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1.
Hormone Research in Paediatrics ; 95(Supplement 2):231, 2022.
Article in English | EMBASE | ID: covidwho-2214174

ABSTRACT

Background: COVID19 Lockdown resulted in an extreme change in daily lifestyle with a significant increase in weight and loss of quality of life, as well as an increase in the risk of secondary health conditions even in young people. One reason for this is a fatal change in the nutritional situation, especially among adolescents. Convincing models to counter this problem are missing so far. Multiprofessional training programs could reveal an outstanding effect for secondary prevention of obesity in youth. Telehealth measures were successfully implemented several times during the COVID19 pandemic. Method(s): Adolescents (8-17 years) with severe obesity referred through a large obesity consultation were interviewed using standardized dietary behavior questionnaires (FEV-K, FFL-K, FFV-K) and quality of life questionnaires (WHO-5, KIND-L) and enrolled in a structured multimodal education program for adolescents with overweight. The program content (sports, nutrition, medicine, psychology) was tought exclusively video-based. After the end of the program (12 months), the patients were interviewed again regarding eating behavior and quality of life. In addition, a clinical examination including analysis of blood parameters was performed before and after the program. The results were analyzed and compared with results from the pre-pandemic period (2017 - 2019). Result(s): 108 children and adolescents (mean age 12.1 yrs;male 46.2%, BMI SDS 2.21) were studied and telemedicated. Based on a significantly increased intake of fatty and sugary foods and an increased amount of meals per day (7.2 meals per day), a significantly increased intake of vegetables and fruits as well as a massive decrease of sweets, snacks and soft drinks was observed after program participation, which corresponds to a significant improvement in dietary behavior also compared to the pre-pandemic period. The amount of meals per day decreased to 4.1 meals per day. The quality of life of the adolescents increased significantly. The BMI SDS and the blood parameters (cholesterol, triglycerides, HOMA index) showed a decreasing trend, which roughly corresponds to the effect of the pre-pandemic period. Discussion and Conclusion(s): This study demonstrated a beneficial effect on dietary behaviors and quality of life of adolescents with obesity during lockdown through video-based structured education. Future research needs to show the extent to which this effect is replicable with respect to new periods of contact restriction. It is possible that telemedicine obesity education components can reach a large number of patients and especially families in rural areas, and thus can be a supraregional support for adolescents with obesity.

2.
Anales de la Real Academia Nacional de Farmacia ; 88(3):293-302, 2022.
Article in Spanish | EMBASE | ID: covidwho-2207101

ABSTRACT

In early 2020, the SARS-CoV-2 pandemic began to spread. Due to the extent and quickness of infection, a more or less strict confinement was declared, depending on each country's government. Therefore, the main objective of this systematic review is to study the changes in lifestyle that occurred during the lockdown due to the COVID-19 pandemic in healthy subjects over 18 years old in 9 European countries. A systematic review was performed according to PRISMA criteria. The "PubMed" database was used for the search;with the following advanced search strategy: "dietary changes" OR "lifestyle changes" AND "covid-19" OR "covid-19 lockdown" AND adults. Finally, 12 articles were included. Most studies showed an increase in energy intake, sweets, snacks and alcohol. Physical activity levels diminished. These unhealthy habits have led to an increase in body weight. Thus, COVID-19 lockdown appears to have modified lifestyle habits in European population. Further research should be done with larger sample sizes to assess the impact of the pandemic and to improve lifestyle recommendations in case of future pandemics. Copyright © 2022 Real Academia de Farmacia. All rights reserved.

