06Jun

We interrupt all the bad news about COVID with this from the Institute for Health Metrics and Evaluation: surviving the virus has improved dramatically since the early days of the pandemic.

The likelihood of someone dying from COVID-19 has declined by a third.

In an interview with Reuters news agency, IHME Director Dr. Christopher Murray said 0.6% of those infected with the virus die, compared to 0.9% last spring. Improvements in treatment, including the use of blood thinners, oxygen and the generic steroid dexamethasone are a large part of the reason for the decline, he said.

Two research studies of patients in New York and in the UK bear out the positive news, finding sharp decreases in mortality.

Published last month in the Journal of Hospital Medicine, the New York City study found an 18% decline in COVID deaths since March among 5,121 hospitalizations.

second study released just recently found a 20% decrease in mortality among hospitalized patients in England in June compared to the beginning of the pandemic in April.

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“I would classify this as a silver lining to what has been quite a hard time for many people,” Bilal Mateen, a data science fellow at the Alan Turing Institute in the United Kingdom, told NPR.

Leora Horwitz, M.D., an author of the New York City study, echoed those findings. “We find that the death rate has gone down substantially,” she told NPR. “I do think this is good news,” she said, adding, “but it does not make the coronavirus a benign illness.”

The Institute of Health Metrics and Evaluation, based at the University of Washington, cautions that with the advancing winter months, it expects the infection rate globally to increase to 4 million new cases a day. It estimates daily deaths will reach over 15,000 a day in mid-January declining to under 13,000 by March 1.

“If universal mask coverage (95%) were attained [by last week], our model projects 571,000 lives could be saved by March 1, 2021,” the Institute said in its weekly global report.

Specifically in the United States, another Institute report predicts “daily deaths to reach 2,200 in mid-January and slowly decline to 1,750 on March 1… we expect daily infections to reach 325,000 by early January.”

Estimating national mask use at 67% — lower than many other organizations have found – the IHME report projects the US could save 68,000 lives by March 1 if 95% of the population wore masks.

CDC report released at the end of October said that as of June, 88.7% of the US population wore masks. Even among the youngest group surveyed, those 18-29, 86.1% wore masks.

Photo by Online Marketing on Unsplash

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Celebrating Healthcare Workers: ‘You Are the Champions’

If you happen to be in a Rhode Island hospital, you might hear the Rocky theme song accompanied by cheering. At New York’s Presbyterian Queens Hospital the song is Journey’s “Don’t Stop Believin.” When the staff at Indiana University Health North Hospital celebrated the discharge of their first COVID-19 patient, the Beatles’ “Here Comes the Sun” was playing.

All across America, hospitals are celebrating the discharge of recovered patients with upbeat, positive songs as medical staff cheer.

No one is certain where the practice began. The earliest word comes from CNN, which in mid-April reported that hospital staffs were celebrating the release of COVID-19 patients by lining the hallways to clap and cheer. Hospitals in New York were including music in these impromptu celebrations.

“It is not only a tribute to the resilience of the patient, but also an anthem of affirmation for the medical professionals: Through long shifts, with few positive moments and supplies stretched thin, they have saved another life,” wrote The New York Times a few days later.

Now, singer Adam Lambert and Queen band members Brian May and Roger Taylor have produced a new version of a classic Queen hit, renaming it “You are the Champions” in honor of healthcare workers. Released on streaming and music download channels just over a week ago, proceeds from the song go to the World Health Organization’s COVID-19 Solidarity Response Fund.https://www.youtube.com/embed/7LcLqIHzNkY?feature=oembed

The video version opens with scenes of empty streets and communities and images of mask-wearing people worldwide, before moving to medical professionals and first responders caring for victims. As befitting an anthem that celebrates victory, the video ends with hospital staff cheering the release of patients everywhere.  

Photo by National Cancer Institute on Unsplash

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Jun 6, 2023

Even Heroes Need Help

The world may be lauding healthcare workers as heroes, but the professionals themselves are exhausted, worn down physically and emotionally by their efforts to treat the sick and stem the COVID pandemic.

“The pandemic has had a terrific strain on nurses,” Dr. Ernest Grant, president of the American Nurses Association, told ABC News.

As the COVID death toll reached a half million, the network broadcast a special report on the looming mental health crisis among frontline medical professionals.

“It’s hard for us health care workers,” said respiratory therapist Kelsey Copely. “I’ve seen more deaths these past few months than I had seen in years, and it’s not normal and it takes a lot. It takes a toll on someone’s mental health.”

A 2018 study of physician suicides estimated that 300 to 400 physicians commit suicide annually. It’s too early to assess the impact of the pandemic on doctors, though the American Medical Association says stress levels have risen.

“Acute stress among physicians, which was already significant before the pandemic, has increased dramatically for many physicians during the last several months as the pandemic has brought new challenges and exceptional demands,” AMA President Dr. Susan R. Bailey told ABC.

Last March, as the number of hospitalizations was rising quickly and the country was heading to a shutdown, Dr. Mona Masood, a psychiatrist, began enlisting other psychiatrists to provide mental health support for doctors and medical students.

“It was very clear that physicians did not know how to reassure themselves or take care of their mental health,” Masood said.

Since last year, the free confidential support service has fielded thousands of calls from physicians and students.

“Almost all of them start off with ‘I’m so sorry for taking your time. I’m so sorry taking this resource.’ And that speaks to that implicitness of others should be taken care of before me,” Masood said in an interview just a few months after the hotline launched.

One reason more doctors, nurses and other frontline healthcare workers don’t seek help is worries over losing their license to practice.

ABC News said many medical licensing applications probe deeply into the applicant’s mental health, even going beyond what is allowed by law. The Journal of the American Academy of Psychiatry and the Law found that in 2018 only 18 states complied with the law about mental health questioning on physician licensing applications.

Last year, the American Medical Women’s Association (ANWA) launched the Humans Before Heroes initiative to reform licensing questions to remove the fear that by getting mental health help a professional might be denied or lose a license.

Says the AMWA, “It is critical that we remove all barriers to care-seeking so no frontline hero is left sacrificing themselves for others. Mental health treatment must be normalized and encouraged.”

Image by Darko Stojanovic

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