Clinical

Even patients who accept that vaccination and boosters are effective in reducing risk for COVID-19 infection may be getting complacent, whether they’ve dodged infection so far or not. However, data published by the New England Journal of Medicine based on the cases of 1.25 million people 60 years of age and older in Israel confirm that a fourth dose of vaccine really does confer more protection against the virus than three doses. The results amplify …

The latest update to the data tracker maintained by the Centers for Disease Control and Prevention shows a steady increase in new COVID-19 infections and related hospitalizations since April. While there hasn’t been a corresponding increase in deaths from COVID, to date, a new concern is that upwards of 60% of current transmission may be from individuals who are asymptomatic or presymptomatic, according to an article just published by MedPage Today. As with other setbacks …

It’s been presumed (and even joked about) that being cut off from normal social interactions and working from home for long stretches over the course of the COVID-19 pandemic would lead some Americans to consume more alcohol than they otherwise would. Now that there’s been enough time to collect and analyze data on the subject, it seems this is no laughing matter. A new article published in JAMA Network Open reveals that that alcohol-related deaths …

JUCM News readers know overdose deaths have risen steadily over many years (every year since the 1970s with the exception of 2018, in fact). Even after many years of public health campaigns at the federal and state level, however, no progress has been made. In fact, mortalities jumped 15% from 2020 to 2021, and involved not only fentanyl but also methamphetamine according to new data from the National Center for Health Statistics. Both drugs are …

The effectiveness and value of vaccines against the SARS-CoV-2 continue to be confirmed with the publication of each new related study. Even detractors have to acknowledge that reductions in hospitalizations and deaths in the face of new variants speak to the capability of the vaccines to keep people both out of the hospital and alive even if they do get COVID-19. The latest such study published by The Journal of the American Medical Association reveals …

Rates of new infections with SARS-CoV-2 were so consistently low after the post-holiday surge, per the Centers for Disease Control and Preventions COVID tracker, that many public health officials at the federal and state levels started to wonder if we could declare the pandemic “over.” Such conjecture now seems to have been premature as positive tests are again climbing (albeit relatively slowly), possibly thanks to new Omicron variants BA.4 and BA.5. As first reported by …

New data released by the Centers for Disease Control and Prevention add to previously published reports indicating that the spread of gonorrhea, syphilis, and congenital syphilis actually increased in the darkest days of the COVID-19 pandemic. Not only that, but the jump seen in 2020 continued into the first part of 2021 compared with previous years. Gonorrhea cases grew by 10% between 2019 and 2020, while primary and secondary syphilis cases were up 7%. Worse, …

Some patients have been scared off getting COVID-19 vaccine booster shots because they experienced a few days of malaise, chills, and overall ill feelings after getting the first shot. For many, especially older patients, those worries are unfounded according to an article just published by JAMA Network Open. A study of individuals between 60 and 79 years of age in Israel revealed that a second booster shot (ie, a third dose overall) resulted in at …

Understandably, pregnant patients can get pretty conservative when it comes to what they’re willing to put in their body. Unfortunately, that has led some in recent years to decline getting fully vaccinated against COVID-19. While their intentions are virtuous—protecting their unborn children—their choices are not necessarily sound from a clinical perspective. In fact, newly published evidence of the safety of vaccines for pregnant patients may be useful in convincing vaccine-hesitant women that getting vaccinated is …

News that the Food and Drug Administration authorized a second booster shot of COVID-19 vaccine (a fourth dose, in other words) for immunocompromised individuals and all Americans over 50 years of age did not receive nearly the same celebratory response as earlier announcements of vaccine availability. The prevailing sense among the public, and probably at least a few healthcare professionals, seems to be that whatever degree of protection they already have will suffice. A new …