3.
Hypertension. Conference: American Heart Association's Hypertension ; 79(Supplement 1), 2022.
Article in English | EMBASE | ID: covidwho-2064361

ABSTRACT

Background: During COVID-19, this study examined data on adolescents' eating habits. It proposes a new 'gateway food model' for ultra-processed foods (UPF). This model shows that certain UPFs when increased (decreased) drive consumption of other UPFs as well. This has important implications for managing hypertension risk factors since studies show that those in the highest tertile of UPF consumption have a higher risk of hypertension (adjusted HR, 1.21;CI, 1.06, 1.37;p = 0.004) (Mendonca, 2016). Method(s): The study enrolled 315 participants aged 13-19 years in Florida, U.S. Participants' PIE scores (Processed Intake Evaluation scores, scale 0-100), were calculated based on averaged consumption of 12 ultra-processed food products. PIE scores, before COVID-19 in 2019, and after COVID-19 restrictions were eased in 2022, were assessed in the study. Result(s): The participants' mean age was 16.2+/-1.4 years. The study classified participants into UPF+ (n=135) and UPF- (n=180) groups according to whether they increased or decreased their UPF intake during COVID-19. For both groups, a stepwise regression was employed to identify significant factors for change in UPF intake. In the UPF+ group, increased intake of candy, store pastries, or frozen desserts was associated with increased UPF intake across all other UPFs as well (+31.2, +12.0, or +10.5 respective change in PIE score, p<0.01). Correspondingly, in the UPFgroup, reduced intake of biscuits, white bread, or processed meat was associated with decreased overall UPF intake across all other UPFs as well (-9.6, -9.4, -8.6 respective change in PIE score, p<0.01). Conclusion(s): Hypertension can begin during childhood and may be mediated by a focus on modifiable risk factors such as high UPF intake. These results indicate that for adolescents whose consumption of UPFs has not yet been established, certain gateway UPFs (candy, store pastries, and frozen desserts) should be given priority for preventive dietary interventions since increased intake in these UPFs leads to consumption of all other UPFs as well. In contrast, if an adolescent's UPF eating is already established, other UPFs (biscuits, white bread, or processed meat) can be targeted by dietary interventions as they decrease intake across all other UPFs.

4.
Journal of Henan Normal University Natural Science Edition ; 49(4):212-219, 2022.
Article in Chinese | CAB Abstracts | ID: covidwho-2026896

ABSTRACT

The COVID-19 pandemic has changed consumer demands for food products due to the importance of eating functional foods capable of increasing the body's immune system, such as those containing natural bioactive compounds. Immune system enhancement through food intake is one of the top priorities for consumers globally. Hard candy products are ordinary foods consumed by people of all ages and social classes with numerous negative consumer perceptions due to their ability to cause dental caries. Therefore, it is imperative to develop hard candy as a functional food with antioxidant and antibacterial properties derived from natural ingredients. This research aims to innovate and design hard candy products that are acceptable to consumers with the addition of gambir catechins to its formulas. This research is considered novel for it provides innovation and design of hard candy products that are acceptable to consumers with the addition of gambir catechins. The result showed that all hard candy product formulas have Staphylococcus aureus with antimicrobial and antioxidant activities;hence, increased catechin concentration significantly affects these activities. Products in formulas 17, 8, 18, 4, and 7 with 4-5 ratings after organoleptic testing are standard products manufactured in accordance with SNI 3547.1:2018.

