Years of life lost to COVID-19 in 81 countries

Link: https://www.nature.com/articles/s41598-021-83040-3

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Understanding the mortality impact of COVID-19 requires not only counting the dead, but analyzing how premature the deaths are. We calculate years of life lost (YLL) across 81 countries due to COVID-19 attributable deaths, and also conduct an analysis based on estimated excess deaths. We find that over 20.5 million years of life have been lost to COVID-19 globally. As of January 6, 2021, YLL in heavily affected countries are 2–9 times the average seasonal influenza; three quarters of the YLL result from deaths in ages below 75 and almost a third from deaths below 55; and men have lost 45% more life years than women. The results confirm the large mortality impact of COVID-19 among the elderly. They also call for heightened awareness in devising policies that protect vulnerable demographics losing the largest number of life-years.

Author(s): Héctor Pifarré i Arolas, Enrique Acosta, Guillem López-Casasnovas, Adeline Lo, Catia Nicodemo, Tim Riffe & Mikko Myrskylä

Publication Date: 18 Feb 2021

Publication Site: nature scientific reports

Autocorrect errors in Excel still creating genomics headache

Link: https://www.nature.com/articles/d41586-021-02211-4

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In 2016, Mark Ziemann and his colleagues at the Baker IDI Heart and Diabetes Institute in Melbourne, Australia, quantified the problem. They found that one-fifth of papers in top genomics journals contained gene-name conversion errors in Excel spreadsheets published as supplementary data2. These data sets are frequently accessed and used by other geneticists, so errors can perpetuate and distort further analyses.

However, despite the issue being brought to the attention of researchers — and steps being taken to fix it — the problem is still rife, according to an updated and larger analysis led by Ziemann, now at Deakin University in Geelong, Australia3. His team found that almost one-third of more than 11,000 articles with supplementary Excel gene lists published between 2014 and 2020 contained gene-name errors (see ‘A growing problem’).

Simple checks can detect autocorrect errors, says Ziemann, who researches computational reproducibility in genetics. But without those checks, the errors can easily go unnoticed because of the volume of data in spreadsheets.

Author(s): Dyani Lewis

Publication Date: 13 August 2021

Publication Site: nature

The burden of heat-related mortality attributable to recent human-induced climate change

Link: https://www.nature.com/articles/s41558-021-01058-x

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Climate change affects human health; however, there have been no large-scale, systematic efforts to quantify the heat-related human health impacts that have already occurred due to climate change. Here, we use empirical data from 732 locations in 43 countries to estimate the mortality burdens associated with the additional heat exposure that has resulted from recent human-induced warming, during the period 1991–2018. Across all study countries, we find that 37.0% (range 20.5–76.3%) of warm-season heat-related deaths can be attributed to anthropogenic climate change and that increased mortality is evident on every continent. Burdens varied geographically but were of the order of dozens to hundreds of deaths per year in many locations. Our findings support the urgent need for more ambitious mitigation and adaptation strategies to minimize the public health impacts of climate change.

Vicedo-Cabrera, A.M., Scovronick, N., Sera, F. et al. The burden of heat-related mortality attributable to recent human-induced climate change. Nat. Clim. Chang. 11, 492–500 (2021). https://doi.org/10.1038/s41558-021-01058-x

Author(s): A. M. Vicedo-Cabrera, N. Scovronick, A. Gasparrini

Publication Date: 31 May 2021

Publication Site: nature

The four most urgent questions about long COVID

Link: https://www.nature.com/articles/d41586-021-01511-z?mc_cid=20dfd80450&mc_eid=983bcf5922

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But most people with COVID-19 are never ill enough to be hospitalized. The best way to assess the prevalence of long COVID is to follow a representative group of people who have tested positive for the virus. The UK Office of National Statistics (ONS) has done just that, by following more than 20,000 people who have tested positive since April 2020 (see ‘Uncertain endpoint’). In its most recent analyses, published on 1 April, the ONS found that 13.7% still reported symptoms after at least 12 weeks (there is no widely agreed definition of long COVID, but the ONS considers it to be COVID-19 symptoms that last more than 4 weeks).

…..

In other words, more than one in 10 people who became infected with SARS-CoV-2 have gone on to get long COVID. If the UK prevalence is applicable elsewhere, that’s more than 16 million people worldwide.

The condition seems to be more common in women than in men. In another ONS analysis, 23% of women and 19% of men still had symptoms 5 weeks after infection. That is “striking”, says Rachael Evans, a clinician scientist at the University of Leicester, UK, and a member of the Post-Hospitalisation COVID-19 study (PHOSP-COVID). “If you’re male and get COVID, you’re more likely to go to hospital and you’re more likely to die. Yet if you survive, actually it’s females that are much more likely to get the ongoing symptoms.”

Author(s): Michael Marshall

Publication Date: 9 June 2021

Publication Site: Nature

How ‘killer’ T cells could boost COVID immunity in face of new variants

Link: https://www.nature.com/articles/d41586-021-00367-7

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Alongside antibodies, the immune system produces a battalion of T cells that can target viruses. Some of these, known as killer T cells (or CD8+ T cells), seek out and destroy cells that are infected with the virus. Others, called helper T cells (or CD4+ T cells) are important for various immune functions, including stimulating the production of antibodies and killer T cells.

T cells do not prevent infection, because they kick into action only after a virus has infiltrated the body. But they are important for clearing an infection that has already started. In the case of COVID-19, killer T cells could mean the difference between a mild infection and a severe one that requires hospital treatment, says Annika Karlsson, an immunologist at the Karolinska Institute in Stockholm. “If they are able to kill the virus-infected cells before they spread from the upper respiratory tract, it will influence how sick you feel,” she says. They could also reduce transmission by restricting the amount of virus circulating in an infected person, meaning that the person sheds fewer virus particles into the community.

T cells could also be more resistant than antibodies to threats posed by emerging variants. Studies by Sette and his colleagues have shown that people who have been infected with SARS-CoV-2 typically generate T cells that target at least 15–20 different fragments of coronavirus proteins1. But which protein snippets are used as targets can vary widely from person to person, meaning that a population will generate a large variety of T cells that could snare a virus. “That makes it very hard for the virus to mutate to escape cell recognition,” says Sette, “unlike the situation for antibodies.”

Author(s): Heidi Ledford

Publication Date: 12 February 2021

Publication Site: nature