libera/##covid-19/ Monday, 2022-04-25

BrainstormNew from COVID on Twitter: Eric Topol (@EricTopol): ~920,000 of confirmed American deaths are in age 50+which equates to 1 in 125 chance of dying from Covid in this age groupstatista.com/statistics/119… → https://twitter.com/EricTopol/status/151835719248675225600:43
BrainstormUpdates for India: +2276 cases since 17 hours ago01:04
BrainstormNew from BMJ Open: Impact of COVID-19 pandemic on healthcare service use for non-COVID-19 patients in Japan: retrospective cohort study: Objectives We aimed to investigate the impact of the first and second waves of the COVID-19 pandemic on healthcare service use by non-COVID-19 patients. Design Retrospective cohort [... want %more?] → http://bmjopen.bmj.com/cgi/content/short/12/4/e06039002:50
BrainstormNew from r/Coronavirus: Coronavirus: Shanghai reports 51 covid-related deaths for April 24, up from 39 a day earlier → https://old.reddit.com/r/Coronavirus/comments/ub8kgd/shanghai_reports_51_covidrelated_deaths_for_april/03:10
de-facto%title https://www.thelancet.com/journals/lanres/article/PIIS2213-2600(22)00127-8/fulltext "Clinical characteristics with inflammation profiling of long COVID and association with 1-year recovery following hospitalisation in the UK: a prospective observational study"03:35
Brainstormde-facto: From www.thelancet.com: Clinical characteristics with inflammation profiling of long COVID and association with 1-year recovery following hospitalisation in the UK: a prospective observational study - The Lancet Respiratory [...]03:35
de-facto"The proportion of patients reporting full recovery was unchanged between 5 months (501 [25·5%] of 1965) and 1 year (232 [28·9%] of 804)."03:36
de-facto"Factors associated with being less likely to report full recovery at 1 year were female sex (odds ratio 0·68 [95% CI 0·46–0·99]), obesity (0·50 [0·34–0·74]) and invasive mechanical ventilation (0·42 [0·23–0·76]). "03:37
de-facto"The sequelae of a hospital admission with COVID-19 were substantial 1 year after discharge across a range of health domains, with the minority in our cohort feeling fully recovered. Patient-perceived health-related quality of life was reduced at 1 year compared with before hospital admission. Systematic inflammation and obesity are potential treatable traits that warrant further investigation in clinical trials."03:38
de-factothat does not look promising for them to ever recover fully03:38
BrainstormNew from r/Coronavirus: Coronavirus: S. Korea's new infections drop to 30,000s amid slowdown of omicron wave → https://old.reddit.com/r/Coronavirus/comments/ub91ug/s_koreas_new_infections_drop_to_30000s_amid/04:46
BrainstormNew from Politico: How mRNA technology is on the cusp of transforming global health: Moderna’s mRNA platform technology rose to meet the challenge of the COVID-19 pandemic, but what impact could it have on other diseases? The innovation has the potential to [... want %more?] → https://www.politico.eu/sponsored-content/how-mrna-technology-is-on-the-cusp-of-transforming-global-health/05:05
BrainstormUpdates for Solomon Is.: +1745 cases, +1 deaths since 10 days ago05:09
BrainstormNew from COVID on Twitter: Michael Lin, MD PhD   (@michaelzlin): Ensovibep was given as a one-time IV injection  within 7 days after symptom onset. Patients were both vaxxed and unvaxxed (although %'s not described). 50% had previous exposure to SARSCoV2. pic.twitter.com/tbjPS4R5mX → https://twitter.com/michaelzlin/status/151842527253345894905:14
BrainstormNew from COVID on Twitter: Michael Lin, MD PhD   (@michaelzlin): Novartis is planning another Ph3 with the lowest dose of 75mg. This is disappointing for the pandemic if it means they don't expect EUA soon. Ensovibep seems superior to any mAb so far; it binds to such a big piece of spike that it works on all [... want %more?] → https://twitter.com/michaelzlin/status/151842843975310131305:24
BrainstormUpdates for Germany: +20084 cases since 12 hours ago06:05
BrainstormNew from COVID on Twitter: Scott Gottlieb, MD (@ScottGottliebMD): Evidence COVID spreading in Beijing; may have been for a while twitter.com/stephenmcdonel… → https://twitter.com/ScottGottliebMD/status/151844811410504089606:41
BrainstormNew from r/Science: science: Study finds unvaccinated people increase risk of SARS-CoV-2 (COVID-19) for vaccinated people even when vaccination rates are high → https://old.reddit.com/r/science/comments/ubd4ua/study_finds_unvaccinated_people_increase_risk_of/07:00
