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Mysterious Coronavirus Illness Claims 3 Children in New York Mysterious Coronavirus Illness Claims 3 Children in New York
(14 days later)
A mysterious syndrome has killed three young children in New York and sickened 73 others, Gov. Andrew M. Cuomo said on Saturday, an alarming rise in a phenomenon that was first publicly identified earlier this week.A mysterious syndrome has killed three young children in New York and sickened 73 others, Gov. Andrew M. Cuomo said on Saturday, an alarming rise in a phenomenon that was first publicly identified earlier this week.
The syndrome, a toxic-shock-like inflammation that affects the skin, the eyes, blood vessels and the heart, can leave children seriously ill, with some patients requiring mechanical ventilation. Many of the symptoms bear some resemblance to a rare childhood illness called Kawasaki disease, which can lead to inflammation of the blood vessels, especially the coronary arteries.The syndrome, a toxic-shock-like inflammation that affects the skin, the eyes, blood vessels and the heart, can leave children seriously ill, with some patients requiring mechanical ventilation. Many of the symptoms bear some resemblance to a rare childhood illness called Kawasaki disease, which can lead to inflammation of the blood vessels, especially the coronary arteries.
“The illness has taken the lives of three young New Yorkers,” Mr. Cuomo said during his daily briefing in Manhattan. “This is new. This is developing.”“The illness has taken the lives of three young New Yorkers,” Mr. Cuomo said during his daily briefing in Manhattan. “This is new. This is developing.”
Until now, parents and public health experts had found some solace in the notion that the coronavirus and the disease it causes, Covid-19, largely spared children the worst effects of an illness that has claimed more than 21,000 lives in New York State alone. But any sense of relief was shattered this week when a 5-year-old in New York City died from the syndrome, which doctors described as a “pediatric multisystem inflammatory syndrome.”Until now, parents and public health experts had found some solace in the notion that the coronavirus and the disease it causes, Covid-19, largely spared children the worst effects of an illness that has claimed more than 21,000 lives in New York State alone. But any sense of relief was shattered this week when a 5-year-old in New York City died from the syndrome, which doctors described as a “pediatric multisystem inflammatory syndrome.”
A handful of cases have been reported in other states, including Louisiana, Mississippi and California. At least 50 cases have been reported in European countries, including Britain, France, Switzerland, Spain and Italy.A handful of cases have been reported in other states, including Louisiana, Mississippi and California. At least 50 cases have been reported in European countries, including Britain, France, Switzerland, Spain and Italy.
Mr. Cuomo said that many of the children, some just toddlers, had not shown respiratory symptoms commonly associated with the coronavirus when they arrived at the hospital but that all of them had tested positive for Covid-19 or its antibodies.Mr. Cuomo said that many of the children, some just toddlers, had not shown respiratory symptoms commonly associated with the coronavirus when they arrived at the hospital but that all of them had tested positive for Covid-19 or its antibodies.
“So it is still very much a situation that is developing, but it is a serious situation,” he added.“So it is still very much a situation that is developing, but it is a serious situation,” he added.
The state will be working with the New York Genome Center and Rockefeller University to determine what is causing the illness, which Mr. Cuomo described on Saturday as “truly disturbing.”The state will be working with the New York Genome Center and Rockefeller University to determine what is causing the illness, which Mr. Cuomo described on Saturday as “truly disturbing.”
He did not elaborate on the deaths of the two additional children.He did not elaborate on the deaths of the two additional children.
“We were laboring under the impression that young people were not affected by Covid-19, and that was actually good news,” Mr. Cuomo said. “We still have a lot to learn about this virus.”“We were laboring under the impression that young people were not affected by Covid-19, and that was actually good news,” Mr. Cuomo said. “We still have a lot to learn about this virus.”
Mr. Cuomo has asked parents to be vigilant in looking for symptoms such as prolonged fever, severe abdominal pain, change in skin color, racing heart and chest pain.Mr. Cuomo has asked parents to be vigilant in looking for symptoms such as prolonged fever, severe abdominal pain, change in skin color, racing heart and chest pain.
Before the announcement of the deaths attributed to the new illness, fewer than four children younger than 10 had died of the virus in New York, according to the most recent breakdown from the state. Mr. Cuomo said the state was working with the Centers for Disease Control and Prevention to determine whether the confounding illness had been affecting children infected with the virus before this week.Before the announcement of the deaths attributed to the new illness, fewer than four children younger than 10 had died of the virus in New York, according to the most recent breakdown from the state. Mr. Cuomo said the state was working with the Centers for Disease Control and Prevention to determine whether the confounding illness had been affecting children infected with the virus before this week.
“It is very possible that this has been going on for several weeks and it hasn’t been diagnosed as related to Covid,” Mr. Cuomo said.“It is very possible that this has been going on for several weeks and it hasn’t been diagnosed as related to Covid,” Mr. Cuomo said.
On Monday, the New York City Health Department issued a bulletin asking doctors to report any cases of the syndrome. At the time, the health authorities said they knew of 15 such cases, involving patients ages 2 to 15, who had been in intensive care units since April 17.On Monday, the New York City Health Department issued a bulletin asking doctors to report any cases of the syndrome. At the time, the health authorities said they knew of 15 such cases, involving patients ages 2 to 15, who had been in intensive care units since April 17.
