Amid lockdown, is chemotherapy and cancer care at home the way forward?

The rapid spread of SARS-CoV-2, combined with an unprecedented, near-complete global lockdown, has prompted cancer patients to seek healthcare at home. This has provided a window for healthcare companies to offer home services.




For a Gurgaon-based breast cancer patient, the lockdown has been a difficult time. Fearing hospital-led infections, she has been undergoing chemotherapy at home. A stage four metastatic breast cancer patient, aged 50-plus, she has been undergoing treatment for three-and-a-half years. She said, “Before the lockdown, I was going to the hospital for chemotherapy cycle and treatment every 21 days. But now, undertaking one at one.”

The sentiment is echoed in the case of a Delhi-based 79-year-old, who was detected with stage three breast cancer in early 2019. “She was in hospital care but after the pandemic and subsequent lockdown, we decided to look after her at home as per the oncologist’s advice,” mentioned a family member. The family was initially concerned about the risk of infection with “nurses and physicians” visiting the home, “but the qualified and educated professional treatment has made us feel better about taking such a service”. For two months now, the bedridden patient has been administered the essential IV drugs at home as part of chemo care.

With the lockdown restrictions amid the novel coronavirus pandemic, there has been rising concern among cancer patients whose immune systems make them susceptible to the respiratory viral infection. They are increasingly raising queries and even opting for chemotherapy at home among other oncology services for multiple type of cancers including breast cancer, blood cancers, multiple myeloma and ovary cancer.

Their concerns are not unfounded as a March 2020 report of Cancer Care Delivery Challenges Amidst Coronavirus Disease – 19 (COVID-19) Outbreak published in Asian Pacific Journal of Cancer Prevention stated how cancer patients are more susceptible to coronavirus as they are in an ‘immunosuppressive state because of the malignancy and anticancer treatment’. The report went on to highlight that ‘Oncology communities must ensure that cancer patients should spend more time at home and less time out in the community’.

Agreed Dr Manish Singhal, senior consultant, medical oncology, Apollo Hospital, “While it is not a preferred mode of treatment, it is an arrangement between the patient, oncologist and the healthcare provider/medical company to maintain the schedule of chemo sessions.”

“Desperate times call for desperate measures. While there is a risk involved in tertiary anti-cancer therapy at home, it is to be monitored effectively. Also, since at least two or more sessions are first completed in the hospital, such treatment can be provided at home if the oncologist is on board with the course of treatment that includes administering anti-cancer drugs,” Dr Singhal told indianexpress.com. He informed that he has done 25 such infusions in the past few months with the help of Apollo HomeHealth Care, hinting at an “unprecedented” demand for such tertiary care.

That is perhaps why Portea Medical, a consumer healthcare brand, recently launched chemotherapy at home services in metro cities of Delhi, Bengaluru, Mumbai, Chennai and Kolkata to help cancer patients and survivors to avoid the risk of hospital-acquired infections by recuperating at home, said Dr Vishal Sehgal, MD, Portea Medical.

“Today, medical care is at an advanced level and both hospital and home-based care is possible. If there have been no adverse reactions after the initial sessions of chemotherapy in the hospital and if the oncologist approves with a detailed protocol formulated by  them, only then such a service is provided,” Dr Sehgal said.

While international brand HealthCare atHOME has been providing such a service for the past six years in India, it is now that the demand has seen a steep rise. “As OPDs are closed and patients don’t want to visit them for fear of contracting COVID, home chemotherapy and other oncology services have become a lifesaver,” said Dr Gaurav Thukral, executive vice-president and chief operating officer, HealthCare atHOME, India.

“The concept is slowly growing in India and we are trying to replicate the same model here. To build the confidence of doctors, we get them interviewed and train our existing experienced nurses. We keep them updated remotely via technology at every step of care delivery,” he said.

What happens in such at-home patient care settings?

