Nursing home residents die. Link to Ritzville wedding unclear

Ten residents of Grant County have recently died of COVID-19, including seven in long-term care centers.

Some of the deaths are under investigation for their possible connection to a large November wedding near Ritzville, Wash., that turned into a COVID superspreader event.

Some of the wedding guests worked at long-term care centers and tested positive, but a conclusive link between the wedding and the deaths has not been determined, according to a Thursday evening statement from the Grant County Health District based in Moses Lake.

“Because staff in these facilities care for entire units, direct contact with associated patients is not known,” said the health district’s statement.

The seven deaths reported in long-term care homes do not include four more deaths at the homes for which death certificate reviews are pending.

Outbreaks at the three homes where residents died recently were announced by the Grant County Health District. It previously said an outbreak at an unnamed Moses Lake long-term care home and an Ephrata long-term care home had been linked to the Ritzville wedding.

Lake Ridge Center in Moses Lake had recent deaths of four residents with the death certificate of a fifth resident being reviewed. The deaths confirmed to be caused by complications of COVID include a man in his 70s, a man in his 80s and two men in their 90s.

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Lake Ridge Center in Moses Lake had recent deaths of four residents for complications of COVID-19.

Columbia Crest Center in Moses Lake has had recent deaths tied to COVID of two residents, a man in his 80s and a man in his 70s.

McKay Healthcare and Rehab Center in Soap Lake had a recent death of a man in his 80s due to COVID, with three more deaths under review.

On Nov. 20, the health district reported there had been nine deaths from the outbreak at McKay, with just five confirmed and others under review.

At the time Lakeview had 49 residents and 12 staff who had tested positive for COVID-19 and Columbia Crest had 25 residents and 22 staff who had tested positive.

November COVID deaths

Grant County has had 54 COVID-related deaths to date, with about half of those deaths in November alone.

“Your choice to gather with those outside your household could lead to additional cases of COVID-19 and even death,” the health district said Thursday. “Please protect those you love, by staying home.”

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The Ritzville-area wedding also has been blamed for a school outbreak in Grant County, and the Benton Franklin Health District said it was responsible for at least four Tri-Cities area cases.

There could be more, but many people reached by public health contract tracers deny they had contact with anyone outside their household or will not take the call, according to the Benton Franklin Health District.

On Nov. 7, more than 300 people attended a wedding in an airplane hanger in a rural area of Eastern Washington north of the Tri-Cities between Ritzville and Moses Lake, even though at the

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More men die of coronavirus in U.S. Why do more women die in Onondaga County?

Syracuse, N.Y. – Since the novel coronavirus emerged less than a year ago, one of the most consistent scientific findings has been that it kills more men than women.



a sign on the side of a road: A sign along I-690 east in Syracuse implores drivers to "stay home" and help saves lives Wednesday, March 18, 2020. Schools, bars, restaurants and many businesses have closed to help slow the spread of the coronavirus. People across Upstate NY are not currently required to stay home, but are being strongly encouraged to do so and practice social distancing


© Lauren Long/Lauren Long | [email protected]/syracuse.com/TNS
A sign along I-690 east in Syracuse implores drivers to “stay home” and help saves lives Wednesday, March 18, 2020. Schools, bars, restaurants and many businesses have closed to help slow the spread of the coronavirus. People across Upstate NY are not currently required to stay home, but are being strongly encouraged to do so and practice social distancing

That was true in China, where the virus evolved. It was true in Europe, where the virus took hold and eventually spread to the United States. And it has been true in the U.S. and New York state.

But not in Onondaga County.

Here, more women than men test positive, more women end up in the hospital, and more women die.

Why?

Doctors and medical professionals have some ideas, from demographics to the role of nursing homes, but it’s a mystery yet to be unraveled.

“It’s definitely been our experience that our Covid admissions for women have been higher than for men,” said Dr. Seth Kronenberg, chief operating officer and chief medical officer at Crouse Hospital. “I don’t really have a great explanation for why that is.”

In the U.S. and New York, men and women are equally likely to be diagnosed with Covid-19, the disease caused by the virus, but men get sicker and die more often. In the United States, 54% of deaths from Covid-19, the disease caused by the virus, have been men. In New York, the impact is even more lopsided: Men account for 57% of deaths.

Doctors have speculated that the high death rate among men could be due to a number of factors: more severe underlying conditions, less resistance to the virus, more resistance to mask-wearing and social distancing.