BrainstormUpdates for Emilia-Romagna, Italy: +5190 cases, +8 deaths since a day ago — Hiroshima, Japan: +997 cases since a day ago — Kagoshima, Japan: +883 cases since a day ago — Okayama, Japan: +631 cases, +2 deaths since a day ago08:11
BrainstormNew from r/Coronavirus: Daily Discussion Thread | April 25, 2022: Please refer to our Wiki for more information on COVID-19 and our sub. You can find answers to frequently asked questions in our FAQ , where there is valuable information such as our: → https://old.reddit.com/r/Coronavirus/comments/ubf0s5/daily_discussion_thread_april_25_2022/09:05
BrainstormNew from WHO Euro: European Immunization Week 2022 – celebrating progress and addressing new challenges in the control of [... want %more?] → https://www.euro.who.int/en/health-topics/disease-prevention/vaccines-and-immunization/news/news/2022/4/european-immunization-week-2022-celebrating-progress-and-addressing-new-challenges-in-the-control-of-vaccine-preventable-diseases209:34
BrainstormNew from r/Science: science: Impact of population mixing between vaccinated and unvaccinated subpopulations on infectious disease dynamics: implications for SARS-CoV-2 transmission → https://old.reddit.com/r/science/comments/ubf99c/impact_of_population_mixing_between_vaccinated/09:43
BrainstormNew from Reddit (test): CoronavirusUK: Aldi now selling COVID tests. 5 for a tenner. → https://old.reddit.com/r/CoronavirusUK/comments/ubfq7g/aldi_now_selling_covid_tests_5_for_a_tenner/10:12
BrainstormNew from Il Sole 24 Ore: (translated) Malaria, stalemate in funding and pandemic are tracing cases: The Global Fund calls for a renewed commitment to the fight against this disease which today kills a child every minute. Among the strategies: new generation mosquito nets, [... want %more?] → https://www.ilsole24ore.com/art/malaria-stallo-finanziamenti-e-pandemia-fanno-risalire-casi-AEy5e5TB10:42
Tuvixde-facto: I haven't read your linked article yet, but your quotes match related findings I've seen suggesting that odds improve around long-covid for those in better shape: better heart, cardio, & BMI categories fare better.10:52
TuvixI'm solidily in the 'normal' BMI category, but with warmer weather into springtime I've prioritized more routine cardio fitness, figuring it can't hurt to give myself better statistical odds of a quicker recovery when (and it's really a when) I'm exposed to the prevailing varient.10:54
de-factooh thats very important, afaik cardiovascular issues are amoung the most common severe or lethal diseases11:03
de-factothe paper unfortunately hints that there may be a portion of long COVID cases with little chances to fully recover on long term11:04
TuvixYea, I've been seeing more anecdotal reports of that, so it's also not suprising that medical studies & literature are catching up as they have time to evaluate the impact more fully.11:07
BrainstormNew from Reddit (test): Covid2019: Research has found about 1 out of 7 COVID-19 patients continued to shed the virus' genetic remnants in their feces at least four months after their initial diagnosis, long after they've stopped shedding the virus from their respiratory tract → https://old.reddit.com/r/Covid2019/comments/ubgqd4/research_has_found_about_1_out_of_7_covid19/11:11
de-factoUnfortunately there are also papers hinting on that vaccination does not really help with long COVID11:15
de-facto%title https://www.sciencedirect.com/science/article/pii/S088915912200111811:15
Brainstormde-facto: From www.sciencedirect.com: Six-month sequelae of post-vaccination SARS-CoV-2 infection: A retrospective cohort study of 10,024 breakthrough infections - ScienceDirect11:15
de-factopage 15911:16
TuvixAll the more reason not to lose sight of more routine full-body health I suppose. It's still a game of luck it seems, and I've certainly heard stories including those who ran marathons who got hit with bad long-covid too.11:18
de-factoyes, i simply dont want to get contaminated with this virus, i always wear tight masks when meeting people11:19
de-factomasks are not mandatory in Germany anymore, but most (e.g. 90%) still wear them11:20
TuvixSure, though depending on environment and timing, a mask on you is still less effective than a decent mask on both of you (or even a bad one on them along with your good one.) This said, you can't really change other people's behavior, only your own.11:20
