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Pandemic Brought Big Rise in New Cases of Anorexia – thecheyennepost.com

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MONDAY, Dec. 13, 2021 (HealthDay News) — A new study confirms yet another consequence of the pandemic for children and teenagers: Eating disorders, and hospitalizations for them, rose sharply in 2020.

The study of six hospitals across Canada found new diagnoses of anorexia nearly doubled during the first wave of the COVID-19 pandemic. And the rate of hospitalization among those patients was almost threefold higher, versus pre-pandemic years.

The findings add to three smaller studies from the United States and Australia — all of which found an increase in eating disorder hospitalizations during the pandemic.

The current study, however, focused only on kids with a new diagnosis of anorexia, said lead researcher Dr. Holly Agostino, who directs the eating disorders program at Montreal Children’s Hospital.

Those young people, she said, may have been struggling with body image, anxiety or other mental health concerns before the pandemic — then met their tipping point during it.

“I think a lot of it had to do with the fact that we took away kids’ daily routines,” Agostino said.

With everything disrupted — including meals, exercise, sleep patterns and connections with friends — vulnerable children and teens may have turned to food restriction. And since depression and anxiety often “overlap” with eating disorders, Agostino said, any worsening in those mental health conditions could have contributed to anorexia in some kids, too.

At any given time, about 0.4% of young women and 0.1% of young men are suffering from anorexia, according to the New York City-based National Eating Disorders Association. The eating disorder is marked by severe restriction in calories and the foods a person will eat — as well as an intense fear of weight gain.

The new findings, published online Dec. 7 in JAMA Network Open, are based on data from six children’s hospitals in five Canadian provinces.

Agostino’s team looked at new diagnoses of anorexia among 9- to 18-year-olds between March 2020 (when pandemic restrictions took hold) and November 2020. They compared those figures with pre-pandemic years, going back to 2015.

During the pandemic, hospitals averaged about 41 new anorexia cases per month — up from about 25 in pre-pandemic times, the study found. And more newly diagnosed kids were ending up in the hospital: There were 20 hospitalizations a month in 2020, versus about eight in prior years.

Dr. Natalie Prohaska is with the Comprehensive Eating Disorders Program at the University of Michigan Health C.S. Mott Children’s Hospital, in Ann Arbor.

In a study earlier this year, she and her colleagues reported their hospital saw a spike in eating disorder hospitalizations over the first 12 months of the pandemic. Admissions for eating disorders more than doubled, versus 2017 through 2019.

Prohaska said the new findings underscore the fact that across countries, “adolescents are struggling” with mental health issues.

She agreed the major disruptions to kids’ normal routines likely contributed to the rise in eating disorders.

Those who were already dealing with body image issues were suddenly “caught in a vacuum,” Prohaska said, and that may have exacerbated the situation.

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Plus, she noted, kids and adults alike were hearing dire messages about pandemic weight gain.

“There were even references to the ‘COVID 15,'” Prohaska said. “Kids didn’t need that on top of everything else.”

Studies so far have looked at eating disorder trends in 2020. It’s not clear how things stand now, with kids back in school.

But both Agostino and Prohaska said their eating-disorder programs remain busier than pre-pandemic times.

“Wait-list times are through the roof,” Agostino said.

The programs are seeing kids who were diagnosed earlier in the pandemic, as well as a continuing stream of new cases.

“Eating disorders take time to brew,” Prohaska noted. So there are kids just coming into treatment who say the pandemic was a “trigger” for them, she said.

Agostino made the same point, saying eating disorders “do not go from 0 to 100.”

That, she said, also means parents have time to notice early warning signs, such as a child becoming “rigid” about food choices or exercise, or preoccupied with weight.

Parents can talk to their kids about those issues — reassuring them that it’s fine to skip an exercise routine, for example — and bring any concerns to their pediatrician, according to Agostino.

She said pediatricians should also have eating disorders on their radar, and screen for them if a child or teenager has lost weight rapidly.

More information

The National Eating Disorders Association has more on eating disorder warning signs.

SOURCES: Holly Agostino, MD, program director, Eating Disorders Program, Montreal Children’s Hospital, McGill University Health Centre, Montreal, Canada; Natalie Prohaska, MD, Comprehensive Eating Disorders Program, University of Michigan Health C.S. Mott Children’s Hospital, Ann Arbor, Mich.; JAMA Network Open, Dec. 7, 2021, online

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U of G to close public COVID-19 vaccine clinic due to high vaccination rates and availability – GuelphToday

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NEWS RELEASE
UNIVERSITY OF GUELPH
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The public COVID-19 vaccination clinic on the University of Guelph campus will close Jan. 21 due to high vaccination rates and greater vaccine availability within the Guelph community.

Since opening Jan. 4, about 9,000 people received vaccine doses at the campus clinic.

“I am delighted and inspired by the enthusiasm and spirit of collaboration that was displayed, once again, by our University and greater Guelph community,” said U of G president Dr. Charlotte Yates.

“People came together under tight time constraints and challenging circumstances to organize and operate our second successful campus vaccination clinic, with many of our faculty, staff and students volunteering their time and expertise. Vaccination is the best way to protect people from the most serious negative health effects of COVID-19, and I am so proud the University was able to help make a difference.”