“Men are more likely to die, so we start thinking about hormonal factors or pre-existing condition like smoking prevalence and hypertension and diabetes that may be more common in men than women,” said Brittany Kmush, a public health professor and epidemiologist at Syracuse University. “I’m not sure why it would be reversed in Onondaga County.”

The county’s numbers are reversed in several ways. In contrast to the state and nation, where cases are split about 50-50 between men and women, Onondaga County has a higher rate of women testing positive for the virus: They make up 57% of the confirmed cases.

The same trend holds true for hospitalizations. Women make up 53% of patients who ended up in Syracuse hospitals.

And more women have died here than men. Of the 212 Onondaga County residents whose cause of death was Covid-19, 53% were women. That’s a full 10 percentage points higher than New York state, where women account for 43% of deaths.

Experts offer several hypotheses for the disproportionate impact on women in Onondaga County. It could be due to demographics,

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Pregnant women more likely to die of COVID than nonpregnant

An analysis of more than 400,000 women who are between 15 and 44 years old and diagnosed with COVID-19 revealed that those who were pregnant had a 70% increased risk of dying compared to those who were not, according to the Centers for Disease Control and Prevention.

Invasive ventilation, intensive care unit admission and ECMO were also more common among pregnant than non-pregnant women. ECMO stands for extracorporeal membrane oxygenation. It’s a procedure that removes blood from your body, runs it through a machine that clears it of carbon dioxide and inserts oxygen-rich blood back into the body.

The new study released Monday comes after an earlier report from June that found similar results on pregnant women and COVID-19 — except for an increased risk of death from the disease.

Pregnant women who are 35-44 years old and positive for COVID-19 were nearly four times as likely to require invasive ventilation and twice as likely to die than nonpregnant women of the same age.

What’s more, Hispanic women had 2.4 times the risk of death.

“Understanding the risk posed by SARS-CoV-2 infection in pregnant women can inform clinical practice, risk communication and medical countermeasure allocation,” the report reads. “Pregnant women should be informed of their risk for severe COVID-19–associated illness and the warning signs of severe COVID-19.”

Between Jan. 22 and Oct. 3, about 409,000 women in the case study had symptomatic COVID-19, including 23,434 pregnant women — 34 of whom died, equaling 1.5 deaths per 1,000 cases.

Of the 386,028 nonpregnant women who tested positive for COVID-19, another 447 died from coronavirus complications, or 1.2 deaths per 1,000 cases, the CDC says

Researchers say these numbers could be explained by physiologic changes that occur during pregnancy, such as increased heart rate, higher oxygen consumption, decreased lung capacity, increased risk of blood clot formation and weakened immune systems.

And although Black women made up just 14% of the women included in the analysis, they made up about 27% of deaths among those who were pregnant and about 37% of deaths among those who were not pregnant.

Meanwhile, Asian and Native Hawaiian/Pacific pregnant women were of particularly increased risk for ICU admission.

Younger pregnant women between 15 and 24 years old faced triple the risk of receiving invasive ventilation compared to nonpregnant women of the same age.

“To minimize the risk for acquiring SARS-CoV-2 infection, pregnant women should limit unnecessary interactions with persons who might have been exposed to or are infected with SARS-CoV-2, including those within their household as much as possible,” the report reads.

“When going out or interacting with others, pregnant women should wear a mask, social distance, avoid persons who are not wearing a mask, and frequently wash their hands. In addition, pregnant women should take measures to ensure their general health, including staying up to date with annual influenza vaccination and prenatal care.”

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Pregnant women are more likely to die from the coronavirus, though risk remains small

Pregnant women who catch the coronavirus are at greater risk of death and severe illness than women who are not pregnant, even as the risk overall remains small, according to federal statistics released Monday.



a person walking down the street talking on a cell phone: A CDC study finds that pregnant women are more likely to be admitted to an intensive care unit after being diagnosed with covid-19, the disease caused by the coronavirus, than women who are not pregnant. (Charles Krupa/AP)


© Charles Krupa/AP
A CDC study finds that pregnant women are more likely to be admitted to an intensive care unit after being diagnosed with covid-19, the disease caused by the coronavirus, than women who are not pregnant. (Charles Krupa/AP)

The data — the most comprehensive U.S. accounting to date of how the virus affects pregnant women — shows that pregnant women are almost three times more likely to be admitted to intensive care units, and more than three times more likely to be put on a ventilator. The findings echo previous studies linking pregnancy to increased risk for severe illness.

