COVID-19 Clinical Presentation Among HIV-Infected Persons in China: A Systematic Review.

PURPOSE OF REVIEW: The impact of HIV infection on the natural history of COVID-19 is unknown, given the recency of the human spread of SARS-CoV-2 (CoV). We reviewed published case series/reports of CoV-HIV coinfections to clarify epidemiologic and clinical features in China, the first nation with pandemic experience. RECENT FINDINGS: Assuming that HIV-infected persons were at average risk of CoV infection in Wuhan, we estimated HIV-CoV coinfected persons to number 412 (95%CI: 381-442); our review encompassed an estimated 16.7% (69/412) of Wuhan. Men (many of whom reported sex with other men) accounted for 71.1% (54/76) of the cases reported in China. The median age was 48.0 years old (range 24-77, interquartile:37-57). The median CD4+ cell count at the last clinical visit was 421 cells/µL; 83.0% had an undetectable viral load. Among 31 patients with clinical details reported, fatigue (41.9%), respiratory distress (41.9%), and gastrointestinal symptoms (26.7%) were most common. Among the 52 cases reporting COVID-19 clinical severity, 46.2% were severe, 44.2% mild, and 9.6% asymptomatic COVID-19. Late antiretroviral therapy (ART) was reported by 30.4% (7/23) among whom 57.1% (4/7) were confirmed as severe COVID-19. The case fatality rate was 9.1% (3/33). Severe disease and death were less common among persons who took ART prior to the COVID-19 diagnosis. Of 16 reported IL-6 results, 68.7% were within the normal range. Earlier use of ART was associated with a better COVID-19 prognosis with CoV-HIV co-infection reported from China through early 2021, but small sample sizes limit definitive conclusions.

Social Media Survey and Web Posting Assessment of the COVID-19 Response in China: Health Worker Attitudes Toward Preparedness and Personal Protective Equipment Shortages.

BACKGROUND: Understanding health worker awareness, attitudes, and self-confidence in the workplace can inform local and global responses toward emerging infectious threats, like the coronavirus disease 2019 (COVID-19) pandemic. Availability of accessible personal protective equipment (PPE) is vital to effective care and prevention. METHODS: We conducted a cross-sectional survey from February 24 to 28, 2020, to assess COVID-19 preparedness among health workers. In addition, we assessed trends from search engine web crawling and text-mining data trending over the Sina Weibo platform from January 1 to March 3, 2020. Data were abstracted on Chinese outbreak preparedness. RESULTS: In the survey, we engaged 6350 persons, of whom 1065 agreed to participate, and after an eligibility logic check, 1052 participated (16.6%). We accessed 412 internet posts as to PPE availability. Health workers who were satisfied with current preparedness to address COVID-19 were more likely to be female, to obtain knowledge about the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) outbreak from government organizations, and to consider their hospital prepared for outbreak management. Health workers with more confidence in their abilities to respond were those with more faith in their institution's response capacities. Elements of readiness included having airborne infection isolation rooms, visitor control procedures, and training in precautions and PPE use. Both survey and web post assessments suggested that health workers in need were unable to reliably obtain PPE. CONCLUSIONS: Health workers' self-confidence depends on perceived institutional readiness. Failure to maintain available PPE inventory for emerging infectious diseases preparedness suggests a failure to learn key lessons from the 2003-2004 SARS outbreak in China.

[Effects and Differences of the Release of Dissolved Organic and Inorganic Phosphorus in Different Sediments Covered by Different Materials of Erhai Lake].

In this work, the effects of four covering materials on the release of total dissolved phosphorus (DTP), dissolved organic phosphorus (DOP), and soluble reactive P (SRP) in different sediments of Erhai Lake were simulated. The results showed that the max release of DTP was reduced in covering material, which attributed to the changes of pH, Eh and characteristics of dissolved organic matter (DOM) by the effect of covering material. The application of iron oxide material significant reduced the release of DTP in the northern and southern part of the lake, with decrease rate of 44.3% and 35.7%, respectively. by contrast, the application of aluminum oxide material significant reduced the release of DTP in the middle part sediment, with decrease rate of 29.6%. Furthermore, the release of SRP and DOP in different sediments has significant difference after added different material. In northern part of sediment, the release of SRP and DOP reduced by 35.6% and 36.2% after added iron oxide material. This is because iron oxide can reduce the pH and Eh but increase the availability of DOM in northern, and then benefits for inhibiting the release of SRP and DOP. In the middle, the release of sediment SRP and DOP reduced by 28.9% and 31.6% after added aluminum oxide material. This is because the aluminum oxide can facilitate the availability of DOM in middle, and then inhibits the release of SRP and DOP. In southern part of the lake, the release of sediment SRP and DOP reduced by 47.4% and 16.5% after added iron oxide material. This is largely attributed to the effect of iron oxide on the pH and Eh. Therefore, to control the release of P in the sediment from Lake Erhai, iron oxide material should be selected in the northern and southern parts, whereas aluminum oxide should be selected in the middle part of the lake.