Health24.com | Coronavirus morning update: SA cases top 1 500, life returning to Wuhan, and 8 strains of the virus

WHAT’S HAPPENING IN SA

Cases update: 

The latest number of confirmed cases is 1505.

Gauteng, KwaZulu-Natal, and the Western Cape continue to account for the majority of the cases.

According to the NICD, more than 50 000 tests have been conducted so far.

READ MORE |All the confirmed cases of coronavirus in SA

Latest news:

The South African government is prepared to spend any amount of money it takes to save lives.

This was the battle cry from Health Minister Zweli Mkhize on Friday afternoon.

“It does not matter how much money we spend. It will be worth it  We have seen the devastation in other parts of the world.”

The minister is determined South Africa will do everything in its power to prevent similar carnage.

Mkhize was speaking at a media briefing at Khayelitsha District Hospital in Cape Town.

READ MORE | 10 people are in ICU as SA’s coronavirus cases break the 1 500 mark

The Department of International Relations and Cooperation has welcomed the successful repatriation of 16 South Africans who were stranded in Dubai and Doha.

“The group is currently under quarantine as per regulations. Another group of about 16 citizens stranded in Germany is expected to return from Frankfurt over the weekend,” the department said in a statement. 

It added they arrived back in the country on Thursday, following President Cyril Ramaphosa’s announcement allowing for the relaxation of restrictions to allow citizens stranded abroad to return home. 

The department said with more countries requesting the repatriation of their citizens from South Africa, it would use the opportunity to bring back more South Africans using chartered flights.

READ MORE | 16 South Africans who were stranded in Dubai and Doha return home

Former State prosecutor and current DA MP Glynnis Breytenbach has questioned the legality of the ban on the sale of cigarettes, saying that the regulations are open to interpretation. 

Breytenbach’s comments come after the minister of police Bheki Cele called out the Western Cape government for lifting the ban.

Cele lambasted the provincial administration for allowing the sale of cigarettes.

On Thursday, Cele urged businesses in the province “not to listen to people who tell them wrong things”, after the DA-led province said on Wednesday that cigarettes could be bought at supermarkets, along with essential goods.

Western Cape Premier Alan Winde has since written to President Cyril Ramaphosa for clarity on the proper interpretation of the lockdown regulations

READ MORE | Ban on cigarettes: Nothing ‘legally’ wrong with selling cigarettes, says Breytenbach

More than 17 000 people have been arrested countrywide over the last week for various crimes and contravening lockdown regulations.

Of those, 2 005 were released on a warning by the police and ordered to appear in court, 124 were granted police bail and 7 450 fines and 16 court summons were issued, according to Police Minister Bheki Cele’s spokesperson, Brigadier Mathapelo Peters. 

Offences committed included breaking lockdown regulations, and varied between transport- and liquor-related offences as well as general non-compliance.

“What has been a dampener since the beginning of the lockdown has been the consistently high number of people arrested for violating lockdown regulations,” said Cele.

READ MORE | More than 17 000 people arrested since lockdown kicked off

WHAT’S HAPPENING IN THE REST OF THE WORLD 

Cases update:

For the latest global data, follow this interactive map from Johns Hopkins University & Medicine.

Late on Friday night, positive cases worldwide were close to 1 090 000, while deaths were more than 58 000.

The Unites States had more than 270 000 cases, while Italy and Spain both had more than 115 000.

Italy had more than 14 500 deaths.

READ MORE | All the confirmed cases worldwide

Latest news:

Cars are back on city streets and shoppers are strolling in malls again as life slowly returns to Wuhan. But the cradle of the global coronavirus pandemic remains under the shadow of the contagion.

The city of 11 million people – along with tens of millions more throughout the rest of Hubei province – was locked down in late January in an unprecedented and ultimately failed bid to contain the pathogen.

Hubei and its provincial capital Wuhan have accounted for the majority of China’s officially reported 3 322 coronavirus deaths and 81 620 overall cases.

But with new infections now virtually nil – according to the much-questioned Chinese government figures – authorities have begun loosening restrictions on movement within the city and easing its isolation from the rest of the country.