5.
Gut ; 71:A83-A84, 2022.
Article in English | EMBASE | ID: covidwho-2005362

ABSTRACT

Introduction It has never been more crucial to ensure the health and wellbeing of our colleagues. This study focuses on the impact of diet, alcohol and activity on the liver and anxiety levels were also reflected upon as a result of the Covid period on NHS staff. A Fibroscan (530, Compact, Echosens) was used as part of a staff 'Love your Liver 'clinic in a NHS general hospital, conducted by Hepatology nurses. Non-alcoholic fatty liver disease (NAFLD) is a rising health problem that can lead to non-alcoholic steatohepatitis (NASH) and cirrhosis with associated liver mortality. In the UK 63% of adults are obese and overweight, 1 in 3 people have earlystage NAFLD. In a previous study we conducted between 2018- 2020, 'NHS Biscuit Culture' 74 staff participated, 60 female and 14 male. Mean age 46.9 (range 25 -70). 59.4% had NAFLD with Controlled Attenuation Parameter (CAP) >248 dB/m with 16.2% also having associated fibrosis with Liver Stiffness Measure (LSM) >7.8 kPa. It was felt the results may act as a 'shock factor' to motivate lifestyle changes. Method 15 patients who were identified as having NAFLD were re-scanned 6 months later and were asked to follow advice on diet and lifestyle. 80% improved the CAP score with a mean reduction of 56.3dB/m. 20% CAP did not improve reported, diet was not changed. During November 2021, we offered a liver clinic to previously scanned staff to re-evaluate but many declined due to weight gain during Covid. Our event incorporated 45 staff, age range 30-71 years (mean age 42.6 years, 39 females, 6 males). Questionnaires were emailed to 45 participants. The questionnaire focused on diet, alcohol, anxiety levels and activity level at work. Results Fibroscan results 47% (n=45) fatty liver, CAP >243 dB/m and 2% (n=45) fibrosis with LSM >7.8 kPa. 9% borderline fatty liver, CAP of 231-237 dB/m and 7% borderline fibrosis LSM 6.2 -6.6 kPa. 18% staff were rescanned that previously had fatty liver in our previous liver events during 2018 to 2020, 50% (n=8) of fibroscan returned within normal range, 37.5% fat content had improved but fatty liver remained, 12.5% of the staff 's results remained the same, fatty liver, no fibrosis. Staff 's weekly diet included candy, sweetened drinks, fast food, fruit and vegetables. Candy 29%, Fast food 27%, sweetened beverages 16%, and 5 or more fruit a day 11%. 20% Staff were already on a diet. Admin staff 41% (n=45), 33% nursing staff, 22% pathology, radiology and dieticians, 2% doctors and 2% management attended the events. 11% currently drinking over 14 units a week (15-25 units), 15% drinking 10-14 units a week. Staff alcohol consumption did increase during the Covid. No alcohol consumption 47% (n=45), 1-5 units 20%, 5-10 units 9%. Mild anxiety 74% (range 0-5), moderate 15% (6-14) and severe 10% (15-21). Pre-existing high level of anxiety 2% of the staff, Covid increased anxiety levels due to increased pressures at work. 10% required further assessment. 56% had limited activity during the day due to job role and 44% regularly mobilised as part of their roles. Conclusion The study tells us that diet and lifestyle has a significant impact on hepatosteatosis. Incidence of NAFLD is considerably higher in staff members (47%) in a district general hospital as compared to the general population (25%). This could be secondary to levels of stress during the COVID pandemic. The study showed a significant reduction in CAP and LSM scores after simple lifestyle advice was given to a group of motivated healthcare workers.

6.
J Nutr Sci ; 11: e64, 2022.
Article in English | MEDLINE | ID: covidwho-1972473

ABSTRACT

Marketing influences consumers' dietary purchases. However, little is known about marketing environments in Supplemental Nutrition Assistance Program (SNAP)-authorised stores. The present study explored SNAP-authorised store marketing environments in Louisiana by rurality, store ownership and store type (n 42). Sampling methods were designed to include randomly selected stores in each geographic area of the state. The GroPromo was used to measure placement, promotion, and child-focused aspects of marketing strategies used for healthier (fruits and vegetables) and less healthy products (chips, candy, sugar-sweetened beverages, child-focused cereal) in medium- and high-prominence marketing areas. In using multivariate analysis of variance (MANOVA) (P < 0⋅05) for data analysis, variations in GroPromo scores were found among SNAP-authorised stores by rurality (P < 0⋅05) and store ownership (P < 0⋅001); no differences were found by store type (P > 0⋅05). Future research, practice and policy strategies are required to understand the influence of marketing environments on SNAP participants' dietary quality and to design responsive public health interventions.