BrainstormNew from Reddit (test): Covid2019: Does poor mental health give you a higher risk of breakthrough COVID infection? A new study says yes | “Our research suggests that increased breakthrough infections in people with psychiatric disorders cannot be entirely explained by [... want %more?] → https://old.reddit.com/r/Covid2019/comments/ubgvwj/does_poor_mental_health_give_you_a_higher_risk_of/11:21
TuvixMeanwhile, this side of the pond, the rules in the US are really just catching up to what the public has already been doing for 6 to 12 months now, that is not wearing masks or not even doing the bare minimum on airplanes when it was mandatory.11:21
de-factohere we still have a lot of infections happening right now unfortunately11:22
de-factohigh rates of incidence in Germany, so high probability of getting contaminated11:22
TuvixI was long overdue for a haircut and wasn't super worried about the interaction, but I can't wear my good mask for that and just used a surgical mask. None of the staff or customers had masks, although I had expected that.11:22
de-factohttps://ourworldindata.org/explorers/coronavirus-data-explorer?tab=map&zoomToSelection=true&time=latest&facet=none&pickerSort=asc&pickerMetric=location&hideControls=true&Interval=7-day+rolling+average&Relative+to+Population=true&Color+by+test+positivity=false&country=IND~USA~GBR~CAN~DEU~FRA&Metric=Confirmed+cases11:23
TuvixThe US rule changes by the CDC that re-classified most of the country as 'low transmission' were probably a mistake, since all the markers are lagging indicators (hospitals admits, etc.) so here we're basically past the point of any meaningful restrictions even if things get bad again.11:23
de-factoactually highest incidence in Europe right now is in Germany, we produce long COVID problems with record rates11:24
TuvixAt this point we've put all our hope in the vaccination and exposure based protection.11:24
de-factoour new health minister is a complete disaster, despite being epidemiologist11:24
TuvixThis time last year the US was still seeing declining cases, while this year it's on the upswing again, presumably BA.2 with BA.4 now the next item that'll make landful after it gets enough of a foothold.11:28
de-factoyeah and still no updated s-protein signatures from the vaccine manufacturers11:29
TuvixAny hope of this being a primarily "seasonal" infection is lost; it's not seasonal, but all tied to travel and the inevitable spread of infection where it lands.11:29
de-factoimho they should get forced to do better work, this is kind of unacceptable imho11:29
TuvixMoreso when public tax dollars are being poured into these companies, yea. Accountability is a tricky mix of business & politics though, and change is often fought over by both sides, often without meaningful progress.11:30
de-factowell how about connecting their approval of vaccines to their duty to update them according to the current variants in circulation?11:31
de-factoif they want to keep their cashcow they should work for it11:31
TuvixYup. Even if the difference is marginal (which was the argument back during the Beta/Delta updates that had some early testing) the real goal is to keep meaningful protection for the next variant, not just today's.11:33
de-factothe immune system was used to providing protection from recovery of infection (hence variant in circulation) for a certain amount of time (when the antibodies contract)11:35
de-factohence the assumption in that scenario would hold that antigenic drift only occured between immunization and potential re-contamination11:35
de-factovaccination with an outdated pathogen signature would artificially increase the antigenic drift (e.g. immunize with over two years old signatures for less than 2 years of protection)11:37
TuvixRight, plus however long that protection is going to need to last, 6-12 months, or more for those who opt not to get the next recommended dose right when it is available.11:38
de-factoi really hope governments *force* the manufacturers of vaccines to immediately update their signatures and keep them up-to-date11:38
TuvixThat's what they already do with influenza, but we've also had longer to get that game right, and we *know* the changes each year need to be targeted. I guess it'll just take time for us to collectively admit this is also true with COVID-19.11:39
