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New studies confirm that multiple types of steroids improve survival for severely ill COVID-19 patients, cementing the cheap drugs as a standard of care.An analysis of pooled results from seven studies found that steroids reduced the risk of death in the first month by about one-third compared to placebo treatment or usual care alone in these seriously ill patients who needed extra oxygen.The work was led by the World Health Organization and published Wednesday by the Journal of the American Medical Association.Based on the results of the studies, the WHO has made two recommendations. The first, it says a strong corticosteroid therapy for 7 to 10 days should be used in patients with severe or critical COVID-19. The second, this therapy should not be used in patients with non-severe COVID-19, because it may increase the risk of death.“In contrast, in patients with non-severe COVID-19, based on data from 1,535 patients in one study, systemic corticosteroids may increase the risk of 28-day mortality,” researchers wrote.Compared to other treatments for COVID-19, these types of steroids are generally low cost, easy to administer and readily available across the globe.“Dexamethasone and prednisolone are among the most commonly listed medicines in national essential medicines lists; listed by 95% of countries. Dexamethasone was first listed by WHO as an essential medicine in 1977, while prednisolone was listed 2 years later,” the WHO wrote.The WHO added that clinicians should exercise caution in use of corticosteroids in patients with diabetes or those who are immunocompromised and could become severely ill do to COVID-19. 1651
NEW YORK, N.Y. — Monday morning, an ICU nurse became the first person in New York state to receive the first dose of Pfizer's two-dose COVID-19 vaccine. The nurse, who works at Long Island Jewish Medical Center in Queens, received the vaccine during a live stream with Governor Andrew Cuomo. Following the administration of the shot, those in attendance applauded. 372
New York Gov. Andrew Cuomo responded Thursday to the Supreme Court's Wednesday night ruling against the state's coronavirus restrictions on houses of worship in areas of New York City.The governor said the decision hasn't changed anything and called the court's action "irrelevant from any practical impact."However, leaders of the two groups who are plaintiffs in the case — the Roman Catholic Diocese of Brooklyn and Agudath Israel, an advocacy group for the Orthodox Jewish community — disagreed, saying that the case about religious liberty and more sensible health measures.Cuomo, for his part, pointed out that the Catholic church and Orthodox Jewish synagogues in Brooklyn and Queens are no longer subject to them."I think this was really just an opportunity for the court to express its philosophy and politics," Cuomo said.The justices split 5-4 on the decision, with new conservative Justice Amy Coney Barrett representing the decisive vote in the majority. It was Barrett's first publicly discernible vote as a justice.The court's three liberal justices and Chief Justice John Roberts dissented.In an unsigned order, a majority of the court said New York's restrictions "single out houses of worship for especially harsh treatment."Bishop Nicholas DiMarzio of the Brooklyn Diocese said that the ruling is relevant far beyond the boundaries of the New York City region."There are places where, for example, I'm on the board of the National Shrine of the Immaculate Conception in Washington D.C.," DiMarzio said. "That church seats 5,000 people. They are only allowed to have 100 people, by the laws of the District of Columbia.""The district refused to hear their plea," he said. "We have the same problem."Rabbi Chaim Dovid Zweibel is the executive vice president of Agudath Israel."It made no sense to treat a small synagogue that seats 25 people on a regular basis the same as a synagogue that seats 500 people," he said.For Cuomo, it came down to public safety."I fully respect religion, and if there's a time in life we need it, the time is now," Cuomo said. "But we want to make sure we keep people safe at the same time."Cuomo said the Supreme Court is "different" now, referencing Coney Barrett tipping the court more towards conservatives.Earlier in this year, when Barrett's liberal predecessor, Justice Ruth Bader Ginsburg, was on the court, the justices divided 5-4 to leave in place similar pandemic-related capacity restrictions affecting churches in California and Nevada.Two lower courts had sided with New York in allowing the restrictions on houses of worship to stand.The governor asserted that the Supreme Court decision isn't final, saying that it would go back to the Second Circuit Court of Appeals.When asked by a reporter if he felt the ruling would convince churches and synagogues they now have the leeway to host gatherings of thousands, Cuomo disagreed."It didn't affect our mass gathering rules...It didn't mention the overall limits," he said.President Donald Trump seemingly celebrated the court's decision on Twitter Thursday morning, writing simply "Happy Thanksgiving!" while sharing a tweet of the news from the @SCOTUSblog account.During Trump's single term in office, he appointed three of the justices sitting on the Supreme Court, including Barrett. Conservatives now have a 6-3 majority.This story was originally published by Jay Dow, James Ford and Mark Sundstrom on WPIX in New York City. The Associated Press contributed to this report. 3498