Subject(s)
Food Assistance , Beverages , Commerce , Food Supply , Humans , Marketing , Poverty
7.
Sleep Science ; 15:85-86, 2022.
Article in English | EMBASE | ID: covidwho-1935266

ABSTRACT

Introduction: In December 2019, there was a viral outbreak caused by coronaviruses (CoVs), which has led to numerous restrictive measures. Social distancing (SD) aims to reduce viral spread to the population, but affects sociodemographic aspects, sleep, eating habits and physical activity. Objective: Evaluate the changes caused by DS in aspects related to sleep, eating habits and physical activity in adult individuals. Methods: A study was carried out with 204 volunteers of both sexes. Questions related to sleep habits, eating habits and the practice of physical activity before and during the period of SD were assessed using an electronic questionnaire. The Wilcoxon test, McNemar test, and chisquare test (X2) were used to compare variables before and after SD. significance level of p<0.05 was adopted. Results: The sample consisted of 44 men and 160 women, with a mean age of 33.3±11.2 years and body mass index (BMI) 24.6±4.7 kg/m2. Regarding the TTS, there was an increase in sleep duration from 7.91±1.34hs to 8.43±1.23hs during DS (p<0.01). Sleep quality was considered “very good” or “good” in 73% of the sample in the period before DS. During social distancing, 55.4% reported that they started to sleep less at night and 35.3% reported sleep worsening during this period. Regarding the practice of exercise and physical activity, 73% of the participants practiced before SD, of which 65.1% interrupted the practice during the SD (p<0.01). Regarding eating habits, 32.4% noticed a worsening of eating habits during SD and 60.8% noticed changes in appetite, with increased appetite being the most perceived among participants (41.2%). Fastfood consumption was present at least once a week during SD in 48% of participants, consumption of frozen meals in 24.5% and consumption of sweets in 25%. Conclusion: It is concluded that the DS in adults contributed to increased sleep duration, worsening sleep quality, reduced exercising practices, and increased appetite and worsening eating habits.

8.
Sleep Science ; 15:9-10, 2022.
Article in English | EMBASE | ID: covidwho-1935245

ABSTRACT

Introduction: During the pandemic, changes resulting from social and routine restrictions may have led to a change in sleep quality patterns. Furthermore, poor sleep quality may result in increased hunger and food intake, especially of ultraprocessed foods. Objective: To evaluate the association of sleep quality with food consumption pattern during the COVID-19 pandemic. Methods: Cross-sectional, population-based study, between October and December 2020 in two medium-sized cities in Minas Gerais. Sleep was assessed by the Pittsburgh Sleep Quality Index, with a global score from 0 to 21. Scores of 5-10 indicate poor sleep quality and greater than 10, a possible sleep disorder. The unhealthy eating indicator was designed according to food processing, unprocessed (fruits, vegetables and legumes, milk, and beans) and ultra-processed (processed meats, sweets, instant noodles, and soft drinks). Unprocessed foods consumed daily, and ultra-processed foods consumed never received the lowest score (zero). The highest score (four points) was received by unprocessed foods never, and ultraprocessed foods daily. The total score ranged from 0 (best) to 32 points (worst quality). It was subsequently categorized into quartiles and grouped to dichotomized variable: unhealthy food (2nd to 4th quartile;> 5 points) and healthy (1st quartile;< 4 points). Multiple logistic regression was used to verify the association of sleep quality with dietary consumption pattern. Results: Of the individuals evaluated, most were female (51.9%), black or brown (67.9%), with minimum high school education (56.5%), and family income below 5 minimum wages (60.4%). The food score ranged from 0 to 24 points, and 76.8% had an unhealthy eating pattern. Regarding sleep, 38.6% had poor quality, and 13.9% sleep disorder. In multivariate analysis, adjusted for sex, age, and income, subjects with poor sleep quality had 1.81 times the chance of having an unhealthy eating pattern (OR=1.81;95% CI 1.25- 2.62), and those with sleep disturbance had 2.28 times the chance of having an unhealthy eating pattern (OR=2.28;95% CI: 1.27-4.10). Conclusion: Individuals with poor quality and sleep disorders are more likely to have unhealthy eating during the pandemic of COVID-19. This study demonstrates the importance of investigating the repercussion of the pandemic on sleep and eating habits, and worsening health status of these individuals.

