UK local authorities not ready for the number of deaths from Covid-19

University of Huddersfield experts have made stark warnings about the impact of coronavirus on local authorities. A major increase in mortality rates and staff absences will mean a struggle to issue death certificates, leading to a bottleneck in burials and cremations, with mortuaries filled beyond capacity.

Even if fatality rates are at the lower end of expectations — one percent of virus victims — it is highly likely that death and bereavement services will be overwhelmed, according to newly-published research by Dr Julia Meaton, Dr Anna Williams and researcher Helen-Marie Kruger.

They have drawn on a wide range of data that includes the experience of previous pandemics and analysed the readiness of a local authority in England — anonymised in the article — in order to appraise the scale of the challenge.

The article is titled “Pandemic Continuity Planning; will coronavirus test local authority business plans?” and is published by the online journal Emergency Management Review.

The findings are based on research carried out in 2019, examining the potential impact of a flu pandemic, but the authors have updated and adapted their facts and figures so that conclusions and recommendations are of immediate relevance. They provide tables and figures that were up-to-date at the point of publication.

“The personal tragedy and loss will be unquantifiable,” write the University trio, adding however that the focus of their paper is on how authorities will manage excess deaths. For example, burial and cremation services could be beyond capacity four or five weeks into the outbreak.

Limited cemetery and body storage space will also be a major problem, with mass graves a possibility, although this would be highly controversial and would upset and anger many communities, state the authors.

They have examined the role of coroners and analysed the continuity plans drawn up by local authorities in the event of a pandemic, finding a number of flaws.

In making recommendations, the authors state that both registration and bereavement services know the death toll will increase during a pandemic but are unsure of the actual figures to plan for.

“Underestimating the mortality rate could reduce the effectiveness of business continuity plans, whereas knowing what to expect will focus attention on the resources required. An option would be to have an escalating business continuity plan, where the service prepares for a worst-case scenario, which can then be scaled back depending on the anticipated mortality rate.”

Recommendations include the possibility of ring-fencing employees so that during periods of severe staff shortfalls their availability will be guaranteed.

Technological innovations could include an online death registration service that would speed up the process, although with insufficient safeguards it could be open to misuse.

The authors conclude: “The focus has been on the operational implications for a local authority service but the issues this paper raises are primarily about people and how we, as a society, treat our citizens in life and in death. In a pandemic situation, there is likely to be a necessary change to the ‘business as usual’ death and bereavement management services. How humanely these are managed is hugely important for those affected at the time of crisis and the humanity of the government’s response will reflect the nature and values of our society, and will be judged accordingly.”

Further information: https://www.emr-wlv.com/index.php/emr/article/view/43

Story Source:

Materials provided by University of Huddersfield. Note: Content may be edited for style and length.

Share Button

Copper boosts pig growth, and now we know why

Pigs have better feed conversion rates with copper in their diets, but until now, scientists didn’t fully understand why. Existing research from the University of Illinois shows copper doesn’t change fat and energy absorption from the diet. Instead, according to new research, the element seems to enhance pigs’ ability to utilize fat after absorption, resulting in increased energy utilization of the entire diet.

“Our results indicate copper hydroxychloride is enhancing metabolism of fat, and that’s how the pigs get more energy. And that, we believe, can explain why pigs have better feed conversion rates when we feed this copper source in the diets,” says Hans H. Stein, professor in the Department of Animal Sciences at Illinois and co-author of a new study in the Journal of Animal Science.

In the study, Stein and his collaborators fed pigs one of two diets. Both primarily contained corn, soybean meal, and distillers dried grains with solubles, but one diet (a control) contained only 20 milligrams of copper chloride per kilogram. The experimental diet was identical, except it also contained 150 milligrams of copper hydroxychloride per kilogram.

Pigs consuming the experimental diet experienced greater average daily gain and gain-to-feed ratio, representing better feed conversion and economic savings for producers.

Stein’s previous work showed fat and energy digestibility didn’t change with inclusion of similar rates of copper hydroxychloride. So, to really understand copper’s effects on post-absorptive fat metabolism, the researchers evaluated gene expression in tissue samples from the pigs.