READ MORE | Light at coronavirus tunnel’s end: Wuhan’s cautious reawakening

A discussion between two top French doctors on live TV left viewers horrified when they proposed that Africa should become a giant laboratory for coronavirus vaccines testing because the continent lacks the resources to defend against the infections.

In the segment broadcast on the on French TV channel LCI, Jean-Paul Mira and Camille Locht raised the idea of testing new vaccines on impoverished African populations.

Mira is head of the intensive care department at the Cochin Hospital in Paris, while Locht is research director at the French National Institute of Health and Medical Research (INSERM).

“If I can be provocative,” said Mira, “shouldn’t we do this study in Africa where there are no masks, no treatment, no intensive care? A bit like we did in some studies on AIDS. We tried things on prostitutes because they are highly exposed and do not protect themselves.”

READ MORE | 2 top French doctors said on live TV that coronavirus vaccines should be tested on poor Africans

LATEST RESEARCH

While racing to fully understand the structure of the new coronavirus, scientists around the world have discovered that there are eight specific strains affecting the globe.

These strains are all extremely similar and the virus shows only slow mutation – which buys time for those under pressure to develop a vaccine or effective treatment.

According to reports, scientists have been using advanced technology to rapidly sequence the genome of the virus from test samples. This shows that the difference between the eight strains worldwide are minute and that none of them is necessarily weaker or worse than the other.

Scientists used their knowledge to compile a genetic sequence map at nextstrain.org, an open access website which shows how the virus travelled across the globe and how various strains developed. According to Charles Chui, infectious disease physician and clinical microbiologist, scientists have the ability to do genomic sequencing almost in real-time to see what strains or lineages are currently circulating.

READ MORE | 8 strains of coronavirus circulating around the world

HEALTH TIPS (as recommended by the NICD and WHO)

• Avoid contact with people who have respiratory infections 

• Maintain physical distancing – stay at least one metre away from somebody who is coughing or sneezing

• Practise frequent hand-washing, especially after direct contact with ill people or their environment

• Avoid touching your eyes, nose and mouth, as your hands touch many surfaces and could potentially transfer the virus

• Practise respiratory hygiene – cover your mouth with your bent elbow or tissue when you cough or sneeze. Remember to dispose the tissue immediately after use.

READ MORE: Coronavirus 101 

Image credit: Getty Images

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New Goals Mandate New Behaviors

Tomorrow in Conscious Growth Club, we’re having our quarterly planning review call. This is a group video call where I review the quarterly goals that some members have shared in our forums, and I look for potential issues as well as noteworthy items to share with them.

It’s similar to a code review, where one or more programmers look over another programmer’s code, looking for bugs or security flaws, calling out good practices, and noting areas for improvement.

We all have blind spots, but our blind spots aren’t the same. Having a second pair of eyes to review your goals or plans can help spot potential issues that you may have overlooked. Another person may also spot hidden opportunities that you could be missing.

Having gone through this process multiple times with the same people, I’m becoming more familiar with the patterns. The bright side is that many people do achieve their goals, usually not all of them, but they do make meaningful progress. It’s great to see people chipping away at their goals quarter after quarter.

I’d say the number one challenge that people have is being able to focus on their goals consistently enough with action, day after day, week after week, till the end of the quarter. Setting a goal isn’t enough of course. We also have to set ourself up for consistent action, and that part tends to be more difficult than many people expect.

The hardest part is usually getting the right habits in place to support our goals. This includes answering questions like:

  • What will I do to move this goal forward each week?
  • Which days will I work on this?
  • How will I work on this?
  • How will I track my progress?
  • How will I bring my focus back if I start getting distracted?

Perhaps the most important question is actually this:

How will I prevent myself from falling off track?

Goals need rails. They need scaffolding to support them. They need structure to back them up. There has to be something in place so that when the initial motivation fades – and it almost always fades – we’ll keep going and going and going until the goal is achieved.

Even modest goals can take incredibly tenacity to achieve. It’s just so easy for a goal to go off course when the habits to support it aren’t strong enough.

