BioQuakes

AP Biology class blog for discussing current research in Biology

Tag: #COVID19 (Page 2 of 2)

Optimus Prime, Megatron, Proteins? The New Transformer Vaccine Candidate!

Amid the global outbreak of COVID-19, with no end in sight after nearly two years, the future wellbeing of humans is in danger. Coughs, fevers, and shortness of breath have lent way to millions of deaths across the globe. As thousands of researchers relentlessly work to find solutions to this virus, multiple vaccine candidates have emerged. Specifically, in the United States, millions of Americans have received doses of the Pfizer-BioNTech, Moderna, and Johnson & Johnson’s Janssen vaccines. However, scientists at Scripps Research recently recognized a new, self-assembling COVID-19 vaccine as a potentially more efficient and effective way to fight this worldwide battle.

 

Primarily, it is critical to understand how vaccines function as they help protect the immune system. The COVID-19 vaccines currently in effect are mRNA-based; in other words, the messenger RNA signals one’s body to produce a harmless viral protein that resembles the structure of a spike protein. The body, with the help of T-Helper cells, recognizes this structure as a foreign invader as B cells bind to and identify the antigen. The T-Helper cells will then signal these B cells to form B-Plasma cells and B-Memory cells. When getting the vaccine, the B-Memory cells are especially important as they prevent reinfection. This is a process known as adaptive immunity. Here, in the event of future infection with the spike-protein COVID-19, the memory cells would help carry out the same response more quickly and efficiently. Essentially, this process acts as the body’s training in case of any future infections.

 

While the Scripps Research COVID-19 vaccine would evoke a similar immune response to that described above, it differs from other candidates in how it assembles in the human body; this new vaccine would be comprised of proteins that are able to self-assemble. On their own, these nanoparticle proteins would transform into a sphere protein structure surrounded by smaller proteins, mimicking the coronavirus’s shape. Here, the self-assembled spike proteins are more sturdy and stable than in an mRNA-produced structure. Thus, it more accurately prepares the body for future infection with COVID-19. In fact, multiple tests found that mice who were given the experimental vaccine were able to fight off not only SARS-CoV-2 but also SARS-CoV1 along with the alpha, beta and gamma variants.

 

Nonetheless, influencing the public to get a newer vaccine instead of the well-trusted vaccines already in production requires proof of the candidate’s benefits. Primarily, as mentioned, early results find that this new candidate would perform well with many different strains of COVID-19. Additionally, researchers assert that this vaccine would be relatively simple to produce on a mass scale. Lastly, scientists found that this vaccine may well be more protective and long-lasting than current vaccine candidates. Although the process of vaccine approval is lengthy and often difficult, I am hopeful for the future of the Scripps Research vaccine if it is put into production. Moreover, I believe that such experimentation with self-assembling nanoparticle proteins transcends the current pandemic. The benefits of this field present a wide array of opportunities, and I look forward to seeing what its future may hold.

 

What do you think? Are these transformer-like self-assembling particles a gateway to the future of medicine or an unnecessary distraction from effective treatments already in circulation?

The Science Behind COVID Tests

My family and I have had a lot of questions about the COVID test, such as if I take the COVID vaccine and do a test, will it come positive? Well to answer a question like this we need information on how tests work.

Lets start with the basics:

There are two types of molecular tests, antigen tests and nucleic acid amplification tests. Rapid tests are known as Antigen Tests while PCR tests are known as nucleic acid amplification tests. I will talk about PCR tests first. The PCR tests test for DNA. However, the COVID-19 genetic code is actually RNA. So how do PCR tests pick up positive or negative results?

Test de antígenos Covid 3

When your swab of DNA is sent back to the lab, they will isolate RNA and DNA with the process called gel electrophoresis. After isolating the RNA, it is mixed with enzymes (DNA polymerase and reverse transcriptase), DNA building blocks, cofactors, proves and primers. The RNA is transcribed into DNA by the reverse transcriptase. This transcription creates a complimentary DNA. The goal is to isolate the DNA now, and the DNA polymerase does so. The enzyme breaks up the RNA and isolates the complimentary DNA. That DNA is duplicated in order to amplify the molecule. Remember that this DNA is duplicated from the virus RNA.

To amplify the DNA for the equipment to read, the DNA is first heated, denatured, in order to separate the DNA strands. When cooled, primers and probes bind to the DNA strands. The DNA polymerase assembles new DNA strands from the DNA building blocks and when fully reconstructed, it has been successfully amplified. This is done repeatedly with the RNA and thus, creates many complimentary DNA’s ready to amplify.

If SARS-CoV-2 complementary DNA is present in the sample, primers copy the infected regions while probes, signaling proteins, stick to it and release a visual signal read by the equipment. Because there are millions of amplified DNA, there will be lots of signals being produced by the probes. If their is no virus, the probes do not stick and this no signal release and a negative result shows. Thanks to the power of signaling and cell communication, lab instruments can pick up on it and give us a positive or negative result.

The rapid test works in a very different way. Antigen rapid test takes about 15 minutes. The goal is to detect the spike protein of the coronavirus. The liquid drops onto the droplet. Antibodies are on the test pad, with three sets.

The testing pad, we’ll call pad, consists of the location for liquid drops, and a C and T line. At each segment of the pad there are different antibodies. Those antibodies will bind to the spike protein as well as the other antibodies. When the liquid is dropped in, capillary flow allows the liquid to move down the pad. The first antibodies will attach to the virus, which then move down the pad. Then the antibody will bind to primary and secondary antibody, not the virus. The combining of antibodies create the line which results in the positive or negative outcome.

 

To answer my question, no. The PCR and rapid tests should not test positive if one has taken the vaccine recently. This is because both tests are checking for active viruses and polymerase. Not immunity.

 

If you feel any symptoms take a rapid test, sometimes it comes negative when you really have COVID and that’s because at the early stages of COVID development in the body, there will not be enough active viruses going around.  But that does not mean you are not contagious, please be safe and stay healthy!

Vampires and COVID-19? They may have something in common; and spoiler, it has nothing to do with bats

Researchers from Trinity College Dublin and the University of Edinburgh think they may have found a new weakness of COVID-19; sunlight! More specifically,  ambient ultraviolet B (UVB) radiation which provides the body with vitamin D. The researchers knew of previous studies of the susceptibility of those with vitamin D deficiency to not only receiving the virus, but also experiencing the entirety of it’s wrath. However, in most cases measures weren’t taken to rule out the possibility of confounding factors (other conditions that can cause both vulnerability to COVID-19 and vitamin D deficiency). In order to jump this hurdle, the researchers used “genetically predicted” vitamin D levels.

Sunny day

With this averaged sample, the researchers used an analytical process called Mendelian Randomization . The process allowed them to test correlations between Vitamin D levels and COVID-19. This process had been attempted in past studies, and the researchers results did not contradict previous conclusions; a link between vitamin D levels and COVID-19 was not evident. However, the researchers of Trinity and Edinburgh wanted to test the effects of UVB radiation. UVB radiation from sunshine is the most important supplier of vitamin D for many, yet it was not included in previous studies.

 

Studying almost half a million people from the UK, the researchers compared the genetically predicted levels effect versus UVB predicted levels effect on COVID-19 infection. “researchers found that correlation with measured vitamin D concentration in the circulation was three-fold stronger for UVB-predicted vitamin D level, compared to genetically-predicted” (Trinity College Dublin). The researchers found a correlation of high strength in the negative between UVB radiation and hospitalization and death due to COVID-19 as well.