As part of the home-based service, a trained and certified chemotherapy nurse is appointed for the session, which is supervised by a full-time doctor provided by the healthcare company. Besides administering medications like pills and injections, and IV chemotherapy or antibiotics, therapies administered via patch or suppository, the nurse reviews the health history, keeps a record and tracks pathological, laboratory and imaging studies, assesses and monitors emotional and physical status and carries out regular communication with the oncologist on a patient’s behalf.

“It is a very comfortable and smooth experience. I faced no issues at all. They have been very supportive. The oncologist has also been in constant touch with me,” according to a patient. She added that her procedure is done in a “different room where I don’t allow my family members and anyone else to come; only the doctor and the nurse who attend to me are there with me throughout”.

Cancer patients require specialised care, attention, and monitoring as they undergo recovery at home. In such a situation, having an oncology nurse by your side ensures a proper monitoring of one’s needs and offers the care required for a speedy recovery. From assisting them in daily activities to mitigating stress during complications arising out of pain, nausea, etc, home-care assistants help prevent unnecessary distress from symptoms and make the patient feel as comfortable as possible,” remarked Dr Thukral. He added, “High standards of hygiene and infection-control at par with that of hospitals is followed.”

How convinced are doctors with it?

While several oncologists like Dr Singhal are on board with the concept, there are still others like Dr Shyam Aggarwal, senior consultant, medical oncologist, Sir Gangaram Hospital, Delhi, who holds that “it amounts to jeopardising one’s life”. “What if an adverse reaction takes place? Jeopardising the life of a patient is a risk not worth taking. Administering a drug at home is definitely very different and opens up the possibility of something going wrong manifold. The risk, therefore, lies with the treating oncologist,” said Dr Aggarwal, who has more than three decades of clinical experience.

However, given the “improvement in the quality of care for cancer patients through a patient-centered approach”, patients’ needs rather than prognosis is seen as a way of improving the quality of care, pointed out Dr Thukral. “The delivery of oncology care at home is increasingly seen as a way of improving the quality of care and as a cost-effective alternative in recent times,” he said.

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Christina Milian Talks Starting a Baby Line, Homeschooling amid Pandemic and Her Newborn Son


Four months after giving birth to her second child, Christina Milian says "life is good."

The actress and singer, 38, welcomed son Isaiah in January with her boyfriend, Matt Pokora. Isaiah joined 10-year-old big sister Violet Madison, whom Milian shares with ex-husband The-Dream.

Milian tells PEOPLE in a new interview that despite the ongoing coronavirus global health crisis, she is grateful to be able to spend quality time with her family.

"I'm super happy. I have a really happy baby," she says. "And honestly, with all this stuff going on, it kind of was a blessing in disguise to be able to spend so much time together, and to not be forced to rush right back to work. It's been nice to just be home and be with my daughter and have this bonding experience."

"Hopefully this is a once-in-a-lifetime thing that's happening [and] not something that will happen often," Milian adds of the pandemic. "But whatever the case may be, I'm an optimistic person — I look at the positivity in it all."

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Christina Milian "Felt the Love" During Baby Shower for Son on the Way: "I Had Such a Great Time"

Milian has been keeping busy since having Isaiah, recently debuting a baby line with Your Babiie titled AM:PM by Christina Milian.

The collection, which includes a range of strollers, high chairs and diaper bags, is meant to "really stand out" and appeal to "modern moms," Milian says.

"I wanted to provide a really cool and kind of stylish baby gear line because everything else is pretty basic," she tells PEOPLE. "I just wanted to do something different."

The Bring It On: Fight to the Finish star has also been helping to homeschool her daughter Violet while schools remain closed amid the pandemic.

"I thought it would go better than what it is," she says, laughing. "I'm actually having a great time working with her and going over her school stuff."

"I think the parents all think we're doing a good enough job, but then you almost take it personally if she's not getting straight As because you're like, 'Wait, hold on, I'm helping do all of this,' " Milian adds.

Christina Milian Is "Mom of the Year" for Setting Up Meeting Between Daughter and Cardi B

Milian says that Violet's personality "really shines" when the mom of two films for her Facebook Watch series, What Happens at Home with Christina Milian.

