Author Archives: IDSA Contributor

The early days of a campus COVID-19 response: pivot and pivot again

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By Lisa V. Adams, MD, and Kavita Kantamneni, MPH When Lisa describes her early days on Dartmouth’s COVID-19 response, she asks people to recall their “first COVID-19 moment,” that instant when they realized this was not a drill, that this was going to be something big and life-altering. For her, that was on Jan. 31, […]

Comments on key documents from the early weeks of SARS-CoV-2

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By Daniel R. Lucey MD, MPH, FIDSA The purpose of this blog is to provide comments on reporting of some of the key COVID-19 events from 23 Chinese publications dated Dec. 31, 2019, until Feb. 17, 2021. Except for the five from the China CDC Weekly website, most are no longer online; however, I saved […]

Melioidosis cases in Georgia, Minnesota, Texas, Kansas “most closely related to strains found in Asia, particularly South Asia”: What is the epi-link?

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By Daniel R. Lucey MD, MPH, FIDSA On Aug. 9, the U.S. Centers for Disease Control and Prevention reported both in their Health Alert Network and in a separate media statement a fourth case of melioidosis in the United States. This patient lived in Georgia and died in July 2021. The common exposure epidemiological (epi-) […]

Heightened vigilance needed to solve persisting enigma of melioidosis cases in Kansas, Minnesota and Texas

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By Daniel R. Lucey MD, MPH, FIDSA On June 30, 2021, CDC issued a Health Advisory via its Health Alert Network stating: “The Kansas Department of Health and Environment, the Texas Department of State Health Services, and the Minnesota Department of Health, with assistance from the Centers for Disease Control and Prevention (CDC), are investigating […]

Clues to COVID origins via Wuhan wet market study 2017-2019 of severe fever with thrombocytopenia syndrome

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By Daniel R. Lucey MD, MPH, FIDSA Retrospective testing for SARS-CoV-2 virus and antibody could be (or has been) done using blood and other samples highly likely to have been obtained from the 18 mammalian species (including masked palm civet, racoon dogs, and mink) reported in the Wuhan wet markets, May 2017-November 2019, as part […]

Not until June 2021 does China report Wuhan wet markets sold palm civets, racoon dogs and mink from 2017-2019: Where are the SARS-CoV-2 results?

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By Daniel R. Lucey MD, MPH, FIDSA Last month a paper titled “Animal sales from Wuhan wet markets immediately prior to the COVID-19 pandemic” by Xiao et al., in Nature Scientific Reports listed 18 mammalian species sold May 2017 -November 2019 in Wuhan wet markets (Table 1).  These mammalian species included masked palm civets (Paguma […]

Why has no Gamma variant (P.1) been reported in Africa despite being found in 72 nations in the Americas, Asia, Europe and Australia? 

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By Daniel R. Lucey MD, MPH, FIDSA Every week the World Health Organization posts an epidemiological update that includes global maps (below) and nation-by-nation listing in Annex 1 (below) for each of their four variants of concern: Alpha, Beta, Gamma, and Delta.  Multiple nations in Africa have reported Alpha, Beta, and Delta variants. In contrast, no […]

India declares Delta Plus (K417N) a Variant of Concern, and UK reports it is in 11 nations

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By Daniel R. Lucey MD, MPH, FIDSA ​As the highly transmissible “Delta Variant” has spread to over 85 nations, on June 22 India also declared “Delta Plus” a Variant of Concern. The “plus” refers to the addition of a spike protein mutation, K417N, in the Delta Variant. This K417N mutation has been seen in other […]

WHO designates “Lambda” as global variant of interest

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By Daniel R. Lucey MD, MPH, FIDSA In its weekly COVID-19 epidemiology update this week the World Health Organization stated that the “Lambda” was designated a variant of interest “based upon evidence of continued emergence and suspected phenotypic implications” (boldtype below was added). “Authorities in Peru reported that 81% of COVID-19 cases sequenced since April 2021 […]