“We saw greater expression of genes involved in lipid metabolism and lipid utilization in the liver, adipose tissue, and to a lesser degree in the muscle,” Stein says. “This indicates that dietary copper may affect signaling pathways associated with lipid metabolism by improving the uptake, transport, and utilization of fatty acids.”

Copper’s ability to boost feed conversion rates is welcome news with agencies regulating antibiotics as growth promoters.

But copper isn’t necessarily a perfect workaround.

In Europe, Stein says, environmental concerns prompt copper regulation in waste streams. That’s why understanding copper’s role in pig nutrition is so important. If less copper or a different form with a smaller environmental footprint could fulfill the same biological function, producers could continue to benefit while also protecting the environment.

Story Source:

Materials provided by University of Illinois College of Agricultural, Consumer and Environmental Sciences. Original written by Lauren Quinn. Note: Content may be edited for style and length.

Share Button

Gene mutation enhances cognitive flexibility in mice

NIH/Eunice Kennedy Shriver National Institute of Child Health and Human Development. “Gene mutation enhances cognitive flexibility in mice: Findings may have implications for understanding epilepsy, autism spectrum disorders.” ScienceDaily. ScienceDaily, 27 March 2020. <www.sciencedaily.com/releases/2020/03/200327141518.htm>.

NIH/Eunice Kennedy Shriver National Institute of Child Health and Human Development. (2020, March 27). Gene mutation enhances cognitive flexibility in mice: Findings may have implications for understanding epilepsy, autism spectrum disorders. ScienceDaily. Retrieved March 29, 2020 from www.sciencedaily.com/releases/2020/03/200327141518.htm

NIH/Eunice Kennedy Shriver National Institute of Child Health and Human Development. “Gene mutation enhances cognitive flexibility in mice: Findings may have implications for understanding epilepsy, autism spectrum disorders.” ScienceDaily. www.sciencedaily.com/releases/2020/03/200327141518.htm (accessed March 29, 2020).

Share Button

Seafloor of Fram Strait is a sink for microplastic from Arctic and North Atlantic Ocean

Working in the Arctic Fram Strait, scientists from the Alfred Wegener Institute, Helmholtz Centre for Polar and Marine Research (AWI) have found microplastic throughout the water column with particularly high concentrations at the ocean floor. Using model-based simulations, they have also found an explanation for this high level of pollution. According to their findings, the two main ocean currents in Fram Strait transport the microscopically small plastic particles into the region between Greenland and Spitsbergen from both the Arctic and the North Atlantic. While passing through the Strait, many particles eventually drift to the seafloor, where they accumulate. The experts report on this phenomenon in a study just released in the journal Environmental Science & Technology.

Located between the northeast coast of Greenland and the Svalbard archipelago, Fram Strait is the only deep passage between the Arctic and Atlantic Oceans. In its waters, which reach depths of 5,600 metres, two opposing currents flow right by one another like an underwater highway. In the eastern “lane” the West Spitsbergen Current transports warm water north from the Atlantic, while in the other lane the East Greenland Current moves sea ice and frigid water south from the Arctic. This extraordinary combination of circumstances is most likely the reason why experts from the Alfred Wegener Institute, Helmholtz Centre for Polar and Marine Research while collecting water and seafloor samples at the Arctic deep-sea observatory HAUSGARTEN in Fram Strait, detected extremely high quantities of microplastic particles in the sediment, and intermediate levels in the water column in the summer of 2016.

Major quantities of microplastic in the deep sea and near marginal ice zone

“We found the highest concentration of microplastic particles in water at our northernmost sampling spot near the sea-ice edge,” reports AWI biologist and first author Mine Tekman. In the area technically referred to as the marginal ice zone, one cubic metre of surface water contained more than 1,200 microplastic particles, though this hardly came as a surprise to the researchers. “From previous studies we knew that the Arctic sea ice can contain as much as 12,000 microplastic particles per litre of meltwater. When this ice reaches the end of its journey and melts in the northern Fram Strait, it most likely releases its microplastic load into the sea, which would explain the high concentration in the surface waters,” she adds.

In contrast, the level of pollution was 16,000 times higher in sediments at the bottom of Fram Strait. The analysis of sediment samples with a Fourier-transform infrared spectrometer (FTIR) revealed up to 13,000 microplastic particles per kilogramme of sediment. “This large quantity of particles and the various types of plastic we found in the sediment confirm that microplastic is continually accumulating on the seafloor of Fram Strait. In other words, the deep sea in this region is a sink for microscopically small plastic particles,” says AWI deep-sea expert and co-author Dr Melanie Bergmann.