The overall risk to pregnant women remains small because they tend to be younger and healthy, according to the report from the Centers for Disease Control and Prevention. Out of 19,600 pregnant women studied, 33 died — a 0.2 percent death rate. For women who are not pregnant, the death rate was 0.1 percent, the report said.

The CDC study also reinforced findings about the disparate path of the pandemic in the United States, with Black, Hispanic and Asian women at greater peril from the virus.

The increased risk to pregnant women should serve as a warning to those who are expecting a baby to be especially vigilant against infection, experts said.

“Some people think that because if you’re young and healthy, you’ll be okay, and pandemic fatigue is setting in. But the fact is at my practice, we’ve seen women who are pregnant on ventilators. It affects the mother, the delivery and the baby,” said David Jaspan, chair of the obstetrics and gynecology department at the Einstein Healthcare Network in Philadelphia, who was not involved in the study.

“We have no predictive ability how this will impact you, so the best advice we can offer is prevention,” Jaspan said. “Wear a mask. Social distance. Stay away from people who may be infected.”

Some pregnant women may not be getting diagnosed until later in their illness because the virus shares some common symptoms with pregnancy — fatigue, nausea and vomiting.

“We want patients to not make the assumption that what they’re feeling is just from pregnancy. Keep up your appointments,” Jaspan said. “Give us a chance to evaluate and ensure you’re okay.”

The report draws on data the CDC collected from hospitals throughout the country. It found that 1.1 percent of pregnant women were admitted to an ICU after being diagnosed with covid-19, the disease caused by the virus, compared with 0.4 percent of women who were not pregnant. The rate requiring ventilation was 0.3 percent for pregnant women and 0.1 percent for other women.

Researchers believe the increased risk may be attributable to physiological changes that occur with pregnancy, such as increased heart rate and oxygen consumption, decreased lung capacity and shifts in

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Young women may be likelier to die after heart attacks than men

Younger women may be more likely to die in the decade following a heart attack than men of the same age, a new study suggests. 



a person sitting on a bed: woman sitting up in bed with hands over heart, as if in discomfort


© Provided by Live Science
woman sitting up in bed with hands over heart, as if in discomfort

In general, women under age 50 experience fewer heart attacks than men in the same age range. The new study, published Oct. 13 in the European Heart Journal, also reflects this trend; of 2,100 heart attack patients treated at the Brigham and Women’s Hospital and Massachusetts General Hospital in Boston between 2000 and 2016, only about 400 were women. The average age of all the patients in the study was 44 years old. 

But over the long-term, these young women were more likely to die than young men. The study authors followed the patients for a median of 11 years, and found that women were 1.6 times more likely to die from any cause than men during that time. 

Related: 9 new ways to keep your heart healthy 

“Notably, the differences in mortality in our study were primarily driven by non-cardiovascular death,” meaning deaths not caused by a heart condition, study author Dr. Ersilia DeFilippis, a cardiology fellow at New York Presbyterian-Columbia University Irving Medical Center, told Live Science in an email. Examples of these non-cardiovascular causes of death included cancer and sepsis, a kind of overblown immune response to an infection. 

Unfortunately, “there were no clear explanations as to why women had lower survival,” DeFilippis noted, though the study revealed a number of factors that may be at play.

“The risk factors for disease of other organs overlap with risk factors for heart disease,” Dr. Marysia Tweet, an assistant professor in Cardiovascular Medicine at the Mayo Clinic, who was not involved in the study, told Live Science in an email. “A heart attack and the ramifications of a heart attack may affect the health of other organs. Long-term mortality is likely due to a combination of multiple factors.”

For instance, women in the study had higher rates of diabetes than the men, as well as higher rates of diseases such rheumatoid arthritis , where joint pain and inflammation are often triggered by an immune system attack. This persistent inflammation may drive the formation of fatty plaques in blood vessels, which can block arteries and lead to a heart attack, according to a 2012 report in the journal Arteriosclerosis, Thrombosis, and Vascular Biology. That same inflammation may also affect how patients recover.

In addition, the women showed higher rates of depression than men in the study. “Depression impacts adherence to healthy lifestyle recommendations and medications,” which could impact women’s long-term survival after a heart attack, Tweet wrote in a commentary also published in the European Heart Journal about the research. But it’s also possible that the physiological changes that coincide with depression independently worsen outcomes; for instance, elevated levels of stress hormones and inflammatory molecules called cytokines could worsen a patient’s prognosis, she wrote.