de-factowhere is the problem? its trivial to update the mRNA vaccines, it takes 6 weeks or such11:39
de-factothey just dont want to have costy approvals again11:40
de-factowell then there is need to streamline that process accordingly i guess11:40
TuvixFrom what I'd read, the benefit back with the Beta update didn't provide enough improvement to be worth the logistics/cost/rollout issues, but of course that was the manufacturer's view on it.11:40
TuvixBut yea, we need to make the whole process easier for all parties, from development, testing, & approval.11:40
TuvixI think both sides see too much red tape and don't really want to act on it; producers from a cost & logistics standpoint, and government from having to manage the approvals, safety, and delivery of multiple vaccine sub-types to their populations.11:41
TuvixThose aren't good reasons mind you, just what I seem to have taken away from the lack of progress.11:42
de-factothe benefit for the vaccinated is to have a broad spectrum of antibodies available (to prepare for future mutants hence develop long lasting protection) the benefit for the manufacturers is to re-sell doses hence have as high rates of re-vaccinations as possible11:42
TuvixSomeone commented recently (twitter post from the bot IIRC) that we've done better globally with the Ukraine war logistics than we have with COVID logistics :\11:42
de-factohence the government just should act in the interest of majorities and tie license on updating signatures regularly, if manufacturers choose to not do that they vanish from market11:43
TuvixIndeed. I wouldn't want last-year's influenza protection, so why would I want that for SARS-CoV-2?11:44
BrainstormNew from Science-Based Medicine: Scientific review articles as antivaccine disinformation: Antivaxxers have always written dubious scientific review articles to try to make their wild speculations about vaccine science seem credible. Usually such articles wind up in bottom-feeding [... want %more?] → https://sciencebasedmedicine.org/scientific-review-articles-as-antivaccine-disinformation/12:10
pwr22<Tuvix> "Indeed. I wouldn't want last-..." <- Presumably because we made too much 😛13:07
pwr22So we'll keep using it until there's none left13:07
pwr22The amount of people getting covid here in the UK recently is insane13:08
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BrainstormNew from BMJ: A living WHO guideline on drugs for covid-19: This living guideline by Arnav Agarwal and colleagues (BMJ 2020;370:m3379, doi:10.1136/bmj.m3379) was last updated on 22 April 2022, but the infographic contained two dosing errors: the dose of... → http://www.bmj.com/content/377/bmj.o1045.short13:37
BrainstormNew from r/COVID19: Weekly Scientific Discussion Thread - April 25, 2022: This weekly thread is for scientific discussion pertaining to COVID-19. Please post questions about the science of this virus and disease here to collect them for others and clear up post space for [... want %more?] → https://old.reddit.com/r/COVID19/comments/ubjgz4/weekly_scientific_discussion_thread_april_25_2022/14:06
BrainstormUpdates for Taiwan: +5218 cases, +54157 tests since a day ago14:08
BrainstormNew from COVID on Twitter: Scott Gottlieb, MD (@ScottGottliebMD): Summed across global vax manufacturers and governments, including U.S., there are hundreds of millions of COVID vax doses available for immediate donation to low income nationsNGOs, governments can do more to invest in global infrastructure to [... want %more?] → https://twitter.com/ScottGottliebMD/status/151856913687557734614:46
BrainstormNew from COVID on Twitter: Florian Krammer (@florian_krammer): New structure of mAb binding to the NTD of SARS-CoV-2 spike, work led by @gogo_science with @TheBcellArtist and @VivianaSimonLab . @gogo_science first Mount Sinai senior author paper! Many to come! Congratulations my friend! journals.asm.org/eprint/I79DMPX… → https://twitter.com/florian_krammer/status/151858561606525338115:45
BrainstormNew from COVID on Twitter: Florian Krammer (@florian_krammer): New structure of mAb binding to the NTD of SARS-CoV-2 spike, work led by @gogo_science with @TheBcellArtist and @VivianaSimonLab. @gogo_science' first Mount Sinai senior author paper! Many to come! Congratulations my friend!journals.asm.org/doi/10.1128/mb… → https://twitter.com/florian_krammer/status/151858723879538688015:56