Inflows of plastic waste from north and south alike

This view was confirmed by ocean circulation modelling, in which the experts simulated the microplastic particles’ route to Fram Strait. Depending on the particle size, type of plastic, sinking speed and water depth, some particles travelled up to 650 kilometres before coming to rest on the ocean floor. “The results of our model disprove the notion that microplastic particles could rapidly and almost vertically sink to the bottom,” says Melanie Bergmann. In fact, the plastic waste is caught by the ocean currents and can drift for tremendous distances. Especially the aggregation with organic material like algal remains is what causes the particles to sink from the surface through the water column to the seafloor.

With regard to Fram Strait, this means the majority of the plastic particles stockpiled at its bottom likely originate from remote regions; for instance, the East Greenland Current transports microplastic from the Arctic Ocean to the eastern Greenland slope. While collecting samples in its basin, the researchers above all found ethylene-vinyl acetate, a type of plastic used e.g. for coatings, lacquers, paper, packaging and shoe soles. In contrast, the West Spitsbergen Current carries particles from waters south of Spitsbergen into Fram Strait. This finding was also reflected in the plastic mix found in the respective samples.

It should also be mentioned that more than half of all plastic particles identified were smaller than 25 micrometres in diameter, roughly half the thickness of a fine human hair. “This high percentage of truly minute particles is of course troubling, as it immediately raises the question of how marine organisms respond to these minuscule bits of plastic waste,” says Melanie Bergmann. To answer this question, British colleagues are currently investigating whether the crustaceans in the AWI’s Arctic zooplankton samples have consumed any plastic.

For their part, the AWI experts now want to explore how the microplastic levels in Fram Strait change throughout the year. To this end, they’ll use devices referred to as sediment traps, which are moored at the AWI’s Arctic deep-sea observatory HAUSGARTEN and catch the various particles and marine snow that gradually descend from the sea surface, all through the year.

“The study that’s just been released offers an important snapshot in which analyses with infrared microscopes allowed us to gain a solid overview of plastic pollution in Fram Strait,” says Gunnar Gerdts, an AWI microbiologist and Head of the Microplastic Analysis Group. The experts determined that 39 percent of the particles suspended in the water came from polyamide, which is used to produce e.g. fibres for textiles and fishing nets, while nearly a quarter of all particles in the water column were identified as synthetic rubber (ethylene-propylene-diene rubber), an elastic type of plastic used e.g. in automotive and machine-building, as pond liner, for sealing roofs and house fronts, and as filler in artificial turf. In the seafloor sediments, the team primarily found particles made of chlorinated polyethylene (CPE), which is used e.g. in the manufacture of cables, hoses, films and antilock braking systems (ABS).

Share Button

Standardizing COVID-19 data analysis to aid international research efforts

Researchers from the Centre for Genomic Regulation (CRG) have launched a new database to advance the international research efforts studying COVID-19.

The publicly-available, free-to-use resource (https://covid.crg.eu) can be used by researchers from around the world to study how different variations of the virus grow, mutate and make proteins.

“Scientists are working round the clock to understand SARS-CoV-2, the virus causing COVID-19, so that we can find its weak spots and beat it. A huge amount of scientific data is being published around the world,” says Eva Novoa, a researcher at the CRG in Barcelona.

“However, some of the technologies we use to study SARS-CoV-2, such as nanopore RNA sequencing, are so new that the results of one paper aren’t comparable to another due to the patchwork of different standards and methodologies used. We are taking all this data and analyzing it so that it meets a more universally comparable standard. This will help researchers more quickly and accurately spot the strengths and weaknesses of the coronavirus.”

To understand how the coronavirus grows, mutates and replicates, scientists have to sequence the RNA of COVID-19. The RNA sequence reveals crucial information about the proteins the virus makes to invade human cells and replicate, which in turn informs governments on the infectiousness and severity of the pandemic.

