Five coping strategies for this year
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Coronavirus Updates
Important developments in the pandemic.
 
 
Avi Selk   By Avi Selk
with Angela Fritz
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The Post's coronavirus coverage linked in this newsletter is free to access from this email. 

 

The latest

Ambulance crews in Los Angeles County, population 10 million, have been told to ration oxygen and to stop transporting patients with low survival chances in a desperate effort to relieve the region's overwhelmed medical system. “Many hospitals have reached a point of crisis and are having to make very tough decisions about patient care,” county health services Director Christina Ghaly said at a news conference Monday.

Ghaly said she expects even worse days ahead. Los Angeles's emergency rooms and ICUs are flooded with people who caught the coronavirus over Thanksgiving; the Christmas surge has not yet arrived. And while the situation in California is particularly bad, hospitalizations across the nation are hitting record highs:

Click through to check your state. (The Washington Post) 

Click through to check your state. (The Washington Post) 

There's a horrible irony behind the national medical crisis: Our Health desk reports that many emergency rooms stopped recruiting new doctors earlier in the pandemic, when Americans were explicitly avoiding hospitals to stay clear of the coronavirus. Now that the sick need hospital beds by the tens of thousands, young ER doctors can't find anyone to hire them.

Federal health officials have rejected a proposal to spread out the country's supply of vaccine by altering the two-dose regimen and delaying most people's second shot. As we mentioned in yesterday's newsletter, some experts have argued that a single dose of vaccine still provides protection, and millions more Americans could get one sooner if others went without their second. But National Institute of Allergy and Infectious Diseases director Anthony S. Fauci called the idea “fraught with danger” Monday. “We don’t have any idea what the level of protection is and what the durability of protection is [for a single dose]," he said.

Psychologically, we're in the “messy middle” of the crisis. The adrenaline shock of the pandemic's beginning has faded, but there's still no end in sight. Read this story for five coping strategies that will do you more good than simply waiting for it all to be over.

Other important news

Three coaches and two players for the Cleveland Browns have tested positive for the coronavirus, days before the team's first playoff game in 18 years.

A video went viral of Arizona Gov. Doug Ducey's son partying maskless around the same time the Republican leader was telling residents to stay home and follow public health guidelines.

The White House denied reports that President Trump will be in Scotland during Joe Biden's inauguration, after a Scottish leader warned that golf is not essential travel. 

Six ways your office will be different in 2021 — assuming you ever go back.

Talking to yourself in quarantine? You’re not alone.

 

Guide to the pandemic

Track deaths and confirmed cases in the U.S. and across the world. 

Post reporters are publishing live dispatches nearly 24 hours a day.

U.S. vaccine distribution and delivery, tracked by state.

Have you gotten a coronavirus vaccine? We want to hear from you.

Submit a question and we may answer it in a future story or newsletter. 

 

Your questions, answered

“The new covid-19 variant is said to be ‘more contagious’ than the old one. What does that mean? Are masks not effective?” — Doug in California

First things first: Masks are still effective. In fact, they are probably even more important now because we know that there's a variant in the mix that is spreading faster.

There seems to be a scientific consensus that the new variant is somewhere between 50 and 70 percent more transmissive, according to Stat News. British Prime Minister Boris Johnson also referenced that range Monday night in his announcement that England is going into its third national lockdown.

There doesn't appear to be anything else that's markedly different about this variant, particularly in how it affects an infection; it does not trigger a more severe case of covid-19 and it is not more deadly. So what makes it more contagious?

Researchers have narrowed it down to a couple of possible factors. 

It appears that infections caused by this variant produce more viral load in the upper respiratory tract, which means there's more virus available to spread when an infected person coughs, sneezes, talks or even just breathes. It's difficult to say for sure if this is a reason, because it depends highly on when the patient is tested (if patients aren't tested in peak illness, their peak viral load might not be captured).

The variant also has a mutation that scientists say could help the virus attach to cells. This mutation affects the spike part of the virus, which is where it comes in contact with a cell and latches on. If that spike is more efficient at or capable of attaching to a cell, then it's more likely to result in an infection. Another variant in South Africa also had this mutation and was similarly more transmissible.

Perhaps this variant has evolved to counteract the body's immune response, to a certain extent, which would make infection more likely when it's encountered. It could also just replicate faster than its predecessors, which would also explain why researchers are seeing a higher viral load.

More likely than not it's some combination of the above. Researchers are still trying to determine exactly what makes this variant spread faster, and what conditions allowed it to occur.

 

Today’s top reads

Find more stories, analysis and op-eds about the outbreak on our coronavirus page, including:

  • The coronavirus-free island nation of Palau could soon vaccinate almost all its people
  • Mar-a-Lago should be shut down after New Year’s Eve party violated covid rules, state lawmaker says
  • Perspective: Patients are getting infected with covid-19 in the hospital. It happened to one of mine and killed him.
     

The pandemic stranded this couple 4,780 miles apart. That’s when they knew they had to be together for good.

By Ashley Fetters ●  Read more »

 

U.S. airlines push to slash international travel restrictions, implement universal testing

By Hannah Sampson ●  Read more »

 

Early vaccination in prisons, a public health priority, proves politically charged

By Isaac Stanley-Becker ●  Read more »

 

If your pandemic partner is getting on your last nerve, try these tips to repair your relationship

By Jelena Kecmanovic ●  Read more »

 

Large-scale global study to investigate links between covid-19 and cognitive decline

By Tara Bahrampour ●  Read more »

 
 

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