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COVID-19

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Just returned from first time braving our apocalyptic hellscape, driving through southeastern US. What a dose of perspective! Even some on-duty health professionals went unmasked. At unavoidable roadside pit stops, you'd hardly suspect there was an ongoing, uncontrolled pandemic. The number of new cases per day is falling there now, but still...

So glad to be remote again! Gladder still if asymptomatic in two weeks.:nod:
 
A person who has recovered from COVID-19 will likely be safe from reinfection for three months, according to updated guidance from the Centers for Disease Control and Prevention (CDC).

The information marks the first acknowledgement of a defined immunity period for people who have recovered from a COVID-19 infection.

Prior research has shown antibodies from recovered patients will fade over the course of a few months, but federal scientists had not previously said what that means for immunity.


The CDC previously recommended that someone recovered from a COVID-19 infection doesn't need to be tested again for three months so long as that person is asymptomatic, but made clear that any correlation to immunity was still unknown.

The CDC did not make a formal announcement of the findings; rather, the information was included as part of broader guidance about quarantining that was last updated earlier this month.
 
Just returned from first time braving our apocalyptic hellscape, driving through southeastern US. What a dose of perspective! Even some on-duty health professionals went unmasked. At unavoidable roadside pit stops, you'd hardly suspect there was an ongoing, uncontrolled pandemic. The number of new cases per day is falling there now, but still...

So glad to be remote again! Gladder still if asymptomatic in two weeks.:nod:

I traveled to SE MI last month and was fairly impresssed with the relative compliance if the public in that region.

The outlying areas, less so.

Unfortunately too many people don't take the safety of others into consideration. I guess as long as it doesn't effect them personally it's a non-issue.

I'm glad that my kids are all adults now and that I don't have to deal with the back-to-school dilemma that younger parents are facing. Sending kids back to school seems like we're undoing all that effort that went into social distancing earlier in the pandemic.....tho I really don't know what the solution is. Rock and a hard place.
 
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Unfortunately too many people don't take the safety of others into consideration. I guess as long as it doesn't effect them personally it's a non-issue.

You could easily imagine these southern truck stop denizens had never heard of the pandemic. Who knows, maybe for them it's just one more life-threatening risk, but that seems generous. They were otherwise non-threatening, warmly greeting the strange Yankee in his mask and gloves.

Sending kids back to school seems like we're undoing all that effort that went into social distancing earlier in the pandemic.....

Well, it worked so well for us the first time we undid our efforts, why not undo them again? Maybe we can break half a million deaths by the end of the year, American exceptionalism and all.
 
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You could easily imagine these southern truck stop denizens had never heard of the pandemic. Who knows, maybe for them it's just one more life-threatening risk, but that seems generous. They were otherwise non-threatening, warmly greeting the strange Yankee in his mask and gloves.



Well, it worked so well for us the first time we undid our efforts, why not undo them again? Maybe we can break half a million deaths by the end of the year, American exceptionalism and all.

Rural MI isn't much different. Plenty of ignorant hay seeds in the midwest...

I live in the last county in the state to have a positive case. Residents are generally pretty pissed at the ingress of tourist traffic, but then when you have locals that insist on mingling at wedding receptions, softball aftergame parties, etc. that anger seems both moot and misdirected.
 
Residents are generally pretty pissed at the ingress of tourist traffic, but then when you have locals that insist on mingling at wedding receptions, softball aftergame parties, etc. that anger seems both moot and misdirected.

Still, we do our best to avoid exposing them, appreciated or not. This trip was entirely necessary, a non-COVID medical emergency. Hopefully, there will be no more before a vaccine is available.
 
The Coronavirus Is Bringing Back Florence’s Wine Windows
This isn’t the first time they’ve come in handy during a pandemic.
BY MATTHEW TAUBAUGUST 11, 2020

Babae’s wine window was the first of Florence's put into use—even before the pandemic.

