Coronavirus Newsletter Links - July

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Further evolution of information on Covid, now that we are in month four of reporting. There is starting to be a push back on the early days of ‘tell me everything!’ which resulted in a lot of scientific papers which lacked scientific rigour. It will be interesting to see if a new methodology emerges, of time sensitive papers but with greater peer review. Perhaps a symptom of this is that we are seeing the major journals shutting down their monitoring service. Nature, for example, have now finished their weekly roundup of developments in Covid science, but they have done a ‘best of’ from December to June - https://www.nature.com/articles/d41591-020-00026-w

Initially we were able to report on various therapeutics as there seemed to be a shortage of them… not they are reporting back on a wide variety of trials. Many of these are highly complex and outside the useful range of information for our first responders. There is still excellent work being done on the tactics and strategy of dealing with the pandemic, and also useful tools being designed. If you have a favourite that you would like to be included in the August edition please contact the editor This email address is being protected from spambots. You need JavaScript enabled to view it. 

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Top Tips –

We’ve all seen the WHO posters, but there are some great ones on testing and sanitisers from Compound Chem too https://www.compoundchem.com/coronavirus/

COVID-19 Rapid Response Team Guidance. Includes guidance on pre and post deployment considerations https://www.cdc.gov/coronavirus/2019-ncov/global-covid-19/deployment-processes-covid-19-considerations.html

National Academy of Medicine and the American Public Health Association deliver a series of Covid conversations with leading individuals www.covid19conversations.org/

Notes from the front line! Lessons identified from running a pandemic and civil disturbance response at the same time - https://files.asprtracie.hhs.gov/documents/aspr-tracie-civil-unrest-during-a-pandemic-notes-from-minneapolis.pdf

Nursing home data and a searchable map for the US - https://data.cms.gov/stories/s/COVID-19-Nursing-Home-Data/bkwz-xpvg

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Protection

Recommendations for Improving National Nurse Preparedness for Pandemic Response: Early Lessons from COVID-19 https://www.centerforhealthsecurity.org/our-work/pubs_archive/pubs-pdfs/2020/nurse-preparedness-report.pdf

Third Edition: Infection prevention and control during health care when coronavirus disease is suspected or confirmed https://www.who.int/publications/i/item/WHO-2019-nCoV-IPC-2020.4

US COVID Atlas https://geodacenter.github.io/covid/map.html

Updated critical preparedness, readiness, and response actions for COVID-19 https://www.who.int/publications/i/item/critical-preparedness-readiness-and-response-actions-for-covid-19

Public Health England and their PPE use for medical procedures that generate aerosols https://www.gov.uk/government/publications/covid-19-personal-protective-equipment-use-for-aerosol-generating-procedures

Body handling guidance for UK fire service personnel https://www.nationalfirechiefs.org.uk/write/MediaUploads/COVID-19/Tripartite%20agreements/NFCC_Body_handling_guidance_FINAL.pdf

Updated strategies for optimizing the supply of facemasks https://www.cdc.gov/coronavirus/2019-ncov/hcp/ppe-strategy/face-masks.html

“One star, would not recommend to a friend!” NIOSH offers advice on how to spot counterfeit products - https://www.cdc.gov/niosh/npptl/usernotices/counterfeitResp.html

Korea has had several modifications to PPE recommendations for health care workers as they learn more about the virus. They explain how and why it has changed and their current guidance on PPE. https://icjournal.org/DOIx.php?id=10.3947/ic.2020.52.2.165

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Mitigation/Decon

EPA List of Disinfectants for Use Against SARS-CoV-2 https://www.epa.gov/pesticide-registration/list-n-disinfectants-use-against-sars-cov-2-covid-19

To mask or not to mask… this Evidence Aid collection of papers might help… https://evidenceaid.org/resource/face-masks-to-stop-the-transmission-of-respiratory-viruses-from-infected-people/ 

Shine bright like a diamond! Far UVC light has useful application in inactivating airborne Coronaviruses without damage to human skin or eyes. https://www.nature.com/articles/s41598-020-67211-2

Lots of useful information on minimum recommended guidance on protection and decon for responders Involved in COVID-19 Cases from the IAB https://www.ems.gov/pdf/Federal_Guidance_and_Resources/PPE_and_Infection_Control/Minimum_Guidance_on_Protection_Decontamination_for_First_Responders_Detailed.pdf

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Diagnostics

Non-contact Temperature Assessment Devices During the COVID-19 Pandemic https://www.fda.gov/medical-devices/emergency-situations-medical-devices/non-contact-temperature-assessment-devices-during-covid-19-pandemic

Updated collection and submission of postmortem specimens from deceased persons with known or suspected COVID-19 https://www.cdc.gov/coronavirus/2019-ncov/hcp/guidance-postmortem-specimens.html

