order and pay for food online
  • Have food delivered to your home
  • Wait until the delivery person who dropped off the food is at least six feet away
  • Transfer food onto a bowl or plate. Minimizing dishes sounds nice, but it’s worth plating your takeout. Coronavirus was detectable for up to 24 hours on cardboard and three days on plastic and stainless steel according to a research letter study published in The New England Journal of Medicine in March.
  • Recycle or throw away all packaging and then wash hands for 20 seconds with soap and water. The outer packaging has come in contact with other people as your order made its way to you, and if it’s plastic it can harbor coronavirus up to three days.

Is it safe to order pizza during coronavirus?

Pizza night is back, folks. At least eating your fave pie in the comfort of your own home is a-okay. Specifically, experts say the high-heat pizza ovens and no-contact delivery make it safe. “I think it’s okay to order pizza as long as it’s done carefully so that there’s no interaction when the delivery person drops off the pizza,” says Dr. Desai.

The baking process helps add peace of mind, too. “It is believed that cooking will inactivate the virus (based on previous research with similar viruses),” says DiCaprio. Another coronavirus, SARS-CoV-1, was previously shown to be eliminated at cooking temperatures.

Is it safe to order sushi during coronavirus?

Sushi isn’t cooked, obvi, but that doesn’t mean you can’t enjoy your go-to salmon skin roll RN. “Yes sushi is safe,” says Dr. Desai. “The disease is spread from person-to-person not through raw/uncooked food, so ordering sushi and other similar foods like salad through takeout is safe.”

DiCaprio agrees and explains why you don’t need to be concerned about your California roll. “For raw foods, it is important to consider that food really is not a high touch surface,” she says. “Few people would be touching that food prior to coming into you home. Restaurants following the good food safety practices will not have anyone with a COVID-19 infection preparing your food.”

Is it safe to get fast food during coronavirus?

That burger and fries craving comes on strong staying at home, and watching fast food commercials between news broadcasts doesn’t make it go away. (Just me?) Unfortunately, this is not the time to give into that craving. According to Dr. Desai, it’s not safe to order or grab fast food with the current novel coronavirus pandemic. It’s the fast food setup that’s specifically higher risk for novel coronavirus spread among employees and customers.

“Drive-thru situations require that the person buying the food interact with a fast food employee directly,” says Dr. Desai. “In addition, with fast food, the employee is exposed to a very high volume of individuals and is therefore at higher risk of getting exposed to the disease themselves (and therefore higher risk of spreading it).”

Takeout is a great way to support your community.

As long as you order food and get it delivered with social distancing guidelines in mind, there’s a very low risk of coming in contact with the novel coronavirus. “Basically, my concern with the safety of restaurants is not with the food or the food packaging but with the high density of people coming together to share respiratory droplets, not food, in an enclosed setting,” says DiCaprio. “Nothing is ever zero risk, but the risk of getting COVID-19 from takeout is extremely low.”

“We all want to support or local economies and the get back to some sort of normalcy again,” she adds. “I think takeout is a great way to support your local restaurants and protect the public health in your community.”

Jennifer Nied is a contributing writer for Women’s Health with more than 10 years of writing and editing experience, specializing in wellness, adventure travel, and fitness, with work appearing in Budget Travel, American Spa, Women’s Health, and more.

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source https://betterweightloss.info/can-i-get-takeout-delivery-or-fast-food-during-the-covid-19-pandemic/

How to combat weight gain during the pandemic (beyond diet and exercise)

(CNN)Quarantine life is challenging, to say the least, and all of us are struggling mentally, emotionally and physically. And no one would blame you for being tempted to abandon your diet and exercise plan and reach for the tub of ice cream while binge-watchi…
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source https://betterweightloss.info/how-to-combat-weight-gain-during-the-pandemic-beyond-diet-and-exercise/

Coronavirus: AstraZeneca teams up with Oxford University on vaccine



Scientist working on Covid-19 vaccine

Image copyright
SEAN ELIAS – OXFORD VACCINE TRIAL

Image caption

Work began on a vaccine in January

Pharmaceutical giant AstraZeneca has agreed to manufacture and distribute a Covid-19 vaccine being developed by the University of Oxford if the treatment proves effective.

The company’s chief executive, Pascal Soriot, said that “the need for a vaccine to defeat the virus is urgent”.

The first human trial in Europe of a vaccine began in Oxford last week.

Data from this phase of testing could be available from the University’s Jenner Institute as early as mid-June.

However, scientists have said that the successful development of a vaccine will take at least one year.

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Media captionCoronavirus: What is a vaccine and how is one made?

Mr Soriot added: “Our hope is that, by joining forces, we can accelerate the globalisation of a vaccine to combat the virus and protect people from the deadliest pandemic in a generation.”

Professor Sir John Bell, Regius Professor of Medicine at Oxford University, told the BBC’s Today programme that the agreement was important in order to “see whether we can get this vaccine both to work and manufactured and distributed to both the UK and globally”.

