COVID Exposure Risk Outside of Work Increasing for Clinicians

Editor’s note: Find the latest COVID-19 news and guidance in Medscape’s Coronavirus Resource Center.

One third of COVID-19 exposures among health care providers (HCPs) in Minnesota are due to family or community exposure, not patient care, according to a study conducted by the Minnesota Department of Health (MDH) and published online October 30 in Morbidity and Mortality Weekly Report. And nonwork exposures were more likely to lead to COVID-19 infections.

Between March 6 and July 11, 2020, researchers with the MDH evaluated 21,406 incidences of HCP exposure to confirmed COVID-19 cases. Of those, 5374 (25%) were classified as higher-risk exposures, meaning the provider had close contact for 15 minutes or more, or during an aerosol-generating procedure.

Two thirds (66%) of the higher-risk exposures occurred during direct patient care and 34% were related to nonpatient care interactions (eg, coworkers, social and household contacts). Overall, 6.9% (373) of the HCPs with a higher-risk exposure received a positive SARS-CoV-2 test result within 14 days of the exposure. Notably, HCPs with household or social exposure had the highest positivity rate across all exposure types at 13%.

“Since the time period covered in this report, we’ve seen a significant increase in the proportion of HCPs who have had higher-risk exposures outside of work due to household or social contacts,” said lead author Ashley Fell, MPH, from the Minnesota Department of Health.

“HCPs with household or social exposures are also more likely to test positive than HCPs with higher risk exposures within the healthcare setting, which is an important message for both HCPs and the community at large that more COVID-19 spreading in our communities poses a greater risk to our HCPs and health care system,” Fell told Medscape Medical News.

When evaluating personal protective equipment (PPE) use among exposed HCPs, researchers found that 90% of providers in acute or ambulatory care were wearing a respirator or medical-grade face mask at time of exposure, compared with just 68% of HCPs working in congregate living or long-term care facilities.

Further, investigators found that an HCP with a positive SARS-CoV-2 test working in a congregate living or long-term care facility resulted in exposure of a median of three additional HCPs (interquartile range [IQR], 1-6) compared with a median of one additional HCP exposure in acute or ambulatory care (IQR, 1-3).

The researchers also found that, compared with HCPs in acute or ambulatory settings, HCPs working in long-term care or congregate living settings were more likely to return to work following a high-risk exposure (57% vs 37%) and work while symptomatic (4.8% vs 1.3%).

When asked whether these findings apply to HCPs in other states, Andrew T. Chan, MD, from Massachusetts General Hospital, Boston, noted: “These data are not surprising and confirm what many of us have been seeing in our own areas.

“Clearly, the risk of contracting COVID-19 is particularly high for front-line health care workers in long-term care facilities and nursing homes,” Chan said.

“Furthermore, the infection control practices in these care settings are often

Read more

Global Fitness App Market | Increasing Demand for Wearable Devices to Boost the Market Growth

LONDON–(BUSINESS WIRE)–Oct 27, 2020–

The global fitness app market size is poised to grow by USD 1.68 billion during 2020-2024, progressing at a CAGR of almost 12% throughout the forecast period, according to the latest report by Technavio. The report offers an up-to-date analysis regarding the current market scenario, latest trends and drivers, and the overall market environment. The report also provides the market impact and new opportunities created due to the COVID-19 pandemic. Download a Free Sample of REPORT with COVID-19 Crisis and Recovery Analysis.

This press release features multimedia. View the full release here: https://www.businesswire.com/news/home/20201027005531/en/

Technavio has announced its latest market research report titled Global Fitness App Market 2020-2024 (Graphic: Business Wire)

The market is witnessing an increase in the demand for wearable devices such as smartwatches, smart bands, and smart rings that have various features such as calling, messaging, and fitness tracking. These devices can be integrated with fitness apps to provide information on heart rate, exercise cognition, and issue movement reminders. To capitalize on the growing popularity of wearable devices, vendors are expanding their product portfolios by launching products equipped with advanced features such as LTE, music storage, built-in GPS, etc. Some vendors are also offering low-cost wearable products that are specifically designed for children. These factors are increasing the adoption of wearable devices, which in turn will positively influence the fitness app market.