While the researchers admit that the sample size of the study is not quite large enough to be entirely conclusive, especially considering the surprising deviation from the results of the genetically predicted study, they are optimistic that with time their theory will prove significant. The odds are with them as vitamin D has been found to be a benefactor of the immune system in general. A fact demonstrated by the presence of vitamin D receptor on both B and T cells, and the trend of higher susceptibility to infection of those with lesser amounts of vitamin D.

 

How are new COVID variants identified?

COVID variants are of high concern for scientists studying the disease. Some variants can be more infectious or cause more severe illness. Additionally, some variants can evade vaccines by having different surface proteins than the variant the vaccine was created for. This causes the antibodies produced from the vaccine to be less effective against other variants. In AP Biology class we discussed how the Delta Variant, first identified in December 2020, has a different spike protein structure than the original virus from which the vaccine was created from. This allows the variant to be more infectious, and make the vaccine less effective against it. But, what are COVID variants? And how are they discovered? Hand with surgical latex gloves holding Coronavirus and A Variant of Concern text

COVID variants are “versions” of the virus with a different genetic code than the original one discovered. However, not every mutation leads to a new variant. This is because the genetic code of the virus codes for proteins. Some mutations will not change the structure of the protein and thus not change the virus. So, COVID variants can be defined as versions of the virus with a significantly different genetic code than the original virus.

To detect new COVID variants, scientists sequence the genetic code of virus which appears in positive COVID tests. Scientists look at the similarity of the genetic sequences they find. Then, if many of the sequences they get look very similar to each other, but different to any other known virus, a variant has been discovered.

To sequence the RNA of the virus, scientists use what is called Next Generation Sequencing (NGS). To understand how NGS works, it is best to start with what is called Sanger Sequencing. Sanger Sequencing utilizes a modified PCR reaction called chain-termination PCR to generate DNA or RNA fragments of varying length. The ending nucleotide of each sequence is called a ddNTP, which contains a florescent die corresponding to the type of nucleotide. The addition of a ddNTP also terminates the copying of the particular sequence. The goal of this PCR reaction is to generate a fragment of every length from the start to the end of the sequence. The sequences can then be sorted by length using a specialized form of gel electrophoresis. The sequence is then read by using a laser to check the color of the fluorescent die at the end of each sequence. Based on the color and size, the nucleotide at that position of the genomic sequence can be found.

Sanger Sequencing Example

The difference with NGS is that many sequences can be done in parallel, allowing for very high throughput. In other words, with NGS many COVID tests can be sequenced in once.

Needle in a Haystack

Immunization is defined as the action of making a person immune to infection by the process of inoculation. While the COVID-19 vaccine may be new, vaccines have actually been around for a lot longer than you may think. We’re used to getting vaccines through needles when we go to the doctors office, but what if I told you that that’s not the only way to receive one. Hundreds of years ago, Buddhist monks actually used to drink snake venom in order to build immunity to it. Though more formally, Edward Jenner is considered the founder of vaccinology after successfully inoculating a 13 year old boy in 1796 with a smallpox vaccine. The 13 year old actually demonstrated immunity and the first small pox vaccine was officially developed in 1798. While that may be just a brief recount of the history of vaccines, the significance of their revolutionary effects will follow humanity to the end of time. Through vaccines we’ve immunized viruses such as Chicken Pox, Polio, Influenza, Hepatitis A, Hepatitis B, HPV, Measles and many more. These viruses plagued the world in the past, but many of them are now obsolete.

While these vaccines may be different in nature, they all have one similarity… They are administered through needles. The “proper” term inoculation, however it is not specified how the virus needs to be administered. Monks used to drink snake venom and that was considered inoculation. So that begs the question… Does a needle really need to inject a vaccine? The answer is no.

The sterility of each batch of vaccine is tested before it leaves the laboratory. USPHS (United States Public Health Service) Rocky Mountain Laboratory, Hamilton, Montana 

Title and other information from caption card.Transfer; United States. Office of War Information. Overseas Picture Division. Washington Division; 1944.More information about the FSA/OWI Collection is available at http://hdl.loc.gov/loc.pnp/pp.fsaowiTemp. note: owibatch1Film copy on SIS roll 1, frame 1090. 01/01/1942

How does the COVID-19 vaccine work?

The COVID-19 vaccine is considered an mRNA vaccine. Normal vaccines would put an inactivated germ into our bodies in order to build immunity. An mRNA vaccine uses mRNA that is created in a laboratory in order to instruct our cells on how to make a protein. The COVID-19 is administered through the upper arm muscle and it enters muscle cells. Inside these cells, the mRNA is assembled in the Endoplasmic Reticulum to form spike proteins. The mRNA that is injected is coded to constantly recreate the spike protein and it is displayed on the surface of the cell and our immune system will respond with antibody production.

What are other Methods of Vaccination?

According to Victoria University, there is more than one way to administer a vaccine. While they’re usually administered with a needle, you could also administer one using Jet Injectors. These Jet Injectors date back to the mid 1860s. They penetrated the skin and administered the vaccine without a needle. The method included a spring-loaded injector where a spring is released to deliver the vaccine. Another method of administering the vaccine is a liquid jet injector that uses very small volumes of liquid that is forced through very tiny microscopic holes in your skin, also not requiring a needle. This method was used during clinical trials against HIV and it is also utilized in some influenza vaccinations. A third method of vaccination is a band-aid-like patch that contains 400 tiny needles. It is said that if the vaccine were administered through antigen-presenting cells in the skin than into muscle cells the chances of the DNA (A DNA based vaccine) entering the nucleus would increase. The researchers created a delivery system by attaching DNA sequences encoding SARS-CoV-2 spike protein on the surface of nano-particles. The tiny needles were then coated with the nano-particles. After this, the patch would then be applied onto the skin, painlessly penetrating it.

Jet injector gun.jpg

 

COVID-19 May Induces Cell That Produce Antibodies for Life

Once in our body, SARS-CoV-2, the virus that causes COVID-19, forces the body’s innate immune system to activate. However, the innate immune system response typically is deemed unsuccessful due to the complexities of the virus’s structural components, which then paves way for the body’s adaptive immune response to initiate. As we learned in Biology, adaptive immune response begins with a macrophage engulfing SARS-CoV-2 through phagocytosis. Then, the MHC proteins present on the macrophages, white blood cells that surround and kills microorganisms, remove dead cells, and stimulates the action of other immune system cells,” display the antigen on the surface, creating a ‘wanted’ poster for the immune system (Cancer.Gov). We also learned that eventually, a T-Helped cell comes along and binds to the displayed antigen, which activates the T-Helper cell which fosters the secretion of interleukin, a cytokine. Finally, both B and T cells are stimulated, which then begin the process of fighting off the virus, along with preventing reinfection. One of the cells that assists in the preventing reinfection are B-Plasma Cells, which are, “antibody-producing immune cells [that] rapidly multiply and circulate in the blood, driving antibody levels sky-high”(WashU School of Medicine).

Tingible body macrophageOne crucial step in determining a person’s ability to fight reinfection is testing to see if antibody secretion has either occurred or is currently occurring. While typical blood samples will suffice, “the key to figuring out whether COVID-19 leads to long-lasting antibody protection, Ellebedy [ PhD, and associate professor of pathology & immunology] realized, lies in the bone marrow”(WashU School of Medicine). The B Lymphocytes, which initiate a humoral response, mature in the bone marrow, and so, to determine the prevalence of antibody secreting cells, bone marrow samples must be received from past COVID-19 patients. To determine if antibody production increases after the body completes its fight against, Ellebedy collected blood samples and “As expected, antibody levels in the blood of the COVID-19 participants dropped quickly in the first few months after infection and then mostly leveled off, with some antibodies detectable even 11 months after infection” (WashU School of Medicine). However, people who exhibited mild cases of COVID-19, meaning that their body removed the virus after two to three weeks, antibodies continue to secrete antibodies, and will continue for an indefinite time period.