BrainstormNew from COVID on Twitter: Eric Topol (@EricTopol): Just published @NatureMedicine 2nd booster vs 1 booster (after ≥5 months) in > 560,000 people age 60+, Omicron waveHospitalizations reduced 64% (95% CI 57,69)Deaths reduced 78% (85% CI 72,83)nature.com/articles/s4159…@ClalitHealth → https://twitter.com/EricTopol/status/151858964032364953616:06
BrainstormUpdates for Cook Is.: +1 deaths since a day ago16:07
BrainstormNew from BMJ: Covid-19: Mix and match booster vaccination approach offers best protection, study reports: Using a different covid-19 vaccine for the third “booster” dose than was used for the initial two doses provides a higher level of protection, a study has found.1Researchers from Chile examined the... → http://www.bmj.com/content/377/bmj.o1052.short16:36
BrainstormNew from COVID19 Vaccine Tracker: valerie: AMMS: Ad5-nCoV → https://covid19.trackvaccines.org/vaccines/42/16:56
BrainstormUpdates for Canada: +1947 cases, +25 deaths since 22 hours ago17:03
BrainstormNew from COVID19 Vaccine Tracker: valerie: Anhui Zhifei Longcom: Zifivax → https://covid19.trackvaccines.org/vaccines/27/17:15
LjL-Matrix<pwr22> "image.png" <- The data quality looks to have just completely gone down the drain17:21
pwr22Yeah17:27
BrainstormNew from r/COVID19: COVID19: Clinical characteristics with inflammation profiling of long COVID and association with 1-year recovery following hospitalisation in the UK: a prospective observational study → https://old.reddit.com/r/COVID19/comments/ubnm63/clinical_characteristics_with_inflammation/17:35
BrainstormNew from COVID on Twitter: Eric Topol (@EricTopol): "These results highlight the importance ofbooster vaccine doses for protection against all Omicron [BA.1 and BA.2] variants, and provide insight into the [lack of] immunity from natural infection against Omicron sub-lineages."cell.com/cell-host-micr…  [... want %more?] → https://twitter.com/EricTopol/status/151861675899462041717:55
BrainstormUpdates for Germany: +37 deaths since 23 hours ago18:00
BrainstormNew from COVID on Twitter: Florian Krammer (@florian_krammer): The influence of structural racism, pandemic stress, and SARS-CoV-2 infection during pregnancy with adverse birth outcomes ajogmfm.org/article/S2589-… → https://twitter.com/florian_krammer/status/151862644274929664618:24
BrainstormNew from COVID on Twitter: Marc Veldhoen (@Marc_Veld): And from another expert with more focus on longCOVID: that remains a concern, but vaccinations reduce this a lot.twitter.com/sailorrooscout… → https://twitter.com/Marc_Veld/status/151862956765682483218:44
BrainstormUpdates for Greece: +8413 cases, +66 deaths since 2 days ago — Italy: +25282 cases, +93 deaths, +138803 tests since a day ago19:03
BrainstormNew from Contagion Live: Longer Intervals Between COVID-19 Vaccine Doses Leads to Higher Antibody Levels: One study, presented at the European Congress of Clinical Microbiology & Infectious Diseases (ECCMID), found waiting longer in between the first and [... want %more?] → https://www.contagionlive.com/view/longer-intervals-between-covid-19-vaccine-doses-leads-to-higher-antibody-levels19:04
BrainstormNew from COVID on Twitter: Tulio de Oliveira (@Tuliodna): David Nott is a hero. I ask people to donate to his charity and read his book, 'The War Doctor', which gave us courage at the start of the COVID-19 pandemic, when our team went to hospitals when massive outbreaks and deaths. twitter.com/JeremyFarrar/s… → https://twitter.com/Tuliodna/status/151864046214336102619:23
BrainstormNew from COVID on Twitter: Eric Topol (@EricTopol): Taiwan's Omicron wave78% of population 2-doses vaccinated59% of population 3-doses (compared with US at 30%)In contrast to China, without lockdown, use of mRNA vaccines@OurWorldInData pic.twitter.com/0cVbM68juW → https://twitter.com/EricTopol/status/151864413617321984019:43
BrainstormNew from COVID on Twitter: Michael Lin, MD PhD   (@michaelzlin): So what does molnupiravir do?• Helps high-risk unvaxxed and seronegatives by 30% (who basically no longer exist)• Doesn't help seropositives (and by extension vaxxed)• Helps SARSCoV2 efficiently explore functional sequence spaceOh, and [... want %more?] → https://twitter.com/michaelzlin/status/151864645792591462419:53