He added: “The challenge is that, once we get an approval by the regulators, we don’t to have to go back to the beginning and work out how we manufacture it at scale.”

The partnership with AstraZeneca aims to build capacity to produce tens of millions of doses by the end of the year if the treatment is effective.

“Our manufacturing capacity in the UK for vaccines isn’t where it needs to be, and we’re going to work together with AstraZeneca to improve that considerably,” Prof Bell added.

Business Secretary Alok Sharma said that the agreement was a “vital step” that could “advance” any manufacturing process.

“It will also ensure that, should the vaccine being developed by Oxford University’s Jenner Institute work, it will be available as early as possible, helping to protect thousands of lives from this disease,” he added.

AstraZeneca’s share price increased by nearly 3% off the back of the announcement.





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source https://betterweightloss.info/coronavirus-astrazeneca-teams-up-with-oxford-university-on-vaccine/

Antigen Tests For The Coronavirus Might Be Easier, But How Reliable? : Shots

An illustration shows spiky antigens studding the virus’s outer coat. Tests under development that look for these antigens might be faster than PCR tests for diagnosing COVID-19, proponents say. But the tests might still need PCR-test confirmation.

Sergii Iaremenko/Science Photo Library/Getty Images


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Sergii Iaremenko/Science Photo Library/Getty Images

An illustration shows spiky antigens studding the virus’s outer coat. Tests under development that look for these antigens might be faster than PCR tests for diagnosing COVID-19, proponents say. But the tests might still need PCR-test confirmation.

Sergii Iaremenko/Science Photo Library/Getty Images

States clamoring for coronavirus tests in recent weeks have been talking about two different types. First, there’s a PCR test that detects the virus’ genetic material, so can confirm an active infection. And then there’s an antibody test, which looks at the body’s reaction to that infection, so is useful in identifying people who have been infected with the virus in the past.

Now, there’s a third kind of test under development to help fight COVID-19 that homes in on proteins that stud the virus’s outer surface; it, too, detects an active infection. Known as an antigen test, this one could offer a much easier and more widely available alternative for diagnosis than the PCR test, proponents say, though some other scientists remain concerned about the test’s reliability.

Which States Are Doing Enough Testing? This Benchmark Helps Settle The Debate

CRISPR And Spit Might Be Keys To Faster, Cheaper, Easier Tests For The Coronavirus

“We have to have a breakthrough innovation in testing,” Dr. Deborah Birx of the White House Coronavirus Task Force said recently on Meet the Press in her most recent pitch for antigen tests. “We have to be able to detect antigen rather than constantly trying to detect the actual live virus or the viral particles itself.”

Though there are no authorized coronavirus antigen tests on the market yet, several companies are already working on them, including one that has started seeking a stamp of approval from the Food and Drug Administration.

“It’s very exciting,” says Lee Gehrke, a microbiologist at Harvard and the Massachusetts Institute of Technology who is involved with E25BIO, a Cambridge, Mass., company developing the test. “It could change the landscape for testing.”

OraSure Technologies Inc. of Bethlehem, Pa., is also developing an antigen test that would enable people to test themselves at home from a saliva sample.

“Having a rapid antigen — in-home — self-test will help both combat the virus and also individual fear,” says Stephen Tang, the company’s chief executive officer. “It actually gives the individual a bit of control and understanding — whether they’re infectious and whether family members are infectious. So I think it starts to get us back in a mindset where we can control our destiny.”

Public health experts agree that such a test could be very helpful.

“Rapid antigen tests would be valuable because of their speed,” Tom Inglesby, who directs the Johns Hopkins Center for Biosecurity, wrote in an email.

Tracking The Pandemic: How Quickly Is The Coronavirus Spreading State By State?

But Inglesby and others caution that any antigen tests would have to be carefully vetted to make sure they’re accurate. Relaxed oversight by the FDA recently has raised concerns about the reliability of some other kinds of tests — such as antibody tests — which are being marketed aggressively by some companies with unverified claims.

When used to look for other types of infections, such as testing for the flu, or for strep in someone with a sore throat, antigen tests have tended to miss more infected people than the PCR tests for coronavirus typically do, experts say.

“We know an awful lot about the performance of antigen detection tests,” says Frederick Nolte, who heads testing at the Medical College of South Carolina. “And we know that that sensitivity leaves a lot to be desired.”

Generally, antigen tests tend to miss about 15 to 20 percent of infections, Nolte and others say, and that’s likely not good enough for many uses of a diagnostic test for the coronavirus.

“If you’re using this test to screen people to make sure that they’re not infected, and that they go back to work or things like that, then you’d be giving people the message that they are not infected when actually they are — and therefore transmitting the new coronavirus,” says Jesse Papenburg, an infectious disease expert at McGill University.

The tests currently used to see if people are actively infected with the virus are sophisticated molecular tests that can spot its genetic material in specimens swabbed from inside peoples’ noses and throats. Most use the technique known as polymerase chain reaction — PCR — to generate and analyze millions of copies of genetic sequences from the virus.

