Categories
Epidemiology

(Age + BMI) x Hemoglobin A1C = COVID Mortality Risk

OK, not really. This title is not a scientifically-proven equation and so don’t quote me on it. But it does underscore the observations that there are both powerful modifiable risk factors and non-modifiable risk factors for death due to COVID-19. We started anecdotally noticing this in our ICU in the spring as the COVID-19 outbreak […]

Categories
Epidemiology

The Effect Of Age On COVID-19 Mortality Rates

Last week, I was asked if it would be OK if 20 family members visited one of my patients who is in his 80’s over the holiday weekend. My reflexive response was “Don’t come!” but it raised the question of what is the probability of dying should this patient get infected by COVID-19 and how […]

Categories
Intensive Care Unit

The Management Of Respiratory Failure In COVID-19 Patients

Every hospital in the United States is bracing for a potential deluge of patents with COVID-19 infection and many of these patients will require admission to our country’s intensive care units. There are not enough critical care physicians to manage all of these patients so it may be necessary for doctors and nurses who do […]

Categories
Epidemiology

Grading Each State’s COVID Response

Sometime next month, the United States will surpass one million reported deaths from COVID-19. So, how did your state compare in combating the pandemic? I graded each state by four measures: (1) total cases per 100,000 population, (2) total deaths per 100,000 population, (3) seroprevalence, and (4) percent of the population fully vaccinated. I then […]

Categories
Epidemiology

What We Can Learn From The COVID Seroprevalence Study

This week, the latest results of the Nationwide COVID-19 Infection-Induced Antibody Seroprevalence (Commercial laboratories) Study was released. These results estimate the percentage of the population of each state that has been infected with COVID-19 as of the end of December 2022. The results are quite remarkable and indicate that there has been enormous variation in […]

Categories
Epidemiology Outpatient Practice

COVID And Travel

We are now two years into the COVID-19 pandemic and there is a lot of pent-up demand for travel. Canceled vacations are being rescheduled. Postponed weddings are being booked. Grandparents want to see grandchildren who live in distance cities. People just want to get out. But the pandemic is far from over and travel precautions […]

Categories
Epidemiology

The Relationship Between Political Party And Deaths From COVID

Most Americans have had a sense that the COVID-19 pandemic has been politicized. By analyzing publicly available datasets, it is clear that there are striking differences between Republicans and Democrats with respect to COVID deaths, COVID infections, and COVID vaccination rates. If you have not seen the graph created on the Infection Prevention, Emergency Management, […]

Categories
Epidemiology

One Year Of COVID Vaccines

One year ago today, at 7:00 AM on December 15, 2020, I was one of the first people in the United States to receive a Pfizer COVID-19 vaccination. What a wild and weird year it has been since then. When the vaccines became available, many physicians thought that vaccination would bring an end to the […]

Categories
Epidemiology

Why COVID-19 Will Never Go Away

There are only three kinds of people: those who have been vaccinated for COVID-19, those who will survive COVD-19 infection, and those who will die of COVID-19 infection. Eventual exposure to the SARS-Cov-2 virus is inevitable and the virus will, in all likelihood, be with the human race for generations. The reason is because it […]

Categories
Outpatient Practice

COVID And Disability Determination

Physicians are being asked to fill out disability forms by patients for two COVID indications: (1) patients who have sustained permanent injury from a COVID-19 infection and (2) patients with risk factors who are fearful that they could have severe infection or death if they acquire COVID-19 in their workplace. So what should you do […]