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Vaccination after infection may curb long COVID; desktop 'air curtains' may deflect virus particles – Reuters.com

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A nurse fills up syringes with the coronavirus disease (COVID-19) vaccines for residents who are over 50 years old and immunocompromised and are eligible to receive their second booster shots in Waterford, Michigan, U.S., April 8, 2022. REUTERS/Emily Elconin

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May 19 (Reuters) – The following is a summary of some recent studies on COVID-19. They include research that warrants further study to corroborate the findings and that has yet to be certified by peer review.

Post-infection vaccination may reduce long COVID

Vaccination after infection with SARS-CoV-2 may contribute to a reduction in the burden of long COVID symptoms, a new study suggests.

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Researchers tracked 6,729 volunteers ages 18 to 69, who got two shots of either AstraZeneca’s (AZN.L) viral vector vaccine or an mRNA vaccine from Pfizer (PFE.N)/BioNTech (22UAy.DE) or Moderna (MRNA.O) after recovering from an infection with the coronavirus and who reported long COVID symptoms of any severity at least once between February and September 2021. The odds of reporting long COVID – symptoms lasting at least 12 weeks – fell by an average of 13% after a first vaccine dose, the researchers reported on Wednesday in The BMJ. The second dose, given 12 weeks after the first, was associated with a further 9% decrease in the odds of long COVID that persisted for at least 9 weeks, on average, the researchers said. The odds of reporting long COVID severe enough to result in functional impairment were similarly reduced, researchers reported. Outcomes were similar regardless of vaccine type, interval from infection to first vaccine dose, underlying health status, or severity of COVID-19. However, the study was not designed to detect such differences, nor can it definitively prove that vaccines lower the odds of long COVID.

“Further research is required to evaluate the long-term relationship between vaccination and long COVID, in particular the impact of the Omicron variant,” which emerged after this study ended, the researchers said.

Desktop “air curtains” may deflect virus particles

When people cannot maintain a safe distance to avoid the spread of COVID-19, a newly designed desktop “air curtain” can block aerosols in exhaled air, researchers found.

Air-curtains – artificially created streams of moving air – are often used to protect patients in operating rooms. At Nagoya University in Japan, researchers tested their new desktop device by simulating a blood collection booth in which a lab technician is close to the patient. Aerosol particles blown toward the curtain “were observed to bend abruptly toward (a) suction port” without passing through the air curtain, they reported on Tuesday in AIP Advances. Even putting an arm through the air curtain did not break the flow or reduce its effectiveness, they said. A high-efficiency particulate air (HEPA) filter can be installed inside the suction port, they added.

If further testing in real-life conditions confirms the effectiveness of the system, it could “be useful as an indirect barrier not only in the medical field but also in situations where sufficient physical distance cannot be maintained, such as at the reception counter,” the researchers said.

Antacid aids in COVID-19 by helping limit inflammation

Researchers have discovered just how the antacid famotidine, commonly sold as Pepcid by a Johnson & Johnson unit, was able to help alleviate COVID-19 symptoms in clinical trials.

In studies in mice, they found that famotidine stimulates the vagus nerve, which controls the immune system and other involuntary body functions. When the vagus nerve is stimulated, it can send out signals to suppress severe immune reactions – so-called cytokine storms – in which high levels of inflammatory proteins are released into the blood too quickly. When famotidine was administered to the mice, it significantly reduced levels of inflammatory proteins in the blood and spleen and improved survival. But when the vagus nerve was cut, famotidine no longer stopped the cytokine storms, according to a report published on Monday in Molecular Medicine. The data “point to a role of the vagus nerve inflammatory reflex in suppressing cytokine storm during COVID-19,” coauthor Dr. Kevin Tracey of The Feinstein Institutes for Medical Research in Manhasset, New York, said in a statement.

Direct electrical stimulation of the vagus nerve is known to improve a variety of diseases. “Famotidine, a well-tolerated oral drug, could offer an additional method” of activating the vagus nerve to reduce inflammatory protein generation and resulting tissue damage in COVID-19 and other diseases, the researchers concluded.

Click for a Reuters graphic on vaccines in development.

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Reporting by Nancy Lapid; Editing by Bill Berkrot

Our Standards: The Thomson Reuters Trust Principles.

