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Baseball Stadiums Are Filling Up – But An Analysis Of The NFL’s 2020 Season Holds A Warning About COVID-19 Case Spikes

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Baseball Stadiums Are Filling Up – But An Analysis Of The NFL’s 2020 Season Holds A Warning About COVID-19 Case Spikes


Baseball season is here, and thousands of cheering fans are back in the ballparks after a year of empty seats. Most teams, still cautious of the COVID-19 risk, are keeping their stadiums to less than 30% capacity for now. Only the Texas Rangers packed the ballpark for the team’s home opener on April 5, 2021.

Many of these attendance decisions are being made with minimal data about the heightened risk that players and fans face of getting COVID-19 at stadiums or arenas and spreading it the community.

There is one large-scale experiment that can offer some insight: the National Football League’s 2020 season.

The NFL played 269 games in 30 cities, some with thousands of fans on hand, others with none. To help everyone understand the risks, we and other colleagues who study large-scale risks to professional sports crunched the numbers. What we found can help teams and fans decide how best to enjoy their favorite games.

How many fans is too many fans?

Twenty of the 32 NFL franchises allowed fans in their stadiums during games. A few of those games had upwards of 20,000 people.

The NFL’s decision to allow fans at games enabled us to examine the potential influence that large sports events can have on local viral transmission. Although we could not definitively assess cause and effect, the results were striking.

We found that in counties where teams had 20,000 fans or more at games, there were more than twice as many COVID-19 cases in the three weeks after games compared to counties with other teams. The case rate per 100,000 residents was also twice as high. Neighboring counties also experienced higher case counts and rates in the three weeks following games with lots of fans in the seats.  

By comparing COVID-19 case data and game attendance data reported by ESPN, we found patterns that carried across the 30 football communities. The study has been submitted to the medical journal The Lancet for peer review and was released April 2, 2021, in preprint format.

We found very little evidence of COVID-19 spikes associated with fan-attended games in the first seven days after games, which wasn’t surprising given the incubation period of the virus. However, the two-week and three-week windows after games were markedly different, with a significantly greater rate of spikes in COVID-19 cases being identified in communities that had fans at games compared to those that did not.

When stadiums had fewer than 5,000 fans in the stands, we didn’t see elevated case numbers like we did in those that permitted more than 20,000 fans.

The Tampa Bay Buccaneers, host of the Super Bowl, was one of the teams that permitted the maximum number of fans. The spikes observed in Hillsborough County, Florida, after home games were quite pronounced. Roughly 18 to 21 days after nearly every home Bucs game with fans in attendance, there was a spike in cases. This repeated pattern of spikes in COVID-19 case rates reflects the time between exposure and the illness developing, being tested and reported. A similar pattern appeared across nearly every team that allowed over 5,000 fans in the stadium this past NFL season. 

Yes, there’s still a risk

While COVID-19 vaccinations are ramping up nationwide, much of the public is still vulnerable to this lethal disease. As of April 5, 2021, only about 19% of the U.S. population had been fully vaccinated. How many people may have natural immunity from having gotten the virus and how long immunity will last isn’t known.

Being outdoors does lower the risk compared to being in a room, but when infected people are shouting or cheering, they can spread the virus farther.

Major League Baseball is encouraging precautions this season, including recommending fans and players wear masks while they aren’t on the field and practice social distancing. But it will be up to each team to decide how tightly packed their fans can be.

The takeaway for games and large gatherings

The 2020 NFL season carries important lessons about mass gatherings during infectious disease outbreaks.

The research suggests using a phased approach, with the number of fans attending sports and entertainment events slowly increasing only after officials have evaluated the COVID-19 case spread in the local and surrounding communities. Such an approach may be necessary until enough people are vaccinated to stop the spread of the virus. Even then, sports teams and event planners should still monitor public health data for future risks. 

The number of COVID-19 cases in the U.S. has dropped significantly since its peak after the Thanksgiving and winter holidays, but the risk isn’t gone. The daily case count is still higher than last September, and the U.S. is also seeing a rise in coronavirus variants that spread more easily than the initial virus.

Fans and sports and other event planners will need to take all of that into account as they make decisions about upcoming seasons, concerts and the Summer Olympics. That includes a boxing match expected to be attended by more than 60,000 spectators in Dallas over Cinco De Mayo weekend.