Run in partnership with Wellington-Dufferin-Guelph Public Health and the Guelph Family Health Team, the clinic was established as part of a community-wide effort to boost vaccination rates and help stem the current pandemic wave.

Held in the W.F. Mitchell gym of the Athletics Centre, the clinic initially saw 1,200 vaccination appointments a day. That number had dwindled to fewer than 100 by late this week, said Christine Zulauf, catering manager with Hospitality Services.

She said the clinic attracted visitors from across the region.

“It’s been a really unique experience to play a role and help get all of these vaccines into the community,” said Zulauf. “Hopefully, it’s a once-in-a-lifetime opportunity and we won’t have to do it again. I’m glad the University was able to help out.”

About 55 volunteers, including staff, faculty and community members, helped direct clinic visitors into and out of the facility. They contributed almost 1,000 volunteer hours in all this month; on average, about 16 volunteers were on hand at the clinic each day.

Many of those volunteers had also helped with the first campus vaccination clinic held for almost five months in 2021. More than 80,000 vaccinations were administered during that earlier five-month clinic.

“It was really wonderful that so many volunteers came back to help us this time around,” said Zulauf.

COVID-19 vaccinations will continue to be offered to faculty, staff and students on campus through Student Health Services.

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'Very nice spring, very nice summer': Omicron will bring us closer to normal, experts say – National Post

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‘We need to lay out a strategy and a plan towards moving back toward something that is nearer normality’

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Anna Bershteyn says there are absolutely no guarantees, of course, but if asked to read the tea leaves, she sees “a very nice spring, a very nice summer, where people can let loose,” see others and not worry so much about COVID-19 .

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It’s just a hope, “but if I had to make a guess, I would say that what Omicron will probably give us is a period of respite,” said Bershteyn, an assistant professor in the department of population health at New York University Grossman School of Medicine. Immunity gained through vaccination, infection or a combination of the two, could move populations closer to controllable levels of COVID, she and other scientists said. The hope is that the virus “sort of vaccinates itself” — that a milder strain gives us immunity to a later, potentially more severe one.

While hospital and ICU numbers are rising nationally, Omicron infections may have peaked and the country could be on a downward slope, federal health officials said Friday.

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COVID is here to stay. SARS-CoV-2 will continue to live in the human population, Dr. Theresa Tam, Canada’s chief public health officer said. While we must prepare for more potential unusual variants, “we do need to lay out a strategy and a plan towards moving back toward something that is nearer normality,” Tam said . In England, mandatory masking in public spaces and vaccine passports will be dropped beginning next week, while Spain is moving toward treating SARS-CoV-2 much like seasonal flu.

Many questions linger: It’s not clear how long immunity to Omicron will last, whether we could see a second wave, or whether infection with a milder stain will indeed provide immunity against whichever Greek letter-named version of SARS-CoV-2 comes next. The virus has already proven whip smart — scientists didn’t see heavily mutated Omicron coming — and it’s still evolving.

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“The big game changer is indeed the moment when nearly everybody will have had some sort of immunity,” Dr. Peter Juni, of Ontario’s COVID-19 science table  recently told a COVID research consortium . “I can’t guarantee endemicity relatively soon, but I can guarantee we can move much closer to endemicity after the Omicron wave.”

Here’s what we know about where we are now and where we need to go.

Rapid rise, rapid descent?

“Our modelling suggests that we are at the peak around now, with some provinces (Ontario and Quebec, which experienced Omicron earliest) just past the peak and others just behind it,” said Caroline Colijn, an associate professor of mathematics at Simon Fraser University and COVID-19 modeller.

In Ontario, the rate of hospitalizations and intensive care admissions is slowing. Restaurants and gyms will reopen starting Jan. 31, with all remaining restrictions to go by mid-March, Premier Doug Ford announced Wednesday. British Columbia is seeing a slowing in transmission rate. “That’s partly the end of the holidays, but I think it partly is  a lot  of people have COVID right now,” said Colijn and that’s having a dampening effect. More people are isolating “or cancelling things if they hear five of their friends have COVID.” That, combined with a shorter course of infections, can drive a speedy decline, she said.

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Our modelling suggests that we are at the peak around now

But Canada might also have a more rounded peak, or double peaks, because of the timing with schools and universities reopening and the lifting of restrictions, Colijn said. “We may not see the very rapid decline that has been seen in South Africa, for example.”

Official case counts are almost irrelevant, with testing systems so overwhelmed. “But it’s important if the number of actual infections happening starts to go down quickly, because that’s going to decrease the burden on everybody — fewer people sick, fewer people in hospital, fewer workplace closures, fewer schools affected,” Colijn said.

Why not just get infected and get it over with?

Famed cardiologist and author Dr. Eric Topol isn’t thrilled with the “Omicron will ultimately find just about everybody,” messaging. “Let’s not invite an unpredictable virus that can cause long COVID,” or secondary attacks, where people who may not be particularly at risk of a bad infection themselves unwittingly pass the virus to someone who can wind up very sick,” Topol said, during a recent University of California, San Francisco Department of Medicine Grand Rounds Q&A. 