9.
European Journal of Preventive Cardiology ; 29(SUPPL 1):i438, 2022.
Article in English | EMBASE | ID: covidwho-1915609

ABSTRACT

Background: Tesco published an open-source dataset containing area-aggregated product purchase information from 420m transactions across 16m individual Clubcard users in the Great London area, at a borough level. This dataset is presented as a 'typical product' purchase for each borough, divided into 220 individual datapoints. Purpose: We wanted to explore dietary correlates with cardiovascular outcomes including age-standardised mortality rates for myocardial infarct, stroke, cardiac arrhythmia and COVID-19. Methods: The Tesco 1.0 dataset was accessed on 1/11/21 and a sample of traditional dietary clinical risk and protective factor datapoints for each London borough were selected. Data for age-standardised mortality rates (ASMR) in each London borough were downloaded from the Office of National Statistics for 2019 for myocardial infarction, stroke, cardiac arrhythmia and 2020 COVID-19 deaths (March-July 2020). To explore for relevant associated factors, the average deprivation index (IMD) for each borough was accessed from Public Health England, and demographic data accessed from the Greater London Authority database. Statistics using Spearman's Rho calculator were derived in Excel and calculated using a web-based statistics calculator. Results: Myocardial infarction (MI) ASMR closely correlated with increased levels of salt (g), fat and oils (% of total product), and weight of purchase (g). Increased fibre (g) was correlated with lower MI mortality. An important associated risk factor was the deprivation index, a important co-variable to consider when assessing diet-health relationships. Stroke ASMR was more closely correlated with typical product constituents, significant risk factors were weight (g) of fat, carbohydrate, sugar and ready meals (%) and sweets (%), while % of fish and both % and total weight (g) of fruit and veg were protective factors. Importantly salt content was NOT a statistically significant factor. Cardiac arrhythmia ASMR did not correlate with any dietary constituents reviewed. COVID ASMR was closely correlated with myocardial infarction ASMR risk factors (salt, % of fat and oils and total weight of purchase) and total fibre (g) was again a protective factor. Interestingly, the % of ready meals was a protective factor for COVID ASMR, possibly associated with cultural and ethnicity-related behaviours, with higher BAME communities less likely to purchase ready meals. Conclusions: This unique dataset offers a Big Data insight into the relationship between diet and health but is limited by a lack of individual granularity and heterogenous intra-borough populations. This research offers a starting point to further exploring in-depth food purchasing habits with healthcare outcomes, and further partnership in the future may unlock this.