But those tests require sophisticated equipment, highly trained technicians and complicated processes that use specialized chemicals; those strict requirements of PCR tests, and problems in reliably meeting them, have all contributed to the testing shortage.

Widescale testing is considered crucial for determining the scope of the pandemic, bringing it under control and keeping large new outbreaks from occurring. Testing enables public health authorities to spot new infections quickly so patients can be isolated and so anyone they might have had contact with.

Typically, antigen tests are much easier and less expensive to manufacture and simpler to perform than either PCR tests or antibody tests. The same technology is used in pregnancy tests.

“It looks very much like a pregnancy test. And they’re very simple. They don’t require special chemicals or training to use them. And they can give you a read out in about 15 minutes or so,” says Gehrke, one of the collaborators on the E25BIO test.

Gehrke says his company’s test appears to be very accurate when evaluated with samples of the virus in the lab.

“The difficult question — and the one we want to ask — is how well does it perform on samples from real patients,” Gehrke says.

Papenburg questions whether antigen test could ever be as reliable as the genetic tests because, unlike those PCR tests, they can’t produce large quantities of the target proteins — so might be more likely to miss an infection.

Tang says OraSure is also conducting careful studies to ensure the company’s test would be reliable — able to not only detect an infection with the novel coronavirus, but to quickly and accurately discern it from other coronaviruses, such as those that cause the common cold.

“Our aiming point for our rapid antigen test is to make it highly sensitive and highly specific,” Tang says, though he acknowledges it remains to be seen how the test will compare to the molecular tests. It could turn out the antigen test’s results would have to be confirmed by the PCR tests, Tang says.

Another company, Mologic Ltd. of Bedfordshire, UK, is also developing an antigen test and hopes to get it approved by June, according to Fionna Tod, a company spokeswoman. The test would produce results in 10 minutes and would sell for about $1, she says, which could be very helpful in less affluent parts of the world.

In an email, the company’s medical director, Joe Fitchett, noted that genetic tests often use samples gathered through an uncomfortable procedure that involves swabbing deep into the nose.

“PCR tests using nasal swabs can be deeply uncomfortable, and poor technique is well-documented to lead to false negatives,” Fitchett says. “On the other hand, saliva that can be deployed in a rapid antigen test and could offer better, more user-friendly performance — that will be critical for a self-test.”

During a briefing Wednesday announcing a $1.5 billion effort to speed the development of new coronavirus tests, National Institutes of Health Director Frances Collins said it could be possible to develop reliable antigen tests.

“While traditionally antigen-based tests have lower sensitivity and specificity than do nucleic acid tests, I don’t believe there’s any law of physics that says that has to be the case,” Collin said.

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Why Are More Men Than Women Dying Of COVID-19?

The novel coronavirus seems to be killing more men than women.

The trend was first noticed in China, experts say, and the higher COVID-19 death rate for men has since been documented in 33 countries, including Germany, Spain and South Korea. But experts don’t know what’s causing the gap. Is it biological, some quirk of cells and hormones? Is it the result of gendered behaviors that have more to do with sociology than sex chromosomes? Let’s break down what’s going on, because experts say men’s risk level depends on what risks (and which men) you’re talking about.

What we know

While men account for the majority of COVID-19 cases in some countries but a minority of cases in others, they consistently make up the majority of deaths. Out of 35 countries that have reported their COVID deaths in ways that break out victims by sex, 33 had a male-female death ratio greater than 1, meaning men who were confirmed to have the disease were more likely to die than women who were confirmed to have it, according to data compiled by Global Health 50/50, a independent health equity research organization based at University College London. “So far, the mortality disadvantage for men is quite large,” said Jennifer Dowd, a professor of demography and population health at the University of Oxford.

Men are more likely than women to die of COVID-19

Share of COVID-19 patients who died, by gender

Deaths among confirmed cases
Country male female ratio
Dominican Republic 6.5% 2.1% 3.0
Thailand 2.5 0.9 2.7
Greece 7.8 3.1 2.5
Romania 7.9 3.5 2.3
The Netherlands 18.1 8.1 2.2
Italy 17.1 9.3 1.8
Belgium 15.3 8.6 1.8
Northern Ireland 10.4 5.6 1.8
Spain 10.2 5.8 1.8
Ecuador 6.9 3.9 1.8
Denmark 6.6 3.6 1.8
Argentina 6.3 3.5 1.8
Philippines 8.2 4.9 1.7
China 4.7 2.8 1.7
Sweden 15.1 9.4 1.6
Mexico 10.9 6.9 1.6
Switzerland 6.1 3.7 1.6
Ukraine 3.2 2.0 1.6
South Korea 2.9 1.8 1.6
Indonesia 9.3 6.4 1.5
Republic of Ireland 5.8 3.7 1.5
Colombia 5.4 3.5 1.5
Peru 3.1 2.1 1.5
South Africa 1.7 1.1 1.5
Australia 1.5 1.0 1.5
Portugal 4.7 3.3 1.4
Germany 4.5 3.2 1.4
Canada 4.5 3.6 1.3
Austria 4.1 3.1 1.3
Norway 2.9 2.3 1.3
Finland 3.3 2.8 1.2
Luxembourg 2.6 2.1 1.2
Iran 5.9 5.4 1.1
India 2.6 3.1 0.9
Pakistan 2.0 2.8 0.7

This dynamic isn’t new to medicine. “Women have stronger adaptive immune responses and die less of infectious disease their entire lives, starting from infant mortality,” Dowd said. In general, women’s bodies kick out bacterial and viral invaders faster than men’s do, and vaccines work better for women than for men.