Covid-19 San Salvatore 09One problem introduced was rooted in the mainstream media, which spread a misinterpretation of data, being that “antibodies wane quickly after infection with the virus that causes COVID-19” (WashU School of Medicine). Ellebedy believes that this is a major misinterpretation of data, and actually means that antibody production is continuing inside of the bone marrow. Typically, antibody production plateaus after a certain period of time preceding infection, yet these numbers don’t go to zero.

Ellebedy concludes that this result is highly promising, especially for people who experienced a more severe infection from SARS-CoV-2, because an increased amount of circulating virus cells typically leads to a stronger immune response due to the body being required to secrete more antibody cells. Although she believes that more studies need to undergo in people who experienced moderate to severe infections, and show if they also have the same everlasting antibody production.

 

 

 

 

 

 

Protein Responsible for Increasing the Severity of COVID-19

The CDC reported that the first human COVID-19 case, originating in Wuhan, China, to enter the United States was on January 20th, 2020 via DNA samples. Present-day, COVID-19 has affected nearly three hundred million people worldwide according to the New York Times. Now, one would assume that this virus would have the same effects from person to person, yet it actually produces drastically different effects depending on the victim’s body composition. Some people “develop mild or no symptoms upon infection,” whereas others, “develop severe, life-threatening disease” (University Of Kent). But what exactly causes this alteration of symptoms from patient to patient? Well, researchers at the University of Kent have scrutinized through their resources to determine a possible source for this predominant world health issue.

Protein CD47 PDB 2JJS

As we’ve learned throughout units two and three, protein structure is pivotal for determining the protein’s function, and proteins as a whole are what viruses, for example, SARS-CoV-2, consist of on the molecular level. SARS-CoV-2 transmits itself through our body by binding its spike proteins to our healthy cell’s receptors, which then emits a signal to the cell, ultimately altering the genetic code of the cell, changing its function. One protein synthesized from our cells is called ‘CD47,’ a cellular surface protein, which, in broad terms, “tells circulating immune cells called macrophages not to eat these cells” (Stanford.edu).  Once SARS-CoV-2 cells begin to synthesize this surface protein, the cells become ‘protected’ from our immune system, enabling the cells to continuously reproduce and flood the body without any interference from the macrophage and other immune system anti-virus functions. Virus-synthesized CD47 on the surface of SARS-CoV-2 cells allows for the production of higher volume of virus, ultimately resulting in a more severe disease infection.

Viruses-08-00106-g001According to the researchers at the University of Kent, CD47 is far more prevalent among older people, which may provide a reasonable explanation as to why they typically exhibit severer symptoms compared to those of younger people. One condition that high levels of CD47 typically produce is high blood pressure, which forces the body to deviate by over 1o mm Hg systolic and 10 mm Hg diastolic, according to the American Heart Association. High blood pressure, specifically caused by CD47, puts people ” [at] a large risk factor for COVID-19 complications such as heart attack, stroke, and kidney disease”(University of Kent). The researcher’s data demonstrates that both age and virus-synthesized CD47 greatly contributes to more severe COVID-19 by blocking a fully functioning immune response which increases tissue and organ damage.

COVID-19 vaccines (2021) AThis finding should provoke optimism within the scientific community, understanding what causes differing symptoms-severe or less severe- is incredibly useful for combatting both the virus’s spread and severity from person to person. Hopefully, scientists will be able to further utilize CD47 research to save lives of people who are at higher risk of experiencing more severe COVID-19 symptoms.

 

 

SARS-CoV-2 and Our Evolving Immune Systems

A scientific study analyzed in a recent article by Monique Brouillette brings hope with the emergence of possibly more infectious COVID-19 variants. The study looks at the blood of people who are vaccinated, and people who recently have had COVID-19, to learn more about the cells in our immune system. Studying and seeing these cells create their own way to counteract mutations could mean the evolution of our immune systems in response to the variants. So the study poses the question: Along with our cells ability to respond to the initial SARS-CoV-2 virus invasion, do our bodies adapt so that those same cells can recognize the new variants?

An Immunologist at the Rockefeller University, Michel Nussenzweig, conducted a study along with his colleagues by testing the blood of individuals both one month and seven months after they had COVID-19. The scientists noticed that individuals had lower levels of antibodies, and equal or higher levels of memory B cells, seven months after having COVID-19 than one month after. This was expected as the virus had been fully cleared by the seven month mark, and memory B cells were created in response to the initial invasion of SARS-CoV-2.

Memory B cells are created by the humoral response. This is when macrophages or dendritic cells recognize a forign antigen (in this case SARS-CoV-2), and stay in the body near its lymph nodes with the ability to recognize the virus.

Memory B cell response

If someone were to get infected for a second time, these memory B cells would activate to quickly produce antibodies and block the virus. This is called the secondary immune response (pictured on the right).

The scientists then did another test in the study. They tested reserve B cells and antibodies someone produced in response to SARS-CoV-2 against a version of SARS-CoV-2 they created to be more like a new variant. The replica new variant virus was made to be more like the new variants by having a mutation in the spike protein, which is the part of the virus that binds to our cells. When they tested this, they saw that some reserve B cells produced antibodies that went and attached to the mutated spike proteins, showing that the reserve B cells and antibodies from SARS-CoV-2 were able to adapt and recognize a different or mutated version of SARS-CoV-2.

New COVID19 mutant (SARS-CoV-2 VOC-20201-01)

Example of SARS-CoV-2 Mutation

The SARS-CoV-2 variants have many similar elements to the original SARS-CoV-2, but also contain mutations in their spike proteins and receptor binding domains (for the most part), which allow them to usually go undetected by our bodies. This is why those who are vaccinated or have SARS-CoV-2 antibodies are not fully immune to the variants.  

Most recently, Nussenzweig and his team conducted the same experiment again, but with new and improved viruses that more closely resemble the COVID-19 variants. One of the replica variants is of B.1.351, which contains mutations K417N, E484K, and N501Y, was tested against cloned six month old (previously exposed to SARS-CoV-2) B cells. Although it has not yet been reviewed and confirmed, this test did show that some of the antibodies produced by these B cells had the ability to recognize and attach to these mutated variants engineered to be very similar to the viruses of the Covid variants. 

What these scientists discovered with SARS-CoV-2 is a process called somatic hypermutation. This is when the immune system adapts to recognize and attack forign mutations or viruses it has not seen before when they have previously fought off a virus with some similar elements. The occurrence of this process with SARS-CoV-2 gives us hope that after getting the vaccine or having had COVID-19, our bodies will have a better defense against the new variants, which will, hopefully, in turn, lessen the fear and stress surrounding the emergence of new SARS-CoV-2 variants.  

 

 

 

The COVID-19 Vaccine: How, What, and Why

We have all seen the news lately – COVID, COVID, and more COVID! Should people get the vaccine? What about the booster shot? Are vaccines more harmful than COVID-19? Will my child have birth-defects? This blog post will (hopefully) answer most of your questions and clear up a very confusing topic of discussion!