10.
Cleft Palate-Craniofacial Journal ; 59(4 SUPPL):28, 2022.
Article in English | EMBASE | ID: covidwho-1868936

ABSTRACT

Background/Purpose: This urban pediatric hospital has offered for the past 20 years a summer and winter camp experience for children affected with a cleft anomaly. The COVID pandemic in 2020 led our state to ban in early spring overnight camp programs. Our team had to re-imagine what a camp experience could be virtually and decided to offer a three-week virtual camp experience via a secured Zoom site. An email letter was sent to the camp mailing list, introducing the opportunity of Virtual Cleft Camp and inviting children to participate. Parents had to RSVP about their child's interest to attend our virtual camp. Once parents confirmed participation, they were sent the dates and times of the planned activities. The team's outreach coordinator partnered with the past summer/winter camp facility staff to plan the activities. Eighteen children participated in at least one of the camp activities;most participated in almost all activities. Each camper received a mailed package that contained a welcome letter, bingo cards, a box of Skittle candies labeled as bingo markers, package of word search activities, and other items. Some of the activities done over the three weeks included an arts and crafts project where they made a life map, Skittle Bingo, yoga, Happy Hour Word Search Races and a scavenger hunt. Despite having a virtual camp, the traditional bonding Sharing Circle, was more poignant, as campers shared their struggles and joys. We concluded with a Cleft Camp favorite, costume dance party, done virtually with two teams. Each team created a dance to a song of their choice and performed for everyone. After virtual camp, each camper and parent received evaluation forms to complete. Feedback was positive from both parents and campers;they commented on meaningful connections created, especially during these challenging times. Campers want to continue to have monthly virtual gatherings. Methods/Description: This introductory talk will detail how our Virtual Cleft Camp Program was developed, executed, funded and sustained. An overview of our monthly online activities and content will be presented along with evaluations from campers and parents.

11.
Current Research in Nutrition and Food Science ; 9(3):855-865, 2021.
Article in English | CAB Abstracts | ID: covidwho-1856348

ABSTRACT

The present pandemic situation has increased the demand for plant-based functional foods that enhancing the immunity of all aged groups against COVID-19. This factor has led to innovation in confectionery market because healthy and good quality confectionery products are lacking. In this study, an attempt has been made to develop functional candy from various combinations of banana, ginger, skim milk powder, and honey at 2-10% and evaluated its sensory, nutraceutical, functional properties and microbial stability for 60 days. Among various combinations of banana and ginger pulp, candy prepared from 96:6 w/w (banana: ginger) ratio was found better than other combinations in respect to organoleptic and nutritional quality. Ginger and skim milk powder addition increased the contents of protein (4.54%), ash (2.82%), phenolic (8.59 mgGAE/g), flavonoid (2.43 mQ/g), and antioxidant activity (36.15% DPPH activity) of functional candy. Microbial studies of functional candy revealed it could be stored up to 60 days without microbial contamination and acceptable by the consumer. The cost of functional candy was Rs.1.53 per candy, which was less than market candy. This study showed that candy manufactured from banana, ginger, skim milk powder, and honey was nutritionally and economical improved with acceptable sensory properties. Developed functional candy increases the market's revenue and enables confectionary market to develop a new candy type.

12.
Annals of Allergy, Asthma and Immunology ; 127(5):S43, 2021.
Article in English | EMBASE | ID: covidwho-1748293

ABSTRACT

Introduction: A single tertiary care center has offered oral immunotherapy (OIT) as a clinical service since 2018 using commercial products and subsequently has offered FDA-approved Peanut (Arachis- hypogaea) Allergen Powder-dnfp (PNAP) since July 2020. Shared decision making regarding OIT was based on previous IgE testing, history, and family preference. Methods: A retrospective chart review was performed in REDCap database. Results: A total of 37 patients initiated OIT (21 commercial products and 16 PNAP). The mean age was 9.25 for commercial product and 7.25 for PNAP with more males than females participating. Co-morbid conditions included allergic rhinitis, asthma, and eczema. Mean peanut IgE prior to starting was 49.75 and Ara h2 was 32.73. Prior reactions to peanut included skin, GI and anaphylaxis. Three children failed an oral challenge prior to starting OIT. There were 5 children that had never ingested peanuts but completed OIT. Minor intermittent side effects including stomach upset and itchy mouth were reported during escalation of both products. Dose adjustment was required for 1 PNAP patient for complaint of dysphagia and pain. There were 4 patients who dropped out of OIT: refusal to eat (1), unrelated GI disease (1) and the COVID-19 pandemic (2). All patients upon reaching maintenance are daily dosing with peanuts or chocolate-covered peanut candy. Lifestyle changes reported since reaching maintenance include eating in restaurants previously avoided and ingesting foods with labels stating: “may contain peanuts,” and “foods processed in a facility with peanuts.” Conclusions: Peanut OIT is safe and well tolerated in our patient population.