To see why, look to hormones and genetics, said Sabra Klein, professor of microbiology and immunology at Johns Hopkins University. Sex hormones appear to play a role determining how well human bodies can fight off disease. In general, estrogens amp up the immune system, while androgens (like testosterone) and progesterone suppress it. Hormones have to interact with cells to do their jobs, Klein said, so cells have a “lock” and hormones have the “key” to get in. And, turns out, every immune cell in your body has these kinds of lock-and-key receptors.

Sex chromosomes also play a role. The X chromosome, for example, has 60 genes associated with immune function. Most biological males are born with one X chromosome, but those immune-boosting genes tend to be expressed more frequently in women, who generally have two X chromosomes, Klein said.

But if you’re tempted to think those sex differences boil down to “men are more likely to die from infectious disease,” Klein cautioned that the generalization is not true across the board. Sex differentiation in influenza has been pretty well studied, she told me, and, in that case, women’s more aggressive immune systems don’t give us an advantage. Having too much of an inflammatory immune response to the flu can actually increase your risk of complications — including acute respiratory distress syndrome, when the lungs’ tiny air sacs, called alveoli, are damaged and fill with fluid. “Reproductive-age women do worse, not better,” Klein said.

What we know we don’t know

But while researchers know a decent amount about sex differences in influenza, the novel coronavirus is, yes, novel. Any research on it is a work in progress, proceeding without full data. That starts with basic documentation.

On April 28th, the United States had reported 57,318 deaths from the novel coronavirus, but only 31,586 of those deaths had been reported in ways that allowed Global Health 50/50 to break them down by sex. None of the researchers I spoke with knew why that data isn’t getting reported. But without it, they’re left to a lot of guesswork and speculation. It’s safe to assume that deaths in the U.S. are probably following the patterns seen in many other countries — but we don’t know for sure that that’s true.

Then there’s the fact that the variations in how this virus affects people probably isn’t just about what’s in their chromosomes or hormones. It’s also about sociological gender — the attitudes, stereotypes and norms that shape the ways people behave and the choices they make.

For example, a 2016 meta-analysis showed that women are about 50 percent more likely than men to start using non-pharmaceutical protective behaviors during a pandemic — things like wearing face masks or avoiding public transit. Men, meanwhile, were about 12 percent more likely than women to sign up for vaccines, take antiviral medication, or use other pharmaceutical interventions. Those differences in behavior aren’t determined by biology, but they could help create variations in how a virus affects men and women.

Rosemary Morgan, a scientist at Johns Hopkins Bloomberg School of Public Health who studies how gender and sex interact with public health, thinks these kinds of effects are happening with COVID-19. But how and to what extent — that’s unknown. It also probably differs from country to country, thanks to the way gender norms also aren’t consistent everywhere you go.

Case in point: When data on sex disparities in COVID-19 deaths first began to come in from China, it wasn’t clear that the differences in death rates there would mean other counties were going to experience the same thing. That’s because China has particularly gendered smoking habits, Dowd told me. In a 2010 study, 54 percent of Chinese men surveyed were current smokers. In contrast, the same study found that less than 3 percent of Chinese women currently smoked. Although sex differences in COVID-19 death rates have cropped up again in other countries, it’s likely that this gender disparity in smoking plays a role in why 64 percent of China’s COVID-19 deaths have been among men even though men account for right around half of China’s confirmed cases.

Gender norms may also influence the niches where women are getting the disease more than men, despite men’s higher death rates. When the Centers for Disease Control and Prevention looked at the characteristics of health care workers who have contracted COVID-19, it found that 73 percent were women. Why are female health care workers getting infected at much higher rates? Part of it likely has to do with their higher odds of exposure.

Nurses’ jobs put them in close physical contact with patients who have COVID-19 and other infectious diseases, and more than 70 percent of nurses are women. Meanwhile, the personal protective equipment meant to help keep medical workers safe often isn’t designed with women in mind. Gloves can be too large. Masks don’t always fit women’s faces with a tight seal. Gender dynamics could be putting a largely female workforce in harm’s way.

In the end, regardless of your sex — or your gender — the risks you face from COVID-19 are probably somewhat unique to you. But if we want to figure out just what, exactly, those risks are, we’re going to need more data.