"She's just a light bulb — when she turns on, she turns on. She's so funny," Milian raves. "She's got a lot of facial expressions and hand motions and things that sometimes I'm like, 'Where did this character come from?' "

"But I love that she can really express herself and has fun, and doesn't feel uncomfortable," she adds.

As information about the coronavirus pandemic rapidly changes, PEOPLE is committed to providing the most recent data in our coverage. Some of the information in this story may have changed after publication. For the latest on COVID-19, readers are encouraged to use online resources from CDC, WHO, and local public health departments. PEOPLE has partnered with GoFundMe to raise money for the COVID-19 Relief Fund, a GoFundMe.org fundraiser to support everything from frontline responders to families in need, as well as organizations helping communities. For more information or to donate, click here.

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COVID-19-the Dead: autopsies show severe lung damage – natural healing naturopathic specialist portal

Lung damage: Important information about the cause of death of Corona patients

The largest part of the people who have been infected with the COVID-19-causative agent, the Coronavirus SARS-CoV-2, attached, show only mild symptoms. However, in some patients the disease can take a severe course and lead to death. In a new study has now shown that there is often severe lung damage, for the death of the Sufferers are not the cause.

Recently, Research reported from Germany and the United States, the COVID-19 the lungs, damage other than a Influenza. How much the lungs are damaged in many of the Corona-treated patients and in-patients, have also shown autopsies of COVID-19-deceased.

Massively impaired oxygen absorption in the lungs

As the University of Augsburg writes in a recent communication, shows a study of the Augsburg University hospital, the lung tissue of COVID-19-is damage of the deceased, is irreversible.

The cause of the damage to the Coronavirus whose genome was able to be in the respiratory tract detected was.

Lung damage due to mechanical ventilation could be excluded as the cause largely because more than half of the patients were not ventilated.

The massive impaired oxygen absorption in the lungs led according to the experts, finally to the death of the Diseased.

The results of the study were published recently in the prestigious journal “Journal of the American Medical Association” (JAMA).

Almost all of the deceased were autopsied on

The infection with the Coronavirus SARS-CoV-2 runs in the majority of cases, as little complication-prone disease of the upper respiratory tract, particularly the pharynx.

Some of the Infected develop pneumonia, which is a small proportion of the cases so hard, that an artificial respiration is required. In spite of intensive medical measures inherit patients die of this disease.

An interdisciplinary team of Doctors, the Augsburg-based pathologist Dr. Tina Schaller led since the 4. April of this year, 19 autopsies in deceased patients with COVID-19.

Thanks to a careful reconnaissance of the relatives could be reached in Augsburg, an autopsy rate of close to 90 percent of the deaths, which allowed the Physicians a genuine assessment.

The genome of the Virus in the respiratory system shown

“During the investigations, we were able to the genetic material of the Virus in the respiratory system of the deceased to prove,” explains Dr. Schaller, senior physician and first author of the study.

The information that was revealed in the lung tissue itself was unusually severe, in part allegedly irreversible damage.

The team of Doctors looks at this change as a cause of death, because in this way the oxygen uptake is through the lungs to supply the organs, massively compromised.

With the impact of SARS – and MERS-diseases similar

“The most important finding from the first analysis is that the described pulmonary lesions are clearly a complication of mechanical ventilation,” Prof. Dr. Bruno Märkl, Director of the Institute for pathology and Molecular diagnostics of the University hospital of Augsburg and holds the chair for General and Special pathology at the Medical faculty of the University of Augsburg.

“Rather, they arise independently of this intensive medical intervention most likely to be directly due to the viral injury. All patients suffered from severe underlying diseases, but did not lead directly to death,“ explains the physician.

According to the message in the other organs no obvious serious changes were able to be detected.