In general, women

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Collecting Die Cast Model Tanks

For those who are considering investing in collecting die cast military vehicles then model tanks may be just what they are looking for. Die cast model tanks can look great no matter how you choose to display them and represent a large portion of the history of military vehicles. In the United States for example no new tanks are being produced. The older ones are sent in for disassembly and then reassembled using the newest technology. By collecting the models of all the older tanks you are keeping the history of the tank alive.

Die cast models are very easy to care for. A lightly dampened cloth will easily clean any surface dust and will not chance damaging the paint job. For models that have a good deal of decals on them it is better to just wipe them with a lint free cloth. Water may loosen the decals which can then be difficult to properly reattach.

If there are openings in the model itself then you can use canned air. Use short bursts while making sure to hold the can about six inches from the model. If you hold it too close you can damage the model. Sometimes the propellant can be shot from the cans and can cause frost damage to the decals or paint if you happen to turn the can upside down.

Always make sure to hold the can upright. If you are looking for a great way to display your die cast models then an oak or cherry bookcase can make a great display case. It is rather easy to add lights to the cases by drilling holes for the bulbs and using the small decorative bulbs that are typically used for Christmas trees. As long as these are placed in the holes using an adapter that can easily be found at a lighting store you will not run the risk of starting a fire.

You can also add glass to the front of the book case to keep wandering hands from handling your models and damaging them with the oils from their hands. Your hands contain a good deal of natural oils and it is very easy for these oils to be left behind on any surface that you touch. Die cast models are no exception.

Unpainted, these models can tarnish from the oils. Painted models can experience damage to the paint job from the oils over time. The oils can even damage the decals that may be present. By properly taking care of your die cast model tanks you can have a great looking collection that will last a very long time.

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Easy Grilled Bacon Recipes That Are To Die For

Everybody loves bacon, and we mean everybody. Those little strips of crispy meat with the perfect-tasting fat is something we all can't resist. It's great when fried, but the added smoky flavor from grilling makes it even more of a winner!

Here are quick and easy grilled bacon recipes that you can't afford to miss:

Grilled Bacon-Wrapped Caramel Apple

What you need:

  • 1/2 kilogram bacon
  • 4 red apples, peeled
  • 2 cups brown sugar
  • 1 cup milk
  • 1 cup butter
  • 3/4 cup corn syrup
  • 1/4 cup bourbon
  • 1 teaspoon vanilla extract

Wrap the apples with slices of bacon, from bottom to top, until completely covered. Secure bacon with a toothpick. Cook in a pre-heated grill, covered, over medium-high heat for 15 to 20 minutes until apple is softened and bacon is crisp. Insert popsicle sticks at the top of each apple then refrigerate. In a pan over medium heat, combine and cook to a simmer the brown sugar, milk, butter, corn syrup, bourbon and vanilla extract. Remove from heat and allow to thicken. Dip grilled apples in the caramel and allow to cool for a few minutes before serving.

Bacon-Wrapped Sriracha Onion Rings

What you need:

  • 1 pack bacon
  • 5 sweet onions
  • 1/2 cup sriracha hot sauce
  • 2 tablespoons mayonnaise
  • 2 tablespoons black pepper
  • 1 teaspoon fresh lime juice

Slice the onions into 1/2-inch thick rings. Brush each ring with sriracha sauce then wrap tightly with bacon. Secure with a toothpick. Toss in black pepper. Cook bacon-wrapped onion rings on a pre-heated grill over medium high heat until bacon is brown and crisp. To make the dipping sauce, mix together 1 tablespoon sriracha, mayonnaise and lime juice. Serve immediately.

Grilled Bacon Tater Tots

What you need:

  • 16 pcs. Tater Tots, frozen
  • 8 thin slices bacon, halved sideways
  • 2 tablespoons turbinado sugar
  • 1 teaspoon season salt
  • 1/2 teaspoon cayenne pepper

In a small bowl, combine sugar, salt and pepper. Sprinkle bacon slices with the mixture then top each bacon half with a tater tot. Roll up and secure with a toothpick. Assemble the bacon-wrapped tater tots in a grill rack or tray then sprinkle the rest of the sugar mixture over them. Cook on a pre-heated grill over medium high heat for 15 to 20 minutes or until bacon is crisp. Serve with your favorite barbecue sauce for dipping.

These grilled bacon recipes will make you a fan of the delicious meat even more!

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