Discovery of monoclonal antibodies that inhibit new coronavirus(Wuhan virus)

First off, what are some potential effects of COVID-19? They include, but are certainly not limited to, shortness of breath, joint pain, chest pain, loss of taste, fever, organ damage, blood clots, blood vessel problems, memory loss, hearing loss tinnitus, anosmia, attention disorder, and the list goes on. So, our next question naturally is: what are the common effects of the COVID-19 Vaccine? On the arm that an individual receives the vaccine the symptoms include pain, redness, and swelling. Throughout the body, tiredness, a headache, muscle pain, chills, fever, and nausea can be experienced. To me, these effects seem much less severe than COVID-19’s!

COVID-19 immunizations begin

Now that we have covered effects, you are probably wondering what exactly the COVID-19 Vaccine does – will it make it impossible for me to get COVID-19? Will I have superpowers? Well, you may not get superpowers, but your cells will certainly have a new weapon, which we will discuss in the next paragraph! The COVID-19 Vaccine reduces “the risk of COVID-19, including severe illness by 90 percent or more among people who are fully vaccinated,” reduces the overall spread of disease, and can “also provide protection against COVID-19 infections without symptoms” (asymptomatic cases) (Covid-19 Vaccines Work).

So, how does the vaccine work? Many people think that all vaccines send a small part of the disease into us so our cells learn how to fight it at a smaller scale. However, this is not the case with the COVID-19 vaccine! As we learned in biology class, COVID-19 Vaccines are mRNA vaccines which use mRNA (genetic material that tells our cells to produce proteins) wrapped in a layer of fat to attach to cells. This bubble of fat wrapped mRNA enters a dendritic cell through phagocytosis. Once inside of the cell, the fat falls off the mRNA and the strand is read by ribosomes (a protein maker) in the cytoplasm. A dendritic cell is a special part of the immune system because it is able to display epitopes on MHC proteins on its surface.

Corona-Virus

After being made by the ribosomes, pieces of the viral surface protein are displayed on the surface of the dendritic cell (specifically the MHC protein), and the cell travels to lymph nodes to show this surface protein. At the lymph nodes, it shows the epitope to other cells of the immune system including T-Helper Cells. The T-Helper Cells see what they’re dealing with and create an individualized response which they relay to T-Killer cells that attack and kill virus-infected cells. This individualized response is also stored in T-Memory cells so that if you do end up getting COVID-19, your body will already know how to fight it! The T-Helper Cells additionally gather B-Plasma cells to make antibodies that will keep COVID-19 from ever entering your cells. T-Helper Cells are amazing! As you can see, the vaccine never enters your nucleus, so it cannot effect your DNA! No birth-defects are possible!

You are now equipped with so much information and able to disregard many common misconceptions about the COVID-19 vaccine! Additionally, you can make an educated decision about whether or not you should get the vaccine. I think yes! If you have any questions, please feel free to comment them and I will answer. Thanks for reading!

 

Omicron Variant: How Will it Affect the Vaccinated?

When looking back over the past 2 years, many think about the need for and effectiveness of the COVID-19 vaccines, but regardless of what many may think it has been proven that the COVID-19 vaccine is effective against the original variant of COVID-19 that was most prominent during the production of vaccines. However, what many people are wondering is if these vaccines & boosters are still effective against the Omicron variant?

Before going over the effectiveness of the current vaccines and booster shots on the Omicron variant, we first have to look at the Omicron variant itself. First off, we know that Omicron was “first identified [in] South Africa,” which is a place where full vaccination rates are at 25%: a low percent that is not high enough for herd immunity. Despite this, the Omicron is still viewed as a threat to more vaccinated communities. This is because in order for variants of COVID-19 to be labeled a variant, it needs at least one mutation to its spike protein, and Omicron has dozens of mutations to its spike protein, and the more mutations it has, the more potential it has to infect the vaccinated.

It is important to note that the COVID-19 vaccines help to produce antibodies that latch onto and render spike proteins inactive. Since this Omicron variant has dozens of mutations to its spike protein. As seen through activities and lessons learned in our Bio class, different variants of COVID-19 just have pieces of the protein structure changed, which leads to a changed shape of their spike proteins. This leads to existing vaccines being less effective as the original vaccine was meant for a specific spike protein shape, not the shapes of the new variants. The changes to the Omicron spike protein makes it very different to the original COVID-19 spike protein, so the vaccine will be less effective.

Even if a break through the vaccinations defenses doesn’t happen with the Omicron variant, “some version of this coronavirus is bound to flummox our vaccines.” Despite all of this information, we still know very little about the Omicron variant and its effects. It’s just too early to know what will happen. Because of this lack of information, it is important for people to make sure they are vaccinated and get their boosters as it does still make a difference. Overall, people, vaccinated or not, should err on the side of caution with this new potential threat of Omicron out there and should try to stay safe.

 

 

Why to Get the Vaccine and Booster Shot!

The COVID-19 pandemic started almost 2 years ago on December 12, 2019.  Since then, it took roughly 1 year to release a vaccine in the US. So far there are almost ~780,000 deaths in the US with 195M US citizens fully vaccinated or 59.1% of the US population. Now booster shots are available to ages 18 and older in some parts of the country, you might wonder if you should take them. Is there an incentive to?

Firstly, the ultimate goal of the COVID-19 Vaccine is to stimulate the B-memory cells so when someone comes in contact with the same pathogen, there is faster antibody production for infections. The antibodies bind to the COVID-19 virus in an attempt to inactivate them, and the virus will then be engulfed by the macrophages. In a recent study, a team of physicians and public health experts measured the effectiveness of the COVID-19 vaccine over time. They sampled health workers at San Diego Health use in their study. When the subjects got vaccines in March, their early effectiveness for preventing the contraction of COVID-19 was around 90 percent; however, by July, this percentage had fallen to approximately 65 percent. This is an expected response for most viruses. The immunity wanes over time since the memory B cells’ protection against the virus begins to decrease with time because there are just fewer memory B cells specific to the pathogen present in your body. Thus, booster shots are given to remind the body’s immune system about the COVID-19 virus and produce more memory B cells. In a time where delta was the most prevalent virus, the study also found that unvaccinated people were 7 times more likely more to test positive for COVID-19 compared to unvaccinated people, and adults who contract COVID-19 are 32 times likely to require medical attention compared to vaccinated adults who contracted COVID-19. Again, we have to keep in mind, this is not a simple random sample of the whole US population, therefore we cannot fully use these results to reflect what will happen in our community.

Now that we went over the reasons to get the booster, we have discussed what the booster shot is. The booster shot in essence is the same formulation as the current COVID-19 vaccine that you received if you are vaccinated. The only little variation is in the Moderna’s shot: it is half the dose of the initial vaccine. The shot injects mRNA in a Lipid nanoparticle that can bypass our cell membrane because of its small size and nonpolar properties.

Vaccines-09-00065-g001

Lipid Nanoparticle containing mRNA

The mRNA is used by the cell’s ER to synthesize spike proteins. Since it’s the same formula as the previous COVID-19 vaccines, this means that the booster doesn’t guarantee immunity against the delta and omicron variants. However, it does retrigger your memory B Cells. You should get the booster shot around 6 months after full vaccination since there is a big decreased effectiveness with the passage of time.

Novel Coronavirus SARS-CoV-2 Spike Protein (49584124196)

Covid’s Spike Protein

With new variants around the corner, Chira Alleles, a co-author in the study stated “Similar findings [in this study] are being reported in other settings in the U.S. and internationally, and it is likely that booster doses will be necessary.” Since there is no huge downside to getting the shot, and if you do not have any underlying health conditions that might put you in more danger than getting COVID-19, I strongly think you should get the booster shot as soon as it is available to you!