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Whooping cough is at a decade-high level in US

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MILWAUKEE (AP) — Whooping cough is at its highest level in a decade for this time of year, U.S. health officials reported Thursday.

There have been 18,506 cases of whooping cough reported so far, the Centers for Disease Control and Prevention said. That’s the most at this point in the year since 2014, when cases topped 21,800.

The increase is not unexpected — whooping cough peaks every three to five years, health experts said. And the numbers indicate a return to levels before the coronavirus pandemic, when whooping cough and other contagious illnesses plummeted.

Still, the tally has some state health officials concerned, including those in Wisconsin, where there have been about 1,000 cases so far this year, compared to a total of 51 last year.

Nationwide, CDC has reported that kindergarten vaccination rates dipped last year and vaccine exemptions are at an all-time high. Thursday, it released state figures, showing that about 86% of kindergartners in Wisconsin got the whooping cough vaccine, compared to more than 92% nationally.

Whooping cough, also called pertussis, usually starts out like a cold, with a runny nose and other common symptoms, before turning into a prolonged cough. It is treated with antibiotics. Whooping cough used to be very common until a vaccine was introduced in the 1950s, which is now part of routine childhood vaccinations. It is in a shot along with tetanus and diphtheria vaccines. The combo shot is recommended for adults every 10 years.

“They used to call it the 100-day cough because it literally lasts for 100 days,” said Joyce Knestrick, a family nurse practitioner in Wheeling, West Virginia.

Whooping cough is usually seen mostly in infants and young children, who can develop serious complications. That’s why the vaccine is recommended during pregnancy, to pass along protection to the newborn, and for those who spend a lot of time with infants.

But public health workers say outbreaks this year are hitting older kids and teens. In Pennsylvania, most outbreaks have been in middle school, high school and college settings, an official said. Nearly all the cases in Douglas County, Nebraska, are schoolkids and teens, said Justin Frederick, deputy director of the health department.

That includes his own teenage daughter.

“It’s a horrible disease. She still wakes up — after being treated with her antibiotics — in a panic because she’s coughing so much she can’t breathe,” he said.

It’s important to get tested and treated with antibiotics early, said Dr. Kris Bryant, who specializes in pediatric infectious diseases at Norton Children’s in Louisville, Kentucky. People exposed to the bacteria can also take antibiotics to stop the spread.

“Pertussis is worth preventing,” Bryant said. “The good news is that we have safe and effective vaccines.”

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AP data journalist Kasturi Pananjady contributed to this report.

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The Associated Press Health and Science Department receives support from the Robert Wood Johnson Foundation. The AP is solely responsible for all content.

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Scientists show how sperm and egg come together like a key in a lock

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How a sperm and egg fuse together has long been a mystery.

New research by scientists in Austria provides tantalizing clues, showing fertilization works like a lock and key across the animal kingdom, from fish to people.

“We discovered this mechanism that’s really fundamental across all vertebrates as far as we can tell,” said co-author Andrea Pauli at the Research Institute of Molecular Pathology in Vienna.

The team found that three proteins on the sperm join to form a sort of key that unlocks the egg, allowing the sperm to attach. Their findings, drawn from studies in zebrafish, mice, and human cells, show how this process has persisted over millions of years of evolution. Results were published Thursday in the journal Cell.

Scientists had previously known about two proteins, one on the surface of the sperm and another on the egg’s membrane. Working with international collaborators, Pauli’s lab used Google DeepMind’s artificial intelligence tool AlphaFold — whose developers were awarded a Nobel Prize earlier this month — to help them identify a new protein that allows the first molecular connection between sperm and egg. They also demonstrated how it functions in living things.

It wasn’t previously known how the proteins “worked together as a team in order to allow sperm and egg to recognize each other,” Pauli said.

Scientists still don’t know how the sperm actually gets inside the egg after it attaches and hope to delve into that next.

Eventually, Pauli said, such work could help other scientists understand infertility better or develop new birth control methods.

The work provides targets for the development of male contraceptives in particular, said David Greenstein, a genetics and cell biology expert at the University of Minnesota who was not involved in the study.

The latest study “also underscores the importance of this year’s Nobel Prize in chemistry,” he said in an email.

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The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group. The AP is solely responsible for all content.

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