Traditional sequencing tools can take a long time to provide results. In recent years, sequencing data in real time has become a reality thanks to the use of nanopore sequencing technologies, revolutionizing genomics research and disease outbreak monitoring. Nanopore sequencing provides scientists and clinicians with immediate access to the DNA and RNA sequence information of any living cell in real-time, enabling a rapid response against the threat of a pandemic.

However, the raw data produced by nanopore sequencing is highly complex. Scientists and clinicians currently lack systematic guidelines for the reproducible analysis of the data, limiting the vast potential of the nascent technology.

To standardize the analysis of publicly available SARS-CoV-2 nanopore sequencing data, researchers at the Centre for Genomic Regulation (CRG) in Barcelona are using MasterOfPores, a computer program developed by the group of Eva Novoa and CRG Bioinformatics Unit. The software was first described last week in Frontiers in Genetics.

“The internet and an increasing culture of open science, data sharing and preprints have transformed the research landscape. Infrastructure that would take months to set up to research an emerging virus can now be done in just a few days owing to novel scientific computing approaches,” says Julia Ponomarenko, Head of the Bioinformatics Unit at the CRG.

MasterOfPores can be executed on any Unix-compatible OS on a computer, cluster or cloud without the need of installing any additional software or dependencies, and is freely available in Github. The publicly-available, free-to-use resource has currently analysed 3TB of SARS-CoV-2 nanopore RNA sequencing data. The CRG researchers will continue to update the resource with new data as soon as it becomes available.

Story Source:

Materials provided by Center for Genomic Regulation. Note: Content may be edited for style and length.

Share Button

Health24.com | Wuhan study shows how social distancing to curb the spread of coronavirus is saving lives

In a lesson for what can be achieved with social distancing, researchers report that school and workplace closures in Wuhan, China, reduced the number of coronavirus cases there.

And officials are extending those measures until April now instead of March, which could hold off a second wave of cases until later this year, the researchers noted.

Experts say there are vital lessons in the Wuhan experience for the United States and other countries around the world.

Gradually relax restrictions

“The unprecedented measures the city of Wuhan has put in place to reduce social contacts in school and the workplace have helped to control the outbreak,” said study leader Kiesha Prem, from the London School of Hygiene & Tropical Medicine, in England.

“However, the city now needs to be really careful to avoid prematurely lifting physical-distancing measures, because that could lead to an earlier secondary peak in cases,” Prem warned. Instead, “if they relax the restrictions gradually, this is likely to both delay and flatten the peak,” he said.

The closures significantly delayed the peak of the epidemic in Wuhan – the epicenter of the worldwide pandemic – and gave the health system the time and opportunity to grow and respond to the crisis, according to the study authors.

The researchers used mathematical modeling to simulate the impact of either extending or relaxing current school and workplace closures in Wuhan.

The results showed that by lifting these control measures in March, a second wave of cases may occur in late August. But maintaining these restrictions until April would likely delay a second peak until October.

The study was published in The Lancet Public Health.

Avoiding subsequent waves of infection

The researchers noted that due to uncertainties about how many people a person with the virus is likely to infect, and how long a person is infected, on average, it’s difficult to assess the actual impact of earlier lifting of school and workplace closures in Wuhan.

“Our results won’t look exactly the same in another country, because the population structure and the way people mix will be different,” said study co-author Yang Liu, also from the London School of Hygiene & Tropical Medicine.

“But we think one thing probably applies everywhere: physical-distancing measures are very useful, and we need to carefully adjust their lifting to avoid subsequent waves of infection when workers and school children return to their normal routine,” Liu said in a journal news release. “If those waves come too quickly, that could overwhelm health systems.”

The study is “crucial for policy makers everywhere,” Tim Colbourn, of University College London, wrote in an accompanying journal editorial.

“Given many countries with mounting epidemics now potentially face the first phase of lockdown, safe ways out of the situation must be identified,” he wrote.

“New Covid-19 country-specific models should incorporate testing, contact tracing and localised quarantine of suspected cases as the main alternative intervention strategy to distancing lockdown measures, either at the start of the epidemic, if it is very small, or after the relaxation of lockdown conditions, if lockdown had to be imposed, to prevent health-care system overload in an already mounting epidemic.”

Just this week, President Donald Trump said he wanted to lift stringent social-distancing measures in the United States by Easter, 12 April. But during a Tuesday media briefing, he said that he would listen to the advice of public health experts who are constantly analysing data on the outbreak.