What are your thoughts on getting the vaccine/booster shots? Do you think there will be a point where we can achieve herd immunity, or will that be impossible with the rapid mutations?

Can a Plant Based Diet Protect You from Covid?

The Covid-19 pandemic has affected and devastated millions of people all over the world over the past two years. Even after religiously wearing masks and more than half of the world’s population getting vaccinated, we still need to live in caution of getting infected with this virus every day. Although Covid-19 is known to be one of the most contagious viruses to exist, it has been discovered in a recent article that maintaining a healthier lifestyle and diet will decrease your chances of getting infected as well as minimize any symptoms if you do happen to get infected. We all know that overall if you are able to maintain healthy habits, your immune system will be stronger and therefore, able to fight off infection more effortlessly, but applying this same idea to Covid-19 may help us escape this pandemic sooner than expected. 

Since data on this theory was lacking, Dr. Jordi Merino and his colleagues conducted an experiment to gather more evidence. 592,571 participants were selected and began by completing a questionnaire assessing their dietary habits before the pandemic. Participants who had healthy eating habits had a 9% lower chance of contracting the virus and a 41% lower chance of developing severe Covid-19. Merino concluded that in addition to wearing masks and getting vaccinated, we should all try to maintain healthy, plant-based diets to fight against Covid.

Healthy non-sugar diet

In addition to the health benefits of having a plant-based diet, it improves your immune system because of the antioxidants, vitamins, minerals, and phytochemicals found in plants. These components work to keep your cells healthy and working at their fullest potential to fight off infection. They resolve inflammation in the body by neutralizing toxins, processed foods, bacteria, and viruses. With all the benefits, why wouldn’t you go plant-based?

It may sound pretty simple: if I go plant-based and I won’t get sick, right? Not exactly. It is found that the risk of  Covid-19 is greater in areas of high socioeconomic deprivation. This is because the people who inhabit these areas are unable to maintain the same lifestyle as people who are more fortunate. Plant-based diets and healthier lifestyles are generally more costly, causing them to be less accessible to everyone. This is one of the main reasons that Covid is still a great risk to our society. For more information about a plant-based diet decreasing Covid risks, click here.

In AP Biology we learned how your immune system works to fight against any invading viruses in your body. When you are contracting a virus, the pathogen first needs to pass through your barrier defenses. These are the natural defenses with which you are born. For example, they include mucus, skin, stomach acidity, blood and lymph proteins, etc.. If you are an unhealthy person and these defenses aren’t working properly, you are much more susceptible to disease and then need to rely on your internal defenses.

Primary immune response 1

This diagram shows how the humoral and cell-mediated responses work in the body to fight off disease.  When a pathogen enters the body, your immune system will attack either the pathogen itself when loose in your bloodstream and bone marrow or attack and kill an entire infected cell. Keeping your immune system strong by eating right and frequent exercise will also ensure that these defenses will fight off disease quickly and form antibodies to prevent future reinfection. A healthy person is by no means immune to a virus, but they will experience fewer symptoms as well as recover faster because their immune system works faster. This means that fewer cells will become infected and the virus will have less time to replicate and multiply.

As someone who runs track and cross country, it is very important to me to keep my diet as healthy as possible. Though a plant-based diet doesn’t suit my lifestyle best, I do make healthy food choices as often as I can to properly fuel myself and to ensure I don’t get sick. This seems to be working well for me as I am still yet to get infected with Covid-19 or show any symptoms.

The COVID-19 Treatment Pill: Destroying or Amplifying The Virus?

After seeing millions of people die from COVID-19, a new discovery has been found that could be the first long term treatment option to give patients suffering from COVID-19 a chance to fight it off, but how sure can we be that the treatment pill will work?

Pill 1

New data about an antiviral pill made by Merck with its partner Ridgeback Pharmaceuticals show that the treatment pill is not as stellar as first believed. The drug has drawbacks that could outweigh its potential to fight the coronavirus and keep people out of the hospital.

The U.S. Food and Drug Administration is now deciding whether to grant emergency use authorization for the drug called molnupiravir, after the agency’s advisory panel narrowly voted to recommend it on November 30. The drug was authorized to be of use in the United Kingdom on November 4, and if the FDA follows suit, it could wind up being just a temporary treatment. Some advisers have already urged the agency to be ready to withdraw the authorization as soon as something better comes along.

Finding an early treatment for COVID-19 hasn’t been easy due to the constant trial and error that scientists keep facing, so when the development of molnupiravir came out a lot of experts hailed it as they thought it could be a potential game changer for the pandemic. It would be utilized as a pill that could be given to people early in the infection, keep health care systems from being overwhelmed, and spare people at high risk from the most severe complications. 

In a clinical trial, the drug showed early signs of preventing hospitalization and death from COVID-19 in people who are at high risk. In fact, the results were so promising — a 48 percent reduction in the relative risk of hospitalization or death — that the trial was stopped so that the drug might potentially reach the public earlier.

But on November 26, Merck announced in a news release that when all the available data from the trial was in, the reduction in relative risk fell to 30 percent against hospitalization and death compared with a placebo. The shift stemmed from an unexplained decrease in severe disease among people in the placebo group in the last part of the trial.

Overall, among the 709 people in the molnupiravir group, there were 48 hospitalizations and one death compared with 68 hospitalizations and nine deaths among the 699 people who got a placebo, dropping the effectiveness from the initial 48 percent to 30 percent.

Taking that lower-than-expected efficacy into account, the FDA’s antimicrobial drugs advisory committee came to a split 13–10 decision about whether the antiviral drug should be granted emergency use authorization, with experts on each side of the vote often agreeing with points made by the opposing side. The debate and vote reflected a storm of uncertainty about the drug’s efficacy and who should use it — the list of people who would not be eligible is far longer than those most experts would give the drug to. The panel also looked into whether the drug could lead to even more dangerous versions of the coronavirus, whether it can cause growth delays in children or mutations in human DNA, and other unanswered questions.

The antiviral pill works by making mutations in viral RNA so that viruses are rendered noninfectious and eventually stop replicating. Such mutations happen throughout the virus’s genetic instruction book, or genome.

SARS-CoV-2 without background

Some of those mutations could land in the spike protein, which helps the coronavirus break into cells, or other proteins and make the virus more transmissible or more evasive to vaccines. As learned in AP Biology, the spike proteins enable the host cell to be taken over by the virus and multiply and infect the surrounding cells. The vaccine that is being administered to people all around the world contains the antibodies that you would get if you were to be infected with the COVID-19 virus, so that if you were to get the virus, your body would go into its secondary immune response. This is when the memory cells facilitate a faster, stronger and longer response to the same COVID-19 antigen. Getting the vaccine would protect your body from having a life threatening reaction to the virus. If there is a mutation that lands on the spike protein, then the vaccine will be of no use to people since that is a completely different makeup of the virus. That’s especially a fear if people don’t finish the full five-day course of the drug needed to render the virus inoperable, leading potentially to highly mutated new forms of the virus that could infect others. 

Merck representatives said that possibility is unlikely, because after five days of taking even a half dose of the drug, infectious viruses were no longer detectable among study participants tested. In one study, the company found seven patients who had changes in the coronavirus’s spike protein after taking molnupiravir, but there was no evidence that the viruses spread to other people or affected the patient’s health.