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In Australia, “COVID chasers” are hoping to time infections when it’s less inconvenient to isolate. Their thinking runs the lines of, “It’s going to happen anyway, I want to live my life, I’m sick of trying to avoid COVID and it’s likely to be mild in someone like me.”

It’s not a terribly brilliant idea, Topol, founder and director of Scripps Research Translational Institute, and other scientists said. Omicron can cause severe disease. It’s not uniformly mild. With hospitals grappling with shortages of staff and COVID-19 drugs, people who do end up in hospital risk ending up with less-than-optimal care, Juni said. And while it will take months before it’s known whether Omicron can cause long COVID, the phenomenon typically follows mild infections.

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  1. FILE PHOTO: A respiratory therapist and six nurses prone a coronavirus disease (COVID-19) patient inside the intensive care unit of Humber River Hospital in Toronto, Ontario, Canada April 19, 2021.

    Dr. David Jacobs: Omicron has filled up my hospital, but the panic from the Delta wave is gone

  2. Despite some claims, the numbers do indicate that among the elderly, unvaccinated people are much more apt to be made badly sick by the virus.

    What hospitalization data really say about COVID-19 vaccines

  3. A new study found that vaccinated couples were no less likely to conceive than unvaccinated ones.

    No, COVID vaccines won’t make you infertile: study

Vaccines are still the best shot at making COVID manageable

The vaccines are still holding their own against severe disease with Omicron, and a third dose boosts immunity even higher. Still, demand for third doses appears to be slowing, and while Pfizer has said it should have a vaccine that targets Omicron specifically by March, Topol and others said what’s needed is a universal, “pan” coronavirus vaccine that would protect against all variants and make it harder for the virus to mutate its way around. Omicron proved that SARS-CoV-2 can take huge leaps in evolution, “and get all these mutations all in one jump,” Bershteyn said. “You really can’t place Omicron on the family tree of variants that we’ve seen before. It sort of came out of nowhere, and as far as I can tell there’s no biological rule that says that it couldn’t do this again  and  be very contagious and very deadly at the same time.”

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“The unvaccinated who do not have a boost to their immunity from vaccine are likely to become susceptible again to whatever variant comes next,” she said, and regulatory discussions should be happening now, including, would manufacturers have to do a full clinical trial of a new vaccine, or a small, short trial, looking at the antibody response? How long to monitor for safety? A vaccine against Omicron is three months away. If a more dangerous variant emerged, “we couldn’t wait three months. You’d have to completely lock down everything. It’s just not feasible.”

What’s the endgame?

“Waning immunity and the emergence of new variants will shape the long-term burden and dynamics of COVID-19,” Colijn and colleagues wrote in a pre-print.

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“If we can get another infection in a couple of months, that’s not a good thing for where this virus settles out,” Colijn said. “But if we’re well protected for a year, that’s pretty good news. And what that means is that (COVID) will decline to hopefully pretty low levels and stay at those levels.”

But endemic doesn’t mean “not a problem,” she said. “It just means that it’s stable — it’s not having this huge wave that goes through the population.”

Waning immunity and the emergence of new variants will shape the long-term burden and dynamics of COVID-19

She doesn’t think there’s pressure on the virus to get more severe. Transmission is where the virus is having “its reproductive opportunities. We have the high transmissibility without it carrying along a really high severity. So, hopefully, we don’t get the big, bad new variant,” Colijn said.

Hospitalizations will never be reduced to zero. “There are always going to be frail vulnerable people who succumb to this virus,” McMaster University infectious diseases specialist Dr. Martha Fulford said in an earlier interview. Once past this hump, and with more protection because of boosters, more immunity from infections and more effective treatments, a broader conversation will be needed about the risks posed by COVID and the risks that exist from locking down “forever and a day,” she said.

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Change to shorter isolation period part of managing COVID 19 in B.C.: top doctor – Vancouver Sun

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Dr. Bonnie Henry says unvaccinated adults who test positive are at risk of having longer-lasting and more severe illness and must isolate for 10 days but those who are vaccinated should isolate for five days.

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VANCOUVER — British Columbia’s top doctor says the current wave of COVID-19 is causing less severe illness and that calls for a shift to shorter periods of isolation in order to minimize societal disruptions.

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Dr. Bonnie Henry says unvaccinated adults who test positive are at risk of having longer-lasting and more severe illness and must isolate for 10 days but those who are vaccinated should isolate for five days.

She says children are at much lower risk of severe illness and are able to clear an infection faster, so five days’ isolation is also suitable for them, with mounting evidence showing they need to interact with others as part of their social development.

Henry says testing is not needed for most people who have symptoms and are likely to have a mild illness but those who are immunocompromised and over 70 could end up with more serious illness and likely need a test.

She says vaccination remains the best protection for everyone, especially for vulnerable groups, but anyone with symptoms should stay home until they feel better, the same as with other respiratory illnesses like the flu.

Henry says COVID-19 is far from being an endemic illness so restrictions that are in place are needed to prevent more hospitalizations, though those numbers have been declining.

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