NY Adds 4 States To Quarantine Advisory List As Philly Bans All Large Public Events Until 2021: Live UpdatesTyler DurdenTue, 07/14/2020 - 11:33
Summary:
Arizona sees big jump with 4,273 new cases
Alabama reports record rise in deaths
Moderna releases latest clinical trial update
TMC releases latest Houston numbers
Philly bars all public events until Feb 2021
Florida positivity rate jumps to 15%+
India places Bangalore back on lockdown
US daily cases below 60k
Global daily cases below 200k
Hong Kong imposes new restrictions
France makes mask wearing mandatory in public
Australia cases top 10k.
Iran closes mosques, schools
WHO warns: "there will be no return to normal"
* * *
Update (1120ET): Arizona just reported another 4,273 (+3.5%) new cases for Tuesday, which is much higher than yesterday's total, and higher than the 7-day average of 2.9%. However, the state explained that the unusually large number (what would be a record jump) also includes some data that was reported late on the prior day, and has been lumped in with Tuesday's numbers.
The state also reported 92 new deaths.
We're reporting 4,273 cases of #COVID19 for Tuesday. Please note: a partner did not report labs in time to be included in the Monday update, so their numbers are reflected in today's update. Also, 23 of the 92 deaths being reported today are due to death cert. matching. #MaskUpAZpic.twitter.com/rCGkiRqOFT
Alabama, meanwhile, just reported a record 40 deaths on Tuesday, its highest daily total yet, bringing the total to 1,164, while cases climbed 1,673 to a total of 57,218.
* * *
Update (1115ET): With markets in the red, Moderna has swooped in with another minor update, hoping to give the algos a jolt.
MODERNA SAYS PHASE 3 VIRUS VACCINE TRIAL TO BEGIN ON JULY 27
MODERNA TRIAL WILL ENROLL 30,000 PEOPLE AT HIGH INFECTION RISK
MODERNA POSTS DETAILS OF VACCINE STUDY ON CLINICALTRIALS.GOV
* * *
Update (1100ET): Texas Medical Center's daily data releases, which are reported with a slightly longer delay than the state numbers for new cases and deaths, has become a popular indicator of the situation in Houston, as hospital admissions are a more absolute measure of the virus's impact in a given area.
Hospital admissions fell to their lowest single-day total since late June.
Yesterday, 1582 people were reported as testing positive for COVID-19 in the Greater Houston Area. Over the last week, it averaged 1,776 new cases per day, 4x the level from the peak in April. Yesterday, the system added 247 new COVID-19 patients, compared to a daily average of 101 from a month ago.
* * *
Update (1100ET): Music venues and other event spaces are going to have a hard time surviving now that Philly has reportedly banned all large public events until Feb. 21.
Update (1040ET): Florida reported 9,194 new COVID-19 cases on Tuesday, a lower total than the record and near-record highs from the last few days, taking the statewide total to 291,629, while also reporting 132 new deaths, bringing the total to 4,277.
The number of hospitalized patients climbed to a new record high at 18,881, compared with 18,498 yesterday.
Statewide, Florida has completed 2.6 million tests for COVID-19 since the start of the pandemic, with 10.7% coming back positive. The rate of positivity among people tested for COVID-19 across Florida topped out at over 18% for tests processed Wednesday. Positivity lowered to 11.4% for tests processed Sunday.
But on Tuesday, the rate had climbed back to 15% (remember, all data is reported with a 24-hour delay).
Meanwhile, Andrew Cuomo added New Mexico, Minnesota, Ohio and Wisconsin to the list of state's where travelers must quarantine for 2 weeks if traveling to NY, CT or NJ. Meanwhile, Delaware has been removed.
Cuomo announced that four additional states are now added for the travel advisory requiring to quarantine for 14 days.The newly-added states are Minnesota, New Mexico, Ohio and Wisconsin. Delaware has been removed.
— @SCOOTERCASTER (FNTV) (@ScooterCasterNY) July 14, 2020
That brings the total to 22 states:
Alabama
Arkansas
Arizona
California
Florida
Georgia
Iowa
Idaho
Kansas
Louisiana
Minnesota
Mississippi
North Carolina
New Mexico
Nevada
Ohio
Oklahoma
South Carolina
Tennessee
Texas
Utah
Wisconsin
And here's NY's update on the numbers.
Today's update on the numbers:
60,045 tests were performed yesterday. 912 tests came back positive (1.5% of total).