By the Coronavirus SARS-CoV-2 caused marked damage to the lungs are comparable with the effects of the SARS – and MERS-related diseases. (ad)

Right in the middle of the Abitur-exams: Covid-19-the case of Bavarian grammar school

The Coronavirus pandemic, keeps the world in breath: More than 5 million people globally have become infected with the novel Sars-CoV-2 – 178.568 of them so far in Germany.

Right in the middle of the Abitur-exams: Covid-19-the case of Bavarian grammar school

Ironically, in the midst of the Abitur-exams: A teacher of the Graf-Rasso-gymnasium Fürstenfeldbruck is positive in the Coronavirus tested. The “Münchner Merkur” citing the competent district office.

The teacher was, according to the “mercury” in the on Wednesday (20. May) will be held in German-Abitur supervisor for six students. It is supposed to have passed, there is no direct contact, which is why the students as a "Contact persons of the level 2" were classified. You don’t have to put in quarantine and could continue their baccalaureate exams.

The rest of the class and school were not affected, the tests would be normal. The teacher, according to good, said the head of the school, Doris Hübler the news portal said.

 

All messages to the Corona-crisis in Germany, Europe and the world, you will find in the News Ticker of FOCUS Online.

Cheese cake: lightning recipe without the ground – in less than 10 minutes in the oven

Appetite cheese cake: lightning recipe without the ground – in less than 10 minutes in the oven

Pregnant Hilaria Baldwin Takes 'Baths Morning and Night' to Help with Feeling 'Overwhelmed'

Hilaria Baldwin might be a busy mom of four, juggling parenting and homeschooling her children amid the coronavirus pandemic as they continue to social distance together, but she still finds the time for self-care.

In a video for Verizon Media/Yahoo's "Reset Your Mindset" virtual event, the fitness instructor and Mom Brain podcast co-host, 36, reveals a few of the ways she is "spending 'me time' " during the crisis.

"I close myself off in my bathroom and I love to exercise and do breath work," she says. "I take baths morning and night — that really, really helps me."

Of course, sometimes she is joined by her "little people" — sons Romeo Alejandro David, 2, Leonardo Ángel Charles, 3½, and Rafael Thomas, 5 next month, plus daughter Carmen Gabriela, 6½ — but she doesn't mind, and just appreciates "the warm water on [her] skin."

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Pregnant Hilaria Baldwin on "Nonstop" Day While Social Distancing with 4 Kids amid Coronavirus

Hilaria, who is sheltering in place with husband Alec Baldwin and their kids while pregnant with their fifth child together, says that when she's having a tough time mentally, "I always think about how much worse it could be."

"How much worse it could be all of a sudden makes my situation seem not as bad, and with that, it pulls me up a little bit," shares The Living Clearly Method author, "and allows me to have a lightness and a strength to be able to attack my problem."

But she certainly has her moments when she just needs to let it out, too. "I cried the other morning, and it was over a bunch of really silly little things," Hilaria recalls. "And I don't typically do that, and my kids were [taken aback]."

"I wasn't freaking out on them — I just had tears," she clarifies, laughing. "There were just tears because I was so overwhelmed."

Hilaria — who suffered a miscarriage last April and another at four months along in November, while expecting a baby girl — recently chatted with PEOPLE about how she and her family are looking at the big picture amid the global health crisis.

"Alec and I were complaining about it a week or so ago and Carmen was asking about it and I said, 'Carmen, nobody wants to be doing this right now. It's frustrating for us all to have to stop our normal lives,' " she said in late March. "And she's like, 'I don't know what you guys are talking about, I love this. I love spending time with you. All I want to do is spend time with Mommy and Daddy and my brothers.' "

"And it kind of stopped us in our tracks and our mouths were open and we were like, 'Okay, let's go with that mentality, because that sounds so much better than complaining, which is what we've been doing!' " Hilaria added.