Progress logging helps. Social support helps too. But character-wise it all comes down to self-discipline to keep moving a goal forward to completion. Reconnecting with the purpose and meaning behind a goal can rekindle some motivation, but it takes discipline to do even that.

It’s nice to think that goals are achieved with thoughts and feelings, but the reality is that goals are achieved by behaviors. It’s the habitual actions that move a goal forward. Even if a goal requires a series of unique and varied actions each day, it still takes a behavioral habit to get yourself to engage with those actions consistently.

Turning a goal into a collection of habits is a bit of an art form. For me this is one of the most challenging yet creative aspects of personal growth. I never get it quite perfectly, but it’s so rewarding when I’ve finally locked in the right behaviors, and I can see that a goal will be achieved by keeping those behaviors going.

New goals mandate new behaviors. And that’s the part we tend to resist. It’s where we drop the ball most often. A goal could be well-formed. It could be clear and achievable. It may be deeply purposeful. But it won’t become a reality unless we reconfigure our behaviors to transport us there.

Recognize that each goal represents a significant behavioral change. Getting the right behaviors in place is difficult, and it’s so easy to underestimate just how difficult it is. Most commonly we set too many goals. This is easy to do by making estimates for what we can achieve based on assuming that we’ll instantly change our behaviors to align perfectly with our goals. But of course that doesn’t happen. Developing the right behaviors is a major goal unto itself, perhaps the biggest one of all.

Instead of setting a dozen goals for a quarter that all require significant behavioral changes, it may be better to just set 3-5 goals or even 1 or 2 sometimes. Then put a lot more effort into the behavioral changes needed. Once you’re doing a good job with those behaviors, then consider adding more goals to the list.

Alternatively, you can set several goals for a quarter, but then just focus on creating the behavioral shifts for one or two of those goals during the first month. Then work on behavioral changes for a few more goals once those new habits feel stable.

Self-discipline is a limited resource, so you’re likely to burn out if you try to use it for too many changes at once. It’s wise to use it sparingly, first to design a new habit and then to practice the habit sufficiently till you can continue mostly on autopilot, and less discipline is needed to maintain your momentum. Then you’ll have the capacity to tackle more changes.

You can also frame some (or all) of your goals as behavioral changes, which can make you more aware of the work involved. Then you may discover ways to accomplish multiple goals with similar behavioral changes, such as training yourself to follow a morning routine that could help you achieve a few different goals.

If you’ve noticed the same goals coming up for you repeatedly and you find your rate of progress unsatisfying, consider looking at your goals from a behavioral angle or even framing them primarily from that direction. This will help you become more away of the real changes needed as well as the self-discipline demands that you’re placing on your character.

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Coronavirus: Staying home this weekend ‘not a request’, UK told

People are told to stay at home, despite expected good weather, in honour of two nurses who died.

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Deep-sea worms and bacteria team up to harvest methane

Scientists at Caltech and Occidental College have discovered a methane-fueled symbiosis between worms and bacteria at the bottom of the sea, shedding new light on the ecology of deep-sea environments.

They found that bacteria belonging to the Methylococcaceae family have been hitching a ride on the feathery plumes that act as the respiratory organs of Laminatubus and Bispira worms. Methylococcaceae are methanotrophs, meaning that they harvest carbon and energy from methane, a molecule composed of carbon and hydrogen.

The worms, which are a few inches long, have been found in great numbers near deep-sea methane seeps, vents in the ocean floor where hydrocarbon-rich fluids ooze out into the ocean, although it was unclear why the worms favored the vents. As it turns out, the worms slowly digest the hitchhiking bacteria and thus absorb the carbon and energy that the bacteria harvest from the methane.

That is to say, with a little help and some extra steps, the worms have become methanotrophs themselves.

“These worms have long been associated with seeps, but everyone just assumed they were filter-feeding on bacteria. Instead, we find that they are teaming up with a microbe to use chemical energy to feed in a way we hadn’t considered,” says Victoria Orphan, James Irvine Professor of Environmental Science and Geobiology and co-corresponding author of a paper on the worms that was published by Science Advances on April 3.

Orphan and her colleagues made the discovery during research cruises to study methane vents off the coast of Southern California and Costa Rica.