Update (1015ET): India’s IT hub Bangalore has entered a new week-long lockdown on Tuesday as the number of coronavirus cases in India surges past 900,000 leaving the world's second-largest country on track to become the third country to pass 1 million cases after the US and Brazil.
After imposing one of the world’s strictest lockdowns in late March, India had been steadily easing restrictions to try and revive its battered economy. However, despite widespread public fear of the virus, the outbreak has still come roaring back. India has also reported 24,000 deaths, according to health ministry figures.
* * *
The number of new coronavirus cases reported yesterday in the US remained below the critical 60k threshold, but from Asia to Europe, economies that only recently appeared to have beaten the coronavirus are now imposing new restrictions to try and prevent a resurgence.
But globally, the number of new cases remained near a recently hit record high, pushing the worldwide total to 13,238,121 as of Tuesday morning. Though crucially, the number of cases reported yesterday came in just below 200k, roughly 30k shy of the record.
The death toll from the deadly virus has reached 575,543 globally, according to Worldometer. Of the currently infected 4,964,306 patients, 4,905,425 were in mild condition, while 58,881 were in serious or critical condition.
Last night (Tuesday morning in HK), Hong Kong announced plans to impose a new lockdown that appears to be even more restrictive than the measures it imposed during the opening weeks of the outbreak. While HK had previously relied on closing borders with the mainland, the new measures focus on suppressing domestic transmission. They include: that face masks will be mandatory for people using public transport and restaurants will no longer provide dine-in services, instead only offering takeaway service.
If an individual doesn't wear a mask on public transport, they face a fine of HK$5,000 ($645). Gatherings would be limited to 4 people from 50. Gyms, places of amusement and other establishments must shut for a week.
"The recent emergence of local cases of unknown infection source indicates the existence of sustained silent transmission in the community," the government said in a statement late on Monday.
The Chinese-ruled city recorded 52 new cases of coronavirus on Tuesday, including 41 that were locally transmitted, health authorities said, bringing its total outbreak to 224 people over the past week.
In Australia, Melbourne remains on lockdown while the number of new cases being reported continues to climb, the Australian state of Victoria has recorded 270 new cases of coronavirus, while New South Wales recorded 13, bringing the national total to about 10,250.
As the US outbreak in the Sun Belt nears its peak, the EU is reportedly set to recommend keeping its external borders shut to Americans and most other foreigners for at least two more weeks as fears grow of a second coronavirus wave.
As fears about a resurgence in Asia intensify, the WHO raised concerns over the Philippines’ rising number of new cases, which have swamped some local hospitals as the number of new cases being reported daily hits record after new record.
The proportion of positive cases in the country is gradually increasing from about 6.5% two weeks ago to about 7.8% on Monday, WHO representative in the Philippines Rabindra Abeyasinghe warned.
"This is worrying as it shows that there is continuing transmission. This is also reflected by the increased number of admissions into hospitals," he said.
Similarly, after recording a record jump in deaths a few days ago, Iran is reeling from its own resurgence, prompting Tehran to close schools, universities, Shia seminaries, mosques and other sites of religious gatherings for at least a week, local state news reported. Iran reported 2,521 new cases and 179 deaths overnight, bringing the total figures to 262,173 cases and 13,211 deaths.
As Catalonian government imposes new restrictions on local hot spots, across the border in France, President Macron warned that the virus "is coming back a little bit" and that starting next week, France will make mask wearing compulsory in public spaces.
During a press briefing Tuesday in Geneva, the WHO warned the pandemic could get far worse if countries around the world do not follow basic healthcare precautions.
"The virus remains public enemy number one," WHO Director-General Dr. Tedros Adhanom Ghebreyesus told a virtual briefing from WHO headquarters in Geneva.
"There will be no return to the old normal for the foreseeable future," Tedros said.
In this specific predicament, U.S. officials have to choose a strategy to deliver the aid without the perception of benefiting Hamas, a group the U.S. and Israel both classify as a terrorist organization.
Logistics
When aiding people in war zones, you can’t just send money, a development strategy called “cash transfers” that has become increasingly popular due to its efficiency. Sending money can boost the supply of locally produced goods and services and help people on the ground pay for what they need most. But injecting cash into an economy so completely cut off from the world would only stoke inflation.