Babae’s wine window was the first of Florence's put into use—even before the pandemic. COURTESY OF AVALON.SAWER


WE’VE LEARNED OVER THE PAST months that a global pandemic can halt even the most mundane routines. A handful of restaurateurs in Florence, however, are determined to satisfy locals’ taste for wine unimpeded, and they’re turning to a long-forgotten method to do so.
Around the Italian city, several historic “wine windows,” or buchette del vino, have reopened in order to serve wine in a safe, socially distanced manner. The concept is simple: Rather than step inside an osteria, or a bar, you simply grab your glass from a window specifically built for the efficient dispersal of wine. It sounds like a venture that could have been conceived by enterprising hipsters today. But it is, in fact, a testament to the lasting savvy and creativity of the city’s Renaissance residents, who weren’t going to let a wave of Bubonic Plague get in the way of a nice glass of red.
Between 1630 and 1633, the disease that had been wreaking havoc on and off since the 14th century made its way through Florence once more; it’s believed that, in the first year alone, the city lost some 9,000 residents, or nearly 12 percent of its population. Vendors understood that face-to-face and hand-to-hand commerce had to be curbed as much as possible. So they took to selling wine out of these windows, and collecting payments on metal plates that were then disinfected with vinegar. In an email, Mary Forrest, an American who lives in Florence and is a founding member of the Wine Windows Association, adds that wine was also appreciated at the time for its medicinal value, especially because much of the available drinking water was impure and carried disease.

This wine window comes with some extra flair, and even a label.
This wine window comes with some extra flair, and even a label. COURTESY WINE WINDOWS ASSOCIATION

According to Forrest, five or six restaurants in Florence have reactivated their wine windows in light of the COVID-19 pandemic. In addition to (or, in some cases, instead of) selling wine, they’re also purveying gelato and coffee. Though no official document catalogues all of the wine windows in existence (though not necessarily in business), the Wine Windows Association has counted more than 200 in total throughout the region of Tuscany. Most of those are in Florence, and the Association has created an interactive map that shows how they’re dispersed. Forrest estimates that, on average, there’s about one wine window for every block in the city.

Though the windows proved uniquely useful during the 17th century disease wave, they actually emerged for different reasons during the 16th century. Forrest writes that “they were like an early farmers market,” in which producers could sell directly to customers without a middleman or the associated taxes. The windows remained popular places of business for centuries, gradually falling out of use during the 20th century. One reopened last year, before the pandemic.

A gallery of Florentine wine windows shows their surprising stylistic range.

A gallery of Florentine wine windows shows their surprising stylistic range. COURTESY WINE WINDOWS ASSOCIATION


The Wine Windows Association was launched, writes Forrest, with the goal of drawing renewed attention to these Florentine relics. “Many of them had been painted over, lost, plastered over, graffitied,” she writes, “so it was time to make the public interested in them and their history. We hope to put plaques on the walls near them,” as a means of solidifying their heritage status. They help us remember, she writes, “what life was like once upon a time”—knowledge we sometimes need to apply to the present moment.
Gastro Obscura covers the world’s most wondrous food and drink.
https://www.atlasobscura.com/articl...-70392897&mc_cid=a5e113efeb&mc_eid=c6e43d0902
 
Sobering study on COVID's lasting effects on the heart.

Outcomes of Cardiovascular Magnetic Resonance Imaging in Patients Recently Recovered From Coronavirus Disease 2019 (COVID-19)

Valentina O. Puntmann, MD, PhD1; M. Ludovica Carerj, MD1,2; Imke Wieters, MD3; et alMasia Fahim3; Christophe Arendt, MD1,4; Jedrzej Hoffmann, MD1,5; Anastasia Shchendrygina, MD, PhD1,6; Felicitas Escher, MD7; Mariuca Vasa-Nicotera, MD5; Andreas M. Zeiher, MD5; Maria Vehreschild, MD3; Eike Nagel, MD1
JAMA Cardiol. Published online July 27, 2020. doi:10.1001/jamacardio.2020.3557
Findings In this cohort study including 100 patients recently recovered from COVID-19 identified from a COVID-19 test center, cardiac magnetic resonance imaging revealed cardiac involvement in 78 patients (78%) and ongoing myocardial inflammation in 60 patients (60%), which was independent of preexisting conditions, severity and overall course of the acute illness, and the time from the original diagnosis.