“We had a colleague on board who was an expert on these worms and noticed that the morphology was unusual. The respiratory plumes were much frillier than anyone had ever seen before, which was the first clue. It was enough to make us say, ‘That’s interesting. We should investigate,'” says Shana Goffredi, visitor in geobiology at Caltech and lead author of the Science Advances paper. Goffredi is an associate professor of biology at Occidental College in Los Angeles.

To probe the nature of the relationship between the worms and the bacteria, the scientists had to first use robotic submarines to take samples from deep-sea methane vents, which, in this case, lie 1,800 meters below the ocean surface.

Once the worms were brought topside, the scientists analyzed their tissues, cataloging the carbon isotopes that they had consumed. Carbon exists in two stable isotopic forms — different “flavors” of carbon, so to speak. Around 99 percent of all carbon is carbon-12, which has six neutrons and six protons in each atomic nucleus, and about 1 percent is carbon-13 (six protons and seven neutrons). Carbon-14, a radioactive isotope, exists in trace amounts.

All organisms require carbon — in some form — to survive, and they absorb it through metabolic processes. Studying the ratio of carbon-13 to carbon-12 in an organism’s tissues can give clues to where that carbon came from and the conditions under which it formed. In the case of the deep-sea worms, their tissues had an unusually low ratio of carbon-13 to carbon-12, meaning that the carbon in the worm’s body probably came from methane. Orphan and her collaborators reasoned that because the worms are incapable of processing methane directly, they must be getting their carbon from methanotrophic bacteria.

“The fact that we found this specific isotope of carbon throughout the worms’ bodies and not just in their respiratory plumes indicates that they are consuming methane carbon from these bacteria,” Orphan says. The research team followed up on this hypothesis by using molecular techniques and microscopy as well as experiments to test the ability of these worms to incorporate a modified, traceable version of methane.

Their research findings change our understanding of seep ecosystems and have implications for deep-sea stewardship, as methane seeps and hydrothermal vents are sure to experience increasing pressure because of human exploitation of energy and minerals.

Story Source:

Materials provided by California Institute of Technology. Original written by Robert Perkins. Note: Content may be edited for style and length.

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How important is speech in transmitting coronavirus?

Normal speech by individuals who are asymptomatic but infected with coronavirus may produce enough aerosolized particles to transmit the infection, according to aerosol scientists at the University of California, Davis. Although it’s not yet known how important this is to the spread of COVID-19, it underscores the need for strict social distancing measures — and for virologists, epidemiologists and engineers who study aerosols and droplets to work together on this and other respiratory diseases.

Aerosols are particles small enough to travel through the air. Ordinary speech creates significant quantities of aerosols from respiratory particles, said William Ristenpart, professor of chemical engineering at UC Davis. Ristenpart is co-author on an editorial about the problem to be published in the journal Aerosol Science and Technology.

These respiratory particles are about one micron, or one micrometer, in diameter. That’s too small to see with the naked eye, but large enough to carry viruses such as influenza or SARS-CoV-2.

Some individuals superemitters

Last year, Ristenpart, graduate student Sima Asadi and colleagues published a paper showing that the louder one speaks, the more particles are emitted and that some individuals are “superemitters” who give off up to 10 times as many particles as others. The reasons for this are not yet clear. In a follow-up study published in January in PLOS One, they investigated which speech sounds are associated with the most particles.

Calculating just how easily a virus like SARS-CoV-2 spreads through droplets requires expertise from different fields. From virology, researchers need to know how many viruses are in lung fluids, how easily they form into droplets and how many viruses are needed to start an infection. Aerosol scientists can study how far droplets travel once expelled, how they are affected by air motion in a room and how fast they settle out due to gravity.

“The aerosol science community needs to step up and tackle the current challenge presented by COVID-19, and also help better prepare us for inevitable future pandemics,” Ristenpart and colleagues conclude.

Other authors on the editorial are Asadi; Professor Anthony Wexler, UC Davis Department of Mechanical and Aerospace Engineering; and Nicole Bouvier, Icahn School of Medicine at Mount Sinai.