NORTH OGDEN, Utah — Officials at a Utah healthcare system say caretakers from a nursing facility brought a patient to a COVID-19 testing site on Sunday, but upon arrival found that the patient was dead."When the nursing facility's van reached the drive-thru testing tent, their patient was unresponsive, cold to the touch, and likely deceased," a statement from Intermountain Healthcare read. "The testing-site caregivers immediately called 911 but EMS workers could not revive the individual. Caregivers acted quickly and followed correct procedures. The testing center was fully staffed and there were lower testing volumes."The patient was identified as a 71-year-old man.Erin Goff, a spokesperson for Intermountain Healthcare, said she was unsure how long the man was waiting for his COVID-19 test.Testing lines on Monday were very long, with dozens of cars spilling out onto the street because they did not fit into the clinic's parking lot.Neal Berube, the mayor of North Ogden, is also a member of the Intermountain Healthcare Board of Trustees.He did not want to speak on behalf of the hospital but called his initial reaction to the case "alarming" as he awaits more information."The line is quite long, which I believe is the case at most testing facilities today... the waits could be up to several hours long," Berube said.Deputy Chief Jeremiah Jones of the North View Fire District said the patient was discovered in "cardiac respiratory arrest.""Cardiac respiratory arrest is when you have no heartbeat and you're not breathing on your own," Jones said.It's unclear how the 71-year-old patient died.Cardiac respiratory arrest could be caused by complications from COVID-19 or a variety of other medical reasons, Jones said."We don't diagnose in the field," Jones said. "Our job is to just treat the symptoms that we see and the signs that we see. We don't make any diagnosis."Berube said he believes the patient was seeking a COVID-19 test to prepare for an upcoming surgery."I think until an autopsy is performed, we probably shouldn't jump to conclusions," he said. "It would be very unfortunate to try to place blame on what happened here... the anxiety, the fear that's present in our community, it just gets compounded when we jump to conclusions."When asked if there were enough staff members at the testing site to handle the number of patients, Berube said it's difficult for officials to plan ahead."Safety of patients and the community is number one. I believe that if additional resources are identified, then Intermountain Healthcare, following their values and their mission, that they would make sure resources are there," Berube said. "Any given day, you don't know how many patients are going to show up to get tested. It's not a pre-scheduling situation."Intermountain reminds the public that "anyone who is seriously ill should call 911 for help or go directly to a hospital emergency room, not to a COVID-19 drive-thru testing center."This story was originally published by KSTU in Salt Lake City. 3038
NEW YORK — New York City Mayor Bill de Blasio grabbed a roller Thursday and helped paint the words "Black Lives Matter" front of the namesake Manhattan tower of President Donald Trump.De Blasio was flanked by his wife, Chirlane McCray, and the Rev. Al Sharpton as he helped paint the racial justice rallying cry in giant yellow letters on Fifth Avenue in front of Trump Tower."We are liberating Fifth Avenue," de Blasio said. "We are uplifting Fifth Avenue."The NYC Department of Transportation closed off the avenue between 56th and 57th streets around 7 a.m. Thursday in preparation for the painting.The DOT said the block would remain closed to automobile traffic until Sunday, however, the bus lane will be operational sooner.The mural was originally set to be painted on July 2, but was postponed due to "logistics," de Blasio said at the time. Mayor de Blasio just arrived with @TheRevAl and @NYCFirstLady. Responding to President Trump’s remarks last week where he said #BLM mural will denigrate 5th Ave. Mayor said they are here to “liberate” it @PIX11News pic.twitter.com/Gfym3sTEqO— Andrew Ramos (@AndrewRamosTV) July 9, 2020 #BLM MIDTOWN MURAL: @NYC_DOT stenciling begins outside Trump Tower. @PIX11News @realDonaldTrump pic.twitter.com/WkOIH0fx2C— Anthony DiLorenzo (@ADiLorenzoTV) July 9, 2020 De Blasio first announced the mural in late June, saying it would be painted by Trump Tower on the famed avenue, that specific location selected for a reason."Painting 'Black Lives Matter; outside his home is a message to him that in fact black lives do matter, that black people built New York City and they've never been compensated for all they did," the mayor said.Dozens of cities across the country have painted similar murals on city streets, following in the footsteps of Washington, D.C.President Donald Trump has slammed the planned mural, calling it a "symbol of hate" in a series of tweets earlier in July.Trump claimed the mural would be "denigrating this luxury Avenue" and "will further antagonize New York's Finest."De Blasio fired back on Twitter saying, "Black people BUILT 5th Ave and so much of this nation. Your 'luxury' came from THEIR labor, for which they. have never been justly compensated.""We are honoring them. The fact that you see it as denigrating your street is the definition of racism," his tweets read.This story was originally published by Mark Sundstrom, Anthony DiLorenzo, Andrew Ramos on WPIX in New York. 2476