How a shortage of sand could delay coronavirus vaccine l FiveThirtyEight

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source https://betterweightloss.info/why-are-more-men-than-women-dying-of-covid-19/

How Coronavirus Mutates and Spreads

The Coronavirus Genome

The coronavirus is an oily membrane packed with genetic instructions to make millions of copies of itself. The instructions are encoded in 30,000 “letters” of RNA — a, c, g and u — which the infected cell reads and translates into many kinds of virus proteins.

RNA instructions to make the ORF1a protein

ORF1b protein

Spike protein

E

M

N

Start of coronavirus genome

30,000 RNA letters

ORF1a protein

ORF1b protein

Spike

E

M

N

Start of coronavirus genome

30,000 RNA letters

N protein

M and E proteins

Spike protein

20,000

ORF1b protein

10,000

ORF1a protein

Start of the

coronavirus

genome

N protein

M and E proteins

Spike protein

20,000

ORF1b protein

10,000

ORF1a protein

Start of the

coronavirus

genome

A New Coronavirus Dec. 26

In December, a cluster of mysterious pneumonia cases appeared around a seafood market in Wuhan, China. In early January, researchers sequenced the first genome of a new coronavirus, which they isolated from a man who worked at the market. That first genome became the baseline for scientists to track the SARS-CoV-2 virus as it spreads around the world.

Genome Wuhan-Hu-1, collected on Dec. 26 from an early patient in Wuhan

Genome Wuhan-Hu-1, collected on Dec. 26 from an early patient in Wuhan

Genome Wuhan-Hu-1, collected on Dec. 26 from an early patient in Wuhan

Genome Wuhan-Hu-1, collected on Dec. 26 from an early patient in Wuhan

A Typo in the RNA Jan. 8

A cell infected by a coronavirus releases millions of new viruses, all carrying copies of the original genome. As the cell copies that genome, it sometimes makes mistakes, usually just a single wrong letter. These typos are called mutations. As coronaviruses spread from person to person, they randomly accumulate more mutations.

The genome below came from another early patient in Wuhan and was identical to the first case, except for one mutation. The 186th letter of RNA was u instead of c.

Genome WH-09, collected on Jan. 8 from another patient in Wuhan

u

◀ 186th RNA letter changed

Genome WH-09, collected on Jan. 8 from another patient in Wuhan

u

◀ 186th RNA letter changed

Genome WH-09, collected on Jan. 8 from another patient in Wuhan

186th

RNA letter

changed:

u

Genome WH-09, collected on Jan. 8 from another patient in Wuhan

186th RNA letter

changed:

u

When researchers compared several genomes from the Wuhan cluster of cases they found only a few new mutations, suggesting that the different genomes descended from a recent common ancestor. Viruses accumulate new mutations at a roughly regular rate, so the scientists were able to estimate that the origin of the outbreak was in China sometime around November 2019.

One Descendent, Two More Mutations Feb. 27

Outside of Wuhan, that same mutation in the 186th letter of RNA has been found in only one other sample, which was collected seven weeks later and 600 miles south in Guangzhou, China. The Guangzhou sample might be a direct descendent of the first Wuhan sample. Or they might be viral cousins, sharing a common ancestor.

During those seven weeks, the Guangzhou lineage jumped from person to person and went through several generations of new viruses. And along the way, it developed two new mutations: Two more letters of RNA changed to u.

Genome GZMU0030, collected on Feb. 27 in Guangzhou

u

u

u

◀ Another RNA letter mutated

◀ This mutation also changed an amino acid

I

Y

Genome GZMU0030, collected on Feb. 27 in Guangzhou

u

u

u

◀ Another RNA letter mutated

◀ This mutation also changed an amino acid

I

Y

Genome GZMU0030, collected on Feb. 27 in Guangzhou

u

Y

Another RNA letter mutated. This mutation also changed an amino acid.

u

I

u

Genome GZMU0030, collected on Feb. 27 in Guangzhou

u

Y

Another RNA letter mutated. This mutation also changed an amino acid.

u

I

u

Wuhan

Guangzhou

Wuhan

Guangzhou

Wuhan

Guangzhou

Wuhan

Guangzhou

When Do Mutations Matter?

Mutations will often change a gene without changing the protein it encodes.

Proteins are long chains of amino acids folded into different shapes. Each amino acid is encoded by three genetic letters, but in many cases a mutation to the third letter of a trio will still encode the same amino acid. These so-called “silent mutations” don’t change the resulting protein.

Silent mutation

Non-silent mutation

a

c

u

a

c

a

a

c

c

a

c

g

a

c

u

a

u

u

If the codon

mutates to

or

or

But if

mutates to

the amino acid

won’t change:

then

will change to

T

T

T

T

T

I

(Threonine)

(Isoleucine)

Silent mutation

a

c

u

a

c

a

a

c

c

a

c

g

If the codon

mutates to

or

or

the amino acid

won’t change:

T

T

T

T

Non-silent mutation

a

c

u

a

u

u

But if

mutates to

then

will change to

T

I

(Threonine)

(Isoleucine)

Silent mutation

a

c

u

a

c

a

If the codon

mutates to

the amino acid

won’t change:

T

T

Non-silent mutation

a

c

u

a

u

u

But if

mutates to

then

will change to

T

I

(Threonine)

(Isoleucine)

“Non-silent” mutations do change a protein’s sequence, and the Guangzhou sample of the coronavirus acquired two non-silent mutations.