Story Source:

Materials provided by University of California – Davis. Original written by Andy Fell. Note: Content may be edited for style and length.

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New temperature sensing mechanism in plants

A protein called phytochrome B, which can sense light and temperature, triggers plant growth and controls flowering time. How it does so is not fully understood.

In a paper published in Nature Communications, a group of cell biologists led by Meng Chen, a professor of botany and plant sciences at the University of California, Riverside, reveal the phytochrome B molecule has unexpected dynamics activated by temperature, and behaves differently depending on the temperature and type of light.

As climate change warms the world, crop growth patterns and flowering times will change. A better understanding of how phytochromes regulate the seasonal rhythms of plant growth will help scientists develop crops for optimal growth under the Earth’s new climate and might even shed light on cancer in animals.

Phytochromes switch between active and inactive forms like a binary switch controlled by light and temperature. In direct sunlight, such as in open fields, phytochromes switch “on,” absorbing far-red light. This active form inhibits stem elongation, which limits how tall plants in direct sunlight can grow.

In shade phytochromes are less active, absorbing red. This “off” form releases the inhibition of stem growth, so plants grow taller in shade to compete with other plants for more sunlight.

Within the cell, light causes “on” phytochromes to coalesce into units called photobodies inside the cell nucleus. When phytochrome B is off, it resides outside the cell nucleus. It moves inside the nucleus when “on” and changes the expression of genes and growth patterns.

Changes in light alter the size and number of all foci. Chen’s group has now shown temperature alters individual foci.

His group examined the behavior of cells exposed to different temperature and light conditions from the leaves and stems of Arabidopsis thaliana, a plant used as a standard model in botany science. The goal was to monitor how photobodies change in response to temperature.

The current understanding is that phytochromes form photobodies only in the “on” state.

Chen and co-authors Joseph Hahm, Keunhwa Kim, and Yongjian Qiu, members of Chen’s research group at UC Riverside, expected increasing the temperature would have a similar effect to shade — it would switch the phytochromes “off.” They thought the photobodies would disappear, as in shade.

The results were completely unexpected.

The team found increasing the temperature did not cause all the photobodies to disappear at once. Instead, specific photobodies disappeared in specific ranges of temperature. Increasing the temperature incrementally reduced the number of photobodies as they disappeared selectively.

“We found that a subset of thermostable photobodies can persist even in warm temperatures,” Chen said. “The rest of the foci would disappear at each stage of lower temperature. Before we thought all the foci were the same, but now we know they are all different.”

The mechanism that makes them disappear selectively must be different from the mechanism that makes them disappear in shade. This suggests individual photobodies could be sensors for specific temperature ranges.

The study also showed phytochrome B reacts to temperature from two different locations on the molecule. The first part senses temperature; the second part forms foci. Foci formed by this second location are insensitive to temperature. This shows light and temperature are sensed by the same part of the molecule but result in different behaviors.

“Photobodies are large, dynamic protein complexes. Our results suggest that each of them could have a different composition,” Chen said. “What we think is that the unique composition of individual photobodies make them react to temperature differently. Future studies on understanding the unique features of each photobody will likely uncover the underlying mechanisms of temperature sensing and the regulation of temperature-responsive gene expression in plants.”

In addition to helping develop plants that will thrive in a warming world, this work could help scientists learn more about cancer in animals. Proteins in animal cells also form foci related in some way to cancer, but their role in gene expression and regulation is unknown.

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Health24.com | WATCH | Coronavirus: Cooped up with loved ones during lockdown? Here’s how to survive

While the coronavirus pandemic is spreading panic and becoming a nightmare for people around the world, going into lockdown for 21 days can be even more stressful, especially if you’re isolated with your loved ones – and things start to get a little heated.

South African psychiatrist, Professor Renata Schoeman, explains the importance of having boundaries in this kind of situation.

READ MORE | Coronavirus in SA: All the confirmed cases

READ MORE | Coronavirus: What are the criteria for a suspected case?

READ MORE | Coronavirus: Basic protective measures

Image: Skynesher/Getty

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    Removing the novel coronavirus from the water cycle

    Scientists know that coronaviruses, including the SARS-CoV-19 virus responsible for the COVID-19 pandemic, can remain infectious for days — or even longer — in sewage and drinking water.