We’ve wondered at the efficacy of self-collected swabs vs clinician nasal pharyngeal ones… This paper suggests there might not be much difference. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2767065

Using stool samples instead of sputum, an analysis of two commercially available PCRs. https://jcm.asm.org/content/early/2020/06/26/JCM.01369-20

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Therapeutics

Letter Revoking Emergency Use Authorization (EUA) of Chloroquine Phosphates Supplied from the Strategic National Stockpile for Treatment of COVID-19 https://www.fda.gov/media/138945/download

Information and data on therapeutics currently in use and in trial http://www.io.nihr.ac.uk/report/covid-19-therapeutics/

COVID-19 therapeutic development tracker, comprehensive data and information on all known antivirals, treatments, and vaccines currently being used and trialled https://www.bio.org/policy/human-health/vaccines-biodefense/coronavirus/pipeline-tracker

Could statins hold some value in therapy? An increase in survival from this study in Hubei suggest they do - https://www.cell.com/action/showPdf?pii=S1550-4131%2820%2930316-8

Cordite represents the largest curated database for drugs and interactions with Covid - https://www.cell.com/iscience/fulltext/S2589-0042(20)30484-3

Is Covid nature’s virtually perfect biological weapon? An interesting article on the progression of the illness  http://atm.amegroups.com/article/view/44496/html

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Strategy

International union of railways has some good resources, not least their paper on getting people back on public transport https://uic.org/IMG/pdf/back_on_tracks.pdf

How is your state doing? Some nice charts and information - https://covidactnow.org  

They might have moats and funny clothes, but the UK House of Lords also has the ability to bring some great experts in to give evidence. https://committees.parliament.uk/committee/193/science-and-technology-committee-lords/news/

This Master Question List is intended to quickly present the current state of available information to government decision-makers in the operational response to COVID-19, 
https://www.dhs.gov/publication/st-master-question-list-covid-19

APSR TRACIE’s response to request for resources related to COVID-19 and secondary disasters. Lots (and lots) of useful links in here https://files.asprtracie.hhs.gov/documents/aspr-tracie-ta-covid-19-and-secondary-disasters--5-14-2020.pdf

Learning from multi hazard early warning systems to respond to pandemics https://documents.worldbank.org/en/publication/documents-reports/documentdetail/429511592591445701/learning-from-multi-hazard-early-warning-systems-to-respond-to-pandemics

Testing Strategy for Coronavirus (COVID-19) in High-Density Critical Infrastructure Workplaces after a COVID-19 Case Is Identified https://www.cdc.gov/coronavirus/2019-ncov/community/worker-safety-support/hd-testing.html

Useful paper assessing government response across a wide variety of nations https://www.nature.com/articles/s41562-020-0909-7

Ask SEAN! Seven data indicators for evaluating the course of COVID-19 in a community or population and evidence-based expert guidance. https://www.nap.edu/resource/25826/interactive/

A monitoring and evaluation framework to support EU countries in their efforts to monitor the implementation and effects of COVID-19 response activities. https://www.ecdc.europa.eu/en/publications-data/covid-19-monitoring-and-evaluation-framework-response-activities

Exemplars in response – lots of interesting lessons. https://ourworldindata.org/identify-covid-exemplars

Three basic models of disease transmission that can be fit to data emerging from local and national governments - https://www.pnas.org/content/early/2020/07/01/2006520117

Tactics

Alternate Care Site Toolkit, Third Edition, including updated directions for using the Toolkit, funding sources for ACS, guidance on providing patients dialysis support, a new temperature screening protocol and an updated glossary of terms, information on retaining ACS as a “warm site” (including related funding strategies), updated supply lists  
https://files.asprtracie.hhs.gov/documents/acs-toolkit-ed1-20200330-1022.pdf

Response Capacity: Initial Assessment Tool  https://www.cdc.gov/coronavirus/2019-ncov/downloads/global-covid-19/COVID19-Response-Capacity-Assessment_v3_English.xlsx

Conducting in-action and after-action reviews of the public health response to COVID-19 https://www.ecdc.europa.eu/en/publications-data/conducting-action-and-after-action-reviews-public-health-response-covid-19

COVIDTracer 1.0 https://www.cdc.gov/coronavirus/2019-ncov/php/contact-tracing/COVIDTracer.html

Is it time to roll up the shutters yet? For US administrators this might help you decide - https://covid-local.org/ 

Unsure whether you are allowed to Greco-roman wrestle, or engage in competition hide and seek? Ezekiel Emanuel and others have developed a handy COVID-19 Risk Index https://www.dropbox.com/s/t2ecgl0wur1kyzp/COVID-19%20risk%20infographic_final.pdf?dl=0

Contact tracing is going to be a fact of life for a while, CDC has offered some principles for interactions with infected people - https://www.cdc.gov/coronavirus/2019-ncov/php/notification-of-exposure.html

 

 

 

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