ORF1a protein

E protein

u

u

u

◀ Amino acid change in the ORF1a protein

Amino acid change in the E protein ▶

I

Y

ORF1a protein

E protein

u

u

u

I

Y

◀ Amino acid change in ORF1a

Amino acid change in E ▶

u

Y

E protein

Amino acid change in the E protein

ORF1a protein

Amino acid change in the ORF1a protein

u

I

u

u

Y

E protein

Amino acid change in the E protein

ORF1a protein

Amino acid change in the ORF1a protein

u

I

u

But proteins can be made of hundreds or thousands of amino acids. Changing a single amino acid often has no noticeable effect on their shape or how they work.

Some Mutations Disappear, Others Spread

As the months have passed, parts of the coronavirus genome have gained many mutations. Others have gained few, or none at all. This striking variation may hold important clues to coronavirus biology.

The parts of the genome that have accumulated many mutations are more flexible. They can tolerate changes to their genetic sequence without causing harm to the virus. The parts with few mutations are more brittle. Mutations in those parts may destroy the coronavirus by causing catastrophic changes to its proteins. Those essential regions may be especially good targets for attacking the virus with antiviral drugs.

Total number of amino acid substitutions found in 4,400 coronavirus genomes from Dec. to April

1

10

Longer lines may show places where the genome is more tolerant of mutations.

Gaps may show critical spots in the genome that cannot tolerate mutations.

20

Total number of amino acid changes in 4,400 coronavirus genomes from Dec. to April

1

10

Longer lines may show places where the genome is more tolerant of mutations.

Gaps may show critical spots in the genome that cannot tolerate mutations.

20

Total number of amino acid changes in 4,400 coronavirus genomes from Dec. to April

Longer lines may show places where the genome is more tolerant of mutations.

Gaps may show critical spots in the genome that cannot tolerate mutations.

1

10

20

30

Total number of amino acid changes in 4,400 coronavirus genomes from Dec. to April

Longer lines may show places where the genome is more tolerant of mutations.

Gaps may show critical spots in the genome that cannot tolerate mutations.

1

10

20

30

As mutations accumulate in coronavirus genomes, they allow scientists to track the spread of Covid-19 around the world.

The First American Case Jan. 15

On January 15, a man flew home to the Seattle area after visiting family in Wuhan. After a few days of mild symptoms he tested positive for Covid-19. He became the first confirmed case of Covid-19 in the United States.

A lung scan from the patient showed evidence of pneumonia.NEJM

The genome of his virus contained three single-letter mutations also found in viruses in China. They allowed scientists to trace the man’s infection to its source.

Genome WA1, collected on Jan. 19 from a man in the Seattle area who visited Wuhan

u

u

c

S

Genome WA1, collected on Jan. 19 from a man in the Seattle area who visited Wuhan

u

u

c

S

Genome WA1, collected on Jan. 19 from a man in the Seattle area who visited Wuhan

c

S

u

u

Genome WA1, collected on Jan. 19 from a man in the Seattle area who visited Wuhan

c

S

u

u

Identical genomes collected on Jan. 21 in Fujian and Guangdong provinces

u

u

c

S

Identical genomes collected on Jan. 21 in Fujian and Guangdong provinces

u

u

c

S

Identical genomes collected on Jan. 21 in Fujian and Guangdong provinces

c

S

u

u

Identical genomes collected on Jan. 21 in Fujian and Guangdong provinces

c

S

u

u

Seattle

Wuhan

Fujian

Guangdong

Seattle

Wuhan

Fujian

Guangdong

Wuhan

Fujian

Guangdong

Seattle

Wuhan

Fujian

Guangdong

Seattle

Seattle’s Hidden Epidemic Feb. 24

Five weeks later, a high school student in Snohomish County, Wash., developed flu-like symptoms. A nose swab revealed he had Covid-19. Scientists sequenced the genome of his coronavirus sample and found it shared the same distinctive mutations found in the first case in Washington, but also bore three additional mutations.

Genome WA2, collected on Feb. 24 from a high-school student in the Seattle area

u

u

u

g

u

c

I

L

C

S

Genome WA2, collected on Feb. 24 from a high-school student in the Seattle area

u

u

u

g

u

c

I

L

C

S

Genome WA2, collected on Feb. 24 from a high-school student in the Seattle area

c

S

u

g

C

u

L

u

u

I

Genome WA2, collected on Feb. 24 from a high-school student in the Seattle area

c

S

u

g

C

u

L

u

u

I

That combination of old and new mutations suggested that the student did not acquire the coronavirus from someone who had recently arrived from another country. Instead, the coronavirus was probably circulating undetected in the Seattle area for about five weeks, since mid-January.