NFL Commissioner Roger Goodell has already said he expects full stadiums when football season starts again in the fall.

Wanda Leal of Texas A&M San Antonio, Erin Sorrell of Georgetown University and Nicole Leeper Piquero of the University of Miami contributed to this article. 

Alex R. Piquero, Chair of the Department of Sociology and Arts & Sciences Distinguished Scholar, University of Miami and Justin Kurland, Director of Research, National Center for Spectator Sports Safety and Security, The University of Southern Mississippi

This article is republished from The Conversation under a Creative Commons license. Read the original article.





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Feeling Tired All The Time? Possible Causes And Solutions

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Long days of work, lack of sleep, and stress at the office can be the most common factors that make you feel tired. However, feeling “tired all the time” (TATT) without known reasons can be an indication of an underlying health issue that needs immediate attention.

Finding the exact cause of the lingering tiredness can be the first step toward solving the symptom.

Health conditions that cause fatigue:

1. Anemia – Anemia is one of the most common causes of fatigue. A person who has anemia does not have enough red blood cells in the body, causing symptoms such as tiredness, dizziness, feeling cold and crankiness.

Most often, anemia is caused by iron deficiency. Hence, the condition can be best resolved by including iron-rich foods in the diet and use of iron supplements.

2. Sleep Apnea – It causes the body to stop breathing momentarily during sleep. The condition can affect the quality of sleep and hence make you feel fatigued.

For milder cases of sleep apnea, lifestyle changes such as losing weight or quitting smoking can help solve the sleep disorder. In more severe cases where there is an obstruction in breathing, surgeries and therapies can help.

3. Diabetes – A person who has diabetes has changes in blood sugar level, which can cause fatigue. A patient who is already on diabetic medication can also experience tiredness as a side effect of the medication.

Early identification and taking the correct treatment is the key to managing diabetes. Losing extra weight and having a healthy diet also help in the treatment.

4. Thyroid – Thyroid diseases can be due to an overactive or an underactive thyroid gland. In people who have an underactive thyroid (hypothyroidism), the metabolism slows down leading to symptoms such as lethargy and fatigue. In people with an overactive thyroid (hyperthyroidism), the metabolism speeds up leading to fatigue and difficulty sleeping.

Right diet and lifestyle choices, along with medications, can help in thyroid management.

5. Infections – A person can show symptoms of fatigue when the body is fighting a viral or bacterial infection. Infections ranging from the flu to HIV can cause tiredness.

Along with fatigue, other symptoms such as fever, headache, body aches, shortness of breath and appetite loss can also accompany the infection. Treating the symptoms and taking adequate rest helps in faster recovery.

6. Food allergies – Fatigue may be an early warning sign of hidden food allergies and autoimmune disorders such as celiac disease. Identifying the allergen using a food allergy test or through an elimination diet can help in allergy treatment.

7. Heart disease – If you feel exhausted from an activity that used to be easy, then it is good to check your heart health, as fatigue can be an indication of underlying heart disease.

8. Depression/ anxiety – Fatigue can also be an indicator of a mental health disorder such as depression or anxiety. A combination of medication and psychotherapy can help relieve symptoms.

Lifestyle causes

Apart from serious health conditions, certain lifestyle habits such as dehydration, poor diet, stress and insufficient sleep can cause exhaustion. Having a well-balanced diet, regular exercise and routine sleep can help solve fatigue caused by lifestyle habits.

Published by Medicaldaily.com



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How To Overcome Your Sleep Debt And Reclaim Energy

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Picture this: you’re burning the midnight oil, studying or binge-watching your favorite shows, all at the expense of a good night’s sleep. Have you ever stopped to think about the toll it takes on your body and mind? The consequences can be more serious than you might realize.

Not getting enough sleep can translate into a multitude of issues, including weight gain, lack of focus, tiredness, a haze of confusion, and even depression. If you too are encountering similar issues lately then chances are you have a sleep debt.

Wondering what is sleep debt?

People from 13-18 years of age need 8 hours of sleep, whilst adults beyond that age will require at least 7 hours of snooze.