Molnupiravir might also create mutations in human DNA, researchers say. The drug is a nucleoside analog — an artificial RNA building block that can mimic the bases cytosine and uracil. Some enzymes in human cells might convert those RNA subunits to a DNA building block, which may lead to mutations in human DNA, especially in rapidly reproducing cells, such as blood cells. How likely that is is an open question.

Still, there are no good remedies for people with mild to moderate COVID-19. As of November 30, more than 82,000 people in the United States are being diagnosed with COVID-19 each day and more than 800 die. Those numbers are expected to increase as case counts surge in some parts of the country. The new omicron variant might add fuel to that fire if it proves more contagious than the currently dominant delta variant.

So even with all of molnupiravir’s drawbacks, federal regulators might decide a 30 percent reduction in hospitalizations and deaths is worth giving the drug temporary authorization.

The drug might be helpful for “the right patient population, the right virus at the right time,” said Lindsey Baden, an infectious diseases doctor at Brigham and Women’s Hospital in Boston who chaired the FDA’s advisory committee. “To me that at least suggests there are populations where there may be benefit.”

But more studies need to be done to address concerns about the drug, he said. “It’s the absence of data that makes many of us uncomfortable.”

President Joe Biden said December 2 during remarks laying out a plan to combat the omicron variant that the government has secured a supply of the drugs and, if authorized, will distribute them similarly to vaccines.

 

How does the Omicron variant of COVID-19 compare to the deadly Delta variant?

With news of the new variant of the COVID-19 virus reaching 16 states here in the US, many are asking: What is this Omicron variant?

The Omicron variant of COVID-19 was first reported to the World Health Organization by the Head of South African Medical Association, Dr. Angelique Coetzee. As of December 6, 2021, there are about 59,000 Americans hospitalized due to said variant.  The Delta variant, more than twice as contagious than previous variants according to the CDC, still continues to be the leading cause of COVID-related hospitalization and deaths today in the US and many other countries. However, medical experts are saying that Omicron has a few different key mutations that make it very likely to outperform Delta. How does this Omicron variant compare to the deadly Delta variant which we’ve been battling this year? Here are the main things you need to know.

Symptoms of the Omicron variant:

  • Fever or chills
  • Cough
  • Shortness of breath or difficulty breathing
  • Fatigue
  • Muscle or body aches
  • Headache
  • New loss of taste or smell
  • Sore throat
  • Congestion or runny nose
  • Nausea or vomiting
  • Diarrhea

Infection and Spread:

So far, people who have been diagnosed with the Omicron variant of SARS-Cov-2 in the US have or had mild symptoms, yet it is said to be much more contagious. Why? The difference in the structure of the spike proteinVariants of COVID-19 have mutations present in the spike protein due to copying errors in our DNA.

File:Omicron.jpg - Wikimedia Commons

Omicron Structure pictured

The Delta variant has 18 mutations in its spike proteins…Omicron has a whopping 43! That is many, many more than Delta. Jeremy Kamil, associate professor of microbiology and immunology at Louisiana State University Health Shreveport, said, “The number of changes blew people’s minds…It’s an exaggeration to say we’re back at square one, but this is not a good development.”

Around 30 countries have detected said variant so far; 19 states in the US have. The high number of mutations it contains does not necessarily mean it’s more dangerous. As previously stated, Omicron patients have thus far exhibited milder symptoms. Dr. Coatzee said that she first discovered Omicron’s appearance as her patients exhibited “unusual symptoms” in comparison to the Delta variant. However, don’t be too scared; experts say our immune systems have grown more equipped to fight the COVID-19 virus.

We still have yet to learn more about Omicron and its nature, infection, etc., as it is very new.

Free COVID-19 Illustrations - Innovative Genomics Institute (IGI)The original COVID-19 virus’s structure is pictured above

With Omicron having more than double the mutations as Delta, the likeliness of transmission/level of contagiousness is quite high–also meaning that the efficacy of our vaccine could be compromised. The Omicron spike protein has similar components that of the Delta, beta, and gamma variants, meaning that the rate of transmissibility is similar. With Omicron having the largest number of mutations, however, transmissibility can be increased more than 2x!

What should you do?

Well, continue to follow the standard COVID-19 measures. Wear a mask, social distance, wash your hands, travel less, and just be careful. These methods have proven time and time again to help. Travel restrictions on the rise can be tough with the holidays coming, but remember that they are only in place for the sake of our safety. It is important to follow these rules as the pandemic is not over.

Robert Malone: The Man Behind the Ideas for the COVID Vaccine

When you think of the COVID-19 vaccine, the first things that might come to mind are the companies that facilitate it (such as Pfizer & Moderna), if it is safe or not, or even that it is a new type of mRNA vaccine that is unfamiliar to many. However, people tend to overlook and not give any thought towards who made this all possible, and that person is Robert Malone.

Robert Malone, born in 1959, started his medical career at University of California Davis, and later got his MD from Northwestern University. After Malone’s traditional education at both an undergraduate and graduate level, he conducted research at the Salk Institute for Biological Studies.

Salk Institute (19)Salk Institute for Biological Studies

During his time at the Salk Institute, Robert Malone performed a “landmark experiment.” In this experiment, Malone mixed strands of mRNA with droplets of fat (lipids). Human cells reacted with this mRNA lipid mix and began producing proteins from it. Robert Malone had some foresight and realized that this discovery has some potential in the medicinal world. He decided to jot down some notes, stating that if cells could create proteins from mRNA delivered to them that it might be possible to “treat RNA as a drug (written January 11, 1988).”

These revelations from Robert Malone had a huge contribution towards the mRNA COVID-19 vaccines.

COVID-19 Vaccine vial and syringe - US Census

After seeing all of this information on how Robert Malone made scientific contributions towards the COVID-19 vaccine, it is important to show how it works. Since we know (as seen in Malone’s experiments) that mRNA mixed with lipids that enter a human cell can lead to the production of proteins, scientists just had to tweak the mRNA until it could create pieces of “spike protein.” These pieces of spike proteins would have to match the shape of the spike proteins found on the surface of the COVID-19 virus. This required an impressive feat of biomedical engineering, but it was done.

Robert Malone’s work did not just contribute to the first strand of COVID-19 discovered, but his work applied towards different variants as well.

Corona virus Covid-19 BW

The idea of spike proteins and how spike proteins can be counteracted through an mRNA vaccine applies to all different variants of COVID-19. As seen through activities and lessons learned in our Bio class, different variants of COVID-19 just have pieces of the protein structure changed, which leads to a changed shape of their spike proteins. This leads to existing vaccines being less effective as the original vaccine was meant for a specific spike protein shape, not the shapes of the new variants. This means that mRNA vaccines are still very much effective towards different variants of COVID-19, but they would have to be modified mRNA vaccines.

Despite all of this, Robert Malone’s research’s applications might not stop at the COVID-19 vaccine. The COVID-19 vaccine was able to show us the power of mRNA vaccines, so it is not unreasonable to be expecting more mRNA vaccines in the future.

The Potential End To COVID-19: How An Antiviral Pill Could Decrease Death Rates

When will the world return back to normal? In recent years, people have questioned the longevity of the COVID-19 outbreak. While concentrating on vaccine delivery and vaccination capabilities, a pill has been developed in the hopes of preventing future COVID variations. Hopefully, the pill will eventually be administered to patients; this would make it the first oral treatment for the virus.