    Two researchers, Haizhou Liu, an associate professor of chemical and environmental engineering at the University of California, Riverside; and Professor Vincenzo Naddeo, director of the Sanitary Environmental Engineering Division at the University of Salerno, have called for more testing to determine whether water treatment methods are effective in killing SARS-CoV-19 and coronaviruses in general.

    The virus can be transported in microscopic water droplets, or aerosols, which enter the air through evaporation or spray, the researchers wrote in an editorial for Environmental Science: Water Research & Technology, a leading environmental journal of the Royal Society of Chemistry in the United Kingdom.

    “The ongoing COVID-19 pandemic highlights the urgent need for a careful evaluation of the fate and control of this contagious virus in the environment,” Liu said. “Environmental engineers like us are well positioned to apply our expertise to address these needs with international collaborations to protect public health.”

    During a 2003 SARS outbreak in Hong Kong, a sewage leak caused a cluster of cases through aerosolization. Though no known cases of COVID-19 have been caused by sewage leaks, the novel coronavirus is closely related to the one that causes SARS, and infection via this route could be possible.

    The novel coronavirus could also colonize biofilms that line drinking water systems, making showerheads a possible source of aerosolized transmission. This transmission pathway is thought to be a major source of exposure to the bacteria that causes Legionnaire’s disease, for example.

    Fortunately, most water treatment routines are thought to kill or remove coronaviruses effectively in both drinking and wastewater. Oxidation with hypochlorous acid or peracetic acid, and inactivation by ultraviolet irradiation, as well as chlorine, are thought to kill coronaviruses. In wastewater treatment plants that use membrane bioreactors, the synergistic effects of beneficial microorganisms and the physical separation of suspended solids filter out viruses concentrated in the sewage sludge.

    Liu and Naddeo caution, however, that most of these methods have not been studied for effectiveness specifically on SARS-CoV-19 and other coronaviruses, and they have called for additional research.

    They also suggest upgrading existing water and wastewater treatment infrastructure in outbreak hot spots, which possibly receive coronavirus from places such as hospitals, community clinics, and nursing homes. For example, energy-efficient, light-emitting, diode-based, ultraviolet point-of-use systems could disinfect water before it enters the public treatment system.

    Potable water-reuse systems, which purify wastewater back into tap water, also need thorough investigation for coronavirus removal, and possibly new regulatory standards for disinfection, the researchers wrote.

    The extent to which viruses can colonize biofilms is also not yet known. Biofilms are thin, slimy bacterial growths that line the pipes of many aging drinking water systems. Better monitoring of coronaviruses in biofilms might be necessary to prevent outbreaks.

    The surge in household use of bactericides, virucides and disinfectants will probably cause an increase of antibiotic-resistant bacteria in the environment. Treated wastewater discharged into natural waterways demands careful monitoring through the entire water cycle. Liu and Naddeo call on chemists, environmental engineers, microbiologists, and public health specialists to develop multidisciplinary and practical solutions for safe drinking water and healthy aquatic environments.

    Lastly, developing countries and some regions within highly developed nations, such as rural and impoverished communities, which lack the basic infrastructure to remove other common contaminants might not be able to remove SARS-CoV-19 either. These places might experience frequent COVID-19 outbreaks that spread easily through globalized trade and travel. Liu and Naddeo suggest governments of developed countries must support and finance water and sanitation systems wherever they are needed.

    “It is now clear to all that globalization also introduces new health risks. Where water and sanitation systems are not adequate, the risk of finding novel viruses is very high,” Naddeo said. “In a responsible and ideal scenario, the governments of developed countries must support and finance water and sanitation systems in developing countries, in order to also protect the citizens of their own countries.”

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    Wearing surgical masks in public could help slow COVID-19 pandemic’s advance

    Surgical masks may help prevent infected people from making others sick with seasonal viruses, including coronaviruses, according to new research that could help settle a fierce debate spanning clinical and cultural norms.