Sleep debt is a collection of the total hours you haven’t slept or traded your sleep for something else. Sleep debt keeps piling up as a person falls short of the total hours of sleep recommended for an adult, according to the Centers for Disease Control and Prevention.

And when you keep letting go of your sleep for other activities, the body adapts to the new normal and effects start to reflect on the energy levels, which deplete.

“However, like every other debt out there, this too has a repayment option,” Dr. Kunal Kumar, medical director of the Sleep Center at Einstein Medical Center in Philadelphia, told Livestrong.

Below are some expert-vetted ways you can pay back the sleep debt. (Courtesy: Livestrong and Sleepfoundation)

Just like financial debt, imagine sleep debt as a debt you owe to your body. It needs to be repaid. The good news is that catching up on sleep is indeed possible.

  • Maintain a set sleep schedule: Overhauling the sleep schedule is a pretty difficult task to achieve, and it’s best to do that gradually. Create a set sleep schedule by making some small changes to your routine. Instead of making abrupt shifts in your bedtime or wake-up time, adjust them gradually by 15 to 30-minute increments.
  • Minimize your gadget usage: Wind down activities and minimize electronic usage before bed to promote better sleep. Relax and prepare for quality sleep by dimming the lights and setting an alarm for 30 minutes to an hour before bed.
  • Reshuffle your sleeping arrangements: Are you finding it hard to get a good night’s sleep due to excessive sweating? Well, here’s a handy solution: consider upgrading to a cooling mattress or opting for cooling sheets. These innovative sleep essentials can help regulate your body temperature, and keep you comfortably cool throughout the night, ensuring a more blissful slumber. Memory foam pillows can work wonders in relieving neck and back discomfort in case you are struggling with backache.
  • Improve the bedroom environment: Create a sleep-friendly bedroom environment by adjusting the temperature for comfort, and blocking out disruptive lights, or noises that might disturb your restful slumber. And if your mattress, pillow, or sheets are worn out or no longer providing the support you need, consider treating yourself to new ones.

Published by Medicaldaily.com



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Omega-3 Fatty Acids Slow The Progression Of Amyotrophic Lateral Sclerosis: Study

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Omega-3 fatty acids are known for a range of health benefits, from promoting brain and heart health to reducing inflammation and protection against several chronic conditions.

In a new study, researchers found that omega-3 acids, especially the type found in foods like flaxseeds, walnuts, chia seeds, canola oil and soybean oil, can slow down the progression of amyotrophic lateral sclerosis (ALS).

It is a debilitating nervous system disease that gradually worsens over time and can be fatal. The condition results in a loss of muscle control and affects the nerve cells in the brain and spinal cord. It is also known as Lou Gehrig’s disease after the baseball player who was diagnosed with it.

The initial symptoms of the disease include muscle weakness, difficulty in walking and hand movements. The symptoms can slowly progress to difficulties with chewing, swallowing, speaking and breathing.

The exact cause of ALS is not known. However, around 10% of people get it from a risk gene passed down from a family member. It is estimated that more than 32,000 people in the U.S. live with the condition.

In the latest study, researchers from Harvard T.H. Chan School of Public Health in Massachusetts evaluated 449 people living with ALS in a clinical trial. The team assessed the severity of their symptoms, the progression of their disease, along with the levels of omega-3 fatty acids in their blood, for 18 months.

The study suggested that alpha-linolenic acid (ALA), a type of omega-3 found in plants, is particularly beneficial in slowing the progression of ALS. The participants with the highest levels of ALA had a 50% reduced risk of death during the study period compared to those with the lowest levels of ALA.

Researchers also found a reduction in death risk in participants who had eicosapentaenoic acid, the type of omega-3 fatty acid found in fatty fish and fish oil, and linoleic acid found in vegetable oils, nuts and seeds.

A previous study conducted by the same team suggested that a diet high in ALA and higher blood levels of the nutrient could reduce the risk of developing the condition.

“In this study, we found that among people living with ALS, higher blood levels of ALA were also associated with a slower disease progression and a lower risk of death within the study period. These findings, along with our previous research suggest that this fatty acid may have neuroprotective effects that could benefit people with ALS,” said Kjetil Bjornevik, the lead author of the study.

Published by Medicaldaily.com



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