READ | What does self-quarantine to prevent the spread of coronavirus look like?

READ | My story of social distancing: It’s okay to not be okay right now

WATCH | 4 Ways to prevent loneliness while social distancing

Image credit: Getty Images

Share Button

Clap for Carers: UK in ’emotional’ tribute to NHS and care workers

The Royal Family joined people around the UK to salute healthcare workers battling the virus outbreak.

Share Button

Coronavirus: UK deaths rise by more than 100 in a day

The death toll has risen from 475 to 578, the Department of Health and Social Care confirms.

Share Button

Worldwide scientific collaboration unveils genetic architecture of gray matter

The cerebral cortex is the relatively thin, folded, outer “gray matter” layer of the brain crucial for thinking, information processing, memory, and attention. Not much has been revealed about the genetic underpinnings that influence the size of the cortex’s surface area and its thickness, both of which have previously been linked to various psychiatric traits, including schizophrenia, bipolar disorder, depression, attention deficit hyperactivity disorder (ADHD), and autism.

Now, for the first time, more 360 scientists from 184 different institutions — including UNC-Chapel Hill — have contributed to a global effort to find more than 200 regions of the genome and more than 300 specific genetic variations that affect the structure of the cerebral cortex and likely play important roles in psychiatric and neurological conditions.

The study, published in Science, was led by co-senior authors Jason Stein, PhD, assistant professor in the Department of Genetics at the UNC School of Medicine; Sarah Medland, PhD, senior research fellow at the QIMR Berghofer Medical Research Institute in Australia; and Paul Thompson, PhD, associate director of the Mark and Mary Stevens Neuroimaging and Informatics Institute at the University of Southern California. Ten years ago, these scientists cofounded the ENIGMA Consortium, an international research network that has brought together hundreds of imaging genomics researchers to understand brain structure, function, and disease based on brain imaging and genetic data.

“This study was only possible due to a huge scientific collaboration of more than 60 sites involved in MRI scanning and genotyping participants,” Stein said. “This study is the crown jewel of the ENIGMA Consortium, so far.”

The researchers studied MRI scans and DNA from more than 50,000 people to identify 306 genetic variants that influence brain structure in order to shed light on how genetics contribute to differences in the cerebral cortex of individuals. Genetic variants or variations are simply the slight genetic differences that make us unique. Generally speaking, some variants contribute to differences such as hair color or blood type. Some are involved in diseases. Most of the millions of genetic variants, though, have no known significance. This is why pinpointing genetic variants associated with cortex size and structure is a big deal. Stein and colleagues consider their new genetic roadmap of the brain a sort of “Rosetta stone” that will help translate how some genes impact physical brain structure and neurological consequences for individuals.

Among the findings of the research published in Science:

  • Some genetic variants are associated with cortical folding, measured as surface area, while other genetic variants are associated with the thickness of the cortex.
  • Genes that determine surface area are related to very early development in the fetal cortex, while thickness appears to be driven by genes active in the adult cortex.
  • People at genetic risk for depression or insomnia are genetically inclined toward having lower surface area, while people with a genetic risk for Parkinson’s disease tend to have higher surface area.
  • The vast scale of the project allowed the discovery of specific genes that drive brain development and aging in people worldwide.

“Most of our previous understanding of genes affecting the brain are from model systems, like mice,” Stein said. “With mice, we can find genes, knock out genes, or over express genes to see how they influence the structure or function of the brain. But there are a couple of problems with this.”

One problem is, quite simply, a mouse is not a human. There are many human-specific features that scientists can only study in the human brain.

“The genetic basis for a mouse is very different than the genetic basis for humans,” Stein said, “especially in in the noncoding regions of the genome.”

Genes contain DNA, the basic human code that, when translated into action, creates proteins that “do” things, such as help your finger muscles type or your heart beat or your liver process toxins. But only about 3 percent of the human genome codes for proteins. The vast majority of the human genome is called the noncoding genome. Much of this region is not shared between mice and humans. This noncoding genome consists of tiny molecular switches that can modulate the expression of other genes. These switches don’t directly alter the function of a protein, but they can affect the amounts of a protein that is expressed. Turns out, most genetic variants associated with psychiatric disorders are found in the noncoding region of the genome.