As information about the coronavirus pandemic rapidly changes, PEOPLE is committed to providing the most recent data in our coverage. Some of the information in this story may have changed after publication. For the latest on COVID-19, readers are encouraged to use online resources from CDC, WHO, and local public health departments. PEOPLE has partnered with GoFundMe to raise money for the COVID-19 Relief Fund, a GoFundMe.org fundraiser to support everything from frontline responders to families in need, as well as organizations helping communities. For more information or to donate, click here.

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The cholera outbreak in a Victorian asylum that anticipated the coronavirus crisis in care homes

In 1849, a cholera epidemic that was sweeping through Britain reached West Riding Asylum in Wakefield, West Yorkshire. The deadly disease soon spread through the wards. Searching for the source of the outbreak, the consulting physician eventually settled on an individual who had been admitted while ill. The doctor described this unfortunate patient as the “unconscious messenger of death”.

Over a century and a half later, a care-home owner in Devon—alarmed by the fact that local care homes could admit residents with COVID-19—expressed his fears in a strikingly similar way. In early April 2020, the government issued guidelines that permitted taking in new residents even if sick. This, the care-home owner argued, would be “tantamount to importing death”.

Care homes are the epicentre of the COVID-19 pandemic in the UK. Compared to all other settings, they have seen the biggest relative increase in deaths since the start of the outbreak. Most of the vast asylums of the Victorian era closed in the 20th century, as attitudes to treating mental health changed. Yet there are haunting parallels to be seen. Responses to, and experiences of, an outbreak of disease at one of these asylums back in the 19th century are disturbingly resonant today.

Cholera, an acute diarrhoeal disease, claimed the lives of more than 100 patients at West Riding Asylum in 1849. Such was the scale of the tragedy that the consulting physician, Thomas Giordani Wright, was commissioned by the asylum’s regulators to investigate and account for this disaster. The result, a report published in 1850, allows us to reconstruct the story of the cholera outbreak in minute detail. It is a story which foreshadows our own.

Cholera grips the asylum

The 19th century witnessed a huge expansion in the number of asylums in England.

In 1808, the British government passed legislation that allowed counties to collect and spend taxes on building asylums for those unable to pay for private treatment for mental illness. While most counties didn’t begin construction until they were forced to by further legislation in 1845. Yorkshire was quick off the mark. West Riding Asylum opened its doors in November 1818, initially with a view to accommodating 150 patients. By the middle of the century, extensions and a second building meant that more than 500 patients filled its wards.

Global cholera pandemics were a repeated problem throughout the 19th century. When the disease hit Britain in the autumn of 1848, Yorkshire was initially spared. But by September 1849, it had reached Wakefield. In his report, Wright conjures an image of the institution besieged, with “the spread of the pestilence all around the asylum”.

Some of those who had been attached to the asylum for a long time, like Wright himself, might have taken confidence from the fact it had escaped disaster during the previous cholera pandemic to hit England, in 1832. In 1849, sadly, it would not be so lucky.

In his report, Wright sought to understand how the disease had infiltrated the institution. He was doing so a few years before John Snow’s discovery that cholera was waterborne. Yet an inspection of both the drainage and ventilation did take place at West Riding Asylum; both were given a clean bill of health. Indeed, the inspectors—Messrs West and Dawson—were left to conclude that “the visitation, fatal as it has been to many, must be considered either as the immediate infliction of Divine Providence, or as dependent on causes of which nothing as yet is known”.

Wright looked elsewhere for causes. And in spite of his admission that “the laws of contamination are, in fact, little known”, he set his sights on one Elizabeth Fenton—his “unconscious messenger of death”.

The hunt for ‘patient zero’ begins

Elizabeth Fenton, a person with epilepsy, had been admitted to West Riding Asylum on 17 September 1849. She came from the nearby Gomersal Workhouse, where she had been for the past six years after her husband, a stonemason, abandoned her and their two children. Although her transfer had been recommended some weeks earlier, when the local official called at the workhouse to take her to the asylum, it took people at the workhouse by surprise.