Earlier this week, one Long Island hospital, Cohen Children’s Medical Center, said it had treated 25 children with symptoms of the syndrome that ranged from reddened tongues to enlarged coronary arteries.Earlier this week, one Long Island hospital, Cohen Children’s Medical Center, said it had treated 25 children with symptoms of the syndrome that ranged from reddened tongues to enlarged coronary arteries.
Updated June 30, 2020 Updated July 16, 2020
Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days.
Scientists around the country have tried to identify everyday materials that do a good job of filtering microscopic particles. In recent tests, HEPA furnace filters scored high, as did vacuum cleaner bags, fabric similar to flannel pajamas and those of 600-count pillowcases. Other materials tested included layered coffee filters and scarves and bandannas. These scored lower, but still captured a small percentage of particles.
A commentary published this month on the website of the British Journal of Sports Medicine points out that covering your face during exercise “comes with issues of potential breathing restriction and discomfort” and requires “balancing benefits versus possible adverse events.” Masks do alter exercise, says Cedric X. Bryant, the president and chief science officer of the American Council on Exercise, a nonprofit organization that funds exercise research and certifies fitness professionals. “In my personal experience,” he says, “heart rates are higher at the same relative intensity when you wear a mask.” Some people also could experience lightheadedness during familiar workouts while masked, says Len Kravitz, a professor of exercise science at the University of New Mexico.
The steroid, dexamethasone, is the first treatment shown to reduce mortality in severely ill patients, according to scientists in Britain. The drug appears to reduce inflammation caused by the immune system, protecting the tissues. In the study, dexamethasone reduced deaths of patients on ventilators by one-third, and deaths of patients on oxygen by one-fifth.
The coronavirus emergency relief package gives many American workers paid leave if they need to take time off because of the virus. It gives qualified workers two weeks of paid sick leave if they are ill, quarantined or seeking diagnosis or preventive care for coronavirus, or if they are caring for sick family members. It gives 12 weeks of paid leave to people caring for children whose schools are closed or whose child care provider is unavailable because of the coronavirus. It is the first time the United States has had widespread federally mandated paid leave, and includes people who don’t typically get such benefits, like part-time and gig economy workers. But the measure excludes at least half of private-sector workers, including those at the country’s largest employers, and gives small employers significant leeway to deny leave.
So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was “very rare,” but she later walked back that statement.
Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks.
A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study.
The unemployment rate fell to 13.3 percent in May, the Labor Department said on June 5, an unexpected improvement in the nation’s job market as hiring rebounded faster than economists expected. Economists had forecast the unemployment rate to increase to as much as 20 percent, after it hit 14.7 percent in April, which was the highest since the government began keeping official statistics after World War II. But the unemployment rate dipped instead, with employers adding 2.5 million jobs, after more than 20 million jobs were lost in April.
If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.)
If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.
While some of the symptoms are similar to Kawasaki disease, including fever, abdominal pain and sometimes a raised rash, doctors who have treated hospitalized children in recent weeks said there appeared to be differences in how the coronavirus-related condition affects the heart.While some of the symptoms are similar to Kawasaki disease, including fever, abdominal pain and sometimes a raised rash, doctors who have treated hospitalized children in recent weeks said there appeared to be differences in how the coronavirus-related condition affects the heart.
Toxic shock is a rare complication of Kawasaki disease, but many of the children affected with the coronavirus-related syndrome were in shock with very low blood pressure and an impaired ability to circulate oxygen and nutrients to vital organs. Whereas Kawasaki disease can produce coronary aneurysms when left untreated, the new syndrome seems to mostly involve inflammation of coronary arteries and other blood vessels.Toxic shock is a rare complication of Kawasaki disease, but many of the children affected with the coronavirus-related syndrome were in shock with very low blood pressure and an impaired ability to circulate oxygen and nutrients to vital organs. Whereas Kawasaki disease can produce coronary aneurysms when left untreated, the new syndrome seems to mostly involve inflammation of coronary arteries and other blood vessels.
Doctors in New York have noted that cases of the new syndrome began to appear a month or so after a surge of Covid-19 in the region. That timing, experts say, suggests that the illness may be a post-infectious immune response to infection with the virus.Doctors in New York have noted that cases of the new syndrome began to appear a month or so after a surge of Covid-19 in the region. That timing, experts say, suggests that the illness may be a post-infectious immune response to infection with the virus.
Treatments have included steroids, intravenous immunoglobulin, high-dose aspirin and antibiotics, as well as supportive oxygen through the nose, a mask or, in the most serious cases, a ventilator. Most children who are intubated can be removed from the ventilators within a few days, doctors said.Treatments have included steroids, intravenous immunoglobulin, high-dose aspirin and antibiotics, as well as supportive oxygen through the nose, a mask or, in the most serious cases, a ventilator. Most children who are intubated can be removed from the ventilators within a few days, doctors said.
Although much about the illness remains unclear, experts believe children may be at greater risk for the syndrome because their immune systems are not fully developed. But there are no clues yet as to why some children get sick and not others. Many of the children have been previously healthy, and the syndrome does not appear to run in families.Although much about the illness remains unclear, experts believe children may be at greater risk for the syndrome because their immune systems are not fully developed. But there are no clues yet as to why some children get sick and not others. Many of the children have been previously healthy, and the syndrome does not appear to run in families.
Doctors have turned to genetic testing to see whether there is a predisposition or genetic reason one child falls ill even as siblings seem unscathed.Doctors have turned to genetic testing to see whether there is a predisposition or genetic reason one child falls ill even as siblings seem unscathed.
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