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The crew of USS Kidd experienced a COVID-19 outbreak identified in April 2020. This is the earliest documented COVID-19 study with RT-PCR, serology, and pre-exposure test data on the entirety of the exposed population (n=333). Case definitions included 121 confirmed (36.3% of crewmembers) and 18 probable (5.4% of crewmembers) based on laboratory diagnostic test results. At the time of testing positive, 62 (44.6%) cases reported no symptoms. Hispanic ethnicity (AOR: 2.71, CI: 1.40-5.25) and non-smoker status (AOR: 2.28, CI: 1.26-4.12) were identified as statistically significant risk factors. This study highlights the value of rapid, onboard diagnostic testing to quickly identify an outbreak and enumerate cases, as well as the serological testing to flag potential cases missed with standard viral case identification methodologies.
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The COVID-19 vaccine is lauded by many as one of the greatest accomplishments in modern medicine, with the potential to definitively contain the deadliest pandemic of the last century. With the vaccine rollout now underway in the developing world, a robust, methodical, and swift global distribution effort is required to ensure that it will be done in an equitable manner. Taking into account the vast geographic, socioeconomic, cultural, and political diversity of countries around the world, global vaccination efforts have historically required multifaceted, time consuming, and labor-intensive approaches to be effective. However, with over 33 years of experience from the Global Polio Eradication Initiative – an international health initiative aimed at eradicating poliomyelitis – the COVID-19 vaccination campaign does not have to be approached blindly. Using lessons learned from the Global Polio Eradication Initiative, this paper aims to identify the supply-and demand-side barriers to the success of the international COVID-19 vaccination effort, and ways each can be overcome. Most notably, health systems shortcomings, political and cultural messaging, and civil unrest and violent conflict serve as daunting obstacles to the success of the COVID-19 vaccination campaign. The Global Polio Eradication Initiative has been able to overcome many of these same obstacles with innovative strategies such as context-specific microplanning, robust health surveillance systems, and community-centered education and advocacy programs. Ultimately, while the Global Polio Eradication Initiative is still fighting the battle of polio eradication, it has provided a roadmap for the COVID-19 vaccination campaign to be executed in a more swift and equitable manner. © 2022 Kamuzu University of Health Sciences.
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This essay will review the emergence of the anti-public health practices of politically motivated individuals during the SARS-CoV-2 pandemic. Thousands of Americans, largely part of the far-right and libertarian front, have died due to their insistence on ‘freedom’ from the imposition of public health and vaccine mandates. In the , I define these as self-disposing political subjects. The historical factors which compose such political characteristics are discursively rooted in the shifting economic interests of elite donor classes under neoliberal arrangements of society. This analysis will examine the emergence, pre-existing factors, and the contingencies out of which these practices have come about as an outcome of dominant power and neoliberal relations perfected through biopolitical and psychopolitical technologies. The target of this analysis will be to understand the multiple contingencies from which these self-destructive acts of political resistance come from, how they express neoliberalism in times of crisis and what we might expect as we face a future defined by climate crisis, and the receding waters of liberal democracy. © 2022 Informa UK Limited, trading as Taylor & Francis Group.
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INTRODUCTION: Twitter has become an information source for healthcare professionals on a variety of critical care topics. The role Twitter plays as a resource for evidence to guide nutrition therapy is unknown. The purpose of this study is to describe dissemination of Pediatric and Adult critical care nutrition knowledge via Twitter, including frequency, scope of network, disciplines involved, and citation of literature. METHODS: Symplur Analytics was used to analyze the digital footprint of nutrition using the #ICU and #PedsICU hashtags between July 1, 2019 through June 30th, 2020. The top 1000 hashtags and keywords used in combination with #ICU or #PedsICU were examined to identify the most common nutrition related terms. RESULTS: The final dataset included 2837 tweets by 1349 users resulting in 7.5 million impressions. Data is presented as n (%). Most users tweeted once, with 222 users tweeting more than one tweet. Over half of tweeters were female [n=710 (53%)]. Most nutrition tweeters were non-physician healthcare providers [n=297 (22%)] with the next highest profession being doctors [n= 228 (17%)]. Fifty users tweeted 21% of the tweets (range 4-96 tweets/user);16 of these were dietitians, 13 physicians, and 12 organizations. Geographic data was available on 451 of the users;most tweets emanated from the US (n=149), the UK (n=132), Australia (n=20) and Canada (n=16). The most common hashtags used in this dataset were #COVID19, #FOAMcc and #CriticalCare and the most common keywords, ?enteral?, ?patients?, and ?early?. Eight of the 11 most tweeted links were journal articles and webinars from professional societies, and 3 were industry sponsored podcasts/webinars. CONCLUSIONS: This is the first analysis of the role Twitter plays in the dissemination of critical care nutrition therapy information. A limitation to this approach is variability in spelling across the globe. Future research should focus on identifying and analyzing those spellings not represented here to formulate a more comprehensive approach to information sharing. Identification and promotion of a single hashtag may further enhance the usability of ICU and Peds ICU nutrition knowledge internationally.