Strokes of ill luck might, in part, explain the disastrous chain of events which followed. Two residents at the Gomersal Workhouse had died of cholera the night before Fenton was transferred; one of them normally slept in the same room as her. Yet authorities may have been lulled into a false sense of security by the fact that Fenton had not had direct contact with these residents before her transfer. She had suffered an unusually violent seizure that week, and so had spent most of her last nights in the workhouse restrained in a chair in another room. And the day before her transfer, she had been given a laxative to help relieve constipation. An early warning sign of cholera infection, diarrhoea, was thus concealed.

By the evening of her first day in the asylum, Fenton had developed symptoms. She was isolated immediately, as it had become clear that an outbreak was underway in Gomersal Workhouse. Her room was locked, and access restricted to a select few. But within a week, four more women had fallen ill. From that point on, the disease spread like wildfire through the female as well as male patient populations of the asylum.

Since the male cases were known not to have had any direct contact with any of the female cases, and the original four women were not even thought to have seen Fenton, Wright was stumped to explain whether the mode of transmission was “gaseous or solid, material or immaterial, vegetable or animal, magnetic or electrical”.

But he was firm in his conclusion that “infection was in some way brought into the asylum by that patient”. He cinched his argument by referring back to the 1832 pandemic, which the asylum had escaped unscathed. The only difference, he argued, between the two contexts was that no new patients from infected districts had been admitted in 1832, whereas in 1849, they had: Fenton. Case closed.

Yet Wright pursued this line of investigation further, with prosecutorial zeal, by turning his attention to Gomersal Workhouse. Fenton had brought the disease from Gomersal to West Riding Asylum—but how, in the first place, had it arrived at Gomersal?

From the medical officer at the workhouse, Wright learned that on 6 September “a dirty Irish woman, and her four children, were brought into the workhouse”. Showing signs of cholera, they had been taken to the workhouse hospital, where the mother had died just hours after arrival. One of her children died “a day or two after”; the exact timing was not thought worth recording. And just a day before Fenton was transferred to the asylum, two other women at the workhouse died.

As we know all too well from COVID-19, Aids and other recent pandemics, the hunt for the first person to fall ill—known as “patient zero”—collides with other vectors of stigmatisation. In the case of COVID-19, this has been clear above all in the horrifying rise in anti-Asian racism and xenophobia worldwide.

By 1849, the arrival in England of hundreds of thousands of Irish displaced by the Great Famine had contributed to wider anti-Irish sentiment, cementing a prejudicial association with poverty, dirt and disease. Forced into desperate living conditions, including dog kennels and cellars, this was an association which drew vicious strength from the staggeringly high death rates among the Irish during times of epidemic disease. As well as being epidemiologically unhelpful, Wright’s explicit identification of a local Irish patient zero fed into growing anti-Irish racism and a representation of the Irish as carriers, rather than fellow sufferers, of the disease.

The human cost rises

With cholera loose in the institution, the medical officers and attendants at West Riding Asylum tried to fight it using the full arsenal at their disposal: removal of patients to a separate cholera ward; improvements in diet—including “extra allowances of tea and brandy for supper”; fumigation of wards; and laundering of all bed sheets and clothes.

But as in the current pandemic, there was no cure, no vaccine. By the end of the year, more than 100 residents had died of cholera. Nineteen had died in just a single day towards the end of October.

In what Wright evidently considered to be a small mercy, the patients “generally did not appear to be much affected by fear, nor were they aware of the extent of the mortality”. But just as in today’s care homes, for the staff of the institution, it was traumatic. “It was a period of awful emergency, and the consternation of all was increased by the fearful mystery of the pestilence, the rapidity of its attack, without previous symptom or warning, and the little more than failure of every effort, to mitigate its course, or avert its progress.”

Amid this horror, it is unsurprising—particularly, unhappily, to us now—that residents were not the only fatalities. On November 4 1849, Mrs Reynolds, the chief nurse of the ward set up to tend to cholera cases, died of the disease.

In a separate report in November 1849, the director of the asylum quoted Reynolds as saying: “If I should die, I shall have the satisfaction on my death bed of knowing that I have done my duty.” Wright later wrote movingly of “her heroic and unremitting devotion to her duties” and “her kindness and humanity”.