These findings can now be a resource for scientists to help answer important questions about the genetic influences on the brain and how they relate to numerous conditions.

Aysenil Berger, PhD, director of Psychiatry Neuroimaging Research and director of the Frank Porter Graham Child Development Institute at UNC-Chapel Hill, is a co-author on the study.

The study was funded by national and international public and private funding agencies, including the National Institutes of Health, the Australian National Health and Medical Research Council, the Michael J. Fox Foundation, and the Kavli Foundation.

Share Button

How to identify factors affecting COVID-19 transmission

Much remains unknown about how SARS-CoV-2, the virus that causes COVID-19, spreads through the environment. A major reason for this is that the behaviors and traits of viruses are highly variable — some spread more easily through water, others through air; some are wrapped in layers of fatty molecules that help them avoid their host’s immune system, while others are “naked.”

This makes it urgent for environmental engineers and scientists to collaborate on pinpointing viral and environmental characteristics that affect transmission via surfaces, the air and fecal matter, according to Alexandria Boehm, a Stanford professor of civil and environmental engineering, and Krista Wigginton, the Shimizu Visiting Professor in Stanford’s department of civil and environmental engineering and an associate professor at the University of Michigan.

Boehm and Wigginton co-authored a recently published viewpoint in Environmental Science & Technology calling for a broader, long-term and more quantitative approach to understanding viruses, such as SARS-CoV-2, that are spread through the environment. They are also principal investigators on a recently announced National Science Foundation-funded project to study the transfer of coronaviruses between skin and other materials, the effect of UV and sunlight on the coronaviruses, and the connection between disease outbreaks and virus concentrations in wastewater.

Scientists and medical experts don’t have a good understanding of what virus characteristics and environmental factors control virus persistence in the environment — for example, in aerosols and droplets, on surfaces including skin and in water including seawater, according to Boehm and Wigginton. “When a new virus emerges and poses a risk to human health, we don’t have a good way of predicting how it will behave in the environment,” Boehm said.

Part of the problem is historically there has been limited funding for this sort of work. The National Institutes of Health historically hasn’t funded work on pathogens in the environment, and funding at the National Science Foundation for this work is limited. Also, coronaviruses and most of the emerging viruses that have caught the world’s attention over the last decade are enveloped viruses that are wrapped in an outer layer of fatty lipid molecules that they’ve stolen from their hosts. Proteins on the surface of the envelopes can help these viruses evade the immune systems of the organisms they are infecting. “There has been much more work on the fate of non-enveloped or naked viruses because most intestinal pathogens in excrement are nonenveloped viruses — like norovirus and rotavirus,” said Wigginton.

In their paper, Boem and Wigginton address potential threats that viruses such as SARS-CoV-2 pose to water sources. We usually only worry about viruses in water if they are excreted by humans in their feces and urine. Most enveloped viruses aren’t excreted in feces or urine, so they aren’t usually on our minds when it comes to our water sources. There is increasing evidence that the SARS-CoV-2 viruses, or at least their genomes, are excreted in feces. If infective viruses are excreted, then fecal exposure could be a route of transmission, according to Boehm, who added, “It’s unlikely this could be a major transmission route, but a person could potentially be exposed by interacting with water contaminated with untreated fecal matter.”

Drinking water treatment systems have numerous treatment barriers to remove the most prevalent viruses and the most difficult-to-remove viruses, according to the engineers. Research on viruses similar to the SARS-CoV-2 virus suggests they are susceptible to these treatments. “In terms of virus concentration and persistence, this isn’t a worst-case scenario,” Wigginton said.

Broadly, Wigginton and Boehm write, we tend to study viruses very intensely when there is an outbreak, but the results from one virus aren’t easy to extrapolate to other viruses that emerge years later. “If we took a broader approach to studying many kinds of viruses, we could better understand the characteristics driving their environmental fate,” Wigginton said.

The two researchers call for experts across various fields — including medicine and engineering and — to work together to move methods forward faster, make discoveries and formulate strategies that wouldn’t be possible independently.

Story Source:

Materials provided by Stanford University. Original written by Rob Jordan. Note: Content may be edited for style and length.

Share Button