BrainstormNew from COVID on Twitter: Michael Lin, MD PhD   (@michaelzlin): When I have time I will cover NGS data that Merck presented at ECCMID proving that molnupiravir accelerates the exploration of functional sequence space by SARSCoV2 in actual human patients → https://twitter.com/michaelzlin/status/151864939565004390420:02
BrainstormUpdates for United Kingdom: +44992 cases, +341 deaths since a day ago20:05
BrainstormNew from FDA Press Releases: FDA: Coronavirus (COVID-19) Update: FDA Approves First COVID-19 Treatment for Young Children → http://www.fda.gov/news-events/press-announcements/coronavirus-covid-19-update-fda-approves-first-covid-19-treatment-young-children20:12
BrainstormNew from CDC (old): Coronavirus [CoV]: COVID-19 Travel Recommendations by Country → https://tools.cdc.gov/api/embed/downloader/download.asp20:32
BrainstormNew from r/COVID19: COVID19: Type 1 Diabetes Mellitus Associated with Nivolumab after Second SARS-CoV-2 Vaccination, Japan → https://old.reddit.com/r/COVID19/comments/ubrmz8/type_1_diabetes_mellitus_associated_with/20:42
BrainstormUpdates for Unknown, China: +58356 cases since 2 days ago — Burundi: +745 cases since 2 days ago — France: +2799 cases, +1 deaths since 22 hours ago21:02
BrainstormNew from COVID on Twitter: Tulio de Oliveira (@Tuliodna): A reason why we could hold scientific pressure on the COVID pandemic was that we got BULLIED SO HARD in a Wellcome Trust centre. So sad how academic bullying & harassment either break you or make you stronger. Hope we can move to a better future as many of my [... want %more?] → https://twitter.com/Tuliodna/status/151866805739626496621:13
BrainstormNew from COVID on Twitter: Balazs Lab (@BalazsLab): Still looking to hire technicians to help us study SARS-CoV-2 and HIV escape from neutralizing antibodies!Interested? Apply here:partners.taleo.net/careersection/… pic.twitter.com/ncCoLNdeYv → https://twitter.com/BalazsLab/status/151867123883450777621:23
BrainstormNew from StatNews: Majority of family members of Covid patients treated in the ICU report PTSD symptoms: The prevalence of PTSD symptoms was roughly twice the rate typically seen after a family member’s ICU stay before the pandemic. → https://www.statnews.com/2022/04/25/majority-of-family-members-of-covid-icu-patients-report-ptsd-symptoms/21:34
BrainstormNew from COVID on Twitter: Nick Damiano    (@nickdamian0): @JT_Grindrod @lisa_iannattone You’ll likely get COVID eventually   might as well get infected over and over againYou’ll likely get cancer eventually if you live long enough   just chain smoke and don’t use sunscreen, no point in avoiding it → https://twitter.com/nickdamian0/status/151867441732423270421:45
BrainstormUpdates for New Brunswick, Canada: +10571 cases, +29 deaths since 26 days ago — Spain: +11 deaths since 2 days ago22:04
BrainstormNew from Reddit (test): CoronavirusEU: Correlation Between Mask Compliance and COVID-19 Outcomes in Europe → https://old.reddit.com/r/CoronavirusEU/comments/ubufju/correlation_between_mask_compliance_and_covid19/22:23
pwr22LjL: UK stats have somehow got even worse today22:28
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BrainstormNew from Contagion Live: us: FDA Approves Remdesivir for COVID-19 Treatment for Pediatric Population → https://www.contagionlive.com/view/fda-approves-remdesivir-for-covid-19-treatment-for-pediatric-population22:33
BrainstormNew from CIDRAP: News Scan for Apr 25, 2022: Lives saved by COVID vaccines Pregnancy and COVID-19 More avian flu in 4 states New pediatric hepatitis cases → https://www.cidrap.umn.edu/news-perspective/2022/04/news-scan-apr-25-202222:53
BrainstormNew from CIDRAP: Omicron less severe than Delta but more easily evades boosters: Mary Van Beusekom | News Writer | CIDRAP News Apr 25, 2022 Data show a 36% to 68% lower risk of a hospital stay with Omicron. → https://www.cidrap.umn.edu/news-perspective/2022/04/omicron-less-severe-delta-more-easily-evades-boosters23:23
BrainstormNew from WebMD: Pfizer Recalls Another Blood Pressure Medication: Pfizer is recalling five lots of blood pressure medicine Accupril because of elevated levels of a nitrosamine, Nnitroso-quinapril, the company said in a news release posted on the FDA website. → https://www.webmd.com/a-to-z-guides/news/20220425/pfizer-recalls-another-blood-pressure-medication23:43

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