Register for a free trial today and gain instant access to 17,000+ market research reports.


Technavio’s SUBSCRIPTION platform

Report Highlights:

  • The major fitness app market growth came from the lifestyle monitoring segment in 2019.
  • APAC was the largest fitness apps market in 2019, and the region will offer several growth opportunities to market vendors during the forecast period. This is attributed to the proliferation of a variety of fitness apps.
  • The global fitness app market is fragmented. adidas AG, ASICS Digital Inc., Azumio Inc., BetterME., FitNow Inc., Google LLC, Nike Inc., Samsung Electronics Co. Ltd., Under Armour Inc., and YAZIO GmbH. are some of the major market participants. To help clients improve their market position, this fitness app market forecast report provides a detailed analysis of the market leaders.
  • As the business impact of COVID-19 spreads, the global fitness app market 2020-2024 is expected to have positive growth. As the pandemic spreads in some regions and plateaus in other regions, we revaluate the impact on businesses and update our report forecasts.


Buy 1 Technavio report and get the second for 50% off. Buy 2 Technavio reports and get the third for free.


View market snapshot before purchasing

Proliferation of a Variety of Fitness Apps will be a Key Market Trend

Vendors in the market are introducing various fitness apps for different purposes, workout routines, and exercises. For instance, some vendors are introducing fitness apps specifically for pregnant women, different age groups and gender. These apps enable customers to monitor their health and fitness by analyzing their calorie intake and provide guidance about proper nutrition to help them stay healthy and fit. The

Read more

Pediatric mental health screenings increasing, but need remains

The number of behavioral health screenings for children are increasing year-over-year, but experts said more can be done to catch mental health conditions early on, especially as they pose more of a risk to children during the COVID-19 pandemic.

According to data from the Connecticut Department of Social Services, behavioral health screenings billed to Medicaid for children aged four to 17 went up by 50,000 from 3,697 in 2013 to 53,756 in 2019. Similar screenings for children under the age of three went up from 27,992 to 73,262.

“I wish I could say it’s because of educating practices but the bottom line is those numbers are increasing as time goes on and more resources become available,” said Dr. David Krol, a pediatrician who is also vice president for health initiatives for the Child Health and Development Institute of Connecticut. “We’re seeing more pediatricians doing these screenings.”

Valerie Lepoutre, statewide peer recovery program manager for the National Alliance on Mental Illness’ Connecticut chapter, said screenings and loved ones keeping an eye out for mental illness in children is even more crucial as many experience new levels of stress given the COVID-19 pandemic.

“We’re constantly…saying to keep an eye out to how your child is responding and acting during this time and not dismiss it,” Lepoutre said. “We don’t know what the long-term effects will be and it could lead to other mental health challenges. Even if it goes away, it’s better to get help now.”

While behavioral health screenings and mental illness awareness are increasing, the American Academy of Pediatrics reported in a 2017 study that up to 20 percent of children experience a mental health disorder and many remain untreated. Lepoutre said that it can take up to a year for some mental illnesses to be diagnosed.

These delays are costly, not only in setting out a treatment plan, but for a patient’s physical health. Lepoutre said delays in diagnosis can lead to many patients not getting help for their mental illness until their 20s at which point many young adults are on their own insurance and may struggle with finding the time to navigate the behavioral health care system and to find a care team. Mental health can also take a toll on physical health, particularly if a child experiences trauma at a young age.

“This could cause other challenges for our generation ahead of us to see how are they physically handling the stress,” Lepoutre said. “Children are resilient but that post-traumatic growth is huge. We have to be mindful of negative consequences and effects this can have later in their lives.”

But there’s a number of ways experts are working to improve early detection. NAMI hosts educational programs, including one called “Ending the Silence” which is designed to teach teens the signs of mental illness.