    In laboratory experiments, the masks significantly reduced the amounts of various airborne viruses coming from infected patients, measured using the breath-capturing “Gesundheit II machine” developed by Dr. Don Milton, a professor of applied environmental health and a senior author of the study published April 3 in the journal Nature Medicine.

    Milton has already conferred with federal and White House health officials on the findings, which closely follow statements this week from the head of the Centers for Disease Control and Prevention saying the agency was reconsidering oft-stated advice that surgical masks aren’t a useful precaution outside of medical settings. (The debate takes place at a time when clinicians themselves face dangerously inadequate supplies of masks — a shortfall other UMD researchers are scrambling to help solve.)

    The question of masks has roiled society as well, with some retailers refusing to let employees wear them for fear of sending negative signals to customers, and cases of slurs and even physical attacks in the United States and elsewhere against Asians or Asian Americans who were wearing masks, a measure some consider a necessity during a disease outbreak.

    The study, conducted prior to the current pandemic with a student of Milton’s colleagues on the Faculty of Medicine at the University of Hong Kong, does not address the question of whether surgical masks protect wearers from infection. It does suggest that masks may limit how much the infected — who in the case of the novel coronavirus often don’t have symptoms — spread diseases including influenza, rhinoviruses and coronaviruses.

    Milton, who runs the Public Health Aerobiology, Virology, and Exhaled Biomarker Laboratory in the School of Public Health, demonstrated in a 2013 study that surgical masks could help limit flu transmission. However, he cautions that the effect may not be as great outside of controlled settings.

    Nevertheless, he said, the chance they could help justifies taking a new look at whether all people should be encouraged to wear them when they venture out of their houses to stores or other populated locations during the current COVID-19 lockdown.

    “In normal times we’d say that if it wasn’t shown statistically significant or the effective in real-world studies, we don’t recommend it,” he said. “But in the middle of a pandemic, we’re desperate. The thinking is that even if it cuts down transmission a little bit, it’s worth trying.”

    Previous studies have shown that coronavirus and other respiratory infections are mostly spread during close contact, which has been interpreted by some infectious disease specialists to mean that the disease could spread only through contact and large droplets, such as from a cough or sneeze — a message that has often been shared with the public.

    “What they don’t understand is that is merely a hypothesis,” Milton said. The current study (along with earlier ones) shows, by contrast, that tiny, aerosolized droplets can indeed diffuse through the air. That means it may be possible to contract COVID-19 not only by being coughed on, but by simply inhaling the breath of someone nearby who has it, whether they have symptoms or not. Surgical masks, however, catch a lot of the aerosolized virus as it’s exhaled, he said.

    The study was conducted at the University of Hong Kong as part of the dissertation research of the lead author, Dr. Nancy Leung, who, under the supervision of the co-senior authors Drs. Cowling and Milton, recruited 246 people with suspected respiratory viral infections. Milton’s Gesundheit machine compared how much virus they exhaled with and without a surgical mask.

    “In 111 people infected by either coronavirus, influenza virus or rhinovirus, masks reduced detectable virus in respiratory droplets and aerosols for seasonal coronaviruses, and in respiratory droplets for influenza virus,” Leung said. “In contrast, masks did not reduce the emission of rhinoviruses.”

    Although the experiment took place before the current pandemic, COVID-19 and seasonal coronaviruses are closely related and may be of similar particle size. The report’s other senior author, Professor Benjamin Cowling, division head of epidemiology and biostatistics, School of Public Health, HKUMed, and co-director of the World Health Organization Collaborating Centre for Infectious Disease Epidemiology and Control, said, “The ability of surgical masks to reduce seasonal coronavirus in respiratory droplets and aerosols implies that such masks can contribute to slowing the spread of (COVID-19) when worn by infected people.”

    Milton pointed to other measures his research has found is even more effective than masks, such as improving ventilation in public places like grocery stores, or installing UV-C lights near the ceiling that works in conjunction with ceiling fans to pull air upwards and destroy viruses and bacteria.

    “Personal protective equipment like N95 masks are not our first line of defense,” Milton said. “They are our last desperate thing that we do.”

    Hong Kong University contributed to this report.

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