13.
Current Research in Nutrition and Food Science ; 9(3):855-865, 2021.
Article in English | Web of Science | ID: covidwho-1614309

ABSTRACT

The present pandemic situation has increased the demand for plant-based functional foods that enhancing the immunity of all aged groups against COVID-19. This factor has led to innovation in confectionery market because healthy and good quality confectionery products are lacking. In this study, an attempt has been made to develop functional candy from various combinations of banana, ginger, skim milk powder, and honey at 2-10% and evaluated its sensory, nutraceutical, functional properties and microbial stability for 60 days. Among various combinations of banana and ginger pulp, candy prepared from 96:6 w/w (banana: ginger) ratio was found better than other combinations in respect to organoleptic and nutritional quality. Ginger and skim milk powder addition increased the contents of protein (4.54%), ash (2.82%), phenolic (8.59 mgGAE/g), flavonoid (2.43 mQ/g), and antioxidant activity (36.15% DPPH activity) of functional candy. Microbial studies of functional candy revealed that it could be stored up to 60 days without microbial contamination and acceptable by the consumer. The cost of functional candy was Rs.1.53 per candy, which was less than market candy. This study showed that candy manufactured from banana, ginger, skim milk powder, and honey was nutritionally and economical improved with acceptable sensory properties. Developed functional candy increases the market's revenue and enables confectionary market to develop a new candy type.

14.
mSystems ; 5(6)2020 Oct 29.
Article in English | MEDLINE | ID: covidwho-894830

ABSTRACT

Due to the COVID-19 pandemic and potential public health implications, we are publishing this peer-reviewed manuscript in its accepted form. The final, copyedited version of the paper will be available at a later date. Although SARS-CoV-2 is primarily transmitted by respiratory droplets and aerosols, transmission by fomites remains plausible. During Halloween, a major event for children in numerous countries, SARS-CoV-2 transmission risk via candy fomites worries many parents. To address this concern, we enrolled 10 recently diagnosed asymptomatic or mildly/moderately symptomatic COVID-19 patients to handle typical Halloween candy (pieces individually wrapped) under three conditions: normal handling with unwashed hands, deliberate coughing and extensive touching, and normal handling following handwashing. We then used a factorial design to subject the candies to two post-handling treatments: no washing (untreated) and household dishwashing detergent. We measured SARS-CoV-2 load by RT-qPCR and LAMP. From the candies not washed post-handling, we detected SARS-CoV-2 on 60% of candies that were deliberately coughed on, 60% of candies normally handled with unwashed hands, but only 10% of candies handled after hand washing. We found that treating candy with dishwashing detergent reduced SARS-CoV-2 load by 62.1% in comparison to untreated candy. Taken together, these results suggest that although the risk of transmission of SARS-CoV-2 by fomites is low even from known COVID-19 patients, viral RNA load can be reduced to near zero by the combination of handwashing by the infected patient and ≥1 minute detergent treatment after collection. We also found that the inexpensive and fast LAMP protocol was more than 80% concordant with RT-qPCR.IMPORTANCE The COVID-19 pandemic is leading to important tradeoffs between risk of SARS-CoV-2 transmission and mental health due to deprivation from normal activities, with these impacts being especially profound in children. Due to the ongoing pandemic, Halloween activities will be curtailed as a result of the concern that candy from strangers might act as fomites. Here we demonstrate that these risks can be mitigated by ensuring that prior to handling candy, the candy giver washes their hands, and by washing collected candy with household dishwashing detergent. Even in the most extreme case, with candy deliberately coughed on by known COVID-19 patients, viral load was reduced dramatically after washing with household detergent. We conclude that with reasonable precautions, even if followed only by either the candy giver or the candy recipient, the risk of viral transmission by this route is very low.

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