Lepoutre said that many pediatricians only see patients once a year for wellness visits. This means it’s important to educate family, teachers and students of the signs of mental illness since they’re

Read more

Coronavirus Cases, Hospitalizations Are Increasing in Majority of States | National News

Public health experts are warning that the upcoming months could bring a difficult surge in the coronavirus as the majority of states are reporting increases in new infections.

The U.S. recorded roughly 58,000 new cases on Monday – the highest for a Monday in about three months. Monday numbers are typically one of the lowest of the week.

Data from Johns Hopkins University shows that over half of U.S. states are seeing increases in their new coronavirus cases. North Dakota, Wyoming, South Dakota and Wisconsin are some of the states seeing the largest jumps in cases.

Photos: Daily Life, Disrupted

TOPSHOT - A passenger in an outfit (R) poses for a picture as a security guard wearing a facemask as a preventive measure against the Covid-19 coronavirus stands nearby on a last century-style boat, featuring a theatrical drama set between the 1920s and 1930s in Wuhan, in Chinas central Hubei province on September 27, 2020. (Photo by Hector RETAMAL / AFP) (Photo by HECTOR RETAMAL/AFP via Getty Images)

More than 37,000 people are currently hospitalized for COVID-19, according to The COVID Tracking Project. An analysis from CNBC found that the weekly averages for hospitalizations across 37 states were growing 5% or more as of Sunday.

Some experts have warned that the U.S. has entered the third peak of its coronavirus outbreak. As the U.S. heads deeper into fall and winter, and cold weather pushes more people indoors, researchers believe the virus will spread more easily. The challenge could also be compounded by the flu season.

Officials in the U.S. report more than 8.2 million cases and over 220,000 deaths. California, Texas and Florida report the most infections of any states, followed by New York, Illinois and Georgia.

Deaths have not increased in the same way infections and hospitalizations have, though fatalities tend to lag behind the other two metrics.

While President Donald Trump has repeatedly said that the U.S. is “rounding the corner” on the coronavirus outbreak, leading infectious disease expert Anthony Fauci recently told “60 Minutes” that it is “impossible to say” where the outbreak stands.

“When you have a million deaths and over 30 million infections globally, you cannot say that we’re on the road to essentially getting out of this,” Fauci said.

The wide-ranging interview led to renewed criticism of Fauci from Trump, with the president calling him a “disaster.”

Source Article

Read more

Coronavirus-related hospitalizations increasing in 37 states

Coronavirus-related hospitalizations are on the rise in a majority of states, a CNBC analysis published Tuesday found.

Hospitalizations were rising by at least 5 percent in 37 states as of Sunday, the network found. It also found several states reached a record high for hospitalization averages, including Alaska, Iowa, Kentucky, Montana, Nebraska, Oklahoma, South Dakota, Utah, Wisconsin and West Virginia.

By comparison, hospitalizations are only falling in the District of Columbia and Hawaii.

“We are clearly in the second wave in many parts of the Northern Hemisphere and we really need to have more control of this infection at the community level,” Isaac Bogoch, an infectious disease specialist and professor at the University of Toronto, told CNBC. “We know exactly what it’s like when health-care systems are spread beyond capacity. We saw that in New York City. We saw that in Houston. We saw that in many other parts of the United States.”

Bogoch added that the numbers have worrisome implications for later in the fall as well as in winter, periods during which people are more likely to be inside and at higher risk of transmission for the virus.

“What’s concerning here is that it’s only mid-October and there is a long fall and winter,” he told the network.

Statistics indicate a new wave of the virus is underway in both the U.S. and Europe after growth slowed over the summer. The seven-day average for new cases in the U.S. is up 13 percent from the previous week, at about 56,000 a day. The number is up from early September’s 30,000-per-day average but below the nationwide average of about 70,000 new daily cases seen earlier in the year.

“We’re going to get through it. We’re probably in the 7th inning of the acute phase of this pandemic right now, but the hardest part is probably ahead,” former Food and Drug Administration Commissioner Scott Gottlieb told CNBC earlier this week.

Source Article

Read more