Reynolds was not alone in being held up for praise. In 1851, the director of the asylum looked back on the service of all staff in these harrowing months “with gratitude and admiration”. And while noting that “no pecuniary recompense can adequately remunerate such services”, he drew attention to the princely sum of £264 which had been distributed among staff by the visiting justices, and a further—unspecified but “very large”—sum disbursed by a visiting magistrate (there to oversee Wright’s investigation) in a private capacity.

There is a poignant coda to this story, however. In contrast to the “substantial tokens of public approbation” the surviving officers and attendants had received, Wright used his report to draw attention to the sad inadequacy of Reynolds’s final resting place: a grave “without a mark to record her fate”. He pleaded with the magistrates and medical officers to make contributions so that her life and service could also be properly remembered.

Were lessons learnt?

Wright rounded off his report with a “lessons learnt” section—a genre with which we are likely to become all too familiar in the coming months and years.

While noting that changes to diet and fumigation appeared to bear some fruit, the lesson Wright was desperate to hammer home was the importance of “the precaution of not admitting into the asylum fresh patients from infected districts”. In that respect, his advice was much stricter than that issued by the Board of Health, the body charged with the control of epidemic disease, whose confident assurances—he suggested—had influenced people “to disregard all risk of communication”.

Wright concluded: “We have been fatally taught, that it is most important to use every possible vigilance to avert the approach of cholera; for, if it once find an entrance, no human resources are of much avail, to mitigate its intensity or abate its ravages.”

The colossal asylums of the 19th century may no longer be with us, but the parallels haunt us still. The risk to care homes was clear early in the contemporary crisis, according to chief scientific adviser Sir Patrick Vallance. And the vulnerability of institutionalised populations was not only foreseeable; doctors during the 1849 cholera outbreak tried to pass down lessons to future generations.

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Restart at the Corona-Hotspot West meat in Coesfeld

The Coronavirus pandemic in Germany medicine, politics, tourism and society firmly in its grip: More than four million people globally have become infected with the pathogen of Sars-CoV-2, 175.173 of them in Germany.

Restart at the Corona-Hotspot West meat in Coesfeld

After a forced break due to the many Corona-infections-Western meat starts on Tuesday with a test operation in the Coesfeld plant. In the first step, but still no pigs are to be slaughtered. The gradual start-up of the operation is accompanied by surveillance authorities. Used only for employees, you can have negative test results with the Coronavirus to be.

The district of Coesfeld had closed the plant in front of one and a half weeks temporarily, after numerous plant had infected the workers with the Coronavirus.

Also in lower Saxony is in operation in the district of Osnabrück, are employees of a Meat many Coronavirus infections have become known to the company West crown in Dissen, which is also operated by the battle company West meat together with Danish Crown. There, the district tested a total of 92 employees in a positive way.

On Monday, the operation rested thereupon. According to the district of approximately 2000 tonnes of meat may process. Thereafter, the operation for 14 days, it must close completely. A total of around 300 employees work in Dissen.

All further news about Corona-pandemic from Germany, Europe and the world, you will find in the News Ticker of FOCUS Online.  

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After Edeka and Netto Lidl now sells Designer masks by Van Laack

chip.de After Edeka and Netto Lidl now sells Designer masks by Van Laack

58 days on the ventilator, connected to: Suddenly, a Corona begins to speak patient

The Coronavirus pandemic concerns also in Germany medicine, politics, tourism and society: More than four million people already infected with the pathogen of Sars-CoV-2, 174.301 of them in Germany. All the news about the Corona pandemic from Germany, Europe and the world, you will find in the News Ticker of FOCUS Online.

More News, services, and ideas to the Corona of a pandemic can be found on our overview of the portal

After 58 days on a ventilator, a 35-year-old woman who was suffering from Covid-19 has acquired a unit, the consciousness, and to speak in a surprisingly even begun. The “Sunday Times” reported. Still, the patient is no longer connected in Southampton General Hospital on the device, it needs to have but not mandatory. Their weaning from the ventilator should start but.

