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Tuesday 28th April, Global Update

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COVID – 19, Tuesday 28th April Iran National coroners’ authority Feb 20th – April 7th 728 deaths from alcohol poisoning 66 last year 5,011 people poisoned with methanol 90 + people reduced eye site or blindness Australia 12 new cases Sydney beaches reopen Austria Reopening hotels next month US Prevalence of SARS-CoV-2 Infection in Residents of a Large Homeless Shelter in Boston, (JAMA, 27th April) Prior symptom screening or self-referrals to outside care N = 408, symptom assessment and SARS-CoV-2 PCR testing. 147 (36.0%) PCR positive for SARS-CoV-2 Positive for SARS-CoV-2, 87.8% were asymptomatic. Cross-sectional study Symptom screening in homeless shelters may not adequately capture the extent of disease transmission in this high-risk setting. UK Deaths + 360 = 21,092 Cases, 158,348 or 2.5m 1st to 15th April symptomatic cases down by 71% From 2 million down to 582,640 cases Therefore, still many infectious people in the UK Symptoms change 2 weeks before hospital admissions ONS up to 17th April England and Wales Week ending 17 April 2020 (Week 16) 22,351 deaths 3,835 more deaths than week 15 11,854 more than the five-year average Highest weekly total recorded since comparable figures begin in 1993 8,758 (39.2% of all deaths) mentioned “novel coronavirus (COVID-19)” 6,213 (33.6% of all deaths) in Week 15. London, 55.5% of deaths registered in Week 16 involved COVID-19 77.4% of COVID deaths (14,796 deaths) occurred in hospital Deaths in care homes for Week 16 was 7,316 2,389 higher than Week 15 Almost double the number in Week 14 and almost triple the number in Week 13 IRC 1 billion infections 3.2 million deaths Yemen Probably community transmission Risk of cholera In Yemen, more than half of Yemen’s health facilities are no longer functioning 18 million people do not have access to proper hygiene, water and sanitation. IRC has also warned about increases in other forms of violence against vulnerable groups worldwide, such as violence against women South Sudan Less than half the country’s health facilities are functioning, there are 24 ICU beds and four ventilators. Already gripped by high levels of malnutrition may face famine. Venezuela More than half of doctors have left 90% of hospitals face shortages of medicine and critical supplies 84 ICU beds for a population of 32 million Burkina Faso - 11 ventilators for population of 20.9 million Sierra Leone - 13 ventilators for population of 7.9 million Central African Republic - 3 ventilators for population of 4.8 million Somalia - 15 ICU beds for population of 15.8 million COVID Symptom Tracker https://covid.joinzoe.com Santa Clara County https://www.sccgov.org/sites/covid19/Pages/dashboard.aspx NEJM Vit D https://www.nejm.org/doi/full/10.1056/NEJMoa1306357 https://papers.ssrn.com/sol3/papers.cfm?abstract_id=3585561#.XqWfqZvYqW0.twitter Inflammatory syndrome in Children https://www.bbc.co.uk/news/health-52439005 Vitamin D https://papers.ssrn.com/sol3/papers.cfm?abstract_id=3571484 Don’t be an ass, put on a mask Paediatric inflammatory syndrome https://www.hsj.co.uk/acute-care/exclusive-national-alert-as-coronavirus-related-condition-may-be-emerging-in-children/7027496.article Animation video link https://www.youtube.com/watch?v=WvMaah1GEP8 European heating and ventilation https://www.rehva.eu/activities/covid-19-guidance Virus in the body https://www.webmd.com/lung/news/20200423/the-great-invader-how-covid-attacks-every-organ?ecd=wnl_spr_042520&ctr=wnl-spr-042520_nsl-LeadModule_title&mb=4wn5hmH%409wlSg50BmZKfpeHnVev1imbCX%40XjTeU4Z64%3d HK data https://chp-dashboard.geodata.gov.hk/covid-19/en.html Irish dashboard https://geohive.maps.arcgis.com/apps/opsdashboard/index.html#/29dc1fec79164c179d18d8e53df82e96 Our world in data https://ourworldindata.org/covid-testing Diabetes https://www.who.int/news-room/fact-sheets/detail/diabetes Iran alcohol poisoning https://www.dailymail.co.uk/news/article-8261947/728-Iranians-killed-drinking-methanol-false-belief-protects-coronavirus.html ONS UK https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/bulletins/deathsregisteredweeklyinenglandandwalesprovisional/weekending17april2020 South Sudan https://www.rescue.org/press-release/new-irc-report-exposes-double-emergency-covid-19-humanitarian-crises-reveals-grave JAMA, Boston homeless center https://jamanetwork.com/journals/jama/fullarticle/2765378?guestAccessKey=a5d28066-8f72-4633-a291-90b472754093&utm_source=silverchair&utm_medium=email&utm_campaign=article_alert-jama&utm_content=olf&utm_term=042720

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