Results Of the 100 included patients, 53 (53%) were male, and the median (interquartile range [IQR]) age was 49 (45-53) years. The median (IQR) time interval between COVID-19 diagnosis and CMR was 71 (64-92) days. Of the 100 patients recently recovered from COVID-19, 67 (67%) recovered at home, while 33 (33%) required hospitalization. At the time of CMR, high-sensitivity troponin T (hsTnT) was detectable (3 pg/mL or greater) in 71 patients recently recovered from COVID-19 (71%) and significantly elevated (13.9 pg/mL or greater) in 5 patients (5%). Compared with healthy controls and risk factor–matched controls, patients recently recovered from COVID-19 had lower left ventricular ejection fraction, higher left ventricle volumes, higher left ventricle mass, and raised native T1 and T2. A total of 78 patients recently recovered from COVID-19 (78%) had abnormal CMR findings, including raised myocardial native T1 (n = 73), raised myocardial native T2 (n = 60), myocardial late gadolinium enhancement (n = 32), and pericardial enhancement (n = 22). There was a small but significant difference between patients who recovered at home vs in the hospital for native T1 mapping (median [IQR], 1122 [1113-1132] ms vs 1143 [1131-1156] ms; P = .02) but not for native T2 mapping or hsTnT levels. None of these measures were correlated with time from COVID-19 diagnosis (native T1: r = 0.07; P = .47; native T2: r = 0.14; P = .15; hsTnT: r = −0.07; P = .50). High-sensitivity troponin T was significantly correlated with native T1 mapping (r = 0.35; P < .001) and native T2 mapping (r = 0.22; P = .03). Endomyocardial biopsy in patients with severe findings revealed active lymphocytic inflammation. Native T1 and T2 were the measures with the best discriminatory ability to detect COVID-19–related myocardial pathology.
 
Hey, who pre-licked my pre-roll? A cautionary tale in the time of COVID-19
Bruce KennedyAugust 18, 2020

This is fine technique for a personal joint, but it's not how professionals seal their pre-rolls. (AdobeStock)

When it comes to weed, a lot of veteran cannabis enthusiasts still take pride in their old-school traditions. But a product recall announced earlier this month in Michigan suggests that a worker at a licensed cannabis company might have abused one of those traditions—or for a moment forgot where they were.
A worker at a Michigan pre-roll facility thought it was a good idea to lick each joint closed. State regulators shut the whole factory down.
On August 6, Michigan’s Marijuana Regulatory Agency (MRA), part of the Department of Licensing and Regulatory Affairs (LARA), announced the recall of more than 3,000 pre-rolled joints manufactured at a facility in Bay City, MI, and “dispersed to many marijuana sales locations” across the state. Many of the pre-rolls affected by the recall were sold under the Hyman Cannabis brand.
According to an additional LARA press release, the agency’s investigation began in late July, after MRA officials received information that an individual at the Bay City facility “licked a pre-roll marijuana product while making the product.”
The company involved, 3843 Euclid LLC, voluntarily halted all of its processing facilities.
When asked for more information about the incident, state officials told Leafly they could not comment on a pending investigation.

‘I think it’s disgusting’
Others in the industry, however, were not at all reluctant to express their thoughts on the matter.
“I think it’s disgusting,” said Chris Hill, a veteran cannabis paraphernalia manufacturer and president of Rocky Mountain Papers, a Michigan-based producer of custom rolling papers. His company, he told Leafly, can produce up to 100,000 pre-rolled cones, or about 1.3 million rolling papers, per day depending on demand.
Dispensary workers interviewed by Leafly were somewhat bewildered that a cannabis processing professional would do something as boneheaded as lick a pre-roll—especially during the coronavirus pandemic.
Rookie mistake?
“Michigan is new [to cannabis legalization] and maybe they didn’t know, but I can’t imagine that,” said Skye, manager of The Healing House dispensary in Denver. “You do that for home use but not in shops. Maybe somebody forgot where they were.”
Skye noted that pre-rolls are “like an envelope, sticky when they get moist. Somebody would honestly have to lick the whole edge of the paper and then seal it. Normally somebody [in a professional cannabis processing facility] would use something like a moist paintbrush to seal it.”