So the aid must consist of goods that have to be brought into Gaza, and services provided by people working as part of an aid mission. Humanitarian aid can include food and water; health, sanitation and hygiene supplies and services; and tents and other materials for shelter and settlement.
Due to the closure of the border with Israel, aid can arrive in Gaza only via the Rafah crossing on the Egyptian border.
The U.S. Agency for International Development, or USAID, will likely turn to its longtime partner on the ground, the United Nations Relief and Works Agency, or UNRWA, to serve as supply depots and distribute goods. That agency, originally founded in 1949 as a temporary measure until a two-state solution could be found, serves in effect as a parallel yet unelected government for Palestinian refugees.
USAID will likely want to tap into UNRWA’s network of 284 schools – many of which are now transformed into humanitarian shelters housing two-thirds of the estimated 1 million people displaced by Israeli airstrikes – and 22 hospitals to expedite distribution.
Gaza is a self-governing Palestinian territory. The narrow piece of land is located on the coast of the Mediterranean Sea, bordered by Israel and Egypt.PeterHermesFurian/iStock via Getty Images Plus
Since Biden took office, total yearly U.S. assistance for the Palestinian territories has totaled around $150 million, restored from just $8 million in 2020 under the Trump administration. During the Obama administration, however, the U.S. was providing more aid to the territories than it is now, with $1 billion disbursed in the 2013 fiscal year.
But the White House needs Congress to approve this assistance – a process that requires the House of Representatives to elect a new speaker and then for lawmakers to approve aid to Gaza once that happens.
Ethics
The United Nations Relief and Works Agency is a U.N. organization. It’s not run by Hamas, unlike, for instance, the Gaza Ministry of Health. However, Hamas has frequently undermined UNRWA’s efforts and diverted international aid for military purposes.
Humanitarian aid professionals regularly have to contend with these trade-offs when deciding to what extent they can work with governments and local authorities that commit violent acts. They need to do so in exchange for the access required to help civilians under their control.
Similarly, Biden has had to make concessions to Israel while brokering for the freedom to send humanitarian aid to Gaza. For example, he has assured Israel that if any of the aid is diverted by Hamas, the operation will cease.
This promise may have been politically necessary. But if Biden already believes Hamas to be uncaring about civilian welfare, he may not expect the group to refrain from taking what they can.
Security best practices
What can be done to protect the security of humanitarian aid operations that take place in the midst of dangerous conflicts?
Under International Humanitarian Law, local authorities have the primary responsibility for ensuring the delivery of aid – even when they aren’t carrying out that task. To increase the chances that the local authorities will not attack them, aid groups can give “humanitarian notification” and voluntarily alert the local government as to where they will be operating.
Hamas has repeatedly flouted international norms and laws. So the question of if and how the aid convoy will be protected looms large.
Under the current agreement between the U.S., Israel and Egypt, the convoy will raise the U.N. flag. International inspectors will make sure no weapons are on board the vehicles before crossing over from Arish, Egypt, to Rafah, a city located on the Gaza Strip’s border with Egypt.
The aid convoy will likely cross without militarized security. This puts it at some danger of diversion once inside Gaza. But whether the aid convoy is attacked, seized or left alone, the Biden administration will have demonstrated its willingness to attempt a humanitarian relief operation. In this sense, a relatively small first convoy bearing water, medical supplies and food, among other items, serves as a test balloon for a sustained operation to follow soon after.
In that case, the presence of U.S. armed forces might provoke attacks on Gaza-bound aid convoys by Hamas and Islamic jihad fighters that otherwise would not have occurred. Combined with the mobilization of two U.S. Navy carrier groups in the eastern Mediterranean Sea, I’d be concerned that such a move might also stoke regional anger. It would undermine the Biden administration’s attempts to cool the situation.
On U.N.-approved missions, aid delivery may be secured by third-party peacekeepers – meaning, in this case, personnel who are neither Israeli nor Palestinian – with the U.N. Security Council’s blessing. In this case, tragically, it’s unlikely that such a resolution could conceivably pass such a vote, much less quickly enough to make a difference.
Topher L. McDougal does not work for, consult, own shares in or receive funding from any company or organization that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.
Diagnosis and management of postoperative wound infections in the head and neck region
“The majority of wound infections often manifest themselves immediately postoperatively, so close followup should take place […]” Credit: 2023 Barbarewicz…
“The majority of wound infections often manifest themselves immediately postoperatively, so close followup should take place […]”
Credit: 2023 Barbarewicz et al.