Since then, viruses with a genetic link to the Washington cluster have now appeared in at least 14 states and several countries around the world, as well as nine cases on the Grand Princess cruise ship.

Genome collected on March 5 from two passengers on the Grand Princess cruise ship

u

g

u

u

u

u

c

L

C

N

S

Genome collected on March 5 from two passengers on the Grand Princess cruise ship

u

g

u

u

u

u

c

L

C

N

S

Genome collected on March 5 from two passengers on the Grand Princess cruise ship

c

S

u

u

g

C

u

L

u

u

N

Genome collected on March 5 from two passengers on the Grand Princess cruise ship

c

S

u

u

g

C

u

L

u

u

N

Early Transmission in California Feb. 26

A different version of the coronavirus was also secretly circulating in California. On Feb. 26, the C.D.C. announced that a patient in Solano County with no known ties to any previous case or overseas travel had tested positive.

A sample taken the next day revealed that the virus did not have the distinctive mutations found in Washington State. Instead, it only had a single mutation distinguishing it from the original Wuhan genome. That indicates that it got to California through a separate introduction from China.

Genome UC4, collected on Feb. 27 from a patient in Solano County, Calif.

u

V

Genome UC4, collected on Feb. 27 from a patient in Solano County, Calif.

u

V

Genome UC4, collected on Feb. 27 from a patient in Solano County, Calif.

u

V

Genome UC4, collected on Feb. 27 from a patient in Solano County, Calif.

u

V

One known and one unknown introduction

Seattle

Wuhan

Solano County

One known and one unknown introduction

Seattle

Wuhan

Solano County

One known and one unknown introduction

Wuhan

Seattle

Solano County

One known and one unknown introduction

Wuhan

Seattle

Solano County

Two healthcare workers who cared for the patient also became sick. Along with the patient’s mutation, their sample had additional mutations.

Genome UC2, collected on Feb. 27 from a healthcare worker who cared for the patient

u

c

ctg

V

T

Genome UC2, collected on Feb. 27 from a healthcare worker who cared for the patient

u

c

ctg

V

T

ctg

Genome UC2, collected on Feb. 27 from a healthcare worker who cared for the patient

c

T

u

V

ctg

Genome UC2, collected on Feb. 27 from a healthcare worker who cared for the patient

c

T

u

V

A Torrent of Viruses

In January and February, more people arrived in the United States carrying coronaviruses of their own. Some viruses carried mutations indicating they had arrived from China or other parts of Asia. But in New York City, the majority of viruses researchers isolated from patients were genetic matches to viruses that had been circulating in Europe.

Shanghai to Munich Jan. 19

On Jan. 19 — the same day the first Washington patient tested positive for Covid-19 — a woman from Shanghai landed in Munich. Not long before the trip, her parents from Wuhan had paid her a visit. By the time she got to Munich she felt only mild symptoms, which she put down as jet lag.

The woman was employed by a German auto parts supplier. The day after she arrived, she went to a company meeting. Several other employees at the meeting got sick and tested positive for Covid-19. The coronavirus genome from a German man at the meeting had mutations linking it back to China.

Genome BavPat1, collected on Jan. 28 from a German businessman in the Munich area

u

u

c

g

P

G

Genome BavPat1, collected on Jan. 28 from a German businessman in the Munich area

u

u

c

g

P

G

Genome BavPat1, collected on Jan. 28 from a German businessman in the Munich area

g

G

c

P

u

u

Genome BavPat1, collected on Jan. 28 from a German businessman in the Munich area

g

G

c

P

u

u

Munich

Shanghai

Wuhan

Munich

Shanghai

Wuhan

Munich

Shanghai

Wuhan

Munich

Shanghai

Wuhan

Genetically similar versions of the virus later spread into other parts of Europe, but it’s unclear if they came from this cluster of cases or from a different introduction.

Welcome to New York March 1

The first confirmed case of Covid-19 in New York was announced on March 1, after a woman living in Manhattan was infected while visiting Iran. Of all the viruses that scientists have studied in New York since then, none bears the mutations in her coronavirus genome. That indicates that her infection was not part of a continuing chain of transmissions.

Genome NY1-PV08001, collected on Feb. 29 from a woman in NYC who had traveled to Iran

a

g

u

c

u

I

F

Genome NY1-PV08001, collected on Feb. 29 from a woman in NYC who visited Iran

a

g

u

c

u

I

F

u

Genome NY1-PV08001, collected on Feb. 29 from a woman in NYC who visited Iran

c

u

F

g

a

I

u

Genome NY1-PV08001, collected on Feb. 29 from a woman in NYC who visited Iran

c

u

F

g

a

I

Instead, most of the New York coronaviruses that scientists have sequenced show genetic links to coronaviruses in Europe. Others came from Asia, and still others may have come from other parts of the United States.