‘I don’t want anyone handling our papers’
Paper maker Chris Hill imagined that the potential for bacterial transmission from someone licking pre-rolls could be relatively high, and he wasn’t at all coy about his outrage that such an event happened at a legal processing facility.
His operation, he said, goes out of its way to keep their papers and pre-rolls as free as possible from contamination. “I don’t want anyone handling our papers,” Hill said. “Our people wear gloves.”
His company uses unbleached paper. Their pre-rolled cones are created by placing a small adhesive strip of “vegan gum arabic from the acacia tree,” moistened with distilled water, on the paper. The pre-roll cones are filled and their tops are sealed closed by individual marijuana companies.
Best practices: sterilized tools, gloves, and safety protocols
Some big cannabis dispensaries, meanwhile, were quick to underscore their own health and safety standards in the wake of the Michigan story.
“Employee and consumer safety is paramount to us and in Colorado we have high public health and safety standards both in our rules and adopted into our SOPs at the company level,” Shannon Fender, PR director at Native Roots, one of the largest cannabis dispensary chains in Colorado, said in an email to Leafly. Fender added that incidents like the one in Michigan are “fortunately few and far between.”

At Native Roots in Colorado, pro staffers use pre-sealed, pre-rolled cones. “Team members aren’t personally sealing or rolling cones themselves.”
– Shannon Fender, Native Roots
Fender noted that Native Roots staff members use automated grinding and sorting devices when creating the company’s pre-rolls.
“The grinded bud is then filled into a pre-glued, pre-rolled cone,” she added. “In the final step, a team member twists the top of the cone and cuts off excess paper. It is then placed in a tube, labeled, and prepared for distribution to one of our twenty Colorado retail locations.”

Team members, Fender added, always use sterilized tools and clean gloves during each of those steps. “It is a best practice in the regulated industry to use pre-sealed, pre-rolled cones for joints,” she said, “not for team members to be personally sealing or rolling cones themselves.”
Fender said her company also has a full-time, in-house environmental health and safety manager, who oversees operations across the organization.
State regulators monitor cannabis health and safety issues
Preventing contamination, human or otherwise, has long been an issue in the legal marijuana industry. States with legal marijuana industries are constantly concerned about intervention from the federal government, which still views marijuana as a Schedule One drug. Those states have been working hard for years to ensure their cannabis products remain clean and safe, in part to avoid scandal and unwanted scrutiny from both the federal government and cannabis legalization opponents.
Colorado was one of the first states to legalize adult-use cannabis. Its Marijuana Enforcement Division (MED) has a very detailed Regulated Marijuana Code that addresses a wide variety of health and safety regulations; including dozens of rules meant to prevent contamination, from seed to sale, at cannabis facilities in the state.
Stepped-up safety protocols due to COVID-19
In an email to Leafy, the MED spokesperson also pointed out that ongoing concerns over the COVID-19 pandemic have prompted Colorado to issue emergency rules at licensed cannabis premises, meant to limit potential transmission of the virus. Those emergency rules include:
  • Online sales for retail marijuana
  • Allowance for “curbside” pick-up
  • Allowance for modification of premises to accommodate social distancing best practices without prior approval
  • Allowance of consumers and employees to wear masks
Native Roots’ Shannon Fender said her company was also working with Colorado officials during “each phase” of the state’s COVID response, to develop best practices that have allowed the company to continue its operations even as the pandemic spread.
For example, she said, “we have staggered shifts to minimize employee interactions, expanded or created new work spaces across different areas of the building to ensure physical distancing between employees, as well as carefully monitor and symptom check every individual that enters our facility.”
Regulating cannabis keeps it safe
Chris Hill of Rocky Mountain Papers believes that most cannabis businesses in cannabis-legal states go above and beyond most state regulations when it comes to cleanliness and to avoiding contamination.
“The rules that were laid down, we always thought it was overkill with this product,” he said. “But now it’s kind of a nice thing that all these standards and rules and regulations…are in place because of the coronavirus.”
He had some straightforward advice for consumers who might be concerned—or grossed-out—by the Michigan story and worried about cannabis use in the age of COVID-19: “Use common sense,” he said, “and don’t share joints.”


JAJAJA Another reason I don't do pre rolls.
 
At my local cannabis store everyone needs to wear a mask. No mask no service, is on the door. Also everyone is suppose to stand six feet a part. They have a rope around the front of the counter keeping customers back. They get all their pre rolls from the cannabis company that grows it. They don’t look like someone rolls them by hand. I assumed they didn’t use tongue to seal it. There are so many cleanliness/ hygiene rules and regulations here in wa state. Someone would get fired for that Covid or not. It’s like spitting in someone’s soda.

When everything was shut down around here, I’m glad cannabis was an essential business. Who knew a few years back.
 
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