The senior physician for the intensive care of the hospital, Dr. Sanjay Gupta, said that the patient still have a long way to recovery, as well as a long rehabilitation in front of him. “She practically said no muscle strength – barely enough to Breathe,” the doctor of the “Sunday Times” and also explained why that is so. “If you connected to a respirator or in intensive care is to build the skeletal muscles with the time.” Other problems, like a weakened diaphragm, would then occur.

Corona-patient starts after 58 days on mechanical ventilation to speak suddenly

Gupta was surprised for a number of reasons, and thrilled that the woman could suddenly communicate. Suddenly she could speak, while she was still too weak to lift a Finger or write a file, reported doctor.

Because many studies assume a high mortality of up to 90 percent for Covid-19-patients in intensive care or ventilation, the progress of the patient, all the more remarkable.

R-factor apparently loses its importance – infections Loge explains why

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Coon is desperately trying to plunder a bird house – home-owner fires him

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Coronavirus: Big tobacco sees an opportunity in the pandemic

Over the last few months, as COVID-19 has spread around the world, big tobacco has exploited the pandemic to push its branding and products. The industry never misses a trick when it comes to exploiting the chaos of international crises, including wars. The current pandemic is no exception.

The strategy is to use the pandemic to try and shift their image from vilified industry to trusted health partner. The tactics they have employed to achieve this are shameless, even for an industry as controversial as tobacco. There are examples of tobacco companies offering assistance in the form of ventilators, gels, PPE and even cash. They are even involved in trying to develop a vaccine. While there is no doubt that these have been gratefully received by authorities struggling with a chronic lack of resources, the industry has been up to other tricks, too. And one British FTSE 100 company is proving particularly adept.

In March, as many governments began to lock down their populations, British American Tobacco (BAT) began co-opting universal health messages. These were then placed on branded face masks, which were subsequently handed out to social media influencers for free.

Instagram remains one of the key marketing platforms for the industry. In 2019, BAT paid Instagram influencers to promote glo, its heated tobacco device, among other products. One of the hashtags used was #todayiwill.

BAT’s Instagram campaign ran into trouble, though. In December 2019, in a landmark decision, the UK Advertising Standards Authority, ruled against BAT and three other firms for promoting an e-cigarette, Vype, on Instagram, after a complaint by ASH, Campaign for Tobacco-Free Kids and STOP, of which the University of Bath is a partner. Later that month, under pressure to act, Facebook and Instagram announced that “branded content that promotes goods such as vaping, tobacco products and weapons will not be allowed”.

Undaunted, BAT appeared to use the social media platform as a COVID-19 marketing tool, especially in countries where oversight was likely to be less stringent. BAT simply changed the #todayiwill hashtag to #todayIwillstayhome, to reflect the messaging from governments for people to stay at home. Evidence uncovered by the Campaign for Tobacco-Free Kids, which has been tracking BAT’s activities, found that in Kazakhstan among other countries, BAT provided influencers with “today I will stay home” glo masks. Other hashtags used included #glomask.

The company used other COVID-19 hashtags, too. An influencer appeared on one BAT Vype account in Spain, using #frenalacurva, the Spanish for “flatten the curve”. BAT employed similar tactics in Latin America and Europe. This meant if you were searching on Instagram for these government messages, you would come across BAT’s subliminal marketing.

Days before the glo-branded masks started appearing on social media and right in the middle of the pandemic, BAT launched a glossy rebranding exercise unveiling a new slogan “For a Better Tomorrow”. The company replaced its old tired leaf logo with bright rainbow colours.

‘New adults’, new market

BAT’s board told investors that its redefined mission was now “stimulating the senses of a new adult generation”. This essentially means entrapping a new generation of young people into nicotine addiction, from vaping, heated tobacco products to cigarettes.

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