“The majority of wound infections often manifest themselves immediately postoperatively, so close followup should take place […]”
BUFFALO, NY- October 20, 2023 – A new research perspective was published in Oncoscience (Volume 10) on October 4, 2023, entitled, “Diagnosis and management of postoperative wound infections in the head and neck region.”
In everyday clinical practice at a department for oral and maxillofacial surgery, a large number of surgical procedures in the head and neck region take place under both outpatient and inpatient conditions. The basis of every surgical intervention is the patient’s consent to the respective procedure. Particular attention is drawn to the general and operation-specific risks.
Particularly in the case of soft tissue procedures in the facial region, bleeding, secondary bleeding, scarring and infection of the surgical area are among the most common complications/risks, depending on the respective procedure. In their new perspective, researchers Filip Barbarewicz, Kai-Olaf Henkel and Florian Dudde from Army Hospital Hamburg in Germany discuss the diagnosis and management of postoperative infections in the head and neck region.
“In order to minimize the wound infections/surgical site infections, aseptic operating conditions with maximum sterility are required.”
Furthermore, depending on the extent of the surgical procedure and the patient‘s previous illnesses, peri- and/or postoperative antibiotics should be considered in order to avoid postoperative surgical site infection. Abscesses, cellulitis, phlegmone and (depending on the location of the procedure) empyema are among the most common postoperative infections in the respective surgical area. The main pathogens of these infections are staphylococci, although mixed (germ) patterns are also possible.
“Risk factors for the development of a postoperative surgical site infection include, in particular, increased age, smoking, multiple comorbidities and/or systemic diseases (e.g., diabetes mellitus type II) as well as congenital and/ or acquired immune deficiency [10, 11].”
Continue reading the paper: DOI:https://doi.org/10.18632/oncoscience.589
Correspondence to: Florian Dudde
Email: floriandudde@gmx.de
Keywords: surgical site infection, head and neck surgery
AboutOncoscience:
Oncoscience is a peer-reviewed, open-access, traditional journal covering the rapidly growing field of cancer research, especially emergent topics not currently covered by other journals. This journal has a special mission: Freeing oncology from publication cost. It is free for the readers and the authors.
To learn more about Oncoscience, visit Oncoscience.us and connect with us on social media:
G77 Nations, China, Push Back On U.S. "Loss And Damage" Climate Fund In Days Leading Up To UN Summit
As was the case in primary school with bringing in presents, make sure you bring enough for the rest of the class, otherwise people get ornery...
This age old rule looks like it could be rearing its head in the days leading up to the UN COP 28 climate summit, set to take place in the United Arab Emirates in about six weeks.
At the prior UN COP 27, which took place in Egypt last year, the U.S. pushed an idea for a new World Bank "loss and damage" climate slush fund to help poor countries with climate change. But the G77 nations plus China, including many developing countries, are pushing back on the idea, according to a new report from the Financial Times.
The goal was to arrange how the fund would operate and where the money would come from for the "particularly vulnerable" nations who would have access to it prior to the upcoming summit in UAE.
But as FT notes, Pedro Luis Pedroso Cuesta, the Cuban chair of the G77 plus China group, has said that talks about these details were instead "deadlocked" over issues of - you guessed it - where the money is going and the governance of the fund.
The U.S.'s proposal for the fund to be governed by the World Bank has been rejected by the G77 after "extensive" discussions, the report says. Cuesta has said that the nations seek to have the fund managed elsewhere, but that the U.S. wasn't open to such arrangements.
Cuesta said: “We have been confronted with an elephant in the room, and that elephant is the US. We have been faced with a very closed position that it is [the World Bank] or nothing.”
Christina Chan, a senior adviser to US climate envoy John Kerry, responded: “We have been working diligently at every turn to address concerns, problem-solve, and find landing zones.” She said the U.S. has been "clear and consistent" in their messaging on the need for the fund.
Cuesta contends that the World Bank, known for lending to less affluent nations, lacks a "climate culture" and often delays decision-making, hindering quick responses to climate emergencies like Pakistan's recent severe flooding.
The G77 coalition voiced concerns about the World Bank's legal framework potentially limiting the fund's ability to accept diverse funding sources like philanthropic donations or to access capital markets.
With just days left before the UN COP 28 summit, the World Bank insists that combating climate change is integral to its mission and vows to collaborate on structuring the fund.
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