Coronavirus infections genetically similar to samples circulating in:

Europe and North America

Europe

Europe

Washington

BRONX

Asia and Oceania

MANHATTAN

QUEENS

BROOKLYN

Coronavirus infections genetically similar to samples circulating in:

Europe and North America

Europe

Europe

Washington

BRONX

Asia and Oceania

MANHATTAN

QUEENS

BROOKLYN

Coronavirus infections genetically similar to samples circulating in:

Europe

Europe

BRONX

Washington

MANHATTAN

QUEENS

BROOKLYN

Coronavirus infections genetically similar to samples circulating in:

Europe

Europe

BRONX

Washington

MANHATTAN

QUEENS

BROOKLYN

Reintroductions and Deportations March and April

Soon, the United States and Europe became new sources for introductions to other countries. Dozens of Guatemalans sent on deportation flights from the U.S. later tested positive for the virus, and coronaviruses carrying mutations that arose in Europe have been reintroduced to Asia.

Genome BJ2460, one of three identical samples collected on March 14 in Beijing

u

u

u

u

u

g

u

g

u

I

L

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G

I

Genome BJ2460, one of three identical samples collected on March 14 in Beijing

u

u

u

u

u

g

u

g

u

I

L

G

G

I

Genome BJ2460, one of three identical samples collected on March 14 in Beijing

u

I

g

G

u

g

G

u

L

u

I

u

u

u

Genome BJ2460, one of three identical samples collected on March 14 in Beijing

u

I

g

G

u

g

G

u

L

u

I

u

u

u

A nearly identical genome found in three people in Belgium, collected March 13–20

u

u

u

u

g

g

L

G

G

A nearly identical genome found in three people in Belgium, collected March 13–20

u

u

u

u

g

g

L

G

G

A nearly identical genome found in three people in Belgium, collected March 13–20

g

G

g

G

u

L

u

u

u

A nearly identical genome found in three people in Belgium, collected March 13–20

g

G

g

G

u

L

u

u

u

A Slow-Mutating Virus

At this point in the pandemic, coronavirus genomes with 10 or fewer mutations are common, and only a small number have over 20 mutations — which is still less than a tenth of a percent of the genome.

Genome VIC995, collected on March 31 from a woman in Victoria, Australia

u

u

a

u

a

u

u

Y

N

V

S

L

Genome VIC995, collected on March 31 from a woman in Victoria, Australia

u

u

a

u

a

u

u

Y

N

V

S

Genome VIC995, collected on March 31 from a woman in Victoria, Australia

u

S

u

V

a

N

u

a

Y

u

u

Genome VIC995, collected on March 31 from a woman in Victoria, Australia

u

S

u

V

a

N

u

a

Y

u

u

Over time, viruses can evolve into new strains — in other words, viral lineages that are significantly different from each other. Since January, researchers have sequenced many thousands of SARS-CoV-2 genomes and tracked all the mutations that have arisen. So far, they haven’t found compelling evidence that the mutations have had a significant change in how the virus affects us.

Total number of amino acid substitutions found in 4,400 coronavirus genomes from Dec. to April

1

10

20

Total number of amino acid changes in 4,400 coronavirus genomes from Dec. to April

1

10

20

Total number of amino acid changes in 4,400 coronavirus genomes from Dec. to April

1

10

20

30

Total number of amino acid changes in 4,400 coronavirus genomes from Dec. to April

1

10

20

30

In fact, researchers have found that the coronavirus is mutating relatively slowly compared to some other RNA viruses, in part because virus proteins acting as proofreaders are able to fix some mistakes. Each month, a lineage of coronaviruses might acquire only two single-letter mutations.

In the future, the coronavirus may pick up some mutations that help it evade our immune systems. But the slow mutation rate of the coronavirus means that these changes will emerge over the course of years.

That bodes well for vaccines currently in development for Covid-19. If people get vaccinated in 2021 against the new coronavirus, they may well enjoy a protection that lasts for years.

What We Don’t Know

Researchers have only sequenced a tiny fraction of the coronaviruses that now infect over three million people worldwide.

Sequencing more genomes will uncover more chapters in the virus’s history, and scientists are particularly eager to study mutations from regions where few genomes have been sequenced, such as Africa and South America.

Genomes tracked by

Nextstrain.org,

per country

500

100

10

Genomes tracked by

Nextstrain.org,

per country

500

100

10

Genomes tracked by

Nextstrain.org,

per country

500

100

10

Genomes tracked by

Nextstrain.org,

per country

500

100

10

Note: The four letters of DNA are A, C, G and T. In RNA molecules like the coronavirus genome, the T (thymine) is replaced with U (uracil).

Sources: Trevor Bedford, Sidney Bell et al., Nextstrain.org; Vaughan Cooper; Ana S. Gonzalez-Reiche et al., medRxiv; Nature; New England Journal of Medicine. Cahill-Keyes World Map projection by Gene Keyes.

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source https://betterweightloss.info/how-coronavirus-mutates-and-spreads/

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