A current study on molnupiravir, an antiviral pill, has published data demonstrating that the medicine has the ability to lower hospitalization and fatality rates as a result of COVID-19. The study dealt with two groups of people. One group of 377 people were given a placebo, and the other group of 385 people were given molnupiravir to examine how the antiviral affected patients with COVID-19. The findings were substantial. Within 29 days of starting the trial, 14.1 percent of the group given the placebo were hospitalized. Fortunately, of the individuals who were given molnupiravir, only 7.3 percent of them were hospitalized.

Molnupiravir is a prodrug of N4-hydroxycytidine (NHC), a nucleoside analog (meaning that it contains a sugar and a nitrogenous base). Molnupiravir metabolism

Molnupiravir is similar to the genetic coding of the coronavirus’s RNA, as is remdesivir (a FDA-approved medication). By interfering with the polymerase enzyme, the “fake” basic elements impair the coronavirus’s RNA synthesis, preventing the virus from replicating. Despite the fact that the two medications serve the same goal, they serve different actions. Remdesivir penetrates a growing RNA strand, slowing and ultimately blocking the polymerase enzyme. Unlike the COVID-19 vaccine, the structure of molnupiravir gives it the ability to target the polymerase enzyme instead of the virus’s spike protein. Molnupiravir enters the cell and is transformed into RNA-like building components. The active medication binds to the genome of RNA viruses, setting off a chain of mutations; this process is known as viral error catastrophe. In simpler terms, it disrupts how the virus replicates RNA.

Molnupiravir could theoretically be administered as soon as a patient receives a positive COVID-19 test, thereby preventing floods of COVID-19 patients from overburdening medical systems while the highly infectious delta variant continues to spread. Although the side effects of the drug remain unknown, it has been reported that the side effects of COVID-19 are much worse than those of molnupiravir. The antiviral drug has the potential to save lives, but the primary concern is about the long-term repercussions. When contemplating molnupiravir, the fear of birth abnormalities or cancer comes into play because it is a mutagenic medication. In response, the drug’s creator, Merck, stated that there is no indication of the possibility for mutagenicity. Although the manufacturer is confident in the treatment and believes that the long-term consequences are insignificant, it is logical that parents might have concerns about molnupiravir.

Ultimately, if patients receive the vaccination that targets the spike protein and are also able to take molnupiravir, hospitalization and mortality rates may dramatically reduce.

Inequality in the Sciences: Can we stop it?

Throughout this past year, racial tension has been high due to events around the country. While our country has been in a place that it has never been before, it helps reveal some of the biggest character traits of our country. Struggle does not build character, struggle reveals it. During the racial turmoil going on in our country, the different STEM fields began to really take notice of the racial disparity and inequality in their fields. Racial minorities in STEM fields, especially medicine can see and understand how the field is one of the most racist institutions in our country.

 

People of Color in STEM 

The lack of racial diversity in STEM fields is a huge issue for not only the people who are working in the field but also for the people they are researching for. It is difficult for the people working in the field due to discrimination, which makes it much more difficult to attract other people of color to the field. As a result, people of color are extremely underrepresented in these fields. To put it into perspective, 62% of blacks in STEM have experienced discrimination due to their race compared to 13% of whites in the field. 

 

How COVID-19 is affecting non-white Americans

During this COVID-19 pandemic, non-white Americans are between 2 and 2.6 times more likely to die from the virus than white Americans. That study was done and based on nothing but race. The virus does not look at your race before deciding to kill you or let you live. The virus has no preference. This study shows that the disparity in medical attention between non-white and white Americans is grave and it is killing people and no one seemed to be talking about it until recently.

 

 

What is the solution?

The two most simple answers to this question are education and equal opportunity. If we can educate young children who are going to grow up to be the next generation of people in health care and people in medicine about racial equality and racial injustice then the problem will cease to exist. In the meantime, if people of color and other minorities had the same opportunities to study medicine and help people that look like them would definitely slow this problem down tremendously as well.

KARSH STEM Scholars program

The KARSH STEM Scholars program is a great example of education and equal opportunity. This is a program at Howard University that gives aspiring African American STEM scholars an opportunity to pursue their passion no matter what economical background they have or what race they are? The program’s goal is to produce leaders in all of the STEM fields and has been very successful thus far. Programs like this make a tremendous push to close this gap that we are seeing throughout the different STEM fields.

 

 

 

 

How the Healthcare Industry Disadvantages Minorities

Although our country is built on the principle that “all men are created equal,” this notion has yet to be completely true in modern America or our history. The disproportionate death rate from COVID-19 in Black Americans is a telltale sign of the inequities, or injustices, in place in the healthcare industry. While it’s easy to blame these inequities on higher obesity, diabetes, or hypertension rates in Black Americans, there is more to it than that.

These inequities are also very prevalent in prostate cancer mortality, as the numbers are far higher in Black men than white. This results from a multitude of factors, including that they “generally get fewer PSA screenings, are more likely to be diagnosed with later stage cancer, are less likely to have health insurance, have less access to high-quality care,” or perhaps even other factors, according to Daniel Spratt, M.D. These are all indications of structural inequality, a system of unfairness created by institutions, in our country, not just circumstantial or individual biases. 

Black and minority patients are likely to feel more comfortable with minority doctors, but unfortunately this isn’t always possible. For obvious reasons, this reduces implicit bias from the physicians. Aside from a harder time getting proper care, minorities also suffer from an unequal amount of expenses. According to a UMichigan team, “the last six months of life is $7,100 more expensive to the Medicare system for Black people, and $6,100 more expensive for Hispanics, compared with white people,” although more research must be done to determine exactly why this is. One of the root causes for these trends could be lack of nutrition. Even before the pandemic, many minority adults and children didn’t have access to nutritious foods, which plays a major role in health status. This also continues to be perpetuated by institutional racism and the vicious cycle of poverty in America. Unfortunately, many situations only worsened with the emergence of COVID-19. This is a very pressing issue that must be addressed sooner rather than later, in order to ensure the safety of many adults and children.

As we have learned in bio class, the use of masks to prevent the spread of COVID-19 is absolutely essential. Especially in urban or tightly packed communities, where COVID-19 can easily spread from person to person, masks are needed more than ever. Additionally, these communities often have high amounts of minorities, worsening their odds of becoming seriously ill. Fortunately, with the development of safe and effective vaccines, there is finally a light at the end of the tunnel. Minority communities desperately need vaccines in order to prevent any more lives lost, and luckily distribution is gradually picking up. Although this has been a tragic year, I hope America will learn from this situation, becoming more prepared for future unpredictable scenarios and fixing the inequities prevalent in our country.

The Devastating Impact of Covid-19 on Indigenous People

For years, Indigenous people have struggled to receive access to resources and proper care. From education to jobs the Indigenous community has been neglected time and time again. Looked over in all categories.  Though there are many topics that need to be addressed regarding the Indigenous community,  I will be focusing on the large disparity in health care that Indigenous Americans and Alaska Natives receive compared to other races. I will also look at how Covid – 19 has hurt this system to the even greater extremes and what you can do to help. 

Health care in Indigenous American communities has never been at the forefront of many important decisions, and as a result has suffered tremendous neglect over the years. One of the main providers of health and medical care in Indigenous communities is Indian Health Services or the IHS. It is given to over 2 million individuals who are descendants of the 567 federally recognized tribes. It’s supposed to provide “healthy communities and quality health care systems” but it seems to be doing just the opposite. It has very little funds from the government  and with less money, less services they can provide. The large disparity in health care for Indigenous groups compared to other populations is growing by the day. Indian Americans and Alaska Natives die at much higher rates than other races and are significantly more likely to die from easily treatable diseases. There is a higher infant mortality rate about 1.5 times higher than white people. They also have a lower life expectancy, and are expected to die 4 -5 years earlier than other races in America. This inequity can be a result of the many underlying issues in the Indian American community. Some of these include poverty, lack of health insurance, less education, language barrier, no access to transportation, less healthy food options, discrimination and many more factors. They have a dwindling amount of medical doctors located on many reservations which gives even less access to proper care. Many hospitals and medical facilities are also very far away from where many people live so an emergency situation can be detrimental.  An example of this is when a man named Cody Pedersen was stabbed in the neck and the ambulance took almost two hours to arrive. He survived, but this is only one success story out of many tragic ones. 

With all the problems Indigenous communities faced before Covid – 19. The addition of the virus impacted the community immensely. According to the CDC American Indians and Alaska Natives are 5.3 times more likely to be hospitalized due to Covid. They are also 2.4 times more likely to die due to Covid-19. This is a big difference even when compared with other minorities groups. There is also a lot of data that has yet to be collected, inconsistent data, and misinterpreted data that could be an even better insight into the real struggles of the indigenous community. However, no one is making an effort to collect it. Health isn’t even the biggest problem the indigenous community faces due to Covid. The virus devastated them economically, when many were already facing poverty. Many tribal businesses were forced to close and still cant open. Many of the money earned on reservations goes back to support the community. With businesses shutting down and people having to look for work outside the reservations less profits can be contributed to the community, increasing reliance on outside organizations. This makes it really important for people who fund the native community to keep funding even after all this subsides for them to rebuild their communities. 

It has been far too long since indigenous people looked over and neglected in our country. Although they are a small percentage of our country they are still lives that need the same services as everyone else. It all starts with awareness. Once you become aware and start to care that this is happening to others it makes a big difference. The more people care, the more change that can be enacted. Native societies need to be just as visible as other races. We need to recognize Native people, help Native people, and protect Native people.

Here are some more ways to help:

Partnership with Native Americans

Indian Health and Human Services

How to Support Indigenous Communities

 

 

Health Inequality: 10 studies exposing the truth in racial disparities within the health care system

“We hold these truths to be self evident that all men are created equal”- Thomas Jefferson (Declaration of Independence)

This statement written almost 300 years ago is what the United States of America bases most of its legitimacy on. Note the words “all” and “equal” within this statement. However, despite being one of America’s most precious documents, does it speak the truth? Are all men and women living in America created equal? We live in a time where institutional racism has become one of the most driving issues. Within the healthcare and education systems, among other things, racial disparities mostly among the Black communities has persisted. In this article, Michigan Medicine researchers explored ten different studies in which racial disparities between Black and White Americans were present. In studying these cases, one can view institutional racism in a different and very serious light that might bring more attention to the ongoing issues within 21st century America.

1. Covid-19 

Though Black Americans are at higher risk for Covid-19 due to increase risk of hypertension, diabetes and obesity, Melissa Creary of U-M School of Public Health believes that “it’s not the fact that they have these diseases that’s causing the higher death rate because people of all races, classes and creed have these diseases.” She later states that there is a great burden of disease present in the Black population. She also believes that this is because of “structural inequity” not for other reasons like increase in chances of developing other medical diseases.

2. Prostate Cancer Mortality Higher in Black Men

This study found that societal factors and the accessibility to quality care contributes to “a 2.5 times higher prostate cancer mortality rates for Black men compared to non-Hispanic White men.” It was found that Black men get fewer PSA screenings and are more likely to be diagnosed with later stage cancer. They will also be less likely to have health insurance, low accessibility to high-quality care and other issues linked to socioeconomics. After looking more into the study through this article, it was found that Black men did not have an increased risk of dying from prostate cancer compared to White men with a similar stage of disease. The greatest disparity to Black men with prostate cancer is low accessibility to healthcare and any type of care when it comes to health issues.

3. Minority Patients benefit from Minority Doctors (match is hard to make)

Ryan Huetro who works as a family medicine physician at Michigan Medicine found that Black and Indigenous people can improve their health care by seeing doctors of their race or ethnicity. A physician may not even realize the bias they might be treating a patient with but these biases still remain. Though matching people based on races may be beneficial to one’s healthcare, it is sometimes hard to match races in one’s own community. Therefore, this is not the best solution in fixing racial disparities within the healthcare system.

4. Maternal-Infant Health impacted by racial and ethnic disparities

In this study, it was found that nearly half of all “Black, Hispanic and Indigenous women had discontinuous insurance coverage between pre-conception and after delivering their babies compared to approximately a fourth of White women.” Lindsay Admon of Michigan Medicine found that racial and ethnic disparities were prevalent within the access to preconception, prenatal and postpartum care.

5. Young African Americans with Colon Cancer

In this study it was found that there were racial disparities in treatments for young colon cancer patients. Elena Stoffel of the Cancer Genetics Clinic at the U-M Cancer Center found that these tumors found in young people and African Americans need to be looked at and compared to see if they have “molecular differences compared to the typical colorectal cancer seen in older adults.” We can look more into this topic by looking at the way cancer occurs within our cells. Cancer is caused by the changes in the DNA in our cells. We can also look our genes. Oncogenes help cells grow, divide and stay alive. Tumor suppressor genes help cell division and cause cells to die at certain times. Colon cancer can be caused by DNA mutations that switch on and off oncogenes and tumor suppressor genes. This causes the cells to grow at rapid paces. By learning more about our genes and cell division, we can learn more about the molecular differences when diving into colorectal cancer.

6. Dying costs for People of Color

The U-M team found that the last six months of life is $7,100 more expensive to the Medicare system for Black people and $6,100 more expensive for Hispanics compared to White people. This is one of the many racial disparities that are present within our corrupt healthcare system.

7. Blood Pressure Associated with Racial Differences 

Michigan Medicine researchers have targeted blood pressure in order to reduce racial disparities in dementia development. They found that long term hypertension is a possible explanation for why Black people are more likely to develop dementia than White people.

8. Low coverage in Vision Devices

This study focused on the fact that Medicare does not cover low vision devices. So when looking at White adults age 65 and older, the odds of using a low vision device were 17% lower in Black adults. Joshua Ehrlich found that low vision services improve the quality of life and equitable access to these services is a major challenge.

9. ACA makes Health Insurance Access more equal, but gaps still remain

The Affordable Care Act is a reform law enacted in March 2010 and can also be known as “Obamacare.” It had three main goals which was to make health insurance more affordable and more available, expand Medicaid, and support innovative medical care delivery methods to lower costs of health care. However, though it has achieved aspects of those goals, Black and Hispanic Americans are still less likely than White Americans to have health coverage and will ultimately avoid care because of high costs.

10. Lack of Stable Food Supply that can Impact the Health Conditions

Prior to Covid-19, many adults still struggle with food insecurity and after Covid-19, things have gotten exponentially  worse. Access to nutritious foods while also maintaining good health has been a struggle more than ever. Especially during these daring times, it is crucial to ensure that certain individuals are getting food that align with their pre-existing health conditions so those conditions don’t further themselves.

 

Ultimately, we as Americans need to do better in working to achieve equality for all but specifically health equality for all. Everyone deserves to have the same treatment and the same fighting chance to survive the deadly diseases. Health equality is one of the most basic but challenging things that America needs to figure out fast so that more lives are not put at risk. We can do better. Any comments on this topic would be much appreciated. Thank you!

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